Nevada

Nevada's FY2026 allocation is approximately $179.9 million, its share of the federal $50 billion Rural Health Transformation Program (CMS cooperative agreement #RHTCMS332074-01). CMS structures the program over five years, with a Year-1 (Budget Period 1) allocation followed by additional annual funding; Nevada requires all BP1 subawards and contracts to be fully signed and obligated no later than October 30, 2026.

The Nevada Health Authority (NVHA) administers the program, led by Director Stacie Weeks. Program contact is gackerman@med.unr.edu. NVHA runs the RHT effort with a standing Steering Committee and a CMS Project Officer, and in early 2026 onboarded two contract vendors to help develop its RFPs and RFAs.

Nevada organizes its rural transformation funding into four main pillars — the Rural Health Outcomes Accelerator Program (RHOAP), the Nevada Rural Health System Flex Fund, the Workforce Recruitment and Rural Access Program (WRRAP), and the Rural Health Innovation and Technology (RHIT) grant — plus cross-cutting set-asides for Tribal health, Veterans/Corrections, and a school-based fitness initiative. The stated priorities span value-based care, telehealth and remote patient monitoring, behavioral health integration, maternal and infant health, workforce expansion, population-health analytics, and cross-sector care coordination, with heavy emphasis on sustainability, payer alignment, and multi-organization collaboration.

• RHOAP — roughly $27M made available in Budget Period 1, tiered from Tier 1 pilots ($100k–$250k) up to Tier 4 transformational system-level programs ($1.5M–$2.5M).
• RHIT — $26,989,741 (about 15% of the FY2026 allocation), across three tracks: Core Health IT & Interoperability, Provider-Facing Digital Health & Remote Care, and a capped Consumer-Facing Digital Tools & AI track.
• WRRAP and the Flex Fund — workforce recruitment/retention and rural system flexibility, run through their own RFAs.
• Presidential Fitness Test — a $1,298,985 set-aside (85% Nevada Department of Education, 15% State Public Charter School Association).

Recurring focuses on record include a workforce data utility, telehealth infrastructure, and quality. The full multi-year budget is in Nevada's Program Fact Sheet and Project Narrative.

Nevada is among the first states to publish fully built-out primary funding RFAs. Named solicitations include the RHOAP RFA (about $26.99M available in BP1; proposals due June 26, 2026, awards expected by July 27), the RHIT RFA ($26,989,741; applications due July 6, 2026, decisions by August 10, subawards in September), the Flex Fund RFA (due April 30), WRRAP RFAs including a dedicated Workforce Residency RFA (1st/2nd due May 15; 3rd due June 26), a Rural Tribal Health Transformation RFA (due May 29), and the Rural Presidential Fitness Test RFA ($1,298,985, limited to two state education entities). Upcoming RFPs published in May remain open at least 42 days on Nevada ePro. The running record is in the dispatch list below.

Nevada RHT NOFOs →

Concrete dates on the record include RHOAP proposals due June 26, 2026 (awards by July 27), RHIT applications due July 6, 2026 (decisions by August 10), and the Q3 RHT Steering Committee meeting on September 10, 2026. All BP1 subawards and contracts must be obligated no later than October 30, 2026. Where individual windows have passed, current deadlines surface first in the dated dispatches below and on the NOFO portal.

The Rural Health Transformation Program was created by Section 71401 of the One Big Beautiful Bill Act (2025) and is administered federally by CMS. Nevada administers its cooperative agreement (#RHTCMS332074-01) through the Nevada Health Authority under its CMS-approved Project Narrative and budget, guided by a state RHT Steering Committee and bi-weekly coordination with the state's CMS Project Officer.

Eligibility runs on two tracks, and Nevada has been unusually explicit about the line. Direct-to-state contracts go out competitively, where firms bid as prime contractors. Subawards flow to rural and frontier providers, Tribal entities, and provider-led regional consortia. Vendor rules differ by program: under RHIT, NVHA states it “will not own or operate infrastructure” and limits technology vendors, counties, academic institutions, CBOs, and school-based programs to subgrantee or fiscal-agent roles rather than prime status. Under RHOAP, by contrast, non-profits, universities, and even out-of-state and technology vendors may apply as the lead applicant if they hold a signed intent-to-contract or MOU with an eligible rural Nevada provider. “Rural” covers the 14 rural counties plus eligible rural census tracts within urban counties (verifiable via the HRSA rural eligibility tool).

Nevada RHTP hub →