An announcement on Monday, January 30th, by the OMB (Office of Management and Budget), and the White House, stated that they plan to end the COVID-19 national emergency and public health emergency on May 11th.
The end of the emergency declarations would signal a new chapter in the Biden administration’s response to the COVID pandemic. The (PHE) public health emergency was enacted by the Trump administration in 2020, in response to the COVID-19 pandemic and has been extended 12 times in the past almost, three years, by our former and current HHS Secretary.
The White House’s plan to end the public health declaration on May 11 came in a statement opposing two Republican House Bills that would end the emergency declarations sooner.
“This wind-down would align with the Administration’s previous commitments to give at least 60 days’ notice prior to termination of the PHE,” the White House said in a statement. In August 2022, CMS issued a statement on its website, encouraging providers and hospitals to start their processes for moving away from the public health emergency¹.
The end of the emergency will also mean states must start the laborious process of redetermining Medicaid eligibility for more than 3 million covered patients.
Congress’ end-of-year spending package gave clarity on another part of the public health emergency: the end of the continuous coverage requirement for Medicaid.
At the start of the pandemic, the federal government increased the matching rate for Medicaid payments to states, but only if the state would not drop anyone off Medicaid’s rolls for the duration of the public health emergency. The spending package, however, enabled states to start Medicaid eligibility redeterminations on April 1. This was necessary because many patients went back to work, were not eligible for Medicaid, and are sitting with dual coverage, which is very expensive for states when the patient has employer-sponsored health insurance already.
The White House statement went on to say, “Ending these emergency declarations in the manner contemplated by H.R. 382 and H.J. Res. 7 would have two highly significant impacts on our nation’s health system and government operation,” the statement said. “An abrupt end to the emergency declarations would create wide-ranging chaos and uncertainty throughout the health care system—for states, for hospitals and doctors’ offices, and, most importantly, for tens of millions of Americans.”
However, the statement did not take into account the 2022 Consolidated Appropriations Act and the 2023 Omnibus Bill that was signed into law on 12/29/2022, which will extend many of the 1135 Waiver Flexibility under the CARES Act, including Telehealth once the PHE ends.
The Omnibus Act, which Congress passed late last year, extended many Telehealth services and reimbursements under Medicare. One rule of note was the originating site requirements for patients receiving Telehealth services. They may still use their home as an “originating site” to receive Telehealth services. The rules on crossing State-lines however, have expired in many states and we encourage practices to research if their state will still allow their physician to practice medicine in a state where they are not licensed. Most won’t. The link below will help in this determination².
The current PHE was set to expire on April 11th, 2023. The original national emergency that was declared on March 13, 2020, was set to expire on March 1, the OMB said.
The announcement gives providers more than their promised 60-day notice of the end of the PHE and the termination of many of the waivers the Centers for Medicare and Medicaid Services put in place to ease restrictions on hospitals and other providers during the public health emergency.
The Biden administration plans to extend the national emergency declaration and the PHE to May 11th, and then end both emergencies on that date.
The OMB also announced on Monday that H.R. 497, which it opposes, would end the COVID-19 vaccine mandates for healthcare providers. Once the PHE ends, it is unclear if those mandates will be lifted, but it appears that they will be.
The PHE has been extended 12 times since it was first made in January 2020, effective March 1st, 2020.
The current PHE, extended by current Health and Human Services Secretary Xavier Becerra on January 11, was scheduled to end on April 11. The providers’ promised 60-day notice would have been on February 10th. This is an additional 30 days to that 60-day promise to work on the rollbacks.
There are more rules to discuss. I invite you to join me at the NAMAS 2023 Virtual Conference where the session of Telehealth – post-PHE will be presented by Healthcare Consultant and SME Terry Fletcher and Healthcare Attorney Brianna Santolli, Esq. April 5th and 6th, 2023. Also, this topic of post-PHE will be discussed in my Medicare 1st Quarter Webinar update with NSCHBC.
You can register here: https://nschbc.org/catalog_qtrly
¹ Creating a Roadmap for the End of the COVID-19 Public Health Emergency | CMS
BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM
Ms. Terry Fletcher is a Healthcare Coding and Reimbursement Consultant, Educator and Auditor based in Southern California. With over 30-years experience, Ms. Fletcher teaches over 100 specialty coding Seminars, Teleconferences and Webinars every year. You can find her CodeCast® podcast series, focusing on Physician Coding, Billing, Reimbursement, compliance, and Medical industry revenue opportunities, on iTunes, Stitcher, TuneIn, and Google Play.
Terry is also an NAMAS Member and Podcast Host, and host of the NSCHBC Edge Podcast.