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Rural Health Information Hub

Rural Health
News by Topic: Healthcare needs and services

Apr 15, 2026 - Pre-publication notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the April 14, 2026, proposed rule. Comments on the proposed rule are due by June 9, 2026.
Source: Federal Register
Apr 15, 2026 - Chadron Community Hospital in rural Nebraska closed its dialysis unit in March, due to low reimbursement rates that did not cover costs, causing patients to travel further distances for dialysis care. Nebraska will receive $219 million in first-year funding from the Rural Health Transformation Program, but this may not be enough to keep existing services in place in rural areas.
Source: KFF Health News
Apr 14, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) proposing to improve the electronic exchange of healthcare data and streamline processes related to prior authorization by increasing the interoperability of systems used across the healthcare industry. Among other things, this rule proposes new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed are entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs) to make electronic prior authorization for drugs available; to report their application programming interfaces (API) endpoints and related information for the Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs to CMS; and extend many existing interoperability requirements for the prior authorization of non-drug items and services to include prior authorizations for drugs. In addition, ONC proposes adopting updated versions of certain health information technology (health IT) standards and specifications for HHS use. Comments are due by June 15, 2026.
Source: Federal Register
Apr 14, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2027. Contains details of proposed changes related to Medicare graduate medical education (GME) for teaching hospitals; payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; and certain quality programs, among other things. Comments are due by April 10, 2026.
Source: Federal Register
Apr 14, 2026 - EMS crews in rural Hawkins County, Tennessee can now carry antibiotics in ambulances. This allows them to treat sepsis, one of the leading causes of hospitalization in Hawkins County, before reaching the emergency room.
Source: WPLN
Apr 14, 2026 - Though Vermont placed third in the 2025 America's Health Rankings, this is based on averages bolstered by a few counties that are not representative of the state's geography or its working-age population. Discusses significant gaps between various health metrics in urban and rural areas of Vermont.
Source: Compass Vermont
Apr 12, 2026 - Describes psychiatry workforce shortages in Iowa where agriculture is a significant industry and farmers are in need of mental healthcare. Discusses expansion of a psychiatry residency program with a rural practice focus in hopes of retaining more workforce.
Source: KCRG
Apr 10, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed information collection titled "Self-Attestation for Recertification of CORFs, OPT/SLP, and RHCs Providers and PXR Suppliers." The information collected will be used as part of a new program to allow Comprehensive Outpatient Rehabilitation Facility (CORFs), Outpatient Physical Therapy/Speech Language Pathology (OPT/SLP), Rural Health Clinics (RHCs) Providers, and Portable X-Ray (PXR) Suppliers to attest to meeting the applicable CMS Conditions of Participation in lieu of undergoing a recertification survey by state survey agencies every six years. Comments are due by June 9, 2026.
Source: Federal Register
Apr 10, 2026 - Notice from the Department of Defense (DOD) announcing the extension of the Childbirth and Breastfeeding Support Demonstration (CBSD) by five years, through December 31, 2031. The purpose of CBSD is to evaluate the cost, quality of care, and impact of covering the services of doulas and lactation consultants or counselors not otherwise authorized by TRICARE on maternal and fetal outcomes. This notice also seeks comments on CBSD and its potential integration into the TRICARE Basic benefit. Comments are due by May 11, 2026.
Source: Federal Register
Apr 9, 2026 - Describes cardiovascular health disparities in rural Oklahoma, driven in part by limited access to healthcare facilities, specialists, and transportation.
Source: KOKH