Marketplace Health Coverage 2022 Open Enrollment Period Ends

The U.S. Department of Health and Human Services (HHS) announced 13.8 million Americans enrolled in marketplace health coverage ahead of the Jan. 15 deadline. This includes more than 360,000 Pennsylvanians, 90% of whom are receiving financial assistance to pay for their monthly Pennie premiums, in part due to the American Rescue Plan. Forty-four health centers and partners are providing enrollment assistance to consumers with in-person, virtual and telephonic appointments. Pennie.com has introduced new resources and materials for assisters and consumers to better understand the enrollment process and plan selections: https://pennie.com/. Outside of open enrollment, consumers who experience a qualifying life event can enroll using a special enrollment period  within 60 days of losing coverage. For more information and resources, please contact tia@pachc.org, Statewide Director, Outreach and Enrollment.

Congress Looks Towards Voting Rights, Government Funding as Progress on BBB Act Stalls

As progress on the Build Back Better (BBB) Act negotiations has stalled, Senate Majority Leader Chuck Schumer (D-NY) has shifted focus to voting rights. He has pledged to bring up a vote on amending the filibuster by January. 17, 2022, if voting rights reforms do not pass, but Sens. Joe Manchin (D-WV) and Kyrsten Sinema (D-AZ) continue to oppose filibuster changes. Congress must also pass another continuing resolution or an omnibus appropriations bill by February. 18, 2022. Negotiations over a compromise omnibus bill appear to be progressing as House Democrats are beginning to support a $740 billion defense spending plan, which is $25 billion higher than the President’s request. A compromise funding bill could also include supplemental funding to address the ongoing pandemic.

Pennsylvania Responds to Cries for COVID-19 Help

Pennsylvania Governor Tom Wolf announced the state is working to increase healthcare capacity to deal with the surge of COVID-19 cases. The Pennsylvania Department of Health and the Pennsylvania Emergency Management Agency are coordinating the undertaking. The plans involve adding hospital beds within regions for 60 days to absorb patients from swamped hospitals. Additional medical support staff are to include physicians, respiratory therapists and registered nurses. Other staff will be sent directly to hospitals in need over the next three months. Certain nursing homes also will get additional beds, registered nurses and aides to allow hospitals in the area to discharge patients in need of long-term rehab or care more quickly, according to an Associated Press report.

Senate Committee on Health, Education, Labor and Pensions Examines the Federal COVID-19 Response

The Senate Committee on Health, Education, Labor, and Pensions (HELP) held a hearing examining the federal COVID-19 response.  Witnesses Dr. Anthony Fauci, Dr. Rochelle Walensky, Dr. Janet Woodcock and Dawn O’Connell testified on behalf the NIAID, NIH, CDC, FDA, and HHS. The hearing focused on clarification of new guidance and guidelines for COVID-19 exposure and isolation. HELP Committee Chair Patty Murray (D-WA) is working on putting together another small, targeted public health package to address issues exacerbated by the COVID-19 pandemic, and help prepare the public for the next public health emergency.

Biden Administration to Distribute Free, At-Home Rapid COVID-19 Tests

President Biden announced that, starting January 19th, the Administration will begin distributing at-home, rapid COVID-19 tests to American homes for free at COVIDTests.gov. This program will ensure that Americans have at-home, rapid COVID-19 tests available in the weeks and months ahead—in addition to the number of other ways they can get tested. The Administration is quickly completing a contracting process for the unprecedented purchase of one billion at-home, rapid tests to distribute as part of this program. You can find more details below about how to order an at-home test, and we encourage you to share this information broadly with your communities.

  • Ordering Process: Starting on January 19, Americans will be able to order a test online at COVIDTests.gov. To ensure broad access, the program will limit the number of tests sent to each residential address to four tests. Tests will usually ship within 7-12 days of ordering.
  • Distribution and Delivery Process: The Administration will partner with the United States Postal Service to package and deliver tests to Americans that want them. All orders in the continental United States will be sent through First Class Package Service, with shipments to Alaska, Hawaii, and the U.S. Territories and APO/FPO/DPO addresses sent through Priority Mail.

Ensuring Equity and Reaching Hardest-Hit Communities: The Administration is taking a number of steps to ensure this program reaches our hardest-hit and highest-risk communities. This includes prioritizing processing orders to households experiencing the highest social vulnerability and in communities that have experienced a disproportionate share of COVID-19 cases and deaths, particularly during this Omicron surge; launching a free call line, so that Americans who have difficulty accessing the internet or need additional support can phone-in orders for their tests; and, working with national and local organizations with deep experience serving communities of color, people living with disabilities, and other high-risk communities to serve as navigators, raise awareness about the program, and help people submit requests.

CDC Launches New Health Equity in Cancer Website

The new Health Equity in Cancer website features CDC’s health equity work in cancer prevention and control. The site also focuses on disadvantages some groups of people face in preventing cancer. Health equity in cancer is when everyone has an equal opportunity to prevent cancer, find it early, and get good treatment and follow-up after treatment is completed.

CDC’s National Breast and Cervical Cancer Early Detection Program is a champion for health equity. Its purpose is to support access to screening for people who are medically underserved and have low incomes.

NEW: Accessibility for People with Limited English Proficiency

Many public health agencies and healthcare systems use websites and other digital platforms (e.g., social media, videos, podcasts) to provide information and services to the public. Limited English proficiency should not prevent people from accessing these resources.

Improving Access to Public Websites and Digital Services for Limited English Proficient (LEP) Persons is a new and valuable publication filled with best practices that can help you break down digital barriers for people whose primary language is not English. The publication also shows examples of websites, site navigation patterns, language selectors, and more. Use this resource to ensure that people with LEP can access your information and services.

In Pennsylvania: LGBTQ+ Cancer Screening Disaparities

According to the 2020 Pennsylvania LGBTQ+ Health Needs Assessment, many LGBTQ+ individuals never receive proper cancer screening services. For example, compared to the general population, LGBTQ+ individuals eligible for pap smears were more than 3 times as likely to never have one. A resource that is available to address this need is the PA Breast and Cervical Cancer Early Detection Program (PA-BCCEDP), a program that provides free breast and cervical cancer screening to those who qualify including Pap tests, HPV tests, mammograms, and follow-up diagnostics for abnormal screening results. Clients must have income less than 250% of the federal poverty income guidelines, be uninsured or underinsured (high co-pays or deductibles) and live in Pennsylvania.

The age range for breast services is 40-64 and cervical services is 21-64. Younger high-risk clients may also be eligible. Transgender individuals may also be eligible. PA-BCCEDP does not cover the costs of HPV vaccines; however, the HPV vaccine is cervical cancer prevention. The vaccine is nearly 100% effective in preventing HPV-related cancers; it is recommended for ages 11-12 and is available for people up to 45 with clinician recommendation. Free HPV vaccines may be available for up to age 18 through the Pennsylvania Vaccines for Children Program. For more information regarding LGBTQ+ populations and cancer planning, please visit the National LGBT Cancer Network website.

Health Plans Can No Longer Impose Cost Sharing for Follow-up Colonoscopy

The policy loophole that allowed patients to be charged for colonoscopy following a positive non-colonoscopy screening text has been plugged. On January 10, the U.S. Departments of Labor, Health and Human Services, and the U.S. Treasury issued FAQs regarding coverage of colonoscopies pursuant to USPSTF recommendations. The FAQ specifies that plans are required to cover without cost-sharing, a follow-up colonoscopy performed to evaluate a positive non-invasive stool-based screening test or direct visualization test. Plans and issuers must provide coverage without cost sharing for plan or policy years beginning on or after May 31, 2022.

There are some limitations, to find out more visit View the FAQs (see questions seven and eight on pages 11-12). You can also visit the American Cancer Society’s CAN press release to learn more at: New Guidance from Administration Helps Ensure Coverage for Follow-up Colonoscopies, Will Save Lives from Colon Cancer.