Rural Health
Resources by Topic: Infrastructure
Pennsylvania Rural Health Plan, 2025-2030
Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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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, Rural Health Care Program, and Schools and Libraries Program. Describes legislation introduced in the 118th Congress that would impact the USF programs. Outlines considerations for Congress and five areas for possible reform.
Date: 07/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the Federal Communications Commission's (FCC) Universal Service Fund (USF) and its four programs: the High Cost Program, Lifeline Program, Rural Health Care Program, and Schools and Libraries Program. Describes legislation introduced in the 118th Congress that would impact the USF programs. Outlines considerations for Congress and five areas for possible reform.
Date: 07/2025
Sponsoring organization: Congressional Research Service
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Accessing Funding for Capital Projects in Rural Healthcare
Policy paper intended to provide information and inspire action, by enhancing current funding programs, removing barriers, directing more capital toward rural healthcare, and exploring new solutions. Features statistics on USDA community facilities loans and USDA healthcare guaranteed loans as a percentage of all USDA guaranteed loans.
Date: 06/2025
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Policy paper intended to provide information and inspire action, by enhancing current funding programs, removing barriers, directing more capital toward rural healthcare, and exploring new solutions. Features statistics on USDA community facilities loans and USDA healthcare guaranteed loans as a percentage of all USDA guaranteed loans.
Date: 06/2025
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Natural Disasters and Resiliency in Central Appalachia
Discusses issues such as natural disasters, flooding, resource extraction, infrastructure, housing stock, and more in central and rural Appalachia. Focuses on investment and strategies to improve resilience.
Date: 06/2025
Sponsoring organization: Housing Assistance Council
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Discusses issues such as natural disasters, flooding, resource extraction, infrastructure, housing stock, and more in central and rural Appalachia. Focuses on investment and strategies to improve resilience.
Date: 06/2025
Sponsoring organization: Housing Assistance Council
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Indian Health Service's Controls Over Sanitation Facilities Construction Program Projects Funded Under the Infrastructure Investment and Jobs Act Could Be Improved
Explores Indian Health Service (IHS) internal controls regarding identifying, recording, and tracking projects in the Sanitation Deficiency System (SDS) and ensuring that Infrastructure Investment and Jobs Act (IIJA) funds are limited to eligible project costs. Offers recommendations to IHS to improve controls for identifying and recording SFC Program projects funded under IIJA and for ensuring IIJA funds are used only for eligible project costs.
Additional links: Report Highlights
Date: 05/2025
Sponsoring organization: Office of Inspector General (HHS)
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Explores Indian Health Service (IHS) internal controls regarding identifying, recording, and tracking projects in the Sanitation Deficiency System (SDS) and ensuring that Infrastructure Investment and Jobs Act (IIJA) funds are limited to eligible project costs. Offers recommendations to IHS to improve controls for identifying and recording SFC Program projects funded under IIJA and for ensuring IIJA funds are used only for eligible project costs.
Additional links: Report Highlights
Date: 05/2025
Sponsoring organization: Office of Inspector General (HHS)
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Farm Bill Primer: Rural Development Title
Provides an overview of the rural development provisions of the 2018 Farm Bill, including provisions related to rural broadband, water and waste disposal, and business creation and economic development. Offers considerations Congress may consider in the 2025 reauthorization of the Farm Bill related to the ReConnect Program and rural health challenges.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the rural development provisions of the 2018 Farm Bill, including provisions related to rural broadband, water and waste disposal, and business creation and economic development. Offers considerations Congress may consider in the 2025 reauthorization of the Farm Bill related to the ReConnect Program and rural health challenges.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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USDA Rural Development: Together, America Prospers
Provides an overview of USDA Rural Development's mission and investments, highlighting programs and initiatives related to rural economic development, housing, and infrastructure. Discusses quality of life and healthcare needs in rural communities.
Date: 02/2025
Sponsoring organization: USDA Rural Development
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Provides an overview of USDA Rural Development's mission and investments, highlighting programs and initiatives related to rural economic development, housing, and infrastructure. Discusses quality of life and healthcare needs in rural communities.
Date: 02/2025
Sponsoring organization: USDA Rural Development
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Complete Streets: Policy Planning Process for Rural Communities
Discusses the planning for complete streets in rural areas, a type of accessible transportation infrastructure which allows for drivers, bicyclists, and pedestrians, therefore promoting safety as well as healthier and more active communities. Focuses on complete streets policy development, agency coordination, implementation, and monitoring.
Author(s): Krishna Kunapareddy
Date: 01/2025
Sponsoring organization: National Association of Development Organizations
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Discusses the planning for complete streets in rural areas, a type of accessible transportation infrastructure which allows for drivers, bicyclists, and pedestrians, therefore promoting safety as well as healthier and more active communities. Focuses on complete streets policy development, agency coordination, implementation, and monitoring.
Author(s): Krishna Kunapareddy
Date: 01/2025
Sponsoring organization: National Association of Development Organizations
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An Examination of the Implementation and Effectiveness of the Telehealth Broadband Pilot Program in the United States
Provides a brief overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Describes the development and implementation of pods that measured broadband data in the communities over time. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program. Includes factors for consideration in the development of future programs to measure broadband in rural communities.
Date: 01/2025
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Provides a brief overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Describes the development and implementation of pods that measured broadband data in the communities over time. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program. Includes factors for consideration in the development of future programs to measure broadband in rural communities.
Date: 01/2025
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Delivering Broadband from Beginning to "End"
Describes the process, timeline, and challenges of designing and implementing a reliable and robust broadband network in rural areas.
Date: 01/2025
Sponsoring organizations: Foundation for Rural Service, NTCA: The Rural Broadband Association
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Describes the process, timeline, and challenges of designing and implementing a reliable and robust broadband network in rural areas.
Date: 01/2025
Sponsoring organizations: Foundation for Rural Service, NTCA: The Rural Broadband Association
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