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Rural Health
News by Topic: Legislation and regulations

Apr 22, 2024 - Announces three rules from the Centers for Medicare & Medicaid Services establishing national standards and increasing access to care. "Minimum Staffing Standards for Nursing Homes" aims to improve healthcare quality by setting minimum staffing standards for nursing staff, collecting and reporting on workforce compensation data, and offering incentives for the nurse workforce to work in nursing homes. The 2 remaining rules work together to establish national appointment wait time standards, address payment transparency, and create payment standards for workers providing home and community based services.
Source: Centers for Medicare & Medicaid Services
Apr 19, 2024 - Notice from the U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) extending the comment period on the December 29, 2023, interim final rule titled "Establishing the Summer EBT Program and Rural Non-Congregate Option in the Summer Meal Programs." The interim final rule amends the Summer Food Service Program (SFSP) and the National School Lunch Program's Seamless Summer Option (SSO) regulations to codify the flexibility for rural program operators to provide non-congregate meal service in the SFSP and SSO. This rule also establishes regulations and codifies a permanent summer electronic benefits transfer for children program (Summer EBT) to ensure continued access to food when school is not in session for the summer. Comments are now due by August 27, 2024.
Source: Federal Register
Apr 19, 2024 - Notice of final rule from the Health Resources and Services Administration (HRSA) revising the 340B Administrative Dispute Resolution (ADR) process to address policy and operational challenges to the implementation of the December 14, 2020, final rule. Among other things, revisions intend to make 340B ADR process more accessible, administratively feasible, and timely, and require that the 340B ADR Panel members have specific knowledge of the authorizing statute and the operational processes of the 340B Program. This rule is effective June 18, 2024.
Source: Federal Register
Apr 19, 2024 - Notice of final rule from the Social Security Administration (SSA) expanding the definition of a public assistance household for purposes of SSA programs to include the Supplemental Nutrition Assistance Program (SNAP) as an additional means-tested public income-maintenance (PIM) program. Among other things, this rule also revises the definition of a public assistance household from a household in which every member receives some kind of PIM payment to a household that has both an SSI applicant or recipient, and at least one other household member who receives one or more of the listed PIM payments. This rule is effective September 30, 2024.
Source: Federal Register
Apr 18, 2024 - Notice of final rule from the U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) revising regulations governing the WIC food packages. The revisions align the WIC food package regulations with the current Dietary Guidelines for Americans and reflect recommendations made by the National Academies of Sciences, Engineering and Medicine (NASEM) in its 2017 report, "Review of WIC Food Packages: Improving Balance and Choice" while promoting nutrition security and equity. Among other things, this rule intends to provide WIC participants with a wider variety of foods that align with the latest nutritional science; provide WIC State agencies with greater flexibility to prescribe and tailor food packages that accommodate participants' special dietary needs and personal and cultural food preferences; provide foods in amounts that are more consistent with the supplemental nature of the Program; and strengthen support for individual breastfeeding goals to help establish successful long-term breastfeeding. This rule is effective June 17, 2024.
Source: Federal Register
Apr 17, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the reinstatement of an information collection titled "Skilled Nursing Facility and Skilled Nursing Facility Complex Cost Report." The information collected will be used to determine the cost weights for the skilled nursing facility (SNF) market basket, conduct payment adequacy analyses, and determine reasonable costs. Comments are due by May 17, 2024.
Source: Federal Register
Apr 16, 2024 - The Centers for Medicare & Medicaid Services (CMS) seeks comments on revisions to an information collection titled "Reform of Requirements for Long-Term Care Facilities." The information collected will be used by CMS, state survey agencies, and long-term care (LTC) facilities to ensure compliance with Medicare and Medicaid requirements and quality of care provided to LTC residents. Revisions include new requirements proposed at 42 CFR 483.35 and new section 483.71, which were discussed in the September 6, 2023, proposed rule on page 61391. Comments are due by June 17, 2024.
Source: Federal Register
Apr 15, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the Accreditation Commission for Health Care (ACHC) as a national accrediting organization providing home infusion therapy services that wish to participate in the Medicare or Medicaid programs. The approval is effective April 23, 2024, through April 23, 2030.
Source: Federal Register
Apr 15, 2024 - Notice of final rule from the U.S. Department of Health and Human Services (HHS) setting parameters for risk adjustment and user fees for state and federal-based exchanges for 2025. This rule also addresses requirements related to the auto re-enrollment hierarchy, essential health benefits, the Insurance Affordability Program enrollment eligibility verification process, network adequacy, prescription drug benefits, and more. These regulations are effective June 4, 2024.
Source: Federal Register
Apr 11, 2024 - Discusses proposed legislation for a residential high school aiming to address rural healthcare workforce shortages in Alabama. Notes that the school would be the fourth residential school in the state, but the first one in a rural area.
Source: Alabama Daily News