- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization Program
- Announcing the 2030 Census Disclosure Avoidance Research Program
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- CMS: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- CMS: Request for Information; Health Technology Ecosystem
- CMS: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
Update on State Child Care Budget and Policy in Pennsylvania
Pennsylvania Governor Wolf and the Office of Child Development and Early Learning (OCDEL) announced the distribution of $116 million in CARES funding to nearly 7,000 child care providers throughout Pennsylvania. This round of funding is the third distribution allocated to sustaining the child care sector during the current health crisis, with a total investment of $220 million, $104 million of which was distributed earlier this summer. The latest round of funding was largely based on findings from a research study undertaken by Penn State Harrisburg’s Institute of State and Regional Affairs, which studied the impact of the COVID-19 pandemic on Pennsylvania’s child care industry.
As part of his fall legislative agenda, Governor Wolf last week announced a proposed a $250 million investment in the child care sector to help families in need of child care for school-aged children due to hybrid K-12 programs in the 2020-21 school year. Wolf also proposed $27 million to expand access to child care deserts in Pennsylvania, or areas where few providers exist. Finally, $50 million in grants also was proposed for programs serving low-income communities and offering part-day school-age care.
OCDEL has also offered guidance for families and child care centers to ensure school-age children have access to reliable child care. The announcement provides guidance to non-licensed community-based entities and individuals planning to care for groups for school-age children during the 2020-21 school year. Additionally, OCDEL is directing an entity or person operating a non-licensed part-day school-age child care (SACC) program or Learning Pod to notify the Department of Human Services (DHS) and OCDEL if they intend to care for more than six school-age children for the school year.
A new change to child care subsidy payments recently announced by OCDEL also took effect this week. Due to the pandemic, OCDEL was making child care subsidy payments to providers based on the provider’s subsidy enrollment in March 2020. However, effective September 1st, OCDEL returned to pre-pandemic procedures, now basing subsidy payments on actual attendance.
Pennsylvania Governor Dedicates $15 Million to Connect Students to High-Speed Internet, Remote-Learning
Continuing to help students learn during the pandemic, Pennsylvania Governor Tom Wolf is dedicating $15 million for schools to secure broadband, mobile hot spots, and other platforms that increase equitable access to remote learning.
“The COVID-19 pandemic has forced our schools to rethink and rework how to provide instruction to students who are learning completely at home or in a hybrid model,” said Gov. Wolf. “As schools reopen this fall, students need Internet connectivity, computers and other technology, and access to remote-learning platforms. This funding will help our students as we enter the new school year.”
The Coronavirus Aid, Relief and Economic Security (CARES) Act authorizes governors to determine the educational use of Governor’s Emergency Education Relief (GEER) Funds.
The initiative will employ a multi-pronged approach that includes the use of state library networks and other partnerships, including the Pennsylvania Technical Training and Assistance Network (PaTTAN).
Specifically, the funding will be used to:
- Enable public libraries to coordinate work with the Internet Disaster Recovery Center to expand Internet connectivity in targeted county-wide geographic service areas identified as most in need. Expand the inventory of Wi-Fi hot spots and lendable technology through public libraries and addressing the technology deficit among libraries (estimated $1.4 million).
- Strengthen and expand the existing 24/7 online homework help through the POWER Library Chat with a Librarian service and additional electronic resources (estimated $100,000).
- Create and deploy Open Educational Resources (OER) for students and educators (estimated $500,000). OERs give students access to a wider range of instructional materials, including textbooks, videos and research, free of charge.
- Establish a statewide datacasting initiative with Pennsylvania PBS to connect students to learning content who don’t have access to the Internet (estimated $8 million). Datacasting uses over-the-air TV signals to deliver educational content that can be used on computers without having to access the Internet. Using a datacasting antenna, students can download lesson plans, videos, and worksheets from their schools.
- Distribute devices to be used in conjunction with datacasting technology for households without a connection to the Internet (e.g. datacasting antenna, laptops), and provide the technical supports and professional development to connect students to learning (estimated $3 million).
- Distribute accessible/assistive technology, including but not limited to software, tablets, tablet mounts, screens, smart pens, hotspots, devices, for K-12 students with exceptionalities in collaboration with the PaTTAN system (estimated $2 million).
“In response to the pandemic, PDE and others have created new partnerships and strengthened existing ones to ensure Pennsylvania’s students continue to be served, whether that is academically, nutritionally, or socially and emotionally,” said Secretary of Education Pedro A. Rivera. “This new initiative is another way in which communities are working together to benefit our students.”
This initiative builds on the Department of Education’s efforts to support schools’ efforts to implement continuity of education plans during the 2019-20 academic year when schools closed unexpectantly as a result of COVID-19, which included Equity Grants and a partnership with Pennsylvania’s PBS stations to air standards-aligned programming across the state.
To date, the Wolf Administration has awarded $102.5 million in GEER funding to help keep students and educators safe and meet the unique challenges of COVID-19. In addition to the $15 million for connectivity, the Wolf Administration has directed $17 million for schools designated for Additional Targeted Support and Improvement under the federal Every Student Succeeds Act; $15 million for special education; $28 million to postsecondary institutions and adult basic education providers; $14 million to K-12 schools to support equity in continuity of education; $10.5 million to Career and Technical Education Centers; and $3 million for Preschool Early Intervention Programs.
NIOSH COVID-19 Update
As part of NIOSH’s efforts to keep stakeholders up to date on the CDC and NIOSH coronavirus disease 2019 (COVID-19) response, below is a summary of new information posted this week.
General Resources
Two New NIOSH Science Blogs are Now Available on Respiratory Protection
- The Blog, Respiratory Protection vs. Source Control – What’s the Difference?, helps readers understand the difference between respiratory protection, which protects the wearer, and source control, which protects others.
- The Blog, Supplementing the Supply of N95s With Reusable Elastomeric Half Mask Respirators, discusses the use of reusable elastomeric half mask respirators (EHMRs) as a substitute for N95 respirators. This comes as organizations rely on other types of respiratory protection due to the high demand and limited supply of N95 respirators during the COVID-19 pandemic.
Industry-Specific Resources
Update to Wildland Firefighter FAQs
Updates to the Wildland Firefighter FAQs webpage address new concerns, clarify that testing recommendations are relevant to prevent infection and the spread of COVID-19 regardless of test result or exposures, and update the screening terminology to be consistent across the CDC website.
Limiting Workplace Violence Infographic Translated
The webpage Limiting Workplace Violence Associated With COVID-19 Prevention Policies in Retail and Services Businesses has a newly translated infographic. “Basic dos and don’ts for EMPLOYEES to prevent workplace violence” has been translated into eight languages: Chinese, Korean, Vietnamese, French, Haitian-Creole, Portuguese, Spanish, and Russian.
New Fact Sheets
CDC recently published fact sheets for two additional groups that provide suggestions for preventing the spread of COVID-19
Pennsylvania Governor’s Administration Releases State Suicide Prevention Plan
Pennsylvania Governor Wolf’s Administration, in collaboration with the General Assembly and other agencies, released Pennsylvania’s Statewide Suicide Prevention Plan. The plan, which was developed by the state’s Suicide Prevention Task Force, is a four-year strategy to reduce suicide in Pennsylvania by fighting stigma, increasing training and education on suicide and mental health, improving data collection for suicide, and supporting clinical practices and treatment to prevent suicide and help those who are struggling or in crisis know that things can and will get better.
Suicide is the tenth leading cause of death in the country, claiming more than twice as many lives each year as homicide. In Pennsylvania, 2,017 people completed suicide in 2018 (up from 1,272 suicides in 1999), reflecting a 43.3 percent increase in the age-adjusted suicide rate. Approximately 1.4 million adults attempt suicide annually in the United States, with more than 85 percent reporting having made a suicide plan prior to their attempt. Throughout National Suicide Prevention Month in September, we remember those lost to suicide and support loss and suicide attempt survivors and all who experience suicidal ideation every day. We must build an open dialogue around suicide so anyone who is struggling can discuss what they are experiencing and feel safe, supported, and know that help is available.
Suicide Prevention Task Force
In 2019, the Wolf Administration announced the formation of a statewide Suicide Prevention Task Force comprised of leadership from Prevent Suicide PA, members of the General Assembly, and the departments of Human Services (DHS), Health (DOH), Corrections (DOC), Aging (PDA), Education (PDE), Military and Veterans Affairs (DMVA), Transportation (PennDOT), Agriculture (PDA), Drug and Alcohol Programs (DDAP), the Pennsylvania Commission on Crime and Delinquency (PCCD), and the Pennsylvania State Police (PSP). Because suicide is so far-reaching, this diverse array of expertise is necessary to build a comprehensive prevention plan.
From late August through early December 2019, the task force held 10 listening sessions across Pennsylvania. More than 800 Pennsylvanians shared their stories of how suicide and mental health difficulties impact their lives and communities and made recommendations to inform the task force as they developed the statewide plan.
In January 2020, the task force released an initial report, which included key themes heard during the task force listening sessions. The goals and objectives of the task force were refined based on public feedback.
The final Statewide Suicide Prevention Plan lays out the task force’s findings into actionable themes with eight specific goals and objectives:
- Goal 1: Reduce stigma and promote safety, help-seeking, and wellness by increasing suicide awareness and prevention education.
- Goal 2: Promote trauma-informed approaches to support all Pennsylvania residents as part of our suicide prevention efforts by coordinating with Pennsylvania’s Trauma-Informed Care Task Force.
- Goal 3: Provide quality training on the prevention of suicide and management of suicide risk across multiple sectors and settings.
- Goal 4: Promote screening to identify individuals at risk for suicide across sectors, including health care, behavioral health, educational and correctional settings.
- Goal 5: Promote and implement effective clinical and professional practices for assessing and treating those identified as at risk for suicidal behaviors.
- Goal 6: Provide trauma-informed care and support to individuals affected by suicide deaths or attempts to promote healing.
- Goal 7: Promote safety among individuals with identified suicide risk, including firearms safety and awareness of the relationship between opioids and other substances to increased risk of suicide.
- Goal 8: Improve the capacity to utilize data reporting systems relevant to suicide and improve the ability to collect, analyze, and use the information in a timely manner so we can inform further suicide prevention efforts.
Moving forward, the task force will continue working with stakeholders at the local, regional, and state levels to support and monitor the implementation of the plan, and will begin with developing measurable, achievable action items.
Mental Health Resources
If you or someone you know is struggling with mental health or suicidal ideation or have in past, know that help is always available:
- The National Suicide Prevention Lifeline is 1-800-273-8255.
- The Spanish-language National Suicide Prevention Lifeline is 1-888-628-9454
- For the Mental Health Crisis Text Line: Text PA to 741741
- Support and Referral Helpline: 1-855-284-2494. For TTY, dial 724-631-5600.
- TrevorLifeline for LGBTQ individuals: 866-488-7386
- Trans Helpline: 877-565-8860
These free resources are available 24/7. If you are concerned about someone else’s well-being, these resources can help you be a life-saving assistance. No matter what you are going through, help is available.
Read the final report of Pennsylvania’s Statewide Suicide Prevention Plan online. Members of the public can submit feedback on the plan at RA-PWSuicidePreventn@pa.gov.
National Health Care Scorecard: Where Does Your State Rank?
Becker’s Hospital Review
An analysis of state health system performance revealed Hawaii is the top-ranked state for access to healthcare, quality of care and other key measures.
The Commonwealth Fund’s “2020 Scorecard on State Health System Performance” assessed all 50 states and the District of Columbia on 49 performance indicators grouped into four dimensions: access and affordability, prevention and treatment, potentially avoidable hospital use and cost, and healthy lives. The data used for the scorecard is from before the emergence of COVID-19. Access additional information about the performance indicators here.
The annual scorecard showed Americans are living shorter lives than they did in 2014 and are dying in greater numbers from treatable conditions. Oklahoma, Arkansas, New Mexico, Kentucky and Mississippi had the biggest increase in premature death rates between 2012 and 2013 and from 2016 to 2017.
The report also found that Black Americans are twice as likely to die from treatable conditions, such as diabetes, heart disease and appendicitis, as white Americans. Though these disparities were found in every state, Mississippi, Arkansas and Oklahoma reported the highest rates of premature deaths among the Black community.
The report also looked at healthcare prices. It revealed the prices commercial insurers paid for hospital inpatient care were higher than Medicare prices in every state. Because insurers often pass along higher costs to employers in the form of higher premiums and deductibles, the report concluded that healthcare prices are driving spending growth and rising consumer healthcare costs.
Federal Action to Expand Access to COVID-19 Vaccines
President Trump and the U.S. Department of Health and Human Services (HHS), through the Assistant Secretary for Health, issued guidance under the Public Readiness and Emergency Preparedness Act (PREP Act) to expand access to safe and effective COVID-19 vaccines when they are made available. This guidance authorizes state-licensed pharmacists to order and administer, and state-licensed or registered pharmacy interns acting under the supervision of the qualified pharmacist to administer, COVID-19 vaccinations to persons ages 3 or older, subject to certain requirements.
“This action builds upon our Administration’s progress toward delivering a safe, effective, and widely available vaccine by 2021,” said Assistant Secretary for Health ADM Brett P. Giroir, M.D. “Allowing pharmacists to order and administer COVID-19 vaccines will greatly expand convenient access for the American people.”
The authorization preempts any state and local laws that prohibit or effectively prohibits those who satisfy these requirements from ordering or administering COVID-19 vaccines as set forth above. The authorization does not preempt state and local laws that permit additional individuals to administer COVID-19 vaccines to additional persons.
Access a copy of the guidance – PDF*
Information on Operation Warp Speed
Clinical resources on vaccines, including continuing education training on best practices
Pennsylvania Governor Announces Restaurants May Increase Indoor Occupancy to 50 Percent Starting September 21
Pennsylvania Governor Tom Wolf announced that restaurants may increase indoor occupancy to 50 percent starting September 21. To ensure that these businesses operate safely as Pennsylvania continues to mitigate the spread of COVID-19, and to instill customers and employees with confidence knowing that they can dine safely, restaurants will commit to strictly complying to all public health safety guidelines and orders through a self-certification process.
“While our aggressive and appropriate mitigation efforts have kept case counts low, we must continue to take important steps to protect public health and safety as we head into the fall. At the same time, we must also support the retail food services industry that has struggled throughout this pandemic,” Gov. Wolf said. “The self-certification ensures that restaurants can expand indoor operations and commit to all appropriate orders so that employees and customers alike can be confident they are properly protected.”
Restaurants that self-certify will appear in the Open & Certified Pennsylvania searchable online database of certified restaurants across the commonwealth. Consumers will be able to access this database and find certified businesses in their area, ensuring that consumers can make more informed choices about the food establishments they are looking to patronize.
The self-certification documents and information about the Open & Certified Pennsylvania program can be found online starting September 21 and will contain the following:
- A list of requirements contained in the current restaurant industry guidance and enforcement efforts;
- A statement that the owner has reviewed and agrees to follow these requirements;
- The business’ maximum indoor occupancy number based on the fire code; and
- A statement that the owner understands that the certification is subject to penalties for unsworn falsification to authorities.
Any restaurant that wishes to increase to 50 percent indoor capacity on September 21 must complete the online self-certification process by October 5. Business owners should keep a copy of the self-certification confirmation they will receive by e-mail. Social distancing, masking and other mitigation measures must be employed to protect workers and patrons. Further, starting September 21 restaurants that have alcohol sales will close alcohol sales at 10:00 PM.
Additionally, restaurants that self-certify will be mailed Open & Certified Pennsylvania branded materials, such as window clings and other signage designating their certification, which they can display for customers and employees.
The self-certification will be used as part of ongoing enforcement efforts conducted by Department of Agriculture and Pennsylvania State Police Bureau of Liquor Control Enforcement, and will be shared with the departments of State, Labor & Industry and Health, and other enforcement agencies. Restaurants operating at 50 percent capacity will have their self-certification status checked as part of ongoing enforcement by these agencies starting on October 5, and will focus on educating businesses. The commonwealth will continue its measured approach to easing restrictions, keeping the rest of the targeted mitigation tactics specific to the food retail industry in place as restaurants increase capacity to 50 percent.
Further, a restaurant’s listing in the Open & Certified Pennsylvania restaurant database shows it cares about its customers, employees, community and the economic future of the state.
The self-certification process is modeled after a similar mitigation effort in Connecticut, and the alcohol sales limitation is modelled after a similar mitigation effort in Ohio.
Boosting consumer confidence is critical for restaurants, as according to the most recent Longwoods International tracking study of American travelers, only 40 percent of Americans are comfortable dining in local restaurants.
“We recognize the impact that the COVID-19 pandemic has had on Pennsylvania’s small businesses, especially on our restaurants,” added Gov. Wolf. “Through this self-certification process, our commonwealth’s restaurant industry will ensure the safety and well-being of both employees and patrons alike, and will be able to begin a return to normal operations and financial recovery.”
Restaurant owners with additional questions about the self-certification program can contact covidselfcert@pa.gov.
In July, following the recommendations of the federal government and in response to a rise in COVID-19 cases, Governor Wolf and Secretary of Health Dr. Rachel Levine signed orders for targeted mitigation efforts for all Pennsylvania businesses in the food services industry, including restaurants, wineries, breweries, private clubs and bars. Commonwealth and local agencies continued and even increased appropriate enforcement measures.
The governor has urged the General Assembly to support his plan to provide additional recovery for small businesses, including proposing $100 million in forgivable loans and grants for the hospitality, leisure and service industries.
The governor has also urged Congress to quickly provide financial relief to the nation’s restaurants by passing the Real Economic Support That Acknowledges Unique Restaurant Assistance Needed to Survive (RESTAURANTS) Act. The bipartisan bill in Congress provides $120 billion to help independent restaurants with the economic challenges created by the COVID-19 pandemic.
Pennsylvania Governor’s Administration Releases FAQs for Restaurant Self-Certification Process
The administration of Pennsylvania Governor Wolf released frequently asked questions for restaurant owners to reference following the newly announced self-certification process.
This new process, Open & Certified Pennsylvania, ensures that customers and employees know that they can dine safely at restaurants committed to strictly complying with all public health safety guidelines and orders as we work to mitigate the spread of COVID-19 in the commonwealth.
“The novel coronavirus has created new challenges for Pennsylvania businesses, and it is critical that we provide avenues of support for our restaurants, which have been disproportionately impacted,” Department of Community and Economic Development Secretary Dennis Davin.
“Open & Certified Pennsylvania will instill consumer faith and allow our small businesses to recover more quickly, and we want to make the process as simple and easy as possible. The list of frequently asked questions we are releasing today will help ensure that this transition goes as smoothly as possible for Pennsylvania businesses.”
Any restaurant that wishes to increase to 50 percent indoor capacity on September 21 must complete the online self-certification process by October 5.
Restaurant owners with additional questions about the self-certification program can contact covidselfcert@pa.gov.
Campaign for Dental Health Releases New Media
The Campaign for Dental Health released several new memes and video snips on their website. Four new memes include messages on brushing, drinking water, mouth-body connection, and oral health integration. Each carries the 75th anniversary of community water fluoridation medallion. Five new video snips feature three pediatricians emphasizing the benefits of drinking water with fluoride and the importance of oral health for the entire family, especially those most affected by dental disease.
Oral Health Value-Based Care: The FQHC Story
The DentaQuest Partnership and the National Association of Community Health Centers (NACHC) published a new white paper, “Oral Health Value-Based Care: The Federally Qualified Health Center (FQHC) Story.” FQHCs are remaking modern health care with an integrated oral health care approach. FQHCs and their dental programs are using telehealth and implementing value-based tools for prevention, creating better disease management, and positive patient oral health and overall health outcomes.