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College of Nursing and Health Innovation | The University of Texas at ArlingtonCollege of Nursing and Health Innovation | The University of Texas at Arlington


Touching Lives. Transforming Health Care.

RHOP Rural Challenges

Special Challenges faced by Health Care Providers in rural areas

  • Ongoing nursing and physician shortages especially of oral health and mental health care providers.
  • Inadequate resources for primary care. Emergency rooms used as first choice for care by many patients in the community.
  • Growing elder population with comorbid conditions.
  • Increased Medicare and Medicaid patient population, cost coverage, and Medicaid expansion.
  • Growing number of aging HIV/AIDS patients, living with this disease for more than 15 years, returning to their rural homes with increasingly complex health issues in addition to their HIV condition. This poses new challenges for health care providers.

National Rural Health Association

Legislative and Regulatory Agenda

The NRHA Legislative and Regulatory Agenda is developed annually through solicited input from the full membership. It is a collection of issues that the NRHA membership would like to see changed or impacted by NRHA staff and rural health advocates. The agenda contains policy recommendations on topics ranging from Access Standards to the Universal Service Fund. It can be a great resource for rural health advocates and policymakers to understand the multitude of issues and opportunities facing the rural health landscape.

The Legislative and Regulatory Agenda is approved each year by the Government Affairs Committee. The Committee attempts to weigh member input, potential opportunities in the new year and the shifting policy environment surrounding rural health. The policies that they select for inclusion are first adopted by the Rural Health Congress, which produces a series of papers and statements that are the background and support for this document. In the end, the agenda reflects the mission and values of the NRHA by highlighting issues of importance to our membership.

2014 Legislative and Regulatory Agenda.

Texas Organization of Rural and Community Hospitals - Legislative Priorities

High Priorities:

  • Physician Recruitment/Corporate Practice of Medicine
  • Medicaid Reimbursement
  • Rural Hospital Pharmacy Supervision
  • Aging Hospital Infrastructure

Other Important Issues for Texas Rural Hospitals:

  • Third-party Payer Outsourcing
  • Correction to New Physician Loan Repayment Program
  • Expanded Borrowing Authority Needed for Public Rural Hospitals
  • Federal Health Reform
  • SPA Act Inclusion of Certain Hospitals
  • Correctional Health Care Use of Rural Hospitals
  • Increasing Fees
  • Redistricting

For more information, please visit Texas Organization of Rural and Community Hospitals’ website.

Texas Rural Health Association

The Texas Rural Health Association is a nonprofit organization whose primary goal is to improve the health of rural Texans. The TRHA is composed of individuals and organizations dedicated to providing leadership on rural health care issues through advocacy, communication, and education.

For more information, please visit Texas Rural Health Association website: