Rural Health
Resources by Topic: Legislation and regulations
Rural Hospitals: Community Cornerstones Facing Perilous Threats to Care
Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 02/2023
Sponsoring organization: American Hospital Association
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The Black Lung Program, the Black Lung Disability Trust Fund, and the Excise Tax on Coal: Background and Policy Options
Information on black lung disease and benefits under the federal black lung program. Examines Black Lung Disability Trust Fund revenues, including coal excise tax, and discusses policy options that could improve the fiscal outlook of the Trust Fund. Features statistics including black lung benefit costs, number of beneficiaries, coal excise tax collections, and Trust Fund debt, with breakdowns by year.
Date: 02/2023
Sponsoring organization: Congressional Research Service
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Information on black lung disease and benefits under the federal black lung program. Examines Black Lung Disability Trust Fund revenues, including coal excise tax, and discusses policy options that could improve the fiscal outlook of the Trust Fund. Features statistics including black lung benefit costs, number of beneficiaries, coal excise tax collections, and Trust Fund debt, with breakdowns by year.
Date: 02/2023
Sponsoring organization: Congressional Research Service
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January 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Community Health Centers And Medicaid: A Deeper Dive Into FQHC Alternative Payment Reform
An overview of the development of the Medicaid FQHC policy, since 1965, between Medicare and Medicaid, providing third-party financing, and CHCs, offering primary healthcare to underserved rural and urban areas. Discusses the discrepancies in Medicaid payment policies affecting CHCs, and federal legislative actions and amendments to reconcile budgets. Describes the alternative payment methodology (APM) and its effect on the prospective payment system.
Author(s): Sara Rosenbaum, Peter Shin, Jessica Sharac, Colleen Bedenbaugh
Citation: Health Affairs
Date: 01/2023
Sponsoring organization: Health Affairs
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An overview of the development of the Medicaid FQHC policy, since 1965, between Medicare and Medicaid, providing third-party financing, and CHCs, offering primary healthcare to underserved rural and urban areas. Discusses the discrepancies in Medicaid payment policies affecting CHCs, and federal legislative actions and amendments to reconcile budgets. Describes the alternative payment methodology (APM) and its effect on the prospective payment system.
Author(s): Sara Rosenbaum, Peter Shin, Jessica Sharac, Colleen Bedenbaugh
Citation: Health Affairs
Date: 01/2023
Sponsoring organization: Health Affairs
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Telehealth and Licensure Policies Improving Healthcare Access for Rural Communities
Discusses expanding licensure across state lines so providers can provide telehealth services to a wider service area. Includes information on Medicaid and Medicare telehealth policies as well as state-level legislation focused on cross-state licensing.
Author(s): Ashley Cram
Date: 01/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Discusses expanding licensure across state lines so providers can provide telehealth services to a wider service area. Includes information on Medicaid and Medicare telehealth policies as well as state-level legislation focused on cross-state licensing.
Author(s): Ashley Cram
Date: 01/2023
Sponsoring organization: Association of State and Territorial Health Officials
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State Policies for Expanding Medicaid Coverage of Community Health Worker (CHW) Services
Discusses state Medicaid coverage policies regarding Community Health Workers (CHWs) in place as of July 1, 2022, and planned for fiscal year 2023. Covers CHW coverage initiatives implemented or planned through Medicaid state plan amendments, Section 1115 demonstration authority, and as part of a Center for Medicare and Medicaid Innovation (CMMI) model.
Date: 01/2023
Sponsoring organization: KFF
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Discusses state Medicaid coverage policies regarding Community Health Workers (CHWs) in place as of July 1, 2022, and planned for fiscal year 2023. Covers CHW coverage initiatives implemented or planned through Medicaid state plan amendments, Section 1115 demonstration authority, and as part of a Center for Medicare and Medicaid Innovation (CMMI) model.
Date: 01/2023
Sponsoring organization: KFF
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State Telehealth Policy: Summary and Findings from the Fall 2022 Webinar Series
Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Fall 2022 webinar series. Topics focus on telehealth policy after the public health emergency (PHE) environment and include licensure laws and legal considerations when providers practice across state lines, the use of telehealth by Medicare beneficiaries, and the expansion and effectiveness of telemedicine in primary care settings.
Date: 01/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Fall 2022 webinar series. Topics focus on telehealth policy after the public health emergency (PHE) environment and include licensure laws and legal considerations when providers practice across state lines, the use of telehealth by Medicare beneficiaries, and the expansion and effectiveness of telemedicine in primary care settings.
Date: 01/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance
Recording of a January 18, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 01/2023
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Recording of a January 18, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 01/2023
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Sponsoring organization: Joint Legislative Audit and Review Commission
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Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Sponsoring organization: Joint Legislative Audit and Review Commission
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Public Law 117–328: Consolidated Appropriations Act, 2023
Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Sponsoring organization: U.S. Congress
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Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Sponsoring organization: U.S. Congress
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