Rural Health Research Gateway

Legislation and regulation

Completed Projects

Achieving Equity in Disproportionate Share Payments to Rural Hospitals: An Examination of MedPAC's Revised Disproportionate Share Formula
Research center: Walsh Center for Rural Health Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Health care financing, Hospitals and clinics, Legislation and regulation

Analytic Capacity to Respond to Changes in Medicare and Medicaid, Data Assistance to Policy Staff at the Federal Office of Rural Health Policy, and Production of Short Policy Briefs
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health policy, Legislation and regulation, Medicaid and S-CHIP, Medicare
This project will produce short policy briefs on a variety of topics related to proposed and enacted changes in Medicare and Medicaid, as requested by policy staff at the federal Office of Rural Health Policy.

Burdens of HIPAA on Rural Hospitals
Research center: Walsh Center for Rural Health Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Hospitals and clinics, Legislation and regulation

Characteristics of Low-volume Communities
Research center: Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Health care financing, Legislation and regulation, Medicare

Comments on Regulatory and Contractor Reform Legislation
Research center: Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Health policy, Legislation and regulation, Medicare

Community Health Worker Certification Process in Texas: Implications for Practice and Policy
Research center: Southwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health policy, Hispanics, Legislation and regulation, Workforce

Declining Access to Hospital-based Obstetric Services in Rural Areas: Causes and Impact
Research center: Walsh Center for Rural Health Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Health policy, Hospitals and clinics, Legislation and regulation, Maternal and child health, Women
This study examines the declining availability of hospital-based obstetric services in rural areas from the mid-1980s to the early 2000s. It examines potential causes for this trend and explores the effects of medical malpractice reforms.

Effective Strategies for Achieving HIPAA Compliance Among Rural Hospitals
Research center: Walsh Center for Rural Health Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Hospitals and clinics, Legislation and regulation

Historical Trends in Physician Assistant Education and their Contribution to Primary Health Care for Rural and Underserved Populations in the U.S.
Research center: WWAMI Rural Health Research Center
Funder: Bureau of Health Professions
Topics: Legislation and regulation, Mid-level practitioners, Workforce
This study describes the historical development of the physician assistant (PA) profession since 1967, with special emphasis on the demography of the PA population, the PA regulatory environment, the evolution of specialty roles, the emergence of practice location patterns, and the contribution by PAs to primary care for rural and underserved populations.

How Rural Hospitals Are Meeting the Needs of Low-English Proficiency Patients
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Cultural competency, Hispanics, Legislation and regulation, Minority health
This study will determine the extent to which rural hospitals have implemented plans for compliance with the DHHS Low-English Proficiency regulations, describe the difficulties rural hospitals must overcome in order to provide health care to Hispanic clients, ascertain the translation techniques most commonly used by rural hospitals, and describe the most effective approaches in the provision of culturally competent health care to Hispanic clients.

How Will Rural Hospitals Meet Requirements for Patient Privacy?
Research center: Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Hospitals and clinics, Legislation and regulation

Implementation of the Medicare Prescription Drug Benefit: What is Available to Rural Beneficiaries?
Research center: Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Health policy, Legislation and regulation, Medicare Part D
This study will focus on the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 on rural beneficiaries, based on actual prescription drug plan contracts, comparing the impact of the legislation on rural beneficiaries to their urban counterparts.

Implementing Quality Assessment and Performance Improvement Systems in Rural Health Clinics: Clinic and State Agency Responses
Research center: Minnesota Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Legislation and regulation, Quality, Rural Health Clinics (RHCs)

Program of Rural Health Demonstration Activities
Research center: Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder: Agency for Health Care Policy and Research (AHCPR)
Topic: Legislation and regulation

Public Health System Performance Measurement: Are Standards Applicable to Rural Communities?
Research center: Walsh Center for Rural Health Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Legislation and regulation, Public health
This project aims to increase understanding of how public health governance affects the structure of public health services, and how this in turn influences the strategies adopted for meeting community public health needs in rural areas.