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February 2021

Pickens Co. passes ordinance to better broadband in underserved areas

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PICKENS COUNTY, SC (WSPA)– Approximately $1.6 million will be used to fix some major broadband issues in Pickens County. Many families said the lack of connectivity is a big problem in several areas.

On Monday, the Pickens County Council passed an ordinance to better broadband through an initiative.

“Actually, it’s been very hard,” Jane Wright said. “I can’t even explain how hard it’s been, but it’s been very very hard,” she said.

In an age where a bedroom is the new classroom, and most living rooms are now offices, some like Wright have had problems getting connected.

“I live at the edge of town and I’m ineligible to receive services from Spectrum or from regular AT&T service because the bandwidth where I live at is not strong enough or high enough for me to even have a plan,” Wright said.

Pickens County Administrator Ken Roper said, they noticed the issues last Spring when people were in lockdown during the pandemic.

“When everything was locking down and people were having to talk about doing school from home, or work from home, or telemedicine, and all of those sorts of things, and we started recognizing that you know, we don’t have the internet connectivity in this county that lets us do that sort of thing,” Roper said.

Now, an agreement with Blue Ridge Electric Cooperative Inc., will help with the problem.

“We were able to incentivize the co-op, pay the co-op to connect our buildings and to take those broadband lines through those underserved communities. We’re very excited about this,” Roper said.

Eight different areas in Pickens County have been identified as underserved.

“Those eight areas have relatively high concentration of people, and relatively low access to internet. So they’ve got 20-year-old technology like dial-up internet,” Roper said. “The worst place for that is kind of Highway 93, passed Liberty, towards Norris and the Cateechee community. That area has a lot of people in it, but not a lot of access to broadband,” Roper said.

Some county facilities will help boast the entire community.

“In August, we came up with an idea. That idea was to see if we could find a community partner, someone in the broadband industry, to connect our facilities, the county facilities like the fire departments, the libraries, the recycling centers, the airport. And by connecting those facilities, could we get broadband in those communities that don’t have it,” Roper said.

Roper said the county already has a budget for the broadband initiative.

“The good news there is that Pickens County has a capital reserve, a fund balance is a better way to put it. We have money in the bank. We’ve saved for a rainy day because we’ve been very frugal through the years. So what we’re basically telling Blue Ridge Co-op is, that if you will run the lines in the areas that we know are needing the service the most, that we will reimburse you for each of these eight blocks. Each of these eight areas that are underserved, we will reimburse you $200,000 per area, to run the lines to our facilities,” Roper said.

Now the funding will be a band-aid for many.

“It will be very beneficial, because like I said, a lot of people in the area that I live in, which is on the edge of town, people have no service,” Wright said.

Roper said by the end of the year, Blue Ridge Co-Op plans to have broadband lines up for areas like Liberty and Norris. Once completed, the Sunset community, Dacusville, and Pumpkintown areas will be next in the following months.

Acting Health & Human Services Secretary Signals Extension of PHE through 2021

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The Acting Secretary for the U.S. Department of Health & Human Services (HHS) indicated in a recent letter to state Governors that the Department intends to extend the declaration of a Public Health Emergency (PHE) through at least the end of 2021. The Public Health Service Act grants HHS broad authority to issue a PHE declaration that remains active for a 90-day period. In 2020, HHS took a wait-and-see approach to reauthorizing the PHE declarations it issued in response to the COVID-19 pandemic. This meant reevaluating the PHE declaration based on the evolving situation and reauthorizing the PHE declaration near the end of each 90-day period. In addition, the Acting Secretary indicated in the letter that the Department will provide states a 60-day notice prior to the termination of the PHE declaration.

In the Acting Secretary’s own words, this shift is intended to bring “predictability and stability” to states and their public health programs, many of which have tied expiration of their telehealth expansions to the federal PHE declaration. The letter specifically highlights the flexibilities that the PHE declaration affords for the provision of telemedicine services to Medicaid and Medicare beneficiaries. For state Medicaid programs, this will also create some budget certainty with an extension of the Federal Medical Assistance Percentage (FMAP) rate increase set to expire at the end of the PHE.

Current Medicare telehealth flexibilities, such as the removal of the rural requirement and expansion of certain procedure codes and telephone visits, are all scheduled to sunset once the PHE declaration is rescinded. Medicare expanded additional Category 3 procedure codes in the 2021 Physician Fee Schedule that will sunset at the end of the calendar year in which the PHE declaration is terminated (see CCHP’s Physician Fee Schedule Fact Sheet for more information). Based on the Acting Secretary’s letter, this could mean that these flexibilities and expanded services will all sunset by the end of 2021 unless Congress passes legislation to codify them.

The announcement is also likely to have an impact on some private payer’s temporary telehealth policies. A recent Center for Connected Health Policy report titled, An Analysis of Private Payer Telehealth Coverage During the COVID-19 Pandemic, found that several of the largest national insurers that temporarily expanded their telehealth coverage or waived cost sharing for telehealth services tied their expiration to the federal PHE declaration. Under the Families First Coronavirus Response Act (FFCRA), private payers are also required to cover telehealth services that are associated with a COVID-related diagnosis through the end of the PHE.

For more information, view the full letter from the Acting Health & Human Services Secretary.