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RHT funding support for medical imaging

Helping providers navigating the
Rural Health Transformation Program
across Oklahoma, Texas, Kansas,
Louisiana, and Arkansas.

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Understanding the Rural Health Transformation Program

The Rural Health Transformation (RHT) Program is a five-year, $50 billion federal investment created under the One Big Beautiful Bill Act to help rural communities strengthen their local healthcare systems. Running from fiscal year 2026 through 2030, RHT is designed to improve access, quality, and long-term sustainability for the hospitals, clinics, and health systems rural Americans depend on.

Under RHT, each state applies for its own allocation, builds its own transformation plan, and decides how funding opportunities reach local providers. Oklahoma’s program (RHTP), Texas’ program (Rural Texas Strong), and the plans in Kansas, Louisiana, and Arkansas each have their own priorities, application process, and timelines, even though they’re all funded by the same federal program.

That state-by-state structure is exactly why so many rural providers are unsure where to start. Arch Medical works across all five of these states, tracking each state’s plan as it develops so we can help you understand what applies to you specifically, not just what RHT looks like nationally.

RHT Funding and Medical Imaging Equipment

Medical imaging sits squarely within what RHT is designed to fund. States are directing dollars toward technology modernization, expanded access points, and stronger rural infrastructure. For many facilities, that means replacing aging imaging equipment, adding capabilities they don’t currently have, or bringing coordinated imaging services to a regional network of clinics. Texas’s Rural Texas Strong plan, for example, explicitly names equipment upgrades in rural hospitals and clinics as one of its funded initiatives.

What counts as an eligible use, how funds are procured, and which facilities qualify varies by state. Some states run competitive RFP processes, others use direct awards, and the eligibility can depend on facility type. This is usually where the confusion sets in, and it’s exactly the layer Arch Medical helps providers sort through before they invest time in an application.

How Arch Medical Supports Your RHT Plan 

Arch Medical has spent 10 years supporting rural imaging departments across the region, active in these communities long before RHT existed. That means when a provider comes to us about RHT funding, we’re not starting from the funding perspective, we’re starting from an understanding of what your imaging equipment actually needs, what it costs to replace or expand, and how to make the case for it.

Grant Application Support

We help you build a competitive application aligned to your state’s specific RHT priorities and requirements.

Equipment Assessments

An honest look at what’s aging, what’s at risk of failing, and what would most improve access for your patients.

A Local Point of Contact

One team that understands both the imaging side and the RHT process, so you’re not piecing together guidance from a dozen different sources.

Procurement and Lifecycle Guidance

Support choosing, installing, and maintaining equipment once funding is secured, so the investment holds up for years, not just through the funded period.

RHT in Your State, at a Glance

Because RHT flows through individual state plans, what applies to Oklahoma may not apply in Louisiana. Here's a quick snapshot of some of the areas we work in. 

Oklahoma – RHTP Six initiatives with a strong technology and interoperability focus. FY2026 award: $223.5 million.

Texas – Rural Texas Strong Includes a named equipment-upgrade initiative, the most direct imaging match of the five states. FY2026 award: $281.3 million.

Kansas – RHTP Five priorities including a dedicated Emerging Technology grant. FY2026 award: $221.9 million.

Louisiana – RHTP Ten initiatives spanning infrastructure, telehealth, and regional care coordination. FY2026 award: $208 million.

Arkansas – RHTP Four named initiatives, including THRIVE for telehealth and care-delivery technology. FY2026 award: $208.8 million.

Rural Health Transformation: Support for Facilities Like Yours

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Replacing Aging Equipment

If your imaging equipment is approaching end-of-life, RHT funding may be able to help offset the cost of replacement before a failure disrupts patient care. We help you document the case for replacement and connect it to your state’s funding priorities.

Bringing New Imaging Capabilities Closer to Home

For many rural facilities, RHT is an opportunity to add a modality you don’t currently offer, reducing how far patients have to travel and how often they’re referred elsewhere for routine imaging.

Coordinating Imaging Across a Regional Health System

If you’re part of a multi-site system, RHT’s emphasis on coordinated, sustainable care models can support standardizing equipment and service across locations. 

Navigating Your State’s RHT Application for Imaging Funding

Not every facility needs new equipment right now; some just need help understanding whether they qualify, what their state’s process looks like, and how to put together a competitive application. This is where our team works directly alongside yours.

Trusted by Rural Health Leaders Across the South-Central United States

Arch Medical supports rural imaging departments across Oklahoma, Texas, Kansas, Louisiana, and Arkansas.

Why rural leaders choose Arch:

Deep, in-the-trenches experience with rural and underserved imaging departments. We intentionally focus there, so we’re not a generalist consultant learning the space for the first time.

A dedicated team focused specifically on RHT and imaging-related funding support.

Support that continues after the funding is secured, from procurement through the full equipment lifecycle.

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RHT Funding: Frequently Asked Questions
What is the Rural Health Transformation (RHT) Program?
RHT is a five-year, $50 billion federal program (FY2026-2030) that provides funding to states to strengthen rural healthcare access, quality, and sustainability. States apply for their own allocation and build individual plans for how the funding reaches local providers.
What does RHTP stand for, and is it different from RHT?
RHTP (Rural Health Transformation Program) and RHT generally refer to the same program. Oklahoma, Kansas, Louisiana, and Arkansas each use RHTP as their own program name; Texas branded its plan “Rural Texas Strong”.
Does RHT fund medical imaging directly?
It can; several states have named equipment upgrades and technology modernization as funded priorities within their plans, though specific eligible uses vary by state. Whether imaging equipment qualifies for your facility depends on your state’s approved plan and application process.
How is RHT different from a typical federal grant?
Instead of providers applying directly to CMS, RHT funding goes to states first. Each state then runs its own process – application windows, eligibility criteria, and funding mechanisms (direct awards vs. Competitive RFPs) all vary by state.
Who is eligible to apply for RHT funding?
Eligibility depends on your state’s plan, but commonly includes critical access hospitals, rural health clinics, FQHCs, and in some cases regional networks or cooperative providers. We can help you confirm what applies in your state.
How much funding has my state received so far?
First-year awards ranged roughly from $147 million to $281 million per state. See the state-by-state snapshot above for current figures.
How do I find out what my state’s RHT program covers?
Each state publishes its approved plan and funding opportunities through its health agency. Because these are still being finalized and updated, Arch Medical tracks development across all five states we serve so you don’t have to monitor five different sources yourself.
Is there a deadline to apply for RHT funding?
It depends on the state and the specific initiative. Most states run on rolling or periodic application windows rather than a single fixed deadline, with additional rounds continuing through FY2030.
Can independent or smaller rural facilities apply, or is this only for large health systems?
Most state plans are specifically designed with smaller, independent rural facilities in mind; critical access and rural health clinics are named as eligible in nearly every state’s framework.
What’s the difference between applying directly and going through a regional or collaborative initiative?
Some funding is awarded directly to an individual facility; other initiatives specifically fund coordination across multiple providers. Framing your request around the right structure matters for competitiveness, and it’s one of the first things we help assess.
Can Arch Medical help with the application itself?
Yes. Our Strategic Funding & Partnerships Manager works directly with your team to build an application aligned to your state’s specific RHT priorities, alongside our equipment and imaging expertise.
Do I need to already know which initiative applies to me before contacting Arch?
No, that’s exactly what we help you figure out first. Many providers reach out before they’ve identified which initiative fits their need, and that assessment is often the starting point of our work together.

Ready to Talk Through Your RHT Plan?

Whether you're replacing aging equipment, exploring a new modality, or just trying to understand what RHT means for your facility, we're glad to be a resource – with or without a formal engagement.

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