Podcasts about National Health Service Corps

Did you know that the rate of new HIV infections among Black women is 10 times that of white women and four times that of Latina women. Why is this the case? Thanks to HealthyWomen with support from Merck, we're having an essential conversation about HIV and how we must protect ourselves from contracting the virus. OUr guest this week Dr. Ada Stewart breaks down all the facts plus ways that people are now living longer with HIV.You don't want to miss this conversation!Listen and learn:How HIV diagnosis and treatment has changed over the past few decadesThe rumors abouht HIV that are completely false - and the truths we all need to knowProtection and the information we need to share with our girlfriendsHow we must advocate with our health care providers to ensure we're getting testedListen now and share your iTunes review with us!Follow now

The Eastern Iowa Health Center is a non-profit medical center, part of the National Health Service Corps. They serve everyone, regardless of income or insurance. They have recently opened a brand new pediatric facility, as well as dental services.
Find out more at a free Community Block Party, Aug. 9 from 4-7pm at the Center, 1201 … Continue reading

Produced in partnership with Eckard Enterprises - Learn how to build and protect your wealth through an alternative investment in minerals. This episode is also sponsored by PearsonRavitz - helping physicians protect their most valuable assets.  Dr. John Littell, a champion of medical freedom, is hosting the Florida Summit 2023 to address the challenges faced by healthcare professionals who dare to speak out against the mainstream narrative on COVID-19 and medical education. This event will also explore the critical issue of food supply and its impact on health. Dr. Littell aims to provide hope and solutions for a brighter future in healthcare. About Dr. John Littell:  Dr. John Littell, MD, is a dedicated family physician with a passion for providing comprehensive healthcare to patients of all ages. His extensive medical career has allowed him to witness the full spectrum of life, from welcoming newborns into the world to offering compassionate care to patients nearing the end of their journey. Dr. Littell's daily work serves as a reminder of the importance of humility and gratitude for the blessings we enjoy in our great nation Dr. Littell's commitment to patient care is evident in his professional journey, which includes seven years of service in the U.S. Army and contributions to the National Health Service Corps. These experiences have equipped him to be an exceptional family physician, capable of tending to the medical needs of individuals across the age spectrum, from pediatrics to adolescents and adults. His dedication extends beyond the traditional clinic setting, as he finds fulfillment in caring for patients in hospitals, nursing homes, and even in the comfort of their own homes. One of Dr. Littell's core principles is his unwavering availability to his patients, as he believes that being there for them 24/7 is not just a commitment but a necessity. He strives to prevent unnecessary emergency room visits by offering after-hours care in his office and providing invaluable guidance over the phone when needed. Dr. Littell holds his role as a family physician in the highest regard and is deeply grateful to the patients who have entrusted their healthcare to him. His passion for medicine, combined with his dedication to serving the community, make him an exemplary healthcare professional and a cherished asset to the field of family medicine. LINKS:  Learn more about the Florida Summit ‘23 here: https://www.johnlittellmd.com/  Our Advice! Everything in this podcast is for educational purposes only. It does not constitute the practice of medicine and we are not providing medical advice. No Physician-patient relationship is formed and anything discussed in this podcast does not represent the views of our employers.  The Fine Print! All opinions expressed by the hosts or  guests in this episode are solely their opinion and are not to be used as specific medical advice.  The hosts,  May and Tim Hindmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice. Thanks for joining us! You are the reason we are here.  If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG. Please check out our every growing website as well at  bsfreemd.com (no www)  GET SOCIAL WITH US! https://www.withkoji.com/@bsfreemd

How do advances in teledentistry and technology intersect to help you achieve your goals? New technology, materials, and treatment approaches continually change the practice of pediatric dentistry. Dr. David Danesh, a pediatric dentist at Nationwide Children's Hospital, talks to Newly Erupted about telehealth, technology, and moving towards a medical model in management of caries. Guest Bio: David Danesh, DMD, MPH, MS, is a full-time clinical pediatric dentist attending at Nationwide Children's Hospital and adjunct clinical assistant professor at The Ohio State University College of Dentistry. He graduated from The Ohio State University in 2016 with a degree in microbiology and global public health minor. He attended Harvard School of Dental Medicine and received a four-year National Health Service Corps scholarship for dental school. After graduating dental school in 2020, he returned home to Columbus to pursue a hospital-based pediatric dentistry residency at Nationwide Children's Hospital and Master of Science in pediatric dentistry at The Ohio State University College of Dentistry. He also pursued his Master of Public Health at The Ohio State University College of Public Health, with his residency training. His current research focuses on telehealth/teledentistry, restorative pediatric dentistry, and integration of pediatric primary care and oral health.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This conversation is focused on healthy aging, especially the importance of vaccination. Moderator Harry S. Strothers III, MD, MMM Professor and Chair, Department of Family Medicine Mercer University School of Medicine, Chief Family Health Center Atrium Health Navient Harry S. Strothers III, MD, MMM, CAQ-G FAAFP became Chairman and Professor of the Department of Family Medicine at Mercer University School of Medicine and Chief of Family of Atrium Health Navient Health Family Medicine in March 2016. Dr. Strothers received his medical degree from the University of Maryland School of Medicine in 1982 and stayed for residency training in Family Medicine. He is board certified in Family Medicine and has a Certificate of Added Qualifications in Geriatrics. Dr. Strothers also earned a Masters in Medical Management (MMM) from the Tulane University School of Public Health and Tropical Medicine and American College of Physician Executives in 2000. Dr. Strothers started practice at a rural National Health Service Corps site in South Carolina. Panelists Dr. Iyabode (Yabo) Beysolow, MD, MPH YB Consultants, LLC. Dr. Beysolow, founder and owner of YB Consultants, LLC, is a respected public health professional with extensive experience and expertise in the area of immunizations: recommendations, implementation and delivery, strategic communications; a public speaker with a reputation for a clear, engaging, and informative communication style; and a highly skilled physician leader with extensive clinical, management, strategic planning, and collaboration-building experience. Dr. Beysolow is a board-certified pediatrician with over 20 years of experience in private practice and urgent care settings and ownership and management of a pediatric practice. Dr. Beysolow currently serves on the Boards of various national organizations, including the Quality Improvement Education Advisory Group of the American Academy of Pediatrics and the National Minority Quality Forum's (NMQF - SHC) Advisory Board. Laura Lee Hall, Ph.D. President, Center for Sustainable Health Care Quality and Equity National Minority Quality Forum Dr. Laura Lee Hall brings 20 years plus of executive experience leading health advocacy, research, education, and quality improvement efforts. Dr. Hall founded the Center for Sustainable Health Care Quality and Equity (SHC) in 2016 as part of the National Minority Quality Forum to help translate data, geomaps, and educational efforts into improved health in underserved communities, through provider and community education and practice improvement. SHC has launched national initiatives in flu and COVID vaccination, diabetes, heart failure, and cancer screenings, working with FQHCs, other clinics, pharmacists, churches, and other community leaders. Fredie Spry Certified Community Health Worker, HAIR Wellness Warrior Owner of The Shop Spa Fred Spry is a distinguished master barber and the proud proprietor of The Shop Spa, situated in Hyattsville, Maryland. With a passion for both grooming and community well-being, Fred engages his clientele in essential conversations regarding preventive healthcare. As a Certified Community Health Worker and a founding member of Health Advocates In-Reach and Research (HAIR), he tirelessly champions education and awareness to better serve both his clients and the wider community. Regina Robinson, RN, BSN, MSN, MEd Obtained Bachelor of Science in Nursing from University of Cincinnati & Master of Science in Nursing & Education from Xavier University, Cincinnati, Ohio. She retired from Cincinnati Veteran Affairs Medical Center, 2014, after 25 years of service to veterans. She is a member of the Ohio Nurses Association & Sigma Theta Tau & stays abreast of current trends in nursing. She is a member of Legacy Pointe Church & active with the leadership team, coordinator of the health & wellness ministry, & a representative for Legacy Pointe with the National Minority Quality Health Forum.

Impression: Kenyan-born Internist and Pediatrician Khalid sits down with fellow Buckeyes Saad and Travis to discuss his Somali heritage, education at THE Ohio State University and training at Wayne State University before coming to DC via the National Health Service Corps program to work in the Anacostia community and with residents in the DC Central Detention facility.

How Meal Planning Can Play A Role In Improving Your Health Dr. Sharan Abdul-Rahman • https://doctorrahman.com #SharanAbdulRahman #Menopause #SexualHealth #PreventiveCare Dr. Sharan Abdul-Rahman is a board certified OB/GYN and founder of Today's Woman, a unique boutique gynecological practice in Philadelphia, Pennsylvania. Dr. Rahman offers state-of-the-art care with old-fashion compassion and courtesy. Appreciating that most women have hectic schedules, she doesn't double book or keep patients waiting for extended periods to be seen. With a focus on health and wellness, not medicine, she advocates preventive care, education and using the latest technology to better women's lives. Her specialties include care to women in midlife and menopause. She offers MonaLisa Touch® treatment to alleviate symptoms of vaginal dryness, such as painful intercourse and urinary incontinence. She's also highly experienced in diagnosing and treating abnormal bleeding, uterine fibroids, and all aspects of sexual health. In addition to earning her MD from Yale School of Medicine, Dr. Rahman holds an MBA from the University of Pittsburgh. She began her clinical experience as an OB/GYN with the National Health Service Corps providing care in physician shortage areas. She's also volunteered in a variety of clinical settings both in the United States and third world countries. Dr. Rahman is a proponent of the philosophy that overall female well-being includes mental, physical and sexual health. Dr. Rahman truly looks forward to meeting you! To Contact Dr. Sharan Abdul-Rahman, M.D. go to doctorrahman.com Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

Does Vitamin D Help With Fibroid Tumors? Dr. Sharan Abdul-Rahman • https://doctorrahman.com #SharanAbdulRahman #Menopause #SexualHealth #PreventiveCare Dr. Sharan Abdul-Rahman is a board certified OB/GYN and founder of Today's Woman, a unique boutique gynecological practice in Philadelphia, Pennsylvania. Dr. Rahman offers state-of-the-art care with old-fashion compassion and courtesy. Appreciating that most women have hectic schedules, she doesn't double book or keep patients waiting for extended periods to be seen. With a focus on health and wellness, not medicine, she advocates preventive care, education and using the latest technology to better women's lives. Her specialties include care to women in midlife and menopause. She offers MonaLisa Touch® treatment to alleviate symptoms of vaginal dryness, such as painful intercourse and urinary incontinence. She's also highly experienced in diagnosing and treating abnormal bleeding, uterine fibroids, and all aspects of sexual health. In addition to earning her MD from Yale School of Medicine, Dr. Rahman holds an MBA from the University of Pittsburgh. She began her clinical experience as an OB/GYN with the National Health Service Corps providing care in physician shortage areas. She's also volunteered in a variety of clinical settings both in the United States and third world countries. Dr. Rahman is a proponent of the philosophy that overall female well-being includes mental, physical and sexual health. Dr. Rahman truly looks forward to meeting you! To Contact Dr. Sharan Abdul-Rahman, M.D. go to doctorrahman.com Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

Dr. Cannon's Bio: She graduated from Cornell University with a Bachelor degree in Biological Sciences. She was then commissioned as an officer in the United States Navy. After her service in the military, and a brief stint in biomedical research, she completed my medical degree at the University of North Texas Health Science Center, with an internship at the Children's Hospital of Los Angeles and finished her residency at the Morgan Stanley Children's Hospital of New York.  She worked in rural South Carolina with the National Health Service Corps, and moved to Hot Springs AR in 2016, where she began working at Hot Springs Pediatric clinic.For more information you can visit noraswarriors.com or follow our facebook page facebook.com/princessnoraswarriorfoundation. You can also look us up on Instagram, LinkedIN, TikTok, Twitter and YouTube. 

How Plastics And Sugar Can Lead To Maternal Mortality Dr. Sharan Abdul-Rahman • https://doctorrahman.com #SharanAbdulRahman #Menopause #SexualHealth #PreventiveCare Dr. Sharan Abdul-Rahman is a board certified OB/GYN and founder of Today's Woman, a unique boutique gynecological practice in Philadelphia, Pennsylvania. Dr. Rahman offers state-of-the-art care with old-fashion compassion and courtesy. Appreciating that most women have hectic schedules, she doesn't double book or keep patients waiting for extended periods to be seen. With a focus on health and wellness, not medicine, she advocates preventive care, education and using the latest technology to better women's lives. Her specialties include care to women in midlife and menopause. She offers MonaLisa Touch® treatment to alleviate symptoms of vaginal dryness, such as painful intercourse and urinary incontinence. She's also highly experienced in diagnosing and treating abnormal bleeding, uterine fibroids, and all aspects of sexual health. In addition to earning her MD from Yale School of Medicine, Dr. Rahman holds an MBA from the University of Pittsburgh. She began her clinical experience as an OB/GYN with the National Health Service Corps providing care in physician shortage areas. She's also volunteered in a variety of clinical settings both in the United States and third world countries. Dr. Rahman is a proponent of the philosophy that overall female well-being includes mental, physical and sexual health. Dr. Rahman truly looks forward to meeting you! To Contact Dr. Sharan Abdul-Rahman, M.D. go to doctorrahman.com Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

How To Tell If You're Eating Unhealthy Ultra Processed Foods Dr. Sharan Abdul-Rahman • https://doctorrahman.com #SharanAbdulRahman #Menopause #SexualHealth #PreventiveCare Dr. Sharan Abdul-Rahman is a board certified OB/GYN and founder of Today's Woman, a unique boutique gynecological practice in Philadelphia, Pennsylvania. Dr. Rahman offers state-of-the-art care with old-fashion compassion and courtesy. Appreciating that most women have hectic schedules, she doesn't double book or keep patients waiting for extended periods to be seen. With a focus on health and wellness, not medicine, she advocates preventive care, education and using the latest technology to better women's lives. Her specialties include care to women in midlife and menopause. She offers MonaLisa Touch® treatment to alleviate symptoms of vaginal dryness, such as painful intercourse and urinary incontinence. She's also highly experienced in diagnosing and treating abnormal bleeding, uterine fibroids, and all aspects of sexual health. In addition to earning her MD from Yale School of Medicine, Dr. Rahman holds an MBA from the University of Pittsburgh. She began her clinical experience as an OB/GYN with the National Health Service Corps providing care in physician shortage areas. She's also volunteered in a variety of clinical settings both in the United States and third world countries. Dr. Rahman is a proponent of the philosophy that overall female well-being includes mental, physical and sexual health. Dr. Rahman truly looks forward to meeting you! To Contact Dr. Sharan Abdul-Rahman, M.D. go to doctorrahman.com Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

Are Plastics And Other Chemicals Contributing To Gynecological Health Issues? Dr. Sharan Abdul-Rahman • https://doctorrahman.com #SharanAbdulRahman #Menopause #SexualHealth #PreventiveCare Dr. Sharan Abdul-Rahman is a board certified OB/GYN and founder of Today's Woman, a unique boutique gynecological practice in Philadelphia, Pennsylvania. Dr. Rahman offers state-of-the-art care with old-fashion compassion and courtesy. Appreciating that most women have hectic schedules, she doesn't double book or keep patients waiting for extended periods to be seen. With a focus on health and wellness, not medicine, she advocates preventive care, education and using the latest technology to better women's lives. Her specialties include care to women in midlife and menopause. She offers MonaLisa Touch® treatment to alleviate symptoms of vaginal dryness, such as painful intercourse and urinary incontinence. She's also highly experienced in diagnosing and treating abnormal bleeding, uterine fibroids, and all aspects of sexual health. In addition to earning her MD from Yale School of Medicine, Dr. Rahman holds an MBA from the University of Pittsburgh. She began her clinical experience as an OB/GYN with the National Health Service Corps providing care in physician shortage areas. She's also volunteered in a variety of clinical settings both in the United States and third world countries. Dr. Rahman is a proponent of the philosophy that overall female well-being includes mental, physical and sexual health. Dr. Rahman truly looks forward to meeting you! To Contact Dr. Sharan Abdul-Rahman, M.D. go to doctorrahman.com Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

The US Has The Highest Maternal Mortality Rate Of Developed Countries Dr. Sharan Abdul-Rahman • https://doctorrahman.com #SharanAbdulRahman #Menopause #SexualHealth #PreventiveCare Dr. Sharan Abdul-Rahman is a board certified OB/GYN and founder of Today's Woman, a unique boutique gynecological practice in Philadelphia, Pennsylvania. Dr. Rahman offers state-of-the-art care with old-fashion compassion and courtesy. Appreciating that most women have hectic schedules, she doesn't double book or keep patients waiting for extended periods to be seen. With a focus on health and wellness, not medicine, she advocates preventive care, education and using the latest technology to better women's lives. Her specialties include care to women in midlife and menopause. She offers MonaLisa Touch® treatment to alleviate symptoms of vaginal dryness, such as painful intercourse and urinary incontinence. She's also highly experienced in diagnosing and treating abnormal bleeding, uterine fibroids, and all aspects of sexual health. In addition to earning her MD from Yale School of Medicine, Dr. Rahman holds an MBA from the University of Pittsburgh. She began her clinical experience as an OB/GYN with the National Health Service Corps providing care in physician shortage areas. She's also volunteered in a variety of clinical settings both in the United States and third world countries. Dr. Rahman is a proponent of the philosophy that overall female well-being includes mental, physical and sexual health. Dr. Rahman truly looks forward to meeting you! To Contact Dr. Sharan Abdul-Rahman, M.D. go to doctorrahman.com Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

November is Native American Heritage Month. Today, two psychiatrists who have worked with Indigenous peoples join us to talk about the struggles and protective factors associated with Indigenous mental health and how mental health professionals and others can become better advocates for Indigenous/Native American communities.  Resources for this episode:  SAMHSA American Indian and Alaska Native Culture Card: A Guide to Build Cultural Awareness Toolkit for Suicide Prevention and Mental Health Promotion in Tribal Communities Groundswell: Indigenous Knowledge and a Call to Action for Climate Change Envision: The Big Picture One Sky Center, The American Indian/Alaska Native National Resource Center for Health, Education and Research We R Native website and We R Native Instagram Healthy Native Youth Center for Native American Youth Mary Hasbah Roessel, MD is a Navajo (Diné) psychiatrist from Round Rock, Arizona on the Navajo nation. She is a distinguished life fellow of the American Psychiatric Association and current APA Area 7 Trustee and works in Santa Fe, New Mexico at the Santa Fe Indian Health Center. She received her medical degree at the University of Minnesota in Minneapolis and returned to the southwest to complete her residency in psychiatry at the University of New Mexico. She received an APA/ NIMH Fellowship during her residency and has since worked for 30 years with Indigenous peoples of the southwest, Alaska, and British Columbia. She has special expertise in cultural psychiatry. She grew up on the Navajo reservation with her family and extended Navajo family. Her grandfather Ashihii, was a revered Navajo medicine man. She was the lead facilitator to the Indigenous Cultural competency course working with the American Psychiatric Association's Division of Diversity and Health Equity. She is a member of the Climate Psychiatry Alliance and APA Caucus on Climate Change and Mental Health. She presented on a panel discussing Missing and Murdered Indigenous Women at the United Nations Commission on the Status of Women in March 2016. She has provided presentations on Indigenous knowledge and climate change and wrote a chapter in the book:Groundswell- Indigenous knowledge and a call to action for climate change, edited by her husband, Joe Neidhardt, M.D., and daughter/artist, Nicole Neidhardt. Her chapter is on Essential Elements of Change, focused on living within two worlds—Indigenous and Western cultures in this climate crisis. She presented at COP26 in Glasgow, in November 2021 with her husband and daughter. The title of their presentation was: Walk In Beauty: Future Dreaming Through Indigenous Knowledges and Western Science. She enjoys spending time with her family hiking and participating in Navajo ceremonies in New Mexico and Arizona. Monica Taylor-Desir, MD, MPH is a Consultant with the Department of Psychiatry and Psychology at the Mayo Clinic in Rochester, MN, where she serves as a community psychiatrist for the Olmsted County Assertive Community Treatment Team and as the co-chair for the Diversity and Inclusion Committee for the Mayo Midwest Department of Psychiatry and Psychology. Prior to joining Mayo Clinic, Dr. Taylor-Desir served as a community psychiatrist for tribal communities for 16 years. Dr. Taylor-Desir graduated from the University Of Cincinnati College Of Medicine. After completing her psychiatry residency and a fellowship in community psychiatry at Emory University, Dr. Taylor-Desir began her career with the Winslow Indian Health Care Center in Winslow, AZ working with a predominantly Navajo population. This work was through her commitment to the National Health Service Corps as a Scholarship recipient. Dr. Taylor-Desir then moved to Phoenix, Arizona to serve the Salt River Pima-Maricopa Indian Community for eight years. She was the first tribally hired psychiatrist and provided outpatient psychiatric care to community members, worked with the crisis team, the Salt River Department of Corrections and the community residential treatment center. She also worked to secure psychiatric care between state and tribal jurisdictions. Dr. Taylor-Desir then moved to New Town, North Dakota to serve the Mandan, Hidatsa, Arikara Nation for three years as their Chief Medical Officer and psychiatrist for the Elbowoods Memorial Health Care Center. She was instrumental in securing SAMHSA grants addressing mental health and substance use in tribal communities. One of her proudest honors is receiving the American Psychiatric Association 2019 Award for Excellence in Service and Advocacy from the Women of the Assembly. Dr. Taylor-Desir also serves as a member of the National Advisory Committee to the National Health Service Corps, where she continues advocacy for and service to tribal and rural communities.

New 2022 - Is The US failing women? - Sharan Abdul-Rahman, MD Dr. Sharan Abdul-Rahman • https://doctorrahman.com #SharanAbdulRahman #Menopause #SexualHealth #PreventiveCare Dr. Sharan Abdul-Rahman is a board certified OB/GYN and founder of Today's Woman, a unique boutique gynecological practice in Philadelphia, Pennsylvania. Dr. Rahman offers state-of-the-art care with old-fashion compassion and courtesy. Appreciating that most women have hectic schedules, she doesn't double book or keep patients waiting for extended periods to be seen.With a focus on health and wellness, not medicine, she advocates preventive care, education and using the latest technology to better women's lives. Her specialties include care to women in midlife and menopause. She offers MonaLisa Touch® treatment to alleviate symptoms of vaginal dryness, such as painful intercourse and urinary incontinence. She's also highly experienced in diagnosing and treating abnormal bleeding, uterine fibroids, and all aspects of sexual health.In addition to earning her MD from Yale School of Medicine, Dr. Rahman holds an MBA from the University of Pittsburgh. She began her clinical experience as an OB/GYN with the National Health Service Corps providing care in physician shortage areas. She's also volunteered in a variety of clinical settings both in the United States and third world countries.Dr. Rahman is a proponent of the philosophy that overall female well-being includes mental, physical and sexual health. Dr. Rahman truly looks forward to meeting you!To Contact Dr. Sharan Abdul-Rahman, M.D. go to doctorrahman.com CLICK HERE - To Checkout Our MEMBERSHIP CLUB: http://www.realtruthtalks.com  • Social Media ChannelsFacebook: https://www.facebook.com/TRTAHConferenceInstagram : https://www.instagram.com/therealtruthabouthealth/ Twitter: https://twitter.com/RTAHealth Linkedin: https://www.linkedin.com/company/the-real-truth-about-health-conference/ Youtube: https://www.youtube.com/c/TheRealTruthAboutHealth    • Check out our Podcasts  Visit us on Apple Podcast and Itunes search:  The Real Truth About Health Free 17 Day Live Online Conference Podcast Amazon: https://music.amazon.com/podcasts/23a037be-99dd-4099-b9e0-1cad50774b5a/real-truth-about-health-live-online-conference-podcastSpotify: https://open.spotify.com/show/0RZbS2BafJIEzHYyThm83J Google:https://www.google.com/podcasts?feed=aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS8yM0ZqRWNTMg%3D%3DStitcher: https://www.stitcher.com/podcast/real-truth-about-health-live-online-conference-podcastAudacy: https://go.audacy.com/partner-podcast-listen-real-truth-about-health-live-online-conference-podcastiHeartRadio: https://www.iheart.com/podcast/269-real-truth-about-health-li-85932821/ Deezer: https://www.deezer.com/us/show/2867272 Reason: https://reason.fm/podcast/real-truth-about-health-live-online-conference-podcast • Other Video ChannelsYoutube:https://www.youtube.com/c/TheRealTruthAboutHealthVimeo:https://vimeo.com/channels/1733189Rumble:  https://rumble.com/c/c-1111513 Facebook:https://www.facebook.com/TRTAHConference/videos/?ref=page_internal DailyMotion: https://www.dailymotion.com/TheRealTruthAboutHealth BitChute:  https://www.bitchute.com/channel/JQryXTPDOMih/ Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

On this episode of The STFM Podcast, host Saria Carter Saccocio, MD, speaks with Andrea Anderson, MD, FAAFP, about the many ways advocacy is central to family medicine. Dr Anderson talks about how naming your areas of passion will help you find a powerful advocacy voice. She encourages physicians and faculty to share the stories of their patients to engage with health system & government stakeholders. Sharing these patient stories will shed light on the impact of policies on people in the community. Guest Bio:Andrea A. Anderson, MD is a Family Physician and an Associate Professor.  She is the Associate Chief of Family Medicine at the George Washington School of Medicine and Health Sciences where she chairs the school's clinical curriculum committee, co-directs the Health Policy Scholarly Concentration, and directs the Transitions to Residency Fourth Year required internship readiness capstone course. Nationally, she serves on the Board of Directors of the American Board of Family Medicine and is the first African American woman to be appointed to this role in the ABFM's 50-year history.   Other national roles include serving on the Board of Directors of the Federation of State Medical Boards,  the national Management Committee of the United States Medical Licensing Examination (USMLE), and the National Advisory Council of the National Health Service Corps.  Through her career, Dr. Anderson has been active in DC health policy and medical regulation as well as teaching ethics, professionalism, and physician advocacy to medical students and residents.  She is the Chair of the DC Board of Medicine, licensing and determining regulatory policy for  approximately 15,000 DC physicians.  She is an appointee to the DC Health Scientific Advisory Committee advising ethical and equitable COVID 19 vaccine distribution in the nation's capital.  In addition to the Management Committee of the USMLE, she is a subject matter expert for national committees of the National Board of Medical Examiners (NBME), namely the Patient Characteristics Advisory Panel and the Legal/Ethical Task Force.  She sits on the FSMB National Ethics and Professionalism Committee and the Diversity, Equity, and Inclusion in Medical Regulation Task Force, creating national guidelines for state medical licensing boards. Dr Anderson is a Senior Medical Education Consultant for the AAMC  looking at curricular innovations to combat medical misinformation.  Society of Teachers of Family Medicine (STFM)  has been her professional society home as she serves National Underrepresented Minority Faculty Development and Retention Task Force and the Academic Family Medicine Advocacy Committee (AFMAC).  Previously, Dr. Anderson spent 15 years in practice at Unity Health Care, a large Federally Qualified Health Center network in Washington, DC, where she served in leadership roles including Medical Director of Family Medicine.   Dr Anderson has testified widely before various outlets including 2019 invited testimony before the Senate HELP committee to increase congressional funding for the National Health Service Corps.  She has been honored with various awards including the STFM 2019 National Advocate Award, the 2021 AAFP Exemplary Teaching Award,  and the 2021 Leonard Tow Humanism in Medicine Award from the Arnold P Gold Foundation.Host Bio:Dr. Saria Saccocio is a physician executive consultant, advising companies to strategically and equitably deliver value-based healthcare spanning populations across the continuum. Among her current leadership initiatives, Dr. Saccocio serves as the Chief Physician Health Equity Engagement Officer for the National Minority Quality Forum's Center for Sustainable Health Care Quality and Equity. Dr. Saccocio has demonstrated a consistent history of leading award-winning programs and improving p

A new $1.5 billion investment in health care is giving nurses the opportunity to improve equity in the communities they serve while also having their nursing school loans repaid. Announced by the Biden Administration at the end of 2021, the funding supports loan repayment and scholarship programs within the National Health Service Corps and Nurse Corps, which are part of the Health Resources and Services Administration. Applications are open now. Show guest CAPT Jacqueline Rodrigue, Acting Director of the Division of Health Careers and Financial Support for the Bureau of Health Workforce, discusses the importance of the funding, and Dr. Andrew Pettit, a Nurse Corps participant, shares how it's changed his life to be part of a program that is helping him pay off his nursing school loan debt. CAPT Jacqueline Rodrigue has nearly 30 years of experience in workforce diversity, cultural competency, stakeholder engagement, quality improvement, and behavioral health. She provides strategic direction, coordination, and planning in support of Bureau of Health Workforce's 40 programs that aim to recruit, educate, train, and retain a diverse health professions workforce in rural and underserved communities. Dr. Andrew Pettit, DNP, FNP-BC, is a board-certified Family Nurse Practitioner with combined 10 years of nursing-related experience in long-term memory care, oncology, and ambulatory care. He received his nursing degree in 2014 from Westminster College in Salt Lake City, UT, and his Doctorate of Nursing Practice in 2019 from the University of Washington in Seattle. He currently practices in primary care at a Federally Qualified Health Center in Tulare, CA. Resources: HRSA (Health Resources and Services Administration) Apply to the Nurse Corps Loan Repayment Program (deadline January 27, 2022) Apply to the National Health Service Corps Loan Repayment Program (deadline February 3, 2022) HHS Announces Record Health Care Workforce Awards in Rural and Underserved Communities Continue the Conversation @JHUNursing @HRSAgov @Sarah_Szanton -| The Health Equity Podcast Channel is made possible with support from Bayer G4A. Learn how Bayer G4A is advancing equity, access and sustainability at G4a.health -| This episode originally aired on January 18, 2022 on On The Pulse. Listen, follow and subscribe here.

This week we speak with Tyler Smith, MPH, Senior Director for Government Relations with the Physician Assistant Education Association. Tyler and I speak about student involvement in advocacy, the National Health Service Corps, and other key issues PAEA is tackling for the profession.

We speak with Stephen Neal, MPAP, PA-C who serves as the Chief of Staff for the Chinle Comprehensive Health Facility, an IHS facility in northern Arizona. He has worked here since 2016 as a PA in Family Practice and clinical informatics.  We speak about COVID-19 and the impact on the Navajo Nation, the National Health Service Corps, and financial literacy for PAs.

Steph and I have a delightful conversation with Drs. Ritsema and Hermann from the George Washington University Physician Assistant Program. We learn about their program and about their roles in the Physician Associate movement in the United Kingdom and with the National Health Service Corps. We also discuss some different perspectives on the doctoral degree for PAs.

Episode 30Student debt is so prevalent in America today and it is a terrible burden. My episode today strays from the norm as my guest is not a nurse, but a writer for the Wall Street Journal. Rebecca Ballhaus goes into great detail about an article she and her co-author, Rebecca Smith, wrote for the Wall Street Journal about a federal program to help ease the burden of student debt for healthcare professionals. Tune in and learn from Rebecca what this program is called, how it strives to help healthcare professionals, and how it is financially ruining others. Though the full article highlights professionals of various backgrounds, Rebecca and I focus only on the nurses. Check out the links at the bottom if you want to read the full article. Links:https://www.wsj.com/articles/program-to-cut-healthcare-providers-student-debt-sticks-some-with-even-more-11644421910?page=1 Click here to find the article discussed in this episode.https://www.wsj.com/news/author/rebecca-ballhaus Click here to find more articles by Rebecca Ballhaushttps://nhsc.hrsa.gov/ Click here to learn more about the National Health Service Corps

Creating Wellness From Within is a podcast devoted to empowering you to live your best life by taking accountability for your own personal wellness … brought to you in part by Integrated Health Systems located in Denver, CO. Women in particular have a tendency to take care of everyone else around them first, while putting their own self care and wellness on the back burner. This podcast is designed to give you actionable advice and tools to help you power up your own wellness journey, and live the best life possible!I am your host, Amy Zellmer. I am editor-in-chief of MN YOGA + Life magazine & The Brain Health Magazine, and author of several books. Additionally I am passionate about yoga, photography, wellness, and all things glittery! You can find out more about me at www.creatingwellnessfromwithin.comFollow me on: Instagram, Facebook, LinkedIn, and Twitter         Today's guest is: Shauna HahnShauna hails from Saskatchewan, Canada. She is a Plains Cree Indian and member of the George Gordon First Nation. She graduated from Simon Fraser University in British Columbia, Canada in 1996. She was admitted to the prestigious Direct Entry Nurse Practitioner program at Oregon Health and Science University in 2003. She graduated as a Psychiatric Mental Health Nurse Practitioner, and was awarded the Dorothy L Johnson Award for Creativity, Innovation, and Insight in Nursing.In 2011, Shauna became a member of the National Health Service Corps for her work as a lead clinician at Central City Concern, a busy downtown Portland community mental health practice. She has extensive experience treating patients with the highest psychiatric complexity. Her patients often suffered with quad-morbidity: severe mental illness, serious medical co-morbidities, trauma and substance use, and houselessness. In her free time, Shauna has written a memoir and does storytelling through many prestigious organizations in Portland, Oreogn. She is avid dog lover, wine maker, and enjoys stand up paddle boarding, reading, and live music. www.frameworktms.comhttps://www.instagram.com/frameworktmshttps://www.facebook.com/FrameworkTMS     ENJOYING THIS PODCAST?Consider supporting the podcast for $5 a month through Patreon.

In this episode of Pre-Dental Talk, we chat with a first-year dental student at the Harvard School of Dental Medicine, Bart Voto (@studentdentist_bart on Instagram). We talk about how he was able to earn a full-ride scholarship to dental school through the National Health Service Corps. We will cover everything you need to know about the scholarship (how to apply, application requirements, what the scholarship covers, etc.). If you have any additional questions about the scholarship, you can reach out to Bart via Instagram!

Following the outline for financial priorities in the WCI book, this couple was able to invest while paying off the debt for Brad's medical school. Racquel used the National Health Service Corps to pay for school and owed them a couple years of service after. This episode we discuss the pros and cons of paying for medical school this way. Be inspired by this couple's success and then go learn more about financial “waterfalls” at https://www.whitecoatinvestor.com/financial-waterfalls-for-new-residents-and-attendings/ to set your priorities. A lot of physicians have questions about locum tenens, and https://locumstory.com is the place for them to get real, unbiased answers to those questions, basic questions like, “What is locum tenens?” to more complex questions about pay ranges, taxes, various specialties, and how locum tenens works. And then there's the big question: Is it right for you? Go to https://locumstory.com and get the answers. The White Coat Investor has been helping doctors with their money since 2011. Our free financial planning resource covers a variety of topics from doctor mortgage loans and refinancing medical school loans to physician disability insurance and malpractice insurance. Learn about loan refinancing or consolidation, explore new investment strategies, and discover loan programs for specifically aimed at helping doctors. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor channel is for you! Be a Guest on The Milestones to Millionaire Podcast: https://www.whitecoatinvestor.com/milestones  Main Website: https://www.whitecoatinvestor.com  Student Loan Advice: https://studentloanadvice.com  YouTube: https://www.whitecoatinvestor.com/youtube  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter 

In a 2020 report on America's Health Rankings, published by the United Health Foundation, Kansas ranks 26th among the 50 states on health outcomes. A team of K-State Research and Extension professionals is receiving training from the National Leadership Academy for the Public's Health to foster community conversations about creating a more robust and effective approach to health. Ed Ehlinger, the senior assistant surgeon with the National Health Service Corps and the ‘coach' of the team, was a pre-conference speaker at Extension's recently held annual conference. Sound Living is a weekly public affairs program addressing issues related to families and consumers. It is hosted by Jeff Wichman. Each episode shares the expertise of K-State specialists in fields such as child nutrition, food safety, adult development and aging, youth development, family resource management, physical fitness and more. Send comments, questions or requests for copies of past programs to ksrenews@ksu.edu. K‑State Research and Extension is a short name for the Kansas State University Agricultural Experiment Station and Cooperative Extension Service, a program designed to generate and distribute useful knowledge for the well‑being of Kansans. Supported by county, state, federal and private funds, the program has county Extension offices, experiment fields, area Extension offices and regional research centers statewide. Its headquarters is on the K‑State campus in Manhattan.

What separates a good leader from a great one? These in-depth interviews with some of family medicine's most influential leaders provide insight into pivotal experiences that boosted leadership skills and provided unprecedented opportunities for personal growth.In this episode, Dr Saccocio discusses ways to keep inspired with Dr Suzanne Minor.This series of podcasts is sponsored by the Society of Teachers of Family Medicine (STFM), the academic home for family medicine educators.Guest Bio:Suzanne Minor, MD, is a board-certified family medicine physician who attended the University of Miami School of Medicine and then trained at Jackson Memorial Hospital for her residency.  She completed her National Health Service Corps commitment working with the underserved community of North Dade.  In 2010, she joined Florida International University and was the founding Family Medicine Clerkship Director and core College of Medicine faculty, continuing to care for underserved patients.  Currently, she serves as the Assistant Dean for Faculty Development, supporting clinical faculty teaching medical students and supporting all educators in their non-teaching roles, such as medical education research, peer-reviewing, advising, and mentoring.  Dr. Minor's academic home is the Society of Teachers of Family Medicine which refuels and refreshes her!  She has received from STFM through completing the Medical Student Education Development Institute and New Faculty Scholars Program.  She has given back as chair of the Steering Committee for the Group on Medical Student Education and as an STFM Foundation Trustee.  In her Trustee role, she now serves as director for the STFM Foundation New Faculty Scholars Program.  Host Bio:Saria Saccocio, MD, FAAFP, MHAAs the Ambulatory Chief Medical Officer for Prisma Health, Dr. Saria Saccocio supports population health initiatives that span across all departments and specialties in the outpatient space, striving for optimization of quality, patient experience and efficiency of healthcare delivery. Dr. Saccocio has demonstrated a consistent history of leading award-winning programs and improving patient care and safety as a Chief Medical Officer for health systems in the southeast. She received her Doctor of Medicine from the University of Florida, and her Executive Master of Health Administration from the University of North Carolina-Chapel Hill. She completed her Family Medicine residency at the University of Miami before opening her own solo family practice. She continues to serve patients at the Free Medical Clinic and precepts family medicine residents at the Center for Family Medicine in Greenville, South Carolina.

RADM Michael Toedt is a former assistant surgeon general of the U.S. Public Health Service and chief medical officer of the Indian Health Service. He attended the Uniformed Services University of Health Sciences and led the COVID-19 response for the Indian Health Service. There is a lot more in between! In our conversation we discuss: 0:00-10:59- introduction, summer whites story, and summary of RADM Toedt's career 11:00-13:38- intro to Toedt Health Solutions 13:39-25:29- describing USUHS and USPHS, how Michael joined the Corps, training to be an officer in USUHS vs present day 25:30-30:49- USPHS uniform culture 30:50-35:59- Michael's hospital residency, experience at Cherokee indian hospital, and National Health Service Corps and HRSA 36:00-47:59- IHS COVID-19 response, what people may not understand about IHS, vaccination campaign 47:50-55:14- what Michael is most proud of in his career, navigating a career as a PHS officer, future of the Corps and Ready Reserve 55:15-1:00:52- Toedt Health Solutions current focus 1:00:53-1:02:44- closing remarks Michael Toedt's website: https://toedthealth.com/ Michael Toedt's Linkedin: https://www.linkedin.com/in/michael-toedt/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/phsproud/message

Michelle chats with Mike Shimmens, Executive Director for 3RNET, the nation's most trusted resource for health professionals in rural and underserved communities, about an increasingly important topic in rural communities: assisting health care professionals to find jobs and careers and helping health care employers to find qualified workers.  In the last four months, Shimmens says, 3RNET is seeing fewer applications from health care professionals, but it's unclear whether there is just a blip or the result of increasing burnout in this space as the pandemic continues to plague communities. Shimmens notes that many states are experiencing health professional shortages, according to HIPSA scoring that is monitored by governmental primary care offices. If you're a stakeholder in a rural or underserved area, you may want to look into the J1 visa program, he adds. On a positive note on shortages, Shimmens says, in terms of loan repayment assistance,  there recently has been an infusion of $800 million into the National Health Service Corps, which is available to subsets of health professionals, as well as from state agencies. 3RNET, a nonprofit, is a valuable resource for its members in this area as well, providing educational information and job listings. If you're an employer that wants to participate in this effort, you can reach out to a 3RNET network coordinator in your state, explains Shimmens. This episode is sponsored by 3RNET. Whether you're looking for a job or searching for the perfect candidate, 3RNET is here to help. Get started today at 3RNET.org.  

The crushing strain of caring for patients the last year and half of pandemic has taken a toll on health care workers. Legislatures play an important role in this area by creating laws for licensure and regulation. On the podcast to discuss the workforce and how to help health care workers cope with the current challenges is Dr. Luis Padilla, the associate administrator for health workforce at the Health Resources and Services Administration (HRSA). Padilla also serves as director of the National Health Service Corps. Padilla discusses how HRSA supports states in strengthening the workforce and. He also talked about the growing role of telehealth and the important role states have in regulating scope of practice rules. The other guest is Sydne Enlund from NCSL. Enlund tracks of scope of practice laws across the country and maintains a website on the topic with interactive maps dealing with nurse practitioners, physician assistants, pharmacists and more. She discusses the role legislatures have played in modifying regulations for workers during the pandemic.       Resources Health Resource and Services Administration (HRSA) Bureau of Health Workforce (BHW)  Health Resources and Services Administration (HRSA) Data Warehouse  Health Workforce Technical Assistance Center  OAS Episode 139 Transcription Scope of Practice Policy website, NCSL The Telehealth Explainer Series, NCSL Telehealth: Health Care From the safety of Our Homes, HHS

"...because there is no way you can deny that we need cleaner air, that we need clean water, we need to address our infrastructure, you cannot deny it and just leave it as a prescription— that's just not good medicine” Internist Dr Cheryl Holder is an HIV treater, Interim Associate Dean of Diversity, Equity, Inclusivity, and Community Initiatives at the Herbert Wertheim College of Medicine, and co-chair of Florida Clinicians for Climate Action.  She chronicles her journey to becoming a physician, how her eyes were opened to the climate crisis through her patients in the community health center, and how clinicians can incorporate climate advocacy in the clinic and beyond.   Listen to her TED Talk "The Link Between Climate Change, Health, and Poverty." Interested in the National Health Service Corps?  Check it out here. If you live in California, please join us by visiting www.ClimateHealthNow.org and introduce yourself and become a member by emailing us at: caclimatehealthnow@gmail.com If you live outside California, we recommend you find your state clinicians for climate action group by visiting the Medical Society Consortium on Climate and Health's website.

Dr. Niran Al-Agba a pediatrician and Dr. Rebekah Bernard a Family Medicine with a Direct Primary Care Practice, authors of Patients At Risk: The Rise of The Nurse Practitioner And Physician Assistant In Healthcare discuss how they are directly related to the high cost of medicine, the corporatization of healthcare and increased risk to patients. Dr. Bernard attended college at the University of Florida, majoring in sociology while completing her required pre-medical science courses. She was awarded the National Health Service Corps scholarship to attend the University of Miami where she graduated in 1999. Dr. Berard Website - https://www.rebekahbernard.com/ Follow Dr. Bernard on Twitter - https://twitter.com/Rebekah_Bernard Niran Al-Agba was born and raised on the Olympic Peninsula in Washington State. After completing medical school at the University of Washington and pediatric residency training at the University of Colorado/Denver Children’s Hospital, she returned to her hometown to join her father in a pediatric private practice. Dr. Al-Agba Website - https://www.silverdalepediatrics.com/ Follow Dr. Al-Agba on Twitter - https://twitter.com/silverdalepeds  

Rural Health issues span so many domains and there are so many definitions that have been assigned. Dr. Sameer Vohra joins the conversation highlighting the impact of differing cultural backgrounds on the specific needs of certain communities. Dr. Vidhya Prakash is back to enhance the conversation with her experience in the field. Mentioned In This Episode https://www.beyondflexner.org Beyond Flexner Alliance https://nhsc.hrsa.gov National Health Service Corps.

In this interview, Dr. Suzanne Poole, DNP, APRN, FNP, BC, Family Nurse Practitioner, comes onto the HET Podcast to discuss what it's like to work in the frontlines. Biography: Dr. Suzanne Poole, DNP, APRN, FNP, BC is a Family Nurse Practitioner at Coastal Plains Primary Care and Hampton Regional Medical Center. She completed her bachelor of science degree in psychology at the College of Charleston as well as her bachelor of science in nursing, master of science in nursing, and doctor of nursing practice at the Medical University of South Carolina in Charleston, SC. Suzanne is a scholarship recipient of the National Health Service Corps and works with this organization to increase health care access to underserved communities. She enjoys working in rural health and focuses on patient education and preventive healthcare. Suzanne currently lives in Beaufort, SC and loves animals, nature, cooking, and traveling. The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool Anywhere Healthcare (code: HET)

In this installment of JSP, Tom and Ben look at student loan reimbursement options through HRSA.... or at least attempt too.  This show does go off the rails at times but the information is still good.  There are two programs through HRSA and those are the National Health Service Corps and Nurse Corps as those are discussed.   Our show starts with Tom discussing a rough few weeks and you'll have to listen as to why Ben compares him to Saturday Night Live.   In our Story You May Have Missed, we talk marijuana legislation.  

October 22, 2020In this inspiring episode, Johnson Lightfoote, MD, MBA, FACR, Medical Director of the Department of Radiology at Pomona Valley Hospital Medical Center, and current Chair of the ACR’s Commission for Women and Diversity, talks about how his parents’ emphasis on education shaped his early years and how this focus led him to attend high school at Andover Phillips Academy and eventually Harvard University for both college and medical school. He recalls the transformative nature of these educational experiences in light of the civil rights movement, student activism around the Vietnam War and conversations that are still being held today around social equity and healthcare inequality. The importance of representative leadership is the foundation of Dr. Lightfoote’s leadership philosophy and has guided his many leadership roles in both organized medicine and his practice. During his conversation with Taking the Lead guest host, Geraldine McGinty, MD, MBA, FACR, Dr. Lightfoote shares some experiences from his time in the National Health Service Corps in Tuskegee, what led him to radiology and makes him most hopeful about the specialty, and even the story around how the “e” was added to his last name.

Featured Guests: Rene Roberts, MD Dr. Rene´ Roberts is a board-certified Family Medicine physician, speaker and local television show host. She is also a former competitive figure skater with the United States Figure Skating Association. Drawing from her own unique experiences as a competitive skater and figure skating coach, Dr. Rene inspires and helps athletes during their transition from competitive athlete to everyday life. Dr. Rene was awarded the National Health Service Corps scholarship while in medical school at Indiana University School of Medicine. After graduation she relocated to Chicago, Illinois to complete her residency training in Family Medicine at St. Joseph Hospital. When she is not caring for her own patients, Dr. Rene serves as a physician mentor to high school and college students aspiring to become doctors through her involvement with a local non-profit organization, helping to raise the next generation of physicians. In her free time, Dr. Rene still enjoys figure skating recreationally to keep mentally and physically fit. She also enjoys running, traveling internationally, medical mission trips, and spending time with her dog. Bridgette Duncan Bridgette Duncan is a creative who loves to inspire Black women and women of color to be the best version of themselves. She's a movement specialist whose a certified personal trainer and Pilates instructor. Her work is informed by a background in dance, sports, personal training, Pilates, and most importantly socio-political issues that affect the Black community. Bridgette holds a BFA in Dance from Temple University and has danced in various companies, shows, and live performances. Her specialties are personal training, Pilates, pre/post-rehabilitation, and holistic wellness services. As a former dancer, athlete, and radical wellness practitioner, Bee has experienced firsthand the transformative power that is the health and wellness industry. Simultaneously, she understands the wants and needs of Black women who are often neglected by society. As a result, Bee's focus is creating relatable wellness classes, experiences, and content for Black women and other people of color to help them meet themselves where they are and aid them on their wellness journey. --- Support this podcast: https://anchor.fm/carol-penn/support

Shauna Hahn is a Psychiatric Mental Health Nurse Practitioner who practices at Framework TMS, which is part of Northwest Functional Neurology. For most of her career, she worked in community mental health and is an alumnus of the National Health Service Corps. She believes passionately in public health: access for all and more client-centered services for those struggling with brain injury recovery. Shauna is on the Board of Directors for the Oregon Brain Injury Alliance (BIAOR) and is brain injury certified. She has spoken on the subject of brain injury for the Nurse Practitioners of Oregon and BIAOR. She runs a support group for brain injury survivors. www.frameworkTMS.com

This week on Rural Health Leadership Radio we're talking about several of the challenges rural health leaders face with Naomi Sweeney from the State Office of Rural Health and Primary Care at the Arkansas Department of Health. Her state office has recently received approval to sponsor 10 Critical Access Hospital CEOs in attending the National Rural Health Association Rural Hospital CEO Training Program. Their vision is to these 10 CEOs return and share what they have learned with other rural hospital CEOs across the state. The expectation is that there will be a lot of good measurable data on the improvement at participant facilities once they implement the lessons learned. They see a tremendous value in this program and look forward to seeing how it affects rural health across the state. “You cannot make a difference from an office chair alone, let people see your face.” ~Naomi Sweeney Naomi Sweeney is the State Office of Rural Health Coordinator for the state of Arkansas. She is housed within the Office of Rural Health and Primary Care at the Arkansas Department of Health. Naomi is a graduate of the University of Central Arkansas. She has a Master of Science in Nutrition and Dietetics, and she has over 14 years’ experience in public health-related fields. When Naomi began her work at the Arkansas Office of Rural Health and Primary Care in November of 2018, she was responsible for recruitment and retention of medical professionals in rural and underserved areas of Arkansas through programs such as Nurse Corps, various National Health Service Corps programs, and the J1 Visa program. Naomi has an excellent track record in the field of public health, with plenty of public speaking experience, a heart for community service, and a desire to improve the health of rural Arkansans.

The U.S. Treasury has been legally robbed! In this episode, discover the secret provisions in the multi-trillion dollar CARES Act that no one is talking about (like the new process for over the counter drug approvals) and discover the reasons behind problems that everyone is talking about (like why Mom & Pops can't get a small business loan approved but Fogo de Chao can.) The good news is that the problems are so obvious that they are easily fixed... If Congress ever comes back from vacation.  Please Support Congressional Dish – Quick Links Click here to contribute monthly or a lump sum via PayPal Click here to support Congressional Dish for each episode via Patreon Send Zelle payments to: Donation@congressionaldish.com Send Venmo payments to: @Jennifer-Briney Send Cash App payments to: $CongressionalDish or Donation@congressionaldish.com Use your bank’s online bill pay function to mail contributions to: 5753 Hwy 85 North, Number 4576, Crestview, FL 32536 Please make checks payable to Congressional Dish Thank you for supporting truly independent media! Recommended Congressional Dish Episodes CD160: Equifax Breach CD199: Surprise Medical Bills CD201: WTF is the Federal Reserve? CD212: The COVID-19 Response Laws Bills H.R.748 - CARES Act Text: H.R.748 - CARES Act Roll Call: H.R.748 - CARES Act House passed by voice vote at 1:25pm on March 27th Transcript: House debate Tom Massie demanded a recorded vote but an insufficient number of members supported him and the demand for a recorded vote was refused Signed by Trump on March 27 CARES Act Outline DIVISION A - Keeping Workers Paid and Employed, Health Care System Enhancements, and Economic Stabilization TITLE I - Keeping American Workers Paid and Employed Act Sec. 1102: "Paycheck Protection Program" (Small Business Loans) The Federal Government will guarantee 100% of the loans made under this authority between February 15, 2020 and June 30, 2020. The loans are allowed to be used by businesses to pay for their employees salaries, tips, sick and vacation time, health care, retirement benefits, and state and local taxes. Sole proprietors and independent contractors are eligible. All payments are capped at a salary rate of $100,000/yr per individual. Payments are not eligible for employees who live outside the United States, even if they are US citizens. A “small business” is defined as a business with fewer than 500 employees per physical location. Usually, franchises in a large corporate chain would be except from receiving these loans, but that exemption is waived. Nonprofits and veterans organizations are eligible as well. The maximum loan amount is $10 million. No personal guarantee or collateral can be required to get the loans between February 15, 2020 and June 30, 2020. There are no penalties allowed for prepayment of the loans. The Federal government will collect no administration fees. Interest rates are capped at 4% Fees for banks: The government will pay the bankers processing fees of 5% for loans under $350,000, 3% for loans between $350,000 and $2 million, and 1% of loans over $2 million. Loan payments must be allowed to be deferred - so no required payments of principal, interest, or fees - for at least 6 months and up to one year. The loans are allowed to be sold on the secondary market, but if the investor doesn’t want to abide by the deferment requirements, the government can buy the loan. Banks are going to be exempted from some disclosure requirements for these loans. The law authorizes $349 billion for this program. Sec. 1106: The loans from Section 1102 are eligible for forgiveness - as in you don’t have to pay them back - if the loan money was used for payroll costs, interest-only on mortgage payments (it specifically excludes payments towards the principal on a mortgage loan), rent payments, and/or utility payments. The government will pay the bankers for amount of the loan forgiven plus interest, capped at the amount of the principal on the loan. The amount of loan forgiveness will be reduced if the business employees fewer people during the COVID-19 crisis than they did before. The amount of forgiveness will be reduced by the amount of salary that employees who make less than $100,000/yr have their pay reduced beyond a 25% cut. Businesses can get loan forgiveness for extra money given to tipped employees. Businesses who re-hire their employees or re-instate employees salary to their pre-crisis level by June 30, 2020 will be eligible to have their loans forgiven. The banks will decide who will have their loans forgiven and banks are prohibited from being punished if the documentation submitted to them is wrong until June 30, 2020. Sec. 1110: From January 31, 2020 through December 31, 2020, businesses with fewer than 500 employees, sole proprietorships, and independent contractors can request a $10,000 advance to pay for employee sick leave, payroll, increased costs for materials, rent, or mortgage payments. The business can be approved using a credit score or self certification of the ability to repay. The advance can be up to $10,000 and must be paid within 3 days. If the applicant is approved for a loan, the advance will be reduced from the loan forgiveness amount. If the applicant isn’t approved, the advance doesn’t have to be repaid. $10 billion is appropriated for the advances. Sec. 1112: The government will pay the principal, interest, and fees for six months on some existing loans that are guaranteed by the government by the Small Business Act. $17 billion is appropriated for these payments. Sec. 1113: Until March 27, 2021, small businesses that want to declare bankruptcy and reorganize under Chapter 11 must have debts under $7.5 million instead of $2,725,625 as is usually the case, which increases the number of small businesses that will be eligible. TITLE II - Assistance for American Workers, Families, and Businesses SUBTITLE A: Unemployment Insurance Provisions Sec. 2102: Pandemic Unemployment Assistance Who qualifies: People who would qualify under existing State laws People who self-certify that are able to work except that the person has been diagnosed with COVID-19, someone in their home has been diagnosed with COVID-19, they are caring for someone with COVID-19, has a child whose daycare or school is closed due to COVID-19, can’t get to work because of a COVID-19 quarantine, their work is closed due to COVID-19, or they are self employed. People who do not qualify are people who have the ability to telework with pay or people who are receiving paid sick leave or other paid leave benefits Effective period: Beginning on or after January 27, 2020 and ending on or before December 31, 2020 Limits: No one can get unemployment benefits for more than 39 weeks, but this can be extended by the Secretary of Labor if needed Sec. 2104: Unemployment Amounts: It’s the amount determined by your state’s unemployment law plus $600 per week if the state chooses to enter into an agreement with the Secretary of Labor. The Federal government will pay for 100% of the costs of the extra unemployment payments and the administration costs. It’s an unlimited appropriation and it’s valid until July 31, 2020. SUBTITLE B: Rebates and Other Individual Provisions Sec. 2201: Issues a means tested “advanced refund" of $1,200 per adult and $500 per child. You only get the full amount as an adult if you make $75,000 per adult or less. People who make more than $75,000 per adult will have their check amount reduced based on their income up to about $100,000. People who make more than that will get nothing. The payment will be delivered via direct deposit to anyone who has authorized the IRS to do so since January 1, 2018 while everyone else will have to wait for checks. If we accidentally get overpaid, the IRS can’t charge us interest on that payment. The payments will be made for the 2019 tax year if you have already done your taxes for last year. If you haven’t, it’ll be based on 2018. They will send a notification in the mail to us about our payments to our last known address, which will tell us the amount and if it’s going to be delivered via direct deposit or by check. Sec. 2202: Waives rules that penalize removing money from your retirement accounts if you take the money out between January 1, 2020 and December 31, 2020.. You can take out up $100,000 in “coronavirus-related distributions”. You are allowed to pay it back in full for 3 years starting on the day you took the money out. To qualify, you have to self certify that you are someone who had COVID-19, is caring for a spouse or dependent who had COVID-19, or someone who was financially screwed in some way due to being quarantined, having work hours reduced, or having to care for a child. Sec. 2203: Waives the requirements that people over the age of 72, or their dependents who inherited their retirement accounts, to withdraw some money from the retirement accounts every year. The waiver is valid even for people who were not adversely affected by COVID-19. Sec. 2204: Allows people - even those that don’t itemize their deductions - to deduct $300 in donations in 2020 for cash payments given to charities, a government organization, educational organizations, veterans organizations… There’s a long list. Applies to taxable years starting with 2020. Sec. 2205: For people who do itemize their deductions, the current limit of cash contributions than can be written off (which is a maximum of 60% of the taxpayer’s tax bill for the year) is suspended. You can deduct up to your entire tax bill, although maybe even more because carry-overs are allowed. For corporations, the usual limit of cash contributions that can be written off (10% of the corporation’s income) is increased to 25% of the corporation’s income. The corporate limit increase is valid only in 2020. Sec. 2206: Allows employers to pay for some of an employee’s student loan - principal and/or interest - tax free if the payment is made by January 1, 2021. SUBTITLE C - Business provisions Sec. 2301: Employers with more than 100 employees will be able to get a tax credit for half of the wages they pay to their employee’s who can’t work, with a limit of $10,000 per employee per quarter. Employer with fewer than 100 employees can get the tax credit for all their employees. Employers who qualify are ones that had to close due to COVID-19 or whose gross receipts are less than 50% of what they were the same quarter last year. Employers who take out the small business loans created by this law can’t get this credit too. They will lose this tax credit in the quarter after their gross receipts are more than 80% of what they were in same quarter the prior year. This is predicted to save companies $54.6 billion. Sec. 2302: Allows employers to defer payroll taxes, with half the amount required to be paid by December 31, 2021 and the other half due by December 31, 2022. Businesses that have had loans forgiven using the provisions in this law are not eligible. Sec. 2303: The IRS code has, for many years, allowed business losses to be carried over to following years, so that the companies tax liability will be lower in the years to come. This law changes that so business losses from 2018, 2019, 2020, and 2021 can be carried backwards to each of the five years before the loss while also allowing the existing option to carry the losses forward too. The law also removes the limit that said that this couldn’t be done to offset more than 80% of taxable income for 2018, 2019, or 2020, which means this can be used to zero out their taxable income for years since 2013. This means that companies will be able to get refunds on taxes they paid on taxes going as far back as 2013. In those years, corporate tax rates were higher, so reducing their income levels retroactively lets them get more money back from those higher tax years. There’s no requirement that the businesses that get this tax gift be in any way negatively affected by COVID-19. This is estimated to provide $25.5 billion to corporations Sec. 2304: Prior to the 2017 tax cut law, individual taxpayers could deduct unlimited business losses against other kinds of income. The 2017 tax law changed that so that losses could only be used to shelter the first $250,000 or $500,000 of a married couple’s nonbusiness income, such as capital gains from stock market investments. This law retroactively removes new limits imposed by the 2017 tax law going back to 2018 and until 2021. This will allow individuals to submit amended returns and get refunds that weren’t allowed in 2018 and 2019. In reality, this will allow wealthy investors to use losses generated by depreciation in real estate to minimize their taxes on profits from things like investments in the stock market. No harm from COVID-19 needs to be proven in order to use and benefit from this provision. This is the second largest tax giveaway in this law. This is projected to cost almost $170 billion. Sec. 2305: Allows corporations expecting a refund due to the repeal of the alternative minimum tax in 2017 to get that refund faster. Sec. 2306: Increases the amount corporations can deduct on the interest expenses it pays on its loans from 30% of the company’s “adjusted taxable income” to 50%. Companies can do this regardless of any affect COVID-19 had on their business. This is projected to cost $13.4 billion. Sec. 2307: A tax credit for real estate owners, this changes a provision in the 2017 tax law to allow real estate owners to write off the costs of improvements to the interiors of their properties in the first year instead of spreading them out over many years. This is backdated to the enactment of the tax law, which will allow real estate owners to get tax refunds. Sec. 2308: Waives the federal excise tax on any alcohol used in hand sanitizer for calendar year 2020. TITLE III - Supporting America’s Health Care System in the Fight Against the Coronavirus Part 1 - Addressing Supply Shortages Subpart A - Medical Product Supplies Sec. 3101: Orders a report from the National Academies of Sciences, Engineering, and Medicine on the security of the United States medical product supply chain, specifically by evaluating the dependance of the United States and our private sector on critical drugs and devices sources or manufactured outside of the United States. Sec. 3103: Manufacturers of certain types of masks and ventilators are granted immunity from lawsuits during public health emergencies. Subpart B - Mitigating Emergency Drug Shortages Sec. 3112: Requires the manufacturers of drugs critical to the public health to report interruptions to the supply of the drug when the cause of the interruption is an interruption in the supply of the active pharmaceutical ingredient. They must also create and implement risk management plans. Is not effective until mid-September 2020. Subpart C - Preventing Medical Device Shortages Sec. 3121: Requires manufacturers of medical devices that are critical to public health to report to the government during or in advance of a public health emergency any interruptions in the manufacture of the devices that could lead to a meaningful disruption in the supply of that device in the United States. Unless it’s not possible, the government must get this notification at least 6 months prior to the date that the interruption or discontinuance is expected. The government must then distribute the information to appropriate health care industry officials. The government can keep the information from the public if disclosing it increases the likelihood of over-purchase of the product. Part II - Access to Health Care For COVID-19 Patients Subpart A - Coverage of Testing and Preventive Services Sec. 3201: Amends the Families First Coronavirus Response Act (the 2nd COVID-19 Response Law) so that coverage is only for COVID-19 tests that are “approved, cleared, or authorized” or that the developer has requested or intends to request emergency use authorization, is developed in and authorized by a State, or another test that HHS determines appropriate in writing. This provision did not change the language (loophole) that requires visits be covered only if they “result in the ordering or administration of a COVID-19 test.” Sec. 3202: Health care providers must publish on a public internet website the prices for COVID-19 testing. If health insurers have a negotiated rate with a providers, they are allowed to pay that rate if it is lower than the published rate. If there is no negotiated rate, the insurance companies must pay the amount listed on their public website. Sec. 3203: The health insurance companies “shall” be required to cover, without cost sharing, “any qualifying coronavirus preventive service” (which is “a service or immunization that is intended to prevent or mitigate coronavirus disease 2019) within 15 days of it’s official recommendation by the United States Preventive Services Task Force or the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention. Subpart B - Support for Health Care Providers Sec. 3211: Provides $1.32 billion in extra funding for community health centers that are testing for COVID-19 Sec. 3215: Gives legal immunity in State and Federal courts to medical professionals who volunteer and provide services during the COVID-19 public health emergency declared on January 31, 2020, but the immunity is only valid for actions that took place after March 27th (the date of enactment). The immunity is not valid if the health care professional acted with willful or gross negligence or if the health professional was intoxicated by drugs or alcohol. Subpart C - Miscellaneous Provisions Sec. 3222: Elderly people who are homebound due to social distancing requirements during the COVID-19 emergency will be able to get government food deliveries as if they were homebound due to illness, as the law usually requires. Part III - Innovation Sec. 3301: Allows contracts created by BARDA (the Biomedical Advanced Research and Development Authority) during a public health emergency to continue past the end date of the public health emergency. Sec. 3302: Requires - no option - the Secretary of Health and Human Services to expedite the development and review of new animal drugs if preliminary clinical evidence indicates that the new drug might prevent or treat an animal disease that could cause serious or life-threatening diseases in humans, if the expedited process is requested by the organization creating the animal drug. Part IV - Health Care Workforce Sec. 3401: Appropriates $23.7 million per year through 2025 for grants to health professions schools and other public and nonprofit health or educational organizations, but with most of the grants being funded at significantly lower rates than they were during the Obama years. For example, for loan repayments and fellowships, they provided $5 million/yr during 2010-2014; that’s decreased to $1.2 million for 2021-2025. For educational assistance for people from disadvantaged backgrounds, they provided $60 million/yr during 2010-2014; that’s decreased to $15 million for 2021-2025. For grants to public and nonprofit private hospitals and medical schools, they provided $125 million/yr during 2010-2014; that’s decreased to under $49 million for 2021-2025. For health education center programs, they provided $125 million/yr during 2010-2014; that’s decreased to under $41.2 million for 2021-2025. For public health training centers, they provided at least $43 million/yr for 2012-2015; that’s decreased to $17 million for 2021-2025. The only category that gets significantly greater funding is a pediatric specialty loan repayment program that requires the student to work for at least 2 years in pediatric medicine to get the money. The funding level was $50 million/yr from 2010-2013, the funding is authorized to be unlimited from 2021 through 2025. All of these are authorizations for appropriations, they don’t provide any additional money. Sec. 3403: Requires grants and contracts be awarded for a Geriatrics Workforce Enhancement Program, that would train health professionals in geriatrics. The law authorizes about $40 million, but doesn’t appropriate it. This is a problem because Congress frequently will authorize programs they have no intention of funding, and without the funding, they don’t really exist. Sec. 3404: Authorizes appropriations, but does not appropriate, for nursing eduction programs about $138 million/yr for fiscal years 2021 through 2025, which is a decrease from the funding of $338 million that was valid from 2011-2016. Also authorizes, but does not appropriate, $117 million/yr from 2021-2015 for nursing student loans. Subtitle B - Education Provisions Sec. 3503: Through 2021, the requirement that all colleges match Federal funding for student work-study programs) is waived except for private for-profit organizations. Sec. 3504: Colleges will be allowed to use some of their federal Supplemental Educational Opportunity Grant money for students facing “unexpected expenses and unmet financial need”. The student can be given up to the maximum Federal Pell Grant for that year (which is currently $6,345). Sec. 3505: Allows colleges to pay student their work-study wages up to the full amount they would have been paid had there not been an emergency. They can make the payments in one-time grants or as multiple payments. Sec. 3506: The semester that students with loans couldn’t finish because of COVID-19 will not be counted towards their lifetime limits on subsidized loan eligibility. Sec. 3507: The semester that students with loans couldn’t finish because of COVID-19 will not be counted towards their lifetime limits on Pell Grant eligibility. Sec. 3508: Colleges, including for-profit colleges, that have students with loans withdraw from their schools due to COVID-19 will not have to repay the money they received from that student. The students will not have to return the money either and their loan obligation will be cancelled. The schools are allowed to let the student return after a leave of absence. Sec. 3511: Gives the Secretary of Education the option, at the request of a State, local, or tribal government, to waive statutory and regulatory requirements except for civli rights laws. The waivers may also be granted to charter schools. The waivers will not be valid past the 2019-2020 school year. Sec. 3512: During the COVID-19 emergency, the Secretary of Education can make payments - including on principal and interest - on loans issued to historically black colleges and universities through the HBCU Capital Financing Loan program, but the payments will have to be repaid to the Department of Education no sooner than one year after the COVID-19 emergency ends. The law appropriates $62 million. Sec. 3513: The Secretary of Education is required to suspend all payments due for student loans until September 30, 2020. Interest is not allowed to accrue during the suspension time. Each month during the suspicion must be treated as if the payments were made for the purpose of loan forgiveness programs. During the suspension period, student loan collections actions including wage garnishment and tax refund reductions must stop. People with student loans are allowed to keep making payments towards their principal. Sec. 3518: Allows the Secretary of Education to change the requirements, including matching requirements, for grant money given to colleges for the year of the emergency and the following fiscal year. Sec. 3519: Allows the Secretary of Education to excuse teachers from obligations they made to receive grants. The Secretary of Education is required to waive requirements that teaching service be consecutive for loan forgiveness as long as the teach completes a total of 5 years of required teaching service. Subtitle C - Labor Provisions Sec. 3606: Allows employers who will get a credit for the sick and family leave they are providing their employees to get that credit in advance. Sec. 3608: Required payments to employee pension plans can be postponed until January 1, 2021, but they must be paid with interest. Sec. 3610: Allows any government agency to change their contracts to allow the government to pay for up to 40 hours per week of paid leave that a contractor provides to its employees until September 30, 2020. This only applies to contractors who can’t work because the facilities where they work are closed and who can’t do their work remotely. Subtitle D - Finance Committee Sec. 3701: High deductible health insurance plans that do not include deductibles for telehealth services will still be considered high deductible plans. Sec. 3702: Starting on January 1, 2020, menstrual care products are considered medical products, which allows people to purchase them with Health Savings Accounts. Sec. 3703: Allows people on Medicare to be covered for telehealth visits to doctors they have not seen before. Sec. 3705: During the COVID-19 emergency, dialysis patients who receive their treatments at home do not need to meet face to face with their doctors, which allows the visit to be conducted via telehealth. Sec. 3706: The Secretary of Health and Human Services can allow hospice physicians or nurse practitioners to conduct patient visits via telehealth during the COVID-19 emergency Sec. 3709: Stops the 2% Medicare sequestration from May 1, 2020 through December 31, 2020, but extends sequestration for an extra year (to 2030 instead of 2029) Sec. 3710: Medicare will pay an extra 20% for people diagnosed with COVID-19, using “diagnosis codes, condition codes, or other such means as may be necessary” during the emergency period declared by the Secretary of Health and Human Services. Sec. 3713: Beginning on the day that a COVID-19 vaccine is licensed, Medicare will not charge a deductible for the the vaccine or its administration. Sec. 3714: Allows people on Medicare to get 90 day supplies of their drugs in a single refill for the during of the COVID-19 emergency declared by the HHS Secretary. Sec. 3719: During the emergency period, the Secretary of HHS can loan hospitals an advance of up to 6 months of Medicare payments. The payments can be made periodically or in a lump sum for up to 100% of the their usual payments, 125% for critical access hospitals. Hospitals will have to be given 120 days before any payments are decreased to offset the loans and must be given at least 1 year from the date of their first loan receipt to pay back the balance in full. Subtitle E: Health and Human Services Extenders Part I - Medicare Provisions Sec. 3803: Restores the funding levels of recently gutted low income programs. $13 billion to state health insurance programs, $7.5 billion to area agencies on aging, and $5 billion for aging and disability resources centers, and $12 billion for the National Center for Benefits and Outreach Enrollment. Part II - Medicaid Provisions Sec. 3813: Delays $4 billion in payment cuts to hospitals written into the Affordable Care Act which were supposed to begin in 2014. Hospitals were expected to be treating fewer uninsured individuals when the cuts were written into law. Part III - Human Services and Other Health Programs Sec. 3821: Extends the “Sexual Risk Avoidance Education Program” (abstinence eduction) from its scheduled end of May 22, 2020 to November 30, 2020. The program gives grants to states that agree to promote abstinence-only sex ed. Requirements and funding levels Sec. 3822: Extends the “Personal Responsibility Education Program” from its scheduled end of May 22, 2020 to November 30, 2020. Requirements and funding Part IV - Public Health Provisions Sec. 3831: Adds $1.5 billion to the funding for Community Health Centers to bring the funding to equal the 2019 funding, and funds them at the same rate through November 30, 2020. Adds $241 million to the funding for the National Health Service Corps, whose funding was allowed to lapse in December 2019, restoring its funding to equal the 2019 funding. Adds $45 million to teaching health centers that operate graduate medical programs to bring the funding to equal the 2019 funding, and funds them at the same rate through November 30, 2020. Subtitle F - Over the Counter Drugs Part 1 - OTC Drug Review Sec. 3851: Creates a new process for FDA approval of over the counter drug applications. Allows the Secretary of Health and Human Services to issue administrative orders to approve changes and new uses of over the counter drugs instead of requiring drug companies to go through the standard review process that takes longer. Companies whose applications are approved will get 18 month exclusivity on their drugs. Sec. 3854: Allows sunscreen companies with products affected by a pending FDA order to request that the HHS Secretary instead use the new, faster, less complete administrative order process created by Section 3851 for over the counter drugs. They must make this request by mid September 2020. Administrative orders issued by the HHS Secretary will be “deemed to be a final order”. As part of this process, the company may request and the HHS Secretary must conduct a “confidential meeting” with the company to discuss what data they should submit to show that their ingredients are safe and effective. Part II - User Fees Sec. 3862: Beginning in fiscal year 2021, to fund the new processes for over the counter drug approvals created by Section 3851, facilities that manufacture over the counter drugs will be assessed an annual fee and there will be either a $500,000 or $100,000 fee for requests to change drug monographs using the process created by Section 3851. Companies will not have to pay the fee if they are requesting changes to enhance warnings or instructions on the labels. TITLE IV - Economic Stabilization and Assistance to Severely Distressed Sectors of the United States Economy Subtitle A - Coronavirus Economic Stabilization Act of 2020 Sec. 4002: Defines a “covered loss” as “losses directly or indirectly as a result of coronavirus, as determined by the Secretary”, with “the Secretary” being Treasury Secretary Steven Mnuchin. “Eligible business” is an air carrier or “a United States business that has not otherwise received adequate economic relief in the form of loans or loan guarantees provided under this Act” Sec. 4003: Gives the Secretary of the Treasury the authorization to “make loans, loan guarantees and other investments” to "eligible businesses”, States, and local governments up to a total of $500 billion dollars. $46 billion must be directed at the airline industry and $454 billion will be loans, loan guarantees, and “other investments” determined by the Board of Governors of the Federal Reserve. Sec. 4004: Limits the amount of money that an employee of a business that gets a Treasury Department loan to $3 million plus half of whatever they got over $3 million in 2019 for the length of the loan plus one year. Sec. 4005: Until March 1, 2022, the Secretary of Transportation will have the authority to require any airline that takes loan money to maintain their flight schedules, as the Secretary of Transportation determines is needed. Sec. 4007: Suspends a 7.5% Federal excise tax on airlines from March 27, 2020 through the end of the year. Sec. 4008: Amends the Dodd Frank Wall Street Reform law to allow the FDIC to provide insurance for all accounts of banks that don’t accrue interest until December 31, 2020. Sec. 4009: Between March 13, 2020 and either the end of the COVID-19 emergency or December 31, 2020, the Board of Governors of the Federal Reserve is exempt from requirements that they give the public a day’s notice before their meetings and that they make public the minutes of their behind closed doors meetings. They must only keep a record of their votes and reasons for their votes which might be released to the public later (there’s no requirement that they be released). Sec. 4011: Allows unlimited lending to “nonbank financial institutions” such as insurance companies, venture capitalists, currency exchanges, and pawn shops until the end of the emergency declared on March 13 or until December 31, 2020. Sec. 4012: Lowers the amount of actual money that community banks must have in their possession from 9% to 8%, and gives the banks with less than that a “reasonable grace period” to get the money. This is valid until the end of the emergency declared on March 13 or until December 31, 2020. Sec. 4013: Allows banks to avoid counting troubled loans as troubled on their balance sheets from March 1, 2020 through December 31, 2020 or 60 days after the emergency declared on March 13th ends. Sec. 4014: Exempts banks from relatively new reporting requirements on their credit losses from March 27, 2020 through the end of the emergency declared on March 13 or December 31, 2020. Sec. 4015: Allows the Treasury Department to use its Exchange Stabilization Fund (which had $93.7 billion in it as of February 2020) to get around needing Congressional appropriations to cover any losses the Federal Reserve may need to absorb through its lending programs that allow unusual collateral to be offered like money market funds, corporate bonds, and securities. Sec. 4017: Increases the President’s power to use the Defense Production Act by waiving the requirement for Congressional authorization for projects that cost more than $50 million for two years and waives the requirement that Congress needs 30 days advanced notice before a Defense Production Act project can start for 1 year. Sec. 4018: Creates an Inspector General within the Treasury Department who will be appointed by the President. Says that when the Inspector General requests information, the agencies “shall, to the extent practicable” give him the information or else they will be reported to Congress. Sec. 4019: Prohibits loans or payments originating from the Treasury and Federal Reserve authorized by Section 4003 from going to any company in which the President, Vice President, an executive department head, member of Congress or their spouses, children, or son/daughter in laws own over 20% of the voting stock. Sec. 4020: Creates a Congressional Oversight Commission whose job is to conduct oversight of the implementation of this law by the Treasury Department and Federal Reserve. The commission will have five members: 1 appointed by the Speaker of the House (Nancy Pelosi), 1 appointed by the House minority leader (Kevin McCarthy), 1 appointed by the Senate majority leader (Mitch McConnell), 1 appointed by the Senate minority leader (Chuck Schumer), and 1 Chairperson co-appointed by the Speaker and Majority Leader (Pelosi and McConnell). Sec. 4021: Companies that allow customers to adjust their payment schedules have to report that the customer is current on their payments unless their accounts are already delinquent. This is valid from January 31, 2020 through either the end of July 2020 or 4 months after the emergency declared on March 13th ends Sec. 4022: People with Federally backed mortgages who have been affected by COVID-19 “directly or indirectly” can request and must be granted for a pause in loan payments for a maximum of about a year, but you have to request it twice (again after the first 180 days). Interest and fees will still accrue but they can’t charge any extra interest, penalties, or fees. Customers have to provide no proof of hardship. Prohibits the banks that manage Federally backed loans from moving forward with any foreclosure processes until mid-May 2020 (60 days after March 18, 2020). Sec. 4023: People/companies that own multifamily housing with 5 or more units with Federally backed mortgages who have been affected by COVID-19 “directly or indirectly” can request and must be granted for a pause in loan payments. The forbearance (pause) can be for a total of 90 days as long as the building owner requests it three times with at least 15 days notice. People who get this pause are not allowed to evict their tenants or charge them any late fees during the mortgage payment pause. Sec. 4024: Starting on March 27, 2020 and ending in late July 2020, landlords can not begin eviction proceedings for non-payment of rent or charge fees or penalties for not paying rent. Sec. 4025: Prohibits the government from attaching a string to a loan or loan guarantee that requires the business to negotiate with unions over worker pay or conditions of employment. This is valid starting on the day the business is first issued the loan and ending a year after the loan is paid off. Sec. 4026: Within 72 hours of each transaction, the Treasury Secretary must publish on the Treasury Department website a description of the transaction, the date, and the “identity of the counterparty”, the amount of the loan/guarantee/investment, how the price was determined, the interest rate, conditions, and a copy of the final term sheet. The Treasury Secretary also has to report any contracts entered into for the administration of loans or guarantees within 24 hours after the contract is entered into. The Federal Reserve has to issue reports to Congress that will have to be made public on their website within 7 days of the report being delivered to Congress. Sec. 4027: Appropriates $500 billion Sec. 4029: The authorities given to the Treasury Secretary and Board of Governors of the Federal Reserve to make loans, loan guarantees, and “investments” in businesses and banks will expire on December 31, 2020. Subtitle B - Air Carrier Worker Support Sec. 4112: The Secretary of the Treasury “shall” give money to airlines and the contractors that work with them which “shall exclusively be used for the continuation of payment of employee wages, salaries, and benefits”. Passenger air carriers will get $25 billion, cargo airlines $4 billion, and contractors will get $3 billion. Sec. 4113: The employees will have to be paid whatever rate they were paid from April 1, 2019 through September 30, 2019. Steven Mnuchin will decide all terms and conditions, other than the ones set by section 4114, 4115, and 4116. The payments have to start to be made within 10 days of enactment. The Inspector General of the Treasury Department will have to audit the certifications made by the companies about employee salary and benefit rates. Sec. 4114: Airlines or contractors that take the money can’t furlough their workers or reduce their wages or benefits until September 30, 2020, they can’t buy stock in their company or parent company, or pay out dividends. The Secretary of Transportation is also given authorization until March 1, 2022 to require only airlines or contractors that take the money to continue service to anywhere that they served as of March 1, 2020. Sec. 4115: Prohibits the government from attaching a string to a loan or loan guarantee that requires the airline or contractor to negotiate with unions over worker pay or conditions of employment. This is valid starting on the day the business is first issued the loan and ending on September 30, 2020. Sec. 4116: From March 24, 2020 through March 24, 2022, any airline or contractor that takes the money has to agree that no employee who made more than $425,000 in 2019 will be paid more than what they were paid in 2019, or will receive more than double their 2019 pay as a severance package. Employees that were paid more than $3 million can’t be paid more than $3 million plus half of the amount they were paid over $3 million in 2019. This includes salary, bonuses, stock awards and “other financial benefits”. Sec. 4117: The Treasury Secretary is allowed, but not required, to accept stock and securities and other “financial instruments” from the airlines and contractors. Sec. 4120: Appropriates $32 billion. TITLE V - Coronavirus Relief Funds Sec. 5001: Appropriates $150 billion for State, tribal and local governments. Amounts will be determined by population but each state will get at least $1.25 billion. Washington D.C. is treated as a territory and all territories will split $3 billion. Tribal governments will split $8 billion. Steven Mnuchin will decide how the tribal government money will be divided. The Inspector General of the Treasury must investigate the receipt, disbursement, and use of funds. TITLE VI - Miscellaneous Provisions Sec. 6001: Allows the Postal Service to borrow $10 billion from the Treasury Department. Division B - Emergency Appropriations for Coronavirus Health Response and Agency Operations Bureau of Prisons Sec. 12003: The Secretary of Health and Human Services “shall appropriately consider” distributing personal protective equipment and test kits to the Bureau of Prisons for use by inmates and staff. Sec. 12005: Authorizes and appropriates $300 million that the Secretary of Commerce can use for direct payments to subsistence, commercial, and charter fishery businesses. Department of Energy Sec. 14002: Extends the authority for the Secretary of Energy to sell oil from the strategic petroleum reserve and gives the Department of Energy the authority to sell $900 million worth of oil from the Strategic Petroleum Reserve, $450 million in 2021 and 2022, on top of the $450 million they can sell in 2020. The Judiciary Sec. 15002: Allows for criminal proceedings to be conducted via video teleconferencing until 30 days after the national emergency declaration terminates. It will only be allowed with the consent of the defendant or juvenile after they talk to a lawyer. Election Security Grants Provides $400 million to prepare for the 2020 Federal election cycle, domestically or internationally. The money must be given by the Election Assistance Commission to the states within 30 days. There is no direction on how the money is divided among states. The states have to submit reports on how they use the money. Money not used by December 31, 2020 has to be returned to the Treasury. Pandemic Response Accountability Committee Sec. 15010: Creates a Pandemic Response Accountability Committee that will investigate and report on the use of COVID-19 funds through September 2025. The committee will be operated by two full time paid employees and the other members will be inspectors generals from at least 9 federal agencies. The committee will have enforceable subpoena power. The committee is allowed, but not required, to hold public hearings. The committee will have a public website that is required to provide their findings, data, some contracting information, division of COVID-19 funds by state and congressional district, agency plans for use of funds, all recommendations made to the agencies, etc. Department of Homeland Security Sec. 16004: Prohibits the Department of Homeland Security from transferring War on Terror funds for the COVID-19 efforts. Sec. 16006: The Secretary of Homeland Security must extend the REAL-ID deadline until at least September 30, 2021. Department of Health and Human Services Public Health and Social Services Emergency Fund Provides an additional $27 billion for “developing necessary countermeasures and vaccines, prioritizing platform-based technologies with US based manufacturing capabilities, the purchase of vaccines, therapeutics, diagnostics, and necessary medical supplies”. Products purchased by the Federal government must be purchased in accordance with regulations on fair and reasonable pricing, ensuring affordability in the commercial market is optional. The HHS Secretary can not take any action that would slow down the development of the products. $16 billion can be spent on purchasing items for the Strategic National Stockpile. Funds can be used to construct or renovate “US based next generation manufacturing facilities, other than facilities owned by the United States government” in addition to the authority to construct or renovate private facilities that manufacture vaccines, therapeutics, and diagnostics. Adds an additional $100 billion to reimburse health care providers - public, private, and for profit - for COVID-19 expenses. Sec. 18115: Every lab that performs or analyzes a COVID-19 test must report the result of each test to the Secretary of Health and Human Services until the end of the HHS Secretary’s public health declaration with respect of COVID-19. State Department Sec. 21012: Provides $3 billion for the International Development Association (World Bank), $7.3 billion for the African Development Bank, and authorizes the Treasury “to make loans in an amount not to exceed the dollar equivalent 28,202,470,000 of Special Drawing Rights (which is approximately $38.5 billion as of April 21, 2020) OTC Drugs Bill Information Article: H.R.3443 - Over-the-Counter Monograph Safety, Innovation, and Reform Act of 2019, Congress.gov Article: S.2740 - Over-the-Counter Monograph Safety, Innovation, and Reform Act of 2019, Congress.gov Article: Roll Call Vote 116th Congress - 1st Session On Passage of the Bill (S. 2740), United States Senate, December 10, 2019 Bill Profile: H.R.3443: Clients Lobbying on H.R.3443: Over-the-Counter Monograph Safety, Innovation, and Reform Act of 2019, OpenSecrets.org Bill Profile: H.R.3443: Lobbyists lobbying on H.R.3443: Over-the-Counter Monograph Safety, Innovation, and Reform Act of 2019, OpenSecrets.org Sen. Johnny Isakson - Georgia: Top Industries 1995 - 2020, OpenSecrets.org Sen. Lamar Alexander - Tennessee: Top Industries 1995 - 2020, OpenSecrets.org Articles/Documents Update: Message from Jennifer Roberts, CEO of Chase Business Banking Chase Banking, April 23, 2020 Article: Hard-hit restaurants, gyms and other businesses are battling insurers over the coronavirus, sparking a new Washington lobbying war By Tom Hamburger and Tony Romm, The Washington Post, April 22, 2020 Article: Pelosi says Shall will stay on oversight commission after failure to disclose stock sales by Jeremy Herb and Lauren Fox, CNN, April 22, 2020.  Article: Vaccine Chief Says He Was Removed After Questioning Drug Trump Promoted The New York Times, April 22, 2020 Article: Highlights of the Nearly $500B Coronavirus Relief Bill The New York Times, April 21, 2020 Article: Publicly traded firms get $365M in small-business loans By REESE DUNKLIN, JUSTIN PRITCHARD, JUSTIN MYERS and KRYSTA FAURIA, Associated Press, April 21, 2020 Article: Restaurants’ bailout problem: Unemployment pays more By IAN KULLGREN, Politico, April 20, 2020 Article: Medical Staffing Companies Cut Doctors’ Pay While Spending Millions on Political Ads By Isaac Arnsdorf, ProPublica, April 20, 2020 Article: The coronavirus could force more doctors to sell — or shutter By Bob Herman, Axios, April 20, 2020 Article: Chase and other banks shuffled Paycheck Protection Program small business applications, lawsuit says By Dalvin Brown, USA Today, April 20, 2020 Article: Shake Shack returning $10 million government loan meant for small businesses By Stephanie Ruhle and Alex Johnson, NBC News, April 20, 2020 Article: WTI crude price goes negative for the first time in history By Cameron Wallace, World Oil, April 20, 2020 Article: In Race for Small-Business Loans, Winning Hinged on Where Firms Bank By Ruth Simon and Peter Rudegeair, The Wall Street Journal, April 20, 2020 Article: Zoom's Security Woes Were No Secret to Business Partners Like Dropbox By Natasha Singer and Nicole Perlroth, The New York Times, April 20, 2020 Article: A raw deal By Judd Legum, Popular Information, April 20, 2020 Article: The Trickle-Up Bailout By Matt Taibbi, Taibbi, April 17, 2020 Article: Donna Shalala Selection Makes a Mockery of Bailout Oversight Panel by David Dayen, The American Prospect, April 18, 2020.  Press Release: Pelosi Appoints Congresswoman Donna Shalala to Congressional Oversight Commission of the CARES Act, April 17, 2020.  Article: Ruth’s Chris Steak House Gets $20 Million From Coronavirus Aid Program By Charity L. Scott, The Wall Street Journal, April 17, 2020 Article: The COVID-19 Bailout That’s Left Every Hospital Unhappy In Its Own Way By Rachana Pradhan and Lauren Weber, Kaiser Health News, April 16, 2020 Article: I’m Overseeing the Coronavirus Relief Bill. The Strings Aren’t Attached. By Bharat Ramamurti, The New York Times, April 16, 2020 Article: House lawmakers indefinitely postpone return to Washington By Mike Lillis and Scott Wong, The Hill, April 16, 2020 Article: Paycheck Protection Program out of money: Thousands of small businesses shut out By Stephen Gandel, CBS News, April 16, 2020 Article: Here Are the Contracts Showing How $4.5 Trillion in Stimulus Was Outsourced to Wall Street By Pam Martens and Russ Martens, Wall Street on Parade, April 16, 2020 Article: Most Patients Undergoing Ground And Air Ambulance Transportation Receive Sizable Out-Of-Network Bills By Karan R. Chhabra, Keegan McGuire, Kyle H. Sheetz, John W. Scott, Ushapoorna Nuliyalu, and Andrew M. Ryan, HealthAffairs, April 15, 2020 Article: Renters Are Being Forced From Their Homes Despite Eviction Moratoriums Meant to Protect Them By Alana Semuels, Time, April 15, 2020 Article: One Person is Overseeing Congress's Bailout Loans. He Wants Answers. by Alan Rappeport, New York Times, April 15, 2020.  Article: Policy Memo: Federal Reserve Lending Facilities for Private Companies and Securitizations Americans for Financial Reform, April 15, 2020 Article: Hedge Fund Managers Claiming Bailouts as Small Businesses By Katherine Burton and Joshua Fineman, Bloomberg, April 14, 2020 Article: Rural hospitals shut out of stimulus loans face financial crisis By Rachel Roubein, Politico, April 14, 2020 Article: Tax change in coronavirus package overwhelmingly benefits millionaires, congressional body finds By Jeff Stein, The Washington Post, April 14, 2020 Article: WHITEHOUSE, DOGGETT RELEASE NEW ANALYSIS SHOWING GOP TAX PROVISIONS IN CARES ACT OVERWHELMINGLY BENEFIT MILLION-DOLLAR-PLUS EARNERS Sheldon Whitehouse, U.S. Senator for Rhode Island, April 14, 2020 Article: Your Coronavirus Check Is Coming. Your Bank Can Grab It. By David Dayen, American Prospect, April 14, 2020 Article: Tax change in coronavirus package overwhelmingly benefits millionaires, congressional body finds By Jeff Stein, The Washington Post, April 14, 2020 Article: How Some Rich Americans Are Getting Stimulus ‘Checks’ Averaging $1.7 Million By Shahar Ziv, Forbes, April 14, 2020 Article: Stimulus Oversight Panel Has One Person Trying to Watch $2.2 Trillion Alone By Joshua Green, Bloomberg, April 14, 2020 Article: Coronavirus antibody testing must be covered free of charge, feds say By Stefan Becket, CBS News, April 13, 2020 Article: Unsanitized: Meet The Corporate Bailout’s First Policeman By David Dayen, American Prospect, April 13, 2020 Article: Who's getting these hundreds of billions in government aid? For now, the public may be in the dark By Peter Whoriskey and Heather Long, The Washington Post, April 13, 2020 Article: CARES Act Package Ushers in Changes to OTC Drug Review Process Duane Morris, April 13, 2020 Article: Commission calls for review of election security standards By Tom Temin, Federal News Network, April 13, 2020 Article: Medical Staffing Companies Owned by Rich Investors Cut Doctor Pay and Now Want Bailout Money By Isaac Arnsdorf, ProPublica, April 10, 2020 Article: Furor Erupts: Billions Going To Hospitals Based On Medicare Billings, Not COVID-19 By Jay Hancock and Phil Galewitz and Elizabeth Lucas, Kaiser Health News, April 10, 2020 Article: Providers Begin Receiving $30B in Emergency Funding from HHS, Plus Newly Suspended State Regs Home Care Association of New York State Blog, April 10, 2020 Article: The Colleges Getting The Most Money From The Stimulus Bill By Wesley Whistle, Forbes, April 10, 2020 Article: It is Not All About the Coronavirus: The CARES Act Brings Long-Awaited Over-the-Counter (OTC) Monograph Reform By Genevieve Razick and Carolina Wirth, Arnall Golden Gregory LLP, JDSUPRA, April 10, 2020 Article: Unsanitized: Federal Reserve Rescue Is the Best Rescue By David Dayen, The American Prospect, April 10, 2020 Article: The Fed’s ‘Main Street’ Mistake Wall Street Journal, April 9, 2020 Article: Exclusive: These for-profit colleges could reap up to $1 billion in federal bailout money By Matt Smith, Market Watch, April 9, 2020 Article: Fed's balance sheet swells to record $6.13 trillion By Jonnelle Marte and Ann Saphir, Reuters, April 9, 2020 Article: 'Extremely Alarming': Coronavirus Stimulus Law Allows the Federal Reserve to Hold Secret Meetings on Corporate Bailouts By Jake Johnson, Common Dreams, April 9, 2020 Article: Congress Must Have Skipped the First Three Seasons of Trump Reality Show By Eleanor Eagan, The American Prospect, April 9, 2020 Alert: U.S. CARES ACT ENABLES LONG-AWAITED OTC DRUG REGULATORY MODERNIZATION: KEY HIGHLIGHTS By Brian Burgess and Julie Tibbets, Goodwin, April 8, 2020 Article: Coronavirus: CMS approves nearly $34 billion in accelerated/advance payments to healthcare providers By Keith A. Reynolds, Medical Economics, April 8, 2020 Article: Trump removes inspector general who was to oversee $2 trillion stimulus spending By Ellen Nakashima, The Washington Post, April 7, 2020 Article: Welfare for Wall Street By Nomi Prins, The Nation, April 7, 2020 Article: Congress fixed tax code “retail glitch” and gave real estate a tax windfall By Rich Bockmann and Kevin Sun, The Real Deal, April 7, 2020 Article: Trump removes inspector general who was to oversee $trillion stimulus spending By Ellen Nakashima, The Washington Post, April 7, 2020 Article: Big Restaurant, Hotel Chains Won Exemption to Get Small Business Loans By Bob Davis and Heather Haddon, The Wall Street Journal, April 6, 2020 Article: CARES Act Contains Significant New Over-The-Counter (OTC) Drug Provisions by Charles Andres, Wilson Sonsini, April 6, 2020 Article: Trump’s Aggressive Advocacy of Malaria Drug for Treating Coronavirus Divides Medical Community By Peter Baker, Katie Rogers, David Enrich and Maggie Haberman, The New York Times, April 6, 2020 Article: Private Flights Getting Cheaper Thanks to Stimulus Tax Relief By Katherine Chiglinsky and Tom Metcalf, Bloomberg, April 6, 2020 Article: 2020 CARES Act—FAQs for Nonprofit Organizations and Donors By James P. Joseph Bridget M. Weiss Dana O. Campos, Arnold & Porter, April 6, 2020 Article: What does the CARES Act mean for net operating losses and non-corporate business losses? By Douglas Charnas and Paul Leonard, JDSUPRA, April 3, 2020 Article: Trump announces intent to nominate White House lawyer Brian Miller as inspector general for $2 trillion coronavirus law by Jeff Stein, The Washington Post, April 3, 2020 Letter: Addressed to Secretary of Department of Health and Human Services, Alex Azar By Alexander Sammon, American College of Emergency Physicians, April 3, 2020 Article: Unsanitized: Why Banks Don’t Want to Help Small Businesses By David Dayen, The American Prospect, April 3, 2020 Article: Unsanitized: Aid Package Status Update By David Dayen, The American Prospect, April 2, 2020 Article: It’s Steve Mnuchin’s Economy Now By Alexander Sammon, American Prospect, April 1, 2020 Article: US aims to lease space in emergency oil stockpile, after buying plan canceled, sources say Reuters, April 1, 2020 Article: Trump may rent Strategic Petroleum Reserve storage to U.S. drillers By ARI NATTER, JENNIFER A. DLOUHY AND STEPHEN CUNNINGHAM, World Oil, April 1, 2020 Article: Temporary Waiver of Required Minimum Distribution Rules By Jean McDevitt Bullens, Baker Newman Noyes, April 1, 2020 Article: Unsanitized: It’s the First of the Month By David Dayen, The American Prospect, April 1, 2020 Article: Citigroup CEO Michael Corbat says bank is 'working around the clock' on small business relief program By Hugh Son, The CNBC, April 1, 2020 Article: Tax Savings Opportunities from the CARES Act By John Werlhof, CLA, March 31, 2020 Article: The Relief Package Ushers In Trump's Planned Economy By Matt Stoller, Wired, March 31, 2020 Article: Federal COVID-19 Economic Relief and Its Impact on the Energy Sector: An Overview Energy Alert, Akin Gump Strauss Hauer & Feld LLP, March 31, 2020 Article: Boeing Will Take Aid, Won’t Give Equity Banking Exchange, March 31, 2020 Article: Bailing Out the Bailout By Matt Taibbi, RollingStone, March 31, 2020 Article: US Banks Welcome $2trn Stimulus Package By David White and Zachary Kribs, Kidney News Online, March 30, 2020 Article: CARES Act to Improve Options for People on Home Dialysis By David White and Zachary Kribs, Kidney News Online, March 30, 2020 Statement: FDA on Signing of the COVID-19 Emergency Relief Bill, Including Landmark Over-the-Counter Drug Reform and User Fee Legislation Commissioner of Food and Drugs - Food and Drug Administration - Stephen M. Hahn M.D., U.S. Food & Drug Administration, March 30, 2020 Article: Key Provisions in the CARES Act for Health Care Providers By Health Law Practice - von Briesen & Roper, s.c., The National Law Review, March 30, 2020 Article: CARES On Campus: Stimulus Program & Higher Education By Anne Cartwright and Julie Miceli, JDSUPRA, March 30, 2020 Article: Inside the CARES Act: Changes to the Bankruptcy Code Under the CARES Act By Melissa Anne Peña, The National Law Review, March 29, 2020 Article: Lawmakers Pack Federal Stimulus Bill With Pet Provisions By Brody Mullins and Ted Mann, The Wall Street Journal, March 28, 2020 Press Release: Trump Suggests He Can Gag Inspector General for Stimulus Bailout Program By Charlie Savage, The New York Times, March 27, 2020 Press Release: Statement by the President The White House, March 27, 2020 Article: Unsanitized: The Federal Reserve Loads the Cannon By David Dayen, The American Prospect, March 27, 2020 Article: Inside the talks on the largest U.S. bailout: frantic negotiations, partisan tensions and a Trump tweet By Seung Min Kim, Mike DeBonis, Erica Werner and Paul Kane, The Washington Post, March 27, 2020 Article: Over-the-Counter (OTC) Drug Monograph Process U.S. Food & Drug Administration, March 27, 2020 Article: The Health Care Industry and the CARES Act: Insight and Next Steps Akin Gump Strauss Hauer & Feld LLP, March 27, 2020 Article: Bank Regulatory Provisions in the CARES Act By Robert Klinger, Bryan Cave Leighton Paisner, JDSUPRA, March 27, 2020 Article: Fed Releases Details of BlackRock Deal for Virus Response By Matthew Goldstein, The New York Times, March 27, 2020 Article: Stimulus Bill Allows Federal Reserve to Conduct Meetings in Secret; Gives Fed $454 Billion Slush Fund for Wall Street Bailouts By Pam Martens and Russ Martens, CounterPunch, March 27, 2020 Document: Terms of Assignment for BlackRock on Behalf of the Federal Reserve Bank of New York Regarding Secondary Market Corporate Credit Facility New York Fed, March 27, 2020 Press Release: Acting Secretary Chad Wolf Statement on the REAL ID Enforcement Deadline Homeland Security, March 26, 2020 Article: How the Fed’s Magic Money Machine Will Turn $454 Billion Into $4 Trillion By Jeanna Smialek, The New York Times, March 26, 2020 Article: Unsanitized: The Essential Imbalance of the 2020 Bailout By David Dayen, American Prospect, March 26, 2020 Article: Bonanza for Rich Real Estate Investors, Tucked Into Stimulus Package By Jesse Drucker, The New York Times, March 26, 2020 Article: Funding to refill U.S. Strategic Petroleum Reserve cut from stimulus plan By STEPHEN CUNNINGHAM, ARI NATTER AND JENNIFER A. DLOUHY, World Oil, March 25, 2020 Article: Stop the $6 Trillion Coronavirus Corporate Coup! By Matt Stoller, BIG by Matt Stoller, March 25, 2020 Article: Unsanitized: Bailouts, A Tradition Unlike Any Other By David Dayen, American Prospect, March 25, 2020 Article: Fed taps BlackRock to run emergency programs By Dawn Lim, Market Watch, March 25, 2020 Article: Avoid Taxes, Receive Federal Bailouts By Alexander Sammon, American Prospect, March 25, 2020 Document: INVESTMENT MANAGEMENT AGREEMENT New York Fed, March 25, 2020 Article: Fine Print of Stimulus Bill Contains Special Deals for Industries By Eric Lipton and Kenneth P. Vogel, The New York Times, March 25, 2020 Article: Congress to bail out firms that avoided taxes, safety regulations and spent billions boosting their stock By Jonathan O'Connell, The Washington Post, March 25, 2020 Article: 'Completely Dangerous and Unacceptable,' Ocasio-Cortez Says of Impending Senate Recess in Midst of Coronavirus Crisis By Eoin Higgins, Common Dreams, March 25, 2020 Article: Senate leaving DC until April 20 after coronavirus stimulus vote By Jordain Carney, The Hill, March 25, 2020 Article: Senate stimulus bill extends funding for abstinence education By Tyler Olson, Fox News, March 25, 2020 Article: Oil purchase to fill strategic reserve dropped from stimulus By Benjamin J. Hulac, Roll Call, March 25, 2020 Article: U.S. Fed hires BlackRock to help execute mortgage-backed securities purchases By Pete Schroeder and Michelle Price, Reuters, March 24, 2020 Article: What is the Exchange Stabilization Fund? And how is it being used in the coronavirus (COVID-19) crisis? By Sage Belz and David Wessel, Brookings, March 24, 2020 Press Release: Federal Reserve announces extensive new measures to support the economy Board of Governors of the Federal Reserve System, March 23, 2020 Article: COVID-19 Update: Federal Reserve Launches TALF (Again) By Scott A. Cammarn and Mark Chorazak, The National Law Review, March 23, 2020 Article: Trump's coronavirus eviction freeze won't keep a roof over our heads, advocates say By Tim Fitzsimons, NBC News, March 21, 2020 Article: Addressed to Speaker Pelosi, Leader McConnell, Leader McCarthy, and Leader Schumer By Ben Lane, America's Health Insurance Plans, BlueCross BlueShield Association, March 19, 2020 Article: Fannie Mae, Freddie Mac, HUD suspending all foreclosures and evictions By Ben Lane, Housing Wire, March 18, 2020 Press Release: Federal Reserve Board announces establishment of a Commercial Paper Funding Facility (CPFF) to support the flow of credit to households and businesses Board of Governors of the Federal Reserve System, March 17, 2020 Article: Federal Reserve cuts rates to zero and launches massive $700 billion quantitative easing program By Steve Liesman, CNBC, March 15, 2020 Article: How the drug industry got its way on the coronavirus By Sarah Karlin-Smith, Politico, March 5, 2020 Article: How Much Of Boeing’s Revenues Comes From The U.S. Government? By Trefis Team, Great Speculations, Forbes, January 2, 2020 Article: Funding Legislation Delays $4B in Medicaid DSH Payment Cuts By Jacqueline LaPointe, Revcycle Intelligence, December 20, 2019 Article: Southwest Airlines reaches confidential settlement with Boeing for some of its 737 Max losses By Lori Aratani, The Washington Post, December 13, 2019 Article: Boeing 737 Max Factory Was Plagued With Problems, Whistle-Blower Says By David Gelles, The New York Times, December 9, 2019 Article: How Much Income Puts You in the Top 1%, 5%, 10%? By Julia Kagan, Investopedia, November 21, 2019 Article: Senator Seeks Last Win In Over-the-Counter Drug Bill (Corrected) By Alex Roff, Bloomberg Law, October 31, 2019 Article: Boeing’s 737 Woes Aren’t Hurting Its Pursuit of Military Contracts, Exec Says BY Marcus Weisgerber, Defense One, October 15, 2019 Article: What Percentage of Americans Owns Stock? By Lydia Saad, Gallup, September 13, 2019 Article: FDA Chief of Staff Calls OTC Monograph Reform a Top Priority By Michael Mezher, Regulatory Affairs Professionals Society, May 21, 2019 Article: These 30 companies, including Boeing, get the most money from the federal government By Samuel Stebbins and Michael B. Sauter, USA Today, March 29, 2019 Article: Boeing Was ‘Go, Go, Go’ to Beat Airbus With the 737 Max By David Gelles, Natalie Kitroeff, Jack Nicas and Rebecca R. Ruiz, The New York Times, March 23, 2019 Article: Agencies reporting proposal for the implementation of Current Expected Credit Losses (CECL) Deloitte, January 22, 2019 Article: FDA Opens the Door for a Broader Range of Over-the-Counter (OTC) Drugs by Charles Andres, Wilson Sonsini, August 2, 2018 Article: Jared Kushner Paid No Income Tax for years By Jesse Drucker and Emily Flitter, The New York Times, October 13, 2018 Guidance for Industry: Innovative Approaches for Nonprescription Drug Products U.S. Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (CDER), July 2018 Article: HISTORICALLY BLACK COLLEGES AND UNIVERSITIES: Action Needed to Improve Participation in Education's HBCU Capital Financing Program Office of Public Affairs, GAO, July 26, 2018 Article: 10 Things You Didn't Know About Alex Azar By Katelyn Newman, U.S. News, January 29, 2018 Article: The Richest 10% of Americans Now Own 84% of All Stocks Rob Wile, Money, December 19, 2017 Article: Why the newest sunscreens still haven't hit the U.S. market By Brady Dennis, The Washington Post, May 11, 2015 Article: Washington’s Skin Canc

Jennifer O'Toole is a first year dental student at Midwestern University and is originally from Rochester, New York. She worked as a dental hygienist for five years, she is the academic liaison for Student Government Association, and she is a recipient of the National Health Service Corps Scholarship. She is interested in community health and enjoys walking, hiking, and spending time with her dog and boyfriend, Joe.

In this episode we discuss the newly signed Cares Act aimed at providing aid to businesses and individuals that have been impacted by the Coronavirus and the resulting economic shut-down. The application process for the Cares Act loans will take the form of a modified 7a SBA loan and will be processed through SBA approved lenders. On this episode, we have bank representatives, employment attorney, FSU Economics professor and business leaders in the restaurant industry. A recent post re: the summary of the Cares Act:Senate Passes the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”)26 March 2020  Coronavirus Resource Center  BlogAuthors: Frank S. Murray Jr Jared B. Rifis Leah R. Imbrogno Jamie N. Class Matthew E. Sierawski Julia Di Vito Kaitlyn M. Foley As the coronavirus outbreak continues to wreak havoc on markets and industries in the United States and around the world, businesses are now confronting significant and unique challenges. Successful navigation of these challenges will require thoughtful and comprehensive planning. Foley has created a multi-disciplinary and multi-jurisdictional team, which has prepared a wealth of topical client resources (see Foley’s Coronavirus Resource Center) and is prepared to help our clients meet the legal and business challenges that the coronavirus outbreak is creating for stakeholders across a range of industries, including manufacturing, technology, solar, hospitality and travel, healthcare, food, fashion and apparel, and sports and entertainment. The Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) – Summary of Bill Language and Key TakeawaysOn March 25, 2020, the Senate unanimously passed (96-0) the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”), commonly known as “Phase Three” of coronavirus economic relief. The CARES Act provides much needed stimulus to individuals, businesses, and hospitals in response to the economic distress caused by the coronavirus (COVID-19) pandemic. The bill passed on March 25 is not yet law. Until the CARES Act is passed by the House of Representatives and signed into law by the President, it is subject to revisions. The bill will now go to the House, which is currently not in session. The House may reconvene to address the bill or pass the bill by unanimous consent agreement. The House is expected to pass the bill without changes on March 27, and it will then be presented to the President for his signature.Additional information, updates, and analysis regarding the CARES Act will be posted on Foley’s Coronavirus Resource Center. Please check back frequently for updates. Foley is available to assist in interpretation of the CARES Act for your business and can help you find ways to claim and/or use available funding for your company. The CARES ActTop 10 Takeaways:Provides stimulus to individuals, businesses, and hospitals in response to the economic distress caused by the coronavirus (COVID-19) pandemic.Creates a $349 billion loan program for small businesses, including 501(c)(3) non-profits and physician practices. These loans can be forgiven through a process that incentivizes companies to retain employees.Allocates $500 billion for assistance to businesses, states, and municipalities, with no more than $25 billion designated for passenger air carriers, $4 billion for air cargo carriers, and $17 billion for businesses critical to maintaining national security. The remaining $454 billion may be used to support lending to eligible businesses, states, and municipalities.Allocates $130 billion in relief to the medical and hospital industries, including for medical supplies and drug and device shortages.Expands telehealth services in Medicare, including services unrelated to COVID-19 treatments.Provides $1,200 to Americans making $75,000 or less ($150,000 in the case of joint returns and $112,500 for head of household) and $500 for each child, to be paid “as rapidly as possible.”Expands eligibility for unemployment insurance and provides people with an additional $600 per week on top of the unemployment amount determined by each state.Expands the Defense Production Act, allowing for a period of two years when the government may correct any shortfall in resources without regard to the current expenditure limit of $50 million.Provides the Secretary of the Treasury with the authority to make loans or loan guarantees to states, municipalities, and eligible businesses and loosens a variety of regulations prior legislation imposed through the Dodd-Frank Wall Street Reform and Consumer Protection Act, the Economic Stabilization Act of 2008, and others.Accompanied by supplemental appropriations to help the government respond to this pandemic.Summary of the CARES Act:Division A - Keeping American Workers Paid and Employed, Healthcare System Enhancements, and Economic Stabilization   Title I – Keeping American Workers Paid and Employed Act     Foley Title I Contacts: Jamie Class, Erin Toomey, Jessica Glatzer Mason, and Frank MurrayPaycheck Protection ProgramThe Paycheck Protection Loan Program, at a price tag of $349 billion, covers the period February 15, 2020 through June 30, 2020 and greatly expands SBA loan eligibility.  The loan program will allow businesses suffering due to the coronavirus outbreak to borrow money for a variety of qualified costs related to employee compensation and benefits, including (i) payroll costs, (ii) continuation of health care benefits, (iii) employee compensation (of those making less than $100K), (iv) mortgage interest obligations, (v) rent, (vi) utilities and (vii) interest on debt incurred before the covered period.The legislation greatly expands the number of businesses (including non-profits) that are eligible for SBA loans and raises the maximum amount for such a loan by 2.5 x the average total monthly payroll costs, or up to $10 million.  The interest rate may not to exceed 4%.Companies that employ no more than 500 employees are (or a greater number based on the size standard applicable to the industry) may be eligible.  Certain companies in the Accommodation and Food Services Industry (NAICS Code 72) may be eligible if they have no more than 500 employees per physical location. In most cases, the number of employees is counted together with all affiliates.Waives affiliation rules under 13 C.F.R.  121.103 for any business with less than 500 employees in the Accommodation and Food Services Industry, certain franchise businesses and small businesses that receive financing through the Small Business Investment Company Act.  Affiliation rules otherwise apply to determine eligibility.Waives the credit available elsewhere, personal guaranty and collateral requirements.For eligibility purposes, requires lenders to determine whether a business was operational on February 15, 2020, and had employees for whom it paid salaries and payroll taxes, or a paid independent contractor. (This is likely to be interpreted to replace the determination of repayment ability which is not possible during the crisis.)All or a portion of the loan may be forgivable and debt service payments may be deferred for up to 1 year.Entrepreneurial DevelopmentProvides funding to educate small businesses and their employees regarding (i) Federal resources available during this time, (ii) Hazards of COVID-19 and (iii) best practices around teleworking to prevent the spread of COVID-19.iii.  State Trade Expansion ProgramAllows for federal grant funds appropriated to support the State Trade Expansion Program (STEP) in FY 2018 and FY 2019 to remain available for use through FY 2021.Waiver of Matching Funds Requirement under the Women’s Business Center ProgramEliminates the non-federal match requirement for Women’s Business Centers for a period of three months. Loan Forgiveness Establishes that the borrower under the Paycheck Protection Program shall be eligible for loan forgiveness equal to the amount spent by the borrower during an 8-week period after the origination date on (i) rent, (ii) payroll costs for workers making less than $100K, (iii) interest on a mortgage, and (iv) utility payments. The amount forgiven may not exceed the principal of the loan. Incentivizes companies to retain employees by reducing the amount forgiven proportionally by any reduction in employees retained compared to the prior year.To encourage employers to rehire any employees who have already been laid off due to the COVID-19 crisis, borrowers that re-hire workers previously laid off will not be penalized for having a reduced payroll at the beginning of the period.Minority Business Development Agency Empowers the Department of Commerce, through the Minority Business Development Agency, to provide grants to minority business centers and minority chambers of commerce to provide education, training and advising related to accessing federal resources.vii. United States Treasury Program Management Authority The Department of the Treasury, consulting with the Small Business Administration and the Chairman of the Farm Credit Administration shall establish criteria to allow other lenders to participate in the Paycheck Protection Program, so long as such participation does not threaten the safety and soundness of the lender, as determined in consultation with the relevant federal banking agencies.viii.  Emergency Economic Injury Disaster Loans (“EIDLs”) For the period between January 31, 2020 and December 31, 2020 (the “covered period”) EIDL eligibility is greatly expanded to include any business with not more than 500 employees operating under a sole proprietorship or as an independent contractor, and any cooperative, ESOP and tribal small business concern with not more than 500 employees. The number of employees is determined together with affiliates.Furthermore, EIDLs may be approved solely on the bases of an applicant’s credit score or by use of alternative methods to gauge the applicant’s ability to repay. Additionally, applicants may request an advance of up to $10,000 within three days after the Administrator receives the application, subject to verification that the entity is eligible under this program. The advance may be used for any allowable purposes under §7(b)(2) of the Small Business Act and is not subject to repayment, even if the loan request is ultimately denied.Importantly, the CARES Act waives: (1) the requirement of personal guarantees for loans up to $200,000, (2) the requirement that the applicant must be in business for a year (but must be in operation on January 31, 2020), and (3) the credit elsewhere test.Establishes that an emergency involving Federal primary responsibility determined to exist by the President under Section 501(b) of the Stafford Disaster Relief and Emergency Assistance Act qualifies as a new trigger for EIDLs.Importantly, the CARES Act waives: (1) the requirement of personal guarantees for loans up to $200,000, (2) the requirement that the applicant must be in business for a year (but must be in operation on January 31, 2020), and (3) the credit elsewhere test.Subsidy for Certain Loan PaymentsFor loans under §7(a) of the Small Business Act, Title V of the Small Business Investment Act, and for loans made by an intermediary using §7(m) loans or grants, the Administrator shall pay the principal, interest, and fees owed for loans in regular servicing status for any such loans, whether on deferment or not, that were made before the enactment of the Act for the following 6-month period, and for any such loans that were made between the date of enactment of the Act and six months from such date. This does not apply to Payroll Protection loans or EIDL loans which have separate subsidy and repayment requirements.The payments shall be made not later than 30 days from when the first payment is due and shall be applied such that the borrower is relieved of any obligation to pay that amount. The Administrator shall coordinate with relevant banking agencies to request that lenders not be required to increase reserves because of these payments.The Administrator will waive limits on the maximum loan maturities for loans given deferral and extended maturity during the year following enactment. The Administrator will extend lender site visit requirement timelines as necessary because of COVID-19, to within 60 days of a non-default adverse event, and 90 days of a default. $17 billion is appropriated for the foregoing.BankruptcySection 1182(1) of Title 11 is amended to define “debtor” as persons engaged in commercial or business activities and their affiliates (excluding persons who primarily own single asset real estate) that have aggregate, noncontingent, liquidated secured and unsecured debts (at the date of petition filing or the order for relief) of $7,500,000 or less (excluding debts owed to affiliates or insiders), half or more of which arose from those activities.  Exempt from this new definition are any members of a group of affiliated debtors that has aggregate, noncontingent, liquidated secured and unsecured debts over $7,500,000 (excluding debt owed to affiliates or insiders); corporations subject to 1934 Act reporting requirements; and affiliates of an issuer under the 1934 Act.  National Emergency Act payments for COVID-19 by the President are exempted from “current monthly income” and “disposable income” when determining the power of courts to approve debtor plans rejected by trustees or claim holders. Debtors that have experienced material financial hardship due to COVID-19 can modify a plan confirmed prior to this Act’s enactment date if approved after notice and hearing, but only if that plan doesn’t provide payments more than seven years after the first payment was due under the original plan, and follows requirements of 1322(a)-(c) and 1325(a). This modification terminates one year after the enactment of this Act.Title II – Assistance for American Workers, Families, and Businesses      Foley Title II Contacts: Julie Lutfi, Ashley May, and Dick RileySubtitle A: Unemployment Insurance ProvisionsEligibilityThe law expands the scope of individuals who are eligible for unemployment benefits, including those who are furloughed or out of work as a direct result of COVID-19, self-employed or gig workers, and those who have exhausted existing state and federal unemployment benefit provisions.The only individuals expressly excluded from coverage are those who have the ability to telework with pay and those who are receiving paid sick leave or other paid benefits (even if they otherwise satisfy the criteria for unemployment under the new law).Administration of BenefitThe benefits are administered by each state and upon the state’s written agreement with the Secretary of Labor to provide the specific benefits.  States that enter into such an agreement with the Secretary of Labor will be reimbursed in whole or in part for the cost of the benefits plus administrative expensesTypes of Benefits ProvideThe law provides an increase of $600 per week in the amounts customarily available for unemployment under state law.  This increase applies for unemployment payments made from the date of the law’s enactment through July 31, 2020 (approximately four months).States can agree to provide pandemic emergency unemployment compensation to individuals who have either exhausted all of the benefits available to them under existing state and federal law or who are not otherwise eligible for benefits under existing state and federal law.  Individuals must be able and available to work and actively seeking work, unless they are unable to do so as a result of COVID-19 illness, quarantine, or movement restriction.States can agree to waive the waiting period for receipt of benefits so that individuals do not experience gaps in income.The federal government will temporarily fund short-time compensation under existing state plans.  States that do not yet have short-time compensation plans in place may agree to implement a plan, provided that employers who enter into short-time compensation plans must be required to pay to the state half of the short-time compensation paid under the planTime Periods for Expanded BenefitsThe law provides unemployment benefit assistance to covered individuals who are not otherwise entitled to benefits under existing state or federal law for weeks of unemployment, partial unemployment, or inability to work caused by COVID-19 during the period January 27, 2020 through December 31, 2020.  This includes any waiting periods for benefits under applicable state law.The total benefit may not extend beyond 39 weeks (including any unemployment benefits or extended benefits received under existing state or federal law), unless, after the law is enacted, the duration of extended benefits is extended, in which case the total benefit may extend beyond 39 weeks by that same additional period of extended benefits.The $600 weekly benefit increase will be applicable to weekly payments made through the end of July 2020.Protections Against Fraud and OverpaymentAny fraudulent intent or misrepresentations to obtain payments to which an individual is not entitled will result in ineligibility for any other unemployment compensation benefits under the new law as well as criminal prosecution. Overpayments may be clawed back by the state agencies.Social Security TreatmentThe additional unemployment compensation provided is not considered “income” for purposes of Medicaid and CHIP.Subtitle B: Rebates and Other Individual ProvisionsTax CreditsBeginning in 2020, "eligible individual" taxpayers can benefit from a tax credit equal to the sum of: (i) $1,200 for single filers ($2,400 for those filing a joint return) plus (ii) an amount equal to th eproduct of (a) $500 multiplied by (b) the number of qualifying children. However, the aforementioned tax credits will be “phased-out” by 5% (but not below 0) when such eligible taxpayer’s adjusted gross income exceeds: (i) $150,000 for joint-filers, (ii) $112,500 for heads of household, and (iii) $75,000 for all other types of filers.This means, for example, the tax credit will phase out entirely at $198,000 for joint-filers with no children.“Coronavirus-Related Distribution”A “coronavirus-related distribution,” as defined under the CARES Act, is generally defined as any distribution from an eligible retirement plan made: (i) on or after January 1, 2020 and before December 31, 2020, (ii) to an individual (a) who is diagnosed with COVID-19, (b) whose spouse or dependent is diagnosed with COVID-19, or (c) who experiences adverse financial consequences as a result of being quarantined, furloughed, laid off, had hours reduced, or other factors as determined by the Secretary of the Treasury during the COVID-19 pandemic.Tax Treatment of Coronavirus-Related DistributionsIndividuals who elect to receive a “coronavirus-related distribution” will not be subject to the traditional 10% tax penalty imposed under the Internal Revenue Code of 1986, as amended (the “Code”) for early withdrawals from eligible retirement accounts,unless the aggregate amount of such distributions from all plans maintained by the employer (and any member of any “controlled group” which includes the employer) to such individual exceeds $100,000. Coronavirus-related distributions made from both traditional eligible employer sponsored retirement plans and individual retirement accounts (“IRAs”) may be excluded from gross income.Repayments of Coronavirus-Related DistributionsAny individual who receives a coronavirus-related distribution may generally, at any time during the three (3) year period beginning on the day after the date such coronavirus-related distribution was received, make one (1) or more contributions in an aggregate amount not to exceed the amount of such distribution to an eligible retirement plan of which such individual is a beneficiary . The aforementioned repayments of coronavirus-related distributions for eligible retirement plans, will, to the extent of the amount of the contribution, be treated as having received the coronavirus-related distribution in an eligible rollover distribution,” and as having transferred the amount to the eligible retirement plan in a direct trustee to trustee transfer within sixty (60) days of distribution.Effects on the Limits on Loans from Qualified Employer PlansThe limitation on loans from any qualified employer plan made to qualified individuals will be increased from $50,000 to $100,000, and should the due date of any such loan occur between the date of enactment of the CARES Act and December 31, 2020, it will be delayed for one (1) year.Effects on Minimum Distribution ThresholdThe CARES Act temporarily waives the minimum distribution requirements for all “eligible deferred compensation plans.” This includes: (i) certain contribution plans (e.g. an employer purchased annuity contract), (ii) deferred compensation plans that are maintained by an eligible employer, or (iii) IRAs.  This applies for all distributions made on or after January 1, 2020.However, if this section applies to any pension plan or contract amendments, such pension plan or contract amendments will not fail to be treated as being operated in accordance with the terms of the plan during such period, solely because the plan operates in accordance with the CARES Act, so long as the amendment or contract in question has been in effect from its effective date until December 31, 2020.Any plan or contract amendments to which Section 2203 of the CARES Act (the section on temporary waiver of required minimum distribution rules) applies will not fail to meet the requirements of either the Internal Revenue Code or the Employee Retirement Income Security Act as a result of making such an amendment. However, this provision only applies to those amendments which are in effect during the period beginning on the effective date of the amendment until December 31, 2020.Tax Treatment of Charitable DonationThe CARES Act allows taxpayers to take an above-the-line tax deduction for charitable contributions of up to $300 for the tax year beginning in 2020.Additionally, except for certain exclusions specified below, the percentage and excess carryover restrictions on charitable and other “qualified contributions” (e.g. a contribution to a corporation, trust, a state, or an organization of war veterans, etc.) are disregarded.Exceptions to the CARES Act General Disregard of the Percentage and Excess Carryover Restrictions on Qualified ContributionsThe CARES Act treats individuals and corporations differently regarding the aforementioned exceptions, and such different treatments are described below.Qualified contributions for individuals will be allowed as deductions to the extent that the combined contributions do not exceed (i) the excess of the taxpayer’s adjusted gross income over (ii) the amount of the charitable contributions made by the individual under certain other provisions of the CARES Act (e.g., donations to a church, educational organization, private foundation, etc.). If such contributions exceed the foregoing limitation, they will be added to the qualified contribution excess, which is eligible to be treated as charitable deductions for up to the next five (5) successive tax years. Any qualified contributions made by corporations will be allowed as deductions only if these contributions do not exceed 25% of the taxable income of the corporation over the amount of all other charitable contributions allowed under the CARES Act. To the extent a corporation exceeds this limit, it will carry over the excess which will be eligible to be applied as charitable contribution deductions for the subsequent five tax years. This is provided that the excess qualified contribution amounts in question meet certain other restrictions, specifically, they must not exceed the lesser of: (i) 10% of the corporation’s taxable income or the total charitable deductions taken by the corporation during the taxable year over the sum of the contributions made in such year plus the aggregate of the excess contributions which were made in taxable years before the contribution year and which are deductible under this subparagraph for such succeeding taxable year; or (ii) in the case of the first succeeding taxable year, the amount of such excess contribution, and in the case of the second, third, fourth, or fifth succeeding taxable year, the portion of such excess contribution not deductible under this subparagraph for any taxable year intervening between the contribution year and such succeeding taxable year.iii.  Subtitle C: Business ProvisionsEmployee Retention Credit for Employer Subject to Closure Due to COVID-19Eligible employers will receive a credit against applicable employment taxes for each calendar quarter in an amount equal to 50% of the qualified wages with respect to each employee. The amount of qualified wages taken into account for each eligible employee, however, will not exceed $10,000 per calendar quarter and the credit will not exceed the applicable employment taxes owed for such calendar quarter. The aforementioned credit is not applicable if the employer is alto taking advantage of the small business interruption loan. An eligible employer is defined as any employer: (i) which was carrying on a trade or business during calendar year 2020, and (ii) with respect to any calendar quarter for which, (a) the operation of their trade or business was fully or partially suspended due to governmental order as a result of COVID-19, or (b) the  calendar quarter is within the period beginning with (1) the calendar quarter after December 31, 2019 for which gross receipts for the calendar quarter are less than 50% of the gross receipts for the same calendar quarter of the prior year and the ending with (2) the calendar quarter following the first calendar quarter beginning after the calendar quarter described in (1) for which gross receipts of the employer are greater than 80% gross receipts for the same calendar quarter in the prior year.Delay of Payment of Employer Payroll TaxesThe CARES Act will allow for most employers to defer paying their share of applicable employment taxes from the time the CARES Act is signed into law through December 31, 2020. Half of this deferred amount would be due on December 31, 2021 and the other half by December 31, 2022.Modifications for Net Operating Losses (“NOL”)There will generally be a temporary repeal of taxable income limitation including (i) in the case of a taxable year beginning before January 1, 2021, the aggregate of the net operating loss (“NOL”) carryovers to such year, plus the NOL carrybacks to such year, and (ii) in the case of a taxable year beginning after December 31, 2020, the sum of (a) the aggregate amount of NOLs arising in taxable years beginning before January 1, 2018, carried to such taxable year, plus (b) the lesser of (1) the aggregate amount of NOLs beginning after December 31, 2017, carried to such taxable year, or (2) 80% of the excess of certain taxable income.In the case of any NOL arising in a taxable year beginning after December 31, 2017, and before January 1, 2021, whereby (i) such NOL will be a net operating loss carryback to each of the five (5) taxable years preceding the taxable year of such loss and (ii) certain rules applicable to farming losses and insurance companies shall not apply.  There are additional rules that apply specifically to “real estate investment trusts” and life insurance companies.Modification of Limitation on Losses for Taxpayers Other Than CorporationsFor any taxpayer other than a corporation:For a taxable year beginning after December 31, 2017 and before January 1, 2026, subsection (j) (relating to a limitation on excess farm losses of certain taxpayers) would not apply; and ii.  For any taxable year beginning after December 31, 2020 and before January 1, 2026, any excess business loss of the taxpayer for the taxable year will not be allowed.In regard to treatment of capital gains and losses for purposes of calculating “excess business losses”: Deductions for losses from sales or exchanges of capital assets will not be taken into account.The amount of gains from sales or exchanges of capital assets taken into account will not exceed the lesser of (1) the capital gain net income determined by taking into account only gains and losses attributable to a trade or business, or (2) the capital gain net income.The amendments made in the aforementioned section shall apply to taxable years beginning after December 31, 2017.Modification of Credit for Prior Year Minimum Tax Liability of CorporationsThe corporate alternative minimum tax (AMT) was repealed as part of the Tax Cuts and Jobs Act, but corporate AMT credits were made available as refundable credits over several years, ending in 2021.  The CARE Act accelerates the ability of companies to recover those AMT credits, permitting companies to claim a refund now and obtain additional cash flow during the COVID-19 emergency.  Modification of Limitation on Business InterestThe CARES Act temporarily increases the amount of interest expense businesses are allowed to deduct on their tax returns, by increasing the 30-percent limitation (as imposed under the Tax Cuts and Jobs Act) to 50 percent of taxable income (with adjustments) for 2019 and 2020.  As businesses look to weather the storm of the current crisis, this provision will allow them to increase liquidity with a reduced cost of capital, so that they are able to continue operations and keep employees on payroll.Qualified Improvement PropertyThe CARES Act enables businesses, especially in the hospitality industry, to write off immediately costs associated with improving facilities instead of having to depreciate those improvements over the 39-year life of the building. The provision, which corrects an error in the Tax Cuts and Jobs Act, not only increases companies’ access to cash flow by allowing them to amend a prior year return, but also incentivizes them to continue to invest in improvements as the country recovers from the COVID-19 emergency. Temporary Exception from Excise Tax for Alcohol Used to Produce Hand SanitizerFor distilled spirits removed after December 31, 2019 and before January 1, 2021, such distilled spirits will be free of tax for use in or contained in hand sanitizer produced and distributed in a manner consistent with any guidance issued by the FDA related to the outbreak of COVID-19.Title III – Supporting America’s Health Care System in the Fight Against the Coronavirus      Foley Title III Contacts: Rachel O’Neil, Erin Horton, Anil Shankar, and Paul JosephSubtitle A, Part I:  Addressing Supply ShortagesProvides for the National Academies to examine and report on the security of the U.S. medical product supply chain in order to assess U.S. dependence on critical drugs and devices sourced outside of the U.S., and to develop recommendations to improve resiliency of the U.S. supply chain for critical drug and devices.Requires the Strategic National Stockpile to include certain types of medical supplies, including personal protective equipment (PPEs), and identifies respiratory protective devices as covered countermeasures for use during a public health emergency.Prioritizes the review of drug applications to mitigate emergency drug shortages.Creates additional reporting requirements for drug manufacturers to report a discontinuation and disruption of the sourcing of active pharmaceutical ingredients.Requires manufacturers of certain drugs and medical devices critical to public health during a public emergency to develop, maintain, and implement risk management plans related to shortages, creating an annual notification requirement of the same. Such manufacturers are also subject to shortage-related inspections by the Secretary of Health and Human Services (HHS).Subtitle A, Part II: Access to Health Care for COVID-19 Patients Permits group health plans and insurers to cover and reimburse providers of diagnostic testing relating to COVID-19 at pre-emergency-period negotiated rates, and sets reimbursement rates in instances without previously negotiated rates equal to the cash price for services listed on a publicly-available website or the plan or insurer can negotiate with a provider for a rate lower than such cash price. All providers of a diagnostic test for COVID-19 are required to publicize cash price for such tests. Failure to comply with these requirements could result in HHS assessing a civil monetary penalty of up to $300 per day.Requires health plans and issuers to provide for rapid coverage of “qualifying coronavirus preventative services” – an item, service, or immunization intended to prevent or mitigate coronavirus—and vaccines for coronavirus.Appropriates $1.3 billion for FY 2020 for supplemental awards to health care centers for the prevention, diagnosis, and treatment of COVID-19.Amends Section 330I of the Public Health Service Act, relating to Telehealth Network and Telehealth Resource Centers Grant Programs, and Section 330A of the Public Health Service Act, relating to the Rural Health Care Services Outreach, Rural Health Network Development, and Small Healthcare Provider Quality Improvement Grant Programs—an individual or entity affected by these grant programs should seek out an attorney to examine the effect of such amendments.Limits potential state and federal liability for volunteer health care professionals—who provide services without compensation or other thing of value—for harm caused to patients relating to the diagnosis, prevention, or treatment of COVID-19. This provision expressly preempts more restrictive state or local law.Amends certain federal regulations governing the confidentiality and disclosure of substance use disorder patient records (Part 2), including allowing certain re-disclosures to covered entities, business associates, or other programs subject to HIPAA after obtaining the patient’s prior written consent.Permits a state agency or area agency on aging to transfer, without prior approval, not more than 100% of the funds received by the agency to meet the needs of the state or area served, and provides that the same meaning shall be given to an individual unable to obtain nutrition due to social distancing as one who is homebound due to illness.Provides that within 180 days of the passage of the Act, the Secretary of HHS shall issue guidance on the sharing of patients’ protected health information (PHI) related to COVID-19, including guidance on compliance with HIPAA regulations and applicable policies.Provides that the Secretary of HHS shall carry out a national awareness campaign relating to the importance and safety of blood donation, and the need of for donations for the blood supply during a public health emergency.iii.  Subtitle A, Part III:  Innovation Provides for using competitive procedures to enter into transactions to carry out public-health emergency health related projects and prohibits canceling those contracts solely because the emergency ends.Includes new provisions to expedite the development and approval of drugs to prevent or treat diseases in animals that are could have significant adverse consequences for humans.Subtitle A, Part IV:  Health Care WorkforceApproves appropriations for a variety of health professions-related programs, with particular focus on programs serving medically underserved populations (rural and geriatric).Subtitle B:  Education ProvisionsWaives requirement for certain higher education institutions to match federal funding and allows certain institutions to transfer unexpended allotment.Permits certain higher education institutions to use their allocations of Supplemental Educational Opportunity Grants for emergency financial aid for students.Permits certain higher education loan borrowers flexibility in repaying loans or returning grants during a qualified emergency.Permits certain students to complete distance education and certain students of foreign institutions to take classes in the United States.Allows the Secretary of Education to issue waivers upon request relating to assessments, accountability, and related reporting requirements, and requirements for state and local educational agencies and Indian Tribes to receive funding.Allows the Secretary of Education to grant a deferment to an institution that received a loan under Part D of Title III of the Higher Education Act.Payments on student loans held by the Department of Education are suspended for 6 months, and the Secretary of Education shall suspend all involuntary collection activities during the period of payment suspension.The Corporation for National and Community Service can allow individuals to accrue service hours and may permit certain grants funds.Not more than 20% of the total amount allocated to a local area under 29 U.S.C. 3151 et seq. may be used for administrative costs.For the program year 2019, not more than 20% of the total amount allocated to a local area under 29 U.S.C. 3151 et seq., may be used for administrative costs of carrying out certain local workforce investment activities, if the portion of the total amount that exceeds 10% of the total amount is used to respond to qualifying emergency.  For the program year 2019, certain unobligated funds reserved by a governor for statewide activities under the Workforce Innovation Opportunity Act may be used for statewide rapid response activities, or in certain circumstances, released to local boards impacted by the coronavirus.Gives the Secretary of Education authority to waive certain eligibility requirements, wait periods, and allotment requirements under the Higher Education Act for a period of time.Authorizes the Secretary of Education to modify the required and allowable uses of funds for grants and to modify any federal share or other financial matching requirement for a grant awarded under certain provisions of the Higher Education Act to an institution of higher education or other grant recipient (not including an individual recipient of Federal student financial assistance) as a result of a qualifying emergency.Allows the Secretary of Education to modify the categories of extenuating circumstances under which a grant recipient may be excused from fulfilling a portion of a service obligation under title IV of the Higher Education Act and must consider teaching service that is part-time or temporarily interrupted due to the emergency to be full-time service.  Requires the Secretary of Education to waive certain years of teaching service requirements under the Higher Education Act in certain circumstances.Subtitle C: Labor ProvisionsPaid Public Health Emergency Leave MinimumsEmployers may, but are not required to, pay any more than $200 per day and $10,000 in the aggregate for each employee for public health emergency leave under section 110(b)(2)(B) of the Family & Medical Leave Act of 1993 as amended by the Emergency Family and Medical Leave Expansion Act.Rehire Eligibility for Paid Public Health Emergency Leave EmployersFor purposes of public health emergency leave under the Emergency Family and Medical Leave Expansion Act, an eligible employee is an employee who has been employed for at least 30 calendar days by an employer with respect to whom leave is requested. The employee must be employed for at least 30 calendar days, which includes an employee who was laid off by that employer on or after March 1, 2020, had worked for employer for not less than 30 of the last 60 calendar days prior to the employees layoff, and was rehired by the employer.Emergency Paid Sick Leave MinimumsEmployers may, but are not required to, pay any more than:$511 per day or $5,110 in the aggregate for each employee when taking emergency paid sick leave if the employee is subject to a federal, state or local quarantine or isolation order related to COVID-19, the employee has been advised by a health care provider to self-quarantine due to concerns related to COVID-19, or the employee is experiencing symptoms of COVID-19 and seeking medical diagnosis; or $200 per day or $2,000 in the aggregate for each employee when taking emergency paid sick leave if the employee is caring for an individual who is subject to a federal, state or local quarantine order, or is caring for an individual who has been advised to self-quarantine due to concerns related to COVID-19, the employee is caring for the employee's son or daughter, if the child’s school or childcare facility has been closed or the child’s care provider is unavailable due to COVID-19 precautions, or the employee is experiencing any other substantially similar condition specified by HHS in consultation with the Department of the Treasury and the Department of Labor.Advance Refunding of Payroll Credits for Required Paid Sick Leave and Required Paid Family LeaveEmployers can apply a credit in the amount calculated under subsection (a) of section 7001 or 7003 of the Family First Coronavirus Response Act, subject to the limitations placed by subsection (b) of section 7001 and 7003, both calculated through the end of the most recent payroll period in the quarter. In anticipation of a credit, the credit may be advanced according to forms and instructions to be provided by the Secretary of Labor. The Act ensures employers that the Secretary of Treasury shall waive any penalty under section 6656 of the Internal Revenue Code of 1986 for failure to make a deposit of the tax imposed under section 3111 (a) or 3221(a) of such Code if failure was due to anticipation of credit allowed.vii. Subtitle D: Finance CommitteeAn additional safe harbor provision is added to section 223(c)(2) of the Internal Revenue Code, providing that a plan shall not fail to be treated as a high deductible health plan (HDHP) by reason of failing to have a deductible for telehealth and other remote care services.  Section 223(c)(1)(B) of the Internal Revenue Code is adjusted to include “telehealth and other remote care.” This addition allows an individual to have an insurance plan (for plan years beginning on or before December 31, 2021) that includes telehealth and other remote care without disqualifying the individual from owning an HDHP.Inclusion of Certain Over-the-Counter Medical Products as Qualified Medical ExpensesMenstrual care products are now included under the term “qualified medical expenses.” Increasing Medicare Telehealth Flexibilities During Emergency Period The amendment removes some limiting qualifications to section 1320b-5(b)(8), which allows for the Secretary of HHS to temporarily waive or modify the application of portions of the Social Security Act in the case of a telehealth service furnished in any emergency area during an emergency period.  The provision that sets out the defined term “qualified provider,” which limited 1320b-5(b)(8), is removed in its entirety. Enhancing Medicare Telehealth Services for Federally Qualified Health Centers and Rural Health Clinics During Emergency PeriodA new provision is added under Section 1834(m) of the Social Security Act (42 USC 1395m(m)), enhancing payment for telehealth services furnished via a telecommunications system by a federally qualified health center (FQHC) or rural health clinic (RHC) during an “emergency period” notwithstanding that the FQHC or the RHC providing the telehealth service is not at the same location as the beneficiary.  Payment methods for FQHCs or RHCs that serve as distant sites shall be based on payment rates similar to the national average payment rates for comparable telehealth services under the physician fee schedule under section 1848.Temporary Waiver of Requirement for Face-to-Face Visits Between Home Dialysis Patients and PhysiciansAmended section 1395rr(b)(3)(B) to allow the Secretary of HHS to waive the requirement that individuals with end stage renal disease receiving home dialysis must receive certain periodic face-to-face (non-telehealth) clinical assessments in order to be eligible to receive end stage disease-related clinical assessments via telehealth. Use of Telehealth to Conduct Face-to-Face Encounter Prior to Recertification of Eligibility for Hospice Care During Emergency PeriodSection 1395f(a)(7)(D)(i) is amended to allow a hospice physician or hospice nurse practitioner during an “emergency period” to conduct a face-to-face encounter via telehealth to determine recertification for continued eligibility for hospice care.Encouraging Use of Telecommunications Systems for Home Health Services Furnished During Emergency PeriodDuring an emergency period, the Secretary of HHS shall consider ways to encourage the use of telecommunications systems.Improving Care Planning for Medicare Home Health ServicesCertain Medicare sections are expanded from being limited to the services of a physician to include services of nurse practitioners, clinical nurse specialists, and physician assistants that provide home health services.Adjustment of SequestrationA temporary suspension of Medicare sequestration put into effect during the period of May 1, 2020 through December 31, 2020. The Medicare programs under title XVIII of the Social Security Act shall be exempt from reduction under any sequestration order during the period.Medicare Hospital Inpatient Prospective Payment System Add-On Payment for COVID-19 Patients During Emergency PeriodThe Secretary of HHS will increase the weighting factor for coronavirus-diagnosed patients discharged during the emergency period. The weighting factor is used by the Secretary of HHS to reflect the relative hospital resources used with respect to discharges for a particular group compared to discharges within other groups.Increasing Access to Post-Acute Care During Emergency PeriodDuring the emergency period, the Secretary of HHS will waive the requirement that patients of inpatient rehabilitation facilities receive at least 15 hours of therapy per week.  For long-term care hospitals furnishing services during the emergency period, the Secretary of HHS will further waive discharge percent requirements and the general application of site neutral payment rates.Revising Payment Rates for Durable Medical Equipment Under the Medicare Program Through Duration of Emergency PeriodThe Secretary of HHS shall apply the transition rule, described in 42 C.F.R. § 414.210(g)(9)(iii), to items and services furnished in rural areas and noncontiguous areas as planned through December 31, 2020, and through the duration of the emergency period.  For areas other than rural and noncontiguous areas, the Secretary of HHS shall apply the transition rule described in 42 C.F.R. § 414.210(g)(9)(iv) through the remainder of the emergency period.Coverage of the COVID-19 Vaccine Under Part B of the Medicare Program Without Any Cost-SharingThe term “medical and other health services” is expanded to include “COVID-19 vaccine and administration.”  The deductible described in section 1395l(b) shall not apply with respect to a COVID-19 vaccine and its administration.Requiring Medicare Prescription Drug Plans and MA-PD Plans to Allow for Fills and Refills of Covered Part D Drugs for up to a 3-Month SupplyDuring the emergency period, a prescription drug plan or MA-PD plan shall permit a part D eligible individual reenrolled in such plan to obtain a single fill or refill the total day supply prescribed for such individual for a covered part D drug.Providing Home and Community-Based Services in Acute Care HospitalsThe prohibition that nothing in section 1395a allows the Secretary of HHS authorization to limit the amount of payment that may be made under a plan for home-and-community care is expanded to include home and community-based services, self-directed personal assistance services, or home and community-based attendant services.  The provision is also expanded to clarify that the section shall not be construed to prohibit receipt of any care or services specified in paragraph (1) in an acute care hospital, provided certain requirements are met.Clarification Regrading Uninsured Individuals The Families First Coronavirus Response Act, enacted last week, added subsection (ss) to section 1396a, which defined “uninsured individual” as those not described in section 1396a(a)(10)(A)(i) and not enrolled in certain health care programs. The CARES Act amends this definition to exclude subsection VIII if the individual is a resident of a state that does not furnish medical assistance as described.    Clarification Regarding Coverage of COVID-19 Testing ProductsThe Families First Coronavirus Response Act, enacted last week, added COVID-19 testing to section 1396d, which provides medical assistance payments under certain conditions. The CARES Act amends this section by removing the requirement that the in-vitro diagnostic products administered are approved, cleared, or authorized under sections 510(k), 513, 514, or 564 of the Federal Food, Drug, and Cosmetic Act.Amendment Relating to Reporting Requirements with Respect to Clinical Diagnostic Laboratory TestsThe CARES Act extends the dates by one year for the reporting periods in section 1395m-1(a)(1)(B).  The applicable prohibition that payment amounts determined under section 1395m-1 shall not result in a reduction in payments, as defined by the subsection, for a clinical diagnostic laboratory test is expanded to 2017 through 2024.   The applicable percentages used to determine the limits on reductions in payment defined in 1395m-1(b)(3)(A) are adjusted to include a new clause for 2021, which makes the new applicable percentage zero (0) for 2021.Expansion of Medicare Hospital Accelerated Payment Program During the COVID-19 Public Health EmergencyMandates that the Secretary of HHS expand the accelerated payment program to hospitals experiencing significant cash flow problems during the “emergency period.” Exception for Certain States from Enhanced FMAP Requirements Provides that states may receive the temporary increase of Medicaid Federal Medical Assistance Percentage (FMAP) (authorized under the Families First Act enacted last week) notwithstanding the requirement to not impose premiums on beneficiaries, for a period of 30 days.viii.  Subtitle E, Part I: Medicare ProvisionsExtension of Funding for Quality Measure Endorsement, Input, and SelectionThe Social Security Act is amended to increase the amount allotted for this fiscal year ending on October 1, 2020 from $4,830,000 to $20,000,000 and for the period beginning on October 1, 2020 and ending on November 30, 2020, the amount equal to the pro rata portion of $20,000,000. Extension of Funding Outreach and Assistance for Low-Income ProgramsThe amount allocated for state health insurance programs shall be $13,000,000 for this fiscal year. For the period beginning on October 1, 2020 and ending on November 30, 2020, the amount available will be equal to the pro rata portion of $13,000,000.The amount allocated for area agencies on aging shall be $7,500,000 for the fiscal year of 2020. For the period beginning on October 1, 2020 and ending on November 30, 2020, the amount available will be equal to the pro rata portion of $7,500,000.The amount allocated for aging and disability resource centers shall be $5,000,000 for fiscal year 2020. For the period beginning on October 1, 2020 and ending on November 30, 2020, the amount available will be equal to the pro rata portion of $5,000,000.The amount allocated for grant or contract with national center for benefits and outreach enrollment is now $12,000,000 for the 2020 fiscal year ending on October 1, 2020. For the period beginning on October 1, 2020 and ending on November 30, 2020, the amount available will be equal to the pro rata portion of $12,000,000.Subtitle E, Part II: Medicaid ProvisionsExtension of the Money Follows the Person Rebalancing Demonstration ProgramThe Deficit Reduction Act of 2005 section 6071(h)(1)(G) is amended to allocate $337,500,000 for the period beginning on January 1, 2020 and ending on September 30, 2020. For the period beginning on October 1, 2020 and ending on November 30, 2020, the amount available will be equal to the pro rata portion of $337,500,000.Extension of Spousal Impoverishment ProtectionsExtends the protections through November 30, 2020.Allows the State to disregard the income of a spouse and conduct an analysis solely on an individual’s eligibility for medical assistance on the basis of reduction of income.Delay of DSH ReductionsThis section removes the $4 billion DSH reductions for federal fiscal year 2020 and delays the cuts from taking effect December 1, 2020. Extension and Expansion of Community Mental Health Services Demonstration ProgramExpands the Protecting Access to Medicare Act of 2014.According to this section not later than 6 months after the date of enactment, the Secretary shall select two states, in addition to the eight States already listed, to participate in two-year demonstration programs that meet the requirements of this subsection.The requirements are states that:Were awarded planning grants, Applied to participate in the demonstration programs under this subsection but were not selectedThe Secretary shall use the results of its evaluation of the state’s original application and shall not require the submission of any additional application.If a state is selected it is required to: Submit a plan to monitor certified community behavioral health clinics under the demonstration program to ensure compliance with certified community behavioral health criteria during the demonstration period; and Commit to collecting data, notifying the Secretary of any planned changes that would deviate from the prospective payment system methodology outlined in the state’s demonstration application, and obtaining approval from the Secretary of any such change before implementing change.The Federal matching percentage applicable to amounts expended by states participating in the demonstration program under this subsection shall apply to amounts expended by the state during the fiscal period that begins on January 1, 2020 if the state was participating in the demonstration program as of January 1, 2020 and shall apply to amount expensed by the state during the first fiscal period the state participates if the state was selected pursuant to the expansion. Subtitle E, Part III: Human Services and Other Health ProgramsExtension of Sexual Risk Avoidance Education ProgramSection 510 of the Social Security Act is amended to extend the time through 2020 instead of ending in May 22, 2020 and to change the fiscal year to 2021. Extension of Demonstration Projects to Address Health Professions Work-Force NeedsActivities authorized by section 2008 of the Social Security Act shall continue through November 30, 2020. Extension of the Temporary Assistance for Needy Families Program and Related ProgramsActivities authorized by part 1 of title IV and section 1108(b) of the Social Security Act shall continue through November 30, 2020. Subtitle E, Part IV: Public Health ProvisionsExtension for Community Health Centers, the National Health Service Corps, and Teaching Health Centers that Operate GME ProgramsThe amount allocated for community health centers under the Patient Protection and Affordable Care Act is increased to $4,000,000,000 for fiscal year 2020 and $668,493,151 for the period beginning on October 1, 2020 and ending on November 30, 2020.The amount allocated for the National Health Service Corps is now $310,000,000 for fiscal year 2020 and $51,808,219 for the period beginning on October 1, 2020 and ending in November 30, 2020.The amount allocated for teaching health centers that operate graduate medical education programs now extends through fiscal year 2020 and $21,141,096 is allocated for the period beginning on October 1, 2020 and ending on November 30, 2020.Diabetes ProgramsThe amount allocated under the Public Health Service Act for Type I will extend through the fiscal year of 2020 and $25,068,493 will be allocated for the period beginning on October 1, 2020 and ending on November 30, 2020.The amount allocated under the Public Health Services Act for Indians will extend through the 2020 fiscal year and $25,068,493 will be allocated for the period beginning on October 1, 2020 and ending on November 30, 2020.xii. Subtitle F, Part I: Over-the-Counter DrugsAmends Chapter V of the Federal Food, Drug, and Cosmetic Act (FD&C Act) to insert a new section regulating certain nonprescription drugs that are marketed without an approved drug application under section 505 of the FD&C Act.  This new section primarily achieves two goals: (1) reforms the regulatory process for over-the-counter (OTC) drug approvals permitting the FDA more flexibility to make changes administratively, rather than through the time-consuming full notice and comment rulemaking process; and (2) incentivizes pharmaceutical companies to research and manufacture innovative drug products by providing an 18-month market-exclusivity period to reward investments for new OTC drugs.Amends Section 502 of the FD&C Act, to clarify that an OTC drug which does not comply with the requirements of its OTC monograph, which is essentially an approved recipe for a drug product, is considered misbranded.  The FD&C Act prohibits the introduction of misbranded drugs into interstate commerce.Clarifies that nothing in the CARES Act will apply to drugs previously excluded by the FDA from the Over-the-Counter Drug Review under the original 1972 Federal Register document.Clarifies that sponsors of sunscreen ingredients with pending orders have the option to see review in accordance with the Sunscreen Innovation Act (SIA) or to see review under the new monograph review process.  The election must be made within 180 calendar days of the date of enactment of the CARES Act. Provides an annual procedure to update Congress on the appropriate pediatric indication for certain OTC cough and cold drugs for children under the age of six.  The evaluation consists of conditions under which nonprescription drugs are generally recognized as safe and effective.Makes technical corrections to the FDA Reauthorization Act of 2017 (Public Law 115-52).xiii. Subtitle F, Part II: User FeesDeclares that the fees paid pursuant to this section will be dedicated to FDA review of over-the-counter monograph drugs as set forth in the goals section and in letters from the Secretary of HHS to certain congressional committees.Establishes a new FDA user fee to allow the agency to hire additional staff members to ensure there is adequate agency oversight to approve changes to OTC drugs.Title IV – Economic Stabilization and Assistance to Severely Distressed Sectors of the United States Economy      Foley Title IV Contact: Christopher SwiftTitle IV of the Coronavirus Aid, Relief, and Economic Securities Act provides the Secretary of the Treasury with the authority to make loans or loan guarantees to states, municipalities, and eligible businesses and loosens a variety of regulations created in the Dodd-Frank Wall Street Reform and Consumer Protection Act, the Economic Stabilization Act of 2008, and others.ii.Subtitle A – Coronavirus Stabilization Act of 2020Emergency Relief and Taxpayer ProtectionsThe Act authorizes the Treasury Secretary to make up to $500 billion worth of loans and loan guarantees to eligible businesses, states, and municipalities. The term “eligible business” includes passenger air carriers or any other business that has not already received adequate economic relief in the form of loans or loan guarantees under other provisions of the Act. The Act reserves $46 billion to support passenger air carriers, air cargo carriers, and businesses important to maintaining national security. The Act establishes a $454 billion credit facility for Federal Reserve programs designed to support lending to eligible businesses, states, and municipalities. This program contemplates various loans and loan guarantees for distressed businesses.Businesses that receive loans through these Federal Reserve programs are prohibited from paying dividends or repurchasing stock (or other outstanding equity interests) while the loan or loan guarantee is outstanding, as well as for the 12 months following repayment. These businesses are subject to the same employee compensation restrictions as listed for air carriers, air cargo carriers, and businesses deemed important to maintaining national security. Although the Treasury Secretary can waive these restrictions, he must identify and explain the rationale for such waivers in testimony before Congress.Businesses that receive loans or loan guarantees through these Federal Reserve programs can only make loans (or other advances) to business that are incorporated in the United States. Transfers to subsidiaries and affiliates incorporated outside the United States are prohibited.The Act directs the Treasury Secretary to establish a program to provide low-interest loans for eligible businesses (including nonprofit organizations) with between 500 and 10,000 employees. Although these loans will require no repayment for at least six months, businesses and non-profit organizations seeking this support must provide a good-faith certification that they meet the following criteria:The company intends to maintain at least 90 percent of their current workforce;The company will not pay dividends or repurchase stock (or other equity securities);The company will not outsource or offshore jobs during the loan period or two years thereafter;The company will not abrogate existing collective bargaining agreements with labor unions; and The company will remain neutral regarding current or future union organizing activity.Limitation on Certain Employee CompensationThe Act also imposes certain compensation caps for officers and employees at companies  receiving loans or loan guarantees.  Under these caps, officers or employees that received $425,000 or more in total compensation in 2019 will have their future compensation capped at the amount they received that year.  This cap applies while the loan or loan guarantee is in effect, as well as to the 12 consecutive months after the loan or loan guarantee is no longer outstanding. The same restriction also applies to severance payments or other compensation received upon termination from businesses participating on the loan and loan guarantee programs.Additional caps apply for officers and employees whose total compensation exceeded $3,000,000 in 2019.  Under the Act, these individuals may receive compensation up to $3,000,000 plus 50 percent of the excess over $3,000,000 of the total compensation received by the officer or employee in 2019. For example, an officer or employee whose total 2019 compensation was $3,000,010 would be restricted to total compensation of $3,000,005 in subsequent years. Like the lower cap discussed above, this restriction applies while the loan or loan guarantee is in effect, as well as to the 12 consecutive months after the loan or loan guarantee is no longer outstanding.Continuation of Certain Air ServicesThe Secretary of Transportation may require any air carrier receiving loans or loan guarantees under Section 4003 to maintain scheduled air transportation services as the Secretary deems necessary to maintain service to any destination the carrier served before March 1, 2020. The Secretary of Transportation is to consider the needs of “small and remote communities” and “health care and pharmaceutical supply chains” when enforcing this portion of the Act.Suspension of Certain Aviation Excise TaxesThe Act suspends the imposition of aviation excise taxes as otherwise required under the Internal Revenue Code through December 31, 2020.Debt Guarantee AuthorityIn order to backstop solvent depository institutions, it appears that the CARES ACT allows the FDIC to establish a program to insure these institutions without regard to a maximum amount.  All such guarantees are to last at least until December 31, 2020.Temporary Government in the Sunshine Act ReliefIn the event that unusual and exigent circumstances continue to exist, the Board of Governors of the Federal Reserve System may conduct meetings with less restrictive and formal meeting notification and record-keeping requirements until December 31, 2020.  Temporary Hiring FlexibilityWithout regard to certain statutory hiring requirements, the Secretary of Housing and Urban Development and the Securities Exchange Commission are given flexibility to recruit and appoint candidates for temporary and term appointments as necessary to prevent, prepare for, or respond to COVID-19 during the “covered period” of the CARES Act.Temporary Lending Limit WaiverEnlarges exception to requirement on the maximum amount of loans and extensions of credit by a national banking association to include a nonbank financial company (as defined in Section 102 of the Financial Stability Act of 2010) and allows the Comptroller o

Craig Kennedy is the CEO at Medicaid Health Plans of American (MHPA). In this episode, Craig discusses the personal challenges and complications that we often don't think of when we discuss SDoH, including his own personal experience growing up in rural Oregon. Questions we discuss include: Why is it important to address SDoH now? What is healthcare missing when it comes to SDoH? What are the challenges and complications that affect individuals that we don't traditionally think of? To connect with Craig: LinkedIn: https://www.linkedin.com/in/craig-kennedy-9892505/ Email: ckennedy@mhpa.org MHPA: https://www.medicaidplans.org/ Craig joined MHPA in December of 2019 after more than two decades in non-profit association management and in leadership positions on Capitol Hill. He has management responsibility for all aspects of the Association and reports to the MHPA Board of Directors. MHPA represents the interests of the Medicaid managed care industry through advocacy and research to support innovative policy solutions that enhance the delivery of comprehensive, cost-effective, and quality health care for Medicaid enrollees. Prior to joining MHPA, Craig was the Executive Director for the Association of Clinicians for the Underserved (ACU). He led ACU to record growth over his six-year tenure and helped secure new federal grant funding for the organization. He also helped establish their advocacy infrastructure, which grew to include thousands of active participants across the country. Craig previously served as the top lobbyist for the National Association of Community Health Centers (NACHC) for more than a decade, which included negotiating the 2008 reauthorization of the Health Centers and National Health Service Corps programs, the 2009 Stimulus package, and the 2010 Affordable Care Act. He began his tenure at NACHC working to double the Health Centers program (the REACH Initiative) and subsequently drafted the ACCESS for All America plan for the organization. During his thirteen-year tenure at NACHC, the Health Centers program grew from $875 million in annual funding to over $5 billion. Craig has also worked on Capitol Hill and in the Oregon State Legislature. His work on Capitol Hill included a stint in the Senate Finance Committee, which has jurisdiction over all health, tax and trade issues. He also served as the Senior Legislative Assistant for a member of the House Appropriations Committee, and later as the Legislative Director for a member of the House Rules Committee. He received his Masters in Public Health from the George Washington University School of Public Health in Washington, DC, and has a Bachelor’s of Science from Willamette University in Salem, Oregon. Craig currently serves on the Board of Directors for First Focus Campaign for Children and as a member of the National Advisory Committee for the Primary Care Leadership program. He lives with his wife Linda and three daughters in northern Virginia.

This episode features our first osteopathic medical school, the New York Institute of Technology College of Medicine (NYITCOM).  I'm joined by Gina Moses, their Director of Admissions & Recruitment, who has a long history of being involved in pre-med advising and work at the American Association of Colleges of Osteopathic Medicine (AACOM).  She is the perfect guest to introduce this audience to the osteopathic application process along with some of the similarities and differences between allopathic and osteopathic medicine.  She also answers a commonly asked question - Should I or can I apply to both allopathic and osteopathic medical schools?    Have a question for the show, school suggestion, or just want to say hi? Send it to allaccess@case.edu Visit https://case.edu/medicine/allaccess for more information on this episode and others. If you are digging what you have been hearing, kindly leave us a rating, a review and subscribe Calendar: AAMC Virtual Fair - Thursday, February 20, 2020 - Registration Here AAMC Recruitment Fair - Sheraton Grand Chicago Hotel Saturday, March 28, 2020 - Registration Here NAAHP Recruitment Fair - Hilton New Orleans Riverside, June 27, 2020 - Registration info coming soon RESOURCES: CWRU/LECOM MD & DO Presentation Slides  NYITCOM website AACOM - American Association of Colleges of Osteopathic Medicine AACOM’s Choose DO website AACOMAS - Application Service COMLEX - the DO Licensing Exam NYITCOM Dual Degrees Research at NYITCOM Émigré Physicians Program (EPP)  Gina’s Recommendations Osteopathic State Associations Your local AHEC -  Area Health Education Center Financing Medical School Options: Indian Health Service, National Health Service Corps, & NIH Post-Bacc Programs NYITCOM Contact Information 

Stephanie chats with Jillian Kelly-Wavering, MSSW, LCSW, RPT about play based therapy for kids. She explains what attachment-oriented play therapy is and how it can help create healthy routines, rituals, and even be used for early childhood trauma. Jillian also shares how parents can help their kids with homework without it causing a ton of stress, tension, and frustration. You’ll learn how important play, exploration, and connection is key for early childhood development. We’d like to say a special thank you to today’s Podcast Partner: Four Sigmatic, a natural superfood company that specializes in mushroom-based drinks that benefit immunity, energy, and longevity. Get 15% off your order on their website with the code WHOLEMAMAS. Enjoy the listen! You can find us on iTunes, Stitcher or Spotify. We’d love to hear your thoughts on Instagram or Facebook. Topics Discussed: What play-based therapy is and what it looks like Creating daily playful rituals and routines to support development Understanding and navigating tantrums Developmental changes at different ages Considerations for overscheduling Tips for helping kids with homework  Show Notes: Jillian’s website Websites  ChildMind.org KidsHealth.org A4PT.org (Association for Play Therapy) Books: I Love You Rituals (Author: B. Bailey) Play Therapy Interventions to Enhance Resilience (Editors: D. A. Crenshaw, R. Brooks, & S. Goldstein) Creative Arts and Play Therapy for Problems of Attachment (Editors: C. A. Malchiodi & D. A. Crenshaw) The Carpenter and The Gardener (Author: A. Gopnik) The HMHB Weekly Email Series Whole Mamas Pregnancy Program Nourish Kids Medicine Kit and Ebook Dr. Elana’s Medical Center: Nourish Medical Center Follow Steph and Elana on Instagram Whole Mamas Podcast Archive Jillian is a psychotherapist working with children (age 3-10) and their families. Prior to opening her practice, Asheville Child Therapy PLLC, in North Carolina, she worked in community mental health centers with at-risk children in the south Bronx in New York City for nearly a decade. Jillian's education and advanced training includes a Master's degree from Columbia University School of Social Work, completion of a fellowship with the National Health Service Corps, certification in Trauma-Focused Cognitive Behavioral Therapy (TF CBT), and completion of post-graduate training to become a Registered Play Therapist (RPT).  She is a graduate of the Association for Play Therapy’s Leadership Academy and she has served as a Board Director and Vice President of the New York Association for Play Therapy. Jillian has taught as an Adjunct Lecturer on the topics of Play Therapy, Trauma, and Resilience, has co-authored several publications including Dear Mr. Leprechaun: Nurturing Resilience in Children Facing Loss and Grief; Play Therapy with Children Facing Medical Challenges; The Use of Puppets in Psychodynamic Play Therapy. She is a frequent presenter in the topics of Play and Expressive Arts Therapies nationally, and recently internationally! Most importantly, Jillian respects and delights in the work of accompanying children on their journeys through hard times: from expressing big feelings, to uncovering bravery, setting healthy boundaries, and ultimately healing. Please remember that the views and ideas presented on this podcast are for informational purposes only.  All information, content, and material presented on this podcast is for informational purposes and not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Consult with your qualified physician or healthcare provider before starting any diet, supplement regimen, or to determine the appropriateness of the information shared on this podcast, or if you have any questions regarding pregnancy or your prenatal treatment plan.

We’re having a conversation about Medicaid Expansion with Dr. Jeff Bacon, Chief Medical Officer at Banner Health Sterling Regional MedCenter, Miso Lee, Ph.D., a Health Disparities Analyst at the University of Texas Medical Branch, and Carey Rivinius, who holds a degree in Doctor of Nursing Practice and is a Certified Family Nurse Practitioner at Jacobson Memorial Hospital and Elgin Community Clinic.  Jeff, Miso and Carey were 2018-2019 Rural Health Fellows with the National Rural Health Association (NRHA), where they focused on Medicaid Expansion, culminating in a Policy Paper presented to and adapted by the NRHA Rural Health Congress. “Rural hospitals and rural clinics are so incredibly important and they serve a great purpose in each community and our nation.” Jeffery Bacon, D.O., is an experienced Family Physician with a demonstrated history of working in the hospital and healthcare industry.  He is skilled in Clinical Research, Medical Education, Pediatrics, Medicine, and Emergency Medicine, and a strong healthcare services professional who graduated from A.T. Still University of Health Sciences. Dr. Wei-Chen “Miso” Lee is a Health Disparities Analyst at The University of Texas Medical Branch. She completed her Ph.D. in Health Services Research (HSR) at Texas A&M Health Science Center. Her research interests lie in the area of rural health, ranging from discovering disparities in health outcomes to promoting workforce development. She is also a state-certified Community Health Worker (CHW) and CHW Instructor. She was honored to be the 2018 National Rural Health Fellow and currently, she serves as editorial board member for the Journal of Rural Health (JRH) as well as the advisory committee member for the Research on Care Community Health Equity Subgroup of the Association of American Medical Colleges (AAMC). Both doing research and serving in communities allow her to better understand the health issues and make a profound contribution to eliminating health disparities. Carey Rivinius, DNP, FNP-C, is a healthcare provider in Elgin, ND. She practices acute and emergent care at Jacobson Memorial Hospital, a Critical Access Hospital and Level 5 trauma center. She takes call for the emergency department and hospital. She also provides primary care services at the Rural Health Clinic. Carey is a member of the facility’s trauma and stroke committees. She also serves as the Grant County Coroner. She has worked in rural health her entire career. Carey grew up on a ranch near Carson, ND and has lived in the area most of her life. Additionally, Carey is adjunct faculty for the University of Mary DNP program. She is a member of the National Health Service Corps and completed a 2-year service commitment from 2009-2011. Carey received her MSN and FNP degree in 2008 from the University of Mary in Bismarck, ND, and her Doctorate of Nursing Practice degree in 2016 from Frontier Nursing University of Hyden, Kentucky.

Marc Ringel grew up in Chicago, went to college in New Orleans and Madrid, and did his medical training back in Chicago.  He even drove a Chicago Transit Authority bus one summer. Nevertheless, his life led him to serve with the National Health Service Corps as a general practitioner in Yuma, Colorado, a prairie town of 2000 people.  And the die was cast. Marc fell in love with country people, country ways, and rural family practice. “Science is but one avenue of understanding.” -Digital Healing:  People, Information, Healthcare, p. 10 Dr. Ringel has been a rural family doctor in Wisconsin and in Colorado ever since, and has been a teacher to medical students, nurse practitioner students, residents and practicing physicians.   “Why do you crave a person to talk to?  Because if given some latitude, a person can still solve problems that a computer cannot anticipate.  Just as importantly, because a person can, in the space of a few sentences, form an idea of who you are and respond to you.  That interpersonal connection is one of the things that makes us human beings tick.” -Digital Healing:  People, Information, Healthcare, p. 55 He has written several books and a number of medical articles, as well producing regular columns in the lay press and commentaries on Colorado Public Radio.   Ringel’s abiding interest in healthcare informatics stems largely from his understanding, acquired firsthand, that information and connection are the keys to the success of any medical practice, especially a rural one.   His latest book, Digital Healing:  People, Information and Healthcare, was published this year by Taylor&Francis.   Marc has been sort of retired since last summer.  He has three children and two grandchildren. He lives in Greeley, Colorado.  

  Right before Christmas, the government was temporarily funded for the fourth time this fiscal year, but this latest funding law came with a few surprises. In this episode, a feisty Jen outlines the law to expose a favor to the war industry, damage to the Affordable Care Act, a bad sign for the Children’s Health Insurance Program, a giant loophole that paved the way for a new mountain of government debt, and more. You’ll also learn about an “uncontroversial” bill that reduces accountability for foreign fighters who abuse women and that showers literal gifts upon a secretive Drug War commission. But it’s not all bad news! There’s also a reason for hope. Recommended Congressional Dish Episodes CD161: Veterans Choice Program Please Support Congressional Dish Click here to contribute using credit card, debit card, PayPal, or Bitcoin Click here to support Congressional Dish for each episode via Patreon Mail Contributions to: 5753 Hwy 85 North #4576 Crestview, FL 32536 Thank you for supporting truly independent media! Register for Podfest: Pay It Forward Bills H.R. 1370: Continuing Appropriations Act, Department of Defense Missile Defeat and Defense Enhancements Appropriations Act, CHIP and Public Health Funding Extension Act, 2018 Division A Section 1001: Extends 2017 funding levels until January 19, 2018 Section 1002: Delays the repeal of FISA warrantless spying authorities until January 19, 2018. Division B Title I: Missile Defeat and Defense Enhancements Appropriates over $3.8 billion for emergency ballistic missile equipment and research. Title II: Missile Construction Enhancements Appropriates $200 million, available until September 30, 2022 to construct an emergency missile field in Alaska Title III: General Provisions Section 2001: Clarifies that the money in this law for the Department of Defense will be in addition to the money it will be appropriated for 2018. Section 2002: For the extra money given to the military in this law, this section creates an exception to the rule that says that no new projects can be started with it. Section 2003: Clarifies that this money is being appropriated as an emergency requirement. Division C: Health Provisions Title I:: Public Health Extenders Section 3101: Appropriates $550 million for community health centers and $65 million for the National Health Service Corps for the first half of 2018 Section 3102: Appropriates $37.5 million for a program for type I diabetes for the first half of 2018 Section 3103:: Cuts [the authorization for the Prevention and Public Health Fund](http://uscode.house.gov/view.xhtml?req=(title:42%20section:300u-11%20edition:prelim) - 2019: Authorization decreases from $900 million to $800 million (was originally supposed to be $2 billion annually) - 2020 & 2021: Authorization decreases from $1 billion to $800 million - 2022: Authorization decreases from $1.5 billion to $1.25 billion. Title II: Children's Health Insurance Program (CHIP) Section 3201: Appropriates $2.85 billion for the Children's Health Insurance Program through March 31, 2018, which is a cut from previous appropriations. Division D: VA Choice Section 4001: Appropriates an additional $2.1 billion for the Veteran's Choice Program. Division E: Budgetary Effects Section 5001: The budgetary effects of the money for CHIP and VA Choice on the PAYGO scorecard will not be counted. Section 5002: The effects of the tax bill (the "Reconciliation Act" authorized by H. Con. Res. 71) will not be considered in the PAYGO budget. S.371: Department of State Authorities Act, Fiscal Year 2017, Improvements Act   Section 2: Orders a bunch of foreign policy related reports to be given to the Appropriations Committees in the House and the Senate. Section 3: Changes the original law signed in December 2016 to remove the requirement for "swift and effective disciplinary action against" police or troops of UN countries who sexually exploit or abuse people during their peacekeeping missions. In it's place, the requirement will be that the countries will have to "appropriately hold accountable" their personnel, which is left undefined. Section 10: Allows members of the Western Hemisphere Drug Policy Commission to "solicit, accept, use, and dispose of gifts, bequests, or devises of money, services, or property, both real and personal, for the purpose of carrying out any duty, power, or authority of the Commission." Additional Reading Article: Retirements of veteran Republicans fuel GOP fears of losing House majority by Mike DeBonis, The Washington Post, January 10, 2018. Article: Drug policy: Our unfinished business in the Americas by Reps. Eliot L. Engel and Matt Salmon, Huffington Post Report: Congress rushes Pentagon $4b for missile defense improvements by Marcus Weisgerber, Defense One, December 22, 2017. Report: House, Senate pass CR with emergency funding for missile defense, Navy ship repair by Justin Doubleday, Inside Defense, December 21, 2017. Article: Collision-damaged USS McCain arrives at Yokosuka for repairs by Leon Cook, Stars and Stripes, December 13, 2017. Article: USS Fitzgerald departs Yokosuka for Mississippi from U.S. 7th Fleet Public Affairs, America's Navy, December 8, 2017. Article: Could the U.S. actually shoot down a North Korean missile? by Larlsa Epatko, PBS, November 28, 2017. Article: Trump administration proposes $2.1 billion expansion of Fort Greely missile-defense base by Tim Ellis, AlaskaPublic.org, November 14, 2017. Press Release: AK delegation applauds major missile defense increase in Trump administration's budget request by Matt Shuckerow, DonYoung.house.gov, November 6, 2017. Report: Counternarcotics: Overview of U.S. efforts in the western hemisphere, U.S. Governtment Accountability Office, October 13, 2017. Article: Fort Greely stands firm in face of North Korean threat by Sean Kimmons, Department of Defense, October 11, 2017. Article: Doomsday Deflector: What is the THAAD missile system, where is the US program deployed and how does it work? by Patrick Knox, The Sun, September 4, 2017. News Report: Hudson Institute congratulates John Walters on congressional appointment to Western Hemisphere Drug Policy Commission by Hudson Institute, PR Newswire, June 29, 2017. Article: There's a flaw in the homeland missile defense system. The Pentagon sees no need to fix it by David Willman, The LA Times, February 26, 2017. Press Release: Engel measure to reassess drug policy headed to president's desk, Committee on Foreign Affairs, December 10, 2016. Article: The US government is literally arming the world, and nobody's even talking about it by William D. Hartung, Mother Jones, July 30, 2016. Article: U.S. missile defense system is 'simply unable to protect public,' report says by David Willman, The LA Times, July 14, 2016. Article: A test of America's homeland missile defense system found a problem. Why did the Pentagon call it a success? by David William, The LA Times, July 6, 2017. Report: Standard Missile-3 by Zach Berger, Missile Defense Advocacy, June 2017. Article: 'Double down' in fight against opioid abuse by Mary Bono, USA Today, March 6, 2017. Report: Assessment of DOD's reports on status of efforts and options for improving homeland missile defense, U.S. Government Accountability Office, February 17, 2016. Article: Bring back the war on drugs by William Bennett and John P. Walters, Boston Globe, September 9, 2015 Report: Fort Greely to get $50 million toward missile defense system by The Associated Press, Army Times, December 16, 2014. Article: Does missile defense actually work? by Roger A. Mola, Airspacemag.com, April 9, 2013. Resources Budget of the U.S. Government: Fiscal Year 2018 Department of Defense: Budget Amendment Fiscal Year 2018 Department of Defense: FY 2018 Budget Amendment Department of Defense: Military Installations Overview Fort Greely, Alaska Department of the Navy: FY 2018 Emergency Contingency Operations Amendments OpenSecrets.org: Boeing Co. Client Profile 2017 OpenSecrets.org: Faegre Baker Daniels Consulting Profile 2017 OpenSecrets.org: Raytheon Co. Client Profile 2017 Twitter Post @JordanUhl: Members of Congress Not Seeking Reelection Visual References Boeing Co Stock Summary Sound Clip Sources Hearing: U.S. Defense Strategy in South Asia; House Committee on Armed Services; October 3, 2017 C-Span Video Witnesses: - Joseph F. Dunford Jr. - James N. Mattis 57:25 James Mattis: I think the most important thing is that we get budget predictability and certainty, because without that, we cannot take the—adjust our forces and get predictability into our budgets that permits us to gain the best bang for the buck, to put it bluntly. We’re going into the ninth year with a continuing resolution. As you know, I cannot make new starts under that, even if the cyber domain or the space domain require that we do new things we’ve not had to do before to maintain our competitive edge. Cover Art Design by Only Child Imaginations Music Presented in This Episode Intro & Exit: Tired of Being Lied To by David Ippolito (found on Music Alley by mevio)

Debra L. Robinson was raised in Flint, Michigan, home of the community school concept. Her father was an attorney and her mother was a special education teacher. She graduated from Flint Central High School in 1974 and Michigan State University in 1977, with a Bachelor of Science degree in Biology. Additionally, she is a proud graduate of Howard University College of Medicine, Class of 1981. Dr. Robinson completed her internship and residency training in Internal Medicine at Hurley Medical Center and McLaren General Hospital in Flint, Michigan. In return for her National Health Service Corps scholarship, she cared for the medically underserved in Chattanooga, TN and Pompano Beach, FL. Her medical practice has ranged from Emergency Medicine in Belle Glade and Okeechobee to HMO medicine to a private practice overlooking the intercoastal waterway. She currently cares for our veteran population at the West Palm Beach Veterans Affairs Medical Center. Dr. Robinson has been an advocate for a high quality education for her sons for more than a decade. Her advocacy has included service on various Parent- Teacher Associations and School Advisory Committees/Councils for two decades

Debra L. Robinson was raised in Flint, Michigan, home of the community school concept. Her father was an attorney and her mother was a special education teacher. She graduated from Flint Central High School in 1974 and Michigan State University in 1977, with a Bachelor of Science degree in Biology. Additionally, she is a proud graduate of Howard University College of Medicine, Class of 1981. Dr. Robinson completed her internship and residency training in Internal Medicine at Hurley Medical Center and McLaren General Hospital in Flint, Michigan. In return for her National Health Service Corps scholarship, she cared for the medically underserved in Chattanooga, TN and Pompano Beach, FL. Her medical practice has ranged from Emergency Medicine in Belle Glade and Okeechobee to HMO medicine to a private practice overlooking the intercoastal waterway. She currently cares for our veteran population at the West Palm Beach Veterans Affairs Medical Center. Dr. Robinson has been an advocate for a high quality education for her sons for more than a decade. Her advocacy has included service on various Parent- Teacher Associations and School Advisory Committees/Councils for two decades

Yami Lancaster is a phenomenal Pediatrician and human being located in Yakima, Washington. She started her own micropractice and has never been happier as a physician. Topics from this conversation include: the difficulties within the journey of becoming a doctor, the need to transition to her own practice, her advice for finding happiness, tips for success, ideas to improve healthcare, and much more. ​ Check out more from Yami! Yami Cazorla-Lancaster, DO, MPH, MS, CHWC, FAAP email: dryami@nourishyakima.com websites: www.NourishYakima.com and www.VeggieFitKids.com Facebook: https://www.facebook.com/NourishYakima/ and https://www.facebook.com/veggiefitkids/ YouTube: Veggie Fit Kids Office number: 509-969-6214 Resource from discussion: www.TUT.com Time Stamps/Highlights + 1:42 – Yami's Introduction +3:20 – Discussion of the National Health Service Corps +6:13 – “Would you have considered yourself a happy medical student?” +7:20 – Learn more about difficulties in medicine and sleep deprivation +9:55 – Learn about the transition from medical school to residency +14:32 – Answer the question of “what is happiness to you?” +16:10 –Yami discusses why she felt she needed to transition out of being an employee +19:13 – Advice to physicians on developing their happiness +20:40 –We answer the question of “What information would you like to have heard as a younger self?” +22:50 –Yami explains the tools she utilizes to empower herself +25:46 – Yami describes her current practice structure +27:16 – We define a micropractice +29:34 – We answer: “What would you say to an aspiring student who wants to become a physician”? +31:50 – We answer: “What mistakes do you see students, residents, or Attending physicians make on the path of medicine?” +32:55 – Yami explains the best advice she received from a mentor +35:53 – We explore the idea of how to improve medical culture +39:00 – We answer: “In an ideal world how would you train a pre-medical, medical, resident as opposed to how it is currently?” +42:40 – closing remarks Transcript Yami's practice: “Nourish Wellness” for past 7 months as a Pediatrician in Yakima, Washington Opportunity for Medical Students: National Health Service Corps Scholarship -A scholarship service that pays for medical school in return for service in underserved communities. -The program also supplies a stipend -You must go into primary care -They do not pay for other degrees such as MPH -Has a part-time option for service In Medicine realize: Your time is not completely your own -you are bound to somebody else's schedule As a resident you will be sleep deprived -Sleep deprivation was the difficult part -It can make you depressed/anxious -Yami is an advocate for improving sleep in medical culture. -We should be following the instructions we tell our patients. -We are very sleep deprived as a country -Yami was subjected to staying up 24 hours to 30 hours at a time When you transfer into residency expect to feel anxious and unsure of knowing enough -The experience is scarier and there is more responsibility -There is a worry of making a mistake -Yami experienced anxiety – especially on acute rotations like ICU and NICU -The workload can be high 80-100 hour work weeks There are plenty of great residency programs -Yami loved her residency program -She felt very supported, felt like it her residency followed all of the hourly requirements -She felt excited for her training and learning Transitioning from Resident to Attending is a difficult leap -You are now really on your own, no attending to ask, no senior resident -Yami felt nervous at times, even double checking simple tasks such as Tylenol doses Consider being a new attending at a location with more mentorship -Yami chose her first official job as an attending with plenty of mentorship, and found it helpful to gain help “It takes 3 -5 years before you feel comfortable as an attending” -should feel nervous up to 5 years -still should keep the option of contacting colleagues and knowing your resources -Maintain your openness to ask for help on diagnosis -She had physical symptoms due to nerves of the job – feeling the weight of responsibility and saying “I'm an attending now” -You should not feel comfortable right away in this role The definition of happiness “Happiness is the ability to slow down, find moments of peace and stillness, and favor the life I'm leading” -Yami starting her own practice which allowed her to have more space -Working part-time while serving for the NHSC helped but wasn't what she wanted Opening up your own practice can allow you  to fulfill your dream -Having a practice allowed her to be creative, actively apply ideas to the practice, and feel free -She was more so able to fulfill her vision that she wanted as a little girl -She now allows herself feel to be a mother, to get massages, to exercise, and fulfill her own needs You must be very efficient working in a traditional setting. Lack the time to work through the patients as well -Saw up to 24-26 patients per day, made phone calls, checked labs -The days were long and “my brain was overwhelmed” -The patient load made it difficult to think through things and forced making quick decisions -Yami loves to teach and give patient's information that make them feel good. -She felt like she needed to shorten things and leave things out in the traditional setting -She felt she wasn't practicing authentically in a way that aligned with her values “I was dissatisfied and I know I wanted to start something that felt better to me that aligned with my vision as a little girl” Yami's message to physicians on creating their happiness: Become clear in your vision -Sit down, journal, and draw out your vision -Decide what you want -If what you are doing is not what you want, create what you want -It is not easy with finances and family, but when your vision is clear you can work towards it. Yami's biggest tip she wished she heard sooner: Do more personal work on yourself -“I wish I would have had time and ability to do personal development work” -“I was fortunate to have had time to work on myself, was able to see life through different lens” -she admits to needing to work through a lot of depressed thinking and an disordered eating habits -she now has many tools that have helped her succeed Tools for empowerment: meditation, seeking help, and give yourself permission -Yami is a daily meditator (as essential as brushing tooth) -She gained confidence after working with a life coach -She had issues with body image and suffered from eating disorder for decades and this lifecoach helped her gain tools for success -Yami admits to generalized disordered eating which really brought her down -Yami's message: “Seek help if you are suffering from eating disorder or other sort of depressed thinking, it can really help!” -It is important to normalize – “so many people suffer in silence” – -listener you have permission to go find help -can contact Yami to learn more from her (contact information provided) The Pediatric Micropractice -she has almost 100 patients -she wants around 200-250 active patient to feel full (her panel was 1800 patients as a part-time physician) -Works currently Monday, Wednesday, Friday form 9AM to 5PM -She makes herself available -She has time to workout for example Jazzercise Pre-medical and Medical students – keep your vision alive -Remember why you wanted to do this -Keep working towards your vision -Don't get bogged down by all the things that bother you -People will discourage you -Go into this and make a positive change -If you haven't seen a happy physician – shadow a happy doctor so you know what you are getting yourself into -Shadow yami – she takes in medical students and college students -The deeper you go into training the harder it is to remember why you went into it -Keep pursuing your dreams “Don't get stuck in the shoulds” -People get stuck in what they should do -We should really use our intuition and dig down deep to determine what we really want to do, regardless of what other people want us to do Yami's Favorite materials -Success principles by Jack Canfield - -Totally unique thought by Mike Dooly -“The Secret” Medical culture is missing flexibility and variety -Conservative culture of “we've always done things this way” -Humans are afraid of change -There are so many creative solutions to the healthcare crisis we are having now Medical culture should  enforce joy and happiness -Should not be a guilty sin to be happy -Should strive to find a work-life balance -“Always done it this way… doesn't allow the space for creative work” Medical culture should look at things upstream -Our system is overburdened and collapsing -There are not enough people addressing prevention and actual reversal of disease -Diet and lifestyle can prevent and potentially reverse chronic disease Ideal medical training should include immersing the patient experience sooner -“We should get students immersed sooner, so can apply things sooner to the real world” -A lot of schools don't touch patients till 3rd year Ideal medical training should include diet and lifestyle -This should be added in serious way -Not a brief 2-3 hours of lecture material Yami's message: you have a special light within you -You have permission to shine your light that makes sense to you -You never know how your presence might impact people around you. -It is important for all of us to come of our shells and live a life that is authentic to ourselves and matches our values -Shine your light and pursue the happiness you deserve

Do you have a plan to stay in control of your specialty choice, or is debt going to drive your career? No matter what values a student brings with them to medical school, the cost of their training and the weight of their student loans puts a lot of pressure on their specialty choice. Some may even avoid medicine as a career choice because of the costs. But for those who are really committed to primary care and community-oriented medicine, there are options. The National Health Service Corps is one of those options. In addition to awarding scholarships and loan repayment in exchange for commitments to serve in designated underserved areas after residency, the National Health Service Corps’ Students-to-Service program takes applicants in their final year of medical school for up to $120,000 in loan repayment in exchange for three years of service. With the application process for the Students-to-Service program opening in mid-August, we bring you a conversation with Dr. Luis Padilla, director of the National Health Service Corps, about his own experience as a National Health Service Corps scholar, as well as what they are looking for in their applicants.

Session 20 In today's episode, Ryan talks with Kate, a 56-year old 3rd year medical student at West Virginia School of Osteopathic Medicine as she  shares with us her path to becoming a physician. Kate was initially a bio premed major until she decided to stop and pursue a career as a nurse until changing careers to becoming a nurse midwife and doing another career change into finally becoming a physician. Kate is definitely proof that anything is possible. Anyone can get into medical school. You just need to put in the work and you'll get there. Listen in to Kate’s amazing journey! Here are the highlights of the conversation with Kate: Kate's path to becoming a physician: Decided to become a doctor when she was 10 Interest in rural family practice growing up in rural locations for the  most part of her life Initially a biology premed major until midway through college Transferred to a nursing program in her junior year Working as a nurse midwife for 13 years prior to medical school Switching from being a nurse to a nurse midwife and a teacher in nursing Deciding to go back to medical school at the age of 50 Why Kate decided to stop being premed the first time: Medical school as having a cutthroat environment Finding the length of education to be overwhelming Found interest in what the nurses are doing and wanting immediate gratification The thought of raising kids Lack of research into the whole thing when she made her decision The driving force that made her decide to get into medical school: Being involved in her local community and seeing the need for primary care Seeing physicians as a really huge instrument for change especially in the effective organization around  public health issues Thirst for knowledge and wanting to become a "change" agent Resources she tapped into initially: Kate googled "old premedical students" which led her to OldPreMeds.org Knowing what prerequisites were needed Her family physicians Taking her postbac program: Not being able to get to the classes she needed Ended up applying to two schools for a "structured" postbac program Quitting her job to do the program full time Having that fear in terms of finances Getting the finances: Applying to the National Health Service Corps each year and not getting it Applying for loan repayment program as her plan B Considerations for choosing the schools she applied to: Emphasis on rural primary care and global medical outreach Geography (closer to family) Specifically choosing osteopathic medical schools but ended up applying to 6 DO schools and 6 MD schools and getting 6 interviews The interview process: Having a collegiate footing with the interviewer being a nurse educator herself Giving her an edge as a nontraditional old premed having had some experiences The biggest obstacle that she had overcome: Talking herself out of trying Links and Other Resources: West Virginia School of Medicine National Health Service Corps OldPreMeds.org AAMC list of postbac programs If you need any help with the medical school interview, go to medschoolinterviewbook.com. Sign up and you will receive parts of the book so you can help shape the future of the book. This book will include over 500 questions that may be asked during interview day as well as real-life questions, answers, and feedback from all of the mock interviews Ryan has been doing with students. Are you a nontraditional student? Go check out oldpremeds.org. For more great content, check out www.mededmedia.com for more of the shows produced by the Medical School Headquarters including the OldPremeds Podcast and watch out for more shows in the future! Hang out with us over at medicalschoolhq.net/group. Click join and we'll add you up to our private Facebook group. Share your successes and miseries with the rest of us. Email Ryan at ryan@medicalschoolhq.net or connect with him on Twitter @medicalschoolhq

The cost of medical training puts a lot of pressure on their specialty choice, but for those who are really committed to primary care and community-oriented medicine, there are options. The National Health Service Corps is one of those options, awarding scholarships and loan repayment in exchange for commitments to serve in underserved areas. We spoke with the National Health Service Corps’ director, Dr. Luis Padilla, about what they are looking for in their applicants.

Join Supernatural Girlz Helene Olsen and Patricia Baker as they interview Dr. Cynthia Koelker about her book, Armageddon Medicine: How to Be Your Own Doctor in 2012 and Beyond – An Instruction Manual.   “Survivalism” has gone mainstream, and family preparedness is now considered both legitimate and prudent in an uncertain world.  Natural disasters such as devastating hurricanes, wars and the world financial crisis have increased concerns that the government cannot be relied upon to keep us safe and healthy. Dr. Koelker, a board-certified family physician of over twenty years’ experience, is more than qualified to write a manual on medical preparedness. She is a graduate of Case Western Reserve University School of Medicine and M.I.T. She financed her medical education by serving in the National Health Service Corps. She is the founder and head of the Armageddonmedicine.com website, and also serves as chief medical editor for SurvivalBlog.com. She is also the author of the book 101 Ways to Save Money on Health Care, (2009), published by Plume Books/Penguin, and has appeared in the media to discuss medical preparedness and related issues. “This book is dedicated to my children and grandchildren, with the hope that they never need to use it.” Dr. Cynthia Koelker  Join us and learn how to SURVIVE!            

In today’s episode, I talk with the National Health Service Corps (NHSC) Scholarship Program. Back in session 18, we covered the Air Force HPSP Program. Both of these are scholarships that allow you to get medical school paid for and get a monthly stipend through medical school. Links and Other Resources: Full Episode Blog Post Check out the National Health Service Corps website. Check out my Premed Playbook series of books (available on Amazon), with installments on the personal statement, the medical school interview, and the MCAT. Related post: Medical School Scholarships: Get Paid to Study. Related episode: MSHQ Premed Scholarship. Need MCAT Prep? Save on tutoring, classes, and full-length practice tests by using promo code “MSHQ” for 10% off Next Step full-length practice tests or “MSHQTOC” for $50 off MCAT tutoring or the Next Step MCAT Course at Next Step Test Prep!