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Rural Health Information Hub

RHIhub This Week - April 22, 2026

As an information clearinghouse on rural health issues, RHIhub provides access to a wide range of resources on relevant topics. Inclusion on RHIhub does not imply endorsement of, or agreement with, the contents by RHIhub or the Health Resources and Services Administration.

Rural Monitor

Collaborating for Transportation Access in Rural Communities
by Allee Mead
With the help of the nonprofit Feonix – Mobility Rising, Waupaca County Catch a Ride in Wisconsin and the Transportation Rx program in South Texas are working to improve transportation in their rural communities and thus increase people's access to employment, healthcare, food, and other needs.

 Recently Added to the Online Library
 Information from around the web

Recent News

Strengthening Rural Healthcare Pathways Through the Community College System
Apr 21, 2026 -- Announces the Healthcare Career Guidance Hub Initiative from the Community College System of New Hampshire. The program will build pathways into healthcare careers for high school students in addition to offering career guidance, apprenticeships, job placement, credentialing, and other educational support. The initiative is funded with Rural Health Transformation Program money.
Source: The Concord Insider

Meet the Pennsylvania Medics Who Try To Keep You Out of the Hospital
Apr 20, 2026 -- Profiles Lancaster County's community paramedicine program, an initiative that serves about 1,000 people a month. Pennsylvania officials want to expand it to rural communities with few medical providers and elder care services.
Source: Evening Sun

New Rural Funding Can Support Accountable Care Through Data And Digital Investments
Apr 20, 2026 -- Examines ways in which rural communities can create accountable care programs, using funds from the Rural Health Transformation Program. Notes that rural areas have tighter social networks, clearer referral pathways, and fewer competing delivery systems, which can support accountable care after infrastructure is in place.
Source: Health Affairs

UnitedHealthcare Eliminates Most Medical Prior Authorizations, Accelerates Payments for Key Rural Care Hospitals and Providers Nationwide
Apr 20, 2026 -- A private insurance company has announced a pilot program that exempts many rural providers from most prior authorization requirements, increases payment speeds, and introduces a hub-and-spoke model of care to connect rural communities with regional expertise. The program, initially available in 4 states, is expanding to an additional 5 states now.
Source: UnitedHealth Group Newsroom

Rural U.S. Bears Heaviest Burden Accessing Dental Care
Apr 17, 2026 -- Researchers from Harvard have found that millions of Americans face serious barriers to dental care, and the barriers are especially severe in rural areas. Rural patients face considerably longer travel times, especially for specialty dental care.
Source: The Harvard Gazette

When the Grocery Store Closed, a Town Lost More Than Food
Apr 16, 2026 -- A study from Pennsylvania State University examines how the loss of everyday locations such as grocery stores, pharmacies, primary care clinics, schools, and churches may affect health. The authors focus on a rural township in Pennsylvania and argue that such places act as health infrastructure, particularly in rural areas.
Source: Population Reference Bureau

Funding & Opportunities

Appalachian Investments Supporting Partnerships In Recovery Ecosystems (INSPIRE) Initiative
Funding to assist in moving individuals in the Appalachian region from substance use disorder treatment to recovery to employment, with a focus on support services that enable and support individual successful entry or reentry into the workforce.
Geographic coverage: Available in specific counties in 13 states.
Letter of Intent (Required): May 12, 2026
Application Deadline: Jun 15, 2026
Sponsor: Appalachian Regional Commission


Rural Law Enforcement Violent Crime Reduction Initiative
Grants to support local law enforcement in rural jurisdictions to prevent, respond to, and reduce violent crime. The goal is to equip rural law enforcement agencies and prosecutor offices with the resources necessary to implement a violent crime reduction strategy to solve a specific violent crime challenge.
Geographic coverage: Nationwide
Application Deadline: May 27, 2026
Sponsors: Bureau of Justice Assistance, U.S. Department of Justice


Veterans Affairs Specialty Education Loan Repayment Program (SELRP)
Loan repayment assistance for recent graduates of an accredited medical or osteopathic school who are currently enrolled or matched to a residency specialty identified as a shortage by the U.S. Department of Veterans Affairs. A minimum service obligation of 24 months is required.
Geographic coverage: Nationwide
Application Deadline: May 31, 2026
Sponsor: U.S. Department of Veterans Affairs


Farmers Market Promotion Program (FMPP)
Grants to support the development, coordination, and expansion of direct producer-to-consumer markets to increase access to and availability of locally and regionally produced agricultural products.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jun 5, 2026
Sponsors: U.S. Department of Agriculture, USDA Agricultural Marketing Service


Regional Food System Partnership (RFSP)
Grants to support partnerships that connect public and private resources to plan and develop local and regional food systems.
Geographic coverage: Nationwide
Application Deadline: Jun 5, 2026
Sponsors: U.S. Department of Agriculture, USDA Agricultural Marketing Service

Resources

2025 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the September-November 2025 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; median swing bed admissions and swing bed length of stay; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; CAH quality payment model participation; and CAH quality improvement topic priorities.
Sponsoring organization: Flex Monitoring Team
Date: 04/2026


Agricultural Injuries With Dementia: Double Whammy?
Analyzes dementia and injury data to identify trends in injury mechanisms and severity among 251,910 adults over 60 in both the agricultural and nonagricultural population. Compares 3 groups of people: those with an agricultural injury and a dementia diagnosis, those with an agricultural injury and no dementia diagnosis, and those with a dementia diagnosis but no agricultural injury.
Author(s): Kanika Arora, Jonathan Davis, Lila B. Basnet, Julie Bobitt
Location: American Journal of Industrial Medicine, 2026
Date: 04/2026


April 2026 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2026 meeting. Covers community engagement requirements in Medicaid, state and federal tools for ensuring accountability of Medicaid managed care plans, the role of the state Medicaid agency in the Program of All-Inclusive Care for the Elderly (PACE), pharmacy benefit managers and Medicaid, and more. Includes rural references throughout.
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
Date: 04/2026


Comparing the Care and Distance Traveled by Rural and Urban Children and Adolescents with Medicaid Insurance and Opioid Use Disorder
Presents a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and enrolled in Medicaid in 2019. Discusses the effects of rurality, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Sponsoring organization: WWAMI Rural Health Research Center
Date: 04/2026


National Trends in the Potentially Preventable Hospitalization for Pediatric Asthma, 2016-2020
Describes the trends in potentially preventable hospitalizations for asthma among children 2 to 17 years old between 2016 and 2020. Presents data on the rate of potentially preventable hospitalizations for pediatric asthma by hospital characteristics and patient demographics, including the rural classification of hospitals and patient residence.
Sponsoring organization: Southwest Rural Health Research Center
Date: 04/2026


Notes from the Field: Tetanus in Four Children — Idaho, Minnesota, Missouri, and Wisconsin, 2024
Reports on four cases of tetanus in children who had not completed a primary tetanus toxoid–containing vaccine (TTCV) series and did not receive TTCV or tetanus immunoglobulin (TIG) after exposure and before illness onset. Two of the four children lived in nonmetro areas.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 75(14), 192-193
Date: 04/2026


Overcoming Challenges with Rural-Related Health Data: Lessons Learned from Published Studies
Offers a systematic review of peer-reviewed, rural health-related studies published between 2019-2022. Identifies strategies that could help address challenges related to rural data.
Sponsoring organization: ETSU/NORC Rural Health Research Center
Date: 04/2026


Peer Recovery Supports for Behavioral Health in Rural Communities
Discusses behavioral health peer recovery support services in rural and agricultural communities. Highlights innovative and promising practices for overcoming behavioral health barriers, such as addressing stigma, social isolation, and scarcity of services through community and peer supports.
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 04/2026


Review of Current Research Describing the Influence of Social Determinants of Health in Rural and Urban Populations
Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Sponsoring organization: Rural and Underserved Health Research Center
Date: 04/2026


Rural Residence and Mental Health among US Veterans: Findings from the Millennium Cohort Study
Details a study on the effect rurality, social vulnerability, drive time from Veterans Health Administration (VHA) facilities, and VHA utilization have on the mental health of rural veterans. Breaks down data by participants' age, education, and military service, among other measures.
Author(s): Claire A. Kolaja, Javier Villalobos, Julia Seay, et al.
Location: PLOS One, 21(4), e0346780
Date: 04/2026


Rural-Urban Variation in Opioid Use Disorder Treatment Access among Commercially Insured Children and Adolescents
Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Sponsoring organization: WWAMI Rural Health Research Center
Date: 04/2026


State Action to Improve Maternal & Child Health with the Rural Health Transformation Program: Virtual Convening of Milbank State Leadership Network Recap
Summarizes a March 2026 meeting for state legislators and executive branch leaders regarding how states are planning to use the Rural Health Transformation Program (RHTP) to address maternal and child health. Describes early implementation strategies presented by leaders from Mississippi, Indiana, and Oklahoma. Discusses how states are aligning funding, infrastructure, and community partnerships to expand access to care and improve outcomes.
Sponsoring organization: Milbank Memorial Fund
Date: 04/2026


Working on Wellness: The Rural Health and Employment Link
Examines the relationship between rural population health outcomes and employment security. Provides data on labor force participation, life expectancy, unhealthy days, and disability rates across the rural-urban continuum. Discusses metro versus nonmetro differences in workplace hazards and physical exertion.
Sponsoring organization: Federal Reserve Bank of Richmond
Date: 2026

Open Calls for Contributions

Call for Proposals: 2026 National Alliance for Care at Home Annual Meeting & Exposition
Deadline: May 29, 2026
National Alliance for Care at Home
Event Dates: Oct 27 - 30, 2026
Washington, DC
Conference Website

Upcoming Events

Apr
23
Farm Security and National Resilience: Public Perceptions and Opportunities for Extension
Virtual
Apr 23, 1:00 p.m. Eastern
Southeastern Coastal Center for Agricultural Health and Safety
Apr
30
Digging into the Data: Exploring the New Medicaid Home Care Chartbook
Virtual
Apr 30, 2:00 p.m. Eastern
National Alliance for Care at Home
May
4
Sustaining Rural Labor & Delivery Programs: Strategies & Considerations
Virtual
May 4, 3:00 p.m. Eastern
Flex Monitoring Team
May
4-6
2026 Oregon Tribal Behavioral Health Summit
In-Person
May 4 - 6
Confederated Tribes of the Umatilla Indian Reservation, Oregon Health Authority, Yellowhawk Tribal Health Center
May
5
Reflections and Pathways Forward on MMIWR, Domestic Violence, and Native Maternal Health
Virtual
May 5, 12:00 p.m. Eastern
National Indigenous Women's Resource Center
May
12-14
2026 National Health Outreach and Engagement Conference
In-Person
May 12 - 14
Utah State University Extension
St. George, UT
May
13
Measuring What Matters: Linking Community Assets, Vitality, and Well-Being
Virtual
May 13, 2:00 p.m. Eastern
North Central Regional Center for Rural Development
May
13
National Healthcare Safety Network (NHSN) Antimicrobial Use (AU) Option 2023 SAAR Rebaseline: Information for Critical Access Hospitals
Virtual
May 13, 2:00 p.m. Eastern
Rural Quality Improvement Technical Assistance (RQITA) Resource Center
May
13-14
CMS/ITU Outreach and Education Training - Navajo Region
In-Person
May 13 - 14
Centers for Medicare & Medicaid Services, National Indian Health Board
Flagstaff, AZ
May
18-19
2026 31st NRHA Health Access Conference
In-Person
May 18 - 19
National Rural Health Association
San Diego, CA
May
19
2026 Rural Medical Education Conference
In-Person
May 19
National Rural Health Association
San Diego, CA
May
19-22
2026 11th Annual Rural Hospital Innovation Summit
In-Person
May 19 - 22
National Rural Health Association
San Diego, CA
May
19-22
2026 49th Annual NRHA Rural Health Conference
In-Person
May 19 - 22
National Rural Health Association
San Diego, CA
May
21
Collaborative Learning Opportunity for States Interested in Rural Payment and Delivery Reform
Virtual
May 21, 2:00 p.m. Eastern
Mathematica, National Academy for State Health Policy, Rural Health Redesign Center
May
21
The Invisible Toll: Trauma and Stress in Worker and Employer Wellness
Virtual
May 21, 10:00 a.m. Eastern
Southeastern Coastal Center for Agricultural Health and Safety
Jun
9-10
2026 Annual Rocky Mountain Tribal Leaders Council Journey Through Resiliency Conference
In-Person
Jun 9 - 10
Rocky Mountain Tribal Leaders Council
Missoula, MT
Jun
10
From Evidence to Practice: Contingency Management for the Treatment of Stimulant and Other Substance Use Disorders
Virtual
Jun 10, 12:00 p.m. Eastern
University of Vermont Center on Rural Addiction
Jun
10
Healthy Native Youth Community of Practice: Introducing Native It's Your Game 3.0
Virtual
Jun 10, 10:00 a.m. Pacific
Healthy Native Youth, Northwest Portland Area Indian Health Board
Jun
10
Rural Summer Meals Webinar Series: Home Delivery Models and How They Could Work for Your Community
Virtual
Jun 10, 3:00 p.m. Eastern
No Kid Hungry
Jun
10-11
2026 Montana Frontier Healthcare Conference
In-Person
Jun 10 - 11
HIMSS Montana Chapter, Montana Health Network
Billings, MT
Jun
11
Preventing Suicide Among American Indian and Alaska Native Service Members, Veterans, and their Families - Session #4
Virtual
Jun 11, 2:00 p.m. Eastern
SAMHSA Service Members, Veterans, and their Families Technical Assistance Center
Jun
14-17
2026 NCAI Mid Year Convention
In-Person
Jun 14 - 17
National Congress of American Indians
Memphis, TN
Jun
15-16
Physician-Focused Payment Model Technical Advisory Committee (PTAC) Meeting
Virtual
Jun 15 - 16
HHS Office of the Assistant Secretary for Planning and Evaluation
Jun
15-17
2026 Annual USET Tribal Best Practices Conference
In-Person
Jun 15 - 17
United South and Eastern Tribes, Inc. (USET)
Nashville, TN
Jun
18
2026 IHA Small & Rural Hospitals Annual Meeting
In-Person
Jun 18
Illinois Health and Hospital Association
Springfield, IL

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