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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.

Details on agency responses to committee recommendations can be found under the Performance Measures section for each committee in the fields “Agency Feedback” and “Agency Feedback Comment.”

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 Year2022Committee 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 Date10/29/2021Designated Fed Officer Position Title*Chief Advisor and Executive Secretary
Date Of Renewal Charter10/29/2023Designated Federal Officer PrefixMs.
Projected Termination Date Designated Federal Officer First Name*Sahira
Exempt From Renewal*NoDesignated Federal Officer Middle Name
Specific Termination AuthorityDesignated Federal Officer Last Name*Rafiullah
Establishment Authority*Authorized by LawDesignated Federal Officer SuffixMPA
Specific Establishment Authority*42 U.S.C. 217aDesignated Federal Officer Phone*(240) 316-5874
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?*The National Advisory Committee on Rural Health and Human Services (NACRHHS or Committee) produces reports or policy briefs on key rural health and human services topics and presents these reports to the Secretary of the Department of Health and Human Services. This information is shared both within the Department and externally, and has helped bring attention to important rural issues. For example, in October 2021, NACRHHS convened virtually to examine two topics, Behavioral Health and Primary Care Integration in Rural Health Facilities, and the Rural Emergency Hospital (REH), a new type of rural hospital created by Congress in 2020. A policy brief was prepared for each topic and submitted to the Secretary. After hearing from a variety of policy experts, academics, and community stakeholders, NACRHHS laid out the potential opportunities and challenges expected in conversions to the REH provider designation. In June of 2022, NACRHHS delivered its policy brief on Behavioral Health and Primary Care Integration in Rural Health Facilities to the Secretary, which was informed by the experiences of providers in the rural counties of the state of Arizona.

NOTE: Previous submissions, which listed accomplishments from Fiscal Years (FY) 1998 to 2021 can be found in prior completed annual comprehensive reviews in the FACA Database.
How is membership balanced?*Every effort is made to ensure that NACRHHS' membership represents the widest range of perspectives within rural health care and human services. Along with gender, ethnic, racial, and geographic diversity, at any time committee composition may include senior representatives of Critical Access Hospitals, other small rural hospitals, and Rural Health Clinics, key providers, and rural constituency group organizations. Similarly, the committee membership may include representatives of various medical fields such as nurses, nurse practitioners, physicians, as well as academic medical professors. Other members may include rural health services researchers with extensive experience in Medicaid, public health, and rural and community health. The committee also includes a mix of health and human services educators and, including experts in programs for the elderly and for early childhood development. When possible, members have included those who work with social services agencies and who are involved in community action programs. As members rotate off the Committee, the composition is reevaluated and nominations for new members are proposed with a priority of maintaining the representative variety of backgrounds that mirror health and human services in rural America.
How frequent & relevant are cmte mtgs?*NACRHHS may meet up to three times a year, usually in a rural part of the country. Occasionally, a meeting will be held in Washington, DC. Meetings “in the field” allow the Committee members to understand the diversity of issues affecting the rural health care and human services delivery system across the nation. Meetings provide Committee members with the opportunity to look beyond their own parochial experiences, which results in more meaningful recommendations to the Secretary.
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 need improvement. They also provide an opportunity for NACRHHS' members to hear testimony from those with firsthand experience working on the various issues.
Why advice can't be obtained elsewhere?*Committee meetings provide a forum for a rich group dynamic, in which a wide diversity of opinion and experience is 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 field, both professionally and regionally, and this kind of voice does not exist outside of the Committee. Outside of an advisory committee, the voices often heard on these issues are from professional associations and are affected much more by self-interest. The Committee meetings offer the Secretary the best objective advice on pressing rural health and human service issues.
Why close or partially close meetings?N/A
Recommendation RemarksMember Molly Dodge's term end date extended from 3/30/2022 to 2/25/2023.


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 CommentNACRHHS provides information on the barriers facing isolated rural communities in providing health and human services. The Committee also provides information on the legislation or regulations 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*579Access 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 FY 2022.Access Agency WebsiteYes
% of Recs Fully Implemented*11.00%Access Committee WebsiteYes
% of Recs Fully Implemented CommentNote that approximately 15% of Committee recommendations are currently under consideration within HHS.Access GSA FACA WebsiteYes
% of Recs Partially Implemented*9.00%Access PublicationsYes
% of Recs Partially Implemented CommentNote that approximately 8% of Committee recommendations are currently under consideration within HHS.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. The public can obtain information on agency feedback via the Committee website at 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*$23,750.00Est Payments to Non-Fed Members Next FY*$31,500.00
Payments to Federal Members*$0.00Est. Payments to Fed Members Next FY*$0.00
Payments to Federal Staff*$201,201.00Estimated Payments to Federal Staff*$191,234.00
Payments to Consultants*$0.00Est. Payments to Consultants Next FY*$0.00
Travel Reimb. For Non-Federal Members*$16,879.20Est Travel Reimb Non-Fed Members nextFY*$73,500.00
Travel Reimb. For Federal Members*$0.00Est Travel Reimb For Fed Members*$0.00
Travel Reimb. For Federal Staff*$6,828.94Est. Travel Reimb to Fed Staff Next FY*$16,800.00
Travel Reimb. For Consultants*$0.00Est Travel Reimb to Consultants Next FY*$0.00
Other Costs$75,377.52Est. Other Costs Next FY*$140,000.00
Total Costs$324,036.66Est. Total Next FY*$453,034.00
Date Cost Last Modified11/2/2022 5:12 PMEst. Fed Staff Support Next FY*1.65
Federal Staff Support (FTE)*1.65Est Cost RemarksPlanning for two in-person meetings in FY 2023 with a greater number of non-federal committee members in attendance, increasing costs above FY 2022 actuals but still in line with prior year actual and estimated costs. Other costs include the HRSA Meeting BPA contract.
Cost RemarksThe charter was renewed in Oct 2021 using estimates for FY 2022 costs since actuals for the fiscal year were not available yet. The actual staffing costs for FY 2022 was $201,201, slightly lower than the $204,409 estimated in charter. The actual FY 2022 travel costs for non-federal members and federal staff in FY 2022 were significantly lower than what was estimated due to holding only one in-person meeting as opposed to two in-person meetings as originally estimated in FY 2022. In addition, only 12 non-federal members traveled to the in-person meeting further lowering actual travel costs in FY 2022. Other costs include two call orders from the HRSA-wide BPA to procure logistical support services to support one in -person and one virtual advisory committee meeting in FY 2022. $75,377.52 actual Other Costs are significantly lower than what was estimated due to only one in-person meeting held in FY 2022.  
Hide Section - Interest Areas

Interest Areas

Social Services
Health Care
Public Health


To View all the members, meetings and advisory reports for this committee please click here


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Data from Previous Years

ActionCommittee System IDCommittee NameFiscal Year
 COM-040341National Advisory Committee on Rural Health and Human Services2021
 COM-038622National Advisory Committee on Rural Health and Human Services2020
 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