By April Simpson
Pandemic put a temporary stop to a long tradition of county fairs, putting the survival of many on the line. Read more here.

Becker’s Hospital Review reported on the 14 rural hospitals that have closed this year. It is worth noting that eight closures occurred during the COVID-19 pandemic, a time when access to health care services is more important than ever before. Additionally, local reporting in Georgia confirms that two more rural hospitals are slated for closure in October. Last year set the record for the greatest number of rural hospital closures in a single year at 18; 2020 is on pace to smash that record.

Kaiser Health News provided reporting on the impact of the COVID-19 pandemic on rural hospital closures. Sarah Jane Tribble writes, “As COVID-19 continues to spread, an increasing number of rural communities find themselves without their hospital or on the brink of losing already cash-strapped facilities.” The article also quotes UNC Gillings School of Global Public Health professor Mark Holmes, who says, “We know that a [rural hospital] closure leads to higher mortality pretty quickly…That’s pretty clear.”

U.S. Secretary of Agriculture Sonny Perdue announced the U.S. Department of Agriculture (USDA) will extend several flexibilities through as late as December 31, 2020. The flexibilities allow summer meal program operators to continue serving free meals to all children into the fall months. This unprecedented move will help ensure – no matter what the situation is on-the-ground – children have access to nutritious food as the country recovers from the COVID-19 pandemic. USDA has been and continues to be committed to using the Congressionally appropriated funding that has been made available.

Since the start of the public health emergency, FNS has been maximizing existing program services and flexibilities to ensure those in need have access to food through our 15 federal nutrition assistance programs. To date, USDA has provided more than 3,000 flexibilities across these programs. USDA has also leveraged new and innovative approaches to feeding kids, including a public-private partnership that provided nearly 40 million meals directly to the doorsteps of low-income rural children. For more information on FNS’ response to COVID-19, visit fns.usda.gov/coronavirus.

Pennsylvania Governor Tom Wolf and Lt. Governor John Fetterman called on the legislature to take up the legalization of adult-use cannabis to help with the state’s economic recovery amid COVID-19. Legalization will also create more outlets for important restorative justice programs in the commonwealth.

“Now more than ever, we see a desperate need for the economic boost cannabis legalization can provide. So today I am proposing we legalize adult-use cannabis here in Pennsylvania with a portion of the revenue going toward existing small business grants,” Gov. Wolf said. “Half of these grants would be earmarked for historically disadvantaged businesses, many of which have had difficulties attaining other assistance because of systemic issues.

“The other portion of the revenue will go toward restorative justice programs that give priority to repairing the harm done to crime victims and communities as a result of cannabis criminalization.”

Lt. Governor Fetterman elaborated on the need for legislative action to provide for much-needed restorative justice.

“It has been nearly a year since Governor Wolf and I urged the legislature to act on immediate decriminalization and start the discussion about legalization,” Lt. Governor Fetterman said. “Now more than ever, we must stop prosecuting people for doing something that most Pennsylvanians don’t even think should be illegal.”

The governor also mentioned the economic benefits states with legal adult-use cannabis have realized. There are now 11 states plus the District of Columbia with legalized cannabis.

“Some states that have legalized adult-use cannabis have received millions in additional revenue,” Gov. Wolf said. “In Washington state, adult-use cannabis brought in $319 million in tax revenue in 2018. In Colorado, that figure topped $266 million, and provided the city of Aurora with $900,000 to open a space for people experiencing homelessness. And these figures don’t count the secondary economic benefits of new businesses opening.”

“Communities across our commonwealth are suffering,” said Sen. Sharif Street, who joined the governor and the lt. governor at the event. “Government has a responsibility to provide for and protect Pennsylvanians without cutting vital support systems or levying new taxes during a pandemic. After years of disparate enforcement of marijuana laws, which drives mass incarceration, social justice reform must be central to any policy on adult use. I’m proud to support Governor Wolf in this effort.”

The governor, with the realization that standing up a legalized adult-use cannabis program will take time, called on the legislature to take immediate action to decriminalize possession of small amounts of marijuana, changing the charge from a misdemeanor of the third degree, which can result in jail time, to a summary offense, which does not.

“I stand with the Governor and Lt. Governor in support of legislation legalizing adult-use cannabis because this issue is about far more than money,” said Rep. Jake Wheatley. “This is about criminal and social justice reform and righting past wrongs. It is about creating a flourishing new industry to help keep people safe and educate them on responsible use. Especially during a pandemic, we need to provide every avenue for relief and this one is well overdue.”

The governor and lt. governor first called on the legislature to consider adult-use cannabis legalization in September 2019 after the lt. governor completed a statewide listening tour and a report back to the governor summarizing public opinion both on the tour and from tens of thousands of online submissions from Pennsylvanians. The majority of Pennsylvanians favor legalization and from the lt. governor’s report, three actions were outlined: a referendum on legalization, decriminalization and expungement of small possession convictions.

Since that report was released, nothing has moved forward in the legislature.

With the onset and continued effects of COVID on our commonwealth, on Aug. 25, Gov. Wolf called for adult-use cannabis as part of his broad fall legislative agenda.

Along with the call to the General Assembly to pass legislation legalizing the sale and use of adult-use cannabis, Gov. Wolf proposed that a portion of the revenue be used to further restorative justice programs that give priority to repairing the harm done to crime victims and communities as a result of marijuana criminalization.

In October 2019, Gov. Wolf, Lt. Gov. Fetterman and Board of Pardons Secretary Brandon Flood outlined how the then-recent expedited pardons process could benefit those who have low-level marijuana convictions by asking the Board to expedite those pardons. However, the governor and lt. governor know there is more to be done.

“The time has come to legalize adult-use cannabis in Pennsylvania,” Gov. Wolf said. “It will help our economic recovery, it will help Pennsylvania families and it will help make our criminal justice system fairer.”

Hospitals that received COVID-19 relief loans from Medicare expected that CMS would cut off their fee-for-service reimbursement after four months, but as deadlines have passed the agency apparently hasn’t started garnishing payments. State and national hospital associations, providers and consultants that work with providers said their reimbursements remain the same although CMS said it would begin recouping Medicare Accelerated and Advance Payment Program funds. In March and April, hospitals received more than 80% of the $100.3 billion in relief loans from CMS.

Pennsylvania Governor Tom Wolf announced on September 1 that he has renewed a 90-day disaster declaration, now for a second time, after he originally signed it in early March following the confirmation of the first positive cases of the coronavirus in Pennsylvania.

“We are going to continue to combat the health and economic effects of COVID-19, and the renewal of my disaster declaration will provide us with resources and support needed for this effort,” Wolf said in a statement.

Under state law, an emergency disaster declaration gives governors the authority to issue or rescind executive orders and regulations, access stockpiles of emergency supplies and equipment and suspend laws or regulations that govern state agencies.

Executive orders have the force of law, under emergency disaster law. As part of it, the Pennsylvania Emergency Management Agency has been able to assign missions to the National Guard, and it could in the future allow PEMA to rapidly deploy a vaccine, Wolf’s office said.

HHS is working to support safe school reopening for students, teachers and staff. In support of this, HHS is providing up to 125 million cloth face masks to states and territories for distribution to schools. The Administration intends for these masks to support students, teachers and staff in public and private schools that are reopening – with an emphasis on students who are low-income (or otherwise with high needs) and schools providing in-person instruction.

These masks will be allocated according to the share of students from low-income families in each state. The cloth face masks will be distributed in two shipments, starting in early September 2020.

Additional information on Cloth Face Masks in Schools and State Allocations: Cloth Face Masks in Schools can be found on ASPR’s public facing website.

CMS COVID-19 Stakeholder Engagement Calls – September

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.

Call details are below. Conference lines are limited so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and professional networks. These calls are not intended for the press.

Calls recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts

CMS COVID-19 Office Hours Calls (twice a month on Tuesday at 5:00 – 6:00 PM Eastern)

Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:

• Increase Hospital Capacity – CMS Hospitals Without Walls;
• Rapidly Expand the Healthcare Workforce;
• Put Patients Over Paperwork; and
• Further Promote Telehealth in Medicare

Office Hours:

Tuesday, September 8^th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 6196045

Audio Webcast link: https://protect2.fireeye.com/url?k=ea4e817f-b61b886c-ea4eb040-0cc47adb5650-2196b9b66c76a3f2&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2494

Tuesday, September 22^nd at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 2409459

Audio Webcast link: https://protect2.fireeye.com/url?k=805c8050-dc08a97b-805cb16f-0cc47a6d17cc-c3a7096ff6c10a69&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2499

 

Weekly COVID-19 Care Site-Specific Calls

CMS hosts weekly calls for certain types of organizations to provide targeted updates on the agency’s latest COVID-19 guidance. One to two leaders in the field also share best practices with their peers. There is an opportunity to ask questions of presenters if time allows.

 

Home Health and Hospice (twice a month on Tuesday at 3:00 PM Eastern)

Tuesday, September 8^th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 4165236 Audio Webcast Link: https://protect2.fireeye.com/url?k=d152939b-8d079a88-d152a2a4-0cc47adb5650-6ac234cdcf1530b5&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2484

 

Tuesday, September 22^nd at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 1169237 Audio Webcast Link: https://protect2.fireeye.com/url?k=656e2b63-393b22b3-656e1a5c-0cc47a6a52de-0d04f923a50833b3&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2489

 

Nursing Homes (twice a month on Wednesday at 4:30 PM Eastern)

Wednesday, September 9^th at 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 5475686 Audio Webcast Link: https://protect2.fireeye.com/url?k=48d90a59-148d1325-48d93b66-0cc47adc5fa2-b3c6f167a0366d03&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2504

 

Wednesday, September 23^rd at 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 5839938 Audio Webcast Link: https://protect2.fireeye.com/url?k=17d68a30-4b82a31b-17d6bb0f-0cc47a6d17cc-4dbada66ff7c346b&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2509

 

Dialysis Organizations (twice a month on Wednesday at 5:30 PM Eastern)

Wednesday, September 9^th at 5:30 – 6:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 6925269 Audio Webcast Link: https://protect2.fireeye.com/url?k=9e8863d7-c2dd6ac4-9e8852e8-0cc47adb5650-afa176fc29bedd5f&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2514

 

Wednesday, September 23^rd at 5:30 – 6:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 7026727 Audio Webcast Link: https://protect2.fireeye.com/url?k=eeb2fc25-b2e7f536-eeb2cd1a-0cc47adb5650-edfc97d85a48445c&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2519

 

Nurses (twice a month on Thursday at 3:00 PM Eastern)

Thursday, September 10^th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 5767207 Audio Webcast Link: https://protect2.fireeye.com/url?k=a1375257-fd634b2b-a1376368-0cc47adc5fa2-cd874e0813c660bc&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2524

 

Thursday, September 24^th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 5872398 Audio Webcast Link: https://protect2.fireeye.com/url?k=ce689e54-923d9784-ce68af6b-0cc47a6a52de-85a0dbbaacca8493&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2529

 

Lessons from the Front Lines: COVID-19 (twice a month on Friday at 12:30 – 2:00 PM Eastern)

Lessons from the Front Lines calls are a joint effort between CMS Administrator Seema Verma, FDA Commissioner Stephen Hahn, MD, and the White House Coronavirus Task Force. Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their COVID-19 response. There is an opportunity to ask questions of presenters.

 

Next Lessons from the Front Lines:

Friday, September 18^th at 12:30 – 2:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 4446447

Audio Webcast Link: https://protect2.fireeye.com/url?k=065ed0a0-5a0af98b-065ee19f-0cc47a6d17cc-ed58c8904d5bd65d&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2479

 

For the most current information including call schedule changes, please click here

To keep up with the important work the White House Task Force is doing in response to COVID-19 click here: https://protect2.fireeye.com/url?k=36fa2226-6aae0b0d-36fa1319-0cc47a6d17cc-2d06c219f858d641&u=http://www.coronavirus.gov/. For information specific to CMS, please visit the Current Emergencies Website.