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Rural Health Information Hub

Rural Health
Resources by Topic: Infrastructure

The Future of the Universal Service Fund and Related Broadband Programs
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: 03/2024
Type: Document
Sponsoring organization: Congressional Research Service
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Understanding Water Affordability Across Contexts: LIHWAP Water Utility Affordability Survey Report
Assesses water affordability for both families and utilities across the U.S, discussing low income households and funding. Includes rural, urban, and tribal comparisons and the unique challenges for each community type.
Date: 02/2024
Type: Document
Sponsoring organization: ACF Office of Community Services
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Small Business Administration: Targeted Outreach about Disaster Assistance Could Benefit Rural Communities
Examines disaster loan trends in rural and urban areas using geocoded Small Business Administration (SBA) disaster loan application data for fiscal years 2017 through 2022. Describes challenges rural communities may face in seeking disaster assistance from SBA and actions SBA could take to address these challenges.
Additional links: Full Report
Date: 02/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Bridging The Home-Based Primary Care Gap In Rural Areas
Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Rural Economic Development Toolkit
A toolkit designed to assist rural stakeholders with improving their outdoor recreation economies. Focuses on population health, quality of life, resilient businesses and economies, and vibrant outdoor spaces. Includes information on economic development and best practices, networking and collaboration, funding, infrastructure needs, and addressing challenges.
Additional links: Webinar
Date: 01/2024
Type: Document
Sponsoring organization: Outdoor Recreation Roundtable
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Michigan's Roadmap to Rural Prosperity
Describes the characteristics, challenges, and significance of Michigan's rural communities, and identifies strategies for building rural prosperity. Presents data on rural and urban demographics and living conditions. Discusses rural health and well-being, workforce, service delivery, housing, infrastructure, economic development, and natural environment.
Date: 01/2024
Type: Document
Sponsoring organization: Michigan Office of Rural Prosperity
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Legislative Action Bridging Public Health and Clinical Healthcare
Discusses legislation that relates to equitable access to healthcare, with a focus on telehealth, infrastructure, safety net services, management of healthcare costs, and the expansion of the healthcare workforce. Includes information on access to emergency departments in rural areas and the Rural Emergency Hospital (REH) designation.
Author(s): Ashley Cram, Brianna Gorman
Date: 01/2024
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Discretionary Transportation Grants: DOT Should Improve Transparency in the Infrastructure for Rebuilding America Program
Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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"Patiently Waiting": How Do Non-Driving Disabled Adults Get Around in Rural America?
Interviews 33 non-driving disabled rural adults to learn how they move throughout their communities. Discusses the challenges of utilizing public transportation and their own social networks in a rural context. Offers policy recommendations considerations for rural inequities.
Author(s): Andrew Myers, Krys Standley
Citation: Transport Policy, 145, 55-64
Date: 01/2024
Type: Document
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2024 Status of Women and Girls in Minnesota
Report examining economic opportunity, safety, health and wellness, and leadership equality among women and girls in Minnesota based on data from the American Community Survey, Minnesota Student Survey, and other sources. Highlights disparities in healthcare access, food security, and environmental health for rural populations.
Additional links: Executive Summary
Date: 2024
Type: Document
Sponsoring organizations: Center on Women, Gender and Public Policy, University of Minnesota, Women's Foundation of Minnesota
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