Lance's Corner

HRSA Issues Regulatory Update

Dec 5, 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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December 5, 2024

Ryan White HIV/AIDS Program Achieves Record-Breaking 90.6% Viral Suppression Rate Among Its More than 576,000 Clients

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On December 2, HRSA announced a record-breaking 90.6% of people with HIV receiving medical care through the Ryan White HIV/AIDS Program are virally suppressed, exceeding national viral suppression rates. Viral suppression means people with HIV taking their medication cannot sexually transmit HIV and can live longer and healthier lives. 

Read the release and check out the new 2023 Ryan White HIV/AIDS Program By the Numbers data infographic.
RWHAP served 576,040 clients in 2023; 44.2% Black; 26.6% Hispanic; 90.6% reached viral suppression.

 

HRSA Announces $52 Million Investment for Health Centers to Provide Care for People Reentering the Community After Incarceration

mHRSA recently announced nearly $52 million in awards for 54 HRSA-funded health centers to increase access to high-quality primary care for people soon to be released from incarceration and reentering the community.

As many as 80% of individuals returning to the community after incarceration have chronic medical, psychiatric, and/or substance use conditions. Researchers have reported that among individuals who are released from prison, opioid overdose is a leading cause of death with a risk more than ten-fold that of the general population. Individuals leaving incarceration also face many heightened health risks, including disproportionately higher rates of chronic conditions such as diabetes, hepatitis, and hypertension.

In addition to the funding announcement, HRSA has issued a new policy notice for all health centers clarifying the circumstances under which they may provide pre-release care to justice-involved individuals. This policy supports health centers to better meet the needs of their entire community and describes how health centers can provide health services to incarcerated individuals who are expected to be or are scheduled for release from a carceral setting within 90 days to help ensure continuity of care.

Read the press release.

 

New Health Workforce Projections Data Available

workforce projectionsHRSA just released the latest projections for the national supply, demand, and distribution of health care workers. Use the Workforce Projections Dashboard to explore supply and demand trends by occupation, state, year, and more.

Check out Health Workforce Projections for an overview of projections for different groups of workers, such as nurses and physicians, and details on our programs that seek to address future shortages.

 

HRSA in the News

image of a calendar

December

  • World AIDS Day (1)
  • National Handwashing Awareness Week (1-7)
  • National Influenza Vaccination Week (2-6) 
  • Seasonal Affective Disorder Awareness Month

Funding Opportunities


Bureau of Health Workforce

Behavioral Health Workforce Education and Training Program for Professionals - apply by January 21

Graduate Psychology Education Program - apply by January 21

Scholarships for Disadvantaged Students - apply by February 19

Nurse Faculty Loan Program - apply by February 24

Behavioral Health Workforce Development Technical Assistance Program - apply by March 3

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

Rural Veterans Health Access Program - apply by February 5

HIV/AIDS Bureau

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 

Maternal and Child Health Public Health Catalyst Program - apply by January 23

Centers of Excellence in Maternal and Child Health Education, Science, and Practice - apply by January 27

Pediatric Pulmonary Centers Program - apply by February 18 

Autism Secondary Data Analysis Research - apply by February 25

Maternal and Child Health Secondary Data Analysis Research - apply by February 25

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