Rural Health
Resources by Topic: Policy
Youth Homelessness: HUD and HHS Could Enhance Coordination to Better Support Communities
Discusses how the Departments of Housing and Urban Development (HUD) and Health and Human Services (HHS) coordinate programs that serve youth experiencing homelessness. Describes local communities' coordination of HUD and HHS grant programs and examines challenges communities reported facing in serving youth through these programs through interviews with agency officials and programs that serve youth experiencing homelessness, including programs in rural areas. Offers 10 recommendations for HUD and HHS to improve services for youth experiencing homelessness.
Additional links: Full Report
Date: 11/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Discusses how the Departments of Housing and Urban Development (HUD) and Health and Human Services (HHS) coordinate programs that serve youth experiencing homelessness. Describes local communities' coordination of HUD and HHS grant programs and examines challenges communities reported facing in serving youth through these programs through interviews with agency officials and programs that serve youth experiencing homelessness, including programs in rural areas. Offers 10 recommendations for HUD and HHS to improve services for youth experiencing homelessness.
Additional links: Full Report
Date: 11/2021
Type: Document
Sponsoring organization: Government Accountability Office
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The State of Nutrition in America 2021
Video of testimony presented to the U.S. Senate Committee on Agriculture, Nutrition, & Forestry on Nov. 2, 2021. Discusses nutrition insecurity, nutrition-related health disparities, and diet-related disease, including ways in which this affects those who are low-income, rural, American Indians and Alaska Natives, and other racial or ethnic minorities. Includes links for transcripts.
Additional links: Testimony by Angela Odoms-Young, Cornell University, Testimony by Angela Rachidi, American Enterprise Institute, Testimony by Dariush Mozaffarian, Tufts School of Medicine, Testimony by Donald Warne, University of North Dakota, Testimony by Patrick Stover, Texas A&M University
Author(s): Dariush Mozaffarian, Angela Odoms-Young, Donald Warne, Patrick Stover, Angela Rachidi
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Agriculture, Nutrition, & Forestry
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Video of testimony presented to the U.S. Senate Committee on Agriculture, Nutrition, & Forestry on Nov. 2, 2021. Discusses nutrition insecurity, nutrition-related health disparities, and diet-related disease, including ways in which this affects those who are low-income, rural, American Indians and Alaska Natives, and other racial or ethnic minorities. Includes links for transcripts.
Additional links: Testimony by Angela Odoms-Young, Cornell University, Testimony by Angela Rachidi, American Enterprise Institute, Testimony by Dariush Mozaffarian, Tufts School of Medicine, Testimony by Donald Warne, University of North Dakota, Testimony by Patrick Stover, Texas A&M University
Author(s): Dariush Mozaffarian, Angela Odoms-Young, Donald Warne, Patrick Stover, Angela Rachidi
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Agriculture, Nutrition, & Forestry
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Reimagining Public Health Infrastructure and the Health Workforce for the 21st Century: Twentieth Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress
Offers policy recommendations regarding activities related to healthcare workforce education and training. Recommendations cover training the healthcare workforce in telehealth, public trust around health initiatives, core competencies and performance measures linked to the Quintuple Aim, and age-friendly ecosystems. Includes rural references throughout.
Date: 10/2021
Type: Document
Sponsoring organization: Advisory Committee on Interdisciplinary Community-Based Linkages
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Offers policy recommendations regarding activities related to healthcare workforce education and training. Recommendations cover training the healthcare workforce in telehealth, public trust around health initiatives, core competencies and performance measures linked to the Quintuple Aim, and age-friendly ecosystems. Includes rural references throughout.
Date: 10/2021
Type: Document
Sponsoring organization: Advisory Committee on Interdisciplinary Community-Based Linkages
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Washington, D.C., October 25-27, 2021
Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Emergency Hospital: Policy Brief and Recommendations to the Secretary
Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Recruitment and Retention Issues for Counselors in Rural Pennsylvania Substance Use Disorder Treatment Programs
Results of a study of Pennsylvania substance use disorder (SUD) counselors and directors of treatment programs and clinics, to assess the characteristics of treatment counselors in rural Pennsylvania counties and how those characteristics relate to recruitment and retention issues. Also examines how well higher education institutions in rural counties prepare those entering the profession, and analyzes the effectiveness of state-level incentives, like the student loan repayment program, to attract potential SUD counselors. Features statistics on counselors' characteristics and duties, and client characteristics.
Additional links: Executive Summary
Author(s): Jennifer Murphy
Date: 10/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Results of a study of Pennsylvania substance use disorder (SUD) counselors and directors of treatment programs and clinics, to assess the characteristics of treatment counselors in rural Pennsylvania counties and how those characteristics relate to recruitment and retention issues. Also examines how well higher education institutions in rural counties prepare those entering the profession, and analyzes the effectiveness of state-level incentives, like the student loan repayment program, to attract potential SUD counselors. Features statistics on counselors' characteristics and duties, and client characteristics.
Additional links: Executive Summary
Author(s): Jennifer Murphy
Date: 10/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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The Impact of COVID-19 on People with Disabilities
Examines the impact of the COVID-19 pandemic on people with disabilities. Covers access to healthcare and direct care workers, congregate care settings and transition, education, employment, effective communication, and mental health and suicide prevention services. Identifies challenges to rural residents throughout, including access to broadband in rural areas. Offers policy recommendations to federal and state policymakers and other relevant stakeholders.
Date: 10/2021
Type: Document
Sponsoring organization: National Council on Disability
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Examines the impact of the COVID-19 pandemic on people with disabilities. Covers access to healthcare and direct care workers, congregate care settings and transition, education, employment, effective communication, and mental health and suicide prevention services. Identifies challenges to rural residents throughout, including access to broadband in rural areas. Offers policy recommendations to federal and state policymakers and other relevant stakeholders.
Date: 10/2021
Type: Document
Sponsoring organization: National Council on Disability
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COVID-19: Lessons Learned from Interior and Treasury's Administration of CARES Act Funds Could Improve Federal Emergency Relief to Tribes
Examines how the U.S. Departments of Interior and Treasury distributed CARES Act funds to tribes, the impact on tribes accessing and using these funds. Highlights the challenges the agencies and tribes faced regarding this funding. Offers lessons learned and policy recommendations for the Department of the Treasury to improve future federal emergency relief funding for tribes.
Additional links: Full Report
Date: 10/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how the U.S. Departments of Interior and Treasury distributed CARES Act funds to tribes, the impact on tribes accessing and using these funds. Highlights the challenges the agencies and tribes faced regarding this funding. Offers lessons learned and policy recommendations for the Department of the Treasury to improve future federal emergency relief funding for tribes.
Additional links: Full Report
Date: 10/2021
Type: Document
Sponsoring organization: Government Accountability Office
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How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Caring for America: Legislation to Support Patients, Caregivers, and Providers
Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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