One Big Beautiful Bill Act

President Donald Trump is participating in a rural health roundtable Friday as the first money begins to flow from the Rural Health Transformation Program, a $50 billion, five‑year fund created by last year’s One Big Beautiful Bill Act to shore up rural care after deep federal cuts to rural hospitals. CMS Administrator Dr. Mehmet Oz said states will share $10 billion for 2026, with an average award of about $200 million, and that CMS has assigned project officers to oversee how each state spends its grant. Every state applied, but funding will not be distributed equally, and critics warn the administration could threaten to claw back money from states whose policies clash with Trump’s agenda. Oz framed the program as a way to "push states to be creative" in redesigning rural health systems, even as some analysts question whether the initiative backfills earlier cuts or uses federal leverage to enforce political litmus tests. The roundtable gives the White House a platform to claim credit for new rural spending at a time when many small hospitals remain on the brink financially.