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Rural Health Information Hub

Rural Health
Resources by Topic: Infrastructure

The Universal Service Fund and Related FCC Broadband Programs: Overview and Considerations for Congress
Provides an overview of the Federal Communications Commission's (FCC) Universal Service Fund (USF) and its four programs: the High Cost Program, Lifeline Program, Schools and Libraries Program, and Rural Health Care Program. Outlines considerations for Congress for each program. Describes legislation introduced in the 119th Congress that would impact the USF programs.
Date: 01/2026
Sponsoring organization: Congressional Research Service
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2025 Broadband/Internet Availability Survey Report
Presents findings of a survey capturing rural broadband and internet availability data as reported by 201 internet companies that responded to NTCA's survey. Describes technologies used to provide broadband services, broadband availability and subscription rates, anchor institutions, network deployment progress, supply chain challenges, barriers to widespread fiber deployment, broadband deployment mapping, and more.
Date: 12/2025
Sponsoring organization: NTCA: The Rural Broadband Association
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Developing a Research Agenda to Improve Rural Health Access and Quality in West Virginia
Presents a research agenda to identify health problems, infrastructure issues, and healthcare workforce gaps in rural West Virginia. Discusses interventions to improve access, create policy, and address knowledge and data gaps. Provides county-level maps showing health and social issues across the state.
Author(s): Julia Rollison, Zara Fatima Abdurahaman, Lisa H. Jaycox, Viviana Mercado
Date: 12/2025
Sponsoring organization: RAND Corporation
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Thriving Communities Transportation Toolkit
A transportation toolkit that provides resources, guidance, and success stories related to transportation and infrastructure projects in rural and tribal communities. Focuses on finding opportunities, building teams, developing a project, financing, and maintaining infrastructure.
Author(s): Shane Hampton
Date: 12/2025
Sponsoring organization: Main Street America
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Appalachian Regional Commission Performance & Accountability Report: Fiscal Year 2025
Provides an overview of the Appalachian Regional Commission's (ARC) projects from 2025 that develop economy, promote education and healthy living, invest in infrastructure, strengthen natural and cultural heritage, and build capacity in the Appalachian region. Includes healthcare-focused discussions about substance use, healthcare grants, healthcare workforce, and more.
Date: 12/2025
Sponsoring organization: Appalachian Regional Commission
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Working with Communities on Decisions for Innovative Treatment Technologies
Provides guidance for technical assistance providers and other decision-makers in examining, planning, and implementing non-treatment and treatment responses to emerging contaminants, including PFAS, in small, rural, and underserved communities. Includes discussion of community decision-making, challenges of working with innovative technologies, and public health and infrastructure factors influencing adoption.
Additional links: Interactive guidebook
Date: 12/2025
Sponsoring organization: Rural Community Assistance Partnership
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Addressing Older Adult Homelessness and Housing Instability in Rural California
Discusses homelessness among older adults in rural California, highlighting their risk factors and infrastructure challenges. Offers policy recommendations covering data collection, resource allocation, service coordination, support services, and legal solutions.
Author(s): Pauline DeLange Martinez, Elizabeth Bogumil, Helen Miltiades, et al.
Date: 11/2025
Sponsoring organizations: The SCAN Foundation, UC Davis Health
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Gaps in Artificial Intelligence Research for Rural Health in the United States: A Scoping Review
Presents a scoping review exploring the extent of research on artificial intelligence (AI) in healthcare in rural communities. Discusses the application of AI in rural US healthcare and challenges that limit the development, implementation, or evaluation of AI in the rural areas.
Author(s): Katherine E. Brown, Sharon E. Davis
Citation: Journal of the American Medical Informatics Association
Date: 11/2025
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"Gives Us Peace of Mind for Keeping Our Hands Clean": Targeted Handwashing Intervention Increases Water Use and Hand Hygiene in Rural Alaska
Highlights a study on the hygiene outcomes of an intervention that installed Miniature Portable Alternative Sanitation System (Mini-PASS) handwashing stations in 14 rural Alaska Native communities. Details the lack of in-home water service in rural Alaska and the related health consequences. Evaluates the Mini-PASS intervention's outcomes in terms of handwashing station utilization and household water use.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: International Journal of Circumpolar Health, 84(1), 2569761
Date: 10/2025
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Technological Innovation in Rural Health and Human Services Spaces, with Dan Shane
An episode of the Exploring Rural Health podcast featuring Dan Shane, Associate Professor with the RUPRI Center for Rural Health Policy Analysis. Focuses on opportunities for applying technological advances in rural health and human services, potential challenges, and future avenues of development.
Date: 10/2025
Sponsoring organization: Rural Health Information Hub
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