More than 1,300 urban areas will now be designated rural.
"Going with the new definition could limit the number of rural health clinics moving forward and have a negative impact on rural access to care," said Shannon Wu, senior associate director of policy at the hospital association.For starters, the Census Bureau is switching to housing units instead of people as the basis for calculating what should be an urban area. Bureau officials say the change will make it easier to update between once-a-decade head counts of the U.S.
Places with 50,000 residents or more were considered "urbanized areas," compared with "urban clusters" having between 2,500 and 49,999 residents in the past. But those distinctions will be eliminated and all will be called urban areas under the new definition. Different federal programs use different definitions of urban and rural, and some communities qualify for rural funding for some programs and not others. But any changes "will have significant implications for many groups and communities," said Kenneth Johnson, a senior demographer at the University of New Hampshire who studies rural issues.
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