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The Partnership on Inclusive Apprenticeship released a guide on “Creating Inclusive Virtual & Hybrid Apprenticeships: What Apprentice Learned During COVID-19.” This guide discusses how Apprentice, a technology apprenticeship intermediary, successfully transitioned to a 100% virtual environment during the COVID-19 pandemic. Their experience shows how apprenticeship programs can actively transform their business models to recruit and support apprentices with disabilities. The guide offers valuable insights, approaches and lessons learned to help other organizations shift to remote work. Read “Creating Inclusive Virtual & Hybrid Apprenticeships: What Apprentice Learned During COVID-19” here.

The Department of Human Services’ (DHS) Office of Long-Term Living (OLTL) published a notice in the November 6, 2021 Pennsylvania Bulletin that announces a change in the fee schedule rates in the OBRA waiver and the Act 150 Program for Personal Assistance Services (PAS) procedure codes W1793, W1793 TT, W1792, and W1792 TU. Comments on these changes to the fee schedule rates will be accepted and should be sent to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, P.O. Box 8025, Harrisburg, PA 17105-8025.

Comments can also be sent virtually. The public comment period ends on December 6, 2021. Comments received within the 30-day comment period will be considered in subsequent revisions to the fee schedule.

Message from the Office of Long-Term Living (OLTL):

This communication is a reminder that the Office of Long-Term Living (OLTL) is allowed to continue available temporary changes to the CHC waiver, OBRA waiver, and the Act 150 Program under Appendix K, Emergency Preparedness and Response, until six months after the end of the federal public health emergency related to COVID-19.

On October 15, 2021, the federal public health emergency was extended by 90 days; however, it’s possible the federal government will decide to extend the emergency further. Please visit this public health emergency website to see the current and future public health emergency declarations related to COVID-19. OLTL will issue guidance in the future when the Appendix K flexibilities are closer to expiring.

For further information on the available OLTL Appendix K flexibilities, please visit the OLTL Resources page. If you have questions about the information, please contact the OLTL Provider Helpline at 1-800-932-0939.

Having a mental health condition such as depression, anxiety, or a substance use disorder (SUD) can negatively impact one’s oral health, and conversely, poor oral health can create or exacerbate problems with mental health, cognitive health, and/or substance use. RCPA President & CEO Richard S. Edley, PhD, along with other members of the OH/BH Integration Technical Expert Panel, have developed an OH/BH Integration Framework, which includes new and innovative care models designed to enable providers and organizations to start wherever they feel comfortable.

No comprehensive set of resources currently exists to help health organizations that may be interested in more coordination or integration across oral, mental health, and substance use treatment services specifically. This toolkit, which has been finalized since the draft release in September, seeks to help oral health and behavioral health providers and organizations increase coordination and integration by offering practical suggestions, resources, strategies, and on-the-ground examples for implementation of new care models across a continuum, ranging from cross-sector provider and patient education to full system integration. It provides innovative examples from leading-edge programs across the country about how to re-engineer traditional care pathways, especially given broader adoption of telehealth.

Please find the official version of this framework here.

Businesses Left in Limbo on COVID-19 Mandate
Excerpts from: The Hill, November 10, 2021

Businesses are in limbo after a federal court halted the Biden administration’s vaccine-or-test mandate for private employers.  

Employers are preparing to enforce the Occupational Safety and Health Administration’s (OSHA) rule, which would require businesses with 100 or more employees to mandate COVID-19 vaccinations or weekly testing by Jan. 4.

But it’s now unclear whether the requirement will survive legal challenges after the 5th U.S. Circuit Court of Appeals temporarily blocked the rule over the weekend, creating confusion among companies on how to move forward. Labor lawyers are urging businesses to continue preparing for key OSHA deadlines, given that the court’s stay, for now, is only temporary.

“I think it’s prudent for employers to proceed with planning assuming that the OSHA rule, at least in some form or fashion, will be implemented pending final resolution of the various court cases,” said Michelle Strowhiro, a lawyer at McDermott Will & Emery who advises businesses on COVID-19 employment issues.

While the OSHA rule requires businesses to mandate weekly testing for unvaccinated employees by January, the most important deadline is coming up soon. By Dec. 5, employers must collect employees’ proof of vaccination and provide paid leave for those getting the shot, while unvaccinated employees must begin wearing a mask. 

The risks are high for businesses banking on the rule being overturned. Employers that don’t comply face fines of up to $136,532 for willful violations. 

“Employers should be keeping one eye on the courts and one eye on taking the steps necessary to comply with the regulation by the time it comes into effect in early December so that they’re not caught flat-footed,” said Evandro Gigante, an employment attorney at Proskauer Rose LLP. 

Large companies that don’t already track their employees’ vaccination status are scrambling to adopt systems to verify that information ahead of the December deadline. They’re also crafting rules that lay out religious and disability accommodations and the penalties for employees who don’t comply with the OSHA requirement. 

The OSHA rule has already drawn a flurry of lawsuits from GOP-led states and conservative interest groups. Following a challenge from Texas, Louisiana, Mississippi, Utah and South Carolina, the 5th Circuit temporarily halted the rule Saturday, citing “grave statutory and constitutional issues.”

The OSHA rule has been challenged in several different circuit courts, and the cases will likely be combined into one and sent to a federal appeals court as soon as next week. Experts say the lottery will probably send the case to a less conservative court than the 5th Circuit, which previously allowed Texas’s controversial six-week abortion ban to remain in effect.

Whichever side loses the case is expected to appeal to the Supreme Court, which has a 6-3 conservative majority. Labor lawyers largely believe that the OSHA standard is constitutional, and they note that it is less strict than other federal vaccine mandates for health care workers and federal contractors. However, it’s still unclear whether the rule would survive the high court. 

In the meantime, the Biden administration is urging large employers to move forward with workplace vaccine requirements as it fights to protect its rule in court.

Private vaccine mandates have steadily grown more popular throughout the pandemic. Several companies, including United Airlines and Tyson Foods, have already enacted their own vaccine requirements that are far stricter than the minimum OSHA standard.

An October survey from consulting firm Mercer found that 34 percent of employers — made up mostly by businesses with 100 or more employees — currently have some form of vaccine mandate in place.