Evidence from credible sources supports the statement as accurate. Learn more in Methodology.
Confirmation that the Working Families Tax Cuts Act was signed into law on July 4, 2025 and that the law creates the Rural Health Transformation Program and authorizes $50 billion spread over five years.
Public Law 119-21—formally the One Big Beautiful Bill Act and referred to by CMS as the "Working Families Tax Cut" legislation—was signed into law on July 4, 2025. CMS’s Medicaid guidance explicitly states that this law (which it calls the Working Families Tax Cut legislation) includes Section 71401 establishing the Rural Health Transformation Program (RHTP). Independent analyses of Section 71401 from medical and policy organizations describe that it appropriates $50 billion to CMS for the Rural Health Transformation Program, to be distributed as $10 billion per year over five fiscal years (2026–2030). CMS’s own press release on the new program confirms it as a “$50 billion Rural Health Transformation Program created under the Working Families Tax Cuts Act” with $10 billion annually over five years.
Therefore, the statement that President Trump signed the Working Families Tax Cuts Act on July 4, 2025, creating the Rural Health Transformation Program and authorizing $50 billion over five years is accurate in substance and timing, aside from minor naming variations between the act’s formal title and its Working Families Tax Cut(s) branding.
Verdict: True, because credible government and expert sources confirm the July 4, 2025 enactment date, the creation of the Rural Health Transformation Program in that law, and the $50 billion five-year funding structure.