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HomeMy WebLinkAbout12.15.20 FW_ SYASL COVID-19 Update From:Ring, Brian To:Alpert, Bruce;Bennett, Robin;Clerk of the Board;Connelly, Bill;Cook, Holly;Kimmelshue, Tod;Lambert, Steve; Lucero, Debra;McCracken, Shari;Paulsen, Shaina;Pickett, Andy;Ring, Brian;Ritter, Tami;Rodas, Amalia; Sweeney, Kathleen;Teeter, Doug;Snyder, Ashley;Pickett, Andy Subject:FW: SYASL COVID-19 Update Date:Tuesday, December 15, 2020 5:29:24 PM Attachments:SYASL COVID-19 Update 12.15.20.pdf Good afternoon Board – FYI. The latest on COVID from our State lobbyist. Brian Ring Assistant Chief Administrative Officer Administration 25 County Center Drive, Oroville, CA 95965 T: From: SYASL County Info <SYASLCountyInfo@SYASLpartners.com> Sent: Tuesday, December 15, 2020 4:08 PM To: SYASL County Info <SYASLCountyInfo@SYASLpartners.com> Subject: SYASL COVID-19 Update ATTENTION: This message originated from outside Butte County. Please exercise judgment before opening .. attachments, clicking on links, or replying. To: County Administrative Officers and Interested Parties From: Paul J. Yoder and Karen Lange Date: December 15, 2020 RE: SYASL COVID-19 Update Please find attached our daily SYASL COVID-19 update. -Paul and Karen COVID-19 Updates www.covid19.ca.gov December 15, 2020 Newsom Administration - Resources / Mutual Aid / Executive Orders Today, Governor Newsom provided an update on vaccines that arrived in California yesterday and announced a public vaccine campaign to reach Californians in 13 different languages. Tomorrow at 3pm, the Community Vaccine Advisory Committee will be providing input and feedback regarding the planning efforts and vaccine implementation and prioritization decision- making. You may view the meeting live stream on YouTube. For more information regarding participation, view here. You may view slides from todays briefing here and SYASL staff notes here. Please check the California Department of Public Health website here for the latest guidance documents. Federal Relief We want to make sure folks have seen what is being considered by Congress under the Emergency Coronavirus Relief Act of 2020. You may view a summary here. Legislative / Budget News -19 page here for updates. The LAO has been releasing a series of reports regarding Federal actions affecting California related to developments around COVID-19. View here. Emergency Coronavirus Relief Act of 2020 Section by Section Summary December 14, 2020 Total: $748 Billion Title I: Emergency Assistance for American Workers and Small Businesses Subtitle A: Paycheck Protection Program & Small Business Support $300 billion to Small Business Administration Funding to allow to allow the hardest-hit small businesses to receive a second forgivable Paycheck Protection Program (PPP) loan. o Eligibility would be limited to small businesses with 300 or fewer employees that have sustained a 30 percent revenue loss in any quarter of 2020. o Small 501(c)(6) organizations that are not lobbying organizations and that have 150 employees or fewer, such as local chambers of commerce, economic development organizations, and tourism offices, would become eligible for PPP. o Forgivable expenses are expanded to include supplier costs and investments in facility modifications and personal protective equipment to operate safely. o Business expenses paid for with the proceeds of PPP loans are tax deductible, consistent with Congressional intent in the CARES Act. o Loan forgiveness process is simplified for borrowers with PPP loans of $150,000 or less. o Set-asides are included to ensure that smaller borrowers and underserved communities get the help they need, such as: for small businesses with 10 or fewer employees; for loans made by small community lenders, including Community Development Financial Institutions (CDFIs), credit unions, small community banks, Minority Depository Institutions (MDIs), and farm service lenders; and for the Minority Business Development Agency. Funding for independent live venue operators, including eligible independent movie theatres and museums, affected by COVID-19 stay-at-home orders. Extension of Section 1112 of the CARES Act, which provides payment of principal, interest, and associated fees on qualifying Small Business Administration (SBA) 7(a), 504 and microloans. Funding for SBA loan products to increase guarantees on SBA 7(a) loans and reduce fees on 7(a) and 504 loans; provide loan subsidies for 7(a) loans; and provide Economic Injury Disaster Loan grant advances. Includes re-purposing of $138 billion in unspent allocations to be reinvested in the PPP program Subtitle B: Unemployment Assistance Extension of all pandemic unemployment insurance programs by 16 weeks, including PUA and PEUC, from their expiration at the end of December Ensure beneficiaries of Railroad Retirement Board received the same benefits as other workers Federal supplemental unemployment insurance benefits expanded by $300 per week for 16 weeks, from the end of December into April 2021 $1 billion for state systems for technology modernization and fraud prevention Small administrative adjustments, e.g. to certification requirements and overpayment standards 1 Title II: Emergency Assistance to Support the Health and Safety of Americans Vaccine Development & Distribution $3.42B for direct grants for states, localities, and territories o Allows states to use funds for tracking systems and data modernization o Directing the Secretary to take into account geographical areas with high percentage of cross jurisdictional workers for future vaccine allocations $2.58B for CDC vaccine distribution and infrastructure o $129 million for tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes o Contingency/Discretionary fund to be utilized by Secretary to send additional aid to states to assist with vaccine distribution Allows states to use USPS registry to help track vaccine distribution Testing and Tracing $7 billion in direct grants for states, localities territories, and tribes o $3.5 billion to states, localities, and territories o $2.32 billion to hot spots o Includes authorization for grants to Federally Qualified Health Centers, Rural Health Clinics, school-based health clinics, schools, academic medical centers, colleges and universities, research labs, veterinary labs, nonprofits, Indian tribes, local governments, and other entities o $350 million to tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes $2 billion for nursing homes, long term care, HCBS, and assisted living facilities o Includes $200 million for nursing home strike teams $300 million for Health Workforce programs, including the National Health Service Corps and Nurse Corps, to support loan repayment to recruit clinicians for underserved areas $700 million to the Secretary for additional research, procurement and medical supply needs, including: o To make purchases of personal protective equipment and other medical supplies as needed to address the COVID-19 pandemic o Fund research at the National Institutes of Health, including studying Post-Acute-Covid- 19 syndrome and other long-term health outcomes in COVID-19 survivors o Develop, purchase, distribute and otherwise ensure the timely delivery of a safe and effective COVID-19 vaccine to the American public 2 Supporting Health Care Providers $35 billion to the Provider Relief Fund (PRF) o $7 billion for rural providers and $1 billion for tribes, tribal organizations, urban Indian health organizations, and health service providers to tribes Fix to PRF reporting guidelines clarifying lost revenue calculations, including clarification that PRF can be used for staffing Allows health systems to move targeted Provider Relief Fund distributions within their system Includes a directive to HHS to consider appropriate distribution of funds, including for health providers who were under-represented in previous allocations, or are at risk of imminent closure Other Health Provisions Authorizes states, tribes and territories to enter into interstate compacts or agreements, for the purposes of procuring COVID-19 tests and supplies for such tests Extends telehealth flexibility through December 31, 2021 Addiction and Mental Health $3.15B to SAMHSA programs for the Substance Abuse Prevention and Treatment Block Grant, the Community Mental Health Services Block Grant, tribal programs, emergency relief, and peer recovery programs $1.3B to the State Opioid Response (SOR) Grants $150M to the Certified Community Behavioral Health Centers (CCBHCs) Program Expanding access to Medication-Assisted Treatment (MAT): Limited extension of associated CMS and DEA telehealth waivers and eliminate the requirement that requires practitioners to apply for a waiver through the DEA in order to prescribe buprenorphine for substance use disorder treatment to the end of the Public Health Emergency or to December 31, 2021, with appropriate state oversight and study to be conducted on buprenorphine diversion Title III: Emergency Assistance for a Strong Economic Recovery Subtitle A - Transportation Funding Extension of the Payroll Support Program (PSP) through March 31, 2021. As in the CARES benefits. Workers and taxpayers are protected though measures including prohibitions on stock buybacks and dividends, and limitations on executive compensation. Funding for Airports, including set asides for airport concessionaires, Essential Air Service (EAS), and Small Community Air Service Development Program (SCASDP) through March 31, 2021 Funding to support the motorcoach and bus industry as well as others, including passenger ferries and school buses, similar to the Coronavirus Economic Relief for Transportation Services (CERTS) Act of 2020 Funding to support public transit systems across the country that will be used to prevent furloughs, meet operating needs, and keep systems running Funding to allow Amtrak to continue to provide existing service and prevent additional furloughs through March 31, 2021. 3 Subtitle B - Child Care Stabilization Grants Appropriates $10 billion for a new Child Care Stabilization Fund grants program at the Department of Health and Human Services to provide grants for child care providers. Grants would be available to child care providers that are currently open or temporarily closed due to COVID-19, regardless of whether they had previously received funding through the existing Child Care and Development Block Grant (CCDBG) program. Providers could use stabilization grants for a variety of purposes, including personnel costs; sanitization and cleaning; personal protective equipment; fixed costs, including mortgage obligations, rent, utilities and insurance; and modifications to child care services as a result of the COVID-19 pandemic. Subtitle C & D - Agricultural Assistance and Fisheries $13 billion to provide funding to address COVID-related impacts on farmers, ranchers, growers, etc., and rural communities o Includes $600 million for fishery disaster relief, including funding for tribal and Great Lakes fisheries o Includes USDA Rural Development funding for water and wastewater programs Subtitle E - CDFI / MDI Community Lenders $12 billion in targeted emergency investments to help low-income and minority communities withstand the economic impact of the COVID-19 pandemic and respond to this unprecedented economic downturn o $2 billion in emergency COVID-19 funding to the CDFI fund, for emergency COVID relief and relief to minority communities, and minority owned lenders disproportionately impacted by the by the COVID-19 pandemic and resulting economic stress Including $800 million for minority lending institutions o $10 billion in emergency capital injections to eligible CDFIs and MDIs to support immediate economic relief in low-income and minority communities struggling to respond to the COVID-19 pandemic Subtitle F Postal Service assistance without requiring repayment nor applying the terms or conditions agreed to in principle by USPS and Treasury in July 2020 Require the Board of Governors to present to Congress within 180 days of enactment a plan to -term solvency Require USPS to include information on the use of these funds as part of its quarterly and annual reports to the Postal Regulatory Commission 4 Emergency Assistance for American Families and Students Subtitle A: Nutrition Temporary increase in individual monthly Supplemental Nutrition Assistance Program (SNAP) by 15 percent for four months Expands the Pandemic-EBT program to cover families with children in child care Provides funding for The Emergency Food Assistance Program (TEFAP), including funds for storage and administration, to support food banks and food pantries Provides increased funding for school and child care meal programs Provides support for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) to temporarily increase the value of WIC benefits to allow participants to purchase additional fruit and vegetables Provides funding for senior nutrition services, including Meals on Wheels, and extends waivers providing flexibility in Older Americans Act nutrition services Extends free meals reimbursement through the Child and Adult Care Food Program to young adults up to age 25 residing in emergency shelters Includes food assistance to U.S. territories not served by SNAP (Puerto Rico, American Samoa, Commonwealth of the Northern Marianas Islands) Includes additional funds for Food Distribution Program on Indian Reservations Includes additional funds for the Commodity Supplemental Food Program to provide food boxes to more senior citizens Subtitle B: Rental Assistance Provide $25 billion in rental assistance to states and local governments and Native American tribes through the Coronavirus Relief Fund No less than 90 percent of the funds must be used for payment of rent, rental arrears, utilities and home energy costs, utility and home energy arrears, and related housing expenses; and up to 10 percent of the funds are available for housing stability services o Specific guardrails to ensure support for the most in-need households, with a preference for households with 50 percent of area median income and below o Support can cover up to 18 months of arrears and prospective assistance, with prospective assistance limited to no more than 12 months Extends the current CDC eviction moratorium until January 31, 2021 Subtitle C: Student Loans Extension of student loan forbearance provisions created in CARES and extended by Executive Order, from the current expiration date of January 31, 2021 through April 1, 2021 5 Title V Emergency Assistance for Education Institutions and Connectivity Subtitle A: Broadband $6.25 billion for State Broadband Deployment and Broadband Connectivity grants to bridge the digital divide and ensure affordable access to broadband during the COVID 19 pandemic $3 billion for an Emergency Educational Connectivity Fund to provide E-Rate support to educational and distance learning providers to provide hotspots, devices, and other connected devices, and advance digital equity/inclusion. $200 million to Institute of Museum and Library Services (IMLS) to purchase and distribute Internet-connected devices to libraries in low-income and rural areas $475 million to FCC COVID-19 Telehealth Program to support efforts of healthcare providers to address coronavirus, including a 20% set aside for small, rural health providers $100 million to Department of Veterans Affairs for Telehealth and Connected Care Program to purchase, maintain, and refresh devices and services to veterans for provision of access to telehealth services Subtitle B: Education Funding Provides $82 billion for education providers, funded similar to the CARES Act with provisions including: o CARES Act Governors Emergency Education Relief Fund ($7.5 billion) Including $2.5 billion for private schools o Elementary and Secondary School (K-12) Emergency Relief Fund ($54 billion) o Higher Education Emergency Relief Fund ($20 billion) Including set aside for minority serving institutions and development institutions and for institutions with greatest unmet needs o Relief for territories and Bureau of Indian Education Title VI: Rescissions Rescissions & General Funding Re-allocates $429 billion in unused Treasury direct loans and excess funds from Federal Reserve facilities authorized in the CARES Act Title VI - Other Matters Extension of CARES Section 3610 Extends the authority until April 30, 2021 the CARES provision, known as section 3610, which provides necessary relief during the pandemic to critical Intelligence Community industry partnersand particularly to small businesses that provide highly specialized capabilitiesto retain key national security capabilities 6 DDb ƦķğƷĻͲ 5ĻĭĻƒĬĻƩ ЊЎͲ ЋЉЋЉ GGN California leads the way for vaccines 33,150 doses arrived in CA yesterday at 4 locations in CA 24 more locations across the state expecting doses to arrive today from San Diego to San Joaquin to Shasta The original allotted commitment from Pfizer beginning to arrive in CA Additional 393,900 doses of Pfizer coming next week 672,000 doses of Moderna by the end of December Vaccinate ALL 58 assets are available to counties You will see a lot more about the Vaccinate ALL 58 coming out through trusted messengers 27% of the state is foreign born so it is incumbent upon us to meet people where they are with a bottom-up, not top-down, approach We established a drafting guidelines workgroup and a community guidelines workgroup this is who ensures vaccines get out to who they are supposed to Phase 1A: Healthcare workers and residents of long-term care settings st Phase 1B: Discussion with CVAC this week on 1 tier Tomorrow there will be a discussion re Phase 1B at 3pm that can be watched live: info will be on the covid19 website so the public can view and participate I encourage people to participate, it will include discussions around teachers, farmers, and other workers Tier 3: specialty clinics, lab workers, dental, pharmacy staff working in settings at higher tiers There is light at the end of the tunnel, this is out most intense surge 32,326 14 cases December 14 296,613 7 day-average 14,283 hospitalizations ICU up to 3,081 51% increase San Joaquin was down to 0% ICU capacity over the weekend, which put them into surge status 5.7% is our current statewide ICU capacity Staffing is our number one challenge We just updated out quarantine guidelines o 10 days instead of 14 days o During our critical staffing shortages, we have looked to a 7 day instead of a 10 day as long as they test negative on day 5 or later o All must continue to wear a mask On Friday, we issued a waiver adjusting nurse to patient ratio to help with staffing needs in some facilities, including ICUs, Step-down units, telemetry units and others We are stretching resources and have empathy and respect for the human beings on the front lines 507 staff have been deployed to 54 facilities in 20 counties We are asking for support from the federal government and have received from FEMA We have a request into the Dept. of Defense for aid as well To date, almost 3k shifts have been covered in 143 facilities We need your help! Qualified healthcare professionals can sign up now at covid19.ca.gov 6 facilities still in Warm status for non-ICU patients We lost 142 in the last 24 hours to this deadly disease I want to remind people, this is not the flu, it is a deadly disease We are in the middle of the most acute peak of what we hope is the final wave Activated coroners for state aid 163 lives lost is the 14-average 60 53ft refrigerator storage are currently standing by in counties at hospitals 5,000 new body bags ordered Please be mindful CA Notify launched last Thursday We will ultimately eliminate this disease but we have work to do 6.5 million people have activated so far Please go to covid19.ca.gov to learn more about vaccine priority meetings Bloomberg News How many as of this AM have been administered? Will the states dashboard be updated to include this info? How are you going to keep people from cutting in line? GGN We received 33,150 in 4 locations not all have been administered Info is still coming in, we will update to the extent possible in real-time There are questions around storage, is there waste or abundance? Dr. Ghaly As of this morning, we have not confirmed whether those locations who have received have started to administer the vaccine It takes a few hours for the vaccines to get settled into storage and thawed We will be getting info hopefully as soon as tonight or tomorrow and will provide into on the covid website We are laying out the prioritization around out equity principle GGN There are millions of other routine vaccines administered per year, we are adding on top of that some new components so this vaccine will be more readily available to people KCRA Communities of color hit hard by covid, but many will still be mistrusting and choose not to get the vaccine what is the plan? GGN One has to acknowledge the past, not just of the black community but the Native American community Building peer to peer partnerships It is really about bottom-up with trusted messengers We are building on this really contemporary experience we had when reaching out during the census and all the actions that surrounded that, politicized the census and scared away families of color We are working with all lessons learned from the last year and trying to bring those forward when reaching out to these communities AP Do you think it will take another 60 days for cases to peak? Dr. Ghaly Our numbers are tracking pretty closely to our modeling Be mindful of your actions What we are really preparing for is two weeks from now What turns the tide is abiding by stay at home orders and remembering the impact on our families Elderly make up 14% of our cases but 80% of our deaths We need to stay home as much as we can, wear our masks as much as we can Make alternative plans, defer travel plans, choose to opt-out of sports teams even if outdoors 45-60 days we anticipate it is going to be around that time if we make the decisions needed before our hospitals see some relief I want to commend people who have been making these decisions all along It is important to start today to modify our behavior GGN Even if we start seeing case numbers go down, we have the residual which takes a while to go down We want people to think because vaccines are here that they can resume normal activities There is light at the end of the tunnel but we are still in the tunnel Fox 11 Clearly, there are still people not listening, not wearing masks, what can you do to change that? GGN I think the majority are listening and I am proud of this state Increasingly people are finding someone they know directly has been infected or lost their life, as this impacts more and more people across the state, people are being personally impacted NBC 4 Can you elaborate on projections for ICU capacity? GGN It is done with state support We will continue to work to get more staff Dr. Ghaly Cal OES and others have been working around the clock to determine what we need to do Working to make sure supplies, everything from oxygen to beds are available but that is not what we are worried about, it is the staffing We are asking people who may have retired to come back and help The healthcare delivery system is well known for being able to step up with an innovative approach GGN There is more abundance to resources than what we have listed on the slides We have half a billion in PPE inventory just at the state level CalMatters Counties have some flexibility in how they prioritize groups for the vaccine, will state step in if someone like Orange County decides to vaccine Disney workers before teachers? GGN The state sets the tone and tenor for vaccines Dr. Ghaly We are working with counties to get buy-in and understanding We will be working to make sure we track from a data perspective so we can share and be transparent All work is being prepared for Phase 1B I think a lot of work is to come but we are working with counties today Mercury News Guidelines for youth sports only allow certain sports how likely do you think itll happen by end of year? GGN The virus will determine how quickly that will happen The guidelines are on the covid website We want to get kids safely resuming sports for obvious reasons NPR Has there been any discussion of returning the USNS Mercy Hospital Ship? Do we have staff to spare? Vaccine prioritization? GGN We are prioritizing those who are administering the vaccine There are pockets of support on care teams that will be prioritized together Most states are in a similar predicament We are looking overseas for staff as well as we have in the past We have had multiple conversations about the USNS Mercy, the personnel that comes with that ship is remarkable No formal request has gone into the administration yet We only have the outstanding request for teams from the Dept. of Defense Dr. Ghaly Much of healthcare relies on traveling healthcare this time of year but those registries are being used across the nation, we are lucky to get 2/3 of our request A chance to say the way we really keep this from swelling to the point where we have to make hard decisions on who gets care is to do the things we know that reduce transmission this is the best way we can support healthcare staff GGN We will get through this Good news on the vaccine front, I hope you will tune in tomorrow at 3pm to find out what the priorities will like before they are made formal