Friday, March 5, 2021 McDermott+Consulting is pleased to provide the McDermottPlus Check-Up, your regular update on health care policy from Washington, DC. This Week’s Dose The Senate is expected to pass its version of coronavirus (COVID-19) relief legislation as early as this weekend after the House passed its package along party lines late last week. The Senate Finance Committee sent the nomination of Xavier Becerra to be Secretary of the US Department of Health and Human Services (HHS) to the Senate floor. Congress Congress Advanced COVID-19 Relief Package After the House of Representatives passed the $1.9 trillion COVID-19 relief package, known as the American Rescue Plan, by a largely party-line vote of 219-212 late last week, the Senate quickly released its own version and took up consideration of the bill. The Senate version is substantially similar to the House version, but contains key changes, including an additional $8.5 billion in relief funding for certain providers – still far short of the $35 billion sought by stakeholders. In comparison to past relief bills, the provider funding is not broadly available, but rather is targeted at only rural entities. The Senate bill does not define what constitutes an eligible rural provider, but presumably, HHS would use the same definition it used to deploy targeted funding to rural providers last year. The Senate version also restores an area wage index floor for hospitals in all-urban states, and provides the Secretary of HHS with authority to temporarily waive or modify the application of certain Medicare requirements concerning ambulance services furnished during public health emergencies. In addition, the Senate bill increases the size of healthcare subsidies for laid-off workers, covering 100% of health insurance premiums people pay under the Consolidated Omnibus Budget Reconciliation Act (COBRA), up from the 85% provided in the House. The Senate bill, however, did not include other key priorities; notably it does not extend relief from sequester cuts that are set to take effect at the end of the month. It also removes a House provision to raise the federal minimum wage to $15 per hour. The Senate could vote on a final bill as early as this weekend. The House is expected to pass the Senate version shortly thereafter before sending the bill to the President for his signature.