A group of Democratic lawmakers are proposing to enshrine a key component of the Affordable Care Act into state law in order to protect it in the event the ACA is ever overturned or rolled back by the federal government. Reps. Eddie Day Pashinski (D-Luzerne), Tarik Khan (D-Philadelphia), and Dan Frankel (D-Allegheny) say their proposed legislation would require that family insurance coverage allow adult children to remain on their parents’ health coverage until they turn 26. “While current Pennsylvania law allows employers to cover an employee’s adult children until age 30, not many employers take advantage of this option. Thus, if the Affordable Care Act is ever struck down, many adult children will lose their health insurance coverage, and we may see another market spiral,” according to the cosponsor memo they released last week. “That is unacceptable and can be prevented by incorporating this key Affordable Care Act protection into state law.”

– Thursday, August 29 at 2:00 pm Eastern. The National Association of Rural Health Clinics (NARHC), in partnership with the Collaborative for Rural Graduate Medical Education Technical Assistance Centers, will host the free, FORHP-supported webinar. Rural Training Track medical students completing rural rotations were more than twice as likely to practice in rural areas than general family medicine graduates. RHCs can play a critical role in that training through their ability to serve as rotational sites for many different providers. This webinar will feature Pennsylvania Rural Health Clinic and Rural Residency Planning and Development grantee, St. Luke’s Miners who will discuss their experience with GME and RHC site

Researchers from the Rural Residency Planning and Development Technical Assistance Center (RuralGME.org), explore challenges, strategic approaches, potential opportunities, and capital funding for rural residency programs to ensure access to safe, secure, affordable, and good-quality housing that is convenient to the workplace. As the number and size rural residency programs continue to grow across the country, housing has not kept pace.

In this study, published in the Journal of Graduate Medical Education, authors from the Rural Residency Planning and Development Technical Assistance Center (RuralGME.org) explore early resident recruitment outcomes of HRSA’s Rural Residency Planning and Development (RRPD) grants program. The study concluded that the early resident recruitment outcomes represented sufficient success to support the program’s continuation.

Recently, the Medicare Payment Advisory Commission (MedPAC) released a report developed by the American Institutes for Research (AIR), which provides an update to a previous 2023 report examining telehealth’s association with healthcare quality, access and cost in Medicare. Key metrics were developed to measure quality, access, and cost in a setting where both telehealth and in-person visits are available for fee-for-service (FFS) Medicare beneficiaries. The health quality outcomes that were examined focused on ambulatory care-sensitive hospitalizations and emergency department visits, while access outcomes focus on clinician encounters. Key findings include the following:

1.           Telehealth and Quality: No significant association was found between telehealth intensity and quality outcomes.

2.           Telehealth and Access: Higher telehealth intensity was associated with fewer clinician encounters for both behavioral and non-behavioral health.

3.           Telehealth and Costs: There was evidence suggesting that higher telehealth intensity is associated with a decrease in the total cost of care, although the results were not conclusively definitive.

Sixteen medical assistant apprentices were recently hired by Esperanza Health Center, Jefferson Hospital, and Nemours Children’s Hospital for on-the-job training while taking classes at Drexel University as part of their inaugural Certified Clinical Medical Assistant Apprenticeship Program. This program creates a pathway for those who are underrepresented from the local community to obtain quality careers in health care. Drexel will be recruiting for the next cohort in Spring 2025 and hopes to add additional health care industry partners across the state. If you are interested in connecting with Drexel to explore becoming a clinical site, reach out to Caitlin Wilkinson, Co-Director of the Pennsylvania Primary Care Career Center.

The U.S. Food and Drug Administration approved neffy (epinephrine nasal spray) for the emergency treatment of allergic reactions (Type I), including those that are life-threatening (anaphylaxis), in adult and pediatric patients who weigh at least 30 kilograms (about 66 pounds). Neffy is a single dose nasal spray administered into one nostril. As with epinephrine injection products, a second dose (using a new nasal spray to administer neffy in the same nostril) may be given if there is no improvement in symptoms or symptoms worsen. Patients may need to seek emergency medical assistance for close monitoring of the anaphylactic episode and in the event further treatment is required.

Senators Ron Wyden (D-OR), Marsha Blackburn (R-TN), and Ben Ray Luján (D-NM) recently introduced S.4957, the Health Workforce Innovation Act, which would provide federal funding for health center-led workforce development partnerships with high schools and community colleges. A similar bipartisan bill, H.R.7307, was introduced in the House of Representatives earlier this year. We encourage health center advocates, particularly those in Republican districts, to reach out to their senators and representatives to co-sponsor these bills to ensure Congressional support for this legislation remains strongly bipartisan.