- 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; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- 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
Pennsylvania State Data Center Releases New Municipal Population Estimates
New Data Show Estimated Population as of July 1, 2020
The U.S. Census Bureau has released July 1, 2020 population estimates for sub-county geographies including boroughs, townships, and cities. This release provides the tenth and final set of municipal estimates to be released by the Census Bureau since the 2010 Census. Please note that these data are not the final 2020 Census counts.
Pennsylvania continued its trend of increasing population in the urban and suburban areas of the southeastern and southcentral portions of the state, with pockets of growth surrounding State College and Pittsburgh. Boroughs across the state lost an estimated average of 48 persons, while townships gained an estimated average of 74 persons and cities an estimated average of 219 persons.
For more information on which boroughs, townships, and cities in Pennsylvania experienced the greatest change in their populations, click here to read this month’s brief.
Download the Infographic on COVID-19 Vaccinations
A Tool to Build Vaccine Confidence in Rural Communities
The White House created an infographic to outline how the COVID-19 vaccine helps to protect your rural community and yourself.
COVID-19 vaccines are safe, effective, and here now. Strong confidence in the vaccines within communities will lead to more people getting vaccinated, which will lead to fewer COVID-related illnesses, hospitalizations and deaths.
Announcing Pennsylvania’s 2021 Nationally Accredited and Affiliate Main Street America™ Programs
Pennsylvania Downtown Center (PDC) is honored to recognize the 28 Pennsylvania downtowns earning national Accreditation status, the top tier of recognition by Main Street America™. This exclusive designation signifies a demonstrated commitment to comprehensive community revitalization and a proven track record of successfully applying the Main Street Approach™. We also congratulate the ten downtowns who have achieved the Affiliate status indicating that these programs are on the pathway to achieving meaningful economic, social, physical, and organizational improvements in their downtowns and commercial districts.
“We are thrilled to acknowledge this year’s Accredited and Affiliate programs and their dedication to advancing economic opportunity and quality of life in their downtowns,” said Patrice Frey, President & CEO of Main Street America. “During an incredibly challenging year, these programs have demonstrated the power of the Main Street movement to champion small businesses, drive recovery efforts, and lift up their communities. I am inspired by their efforts and know that these Main Street programs will continue to help their districts flourish in the next stages of recovery.
In 2020, Main Street America programs in Pennsylvania generated over $ 41.1 million in local reinvestment, helped open 167 net new businesses, generated 243 net new full time and 152 net part time jobs, catalyzed the rehabilitation of 118 historic buildings, and clocked over 18,000 volunteer hours.
“During a year of continuous change, our Pennsylvania Main Street programs have been a constant reminder of dedicated and committed service to maintaining thriving local businesses and vibrant communities. These programs have been part of the recovery efforts from the very beginning of the pandemic, and they continue to be the boots on the ground resource that their business districts have come to rely on,” says Julie Fitzpatrick, Executive Director, Pennsylvania Downtown Center. “As we are emerging from the effects of the pandemic, many of our communities are looking at ways to reinvent themselves with a creative, resourceful, and inventive approach, and Main Street gives them the tools to do so.”
Pennsylvania Main Street programs are the lifeblood of our local communities and both state and national reinvestment statistics continue to indicate their critical importance. Since the early 1980’s, Pennsylvania’s Main Street program participants have provided crucial on-the-ground support for local businesses, particularly those in smaller and more rural communities—attracting more than $1.75 billion in public and private investment, creating over 24,000 net new jobs and over 7,300 net new businesses.
Accredited Main Street programs are evaluated annually by their coordinating program. PDC, the coordinating program of Main Street America™ programs in Pennsylvania, is proud to see these downtowns acknowledged for their determination to meet Main Street principles. Evaluation criteria determines the communities that are building comprehensive and sustainable revitalization efforts and include standards such as fostering strong public-private partnerships, documenting programmatic progress, and actively rehabilitating historic buildings. Learn more.
Pennsylvania Programs
Main Street America Accredited™
PA DCED South East Region
- Ardmore Initiative
- Lansdowne Economic Development Corp.
- Main Street Mount Joy
- Quakertown Alive!
- Venture Lititz
PA DCED North East Region
- Danville Business Alliance
- Diamond City Partnership (Wilkes-Barre)
- Downtown Hazleton Alliance for Progress
- Downtown Shenandoah Inc.
PA DCED Lehigh Valley Region
PA DCED Central Region
- Downtown Bellefonte Inc.
- Downtown Lewistown Inc.
- Lewisburg Downtown Partnership
- Lewisburg Neighborhoods Corp.
- Main Street Gettysburg
- Main Street Hanover
PA DCED South West Region
- Castle Shannon Revitalization Corp
- Downtown Bedford Inc.
- Downtown Washington BDA
- Ebensburg Main Street Partnership
- Mount Lebanon Partnership
- Waynesburg Prosperous & Beautiful
PA DCED North West Region
- City of Bradford
- Clearfield Revitalization Corp.
- Erie Downtown Partnership
- Oil City Main Street Program
Pennsylvania Programs
Main Street America Affiliates™
- City of Pittston
- Downtown Carlisle Association
- Downtown Chambersburg Inc.
- Downtown Lebanon
- Downtown State College
- Mainstreet Waynesboro
- Somerset Inc.
- Scranton Tomorrow
- West Chester BID
- West Reading Community Revitalization Foundation
About Pennsylvania Downtown Center
Founded in 1987, the mission of Pennsylvania Downtown Center is to build and support the capacity of local nonprofit organizations, municipalities, and individuals to enhance the overall well-being and sustainability of Pennsylvania’s communities. PDC accomplishes this mission by engaging local community leaders and volunteers, and educating them, to advance the sense of place, quality of life and economic vitality of the Commonwealth’s downtowns, traditional neighborhood business districts and nearby residential areas.
Hospital Closures Cause New Public Health Concern
From Modern Healthcare
The steep rise in rural hospital closures over the past decade is hurting many emergency medical service providers, worrying public experts tracking response times.
The average length of ambulance trips increased by 22% among municipally-run, EMS agencies and 10% among privately-owned providers between 2012 and 2018 in locations where a recent rural hospital closure took place, according to a new study from the University of Minnesota School of Public Health.
The actual number of trips those providers made did not change during the study period. But the analysis found rural EMS providers decreased their number of non-emergency and inter-facility transfer trips by 31%. Lead study author Sayeh Nikpay, associate professor in the division of health policy and management at the University of Minnesota School of Public Health, said the drop in planned trips made it harder for EMS providers to dispatch ambulances in a way that ensured communities had adequate coverage.
“Taking someone from the community to a hospital-based clinic is more predictable and has the benefit of bringing people in the community access to their primary care,” Nikpay said.
Nikpay said the burden of hospital closures is particularly acute among municipal EMS providers. While private firms have the option to discontinue providing ambulance services when it no longer is financially viable, municipal agencies are forced to adjust, which Nikpay said often leads to limited resources and personnel that can affect the quality of those services.
“It’s difficult for EMS agencies to retain people, to recruit new people, and the people that are there feel a lot of strain,” Nikpay said.
Researchers said the problems facing rural public EMS agencies is a growing public health concern. It’s putting more wear and tear on their equipment and increasing the “dead time” being spent traveling back to ambulance bases. EMS providers also have less time to restock and maintain vehicles.
Nikpay said the strain on rural EMS providers has only been exacerbated by the pandemic.
Last year, 19 rural hospitals closed, according to figures from the Cecil G. Sheps Center for Health Services Research at the University of North Carolina-Chapel Hill, the highest number for a single year since the center began tracking. Overall, 180 rural hospitals have closed since 2005, with more than three-fourths occurring since 2010.
Nikpay said the study’s findings suggest policymakers need to also look at ways of supporting EMS providers when addressing issues related to bolstering the country’s rural healthcare system.
“We shouldn’t just be thinking about the hospitals when we talk about rural healthcare, we should also think about the EMS agencies as well,” Nikpay said.
Analysis: We Got the Broadband Benefit We Asked For; Now What?
In 2009, the last time federal agencies gave away billions of dollars for broadband, there were two agencies tasked with dispensing roughly $3.5 billion each. They had a year and a half to do what was then considered miracle work pushing that that much money out the door that quickly. Sometimes it wasn’t pretty, but they got it done.
Today, the Federal Communications Commission (FCC) is responsible for dispersing more than three times as much money through E-rate and the Emergency Broadband Benefit (EBB) programs. The money comes with a mandate to act as quickly as possible.
So things are predictably frantic, the rules are not particularly clear, and there’s a lot of wailing and gnashing of teeth about incumbents (the local telecommunications companies that were in place before deregulation in 1996) lining up at the “socialist trough.”
Low Birth Rates May Not Be a Deciding Factor for Rural Populations
Although the U.S. saw its lowest birth rate in 50 years in 2020, that may not necessarily mean a dramatic decline in rural populations.
According to a recent report from the Centers for Disease Control and Prevention (CDC), more than 3.6 million babies were born last year in the U.S., Puerto Rico and the Northern Marianas, the study said, a decline of four percent over 2019. It’s the sixth year in a row that birth rates have declined.
That puts the U.S. total fertility rate, an estimate of how many babies a group of 1,000 women would have during their lifetime, at “below replacement” levels.
Number of New Covid-19 Infections Drops for Fifth Consecutive Week

The rate of new Covid-19 infections in rural America fell for the fifth consecutive week last week, dropping to its lowest level since June 2020. Meanwhile, the number of Covid-related deaths increased slightly last week.
The number of new infections reported in rural counties fell 18%, from 31,683 two weeks ago to 25,876 last week. New infections in rural counties have decreased for nine out of the last 12 weeks and are down about 90% from their peak in mid-January.
Covid-related deaths grew about 10% last week, from 613 two weeks ago to 681 last week. Despite the increase last week, Covid-related deaths in rural counties have also fallen nine out of the last 12 weeks and have declined by 85% since their peak in early 2021.
Pennsylvania Oral Health Coalition PCOH Recognized as State Rural Health Program of the Year
The Pennsylvania Office of Rural Health recently released the 2021 spring issue of the Pennsylvania Rural Health magazine. This issue highlights the 2020 Rural Health Awards. PCOH is recognized as the State Rural Health Program of the Year. Other topics in this issue include health equity in rural Pennsylvania A, transforming health care in rural areas, and more.
New ADA Open Access Journal
The American Dental Association is introducing a new cross-disciplinary and open access journal, JADA Foundational Science. This new journal bridges basic and clinic sciences in oral health research. Submissions are now being accepted for research on foundational science and more topics.
New Research Brief: School-Based Oral Health Programs Impacts of COVID-19
The Association of State and Territorial Dental Directors (ASTDD) and the CareQuest Institute for Oral Health have released a new research brief, “Challenges in Implementing School-Based Oral Health Programs: Short and Long Term Impacts of COVID-19.” The brief includes challenges faced by programs due to COVID-19, challenges anticipated in the coming years, and additional support.