Lance's Corner

HRSA Issues Health Newsletter

Oct 16, 2024

The United States Health Resources and Services Administration (HRSA) has issued its latest health newsletter, which you can read below.

September in Brief

In September 2024, HRSA took historic steps to modernize the nation’s organ transplant system; awarded new funding to launch or expand mental health and substance use disorder services at more than 400 community health centers; presented at the National Academy of State Health Policy’s Conference and visited Vanderbilt University’s Nursing Program; announced nearly $100 million in awards to grow, support, and strengthen the health workforce; joined a panel discussion at the Kennedy Forum’s 2024 Alignment for Progress Conference; released new awards to strengthen rural health care; attended the Secretary’s Tribal Advisory Committee Meeting; presented at the U.S. Conference on HIV/AIDS, and more.

Recent HRSA Highlights

HRSA Takes Historic Steps to Modernize the Nation’s Organ Transplant System

On September 19, HRSA announced the first-ever multi-vendor contract awards to modernize the nation’s organ transplant system. For the first time in 40 years, multiple contractors will contribute their expertise and experience to improve the national organ donation and transplant system for the more than 100,000 people on the organ transplant waitlist. The transition from a single vendor to multiple vendors to support operations of the OPTN is a critical step in advancing innovation in the transplant system to better serve patients and their families. HRSA also announced in September that the overhaul of the Organ Procurement and Transplantation Network (OPTN) Board of Directors—the governing board that develops national organ allocation policy. The OPTN Board is now separately incorporated and independent from the Board of long-time OPTN contractor, the United Network for Organ Sharing. These historic actions are critical steps in implementing the bipartisan Securing the U.S. Organ Procurement and Transplantation Network Act signed by President Joe Biden in September 2023.

HRSA Announces Major Investment To Integrate Mental Health and Substance Use Disorder Services into Primary Care

carole at mental health conferenceOn September 19, HRSA Administrator Carole Johnson announced $240 million in awards to launch and expand mental health and substance use disorder services in more than 400 HRSA-funded community health centers that provide care for more than 10 million people across the country. The announcement was made during the Mental Health America Conference in Washington, DC, attended by thousands of advocates, clinical leaders, people with lived experience, and their families.


mha group photoHRSA-funded health centers are a primary source of care for people who are uninsured, underinsured, or enrolled in Medicaid, making them well-positioned to respond to the urgent need for high-quality behavioral health services that are stigma-free, culturally competent, and readily accessible. The grants will help expand access to needed care to help tackle the nation’s behavioral health and opioid crises—two pillars of the Biden-Harris Administration’s Unity Agenda for the nation.

HRSA Leaders Join National Academy for State Health Policy Annual Conference and Visits Nursing Program at Vanderbilt University

carole at vanderbiltOn September 9 and 10, HRSA Administrator Johnson and Bureau of Health Workforce Acting Associate Administrator Dr. Candice Chen spoke at the National Academy for State Health Policy (NASHP) Annual Conference in Nashville, Tennessee. They highlighted HRSA programs that support the primary care and community-based health workforce.


vanderbilt group photo with caroleAdministrator Johnson and Dr. Chen also visited Vanderbilt University to hear from students and faculty participating in a HRSA-funded Maternity Care Nursing Workforce Expansion Training Program, which trains nurse-midwives to provide maternal health care in rural and underserved areas.

HRSA Announces Nearly $100 Million To Grow the Health Workforce

becerraOn September 17, HRSA announced nearly $100 million in awards to grow, support, and strengthen the health workforce and improve access to quality care in high-need areas across the country. The awards will expand the number of nurses and primary care physicians, promote behavioral health as part of pediatric care, and support behavioral health needs of children in families impacted by the opioid crisis.
The announcement was made in conjunction with a Department of Health and Human Services (HHS) Health Workforce Roundtable convened as part of HHS Secretary Xavier Becerra’s Health Workforce Initiative.

HRSA Joins Panel Discussion of Biden-Harris Administration Leaders at the Kennedy Forum’s 2024 Alignment for Progress Conference

alignment for progress caroleOn September 25, HRSA joined a panel discussion of Biden-Harris Administration leaders on behavioral health at the Kennedy Forum’s 2024 Alignment for Progress Conference in Washington, DC. The conference brought together leaders in mental health and substance use prevention, treatment, and care. The White House’s Terri Tanielian moderated the panel session, which included HRSA Administrator Johnson, Assistant Secretary for Mental Health and Substance Use Miriam Delphin-Rittmon, and Assistant Secretary for Health Admiral Rachel Levine.

In her remarks, Administrator Johnson highlighted HRSA’s support for the health workforce, HRSA-funded health centers, and HRSA’s proposal to establish a program that will offer training opportunities for young people to serve as behavioral health peer-support specialists. This program will not only expand much-needed support services to young people struggling with mental health challenges, but it will also provide a pathway to behavioral health careers.  

HRSA Announces $75 Million Investment in Rural Health Care and Hosts Rural Roundtable in North Carolina

wilson north carolina event

On September 24, HRSA announced a $75 million investment in rural health care to support rural substance use disorder treatment and recovery services, expand access to maternal health care in rural communities in the South, and help rural hospitals stay open.

As part of the announcement, HRSA Administrator Johnson led a roundtable at Wilson County Substance Prevention Coalition in Wilson, North Carolina, to discuss challenges facing service providers in rural areas like Wilson County and highlight the impact of this investment on rural health care.

HRSA Participates in Secretary’s Tribal Advisory Committee

tribal advisory committee

HRSA Chief of Staff Garrett Devenney represented HRSA during the September Secretary’s Tribal Advisory Committee (STAC) meeting in Tacoma, Washington. The annual meeting is a critical opportunity for the Department to engage with tribal governments and work together on health programs and opportunities in Indian country.
HRSA Office of Intergovernmental and External Affairs (IEA) Acting Deputy Associate Administrator Sharon Turner and Tribal Affairs Senior Advisor Ivy Vedamuthu also visited the Puyallup Tribal Health Authority, a Teaching Health Center Graduate Medical Education Program grantee in Washington.

HRSA Highlights Role of Collaboration in Improving HIV Health Outcomes at 2024 Conference on HIV/AIDS

ryan white southern eventHRSA’s HIV/AIDS Bureau highlighted efforts to end the HIV epidemic at the 2024 U.S. Conference on HIV/AIDS in New Orleans, Louisiana, held September 12 through 15. The U.S. Conference on HIV/AIDS is the HIV community’s largest conference dedicated to HIV/AIDS. This year’s conference focused on improving HIV health outcomes in the southern United States.


ryan white southern event uschaHIV/AIDS Bureau Deputy Associate Administrator Heather Hauck and staff joined with federal partners, Ryan White HIV/AIDS Program grantees, and HIV community leaders. She explained HRSA’s efforts in community engagement, the role of implementation science within the Ryan White HIV/AIDS Program, and efforts to improve HIV health outcomes through collaborative approaches to public health.

HRSA Exhibits at Congressional Black and Congressional Hispanic Caucuses Conferences

congressional black and hispanic caucusesStaff of HRSA IEA, the Office of Legislation, and program offices exhibited at the Congressional Black Caucus Foundation Annual Legislative Conference held September 11 – 13 and the Congressional Hispanic Caucus Institute Leadership Conference held September 17 – 18. These events were key opportunities to share information about HRSA programs and investments and our work to improve health outcomes for African American and Hispanic/Latino communities across the country.

News From the Regions

HRSA IEA Regions Present Grants 101 Workshops

grants 101 workshopsHRSA IEA continues to host Grants 101 Workshops across the country to reach new populations and promote HRSA funding opportunities, especially in rural and underserved communities.
  • On September 11, HRSA IEA Region 6 (Arkansas, Louisiana, New Mexico, Oklahoma, and Texas) and Region 7 (Iowa, Missouri, Nebraska, and Kansas) hosted a Grants 101 Workshop in Sikeston, Missouri, to highlight HRSA programs and the federal grant application process for attendees from across the Delta Region.
  • On September 17, HRSA IEA Region 7 (Iowa, Missouri, Nebraska, and Kansas) hosted a Grants 101 Workshop in Colby, Kansas, to teach potential applicants about HRSA and the federal grant application process.
  • On September 25, HRSA IEA Region 7 (Iowa, Missouri, Nebraska, and Kansas) presented a Grants 101 Workshop at the 2024 Federal Partners Grant Writing Workshop hosted by the Environmental Protection Agency in Lenexa, Kansas.
  • On September 27, HRSA IEA Region 2 (New York, New Jersey, the U.S. Virgin Islands, and Puerto Rico) was invited by the Puerto Rico House of Representatives to present a HRSA Grants 101 Workshop to highlight the impact of HRSA programs in Puerto Rico and explain the federal grant application process during the Best Practices Seminar for Federal Programs. More than 200 members of the Puerto Rico House of Representatives, mayors across 78 municipalities in Puerto Rico, and federal partners attended the event.
Caption: Madeline Rossy (IEA) speaking at the Puerto Rico Best Practices Seminar.

HRSA Convenes Rural New York Forum on Substance Use Disorder

Octavia WissehOn September 10, HRSA hosted a substance use disorder (SUD) forum “Leveraging HRSA Resources to Address Substance Use Disorder in Rural New York's Primary Care Settings” in Syracuse, New York, to bring together federal, state, and local stakeholders focused on SUD prevention, treatment, and harm reduction. 

New York State Health Commissioner, Dr. James McDonald, opened the forum. Presenters from HRSA, New York State Department of Health, New York State Office of Addiction Services and Supports, HRSA-funded health centers, and the Substance Abuse and Mental Health Services Administration discussed strategies to address SUD prevention and treatment in rural communities.

Caption: Octavia Wisseh (IEA) presenting a Grants 101 Workshop during the Rural New York Forum on Substance Use Disorder.

HRSA Speaks on HHS Panel at Health Connect South’s Annual Gathering in Georgia

health connect panelOn September 18, HRSA IEA Region 4 (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee) Acting Regional Administrator Colleen McCarty served as a panelist at Health Connect South’s Annual Gathering in Atlanta, Georgia. She highlighted HRSA’s programs, resources, and role in fostering local innovations.

See News & Announcements on HRSA.gov.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc