Overnight Health Care: Senate to vote on $1.9 trillion relief bill this week | J&J vaccine rollout begins | CDC warns against lifting restrictions

Overnight Health Care: Senate to vote on $1.9 trillion relief bill this week | J&J vaccine rollout begins | CDC warns against lifting restrictions
© Greg Nash

Welcome to Monday's Overnight Health Care. There are now three authorized vaccines against COVID-19. They all work, and will all prevent you from being hospitalized and dying. If you're eligible, get vaccinated. 

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The Senate will vote on the $1.9 trillion COVID-19 relief package this week. Also this week: Biden's HHS secretary nominee will get a Senate Finance Committee confirmation hearing. Meanwhile, the CDC is continuing to warn against states lifting virus restrictions.


We'll start in the Senate:

Relief bill plowing ahead: Senate to vote this week

The Senate will vote this week on a sweeping $1.9 trillion coronavirus relief bill, as Democrats try to get the legislation signed into law before federal unemployment benefits expire.

"The Senate will take up the American Rescue Plan this week. I expect a hardy debate and some late nights, but the American people sent us here with a job to do, to help the country through this moment of extraordinary challenge," Senate Majority Leader Charles SchumerChuck SchumerDOJ to probe Trump-era subpoenas of lawmaker records Democrats demand Barr, Sessions testify on Apple data subpoenas Out-of-touch Democrats running scared of progressives MORE (D-N.Y.) said Monday from the Senate floor.

The House passed the bill early Saturday morning, sending it to the Senate.

Some changes coming: The House version isn't going to remain intact. Changes include stripping out language increasing the minimum wage to $15 per hour after the Senate parliamentarian advised that it didn't comply with budget rules that govern what can be included in the coronavirus bill.

The Senate will also have to go through a marathon voting session known as vote-a-rama, where any senator who wants to force an amendment vote will be able to do so. Senators are mulling other potential changes to the bill, including changing the phase-out structure of a third round of stimulus checks. 


Read more here.


It’s coming! Johnson & Johnson vaccine rollout begins with around 4 million doses

Now that the Food and Drug Administration and CDC has authorized it, the Johnson & Johnson vaccine is on trucks that are rolling, with 3.9 million doses coming this week. 

"We think, literally, within the next 24 to 48 hours, Americans should start receiving shots in arms," Johnson & Johnson CEO Alex Gorsky said on NBC's "Today" on Monday. "They're literally rolling out with the trucks as we speak."

But, supply is limited to start: The addition of a third authorized vaccine adds to the doses in the U.S. arsenal, but supplies of Johnson & Johnson's vaccine will be limited at first. The 3.9 million doses shipping this week is the entire stockpile, and there will be no additional shipments next week, administration officials said. Governors have been informed about the "uneven" distribution and are expecting most of the vaccine to be delivered in the back end of the month.

The company expects to ramp up somewhat by the end of March, with 20 million total doses by that point and 100 million by the end of June. Johnson & Johnson initially promised 10 million doses by the end of February, but struggled with manufacturing issues.

Money talks:  The U.S. paid more than $1 billion to aid in the manufacturing and delivery of J&J's vaccine. Nearly a year ago, the company also won $465 million in federal funding for vaccine research and development, bringing its U.S. funding total on the project to almost $1.5 billion.

Read more here.


CDC director: No really, stop lifting COVID-19 restrictions

Centers for Disease Control and Prevention Director Rochelle WalenskyRochelle WalenskyStudy: Older Americans saw larger declines in COVID-19 cases, hospitalizations and deaths after vaccine became available Overnight Health Care: Biden 'very confident' in Fauci amid conservative attacks | House Dems press Biden on global vaccinations | CDC director urges parents to vaccinate adolescents New York plans to loosen school mask rules as soon as Monday MORE upped the warnings on Monday amid the potential for a new spike in COVID-19 cases. 

"Our recent declines appear to be stalling, stalling at over 70,000 cases a day," Walensky said at a White House press briefing.

"With these new statistics, I am really worried about reports that more states are rolling back the exact public health measures we have recommended to protect people from COVID-19," she added.


New cases had declined for weeks, from as much as 250,000 per day in January to around 70,000 per day currently. But the declines have leveled off and are now even showing signs of ticking back up. Even 70,000 cases per day is an extremely high level, above the peak of last summer.

Plenty of states rolling back anyway: Massachusetts, for example, is lifting all capacity limits on restaurants this week and reopening concert halls at 50 percent capacity. Iowa and Montana also recently lifted statewide mask mandates, and the Texas governor said he is considering such a move.

Read more here


You're not alone: The White House is aware of the problems with vaccine appointments

A top White House official Monday said the Biden administration is working with states to improve their coronavirus vaccine sign-ups, as many Americans have expressed frustration at the difficulties in finding appointments.

"I think scheduling an appointment is too difficult — remains too difficult — in too many places," White House COVID-19 response coordinator Jeff ZientsJeff ZientsBiden meets with UK's Johnson ahead of G-7 Overnight Health Care: White House unveils plan to donate 25M vaccine doses abroad | US COVID-19 cases, deaths fall to lowest levels since March 2020 | Poll: Majority support Medicare negotiations for drug prices White House unveils plan to donate 25 million vaccine doses abroad MORE told reporters.


As states have opened vaccine eligibility to more people, signups have been plagued by technical glitches. Websites have repeatedly crashed, phone lines have been inundated with callers, and people have been unable to find open appointments.

"Overall, too many Americans are suffering frustration, taking up way too much time to schedule an appointment," Zients said, adding that while the Biden administration has been increasing the number of vaccinators and vaccination sites, they want to help states to make sure the technology systems can handle the increased capacity and new demand.

Zients said the administration is also looking at "lower-tech solutions that the federal government might be able to provide," such as call centers or people to help navigate the system.

Read more here.


Coming attraction: Senate panel to vote on HHS nominee Wednesday

The Senate Finance Committee is scheduled to vote Wednesday on the nomination of Xavier BecerraXavier BecerraObama joins Biden to tout record ObamaCare enrollment numbers Biden walks fine line with probe into coronavirus origins Senate Latino Democrats warn about low Hispanic vaccination rates MORE to be HHS Secretary. He is expected to be confirmed, despite heavy GOP opposition and pressure on moderate Democrats from anti-abortion groups. It remains to be seen if any Republicans will support his nomination, but Wednesday will be the first time we'll see any of them on the record. 



Trump has been vaccinated for coronavirus

Former President TrumpDonald TrumpTrump DOJ demanded metadata on 73 phone numbers and 36 email addresses, Apple says Putin says he's optimistic about working with Biden ahead of planned meeting Biden meets Queen Elizabeth for first time as president MORE and former first lady Melania TrumpMelania TrumpJill Biden, Kate Middleton visit school together in first meeting Jill Biden wears 'LOVE' jacket 'to bring unity' to meeting with Boris Johnson White House gets back to pre-COVID-19 normality MORE both received coronavirus vaccines in January, an adviser confirmed to The Hill on Monday.

The two got their first dose while in the White House and have since received their second dose, the adviser said. It was not clear whether they received the Moderna or Pfizer vaccine.

The Trumps both contracted the coronavirus in late September, with the former president spending three days in the hospital due to more severe symptoms.

The former president did not initially get the vaccine, even as officials like then-Vice President Mike PenceMichael (Mike) Richard PenceOn The Money: Democrats wary of emerging bipartisan infrastructure deal, warn of time crunch Pence buys .9M home in Indiana Pence to visit Iowa to headline event for congressman MORE did, with Trump and others citing the antibody therapy he received as part of his treatment for the virus.

Trump has in the past expressed skepticism about vaccines on social media, and experts worried that his past rhetoric and reluctance to get the shot while in office could contribute to broader vaccine hesitancy. Public polling has shown Republicans say they are less likely to get the coronavirus vaccine than Democrats.

Read more here.


What we’re reading

Johnson & Johnson vaccine deepens concerns over racial and geographic inequities (Washington Post)

Thousands of farmworkers are prioritized for the coronavirus vaccine (New York Times

Much of the world is seeing coronavirus cases fall. But Brazil’s outbreak is worse than ever. (Washington Post)  

Seniors seeking vaccines have a problem: they can’t use the internet (New York Times)

State by state

NJ Adding Teachers, Food Workers, Clergy to Those Eligible for COVID-19 Vaccines (NBC 10)

Latest DeSantis order on COVID-19 vaccines creates fresh confusion for medically vulnerable (Orlando Sentinel)

Baker pledges continued focus on vaccine equity, stands by moving forward with Mass. reopening (Boston Globe)

The Hill op-eds

How do we know if the COVID-19 vaccines are working?

Digital health COVID boom should not be reversed by regulators