Events Calendar

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2014 OSEHRA Open Source Summit: Global Collaboration in Health IT
2014-09-03 - 2014-09-05    
8:00 am - 5:00 pm
OSEHRA is an alliance of corporations, agencies, and individuals dedicated to advancing the state of the art in open source electronic health record (EHR) systems [...]
Connected Health Summit
2014-09-04    
All Day
The inaugural Connected Health Summit: Engaging Consumers is the only event focused exclusively on the consumer-focused perspective of the fast-growing digital health/connected health market. The [...]
Health Impact MidWest
2014-09-08    
All Day
The HealthIMPACT Forum is where health system C-Suite Executives meet.  Designed by and for health system leaders like you, it provides an unmatched faculty of [...]
Simulation Summit 2014
2014-09-11    
All Day
Hilton Toronto Downtown | September 11 - 12, 2014 Meeting Location Hilton Toronto Downtown 145 Richmond Street West Toronto, Ontario, M5H 2L2, CANADA Tel: 416-869-3456 [...]
Webinar : EHR: Demand Results!
2014-09-11    
2:00 pm - 2:45 pm
09/11/14 | 2:00 - 2:45 PM ET If you are using an EHR, you deserve the best solution for your money. You need to demand [...]
Healthcare Electronic Point of Service: Automating Your Front Office
2014-09-11    
3:00 pm - 4:00 pm
09/11/14 | 3:00 - 4:00 PM ET Start capitalizing on customer convenience trends today! Today’s healthcare reimbursement models put a greater financial risk on healthcare [...]
e-Patient Connections 2014
2014-09-15    
All Day
e-Patient Connections 2014 Follow Us! @ePatCon2014 Join in the Conversation at #ePatCon The Internet, social media platforms and mobile health applications are enabling patients to take an [...]
Free Webinar - Don’t Be Denied: Avoiding Billing and Coding Errors
2014-09-16    
1:00 pm - 2:00 pm
Tuesday, September 16, 2014 1:00 PM Eastern / 10:00 AM Pacific   Stopping the denial on an individual claim is just the first step. Smart [...]
Health 2.0 Fall Conference 2014
2014-09-21    
12:00 am
We’re back in Santa Clara on September 21-24, 2014 and once again bringing together the best and brightest speakers, newest product demos, and top networking opportunities for [...]
Healthcare Analytics Summit 14
2014-09-24    
All Day
Transforming Healthcare Through Analytics Join top executives and professionals from around the U.S. for a memorable educational summit on the incredibly pressing topic of Healthcare [...]
AHIMA 2014 Convention
2014-09-27    
All Day
As the most extensive exposition in the industry, the AHIMA Convention and Exhibit attracts decision makers and influencers in HIM and HIT. Last year in [...]
2014 Annual Clinical Coding Meeting
2014-09-27    
12:00 am
Event Type: Meeting HIM Domain: Coding Classification and Reimbursement Continuing Education Units Available: 10 Location: San Diego, CA Venue: San Diego Convention Center Faculty: TBD [...]
AHIP National Conferences on Medicare & Medicaid
2014-09-28    
All Day
Balancing your organization’s short- and long-term needs as you navigate the changes in the Medicare and Medicaid programs can be challenging. AHIP’s National Conferences on Medicare [...]
A Behavioral Health Collision At The EHR Intersection
2014-09-30    
2:00 pm - 3:30 pm
Date/Time Date(s) - 09/30/2014 2:00 pm Hear Why Many Organizations Are Changing EHRs In Order To Remain Competitive In The New Value-Based Health Care Environment [...]
Meaningful Use and The Rise of the Portals
2014-10-02    
12:00 pm - 12:45 pm
Meaningful Use and The Rise of the Portals: Best Practices in Patient Engagement Thu, Oct 2, 2014 10:30 PM - 11:15 PM IST Join Meaningful [...]
Events on 2014-09-04
Connected Health Summit
4 Sep 14
San Diego
Events on 2014-09-08
Health Impact MidWest
8 Sep 14
Chicago
Events on 2014-09-15
e-Patient Connections 2014
15 Sep 14
New York
Events on 2014-09-21
Health 2.0 Fall Conference 2014
21 Sep 14
Santa Clara
Events on 2014-09-24
Healthcare Analytics Summit 14
24 Sep 14
Salt Lake City
Events on 2014-09-27
AHIMA 2014 Convention
27 Sep 14
San Diego
Events on 2014-09-28
Events on 2014-09-30
Events on 2014-10-02
Latest News

Trump signs $2 trillion coronavirus bill into law as companies and households brace for more economic pain

Trump signs $2 trillion coronavirus bill into law as companies and households brace for more economic pain

President Trump on Friday signed a massive $2 trillion emergency spending bill into law, promising to deliver a tidal wave of cash to individual Americans, businesses and health care facilities all reeling from the coronavirus pandemic.

His signature came just hours after the House of Representatives passed the massive package by an overwhelming voice vote, and less than 48 hours after it received unanimous approval from the Senate.

“This will deliver urgently needed relief to our nation’s families, workers and businesses. And that’s what this is all about,” Trump said at a signing ceremony in the Oval Office, with GOP congressional leaders and administration officials crowded behind him.

But tensions between the White House and Congress over how the law will be implemented became immediately apparent. In a signing statement, Trump wrote that he would not permit a new inspector general to issue certain reports to Congress “without presidential supervision.” Democrats insisted on the creation of the new inspector general in order to make sure the White House didn’t improperly disburse taxpayer money.

Now the White House, the Treasury Department, the Small Business Administration and other agencies are rushing to implement each part of the new law. It authorizes the Internal Revenue Service to send $1,200 payments to millions of Americans and creates programs to disburse close to $1 trillion in business loans and guarantees to millions of large and small companies throughout the economy.

There are now roughly 100,000 confirmed cases of coronavirus in the United States and it has caused more than 1,500 deaths domestically, figures that have risen rapidly. To try to contain the contagion, much of American life has shut down. Schools have closed. Most public gatherings have been canceled. Many Americans have stopped leaving their homes, devastating millions of businesses that depend on consumer spending for their cash flow.

The economy’s screeching halt led 3.3 million workers to file for unemployment benefits last week, by far the most over a seven-day span in recent American history. A number of economists believe the U.S. economy has taken a nose-dive from a period of relative economic strength to one of the worst recessions ever recorded.

To respond, the White House and Congress assembled a massive spending bill that directs money to households, businesses, cities, states and hospitals while seeking to buttress state unemployment programs that are overwhelmed with new filers.

Trump said some of the key decisions would be based on consultations his advisers have with Wall Street executives and “the smartest, most brilliant people in the world in finance.” He left open the possibility that some of these companies could be compensated for their roles, but he did not offer more information.

It will require speed and cooperation between the White House, states and private companies, even though tensions among all sides has flared in recent days.

“I can’t think of any precedent where there were this many programs involved in a single piece of legislation that were trying to be stood up so quickly,” said Shai Akabas, director of economic policy at the Bipartisan Policy Center.

Akabas said the law’s move to pump $250 billion into the unemployment program could be a particular challenge, as it would require fast cooperation between the federal government and every state as Americans continue flooding into the program with requests for assistance.

The White House has promised it will implement the new law as quickly as possible, but its economic approach to the coronavirus crisis continues to change by the day. For example, Trump on Friday invoked the Defense Production Act in an effort to compel General Motors to manufacture ventilators after holding back on using that tool for more than a week. And there’s confusion about who will qualify for some of the emergency funding. Some members of the cruise industry have indicated they might not be able to receive the U.S. taxpayer assistance even though Trump has said multiple times that he wants them to be beneficiaries.

Trump’s top advisers will have to make a number of crucial decisions in the coming days, such as whether to protect taxpayer investments by taking equity stakes in struggling companies and whether to prioritize some industries over others as firms teeter on the brink of bankruptcy.

Treasury Secretary Steven Mnuchin promised in a Fox Business interview Friday that the Internal Revenue Service would quickly send out direct payments to Americans who qualify for the individual checks — those with incomes under $99,000 — and that the SBA would stand up a new lending program within a week. Small businesses will have access to close to $400 billion in loans from the new legislation.

“We’re going to have a new program up by next Friday where banks can lend. I mean that — that would be a historic achievement that is just incredibly aggressive,” Mnuchin said. “This is a brand-new program, the Treasury working with the SBA. We’re doing everything we can because Americans need that money now. They can’t wait for government to take three or four or six months like we normally do.”

On direct payments to Americans, Mnuchin said: “I’ve committed that the IRS will get these direct deposits [out] in three weeks. Again, American workers can’t wait.”

But there are a number of logistical hurdles that the Trump administration will need to resolve. For example, officials can send electronic payments to households that have bank accounts on file with the IRS, as many people have had their tax refunds directly deposited to their bank accounts. But the IRS will also likely need to send paper checks to millions of other people, a process that could take much longer.

Similarly, the new law requires certain oversight structures to monitor how the money is spent. It directs Trump to nominate a new “Special Inspector General for Pandemic Recovery,” a position that must be confirmed by the Senate. This is the inspector general that, in the new signing statement, Trump suggested he wanted to report to him instead of Congress. Congressional leaders will also appoint five members to a Congressional Oversight Commission, which is also tasked with scrutinizing how the money is disbursed, though that entity’s jurisdiction and clout is unclear.

Friday began on a note of chaotic uncertainty in the House, where the threat of a procedural objection from Rep. Thomas Massie (R-Ky.) had forced more than 200 lawmakers to return to Washington. These lawmakers traveled by plane and car, some coming from places like New York where people are supposed to quarantine after leaving.

Leaders had hoped to pass the massive legislation by “unanimous consent” or by “voice vote” with just a few members present, so that lawmakers scattered to their states wouldn’t have to return to the tight quarters of the Capitol in the midst of a pandemic. But Massie, who opposes the legislation because it adds to the deficit, was prepared to insist on a quorum — or majority of the House — which is specified in the Constitution but rarely enforced.

Massie’s move drew bitter complaints from lawmakers of both parties and from Trump, who derided him over Twitter as a “grandstander” who should be tossed out of the Republican Party

Ultimately a quorum was present, with lawmakers standing in the chamber as well as in galleries normally reserved for the public, so they could try to maintain social distancing. When the time for the vote came, Massie raised his objections and was quickly overruled, after which lawmakers shouted out in favor of the legislation — Massie’s was the only “no” vote heard — burst into applause when it was gaveled down and then headed quickly for the exits.

“Today, as we have all acknowledged, our nation faces an economic and health emergency of historic proportions due to the coronavirus pandemic, the worst pandemic in over 100 years,” said House Speaker Nancy Pelosi (D-Calif.).

“The American people deserve a government-wide, visionary, evidence-based response to address these threats to their lives and their livelihoods, and they need it now.

“It’s an act of vanity and selfishness that goes beyond comprehension,” said Rep. Daniel Kildee (D-Mich.), saying Massie was putting people’s health at risk and forcing the House to model poor public health procedures. “He should be ashamed of himself and the country should scorn him.”

At least three House members have now tested positive for covid-19, the disease caused by the coronavirus, and a number of others were quarantined after showing symptoms or coming into contact with potentially infected people.

During the debate and vote, the fear in the room could be seen. Several members wore surgical gloves. Others went to great lengths to place themselves far away from others. Some held a hand over their face as they passed other lawmakers or staff.

Two lecterns were set up for speakers during debate, with a hand sanitizer bottle under each and a canister of disinfectant wipes on the chair next to the lectern. When each speaker finished, he or she wiped down the lectern and the microphone from which they were speaking before giving way to the next speaker.

The House sergeant at arms set out strict procedures for Friday’s proceedings, including urging members and staff to maintain a six-foot distance from one another and urging members to use the stairs instead of elevators.

More than 150 million households would receive checks under the legislation, which will send payments of $1,200 to many individual Americans plus $500 for children. People with incomes above $99,000 are not eligible, and the total benefit is phased out for people earning between $75,000 and $99,000.

The legislation also contains hundreds of billions of dollars in emergency federal aid for large corporations suffering because of the pandemic, a provision that sparked days of intense partisan conflict and a frenzied push from lobbyists and corporations eager to secure a chunk of the funding.

The final legislation will provide $25 billion in grants and $25 billion in loans to passenger airlines; $17 billion in loans to industries deemed critical to “national security” — a provision aimed at helping Boeing; and more than $400 billion in loans and loan guarantees for other businesses, cities and states, a program the Treasury Department will need to set up.

The conditions on the large pool of funding became a major sticking point through congressional negotiations. Democrats won some concessions but not others. In the final bill, businesses receiving the loans cannot cut their employment levels by more than 10 percent until Sept. 30. They have some restrictions on executive compensation above $425,000 annually and cannot issue stock buybacks, a limitation supported by Trump.

Included are measures ensuring swift disclosure of funding recipients, as well as an oversight board to probe Treasury’s decisions. The president, vice president, members of Congress and members of the Cabinet are also prohibited from benefiting from the aid — a measure that also applies to their spouses and children. The direct grant funding for the airlines also has strict limitations and is required to go directly to workers or their benefits.