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Federal Register/Vol. 87, No. 18/Thursday, January 27, 2022/Rules and Regulations 4343 <br /> as changes within the section on that consider the two eligibility use is reasonably proportional, <br /> enumerated use. requirements discussed below. These recipients should consider relevant <br /> The final rule streamlines and aligns standards apply to all proposed public factors about the harm identified and <br /> services and standards that are generally health uses. the response. For example,recipients <br /> applicable or are provided for public First,there must be a negative public may consider the size of the population <br /> health purposes. Under this approach, health impact or harm experienced by impacted and the severity,type, and <br /> eligible uses to respond to the public an individual or a class. For ease of duration of the impact.Recipients may <br /> health emergency are organized based administration,the interim final rule also consider the efficacy, cost,cost- <br /> on the type of public health problem: (1) allowed,and the final rule maintains effectiveness,and time to delivery of the <br /> COVID-19 mitigation and prevention, the ability for,recipients to identify a response. <br /> (2)medical expenses, (3)behavioral public health impact on a population or If a recipient intends to fund capital <br /> health care,and (4)preventing and group of individuals,referred to as a expenditures in response to the public <br /> responding to violence. Under this "class,"and to provide assistance to health impacts of the pandemic, <br /> approach, eligible uses to respond to the that class. In determining whether an recipients should refer to the section <br /> negative economic impacts of the public individual is eligible for a program Capital Expenditures for details about <br /> health emergency are organized based designed to address a harm experienced the eligibility of capital expenditures. <br /> on the type of beneficiary: (1)Assistance by a class,the recipient need only Standards:Designating a Negative <br /> to households, (2) assistance to small document that the individual is within Economic Impact <br /> businesses, and (3) assistance to the class that experienced a public <br /> nonprofits, alongside a fourth health impact,see section Standards: Public Comment:Many commenters <br /> expressed uncertainty about how to <br /> standalone eligibility category for aid to Designating Other Impacted Classes. In <br /> travel,tourism,hospitality,and other the case of some impacts,for example determine whether uses of funds, <br /> beyond those specifically enumerated as <br /> impacted industries. The first three impacts of COVID-19 itself that are <br /> categories,assistance to households, addressed by providing prevention and eligible,might be eligible responses to <br /> negative economic impacts.For <br /> small businesses, and nonprofits, mitigation services,such a class could <br /> include enumerated eligible uses for reasonably include the general public. example,many commenters submitted <br /> questions asking whether specific uses <br /> impacted and disproportionately Second,the program, service, or other <br /> impacted beneficiaries. This change in intervention must address or respond to of funds would be eligible. Others <br /> structure is intended to provide a the identified impact or harm.The final described what they considered to be <br /> impacts of the pandemic and argued <br /> framework that clearly identifies the rule maintains the interim final rule <br /> that uses of funds to respond to these <br /> intended beneficiaries of uses of funds requirement that eligible uses under this <br /> and provides clarity about what types of category must be in response to the issues should be eligible. Some <br /> assistance are "responsive to the disease itself or other public health commenters requested that Treasury <br /> provide additional detail to guide their <br /> pandemic or its negative economic harms that it caused.19 <br /> impacts" for these beneficiaries. Responses must be reasonably assessments of eligible uses of funds. <br /> designed to benefit the individual or These comments ranged in their <br /> a. Standards for Identifying a Public class that experienced the public health specificity and covered the full range of <br /> Health or Negative Economic Impact impact or harm. Uses of funds should be eligible uses to respond to negative <br /> Standards:Designating a Public Health assessed based on their responsiveness economic impacts. Several commenters <br /> asked for clarification about what types <br /> Impact to their intended beneficiaries and the <br /> ability of the response to address the of food assistance would be considered <br /> Public Comment:Many commenters eligible.Another commenter requested <br /> expressed uncertainty about how to impact or harm experienced by those that the establishment of outdoor dining <br /> determine whether a use of funds, beneficiaries. be eligible. Many commenters inquired <br /> beyond those specifically enumerated as Responses must also be related and about homeless shelters as an eligible <br /> eligible,might be an eligible public reasonably proportional to the extent use of SLFRF funds. <br /> health response. For example,many and type of public health impact or Commenters also expressed <br /> commenters submitted questions asking harm experienced. Uses that bear no uncertainty about the ability to establish <br /> whether specific uses of funds would be relation or are grossly disproportionate classes,including geographic areas,that <br /> eligible. Others described what they to the type or extent of harm experienced a negative economic impact <br /> considered to be impacts of the experienced would not be eligible uses. or disagreed with the requirement that <br /> pandemic and argued that uses of funds Reasonably proportional refers to the an individual entity be impacted by the <br /> to respond to these issues should be scale of the response compared to the pandemic in order to receive assistance. <br /> eligible. Some commenters requested scale of the harm.It also refers to the For example,a commenter argued that <br /> that Treasury provide additional detail targeting of the response to beneficiaries interventions should not be limited to <br /> to guide their assessments of eligible compared to the amount of harm they individuals or businesses that <br /> uses of funds.For example,a experienced. In evaluating whether a experienced an economic impact and <br /> commenter requested more clarification should instead be used broadly to <br /> around exactly what and whose medical 19In designing an intervention to mitigate support economic growth.These <br /> COVID-19,the recipient should consider guidance pp g <br /> expenses can be covered. These from public health authorities,particularly the commenters argued that an expenditure <br /> comments ranged in their specificity Centers for Disease Control and Prevention(CDC), that supports a more robust economy <br /> and covered the full range of the in assessing appropriate COVID-19 mitigation and may help combat the pandemic's <br /> enumerated eligible uses. prevention strategies(see Centers for Disease negative economic impacts,and it can <br /> Control and Prevention,COVID-19,https:// <br /> Treasury Response:Treasury is www.cdc.gov/coronavirus/2019-ncov/index.html). do so even if funding is provided to <br /> clarifying that when assessing whether A program or service that imposes conditions on individuals or entities that did not <br /> a program or service is an eligible use participation in or acceptance of the service that themselves experience a negative <br /> would undermine efforts to stop the spread of <br /> to respond to the public health impacts economic impact during the pandemic. <br /> of the COVID-19 public health in line with CDC guidance for stopping the spread Treasury Response:The final rule <br /> emergency,the Department will of COVID-19 is not a permissible use of funds. maintains the standard articulated in <br />