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Physical Disabilities & Aging

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H.R. 1 created a $50 billion fund called the Rural Health Transformation program in an attempt to offset the losses that rural health providers will experience associated with the other devastating cuts to health care in the legislation.

Each state must complete a one-time application for the five-year program to be reviewed by CMS. Many aspects of the application are still undecided, including the submission period, due date, state entity that must submit the application, and the form of the application. The RHTP application must include a plan to describe how the state would use the funds to:

  • Improve access to hospitals and other providers for rural residents;
  • Improve health care outcomes of rural residents;
  • Prioritize the use of new and emerging technologies that emphasize prevention and chronic disease management;
  • Initiate, foster, and strengthen local and regional strategic partnerships between rural hospitals and other providers to promote quality improvement, increase financial stability, maximize economies of scale, and share best practices;
  • Recruit and retain clinicians,
  • Prioritize data and technology driven solutions that help rural providers furnish health care services as close to the patient’s home as possible;
  • Outline strategies to manage long-term financial solvency and operating models of rural hospitals; and
  • Identify specific causes that are driving standalone rural hospitals to close, convert, or reduce service lines.

The funds will be distributed between 2026 and 2030, allotting $10 billion each year. $25 billion of this fund will be allocated equally among all states with an approved application by CMS. Assuming that all fifty states are approved, each state will receive a minimum of $100 million per year for five years. The other $25 billion will be distributed to states with an approved application in an amount determined by CMS based upon the state’s rural population, proportion of healthcare facilities in rural areas, and the situation of hospitals that serve a high proportion of low-income patients.

The bill lists several allowable uses of the PHTP funds:

  • Promoting evidence-based, measurable interventions to improve prevention and chronic disease management;
  • Providing payments to health care providers for the provision of health care items or services as specified by CMS;
  • Promoting consumer-facing, technology-driven solutions for the prevention and management of chronic diseases;
  • Providing training and technical assistance for the development and adoption of technology-enables solutions that improve care delivery in rural hospitals, including remote monitoring, robotics, artificial intelligence, and other advanced technologies;
  • Recruiting and retaining clinical workforce talent to rural areas, with commitments to serve rural communities for a minimum of five years;
  • Providing technical assistance, software, and hardware for significant information technology advances designed to improve efficiency, enhance cybersecurity capability development, and improve patient health outcomes;
  • Assisting rural communities to right-size their healthcare delivery systems by identifying needed preventative, ambulatory, pre-hospital, emergency, acute inpatient care, outpatient care, and post-acute care service lines;
  • Supporting access to opioid use disorder treatment services, other substance use disorder treatment services, and mental health services;
  • Developing projects that support innovative models of care that include value-based care arrangements and alternative payment models as appropriate; and
  • Additional uses designed to promote sustainable access to high quality rural health care services, as determined by the Administrator.

RCPA will continue to share information on the program and applications as it becomes available. Contact Emma Sharp with any questions.

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September 9 will be here before you know it — don’t miss your opportunity to register for the RCPA 2025 Conference Strive to Thrive and claim your early bird discount! By registering today, you guarantee your spot for over sixty workshops, live updates from both state and national partners, and inspiring keynote and plenary speakers. View our Registration Brochure for complete details of the conference schedule and speakers.

Early bird registration ends August 8, and hotel room discounts end August 11, so reserve your seat and hotel room today!

A limited number of exhibit booths and sponsorship opportunities remain! Contact Carol Ferenz, Conference Coordinator, ASAP for details if your organization is interested in sponsoring or exhibiting at our conference. All information is available in our Sponsor, Exhibit, and Advertise Brochure. The deadline for being recognized in conference materials and onsite displays is August 10, so be sure to complete your contract as soon as possible!

View our sponsors and exhibitors at our Conference website!

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The Pennsylvania Rural Health Association (PRHA) has released the 2025–2030 Pennsylvania Rural Health Plan, which is a comprehensive roadmap to improve the health and well-being of rural residents across the state.

The plan was developed with input from rural community leaders, health professionals, academic institutions, and policymakers to identify key priority and action steps to address the unique health challenges and opportunities in Pennsylvania’s 48 rural counties. Primary focuses include access to care, behavioral health, oral health, maternal health, workforce development, broadband connectivity, and health equity.

The 2025–2030 Pennsylvania Rural Health Plan can be found here.

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On Tuesday, July 29, the Governor’s Office of the Budget provided an update on the status of the Fiscal Year (FY) 2025/26 state budget. The update outlines projected impacts across various departments within the Department of Human Services (DHS) over the next six weeks resulting from the ongoing budget impasse. Although the Governor, Senate, and House leadership have described ongoing negotiations as respectful, they have also been described as inching along. The letter from Secretary Monson cites funding for public schools and mass transit as top challenges in finalizing a budget.

Following is a summary of payments from Pennsylvania health and human services departments that will be delayed without a budget.

Department of Aging cannot distribute:

  • $12.88 million in payments to the Area Agencies on Aging, for July and August.

Department of Drug and Alcohol Programs cannot distribute:

  • $9.95 million quarterly payments to the Single County Authorities.
  • $187,000 quarterly payments for training of substance use disorder and problem gambling service professionals.
  • $21 million quarterly payments for State Opioid Response funding.

Department of Health cannot distribute:

  • $9.405 million in anticipated quarterly reimbursements to County Municipal Health Departments.
  • More than $4.7 million in quarterly funding to support operation and administration of EMS services.
  • $9.405 million in quarterly funding to school districts for health services.
  • More than $3.466 million in quarterly payments for the Prescription Drug Monitoring Program, beginning in July.
  • Payments for critical health services, including, but not limited to: Tuberculosis screening, Cystic Fibrosis, Lyme Disease and Cancer Screening, beginning in July.
  • More than $1 million in quarterly payments for Maternal and Child Health services and $1.8 million in quarterly for Newborn Screening.

Department of Human Services cannot distribute:

  • $15 million in quarterly advances for Behavioral Services, beginning in July.
  • Quarterly advances for Breast Cancer Screening services.
  • $390 million in County Child Welfare payments for July and August.
  • $8.5 million in payments for Domestic Violence for July and August.
  • $3.5 million in quarterly advances from the Human Services Development Fund.
  • An estimated $33 million in Child Support Enforcement payments, for July and August.
  • $3.4 million in payments for Rape Crisis for July and August.
  • Approximately $10 million for Community-Based Family Centers for July and August.
  • $5.6 million in quarterly advance payments for Homeless Assistance.

Read the letter from Secretary Monson here. If you have any questions, please contact your respective RCPA Policy Director.

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From Risk to Reward: Strengthening Your Hiring Process
Free RCPA Members-Only Webinar

Wednesday, August 13, 2025
1:00 pm – 2:00 pm
Register Here

In this session, we will review how introducing value-based tools early in the hiring process has shown to reduce an employer’s risk for turnover, safety incidents, counterproductive employee behavior, and workers compensation claims. We will review recent case studies showing the measurable impact of this process.

Presenter: Mark Walker, MBA, Managing Partner, Safer Hire LLC

Objectives: Following this course, the learner will:

  • Identify a value-based hiring process;
  • Describe how this hiring process can reduce risk of turnover; and
  • Describe how the hiring process can reduce risk of safety & claims.

Certificates of attendance are available to RCPA members who attend this webinar; anyone interested in a certificate should contact Cathy Barrick. To apply for CEs, you will need to register for the RCPA Annual Conference Strive to Thrive and indicate you attended the webinar in your CE packet, which will be made available on the mobile app.

Contact Carol Ferenz, Conference Coordinator, for details, or visit the RCPA Conference website for information on workshops, sponsors, exhibitors, and more!

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RCPA may be based in Pennsylvania, but our conference covers topics and features speakers from across the country! Register today, join us at the Hershey Lodge September 9 – 12, 2025, and reserve your room online while the room block is available. By registering, you gain the opportunity to engage with these provocative keynote speakers as they touch on topics that affect all facets of health and human services across the nation:

  • Karen Weeks, Founder of Shine at Work, will analyze how to create an organizational culture that supports people’s wellbeing;
  • Judge Victor Reyes, Retired Judge and Master Life Coach, will define mindfulness and evaluate its impact in leadership roles;
  • Michael Cohen, Duane Morris LLP, will provide insights on how to make one’s workplace open and accessible for as many as possible to prevent workplace harassment; 
  • Kory Shrum, Bestselling Author and Podcast Host, will deconstruct common self-care myths and provide a practical framework for sustainable self-care practices; and
  • Donna Martin, Vice President, State Partnerships & Innovation, ANCOR, and Mohini Venkatesh, Chief of Staff, Strategic Leadership, National Council for Mental Wellbeing, will dive into national trends in health and human services policies and workforce issues.

View our Registration Brochure for complete details of the conference schedule and speakers. Be sure to check the RCPA Conference website regularly for details and updates to the schedule, registration, and sponsors/exhibitors. Register today!

In addition to registration, there are still many opportunities available for sponsorship and exhibit booths, so don’t delay! We are grateful to all our sponsors and exhibitors who help make the conference happen. If your organization is interested in sponsoring or exhibiting at our conference, all information is available in our Sponsor, Exhibit, and Advertise Brochure. Contact Carol Ferenz, Conference Coordinator, for more details.

Thank you to our Sponsors and Exhibitors! We are grateful for your support!

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The Bureau of Human Services Licensing (BHSL) has received a small number of reports of issues with faxing the updated Documentation of Medical Evaluation (DME) forms. These reports indicate that some fax machines cannot pick up the contrast in the grey shaded areas. You will find both DME forms with the grey areas lightened significantly. These forms are also being added to the BHSL website.

Please note, BHSL has fax-tested both versions of these forms and did not encounter any issues. Issues with faxing may be related to the age/condition or settings of individual fax machines. Online faxing services that do not require the use of a fax machine are widely available, as are alternative methods of form transmission, such as in-person drop off, email, online drop boxes, or the United States Postal Service.

Questions about this communication may be sent electronically.

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RCPA’s 2025 Conference Strive to Thrive will be held in Hershey September 9 – 12, 2025. Early bird rates for registration end August 8! Be sure to register today and take advantage of the early bird rates!

RCPA is proud to host those who lead PA in health and human services at our Annual Conference. This year, DHS Secretary Valerie Arkoosh will be presenting as our kickoff plenary speaker on September 9. Throughout the week, we will hear updates from various departments and leaders of DHS, including:

  • ODP Deputy Secretary Kristin Ahrens;
  • OLTL Deputy Secretary Juliet Marsala;
  • DDAP Deputy Secretary Kelly Primus; and
  • OMHSAS Deputy Secretary Jennifer Smith.

View our Registration Brochure for complete details of the conference schedule and speakers. You can also register directly here. Be sure to check the RCPA Conference website regularly for details and updates to the schedule, registration, and sponsors/exhibitors.

In addition to registration, there are still many opportunities available for sponsorship and exhibit booths, so don’t delay! We are grateful to all our sponsors and exhibitors who help make the conference happen. If your organization is interested in sponsoring or exhibiting at our conference, all information is available in our Sponsor, Exhibit, and Advertise Brochure. You can contact Carol Ferenz, Conference Coordinator, for more details.

Thank you to our Sponsors and Exhibitors! We thank you for your support!

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Hearing All Perspectives: The Development of a Multi-State, Multi-Diagnosis Youth Advisory Council
Free RCPA Members-Only Webinar

Wednesday, August 6, 2025
11:00 am – 12:00 pm
Register Here

This presentation will discuss the formation of a novel and innovative version of a standard Youth Advisory Council (YAC). This particular YAC adds a twist to the traditional means of involving youth by creating a council combining voices of individuals served who have two very different diagnoses: those with an emotional/behavioral disorder (EBD) and those with an autism/intellectual disability (ASD/IDD). Spanning across three states, this internal YAC has been established to hear the voices of and to teach leadership principles and skills to those who are receiving the services offered by Devereux Advanced Behavioral Health.

Presenters:

  • Amy Kelly, MBA, MNM, National Director of Family Engagement, Devereux Advanced Behavioral Health
  • Judy Starr, JD, Deputy General Counsel, Devereux Advanced Behavioral Health

Objectives: Following this course, the learner will:

  • Describe the value of constituents’ voices from services and programs provided, regardless of individual communication type, cognitive ability, or diagnosis;
  • Discuss how to engage leadership and staff to support and sponsor a youth/constituent advisory council; and
  • List some “lessons from the journey” with do’s and don’ts when developing a youth advisory council.

Certificates of attendance are available to RCPA members who attend this webinar; anyone interested in a certificate should contact Cathy Barrick. To apply for CEs, you will need to register for the RCPA Annual Conference Strive to Thrive and indicate you attended the webinar in your CE packet, which will be made available on the mobile app.

Contact Carol Ferenz, Conference Coordinator, for details, or visit the RCPA Conference website for information on workshops, sponsors, exhibitors, and more!

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