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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Mar 23, 2026 - Pre-publication notice of final rule from the U.S. Department of Health and Human Services (HHS) adopting standards for healthcare claims attachments transactions and a standard for electronic signatures to be used in conjunction with these transactions. This rule also summarizes and responds to comments received on the December 21, 2022, proposed rule. This final rule is effective 60 days after the publication of this notice, which is scheduled for March 24, 2026. Compliance with these regulations are required by May 26, 2028.
Source: Federal Register
Mar 19, 2026 - Summarizes conversations at the Rural Health Transformation Summit on March 18, 2026, a meeting of state officials, experts, and federal administrators to discuss implementation of the Rural Health Transformation Plan. Discusses state program alignment with RHTP's 5 strategic goals: Make Rural America Healthy Again, sustainable access, workforce development, innovative care, and tech innovation. Notes the role of the Office of Rural Health Transformation (ORHT) within the Centers for Medicare & Medicaid (CMS).
Source: Centers for Medicare & Medicaid Services
Mar 18, 2026 - Describes proposed legislation aiming to increase access to healthcare for veterans in rural areas. A 5-year pilot program would create a preauthorization pathway for outpatient services for veterans within 35 miles of a Critical Access Hospital.
Source: Office of Senator Kevin Cramer
Mar 17, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the extension of an information collection titled "Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations." Physicians must document that there was a face-to-face encounter with the Medicaid beneficiary prior to the physician certifying that home health services are required. The Coronavirus Aid, Relief, and Economic Security (CARES) Act permits nurse practitioners (NPs), clinical nurse specialists (CNSs), and physician assistants (PAs) to certify the need for home health services and to order services in the Medicare and Medicaid programs. Comments are due by April 16, 2026.
Source: Federal Register
Mar 16, 2026 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on proposed revisions to an information collection request titled "Bureau of Health Workforce Health Workforce Connector OMB No. 0906-0031-Revision." The Health Workforce Connector (HWC) provides a central platform to connect participants, including but not limited to those in the National Health Service Corps (NHSC), Nurse Corps Scholarship and Loan Repayment Programs (Nurse Corps), Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program, Pediatric Specialty (PS) Loan Repayment Program, Nursing Training, and Teaching Health Center Graduate Medical Education (THCGME) programs with facilities that are approved for their programs. Comments are due by April 15, 2026.
Source: Federal Register
Mar 15, 2026 - Discusses pharmacist-led point-of-care testing as a strategy to increase access to acute care in rural areas. Notes challenges in advancing that strategy including insurance reimbursement and regulations.
Source: Drug Topics
Mar 12, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the November 5, 2025, final rule. This correction is effective March 12, 2026.
Source: Federal Register
Mar 12, 2026 - Notice of final rule from the Indian Health Service (IHS) announcing the Catastrophic Health Emergency Fund (CHEF) threshold for fiscal year 2026. The purpose of the CHEF is to meet the extraordinary medical costs associated with the treatment of victims of disasters or catastrophic illnesses who are within the responsibility of IHS.
Source: Federal Register
Mar 12, 2026 - Describes state-level legislation in Mississippi creating a pilot program that changes certificate of needs (CON) laws. The program would loosen CON regulations for small communities with extra exemptions for the Mississippi Delta. Discusses the potential impact on rural hospitals.
Source: Mississippi Today
Mar 10, 2026 - Describes the maternal healthcare workforce distribution in North Carolina and health disparities for rural residents where there are workforce shortages. Notes that recent policy measures aiming to increase rural access with certified nurse midwives has not fully addressed the shortage. Discusses the potential for doulas to fill the gap.
Source: NC Newsline