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a. STANDARDS FOR IDENTIFYING A PUBLIC HEALTH OR NEGATIVE ECONOMIC IMPACT <br />Standards: Designating a Public Health Impact <br />Public Comment: Many commenters expressed uncertainty about how to determine <br />whether a use of funds, beyond those specifically enumerated as eligible, might be an eligible <br />public health response. For example, many commenters submitted questions asking whether <br />specific uses of funds would be eligible. Others described what they considered to be impacts of <br />the pandemic and argued that uses of funds to respond to these issues should be eligible. Some <br />commenters requested that Treasury provide additional detail to guide their assessments of <br />eligible uses of funds. For example, a commenter requested more clarification around exactly <br />what and whose medical expenses can be covered. These comments ranged in their specificity <br />and covered the full range of the enumerated eligible uses. <br />Treasury Response: Treasury is clarifying that when assessing whether a program or <br />service is an eligible use to respond to the public health impacts of the COVID-19 public health <br />emergency, the Department will consider the two eligibility requirements discussed below. <br />These standards apply to all proposed public health uses. <br />First, there must be a negative public health impact or harm experienced by an individual <br />or a class. For ease of administration, the interim final rule allowed, and the final rule maintains <br />the ability for, recipients to identify a public health impact on a population or group of <br />individuals, referred to as a "class," and to provide assistance to that class. In determining <br />whether an individual is eligible for a program designed to address a harm experienced by a <br />class, the recipient need only document that the individual is within the class that experienced a <br />public health impact, see section Standards: Designating Other Impacted Classes. In the case of <br />21 <br />