Rural Health Transformation Program
The federal government has committed $50 billion to transform rural healthcare. Home dialysis is one of the most direct, proven ways to deliver on that promise.
Florida-specific note:
Florida was awarded $209 million in Year 1 RHT Program funding. AHCA's plan includes investments in remote patient monitoring, mobile health, and technology-driven chronic disease management — areas where home dialysis is a direct fit. Learn more on the AHCA Rural Health Transformation page.
Are you a dialysis patient looking for a better option?
If you or someone you love has been told they need dialysis, in-center treatment isn't your only choice. Thousands of patients across Florida manage kidney disease at home — on their own schedule, with a clinical team behind them every step of the way.
Treat at home
PD and HHD deliver life-sustaining treatment in your home—no clinic commutes and no waiting rooms.
Your Schedule
Between work, sleep, and family—home dialysis fits your life. Many patients dialyze overnight while they sleep.
Clinical Support
Cooper's nurses train you thoroughly and stay available. You're never doing this alone.
Medicare & Medicaid covered
Home dialysis is a covered benefit. Cooper helps you navigate insurance so cost isn't a barrier.
The Rural Health Transformation Program was designed in part to make care like this more accessible in rural and underserved communities. If you're in Florida and wondering whether home dialysis could work for you, talk to our team — we'll walk you through it honestly, with no pressure.
What sets Cooper apart?
Home dialysis, fully realized
Most "home dialysis" programs still ask patients to come in for labs, follow-ups, or training. At Cooper, the care team comes to you — every time, from day one through your entire care journey.
Zero Clinic Visits
Training, labs, follow-up visits, medication support — all in your home. That's not a convenience. It's a clinical philosophy.
A Dedicated Care Team
Nurse, coordinator, dietitian, and social worker — focused on you, not shared across a waiting room of other patients.
24/7 Real Human Support
When you need someone, you reach a real clinical person. Not a voicemail, not an answering service.
Background
What is the Rural Health Transformation Program?
Signed into law as part of the One Big Beautiful Bill Act (P.L. 119-21), the Rural Health Transformation Program is a $50 billion CMS initiative running from 2026 through 2030. Each year, $10 billion flows to all 50 states through cooperative agreements — half split equally, half based on rural population, health system need, and the strength of each state's plan.
The program is built around five goals: making rural communities healthier, expanding access to care, building the rural healthcare workforce, scaling innovative care models, and adopting health technology. Home dialysis speaks directly to at least four of those five.
Why this matters for kidney patients?
Rural kidney disease is a crisis hiding in plain sight
Imagine being told you need dialysis three times a week — and the nearest clinic is an hour away. That's not a hypothetical for thousands of Floridians with end-stage kidney disease living outside of Tampa, Miami, or Orlando. The drive becomes the disease.
Rural patients with chronic kidney disease face a compounding disadvantage: they're more likely to develop ESKD due to higher rates of diabetes and hypertension, and they're less likely to have a dialysis center nearby. The result is delayed care, worse outcomes, and a lower quality of life — not because of their diagnosis, but because of their zip code.
Peritoneal dialysis and home hemodialysis change that equation entirely. Patients receive treatment at home, on a schedule that works for their lives, with remote clinical support rather than weekly commutes.
How Cooper aligns with RHT goals
Home dialysis maps directly to the RHT program's priorities
For state agencies & health systems
What this means if you're involved in Florida's RHT implementation
State governments are the direct recipients of RHT Program funding — but the law explicitly allows states to distribute those funds to providers, health systems, and community partners executing on approved initiatives. If you're a state official, rural health network, ACO, or referring provider working within Florida's RHT plan, Cooper is a ready-now partner.
Specialized exclusively in home dialysis — PD and HHD
With clinical infrastructure to train, support, and monitor patients remotely.
Able to serve patients across wide geographic areas
Without requiring facility visits — a natural fit for rural catchment areas.
Licensed and operating in Florida
With experience navigating Medicare and Medicaid home dialysis coverage.
Patient-centered model aligned
With CMS's value-based care and quality outcomes priorities.
Florida's RHT plan specifically names home dialysis
Florida's AHCA RHT plan includes investments in remote patient monitoring, mobile health, and consumer-facing technology — all areas where home dialysis is a direct fit. Cooper is one of the few Florida providers built specifically to operationalize that kind of care at scale.
Review Florida's full RHT program details on the AHCA Rural Health Transformation page.
Let's talk about what's possible for your patients or community
Provider partnerships, patient referrals, or just learning more — we're here.
