Lance's Corner

HRSA Issues Regulatory Update

Aug 28, 2025

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.

August 28, 2025

HRSA Administrator Highlights Agency Priorities at Key National Events

Throughout August, Administrator Tom Engels spoke to national and local stakeholders to spotlight HRSA’s priorities and create new opportunities to work together to advance HHS Secretary Kennedy’s Make America Healthy Again (MAHA) initiative.  On Aug. 4-5, the Administrator and other HRSA senior leaders spoke at the Association of Clinicians for the Underserved Annual Conference, where he highlighted HRSA’s efforts to expand access to quality health care through the Health Center Program and underscored HRSA’s efforts to grow and support the health workforce.
Next, on Aug. 12, Administrator Engels visited Family Healthcare of Hagerstown in Hagerstown, Md.  There, he discussed clinical successes and challenges, nutrition services, chronic disease management, and cancer screening with health center leadership.
At the National Association of Community Health Centers’ CHI Community Health Conference and Expo in Chicago, Aug. 18-19, Administrator Engels celebrated major milestones in the Health Center Program, marking 60 years of community health centers delivering high-quality primary care across the country.  He also announced that nearly 1,000 HRSA-funded health centers earned Community Health Quality Recognition badges for their clinical excellence in 2024.
While in Chicago, Administrator Engels also visited Family Christian Health Center to connect with leadership, staff, and patients and tour their innovative, community-based programs that align with HRSA and MAHA priorities to build an ecosystem of care that transforms lives.  Upon returning to Washington, D.C., Administrator Engels delivered opening remarks at the National Governors Association Roundtable on Outdoor Recreation and Health, Aug. 20, highlighting HRSA’s commitment to advancing physical health and nutrition.  The month concluded in Denver on Aug. 25 at the National Conference of State Legislatures’ Health and Human Services Chairs Meeting, where the Administrator discussed HRSA’s efforts to expand the health workforce, improve behavioral health, and strengthen maternal and child health with leadership from state health and human services committees.
Later that day, Administrator Engels also participated in a roundtable discussion on HRSA’s Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, hosted by the Colorado Department of Early Childhood.  There, he engaged with home visitors, families, and program leaders, hearing powerful stories of how home visiting services are empowering parents, strengthening family well-being, and giving children a strong start in life.

HHS Expands Oversight of Organ Transplant System with New Surveillance Tool

HRSA launched a public dashboard that surveils when organ offers and transplants occur outside the standard list of matched patients.  The tool tracks trends to help HHS crack down on noncompliance and give patients, families, and clinicians clear information about whether the system is operating fairly.  HRSA’s surveillance tool delivers on HHS Secretary Kennedy's major reform initiative to strengthen the integrity of the transplant system and restore public confidence following HRSA investigations that revealed disturbing practices related to patients being skipped for transplant and patient safety concerns in organ procurement.  Read the release.

Celebrating 60 Years of Community Impact During National Health Center Week

From Aug. 3-9, HRSA celebrated National Health Center Week (NHCW), which marked 60 years of the Health Center Program.  Health centers provide comprehensive primary care to over 32 million people, standing at the forefront of efforts to Make America Healthy Again.  Throughout the week, HRSA regional offices visited health centers across the country to connect with health center leaders and staff, learn how health centers are responding to local health needs, and participate in events to serve their communities.  Highlights included:
  • Joining Clarity Healthcare for their back-to-school bash in Hannibal, Mo
  • Celebrating the grand opening of Carevide’s newest facility in Farmersville, Tx
  • Attending MedCura Health’s Legislative Breakfast in Stone Mountain, Ga
In addition to local events, HRSA marked NHCW with several major announcements:
Read the release.

Commemorating 35 Years of the Ryan White HIV/AIDS Program

On Aug. 18, HRSA commemorated the 35th anniversary of the Ryan White HIV/AIDS Program (RWHAP).  It was a time to reflect on Ryan White’s enduring legacy and recognize the collective efforts of RWHAP recipients, people with HIV, and community partners to provide medical care, medication, and essential support services to people with HIV in the U.S.  When Congress passed the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act in 1990, the HIV epidemic looked vastly different than it does today.  Over the past 35 years, the RWHAP has grown to serve more than 570,000 people each year – which is over half of all people diagnosed with HIV in the U.S. – helping them live longer lives and manage their HIV as a chronic condition.  Today, a record-breaking 90.6% of patients receiving RWHAP medical care are virally suppressed.  This represents a dramatic increase from 69.5% in 2010 and significantly exceeds the national average of 67.2%.  Viral suppression means people with HIV taking their medication cannot sexually transmit HIV and can live longer and healthier lives.  Learn more.

Request for Comments: Newborn Screening

HRSA is requesting comments on potentially adding Metachromatic Leukodystrophy (MLD) and Duchenne Muscular Dystrophy (DMD) to the Recommended Uniform Screening Panel (RUSP).  HRSA is particularly interested in comments that address the potential benefit of early screening for these conditions within the newborn period and the ability of states to perform these newborn screening tests.  For more information, including how to submit comments, please review the Federal Register Notices.  Comments must be received by Sept. 15, 2025.  MLD Federal Register Notice and DMD Federal Register Notice.

New Funding Opportunities Reinforce Support for Organ Transplantation and Living Donors

HRSA announced two new investments to expand outreach, education, and financial support for living organ donors, reinforcing its commitment to improving access to organ transplantation and supporting those who choose to give the gift of life through living donation.  The National Living Donor Assistance Center (NLDAC) received funding to continue providing financial assistance to living organ donors through HRSA’s Living Organ Donation Reimbursement Program (LODRP).  Eligible donors may receive help covering expenses as travel, lodging, meals, childcare, and lost wages.  Additionally, for the first time, HRSA is funding targeted outreach and public education efforts under the Public Education for Living Organ Donation Reimbursement Program.  These efforts will raise awareness about the financial support available to living organ donors through HRSA’s LODRP.  Are you thinking of becoming a living organ donor?  Learn more and apply for help at the National Living Donor Assistance Center.

GrantSolutions Grants Management Module Training

HRSA is transitioning some functionality within the Electronic Handbooks (EHBs) to GrantSolutions, a shared service provider that supports the full lifecycle of grants management.  The purpose of this transition is to streamline grants management activities and enhance operational efficiencies across HHS.  Join HRSA for the Introduction to GrantSolutions - Grants Management Module training.  This training is for active HRSA award recipients who will have a role managing grants for their organization.  Training topics will include obtaining and managing a user account, navigating the system, searching for grant awards, and system notifications and messaging.  Additional topics, including training on award amendments, will be available at a later date.  Available training dates are listed below.  Participants only need to register for one session.  The training will be recorded.
E-mail GSQuestions@hrsa.gov any questions about the training, accessibility, or the transition.

August

  • National Breastfeeding Month
  • National Minority Donor Awareness Day (1)
  • National Health Center Week (3-9)
  • World Breast Cancer Research Day (18)
  • International Overdose Awareness Day (31)

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