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Rural Health
Resources by Topic: Legislation and regulations

The Impact of Nurse Practitioner Full Practice Authority on Pediatric Care Experiences: A National Secondary Data Analysis
Examines the impact of full practice authority (FPA) for pediatric nurse practitioners (NPs) on pediatric primary healthcare access. Utilizes 2010–2019 Medical Expenditure Panel Survey data to analyze policy changes related to FPA implementation according to patient access, experiences, and rurality.
Author(s): Joyce J. Fitzpatrick, Maxwell Mehlman, Alicia Plemmons, et al.
Citation: Journal of Pediatric Health Care, 40(2), 251-257
Date: 03/2026
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RHC Compliance 101
Recording of a March 5, 2026, webinar providing an overview of federal Rural Health Clinic (RHC) regulations and requirements.
Additional links: Presentation Slides
Date: 03/2026
Sponsoring organization: National Association of Rural Health Clinics
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RHC Cost Reporting 101
Recording of a March 3, 2026, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report concepts, the cost report approval process, billable visits, allowable and non-allowable costs, best practices, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2026
Sponsoring organization: National Association of Rural Health Clinics
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A Stubborn Problem: Unaffordable Health Costs Continue to Strain Californians' Finances
Examines healthcare affordability in California from 2019 to 2024, comparing pre-COVID-19 pandemic experiences to after the pandemic had subsided, alongside the implementation of related state and federal policy impacting affordability. Provides percentages of Californians who have trouble paying medical bills, who use credit cards to pay medical bills, who have private insurance with deductibles above $2,000, and more, according to coverage type, demographics, region, and rural versus urban location.
Date: 03/2026
Sponsoring organization: State Health Access Data Assistance Center
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Examination of Driver License Renewal Policies and Older Driver Crash and Injury Rates by Rurality
Examines the impact of driver license renewal policies on older adult motor-vehicle safety. Utilizes 2000-2019 crash data and license renewal policies to analyze crash and driver injury rates according to driver age, state, injury severity, license renewal restrictiveness, rural versus urban residence, and more.
Author(s): Cara J. Hamann, Jonathan A. Davis, Gilsu Pae, et al.
Citation: Journal of Safety Research, 96, 357-362
Date: 02/2026
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From Expansion to Expiration: Federal Policy Waivers and Telehealth Utilization in US Primary Care (2016–2024)
Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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Rural-Based Accountable Care Organizations Agreement Renewal
Policy brief describing characteristics of Accountable Care Organizations participating in the Medicare Shared Savings Program (MSSP). Compares trends in exits and entries into MSSP between rural and urban areas from 2013-2022.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Update to the Payment for Historically Excepted Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2026
Provides an overview of updates to the historically excepted Tribal Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) rate for calendar year 2026.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telehealth FAQ Calendar Year 2026
Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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