Rural Health Information Hub Latest News

Biden Task Force Promises Aid to Hardest-Hit

Marcella Nunez-Smith, chair of President Biden’s COVID-19 Equity Task Force, told press and advocates during a January 28 White House health briefing that outreach to communities of color, people with disabilities and other marginalized groups will be a priority for the administration’s COVID-19 response. Black, Latino and Native Americans have disproportionately suffered higher rates of infection, hospitalization and death since the beginning of the pandemic, with the national death rate of Black patients reaching twice that of White patients last summer. Some distribution data suggest vaccine uptake is currently almost twice as high among White people on average than Black and Latino people despite the disproportionate morbidity and mortality rates.

New Report on the Financial Impact of COVID-19 on FQHCs

Capital Link has issued a new report providing a national picture of health center revenue loss, COVID-19-related expenses, the influx of relief funds through Dec. 31, 2020 and the estimated funding gap, based on the 15-month period from April 2020 through June 2021. Results show that the nation’s more than 1,400 Federally Qualified Health Centers (FQHCs) experienced a 26 percent decline in patient visits between April and December 2020, as patients complied with stay-at-home orders. Without additional support to cover the identified $5.5B shortfall through June 2021, many health centers sites will remain closed, and 29,000 staff may be laid off or furloughed and 66 percent of FQHCs will drain cash reserves to dangerous levels.

Federal Notices and Posting Requirements in a Remote Work Environment

A remote workforce can be challenging for employers that are required to display notices and posters in the workplace to advise employees of their rights under federal, state and local employment laws. The U.S. Department of Labor (DOL) recently provided guidance from the Wage and Hour Division on complying with its notice and posting requirements when employees are working remotely. The DOL bulletin clarifies how employers may comply with federal posting requirements using company secure email, employee handbook and handbook acknowledgments and an easily accessible space in the company intranet site or employee portal.

HHS Delays Rule That Would Prevent PBMs from Keeping Drug Rebates

The U.S. Department of Health and Human Services (HHS) delayed until March 22 a rule that would prevent pharmacy benefit managers (PBMs) from keeping drug rebates paid by drugmakers under Medicare Part D. The delay comes after the Pharmaceutical Care Management Association (PCMA), which represents PBMs, filed a federal lawsuit to block implementation of the rule.

Public Charge Rule to be Revisited Under Biden Executive Order

President Joe Biden signed an Executive Order directing federal agencies to revisit the Trump administration’s public charge rule, which denies green cards to legal immigrants based on their potential use of public benefits, including Medicaid. Health experts and advocates say the public charge rule had a chilling effect on Medicaid enrollment for immigrants. Tuesday’s directive compels the State Department, Department of Justice and Department of Homeland Security to conduct a “top-to-bottom review” to assess which immigration policies undermine the inclusion and participation of immigrants in American life.

HHS Amendment PREP Act Declaration Increases Who Can Administer COVID-19 Vaccines

The U.S. Department of Health and Human Services (HHS) issued a fifth amendment to the PREP Act Declaration (not to be confused with PrEP for HIV) under the Public Readiness and Emergency Preparedness Act (PREP Act) to add additional categories of qualified persons authorized to prescribe, dispense, and administer COVID-19 vaccines. And in Pennsylvania, there is a document from October 2020 that actually delineates who can administer COVID-19 vaccines, including dental providers. However, there are protocols that need to be followed in order to do so.

Medicaid and Pennie Increase, CHIP Declines in Pennsylvania

Enrollment statewide for Pennsylvania’s Medicaid program has increased by 300,076 people since February 2020 for a total enrollment of 3,131,639 people in Nov. 2020. This represents a 10.6 percent increase. Enrollment in the Children’s Health Insurance Program (CHIP) peaked in May 2020 and has steadily decreased as children enrolled in Medical Assistance has increased. With enrollment in 2021 Pennie coverage increasing by 1.8 percent over 2020, more consumers are gaining the security of health insurance through state programs, including programs administered by the Department of Human Services.

Federal Retail Pharmacy Vaccination Program Set to Launch

President Biden announced his comprehensive National Strategy to combat the COVID-19 pandemic. The President announced that starting next week, the first phase of the federal pharmacy program will launch and select pharmacies nationwide will start offering vaccinations for their communities. These new steps will help meet the President’s goal of administering 100 million shots in 100 days and expand access to vaccines to more Americans in the coming weeks.

  • Expanding Vaccine Supply: The Biden Administration will increase overall weekly vaccine supply to states, Tribes, and territories to 10.5 million doses nationwide beginning this week, a 22% increase since taking office on January 20.
  • Launching First Phase of the Federal Retail Pharmacy Program for COVID-19 Vaccination: Starting on February 11, those eligible for the vaccine will have the opportunity to be vaccinated at select pharmacies across the country through this program, a public-private partnership with 21 national pharmacy partners and networks of independent pharmacies representing more than 40,000 pharmacy locations nationwide. As the first phase of this program launches, select retail pharmacies nationwide will receive limited vaccine supply to vaccinate priority groups at no cost. The Centers for Disease Control and Prevention (CDC) worked with states to select initial pharmacy partners based on several factors including their ability to reach some of the populations most at risk for severe illness from COVID-19. More information is available at cdc.gov/covid19.
  • Increasing Reimbursements to States: President Biden already directed the Federal Emergency Management Agency (FEMA) to fully reimburse states for the cost of National Guard Personnel and emergency costs, will also retroactively reimburse states fully for FEMA-eligible services and is requesting $350 billion from Congress in American Rescue Plan.

Pennsylvania Revises Map of COVID-19 Vaccine Locations

Pennsylvania’s initial map of places that may have COVID-19 vaccine was fraught with challenges. The state Department of Health’s map used green dots to indicate which health care providers had it in stock and red dots to indicate that vaccine was on its way to that location. As of Tuesday afternoon, the map contains only blue dots, which indicate providers that are part of the program to distribute COVID-19 vaccine. Click here to access the Vaccine Provider Map. Note – Philadelphia County is a separate vaccine jurisdiction and has their own information about vaccine distribution.