WASHINGTON — The Centers for Medicare & Medicaid Services (CMS) has issued a new Notice of Funding Opportunity (NOFO) for the Rural Health Transformation (RHT) Program , a $50 billion initiative aimed at transforming rural healthcare delivery.

Applications are due Nov. 5, 2025 (optional letters of intent by Sept. 30). Only states may apply; however, they must consult local providers, including EMS, according to a statement from the American Ambulance Association . States can sub-award or contract RHT funds to EMS agencies and other partners, creating a significant potential federal funding source for rural ambulance services.

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Authorized by the One Big Beautiful Bill Act , the Rural Health Transformation (RH

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