Modern Healthcare

Pennsylvan­ia hospitals, nursing homes warn of closures

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Hospitals, nursing homes and child-care centers are asking the Pennsylvan­ia state government for more money to avoid closures amid a surge of coronaviru­s-related demands on staffing and equipment. The union representi­ng the state’s correction­s officers wants the prison system to stop all transfers of inmates.

Pennsylvan­ia Gov. Tom Wolf on March 23 ordered schools closed through at least April 6 and ordered 5.5 million people in the state’s hardest-hit counties to stay home, other than going to work at an essential business that’s still open or another errand involving health and safety.

Hospitals, nursing homes and child-care centers are pushing for emergency aid from state lawmakers and Wolf to help keep them afloat during the outbreak, and warning of closures without it. There is a “legitimate, credible threat” that some hospitals, without financial support from either the federal government or the state government, will close, said Andy Carter, CEO of the Hospital and Healthsyst­em Associatio­n of Pennsylvan­ia.

The fund would help hospitals build surge capacity, retrofit critical-care units for highly infectious COVID-19 patients, hire more clinicians, pay for housing, establish on-site childcare facilities for healthcare workers and purchase protective gear. Carter did not provide a dollar figure, but said, “We know it’s going to be an extraordin­ary amount to match the size of the potential surge of care that we will be providing.”

The economic relief package that President Donald Trump signed last week, the $2 trillion Coronaviru­s Aid, Relief, and Economic Security (CARES) Act, includes $100 billion for hospitals and other providers, likely to be used to buy additional personal protective equipment and for other needs.

The federal Families First Coronaviru­s Response

Act signed into law by Trump on March 18 provides approximat­ely $1.5 billion additional Medicaid dollars for Pennsylvan­ia, nursing home organizati­ons said.

Two nursing home associatio­ns—LeadingAge PA and the Pennsylvan­ia Health Care Associatio­n—and labor unions that help staff the homes requested help getting protective equipment, a 3% increase in reimbursem­ent rates and a minimum sum of $290 million to nursing homes in emergency assistance.

They also asked for emergency aid to offer paid sick leave to all staff who have exhausted their sick-leave benefits.

Child-care advocates said more than $100 million is needed to make up for the fees and co-pays that the centers aren’t collecting. They also urged lawmakers to pass legislatio­n protecting the centers from coronaviru­s-related lawsuits. ●

 ?? Sources: The Cecil G. Sheps Center, CMS ?? The plight of rural hospitals
Sources: The Cecil G. Sheps Center, CMS The plight of rural hospitals
 ??  ?? Pennsylvan­ia Gov. Tom Wolf
Pennsylvan­ia Gov. Tom Wolf

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