Congressional Republicans' mega tax and spending cut package signed into law by President Donald Trump in July 2025 includes a $50 billion rural health fund. The program was meant to counteract budget impacts on rural areas due to the package's sweeping Medicaid cuts.
Trump administration divvies up rural health fund.
Congressional Republicans approved an amendment to create a $50 billion rural hospital fund as part of their "one big, beautiful bill" after the base bill, which cut nearly $1 trillion from Medicaid, lacked the support needed to pass.
State Allocation
Texas $281,319,361
Alaska $272,174,856
California $233,639,308
Montana $233,509,359
Oklahoma $223,476,949
Kansas $221,898,008
Georgia $218,862,170
Nebraska $218,529,075
Missouri $216,276,818
North Carolina $213,008,356
Kentucky $212,905,591
New York $212,058,208
New Mexico $211,484,741
Florida $209,938,195
Iowa $209,040,064
Arkansas $208,779,396
Louisiana $208,374,448
Indiana $206,927,897
Tennessee $206,888,882
Mississippi $205,907,220
Wyoming $205,004,743
New Hampshire $204,016,550
Wisconsin $203,670,005
Alabama $203,404,327
Ohio $202,030,262
Colorado $200,105,604
South Carolina $200,030,252
West Virginia $199,476,099
North Dakota $198,936,970
Oregon $197,271,578
Utah $195,743,566
Vermont $195,053,740
Illinois $193,418,216
Pennsylvania $193,294,054
Minnesota $193,090,618
Maine $190,008,051
Virginia $189,544,888
South Dakota $189,477,607
Hawaii $188,892,440
Idaho $185,974,368
Washington $181,257,515
Nevada $179,931,608
Michigan $173,128,201
Maryland $168,180,838
Arizona $166,988,956
Massachusetts $162,005,238
Delaware $157,394,964
Rhode Island $156,169,931
Connecticut $154,249,106
New Jersey $147,250,806