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Landing Page

Rural Health Services

Issue Landing Page
Over 57 million rural Americans depend on their hospital as an important source of care as well as a critical component of their area's economic and social fabric. Location, size, workforce, payment and access to capital challenge small or rural hospitals and the communities they serve. Collaborating with state and regional hospital associations and with advice from its member council, the Section tracks the issues, develops policies and identifies solutions to our most pressing problems.
Rural issues, Administration, Health Care Industry Fundamentals
Fact Sheets
Public

Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act (H.R.1805)

Fact Sheets
Medicare pays most acute care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Low-volume Adjustment (LVA)Medicare-dependent Hospitals (MDHs), and Sole Community Hospitals (SCHs).
Rural issues, Population/Community Health, Medicare
Issue Landing Page

Advocacy Issue: Rural LVA and MDH Programs

Issue Landing Page
Rural hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Low-volume Adjustment (LVA), Medicare-dependent Hospitals (MDHs) and Sole Community Hospitals (SCHs).
Rural issues
Advisory
Member

UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown

Advisory
Over the past 15 days, the Senate has voted nine times on the House-passed continuing resolution (CR) to extend government funding and health care waivers until Nov. 21.
Legislation and Legislative Advocacy, Advocacy Alliances, Medicaid DSH, Telehealth, Rural issues
Advisory
Member

UPDATED: Implications for Hospitals and Health Systems as Government Shutdown Looms

Advisory
Advisory revised Sept 28. with fiscal year 2026 agency contingency plans. Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce
Advisory
Member

Implications for Hospitals and Health Systems as Government Shutdown Looms

Advisory
Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce
Advisory
Member

UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown

Advisory
Government funding and certain health care programs and waivers expired at midnight Sept. 30 as congressional leaders were unable to reach an agreement to keep the government funded.
Legislation and Legislative Advocacy, Advocacy & Public Policy, Medicaid DSH, Telehealth, Rural issues
Action Alert
Member Non-Fed

Contact Your Lawmakers and Urge Them to Extend Key Health Care Policies Set to Expire Next Month

Action Alert
Please ask your senators and representatives to prevent Medicaid disproportionate share hospital payment cuts from taking effect; extend enhanced low-volume adjustment and Medicare-dependent hospital programs that expand access to care in rural areas; and extend telehealth and hospital-at-home waivers.
Legislation and Legislative Advocacy, Medicaid, Medicaid DSH, Rural issues, Telehealth, Hospital at Home, Enhanced Premium Tax Credit (EPTC), Marketplace Issues/Stability, Site-Neutral Payment Proposals, 340B Drug Pricing Program
Fact Sheets

Fact Sheet: Rural Community Hospital (RCH) Demonstration

Fact Sheets
The Issue The Rural Community Hospital (RCH) demonstration tests an alternative payment model for small rural hospitals, in response to concerns that they face financial difficult
Rural issues