A federal funding program under the Centers for Medicare and Medicaid Services has awarded Iowa’s rural health care improvement plan “Healthy Hometowns,” $209 million.

Iowa’s rural health care improvement plan, “Healthy Hometowns,” was awarded $209 million Monday as part of a federal funding program under the Centers for Medicare and Medicaid Services.

Gov. Kim Reynolds and the Iowa Department of Health and Human Services said the federal funding will help fulfill the state program’s goal of creating “healthier communities and better outcomes.”

The federal Rural Health Transformation Program was authorized by Republicans’ big spending bill enacted over the summer and is set to allocate $50 billion to states between 2026 and 2030. The program was meant to help offset the estimated $137 billion decline, according to KFF, in rural Medicaid spending over the next 10 years under the “one big beautiful” law.

Iowa’s plan prioritizes partnerships among rural health care providers, efforts to improve cancer prevention and outcomes, accessible health records and investments in telehealth and mobile centers, according to a news release from the state.

“This program is an incredible opportunity to advance health care in rural Iowa,” Reynolds said in the release. “We’re grateful to the Trump Administration for this investment in our state, and we’re ready to innovate care delivery in ways that improve health, well-being, and quality of life for Iowans statewide.”

States had to apply for the funding in the fall and received notice Monday of award amounts which ranged from $281 million for Texas, to $147 million awarded to New Jersey.

Iowa’s Healthy Hometowns program will initiate hub-and-spoke networks of care and create residency positions at teaching hospitals in the hopes of recruiting and retaining health care professionals in rural communities, both of which were provisions of Reynolds’ 2025 rural health care law.

The program aims to address Iowa’s rising cancer rates by improving access to screening, creating cancer specific hubs and upgrading equipment. A fact sheet on the program from HHS said it would also invest in cancer prevention methods like radon testing and mitigation, mammograms, colonoscopies and other screening methods.

The state’s program will also invest in telehealth technology that will bring prenatal, postpartum, post-surgery discharge, chronic disease management, and other types of care to easily accessible sites in rural communities.

Iowa’s Republican congressional delegates voiced support for the program, which if funded at a similar level each year through 2030, would garner more than $1 billion for rural Iowa health care improvements.

Sen. Chuck Grassley said the funding was the “largest federal investment in rural health care in history.”

“It’s fantastic news that Iowa will receive $209 million in the next year to support its Healthy Hometowns program and revitalize rural care across the state,” Grassley said in a statement. “I thank Governor Reynolds and her team for working with my office and our congressional delegation to make this substantial investment in Iowa health care.”

Rep. Mariannette Miller-Meeks said the funding would save lives and “strengthen” rural communities.

“Access to high-quality health care should never depend on your zip code, and today, we’re delivering on that promise,” Miller-Meeks said in a news release. “This $209 million investment will bring top-tier care closer to home for families, seniors, and veterans in every corner of our state.”

Rep. Zach Nunn said the funding will “strengthen care close to home, expand access through telehealth, and help rural clinics recruit and retain the providers Iowa communities rely on.”

Rep. Randy Feenstra celebrated the allocation, said it would save lives in rural Iowa and that he would work to “ensure all Iowans have access to high-quality, affordable care.”

“This funding will support rapid emergency medical services in Iowa, keep our rural hospitals open and operational, and make high-quality healthcare more accessible and affordable for Iowans,” Feenstra said in a news release.