Rural Health
Resources by Topic: Legislation and regulations
VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (VA MISSION Act; P.L.115-182)
Provides an overview of the changes made to the VA MISSION Act, including establishing a permanent Veterans Community Care Program (VCCP) and provisions to help recruit and retain healthcare providers. Discusses provisions specific to healthcare access for veterans in rural and underserved areas.
Date: 11/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of the changes made to the VA MISSION Act, including establishing a permanent Veterans Community Care Program (VCCP) and provisions to help recruit and retain healthcare providers. Discusses provisions specific to healthcare access for veterans in rural and underserved areas.
Date: 11/2018
Type: Document
Sponsoring organization: Congressional Research Service
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MedPAC Comment on CMS's Proposed Rule on Medicare Shared Savings Program ACOs
Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations
Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
Type: Document
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Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
Type: Document
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Promising Practice: Team Effort in Idaho Achieves New Funding for Physician Repayment Program
Presents a promising practice from the Idaho State Office of Rural Health who worked with the National Conference of State Legislatures (NCSL) to establish the state's first loan repayment program for physicians.
Author(s): Beth Blevins
Date: 09/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Presents a promising practice from the Idaho State Office of Rural Health who worked with the National Conference of State Legislatures (NCSL) to establish the state's first loan repayment program for physicians.
Author(s): Beth Blevins
Date: 09/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Nurse Practitioners: A Solution to America's Primary Care Crisis
Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Type: Document
Sponsoring organization: American Enterprise Institute
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Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Type: Document
Sponsoring organization: American Enterprise Institute
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2019
Comment on a July 2018 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions.
Author(s): Francis J. Crosson
Date: 09/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 2018 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions.
Author(s): Francis J. Crosson
Date: 09/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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2018 Update on Priority Strategies: North Carolina Rural Health Action Plan
Details the progress North Carolina has made in 6 priority areas outlined in the 2014 Rural Health Action Plan. These include investment in local industries, ensuring that childhood settings promote educational success, encouraging healthy eating and active living, screening for and treating substance abuse and mental health issues, educating people about insurance and safety net options, and creating incentives to support recruitment and retention of providers to underserved areas.
Date: 08/2018
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Details the progress North Carolina has made in 6 priority areas outlined in the 2014 Rural Health Action Plan. These include investment in local industries, ensuring that childhood settings promote educational success, encouraging healthy eating and active living, screening for and treating substance abuse and mental health issues, educating people about insurance and safety net options, and creating incentives to support recruitment and retention of providers to underserved areas.
Date: 08/2018
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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MedPAC Comment on CMS's Proposed Rule on the CY 2019 Home Health PPS Update and 2020 Case Mix Refinements
Comment on a July 12, 2018, Federal Register proposed rule revising payments for home health services. Includes a section addressing a proposed rural add-on payment policy.
Date: 08/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 12, 2018, Federal Register proposed rule revising payments for home health services. Includes a section addressing a proposed rural add-on payment policy.
Date: 08/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicaid Income Eligibility Transitions Among Rural Adults
Research and policy brief examining the extent to which incomes of rural and urban residents shifted above or below the Medicaid expansion eligibility threshold during 2010. Features statistics with breakdowns by expansion and non-expansion states, rural or urban location, and starting income as a percent of federal poverty level.
Author(s): Erika Ziller, Deborah Thayer, Jennifer D. Lenardson
Date: 08/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Research and policy brief examining the extent to which incomes of rural and urban residents shifted above or below the Medicaid expansion eligibility threshold during 2010. Features statistics with breakdowns by expansion and non-expansion states, rural or urban location, and starting income as a percent of federal poverty level.
Author(s): Erika Ziller, Deborah Thayer, Jennifer D. Lenardson
Date: 08/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Both Rural and Urban SNAP Recipients Affected by Proposed Work Requirements
Presents work status data for rural and urban Supplemental Nutrition Assistance Program (SNAP) recipients. Identifies those exempt from work requirements under current law who may face a new work requirement under proposed legislation, breaking out the current work hours of this group. Briefly discusses the scarcity and expense of child care.
Author(s): Jessica A. Carson
Date: 07/2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Presents work status data for rural and urban Supplemental Nutrition Assistance Program (SNAP) recipients. Identifies those exempt from work requirements under current law who may face a new work requirement under proposed legislation, breaking out the current work hours of this group. Briefly discusses the scarcity and expense of child care.
Author(s): Jessica A. Carson
Date: 07/2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
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