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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 The OMB memo was rescinded prior to the issuance of the order, but the judge expressed earlier in the week that he was not persuaded that withdrawing the memo removed the underlying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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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On Wednesday afternoon, the White House Office of Management and Budget issued a new memorandum—M-25-14 — that rescinded the pause to federal funding contemplated in a previous memorandum first issued on Monday night.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to “heads of executive departments and agencies,” features a two-sentence statement reading: “OMB Memorandum M-25-13 is rescinded.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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Photo by Markus Winkler on Unsplash

A federal judge has halted President Donald Trump’s freeze on federal aid programs, ruling that the courts need more time to consider the potentially far-reaching ramifications of his order.

Minutes before the directive from Trump’s budget office was to take effect Tuesday, U.S. District Judge Loren AliKhan blocked the Trump administration from implementing it for now.

AliKhan’s order will expire February 3 at 5:00 pm. The Trump administration cannot suspend disbursement of any congressionally-appropriated funds until then. The judge described the move as a “brief administrative stay” intended to maintain the status quo while further litigation can play out.

“I think there is the specter of irreparable harm,” said AliKhan, an appointee of President Joe Biden.

The ruling is a win for nonprofit and public health groups who said even a brief implementation of Trump’s freeze could cause devastating outcomes for people who rely on federal funds for services, as well as the workers who provide them. The nonprofits also argued the order from the Office of Management and Budget intrudes on First Amendment rights by seeking to block funding for groups that engage in “DEI programs” or promote “Gender Ideology Extremism,” concepts targeted in Trump’s initial round of executive orders.

Justice Department attorney Daniel Schwei had argued that the groups had failed to show that they needed an immediate halt to the order issued by Trump’s budget office and set to take effect at 5:00 pm Tuesday. He said additional guidance offered by the Trump administration should alleviate concerns about the OMB directive cutting off essential programs.

“They request sweeping relief… not tethered to any identified grant programs,” Schwei said. “It would be appropriate to allow these issues to be addressed on a more orderly timeframe.

RCPA will continue to update members as we work with our national partners to gain greater clarification on this Federal action. If you have further questions, please contact your RCPA Policy Director.

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Tomorrow, January 29, the House Human Services and Insurance Committees will hold a joint informational meeting on Traumatic Brain Injury (TBI): Care Needs and Coverage Options. The meeting is scheduled at 9:00 am in Room G-50 in the Irvis Office Building of the Capitol.

The hearing will include three separate panels that will include testimony to be provided by:

  • Richard Edley, President & CEO, RCPA;
  • Joanne Tangney, President & CEO, Success Rehabilitation;
  • Juliet Marsala, Deputy Secretary, Office of Long-Term Living (OLTL);
  • Drew Nagele, Brain Injury Association of Pennsylvania (BIAPA);
  • Tim Law, Chief Medical Officer, Highmark; and
  • Jonathan Greer, President, Insurance Federation of Pennsylvania.

Following the testimonies 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.

For additional information, please view the agenda here.

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Monday, March 3, 2025
12:00 pm – 1:00 pm EST; 11:00 am – 12:00 pm CST;
10:00 am – 11:00 am MST; 9:00 am – 10:00 am PST
Register Here

Tiffany Prince-Kandrakota, PT, DPT, MSHQS

Presenter Bio:

Tiffany Prince-Kandrakota is a physical therapist with more than 20 years of experience. Her career has included clinical work as well as progressive leadership responsibilities in multiple large health systems in the Philadelphia area. In this time, she found a passion for the quality of the care that was being provided, which drove her to return to school for a Masters in Healthcare Quality and Safety. She currently works as the Rehabilitation Quality Improvement Coordinator at Children’s Hospital of Philadelphia.

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

  • Define quality improvement in healthcare.
  • Why quality? And how do we achieve it?
  • Understand the steps in the Model for Improvement.
  • Understand the tools available for quality improvement work.
  • Discuss using data to drive quality improvement.

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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The Office of Long-Term Living (OLTL) is partnering with the Office of Developmental Programs (ODP), The Institute on Disabilities at Temple University, College of Education and Human Development, and the University of Kansas Center on Disabilities’ State of the States team to host Pennsylvania Technology Summits as part of a statewide initiative called PA Tech Accelerator.

The goal of the Summits is to expand the awareness of, and access to, assistive technology and remote technologies in order to build capacity of technology users throughout the Commonwealth of Pennsylvania.

The Summits will be held on March 6, 2025, in Philadelphia and March 13, 2025, in Pittsburgh. To attend, please register here.

The Summits will feature a keynote address by Rebekah Taussig, PhD; a panel of technology users giving advice, sharing their stories, and answering questions; and vendors showcasing services, devices, and solutions.

Who is invited?

  • People with disabilities and their families.
  • Direct Support Providers and professionals working with people with disabilities, such as Direct Care Workers, Direct Support Professionals, Support Service Professionals, Supports Coordinators, Job Coaches, and healthcare professionals.
  • Organizations and providers who serve people with disabilities.
  • Policymakers, advocates, and allies for people with lived disability experience.
  • Students looking to work in disability-related fields.
  • Anyone interested in technological supports for people with disabilities.

If you have additional questions about the Summit, please contact Kristy Crocetto at (215) 204-1356 or via email.

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NOTE TO INSPECTOR: The word "iridium" on the pen's nib is not a brand: it's the name of the metal of which the nib is made. Thanks. Inky old fountain pen on a $100 bill.

The Medicare Payment Advisory Commission (MedPAC) held their regular public meeting on January 16 – 17, 2025. During one of their presentations, “Assessing Payment Adequacy and Updating Payments: Skilled Nursing Facility Services; Home Health Agency Services; Inpatient Rehabilitation Facility Services; Outpatient Dialysis Services; and Hospice Services,” there was a draft recommendation specific to inpatient rehabilitation facilities (IRF). The draft recommendation was for fiscal year 2026 and noted that Congress should reduce the 2025 Medicare base payment rate by 7 percent. The PowerPoint presentation is available here.

During this public meeting, MedPAC voted to finalize this recommended payment reduction to fiscal year 2026 IRF Prospective Payment System (PPS) payments. Both AMRPA and other national hospital stakeholders, on behalf of IRFs, strongly opposed this proposed payment cut (prior to the public meeting). However, MedPAC advanced the recommended cut with limited discussion about the potential impacts on patient access and IRF operations.

MedPAC’s recommendations do require Congressional action. As a result, advocacy will be planned to continue to voice concerns with this recommendation. Members will be kept apprised of any upcoming changes.

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