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Rural Health
Resources by Topic: Legislation and regulations

2018 Farm Bill Primer: Rural Development Programs
Highlights the new rural development provisions included in the 2018 Farm Bill, which address rural access to high-speed broadband, rural health, loans and grants for rural water and wastewater infrastructure, economic development, and more. Outlines changes in how rural is defined for these programs.
Date: 05/2019
Type: Document
Sponsoring organization: Congressional Research Service
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Briefing - Expanding the Role of Nurse Practitioners
Webinar recording and slides on expanding the role of nurse practitioners, focusing on models from Nevada, Colorado, and New Mexico, and what California can learn from them. Includes information on nurse practitioners providing care in rural and frontier areas, as well as what they are doing to help combat the opioid epidemic.
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: California Health Care Foundation
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Statement of Chairman Ajit Pai, Federal Communications Commission: Hearing on the FCC's Fiscal Year 2020 Budget Request
Offers a statement from the Federal Communications Commission (FCC) Chairman on the 2020 FCC budget at a hearing before the U.S. Senate Committee on Appropriations Subcomittee on Financial Services and General Government. Addresses federal investments in rural broadband and the rural healthcare program, the impact of those investments, and future plans.
Date: 05/2019
Type: Document
Sponsoring organizations: Federal Communications Commission, Senate Committee on Appropriations
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Medicare Physician Payment Reform After Two Years: Examining MACRA Implementation and the Road Ahead
Provides a recording of a U.S. Senate Committee on Finance hearing on physician payment reforms under the Medicare Access and CHIP Reauthorization Act (MACRA). Features testimonies about what is working well and challenges faced, including provisions and challenges for small and rural practices. Contains testimonies from the American Medical Association, American Academy of Family Physicians, American College of Surgeons, American Medical Group Association, and Brookings Institution.
Additional links: American Medical Association Testimony, John Cullen Testimony, Scott Hines Testimony
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Implementing the 21st Century Cures Act: Making Electronic Health Information Available to Patients and Providers, Part II
A recording of a hearing from the U.S. Senate Committee on Health, Education, Labor and Pensions on implementation of the 21st Century Cures Act, which is intended to improve interoperability of electronic health records. Addresses requirements that would impact healthcare facilities, including rural hospitals and Critical Access Hospitals. Offers testimony from the Office of the National Coordinator of Health Information Technology and the Center for Medicare and Medicaid Services Center for Clinical Standards and Quality.
Additional links: Kate Goodrich Testimony
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Health Center Operational Site Visit (OSV)
Video intended to help Federally Qualified Health Centers prepare for the operational site visit (OSV). Includes updates from the Bipartisan Budget Act of 2018 and answers to frequently asked questions about OSVs.
Date: 04/2019
Type: Video/Multimedia
Sponsoring organization: Health Resources and Services Administration
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Recorded Webinar: The ABCs of Antibiotic Stewardship (Part 1)
Provides a webinar recording addressing antibiotic stewardship for Critical Access Hospitals. Focuses on the core elements of antibiotic stewardship, the related Medicare Beneficiary Quality Improvement Project (MBQIP) measure for CAHs, and the current performance of Oklahoma's CAHs on antibiotic stewardship implementation.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organizations: Oklahoma State University Center for Rural Health, Stratis Health
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STOP Playbook: How Health Plans Are Tackling the Opioid Crisis
Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Type: Document
Sponsoring organization: AHIP
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Broadband Loan and Grant Programs in the USDA's Rural Utilities Service
Discusses disparities in rural broadband access and Rural Utilities Service (RUS) programs intended to address this issue. Addresses criticisms of RUS broadband programs and related legislation, including the amount of Rural Development Telecom Awards for each state. Highlights the benefits of broadband access, such as rural economic development and telemedicine.
Date: 03/2019
Type: Document
Sponsoring organization: Congressional Research Service
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