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support efforts to prevent or decrease spread of the virus, and address other impacts of the <br />pandemic on public health. The interim final rule implemented these provisions by identifying a <br />non -exhaustive list of programs or services that may be funded as responding to COVID-19 <br />("enumerated eligible uses"), along with considerations for evaluating other potential uses of <br />funds not explicitly listed. Enumerated eligible uses are discussed below. For guidance on how to <br />determine whether a particular use is allowable, beyond those enumerated, see section Standards: <br />Identifying a Public Health Impact. <br />Enumerated eligible uses under this section built and expanded upon permissible <br />expenditures under the Coronavirus Relief Fund; for clarity, the interim final rule expressly listed <br />as eligible uses the uses permissible under the Coronavirus Relief Fund, with minor exceptions.68 <br />The interim final rule also recognized that the nature of the COVID-19 public health emergency, <br />and responsive policy measures, programs, and services, had changed over time and is expected <br />to continue evolving. <br />The interim final rule categorized enumerated eligible uses to respond to the public health <br />emergency into several categories: 1) COVID-19 mitigation and prevention, 2) medical <br />expenses, 3) behavioral health care, 4) public health and safety staff, 5) expenses to improve the <br />design and execution of health and public health programs, and 6) eligible uses to address <br />disparities in public health outcomes. For each category in turn, this section describes public <br />comments received and Treasury's responses, as well as comments received proposing additional <br />enumerated eligible uses. <br />68 Generally, funding uses eligible under CRF as a response to the direct public health impacts of COVID-19 will <br />continue to be eligible under the ARPA, including those not explicitly listed in the final rule, with the following two <br />exceptions: 1) the standard for eligibility of public health and safety payrolls has been updated (see section Public <br />Sector Capacity and Workforce in General Provisions: Other) and 2) expenses related to the issuance of tax - <br />anticipation notes are no longer an eligible funding use (see section Restrictions on Use: Debt Service). <br />54 <br />