NRHA launches Rural Advocacy Guide ahead of Policy Institute

Date: January 20, 2022

The National Rural Health Association’s (NRHA) goal is to connect you and hundreds of rural health stakeholders to help members of Congress, the executive branch, and federal staff understand what is needed to improve rural health and health care. Engagement in activities including the association’s virtual 33rd Rural Health Policy Institute Feb. 8-10 and ongoing grassroots campaigns allows NRHA members to actively participate in advocacy efforts to bring about needed rural health policy and legislation. NRHA created a new advocacy 101 guide to help members amplify their voices through information and tools provided by the association. NRHA encourages all rural health stakeholders to review this guide and attend NRHA’s Advocacy 101 workshop Feb. 9 by registering for Policy Institute at the discounted virtual rate of $260 or $130 for students. One thing everyone can all agree on is that rural should be a priority. But does Congress know what’s next for rural health? As the new normal is navigated, direct advocacy is how elected officials will know what unique rural communities need.

New Grant Awards to Reduce Burnout Among Health Care Workforce

Date: January 20, 2022

Biden-Harris Administration Awards $103 Million in American Rescue Plan Funds to Reduce Burnout and Promote Mental Health and Wellness Among Health Care Workforce

The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), today announced $103 million in awards to improve the retention of health care workers and help respond to the nation’s critical staffing needs by reducing burnout and promoting mental health and wellness among the health care workforce. These awards will fund evidence-informed programs, practices and training, with a specific focus on providers in underserved and rural communities. The funds, secured through the Biden-Harris Administration’s American Rescue Plan, will be disbursed to 45 grantees.

“I have traveled to many health centers across the country and know that the COVID-19 pandemic has intensified issues that have long been a source of stress for frontline health care workers — from increased patient volumes to long working hours,” said Health and Human Services Secretary Xavier Becerra. “This funding reflects the Biden-Harris Administration’s commitment to ensuring we have enough critical frontline workers by supporting health care providers now and beyond as they face burnout and mental health challenges. We will continue to promote the well-being of those who have made so many sacrifices to keep others well.”

COVID-19 has compounded rates of depression and anxiety among health care workers. The relentless physical and emotional demands of treating patients during a pandemic have exacerbated longstanding barriers to workplace well-being. While the challenge is complex, these multi-year awards will support proven strategies for health care providers, academic institutions, and other recipients to reduce burnout and build resiliency. These strategies will include the creation of partnerships and utilization of local resources to directly support health professionals’ response to workplace stressors, and provide training to help individuals manage the constantly changing, high-stress environment of health care.

“Now more than ever, it is critical to support the well-being of our health care workforce, who are working every day to protect each of us,” said HRSA Administrator Carole Johnson. “Today’s awards will provide new tools to help support our health professionals’ resilience as they continue to face the stress and challenges of responding to COVID-19 and other health care needs and provide high quality care.”

HRSA is making these awards through three programs:

See a list of the award recipients here: https://bhw.hrsa.gov/funding/health-workforce-resiliency-awards 

Learn more about HRSA’s funding opportunities.

Federal Office of Rural Health Policy Announcements

Date: January 20, 2022

New Grant Awards to Reduce Burnout Among Health Care Workforce. Earlier today, the U.S. Department of Health and Human Services (HHS) announced $103 million going to 45 grantees. The initiative comprises two programs to promote mental health and well-being and reduce burnout among health care professionals and first responders; a third program will provide tailored training and technical assistance to the other grantees of this effort. The funding is a direct response to the depression, anxiety, and burnout experienced by health care workers during the pandemic. 

New Funding Available for Rural Opioid Response Program – Applications Due April 19. On Tuesday, the U.S. Department of Health & Human Services (HHS) announced funding for the next phase in the Rural Communities Opioid Response Program (RCORP), a multi-year initiative to address behavioral health care challenges, including substance use disorder (SUD), since 2018. For the new program under RCORP, approximately 26 award recipients will receive $500,000 each per year for a four-year period of performance. Grantees will address barriers to quality care for SUD and behavioral health through a coordinated, evidence-based approach to services. The Federal Office of Rural Health Policy (FORHP) will hold a technical assistance webinar for applicants on Thursday, February 3, 2022 from 1 – 2:30 p.m. ET. A recording will be made available for those who cannot attend. For dial-in information, view the Notice of Funding Opportunity on Grants.gov, click the Package tab, then Preview, and Download Instructions; technical assistance information is on page (ii). You do not need to register in advance for the webinar. Please email ruralopioidresponse@hrsa.gov for questions and a link to the recording.

Spread the Word About Vaccine Boosters. The U.S. Department of Health & Human Services (HHS) released new resources – posters, flyers, videos, and talking points – to help promote the extra protection from COVID-19 boosters. All vaccinated adults aged 18+ are eligible for a booster. Last week, the Centers for Disease Control and Prevention (CDC) expanded booster eligibility to include adolescents ages 12 to 17, recommending that they receive a booster shot five months after their initial vaccination. The CDC also released a new resource, based on input from rural health departments and organizations, with 12 strategies to increase vaccine uptake in rural communities (pdf). Search by zip code to find nearby locations providing adult and pediatric vaccines and boosters for COVID-19 and the flu at vaccines.gov.

Supreme Court Upholds Health Care Vaccine Requirements. Last week, the U.S. Supreme Court issued a decision upholding the Centers for Medicare & Medicaid Services health care worker vaccine mandate outlined in the Omnibus Health Care Staff Vaccination rule. As a result of the decision, health care providers subject to the rule in the 24 states (Alabama, Alaska, Arizona, Arkansas, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Utah, West Virginia, and Wyoming) covered by this decision will now need to establish plans and procedures to ensure their staff are vaccinated and to have their employees receive at least the first dose of a COVID-19 vaccine. The decision does not affect compliance timelines for providers in the District of Columbia, the territories, and the 25 states where the preliminary injunction was previously lifted. See the guidance released on January 14, 2022 for additional information.

HHS Renews Public Health Emergency. On January 14, the U.S. Department of Health and Human Services (HHS) extended the current Public Health Emergency (PHE) declaration for another 90 days. The most recent continuation of the PHE was set to expire on January 16, 2022. The extension of the PHE means the continuation of flexibilities for health care providers, such as the Coronavirus Waivers issued by CMS.

HRSA Seeking Nominations for Migrant Health Advisory. Members of the National Advisory Council on Migrant Health serve four-year terms to advise the U.S. Department of Health and Human Services (HHS) Secretary on the selection, funding, and operation of Migrant Health Centers. Seven positions of the 15-member council are currently open. See the Federal Register notice for more details on eligibility; nominations will be accepted on a continuous basis.  

CDC Evaluates State-Led Surveillance of Neonatal Abstinence Syndrome. The Centers for Disease Control and Prevention (CDC) looked at data from six states mandated to report on neonatal abstinence syndrome (NAS), a condition that occurs when newborn babies experience withdrawal from drugs. A previous study of these states – Arizona, Florida, Georgia, Kentucky, Tennessee, and Virginia – indicated that the reporting helped determine the prevalence of NAS and identify communities more severely affected. The current report is based on answers to a follow-up questionnaire given to epidemiologists and birth defects program managers from the same six states. 

Ongoing: HRSA Payment Program for RHC Buprenorphine-Trained Providers. In June 2021, the Health Resources and Services Administration (HRSA) launched an effort to improve access to substance use disorder treatment by paying for providers who are waivered to prescribe buprenorphine, a medication used to treat opioid use disorder. Rural Health Clinics (RHCs) still have the opportunity to apply for a $3,000 payment on behalf of each provider who trained to obtain the waiver necessary to prescribe buprenorphine after January 1, 2019.  Approximately $1.5 million in program funding remains available for RHCs and will be paid on a first-come, first-served basis until funds are exhausted. Send questions to DATA2000WaiverPayments@hrsa.gov. There is ongoing availability of a free online course for waiver eligibility training from the American Osteopathic Academy of Addiction Medicine and the Providers Clinical Support System.

RHC Vaccine Confidence Grantees Must Attend Upcoming Quarterly Review Call

Date: January 21, 2022

The National Association of Rural Health Clinics (NARHC) looks forward to seeing all Health Resources and Services Administration (HRSA) Vaccine Confidence Grantees next week for the second mandatory Quarterly Review call.

This quarter, there will be three separate calls with different areas of focus. Each Zoom meeting will feature a different Rural Health Clinic Vaccine Confidence (RHCVC) grantee, who will present on how they have used the RHCVC grant within their communities!

Additionally, HRSA staff will host a Q&A session. Grantees are required to attend at least ONE session; however, you are welcome to attend more than one session if interested in additional topics.

  • A Compilation of Creative Outreach
    • Tuesday, January 25th @ 11am EST
  • Pediatric Considerations
    • Thursday, January 27th @ 3pm EST
  • Leveraging Community Partnerships
    • Monday, January 31st @ 5pm EST

Grantees should register here for all 3 webinars.

Audio Conference Details:

  • Dial-in: 833 568 8864
  • Participant Code: 57522149

As a reminder, RHCVC grantees were awarded $49,500 in July 2021. Unlike other RHC funding distributions, this was not deposited into RHC bank accounts. Instead RHCs can draw down on funds using the HRSA Payment Management System (PMS). HRSA knows that many grantees have not yet drawn down on their funds and wants to ensure that each grantee feels adequately prepared to utilize this grant as funds must be spent by June 30, 2022.

NARHC recognizes the challenges associated with managing a federal grant, especially for many first time grantees, but are here to support you as effective and responsible stewards of the grant dollars to encourage future grant opportunities for all RHCs.

New Funding Available for Rural Opioid Response Program

Date: January 20, 2022

HHS Announces Availability of $13 Million to Increase Behavioral Health Care Access in Rural Communities

Today, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the availability of $13 million in funding to increase access to behavioral health care services and address health inequities in rural America, including through evidence-based, trauma-informed treatment for substance use disorder.

“The COVID-19 pandemic has caused behavioral health challenges for Americans of all ages and backgrounds,” said HHS Secretary Xavier Becerra. “This investment is part of the Biden-Harris Administration’s efforts to address the inequities that still exist surrounding behavioral health and advance care in rural America. It will support comprehensive behavioral health prevention, treatment, harm reduction and recovery interventions in rural communities – furthering the goals of our new overdose prevention strategy.”

HRSA’s Federal Office of Rural Health Policy will make awards through the Rural Communities Opioid Response Program (RCORP) – Behavioral Health Care Support. Eligible applicants include entities such as Rural Health Clinics, federally recognized tribes, tribal organizations, and community- and faith-based organizations.

“Our response to the COVID-19 pandemic must include meeting the behavioral health needs of individuals experiencing substance use disorder,” said HRSA Administrator Carole Johnson. “In rural areas, accessing the care and services to address these needs can be a particular challenge. The funding we are announcing today is directly targeted to the community needs of rural areas and will help expand access to behavioral health services to meet these needs.”

Since 2018, the Rural Communities Opioid Response Program – a multi-year initiative administered by HRSA – has provided over $400 million in direct grants and technical assistance to rural communities addressing behavioral health care challenges, including substance use disorder. To date, the initiative has expanded access to substance use disorder prevention, treatment, and recovery services in over 1,500 counties nationwide, with RCORP grant recipients serving over 2 million individuals in rural communities in FY 2020.

Applicants can begin the RCORP-Behavioral Health Care Support application process on Grants.gov and must apply by Tuesday, April 19, 2022 at 11:59 PM, ET. Visit the Notice of Funding Opportunity for more information.

For more information about efforts to address barriers to treatment for substance use disorder in rural areas, visit HRSA’s Federal Office of Rural Health Policy.

To learn about the HHS Overdose Prevention Strategy, visit https://www.hhs.gov/overdose-prevention/.

The Biden-Harris Administration is committed to improving health outcomes and promoting health equity in rural America. In 2021, thanks to the American Rescue Plan (ARP), the Department of Health and Human Services has invested over $16 billion to strengthen rural health. Read the Fact Sheet on HHS Investments to Strengthen Rural Health – PDF.

Understanding Medicare Webinars

Date: January 19, 2022

Join us!

Centers for Medicare and Medicaid Services (CMS) National Training Program

Understanding Medicare Webinars

Webinar Dates: January 25 & 26, 2022

Time: 1:00 – 3:00 p.m. ET

These interactive training webinars are stand-alone events covering Medicare Program basics. You can attend one or both days, and space is limited. You can’t earn CEUs for these webinars.

Topics for each day:

Day 1—Medicare enrollment and eligibility; SSA and CMS roles and responsibilities; cost and coverage under Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance); why enrolling on time is important; and an overview of Medicare Supplement Insurance (Medigap) policies.

To register for the Day 1 webinar, visit CMSnationaltrainingprogram.cms.gov/moodle/course/view.php?id=179

Day 2—Medicare drug coverage (Part D); Medicare Advantage Plans; coordination of benefits; how to detect and report suspected Medicare fraud, waste, and abuse; and different resources to help you find answers to Medicare policy and coverage questions.

To register for the Day 2 webinar, visit CMSnationaltrainingprogram.cms.gov/moodle/course/view.php?id=180

These webinars will be recorded and posted to the National Training Program website. To view the recordings, visit CMSnationaltrainingprogram.cms.gov/?q=ntp-courses.

Evaluating the Rural HIV/AIDS Planning Program

Date: January 19, 2022

Evaluating the Rural HIV/AIDS Planning Program

It is important to examine the unique geographical context for the provision of a spectrum of vital services (from physical to mental health) to those living with HIV/AIDS in rural areas. The purpose of this policy brief is to understand the overall experiences of the first grantee cohort (2020-21) of the Rural HIV/AIDS Planning Program. The Rural Health Research and Policy Centers pay particular attention to any barriers to or facilitators of successful grant implementation, and the sustainability of programs and acquisition of future funding. Understanding these may be key in planning for future grants, and may also inform future policies and programs aimed at addressing rural HIV/AIDS service delivery.

Contact Information:

Mariana Story Tuttle, MPH
University of Minnesota Rural Health Research Center
Phone: 612.626.8401
tuttl090@umn.edu

Additional Resources of Interest:

Click to view Research Alert.