Lance's Corner

HRSA Issues Regulatory Update

Oct 17, 2024

The United States Health Resources and Services Administration (HRSA) has issued an update on its regulatory activities.  You can read the complete HRSA regulatory update, with links to additional resources, below.

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October 17, 2024

HRSA’s Dr. Laura Cheever, Nationally Renowned Leader in HIV Care and Treatment, Announces Retirement

Dr. Laura CheeverHRSA’s Laura Cheever, MD, ScM, Associate Administrator of HRSA’s HIV/AIDS Bureau (HAB), announced that she will be retiring at the end of this calendar year after 25 years of federal service. Dr. Cheever joined HRSA in 1999 as the Branch Chief for the AIDS Education and Training Center program and became the Deputy Associate Administrator of HAB in 2002. She rose to HAB Associate Administrator in 2013. She has led the successful implementation of the Ryan White HIV/AIDS Program (RWHAP) and the $2.6 billion investment to support patient-centered HIV care and treatment to over half of all people with diagnosed HIV in the United States. Board certified in infectious diseases, she continued to see patients with HIV on a weekly basis for most of her federal career.

During her tenure at HRSA, she led efforts to publish client-level data and use it to drive improvements in HIV-related outcomes, with HIV viral suppression rates rising from 69.5% in 2010 to 89.6% in 2022 for RWHAP patients. She promoted the use of quality collaboratives and an implementation science approach to drive improvements and reduce disparities for key populations which she documented in peer-reviewed literature. Dr. Cheever championed increased community engagement to identify gaps and address needs to improve the program. After the passage of the Affordable Care Act, she led policy changes within the RWHAP to maximize the impact of the ACA for people served by the program. She provided leadership in developing the framework and rollout of the Ending the HIV Epidemic in the U.S. Initiative in 2020. She is proud of her work in the early President’s Emergency Plan for AIDS Relief program, leading the collaboration with CDC to quickly scale up initiation of highly active antiretrovirals to 1.4 million people between 2004 and 2011. Within HRSA and across government, she fostered collaboration to maximize impact with existing resources. She leaves a vibrant organization ready to take on the continued challenges of ending the HIV epidemic in the U.S.

Heather Hauck, the current Deputy Associate Administrator of HAB, will serve the Acting Associate Administrator.

Biden-Harris Administration Awards Nearly $19 Million to Help States Improve Maternal Health

state convening maternal
On October 9, HRSA announced nearly $19 million in awards to 15 states to identify and implement innovative strategies to address the maternal health crisis. Deputy Administrator Jordan Grossman, joined by Representative Robin Kelly (IL-02), Chair of the Congressional Black Caucus Health Braintrust and Co-chair of the bipartisan Maternity Care Caucus, announced these awards in Chicago, IL as part of HRSA’s latest Enhancing Maternal Health Initiative state convening.

HRSA announced the availability of this funding in December 2023 at a White House roundtable on innovation in maternal health convened by the Office of the Vice President Kamala Harris and the Domestic Policy Council in support of the White House Blueprint for Addressing the Maternal Health Crisis.

Read the release.

HRSA Observed National Latinx HIV/AIDS Awareness Day on October 15

latinx hiv aids awareness dayOn Tuesday, October 15, HRSA’s Ryan White HIV/AIDS Program observed National Latinx HIV/AIDS Awareness Day. On this day, HRSA joined the HIV community to highlight the impact of HIV on Hispanic/Latino/a communities, promote HIV testing, increase access to prevention, care and treatment services, and stop HIV stigma.
HRSA’s Special Projects of National Significance program has replicable interventions designed to expand outreach, access and retention in HIV care among Hispanic/Latino/a populations. Additionally, you can access the RWHAP find a provider tool  to search for HIV care and support services in your community.

HRSA in the News

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October

  • Bullying Prevention Month 
  • Corps Community Month 
  • National Breast Cancer Awareness Month 
  • National Domestic Violence Awareness Month

Funding Opportunities

Bureau of Health Workforce

National Health Service Corps Students to Service Loan Repayment Program - apply by November 7

Bureau of Primary Health Care

Service Area Competition (HRSA-25-017) - apply by October 29

Fiscal Year 2025 Health Center Controlled Network (HCCN) Cooperative Agreements - apply by December 2

Federal Office of Rural Health Policy

National Rural Health Information Clearinghouse Program - apply by December 9

State Offices of Rural Health Coordination and Development Program (SORHCDP) - apply by December 9

HIV/AIDS Bureau

Ending the HIV Epidemic in the U.S. – Ryan White HIV/AIDS Program Parts A and B - apply by October 22

Ending the HIV Epidemic in the U.S. – Systems Coordination Provider - apply by October 22

Ending the HIV Epidemic in the U.S. – Technical Assistance Provider - apply by October 22

AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) - apply by November 4

Ryan White HIV/AIDS Program Part C Early Intervention Services Program - apply by December 10

Maternal & Child Health Bureau

Partnership for National Maternal and Child Health Leadership - apply by January 3

View All Funding Opportunities

 

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