Affordable Care Act provides incentives to encourage doctors to  serve in rural America, funds health rural centers, helps rural  Americans get access to care
USDA awarding more than $10 million in grants to support telemedicine and rural health research
Washington, D.C., Nov. 20, 2014  - Today, on National Rural Health Day, Agriculture Secretary Tom  Vilsack announced more than $10 million in grants through two U.S.  Department of Agriculture (USDA) programs to improve access to health  care for rural Americans across the nation. The Secretary also  highlighted initiatives created by the Affordable Care Act that specifically address critical health needs in rural communities.
"Delivering these programs to rural communities that often do not  have access to quality, affordable medical and educational services has  tremendous economic and social benefits," Vilsack said. "They also mean  that people who live and work in rural areas will not have to travel  long distances for specialized health care services. These investments  mean that students in rural high schools will have educational  opportunities often not available outside urban areas."
Through the Distance Learning and Telemedicine (DLT) program, USDA has helped hundreds of rural communities deliver care in remote areas since it began two decades ago. Today, USDA's Rural Development is awarding $20.4 million in grants that will provide rural Americans  access to medical services, improve educational opportunities, and  support Native American communities. Fiscal Year 2014 Distance Learning and Telemedicine Grant recipients
Rural residents are more likely to report a fair to poor health  status and have higher rates of health complications, morbidity and  mortality due to challenges associated with low levels of employment and  education, geographic barriers and isolation, lack of quality nutrition  and health education, and lack of access to health care.
USDA's National Institute of Food and Agriculture (NIFA) is awarding 12 grants totaling more than $1.4 million to  universities aimed at enhancing the quality of life in rural areas  through improved health and safety education efforts. NIFA funded the  grants through the Rural Health and Safety Education program which addresses these challenges by developing programs that provide  the necessary health information to rural residents. The program has  three main focus areas: 1) individual and family nutrition and health  education; 2) farm safety education; and 3) rural health leadership  development education.
Projects funded in fiscal year 2014 focus on a diversity of rural  health and safety issues, from diabetes education, obesity prevention,  and physical activity and healthy nutrition education, to eco-healthy  child care promotion, and rural expansion of 4-H Healthy Living program.  Fiscal Year 2014 Rural Health and Safety Education Grant recipients
In addition to today's announcements, Secretary Vilsack encouraged  rural Americans to take advantage of the Health Insurance Marketplace  created by the Affordable Care Act and discussed the health care reform  law's specific benefits for rural communities.
"Rural residents have higher rates of chronic conditions.  This can  be exacerbated by a lack of doctors or clinics in rural communities,"  Secretary Vilsack continued. "The Affordable Care Act is improving the  health of rural communities and giving all families the security they  deserve. No one should go without healthcare because of where they live,  or be forced to leave the communities they love to get the coverage  they need."
Rural Americans suffer from higher rates of chronic conditions like  diabetes, heart disease and high blood pressure.  The Affordable Care  Act has taken steps to address the unique challenges rural communities  face when it comes to getting the health care they need.
One in five uninsured Americans lives in a rural area, and yet on  average only 10 percent of the nation's physicians practice in these  communities. The Affordable Care Act has significantly increased the  size of the National Health Service Corps, which offers scholarships and  loan repayment to health practitioners in return for practicing in  rural communities and other underserved areas. More than 3,500 Corps  members now serve in rural areas, and an average of 86 percent of them  will remain in their communities even after completing their service.
The Affordable Care Act also invests significantly in expanding  services at community health centers, where 7.5 million rural Americans  get access to primary and preventive care. That comes on top of the more  than $3 billion USDA has invested since 2009 to strengthen health  infrastructure in rural areas, building rural hospitals and health  clinics and expanding access to health care in remote rural areas  through telemedicine.
Not only can a lack of health insurance coverage help lead to high  rates of chronic conditions, it threatens rural families economic health  as well.  Before the Affordable Care Act passed, the average rural  family paid nearly 50% of all health costs out of pocket. One in five  farmers is in debt because of medical bills. Uninsured individuals  living in rural areas are able to use the Marketplaces to compare  qualified health plan insurance options based on price, benefits,  quality, and other factors with a clear picture of premiums and  cost-sharing amounts to help them choose the qualified health insurance  plan that best fits their needs.
Open Enrollment for the Health Insurance Marketplace began Nov. 15, 2014, and runs through Feb. 15, 2015. Those who have plans can continue them without re-enrolling. However, consumers are encouraged to visit HealthCare.gov to review and compare health plan options and find out if they are  eligible for financial assistance, which can help pay monthly premiums  and reduce out-of-pocket costs when receiving services. In order to have  coverage effective on Jan. 1, 2015, consumers must enroll or update their coverage by December 15.
Consumers can find local help at: Localhelp.healthcare.gov or call the Federally-facilitated Marketplace Call Center at 1-800-318-2596. TTY users should call 1-855-889-4325. Translation services are available. The call is free.
To preview plans in your area, visit: www.healthcare.gov/see-plans/
For more information about Health Insurance Marketplaces, visit: www.healthcare.gov/marketplace