NRHA's Rural Health Voices blog offers informed commentary on the latest news in rural health care from NRHA staff and editorials from selected contributors.

House Passes Senate Health Reform Bill and Reconciliation Package

The House of Representatives, by a vote of 219 to 212, has passed the Senate's Health Reform Bill, the Patient Protection and Affordable Care Act.    This means health reform has officially passed, and will await the President's signature before becoming law. Additionally, the House voted 220 to 211 to adopt its reconciliation package to the bill, which is intended to make changes to the Senate bill because of reservations many House members had with its exact language.  The Senate...

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ONC Webinar on Certification Program for EHR

The Office of the National Coordinator for Health Information Technology (ONC), with the National Institute of Standards and Technology (NIST), will present a webinar on the recently released Certification Programs for HIT Notice of Proposed Rulemaking (NPRM). The webinar will be On March 25, 2010 from 4:00 – 5:00 p.m. EDT.

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Middle-class Uninsured: Barely Hanging On

This is "Cover the Uninsured Week" (March 14-20) and the Robert Wood Johnson Foundation (RWJF) released today a stunning report entitled "Barely Hanging On: Middle-class and Uninsured." This report concludes what we all know to be true, that the two recessions of the 21st century have had a huge impact on people's ability to obtain insurance--and employers' ability to offer it. As providers across the country see bad debt and charity care numbers rising at an alarming rate, this report...

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CMS Issues Delay in Physician Supervision Rule

This notice was just issued by Amy Hall, Director, Office of Legislation, CMS:The Centers for Medicare & Medicaid Services (CMS) will instruct all of its Medicare contractors not to evaluate or enforce the supervision requirements for therapeutic services provided to outpatients in Critical Access Hospitals (CAHs) for the duration of calendar year (CY) 2010.  The final 2010 hospital outpatient prospective payment system rule had specified that a “direct supervision” standard is required...

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CMS Meaningful Use Comment Letter

NRHA has submitted its comments to CMS regarding the proposed regulations to implement portions of the HITECH section of ARRA. NRHA's letter outlines our support for the widespread adoption of HIT in rural areas but we are very concerned that many rural providers will not be able to access any of the incentive money. For this reason, we lay out suggestions that would make HITECH program more "rural friendly." The comments are due today at 5:00 pm ET. Please submit a comment and feel free to...

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Congressional Health Reform – an NRHA Government Affairs Update

The Senate Health, Education, Labor and Pensions (HELP) Committee last week finished its fourteen day hearing to markup its health reform legislation, the Affordable Health Choices Act. With a final party line vote of 13 Democrats to 10 Republicans, the bill passed through Committee and health reform is one step closer to becoming a reality. That was one step, however, out of many… The Senate Finance Committee, also with health reform jurisdiction, has yet to release even a draft of its...

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Proposed Health IT Certification Programs

Today the Department of Health and Human Services released a Notice of Proposed Rulemaking for the Establishment of Certification Programs for Health Information Technology (Health IT). The rule first proposes the creation of a temporary certification program for Electronic Health Records (EHRs) and EHR modules. This serves as a bridge to the second, permanent certification proposal, which establishes detailed guidelines to support an ongoing program of testing and certification of health...

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One in Three Small Town Residents Without Health Coverage by 2019

According to a recently released Center for Rural Affairs' report, approximately one in three rural Americans living in communities with fewer than 2,500 residents will be uninsured by 2019. Throughout the remainder of rural America, approximately one in four residents will likely go without health care coverage and the annual cost of health care for all rural households will rise from $2,705 to nearly $4,700 on average.

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HIPAA version 5010 fact sheets and checklists Released by CMS

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