FOR IMMEDIATE RELEASE
September 2, 2026
Alliance for Connected Care Publishes New Analysis of State Investments in Remote Monitoring Through Rural Health Transformation Program
Report finds states are dedicating billions for remote monitoring-enabled virtual care to close rural care gaps – even as a pending Medicare payment proposal threatens to undercut that investment
WASHINGTON, D.C. — The Alliance for Connected Care released an analysis, State RHTP Investments in Remote Monitoring, examining how states are investing Rural Health Transformation Program (RHTP) dollars toward remote monitoring to expand access to chronic care and non-chronic management in rural communities nationwide.
RHTP, codified in statute through H.R. 1 on July 4, 2025, established a $50 billion funding opportunity over five years, with the Centers for Medicare and Medicaid Services (CMS) awarding funding to all 50 states. The program is organized around five strategic goals: making rural America healthy again, sustainable access, workforce development, innovative care, and tech innovation, including remote monitoring.
The Alliance’s analysis of Year 1 program narratives and procurement activity found that nearly all 50 states have incorporated remote monitoring into their RHTP plans, with many states specifically seeking vendor partnerships to build scalable, efficient remote monitoring programs for rural patients managing their health conditions.
Key findings include:
- 22 states have announced or awarded approximately $240 million in funding opportunities specifically dedicated to RPM infrastructure.
- 35 states have announced funding opportunities totaling more than $2.4 billion that identify RPM as an allowable use of funds alongside other technology and care investments.
- States are turning to remote monitoring to improve clinician efficiency, address rural workforce shortages, support the transition to value-based care, and sustain program impact beyond RHTP’s five-year window.
“States have made clear that remote monitoring is central to how they intend to deliver sustainable, high-quality chronic care in rural communities,” the report notes. “Most rural providers do not have the capacity or resources to build these programs on their own — they are counting on vendor partnerships to make RPM work at scale.”
The report also highlights a significant concern for the durability of these investments. The proposed CY2027 Medicare Physician Fee Schedule (PFS), if finalized as written, would dramatically reduce coverage for Medicare RPM services. Because many rural providers depend on outside vendors to deploy and sustain monitoring programs, the Alliance warns that a reimbursement and/or operational shortfall could make states’ RPM investments unsustainable, potentially preventing states from meeting the outcome goals tied to their RHTP funding and exposing them to clawbacks and reduced funding in future years.
The full report includes a state-by-state breakdown of RPM-related funding initiatives, program goals, and dollar amounts drawn from publicly available program and budget narratives and procurement documents.
The complete analysis is available at https://connectwithcare.org/rhtp-investments-in-remote-patient-monitoring/.
The Alliance previously published a letter, signed by over 200 organizations (including over 30 hospitals and health systems, and over 50 patient and provider groups), to CMS urging the agency to delay and/or not finalize the proposed changes. Additional organizations continue to join this open letter.
About the Alliance for Connected Care
The Alliance is dedicated to improving access to care through the reduction of policy, legal, and regulatory barriers to the adoption of connected care capabilities, including telemedicine, remote monitoring, and AI-enabled care. Our members are leading healthcare and technology organizations from across the spectrum, representing health systems, health payers, technology innovators, and patient and provider groups, including clinician specialty and patient advocacy groups who wish to better utilize opportunities enabled by virtual care.
See below for a chart outlining RHTP investments in RPM or click here for a downloadable PDF.
Contact: Katie Vinson
kvinson@connectwithcare.org