The bill establishes the Idaho Rural Health Transformation Fund and the Rural Health Transformation Committee, aimed at enhancing rural health services in Idaho. The fund will consist of federal grant money and other legislative appropriations, with its resources dedicated solely to federally approved rural health transformation initiatives. The committee, composed of six members including legislative representatives and nonvoting members appointed by the governor, will oversee the fund's operations, establish rules for funding subawards, and evaluate the success of funded programs. The committee is tasked with ensuring transparency through annual public reporting of fund receipts and expenditures.

Additionally, the committee will create application scoring rubrics for funding subawards and implement an expedited award review process in collaboration with the Department of Health and Welfare. The committee's oversight will include regular updates on project progress and financial outcomes, as well as the requirement for sustainability plans for funded initiatives. The committee will remain active until all funds have been appropriated and expended, and the bill includes a declaration of emergency to ensure its immediate implementation upon passage.