North Carolina has requested federal funding to improve rural healthcare, according to a recent announcement from the NCDHHS. The state’s Department of Health and Human Services submitted a Rural Health Transformation Plan seeking $200 million annually for the next five years to strengthen health services in 85 of the state’s 100 counties.
Governor Josh Stein emphasized that the plan reflects North Carolina’s commitment to providing high-quality healthcare to all residents, regardless of location. The initiative involved bipartisan support and over 420 stakeholders, including rural hospitals, Tribal communities, and local health departments. The Centers for Medicare & Medicaid Services (CMS) is expected to announce funding decisions by the end of the year.
Dr. Dev Sangvai, North Carolina’s Health and Human Services Secretary, highlighted the importance of rural healthcare providers, noting their role in ensuring access to care. North Carolina, which has the second-largest rural population in the U.S., faces specific challenges, including a high demand on its healthcare workforce.
The plan outlines six key strategies to improve healthcare in rural areas, including integrating mental health services, managing chronic diseases, expanding technology use, and investing in the rural healthcare workforce. According to NCDHHS, the plan is supported by a coalition of state agencies, academic institutions, and private-sector partners. It also proposes a Rural Health Infrastructure Fund (RHIF) to address technological gaps in rural healthcare delivery.
CMS approval is expected by December 31, with the program formally launching in early 2026. Implementation will involve a statewide steering committee working with universities and health institutions.
