Public Hearings & Legal Notices

Public Comment and Input Opportunity

The recently enacted One Big Beautiful Bill Act created a $50 billion fund called the Rural Health Transformation Program.  All states are eligible to apply.   The exact funding amount South Dakota will receive is unknown, but it is anticipated that each state that applies may receive a minimum of $100 million dollars each year for a five-year period beginning in federal fiscal year 2026 through 2030.  

The Office of the Governor will submit the Rural Health Transformation Plan application on behalf of the State of South Dakota. Funding awarded to the State is anticipated to primarily be distributed to rural providers and communities through grants or other contractual relationships with the State to help transform rural health in South Dakota.

The Center for Medicare and Medicaid Services (CMS) will be releasing application details soon (projected mid-Sept), with state applications due in November 2025.  CMS funding decisions are due to states December 31, 2025.

In preparation for completion of the application, the State is seeking public input regarding transformational concepts that should be included in South Dakota’s state transformation plan. Please note that this comment period is not a request for proposals for funding of specific projects and no funding will be awarded on the basis of a response submitted in relation to this comment opportunity.  Solicited comments will be used to inform the State’s application to be submitted by Governor Rhoden.

In addition to this RFI, input will be sought through other avenues prior to formalizing South Dakota’s application to CMS.

Read the full notice.

Comment Form PDF | Word Document