Rural Health
Resources by Topic: Legislation and regulations
State-Level Medicaid Expansion and Hospital, Federally Qualified Health Center, and Rural Health Clinic Availability
Explores the association between state Medicaid expansion and the availability of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs) in states that expanded Medicaid between 2014-2016. Examines the presence of hospitals, FQHCs, and RHCs in urban and rural counties between 2010-2019.
Author(s): Elliott Paintsil, Sebastian Linde
Citation: Journal of Rural Health, 42(2), e70159
Date: 05/2026
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Explores the association between state Medicaid expansion and the availability of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs) in states that expanded Medicaid between 2014-2016. Examines the presence of hospitals, FQHCs, and RHCs in urban and rural counties between 2010-2019.
Author(s): Elliott Paintsil, Sebastian Linde
Citation: Journal of Rural Health, 42(2), e70159
Date: 05/2026
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MedPAC Comment on CMS's Proposed Rule on Inpatient Rehabilitation Facility for FY 2027
Comments on an April 6, 2026, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential creation of an IRF-specific wage index and refinements to the IRF payment system, such as changes to IRF patient clinical classification. Includes rural considerations throughout.
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 6, 2026, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential creation of an IRF-specific wage index and refinements to the IRF payment system, such as changes to IRF patient clinical classification. Includes rural considerations throughout.
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment for Rural or Geographically Isolated Hospitals, 2026
Displays data on Medicare payment adjustments for Sole Community Hospitals, Medicare-Dependent Hospitals, Low-Volume Hospitals, and Critical Access Hospitals. Includes information on the number of qualifying hospitals by state and eligibility criteria.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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Displays data on Medicare payment adjustments for Sole Community Hospitals, Medicare-Dependent Hospitals, Low-Volume Hospitals, and Critical Access Hospitals. Includes information on the number of qualifying hospitals by state and eligibility criteria.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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Early Evaluation of the Rural Emergency Hospital Program
Results of a study conducted January 2023 to December 2025, to assess differences between hospitals that converted to Rural Emergency Hospital (REH) status and eligible rural hospitals that did not. Includes statistics on the financial performance of the hospitals before and after conversion, and hospital features and services provided, with breakdowns by REH or non-REH status.
Author(s): Mitchell Mead, Nina M. Clark, Janice C. Probst, et al.
Citation: JAMA Network Open, 9(4), e269217
Date: 04/2026
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Results of a study conducted January 2023 to December 2025, to assess differences between hospitals that converted to Rural Emergency Hospital (REH) status and eligible rural hospitals that did not. Includes statistics on the financial performance of the hospitals before and after conversion, and hospital features and services provided, with breakdowns by REH or non-REH status.
Author(s): Mitchell Mead, Nina M. Clark, Janice C. Probst, et al.
Citation: JAMA Network Open, 9(4), e269217
Date: 04/2026
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What to Know About Medicare Coverage of Telehealth
Discusses telehealth use by Medicare patients before, during, and after declaration of the COVID-19 public health emergency. Notes temporary telehealth provisions set to expire December 31, 2027, telehealth provisions made permanent, and trends in use since 2020. Includes rural and urban comparisons of telehealth use since 2020. Discusses payment models for Medicare and Medicare Advantage, current policies related to telehealth, program integrity, and the cost of coverage through Medicare.
Author(s): Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 03/2026
Sponsoring organization: KFF
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Discusses telehealth use by Medicare patients before, during, and after declaration of the COVID-19 public health emergency. Notes temporary telehealth provisions set to expire December 31, 2027, telehealth provisions made permanent, and trends in use since 2020. Includes rural and urban comparisons of telehealth use since 2020. Discusses payment models for Medicare and Medicare Advantage, current policies related to telehealth, program integrity, and the cost of coverage through Medicare.
Author(s): Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 03/2026
Sponsoring organization: KFF
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Health Panel Comment Letter - Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program
Offers comments in response to a February 11, 2026, proposed rule regarding methods to improve the implementation of the Patient Protection and Affordable Care Act. Discusses rural-specific issues related to cost sharing for bronze and catastrophic plans.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to a February 11, 2026, proposed rule regarding methods to improve the implementation of the Patient Protection and Affordable Care Act. Discusses rural-specific issues related to cost sharing for bronze and catastrophic plans.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Hunger Doesn't Take a Vacation: The Reach of Summer Meals
Examines utilization of federal summer nutrition programs for children in 2024. Provides statistics on summer meals and information on the impact of the Rural Non-Congregate Option legislation implemented in Summer 2024.
Author(s): K. Boone, C. Hayes
Date: 03/2026
Sponsoring organization: Food Research & Action Center
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Examines utilization of federal summer nutrition programs for children in 2024. Provides statistics on summer meals and information on the impact of the Rural Non-Congregate Option legislation implemented in Summer 2024.
Author(s): K. Boone, C. Hayes
Date: 03/2026
Sponsoring organization: Food Research & Action Center
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Understanding Upcoming Deadlines of New Section 504 Requirements
Recording of a March 30, 2026, webinar reviewing updates to Section 504 of the Rehabilitation Act of 1973, titled "Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance," that take effect for Medicare and Medicaid providers, including Rural Health Clinics, in summer 2026. Describes new requirements for the accessibility of medical treatment, kiosks, web content, mobile applications, medical equipment and facilities, 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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Recording of a March 30, 2026, webinar reviewing updates to Section 504 of the Rehabilitation Act of 1973, titled "Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance," that take effect for Medicare and Medicaid providers, including Rural Health Clinics, in summer 2026. Describes new requirements for the accessibility of medical treatment, kiosks, web content, mobile applications, medical equipment and facilities, 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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Effect of Medicaid Audio-Only Telehealth Coverage Policy on Mental Health Visits in Federally Qualified Health Centers
Examines the impact of Medicaid audio-only coverage (MAOC) and telehealth policy on mental health usage at Federally Qualified Health Centers (FQHCs). Utilizes 2016-2022 FQHC-level Uniform Data Systems (UDS) data to analyze mental health visit rates and MAOC policy implementation according to rural versus urban location as well as presence or absence of a primary telemental health service.
Author(s): Khyathi Gadag, Kanika Arora, Brian Kaskie, Whitney E. Zahnd
Citation: Health Services Research, 61(2), e70107
Date: 03/2026
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Examines the impact of Medicaid audio-only coverage (MAOC) and telehealth policy on mental health usage at Federally Qualified Health Centers (FQHCs). Utilizes 2016-2022 FQHC-level Uniform Data Systems (UDS) data to analyze mental health visit rates and MAOC policy implementation according to rural versus urban location as well as presence or absence of a primary telemental health service.
Author(s): Khyathi Gadag, Kanika Arora, Brian Kaskie, Whitney E. Zahnd
Citation: Health Services Research, 61(2), e70107
Date: 03/2026
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Healthcare Priorities in Governors' 2026 State of the State Addresses
Summarizes common themes from governors' 2026 legislative addresses regarding healthcare. Highlights rural healthcare access, the Rural Health Transformation Program, workforce, healthcare technology, licensing reform, affordability, and more.
Date: 03/2026
Sponsoring organization: National Governors Association
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Summarizes common themes from governors' 2026 legislative addresses regarding healthcare. Highlights rural healthcare access, the Rural Health Transformation Program, workforce, healthcare technology, licensing reform, affordability, and more.
Date: 03/2026
Sponsoring organization: National Governors Association
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