CISA Issues Advisory on Hospital Software Security Issue; DEADLINE TODAY: Medicaid IMPACT Revalidations Due; Research: H-1B Visa Fee Increase Could Exacerbate Doctor Shortage; Daylight Saving Ends Sunday, Nov. 2 at 2 a.m.; Flu, COVID-19 Temporarily Raise Risk of Heart Attack, Stroke
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IHA Emails_Daily Briefing

Friday, October 31, 2025

Today's Top Stories

  • CISA Issues Advisory on Hospital Software Security Issue
  • DEADLINE TODAY: Medicaid IMPACT Revalidations Due
  • Research: H-1B Visa Fee Increase Could Exacerbate Doctor Shortage
  • Daylight Saving Ends Sunday, Nov. 2 at 2 a.m.
  • Flu, COVID-19 Temporarily Raise Risk of Heart Attack, Stroke
  • Briefly Noted
  • Leading the News

CISA Issues Advisory on Hospital Software Security Issue
The Cybersecurity and Infrastructure Security Agency (CISA) issued a medical advisory warning hospitals about two security issues in Vertikal Systems’ Hospital Manager Backend Services that could allow cyber attackers to access and disclose sensitive system information. CISA said that Vertikal Systems fixed both issues by Sept. 19, but emphasized users should update their systems and take extra steps to protect them. Recommended mitigations include using firewalls, keeping networks separate and making sure virtual private networks are up to date.
 
DEADLINE TODAY: Medicaid IMPACT Revalidations Due 
The Illinois Dept. of Healthcare and Family Services (HFS) is currently conducting IMPACT Medicaid provider revalidations. Providers in the October cohort must complete IMPACT revalidations by TODAY, Friday, Oct. 31, in order to receive Medicaid reimbursement. IHA urges all providers to check their revalidation cycle due date—including physicians and physician groups affiliated with your hospitals—and to check for any incomplete revalidations. HFS has provided IHA with step-by-step instructions to check the status and due date of servicing providers that you can access here. The IMPACT Provider Revalidation website includes step-by-step instructions, a frequently asked questions document and a townhall webinar recording.
 
Research: H-1B Visa Fee Increase Could Exacerbate Doctor Shortage
According to research published in JAMA this week, the proposed increase in the fee for new H-1B visa applications could exacerbate the shortage of doctors in high-poverty and rural areas and increase disparities in care. Study authors found that when looking at data across 3,240 counties, those counties with the highest poverty level had a significantly higher percentage of H-1B-sponsored physicians. Similar patterns were observed in those same counties among H-1B-sponsored advanced practice providers, including physician assistants, nurse practitioners, nurse anesthetists, and nurse midwives, and other healthcare workers, such as podiatrists, chiropractors, and optometrists.
 
The U.S. Citizenship and Immigration Services has released updated guidance regarding the $100,000 fee for H-1B visas that was announced in September. Although the American Hospital Association (AHA) and other stakeholders have petitioned the federal administration to include an exception for healthcare workers from the new H-1B fees, to date no such exception has been created. An exception process has been established to grant approvals on a case-by-case basis as opposed to categorical exceptions. IHA will continue to work with AHA to advocate for an exception for H-1B visa holders serving U.S. hospitals. 
 
Daylight Saving Ends Sunday, Nov. 2 at 2 a.m.
Daylight Saving Time ends at 2 a.m. this Sunday, Nov. 2. The Office of the Illinois State Fire Marshal (OSFM) issued a recommendation that, as you turn your clocks back, take a moment to test, inspect, and replace any broken or expired smoke and carbon monoxide (CO) alarms in your home. Each year, hundreds of people across Illinois are treated in emergency rooms due to CO exposure, and over the past decade, an average of 20 people per year have died from accidental CO poisoning. In 2024, Illinois fire departments responded to 9,860 CO-related incidents. OSFM also noted that in 2024, there were 89 residential fire deaths in Illinois with a majority of these deaths occurring in homes without smoke alarms. 
 
Flu, COVID-19 Temporarily Raise Risk of Heart Attack, Stroke
A study published this week by the American Heart Association (AHA) found that  acute and chronic viral infections are linked to both short- and long-term risks of cardiovascular disease, including strokes and heart attacks. In its news release, AHA said people are four times more likely to have a heart attack and five times more likely to have a stroke in the month after having the flu. Following a COVID-19 infection, people are three times more likely to have a heart attack or a stroke 14 weeks after, with an elevated risk remaining for a year.
 
Additionally, the study found chronic infections such as HIV, hepatitis C and varicella zoster virus—which causes shingles—can increase long-term elevated risks of cardiovascular events. Study authors said the findings suggest that increased vaccination rates for influenza, COVID and shingles have the potential to reduce the overall rate of heart attacks and strokes, and that preventative measures are particularly important for adults who already have cardiovascular disease or cardiovascular disease risk factors.

 

Illinois Respiratory Disease Surveillance Data

 

The Infectious Respiratory Disease Surveillance Dashboard from the Illinois Dept. of Public Health (IDPH) provides the latest data on hospital visits, seasonal trends, lab test positivity and demographic data. IDPH also tracks COVID-19, influenza and respiratory syncytial virus information through the Illinois Wastewater Surveillance System dashboard.

 

Briefly Noted

 

Dan Brillman has been selected to lead Medicaid and the Children’s Health Insurance Program (CHIP) at the Centers for Medicare and Medicaid Services (CMS), the agency announced this week. As Deputy Administrator at CMS and Director of the Center for Medicaid and CHIP Services, Brillman will oversee major revisions to Medicaid passed by Congress in July. Brillman is well known as the co-founder and CEO of health tech company Unite Us.

 

Leading the News

 

Lawmakers approve $1.5B transit funding package without statewide tax increases

WSIU

State lawmakers approved new funding for public transportation agencies without large statewide tax increases previously proposed. Instead, the measure would be fueled by revenue sources that currently feed the state’s Road Fund and an increased sales tax targeted to the Chicago area.

 

New Joint Commission model lets hospitals guide survey support

Becker’s Hospital Review

Hospitals accredited by The Joint Commission will soon have access to a new optional support model designed to strengthen performance between surveys, the organization said Oct. 29.

 

Daylight saving time is ending Sunday. Here's what to know as clocks ‘fall back.’

NBC News

It’s time to fall back again. The clock will strike 1 a.m. twice Sunday as daylight saving time once again comes to an end. Here’s what you need to know about daylight saving time and why the United States changes clocks twice a year.

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