- CMS: Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
- Public Inspection: CMS: Medicare Program: Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction Model
- CMS: Secretarial Comments on the CBE's (Battelle Memorial Institute) 2024 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
- HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- HRSA Announces Action to Lower Out-of-Pocket Costs for Life-Saving Medications at Health Centers Nationwide
- Public Inspection: HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Increased Risk of Cyber Threats Against Healthcare and Public Health Sector
- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization Program
- Announcing the 2030 Census Disclosure Avoidance Research Program
- 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
Federal Action to Expand Access to COVID-19 Vaccines
President Trump and the U.S. Department of Health and Human Services (HHS), through the Assistant Secretary for Health, issued guidance under the Public Readiness and Emergency Preparedness Act (PREP Act) to expand access to safe and effective COVID-19 vaccines when they are made available. This guidance authorizes state-licensed pharmacists to order and administer, and state-licensed or registered pharmacy interns acting under the supervision of the qualified pharmacist to administer, COVID-19 vaccinations to persons ages 3 or older, subject to certain requirements.
“This action builds upon our Administration’s progress toward delivering a safe, effective, and widely available vaccine by 2021,” said Assistant Secretary for Health ADM Brett P. Giroir, M.D. “Allowing pharmacists to order and administer COVID-19 vaccines will greatly expand convenient access for the American people.”
The authorization preempts any state and local laws that prohibit or effectively prohibits those who satisfy these requirements from ordering or administering COVID-19 vaccines as set forth above. The authorization does not preempt state and local laws that permit additional individuals to administer COVID-19 vaccines to additional persons.
Access a copy of the guidance – PDF*
Information on Operation Warp Speed
Clinical resources on vaccines, including continuing education training on best practices
Pennsylvania Governor Announces Restaurants May Increase Indoor Occupancy to 50 Percent Starting September 21
Pennsylvania Governor Tom Wolf announced that restaurants may increase indoor occupancy to 50 percent starting September 21. To ensure that these businesses operate safely as Pennsylvania continues to mitigate the spread of COVID-19, and to instill customers and employees with confidence knowing that they can dine safely, restaurants will commit to strictly complying to all public health safety guidelines and orders through a self-certification process.
“While our aggressive and appropriate mitigation efforts have kept case counts low, we must continue to take important steps to protect public health and safety as we head into the fall. At the same time, we must also support the retail food services industry that has struggled throughout this pandemic,” Gov. Wolf said. “The self-certification ensures that restaurants can expand indoor operations and commit to all appropriate orders so that employees and customers alike can be confident they are properly protected.”
Restaurants that self-certify will appear in the Open & Certified Pennsylvania searchable online database of certified restaurants across the commonwealth. Consumers will be able to access this database and find certified businesses in their area, ensuring that consumers can make more informed choices about the food establishments they are looking to patronize.
The self-certification documents and information about the Open & Certified Pennsylvania program can be found online starting September 21 and will contain the following:
- A list of requirements contained in the current restaurant industry guidance and enforcement efforts;
- A statement that the owner has reviewed and agrees to follow these requirements;
- The business’ maximum indoor occupancy number based on the fire code; and
- A statement that the owner understands that the certification is subject to penalties for unsworn falsification to authorities.
Any restaurant that wishes to increase to 50 percent indoor capacity on September 21 must complete the online self-certification process by October 5. Business owners should keep a copy of the self-certification confirmation they will receive by e-mail. Social distancing, masking and other mitigation measures must be employed to protect workers and patrons. Further, starting September 21 restaurants that have alcohol sales will close alcohol sales at 10:00 PM.
Additionally, restaurants that self-certify will be mailed Open & Certified Pennsylvania branded materials, such as window clings and other signage designating their certification, which they can display for customers and employees.
The self-certification will be used as part of ongoing enforcement efforts conducted by Department of Agriculture and Pennsylvania State Police Bureau of Liquor Control Enforcement, and will be shared with the departments of State, Labor & Industry and Health, and other enforcement agencies. Restaurants operating at 50 percent capacity will have their self-certification status checked as part of ongoing enforcement by these agencies starting on October 5, and will focus on educating businesses. The commonwealth will continue its measured approach to easing restrictions, keeping the rest of the targeted mitigation tactics specific to the food retail industry in place as restaurants increase capacity to 50 percent.
Further, a restaurant’s listing in the Open & Certified Pennsylvania restaurant database shows it cares about its customers, employees, community and the economic future of the state.
The self-certification process is modeled after a similar mitigation effort in Connecticut, and the alcohol sales limitation is modelled after a similar mitigation effort in Ohio.
Boosting consumer confidence is critical for restaurants, as according to the most recent Longwoods International tracking study of American travelers, only 40 percent of Americans are comfortable dining in local restaurants.
“We recognize the impact that the COVID-19 pandemic has had on Pennsylvania’s small businesses, especially on our restaurants,” added Gov. Wolf. “Through this self-certification process, our commonwealth’s restaurant industry will ensure the safety and well-being of both employees and patrons alike, and will be able to begin a return to normal operations and financial recovery.”
Restaurant owners with additional questions about the self-certification program can contact covidselfcert@pa.gov.
In July, following the recommendations of the federal government and in response to a rise in COVID-19 cases, Governor Wolf and Secretary of Health Dr. Rachel Levine signed orders for targeted mitigation efforts for all Pennsylvania businesses in the food services industry, including restaurants, wineries, breweries, private clubs and bars. Commonwealth and local agencies continued and even increased appropriate enforcement measures.
The governor has urged the General Assembly to support his plan to provide additional recovery for small businesses, including proposing $100 million in forgivable loans and grants for the hospitality, leisure and service industries.
The governor has also urged Congress to quickly provide financial relief to the nation’s restaurants by passing the Real Economic Support That Acknowledges Unique Restaurant Assistance Needed to Survive (RESTAURANTS) Act. The bipartisan bill in Congress provides $120 billion to help independent restaurants with the economic challenges created by the COVID-19 pandemic.
Pennsylvania Governor’s Administration Releases FAQs for Restaurant Self-Certification Process
The administration of Pennsylvania Governor Wolf released frequently asked questions for restaurant owners to reference following the newly announced self-certification process.
This new process, Open & Certified Pennsylvania, ensures that customers and employees know that they can dine safely at restaurants committed to strictly complying with all public health safety guidelines and orders as we work to mitigate the spread of COVID-19 in the commonwealth.
“The novel coronavirus has created new challenges for Pennsylvania businesses, and it is critical that we provide avenues of support for our restaurants, which have been disproportionately impacted,” Department of Community and Economic Development Secretary Dennis Davin.
“Open & Certified Pennsylvania will instill consumer faith and allow our small businesses to recover more quickly, and we want to make the process as simple and easy as possible. The list of frequently asked questions we are releasing today will help ensure that this transition goes as smoothly as possible for Pennsylvania businesses.”
Any restaurant that wishes to increase to 50 percent indoor capacity on September 21 must complete the online self-certification process by October 5.
Restaurant owners with additional questions about the self-certification program can contact covidselfcert@pa.gov.
Campaign for Dental Health Releases New Media
The Campaign for Dental Health released several new memes and video snips on their website. Four new memes include messages on brushing, drinking water, mouth-body connection, and oral health integration. Each carries the 75th anniversary of community water fluoridation medallion. Five new video snips feature three pediatricians emphasizing the benefits of drinking water with fluoride and the importance of oral health for the entire family, especially those most affected by dental disease.
Oral Health Value-Based Care: The FQHC Story
The DentaQuest Partnership and the National Association of Community Health Centers (NACHC) published a new white paper, “Oral Health Value-Based Care: The Federally Qualified Health Center (FQHC) Story.” FQHCs are remaking modern health care with an integrated oral health care approach. FQHCs and their dental programs are using telehealth and implementing value-based tools for prevention, creating better disease management, and positive patient oral health and overall health outcomes.
2020: On Track to Set a New Record for Rural Hospital Closures
Becker’s Hospital Review reported on the 14 rural hospitals that have closed this year. It is worth noting that eight closures occurred during the COVID-19 pandemic, a time when access to health care services is more important than ever before. Additionally, local reporting in Georgia confirms that two more rural hospitals are slated for closure in October. Last year set the record for the greatest number of rural hospital closures in a single year at 18; 2020 is on pace to smash that record.
Prognosis for Rural Hospitals Worsens with Pandemic
Kaiser Health News provided reporting on the impact of the COVID-19 pandemic on rural hospital closures. Sarah Jane Tribble writes, “As COVID-19 continues to spread, an increasing number of rural communities find themselves without their hospital or on the brink of losing already cash-strapped facilities.” The article also quotes UNC Gillings School of Global Public Health professor Mark Holmes, who says, “We know that a [rural hospital] closure leads to higher mortality pretty quickly…That’s pretty clear.”
USDA Extends Free Meals for Kids Through December 31, 2020
U.S. Secretary of Agriculture Sonny Perdue announced the U.S. Department of Agriculture (USDA) will extend several flexibilities through as late as December 31, 2020. The flexibilities allow summer meal program operators to continue serving free meals to all children into the fall months. This unprecedented move will help ensure – no matter what the situation is on-the-ground – children have access to nutritious food as the country recovers from the COVID-19 pandemic. USDA has been and continues to be committed to using the Congressionally appropriated funding that has been made available.
Since the start of the public health emergency, FNS has been maximizing existing program services and flexibilities to ensure those in need have access to food through our 15 federal nutrition assistance programs. To date, USDA has provided more than 3,000 flexibilities across these programs. USDA has also leveraged new and innovative approaches to feeding kids, including a public-private partnership that provided nearly 40 million meals directly to the doorsteps of low-income rural children. For more information on FNS’ response to COVID-19, visit fns.usda.gov/coronavirus.
Pennsylvania Leadership Renew Call for Legislature to Take up Legalization of Adult-Use Cannabis to Help with COVID Recovery, Restorative Justice
Pennsylvania Governor Tom Wolf and Lt. Governor John Fetterman called on the legislature to take up the legalization of adult-use cannabis to help with the state’s economic recovery amid COVID-19. Legalization will also create more outlets for important restorative justice programs in the commonwealth.
“Now more than ever, we see a desperate need for the economic boost cannabis legalization can provide. So today I am proposing we legalize adult-use cannabis here in Pennsylvania with a portion of the revenue going toward existing small business grants,” Gov. Wolf said. “Half of these grants would be earmarked for historically disadvantaged businesses, many of which have had difficulties attaining other assistance because of systemic issues.
“The other portion of the revenue will go toward restorative justice programs that give priority to repairing the harm done to crime victims and communities as a result of cannabis criminalization.”
Lt. Governor Fetterman elaborated on the need for legislative action to provide for much-needed restorative justice.
“It has been nearly a year since Governor Wolf and I urged the legislature to act on immediate decriminalization and start the discussion about legalization,” Lt. Governor Fetterman said. “Now more than ever, we must stop prosecuting people for doing something that most Pennsylvanians don’t even think should be illegal.”
The governor also mentioned the economic benefits states with legal adult-use cannabis have realized. There are now 11 states plus the District of Columbia with legalized cannabis.
“Some states that have legalized adult-use cannabis have received millions in additional revenue,” Gov. Wolf said. “In Washington state, adult-use cannabis brought in $319 million in tax revenue in 2018. In Colorado, that figure topped $266 million, and provided the city of Aurora with $900,000 to open a space for people experiencing homelessness. And these figures don’t count the secondary economic benefits of new businesses opening.”
“Communities across our commonwealth are suffering,” said Sen. Sharif Street, who joined the governor and the lt. governor at the event. “Government has a responsibility to provide for and protect Pennsylvanians without cutting vital support systems or levying new taxes during a pandemic. After years of disparate enforcement of marijuana laws, which drives mass incarceration, social justice reform must be central to any policy on adult use. I’m proud to support Governor Wolf in this effort.”
The governor, with the realization that standing up a legalized adult-use cannabis program will take time, called on the legislature to take immediate action to decriminalize possession of small amounts of marijuana, changing the charge from a misdemeanor of the third degree, which can result in jail time, to a summary offense, which does not.
“I stand with the Governor and Lt. Governor in support of legislation legalizing adult-use cannabis because this issue is about far more than money,” said Rep. Jake Wheatley. “This is about criminal and social justice reform and righting past wrongs. It is about creating a flourishing new industry to help keep people safe and educate them on responsible use. Especially during a pandemic, we need to provide every avenue for relief and this one is well overdue.”
The governor and lt. governor first called on the legislature to consider adult-use cannabis legalization in September 2019 after the lt. governor completed a statewide listening tour and a report back to the governor summarizing public opinion both on the tour and from tens of thousands of online submissions from Pennsylvanians. The majority of Pennsylvanians favor legalization and from the lt. governor’s report, three actions were outlined: a referendum on legalization, decriminalization and expungement of small possession convictions.
Since that report was released, nothing has moved forward in the legislature.
With the onset and continued effects of COVID on our commonwealth, on Aug. 25, Gov. Wolf called for adult-use cannabis as part of his broad fall legislative agenda.
Along with the call to the General Assembly to pass legislation legalizing the sale and use of adult-use cannabis, Gov. Wolf proposed that a portion of the revenue be used to further restorative justice programs that give priority to repairing the harm done to crime victims and communities as a result of marijuana criminalization.
In October 2019, Gov. Wolf, Lt. Gov. Fetterman and Board of Pardons Secretary Brandon Flood outlined how the then-recent expedited pardons process could benefit those who have low-level marijuana convictions by asking the Board to expedite those pardons. However, the governor and lt. governor know there is more to be done.
“The time has come to legalize adult-use cannabis in Pennsylvania,” Gov. Wolf said. “It will help our economic recovery, it will help Pennsylvania families and it will help make our criminal justice system fairer.”
Departments of Agriculture, Health Partner to Offer Pennsylvania Hemp Growers New Testing Resources
The Pennsylvania Departments of Agriculture and Health announced today a new partnership to make Pennsylvania’s six medical marijuana testing laboratories available to the agriculture industry for testing hemp crops for tetrahydrocannabinol (THC) levels.
“Secretary of Health Dr. Rachel Levine has been a great friend to Pennsylvania agriculture, as we’ve worked to keep the industry healthy and moving and comply with federal law throughout 2020,” said Agriculture Secretary Russell Redding. “This partnership is just one more example, and we’re grateful to the Department of Health for helping to make these labs available to Pennsylvania’s new and growing hemp industry as they work to meet testing requirements during a very tight, critical harvest window.”
For the 2020 growing season, Pennsylvania has 510 farms growing approximately 3,000 acres of hemp across the commonwealth. Every hemp lot in Pennsylvania is required to be sampled and tested to show a THC level at or below 0.3 percent. Anything above that level is considered marijuana. Prior to the availability of medical marijuana laboratories for hemp growers, 13 in-state and out-of-state labs were available to hemp growers for required potency testing. As growers are nearing harvest season, the Department of Health’s medical marijuana laboratories add capacity during a critical, short window of time.
“The Department of Health is pleased to collaborate with the Department of Agriculture as part of their hemp program,” Dr. Levine said. “We are committed to ensuring that Pennsylvanians have access to medicine that is regulated and approved. The laboratories that are part of the medical marijuana program have been key partners in our program, and we believe they will play a key role in assisting the Department of Agriculture as well.”
In 2017 and 2018, the Department of Agriculture administered the Industrial Hemp Pilot Research Program, legitimized by the 2014 federal Farm Bill and authorized in Pennsylvania statute by the Industrial Hemp Research Act. As of 2019, the research program’s 100-acre cap was lifted for the inaugural year of the commercial program which was made possible through the 2018 Farm Bill. The 2019 program permitted 324 growers who grew just over 4,000 acres of hemp in 55 Pennsylvania counties.
Under the historic 2019 Pennsylvania Farm Bill, the state made funding available to hemp farmers through the creation of a state Specialty Crop Block grant. The Department of Agriculture also encouraged the USDA to make federal specialty crop funds available to hemp farmers.
Hemp was grown in Pennsylvania and throughout the United States until after World War II but became regulated along with marijuana and its cultivation was prohibited by federal law. Hemp and marijuana are different varieties of the same plant species. Unlike marijuana, hemp is also grown for fiber and seed, in addition to floral extracts, and must maintain a much lower concentration of the psychoactive chemical THC below the 0.3 percent legal threshold.
For more about Pennsylvania’s Hemp Program visit agriculture.pa.gov.