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A Doctor's note on Coronavirus
Posted by on April 23, 2020

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April 23, 2020

Dear Friends,

On the Floor of the House of Representatives today, Iexpressed mysupport for additional funding to the Paycheck Protection Program and requested Congressstop wastingtime in providing support for the American people.

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National Update:
The Food and Drug Administration issued temporary guidance on repackaging or combining propofol drug productsduring the COVID-19 public health emergency.

The Health Resources and Services Administration is awarding nearly $5 million to Poison Control Centers so that they can increase outreach and education to reduce the risk of COVID-19 related poisonings.

The Centers for Medicare & Medicaid Services (CMS) issued guidance regarding implementation of the CARES Act provision to temporarily suspend the two percent payment reduction for Medicare Advantage, Programs of All-Inclusive Care for the Elderly, and Medicare-Medicaid Plans from May 1 to December 31, 2020.

  • CMS also released a toolkit with resources to help guide states as they work to achieve broader telehealth coverage for Medicaid and Children’s Health Insurance Program beneficiaries.

The Centers for Disease Control and Prevention (CDC) published new guidance regarding personal protective equipment to help health care professionals make decisions in light of the global supply shortages.

The Treasury Department released guidance and a FAQ documentabout the $150 billion in funding for states and certain local governments to help cover unexpected costs resulting from the COVID-19 public health emergency.

Texas Update:
According to a University of Texas at Austin model, there is a 64 percentprobability that Texas has already seen its peak in first-wave COVID-19 deaths.

Until next time, this is your doctor's note.
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Congressman Michael C. Burgess, M.D.

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A Doctor's note on Coronavirus
Posted by on April 22, 2020

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April 22, 2020

Dear Friends,

I am currently in Washington, preparing to finally vote for additional funding for the Paycheck Protection Program.

It took almost two weeks for Democrats to agree to provide this additional funding. While this assistance never should have been delayed, the increase is great news for American small businesses.

It is disappointing that it took this long due to Democrats playing partisan politics. Their tactics hurt small businesses and left Americans wondering if they would be able to keep their jobs.

In the coming days and weeks, I hope that Congress will reunite to fight this invisible enemy.

National Update:
The Department of Health and Human Services (HHS) released more information about the distribution of the $100billion Provider Relief Fund included in the CARES Act. Click here for more information.

  • A total of $50 billion will be allocated to Medicare providers, including the $30 billion that was already released on April 10. The next wave of this $50 billion will be delivered on Friday, April 24.
  • $10 billion will go towards hospitals in COVID-19 hotspots. HHS has contacted hospitals and is currently collecting relevant information necessary to distribute this funding. Hospitals must submit apply for this funding by midnight PT on Thursday, April 23.
  • $10 billion will be distributed to rural health clinics and hospitals as early as next week.
  • $400 million will be distributed next week to Indian Health Service facilities, based upon operating expenses.
  • Providers will be able to register on April 27 for a program that will provide reimbursement for care they provider to uninsured patients.

The Centers for Medicare & Medicaid Services (CMS) released updated guidance to Medicare Advantage Organizations and Part D plan sponsors to inform them of the obligations under the Families First Coronavirus Response Act and CARES Act regarding cost sharing for COVID-19 tests and vaccines, and suspension of drug refills during this public health emergency.

  • CMS announced additional flexibilities to expand care by allowing licensed, independent freestanding emergency departments in Texas to treat Medicare and Medicaid patients.
  • Additionally, CMS compiled a list of resources for health care decision-makers in a cohesive Healthcare Workforce Toolkit.
  • A reminder that CMS is continually providing blanket waivers related to the following: care for patients in Long-Term Care Hospitals; temporary expansion locations of Rural Health Clinics and Federally Qualified Health Centers; staffing and training modifications in Intermediate Care Facilities for individuals with Intellectual disabilities; the limit for substitute billing arrangements.

The Centers for Disease Control and Prevention updated guidance for infection control and laboratories.

The Health Resources and Services Administration awarded nearly $165 million to rural hospitals and Telehealth Resource Centers to help underserved areas combat COVID-19.

Texas Update:
Dallas County commissioners voted to extend the county’s stay at home order until May 15, two weeks past the statewide order issued by Governor Greg Abbott.

Until next time, this is your doctor's note.
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Congressman Michael C. Burgess, M.D.

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Energy & Commerce: Walden and Burgess: Administration Keeping their Commitment to Providers
Posted by on April 22, 2020

WASHINGTON, D.C. – Energy and Commerce Republican Leader Greg Walden (R-OR) and Subcommittee on Health Republican Leader Dr. Michael Burgess (R-TX) released the following statement on the Department of Health and Human Services (HHS) plans to disburse the second round of provider payments authorized under the Coronavirus Aid, Relief and Economic Security (CARES) Act.

“We thank Secretary Azar and HHS officials for making good on their commitment to bring equity to provider relief payments as they continue to disburse funding provided in the CARES Act. Providers with large Medicaid and Medicare Advantage patient populations, as well as those in rural areas and hot spots, are also facing enormous financial hardships. We are hopeful this additional relief – paired with the administration’s relaxing of restrictions on elective procedures in certain areas – will help ease the burden on hospitals and other health care providers around the country. We also commend the administration for their efforts to cover the cost of care for those who are uninsured. Our nation is navigating unprecedented challenges. We must keep our eye on the ball to ensure patients can continue to access the care they need, regardless of where they live or their socioeconomic status, and we thank each and every health care provider working around the clock to provide care to Americans during this difficult time,” said Walden and Burgess.

Background:

The CARES Act allocated $100 billion for the Public Health and Social Services Emergency Fund to help providers and other health care entities that are responding to the coronavirus pandemic. Leaders Walden and Burgess released a statement on April 14, 2020 after receiving assurances from HHS they would prioritize rural areas, hot spots, and providers with large Medicare Advantage and Medicaid patient populations in forthcoming payments. Today, HHS announced they would provide $400 million for Indian Health Service facilities, $10 billion for COVID-19 hot spots, $10 billion for rural providers, and $20 billion to shore up the first round of payments, as well as the opening of a portal for providers to submit claims to help cover the costs associated with caring for uninsured patients. Providers can find more information on this additional relief HERE. 

HHS already disbursed $30 billion to nearly 500,000 providers based on Medicare fee-for-service data from fiscal year 2019. The portal for providers to sign an attestation confirming receipt of these funds launched the week of April 13, 2020. Recipients have 30 days to complete the required filing. You can find that information HERE.

The latest COVID-19 response package, the Paycheck Protection Program and Health Care Enhancement Act, includes an additional $75 billion for hospitals. That legislation passed the Senate on April 21, 2020 and is scheduled to be considered by the House on April 23, 2020.

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Sentinel Colorado: Public health care worker shortage amid pandemic at center of Crow loan repayment bill
Posted by on April 22, 2020
by Kara Mason

Public health officials say it’s going to take a substantial number of workers to track and contain the coronavirus. The endeavor is one leaders say is necessary in completely returning the country as close to normal as possible.

To coax more people into those roles in public health Tri-County Health Department Director Dr. John Douglas pitched an idea for a loan repayment program for those workers.

Aurora Congressman Jason Crow introduced the bill to establish the program this week with Republican co-sponsor Congressman Michael Burgess of Texas. It stipulates that eligible individuals must either be in their final year of a degree or certificate related to public health or have graduated within the past decade and plan to work in local, state or tribal public health.

A three-year service commitment to public health is also required to earn the loan repayment. Each eligible person could receive up to $105,000, Crow said.

“For many students, it isn’t economically feasible for them to enter into public service, especially given the high cost of many health care and medical programs. I’m grateful to Congressman Crow for pursuing this idea and making it into a reality,” Douglas said in a statement. “Not only will it help encourage the next generation of public health leaders, but we can better increase our nation’s preparedness for problems such as the current coronavirus pandemic.”

Crow told the Sentinel the bill came together as he was talking to the Tri-County team about what resources are needed to combat the current COVID-19 pandemic. Capacity was a major theme in those conversations, he said.

A lot of health care workers will be needed between now and when a coronavirus vaccine becomes available, which could be one to two years. Those workers will likely participate in testing — which Crow said still faces a national shortage — and contact tracing, where health care workers lead an investigation, hopefully informing all of the people that have come in contact with an infected person once they test positive.

It’s not clear yet what tracing the virus could look like across the U.S. The World Health Organization reported that approximately 9,000 contact tracers were hired in Wuhan, China, where the disease originated.

New Zealand and Iceland have also implemented trackers into their public health mechanisms. Many researchers believe those models are viable in the U.S.

The National Association of State and Territorial Health Organizations estimates that the U.S. needs somewhere between 100,000 and 300,000 specialists to track and contain COVID-19.

“For COVID-19, we need an unprecedented and rapid scale-up of the public health workforce dedicated to case identification and contact tracing. Estimates vary as to how many workers are needed, depending on the size of the state and the true size of its outbreak (confirmed by diagnostic testing),” the center wrote in a recent report. “Contact tracing is particularly resource intensive, and, as cases rise, more individuals will be needed to ensure comprehensive contact tracing of all confirmed cases can be done.”

That’s no easy feat.

Federal funding for public health preparedness has been reduced by 28 percent over the last 15 years, according to the National Association of County and City Health Officials. The 2008 recession also took a toll on public health, eliminating at least 50,000 jobs.

Crow’s bill would appropriates $100 million for fiscal year 2020 and $75 million for fiscal years 2021 through 2025 for the program.

“This won’t solve the issue, but it’ll be big in carving into the problem,” Crow said, highlighting that with bipartisan support, the future for the bill becoming law is optimistic.

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Republicans Introduce Solutions for Oil Crisis Caused by COVID-19
Posted by on April 21, 2020

Washington, D.C. – Congressman Michael C. Burgess, M.D. (R-TX), joined by Congressmen Kelly Armstrong (R-ND), Roger Williams (R-TX), Mike Conaway (R-TX), Bill Flores (R-TX), Michael McCaul (R-TX), Chip Roy (R-TX), Roger Marshall (R-KS), Doug LaMalfa (R-CA), Ron Estes (R-KS) Tom Cole (R -OK) introduced bipartisan, bicameral legislation that will provide $3 billion in funding to purchase crude oil produced in the United States for the Strategic Petroleum Reserve (SPR).

The legislation comes when American Energy Producers need help due to American oil prices plummeting because of COVID-19. It also supports the request made by President Donald J. Trump and Energy Secretary Dan Brouillette to fill the SPR. 

“Today's energy markets are in crisis due to the impact of COVID-19 on our economy. In March, the Trump administration requested funding from Congress to fill the SPR. This action would improve the energy security of the United States, save taxpayer money, and address the shortage of storage for crude oil, while also giving American producers a brief window of relief to make plans for the new realities in the marketplace,” said Congressman Burgess. “Unfortunately, partisan politics prevented Congress from including this request in previous COVID-19 response packages. This is why I helped introduce legislation that would answer the President's call. This legislation would appropriate $3 billion to the Department of Energy in order to fill the SPR. This is a targeted, prudent action that would allow the department to act quickly to address a temporary oversupply of oil in the market. This is good for taxpayers, energy producers, and America's energy security. As future response packages are debated, I hope this bill will be included.”

“Our nation’s oil industry is essential to our economic and national security, and we need to do all we can to support our oil and gas workers. Given the challenges in our energy markets, we need to pass this legislation to fund the purchase of U.S. crude for the SPR and help alleviate supply pressures,” said Senator Hoeven, who is introducing the Senate bill. “This legislation supports a crucial U.S. industry and its workers, as well as the American taxpayers who will benefit from greater economic and national security.”

“Foreign manipulation of oil prices and the economic effects of COVID-19 are threatening America’s energy independence,” said Representative Armstrong. “The U.S. energy industry strengthens our national security and is a major economic driver, employing millions of workers directly and indirectly. The purchase of oil for the nation’s strategic reserves will help domestic producers withstand these forces outside their control and protect our energy security.”

“The Strategic Petroleum Reserve is a vital tool for ensuring American energy independence and national security in times of crisis,” said Congressman Williams. “Funding for this important program should have been included in the CARES Act in the first place, but was left out due to the Green New Deal agenda of the radical left. I am proud to support this stand-alone bill that not only protects taxpayers by capitalizing on historically low prices, but will help our Texan producers and workers pull through the devastating challenges they are facing in the midst of this pandemic.

“America’s domestic oil and gas producers are vital to both Texas and the nation. They provide clean, safe, and low-cost energy for consumers and manufacturers while supporting jobs and ensuring national security,” said Congressman Flores. “Yet, the energy independence we have spent decades building is now under threat. This bill provides much needed relief to the thousands of businesses and their employees in Texas that directly and indirectly rely on oil and gas producers. It also represents a smart investment for the American taxpayer by purchasing millions of barrels of oil to restock the Strategic Petroleum Reserve while costs are low. Congress must pass this legislation as quickly as possible to provide immediate assistance and protect our national security.”

“Millions of hard-working Americans are employed by the oil and gas industry, to include thousands right in my congressional district,” said Congressman McCaul. “Funding the SPR will directly support these jobs and keep industry afloat. This is a strategic move that will allow us to hit the ground running when global demand rises again.”

“It’s past due for Congress to act on President Trump’s request to fill the Strategic Petroleum Reserve and provide relief to our oil and gas producers,” said Congressman Marshall. “These producers are responsible for employing thousands of workers in rural communities across Kansas. They have a far-reaching impact on every American’s national security and are responsible for keeping the lights on for our first responders, hospitals, military bases, and homes across the country.”

“The United States should not pass up this historic opportunity to fill our Strategic Petroleum Reserve,” said Congressman LaMalfa. “The world will begin to reopen soon, and this short-term dip in the price of crude oil won’t last. Unfounded concerns from Green New Deal advocates have prevented America from filling the SPR before, but the current energy market requires that we act quickly to secure additional oil at a reasonable cost. This legislation is good for the taxpayer and America’s energy security, and I urge for its swift passage.”

“During this global health crisis, it’s imperative that we support our oil and gas workers in Kansas and throughout the country,” said Congressman Estes. “This legislation not only provides relief for our energy producers, but it improves our economic and national security. The President requested funding for the Strategic Petroleum Reserve six weeks ago, and it’s time that Congress takes action on this critical issue.”

“While numerous industries have been helped during this national emergency, it is high time to reinforce our vital energy sector through purchase of crude oil for our country’s Strategic Petroleum Reserve,” said Congressman Cole. “Doing so not only protects the livelihoods of our oil and gas producers and their families, but it reaffirm the importance of domestic energy security. As a sponsor of this critical legislation, I am proud to stand with American oil and gas producers and the millions of hardworking Americans whose jobs they support.”

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A Doctor's note on Coronavirus
Posted by on April 21, 2020

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April 21, 2020

Dear Friends,

The American energy market is in crisis due to the impact of COVID-19, butalsothe senseless and malicious actions of the OPEC countries and the Russians.

This is why I helped put forwardbipartisan, bicameral legislation that will provide $3 billion in funding to fill the Strategic Petroleum Reserve (SPR) by purchasing crude oil produced in the United States.

The legislation is particularly timelyon the heels of American oil pricesgoing negative for the first time in history.It answers the call made by President Donald J. Trump and Energy Secretary Dan Brouillette to fill the SPR in order to improve America’s energy security, expand our nation’s crude storage capacity, and provide stability to the market for American energy producers.

Unfortunately, partisan politics prevented Congress from including this request in previous COVID-19 response packages. This legislation is a targeted, prudent action that would allow the department to act quickly to address a temporary oversupply of oil in the market. It is good for taxpayers, energy producers, and America's energy security. As future response packages are debated, I hope this bill will be included.

National Update:
The Food and Drug Administration authorized the first COVID-19 diagnostic test with a home collection option. Using a kit created by LabCorp that contains nasal swabs and saline, patients can self-swab to collect their nasal sample, and mail in the sample to a LabCorp lab for testing.

The Substance Abuse and Mental Health Services Administration fast-tracked the release of $110 million in emergency grants to states, territories, and tribal applicants in order to increase access to treatments for substance use disorders and serious mental illnesses during the COVID-19 pandemic.

The Administration for Community Living is offering $955 million in grants to help older adults and people with disabilities receive home-delivered meals, care services in home, respite care and other needed support.

The Health Resources and Services Administration will soon release $15 million in grants for tribes, tribal organizations, and urban Indian health organizations for COVID-19 preparedness and response.

The Centers for Medicare & Medicaid Services is encouraging clinicians who participate in the Quality Payment Program to contribute to scientific research on COVID-19 through participating in a clinical trial.

The National Institutes of Health released treatment guidelines for COVID-19. These guidelines were developed by a panel of U.S. physicians, statisticians, and other experts to guide health care providers during this outbreak.

Texas Update:
The Texas Hospital Association released aFAQs document to guide member hospitals in response to Governor Abbott’s April 17 Executive Order concerning the conditions under which hospitals may perform essential surgeries and procedures during the COVID-19 pandemic.

  • Similarly, the Texas Health and Human Services Commission posted this guidance for hospitals to comply with the certification requirement.

Mobile Testing Sites around Texas are set to increase as Governor Abbott announced that the Texas National Guard will mobilize more than 1,200 personnel in 25 teams across the state. As of now, the first two Mobile Testing Teams will go to Fredericksburg and Floresville.

Until tomorrow, this is your doctor's note.
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Congressman Michael C. Burgess, M.D.

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Market Screener: Hoeven Statement After Reps. Fletcher, Burgess Introduce House Companion Bill Providing $3 Billion to Purchase U.S. Crude for Strategic Petroleum Reserve
Posted by on April 21, 2020

Senator John Hoeven issued the following statement after U.S. Representatives Lizzie Fletcher and Michael Burgess introduced the House companion bill to legislation Hoeven is leading in the U.S. Senate to provide $3 billion in funding to purchase crude oil produced in the United States for the Strategic Petroleum Reserve (SPR). Earlier this month, Hoeven lead a bicameral and bipartisan group in announcing the legislation. Click here for the bill text.

'Our nation's oil industry is essential to our economic and national security, and we need to do all we can to support our oil and gas workers. Given the challenges in our energy markets we need to pass this legislation to fund the purchase of U.S. crude for the SPR and help relieve supply pressures,' said Hoeven. 'This legislation supports a crucial U.S. industry and its workers, as well as the American taxpayers who benefit from greater economic and national security'

The legislation is being cosponsored by Senators John Cornyn, Kevin Cramer, Ted Cruz, Lisa Murkowski, Dan Sullivan, John Barrasso, and Jim Inhofe in the Senate. The House bill is being cosponsored by Representatives Kelly Armstrong, Henry Cuellar, Kendra Horn, Roger Williams, Vicente Gonzalez, Mike Conaway, Marc Veasey, Bill Flores, Michael McCaul, Chip Roy, Roger Marshall, Doug LaMalfa, Ron Estes and Tom Cole.

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A Doctor's note on Coronavirus
Posted by on April 20, 2020

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April 20, 2020

Dear Friends,

Yesterday, I joined WFAA's Inside Texas Politics with Jason Whitely to talk about re-opening Texas and the country. I told Jason that as we take the step forward, we need to be smart about it and be ready to respondif COVID-19 cases start to flare-up again.

Governor Abbott and President Trump are taking the right approach by having a gradual phase-in plan.

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The Centers for Medicare & Medicaid Services (CMS) released guidance on providing essential non-COVID-19 care to patients in communities that are in Phase 1 of the plan for Opening Up America Again. Health care facilities and providers in areas with a higher number of COVID-19 cases should continue following the recommendations made by CMS last month.

  • Additionally, CMS announced regulations for nursing homes to ensure that COVID-19 cases are reported to the CDC, residents, and their families. Further explanation regarding these changes can be found here.

The Food and Drug Administration (FDA) released new resources on serological testing. So far, the FDA has issued four Emergency Use Authorizations (EUAs) to fast-track the development of a reliable antibody test.

AstraZeneca Pharmaceuticals LP announced a clinical trial to study whether CALQUENCE, an approved drug for blood cancers, can reduce the need for assisted ventilation in COVID-19 patients. Forbes reports on the trial here.

Until next time, this is your doctor's note.
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Congressman Michael C. Burgess, M.D.

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A Doctor's note on Coronavirus
Posted by on April 19, 2020

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April 19, 2020

Dear Friends,

Last night I spoke with Jon Scott on the Fox Reportabout the steps states are taking to re-open.

While I understand that we are all experiencing serious casesof cabin fever, I believe Governor Abbott's approach to phrase inre-opening is the best move.This will not be like switching a switch but morelike turning a dimmer switch. We will get there; however, it willtake some patience.

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National Update:
The American Hospital Association announced a partnership with industry groups to launch a personal protective equipment app. This initiative – Protecting People Everywhere – will match individuals and organizations donating personal protective equipment to hospitals based on need through the use of the HealthEquip app. Individuals can register here.

The Centers for Disease Control and Prevention has a new webpage dedicated to training for health care professionals. This webpage includes important information such as Clinician Outreach and Communication Activity calls and webinars, webinars regarding certifying deaths, infection prevention and control recommendations, and more. Health care professionals are encouraged to visit this webpage for more information.

Texas Update:
Governor Abbott issued an executive order to relax restrictions on surgeries. Certain restrictions were ordered to limit non-essential surgeries during this Coronavirus outbreak. This new executive order allows for certain surgeries if a hospital attests to reserve at least 25% of bed capacity for COVID-19 treatment and to not request personal protective equipment from a public resource.

A Cure for Cabin Fever:
Travel and Leisure compiled a list of fun adventures on which you can embark from the comfort and safety of your own home. Whether you want to tour a European castle, take a cooking class from a world class chef, or go on a fun field trip with your kids, this list has you covered.

Help your children become top chefs. The New York Timesput together a list of 53 kid-friendly recipes to inspire some family memories in the kitchen.

Until tomorrow, this is your doctor's note.
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Congressman Michael C. Burgess, M.D.

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Fox News: Texas congressman on state's plan to gradually reopen
Posted by on April 19, 2020
Texas Congressman Michael Burgess joins Jon Scott to discuss his state's plan to gradually reopen amid coronavirus pandemic.



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