Public Health and Equity

Senate Passes Debt Ceiling Bill

This legislation effectively postpones the debt ceiling issue for two years, dispelling concerns of a potential financial catastrophe. This Action Update summarizes the legislation and provisions of interest to essential hospitals.

CMS Lifts COVID-19 Vaccination Mandate for Health Care Workers

CMS says the withdrawal of the mandate, effective immediately, aligns with the agency’s approach to other infectious diseases.

COVID-19: FDA Paxlovid Approval, Long COVID-19 Study

FDA approves Paxlovid to treat COVID-19 in adults; a National Institutes of Health study sheds new light on long COVID-19.

HHS Releases First Annual Language Access Report

The report summarizes HHS’ progress, barriers, and future plans to improve access to services for individuals with limited English proficiency.

COVID-19: WHO Vaccine Recommendation, NIOSH N95 Mask Recall

A World Health Organization advisory group recommends using the XBB subvariant in future vaccines; the National Institute for Occupational Safety and Health recalls eight respirators.

OCCHE Releases Climate Hazard Resource

A new guide provides educational and referral strategies for health care providers to mitigate health issues related to climate change.

COVID-19: PHE End, Project NextGen, Johnson & Johnson Vaccine

An HHS fact sheet details policy changes with the end of the COVID-19 public health emergency; ASPR announces Project NextGen; CDC says the Johnson & Johnson vaccine no longer is available in the United States.

Florida Hospitals Required to Collect Patient Immigration Status

A new law requires hospitals that accept state and federal Medicaid reimbursements to include a question about immigration status on intake forms.

COVID-19: WHO Ends Global Health Emergency, CDC Shifts Virus Indicators

The World Health Organization has ended the COVID-19 global health emergency designation, and CDC will use hospitalization data to track COVID-19 spread.

CMS Proposes to Expand Health Coverage for DACA Recipients

If CMS finalizes the proposed rule, DACA recipients would be eligible to apply for coverage through the health care marketplaces, Basic Health Programs, and some Medicaid and Children’s Health Insurance Programs.

COVID-19: FDA Amends Pfizer Vaccine EUA, Agencies Brace for PHE End

FDA amends the Pfizer vaccine authorization for immunocompromised children aged 6 months to 4 years old, while the Biden administration ends its vaccine requirement for federal employees.

CMS Webinar on End of COVID-19 PHE

The May 5 webinar will feature CMS experts sharing how the end of the PHE will affect current health care waivers and flexible policies.

OCCHE Shares Climate Action Webinar Series, Resources

A new webinar series will share government resources for health care stakeholders to reduce emissions and build resilience.

CMS Releases Guidance on Reentry Section 1115 Waiver Opportunity

The agency encourages states to leverage a new Section 1115 demonstration to implement a service delivery system that facilitates reentry transitions for Medicaid-eligible individuals leaving prisons and jails.

COVID-19: Bivalent Vaccine Recommendation, HHS Uninsured Program

CDC simplifies vaccine recommendations for all age groups; a new HHS program supports COVID-19 vaccines and treatments for uninsured Americans.

CMS Issues FY 2024 IPPS Proposed Rule

The proposal includes numerous policy and payment changes to Medicare’s Inpatient Prospective Payment System for fiscal year 2024, including a 2.8 percent increase in inpatient payment rates.

Urge Your House Members to Back Supporting Safety Net Hospitals Act

Please urge your House members now to support a bipartisan bill to eliminate two years of looming Medicaid DSH cuts for FYs 2024 and 2025.

COVID-19: FDA Expands Bivalent Vaccine EUA, HHS Amends PREP Act

Individuals ages 65 and older are eligible for a second bivalent dose; HHS will end vaccine administration flexibility granted during the public health emergency.

CMS Observes Black Maternal Health Week

In honor of Black Maternal Health Week, CMS shares recent work and resources focused on advancing equity in obstetric outcomes.

COVID-19: National Emergency Ends, Gohibic EUA

President Biden signs a bill ending the COVID-19 national emergency; FDA grants emergency use authorization to a vilobelimab treatment.

COVID-19: CDC, WHO Revise Booster Recommendations

Both the CDC and World Health Organization now recommend just one bivalent booster dose for healthy adults and children with no immunocompromising conditions.

CMS Updates on End of COVID-19 National Emergency

The upcoming end of the COVID-19 national emergency will not affect policies enacted during the public health emergency issued under a separate declaration.

SAMHSA Report on Evidence-Based Care for LGBTQI+ Youth

The report includes recommendations for therapeutic practices for youth of diverse sexual orientation and gender identity.

Oklahoma Becomes 30th State to Extend Medicaid Postpartum Coverage

The state has extended postpartum coverage from 60 days to 12 months through the state plan authority established by the American Rescue Plan Act in 2021.

COVID-19: FDA Device Guidance, Viral Mutation Updates

FDA releases guidance on transitioning to normal operations for medical device authorization after the public health emergency ends and continues to monitor the effect of viral mutation on test performance.

Report Assesses States’ PHE Readiness, Makes Recommendations

The Trust for America’s Health report examines the intersection between community resilience, emergency preparedness, and health equity, and it includes resources on how health disparities affect emergency preparedness.

COVID-19: Youth Bivalent Booster, Paxlovid Vote

FDA announces that children aged 6 months through 4 years old who completed primary monovalent COVID-19 vaccination are now eligible to receive a bivalent booster dose, while agency advisers vote in favor of full Paxlovid approval.

COVID-19: FDA Withdraws Guidance, Ends Surgical Mask EUA

FDA announced March 10 that it will withdraw and revise several COVID-19 guidance documents, including emergency use authorization of surgical masks, as circumstances surrounding the virus evolve.

HHS Reopens Health Sector Climate Pledge

The voluntary pledge asks institutions to commit to reducing emissions, taking inventory of scope 3 emissions, and developing climate resilience plans.

States Advance Transgender Health Legislation

Currently, at least 24 bills in nine states focus on transgender patients, and three states in 2023 have legalized restrictions on gender-affirming care.

COVID-19: Booster and Combination Vaccines, Medicaid Snapshot

A bivalent vaccine that protects against SARS-CoV-2 and influenza will not be available this year, while a CDC advisory committee says there is not enough evidence to recommend more than one annual COVID-19 booster for immunocompromised people.

Maine Provides COVID-19 Recovery Funding to Hospitals

Maine’s supplemental budget includes $25 million in state and federal funding to support hospitals as they continue to recover from COVID-19 pandemic costs.

Proposed Rules on Prescribing Controlled Substances via Telemedicine

Two proposed rules would extend many flexible provisions enacted during the COVID-19 public health emergency for prescribing controlled substances.

COVID-19: Influenza Combination Test, Moderna-NIH Agreement

FDA authorizes the first at-home nasal test that detects influenza A and B as well as COVID-19; Moderna reaches a $400 million agreement with the National Institutes of Health.

Essential Hospital Designation

Our proposal would codify a designation of essential hospitals in statute, allowing lawmakers to better target support to improve access to care and public health.

President Biden Signs Executive Order to Advance Racial Equity

The order instructs agencies to produce an annual public equity action plan, build agency equity teams, and improve community engagement.

COVID-19: Long COVID-19 Disparities, Youth Immunization Study

National Institutes of Health research finds that Black and Hispanic Americans face greater long COVID-19 risks, the CDC says that primary series vaccination protects children ages 3–5 for four months, and Novavax will deliver an additional 1.5 million doses.

COVID-19: Youth Immunization Schedule, New Test Cleared

The CDC updated the 2023 immunization schedule for children and adolescents to include the COVID-19 primary vaccine series, and the FDA cleared for commercial distribution a device that detects 15 respiratory viral and bacterial infections.

HHS Releases PHE Transition Roadmap

The roadmap outlines which policies implemented under the COVID-19 public health emergency (PHE) will be affected when the PHE ends May 11.

First Federal Evidence Agenda on LGBTQI+ Equity

Following the agenda’s release, HHS on Feb. 10 requested information on promising practices for advancing health equity for intersex individuals.

COVID-19: Antiviral Prescriptions Axed, Bivalent Vaccine Effectiveness

FDA no longer requires a positive COVID-19 test to receive a Paxlovid or Lagevrio prescription; CDC reports that bivalent boosters protect against XBB and XBB.1.5 SARS-Co-V-2 subvariants.

CMS Update on COVID-19 Blanket Waivers and Flexibility

The updated fact sheets share when specific waivers will end and whether they will continue after the public health emergency’s end on May 11.

Administration Announces End of COVID-19 PHE

The Biden administration announced that the COVID-19 public health emergency, initially declared Jan. 27, 2020, will end May 11.

COVID-19: FDA Committee Votes for Bivalent Vaccines, CDC Launches Testing Locator

FDA’s Vaccines and Related Biological Products Advisory Committee votes to replace the original monovalent COVID-19 vaccine, Evusheld no longer is authorized under emergency use, and the CDC launches a COVID-19 testing locator.

DEA Eliminates X-Waiver for Buprenorphine Treatment

The Drug Enforcement Administration no longer will require additional registration for prescribers to prescribe buprenorphine.

COVID-19: FDA Committee to Vote on Vaccine Future, CDC Unveils Interactive Trackers

An FDA committee will vote on the future of the COVID-19 vaccine, while CDC unveils two trackers for COVID-19, flu, and RSV–related hospital and emergency department visits.

Association Comments on Proposed Part 2 Regulations

The association supports HHS’ work to align the rule more closely with HIPAA regulations, which will improve care coordination and mitigate discrimination.

Health Affairs Podcast Explores Financial Strain on Essential Hospitals

In a new podcast series by a physician at association member NYC Health + Hospitals, Beth Feldpush, DrPH, the association’s senior vice president of policy and advocacy, unpacks the complex patchwork of payments that keep essential hospitals afloat.

COVID-19: Home Test to Treat Program, Vaccine Safety Concern

The National Institutes of Health launches the Home Test to Treat program; FDA and CDC report a COVID-19 vaccine safety concern for those ages 65 and older.

HHS Renews COVID-19 Public Health Emergency

Effective Jan. 11, Health and Human Services Secretary Xavier Becerra renewed the COVID-19 public health emergency determination.

COVID-19: XBB.1.5 Cases Evade Therapeutics; Racial and Ethnic Disparities in Pediatric Vaccination Status

FDA and CDC say Evusheld is unlikely to neutralize the XBB.1.5 subvariant, and a CDC report indicates COVID-19 vaccination in children and adolescents is highest among Asian and Hispanic youth. 

Million Hearts Initiative to Host Webinars on Climate Change and Cardiovascular Health

Registration is open now for the two Climate Change and Cardiovascular Disease Collaborative webinars on Jan. 12, at noon ET, and Feb. 9, at noon ET.

COVID-19: FDA Approves Actemra for Adults, CDC Reports XBB.1.5 Surge

FDA approves the use of Actemra, a monoclonal antibody treatment, as COVID-19 cases caused by the XBB.1.5 subvariant of SARS-CoV-2 spike.

FY 2023 Omnibus Spending Bill Includes Essential Hospital Advocacy Priorities

The $1.66 trillion package would extend funding for government operations through Sept. 30, 2023, including $120.7 billion for the Department of Health and Human Services, $9.9 billion more than the FY 2022 enacted level, and numerous provisions important to essential hospitals.

COVID-19: No-Cost Rapid Tests Return, FDA Vaccine Panel to Meet in January

Americans again can request four no-cost, at-home COVID-⁠19 tests per address; FDA’s vaccine committee will meet in January to develop a long-term strategy.

SAMHSA Proposes to Update OUD Treatment Standards

A proposed rule will make permanent a temporary policy to allow providers to initiate buprenorphine prescriptions for new patients through telehealth.

Contact Congress Now to Support Funding for Hospitals Serving a Safety Net Role

Lawmakers and staff are currently negotiating the final text for a year-end spending package. Targeted, financial assistance for hospitals serving a safety net role is on the table.

Oregon, Colorado Respond to Rise in Respiratory Illness

Flexible policies in Oregon and Colorado support health care providers amid a steady increase in respiratory syncytial virus (RSV), influenza, and COVID-19.

White House Introduces National Opioid Overdose Tracker

The dashboard tracks nonfatal opioid overdoses by state and county and will help service providers target substance use disorder interventions and treatment.

COVID-19: CDC Expands Bivalent Vaccine Recommendation for Children

CDC expands its recommendation for bivalent COVID-19 vaccines for children ages 6 months to 5 years old as health agencies confront low vaccination rates among children.

HHS Proposes Revisions to Confidentiality of Substance Use Disorder Patient Records

Changes in the proposed rule seek to improve care coordination among providers and increase protections for substance use disorder patients to mitigate discrimination during treatment.

Essential Hospitals Need Targeted Federal Support

Hospitals that fill a safety net role need targeted funding to remain on the front lines of public health emergencies and serve the nation’s most underrepresented patients and marginalized communities.

Protect and Strengthen the Health Care Workforce

The United States faces a significant and pervasive health care workforce shortage, especially in underserved communities. As policymakers discuss how to address current and future workforce shortages, we urge Congress to expand, protect and fund the health care workforce.

Extend Telehealth and Hospital-At-Home Flexibility

As Congress continues to consider legislation during and after the pandemic, it should make permanent policies that allow providers to expand access to care, including telehealth and hospital-at-home, to improve the health of their communities.

COVID-19: FDA Pauses Bebtelovimab EUA, CDC Updates Congregate Setting Guidance

FDA pauses its emergency use authorization of bebtelovimab, which does not protect against prevalent SARS-CoV-2 subvariants; CDC updates its guidance for managing COVID-19 in congregate living settings.

SAMHSA Proposes Revisions to 42 CFR Part 2

The proposed rule aims to align Part 2 more closely with HIPAA, improve care coordination, and increase anti-discrimination protections for patients with substance use disorder.

COVID-19: Federal Vaccination Campaign, NIH Self-Reporting Website

New COVID-19 vaccine initiatives seek to address access inequalities, and NIH launches a website where Americans can anonymously self-report COVID-19 test results to provide data to public health departments.

States File Petition against Health Care Worker COVID-19 Vaccine Mandate

A coalition of 22 states argues that the vaccine mandate has intensified workforce shortages at health care facilities and limited patient access to care.

COVID-19: Bivalent Boosters Protect against New Subvariants, Pediatric Vaccination Rates Remain Low

Pfizer-BioNTech and Moderna data indicate that bivalent vaccines provide greater protection than the original monovalent vaccine against the emerging BQ.1.1 omicron subvariant, while the CDC reports low COVID-19 vaccination numbers among children.

States Act to Tackle RSV Surge

Maryland, Oregon, and Colorado provided funding and regulatory flexibility to health care providers amid a surge in pediatric respiratory syncytial virus cases.

COVID-19: Test-to-Treat Access Study, White House Equity Summit

A JAMA Network open study highlights disparities in access to Test-to-Treat sites; the Biden administration holds a White House COVID-19 Equity Summit.

CY 2023 PFS Final Rule Includes Telehealth, Equity Provisions

The final rule for calendar year 2023 continues certain flexible telehealth policies, overhauls the Medicare Shared Savings Program, and revises the Quality Payment Program.

CY 2023 OPPS Final Rule Includes 340B, Site-Neutral, and Quality Provisions

The final rule reverses Medicare Part B drug payment cuts to hospitals in the 340B Drug Pricing Program, continues site-neutral payment policies, and revises the inpatient-only list, among other proposed changes.

COVID-19: Study Finds Paxlovid Reduces Long COVID-19 Risk, Pfizer Shares Bivalent Vaccine Data

A Department of Veterans Affairs report indicates that Paxlovid can reduce risk of long COVID-19; new data show Pfizer bivalent COVID-19 booster vaccines substantially increase immune responses compared with monovalent vaccines.

COVID-19: Administration Launches Updated Vaccine Outreach

President Joe Biden urges Americans to get their updated COVID-19 vaccine, which protects against the original SARS-CoV-2 variant and BA.4 and BA.5 subvariants.

COVID-19: CDC Recommends Immunization Schedule Update, Administration Launches Biodefense Strategy

A CDC committee recommends the inclusion of COVID-19 vaccines in the 2023 immunization schedule; the administration releases a biodefense strategy.

CMS Extends Arizona Section 1115 Waiver with Housing Focus

The waiver provides temporary housing to Medicaid beneficiaries experiencing or at risk of homelessness who have a significant health need or are enrolled in long-term care.

COVID-19: CDC Recommends Bivalent Vaccine Boosters for Younger Age Groups

CDC recommends for younger age groups updated Pfizer and Moderna COVID-19 booster vaccines that target the BA.4 and BA.5 subvariants of SARS-CoV-2.

HHS Renews COVID-19 Public Health Emergency

Effective Oct. 13, Health and Human Services Secretary Xavier Becerra renewed the COVID-19 public health emergency determination.

COVID-19: HHS Reports Vaccine Benefits, NIH Studies Long COVID-19 Effects

HHS links COVID-19 vaccinations to fewer COVID-19 hospitalizations and deaths, and NIH details its plan to study long COVID-19 effects.

CDC Urges Vigilance amid Uganda Ebola Outbreak

CDC issued a health advisory reminding health care providers to remain aware of a patient’s international travel history.

On the Hill: New Publications Raise Profile of Essential Hospitals

A new commentary in Health Affairs Forefront argues for creating a federal designation for essential hospitals to ensure they receive the support they need to meet their safety net mission. Also, the association publishes its annual member characteristics report, Essential Data 2022.

COVID-19: FDA Updates Test Review Policy, HHS Covers Bebtelovimab for Uninsured

FDA now urges COVID-19 test developers to take traditional premarket review pathways, and HHS will cover the cost of 60,000 bebtelovimab doses.

Health Affairs Commentary Argues for Essential Hospital Designation

In a new Forefront commentary, the association’s current, immediate past, and incoming board chairs say essential hospitals’ indispensable role, unique characteristics, and financial fragility argue for recognizing them as a distinct class in public health and policymaking.

DHS Finalizes New Public Charge Definition

The new final rule narrows the types of benefits considered in public charge determinations by excluding nonemergency Medicaid and other in-kind benefits that were in the 2019 final rule.

Association Comments on Proposed ACA Nondiscrimination Protections

America’s Essential Hospitals urges HHS to codify a nondiscrimination standard and establish nondiscrimination training for all health care workers.

COVID-19: CDC Updates Infection Control Guidance, Global Response Strategy

CDC updates guidance on infection control for health care personnel and staff shortages, as well as its global pandemic response strategy.

AHRQ Releases Primer On Climate Change Mitigation in Health Care

AHRQ published a primer detailing how hospitals and health systems can reduce their carbon footprint and protect communities from climate threats.

HHS Releases Behavioral Health Integration Roadmap

The roadmap implements the three pillars of the President’s March 2022 Strategy to Address our National Mental Health Crisis.

COVID-19: Mortality Lower from Omicron Variant, PRF Report Due Sept. 30

CDC reports lower in-hospital mortality rates from the omicron variant, providers have until Sept. 30 to report period 3 Provider Relief Fund spending.

Association Comments on CY 2023 OPPS Proposed Rule

America’s Essential Hospitals urges CMS to swiftly restore full Medicare Part B drug payment rates for hospitals in the 340B Drug Pricing Program and define the select group of hospitals with a safety net mission.

Administration to Host Hunger Conference, Seeks Commitments

The Biden administration encourages organizations to commit to working toward its goal of ending hunger and increasing healthy eating and physical activity by 2030.

COVID-19: Biden Administration Announces Fall Strategy

The Biden administration’s fall plan to manage the COVID-19 pandemic includes securing millions of updated vaccines and additional at-home, rapid tests; ensuring vaccine access for higher-risk Americans; and fostering community conversations about updated vaccines.

Federal Focus on Health Care Workforce Issues

A September continuing resolution provides a potential legislative vehicle for health policy provisions. We summarize key workforce priorities and actions from Congress, the administration, and the association.

COVID-19: CDC Recommends Bivalent Vaccine Boosters

CDC recommends updated Pfizer and Moderna COVID-19 booster vaccines that target the BA.4 and BA.5 subvariants of SARS-CoV-2.

COVID-19: No-Cost, At-Home Tests to End, CDC Fall Vaccination Plan

No-cost, at-home COVID-19 tests no longer will be offered through the United States Postal Service, CDC releases a fall vaccination plan, and FDA warns prescribers about Paxlovid drug interactions.

DHS Finalizes Rule Codifying DACA Program

The Department of Homeland Security finalized a rule codifying the Deferred Action for Childhood Arrivals program with some limited changes.

340B Recertification Open through Sept. 19

The annual 340B Drug Pricing Program recertification period for hospitals began Aug. 24. Hospitals will have until Sept. 19 to complete the process.

COVID-19: Pfizer Seeks Omicron Booster EUA, CMS Shares Roadmap for PHE End

Pfizer applies for emergency use authorization for its omicron-specific booster vaccine, the National Healthcare Safety Network will take over hospital data reporting, and CMS tells hospitals to brace for the public health emergency’s end.

Inflation Reduction Act: An Analysis for Essential Hospitals

Notable for essential hospitals, the bill contains an extension of Affordable Care Act advance premium tax credits, and historic drug pricing provisions that give the federal government power to negotiate drug prices on behalf of Medicare beneficiaries.

COVID-19: CDC Updates Safety Guidance, Bebtelovimab Goes Commercial

CDC updated its COVID-19 safety guidelines, FDA warned of false negative test risks, and bebtelovimab will transition to the commercial marketplace.

COVID-19: Long COVID-19 Action Plan, ASPR Paxlovid Resource

HHS releases two new reports on long COVID-19 research and support, while the Administration for Strategic Preparedness & Response shares guidance on Paxlovid efficacy and eligibility.

HHS Declares Monkeypox a Public Health Emergency

The declaration enables HHS to modify Medicare and Medicaid program requirements and could lead to more emergency funding for virus prevention and vaccines.

States Respond to Monkeypox: Vaccine Access, Enhanced Surveillance

As monkeypox continues to spread, New York health leaders declare the virus an imminent threat, while California leaders request additional vaccine supply.

COVID-19: HHS Secures Moderna Bivalent Vaccine Doses, CDC Releases Booster Safety Update 

HHS agreed to purchase 66 million Moderna bivalent COVID-19 vaccine doses, while the CDC reported fewer vaccine reactions for those older than 50 who receive a second mRNA booster shot.

Monkeypox: Updated Clinical Guidance, Additional Vaccine Allocation

As the World Health Organization declares monkeypox a global health emergency, CDC updates clinical guidance, and HHS plans to allocate additional vaccine doses.

Urge Your Representatives to Cosponsor SAVE Act

America’s Essential Hospitals asks that you urge your U.S. House lawmakers to cosponsor the Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 7961), legislation that would protect caregivers from workplace violence.

COVID-19: CDC Recommends Novavax Vaccine, Shares Vaccine Efficacy Update

CDC recommends the Novavax COVID-19 vaccine for adults and reports that additional mRNA COVID-19 vaccine booster doses increase protection against moderate and severe COVID-19.

COVID-19: FDA Authorizes Novavax Vaccine, Administration Releases BA.5 Strategy

FDA approves the Novavax COVID-19 vaccine for those 18 and older as Biden-Harris administration releases action plan to take on BA.5 subvariant.

HHS Renews COVID-19 Public Health Emergency

Effective July 15, Health and Human Services Secretary Xavier Becerra renewed the COVID-19 public health emergency determination.

COVID-19: Adolescent Vaccine Approved, Pharmacists May Prescribe Paxlovid

FDA approves the Pfizer COVID-19 vaccine for use in individuals ages 12 to 15 and authorizes state-licensed pharmacists to prescribe Paxlovid.

HRSA to Reopen First PRF Reporting Period

Certain providers who returned Provider Relief Fund payments because they were unable to meet the period 1 reporting deadline can apply for reissuance of these funds.

White House Releases Maternal Health Blueprint

The document outlines five priority goals to improve maternal health and outcomes and, for each, actions the federal government will take.

Administration Announces First Phase of Monkeypox Response

The strategy aims to deploy vaccines rapidly in the most affected communities, facilitate testing, and engage stakeholders to mitigate spread.

HHS to Host Climate Change Webinar Series

The HHS Office of Climate Change and Health Equity announced a climate change webinar series, beginning July 14, and shared a companion resource compendium.

COVID-19: FDA Recommends Omicron-Specific Booster, Pfizer Seeks Paxlovid Approval

FDA advises vaccine manufacturers to incorporate an omicron variant component into booster doses; Pfizer requests FDA approval of antiviral pill Paxlovid.

COVID-19: FDA Committee to Deliberate Vaccine Composition

CDC recommends the Moderna vaccine for kids ages 6 to 17; an FDA committee will consider modifying COVID-19 vaccine composition to reflect virus mutations.

COVID-19: CDC Recommends Moderna, Pfizer Vaccines for Children

CDC recommends that children ages 6 months to 5 years receive a COVID-19 vaccine; Pfizer study data shows Paxlovid failed to alleviate COVID-19 symptoms.

Florida Declines to Preorder COVID-19 Vaccines for Young Children

The Florida Department of Health does not recommend COVID-19 vaccines for “healthy children” and will not facilitate statewide vaccine distribution; health care providers still may order vaccines directly from the federal government.

President Biden Signs Executive Order on LGBTQI+ Equality

The order instructs the HHS Secretary to use the agency’s authorities to protect LGBTQI+ individuals’ access to medically necessary care.

COVID-19: Travel Test Requirement Rescinded, Novavax Vaccine Recommended

CDC no longer requires a negative COVID-19 test or proof of COVID-19 recovery from travelers to the United States; an FDA advisory committee recommends the Novavax vaccine.

COVID-19: FDA Committee to Review Vaccine Authorization Requests

An FDA advisory committee deliberates the safety of Novavax’s COVID-19 vaccine and will consider amendments to Pfizer’s and Moderna’s authorization requests later this month.

COVID-19: FDA Revises Treatment EUAs, Issues Fraud Warning

FDA extended the shelf life of select lots of bebtelovimab and updated the authorization for Evusheld to include information about hypersensitivity risks.

CDC Confirms Monkeypox Case in United States

CDC is tracking monkeypox, a virus endemic to west and central Africa, after confirming a case in a Massachusetts resident who recently traveled to Canada.

New CMS Resource on Medicaid Eligibility and Enrollment Processing Requirements

A new CMS resource highlights federal requirements for program renewals, verifications, applications, and oversight amid the anticipated COVID-19 public health emergency unwinding.

COVID-19: Pfizer Pediatric Vaccine Data; Booster Eligibility Expanded

Pfizer and BioNTech release promising data on a three-dose COVID-19 vaccine for children six months to younger than 5; CDC expands booster shot eligibility to include everyone 5 years old and older.

New 988 Suicide and Crisis Lifeline Live in July

The current National Suicide Prevention Lifeline number, 1.800.273.8255, will transition to 988 on all devices on July 16.

Association Comments on HHS Climate Strategy Plan Outline

The association urged HHS to provide funding, educate stakeholders, and build capacity to execute the 2022 Environmental Justice Strategy and Implementation Plan.

COVID-19: Post-PHE Planning; Pediatric Booster Authorized

HHS urges governors to start planning for the end of the COVID-19 public health emergency; FDA authorizes a Pfizer booster vaccine for children ages 5 to 11.

New Climate Resilience and Emissions Reduction Resources

New HHS initiatives focus on climate change, health equity, and the role health care stakeholders can play in promoting climate resilience.

COVID-19: Janssen Limits, Vaccines Linked to Medicare Savings

FDA limits authorized use of the Janssen COVID-19 vaccine after reports of thrombosis with thrombocytopenia syndrome following vaccination; a new analysis estimates vaccines are associated with $2.6 million in savings due to a reduction in Medicare hospitalizations.

COVID-19: New Subvariant on Rise, Moderna Seeks Pediatric EUA

A new omicron subvariant, BA.2.12.1, constitutes more than 30 percent of U.S. genomic sequences; Moderna files for emergency use authorization for a vaccine for children younger than 6.

COVID-19: Moderna Bivalent Booster, CDC Forecasting Center

Moderna releases promising preliminary data on its variant-specific COVID-19 booster shot; CDC launches a Center for Forecasting and Outbreak Analytics.

HHS Launches Pledge to Reduce Health Care Emissions

Hospitals and other industry stakeholders are invited to pledge by June 3 to reduce greenhouse gas emissions and increase their climate resilience.

Association Comments on Climate and Economic Justice Screening Tool

America’s Essential Hospitals generally supports the tool, as it will direct investments to target several social determinants of health, but recommended the tool show aggregate data at the state and county levels.

CMS Releases Health Equity Action Plan

The action plan includes goals to close gaps in health care access, quality, and outcomes through data collection, outreach, and community engagement.

Essential Hospitals Advance Equity through Hospital-At-Home Model 

The ability to provide hospital-level care at home has been essential to managing case surges during the COVID-19 pandemic and can improve access and equity outside of a public health crisis.

HHS Renews COVID-19 Public Health Emergency

Effective Jan. 14, Health and Human Services Secretary Xavier Becerra renewed the public health emergency determination related to the continued effects of COVID-19; the determination has been in place since Jan. 27, 2020, and has been renewed every three months.

COVID-19: Long COVID-19 Initiative; Sotrovimab Authorization Limited

President Biden announces a national research plan on prolonged illness developed after COVID-19; FDA limits authorization of sotrovimab to treat COVID-19.

New Tools for Medicaid Fair Hearings, PHE Unwinding

CMS shares tools to mitigate an anticipated increase in Medicaid fair hearing requests and resume normal operations after the COVID-19 public health emergency ends.

States Respond to COVID-19: Testing, Vaccine Sites Close

Illinois, New Hampshire, and Vermont state health departments scaled back COVID-19 testing and vaccine clinics this spring.

Association Makes Equity Measurement Recommendations to CMS

Recommendations for Medicare and Medicaid equity measures under development focus on standardized data collection and opportunities for testing and feedback.

COVID-19: New Booster Recommendations, COVID.gov Site

CDC recommends an additional COVID-19 booster for older and immunocompromised adults; COVID.gov aggregates COVID-19 prevention and treatment tools; CDC data show threats to youth mental health during the pandemic.

State Policy Snapshot: COVID-19 Telehealth Flexibility Made Permanent

Telehealth is an important tool to connect providers and patients, and this technology only became more vital as the pandemic prevented patients from accessing in-office care. This State Policy Snapshot explores how some states have pursued action to make telehealth flexibility permanent.

On the Hill: Biden’s FY 2023 Budget Takes Center Stage

Congressional panels will review President Joe Biden’s fiscal year 2023 budget request. Sens. Robert Casey Jr. (D-Pa.) and Ron Wyden (D-Ore.) have asked the Government Accountability Office to investigate low vaccination rates among Medicaid beneficiaries.

COVID-19: Second Booster Authorized for Older, Immunocompromised People

FDA authorizes a second vaccine booster for older and immunocompromised individuals; OSHA reopens the comment period for its emergency temporary standard.

States Respond to COVID-19: Ending Daily Reporting

Ten states and the District of Columbia no longer report their COVID-19 data on a daily basis.

COVID-19: Vaccine Effectiveness; Pfizer, Moderna Request EUA for Fourth Shot

Research shows mRNA vaccines effectively prevent ventilation and death from COVID-19; Pfizer and Moderna seek authorization for an additional booster dose.

On the Hill: Additional COVID-19 Relief Stalls

Hopes are slim for additional COVID-19 relief this week, with the House out of session and the Senate focused on a Supreme Court confirmation. Meanwhile, bipartisan legislation would extend the Acute Hospital Care at Home waiver program for two years past the end of the public health emergency. 

LGBTQ Health Care Issues in State Legislatures

At least 20 states are pursuing legislation to limit access to gender-affirming care for transgender youth, while some states have proposed legislation to prohibit discrimination based on sexual orientation and gender identity.

HRSA to Stop Accepting COVID-19 Uninsured Claims

Citing a depletion of funds for the HRSA COVID-19 Uninsured Program, the agency says the last day for providers to submit claims for testing and treatment is March 22 and the last day to submit vaccine administration claims is April 5.

Safety Net Hospitals Need Targeted COVID-19 Relief

Although cases are declining nationwide, safety net hospitals have not recuperated from the effects of the pandemic on their finances and still need additional resources.

States Respond to COVID-19: Pandemic in State-of-the-State Addresses

An analysis finds just 17 governors discussed COVID-19 in their state-of-the-state addresses, with key themes including opposition to vaccine mandates, workforce shortages, and access to COVID-19 vaccines. Active public health emergencies remain in 22 states.

COVID-19: Public Transit Mask Mandate, Test-to-Treat FAQs

The Transportation Security Administration extends to April 18 its public transit mask mandate; HHS shares a fact sheet on the COVID-19 Test-to-Treat initiative.

Protect and Strengthen Our Health Care Safety Net

Ensuring a reliable safety net, one ready to meet the moment in any crisis, means robustly protecting and bolstering the mechanisms and ideals that make the safety net function.

DHS Issues Proposed Rule on Public Charge

The proposed rule limits the types of benefits considered in public charge determinations to exclude nonemergency Medicaid and other in-kind benefits that were in the 2019 final rule.

House Passes Omnibus Spending Bill

The House-passed bill does not allocate additional COVID-19 relief for providers on the front lines of the pandemic. An initial version of the legislation included $15.6 billion in COVID-19 related spending — a scaled-back version of the $22.5 billion requested by the Biden administration.

COVID-19: National Preparedness Plan, FEMA Aid, OSHA Inspections

President Joe Biden unveils a new COVID-19 National Preparedness Plan; FEMA extends its 100 percent federal cost share for COVID-19 efforts.

HHS to Distribute $560M in PRF Phase 4

Coupled with the $11 billion previously distributed, this brings total phase 4 payments to about $11.5 billion, leaving less than $6 billion in pledged funds. These new funds will reach more than 4,000 providers across the United States this week.

COVID-19: Community Levels Framework; Accessibility Plan

CDC announces a new community-level framework that assesses COVID-19 risk; the Biden administration unveils a new COVID-19 mitigation plan for people with disabilities.

CMS Announces ACO Model With Health Equity Focus

The Center for Medicare & Medicaid Innovation will release a request for applications for the Realizing Equity, Access, and Community Health accountable care organization model, which will focus on promoting health equity and mitigating health disparities for underserved communities.

COVID-19: National Emergency Extended; Post-Infection Conditions

National emergency extended; new study highlights conditions and symptoms developed after COVID-19 infection; CDC updates vaccine guidance with clarifications for immunocompromised people.

States Respond to COVID-19: New Health Care Workforce Laws

In the early months of 2022, Alabama, Delaware, Kansas, and New Jersey passed legislation to mitigate health care workforce shortages amid the ongoing COVID-19 public health emergency.

COVID-19: Pediatric Vaccine Delayed; Bebtelovimab Authorized

Authorization for the Pfizer COVID-19 vaccine for children six months to four years old is delayed; FDA authorizes the monoclonal antibody bebtelovimab.

HHS Announces $19.2M to Expand Resident Training in Rural, Underserved Communities

The Department of Health and Human Services will distribute $19.2 million in American Rescue Plan Act funds to help train primary care residents to provide quality care to diverse populations and communities, particularly in underserved and rural areas.

COVID-19: Pediatric Vaccine Application; Medicare Coverage of Testing

Pfizer and BioNTech apply for emergency use authorization for their pediatric COVID-19 vaccine; CDC recommends the Moderna COVID-19 vaccine; Medicare will cover over-the-counter COVID-19 tests.

States Respond to COVID-19: Va., W.Va. Request Vaccine Rule Waiver

In a letter to CMS, Republican Govs. Glenn Youngkin of Virginia and Jim Justice of West Virginia cite strained health care workforce and staffing crises as reasons for requesting relief. They ask for broader conscience exemptions, flexibility on enforcement, or simply a six-month delay of the rule.

COVID-19: Moderna Vaccine Approved; Omicron Variant Strains Health Systems

FDA approves the Moderna COVID-19 vaccine and limits a monoclonal antibody authorization; OSHA withdraws its vaccine mandate emergency temporary standard.

On the Hill: Pandemic Preparedness Bill, OMB Nomination

A bipartisan group of senators released draft legislation to improve the nation’s capacity to respond to future public health crises. Supreme Court Justice Stephen Breyer announces his intent to retire. The Senate Committee on Budget considers the nomination of Shalanda Young as director of OMB.

HHS to Distribute $2B More in Provider Relief Payments

The funds will reach more than 7,600 providers across the country this week; $6 billion in pledged phase 4 funds remain undistributed.

On the Hill: Lawmakers Push for Nurse Staffing, 340B Protections

In separate bipartisan letters, lawmakers called on the Biden administration to help mitigate dire hospital workforce shortages, particularly among nurses, and protect the 340B Drug Pricing Program from harmful drug manufacturer actions.

COVID-19: N95 Mask Distribution, Vaccine Studies

The Biden administration will distribute 400 million no-cost N95 masks; CDC studies highlight the importance of boosters in protecting against COVID-19.

New Priority Areas, Search Function for Association’s State Action Page

The relaunched members-only state action page now includes a search-by-state tool and specific areas focused on state responses to COVID-19 and health equity.

COVID-19: Vaccine Mandate Ruling; Testing and Therapeutics Access

The U.S. Supreme Court upheld CMS’ vaccine mandate but struck down the Occupational Safety and Health Administration’s mandate; President Joe Biden announced new initiatives to expand testing access.

On the Hill: FDA Commissioner Nominee Advances

The nomination of Robert Califf, MD, as commissioner of the Food and Drug Administration advances to the Senate floor. The Republican-led Healthy Futures Task Force issues several requests for information on telehealth policies and health care affordability.

CMS Finalizes IPPS Provisions on GME, Organ Acquisition Costs

A final rule with comment period from the Centers for Medicare & Medicaid Services addresses the distribution of 1,000 new graduate medical education slots and other policies.

HHS Extends COVID-19 Public Health Emergency

Effective Jan. 14, Health and Human Services Secretary Xavier Becerra renewed the public health emergency determination related to the continued effects of COVID-19; the determination has been in place since Jan. 27, 2020, and has been renewed every three months.

States Respond to COVID-19: Ark., Minn. Request Funds to Support Hospitals

Arkansas Gov. Asa Hutchinson (R) requests $50 million in federal American Rescue Plan Act (ARPA) funds to pay for extra hospital beds across the state; Minnesota Gov. Tim Walz (D) requests $40 million in new ARPA funding to support hospital staffing.

COVID-19: Revised Booster Guidance, Supreme Court Vaccine Mandate Arguments

CDC shortens the time between primary vaccine series and booster shot and recommends a Pfizer booster for adolescents; the Supreme Court hears oral arguments on two vaccine mandates; HHS requires coverage of at-home COVID-19 tests, effective Jan. 15.

On the Hill: Congress Examines COVID-19 Response, Considers More Aid

House lawmakers noted upcoming federal funding legislation could be an opportunity for additional COVID-19 relief. A Senate committee examines COVID-19 variants and the federal response. Both chambers released draft schedules for their 2022 work.

N.Y. Governor Highlights Health Care Workforce, Equity Initiatives

New York Gov. Kathy Hochul (D) gave her first State of the State address, highlighting plans to retain and grow the state’s health care workforce and invest in initiatives to advance health equity.

States Respond to COVID-19: Boosters Required for Health Care Staff

In response to rising COVID-19 cases, California, Connecticut, and New Mexico will require health care workers to receive a vaccine booster shot.

HHS Updates Guidance for Hospital COVID-19 Reporting

The guidance results in a net reduction of about 30 percent of data fields; it adds questions on pediatric data, as well as makes mandatory certain influenza fields. The HHS guidance does not satisfy the requirements of a CMS quality measure on health care personnel vaccination rates.

COVID-19: Guidance Updates, Authorization of Antiviral Pills

FDA expands authorization for the Pfizer COVID-19 booster; FDA authorizes two antiviral pills; CMS updates guidance on vaccine mandate compliance.

States Respond to COVID-19: R.I. Executive Order on Hospital Capacity, Staffing

Rhode Island Gov. Daniel McKee (D) released a Dec. 22 executive order addressing hospital capacity and flexibility for patient care given recent surges in COVID-19 cases and medical staff shortages.

Association Comments on CMS Vaccination Rule

The association asked that CMS provide additional time for hospitals to comply with the requirements, especially given the uncertain outcome of pending litigation regarding the administration’s vaccine mandate.

COVID-19: CDC Gives Preference to mRNA Vaccines; CMS Vaccine Rule Revived

CDC recommends mRNA COVID-19 vaccines be given clinical preference over the Janssen vaccine; the CMS vaccine mandate rule is revived in 25 states.

HRSA Reopens Provider Relief Fund Portal

Providers now have until Dec. 20 to report lost revenue and expense information related to the receipt of Provider Relief Fund payments.

COVID-19: Pfizer Booster Expanded; FDA Authorizes Preventive Monoclonal Antibodies

FDA authorizes the Pfizer COVID-19 vaccine booster for individuals as young as 16; the agency also authorizes a monoclonal antibody for COVID-19 prevention.

SAMHSA to Issue $30M in Harm Reduction Grants

The Substance Abuse and Mental Health Services Administration will ask grant recipients to develop or expand evidence-based services that may include the provision of sterile syringes, safe-sex kits, prevention education, overdose prevention kits, and more. Applications are due Feb. 7, 2022.

Surgeon General Issues Advisory on Youth Mental Health Crisis

The advisory aims to combat the youth mental health crisis that worsened due to the COVID-19 pandemic. Specifically, the surgeon general recommends health care professionals focus on prevention and trauma-informed care principles, routinely screen children for mental health risk factors, and more.

Association Comments on AHRQ Role in Climate Change, Environmental Justice

In its comments to the Agency for Healthcare Research and Quality, the association stressed the importance of considering hospital physical infrastructure and financial status in developing research and practice improvement strategies.

CMS Releases State Guidance on Maintaining Medicaid, CHIP Coverage

CMS released guidance to help states maintain Medicaid and Children’s Health Insurance Program coverage as they return to normal operations when the COVID-19 public health emergency ends. Many strategies in the documents require support from outside organizations that work with beneficiaries.

States Respond to COVID-19: Ind. Extends State PHE

Indiana Gov. Eric Holcomb (R) renewed the state COVID-19 public health emergency and issued an executive order allowing out-of-state medical personnel to continue working in Indiana, expanding the types of providers who can administer vaccines, and ensuring eligible children can receive the vaccine.

Medicaid DSH Cuts: Myth Versus Facts

Cutting the DSH program — especially with hospitals still on the front lines of COVID-19 — is misguided. Our latest Our View dispels common misconceptions about these proposed DSH cuts.

COVID-19: New Variant; CMS Vaccine Mandate Halted in 10 States

The World Health Organization Nov. 26 classified a new COVID-19 variant, B.1.1.529, referred to as omicron. The variant was first reported in South Africa. To date, no cases have been identified in the United States.

ARPA Funds Support the Health Care Workforce

The pressures of the COVID-19 public health emergency led to significant burnout among the health care workforce. This State Policy Snapshot summarizes how state and local governments sought relief to help meet this challenge.

States Respond to COVID-19: N.Y. Declares Disaster Emergency

New York is experiencing a surge in COVID-19 transmission rates. An executive order from the governor authorizes all state agencies to take appropriate action to assist local governments and individuals in combating COVID-19, including delaying non-essential elective procedures, until Jan. 15, 2022.

HHS Announces Funding to Support Health Care Workforce

The Department of Health and Human Services announced a $1.5 billion investment to help grow and diversify the nation’s health care workforce through loan repayment and scholarship programs.

Association Comments on DACA Proposed Rule

The proposed rule aims to strengthen and preserve the Deferred Action for Childhood Arrivals policy, which is critical to the nation’s health care workforce. The association urges the Department of Homeland Security to formally add the policy through the notice-and-comment rulemaking process.

COVID-19: Vaccine Booster Eligibility, Oral Antiviral Medication

FDA and CDC endorse expanded eligibility for Pfizer and Moderna COVID-19 booster vaccine doses; Pfizer seeks authorization for its COVID-19 antiviral pill.

Presidential Health Equity Task Force Highlights State Innovation

As part of its final report and implementation plan, the Presidential Health Equity Task Force highlighted several states and communities that are improving equitable health care, including California’s efforts to expand broadband services, the Cherokee Nation’s vaccination efforts, and more.

OSHA, CMS Release COVID-19 Vaccination Rules

CMS recently announced vaccination requirements for providers as a condition of participating in Medicare and Medicaid. Simultaneously, the Department of Labor’s Occupational Safety and Health Administration released an emergency temporary standard for employers with at least 100 employees.

Presidential Health Equity Task Force Issues Recommendations

The Presidential Health Equity Task Force released recommendations for equitable disbursement of COVID-19 relief funds and culturally aligned communication to people of color and other underserved populations. Meanwhile, the White House announced $785 million in new investments to improve on equity.

COVID-19: Pfizer Urges Expansion of Booster EUA; FEMA Funding Extended

Pfizer and BioNTech ask the FDA to authorize their COVID-19 booster vaccine for everyone age 18 and older; FEMA COVID-19 funding will continue until April 2022.

States Respond to COVID-19: Case Counts Surge on West Coast

Colorado reactivates its statewide crisis standards of care related to health care workforce staffing, and the state health department approves booster vaccines for all eligible adults. California’s Department of Public Health encourages providers to offer booster shots to adults.

COVID-19: CDC Recommends Pfizer Vaccine for Children

CDC recommends the Pfizer COVID-19 vaccine for children ages 5 to 11; CMS holds a stakeholder call on its vaccine mandate for health care workers. Pfizer says its investigational novel COVID-19 oral antiviral candidate significantly reduces hospitalization and death.

CMS, OSHA Issue New Vaccination Requirements

CMS announced phased vaccination requirements as a condition of participating in Medicare and Medicaid; vaccination must be completed by Jan. 4, 2022. A new Occupational Safety and Health Administration emergency temporary standard promotes vaccination for businesses with 100 or more employees.

COVID-19: FDA Authorizes Pfizer Vaccine for Children

FDA authorizes the Pfizer COVID-19 vaccine for use in children ages 5 to 11 and delays approval of the Moderna vaccine in adolescents ages 12 to 17. The agency recommends providers avoid purchasing or using imported medical gloves from certain companies that might be in violation of laws and rules.

New Overdose Prevention Strategy Announced

The new strategy from the Department of Health and Human Services expands the scope of crisis response beyond opioids to include other substances often involved in overdoses. It focuses on four priority areas: primary prevention, harm reduction, evidence-based treatment, and recovery support.

HHS Releases Health Workforce Strategic Plan

The plan — required by the Coronavirus Aid, Relief, and Economic Security Act — focuses on increasing the health workforce in rural and underserved areas and better preparing for the health care needs of the future. HHS will issue a report to Congress on implementation.

COVID-19: FDA, CDC Recommend Boosters; Plan to Vaccinate Children

FDA and CDC recommend Moderna and Janssen booster vaccines, along with heterologous booster doses; the Biden administration releases a plan to vaccinate children.

States Respond to COVID-19: N.M. Implements Crisis Standards of Care

For the second time during the COVID-19 public health emergency, New Mexico enacted crisis standards of care to address critical workforce shortages. The state is experiencing a drastic shortage of health care workers as it battles provider burnout and higher wages offered in other states.

Association Submits Comments on Public Charge ANPRM

America’s Essential Hospitals submitted comments on the Department of Homeland Security advanced notice of proposed rulemaking on the public charge ground of inadmissibility. Following feedback, the agency plans to engage in the rulemaking process to issue an updated public charge regulation.

CMS Innovation Center Outlines Strategy for Next Decade

A new Center for Medicare and Medicaid Innovation white paper outlines a strategy to advance health system transformation. The goal is to achieve equitable outcomes by driving accountable care, advancing health equity, supporting innovation, addressing affordability, and creating partnerships.

Medicaid Required to Cover COVID-19 Treatment

CMS will require states to cover COVID-19 treatment with no cost-sharing for Medicaid and Children’s Health Insurance Program beneficiaries. Further, states in some circumstances must cover treatments for conditions that might seriously complicate the treatment of COVID-19.

Association Urges Action to Protect Health Care Workforce

In a letter to congressional leaders, America’s Essential Hospitals advocates for strengthening the health care workforce in the wake of COVID-19, including through more funding in public health emergencies, prioritized visas for foreign clinicians, and increased graduate medical education slots.

COVID-19: FDA Panel Endorses Moderna, Janssen Boosters

The Vaccines and Related Biological Products Advisory Committee endorses booster shots of the Moderna and Janssen COVID-19 vaccines. Meanwhile, FDA delays authorization of the Moderna COVID-19 vaccine for emergency use in adolescents ages 12 to 17 after reports of cardiac side effects.

$100M Announced for State Loan Repayment Program

Money from the American Rescue Plan will fund up to 50 awards through the Health Resources and Services Administration’s State Loan Repayment Program for state-run programs that support, recruit, and retain primary care clinicians who work in underserved communities.

States Respond to COVID-19: Ala., W.Va. Take Steps to Help Hospitals

Alabama extends its state of emergency, enabling hospitals to relax regulations to expand capacity and allowing out-of-state clinicians to practice in Alabama. A new West Virginia initiative provides hospitals financial and staffing support to avoid the need for care rationing.

HHS Extends COVID-19 Public Health Emergency

Effective Oct. 18, Health and Human Services Secretary Xavier Becerra renewed the public health emergency (PHE) determination related to the continued effects of COVID-19. The PHE determination has been in place since Jan. 31, 2020.

Hospitals Paying $24B More for Labor during Pandemic

A new analysis finds annual clinical labor costs in the emergency department and intensive care unit and among nursing staff increased by $24 billion due to the COVID-19 pandemic, translating to about $17 million in additional expenses for the average 500-bed facility.

Colo. Addresses Barriers to Care for LGBTQ Population

Colorado expanded its essential health benefit benchmark plan to enhance coverage for those seeking gender-affirming care, effective January 2023. This expansion is the first of its kind to be approved by the Centers for Medicare & Medicaid Services.

Administration Proposes to Codify DACA Program

The Department of Homeland Security will use the notice-and-comment rulemaking process to codify the Deferred Action for Childhood Arrivals program.

HHS Spanish Language App Helps Navigate Health Care

HHS released a Spanish version of QuestionBuilder, an app that helps patients and caregivers prepare for their in-person or telehealth appointments, along with a report on Latino patients’ access to care.

COVID-19: Vaccine Effectiveness, Authorization Updates

An HHS report shows the COVID-19 vaccine prevented hospitalization and death in Medicare beneficiaries; Pfizer applies for emergency use authorization for its vaccine in children age 5 to 11.

COVID-19: HIPAA Guidance; Vaccinating Pregnant People

HHS guidance clarifies how HIPAA applies to COVID-19 vaccination status requests; CDC urges pregnant people to get vaccinated amid a surge in hospitalizations.

Applications Open for New Round of COVID-19 Relief Funds

Providers can simultaneously apply for Phase 4 of the Provider Relief Fund and American Rescue Plan rural payments; applications close Oct. 26. The Health Resources and Services Administration will host a series of informational webinars about the funding application portal.

COVID-19: FDA, CDC Recommend Pfizer Booster Shot

FDA on Sept. 22 authorized a third booster dose of the Pfizer-BioNTech COVID-19 vaccine for select groups. A CDC panel subsequently recommended the booster shots, and CMS announced coverage for all Medicare beneficiaries and nearly all Medicaid and Children’s Health Insurance Program beneficiaries.

States Respond to COVID-19: Alaska, Idaho Enact Crisis Standards of Care

Due to increasing COVID-19 hospitalizations, Alaska and Idaho this month enacted statewide crisis standards of care. These standards are used when health care systems are unable to operate normally due to an extreme public health event.

COVID-19: FDA Votes on Boosters, CDC Infection Control Funding

An FDA advisory committee recommends a Pfizer COVID-19 vaccine booster for a limited population; CDC announces $2.1 billion dedicated to infection control and prevention.

States Respond to COVID-19: Supporting the Health Care Workforce

States facing a rapid rise in COVID-19 cases are making efforts to support their increasingly burdened health care workforce. Meanwhile, the Federal Emergency Management Agency requested teams to support civilian health care workers treating COVID-19 patients in local state hospitals.

COVID-19: President’s Plan, Infection Control Guidance

The president’s newly announced “Path out of the Pandemic” plan includes action steps for increasing vaccinations, further protecting those who are vaccinated, keeping schools safely open, testing and mask requirements, and economic recovery. CDC updates its infection control guidance.

HHS Announces More Than $25B in COVID-19 Provider Funds

A total of $25.5 billion will be available, including $17 billion through the Provider Relief Fund and $8.5 billion in American Rescue Plan funding for providers serving rural patients. Providers can apply for the new funding Sept. 29.

COVID-19: Vaccine Boosters, Youth Hospitalizations

An FDA committee will review Pfizer’s COVID-19 vaccine booster application; Moderna is applying for booster approval. CDC data show COVID-19 hospitalizations on the rise among children.

States Respond to COVID-19: Postponing Surgeries, Workforce Challenges

As hospitals respond to the rising delta variant and struggle with capacity, some states are calling on hospitals to once again postpone elective surgeries. Executive orders in other states expand flexibility to address health care workforce shortages amid COVID-19 surges.

Association Calls for Essential Hospital Priorities in Reconciliation Bill

In a letter to Democratic congressional leadership, the association urges consideration of essential hospital priorities — including funding for critical workforce and hospital infrastructure needs and protecting the 340B Drug Pricing Program — in forthcoming budget reconciliation legislation.

COVID-19: CDC Recommends Pfizer Vaccine, Warns Against Ivermectin

A CDC advisory committee voted Aug. 30 to recommend the Pfizer-BioNTech COVID-19 vaccine; the agency warns against using ivermectin to treat or prevent COVID-19.

Association Urges HHS to Boost Pandemic Response

In a letter to HHS Secretary Xavier Becerra, America’s Essential Hospitals urges the agency to swiftly allocate and target remaining PRF funds, take steps to ensure adequate hospital staffing, expedite full approval of COVID-19 vaccines, and protect the nation’s supply chain.

COVID-19: FDA Approves Pfizer Vaccine; HHS Promotes Boosters

FDA approves the Pfizer-BioNTech COVID-19 vaccine. HHS plans to promote a booster shot of the mRNA vaccines beginning in September. CMS and CDC work to develop an emergency regulation requiring COVID-19 vaccination for nursing home staff.

States Respond to COVID-19: Medicaid Reimbursement for Vaccine Counseling

Several state Medicaid programs have begun reimbursing for vaccine counseling services amid efforts across the country to increase COVID-19 vaccination rates. Vaccine counseling services can provide reassurance, education, and clarity to those experiencing vaccine hesitancy.

Association Comments on COVID-19 Emergency Temporary Standard

America’s Essential Hospitals outlines concerns with the timeline for implementation and the scope of the Occupational Safety and Health Administration’s emergency temporary standard (ETS) for occupational exposure to COVID-19.

CMS Issues FY 2022 IPPS Final Rule

The rule includes numerous policy and payment changes for Medicare’s Inpatient Prospective Payment System for fiscal year 2022, including a 2.5 percent increase in inpatient payment rates.

COVID-19: Booster Shots, Vaccinating Pregnant and Breastfeeding People

FDA and CDC recommend a third mRNA COVID-19 vaccine dose for immunocompromised people; CDC recommends COVID-19 vaccines for pregnant and breastfeeding people.

CMS Updates Guidance for Medicaid After COVID-19

In an Aug. 13 letter to state health officials, the Centers for Medicare & Medicaid Services updates its guidance regarding the resumption of normal state Medicaid, Children’s Health Insurance Program, and Basic Health Program operations when the COVID-19 public health emergency ends.

States Respond to COVID-19: More Actions to Curb Delta Variant

Arkansas governor holds town halls after state lawmakers deny exceptions to a law prohibiting government agencies from mandating mask use. California will require school staff to be fully vaccinated or tested weekly. Texas asks hospitals to voluntarily postpone elective medical procedures.

White House Virtual Conversation On Vaccination Efforts

The White House COVID-19 Response Team will host an Aug. 23 virtual conversation on increasing vaccination in an equitable way. The event is open to health system leaders and health care providers.

COVID-19: Vaccine Effectiveness; Eviction Moratorium

Two CDC studies highlight the effectiveness of the COVID-19 vaccines in preventing reinfection and hospitalization; CDC extends the eviction moratorium.

COVID-19: CDC Expands Mask Recommendations

CDC recommends everyone, even those who are fully vaccinated, wear a mask indoors in public in areas with substantial and high COVID-19 transmission.

States Respond to COVID-19: Governors Respond as Delta Variant Spreads

Many governors are taking renewed action to combat COVID-19 as the delta variant spreads. Some states have renewed their public health emergency declarations, while others are mandating vaccinations for certain state workers. However, nine states have enacted laws prohibiting vaccine mandates.

COVID-19: Cases on the Rise; Association Urges Vaccine Requirement

As COVID-19 cases rise, the association calls on members to require employee vaccination; CDC urges immunocompromised people to continue wearing masks.

HHS Extends COVID-19 Public Health Emergency

Effective July 20, Health and Human Services Secretary Xavier Becerra renewed the public health emergency (PHE) determination related to the continued effects of COVID-19. The PHE determination has been in place since Jan. 31, 2020, and has been renewed every three months since.

HRSA Announces Funding for Health Care Workforce Mental Health

HRSA announced $103 million in American Rescue Plan funding over three years to help reduce burnout and promote mental health among the health care workforce.

COVID-19: Health Misinformation, Minority Health Index

The U.S. Surgeon General issues a health misinformation advisory; CDC and the Office of Minority Health develop a Minority Health Social Vulnerability Index.

States Respond to COVID-19: New Requirements due to Delta Variant

Colorado is requiring medical-grade face coverings for unvaccinated or not fully vaccinated employees in settings that serve vulnerable or at-risk populations, and Mississippi is recommending those 65 and older avoid mass gatherings, regardless of vaccination status.

COVID-19: OSHA Extends ETS Comment Period; Booster Shot Guidance

The Occupational Safety and Health Administration extends to Aug. 20 the comment period for the COVID-19 health care emergency temporary standard. The Centers for Disease Control and Prevention and the Food and Drug Administration say fully vaccinated individuals do not need COVID-19 booster shots.

HHS Awards $250M to Fight COVID-19 Among Marginalized Communities

The Department of Health and Human Services announced $250 million in grant awards to 73 local governments as part of a new initiative to identify and implement best practices for improving health literacy to enhance COVID-19 vaccination among underserved populations.

States Respond to COVID-19: Increasing Delta Variant Cases

The highly contagious COVID-19 delta variant has been found in all 50 states and experts warn unvaccinated individuals and younger populations are highly susceptible. This variant presents a significant threat in states with low vaccination rates, including Arkansas, Missouri, Nevada, and Utah.

PRF Reporting Portal Now Open

Providers who received Provider Relief Fund dollars and are required to document their use during reporting period 1 (April 10–June 30, 2020) have until Sept. 30 to access the portal and submit the information.

COVID-19: Eviction Moratorium Extended; Pause in Therapeutics Distribution

CDC extends to July 31 the eviction moratorium to protect people unable to make rental payments due to the COVID-19 public health emergency. Distribution of bamlanivimab and etesevimab is paused after tests find they are ineffective against some COVID-19 variants.

Association Urges HHS to Allocate Remaining PRF Funds

America’s Essential Hospitals urged the agency to ensure essential hospitals receive much-needed relief and are equipped for their central role in the continued response to the pandemic, including allocating remaining Provider Relief Fund dollars and revising guidance on the use of these funds.

CDC Issues Care Guidance for Prolonged COVID-19 Health Issues

The interim guidance covers physical and mental health conditions present four or more weeks after some COVID-19 infections, including by patients who initially had mild or asymptomatic acute infections.

COVID-19: Novavax Vaccine; Hospital Vaccine Allocation

Novavax Inc.’s COVID-19 vaccine demonstrated 90.4 percent efficacy in clinical trials; CDC urges vaccination upon hospital discharge.

HHS Extends Timeline for Use of PRF Funds

The new timeline for spending and reporting on Provider Relief Fund (PRF) dollars depends on when a provider received the payments. The PRF reporting portal, which so far has been open only for registration, will open July 1 for providers to begin reporting on the use of their PRF payments.

States Respond to COVID-19: Varied Progress on Vaccinations

Several states have reached or surpassed President Joe Biden’s goal of vaccinating 70 percent of the U.S. adult population by July 4. However, other states lag behind; in 15 states, less than half the adult population has received at least one dose of a COVID-19 vaccine.

OSHA Issues Emergency Temporary Standard on COVID-19

The emergency temporary standard aims to protect those working in health care settings where suspected or confirmed COVID-19 patients are treated.

COVID-19: National Month of Action; Moderna Files for Vaccine Approval

President Biden announces a National Month of Action to vaccinate 70 percent of U.S. adults by July 4; Moderna applies for FDA approval of its vaccine.

States Respond to COVID-19: Budgets Include Pandemic-Related Funding

Several states have enacted fiscal year 2022 budgets that include line items related to the pandemic. For example, Florida budgeted $326 million to continue response efforts and Washington allocated money to hire case investigators, contact tracers, and other positions to respond to COVID-19.

COVID-19: New Variant Names; Vaccinating Pregnant People

WHO announces new names for SARS-CoV-2 variants of concern; two NIH studies show that mRNA vaccines are safe for pregnant people.

On the Hill: Republicans Counter Infrastructure Plan

Republicans offer a $928 billion counterproposal to President Joe Biden’s $1.7 trillion infrastructure package. Leaders of the Senate Committee on Health, Education, Labor, and Pensions and House Committee on Energy and Commerce seek information on developing a public health insurance option.

States Respond to COVID-19: Increased Frequency of Variants in Six States

Six states — Arizona, California, Florida, Indiana, Oregon, and Washington — are experiencing a frequency of COVID-19 variants, first identified in Brazil and South Africa, greater than 10 percent. FDA recommends providers in these states use only the REGEN-COV monoclonal antibody for treatment.

COVID-19: Pfizer Vaccine Storage; HHS Funding for Testing of Uninsured

FDA lengthens the refrigerator storage time for the Pfizer COVID-19 vaccine. A new CDC site aggregates state and local COVID-19 funding opportunities. The Department of Health and Human Services allocates $4.8 billion to the HRSA COVID-19 Uninsured Program.

Resources for Equitable Vaccine Access in Latino, Black Communities

The Kaiser Family Foundation, in collaboration with UnidosUS, launched the La Conversación campaign to ensure equitable access to the COVID-19 vaccine for Latino communities. The campaign features more than 75 videos and complements earlier resources for Black communities.

State Policy Snapshot: States Address Structural Racism

This State Policy Snapshot examines the policies and initiatives states are pursuing to dismantle structural racism and achieve health equity. 

States Respond to COVID-19: Lifting Mask Mandates after CDC Guidance

In response to new Centers for Disease Control and Prevention guidance for fully vaccinated people, several states, including Nevada, Oregon, and Washington, have lifted their statewide mask mandates.

Treasury Department Issues Rule on Fiscal Recovery Funds

The Department of Treasury released an interim final rule related to the distribution and allocation of $350 billion in funding for state, local, metropolitan city, and tribal governments; the funding was included in the American Rescue Plan Act.

COVID-19: Mask Guidance for Vaccinated People

New CDC recommendations no longer require people who are fully vaccinated against COVID-19 to wear a mask or physically distance.

HHS Will Enforce ACA’s Nondiscrimination Protections

HHS will interpret and enforce the Affordable Care Act’s prohibition on discrimination “on the basis of sex” to include sexual orientation and gender identity. The change comes in response to a Trump administration rule in June 2020 that removed protections for transgender and LGBTQ individuals.

OMB Issues RFI on Equity Across the Federal Government

The agency seeks input, information, and recommendations from stakeholders on equity assessments and strategies, barrier and burden reduction, procurement and contracting processes, financial assistance, and stakeholder and community engagement.

States Respond to COVID-19: Exploring Vaccination Incentives

States are using varying techniques to encourage the public to get vaccinated for COVID-19. Some states are linking vaccination rates to loosening restrictions or offering financial incentives to those receiving a vaccine, while others focus on forming partnerships to scale up vaccination efforts.

Association Shares Infrastructure Priorities with Congress, Administration

In a set of letters, America’s Essential Hospitals urges the administration and congressional leaders to address pressing facility needs of essential hospitals and the health care safety net.

COVID-19: Virus Transmission; Pfizer Vaccine Authorized for Ages 12–15

A CDC brief updates transmission methods; Pfizer applies for FDA approval of its vaccine; CMS increases the Medicare payment for monoclonal antibodies.

On the Hill: Biden Meets with Lawmakers to Talk Infrastructure

President Joe Biden is scheduled to meet with House and Senate lawmakers this week to discuss a bipartisan path forward on infrastructure legislation ahead of his fiscal year 2022 budget proposal. The Senate is expected to confirm Andrea Joan Palm as deputy secretary of health and human services.

COVID-19: Guidelines for Fully Vaccinated People; Janssen Vaccine Research

New CDC guidelines walk back outdoor mask regulations for fully vaccinated people; two research studies examine adverse reactions to the Janssen COVID-19 vaccine.

New Health Equity Technical Assistance Page

The Office of Minority Health page includes tools for data collection and analysis, developing language access plans, and strategic plan creation.

HHS Updates Buprenorphine Prescribing Requirements

Effective April 28, HHS expanded the group of providers eligible to prescribe buprenorphine, a drug used to treat opioid use disorder, and removed some barriers to its use.

On the Hill: Republican Infrastructure Counteroffer; Rx Drug Pricing Bills

Senate Republicans release a $568 billion infrastructure framework to kickstart negotiations. House Democrats and Republicans reintroduce opposing prescription drug pricing bills. A CMS decision delays advancement of Chiquita Brooks-LaSure’s nomination for CMS administrator.

States Respond to COVID-19: Targeted Vaccine Campaigns

As COVID-19 vaccine rollout continues, several states — including California, Maryland, Massachusetts, Ohio, and Washington — have created targeted campaigns to reach marginalized populations disproportionately affected by the public health emergency.

COVID-19: Janssen Vaccine Pause Lifted; Long-Term Health Needs

CDC and FDA lift the pause on Janssen vaccine administration after blood clot reports. Data show COVID-19 patients have long-term health needs.

Further Extension of COVID-19 Public Health Emergency

The COVID-19 public health emergency (PHE) determination has been renewed effective April 21. The PHE determination initially was made Jan. 31, 2020, and has been renewed a total of five times.

COVID-19: Vaccine Eligibility Expands; Janssen Vaccine Remains Paused

Everyone in the United States ages 16 and older is now eligible for a COVID-19 vaccine; CDC’s advisory committee will meet April 23 to discuss the Janssen vaccine pause.

Next Application Round for COVID-19 Telehealth Program

The FCC announced the filing window for the second round of applications for the COVID-19 Telehealth Program will open at noon ET on April 29. The agency plans to award funding in two phases so applicants have the opportunity to provide supplemental information if they initially are denied funding.

On the Hill: Infrastructure Talks Continue; CMS, HHS Nominee Hearings

The president met with a group of bipartisan lawmakers to discuss his $2 trillion American Jobs Plan infrastructure proposal; other lawmakers have expressed interest in a less costly, more targeted package. The Senate Committee on Finance is expected to advance two Biden administration nominees.

States Respond to COVID-19: Vaccine Passport Programs

New York is the first state to implement no-cost, voluntary “vaccine passports” — credentials to show proof of inoculation. Hawaii is testing similar technology. Other states have expressed privacy concerns related to vaccine passports, with the governors of Florida and Texas barring such policies.

HHS Approves Historic Maternal Health Waiver

The waiver makes Illinois the first state to provide continuity of full Medicaid benefit coverage for mothers by extending eligibility during the entire first year after delivery.

COVID-19: Janssen Vaccine on Hold; Health Center Vaccine Program

CDC and FDA recommend pausing Janssen COVID-19 vaccine administration after six U.S. reports of blood clots; HHS expands the Health Center Vaccine Program.

CDC Director Declares Racism a Public Health Threat

CDC Director Rochelle Walensky declared racism a serious public health threat and outlined agency efforts to mitigate the impact of racism on public health. The association applauds Walensky’s clear statement on systemic racism.

COVID-19: Community Corps, Travel and Cleaning Guidance

HHS and CDC launch a nationwide grassroots vaccine promotion network; CDC issues new guidance on travel, cleaning, and disinfection.

Administration Releases Drug Policy Priorities

The Office of National Drug Control Policy outlines the Biden administration’s drug policy priorities for 2021, including expanding access to evidence-based treatment and prevention services, advancing racial equity,
reducing supply of illicit substances, and advancing recovery-ready workplaces.

Information on Second Round of COVID-19 Telehealth Program

In a newly issued report and order, the Federal Communications Commission provided more information on the application and evaluation process for the second round of the COVID-19 Telehealth Program. The application window will open within 30 days of the order.

COVID-19: Vaccine Access and Effectiveness

President Joe Biden announced initiatives to expand COVID-19 vaccine access; a CDC study shows mRNA vaccines are highly effective in preventing SARS-CoV-2 infection.

CMS Issues Interpretive Guidance for Emergency Preparedness

In light of the COVID-19 public health emergency, CMS updated its guidance document to expand on best practices, lessons, and planning considerations for emerging infectious diseases. 

Hospitals Outline Pandemic Challenges in New HHS Report

In a new HHS Office of Inspector General report, hospitals highlight challenges associated with the public health emergency — including barriers to care delivery and vaccination, staff burnout, supply shortages, and declining revenue — that have strained the nation’s health care delivery system.

COVID-19: Antibody-Resistant Variants; Vaccination and Social Risk Factors

FDA alerts providers about monoclonal antibody–resistant SARS-CoV-2 variants; a new study examines vaccine rates in counties where residents experience a high number of social risk factors.

COVID-19: OSHA Guidance, Infection Control

The Occupational Safety and Health Administration updated its COVID-19 enforcement plan; CDC updates infection control guidance for vaccinated people in health care facilities.

On the Hill: Averting Medicare Cuts, Funding Hospital Infrastructure

The House this week will vote on legislation to extend the moratorium on a 2 percent Medicare sequester cut. House Democrats unveil an infrastructure package that prioritizes funding for construction and modernization activities to bolster public health preparedness and cyberattack prevention.

States Respond to COVID-19: Vaccinating Homeless Populations

People experiencing homelessness face barriers to vaccination, including lack of transportation, limited availability of technology, and no established connection to a health care provider. More than 30 states have specifically prioritized vaccinations for homeless populations.

Policy Assembly Advocacy Materials Now Available

The association will convene its virtual spring Policy Assembly March 16. Whether or not you join us, these resources are available to encourage your legislators to protect access to care.

DHS Formally Reverses 2019 Public Charge Rule

Effective March 9, the Department of Homeland Security reverted to enforcing the narrower 1999 definition of public charge, which excludes many of the benefits added by the 2019 rule. Our latest Action Update details the changes and next steps.

Biden Establishes White House Gender Policy Council

A new White House Gender Policy Council, established via executive order, will coordinate efforts to advance gender equity and equality across executive departments and agencies.

President Biden Signs American Rescue Plan Act

The legislation includes $8.5 billion in funding for certain rural providers that serve Medicare and Medicaid beneficiaries and a a temporary increase in Medicaid disproportionate share hospital allotments.

Reimagining the Health Care Safety Net

Essential hospitals rely heavily on a patchwork of federal financial support and resources to meet their mission. Congress must bolster the individual components that form the fabric of the health care safety net.

COVID-19 Protections and Support for Essential Hospitals

Essential hospitals lead the nation in the battle against COVID-19 but new challenges—including COVID variants, vaccination distribution management, and long-term hospitalizations—show more help is needed to ensure providers on the front lines can maintain access to care.

Association Asks Administration for Improved Vaccine Supply

In a March 9 letter, America’s Essential Hospitals asked the administration to ensure adequate vaccine supplies reach essential hospitals, emphasizing the critical role they play in vaccinating the health care workforce and the broader population.

On the Hill: Full Senate to Vote on HHS Secretary Nominee

With a 50–50 party split in the Senate, Democrats must remain united and rely on Vice President Kamala Harris’ vote to confirm the nomination of California Attorney General Xavier Becerra as secretary of health and human services.

New Guidance on Provider Relief Fund, Medicaid DSH Payments

The guidance clarifies how hospitals receiving Medicaid disproportionate share hospital payments can use Provider Relief Fund general and targeted distribution payments.

Senate-Passed COVID-19 Relief Package Includes DSH Fix

The $1.9 trillion package temporarily increases Medicaid disproportionate share hospital allotments to ensure essential hospitals receive the same level of payments as they would have expected absent the pandemic. The package returns to the House for a final vote, expected as early as Tuesday.

COVID-19: Guidelines for Vaccinated People; New CMS Learning Series

CDC releases public health guidelines for fully vaccinated people; CMS invites hospitals to pilot a COVID-19 learning series.

CDC Warns Health Care Providers of Ebola Outbreaks

CDC warns health care providers to stay vigilant amid Ebola outbreaks in the Democratic Republic of the Congo and Guinea.

Association Asks HHS to Direct More PRF Funds to Essential Hospitals

In a letter, America’s Essential Hospitals urges swift allocation of the remaining funds in the $178 billion Provider Relief Fund and calls for another targeted distribution to hospitals omitted from the first two safety-net distributions, among other requests.

States Respond to COVID-19: New York’s Trauma-Informed Care Council

New York establishes an advisory council on trauma-informed care for workers on the front lines of COVID-19. The advisory group will develop reports on immediate needs for front-line health workers and findings and recommendations on long-term, trauma-informed care for these individuals.

On the Hill: COVID-19 Bill Advances to Senate; Becerra Confirmation Vote

The $1.9 trillion COVID-19 relief bill would ensure essential hospitals receive the same level of Medicaid DSH payments as they would have absent the pandemic. Xavier Becerra’s nomination as secretary of health and human services is expected to reach the Senate floor as early as next week.

COVID-19: Janssen Vaccine EUA, Coverage FAQs

FDA granted an emergency use authorization for the one-dose Janssen COVID-19 vaccine and an at-home COVID test; a multi-agency FAQ document addresses COVID-19 health coverage.

COVID-19: Vaccine Safety Profiles; Testing Expansion

A CDC report shows promising COVID-19 vaccine safety profiles; the federal COVID-19 task force expands support for vaccination and testing.

On the Hill: Lawmakers Race to Pass COVID-19 Relief

Congress races to pass COVID-19 relief through the budget reconciliation process before enhanced unemployment benefits expire March 14. Senate committees hold confirmation hearings for Xavier Becerra as secretary of health and human services.

COVID-19: Vaccine Demographic Data, New Mask Guidance

CDC provides new vaccine demographic data and guidelines for ensuring close-fitting face masks; President Biden appoints two essential hospital leaders to a health equity task force.

Association Advocates for Priorities with Biden Administration

America’s Essential Hospitals sent a letter to President Joe Biden and his administration detailing key priorities for essential hospitals, including issues related to structural racism, COVID-19, Medicaid, the 340B Drug Pricing Program, site-neutral payment policies, immigration, and other topics.

Special Enrollment for ACA Coverage Began Feb. 15

The special enrollment period, intended to ensure access to health coverage amid the the COVID-19 pandemic, will continue through May 15. The enrollment period applies to consumers in the 36 states that use the federal marketplace platform.

New Recommendations to Advance Health Equity Amid COVID-19

The Joint Commission’s latest Quick Safety newsletter offers recommendations to ensure equitable care during the COVID-19 pandemic.

On the Hill: House Committees Wrap Reconciliation Work; Trump Acquitted

The House is expected to vote on a compiled reconciliation bill the week of Feb. 22. The Senate for the second time has acquitted former President Donald Trump of impeachment charges. House members are circulating a bipartisan letter calling for protections to the 340B Drug Pricing Program.

States Respond to COVID-19: Vaccine Supply Uncertainty

Some states are holding back COVID-19 vaccines after receiving fewer than expected doses and grappling with logistical challenges scheduling second shots. Meanwhile, the Centers for Disease Control and Prevention now says the Pfizer and Moderna vaccines could be administered up to 42 days apart.

On the Hill: Budget Reconciliation Underway, Impeachment Trial Begins

House and Senate committees are working on the details of COVID-19 relief under the budget reconciliation process. The impeachment trial of former President Donald Trump is underway; members of both parties have indicated they prefer a short and swift trial.

COVID-19: Mask Requirements, PREP Act Amendment

A new CDC order requires mask use on public transportation; a PREP Act amendment expands the provider groups authorized to administer vaccines.

States Respond to COVID-19: FEMA Assistance, Vaccines for Children

The Federal Emergency Management Agency is supporting vaccination sites in 19 states and U.S. territories. States vary in their approaches to distribute COVID-19 vaccines to children; some are prioritizing subpopulations of children while others are involving child health stakeholders in planning.

On the Hill: Democrats Introduce Budget Resolution

House Speaker Nancy Pelosi and Senate Majority Leader Chuck Schumer unveiled a joint budget resolution to advance President Biden’s COVID-19 relief priorities through budget reconciliation. Senate leaders have yet to agree on an organizing resolution finalizing operations for the 117th Congress.

CMS Outlines SDOH Opportunities in Medicaid, CHIP

In a recent letter to state health officials, CMS outlines opportunities for states to better address social determinants of health. The letter outlines flexibility under current law and includes examples from states already engaging in such initiatives.

Biden Administration Releases Notable Executive Orders in Week One

In his first week in office, President Biden released multiple executive orders of note to essential hospitals, including those related to COVID-19, health equity and nondiscrimination, and immigration.

COVID-19: New Travel Restrictions, National Strategy

CDC requires a negative test or travel clearance from a health care professional to enter the country; President Biden issues COVID-19 national strategy and complementary executive orders.

On the Hill: Impeachment Trial, Committee Appointments

The second Senate impeachment trial of former President Donald Trump is expected to begin in early February, with Sen. Pat Leahy (D-VT) presiding. House committees with jurisdiction over health care issues add new members to their rosters.

States Respond to COVID-19: NGA Task Forces

Three new National Governors Association task forces will focus on pandemic and disaster response, economic recovery and revitalization, and community renewal.

HHS Revises Provider Relief Fund Guidance, Delays Reporting Deadline

The new guidance and deadline apply to all provider relief fund allocations to date except the Health Resources and Services Administration uninsured program, nursing home infection control distribution, and rural health clinic testing distribution.

COVID-19: Vaccination Toolkits, PRF Reporting Update

As a highly transmissible SARS-CoV-2 variant spreads across the country, CDC issues two new vaccination toolkits; HHS alters its Provider Relief Fund reporting timeline.

States Respond to COVID-19: Calif. Hospital Mandate, ACIP Guidelines

In response to COVID-19 surges, California issued an order to preserve resources and ensure hospitals can care for critically ill patients. Most states adopt Advisory Committee on Immunization Practices recommendations for prioritization of vaccines, but 14 states modified the guidelines.

On the Hill: Impeachment and Inauguration

For the second time, the House has impeached Donald Trump — this time, for his role in the Jan. 6 U.S. Capitol attack. Law enforcement descends on Washington amid threats of violence surrounding the inauguration. The Biden transition team releases a $1.9 trillion COVID-19 relief plan.

CMS Encourages States to Address Social Determinants

A new notice encourages states to improve health outcomes, reduce disparities, and lower costs within Medicaid and the Children’s Health Insurance Program. It describes how states might address social determinants of health using flexibility available under current law.

COVID-19: New Variants, Vaccine Reactions

CDC shares information about two highly contagious SARS-CoV-2 variants, allergic reactions in Pfizer vaccine recipients, and vaccines for pregnant people.

States Respond to COVID-19: Vaccine Administration Progress

The CDC data tracker shows COVID-19 vaccine rollout has varied significantly across the country. While Connecticut, New Hampshire, and South Dakota have administered at least 60 percent for their available vaccine doses, Arizona and Georgia have not yet administered 20 percent of their COVID-19 vaccines.

Extension of COVID-19 Public Health Emergency

Health and Human Services Secretary Alex Azar extended, effective Jan. 21, the COVID-19 public health emergency (PHE) determination. The PHE determination has been in place since Jan. 31, 2020; it was set to expire Jan. 20, 2021.

COVID-19: Next Groups for Vaccine Distribution, Building Vaccine Trust

CDC announces target groups for phases 1b and 1c of COVID-19 vaccine allocation; a new brief recommends strategies for building vaccine trust.

On the Hill: Welcome to the 117th Congress

In the first week of the new Congress, lawmakers will focus on certification of Electoral College votes and a Georgia special election that will determine which party controls the Senate. Nancy Pelosi (D-CA) was re-elected speaker of the House.

OMB Issues Guidance, Delays Due Date for COVID-19 Funding Audits

The Office of Management and Budget (OMB) provides additional direction to auditors on COVID-19 payments. OMB delays by three months the deadline for single-audit reports for entities that received COVID-19 funding and had original audit report due dates from Oct. 1, 2020, to June 3, 2021.

DSH Relief, Other Essential Hospital Wins in Year-End Spending Bill

The $2.3 trillion package to fund the government, provide new COVID-19 relief, and stimulate the economy would eliminate a $4 billion cut to Medicaid disproportionate share hospital payments and add $3 billion to the Provider Relief Fund, among numerous other changes.

COVID-19: Moderna Vaccine, At-Home Test

FDA issues an emergency use authorization for the Moderna vaccine and an at-home antigen test; a CDC committee votes on allocation recommendations.

States Respond to COVID-19: Fla. Uses CARES Funds for Mental Health Services

Florida allocates $23 million in Coronavirus Aid, Relief, and Economic Security Act funding to mental health services in the state.

HHS Begins Distributing $24B in Provider Relief Funds

On Dec. 16, the Health Resources and Services Administration completed its review of Phase 3 applications for Provider Relief Fund money and will distribute $24.5 billion to more than 70,000 providers.

States Respond to COVID-19: Vaccination Distribution Plans

The administration approved the Pfizer vaccination for emergency use. In preparation, states — including Arizona, Colorado, Florida, and Washington — have outlined their vaccine distribution plans, which must be submitted to the Centers for Disease Control and Prevention.

On the Hill: CR Extends Government Funding through Dec. 18

The continuing resolution delays until Dec. 19 a scheduled $4 billion cut to Medicaid disproportionate share hospital payments. Meanwhile, lawmakers introduce a new, two-part $908 billion legislative proposal for COVID-19 relief, as well as a deal on legislation regarding surprise medical bills.

COVID-19: Pfizer Vaccine EUA, Hospital Reporting Requirements

FDA authorizes the Pfizer COVID-19 vaccine for emergency use; HHS expands hospital COVID-19 data reporting requirements to include therapeutic data.

States Respond to COVID-19: Weekly Testing for Calif. Hospital Staff

The California Department of Health released new guidance strongly recommending weekly COVID-19 screening and testing for general acute care hospital staff. California and Oregon are buying entire hotels to support homeless and vulnerable communities.

On the Hill: Congress Pursues Continuing Resolution

Congress indicates plans to pursue a one-week continuing resolution to keep the government funded at current levels through Dec. 18. A group of bipartisan lawmakers introduced a framework for a $908 billion COVID-19 relief deal, reinvigorating negotiations between Republicans and Democrats.

COVID-19: Vaccine Prioritization, Antigen Test Guidelines

CDC recommends groups to prioritize in vaccine distribution and revises antigen testing guidance.

COVID-19: Moderna EUA, Vaccine Allocation Principles

Moderna applied for emergency use authorization for its COVID-19 vaccine; CDC issued ethical vaccine application principles and updated face mask guidance for health care workers.

States Respond to COVID-19: Colo. Hospital Capacity, Special Legislative Sessions

Colorado Gov. Jared Polis signed an executive order allowing hospitals to transfer or deny patients when the hospital reaches full capacity. Meanwhile, several states across the nation are hosting special legislative sessions to address COVID-19.

CMS Announces Acute Hospital Care At Home Program

The Centers for Medicare & Medicaid Services announced the Acute Hospital Care at Home program to further increase hospital capacity during the COVID-19 crisis, in response to a rising number of hospitalizations nationwide. The program builds on the Hospitals Without Walls initiative.

On the Hill: Time Running Out to Fund Government, Avert DSH Cut

Without congressional action, the government on Dec. 12 will enter a shutdown and $4 billion will be cut from Medicaid disproportionate share hospital payments. Meanwhile, negotiations are deadlocked on additional COVID-19 relief.

COVID-19: Vaccine Transparency, Therapeutics Updates

FDA Commissioner Stephen Hahn, MD, says drug and biological product centers will publicly post reviews of the data and information supporting emergency use authorizations (EUAs) for all drug and biological products, including vaccines, as part of the agency’s COVID-19 response.

On the Hill: Just Weeks Remain to Stop DSH Cut, Avert Shutdown

In the lame-duck session, Congress will focus on stopping a Medicaid DSH funding cut, averting a government shutdown, and providing COVID-19 relief. The House passed bipartisan bills to enhance research on minority health disparities, address the opioid crisis, and support trauma centers.

Association Addresses New Administration, Outlines Priorities

In its first letter to President-elect Joseph Biden and his transition team, America’s Essential Hospitals noted a desire to work together to stabilize the nation’s health care safety net and described several administrative policy priorities and paths of partnership.

States Respond to COVID-19: New Restrictions as Case Counts Rise

Many states — including Iowa, New Mexico, North Dakota, and Oregon — implement new restrictions as hospitalizations for COVID-19 reach a record high.

COVID-19: Eli Lilly EUA, Pfizer Vaccine Analysis

FDA grants emergency use authorization for an Eli Lilly antibody treatment; a Pfizer vaccine has promising early results; President-elect Biden names a COVID-19 advisory board.

Operation Warp Speed Releases Principles for Therapeutics

Operation Warp Speed (OWS), a joint effort by the departments of Defense and Health and Human Services, on a stakeholder call discussed principles for allocation and distribution of therapeutics, specifically monoclonal antibodies. OWS also released a draft pre-emergency use authorization playbook.

Court Invalidates Public Charge Rule; Enforcement Continues

The decision of the U.S. District Court for the Northern District of Illinois marks the first time a court ruled in favor of the plaintiffs on the merits of the legal challenges to the public charge rule. DHS immediately appealed the case, allowing continued enforcement while the appeal is pending.

Interim Final Rule Aims to Ensure Timely Access to COVID-19 Vaccines

In its fourth interim final rule during the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services implements several measures to ensure timely access to a vaccine.

Association Comments on Proposed Physician Visa Changes

In a letter to the Department of Homeland Security, America’s Essential Hospitals called on the department to withdraw a proposal that could affect the ability of essential hospitals to hire and retain international medical graduates in residency programs.

HHS Updates Provider Relief Fund FAQs with Reporting Content

The new FAQs specify that a provider may use PRF payments to cover the distribution of a COVID-19 vaccine licensed by the Food and Drug Administration. Providers also may use PRF funds to prepare for the distribution of a vaccine before it becomes available.

COVID-19: Public Transit Mask Use, FDA Patient Monitoring Guidance

The Centers for Disease Control and Prevention has updated guidance for mask use on public transportation; the Food and Drug Administration has expanded its list of approved remote patient monitoring devices during the pandemic.

CMS Issues Rule on COVID-19 Vaccine and Therapeutic Coverage

The interim final rule targets future vaccine costs, price transparency for COVID-19 tests, and enhanced Medicare payments for new COVID-19 treatments.

HHS, CMS Taking Email Questions on Data Collection, Enforcement

New email inboxes set up by the Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) will take questions about the updated guidance for hospital COVID-19 data reporting requirements as part of Medicare conditions of participation.

HHS Revises Provider Relief Fund Reporting Guidance

In response to stakeholder and congressional feedback, the Department of Health and Human Services revised reporting requirements for health care providers who receive more than $10,000 total in Provider Relief Fund payments.

COVID-19: Hospital Data Published, Remdesivir Approval

Hospital COVID-19 data is public on HHS Protect; FDA approves first treatment for hospitalized COVID-19 patients; CDC redefines “close contact.”

On the Hill: Barrett Confirmed, PRF Reporting Changed

Responding to concerns raised by the association and lawmakers, the Department of Health and Human Services has altered detrimental reporting requirements for the Provider Relief Fund, including one regarding lost revenue.

States Respond to COVID-19: Targeted Testing of Vulnerable Populations

The Department of Health and Human Services distributed a lateral flow COVID-19 diagnostic test to states and territories across the country. Several states — including Arkansas, Kentucky, Nevada, New York, Oregon, and Utah—are using the tests to target vulnerable populations.

International Infection Prevention Week Highlights COVID-19

International Infection Prevention Week, Oct. 18–24, highlights the role of infection preventionists in protecting health care workers and patients from COVID-19.

Survey: State Medicaid Spending Rises Amid COVID-19

A Kaiser Family Foundation annual survey finds states expect to see Medicaid enrollment spike more than 8 percent in fiscal year 2021 due to the COVID-19 public health crisis.

CMS Expands List of Reimbursable Telehealth Services

The Centers for Medicare & Medicaid Services added 11 new telehealth services to the list of Medicare services reimbursable during the COVID-19 public health emergency. The agency also published resources on Medicaid and Children’s Health Insurance Program coverage of telehealth services.

COVID-19: CDC Vaccine Resources, CMS Testing Payment Changes

The Centers for Disease Control and Prevention created a vaccines web resource with helpful COVID-19 information. The Centers for Medicare & Medicaid Services announced new actions to pay for expedited COVID-19 test results.

On The Hill: House Circulating Letter on Provider Relief Fund Changes

A bipartisan House letter urges the administration to rescind harmful Provider Relief Fund reporting changes. House Speaker Nancy Pelosi says an agreement must be reached by Tuesday to pass COVID-19 relief legislation before Election Day; the Senate will vote this week on targeted COVID-19 relief.

COVID-19: Testing Advancements, Vaccine Development

NIH will study experimental COVID-19 treatments and support the development of six new testing technologies; FDA’s vaccine committee will meet Oct. 22.

On the Hill: COVID-19 Negotiations Remain in Limbo

Congress is no closer to passing further COVID-19 relief after a tumultuous week of negotiations. Senators urge HHS to reconsider recent guidance on Provider Relief Fund payments. The Senate Judiciary Committee begins confirmation hearings for Judge Amy Coney Barrett.

States Respond to COVID-19: Calif. Equity Measure, Crisis Counseling Grants

California released a Blueprint for a Safer Economy, which includes an equity measure to ensure California reopens its economy safely by reducing disease transmission in all communities. Meanwhile, the Federal Emergency Management Agency has awarded crisis counseling grants to more than 30 states.

New Information on Phase 3 of Provider Relief Fund Distribution

An upcoming webinar and stakeholder toolkit support the new $20 billion general distribution of the Provider Relief Fund; the application period runs through Nov. 6.

Association Asks HHS to Withdraw PRF Reporting Guidance

America’s Essential Hospitals requested that HHS withdraw its recent Provider Relief Fund post-payment reporting guidance, as the agency’s new definitions of the terms “lost revenue” and “expense” contradict its previous definitions and could have adverse consequences for essential hospitals.

COVID-19: Transmission Methods, Vaccine Allocation, Remdesivir Update

CDC reports that airborne transmission is rare but possible; a framework includes recommendations for equitable vaccine allocation.

On the Hill: House Passes COVID-19 Relief Bill; President Signs CR

The House-passed $2.2 trillion COVID-19 relief package would increase Medicaid disproportionate share hospital allotments and the Provider Relief Fund. Meanwhile, Congress now has until Dec. 11 to pass its annual spending bills or agree to another short-term CR.

HHS Extends COVID-19 Public Health Emergency

Effective Oct. 23, Health and Human Services Secretary Alex Azar issued a renewal of determination that a public health emergency exists as a result of the continued effects of COVID-19.

HHS Issues Provider Relief Fund Post-Payment Reporting Guidance

HHS has issued a notice on data reporting requirements for providers who receive funding through the Coronavirus Aid, Relief, and Economic Security Act Provider Relief Fund.

New $20B Distribution of Provider Relief Funds

A new $20 billion distribution of the Provider Relief Fund is open to eligible providers on the front lines of the pandemic, including those who already received PRF payments and need additional support, certain previously ineligible providers, and an expanded group of behavioral health providers.

COVID-19: Testing Tools, Health Care Personnel Cases

CMS released a guide and online payment option for laboratories seeking approval to test for COVID-19; CDC studies COVID-19 in health care workers.

On the Hill: Senate Expected to Pass 11th-Hour Funding Bill

The Senate this week will consider a continuing resolution to avert a government shutdown the day before the fiscal year ends. House Speaker Nancy Pelosi asks committee chairs to draft revised COVID-19 legislation as she reopens negotiations with Treasury Secretary Steve Mnuchin on COVID-19 relief.

Association Shares Health Disparities Policy Priorities with Capitol Hill

In a Sept. 25 letter to Congress, America’s Essential Hospitals urged lawmakers to include policies that bolster the health care safety net as part of legislative efforts to help rectify the unconscionable health inequities among vulnerable populations across the country.

DOL Revises Health Care Provider Exclusion from COVID-19 Paid Leave

A new Department of Labor temporary rule broadens the types of health care workers who qualify for paid leave under the Families First Coronavirus Response Act by defining health care providers based on job responsibilities and duties, rather than type of employer.

COVID-19: CDC Reverses Testing Guidance

The Centers for Disease Control and Prevention reverses guidance that asymptomatic patients do not need to be tested. The agency also announced a new semiweekly publication summarizing COVID-19 studies.

States Respond to COVID-19: Prioritizing Testing for Vulnerable Populations

As the country works to expand COVID-19 through testing, every state has submitted a testing strategy to the federal government. Most state plans prioritize vulnerable populations and offer testing for uninsured individuals.

Federal COVID-19 Vaccine Strategy Released

An Operation Warp Speed strategy summarizes the federal government’s plan for distributing and administering a COVID-19 vaccine.

COVID-19: Avoiding Care; Vaccine Update

More than 40 percent of U.S. adults report delaying or avoiding care due to COVID-19 fears; FDA shares vaccine development updates.

States Respond to COVID-19: 1115 Waiver Program Enhanced Calif.’s Pandemic Response

With community partnerships already underway through California’s Whole Person Care initiative — part of its Section 1115 Medicaid waiver — localities in California found it easier to reach vulnerable communities at high risk for contracting COVID-19.

COVID-19: Equitable Vaccine Allocation, FDA Gown Warning

The National Academies of Sciences, Engineering and Medicine released a preliminary framework for equitable allocations of a COVID-19 vaccine that rests on foundational principles, including maximizing benefits, fairness, mitigating health inequities, equal regard, evidence-based work, and transparency.

Association to HHS: Prioritize Remaining Relief Dollars

In a Sept. 1 letter, America’s Essential Hospitals urged HHS to prioritize remaining Provider Relief Fund dollars for hospitals still in need, especially those that have yet to receive a payment from any targeted allocation, such as the safety-net and high-impact distributions.

COVID-19: Updated Testing Guidance; New, Expanded Emergency Use Authorizations

CDC no longer encourages asymptomatic people to get tested; FDA expands its remdesivir emergency use authorization and authorizes a new antigen test with instant results.

CMS Issues Cost Reporting FAQs on Provider Relief Fund Payments

The new frequently asked questions address how to report provider relief payments on cost reports, charges reimbursed through the Provider Relief Fund uninsured program, and Small Business Administration loan forgiveness amounts.

On the Hill: Time Running Out on COVID-19 Negotiations

Opportunities are dwindling for congressional negotiators to agree on additional COVID-19 relief legislation. During this last week of the August recess, essential hospitals should tell their delegations to urge House and Senate leadership to expeditiously address essential hospital needs.

States Respond to COVID-19: Weathering a Hurricane During a Pandemic

As Hurricane Laura tore through Texas and Louisiana, both states grappled with the devastating effects of the hurricane amid ongoing efforts to mitigate COVID-19. The pandemic has made it significantly more difficult to follow general hurricane preparedness procedures and protect vulnerable residents.

Interim Final Rule Establishes COVID-19 Data Reporting as Medicare Condition of Participation

In the interim final rule, the Centers for Medicare & Medicaid Services establishes that hospitals and critical access hospitals must report certain information, at a frequency and in a standardized format, as specified by the Department of Health and Human Services during the COVID-19 public health emergency.

HHS Extends Deadline for Provider Relief Fund Portal

Providers now have until Sept. 13 to apply for additional payment from the general allocation of the Provider Relief Fund. The initial deadline was Aug. 28.

CMS to Require Positive Test for COVID-19 Add-on Payment

Positive tests must be demonstrated using only the results of viral testing (i.e., molecular or antigen), consistent with CDC guidelines. The test may be performed either during or prior to the hospital admission.

States Respond to COVID-19: Approaches to Contact Tracing

Many states are engaged in some form of advanced and rapid contact tracing to help contain the spread of COVID-19. In Wisconsin, the state Department of Health created a web-based tool to help residents gauge their exposure to COVID-19.

COVID-19: Emergency Use of Plasma; Testing and Screening Guidance

FDA issued an emergency use authorization for convalescent plasma treatment of COVID-19 patients, along with guidance for pooling testing and screening.

On the Hill: House Passes Bill to Protect USPS

The House took a brief hiatus from its August recess to return to Washington for a vote on legislation to prevent policy changes at the U.S. Postal Service. House leaders rejected a push to hold a concurrent vote on COVID-19 legislation that would extend enhanced unemployment benefits.

COVID-19: Testing Funding and Guidance, Surveys Resume, Vaccine Updates

HHS announces $6.5 million in testing investments; CDC issues antigen testing guidance; HHS partners with Moderna to manufacture and deliver its vaccine.

HHS Distributes Relief Funds to Children’s Hospitals

The Department of Health and Human Services will distribute $1.4 billion in Provider Relief Fund payments to nearly 80 free-standing children’s hospitals.

New Ruling on Public Charge Narrows Nationwide Injunction

The decision limits a block on implementation and enforcement of the Department of Homeland Security public charge rule to only three states: Connecticut, New York, and Vermont. The nationwide injunction on the Department of State’s public charge rule is still in effect.

On the Hill: Senate in Recess, Washington Update at VITAL

The Senate officially adjourned for August recess; House lawmakers will return to Washington this weekend to address postal service funding.

HHS Opens Application Portal for Provider Relief Fund

Medicare providers that did not receive payment from the $20 billion distribution from the general allocation can apply for additional funding through the portal; applications are due Aug. 28. HHS also announced a $5 billion allocation for nursing homes and long term–care facilities.

CMS Issues Temporary Policy For Marketplace Premium Reductions

The agency is using its discretion to allow premium credits to support continuity of coverage for individuals and families impacted by the COVID-19 public health emergency and facing difficulties paying premiums.

COVID-19: Electronic Reporting, Operation Warp Speed Update

CDC onboards health departments to conduct electronic data reporting; HHS awards funding to Johnson & Johnson for vaccine manufacturing and delivery.

Association, Other National Groups Urge CMS to Withdraw MFAR

America’s Essential Hospitals, along with five other national associations, calls for withdrawal of the proposed Medicaid Fiscal Accountability Regulation. In a letter, the groups note that the rule, if finalized, would exacerbate public health and economic uncertainty resulting from the pandemic.

On the Hill: Negotiations Crumble on COVID-19 Relief

Democratic and Republican negotiators failed to reach a deal on the next COVID-19 supplemental package. After negotiations faltered, President Trump issued four executive orders and memoranda related to pandemic relief, but the legality of the executive actions could be challenged.

States Respond to COVID-19: Governors Band Together to Curb Virus

Governors from six states — Louisiana, Maryland, Massachusetts, Michigan, Ohio, and Virginia — announced a bipartisan interstate compact to expand COVID-19 testing, stop the spread of the virus, and help state economies safely recover.

COVID-19: Self-Checker, Data Reporting FAQs

Health systems can add CDC’s Coronavirus Self-Checker to their own website; HHS updates COVID-19 data reporting FAQs; CDC shares guidance on pooling tests.

States Respond to COVID-19: Hospital Relief Funding, Vaccine Distribution

Many states — including North Carolina, Oregon, Pennsylvania, and South Carolina — are designating CARES Act funds to assist hospitals. The National Governor’s Association outlines best practices for distributing potential COVID-19 vaccines.

On the Hill: Negotiations on COVID-19 Package, New 340B Bill

Republicans and Democrats have yet to make progress in negotiations on the next COVID-19 bill; the association shared essential hospital priorities with congressional leadership. A new House bill would ensure hospitals in the 340B Drug Pricing Program will not lose eligibility during the pandemic.

HHS Extends, Reopens Provider Relief Fund Applications

The Department of Health and Human Services will extend the application deadline for Provider Relief Fund payments for eligible Medicaid and Children’s Health Insurance Program providers, and will reopen the portal for Medicare providers to apply for additional payments from the general allocation.

Court Blocks Public Charge Rule During Pandemic

A federal district court blocked for the duration of the public health emergency the nationwide implementation, application, and enforcement of a Department of Homeland Security rule expanding the types of public benefits immigration officials consider in making a public charge determination.

On the Hill: Republicans Release New COVID-19 Package

The highly anticipated bill would add $25 billion to the Provider Relief Fund and extend Medicare telehealth flexibility. It would not block the Medicaid Fiscal Accountability Regulation or delay the Medicaid disproportionate share hospital payment cut scheduled for Dec. 1.

COVID-19 Equity Considerations, Testing Substitutions

CDC releases a COVID-19 health equity strategy, and FDA shares options for screening substitutions amid supply issues.

Association Asks HHS to Make Telehealth Flexibility Permanent

The COVID-19 pandemic has demonstrated the efficacy of telehealth. America’s Essential Hospitals asked the administration to permanently expand the list of Medicare reimbursable telehealth services and allow reimbursement of certain services using audio-only technology.

Extension of COVID-19 Public Health Emergency

Effective July 25, Health and Human Services Secretary Alex Azar issued a renewal of determination that a public health emergency exists due to COVID-19.

SAMHSA Finalizes Revisions to Confidentiality of Substance Use Disorder Patient Records

The final rule modifies several provisions to facilitate better care coordination and information sharing between providers treating patients with substance use disorder.

COVID-19: Public Data Hub Launch; Transmission-Based Precautions

The HHS Coronavirus Data Hub goes live; CDC guidance recommends a symptom-based strategy for COVID-19 patients. CMS data show an increase in telehealth use among Medicare beneficiaries. The IRS extends the deadline for tax-exempt hospitals to conduct a community health needs assessment.

States Respond to COVID-19: Calif. Prepares for Concurrent Emergencies

California prepares for wildfire season by securing personal protective equipment, hiring more firefighters, and implementing new shelter guidance in light of COVID-19. CDC highlights efforts in Michigan and Texas to use medical operations coordination cells and relief hospitals.

On the Hill: Negotiations Begin on Next COVID-19 Package

Republicans and Democrats remain divided on relief measures to include in a fourth COVID-19 package; the association encourages members to share essential hospital priorities. An association letter to key congressional committees highlights the importance of telehealth during and after the pandemic.

HHS Allocates Additional $10B to Hospitals in COVID-19 Hotspots

HHS will pay $50,000 per eligible admission to hospitals with more than 161 COVID-19 admissions from Jan. 1 to June 10. The agency will account for funding received by hospitals in a May disbursement of high-impact funds in determining the amount facilities receive in this round.

COVID-19 Guidance: Data Reporting, Alternate Care Sites

HHS issues updated guidance on COVID-19 data reporting; an updated toolkit provides new guidance for alternate care sites to manage patient surge.

On the Hill: Urge Senators to Consider Essential Hospital COVID-19 Priorities

The association calls on member hospitals to urge their senators to include essential hospital relief measures in future COVID-19 supplemental legislation. House committees continue work on COVID-19 oversight and fiscal year 2021 spending bills. 

Association Tracks COVID-19 Authority, Flexibility Expirations

A new members-only resource tracks relevant expiration dates for additional authority and flexibility options provided during the COVID-19 pandemic.

HHS Releases $3B in New Aid to Hospitals with Safety-Net Role

The Department of Health and Human Services July 10 announced additional, targeted allotments from the Provider Relief Fund for hospitals filling a safety-net role, specific rural hospitals, and other serving small metropolitan areas.

On the Hill: Planning Fourth COVID-19 Package, Support for 340B Hospitals

As Senate leaders consider a fourth COVID-19 aid package, the president signs legislation to extend the Paycheck Protection Program. A bipartisan bill would ensure 340B hospitals maintain eligibility amid COVID-19, regardless of payer mix changes.

COVID-19: Quality Reporting Flexibility, Remdesivir Fact Sheet

CMS announces the end of the blanket Extraordinary Circumstances Exception for quality reporting and value-based purchasing programs. HHS issues a remdesivir allocation fact sheet, and FDA approves a third influenza and COVID-19 combination diagnostic test.

Association Urges HHS to Fill Safety-Net Allocation Gaps

In a July 6 letter, the association urged HHS to use a refined methodology that directs a portion of the remaining dollars in the Provider Relief Fund to hospitals filling a safety-net role that did not receive payment in the initial safety-net allocation.

States Respond to COVID-19: Elective Surgery Suspension, Public Health Efforts

Texas Gov. Gregg Abbott issues a proclamation to suspend elective surgeries in four counties, making room for another surge in COVID-19. Maine Gov. Janet Mills announces the state approved nearly $9 million in grant funding to support local COVID-19 public health, education, and prevention efforts.

HHS Removes Protections for Gender Identity, Language Services

HHS finalized a rule overhauling the ACA to remove some nondiscrimination protections for transgender individuals and requirements for treating people with limited English proficiency. In a statement, the association said the decision puts the health and safety of vulnerable populations at risk.

Administration Suspends Certain Employment-Based Visas

The proclamation pauses the issuance of new non-immigrant employment-based visas until Dec. 31, 2020. The suspension excludes individuals whose entry is deemed in the national interest, including those providing care to hospitalized COVID-19 patients or conducting research on the pandemic.

States Respond to COVID-19: Health Disparities, State Policy Impact

New York will require the state health department to conduct a study on the health impact of COVID-19 on minority populations. A new data and visualization tool released by John Hopkins University provides insight on the effect of state stay-at-home and recovery policies across the U.S.

COVID-19: New Remdesivir Allocation; ED Use Decline

HHS has acquired additional remdesivir to be sold at wholesale allocation price; CDC reports declining emergency department use during the pandemic and updates its list of conditions that increase risk of serious illness from COVID-19.

On the Hill: House Votes on ACA Enhancement, Hospital Construction

The House passed legislation to strengthen the ACA and is expected to pass an infrastructure bill authorizing $10 billion for hospital construction and modernization; the Senate is unlikely to consider the bills. The association responds to a congressional request for lessons learned from COVID-19.

COVID-19: Hospitalization Risk Factors, Medicare Data

A report highlights hospitalization risk factors for COVID-19, and GAO evaluates the National Disaster Medical System. FDA revokes emergency use authorizations for chloroquine phosphate and hydroxychloroquine sulfate.

States Respond to COVID-19: Wis. Delegates $40M to Hospitals

Wisconsin Gov. Tony Evers announced the state will distribute $40 million to hospitals to address lost revenue and expenses as a result of COVID-19. The money comes from the tranche the state received under the the Coronavirus Aid, Relief, and Economic Security Act.

On the Hill: Hearings Examine COVID-19 Disparities, Response

Hearings are slated this week in several committees to examine the COVID-19 pandemic and response. Meanwhile, House Democratic leaders introduced a $1.5 trillion infrastructure investment package that would dedicate $10 billion over five years to hospital construction and modernization.

HHS Releases Detailed Methodology for Safety-Net Allocation

HHS made public the 2018 Medicare cost report data sources used to determine eligibility for the $10 billion targeted safety-net allocation from the Provider Relief Fund. Hospitals had to meet three metrics to be eligible; 761 hospitals received payment.

Proposal Would Expand Main Street Lending Program

Under the Federal Reserve Board proposal, certain hospitals and other nonprofits “of sound financial condition” prior to the public health emergency could be eligible to receive loans to help alleviate financial burden due to COVID-19.

On the Hill: Committees Examine COVID-19 Response and Lessons

House and Senate lawmakers are analyzing and reacting to last week’s announcement of new Provider Relief Fund allocations for safety-net providers; committees are slated to examine the role of telehealth and disparities as the pandemic has progressed.

Indian Health Service Response to COVID-19

American Indian and Alaska Native populations have been hit particularly hard by the COVID-19 public health crisis. America’s Essential Hospitals outlines the unprecedented challenges the pandemic has posed to these communities and the efforts Congress and providers have made to mitigate its effect.

States Respond to COVID-19: Medicaid Expansion for Undocumented Older Adults