Rural Health Care Preservation Act of 1987

Rural Health Care Preservation Act of 1987 - Amends the Public Health Service Act to create a new title, Title XXIII: Preservation of Rural Health Care. Requires the Secretary of Health and Human Services (Secretary) to appoint a Deputy Under Secretary for Rural Health Care to coordinate public and private activities to strengthen the rural health care system, including regional analyses and an information clearinghouse.

Requires the Director of the Congressional Office of Technology Assessment to appoint a Rural Health Care Advisory Commission to report annually to the Congress, the Secretary, and the Deputy Under Secretary on access to community-based rural health care. Declares that certain provisions of the Social Security Act relating to staffing, administration, and reporting shall apply in the same way to the Commission as they apply to the Prospective Payment Assessment Commission.

Authorizes appropriations to carry out the provisions of this Act relating to the Rural Health Care Advisory Commission for FY 1988 through 1990.

Requires the Secretary to include with the publication of certain regulations an analysis of the impact of each regulation on access to rural health care.

Amends the Public Health Service Act to authorize the Secretary to make grants for mental health services demonstration projects relating to rural residents. Increases the amount authorized to be appropriated for such projects in FY 1988 and authorizes such increased amount for FY 1989 and 1990.

Amends the Public Health Service Act to require the Secretary to provide that not less than 25 percent of funds set aside for research and demonstration projects relating to health services delivery or access be used in projects relating to rural areas, except for funds appropriated for the National Institutes of Health or funds first made available before FY 1988.