Rural Health Information Hub Latest News

SAMHSA and FDA Letter Promotes the Medication First Model

letter (PDF) issued by SAMHSA and the FDA emphasizes that counseling and other services should not be prerequisites for a patient to receive medications for opioid use disorder. Practitioners must work collaboratively with patients, meeting them where they are, to create supportive and tailored treatment plans.

Free Mental Health State Guidebooks Have Been Released

PsychU Mental Health System Guidebooks is a comprehensive resource for understanding each state’s mental health system. The guidebooks provide a detailed overview of the state agencies responsible for managing mental health, as well as information on Medicaid coverage, healthcare reform initiatives, and the largest health plans and accountable care organizations in each state. Registration to access the guides is free.

The Risk for New MPOX Cases Continues

The Centers for Disease Control and Prevention (CDC) continues to receive reports of new cases of mpox, indicating ongoing community transmission in the United States. On May 15, the CDC released a Health Alert Network (HAN) noting that a cluster of 12 mpox cases was identified in Chicago between April 17 and May 5, 2023. Travel history for nine cases was available and four individuals recently traveled to New York City, New Orleans, and Mexico. The CDC expects new breakthrough cases to occur and warns that spring and summer 2023 could lead to a resurgence of mpox as people gather for festivals and other events. On May 17, the PA Department of Health (DOH) released PA HAN 695 with additional information for providers on when to consider testing for mpox as well as treatment and vaccination information. For more information on clinical evaluation, treatment, vaccination, or testing, please refer to the HAN or reach out to Erin Babe, PACHC Public Health Program Specialist.

Read About Recent Research on Stigma and Opioid Use Disorder

More than 450 clinicians and counselors in rural New England were surveyed about stigma as a barrier to treating patients for opioid use disorder (OUD) as well as practitioners’ beliefs about medications for OUD.  Over half (55 percent) ranked stigma as the highest barrier among other factors such as time and staffing, medication diversion, and organizational/clinic barriers. Many clinicians (60 percent) and counselors (51 percent) disagreed that medications for opioid use disorder “replace addiction to one kind of drug with another.”  But among clinicians with the ability to prescribe, there was a significant difference in this belief depending on whether they were currently treating with medications for OUD (MOUD).  More than 80 percent of those currently treating with MOUD believed it is not an addiction replacement; among those not currently treated with OUD, fewer than half felt that way.  The study was conducted by the FORHP-supported Center on Rural Addiction at the University of Vermont.

Here is An Important Notice for HRSA Grantees

  On May 26, HRSA will follow a federal upgrade to security measures for online systems requiring a login for external users.  The new multi-factor login procedure will affect those who access HRSA’s Electronic Handbook (EHB) system, including grantees, grant applicants, service providers, and consultants. To avoid issues with upcoming application and reporting deadlines, it is important to set up the new login procedure ahead of the change on May 26.

Here You Can Read About Telehealth and the End of the PHE

The COVID-19 public health emergency (PHE) officially ended on May 11, but many Medicare telehealth flexibilities remain in place temporarily. The Department of Health and Human Services (HHS) released a fact sheet to provide clarity around federal telehealth flexibilities. HHS will release additional guidance on updates and timing relating to the continuation of these flexibilities in the coming weeks. Learn more about telehealth policy changes with the end of the PHE. Earlier this spring, NRHA sent a letter to HHS on PHE flexibilities we would like to see made permanent, including telehealth provisions, and we continue to advocate for legislative change in Congress.

GAO Released a Report on Rural Health Care Accessibility 

 The Government Accountability Office (GAO) released a report titled, “Why Health Care is Harder to Access in Rural America.” The report found many rural residents face several challenges, including fewer health care providers, longer travel distances to get to health care, fewer transportation options, and less broadband internet. The report recommends that federal agencies learn more about the needs of rural residents and address the gaps in information regarding the healthcare needs of people living in rural areas. Join NRHA in fighting for rural health.