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Brain Injury

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Image by BestGraphics_Com from Pixabay

Today, the House voted and passed HR 1 by a margin of 218–214, to advance the bill known as the “Big Beautiful Bill,” which now moves to the White House to Trump’s desk to be signed into law in time to beat a self-imposed July 4 deadline.

The final version cuts about $1 trillion from Medicaid, the federal health insurance program for low-income individuals and people with disabilities, and other health care programs. It reduces spending on anti-hunger programs, including SNAP, the Supplemental Nutrition Assistance Program formerly known as food stamps, by $185 billion.

The Pennsylvania Congressional Delegation all voted on party lines, with the exception of Representative Brian Fitzpatrick, who was one of only two Republicans to join all Democrats in voting against the measure. RCPA thanks Congressman Brian Fitzpatrick for meeting with RCPA last week and for voting against this bill. We are grateful for the Congressman’s support in protecting the most vulnerable populations that rely on Medicaid.

Main Points Relating to Medicaid Include
About 71 million Americans are enrolled in Medicaid, according to the government’s most recent data. According to a Congressional Budget Office report published this week, the changes to Medicaid and the Affordable Care Act in the current version would result in an increase of nearly 12 million more uninsured people by 2034. It is estimated that nearly 600,000 Pennsylvanians could lose Medicaid coverage.

Work Requirements
The bill outlines new work requirements for the popular entitlement program that provides government-sponsored health care for low-income Americans and people with disabilities. They require adults to work, volunteer, or study 80 hours a month to qualify for enrollment, unless they have an exception. The bill also requires parents of children over the age of 14 to work, as well as those receiving SNAP benefits.

Reporting Requirements
The bill also requires Medicaid recipients to prove their eligibility twice a year, instead of annually.

From our Partners at the National Council on Mental Wellbeing
The scale of the funding reductions and new administrative burdens is immense. But it is also important to recognize that some last-minute changes made to the bill in the past week provide an opening for further advocacy efforts that could potentially mitigate some of the impacts. Most relevant provisions of the bill will not take effect immediately, and in some cases, the effects will be phased in gradually over the course of several years. In addition, several provisions require agency rulemaking for full implementation, and there will likely be opportunities for you to engage through the notice and comment process.

RCPA will continue to review the final bill language and will follow up with a detailed analysis on the impacts of the bill; and through ongoing advocacy channels we will engage in with our national and state partners.

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Registration is now officially open for the 2025 RCPA Conference Strive to Thrive! The conference offers inspiring keynotes and plenaries, over sixty workshops, live updates from both state and national partners, and the ability to interact with exhibitors and sponsors in our Connections Hall! View our Registration Brochure for complete details of the conference schedule and speakers. You can also register directly here.

We are grateful to all of our sponsors who help make the conference happen. Be sure to check the RCPA Conference website regularly for details and updates to the schedule, registration, and sponsors/exhibitors. Our mobile app, which we are proud to share is once again being sponsored by Millin, will become available closer to the time of conference and will contain CE information, a detailed agenda, and more!

In addition to registration, there are still many opportunities available for sponsorship and exhibit booths, so don’t delay! Opportunities still available include but are not limited to our Hospitality Suite, our Awards Luncheon, entertainment, and meal sponsorships. If your organization is interested in sponsoring or exhibiting at our conference, all information is available in our Sponsor, Exhibit, and Advertise Brochure. You can contact Carol Ferenz, Conference Coordinator, for more details.

View our sponsors and exhibitors at our Conference website!

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RCPA is excited to host a membership benefits webinar on Thursday, July 10, 2025, at 10:00 am, as an opportunity for members to orient themselves with all that RCPA membership includes. This is not just for new and future members. For current members, there may be benefits associated with our membership that you may not be aware of, including targeted meetings and groups that occur throughout the year.

Registration is required; please register here to attend the webinar. Items we will review include the below and much more:

  • Virtually meet the dedicated RCPA Policy Staff and RCPA lobbyists;
  • Discuss the 2025 Legislative and Administrative priorities;
  • Preview RCPA divisional committee and subcommittee meetings and what they offer;
  • View the RCPA member-only website;
  • Review exclusive yearly educational and networking events; and
  • Understand the value of the National Association and ANCOR memberships included with RCPA membership.

Visit the RCPA member benefits web page for more information, or contact Tieanna Lloyd for benefit details.

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The Centers for Medicare & Medicaid Services (CMS) issued an alert about a fraud scheme that uses phishing fax requests, which falsely claim to be from CMS staff, to obtain medical records and documentation for auditing purposes.

CMS does not initiate audits by requesting medical records via fax, and if you receive a suspicious request, do not respond. If you have additional questions about this alert, please reach out to Karissa Bjorkgren of CMS via email.

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The National Association of State Head Injury Administrators (NASHIA) will be conducting a free webinar, “Addressing the Intersection of Brain Injury, Aging, and Behavioral Health,” on July 16, 2025, from 12:00 pm – 1:15 pm. Register here.

As the population ages, the overall rate of brain injury in older adults in the US is increasing, and the intersection of brain injury and behavioral health becomes an increasingly critical topic. Brain injury can have long-lasting cognitive, behavioral, and emotional effects for older adults. Certain predisposing factors can make it more likely for an older adult to experience behavioral health challenges after a BI, including sleep problems, anxiety, substance use disorders, low income, negative thinking, and poor social functioning. A brain injury can increase the symptoms of a pre-existing behavioral health disorder. Secondary factors can complicate behavioral health conditions, such as loss of employment, inability to drive, sleep issues, relationship problems, and social isolation.

This webinar will provide an overview on the relationship between aging, brain injury, and behavioral health, highlighting the unique challenges older adults face and the strategies that can improve their quality of life. A brief introduction to the Aging and Behavioral Health Guide will be given, and attendees will learn more about tools and interventions that can support their work. National organizations who conduct work with the Aging Network and Mental Health Systems will provide tips for initiating or improving partnerships within both state aging networks and behavioral health systems.

Attendees do not need to be a member of NASHIA, and the webinar is free of charge (unless applying for a certificate of attendance or social work CEs).

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Cooling centers are designated locations with air conditioning where people can go to escape the heat during extreme temperatures. They are typically open during the hottest parts of the day and offer a cool environment, water, and sometimes other support services.

Types of locations that typically serve as cooling centers during a heatwave include:

  • Senior centers;
  • Libraries; and
  • Other community spaces.

Please call PA 211 or visit the Search Pennsylvania 211 website for more current and up-to-date information.

Additional resources about cooling centers:

Please note:

This is not an all-inclusive list. There are more cooling centers than those listed on the PA211 map link.

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The Office of Long-Term Living (OLTL) released a communication that focused on the update to the Health and Welfare Performance Measure #8 (HW-8) that was included in the OBRA Waiver amendment that was approved by the Centers for Medicare and Medicaid Services (CMS) and took effect on January 1, 2025. The update includes:

Number and percent of incidents for waiver participants each month with more than three reported incidents within the past 12 months where results of trend analysis were addressed by the Service Coordinator (SC). Numerator: Total number of incidents for waiver participants each month with more than three reported incidents within the past 12 months where results of trend analysis were addressed by the SC. Denominator: Total number of incidents for waiver participants with reported incidents within the past 12 months where a trend analysis was performed.

In accordance with this requirement, for any participant with more than three critical incidents within a 12-month period, the Service Coordinator (SC) must perform an analysis (trend analysis) and take action as necessary to prevent or mitigate further incidents. The SC must commence the analysis and implement the actions to address potential issues related to the health and welfare of the Participant within the 30-day investigation period. If additional time is needed to investigate and to implement any necessary actions to address potential issues related to the health and welfare of the Participant, the SC must document an extension in Enterprise Incident Management (EIM). The trend analysis document must be provided to a Critical Incident Management Unit (CIMU) team member for review upon request and subsequently uploaded to the respective EIM entry upon completion and submission of the critical incident report’s final section. If necessary, OLTL’s CIMU staff will provide additional feedback to the SC via the State Management Review in EIM.

For any questions regarding this change, please contact the CIMU via the resource account. Additionally, questions related to critical incidents may be emailed to the CIMU team member identified in any case-specific communication.

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