Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Policy

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
view details
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
view details
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
view details
The 21st Century ROAD to Housing Act (P.L. 119-101)
Provides an overview of the 21st Century ROAD to Housing Act (P.L. 119-101), which became law on July 11, 2026, and aims to address housing supply and affordability. Summarizes each provision of the law, as well as deadlines applicable to federal agencies. Includes references to rural programs throughout.
Date: 10/2026
Sponsoring organization: Congressional Research Service
view details
Historical State Actions Aligned with Approved RHTP Uses
Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 10/2026
Sponsoring organization: National Conference of State Legislatures
view details
Risk Adjustment in the Medicare Advantage Population Using Encounter Data
Examines the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) risk model by comparing 2016-2022 Traditional Medicare (TM) claims and Medicare Advantage (MA) encounter data. Analyzes differences in the TM-based model and MA-based model and discusses risk-adjusted MA payment, MA payment policy, and enrollment incentives for various populations, including rural.
Author(s): Caroline S. Carlin, Roger Feldman, Jeah Jung
Citation: Health Services Research, 61(5), e70165
Date: 10/2026
view details
Telehealth FAQ
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: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details
Medicare Payment Basics: Federally Qualified Health Center and Rural Health Clinic Payment Systems
Presents an overview of Medicare payments for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Details how the all-inclusive rate (AIR) is calculated for RHCs and how the national statutory payment limit applies to provider-based RHCs enrolled in Medicare before December 31, 2020, and whether they part of a hospital with fewer than 50 beds. Includes information on special payment rules for certain services provided by FQHCs and RHCs.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details
Medicare Payment Basics: Outpatient Dialysis Services Payment System
Overview of Medicare payment methods for outpatient dialysis services of beneficiaries with end-stage renal disease (ESRD). Describes the base payment rate for freestanding and hospital-based facilities and identifies facility-level adjustments, including facilities located in rural areas.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details