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Rural Health
Resources by Topic: Policy

Improving Methadone Access for Rural Communities in the USA: Lessons Learned from Covid-19 Adaptations and International Models of Care
Explores the effect of changes to methadone treatment protocols for opioid use disorder in response to the COVID-19 pandemic on access to treatment in rural areas. Discusses telehealth, dispensing schedules, and distribution models before and during the pandemic.
Author(s): Jamey J Lister, Holly H Lister
Citation: Rural and Remote Health, 21(4)
Date: 11/2021
Type: Document
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MACPAC Response to Senate Finance Committee Request for Information on Behavioral Health
Summarizes the Medicaid and CHIP Payment and Access Commission's (MACPAC) ongoing analysis of behavioral health in Medicaid and CHIP and offers policy recommendations. Discusses the behavioral health workforce; behavioral healthcare service delivery and access; mental health parity; telehealth; and improving access for children and youth. Includes rural references and considerations throughout.
Date: 11/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Health Network Development Planning Grants: Geographic Distribution and Change over Time
Examines the location and network geographic size of applicants funded by the Rural Health Network Development Planning Grant. Features statistics including total grantees by number of unique states per year from 2003-2020, states with the most grantees compared to rural population, states with the highest share of rural population compared to grants received, and maps showing state and county distribution of grantees.
Author(s): Jill Tanem, Katie Rydberg, Mariana Tuttle, Mary Gilbertson, Carrie Henning-Smith
Date: 11/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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FQHC and RHC Best Practices for Telehealth in Response to COVID-19
Offers best practices for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) for telehealth expansion in response to the COVID-19 pandemic, drawing from 131 expert interviews from facilities in 22 states and the District of Columbia. Highlights key points related to continuing telehealth use, training and instruction, and technology investments.
Date: 11/2021
Type: Document
Sponsoring organization: California Telehealth Resource Center
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Barriers to Aging in Place in Rural Communities: Perspectives from State Offices of Rural Health
Summarizes findings from a survey of State Offices of Rural Health (SORHs) describing barriers for older adults in successfully aging in place in rural communities, including transportation, access to care, workforce issues, and cost of care. Presents respondents' policy and programmatic recommendations that would be beneficial for supporting older adults aging in place in rural areas.
Author(s): Megan Lahr, Carrie Henning-Smith
Date: 11/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Persistent Gaps in SNAP Benefit Adequacy across the Rural-Urban Continuum
Report examining gaps in the adequacy of Supplemental Nutrition Assistance Program (SNAP) benefits to cover the cost of a meal across the rural-urban continuum using the USDA's Rural-Urban Continuum Codes (RUCCs). Discusses characteristics of the counties with the largest gaps and addresses the policy implications of the 2021 Thrifty Food Plan (TFP) update to SNAP.
Author(s): Olivia Fiol, Elaine Waxman, Craig Gunderson
Date: 11/2021
Type: Document
Sponsoring organization: Urban Institute
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The Impact of Aging Baby Boomers in Rural America
Policy brief discussing the impact of the increasing proportion of the population turning 65 years old on rural communities. Offers policy recommendations for addressing barriers rural older adults face accessing healthcare and social services.
Author(s): Sarah Huling, Elizabeth Crouch, Whitney Zahnd
Date: 11/2021
Type: Document
Sponsoring organization: National Rural Health Association
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How States Use ARPA Funds to Support Telehealth, Technology and Data Infrastructure
Interactive map displaying how states used a one-time increase in the federal medical assistance program (FMAP) for Medicaid home and community-based services (HCBS) through March 31, 2022, to support telehealth service delivery, technology-based innovations, and data infrastructure building opportunities.
Date: 11/2021
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Critical Access Hospitals' Initial Response to the COVID-19 Pandemic: Use of Federal Funding and Regulatory Flexibilities
Explores how Critical Access Hospitals (CAHs) used federal relief funding and regulatory waivers to respond to the COVID-19 pandemic through August 2020. Summarizes results of a survey of CAH executives in eight states. Discusses the sources of federal funding CAHs received and the types of regulatory waivers and flexibilities these CAHs used.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr, Nathan Bean, Keelia Silvis
Date: 11/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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COVID-19: HHS Agencies' Planned Reviews of Vaccine Distribution and Communication Efforts Should Include Stakeholder Perspectives
Discusses the perspectives of state and local health officials in four states and 12 national stakeholder organizations regarding federal COVID-19 vaccine distribution and education programs. Examines how the Centers for Disease Control and Prevention (CDC) and the Health Services and Research Administration (HRSA) plan to evaluate vaccine implementation efforts. Offers recommendations for CDC and HRSA to obtain input from and share lessons learned with key stakeholders. Includes information on the Rural Health Clinic COVID-19 Program and the Health Center COVID-19 Vaccine Program.
Additional links: Full Report
Date: 11/2021
Type: Document
Sponsoring organization: Government Accountability Office
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