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learning services are available to impacted households or classes of households, not just those <br />disproportionately impacted. These eligible uses can include new or expanded services, <br />increasing access to services, efforts to bolster, support, or preserve existing providers and <br />services, and similar activities. <br />Further, Treasury is clarifying that improvements to or new construction of childcare, <br />daycare, and early learning facilities are eligible capital expenditures. Recipients seeking to use <br />funds for capital expenditures should refer to the section Capital Expenditures in General <br />Provisions: Other for additional eligibility standards that apply to uses of funds for capital <br />expenditures. <br />Public Comment: Home Visiting: Treasury has also received questions about whether the <br />provision of home visiting services would be responsive to the health and mental health needs of <br />impacted new mothers, citing the positive mental health impacts shown on the mother as well as <br />improved outcomes for children. <br />Background: Home Visiting: Pregnant and recently pregnant individuals are at an <br />increased risk for serious illness from COVID-19.139 Furthermore, pregnant individuals with <br />COVID-19 are more likely to experience preterm birth (delivering the baby earlier than 37 <br />weeks).14° In addition to heightened health risks from COVID-19, pregnant individuals may have <br />experienced significant changes to their prenatal care during the pandemic 141 or may also have <br />139 Centers for Disease Control and Prevention, Pregnant and Recently Pregnant People, <br />https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnant-people.html (last visited November 9, <br />2021). <br />140 Id. <br />141 Sarah Javaid, Sarah Barringer, Sarah D Compton, Elizabeth Kaselitz, Maria Muzik, Cheryl A. Moyer, The <br />impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant <br />women, Midwifery, Volume 98, 2021, 102991, ISSN 0266-6138, https://doi.org/10.1016/j.midw.2021.102991. <br />97 <br />