Alabama will receive $199,278,801 for rural healthcare in 2027 under President Donald Trump’s Rural Health Transformation Program, the Centers for Medicare & Medicaid Services announced on Monday.
The award pushes Alabama’s two-year total to $402.7 million from the $50 billion fund Republicans in Congress wrote into the One Big Beautiful Bill.
The state secured $203.4 million for year one last December.
Governor Kay Ivey’s office partitioned the first year’s award into two rounds: She announced 138 grants worth more than $144 million in August, covering rural areas in all 67 counties, and 34 more worth nearly $55 million in October.
The Alabama Department of Economic and Community Affairs, which administers the program, will reopen applications for year two.
Every state receives $100 million a year from the program. The rest is divided based on each state’s rural population and facilities, its policy actions and its progress carrying out its plan. Alabama’s award is larger than those sent to Pennsylvania, Illinois and Michigan.
“President Trump made a historic investment in rural America, and HHS is putting those resources to work in every state,” said Robert F. Kennedy Jr., the U.S. Secretary of Health and Human Services.
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Dr. Mehmet Oz, the administrator of the Centers for Medicare & Medicaid Services, discussed Alabama’s first award with Congressman Robert Aderholt (R-Haleyville) in September.
“Rural Americans have life expectancies three years shorter than their urban peers, but President Trump’s Rural Health Transformation Program is funding the historic investments necessary to close that gap,” Oz said.
Grayson Everett is the editor in chief of Yellowhammer News. You can follow him on X @Grayson270.

