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Rural Health
Resources by Topic: Legislation and regulations

Student Loan Programs Authorized by the Public Health Service Act: An Overview
Provides an overview of student loan programs for health profession students authorized by the Public Health Service Act and administered by the Health Resources and Services Administration (HRSA). Describes borrower eligibility requirements, loan terms and conditions, and administrative rules. Includes a table comparing the programs by borrower type, repayment terms, the number of participating schools, and the number and financial amount of outstanding loans.
Date: 03/2021
Type: Document
Sponsoring organization: Congressional Research Service
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COVID-19 Response: Broadband Funding for Tribes, Tribal Colleges and Universities, the Bureau of Indian Affairs, the Bureau of Indian Education, and the Indian Health Service
Identifies indirect and direct broadband funding for American Indian tribes, tribal colleges and universities, the Bureau of Indian Affairs, the Bureau of Indian Education, and the Indian Health Service authorized in the Coronavirus Aid, Relief, and Economic Security Act; Consolidated Appropriations Act, 2021; and American Rescue Plan Act of 2021.
Date: 03/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Determining Rural Communities: Current Changes and Updated Federal Program Eligibility
Presentation slides from a March 11, 2021, webinar discussing the various definitions of rural used by the federal government. Provides an overview of revisions to the eligibility for grant programs administered by the Federal Office of Rural Health Policy (FORHP), as well as a proposal from the U.S. Census Bureau to reclassify certain counties as rural. Describes implications for FORHP funding programs.
Date: 03/2021
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, National Organization of State Offices of Rural Health
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Update to Rural Health Clinic (RHC) Payment Limits
Provides an overview of the updates to Rural Health Clinic (RHC) payment limits per visit beginning April 1, 2021, through 2028.
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telehealth Policy and Regulatory Considerations During a Pandemic
Toolkit examining policies related to telehealth regarding coverage and payment, licensing, patient privacy and security, remote prescribing, and others, noting temporary changes due to COVID-19. Offers policy recommendations and highlights other important policy areas for healthcare providers to be aware of.
Date: 03/2021
Type: Website
Sponsoring organization: National Telehealth Technology Assessment Resource Center
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"All Hands On Deck": The COVID-19 Pandemic Through Nurses' Eyes
Podcast recording featuring Mary Wakefield describes the role of nurses and the challenges they have faced throughout the COVID-19 pandemic. Discusses shortages of personal protective equipment, workforce challenges, vaccine administration, and solutions to support nurses in the future. Highlights the experiences of nurses at rural hospitals and clinics.
Date: 03/2021
Type: Audio
Sponsoring organization: Commonwealth Fund
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2021 RHC Billing and Coding Update
Recording of a March 9, 2021, webinar providing an overview of coding and billing changes relevant to Rural Health Clinics (RHCs). Discusses guidelines for reporting COVID-19 immunizations and monoclonal antibody infusions, telehealth coding and billing during the COVID-19 public health emergency, ICD-10-CM diagnosis coding for COVID-19, and RHC lab billing and COVID test reporting. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: AMA Code & Guideline Changes, COVID Vaccine Log, Presentation Slides, Transcript
Date: 03/2021
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Medicare Hospital Payments: Adjusting for Variation in Geographic Area Wages
Provides an overview of the use of the hospital wage index applied to the Medicare inpatient prospective payment system (IPPS) to account for geographic differences in hospitals' labor costs. Discusses the effect of the wage index on Medicare payments for inpatient hospital services, exceptions to wage index adjustments, and proposals for wage index reforms.
Date: 03/2021
Type: Document
Sponsoring organization: Congressional Research Service
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The Effect of Medicare Payment Standardization Methods on the Perceived Cost of Post-Acute Swing Bed Care in Critical Access Hospitals
Discusses the different payment systems the Centers for Medicare and Medicaid Services (CMS) uses to reimburse for post-acute care in Critical Access Hospitals (CAHs), prospective payment system (IPPS) hospitals, and skilled nursing facilities (SNFs). Describes how the payment standardization methods may influence post-acute care discharge patterns and access to care for rural residents. Examines the effects of these payment methods on the perceived cost of CAH swing bed care as it relates to the Medicare Spending per Beneficiary performance measure.
Author(s): Tyler Malone, Denise Kirk, Kristin Reiter
Date: 03/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Critical Access Hospital Requirements: CMS Emergency Preparedness Final Rule
Provides a reference source for Critical Access Hospital (CAH) requirements related to the final rule from the Centers for Medicare & Medicaid Services (CMS), "Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers." Includes excerpts from the final rule as well as related CMS interpretive guidelines for CAHs. Addresses the development of an emergency plan, related policies and procedures, communications, training, and more.
Date: 03/2021
Type: Document
Sponsoring organization: Administration for Strategic Preparedness and Response
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