Rural Health
Resources by Topic: Legislation and regulations
The Impacts of New York's Balance Billing Regulation on Ground Ambulance Pricing
Examines the impact of surprise out-of-network (OON) billing regulations on New York emergency ground ambulances. Analyzes 2012-2019 commercial claims data and discusses the impacts of billing regulations on costs of care, with considerations related to transports from rural, super-rural, and urban locations.
Author(s): Wendy Y. Xu, Christopher Garmon, Sheldon M. Retchin, Yiting Li
Citation: Health Services Research, 60(2)
Date: 04/2025
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Examines the impact of surprise out-of-network (OON) billing regulations on New York emergency ground ambulances. Analyzes 2012-2019 commercial claims data and discusses the impacts of billing regulations on costs of care, with considerations related to transports from rural, super-rural, and urban locations.
Author(s): Wendy Y. Xu, Christopher Garmon, Sheldon M. Retchin, Yiting Li
Citation: Health Services Research, 60(2)
Date: 04/2025
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Farm Bill Primer: Rural Development Title
Provides an overview of the rural development provisions of the 2018 Farm Bill, including provisions related to rural broadband, water and waste disposal, and business creation and economic development. Offers considerations Congress may consider in the 2025 reauthorization of the Farm Bill related to the ReConnect Program and rural health challenges.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the rural development provisions of the 2018 Farm Bill, including provisions related to rural broadband, water and waste disposal, and business creation and economic development. Offers considerations Congress may consider in the 2025 reauthorization of the Farm Bill related to the ReConnect Program and rural health challenges.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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National Health Service Corps Site Reference Guide
Provides clarification for National Health Service Corps (NHSC) sites regarding eligibility requirements, qualification factors, compliance, roles and responsibilities, and other factors for becoming an NHSC approved site. Acts as a supplemental resource to the information provided in the online NHSC Site Application.
Date: 04/2025
Sponsoring organization: Health Resources and Services Administration
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Provides clarification for National Health Service Corps (NHSC) sites regarding eligibility requirements, qualification factors, compliance, roles and responsibilities, and other factors for becoming an NHSC approved site. Acts as a supplemental resource to the information provided in the online NHSC Site Application.
Date: 04/2025
Sponsoring organization: Health Resources and Services Administration
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Medicare Learning Network: Hospital Price Transparency
Contains information on federal hospital price transparency regulations and compliance, what patients need to know, and a list of helpful websites.
Date: 03/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Contains information on federal hospital price transparency regulations and compliance, what patients need to know, and a list of helpful websites.
Date: 03/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Impact of the Medicare Improvements for Patients And Providers Act on Mental Health Service Utilization And Spending among Older Adults
Examines the impact of the Medicare Improvements for Patients and Providers Act (MIPPA) on outpatient mental healthcare utilization. Utilizes 2008-2017 Medicare claims and administrative data to analyze MIPPA in a pre-implementation phase as well as 4 post-implementation phases. Includes data on mental healthcare outpatient visits by age group, race, dual eligibility status, substance use disorder, comorbidities, and urban, large rural, small rural, or isolated rural location.
Author(s): Matt Toth, Brent Gibbons, Abbie Levinson, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of the Medicare Improvements for Patients and Providers Act (MIPPA) on outpatient mental healthcare utilization. Utilizes 2008-2017 Medicare claims and administrative data to analyze MIPPA in a pre-implementation phase as well as 4 post-implementation phases. Includes data on mental healthcare outpatient visits by age group, race, dual eligibility status, substance use disorder, comorbidities, and urban, large rural, small rural, or isolated rural location.
Author(s): Matt Toth, Brent Gibbons, Abbie Levinson, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Postpartum Health Care Use in Medicaid During the COVID-19 Public Health Emergency: Implications for Extending Postpartum Coverage
Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Projecting the Impact of the $2,000 Part D Out-Of-Pocket Cap for Medicare Part D Enrollees with High Prescription Drug Spending
Examines the impact of the Medicare Part D $2,000 cap on out-of-pocket prescription drugs. Provides projected savings according to low-income subsidy (LIS) status, state, and demographic characteristics, including urban, rural-micropolitan, rural-other, or unclassified geographic location.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of the Medicare Part D $2,000 cap on out-of-pocket prescription drugs. Provides projected savings according to low-income subsidy (LIS) status, state, and demographic characteristics, including urban, rural-micropolitan, rural-other, or unclassified geographic location.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The Latest HIPAA Requirements - A Check-In on Your RHC's Compliance
Recording of a January 14, 2025, webinar on HIPAA compliance for Rural Health Clinics (RHCs). Covers HIPAA related legislation, HIPAA-related complaints and investigations by the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR), and new regulations and proposed rules related to patient privacy. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 01/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a January 14, 2025, webinar on HIPAA compliance for Rural Health Clinics (RHCs). Covers HIPAA related legislation, HIPAA-related complaints and investigations by the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR), and new regulations and proposed rules related to patient privacy. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 01/2025
Sponsoring organization: National Association of Rural Health Clinics
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Housing Issues in the 118th Congress
Provides an overview of housing-related policy issues considered by the 118th Congress, including rural and Native American housing programs.
Date: 01/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of housing-related policy issues considered by the 118th Congress, including rural and Native American housing programs.
Date: 01/2025
Sponsoring organization: Congressional Research Service
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The Climate of Working Alone in Agriculture
Summarizes research from 193 articles discussing safety issues for agricultural workers who work alone, U.S. regulations for lone worker safety including enforcement, and similarities with hazards in other industries.
Author(s): Aaron James Etienne, William E. Field, Shawn G. Ehlers, Roger Tormoehlen, Noah Joel Haslett
Citation: Journal of Agricultural Safety and Health, 31(2), 93-108
Date: 2025
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Summarizes research from 193 articles discussing safety issues for agricultural workers who work alone, U.S. regulations for lone worker safety including enforcement, and similarities with hazards in other industries.
Author(s): Aaron James Etienne, William E. Field, Shawn G. Ehlers, Roger Tormoehlen, Noah Joel Haslett
Citation: Journal of Agricultural Safety and Health, 31(2), 93-108
Date: 2025
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