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Rural Health Services

Over 57 million rural Americans depend on their hospital as an important source of care as well as a critical component of their area's economic and social fabric. Location, size, workforce, payment and access to capital challenge small or rural hospitals and the communities they serve. Collaborating with state and regional hospital associations and with advice from its member council, the Section tracks the issues, develops policies and identifies solutions to our most pressing problems.
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AHA Rural Innovation Award

The Rural Hospital Leadership Team Award from the AHA Rural Health Services honors the leadership team who has guided their hospital and community through transformational change on the road to health care reform innovation.

2026 AHA Rural Health Care Leadership Conference

The 2026 AHA Rural Health Care Leadership Conference, February 8-11 in San Antonio, will gather more than 1,000 rural health leaders committed to advancing rural health and providing quality care for patients and communities. The conference will feature top rural practitioners sharing actionable strategies and resources aimed at improving access to care, leveraging unique workforce approaches and implementing digital technologies. We will explore the most significant challenges facing rural health care providers and present innovative approaches to transform care delivery and business practices.

Rural Health Care Leadership Conference | AHA

Annual Conference
Join rural health care leaders from across the nation at the AHA Rural Health Care Leadership Conference.

General Sessions

Education & Events
Find more information on the Plenary Speakers at the AHA Rural Health Care Leadership Conference.
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AHA Letter to CMS on the Rural Health Transformation Program

AHA urges the CMS to ensure that the Rural Health Transformation Program funding prioritizes payments to hospitals through an efficient and streamlined state application and award process.
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Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act (H.R.1805)

Medicare pays most acute care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Low-volume Adjustment (LVA)Medicare-dependent Hospitals (MDHs), and Sole Community Hospitals (SCHs).

Advocacy Issue: Rural LVA and MDH Programs

Rural hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Low-volume Adjustment (LVA), Medicare-dependent Hospitals (MDHs) and Sole Community Hospitals (SCHs).

Maternal Health: Rural Maternity Care

Rural populations have limited access and availability of quality maternity care. With many labor and delivery units closing, hospitals and health systems are exploring various ways to provide maternity care. AHA highlights stories from rural hospitals below.

Exploring Opportunities for Innovation in Rural Maternal Care

Every pregnant woman deserves access to high-quality maternal care — from conception through postpartum. Yet in parts of the country, some of that care is disappearing.