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policy

In the Sept. 14 letter to House and Senate leaders, members of America’s Essential Hospitals warned of the “far-reaching effects” of scheduled deep cuts to Medicaid disproportionate share hospital funding and said the cuts would “undermine America’s health care safety net.”

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Essential Insights

Essential hospitals have adopted innovative wellness and workforce development solutions to overcome burnout, labor shortages, and other challenges.

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state-action

This State Policy Snapshot explores the national landscape of state actions to ease persistent health care workforce shortages by expanding the scope of practice for advanced practice registered nurses.

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policy

The funding supports a program to help licensed practical nurses become registered nurses, the Nurse Faculty Loan Program, and other nurse training programs.

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policy

While lawmakers are home during August recess, we encourage you to invite your congressional delegation to visit your hospital and urge them to support essential hospital priorities.

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institute

George Mason University and Postgraduate Institute for Medicine and StressPal Inc. have opened enrollment for a no-cost, self-paced program to prevent burnout and promote resilience among health care professionals.

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Essential Insights

Health care workforce challenges, including burnout and staff shortages, are a top concern for America’s Essential Hospitals and its members.

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policy

The House Committee on Energy and Commerce Health Subcommittee will consider a bill to reauthorize the Children's Hospitals Graduate Medical Education program, which America's Essential Hospitals endorses to ease the workforce crisis.

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quality

The National Action Alliance to Advance Patient Safety will host three webinars on patient safety and violence prevention in health care settings.

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state-action

The law aims to strengthen the nurse workforce with provisions focused on workplace violence prevention, nurse burnout, and loan forgiveness.

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policy

America's Essential Hospitals calls on Senate leaders to reject a House proposal to impose work requirements for Medicaid as part of negotiations to raise the nation's debt limit, saying the plan would jeopardize access to care and harm communities.

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policy

House panels last week heard testimony on a variety of issues important to essential hospitals, including looming cuts to Medicaid disproportionate share hospital funding, workforce shortages and training, and the 340B Drug Pricing Program.

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state-action

Three bills support the Mississippi Hospital Sustainability Grant Program and efforts to train and retain health care workers.

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policy

Responding to association advocacy, four House lawmakers introduced legislation to eliminate $16 billion in Medicaid disproportionate share hospital (DSH) cuts in fiscal years 2024 and 2025. In a statement, America's Essential Hospitals called on all House members to support the bill.

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policy

The House Committee on Energy and Commerce Health Subcommittee will hear testimony on legislation to address the nation's health care workforce shortage. Meanwhile, two House lawmakers circulate a sign-on letter to build support for a bill to bolster physician training.

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policy

America's Essential Hospitals has responded to a request for information (RFI) on health care workforce shortages by the Senate Committee on Health, Education, Labor, and Pensions. The association also plans to respond to an RFI on reauthorizing the Pandemic and All-Hazards Preparedness Act.

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state-action

This State Policy Snapshot explores how legislatures are driving adoption of workplace violence prevention programs to respond to this serious issue.

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institute

George Mason University will offer a lecture on workplace well-being and "mental health first aid" trainings for health care professionals.

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policy

Key health committees in the House and Senate issue requests for information — one on reauthorizing the Pandemic and All Hazards Preparedness Act and another to examine health care workforce shortages.

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policy

More than 70 Policy Assembly attendees visited congressional offices to share association priorities, including eliminating $16 billion in Medicaid DSH cuts over the next two fiscal years, protecting the 340B Drug Pricing Program, and establishing a federal designation for essential hospitals.

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policy

The association's 11-page letter to congressional leaders calls for action to avert Medicaid disproportionate share hospital cuts, support the health care workforce, and establish a federal designation for essential hospitals, among other policy priorities.

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The project, funded by the Robert Wood Johnson Foundation, dovetails with work at America’s Essential Hospitals to combat structural racism. It also will contribute to the association’s response to the ongoing hospital workforce crisis.

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institute

The Patient-Centered Outcomes Research Institute (PCORI) seeks community input on opportunities to develop and support the PCOR workforce and offers a grant alongside AHRQ to support Learning Health System Embedded Scientist Training and Research Centers.

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institute

Working with Essential Hospitals Institute and the National Council for Mental Wellbeing, George Mason University will offer virtual Mental Health First Aid trainings for health care workers.

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policy

Prioritizing hospitals in health professional shortage areas, CMS awarded residency slots to 100 hospitals, including 27 essential hospitals.

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policy

The bill includes funding to bolster the health care workforce and extends flexible telehealth policies, including the hospital at home waiver.

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state-action

Flexible policies in Oregon and Colorado support health care providers amid a steady increase in respiratory syncytial virus (RSV), influenza, and COVID-19.

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policy

Hospitals that fill a safety net role need targeted funding to remain on the front lines of public health emergencies and serve the nation’s most underrepresented patients and marginalized communities.

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policy

The United States faces a significant and pervasive health care workforce shortage, especially in underserved communities. As policymakers discuss how to address current and future workforce shortages, we urge Congress to expand, protect and fund the health care workforce.

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policy

The memo reviews regulatory obligations to care for patients in a safe environment, including the need to identify patients at risk for intentional harm to themselves or others.

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state-action

A coalition of 22 states argues that the vaccine mandate has intensified workforce shortages at health care facilities and limited patient access to care.

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quality

At a Nov. 14 listening session, HHS leaders announced plans to launch in 2023 a learning community focused on patient and health care worker safety.

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state-action

The majority of the funding is dedicated to mitigating bed shortages at hospitals and long-term care facilities through increased staffing.

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policy

The agency requests information on health care access and equity, provider experiences, and the effect of policies introduced in response to COVID-19.

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policy

A September continuing resolution provides a potential legislative vehicle for health policy provisions. We summarize key workforce priorities and actions from Congress, the administration, and the association.

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state-action

In a new state policy brief, America’s Essential Hospitals outlines opportunities to expand the health care workforce through Medicaid graduate medical education funding.

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state-action

A recently passed New Hampshire law requires health care facilities to implement and maintain workplace violence prevention programs.

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policy

The Department seeks comment on Public Service Loan Forgiveness program eligibility policies for physicians at nonprofit hospitals.

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policy

The National Steering Committee for Patient Safety calls on health care providers to put its 2020 Action Plan into practice.

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policy

A new advisory from U.S. Surgeon General Vivek Murthy, MD, MBA, calls for a whole-of-society approach to protect and support health workers facing burnout.

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state-action

A new Colorado law mandates that each hospital form a staffing committee and report its annual master nurse staffing plan to the health department.

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policy

Pfizer and BioNTech release promising data on a three-dose COVID-19 vaccine for children six months to younger than 5; CDC expands booster shot eligibility to include everyone 5 years old and older.

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webinar

Discover ECU Health’s novel approach to supporting staff emotional well-being at work through traveling pop-up events.

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Essential Insights

Essential hospital leader Darrell K. Terry Sr., MHA, MPH, FACHE, shares how his hospitals responded to staffing challenges amid "The Great Resignation."

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state-action

New laws in Wisconsin and Utah criminalize threats against health care workers, while other state legislatures consider similar bills.

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state-action

In the early months of 2022, Alabama, Delaware, Kansas, and New Jersey passed legislation to mitigate health care workforce shortages amid the ongoing COVID-19 public health emergency.

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policy

The Department of Health and Human Services will distribute $19.2 million in American Rescue Plan Act funds to help train primary care residents to provide quality care to diverse populations and communities, particularly in underserved and rural areas.

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state-action

In a letter to CMS, Republican Govs. Glenn Youngkin of Virginia and Jim Justice of West Virginia cite strained health care workforce and staffing crises as reasons for requesting relief. They ask for broader conscience exemptions, flexibility on enforcement, or simply a six-month delay of the rule.

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Essential hospitals continue to confront extreme labor costs and staff shortages and need targeted relief from remaining fund dollars and new sources of support.

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policy

In separate bipartisan letters, lawmakers called on the Biden administration to help mitigate dire hospital workforce shortages, particularly among nurses, and protect the 340B Drug Pricing Program from harmful drug manufacturer actions.

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policy

HHS awarded $103 million to improve health care worker retention by reducing staff burnout and promoting mental wellness. Several essential hospitals were among the awardees, including the University of New Mexico, Virginia Commonwealth University, and the University of Utah.

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state-action

New York Gov. Kathy Hochul (D) gave her first State of the State address, highlighting plans to retain and grow the state's health care workforce and invest in initiatives to advance health equity.

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policy

The association asked that CMS provide additional time for hospitals to comply with the requirements, especially given the uncertain outcome of pending litigation regarding the administration's vaccine mandate.

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state-action

The pressures of the COVID-19 public health emergency led to significant burnout among the health care workforce. This State Policy Snapshot summarizes how state and local governments sought relief to help meet this challenge.

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policy

The Department of Health and Human Services announced a $1.5 billion investment to help grow and diversify the nation's health care workforce through loan repayment and scholarship programs.

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policy

The House voted 220–213 to pass the $1.75 trillion Build Back Better Act. It contains essential hospital priorities related to Medicaid, maternal health, and the health care workforce but also includes harmful cuts to Medicaid disproportionate share hospital and uncompensated care pool payments.

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While essential hospitals support the bill's goals to expand health care coverage and strengthen the health care workforce, they cannot accept the damaging cuts it would make to funding for hospitals that care for low-income patients and underserved communities.

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policy

The plan — required by the Coronavirus Aid, Relief, and Economic Security Act — focuses on increasing the health workforce in rural and underserved areas and better preparing for the health care needs of the future. HHS will issue a report to Congress on implementation.

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policy

In a letter to congressional leaders, America's Essential Hospitals advocates for strengthening the health care workforce in the wake of COVID-19, including through more funding in public health emergencies, prioritized visas for foreign clinicians, and increased graduate medical education slots.

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policy

A new analysis finds annual clinical labor costs in the emergency department and intensive care unit and among nursing staff increased by $24 billion due to the COVID-19 pandemic, translating to about $17 million in additional expenses for the average 500-bed facility.

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state-action

States facing a rapid rise in COVID-19 cases are making efforts to support their increasingly burdened health care workforce. Meanwhile, the Federal Emergency Management Agency requested teams to support civilian health care workers treating COVID-19 patients in local state hospitals.

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state-action

As hospitals respond to the rising delta variant and struggle with capacity, some states are calling on hospitals to once again postpone elective surgeries. Executive orders in other states expand flexibility to address health care workforce shortages amid COVID-19 surges.

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policy

HRSA announced $103 million in American Rescue Plan funding over three years to help reduce burnout and promote mental health among the health care workforce.

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policy

The emergency temporary standard aims to protect those working in health care settings where suspected or confirmed COVID-19 patients are treated.

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policy

In a new HHS Office of Inspector General report, hospitals highlight challenges associated with the public health emergency — including barriers to care delivery and vaccination, staff burnout, supply shortages, and declining revenue — that have strained the nation's health care delivery system.

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policy

Essential hospitals rely heavily on a patchwork of federal financial support and resources to meet their mission. Congress must bolster the individual components that form the fabric of the health care safety net.

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state-action

New York establishes an advisory council on trauma-informed care for workers on the front lines of COVID-19. The advisory group will develop reports on immediate needs for front-line health workers and findings and recommendations on long-term, trauma-informed care for these individuals.

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policy

The proclamation pauses the issuance of new non-immigrant employment-based visas until Dec. 31, 2020. The suspension excludes individuals whose entry is deemed in the national interest, including those providing care to hospitalized COVID-19 patients or conducting research on the pandemic.

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policy

The Senate returns to Washington this week, with the House expected to return May 11. Congressional hearings this week will focus on COVID-19 response efforts, including testing. Meanwhile, several association webinars will focus on health care workforce issues related to the pandemic.

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policy

To ensure essential hospitals have proper resources to respond to the COVID-19 pandemic, America's Essential Hospitals asked the Department of Labor to clarify the emergency exception under the Fair Labor Standards Act and the 500-employee threshold of the Families First Coronavirus Response Act.

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policy

The Centers for Medicare & Medicaid Services issued various waivers to increase hospital capacity, expand the health care workforce, eliminate certain paperwork requirements, and further promote telehealth.

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policy

House Democratic leaders are developing a fourth COVID-19 supplemental funding bill on the heels of a $2 trillion aid package the president signed last week. This fourth legislative package could include measures to enhance protections for health care workers.

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policy

The new waivers and flexible options are designed to increase hospital capacity, rapidly expand the health care workforce, temporarily eliminate certain paperwork requirements, and promote telehealth in Medicare.

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policy

Twelve spending bills must advance through Congress and be signed by the president by Nov. 21 to fully fund the federal government for fiscal year 2020.

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policy

A House vote on the Lower Drug Costs Now Act of 2019, scheduled for this week, has been postponed to allot more time for the Congressional Budget Office (CBO) to score the bill.

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policy

Senate Democrats sharply questioned the repeated delays of a final rule on drug ceiling prices and manufacturer civil monetary penalties; The House continues to focus on passing an opioid package.

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policy

House leadership remains focused on passing a bipartisan opioid-related legislative package by Memorial Day, but recently indicated a June vote might be more likely.

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policy

The new directive applies to Chad, Iran, Libya, North Korea, Somalia, Syria, Venezuela, and Yemen, but the specifics vary by country.

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policy

Researchers from George Washington University and The Commonwealth Fund found the Better Care Reconciliation Act of 2017 could cause an estimated 1.45 million jobs to disappear by 2026.

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policy

The webinar on June 28 will focus on the Medicaid Innovation Accelerator Program's Reducing Substance Use Disorders program area.

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policy

The blueprint also shifts CDC funding to a $500 million block grant and creates a Federal Emergency Response Fund for public health outbreaks, like Zika.

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policy

America’s Essential Hospitals and 57 other groups say restricting admission of certain foreign nationals and refugees will disrupt care, health education, and research.

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policy

The proposed revisions would update requirements on patient safety and quality improvement, physician well-being, team-based care & resident work hours.

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policy

These long-term HCBS services and supports are critical to ensure people can remain in their homes and communities as they receive treatment.

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policy

The letter was signed by America's Essential Hospital and 20 other national organizations.

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policy

The rule, effective Dec. 1, more than doubles the salary threshold for the Fair Labor Standards Act white collar exemption. The Department of Labor will automatically update the salary level threshold every three years.

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quality

To prevent transmission of the virus, workers should use proper infection control and biosafety practices to avoid direct contact with blood-borne pathogens.

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policy

If made final, U.S. Department of Labor rule would shift as many as 4.7 million workers nationally from exempt to nonexempt status.

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