- Biden-Harris Administration Releases National Strategy for Suicide Prevention and First-Ever Federal Action Plan
- Biden-Harris Administration Takes Historic Action to Increase Access to Quality Care, and Support to Families and Care Workers
- Biden Administration Sets Higher Staffing Mandates. Most Nursing Homes Don't Meet Them.
- Rural Jails Turn to Community Health Workers To Help the Newly Released Succeed
- Rural Communities Face Primary Care Physician Shortage
- Miles for Milk: How Student-Run Grocery Store Reshaped Rural Community's Food Access
- Native Americans Have Shorter Life Spans, and It's Not Just Due to Lack of Health Care
- Promotoras Play Essential Role in Connecting Farmworkers with Health Care in Rural NorCal
- Using Medicaid to Address Young People's Mental Health Needs in School Settings
- Across the Country, Amish Populations Are on the Rise
- Sunsets, Wildlife and Limited Care: Challenges of Aging in Place in Rural America
- City-Country Mortality Gap Widens amid Persistent Holes in Rural Health Care Access
- Tribal Environmental Impact Network
- Minnesota's Rural Ambulance Providers Look to State Capitol for Their Own Lifeline
- Biden-Harris Administration Takes Action to Support the Primary Care Workforce
Experts Talk About the Rural Aspects of Alzheimer’s Disease
A new feature article in the Rural Monitor looks extensively at data, challenges, and resources Alzheimer’s in rural areas. Read more here.
NIH National COVID Cohort Collaborative
As part of an effort to help scientists understand COVID and develop treatments, the National Institutes of Health (NIH) has launched a centralized, secure enclave to store and study clinical record data from people who have been diagnosed. The collaborative aims to transform clinical information into knowledge urgently needed to study COVID-19, including health risk factors that indicate better or worse outcomes of the disease, and identify potentially effective treatments. Read more here.
State Rural Hospital and Community COVID-19 Vulnerability
Researchers at the University of North Carolina Rural Health Research Program created a chart that shows the number of rural hospitals in each state and measures community vulnerability using the CDC’s Social Vulnerability Index. Read more here.
HHS Announces Partnership with Morehouse School of Medicine to Fight COVID-19 in Vulnerable Communities
On Monday, June 22, the U.S. Department of Health & Human Services (HHS) announced the selection of the Morehouse School of Medicine as the awardee for a new $40 million initiative to fight COVID-19 in racial and ethnic minority, rural, and socially vulnerable communities. The initiative – the National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities (NIMIC) – is a three-year project designed to work with community-based organizations across the nation to deliver education, information, and resources. Read more here.
Postal Worker Worries about Threats to Rural ‘Lifeline’ During Pandemic
By Jan Pytalski and Tim Marema
The Postal Service delivers economic access and democracy to small communities during the Covid-19 crisis, says a rural letter carrier. Privatization would leave rural America behind, he says. Read more here.
For Rural Hospital, Pandemic Hasn’t Materialized, but the Fiscal Harm Arrived on Schedule
By Liz Carey
Folks at Ferry County Memorial Hospital in northeast Washington are grateful that the steps they took to prevent Covid-19 appear to be working. But the cost to the hospital and community have still been substantial. Read more here.
Providing in a Pandemic: The Challenges of Rural Maternity Care Just Got More Difficult
By Mikhal Ben Joseph
Rural moms already faced a host of obstacles to get good prenatal care. Rural nurse midwives and doulas are trying to fill the gap. (Part of a series.) Read more here.
Rural Hotspots: A Handful of Counties Produce Over Half of New Infections
By Tim Marema
More than half of the latest new Covid-19 cases in rural America came from a small number of hotspot counties, most of which are in the Southeastern United States. Read more here.
New Brief: Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics
Residents of rural communities face longstanding access barriers to mental health (MH) services due to chronic shortages of specialty MH providers, long travel distances to services, increased likelihood of being uninsured or under-insured, limited choice of providers, and high rates of stigma. As a result, rural residents rely more heavily on primary care providers and local acute care hospitals to meet their MH needs than do urban residents. This reality highlights the importance of integrating primary care and MH services to improve access to needed care in rural communities. Critical Access Hospitals (CAHs) are ideally positioned to help meet rural MH needs as 60 percent manage at least one Rural Health Clinic (RHC). RHCs receive Medicare cost-based reimbursement for a defined package of services including those provided by doctoral-level clinical psychologists (CPs) and licensed clinical social workers (LCSWs).
This policy brief explores the extent to which CAH-based RHCs are employing CPs and/or LCSWs to provide MH services, describes models of MH services implemented by CAH-based RHCs, examines their successes and challenges in doing so, and provides a resource to assist CAH and RHC leaders in developing MH services. It also provides a resource for State Flex Programs to work with CAH-based RHCs in the development of MH services.
Pennsylvania Governor’s Administration Urges USDA to Maintain Flexibility for States Administering SNAP Benefits in Response to Continued Threat of COVID-19
Pennsylvania Governor Tom Wolf sent a letter to the United States Department of Agriculture (USDA) Secretary Sonny Perdue urging the USDA to extend waivers granted to provide states for longer than a month at a time to preserve flexibility they need to ensure the uninterrupted and safe administration of public benefits during the COVID-19 public health crisis. The flexibilities granted by waivers from the USDA specifically related to the Supplemental Nutrition Assistance Program (SNAP) reduce the need for in-person interactions between Department of Human Service (DHS) staff and current and potential clients, keeping both safer from COVID-19 while allowing DHS to continue to meet needs of Pennsylvanians during this period of economic uncertainty.
Numerous waivers previously granted by the USDA for the SNAP program were set to expire on June 30. Thus far, the Pennsylvania Department of Human Services (DHS) has been granted a one-month extension for the following waivers:
- Elimination of Face-to-Face and Quality Control Interviews: Under normal circumstances, a face-to-face interview must be conducted to determine benefit eligibility and at random for quality control processes. Due to COVID-19, these waivers allows states to perform interviews over the phone to accommodate social distancing and keep DHS staff and clients safe while ensuring continuity of benefits and eligibility determinations.
- Extension of Fair Hearing and Administrative Disqualification Hearings Timeframes: These waivers help Pennsylvania remain in compliance with SNAP regulations by granting DHS staff more time to conduct appeals and disqualification hearings. DHS’ Bureau of Hearings and Appeals is currently operating under a blended on-site and telework model, but there is currently a backlog of cases being worked through from when the stay at home order first began in March. Without these waivers, Pennsylvania would be out of compliance with federal regulations.
- Temporary Suspension of Claims Collections: This waiver allows Pennsylvania’s Office of Inspector General to pause recoupment if SNAP benefits are overpaid. Without this waiver, SNAP households with a previous overpayment would receive less benefits during the COVID-19 health emergency and would have complicated households’ ability to receive emergency SNAP payments. Given current economic uncertainty, the Wolf Administration would like to continue this temporary pause to prevent further strain on households until circumstances improve.
These waivers are set to expire on July 31, 2020, but Pennsylvania is requesting a longer term, 90-day extension. Waiver extensions of up to 90 days, instead of the current 30 days, would allow for greater predictability and efficiency in DHS operations, as the certainty would eliminate the need to reapply for waivers each month and prepare processes for changes necessary if waivers are not granted.
DHS has also requested wavier extensions to extend SNAP certification periods so current recipients do not have to submit additional paperwork in order to maintain benefits, and to adjust interview requirements, which can slow issuance of benefits and increase rates of people churning off and back on to SNAP. These waivers are also set to expire on June 30.
Governor Wolf also encouraged the USDA to continue to allow states to extend emergency SNAP allotments to current SNAP households. These payments, which are authorized under the Families First Coronavirus Response Act, grant an additional payment to SNAP households that do not receive the maximum monthly benefit for their household size to bring these households to the monthly maximum.
Pennsylvania was approved for this benefit for July, but states lose the authority to issue the supplemental payments if the federal or state disaster declarations are rescinded. Without this, Pennsylvania would lose $100 million per month in additional federal funds that get returned to grocers, farmers markets, and other small businesses in local economies, and SNAP households would receive only the normal benefit amount when many counties still experiencing economic challenges as well as increases in the cost of groceries.
Governor Wolf also urged Secretary Perdue and the USDA to recognize the important role the SNAP program plays in helping more than 1.9 million Pennsylvanians avoid going hungry, which can have adverse effects on a person’s health and well-being. Because SNAP primarily serves populations like the elderly and low-income communities that have been disproportionately affected by the pandemic, removing flexibilities that could potentially remove people from the program would be another way of directing support away from vulnerable Pennsylvanians.
Read the full letter here.