The Iowa Department of Health and Human Services (the Agency) is providing this notice of intent to release a request for proposal (RFP) on or around December 2025; to procure up to ten (10) Centers of Excellence to establish infrastructure and formal partnerships as well as conduct needs assessments to coordinate and provide services to rural Iowans. These Centers of Excellence must provide services in one or more of the following areas: maternal/child health, cancer, cardiovascular health, mental/behavioral health, and chronic disease prevention and management. Please see the Agency’s Rural Health Transformation Grant website (Rural Health Transformation (RHT) | Health & Human Services) for additional information about the Healthy Hometowns initiative.