Fact Sheet: COVID-19 Public Health Emergency Transition Roadmap (2023)

Based on current COVID-19 trends, the Department of Health and Human Services (HHS) is planning for the federal Public Health Emergency (PHE) for COVID-19, declared under Section 319 of the Public Health Service (PHS) Act, to expire at the end of the day on May 11, 2023. Our response to the spread of SARS-CoV-2, the virus that causes COVID-19, remains a public health priority, but thanks to the Administration’s whole of government approach to combatting the virus, we are in a better place in our response than we were three years ago, and we can transition away from the emergency phase.

Over the last two years, the Biden Administration has effectively implemented the largest adult vaccination program in U.S. history, with nearly 270 million Americans receiving at least one shot of a COVID-19 vaccine.

As a result of this and other efforts, since the peak of the Omicron surge at the end of January 2022:

  • Daily COVID-19 reported cases are down 92%,
  • COVID-19 deaths have declined by over 80%, and
  • New COVID-19 hospitalizations are down nearly 80%.

We have come to this point in our fight against the virus because of our historic investments and our efforts to mitigate its worst impacts. Addressing COVID-19 remains a significant public health priority for the Administration, and over the next few months, we will transition our COVID-19 policies, as well as the current flexibilities enabled by the COVID-19 emergency declarations, into improving standards of care for patients. We will work closely with partners, including state, local, Tribal, and territorial agencies, industry, and advocates, to ensure an orderly transition.

What will not be affected:

It is important to note that the Administration’s continued response to COVID-19 is not fully dependent on the COVID-19 PHE, and there are significant flexibilities and actions that will not be affected as we transition from the current phase of our response. As described below, the Administration is committed to ensuring that COVID-19 vaccines and treatments will be widely accessible to all who need them. There will also be continued access to pathways for emergency use authorizations (EUAs) for COVID-19 products (tests, vaccines, and treatments) through the Food and Drug Administration (FDA), and major telehealth flexibilities will continue to exist for those participating in Medicare or Medicaid.

Access to COVID-19 vaccinations and certain treatments, such as Paxlovid and Lagevrio, will generally not be affected. To help keep communities safe from COVID-19, HHS remains committed to maximizing continued access to COVID-19 vaccines and treatments.

Partners across the U.S. Government (USG) are developing plans to ensure a smooth transition for the provision of COVID-19 vaccines and treatments as part of the traditional health care marketplace and are committed to executing this transition in a thoughtful, well-coordinated manner.

Importantly, this transition to more traditional health care coverage is not tied to the ending of the COVID-19 PHE and in part reflects the fact that the federal government has not received additional funds from Congress to continue to purchase more vaccines and treatments.

When this transition to traditional health care coverage occurs later this year, many Americans will continue to pay nothing out-of-pocket for the COVID-19 vaccine. Vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) are a preventive health service for most private insurance plans and will be fully covered without a co-pay. Currently, COVID-19 vaccinations are covered under Medicare Part B without cost sharing, and this will continue. Medicaid will continue to cover all COVID-19 vaccinations without a co-pay or cost sharing through September 30, 2024, and will cover ACIP-recommended vaccines for most beneficiaries thereafter.

Out-of-pocket expenses for certain treatments may change, depending on an individual’s health care coverage, similar to costs that one may experience for other drugs through traditional coverage. Medicaid programs will continue to cover COVID-19 treatments without cost sharing through September 30, 2024. After that, coverage and cost sharing may vary by state.

FDA’s EUAs for COVID-19 products (including tests, vaccines, and treatments) will not be affected. The ending of the COVID-19 PHE will not affect the FDA’s ability to authorize various products, including tests, treatments, or vaccines for emergency use. Existing EUAs for COVID-19 products will remain in effect under Section 564 of the Federal Food, Drug, and Cosmetic Act, and the agency may continue to issue new EUAs going forward when criteria for issuance are met.

Major Medicare telehealth flexibilities will not be affected. The vast majority of current Medicare telehealth flexibilities that Americans—particularly those in rural areas and others who struggle to find access to care—have come to rely upon over the past two years, will remain in place through December 2024 due to the bipartisan Consolidated Appropriations Act, 2023 passed by Congress in December 2022.

Medicaid telehealth flexibilities will not be affected. States already have significant flexibility with respect to covering and paying for Medicaid services delivered via telehealth. State requirements for approved state plan amendments vary as outlined in CMS’ Medicaid & CHIP Telehealth Toolkit. This flexibility was available prior to the COVID-19 PHE and will continue to be available after the COVID-19 PHE ends. Similar to Medicare, these telehealth flexibilities can provide an essential lifeline to many, particularly for individuals in rural areas and those with limited mobility.

The process for states to begin eligibility redeterminations for Medicaid will not be affected. During the COVID-19 PHE, Congress has provided critical support to state Medicaid programs by substantially increasing the federal matching dollars they receive, as long as they agreed to important conditions that protected tens of millions of Medicaid beneficiaries, including the condition to maintain Medicaid enrollment for beneficiaries until the last day of the month in which the PHE ends. However, as part of the Consolidated Appropriations Act, 2023 Congress agreed to end this condition on March 31, 2023, independent of the duration of the COVID-19 PHE.

Access to buprenorphine for opioid use disorder treatment in Opioid Treatment Programs (OTPs) will not be affected. Early in the COVID-19 pandemic, the Substance Abuse and Mental Health Services Administration (SAMHSA) released guidance allowing patients to start buprenorphine in an OTP by telehealth without the required in-person physical examination first. This flexibility has proven to be safe and effective in engaging people in care such that SAMHSA proposed to make this flexibility permanent as part of changes to OTP regulations in a Notice of Proposed Rulemaking that it released in December 2022. SAMHSA has committed to providing an interim solution if the proposed OTP regulations are not finalized prior to May 11.

Access to expanded methadone take-home doses for opioid use disorder treatment will not be affected. Early in 2020, SAMHSA allowed an increased number of take-home doses to patients taking methadone in an OTP. Research and feedback from patients, OTPs, and states have demonstrated that this flexibility has allowed people with opioid use disorder to stay in treatment longer, supported recovery, and has not resulted in increases in methadone-related overdoses. SAMHSA announced it will extend this flexibility for one year from the end of the COVID-19 PHE, which will be May 11, 2024, to allow time for the agency to make these flexibilities permanent as part of the proposed OTP regulations published in December 2022.

What will be affected:

Many COVID-19 PHE flexibilities and policies have already been made permanent or otherwise extended for some time. However, HHS continues to review the flexibilities and policies implemented during the COVID-19 PHE to determine whether others can and should remain in place, even for a temporary duration, to facilitate jurisdictions’ ability to provide care and resources to Americans. Still, others will expire. Below is a list of some of the changes people will see in the months ahead.

Certain Medicare and Medicaid waivers and broad flexibilities for health care providers are no longer necessary and will end. During the COVID-19 PHE, CMS has used a combination of emergency authority waivers, regulations, and sub-regulatory guidance to ensure and expand access to care and to give health care providers the flexibilities needed to help keep people safe. States, hospitals, nursing homes, and others are currently operating under hundreds of these waivers that affect care delivery and payment and that are integrated into patient care and provider systems. Many of these waivers and flexibilities were necessary to expand facility capacity for the health care system and to allow the health care system to weather the heightened strain created by COVID-19; given the current state of COVID-19, this excess capacity is no longer necessary.

CMS developed a roadmap for the eventual end of the COVID-19 PHE, which was published in August 2022, and has been sharing information on what health care facilities and providers can do to prepare for future emergencies. This includes facilities returning to normal operations and meeting CMS requirements that promote the safety and quality of care they provide. CMS will continue to provide updated information and is also offering technical assistance to states and engaging in public education about the necessary steps to prepare for the end of the COVID-19 PHE.

For Medicaid, some additional COVID-19 PHE waivers and flexibilities will end on May 11, while others will remain in place for six months following the end of the PHE. But many of the Medicaid waivers and flexibilities, including those that support home and community-based services, are available for states to continue beyond the PHE, if they choose to do so. For example, states have used COVID-19 PHE-related flexibilities to increase the number of individuals served under a waiver, expand provider qualifications, and other flexibilities. Many of these options may be extended beyond the PHE.

Coverage for COVID-19 testing for Americans will change. Medicare beneficiaries who are enrolled in Part B will continue to have coverage without cost sharing for laboratory-conducted COVID-19 tests when ordered by a provider, but their current access to free over-the-counter (OTC) COVID-19 tests will end, consistent with the statute on Medicare payment for OTC tests set by Congress.

The requirement for private insurance companies to cover COVID-19 tests without cost sharing, both for OTC and laboratory tests, will end. However, coverage may continue if plans choose to continue to include it. We are encouraging private insurers to continue to provide such coverage going forward.

State Medicaid programs must provide coverage without cost sharing for COVID-19 testing until the last day of the first calendar quarter that begins one year after the last day of the COVID-19 PHE. That means with the COVID-19 PHE ending on May 11, 2023, this mandatory coverage will end on September 30, 2024, after which coverage may vary by state.

Additionally, dependent on supply and resources, the USG may continue to distribute free COVID-19 tests from the Strategic National Stockpile through the United States Postal Service, states, and other community partners. Pending resource availability, the Centers for Disease Control and Prevention’s (CDC) Increasing Community Access to Testing (ICATT) program will continue working to ensure continued equitable access to testing for uninsured individuals and areas of high social vulnerability through pharmacies and community-based sites.

Reporting of COVID-19 laboratory results and immunization data to CDC will change. CDC COVID-19 data surveillance has been a cornerstone of our response, and during the PHE, HHS has had the authority to require lab test reporting for COVID-19. At the end of the COVID-19 PHE, HHS will no longer have this express authority to require this data from labs, which may affect the reporting of negative test results and impact the ability to calculate percent positivity for COVID-19 tests in some jurisdictions. CDC has been working to sign voluntary Data Use Agreements (DUAs), encouraging states and jurisdictions to continue sharing vaccine administration data beyond the PHE. Additionally, hospital data reporting will continue as required by the CMS conditions of participation through April 30, 2024, but reporting may be reduced from the current daily reporting to a lesser frequency.

Certain FDA COVID-19-related guidance documents for industry that affect clinical practice and supply chains will end or be temporarily extended. FDA published several dozen guidance documents to address challenges presented by the COVID-19 PHE, including limitations in clinical practice or potential disruptions in the supply chain. FDA is in the process of addressing which policies are no longer needed and which should be continued, with any appropriate changes, and the agency will announce plans for each guidance prior to the end of the PHE.

FDA’s ability to detect early shortages of critical devices related to COVID-19 will be more limited. During the PHE, manufacturers of certain devices related to the diagnosis and treatment of COVID-19 have been required to notify the FDA “of a permanent discontinuance in the manufacture of the device” or “an interruption in the manufacture of the device that is likely to lead to a meaningful disruption in the supply of that device in the United States.” This requirement will end when the PHE ends. While FDA will still maintain its authority to detect and address other potential medical product shortages, it is seeking congressional authorization to extend the requirement for device manufacturers to notify FDA of significant interruptions and discontinuances of critical devices outside of a PHE which will strengthen the ability of FDA to help prevent or mitigate device shortages.

Public Readiness and Emergency Preparedness (PREP) Act liability protections for may be impacted. Currently, the amended PREP Act declaration provides liability immunity to manufacturers, distributors, public and private organizations conducting countermeasure programs, and providers for COVID-19 countermeasure activities related to a USG agreement (e.g., manufacturing, distribution, or administration of the countermeasures subject to a federal contract, provider agreement, or memorandum of understanding). That coverage will not be affected by the end of the PHE. However, PREP Act liability protections for countermeasure activities that are not related to any USG agreement (e.g., products entirely in the commercial sector or solely a state or local activity) will end unless another federal, state, or local emergency declaration is in place for area where countermeasures are administered. HHS is currently reviewing whether to continue to provide this coverage going forward.

The ability of health care providers to safely dispense controlled substances via telemedicine without an in-person interaction is affected; however, there will be rulemaking that will propose to extend these flexibilities. During the PHE, the Drug Enforcement Administration (DEA) and HHS adopted policies to allow DEA-registered practitioners to prescribe controlled substances to patients without an in-person interaction. These policies allowed for audio-only modalities to initiate buprenorphine prescribing. DEA is planning to initiate rulemaking that would extend these flexibilities under certain circumstances without any gap in care and will provide additional guidance to practitioners soon.


Did the phe end may 11 2023? ›

That means with the COVID-19 PHE ending on May 11, 2023, this mandatory coverage will end on September 30, 2024, after which coverage may vary by state. The requirement for private insurance companies to cover COVID-19 tests without cost sharing, both for OTC and laboratory tests, will end at the expiration of the PHE.

Is the COVID pandemic a public health emergency? ›

COVID-19 no longer constitutes a public health emergency of international concern.

Is the pandemic over 2023? ›

With President Joe Biden formally declaring on May 11, 2023, the end to both the COVID-19 public health emergency and the national state of emergency, does that mean COVID is over? The simple answer is no.

Is the White House public health emergency on May 11? ›

As the COVID-19 Public Health Emergency (PHE) ends on May 11, 2023, the Administration has taken significant steps to ensure all individuals have continued access to lifesaving protections such as vaccines, treatments and tests, and that the nation is well prepared to manage the risks of COVID-19 going forward.

Who declares end to COVID? ›

The head of the UN World Health Organization (WHO) has declared “with great hope” an end to COVID-19 as a public health emergency, stressing that it does not mean the disease is no longer a global threat.

When was COVID declared a public health emergency in the US? ›

January 31, 2020

The Secretary of the Department of Health and Human Services (HHS), Alex Azar, declares the 2019 Novel Coronavirus (2019-nCoV) outbreak a public health emergency.

Should I still wear a mask? ›

Masks also help protect against influenza and other viruses. The Centers for Disease Control and Prevention (CDC) recommends personal masks in public when hospital admissions from COVID-19 are high.

What defines a public health emergency? ›

A public health emergency is any adverse event (natural or man-made) that compromises the health of the population and has the potential to cause widespread illness, such as: Illness amongst the public that can occur naturally, (such as flu), or is man-made, (such as and intentional release of anthrax)

Will COVID go away? ›

Over the past two years, scientists have come to see that SARS-CoV-2 yields non-sterilizing immunity; people who have been infected or vaccinated are still at risk of reinfection. So experts expect that the virus won't go away any time soon.

What are the 3 new COVID symptoms? ›

On June 30, the Centers for Disease Control and Prevention added three symptoms to its COVID-19 list: Congestion/stuffy nose, nausea and diarrhea. Those three new conditions now join other symptoms identified by the CDC: Fever.

What is the difference between a pandemic and an epidemic? ›

AN EPIDEMIC is a disease that affects a large number of people within a community, population, or region. A PANDEMIC is an epidemic that's spread over multiple countries or continents. ENDEMIC is something that belongs to a particular people or country.

When did COVID end in the US? ›

In the U.S., the Biden administration this week ended the public health emergency declaration related to COVID-19. “That moment of March 11, it was like, whoa,” Jha told NPR, referring to the day WHO called COVID-19 a pandemic for the first time.

Is the vaccine mandate ending on May 11? ›

Today, we are announcing that the Administration will end the COVID-19 vaccine requirements for Federal employees, Federal contractors, and international air travelers at the end of the day on May 11, the same day that the COVID-19 public health emergency ends.

Is COVID over May 2023? ›

COVID-19 Disease Control & Prevention

California has moved Beyond the Blueprint to safely and fully reopen the economy. As of February 28, 2023, the Governor terminated the state's COVID-19 State of Emergency. He also phased out the executive actions put in place since March 2020 as part of the pandemic response.

Can Biden enter the White House? ›

The President and Dr. Biden are delighted to welcome members of the public to tour the White House. Public tour requests are scheduled on a first come, first served basis and must be submitted through a Member of Congress and their Congressional Tour Coordinator.

How long did COVID last? ›

Most people with COVID-19 get better within a few days to a few weeks after infection, so at least four weeks after infection is the start of when Long COVID could first be identified. Anyone who was infected can experience Long COVID.

How long does long COVID last? ›

What is long COVID? Most people with COVID-19 feel better within a few days or weeks of their first symptoms and make a full recovery within 12 weeks. For some people, symptoms can last longer.

When did COVID pandemic start? ›

Though initially discovered in Wuhan, China, in late 2019, COVID-19 entered the conversation in the U.S. in January 2020, when the Centers for Disease Control and Prevention (CDC) alerted the nation of the outbreak abroad.

What happens in a state of emergency? ›

A state of emergency is a situation in which a government is empowered to put through policies that it would normally not be permitted to do, for the safety and protection of its citizens.

WHO declares public health emergency? ›

The federal government has three vehicles for declaring an emergency in an emergency or disaster: the Secretary of the U.S. Department of Health and Human Services (the Secretary) can declare a public health emergency under Section 319 of the Public Health Service Act (PHSA, P.L. 115-96, as amended), or the President ...

When did the US start COVID lockdown? ›

In the United States, the first coronavirus‐related activity restrictions were issued on March 12, 2020, when a community within New Rochelle, New York, was declared to be a “containment area.” A traditional quarantine order would require individuals presumed to be exposed to stay at home.

Can you wear a mask two days in a row? ›

Pierre said that it's possible to use the same respirator for up to a week. But for people in high-risk settings, like healthcare facilities, it's best to toss the mask after a day. Of course, each time you use a respirator—if you're reusing it—you should make sure it's still in good condition.

What is the best argument for not wearing a mask? ›

The top 3 reasons for opposing public mask wearing were physical discomfort and negative effects, lack of effectiveness, and being unnecessary or inappropriate for certain people or under certain circumstances.

Is it safe to wear N95 mask for 8 hours? ›

A nonfit-tested N95 will protect the wearer from an infected individual who is also wearing an N95, for 25 hours of exposure,” said Dr. Edje. “This is in contrast to two unmasked individuals—one infected and one not infected—who can only be together for 15 minutes without the uninfected becoming infected.”

How long are you immune after COVID? ›

Once you have had COVID-19, your immune system responds in several ways. This immune response can protect you against another infection for several months, but this protection decreases over time.

Are some people immune to COVID? ›

Research expands. Such findings have spurred the study of people who appear to have stayed free of COVID-19 despite high risks, such as repeated exposures and weak immune systems.

Why do some people not get COVID? ›

It's possible that it's not a mutation in one gene, but a combination of mutations in multiple genes, that render a small number of people immune to COVID. Targeting multiple genes without causing any unwanted side-effects can be tricky and would make it much harder to harness this knowledge for anti-COVID drugs.

What medicine helps with COVID? ›

Managing COVID-19 symptoms

Most people with COVID-19 have mild illness and can recover at home. You can treat symptoms with over-the-counter medicines, such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil), to help you feel better. Learn more about what to do if you are sick.

What day does COVID peak? ›

In infected individuals, the peak viral load occurred on day 5, with the virus first detected in the throat and then rising to significantly higher levels in the nose.

What does the very beginning of COVID feel like? ›

Fever or chills. Cough. Shortness of breath or difficulty breathing. Fatigue.

What was the worst pandemic in history? ›

Black Death: 75-200M (1334-1353)

The second pandemic of the bubonic plague likely sprang up in north-eastern China, killing maybe five million, fast. It moved west, through India, Syria and Mesopotamia. In 1346 it struck a trading port called Kaffa in the Black Sea.

What are the 3 ways that diseases can spread? ›

Germs can spread from person to person through:
  • the air as droplets or aerosol particles.
  • faecal-oral spread.
  • blood or other body fluids.
  • skin or mucous membrane contact.
  • sexual contact.
Jan 15, 2021

How did COVID turn into a pandemic? ›

The number of people affected was exponentially growing and the World Health Organization (WHO) upgraded COVID-19 to a pandemic in March 2020. Pandemics are known to cause large-scale social disruption, economic loss, and general hardship, and COVID-19 has been no exception.

When did COVID vaccines start? ›

Vaccinations in the United States began on December 14, 2020.

Is COVID a cold? ›

Both COVID-19 and the common cold are caused by viruses. COVID-19 is caused by SARS-CoV-2, while the common cold is most often caused by rhinoviruses. All of these viruses spread in similar ways and cause many of the same symptoms. However, there are a few differences.

Why is corona virus called COVID-19? ›

The new name of this disease is coronavirus disease 2019, abbreviated as COVID-19. In COVID-19, 'CO' stands for 'corona,' 'VI' for 'virus,' and 'D' for the disease. Formerly, this disease was referred to as "2019 novel coronavirus" or "2019-nCoV."

When did the Massachusetts public health emergency end? ›

Below is a list of orders previously issued by Governor Baker, the Department of Public Health and other state agencies to respond to COVID-19, along with associated guidance and other related resources. NOTE: Governor Baker ended the State of Emergency on June 15, 2021.

When did the Covid-19 pandemic end in the US? ›

In the U.S., the Biden administration this week ended the public health emergency declaration related to COVID-19. “That moment of March 11, it was like, whoa,” Jha told NPR, referring to the day WHO called COVID-19 a pandemic for the first time.

What year was COVID lockdown in USA? ›

In the United States, the first coronavirus‐related activity restrictions were issued on March 12, 2020, when a community within New Rochelle, New York, was declared to be a “containment area.” A traditional quarantine order would require individuals presumed to be exposed to stay at home.

What date was COVID declared a pandemic? ›

By March 2020, the World Health Organization (WHO) had declared COVID-19 a global health emergency and named the virus "severe acute respiratory syndrome coronavirus 2" or "SARS-CoV-2." It was also in March that WHO officially declared the COVID-19 outbreak a pandemic.

How much is COVID pay in Massachusetts 2023? ›

A third and final round distributed $250 payments to approximately 229,000 people in early January 2023.

Did Massachusetts lift COVID restrictions? ›

With the exception of remaining face-covering requirements for public and private transportation systems and facilities housing vulnerable populations, all industry restrictions were also lifted, and capacity increased to 100% for all industries.

Is long COVID the next public health disaster? ›

Long Covid may be 'the next public health disaster' — with a $3.7 trillion economic impact rivaling the Great Recession. Long Covid is a chronic illness resulting from a Covid-19 infection. It goes by many names, including long-haul Covid, post-Covid or post-acute Covid syndrome. Not much is yet known about the illness ...

Is COVID-19 still a pandemic? ›

As of May 2023, the WHO still considers COVID-19 to be a pandemic.

How long does COVID-19 last? ›

But some people may be infectious for up to 10 days. Symptoms in children and babies are milder than those in adults, and some infected kids may not show any signs of being unwell. People who experience more serious illness may take weeks to recover. Symptoms may continue for several weeks after infection.

When was the first COVID case in the US? ›

As of January 30, 2020, a total of 9976 cases had been reported in at least 21 countries,7 including the first confirmed case of 2019-nCoV infection in the United States, reported on January 20, 2020. Investigations are under way worldwide to better understand transmission dynamics and the spectrum of clinical illness.


Top Articles
Latest Posts
Article information

Author: Foster Heidenreich CPA

Last Updated: 20/10/2023

Views: 5857

Rating: 4.6 / 5 (76 voted)

Reviews: 91% of readers found this page helpful

Author information

Name: Foster Heidenreich CPA

Birthday: 1995-01-14

Address: 55021 Usha Garden, North Larisa, DE 19209

Phone: +6812240846623

Job: Corporate Healthcare Strategist

Hobby: Singing, Listening to music, Rafting, LARPing, Gardening, Quilting, Rappelling

Introduction: My name is Foster Heidenreich CPA, I am a delightful, quaint, glorious, quaint, faithful, enchanting, fine person who loves writing and wants to share my knowledge and understanding with you.