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Medical Rehab

Capitolwire: New Year Dawns Without Budget in Place

By: John Finnerty, Capitolwire.com Bureau Chief

HARRISBURG (July 1) – The new fiscal year started this morning without a state budget in place to pay for it and no obvious signal that the Legislature will quickly get a budget to the governor.

Late Thursday, Senate officials announced that the chamber won’t even be in session on Friday, though the Senate has plans to be in session on Saturday and Sunday. The House is scheduled to be in session Friday and Saturday, though at the close of Thursday’s session, Speaker Bryan Cutler, R-Lancaster, reminded members to monitor their emails for updates on session days.

Despite the annoying aggravation of having to work through the holiday weekend, the broader immediate sting of failing to meet the state budget deadline doesn’t exist anymore due to a 2009 Supreme Court decision requiring that state employees must continue to receive their paychecks even if the budget hasn’t been passed.

Rep. Stan Saylor, R-York, the Majority chairman of the House Appropriations Committee, said that not having a budget in place has little, if any, immediate impact on state agencies.

Gov. Tom Wolf has been pushing for a dramatic increase in spending while Republicans have been trying to get the governor to agree to rollback controversial proposals including the bridge tolling plan (though a Commonwealth Court ruling Thursday ordered that the tolling plan be halted) and charter school regulations.

Alexis Campbell, a PennDOT spokeswoman, said that while the tolling plan has been met with objections, the administration is still waiting for lawmakers to explain how to pay for the needed bridge repairs and in the long-term replace the gas tax.

“To date, the legislature has failed to offer any solutions beyond their approval of this P3 initiative, that will assist the administration’s desire to phase out the gas tax. The Wolf Administration continues to welcome discussions with the General Assembly on alternative funding sources that can replace the gas tax, which is no longer a dependable source of funding to meet all bridge and highway needs in this commonwealth,” she said.

Republicans say they are interested in restraining Wolf’s spending proposals in order to position the state to better weather an economic slowdown.

“Senate Republicans continue to work towards a budget that invests in the people of Pennsylvania and ensures the financial stability of the Commonwealth as we face economic headwinds due to the Biden Administration’s inflationary policies,” Erica Clayton Wright, a spokeswoman for Senate Majority Leader Kim Ward, R-Westmoreland, said in a statement released late Thursday night.

Amidst all of this, former President Donald Trump weighed in earlier this week, issuing a statement in support of a poll watcher bill sponsored by Sen. Doug Mastriano, R-Franklin, and calling for Republicans to refuse to pass a budget unless it includes other election integrity changes.

Groups lobbying for election access have called for Wolf to veto Mastriano’s Senate Bill 573, and a Wolf spokeswoman strongly hinted that Wolf would veto the legislation, saying the administration “strongly opposes” the bill.

(Source: Capitolwire, July 1, 2022).

RCPA has signed onto a letter to Congressional leaders of the Ways and Means Committee and the Senate Committee on Finance, along with 244 other signatories, outlining the need for parity in addiction and mental health care under Medicare.

As the President’s 2023 Budget and Senate Finance Committee’s bipartisan report has highlighted, Medicare is not subject to the Mental Health Parity and Addiction Equity Act (Parity Act). As a result, Medicare beneficiaries do not have coverage of or access to the full range of mental health and substance use disorder benefits they need, and often lose access to treatment they were receiving prior to becoming eligible for Medicare. Although Congress has eliminated disparate financial requirements for Medicare beneficiaries, Medicare still imposes both quantitative (e.g. 190-day lifetime limitation on psychiatric hospital care) and non-quantitative treatment limitations that would violate the Parity Act. Applying the Parity Act to Medicare Parts A, B, C, and D is the critical next step to make mental health and substance use disorder services available and accessible to the millions of Medicare beneficiaries in need of treatment.

Read the full letter here.

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The Centers for Medicare and Medicaid Services (CMS) recently issued updates associated with the inpatient rehabilitation facility (IRF) provider preview reports and the IRF Patient Assessment Instrument (PAI).

CMS has released the updated IRF Provider Preview Reports, which contain provider performance scores for quality measures and contain IRF-PAI data submitted by IRFs from Quarter 1 (Q1) 2021 through Quarter 4 (Q4) 2021, as well as CDC Clostridium Difficile (CDI) and Catheter-Associated Urinary Tract Infections (CAUTI) measures from Quarter 4 (Q4) 2020 through Quarter 3 (Q3) 2021, and Q4 2018 through Q1 2019 of the Healthcare Personnel (HCP) Influenza measure. The new HCP COVID-19 Vaccination Coverage measure will also be publicly reported on Care Compare in the September 2022 release and will reflect Q4 2021 data. Unlike prior September Care Compare refreshes, CMS will not be preforming the annual update to IRF claims-based measures, due to CMS only resuming the reporting of claims-based measures during the June 2022 refresh.

Providers have until July 15, 2022, to review their performance data. Providers can request CMS review their data during the preview period if they believe the scores are inaccurate. The final reports will be published on Care Compare and Provider Data Catalog during the September 2022 refresh of the website. Additional information is on the CMS IRF Quality Reporting Program (QRP) public reporting website.

CMS also published the IRF-PAI Quarterly Questions & Answers (Q&A) document that provides clarification to existing guidelines.

The Council on Brain Injury (CoBI) released the following information regarding a free webinar they will be offering through their clinical forum series on brain injury and substance misuse that will feature opioid misuse. The webinar is scheduled for July 12, 2022, from 3:30 pm – 5:00 pm. Details are below.


CoBI Clinical Forum Series presents: Brain Injury and Substance Misuse, Featuring Opioid Misuse: Practical Implications for Brain Injury Providers (A Webinar)
A Presentation and Discussion With Monica Vaccaro
Tuesday, July 12, 2022   |   3:30 pm – 5:00 pm   |   Webinar

Monica Vaccaro is the Director of Programs for the Brain Injury Association of Pennsylvania (BIAPA), providing oversight and direction to multiple programs, including the Brain Injury Resource Line, NeuroResource Facilitation, Brain Injury and Opioids Training, and the BrainSTEPS School Re-Entry Program. In addition to her role with BIAPA, she is a Research Associate at Moss Rehabilitation Research Institute, with a particular interest in interventions for common effects of brain injury, including anger management, depression, and goal setting.

This session is intended for a professional audience. There is no cost to attend. 

Register Here

Questions? Please contact MJ Schmidt.

IPRC Webinar Series: Seizure Management in Pediatrics
PART I: Seizures and Epilepsy in the Pediatric Patient

Thursday, August 11, 2022
12:00 pm – 1:00 pm EDT; 11:00 am – 12:00 pm CDT;
10:00 am – 11:00 am MDT; 9:00 am – 10:00 am PDT

Christina Patterson, MD
Speaker Bio:
Christina Patterson, MD, is an Associate Professor of Pediatrics in the Division of Child Neurology at the University of Pittsburgh. She is also the Director of Epilepsy Services, the Medical Director of the Pediatric Epilepsy Surgery Program, and the Director of the Epilepsy Monitoring Unit at UPMC Children’s Hospital of Pittsburgh. Dr. Patterson has clinical and research interests in the fields of Child Neurology, Epilepsy, and Clinical Neurophysiology and is board-certified in Clinical Neurophysiology, Epilepsy, and Neurology, with Special Qualification in Child Neurology.

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

  • Define what a seizure is and what epilepsy is when speaking to patients and parents;
  • Identify seizures in pediatric patients and how different types of seizures are classified and diagnosed as epilepsy; and
  • Learn the treatment and management options for seizures and epilepsy in the pediatric patient, including emergency interventions and non-drug therapies.

Audience: This webinar is intended for all members of the rehabilitation team, including medical staff, physical therapists, occupational therapists, speech language pathologists, licensed psychologists, mental health professionals, and other interested professionals.

Level: Intermediate

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

Registration: Registration is complimentary for members of IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today. Multiple registrations per organization are permitted.

REGISTER

The RCPA Conference 2022, Together, is committed to being held in-person this year at the Hershey Lodge October 11 – 14, 2022. We will not be offering a virtual option; however, our plan is to record sessions for registrants to access after the conference in order to take advantage of over 60 sessions that will take place live.

We are excited to announce keynote speakers Dick Finnegan, speaker, author, & CEO of C-Suite Analytics, on “Cutting Turnover 20% and More During ‘The Great Resignation,’” as well as Deborah Riddick, Principal Consultant at Alternative Frame LLC, where she works with clients across the country providing policy analyses, engagement strategies, and health equity trainings.

Hear from our national partners Chuck Ingoglia from the National Council for Mental Wellbeing and Gabriel Sedor of ANCOR for updates on the current federal landscape. Meg Snead and Jen Smith will share PA perspectives, and returning conference favorite Mike Cohen will close out the conference with a return of “Dear Helga,” who has many new experiences to share.

Each day will be packed with informational sessions from peers and experts in the field. Topics include recruiting and retaining talented employees, value-based payments, managed care organizations’ focus on Social Determinants of Health, use of technology in providing services, the importance of data, leadership skills, trauma-informed care and supervision, telehealth considerations, effective advocacy with legislators and others, supporting people with various challenging needs, guardianship laws, and more. A full schedule will be released with registration information soon.

We are also grateful to our early sponsors and exhibitors! Thank you for showing your support for our 2022 Conference!

  • Allegheny Family Network
  • Beacon Health Options
  • Berks Counseling Center
  • Butler Human Services Furniture
  • CapGrow Partners
  • Devereux Advanced Behavioral Health
  • Genoa Healthcare
  • KidsPeace
  • Mission Driven Data
  • MITC
  • Partners for Quality
  • PerformCare
  • Pyramid Healthcare, Inc.
  • Terrapin Pharmacy
  • Vista Autism Services
  • ZMark Health

There are still many sponsorship opportunities as well as available exhibitor spaces! Please contact Carol Ferenz to discuss possibilities.

We look forward to seeing you all Together this October!