The Kemerovo Region development strategy until 2035, updated in September 2020, is a forecast of the global technological leadership of Kuzbass, diversification of transport communications with other regions and states, adaptation to the conditions of the 2019 coal industry crisis. To solve these strategic tasks, coal mining and processing enterprises must balance their fuel portfolio and look for new ways to market their products, including the possibility of using production waste. Within the framework of the research carried out by the team of authors: the ecological, technological and economic advantages of using a coal-water suspension as a fuel component have been systematized; identified potential areas of its application; an analysis of the world experience of transporting coal through pipelines was carried out; a proposal was formulated for a project for the construction of the Kuzbass-Ural pipeline for the supply of coal-water fuel to Western Siberia and the Eastern Urals, and the advantages and disadvantages of coal hydrotransportation in comparison with its railroad delivery were identified.