Rural Health Information Hub Latest News

Teen COVID-19 Hospitalizations on the Rise

The director of the Centers for Disease Control and Prevention (CDC) is urging parents to get their teenagers vaccinated against COVID-19 after an alarming spike in hospitalizations among young coronavirus patients. About 24 percent of kids ages 12 to 17 have received at least one dose. Before most were eligible for the vaccine, about one-third of teens who were admitted to the hospital for COVID-19 wound up in the intensive care unit, according to the CDC. Nearly five percent of those cases were put on respirators. None of the patients died. CDC Director Rochelle Walenksy said she is “deeply concerned by the numbers of hospitalized adolescents.”

HHS Secretary Warns COVID-19 Vaccines Must Be Free to Patients

HHS Secretary Xavier Becerra on Wednesday warned providers they must administer COVID-19 vaccines free to patients. In a letter to providers and insurers, Becerra said providers cannot require patients to get additional medical services to receive a vaccine or charge them a fee if a vaccine dose is the only medical service they provide. Instead, they can bill Medicare, Medicaid, private insurance or other health coverage to cover the costs of administering a vaccine. They can also bill the Health Resources and Services Administration if patients are uninsured or underinsured.

Looking at “Easy Enrollment” for Pennsylvania Uninsured Residents

More than 700,000 Pennsylvanians are currently uninsured and many struggle to manage their health while maintaining economic stability. Some states have enacted a program called Easy Enrollment to increase access to coverage and streamline the process. Easy Enrollment utilizes state personal income tax returns. Individuals would be given the option to check a box if they or their family members lack coverage. The Department of Revenue would send their information, with consent, to Pennie. Pennie would then conduct an eligibility review. If a consumer is deemed eligible for Medicaid or CHIP, the information will be sent to the Department of Human Services for processing. Individuals deemed potentially eligible for Pennie will have a 60-day Special Enrollment Period to select a marketplace plan. The Pennsylvania Health Access Network (PHAN) has issued a policy statement for organizations to support this initiative. PACHC has already contacted PHAN to express their support for the initiative.

Record Number Gain Security of Coverage through ACA

The U.S. Department of Health and Human Services released a new report that shows 31 million Americans have health coverage through the Affordable Care Act (ACA) – a new record. The report also shows that there have been reductions in the uninsured rate in every state in the country since the law’s coverage expansions took effect. People served by the health insurance Marketplaces and Medicaid expansion have reached record highs. In the commonwealth, 315,334 Pennsylvanians effectuated ACA health insurance coverage in February 2021 and more than 913,000 accessed health insurance through Medicaid expansion, bringing the uninsured rate from 9.7 percent in 2013 to 5.8 percent in 2019. Pennsylvania is one of 39 states (including DC) to adopt Medicaid expansion. Read more.

Senate Amends, Passes Resolution Ending Governor’s Emergency Declaration

Pennsylvania’s Republican-controlled legislature voted to end Gov. Wolf’s emergency declaration, while extending hundreds of regulatory waivers the administration approved over the past 15 months. On June 9, the Senate amended HB 854 to extend the waivers until Sept. 30, 2021 or sooner if the entity that issued the waiver terminates the waiver. This will give the legislature and the Governor time to negotiate which waivers to continue or terminate. The administration’s authority to revise mitigation orders, such as mask wearing, is not covered by the lawmakers actions.

COVID-19 Vaccination Tools for Long-Term Care Facilities

Throughout the COVID-19 pandemic, staff in nursing homes have been providing ongoing care to our nation’s most vulnerable. It’s on trusted messengers like you to make sure we’re reaching people who need to be protected from the COVID-19 virus.

Building vaccine confidence among Long-Term Care Facility staff and residents is important. That’s why we wanted to pass along useful data, materials, and resources to be able to guide conversations, answer questions, and help get people vaccinated.

Centers for Medicare & Medicaid Services Resources: 

Centers for Disease Control and Prevention Resources:  

USDA Invites Applications to Help Disadvantaged Groups Strengthen Capacity

The U.S. Department of Agriculture (USDA) announced that it is seeking applications for grants under the Socially Disadvantaged Groups Grant program.

The purpose of this program is to provide technical assistance to socially-disadvantaged groups in rural areas. Eligible applicants include cooperatives, groups of cooperatives and cooperative development centers with a majority of its board of directors or governing board comprised of individuals who are members of socially disadvantaged groups. A socially-disadvantaged group is one whose members have been subjected to racial, ethnic or gender prejudice because of their identity as members of a group and without regard to their individual qualities.

This program supports Rural Development’s mission to improve the quality of life for rural Americans and commitment to direct agency resources to those who most need them. Grant funds may used only for the benefit of socially-disadvantaged groups in rural areas.

For FY 2021, USDA plans to award up to $3 million in grants. The maximum grant award is $175,000. Grants may be used to develop and operate a Rural Cooperative Development Center that could provide the following technical assistance and other services to rural socially-disadvantaged groups and businesses:

  • Conducting feasibility studies
  • Developing business plans
  • Providing leadership and operational improvement training

Completed applications must be submitted electronically through Grants.gov no later than 11:59 p.m. Eastern Time on Aug. 9, 2021. For additional information, see page 32882 of the June 23 Federal Register.

New Report: Broadband Subscription, Computer Access, and Labor Market Attachment Across U.S. Metros

Now more than ever, having a computer at home with high-speed internet is essential to completing basic activities, from distance learning to remote work and job searches. A new report from the Federal Reserve Bank of Philadelphia explores the connection between access to broadband and labor force participation across all U.S. metro areas and finds that:

  • regional levels of broadband subscription, computer access, and poverty are highly correlated.
  • geography matters: Metro areas with low household broadband subscription and computer access were primarily located in the Southeast and Southwest, while high-connectivity regions were concentrated in the Northeast and West Coast.
  • across U.S. metros, prime-age workers (people 25–54) with a broadband-enabled computer participate in the labor force at a much higher rate than prime-age workers without such access.

The research suggests that an “Access Policy” that provides a broadband-enabled computer to unserved metro populations could raise prime-age labor force participation rates. These digital inclusion efforts may have the greatest impact if they target regions with higher levels of poverty or economic insecurity, where computer access and broadband subscription rates often trail other regions.

This report is part of a Research in Action Lab. Conducted in partnership with the Pennsylvania Department of Labor & Industry and Penn State Extension, the lab will prioritize expanding broadband infrastructure to unserved residents, increasing broadband subscription in low- and moderate-income communities, and developing digital literacy among workers. The Federal Reserve Bank of Philadelphia will use its expertise in economic research and community outreach to form a coalition of partners to identify innovative solutions to bridge the digital divide.

For more information about the Philadelphia Fed’s Research in Action Labs, please see “Research in Action Labs: Local Solutions to Economic Problems.”

Read the report.