- 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
Learning Series on Obstetric Readiness Begins June 25
The five-part series is geared toward obstetric readiness for emergency medical services and emergency departments in rural and under-resourced communities, identifying opportunities for collaboration between EMS, hospital EDs, and community networks of support. The series includes recommendations specifically for rural EMS and EDs, with innovative strategies such as telehealth and mobile care units. Register now to attend any or all of the sessions, each 75 minutes long via Zoom, taking place from June 25 to August 13. In the first session, experts will summarize the challenges to obstetric care in rural communities and identify community resources to support pregnant and postpartum patients.
The series is hosted by the Alliance for Innovation on Maternal Health (AIM) with funding administered by HRSA’s Maternal and Child Health Bureau. It builds on previous HRSA-funded work, the AIM Obstetric Emergency Readiness Resource Kit. To find the series in the headline link, look for Obstetric Readiness Summer Sprint 2025.
Report: GOP Budget Bill Could Put 338 Rural Hospitals at Risk of Closure
From Becker’s Hospital Review
Proposed healthcare cuts in Republicans’ “One Big Beautiful Bill Act” could place 338 financially struggling rural hospitals at risk of closure, according to the data from the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill.
The data was prepared following a request from Senate Democrats, who released the findings June 12.
The 338 hospitals either experienced three consecutive years of negative total margins, served the highest share of Medicaid patients, or both.
“Substantial cuts to Medicaid or Medicare payments could increase the number of unprofitable rural hospitals and elevate their risk of financial distress,” the Shep Center researchers said. “In response, hospitals may be forced to reduce service lines, convert to a different type of health care facility, or close altogether.”
The states with the highest number of hospitals at risk are Kentucky (35), Louisiana (33), California (28) and Oklahoma (21).
Here is the breakdown of at-risk rural hospitals by state:
- Kentucky – 35
- Louisiana – 33
- California – 28
- Oklahoma – 21
- New Mexico – 15
- Texas – 15
- Washington – 14
- Indiana – 12
- New York – 11
- Ohio – 11
- Illinois – 9
- Tennessee – 9
- Mississippi – 8
- Montana – 8
- West Virginia – 7
- Colorado – 6
- Hawaii – 6
- Kansas – 6
- Virginia – 6
- Alabama – 5
- Alaska – 5
- Arizona – 5
- North Carolina – 5
- Pennsylvania – 5
- South Carolina – 5
- Georgia – 4
- Michigan – 4
- Missouri – 4
- Oregon – 4
- Wisconsin – 3
- Idaho – 3
- North Dakota – 3
- Utah – 3
- Iowa – 2
- Maine – 2
- Minnesota – 2
- Nebraska – 2
- Nevada – 2
- South Dakota – 2
- Wyoming – 2
- Arkansas – 1
- Connecticut – 1
- Delaware – 1
- Florida – 1
- Massachusetts – 1
- New Hampshire – 1
Applications Open for HRSA Loan Repayment Programs
HRSA has three loan repayment programs open to support working health professionals:
They include the:
- (1) The Faculty Loan Repayment Program providing up to $40,000 in health professional student loan repayment to faculty who serve two years at an eligible health professions school. Application deadline: July 3 at 7:30 p.m. ET;
- (2) The Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP) providing up to $250,000 for a six-year, full-time service commitment. Behavioral health clinicians, support workers, clinical support staff, and individuals trained in substance use disorders are eligible to apply through July 10 at 7:30 p.m. ET; and
- (3) The Pediatric Specialty Loan Repayment Program providing up to $100,000 in exchange for a three-year, full-time service commitment. Clinicians providing pediatric medical or surgical care or child and adolescent mental and behavioral health care are eligible.
Application deadline: July 17 at 7:30 p.m. ET.
Click here for more information.
CMS Building Foundational Infrastructure for Digital Healthcare Ecosystem
Following the recent release of the Health Technology Ecosystem Request for Information (RFI), CMS hosted a successful listening session bringing together stakeholders across the healthcare ecosystem to discuss leveraging digital health innovations for enhanced patient care and system efficiencies.
We’re excited to announce our commitment to several key initiatives including:
- Building a dynamic, interoperable national provider directory;
- Bringing modern identity verification processes to Medicare.gov to streamline credentials across the healthcare system;
- Expanding functionality of CMS’ Blue Button 2.0 patient access application programming interface (API);
- Transitioning CMS’s Data at the Point of Care pilot to general availability; and
- Enhancing CMS’ participation in trusted data exchange.
These efforts and the RFI reflect CMS’ broader modernization agenda to accelerate digital health innovation, strengthen data security, enhance program integrity, and drive operational efficiencies across Medicare, Medicaid, and federal marketplaces. CMS is encouraging all interested parties to submit their comments on the RFI by June 16, 2025.
Important Broadband Equity, Access, and Deployment (BEAD) Program Update in Pennsylvania
The Pennsylvania Broadband Development Authority (PBDA) would like to inform you of an important update regarding the Broadband Equity, Access, and Deployment (BEAD) Program. This information is provided in light of the June 6, 2025, BEAD Program Restructuring Policy Notice (Policy Notice) issued by the National Telecommunications and Information Administration (NTIA).
As a result of the Policy Notice, PBDA defers all Round One BEAD applications and will establish a new BEAD Round Two – the federally required “Benefit of the Bargain” Round. All applications submitted to PBDA during Round One will be reevaluated and rescored in accordance with the Policy Notice, and applicants will have the opportunity to submit revised or supplemental application materials. PBDA encourages all potential applicants to review the Policy Notice. We also strongly encourage new applicants to participate in this required BEAD Round Two, which PBDA anticipates will be the final application round for the BEAD Program. The Policy Notice affords states 90 days to comply with the Policy Notice and to submit a Final Proposal that reflects the results of BEAD Round Two.
Given the Policy Notice, PBDA anticipates all Round Two applications, both new and as revised/supplemented, will be evaluated using an updated scoring system, which will be posted on the PBDA BEAD Program Page. Additional guidance and resources, including revised BEAD Guidelines, will be shared via the PBDA’s email list and on PBDA’s BEAD Program Page.
For questions or support throughout the application process, please contact us at ra-dcpbda_bead@pa.gov.
Thank you for your continued partnership as we work together to expand broadband access across the Commonwealth.
CMS Developing IT System to Help States Implement Work Requirements
CMS Administrator Mehmet Oz stated this week that his agency is exploring IT solutions to support states in implementing Medicaid work requirements. Specifically, CMS is aiming to create an IT infrastructure that will pull a hodgepodge of data related to work requirements and eligibility in a “central place.”
CMS aims to release the minimum requirements for the ambitious system “within a year.” Dr. Oz also noted that CMS’ IT modernization effort is receiving help from the DOGE, and its acting administrator, Amy Gleason. Patient advocates pointed out that the House-passed reconciliation bill would give states barely 18 months to implement work requirements, so CMS’ new IT system could not possibly be ready by then.
Daniel Tsai, former CMS Medicaid Director under Pres. Biden, stated: “Those systems do not work…. They’ve led to people not being to navigate through that, and they’ve led to immense amounts of costs from any of the IT vendors that have tried to build this app. So, I think any realistic state or person on the ground or IT vendor thinking about this will understand that it is impossible — not only under the timelines — but in any sort of way that does not lead to incredible challenges of people navigating the system.”
Free “Playbook” Launched to Assist Stakeholders in Designing Work Requirements
The Medicaid consulting firm Sellers-Dorsey has published a free “playbook” to assist states, health plans, and other stakeholders in operationalizing the new requirements. The document “offers a high-level framework to guide states, health plans, and solution partners to design, implement, and evaluate” work requirements, and offers “key considerations, emerging best practices, and lessons learned” from officials who have worked on these types of programs in the past.
Advances in Maternal Mental Health Coverage in Pennsylvania Announced
The Pennsylvania Insurance Department (PID) announced insurers are taking steps to expand coverage for medications used to treat postpartum depression and related maternal mental health conditions. Health insurers in the individual and small group insurance markets will cover an FDA-approved fast-acting postpartum medication for plan year 2026. Gov Shapiro’s proposed 2025-2026 Budget includes $5 million to fund maternal health initiatives and is working to implement universal depression screenings for all Pennsylvania mothers during and after pregnancy.
Pennsylvania Insurance Exchange Executive Director Discusses Harmful Impacts of Reconciliation Bill on Pennie Customers
Devon Trolley, Pennie’s Executive Director, provided a deep dive into the impact of the reconciliation bill for the public on Pennsylvania’s Health Insurance Marketplace. For the 2025 Enrollment Period, Pennie enrolled nearly 500,000 people. The Reconciliation Bill passed by the House and under consideration in the Senate includes significant impacts to Pennsylvanians and could result in 270,000 people losing coverage. The bill increases costs and imposes unnecessary barriers. The Reconciliation Bill does not extend the current Enhanced Premium Tax Credits, which thousands rely on to lower costs. Without Congressional action, costs will go up by 82% and double the cost for most enrollees.
Some barriers to enrollment include pre-enrollment verification for enrollees who have already been verified using trusted resources like the IRS and state data sources, prohibiting auto-enrollment and removing conditional eligibility for enrollees, such as newborns, without documentation at the time of enrollment thus requiring full cost premium payment without the benefit of tax credits.
Listen to a recording of the briefing. For more data, check out Pennie’s webpage on Cost and Affordability.
New HPSA Score Requirements Published for NHSC Scholars
The new HPSA score requirements for the National Health Service Corps’ 2026 scholars have been published. As typically seen in the past, the minimum scores for the class of 2026 (scholars whose training end dates between Oct. 1, 2025 and Sept. 30, 2026) have increased, in some cases dramatically.