- 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
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- Public Inspection: 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 and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- CMS: Request for Information; Health Technology Ecosystem
- CMS: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- State: 60-Day Notice of Proposed Information Collection: J-1 Visa Waiver Recommendation Application
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
- Public Inspection: CMS: Request for Information: Health Technology Ecosystem
Core Competencies for Human Trafficking Response in Health Care & Behavioral Health Systems
The U.S. Department of Health and Human Services (HHS) Office on Trafficking in Person (OTIP) has released the Core Competencies for Human Trafficking Response in Health Care and Behavioral Health Systems. Research shows that individuals who are experiencing trafficking are likely to seek health care during or around the period of their exploitation. These core competencies pinpoint skill sets that health care and behavioral health practitioners (HCPs) should acquire to identify, respond to, and serve individuals who have experienced trafficking and individuals at risk of trafficking.
Department of Homeland Security Launches New Center for Countering Human Trafficking
WASHINGTON—U.S. Department of Homeland Security (DHS) Acting Secretary Chad Wolf announced the opening of the DHS Center for Countering Human Trafficking, the U.S. government’s first-ever integrated law enforcement operations center directly supporting federal criminal investigations, victim assistance efforts, intelligence analysis, and outreach and training activities related to human trafficking and forced labor.
The center, which has been operational since early September, is based in Washington and led by U.S. Immigration and Customs Enforcement (ICE), a global leader of criminal investigations into human trafficking and sexual exploitation. The center will be staffed with law enforcement officials from Homeland Security Investigations (HSI) and across DHS, as well as subject matter experts and support staff from 16 DHS components—all focused on the “4 Ps” of the center’s mission: prevention, protection, prosecution and partnerships.
“Human trafficking is modern day slavery. There is no other way to say it,” said Acting Secretary Chad Wolf. “The words are strong because the actions are evil. The forms of exploitation, sex trafficking, forced labor, and domestic servitude that constitute human trafficking are antithetical in every way to the principles of human dignity that Americans hold dear. The launch of this Center for Countering Human Trafficking represents the investment of resources, attention, and time by President Trump to combat and dismantle all forms of human trafficking.”
On Jan. 15, Wolf signed and released the DHS Strategy to Combat Human Trafficking, the Importation of Goods Produced with Forced Labor, and Child Sexual Exploitation (https://www.dhs.gov/publication/strategy-combat-human-trafficking-importation-goods-produced-forced-labor-and-child) which pledged to bolster DHS efforts to combat human trafficking and forced labor.
“Human Trafficking, whether through sex or labor, is a detriment to our society and threatens the moral conscience of our nation. Criminal organizations target those who are most vulnerable and exploit them through any means necessary, Victims are treated as commodities rather than human beings, with no regard for their health and well-being,” said ICE Senior Official Performing the Duties of Director Tony Pham. “ICE, along with our internal and external partners, will continue to fight against these atrocities and answer victims’ cries for help. The Center for Countering Human Trafficking will serve as evidence that when we work collectively against such heinous acts, we combat the threat they pose to national security and to public safety.”
ICE’s HSI has long been a global leader in investigating human trafficking and sexual exploitation cases and bringing offenders to justice. The Center will build on the agency’s “victims first” approach, which balances victim identification, rescue and support with prevention, investigation, and prosecution of traffickers. ICE HSI is uniquely positioned to utilize criminal, immigration, and trade-based authorities to proactively identify, disrupt and dismantle cross-border human trafficking organizations.
In fiscal year 2019, ICE initiated 1,024 human trafficking and forced labor related cases which led to 2,197 criminal arrests. These effective actions resulted in nearly 700 convictions and the rescue of more than 400 victims.
Reporting suspected sexual or labor exploitation can help decrease or stop further victimization, as well as lead to the identification and rescue of other possible victims. To report suspicious activity or instances of sexual abuse or exploitation, contact your local law enforcement agency. Tips can be submitted online at https://www.ice.gov/tipline, by phone at 866-DHS-2-ICE or by contacting your local ICE office.
For more information about the Department of Homeland Security’s overall efforts against human trafficking, visit http://www.dhs.gov/blue-campaign
“It’s on Us”: Health Care’s Unique Position in the Response to Human Trafficking
by Jenn Lukens
Human trafficking, as defined by the U.S. Department of Homeland Security, “involves force, fraud, or coercion to obtain some type of labor or commercial sex act.” Referred to as a form of “modern-day slavery,” human trafficking occurs in every state and is not limited by the size of a community. While there is debate about the exact dollar amount, the industry generates profits into the billions, making it one of the most profitable crimes in the world. It has been identified as a public health concern by researchers, federal agents, and healthcare professionals alike.
Click here to read part one of a two-part series on human trafficking in rural America.
Executive Order on Combating Human Trafficking and Online Child Exploitation in the United States
Jan 31, 2020 — The President issued an executive order on combating human trafficking and online exploitation of children. Describes the federal government’s commitment to strengthen its responsiveness to human trafficking, prosecute human traffickers, and protect victims of human trafficking and exploitation.
Wrapping Up Human Trafficking Awareness Month with Resources
Human trafficking can happen anywhere and to anyone. Sometimes it takes place at the hands of someone the victim knows.
In Pennsylvania, state agencies and organizations are working together to put an end to human trafficking within the state and nationally.
Human Trafficking is the most rapidly growing organized crime in the world. In 2016, 40 million people were victims of human trafficking. The National Human Trafficking Hotline reported 10,949 cases called in in 2018.In Pennsylvania, The Hotline receive 630 contacts regarding human trafficking in 2018, with 275 cases reported. These numbers are not indicative of the full scope of victims, since not all cases are identified or reported.
What is Human Trafficking?
Adults and children can be trafficked or enslaved and forced to sell their bodies for sex. People are also trafficked or enslaved for labor exploitation, for example to work on a farm or factory or in a house as a servant, maid, or nanny and receive little to no money for their work 10-16 hours every day of the week. The crime of human trafficking must involve the use of force, fraud, or coercion.
PennDOT Response
PennDOT is one of the first transportation agencies in the country to train employees to recognize the signs of a potential trafficking situation and how to report it to the authorities. To date, PennDOT has trained 564 driver license and welcome center employees, as well as almost 15,000 transit agency employees in human trafficking awareness. In 2018, PennDOT took the USDOT pledge to “Put the Brakes on Human Trafficking” and became a member of the National Transportation Leaders Against Human Trafficking initiative.
Visit PennDOT’s human trafficking landing page for more information on the initiative and helpful links.
Get the Facts & Spot the Signs
Polaris provides resources for human trafficking prevention and tracks data that can be used for targeted systems-level strategies to disrupt and prevent human trafficking. They provide myths, facts, and statistics to help better explain what human trafficking is and dispel common misconceptions.
Keep Kids Safe provides additional information on human trafficking in Pennsylvania, as well as how to spot the signs of human trafficking for sexual exploitation.
Report It
If you witness or are a victim of human trafficking, get in touch with the U.S. National Human Trafficking Hotline.
Call 888-373-7888, or text “BeFree” to 233733.
The Pennsylvania Office of Victim Services provides help for victims of human trafficking who need to find local service programs, financial assistance, or visa assistance.
Download and print human trafficking awareness posters from the Pennsylvania State Police
Poster Size Version (17×11)
Letter Size Version (8.5×11)
Nonprofits, Medical Profession Tackle Human Trafficking as a Health-care Crisis
Because of a lack of data, it’s difficult to estimate how many victims live in the United States. In 2018, the National Human Trafficking Hotline, which is operated by an anti-trafficking nonprofit group called Polaris, helped identify more than 23,000 survivors. That’s thought to be just a tiny fraction of the real number.
Trafficking doesn’t just jeopardize human freedom — it threatens public health. Victims experience injuries, sexually transmitted diseases and problems with everything from cardiovascular health to teeth. Post-traumatic stress disorder, depression, anxiety and other mental health conditions are also common.
Trafficking happens under the table, but its survivors come into contact with health-care workers more than you might think. One study found that nearly 88 percent of victims interacted with a health-care worker while being trafficked.
There’s a growing push among doctors, paramedics and other health-care professionals to help end trafficking. Organizations such as HEAL Trafficking, a group of survivors and professionals in 35 countries, are teaching health-care systems to identify potential victims and respond to their needs.
In 2018, Congress passed legislation that created a federally sponsored trafficking-related continuing education program for health-care workers. The SOAR protocol trains health-care workers to Stop, Observe, Ask and Respond to potential trafficking and teaches them how to connect victims to needed care and relevant services. Data collection also is improving because of recently implemented diagnostic codes that allow health-care providers to identify cases of suspected and confirmed trafficking.
It will take more work to end trafficking, but change could well start in the doctor’s office.
If you are being trafficked or suspect someone else is, contact the National Human Trafficking Hotline at 888-373-7888, or text “HELP” or “INFO” to 233733.
DOJ Awards More than $100 Million to Combat Human Trafficking and Assist Victims
The U.S. Department of Justice has awarded more than $100 million in funding, through the Office of Justice Programs (OJP), to combat human trafficking and provide vital services to trafficking victims throughout the United States. For a complete list of individual grant programs, award amounts, and jurisdictions that will receive funding, visit the DOJ webpage here.
Advocates Urge Education And Training On Human Trafficking “In Your Backyard” At Summit
In 2018, 127 cases of human trafficking were reported in Pennsylvania, according to the National Human Trafficking Hotline. At the 2019 Rural Human Trafficking Summit hosted by the Pennsylvania Office of Rural Health at Penn State Tuesday, advocates said that to target and stop trafficking, the public needs to first recognize the situation.
The National Human Trafficking Hotline reported nearly 8,000 cases of sex trafficking in 2018, and about 1,200 case of labor trafficking. The organization says the statistic doesn’t necessarily mean sex trafficking is more prevalent than labor trafficking, only that people are more aware of the former.
Jane Guerino, a survivor of sex trafficking, said most people don’t believe trafficking is happening in Pennsylvania or outside of urban areas. She was abducted at the age of 30 in Allentown, Pennsylvania.
“It is here. It’s in your backyard. It is with your children, and you don’t know it and you don’t realize it until they’re abducted or they’re taken into trafficking,” she said.
Guerino is the president of the Glory House in Allentown, a transitional home for victims of human trafficking and domestic violence. She warned that dating websites and the internet as a whole are often used by traffickers to lure potential victims into trafficking. Young girls and women should be especially vigilant and cautious, she said, as they’re the most likely targets.
Guerino, who was one of the speakers at the summit, said medical professionals and law enforcement agencies need more training on recognizing signs of human trafficking in victims. They may come in contact with emergency rooms or police officers while showing bruising or displaying anxiety.
Shea Rhodes, who directs the Institute to Address Commercial Sexual Exploitation at Villanova University, talked about prosecuting the traffickers and buyers in the billion-dollar industry instead of the victims.
“Pennsylvania is really starting to — and our legislature is recognizing that, unless we target the sex buyers to drive down that demand for commercial sex, the traffickers are going to continue to capitalize and be able to make money,” Rhodes said.
She helped push the state to enact a comprehensive legislation that defines both sex trafficking and labor trafficking in 2014, “the most meaningful change” from the legal perspective.
“Every year since that law has gone into effect, we’ve been working with the legislature to continue to move that ball forward,” Rhodes said.
One of the additions is a Safe Harbor Law, which the state enacted in 2018, ensuring child victims of human trafficking don’t get prosecuted for prostitution or other crimes.
“We really need to change the public perception as to what prostitution is,” Rhodes said. “And all of those terrible synonyms and the stigma that goes along with that particular crime. It’s actually, in our opinion, exploitive, and we don’t think anyone, who is being either sold for sex, or selling sex because they have no other way to survive, should be criminalized.” So far, the 2014 legislation has led to 46 convictions in the state.
If you or someone you know is a victim of human trafficking, you can get help by calling the National Human Trafficking Hotline, 1-888-373-7888 or text 233733.
Responding to Human Trafficking: Developing Infrastructure and Multisystem Approaches
The risk of human trafficking is higher for children and youth in foster care, and the child welfare field has increased its efforts to develop an effective response. With funding from the Children’s Bureau, grantees across the nation have been developing programs to address human trafficking that leverage available resources and form partnerships in local communities.
Read these lessons learned briefs to see what grantees have learned during their journey to address various human trafficking issues, and help your community take advantage of their findings to keep children safe and thriving.
- Human Trafficking: Coordinating Resources
Bringing together specialized resources to better serve victims of human trafficking can have unique challenges. Grantees are building service capacity in their communities by establishing awareness, building multidisciplinary teams, and making sure the appropriate information gets shared between agencies and partners. - Human Trafficking: Working with Faith Based Groups
Learn about the partnerships grantees formed with faith-based organizations and the benefits and challenges they encountered. Using real-life examples, this publication shows how child welfare agencies can identify service gaps, find community resources that can help, and build successful partnerships. - Human Trafficking: Developing Housing Options
Securing safe and appropriate housing for victims of human trafficking is a challenge in many areas. Read how agencies identified appropriate housing options, took advantage of the resources they had—such as existing foster parents—to fill gaps, and supported the providers in their area.
Stay connected to quarterly grantee updates by subscribing to The Grantee Connection.
Listen to how the Miami CARES Project brings together more than 10 government and community agencies within Miami-Dade (FL) County to forge a collaborative, systematic approach to identifying minors who are, or are at risk of becoming, victims of human trafficking.
Your feedback is important. Be sure to let us know how we’re doing by taking our survey! For more information, visit our website, email us at info@childwelfare.gov, or call us toll-free at 1.800.394.3366.
Human Trafficking Resources and Training Material Available
See below for presentations, videos, and handouts on addressing human trafficking and domestic violence.
- Slides
- Video #1: “What is Human Trafficking?”
- Video #2: “Hidden America: Chilling New Look at Sex Trafficking in the US”
- Handout #1: Human Trafficking Indicators
- Handout #2: Human Trafficking Indicators
- Handout #3: Power & Control Wheel for Human Trafficking
- “Serving Human Trafficking Victims and Survivors: An Introduction for Domestic Violence Providers.”