Rural Health Information Hub Latest News

Kids Who Lost a Parent to COVID-19 May Qualify for Coverage

COVID-19 has claimed more than 600,000 lives in the U.S., and researchers estimate in JAMA Pediatrics that translates into more than 46,000 kids who have lost a parent. What surviving parents might not know is that children can receive survivor benefits when a parent dies if that parent worked long enough in a job that required payment of Social Security taxes. Only about half of the 2 million children in the U.S. who have lost a parent as of 2014 received the Social Security benefits to which they were entitled, according to a 2019 analysis by David Weaver of the Congressional Budget Office. Counselors said they find many families have no idea that children qualify for benefits when a working parent dies or don’t know how to sign up.

DOH Updates Vaccine Dashboard to Better Reflect Race, Ethnicity Data

Department of Health Acting Secretary Alison Beam announced the COVID-19 Vaccine Dashboard is now updated to better reflect the race and ethnicity of Pennsylvanians receiving the COVID-19 vaccine in the 66 counties outside of Philadelphia. The update to the dashboard can be found on the second page of the COVID-19 vaccine dashboard showing a county-specific view of demographics for people vaccinated by race, ethnicity, gender and age; it also includes a county ranking of the percent of residents in a given county that have received their vaccine. The demographic detail page was launched in late April. Until this week, the percentages displayed factored in the population of Philadelphia County. However, because Philadelphia County is designated by the Centers for Disease Control and Prevention (CDC) as a separate vaccine jurisdiction, the Department of Health’s data does not include information on people vaccinated in Philadelphia. The demographic information will help identify any equity gaps in vaccine distribution so that DOH can work closely with trusted local partners and stakeholders to create and share information for those who may be hesitant about receiving the vaccine.

Vaccine Survey Discontinued

The Department of Health (DOH) notified providers that providers will no longer be able to request vaccines through the Weekly Vaccine Request Survey. All providers who want vaccines will be required to place orders for Pfizer (450 or 1170), Moderna, or Janssen directly into PA SIIS. The DOH team will review those orders and approve them daily for processing. Once orders are approved, providers will receive a confirmation email from PA SIIS/VTrcks. As a part of this transition, routine allocation letters will no longer be sent out from the DOH resource account. Providers will be able to check the status of shipment by logging in directly to PA SIIS. Providers may place orders more than once per week based on need. If providers run into any problems while placing the order and need support, please email the DOH resource account at ra-dhcovidvax@pa.gov or call DOH at 717-787-5681.

Vaccination Decisions Have Consequences

A new analysis from the Journal of the American Medical Association (JAMA) Pediatrics finds that more than 46,000 children under 18 in the U.S. lost a parent to COVID-19. Although overall cases are down because of the many individuals who have been vaccinated, the pandemic is not over. The Delta variant that has devastated India and caused a significant rise in COVID-19 cases and hospitalizations in the U.K. is on the rise in the U.S. Delta variant cases have doubled in the U.S. in the past two weeks, are surging in states with low vaccination rates, and now represent 20.6 percent of U.S. COVID-19 cases. Studies are showing that those of us who are vaccinated are protected from this more aggressive, highly contagious variant. If you’re not vaccinated, please know that the risk to you and those you love remains. The choice is yours, as are the consequences of not taking action to prevent what is now truly a preventable illness. If you don’t get vaccinated for you, please consider doing so for those you love and who love you.

NRHA Releases New Toolkit to Help Rural Stakeholders Increase Rural Vaccine Confidence and Uptake 

Vaccinating rural communities to mitigate the COVID-19 pandemic is no simple task and the National Rural Health Association (NRHA) understands the unique issues and viewpoints you face as a rural health stakeholder leading the way. Although many resources are currently available, we know materials focused for rural audiences will be most effective in reaching our communities. Because of this, NRHA has curated tools to assist you immediately and allow you to easily distribute and co-brand by adding your organization’s logo. Our resource library includes conversation starters and public service announcements developed in partnership with the COVID Collaborative, Health Action Alliance, and the Ad Council that can help rural employers, small business owners and public sector employers share vaccine facts and improve vaccination access for employees and families.

Johnson & Johnson Expiration Dates Extended

The Food & Drug Administration authorized an extension of the shelf life for the Janssen/J&J COVID-19 vaccine from 3 months to 4.5 months (an additional 6 weeks). The decision is based on data from ongoing stability assessment studies, which have demonstrated that the vaccine is stable at 4.5 months when refrigerated at temperatures of 36 – 46 degrees Fahrenheit (2 – 8 degrees Celsius). Vaccine providers should visit https://vaxcheck.jnj/ to confirm the latest expiration dates of vaccine. This extension applies to refrigerated vials of Janssen/J&J COVID-19 vaccine that have been held in accordance with the manufacturer’s storage conditions.

HRSA Updates H8F Funding FAQs to Address Patient Incentives and Child Care

On June 9, 2021, HRSA updated its guidance on American Rescue Plan Act funding for health centers under the H8F Category (funding to prevent, mitigate, and respond to COVID-19 and enhance health care services and infrastructure). Visit here to understand the latest regarding allowed and unallowed activities. Health centers also should be aware of the following provisions:

  • Health centers may use non-grant funds or leverage partnerships with or donations from other community organizations or businesses to offer small rewards to individuals as an incentive for receiving the COVID-19 vaccine.
  • Health centers may use H8F funds to provide incentive items; written health center policies or procedures must support the use of such funds for incentive costs.
  • H8F funds may not be used for cash gift cards, food, or other costs prohibited under 45 CFR 75 (the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards) or other federal regulations.
  • H8F funds may be used to provide childcare for parents while being vaccinated by the health center; however, note that this activity differs from daycare (which would fall outside the Health Center Program scope of project).

HHS Updates PRF Spending and Reporting Guidance 

On June 11, 2021, the U.S. Department of Health and Human Services (HHS) released additional guidance for Provider Relief Fund (PRF) recipients through its latest Post-Payment Notice of Reporting Requirements. In the Notice, HHS indicates that:

  • Providers that received funds between April 10, 2020, and June 30, 2020, were still expected to spend funds by June 30, 2021. This provision applies to almost all health centers because of when the funds were initially received. Please note that the reporting deadline for funds in this period has now been extended from July 31, 2021, to Sept. 30, 2021.
  • Providers that received funding after June 30, 2020, had their deadlines to expend funds extended based on when they were received.

Please be sure to review the HHS Notice of Reporting Requirements for complete details to determine your health center’s respective spending and reporting deadlines.

Reports Highlights Importance of Enrollment Assistance

Young Invincibles released its 2021 State of Enrollment Report: Health Insurance Outreach and Enrollment During COVID-19. This report is based on extensive interviews with dozens of partners representing a broad spectrum of stakeholders within the enrollment community, representing 13 different programs across 15 states. The report focuses on consumer assistance and education and Navigator programs established as part of the Affordable Care Act (ACA), and the challenges confronted during the global pandemic. The report also discusses the current enrollment landscape, COVID-19 and enrollment and offers suggestions to improve the Navigator program for federally facilitated marketplaces using Healthcare.gov.

Pennsylvania Governor’s Administration Partners with United Way of Pennsylvania to Offer Local Grant Opportunities to Reduce Vaccine Hesitancy

The Pennsylvania Governor Wolf’s Administration and the United Way of Pennsylvania launched the Local Innovations in Vaccine Equity in Pennsylvania project (LIVE PA) to administer $4 million in mini-grants to local organizations aimed to reduce vaccine hesitancy and ensuring an equitable vaccine distribution throughout the commonwealth. With a reimbursement rate of $10 per shot achieved, the grants are designed initially to range from $200 to $20,000 per vaccination event. It also includes a requirement that the nonprofits and the local United Way chapters involved promote the events using traditional and digital media to help fight vaccine hesitancy. The pilot phase of LIVE PA will target the zip codes and census tracts with the highest levels of health disparities, poverty and vaccine inequity in the commonwealth. After the pilot phase is complete, the grant opportunity will scale to cover the entire commonwealth over time, targeting vulnerable populations with barriers to vaccination in rural, urban, and suburban communities. Individuals or organizations interested in learning more about eligibility and the application process should reach out to their local United Way chapter or the United Way of Pennsylvania at info@uwp.org. Click here to learn more.