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Under the law, Pennsylvania residents who have a serious medical condition as certified by an approved physician are considered medical marijuana patients. Patients register for an ID card and use that card to obtain medical marijuana at Pennsylvania dispensaries. Caregivers also are Pennsylvania residents and are designated by patients to deliver medical marijuana to them, obtained at a Pennsylvania dispensary. Caregivers register for an ID card and must complete a background check.
For a 1st card, you must have a certification from the doctor before you will be eligible to pay. You will receive an email when the doctor certifies you with payment instructions. If you have not received this email but believe you should have, please contact your doctor's office.
For purposes of FMLA, "serious health condition" means an illness, injury, impairment, or physical or mental condition that involves inpatient care or continuing treatment by a health care provider.
The landmark Serious Illness Conversation Guide serves as a framework for physicians, nurses, social workers, chaplains, allied health professionals, and other clinicians to explore topics that are crucial to gaining a full understanding about and honoring what is most important to patients. In clinical trials, the program results in more, earlier, and better serious illness conversations and reduction in anxiety and depression for patients. Research also demonstrates that the program is associated with improvements in patient and clinician experience and reductions in total medical expenses.
Our frontline clinical care experience includes palliative care, hospital medicine, geriatrics, and primary care, in addition to expertise in organizational change, health care disparities, care delivery innovation, and quality measurement and evaluation. Our team is focused on ensuring that the health care system aligns care with what matters most to patients.
We recognize that better serious illness care relies on systemic change and adaptable tools and innovations. We have developed a care delivery innovation to integrate timely, person-centered serious illness conversations and care planning into routine clinical practice. The work reaches all specialties and care settings, including ambulatory, inpatient, and home and community-based care.
The Serious Illness Care Program partners with foundations, health care systems, and organizations with mission alignment. These partnerships allow for innovation, testing and dissemination of our tools, curriculum design, and other educational offerings and systems change elements.
Developed in collaboration with The Conversation Project, the What Matters to Me Workbook is designed to help people with a serious illness get ready to talk to their health care team (doctor, nurse, social worker, etc.) about what is most important to them.
In June of 2021 the Serious Illness Care Program convened 35 experts in delivering serious illness care to underserved and marginalized communities with the goal of gaining insights into strategies that drive sustained and equitable improvements in serious illness conversations and care. This report outlines findings and recommendations from the convening.
IRC 7803(c)(2)(B)(ii)(III) requires the National Taxpayer Advocate to prepare an Annual Report to Congress that contains a summary of the ten most serious problems encountered by taxpayers each year. For 2023, the National Taxpayer Advocate has identified, analyzed, and offered recommendations to assist the IRS and Congress in resolving ten such problems.
In 2023, millions of taxpayers once again experienced significant burden and frustration while awaiting refunds or other IRS actions necessary to comply with their tax obligations and resolve tax account issues. These delays not only have negative financial implications for taxpayers awaiting refunds but also for the government, as the IRS must pay interest on overpayments it does not timely refund.
Some taxpayers and tax professionals still struggle to access information from the IRS, including finding clear and timely guidance on which they can rely, determining the status of pending issues, understanding IRS correspondence and whether they must respond to it, and reaching an IRS employee with the knowledge to answer their questions and the authority to resolve their problems.
Even though tax return preparers prepare over half of the individual returns filed each year, many have no credentials and are subject to no minimum standards. Because taxpayers bear responsibility for the accuracy of their own returns, inept or dishonest preparers harm taxpayers by subjecting them to unanticipated tax deficiencies, interest, overpaid taxes, or lost refunds.
U.S. persons who receive money from abroad or who have certain foreign financial interests and cross-border business activities are potentially subject to a wide range of U.S. reporting requirements. Many of these requirements come with significant penalty exposure when a filing is late, incomplete, or inaccurate. These international information return penalties harm sometimes unsuspecting lower-income taxpayers, small businesses, and immigrants. The majority of these penalties are automatically assessed, broadly applied, needlessly harsh, and often unexpected.
Taxpayers abroad face vast difficulties in complying with their U.S. tax obligations. Many find themselves trying to navigate a complex tax system they do not understand, and the IRS offers limited assistance and guidance. Taxpayers lack accessible, real-time customer service assistance from the IRS, and help from private tax professionals, if available, is often expensive; both contribute to additional burden for these taxpayers. Taxpayers abroad may face severe penalties if they fail to file forms, some of which they may not even be aware. The complexity of the tax code, the inability to easily comply, and the fear of severe penalties are so great that some taxpayers choose to relinquish their U.S. citizenship.
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IMPORTANCE The effect of serious injuries, such as hip fracture and head injury, on mortality and function is comparable to that of cardiovascular events. Concerns have been raised about the risk of fall injuries in older adults taking antihypertensive medications. The low risk of fall injuries reported in clinical trials of healthy older adults may not reflect the risk in older adults with multiple chronic conditions. OBJECTIVE To determine whether antihypertensive medication use was associated with experiencing a serious fall injury in a nationally representative sample of older adults. DESIGN, PARTICIPANTS, AND SETTING Competing risk analysis as performed with propensity score adjustment and matching in the nationally representative Medicare Current Beneficiary Survey cohort during a 3-year follow-up through 2009. Participants included 4961 community-living adults older than 70 years with hypertension. EXPOSURES Antihypertensive medication intensity based on the standardized daily dose for each antihypertensive medication class that participants used. MAIN OUTCOMES AND MEASURES Serious fall injuries, including hip and other major fractures, traumatic brain injuries, and joint dislocations, ascertained through Centers for Medicare & Medicaid Services claims. RESULTS Of the 4961 participants, 14.1% received no antihypertensive medications; 54.6% were in the moderate-intensity and 31.3% in the high-intensity antihypertensive groups. During follow-up, 446 participants (9.0%) experienced serious fall injuries, and 837 (16.9%) died. The adjusted hazard ratios for serious fall injury were 1.40 (95% CI, 1.03-1.90) in the moderate-intensity and 1.28 (95% CI, 0.91-1.80) in the high-intensity antihypertensive groups compared with nonusers. Although the difference in adjusted hazard ratios across the groups did not reach statistical significance, results were similar in the propensity score-matched subcohort. Among 503 participants with a previous fall injury, the adjusted hazard ratios were 2.17 (95% CI, 0.98-4.80) for the moderate-intensity and 2.31 (95% CI, 1.01-5.29) for the high-intensity antihypertensive groups. CONCLUSIONS AND RELEVANCE Antihypertensive medications were associated with an increased risk of serious fall injuries, particularly among those with previous fall injuries. The potential harms vs benefits of antihypertensive medications should be weighed in deciding to continue treatment with antihypertensive medications in older adults with multiple chronic conditions.
This guide reviews ways that telehealth modalities can be used to provide treatment for serious mental illness and substance use disorders among adults, distills the research into recommendations for practice, and provides examples of how these recommendations can be implemented.
Audience: Community Coalitions , Policymakers , Prevention Professionals , Professional Care Providers , Program Planners, Administrators, & Project Managers , Public Health Professionals
Population Group: People with Mental Health Problems as Population Group , People with Substance Use Problems as Population Group Professional and Research Topics: Evidence-Based Practices , Treatment Models Publication Category: Mental Health , Substance Use Publication Target Audience: Practitioner/Professional Treatment, Prevention and Recovery: Crisis Intervention , Medication-Assisted Treatment , Mental Health Screening , Patient Assessment , Recovery , Recovery Support , Substance Use Screening , Treatment Language: English
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