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<br />3 <br /> <br />• Support public health expenditures, by funding COVID-19 mitigation efforts, medical expenses, <br />behavioral healthcare, and certain public health and safety staff; <br />• Address negative economic impacts caused by the public health emergency, including <br />economic harms to workers, households, small businesses, impacted industries, and the public <br />sector; <br />• Replace lost public sector revenue, using this funding to provide government services to the <br />extent of the reduction in revenue experienced due to the pandemic; <br />• Provide premium pay for essential workers, offering additional support to those who have <br />borne and will bear the greatest health risks because of their service in critical infrastructure <br />sectors; and, <br />• Invest in water, sewer, and broadband infrastructure, making necessary investments to <br />improve access to clean drinking water, support vital wastewater and stormwater <br />infrastructure, and to expand access to broadband internet. <br />Within these overall categories, Treasury’s Interim Final Rule provides guidelines and principles for <br />determining the types of programs and services that this funding can support, together with examples <br />of allowable uses that recipients may consider. As described below, Treasury has also designed these <br />provisions to take into consideration the disproportionate impacts of the COVID-19 public health <br />emergency on those hardest-hit by the pandemic. <br />1. Supporting the public health response <br />Mitigating the impact of COVID-19 continues to require an unprecedented public health response from <br />state, local, territorial, and Tribal governments. Coronavirus State and Local Fiscal Recovery Funds <br />provide resources to meet these needs through the provision of care for those impacted by the virus <br />and through services that address disparities in public health that have been exacerbated by the <br />pandemic. Recipients may use this funding to address a broad range of public health needs across <br />COVID-19 mitigation, medical expenses, behavioral healthcare, and public health resources. Among <br />other services, these funds can help support: <br />• Services and programs to contain and mitigate the spread of COVID-19, including: <br /> Vaccination programs <br /> Medical expenses <br /> Testing <br /> Contact tracing <br /> Isolation or quarantine <br /> PPE purchases <br /> Support for vulnerable populations to <br />access medical or public health services <br /> Public health surveillance (e.g., <br />monitoring for variants) <br /> Enforcement of public health orders <br /> Public communication efforts <br /> <br /> Enhancement of healthcare capacity, <br />including alternative care facilities <br /> Support for prevention, mitigation, or <br />other services in congregate living <br />facilities and schools <br /> Enhancement of public health data <br />systems <br /> Capital investments in public facilities to <br />meet pandemic operational needs <br /> Ventilation improvements in key settings <br />like healthcare facilities <br />