Item 113A

Authorize to accept and expend $204,016,550 of Rural Health Transformation Grant funds, from the Centers for Medicare & Medicaid Services (CMS), to allow the Department to act as the pass-through agency per CMS guidance for the Governor’s Office of New Opportunities & Rural Transformational Health (GO-NORTH) retroactive to February 3, 2026. (2) Authorize the allocation of these funds as detailed in the letter dated February 6, 2026. Effective upon G&C approval through June 30, 2027. 100% Federal Funds. Contingent upon Fiscal Committee approval on February 20, 2026. (3) Authorize to amend a Fiscal Committee Item (originally approved by G&C on 12/17/25, Item #112B, archived document ) by aligning the amount of the accepted funds to $202,332,938 and transferring funds as detailed in the fiscal details in the letter within GO-NORTH, in order to make technical corrections to align with the grant award and to support making rural healthcare more connected, resilient, and responsive. Effective retroactive to February 3, 2026, upon G&C approval through June 30, 2027. (4) Authorize the allocation of these funds as detailed in the letter. 100% Other Funds (Transfer of Federal Funds). Contingent upon Fiscal Committee approval on February 20, 2026.