Category: Covid-19

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Congress Seeks to Extend COVID-19 Telehealth Flexibilities Through 2026 and Expand Reimbursement – JD Supra

June 4, 2024

[co-author: Gabriela Garcia-Bou*]

On May 16, 2024, the Subcommittee on Health of the House Committee on Energy and Commerce (the Subcommittee) announced that it advanced the Telehealth Modernization Act of 2024 (H.R. 7623) as amended (the Bill) during a markup session. The Bill is meant to extend a number of telehealth flexibilities under Medicare through 2026. This corresponded with 22 other bills advanced by the Subcommittee to strengthen access to healthcare.

The Bill largely seeks to continue Medicares hospital-at-home program through 2029, which provides resources for at-home care for patients who need acute-level care. The Bill would also eliminate the geographic originating site restrictions on telehealth visits through 2026. Absent these changes, the programs will expire at the end of 2024.

Significantly, the Bill also would empower the Secretary of Health and Human Services (HHS) to expand the categories of practitioners that may furnish reimbursable telehealth services. This would potentially allow for any healthcare professional who bills the Medicare program to be eligible to offer telehealth services. The Bill would further enable the Secretary to maintain an expanded list of eligible telehealth services, even after the existing laws emergency period expires.

The Bill specifically benefits patients located in a rural location by explicitly allowing additional resources to be allocated to rural health clinics providing telehealth services. For example, the Bill would make permanent the ability of Federally Qualified Health Centers and Rural Health Clinics to provide telehealth services and provide reimbursements in those settings. This is crucial because Federally Qualified Health Centers and Rural Health Clinics are critical safety-net providers of primary care for underserved populations. Permitting these types of health centers to provide telehealth services as distant sites plays a major role in expanding and maintaining access to care in underserved and rural communities, and helps ensure continuity of care in those communities.

While the Subcommittee advanced the Bill following its markup session, it still must pass in both the House and Senate. Providers should closely track the Bills progress. If it is not enacted in 2024, the telehealth flexibilities borne out of the COVID-19 public health emergency may end. Practitioners should be prepared to adjust their telehealth services and billing practices in the event the flexibilities expire. On the other hand, practitioners should be prepared to continue and potentially expand their telehealth services and flexibilities if the Bill is enacted and the Secretary expands the applicability of the flexibilities to additional categories of healthcare professionals.

The population of Medicare patients that use telehealth has grown, likely in part due to the flexibilities12% of Medicare users had a telehealth service in the third quarter of 2023, which is nearly double the percentage that received at telehealth service in the first quarter of 2020. If the flexibilities end, many Medicare patients who have grown accustom to telehealth will need to readjust how they seek out and receive healthcare services and providers will need to reassess how to best serve those patients.

*Gabriela Garcia-Bou is an associate in the Corporate Practice Group in the firm's New York office.

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Congress Seeks to Extend COVID-19 Telehealth Flexibilities Through 2026 and Expand Reimbursement - JD Supra

What to make of the new COVID variants, FLiRT – NPR

June 4, 2024

Dr. Ashish Jha says the U.S. is seeing typically two COVID waves a year. Justin Sullivan/Getty Images hide caption

As much as we would all love to ignore COVID, a new set of variants that scientists call FLiRT is here to remind us that the virus is still with us.

The good news: as of last Friday, the CDC says that the amount of respiratory illness in the U.S. is low.

The not-so-great news: the U.S. has often flirted with summer COVID waves because of travel and air-conditioned gatherings.

Dr. Ashish Jha, the dean of the Brown University School of Public Health and former White House COVID-19 response coordinator, returned to All Things Considered to speak with host Ailsa Chang about what the new variants could bring.

This interview has been lightly edited for length and clarity.

Ailsa Chang: So how concerned would you say scientists are about whether these FLiRT variants come with increased transmissibility or increased disease severity, compared to previous variants?

Ashish Jha: We're seeing exactly what we have expected: The virus continues to evolve to try to escape the wall of immunity we have built up through vaccines and infections. Is this more transmissible? It is. That's why it has become more dominant. But the really important question is, is it going to get people to become more sick than previous versions? And all the evidence right now we have is no. If you have been vaccinated, or you had previous infections or youre one of the majority of Americans who have had both you are likely to have a mild infection and not get particularly sick. Obviously, we have to continue monitoring every new variant, but this is pretty expected.

Chang: Do you expect some sort of summer surge is on the way? And if so, do you have any advice for people who don't want COVID to disrupt their summer plans, even if they get a mild infection?

Jha: Every summer since the beginning of this pandemic, we have seen a summer wave. And therefore, my expectation is we probably will get a summer wave. We spend a lot more time indoors in the summer especially in the South, where it gets very hot so we tend to see those waves to be a bit bigger down in the southern parts of the country. When I think about who's at risk of having complications from these infections, it's older Americans. It's immunocompromised Americans. For them, the two big things are: first, making sure they're up to date on their vaccines. Second, if they do get an infection, we have widely available treatments. Obviously, if you're worried about getting infected at all, avoid crowded indoor spaces. You can wear a mask. Those things still work.

Chang: We've now had four and a half years to observe this virus as it has spread. I'm wondering what are some key patterns that you have seen over that time?

Jha: We are seeing pretty typically about two waves a year: one in the summer, one in the winter, all caused by ongoing evolution of the virus. We're seeing the people who are landing in the hospital. There's still a lot of people getting very sick from this. The other thing that's worth thinking about is there's always a chance that this virus could evolve in some very substantial way, so that it could really cause more disruption and more illness. We've got to continue monitoring and paying attention to that. I don't expect that to happen. But if it does, we've got to be ready.

Chang: In the long run do you think we'll be treating COVID much like we treat other seasonal respiratory illnesses? Like, there will be a new vaccine formulation every fall for expected seasonal surges and this is just what we are going to have to live with for the rest of time?

Jha: Yeah. The way I have thought about this is every year I go and get my flu shot. We have a new formulation. I will probably continue doing that for COVID. So I'm going to have flu and COVID shots. And at some point as I get older, I will probably need an RSV shot every year as well. It's inconvenient. It can be a little bit annoying. But the bottom line is these are life-saving things and people should be doing them.

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What to make of the new COVID variants, FLiRT - NPR

Dr. Anthony Fauci to face questions about origins of COVID-19 – TODAY

June 4, 2024

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Dr. Anthony Fauci to face questions about origins of COVID-19 - TODAY

California lawmaker whose parents died of COVID-19 counterstrikes MTG, hails Fauci as an American hero – Hindustan Times

June 4, 2024

California Democratic Rep. Robert Garcia, whose both parents died from COVID-19, appreciated Dr. Anthony Fauci's efforts in implementing policies that saved lives during the pandemic. Thanking the former Chief Medical Advisor to the President of the United States, Garcia took a different path to address him than Republican Georgia Rep. Marjorie Taylor Greene.

MTG struck Fauci hard with several allegations, questioning his alleged involvement in the COVID-19 pandemic origin story and calling for his imprisonment. Contrarily, Garcia proclaimed him an American hero.

During the Monday House subcommittee hearing on Capitol Hill, Garcia counterstruck lawmakers who attacked medical professionals. It marked the first time Dr. Anthony Fauci testified publicly since retiring in December 2022.

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CNN reported that the California lawmaker's mother was a healthcare worker. Moreover, she and Garcia's stepfather succumbed to the same ailment, dying from COVID-19. As a result, the Democrat said, I lost both of my parents during the pandemic, so I take this very personally.

Also, citing the far-right politician's June 2021 statement on Steve Bannon's podcast War Room, Garcia hit back at Greene for criticising COVID-19 mandates around masking up. Furthermore, the Congressman didn't take her words about putting Fauci in prison lightly.

Standing by Fauci's side, Garcia said, Your quote-unquote so-called science that the gentlewoman is referring to has saved millions of lives in this country and around the world. Further stating his opinion, he called Fauci an American hero for doing more to save lives than all 435 members of this body on both sides of the aisle.

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The Congressman also later took to his X/Twitter feed, making more remarks about sticking by Fauci: Im in our Oversight Committee with Dr. Fauci testifying. As someone that lost two parents to the COVID pandemic, I will not allow these right-wing extremists to lie and spread dangerous conspiracy theories. We will fight back.

In 2021, Greene claimed she didn't believe in evolution and expressed her scepticism of that type of so-called science, asserting her belief in the lab leak" theory. During her appearance on Steve Bannon's (ex-aide to former President Donald Trump) podcast, she added, I believe in God, and these viruses were not making people sick until they created them they weaponise these viruses to be able to attach to our cells and make us sick. Leaning into several other conspiracy theories, Greene stood by her claims that the coronavirus was a bioweapon.

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California lawmaker whose parents died of COVID-19 counterstrikes MTG, hails Fauci as an American hero - Hindustan Times

Republicans grill Fauci about COVID-19 origins and pandemic response | News – WLIW

June 4, 2024

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Republicans grill Fauci about COVID-19 origins and pandemic response | News - WLIW

COVID-19’s impact on mental health and substance use: tools now in Spanish – Safety+Health Magazine

June 4, 2024

Washington The National Institute of Environmental Health Sciences Worker Training Program has published Spanish-language versions of its resources on COVID-19s impact on mental health and substance use.

Specifically, the tools focus on:

The resources include a PowerPoint presentation, a workplace solutions training tool and an activity worksheet.

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COVID-19's impact on mental health and substance use: tools now in Spanish - Safety+Health Magazine

Anthony Fauci rejects COVID-19 accusations as ‘absolutely false and simply preposterous’ – Washington Times

June 4, 2024

Dr. Anthony Fauci said Monday that he never tried to squelch lab leak theories about the origins of the coronavirus, distanced himself from a senior adviser who bragged about defying transparency laws and rebuffed Republicans who said he should have spoken out against the 6-foot social distancing rule.

Dr. Fauci, the face of Americas response to COVID-19, admitted in public testimony to Congress that there was no basis for the 6-foot rule but said it wasnt his place to clear that up. He said that was a decision for the Centers for Disease Control and Prevention.

It was their decision to make and they made it, Dr. Fauci told a House subcommittee investigating the pandemic response.

In sometimes combative testimony, he said his success over decades leading the National Institute of Allergy and Infectious Diseases was in laying the groundwork for the vaccines, which were developed unfathomably quickly and saved hundreds of thousands of lives in the U.S. and millions of lives worldwide.

He vigorously rejected the idea that American money his agency sent for bat research at the Wuhan Institute of Virology helped spawn the pandemic. Even if the virus came from a Chinese lab, he said, it couldnt be traced to U.S. money.

I keep an open mind as to what the origin is. But the one thing I know for sure is that the viruses that were funded by the NIH phylogenetically could not be the precursor to SARS-CoV-2, Dr. Fauci told lawmakers.

SEE ALSO: Fauci said it wasnt his job to stop unproved 6-foot rule during pandemic

In 2020, Dr. Fauci regularly downplayed the idea of a lab leak, indicating that it wasnt the scientific consensus. In one interview, he said the evidence strongly indicates that the virus evolved naturally and jumped to humans.

Another time, from the White House lectern, he cited a research paper that discounted any type of laboratory-based scenario.

He said Monday that the research paper resulted from an episode in early 2020 when some scientists suggested that the virus responsible for COVID-19 was manipulated in a lab. He then participated in a conference call with experts. After more work, the scientists concluded that the lab leak wasnt likely.

Now, several major U.S. agencies say the lab leak is the most likely explanation.

Dr. Fauci insisted Monday that he kept an open mind throughout the entire process.

In his most striking testimony, Dr. Fauci challenged his employee, Dr. David Morens, senior adviser to the director of NIAID, who said in emails that he had ways to sneak information to Dr. Fauci without worrying about Freedom of Information Act demands. In one email, Dr. Morens said, he had a back channel directly to Dr. Fauci.

SEE ALSO: MTG tells Fauci he should be prosecuted for crimes against humanity

I dont have any idea what hes talking about. There is no back channel at NIAID, Dr. Fauci testified.

He said Dr. Morens, with whom he co-authored scientific papers, was not part of his inner circle and did not have walk-in access.

Dr. Fauci was making what could be a legacy-shaping appearance before Congress. He retired from government in December 2022 after nearly 40 years running NIAID, shepherding the U.S. through HIV, the bird flu, Zika, Ebola and the coronavirus. COVID-19 and the use of government power to shut down schools and businesses and insist on vaccinations remain deeply controversial.

You became so powerful that any disagreements that the public had with you were censored on social and most legacy media, said Rep. Brad Wenstrup, the Ohio Republican who leads the subcommittee. This is why Americans became so angry.

The social distancing rules were a major part of that.

Republicans blamed those rules for shuttering schools and businesses and said the effects still seep through society, with students struggling to make up for years of virtual learning.

Dr. Fauci recently said the 6-foot rule had no scientific basis but sort of just appeared.

He said the rule was developed during the early days when researchers thought the virus was chiefly transmitted by droplets. It later became clear that the virus was aerosolized, which undercut the idea behind the distance rule.

When I say was not based in science, I meant a prospective clinical trial to determine whether 6 foot was better than 3 was better than 10, Dr. Fauci said on Monday.

Rep. John Joyce, a Pennsylvania Republican and a physician, wondered why Dr. Fauci didnt speak up at the time. He said it fueled the fracture of trust in American scientists.

Dr. Fauci said it was the CDCs call and it wouldnt have been right to be publicly challenging the system.

He said the governments decision-making was necessary when as many as 5,000 Americans daily were dying and added that it does make sense now to ponder some of the non-public health consequences of the shutdowns.

Dr. Fauci said the trouble with tailoring mandates is that its not always clear who would benefit, and the dangers to some populations dont become clear until later.

He acknowledged the problems that resulted from vaccine mandates and the surge in hesitancy and said these issues need to be considered in decision-making.

We need to reevaluate the cost-benefit ratio of those types of things, he said.

Rep. Raul Ruiz of California, the top Democrat on the panel, said the hearing and questions about Dr. Fauci were intended to deflect anger away from President Trumps handling of the initial months of the pandemic.

Mr. Ruiz said Mr. Trumps behavior could be linked to as many as 400,000 unnecessary COVID-19 deaths.

He said Democrats are not afraid of following the facts and have been outraged by EcoHealth Alliance, the firm that broke federal rules by the way it handled taxpayer funding of the Wuhan lab and by Dr. Morens claims.

He said that shouldnt taint the broader efforts to combat the pandemic.

We are now faced with a crisis of confidence in the very science and public health interventions that lifted our society from one of the most challenging periods in our nations history, Mr. Ruiz said.

Rep. Marjorie Taylor Greene, Georgia Republican, said that skepticism should be blamed on Dr. Fauci. For most of her questioning, she refused to call him doctor.

Youre not doctor; youre Mr. Fauci, she said. That man does not deserve to have a license. As a matter of fact, it should be revoked and he belongs in prison.

She called for Congress to draw up criminal charges.

We should be recommending you to be prosecuted. We should be writing a criminal referral because you should be prosecuted for crimes against humanity. You belong in prison, she said.

Democrats objected and demanded she be punished. Mr. Wenstrup, who was chairing the hearing, said no punishment was appropriate but directed Ms. Greene to recognize the doctor as a doctor.

Dr. Fauci told lawmakers he still receives death threats over his pandemic work.

Every time someone gets up and says Im responsible for deaths of people throughout the world, the death threats go up, he said.

He said its the sort of thing that will discourage prospective researchers from going into public health.

Were not getting the best people coming in because of their reluctance to put themselves and their families through what they see their colleagues going through, Dr. Fauci said.

For more information, visit The Washington Times COVID-19 resource page.

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Anthony Fauci rejects COVID-19 accusations as 'absolutely false and simply preposterous' - Washington Times

Fauci testimony live stream: Watch today’s COVID-19 response hearing – USA TODAY

June 4, 2024

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Fauci testimony live stream: Watch today's COVID-19 response hearing - USA TODAY

Dr. Fauci Gives Opening Testimony on U.S. Response to COVID-19 Pandemic – C-SPAN

June 4, 2024

2024-06-03T10:37:07-04:00https://images.c-span.org/Files/9d4/002/1717425610_002.jpgDuring the House Select Subcommittee on the Coronavirus Pandemic examining the U.S. response to COVID-19, Dr, Anthony Fauci, the former director of the National Institute of Allergy and Infectious Diseases, delivered his opening testimony and addressed certain claims made about the COVID origins and his work.

During the House Select Subcommittee on the Coronavirus Pandemic examining the U.S. response to COVID-19, Dr, Anthony Fauci, the former dire read more

During the House Select Subcommittee on the Coronavirus Pandemic examining the U.S. response to COVID-19, Dr, Anthony Fauci, the former director of the National Institute of Allergy and Infectious Diseases, delivered his opening testimony and addressed certain claims made about the COVID origins and his work. close

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Dr. Fauci Gives Opening Testimony on U.S. Response to COVID-19 Pandemic - C-SPAN

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