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Pennsylvania Broadband Development Authority Approves Guidelines for $200 Million Broadband Infrastructure Grant Program, Will Begin Accepting Applications in May

The federal funding will help Pennsylvania expand broadband in unserved/underserved areas

Pennsylvania Broadband Development Authority (Authority) Executive Director Brandon Carson announced the approval of grant guidelines for the Pennsylvania Broadband Infrastructure Program, which will provide $200 million in funding to businesses, non-profits, local government, and economic development organizations. The guidelines will be posted on the Authority’s website on Monday, April 10, 2023 and the application process for this program will open on May 10, 2023.

Too many communities lack access to high-speed internet, and many more cannot afford it. This creates a divide between those who have internet access and those who do not. From day one, Governor Josh Shapiro has said extending and expanding access to broadband across the commonwealth and making connection more reliable and affordable is a top priority of the Shapiro Administration.

The Pennsylvania Broadband Infrastructure Program, funded through the Capital Projects Fund, will fund line extension and development projects, as well as large-scale regional infrastructure projects. Upon completion, projects must deliver service that meets or exceeds symmetrical download and upload speeds of 100 Megabits per second, with prioritization being given to fiber-optic deployment. Projects must include a viable sustainability strategy to maintain, repair, and upgrade networks to ensure their continued operation.

“The Authority is pleased to provide this funding to achieve last-mile connections and increase speed for underserved and unserved regions in Pennsylvania,” said Executive Director Carson. “This is the first grant program the Authority is offering, and we look forward to seeing the impact it makes as we work to close the Commonwealth’s digital divide.”

Key Program requirements include:

  • 25-percent match: Federal, state, or local funding received by the applicant is eligible towards the match requirement.
  • Grant amounts: The minimum request considered will be $500,000 and the maximum may not exceed $10 million.
  • Universal coverage: Applicants are required to ensure that all projects either achieve or are part of a plan to achieve universal broadband for the locality or region.
  • Affordability: Applicants must participate in the Affordable Connectivity Program and will be asked to describe and document their digital equity efforts to ensure low- to moderate-income households in the proposed project area will have sustained and affordable access.
  • Labor: The Pennsylvania Prevailing Wage Act may apply to projects funded under this program. Prevailing Wage requirements are generally applicable to grants for construction, demolition, reconstruction, alteration, repair work, renovations, build-out and installation of machinery and equipment more than $25,000.

The application period will begin May 10, 2023, and will close July 10, 2023, at 11:59 PM. The Authority expects to award grants prior to the end of 2023. Funded projects must reach substantial completion ― defined as services being delivered to end users ― by December 31, 2026. The program will be administered in accordance with U.S. Treasury guidelines and Act 96 of 2021.

For more information about the Pennsylvania Broadband Development Authority, visit the Authority’s website.

Comments Have Been Requested on Proposed Medicare Hospital Payment and REH Updates

  On April 10, 2023, CMS issued proposed changes to Medicare’s inpatient prospective payments made to acute care and long-term care hospitals.  Specifically, CMS proposes a 2.8% increase to hospitals that successfully participate in the Inpatient Quality Reporting program and are meaningful electronic health record (EHR) users. They also propose to continue policies that support low-wage index hospitals, many of which are rural, and to include data for hospitals that reclassify from urban to rural (42 CFR §412.103) in other wage index calculations.  There is a proposal to adjust payments when homelessness is indicated and a Request for Information on the unique challenges faced by safety-net hospitals and the patients they serve.  Finally, CMS has proposed to allow Rural Emergency Hospitals (REH), a Medicare new provider type, to serve as training sites for Medicare Graduate Medical Education (GME) payment purposes, and they provided proposed regulations on what information must be submitted to CMS when a hospital applies to become an REH.  Comments are due by June 9, 2023.

CMS Releases Proposed Skilled Nursing Facility Prospective Payment System for FY 2024

 On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2024. In addition to the rate updates, the proposed rule includes proposals for the SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing (VBP) Program for FY 2024 and future years. Also, effective with services furnished on or after January 1, 2024, CMS proposes to add marriage and family therapists and mental health counselors to the list of practitioners whose services are excluded from the consolidated billing provision and is seeking comments identifying HCPCS codes that might meet the criteria for exclusion from SNF consolidated billing.  Comments are due by June 5, 2023.

Comments Have Been Requested on Proposed Medicare Inpatient Psychiatric Payment Rates

 On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare payment policies and rates for the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year (FY) 2024. The proposed rule includes updates to the inpatient psychiatric payment rates and a request for information to about future payment changes and data collection for inpatient psychiatric services. Comments are due by June 5, 2023.

CMS Releases Proposed Hospice Payment Rate Update for FY 2024

On March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare hospice payments and the aggregate cap amount for fiscal year (FY) 2024. The proposed rule would include a 5-percent cap on wage index decreases and require hospice-certifying physicians to be Medicare-enrolled or to have validly opted out as a prerequisite for payment for the hospice period of care in question. Also, this rule includes information on hospice utilization trends and solicits comments regarding information related to the provision of higher levels of hospice care. Comments are Due by May 30, 2023.