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Authors Posts by Emma Sharp

Emma Sharp

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Image by Dirk Wouters from Pixabay

Thank you for your participation in Pennsylvania’s rural health ecosystem, including those who attended a regional rural health summit. As a next step, DHS is gathering information, concepts, and additional ideas to shape the Commonwealth’s Rural Health Transformation Plan and reflect what they heard from rural providers, partners, and residents.

What DHS is asking for:

  1. Information and concepts in these summit-affirmed areas: Maternal Health, Mental and Behavioral Health, Aging and Access, Transportation and EMS, and the Rural Healthcare Workforce.
  2. Other ideas that improve access to care in rural communities, even if they fall outside those five areas.

Who can submit:

  • Hospitals and health systems;
  • Healthcare professionals;
  • FQHCs and rural health clinics;
  • State offices of rural health;
  • Grantees providing services in rural areas;
  • Healthcare leadership and administrators;
  • Healthcare consumers;
  • Community action organizations;
  • Public and private business owners and organizations;
  • EMS and transportation providers;
  • Behavioral health, aging, and disability services partners, county commissioners, and other local or state government representatives, single county authorities, economic development organizations, professional organizations, community-based and faith-based organizations, philanthropy, and higher education and health provider training partners; and
  • Other interested parties.

What to include:

Information to assist DHS in enhancing and transforming rural health, including core concepts, target problems, or opportunities for improvement, intended impact and success metrics, evidence or prior experiences, feasibility of ideas for rural settings, partners, costs and resources, innovation or adaptation, and sustainability.

Submit by: August 29, 2025
Find the Form Here
Questions or Accessibility Needs: Email

DHS may use the information gathered through this process in the development of future implementation; however, the Departments do not guarantee that this will occur.

Respondents should be aware that the responses will be public information and that no claims of confidentiality will be honored. DHS is not requesting, and does not require, confidential, proprietary information, or other competitively sensitive information to be included as part of a submission. Ownership of all data, material and documentation originated, prepared, and provided to the Departments during this process will belong exclusively to the Departments.

Please contact your RCPA Policy Director with any questions.

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The FFY 2026/27 Community Mental Health Services Block Grant (CMHSBG) Draft Pennsylvania Application is now available for public comment. The CMHSBG is federal block grant funding that assists states in providing community-based services to adults with Serious Mental Illness and children with Severe Emotional Disturbance. This application provides a review of the current strengths and needs in the Pennsylvania mental health system and plans priority areas for improvement. The priorities were developed in consultation with representatives from the Pennsylvania Mental Health Planning Council. The CMHSBG Application public comment period will remain open until August 25, 2025.

Please access the application using the Webbgas Citizen’s login using the below credentials.

  • Login: citizenpa
  • Password: citizen

Submit any comments on this application to the CMHSBG Resource inbox.

RCPA is open to submitting members’ comments and feedback via our organization’s response to the public feedback process. If you would like to have RCPA submit comments on behalf of your agency, please contact RCPA Policy Associate Emma Sharp with any questions.

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The Mental Health Safety Net Coalition (MHSN) is a group of stakeholders participating in a joint advocacy effort to protect and preserve our mental health service delivery system. This week’s communication urges the General Assembly to end the budget impasse to ensure the system’s ability to provide care. Without a budget, community mental health services will not receive any payment, putting vulnerable Pennsylvanians at risk.

The full letter can be read here.

Please contact Emma Sharp with any questions or if you are interested in joining the coalition.

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Pennsylvania’s Office of Medical Assistance Programs (OMAP) Deputy Secretary Sally Kozak has been featured in the Center for Health Care Strategies’ Lessons in Leadership series, which shares stories from public sector leaders from across the country. Deputy Secretary Kozak shares how she has prioritized mentorship in her career to ensure sustainability beyond any one person and offers a blueprint for how intentional, adaptive mentoring can create lasting change for individuals and the institutions they serve.

Read the full article here.

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H.R. 1 created a $50 billion fund called the Rural Health Transformation program in an attempt to offset the losses that rural health providers will experience associated with the other devastating cuts to health care in the legislation.

Each state must complete a one-time application for the five-year program to be reviewed by CMS. Many aspects of the application are still undecided, including the submission period, due date, state entity that must submit the application, and the form of the application. The RHTP application must include a plan to describe how the state would use the funds to:

  • Improve access to hospitals and other providers for rural residents;
  • Improve health care outcomes of rural residents;
  • Prioritize the use of new and emerging technologies that emphasize prevention and chronic disease management;
  • Initiate, foster, and strengthen local and regional strategic partnerships between rural hospitals and other providers to promote quality improvement, increase financial stability, maximize economies of scale, and share best practices;
  • Recruit and retain clinicians,
  • Prioritize data and technology driven solutions that help rural providers furnish health care services as close to the patient’s home as possible;
  • Outline strategies to manage long-term financial solvency and operating models of rural hospitals; and
  • Identify specific causes that are driving standalone rural hospitals to close, convert, or reduce service lines.

The funds will be distributed between 2026 and 2030, allotting $10 billion each year. $25 billion of this fund will be allocated equally among all states with an approved application by CMS. Assuming that all fifty states are approved, each state will receive a minimum of $100 million per year for five years. The other $25 billion will be distributed to states with an approved application in an amount determined by CMS based upon the state’s rural population, proportion of healthcare facilities in rural areas, and the situation of hospitals that serve a high proportion of low-income patients.

The bill lists several allowable uses of the PHTP funds:

  • Promoting evidence-based, measurable interventions to improve prevention and chronic disease management;
  • Providing payments to health care providers for the provision of health care items or services as specified by CMS;
  • Promoting consumer-facing, technology-driven solutions for the prevention and management of chronic diseases;
  • Providing training and technical assistance for the development and adoption of technology-enables solutions that improve care delivery in rural hospitals, including remote monitoring, robotics, artificial intelligence, and other advanced technologies;
  • Recruiting and retaining clinical workforce talent to rural areas, with commitments to serve rural communities for a minimum of five years;
  • Providing technical assistance, software, and hardware for significant information technology advances designed to improve efficiency, enhance cybersecurity capability development, and improve patient health outcomes;
  • Assisting rural communities to right-size their healthcare delivery systems by identifying needed preventative, ambulatory, pre-hospital, emergency, acute inpatient care, outpatient care, and post-acute care service lines;
  • Supporting access to opioid use disorder treatment services, other substance use disorder treatment services, and mental health services;
  • Developing projects that support innovative models of care that include value-based care arrangements and alternative payment models as appropriate; and
  • Additional uses designed to promote sustainable access to high quality rural health care services, as determined by the Administrator.

RCPA will continue to share information on the program and applications as it becomes available. Contact Emma Sharp with any questions.

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The Pennsylvania Rural Health Association (PRHA) has released the 2025–2030 Pennsylvania Rural Health Plan, which is a comprehensive roadmap to improve the health and well-being of rural residents across the state.

The plan was developed with input from rural community leaders, health professionals, academic institutions, and policymakers to identify key priority and action steps to address the unique health challenges and opportunities in Pennsylvania’s 48 rural counties. Primary focuses include access to care, behavioral health, oral health, maternal health, workforce development, broadband connectivity, and health equity.

The 2025–2030 Pennsylvania Rural Health Plan can be found here.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) is extending the pause on the implementation of OMHSAS-25-02 Bulletin: Voluntary and Involuntary Commitment Forms, which was originally in place until August 27, 2025. OMHSAS is appreciative of all the stakeholders who took time to submit their comments and questions on the updated forms. Based on those comments, OMHSAS is planning to make further revisions to the MH 783 form that will require issuing a new bulletin.

The pause on the implementation of OMHSAS-25-02 will remain in effect until an updated bulletin is issued with the new MH 783 form. OMHSAS anticipates that the updated bulletin will be completed by the end of 2025, and the new bulletin will also have a separate effective date from the issue date to allow counties and providers to update their electronic systems, print new paper forms, and otherwise prepare for the transition to the updated forms. Counties continue to have the choice to use the prior forms or continue with the new forms issued in OMHSAS-25-02 until a new bulletin is issued. Providers, law enforcement, and other individuals using these forms should defer to their county mental health office in determining which version to use.

Along with the updated bulletin and MH 783 form, OMHSAS will be issuing an FAQ document to address questions they received on the forms more broadly and will be holding a Q&A session for stakeholders before the effective date of the new bulletin.

Questions may be sent electronically.

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Photo by Markus Winkler from Pexels

Kehinde “Kenny” Solanke, MSW, LSW, will become Commissioner of the City of Philadelphia Department of Behavioral Health and Intellectual disAbility Services (DBHIDS), effective September 2. Philadelphia Mayor Cherelle Parker announced the selection of Solanke for the role on July 30. Solanke succeeds Interim Commissioner Marquita Williams and former Commissioner Jill Bowen.

As Commissioner, Solanke sets the vision and direction for the entire department. She administers all six DBHIDS divisions and is responsible for aligning priorities, coordinating efforts, and ensuring that everything the 1,000-plus team members do reflects the DBHIDS mission, vision, and values.

Solanke oversees a vast network of providers offering treatment and services to address mental health challenges, substance misuse, and the impact of social determinants of health on behavioral health and wellness.

Solanke most recently served as Senior Director of Operations for Crisis Services at DBHIDS, where she led transformative citywide initiatives, including the implementation of the 988 Suicide and Crisis Lifeline, expansion of 24/7 mobile crisis teams, and the launch of Philadelphia’s first Behavioral Health Urgent Care Center. She has also overseen critical city responses, including DBHIDS’s behavioral health strategy during the COVID-19 pandemic, managed multi-million-dollar funding portfolios, and championed the department’s equity framework to align services with community needs.

Throughout her career, Solanke has been a respected thought leader and advocate for transforming public behavioral health systems. She has testified before City Council, chaired statewide policy work groups, and represented Philadelphia at national forums — including coordinating with the US Secretary of Health and Human Services to mark the national rollout of 988. Her work has positioned Philadelphia as a leader in crisis system transformation while deepening public trust and strengthening the behavioral health safety net for thousands of residents.

A licensed social worker, Solanke holds a Master of Social Work degree from Temple University and has spent her career within the city’s behavioral health ecosystem, serving previously as Director of Policy and Planning at DBHIDS and Director of Clinical Management at the DBHIDS Division of Community Behavioral Health (CBH).

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The passage of the “One Big Beautiful Bill Act” has made significant changes to Medicaid, the Children’s Health Insurance Program, and Medicare, with strict requirements to maintain Federal support and criteria to qualify and maintain enrollment in Federal healthcare programs. There are several key provisions that will result in hundreds of thousands of Pennsylvanians losing access to healthcare:

  • “Community Engagement” Requirements which will require able-bodied adults to study, work, or volunteer for a minimum of 80 hours per month for expansion enrollees aged 19 – 64.
    • There are exceptions to these work requirements for people who are: enrolled in Medicare; incarcerated (and for 90 days following incarceration); pregnant or receiving postpartum coverage; Urban and California Indians; are caretakers of dependents under the age of 14; veterans with a total disability rating; are “medically frail”; participate in SNAP and are not exempt from its work requirements; or who have a substance use disorder or a disabling mental disorder (though neither of those exemptions are clearly defined). In addition, individuals who are participating in a drug or alcohol treatment and rehabilitation program (as defined in section 3(h) of the Food and Nutrition Act [FNA] of 2008) are exempt. However, FNA defines drug addiction or alcoholic treatment and rehabilitation programs as “any such program conducted by a private nonprofit organization or institution.” With no clear guidance at this point on how an individual is determined to qualify as having an SUD, the definition of drug addiction or alcoholic treatment and rehabilitation program could be an issue for for-profit providers.
    • States may request an exemption for 2027 and 2028 if they show a “good faith” effort to implement the program.
  • Limits to certain non-citizen access to federal health services, which will prevent certain individuals from enrolling in or receiving Medicaid or CHIP benefits. Medicaid will no longer be available to refugees, asylees, victims of trafficking, or other people under temporary protected status, with certain exceptions.
  • Eligibility redeterminations must be made every six months for Expansion enrollees. Individuals who are exempt from the community engagement requirements are also exempt from the bi-annual eligibility redeterminations.

Additional Resources:

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