Rural Health Information Hub Latest News

SAMHSA Announces Revisions to 42 CFR Part 2

The Substance Abuse and Mental Health Services Administration (SAMHSA) has announced the adoption of revised Confidentiality of Substance Use Disorder Patient Records regulation, 42 CFR Part 2. The new rule advances the integration of health care for individuals with substance use disorders while maintaining critical privacy and confidentiality protections. Health care providers, with patients’ consent, will be able to more easily conduct such activities as quality improvement, claims management, patient safety, training and program integrity efforts. The ease of sharing information, with patient consent, among providers will enable better, higher-quality care for those with substance use disorders. The changes also serve as an important milestone in further aligning 42 CFR Part 2 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations. View a list of the changes in the final rule, which goes into effect Aug. 14, 2020.

Number of Uninsured Adults Rises by 5.4 Million

The New York Times reported on July 13, that the number of adults without health insurance in America rose by 5.4 million between February and May, according to a consumer advocacy group Families USA study. The study shows that about 16 percent or nearly 30.8 million adults are now uninsured. Job loss related to COVID-19 accounted for the spike in the number of uninsured adults, the study says. Not included in the count are family members of the newly uninsured, who may have also lost coverage. Nearly half the coverage losses were in five states: California, Texas, Florida, New York and North Carolina.

Lawmakers Seek to Change how Governors Implement Disaster Declarations

Lawmakers in the PA House of Representatives sent a slate of proposed constitutional amendments to the Senate that could significantly change how governors implement disaster declarations – the latest chapter in a battle between Republican legislators and Gov. Tom Wolf over the Democratic governor’s handling of the COVID-19 pandemic. Proponents of a bill said Tuesday that the constitutional amendments would help curtail the excessive use of executive powers by a governor.

Hazard Pay Funds Available from the Commonwealth: Apply by July 31

The state Department of Community and Economic Development is making $50 million available through the COVID-19 PA Hazard Pay Grant to help reimburse front-line workers in health care and several other industries. Community Health Centers   have until July 31, 2020, to apply. According to a press release from DCED, “grant funds may be used for hazard pay for direct, full-time and part-time employees earning less than $20/hour, excluding fringe benefits and overtime for the 10-week period from Aug. 16 to Oct. 24, 2020. Applicants may apply for up to $1,200 per eligible full-time equivalent (FTE) employee.” This does not include teleworking employees. Front-line employees are all employees deemed necessary by the employer to report to work during the COVID-19 pandemic for life-sustaining eligible industries. This is in addition to federal CARES Act funding (H8D and H8E). However, you must make sure your accounting accurately reflects base pay charged to Federal grants and hazard pay charged to the COVID-19 PA Hazard Pay Grant.  Download the nine-page program guidance PDF. 

HHS Issues Update on Reporting of CARES Act/Provider Relief Fund Distributions 

HHS issued an update on the reporting of CARES Act/Provider Relief Fund distributions.  The following is an excerpt from the guidance attached and available at www.hhs.gov/sites/default/files/….

The purpose of this notice is to inform Provider Relief Fund (PRF) recipients that received one or more payments exceeding $10,000 in the aggregate from the PRF of the timing of future reporting requirements. Detailed instructions regarding these reports will be released by August 17, 2020.

These reporting instructions will provide directions on reporting obligations applicable to any provider that received a payment from the following CARES Act/PRF distributions.

General Distributions:

  • Initial Medicare Distribution
  • Additional Medicare Distribution
  • Medicaid, Dental & CHIP Distribution

Targeted Distributions:

  • High Impact Area Distribution
  • Rural Distribution
  • Skilled Nursing Facilities Distribution
  • Indian Health Service Distribution
  • Safety Net Hospital Distribution

Notice on Timing of Reports:

The reporting system will become available to recipients for reporting on October 1, 2020.

  • All recipients must report within 45 days of the end of calendar year 2020 on their expenditures through the period ending December 31, 2020.
    Recipients who have expended funds in full prior to December 31, 2020 may submit a single final report at any time during the window that begins October 1, 2020, but no later than February 15, 2021.
  • Recipients with funds unexpended after December 31, 2020, must submit a second and final report no later than July 31, 2021.
  • Detailed PRF reporting instructions and a data collection template with the necessary data elements will be available through the HRSA website by August 17, 2020.

HHS Releases HHS Protect Dashboard

The U.S. Department of Health and Human Services (HHS) announced an HHS Protect Dashboard displaying HHS Protect data.

At the beginning of the pandemic, it became clear that HHS needed a central way to make data collected by various operating divisions, including CDC, CMS, HRSA, and others, visible to first responders at federal, state, and local levels and the federal government needed to collect this data as fast as possible. To fulfill this need, HHS built HHS Protect, a secure data ecosystem powered by eight commercial technologies for sharing, parsing, housing, and accessing COVID-19 data and driven by four principles: transparency, sharing, privacy, and security. Through HHS Protect, key parties have access to hospital-specific data, like inpatient bed utilization, ICU bed utilization, percentage of inpatient beds occupied by COVID-19 patients, and number of COVID-19 cases. Even beyond that, it also offers insight into the supply chains of large healthcare distributors. By integrating this data together into one system, we can help federal, state and local leaders make strategic decisions and maximize resources. View the public data dashboards here: https://protect-public.hhs.gov/.

USDA Rural Development Publishes Resources

Please check out this RFD-TV: “Market Day Report”  Live segment filmed on July 21, 2020.  It features White House Office of National Drug Control Policy Director James Carroll discussing the new Rural Community Toolbox site.

The CDC’s rural COVID-19 page is now live!  In addition, the CDC released their provisional 2019 drug overdose death numbers for the country. Overall, there was a national increase of 4.8%. Click here to learn more.  Also, the CDC’s National Center for Injury Prevention and Control posted a notice in the Federal Register to solicit input from several stakeholder groups on the management of chronic and acute pain. Through the notice, which closes August 21,2020, the CDC is looking for volunteers to participate in individual conversations and share their perspectives.

Rural Development Deputy Under Secretary Bette Brand announced that USDA is seeking feedback to launch a new program to help create high-wage jobs in rural communities and strengthen regional economies. Click here to learn more.

Below please find more resources and information that may be of interest. Please share this information with your stakeholders.

Resources

  • School-Based Healthcare Solutions Network: Student Support Recovery Grant The SBHSN Student Support Recovery Grant is accepting applications from local education agencies (LEAs), charter school management companies, public schools, charter schools, and private schools throughout the U.S. to help them implement telehealth mental health program services for children impacted by short and long-term school closures. Grants will range up to $250,000. Applications will be reviewed on a first-come, first-served basis until funding is no longer available. Click here for more information.
  • DOL Employment and Training Administration Women in Apprenticeship and Nontraditional Occupations (WANTO) Technical Assistance Grant Program. This program aims to provide technical assistance (TA) to employers and labor unions to encourage employment of women in both apprenticeable occupations and nontraditional occupations (A/NTO). Deadline for applications: August 3, 2020.
  • The 2020 TD Ready Challenge is focused on supporting innovative solutions that address the impacts of the pandemic. Applications must work to explicitly address inequities exacerbated by the pandemic, as well as one or more of the four interconnected drivers of change of the TD Ready Commitment: Financial Security, Vibrant Planet, Connected Communities, and Better Health. Application Deadline: August 13, 2020.
  • Request for Applications: Court Pandemic Response and Recovery – Through this solicitation, State Justice Institute (SJI) is seeking to fund projects that assist state courts in their response to, and recovery from, COVID-19, with a look towards the future of court operations. SJI seeks to support projects that look to the future of judicial service delivery by identifying and replicating innovations and alternate means of conducting court business because of the pandemic. Deadline for applications: August 14, 2020.
  •  Department of Housing and Urban Development – Veterans Housing Rehabilitation and Modification Pilot Program provides support to rehabilitate and modify the primary residence of veterans who are low-income and have disabilities. Grants may also be used to provide grantees’ affiliates with technical, administrative, and training support in connection with modification and rehabilitation services. Application Deadline: August 18, 2020.
  • DOT Federal Highway Administration  Tribal Transportation Program Safety Fund (TTPSF). TTPSF grants are available to federally recognized Indian tribes through a competitive, discretionary program. Awarded annually, projects are chosen whose outcomes will address the prevention and reduction of death or serious injuries in transportation related incidents, such as motor vehicle crashes. Deadline for applications: August 20, 2020.
  • DOT Federal Transit Administration (FTA) announces the availability of approximately $5 million in funding provided by the Public Transportation on Indian Reservations Program (Tribal Transit Program (TTP)). This is a national solicitation for project proposals and includes the selection criteria and program eligibility information for Fiscal Year 2020 projects. The primary purpose of these competitively selected grants is to support planning, capital, and, in limited circumstances, operating assistance for tribal public transit services. Deadline for applications: August 22, 2020.
  • The U.S. Department of Agriculture (USDA) Office of Partnerships and Public Engagement announced approximately $15 million in available funding to help socially disadvantaged and veteran farmers and ranchers own and operate successful farms. Funding is made through the USDA’s Outreach and Assistance for Socially Disadvantaged Farmers and Ranchers and Veteran Farmers and Ranchers Program (also known as the 2501 Program). The program is administered by the USDA Office of Partnerships & Public Engagement (OPPE). Deadline for applications: August 26, 2020. See the request for applications for full details.
  •  USDA: Coronavirus Food Assistance Program – The Coronavirus Food Assistance Program provides direct relief to agricultural producers, including farmers and ranchers, who have faced price declines and additional marketing costs due to COVID-19. Application Deadline: August 28, 2020.
  • HHS Health Resources & Services Administration (HRSA) offers the opportunity to apply for funding under the Women’s Preventive Services Initiative (WPSI). WPSI’s purpose is to improve women’s health across the lifespan. Application Deadline: October 5, 2020.
  • HHS Health Resources & Services Administration (HRSA) offers the opportunity to apply for funding under the Healthy Tomorrows Partnership for Children Program (HTPCP). The purpose of this program is to support innovative, community-based initiatives to improve the health status of infants, children, adolescents, and families in rural and other underserved communities by increasing their access to preventive care and services. Application Deadline: October 6, 2020.
  • HIGH SPEED BROADBAND/RURAL OPPORTUNITY FUND-The Federal Communications Commission (FCC) designed the Rural Digital Opportunity Fund to bring high speed fixed broadband service to rural homes and small businesses that lack access.  The first phase of the FCC reverse auction will target over six million homes and businesses in census blocks that are entirely underserved by voice and broadband with download speeds of at least 25 Mbps.  Application Deadline: October 22, 2020.
  • The Reimagining Pathways to Employment in the U.S. Challenge, powered by MIT Solve, the Morgridge Family Foundation, and New Profit, seeks the most promising solutions that accelerate pathways to current and future employment across the United States. Solutions that focus on non-coastal states, U.S. interior regions, and/or racial justice are encouraged. Nonprofit, for-profit, and hybrid organizations, as well as individuals, are eligible to apply. Selected finalists will pitch before the Challenge judges, who will determine which solutions are the most promising. At least five teams will be selected to receive a minimum of $100,000 in grant funding and additional support. Application deadline: November 9, 2020.

State Specific

  • Geographic Scope: Alaska -The State of Alaska Department of Health and Social Services has partnered with The Alaska Community Foundation to establish the Coronavirus Nonprofit Relief Fund to support nonprofit organizations in Alaska adversely affected by the COVID-19 pandemic. A variety of Alaska nonprofits are eligible to apply for funding from the Fund, including public charities, faith-based organizations providing social services to the broader community, veteran’s groups, tribal organizations, and local governments. Application Deadline: July 29, August 26, and October 14, 2020.
  •  Geographic Scope: Texas –  St. David’s Foundation has launched a $10 million COVID-19 Recovery Fund to support nonprofit organizations during this challenging and uncertain time. The Fund will provide grants supporting both immediate and intermediate needs of nonprofit organizations working on the front lines to provide emergency assistance to those impacted by COVID-19 in Bastrop, Caldwell, Hays, Travis, and Williamson counties in Texas. Priority populations include older adults at risk of social isolation, women, children, and vulnerable populations, with special attention given for rural neighbors. Furthermore, the Fund will prioritize work that is related to factors that directly impact health and well-being including telehealth, mental health, and youth serving organizations. Application Deadline: August 13 and October 15, 2020.
  • Geographic Scope: Virginia – The Charlottesville Area Community Foundation’s Community Recovery and Catalyst Grants support community organizations in response to COVID-19, especially as they support vulnerable communities and communities who have been disproportionately impacted by the pandemic as well as organizations who are working to address systemic racism in the region. Grants of up to $50,000 are provided. Application Deadline: August 14, 2020.
  • Geographic Scope: Connecticut – Main Street Community Foundation: COVID-19 Response Fund. The COVID-19 Response Fund provides operating support grants to nonprofit organizations affected by COVID-19. The nonprofit organization must have a main office in an eligible community and be serving a significant population in those communities. Grants are one-time and may range from $2,500 -$10,000. Application Deadline: August 14, 2020.

Journal of Appalachian Health: Volume 2, Issue 3 Available NOW!

Fiscal Challenges and Anticipated Changes to Kentucky’s Population Health System

Jeffrey Howard, University of Louisville

Perspective on Substance-Abuse Recovery Ecosystem from the Appalachian Regional Commission Federal Co-Chair

Tim Thomas, Appalachian Regional Commission

Appalachian Regional Commission Recovery Ecosystem Background and Overview

Kostas Skordas & Andrew Howard, Appalachian Regional Commission

Research Articles

Geographic Variation in the Structure of Kentucky’s Population Health Systems: An Urban, Rural, and Appalachian Comparison

Rachel Hogg-Graham, Angela Carman, Glen P. Mays, and Pierre Martin Dominique Zephyr

Parental Impact on Child Physical Activity and Sedentary Time in Appalachian North Carolina

Allison V. Farrell, Richard W. Christiana, Rebecca A. Battista, and J. Joy James

Preventive Care and Chronic Disease Management: Comparison of Appalachian and Non-Appalachian Community Health Centers in the United States

Julie P. Marcinek, Alek Sripipatana, and Sue C. Lin

Consumption of Added Sugars by Rural Residents of Southwest Virginia

Maryam Yuhas, Valisa Hedrick, and Jamie Zoellner

Review & Special Articles

Preface: Experiencing Cancer in Appalachian Kentucky

Michele Ellison and Robin C. Vanderpool

Experiencing Cancer in Appalachian Kentucky

Melanie McComsey, David Ahern, Robin C. Vanderpool, Timothy W. Mullett, Ming-Yuan Chih, Meghan Johnson, Michele Ellison, Karen Onyeije, Bradford W. Hesse, and Eliah Aronoff-Spencer

Responding to Appalachian Voices: Steps in Developing Substance-Use Recovery Ecosystems

Bruce Behringer

Listening to Voices in Appalachia: Gathering Wisdom from the Field About Substance-Abuse Recovery Ecosystems

Bruce Behringer

New Brief: Boosting Oral Health Care in Rural Communities

The National Conference of State Legislators released a legislative brief on “Boosting Oral Health Care in Rural Communities.” The brief visits topics such as teledentistry, mobile dental services, and workforce efforts. Rural communities face a range of barriers to accessing oral health care such as long distances to providers, lack of transportation, lack of insurance, and a shortage of oral health providers.

Click here to learn more.