House Takes Action on Telehealth

The House Energy & Commerce Committee considered sixteen bills on September 18, including the bipartisan Telehealth Modernization Act (H.R. 7623). This NACHC-endorsed bill includes:

·    a two-year extension of existing Medicare telehealth coverage flexibilities involving health center patients and providers’ locations and audio-only access, and

·    a fix in the disparity in payment between in-person and telehealth medical visits, which would increase telehealth visits by about $100.

Pennsylvania Governor Shapiro Signs EO Creating Pennsylvania’s First Housing Action Plan to Increase Affordable Housing

Pennsylvania Governor Josh Shapiro signed Executive Order 2024-03, directing his Administration to create Pennsylvania’s first comprehensive Housing Action Plan to address the state’s housing shortage, address homelessness, and expand affordable housing options – ensuring Pennsylvanians have access to safe, affordable housing and attracting more people to live here in the Commonwealth. The Executive Order tasks the Department of Community & Economic Development (DCED) with leading the plan’s development, working alongside various stakeholders to identify housing needs and devise a strategic response. The Housing Action Plan will guide efforts to expand affordable housing and provide support to the unhoused. It will also ensure a coordinated, multi-agency approach involving state, local, and federal partners, as well as private organizations. Click here to learn more.

Portal Launched to Report Data Breaches Impacting Pennsylvania

Pennsylvania Attorney General Michelle Henry announced the launch of an online portal to streamline the process for companies and other entities reporting data breaches impacting more than 500 Pennsylvania residents — which is required under Pennsylvania law beginning on September 26, 2024. Credit reporting companies, or other entities that hold personal data, must report data breaches to the Office of Attorney General, pursuant to the recent amendments to Pennsylvania’s Breach of Personal Information Notification Act (BPINA). Governor Josh Shapiro approved amendments to BPINA when a data breach affected more than 500 Pennsylvanians. The companies must also provide impacted individuals with 12 months of credit monitoring and access to a credit report, if the breach involves the person’s name and Social Security Number, bank account number, or driver’s license or state ID number. Click here to access the reporting portal.

CMS Releases Factsheets and Website for the Medicare Prescription Payment Plan

Last week, the Centers for Medicare & Medicaid Services (CMS) released factsheetstakeaway cards, and a new website related to the Medicare Prescription Payment Plan. The factsheets and takeaway cards are available in English Spanish, Chinese, Korean, and Vietnamese.  The Medicare Prescription Payment Plan is a new payment option in the Inflation Reduction Act of 2022 that works to assist Medicare beneficiaries with management of their out-of-pocket expenses by spreading copayments across the calendar year. Beginning in 2025, anyone with a Medicare drug plan or Medicare health plan with drug coverage can use this option. Additionally, an enrollee’s out-of-pocket spending for insulin and 10 other frequently used drugs will be capped at $2,000 per year. In March 2024, the Assistant Secretary For Planning and Evaluation released a report that estimates this cap will help enrollees who take high-priced drugs, including rural enrollees.

Finalized Requirements Related to the Mental Health Parity and Addiction Equity Act

On September 13, the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury released the final rule Requirements Related to the Mental Health Parity and Addition Equity Act. The rule finalizes standards for determining network composition and out-of-network reimbursement rates, adds protections against more restrictive, Non-Quantitative Treatment Limitations in coverage; and prohibits plans from using biased or non-objective information and sources that may negatively impact access to mental health and substance use disorder care. The rule will be published September 23rd with an effective date of November 23, 2024.