House & Senate Go on Recess Despite No New COVID-19 Relief 

The Senate adjourned and began their October Recess, despite the lack of a new COVID-19 relief package. Their recess is expected to last until November 9th. With the House also in recess until Nov. 16th, it is unlikely that another COVID-19 relief bill will pass soon. Yet, rural providers and patients across the country are in dire need of relief. Some rural counties are experiencing their greatest spikes in COVID-19 cases to date, and rural hospital beds are filling quickly, while the rural health workforce is being stretched thin.

NRHA 340B Update 

Senator Chuck Grassley (R-IA) tweeted that he and Joni Ernst (R-IA) talked with top HHS officials about the 340B Drug Pricing Program and its importance to rural providers. Senate Finance Committee Chairman Senator Grassley explained the unique support the drug discounts bring to rural safety-net providers, especially during the pandemic. NRHA is hopeful that after election there will be an appetite for Congress to provide HHS with the tools they need to rein in these ongoing, unwarranted attacks from pharmaceutical manufacturers.

HHS Expands Relief Fund Eligibility and Updates Reporting Requirements 

The U.S. Department of Health and Human Services (HHS) released an updated Frequently Asked Questions (FAQ) document regarding the Provider Relief Fund (PRF). Additionally, last week, HHS expanded the types of providers that are eligible for Phase 3 of the PRF to include behavioral health providers and residential treatment facilities, physician assistants and advanced practice nursing providers, and oral health providers, amongst others. Providers may submit applications until November 6, 2020. NRHA is analyzing the updated FAQ document to understand if there are outstanding questions HHS needs to answer.

Preparing for a Community Surge in COVID-19 Cases

This web portal, housed on the Rural Health Information Hub, aims to provide the most up-to-date and critical resources for rural health care systems preparing for and responding to a COVID-19 surge.  It was developed by the COVID-19 Healthcare Resilience Working Group, a partnership with the U.S. Department of Health & Human Services, the U.S. Department of Homeland Security, and other federal agencies to support health care delivery during the pandemic.

Delayed Start Date for the Radiation Oncology Payment Model

In response to stakeholder feedback, the Centers for Medicare & Medicaid Services (CMS) is changing the start date of the Radiation Oncology Model to July 1, 2021, instead of January 1.  Participation in this model is required for all providers of radiotherapy treatment.  It creates a single, bundled payment system that is the same across providers, regardless of whether care occurs in an outpatient department or in a physician’s office.