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White House warns against vanishing act for Covid-19 aid

As lawmakers struggle to reach a deal on vaccine, testing and research funding, the Biden administration says pulling the plug would be calamitous in the fight against Covid-19.

WASHINGTON (CN) — Mask mandates are disappearing, Covid-19 cases are steady and demand for testing is waning, but experts and the White House warn the failure by Congress to fund disease-prevention measures could put the U.S. in a precarious, and potentially dangerous, moment of the pandemic.

Nearly $16 billion in Covid-19 aid was cut from a government funding package last week after several House Democrats raised objections over the fact that the aid was being funded in part through money previously allocated to states. The rescission of local funds was the result of a bipartisan deal to get Republicans on board with the funding, but it was nixed from the government-wide bill after protests from some House Democrats.

Now, Congress needs to pass separate legislation to prevent federal vaccine, testing and research programs from ending, a difficult task as Senate Republicans, who wield the power of the filibuster, demand full payment for any aid, making the path for a bipartisan deal on pandemic aid uncertain.

The White House warned Tuesday that a delay in or failure to fund pandemic programs would have "severe consequences" on America's fight against Covid-19.

"Some programs, if we don't get funding, could abruptly end or need to be pared back," White House press secretary Jen Psaki said during a Monday press conference.

Without continued federal funding, according to the White House, programs that provide free testing, Covid-19 vaccines and treatments to people without insurance would stop accepting new claims for testing and treatment on March 22 and no longer be able to cover the cost of vaccinations starting April 5.

"Providers will no longer be able to submit claims for providing these services to uninsured individuals, forcing providers to either absorb the cost or turn away people who are uninsured, increasing the disparity in access to critically needed health care and putting additional burdens on safety net providers," the White House said in a statement Tuesday.

The federal dollars at stake in Congress are also critical to the procurement of vaccines and tests, as well as for funding federal virus research and development of future Covid-19 vaccines.

If Congress doesn't act, the White House warns that testing accessibility will decline in June and the U.S. won't be able to stockpile booster vaccines — a supply that is critical to prepare for the chance that additional vaccine doses may be needed to keep people protected from the still-evolving virus.

"We don't want someone to not get tested because they can't find a test, they can't afford a test or they can't get reimbursed for a test," Adriane Casalotti, chief of public and government affairs for the National Association of County and City Health Officials, said in an interview. "We don't want someone to not get vaccinated or not get boosted because there aren't any vaccines available, or there are associated costs."

A lack of new federal funding will stymie access to Covid-19 treatments, including antiviral pills and monoclonal antibodies. Though the government has lined up an order of monoclonal antibodies, which can be used to treat Covid-19 infections, the White House says it doesn't have the money now to follow through with the March 25 order.

"In order to keep these treatments free and available to the American people for as long as possible," the White House said in a statement, "the administration will now have to stretch our current supply and, starting next week, will be forced to cut state allocations of our limited existing supply of life-saving monoclonal antibody treatments by more than 30%."

Not being able to buy orders of existing and developing treatments could put the health care system in a precarious position.

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"As we've seen, particularly with monoclonal antibodies, new variants pop up where our prior therapies are no longer an option, and if we run into that and there's insufficient funds to purchase replacement therapies, we will not be well positioned to care for our patients," Dr. Michael Ison, professor of infectious disease and surgery at Northwestern University Feinberg School of Medicine, said in an interview.

With several states and municipalities, including the District of Columbia, dropping vaccine and mask mandates, public health experts warn against Americans dropping their guard too much. The pandemic is nowhere in sight, they warn, and the disappearance of federal programs could make the U.S. unprepared for the next surge in cases.

"Omicron really blew through a lot of the resources because of the sheer number of cases, but the Covid-19 pandemic is not over," Casalotti said. "And so, certainly, there's a need for the resources long-term. If there's another surge or a new variant, the stress on the system and the need for those commodities will be even more acute than we're seeing right now."

Rising Covid-19 cases and hospitalizations throughout Europe and the United Kingdom have many wary of a potential next wave of the virus, driven by the emergence of the BA.2 variant, a version of omicron that is more infectious than previous strains, and declining immunity from vaccinations to signal a potential next wave of the virus.

"We can't make important financial and policy and programmatic decisions about the future if we're only looking to current circumstances. So, putting the brakes on funding or preparedness programs just because there is not a surge in cases right now, it's really irresponsible. We need to anticipate both for Covid and for future pandemics, that there could be very easily another Covid surge," Anita Cicero, deputy director of the Johns Hopkins Center for Health Security, said in an interview.

Because a portion of the aid package is directed at international vaccination efforts, a stall or failure to pass Covid-19 aid in Congress will also undercut the global fight against the virus.

"Leaving large unvaccinated populations worldwide will increase the risk of new deadly variants emerging that could evade our current vaccines and treatments," the White House said. "Without additional funds, the administration would be unable to extend Global VAX surge support to 20+ additional under-vaccinated countries that will need intensive support this year to get shots in arms."

The White House had initially requested $30 billion in funding for pandemic aid, later lowering their ask to $22.5 billion, but congressional negotiations whittled that number down to $15.76 billion.

Many Republican lawmakers are asking that the government first conduct a study of how previous Covid-19 aid was spent and then explain how it will pay for future funding before such funding is passed in Congress.

"I think there is at least a somewhat legitimate question from an audit and oversight perspective of how much money is actually left that could be used to fund those priorities. And once that question is answered, then if there is a shortfall of money, then the conversation can be had about adding potentially additional money for those functions," Lisa Grabert professor of health policy at the Marquette University School of Nursing, said in an interview. "The question is not if it should be funded, but the question is, how it should be funded."

A vote on the aid has not been scheduled yet, but Speaker of the House Nancy Pelosi has said she hopes to vote on at least part of the legislation this week.

The Biden administration and some public health officials warn meanwhile that time is running out for lawmakers to resolve their disagreements and dole out federal dollars for pandemic relief.

"Time is not on our side and legislative vehicles are not on our side," Casalotti said. "A lot of folks are concerned this is the last train out of the station for a long time. And so how that impacts our ability to respond to the pandemic a couple months into the future is still really unknown."

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