San Diego Union-Tribune

REIMBURSEM­ENT FOR AT-HOME TESTS TO START NEXT WEEK

No word yet on when free test kits will be widely available

- BY SHERYL GAY STOLBERG Stolberg writes for The New York Times.

President Joe Biden’s coronaviru­s response coordinato­r said Wednesday that, beginning next week, Americans struggling to get tested for the coronaviru­s will be able to have the cost of rapid at-home tests reimbursed by their insurers, but offered no specific promises about when free tests would be available.

The remarks by Jeff Zients, who leads the White House pandemic response, come two weeks after Biden said his administra­tion would buy half a billion rapid tests to distribute free to the public, and that insurance companies would begin reimbursin­g people for tests they purchased on their own. Biden said at the time that the free tests would be available “in the coming weeks.”

With the Omicron variant of the coronaviru­s fueling a sharp rise in cases across the country, demand for all kinds of tests is far outpacing supply. In some areas, people are waiting in long lines to take the highly sensitive polymerase chain reaction, or PCR, tests that are administer­ed at medical clinics. Rapid athome tests are flying off pharmacy shelves.

“We know this remains frustratin­g for people getting tested in many parts of the country,” Zients said Wednesday. “So we are working to do all we can.”

The administra­tion’s new “test to stay” guidance for schools, in which students exposed to the virus can remain in the classroom if they test negative, is among the factors driving up demand for the rapid tests.

Last week, when Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, omitted a testing requiremen­t from new isolation guidelines, she was greeted with a chorus of criticism from public health experts who said a negative test should be required before an infected person ends a fiveday isolation period.

On Tuesday, the CDC amended the latest guidance — not to say that testing was required, but to say that people who wanted to end their isolation periods after five days and had access to tests may choose to take them. If the test results are positive, they should stay home for another five days, the guidance says; if negative, and their symptoms are resolving, they may go out, but should continue to wear masks in public for another five days.

Addressing reporters Wednesday, Walensky said she omitted a testing requiremen­t from the guidance because rapid tests are not authorized by the Food and Drug Administra­tion to determine whether someone is infectious to others; they are authorized merely to detect infection, and are meant to be used serially, as is the case in schools.

But after the guidance was released, she said, “it became very clear that people were interested in using the rapid tests,” and since that was the case, she at least wanted to “provide guidance on how they should be used.”

The recommenda­tion for the general public is different from the one for health care workers, who are required to test negative before going back to work. Walensky said the CDC was always more conservati­ve in its recommenda­tions for health workers, because they care for vulnerable people, including those with weak immune systems.

 ?? DAVID DERMER AP ?? Health department worker Kathy Johnson distribute­s at-home COVID-19 test kits in Youngstown, Ohio.
DAVID DERMER AP Health department worker Kathy Johnson distribute­s at-home COVID-19 test kits in Youngstown, Ohio.

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