State and Federal Action

Action Alerts

As THA works to support member hospitals in response to the COVID-19 pandemic, there is much being done to ensure the state and federal government addresses unique needs of hospitals. Below you will find information and resources related to these efforts.

Governor Bill Lee Executive Orders

No. 14 - An Order Suspending Provisions of Certain Statutes and Rules in Order to Facilitate the Treatment and Containment of COVID-19

No. 15 - An Order Suspending Provisions of Certain Statutes and Rules and Taking Other Necessary Measures in Order to Facilitate the Treatment and Containment of COVID-19

No. 16 - An Order Ensuring Government Continues to Function Openly and Transparently During the COVID-19 Emergency While Taking Appropriate Measures to Protect the Health and Safety of Citizens and Government Officials

No. 17 - An Order to Mitigate the Spread of COVID-19 by Limiting Social Gatherings, Dine-In Service, and Gym Use, and Exposure at Nursing and Retirement Homes, and Providing Flexibility for Restaurants Regarding the Sale of Alcohol

No. 18 - An Order to Reduce the Spread of COVID-19 by Limiting Non-Emergency Healthcare Procedures

No. 19 - An order Amending Executive Order No. 15 Suspending Provisions of Certain Statutes and Rules and Taking Other Necessary Measures in Order to Facilitate the Treatment and Containment of COVID-19

No. 20 - An order Amending Executive Order No. 15 Suspending Provisions of Certain Statutes and Rules and Taking Other Necessary Measures in Order to Facilitate the Treatment and Containment of COVID-19

No. 21 - An Order Amending Executive Order No. 17 to Further Mitigate the Spread of COVID-19 by Limiting Non-Essential Services and Gatherings

No. 22 - An Order Directing Tennesseans to Stay Home Unless Engaging in Essential Activities to Limit Their Exposure to and Spread of COVID-19

No. 23 - An Order Amending Executive Order No. 22 Requiring Tennesseans to Stay Home Unless Engaging in Essential Activity or Essential Services

No. 24 - An Order Amending Executive Order No. 15 Suspending Provisions of Certain Statutes and Rules and Taking Other Necessary Measures in Order to Facilitate the Treatment and Containment of COVID-19

No. 25 - An Order to Reduce the Spread of COVID-19 by Limiting Non-Emergency Healthcare Procedures

No. 26 - An Order Suspending Provisions of Certain Statutes and Rules in Order to Facilitate Remote Notarization and Witnessing of Documents

No. 27 - An Order Extending Temporary Social Distancing and Stay-at-Home Provisions of Executive Order Nos. 17, 21, 22 and 23 Until April 30, 2020, to Preserve and Increase the Containment of COVID-19

No. 28 - An Order Amending Executive Order No. 15 and Taking Other Necessary Measures to Facilitate the Treatment and Containment of COVID-19

No. 29 - An Order Amending Executive Order No. 17 to Reopen Dining in Restaurants

No. 30 - An Order Allowing Tennesseans to Return to Work Safely While Encouraging Continued Adherence to Health Guidelines to Limit the Spread of COVID-19

No. 31 - An Order to Reduce the Spread of COVID-19 by Limiting Non-Emergency Dental Procedures

No. 32 - An Order Amending Executive Order No. 15 and Taking Other Necessary Measures to Facilitate the Treatment and Containment of COVID-19.

No. 33 - An Order Amending Executive Order No. 30 to Allow Reopening of Close Contact Personal Services Pursuant to New Safety Guidelines

No. 34 - An Order Extending Until June 30, 2020, Executive Order No. 16 Temporarily Permitting Safe, Open and Transparent Public Meetings by Electronic Means to Preserve and Increase the Containment of COVID-19

No. 35 - An Order Amending Executive Order No. 30 to Allow Reopening of Small Group, Non-Contact Entertainment and Recreational Venues Pursuant to New Safety Guidelines

No. 36 - An Order Suspending Provisions of Certain Statutes and Rules and Taking Other Necessary Measures in Order to Facilitate the Treatment and Containment of COVID-19

No. 37 - An Order Extending Until June 30, 2020, Executive Order No. 26 Temporarily Permitting Remote Notarization and Witnessing of Documents to Further Contain COVID-19

No. 38 - An Order Expanding the Number of Tennesseans Who May Return to Work Safely While Urging Continued Adherence to Health and Social Distancing Guidelines to Limit the Spread of COVID-19

No. 49 - An Oder Amending Requirements Concerning Long-Term-Care Facility Visitation and Taking Other Necessary Measures to Facilitate the Treatment and Containment of COVID-19

No. 50 - An Order to Facilitate and Respond to Continuing Effects of COVID-19 by Extending Executive Order Nos. 36 & 38 (as Amended by Executive Order No. 49)

No. 51 - An Order to Extending Safe, Open and Transparent Public Meetings by Electronic Means While Determinations of How to Return to Safe, In-Person Meetings Remain Ongoing

No. 52 - An Order Extending Remote Notarization and Witnessing of Documents to Further Contain COVID-19

No. 53 - An Order Regarding Limited Liability Protection for Health Care Providers in Response to COVID-19

No. 54 - An Order Providing Local Governments with Authority Concerning Face Coverings

No. 55 - An Order to Facilitate and Respond to Continuing Effects of COVID-19 by Amending Prior Executive Orders

No. 58 - An Order Terminating Executive Order No. 53 Upon Limited Liability Legislation Becoming Law

No. 59 - An Order to Facilitate the Continued Response to COVID-19 and Extend Certain Provisions of Executive Order Nos. 36, 38, 49, 50, 54 and 55

No. 60 - An Order Extending Remote Meetings and Implementing Best Practices Across the State to Promote Transparent Government While Protecting the Health and Safety of Citizens and Government Officials

No. 61 - An Order Extending Remote Notarization and Witnessing of Documents

Regulatory and Funding

THA is working with state and federal leaders to waive certain regulatory requirements so that Tennessee hospitals can prioritize high quality, safe care during the declared state and federal disaster. The following provides the status of waivers of operational and financial requirements for Tennessee hospitals during the COVID-19 emergency.

Centers for Medicare & Medicaid Services (CMS)

Federal Waiver Requests

The Secretary of Health and Human Services may issue 1135 Waivers if the following two conditions are met:

  1. The Secretary must have declared a Public Health Emergency.
  2. The President must have declared an emergency or major disaster either through a Stafford Act Declaration or National Emergencies Act Declaration.

Waivers Granted  & Waiver Request Form

Once an 1135 Waiver is authorized, health care providers can submit requests for other relief that may be possible outside the authority to either the State Survey Agency or CMS Regional Office. Individual hospitals submitting waivers under Section 1135 must email them to the Atlanta Regional Office at: ROATLFM@cms.hhs.gov.

Waiver Resources

Paycheck Protection Program

The Paycheck Protection Program is a loan designed to provide a direct incentive for small businesses to keep their workers on the payroll. SBA will forgive loans if all employees are kept on the payroll for eight weeks and the money is used for payroll, rent, mortgage interest, or utilities. There is no fee to apply for a Paycheck Protection Program Loan.

For small businesses to apply, they will work directly with their participating lender. Your local small businesses and eligible entities can find their closest participating lender at sba.gov/paycheckprotection/find.

Who can apply?

  • This program is for any small business with less than 500 employees (including sole proprietorships, independent contractors and self-employed persons), private non-profit organization or 501(c)(19) veterans organizations affected by coronavirus/COVID-19.
  • Businesses in certain industries may have more than 500 employees if they meet the SBA’s size standards for those industries.
  • Small businesses in the hospitality and food industry with more than one location could also be eligible if their individual locations employ less than 500 workers

In addition to the Paycheck Protection Program, the SBA has a number of other resources available to affected Small Businesses, such as an Economic Injury Loan which now includes an advance of up to $10,000. Also, the SBA has also proactively offered debt relief for existing SBA loans.

Please continue to share with your constituents information about SBA’s COVID-19 specific relief options, including paycheck protection.