With this funding and under proposed policy action, HRSA-funded health centers may provide health care services – including chronic disease, mental health, and substance use disorder treatment – to individuals soon to be released from incarceration to support their healthy return to the community

Research finds that individuals released from prison face an opioid overdose risk up to 10 times the risk of the general public

The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS), announced nearly $52 million in awards for 54 HRSA-funded health centers to increase access to high-quality primary care for people soon to be released from incarceration and reentering the community.

Aligned with the White House Second Chance Initiative, today’s funding enables health centers to implement innovative approaches to support justice-involved individuals before their release to address health risks during reentry, including elevated risk of opioid overdose and the increased risk associated with being disconnected from critical treatment for chronic diseases, including medications. As many as 80% of individuals returning to the community after incarceration have chronic medical, psychiatric, and/or substance use conditions. Researchers have reported that among individuals who are released from prison, opioid overdose is a leading cause of death with a risk more than ten-fold that of the general population. Individuals leaving incarceration also face many heightened health risks, including disproportionately higher rates of chronic conditions such as diabetes, hepatitis, and hypertension.

In addition to today’s funding announcement, HRSA issued a draft policy earlier this year for all health centers clarifying the circumstances under which they may provide pre-release care to justice-involved individuals. This policy supports health centers to better meet the needs of their entire community and describes how health centers can provide health services to incarcerated individuals who are expected to be or are scheduled for release from a carceral setting within 90 days to help ensure continuity of care.

“At HRSA, we are committed to caring for historically underserved communities,” said HRSA Administrator Carole Johnson. “People reentering the community from incarceration are particularly vulnerable to poor health outcomes and mortality. We can change that if care and services are more closely connected to the reentry experience, which is why we are working to clarify that HRSA-funded health centers can provide pre-release services and why we are investing in health centers engaging with individuals prior to their release to better support their successful and healthy reentry to the community.”

Health centers are uniquely positioned to support justice-involved individuals as they navigate the reentry period and to help them overcome potential barriers to returning home and staying healthy. HRSA’s draft policy proposes to make clear that health centers can provide health services to incarcerated individuals who are expected to be or are scheduled for release from a carceral setting within 90 days to help ensure continuity of care as people come home to their community.

Health centers receiving grant awards today will focus on the following critical health needs:

• Managing chronic conditions;
• Reducing the risk of drug overdose;
• Addressing mental health and substance use disorder treatment needs; and
• Preventing, screening, diagnosing, and treating infectious diseases.

Award recipients must also provide case management services and work with community partners to address health-related social needs, such as housing and food insecurity, financial strain, transportation barriers, and intimate partner violence.

For a list of the awardees, visit: https://bphc.hrsa.gov/funding/funding-opportunities/quality-improvement-fund-justice-involved-populations/fy25-awards.

To find a health center, visit: https://findahealthcenter.hrsa.gov/

The Resources and Services Administration’s (HRSA) investments in rural health care have grown by more than 25%, including:

Supporting the rural health care workforce

• Supporting 6,700 primary care clinicians in 2024 who are practicing in rural communities in return for HRSA-provided loan repayment through our National Health Service Corps Program.
• Graduating more than 2,300 HRSA-funded, newly trained mental health and substance use disorder providers who now work in rural communities.
• Creating more than 400 new physician rural residency slots to train new family medicine, psychiatry, and obstetrics physicians in rural communities.ƒ In 2024 alone, more than 160 new physician residents began training in HRSA-supported rural residency programs. ƒ More than 80 new physicians graduated from HRSA-supported rural residency programs during 2023 – 2024 and began practice.
• Graduating more than 275 physician and dental residents who trained in rural areas through HRSA’s Teaching Health Center Graduate Medical Education Programs.
• Supporting interstate compacts for behavioral health providers like psychologists and social workers to make it easier for providers to serve rural communities by practicing across state lines and providing telehealth services.
• Improving access to health care services in rural communities

Rural primary care

• Expanding access to primary care in rural communities through HRSA-supported health centers,
• which see patients regardless of ability to pay and reached an additional nearly 850,000 rural
• patients since 2020, serving a total 9.7 million rural patients per year.
• Growing primary care staffing in rural communities through rural health centers by 18% since 2020.

Rural mental health and substance use disorder services

• Providing substance use disorder treatment, recovery, or prevention services to more than 6 million people living in more than 1,500 rural communities.
• Increasing mental health and substance use disorder services in rural communities by expanding services in more than 160 rural health centers serving more than 3.4 million patients.
• Supporting more than 3,000 service delivery sites in rural communities directly providing naloxone to the community.

Rural maternal health care

• Providing prenatal care to more than 110,000 patients per year in rural health centers.
• Supporting more than 26,000 pregnant and new moms in rural communities receiving community-based support—from diapers to transportation needs.
• Making voluntary home visiting services available to support pregnant and new moms with child development milestones and other critical needs in more than 600 rural counties.
• Supporting newborn screening across rural communities to ensure early identification of serious health conditions.
• Providing nearly 21,000 pregnant and new moms in rural communities with health and social service support through the HRSA-funded Rural Maternity and Obstetrics Management Strategies program since fiscal year 2021.

Rural HIV care

• Providing nearly 20,000 people with HIV care and treatment in 2022 through HRSA-supported rural providers.
• Helping more than 90% of clients in rural care settings reach viral suppression, meaning they cannot sexually transmit HIV to their partner and can live longer and healthier lives.

Sustaining rural health care services

• Providing more than 150 rural hospitals with high-touch, extensive technical assistance to assess and improve their economic viability and help them remain open.

To highlight the wide range of issues affecting rural health, Pennsylvania Governor Josh Shapiro declared November 18-22, 2024 as Rural Health Week in Pennsylvania. This declaration comes at the request of the Pennsylvania Rural Health Association (PRHA) and the Pennsylvania Office of Rural Health (PORH).

Governor Shapiro aims to raise awareness about the various issues impacting rural health care and the health status of rural Pennsylvanians. Pennsylvania ranks among the states with the highest number of rural residents, with 26 percent of its population living in rural areas. To address the diverse needs of rural communities, the Commonwealth has supported the establishment of the Center for Rural Pennsylvania, the Pennsylvania Office of Rural Health, and other initiatives focused on improving rural health.

The week also includes November 21, which is National Rural Health Day. Established in 2011 by the National Organization of State Offices of Rural Health (NOSORH), National Rural Health Day aims to showcase rural America, raise awareness of rural health issues, and promote the efforts of NOSORH, State Offices of Rural Health (SORHs), and other organizations addressing these issues.

“Nearly 59.5 million Americans, including 3.4 million Pennsylvanians, live in rural communities,” said Lisa Davis, director of PORH and an outreach associate professor of health policy and administration at Penn State. “These small towns and communities are driven by the creative energy of citizens who step forward to provide a wealth of products, resources, and services.”

Penn Highlands Huntingdon is a small rural hospital located in the mountainous region of Huntingdon, PA. In addition to serving Huntingdon County, the hospital provides services to the surrounding counties of Bedford, Blair, Centre, Franklin, Fulton, Juniata, and Mifflin.

The population of Huntingdon County is approximately 6,927, an increase of 1.7 percent since the 2020 U.S. Census. Penn Highlands Huntingdon is continuously expanding its medical services and is committed to improving the quality of inpatient and outpatient care for the community.

According to 2024 U.S. News data and the Huntingdon County Community Health Needs Assessment, the prevalence of diabetes in Huntingdon County is 9.4 percent, which is slightly lower than the national rate of 10.6 percent. The percentage of individuals facing food and nutrition challenges in the county is 6.8 percent, higher than the national rate of 5.9 percent. The obesity rate in Huntingdon County stands at 38.4 percent, compared to the national rate of 37.4 percent. Notable nutrition-related issues include poor food options that are high in sugar and fat but low in nutritional value.

Bethany Stough, Doctor of Nursing Practice (DNP) and a leading health care provider in Huntingdon County, has observed trends in diabetes care and has taken a crucial role in developing effective solutions. Her goal is to improve health outcomes for her patients—especially those who must travel more than sixty minutes to see an endocrinologist—and to provide comprehensive education on diabetes and nutrition.

In her treatment of diabetes patients, Dr. Stough emphasizes identifying the appropriate treatment for each patient, acknowledging their current situation, and collaborating towards a shared goal. More than 90 percent of Stough’s patient population has achieved an appropriate diabetic hemoglobin A1C result, demonstrating that her patients are compliant with dietary and medication recommendations.

“Engaging patients in making lifestyle changes is crucial for effective treatment,” noted Stough. “This process requires time and a personalized approach and is critical to providing effective care for every individual.”

Lannette Fetzer, quality improvement coordinator at the Pennsylvania Office of Rural Health added, “Recognizing the importance of providing excellent quality care is crucial for achieving optimal patient outcomes, particularly for diabetic patients. The work that Dr. Stough is doing is having a profound impact on the patients she serves.”

The Centers for Medicare & Medicaid Services (CMS) thanks you for your partnership in helping to share information about Medicaid and Children’s Health Insurance Program (CHIP) renewals with people in your community. Your support as a trusted voice in your community has been key to helping people keep health coverage as states return to regular operations after the COVID-19 pandemic. The Medicaid and CHIP Renewals Outreach and Educational Resources webpage includes evergreen language that partners can use to share information about regular Medicaid and CHIP renewals. We encourage partners to continue to explore the refreshed resources and share information with people in your community.

Department of Community and Economic Development (DCED) Secretary Rick Siger today announced the launch of the new $10 million PA Mixed-Use Housing Development pilot program to develop mixed-use projects with a residential housing component. DCED is accepting applications for the grant funding starting today, October 23, through December 6, 2024.

Governor Josh Shapiro recently signed an Executive Order mandating Pennsylvania’s first comprehensive Housing Action Plan to address the state’s housing shortage, homelessness, and expand affordable housing options — ensuring Pennsylvanians have access to safe, affordable housing and attracting more people to live in the Commonwealth. DCED was tasked with leading the plan’s development and working with stakeholders across Pennsylvania to identify housing needs and devise a strategic response.

“The PA Mixed-Use Housing Development pilot program is a strong first step towards boosting the availability of affordable housing, increasing housing for our growing workforce, and providing crucial support for Pennsylvanians struggling to obtain housing,” said Secretary Siger. “This program and others developed under Governor Shapiro’s Housing Action Plan will improve access to safe, affordable housing which is essential for Pennsylvania’s economic growth and critical to the well-being of families and individuals throughout the Commonwealth.”

The pilot program will provide grant funding to eligible applicants for site development for a multi-use building as well as conversion or rehabilitation of existing structures for mixed-use development. A portion of the project must be devoted to development of both rental and owner-occupied residential units. The $10 million in funding for the PA Mixed-Use Housing Development pilot program is from dedicated PA SITES funding.

Eligible applicants include municipalities; economic development organizations; redevelopment authorities; municipal authorities; industrial development agencies; and for-profit organizations.

Expanding the availability of housing across Pennsylvania was a key element of Governor Shapiro’s Economic Development Strategy, the first plan of its kind in the Commonwealth in almost 20 years. Unveiled by Governor Shapiro and Secretary Siger earlier this year, the strategy will capitalize on the Commonwealth’s strengths and will reignite our economy by focusing on the Agriculture, Energy, Life Sciences, Manufacturing, and Robotics and Technology sectors.

Since day one, Governor Shapiro has worked to create real opportunities for Pennsylvanians and build an economy where everyone can chart their own course — working together with a divided legislature to deliver major investments that will help families afford to stay in their homes, address homelessness, and support our local communities by:

• Expanding the Property Tax/Rent Rebate and the Child and Dependent Care Enhancement Tax Credit
• Nearly doubling the funding cap for the Pennsylvania Housing Affordability and Rehabilitation Enhancement (PHARE) Fund to expand affordable housing
• Increasing the Homelessness Assistance Program to make sure we are protecting our most vulnerable residents
• Doubling state investments for the Neighborhood Assistance Program to encourage businesses to invest in affordable housing and community development.

For more information about the PA Mixed-Use Housing Development pilot program and DCED, visit the DCED website, and be sure to stay up-to-date with all of our agency news on Facebook, X, and LinkedIn.

CMS announced the final rules for the 2025 physician fee schedule, the hospital outpatient prospective payment system (OPPS) and the Ambulatory Surgical Centers.  Within these rules, CMS is finalizing new coding and payment policies for advanced primary care management services, advancing maternal safety standards, removing barriers to expand access to care for those formerly incarcerated and others in underserved communities, and setting policies to reduce the use of opioids and to increase access to high-cost drugs in tribal communities.

Physicians will see finalized average payment rates reduced by 2.93% in CY 2025 compared to the average payment rates for most of CY 2024, while payment rates for hospital outpatient and ASC services will increase by 2.9% in CY2025.

You can find more at the links below.  Please contact me at (insert) with questions or if you’d like to learn more.

FINAL FULL PACKAGE: Calendar Year (CY) 2025 Physician Fee Schedule (PFS) Final Rule CMS-1807-F

Web links:

• Press Release: https://www.cms.gov/newsroom/press-releases/hhs-finalizes-physician-payment-rule-strengthening-person-centered-care-and-health-quality-measures
• PFS Fact Sheet: https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2025-medicare-physician-fee-schedule-final-rule
• MSSP Fact Sheet: https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2025-medicare-physician-fee-schedule-final-rule-cms-1807-f-medicare-shared-savings
• QPP Fact Sheet and FAQs: https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3057/2025-QPP-Policies-Final-Rule-Fact-Sheet.pdf
• IRA Fact Sheet: https://www.cms.gov/inflation-reduction-act-and-medicare/inflation-rebates-medicare
• Federal Register: https://www.federalregister.gov/public-inspection/2024-25382/medicare-and-medicaid-programs-calendar-year-2025-payment-policies-under-the-physician-fee-schedule