Rural Health
Resources by Topic: Policy
Update to the Payment for Historically Excepted Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2026
Provides an overview of updates to the historically excepted Tribal Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) rate for calendar year 2026.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of updates to the historically excepted Tribal Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) rate for calendar year 2026.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Overcoming Geographic Barriers: Enhancing Pediatric Subspecialty Access for Rural Families
Presents a case study of a rural family facing continued geographic challenges to accessing specialty care for their infant's histiocytic syndrome. Identifies individual, interpersonal, organizational, community, and policy-level challenges and suggests policy approaches to address rural access disparities.
Author(s): Preston Simmons, Leah Beck, Eleanor Young, Laura Brower, Meghan Fanta
Citation: Hospital Pediatrics, e2024008150
Date: 02/2026
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Presents a case study of a rural family facing continued geographic challenges to accessing specialty care for their infant's histiocytic syndrome. Identifies individual, interpersonal, organizational, community, and policy-level challenges and suggests policy approaches to address rural access disparities.
Author(s): Preston Simmons, Leah Beck, Eleanor Young, Laura Brower, Meghan Fanta
Citation: Hospital Pediatrics, e2024008150
Date: 02/2026
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Plugged in to Public Health: Rural Health Beyond the Mainland; Transportation, Access, and Care in Hawaii
Discusses how transportation influences healthcare access in rural Hawaii. Describes how geographic isolation and transportation barriers influence access to primary and preventive care and create high demand for emergency medical services, and details policy implications related to public transit, non-emergency medical transportation, and greater access to primary care. Transcript available below audio player.
Author(s): Lauren Lavin, John Desfor
Date: 02/2026
Sponsoring organization: University of Iowa College of Public Health
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Discusses how transportation influences healthcare access in rural Hawaii. Describes how geographic isolation and transportation barriers influence access to primary and preventive care and create high demand for emergency medical services, and details policy implications related to public transit, non-emergency medical transportation, and greater access to primary care. Transcript available below audio player.
Author(s): Lauren Lavin, John Desfor
Date: 02/2026
Sponsoring organization: University of Iowa College of Public Health
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Roadblocks to Rural Health: State Transportation Policies' Impact on Health Care Access in Virginia's Rural Communities: 2021–2022
Examines transportation barriers that impact healthcare access and provides actionable strategies to remove barriers. Discusses collaboration with the Virginia Department of Transportation (VDOT) to change signage policy and install directional signs to a rural Federally Qualified Health Center (FQHC). Analyzes the subsequent impacts on access and cancer screening rates, as well as the importance of collaborating across community agencies.
Author(s): Katherine Y. Tossas, Bianca D. Owens, Michael O'Grady, Jinlei Zhao, Robert A. Winn
Citation: American Journal of Public Health, 116(2), 175-179
Date: 02/2026
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Examines transportation barriers that impact healthcare access and provides actionable strategies to remove barriers. Discusses collaboration with the Virginia Department of Transportation (VDOT) to change signage policy and install directional signs to a rural Federally Qualified Health Center (FQHC). Analyzes the subsequent impacts on access and cancer screening rates, as well as the importance of collaborating across community agencies.
Author(s): Katherine Y. Tossas, Bianca D. Owens, Michael O'Grady, Jinlei Zhao, Robert A. Winn
Citation: American Journal of Public Health, 116(2), 175-179
Date: 02/2026
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Utilizing a Steering Committee to Implement Health in All Policies in a Rural, Micro-Urban Community
Examines the impact of a Health in All Policies (HiAP) steering committee in a rural and micro-urban area of Montana. Discusses the focus areas of the committee, such as a rural perspective on public health, policy, transportation, social services, development, preservation, education, and more. Reflects on the benefits of a multi-sector steering committee and an HiAP approach to impact rural communities.
Author(s): Danika Lee Comey, Bridget L. Hanson, Morgan E. Neavill, et al.
Citation: Health Promotion International, 41(1)
Date: 02/2026
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Examines the impact of a Health in All Policies (HiAP) steering committee in a rural and micro-urban area of Montana. Discusses the focus areas of the committee, such as a rural perspective on public health, policy, transportation, social services, development, preservation, education, and more. Reflects on the benefits of a multi-sector steering committee and an HiAP approach to impact rural communities.
Author(s): Danika Lee Comey, Bridget L. Hanson, Morgan E. Neavill, et al.
Citation: Health Promotion International, 41(1)
Date: 02/2026
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Telehealth FAQ Calendar Year 2026
Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reimagining Rural Health and Well-Being
Details effective practices for promoting rural health, addresses community needs, and improves access to care among organizations focused on rural funding, service delivery, and research. Discusses funding strategies, collaborations, and other rural-specific concerns relevant to philanthropic organizations, government funders, health providers, and more. Project findings are discussed in depth via a landscape analysis and summary of listening sessions conducted throughout 2025.
Additional links: Landscape Analysis, Listening Sessions Summary
Author(s): Tanisa Adimu, John Butts, Amy Elizondo, et al.
Date: 01/2026
Sponsoring organizations: Georgia Health Policy Center, Grantmakers in Health, National Rural Health Association
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Details effective practices for promoting rural health, addresses community needs, and improves access to care among organizations focused on rural funding, service delivery, and research. Discusses funding strategies, collaborations, and other rural-specific concerns relevant to philanthropic organizations, government funders, health providers, and more. Project findings are discussed in depth via a landscape analysis and summary of listening sessions conducted throughout 2025.
Additional links: Landscape Analysis, Listening Sessions Summary
Author(s): Tanisa Adimu, John Butts, Amy Elizondo, et al.
Date: 01/2026
Sponsoring organizations: Georgia Health Policy Center, Grantmakers in Health, National Rural Health Association
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Health Panel Comment Letter - Contract Year 2027 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs
Offers comments in response to a November 28, 2025, proposed rule regarding policy and technical changes to the Medicare Advantage, Medicare Prescription Drug Benefit, and Medicare Cost Plan programs for contract year 2027. Includes data on trends in chronic condition special need plans (C-SNPs) and institutional special needs plans (I-SNPs) between 2016 and 2025 and MA plan offerings by county metropolitan status.
Date: 01/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to a November 28, 2025, proposed rule regarding policy and technical changes to the Medicare Advantage, Medicare Prescription Drug Benefit, and Medicare Cost Plan programs for contract year 2027. Includes data on trends in chronic condition special need plans (C-SNPs) and institutional special needs plans (I-SNPs) between 2016 and 2025 and MA plan offerings by county metropolitan status.
Date: 01/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Financial Assistance Policy, Hospital Charity Care, and Medical Debt in Collections
Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.
Author(s): Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee
Citation: JAMA Network Open, 9(1), e2555698
Date: 01/2026
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Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.
Author(s): Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee
Citation: JAMA Network Open, 9(1), e2555698
Date: 01/2026
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