Eliminate Medicaid DSH Cut, SNAP Asks PA Delegation
A Continuing Resolution to fund the federal government in FY 2021 should eliminate a cut in federal Medicaid disproportionate share (Medicaid DSH) allotments to the states, and the Safety-Net Association of Pennsylvania has written to the state’s congressional delegation asking its members to convey this message to congressional leaders.
The cut was mandated by the 2010 Affordable Care Act but has never been implemented.
In its letter to the delegation, SNAP wrote that
The Medicaid DSH cut was predicated on the expectation that the Affordable Care Act would greatly reduce the number of uninsured Americans, and while it has, millions remain uninsured, including nearly 700,000 Pennsylvanians – a number thought to be rising because of the job loss associated with COVID-19. When these people are sick or injured, most will turn to the state’s 41 private safety-net hospitals for care. These hospitals depend heavily on their Medicaid DSH payments to underwrite the cost of care for their uninsured patients, so they have never needed the resources afforded by Medicaid DSH more than they do today. Congress has always questioned the wisdom of this cut and has never permitted those cuts to go into effect. The most recent delay expires after November 30..
Because they serve so many uninsured and underinsured patients, Medicaid DSH payments from the state are especially important for Pennsylvania’s safety-net hospitals.
Learn more from SNAP’s Medicaid DSH letter to Pennsylvania’s congressional delegation.
The Department of State has 
This week’s 
Provider Relief Fund
CMS has posted the document “
The CDC has updated its 
Independent Fiscal Office
Governor Wolf has signed a second renewal of his 90-day disaster declaration for the COVID-19 pandemic. This declaration provides for increased support for state agencies involved in the continued response to the virus and recovery during reopening, including expediting supply procurement and lifting certain regulations to allow for efficient and effective mitigation. The disaster declaration also has facilitated waivers and extensions to support Pennsylvanians, Pennsylvania businesses, and Pennsylvania caregivers during the pandemic. Learn more from 
In the guidance, the Centers for Medicare & Medicaid Services explains that because of several court rulings, states can decide for themselves whether to offset third-party payer payments from costs in their Medicaid DSH calculations for periods prior to June 2, 2017 but that beginning with that date, CMS will enforce its own interpretation of the policy.
Governor Wolf has presented his fall legislative agenda. Among his proposals, he called for $225 million for hazard pay for frontline workers; $10 million for a personal protective equipment reimbursement program for small businesses; and $250 million for child care for families with school-age children in need of care because of blended or remote in-person instruction models. Learn more about these and other aspects of the governor’s proposal 
The Department of Health has unveiled “CATE” (Community-Accessible Testing and Education”), a recreational vehicle that has been equipped as a mobile COVID-19 testing and education unit that will travel the state offering free COVID-19 tests and education in medically underserved communities in 16 counties. Established and operated by the organization Latino Connection, staffed by the Welsh Mountain Health Centers, and funded in part by the state, Highmark, and Independence Blue Cross, CATE has more than 30 stops scheduled during September, the first half of them in the Philadelphia area and then moving westward across the state. Appointments are not needed and CATE’s tests will be performed by the state’s lab in Exton, which is producing results in 24 to 48 hours. Learn more about CATE, its origins, and its scheduled stops in this Department of Health