Rural Health
Resources by Topic: Policy
State Actions to Build the Behavioral Health Crisis Continuum
Toolkit features a continuum of behavioral health crisis services and supports and discusses the strategies for program planning and development for state officials and agencies. Highlights models and resources for core components such as regional call centers, mobile crisis teams, and stabilization facilities, among others. Also includes crisis care principles, such as peer supports, law enforcement partnerships, and rural and frontier delivery challenges.
Author(s): Rebekah Falkner, Laura Galbreath, Sandra Wilkniss
Date: 12/2023
Sponsoring organization: National Academy for State Health Policy
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Toolkit features a continuum of behavioral health crisis services and supports and discusses the strategies for program planning and development for state officials and agencies. Highlights models and resources for core components such as regional call centers, mobile crisis teams, and stabilization facilities, among others. Also includes crisis care principles, such as peer supports, law enforcement partnerships, and rural and frontier delivery challenges.
Author(s): Rebekah Falkner, Laura Galbreath, Sandra Wilkniss
Date: 12/2023
Sponsoring organization: National Academy for State Health Policy
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Oversight Hearing titled, "Fentanyl in Native Communities: Federal Perspectives on Addressing the Growing Crisis"
Recording of a Congressional hearing addressing fentanyl among Native communities. Includes testimony from federal officials discussing previous efforts and future priorities for solving the opioid crisis. Subtitles available in the video player.
Additional links: Adam W. Cohen Testimony, Glen Melville Testimony, The Honorable Roselyn Tso Testimony, The Honorable Vanessa Waldref Testimony
Date: 12/2023
Sponsoring organization: Senate Committee on Indian Affairs
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Recording of a Congressional hearing addressing fentanyl among Native communities. Includes testimony from federal officials discussing previous efforts and future priorities for solving the opioid crisis. Subtitles available in the video player.
Additional links: Adam W. Cohen Testimony, Glen Melville Testimony, The Honorable Roselyn Tso Testimony, The Honorable Vanessa Waldref Testimony
Date: 12/2023
Sponsoring organization: Senate Committee on Indian Affairs
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Addressing the Direct Care Workforce Shortage: A Bipartisan Call to Action
Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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The Need for Better Definitions and Data on "Rural" in Health Services Research
Blog post discussing the various definitions of rural used by the federal government. Describes how the different definitions of rural can complicate understanding health disparities between and within rural areas. Offers policy recommendations for standardizing rural definitions, data collection, and research methodologies to improve population health.
Author(s): Kayla Alvis
Date: 12/2023
Sponsoring organization: AcademyHealth
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Blog post discussing the various definitions of rural used by the federal government. Describes how the different definitions of rural can complicate understanding health disparities between and within rural areas. Offers policy recommendations for standardizing rural definitions, data collection, and research methodologies to improve population health.
Author(s): Kayla Alvis
Date: 12/2023
Sponsoring organization: AcademyHealth
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Support for Healthy Eating and Active Living in Rural Communities: Insights from a National Survey of Local Governments
Analyzes local government policies that support wellness, healthy eating, and physical activity in metro versus nonmetro areas. Utilizes Community Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL) data to compare government structures, master plans, built environment policies, transit options, supportive food access policies, and more.
Author(s): Adee Athiyaman
Date: 12/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Analyzes local government policies that support wellness, healthy eating, and physical activity in metro versus nonmetro areas. Utilizes Community Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL) data to compare government structures, master plans, built environment policies, transit options, supportive food access policies, and more.
Author(s): Adee Athiyaman
Date: 12/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Geographic Variations in Driving Time to U.S. Mental Health Care, Digital Access to Technology, & Household Crowdedness
Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N. D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N. D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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School Meals and Other Child Nutrition Programs: Background and Funding
Provides an overview of federal child nutrition programs, including the National School Lunch Program (NSLP), School Breakfast Program (SBP), Child and Adult Care Food Program (CACFP), and Summer Food Service Program (SFSP), among others. Includes information on reimbursement rates for rural SFSP meal sites, as well as brief mentions of rural and tribal demonstration programs.
Date: 12/2023
Sponsoring organization: Congressional Research Service
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Provides an overview of federal child nutrition programs, including the National School Lunch Program (NSLP), School Breakfast Program (SBP), Child and Adult Care Food Program (CACFP), and Summer Food Service Program (SFSP), among others. Includes information on reimbursement rates for rural SFSP meal sites, as well as brief mentions of rural and tribal demonstration programs.
Date: 12/2023
Sponsoring organization: Congressional Research Service
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Safe Driving in Tribal Communities: What can Tribal Governments and Health Professionals Do?
Fact sheet on strategies and policies tribal governments and health professionals can adopt to reduce motor vehicle crash injuries and deaths in tribal communities. Discusses seat belts, teen drivers, car seats, alcohol-impaired driving, and more.
Date: 11/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Fact sheet on strategies and policies tribal governments and health professionals can adopt to reduce motor vehicle crash injuries and deaths in tribal communities. Discusses seat belts, teen drivers, car seats, alcohol-impaired driving, and more.
Date: 11/2023
Sponsoring organization: Centers for Disease Control and Prevention
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2023 March of Dimes Report Card: The State of Maternal and Infant Health for American Families
Provides information on U.S. and state-level maternal and infant health outcomes. Considers issues such as preterm birth, infant mortality rate, access to health care, policy efforts, social determinants of health, and more. Includes county-level grades of maternal vulnerability.
Date: 11/2023
Sponsoring organization: March of Dimes
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Provides information on U.S. and state-level maternal and infant health outcomes. Considers issues such as preterm birth, infant mortality rate, access to health care, policy efforts, social determinants of health, and more. Includes county-level grades of maternal vulnerability.
Date: 11/2023
Sponsoring organization: March of Dimes
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Health Panel Comment Letter - Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting Proposed Rule
Comments offered in response to a September 6, 2023, proposed rule regarding minimum nurse staffing standards for long-term care facilities. Discusses considerations for the implementation timeline and including licensed practical nurses in the proposed staffing ratios and standards, the definition of rural utilized in the proposed rule to identify rural facilities, and conditions for hardship exemption eligibility.
Date: 11/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a September 6, 2023, proposed rule regarding minimum nurse staffing standards for long-term care facilities. Discusses considerations for the implementation timeline and including licensed practical nurses in the proposed staffing ratios and standards, the definition of rural utilized in the proposed rule to identify rural facilities, and conditions for hardship exemption eligibility.
Date: 11/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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