COVID-19 Vaccines, Testing and Compensations

Contents
Preface
Chapter 1
Road to Recovery: Ramping up Covid-19 Vaccines, Testing, and Medical Supply Chain(
	Opening Statement of Hon. Anna G. Eshoo, a Representative in Congress from the State of California
	Prepared Statement of Hon. Anna G. Eshoo
	Opening Statement of Hon. Brett Guthrie, a Representative in Congress from the Commonwealth of Kentucky
	Prepared Statement of Hon. Brett Guthrie
	Opening Statement of Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey
	Prepared Statement of Hon. Frank Pallone, Jr.
	Opening Statement of Hon. Cathy Mcmorris Rodgers, a Representative in Congress from the State of Washington
	Prepared Statement of Hon. Cathy Mcmorris Rodgers
		Supply Chain
	Statements of Luciana Borio, M.D., Vice President, In-Q-Tel; Julie Morita, M.D., Executive Vice President, Robert Wood Johnson Foundation;  Michael O. Leavitt, Founder and Chair, Leavitt Partners; and Greg Burel, President and Principal Consultant, Ha...
		Statement of Luciana Borio, M.D.
	Testimony of Luciana Borio, M.D., Vice-President, In-Q-Tel, “Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain,” February 3, 2021, Subcommittee on Health of the House Committee on Energy and Commerce
		Introduction
		The COVID-19 Pandemic
		Past
		Present
			Vaccines
			Variants
			Therapies
			Diagnostic Tests
			Data Infrastructure
			Supply Chain
		Future
		Conclusion
	Statement of Julie Morita, M.D.
	Hearing Testimony, Julie Morita, MD, Executive Vice President,  Robert Wood Johnson Foundation, U.S. House of Representatives, Committee on Energy and Commerce, Subcommittee on Health,  “Road to Recovery: Ramping up COVID-19 Vaccines, Testing,  and Me...
		Equity
		Accessibility
		Coordination
		Conclusion
	Testimony Addendum, Julie Morita, MD, Executive Vice President,  Robert Wood Johnson Foundation, U.S. House of Representatives, Committee on Energy and Commerce, Subcommittee on Health,  “Road to Recovery: Ramping up COVID-19 Vaccines, Testing,  and M...
		Research
			Anticipating COVID-19 Vaccination Challenges through Flu Vaccination Patterns
			COVID-19 and the Experiences of Populations at Greater Risk
			Ensuring Access to the COVID-19 Vaccine for Adult Medicaid Enrollees: A Roadmap for States
			Ensuring Equity: State Strategies for Monitoring COVID-19 Vaccination Rates by Race and Other Priority Populations
			For Most Workers, the Latest COVID-19 Vaccine Developments Won’t Mean Protection Just Yet
			How Risk of Exposure to the Coronavirus at Work Varies by Race and Ethnicity and How to Protect the Health and Well-Being of Workers and Their Families
			The Impact of Coronavirus on Households across America
			Pandemics and Health Equity: Lessons Learned from the H1N1 Response in Los Angeles County
			Preemption, Public Health, and Equity in the Time of COVID-19
		Resources
			Advancing Equity in the Nation’s COVID-19 Public Health Response and Recovery: Options for a New Administration
			ASTHO Bounce Forward
			Center for Strategic and International Studies Panel on Vaccine Confidence  and Misinformation
			COVID-19 Equitable Testing Strategy
			Diversity Data Kids & The Child Opportunity Index
			Language of Vaccine Acceptance Poll and Vaccine Communication Tips
			National Immigration Law Center’s Resources Related to the COVID-19 Crisis  and Consequences
			US COVID Atlas
		Opinion Pieces
			America’s Last Line of Defense for a Safe Vaccine
			Pressure Won’t Build Vaccine Trust
			We Need a Vaccine Distribution Plan—Right Now
	Statement of Michael Leavitt
	U.S. House Energy and Commerce Health Subcommittee Hearing, “Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain,” February 3, 2021, Governor Michael O. Leavitt, Former U.S. Secretary of Health and Human Services, Salt La...
		Pandemic Response Requires Strategically “Scouting the Next Valley”
	Scouting the Next Valley for COVID-19 – Issues and Recommendations
		Developing an Open-Source Vendor-Agnostic Digital Vaccination and  Testing Credential
			Strengthening Domestic Capacity to Rapidly Manufacture Vaccines after the Emergence of a Virus
			Anticipating the Potential Needs of Patients with “Long-COVID”
			Anticipating and Addressing the Barriers of Social Determinants of Health  and Inequity
			Resourcing and Sustaining Our Public Health Infrastructure
			Resourcing and Sustaining Medical and Scientific Innovation
			Strengthening Our Commitment to Mental Health
			Responding to the Challenges that Pandemic Presents to Medicare’s Financing
			Prioritizing Pandemic Preparedness on an Ongoing Basis
			Assisting the Nation’s Governors in Strengthening Medicaid’s Response  to the Pandemic
			Learning Continually by Scouting Valleys Beyond
		Conclusion
	Statement of Greg Burel
	Opening Statement of Greg Burel, Committee on Energy & Commerce, February 3, 2021
	Article of January 31, 2021, “‘It’s a mess’: Biden’s first 10 days dominated by vaccine mysteries,” by Tyler Pager, Adam Cancryn and Joanne Keenen, Politico, Submitted by Ms. Eshoo
		Biden Administration Readies Battle Plan as Covid Variants Reach the U.S.
	Statement by the Association of American Medical Colleges on “Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain” Submitted for the Record to the Energy and Commerce, Subcommittee on Health, United States House of Repres...
		Ramping up COVID-19 Vaccines
		Ramping up COVID-19 Testing
		The Medical Supply Chain
		Ramping up COVID-19 Vaccines
		Ramping up COVID-19 Testing
		The Medical Supply Chain
		Conclusion
	Statement of the National Immigration Law Center, House Committee on Energy and Commerce Subcommittee on Health, Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain, Tuesday February 3, 2021
		Insufficient Funding for Community Focused Outreach and Assistance
		States Are Not Allowed to Discriminate against Immigrants in Distribution
		Everyone, Regardless of Their Immigration Status, Should Have Access to Free COVID-19 Testing, Vaccinations and Treatment
		Protecting Sensitive Data and Addressing Privacy Concerns
		Congress and the Administration Should Ensure That Language Access Is Prioritized and Protected
		Front-Line Immigrant Workers Must Have Equitable Access to Vaccines
		Immigrants Must Not Fear Immigration Consequences from Vaccination
		Immigrants in Detention Must Have Equitable Access to Vaccines
	Written Statement for the Record, for the Hearing Entitled “Road to Recovery: Ramping up Covid-19 Vaccines, Testing, and Medical Supply Chain,” United States House of Representatives, Committee on Energy  and Commerce, Subcommittee on Health, February...
		COVID-19 National Crisis Is Disproportionately Impacting Communities of Color
		Vaccine Distribution Must be Equitable
			Essential Workers
			Social Determinants of Health
			Multi-Generational Homes
			Language Access
			Immigration Status
		Detailed Demographic Data about Vaccine Administration Is Needed
	Written Testimony of the American Psychological Association,  by Arthur C. Evans, Jr, PhD, Chief Executive Officer and Executive  Vice President American Psychological Association, Submitted to the Subcommittee on Health, of the Committee on Energy an...
		Legislative Priorities in the 117th Congress
		The Pathway to Recovery
			Equity
			Vaccines
		Testing and Contact Tracing
	Statement from the American Society for Microbiology, in Response  to the House Energy & Commerce, Subcommittee on Health, Hearing: “Road to Recovery: Ramping up COVID-19 Vaccines, Testing,  and Medical Supply Chain,” February 3, 2021
		Increase Testing Capacity and Access
		Increase Transparency
	Statement of Steven C. Anderson, President and Chief Executive Officer, The National Association of Chain Drug Stores (NACDS), for United States House of Representatives, Committee on Energy and Commerce, Subcommittee on Health, on “Road to Recovery: ...
		Executive Summary
		Discussion
			Accessible and Trusted Retail Pharmacies Are Boosting Critical Access to COVID-19 Vaccines and Testing in Communities across the Nation
			Retail Pharmacies Play a Key Role In Expanding Access to COVID-19 Vaccines
			Outside of Vaccinations, Retail Pharmacies Are Reshaping the Public Health Infrastructure to Provide Additional Services, Like COVID-19 Testing, to Patients  on a Larger Scale
		Recommendations to Ensure Retail Pharmacies Have the Authorities to  Continue to Help Fight This Pandemic and Strengthen the Public Health Infrastructure Moving Forward
			Recommendation 1: Maintain Important Authorities Established under the PREP Act Declaration, Which Have Expanded Patient Access to Vaccination and Testing Services at Local Retail Pharmacies
			Recommendation 2: Sustain the Ability for Retail Pharmacies to Continue to Provide Vaccination, Testing, and Relevant Preventative Services by Establishing Clear Coverage and Reimbursement Pathways
			Recommendation 3: Ensure Critical Patient Access to Pharmacy Services by Expanding the Federal Pharmacy Partnership Program to Serve Medicare and Medicaid Populations
		Conclusion
	Statement for the Record, American Nurses Association, Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain, House of Representatives, Committee on Energy and Commerce, Subcommittee on Health, February 3, 2021
		Medical Supply Chain
		Vaccines
			Vaccine Equity
		Conclusion
	Demographic Characteristics of Persons Vaccinated During the First Month of the COVID-19 Vaccination Program — United States, December 14, 2020–January 14, 2021
		Discussion
		Acknowledgments
		References
	Written Testimony for the House Energy and Commerce Committee: Subcommittee on Health, “Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain,” February 3, 2021
		Lack of Capacity at Local and State Health Departments
		About the National Health Care for the Homeless Council
	Trump’s Operation Warp Speed Promised a Flood of Covid Vaccines. Instead, States Are Expecting a Trickle
	U.S. CDC Says 41.4 Million Doses of COVID-19 Vaccines Distributed, 20.5 Million Administered
	‘Pixie Dust’: Why Some Vaccine Sits on Shelves While Shortages Intensify Nationwide
	Thousands of Vaccine Appointments Canceled as Supply Lags
		ʻItʼs Such a Lotteryʼ: Disappointment and Frustration as Vaccine Offers Melt Away
		On Bidenʼs First Day in Charge, Swift Action on Covid-19 and the Economy  Is a Priority
	Frustrations Boil at Pace of Vaccinations at Long-Term Care Facilities
	Trump Officials Actively Lobbied to Deny States Money for Vaccine Rollout Last Fall
		About the Author
	Administration Leaves Testing Responsibility to States in Report to Congress
	Itʼs Just Everywhere Alreadyʼ: How Delays in Testing Set Back the U.S. Coronavirus Response
		A Prime Mission
		Sense of Exasperation
		ʻWhat Do We Do?ʼ
			A Silent Spread
	Months into Virus Crisis, U.S. Cities Still Lack Testing Capacity
	Health Workers Still Face Shortages of Critical Medical Supplies
		Sarah Mccammon, Host
	Oxygen Supply Shortages Bedevil Hospitals Already Overwhelmed by COVID-19 Patients
		Oxygen
		California Coronavirus Hospitalizations
		The Stories Shaping California
	Warning of Shortages, Researchers Look to Stretch Vaccine Supply
	President Biden Announces American Rescue Plan
		Mount a National Vaccination Program, Contain COVID-19, and Safely Reopen Schools
			Mount a National Vaccination Program
			Scale up Testing to Stop the Spread of COVID, Safely Reopen Schools, and Protect  at-Risk Populations
			Mobilize a Public Health Jobs Program to Support COVID-19 Response
			Address Health Disparities and COVID-19
			Protect Vulnerable Populations in Congregate Settings
			Identify and Address Emerging Strains of COVID-19
			Provide Emergency Relief and Purchase Critical Supplies and Deploy National Guard
			Invest in Treatments for COVID-19
			Protect Workers against COVID-19
			Restore U.S. Leadership Globally and Build Better Preparedness
			Provide Schools the Resources They Need to Reopen Safely
			Provide Emergency Paid Leave to 106 Million More Americans to Reduce the Spread of the Virus
		Deliver Immediate, Direct Relief to Families Bearing the Brunt of the Crisis
			Extend and Expand Unemployment Insurance Benefits so American Workers Can Pay Their Bills
			President Biden’s plan will:
			Help Struggling Households Keep a Roof over Their Heads
			Address the Growing Hunger Crisis in America
			Raise the Minimum Wage to $15 per Hour
			Call on Employers to Meet Their Obligations to Frontline Essential Workers and Provide Back Hazard Pay
			Expand Access to High-Quality, Affordable Child Care
			Bolster financial Security for Families and Essential Workers in the Midst  of the Pandemic
			Preserving and Expanding Health Coverage
			Expanding Access to Behavioral Health Services
			Ensure Adequate Funding for Veterans’ Health
			Combat Increased Risk of Gender-Based Violence
		Provide Critical Support to Struggling Communities
			President Biden’s plan will:
			Provide Small Businesses with the Funding They Need to Reopen and Rebuild
			Provide Support for first Responders and Other Essential Workers
			Protect the Future of Public Transit
			Support Tribal Governments’ Response to COVID-19
		Modernize Federal Information Technology to Protect against Future  Cyber Attacks
	Executive Order on Ensuring a Data-Driven Response to COVID-19 and Future High-Consequence Public Health Threats
		Section 1. Policy
		Sec. 2. Enhancing Data Collection and Collaboration Capabilities for High-Consequence Public Health Threats, Such as the COVID-19 Pandemic
		Sec. 3. Public Health Data Systems
		Sec. 4. Advancing Innovation in Public Health Data and Analytics
		Sec. 5. Privileged Information
		Sec. 6. General Provisions
	Executive Order on a Sustainable Public Health Supply Chain
		Section 1. Purpose
		Sec. 2. Immediate Inventory of Response Supplies and Identification of Emergency Needs
		Sec. 3. Pricing
		Sec. 4. Pandemic Supply Chain Resilience Strategy
		Sec. 5. Access to Strategic National Stockpile
		Sec. 6. General Provisions
	Executive Order on Establishing the COVID-19 Pandemic Testing Board and Ensuring a Sustainable Public Health Workforce for COVID-19 and Other Biological Threats
		Section 1. Policy
		Sec. 2. COVID-19 Pandemic Testing Board
		Sec. 3. Actions to Address the Cost of COVID-19 Testing
		Sec. 4. Establishing a Public Health Workforce Program
		Sec. 5. General Provisions
	Biden Covid Team Derides Trump Plan While Borrowing Playbook
		J&J Single-Dose Vaccine Provides Strong Shield against Covid
		Partisan Rhetoric
		Biden’s Approach
		100-Day Pledge
	No Good Vaccine Deed
		Covid, Kids and Teachers Unions
	Why Operation Warp Speed Worked
	Will Biden Cut a Covid Deal with Republicans?
	American Pharmaceutical Resilience
	Global Supply Chains and Economic "Resilience": (More) Evidence from the Pandemic
	Coronavirus: Operation Warp Speed Timeline
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		June 1, 2020
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		May 15, 2020
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		April 16, 2020
		March 30, 2020
		FAQs
		Operation Warp Speed
	Coronavirus: DOD Response
	Operation Warp Speed Staffers Refute Claim Biden Is Starting from Scratch on Vaccines
		Current and Former Staffers Say They Helped Set Biden’s Administration on a Glide Path to Its Vaccination Goal
	Proud of Vaccine Success, Warp Speed’s Ex-Science Head Talks Politics, Presidents, and Future Pandemics
	Statement for the Record, Submitted by the Premier Inc. Healthcare Alliance, Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain, House Energy and Commerce Subcommittee on Health, February 3, 2021
		Premier’s Reflections & Learnings from COVID-19 Response Efforts
		Strengthening the Healthcare Supply Chain to Address Future Pandemics
		Incentivizing Domestic Manufacturing
		Augmenting the Strategic National Stockpile
		Solutions to Environmental Issues Impacting Patient Care
		Maintaining Supply Chain Integrity
		Expediting COVID-19 Vaccinations of the American People
			#1 Vaccine Hesitancy
			#2 Clinical Staffing Limitations
			#3 Distribution Challenges
			#4 Supply Shortages
			#5 Communication Gaps
		Creating Upstream and Downstream Visibility
		Expanding Infection Prevention Clinical Surveillance
	Conclusion
	Attachment—Additional Questions for the Record, Subcommittee on Health, Hearing on “Road to Recovery: Ramping up COVID-19 Vaccines,  Testing, and Medical Supply Chain,” February 3, 2021
		The Honorable Frank Pallone, Jr. (D-NJ)
		The Honorable Lisa Blunt Rochester (D-DE)
		The Honorable Brett Guthrie (R-KY)
		The Honorable Michael C. Burgess, M.D. (R-TX)
		The Honorable Neal P. Dunn, M.D. (R-FL)
	Attachment—Additional Questions for the Record, Energy and Commerce, Subcommittee on Health, Hearing on “Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain,” February 3, 2021
		The Honorable Frank Pallone, Jr. (D-NJ)
			Community vaccination sites are a critical part of the American Rescue Plan that has been proposed by the Biden Administration. Specifically, a $20 billion investment has been included to help set up these sites, some of which will be able to vaccinat...
			During a public health emergency, one of the most important roles of the federal government is to provide clear, consistent, and fact-based communication. The CDC has played a key role in federal messaging during this pandemic by publishing guidelines...
			How do you think CDC’s approach to communication throughout the last year has impacted the public’s willingness to be tested for COVID-19 and participate in local contact tracing efforts?
			In what ways do you think CDC is succeeding in their approach to communicating about the COVID-19 vaccine and in what ways do you think they can improve?
	The Honorable Michael C. Burgess, M.D. (R-TX)
		The CDC’s Advisory Committee on Immunization Practices (ACIP) made its vaccine prioritization recommendations to assist jurisdictions in decision making on how to allocate the limited doses of available vaccines. The ACIP recommendations identify non-...
		The current vaccine distribution chain only involves one distributor. Have there been capacity issues with distribution that could be solved by involving more private distribution companies? Are there certain areas, for example rural, that are more di...
		The Honorable Gus Bilirakis (R-FL)
			Obesity has proved to be a major risk factor in the COVID-19 pandemic and past pandemics, such as the H1N1 pandemic in 2019. Over 40% of Americans have obesity, and that number is projected to continue to grow. In addition to hampering our public heal...
	Attachment—Additional Questions for the Record, Subcommittee on Health, Hearing on “Road to Recovery: Ramping Up COVID-19 Vaccines, Testing, and Medical Supply Chain,” February 3, 2021
		The Honorable Frank Pallone, Jr. (D-NJ)
			Governor Leavitt Response
		The Honorable Nanette Diaz Barragán (D-CA)
			Governor Leavitt Response
		The Honorable Michael C. Burgess, M.D. (R-TX)
			Governor Leavitt Response
			Governor Leavitt Response
			Governor Leavitt Response
		The Honorable Brett Guthrie (R-KY)
			Governor Leavitt Response
			Governor Leavitt Response
			Governor Leavitt Response
			Governor Leavitt Response
			Governor Leavitt Response
			Governor Leavitt Response
		The Honorable Gus M. Bilirakis (R-FL)
			Governor Leavitt Response
			Governor Leavitt Response
	Attachment—Additional Questions for the Record, Subcommittee on Health, Hearing on “Road to Recovery: Ramping up COVID-19 Vaccines, Testing, and Medical Supply Chain,” February 3, 2021
		The Honorable Frank Pallone, Jr. (D-NJ)
		The Honorable Michael C. Burgess, M.D. (R-TX)
		The Honorable Gus M. Bilirakis (R-FL)
		The Honorable Billy Long (R-MO)
		The Honorable Larry Bucshon, M.D. (R-IN)
Chapter 2
Compensation Programs for Potential COVID-19
Vaccine Injuries(
	The Countermeasures Injury Compensation Program
		Covered Vaccines and Injuries
		Procedure for Obtaining Compensation
		Available Compensation
	The National Vaccine Injury Compensation Program
		Covered Vaccines and Injuries
		Procedure for Obtaining Compensation
		Available Compensation
	Considerations for Congress
Index
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