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Rural Health Information Hub

RHIhub This Week - October 7, 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.

Exploring Rural Health Podcast

Behavioral Health's Place in the Alaskan Health Aide Workforce, with Xiomara Owens and Tonya Horn
Check out our latest episode featuring Xiomara Owens, PhD, Director of Behavioral Health Aide Training at the Alaska Native Tribal Health Consortium, and Tonya Horn, PhD, Director of Research and Evaluation in the Behavioral Health Program at the Western Interstate Commission for Higher Education. They share an overview of the network of health aides providing care for rural Alaskans, focusing on the role played by Behavioral Health Aides.

 Recently Added to the Online Library
 Information from around the web

Recent News

Missouri Independent Hospitals Seek Strength in Numbers with New Clinically Integrated Network
Oct 7, 2026 -- Describes the benefits of clinically integrated networks for rural independent hospitals and highlights the Show-Me High Value Network in Missouri.
Source: HealthLeaders Media

An Ambitious Financial Experiment Tried to Support Struggling Rural Hospitals in Pa. For Years. Did It Work?
Oct 6, 2026 -- Discusses the mixed results of the Pennsylvania Rural Health Model, an experimental payment structure program that aimed to stabilize the finances of rural hospitals. Explores what worked and what did not, how the COVID-19 pandemic impacted the program, lessons learned about rural hospital reimbursement, and how community resources and services can impact hospital stability.
Source: WHYY

A Surgeon Shortage Creates Challenges in Rural Communities
Oct 5, 2026 -- Discusses recent research finding surgeon workforce shortages in rural communities. Notes that one driver of the shortage is surgeon training not meeting the workforce demand.
Source: The Week

Coordinating State Services to Address the Needs of Aging Residents
Oct 1, 2026 -- Discusses using multi-sector plans for aging (MPAs) to coordinate services for residents as they age. Notes challenges for rural residents in accessing services, how the Utah MPA addresses rural transportation, and using Rural Health Transformation Program funds for aging care.
Source: National Conference of State Legislatures

Federal Register

NHTSA: Request for Information: Nationwide Implementation of Prehospital Blood Transfusion
Oct 6, 2026 -- Notice from the National Highway Traffic Safety Administration (NHTSA), on behalf of the Federal Interagency Committee on Emergency Medical Services (FICEMS), seeking comments on the nationwide implementation of prehospital blood transfusion. Specifically, NHTSA seeks comments on strategies, barriers, and solutions to advance prehospital blood transfusion capabilities across state, local, tribal, and territorial emergency medical services (EMS) and 911 systems. Includes questions to which NHTSA is seeking responses. Comments are due by November 5, 2026.
Source: Federal Register

CMS: Global Benchmark for Efficient Drug Pricing (GLOBE) Model
Oct 2, 2026 -- Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) implementing the Global Benchmark for Efficient Drug Pricing Model (GLOBE Model), a new Medicare payment model under section 1115A of the Social Security Act. The GLOBE Model would test whether a payment model that uses an alternative method for calculating Part B inflation rebate amounts for certain separately payable Part B drugs and biological products reduces costs for Original Medicare fee-for-service (FFS) beneficiaries and the Medicare program while preserving quality of care. This rule also summarizes and responds to comments received on the December 23, 2025, proposed rule, including the potential impact of this model on small rural hospitals. These regulations are effective November 30, 2026.
Source: Federal Register

Funding & Opportunities

VA Pilot Program for Graduate Medical Education and Residency (PPGMER)
Reimbursement funding to establish new residency programs by facilities operated by Indian Health Service (IHS), Indian Tribes, tribal organizations, Federally Qualified Health Centers (FQHCs), Department of War (DoW), and other healthcare facilities located in areas designated as underserved by VA, including rural and frontier areas.
Geographic coverage: Nationwide
Application Deadline: Nov 30, 2026
Sponsor: U.S. Department of Veterans Affairs


Emergency Medicine Foundation Pilot Research Grant
Funding for pilot projects that impact emergency care research and are intended for a broad audience, including clinical, translational, and basic science researchers. One of the program priorities is research focused on rural and underserved areas.
Geographic coverage: Nationwide
Application Deadline: Dec 10, 2026
Sponsor: Emergency Medicine Foundation


Rural Grocery Specialist Program
A training for resource professionals to better support rural grocers through business transition. The Rural Grocery Initiative works to support healthy food options, jobs, local tax base, and attraction/retention of residents in rural communities.
Geographic coverage: Nationwide
Application Deadline: Jan 11, 2027
Sponsor: Rural Grocery Initiative


Drinking Water State Revolving Fund (DWSRF)
A federal-state partnership that provides funding and technical assistance to help water systems and states achieve the health protection objectives of the Safe Drinking Water Act.
Geographic coverage: Nationwide and U.S. territories
Applications accepted on an ongoing basis
Sponsor: U.S. Environmental Protection Agency


SEARCH - Special Evaluation Assistance for Rural Communities and Households
Funding for financially distressed rural communities of 2,500 or less people to assist with feasibility studies, design assistance, and technical assistance on water and waste disposal projects.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Agriculture, USDA Rural Development


USDA Community Facilities Guaranteed Loan Program
Loans from eligible private lenders, guaranteed by USDA, to help build essential community facilities in rural areas.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Agriculture, USDA Rural Development


Virtual Living Room - Using Technology to Address the Critical Healthcare Needs of Veterans in Rural Areas
A grant program that combines rural technology, U.S. Department of Veterans Affairs resources, and local support to provide solutions to improve healthcare access for veterans in rural areas.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: Foundation for Rural Service, NTCA: The Rural Broadband Association, U.S. Department of Veterans Affairs

Resources

2025 Merit-based Incentive Payment System (MIPS) Performance Feedback FAQs for Small Practices
Provides answers to frequently asked questions about the 2025 Merit-based Incentive Payment System (MIPS) performance feedback for small practices. Includes information on how to access and navigate performance feedback, as well as performance category reweighting and redistribution.
Sponsoring organization: Centers for Medicare & Medicaid Services
Date: 09/2026


2026 National Veteran Suicide Prevention Annual Report
Report highlights the rate of suicide among veterans and the VA's role in suicide prevention. Discusses the risk factors for veteran suicide and the steps the VA is taking for suicide prevention. Breaks down rates of suicide by sex, contact with the VHA, and rurality, among other factors.
Sponsoring organization: U.S. Department of Veterans Affairs
Date: 09/2026


AI Primer: A Guide for Rural Health Networks
Discusses practical applications of AI (artificial intelligence) for rural healthcare network administration and operations.
Sponsoring organizations: Georgia Health Policy Center, JBS International
Date: 08/2026


Availability of Real-Time Prescription Benefit Information Among U.S. Hospitals
Describes the availability of real-time prescription benefit (RTPB) information across U.S. hospitals in 2025. Presents data and analysis on RTPB information availability by hospital type, including Critical Access Hospital (CAH) designation, rural location, system affiliation, Accountable Care Organization (ACO) participation, ownership status, and more.
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 09/2026


Geographic Accessibility of Burn Centers in the United States
Examines access to burn centers in the contiguous U.S. according to geography and community income. Analyzes location of burn centers by region and rurality and includes county-level maps showing median household income as well as distance and drive time to nearest burn center.
Author(s): Philong Nguyen, Joshua Wang, Yousef Tanas, et al.
Location: JAMA Network Open, 9(9), e2636854
Date: 09/2026


HIV Care and Treatment in Rural Communities: HRSA's Ryan White HIV/AIDS Program, 2024
Fact sheet providing an overview of the Ryan White HIV/AIDS Program in rural areas for the year 2024. Presents statistics on services delivered, impact, and client characteristics, and describes available resources.
Sponsoring organization: HRSA HIV/AIDS Bureau
Date: 09/2026


Power of Partnerships Between Health Centers & Rural Hospitals
Provides a brief overview of the rural healthcare landscape. Presents case studies describing partnerships between health centers and rural hospitals in New Hampshire, North Dakota, and Pennsylvania that aim to strengthen access, improve outcomes, and build long-term sustainability. Identifies key themes and actionable strategies that can be adapted across rural communities.
Additional links: Case Studies at a Glance, July 2026
Sponsoring organizations: Impact! Communications, Inc., National Association of Community Health Centers
Date: 09/2026


Preparing for a Federal Grant: A Small Community Case Study
A recorded webinar that provides a case study about a small community in rural Kansas and its management of a federal grant to build safe water infrastructure. Focuses on creating partnerships, utilizing technical assistance, coordinating with stakeholders, and increasing local capacity. Discusses strategies to assist small, rural communities in successfully preparing for and implementing federal grants.
Sponsoring organization: Environmental Finance Center Network
Date: 08/2026


Regional Highlights: Changes in Hospital-Based Obstetric Care in the US, 2010-2024
Describes changes in availability of obstetric services at hospitals in the 4 U.S. census regions, including hospitals that lost obstetric services and the percentage of all hospitals without obstetric services. Features statistics with breakdowns by urban and rural areas.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 10/2026


Rural and Urban Differences in the Trends in Supply of Home Care Workers From 2015 to 2024
Examines how the supply of direct care workers varies by rural or urban location using 2015-2024 American Community Survey data. Includes data comparisons by pre-pandemic, pandemic, and post-pandemic periods.
Author(s): Diogo Miguel Goncalves Fortes, Katherine Miller
Location: Journal of Applied Gerontology
Date: 10/2026


Rural Health Transformation Program: Early Implementation Actions and Monitoring Plans
Provides an overview of actions taken by the Centers for Medicare & Medicaid Services (CMS) to establish the Rural Health Transformation (RHT) Program, including how state applications were reviewed and scored; how CMS plans to determine future funding allotments; and the circumstances under which CMS may withhold, reduce, or recover a state's funding. Describes how CMS plans to monitor state RHT Program activities.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 10/2026


Rural Health Workforce Challenges and the Role of Networks
Describes the national rural health workforce shortage and challenges related to the recruitment and retention of healthcare providers in rural areas. Discusses strategies rural health networks can take to address workforce shortages, including health professions pipelines and a recruitment and retention framework.
Sponsoring organization: Georgia Health Policy Center
Date: 07/2026


"Rural Public Health Success Stories from the Field" Webinar Series
Webinar series focused on public health best practices, success stories, and initiatives that impact population health in rural communities.
Sponsoring organization: CDC Office of Rural Health

Scope of Practice Laws Affecting Team-Based Heart Disease Care in Rural America: Policy Challenges and Opportunities
Evaluates how scope of practice laws influence team-based heart disease care and reimbursement via legal analysis of a variety of health professions and service categories across 11 states and 2 federal healthcare systems, and highlights health policy opportunities to strengthen team-based care. Discusses how team-based care can address rural workforce shortages and improve access to care.
Author(s): Jeff Lane, Signe Burchim, Amanda Li, et al.
Location: Journal of the American Heart Association
Date: 09/2026


September 2026 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2026 meeting. Covers community engagement requirements in Medicaid, state directed payments and healthcare-related taxes, a comparison of an updated inpatient hospital payment index across states, utilization management for medications for opioid use disorder (MOUD) in Medicaid, and Medicaid coverage of assistive technology for adults, among other things. Includes rural references throughout.
Additional links: Medicaid Coverage of Assistive Technology for Adults: Data Analysis and Stakeholder Interviews
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
Date: 09/2026


State Midwifery Full Practice Authority Policies and Midwife-Attended Births among Rural and Urban U.S. Residents
Analyzes how the implementation of state policies providing full practice authority to midwives was associated with the percentage of midwife-attended births in rural and urban areas between 2007 and 2023, using CDC WONDER data. Compares rates of midwife-attended births among states with and without full practice authority and those that passed policies during the study period.
Author(s): Clara E. Busse, Emily C. Sheffield, Caitlin Carroll, et al.
Location: Women's Health Issues, 36(5), 436-443
Date: 07/2026


Teaching Health Center Graduate Medical Education Program: Academic Year 2024-2025
Summarizes outcomes of grantee programs and residents who received Teaching Health Center Graduate Medical Education (THCGME) support during the 2024-2025 academic year. Also presents select multi-year outcomes for the program. Features statistics including the number of disadvantaged or rural residents, and percentages of THCGME clinical training site settings, with breakdowns by rural area and medically underserved communities.
Sponsoring organization: National Center for Health Workforce Analysis

Technology and Caregiver Navigation: Key Insights for Aging Network Professionals
Describes technology use in caregiver navigation services across the aging network. Discusses benefits, challenges, and the emerging use of artificial intelligence. Notes rural concerns related to broadband access and evaluating access and outcomes.
Sponsoring organization: USAging
Date: 09/2026


Telehealth and Federally Qualified Health Centers
Provides an overview of state policies relating to Medicaid fee-for-service coverage and reimbursement of telehealth services at Federally Qualified Health Centers (FQHCs) as of May 2026. Includes state-by-state information on FQHC eligibility for reimbursement for being originating and distant sites, store-and-forward services, audio-only services, remote patient monitoring, and more.
Sponsoring organization: National Association of Community Health Centers
Date: 09/2026

Open Calls for Contributions

Call for Speakers: 2027 NARHC Spring Institute
Deadline: Oct 16, 2026
National Association of Rural Health Clinics
Event Dates: Apr 26 - 28, 2027
Salt Lake City, UT
Conference Website

Upcoming Events

Oct
8
Utah RHTP Meeting: Value-Based Care in Rural Health Transformation Grant
Virtual
Oct 8, 1:00 p.m. Mountain
Rural Health Association of Utah
Oct
15
New York QPR Suicide Prevention Training
In-Person
Oct 15, 5:30 - 7:30 p.m. Eastern
Madison County Rural Health Council, New York State Association for Rural Health
Cazenovia, NY
Oct
16
2026 18th Annual Rural Tobacco Summit
In-Person
Oct 16
Suwannee River Area Health Education Center
Ocala, FL
Oct
16
2026 Eastern North Carolina Trauma Symposium
In-Person, Virtual
Oct 16
East Carolina University Brody School of Medicine, ECU Health, North Carolina Area Health Education Center Program, North Carolina Eastern AHEC
Greenville, NC
Oct
28
Albuquerque Area Adult Mental Health First Aid Training
In-Person
Oct 28
Albuquerque Area Indian Health Board, Inc. (AAIHB)
Albuquerque, NM
Oct
28
Geriatric Emergency Care: Practical Strategies for Rural Hospitals
Virtual
Oct 28, 2:00 p.m. Eastern
Rural Health Quality Improvement Exchange
Nov
4
Strengthening the Rural Nursing Workforce: Transition to Practice as a Statewide Strategy
Virtual
Nov 4, 11:00 a.m. Central
American Hospital Association, American Organization for Nursing Leadership (AONL)
Nov
5
Louisiana Rural Health Transformation Advisory Council Meeting
In-Person, Virtual
Nov 5, 9:00 a.m. Central
Louisiana Department of Health
Baton Rouge, LA
Nov
10
Mapping Hope: Understanding Diseases of Despair and Strengthening Recovery Ecosystems in Appalachia
Virtual
Nov 10, 1:00 p.m. Eastern
Network of the National Library of Medicine
Nov
10-11
2026 Annual Illinois Critical Access Hospital Network (ICAHN) Conference
In-Person
Nov 10 - 11
Illinois Critical Access Hospital Network
Champaign, IL
Nov
11-13
2026 31st Annual Mississippi Rural Health Conference
In-Person
Nov 11 - 13
Mississippi Rural Health Association
Flowood, MS
Nov
11-13
2026 34th Annual West Virginia Rural Health Conference
In-Person
Nov 11 - 13
West Virginia Rural Health Association
Morgantown, WV
Nov
12-13
2026 Louisiana Rural Health Summit
In-Person
Nov 12 - 13
Louisiana Rural Health Association
Lafayette, LA
Nov
12-13
2026 Nebraska Critical Access Hospitals Quality Conference
In-Person
Nov 12 - 13
Nebraska Hospital Association
Kearney, NE
Nov
17
2026 Annual New Jersey Rural Health Conference
In-Person
Nov 17
New Jersey State Office of Rural Health
Ewing, NJ
Nov
18
Building a Culture of Quality in Rural Health Care
Virtual
Nov 18, 2:00 p.m. Eastern
Rural Health Quality Improvement Exchange
Nov
18
Small Towns, Big Gaps: The State of Rural Oral Health
Virtual
Nov 18, 1:00 p.m. Eastern
Network of the National Library of Medicine
Nov
19
2026 Annual National Rural Health Day
Virtual
Nov 19
National Organization of State Offices of Rural Health
Nov-Dec
30-2
2026 AscendRural Summit
In-Person
Nov 30 - Dec 2
AscendRural
Eagan, MN
Dec
1-3
2026 Annual National Healthcare Coalition Preparedness Conference
In-Person
Dec 1 - 3
Managed Emergency Surge for Healthcare (MESH) Coalition
National Harbor, MD
Dec
1-3
2026 Arizona Tribal Wildland Fire Summit
In-Person
Dec 1 - 3
Southwest Fire Science Consortium
Chandler, AZ
Dec
2
2026-2027 Alaska EMS R.A.N.G.E.S Training: Peds Burn Management
Virtual
Dec 2, 1:00 p.m. Alaska
Alaska Department of Health
Dec
3
Rural Emergency Hospital - Positive Impact & Change Webinar
Virtual
Dec 3, 2:00 p.m. Eastern
Rural Health Redesign Center
Dec
4
2026 5th Annual Northern Nevada Trauma Symposium
In-Person, Virtual
Dec 4
University of Nevada, Reno School of Medicine Office of Statewide Initiatives
Reno, NV
Dec
4
2026 Critical Access Hospital Webinar Series - Medicare & Medicaid Enrollment in Motion: Key Regulatory Changes CAH Leaders Need to Know
Virtual
Dec 4, 12:00 p.m. Central
Eide Bailly LLP

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