Rural Health
Resources by Topic: Infrastructure
Forces Driving Change in Rural North Carolina
Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 09/2025
Sponsoring organization: NC Rural Center
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Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 09/2025
Sponsoring organization: NC Rural Center
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Federally Supported Projects and Programs for Wastewater, Drinking Water, and Water Supply Infrastructure
Provides an overview of federally-funded water infrastructure projects, including those in rural areas, as well as programs that provide community support for these types of projects and related activities. Includes information on the federal cost-share, average amount of assistance, fiscal year 2021 funding level, and fiscal year 2025 appropriations highlights for each program.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of federally-funded water infrastructure projects, including those in rural areas, as well as programs that provide community support for these types of projects and related activities. Includes information on the federal cost-share, average amount of assistance, fiscal year 2021 funding level, and fiscal year 2025 appropriations highlights for each program.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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A Twenty-Year Review: Revisiting the Drinking Water and Wastewater Infrastructure Funding Needs and Gaps in the Appalachian Region
Provides county, state, and metro versus nonmetro data on water and wastewater infrastructure in the Appalachian region. Discusses funding and collaborative possibilities to improve critical infrastructure in Appalachian communities.
Additional links: Executive Summary
Author(s): Ahmed Rachid El-Khattabi, Christy M. Ihlo, Leigh Anne Krometis, Kara Millonzi
Date: 08/2025
Sponsoring organization: Appalachian Regional Commission
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Provides county, state, and metro versus nonmetro data on water and wastewater infrastructure in the Appalachian region. Discusses funding and collaborative possibilities to improve critical infrastructure in Appalachian communities.
Additional links: Executive Summary
Author(s): Ahmed Rachid El-Khattabi, Christy M. Ihlo, Leigh Anne Krometis, Kara Millonzi
Date: 08/2025
Sponsoring organization: Appalachian Regional Commission
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The Broadband Equity, Access, and Deployment (BEAD) Program: Issues for the 119th Congress
Provides an overview of the Broadband Equity, Access, and Deployment (BEAD) Program, which was created in 2021 to provide broadband service to locations that lack access. Describes concerns that have been raised by stakeholders regarding the implementation of the BEAD Program. Presents options for Congress related to overseeing and addressing concerns about the BEAD Program.
Date: 08/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the Broadband Equity, Access, and Deployment (BEAD) Program, which was created in 2021 to provide broadband service to locations that lack access. Describes concerns that have been raised by stakeholders regarding the implementation of the BEAD Program. Presents options for Congress related to overseeing and addressing concerns about the BEAD Program.
Date: 08/2025
Sponsoring organization: Congressional Research Service
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Delta Regional Authority 2024 Annual Report
Discusses the Delta Regional Authority's strategic investments, programming, and initiatives throughout 2024. Focuses on critical and human infrastructure, public works, capacity building, workforce opportunities and health system improvements in rural areas, and more.
Date: 08/2025
Sponsoring organization: Delta Regional Authority
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Discusses the Delta Regional Authority's strategic investments, programming, and initiatives throughout 2024. Focuses on critical and human infrastructure, public works, capacity building, workforce opportunities and health system improvements in rural areas, and more.
Date: 08/2025
Sponsoring organization: Delta Regional Authority
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Building Healthier Rural Communities: Economic Development Districts Address Social Determinants of Health
Report outlining social determinants of health (SDOH) in rural areas and how Economic Development Districts (EDD) address them. Highlights workforce, infrastructure, food security, health, disaster preparedness, funding, data, and public-private partnerships. Includes a case study from an EDD in North Carolina and highlights the role of hospitals in the community.
Date: 08/2025
Sponsoring organizations: Economic Development District Community of Practice, National Association of Development Organizations
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Report outlining social determinants of health (SDOH) in rural areas and how Economic Development Districts (EDD) address them. Highlights workforce, infrastructure, food security, health, disaster preparedness, funding, data, and public-private partnerships. Includes a case study from an EDD in North Carolina and highlights the role of hospitals in the community.
Date: 08/2025
Sponsoring organizations: Economic Development District Community of Practice, National Association of Development Organizations
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Quick-Build Project Resources for Rural Transportation
Provides information on and examples of quick-build transportation projects in rural areas that are designed to improve infrastructure and address safety issues and accessibility.
Date: 07/2025
Sponsoring organization: National Association of Development Organizations
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Provides information on and examples of quick-build transportation projects in rural areas that are designed to improve infrastructure and address safety issues and accessibility.
Date: 07/2025
Sponsoring organization: National Association of Development Organizations
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Pennsylvania Rural Health Plan, 2025-2030
Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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The Universal Service Fund and Related FCC Broadband Programs: Overview and Considerations for Congress
Provides an overview of the Federal Communications Commission's (FCC) Universal Service Fund (USF) and its four programs: the High Cost Program, Lifeline Program, Rural Health Care Program, and Schools and Libraries Program. Describes legislation introduced in the 118th Congress that would impact the USF programs. Outlines considerations for Congress and five areas for possible reform.
Date: 07/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the Federal Communications Commission's (FCC) Universal Service Fund (USF) and its four programs: the High Cost Program, Lifeline Program, Rural Health Care Program, and Schools and Libraries Program. Describes legislation introduced in the 118th Congress that would impact the USF programs. Outlines considerations for Congress and five areas for possible reform.
Date: 07/2025
Sponsoring organization: Congressional Research Service
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Accessing Funding for Capital Projects in Rural Healthcare
Policy paper intended to provide information and inspire action, by enhancing current funding programs, removing barriers, directing more capital toward rural healthcare, and exploring new solutions. Features statistics on USDA community facilities loans and USDA healthcare guaranteed loans as a percentage of all USDA guaranteed loans.
Date: 06/2025
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Policy paper intended to provide information and inspire action, by enhancing current funding programs, removing barriers, directing more capital toward rural healthcare, and exploring new solutions. Features statistics on USDA community facilities loans and USDA healthcare guaranteed loans as a percentage of all USDA guaranteed loans.
Date: 06/2025
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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