- 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
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- Public Inspection: 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 and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- CMS: Request for Information; Health Technology Ecosystem
- CMS: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- State: 60-Day Notice of Proposed Information Collection: J-1 Visa Waiver Recommendation Application
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
- Public Inspection: CMS: Request for Information: Health Technology Ecosystem
CMS: Vaccine Resources: 4/16/21 – J&J Vaccine Update and HHS Key Messages
As COVID-19 vaccines continue rolling out across the country, CMS is taking action to protect the health and safety of our nation’s patients and providers and keeping you updated on the latest COVID-19 resources from HHS, CDC and CMS.
With information coming from many different sources, CMS has up-to-date resources and materials to help you share important and relevant information on the COVID-19 vaccine with the people that you serve. You can find these and more resources on the COVID-19 Partner Resources Page and the HHS COVID Education Campaign page. We look forward to partnering with you to encourage our beneficiaries to get vaccinated when they have the opportunity. For more information, visit the CMS COVID-19 Policies and Guidance page.
Information for Providers
J&J COVID-19 Vaccine: Health Alert
The CDC issued a Health Alert, about the CDC and FDA’s recommended pause in the use of the J&J COVID-19 vaccine, in part, to ensure that the health care provider community is aware of the potential for adverse events and can provide proper management due to the unique treatment required with this type of blood clot. This alert includes specific recommendations for clinicians.
Information for Partners
A message from the COVID-19 Community Corps::
Tuesday night, you and nearly 2,500 fellow trusted messengers joined Dr. Fauci and me to discuss the Johnson & Johnson (J&J) vaccine recommended pause. Thank you for being there. Your leadership in sharing the latest information about COVID-19 vaccines with the communities you serve and engage is essential to addressing this pandemic. I’d like to take a moment to summarize our discussion:
- On Tuesday (4/13), the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) announced they are reviewing data involving a small number of reported cases of a rare and serious type of blood clot in individuals after receiving the J&J vaccine. FDA and CDC, out of an abundance of caution, recommended a pause in the use of the J&J vaccine as they review this data.
- Based on what we know now, these blood clots are extremely rare. At the time of the announcement, a small number of cases (6) were reported out of the nearly seven (7) million doses of the J&J vaccine administered so far in the United States.
- If you received the J&J vaccine more than three weeks ago, your risk of developing a blood clot is very low. If you got this vaccine within the last three weeks, your risk of developing a blood clot is also very low. That said, you should be on the lookout for possible symptoms of a clot, which the CDC describes, here.
- The news about the J&J vaccine pause does not affect the two other vaccines that are widely used in the United States – Pfizer and Moderna. More than 100 million people in the U.S. have been vaccinated safely with these vaccines over the past several months.
- We are still confident in the overall supply of COVID-19 vaccines for the country. The Administration has secured enough Pfizer and Moderna doses for 300 million Americans and there is more than enough supply to continue the current pace of vaccinations of three (3) million shots per day.
- For people who already have appointments for J&J vaccines, state and federal partners are working to get these appointments rescheduled for a Pfizer or Moderna vaccine.
- The decision to recommend a pause in administration of the J&J vaccine shows the rigorous steps that the FDA are taking to ensure that the American people have clear and transparent information about the safety and effectiveness of these vaccines. Americans should be confident that even when the occurrence of side effects are extremely rare, as is the case here, the CDC and FDA will take every necessary step to communicate those to the public.
- Yesterday (4/14), the Advisory Committee on Immunization Practices (ACIP) held a public meeting to review in detail the information we have so far, which you can watch here. The Committee will reconvene as quickly as possible in the next two weeks to review any additional scientific evidence and deliberate further. CDC and FDA will carefully consider the Committee’s recommendations when they are made. I appreciate ACIP convening quickly and experts providing advice that prioritizes safety.
- Here’s the bottom line: The COVID-19 vaccines have already saved lives, and we still have vaccine options that are safe and effective, and Americans should continue to get vaccinated as soon as possible.
- As a resource, more information about the safety of COVID-19 vaccines can always be found here.
I invite you to watch and share these resources with your community:
- SHARE a message I posted last night, here.
- SHARE Dr. Fauci’s video on what people need to know about the J&J vaccine recommended pause. ( Facebook, Twitter, Instagram, and YouTube).
- SHARE a new Q&A released from the CDC, here.
- SHARE and LISTEN to a replay of FDA/CDC Joint Media Call on the FDA YouTube channel.
- SHARE and FEATURE our COVID-19 Community Corps Members that tweeted about the event yesterday: @Rikoamour, @SheilaKatz1, @_EricCarr, @bhrenton, @mjaeckel
Thank you for your continued partnership in protecting the health of our nation.
Dr. Vivek Murthy
Surgeon General of the United States
Pennsylvania Department of Health: Pause on Johnson & Johnson Vaccinations in Pennsylvania, FDA/CDC Announcement Highlights Vaccine Evaluation Process is Working
The Pennsylvania Department of Health notified all COVID-19 vaccine providers to pause administering doses of the Johnson & Johnson (Janssen) vaccine until at least April 20 following the recommendation out of an abundance of caution in a joint release from the Centers for Disease Control and Prevention (CDC) and Federal Drug Administration (FDA).
The department is taking these steps as a precaution until the CDC and FDA have time to review six incidents of rare blood clots that occurred within two weeks of receiving Johnson & Johnson/Janssen vaccine. The CDC is convening an emergency meeting tomorrow of the Advisory Committee on Immunizations Practices to further review cases for any details on the significance of this rare occurrence.
These six cases occurred in women between 18 and 48 who were among the 6.8 million Americans who received the Johnson & Johnson/Janssen vaccine. This announcement shows that the federal oversight process of a vaccine’s safety and effectiveness is working, and all steps are being taken to protect Americans.
“While this announcement is challenging, it highlights the vaccine evaluation process,” Acting Secretary of Health Alison Beam said. “The CDC and the FDA are closely monitoring vaccines for safety and effectiveness, and if there is a cause for concern, they will take action because safety is paramount. This protocol should give all Pennsylvanians confidence in the safety and effectiveness of the Pfizer and Moderna vaccine, and individuals should proceed with getting vaccinated as soon as possible to fight the virus, particularly as our case counts rise.”
Individuals who have appointments scheduled to receive a Pfizer or Moderna vaccination should keep those appointments. If you are not aware of which vaccine type you are scheduled to receive, be assured that effective immediately, providers will not be administering the Johnson & Johnson (Janssen) vaccine.
If you received the Johnson & Johnson/Janssen vaccine and have any health concerns, contact your health care provider. People who have received the Johnson & Johnson vaccine who develop severe headache, abdominal pain, leg pain or shortness of breath within three weeks of their vaccination should contact their health care provider. For more information, find the CDC/FDA guidance online here.
The department also has sent communications to stakeholder groups and others who have received the J&J vaccine as a part of a special vaccination initiative.
While vaccine supply from the federal government remains limited, the Department of Health is working to ensure the vaccine is provided in a way that is ethical, equitable and efficient. To keep Pennsylvanians informed about vaccination efforts:
- The Your Turn tool provides a way to register to be alerted when it’s your turn to be vaccinated.
- A commonwealth COVID-19 vaccination guide explains the current process for getting one. Pennsylvanians with questions about the vaccination process can call the Department of Health hotline at 1-877-724-3258.
- Vaccine provider map to find a COVID-19 vaccine provider near you.
- All of the locations that received vaccine and how much they have received can be found on the COVID-19 Vaccine Distribution webpage.
- Vaccine dashboard data can also be found on the website to find more information on the doses administered and showcase demographic information.
- Pennsylvanians can provide feedback on the Pennsylvania COVID-19 Interim Vaccination Plan by clicking on the Plan Feedback Form square under Popular Vaccine Topics here.
Frequently asked questions can be found here.
Pennsylvania Announces Grant Opportunities to Provide Recovery Support Services for Communities
The Pennsylvania Department of Drug and Alcohol Programs (DDAP) announced today the availability of $2.7 million in funding for Recovery Community Organizations (RCOs) to expand or enhance recovery support services to individuals in recovery from substance use disorder.
“Community is one of the four dimensions that support and sustain life in recovery,” said DDAP Secretary Jen Smith. “By providing communities with appropriate support services, we can help individuals and their loved ones be better suited for their recovery journey and ultimately live happy, healthy lives.”
The grants are part of $55 million in federal funding awarded to Pennsylvania through the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Substance Abuse Prevention and Treatment Block Grant Program COVID-19 Supplemental Awards. The funding spending plan submitted by DDAP is currently pending approval by SAMHSA. More information will be shared about this funding and supporting projects as it becomes available.
Eligible applicants can find the grant application and project summary on the DDAP website here. Three to five grants will be awarded up to $700,000 to RCOs for a wide variety of eligible items, including:
- delivery of recovery coaching through Certified Recovery Specialists,
- telephonic supports,
- the provision of education and employment supports,
- engagement in GED services,
- additional life-skills support groups and delivery of substance-free social activities.
All applications must be submitted via email to RA-DAGrantsMgmt@pa.gov by 12:00PM on Monday, May 3, 2021. Applications will be competitively reviewed and scored based upon the applicant’s adherence to the funding announcement guidelines, and a timely submission to DDAP. Additionally, awarding of the funds is contingent upon plan approval by SAMHSA.
Questions regarding the grants and the application process should be forwarded to RA-DAGrantsMgmt@pa.gov.
Throughout the Wolf Administration’s second term, DDAP is placing a heavy focus on reducing stigma associated with substance use disorder, intensifying primary prevention efforts, strengthening treatment systems, and empowering sustained recovery. The aim of these efforts, laid out in DDAP’s 2019-2022 State Plan, will be to positively influence the knowledge and behavior around the topic of addiction.
For more information about the work the Wolf Administration is doing to combat the opioid crisis, visit pa.gov/opoioids.
Pennsylvania Governor Reminds Businesses to Ensure a Safe Workspace for Employees and Customers Alike
As Pennsylvania continues to accelerate vaccine eligibility and availability and mitigate the spread of COVID-19, the Governor Tom Wolf’s Administration said that all Pennsylvanians should take continued steps to ensure a safe workspace for employees and customers alike.
“We are making tremendous progress vaccinating Pennsylvanians and are now able to accelerate our state vaccine plan,” Department of Health Acting Secretary Alison Beam said. “As we move forward, we are reminding Pennsylvanians that it is still imperative that they follow current personal mitigation efforts such as wearing a mask, maintaining social distance and following gathering and occupancy guidelines so we can protect public health while we jump-start our economy.”
“The COVID-19 virus is still present in our communities,” Beam added. “We encourage anyone who feels they need, or wants, a COVID-19 test to take advantage of hundreds of testing locations if they feel they have been exposed to COVID-19. Testing remains the best way to determine your exposure to and to ultimately stop the spread of COVID-19.”
“We’ve made significant progress in our battle against COVID-19, so we must continue abiding by all guidelines and orders, including masking and social distancing when out and about,” said Department of Community and Economic Development (DCED) Sec. Dennis Davin. “The best way to support our local businesses is to create a safe environment for everyone so that we can combat the virus’ spread, which will help position us to bounce back easier and faster long term.”
The Wolf Administration offers guidance online through the administration’s guidance for businesses and guidance for businesses in the restaurant industry.
The Open & Certified Pennsylvania process is still open for restaurants that are interested in self-certifying to increase indoor capacity. There is no cost to self-certify and restaurants can access the online self-certification form here. Self-certified restaurants can promote their status with provided branded signage and consumers can search the Open & Certified database to confirm what businesses near them have self-certified. Business owners with additional questions about the self-certification program can contact covidselfcert@pa.gov and view Frequently Asked Questions as a reference for restaurant owners and the public.
Newly updated orders and guidance, which take place Sunday, April 4, are available online: Governor’s Order, as amended. Secretary of Health Order, as amended. Frequently Asked Questions. Also starting Sunday, April 4, telework for businesses will be highly encouraged; previously, telework was to be used unless it was not possible to do so.
Pennsylvania to Distribute 7.9 Million Pounds of Emergency Food to Pennsylvania Food Banks
Pennsylvania Agriculture Secretary Russell Redding announced that the department has purchased an additional $12.9 million worth of U.S. Department of Agriculture Foods through The Emergency Food Assistance Program (TEFAP) in Pennsylvania to provide critical support and food to food banks in all of Pennsylvania’s 67 counties.
These supplemental federal funds, provided as part of the recently passed Consolidated Appropriations Act of 2021 in response to increased needs driven by COVID-19, have been used to purchase more than 7.9 million pounds of food, which will be delivered between June and December 2021.
Prior to the coronavirus pandemic, the department distributed, on average, approximately 23 million pounds of USDA Foods through TEFAP every federal fiscal year. In federal fiscal year 2020, which ran from October 2019 through September 2020, the department distributed nearly 70 million pounds of food through TEFAP. And, in federal fiscal year 2021, with the addition of this food, the department is once again on track to distribute an estimated 70 million pounds of USDA Foods.
“While we’re actively getting Pennsylvanians back to work as the pandemic slows, many are still recovering from severe economic stress which has in turn stressed our charitable food system,” said Redding. “These federal funds are allowing us to increase the flow of food to food banks across the commonwealth as they work to continue meeting unprecedented demand.”
The department will push $3.2 million in TEFAP money directly to the food banks to cover administrative costs associated with storage, transportation, and distribution of the USDA Foods. In addition to this direct funding, the department has purchased 7.9 million pounds of USDA Foods – including meats, vegetables, canned goods, cheese and more – to the state’s food banks to distribute through their network of local food pantries and other distribution agencies. The food will be disbursed statewide to individuals in need of assistance in all 67 counties.
“We’re proud of all that Pennsylvanians have done to get us to this point, to mitigate against loss and bring us to a new year with new hope and a vaccine,” added Redding. “I encourage anyone who is still experiencing a financial strain to take advantage of these foods through your local food pantry. Better days are ahead, but for now, take a hand up.”
Pennsylvanians looking for help to put food on the table are eligible for state and federal food assistance found at Pennsylvania’s food banks and pantries. Additional support can be found through the Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants and Children (WIC), Commodity Supplemental Food Program, and the Farmers Market Nutrition Program.
For more about the Wolf Administration’s efforts to address food insecurity in Pennsylvania, visit agriculture.pa.gov/foodsecurity.
Pennsylvanians in Phase 1B Now Eligible for COVID-19 Vaccine: 1B includes those in Congregate Care; Postal Service, Manufacturing and Transit Workers; and Clergy
Starting April 5, 2021, Pennsylvanians in Phase 1B of the state’s vaccination plan are now eligible to schedule a COVID-19 vaccination appointment to become protected against the virus. Phase 1B eligible Pennsylvanians include:
- People in congregate settings not otherwise specified as long-term care facilities, and persons receiving home and community-based services
- U.S. Postal Service workers
- Manufacturing workers
- Clergy and other essential support for houses of worship
- Public transit workers
- Education workers
Teachers and school staff for pre-K through 12 were vaccinated under a special initiative that concluded April 2 and that resulted in more than 112,500 vaccinations. Vaccinations continue for child care workers who are also part of that special initiative. All other education workers, including those in higher education, are now eligible for vaccination as part of 1B. Last week, Acting Secretary Alison Beam also announced that targeted frontline industries were eligible March 31.
“Our revised vaccination eligibility plan means more Pennsylvanians now have access to the lifesaving COVID-19 vaccine as vaccine supply increases and providers and counties establish easier access to appointments,” Gov. Wolf said.
The remainder of the accelerated plan includes eligibility as follows:
- April 12 all residents in Phase 1C will be eligible to start scheduling vaccination appointments.
- April 19, all residents will be eligible to start scheduling vaccination appointments.
Pennsylvania’s vaccination plan can be found here.
Those eligible for an appointment can access the provider map available here. People without internet access can contact the Health Hotline by calling 1-877-PA-HEALTH (1-877-724-3258).
COVID-19 Vaccine Resources: 4/1/21 – Reaching Vulnerable Populations
As COVID-19 vaccines continue rolling out across the country, CMS is taking action to protect the health and safety of our nation’s patients and providers and keeping you updated on the latest COVID-19 resources from HHS, CDC and CMS.
With information coming from many different sources, CMS has up-to-date resources and materials to help you share important and relevant information on the COVID-19 vaccine with the people that you serve. You can find these and more resources on the COVID-19 Partner Resources Page and the HHS COVID Education Campaign page. We look forward to partnering with you to promote vaccine safety and encourage our beneficiaries to get vaccinated when they have the opportunity. For more information, visit the CMS COVID-19 Policies and Guidance page.
COVID-19 VACCINE RESOURCES TO SUPPORT VULNERABLE POPULATIONS
Many groups such as older adults and people with disabilities may have substantial challenges accessing COVID-19 vaccination services and warrant specific considerations to support equitable vaccine access. The CDC has provided guidance, tools and toolkits and other COVID-19 vaccine resources to support vulnerable populations who are a higher risk, to help them make decisions, protect their health, and communicate with their communities.
Toolkit for People with Disabilities – The CDC has created a toolkit to help people with disabilities and those who serve or care for them make decisions, protect their health, and communicate with their communities. This toolkit has several resources including:
- Guidance for Vaccinating Older Adults and People with Disabilities: Ensuring Equitable COVID-19 Vaccine Access – This document summarizes what jurisdictions should consider when planning to vaccinate older adults and people with disabilities living in the community.
- Vaccine Considerations for People with Disabilities – This webpage provides information for people with disabilities or conditions and for their care providers.
- Guidance for Direct Service Providers for People with Disabilities – This webpage provides information for direct service providers who provide a wide variety of home and community-based, health-related services that support people with disabilities.
Vaccinating Homebound Persons With COVID-19 Vaccine – COVID-19 vaccination of homebound persons presents unique challenges to ensure safe and effective vaccination, This webpage provides guidance on management of vaccines and vaccination for persons vaccinated at home or in small group settings.
Toolkit for People Experiencing Homelessness – This webpage provides guidance and tools to help homeless service providers make decisions and protect and communicate with staff and with people who are experiencing homelessness.
COVID-19 vaccines for patients in dialysis clinics – The federal government is partnering with dialysis organizations, local and state jurisdictions to increase access to COVID-19 vaccines for patients and healthcare personnel in outpatient dialysis clinics. This webpage provides information for dialysis partners and public health jurisdictions to ensure equitable and effective access to COVID-19 vaccines and increase availability of COVID-19 vaccines for patients in dialysis clinics.
Other Communications Resources
April is National Minority Health Month, and this year, the HHS Office of Minority Health (OMH) is focusing on the impacts COVID-19 is having on racial and ethnic minority and American Indian and Alaska Native communities and underscoring the need for these vulnerable communities to get vaccinated as more vaccines become available. The theme for National Minority Health Month is #VaccineReady.
Spread the word by accessing and sharing the resources in the National Minority Health Month Toolkit, which has resources, sample social media messages, and downloadable graphics.
To learn more about National Minority Health Month, visit our website (English | Spanish), sign up to receive email updates on news and activities, and follow us on Twitter, Facebook, and Instagram.
NEW COVID-19 Public Education Campaign – HHS just launched We Can Do This, a national initiative to increase public confidence in and uptake of COVID-19 vaccines while reinforcing basic prevention measures such as mask wearing and social distancing. Campaign resources and toolkits are available to reach diverse communities. More information can be found here.
Communication Resources Updates – The CDC recently updated it’s Communication Resources for COVID-19 Vaccines and the Social Media Toolkit: COVID-19 Vaccinations with the latest and most up-to-date COVID-19 vaccine information.
IN CASE YOU MISSED IT:
NEW Guidance for Providers: COVID-19 Vaccine Administration – No Out-of-Pocket Cost to Patients
NEW Resources for Medicare beneficiaries:
- Stay Protected from COVID-19 – Medicare Covers the Vaccine card
- Bring Your Medicare Card When You Get Your COVID-19 Vaccine card
For more information, please contact us at: Partnership@cms.hhs.gov
‘It Didn’t Really Stick With Me’: Understanding the Rural Shrug Over COVID and Vaccines
At 70, Linda Findley has long been active in her small town of Fort Scott, Kansas, which sits more than an hour away from any major city.
Findley, whose husband died in an accident just after the local hospital closed, helps with the Elks and fundraising, and — like many people in this part of the country — doesn’t think covid-19 is that dangerous.
“I don’t even know what I think about it,” Findley said recently. “I don’t know if I trust the testing because it’s so messed up or … I’ve had nieces and nephews, that’ve had it. I’ve lost good friends to it, or supposedly it’s to that.”
Findley said she just isn’t sure that every case reported as the coronavirus really is the virus: “Everything seems to be coronavirus. I mean, it’s just … no matter what somebody has, it’s coronavirus. I don’t know whether it is or isn’t.”
Fort Scott is one of nearly 140 rural communities that have lost a hospital in the past decade. Mercy Hospital Fort Scott closed in December 2018.
Even though critically ill patients now must travel to hospitals farther away, Fort Scott residents haven’t seen that as a pandemic-related problem. Rather, not having a hospital doesn’t really come up when people here talk about COVID.
Dave Martin, the former city manager, is pretty sure he caught COVID at work last August.
“You know, when I got it, I was in good health and it did take me a while to recover,” Martin said. “I do remember waking up one of my bad nights and thinking, when I was running a temperature and not feeling very well. And I’m thinking, ‘Oh, wow, this could kill me.’”
But Martin also thought that any number of unpredictable events could end a person’s life. “So it didn’t really stick with me,” he said.
After recovering, the 62-year-old Martin went ahead with his retirement. He took his wife to Disney World and then they hiked Yellowstone National Park.
That casual attitude toward the dangers of COVID worries health care leaders in Fort Scott. Jason Wesco helps lead the regional health center that took over primary care services when the hospital closed. One clinic occupies part of the same building that used to be Mercy Hospital.
Wesco said his family is careful about wearing masks and not gathering in groups, and he believes they are in the minority in the area.
“I think most people just keep going. They have maybe modified a little bit. Maybe they put on a mask in public,” Wesco said. “I think life here has changed a lot less than it’s changed in D.C. And I think we’re seeing the impact of that, right?”
The pandemic hit the area hard in the fall, peaking in late December.
One in 11 people in Bourbon County, where Fort Scott is the largest community, has been infected by COVID, according to national analysis.
Two dozen of the county’s 14,000 residents have died of COVID. And most people know someone who had the virus and survived — but residents just seem tired of talking about it.
Community volunteer Findley said she won’t get a vaccine.
“How did they come up with a vaccine that quickly? And how do they even know for sure it’s even working?” Findley wondered.
The three vaccines approved by federal regulators in the U.S. are being given out to millions, and their efficacy has been shown through massive clinical trials in the U.S. and globally.
But Findley’s skepticism is fairly common in southeastern Kansas and across rural America. Nationwide, a smaller share of rural residents say they will definitely get a COVID shot compared with their more urban counterparts. More than a third, 35%, of those who live outside big-city borders said they would probably not or definitely not get vaccinated, compared with about a quarter of suburban and urban residents, according to a poll by KFF. (KHN is an editorially independent program of the foundation.) An NPR/PBS NewsHour/Marist Poll found that 47% of Trump supporters said they would not get a vaccine; 75% of Bourbon County residents voted for Trump in 2020.
Factors such as age and occupation also play a role in attitudes toward the vaccines. And — as Findley and others in Fort Scott noted — rural Americans are more likely to think of getting a vaccine as a personal choice and believe the seriousness of COVID is exaggerated in the news.
When Mercy Hospital Fort Scott shut its doors, locals lost care. Health workers lost jobs. The hole left behind is bigger than a hospital. Season One is “No Mercy.”
Findley said she believes that there is a very bad virus, but also that the media have brainwashed people. The news has “everybody running scared,” she said. “I don’t know why they want to do that, but that’s what I feel like.”
About 50% of rural residents say the seriousness of the coronavirus is generally exaggerated in the news, according to the KFF poll. And 62% see getting the vaccine as a personal choice — rather than a necessary social obligation.
Wesco, executive vice president of the Community Health Center of Southeast Kansas, said he has hope more area residents will begin to see the vaccines as necessary.
“There’s hesitancy,” Wesco said, adding that he believes hesitancy is declining as vaccines become more abundant.
When residents are directly provided the opportunity to get a vaccine, they consider it more seriously, he said. And the more people they know who have gotten a vaccine, the more likely they will be to get a shot.
The Community Health Center, like other health centers nationwide, is receiving direct federal shipments of vaccines. Currently, the clinic has a waitlist and is giving out as many doses as it can get its hands on.
Sarah Jane Tribble is reporter and host of “Where It Hurts,” a narrative podcast created by KHN and St. Louis Public Radio about the people of Fort Scott and how their health care transformed after the hospital closed. “Where It Hurts” is available wherever you get your podcasts.
Pennsylvania Accelerating Vaccine Strategy
Targeted Industry Workers Beginning Today; All Pennsylvanians by April 19
The Pennsylvania Department of Health (DOH) in conjunction with the COVID-19 Vaccine Task Force announced on March 31, 2021 the start of the special initiative to vaccinate targeted industry workers and to accelerate the vaccination timetable for those in Phases 1B, 1C and 2. All Pennsylvanians will be eligible to schedule vaccination appointments beginning April 19.
“The vaccine landscape continues to evolve as the federal government is increasing allocations to more retail pharmacy chains across the country,” Acting Health Secretary Alison Beam said. “To ensure that vaccine continues to get to people efficiently and equitably, Pennsylvania is adapting its plan to allow workers in targeted industries to access any of the three vaccines available at providers throughout the state, and to accelerate our eligibility for remaining phases of the state’s vaccination plan.
“Pennsylvania’s vaccine providers have dramatically stepped up the pace of vaccinations to an average of 83,000 per day, moving the keystone state higher and higher in the rankings with other states. As we complete Phase 1A vaccinations, it’s time to open eligibility to more Pennsylvanians so providers can continue to fill appointments and efficiently, effectively and equitably vaccinate more people every day.”
Pennsylvania will begin the following accelerated phased rollout:
- March 31 workers in the four targeted industries that Gov. Wolf and the Task Force announced on March 12:
- Law enforcement, which includes police, sheriffs and deputies, constables, corrections officers and staff, as well as probation and parole staff.
- Firefighters, including career and volunteer firefighters.
- Grocery Store workers, including all workers in supermarkets and grocery stores.
- Food and Agriculture workers, including all food processing company employees, including meat, poultry, and dairy processing, fresh fruit and vegetable packing operations, food manufacturing, all farmworkers, farm operators, and farm managers, including at urban agriculture operations.
- April 5 all residents in Phase 1B will be eligible to start scheduling vaccination appointments.
- April 12 all residents in Phase 1C will be eligible to start scheduling vaccination appointments.
- April 19, all residents will be eligible to start scheduling vaccination appointments.
“It is important to remember that eligibility does not guarantee an immediate vaccination appointment,” Beam said. “Vaccine providers are ready and eager to get a shot in the arm of every person who wants one while we continue to aggressively advocate for more vaccine.”
COVID-19 Vaccine Task Force members discussed the benefits of the accelerated plan.
“President Biden has asked us to make every adult eligible for vaccination with the vaccine he is providing,” said Sen. Art Haywood. “We can do it, we can make the change. We can get more vaccine to Southeast PA and across the commonwealth and target vaccine, so no one is left out.”
“Due to the successful implementation of the COVID-19 Vaccine Task Force’s revised strategic plan, along with an increasing supply of vaccine doses from the federal government and the tremendous work of our provider network, Pennsylvania is now in a position to pursue an aggressive timeline to ensure any Pennsylvanians who wants to be vaccinated is eligible to do so by April 19,” said Sen. Ryan Aument. “As we expand eligibility, we must not forget about our seniors and our commitment to prioritize them and others in Phase 1A, as well as our frontline workers such as law enforcement and first responders in Phase 1B.”
“We can meet President Biden ‘s request with the amount of vaccines he is providing,” Rep. Bridget Malloy Kosierowski said. “Pennsylvania has done the work to make this a reality. I have said time and time again that this will get better, and it is. Our dedicated providers, who are on the ground every day, Governor Wolf’s administration, and our task force have collaboratively worked together in prioritizing the health and safety of all Pennsylvanians.”
“Today is a day of hope and optimism,” said Rep. Tim O’Neal. “Earlier this month, we announced plans to prioritize our essential workers and first responders by offering the Johnson & Johnson vaccine to them in the coming weeks. We have now done that today. In addition, we have set a timeline so that anyone who wants the vaccine will get able to begin scheduling their appointment at the latest by April 19. The light at the end of the tunnel is getting brighter and brighter every day.”
Residents should continue to use the Department of Health’s Vaccine Provider Map to find a vaccine provider nearest them. The department will continue to update the map as the federal government increases the number of pharmacy chains receiving vaccine through the Federal Retail Pharmacy Partnership.
People without internet access can contact the Health Hotline by calling 1-877-PA-HEALTH (1-877-724-3258).
Effective April 4, More Options in Pennsylvania for Restaurants and Other Businesses, Mass Gathering Maximums Increase
As COVID-19 cases have declined and vaccination rates are climbing, Pennsylvania Governor Tom Wolf announced the lifting of some targeted restrictions on restaurants and other businesses, as well as increased gathering limits.
Effective April 4, restaurants may resume bar service; alcohol service will be allowed without the purchase of food; the curfew for removing alcoholic drinks from tables will be lifted; and indoor dining capacity will be raised to 75 percent for those restaurants that are currently self-certified and those that undergo the self-certification process, which involves agreeing to strictly comply to all public health safety guidelines and orders, including the cleaning and mitigation protocols and other operational requirements contained in the Governor and Secretary of Health’s mitigation and enforcement orders issued on November 23, 2020, as amended. Those restaurants that do not self-certify may raise capacity to 50 percent. Outdoor dining, curbside pick-up and takeout are still encouraged.
Requirements such as mask-wearing, and social distancing, including 6 feet between diners, also still apply.
Capacity for other businesses also will be increased effective April 4, including moving personal services facilities, gyms and entertainment facilities (casinos, theatres, malls) to 75 percent occupancy.
The governor also announced revised maximum occupancy limits for indoor events to allow for 25% of maximum occupancy, regardless of venue size, and maximum occupancy limits for outdoor events to allow for 50% of maximum occupancy, regardless of venue size. Maximum occupancy is permitted only if attendees and workers are able to comply with the 6-foot physical distancing requirement.
“Pennsylvanians have stepped up and done their part of help curb the spread of COVID-19,” Gov. Wolf said. “Our case counts continue to go down, hospitalizations are declining, and the percent positivity rate gets lower every week – all very positive signs. The number of people getting vaccinated increases daily and we are seeing light at the end of the tunnel. It’s time to allow our restaurants, bars and other service businesses to get back to more normal operations.”
While the lifting of these restrictions is good news, Gov. Wolf cautioned that mask-wearing, social distancing and business adherence to all safety orders are still imperative.
“We’ve come so far and now is not the time to stop the safety measures we have in place to protect ourselves, our families and our communities,” Gov. Wolf said. “Keep wearing a mask, social distancing, and, please, get vaccinated when it’s your turn.”
Find more on the restaurant self-certification process here.