March 30, 2022 — President Joe Biden on Wednesday unveiled a federal web site that guarantees “one-stop shopping” without spending a dime masks and COVID-19 checks, vaccines, and coverings.

The web site, covid.gov, additionally features a listing of pharmacies that will likely be a part of the brand new “test-to-treat” program.

“You’ll also be able to find our new test-to-treat locations,” Biden mentioned at a information briefing. “These are pharmacies and other places in your neighborhood where you can get tested, and if you’re positive, you can get life-saving treatments in one stop.”

Soon after his remarks, he acquired a second booster of the Pfizer COVID-19 vaccine. The FDA and CDC approved the fourth dose of the Pfizer and Moderna vaccines on Tuesday for Americans over 50 and folks over 18 who meet particular circumstances.

For Americans in search of a vaccine or a booster, covid.gov encompasses a hyperlink to vaccines.gov, the place you may go to discover a native vaccination heart. The public may also use covid.gov to order free checks for dwelling supply (customers are taken to covidtests.gov) and to search out free masks, through a hyperlink to a CDC webpage.

You can search covid.gov by tackle or ZIP code to search out close by pharmacies, federally certified neighborhood well being facilities, Indian Health Service websites, or Veterans Affairs (VA) clinics that provide test-to-treat providers.

Throughout the pandemic, it’s been exhausting to search out one supply to assist navigate every little thing somebody may have to struggle COVID, says Jen Kates, PhD, senior vp and director of world well being for the Kaiser Family Foundation.

Covid.gov “is a good step forward to bring everything under one internet roof,” she says. A one-stop store “will facilitate access.”

As states, counties, and cities start shuttering their very own government-funded applications, having the ability to simply discover websites for COVID-related providers might grow to be extra essential, Kates says.

Some states and localities have been closing down websites due to a decline in demand and case counts. There can also be a priority amongst states that they won’t be able to proceed if federal cash to reimburse for checks, vaccines, and coverings dries up.

The White House has been warning that provides might run low if it doesn’t get not less than $22.5 billion in emergency funds to struggle the pandemic. Congress has not but agreed on whether or not to approve that request.

In the meantime, the White House has lowered shipments of monoclonal antibodies to states by a 3rd, and Biden mentioned provides would run out by the top of May.

The president additionally famous that the federal government won’t have sufficient vaccines available this fall to present each American a second booster shot, though he mentioned there are sufficient for these over 50 and immunocompromised folks.

“Congress, we need to secure additional supply now,” Biden mentioned. “We can’t wait until we find ourselves in the midst of another surge to act. It will be too late.”

Test-to-Treat Challenges

The president introduced the test-to-treat initiative in his State of the Union speech on March 2. The concept is that individuals who check optimistic for COVID-19 in a pharmacy or at a well being clinic can be eligible to obtain, instantly and freed from cost, considered one of two antiviral tablets approved by the FDA — Pfizer’s Paxlovid or Merck’s molnupiravir. Both have to be taken inside 5 days after signs seem to forestall critical sickness.

Biden mentioned that 2,000 areas throughout the U.S. would now provide test-to-treat, together with 240 federally certified neighborhood well being facilities, Indian Health Service websites, VA well being clinics, and greater than 60 Department of Defense medical therapy services.

Kates says the test-to-treat idea is essential, however “the execution is going to be hard.” But “we all know as quickly as you get a analysis, the earlier you get on therapy, the higher.”

She says COVID-related provide points with checks, vaccines, and particularly therapies like Paxlovid are going to create challenges. And pharmacists’ potential to deal with sufferers is perhaps restricted in some states by legal guidelines that govern the apply of drugs.

Indeed, medical doctors’ teams have objected to pharmacists having the ability to dispense a medicine on to a affected person, due to the opportunity of negative effects. Pharmacists additionally aren’t more likely to know somebody’s full medical historical past, teams such because the American Medical Association have mentioned.

And pharmacies have considerations that this system might solely be carried out by shops with on-site clinics, which might restrict the kind and variety of pharmacies that might participate.

Most of the test-to-treat pharmacies listed on covid.gov look like massive chains, reminiscent of CVS and Walgreens, or supermarket-affiliated pharmacies, though there additionally look like some impartial shops in some areas.

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This story was up to date at 5:12 p.m. 

Nov. 4, 2021 — The Biden administration on Thursday unveiled its rule to require a lot of the nation’s bigger employers to mandate staff be absolutely vaccinated towards COVID-19, however SET a Jan. 4 deadline, avoiding the busy vacation season.

The White House additionally shifted the timelines for earlier mandates making use of to federal staff and contractors to Jan. 4. And the identical deadline applies to a brand new separate rule for well being care staff.

The new guidelines are supposed to preempt “any inconsistent state or local laws,” together with bans and limits on employers’ authority to require vaccination, masks, or testing, the White House mentioned in an announcement.

The rule on employers from the Occupational Safety and Health Administration will apply to organizations with 100 or extra workers. These employers will want to verify every employee is absolutely vaccinated or checks for COVID-19 on at the very least a weekly foundation. The OSHA rule may also require that employers present paid time for workers to get vaccinated and be sure that all unvaccinated staff put on a face masks within the office. This rule will cowl 84 million workers. The OSHA rule won’t apply to workplaces lined by both the Centers for Medicare and Medicaid Services (CMS) rule or the federal contractor vaccination requirement

While it’s unclear but how nicely the brand new Biden initiatives will play out as mandates, they’ve served to strengthen a message concerning the want for widespread vaccination to fight COVID-19. 

“The virus will not go away by itself, or because we wish it away: We have to act,” President Joe Biden mentioned in an announcement. “Vaccination is the single best pathway out of this pandemic.”

Mandates weren’t the popular path to managing the pandemic, he mentioned.

“Too many people remain unvaccinated for us to get out of this pandemic for good,” he mentioned. “So I instituted requirements – and they are working.”

The White House mentioned 70% % of U.S. adults are actually absolutely vaccinated, — up from lower than 1% when the Biden took workplace in January.

The CMS vaccine rule is supposed to cowl greater than 17 million staff and about 76,000 medical care websites, together with hospitals, ambulatory surgical procedure facilities, nursing houses, dialysis services, residence well being companies, and long-term care services. The rule will apply to workers whether or not their positions contain affected person care or not.

Unlike the OSHA mandate, the one for well being care staff won’t supply the choice of frequent COVID-19 testing as a substitute of vaccination. There is a “higher bar” for well being care staff, given their position in treating sufferers, so the mandate permits just for vaccination or restricted exemptions, a senior administration official mentioned Wednesday evening on a name with reporters.

The CMS rule features a “range of remedies,” together with penalties and denial of cost for well being care services that fail to fulfill the vaccine mandate. CMS may theoretically reduce off hospitals and different medical organizations for failure to conform, however that may be a “last resort,” a senior administration official mentioned. CMS will as a substitute work with well being care services to assist them adjust to the federal rule on vaccination of medical staff.

The new CMS guidelines apply solely to Medicare- and Medicaid-certified facilities and organizations. The rule doesn’t straight apply to different well being care entities, similar to physician’s places of work, that aren’t regulated by CMS.

“Most states have separate licensing requirements for health care staff and health care providers that would be applicable to physician office staff and other staff in small health care entities that are not subject to vaccination requirements under this IFC,” CMS mentioned within the rule.

The new initiatives drew each fast reward and condemnation, as may have been anticipated.

Republican officers similar to Texas Attorney General Ken Paxton already had raised questions concerning the White House’s skill to impose COVID-19 vaccine mandates. Paxton on Thursday tweeted his plans to problem the Occupational Safety and Health Administration (OSHA) mandate on employers.

Karen Harned, govt director of the National Federation of Independent Business, mentioned the OSHA rule “restricts the freedom of small business owners to decide how best to operate their own businesses and imposes unwarranted burdens on small businesses that further threaten the small business recovery.”

In a Thursday assertion, Mark Parkinson, chief govt officer of the American Health Care Association, mentioned his group supported the general intent of this CMS coverage, however anxious about shedding workers.

“Nursing home providers have dedicated themselves to increasing staff vaccination rates, and as a result, three-quarters of employees are fully vaccinated today,” Parkinson mentioned. “A hard deadline with no resources for providers or glide path for unvaccinated workers is likely to push too many out the door and ultimately, threaten residents’ access to long term care.”

The American Medical Association (AMA), the American Hospital Association (AHA) and the Infectious Disease Society of America (IDSA) every issued statements supporting the CMS rule.

AMA President Gerald E. Harmon, MD, famous that his group had in July urged  well being care and long-term care employers “to leverage vaccine mandates to combat the spread of COVID-19.”

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