- 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; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- CMS: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- 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
- 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
- State: 60-Day Notice of Proposed Information Collection: J-1 Visa Waiver Recommendation Application
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
- Public Inspection: CMS: Request for Information: Health Technology Ecosystem
CMS Announces New Resources in the No Surprises Act Toolkit for Consumer Advocates
CMS is adding four new documents to the No Surprises Act (NSA) toolkit to help assisters and advocates who work with consumers faced with surprise medical bills. The new resources include:
- A Quick Start Guide to help advocates quickly find the resources they need for a consumer’s situation;
- The No Surprises Act at a Glance, which gives a high level overview of the NSA’s consumer protections;
- A resource outlining the Key Responsibilities for Health Care Providers and Facilities Under the No Surprises Act; and
- A resource outlining the Key Responsibilities for Group Health Plans and Health Insurance Issuers Under the No Surprises Act.
Altogether, the toolkit contains more than 20 individual resources and a PDF compilation of all the resources. It is posted at https://www.cms.gov/nosurprises/consumer-advocate-toolkit.
HRSA Announces Key Technology and Governance Milestones in its Organ Procurement and Transplantation Network Modernization Initiative
Issuing Next Generation IT Solicitation and Launching OPTN Board Special Election Process with a New Nominating Committee Represent Major Advances in Historic Reform of Organ Transplant System
The Health Resources and Services Administration (HRSA), a division of the U.S. Department of Health and Human Services, announced two key advances in the historic effort to improve the Nation’s organ transplant system and better serve the patients, families, donors and health care providers who make transplantation possible. HRSA is:
- Releasing a new solicitation to support the next generation of Organ Procurement and Transplantation Network (OPTN) technology infrastructure that is agile, resilient, interoperable, and user-friendly; and
- Launching the special election process for a new OPTN Board of Directors with the formation of a Transitional Nominating Committee, a critical step in HRSA’s commitment to strengthen OPTN governance, mitigate conflicts of interest, and establish independence.
“Modernizing the organ transplant system to better serve the more than 100,000 people on the organ transplant waiting list has been one of HRSA’s top priorities in the Biden-Harris Administration,” said HRSA Administrator Carole Johnson. “With bipartisan leaders in Congress, we have worked to reform this lifesaving system to ensure that it meets the highest standards for performance, transparency, and accountability. Americans on the organ waitlist deserve no less. We look forward to the progress to come in the months and years ahead as HRSA continues to implement the bipartisan Securing the U.S. OPTN Act.”
The new solicitation released today will enable HRSA to modernize OPTN IT systems and build on the OPTN modernization awards announced in September 2024. As a Multiple Award Blanket Purchase Agreement, it will allow HRSA to engage with experienced vendors to develop key pieces of the modern OPTN IT system in a timely and efficient manner. The solicitation is posted on the General Services Administration e-Buy platform and announced on SAM.gov.
A transitional nominating committee will support the Special Election for a new OPTN Board of Directors, which in partnership with HRSA oversees organ allocation policy and membership standards. In forming the Transitional Nominating Committee, HRSA solicited public input, engaged with community members, and sought input from board governance and organizational leadership experts. The nominating committee will publicly solicit candidates for the board, develop a slate of board candidates for a vote by OPTN members, and select a date in spring 2025 for the special election. Members of the Transitional Nominating Committee will not be eligible to serve on the new OPTN Board of Directors. The committee is temporary and will be dissolved once the Special Election is completed.
The nominating committee includes individuals with extensive clinical transplant expertise, patients with transplant experience, leaders with extensive board governance expertise and ethics experts. For the full list of the Transitional Nominating Committee, see HRSA’s OPTN Modernization Initiative webpage.
Together, these actions build on HRSA’s ongoing efforts to improve the transplant system for those on the waitlist by bolstering OPTN performance, transparency, and accountability including:
- Securing passage of the bipartisan Securing the U.S. OPTN Act to modernize the system for the first time in four decades.
- Working with Congress to receive a significant increase in congressional appropriations to support this critical modernization work.
- Transitioning from a single OPTN vendor to multiple vendors with distinct expertise to better support OPTN operations to reflect the comprehensive skills needed to manage this critical network.
- Separating the OPTN Board of Directors from the OPTN contractor to remedy potential conflicts and for the first time in 40 years, ensure that the OPTN Board of Directors is independent rather than one-and-the-same as the corporate boards of the vendor.
- Addressing “pre-waitlist” inequities in the transplant waitlist process and reducing variation in organ procurement practices.
Learn more about the OPTN Modernization Initiative.
New Funding: HRSA Rural Program of All-Inclusive for the Elderly Planning and Development
The Rural Program of All-Inclusive for the Elderly (PACE) Planning and Development, a new program from HRSA’s Federal Office of Rural Health Policy (FORHP), is open and accepting applications for the program’s 4-year period of performance (September 30, 2025 – September 29, 2029). HRSA will make up to 4 awards, up to $500,000 per year, to provide resources to assist with the development of an initial Centers for Medicare and Medicaid (CMS) PACE program serving HRSA-designated rural areas or to expand an existing certified CMS PACE programs into HRSA-designated rural areas through PACE service area expansion. The goal of the program aims to improve access to, and delivery of, comprehensive and sustainable medical and social services for adults 55 and older living in rural areas.
Eligible applicants include all domestic public and private, nonprofit, or for-profit, entities with demonstrated experience serving, or the capacity to serve, rural underserved populations.
CMS PACE is a model of care that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. PACE provides, and are financially responsible for, all health care services their enrollees. This includes providing care management to enrollees at a PACE center organization that serves as a central hub for adult day care services where enrollees can receive primary care, therapy, meals, recreation, and socialization. According to the National Advisory Committee on Rural Health and Human Services 2023 policy brief, the start-up and application process to become a certified PACE provider with CMS may present some challenges in rural areas.
A technical assistance webinar via Zoom is scheduled for applicants on Tuesday, February 11, 2025, at 2:30 pm Eastern. If you are unable able to join the webinar, a recording will be made available later.
Apply by April 17, 2025.
For more information about this funding opportunity, contact RuralPACE@hrsa.gov
Helpful links:
Just Released! American Cancer Society’s Cancer Statistics 2025
The American Cancer Society has released key findings from Cancer Statistics 2025 and its consumer-friendly companion, Cancer Facts & Figures 2025. The report, published annually since 1951, is considered the gold standard for cancer surveillance information, with timely cancer findings to help improve the lives of people with cancer.
This year’s report shows the cancer mortality rate declined by 34% from 1991 to 2022 in the United States, averting approximately 4.5 million deaths.
However, this steady progress is jeopardized by increasing incidence for many cancer types, especially among women and younger adults, shifting the burden of disease. For example, incidence rates in women 50-64 years of age have surpassed those in men, and rates in women under 50 are now 82% higher than their male counterparts, up from 51% in 2002. This pattern includes lung cancer, which is now higher in women than in men among people younger than 65 years.
These important findings are published in the January 16 issue of CA: A Cancer Journal for Clinicians, alongside Cancer Facts & Figures 2025, available on cancer.org.
See the full report at: Cancer Facts and Statistics | American Cancer Society
HealthHIV’s Fourth Annual State of Aging with HIV™ National Survey Released
HealthHIV’s Fourth Annual State of Aging with HIV™ National Survey examines crucial issues affecting people aging with HIV (PAWH) and the workforce that supports them. The findings reveal four interconnected challenges: financial precarity and persistent insurance gaps that block access to essential care, declining quality of life driven by widespread mental health challenges, a shortage of aging-focused services leaving caregivers and communities unsupported, and rising frustration with the healthcare system and insufficient government protections.
The survey examines crucial issues facing long-term survivors and adults aging with HIV. For the first time, this survey has two population focuses—one that reached the PAWH community and one that reached the workforce that provides health and human services to the population. Survey data was collected between August and September 2024 and included responses from 907 participants. HealthHIV conducted the survey as part of its Pozitively Aging program, which is supported by Gilead’s HIV Age Positively Initiative.
Key findings include:
- Financial precarity and persistent insurance gaps impact the vast majority of PAWH and block access to essential care: Nearly half of respondents lack a financial plan for retirement, and the majority of those who have one are unsure if it will cover potential long-term care needs. Over three-quarters avoided or delayed seeking medical care in the last year due to concerns about insurance coverage or out-of-pocket costs.
- Continued decline in quality of life for many PAWH, largely driven by mental health challenges such as depression and anxiety: More than three-quarters (76%) of PAWH experienced moderate to high mental health stress over the last six months, and mental health diagnoses, like depression or anxiety, were the second most common comorbidity impacting PAWH.
- The gap is widening between aging services and the specific needs of PAWH, leaving them and their caregivers unsupported and without tailored resources, training or support: Most organizations recognize the need for aging-focused services, but many haven’t implemented them. Over half of providers believe that informal caregivers of older persons with HIV lack necessary support. Broader aging services are fragmented from HIV-specific programs like Ryan White, especially with transitions to Medicare.
- Increasing discontent and anger with the health care system reflects widespread community fatigue and insufficient government protections: Most PAWH (72%) feel the government isn’t adequately addressing their needs, and the vast majority of all respondents—97% of providers and 88% of community members—call for enhanced advocacy efforts for the aging HIV community.
In coordination with HealthHIV’s Pozitively Aging program, findings from this survey will be used in the creation of vital education and training materials for the HIV care workforce and will inform advocacy and research priorities for the coming year surrounding those aging with HIV.
Click here to access the full report.
Pennsylvania Partnerships for Children Releases Policy Roadmap
In December, the PPC Board of Directors approved our 2025-26 Policy Roadmap that aligns with our organizational mission to improve the health, education, and well-being of children and youth in the commonwealth.
Ensuring each child living in Pennsylvania can reach their full potential means that PPC is committed to policy choices that improve maternal and child well-being, advance racial equity and support families disproportionately impacted by poverty.
Our work to advance equitable policy solutions and prioritize the well-being of Pennsylvania children and families remains as important as ever because we can’t achieve our goals if any child is left behind.
Learn more about our priorities in these five policy areas:
- Child Welfare: Ensure each child in Pennsylvania has the opportunity to grow up in a home where they are safe and protected from abuse and neglect.
- Early Care and Education: Ensure each child in Pennsylvania has the opportunity to participate in affordable and accessible high-quality early care and education, including infant and toddler child care and pre-kindergarten education.
- Home Visiting: Ensure each child in Pennsylvania has the opportunity to grow up in a stable and healthy home environment.
- K-12 Education: Ensure each child in Pennsylvania has the opportunity for an adequate and equitable high-quality public education.
- Perinatal and Child Health: Ensure each parent and child in Pennsylvania can access affordable, quality health care.
View the new Policy Roadmap here.
Pennsylvania Announces Digital Connectivity Technology Program Funding: Round Two
In June 2024, the PBDA opened the Capital Projects Fund – Digital Connectivity Technology (Technology) Program. This program utilized $20 million of the $279 million in the Capital Projects Fund that were allocated to Pennsylvania through the American Rescue Plan Act (ARPA) of 2021.
In November 2024, the PBDA distributed over 9,000 laptops to 117 applicants, across 42 counties. These entities included libraries, municipalities, workforce training organizations, not-for-profit organizations, other community anchor institutions, in areas where affordability is a barrier. For details on the first round of approved applicants, please visit the Digital Connectivity Technology Program page.
The PBDA will open a second round of the Technology Program beginning April 1, 2025, to distribute the remaining laptops. In preparation for this second round, there will be two webinars which will provide an overview of the program, review FAQs, and outline any updates to the guidelines. Additional information for these webinars is provided in the attached flyer.
Should you have additional questions or needs, please contact the PBDA at pbda_capitalprojectsfund@pa.gov.
Updated Banking Desert Dashboard Published
While the popularity of online banking has grown, physical banking still plays an important role for many consumers. A lack of access to banking services can mean losing opportunities to improve financial health and build wealth.
Originally created by Alaina Barca and colleagues from the Federal Reserve Banks of Philadelphia and Cleveland, the Banking Deserts Dashboard has just been updated. Those updates include the release of 2024 banking desert data, and user experience improvements like an underlying base map to better orient users to census tract locations and an overall friendlier user experience.
Check out the dashboard to identify banking deserts and potential banking deserts across the United States. Across the nation, all the way down to counties, this dashboard uses census tract data to paint a geographical picture of where deserts and potential deserts are located.
A New Legislative Session – An Ongoing Commitment to Oral Health
A new legislative session in Pennsylvania kicked off last week, launching a two-year period for lawmakers to address critical priorities in the commonwealth. Amidst a variety of issues set for debate, PA Coalition for Oral Health remains dedicated to advancing policy changes that strengthen oral health infrastructure in Pennsylvania.
To guide our advocacy efforts, we are introducing the PCOH 2025 Policy Agenda. Shaped by PCOH strategic goals, this is our roadmap to promote better oral health outcomes across Pennsylvania.
New from the RUPRI Center for Rural Health Policy Analysis Medicare Advantage Enrollment Update 2024
This policy brief continues RUPRI Center’s annual update of Medicare Advantage (MA) enrollment including the changes in enrollment in types of MA plans, and health policy changes that may have had an impact.
Key Findings:
- Medicare Advantage (MA) enrollment now exceeds 50 percent of eligible beneficiaries (enrolled in both Part A and Part B) in metropolitan counties (56.1 percent); at the current rate of growth, nonmetropolitan enrollment is expected to exceed 50 percent (currently 48.1 percent) next year, in 2025.
- While the annual rate of MA growth continues to exceed the rate of growth in total Medicare eligible beneficiaries, it has moderated somewhat from previous years.
- Much of the growth in nonmetropolitan MA enrollment has been in plans using local preferred provider organizations (PPOs), accounting for a majority of MA enrollees in nonmetropolitan counties since 2022.
Click here to read the full brief.
Additional products:
- Medicare Advantage Enrollment Updates: https://ruprihealth.org/maupdates/enrollment.html
- Medicare Advantage, National and State Enrollment Tables and Maps: https://ruprihealth.org/maupdates/nstablesmaps.html
Authors: Fred Ullrich, BA; and Keith Mueller, PhD
For more information, contact:
Keith J. Mueller, PhD; keith-mueller@uiowa.edu
Director, RUPRI Center for Rural Health Policy Analysis
University of Iowa College of Public Health
Office: 1.319.384.3832