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Rural Health
Resources by Topic: Legislation and regulations

Medicaid: State Views on Program Administration Challenges
Describes four federal Medicaid policies that pose barriers to effective program administration. Highlights the requirement for states to pay Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) under the prospective payment system as a challenge for states. Identifies three issues for federal policymakers to consider when addressing these administrative challenges.
Additional links: Full Report
Date: 04/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Older Americans Act
Official compilation of the Older Americans Act of 1965, as amended through P.L. 116-131, enacted March 25, 2020. Provides federal funding for programs that support services for older adults. Provides states and localities with the flexibility to decide the allocation of National Family Caregiver Services between the populations served and extends authorization of the RAISE Family Caregiver Act and the Supporting Grandparents Raising Grandchildren Act by one additional year. Includes discussion of services to help rural older adults.
Date: 04/2020
Type: Document
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Federal Health Centers and COVID-19
Describes the early federal response to the COVID-19 pandemic and its impact on Health Center Program facilities, including Federally Qualified Health Centers (FQHCs). Describes the funding directed to the Health Center Program and the flexibilities for FQHCs to provide telehealth services during the public health emergency.
Date: 04/2020
Type: Document
Sponsoring organization: Congressional Research Service
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Selected Health Provisions in Title III of the CARES Act (P.L. 116-136)
Provides an overview of the healthcare-related provisions of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, passed in response to the COVID-19 pandemic. Focuses on sections of the law addressing medical supply shortages, testing and preventative services, and support for the healthcare workforce. Discusses provisions related to telehealth services and rural healthcare systems.
Date: 04/2020
Type: Document
Sponsoring organization: Congressional Research Service
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Health Care Provisions in the Families First Coronavirus Response Act, P.L. 116-127
Provides an overview of the healthcare-related provisions of the Families First Coronavirus Response Act, passed in response to the COVID-19 pandemic. Focuses on coverage of COVID-19 testing and related items for individuals covered by Medicare, Medicare Advantage, Medicaid, CHIP, TRICARE, Veterans healthcare, the IHS, and most private plans. Includes a discussion of changes to Medicare coverage of telehealth services.
Date: 04/2020
Type: Document
Sponsoring organization: Congressional Research Service
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Medicaid and CHIP in the U.S. Virgin Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Territories
Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Commonwealth of the Northern Mariana Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in Guam
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in Guam. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Guam spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in American Samoa
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in American Samoa. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and American Samoa spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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