PIONEERING A LANDMARK INVESTMENT IN RURAL HEALTHCARE: Today, President Donald J. Trump commemorated a monumental milestone in rural healthcare funding through the enactment of his pivotal Working Families Tax Cuts Act.
- On July 4, 2025, President Trump officially signed the Working Families Tax Cuts Act into law, which inaugurated the Rural Health Transformation Program, allocating a staggering $50 billion over five years aimed at revamping access to healthcare in rural America.
- On December 29, 2025, the Centers for Medicare and Medicaid Services (CMS) revealed funding awards distributed to all 50 states.
UNPRECEDENTED INVESTMENT IN RURAL HEALTHCARE: The President asserts that the quality of healthcare should not hinge on one’s zip code.
- The Rural Health Transformation Program is set to deliver extraordinary levels of funding to states, aimed at enhancing effectiveness and sustainability in rural healthcare over the long haul.
- According to estimates from the CMS Office of the Actuary, Medicaid expenditures on rural hospitals reached $19 billion in 2024.
- From 2026 to 2030, the Rural Health Transformation Program will inject an additional $10 billion annually, marking a significant augmentation in financial support for rural hospitals and communities.
- The Trump Administration is dedicated to fortifying the rural health workforce, modernizing healthcare infrastructure and technology, and implementing innovative care models to deliver high-quality health services across rural America.
RECTIFYING PAST ERRORS: The Rural Health Transformation Program introduces a fresh perspective aimed at genuinely addressing the healthcare needs of rural populations, rather than clinging to outdated and ineffective methods.
- In contrast to smaller initiatives that have historically underpinned rural care, the Rural Health Transformation Program is uniquely structured to foster innovation and ensure the long-term viability of rural healthcare systems.
- Rural hospitals consistently face the hurdles of minimal patient volume, with lower bed counts and occupancy rates (37%) compared to urban facilities (62%).
- This discrepancy renders legacy funding programs ineffective, as they tie financial support to service reimbursements—which fail to promote sustainable growth in these less-trafficked facilities.
- Distinct from these traditional mechanisms, the Rural Health Transformation Program is crafted to encourage innovative payment models and flexibility, allowing hospitals to invest in the essential resources needed to better serve their communities and ensure their long-term sustainability.
DELIVERING FOR RURAL AMERICA: President Trump has consistently advocated for the health of rural America, taking vigorous measures to reduce healthcare costs and enhance access for millions of diligent citizens.
- On May 12, 2025, President Trump enacted an Executive Order titled “Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients,” mandating the Administration to undertake various actions to align American drug prices with those of peer nations. This initiative has resulted in 16 agreements with major pharmaceutical companies aimed at significantly lowering prices for numerous medications utilized by millions of Americans.
- Shortly after resuming office, President Trump signed another Executive Order titled “Making America Healthy Again by Empowering Patients with Clear, Accurate, and Actionable Healthcare Pricing Information,” directing the Administration to prioritize universal access to transparent healthcare pricing after a period of negligence under the Biden Administration. Consequently, CMS has intensified its enforcement against hospitals failing to comply with price transparency regulations and proposed substantial enhancements to pricing rules for insurance providers.
- Within the historic framework of the Working Families Tax Cuts Act, President Trump expanded access to health savings accounts for up to ten million individuals enrolled in Obamacare and implemented the most comprehensive measures to combat healthcare fraud and abuse, paving the way for the largest investment in rural healthcare to date.
- On January 15, 2026, President Trump urged Congress to pass The Great Healthcare Plan, designed to decrease drug prices, lower insurance premiums, hold insurance companies accountable, and maximize price transparency.

