Alabama Rural Health Funding Dashboard

Real-time monitoring interface tracking the 2026 deployment of the state-administered Rural Health Transformation Program (RHTP) managed by ADECA, alongside concurrent federal health earmarks and state tax credit pools. Data updated as of July 23, 2026.

Total Combined Pool Accounted

Projected Spent / Obligated

Active Target Jurisdictions

54 Rural Counties

Year 1 Spending/Obligation Speed: 80%

Filter Funding Engine:

Long-Term Vision: Alabama secured $203.4M in Year 1 from CMS to implement a comprehensive strategy across 11 key initiatives. The Alabama Department of Economic and Community Affairs (ADECA), advised by a designated state task force, aims to stabilize rural networks facing severe financial distress—currently, 48% of the state's rural hospitals are at immediate risk of closure.

Geographic Distribution of Funding

Programmatic Payout Log

Mechanism	Project / Subgrantee Beneficiary	Baseline Allocation

Administrative Notice: Hospital leaders and county health departments are moving through the RFP process for the initial RHTP phases. Simultaneously, the new Alabama Rural Hospital Investment Program has launched, providing a dollar-for-dollar tax credit (capped at $20M statewide in 2026) for contributions to 50 eligible rural hospitals. Official guidelines are cataloged at adeca.alabama.gov/alruralhealth.

Regulatory Phase Schedule (2026)

Milestone Phase	Operational Timeline	Bidding Status	Core Strategic Intent
Phase 1: RHTP Advisory Group Formed	December 2025	Completed	Gov. Ivey signed an executive order establishing the Advisory Group to guide ADECA in policy development and fund distribution.
Phase 2: Regional RHTP Workshops	May 2026	Completed	Statewide roadshows hosted by ADECA to provide application guidance on the 11 core initiatives to rural providers.
Phase 3: RHTP Subgrant RFP Windows	June - July 2026	Under Review	Competitive process focused on scaling hospital IT/cybersecurity, maternal care access, and EMS Treat-In-Place models.
Phase 4: Statutory Spend Deadline	September 30, 2026	Pending Cutoff	Federal budget boundary requiring all approved first-year funding streams from the $203.4M pool to be fully obligated.