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Rural Health
Resources by Topic: Legislation and regulations

The EMS Compact
Information on the agreement enabling emergency medical service (EMS) personnel licensed in Compact member states to cross state borders to practice and work in other Compact states without getting an EMS license in the remote state. Describes ways in which this agreement may enhance communities' responses to COVID-19 when local resources are reduced. Includes a map showing locations of EMS Compact states and contact information for each member state's Compact Commissioner.
Date: 04/2021
Type: Website
Sponsoring organization: Interstate Commission for EMS Personnel Practice
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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
Provides an overview of the various definitions of rural used by the federal government. Discusses 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.
Additional links: Presentation Slides
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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The New 'Rural'? The Implications of OMB's Proposal to Redefine Nonmetro America
Provides an analysis of a new proposal from the Office of Management and Budget (OMB) that seeks to increase the population threshold for the core of a metropolitan statistical area (MSA) from 50,000 to 100,000. Describes and compares the potential changes in nonmetro and metro counties. Discusses potential demographic and financial implications from the proposed policy change.
Author(s): Anthony Pipa, Natalie Geismar
Date: 03/2021
Type: Document
Sponsoring organizations: Brookings Institution, Center for Sustainable Development
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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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State Responses to Address Workforce Needs in the Initial Wave of the Pandemic
Summarizes early findings from a study examining approaches to ensuring adequate workforce capacity and strategies to expand access to needed healthcare services. Uses information from 32 interviews conducted during the first 6 months of the COVID-19 pandemic, with stakeholders from 23 states. Includes sections on regulatory flexibility, scope of practice, licensing of out-of-state providers, acute and ambulatory care services, effects on health professions education, and use of telehealth services.
Author(s): David Armstrong, Jean Moore, Dustin Moore, et al.
Date: 03/2021
Type: Document
Sponsoring organizations: Fitzhugh Mullan Institute for Health Workforce Equity, Health Workforce Technical Assistance 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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