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violation of COVID-19 vaccination or safety requirements), as well as programs that require <br />households, businesses, nonprofits, or other entities not to use practices in line with CDC <br />guidance as a condition of receiving funds (e.g., requiring that businesses abstain from requiring <br />mask use or employee vaccination as a condition of receiving SLFRF funds). <br />Vaccination programs and vaccine incentives. At the time of the interim final rule <br />release, many vaccination programs were using mass vaccination tactics to rapidly reach <br />Americans en masse for first vaccine doses.72 Since that time, the FDA has authorized booster <br />vaccine doses for certain groups and certain vaccines and has also authorized vaccines for <br />youths73'74 The inclusion of "vaccination programs" as an eligible use allows for adaptation as <br />the needs of programs change or new groups become eligible for different types of vaccinations. <br />Public Comment: Since the release of the interim final rule, many recipient governments <br />have also requested clarification on whether vaccine incentives are a permissible use of funds. <br />Treasury Response: Treasury issued guidance clarifying that "[vaccine] programs that <br />provide incentives reasonably expected to increase the number of people who choose to get <br />vaccinated, or that motivate people to get vaccinated sooner than they otherwise would have, are <br />an allowable use of funds so long as such costs are reasonably proportional to the expected <br />public health benefit."75 This use of funds remains permissible under the final rule. <br />72 Centers for Disease Control and Prevention, COVID Data Tracker: COVID-19 Vaccinations in the United States, <br />https://covid.cdc.gov/covid-data-tracker/#vaccinations (last visited October 18, 2021). <br />73 U.S. Food and Drug Administration, Coronavirus (COVID-19) Update: FDA Takes Additional Actions on the <br />Use of a Booster Dose for COVID-19 Vaccines, https://www.fda.gov/news-events/press-announcements/fda- <br />authorizes-pfizer-biontech-covid-19-vaccine-emergency-use-children-5-through-11-years-age (last visited <br />November 8, 2021). <br />74 U.S. Food and Drug Administration, FDA Authorizes Pfizer-BioNTech COVID-19 Vaccine for Emergency Use <br />in Children 5 through 11 Years of Age, https://www.fda.gov/news-events/press-announcements/fda-authorizes- <br />pfizer-biontech-covid-19-vaccine-emergency-use-children-5-through-11-years-age (last visited November 8, 2021) <br />7s Coronavirus State and Local Fiscal Recovery Funds, Frequently Asked Questions, as of July 19, 2021; <br />https://home.treasury.gov/system/files/136/SLFRPFAQ.pdf. <br />59 <br />