FACACLASSIC

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

GENERAL INFORMATION

Committee Name	National Advisory Committee on Rural Health and Human Services	Agency Name	Department of Health and Human Services
Fiscal Year	2025	Committee Number	940
Original Establishment Date	10/1/1987	Committee Status	Terminated
Actual Termination Date	4/1/2025	Committee URL	http://www.hrsa.gov/advisorycommittees/rural/
Actual Merged Date		Presidential Appointments*	No
New Committee This FY	No	Max Number of Members*	21
Terminated This FY	Yes	Designated Fed Officer Position Title*	Chief Advisor and Executive Secretary
Merged This FY		Designated Federal Officer Prefix	Ms.
Current Charter Date	10/29/2023	Designated Federal Officer First Name*	Sahira
Date Of Renewal Charter	10/29/2025	Designated Federal Officer Middle Name
Projected Termination Date		Designated Federal Officer Last Name*	Rafiullah
Exempt From Renewal*	No	Designated Federal Officer Suffix	MPA
Specific Termination Authority	2025 Secretary Directive	Designated Federal Officer Phone*	(240) 316-5874
Establishment Authority*	Authorized by Law	Designated Federal Officer Fax*	301-443-2803
Specific Establishment Authority*	42 U.S.C. 217a	Designated Federal Officer Email*	srafiullah@hrsa.gov
Effective Date Of Authority*	11/17/1962
Exempt From EO 13875 Discretionary Cmte	Not Applicable
Committee Type*	Continuing
Presidential*	No
Committee Function*	National Policy Issue Advisory Board

RECOMMENDATION/JUSTIFICATIONS

Agency Recommendation*	Continue
Legislation to Terminate Required	Not Applicable
Legislation Status	Not 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.
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 Remarks	Per "2025 Secretary Directive" this FACA Committee this FACA Committee has been terminated. Members Mills and Phillips received term extensions from 8/15/2025 to 11/13/2025.

PERFORMANCE MEASURES

Outcome Improvement To Health Or Safety*	Yes	Action Reorganize Priorities*	Yes
Outcome Trust In Government	Yes	Action Reallocate Resources	No
Outcome Major Policy Changes	Yes	Action Issued New Regulations	No
Outcome Advance In Scientific Research	No	Action Proposed Legislation	No
Outcome Effective Grant Making	No	Action Approved Grants Or Other Payments	No
Outcome Improved Service Delivery	Yes	Action Other	No
Outcome Increased Customer Satisfaction	No	Action Comment	Other category does not apply.
Outcome Implement Laws/Reg Requirements	No	Grants Review*	No
Outcome Other	Yes	Number Of Grants Reviewed	0
Outcome Comment	NACRHHS 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 Recommended	0
Cost Savings*	Unable to Determine	Dollar Value Of Grants Recommended	$0.00
Cost Savings Comment	NA	Grants Review Comment	NA
Number Of Recommendations*	627	Access Contact Designated Fed. Officer*	Yes
Number Of Recommendations Comment	This is the total number of Recommendations provided to the Secretary over the life of the Committee, from 1987 through FY 2024.	Access Agency Website	Yes
% of Recs Fully Implemented*	11.00%	Access Committee Website	Yes
% of Recs Fully Implemented Comment	Note that approximately 15% of Committee recommendations are currently under consideration within HHS.	Access GSA FACA Website	Yes
% of Recs Partially Implemented*	9.00%	Access Publications	Yes
% of Recs Partially Implemented Comment	Note that approximately 8% of Committee recommendations are currently under consideration within HHS.	Access Other	No
Agency Feedback*	Yes	Access Comment	N/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 http://www.hrsa.gov/advisorycommittees/rural/	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.

COSTS

1. Payments to Non-Federal Members*	$0.00	1. Est Paymnts to Non-Fed Membrs Nxt FY*	$0.00
2. Payments to Federal Members*	$0.00	2. Est. Payments to Fed Members Next FY*	$0.00
3. Payments to Federal Staff*	$20,986.72	3. Estimated Payments to Federal Staff*	$0.00
4. Payments to Consultants*	$0.00	4. Est. Payments to Consultants Next FY*	$0.00
5. Travel Reimb. For Non-Federal Membrs*	$0.00	5. Est Travel Reimb Non-Fed Membr nxtFY*	$0.00
6. Travel Reimb. For Federal Members*	$0.00	6. Est Travel Reimb For Fed Members*	$0.00
7. Travel Reimb. For Federal Staff*	$0.00	7. Est. Travel Reimb to Fed Staf Nxt FY*	$0.00
8. Travel Reimb. For Consultants*	$0.00	8. Est Travel Reimb to Consltnts Nxt FY*	$0.00
10. Other Costs	$0.00	10. Est. Other Costs Next FY*	$0.00
11. Total Costs	$20,986.72	11. Est. Total Next FY*	$0.00
Date Cost Last Modified	8/27/2025 3:09 PM	Est. Fed Staff Support Next FY*
Federal Staff Support (FTE)*	0.20	Est Cost Remarks
Cost Remarks	No travel, meeting, contractor, nor non-Federal costs in FY 2025 due to the termination of committee. Payments to Federal Staff include minimal staffing support pre-dating termination (October-April) and activities related to the close-out of the contract and committee.

Interest Areas

Category Area Eligibility Social Services Health Health Care Hospitals Public Health

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