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Rural Health
Resources by Topic: Legislation and regulations

States' Actions to Expand Telemedicine Access During COVID-19 and Future Policy Considerations
Provides an overview of state laws and policies related to state-regulated insurance coverage of telemedicine services during the COVID-19 pandemic. Discusses future policy considerations for state policymakers regarding coverage of telemedicine services after pandemic-related changes expire.
Author(s): JoAnn Volk, Dania Palanker, Madeline O'Brien, Christina L. Goe
Date: 06/2021
Type: Document
Sponsoring organization: Commonwealth Fund
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Rural Health Clinic COVID-19 Reporting Portal
Data collection portal for Rural Health Clinics (RHCs) that received funding through the RHC COVID-19 Testing Program. Allows RHCs to report information related to their testing activities as required in the terms and conditions of the program.
Date: 06/2021
Type: Tool
Sponsoring organizations: Health Resources and Services Administration, National Association of Rural Health Clinics
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Essentially Unprotected: A Focus on Farmworker Health Laws and Policies Addressing Pesticide Exposure and Heat-Related Illness
Report highlights laws and policies that protect farmworkers from heat- and pesticide-related illnesses. Breaks down both federal and state laws in place to protect farmworkers and makes recommendations.
Author(s): Laurie J. Beyranevand, Lihlani Skipper Nelson, Sarah Goldman, et al.
Date: 05/2021
Type: Document
Sponsoring organizations: Johns Hopkins Bloomberg School of Public Health, The Center for a Livable Future, Vermont Law School's Center for Agriculture and Food Systems
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Comments on Proposed Criteria for Defining Urban Areas
Comment letter responding to the U.S. Census Bureau on proposed changes to criteria used to define urban areas. Discusses how the proposed changes could impact the delivery of healthcare services in rural communities, including potential implications on the certification of Rural Health Clinics.
Date: 05/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Areas with High Poverty: Changing How the 10-20-30 Funding Formula Is Applied Could Increase Impact in Persistent-Poverty Counties
Provides an overview of the "10-20-30 formula" used by some agencies, including the U.S. Department of Agriculture's Rural Development, to allocate funding to persistent poverty counties. Describes how agencies identify persistent-poverty counties, the proportion of funds awarded to these counties in fiscal years 2017-2020, and the impact and limitations of the 10-20-30 formula. Highlights matters for future consideration by Congress.
Additional links: Full Report
Date: 05/2021
Type: Document
Sponsoring organization: Government Accountability Office
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COVID-19 Health Care Flexibilities: Perspectives, Experiences, and Lessons Learned
Recording of a May 19, 2021, U.S. Senate Committee on Finance hearing on healthcare flexibilities implemented in response to the COVID-19 pandemic, with a focus on telehealth. Discusses lessons learned and considerations for the extension of these flexibilities beyond the pandemic.
Additional links: Kisha Davis Testimony, Narayana Murali Testimony
Date: 05/2021
Type: Document
Sponsoring organization: Senate Committee on Finance
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Law and Policy Pathways to Addressing Rising Youth Suicide Rates
Provides information on how to prevent death by suicide in vulnerable populations, such as rural, indigenous, and LGBTQ youth. Includes evidence-based suicide prevention strategies and ways to engage communities in prevention efforts.
Author(s): April Shaw
Date: 04/2021
Type: Document
Sponsoring organization: Network for Public Health Law
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American Rescue Plan Act of 2021 (P.L. 117-2): Private Health Insurance, Medicaid, CHIP, and Medicare Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to private health insurance, Medicaid, the State Children's Health Insurance Program (CHIP), and Medicare. Includes information on provisions specific to rural providers.
Date: 04/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Critical Access Hospital Response to COVID-19
Webinar recording summarizing results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the hospitals' ability to respond to the COVID-19 pandemic from February-August 2020. Covers survey findings related to CAH finance, federal waivers and regulatory flexibilities, capacity for treatment, workforce, and partnerships. Discusses opportunities for future research on COVID-19 response and preparedness for future disasters and public health emergencies.
Additional links: Presentation Slides
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: Flex Monitoring Team
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Coronavirus Aid, Recovery, and Economic Security (CARES) Act & Related Legislation and Administrative Action Impacting Rural Health
Provides an overview of legislation passed by Congress regarding COVID-19. Identifies provisions relevant to rural healthcare providers, including the Paycheck Protection Program, funding for public health and rural workforce programs, telehealth flexibilities, and more.
Date: 04/2021
Type: Document
Sponsoring organization: National Rural Health Association
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