Rural Health
Resources by Topic: Policy
Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Facilitators and Barriers to Passing Local Policies That Prohibit the Sale of Flavored Tobacco Products: Qualitative Analysis of Strategies Implemented by 36 Communities in California, 2017–2021
Examines the success rate of implementing local polices that prohibit flavored tobacco sales in California. Analyzes both rural and urban communities and discusses barriers and facilitators to policy adoption.
Author(s): Sarah Hellesen, Sue Haun, Melanie S. Dove
Citation: Preventing Chronic Disease, 21
Date: 05/2024
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Examines the success rate of implementing local polices that prohibit flavored tobacco sales in California. Analyzes both rural and urban communities and discusses barriers and facilitators to policy adoption.
Author(s): Sarah Hellesen, Sue Haun, Melanie S. Dove
Citation: Preventing Chronic Disease, 21
Date: 05/2024
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Food Deserts and Hypertension Prevalence in the Central Valley
Policy brief analyzing the association between food deserts and hypertension by census tract in San Joaquin Valley, California. Includes color-coded census tract maps. Mentions high incidence of hypertension and food deserts in rural areas.
Author(s): G. Mendoza, E. Alcala
Date: 05/2024
Sponsoring organization: Central Valley Health Policy Institute
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Policy brief analyzing the association between food deserts and hypertension by census tract in San Joaquin Valley, California. Includes color-coded census tract maps. Mentions high incidence of hypertension and food deserts in rural areas.
Author(s): G. Mendoza, E. Alcala
Date: 05/2024
Sponsoring organization: Central Valley Health Policy Institute
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Senate Finance Committee Bipartisan Medicare GME Working Group Draft Proposal Outline and Questions for Consideration
Outlines draft policy proposals regarding the Medicare Graduate Medical Education (GME) program aimed at addressing healthcare workforce shortages. Proposals cover the distribution of Medicare GME slots to rural areas and key specialties, encouraging hospitals to train physicians in rural areas, the establishment of a Medicare GME Policy Council, GME data collection and transparency, and more. Includes questions for consideration on policies under consideration.
Date: 05/2024
Sponsoring organization: Senate Committee on Finance
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Outlines draft policy proposals regarding the Medicare Graduate Medical Education (GME) program aimed at addressing healthcare workforce shortages. Proposals cover the distribution of Medicare GME slots to rural areas and key specialties, encouraging hospitals to train physicians in rural areas, the establishment of a Medicare GME Policy Council, GME data collection and transparency, and more. Includes questions for consideration on policies under consideration.
Date: 05/2024
Sponsoring organization: Senate Committee on Finance
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VA Health Care: Additional Assessments of Mileage Reimbursement Data and Veterans' Travel Costs Needed
Provides an overview of the Department of Veterans Affairs (VA) Veterans Health Administration's (VHA) mileage reimbursement benefit that reimburses eligible veterans for the use of personal vehicles to attend VHA-approved care. Explores the extent to which the benefit helps defray travel costs by describing the distance a veteran would have to travel to receive a non-zero reimbursement across a variety of conditions. Presents VHA data on veterans' use of the benefit from fiscal years 2010 through 2023, as well as fuel costs incurred and mileage reimbursement for hypothetical trips to 3 VA health systems by rurality. Offers recommendations to the VA and VHA on the collection and assessment of veterans' use of the mileage reimbursement benefit and how travel costs vary by subpopulations, such as rural veterans.
Additional links: Full Report
Date: 05/2024
Sponsoring organization: Government Accountability Office
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Provides an overview of the Department of Veterans Affairs (VA) Veterans Health Administration's (VHA) mileage reimbursement benefit that reimburses eligible veterans for the use of personal vehicles to attend VHA-approved care. Explores the extent to which the benefit helps defray travel costs by describing the distance a veteran would have to travel to receive a non-zero reimbursement across a variety of conditions. Presents VHA data on veterans' use of the benefit from fiscal years 2010 through 2023, as well as fuel costs incurred and mileage reimbursement for hypothetical trips to 3 VA health systems by rurality. Offers recommendations to the VA and VHA on the collection and assessment of veterans' use of the mileage reimbursement benefit and how travel costs vary by subpopulations, such as rural veterans.
Additional links: Full Report
Date: 05/2024
Sponsoring organization: Government Accountability Office
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MedPAC Comment on CMS's Proposed Rule on the Payment System for Inpatient Psychiatric Facilities for FY 2025
Comment on an April 3, 2024, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2025. Includes a discussion of rural IPF PPS payment adjustments.
Date: 05/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an April 3, 2024, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2025. Includes a discussion of rural IPF PPS payment adjustments.
Date: 05/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Interconnected: Minnesota's Housing Crisis
A recorded video of a panel conversation focused on housing issues in rural and urban Minnesota. Discusses racial disparities in home ownership as well as housing and policy solutions. Transcript available below description.
Author(s): Esther Agbaje, Andrew Myers, Shereese Turner, et al.
Date: 05/2024
Sponsoring organizations: Center for Rural Policy and Development, Citizens League
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A recorded video of a panel conversation focused on housing issues in rural and urban Minnesota. Discusses racial disparities in home ownership as well as housing and policy solutions. Transcript available below description.
Author(s): Esther Agbaje, Andrew Myers, Shereese Turner, et al.
Date: 05/2024
Sponsoring organizations: Center for Rural Policy and Development, Citizens League
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Veterans Affairs: Actions Needed to Improve Access to Care in the U.S. Territories and Freely Associated States
Examines how the U.S. Department of Veterans Affairs (VA) estimates the population of veterans in the U.S. territories and freely associated states (FAS) to inform resource allocation and outreach needs. Describes how the Veterans Health Administration (VHA) monitors veterans' use of and access to healthcare services at VHA facilities in the U.S. territories. Discusses challenges veterans face in accessing VHA services in the U.S. territories and FAS and VA efforts to address these challenges. Offers recommendations to the VA and Department of Defense to assess the data sources in its model for estimating the veteran population and its travel benefits policies for territory veterans.
Additional links: Full Report
Date: 05/2024
Sponsoring organization: Government Accountability Office
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Examines how the U.S. Department of Veterans Affairs (VA) estimates the population of veterans in the U.S. territories and freely associated states (FAS) to inform resource allocation and outreach needs. Describes how the Veterans Health Administration (VHA) monitors veterans' use of and access to healthcare services at VHA facilities in the U.S. territories. Discusses challenges veterans face in accessing VHA services in the U.S. territories and FAS and VA efforts to address these challenges. Offers recommendations to the VA and Department of Defense to assess the data sources in its model for estimating the veteran population and its travel benefits policies for territory veterans.
Additional links: Full Report
Date: 05/2024
Sponsoring organization: Government Accountability Office
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Oversight Hearing Titled, "Examining Public Safety and Justice Resources in Native Communities"
Recording of a hearing from U.S. Senate Committee on Indian Affairs discussing federal resources for public safety in tribal communities. Discusses drug-related crime, human trafficking, and violence and abuse. Includes testimony from Bryan Newland from the Department of the Interior, Patrice Kunesh from the Department of Health and Human Services, and Allison Randall from the Office of Violence Against Women. Captions included in the video player.
Additional links: Testimony of Allison Randall, Testimony of The Honorable Bryan Newland, Testimony of The Honorable Patrice Kunesh
Date: 05/2024
Sponsoring organization: Senate Committee on Indian Affairs
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Recording of a hearing from U.S. Senate Committee on Indian Affairs discussing federal resources for public safety in tribal communities. Discusses drug-related crime, human trafficking, and violence and abuse. Includes testimony from Bryan Newland from the Department of the Interior, Patrice Kunesh from the Department of Health and Human Services, and Allison Randall from the Office of Violence Against Women. Captions included in the video player.
Additional links: Testimony of Allison Randall, Testimony of The Honorable Bryan Newland, Testimony of The Honorable Patrice Kunesh
Date: 05/2024
Sponsoring organization: Senate Committee on Indian Affairs
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A Closer Look at the Final Nursing Facility Rule and Which Facilities Might Meet New Staffing Requirements
Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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