North Dakota Health and Human Services (HHS) has announced three new grant opportunities aimed at improving health outcomes in rural communities as part of its Rural Health Transformation Program. The initiatives focus on prevention and wellness through school- and community-based projects, with applications open from April 22 to May 22, 2026. The funding is designed to support lifestyle changes that reduce chronic disease risks and strengthen overall community well-being.
The announcement comes in response to rising health concerns in the state, where more than 70 percent of residents are overweight or obese and nearly 10 percent have diabetes. Officials say the grants represent a shift toward preventive health strategies that encourage physical activity, social connection, and healthier daily habits to reduce pressure on the healthcare system.
One of the key initiatives is the Zero Hour Physical Education program, which targets rural middle and high schools. It provides funding for early-morning physical activity sessions designed to improve students’ fitness, academic performance, and cognitive function. The program is supported by approximately $700,000 in federal funding, with individual grants ranging from $10,000 to $70,000.
Another initiative supports community garden projects across rural areas. Open to schools, municipalities, health facilities, and non-profit organizations, this program aims to improve access to fresh produce while promoting physical and mental well-being. It also encourages community engagement and volunteer participation, with $300,000 available in funding and awards between $5,000 and $30,000.
The third initiative focuses on community-based walking programs, backed by $2.6 million in funding. These programs aim to increase physical activity, improve health outcomes, and strengthen social ties through organized walking initiatives. Research cited by officials highlights the significant health benefits of regular walking, including reduced risk of chronic disease and improved community engagement.
State leaders emphasized that these programs go beyond healthcare delivery by addressing lifestyle factors that influence long-term health. The Rural Health Transformation Program is supported by federal funding from the Centers for Medicare & Medicaid Services and is intended to modernize rural health systems, expand access to care, and promote disease prevention across North Dakota.
