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04/02/2020
CASA ASC COVID-19 Resources 4.2.2020
The updates and response to COVID-19 rapidly change each day. As you are responding to the needs of your patients, ASC and community, we are working to provide you with resources to assist you in navigating the pandemic response.
Below is important information for ASCs as they prepare to address their economic impact of COVID-19.
Paycheck Protection Program
You can apply beginning tomorrow, Friday, April 3, 2020. Please apply as quickly as you can because there is a funding cap. Download the application here to gather information and reach out to your lending institution.
On March 27, 2020, the federal Coronavirus, Aid, Relief and Economic Security Act (the "CARES Act") was signed into law, which aims to provide nationwide relief to individuals and businesses that have been negatively impacted by the coronavirus outbreak. A critical element of the CARES Act is the Paycheck Protection Program ("PPP"), which will provide small businesses with up to $349 billion in relief through low interest, forgivable loans intended to prevent layoffs and business closures. Lenders approved by the U.S. Small Business Administration ("SBA") will provide loans under the PPP ("Covered Loan(s)"). The PPP covers the period beginning February 15, 2020, and ending on June 30, 2020 (the "Covered Period").
To be eligible for the PPP you must be a small business, sole proprietor, or non-profit that has fewer than 500 employees. You must have been in business prior to February 15, 2020. All loans will have the same terms regardless of lender or borrower and there is no Personal Guarantees or Collateral required for applying for the loan.
Economic Injury Disaster Loans and Loan Advance
In response to the Coronavirus (COVID-19) pandemic, small business owners in all U.S. states, Washington D.C., and territories are eligible to apply for an Economic Injury Disaster Loan advance of up to $10,000.
The SBA’s Economic Injury Disaster Loan program provides small businesses with working capital loans of up to $2 million that can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing. The loan advance will provide economic relief to businesses that are currently experiencing a temporary loss of revenue. Funds will be made available within three days of a successful application, and this loan advance will not have to be repaid.
CA Assistance for Small Business Who Don't Qualify for Federal Assistance
Today, April 2, 2020, Governor Newsom announced that the state is allocating $50 million to the California Infrastructure and Economic Development Bank for loan guarantees to small businesses to help eliminate barriers to capital for individuals who do not qualify for federal funds. The state is also allowing small businesses to defer payment of sales and use taxes of up to $50,000, for up to 12 months.
Economic Links
- Loans for small business PowerPoint
- SBA COVID-19 Small Business Guidance and Loan Resources
- Reduced Work Hours / Unemployment
- CA Chamber Corona Virus Resource Page
Additional COVID-19 Updates and Links
The State of California has launched a New Comprehensive, Consumer-Friendly Website and Public Service Announcements to Boost COVID-19 Awareness.
CASA ASC Surge Response letter 3.25.2020
CASA & ASCA Consensus response on COVID-19
Coronavirus Aid Relief And Economic Security Act H R 748 03 25 2020
ASC Covid-19 Action Plan
All ASCs should adopt the following:
- It is imperative that all ASCs are coordinating with their local department of public health. This will assure you receive the latest information and recommendations in your area.
- Implement CDC guidance and stay up to date by visiting these critical websites.
- Implement rigorous screening for patients and visitors prior to entering the facility.
- Maintain a safe environment for patients, employees and visitors, including adherence to social distancing recommendations.
- Implement enhanced cleaning as directed by CDC guidelines.
- As hospitals are implementing their disaster operations, ASCs should be responding likewise and coordinating their plan in conjunction with their local emergency medical response. If you need guidance with policies and a comprehensive emergency plan see the resources listed below.
- As you implement your emergency plan, your governing body should work together to address a policy on prioritizing elective vs urgent elective surgical procedures.
- Follow the guidance from recognized bodies in determining elective vs elective/urgent surgical procedures.
- American College of Surgeons COVID-19: Guidance for Triage of Non-Emergent Surgical Procedures
- CMS Adult Elective Surgery and Procedure Recommendations
- Joint GI society message: COVID-19 clinical insights for our community of gastroenterologists and gastroenterology care providers
- California Society of Anesthesiologists
- American Academy of Ophthalmology recommendations for urgent vs. non-urgent care
- ASCA COVID-19: Guidance for ASCs on Necessary Surgeries
- Assessing and optimizing patients’ medical and social risk factors for planned surgeries, and postponing cases where indicated.
- Follow the guidance from recognized bodies in determining elective vs elective/urgent surgical procedures.
Additional Tools and Consideration
Signs and Posters
- COVID-19 Precautions Poster 1
- COVID-19 Precautions Poster 2
- Stop the Spread of Germs
- Share the Facts
- CDC Cover Your Cough
- How To Hand Wash Poster
Economic Issues
- SBA COVID-19 Small Business Guidance and Loan Resources
- Reduced Work Hours / Unemployment
- CA Chamber Corona Virus Resource Page
- SBA Estimated Disaster Economic Injury Worksheet for Businesses