- Mobile Clinics Really Got Rolling in the Pandemic. A New Law Will Help Them Cast a Wider Safety Net.
- Opioids Are Devastating Cherokee Families. The Tribe Has a $100 Million Plan to Heal
- Less Staff, Longer Delays and Fewer Options: Rural America Confronts a Health Care Crisis
- The Pandemic Pushed Rural Philanthropy to Change
- Warner, Blackburn Lead Bipartisan Effort to Preserve Access to Rural Health Care
- Tackling Rural America's 'Hidden' Housing Crisis
- Experts: National Physician Shortage Will Hit Rural Areas Harder
- Ensuring Health Care Quality in Rural America
- Rural Communities Want to Tap Federal Funding. But It's Hard to Know Where to Start
- Nearly Half of All Rural Hospitals Are Operating in the Red, Study Says
- Home-Based Care: Fixing the Childcare Drought in Rural America
- Rural Hospitals That Were Struggling Financially Even Before the Pandemic Are Running Out of COVID Aid
- Oklahoma Researchers Aim For More Mental Health Resources In Rural Schools
- Q&A: A Rural Healthcare Hub for Doctors and Policymakers
- February in Brief: Expanding Access to Health Care in Rural Areas and Improving Early Access to Cancer Screenings in Underserved Communities
USDA Seeks Applications for Grants to Build Community-Oriented High-Speed Internet Networks for People in Rural Areas
U.S. Department of Agriculture (USDA) Rural Development Under Secretary Xochitl Torres Small announced that USDA is accepting applications for grants to build community-oriented, high-speed internet networks for people in rural areas.
The Department is making up to $79 million in grants available under the Community Connect program. Recipients may use the funds to establish high-speed internet networks that will foster economic growth and deliver enhanced educational, health care and public safety benefits.
Grant recipients must agree to provide high-speed internet service at community-serving institutions free of charge for up to two years. These institutions include schools, libraries, fire stations and other public safety sites.
To learn more, read the full Stakeholder Announcement.
Pennsylvania Data Show Overdose Deaths May Be Declining
An analysis by the Center for Rural Pennsylvania has shown that the number of deaths from drug overdoses may be declining in rural areas. But optimism remains cautious, as many rural areas still have overdose rates above the state average and less access to lifesaving interventions. At a recent hearing, addiction treatment providers in the state stressed the need for regulatory changes to meet rural needs. Providers testified that finding transportation to get to treatment services is a challenge and the majority of people housed at the county’s jail have substance use disorders.
Linkages Between Rural Community Capitals and Healthcare Provision: A Survey of Small Rural Towns in Three U.S. Regions
New report from USDA’s Economic Research Service
Although healthcare is one of the largest and fastest-growing sectors in the rural U.S., many rural communities suffer from poor access to healthcare, in part due to difficulties recruiting and retaining healthcare professionals.
A report issued today by USDA’s Economic Research Service, Linkages Between Rural Community Capitals and Healthcare Provision: A Survey of Small Rural Towns in Three U.S. Regions, focuses on how rural communities can attract and retain healthcare professionals. The study is based on key informant interviews and a survey of healthcare professionals in 150 rural small towns in 9 U.S. states.
Here are a few key findings from the report:
- Social capital (the value of personal and professional relationships) was widely perceived by both key informants and healthcare professionals as important for the recruitment and retention of the professionals. Many key informants and most healthcare professionals highlighted the importance of relationships with family, friends, colleagues, and patients in recruitment and length-of-stay decisions.
- Physical capital such as the availability and quality of housing, medical facilities, and equipment was widely cited as a factor, though less often than social capital.
- Human capital, reflected in the quality of both schools and healthcare professionals, is also widely perceived as important for recruitment and retention, though cited less often than social capital. Key informants more often cited the importance of school quality for recruitment—while healthcare professionals often cited the quality of the medical community, colleagues, and staff as important to accepting and retaining employment.
For more information, please refer to the full report.
New Report Reveals Dental Insurance Dropouts
New monthly data from the American Dental Association (ADA) Health Policy Institute (HPI) reveal new insights into the status of practice participation in dental insurance networks. The data show that about 1 in 6 dental practices have dropped out of some insurance networks since January 2023. The February 2023 poll also revealed that one-third of dentists continue to report they are actively recruiting dental hygienists and dental assistants.
HHS Releases Initial Guidance for Historic Medicare Drug Price Negotiation Program for Price Applicability Year 2026
For the first time in history, Medicare will have the ability to negotiate lower prescription drug prices because of the Inflation Reduction Act. The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), issued initial guidance detailing the requirements and parameters—including requests for public comment— on key elements of the new Medicare Drug Price Negotiation Program for 2026, the first year the negotiated prices will apply. Alongside other provisions in the new drug law, the Medicare Drug Price Negotiation Program will strengthen Medicare’s ability to serve people currently in Medicare and for generations to come.
“For far too long, millions of Americans have had to choose between their prescription drugs and other monthly expenses,” said HHS Secretary Xavier Becerra. “President Biden is leading the fight to lower the cost of prescription drugs – and with the Inflation Reduction Act, we’re making historic progress. Through the Medicare Drug Price Negotiation Program, we will make sure seniors get a fair price on Medicare’s costliest prescription drugs, promote competition in the market, and ensure Medicare is strong for beneficiaries today and into the future.”
“Drug price negotiation is a critical piece of how this historic law improves the Medicare program,” said CMS Administrator Chiquita Brooks-LaSure. “By considering factors such as clinical benefit and unmet medical need, drug price negotiation intends to increase access to innovative treatments for people with Medicare.”
The Biden-Harris Administration has made lowering high prescription drug costs and improving access to innovative therapies a key priority. CMS is releasing its initial guidance for how Medicare intends to use its new authority to effectively negotiate with drug companies for lower prices on selected high-cost drugs. The negotiation process will focus on key questions, including but not limited to the selected drug’s clinical benefit, the extent to which it fulfills an unmet medical need, and its impact on people who rely on Medicare. As a result of negotiation, people with Medicare will have access to innovative, life-saving treatments at costs that will be lower for both them and Medicare.
“Negotiation is a powerful tool that will drive drug companies to innovate to stay competitive, fostering the development of new therapies and delivery methods for the treatments people need,” said Meena Seshamani, M.D., Ph.D., CMS Deputy Administrator and Director of the Center for Medicare. “This initial guidance is the next step in the extensive engagement CMS has had to date with interested parties, and we look forward to continuing to receive comment on key policy areas and engage with the public as we implement the Negotiation Program.”
This initial guidance is one of a number of steps CMS laid out in the Medicare Drug Price Negotiation Program timeline for the first year of negotiation. The initial program guidance details the requirements and procedures for implementing the new Negotiation Program for the first set of negotiations, which will occur during 2023 and 2024 and result in prices effective in 2026. Key dates for implementation include:
- By September 1, 2023, CMS will publish the first 10 Medicare Part D drugs selected for initial price applicability year 2026 under the Medicare Drug Price Negotiation Program.
- The negotiated maximum fair prices for these drugs will be published by September 1, 2024 and prices will be in effect starting January 1, 2026.
- In future years, CMS will select for negotiation up to 15 more Part D drugs for 2027, up to 15 more Part B or Part D drugs for 2028, and up to 20 more Part B or Part D drugs for each year after that, as outlined in the Inflation Reduction Act.
CMS is seeking comment on several key elements in today’s guidance. Comments received by April 14, 2023, will be considered for revised guidance. CMS anticipates issuing revised guidance for the first year of negotiation in Summer 2023.
CMS is committed to collaborating and engaging with the public in the implementation of the Inflation Reduction Act. CMS is working closely with patients and consumers, Medicare Part D plan sponsors and Medicare Advantage organizations, drug companies, hospitals and health care providers, wholesalers, pharmacies, and others. Public feedback contributes to the success of the Medicare Drug Price Negotiation Program, and this initial guidance is one tool, among many, that CMS will use to ensure interested parties know when and how they can make their voices heard on implementation of this new drug law.
View a fact sheet on the Medicare Drug Price Negotiation Program Initial Guidance
Read the Medicare Drug Price Negotiation Program Initial Guidance.
Appalachian Regional Commission: 58 Years of Serving Appalachia
The Appalachian Regional Development Act of 1965, which formally established ARC to help strengthen economic growth in the region, was signed into law 58 years ago today! Since then, we have invested more than $4.5 billion in approximately 29,000 economic development projects across all 13 Appalachian states.
Despite this progress, there’s more work to be done, which is why we’re excited to award up to $145 million this year through ARISE, INSPIRE, and POWER! Explore our current funding opportunities and help us build on economic growth and progress in the Appalachian Region.
Learn more here.
Pennsylvania Organization for Women in Early Recovery
Since 1991, the Pennsylvania Organization for Women in Early Recovery (POWER) has offered tailored treatment and support services to women in recovery. An ARC INSPIRE grant helped them enhance treatments, expand support offerings, and widen their service area to help even more women sustain recovery and enter the workforce
Announcing a 2-year Extension of Guidance Regarding Non-U.S. Citizens with Valid Social Security Numbers and Employment Authorization Documents
The Single Family Housing Guaranteed Loan Program (SFHGLP) is pleased to announce a two year extension of guidance originally published on April 29, 2022 which makes non-U.S. citizens with valid Social Security Numbers (SSN) and work authorization, as evidenced by documentation such as an Employment Authorization Document (EAD), Form I-766, temporarily eligible to apply for assistance. This extension expires on May 2, 2025.
Please note, applicant(s) must meet all other criteria set forth in 7 CFR Part 3555 and Handbook 1-3555.
Thank you for supporting the Single-Family Housing Guaranteed Loan Program!
Rural Development Help Desk:
For GUS system, outage or functionality assistance
SFHGLP Lending Partner Webpage: https://www.rd.usda.gov/page/sfh-guaranteed-lender
USDA LINC Training and Resource Library:
Procedure Notices: https://www.rd.usda.gov/resources/directives/procedures-notices
Notice of Potential Changes to Eligible Area Maps for USDA Rural Development Housing Programs in Pennsylvania
USDA Rural Development is conducting a review of all areas under its jurisdiction to identify areas that no longer qualify as rural for housing programs. The last rural area reviews were performed in 2017-2018 using 2015 American Community Survey (ACS) data. Rural area designations are reviewed every five years. This review will utilize the 2020 United States decennial census data.
Based on the 2020 US census data and rural area guidance located in Handbook HB-1-3550, Chapter 5, the rural eligibility designation is under review for the following areas in Pennsylvania:
Currently eligible communities under review (population):
- Northampton and Lehigh Counties – (Bethlehem Line Adjustment)
Currently eligible communities under review (Rural in Character):
- Columbia County – Bloomsburg (“Rural in Character” under review.)
- Columbia County – Berwick (“Rural in Character” under review.)
- Lancaster County – Ephrata (“Rural in Character” under review.)
- Lancaster County – Elizabethtown (“Rural in Character” under review.)
- Franklin County – Chambersburg (“Rural in Character” under review.)
- Franklin County – Waynesboro (“Rural in Character” under review.)
Ineligible communities under review (expansion of ineligible areas):
- Lancaster County – Columbia (Line Adjustment)
- York County – Weigelstown (Line Adjustment)
- Allegheny County – Franklin Park (Line Adjustment)
- Allegheny County – Monroeville (Line Adjustment)
Ineligible communities under review (reconsideration of eligibility):
- Lycoming County – Williamsport (Minor Boundary Adjustments)
- Montgomery County – Pottstown (Minor Boundary Adjustments)
The public shall have 90 days from the date of this public notice to submit comments regarding the potential loss of eligibility for Rural Development housing programs. Comments should be sent to email@example.com. For details, or questions about specific changes, please contact the Pennsylvania Rural Development Housing Program staff at (717) 237-2186.
Struggling to Survive, the First Rural Hospitals Line Up for New Federal Lifeline
Just off the historic U.S. Route 66 in eastern New Mexico, a 10-bed hospital has for decades provided emergency care for a steady flow of people injured in car crashes and ranching accidents.
It also has served as a close-to-home option for the occasional overnight patient, usually older residents with pneumonia or heart trouble. It’s the only hospital for the more than 4,500 people living on a swath of 3,000 square miles of high plains of Albuquerque.
“We want to be the facility that saves lives,” said Christina Campos, administrator of Guadalupe County Hospital in Santa Rosa. Its leaders have no desire to grow or be a big, profitable business, she said.
But even with a tax levy to help support the medical outpost, the facility lost more than $1 million in the past six months, Campos said: “For years, we’ve been anticipating kind of our own demise, praying that a program would come along and make us sustainable.”
Guadalupe is one of the nation’s first to start the process of converting into a Rural Emergency Hospital. The designation was created as part of the first new federal payment program launched by the Centers for Medicare & Medicaid Services for rural providers in 25 years. And though it is not expected to be a permanent solution to pressures facing rural America, policymakers and hospital operators alike hope it will slow the financial hemorrhage that continues to shutter those communities’ hospitals.
More than 140 rural hospitals have closed nationwide since 2010, and health policy watchers aren’t sure how many of the more than 1,700 rural facilities eligible for the new designation will apply. CMS officials said late last month that seven have already filed applications. Dr. Lee Fleisher, director of the Center for Clinical Standards and Quality at CMS, said how long it will take to review the applications will vary. The agency declined to provide the names or locations of hospitals seeking the designation.
PA State Data Center Publishes New Briefs
See below for new briefs from the Pennsylvania State Data Center. For more information, contact the Data Center at firstname.lastname@example.org.
New Brief Highlights Median Household Income in Pennsylvania
Our latest brief details median household income in Pennsylvania. The brief explores differences by race and ethnicity at the state level and compares Black or African American households and White households at the county level. Read more on our Research Briefs page.
Census Bureau Updates
- 2021 County business Patterns
The U.S. Census Bureau released the 2021 County Business Patterns (CBP) First Look data table. This preliminary tabulation includes the number of establishments; employment for the week of March 12, 2021; first quarter payroll; and annual payroll at the North American Industry Classification System (NAICS) sector level for the nation. Final CBP tables for 2021 are scheduled for release in April 2023. Click here to learn more.
- New National Experimental Data Product about Wellbeing
The U.S. Census Bureau released the first set of estimates from the National Experimental Wellbeing Statistics (NEWS) project, an experimental data product that uses a new methodology to calculate income and poverty estimates. Click here to learn more.
- New data from phase 3.7 of the experimental Household Pulse Survey (HPS)
The HPS is an effort by the Census Bureau and other federal statistical agencies to provide near real-time data on how the COVID-19 pandemic, and changes in social and economic conditions are affecting people’s lives to inform federal and state response and recovery planning. Click here to explore the data.