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Rural Health
Resources by Topic: Policy

United States Advisory Council on Human Trafficking: Annual Report 2023
Offers recommendations to the President's Interagency Task Force regarding human trafficking. Report outlines types of human trafficking and discusses the differences in sex trafficking and labor trafficking. Discusses rural and Indigenous communities throughout.
Date: 12/2023
Type: Document
Sponsoring organization: U.S. Advisory Council on Human Trafficking
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Rural America's OB Deserts Widen in Fallout From Pandemic
Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Bridging a Care Gap: Policy Opportunities for Improving Access to Home-Based Primary Care
Recording of a panel discussion on home-based primary care for rural older adults and policies that could address challenges with offering and accessing home-based primary care. Discusses telehealth, broadband, community infrastructure, service models, community health workers, and more. Transcript available in the video description.
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: Duke Margolis Institute for Health Policy
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Addressing the National Rural Health Care Worker Shortage with A Focus on Kindergarten Through 12th Grade Educational Strategies
Policy position paper regarding addressing rural healthcare workforce shortages through K-12 pipeline programs. Discusses educational, programmatic, and financial challenges to engaging K-12 students and implementing pipeline programs. Offers policy recommendations for the U.S. Congress and U.S. Department of Health and Human Services to promote student preparedness and interest in health careers.
Author(s): Nicole Thill, Michelle Fortune, Abigail Radcliffe
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Rural Long-Term Care Services and Supports
Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Pediatric Vaccination Rates in Rural America
Policy position paper regarding declining vaccination rates of children in rural communities. Compares rural and urban childhood vaccination rates and the potential for increasing health disparities. Describes a "5As of vaccine access" policy framework to evaluate current and future immunization policies and proposals. Offers recommended actions for federal, state, and local governments and organizations to improve rural vaccine uptake.
Author(s): Cynthia Calixte, Nitika Moibi, Andrea Stephenson Royster
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy Solutions Addressing Psychiatric Boarding of Rural Youth
Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Cybersecurity: A Path to Increase Rural Health Care Preparedness
Policy position paper discussing the importance of increasing cybersecurity measures across rural healthcare facilities and organizations. Highlights challenges rural providers face in achieving adequate cybersecurity protections, preparedness, and response. Offers federal and state policy recommendations to support and enhance cybersecurity in rural healthcare settings.
Author(s): Michael Hassell, Jenny Niblock
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Medicare Advantage Growth and Its Impact on Rural Health Care
Policy position paper regarding the impact of the increase of Medicare Advantage (MA) enrollment in rural areas on healthcare access, delivery, and financial viability. Offers policy recommendations to support rural MA beneficiaries, healthcare providers, and hospitals at a local level, as well as rural healthcare provision within the MA framework.
Author(s): Carrie Shaver, Kevin Lambing, Lisa Rantz
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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What's in it for Rural? Analyzing the Opportunities for Rural America in IIJA, CHIPS, and IRA
Evaluates the significance to rural areas of appropriations and authorizations approved by the Infrastructure Investment and Jobs Act (IIJA), the CHIPS and Science Act (CHIPS), and the Inflation Reduction Act (IRA). Identifies rural-significant funding by agency and sector, and discusses economic and financial aspects of allocations and funding structure. Summarizes major appropriations in infrastructure, energy, climate resilience, broadband, environment, and more. Provides recommendations for use and reporting of funds by officials, agencies, and policymakers.
Author(s): Anthony F. Pipa, Elise Pietro
Date: 12/2023
Type: Document
Sponsoring organization: The Brookings Institution
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