The Centers for Medicare and Medicaid Services (CMS) is sharing “Five Things About Nursing Homes During COVID-19” part of an ongoing series by the U.S. Department of Health and Human Services. Safeguarding the health and well-being of the most vulnerable and fragile Americans is a top priority for the Trump Administration.  Watch to hear from Administrator Seema Verma about 5 things CMS is doing to stop the spread of coronavirus in nursing homes.

The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), awarded more than $21 million to support health centers’ COVID-19 response efforts. The majority of this investment—$17 million—supports 78 Health Center Program look-alikes (LALs) with funding to expand capacity for COVID-19 testing.

Due to the urgent need across the country to respond to the COVID-19 crisis, funding to expand capacity for COVID-19 testing is being made available to LALs through the Health Center Program. These LALs operate and provide services consistent with HRSA Health Center Program requirements; however, unlike HRSA-funded health centers, LAL operations are funded through mechanisms outside of the HRSA Health Center Program.

Currently, almost 88 percent of LALs report conducting COVID-19 testing in their communities, and 56 percent offer walk-up or drive-up testing. With this funding, LALs will expand the range of testing and testing-related activities to best address the needs of their communities, which will cover PPE purchases, workforce training, and laboratory diagnostic activities.

HRSA also awarded over $4.5 million to support the COVID-19 response of Health Center Controlled Networks (HCCNs). HCCNs support health centers to improve quality of care and patient safety by using health information technology to reduce costs and improve care coordination.

For funding details and to read the entire press release, please visit the HHS website here.

Pennsylvania State Fire Commissioner Bruce Trego announced that the Office of State Fire Commissioner (OSFC) opened registration on July 6 for state grants aimed at providing direct financial relief to fire, rescue and emergency medical service (EMS) companies negatively impacted by the ongoing COVID-19 outbreak.

“Fire, rescue and EMS companies throughout the state have struggled since the state began taking action to curtail the spread of COVID-19,” said Trego. “Increased operational tempo, and an inability to raise funds through community events have hit these organizations hard. The financial lifeline these grants provide will help hundreds of companies keep their lights on.”

Of the $50 million in funding set aside for this new program, $44 million will be made available to fire and rescue companies and the remaining $6 million will go to EMS companies. Grant funding must be used for operational and equipment expenses.

Additional guidance, including detailed registration instructions are available online at OSFC’s website. The registration period for this grant program ends August 7, 2020 at 4:00 P.M.

Pennsylvania Governor Tom Wolf signed a new executive order that protects homeowners and renters from eviction or foreclosure until Aug. 31, if they have not received assistance from a new program administered by the Pennsylvania Housing Finance Agency (PHFA) or are not already receiving relief through one of several federal foreclosure moratorium programs or judicial orders. Lenders and property owners that receive funds through the PHFA program agree not pursue foreclosure or eviction actions as a condition of participation in the program.

“I am taking this action to help families know they will have a roof over their heads and a place to live while all of us fight the COVID-19 pandemic,” said Gov. Wolf. “It takes one more burden off of people who are struggling and ensures that families can remain in their homes so they can protect their health and wellbeing.”

The governor signed legislation in May providing $150 million for rental assistance and $25 million for mortgage assistance through PHFA with CARES Act funds. PHFA began accepting applications July 6.

Eligibility information and applications for renters and homeowners is available on the PHFA website.

The U.S. Department of Veterans Affairs, Federal Housing Finance Agency, including Fannie Mae and Freddie Mac and the U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Agriculture have each extended eviction and foreclosure protections for housing under their authority to Aug. 31.

In almost all circumstances, renters and homeowners are required to continue making monthly payments if they can. Pennsylvanians struggling to make monthly payments should contact their landlord or mortgage servicer immediately. The governor’s executive order does not apply to proceedings regarding property damage or illegal activity.

The governor previously signed an executive order suspending evictions and foreclosures, which expires Friday. That action followed a Pennsylvania Supreme Court order which closed court eviction proceedings until May 11.

Today, U.S. Secretary of Agriculture Sonny Perdue announced an initial list of additional commodities that have been added to the Coronavirus Food Assistance Program (CFAP), and that the U.S. Department of Agriculture (USDA) made other adjustments to the program based on comments received from agricultural producers and organizations and review of market data. Producers will be able to submit applications that include these commodities on Monday, July 13, 2020. USDA’s Farm Service Agency (FSA) is accepting through Aug. 28, 2020, applications for CFAP, which helps offset price declines and additional marketing costs because of the coronavirus pandemic. USDA expects additional eligible commodities to be announced in the coming weeks.

USDA collected comments and supporting data for consideration of additional commodities through June 22, 2020.

Changes to CFAP include:

• Adding the following commodities: alfalfa sprouts, anise, arugula, basil, bean sprouts, beets, blackberries, Brussels sprouts, celeriac (celery root), chives, cilantro, coconuts, collard greens, dandelion greens, greens (others not listed separately), guava, kale greens, lettuce – including Boston, green leaf, Lolla Rossa, oak leaf green, oak leaf red and red leaf – marjoram, mint, mustard, okra, oregano, parsnips, passion fruit, peas (green), pineapple, pistachios, radicchio, rosemary, sage, savory, sorrel, fresh sugarcane, Swiss chard, thyme and turnip top greens.
• Expanding for seven currently eligible commodities – apples, blueberries, garlic, potatoes, raspberries, tangerines and taro – CARES Act funding for sales losses because USDA found these commodities had a 5 percent or greater price decline between mid-January and mid-April as a result of the COVID-19 pandemic. Originally, these commodities were only eligible for marketing adjustments.
• Determining that peaches and rhubarb no longer qualify for payment under the CARES Act sales loss category.
• Correcting payment rates for apples, artichokes, asparagus, blueberries, cantaloupes, cucumbers, garlic, kiwifruit, mushrooms, papaya, peaches, potatoes, raspberries, rhubarb, tangerines and taro.

Additional details can be found in the Federal Register in the Notice of Funding Availability (NOFA) and Final Rule Correction and at www.farmers.gov/cfap.

The Pennsylvania Department of Agriculture announced that the The Fresh Food Financing Initiative COVID-19 Relief Fund — funded through the CARES Act — is available to for-profit, nonprofit, or cooperative entities impacted by COVID-19, including grocery stores, corner stores, convenience stores, neighborhood markets, bodegas, food hubs, mobile markets, farmers markets, on-farm markets, urban farms, and food aggregation centers with a direct connection to direct-to-consumer retail outlets.

To be eligible, more than 50 percent of sales must be from staple and perishable foods to consumers and the retailer must serve customers that live in a low-to-moderate income area. Applicants must also provide access to affordable, high-quality fresh produce, meat and dairy products and other healthy grocery items for low-to-moderate income shoppers, and must accept SNAP and WIC to the maximum extent possible.

In recognition of the disproportionate impacts of both COVID-19 and food apartheid on communities made up of Black, Indigenous, and People of Color (BIPOC), and especially Black and African American communities, prioritization will be given to businesses owned by minorities and serving low-income BIPOC communities. Additional prioritization criteria include businesses located in or serving a USDA-designated food desert; businesses sourcing and selling Pennsylvania grown or processed products to the extent practicable; and applicants with supplier diversity and offering increased business opportunities for Minority Business Enterprises, Women Business Enterprises, Service-Disabled Veteran Business Enterprises, Veteran Business Enterprises, Lesbian, Gay, Bisexual, and Transgender Business Enterprises; and Disability-Owned Business Enterprises.

“This pandemic has revealed many things, one of the most prevalent has been about where our food comes from – how it gets from the farm to those who need it. This relief fund is about strengthening the local food system and improving food security and nutrition,” said Sec. Redding. “We need to stimulate local economies, increase market opportunities for Pennsylvania farmers, create jobs, and contribute to better health by improving access to fresh, local foods – we need to feed Pennsylvania, now and in the years to come. And that is all a part of this initiative.”

The program is administered by the Department of Agriculture in partnership with the Department of Community and Economic Development. Applications will be accepted through August 14, 2020. Grant funds will be distributed to eligible applicants for impacts related to COVID-19 that have been incurred between March 1, 2020 and November 30, 2020, such as:

• Higher operating costs related to cleaning and social distancing requirements, including costs related to outside contracting associated with managing social distancing, limited occupancy, and cleaning;
• Infrastructure improvements including renovation, new construction, or adaptive reuse directly related to COVID-19;
• Equipment purchases that improve the availability of quality fresh food, such as additional refrigeration to manage volume, or personal protective equipment such as plexiglass dividers;
• Inventory (higher cost of goods, higher transportation or delivery costs, or procuring Pennsylvania-grown produce, meat, and dairy products, or loss of product);
• Innovative food access technology such as mobile or pop-up markets, or mobile EBT reader technology;
• Costs to expand access to Pennsylvania grown or processed produce, dairy and meat products or provide stable market access for Pennsylvania farmers that have lost or limited markets; and
• Other one-time or increased expenses incurred related to COVID-19.

“The COVID-19 pandemic has highlighted the individuals and businesses that stepped up to protect and provide for their communities over the past several months, by supplying critical goods and services,” said Sec. Davin. “Little is as life sustaining as providing access to fresh, healthy food, especially in food-insecure areas. This funding will help alleviate the financial burdens placed on Pennsylvania’s food system during the pandemic and will ensure continued access to nutritional foods as we work toward greater recovery.”

The Pennsylvania Department of Agriculture (department) will accept applications until August 14, 2020.  If you have any questions about the application process or need an application sent to you via mail, please email Michael Roth at michroth@pa.gov.

To apply for funding, the applicant must submit the on-line Electronic Single Application for Assistance located at www.esa.dced.state.pa.us. In addition to the Electronic Single Application for Assistance, the applicant should provide the following items when applying for the grant. All items should be attached electronically to the ESA submission. Awarded grants are reimbursement grants, so applicants are responsible to spend all funds prior to submitting for reimbursement.

For full details on Fresh Food Financing Initiative COVID-19 Relief Fund eligibility, award amounts, additional prioritizations, and criteria visit agriculture.pa.gov/foodsecurity.

For information as it relates to agriculture during COVID-19 mitigation in Pennsylvania visit agriculture.pa.gov/COVID. For the most accurate, timely information related to Health in Pennsylvania, visit on.pa.gov/coronavirus.

The National Association of Counties (NACo) gives an overview of COVID-19 cases in nursing home facilities across the U.S., many of which are county-owned and operated.  The brief is a resource for counties on federal guidance, policies, and data and includes a case study on expanding testing in rural Linn County, Oregon.  Read more here.

Providers participating in state programs for Medicaid and the Children’s Health Insurance Program (CHIP) may still apply for emergency funding related to the pandemic distributed by the U.S. Department of Health & Human Services to support the health care safety net.  The initial Medicare-targeted General Distribution of funds through the CARES Act and the Payment Protection Program and Health Care Enhancement Act provided payments to nearly 320,000 providers who bill for Medicare fee-for-service.  The Medicaid and CHIP Targeted distribution will make the Provider Relief Fund available to an additional 800,000 providers.  The payment to each provider will be at least two percent of reported gross revenue from patient care; the final amount each provider receives will be determined after the data is submitted.  Applicants must submit their data in the online portal created for this purpose by July 20.  Find more information here.

The Centers for Disease Control and Prevention (CDC) has released interim guidance intended to help immunization providers safely administer vaccines during the COVID-19 pandemic. Routine vaccination during the COVID-19 pandemic is essential for protecting people and communities from vaccine-preventable diseases and outbreaks, including flu. This guidance will be reassessed and updated based on the evolving epidemiology of COVID-19 in the U.S.

The COVID-19 pandemic placed a spotlight on the homeless and home insecure population, highlighting the health challenges faced by this community and the additional risks posed by COVID-19. A new analysis estimates that homeless individuals infected by COVID-19 are two to four times as likely to require critical care and two to three times as likely to die compared to the general population. Hosted by the National Institute for Health Care Management (NIHCM) Foundation, this webinar examined the state of homelessness, its impact on health and strategies to improve outcomes for homeless individuals both in the short and long term.