The bill establishes the Rural Health Transformation Fund, which will be administered by the State Finance Council. It mandates that all federal funds received for the rural health transformation program must be appropriated by the legislature before expenditure. The fund is intended to support health-related activities in rural areas, with all expenditures requiring approval from the State Finance Council. Additionally, the bill outlines the process for grant applications and funding requests, ensuring that they align with permissible uses of the funds as defined by federal law.

Furthermore, the bill appropriates funds for various state agencies for the fiscal years ending June 30, 2026, and June 30, 2027, allowing for unlimited expenditures from the Rural Health Transformation Fund, while still adhering to the provisions set forth in the bill. It also specifies that any unexpended or unobligated funds must be reviewed and approved by the council before submission for redistribution. The bill emphasizes legislative oversight and accountability in the management of these funds, with a provision for returning any unspent funds to the U.S. Treasury by October 1, 2032.