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moderate -income, by providing standard metrics based on widely available data, is intended to <br />simplify administration for recipients. <br />Households presumed to be disproportionately impacted: Disproportionately impacted <br />households are those that experienced a disproportionate, or meaningfully more severe, impact <br />from the pandemic. As discussed in the interim final rule, pre-existing disparities in health and <br />economic outcomes magnified the impact of the COVID-19 public health emergency on certain <br />households and communities. As with the interim final rule, under the final rule recipients may <br />presume that households residing in QCTs or receiving services provided by Tribal governments <br />were disproportionately impacted by the pandemic. In addition, under the final rule recipients <br />may presume that low-income households were disproportionately impacted by the pandemic. <br />Finally, under the final rule recipients may also presume that households residing in the U.S. <br />territories or receiving services from territorial governments were disproportionately impacted. <br />Treasury notes that households presumed to be disproportionately impacted would also <br />be presumptively impacted, as these households have not only experienced pandemic impacts <br />but have experienced disproportionate pandemic impacts; as a result, these households are <br />presumptively eligible for responsive services for both impacted and disproportionately impacted <br />households. <br />Many different geographic, income -based, or poverty -based presumptions could be used <br />to designate disproportionately impacted populations. The combination of permitting recipients <br />to use QCTs, low-income households, and services provided by Tribal or territorial governments <br />as presumptions balances these varying methods. Specifically, QCTs are a commonly used <br />designation of geographic areas based on low incomes or high poverty rates of households in the <br />community; for recipients providing geographically targeted services, QCTs may provide a <br />38 <br />