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public communication efforts; enhancement to health care capacity, including through alternative <br />care facilities; purchases of personal protective equipment; support for prevention, mitigation, or <br />other services in congregate living facilities (e.g., nursing homes, incarceration settings, <br />homeless shelters, group living facilities) and other key settings like schools; ventilation <br />improvements in congregate settings, health care settings, or other key locations; enhancement of <br />public health data systems; other public health responses; and capital investments in public <br />facilities to meet pandemic operational needs, such as physical plant improvements to public <br />hospitals and health clinics or adaptations to public buildings to implement COVID-19 <br />mitigation tactics. These enumerated uses are consistent with guidance from public health <br />authorities, including the CDC. <br />Public Comment: Many commenters were supportive of expansive enumerated eligible <br />uses for mitigating and preventing COVID-19, noting the wide range of activities that <br />governments may undertake and the continued changing landscape of pandemic response. Some <br />commenters requested that Treasury engage in ongoing consideration of and consultation on <br />evolving public health needs and resulting eligible expenses. Some commenters noted that their <br />jurisdiction does not have an official public health program, for example smaller jurisdictions or <br />those that do not have a health department, and requested clarification on whether their public <br />health expenses would still be eligible in compliance with program rules. <br />Treasury Response: In the final rule, Treasury is maintaining an expansive list of <br />enumerated eligible uses to mitigate and prevent COVID-19, given the wide-ranging activities <br />that governments may take to further these goals, including "other public health responses." Note <br />that the final rule discusses several of these enumerated uses in more detail below. <br />56 <br />