Rural Health Information Hub Latest News

HRSA Rural Health Network Advancement Program (RHNAP)

The RHNAP is a new program that supports existing Rural Health Networks to expand and evolve their work to meet the growing needs of their rural member hospitals and clinics.  

Applicants must select one of the two funding tracks through the RHNAP:

  • The Operational Track funds projects that improve the financial viability, efficiency, and infrastructure of rural networks through shared operational services and integration strategies.
  • The Clinical Services Track funds projects that establish or strengthen clinical service lines, expand access to care, and improve clinical and financial sustainability. It is designed to enable networks to meet emerging needs through sustainable service expansion that can be sustained through future billing and reimbursement.

All services must be provided exclusively in HRSA-designated rural areas. While the lead applicant can be urban or rural, the network must be comprised of three or more organizations with at least two-thirds or 66% percent network organizations physically located in a HRSA-designated rural area. Eligible applicants must provide documentation attesting to a clear existing governance structure that meets the network composition requirements outlined in the RHNAP NOFO.

HRSA has $ 3 million for approximately six awards and recipients can receive up to $500,000 each year over a four-year project period. Watch a pre-recorded technical assistance webinar for more information.

Apply by July 24.

ACCESS: A New Resource to Support Medicare Beneficiaries with Chronic Conditions

On July 5, the CMS Innovation Center begins the ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model, a 10-year pilot program designed to expand access to technology-supported care for Traditional Medicare beneficiaries with chronic conditions.

Visit ACCESS for Primary Care Providers and Referring Clinicians for more information on beneficiary eligibility, billing guidance, and tools to stay informed about patients’ progress.  Contact ACCESSModelTeam@cms.hhs.gov with questions.

CMS Seeks Public Feedback on Essential Health Benefits

In this request for information (RFI), the Centers for Medicare & Medicaid Services (CMS) seeks public input to support their comprehensive review of the Essential Health Benefits (EHB) in Affordable Care Act (ACA) Marketplace plans and the statutory requirement that the scope of EHB be equal to the scope of benefits provided under a typical employer plan.

CMS seeks comments on current interpretations of EHB, State approaches to selecting and updating EHB-benchmark plans, and methodologies used to determine the scope of benefits included as EHB. CMS also seeks comments on variation across States in the scope of benefits included as EHB, cost pressures affecting EHB, limitations in available data used to evaluate EHB, and potential impacts of possible future policy changes. The feedback will help CMS decide whether changes to current regulations should be considered through future rulemaking.

Comment by July 15, 2026.

CMS Issues Final Rule to Strengthen Oversight of Health Care Accrediting Organizations

The Centers for Medicare & Medicaid Services (CMS) issued a final rule with comment period to strengthen federal oversight of Accrediting Organizations (AOs), which are independent organizations approved by CMS to evaluate whether health care providers and suppliers meet Medicare health and safety requirements.

The rule addresses potential conflicts of interest, establishes more consistent accreditation standards and survey processes, and enhances CMS monitoring of AOs. It also finalizes policies restricting certain consulting services provided by AOs, requiring additional surveyor training, strengthening performance and validation requirements, and establishing new safeguards for providers that have been terminated from Medicare and seek to reenter the program.

The rule is effective June 16, 2027, and CMS will accept comments on the information collection and regulatory impact provisions through August 17, 2026.

Comment by August 17, 2026.

CMS Proposes to Codify Policies Under Medicare Drug Price Negotiation Program

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would codify policies for the Medicare Drug Price Negotiation Program beginning in 2029.

Established by the Inflation Reduction Act, the Drug Price Negotiation Program allows CMS to negotiate maximum fair prices for certain high-cost, single-source prescription drugs and biological products covered by Medicare. This proposed rule would formalize policies previously implemented through guidance, increase transparency in the negotiation process, establish requirements for manufacturers, and address potential loopholes related to certain drug formulations. CMS also proposes revisions and clarifications based on lessons learned from the program’s first years of implementation.

Comment by August 17, 2026.

CMS Releases Guidance on Medicaid Section 1115 Budget Neutrality Requirements

The Centers for Medicare & Medicaid Services (CMS) released new guidance explaining how budget neutrality will be evaluated and certified for Medicaid Section 1115 demonstrations, which allow states to test innovative approaches to delivering and paying for Medicaid services.

Per statute, beginning January 1, 2027, new, renewed, and amended Section 1115 demonstrations must be certified by the CMS Chief Actuary as not increasing federal Medicaid spending compared with what would occur without the demonstration. To help states prepare, CMS is providing this early notice of the approach it plans to propose and, until a final rule is in place, will use this guidance when reviewing and approving new, amended, and renewed Section 1115 demonstrations on or after January 1, 2027.

MedPAC and MACPAC Release 2026 Annual Reports to Congress

The Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC), independent congressional advisory bodies on Medicare and Medicaid policy, respectively, have released their latest Reports to Congress.

The MedPAC report addresses potential improvements to Medicare payment systems and issues that affect the Medicare program, including changes to health care delivery and the market for health care services as well as a mandated assessment of the Medicare Ground Ambulance Data Collection System.

The MACPAC report includes recommendations to Congress related to community engagement requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, and a chapter on provider enrollment in Medicaid. 

HRSA Small Health Care Provider Quality Improvement Program Addresses Chronic Disease

This FORHP program has a focus on improving chronic disease outcomes in rural areas where, by comparison to urban and suburban areas, disparities continue to grow in conditions such as diabetes, cancer, obesity, and overweight. The program aims to strengthen a culture of quality improvement in rural facilities by building capacity to collect and use clinical data and implement evidence-based approaches to chronic disease prevention and treatment.

Applicants must be non-profit or public entities and located in a rural area.  To get prepared ahead of the official posting on Grants.gov, click on the Package tab of the most recent grant opportunity for this program, then View, and Download Instructions to learn what FORHP is seeking from applications.

Grant opportunity coming soon.