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Policy Areas

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On September 24, 2025, WellSky will be conducting a webinar on the fiscal year (FY) 2026 inpatient rehabilitation facility prospective payment system (IRF PPS) final rule that was released by the Centers for Medicare and Medicaid Services (CMS) in early August. The webinar will begin at 12:00 pm. There is no cost to participate in this webinar.

Topics will include:

  • The key changes in the 2026 IRF Final Rule impacting reimbursement;
  • The technical changes and their indirect effects on your program;
  • The amendments to the QRP and the appeal process; and
  • The latest concerns about potential IRF reimbursement denials.

To participate in the webinar, register here.

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Photo by Larry Crayton on Unsplash

The Pennsylvania Department of Human Services (DHS) recently launched an initiative focused on improving the outcomes that matter most: meeting the needs of children and families and keeping children safe. The goals of the initiative are to make sure that children and families have access to the support and services they need for children to grow and thrive in a safe home, reduce involvement with the child welfare system, and support successful transition out for those already involved in the child welfare system.

DHS Secretary Val Arkoosh invites you to upcoming listening sessions, where more details about the initiative will be shared. As part of these sessions, DHS will be seeking your feedback on this initiative, particularly involving actionable ideas around prevention, diversion, crisis intervention, and once involved, what is needed to successfully transition out of the child welfare system. An overview of the initiative can be found here. Please review these slides prior to the session.

Your voice matters, and your input will help shape the future of child welfare in our Commonwealth. We look forward to hearing from you and working together to support children and families across Pennsylvania.

How to Participate:

The PA Children and Families Initiative will host four public listening sessions. DHS encourages you to register for the session that corresponds to your region (see schedule below). However, if you are unable to attend your region’s designated session, you may register for another session that better fits your schedule.

There are two ways to provide feedback during the listening sessions:

  • You may submit comments using the chat function at any point during the session.
  • You may register to speak during the event. Each speaking slot is limited to two (2) minutes per participant. To maximize speaking opportunities, we ask that individuals (or organizations or providers) only sign up to speak at one (1) listening session. Speakers are also invited to contribute additional comments in the chat if two (2) minutes is not sufficient.

Speaking slots are limited and will be allocated as time allows. If you wish to speak, please indicate your interest in the registration form. After you register, you will receive an invitation to attend the session. Please note that only registered participants will be able to attend the event. Speakers will receive a confirmation email with further details.

Webinar Sessions: Please visit the link for your preferred session to register.

  • Central Region | Tuesday, September 23 | 2:00 pm [Register Here]
    • Counties Served: Adams, Bedford, Blair, Cambria, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Montour, Northumberland, Perry, Snyder, Somerset, Union, York
  • Western Region | Friday, September 26 | 1:00 pm [Register Here]
    • Counties Served: Allegheny, Armstrong, Beaver, Butler, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, McKean, Mercer, Potter, Venango, Warren, Washington, Westmoreland
  • Southeast Region | Monday, September 29 | 2:30 pm [Register Here]
    • Counties Served: Berks, Bucks, Chester, Delaware, Montgomery, Philadelphia
  • Northeast Region | Tuesday, September 30 | 3:30 pm [Register Here]
    • Counties Served: Bradford, Carbon, Lackawanna, Lehigh, Luzerne, Monroe, Northampton, Pike, Schuylkill, Sullivan, Susquehanna, Tioga, Wayne, Wyoming

Your feedback is essential to this initiative, and DHS looks forward to your participation!

Please contact Emma Sharp with any questions.

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RCPA, as part of a statewide provider and association coalition, has sent a letter to the PA Congressional Delegation regarding the extension of the Enhanced Premium Tax Credit (EPTC). The coalition urges Congress to move quickly to pass legislation extending EPTCs that make marketplace plans more affordable for people who purchase their own health insurance; these are set to expire at the end of 2025.

If EPTCs are not extended, an estimated 270,000 Pennsylvanians are likely to become uninsured. Pennsylvania taxpayers end up paying for their care in one way or another because uninsured people are often forced to delay or avoid care for treatable conditions. They ultimately end up sicker and require more expensive care in hospitals, which leads to higher, uncompensated care costs for both hospitals and providers. In addition, they acquire medical debt and experience health complications that can jeopardize their employment or employability.

Read the letter here. If you have any questions, please contact RCPA COO Jim Sharp.

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As of today, September 18, RCPA is reporting to members that the budget impasse unfortunately remains unchanged after 80 days. As this week comes to a close, it does not appear there will be action to move the budget process forward.

The Senate currently remains on 24-hour call, with their next scheduled session days October 20 – 22. The House has their first scheduled Fall session set for September 29 – October 1.

Every day that passes without a budget is another day of uncertainty for:

  • People with disabilities, who rely on base-funded supports to live, work, and thrive in their communities;
  • Individuals and families in recovery, whose access to care depends on consistent funding and provider stability;
  • Children and adults facing mental health challenges, who can’t wait weeks — or months — for the services they need today;
  • Human service professionals, who are burning out, underpaid, and leaving the field in record numbers;
  • County governments, who administer core safety net services and are already preparing to withhold payments due to the impasse; and
  • Nonprofit organizations and service providers, who operate on tight margins, front the cost of services, and risk financial insolvency without reimbursement.

We thank our members for their participation in the recent State Budget Impasse Survey that was organized by agencies, associations, and providers to collect data regarding both the current and projected impact on both for-profit and nonprofit financials, staffing, and ultimately those served. We will continue sharing information with all entities involved so that the survey results can be analyzed and disseminated to the media and legislative contacts most efficiently.

You can also view this article from Spotlight PA, which provides a good overview of where the PA General Assembly caucuses stand and what is causing the impasse to continue.

If you have any questions or concerns, please contact your respective RCPA Policy Director.

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CIL, a nonprofit real estate development organization, welcomes Jim Settembrino as Senior Business Developer. Based in Pittsburgh, Jim will expand CIL’s presence in Pennsylvania by building partnerships, sourcing opportunities, and working with providers. CIL partners with nonprofit service providers to develop community-based housing. Read more on CIL’s website.

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Please share these important workshops and support groups with your networks! Register for upcoming events at PA Family Network’s website.

Good Life Group, Support Groups

LifeCourse Workshops

Waiver Workshops

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