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The Connection Every IDD Leader Needs w/ RCPA
Ep. 62 • December 8, 2025
In this episode of the IDD Leaders podcast, podcast host, Nate Beers, sits down with Tim Sohosky, IDD Director at RCPA (Rehabilitation and Community Providers Association), to uncover one of the most overlooked advantages available to leaders in the IDD field: your provider association.
If you’ve ever felt like you’re leading in isolation, drowning in vacancies, or constantly reacting to new regulations — you’re not alone. And you don’t have to keep going solo. Tim shares insider insights on how high-performing leaders stay ahead of staffing challenges, influence policy before it hits their agencies, and tap into resources that make their jobs easier (and their teams stronger).
Watch/listen to the podcast here. Visit the IDD Leaders podcast website for more information on the podcast and organization.
The Office of Developmental Programs (ODP) has shared ODPANN 25-107. This communication is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) approved amendments to the 1915(b)(4) Performance-Based Contracting (PBC) waiver and the Consolidated, Community Living, and P/FDS Waivers effective January 1, 2026. All waivers are available on the Department of Human Services’ (DHS) website.
ODP will be holding one webinar to provide a high-level overview of Performance-Based Contracting and additional major changes made in the approved waivers. There will be time during the session for presenters to answer questions submitted by participants during the webinar.
Consolidated, Community Living, and P/FDS Waiver Amendment Overview
December 15, 2025
11:00 am – 12:00 pm
Register Here
Please review the ODP Announcement for more details.
On November 13, 2025, President Trump signed the executive order “Fostering the Future for American Children and Families,” an initiative to be led by the Office of the First Lady. The order is aimed at supporting children transitioning out of foster care into adulthood by modernizing the out-of-date child welfare system.
The Secretary of Health and Human Services must take the appropriate actions for the following within the next 180 days:
The HHS Secretary, in coordination with the First Lady and heads of other applicable offices, are to establish a “Fostering the Future” initiative to develop partnerships with agencies, private sector organizations, academic institutions, and non-profit entities to aid in the transition out of the foster care system. The order also calls for the development of an online platform to assist in the navigation of the transition, and an increase in the role of Education and Training Vouchers and educational scholarships. This initiative will be funded by the reallocation of funds returned by the States from Federal programs designed to assist in the transition out of foster care, but further details have not been clarified.
The final section of the Executive Order outlines the role of HHS in coordination with the Director of the White House Office of Faith and the White House Office of Intergovernmental Affairs, to:
“(a) take appropriate action to address State and local policies and practices that inappropriately prohibit participation in federally-funded child-welfare programs by qualified individuals or organizations based upon their sincerely held religious beliefs or moral convictions; and (b) take appropriate actions to increase partnerships between agencies and faith-based organizations and houses of worship to serve families whose children have been placed in foster care or are at risk of being placed in foster care.”
This order explicitly encourages partnerships with faith-based organizations and removes barriers for faith-motivated foster/adoptive families. While faith-based groups currently play a significant role in the foster care system, this order increases ethical tensions regarding what safeguards exist to protect foster youth who come from non-religious or different religious/cultural backgrounds from pressure to conform.
Further concerns with this order lay with language regarding “biological truths.” This term implies that LGBTQIA+, non-binary, or gender non-conforming individuals somehow conflict with science and is used to delegitimize trans and nonbinary identities. There is concern that partnerships with faith-based and other community organizations may not align with youth’s identities, especially older youth in the LGBTQIA+ community. Further guidance will be needed to ensure that any partnerships with faith-based organizations must be voluntary and respectful of each youth’s identity.
Additional concerns arise regarding equity of family selection and pairing/matching systems. Preferential selection of faith-based foster/adoptive families may lead to “religious filtering.” Potential foster/adoptive parents may be selected not on their capacity to care or their qualifications, but on religious affiliation or ideological alignment — which could lead to unfair exclusion of qualified non-religious or differently religious households. Upcoming policy changes could undermine equity and non-discrimination in the foster care system.
RCPA will keep abreast of developments on this issue and further guidance for agencies and individuals involved in the foster care system.
Please contact Emma Sharp with any questions.
The Office of Developmental Programs (ODP) has shared ODPANN 25-085. This communication announces the release of a new issue of the quarterly newsletter, The Certified Investigator (CI) Program Spotlight. The CI Program Spotlight, Volume 2, Issue 3, may be found by logging into MyODP and visiting the CI Program Spotlight Newsletter web page.
Tuesday, December 9, 2025
Start time: 10:00 am
End time: 2:30 pm
Break: 12:00 pm – 1:10 pm
This meeting will be virtual via Zoom with on-site access at Pennsylvania Training and Technical Assistance Network (6340 Flank Drive, Harrisburg, PA 17112). The public is invited to attend or register for this meeting using this link.
Note: The public Zoom link requires Webinar registration prior to meeting access.
CART and sign language interpreters will be available during this meeting. Those using a screen reader can connect here. Additional auxiliary aids and services are available upon request to individuals with disabilities. Please email the State Board Resource Account.
The agenda for this meeting can be found on the State Board’s web page. Anyone who would like to make public comment prior to the meeting may submit their comments via email.
Due to conflicts for the presenters, RCPA will be cancelling the Physical Disabilities & Aging Division meeting that was scheduled for December 17, 2025. We apologize for the late notice. The next PD&A meeting is scheduled for Thursday, February 12, 2026; registration information will be sent in mid-January.
If you have any questions, please contact Fady Sahhar.
Representative John Schlegel has introduced a co-sponsorship memo regarding House Bill 2070, Clarifying Dry Needling as an Acceptable Practice within Physical Therapy (PT).
The American Physical Therapy Association (APTA) recognizes dry needling as being within the physical therapist scope of practice. However, Pennsylvania’s Physical Therapy Practice Act (Act 110 of 1975) does not explicitly allow or deny the performance of this type of therapy. This creates a legal gray area and causes uncertainty among licensed physical therapists. Due to the current law’s silence on this treatment technique, legislative clarification is needed.
Dry needling (sometimes referred to as “trigger point dry needling” or “intramuscular manual therapy”) is a treatment method used to relieve muscle pain and stiffness and to improve range of motion. It is important to note that dry needling and acupuncture are not the same, though both are considered needle-based therapies. These procedures have different medical origins, needle placement and application techniques, and serve different purposes.
HB 2070 clarifies that licensed physical therapists may perform dry needling therapy given certain education and training requirements are met and will further specify that dry needling does not include the practice of acupuncture.
A majority of states acknowledge that dry needling is within the scope of practice for physical therapists, including our neighboring states of Delaware, Maryland, New Jersey, Ohio, and West Virginia.
The bill was referred to the House professional licensure committee on December 3, 2025.
The Office of Developmental Programs (ODP) has shared this important announcement from the U. S. Food and Drug Administration (FDA).
The FDA is aware that Abbott Diabetes Care has sent all affected customers, distributors, and health care providers a letter regarding an issue with certain FreeStyle Libre 3 and FreeStyle Libre 3 Plus sensors providing incorrect low glucose readings. If undetected, incorrect low glucose readings over an extended period may lead to wrong treatment decisions for people living with diabetes, such as excessive carbohydrate intake or skipping or delaying insulin doses. These decisions may pose serious health risks, including potential injury or death, or other less serious complications.
As of November 14, 2025, Abbott has reported 736 serious injuries and seven deaths associated with this issue.
Affected Product
What to Do:
Patients should verify if their sensors are impacted and immediately discontinue use and dispose of the affected sensor(s).
On November 24, 2025, Abbott Diabetes Care sent all affected customers a letter recommending the following actions:
Visit the FDA’s website for additional information and instructions on how to locate the Sensor’s Serial Number.