Rural Health
Resources by Type: Document
The 340B Drug Discount Program: Litigation Topics and Trends
Provides an overview of the 340B Drug Discount Program. Discusses litigation surrounding the 340B program, including lawsuits against 340B-covered entities over their use of contract pharmacies to distribute 340B drugs to patients and lawsuits against states that have enacted laws to protect contract pharmacies and covered entities inside their state. Describes courts' interpretation of the 340B statute. Offers considerations for the 119th Congress in light of the litigation and describes several legislative changes that Congress could make to the program if it chose to do so.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the 340B Drug Discount Program. Discusses litigation surrounding the 340B program, including lawsuits against 340B-covered entities over their use of contract pharmacies to distribute 340B drugs to patients and lawsuits against states that have enacted laws to protect contract pharmacies and covered entities inside their state. Describes courts' interpretation of the 340B statute. Offers considerations for the 119th Congress in light of the litigation and describes several legislative changes that Congress could make to the program if it chose to do so.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Growth in the 340B Drug Pricing Program
Explores trends in drug purchases through the 340B program between 2010-2021. Discusses drugs purchased through the Prime Vendor Program, factors contributing to growth in the 340B program, and effects of the 340B program on the federal budget. Includes information on the growth of 340B Program participation by hospitals in Medicaid expansion and non-expansion states by Critical Access Hospital designation.
Additional links: Data Underlying Figures
Date: 09/2025
Sponsoring organization: Congressional Budget Office
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Explores trends in drug purchases through the 340B program between 2010-2021. Discusses drugs purchased through the Prime Vendor Program, factors contributing to growth in the 340B program, and effects of the 340B program on the federal budget. Includes information on the growth of 340B Program participation by hospitals in Medicaid expansion and non-expansion states by Critical Access Hospital designation.
Additional links: Data Underlying Figures
Date: 09/2025
Sponsoring organization: Congressional Budget Office
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Addressing HPV Vaccination in Southwest GA: The Emory Cancer Prevention and Control Research Network
Discusses the HPV Vaccine Mini-Grant Program, which funded a multi-level human papillomavirus (HPV) vaccination intervention by four county health departments in rural, Southwest Georgia. Highlights strategies used by participating sites and includes data on program outcomes.
Author(s): Cam Escoffery
Date: 09/2025
Sponsoring organization: St. Jude Children's Research Hospital
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Discusses the HPV Vaccine Mini-Grant Program, which funded a multi-level human papillomavirus (HPV) vaccination intervention by four county health departments in rural, Southwest Georgia. Highlights strategies used by participating sites and includes data on program outcomes.
Author(s): Cam Escoffery
Date: 09/2025
Sponsoring organization: St. Jude Children's Research Hospital
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Rural Resource: Availability of Obstetric Simulation Training by State
Explores the availability of simulation training and continuing medical education (CME)/distance learning opportunities for both rural hospitals with obstetric units and those without obstetric units. Presents findings of an environmental scan of national, regional, and state-level obstetric training resources. Offers recommendations for ways State Flex Programs and Critical Access Hospitals can use this resource to identify applicable simulation trainings.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Explores the availability of simulation training and continuing medical education (CME)/distance learning opportunities for both rural hospitals with obstetric units and those without obstetric units. Presents findings of an environmental scan of national, regional, and state-level obstetric training resources. Offers recommendations for ways State Flex Programs and Critical Access Hospitals can use this resource to identify applicable simulation trainings.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Navigating Hepatitis C Care: Knowledge Gaps and Access Barriers Among Young Women Who Inject Drugs in Rural Appalachia
Presents a study on the barriers to hepatitis C virus (HCV) testing and treatment for young women who inject drugs (YWID) in rural areas. Aims to identify the factors influencing the accessibility of HCV testing and treatment for YWID in rural Appalachian, Ohio. Bases findings on interviews with 30 YWID aged 18-35 and discusses interpersonal and community barriers to care.
Author(s): Cheyenne R. Wagi, Renee McDowell, Anyssa Wright, et al.
Citation: PLOS ONE
Date: 09/2025
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Presents a study on the barriers to hepatitis C virus (HCV) testing and treatment for young women who inject drugs (YWID) in rural areas. Aims to identify the factors influencing the accessibility of HCV testing and treatment for YWID in rural Appalachian, Ohio. Bases findings on interviews with 30 YWID aged 18-35 and discusses interpersonal and community barriers to care.
Author(s): Cheyenne R. Wagi, Renee McDowell, Anyssa Wright, et al.
Citation: PLOS ONE
Date: 09/2025
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Trends in Firearm Death among Middle and High-School Aged Rural and Urban Adolescents from 2001 to 2022
Examines changes over time in firearm mortality among middle and high school-aged adolescents in metropolitan and non-metropolitan settings, utilizing 2001-2022 CDC Web-based Injury Statistics Query and Reporting System (WISQARS) data. Includes breakdowns of firearm-related homicides, suicides, and unintentional deaths by year, with comparisons to other leading non-firearm related causes of death.
Author(s): Elizabeth H. Weybright, Heather F. Terral, Kelsey M. Conrick, Patrick M. Carter, Ali Rowhani-Rahbar
Citation: Injury Epidemiology, 12, 53
Date: 09/2025
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Examines changes over time in firearm mortality among middle and high school-aged adolescents in metropolitan and non-metropolitan settings, utilizing 2001-2022 CDC Web-based Injury Statistics Query and Reporting System (WISQARS) data. Includes breakdowns of firearm-related homicides, suicides, and unintentional deaths by year, with comparisons to other leading non-firearm related causes of death.
Author(s): Elizabeth H. Weybright, Heather F. Terral, Kelsey M. Conrick, Patrick M. Carter, Ali Rowhani-Rahbar
Citation: Injury Epidemiology, 12, 53
Date: 09/2025
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September 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare payment operations and improving payment accuracy, a discussion with the Comptroller General of the United States regarding the Government Accountability Office's work related to improper payments in the Medicare program and opportunities to improve program sustainability, Medicare's overall financial situation, access to hospice and services under the Medicare hospice benefit for beneficiaries with end-stage renal disease or cancer, and the relationship between changes in Medicare Advantage enrollment and hospital finances.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare payment operations and improving payment accuracy, a discussion with the Comptroller General of the United States regarding the Government Accountability Office's work related to improper payments in the Medicare program and opportunities to improve program sustainability, Medicare's overall financial situation, access to hospice and services under the Medicare hospice benefit for beneficiaries with end-stage renal disease or cancer, and the relationship between changes in Medicare Advantage enrollment and hospital finances.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Trends in Influenza- and Pneumonia-Related Mortality in Lung Cancer Patients from 1999 to 2022: A Retrospective CDC WONDER Analysis
Examines demographic factors associated with increased influenza- and pneumonia-related mortality in lung cancer patients, utilizing 1999-2022 CDC WONDER data. Includes data and discussion of rural-urban mortality disparities.
Author(s): Kate Woods, Mustafa Beidas, Vikram Murugan, et al.
Citation: Respiratory Research, 26, 267
Date: 09/2025
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Examines demographic factors associated with increased influenza- and pneumonia-related mortality in lung cancer patients, utilizing 1999-2022 CDC WONDER data. Includes data and discussion of rural-urban mortality disparities.
Author(s): Kate Woods, Mustafa Beidas, Vikram Murugan, et al.
Citation: Respiratory Research, 26, 267
Date: 09/2025
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Pregnancy-Care Intentions and Practice among Family Medicine Physicians: Residents, Obstetric Fellows, and Fellowship Alumni
Examines the intentions of family medicine residents, family medicine obstetrics (FMOB) fellows, and FMOB alumni related to providing pregnancy care in rural areas. Utilizes survey data from 76 respondents and provides data breakdowns on their demographics, practice characteristics, and type of pregnancy care. Discusses issues of pregnancy care access in rural areas and the associated role of FMOB professionals.
Author(s): Robert William Owens, Mimi Dahlin, Emmanuel Adediran, et al.
Citation: Family Practice, 42(5)
Date: 09/2025
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Examines the intentions of family medicine residents, family medicine obstetrics (FMOB) fellows, and FMOB alumni related to providing pregnancy care in rural areas. Utilizes survey data from 76 respondents and provides data breakdowns on their demographics, practice characteristics, and type of pregnancy care. Discusses issues of pregnancy care access in rural areas and the associated role of FMOB professionals.
Author(s): Robert William Owens, Mimi Dahlin, Emmanuel Adediran, et al.
Citation: Family Practice, 42(5)
Date: 09/2025
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Tracking State Preparation for the Rural Health Transformation Program
Presents an interactive map displaying state actions to inform the creation of a transformation plan in preparation for the Rural Health Transformation Program application.
Author(s): Heather Howard, Rebecca Lopez, Jamila McLean
Date: 09/2025
Sponsoring organization: State Health & Value Strategies
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Presents an interactive map displaying state actions to inform the creation of a transformation plan in preparation for the Rural Health Transformation Program application.
Author(s): Heather Howard, Rebecca Lopez, Jamila McLean
Date: 09/2025
Sponsoring organization: State Health & Value Strategies
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