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State

Please find an updated stakeholder message regarding DHS’ actions in response to the COVID-19 crisis. This message contains the information shared by Secretary Miller on the March 25 stakeholder call. Please know that the situation remains fluid and responses will continue to evolve; the most up to date information is available on the DHS website. Thank you for your partnership and for all you are doing to serve Pennsylvanians during this time.

By Chris Comisac
Bureau Chief
Capitolwire

HARRISBURG (March 25) – The state House and Senate worked through the day Wednesday to send several bills to the Governor seeking to implement some temporary changes to various significant areas of life in Pennsylvania now being impacted by the COVID-19 crisis.

change to state election law, primarily to delay the April 28 primary election until June 2 (but including a few other changes as well) was adopted by both chambers today, as well as changes to state Unemployment Compensation law and the Pennsylvania tax code – CLICK HERE for more about those changes.

But probably the most significant change for much of the state’s residents – other than being urged not to leave their homes for any reason, other than “life-sustaining” ones – has been the closing of Pennsylvania’s school, which are not set to reopen until April 6 at the earliest – something that will be entirely dependent on the progress made to stem the spread of COVID-19.

In an attempt to respond to issues that have arisen due to the extended closure of schools, lawmakers on Wednesday sent to Gov. Tom Wolf Senate Bill 751, which contains a host of temporary changes to Pennsylvania’s Public School Code.

“This bill will reassure our public school districts that the educational system will be preserved,” Rep. Curt Sonney, R-Erie, majority chairman of the House Education Committee, told his colleagues before the House voted unanimously to approve the measure.

“I believe with the reassurances out of the federal government and the passage of Senate Bill 751, our districts should now have the reassurances that they need so they can move forward with plans to once again get our teachers teaching and get our students learning,” said Sonney.

In the Senate, while noting his support for SB751, Senate Education Committee Minority Chairman Sen. Andy Dinniman, D-Chester, said there are large portions of the state who are lacking the resources needed to provide “the continuity of education for each and every student” while schools are closed, something he said lawmakers will have to address, particularly if the school year is delayed further or canceled entirely.

“We seek a return to normalcy, and yet we have a duty to press forward and deal with the issues at hand,” said Senate Education Committee Majority Chairman Sen. Wayne Langerholc, R-Cambria.

“This bill will serve as a template as we continue to navigate uncharted waters,” Langerholc said. “We don’t know when our students will return to school, but we do know that this bill will help ease that transition back, and provide all available resources to ensure that our students succeed.”

In addition to the bill’s original purpose – to revise the state’s existing educator evaluation system – Senate Bill 751 contains numerous changes to state education rules, solely for the current 2019-20 school year, in response to the statewide school closure in response to the COVID-19 virus crisis.

Though closures have already been implemented as part of Gov. Tom Wolf’s COVID-19 disaster declaration, SB751 authorizes the state Education Secretary to order the closure of all school entities until the threat to health and safety caused by COVID-19 has ended, and it waives the requirement that school entities be open for at least 180 days of instruction, with that waiver to also apply to home education bodies and nonpublic schools if their governing bodies decide to close them.

Additionally, the Secretary is allowed to increase the number of flexible instructional days school can implement, waiving the timeline to apply for those days. Also eligible for waivers by the Secretary are career and technical education program hours, the use of performance data in professional employee evaluation systems, prekindergarten instruction hours, and the 12-week student teacher preparation program requirement.

All school entity employees are held harmless by SB751, ensuring than anyone employed as of March 13, 2020, will receive no more or less compensation than they would otherwise have received from the school entity had the COVID-19 crisis not occurred. For those employees who have already been furloughed, the school entity would need to bring those employees back and keep paying them. If any of those employees had already applied for and received unemployment benefits, those payments would be considered no-fault overpayments and further benefit would stop. Employees would likewise be kept whole with regard to their retirement benefits. Plus, for active educators, their current continuing professional education compliance period would be extended by one year.

A “school entity” is defined as any school district, intermediate unit, area career and technical school, charter school, cyber charter school or regional charter school a child attends in order to fulfill the compulsory attendance requirements of the state’s Public School Code.

Also required of those school entities:

  • Provide notice to all parents of special education students of the school entity’s plan for ensuring a free and appropriate public education for special education students;
  • Provide cleaning staff with appropriate cleaning materials and protective clothing and gear as recommended by the Centers for Disease Control and Prevention;
  • A good faith effort made to develop a plan – with guidance and assistance to be offered by the state Education Department and local intermediate units – to offer continuity of education using alternative means during the closure period, with that plan to be submitted to the state Education Department for posting on its website; and
  • Continue payment to intermediate units and career and technical centers, as well as approved private schools and private residential rehabilitative institutions where public schools have placed students.

SB751 also states that no school entity will see any loss in school subsidies or reimbursements from the Commonwealth as a result of actions taken by the Secretary pursuant to this section. That also applies to charter schools, which under the bills, will not receive more or less per-student tuition payments then they otherwise would have been entitled if the COVID-19 crisis had not occurred, with tuition payments based upon the students enrolled as of the initial date of the ordered school closure.

To address potential school student transportation issues down the road, the legislation allows each school entity to renegotiate their contracts for school bus transportation services to ensure contracted personnel and fixed costs, including administration and equipment, are maintained during the period of school closure. The school entities will be eligible to receive reimbursement from the state as if the COVID-19 crisis had not occurred (though, as noted during the recent state budget hearings, reimbursement might start to get dicey, particularly if the state’s revenues take a substantial downturn due to the COVID-19 crisis).

And while it’s already been announced that the state is canceling standardized test for the school year, but the legislation requires the Education Secretary to apply to the federal government – which Secretary Pedro Rivera has said he intends to do – for the necessary waivers to permit the cancellation of those assessments. The bill cancels standardized tests for home education students, along with evaluations of home education programs.

Lastly, acknowledging the impact of the COVID-19 crisis upon school operations, SB751 allows a school entity to seek a waiver from the Education Secretary, in a form and manner prescribed by the Secretary, of any provision of the state’s Public School Code, regulation of the State Board of Education or standards of the Department directly related to the school entity’s staffing needs, its instructional program or operations, with the Secretary given 30 days to approve or disapprove the request, with no option to appeal the Secretary’s decision.

Questions, please contact Jack Phillips.

On March 6, 2020, pursuant to the provisions of section 7301(c) of the Emergency Management Services Code, 35 Pa. C.S. §§ 7101, et seq., Governor Tom Wolf issued a Proclamation of Disaster Emergency related to the novel Coronavirus disease (COVID-19). Pursuant to authorization from the Governor in accordance with the proclamation, and consistent with the SAMHSA guidance, the Department of Drug and Alcohol Programs (DDAP) is suspending:

  • Regulation at 28 Pa. Code § 715.9(a)(4), which requires Narcotic Treatment Programs (NTPs) to make a face-to-face determination before admission to treatment, for those clients who will receive buprenorphine treatment. View Licensing Alert 02-20 for more details.
  • Regulation at 28 Pa. Code § 715.6(d), which requires NTPs to have narcotic treatment physician services onsite. View Licensing Alert 03-20 for more details.

Questions regarding these Licensing Alerts can be directed to the Division of Drug and Alcohol Program Licensing at 717-783-8675 or via email.

For further information, please contact Jack Phillips.

The Department of Human Services (DHS) has issued an updated stakeholder message regarding their actions in response to the COVID-19 crisis. Included in this message are updates to: 1135 Waiver, Appendix K Waiver, Residential Treatment Facility Visitation guidance, licensing, and Electronic Visit Verification (EVV). DHS also continues to work on updating a Frequently Asked Questions (FAQs) document, which is expected to be shared very soon. Members are encouraged to frequently check the DHS website for the most up-to-date information.

In addition, Secretary Miller will host a call for stakeholders on Wednesday, March 25, 2020 at 4:00 pm. Registration information for this call will be shared on March 23, 2020.

Late this afternoon, the Governor ordered all businesses to close at 8:00 pm tonight (Thursday, March 19), except for those considered life-sustaining. For those businesses that are not considered life-sustaining and do not close, the state will begin to take enforcement actions on Saturday, March 21, at 12:01 am.

RCPA members are considered life-sustaining businesses. For a complete chart of life-sustaining businesses, use this link.

Additional information regarding the Governor’s declaration can be found below:

Questions, please contact Jack Phillips.

This afternoon (Thursday, March 19), drug and alcohol stakeholders received the below email from the Department of Drug and Alcohol Programs Secretary Jen Smith. If you did not receive her email, please see it below in its entirety. The Secretary also provided helpful resources that can be found below:


Email from Sec. Smith:

Good evening,

First, I want to take an opportunity to thank each of you for the work that you are doing during this unprecedented time. As the front line of defense for our community you are making decisions and implementing procedures based on evolving guidance as we navigate unchartered waters. The department recognizes this is no easy task and fully commit to communicating timely to you as information is available.

As you develop continuity plans to mitigate COVID-19, I thought it would be helpful to share strategies that sister state agencies are adopting, as well as procedures from other states. The policies and procedures below and attached were developed for the safety of patients and staff during this time.

  • The Department of Human Services recently released guidance to restrict visitors to all state centers and state hospitals in line with the Center of Disease Control. The press release can be found here which details visitation policies that you may find useful in adopting.
  • Additionally, numerous attachments to this email are documents developed by Delaware for both patient and staff screenings in the event either party presents with COVID-19 symptoms.

With the spread of COVID-19 changing operations for the foreseeable future, continued flexibility will be key to successfully navigate this situation. One of the things that I have learned during my time in the drug and alcohol field is that this community is resilient. Thank you for your patience and your commitment to the individuals you serve. Together, we will get through this.

Jen Smith
Secretary
Drug and Alcohol Programs


Questions, please contact Jack Phillips.

Text of March 18 press release.

Harrisburg, PA — Health care professionals licensed under any of the Department of State’s Bureau of Professional and Occupational Affairs (BPOA) licensing boards can provide services to patients via telemedicine during the coronavirus emergency.

“Telemedicine provides health care professionals flexibility to continue treating their patients while following best practices on social distancing as outlined by the Department of Health,” Secretary Boockvar said. “The department requested, and Governor Wolf granted us, the authority to allow health care professionals from out-of-state to treat Pennsylvania residents using telemedicine, when appropriate, due to COVID-19.”

This new guidance applies to the following boards:

o Chiropractic
o Dentistry
o Medicine
o Nursing
o Optometry
o Pharmacy
o Podiatry
o Psychology
o Osteopathic Medicine
o Nursing Home Administrators
o Occupational Therapy Education and Licensure
o Physical Therapy
o Social Workers, Marriage and Family Therapists, and Professional Counselors
o Examiners in Speech-Language Pathology and Audiology
o Veterinary Medicine

Currently, no Pennsylvania law prohibits the practice of telemedicine.

Additionally, the department is working with the Governor’s office, the Department of Health, and Department of Human Services to identify regulations and requirements that can be suspended to give medical providers and facilities the flexibility they need to respond to the crisis. We will publish these notifications on our website as they become available.

Governor Wolf also granted the department’s request for a suspension to allow licensed practitioners in other states to provide services to Pennsylvanians via the use of telemedicine, without obtaining a Pennsylvania license, for the duration of the emergency. Out-of-state practitioners must:

o Be licensed and in good standing in their home state, territory, or country.

o Provide the Pennsylvania board from whom they would normally seek licensure with the following information prior to practicing telemedicine with Pennsylvanians:
• their full name, home or work mailing address, telephone number and email address; and
• their license type, license number or other identifying information that is unique to that practitioner’s license, and the state or other governmental body that issued the license.

Please submit the information requested above to the appropriate board resource account listed on the BPOA website.

All practitioners using telemedicine in Pennsylvania must remain informed on all federal and state laws, regulations and guidance regarding telemedicine, including a practitioner’s obligations under the Health Insurance Portability and Accountability Act (HIPAA) and recent guidance provided by the U.S. Department of Health and Human Services.

Authorization to engage in telemedicine from a professional licensing standpoint is separate and apart from any insurance coverage/payment issues that fall under the Department of Health, the Department of Human Services, the Department of Insurance, or any other state or federal agency.

The Department of Human Services issued guidance for Behavioral Health Services Telemedicine here. The Department of Drug and Alcohol Programs released Telehealth guidance for their programs and providers here.

Questions, please contact Jack Phillips.