- In the Columbia River Gorge, a Local Program Adapts to Serve the Community Through COVID-19
- Nine out of 10 Rural Counties Are in the COVID-19 Red Zone
- COVID in North Dakota: One Day Inside a Rural US Hospital's Fight
- Report: 20% of COVID-19 Patients Develop Mental Health Issues
- Celebrating State Innovations on National Rural Health Day 2020
- The 4 Lessons I Learned While Striving to Preserve and Increase Access to Care in Rural Communities
- HHS Administrator Seema Verma's Rural Open Door Forum Speech
- Five Ways VA Supports Rural Veterans During COVID-19
- States Are Getting Ready to Distribute COVID-19 Vaccines. What Do Their Plans Tell Us So Far?
- New Rural COVID Infections Top 195,000 in One Week
- Improving Access to Maternal Care in Rural Communities
- Colleges Probably Stoked Pandemic in the Upper Midwest, Epidemiologists Say
- Supporting Rural Health and Human Services: Celebrating National Rural Health Day November 19, 2020
- Rural Faith Leaders Workshop Series: Empowering Faith Leaders to Help Persons with Substance Use Disorder
- 2019 Broadband Deployment Data Show Digital Divide Is Closing
The Affordable Care Act (ACA) has been under fire from its inception. Currently the future of the landmark decision and healthcare reform legislation is uncertain. California vs Texas (known as Texas vs U.S. in lower courts) is scheduled to begin oral arguments on Tuesday, Nov.10, 2020. This was sparked by a group of 20 states led by Texas to sue the federal government in February 2018. This case challenges the ACA’s individual mandate which was reduced to zero dollars on Jan.1, 2019 by way of the 2017 Tax Cuts and Jobs Act. The U.S. Court of Appeals for the 5th Circuit affirmed the decision that the individual mandate was no longer constitutional because the individual mandate would no longer produce revenue for the federal government. Instead of striking down the entire ACA, the case was sent back to trial court for additional analysis. The implications for Pennsylvanians and Americans could be disastrous should the law be struck down. Consider:
- Over 760,000 Pennsylvania Medicaid eligibles would lose coverage
- Over 307,000 Pennsylvania Health Insurance Marketplace consumers would lose coverage, 87% of those accessing Advance Premium Tax Credits and 44% with cost-saving reductions
- More than 2.3 million young adults under age 26 nationwide would lose access to coverage through their parents’ group coverage
- Over 2,105,000 Pennsylvanians with a prevalence of pre-existing conditions could be eliminated from purchasing health insurance
- 87% of covered workers with employer-sponsored insurance (approximately 133 million people) were enrolled in plans that must provide free preventive services as of 2019
- Prior to the ACA, 75% of non-group health plans did not cover maternity care, 45% did not cover substance use disorder (SUD) treatment and 38% did not cover mental health services
- Prior to the ACA, 59% of covered workers’ employer-sponsored health plans had a lifetime limit
- Prior to the ACA, only 19% of covered workers had no limit on out-of-pocket expenses
- Reinstating the Medicare coverage gap would increase costs incurred by Part D enrollees who have relatively high drug spending
- Employers with 50 or more employees must now provide adequate break time for breastfeeding women and a private space that is not a bathroom for nursing and pumping
- The ACA prohibits discrimination against individuals on the basis of race, color, national origin, sex, age, or disability in certain health programs or activities, under Section 1557, which builds on long-standing and familiar federal civil rights laws
The ACA is an enormous law and the potential impacts of it being eliminated are monumental.
Eighty-five percent of the growth in the United States natural gas production over the past decade has occurred in Northern to Central Appalachia. Additionally, petrochemical manufacturing, currently in development in the Region, is projected to attract between $16-20 billion in capital investment, and create more than 9,800 jobs directly and indirectly in Appalachia by 2025 noted The Appalachian Energy and Petrochemical Renaissance which was released by the Department of Energy earlier this year.
This week, Dr. Dean Foreman, Chief Economist for the American Petroleum Institute and an expert on domestic and global natural gas markets, briefed ARC staff on the current economic state and future growth potential for the Region’s significant shale gas resources. He noted that U.S. natural gas supply/demand fundamentals remain solid, with prospective market opportunity hinging largely on electricity generation, and that developing regional pipeline capacity enables Appalachian gas to reach diverse markets, thereby increasing demand and prices. Moreover, Dr. Foreman noted that natural gas demand and supply have held up relatively well through the COVID-19 pandemic, and with low prices are expected to support record 38.9% penetration of natural gas into U.S. electricity generation in 2020.
With hunting and other outdoors activities increasing at a time when woodlands and brush can become tinder dry in just a few days, the Wolf Administration is urging all residents to guard against increased wildfire dangers in Pennsylvania’s 17 million acres of forestlands.
State officials noted a sustained dry period over much of the state comes at a time when wildfire dangers normally are high, and critical conditions can develop almost overnight in many forested areas of Pennsylvania.
“With rainfall varying greatly across the commonwealth, a dry windy span of just a few days quickly can make wildfires a very real threat,” said Department of Conservation and Natural Resources (DCNR) Secretary Cindy Adams Dunn. “Amid the pandemic we know so many are seeking outdoors pursuits. Hunting soon will be popular and fall foliage is a joy to behold, but when the leaves begin dropping and drying, they become added fuel for woodland fires.”
“Amid these conditions, it takes only a careless moment to ignite a devastating wildfires. We know debris burning is leading cause of wildfires throughout the state and more than 95 percent of Pennsylvania wildfires are caused by people,” Dunn said.
“While most Pennsylvanians are used to wildfires being confined to relatively far off places, these catastrophic events pose an escalating risk to communities throughout the commonwealth,” said State Fire Commissioner Bruce Trego. “Increasingly, our state is being affected by weather patterns that turn fields and forests into accidents waiting to happen.”
The wildfire warning comes amid sparse rainfall and drying conditions, and as drought advisories are widening in Pennsylvania.
DCNR is responsible for administering a grant program paid through federal grants from the U.S. Department of Agriculture Forest Service. This program has awarded more than $14.5 million since it began in 1982. In 2019, more than $617,800 was awarded to 133 volunteer fire companies. Both Dunn and Trego encourage eligible departments to learn more about this important program for future grant opportunities.
With several deer and small-game hunting seasons opening in the coming weeks, both Dunn and Trego urged hunters and other woodlands visitors to be especially careful with smoking and fires amid dry vegetation.
Dunn noted the need to guard against wildfires increases each year as more development encroaches on heavily wooded tracts. Homeowners always should be diligent when burning trash and debris, she said.
Property owners should always consider the weather and conditions when burning outdoors. If it’s windy or dry, burning should be postponed until conditions change. A hose, rake, and shovel should be handy when burning outdoors, and any burnable materials cleared within 10 feet of a fire.
The Bureau of Forestry is working through state agencies and local fire companies to educate Pennsylvania citizens on procedures to make their homes in forest environments safer from wildfires. Information can be obtained from the Bureau of Forestry, county Emergency Management Office, or the Office of the State Fire Commissioner.
The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), awarded over $35 million to more than 50 rural organizations across 33 states as part of a sustained federal effort to increase access to high quality care in rural communities. The awards reflect investments in key areas including telehealth, health workforce training, health research, technical assistance for vulnerable rural hospitals and HIV care and treatment.
“President Trump has made it a priority to strengthen rural health infrastructure and promote the health of rural Americans,” said HHS Deputy Secretary Eric Hargan. “As someone who grew up in rural America and with rural healthcare providers in my family, I know the challenges they face, and I know there’s a need for transformation. These awards are in line with the actions the President called for in his Executive Order on Improving Rural Health and Telehealth Access and are part of our overall effort to improve rural access to care in sustainable and innovative ways.”
The awards through HRSA’s Federal Office of Rural Health Policy (FORHP) include:
- $8.8 million awarded to 30 organizations across 23 states as part of the Telehealth Network Grant Program (TNGP). Awardees will promote rural tele-emergency services by enhancing emergency care consults from health care providers via telehealth through increased access and training.
- Nearly $2 million to support the Telehealth Focused Rural Health Research Center (TF RHRC) Program. TF RHRC awardees will carry out a comprehensive evaluation of nationwide telehealth investments in rural areas and populations, and conduct research to expand the evidence base for rural telehealth services.
- Nearly $1 million to establish the new Rural Telementoring Training Center (RTTC). The RTTC will train academic medical centers and other centers of excellence to create technology-enabled telementoring learning programs to disseminate best practice specialty care to primary care providers in rural and underserved areas.
- Over $8 million to support the Rural Residency Planning and Development (RRPD) Program across 10 states. Each awardee will focus on strengthening its health care workforce through the development of newly accredited, sustainable rural residency programs in family medicine, internal medicine and psychiatry.
- Nearly $5 million to support the Rural Health Research Center (RHRC) Program. Each awardee will conduct rural research to assist providers and policymakers at the federal, state and local levels to better understand problems faced by rural communities. The research will inform population health improvement efforts, including health care access and delivery.
- $10 million to support vulnerable hospitals in rural communities through the Delta Region Community Health Systems Development (DRCHSD) Program. This funding will provide specialized technical assistance to 30 hospitals across 252 counties and parishes served by the Delta Regional Authority, which often have the highest number of hospital closures or hospitals in financial distress.
- Over $680,000 through the Rural HIV/AIDS Planning Program to develop an integrated rural network for HIV care and treatment in four out of the seven states with the heaviest rural HIV burden. Awardees will implement the Administration’s Ending the HIV Epidemic: A Plan for America initiative to target gaps and challenges that stand in the way of early HIV diagnosis and treatment.
“The HRSA programs highlighted today put in practice HHS’ broader vision and plan for transforming the nation’s rural health care system so that it can better support the unique needs of rural communities,” said HRSA Administrator Tom Engels. “Through these HRSA programs and by working hand in hand with our rural partners across the nation, we can improve access, quality and outcomes for rural communities.”
You can view the full press release here
For a list of today’s award recipients, visit: https://www.hrsa.gov/rural-health/fy20-awards
To learn about the Federal Office of Rural Health Policy, visit: https://www.hrsa.gov/rural-health
The National Academies of Medicine (NAM) addresses the treatment gap in medically-assisted treatment for opioid use disorder (OUD), and presents strategies for increasing access to medicines such as buprenorphine and methadone.
CMS issued Frequently Asked Questions (FAQs) clarifying requirements and considerations for hospitals and other providers related to the Emergency Medical Treatment and Labor Act (EMTALA) during the COVID-19 pandemic. The FAQs address questions around patient presentation to the emergency department, EMTALA applicability across facility types, qualified medical professionals, medical screening exams, patient transfer and stabilization, telehealth, and other topics.
Listen to a webinar introducing a toolkit for the benefit of frontline healthcare workers and psychosocial professionals helping to support healthcare workers who may be experiencing traumatic stress. Adapted from an intervention used for parents of children with cancer. Transcript available by clicking the three dots above the Subscribe button. Sponsoring organization: Center for Pediatric Traumatic Stress
In response to the COVID-19 pandemic, the Pennsylvania Office of Rural Health has updated it’s Rural Health Clinic program page to house important information and resources for Rural Health Clinics during this time. This page will be updated regularly.
PORH has added a section to it’s Oral Health Program page to house all Oral Health updates related to COVID-19. Click here to see more!
March 18, 2020
How can telehealth be used in response to COVID-19? Access the full toolkit from the National Consortium of Telehealth Resources Center.