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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Health Care Shortage Areas: Designations Not a Useful Tool for Directing Resources to the Underserved
Discusses the Health Professional Shortage Area (HPSA) and Medically Underserved Area (MUA) designations and how well these designations help target federal resources to benefit those who are underserved.
Additional links: Full Report
Date: 09/1995
Sponsoring organization: Government Accountability Office
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American Indian and Alaska Native Areas
Chapter 5 of the U.S. Census Bureau's Geographic Areas Reference Manual details the classifications used for defining American Indian and Alaska Native communities. Breaks down the definitions of American Indian Reservations, Trust Lands, and Alaska Native Regional Corporations, among others. Highlights a state-level breakdown of type and number of AI/AN communities.
Date: 11/1994
Sponsoring organization: U.S. Census Bureau
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If You Knew the Conditions: Health Care to Native Americans
Summarizes the history of administration of healthcare to Native American recipients by the United States government. Includes biographies of famous Native American physicians. Online version of a 1994 exhibit on Native American Health.
Date: 1994
Sponsoring organization: U.S. National Library of Medicine
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Medical Assistance Facilities: A Demonstration Program to Provide Access to Health Care in Frontier Communities
Describes the Health Care Financing Administration's Medical Assistance Facility (MAF) demonstration program, which aimed to preserve healthcare access in frontier areas of Montana by converting full-service hospitals into low-intensity, short-stay healthcare service centers. Examines the impact of the program on access to inpatient care.
Date: 07/1993
Sponsoring organization: Office of Inspector General (HHS)
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Public Law 95–210: Rural Health Clinic Services Act of 1977
Text of the Rural Health Clinic Services Act of 1977, Public Law 95–210 (December 13, 1977). This legislation established the Rural Health Clinic (RHC) designation in the Medicare and Medicaid programs and outlines details of the designation.
Date: 1977
Sponsoring organization: U.S. Congress
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Texas Rural Health Transformation Program
Provides information on Texas's Rural Health Transformation Program. Presents a summary of proposed initiatives and includes links to components of Texas's program application, including the project narrative and budget narrative.
Additional links: Other Supporting Materials, Project Abstract Summary, Project Narrative
Sponsoring organization: Texas Health and Human Services
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Hawaiʻi's Rural Health Transformation Plan
Provides information on Hawaii's application for the Rural Health Transformation Program. Summarizes proposed initiatives.
Additional links: Application
Sponsoring organization: Executive Office of the State of Hawaii
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Kentucky ​​​​​​​​​​​​​​​​​​​​​​​​​​​Rural Health Transformation
Provides information on Kentucky's Rural Health Transformation Program. Presents an overview of proposed initiatives and includes links to components of Kentucky's program application, including the project narrative, project summary, letters of support, and supporting documentation.
Additional links: Project Narrative, Project Summary, Supporting Documentation
Sponsoring organization: Kentucky Cabinet for Health and Family Services
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Oklahoma Rural Health Transformation Program
Provides information on Oklahoma's Rural Health Transformation Program. Presents an overview of proposed initiatives and includes links to components of Oklahoma's program application, including the project narrative and budget narrative.
Additional links: Application Summary, Budget Narrative, Project Narrative
Sponsoring organization: Oklahoma State Department of Health
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Code of Federal Regulations: 42 CFR 485: Subpart E, Conditions of Participation: Rural Emergency Hospitals (REHs)
Sets forth the conditions that a hospital must meet to be designated as a Rural Emergency Hospital (REH).
Sponsoring organization: Centers for Medicare and Medicaid Services
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