This study was based on a survey of 135 Critical Access Hospital (CAH) staff across the country regarding the availability and organization of cancer care services in CAHs. While most CAHs surveyed (95%) provide at least one cancer care screening or diagnostic service, only 46% of CAHs provide at least one component of cancer treatment (chemotherapy, radiation, or surgery) at their facility. Growing disparities within rural areas emphasize the importance of ensuring access to timely screening and guideline-recommended treatment for cancer in rural communities. These data demonstrated that CAHs are addressing the growing need through a variety of approaches including the use of innovative models that utilize non-local providers and telemedicine to expand access to crucial services for rural residents with cancer.