Wyoming officials have proposed a plan to use five years of upcoming grants from a new $50 billion federal rural health program to last forever. The state's Rural Health Transformation Perpetuity fund could provide $28.5 million annually for the state to spend every year. The funds would be invested in scholarships for health students and incentive payments to keep small hospitals and rural ambulance services afloat. However, it is unclear whether this plan will be approved by the federal government. The Centers for Medicare & Medicaid Services (CMS) has yet to approve the plan. Since 2010, 152 rural hospitals in the US have shuttered or stopped offering inpatient services.