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State Responses to COVID-19: Special Enrollment, Mobile Testing Guidance

Amid the COVID-19 pandemic, states are working to grant uninsured individuals access to care through special enrollment periods for residents who missed open enrollment in their insurance marketplaces.

As of March 23, 11 states and Washington, D.C., announced special enrollment periods:

State Legislative Action

The National Conference of State Legislatures is tracking state legislative action in response to COVID-19. As of March 19, 31 states and Washington, D.C., introduced legislation related to COVID-19, focused on:

  • funding;
  • workforce protections;
  • medical coverage;
  • disease surveillance;
  • isolation and quarantine; and
  • state emergency declarations.

Of these, 23 states and Washington, D.C., have enacted legislation. Eleven states have appropriated or transferred funding for coronavirus-related tasks.

Mobile Testing Considerations

As health care providers set up drive-through testing for COVID-19, the Association of State and Territorial Health Organizations published 16 Key Considerations for Drive-Through or Mobile Testing.

These considerations feature nine best practice examples from states, including from association members:

  • Memorial Healthcare System, in Hollywood, Fla.;
  • Parkland Health & Hospital System, in Dallas;
  • University of Utah Health Care, in Salt Lake City; and
  • University of Washington Medical Center, in Seattle.

Visit the America’s Essential Hospitals coronavirus resource page for more information about the outbreak.

Contact Senior Director of Policy Erin O’Malley at or 202.585.0127 with questions.


About the Author

Emily Schweich is a communications manager at America's Essential Hospitals.

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