Rural Health
Resources by Topic: Infrastructure
Tribal Water Infrastructure: Opportunities Exist to Improve Federal Assistance
Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Geographic Disparities in Access to Broadband, Ambulance Services, and Health Care and Implications for Telehealth
Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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Transportation Walking Among US Adults With and Without Transportation Insecurity, 2022 National Health Interview Survey
Reports on a study describing transportation walking among adults with and without transportation insecurity, using data on 25,889 adults. Features demographics and statistics with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Graycie Soto, Miriam E. Van Dyke, Jasmine Y. Nakayama, et al.
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Reports on a study describing transportation walking among adults with and without transportation insecurity, using data on 25,889 adults. Features demographics and statistics with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Graycie Soto, Miriam E. Van Dyke, Jasmine Y. Nakayama, et al.
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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The IHS Navajo Area Office's Internal Controls for Awarding, Monitoring, and Reporting Sanitation Facilities Construction Projects Could Be Improved
Examines how the Navajo Area Indian Health Service (NAIHS) administered funds it received under the Infrastructure Investment and Jobs Act for 187 IHS Sanitation Facilities Construction (SFC) Program projects between fiscal years 2022 and 2024. Describes the NAIHS internal controls for awarding, monitoring, and reporting SFC Program projects, and whether NAIHS followed these controls.
Additional links: Report Highlights
Date: 09/2026
Sponsoring organization: Office of Inspector General (HHS)
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Examines how the Navajo Area Indian Health Service (NAIHS) administered funds it received under the Infrastructure Investment and Jobs Act for 187 IHS Sanitation Facilities Construction (SFC) Program projects between fiscal years 2022 and 2024. Describes the NAIHS internal controls for awarding, monitoring, and reporting SFC Program projects, and whether NAIHS followed these controls.
Additional links: Report Highlights
Date: 09/2026
Sponsoring organization: Office of Inspector General (HHS)
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Snapshot of Indian Health Service Sanitation Facilities Construction Projects Funded Under the Infrastructure Investment and Jobs Act
Describes how the Indian Health Service (IHS) used funds it received under the Infrastructure Investment and Jobs Act for the IHS Sanitation Facilities Construction (SFC) Program between fiscal years 2022 and 2025. Identifies challenges that IHS faced to administer SFC Program projects and actions taken by IHS Area Offices and tribes to address those challenges.
Additional links: Report Highlights
Date: 09/2026
Sponsoring organization: Office of Inspector General (HHS)
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Describes how the Indian Health Service (IHS) used funds it received under the Infrastructure Investment and Jobs Act for the IHS Sanitation Facilities Construction (SFC) Program between fiscal years 2022 and 2025. Identifies challenges that IHS faced to administer SFC Program projects and actions taken by IHS Area Offices and tribes to address those challenges.
Additional links: Report Highlights
Date: 09/2026
Sponsoring organization: Office of Inspector General (HHS)
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Broadband Deployment: Agencies Should Take Steps to Better Target Underserved Areas and Consider Sustainability
Examines selected federal agencies' progress in broadband deployment. Describes the agencies' approaches to targeting broadband deployment funding to underserved areas while avoiding duplication, and how they address challenges that program participants face in sustaining broadband service and obtaining permits and reviews.
Additional links: Full Report
Date: 08/2026
Sponsoring organization: Government Accountability Office
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Examines selected federal agencies' progress in broadband deployment. Describes the agencies' approaches to targeting broadband deployment funding to underserved areas while avoiding duplication, and how they address challenges that program participants face in sustaining broadband service and obtaining permits and reviews.
Additional links: Full Report
Date: 08/2026
Sponsoring organization: Government Accountability Office
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Planning with Purpose: Leveraging FORHP's Rural Health Network Development Planning Program for Lasting Community Impact
Webinar recording highlighting the one-year Rural Health Network Development Planning Program (Network Planning Program) grant from the Federal Office of Rural Health Policy (FORHP). Speakers include former Network Planning Program grantees discussing their experiences and work as part of this grant program, including a focus on partnerships, strengthening infrastructure, and improving access to care.
Additional links: Audio Recording, Webinar Slides
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
Webinar recording highlighting the one-year Rural Health Network Development Planning Program (Network Planning Program) grant from the Federal Office of Rural Health Policy (FORHP). Speakers include former Network Planning Program grantees discussing their experiences and work as part of this grant program, including a focus on partnerships, strengthening infrastructure, and improving access to care.
Additional links: Audio Recording, Webinar Slides
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
Related funding:
Rural Health Network Development Planning Program
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Delta Regional Authority - 25 Years of Impact, 2000-2025
Discusses the Delta Regional Authority's strategic investments, programming, and initiatives from 2000-2025. Focuses on critical and human infrastructure, public works, capacity building, workforce opportunities and health system improvements in rural areas, and more.
Date: 08/2026
Sponsoring organization: Delta Regional Authority
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Discusses the Delta Regional Authority's strategic investments, programming, and initiatives from 2000-2025. Focuses on critical and human infrastructure, public works, capacity building, workforce opportunities and health system improvements in rural areas, and more.
Date: 08/2026
Sponsoring organization: Delta Regional Authority
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Underground Power Lines in Pennsylvania
Reviews the structure of the electrical grid and the reliability of electric service in Pennsylvania. Discusses common causes of outages, financial and health impacts associated with outages, and the impact of severe weather on the electric grid. Mentions rural throughout.
Additional links: Summary
Author(s): Bryan W. DeWalt, Jae Wan Ahn, Karen Maynard, Richard Hoey, Wendy L. Baker
Date: 08/2026
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Reviews the structure of the electrical grid and the reliability of electric service in Pennsylvania. Discusses common causes of outages, financial and health impacts associated with outages, and the impact of severe weather on the electric grid. Mentions rural throughout.
Additional links: Summary
Author(s): Bryan W. DeWalt, Jae Wan Ahn, Karen Maynard, Richard Hoey, Wendy L. Baker
Date: 08/2026
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Most USDA, Rural Development Program Funding from 2000 Through 2024 Was Dedicated to Single Family Housing
Offers a pie chart breakdown of funding shares for the U.S. Department of Agriculture's Rural Development programs between 2000 and 2024.
Author(s): Anil Rupasingha, James C. Davis
Date: 08/2026
Sponsoring organization: USDA Economic Research Service
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Offers a pie chart breakdown of funding shares for the U.S. Department of Agriculture's Rural Development programs between 2000 and 2024.
Author(s): Anil Rupasingha, James C. Davis
Date: 08/2026
Sponsoring organization: USDA Economic Research Service
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