COVID-19: US and EU Developments, Implementation and Oversight of CARES Act – May 20, 2020


The timing and scope of the next steps in the federal legislative response to COVID-19 and the resulting economic crisis remain an open question, as the US’ top monetary policy official declined to take a side Tuesday in the escalating partisan debate over how swiftly the US Congress must deliver additional aid.

Federal Reserve Board chairman Jay Powell, in testimony Tuesday before the Senate Committee on Banking, Housing and Urban Affairs, repeated his call for further legislative action by Congress to stabilize and stimulate the American economy, but pointedly declined to specify how quickly such a package must be enacted in order to avert a depression or prolonged recession. Powell’s testimony came on the same day congressional Democrats launched a messaging campaign intended to compel Senate Majority Leader Mitch McConnell (R-KY) to immediately begin negotiations on the next federal coronavirus response measure in the wake of the House of Representatives’ passage last Friday of the US$3 trillion Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act.

Powell’s demurral buys more time for the White House and congressional Republicans to examine the effect of the bipartisan US$2.2 trillion Coronavirus Aid, Relief & Economic Security (CARES) Act, enacted March 27 in response to the pandemic, and for Senate Republicans to reach a consensus among themselves on how to proceed.

Majority Leader McConnell has not slammed the brakes entirely on the prospect of sending another significant aid package to the president, but for weeks has kept the legislative machinery of the Senate running in low gear, conducting oversight of previously enacted COVID-19 programs and allowing committee chairs and rank-and-file senators to draft and deliberate proposals for potential future consideration. McConnell is unlikely to move forward with additional coronavirus-related legislation until general agreement exists inside the Senate Republican Conference about what is needed to support the reopening of the nation’s economy and when it must be delivered.

The Senate’s methodical approach is unfolding as states, territories and businesses take uneasy steps toward a resumption of commerce. Without fanfare, the Centers for Disease Control and Prevention (CDC) on Sunday posted revised and more detailed guidance for the reopening of schools, businesses and other staples of everyday life. The Wall Street Journal reports a number of major US employers are phasing out “hazard pay” initiatives they voluntarily adopted at the height of the COVID-19 shutdown to boost the compensation of workers on the front lines of the battle against the pandemic. And President Donald Trump on Tuesday privately urged senators against including an extension of unemployment insurance in the next coronavirus relief measure, according to the Washington Post.

Tax and Economic Development Updates

As previewed in yesterday’s report, Treasury Secretary Steven Mnuchin and Federal Reserve Chairman Powell on Tuesday testified before the Senate Banking Committee regarding ongoing federal stimulus efforts to address the economic crisis resulting from COVID-19. In his testimony, Secretary Mnuchin made clear that the Treasury Department plans to exhaust all of the funding provided under the CARES Act for direct lending to, and the provision of other financial assistance for, struggling industries. According to the Treasury Secretary, his Department “expect[s] to allocate all the capital as needed…[and is] fully prepared to take losses in certain scenarios.” While Chairman Powell also continued to support the need for ongoing economic stimulus measures, he underscored: “I do think we need to take a step back and ask, over time: ‘Is it enough?” Notably, both Secretary Mnuchin and Chairman Powell suggested that the Main Street Lending Program (MSLP) and Municipal Liquidity Facility would be operational before month’s end or “a day or two into June.”

Regarding the MSLP, specifically, there remain concerns among Democrats regarding a variety of issues, ranging from the appropriate interest rate caps to prioritizing access for small and mid-sized businesses. In addition to the feedback Democratic Senators provided during yesterday’s hearing, House Committee on Financial Services Chair Maxine Waters (D-CA) sent a letter to Secretary Mnuchin and Chairman Powell ”following up on conversations to ensure that the Federal Reserve and Treasury programs and facilities to respond to the COVID-19 crisis do not support predatory lenders.” In particular, Chair Waters is pressing the Treasury Department and Federal Reserve to structure the various 13(3) liquidity facilities and other financial assistance programs to prohibit consumer loans offered by payday, installment and other “predatory” lenders from being eligible to be pledged as collateral. With an ongoing openness by both Treasury and the Federal Reserve to making changes to their various programs, it will be important for all interested parties to make their position known on this and other issues.

While the House-passed HEROES Act contains an array of refinements to the Paycheck Protection Program (PPP) – ranging from extending the PPP covered period to extending the period of time that borrowers have to use their loan proceeds – it appears that support from the White House for some of those proposals has spurred the House of Representatives to plan for additional legislative action next week focused specifically on PPP changes. As reported earlier this week, the Trump Administration is supportive of providing businesses with additional flexibility in how they use their PPP funds; the Treasury Department is also said to be working on a “technical fix” to allow borrowers additional time to use those funds for purposes of loan forgiveness. In light of this, the House is now expected to take up and pass bipartisan legislation to implement certain of these changes in an effort to improve the PPP and make it more effective in aiding the ongoing economic recovery. Though Senate Majority Leader McConnell has yet to indicate if and when the Senate will take up such legislation, the strong bipartisan, bicameral support for the proposed PPP changes suggests the Upper Chamber will follow suit.

Health Updates

Lawmakers and other stakeholders are focusing on how telehealth technologies have transformed care during the pandemic, as well as how these changes may extend to healthcare services after the Public Health Emergency ends. Yesterday, the House Committee on Energy and Commerce Communications and Technology Subcommittee held a teleconference forum with Federal Communications Commission (FCC) Chairman Ajit Pai. Representative Anna Eshoo (D-CA) explored the COVID-19 Telehealth Program during the forum, questioning the process for health care providers to obtain support for telecommunications services, information services and devices. Chairman Pai acknowledged there is great interest in the Program, though the funding process has been slow due to documentation requirements. Late last week, the Association of American Medical Colleges (AAMC) wrote to Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma, commending her for providing regulatory relief and flexibility during the pandemic. AAMC noted the new telehealth capabilities available through these changes have transformed “the way in which health care is delivered, opening the door to a future that will increase access, maintain quality, and work to the advantage of patients and providers.” The association encouraged Administrator Verma to maintain certain telehealth waivers and flexibilities for at least one year after the Public Health Emergency ends, which would allow for advantageous telehealth-related legislation and rulemaking; AAMC also listed some regulatory changes that it believes should be permanent. President Trump has signaled his support for regulatory relief across the federal government, signing an executive order yesterday directing federal agencies to rescind, modify, waive or provide exemptions from regulations and other requirements that may inhibit economic recovery.

Healthcare entities continue to ask the Department of Health and Human Services (HHS) for additional funding through the Provider Relief Fund. Leaders of 76 children’s hospitals wrote to HHS Secretary Alex Azar, requesting HHS immediately release a tranche of funding “to support the continued viability of the health care infrastructure for children.” The hospitals acknowledged they have received some grants from the Fund, but they underscored the high costs they incurred by preparing for the COVID-19 pandemic, which included canceling non-essential procedures. The hospitals noted, “Failure to provide immediate relief to children’s hospitals will weaken our infrastructure and risk our current capability to care for all the nation’s children.” Separately, seven health care associations – Alliance to Fight for Health Care, American Academy of Family Physicians, American Academy of Pediatrics, American Benefits Council, American College of Physicians, America’s Health Insurance Plans and Blue Cross Blue Shield Association – also wrote to Secretary Azar. The organizations encouraged him to provide additional funding to independent and community-based primary care practices, including providers who care for Medicaid patients. The groups stressed that primary care physicians and clinicians need more support, as they are on the frontlines of the pandemic and caring for patients with ongoing care needs unrelated to COVID-19.

Bloomberg reports that a group of conservative activists is partnering with health professionals to establish “A Doctor A Day,” a letter-writing and lobbying initiative to encourage governors and other lawmakers to allow hospitals and health entities to perform more elective and non-emergency services. As we previously reported, hospitals and health systems shut down elective surgeries and other nonessential care as the nation first began to cope with pandemic, leading to significant financial losses for these entities. Earlier this month, House Committee on Ways and Means Chairman Richard Neal (D-MA) wrote to Administrator Verma, requesting the agency exercise caution when it provides additional guidance for the return of non-emergent healthcare delivery. Chairman Neal warned of surges in COVID-19 cases without proper safeguards in place, reflecting some public health experts’ opinions that the reopening of hospitals should be conducted carefully and with significant preparation. The American Hospital Association (AHA), the Association of periOperative Registered Nurses (AORN) and the Advanced Medical Technology Association released Re-entry Guidance for Health Care Facilities and Medical Device Representatives yesterday, building upon the April 17 Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic issued by the American College of Surgeons, the American Society of Anesthesiologists, AORN and AHA. The guidelines focus on the protection of essential medical device representatives through the enforcement of facility social distancing and safety policies, COVID-19 testing and screening, proper personal protective equipment (PPE) and training and education regarding COVID-19 safety and precautions.

Trade Updates

The United States and Canada have agreed to again extend limits on non-essential border travel. The border closure – originally announced in March and scheduled to expire this week – will now extend an additional month, until June 21. This ban applies to non-essential passenger travel and does not extend to cross-border trade in goods.

On Tuesday, Trump officials announced a new four-year, US$354 contract with a US drug manufacturer to expand domestic pharmaceutical manufacturing for COVID-19 response efforts. Phlow Corporation, which is headquartered in Virginia, will partner with other pharmaceutical supply and manufacturing organizations to expand production of drugs needed to treat COVID-19 patients and that are in short supply. According to Phlow, the value of the contract could run as high as US$812 million over 10 years.

Also on Tuesday, the US Department of Agriculture (USDA) and the Food and Drug Administration (FDA) released a Memorandum of Understanding (MOU) to define their respective roles and working relationship as it applies to the potential use of the Defense Production Act and oversight of those involved in human and animal food production. (The MOU does not apply to facilities under USDA’s exclusive jurisdiction.) The effort is aimed at ensuring food supply continuity as the US approaches peak harvesting seasons. USDA also separately announced details of the US$16 billion Coronavirus Food Assistance Program (CFAP), which will provide direct payments to support US farmers and ranchers impacted by the pandemic.

European Policy Updates

The Eurogroup (Finance Ministers of Eurozone countries) finalized on May 15 the European Stability Mechanism (ESM) Pandemic Crisis Support, which is now operational. It will provide favorable credit financing worth 2% of each Eurozone country’s GDP to be used for direct or indirect healthcare costs. The second pillar of the European financial emergency fund, legislation creating temporary support to mitigate unemployment risks in an emergency (“SURE”), was agreed to between the EU27 Ambassadors and endorsed by the Eurogroup. The temporary instrument will provide EUR100 billion (US$109.3 billion) of loans under favorable terms to Member States to support workers keeping their jobs during the crisis. The SURE loans will be supported by the EU budget and guarantees provided by Member States’ share in the EU’s Gross National Income. The total amount of guarantees will be EUR25 billion (US$27 billion).

Negotiations on the European Commission’s proposal for a new European Recovery Instrument are still ongoing. On May 15, the European Parliament adopted a non-binding resolution calling for EUR2 trillion (US$ 2.2 trillion) for the recovery package. The ECOFIN Council (EU27 Finance Ministers) met virtually on May 19 to discuss, among other items, the recently published joint Franco-German initiative for the European Recovery Instrument. The joint initiative proposes a grant-based EUR500 billion (US$ 546 billion) recovery plan, developing an EU strategic health sovereignty, speeding the green and digital transitions and enhancing the EU’s economic and industrial resilience and sovereignty, including an “adjusted” industrial strategy with adapted state aids and competition rules. It appears that some governments (particularly Austria, Denmark and the Netherlands) strongly oppose providing non-repayable grants in such a recovery fund, preferring instead a loan-based fund that governments can borrow from to boost their economies. The ECOFIN Council was inconclusive on this matter and thus, negotiations on the recovery instrument will continue.

On the three pillars of the European financial emergency fund, the ECOFIN Council welcomed the adoption of the SURE mechanism and the political agreement of the ESM Pandemic Crisis Support. Finance Ministers discussed the status of the financial emergency fund’s third pillar, the European Investment Bank’s pan-European guarantee fund for businesses. They agreed to finalize the operational details of the loan program as soon as possible.

As countries across the world continue to deal with the financial impact of COVID-19, governments throughout Europe and the Middle East are adapting financial support on offer to businesses under distress. This updated guide provides a summary of government financial support available in key countries, covering all financial support packages, from loan schemes and financing facilities, employee support, insurance and tax, through to assistance available for the self-employed. Notably, a number of countries are including conditionality, principally over executive remuneration and dividend policies, into their support schemes.

Businesses across the UK have been making use of the Coronavirus Job Retention Scheme to allow for the furlough of workers and protections of jobs, and the UK government has recently extended the scheme (on a slightly less generous basis) from July to October, as well as issued guidance concerning holiday entitlement and pay during the crisis. Once lockdown is lifted this summer, just as employers may most want their workers to get businesses running again, they will receive a glut of annual leave requests. This update outlines the government’s approach to the interaction of annual leave with furlough.

Oversight Updates

Yesterday, the Pandemic Response Accountability Committee (PRAC) named Linda Miller as its Deputy Executive Director. Miller is a former Government Accountability Office official, who most recently led Grant Thornton’s fraud risk mitigation unit. PRAC is one of the oversight mechanisms established by the CARES Act. It remains without a chair after President Trump demoted Glenn Fine from his position as the Pentagon’s Acting IG, which made Fine ineligible to serve as chair. Michael E. Horowitz, the Department of Justice’s IG and Chair of the Council of Inspectors General on Integrity and Efficiency (CIGIE), is currently serving as PRAC’s Acting Chair.

A bipartisan group of Senators led by Chuck Grassley (R-IA) introduced legislation to help another oversight mechanism created under the CARES Act, the Special Inspector General for Pandemic Recovery at Treasury, speed up staff hiring. The legislation, titled the “Special Inspector General for Pandemic Recovery Expedited Hiring Authority Act,” would hasten and expand the office’s hiring and contracting authority and would allow it to use volunteers and detailees from other government agencies. On May 12, the Senate Banking Committee voted to send to the full Senate the President’s nomination of Brian Miller, a White House lawyer, to serve as the Special IG.

The House Committee on Energy and Commerce’s Oversight and Investigations Subcommittee, as well as the Offices of Inspector General (OIGs) of the Department of Defense (DoD) and the Environmental Protection Agency, announced COVID-19 oversight agendas as follows:

In addition:


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National Law Review, Volume X, Number 142