Rural Health
Resources by Topic: Legislation and regulations
Evolving Roles of Rural Hospitals: Evidence from Pandemic Experiences
Slides presented at the 2021 Southern Legislative Conference annual meeting. Presents data on the spread of COVID-19 in rural communities over time and compares confirmed COVID-19 cases and COVID-19 deaths in urban and rural counties in the southern states. Highlights how state policies can invest in and support rural hospitals.
Date: 07/2021
Sponsoring organization: Rural Policy Research Institute
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Slides presented at the 2021 Southern Legislative Conference annual meeting. Presents data on the spread of COVID-19 in rural communities over time and compares confirmed COVID-19 cases and COVID-19 deaths in urban and rural counties in the southern states. Highlights how state policies can invest in and support rural hospitals.
Date: 07/2021
Sponsoring organization: Rural Policy Research Institute
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American Rescue Plan Act of 2021 (P.L. 117-2): Public Health, Medical Supply Chain, Health Services, and Related Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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Let's Talk About Mitigation Video
Recording of a June 29, 2021, webinar providing technical assistance regarding the Rural Health Clinic (RHC) COVID-19 Testing and Mitigation Funding program. Discusses reporting requirements and how program funds can be used. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 06/2021
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a June 29, 2021, webinar providing technical assistance regarding the Rural Health Clinic (RHC) COVID-19 Testing and Mitigation Funding program. Discusses reporting requirements and how program funds can be used. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 06/2021
Sponsoring organization: National Association of Rural Health Clinics
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2022
Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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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
Sponsoring organization: Commonwealth Fund
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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
Sponsoring organization: Commonwealth Fund
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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
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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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
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
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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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
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
Sponsoring organization: Government Accountability Office
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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
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
Sponsoring organization: Senate Committee on Finance
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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
Sponsoring organization: Senate Committee on Finance
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Broadband Data and Mapping: Background and Issues for the 117th Congress
Explores policy issues and challenges related to high-speed internet access, including federal agency roles in broadband mapping. Includes a section comparing urban and rural areas in terms of access to telecommunications and information technologies.
Date: 05/2021
Sponsoring organization: Congressional Research Service
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Explores policy issues and challenges related to high-speed internet access, including federal agency roles in broadband mapping. Includes a section comparing urban and rural areas in terms of access to telecommunications and information technologies.
Date: 05/2021
Sponsoring organization: Congressional Research Service
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