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Rural Health
Resources by Topic: Legislation and regulations

Americans with Disabilities Act (ADA) of 1990 and ADA Amendments Act of 2008
Text of the Americans with Disabilities Act (ADA) of 1990, Public Law 101-336 (July 26, 1990), as amended by Public Law 110–325 (September 25, 2008). Recognizes and protects the civil rights of people with disabilities and is modeled after earlier landmark laws prohibiting discrimination on the basis of race and gender.
Date: 01/2009
Type: Document
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Medicare Improvements for Patients and Providers Act of 2008 (MIPPA)
Provides the full text of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), which extended various Medicare provisions that were set to expire and focused heavily on improving or maintaining access to care in rural areas.
Date: 07/2008
Type: Document
Sponsoring organization: U.S. Congress
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Americans with Disabilities Act: ADA Guide for Small Towns
Presents an informal overview of some basic ADA requirements and provides cost effective tips on how small towns can comply with the ADA.
Date: 12/2007
Type: Document
Sponsoring organization: U.S. Department of Justice
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Medicare Program: Changes to the Hospital Outpatient Prospective Payment System, Ambulatory Surgical Center System, Graduate Medical Education and Critical Access Hospital; Interim and Final Rule with Comment Period
Addresses changes to the Hospital Outpatient Prospective Payment System (OPPS) and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System (IPPS) and FY 2008 Payment Rates. Describes changes relating to the necessary provider designations of Critical Access Hospitals (CAHs) and to the conditions of participation requirements. Also addresses changes to graduate medical education (GME) payments made to teaching hospitals that have Medicare affiliation agreements for certain emergency situations.
Citation: Federal Register, 72(227), 66579-67226
Date: 11/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Critical Access Hospitals (CAHs): Distance from Other Providers and Relocation of CAHs with a Necessary Provider Designation
September 7, 2007, letter from CMS to State Survey Agency Directors. Explains the criteria to determine whether a Critical Access Hospital (CAH) applicant satisfies the regulatory requirement. Explains the criteria to determine whether a CAH with a necessary provider designation remains essentially the same provider, serving the same service area after relocation. Supersedes the November 14, 2005, guidance on this topic.
Date: 09/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Comparison of the Rural Health Clinic and Federally Qualified Health Center Programs
Provides a general comparison of the financial components of the Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) programs under Medicare and Medicaid.
Date: 06/2006
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Status of the Rural Health Clinic Program
Office of Inspector General report discussing the location status of Rural Health Clinics (RHCs). Includes statistics on the number of RHCs in locations that do not have current shortage designations and RHCs in areas no longer considered rural. Includes historical overview of the RHC location requirements and recommendations for improvement.
Date: 08/2005
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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MedPAC Report to the Congress: Issues in a Modernized Medicare Program, 2005
Examines issues affecting the Medicare program. Addresses Part D, Medicare's new outpatient prescription drug benefit, with some coverage of rural issues. Includes overview of the Medicare Advantage program. Discusses the effects of the Critical Access Hospital (CAH) provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).
Date: 06/2005
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Impacts of the Medicare Modernization Act on Rural Health Systems and Beneficiaries
Offers an analysis of rural-pertinent provisions of the Medicare Modernization Act of 2003. Summarizes legislative and regulatory provisions of special significance to rural beneficiaries and health care systems.
Author(s): Keith Mueller, Andrew Coburn, Charles Fluharty, et al.
Date: 02/2005
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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A Rural Perspective Regarding Regulations Implementing Titles I and II of the Medicare Prescription Drug, Improvement, and Modernization Act Of 2003 (MMA)
Identifies sections of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) of special concern to rural Medicare beneficiaries, medical care providers, and policymakers. Includes guidance regarding provisions in the Proposed Rule "Establishment of the Medicare Advantage Program," which implements Title II of the MMA, with a focus on its impact on rural health service delivery.
Author(s): Curt Mueller, Keith Mueller, Janet Sutton
Date: 08/2004
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, RUPRI Center for Rural Health Policy Analysis
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