The Centers for Medicare & Medicaid Services (CMS) updated their Hospital Price Transparency Fact Sheet with information on compliance and enforcement. Under Hospital Price Transparency, all hospitals, including Critical Access Hospitals (CAHs) and Rural Emergency Hospitals (REHs), and hospital-based departments – which may include some Rural Health Clinics – are required to post pricing information about the items and services they provide on a publicly available website. CMS audits hospitals and investigates complaints from the public to ensure compliance. They also leverage automation to perform over 200 comprehensive hospital reviews per month. Consistent with standing policies, CMS will address non-compliance with swift enforcement, and they are planning a more systematic monitoring and enforcement approach, per the Executive Order. A variety of resources are available to help hospitals, CAHs, and REHs comply with these requirements.
NIH Study: Social Factors Explain Worse Cardiovascular Health for Rural Adults
With funding from the National Institutes of Health (NIH), researchers looked at data from more than 27,000 adults to understand what contributes to substantially higher rates of cardiovascular mortality among the nearly 60 million U.S. adults living in rural areas compared to their urban counterparts. The study found substantial rural-urban disparities in cardiometabolic risk factors and cardiovascular diseases, which were largest among younger adults (aged 20-39 years) and almost entirely explained by social risk factors.
Rural Pennsylvania Hospital CEO Talks About How Medicaid Cuts Would Pinch Healthcare System
“GOP lawmakers are hunting for ways to slash federal spending, a process that could mean cuts to Medicaid programs that support more than 3.1 million Pennsylvanians.” Mike Makosky, president and CEO of the Fulton County Medical Center, spoke to the USA TODAY Network about how the loss of federal dollars might undermine his hospital’s ability to provide health care in this rural southcentral Pennsylvania community.” Source: USA Today Network
Guidance for SNAP Recipients
With the rash of benefit thefts from consumers utilizing the Supplemental Nutrition Assistance Program (SNAP), the PA Department of Human Services is suggesting recipients change their EBT card pins ahead of their monthly benefit distribution. The theft of benefits rarely happens right away but thieves wait until the monthly distribution occurs to steal benefits. Recipients can call DHS’ EBT Recipient Hotline at 1-888-EBT-PENN or use the mobile app ConnectEBT to change their PIN numbers. Consumers are also urged to take extra steps to ensure that where they are utilizing their cards for point-of-sale transactions do not have skimming devices attached. Read here for more tips.
Disruptions in Coverage Can Be Minimized
Health insurance coverage is vital for families’ health and well-being. The benefits of coverage are documented from birth into adulthood and help to keep households financially stable. However, adults and children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) often experience disruptions in their health coverage when they fail to meet regular plan renewal deadlines. States are exploring ways to prevent families from churning off and on Medicaid and CHIP roles. Read more.
Loan Repayment Program Applications Now Open
The National Health Service Corps (NHSC) loan repayment programs help repay part of school loan debt in exchange for service in a medically underserved area. Did you know Community Health Centers are automatically approved sites for these programs? The 2025 application is now open, and interested clinicians can now access the Application and Program Guidance documents for the NHSC, Substance Use Disorder, and Rural Community loan repayment programs. The application deadline is May 1. Share this information with your clinicians and clinician candidates!
DEA Further Delays Buprenorphine Final Rule
The Drug Enforcement Administration (DEA) and HHS published a final rule to further delay the effective date of the Expansion of Buprenorphine Treatment via Telemedicine Encounter and the Continuity of Care via Telemedicine for Veterans Affairs Patients rules finalized in January 2025. In February, the DEA announced an initial delay of effective date until March 21, 2025, and accepted public comments on the decision. The DEA states that due to questions of “fact, law, and policy” both rules are delayed until Dec. 31, 2025. While these rules are delayed, rural patients receiving buprenorphine via telemedicine without an in-person visit can still do so through Dec. 31, 2025, due to the temporary extension of flexibilities that are in place.
HHS Renews Public Health Emergency Declaration on Opioid Crisis
On March 18, 2025, the Department of Health and Human Services (HHS) Sec. Robert F. Kennedy, Jr., renewed the public health emergency (PHE) declaration for the national opioid crisis, extending key federal flexibilities for another 90 days. While opioid-related overdose deaths have declined by 25.5% over the past year, synthetic opioids like fentanyl remain the leading cause of drug-related fatalities, with 150 Americans dying daily from overdose. In rural areas, rates of drug overdose deaths are rising and have surpassed rates in urban areas. The PHE, first declared in 2017, allows HHS to maintain expanded authorities for data collection, demonstration projects, and research initiatives aimed at improving treatment access and coordination. Sec. Kennedy emphasized the Administration’s commitment to treating the opioid crisis as a national security emergency, continuing efforts to prevent substance use, reduce overdose deaths, and support recovery programs.
Pennsylvania Human Services Agency Releases Alternative Payment Model MA Bulletin: Long-Acting Reversible Contraceptives (LARC)
Effective with dates of service on and after April 1, 2025, the Department of Human Services utilizes an alternate payment methodology (APM) for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) that agree to accept it to make a supplemental payment at the medical assistance (MA) Program Fee Schedule rate for either a LARC device and its insertion, or the removal of a LARC device, in addition to payment for an encounter. The full bulletin is available for more information on how to opt-in to the APM and detailed billing instructions.
HHS Cuts $12 Billion in Grants to State, Local Health Departments with Zero Notice
The Centers for Disease Control and Prevention (CDC) and Substance Abuse and Mental Health Services Administration (SAMHSA) notified state health departments that they were cancelling several types of public health grants, effective the previous day. The CDC cancelled around $11 billion in grants directed toward COVID-19 testing, vaccination, and initiatives to bridge health disparities, while SAMHSA cancelled around $1 billion in grants focused on mental health services.