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Brain Injury

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Join RCPA as we host the 2025 Annual Conference Striving to Thrive from September 9 – 12 at the Hershey Lodge. The event is a highlight for the Pennsylvania behavioral health, brain injury, children’s, intellectual and developmental disabilities, medical rehabilitation, and physical disabilities and aging provider communities. RCPA staff and the Conference Committee are excited to release this year’s Sponsors, Exhibitors, and Advertiser Brochure, which features new opportunities to get in on the action and network with providers. Booth self-selection will also be available for exhibitors and exhibiting sponsors. In order to be considered for self-selection, a completed contract with payment must be submitted.

Network and Compete in Connections Hall
Connections Hall activities take place during the two busiest days of the conference, and many networking opportunities are available throughout the event. You’ll also be able to compete and have a chance to win “Best of Show!”

Exciting New Sponsorship Opportunities
RCPA is privileged to have the backing of the finest organizations in the field for our conference. Through the use of sponsorship circles, RCPA is able to honor all supporting organizations.

Sign Up Now!
Sponsors, exhibitors, and advertisers who wish to be listed on the website, the mobile app, and in the conference program must submit all materials by August 20.

The association looks forward to welcoming you at the conference! Space and opportunities are reserved on a first-come, first-served basis, and no reservation is considered complete without payment. If questions remain, please contact Carol Ferenz, Conference Coordinator.

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Tomorrow, February 5, the House Human Services Committee will hold a second informational meeting on the treatment and support for Traumatic Brain Injuries (TBI). The meeting will be held at 9:00 am in Room G-50 in the Irvis Office Building of the Capitol.

The hearing will include testimony to be provided by the PA Department of Health, NeuroRestorative, Woods Services, Penn State Health, and Penn State College of Medicine. Following the testimony from the panelists, they will receive questions from the members of the Committees.

The meeting will be livestreamed, which can be accessed from the Human Services website here.

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Message from ANCOR:

A second federal judge has blocked the freeze on federal spending noticed earlier in the week through a memo from OMB.

The order directs the Trump Administration not to “pause, freeze, impede, block, cancel, or terminate defendants’ compliance with awards and obligations to provide federal financial assistance to the states, and defendants shall not impede the states’ access to such awards and obligations” until further arguments can be heard.

The order does not prevent the review of federal programs, only the freeze on federal spending during the review. The OMB memo was rescinded prior to the issuance of the order, but the judge expressed earlier in the week that he was not persuaded that withdrawing the memo removed the underlying harm.

A hearing is expected Monday on the previous restraining order issued earlier in the week. We’ll keep you posted as we learn more.

Lydia Dawson, JD
ANCOR | Vice President of Government Relations
571-932-5375

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The Employment First Cabinet Report has been published.

Employment First is about making sure that every person, who wants to, has the chance to work in a competitive integrated environment, supported and empowered by their employer, their colleagues, and their government.

The Shapiro-Davis Administration is committed to upholding the values and goals laid out in Act 36 to enhance employment outcomes for individuals with a disability. As required by the Act, this annual report contains information about progress made since the last report was issued and provides insight into the strategic direction of the Commonwealth as advised by the Cabinet and EFOC, ensuring individuals with disabilities have opportunities to achieve economic independence through CIE.

This annual report by the Employment First Cabinet has six thematic sections:

  • Service Provision and Benefit Coordination;
  • Accessibility;
  • The Commonwealth as a Model Employer;
  • Other Agency Initiatives;
  • Response to Employment First Oversight Commission (EFOC) Report; and
  • Recommendations and Future Direction.

Read the report here.

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As was shared in the RCPA Alert sent on Tuesday, January 28, the House Human Services and Insurance Committees held a joint informational meeting on January 29 on Traumatic Brain Injury (TBI): Care Needs and Coverage Options, where testimony was provided by RCPA, OLTL, Success Rehabilitation, BIAPA, and insurers.

Following the hearing, leadership from the House Human Services Committee has requested additional information from BI providers. Please review the questions below and provide responses to Melissa Dehoff by close of business Monday, February 3.

  1. Is your organization accredited by CARF as a Brain Injury Residential Rehabilitation Program (Adult) or Community Housing?
  2. Do you provide other non-residential services through the waiver? If so, please list them.

The important message to share is that we have the legislators’ attention! Things are moving very quickly; there are many meetings, calls, and ongoing communications with leadership in the legislature as we enter the key phase of budget negotiations.

It is critical that we have full participation in providing this information from every single BI provider/program. If we do not provide responses from 100% of our BI members, it could have an impact on funds being allocated to us in the budget.

Please contact Melissa Dehoff with questions and your responses.

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Photo by René DeAnda on Unsplash

RCPA provided some late updates yesterday on the Federal funding freeze, and late last evening, the National Council for Mental Wellbeing provided members a legal interpretation on the rescinding of the Office of Management and Budget (OMB) M-25-13 and the issuance of the new memorandum M-25-14.

The following is from the National Council:

On Wednesday afternoon, the White House Office of Management and Budget issued a new memorandum—M-25-14 — that rescinded the pause to federal funding contemplated in a previous memorandum first issued on Monday night.

The new memorandum, which was directed to “heads of executive departments and agencies,” features a two-sentence statement reading: “OMB Memorandum M-25-13 is rescinded. If you have questions about implementing the President’s Executives Order, please contact your agency General Counsel.”

In the short term, M-25-14 certainly relieves some of the confusion and anxiety that swept across the federal grants world since Monday night. Our previous client alerts have chronicled the chaos that emerged late Monday and throughout the day on Tuesday.

However, in our review, there are still five key Executive Orders issued by the Trump Administration not affected by the rescission of M-25-13. Those EOs include:

While the upheaval following the issuance of M-25-13 may have prompted the Trump Administration to change course and move away from pausing all federal funding, we certainly anticipate that federal grants in the above-listed areas will remain subject to a comprehensive review and new standards. Federal grantees with programs in these specific areas should undertake a detailed review and be prepared for future agency actions.

Federal grantees should continue to keep apprised of the Administration’s actions, orders, and statements relating to federal funding — as the rescinded memorandum likely foretells future clashes as the Administration attempts to exert control over federal spending.

Chuck Ingoglia
President & CEO
Strategic Leadership
National Council for Mental Wellbeing

In addition, ANCOR sent the following information last night:

In what’s turning from a whirlwind couple of days into a whirlwind week, there were notable updates today on the OMB memo on the freeze of certain federal funding issued earlier in the week. 

Today OMB withdrew the memo with a simple rescission statement after a federal judge temporarily blocked the funding freeze for open awards and current spending. The order remains in effect until February 3 when a hearing is scheduled to determine next steps.  

As you may have seen, later in the day, Press Secretary Karoline Leavitt posted to X, “[t]his is NOT a rescission of the federal funding freeze. It is simply a rescission of the OMB memo. Why? To end any confusion created by the court’s injunction. The President’s EO’s on federal funding remain in full force and effect, and will be rigorously implemented.” Without further specificity regarding the implicated executive orders, the situation remains fluid with the potential for later memos or other interpretive guidance which the White House maintains is authority held within the executive branch.

In other litigation, U.S. District Judge Jack McConnell made statements in court today indicating that another restraining order may be coming. With the memo rescinded, the Department of Justice Special Counsel argued the case is no longer relevant. However, the judge did not appear persuaded and asked for a draft protective order for response and consideration. 

We’ll continue to keep you posted as we know more and hope to see you Friday (1/31) for our extended Members-Only Weekly Briefing at 12:30 pm ET to provide updates and review all available information together. See login information below:
Join Zoom Meeting: ancor-org.zoom.us/j/… 
Meeting ID: 870 2745 7284 
Passcode: 977618 

In recent communications from the OMB, these actions will not impact programs that provide direct benefits to individuals and are explicitly excluded from the pause and exempted from this review process. In addition to Social Security and Medicare, already explicitly excluded in the guidance, mandatory programs like Medicaid and SNAP will continue without pause.

RCPA will continue to communicate new developments with members as they emerge. If you have any questions, please contact your RCPA Policy Director.

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Friday, February 7, 2025
1:00 pm – 2:00 pm EST; 12:00 pm – 1:00 pm CST;
11:00 am – 12:00 pm MST; 10:00 am – 11:00 am PST
Register Here

Christina Kokorelis, MD

Presenter Bio:

Christina Kokorelis, MD, is a rehabilitation physician specializing in pediatric and adult postural orthostatic tachycardia syndrome (POTS), orthostatic intolerance, and musculoskeletal rehabilitation. She takes a comprehensive, team-based approach to patient care. Dr. Kokorelis also treats children with concussions and chronic pain disorders. An assistant professor in the Johns Hopkins Department of Physical Medicine and Rehabilitation, where she completed her residency, Dr. Kokorelis followed the residency with a pediatric rehabilitation fellowship at the Johns Hopkins Hospital and the Kennedy Krieger Institute. She currently works as an attending physician in the Johns Hopkins POTS clinic and is also the Medical Director of the Pediatric POTS clinic at the Kennedy Krieger Institute in Baltimore.

Objectives: At the end of this session, the learner will:

  • Define POTS;
  • Discuss how to diagnose POTS;
  • Describe treatment approach to POTS; and
  • Discuss long-term outcomes of POTS.

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Beginner/Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today.

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Image by David Mark from Pixabay

RCPA continues its efforts to update members on the White House funding freeze while partnering with the National Council for Mental Wellbeing and ANCOR in examining the implications stemming from the White House Office of Management and Budget’s (OMB) January 27 memorandum temporarily freezing federal disbursements to many federal programs.

The National Council has provided the following update:

Federal agencies have been directed to fill out a spreadsheet as part of an analysis by Feb. 7 to ensure compliance with the president’s most recent executive orders. This is a breakdown of which health programs are included in this latest action.

Notably, we recognize conflicting guidance has been issued. While the above report identifies Medicaid programs, a Q&A document from the administration notes that Medicaid will continue without pause. As of Tuesday morning, all 50 states reported outages of their Medicaid online portals, and the Trump administration has stated they are aware of the outages and expect the portals to be back online shortly.

Also, several groups have taken action to block this funding freeze. As of this writing, several Democratic state attorneys general said they would ask a court to block the freeze from taking effect. Several groups representing nonprofits, public health professionals and small businesses have already filed suit in D.C. asking the court to prevent the freeze from continuing. On Tuesday evening, U.S. District Court Judge Loren L. AliKhan issued a temporary stay on the funding freeze until Feb. 3 at 5:00 pm ET.

The funding freeze may lead to project delays or cancellations, resulting in layoffs of workers involved in these programs, and may ultimately increase the unemployment rate, making it vital lawmakers understand the impact of this freeze on communities across the country.

Most notable are the concerns with the intersects of Medicaid funding though the information that has been released. The Q&A document states:

Q: Is this a freeze on benefits to Americans like SNAP or student loans?

A: No, any program that provides direct benefits to Americans is explicitly excluded from the pause and exempted from this review process. In addition to Social Security and Medicare, already explicitly excluded in the guidance, mandatory programs like Medicaid and SNAP will continue without pause.

RCPA will continue to communicate new developments with members as they emerge. If you have any questions, please contact your RCPA Policy Director.

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