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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Rural Health Transformation Program: Summary of State RHTP Applications
Provides an overview of the publicly available state applications for the Rural Health Transformation Program. Identifies national themes from across state applications.
Date: 12/2025
Sponsoring organization: Sellers Dorsey
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Graduate Medical Education: Information on Initial Distributions of New Medicare-Funded Physician Residency Positions
Explores the distribution of 1,000 new Medicare-funded graduate medical education (GME) residency positions as outlined in Section 126 of the Consolidated Appropriations Act, 2021. Describes the number of hospitals that applied for and received additional positions from 2023 through 2025, their characteristics, and benefits and challenges related to the application for and distribution of these additional positions as identified by selected stakeholders.
Additional links: Full Report
Date: 12/2025
Sponsoring organization: Government Accountability Office
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Maternal Chronic Disease Prevention in Rural America: A Life Course Perspective
Examines maternal chronic disease management in rural areas of the United States. Discusses social determinants of health and maternal health disparities specific to rural areas. Provides policy, public health surveillance, and community engagement approaches to address the rural maternal health crisis.
Author(s): Kobi V Ajayi, Emesomhi Eboreime, Alva Ferdinand, Ninfa Purcell, Robin Page
Citation: Journal of Primary Care & Community Health
Date: 12/2025
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Connecting the Dots: An Environmental Scan of Rural Health Associations in the United States
Provides an environmental scan of state rural health associations in the U.S. and their main points of focus. Discusses issues such as education, advocacy, policy, and partnerships and their relationship to public health. Includes discussion of how to develop priority areas for Ohio's rural health association.
Author(s): Caleb Freyhof, Rosanna Scott, Natalie DiPietro Mager, Karen Kier
Date: 12/2025
Sponsoring organization: Ohio Public Health Association
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Rural Health Transformation Program State Application Summary: State-level Initiatives & Proposed Activities
Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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Developing a Research Agenda to Improve Rural Health Access and Quality in West Virginia
Presents a research agenda to identify health problems, infrastructure issues, and healthcare workforce gaps in rural West Virginia. Discusses interventions to improve access, create policy, and address knowledge and data gaps. Provides county-level maps showing health and social issues across the state.
Author(s): Julia Rollison, Zara Fatima Abdurahaman, Lisa H. Jaycox, Viviana Mercado
Date: 12/2025
Sponsoring organization: RAND Corporation
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Analysis of the Rural Health Transformation Program
Examines the Rural Health Transportation Program's (RHTP) impacts on rural health funding by state characteristics. Includes data on factors including funding provided per rural inhabitant by state-level rural mortality rate, rural population, estimated loss of funding resulting from Medicaid spending reductions, and more.
Author(s): Paula Chatterjee, Rachel M. Werner
Date: 12/2025
Sponsoring organization: Leonard Davis Institute of Health Economics
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The Indian Health Service Did Not Ensure That Commissioned Corps Officers' Background Investigations Complied With Federal Requirements
Examines whether Officers of the Commissioned Corps of the United States Public Health Service (Commissioned Corps) who are assigned to provide healthcare services to Tribal and IHS-operated health programs received background investigations and reinvestigations in accordance with Federal requirements. Presents findings of a review of background investigation documentation for a sample of 100 Officers assigned to provide healthcare services to IHS and Tribal health facilities in September 2022.
Additional links: Report Highlights
Date: 12/2025
Sponsoring organization: Office of Inspector General (HHS)
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Policy Brief: Access to Mental Health Care for Ohio Children and Youth
Discusses mental healthcare access challenges for youth in Ohio. Provides county-level map showing Mental Health Professional Shortage Areas (HPSAs) and discusses access issues specific to rural areas.
Date: 12/2025
Sponsoring organization: Health Policy Institute of Ohio
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December 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2025 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, Rural Emergency Hospitals (REHs), post-acute care, skilled nursing facility services, inpatient rehabilitation facility services, home health services, hospice services, and outpatient dialysis services. Includes discussions on improving Medicare payment approaches and mandated reports on the impact of recent changes to the home health prospective payment system and an assessment of the Medicare ground ambulance data collection system.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services; Mandated Report on Rural Emergency Hospitals; And Update on Site-neutral Payments - Presentation Slides, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System - Presentation Slides
Date: 12/2025
Sponsoring organization: Medicare Payment Advisory Commission
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