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	Sources Prepared by: Julie Chang, Office of Health Reform, Department of Health and Human Services Meena Seshamani, MD, PhD, Director of Policy Analysis, Office of Health Reform, Department of Health and Human Services Data analysis provided by the Health Resources and Services Administration, Office of Rural Health Policy (Joan Van Nostrand, DPA, Jenna Kennedy, BA, Carrie Cochran, MPA) and by Rural Health Research and Policy Analysis Centers ¹ National Advisory Committee on Rural Health and Human Services. The 2008 Report to the Secretary: Rural Health and Human Services Issues. April 2008. ftp://ftp.hrsa.gov/ruralhealth/committee/NACreport2008.pdf ² DeNavas-Walt, C., Proctor, B. D., and Smith, J. C. (2008.) U.S. Census Bureau. “Current Population Reports, P60-235, Income, Poverty, and Health Insurance Coverage in the United States: 2007.” Washington, DC: U.S. Government Printing Office. ³ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ⁴ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ⁵ Drabenstott, Mark and Moore, Sean. (March 2009). “Rural America in Deep Downturn: A RUPRI Rural Economic Update.” RUPRI Center for Regional Competitiveness: Kansas City, MO. ⁶ Current Population Survey 2007, tabulation prepared by North Carolina Rural Health Research Center. ⁷ The Access Project. (Sept. 2007). “Issue Brief: 2007 Health Insurance Survey of Farm and Ranch Operators.” http://www.accessproject.org/adobe/issue_brief_no_1.pdf ⁸ American Medical Association. (2008,2009). "Competition in health insurance: A comprehensive study of U.S. Markets: 2008 Update," American Medical Association. ⁹ Pleis JR, Lethbridge-Çejku M. Summary health statistics for U.S. adults: National Health Interview Survey, 2006. National Center for Health Statistics. Vital Health Stat 10(235). 2007. ¹⁰ Memorandum to Members and Staff of the Subcommittee on Oversight and Investigations: Supplemental Information Regarding the Individual Health Insurance Market. June 16, 2009. http://energycommerce.house.gov/Press_111/20090616/rescission_supplemental.pdf ¹¹ The Access Project. (Sept. 2007). “Issue Brief: 2007 Health Insurance Survey of Farm and Ranch Operators.” http://www.accessproject.org/adobe/issue_brief_no_1.pdf ¹² Fordyce MA, Chen FM, Doescher MP, Hart LG. (2007). 2005 physician supply and distribution in rural areas of the United States. Final Report #116. Seattle, WA: WWAMI Rural Health Research Center, University of Washington. ¹³ "Threats to the Future Supply of Rural Registered Nurses," WWAMI Rural Health Research Center, Policy Brief, April 2009. ¹⁴ HRSA Geospatial Data Warehouse, 2009. ¹⁵ Agency for Healthcare Research and Quality, 2006 Medical Expenditure Panel Survey. Calculations By Maine Rural Health Research Center. ¹⁶ U.S. National Highway Traffic Safety Administration. The critical need for active, ongoing seat belt use programs in rural areas. 2006. ¹⁷ WWAMI Rural Health Research Center. Aging of the rural generalist workforce. Seattle, WA: WWAMI Rural Health Research Center, University of Washington; in press. ¹⁸ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ¹⁹ Bennett, K. J., Olatosi, B., & Probst, J.C. (2008). “Health Disparities: A Rural – Urban Chartbook.” South Carolina Rural Health Research Center. ²⁰ Bennett, K. J., Olatosi, B., & Probst, J.C. (2008). “Health Disparities: A Rural – Urban Chartbook.” South Carolina Rural Health Research Center. ²¹ Pleis JR, Lethbridge-Çejku M. Summary health statistics for U.S. adults: National Health Interview Survey, 2006. National Center for Health Statistics. Vital Health Stat 10(235). 2007. ²² Health Care in Urban and Rural Areas, Combined Years 2004-2006. Update of Content in MEPS Chartbook No. 13. Agency for Health Care Policy and Research, Rockville, MD. http://www.ahrq.gov/data/meps/chbook13up.htm ²³ Bennett, K. J., Olatosi, B., & Probst, J.C. (2008). “Health Disparities: A Rural – Urban Chartbook.” South Carolina Rural Health Research Center.