Former mine lands can be managed to minimize adverse environmental effects and restore
the land to beneficial use, such as wildlife conservation, agriculture, housing,
or industrial/commercial development. The Surface Mining Control and Reclamation Act (SMCRA) of 1977 (PDF) requires states to restore mine lands operating after 1977
to their pre-mined state at the conclusion of mining activity.
Nearly
one in three West Virginians (PDF) live within one mile of an abandoned mine
site. Under the Surface Mining Control and Reclamation Act of 1977 (SMCRA), there
are two main federal programs to reclaim abandoned mine lands: the Abandoned Mine
Land (AML) program and Abandoned Mine Land Economic Revitalization (AMLER) program.
The AML program funds efforts to address environmental and safety hazards posed
by abandoned mine lands, while AMLER seeks to transform these lands into areas
beneficial for the community and local economy. Both the AML and AMLER programs
provide funding for pre-SMCRA (before 1977) abandoned mines.
West Virginians in rural areas face limited healthcare access due to significant
travel times and a general shortage of medical providers and staff.
Telehealth
has been suggested as a beneficial alternative to in-person care. This Science and
Technology Policy Note addresses the state of telehealth in West Virginia and policy
options for improving healthcare access.
Transportation is a well-established
community driver of health (PDF) linked to numerous
rural health disparities. This Science and Technology Note discusses West Virginia’s
existing non-emergency healthcare transportation systems e.g., senior centers and
faith based organizations.
With significantly
higher rates of numerous chronic health conditions, access to healthcare providers
is a critical concern for many West Virginians. Yet, the state faces a shortage
of healthcare providers, including doctors and nurses. Further, given West Virginia’s
aging population (PDF), the demand for healthcare providers is likely to increase.
This Science and Technology Note details the state of the healthcare provider shortage
in West Virginia and offers policy options to increase the availability of healthcare
providers in the state.