Rural HealthPolicy

Pennsylvania's Rural Health Transformation Program: a $186.4 million maternal health initiative

By Ouma HealthChecked Updated

Pennsylvania's plan carries the largest maternal line item of any state read for this page: a Maternal Health Initiative estimated at $186.4 million, built around two comprehensive maternal health hubs by 2028, remote monitoring that routes abnormal results to tele-maternal-fetal-medicine consults, and grants to reopen labor and delivery units. The maternal round hasn't been issued, but first-round money already bought MFM-capable ultrasound for two rural hospitals.

Year-one award
$193,294,054
Lead agency
Dept. of Human Services
Maternal care in the plan
Puts a dollar figure on maternal care
Status
Maternal round not yet issued

What Pennsylvania's plan funds for maternal care

The Department of Human Services leads the program, which received $193.3 million for year one. Its February 2026 plan estimates $186.4 million for the Maternal Health Initiative across the funding period. The components: care management from preconception through twelve months postpartum, expansion of the Perinatal TiPS consultation service, remote patient monitoring, grants to reopen labor and delivery units, birth-center grants, and a family medicine obstetrics fellowship. The plan sets a goal of "two maternal hubs launched by 2028," run through regional care collaboratives. On monitoring it says: "Abnormal results will prompt immediate intervention, linking patients to tele-maternal fetal medicine consults or local care." On reopened units: "By connecting reopened L&D units with tele-MFM (maternal fetal medicine) specialists, integrated behavioral health, and coordinated referral protocols, the hub ensures safe, local delivery options."

What has been funded so far

The year-one rounds haven't been maternal-specific, but they have paid for maternal work. Rapid Response Stabilization Round 1 funded 66 projects on July 23, 2026 (the state's project list shows $43 million awarded to date), and its published list includes:

  • Lehigh Valley Hospital–Pocono, $996,328, including an ultrasound machine "to support both telehealth and in person Maternal Fetal Medicine specialty care."
  • Lehigh Valley Hospital Schuylkill, $997,428, including an ultrasound machine for the same purpose.
  • Birth Care and Family Health Services, Harvest Drive location, $467,410: on-site diagnostics and home blood pressure and glucose monitoring for a maternity population that largely travels by horse and buggy.
  • Wayne Memorial Community Health Centers, $997,423, including a renovation to expand women's health and obstetrics in Pike County, where the health centers provide the only OB care.

What is open, and what comes next

Round 2 ($35 million, up to $1 million per eligible location, applications August 17 to 24) has closed; its awards haven't been published. The funding page lists "Maternal Health: Remote Monitoring" and the family medicine obstetrics fellowship as upcoming opportunities without dates or amounts.

Who can apply, and where a partner fits

Hospitals, providers and rural health facilities applied to the stabilization rounds. How the maternal hub, monitoring and tele-MFM money will be solicited, by DHS directly or through the regional care collaboratives, hasn't been announced. A telehealth practice's route is to be the tele-MFM partner a hub, a reopening L&D unit or a monitoring program names when the round opens, and to support the hospitals that have already bought the equipment.

Where Ouma fits

How tele-MFM fits Pennsylvania's model

Pennsylvania's plan uses tele-MFM as the connective tissue: the specialist behind an abnormal blood pressure reading, and the consult line behind a unit that reopens without an MFM on staff. Two hospitals have already bought ultrasound machines for telehealth MFM care with first-round money. The reads and consults behind those machines are contracted coverage, and it has to exist before a hub can promise it. Ouma provides contracted maternal-fetal medicine coverage and ultrasound interpretation to rural and critical access hospitals. Ouma is licensed to practice in all 50 states and is Medicaid-enrolled in 20 states as of August 2026.

See every state's plan side by side or what a partner letter for an application looks like.

Frequently asked questions

Has Pennsylvania opened its maternal health round?

Not as of September 30, 2026. The state's funding page lists maternal remote monitoring as upcoming with no date.

Did any first-round awards go to maternal care?

Yes. The published list includes ultrasound machines for telehealth and in-person MFM care at two Lehigh Valley hospitals, maternal diagnostics and home monitoring at a birth center, and an obstetric clinic renovation in Pike County.

Is the $186.4 million a single grant?

No. It's the plan's estimate for the whole Maternal Health Initiative over the program period, spread across hubs, care management, monitoring, unit reopening grants, birth-center grants and a fellowship.

Sources

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Ouma Health
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