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New York State Medicaid Redesign Team 1115 Research & Demonstration Waiver Delivery System Reform Incentive Payment (DSRIP) Amendment Request Public Comment The NYS Association for Rural Health (NYSARH) appreciates the opportunity to comment on the proposed Waiver Amendment. Introduction The New York State Association for Rural Health suggests that the 1115 Research & Demonstration Waiver include a ‘Rural Lens’. Promising Practices that work well in an urban environment may not translate to the 45 of 62 Counties (73%) that are rural. New York State defines a county as being rural if it has a population of less than 200,000. The scope of NYSARH includes the all rural counties in New York State. Fewer than 50,000 residents: Allegany, Cortland, Delaware, Essex, Greene, Hamilton, Lewis...

RURAL BROADBAND INTERNET The NYS Association for Rural Health (NYSARH) appreciates the opportunity to comment on the issue of Rural Broadband. “Broadband is today what electricity was nearly a century ago – essential to creating economic opportunity, driving innovation, and an absolute necessity for our way of life.” Governor Andrew Cuomo New York has made some important policy changes and financial investments to improve internet coverage in rural areas: https://nysbroadband.ny.gov/new-ny-broadband-program/phase-3awards. However, broadband service remains inconsistent in many areas and is still unavailable to some. Moreover, the cost of broadband is prohibitive for many families, businesses and healthcare providers of limited financial means. In August 2019 the Federal Communication Commi...