Rural Health Policy – Resources
Selected recent or important resources focusing on Rural Health Policy.
The Effectiveness of Policies to Improve Primary Care Access for Underserved Populations: An Assessment of the Literature
Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Aging in Place in Rural America: Challenges, Opportunities, and Policy Initiatives
Webinar presenting results from studies investigating challenges, opportunities, and policy implications for older adults who are aging in place in rural areas. Examines nationally-representative survey data, offers a content analysis of state-level policies and initiatives, and describes a survey of representatives of state offices of rural health. Features statistics showing differences among rural and urban older adults in areas including educational attainment, income, housing type and ownership, unmet mobility needs, and social cohesion.
Additional links: Presentation Slides, Transcript
Author(s): Carrie Henning-Smith, Megan Lahr
Date: 01/2022
Type: Video/Multimedia
Sponsoring organizations: Rural Health Research Gateway, University of Minnesota Rural Health Research Center
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Webinar presenting results from studies investigating challenges, opportunities, and policy implications for older adults who are aging in place in rural areas. Examines nationally-representative survey data, offers a content analysis of state-level policies and initiatives, and describes a survey of representatives of state offices of rural health. Features statistics showing differences among rural and urban older adults in areas including educational attainment, income, housing type and ownership, unmet mobility needs, and social cohesion.
Additional links: Presentation Slides, Transcript
Author(s): Carrie Henning-Smith, Megan Lahr
Date: 01/2022
Type: Video/Multimedia
Sponsoring organizations: Rural Health Research Gateway, University of Minnesota Rural Health Research Center
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ASTHO Legislative Prospectus: Rural Health
Discusses legislative trends to support rural healthcare access and facilities. Includes information on developing loan repayment programs for medical providers in rural areas, supporting behavioral healthcare, expanding telehealth, and creating broadband infrastructure.
Date: 12/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Discusses legislative trends to support rural healthcare access and facilities. Includes information on developing loan repayment programs for medical providers in rural areas, supporting behavioral healthcare, expanding telehealth, and creating broadband infrastructure.
Date: 12/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Public Health Forward: Modernizing the U.S. Public Health System
Provides a framework for policymakers and public health officials to guide investments and decision-making to implement a public health system to address challenges beyond the COVID-19 pandemic with a focus on equity. Covers six core areas: financing, laws and governance, community engagement, partnerships, workforce, and data and information technology. Highlights challenges and considerations for rural communities and Tribal nations throughout.
Date: 12/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Provides a framework for policymakers and public health officials to guide investments and decision-making to implement a public health system to address challenges beyond the COVID-19 pandemic with a focus on equity. Covers six core areas: financing, laws and governance, community engagement, partnerships, workforce, and data and information technology. Highlights challenges and considerations for rural communities and Tribal nations throughout.
Date: 12/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Infrastructure Investment and Jobs Act: Funding for USDA Rural Broadband Programs
Provides an overview of funding included in the Infrastructure Investment and Jobs Act (P.L. 117-58) for two rural broadband-related programs: the ReConnect Program and the Rural Broadband Program. Compares administrative provisions and requirements for the ReConnect Program with requirements for previous rounds of funding.
Date: 11/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of funding included in the Infrastructure Investment and Jobs Act (P.L. 117-58) for two rural broadband-related programs: the ReConnect Program and the Rural Broadband Program. Compares administrative provisions and requirements for the ReConnect Program with requirements for previous rounds of funding.
Date: 11/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Medicare: Information on the Transition to Alternative Payment Models by Providers in Rural, Health Professional Shortage, or Underserved Areas
Describes the participation of providers in rural and health professional shortage areas in Advanced APMs from 2017 through 2019. Discusses challenges providers in rural, shortage, and underserved areas face in transitioning to APMs, as well as actions CMS takes to help these providers transition to APMs. Includes data by practice and provider type.
Additional links: Full Report
Date: 11/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the participation of providers in rural and health professional shortage areas in Advanced APMs from 2017 through 2019. Discusses challenges providers in rural, shortage, and underserved areas face in transitioning to APMs, as well as actions CMS takes to help these providers transition to APMs. Includes data by practice and provider type.
Additional links: Full Report
Date: 11/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Rural Emergency Hospital: Policy Brief and Recommendations to the Secretary
Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Caring for America: Legislation to Support Patients, Caregivers, and Providers
Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Health Workforce Strategic Plan
Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural Carve-Out Funding
Policy brief discussing rural health funding inequities and the potential to target federal funding to rural and underserved communities to improve community-level health behaviors, workforce, technology, and financial resources. Offers policy recommendations to improve the equitable distribution of federal funding and promote best practices.
Author(s): Michael Meit, Crystal Barter, Sally Buck, Mark Woodring
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief discussing rural health funding inequities and the potential to target federal funding to rural and underserved communities to improve community-level health behaviors, workforce, technology, and financial resources. Offers policy recommendations to improve the equitable distribution of federal funding and promote best practices.
Author(s): Michael Meit, Crystal Barter, Sally Buck, Mark Woodring
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Last Updated: 3/6/2024