The weekly federal-spending brief. One email a Sunday. Free. No tracking.
The BuildoutBeta
Awards/COOPERATIVE AGREEMENT (B)

$200,030,252

Department of Health and Human Services·Centers for Medicare and Medicaid Services

to DEPARTMENT OF HEALTH HUMAN SERVICES

healthactive
WORK BEGAN2025-12-29·LATEST ACTION2026-05-05·SOURCEUSASPENDING·SOURCE IDASST_NON_RHTCMS332056_075
Award description

TRANSFORMING RURAL HEALTHCARE IN SOUTH CAROLINA - SOUTH CAROLINA PROPOSES A BOLD AND COMPREHENSIVE RURAL HEALTH TRANSFORMATION (RHT) PLAN TO ADDRESS LONGSTANDING DISPARITIES IN HEALTH CARE ACCESS, QUALITY, AND OUTCOMES ACROSS ITS RURAL COMMUNITIES. WITH APPROXIMATELY 1.75 MILLION RESIDENTS—32.6% OF THE STATE’S POPULATION—LIVING IN RURAL AREAS, THE STATE FACES DISPROPORTIONATE RATES OF CHRONIC DISEASE, MATERNAL MORTALITY, AND LIMITED ACCESS TO CARE DUE TO PROVIDER SHORTAGES; AGING INFRASTRUCTURE; AND THE GEOGRAPHIC AND LOGISTICAL CHALLENGES INHERENT TO RURAL COMMUNITIES. SOUTH CAROLINA’S RHT PLAN IS DESIGNED TO TRANSFORM THE RURAL HEALTH CARE LANDSCAPE THROUGH FIVE INTEGRATED, OUTCOMES-DRIVEN INITIATIVES: CONNECTIONS TO CARE – EXPANDS DIGITAL INFRASTRUCTURE BY IMPLEMENTING ELECTRONIC HEALTH RECORDS, REMOTE PATIENT MONITORING, TELEHEALTH SERVICES AND A STATEWIDE RESOURCE DATABASE PLATFORM TO IMPROVE CARE COORDINATION AND ACCESS. LEVELING UP – SCALES SUCCESSFUL PILOT PROGRAMS STATEWIDE, FOCUSING ON CHRONIC DISEASE MANAGEMENT, PEDIATRIC CARE QUALITY, AND WORKFORCE DEVELOPMENT. WELLNESS WITHIN REACH – DEPLOYS MOBILE HEALTH UNITS, CRISIS RESPONSE TEAMS, AND POP-UP CLINICS TO BRING CARE DIRECTLY TO UNDERSERVED POPULATIONS. SHORING UP TO SUSTAINABILITY – STRENGTHENS RURAL HEALTHCARE SYSTEMS THROUGH TARGETED INVESTMENTS IN WORKFORCE RECRUITMENT AND RETENTION, FACILITY UPGRADES, AND PROVIDER TRAINING. TECH CATALYST FUND – SUPPORTS RURAL HEALTH TECHNOLOGY STARTUPS AND COMMUNITY-BASED INNOVATIONS TO DRIVE LONG-TERM HEALTH AND ECONOMIC IMPROVEMENTS. LED BY THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, SOUTH CAROLINA’S PLAN AND ITS FIVE INITIATIVES, ALIGNS WITH THE RHT’S FIVE STRATEGIC GOALS: MAKE RURAL AMERICA HEALTHY AGAIN, SUSTAINABLE ACCESS, WORKFORCE DEVELOPMENT, INNOVATIVE CARE, AND TECH INNOVATION. THE PROGRAM EMPHASIZES ONE-TIME, HIGH-IMPACT INVESTMENTS THAT REMOVE SYSTEMIC BARRIERS AND BUILD LONG-TERM CAPACITY, WITH A FOCUS ON IMPROVING CHRONIC DISEASE AND MATERNAL HEALTH OUTCOMES ACROSS ALL RURAL COUNTIES. TO IMPLEMENT THIS TRANSFORMATIVE VISION, SOUTH CAROLINA IS REQUESTING $1 BILLION IN FEDERAL FUNDING. THIS INVESTMENT WILL ENABLE THE STATE TO MODERNIZE RURAL HEALTHCARE INFRASTRUCTURE, EXPAND ACCESS TO ESSENTIAL SERVICES, AND BUILD A RESILIENT, SUSTAINABLE HEALTHCARE SYSTEM THAT DELIVERS MEASURABLE IMPROVEMENTS IN HEALTH OUTCOMES FOR GENERATIONS TO COME.

Verbatim from USAspending.gov. Capitalization, abbreviations, and codes are unchanged.

The Buildout's read

What the model surfaced from this award

Confidence: high
In plain English

Fund South Carolina's five-year rural health transformation plan to expand digital infrastructure, workforce development, and care access across 1.75 million rural residents.

Sub-sectors
rural-healthcare-transformationmedicaid-state-programtelehealth-infrastructure
Why this matters

Addresses critical rural healthcare disparities—chronic disease, maternal mortality, provider shortages—affecting nearly one-third of South Carolina's population through integrated, outcomes-driven initiatives.

Supply-chain signal

Drives demand for EHR vendors, telehealth platforms, mobile health equipment, and rural healthcare IT infrastructure; supports local healthcare workforce recruitment and facility upgrades.

Generated by award_classification v2.1.0 via claude-haiku-4-5-20251001 on 2026-05-21. Cost: $0.003450.

Period of performance
Start
2025-12-29
End
2030-10-30
Status
activein 1583 days
Sources

The Buildout does not edit federal records. Any inaccuracy reflects the upstream source; it will update here when corrected there.

$200.0M Department of Health and Human Services — The Buildout — The Buildout