After seven years of the approval of an issue paper or policy brief, that paper automatically undergoes a two-part review process. If the Rural Health Congress does not make a decision on the paper or brief within eight years of approval or if the congress votes to archive a paper, it is no longer considered an official position of NRHA. All policies will be kept on file but separate from current, active policies.
If you have any questions about any of these papers or if you are an NRHA member and would like to revisit/update any of these papers, please contact NRHA's Government Affairs office at 202-639-0550 or email@example.com.
The positions listed below were originally adopted by the Rural Health Congress (formerly the Rural Health Policy Board).
Access To Automatic External Defibrillation
— February 2003
Antitrust and Rural Health
— May 1996
— November 2000
Dental Health Professionals in Alaska Rural Communities, Policy Statement, June 2006
The National Rural Health Association believes rural communities should have access to the most appropriately trained dental health professionals relative to the size and demographics of the community. In frontier Alaska, tribal programs experience a 25 percent annual vacancy rate and 30 percent annual turnover rate for dentists. And, Alaska Native children have 2.5 times more dental disease than all US races. Additionally, the geography of Alaska increases the cost of providing dental care and many villages face economic conditions that make support of a full-time dentist unfeasible. Therefore, the National Rural Health Association fully endorses the provision of oral health care via dental health aides and therapists in small, frontier communities in Alaska. Click here for the full text.
-- November 2005
Funding of Graduate Medical Education Updated
— February 1998
— July 2004 (This is an update of the HIV/AIDS in Rural America policy paper from November 1997)
— May 2001
Medicare Advantage for Rural America?, February 2007
-- April 2005
Mental Health in Rural America
— May 1999
— April 2001
— July 2001
— April 2001
National Health Policy Reform: The Rural Perspective
— September 1992
-- May 2005
-- December 2005
Pharmacist's Right to Refuse Service, Policy Statement, August 2005
While NRHA respects a pharmacist's right to refuse to fill some prescriptions, these refusals cannot obstruct both a prescribing clinician's authority and the ability of rural patients to access prescribed medications. NRHA supports the American Medical Association resolution of June 20, 2005 and encourages state laws that would allow prescribing clinicians to dispense medication directly to patients when no willing pharmacist is located within 30 miles. AMA Resolution
Primary Eye Care in Rural America, October 2007
-- December 2003
— May 2003
Role of Telemedicine in Rural Health Care
— February 1998
— March 2002
— June 2003
Rural Health Information Technology, February 2006
— January 2004
Rural Physician Recruitment and Retention
— November 1998
— March 2003
2013 OIG report
NRHA's Response to the Office of Inspector General's Report on Critical Access Hospitals
The Office of Inspector General at the Department of Health and Human Services released a report that, if fully implemented, could close hundreds of rural hospitals across the nation, reducing access to health care for millions of rural patients while costing taxpayers more money.
The 34-page report on critical access hospitals (CAHs) asks Congress to allow CMS to strip CAH status from any facility that came into the program under state "necessary provider" designations.
In response, NRHA has sent a letter to House and Senate leadership about the vital importance of CAHs.
Your elected officials need to hear from you about the work your CAH does for your rural community.
Contact your senators and representatives today to let them know how important critical access hospitals are in your state.
NRHA has put together a number of talking points about the vital importance of these facilities.
NRHA hosted a webinar to layout the concerns we have about this report and the challenges that CAHs may face on Capitol Hill in the near future.