Rural Health
Resources by Topic: Policy
How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Rural Health Transformation Program State Programmatic Snapshots: 2026 Release
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Strategies for Addressing California's Rural Behavioral Health Workforce Shortages
Issue brief discussing behavioral health workforce shortages in rural California and identifying state policy and healthcare delivery strategies to support workforce supply and improve behavioral health access in the state. Covers topics including expanded behavioral health availability in primary care settings, use of community health workers and telehealth to expand service availability, workforce development, recruitment and retention, and more. The associated planning guide provides guidance on planning and implementing behavioral health workforce strategies at the community level.
Additional links: Planning Guide
Author(s): Rachel Davis
Date: 10/2026
Sponsoring organization: Healthforce Center at UCSF
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Issue brief discussing behavioral health workforce shortages in rural California and identifying state policy and healthcare delivery strategies to support workforce supply and improve behavioral health access in the state. Covers topics including expanded behavioral health availability in primary care settings, use of community health workers and telehealth to expand service availability, workforce development, recruitment and retention, and more. The associated planning guide provides guidance on planning and implementing behavioral health workforce strategies at the community level.
Additional links: Planning Guide
Author(s): Rachel Davis
Date: 10/2026
Sponsoring organization: Healthforce Center at UCSF
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The Childcare and Farm Children's Safety Conundrum
Discusses the family, community and interpersonal, and policy factors impacting farm safety decisions by exploring child care on the farm. Study included 68 farm women in Ohio, Vermont, and Wisconsin, states chosen based on their rates of child injuries, policy approaches to child care, production types, and rates of female and beginning farmers.
Author(s): Florence Becot, Sarah Ruszkowski
Citation: Rural Sociology, 91(4)
Date: 10/2026
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Discusses the family, community and interpersonal, and policy factors impacting farm safety decisions by exploring child care on the farm. Study included 68 farm women in Ohio, Vermont, and Wisconsin, states chosen based on their rates of child injuries, policy approaches to child care, production types, and rates of female and beginning farmers.
Author(s): Florence Becot, Sarah Ruszkowski
Citation: Rural Sociology, 91(4)
Date: 10/2026
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Rural Cardiovascular Health in Missouri: Needs, Care Gaps, and Resources for a More Connected System
Discusses the importance of cardiovascular risk to rural health in Missouri, and provides suggestions for improving rural cardiovascular disease prevention, treatment, and recovery via state policy, Rural Health Transformation initiatives, and facility-level service delivery improvements.
Author(s): Adnan I. Qureshi, Hatem Tolba, Muhammad Shah Miran, Muhammad Shakir, Camilo R. Gomez
Citation: Missouri Medicine, 123(5), 449-456
Date: 10/2026
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Discusses the importance of cardiovascular risk to rural health in Missouri, and provides suggestions for improving rural cardiovascular disease prevention, treatment, and recovery via state policy, Rural Health Transformation initiatives, and facility-level service delivery improvements.
Author(s): Adnan I. Qureshi, Hatem Tolba, Muhammad Shah Miran, Muhammad Shakir, Camilo R. Gomez
Citation: Missouri Medicine, 123(5), 449-456
Date: 10/2026
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Building on the 2025 National Academies Pharmacy Workshop: Pharmacy Deserts in the United States
Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with a focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
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Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with a focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
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Survival Versus Scale: The Effects of Critical Access Hospital Designation
Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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Providing Care to the Surprisingly Large Rural Population in the US: A Healthy Dialogue With Julie Donohue and Mark Holmes
Summarizes a podcast episode featuring a discussion with Mark Holmes, director of The Cecil G. Sheps Center for Health Services Research at The University of North Carolina at Chapel Hill, and Julie Donohue, professor and chair of health policy and management at the University of Pittsburgh and deputy editor at JAMA Health Forum. Describes challenges facing rural health and the potential impacts of the One Big Beautiful Bill Act (OBBBA).
Additional links: Providing Rural Health Care Is Really Hard; 60 Million Americans Rely on It, Transcript
Author(s): Derek C. Angus, Matthew B. O'Connor
Citation: JAMA
Date: 10/2026
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Summarizes a podcast episode featuring a discussion with Mark Holmes, director of The Cecil G. Sheps Center for Health Services Research at The University of North Carolina at Chapel Hill, and Julie Donohue, professor and chair of health policy and management at the University of Pittsburgh and deputy editor at JAMA Health Forum. Describes challenges facing rural health and the potential impacts of the One Big Beautiful Bill Act (OBBBA).
Additional links: Providing Rural Health Care Is Really Hard; 60 Million Americans Rely on It, Transcript
Author(s): Derek C. Angus, Matthew B. O'Connor
Citation: JAMA
Date: 10/2026
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RHTP Obligated Funds Report
Presents information on Rural Health Transformation Program funding states have obligated to state agencies, contractors and vendors, community partners, hospitals, and others as of July 31, 2026. Updated quarterly.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents information on Rural Health Transformation Program funding states have obligated to state agencies, contractors and vendors, community partners, hospitals, and others as of July 31, 2026. Updated quarterly.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural Health Transformation Program: Early Implementation Actions and Monitoring Plans
Provides an overview of actions taken by the Centers for Medicare & Medicaid Services (CMS) to establish the Rural Health Transformation (RHT) Program, including how state applications were reviewed and scored; how CMS plans to determine future funding allotments; and the circumstances under which CMS may withhold, reduce, or recover a state's funding. Describes how CMS plans to monitor state RHT Program activities.
Additional links: Full Report
Date: 10/2026
Sponsoring organization: Government Accountability Office
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Provides an overview of actions taken by the Centers for Medicare & Medicaid Services (CMS) to establish the Rural Health Transformation (RHT) Program, including how state applications were reviewed and scored; how CMS plans to determine future funding allotments; and the circumstances under which CMS may withhold, reduce, or recover a state's funding. Describes how CMS plans to monitor state RHT Program activities.
Additional links: Full Report
Date: 10/2026
Sponsoring organization: Government Accountability Office
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