Alabama

Rural Health Transformation Program
Program
Alabama
First-year award
$203,404,327 (CMS)
Lead agency
Alabama Department of Economic and Community Affairs (ADECA)
Program page
adeca.alabama.gov/alruralhealth
Contact
The program office's contact details
Where the plan names technology
Alabama's plan has a "Collaborative EHR, IT, and Cybersecurity Initiative" to "upgrade, support, and expand IT infrastructure and cybersecurity operations," and other initiatives pay for telehealth, "remote patient monitoring for chronic care management" and inpatient virtual care "including tele-stroke, telebehavioral health, tele-ICU." The plan does not name AI. The state's first-round grant list includes $179,607 for North Alabama Shoals Hospital "to implement an artificial intelligence-enabled patient monitoring system."
AI named in the plan
Yes
Funding rounds
  • Awarded Cancer Digital Regionalization Initiative; approximately $8,100,000; opened Jul 17, 2026, deadline Aug 7, 2026; eligible: Hospitals, health systems, rural hospitals, rural health clinics, federally qualified health centers, and other healthcare or community organizations
  • Awarded Statewide EMS Trauma and Stroke Initiative; approximately $4,000,000; opened Jul 17, 2026, deadline Aug 7, 2026; eligible: EMS agencies or other qualified entities with experience coordinating multi-partner EMS and hospital networks
  • Awarded EMS Treat-in-Place Initiative; approximately $5,000,000; opened Jul 17, 2026, deadline Aug 7, 2026; eligible: EMS agencies, rural hospitals, critical access hospitals, and rural emergency hospitals
  • Awarded Maternal and Fetal Health Initiative; approximately $6,100,000; opened Jul 17, 2026, deadline Aug 7, 2026; eligible: Hospitals and critical access hospitals, among other rural and health system providers
  • Awarded Simulation Training Initiative; approximately $1,000,000; opened Jul 17, 2026, deadline Aug 7, 2026; eligible: Hospitals, health systems, rural hospitals and rural health clinics, among others
  • Awarded Collaborative EHR, IT, and Cybersecurity Initiative; approximately $31,600,000; opened Jun 3, 2026, deadline Jun 26, 2026; eligible: Hospitals, critical access hospitals, rural emergency hospitals and rural health clinics, among others
  • Awarded Rural Health Initiative; approximately $60,900,000; opened Jun 3, 2026, deadline Jun 26, 2026; eligible: Hospitals, critical access hospitals and rural emergency hospitals, among others
  • Awarded Rural Workforce Initiative; approximately $33,374,000; opened Jun 3, 2026, deadline Jun 26, 2026; eligible: Hospitals, health systems, EMS agencies, educational institutions and training providers, among others
  • Awarded Mental Health Initiative; opened Jun 3, 2026, deadline Jun 26, 2026; eligible: Providers partnering with K-12 schools for school-based clinics, and community mental health centers converting to certified community behavioral health clinics
  • Awarded Rural Health Practice Initiative; approximately $6,935,000; opened Jun 3, 2026, deadline Jun 26, 2026; eligible: Rural health clinics and federally qualified health centers, among others
Awards
  • Oct 1, 2026: nearly $55 million to 34 grants. Second-round grants in the cancer digital regionalization, EMS trauma and stroke, EMS treat-in-place, maternal and fetal health and simulation training initiatives, with more rural health and rural workforce projects. The governor's office says the grants "round out year one of funding for the program." Announcement
  • Aug 24, 2026: more than $144 million to 138 grants. First-round grants in five of the program's 11 initiatives: collaborative EHR, IT and cybersecurity; rural health; rural workforce; rural health practice; and mental health. One grant, $179,607 to North Alabama Shoals Hospital, is "to implement an artificial intelligence-enabled patient monitoring system." Announcement
Next
ADECA's page says "Year 1 initiative application periods are now closed" and "Applications for Year 2 funding opportunities will open at a later date." The program's FAQ says "Budget Year 2 will begin on October 1, 2026" and that applicants "must reapply each funding year." The state gives its first-year award as $203,404,326.54. The posted Mental Health Initiative notice does not show a legible funding amount.
Checked against its sources

What the money can pay for: What does the Rural Health Transformation Program pay for?.