Federal – Legislation, Rulemaking, and Executive Actions

CMS Interim Final Rule: Additional Policy and Regulatory Revisions in Response to COVID-19
Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (CMS-3401-IFC, 8/24/20)

  • CMS’ enforcement mechanisms for compliance with Medicare and Medicaid LTC COVID reporting requirements
  • LTC facility resident and staff testing requirements
  • Hospital and CAH COPs for tracking incidence and impact of COVID-19
  • CLIA laboratory COVID-19 testing reporting requirements

SBA Interim Final Rule: PPP Loan Eligibility
Business Loan Program Temporary Changes; PPP—Additional Eligibility Revisions to First Interim Final Rule (6/29/20)

SBA Interim Final Rule: PPP Loan Forgiveness and Loan Review
Business Loan Program Temporary Changes; PPP—Revisions to Loan Forgiveness and Loan Review Procedures Interim Final Rules (6/29/20)

SBA Revisions to First Interim Final Rule
Business Loan Program Temporary Changes; Paycheck Protection Program—Revisions to First Interim Final Rule (6/15/20)

CMS  Second Interim Final Rule: COVID-19 Response
CMS, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency and Delay of Certain Reporting Requirements for the Skilled Nursing Facility Quality Reporting Program (CMS-5531-IFC, 4/30/20)

  • COVID-19 Testing
  • Increasing hospital capacity
  • Augmenting the health care work force
  • Decreasing administrative burdens
  • Telehealth

DOL Final Rule: Employee Benefit Plan Extensions
Extension of Certain Timeframes for Employee Benefit Plans, Participants, and Beneficiaries Affected by the COVID-19 Outbreak (4/28/20)

PPP & Health Care Enhancements Act
Paycheck Protection Program and Health Care Enhancement Act, Pub. L. 116-139 (4/24/20)

SBA Interim Final Rule
Business Loan Program Temporary Changes; Paycheck Protection Program (4/15/20)

CMS Interim Final Rule: COVID-19 Response
CMS, Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (CMS-1744-IFC, 4/6/20)

  • Hospital without walls guidance
  • Workforce expansion (e.g., provision of medical staff support, temporary Medicare enrollment, use of medical residents, verbal orders, waiver of hospice and home health on-site visits)
  • Patients over paperwork, including reprioritization of oversight and audit activities
  • Telehealth expansion