Morning Briefing
Summaries of health policy coverage from major news organizations
Senate Overwhelmingly Passes House's Coronavirus Bill, Immediately Switches Attention To 'Phase 3' Stimulus Package
The U.S. Senate overwhelmingly passed legislation on Wednesday providing billions of dollars to limit the damage from the coronavirus pandemic through free testing, paid sick leave and expanded safety-net spending. President Donald Trump signed the bill into law, and Congress and the White House are discussing additional stimulus measures that could cost more than $1 trillion. Lawmakers in the Republican-led Senate largely set aside their ideological divisions, passing the legislation by a bipartisan vote of 90-8, with all 鈥渘o鈥 votes coming from Republicans. The Democratic-controlled House of Representatives also passed the bill by an overwhelming bipartisan margin last Saturday. (Cowan and Morgan, 3/18)
President Donald Trump has signed Congress' second major COVID-19 relief package which includes an increase in state Medicaid funding that hospitals liked and a requirement that insurers do not charge cost-sharing for services related to coronavirus testing. Here's a rundown of the major provisions of the Families First Coronavirus Response Act relevant to the healthcare industry. The Senate passed the bill 90-8, and President Trump immediately signed it. (Cohrs, 3/18)
鈥淭he [Families First Coronavirus Response Act] makes emergency supplemental appropriations and other changes to law to help the Nation respond to the coronavirus outbreak,鈥 Trump said in a statement Wednesday evening announcing he had signed the bill. (Chalfant, 3/18)
The bill would provide free coronavirus testing for those who need it. The Trump administration has struggled to make such tests available. The legislation would require private healthcare insurers to pay for all testing costs for beneficiaries with medical coverage. It also would cover testing costs for people who receive health care through government-run programs such as Medicare and Medicaid. It provides $1 billion to the National Disaster Medical System, a coordinated healthcare system and partnership involving several federal agencies, to cover costs for people without medical insurance. (Sullivan, 3/18)
Meanwhile, Senate Republicans were inching closer on Wednesday to unveiling their proposal for a third, even larger stimulus package to address the epidemic, which is likely to include some of Treasury's ideas. The Senate鈥檚 approval Wednesday of the House-passed coronavirus bill, known as 鈥減hase two,鈥 comes as Republican senators are expected to begin negotiations with Democrats on a trillion-dollar 鈥減hase three鈥 stimulus package as early as Wednesday night. Senate Majority Leader Mitch McConnell backed the House bill, which grants paid sick leave to hourly employees and expands unemployment insurance. 鈥淚t is a well-intentioned bipartisan product assembled by House Democrats and President Trump鈥檚 team that tries to stand up and expand some new relief measures for American workers,鈥 McConnell (R-Ky.) said of the House bill, which House lawmakers passed early Saturday and later approved technical corrections on Monday. (Levine and Desiderio, 3/18)
In remarks Wednesday morning, Senate Minority Leader Chuck Schumer (D., N.Y.) criticized the prospect of a one-time cash grant to Americans. He has laid out his own $750 billion stimulus plan that includes expanding unemployment insurance and a moratorium on evictions and foreclosures. Mr. Schumer also warned against putting a focus on economic stimulus to the exclusion of other priorities, and said other issues needed to be addressed, like increasing the supply of masks, hospital beds and ventilators. 鈥淣ow, a few of my Republican colleagues have proposed a one-time cash payment of $1,000. But my fellow Americans, this is not a time for small thinking. This is not a time for small measures. This is a time to be bold, to be aggressive,鈥 he said. (Hughes, Davidson and Duehren, 3/18)
Senate GOP negotiators are eyeing income thresholds of $75,000 for individuals and $150,000 for couples for聽the direct payments President Trump has proposed to ease the economic impact of the coronavirus. Republican senators say they want to model direct payments on the stimulus checks聽former President George W. Bush sent out in 2008聽during the financial crisis. Twelve years ago, the rebates were reduced for individual incomes above $75,000 and joint incomes above $150,000. (Bolton, 3/18)
A $1 trillion federal stimulus. Bailouts for crippled industries. Cash payments to every American. Soaring deficits into the indefinite future.聽No, it鈥檚 not the Obama-era response to the Great Recession; it鈥檚 the Republicans鈥 plan to brace the plummeting economy amid sinking markets and mass layoffs resulting from the global coronavirus pandemic. (Lillis and Wong, 3/18)
House Democrats are drafting a new stimulus bill to address the coronavirus pandemic 鈥 legislation designed as their counter-offer to a trillion-dollar package currently being assembled in the Republican-controlled Senate. On a private call Wednesday, Speaker Nancy Pelosi directed her leadership team and committee chairs to begin further efforts to address the looming economic disaster caused by the growing coronavirus crisis. (Caygle, Bresnahan and Ferris, 3/18)
The scale of the problem is unlike anything Washington has faced before: The financial crisis, which sent unemployment skyrocketing to 10 percent, centered on foreclosures and the banking sector while this crisis is springing from dozens of places at once, as restaurants and movie theaters shut down, factories close and airplanes, public trains and buses run nearly empty of passengers. (Tankersley and Casselman, 3/18)
The fast-moving coronavirus upending every facet of American life is testing whether Washington, a capital city fractured by years of bitter partisanship and inaction, can still do big things. Not since the Great Recession of 2008, and before that the 9/11 attacks, has the federal government attempted to mount such an ambitious response to an emergency, and so quickly. The country鈥檚 once-revered, now often maligned institutions 鈥 from the White House to Congress to the Federal Reserve 鈥 are being summoned into action to shoulder the lift. (Mascaro and Taylor, 3/19)
As the concerns over the spread of coronavirus continue to grow, a number of House lawmakers are working to tamp down panic and put response plans into action back in their home districts.聽Lawmakers recently passed two emergency coronavirus relief packages and are working on a third, but outside of the steps being taken in the Capitol, members said they鈥檝e been working with local officials to ensure individuals have access to the proper information and resources needed to combat the virus as efficiently as possible.聽(Brufke, 3/18)
Two members of the U.S. House of Representatives, Mario Diaz-Balart of Florida and Ben McAdams of Utah, said on Wednesday they had tested positive for the coronavirus, becoming the first members of Congress known to have contracted the respiratory illness. (3/18)
Rep. Ben McAdams (D-Utah) announced Wednesday he tested positive for the coronavirus after developing symptoms on Saturday. McAdams, 45, is the second lawmaker to test positive for COVID-19. Rep. Mario Diaz-Balart (R-Fla.), 58, announced his diagnosis shortly before the Utah Democrat. (Brufke, 3/18)
The White House is temporarily stopping top officials engaged in the response to the coronavirus pandemic from giving testimony in hearings on Capitol Hill. "While the Trump Administration continues its whole-of-government approach to stopping the spread of COVID-19, it is counter-productive to have the very individuals involved in response efforts appearing at Congressional hearings," deputy White House聽press secretary Judd Deere聽said in a statement. "We are committed to working with Congress to offer testimony at the appropriate time." (Samuels, 3/18)
Republican Sen. Ron Johnson cast doubt on the severity of federally issued guidance aimed at staunching the spread of the novel coronavirus, urging people to consider the economic drawbacks of the recommendations as health officials plead with the American public to heed them. "I'm not denying what a nasty disease COVID-19 can be, and how it's obviously devastating to somewhere between 1 and 3.4 percent of the population," Johnson, a Wisconsin Republican, told the Milwaukee Journal Sentinel on Tuesday. "But that means 97 to 99 percent will get through this and develop immunities and will be able to move beyond this." (Kelly, 3/19)
As President Trump cast the nation鈥檚 battle against the coronavirus as war, one high-ranking Republican senator seemed to play down the gravity of the pandemic, saying the number of Americans who might die would be 3.4聽percent of the population at most. Sen. Ron Johnson (R-Wis.), chairman of the Senate Homeland Security and Governmental Affairs Committee, called covid-19 a 鈥渘asty disease鈥 that is devastating to those who contract it. (Itkowitz, 3/18)
Sen. Richard J. Durbin sat in a leadership meeting Monday night in the same room he was in the morning of Sept. 11, 2001, with the location and today鈥檚 environment reminding him of that fateful day. 鈥淟ooking down the Mall, as the white black smoke came across from the Pentagon. I remember it well,鈥 the Illinois Democrat said in an interview Tuesday. (Kane, 3/18)