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4352 Federal Register/Vol. 87, No. 18/Thursday, January 27, 2022/Rules and Regulations
<br /> pandemic,Native Americans have Summary of the Interim Final Rule proposing additional enumerated
<br /> experienced more than one and a half Approach to Public Health eligible uses.
<br /> times the rate of COVID-19 infections, Summary:As discussed above,the Reorganizations and Cross-
<br /> more than triple the rate of interim final rule provided flexibility for References:In some cases, enumerated
<br /> hospitalizations,and more than double recipients to pursue a wide range of eligible uses included in the interim
<br /> the death rate compared to White final
<br /> eligible uses to "respond to"the rule under responding to the
<br /> Americans.63 Low-income and minority COVID-19 public health emergency. public health emergency have been re-
<br /> communities also exhibit higher rates of Uses of funds to"respond to"the public categorized in the organization of the
<br /> pre-existing conditions that may health emergency address the SARS- final rule to enhance clarity.For
<br /> contribute to an increased risk of CoV-2 virus itself, support efforts to discussion of eligible uses for public
<br /> ,
<br /> COVID-19 mortality.64 In addition, pp health and safety staff and to improve
<br /> individuals living in low-income prevent or decrease spread of the virus, the design and execution of public
<br /> communities may have had more and address other impacts of the health programs,please see section
<br /> limited ability to socially distance or to pandemic on public health. The interim public Sector Capacity and Workforce in
<br /> self-isolate when ill,resulting in faster final rule implemented these provisions General Provisions: Other. For
<br /> spread of the virus,and were over- by identifying a non-exhaustive list of discussion of eligible uses to address
<br /> represented among essential workers, disparities programs or services that may be funded dis ities in public health outcomes,
<br /> as responding to COVID-19 lease see section Assistance to
<br /> who face greater risk of exposure.65 ("enumerated eligible uses"),along with p
<br /> Social distancing measures In considerations for evaluating other Households In Negative Economic
<br /> response to the pandemic may have also potential explicitly Impacts.
<br /> poena uses of funds not explicy
<br /> exacerbated pre-existing public health Conversely, discussion of eligible
<br /> challenges. For example,for children listed.Enumerated eligible uses are assistance to small businesses and
<br /> living in homes with lead paint, discussed below. For guidance on how nonprofits to respond to public health
<br /> spending substantially more time at to determine whether a particular use is impacts has been moved from
<br /> home raises the risk of developing allowable,beyond those enumerated, Assistance to Small Businesses and
<br /> elevated blood lead levels,while see section Standards:Identifying a Assistance to Nonprofits in Negative
<br /> screenings for elevated blood lead levels Public Health Impact. Economic Impacts to this section. This
<br /> declined during the pandemic.66 The Enumerated eligible uses under this change is consistent with the interim
<br /> combination of these underlying social section built and expanded upon final rule,which provides that
<br /> and health vulnerabilities may have permissible expenditures under the appropriate responses to address the
<br /> contributed to more severe public health Coronavirus Relief Fund;for clarity,the public health impacts of COVID-19 may
<br /> outcomes of the pandemic within these Interim final rule expressly listed as be provided to any type of entity.
<br /> communities,resulting in an eligible uses the uses permissible under
<br /> the Coronavirus Relief Fund,with a. COVID-19 Mitigation and Prevention
<br /> exacerbation of pre-existing disparities
<br /> in health outcomes.67 minor exceptions.68 The interim final COVID-19 public health response and
<br /> rule also recognized that the nature of mitigation tactics.Recognizing the
<br /> Vulnerability Index,https://covid.cdc.govlcovid- the COVID-19 public health emergency, broad range of services and
<br /> data-tracker/#pop factors_totaldeaths(last visited and responsive policy measures, programming needed to contain
<br /> December 7,2021). programs,and services,had changed COVID-19,the interim final rule
<br /> 63 Centers for Disease Control and Prevention, over time and is expected to continue provided an extensive list of
<br /> Risk for COVID-19 Infection,Hospitalization,and evolving. enumerated eligible uses to prevent and
<br /> Death By Race/Ethnicity,https://www.cdc.gov/
<br /> coronavirus/2o19-ncov/covid-data/investigations- The interim final rule categorized mitigate COVID-19 and made clear that
<br /> discovery/hospitalization-death-by-race- enumerated eligible uses to respond to the public health response to the virus
<br /> ethnicity.htlnl(last visited December 7,2021). the public health emergency into several is expected to continue to evolve over
<br /> 64 see,e.g.,Centers for Disease Control and categories: (1)COVID-19 mitigation and time,necessitating different uses of
<br /> Prevention,Risk of Severe Illness or Death from prevention, 2 medical ex
<br /> COVID-19(Dec.10,2020),https://www.cdc.gov/ p ( ) expenses, (31 1 funds.
<br /> coronavirus/2019-ncov/comm unity/health-equity/ behavioral health care, (4) public health Enumerated eligible uses of funds in
<br /> racial-ethnic-disparities/disparities-illness.html and safety staff, (5) expenses to improve this category included:Vaccination
<br /> (last visited December 7,2021). the design and execution of health and programs;medical care;testing; contact
<br /> 65 Milena Almagro et al.,Racial Disparities in public health programs, and(6) eligible tracing; support for isolation or
<br /> Frontline Workers and Housing Crowding During
<br /> COVID-19:Evidence from Geolocation Data(Sept. uses to address disparities in public quarantine;supports for vulnerable
<br /> 22,2020),NYU Stern School of Business health outcomes.For each category in populations to access medical or public
<br /> (forthcoming),available at https://papers.ssrn.com/ turn,this section describes public health services;public health
<br /> sol3/papers.cfm?abstract id=3695249;Grace comments received and Treasury's surveillance (e.g.,monitoring case
<br /> McCormack et al.,Economic Vulnerability of
<br /> Households with Essential Workers,JAMA responses, as well as comments received trends,genomic sequencing for
<br /> 324(4):388-90(2020),available at https://jamanet variants); enforcement of public health
<br /> work.com/journals/Jama/f"ullarticle/2767630. by Area-Level Deprivation—Utah,March 3—July 9, orders;public communication efforts;
<br /> 66 See,e.g.,Joseph G.Courtney et al.,Decreases 2020,Morb.Mortal.Wkly.Rep.69(38):1369-73 enhancement to health care capacity'in Young Children Who Received Blood Lead Level (Sept.25,2020),https://www.cdc.govlmmwr/
<br /> including through alternative care
<br /> Testing During COVID-19-34 Jurisdictions, volumes/69/wr/mm6938a4.htm.
<br /> January—May 2020,Morb.Mort.Wkly.Rep. 68 Generally,funding uses eligible under CRF as facilities; purchases of personal
<br /> 70(5):155-61(Feb.5,2021),https://www.cdc.govl a response to the direct public health impacts of protective equipment; support for
<br /> mmwr/volumesl70lwrlmm7005a2.htm;Emily A. COVID-19 will continue to be eligible under the prevention,mitigation, or other services
<br /> Benfer&Lindsay F.Wiley,Health Justice Strategies ARPA,including those not explicitly listed in the in congregate living facilities (e.g.,
<br /> to Combat COVID-19:Protecting Vulnerable final rule,with the following two exceptions:(1)
<br /> Communities During a Pandemic,Health Affairs The standard for eligibility of public health and nursing homes,incarceration settings,
<br /> Blog(Mar.19,2020),https://www.healthaffairs.Orgl safety payrolls has been updated(see section Public homeless shelters,group living
<br /> do/10.1377/hblog20200319.757883/full/. Sector Capacity and Workforce in General facilities) and other key settings like
<br /> 67 See,e.g.,Centers for Disease Control and Provisions:Other)and(2)expenses related to the schools;ventilation improvements in
<br /> Prevention,supra note 62;Benfer&Wiley,supra issuance of tax-anticipation notes are no longer an
<br /> note 66;Nathaniel M.Lewis et al.,Disparities in eligible funding use(see section Restrictions on congregate settings,health care settings,
<br /> COVID-19 Incidence,Hospitalizations,and Testing, Use:Debt Service). or other key locations; enhancement of
<br />
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