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SUMMARY:Senator Cruz Tele-Town Hall
DESCRIPTION:Senator Cruz Tele-Town Hall\n												We will have a presentation from Senator Ted Cruz on Thursday\, April 16 at 11 a.m. Senator Cruz will discuss Phase IV of the CARES Act and an update on the plan to get our economy kick-started. You can register for the call here. \n											\n										\n									\n									\n								\n							\n						\n						 \n\n						\n							\n								\n									\n									\n										\n											\n												Capitol Hill Update\n\n												Congressional leadership and White House officials are engaged in negotiations on another round of funding for COVID-19 response efforts after an effort to provide $250 billion for the Small Business Administration's Paycheck Protection Program (PPP) stalled out last week. While President Donald Trump and Senate Majority Leader Mitch McConnell (R-KY) have expressed the desire to address additional funding for health care\, states\, and local governments in the "Phase IV" legislation\, Speaker Nancy Pelosi (D-CA) has remained steadfast in her position that the "Phase 3.5" effort must include these priorities in order for the bill to pass by unanimous consent in the House. Treasury Secretary Steven Mnuchin and Senate Minority Leader Chuck Schumer (D-NY) have opened talks on the next round of response legislation\, and have expressed optimism about the possibility of reaching a compromise before the end of the week. NTC will continue to monitor changes in D.C. and will keep you apprised. \n\n												 \n\n												COVID-19: What We're Hearing\n\n												\n													COVID-19 3.5. In a joint statement this morning\, Speaker Pelosi and Leader Schumer called for further changes to the PPP\, saying that many eligible small businesses are unable to access these loans. A summary of the Democrats' updated counteroffer can be read here.\n													Additional Democratic priorities in this proposal include: (1) $100 billion for health care providers\; (2) $150 billion for state and local governments\; (3) a 15 percent increase in SNAP benefits\; and (4) technical fixes to election assistance funding from the CARES Act.\n													COVID 4.0 Policies that currently enjoy bipartisan support include funding for health care needs\, additional money for the Paycheck Protection Program\, more unemployment insurance and direct payment relief\, and a fix for struggling pension programs. \n													It remains to be seen whether both parties can strike an agreement on big-ticket legislative items such as infrastructure\, as Republicans on Capitol Hill are pushing back against using COVID-19 legislation as a vehicle to carry unrelated policy priorities.\n													A bipartisan group of House lawmakers have introduced legislation that would allocate $250 billion in direct funding for local governments of all sizes. The measure would provide funding for all local governments with fewer than 500\,000 people\, and would also allow governments to offset lost revenue due to the pandemic. \n													Energy and Commerce Ranking Member Greg Walden (R-OR) expects another push for action on surprise billing in the next round of relief. During the Phase III negotiations\, Chairman Frank Pallone (D-NJ) and Senate Health\, Education\, Labor\, and Pensions (HELP) Chairman Lamar Alexander (R-TN) were actively trying to tack their surprise billing legislation onto the package.\n													Speaker Pelosi penned a "Dear Colleague" letter to members outlining her priorities for the Phase IV legislation. She has been advocating for additional health care provider funding\, election support\, stronger workforce protections\, and repealing the 2017 tax law provision that caps the State and Local Tax deduction. The Speaker hopes to craft and consider the legislation by the end of this month.  \n													Provider Funding. On Friday April 10\, CMS began to disperse approximately $26 billion in emergency relief funding to health care providers based on their Medicare fee-for-service revenue in 2019.  \n													This first dispersal is drawn from the CARES Act's $100 billion Public Health and Social Services Emergency Relief Fund (PHSSEF). The first wave of funding for hospitals and providers is being released via electronic transfer or a paper check if that is that is how a provider normally receives payment.\n													The administration is reaching out to providers with a lower percentage of their revenue coming from Medicare fee-for-service to gather feedback on how best to distribute additional funds from the $100 billion fund. \n													Administrator Verma foreshadowed a second round of CMS distributions with first priority going to providers such as nursing homes and children's hospitals that do not derive a large portion of their revenue from Medicare fee-for-service.\n													An additional chunk in the neighborhood of $30 billion will be set aside from the $100 billion to fund COVID-19 care for the uninsured. Kaiser Family Foundation estimated yesterday that care for the uninsured\, reimbursed at Medicare rates\, would run between $13.9 and $41.8 billion.\n													$34 billion has already starting flowing to providers via the Accelerated/Advance Payment Program. These payments must be returned and carry a 10.25 percent interest rate\, which CMS says it cannot change unilaterally.\n													Congressional Schedule. Despite eyeing the week Apr. 20 as a potential return date\, lawmakers are not expected to convene for legislative business beyond the pro forma sessions this month. The Senate will convene for its next pro forma session on Thursday at 3 PM EST. \n													Majority Leader Steny Hoyer (D-MD) has urged members asking them to remain flexible with their schedules for the balance of the 2020 work session. This includes the possibility of coming into session during previously-scheduled district work periods and convening for five-day work weeks. \n													Appropriations leaders are delaying the start of their fiscal year (FY) 2021 funding work amid the uncertainty surrounding the COVID-19 outbreak. Congressional appropriators have pushed their expectations for completing FY 2021 spending work past the late spring-early summer dates that leadership targeted earlier this year. \n												\n												COVID-19: What's Happened\n\n												\n													Legislative Response. TRP's newest COVID-19 policy memo analyzes telehealth and rural health policies in the relief legislation. This includes expanded capabilities and funding for telehealth\, funding for community health centers and other rural health supports\, backing for telehealth and rural health infrastructure\, and more. Click here to read the memo.\n													TRP has published a memo that looks at the substance use and mental health policies contained in the CARES Act. This includes new funding for SAMHSA\, new funding for Certified Community Behavioral Health Centers\, relaxed disclosure requirements for SUD-related health records\, and more. Click here to read the memo.\n													TRP has published a memo that examines the provider-related provisions contained in the CARES Act. This includes critical funding for hospitals and providers impacted by the COVID-19 pandemic\, greatly expanded flexibilities for providers to operate through the pandemic\, and mandated coverage of coronavirus-related therapies and testing. Click here to read the memo.\n													TRP has published an analysis of the medical device-related provisions in the CARES Act\, including new reporting requirements\, a study on the security of the medical device supply chain\, and storage requirements. Click here to read the memo.\n													TRP has published a memo on the Medicare and Medicaid provisions in the CARES Act and other COVID-19-related legislation. This analysis examines new telehealth policies\, emergency payment provisions\, new flexibilities on prescription drug fills\, and more. Click here to read the memo.\n													TRP's memo on the COVID-19 relief packages dives into how the pharmaceutical industry may be impacted by provisions on therapy and vaccine development\, drug supply chain transparency\, over-the counter drug regulation reform and more. Click here to read the memo.\n													President Donald Trump signed the Phase III legislation into law on Mar. 27. TRP's analysis of the Phase III legislation can be read here. Our memo on the bill's provisions pertaining to the Public Health and Social Services Emergency Fund (PHSSEF) can be read here. \n													The Phase II legislative response bill was signed into law on Mar. 18. TRP's full analysis of the Phase II bill can be read here.\n													An $8.3 billion emergency supplemental appropriations bill cleared both chambers and was signed into law on Mar. 6. TRP's analysis of the Phase I legislation can be read here.\n													The Treasury Department and IRS announced the implementation of certain paid sick and family leave requirements mandated by the second COVID-19 legislative response package. TRP's breakdown of the paid leave provisions can be found here.\n													CMS. The Centers for Medicare & Medicaid Services (CMS) and the Departments of Labor and Treasury issued guidance that ensures Americans with private health insurance have access to free COVID-19 testing.\n													CMS has temporarily suspended a series of rules for health care facilities in a move aimed at bolstering frontline medical staffs.\n													CMS has issued a series of regulatory changes that seek to provide flexibility and bolster the health care system to address the COVID-19 outbreak. TRP's analysis of the rule can be read here. A list of new frequently asked questions can be read here.\n													CMS has issued a series of updated guidance documents focused on infection control to prevent the spread of the COVID-19 for certain inpatient and outpatient care settings. \n													CMS has published additional frequently asked questions for state Medicaid and CHIP agencies regarding COVID-19 response efforts. A list of FAQs for state Medicaid and Children's Health Insurance Program (CHIP) agencies can be read here.\n													CMS posted a transcript of its Mar. 31 national stakeholder call. A full list of CMS call transcripts and recordings can be found here.\n													CMS sent a letter to hospitals on behalf of Vice President Mike Pence requesting they report data in connection with their efforts to fight the COVID-19.\n													CMS issued guidance for health care providers regarding the expansion of the accelerated and advance payments program for providers and suppliers during COVID-19 emergency.\n													CMS approved Medicaid Section 1135 Waivers for states in response to the COVID-19 outbreak. A full list of the 1135 waiver approval letters can be accessed here.\n													CMS announced that it is granting exemptions from reporting requirements and granting extensions for clinicians\, providers\, and facilities participating in Medicare quality reporting programs.\n													Telehealth. The Federal Communications Commission's (FCC) COVID-19 Telehealth Program application portal is set to open at 12:00 PM EST today. Click here for details.\n													TRP has published a comprehensive analysis of the telehealth policies for the COVID-19 national emergency. Click here to read the telehealth memo.\n													SBA. The SBA and Treasury Department updated their list of frequently asked questions on the Paycheck Protection Program.\n													SBA issued an interim final rule outlining additional guidance for the paycheck protection program. TRP's comprehensive analysis of the small business provisions contained in COVID-19 response bills can be read here. The loan application form can be accessed here.\n													The Fed. The Federal Reserve announced a series of emergency actions that would provide more than $2 trillion in COVID-19 loans to businesses\, state\, and local governments.\n													The Federal Reserve announced the creation of a lending facility that will provide liquidity for lenders for the purposes of funding up to to $349 billion authorized by the CARES Act. The interim final rule can be read here.\n													Federal regulators announced they will temporarily allow community banks with a lower leverage ratio to skirt certain prescriptive capital requirements.\n													The Federal Reserve and four other financial agencies announced they will consider comments on Volcker rule modifications until May 1.\n													On Mar. 24\, The Federal Reserve will be scaling back its examination of banks to focus more intently on the potential risks that arise from the outbreak.\n													The Federal Reserve announced on Mar. 23 a series of emergency moves aimed at stemming the economic impact of the outbreak. These actions include three new emergency lending facilities\, as well as a new program that will support lending to eligible small-and medium-sized businesses that support efforts by the Small Business Administration (SBA).\n													The Federal Reserve announced that it will establish a Primary Dealer Credit Facility to support dealers' market-making as the economy continues to slow due to the COVID-19 pandemic.\n													The Federal Reserve\, Federal Deposit Insurance Corporation (FDIC)\, and Office of the Comptroller of the Currency (OCC) outlined actions aimed at providing banks additional flexibility to support households and businesses during the outbreak. Details on these steps can be read here. \n													DOT. The Department of Transportation (DOT) issued a final order on service obligations for air carriers receiving financial relief through the CARES Act.\n													DOT and the Federal Transit Administration (FTA) announced a total of $25 billion in federal funding allocations to help the public transit systems respond to the COVID-29 outbreak.\n													Social Distancing. The Trump administration has recommended the use of cloth masks for those who need to go out in public.\n													Surgeon General Jerome Adams stated that he anticipates the Trump administration's social distancing guidelines to be extended past Apr. 30.\n													President Trump announced that the administration will be extending its social distancing guidelines through Apr. 30.\n													The guidance outlines a series of steps   including avoiding social gatherings of 10 or more people   aimed at mitigating the spread of the virus.\n													Centers for Disease Control and Prevention (CDC) issued guidance on Mar. 16 recommending that Americans cancel or postpone gatherings of 50 more people for the next eight weeks.\n													DOL. The Department of Labor issued a temporary rule implementing the paid family and medical leave provisions of the Families First Coronavirus Response Act. TRP's analysis of the rule can be read here.\n													The Trump administration offered a broad definition of "health care providers" that may be excluded from paid sick and family leave\, as well as broad exceptions to family leave for companies with fewer than 50 workers in the rule. This led some Members of Congress to say that the rule veers away from what Congress intended when it passed the law.\n													HHS. The Department of Health and Human Services (HHS) announced that it will not penalize HIPAA-covered business associates for sharing patient information intended to assist the government combat COVID-19. \n													HHS issued an emergency use authorization declaration stating that circumstances exist to justify the authorization of emergency use of drugs and biological products during the COVID-19 outbreak.\n													HUD. The Department of Housing and Urban Affairs (HUD) has begun allocating $3 billion in funding for communities through the Community Development Block Grant\, Emergency Solutions Grant\, and Housing Opportunities for Persons With AIDS programs to address COVID-19 issues.\n													Treasury. The Treasury Department issued a statement clarifying that Social Security recipients will not need to file an abbreviated tax return to receive direct payment relief.\n													The Treasury Department has issued guidance for airlines to apply for up to $58 billion in grants and loans as mandated by the Phase III COVID-19 legislative response bill.\n													CFPB. The Consumer Financial Protection Bureau (CFBP) issued guidance urging lenders to provide information to credit reporting agencies about the work they are doing to provide relief to consumers during the COVID-19 emergency.\n													USTR. The Office of the United States Trade Representative (USTR) published a list of exemptions on certain medical items from the tariffs imposed by President Donald Trump on Chinese goods.\n													USTR opened a comment docket for members of the public\, businesses\, and government agencies to submit comments if they believe further modifications to the 301 tariffs may be necessary in response to the outbreak. \n													FDA. The Food and Drug Administration (FDA) issued an update on steps the agency is taking to help mitigate supply interruptions of food and medical products.\n													FDA announced actions to increase U.S. supplies to support COVID-19 response efforts by providing instructions to manufacturers importing personal protective equipment (PPE) and other devices.\n													FDA has provided new guidance on patient access to certain Risk Evaluation and Mitigation Strategy (REMS)-requited drugs during the COVID-19 public health emergency.\n													FDA issued guidance allowing manufacturers of certain non-invasive\, FDA-cleared devices to expand their use so that health care providers can use them to monitor patients remotely.   \n													FDA is suspending routine surveillance inspections for food\, drugs\, medical devices and tobacco to protect its workers from COVID-19 and because of industry concerns about visitors. Inspections triggered by specific reasons\, like contamination\, outbreaks or other emergencies\, will continue.\n													EO on Medical Resources. President Trump signed an executive order that seeks to stymie hoarding of health and medical resources to respond to the spread of COVID-19.\n													President Trump issued an executive order on prioritizing and allocating resources to respond to the spread of COVID-19.\n													REAL ID. President Trump announced that the federal government would be extending the compliance deadline for REAL ID\, responding to concern from the travel industry as well as lawmakers\, who have been increasingly worried that a rush to DMVs to meet the Oct. 1 deadline could put people at risk.\n													Tech. The White House announced the launch of a COVID-19 High Performance Computing Consortium aimed at providing researchers with access to computing resources needed to bolster scientific research on the virus.\n													The Trump administration issued a call to action urging the tech industry to collaborate and utilize data on COVID-19 and related viruses using artificial intelligence (AI). It includes curated articles and data compiled by the Allen Institute for AI. Additional information on this database can be found here.\n												\n												I hope everyone has a good week and continues to stay well! \n\n												 \n\n												Sincerely\,
X-ALT-DESC;FMTTYPE=text/html:<table border="0" cellpadding="0" cellspacing="0" style="width:100.0%\;" width="100%">\n	<tbody>\n		<tr>\n			<td style="background:white\;padding:33.75pt 22.5pt 0in 22.5pt\;">\n			<table border="0" cellpadding="0" cellspacing="0" style="width:100.0%\;" width="100%">\n				<tbody>\n					<tr>\n						<td style="padding:0in 0in 0in 0in\;">&nbsp\;</td>\n					</tr>\n				</tbody>\n			</table>\n			&nbsp\;\n\n			<table border="0" cellpadding="0" cellspacing="0" id="block_jssckpjj" style="width:100.0%\;" width="100%">\n				<tbody>\n					<tr>\n						<td data-e2ma-styles="background\, border-left\, border-right" style="padding:0in 0in 0in 0in\;">\n						<table border="0" cellpadding="0" cellspacing="0" style="width:100.0%\;" width="100%">\n							<tbody>\n								<tr>\n									<td style="padding:0in 0in 0in 0in\;vertical-align:top\;">\n									<table border="0" cellpadding="0" cellspacing="0" style="width:100.0%\;" width="100%">\n										<tbody>\n											<tr>\n												<td style="background:white\;padding:0in 0in 0in 0in\;vertical-align:top\;">\n												<table border="0" cellpadding="0" cellspacing="0">\n													<tbody>\n														<tr>\n															<td style="padding:0in 0in 0in 0in\;vertical-align:top\;">\n															<table border="0" cellpadding="0" cellspacing="0">\n																<tbody>\n																	<tr>\n																		<td style="padding:7.5pt 7.5pt 7.5pt 7.5pt\;vertical-align:top\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:9.0pt\;"><img height="80" id="_x0000_i1025" src="http://d31hzlhk6di2h5.cloudfront.net/20200413/95/95/d8/ae/5b0e539bcd321076b0c53326_992x172.png" style="display: block\; border-width: 0px\; border-style: solid\; width: 460px\; height: 80px\;" width="460" /></span></span></td>\n																	</tr>\n																</tbody>\n															</table>\n															</td>\n														</tr>\n													</tbody>\n												</table>\n												</td>\n											</tr>\n										</tbody>\n									</table>\n									</td>\n								</tr>\n							</tbody>\n						</table>\n						&nbsp\;\n\n						<table border="0" cellpadding="0" cellspacing="0" id="block_gvkhacih" style="width:100.0%\;" width="100%">\n							<tbody>\n								<tr>\n									<td style="padding:0in 0in 0in 0in\;vertical-align:top\;">\n									<table border="0" cellpadding="0" cellspacing="0" style="width:100.0%\;" width="100%">\n										<tbody>\n											<tr>\n												<td style="padding:10.5pt 10.5pt 10.5pt 10.5pt\;vertical-align:top\;">\n												<h1><strong><span style="color:#1A3FAA\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:15.0pt\;">Senator Cruz Tele-Town Hall</span></span></span></strong></h1>\n												<span style="color:#1A3FAA\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.0pt\;">We will have a presentation from Senator Ted Cruz on Thursday\, April 16 at 11 a.m. Senator Cruz will discuss Phase IV of the CARES Act and an update on the plan to get our economy kick-started. <a data-name="You can register for the call here. " data-type="url" href="https://t.e2ma.net/click/65b2kd/mi8rt2e/iziccr"><span style="color:#1A3FAA\;">You can register for the call here. </span></a></span></span></span></td>\n											</tr>\n										</tbody>\n									</table>\n									</td>\n								</tr>\n							</tbody>\n						</table>\n						&nbsp\;\n\n						<table border="0" cellpadding="0" cellspacing="0" id="block_iysyhgrd" style="width:100.0%\;" width="100%">\n							<tbody>\n								<tr>\n									<td style="padding:0in 0in 0in 0in\;vertical-align:top\;">\n									<table border="0" cellpadding="0" cellspacing="0" style="width:100.0%\;" width="100%">\n										<tbody>\n											<tr>\n												<td style="padding:0in 0in 0in 0in\;vertical-align:top\;"><strong><em><u><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Capitol Hill Update</span></span></span></u></em></strong><br />\n												<span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Congressional leadership and White House officials are engaged in negotiations on another round of funding for COVID-19 response efforts after an effort to provide $250 billion for the Small Business Administration&#39\;s Paycheck Protection Program (PPP) stalled out last week. While President Donald Trump and Senate Majority Leader Mitch McConnell (R-KY) have expressed the desire to address additional funding for health care\, states\, and local governments in the &quot\;Phase IV&quot\; legislation\, Speaker Nancy Pelosi (D-CA) has remained steadfast in her position that the &quot\;Phase 3.5&quot\; effort must include these priorities in order for the bill to pass by unanimous consent in the House. Treasury Secretary Steven Mnuchin and Senate Minority Leader Chuck Schumer (D-NY) have opened talks on the next round of response legislation\, and have expressed optimism about the possibility of reaching a compromise before the end of the week. NTC will continue to monitor changes in D.C. and will keep you apprised. </span></span></span><br />\n												&nbsp\;<br />\n												<strong><em><u><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">COVID-19: What We&rsquo\;re Hearing</span></span></span></u></em></strong>\n\n												<ul>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">COVID-19 3.5. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;"><a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/yrjccr" target="_blank"><span style="color:#A11000\;">In a joint statement</span></a> this morning\, Speaker Pelosi and Leader Schumer called for further changes to the PPP\, saying that many eligible small businesses are unable to access these loans. A summary of the Democrats&#39\; updated counteroffer can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ekkccr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Additional Democratic priorities in this proposal include: (1) $100 billion for health care providers\; (2) $150 billion for state and local governments\; (3) a 15 percent increase in SNAP benefits\; and (4) technical fixes to election assistance funding from the CARES Act.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">COVID 4.0 </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Policies that currently enjoy bipartisan support include funding for health care needs\, additional money for the Paycheck Protection Program\, more unemployment insurance and direct payment relief\, and a fix for struggling pension programs.&nbsp\;</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">It remains to be seen whether both parties can strike an agreement on big-ticket legislative items such as infrastructure\, as Republicans on Capitol Hill are pushing back against using COVID-19 legislation as a vehicle to carry unrelated policy priorities.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">A bipartisan group of House lawmakers have <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/uclccr" target="_blank"><span style="color:#A11000\;">introduced</span></a> legislation that would allocate $250 billion in direct funding for local governments of all sizes. The <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/a5lccr" target="_blank"><span style="color:#A11000\;">measure</span></a> would provide funding for all local governments with fewer than 500\,000 people\, and would also allow governments to offset lost revenue due to the pandemic. </span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Energy and Commerce Ranking Member Greg Walden (R-OR) expects another push for action on surprise billing in the next round of relief. During the Phase III negotiations\, Chairman Frank Pallone (D-NJ) and Senate Health\, Education\, Labor\, and Pensions (HELP) Chairman Lamar Alexander (R-TN) were actively trying to tack their surprise billing legislation onto the package.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Speaker Pelosi penned a &ldquo\;Dear Colleague&rdquo\; <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/qxmccr" target="_blank"><span style="color:#A11000\;">letter</span></a> to members outlining her priorities for the Phase IV legislation. She has been advocating for additional health care provider funding\, election support\, stronger workforce protections\, and repealing the 2017 tax law provision that caps the State and Local Tax deduction. The Speaker hopes to craft and consider the legislation by the end of this month.&nbsp\; </span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Provider Funding.</span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;"> On Friday April 10\, CMS began to disperse approximately $26 billion in emergency relief funding to health care providers based on their Medicare fee-for-service revenue in 2019.&nbsp\; </span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">This first dispersal is drawn from the CARES Act&#39\;s $100 billion Public Health and Social Services Emergency Relief Fund (PHSSEF). The first wave of funding for hospitals and providers is being released via electronic transfer or a paper check if that is that is how a provider normally receives payment.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The administration is reaching out to providers with a lower percentage of their revenue coming from Medicare fee-for-service to gather feedback on how best to distribute additional funds from the $100 billion fund.&nbsp\;</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Administrator Verma foreshadowed a second round of CMS distributions&nbsp\;with first priority going to providers such as nursing homes and children&#39\;s hospitals that do not derive a large portion of their revenue from Medicare fee-for-service.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">An additional chunk in the neighborhood of $30 billion will be set aside from the $100 billion to fund COVID-19 care for the uninsured. Kaiser&nbsp\;Family Foundation <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/6pnccr" target="_blank"><span style="color:#A11000\;">estimated</span></a> yesterday that care for the uninsured\, reimbursed at Medicare rates\, would run between $13.9 and $41.8 billion.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">$34 billion has already starting flowing to providers via the Accelerated/Advance Payment <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/mioccr" target="_blank"><span style="color:#A11000\;">Program</span></a>. These payments must be returned and carry a 10.25 percent interest rate\, which CMS says it cannot change unilaterally.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Congressional Schedule. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Despite eyeing the week Apr. 20 as a potential return date\, lawmakers are not expected to convene for legislative business beyond the <em>pro forma </em>sessions this month. The Senate will convene for its next <em>pro forma </em>session on Thursday at 3 PM EST. </span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Majority Leader Steny Hoyer (D-MD) has urged members asking them to remain flexible with their schedules for the balance of the 2020 work session. This includes the possibility of coming into session during previously-scheduled district work periods and convening for five-day work weeks. </span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Appropriations leaders are delaying the start of their fiscal year (FY) 2021 funding work amid the uncertainty surrounding the COVID-19 outbreak. Congressional appropriators have pushed their expectations for completing FY 2021 spending work past the late spring-early summer dates that leadership targeted earlier this year. </span></span></span></li>\n												</ul>\n												<strong><em><u><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">COVID-19: What&rsquo\;s Happened</span></span></span></u></em></strong>\n\n												<ul>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Legislative Response. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">TRP&rsquo\;s newest COVID-19 policy memo analyzes telehealth and rural health policies in the relief legislation. This includes expanded capabilities and funding for telehealth\, funding for community health centers and other rural health supports\, backing for telehealth and rural health infrastructure\, and more. Click <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/2apccr" target="_blank"><span style="color:#A11000\;">here</span></a> to read the memo.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">TRP has published a memo that looks at the substance use and mental health policies contained in the CARES Act. This includes new funding for SAMHSA\, new funding for Certified Community Behavioral Health Centers\, relaxed disclosure requirements for SUD-related health records\, and more. Click <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/i3pccr" target="_blank"><span style="color:#A11000\;">here</span></a> to read the memo.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">TRP has published a memo that examines the provider-related provisions contained in the CARES Act. This includes critical funding for hospitals and providers impacted by the COVID-19 pandemic\, greatly expanded flexibilities for providers to operate through the pandemic\, and mandated coverage of coronavirus-related therapies and testing. Click <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/yvqccr" target="_blank"><span style="color:#A11000\;">here</span></a> to read the memo.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">TRP has published an analysis of the medical device-related provisions in the CARES Act\, including new reporting requirements\, a study on the security of the medical device supply chain\, and storage requirements. Click <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/eorccr" target="_blank"><span style="color:#A11000\;">here</span></a> to read the memo.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">TRP has published a memo on the Medicare and Medicaid provisions in the CARES Act and other COVID-19-related legislation. This analysis examines new telehealth policies\, emergency payment provisions\, new flexibilities on prescription drug fills\, and more. Click <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ugsccr" target="_blank"><span style="color:#A11000\;">here</span></a> to read the memo.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">TRP&rsquo\;s memo on the COVID-19 relief packages dives into how the pharmaceutical industry may be impacted by provisions on therapy and vaccine development\, drug supply chain transparency\, over-the counter drug regulation reform and more.&nbsp\;Click <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/a9sccr" target="_blank"><span style="color:#A11000\;">here</span></a> to read the memo.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">President Donald Trump signed the Phase III legislation into law on Mar. 27. TRP&#39\;s analysis of the Phase III legislation can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/q1tccr" target="_blank"><span style="color:#A11000\;">here</span></a>. Our memo on the bill&#39\;s provisions pertaining to the Public Health and Social Services Emergency Fund (PHSSEF) can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/6tuccr" target="_blank"><span style="color:#A11000\;">here.</span></a> </span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Phase II legislative response bill was signed into law on Mar. 18. TRP&#39\;s full analysis of the Phase II bill can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/mmvccr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">An $8.3 billion emergency supplemental appropriations bill cleared both chambers and was signed into law on Mar. 6. TRP&#39\;s analysis of the Phase I legislation can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/2ewccr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Treasury Department and IRS <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/i7wccr" target="_blank"><span style="color:#A11000\;">announced</span></a> the implementation of certain paid sick and family leave requirements mandated by the second COVID-19 legislative response package. TRP&#39\;s breakdown of the paid leave provisions can be found&nbsp\;<a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/yzxccr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Centers for Medicare &amp\; Medicaid Services (CMS) and the Departments of Labor and Treasury issued <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/esyccr" target="_blank"><span style="color:#A11000\;">guidance</span></a> that ensures Americans with private health insurance have access to free COVID-19 testing.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS has temporarily <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ukzccr" target="_blank"><span style="color:#A11000\;">suspended </span></a>a series of rules for health care facilities in a move aimed at bolstering frontline medical staffs.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS has issued a series of <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ad0ccr" target="_blank"><span style="color:#A11000\;">regulatory changes</span></a> that seek to provide flexibility and bolster the health care system to address the COVID-19 outbreak. TRP&#39\;s analysis of the rule can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/q50ccr" target="_blank"><span style="color:#A11000\;">here</span></a>. A list of new frequently asked questions can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/6x1ccr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS has <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/mq2ccr" target="_blank"><span style="color:#A11000\;">issued</span></a> a series of updated guidance documents focused on infection control to prevent the spread of the COVID-19 for certain inpatient and outpatient care settings.&nbsp\;</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS has published additional <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/2i3ccr" target="_blank"><span style="color:#A11000\;">frequently asked questions</span></a> for state Medicaid and CHIP agencies regarding COVID-19 response efforts. A list of FAQs for state Medicaid and Children&rsquo\;s Health Insurance Program (CHIP) agencies can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ib4ccr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS posted a transcript of its Mar. 31 national stakeholder call. A full list of CMS call transcripts and recordings can be found <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/y34ccr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS sent a <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ew5ccr" target="_blank"><span style="color:#A11000\;">letter</span></a> to hospitals on behalf of Vice President Mike Pence requesting they report data in connection with their efforts to fight the COVID-19.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS issued <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/uo6ccr" target="_blank"><span style="color:#A11000\;">guidance</span></a> for health care providers regarding the expansion of the accelerated and advance payments program for providers and suppliers during COVID-19 emergency.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ah7ccr" target="_blank"><span style="color:#A11000\;">approved</span></a> Medicaid Section 1135 Waivers for states in response to the COVID-19 outbreak. A full list of the 1135 waiver approval letters can be accessed <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/q97ccr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CMS <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/618ccr" target="_blank"><span style="color:#A11000\;">announced</span></a> that it is granting exemptions from reporting requirements and granting extensions for clinicians\, providers\, and facilities participating in Medicare quality reporting programs.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Telehealth</span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">. The Federal Communications Commission&#39\;s (FCC) COVID-19 Telehealth Program application portal is set to open at 12:00 PM EST today. Click <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/mu9ccr" target="_blank"><span style="color:#A11000\;">here</span></a> for details.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">TRP has published a comprehensive analysis of the telehealth policies for the COVID-19 national emergency. Click <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/2madcr" target="_blank"><span style="color:#A11000\;">here</span></a> to read the telehealth memo.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">SBA. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The SBA and Treasury Department updated their list of <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ifbdcr" target="_blank"><span style="color:#A11000\;">frequently asked questions</span></a> on the Paycheck Protection Program.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">SBA issued an <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/y7bdcr" target="_blank"><span style="color:#A11000\;">interim final rule</span></a> outlining additional guidance for the paycheck protection program. TRP&#39\;s comprehensive analysis of the small business provisions contained in COVID-19 response bills can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/e0cdcr" target="_blank"><span style="color:#A11000\;">here</span></a>. The loan application form can be accessed <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/usddcr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Fed. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Federal Reserve <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/aledcr" target="_blank"><span style="color:#A11000\;">announced </span></a>a series of emergency actions that would provide more than $2 trillion in COVID-19 loans to businesses\, state\, and local governments.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Federal Reserve <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/qdfdcr" target="_blank"><span style="color:#A11000\;">announced </span></a>the creation of a lending facility that will provide liquidity for lenders for the purposes of funding up to to $349 billion authorized by the CARES Act. The interim final rule can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/65fdcr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Federal regulators <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/mygdcr" target="_blank"><span style="color:#A11000\;">announced</span></a> they will temporarily allow community banks with a lower leverage ratio to skirt certain prescriptive capital requirements.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Federal Reserve and four other financial agencies <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/2qhdcr" target="_blank"><span style="color:#A11000\;">announced </span></a>they will consider comments on Volcker rule modifications until May 1.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">On Mar. 24\, The Federal Reserve will be <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ijidcr" target="_blank"><span style="color:#A11000\;">scaling back</span></a> its examination of banks to focus more intently on the potential risks that arise from the outbreak.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Federal Reserve <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ybjdcr" target="_blank"><span style="color:#A11000\;">announced</span></a> on Mar. 23 a series of emergency moves aimed at stemming the economic impact of the outbreak. These actions include three new emergency lending facilities\, as well as a new program that will support lending to eligible small-and medium-sized businesses that support efforts by the Small Business Administration (SBA).</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Federal Reserve announced that it will establish a Primary Dealer Credit Facility to support dealers&#39\; market-making as the economy continues to slow due to the COVID-19 pandemic.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Federal Reserve\, Federal Deposit Insurance Corporation (FDIC)\, and Office of the Comptroller of the Currency (OCC) outlined actions aimed at providing banks additional flexibility to support households and businesses during the outbreak. Details on these steps can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/e4jdcr" target="_blank"><span style="color:#A11000\;">here</span></a></span></span></span><span style="color:black\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">. </span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">DOT. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Department of Transportation (DOT) issued a <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/uwkdcr" target="_blank"><span style="color:#A11000\;">final order</span></a> on service obligations for air carriers receiving financial relief through the CARES Act.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">DOT and the Federal Transit Administration (FTA) <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/apldcr" target="_blank"><span style="color:#A11000\;">announced</span></a> a total of $25 billion in federal funding allocations to help the public transit systems respond to the COVID-29 outbreak.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Social Distancing.</span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;"> The Trump administration has recommended the use of cloth masks for those who need to go out in public.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Surgeon General Jerome Adams stated that he anticipates the Trump administration&#39\;s social distancing guidelines to be extended past Apr. 30.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">President Trump announced that the administration will be extending its social distancing <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/qhmdcr" target="_blank"><span style="color:#A11000\;">guidelines</span></a> through Apr. 30.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The guidance outlines a series of steps &mdash\; including avoiding social gatherings of 10 or more people &mdash\; aimed at mitigating the spread of the virus.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Centers for Disease Control and Prevention (CDC) issued <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/69mdcr" target="_blank"><span style="color:#A11000\;">guidance</span></a> on Mar. 16 recommending that Americans cancel or postpone gatherings of 50 more people for the next eight weeks.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">DOL. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Department of Labor issued a <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/m2ndcr" target="_blank"><span style="color:#A11000\;">temporary rule</span></a> implementing the paid family and medical leave provisions of the Families First Coronavirus Response Act. TRP&#39\;s analysis of the rule can be read <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/2uodcr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Trump administration offered a broad definition of &ldquo\;health care providers&rdquo\; that may be excluded from paid sick and family leave\, as well as broad exceptions to family leave for companies with fewer than 50 workers in the rule. This led some Members of Congress to say that the rule veers away from what Congress intended when it passed the law.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">HHS. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Department of Health and Human Services (HHS) <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/inpdcr" target="_blank"><span style="color:#A11000\;">announced</span></a> that it will not penalize HIPAA-covered business associates for sharing patient information intended to assist the government combat COVID-19.&nbsp\;</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">HHS issued an emergency use authorization <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/yfqdcr" target="_blank"><span style="color:#A11000\;">declaration</span></a> stating that circumstances exist to justify the authorization of emergency use of drugs and biological products during the COVID-19&nbsp\;outbreak.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">HUD. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Department of Housing and Urban Affairs (HUD) has begun <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/e8qdcr" target="_blank"><span style="color:#A11000\;">allocating</span></a> $3 billion in funding for communities through the Community Development Block Grant\, Emergency Solutions Grant\, and Housing Opportunities for Persons With AIDS programs to address COVID-19 issues.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Treasury. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Treasury Department issued a <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/u0rdcr" target="_blank"><span style="color:#A11000\;">statement</span></a> clarifying that Social Security recipients will not need to file an abbreviated tax return to receive direct payment relief.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Treasury Department has issued <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/atsdcr" target="_blank"><span style="color:#A11000\;">guidance</span></a> for airlines to apply for up to $58 billion in grants and loans as mandated by the Phase III COVID-19 legislative response bill.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">CFPB. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Consumer Financial Protection Bureau (CFBP) issued <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/qltdcr" target="_blank"><span style="color:#A11000\;">guidance</span></a> urging lenders to provide information to credit reporting agencies about the work they are doing to provide relief to consumers during the COVID-19 emergency.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">USTR.</span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;"> The Office of the United States Trade Representative (USTR) published a <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/6dudcr" target="_blank"><span style="color:#A11000\;">list</span></a> of exemptions on certain medical items from the tariffs imposed by President Donald Trump on Chinese goods.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">USTR opened a <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/m6udcr" target="_blank"><span style="color:#A11000\;">comment docket</span></a> for members of the public\, businesses\, and government agencies to submit comments if they believe further modifications to the 301 tariffs may be necessary in response to the outbreak.&nbsp\;</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">FDA.</span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;"> The Food and Drug Administration (FDA) issued an <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/2yvdcr" target="_blank"><span style="color:#A11000\;">update</span></a> on steps the agency is taking to help mitigate supply interruptions of food and medical products.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">FDA <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/irwdcr" target="_blank"><span style="color:#A11000\;">announced</span></a> actions to increase U.S. supplies to support COVID-19 response efforts by providing <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/yjxdcr" target="_blank"><span style="color:#A11000\;">instructions</span></a> to manufacturers importing personal protective equipment (PPE) and other devices.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">FDA has provided new guidance on patient access to certain Risk Evaluation and Mitigation Strategy (REMS)-requited drugs during the COVID-19 public health emergency.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">FDA issued <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ecydcr" target="_blank"><span style="color:#A11000\;">guidance</span></a> allowing manufacturers of certain non-invasive\, FDA-cleared devices to expand their use so that health care providers can use them to monitor patients remotely.&nbsp\;&nbsp\; </span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">FDA is suspending routine surveillance inspections for food\, drugs\, medical devices and tobacco to protect its workers from COVID-19 and because of industry concerns about visitors. Inspections triggered by specific reasons\, like contamination\, outbreaks or other emergencies\, will continue.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">EO on Medical Resources. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">President Trump signed an <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/u4ydcr" target="_blank"><span style="color:#A11000\;">executive order</span></a> that seeks to stymie hoarding of health and medical resources to respond to the spread of COVID-19.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">President Trump issued an <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/axzdcr" target="_blank"><span style="color:#A11000\;">executive order</span></a> on prioritizing and allocating resources to respond to the spread of COVID-19.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">REAL ID. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">President Trump announced that the federal government would be extending the compliance deadline for <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/qp0dcr" target="_blank"><span style="color:#A11000\;">REAL ID</span></a>\, responding to concern from the travel industry as well as lawmakers\, who have been increasingly worried that a rush to DMVs to meet the Oct. 1 deadline could put people at risk.</span></span></span></li>\n													<li style="color:#333333\;"><strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Tech. </span></span></span></strong><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The White House <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/6h1dcr" target="_blank"><span style="color:#A11000\;">announced</span></a> the launch of a <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/ma2dcr" target="_blank"><span style="color:#A11000\;">COVID-19 High Performance Computing Consortium</span></a> aimed at providing researchers with access to computing resources needed to bolster scientific research on the virus.</span></span></span></li>\n													<li style="color:#333333\;"><span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">The Trump administration issued a call to action urging the tech industry to collaborate and utilize data on COVID-19 and related viruses using artificial intelligence (AI). It includes curated articles and data compiled by the Allen Institute for AI. Additional information on this database can be found <a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/222dcr" target="_blank"><span style="color:#A11000\;">here</span></a>.</span></span></span></li>\n												</ul>\n												<span style="color:#303030\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">I hope everyone has a good week and continues to stay well! </span></span></span><br />\n												&nbsp\;<br />\n												<span style="color:#333333\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:10.5pt\;">Sincerely\,&nbsp\;</span></span></span></td>\n											</tr>\n										</tbody>\n									</table>\n									</td>\n								</tr>\n							</tbody>\n						</table>\n						&nbsp\;\n\n						<table border="0" cellpadding="0" cellspacing="0" id="block_ppyutvoo" style="width:100.0%\;" width="100%">\n							<tbody>\n								<tr>\n									<td style="padding:0in 0in 0in 0in\;vertical-align:top\;">\n									<table border="0" cellpadding="0" cellspacing="0" style="width:100.0%\;" width="100%">\n										<tbody>\n											<tr>\n												<td style="padding:0in 11.25pt 0in 11.25pt\;vertical-align:top\;">\n												<table border="0" cellpadding="0" cellspacing="0">\n													<tbody>\n														<tr>\n															<td style="padding:0in 0in 0in 0in\;vertical-align:top\;">\n															<table border="0" cellpadding="0" cellspacing="0">\n																<tbody>\n																	<tr>\n																		<td style="padding:0in 0in 0in 0in\;vertical-align:top\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:9.0pt\;"><img border="0" height="51" id="_x0000_i1026" src="http://d31hzlhk6di2h5.cloudfront.net/20200413/cc/00/09/f3/a5c243e9e02cc6a70e4ccb5b_240x102.png" style="display:block\;" width="120" /></span></span></td>\n																	</tr>\n																</tbody>\n															</table>\n															</td>\n														</tr>\n													</tbody>\n												</table>\n												</td>\n											</tr>\n										</tbody>\n									</table>\n									</td>\n								</tr>\n							</tbody>\n						</table>\n						&nbsp\;\n\n						<table border="0" cellpadding="0" cellspacing="0" id="block_uiygkwzb" style="width:100.0%\;" width="100%">\n							<tbody>\n								<tr>\n									<td style="padding:0in 0in 0in 0in\;vertical-align:top\;">\n									<table border="0" cellpadding="0" cellspacing="0" style="width:100.0%\;" width="100%">\n										<tbody>\n											<tr>\n												<td style="padding:0in 11.25pt 0in 11.25pt\;vertical-align:top\;">\n												<table border="0" cellpadding="0" cellspacing="0">\n													<tbody>\n														<tr>\n															<td style="padding:0in 0in 0in 0in\;vertical-align:top\;">\n															<table border="0" cellpadding="0" cellspacing="0">\n																<tbody>\n																	<tr>\n																		<td style="padding:0in 11.25pt 0in 48.0pt\;vertical-align:top\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:9.0pt\;"><a href="https://t.e2ma.net/click/65b2kd/mi8rt2e/iv3dcr" target="_blank"><span style="text-decoration:none\;text-underline:none\;"><span style="color:#333333\;"><img border="0" height="74" id="_x0000_i1027" src="http://d31hzlhk6di2h5.cloudfront.net/20200413/bf/45/de/8f/cb7a1843ac59fa59de1332c6_240x148.jpg" style="display:block\;" width="120" /></span></span></a></span></span></td>\n																		<td style="padding:7.5pt 56.25pt 7.5pt 11.25pt\;vertical-align:top\;"><span style="font-family:arial\,sans-serif\;"><span style="font-size:9.0pt\;"><img border="0" height="74" id="_x0000_i1028" src="http://d31hzlhk6di2h5.cloudfront.net/20200413/f8/fd/49/e9/6f65c53ef46f7bf5a0fd3e8d_394x148.png" style="display:block\;" width="197" /></span></span></td>\n																	</tr>\n																</tbody>\n															</table>\n															</td>\n														</tr>\n													</tbody>\n												</table>\n												</td>\n											</tr>\n										</tbody>\n									</table>\n									</td>\n								</tr>\n							</tbody>\n						</table>\n						</td>\n					</tr>\n					<tr>\n						<td style="padding:0in 0in 0in 0in\;">&nbsp\;</td>\n					</tr>\n				</tbody>\n			</table>\n			</td>\n		</tr>\n	</tbody>\n</table>\n
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UID:e.1873.3991
SEQUENCE:3
DTSTAMP:20260518T214603Z
URL:https://business.wyliechamber.org/events/details/senator-cruz-tele-town-hall-3991
END:VEVENT

END:VCALENDAR
