To the editor: Texas’ Slice of the $50 billion “Rural Health Transformation Fund” U. S. Senate GOP leadership had to add the $50 billion “Rural Health Transformation Fund” to the 2025 Budget Reconciliation Act (the “One Big Beautiful Bill Act”) to get enough senators to vote for it to get it passed last July. Over the next five years, $25 billion will be distributed equally among the 50 states, meaning each state gets $500 million. The other $25 billion is allocated to the states based on current or proposed state policies that improve access to and quality of care in rural communities and have the greatest potential impact on those communities. On Dec. 29, the Centers for Medicare and Medicaid Services (CMS) announced it had made funding awards for 2026 to all 50 states. Texas was awarded $281,319,361 for 2026. Texas will receive $281 million each year for five years ($1.4 billion).