
What is the Rural Health Transformation Program (RHTP)?
- The Rural Health Transformation Program (RHTP) is a federal initiative designed to strengthen rural communities by improving healthcare access, quality, and outcomes. Authorized under Section 71401 of Public Law 119-21, the program invests in innovative, system-wide solutions that build a stronger and more sustainable rural healthcare delivery system.Through RHTP, states are working to expand access to care, strengthen the rural healthcare workforce, modernize technology and infrastructure, support innovative care models, and improve the long-term sustainability of rural providers and health systems.Hawaiʻi received $188.9 million for federal fiscal year 2026 to begin implementing a five-year Rural Health Transformation Plan focused on the unique needs of rural and neighbor island communities. Hawaiʻi’s plan is organized around six coordinated initiatives:
- Rural Health Information Network (RHIN): Modernizing health information systems, connectivity, and data sharing.
- Pili Ola Telehealth Network: Expanding access to virtual healthcare and telehealth resources.
- Rural Infrastructure for Care Access (RICA): Strengthening emergency response, mobile healthcare, community paramedicine, and behavioral health capacity.
- HOMERUN: Building, recruiting, supporting, and retaining Hawaiʻi’s rural healthcare workforce.
- Rural Respite Network: Expanding medical respite services for people experiencing homelessness and those needing post-acute support.
- Rural Value-Based Innovation and AHEAD Readiness Fund (RVBI): Helping rural providers prepare for and participate in innovative, value-based care models.
Waiheʻe Ridge Trail – Maui





HSRHA-administered HOMERUN opportunities:
Kuleana Connect Grant Program

Program Contact:
Hawaii State Rural Health Association
Email: connect@hsrha.org
This FAQ is provided for informational purposes only. Final eligibility determinations, award decisions, and program requirements are governed by official HOME RUN program policies, participation agreements, and applicable federal and state requirements.
Other HOMERUN opportunities administered by partner organizations:

The HOME RUN Investment Program is supported through the Rural Health Transformation Program (RHTP), funded by the Centers for Medicare & Medicaid Services (CMS) through the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $188,892,439.75, with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, CMS/HHS or the U.S. Government.

This project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $188,892,439.75 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.
