# 119-hr-10640: Urban Health Transformation Act of 2026

119-hr-10640, Urban Health Transformation Act of 2026, is a 119th Congress bill sponsored by Rep. Waters, Maxine [D-CA-43] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-10-15).

- Canonical: https://policyrisk.com/legislation/119-hr-10640
- As of: 2026-10-15
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10640
- Congress: 119
- Title: Urban Health Transformation Act of 2026
- Status: introduced
- Introduced: 2026-10-01
- Sponsor: Rep. Waters, Maxine [D-CA-43] (D-CA)
- Cosponsors: 12
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-15

## Summary

**Federal funding to transform urban health care systems** would create a new Urban Health Transformation Program that gives states grants to improve access, outcomes, prevention, and financial stability for urban hospitals and related providers. The program focuses on chronic disease management, technology-driven care, workforce recruitment, and supporting substance use and mental health services. - Families and patients: Would expand access to prevention, chronic disease management, and consumer-facing tech in large urban areas, and support more opioid use disorder and mental health services. - Urban hospitals and providers: Would provide targeted payments and support to help stabilize at-risk standalone hospitals, fund training and technology, and recruit clinical staff with five-year service commitments. States would not need to provide a matching payment. - States and territories: States would apply for allotments and get funds split 50% equally and 50% by need factors. The bill would fund $10.0 billion per year for FY2027–FY2031, with an additional $200 million for FY2026 implementation. *Would increase federal spending by $50.0 billion over FY2027–FY2031 plus $200 million for FY2026 implementation.*

## Cosponsors (12)

- Rep. Bell, Wesley [D-MO-1] (D-MO), 2026-10-01T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2026-10-01T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2026-10-01T00:00:00.000Z
- Rep. Correa, J. Luis [D-CA-46] (D-CA), 2026-10-01T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2026-10-01T00:00:00.000Z
- Rep. Davis, Danny K. [D-IL-7] (D-IL), 2026-10-01T00:00:00.000Z
- Rep. Garcia, Sylvia R. [D-TX-29] (D-TX), 2026-10-01T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2026-10-01T00:00:00.000Z
- Rep. Kelly, Robin L. [D-IL-2] (D-IL), 2026-10-01T00:00:00.000Z
- Rep. Lynch, Stephen F. [D-MA-8] (D-MA), 2026-10-01T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2026-10-01T00:00:00.000Z
- Rep. Ramirez, Delia C. [D-IL-3] (D-IL), 2026-10-01T00:00:00.000Z

## Provisions PRIA read

- State rules for using urban health grants: benefit, medium. If enacted, this bill would require each approved State to use its allotment for at least three listed activities. Allowed activities include prevention and chronic disease management, payments to urban providers, consumer-facing technology, clinician recruitment and training (with recruited clinic…
- Federal $10B yearly grants for cities: mixed, high. If enacted, this bill would provide $10 billion each year for fiscal years 2027 through 2031 to support urban health transformation. For each year, CMS would split funds: 50% divided equally among States with approved applications and 50% awarded under a formula that considers a State’s urban popul…
- CMS power to recover misused grants: mixed, medium. If enacted, this bill would let the CMS Administrator withhold, reduce, or recover payments to a State if the Administrator finds the State is not using allotted or redistributed amounts consistently with its approved application. Any amounts withheld, remaining after a reduction, or recovered woul…
- CMS setup funds and state deadline: mixed, medium. If enacted, this bill would appropriate $200 million for CMS in fiscal year 2026 to implement the program and would allow those funds to remain available until expended. States would have to submit applications during a period ending no later than December 31, 2026, and CMS would have to approve or…
- Who and where counts as urban providers: mixed, low. If enacted, this bill would define an "urban area" as a metropolitan statistical area with at least 1,000,000 people. It would define eligible health care providers as suppliers enrolled under Medicare (Title XVIII), Medicaid (Title XIX), or CHIP (Title XXI). For counting facilities in allocations,…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-7973: Momnibus Act
- 119-hr-5361: George Floyd Justice in Policing Act of 2025
- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-15: Equality Act
- 119-hr-1877: Protecting Americans’ Social Security Data Act

## Sources
- [119-hr-10640 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10640)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-5361: George Floyd Justice in Policing Act of 2025](https://policyrisk.com/legislation/119-hr-5361)
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [119-hr-15: Equality Act](https://policyrisk.com/legislation/119-hr-15)
- [119-hr-1877: Protecting Americans’ Social Security Data Act](https://policyrisk.com/legislation/119-hr-1877)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10640 (as of 2026-10-15).