- 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
New Report: Oral Health Care for Children and Youth with Developmental Disabilities
The American Academy of Pediatrics published “Oral Health Care for Children and Youth With Developmental Disabilities.” This clinical report highlights the oral health needs of children and youth with developmental disabilities and calls for coordinated care.
Maternity Care in Rural Areas Is in Crisis. Can More Doulas Help?
When Bristeria Clark went into labor with her son in 2015, her contractions were steady at first. Then, they stalled. Her cervix stopped dilating. After a few hours, doctors at Phoebe Putney Memorial Hospital in Albany, Georgia, prepped Clark for an emergency cesarean section.
It wasn’t the vaginal birth Clark had hoped for during her pregnancy.
“I was freaking out. That was my first child. Like, of course you don’t plan that,” she said. “I just remember the gas pulling up to my face and I ended up going to sleep.”
She remembered feeling a rush of relief when she woke to see that her baby boy was healthy.
Clark, a 33-year-old nursing student who also works full-time in county government, had another C-section when her second child was born in 2020. This time, the cesarean was planned.
Clark said she’s grateful the physicians and nurses who delivered both her babies were kind and caring during her labor and delivery. But looking back, she said, she wishes she had had a doula for one-on-one support through pregnancy, childbirth, and the postpartum period. Now she wants to give other women the option she didn’t have.
Clark is a member of Morehouse School of Medicine’s first class of rural doulas, called Perinatal Patient Navigators.
The program recently graduated a dozen participants, all Black women from southwestern Georgia. They have completed more than five months of training and are scheduled to begin working with pregnant and postpartum patients this year.
USDA Rural Development Invests in Rural Communities to Lower Energy Costs and Create Jobs in Pennsylvania
U.S. Department of Agriculture (USDA) State Director for Rural Development Bob Morgan announced four additional projects being funded through the Rural Energy for America Program (REAP) for a total of $1.4 million.
“The Biden-Harris Administration is partnering with people in rural communities across our Commonwealth to expand access to clean energy and save rural Americans money,” Morgan said. “We are hard at work, continuing what we’ve always done, supporting rural small businesses and farmers as they create jobs for their communities and drive economic prosperity.”
Here are the projects being announced today:
In Cambria County, Saint Francis University will use a REAP Renewable and Energy Audit Program grant of $100,000 to conduct 26 renewable energy assessments for rural small businesses and agricultural producers throughout Pennsylvania. These on-site assessments will provide analysis to install renewable energy systems aimed at reducing overall energy costs. This program strengthens American energy independence by increasing the private sector supply of renewable energy and decreasing the demand for energy through energy efficiency improvements.
In Northampton County, Northampton County Area Community College will use a REAP Technical Assistance grant of $449,990 to provide technical assistance for stakeholders interested in REAP Energy Efficiency Improvement opportunities for rural small businesses and agricultural producers throughout the State of Pennsylvania. Northampton County Area Community College (NCC) will provide technical assistance as well as energy audits and assessments to applicants interested in applying for REAP funds. NCC will target projects requesting $20,000 or less in grant funds, projects located in distressed or disadvantaged communities and projects with agricultural producers.
In Juniata County, Reinford Farms Inc., a dairy farm and trucking operation located in Mifflintown, Pennsylvania, will use a REAP grant of $712,572 to purchase and install a replacement motor upgrade for its anaerobic digester. Reinford Farms has been operating since 1991. The project is estimated to generate 3,705,000 kilowatt hours (kwh) per year, which is enough energy to power 341 homes.
In York County, Miller-Redding Partnership dba Mr. Storage will use a REAP grant of $132,500 to purchase and install a 104.7-kilowatt (kW) solar photovoltaic (PV) system. Mr. Storage, a 102-unit storage facility located in Hanover, Pennsylvania has been operating since 2019. This project is expected to generate 129,191 kilowatt hours (kWh) of electricity, which is enough energy to power 11 homes.
In 2024, USDA Rural Development has invested in 119 projects for a total of $19 million. Since 2021, RD has invested $44 million in 366 projects across the Commonwealth through the REAP program. Many of the projects are funded by President Biden’s Inflation Reduction Act, the nation’s largest-ever investment in combating the climate crisis. The projects also advance President Biden’s Investing in America Agenda to grow the nation’s economy from the middle out and the bottom up.
You can read the USDA national program announcement made today here.
Pennsylvania Broadband Authority BEAD Challenge Summary Now Available
The Pennsylvania Broadband Authority (PBDA) has posted details about the challenges received during the Challenge Submission phase of the BEAD Challenge process. The Challenge Summary can be reviewed on the PBDA’s BEAD Challenge Process webpage. The Adjudication phase is currently in-progress which means PBDA is reviewing evidence submitted during the Rebuttal phase. All final outcomes of the Adjudication phase will be posted publicly on our website when NTIA Curing is complete.
Additional questions regarding the BEAD Challenge Process, please reach out to the PBDA via the BEAD Resource Account.
Updated Oral Health Core Clinical Competencies Guide Released
The National Network for Oral Health Access (NNOHA) updated their “User’s Guide for the Implementation of the Oral Health Core Clinical Competencies.” This guide was first created in 2014. The updated guide features new strategies, promising practices, and health center examples focused on integrating oral health and primary care practices.
Article Published on the Integration of Primary and Oral Health
A new article in the Journal of the American Medical Association (JAMA) focuses on best practices and challenges for integrating oral health into primary care practice. “Integration of Primary and Oral Health Care – An Unrealized Opportunity” explores the solution of using a team-based approach where a variety of professionals collaborate to provide whole-person care.
New Pennsylvania Oral Health Coalition Website Launched
The PA Coalition for Oral Health (PCOH) just launched their upgraded website. The site has a new look, improved navigation features, as well as a brand new “Finding Dental Care” page that connects users with resources for dental care and dental referrals across Pennsylvania. Check it out!
HRSA Builds Multi-state Social Worker Licensure Compact to Increase Access to Mental Health and Substance Use Disorder Treatment and Address Workforce Shortages
New investments will make it easier for social workers to practice across state lines, increase behavioral health access, and better facilitate telehealth services
Funding builds on HRSA’s work to support licensure compacts to improve access to primary care and psychology
The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the first-ever Licensure Portability Grant Program investment in a multi-state social worker licensure compact. State licensure compacts allow states to come together on a common approach to licensing health care providers, allowing providers to practice across state lines without having to apply for a license in each state. Streamlining licensure while maintaining quality standards improves access to services both by better facilitating hiring and by easing pathways to utilizing telehealth. The announcement was made at HRSA’s National Telehealth Conference, the largest federal conference on telehealth issues.
“Social workers are essential to expanding access to behavioral health care services, a top priority of the Biden-Harris Administration,” said HHS Deputy Secretary Andrea Palm. “HRSA is leading the way in growing the behavioral health workforce both by training more providers and by breaking down barriers to allow the workforce to make mental health and substance use disorder services more accessible across the country.”
HRSA’s new $2.5 million investment in licensure compacts will support the work to launch a social worker compact as well as HRSA’s ongoing support for building and sustaining primary care, psychology, and podiatry compacts. HRSA identified behavioral health as a priority in its state licensure compact work. Since HRSA began investing in licensure compacts, the Interstate Medical Licensing Compact and the Psychology Interjurisdictional Compact (PSYPACT) have each grown to include 40 states, Washington, D.C., and one territory.
“Social workers are on the frontlines in responding to the Administration’s priorities, including meeting children’s mental health needs, responding to the opioid epidemic, and addressing maternal depression,” said HRSA Administrator Carole Johnson. “Today’s announcement is a critical step in helping social workers serve people in need, particularly in rural and underserved communities across the country.”
Today’s awards will support the Association of Social Work Boards, the Association of State and Provincial Psychology Boards, the Federation of State Medical Boards of the United States, and the Federation of Podiatric Medical Boards in working with state licensing boards to develop and implement state policies that reduce barriers to telehealth and allow for practice across state lines.
HRSA’s National Telehealth Conference brings public and private sector leaders together to discuss telehealth best practices to expand services in underserved and rural communities. This year, over 2,000 individuals registered to explore the future of telehealth including innovation, policy, and licensure issues.
To learn more about the Licensure Portability Grant Program, visit the Licensure Portability Grant Program Awardees webpage.
For more information on HRSA’s telehealth health work, visit the Office for the Advancement of Telehealth webpage.
Rural Hospitals Built During Baby Boom Now Face Baby Bust
OSKALOOSA, Iowa — Rural regions like the one surrounding this southern Iowa town used to have a lot more babies, and many more places to give birth to them.
At least 41 Iowa hospitals have shuttered their labor and delivery units since 2000. Those facilities, representing about a third of all Iowa hospitals, are located mostly in rural areas where birth numbers have plummeted. In some Iowa counties, annual numbers of births have fallen by three-quarters since the height of the baby boom in the 1950s and ’60s, when many rural hospitals were built or expanded, state and federal records show.
Similar trends are playing out nationwide, as hospitals struggle to maintain staff and facilities to safely handle dwindling numbers of births. More than half of rural U.S. hospitals now lack the service.
“People just aren’t having as many kids,” said Addie Comegys, who lives in southern Iowa and has regularly traveled 45 minutes each way for prenatal checkups at Oskaloosa’s hospital this summer. Her mother had six children, starting in the 1980s, when big families didn’t seem so rare.
“Now, if you have three kids, people are like, ‘Oh my gosh, are you ever going to stop?’” said Comegys, 29, who is expecting her second child in late August.
These days, many Americans choose to have small families or no children at all. Modern birth control methods help make such decisions stick. The trend is amplified in small towns when young adults move away, taking any childbearing potential with them.
Hospital leaders who close obstetrics units often cite declining birth numbers, along with staffing challenges and financial losses. The closures can be a particular challenge for pregnant women who lack the reliable transportation and flexible schedules needed to travel long distances for prenatal care and birthing services.
Maternal Mortality Rates Released, State by State
KFF has released a new analysis outlining maternal mortality rates for every state and Washington, D.C.
KFF used 2018-22 data from the CDC’s National Center for Health Statistics to compile maternal deaths and mortality rates. Maternal deaths are defined as deaths of women while pregnant or within 42 days of pregnancy termination. Only causes of death from or aggravated by pregnancy are included.
Nationwide, 4,295 maternal deaths were reported between 2018 and 2022, resulting in a maternal mortality rate of 23.2 deaths per 100,000 live births. The U.S. has the highest maternal mortality rate of any developed nation, according to The Commonwealth Fund.
To address this issue, CMS has proposed adding obstetrical standards for hospitals as part of its conditions of participation requirements. Hospitals and physicians have pushed back on the suggestion, arguing the approach is too punitive and could inadvertently hinder access to obstetrical care.
Below is a breakdown of maternal mortality rates by state.
Note: KFF expressed caution at making comparisons between states, as data for many states are based on small numbers and could be statistically unreliable. The organization suppressed data for several states, if mortality rates were based on fewer than 20 deaths. Variation in state rates is likely due to differences in the quality of maternal mortality data, KFF said.
Tennessee
Maternal mortality rate: 41.1
Number of deaths: 166
Mississippi
Maternal mortality rate: 39.1
Number of deaths: 70
Alabama
Maternal mortality rate: 38.6
Number of deaths: 112
Arkansas
Maternal mortality rate: 38.3
Number of deaths: 69
Louisiana
Maternal mortality rate: 37.3
Number of deaths: 108
Kentucky
Maternal mortality rate: 34.6
Number of deaths: 91
Virginia
Maternal mortality rate: 32.7
Number of deaths: 158
South Carolina
Maternal mortality rate: 32.3
Number of deaths: 92
Georgia
Maternal mortality rate: 32.1
Number of deaths: 201
Indiana
Maternal mortality rate: 30.9
Number of deaths: 124
Arizona
Maternal mortality rate: 30
Number of deaths: 118
Oklahoma
Maternal mortality rate: 29.6
Number of deaths: 72
Texas
Maternal mortality rate: 28.2
Number of deaths: 532
New Mexico
Maternal mortality rate: 28
Number of deaths: 31
North Carolina
Maternal mortality rate: 26.7
Number of deaths: 159
New Jersey
Maternal mortality rate: 26
Number of deaths: 131
Nebraska
Maternal mortality rate: 25.1
Number of deaths: 31
Ohio
Maternal mortality rate: 24.5
Number of deaths: 161
Florida
Maternal mortality rate: 24.1
Number of deaths: 263
West Virginia
Maternal mortality rate: 23.9
Number of deaths: 21
Missouri
Maternal mortality rate: 23.8
Number of deaths: 84
Kansas
Maternal mortality rate: 22.8
Number of deaths: 40
New York
Maternal mortality rate: 22.4
Number of deaths: 241
Maryland
Maternal mortality rate: 21.3
Number of deaths: 74
Nevada
Maternal mortality rate: 20.4
Number of deaths: 35
Idaho
Maternal mortality rate: 20
Number of deaths: 22
Iowa
Maternal mortality rate: 19.5
Number of deaths: 36
Michigan
Maternal mortality rate: 19.1
Number of deaths: 101
Illinois
Maternal mortality rate: 18.1
Number of deaths: 123
Washington
Maternal mortality rate: 18
Number of deaths: 76
Pennsylvania
Maternal mortality rate: 17.5
Number of deaths: 116
Oregon
Maternal mortality rate: 16.6
Number of deaths: 34
Massachusetts
Maternal mortality rate: 16.4
Number of deaths: 56
Colorado
Maternal mortality rate: 16
Number of deaths: 50
Connecticut
Maternal mortality rate: 15.6
Number of deaths: 27
Utah
Maternal mortality rate: 15.5
Number of deaths: 36
Wisconsin
Maternal mortality rate: 13.2
Number of deaths: 41
Minnesota
Maternal mortality rate: 12.3
Number of deaths: 40
California
Maternal mortality rate: 10.5
Number of deaths: 228
Alaska
Maternal mortality rate: Data suppressed
Number of deaths: 12
Delaware
Maternal mortality rate: Data suppressed
Number of deaths: 9
District of Columbia
Maternal mortality rate: Data suppressed
Number of deaths: 12
Hawaii
Maternal mortality rate: Data suppressed
Number of deaths: 13
Maine
Maternal mortality rate: Data suppressed
Number of deaths: 7
Montana
Maternal mortality rate: Data suppressed
Number of deaths: 17
New Hampshire
Maternal mortality rate: Data suppressed
Number of deaths: 11
North Dakota
Maternal mortality rate: Data suppressed
Number of deaths: 11
Rhode Island
Maternal mortality rate: Data suppressed
Number of deaths: 9
South Dakota
Maternal mortality rate: Data suppressed
Number of deaths: 16
Vermont
Maternal mortality rate: Data suppressed
Number of deaths: 1
Wyoming
Maternal mortality rate: Data suppressed
Number of deaths: 7