Rural Health Information Hub Latest News

Pennsylvania Fire Commissioner Opens $50 Million Grant Program to Support Fire, Rescue and EMS Companies Affected by COVID-19

Pennsylvania State Fire Commissioner Bruce Trego announced that the Office of State Fire Commissioner (OSFC) opened registration on July 6 for state grants aimed at providing direct financial relief to fire, rescue and emergency medical service (EMS) companies negatively impacted by the ongoing COVID-19 outbreak.

“Fire, rescue and EMS companies throughout the state have struggled since the state began taking action to curtail the spread of COVID-19,” said Trego. “Increased operational tempo, and an inability to raise funds through community events have hit these organizations hard. The financial lifeline these grants provide will help hundreds of companies keep their lights on.”

Of the $50 million in funding set aside for this new program, $44 million will be made available to fire and rescue companies and the remaining $6 million will go to EMS companies. Grant funding must be used for operational and equipment expenses.

Additional guidance, including detailed registration instructions are available online at OSFC’s website. The registration period for this grant program ends August 7, 2020 at 4:00 P.M.

Pennsylvania Governor Announces Protections from Foreclosures and Evictions Through Aug. 31

Pennsylvania Governor Tom Wolf signed a new executive order that protects homeowners and renters from eviction or foreclosure until Aug. 31, if they have not received assistance from a new program administered by the Pennsylvania Housing Finance Agency (PHFA) or are not already receiving relief through one of several federal foreclosure moratorium programs or judicial orders. Lenders and property owners that receive funds through the PHFA program agree not pursue foreclosure or eviction actions as a condition of participation in the program.

“I am taking this action to help families know they will have a roof over their heads and a place to live while all of us fight the COVID-19 pandemic,” said Gov. Wolf. “It takes one more burden off of people who are struggling and ensures that families can remain in their homes so they can protect their health and wellbeing.”

The governor signed legislation in May providing $150 million for rental assistance and $25 million for mortgage assistance through PHFA with CARES Act funds. PHFA began accepting applications July 6.

Eligibility information and applications for renters and homeowners is available on the PHFA website.

The U.S. Department of Veterans Affairs, Federal Housing Finance Agency, including Fannie Mae and Freddie Mac and the U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Agriculture have each extended eviction and foreclosure protections for housing under their authority to Aug. 31.

In almost all circumstances, renters and homeowners are required to continue making monthly payments if they can. Pennsylvanians struggling to make monthly payments should contact their landlord or mortgage servicer immediately. The governor’s executive order does not apply to proceedings regarding property damage or illegal activity.

The governor previously signed an executive order suspending evictions and foreclosures, which expires Friday. That action followed a Pennsylvania Supreme Court order which closed court eviction proceedings until May 11.

Additional Commodities Eligible for Coronavirus Food Assistance Program  

Today, U.S. Secretary of Agriculture Sonny Perdue announced an initial list of additional commodities that have been added to the Coronavirus Food Assistance Program (CFAP), and that the U.S. Department of Agriculture (USDA) made other adjustments to the program based on comments received from agricultural producers and organizations and review of market data. Producers will be able to submit applications that include these commodities on Monday, July 13, 2020. USDA’s Farm Service Agency (FSA) is accepting through Aug. 28, 2020, applications for CFAP, which helps offset price declines and additional marketing costs because of the coronavirus pandemic. USDA expects additional eligible commodities to be announced in the coming weeks.

USDA collected comments and supporting data for consideration of additional commodities through June 22, 2020.

Changes to CFAP include:

  • Adding the following commodities: alfalfa sprouts, anise, arugula, basil, bean sprouts, beets, blackberries, Brussels sprouts, celeriac (celery root), chives, cilantro, coconuts, collard greens, dandelion greens, greens (others not listed separately), guava, kale greens, lettuce – including Boston, green leaf, Lolla Rossa, oak leaf green, oak leaf red and red leaf – marjoram, mint, mustard, okra, oregano, parsnips, passion fruit, peas (green), pineapple, pistachios, radicchio, rosemary, sage, savory, sorrel, fresh sugarcane, Swiss chard, thyme and turnip top greens.
  • Expanding for seven currently eligible commodities – apples, blueberries, garlic, potatoes, raspberries, tangerines and taro – CARES Act funding for sales losses because USDA found these commodities had a 5 percent or greater price decline between mid-January and mid-April as a result of the COVID-19 pandemic. Originally, these commodities were only eligible for marketing adjustments.
  • Determining that peaches and rhubarb no longer qualify for payment under the CARES Act sales loss category.
  • Correcting payment rates for apples, artichokes, asparagus, blueberries, cantaloupes, cucumbers, garlic, kiwifruit, mushrooms, papaya, peaches, potatoes, raspberries, rhubarb, tangerines and taro.

Additional details can be found in the Federal Register in the Notice of Funding Availability (NOFA) and Final Rule Correction and at www.farmers.gov/cfap.

Funding Available for Pennsylvania Businesses that Maintained Access to Fresh, Healthy Foods During Pandemic

The Pennsylvania Department of Agriculture announced that the The Fresh Food Financing Initiative COVID-19 Relief Fund — funded through the CARES Act — is available to for-profit, nonprofit, or cooperative entities impacted by COVID-19, including grocery stores, corner stores, convenience stores, neighborhood markets, bodegas, food hubs, mobile markets, farmers markets, on-farm markets, urban farms, and food aggregation centers with a direct connection to direct-to-consumer retail outlets.

To be eligible, more than 50 percent of sales must be from staple and perishable foods to consumers and the retailer must serve customers that live in a low-to-moderate income area. Applicants must also provide access to affordable, high-quality fresh produce, meat and dairy products and other healthy grocery items for low-to-moderate income shoppers, and must accept SNAP and WIC to the maximum extent possible.

In recognition of the disproportionate impacts of both COVID-19 and food apartheid on communities made up of Black, Indigenous, and People of Color (BIPOC), and especially Black and African American communities, prioritization will be given to businesses owned by minorities and serving low-income BIPOC communities. Additional prioritization criteria include businesses located in or serving a USDA-designated food desert; businesses sourcing and selling Pennsylvania grown or processed products to the extent practicable; and applicants with supplier diversity and offering increased business opportunities for Minority Business Enterprises, Women Business Enterprises, Service-Disabled Veteran Business Enterprises, Veteran Business Enterprises, Lesbian, Gay, Bisexual, and Transgender Business Enterprises; and Disability-Owned Business Enterprises.

“This pandemic has revealed many things, one of the most prevalent has been about where our food comes from – how it gets from the farm to those who need it. This relief fund is about strengthening the local food system and improving food security and nutrition,” said Sec. Redding. “We need to stimulate local economies, increase market opportunities for Pennsylvania farmers, create jobs, and contribute to better health by improving access to fresh, local foods – we need to feed Pennsylvania, now and in the years to come. And that is all a part of this initiative.”

The program is administered by the Department of Agriculture in partnership with the Department of Community and Economic Development. Applications will be accepted through August 14, 2020. Grant funds will be distributed to eligible applicants for impacts related to COVID-19 that have been incurred between March 1, 2020 and November 30, 2020, such as:

  • Higher operating costs related to cleaning and social distancing requirements, including costs related to outside contracting associated with managing social distancing, limited occupancy, and cleaning;
  • Infrastructure improvements including renovation, new construction, or adaptive reuse directly related to COVID-19;
  • Equipment purchases that improve the availability of quality fresh food, such as additional refrigeration to manage volume, or personal protective equipment such as plexiglass dividers;
  • Inventory (higher cost of goods, higher transportation or delivery costs, or procuring Pennsylvania-grown produce, meat, and dairy products, or loss of product);
  • Innovative food access technology such as mobile or pop-up markets, or mobile EBT reader technology;
  • Costs to expand access to Pennsylvania grown or processed produce, dairy and meat products or provide stable market access for Pennsylvania farmers that have lost or limited markets; and
  • Other one-time or increased expenses incurred related to COVID-19.

“The COVID-19 pandemic has highlighted the individuals and businesses that stepped up to protect and provide for their communities over the past several months, by supplying critical goods and services,” said Sec. Davin. “Little is as life sustaining as providing access to fresh, healthy food, especially in food-insecure areas. This funding will help alleviate the financial burdens placed on Pennsylvania’s food system during the pandemic and will ensure continued access to nutritional foods as we work toward greater recovery.”

The Pennsylvania Department of Agriculture (department) will accept applications until August 14, 2020.  If you have any questions about the application process or need an application sent to you via mail, please email Michael Roth at michroth@pa.gov.

To apply for funding, the applicant must submit the on-line Electronic Single Application for Assistance located at www.esa.dced.state.pa.us. In addition to the Electronic Single Application for Assistance, the applicant should provide the following items when applying for the grant. All items should be attached electronically to the ESA submission. Awarded grants are reimbursement grants, so applicants are responsible to spend all funds prior to submitting for reimbursement.

For full details on Fresh Food Financing Initiative COVID-19 Relief Fund eligibility, award amounts, additional prioritizations, and criteria visit agriculture.pa.gov/foodsecurity.

For information as it relates to agriculture during COVID-19 mitigation in Pennsylvania visit agriculture.pa.gov/COVID. For the most accurate, timely information related to Health in Pennsylvania, visit on.pa.gov/coronavirus.

Journal of Appalachian Health Is Now On the Directory of Open Access Journals!

The Journal of Appalachian Health has been added to the Directory of Open Access Journals.

DOAJ is a community-curated online directory that indexes and provides access to high quality, open access, peer-reviewed journals. DOAJ is independent; All funding is via donations. All DOAJ services are free of charge including being indexed in DOAJ. All data is freely available.

DOAJ operates an education and outreach program across the globe, focusing on improving the quality of applications submitted (Source: DOAJ, 2020).

Clarification on RHC and FQHC Cost Sharing Announced

On July 6, CMS updated MLN Matters Article SE20016 to clarify how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) can apply the Cost Sharing (CS) modifier to preventive services furnished via telehealth. This update includes:

  • Additional claim examples
  • New section on the RHC Productivity Standard

COVID-19 Crisis Fire Company and EMS Grant Program Funding Available in Pennsylvania

The Pennsylvania Emergency Health Services Council has announced that COVID-19 Crisis Fire Company and EMS Grant Program funding is now available.  Organizations are urged to access the following links to check eligibility and for application details.

https://www.osfc.pa.gov/GrantsandLoans/Pages/COVID-19-Fire-Rescue-EMS-Grant.aspx?fbclid=IwAR0C9oOMttwYWykLir2_qPHMLvsVY4js7awH8grFZbqJds4HiZNAmtZMMa8

Providers Urged to Submit Data by July 20 Deadline for Medicaid and CHIP Relief Funds

HHS recently announced the additional distributions from the  Provider Relief Fund to eligible Medicaid and Children’s Health Insurance Program (CHIP) providers that participate in state Medicaid and CHIP programs.  HHS expects to distribute approximately $15 billion to eligible providers that participate in state Medicaid and CHIP programs and have not received a payment from the Provider Relief Fund General Distribution.  Eligible providers must submit their data by July 20.

Before applying through the Enhanced Provider Relief Fund Payment Portal, applicants can watch a webinar about the application process for Medicaid/CHIP providers.  An additional webinar is scheduled for Wednesday, July 8 at 4:00 pm EDT, which you can register for here.  I also encourage you to review the most recent FAQs on the program and the Medicaid/CHIP targeted distribution here.

More Research Points to Importance of Masks, Mandatory Mask-Wearing Order Remains in Effect

Pennsylvania Governor Wolf’s Administration highlighted recent research studies that further point to the importance of wearing masks to stop the spread of COVID-19.

According to a recent, comprehensive study published in The Lancet and funded by the World Health Organization, which identified 172 observational studies across 16 countries and six continents, face mask use could result in a large reduction in risk of infection from COVID-19, in particular when combined with social distancing.

A study by a team of researchers led by a Texas A&M University professor has found that not wearing a face mask dramatically increases a person’s chances of being infected by the COVID-19 virus. The findings were published in the PNAS (Proceedings of the National Academy of Sciences). According to the study’s findings, “not wearing a face mask dramatically increases a person’s chances of being infected by the COVID-19 virus.”

And a recent modeling study by the Royal Society A notes that wearing masks in public could have a major impact toward reducing the spread of COVID-19. According to the modeling, “Under certain conditions, when lock-down periods are implemented in combination with 100% facemask use, there is vastly less disease spread, secondary and tertiary waves are flattened, and the epidemic is brought under control. The effect occurs even when it is assumed that facemasks are only 50% effective at capturing exhaled virus inoculum with an equal or lower efficiency on inhalation.”

Pennsylvania Secretary of Health Dr. Rachel Levine signed an order mandating mask-wearing on July 1. It remains in effect. Frequently Asked Questions about the mask-wearing order can be found here.

Rural Health Network Development Planning Program Recipients Announced

The Federal Office of Rural Health Policy (FORHP) awarded approximately $2 million to twenty awardees for the 2020 Rural Health Network Development Planning (Network Planning) Program.

The Network Planning program, administered by HRSA’s Federal Office of Rural Health Policy (FORHP) focuses on the planning and development of integrated health care networks, specifically network participants who do not have a history of formal collaborative efforts in order to (i) achieve efficiencies; (ii) expand access to, coordinate, and improve the quality of essential health care services; and (iii) strengthen the rural health care system as a whole. The intent is that rural health networks will expand access to care, increase the use of health information technology, explore alternative health care delivery models, and continue to achieve quality health care across the continuum of care from prevention and wellness, to acute and long-term care.

Recipients from 15 states received up to $100,000 for a one-year project period that will focus on building, strengthening, and formalizing integrated health care networks and systems, developing training cooperatives, conducting community health needs assessments, increasing service capacity, addressing behavioral health conditions, and addressing the opioid epidemic. You can view the list of awardees here.

With FORHP support, these organizations will work towards becoming operational and sustainable beyond the one-year project period, achieving long-term outcomes such as increasing their focus on showing value in health care delivery creates incentives to develop regional systems of care that preserve local autonomy for rural communities while also ensuring access to the appropriate continuum of care for the local service population. These funded organizations are helping to change how health care is being delivered in rural communities.