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The Centers for Medicare and Medicaid Services (CMS) released an Advance Notice of Proposed Rulemaking (ANPRM) to obtain public feedback on potential approaches to strengthen the American-made supply chain for personal protective equipment (PPE) and essential medicines. Building on lessons learned during the COVID-19 public health emergency (PHE), CMS is exploring ways to reduce reliance on foreign-made medical supplies and enhance the nation’s readiness for future emergencies while supporting American workers and manufacturers.

The proposed rule requests comments on new avenues CMS may consider promoting domestic purchasing by hospitals that participate in the Medicare program, including the potential creation of a new “Secure American Medical Supplies” designation for hospitals committed to American-made purchasing and streamlined payment approaches to help offset the resource costs of domestic procurement.

Comments on the ANPRM are due by March 30, 2026.

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Medetomidine is a veterinary sedative, similar to xylazine, that was first found in Philadelphia’s drug supply in May 2024. Since then, it has spread across Pennsylvania. Medetomidine is 100-200 times more potent than xylazine and can cause longer-lasting sedation, low heart rates, and more severe withdrawal symptoms. It is not an opioid but is found in the illicit drug supply.

The Pennsylvania Department of Health (DOH) is seeking information about complications associated with medetomidine in the drug supply. DOH is particularly interested in SUD treatment providers’ responses to the following.

  • Are you seeing an influx in clients presenting with worsening withdrawal symptoms (e.g., racing heart, severe nausea, high blood pressure, tremors, confusion)?
  • Are you seeing an increase in clients leaving against medical advice?
  • Have you had to send clients to the hospital because their symptoms required a higher level of care?
  • Are there any other changes you are noticing in your community that you think DOH should know about?

You can email your responses to DOH Senior Harm Reduction Technical Advisor Roseanne Scotti or RCPA SUD Treatment Policy Director Jason Snyder.

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Thank you for your participation in Pennsylvania’s rural health ecosystem, including those who attended a regional rural health summit. As a next step, DHS is gathering information, concepts, and additional ideas to shape the Commonwealth’s Rural Health Transformation Plan and reflect what they heard from rural providers, partners, and residents.

What DHS is asking for:

  1. Information and concepts in these summit-affirmed areas: Maternal Health, Mental and Behavioral Health, Aging and Access, Transportation and EMS, and the Rural Healthcare Workforce.
  2. Other ideas that improve access to care in rural communities, even if they fall outside those five areas.

Who can submit:

  • Hospitals and health systems;
  • Healthcare professionals;
  • FQHCs and rural health clinics;
  • State offices of rural health;
  • Grantees providing services in rural areas;
  • Healthcare leadership and administrators;
  • Healthcare consumers;
  • Community action organizations;
  • Public and private business owners and organizations;
  • EMS and transportation providers;
  • Behavioral health, aging, and disability services partners, county commissioners, and other local or state government representatives, single county authorities, economic development organizations, professional organizations, community-based and faith-based organizations, philanthropy, and higher education and health provider training partners; and
  • Other interested parties.

What to include:

Information to assist DHS in enhancing and transforming rural health, including core concepts, target problems, or opportunities for improvement, intended impact and success metrics, evidence or prior experiences, feasibility of ideas for rural settings, partners, costs and resources, innovation or adaptation, and sustainability.

Submit by: August 29, 2025
Find the Form Here
Questions or Accessibility Needs: Email

DHS may use the information gathered through this process in the development of future implementation; however, the Departments do not guarantee that this will occur.

Respondents should be aware that the responses will be public information and that no claims of confidentiality will be honored. DHS is not requesting, and does not require, confidential, proprietary information, or other competitively sensitive information to be included as part of a submission. Ownership of all data, material and documentation originated, prepared, and provided to the Departments during this process will belong exclusively to the Departments.


Please contact your RCPA Policy Director with any questions.

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The PA Commission on Crime and Delinquency is seeking participation and input from JJDPC Subcommittee members to help shape the next iteration of Pennsylvania’s Juvenile Justice & Delinquency Prevention Plan. This survey is anonymous and confidential to encourage your candid feedback. Individuals are asked to complete the survey before Monday, July 21, 2025, as results will be presented in the aggregate to members of the JJDPC and PCCD staff to help inform initial strategic planning discussions at the JJDPC’s quarterly meeting on August 7, 2025.

Please find the survey link here. If you have any questions regarding this survey or need assistance, please contact Greg Young electronically.

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CARF International requests feedback on their newly released standards for disorders of consciousness. These standards were created with input from the field, and CARF is interested in feedback from providers and other stakeholders. You are invited to share within your network including with families/caregivers and those with lived experience.

Questions can be directed to:
Terrence Carolan, MSPT, MBA
Managing Director | Medical Rehabilitation and Aging Services
CARF International

Provide Feedback Here

Image by Dirk Wouters from Pixabay

The Centers for Medicare and Medicaid Services (CMS) is conducting a study to help them improve your experience with Medicare program and billing resources. Share your thoughts with them by taking this survey today. Responses are confidential, and the survey should take about 15 minutes to complete.

CMS thanks you for your time and valuable feedback.