World AIDS Day announcement showcases HRSA’s historic success in advancing HIV care nationwide

In commemoration of World AIDS Day, the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS), announced a record-breaking 90.6 percent of people with HIV receiving medical care through the Ryan White HIV/AIDS Program are virally suppressed, exceeding national viral suppression rates. Viral suppression means people with HIV taking their medication cannot sexually transmit HIV and can live longer and healthier lives.

HRSA Administrator Carole Johnson, joined by White House Office of National AIDS Policy Director Francisco Ruiz and HIV community leaders, announced these latest data at a World AIDS Day community event at La Clínica del Pueblo in Northwest Washington, D.C. This milestone highlights the Ryan White HIV/AIDS Program’s vital role in expanding access to care for individuals with HIV, improving health outcomes, and contributing to ending the HIV epidemic in the United States.

“At the Health Resources and Services Administration, the care and treatment we have continuously supported through our Ryan White HIV/AIDS Program over the last 34 years is making it possible for hundreds of thousands of people with HIV to live long, healthy lives,” said HRSA Administrator Carole Johnson. “Today’s record-breaking data highlight the impact of the Ryan White Program and underscore the vital role of the program to ensure no communities are left behind as we work towards ending the HIV epidemic.”

HRSA’s Ryan White HIV/AIDS Program provides a comprehensive system of HIV primary medical care, medication, and support services to more than half of people with diagnosed HIV in the United States each year. The program tailors approaches to best meet the needs of individual people with HIV and their communities, including by addressing health-related needs like housing, transportation, medical case management, mental and behavioral health care, and food access that directly affect the ability of patients to enter and stay in care and access treatment services. The federal Ending the HIV Epidemic in the U.S. (EHE) initiative expands upon the vital work of the Ryan White HIV/AIDS Program to reach people newly diagnosed with HIV and people with HIV out of care by enhancing linkage to and engagement in care, decreasing disparities, and improving viral suppression.

The new Ryan White HIV/AIDS Program data reflect several key milestones:

• More than 576,000 people with HIV in the U.S. received life-saving care, medication, and essential support services through the Ryan White HIV/AIDS Program, representing over 50% of those with diagnosed HIV in the U.S.
• Nearly 91 percent of Ryan White HIV/AIDS Program clients receiving HIV medical care were virally suppressed in 2023. This is up from 70 percent of clients virally suppressed in 2010 and significantly higher than the 65 percent virally suppressed nationally (which includes people who do not qualify or receive treatment through the Ryan White Program).
• Nearly 48 percent of Ryan White HIV/AIDS Program clients are aged 50 years and older, demonstrating the program’s success in supporting older clients and its commitment to addressing the unique needs of people with HIV as they age.

The Ryan White HIV/AIDS Program supports recipients that address the epidemic in communities most severely affected by HIV, including cities and counties (Part A); states and territories (Part B); local community-based groups that provide ambulatory health services for people with HIV (Part C); local community-based groups that provide medical care for low-income women, infants, children and youth with HIV (Part D); and for HIV workforce education and training, oral health care, and other innovative models of HIV care and treatment (Part F).

To access the new 2023 Ryan White HIV/AIDS Program By the Numbers data infographic, visit: https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/resources/rwhap-hrsa-numbers-2023.pdf (PDF – 871 KB).

To learn more about HRSA’s Ryan White HIV/AIDS Program, visit ryanwhite.hrsa.gov.

For more information about HRSA’s role in the Ending the HIV Epidemic in the U.S. initiative, visit www.hrsa.gov/ending-HIV-epidemic.

Beginning in 2025, all Medicare plans will include a yearly $2,000 cap on covered out-of-pocket prescription drug costs. The cap only applies to drugs that are covered by their Medicare plan, making it especially important for those with Medicare to review their plan to make sure their specific drugs are covered. If people with Medicare have prescription drugs that are not covered by the plan they choose, they will not be able to fully benefit from the cap.

Plan Finder provides an opportunity to input your prescriptions to be able to easily see if a plan covers them and their preferred pharmacy.

Likewise, starting in January 2025, the Medicare Prescription Payment Plan will take effect. The Medicare Prescription Payment Plan is a new payment option in the Inflation Reduction Act, also known as the prescription drug law, that works with the current drug coverage to help manage beneficiary’s out-of-pocket costs for drugs covered by their plan by spreading them across the calendar year (January–December), participation is voluntary.

How does the Medicare Prescription Payment Plan help my patient?

• For a certain set of people, it will help to manage their out-of-pocket covered drug costs. This plan is not right for everyone and does not save money for patients, but helps spread out existing costs.
• Costs are spread out across the calendar year (January – December) through monthly payments through a health plan versus in a lump sum at the pharmacy counter.

How does the Medicare Prescription Payment Plan work?

• There’s no cost to participate in the Medicare Prescription Payment Plan.
• If this payment option is selected, each month the plan premium will continue to be paid, if they have one. A bill will be received from the health or drug plan to pay, instead of paying the pharmacy
• If a person with Medicare determines this program is right for them, please have them contact their plan.

We encourage you to visit:

https://www.medicare.gov/prescription-payment-plan
https://www.medicare.gov/drug-coverage-part-d.

The Pennsylvania Broadband Development Authority is now accepting applications for its $1.16 billion Broadband Equity, Access, and Deployment Program. This funding will expand high-speed internet to areas in the state that currently lack reliable access.

Applications can be submitted until January 21, 2025, for groups like nonprofits, municipalities, and internet providers.

To view more, click HERE.

With this funding and under proposed policy action, HRSA-funded health centers may provide health care services – including chronic disease, mental health, and substance use disorder treatment – to individuals soon to be released from incarceration to support their healthy return to the community

Research finds that individuals released from prison face an opioid overdose risk up to 10 times the risk of the general public

The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS), announced nearly $52 million in awards for 54 HRSA-funded health centers to increase access to high-quality primary care for people soon to be released from incarceration and reentering the community.

Aligned with the White House Second Chance Initiative, today’s funding enables health centers to implement innovative approaches to support justice-involved individuals before their release to address health risks during reentry, including elevated risk of opioid overdose and the increased risk associated with being disconnected from critical treatment for chronic diseases, including medications. As many as 80% of individuals returning to the community after incarceration have chronic medical, psychiatric, and/or substance use conditions. Researchers have reported that among individuals who are released from prison, opioid overdose is a leading cause of death with a risk more than ten-fold that of the general population. Individuals leaving incarceration also face many heightened health risks, including disproportionately higher rates of chronic conditions such as diabetes, hepatitis, and hypertension.

In addition to today’s funding announcement, HRSA issued a draft policy earlier this year for all health centers clarifying the circumstances under which they may provide pre-release care to justice-involved individuals. This policy supports health centers to better meet the needs of their entire community and describes how health centers can provide health services to incarcerated individuals who are expected to be or are scheduled for release from a carceral setting within 90 days to help ensure continuity of care.

“At HRSA, we are committed to caring for historically underserved communities,” said HRSA Administrator Carole Johnson. “People reentering the community from incarceration are particularly vulnerable to poor health outcomes and mortality. We can change that if care and services are more closely connected to the reentry experience, which is why we are working to clarify that HRSA-funded health centers can provide pre-release services and why we are investing in health centers engaging with individuals prior to their release to better support their successful and healthy reentry to the community.”

Health centers are uniquely positioned to support justice-involved individuals as they navigate the reentry period and to help them overcome potential barriers to returning home and staying healthy. HRSA’s draft policy proposes to make clear that health centers can provide health services to incarcerated individuals who are expected to be or are scheduled for release from a carceral setting within 90 days to help ensure continuity of care as people come home to their community.

Health centers receiving grant awards today will focus on the following critical health needs:

• Managing chronic conditions;
• Reducing the risk of drug overdose;
• Addressing mental health and substance use disorder treatment needs; and
• Preventing, screening, diagnosing, and treating infectious diseases.

Award recipients must also provide case management services and work with community partners to address health-related social needs, such as housing and food insecurity, financial strain, transportation barriers, and intimate partner violence.

For a list of the awardees, visit: https://bphc.hrsa.gov/funding/funding-opportunities/quality-improvement-fund-justice-involved-populations/fy25-awards.

To find a health center, visit: https://findahealthcenter.hrsa.gov/

The Resources and Services Administration’s (HRSA) investments in rural health care have grown by more than 25%, including:

Supporting the rural health care workforce

• Supporting 6,700 primary care clinicians in 2024 who are practicing in rural communities in return for HRSA-provided loan repayment through our National Health Service Corps Program.
• Graduating more than 2,300 HRSA-funded, newly trained mental health and substance use disorder providers who now work in rural communities.
• Creating more than 400 new physician rural residency slots to train new family medicine, psychiatry, and obstetrics physicians in rural communities.ƒ In 2024 alone, more than 160 new physician residents began training in HRSA-supported rural residency programs. ƒ More than 80 new physicians graduated from HRSA-supported rural residency programs during 2023 – 2024 and began practice.
• Graduating more than 275 physician and dental residents who trained in rural areas through HRSA’s Teaching Health Center Graduate Medical Education Programs.
• Supporting interstate compacts for behavioral health providers like psychologists and social workers to make it easier for providers to serve rural communities by practicing across state lines and providing telehealth services.
• Improving access to health care services in rural communities

Rural primary care

• Expanding access to primary care in rural communities through HRSA-supported health centers,
• which see patients regardless of ability to pay and reached an additional nearly 850,000 rural
• patients since 2020, serving a total 9.7 million rural patients per year.
• Growing primary care staffing in rural communities through rural health centers by 18% since 2020.

Rural mental health and substance use disorder services

• Providing substance use disorder treatment, recovery, or prevention services to more than 6 million people living in more than 1,500 rural communities.
• Increasing mental health and substance use disorder services in rural communities by expanding services in more than 160 rural health centers serving more than 3.4 million patients.
• Supporting more than 3,000 service delivery sites in rural communities directly providing naloxone to the community.

Rural maternal health care

• Providing prenatal care to more than 110,000 patients per year in rural health centers.
• Supporting more than 26,000 pregnant and new moms in rural communities receiving community-based support—from diapers to transportation needs.
• Making voluntary home visiting services available to support pregnant and new moms with child development milestones and other critical needs in more than 600 rural counties.
• Supporting newborn screening across rural communities to ensure early identification of serious health conditions.
• Providing nearly 21,000 pregnant and new moms in rural communities with health and social service support through the HRSA-funded Rural Maternity and Obstetrics Management Strategies program since fiscal year 2021.

Rural HIV care

• Providing nearly 20,000 people with HIV care and treatment in 2022 through HRSA-supported rural providers.
• Helping more than 90% of clients in rural care settings reach viral suppression, meaning they cannot sexually transmit HIV to their partner and can live longer and healthier lives.

Sustaining rural health care services

• Providing more than 150 rural hospitals with high-touch, extensive technical assistance to assess and improve their economic viability and help them remain open.

To highlight the wide range of issues affecting rural health, Pennsylvania Governor Josh Shapiro declared November 18-22, 2024 as Rural Health Week in Pennsylvania. This declaration comes at the request of the Pennsylvania Rural Health Association (PRHA) and the Pennsylvania Office of Rural Health (PORH).

Governor Shapiro aims to raise awareness about the various issues impacting rural health care and the health status of rural Pennsylvanians. Pennsylvania ranks among the states with the highest number of rural residents, with 26 percent of its population living in rural areas. To address the diverse needs of rural communities, the Commonwealth has supported the establishment of the Center for Rural Pennsylvania, the Pennsylvania Office of Rural Health, and other initiatives focused on improving rural health.

The week also includes November 21, which is National Rural Health Day. Established in 2011 by the National Organization of State Offices of Rural Health (NOSORH), National Rural Health Day aims to showcase rural America, raise awareness of rural health issues, and promote the efforts of NOSORH, State Offices of Rural Health (SORHs), and other organizations addressing these issues.

“Nearly 59.5 million Americans, including 3.4 million Pennsylvanians, live in rural communities,” said Lisa Davis, director of PORH and an outreach associate professor of health policy and administration at Penn State. “These small towns and communities are driven by the creative energy of citizens who step forward to provide a wealth of products, resources, and services.”

Penn Highlands Huntingdon is a small rural hospital located in the mountainous region of Huntingdon, PA. In addition to serving Huntingdon County, the hospital provides services to the surrounding counties of Bedford, Blair, Centre, Franklin, Fulton, Juniata, and Mifflin.

The population of Huntingdon County is approximately 6,927, an increase of 1.7 percent since the 2020 U.S. Census. Penn Highlands Huntingdon is continuously expanding its medical services and is committed to improving the quality of inpatient and outpatient care for the community.

According to 2024 U.S. News data and the Huntingdon County Community Health Needs Assessment, the prevalence of diabetes in Huntingdon County is 9.4 percent, which is slightly lower than the national rate of 10.6 percent. The percentage of individuals facing food and nutrition challenges in the county is 6.8 percent, higher than the national rate of 5.9 percent. The obesity rate in Huntingdon County stands at 38.4 percent, compared to the national rate of 37.4 percent. Notable nutrition-related issues include poor food options that are high in sugar and fat but low in nutritional value.

Bethany Stough, Doctor of Nursing Practice (DNP) and a leading health care provider in Huntingdon County, has observed trends in diabetes care and has taken a crucial role in developing effective solutions. Her goal is to improve health outcomes for her patients—especially those who must travel more than sixty minutes to see an endocrinologist—and to provide comprehensive education on diabetes and nutrition.

In her treatment of diabetes patients, Dr. Stough emphasizes identifying the appropriate treatment for each patient, acknowledging their current situation, and collaborating towards a shared goal. More than 90 percent of Stough’s patient population has achieved an appropriate diabetic hemoglobin A1C result, demonstrating that her patients are compliant with dietary and medication recommendations.

“Engaging patients in making lifestyle changes is crucial for effective treatment,” noted Stough. “This process requires time and a personalized approach and is critical to providing effective care for every individual.”

Lannette Fetzer, quality improvement coordinator at the Pennsylvania Office of Rural Health added, “Recognizing the importance of providing excellent quality care is crucial for achieving optimal patient outcomes, particularly for diabetic patients. The work that Dr. Stough is doing is having a profound impact on the patients she serves.”