The Rural Health Transportation Program is a $50 billion, five-year federal investment that will reshape rural health in every state.
In early 2026, states will open competitive procurements that decide who gets funded and who doesn’t.
Where should you compete, and how can you position your company to win?
[Download the full report]
States are under pressure to move money quickly and show early results. This report analyzes all 50 state plans to show where to focus your Year 1 pursuits and how to position so you’re not cut in later rounds.
- Every state received at least $100M in Year 1, but competition among vendors will vary greatly.
- Year 1 is about positioning, while Years 2–5 are where funding consolidates.
- There is no national playbook. Politics, priorities, and procurement cultures differ across states.
- Vendors that sell features will lose to vendors that tell the right story.
Year 1 decides who gets a seat at the table for Years 2–5. Miss the first round, and you may not get back in.
If you need to be selected by a state, Medicaid agency, or prime grantee, this report is for you.
Act Now!
By the time RFPs are released, it’s too late to:
- Build relationships with state and rural stakeholders
- Establish credibility and reduce perceived risk
- Align your message to each state’s specific priorities
Winners will be known quantities before proposals are scored.
How Sachs Media Helps Vendors Win RHTP Funding
We help organizations translate strong solutions into narratives that resonate with state agencies, procurement officials, legislators and governors’ offices, rural stakeholders, media, and local partners.
- Position ahead of state procurements
- Build validator and stakeholder support
- Strengthen procurement messaging and reduce perceived risk
From pre-RFP positioning to multi-state storytelling, we help vendors show up early, sound credible, and stay competitive throughout the procurement process and beyond.
What 50 States Plan to Fund, and How Vendors Can Win
A practical, state-by-state guide for vendors planning to pursue Rural Health Transformation Program (RHTP) funding in 2026 and beyond.
Want to talk through your RHTP communications strategy?
Want to talk through your RHTP communications strategy?
If you’re considering pursuing RHTP funding in one or multiple states, a short conversation now can save months of misaligned positioning later.
Schedule a 30-minute RHTP strategy call to:
- Target the right states for your Year 1 pursuits
- Pressure-test your procurement messaging
- Build a visibility plan that protects your Years 2–5 funding