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Rural Health
Resources by Topic: Legislation and regulations

Health Care Provisions in the Families First Coronavirus Response Act, P.L. 116-127
Provides an overview of the healthcare-related provisions of the Families First Coronavirus Response Act, passed in response to the COVID-19 pandemic. Focuses on coverage of COVID-19 testing and related items for individuals covered by Medicare, Medicare Advantage, Medicaid, CHIP, TRICARE, Veterans healthcare, the IHS, and most private plans. Includes a discussion of changes to Medicare coverage of telehealth services.
Date: 04/2020
Type: Document
Sponsoring organization: Congressional Research Service
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Medicaid and CHIP in the U.S. Virgin Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Territories
Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Commonwealth of the Northern Mariana Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in Guam
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in Guam. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Guam spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in American Samoa
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in American Samoa. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and American Samoa spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Comment on CMS's Proposed Rule on Contract Year 2021 and 2022 Policy and Technical Changes to Medicare Advantage and Part D
Responds to a proposed rule to revise regulations for Medicare Advantage (MA) and the Medicare Prescription Drug Benefit program (Part D). Provides comments on CMS proposals regarding out-of-network telehealth benefits, updates to the quality rating models for MA and Part D plans, and changes to MA network adequacy standards. Discusses how changes to network adequacy standards would impact access to dialysis facilities for beneficiaries in micropolitan counties, rural counties, and counties with extreme access considerations (CEAC).
Date: 04/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Care and Medicaid Telehealth Flexibilities, and Guidance Regarding Section 1009 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Pub. L. 115-271), entitled Medicaid Substance Use Disorder Treatment via Telehealth
Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CARES Act: Provisions to Help Rural Hospitals
Provides an overview of aspects of the Coronavirus Aid, Relief, and Economic Security (CARES) Act designed to support rural hospitals. Highlights provisions related to access to capital, Medicare payments, and telehealth, among others.
Date: 04/2020
Type: Document
Sponsoring organization: American Hospital Association
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Public Law 116-136: Coronavirus Aid, Relief, and Economic Security (CARES) Act
Text of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Public Law 116-136 (March 27, 2020). Outlines telehealth flexibilities to support providers and enhance access to care during the COVID-19 Public Health Emergency. Among other things, the CARES Act allows Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to serve as distant sites to provide telehealth services to patients in their homes during the public health emergency (PHE); establishes the Paycheck Protection Program (PPP); extends the ability to order home health services to physician assistants, nurse practitioners, and certified nurse specialists; and provides additional funding to the Federal Communications Commission (FCC) to enable the provision of telehealth services.
Date: 03/2020
Type: Document
Sponsoring organization: U.S. Congress
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