Rural Health
Resources by Topic: Access
Texas Report on the Behavioral Health Matching Grant Programs, Fiscal Years 2024 and 2025
Reports on funding and areas served by state-level behavioral health matching grant programs in Texas, including data on number of rural counties served by grant programs. See document pages 26-28 for an overview of the Rural Initiatives Grant Program, which establishes and expands behavioral health centers and jail diversion centers for adults and children.
Date: 11/2026
Sponsoring organization: Texas Health and Human Services
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Reports on funding and areas served by state-level behavioral health matching grant programs in Texas, including data on number of rural counties served by grant programs. See document pages 26-28 for an overview of the Rural Initiatives Grant Program, which establishes and expands behavioral health centers and jail diversion centers for adults and children.
Date: 11/2026
Sponsoring organization: Texas Health and Human Services
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Access to WIC-Authorized Vendors and High-Speed Internet Services Varies Across U.S. Urban and Rural Areas
Color-coded map showing how access to fixed high-speed Internet services and vendors authorized by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) varies by census tract.
Author(s): Leslie Hodges, David Marquardt
Date: 11/2026
Sponsoring organization: USDA Economic Research Service
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Color-coded map showing how access to fixed high-speed Internet services and vendors authorized by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) varies by census tract.
Author(s): Leslie Hodges, David Marquardt
Date: 11/2026
Sponsoring organization: USDA Economic Research Service
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2024: A State-by-State Report
Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural-Urban Differences for Integrated First Responder and Drone Automated External Defibrillator Delivery in North Carolina
Models the impact of equipping first responders with automated external defibrillators (AEDs) or utilizing drone networks on median AED arrival time in rural and urban areas of North Carolina. Compares interventions against historical response times using 2013-2019 Cardiac Arrest Registry to Enhance Survival (CARES) data.
Author(s): Jamal Chu, K.H. Benjamin Leung, Audrey L. Blewer, et al.
Citation: American Heart Journal, 303, 107604
Date: 11/2026
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Models the impact of equipping first responders with automated external defibrillators (AEDs) or utilizing drone networks on median AED arrival time in rural and urban areas of North Carolina. Compares interventions against historical response times using 2013-2019 Cardiac Arrest Registry to Enhance Survival (CARES) data.
Author(s): Jamal Chu, K.H. Benjamin Leung, Audrey L. Blewer, et al.
Citation: American Heart Journal, 303, 107604
Date: 11/2026
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How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Rural-Urban Disparities in the Delivery and Intensity of the Medicare Hospice Benefit
Analyzes how receipt, duration, location, and frequency of hospice care vary by rural or urban dwelling among Medicare-enrolled decedents aged 66 years or older, using 2013-2022 Master Beneficiary Summary File (MBSF) data.
Author(s): Claire Ankuda, Ken Covinsky, Bocheng Jing, et al.
Citation: JAMA, 336(13), 1167-1169
Date: 10/2026
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Analyzes how receipt, duration, location, and frequency of hospice care vary by rural or urban dwelling among Medicare-enrolled decedents aged 66 years or older, using 2013-2022 Master Beneficiary Summary File (MBSF) data.
Author(s): Claire Ankuda, Ken Covinsky, Bocheng Jing, et al.
Citation: JAMA, 336(13), 1167-1169
Date: 10/2026
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Policy Pathways to Support NP-Owned Primary Care Practices in Rural Areas
Examines various policy pathways to develop the nurse practitioner (NP) workforce and provide accessible primary care in rural areas. Uses 2024 Medicare claims data to show the concentration of NP-only practices by state and draws on focus groups with NP owners to highlight strengths and challenges of rural NP-owned practices. Discusses state-level policy actions that reduce barriers facing NP-owned primary care practices.
Author(s): Monica O'Reilly-Jacob, Jennifer Perloff
Date: 10/2026
Sponsoring organization: Milbank Memorial Fund
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Examines various policy pathways to develop the nurse practitioner (NP) workforce and provide accessible primary care in rural areas. Uses 2024 Medicare claims data to show the concentration of NP-only practices by state and draws on focus groups with NP owners to highlight strengths and challenges of rural NP-owned practices. Discusses state-level policy actions that reduce barriers facing NP-owned primary care practices.
Author(s): Monica O'Reilly-Jacob, Jennifer Perloff
Date: 10/2026
Sponsoring organization: Milbank Memorial Fund
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Rural Skin Cancer Patients Tend to 'Slip Through the Cracks.' These Programs Are Trying to Change That
Provides a brief overview of barriers to accessing dermatology healthcare services and highlights programs to improve dermatology care in rural areas. Features a mobile unit offering skin cancer screenings and other dermatology services in rural areas of California, Idaho, Illinois, Oregon, and Utah; a rural dermatology residency training track in Mississippi; and a Wisconsin program that provides dermatology training for rural primary care providers, equipping them with the hands-on skills to provide basic care when access to a specialist is limited.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2026
Sponsoring organization: Rural Health Information Hub
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Provides a brief overview of barriers to accessing dermatology healthcare services and highlights programs to improve dermatology care in rural areas. Features a mobile unit offering skin cancer screenings and other dermatology services in rural areas of California, Idaho, Illinois, Oregon, and Utah; a rural dermatology residency training track in Mississippi; and a Wisconsin program that provides dermatology training for rural primary care providers, equipping them with the hands-on skills to provide basic care when access to a specialist is limited.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2026
Sponsoring organization: Rural Health Information Hub
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Patient-Provider Distance in Medicare Outpatient Oncology Telehealth Versus Office Visits, 2021‐2023: Cross-Sectional Claims Analysis
Presents a study exploring the use of telehealth to extend the patient-provider geographic reach for outpatient oncology-related visits in patients aged 66 or older. Draws data from Medicare Fee-For-Service claims to compare patient-provider distance for in-office and telehealth oncology visits, by rurality and U.S. Census region.
Author(s): Lingbo Liu, Tracy Onega, Erika L. Moen, et al.
Citation: JMIR Medical Informatics, 14, e95370
Date: 10/2026
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Presents a study exploring the use of telehealth to extend the patient-provider geographic reach for outpatient oncology-related visits in patients aged 66 or older. Draws data from Medicare Fee-For-Service claims to compare patient-provider distance for in-office and telehealth oncology visits, by rurality and U.S. Census region.
Author(s): Lingbo Liu, Tracy Onega, Erika L. Moen, et al.
Citation: JMIR Medical Informatics, 14, e95370
Date: 10/2026
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People Living with Dementia in Rural Areas Are Most Likely to Report Unmet Service Needs in Home- and Community-based Services in the United States
Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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