Rural Health
Resources by Type: Document
Exploring Maternal Mental Health Conditions and Urban-Rural Disparities in Hypertensive Disorders of Pregnancy in South Carolina: A Fairlie Decomposition Approach
Examines the impact of maternal mental health on hypertensive disorders of pregnancy (HDP) in rural and urban areas of South Carolina. Utilizes data from 270,000 mothers with HDP to analyze maternal mental health conditions according to rural versus urban location, demographic variables, quality of prenatal care, mother's health condition, and more.
Author(s): Manan Roy, Maggie Sugg, Jennifer Runkle
Citation: Maternal and Child Health Journal
Date: 02/2026
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Examines the impact of maternal mental health on hypertensive disorders of pregnancy (HDP) in rural and urban areas of South Carolina. Utilizes data from 270,000 mothers with HDP to analyze maternal mental health conditions according to rural versus urban location, demographic variables, quality of prenatal care, mother's health condition, and more.
Author(s): Manan Roy, Maggie Sugg, Jennifer Runkle
Citation: Maternal and Child Health Journal
Date: 02/2026
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Migration in Rural Minnesota: A Nuanced Story
Discusses rural versus urban net migration patterns in different regions of Minnesota during the 2000s, the 2010s, and the COVID-19 pandemic era to 2025. Provides county-level maps and charts representing migration data according to Minnesota counties comprised of rural, town/rural, urban/town/rural mix, and entirely urban populations.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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Discusses rural versus urban net migration patterns in different regions of Minnesota during the 2000s, the 2010s, and the COVID-19 pandemic era to 2025. Provides county-level maps and charts representing migration data according to Minnesota counties comprised of rural, town/rural, urban/town/rural mix, and entirely urban populations.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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The Changing Landscape of School-Based Health Centers and Other School-Based Clinics in California, 2011–2023
Examines access to school-based health centers (SBHCs) and other school-based clinics (OSBCs) in California and their role in providing medical care to under-resourced communities. Analyzes availability of SBHCs and OSBCs between 2011 and 2023, services provided, and the school's characteristics, including location in large city, small/medium city, suburb, or town/rural.
Author(s): Katherine M. Rancaño, Ashley M. Kranz, Jessica Richard, et al.
Citation: Journal of School Health, 96(4), e70126
Date: 02/2026
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Examines access to school-based health centers (SBHCs) and other school-based clinics (OSBCs) in California and their role in providing medical care to under-resourced communities. Analyzes availability of SBHCs and OSBCs between 2011 and 2023, services provided, and the school's characteristics, including location in large city, small/medium city, suburb, or town/rural.
Author(s): Katherine M. Rancaño, Ashley M. Kranz, Jessica Richard, et al.
Citation: Journal of School Health, 96(4), e70126
Date: 02/2026
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From Expansion to Expiration: Federal Policy Waivers and Telehealth Utilization in US Primary Care (2016–2024)
Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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Association Between Social Determinants of Health and Cardiovascular Risk in Pregnant Women, United States
Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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COVID-19: Federal Efforts to Support Behavioral Health Programs During the Pandemic
Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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Reporting and Performance of Maternity-Related Quality Measures in Critical Access Hospitals
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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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: 02/2026
Sponsoring organization: RAND Corporation
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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: 02/2026
Sponsoring organization: RAND Corporation
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Multicounty Outbreak of Salmonella Agbeni Linked to Ice in a Cooler at a County Fair — Illinois, August 2024
Reports on a salmonella outbreak in Illinois that originated at a rural county fair. Describes how the outbreak was identified by the county sheriff during jury screening due to many in the jury pool being ill. Mentions the use of AI for hypothesis generation as a useful approach in this rural setting for situational awareness and early case finding.
Author(s): Katherine E. Houser
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(7), 93-97
Date: 02/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on a salmonella outbreak in Illinois that originated at a rural county fair. Describes how the outbreak was identified by the county sheriff during jury screening due to many in the jury pool being ill. Mentions the use of AI for hypothesis generation as a useful approach in this rural setting for situational awareness and early case finding.
Author(s): Katherine E. Houser
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(7), 93-97
Date: 02/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Alaska Missed Opportunities to Protect American Indian and Alaska Native Children Missing from Foster Care
Examines the extent to which extent to which the Alaska Office of Children's Services (OCS) agency took required steps to protect American Indian and Alaska Native (AI/AN) children before, during, and after children went missing or ran away from foster care. Discusses the experiences of OCS and the children's Tribes in collaborating when children are missing from foster care. Offers recommendations for how the Administration and Children and Families can support Alaska improving compliance and addressing gaps presented in this report.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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Examines the extent to which extent to which the Alaska Office of Children's Services (OCS) agency took required steps to protect American Indian and Alaska Native (AI/AN) children before, during, and after children went missing or ran away from foster care. Discusses the experiences of OCS and the children's Tribes in collaborating when children are missing from foster care. Offers recommendations for how the Administration and Children and Families can support Alaska improving compliance and addressing gaps presented in this report.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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