Pennsylvania Fluoride Study Featured in Journal of the American Dental Association

A Pennsylvania-based study will be featured in the upcoming August issue of the Journal of the American Dental Association (JADA). “Cross-sectional study of association between caries and fluoridated water among third-grade students in Pennsylvania,” authored by Pennsylvania Department of Health Oral Health Program epidemiologist Dr. Jun Yang, also features PCOH Executive Director Helen Hawkey as a co-author. The study found that community water fluoridation was significantly associated with a reduced risk of developing caries among Pennsylvania children.

Click here to read the article.

Oral Health and Nicotine/Tobacco Updates Available

The Association of State and Territorial Dental Directors (ASTDD) Dental Public Health Policy Committee announced a new policy statement on preventing tobacco/oral nicotine use to promote oral health. The statement provides information on the impacts to oral and overall health as well as guidance identifying effective strategies in prevention.

Click here to read the statement.

The World Health Organization (WHO) released the first-ever “Clinical Treatment Guidelines for Tobacco Cessation in Adults.” The guidelines include a set of cessation interventions for adults seeking to quit all kinds of tobacco products. These guidelines are designed to help communities and governments provide the best possible support for adults trying to quit tobacco products.

Click here to read the guidelines.

Free Clinic Association Rebrands as Pennsylvania Charitable Healthcare Coalition; Launches GiveCare Now

GiveCare Now, a statewide call for volunteer talent, including medical & dental professionals

Launching a statewide call for volunteer talent and medical professionals, the Free Clinic Association of Pennsylvania today announced a rebrand, as the organization is relaunched as the Pennsylvania Charitable Healthcare Coalition.

The organization represents charitable healthcare providers across Pennsylvania that fill a critical role, providing high-quality, free care for people who are under-insured or uninsured and lack access to care.

“Today, we’ve announced a rebrand that captures the essence of our life-changing work and launched a statewide call for volunteers to help us meet the growing needs of our communities,” said executive director Kristen Houser Rapp. “With more than 50 providers operating in the Commonwealth, free and charitable clinics deliver hope to people across Pennsylvania who lack access to healthcare. Without them, thousands of people would not have access to any type of care at all.”

Charitable healthcare providers are integral to keeping Pennsylvanians who do not qualify for Medicaid healthy, and help avoid medical debt from urgent care, emergency visits, and medications, as families move between health plans or lack other options.  While some clinics employ limited staff, the majority of clinical care is provided by volunteer talent.  

“Right now, and in the weeks and months to come, opportunities are available for volunteers to help provide care and give back to others,” said Rapp.  Anyone interested in volunteering should visit pacharitablehealth.org/volunteer, where PCHC can then connect them with a local clinic. PCHC is currently seeking volunteers that include:

  • Doctors
  • Nurses
  • Pharmacists
  • Dentists, dental assistants, & dental hygienists
  • Mental health professionals
  • Volunteers with administrative skills

Volunteer opportunities vary from clinic to clinic and by position.  All volunteers meet strict credentialing and background checks and receive training and support.

“I find that the best part of my day is always that I served in the clinic,” said Ridge Salter, M.D., a volunteer at Katallasso Family Health Center in York. “Volunteering my expertise has added so much professional fulfillment, and I know it has been an antidote — and a bit of an immunization — to burnout.”

In 2023 alone, PCHC member clinics provided at least 114,000 appointments for patients, averaging more than 3,000 per clinic.

“In the last year, hundreds of thousands of people in our state have lost their Medicaid coverage,” said Mary Herbert, MPH, MS, Clinical Director at The Program for Health Care to Underserved Populations/Birmingham Free Clinic in Pittsburgh.  “Despite their lack of state funding, free providers face the need to accommodate a major shift in the number of patients we serve, doing more than ever with limited resources.”

“PCHC’s member clinics and charitable providers fill a growing gap that many of our most vulnerable neighbors rely on for basic care, and volunteers are critical to this work,” said Highmark Foundation President Yvonne Cook. “The Highmark Foundation recognizes the vital work of charitable clinics and is proud to continue our partnership with PCHC through a $172,700 grant to further its mission to provide equitable, quality health care for all Pennsylvanians.”

 ABOUT THE PENNSYLVANIA CHARITABLE HEALTHCARE COALITION (PCHC)

PCHC is the support and advocacy organization for free and charitable healthcare providers who make up the healthcare safety net for uninsured and underinsured Pennsylvanians. Free and charitable clinics provide primary and preventative care such as medical screenings, chronic disease management, medication assistance, dental care and connections to other social services. Clinics do not receive state or federal funding and rely on community support. For information, testimonials from volunteers, and a searchable database of clinic locations, go to www.pacharitablehealth.org.

Courts Become the New Health Policy Arena

From Axios

If courts weren’t already exerting outsized influence over health policy, they’re much closer to being final arbiters now that the Supreme Court has scrapped the decades-old doctrine that gave the Food and Drug Administration, Centers for Medicare and Medicaid Services and other health agencies the power to interpret vague or ill-defined laws.

Why it matters: Judges could get the final say on Medicare payment rates, drug and device regulation and even what constitutes a public health emergency.

The big picture: We’ve already seen courts shape the rules of the road on matters like access to abortion pills, surprise billing disputes and how certain hospitals access discounted drugs.

Read more.

National Telecommunications and Information Administration Digital Equity Competitive Grant Program Announced

The PA Broadband Development Authority (PBDA) would like to remind you the National Telecommunications and Information Administration (NTIA) will be releasing the Notice of Funding Opportunity (NOFO) for the Digital Equity Competitive Grant Program. This program will be facilitated through the NTIA, the PBDA will not be responsible for receiving, reviewing, nor determining allocations for this program.

The Digital Equity Competitive Grant Program’s goal is to fund initiatives that will ensure communities across the Nation have the access and skills to fully participate in the digital world. This program is intended to compliment those digital equity activities that will be funded by the Digital Equity Capacity Grant Program, which the PBDA has applied and is awaiting approval for. The Digital Equity Competitive Grant Program provides $1.25 billion Nationwide and NTIA anticipates releasing the NOFO by end of July.

The NTIA has a number of resources available on their website to include a “Get Ready” one-pager as well as an opportunity to sign-up for updates from the NTIA regarding this program. PBDA encourages you to visit the NTIA website and review these resources.

Three Perspectives on Leveraging State Level Measures of Anchor Institution Impacts

Can the economic impact of anchor institutions across the state help in attracting global companies? Assist in developing plans for growing small businesses and creating jobs in underserved communities? Or uncover new ideas for potential partnerships with local hospitals and universities?

Higher education institutions and hospitals, so-called “eds and meds,” are two types of anchor institutions that researchers at the Philadelphia Fed are studying to learn more about how these public-serving institutions impact their local and state economies. This includes developing an interactive dashboard that allows users to explore the economic impacts of anchor institutions across 524 U.S. regions and state profiles that detail the economic impacts of anchor institutions state-level measures of anchor institution economic impacts.

Deborah Diamond, director of the Philadelphia Fed’s Anchor Economy Initiative, shares insights from three experts who are using data on the economic impact of anchor institutions to start conversations, support greater collaboration, and drive economic growth in their regions and states.

Read the article.

New Hospital Price Transparency Rule Goes Into Effect

From Becker’s Legal & Regulatory Issues

The new CMS price transparency rule went into effect July 1, requiring hospitals to report price information in a standard machine-readable format, according to the American Hospital Association.

The agency finalized changes to the hospital price transparency requirements as part of the 2024 Hospital Outpatient Prospective Payment System and ASC rule. CMS hopes the new file format requirements will make it easier for the public to learn about hospital charges.

Hospitals must include the price transparency information as a single file intended to be read by machines to process standard charge information. Hospitals are required to conform to a standard CMS template layout with data specifications and data dictionary.

The final rule also mandates hospitals put a “footer” at the bottom of their homepage linking to the webpage with the machine readable file, and ensure a .txt file is included in the root folder of the website, according to a CMS information page.

“The .txt file must identify the URL for both the MRF and the webpage that contains the link to the MRF. CMS believes these requirements will improve the automated accessibility of hospital standard charges information and streamline CMS enforcement of the requirements,” CMS wrote.

CMS will warn hospitals not in compliance and require them to submit an acknowledgement of receipt for any warning notices. The agency is also able to communicate directly with health system leadership about an issue and will publish enforcement activities in addition to civil monetary penalties as part of the final rule.

Read more from the fact sheet here.

ACA Rule Strengthens Nondiscrimination Protections for Consumers

The U.S. Department of Health and Human Services (HHS) Office for Civil Rights and the Centers for Medicare & Medicaid Services (CMS) recently issued a final rule under Section 1557 of the Affordable Care Act to strengthen nondiscrimination protections and advance civil rights in health care. This rule offers protections against discrimination based on race, color, national origin, sex, age, and disability. This rule also reduces language access barriers, expands physical and digital accessibility, tackles bias in health technology, and much more.

Among other provisions, the 1557 final rule:

  • Holds HHS health programs and activities to the same nondiscrimination standards as recipients of Federal financial assistance.
  • Requires covered health care providers, insurers, grantees, and others to let people know that language assistance and accessibility services are available to patients at no cost.
  • Clarifies that covered health programs and activities offered via telehealth must also be accessible to individuals with limited English proficiency and individuals with disabilities.
  • Protects patients from discriminatory health insurance benefit designs made by insurers.
  • Clarifies that nondiscrimination in health programs and activities continues to apply to the use of AI, clinical algorithms, predictive analytics, and other tools.

For more information about this new rule and how it may affect consumers, visit the resources below:

New Detailed Population Estimates Released for Pennsylvania Counties

The U.S. Census Bureau has released the 2023 Detailed National, State, and County Population Estimates, the final set of population estimates for this vintage. The data, as of July 1, 2023, provides estimates at the national, state, and county levels for population by age, sex, race, and Hispanic origin.

Highlights from this release include:

  • The senior population (65+) in Pennsylvania continues to grow, especially those aged 75 to 79 (16.4%) and 80 to 84 (10.5%).
  • Overall, the population under 25 years decreased slightly by more than 56,000 persons (-1.4%), while the population over 65 years increased by over 184,773 persons (7.6%).
  • The most substantial growth occurred in the Hispanic or Latino population (10.0%), those identifying with two or more races (8.8%), and the non-Hispanic Asian population (7.5%).

To read more, visit: https://pasdc.hbg.psu.edu/Data/Research-Briefs.