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November 6, 2026
What's New
Save the Date: Celebrating 15 Years of National Rural Health Day
Join the Federal Office of Rural Health Policy (FORHP) in celebrating the 15th anniversary of National Rural Health Day on Thursday, November 19, 2026. Created in 2011 by the National Organization of State Offices of Rural Health (NOSORH), this annual observance honors the people, organizations, and communities working to improve health across rural America. FORHP will mark the occasion by spotlighting our grantees and our partners across the U.S. Department of Health and Human Services (HHS), highlighting their work to expand access to care and support healthier rural communities.
Join the celebration early: Upcoming Webinar—Understanding Access to Care for Rural Residents with Disabilities – Monday, November 16 at 12:00 p.m. Eastern. As part of our National Rural Health Day celebration, researchers from the FORHP-funded University of Minnesota Rural Health Research Center will share findings on access to care at the intersection of rurality and disability. The webinar will explore county-level comparisons of disability rates, workforce shortages, and quality of care, along with findings from the National Health Interview Survey on barriers to care and use of preventive services by rural-urban location and disability status. Registration is free and required.
The University of Minnesota is home to one of eight rural health research centers across the nation currently funded by FORHP at the Rural Health Research Gateway online.
Keep watching this space between now and November 19 for additional programming details and opportunities to join the celebration. We look forward to celebrating the Power of Rural with you!
Rural Health Research
Research in this section is located on the HRSA/FORHP-supported Rural Health Research Gateway. Sign up to receive alerts when new publications become available.
Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2024: A State-by-State Report. This state-by-state report reveals continued declines in availability of hospital-based obstetric services in both rural and urban U.S. communities. Between 2023 and 2024, 30 counties lost these services, 24 of which were rural. By 2024, 61% of rural counties and 39% of urban counties did not have hospital-based obstetric services.
County-Level Differences in Fee-for-Service Medicare Quality Measures by Rurality and Disability Status. Despite research showing differences in quality of care by disability status and rurality, there is limited research looking at the intersection of the two. In this policy brief, researchers examine county-level differences in three commonly used fee-for-service Medicare quality measures to address differences in quality care by both rurality and disability status.
Policy Updates
Send questions to ruralpolicy@hrsa.gov.
Department of Labor Finalizes Rule Requiring Pharmacy Benefit Managers to Disclose Fees. The U.S. Department of Labor released a final rule requiring pharmacy benefit managers (PBMs)—companies that manage prescription drug benefits—and their affiliated brokers and consultants to share detailed information about their fees and other payments with those responsible for employer health plans. The rule applies to large, self-insured plans covered by the Employee Retirement Income Security Act (ERISA), where employers pay health claims directly. It is intended to help employers compare PBM contracts, identify potential conflicts of interest, and assess whether fees are reasonable. The requirements apply to plan years beginning on or after July 1, 2027.
CMS Releases 2027 End-Stage Renal Disease Payment Final Rule. On October 28th, the Centers for Medicare and Medicaid Services (CMS) released the calendar year 2027 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) final rule, which updates payment rates and policies under the ESRD PPS for dialysis services furnished to Medicare beneficiaries in 2027. CMS is increasing ESRD payments by approximately 2.7% and is finalizing changes to the low-volume payment adjustment and payment adjustments for pediatric payments. CMS is also updating quality reporting requirements.
Learning Events and Technical Assistance
Lunch & Learn: Building Social Connection to Reduce Loneliness in Rural Adults – Thursday, November 12 at 1:00 pm Eastern. With support from the U.S. Department of Agriculture’s Rural Health and Safety Education Program, experts from the University of Missouri will discuss (a) the research behind relationships and health, (b) how relationships impact our health, and (c) how we can use this information to improve relationships and build community capacity for social connection.
Resource of the Week
Data Spotlight from SAMHSA’s National Survey on Drug Use and Health: Chronic Pain Among Adults. The latest NSDUH, overseen by the Substance Abuse and Mental Health Services Administration (SAMHSA), added a question asking adults aged 18 or older how often they had experienced pain during the past 3 months, with response options of never, some days, most days, or every day. For the NSDUH, chronic pain is defined as having pain on most days or every day. Women were more likely than men to have had chronic pain (21.6 percent vs 17.8 percent). Experiences of chronic pain also varied by county type, increasing from 16.5 percent in large metropolitan counties to 23.2 percent in small metropolitan counties and 26.9 percent in nonmetropolitan counties.
Approaching Deadlines
Request for Information: NTIA’s 2027 Internet Use Survey – Comment by November 9
Community Development Financial Institutions Fund New Markets Tax Credit Program (NMTC) – November 10
DOJ 2026 Mentoring for Youth Impacted by Opioid and Other Substance Use – November 16
HRSA National Health Service Corps Students to Service Loan Repayment Program – November 19
CDC Request for Information: Data Intermediaries to Strengthen Public Health – Comment by November 20
CMS Temporarily Pauses New Agent and Broker Registrations for Marketplaces – Comment by November 21
CMS Seeks Input on Medicare Part D Pharmacy Contracting Standards – Comment by November 23
CMS Proposes New Verification Requirements for Marketplace Financial Assistance – Comment by November 27
IRS Proposes Marketplace Premium Tax Credit Changes – Comment by November 30
Medicare Open Enrollment Runs October 15 – December 7
SAMHSA Requests Feedback on Survey of Mental Health Treatment Facilities – Comment by December 7
CMS Proposes Medicare Advantage Provider Directory Standards and Part D Changes – Comment by December 15
USDA Tribal Colleges Research Grants Program – December 31
U.S. Department of Veterans Affairs: Physical Therapy Telehealth Research Study for Older Veterans – Recruiting Through the End of 2026
CMS Helps Providers Prepare for Electronic Prior Authorization Changes – Beginning January 1, 2027
NIH Advancing Healthcare for Older Adults from Populations that Experience Health Disparities (R01 - Clinical Trial Optional) – January 8
AmeriCorps State and National Grants – January 13, 2027
Ongoing Opportunities - Updated November 2026
Bold indicates HRSA- and/or FORHP-funded opportunities.
Administration for Children & Families: Low Income Home Energy Assistance Program
Agency for Healthcare Research and Quality – TeamSTEPPS Training to Enhance Performance and Patient Safety
Centers for Medicare & Medicaid Services – Medicare Physician Bonuses in Health Professional Shortage Areas
Centers for Medicare & Medicaid Services – Nurses for Nursing Homes Loan Repayment Program
Cybersecurity & Infrastructure Security Agency – Rural Emergency Medical Communications Demonstration Project
Delta Region Community Health Systems Development Program
General Services Administration – Federal Surplus Property Available for Public Use
HRSA Needs Rural Reviewers for Grant Applications
HRSA National Health Service Corps Medications for Opioid Use Disorder Training
HRSA Look-Alike Initial Designation for the Health Center Program
Indian Health Service/Department of Defense – Medical Supplies and Equipment for Tribes (Project TRANSAM)
Indian Health Service Loan Repayment Program – August 15, 2027
Licensure Portability: The Multi-Discipline Licensure Resource Project
National Rural Health Association: USDA Rural Hospital Technical Assistance
National Rural Health Resource Center: Rural Hospital Stabilization Program
ProviderBridge: Mobilizing Health Care Workforce via Telehealth
Rural Healthcare Provider Transition Project
Rural Graduate Medical Education Planning and Development
Small Business Administration Rural Businesses
Small Business Administration Guaranteed Loans for Small Business
Targeted Technical Assistance for Rural Hospitals Program
USDA: National School Lunch Afterschool Snack Program
USDA: Summer Food Service Program
USDA Rural Development: America’s Healthy Food Financing Initiative
USDA Rural Development: Circuit Rider Program – Technical Assistance for Rural Water Systems
USDA Rural Development: Community Facilities Programs
USDA Rural Development: Emergency Community Water Assistance Grants
USDA Rural Development: Grants for Rural and Native Alaskan Villages
USDA Rural Development: Intermediary Relending Program – Ongoing with deadlines every quarter
USDA Rural Development: Multifamily Housing Loan Guarantees
USDA Rural Development: Rural Business Investment Program
USDA Rural Development: Rural Energy Savings Program
USDA Rural Development: SEARCH – Special Evaluation Assistance for Rural Communities and Households (for Water/Waste Projects)
USDA Rural Development: Telecommunications Infrastructure Loans and Loan Guarantees
U.S. Department of Transportation: Rural Opportunities to Use Transportation for Economic Success (ROUTES)
U.S. Environmental Protection Agency: Drinking Water State Revolving Fund
U.S. Environmental Protection Agency: Water Infrastructure Finance and Innovation Act Program
U.S. Environmental Protection Agency: Real Water Technical Assistance (RealWaterTA)
University of Vermont Center on Rural Addiction Contingency Management Certificate Course
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