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State pitches a $1 billion rural health transformation plan; DHHS to submit application Nov. 3–5

Health, Human Services and Elderly Affairs Oversight Committee · October 25, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

DHHS told the committee it will submit a CMS cooperative agreement application seeking federal support for rural health infrastructure, workforce and payment reform; the state is budgeting to $200 million per year but expects a lower award and will prioritize projects if the full request is not funded.

State health officials described on Oct. 24 a major federal grant opportunity that could provide transformative funding for rural health infrastructure, workforce development, and payment reform.

Tricia Tilley said the Centers for Medicare & Medicaid Services has invited states to apply for a rural health transformation cooperative agreement that, for New Hampshire, was framed as up to $1 billion over five years (presented as a $200 million-per-year budget in the application). The department plans to file the application on Nov. 3 and the federal deadline is Nov. 5. "We have had six weeks to work on a really comprehensive plan for up to $1,000,000,000 over five…

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