Rural Health Information Hub Latest News

Pennsylvania Announces Largest Government Solar Energy Commitment in the U.S.

Pennsylvania Governor Tom Wolf announced today a major clean energy initiative that will produce nearly 50 percent of state government’s electricity through seven new solar energy arrays totaling 191-megawatts to be built around the state. Part of the governor’s GreenGov initiative, Pennsylvania PULSE (Project to Utilize Light and Solar Energy) will go into operation on January 1, 2023. The project is the largest solar commitment by any government in the U.S. announced to date.

The departments of General Services, Environmental Protection, and Conservation and Natural Resources will hold a virtual news conference at 11:00 AM today. Reporters need to RSVP for this media briefing. Please email dklenotic@pa.gov and provide the reporter’s name and media outlet who wishes to receive connection information and attend the virtual briefing. The event may be viewed live at https://pacast.com/live/dgs and on DEP’s Facebook page.

“In issuing the GreenGov challenge, I charged state government with leading by example in demonstrating sustainable governance and lowering greenhouse gas emissions to reduce the risks of climate change in Pennsylvania,” Governor Wolf said. “This included significantly reducing energy use and pursuing an ambitious goal of obtaining at least 40 percent of electricity from clean energy generated in state. I commend General Services for their GreenGov leadership in not only meeting this goal but exceeding it.

“Pennsylvania has been a national energy leader for more than one hundred years. As we continue to diversify our grid with clean renewable sources of energy, we want to maintain Pennsylvania’s leadership position and bring the associated economic, health and environmental benefits to all Pennsylvanians. As Pennsylvania’s Alternative Energy Portfolio Standard – which has driven solar and renewable development for the past decade and a half – sunsets at the end of May, we need more of the innovative, resourceful thinking demonstrated in this project to keep the market for clean renewable energy strong in the commonwealth.”

Solar arrays will be built in seven locations in six counties: Columbia, Juniata, Montour, Northumberland, Snyder and York. When completed, the total 191-megawatt project is expected to deliver 361,000 megawatt-hours of electricity per year, supplying 100 percent of electricity for 434 accounts across 16 state agencies, or about half the electricity used by state government. The solar project will create 400-plus jobs and begin lowering carbon dioxide emissions statewide by 157,800 metric tons each year – the equivalent of the emissions from nearly 27,000 homes or taking 34,000 cars off the roads.

General Services contracted with Constellation, a Pennsylvania Public Utility Commission-licensed electric generation supplier, to secure a 15-year fixed-price supply agreement. Serving as a technical advisor on the purchase, the Penn State Facilities Engineering Institute coordinated an innovative retail approach.

“Pennsylvania PULSE reflects our commitment to making renewable energy the heart of DGS energy strategy,” said General Services Secretary Curt Topper. “The contract with Constellation provides us with long-term price protection and budget certainty, while the retail purchase model coordinated by the Penn State Facilities Engineering Institute is groundbreaking in enabling us to obtain an in-state solar energy supply for over 400 accounts with administrative and fiscal simplicity. We’re excited to have this new model in place as we work toward more clean energy use in the future.”

The Solar Renewable Energy Credits, or SRECs, generated by the project will be retired upon purchase by the commonwealth, ensuring that such SRECs cannot be used for compliance or voluntary purposes by any other entity, thereby preserving the existing SREC market.

Lightsource bp will build, own and operate the solar arrays, creating hundreds of new construction jobs for Pennsylvanians and bringing long term economic benefits to local communities through increased tax revenues. The arrays will be constructed and operated to meet industry leading standards for low-environmental-impact solar siting and design.

“Reducing greenhouse gas emissions is crucial to slowing climate change and protecting our health and safety, environment, and economy,” said DEP Secretary Patrick McDonnell. “With over 85 percent of Pennsylvania’s greenhouse gas emissions coming from energy production and use, pursuing clean energy and energy efficiency at the enterprise scale, as the state government solar procurement demonstrates, will make a big impact. At the same time, research shows the clean energy sector is a leading creator of quality jobs in Pennsylvania, bringing positive economic impacts as well.”

Clean energy industries added nearly 7,800 jobs in Pennsylvania in 2017-2019, for an 8.7 percent average job growth rate, significantly exceeding the average overall job growth in the state, according to the 2020 Pennsylvania Clean Energy Employment report.

Governor Wolf’s Climate Change Executive Order in 2019 set a goal of lowering Pennsylvania’s greenhouse gas emissions 26 percent by 2025 and 80 percent by 2050 compared with 2005 levels. It re-established the Green Government Council, co-chaired by the Departments of General Services, Environmental Protection, and Conservation and Natural Resources.

“DCNR is proud to co-chair Governor Wolf’s PA GreenGov Council and we congratulate DGS for laying the groundwork and providing the leadership that shaped today’s historic event,” said DCNR Secretary Cindy Adams Dunn. “As the state’s conservation leader, we demonstrated our commitment to wise energy-use 40 years ago with the first installation of a solar array. We now have 17 such installations throughout the state; a vehicle fleet that steadily is moving toward electric conversion; and construction and maintenance guidelines that promote solid energy conservation. We truly are excited by this initiative and how it will benefit our commitment to the future.”

The GreenGov Council is charged with developing strategies to ensure that state government plays a lead role in greenhouse gas emissions reduction. Goals include obtaining at least 40 percent of electricity from in-state clean energy sources; reducing energy use at least 3 percent annually; replacing 25 percent of the state vehicle fleet with electric vehicles; and attaining energy high-performance standards in building construction, lease, or renovation. The Council recently released its second annual report, outlining progress towards these goals in 2020.

The 2020 Pennsylvania Climate Impacts Assessment documents that Pennsylvania’s average state temperature has climbed nearly 2° F since 1901, and the state average annual rainfall has increased about 10 percent, while extreme weather events have increased. It’s projected that by mid-century, every county will be 4.9° F hotter than in 2000, while average rainfall continues to increase 8-12 percent, unless greenhouse gas emissions are reduced.

Pennsylvania Leaders Encourage Farmers Markets to Address Food Insecurity, Take Advantage of Free Equipment for SNAP

Pennsylvania Agriculture Secretary Russell Redding and Human Services Secretary Teresa Miller highlighted an opportunity for farmers markets to address food security in their local communities and expand their consumer base by taking advantage of free electronic benefit transfer equipment to accept Supplemental Nutrition Assistance Program (SNAP) benefits from residents.

“Farmers markets who don’t accept SNAP are missing an opportunity to serve their community by providing those who rely on the benefits with access to nutritious, local food,” said Redding. “Not only does accepting SNAP benefit your community, but it benefits you. It’s an opportunity to expand your consumer base and increase your sales.”

The Department of Human Services has been awarded a grant from the U.S. Department of Agriculture’s Food and Nutrition Service (FNS) to support access to fresh, healthy foods for SNAP recipients while supporting Pennsylvania’s agricultural economy. Interested market owners should apply to be an authorized SNAP retailer through FNS. Once authorized to accept SNAP, vendors can contact Pennsylvania’s electronic benefit transfer (EBT) provider Conduent at 1-888-736-6328 to request free wireless EBT processing equipment. The grant also covers set-up costs and one year of SNAP transaction fees.

“Becoming an authorized SNAP retailer is a common-sense way to help small businesses grow their consumer base and to support families so they can keep food on the table. SNAP is the nation’s most important and effective anti-hunger program; it helps individuals and families stretch their budgets, reduces the burden on local charitable food networks, and supports local retailers and grocers,” said DHS Secretary Teresa Miller. “We want to do everything we can to help families who are feeling this economic strain most acutely and small businesses that have had to weather the last year of economic uncertainty, which is why we are so proud to offer this opportunity. I strongly encourage farmers markets across Pennsylvania to apply to be an authorized SNAP retailer.”

Pennsylvania is home to more nearly 1,000 farmers markets and on-farm markets, however only 48 – less than 5% – are registered with FNS to accept SNAP benefits. By taking advantage of the opportunity for free EBT equipment to accept SNAP through the Department of Human Services, farmers markets can offer a new avenue for Pennsylvanians who rely on SNAP to spend their benefits on fresh, nutritious food. For farmers markets operators, there is no difference in accepting SNAP than accepting debit or credit transactions and SNAP benefits cover the full price that any consumer would pay at market for products.

“Throughout the pandemic, Managers of farmers markets and on-farm markets who redeem SNAP benefits have reported their redemption numbers have, in most cases, double from previous years,” said Brian Moyer, executive director of the Pennsylvania Farmers Market Association. “This reflects the critical role that these markets play as an essential source of food and nutrition in our communities and the wireless EBT equipment makes SNAP redemption easier to use for outdoor community farmers markets.”

Farmers markets who operate in urban areas or other known food deserts across the commonwealth, or those who operate with a mobile market model, have an especially unique opportunity to fill a void and address food apartheid’s that have developed leaving residents who rely on stores within walking distance minimal options for fresh, nutritious food outside of the shelf stable options found in convenience stores. By accepting SNAP, urban or traveling markets can address inequities of the food system and improve health for those who live there.

Families who are having trouble affording enough food are encouraged to take advantage of the Supplemental Nutrition Assistance Program. Formerly known as food stamps, SNAP provides assistance to low-income and working Pennsylvanians, allowing them to purchase produce and groceries for themselves and their family.

SNAP helps more than 1.8 million Pennsylvanians, including children, people with disabilities, older adults, and working Pennsylvanians, expand purchasing power to ensure their household has enough food to avoid going hungry.

SNAP is issued through a monthly payment to an electronic benefit transfer card, and benefits are based off income and household size. People can apply for SNAP and other public assistance programs online at www.compass.state.pa.us or over the phone by calling 1-866-550-4355. Those who prefer to submit a paper application can print from the website, pick one up at a County Assistance Office (CAO), or request an application by phone at 1-800-692-7462 and mail it to their local CAO or place it in a CAO’s secure drop box, if available. You do not need to know your own eligibility in order to apply. While CAOs remain closed, work processing applications, determining eligibility, and issuing benefits continues. Clients should use COMPASS or the MyCOMPASS PA mobile app to submit necessary updates to their case files while CAOs are closed to the public.

For more information on food security in Pennsylvania including information about resources and actions taken by the Wolf Administration, visit agriculture.pa.gov/foodsecurity.

New FMT Webinar on Opioid and Substance Use Strategies for Critical Access Hospitals

Substance use is a significant public health issue in rural communities. The opioid epidemic in particular continues to have a devastating impact in rural areas disproportionately affected by a lack of infrastructure to provide treatment for substance and opioid use disorders.

Critical Access Hospitals (CAHs), often the hubs of local systems of care, can play an important role in addressing substance use disorders.  This webinar, featuring Flex Monitoring Team (FMT) member John Gale, makes the case for why CAHs should address substance use, provides a framework to support CAHs in doing so, and describes examples of substance use activities undertaken by CAHs to substantiate the framework.

United Way in Pennsylvania Launches COVID-19 Impact Survey

The United Way of Pennsylvania is conducting a survey to look at the impact of the COVID-19 pandemic on PA families. With it, they hope to learn how to advocate about the experiences of PA communities. It asks about child-care, food insecurity, housing, healthcare, and employment status. Please share  the survey with your networks.

Click here for the survey in English.
Click here for the survey in Spanish.

OHRC Oral Health Resource Bulletin Released

The National Maternal and Child Oral Health Resource Center (OHRC) released the latest issue of the “Oral Health Resource Bulletin,” a periodic publication designed to stimulate thinking and creativity within the maternal and child health community by providing information about selected materials of interest. This bulletin features materials on the COVID-19 pandemic, surveillance, policy, professional education and practice, program development, public awareness and education, and systems integration.

Click here to read the bulletin.

New C2C Telehealth Resources Available

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.

Find COVID-19 information and links to patient resources in additional languages at go.cms.gov/omhcovid19.

Want to receive updates on From Coverage to Care? Subscribe to the C2C listservTo learn more or download C2C resources, please visit go.cms.gov/c2c or email CoverageToCare@cms.hhs.gov.

New from the CDC: Rural Cardiovascular Disease Mortality Data

The Centers for Disease Control and Prevention (CDC) has shared a new resource from the Division for Heart Disease and Stroke Prevention.  The Local Trends in Heart Disease and Stroke Mortality report provides detailed maps and graphics documenting county-level heart disease and stroke mortality and trends within each state. The report includes data for most counties in all states, including the most rural. This report can be used to enhance and inform cardiovascular disease prevention and treatment programs and policies.

For each state, the Local Trends in Heart Disease and Stroke Mortality report includes:

  • County-level maps of death rates for coronary heart disease (CHD) and stroke
  • County-level maps of trends in CHD and stroke death rates
  • Figures depicting comparisons of county-level death rates and historical trends for CHD & stroke
  • All graphics are presented by age group (ages 35-64; ages 65 and older)
  • A CSV file containing all data used to make the report.

The Local Trends in Heart Disease and Stroke Mortality report for each state, along with the underlying dataset, is available by request. To get the report, please contact Adam Vaughan at avaughan@cdc.gov. Additionally, the data are available on chronicdata.cdc.gov.

Insights from Experts: COVID-19 Case Rates in Rural and Urban Pennsylvania

When the COVID-19 pandemic became widespread in the United States, much of the discussion and attention centered on urban epicenters with rapid spread due to the high population density. While rural areas are less populous, other characteristics of rural America make those individuals living there far more vulnerable than their urban counterparts.

In this post, Penn State researchers Raeven Chandler, Katrina Alford and Leif Jensen describe the unique dynamics making rural residents more vulnerable, provide a comparison of COVID-19 trends in rural and urban areas in Pennsylvania, and offer insight as to why the COVID-19 pandemic highlights and magnifies the longstanding factors contributing to rural-urban health disparities.

For more, visit the Insights from Experts website — a partnership of Penn State’s Social Science Research Institute and the Center for Health Care and Policy Research.

CMS Now Accepting Applications: Primary Care First Model Cohort 2

The Centers for Medicare and Medicaid Services (CMS) released the Request for Applications (RFA) for Cohort 2 of the Primary Care First (PCF) Model. Primary care practices in eligible regions are encouraged to apply. Practices that participate in PCF will have flexibility in terms of care delivery and the opportunity to increase practice revenue through performance-based model payments. The deadline for practice applications is April 30, 2021; the deadline for payer applications is May 28, 2021.

The PCF Model tests whether the way Medicare pays for advanced primary care—shifting from a fee-for-service to a value-based payment approach—can positively affect quality of care and reduce total Medicare expenditures. By tying performance based payment adjustments to health outcomes, the PCF Model seeks to improve advanced primary care for participating practices and patients alike.

What this means for model participants:

  • You have greater independence and can tailor care delivery approaches to meet the special needs of your patients.
  • You have the opportunity to prioritize the doctor-patient relationship.
  • You are supported in offering patients increased access to care, greater engagement in the decision-making process and enhanced care coordination.

Further, participating practices that focus on patients with complex chronic needs receive higher model payments for the care of these patient populations.

PCF Cohort 2 will have five performance years and is scheduled to begin in January 2022. You can access the RFA, practice application, and more information on the PCF Model, on the CMS Primary Care First website.

Webinars for interested applicants will be held in the coming weeks, and will include opportunity for live question and answer:

Introduction to PCF

Become a Primary Care First Payer Partner

Ready, Set, Apply!

Pennsylvanians are Experiencing Hunger at Highest Levels Since Onset of Pandemic

At the end of 2020, more than 12% of Pennsylvania households were experiencing hunger — the highest rate since the onset of the COVID-19 pandemic, according to researchers in Penn State’s College of Agricultural Sciences. Their report confirms anecdotal and media reports and highlights the role that community resources, such as food pantries and free school lunches, are playing in the state.

“We’ve seen the media accounts of exceptionally long lines at food banks and wanted to get a better understanding of the magnitude of the problem,” said Stephan Goetz, professor of agricultural and regional economics and director of the Northeast Regional Center for Rural Development (NERCRD).

“Our synthesis suggests that while the state’s rate of food insufficiency tends to be lower than the nation’s as a whole, it is still a significant and growing problem,” he said. “More than one in 10 households in Pennsylvania sometimes or often didn’t have enough food to eat last year, and food insufficiency status has grown worse for all but the wealthiest Pennsylvanians since the beginning of the pandemic.”

Goetz and his colleagues examined data from the U.S. Census Household Pulse Survey, a survey administered in three phases beginning in 2020 to a randomly selected representative sample of U.S. households. The goal of the survey is to better understand the social and economic effects that the coronavirus pandemic has had on households across the country.

Survey respondents answer questions about their employment status, food and housing security, education disruptions, and physical and mental well-being. When responding to questions about food sufficiency and availability, they base their answers on the previous seven days.

Focusing on Pennsylvania, the researchers analyzed the survey data to assess the most recent levels of household food security, how food security has changed over the course of the pandemic, and how households in different income brackets have experienced the crisis. They also assessed how families have adapted to food insufficiency by accessing free food. They released their findings this week in a new report titled “Pennsylvania Food Insufficiency Reached New High at the End of 2020.”

The report shows that food insufficiency in Pennsylvania is closely linked to the state’s unemployment rate. During weeks when unemployment claims are at their highest in the state, reports of food insufficiency also are relatively high, or rising. For policymakers, this underscores the close connection between income from working and food security of individuals. Community safety nets, such as free school lunches and food pantries, play a significant role in meeting household food needs.

“Our synthesis shows an increasingly dire food insecurity situation for many households in Pennsylvania and beyond,” Goetz said. “As the pandemic drags on, it is likely to become an even more serious problem as families deplete their savings and are forced to choose between paying for food or paying for other necessities.”

The report is part of an ongoing series of briefs and reports authored by NERCRD researchers, focusing on the coronavirus pandemic in the context of direct farm sales, the fruit and vegetable industry, consumer spending and sourcing, network science, and regional science.

The center also has available the data included in the report for other states in the northeastern U.S.

Other members of the research team who contributed to the report described here include Zheng Tian, research associate; Claudia Schmidt, assistant professor of marketing and local/regional food systems; and Yuxuan Pan, graduate research assistant.