Appalachian Regional Commission: 58 Years of Serving Appalachia

The Appalachian Regional Development Act of 1965, which formally established ARC to help strengthen economic growth in the region, was signed into law 58 years ago today! Since then, we have invested more than $4.5 billion in approximately 29,000 economic development projects across all 13 Appalachian states.

Despite this progress, there’s more work to be done, which is why we’re excited to award up to $145 million this year through ARISE, INSPIRE, and POWER! Explore our current funding opportunities and help us build on economic growth and progress in the Appalachian Region.

Learn more here.

Pennsylvania Organization for Women in Early Recovery

Since 1991, the Pennsylvania Organization for Women in Early Recovery (POWER) has offered tailored treatment and support services to women in recovery. An ARC INSPIRE grant helped them enhance treatments, expand support offerings, and widen their service area to help even more women sustain recovery and enter the workforce

Announcing a 2-year Extension of Guidance Regarding Non-U.S. Citizens with Valid Social Security Numbers and Employment Authorization Documents

The Single Family Housing Guaranteed Loan Program (SFHGLP) is pleased to announce a two year extension of guidance originally published on April 29, 2022 which makes non-U.S. citizens with valid Social Security Numbers (SSN) and work authorization, as evidenced by documentation such as an Employment Authorization Document (EAD), Form I-766, temporarily eligible to apply for assistance. This extension expires on May 2, 2025.

Please note, applicant(s) must meet all other criteria set forth in 7 CFR Part 3555 and Handbook 1-3555.

Thank you for supporting the Single-Family Housing Guaranteed Loan Program!

Help Resources

Rural Development Help Desk:

For GUS system, outage or functionality assistance

Email: RD.HD@USDA.GOV

Important Links:

SFHGLP Lending Partner Webpage: https://www.rd.usda.gov/page/sfh-guaranteed-lender

SFHGLP Webpage:https://www.rd.usda.gov/programs-services/single-family-housing-guaranteed-loan-program

USDA LINC Training and Resource Library:

https://www.rd.usda.gov/programs-services/lenders/usda-linc-training-resource-library

Procedure Notices: https://www.rd.usda.gov/resources/directives/procedures-notices

 

Notice of Potential Changes to Eligible Area Maps for USDA Rural Development Housing Programs in Pennsylvania

USDA Rural Development is conducting a review of all areas under its jurisdiction to identify areas that no longer qualify as rural for housing programs.  The last rural area reviews were performed in 2017-2018 using 2015 American Community Survey (ACS) data.  Rural area designations are reviewed every five years. This review will utilize the 2020 United States decennial census data.

Based on the 2020 US census data and rural area guidance located in Handbook HB-1-3550, Chapter 5, the rural eligibility designation is under review for the following areas in Pennsylvania:

Currently eligible communities under review (population):

  1. Northampton and Lehigh Counties – (Bethlehem Line Adjustment)

Currently eligible communities under review (Rural in Character):

  1. Columbia County – Bloomsburg (“Rural in Character” under review.)
  2. Columbia County – Berwick (“Rural in Character” under review.)
  3. Lancaster County – Ephrata (“Rural in Character” under review.)
  4. Lancaster County – Elizabethtown (“Rural in Character” under review.)
  5. Franklin County – Chambersburg (“Rural in Character” under review.)
  6. Franklin County – Waynesboro (“Rural in Character” under review.)

Ineligible communities under review (expansion of ineligible areas):

  1. Lancaster County – Columbia (Line Adjustment)
  2. York County – Weigelstown (Line Adjustment)
  3. Allegheny County – Franklin Park (Line Adjustment)
  4. Allegheny County – Monroeville (Line Adjustment)

Ineligible communities under review (reconsideration of eligibility):

  1. Lycoming County – Williamsport (Minor Boundary Adjustments)
  2. Montgomery County – Pottstown (Minor Boundary Adjustments)

The public shall have 90 days from the date of this public notice to submit comments regarding the potential loss of eligibility for Rural Development housing programs.  Comments should be sent to pasfh@usda.gov.  For details, or questions about specific changes, please contact the Pennsylvania Rural Development Housing Program staff at (717) 237-2186.

Struggling to Survive, the First Rural Hospitals Line Up for New Federal Lifeline

Just off the historic U.S. Route 66 in eastern New Mexico, a 10-bed hospital has for decades provided emergency care for a steady flow of people injured in car crashes and ranching accidents.

It also has served as a close-to-home option for the occasional overnight patient, usually older residents with pneumonia or heart trouble. It’s the only hospital for the more than 4,500 people living on a swath of 3,000 square miles of high plains  of Albuquerque.

“We want to be the facility that saves lives,” said Christina Campos, administrator of Guadalupe County Hospital in Santa Rosa. Its leaders have no desire to grow or be a big, profitable business, she said.

But even with a tax levy to help support the medical outpost, the facility lost more than $1 million in the past six months, Campos said: “For years, we’ve been anticipating kind of our own demise, praying that a program would come along and make us sustainable.”

Guadalupe is one of the nation’s first to start the process of converting into a Rural Emergency Hospital. The designation was created as part of the first new federal payment program launched by the Centers for Medicare & Medicaid Services for rural providers in 25 years. And though it is not expected to be a permanent solution to pressures facing rural America, policymakers and hospital operators alike hope it will slow the financial hemorrhage that continues to shutter those communities’ hospitals.

More than 140 rural hospitals have closed nationwide since 2010, and health policy watchers aren’t sure how many of the more than 1,700 rural facilities eligible for the new designation will apply. CMS officials said late last month that seven have already filed applications. Dr. Lee Fleisher, director of the Center for Clinical Standards and Quality at CMS, said how long it will take to review the applications will vary. The agency declined to provide the names or locations of hospitals seeking the designation.

Read more.

PA State Data Center Publishes New Briefs

See below for new briefs from the Pennsylvania State Data Center.  For more information, contact the Data Center at pasdc@psu.edu.

New Brief Highlights Median Household Income in Pennsylvania

Our latest brief details median household income in Pennsylvania. The brief explores differences by race and ethnicity at the state level and compares Black or African American households and White households at the county level. Read more on our Research Briefs page.

Census Bureau Updates

  • 2021 County business Patterns

The U.S. Census Bureau released the 2021 County Business Patterns (CBP) First Look data table. This preliminary tabulation includes the number of establishments; employment for the week of March 12, 2021; first quarter payroll; and annual payroll at the North American Industry Classification System (NAICS) sector level for the nation. Final CBP tables for 2021 are scheduled for release in April 2023. Click here to learn more.

  • New National Experimental Data Product about Wellbeing

The U.S. Census Bureau released the first set of estimates from the National Experimental Wellbeing Statistics (NEWS) project, an experimental data product that uses a new methodology to calculate income and poverty estimates. Click here to learn more.

  • New data from phase 3.7 of the experimental Household Pulse Survey (HPS)

The HPS is an effort by the Census Bureau and other federal statistical agencies to provide near real-time data on how the COVID-19 pandemic, and changes in social and economic conditions are affecting people’s lives to inform federal and state response and recovery planning. Click here to explore the data.

Just Launched: An Introduction to Value-Based Care in Oral Health

The CareQuest Institute for Oral Health is offering a new self-paced online course, “An Introduction to Value-Based Care in Oral Health: Moving from Volume to Value.” The one-hour course identifies how value-based care in oral health can improve patients’ health outcomes while benefiting providers and payors. It offers 1 CE credit and includes a collection of resources and references to learn more about the topic.

Click here for more information.

New Study Released: Silver Diamine Fluoride Effectiveness

A study of almost 3,000 children found silver diamine fluoride may be as effective as dental sealants for caries prevention. The study was reported in JAMA Network Open. The objective was to determine the noninferiority of silver diamine fluoride with fluoride varnish versus traditional glass ionomer sealants with fluoride varnish after two years when provided to children via a school-based health care program.

Click here to learn more.

COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet

As part of the Centers for Medicare & Medicaid Services’ (CMS) ongoing efforts to provide up-to-date information to prepare for the end of the Public Health Emergency (PHE) for COVID-19, which is expected on May, 11, 2023, we are providing a new overview fact sheet on CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency.  COVID-19 efforts have been a significant priority for the Biden-Harris Administration, and with the use of whole-of-government approach, the country is in a better place. Over the next several months, CMS will work to ensure a smooth transition back to normal operations.

The CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency provides clarity on several topics including:

  • COVID-19 vaccines, testing, and treatments;
  • Telehealth services;
  • Health Care Access

In the coming weeks, CMS will be hosting stakeholder calls and office hours to provide additional information. Please visit the CMS Emergencies Page for continuous updates regarding PHE sunsetting guidance as information becomes available to the public.

USDA Rural Development Announces Six Value Added Producer Grant Awards in Pennsylvania

U.S. Department of Agriculture (USDA) Rural Development State Director Bob Morgan announced that USDA is awarding six grants to agriculture producers in rural Pennsylvania.

“Ag producers are vital to the system that helps feed Pennsylvanians. Any time we can support them is a success for us as an agency,” Morgan said. “I am glad these grant funds are getting to operations for them to expand their markets and increase revenue.”

The grant awards total $894,290 for six projects in four Pennsylvania counties through the Value Added Producer Grants program.

The projects in Pennsylvania awarded funds today are listed below.

  • North Mountain Pastures LLC in Perry County was awarded a grant of $250,000 to help with processing costs as the farm goes through a growth phase over the next three years. The goal is to increase sales by reaching new customers through a strategic marketing campaign built around on-line marketing of direct-shipped meats. This is anticipated to increase its customer base by approximately 800 and its revenue by approximately $719,711 over a three-year period.
  • Roots to River Farm LLC in Bucks County was awarded a grant of $250,000 for processing and marketing an herbal fortified wine, made from its farm-grown fennel. This wine is aromatized with radicchio and herbs, along with a proprietary blend of spices and citrus. Funds will also be used for marketing the new product and securing a foothold in the increasingly competitive American aperitif market. This includes costs for advertising, web re-design and social media management. This project is anticipated to increase its customer base by roughly 6,000 and increase its revenue by approximately $215,000 over three years.
  • Katydid Hill LLC in Schuylkill County was awarded a grant of $250,000 for processing, packaging and marketing activities related to producing herbal tea blends grown on the farm. The goal is to increase sales through the expansion of the company’s market and product line. This project will serve a socially disadvantaged independent producer and is anticipated to increase its customer base by roughly 35,000 and its revenue by approximately $439,000 over a three-year period.
  • Manoff Market Cidery LCC in Bucks County was awarded a grant of $45,000 for processing and marketing activities to help launch a hard cider product into the Bucks County, Greater Philadelphia, and New Jersey areas. The goal of the project is to increase retail sales by promoting its products through print, visual and social media advertisements. This project is anticipated to increase its customer base by roughly 4,000 and its revenue by approximately $231,000 over a 15-month period.
  • Tinicum Farm Collective LLC in Bucks County was awarded a grant of $49,420 for processing, packaging and marketing activities to expand production of the popular and distinct Heirloom Pumpkin Pie to a wider wholesale market in the Greater Philadelphia Region. The goal is to increase sales to customers by providing a retail-ready product that will become the cornerstone of the farm and bakehouse. This project will serve a socially disadvantaged independent producer and is anticipated to increase its customer base by seven retail outlets and its revenue by approximately $45,000 over a one-year period.
  • Crooked Row Farm in Lehigh County was awarded a grant of $49,870 to process, market and sell hot pepper sauces, dried pepper powders, marinades, salad dressings, culinary oils, teas, and soaps made from its farm grown herbs and specialty peppers. Funds will also be used to enhance its online marketing capability. This project is anticipated to increase the farm’s customer base by 1,500 and its revenue by approximately $193,000 over a 12-month period.

Rural Hospitals Face Renewed Financial Challenges, Especially in States That Have Not Expanded Medicaid

Zachary Levinson , Jamie Godwin , and Scott Hulver
Published: Feb 23, 2023

Policymakers have had ongoing concerns about the financial health of rural hospitals and the implications  for access to care and the local economy. Rural hospital finances improved during the COVID-19 pandemic as a result of government relief funds. However, industry reports suggest that the outlook for the hospital sector as a whole deteriorated in 2022 as these funds have gone away and due to ongoing effects of the pandemic (such as labor shortages), rising prices, and investment losses. Concerns about the viability of rural hospitals have been cited as one factor that could potentially motivate lawmakers to expand Medicaid in the eleven states that have not already done so. These non-expansion states collectively account for about one-third (34%) of rural hospitals, based on our analysis of 2021 hospital cost report data.

In this data note, we provide a background on rural hospital finances and use hospital cost report data to describe operating margins among rural hospitals before and during the COVID-19 pandemic (see Methods for details). We find that median operating margins among the rural hospitals in our analysis increased earlier in the COVID-19 pandemic, likely as a result of government relief funds, but that these facilities face renewed financial challenges, especially in states that have not expanded Medicaid (Figure 1). Among rural hospitals in non-expansion states, median operating margins were 2.1 percent during the July 2021-June 2022 period and were -0.7 percent when excluding documented relief funds. In Medicaid expansion states, median operating margins dropped, but remained positive even after excluding documented relief funds.

Read more.