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Rural Health Services
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.
Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act (H.R.1805)
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).
Advocacy Issue: Rural LVA and MDH Programs
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).
UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown
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.
UPDATED: Implications for Hospitals and Health Systems as Government Shutdown Looms
Advisory revised Sept 28. with fiscal year 2026 agency contingency plans. Government funding is set to expire at midnight Sept. 30 without congressional action.
Implications for Hospitals and Health Systems as Government Shutdown Looms
Government funding is set to expire at midnight Sept. 30 without congressional action.
UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown
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.
AHA Rural Health News Update - September 21, 2023
A compilation of recent news from the AHA and its Rural Health Services team, whose focus is to ensure that rural hospitals’ and health systems’ unique needs are national priorities.
Rural Health News Update February 2025
A compilation of recent news from the AHA and the Rural Health Services team, whose focus is to ensure rural hospitals’ and health systems’ unique needs are national priorities