Rural Health
Resources by Type: Document
Migration in Rural Minnesota: A Nuanced Story
Discusses rural versus urban net migration patterns in different regions of Minnesota during the 2000s, the 2010s, and the COVID-19 pandemic era to 2025. Provides county-level maps and charts representing migration data according to Minnesota counties comprised of rural, town/rural, urban/town/rural mix, and entirely urban populations.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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Discusses rural versus urban net migration patterns in different regions of Minnesota during the 2000s, the 2010s, and the COVID-19 pandemic era to 2025. Provides county-level maps and charts representing migration data according to Minnesota counties comprised of rural, town/rural, urban/town/rural mix, and entirely urban populations.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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Study of the Feasibility and Desirability of Establishing a Delinquent Billing Reimbursement Grant System for Ambulance Service Providers - Survey Results & Overview
Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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Willingness of Older Adults to Travel for Medical Care
Presents results from a survey of 2650 adults aged 65 years and older on their willingness to travel for primary care, specialty care, and one-time diagnostic appointments. See Table 3 for metro-nonmetro data comparisons, among other demographic data breakdowns.
Author(s): Jeremy Burke, Tabasa Ozawa, Ying Liu, Wei Ye, Soeren Mattke
Citation: JAMA Network Open, 9(2), e2560280
Date: 02/2026
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Presents results from a survey of 2650 adults aged 65 years and older on their willingness to travel for primary care, specialty care, and one-time diagnostic appointments. See Table 3 for metro-nonmetro data comparisons, among other demographic data breakdowns.
Author(s): Jeremy Burke, Tabasa Ozawa, Ying Liu, Wei Ye, Soeren Mattke
Citation: JAMA Network Open, 9(2), e2560280
Date: 02/2026
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COVID-19: Federal Efforts to Support Behavioral Health Programs During the Pandemic
Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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Alaska Missed Opportunities to Protect American Indian and Alaska Native Children Missing from Foster Care
Examines the extent to which extent to which the Alaska Office of Children's Services (OCS) agency took required steps to protect American Indian and Alaska Native (AI/AN) children before, during, and after children went missing or ran away from foster care. Discusses the experiences of OCS and the children's Tribes in collaborating when children are missing from foster care. Offers recommendations for how the Administration and Children and Families can support Alaska improving compliance and addressing gaps presented in this report.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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Examines the extent to which extent to which the Alaska Office of Children's Services (OCS) agency took required steps to protect American Indian and Alaska Native (AI/AN) children before, during, and after children went missing or ran away from foster care. Discusses the experiences of OCS and the children's Tribes in collaborating when children are missing from foster care. Offers recommendations for how the Administration and Children and Families can support Alaska improving compliance and addressing gaps presented in this report.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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Reporting and Performance of Maternity-Related Quality Measures in Critical Access Hospitals
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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Multicounty Outbreak of Salmonella Agbeni Linked to Ice in a Cooler at a County Fair — Illinois, August 2024
Reports on a salmonella outbreak in Illinois that originated at a rural county fair. Describes how the outbreak was identified by the county sheriff during jury screening due to many in the jury pool being ill. Mentions the use of AI for hypothesis generation as a useful approach in this rural setting for situational awareness and early case finding.
Author(s): Katherine E. Houser
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(7), 93-97
Date: 02/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on a salmonella outbreak in Illinois that originated at a rural county fair. Describes how the outbreak was identified by the county sheriff during jury screening due to many in the jury pool being ill. Mentions the use of AI for hypothesis generation as a useful approach in this rural setting for situational awareness and early case finding.
Author(s): Katherine E. Houser
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(7), 93-97
Date: 02/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Association Between Social Determinants of Health and Cardiovascular Risk in Pregnant Women, United States
Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Model Standards for Crisis Care Workers
Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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