Note to Readers: Sarah Jane Tribble spent more than a year and half reporting on a small town in Kansas that lost its only hospital. This month, KHN and St. Louis Public Radio will launch “Where It Hurts,” a podcast exploring the often painful cracks growing in America’s health system that leave people vulnerable — and without the care they need. Season One is “No Mercy,” focusing on the hospital closure in Fort Scott, Kansas — and what happens to the people left behind, surviving the best way they know how. You can listen to Episode One on Tuesday, Sept. 29.

David Usher is sitting on $1.7 million he’s scared to spend.

The money lent from the federal government is meant to help hospitals and other health care providers weather the COVID-19 pandemic. Yet some hospital administrators have called it a payday loan program that is now, brutally, due for repayment at a time when they still need help.

Coronavirus cases have “picked up recently and it’s quite worrying,” said Usher, chief financial officer at the 12-bed Edwards County Medical Center in rural western Kansas. Usher said he would like to use the money to build a negative-pressure room, a common strategy to keep contagious patients apart from those in the rest of the hospital.

But he’s not sure it’s safe to spend that cash. Officially, the total repayment of the loan is due this month. Otherwise, according to the loan’s terms, federal regulators will stop reimbursing the hospitals for Medicare patients’ treatments until the loan is repaid in full.

The federal Centers for Medicare & Medicaid Services has not yet begun trying to recoup its money, with the coronavirus still affecting communities nationwide, but hospital leaders fear it may come calling for repayment any day now.

Hospital leaders across the country said there has been no communication from CMS on whether or when they will adjust the repayment deadline. A CMS spokesperson had not responded to questions by press time.

“It’s great having the money,” Usher said. “But if I don’t know how much I get to keep, I don’t get to spend the money wisely and effectively on the facility.”

Usher took out the loan from Medicare’s Accelerated and Advance Payments program. The program, which existed long before the pandemic, was generally used sparingly by hospitals faced with emergencies such as hurricanes or tornadoes. It was expanded for use during the coronavirus pandemic — part of billions approved in federal relief funds for health care providers this spring.

A full repayment of a hospital’s loan is technically due 120 days after it was received. If it is not paid, Medicare will stop reimbursing claims until it recoups the money it is owed — a point spelled out in the program’s rules. Medicare reimburses nearly $60 billion in payments to health care providers nationwide under Medicare’s Part A program, which makes payments to hospitals.

More than 65% of the nation’s small, rural hospitals — many of which were operating at a deficit before the pandemic — jumped at the Medicare loans when the pandemic hit because they were the first funds available, said Maggie Elehwany, former vice president of government affairs for the National Rural Health Association.

Read the full article here.

Six months after the first cases of COVID-19 were reported in Pennsylvania, Governor Tom Wolf today highlighted the Wolf Administration’s efforts to respond to the state’s critical need for personal protective equipment (PPE) and ensure that mitigation-related products, from masks and medical equipment to cleaning and sanitation supplies, are available, accessible and plentiful.

“In the early days of the pandemic, this administration took numerous steps to secure sources of PPE to ensure that Pennsylvanians were protected and that our health system was not overwhelmed,” Gov. Wolf said. “Our proactive and ongoing efforts to secure PPE, coupled with the flexibility and ingenuity displayed by Pennsylvania’s business community, helped us secure and allocate PPE. Because of the steps we took, our hospitals were not overburdened, and our medical system was not strained. Now, six months after the virus first appeared in the commonwealth, we can say with confidence that we are prepared to stay safe as we continue to fight this pandemic.”

Among myriad actions to support Pennsylvania’s health care system during the COVID-19 pandemic, Gov. Wolf signed an order in April to provide critical aid to hospitals with targeted PPE and supplies distribution.

The Wolf Administration is also working with eligible organizations that may be experiencing a shortage of respirators to connect them with the Battelle Critical Care Decontamination System (CCDS), which provides free decontamination and reuse of N95 respirators as needed during a time of crisis. The system uses a vaporous hydrogen peroxide to decontaminate up to tens of thousands of N95 masks a day.

“At the beginning of the COVID-19 pandemic, it became evident that we needed to take definitive steps to acquire and manufacture PPE because we could not solely rely on existing systems to adequately supply the quantities we felt we would need,” said PEMA Director Randy Padfield. “Without the combined efforts of multiple state agencies, strategic investment in Pennsylvania-based manufacturers and strong public-private partnerships, we would not have been able to acquire and distribute the critical PPE needed to protect our front line healthcare workers and first responders.”

The Wolf Administration created several opportunities to connect PPE-producing/distributing businesses to hospitals, medical facilities and other businesses.

The Critical Donations Portal was developed for individuals, corporations, or community organizations to inform the commonwealth of critical medical supplies available for donation.

The Critical Medical Supplies Procurement Portal was developed to source the most needed supplies for medical providers, emergency responders and health care professionals. This portal is for manufacturers, distributors and other suppliers to inform the state of supplies available for purchase and will allow us to more quickly and efficiently procure these supplies for hospitals and medical facilities across Pennsylvania.

The Manufacturing Call to Action Portal was developed to match manufacturers and distributors to fill specific supply chain needs to meet increasing demands for medical supplies and related products, assist manufacturers that have workforce needs or gaps and aid them in identifying skilled workers, and identify manufacturers that can pivot or innovate to fulfill the demand for medical supplies and related products.

The Business-to-Business Interchange Directory connects organizations and businesses directly to manufacturers, distributors and suppliers of COVID-19-related products and supplies. This directory is made available to entities that contacted the commonwealth through the portals.

These resources are all available through the Department of Community and Economic Development (DCED).

“Our businesses and manufacturers showed us what is best about Pennsylvania throughout the COVID-19 pandemic — our innovation and can-do spirit,” said DCED Sec. Dennis Davin. “Companies stepped up when we needed them, providing products to protect their employees, communities, and the commonwealth as a whole. Today, we thank and applaud them for those efforts.”

The governor and Wolf Administration officials held the news conference at Americhem International, a Middletown-based wholesale distributor of janitorial and sanitizing products that serves a variety of industries, including commercial cleaning, hospitality, healthcare and more.

Americhem, which offers a variety of COVID-related mitigation products, is on the administration’s Business-to-Business Interchange Directory.

Pennsylvania Department of Human Services (DHS) Secretary Teresa Miller today advised Pennsylvanians of a potential text messaging scam telling people they are selected to receive assistance through the Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps. DHS and other government agencies do not and will not solicit participation in SNAP or any other public assistance programs via text, and Pennsylvanians should not reply or share any personal information if they are contacted in this manner.

“We are all living through difficult times, and unfortunately, there are people who will try to take advantage of others who may need help meeting essential needs,” said Secretary Miller. “If you receive unsolicited or random calls or text messages telling you that you qualify for assistance then asking for personal information, it is most likely a scam. Do not respond, and delete the message so you do not get caught in an identity theft scam.”

The United States Department of Agriculture publishes information about potential SNAP scams, but Pennsylvanians should always be aware of the threat of phishing schemes through unsolicited calls and text messages.

Pennsylvanians who have questions about whether a call, text, letter, or other communication is legitimate should contact DHS’ Office of Income Maintenance. Clients in Philadelphia with questions or who need a paper application mailed to them should call the Philadelphia Customer Service Center at 215-560-7226. Clients in all other counties can call the Statewide Customer Service Center at 1-877-395-8930.

If Pennsylvanians need help purchasing or affording food for themselves and their families, help may be available through SNAP. SNAP helps nearly 1.9 million Pennsylvanians by providing assistance each month for groceries, helping households purchase enough food to avoid going hungry. SNAP is our country’s most important and most impactful anti-hunger program. For every meal provided by a Feeding Pennsylvania food bank, SNAP provides nine. While SNAP is intended to be a supplemental program, during a pandemic and historic unemployment, resources are strained, particularly for our lowest income Pennsylvanians.

Applications for the Supplemental Nutrition Assistance Program (SNAP) and other public assistance programs can be submitted online at www.compass.state.pa.us. All Pennsylvanians experiencing financial hardships due to the pandemic, a lost job, or a change in income are strongly encouraged to apply and see if they qualify for assistance with food, health care, and other essential needs.

For more information about food assistance resources for people around Pennsylvania impacted by COVID-19 and the accompanying economic insecurity, visit the Department of Agriculture’s food security guide.