May 3, 2022

A new library initiative in Texas and an established crisis line in Georgia are bringing mental health services directly to rural residents through teams of lay mental health workers and mental health professionals.
Exploring Rural Health Podcast

Check out our final installment of a three part series on rural transportation as experts discuss travel burdens facing rural residents seeking healthcare. New episodes will be released the first Tuesday of each month.
Recent News

May 1, 2022 -- Announces a change to the U.S. Census Bureau definition of urban and rural, with the old threshold associated with having at least 2,500 residents and the new definition as having 2,000 housing units, or about 5,000 people. Notes that the new criteria will classify over 1,300 communities as rural. Discusses concerns about healthcare policy and access and competition for funding, as well as the process behind the change.
Source: CBS Sacramento

Apr 28, 2022 -- Article discussing a variety of challenges facing rural healthcare, including workforce sustainability issues, cybersecurity, financial viability, and capacity to provide specialty care. Notes that rural hospital closures are a warning sign of the issues affecting most rural hospitals, which typically operate on a break-even basis, and describes ways to pursue innovation and alternative rural healthcare models as solutions to current challenges.
Source: Rural Innovation Exchange

Federal Register

May 3, 2022 -- Pre-publication notice of final rule from the U.S. Department of Health and Human Services (HHS) setting parameters for risk adjustment, user fees, and cost-sharing for state and federal-based exchanges. This rule also establishes a direct enrollment option for federally-facilitated Exchanges and State Exchanges, among other things. This final rule also responds to comments on how HHS can advance health equity through qualified health plan certification standards and in the individual and group health insurance markets. These regulations are effective July 1, 2022.
Source: Federal Register

May 2, 2022 -- The Centers for Disease Control and Prevention (CDC) is seeking nominations of qualified individuals for membership on the Community Preventive Services Task Force (CPSTF). The CDC is soliciting nominations to fill anticipated vacancies on the CPSTF for both calendar years 2023 and 2024. The CPSTF identifies population health interventions that are scientifically proven to save lives, increase lifespans, and improve quality of life. Nominations are due by June 24, 2022.
Source: Federal Register
Funding & Opportunities

Funding for clinical effectiveness research that compares health system strategies to improve blood pressure management and control in primary care, community, and safety net settings for populations experiencing disparities in outcomes, including Black, Hispanic, rural, and uninsured individuals.
Geographic coverage: Nationwide
Letter of Intent (Required): Jun 1, 2022
Application Deadline: Aug 31, 2022
Sponsor: Patient-Centered Outcomes Research Institute

Funding for clinical effectiveness research that compares multicomponent strategies to improve early detection of and timely care for complications up to six weeks postpartum among women in underserved populations, including women living in rural areas.
Geographic coverage: Nationwide
Letter of Intent (Required): Jun 1, 2022
Application Deadline: Aug 31, 2022
Sponsor: Patient-Centered Outcomes Research Institute

Funding for a single entity to provide technical assistance to rural healthcare networks engaging in workforce training activities who are addressing the critical need for more trained health professionals, which has been amplified by the COVID-19 pandemic.
Geographic coverage: Nationwide
Application Deadline: Jun 8, 2022
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services

Funding to establish and/or expand medical forensic exams and sexual assault victim services in a hospital or non-hospital setting to sexual assault victims. A focus of the program is the use of innovative ways of bringing experienced medical forensic examiners to rural, tribal, and underserved communities.
Geographic coverage: Nationwide
Application Deadline: Jun 13, 2022
Sponsors: Office for Victims of Crime, U.S. Department of Justice

Grants to address the opioid crisis in tribal communities by increasing access to medication-assisted treatment and supporting a full range of culturally appropriate prevention, harm reduction, treatment, and recovery support services. Funds may also be used to address stimulant misuse and use disorders, including cocaine and methamphetamine.
Geographic coverage: Nationwide
Application Deadline: Jun 27, 2022
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

Scholarships for students residing in rural areas who are currently enrolled in a master's level counseling program and are committed to practicing in rural communities after graduation.
Geographic coverage: Nationwide
Application Deadline: Jul 31, 2022
Sponsor: National Board for Certified Counselors (NBCC) Foundation

Grants to support a variety of local efforts to build and sustain a high quality of life in rural communities across America. Focus areas include business development, community development, education, and telecommunications.
Geographic coverage: Nationwide
Application Deadline: Aug 31, 2022
Sponsor: Foundation for Rural Service

The opportunity to apply for exceptions to meeting Merit-Based Incentive Payment System (MIPS) program requirements. The 2 exceptions include extreme and uncontrollable circumstances and promoting interoperability hardship.
Geographic coverage: Nationwide
Application Deadline: Dec 31, 2022
Sponsor: Centers for Medicare and Medicaid Services

Notice of Special Interest to fund research on the impact of the COVID-19 pandemic and risks for abuse and injury among vulnerable children and youth. Emphasis is placed on disparity populations related to abuse and neglect prior to the pandemic, as well as populations that have been disproportionately affected by the coronavirus. Disparity populations include American Indians, Alaska Natives, LGBT youth, and children seen at rural emergency departments.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: May 31, 2024
Sponsors: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health, U.S. Department of Health and Human Services
New Resources

Highlights the VA's nurse-led Collaborative System of Care (CSC) program's work in connecting veterans at rural Federally Qualified Health Centers (FQHCs) to the VA's behavioral health services and discusses the role care coordination can play in connecting rural veterans to other healthcare services. Details the efficacy of the CSC program and outlines the program's structure and screening process.
Author(s): M. Bryant Howren, Debra Kazmerzak, Sheryl Pruin, et al.
Location: Journal of Behavioral Health Services and Research, 49, 50-60
Date: 05/2022

Fact sheet highlighting barriers to broadband access for rural and underserved communities, addressing infrastructure and affordability issues. Describes policy efforts to increase access through investments to expand broadband adoption.
Sponsoring organizations: AARP, Institute for Local Self-Reliance
Date: 04/2022

Fact sheet describing challenges to broadband availability and local efforts to provide short-term solutions. Discusses funding and strategies to expand broadband at the local and national levels.
Sponsoring organizations: AARP, Institute for Local Self-Reliance
Date: 04/2022

Evaluates the first four years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; changes in cardiovascular disease risk scores among high-risk beneficiaries; intermediate- and long-term impacts on beneficiaries; and the relevance of these findings to other research on cardiovascular disease prevention.
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
Date: 02/2022

Examines the prevalence of hypertensive disorders in pregnancy among delivery hospitalizations. Includes data for metropolitan, micropolitan, and rural (nonmetro/nonmicro) counties on prevalence of any hypertension, chronic hypertension, pregnancy-related hypertension, and unspecified maternal hypertension.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 71(17), 585–591
Date: 04/2022

Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Sponsoring organization: Bipartisan Policy Center
Date: 05/2022

Summarizes findings from research funded by the Administration for Community Living's National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) on the experiences of people with disabilities during the COVID-19 pandemic. Highlights research on rural communities and telehealth.
Sponsoring organization: Administration for Community Living
Date: 04/2022

Describes hospital and outpatient clinician healthcare workforce shortages and maldistribution both before and during the COVID-19 pandemic and the impact of the pandemic on the mental and physical health of the workforce. Provides an overview of federal interventions to support the healthcare workforce during the pandemic. Includes discussion on challenges specific to rural communities.
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 05/2022

Examine how Medicare enrollees' use of inpatient psychiatric facility (IPF) services and the characteristics of IPFs have changed since the introduction of the IPF-PPS in 2005. Explores whether there have been changes in events that occur before or after IPF stays that may indicate potential changes in the quality of services. Includes information on per diem costs for rural IPFs compared to urban facilities.
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
Date: 04/2022

Report details the need for access to child care for American Indian and Alaska Native parents in tribal communities. Aims to assess the current levels of access, quality of services, and eligibility requirements of current tribal child care services, among other measures. Discusses interventions that could improve access to child care in tribal communities.
Sponsoring organization: Bipartisan Policy Center
Date: 04/2022

National data on fatal and nonfatal traffic crashes involving commercial and noncommercial trucks weighing more than 10,000 pounds. Features statistics from 2011-2020 with breakdowns by involvement rate per 100,000 registered trucks, crash characteristics, estimated proportion of alcohol-impaired drivers, previous 5-year driving records of drivers in fatal crashes, time of day and week, state, and rural or urban location.
Sponsoring organization: National Highway Traffic Safety Administration
Date: 04/2022

Presents results of a poll conducted between February 1-February 22, 2022, among a sample of 1806 rural adults, 475 rural parents, and 220 rural teens regarding the COVID-19 vaccine. Covers beliefs about vaccination, COVID-19 vaccination status, vaccination motivating factors and barriers, and post-vaccination behaviors.
Additional links: Summary
Sponsoring organizations: Morning Consult, National Rural Health Association
Date: 03/2022

Examines the outcome management strategies of four of the Flex Program's Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes the outcome measures selected, the timing of those measures, and data sources used to support their outcome measures. Identifies strengths and challenges to the outcome management strategies and offers recommendations to refine these strategies.
Sponsoring organization: Flex Monitoring Team
Date: 04/2022
Open Calls for Contributions
Deadline: May 11, 2022
Georgia Health Policy Center
Event Dates: Sep 19 - 20, 2022
New Orleans, LA

Deadline: Jun 1, 2022
Maryland Rural Health Association
Event Dates: Oct 24 - 25, 2022
Flintstone, MD

Deadline: Jul 15, 2022
Colorado Rural Health Center
Event Dates: Oct 19 - 21, 2022
Colorado Springs, CO