USA TODAY US Edition

Biden wants tests sold ‘at cost’

He hopes discounts will expand test options

- Ken Alltucker

Consumers could soon get discounted coronaviru­s tests at Amazon, Kroger and Walmart as part of President Joe Biden’s plan to increase testing.

The Biden administra­tion said those three major retailers over the next three months will sell rapid, over-the-counter tests “at cost,” a discount of up to 35% from retail prices.

Biden’s strategy calls for spending nearly $2 billion to procure 280 million rapid tests for long-term care facilities, community testing sites, homeless shelters, prisons and other vulnerable population­s. Another 25 million free athome rapid tests would be sent to community health centers and food banks.

Companies say federal support to expand testing options is needed as the delta variant drives demand higher and manufactur­ers scramble to keep pace.

“There is a big shortage in the market right now across the board,” said Ron Gutman, co-CEO of Intrivo, a testing manufactur­er. “We have a lot more demand than we’ve ever seen before.”

Intrivio is the technology and business partner of Access Bio, one of six companies with Food and Drug Administra­tion authorizat­ion to sell home tests directly to consumers. Rapid antigen tests made by Abbott Laboratori­es, Quidel and Ellume have been sold for months by major retailers, ranging in price from about $12 to $40 a test. Intrivio/Access Bio expect to begin selling retail rapid tests in the coming weeks.

Private companies that sell direct-to-consumer tests are scrambling to again ramp up production of rapid tests.

In June, Abbott, which makes versions of the Abbott BinaxNow rapid antigen test, warned investors of “significan­tly lower” demand for tests and closed a factory in Gurnee, Illinois, that manufactur­ed the tests. More recently, Abbott said it was again working to produce more tests.

Ellume CEO Sean Parsons said the company is moving to 24-hour production to churn out tests at the company’s manufactur­ing site in Australia. The company, which secured a $231.8 million Defense Department deal to expand U.S. production, plans to open a factory in Maryland by the end of the year.

Along with vaccinatio­n and wearing masks, testing remains an important tool to contain the spread of coronaviru­s, said Marcus Plescia, chief medical officer of the Associatio­n of State and Territoria­l Health Officials.

He said states are again adding testing options for residents after steering limited resources to vaccinatio­n.

Rapid home tests are popular with consumers and make it easier to check their status, but Plescia said the tests also are more difficult to track because results are often not reported to state and local public health department­s.

“If you do test positive, you’ve got to do the right thing: stay at home, limit your interactio­ns with other people, and if you’ve been around other people, let them know,” Plescia said. “The public health department­s will do that for you, but only if we know you have tested positive.”

Others worry that even with Biden’s pledge to expand testing, cost will remain a barrier for some. While health insurance companies are required to cover the cost of lab-based tests and some rapid antigen tests, consumers might not be reimbursed when they buy tests directly from retailers.

“The tests in the United States are more expensive – that does lead to barriers in testing,” said Dr. Julie Swann, a North Carolina State professor and health systems expert.

She cited Great Britain’s screening of children as an example of national testing program that has “had a huge impact on reducing transmissi­on.”

The Biden plan probably will require a wide variety of tests, not just rapid tests consumers can purchase at retail stores. The federal Department of Labor’s Occupation­al Safety and Health Administra­tion will develop a rule requiring businesses with 100 or more employees to mandate vaccinatio­ns or require weekly testing.

Many employers already require workers to be tested regularly before entering an office or a manufactur­ing site, and the increased testing has manufactur­ers scrambling .

“We are literally working around the clock to increase capacity,” Gutman said.

“There is a big shortage in the market right now ... we have a lot more demand than we’ve ever seen before.” Ron Gutman Co-CEO, Intrivo

 ?? ROBERT HANASHIRO/USA TODAY ?? A worker hands a test kit to a woman at a free pop-up testing site in Van Nuys, Calif., in December 2020.
ROBERT HANASHIRO/USA TODAY A worker hands a test kit to a woman at a free pop-up testing site in Van Nuys, Calif., in December 2020.

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