Rural Health
Resources by Topic: Policy
State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 06/2026
Sponsoring organization: RAND Corporation
view details
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 06/2026
Sponsoring organization: RAND Corporation
view details
Community Health Workers: An Overview
Discusses the roles of community health workers (CHWs) and provides evidence of their effectiveness. Focuses on Arkansas's plans for a CHW certification process and reimbursement pathway, and other policy considerations. Features state-level maps showing state approaches to funding mechanisms for CHWs.
Author(s): Elizabeth Montgomery, Jennifer Wessel
Date: 05/2026
Sponsoring organization: Arkansas Center for Health Improvement
view details
Discusses the roles of community health workers (CHWs) and provides evidence of their effectiveness. Focuses on Arkansas's plans for a CHW certification process and reimbursement pathway, and other policy considerations. Features state-level maps showing state approaches to funding mechanisms for CHWs.
Author(s): Elizabeth Montgomery, Jennifer Wessel
Date: 05/2026
Sponsoring organization: Arkansas Center for Health Improvement
view details
Nurse-Led Mobile Clinics to Improve Rural Health Access and Disaster Preparedness: A Mixed-Methods Evaluation of a Texas Program
Examines the impact of nurse-led mobile clinics on healthcare access, continuity of care, and disaster preparedness in rural Texas. Provides a program evaluation of the mobile clinic model using mixed methods and describes mobile clinic structure, interprofessional education (IPE), disaster preparedness and response, rural health access, sustainability, and policy implications.
Author(s): Nicole Peters Kroll, Sharon L. Dormire, Kelly L. Wilson
Citation: International Journal of Environmental Research and Public Health, 23(6), 702
Date: 05/2026
view details
Examines the impact of nurse-led mobile clinics on healthcare access, continuity of care, and disaster preparedness in rural Texas. Provides a program evaluation of the mobile clinic model using mixed methods and describes mobile clinic structure, interprofessional education (IPE), disaster preparedness and response, rural health access, sustainability, and policy implications.
Author(s): Nicole Peters Kroll, Sharon L. Dormire, Kelly L. Wilson
Citation: International Journal of Environmental Research and Public Health, 23(6), 702
Date: 05/2026
view details
Uneven Ground: Local Public Funding Gaps Between Rural and Nonrural America
Reports on differences in public investment via local government in rural and urban communities, discussing factors including revenue gaps, people-based and place-based spending, persistent poverty, federal and state intergovernmental funding availability, and more. Details health and quality of life implications throughout. Free to download with contact information.
Additional links: Download Report
Author(s): Amanda Weinstein, Olivia Galloway, Adam Dewbury, et al.
Date: 05/2026
Sponsoring organization: Center on Rural Innovation
view details
Reports on differences in public investment via local government in rural and urban communities, discussing factors including revenue gaps, people-based and place-based spending, persistent poverty, federal and state intergovernmental funding availability, and more. Details health and quality of life implications throughout. Free to download with contact information.
Additional links: Download Report
Author(s): Amanda Weinstein, Olivia Galloway, Adam Dewbury, et al.
Date: 05/2026
Sponsoring organization: Center on Rural Innovation
view details
Billing of Distant Site Telehealth Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Presents instructions on how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) should bill distant site telehealth services for services provided on or after October 1, 2026.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Presents instructions on how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) should bill distant site telehealth services for services provided on or after October 1, 2026.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
When Ambulances Wait at the Emergency Department: Hospital Factors and Offload times in California
Analyzes ambulance patient offload time (APOT) between emergency medical services (EMS) and 310 emergency departments (ED) in California in 2022 to determine associations with hospital characteristics including rurality and number of ED treatment stations. The study data precedes a 2023 state law establishing statewide standards for APOT and so aims to offer baseline metrics for understanding policy impact.
Author(s): Esmeralda Melgoza, Madeline Fedmeier, Crystal Chen, Hiram Beltrán-Sánchez, Renee Y. Hsia
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
view details
Analyzes ambulance patient offload time (APOT) between emergency medical services (EMS) and 310 emergency departments (ED) in California in 2022 to determine associations with hospital characteristics including rurality and number of ED treatment stations. The study data precedes a 2023 state law establishing statewide standards for APOT and so aims to offer baseline metrics for understanding policy impact.
Author(s): Esmeralda Melgoza, Madeline Fedmeier, Crystal Chen, Hiram Beltrán-Sánchez, Renee Y. Hsia
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
view details
The Decentralized Academic Health Center: A 21st-Century Model for Rural Health Innovation
Discusses the role of academic health centers in addressing rural health needs and proposes the Decentralized Academic Health Center (D-AHC) model. Compares the traditional model with D-AHC and discusses implementation through teaching and workforce, research and data, clinical partnerships and digital health, community engagement and policy, financial sustainability, and provider and community readiness. Includes a 5-phase roadmap for implementation.
Author(s): Patrick C. Hardigan, Johannes Vieweg
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
view details
Discusses the role of academic health centers in addressing rural health needs and proposes the Decentralized Academic Health Center (D-AHC) model. Compares the traditional model with D-AHC and discusses implementation through teaching and workforce, research and data, clinical partnerships and digital health, community engagement and policy, financial sustainability, and provider and community readiness. Includes a 5-phase roadmap for implementation.
Author(s): Patrick C. Hardigan, Johannes Vieweg
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
view details
Governors' Policy Actions on Behavioral Health Access
Provides examples of behavioral health priorities outlined in state Rural Health Transformation Programs, including integrated care models, scaling telehealth services, and workforce incentives. Describes how states can incorporate supplemental grant funding to promote sustainable growth of the behavioral health workforce.
Date: 05/2026
Sponsoring organization: National Governors Association
view details
Provides examples of behavioral health priorities outlined in state Rural Health Transformation Programs, including integrated care models, scaling telehealth services, and workforce incentives. Describes how states can incorporate supplemental grant funding to promote sustainable growth of the behavioral health workforce.
Date: 05/2026
Sponsoring organization: National Governors Association
view details
Dementia Diagnostic Deserts: Workforce and Geographic Inequities in the Diagnostic Pathway for Cognitive Impairment
Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
view details
Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
view details
States Find Innovative Ways to Support Rural and Small Water Systems
Discusses strategies that state have implemented to provide clean and affordable water to rural communities. Highlights maintenance costs of small water systems, funding challenges, and provides successful practices for states to support local water systems.
Date: 05/2026
Sponsoring organization: Pew
view details
Discusses strategies that state have implemented to provide clean and affordable water to rural communities. Highlights maintenance costs of small water systems, funding challenges, and provides successful practices for states to support local water systems.
Date: 05/2026
Sponsoring organization: Pew
view details