Rural Health Information Hub Latest News

New Resources Released from Preventing Chronic Disease

Preventing Chronic Disease released a collection of oral health articles. These articles include topics such as inequities in access to dental care, disparities in prevalence of oral disease, the relationship between oral health and chronic diseases, and the impact of COVID-19 on access to oral health services and disease monitoring. The articles provide a snapshot of why oral health needs to be elevated as a policy priority by being integrated into discussions and policy decisions about health. Addressing the social, behavioral, and environmental determinants of health as part of oral health care offers a new approach to prevention and treatment.

Click here to view the articles.

SBA Working Capital Loan Deadline Approaching in Pennsylvania for Disaster Declaration

The U.S. Small Business Administration is reminding small businesses, small agricultural cooperatives, small businesses engaged in aquaculture, and most private nonprofit organizations of the April 28 filing deadline for federal Economic Injury Disaster Loan applications in Pennsylvania due to freeze and frost from April 6 through May 15, 2020.

The loans are available in the following counties: Bucks, Delaware, Monroe, Northampton, Philadelphia and Pike in Pennsylvania.

“These counties are eligible because they are contiguous to one or more primary counties in New Jersey. The Small Business Administration recognizes that disasters do not usually stop at county or state lines. For that reason, counties adjacent to primary counties named in the declaration are included,” said Kem Fleming, director of SBA’s Field Operations Center East.

Under this declaration, the SBA’s Economic Injury Disaster Loan program is available to eligible farm-related and nonfarm-related entities that suffered financial losses as a direct result of this disaster. Apart from aquaculture enterprises, SBA cannot provide disaster loans to agricultural producers, farmers or ranchers.

The loan amount can be up to $2 million with interest rates of 3.75 percent for small businesses and 2.75 percent for private nonprofit organizations, with terms up to 30 years. These working capital loans may be used to pay fixed debts, payroll, accounts payable, and other bills that could have been paid had the disaster not occurred. The loans are not intended to replace lost sales or profits.

Applicants may apply online using the Electronic Loan Application (ELA) via SBA’s secure website at DisasterLoan.sba.gov and should apply under SBA declaration # 16638, not for the COVID-19 incident.

Disaster loan information and application forms may also be obtained by calling the SBA’s Customer Service Center at 800-659-2955 (800-877-8339 for the deaf and hard-of-hearing) or by sending an email to DisasterCustomerService@sba.gov. Loan applications can be downloaded from the SBA’s website at sba.gov/disaster. Completed applications should be mailed to: U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX 76155.

Submit completed loan applications to SBA no later than April 28, 2021.

Support for Pennsylvania Communities Now Available Through Neighborhood Assistance Program

Pennsylvania Department of Community and Economic Development (DCED) Secretary Dennis Davin announced that the Neighborhood Assistance Program (NAP) is now accepting applications for community revitalization projects across the commonwealth. NAP promotes community participation and collaborations among nonprofits, businesses, and residents while producing outcomes that assist a distressed area or the low-income population in a neighborhood.

“The Neighborhood Assistance Program demonstrates the value of developing robust public-private partnerships and the significant impact those partnerships can have on communities,” said Sec. Davin. “Through their participation in this critical program, our private sector partners improve quality of life each and every day for the cities, towns, and neighborhoods they call home.”

NAP encourages private sector investment into projects that will help improve distressed communities by providing tax credits to businesses that donate capital to support projects that address neighborhood and community problems. NAP can be used for projects in categories including affordable housing, community services, crime prevention, education, job training, charitable food, blight, special population issues, veteran’s initiatives, and long-term community revitalization.

The application window will open on March 29, 2021 and applications must be received by close of business (5:00 PM) on May 28, 2021.

Since taking office, the Wolf Administration has provided nearly $138 million in NAP tax credits, supporting 908 projects statewide. The investments have resulted in more than $20.3 million in additional funds leveraged through corporate contributions.

The program has five main components: The Neighborhood Assistance Program (NAP), Special Program Priorities (SPP), the Neighborhood Partnership Program (NPP), the Charitable Food Program (CFP), and the Enterprise Zone Program (EZP). A description of each of these components is available within the NAP fact sheet.

Effective April 4, More Options in Pennsylvania for Restaurants and Other Businesses, Mass Gathering Maximums Increase

As COVID-19 cases have declined and vaccination rates are climbing, Pennsylvania Governor Tom Wolf announced the lifting of some targeted restrictions on restaurants and other businesses, as well as increased gathering limits.

Effective April 4, restaurants may resume bar service; alcohol service will be allowed without the purchase of food; the curfew for removing alcoholic drinks from tables will be lifted; and indoor dining capacity will be raised to 75 percent for those restaurants that are currently self-certified and those that undergo the self-certification process, which involves agreeing to strictly comply to all public health safety guidelines and orders, including the cleaning and mitigation protocols and other operational requirements contained in the Governor and Secretary of Health’s mitigation and enforcement orders issued on November 23, 2020, as amended. Those restaurants that do not self-certify may raise capacity to 50 percent. Outdoor dining, curbside pick-up and takeout are still encouraged.

Requirements such as mask-wearing, and social distancing, including 6 feet between diners, also still apply.

Capacity for other businesses also will be increased effective April 4, including moving personal services facilities, gyms and entertainment facilities (casinos, theatres, malls) to 75 percent occupancy.

The governor also announced revised maximum occupancy limits for indoor events to allow for 25% of maximum occupancy, regardless of venue size, and maximum occupancy limits for outdoor events to allow for 50% of maximum occupancy, regardless of venue size. Maximum occupancy is permitted only if attendees and workers are able to comply with the 6-foot physical distancing requirement.

“Pennsylvanians have stepped up and done their part of help curb the spread of COVID-19,” Gov. Wolf said. “Our case counts continue to go down, hospitalizations are declining, and the percent positivity rate gets lower every week – all very positive signs. The number of people getting vaccinated increases daily and we are seeing light at the end of the tunnel. It’s time to allow our restaurants, bars and other service businesses to get back to more normal operations.”

While the lifting of these restrictions is good news, Gov. Wolf cautioned that mask-wearing, social distancing and business adherence to all safety orders are still imperative.

“We’ve come so far and now is not the time to stop the safety measures we have in place to protect ourselves, our families and our communities,” Gov. Wolf said. “Keep wearing a mask, social distancing, and, please, get vaccinated when it’s your turn.”

Find more on the restaurant self-certification process here.

USDA Announces ‘Pandemic Assistance for Producers’ to Distribute Resources More Equitably

USDA will dedicate at least $6 billion to develop a number of new programs or modify existing proposals using discretionary funding from the Consolidated Appropriations Act and other coronavirus funding that went unspent by the previous administration. Where rulemaking is required, it will commence this spring. These efforts will include assistance for:

  • Dairy farmers through the Dairy Donation Program or other means:
  • Euthanized livestock and poultry;
  • Biofuels;
  • Specialty crops, beginning farmers, local, urban and organic farms;
  • Costs for organic certification or to continue or add conservation activities
  • Other possible expansion and corrections to CFAP that were not part of today’s announcement such as to support dairy or other livestock producers;
  • Timber harvesting and hauling;
  • Personal Protective Equipment (PPE) and other protective measures for food and farm workers and specialty crop and seafood producers, processors and distributors;
  • Improving the resilience of the food supply chain, including assistance to meat and poultry operations to facilitate interstate shipment;
  • Developing infrastructure to support donation and distribution of perishable commodities, including food donation and distribution through farm-to-school, restaurants or other community organizations; and
  • Reducing food waste.

Part 2: Adding $500 Million of New Funding to Existing Programs

USDA expects to begin investing approximately $500 million in expedited assistance through several existing programs this spring, with most by April 30. This new assistance includes:

  • $100 million in additional funding for the Specialty Crop Block Grant Program, administered by the Agricultural Marketing Service (AMS), which enhances the competitiveness of fruits, vegetables, tree nuts, dried fruits, horticulture, and nursery crops.
  • $75 million in additional funding for the Farmers Opportunities Training and Outreach program, administered by the National Institute of Food and Agriculture (NIFA) and the Office of Partnerships and Public Engagement, which encourages and assists socially disadvantaged, veteran, and beginning farmers and ranchers in the ownership and operation of farms and ranches.
  • $100 million in additional funding for the Local Agricultural Marketing Program, administered by the AMS and Rural Development, which supports the development, coordination and expansion of direct producer-to-consumer marketing, local and regional food markets and enterprises and value-added agricultural products.
  • $75 million in additional funding for the Gus Schumacher Nutrition Incentive Program, administered by the NIFA, which provides funding opportunities to conduct and evaluate projects providing incentives to increase the purchase of fruits and vegetables by low-income consumers
  • $20 million for the Animal and Plant Health Inspection Service to improve and maintain animal disease prevention and response capacity, including the National Animal Health Laboratory Network.
  • $20 million for the Agricultural Research Service to work collaboratively with Texas A&M on the critical intersection between responsive agriculture, food production, and human nutrition and health.
  • $28 million for NIFA to provide grants to state departments of agriculture to expand or sustain existing farm stress assistance programs.
  • Approximately $80 million in additional payments to domestic users of upland and extra-long staple cotton based on a formula set in the Consolidated Appropriations Act, 2021 that USDA plans to deliver through the Economic Adjustment Assistance for Textile Mills program.

Part 3: Carrying Out Formula Payments under CFAP 1, CFAP 2, CFAP AA

The Consolidated Appropriations Act, 2021, enacted December 2020 requires FSA to make certain payments to producers according to a mandated formula. USDA is now expediting these provisions because there is no discretion involved in interpreting such directives, they are self-enacting.

  • An increase in CFAP 1 payment rates for cattle. Cattle producers with approved CFAP 1 applications will automatically receive these payments beginning in April. Information on the additional payment rates for cattle can be found on farmers.gov/cfap. Eligible producers do not need to submit new applications, since payments are based on previously approved CFAP 1 applications. USDA estimates additional payments of more than $1.1 billion to more than 410,000 producers, according to the mandated formula.
  • Additional CFAP assistance of $20 per acre for producers of eligible crops identified as CFAP 2 flat-rate or price-trigger crops beginning in April. This includes alfalfa, corn, cotton, hemp, peanuts, rice, sorghum, soybeans, sugar beets and wheat, among other crops. FSA will automatically issue payments to eligible price trigger and flat-rate crop producers based on the eligible acres included on their CFAP 2 applications. Eligible producers do not need to submit a new CFAP 2 application. For a list of all eligible row-crops, visit farmers.gov/cfap. USDA estimates additional payments of more than $4.5 billion to more than 560,000 producers, according to the mandated formula.
  • USDA will finalize routine decisions and minor formula adjustments on applications and begin processing payments for certain applications filed as part of the CFAP Additional Assistance program in the following categories:
    • Applications filed for pullets and turfgrass sod;
    • A formula correction for row-crop producer applications to allow producers with a non-Actual Production History (APH) insurance policy to use 100% of the 2019 Agriculture Risk Coverage-County Option (ARC-CO) benchmark yield in the calculation;
    • Sales commodity applications revised to include insurance indemnities, Noninsured Crop Disaster Assistance Program payments, and Wildfire and Hurricane Indemnity Program Plus payments, as required by statute; and
    • Additional payments for swine producers and contract growers under CFAP Additional Assistance remain on hold and are likely to require modifications to the regulation as part of the broader evaluation and future assistance; however, FSA will continue to accept applications from interested producers.

Part 4: Reopening CFAP 2 Sign-Up to Improve Access & Outreach to Underserved Producers

As noted above, USDA will re-open sign-up for of CFAP 2 for at least 60 days beginning on April 5, 2021.

  • FSA has committed at least $2.5 million to establish partnerships and direct outreach efforts intended to improve outreach for CFAP 2 and will cooperate with grassroots organizations with strong connections to socially disadvantaged communities to ensure they are informed and aware of the application process.

Please stay tuned for additional information and announcements under the USDA Pandemic Assistance to Producers initiative, which will help to expand and more equitably distribute financial assistance to producers and farming operations during the COVID-19 national emergency. Please visit www.farmers.gov for more information on the details of the announcement.

Pennsylvania Governor Encourages Residents to “Pick Up Pennsylvania”

Pennsylvania Governor Tom Wolf today encouraged residents to help reduce litter by joining the statewide “Pick Up Pennsylvania” campaign of community cleanups running through May 31. The governor also invites everyone to learn about litter’s negative impacts and state efforts to reduce this scourge in a free online discussion, “Don’t Trash Pennsylvania,” hosted by the Wolf Administration this Friday.

“The past year has shown beyond a doubt what we’ve known all along: the outdoors is essential to quality of life for Pennsylvanians,” Gov. Wolf said. “Clean green spaces and waters support physical and mental health in addition to enabling the function of the ecosystem we depend on, fostering thriving communities, and supporting our recreation, tourism, and shopping economies. It is our collective responsibility to eliminate litter and I urge everyone to take steps to help keep Pennsylvania clean and green.”

“As we see increased trash around the state, we ask Pennsylvanians to start or join a litter cleanup event in their local community through ‘Pick Up Pennsylvania,’” said Pennsylvania Department of Environmental Protection (DEP) Secretary Patrick McDonnell. “Mask up, put on sturdy shoes and gloves, and head outside with a small group of family, buddies, or co-workers with supplies provided by the campaign. Even a small event makes an immediate impact.”

Keep Pennsylvania Beautiful coordinates the litter cleanup campaign. Volunteering is easy. People can organize their own local event and register it at Pick Up Pennsylvania, or can sign up to participate in an already registered event. Gloves, trash bags, and safety vests are provided by PennDOT, DEP, and the GLAD Products Company, a national sponsor.

As part of this event, DEP and the Pennsylvania Waste Industries Association are sponsoring trash disposal free of charge or at a reduced rate for registered “Pick Up Pennsylvania” participants at participating landfills throughout the month of April.

For over 20 years, hundreds of thousands of Pennsylvanians have participated in “Pick Up Pennsylvania” events, including Scout troops, businesses, watershed organizations, Trout Unlimited, Rod and Gun Clubs, and others.  Groups in PennDOT’s Adopt-A-Highway program, which involves volunteers cleaning roadsides year-round, have been longtime participants.

Adopt-A-Highway volunteers collect litter on a 2-mile section of state highway at least twice a year. In 2020, the program had over 5,000 participating groups, with more than 112,000 registered volunteers, helping to clean up nearly 8,000 miles of adopted state-maintained roadways.

“The impact that litter has on PennDOT cannot be overstated,” said Pennsylvania Department of Transportation (PennDOT) Secretary Yassmin Gramian. “We are extremely grateful for our Adopt-A-Highway volunteers and the positive difference they make. However, because of the scale of the litter problem, the department is still investing millions each year to pick up litter, pulling staff and funding away from core highway and bridge maintenance activities.”

“The responsibility of clean and beautiful neighborhoods belongs to all of us. Picking up litter, planting a tree or painting a park bench are simple, easy activities that most people can do, and the results are immediate,” said Shannon Reiter, president of Keep Pennsylvania Beautiful.

 Litter Discussion and Information Resources

DEP will host a free online discussion to increase Pennsylvanians’ knowledge of litter’s negative impacts; what DEP, PennDOT, and Keep Pennsylvania Beautiful are doing to reduce litter; and ways that everyone can help.

“Don’t Trash Pennsylvania” will be livestreamed from noon to 12:45 PM on Friday, March 26, on the DEP Facebook page and Webex. Anyone who’d like to watch it on Webex can register here.

Speakers from DEP, PennDOT, the Department of Conservation and Natural Resources, and Keep Pennsylvania Beautiful will discuss Pennsylvania’s litter challenge and answer questions.

A free video on the “Pick Up Pennsylvania” campaign is available in English (for streaming or download) and Spanish (for streaming or download). Media, municipalities, legislators, school and community leaders, and businesses are encouraged to share the video to help increase awareness of ways we can clean up our communities.

Although currently helpful and essential, cleanup is a costly approach to the ongoing litter problem. DEP and PennDOT, with support from Keep Pennsylvania Beautiful, aim to shift the focus of efforts to littering prevention. The Littering Action Plan initiative is assembling four work groups who’ll start working in May to develop recommended strategies in education, infrastructure, enforcement, and partnerships to change Pennsylvanians’ littering behavior.

Biden-Harris Administration Extends Moratorium on Residential Evictions in USDA Multifamily Housing Communities in Accordance with CDC Guidance

The U.S. Centers for Disease Control and Prevention (CDC) extended the eviction moratorium to affected multifamily housing residents through June 30, 2021. This halt in residential evictions allows the U.S. Department of Agriculture (USDA) to extend relief to the hundreds-of-thousands of Americans who rely on USDA-supported multifamily housing communities.

“Due to COVID-19, the United States is facing a nationwide housing affordability crisis. That’s why, in a whole-of-government effort, USDA is taking this important action today to extend rental relief to the tens-of-thousands of individuals in USDA-supported multifamily housing communities,” said USDA Deputy Under Secretary for Rural Development Justin Maxson. “Currently, more than 40,000 tenants are rent overburdened, paying more than 30 percent of their income on rent. Today’s actions will give tenants at USDA-financed properties essential relief while the Department works as quickly as possible to extend the $100 million for emergency rental assistance provided by the American Rescue Plan Act to USDA’s most rent overburdened tenants.”

For more information about the protections provided under this moratorium extension, see the FACT SHEET: The Biden-Harris Administration’s Multi-Agency Effort to Support Renters and Landlords | The White House.

In a recent Census Bureau survey, nine million renters (or an estimated 15 percent of all renters) reported being behind on rent. The same survey showed that about 29 percent of Black families and 17 percent of Hispanic renters were behind on rent.

USDA’s Multi-Family Housing Programs provide affordable multi-family rental housing in rural areas by financing projects geared for low-income, elderly and disabled individuals and families, as well as domestic farm workers. USDA extends its reach by guaranteeing loans for affordable rental housing designed for low- to moderate-income residents in rural areas and towns. USDA also provides grants to sponsoring organizations to repair or rehabilitate housing for eligible families and subsidizes rents for low-income tenants who cannot afford to pay their full rent.

COVID-19 has had a lasting impact on Rural America. Families have lost their homes, students have resorted to unconventional solutions to access schoolwork online, the need for food assistance has grown, and access to COVID-19 testing and vaccinations have been limited. The American Rescue Plan implements funding that invests in the people of Rural America:

  • $100 million through September 2022 in rental assistance for low-income and elderly borrowers.
  • $39 million through September 2023 to help refinance direct loans under the Single-Family Housing Loan Program and the Single-Family Housing Repair Loans & Grants.
  • $500 million in Community Facility Program funds to help rural hospitals and local communities broaden access to COVID-19 vaccines & food assistance.

In addition to programs facilitated by USDA, the American Rescue Plan provides significant investments into rural communities by expanding internet connectivity and establishing a homeowner assistance fund to assist struggling homeowners with mortgage payments, property taxes, property insurance, utilities and other housing related costs.

Under the Biden-Harris Administration, Rural Development provides loans and grants to help expand economic opportunities, create jobs and improve the quality of life for millions of Americans in rural areas. This assistance supports infrastructure improvements; business development; housing; community facilities such as schools, public safety and health care; and high-speed internet access in rural, Tribal and high-poverty areas. For more information, visit www.rd.usda.gov. If you’d like to subscribe to USDA Rural Development updates, visit our GovDelivery subscriber page.

USDA touches the lives of all Americans each day in so many positive ways. In the Biden-Harris Administration, USDA is transforming America’s food system with a greater focus on more resilient local and regional food production, ensuring access to healthy and nutritious food in all communities, building new markets and streams of income for farmers and producers using climate, smart food and forestry practices, making historic investments in infrastructure and clean energy capabilities in rural America, and committing to equity across the Department by removing systemic barriers and building a workforce more representative of America. To learn more, visit www.usda.gov.

3/29/21 COVID-19 Vaccine Resources: What Partners Need to Know Now

As COVID-19 vaccines continue rolling out across the country, CMS is taking action to protect the health and safety of our nation’s patients and providers and keeping you updated on the latest COVID-19 resources from HHS, CDC and CMS.

With information coming from many different sources, CMS has up-to-date resources and materials to help you share important and relevant information on the COVID-19 vaccine with the people that you serve. You can find these and more resources on the COVID-19 Partner Resources Page and the HHS COVID Education Campaign page. We look forward to partnering with you to promote vaccine safety and encourage our beneficiaries to get vaccinated when they have the opportunity. For more information, visit the CMS COVID-19 Policies and Guidance page.

FORGONE CARE DURING THE PANDEMIC

According to a recent CMS survey, many Medicare beneficiaries reported forgoing non-COVID-19 care such as regular check-ups or medical screening tests due to the pandemic. A recent CMS data analysis also showed a significant decline in service use for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries, particularly for mental health and substance use disorders. With that, the number of services delivered via telehealth has significantly increased during the public health emergency.

As COVID-19 vaccines are becoming more readily available, CMS is encouraging beneficiaries to contact their health care professionals to discuss getting vaccinated, schedule any missed appointments and discuss other healthcare needs, including preventive care, screenings, and mental health services, as well as utilize telehealth services when appropriate.

If you work with CMS beneficiaries

Share the messaging below to encourage beneficiaries to take care of their health during the pandemic:

  • Don’t put off necessary care, especially if it’s urgent or may lead to complications, such as heart attack or stroke.
  • Continue preventive care such as immunizations and cancer screenings. Talk to your doctor about which services are right for you.
  • Learn about telehealth – Many regular health care services can be handled over the phone, a portal, app, or other option. Call your doctor to ask about your options.
  • Be active in your health care by taking care of yourself and your family. Exercise, diet, sleep, and relaxation are important parts of staying healthy.
  • Need health insurance coverage? Visit Healthcare.gov to sign up for coverage through the Health Insurance Marketplace. 

Know What Telehealth Resources are Available

CMS updated policy changes effective January 1, 2021, which included adding services to the Medicare telehealth list during the public health emergency during for the pandemic. See the fact sheet and the list of services payable under the Medicare PFS, which includes office visits, psychotherapy, consultations and other medical or health services, for more information. Providers may also find the CMS COVID-19 Vaccine Provider Toolkit helpful for coverage on administering the vaccine.

Medicaid covers some telehealth services, but coverage differs from state to state. CMS developed a Medicaid & CHIP Telehealth toolkit to help states accelerate adoption of broader telehealth coverage policies in the Medicaid and Children’s Health Insurance Programs (CHIP) during the COVID-19 emergency.

In response to the increased use and expanded coverage of telehealth during the COVID-19 pandemic, From Coverage to Care (C2C) released two new resources to support providers and patients in making the most of virtual care:

Telehealth for Providers: What You Need to Know Providers can learn how and when to use telehealth. Topics include how to set up telehealth services, how to conduct a successful visit, and how to keep up to date on telehealth payment (particularly for Medicare and Medicaid).

Telehealth: What to Know for Your Family – Patients can find out the types of care they can receive through telehealth, how to prepare for an appointment, what to expect during a visit, and more. This resource is also available in Spanish.

Providers and partners can download graphics to post on their social media channels and help spread the word about these new resources. All of these resources can be downloaded at go.cms.gov/c2ctelehealth.

For more information, please contact us at: Partnership@cms.hhs.gov

Pennsylvania Announces Operational Changes at State Parks, Forests

In line with Pennsylvania Governor Tom Wolf’s latest orders intended to prevent the spread and mitigate the impacts of COVID-19, Pennsylvania Department of Conservation and Natural Resources (DCNR) Secretary Cindy Adams Dunn announced an upcoming return of outdoors programming at state parks and expansion of occupancy limits within park and state forest buildings effective Sunday, April 4.

“Environmental education and other outdoors programs helped our state parks system attain national prominence and we know they were sorely missed by our visitors,” Dunn said. “This and other operational changes follow Department of Health guidelines while broadening the enjoyment of state park and forests visitors. Since the pandemic’s outset we kept our lands open to all so that people can safely enjoy outdoor recreation to maintain positive physical and mental health.”

At Pennsylvania’s state parks and forests, the following will be in effect starting Sunday, April 4:

  • Outdoor, in-person programs will resume with a limit of 40 participants per program. Masks and social distancing are required;
  • Visitor center exhibit halls, interpretive areas and theaters will open with a 75 percent capacity visitation allowance. Masks and social distancing are required;
  • Volunteer work days will resume with a limit of 40 participants per group. Masks and social distancing are required;
  • Virtual and self-guided programs will continue to be offered;
  • Scheduled programs will be listed on DCNR’s Calendar of Events; and
  • Large, DCNR-sponsored events remain canceled until further notice.

State park and forest visitor centers, offices, theaters and interpretive wings will return to an occupancy limit of 75 percent of capacity. All visitors and staff must wear masks and practice social distancing and frequent hand sanitizing or washing.

Volunteer Friends group meetings must be virtual or outdoors at park or forest facilities.  Outdoor facilities must be under the 50 percent occupancy limit, and social distancing must be practiced and masks worn.

Not considered organized park or forest events, volunteer work days are permitted to resume. Guidelines include maximum at 40 per group. Multiple groups are permitted in separate locations, multiple groups may attend at different times, and masks and social distancing are required.

Third-party events can continue if established guidelines are followed. DCNR staff may be present to assist with public safety and to maintain compliance with the event agreement.

All occupancy changes are subject to reevaluation going forward and will maintain consistency with all applicable Centers for Disease Control and Prevention (CDC) and Pennsylvania Department of Health guidance.

Secretary Dunn noted visits to Pennsylvania state parks have increased by more than one million visitors a month since the start of mitigation efforts, and that interest is expected to hold strong through spring and into summer.

In a related development, DCNR announced last month that campsites will be available at an additional 17 state parks to accommodate fishing enthusiasts who want to stay overnight on April 2 for the new statewide trout opener the following day. A total of 34 parks throughout the state will provide camping at this time.

To help avoid exposure to COVID-19 and still enjoy the outdoors:

  • Don’t hike or recreate in groups – go with those under the same roof, and adhere to social distancing (stay 6 feet apart)
  • Take hand sanitizer with you and use it regularly
  • Avoid touching your face, eyes, and nose
  • Cover your nose and mouth when coughing and sneezing with a tissue or flexed elbow
  • If you are sick, stay home

Visitors can help keep state parks and forest lands safe by following these practices:

  • Avoid crowded parking lots and trailheads
  • Bring a bag and either carry out your trash or dispose of it properly
  • Clean up after pets
  • Avoid activities that put you at greater risk of injury, so you don’t require a trip to the emergency room

Pennsylvania has 121 state parks and 20 forest districts; all are open year-round.

Information about state parks and forests is available on the DCNR website and here.

Women’s Experiences with Health Care During the COVID-19 Pandemic: Findings from the KFF Women’s Health Survey

The Kaiser Family Foundation has released it report “Women’s Experiences with Health Care During the COVID-19 Pandemic: Findings from the KFF Women’s Health Survey.”

The report examines experiences accessing health care during the COVID-19 pandemic have differed by gender, age, race/ethnicity, insurance coverage, and income and what this could mean moving forward.

Review the report at https://www.kff.org/womens-health-policy/issue-brief/womens-experiences-with-health-care-during-the-covid-19-pandemic-findings-from-the-kff-womens-health-survey/