Half the money is split evenly and half by the Administrator
What the document says“50 percent of the amounts appropriated for each such fiscal year equally among all States with an approved application under this subsection; and”
The section requires the Administrator, for each of fiscal years 2026 through 2030, to allot half the money equally among States with an approved application and the other half in amounts the Administrator sets, making sure at least a quarter of those States get some of the second half and weighing the share of the State population in a rural census tract, the State's share of rural health facilities nationwide, the situation of its hospitals, and any other factors. A State needs no matching funds.
What the document actually says“50 percent of the amounts appropriated for each such fiscal year equally among all States with an approved application under this subsection; and”
Half the money is split evenly. Every state with an approved plan shares in it.
The other half is set by the boss of the agency. Rural people and rural clinics are weighed. At least a quarter of states must get some of it.
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