Federal Actions Advancing Telehealth During Pandemic

By Sean Slone, CSG senior policy analyst

This is the first in a series of reports on how telehealth is being impacted by policy changes and investments during the coronavirus pandemic. Future articles will address state policy activities, continuing challenges for telehealth access, how telehealth is impacting care during the crisis and whether the changes of the last few weeks will survive the pandemic to reshape telehealth’s future.

While the concept of telemedicine has been around for more than a quarter century, its adoption by patients and doctors alike has been relatively slow to evolve and a patchwork of state and federal regulations governing it—not to mention an underdeveloped technology infrastructure—has made it difficult to overcome that hesitation. But it appears the extraordinary circumstances presented by the pandemic could be changing that. Actions taken by Congress and a number of federal government agencies over the last two months are helping to advance the accessibility of telehealth during a time when in-person doctor visits are fraught with public health concerns.

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Racial Health Disparities and COVID-19: Four State Strategies

By Brandy Whisman, Policy Analyst

The COVID-19 public health crisis has continued to highlight health disparities for people of color. Recent studies have shown that COVID-19 disproportionately affects people of color. While African Americans make up less than 14% of the U.S. population, over 28% have been identified as having COVID-19. Another study, conducted by the Centers for Disease Control and Prevention (CDC), showed that non-Hispanic African Americans were overrepresented in hospital populations. Nearly two-thirds of COVID-19 cases are missing ethnicity demographics. Addressing these issues require multiple strategies and policies that address the root causes of racial health disparities.

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The Impact of COVID-19: An update on the USDA Food and Nutrition Service Programming Including WIC

The Families First Coronavirus Response Act (H.R. 6201) addresses agriculture, rural development and other issues under the U.S. Department of Agriculture and its Food and Nutrition Service (USDA-FNS). Among these is funding to ensure that the domestic nutrition assistance programs have adequate resources to help those impacted by the COVID-19 public health emergency. This funding is provided for:

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COVID-19 Pandemic Demonstrates Need for Electronic Health Record Interoperability

by Sean Slone, CSG Senior Policy Analyst

Massive health care system disruptions caused by the coronavirus pandemic re-confirm, for many, the importance of electronic health records (EHRs) and patient data. These records are crucial for optimizing care, reducing medical errors, improving coordination between providers and empowering patients to participate in their own care. But the same challenges that EHRs faced before the pandemic have also been brought into sharp relief by the current crisis.

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States Identify Innovative Ways to Meet Needs During Pandemic

By Brandy Whisman, CSG Policy Analyst

States are leading the way in innovative ideas for supporting health care workers during the pandemic. The U.S. is experiencing a shortage in resources including front-line health care workers, testing kits and personal protective equipment (PPE). States are responding to the shortage with outside of the box solutions. 

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Federal Health Updates: The Week in Review

By: Brandy Whisman, CSG Policy Analyst

The U.S. Department of Health and Human Services (HHS) is beginning to distribute the initial $30 billion earmarked for providers in the CARES Act. The $30 billion is part of a total $100 billion relief fund to assist providers in health care related costs and lost revenue as a result of Covid-19. HHS is partnering with UnitedHealth Group to distribute the funds.

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COVID-19 Impact on Rural America

By Jessica Kirby, The Council of State Governments D.C. Office

Summary

COVID-19 has brought about national and global challenges to gather enough medical staff, sanitation products and medical supplies to combat and treat the growing pandemic. While the number of cases has skyrocketed in larger cities, predictions show that rural America will likely have a delayed increase in the outbreak.

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COVID Pandemic: California Responds as EMAC States Confront a Novel Crisis

By Andrew Bates, CSG Research Associate

As it has for the past 25 years, when disaster strikes in the U.S., the Emergency Management Assistance Compact (EMAC) empowers its 55 member states and territories to share their emergency response resources and personnel across state lines to assist impacted communities.

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Federal Response to COVID-19: Health Care

By Brandy Whisman, CSG Policy Analyst

Summary

The ripple effects of COVID-19 are impacting millions of Americans. Due to social distancing guidance and mandatory shutdowns, many Americans deemed nonessential or unable to work from home have lost their only source of income. According to Pew Research, the most vulnerable professions are food and beverage industry workers and retail workers. As unemployment rates continue to climb, so does the need for social safety nets.

As a result of losing income, many Americans will need to apply for Medicaid to cover any health issues that arise. Medicaid has long been the health safety net for Americans with low incomes. Currently, Medicaid provides health care coverage to over 70 million Americans. The Center for Medicaid and Medicare Services (CMS) has responded by relaxing certain requirements for 1135 waivers and expansion for the 14 states who have not expanded already.

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States Prioritize Mental Health Amid COVID19 Pandemic

By Sydney Geiger, CSG Policy Analyst

As the current state with the largest outbreak of COVID-19, New York is prioritizing the mental health of its citizens. Over 6,000 volunteers have donated their time to staff a free online mental health hotline. Discussing the hotline, New York Gov. Andrew Cuomo said, “No one is really talking about this. We are all concerned about the immediate critical need. The life and death of the immediate situation which is right. But don’t underestimate the emotional trauma that people are feeling and the emotional health issues.”

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