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Pennsylvania Oral Health Legislative Update

See below for important updates on oral health legislation in Pennsylvania. For more information on the bills, please contact Nicole at nicole@paoralhealth.org.

School Screenings by Public Health Dental Hygiene Practitioners

House Bill 1478 would amend the Public School Code allowing school districts to utilize a Public Health Dental Hygiene Practitioner (PHDHP) to fulfill requirements of Section 1403 of the Public School Code relating to mandated dental screenings in districts that do not employ a Certified School Dental Hygienist. This bill successfully passed through the House in October and was approved by the Senate Education Committee yesterday. HB 1478 will now move to the full Senate for consideration.

Restoring Adult Dental Coverage for Medicaid

Today, the Pennsylvania House of Representatives will review House Bill 1417 for its third and final consideration. The advancement of HB 1417 reiterates the impact that advocates can make along with the commitment of legislators to address the oral health needs of Pennsylvanians.

Expansion of Dental Care through Technology Act

Today, House Bill 1585 will be reviewed by the House Appropriations Committee. If passed out of committee, the bill will be returned to the House Floor for its third and final consideration. This bill would define teledentistry, and more importantly authorize the regulation of teledentistry by the State Board of Dentistry, as well as ensure that teledentistry services are covered by insurance carriers.

USDA Awards Two Housing Preservation Grants in Pennsylvania

U.S. Department of Agriculture (USDA) Rural Development State Director Bob Morgan announced two Housing Preservation Grant or HPG project awards.

The two projects were awarded to Safe Housing Inc. and DON Enterprises Inc. for a total of $551,524. The projects will support more than 36 homes across five counties in Pennsylvania. The HPG program provides grants to sponsor organizations for the repair and rehabilitation of housing owned or occupied by low- and very-low-income rural citizens.

“The Biden-Harris Administration and USDA are making record investments in rural America to ensure everyone in this country has a path to success,” Morgan said. “The investments we’re making today will have lasting economic and social benefits that will allow current and future generations to make a good life right at home in their rural communities.”

The investments are part of President Biden’s commitment to advance equity for all, including those who have been historically underserved, marginalized and adversely affected by persistent poverty and inequality.

Safe Housing Inc.’s grant of $275,762 will be used to conduct housing rehabilitation of owner-occupied low and very low-income residents in eligible areas of Adams County, Pennsylvania. They plan to repair six houses within Adams County. Grant funds will be used to remove health and safety hazards, correct code violations, and/or improve accessibility, if needed. The funds are an essential tool to assist folks, in Adams County, to maintain their homes. This project will help ensure that low and very low-income homeowners have a safe and decent home in which to live.

DON Enterprises Inc.’s grant of $275,762 will be used to conduct housing rehabilitation of owner-occupied low and very low-income residents in eligible areas. DON Enterprises, Inc. plans to repair 30 houses within Beaver, Butler, Lawrence, and Mercer counties in Pennsylvania. Grant funds will be used to remove health and safety hazards, correct code violations, and/or improve accessibility if needed. The funds are an essential tool to help folks, in counties served by DON Enterprise, Inc., to maintain their homes. These funds will go a long way to ensure that low and very low-income homeowners have a safe and decent home in which to live.

2022 National Survey on Drug Use and Health Released

The Substance Abuse and Mental Health Services Administration (SAMHSA) has released the results of their 2022 National Survey on Drug Use and Health and a companion infographic report (PDF). Findings include that more than 23% of adults aged 18 or older had any mental illness in the past year (59.3 million), with 6% suffering from serious mental illness (15.4 million). Among adolescents aged 12 to 17, nearly 20% (4.8 million) had a major depressive episode in the past year.

Reimagining Primary Care

It’s getting tough to get a doctor’s appointment these days. That’s a frustration for patients and a policy challenge Washington is trying to solve. Both Congress and the Biden administration are reimagining primary care to better serve patients. Sen. Bernie Sanders (I-Vt.), chair of the Senate panel responsible for the nation’s health care, has proposed legislation with Kansas Republican Sen. Roger Marshall that envisions a system in which more people would receive care at community health centers. Read more.

2022 Saw Increase in Number of Uninsured Children in Pennsylvania

The number of uninsured children in the state increased from 2021 to 2022, according to a report by the Pennsylvania Partnerships for Children. The rate of children in Pennsylvania without health insurance increased significantly from 4.4% to 5.2%, despite Medicaid enrollees having uninterrupted access to health insurance that connects them to doctor visits, immunizations, and well-visits that screen for physical and mental health. The finding was included in the partnership’s State of Children’s Health report. Based on the data, Pennsylvania has the fifth highest number of uninsured children in the nation. Learn more.

2022 ACS 5-Year Data Now Available

The 2018-2022 ACS Five-Year Estimates are now available from the U.S. Census Bureau. These estimates provide data for all Pennsylvania counties, municipalities, and other geographic areas regardless of population size. Our latest brief explores trends in language, poverty, and the foreign-born population. For instance, did you know that 50 percent or more of the population age 5 to 17 years old speak Spanish in twenty-two Pennsylvania counties? Click here to read the brief.

To read more about trends at the national level, click here to read the Bureau’s news release.

Additional Data Releases

The Census Bureau is set to release ACS, 5-year Public Use Microdata Sample (PUMS) files and Variance Replicate Estimate (VRE) tables on January 25, 2024. To view the complete release schedule, visit the data year 2022 release schedule. For more information on ACS topics, visit the Subjects Included in the Survey. To access the full set of statistics released today, visit data.census.gov.

Reminder: Proposed 2025 ACS and PRCS Content Changes 

The Census Bureau is inviting public feedback through a Federal Register notice on proposed changes to the 2025 American Community Survey (ACS) and Puerto Rico Community Survey (PRCS). The proposed content for the 2025 ACS and PRCS reflects changes to content and instructions that were recommended as a result of the 2022 Content Test. The Census Bureau periodically conducts tests of new and revised survey content to ensure the ACS and the PRCS meet the data needs of stakeholders.

The changes proposed for 2025 cover several topics: household roster, educational attainment, health insurance coverage, disability, and labor force questions. Additionally, three new questions are proposed to be added to the ACS and the PRCS on solar panels, electric vehicles, and sewage disposal.

The public may submit comments through 11:59pm ET on December 19, 2023.

Pennsylvania Rural Health Advocate Receives Individual Innovative Oral Health Champion Award

Kelly Braun, RDH, MSDH, rural primary care and integration coordinator at the Pennsylvania Office of Rural Health (PORH), received the 2023 Individual Innovative Oral Health Champion Award from the PA Coalition for Oral Health (PCOH). The award was presented on Nov. 17 at a ceremony held in Harrisburg, PA, during the 2023 Pennsylvania Oral Health Summit.

The Individual Innovative Oral Health Champion Award recognizes an individual who has demonstrated notable efforts on behalf of oral health progress in Pennsylvania and who, through innovative and outstanding contributions, has improved oral health in Pennsylvania at the local, regional or state levels.

In her position with PORH, Braun leads technical assistance activities for Rural Health Clinics (RHC) in Pennsylvania and rural health care integration, with a special emphasis on oral health. She is a registered dental hygienist and a public health dental hygiene practitioner.

The nomination, submitted by Eve Kimball, MD, a pediatrician from Wyomissing, PA, who serves as the secretary of the PCOH Board of Directors, lauded Braun for epitomizing the qualities inherent in great leaders: integrity, honesty, humility, passion, clear focus and drive for excellence. Since joining PORH in 2016, Braun has focused her passions for oral and rural care to advance the health status in rural Pennsylvania, other states and across the nation, Kimball noted.

Braun’s significant contributions to rural health services include launching a primary care/oral health integration model that is now the “Gold Standard” for other states implementing similar programs. Braun provided extensive input into the development of the Pennsylvania Oral Health Plan and the 2024-2028 Pennsylvania Rural Health Plan. She provides input into oral health legislation in the state and led a research project that compared the oral health status of rural and urban low-income Pennsylvania children.

Technical assistance on oral health issues given to the National Rural Health Association resulted in a robust national policy brief on the implications of oral health on health status.

Braun extends her knowledge of oral health through continuing education programs for health care providers, including community health workers and clinics across the state; promoting oral health screenings in K-12 settings with school nurses; and serving as a mentor to other states seeking to integrate oral health and primary care. She utilizes her clinical skills as a public health dental hygienist by volunteering at oral health “pop up clinics” across the state.

Finally, Braun has created significant credibility for PORH as a trusted source of oral health technical assistance and information and facilitated expanded collaborations with PCOH and the broader oral health community in the state and nationally.

On receiving the award and recognition, Braun said, “This work would not be possible without the support of amazing partners from across the state of Pennsylvania and beyond. Collaboration has truly been the key to success.”

The PA Coalition for Oral Health is a diverse group of leaders from across the state from schools of public health, philanthropic organizations, businesses, dental organizations, health insurance firms, advocacy organizations, state agencies and other champions. More information is available at paoralhealth.org.

PORH was formed in 1991 as a partnership between the federal government, the Commonwealth of Pennsylvania and Penn State. The office is one of 50 state offices of rural health in the nation and is charged with being a source of coordination, technical assistance, networking and partnership development.

PORH provides expertise in the areas of rural health, population health, quality improvement, oral health and agricultural health and safety. PORH is administratively located in the Department of Health Policy and Administration in the College of Health and Human Development at Penn State University Park. Visit porh.psu.edu to learn more.

Pennsylvania Oral Health Coalition Announces Community Water Fluoridation Funding Opportunity

Calling all Pennsylvania water systems! PCOH has additional funds available and is requesting proposals for Community Water Fluoridation (CWF) Equipment Grants. This grant seeks to issue funds to those public water systems wishing to initiate, update or expand the practice of community water fluoridation. This funding round gives priority to community water systems that are initiating a fluoridation program. Systems may be at any stage in the initiation process. Systems which have previously received equipment grants from PCOH may apply for equipment updates and replacements, although first-time applicants will receive priority consideration. The maximum request per water system currently fluoridating or wishing to initiate fluoridating may not exceed $50,000.

Applications are due December 31 by 5 pm. Please share with your local water system or municipality.

Click here for the guidelines.

Funding for this project is through the Pennsylvania Department of Health through the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) under Grant NU58DP006467: Using Surveillance Data and Evidence-based Interventions to Improve Oral Health Outcomes in Pennsylvania. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by CDC, HHS or the U.S. Government.