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Committee Detail

Note: An Annual Comprehensive Review, as required by §7 of the Federal Advisory Committee Act, is conducted each year on committee data entered for the previous fiscal year (referred to as the reporting year). The data for the reporting year is not considered verified until this review is complete and the data is moved to history for an agency/department. See the Data From Previous Years section at the bottom of this page for the committee’s historical, verified data.

HHS - 940 - National Advisory Committee on Rural Health and Human Services - Authorized by Law


Committee NameNational Advisory Committee on Rural Health and Human ServicesAgency NameDepartment of Health and Human Services
Fiscal Year2020Committee Number940
Original Establishment Date10/1/1987Committee StatusChartered
Actual Termination Date Committee URL
New Committee This FYNoPresidential Appointments*No
Terminated This FYNoMax Number of Members*21
Current Charter Date10/29/2019Designated Fed Officer Position Title*Executive Secretary
Date Of Renewal Charter10/29/2021Designated Federal Officer Prefix
Projected Termination Date Designated Federal Officer First Name*Sahi
Exempt From Renewal*NoDesignated Federal Officer Middle Name
Specific Termination AuthorityDesignated Federal Officer Last Name*Rafiullah
Establishment Authority*Authorized by LawDesignated Federal Officer Suffix
Specific Establishment Authority*42 U.S.C. 217aDesignated Federal Officer Phone*(301) 443-0835
Effective Date Of Authority*11/17/1962Designated Federal Officer Fax*301-443-2803
Exempt From EO 13875 Discretionary CmteNot ApplicableDesignated Federal Officer Email*
Committee Type*Continuing
Committee Function*National Policy Issue Advisory Board


Agency Recommendation*Continue
Legislation to Terminate RequiredNot Applicable
Legislation StatusNot Applicable
How does cmte accomplish its purpose?*Each year the Committee produces reports on key rural health topics and presents these reports to the Department. This information is shared both within the Department and externally and has helped bring attention to key issues. For example, in 1999, the Committee focused on rural public health and noted the lack of rural-specific data on public health departments. Since that time, HRSA and the Office of Rural Health Policy have worked with the National Association of County and City Health Officials to redefine several existing data sources along metropolitan and non-metropolitan geographic classifications. This has provided the first-ever data set of rural public health department capacities, workforce and other key demographic data. The Committee's FY 2000 report on the rural implications of Medicare reform provided a complementary viewpoint to the recent rural report on Medicare produced by the Medicare Payment Advisory Commission (MEDPac). The FY 2002 report on the rural health care safety net examines a few safety net programs and makes recommendations for improving those programs and for strengthening the rural safety net. The FY 2003 report highlights issues related to rural health care quality and includes recommendations to improve quality. Some of the findings of the committee are highlighted in the Institute of Medicine's 2005 book, Quality Through Collaboration: The Future of Rural Health. The FY 2004 report focuses on access to oral health care in rural areas, serving the rural elderly and the integration of behavioral health and primary care in rural areas. The FY 2005 report focuses on health information technology in rural areas, access to pharmaceuticals and pharmacy services in rural areas and family caregiver support of the rural elderly. The FY 2006 report focuses on substance abuse in rural areas, Medicare Advantage in rural communities and Head Start in rural areas. The FY 2007 report takes a retrospective look at the Committee over the past twenty years and analyzes recommendations made and the impact of those recommendations on health and human services in rural areas. It also focuses on ways to integrate the delivery of health and human services in rural areas. The FY 2008 report examines the medical home model, at-risk children, and workforce and community development. The FY 2009 report examines health care provider integration, the primary care workforce, and home and community based care options for seniors. The FY 2010 report examines childhood obesity, rural early childhood development place-based initiatives, and rural implications of payment bundling and accountable care organizations. In FY 2011 the Committee began producing policy briefs in order to make more timely recommendations on the changing landscape of rural health and human services. In FY 2020 the Committee produced two policy briefs.
How is membership balanced?*The Committee represents the full range of perspectives within the rural health care and human services world. Rural hospitals and clinics are a key constituency group and there are representatives that are either administrators or consultants and advocates. Similarly, there are representatives of the medical field such as nurses and physicians, including academic professors. There are members who are rural health services researchers with extensive experience in Medicaid, public health and rural and community health. There are educators on the Committee as well as experts in early childhood development programs. There are members who work with social services agencies and who are involved in community action programs. There is one member who is from a state office of rural health and who has background in legislative processes and rural health policy. The chair of the Committee is a former governor of a rural state. Several of these aforementioned members will be rotating off the Committee in the upcoming months. New selections have been made that will maintain the balance of the Committee.
How frequent & relevant are cmte mtgs?*There are usually two meetings held each year. Most are held in rural areas though there may be an occasional meeting held in Washington, DC. These meetings provide the Committee with two key experiences. First, they allow the Committee members to understand the diversity of issues affecting the rural health care and human services delivery system since, for example, the concerns in rural Montana are far different from those in rural South Carolina. This provides Committee members with the proper background to look beyond their own parochial experience in a manner that makes their recommendations more valuable to the Department. These site visits provide an opportunity to learn about unique rural issues, to see model delivery systems that represent models that work and to see systems that are failing. They also provide an opportunity for the Committee to hear testimony from those who are actually in the trenches working on the various issues.
Why advice can't be obtained elsewhere?*The rich group dynamic of the Committee provides in one forum the wide diversity of opinion and experience needed to flesh out increasingly complex issues. Obtaining this advice and information would be much more difficult to obtain through written submissions or one-on-one conversations. Each of the Committee members represents a significant portion of the rural health care and human service world both professionally and regionally and this kind of voice does not exist outside of the Committee. The other voices often heard on these issues are from professional associations and are affected much more by self interest. The Committee strives to give the Secretary the best objective advice on pressing rural health and human service issues.
Why close or partially close meetings?N/A
Recommendation Remarks


Outcome Improvement To Health Or Safety*YesAction Reorganize Priorities*Yes
Outcome Trust In GovernmentYesAction Reallocate ResourcesNo
Outcome Major Policy ChangesYesAction Issued New RegulationsNo
Outcome Advance In Scientific ResearchNoAction Proposed LegislationNo
Outcome Effective Grant MakingNoAction Approved Grants Or Other PaymentsNo
Outcome Improved Service DeliveryYesAction OtherNo
Outcome Increased Customer SatisfactionNoAction CommentOther category does not apply.
Outcome Implement Laws/Reg RequirementsNoGrants Review*No
Outcome OtherYesNumber Of Grants Reviewed0
Outcome CommentThe Committee provides information on the barriers facing isolated rural communities in providing health and human services. The Committee also provides information on the legislations that hinder the provision of care.Number Of Grants Recommended0
Cost Savings*Unable to DetermineDollar Value Of Grants Recommended$0.00
Cost Savings CommentNAGrants Review CommentNA
Number Of Recommendations*567Access Contact Designated Fed. Officer*Yes
Number Of Recommendations CommentThis is the total number of Recommendations provided to the Secretary over the life of the Committee, from 1987 through FY2020.Access Agency WebsiteYes
% of Recs Fully Implemented*11.00%Access Committee WebsiteYes
% of Recs Fully Implemented CommentThis represents the number of recommendations implemented over the life of the Committee. This is also being reviewed by the Committee.Access GSA FACA WebsiteYes
% of Recs Partially Implemented*11.00%Access PublicationsYes
% of Recs Partially Implemented CommentThis represents the number of recommendations partially implemented over the life of the Committee. This is in the process of being reviewed by the Committee.Access OtherNo
Agency Feedback*YesAccess CommentN/A
Agency Feedback Comment*The Secretary provides feedback to the Committee through correspondence. HRSA, CMS, AHRQ, AoA and ACF provide feedback to the Committee through correspondence to the Secretary, the Committee Chair, or to one the federal staff of the Committee.Narrative Description*The Committee supports HRSA's and HHS's mission by highlighting recommendations on issues realting to providing accessible health and human services in rural communities.
Hide Section - COSTS


Payments to Non-Federal Members*$18,250.00Est Payments to Non-Fed Members Next FY*$28,500.00
Payments to Federal Members*$0.00Est. Payments to Fed Members Next FY*$0.00
Payments to Federal Staff*$117,761.00Estimated Payments to Federal Staff*$118,939.00
Payments to Consultants*$0.00Est. Payments to Consultants Next FY*$0.00
Travel Reimb. For Non-Federal Members*$26,720.00Est Travel Reimb Non-Fed Members nextFY*$26,987.00
Travel Reimb. For Federal Members*$0.00Est Travel Reimb For Fed Members*$0.00
Travel Reimb. For Federal Staff*$8,500.00Est. Travel Reimb to Fed Staff Next FY*$14,225.00
Travel Reimb. For Consultants*$0.00Est Travel Reimb to Consultants Next FY*$0.00
Other Costs$57,366.00Est. Other Costs Next FY*$118,000.00
Total Costs$228,597.00Est. Total Next FY*$306,651.00
Federal Staff Support (FTE)*1.30Est. Fed Staff Support Next FY*1.30
Cost RemarksEst Cost RemarksNACRHHS anticipates one in-person meeting and one virtual meeting in FY 21. Therefore, travel costs will be similar to FY 20 when there was also only one in-person meeting. However, the virtual meeting in FY 20 was only 4 hours long. The virtual meeting in FY 21 will be close to two full days so there is an increase in funding for applicable costs associated with that.
Hide Section - Interest Areas

Interest Areas

Social Services
Health Care
Public Health


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Data from Previous Years

ActionCommittee System IDCommittee NameFiscal Year
 COM-036493National Advisory Committee on Rural Health and Human Services2019
 COM-034698National Advisory Committee on Rural Health and Human Services2018
 COM-001980National Advisory Committee on Rural Health and Human Services2017
 COM-002254National Advisory Committee on Rural Health and Human Services2016
 COM-004060National Advisory Committee on Rural Health and Human Services2015
 COM-004351National Advisory Committee on Rural Health and Human Services2014
 COM-006223National Advisory Committee on Rural Health and Human Services2013
 COM-006703National Advisory Committee on Rural Health and Human Services2012
 COM-008314National Advisory Committee on Rural Health and Human Services2011
 COM-008921National Advisory Committee on Rural Health and Human Services2010
 COM-010305National Advisory Committee on Rural Health and Human Services2009
 COM-010850National Advisory Committee on Rural Health and Human Services2008
 COM-011872National Advisory Committee on Rural Health and Human Services2007
 COM-012654National Advisory Committee on Rural Health and Human Services2006
 COM-014031National Advisory Committee on Rural Health and Human Services2005
 COM-014784National Advisory Committee on Rural Health and Human Services2004
 COM-016034National Advisory Committee on Rural Health and Human Services2003
 COM-016519National Advisory Committee on Rural Health2002
 COM-017860National Advisory Committee on Rural Health2001
 COM-018497National Advisory Committee on Rural Health2000
 COM-019877National Advisory Committee on Rural Health1999
 COM-020353National Advisory Committee on Rural Health1998
 COM-021670National Advisory Committee on Rural Health1997