In Pennsylvania, more than 357,000 consumers selected health insurance through Pennie for coverage as of January 1, 2022. While open enrollment doesn’t end until January 15, this is an increase of 37,000 over the same time period last year. More consumers than ever actively shopped for plans more affordable and suitable to their specific needs. With 8 insurers providing Marketplace coverage, consumers had more choices than the past several years. 37,643 Pennie applications were deemed potentially eligible for Medicaid and transferred to the Department of Human Services. During the open enrollment period, 17,961 applications were transferred to Pennie for enrollment as they did not qualify for Medicaid. 92% of customers qualified for Tax Credits or Cost Sharing Reductions.

Pennsylvania Governor Tom Wolf announced that Department of Health Acting Secretary Alison Beam resigned her position with the commonwealth at the end of the year. The governor also announced that Department of Health Executive Deputy Secretary Keara Klinepeter will serve as Acting Secretary.

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Pennsylvania Governor Tom Wolf announced that Pennsylvanians will not have to pay state income tax on the student loan debt relief they get from the federal Public Service Loan Forgiveness (PSLF) Program and the Pennsylvania Student Loan Relief for Nurses (SLRN) Program. The decision by the Wolf administration will save people eligible for those programs potentially thousands of dollars in state tax. “The point of student loan forgiveness programs for public servants is that these are people who have chosen jobs, often in lower paying fields, because they want to make a difference,” said Gov. Wolf. “It’s wrong to take what should be a blessing and turn it into just another burden.”

Read the release from the state.

The Biden Administration recently announced five proposals to advance various health care reform priorities.

First, the Administration will release an Executive Order that allows the IRS to fix the “family glitch” that prohibited family members of people with employer-sponsored health insurance from accessing ACA marketplace credits. Second, the Department of Health and Human Services (HHS) will amend the definition of “short-term plans” that do not comply with ACA standards so that these plans do not undermine the ACA’s coverage and patient protection goals. Third, HHS will propose a new ACA Section 1557 rule to reverse a Trump Administration rule curtailing non-discrimination protection for transgender individuals and people seeking language services. Fourth, HHS will prioritize greater access to contraception in the ACA by amending the final rule that the Trump Administration had promulgated to accommodate moral and religious exemptions. Finally, HHS will work with the Department of Labor to promote compliance with the Mental Health Parity and Addiction Equity Act and the Consolidated Appropriations Act (2021) through a new proposed rule.

The Health Resources and Services Administration (HRSA) will welcome Carole Johnson back in January as the agency’s new Administrator. Carole currently serves as the Testing Coordinator for the White House COVID-19 Response Team. Prior to joining the Biden-Harris Administration, she served as Commissioner of the New Jersey Department of Human Services. Carole served for more than five years as the White House Domestic Policy Council’s public health lead in the Obama Administration, which included overseeing HRSA issues, and has managed health workforce policy issues in HRSA’s Bureau of Health Professions. She has also worked on health care and public health policy on Capitol Hill, in academia, and in the non-profit and philanthropy sectors.

The Pennsylvania Senate voted unanimously in support of House Bill 2071, legislation that would create a statewide broadband authority to oversee the state’s strategy for spending federal dollars to close the digital divide. The bill creates the Pennsylvania Broadband Development Authority, which will be a one stop shop to oversee and support broadband deployment. The authority will manage at least $100 million in federal aid that Pennsylvania will receive to support a coordinated and strategic rollout of broadband to more areas with construction of new towers, lines and broadband equipment and other uses. Governor Wolf is expected to sign the bill into law.

By Bob Morgan
USDA Rural Development State Director in Pennsylvania

If the past few weeks are any indication of things to come, Pennsylvania has found a partner that sees the value of investing in our rural communities. This partner may be from an agency that not many Americans might expect, the U.S. Department of Agriculture.

When Americans hear USDA, they usually think of food and farming. However, USDA is made up of 29 agencies with nearly 100,000 employees, who serve at more than 4,500 locations across the country and abroad. The Rural Development mission at USDA administers more than 50 economic development programs and investments in Pennsylvania have been steadily increasing in 2021 under the agency’s Build Back Better initiative.

Over the last four fiscal years USDA Rural Development has invested more than $3.5 billion in rural Pennsylvania through its loan and grant programs helping to expand economic opportunities and create jobs in rural areas by supporting: infrastructure improvements; business development; housing; community facilities such as schools, public safety, and health care; and high-speed internet access.

For example, on Dec. 16, Agriculture Secretary Tom Vilsack announced a $5.2 billion investment in rural America’s critical infrastructure. This good news included grants and loans for Pennsylvania, in the amount of $11.3 million for three water and waste disposal projects in Tioga, Westmoreland, and Venango Counties. These projects will improve communities by providing new pipes for water systems and necessary upgrades for waste water treatment. Since 2018, USDA has invested more than $211 million through these Rural Development programs.

The Biden-Harris administration has made infrastructure and critical agriculture supply chain investments a priority. Recently Secretary Vilsack announced the deployment of $100 million under a new Food Supply Chain Guaranteed Loan Program. This initiative funded through the American Rescue Plan Act, will provide loan guarantees to spur private investment in processing and food supply infrastructure that strengthens the food supply chain.

This is on top of a $500 million investment to expand meat and poultry processing capacity, which is vital to Pennsylvania producers. The Department will soon publish details on the new program and how to apply as part of USDA’s Build Back Better Initiative, a comprehensive plan to invest $4 billion to strengthen the resiliency of America’s food supply chain while promoting competition.

USDA also supports local efforts to adapt to our changing climate as evidenced this month during Secretary Vilsack’s visit to Saubel’s Market in York County. During his visit to the family-owned store in Shrewsbury, Pa., the Secretary announced $1 million to reduce the impacts of climate change on rural communities in Pennsylvania through the Rural Energy for America Program or REAP. Saubel’s Market received a $102,413 USDA REAP grant. With this funding, the small business installed solar panels on the roof of their family-owned grocery store a project which is expected to save enough energy to power 36 homes annually. Twenty-one other farms and businesses in Pennsylvania recently received REAP awards. Over the last four years Rural Development’s REAP and other energy efficiency progams distributed more than $9.7 million for 140 projects.

Moving from energy savings to saving lives, in healthcare, in 2018, there were 66 acute care hospitals with roughly 7,200 beds available in rural areas of the commonwealth, according to data compiled by the Center for Rural Pennsylvania. Seven counties did not have hospitals. On average, there were 2.14 hospital beds for every 1,000 rural residents. Rural Development has been determined to combat this problem.

St. Luke’s Carbon Campus Hospital opened its doors in November 2021. The 160,000-square-foot facility with 80 patient rooms is redefining health care access, convenience, and quality for the local community. This state of the art facility allows patients to experience their entire health care journey from primary to specialized care in a single location.

The trauma-4 rated hospital will also create new jobs and allow for recruitment of physicians from across the country. The project was funded in 2019 and consisted of a $98,500,000 Community Facilities Direct Loan which will be repaid by the borrower.

In 2020, Rural Development invested in the construction of a 240-bed three-story skilled nursing facility in Centre County (Centre Care, Incorporated) that serves a significant portion of the Medicaid population in the area. Also, Rural Development funded a new, 123-unit assisted living facility in Bucks County (LifeQuest). Since 2018, the Rural Development Community Facilities program has administered more than $293 million in health care loans within Pennsylvania.

USDA Rural Development is firmly committed to fulfilling the promise of improving opportunity for rural communities through the agency’s Build Back Better initiative, and we look forward to making further investments in Pennsylvania in 2022.