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Rural Health Information Hub

Rural Health
Resources by Topic: Legislation and regulations

Rural Health Transformation Program 101
Provides a broad overview of the Rural Health Transformation Program (RHTP). Highlights legislation enacted by states that fulfill policy commitments outlined in state RHTP applications, support RHTP initiatives, establish advisory and oversight mechanisms, and more.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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RHC Compliance 101 - Fall 2026
Recording of a September 9, 2026, webinar providing an overview of federal Rural Health Clinic (RHC) regulations and requirements.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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So You Want To Become A Health Center
Provides guidance for organizations interested in establishing a new health center under the HRSA Health Center Program. Includes information on pathways of entry into the Health Center Program; Health Center Program benefits and eligibility; strategies for assessing community need; governance, financial, and operational considerations, and more.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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Broadband Connectivity Among Rural First Responders in Pennsylvania
Explores challenges and opportunities in digital communication technologies experienced by Pennsylvania rural first responders. Features recommendations for Pennsylvania policymakers and stakeholders to improve communication access.
Author(s): Christopher Ali, Abigail Simmerman, DongWook Jeong
Date: 09/2026
Sponsoring organization: Center for Rural Pennsylvania
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Rural Emergency Hospital (REH) Model Frequently Asked Questions
Provides answers to frequently asked questions regarding the Rural Emergency Hospital (REH) designation. Covers general information, Conditions of Participation, and REH payment policies.
Date: 09/2026
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Minors Working on the Farm: Child Labor Laws for Agricultural Employers
Webinar recording describing state and federal policies regulating the scenarios where minors may work in agriculture. Discusses hazardous activities and parental exemptions.
Date: 08/2026
Sponsoring organization: The National Agricultural Law Center
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MedPAC Comment on CMS's Proposed Rule on the Payment System for End-Stage Renal Disease for CY 2027
Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Critical Access Hospital (CAH) Evaluation of Compliance with the Rural and Distance Requirements
Provides guidance regarding the evaluation of Critical Access Hospital (CAH) status and location requirements for current CAHs and initial CAH determinations. Covers the circumstances that trigger a CAH eligibility review, the evaluation of whether a proposed provider-based location will impact a CAH's status, and procedures for decennial reviews of existing CAHs.
Date: 08/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Visualizing the Impact of OBBBA Provisions on State Medicaid Funds
Presents data on the projected impact of the One Big Beautiful Bill Act (Public Law 119-21) on state Medicaid and Rural Health Transformation Program funds between 2025 and 2034.
Additional links: Blog Post
Date: 08/2026
Sponsoring organization: Milbank Memorial Fund
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Health Center Program Scope of Project Policy Manual
Provides information on Federally Qualified Health Center (FQHC) current and future scope of project decisions and requests. Consolidates project policies, clarifies program oversight and decision-making, facilitates correct procedures and accountability, and simplifies forms and requirements.
Date: 08/2026
Sponsoring organization: Bureau of Primary Health Care
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