Texas gets largest share of reconciliation law's rural health fund [View all]
Source: Roll Call
Posted December 30, 2025 at 12:19pm
The Trump administration on Monday announced that all 50 states will receive proceeds from a $50 billion rural health fund, the creation of which helped secure the support for President Trump’s tax cuts law from Republican senators worried about the impact of Medicaid cuts in their states.
In 2026, the first year of the program, states will receive between $147 million and $281 million, with Texas securing the largest amount, the Centers for Medicare and Medicaid Services said. Others at the top of the funding list are Alaska, California, Montana and Oklahoma, with New Jersey slated to receive the lowest amount next year at $147 million.
Congress had directed half of the $50 billion to be distributed equally among all states whose applications were approved over the fund’s five-year horizon. The rest is being distributed based on a scoring process.
States will typically receive more funding for having larger rural populations, which contributes to 50 percent of the scoring, CMS Administrator Mehmet Oz said on a call with reporters on Monday.
Read more: https://rollcall.com/2025/12/30/texas-gets-largest-share-of-reconciliation-laws-rural-health-fund/
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