Rural Health
Resources by Topic: Legislation and regulations
Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH)
Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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The National Aging and Disability Transportation Center (NADTC): 2021 Trends Report
Provides an overview of the program's commitment to available and accessible transportation options for older people and people with disabilities. Focuses on community engagement, regulations, local examples of transit services, and more.
Date: 2021
Sponsoring organization: National Aging and Disability Transportation Center
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Provides an overview of the program's commitment to available and accessible transportation options for older people and people with disabilities. Focuses on community engagement, regulations, local examples of transit services, and more.
Date: 2021
Sponsoring organization: National Aging and Disability Transportation Center
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National Health Service Corps Report to Congress for the Year 2020
Details program accomplishments of the National Health Service Corps (NHSC), provides updates on Health Professional Shortage Area designations, explains recruitment efforts for NHSC Scholarship and Loan Repayment Programs, provides estimates on number of patients seen by NHSC clinicians, and details short- and long-term retention rates. Features state-by-state data with breakdowns by urban and rural locations.
Date: 2021
Sponsoring organization: U.S. Department of Health and Human Services
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Details program accomplishments of the National Health Service Corps (NHSC), provides updates on Health Professional Shortage Area designations, explains recruitment efforts for NHSC Scholarship and Loan Repayment Programs, provides estimates on number of patients seen by NHSC clinicians, and details short- and long-term retention rates. Features state-by-state data with breakdowns by urban and rural locations.
Date: 2021
Sponsoring organization: U.S. Department of Health and Human Services
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Models for Population Health Improvement by Health Care Systems and Partners: Tensions and Promise on the Path Upstream: Proceedings of a Workshop
Proceedings from a public workshop held on September 19, 2019, exploring higher levels of action to improve health, such as changing laws, policies, and regulations, to improve the community conditions for health. Describes efforts of health systems and their partners to move beyond what takes place in clinical settings and to identify and respond to the needs of patients and communities. Notes that some approaches may work differently in rural and urban areas.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Proceedings from a public workshop held on September 19, 2019, exploring higher levels of action to improve health, such as changing laws, policies, and regulations, to improve the community conditions for health. Describes efforts of health systems and their partners to move beyond what takes place in clinical settings and to identify and respond to the needs of patients and communities. Notes that some approaches may work differently in rural and urban areas.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Public Law 116–260: Consolidated Appropriations Act, 2021
Text of the Consolidated Appropriations Act, 2021, Public Law 116-260 (December 27, 2020). Section 125 establishes the Rural Emergency Hospital designation. Section 127 makes changes to direct graduate medical education (GME) and indirect GME payments to teaching hospitals that train residents in Rural Training Programs.
Date: 12/2020
Sponsoring organization: U.S. Congress
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Text of the Consolidated Appropriations Act, 2021, Public Law 116-260 (December 27, 2020). Section 125 establishes the Rural Emergency Hospital designation. Section 127 makes changes to direct graduate medical education (GME) and indirect GME payments to teaching hospitals that train residents in Rural Training Programs.
Date: 12/2020
Sponsoring organization: U.S. Congress
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Rural Health Clinics Modernization Policy Explained
Recording of a webinar (updated December 31, 2020) providing an overview of statutory revisions to the Rural Health Clinic (RHC) payment methodology. Explains the impact of the changes on both capped and uncapped RHCs. Includes information on telehealth reimbursement for RHCs. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Author(s): Bill Finerfrock, Nathan Baugh
Date: 12/2020
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a webinar (updated December 31, 2020) providing an overview of statutory revisions to the Rural Health Clinic (RHC) payment methodology. Explains the impact of the changes on both capped and uncapped RHCs. Includes information on telehealth reimbursement for RHCs. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Author(s): Bill Finerfrock, Nathan Baugh
Date: 12/2020
Sponsoring organization: National Association of Rural Health Clinics
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How Does DATA-Waiver Provider Patient Capacity Relate to Opioid and Buprenorphine Prescribing?
Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Water Safety in California Public Schools Following Implementation of School Drinking Water Policies
Study examining results from a California testing program created to detect lead in charter and public school drinking water. Analyzes factors associated with access to safe drinking water, including differences between rural and urban schools. Features data and statistics indicating whether school water systems were compliant with health standards and whether school drinking water was tested for lead.
Author(s): Isioma L. Umunna, Lauren S. Blacker, Christina E. Hecht, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Study examining results from a California testing program created to detect lead in charter and public school drinking water. Analyzes factors associated with access to safe drinking water, including differences between rural and urban schools. Features data and statistics indicating whether school water systems were compliant with health standards and whether school drinking water was tested for lead.
Author(s): Isioma L. Umunna, Lauren S. Blacker, Christina E. Hecht, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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NRHA Rapid Response Policy Brief: Telehealth
Policy position brief outlining the National Rural Health Association's policy statements and recommendations to encourage the adoption of telehealth services in rural America. Discusses reimbursement, healthcare quality, broadband access, and other telehealth policy topics.
Author(s): Pat Schou, Sarah Huling, Brady Beecham, Leslie Marsh, Rachael Sherard
Date: 12/2020
Sponsoring organization: National Rural Health Association
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Policy position brief outlining the National Rural Health Association's policy statements and recommendations to encourage the adoption of telehealth services in rural America. Discusses reimbursement, healthcare quality, broadband access, and other telehealth policy topics.
Author(s): Pat Schou, Sarah Huling, Brady Beecham, Leslie Marsh, Rachael Sherard
Date: 12/2020
Sponsoring organization: National Rural Health Association
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Indian Health 101: Fulfilling a Promise
Presents an overview of the Indian Health Service (IHS) including the legislative history and financial support for the development of IHS. Discusses health disparities and the disproportionate impact of COVID-19 experienced by American Indians/Alaska Natives.
Author(s): Christopher D. Chavis
Date: 11/2020
Sponsoring organization: National Indian Health Board
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Presents an overview of the Indian Health Service (IHS) including the legislative history and financial support for the development of IHS. Discusses health disparities and the disproportionate impact of COVID-19 experienced by American Indians/Alaska Natives.
Author(s): Christopher D. Chavis
Date: 11/2020
Sponsoring organization: National Indian Health Board
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