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Washington Delegation Sends Letter to FEMA Administrator Gaynor For Field Hospitals Amid Coronavirus Outbreak

March 24, 2020

WASHINGTON, D.C. – Congressman Adam Smith (D-WA-09) and the entire Washington congressional delegation including U.S. Senators Patty Murray (D-WA) and Maria Cantwell (D-WA), U.S. Representatives Rick Larsen (D-WA, 2nd), Cathy McMorris Rogers (R-WA, 5th), Jaime Herrera Beutler (R-WA, 3rd), Suzan K. DelBene (D-WA, 1st), Denny Heck (D-WA, 10th), Derek Kilmer (D-WA, 6th), Dan Newhouse (R-WA, 4th), Pramila Jayapal (D-WA, 7th), and Kim Schrier, M.D. (D-WA, 8th) today sent a letter urging FEMA to provide sufficient and appropriate medical personnel and equipment as part of any field hospitals and clinics being deployed to Washington for the COVID-19 outbreak.

“Many other states and cities are projected to face shortcomings in their health care system; Washington is facing a crisis now. Hospitals in our State are already overwhelmed by the exponential growth in hospitalizations related to COVID-19. As the first and hardest hit region in the country by COVID-19 to date, the health care workforce in Washington has only been further strained,” the members wrote.

“Washington desperately needs additional bed capacity, but just as vital is that this additional capacity be accompanied by federal medical personnel and equipment. Anything short of this greatly jeopardizes the ability for Washington’s health care system to meet the urgent and growing needs of our communities.”

Read the full letter HERE and below:

Dear Administrator Gaynor:

We urge you to provide sufficient and appropriate medical personnel and equipment as part of the Mission Assignment for any field hospitals and clinics being deployed to Washington to ensure they will be fully staffed and equipped. We appreciate the additional bed capacity that we understand is set to be deployed to Washington, however, it will fail to meet the State’s needs and the federal government’s goals in deploying such assets if it does not include additional medical personnel and equipment.

In particular, we strongly urge you to work closely with Secretary Esper in determining how military medical personnel may be used as part of this effort. The Military Health System has a mission to maintain a ready medical force that is prepared to respond to the full spectrum of military operations. This includes humanitarian missions.

Many other states and cities are projected to face shortcomings in their health care system; Washington is facing a crisis now. Hospitals in our State are already overwhelmed by the exponential growth in hospitalizations related to COVID-19. Washington has just 1.7 hospital beds per 1,000 residents, significantly below the national average of 2.4 beds per 1,000 residents.

Part of the reason we believed it was critical to send the U.S.N.S. Mercy to the Puget Sound region is that it would come already staffed. Washington already faces an insufficient number of health care providers to handle the COVID-19 outbreak. Washington’s Registered Nurse (RN) to population ratio of 781 to 100,000 is well below the national average of 825 RNs to 100,000 population. Over 2,200,000 people in Washington live in a designated Primary Care Professional Shortage Area. Twenty-two percent of licensed physicians currently practice in other states, and twenty-five percent of RNs have a Washington license but do not practice in Washington.

As the first and hardest hit region in the country by COVID-19 to date, the health care workforce in Washington has only been further strained. The number of available nurses and physicians has decreased due to fatigue and illness caused by the outbreak. It is estimated that 35 percent of physicians are married to other physicians and have childcare responsibilities. Furthermore, an estimated 75 percent of nurses must either care for a child and/or an elderly relative at home. The necessary closure of schools and impact of the outbreak has led many of these health care workers to have to stay home to care for themselves and their families. The shortage of health care personnel in Washington resulting from the severity of the State’s COVID-19 outbreak is one that we desperately need the federal government to supplement.

As we wrote to President Trump on March 18, hospitals in the Puget Sound region will soon have to implement crisis care standards and make excruciating decisions about care rationing. Our State and local health agencies have taken extreme actions and exhausted every avenue to support our hospitals. But without urgent federal action, our state will see a near total collapse of hospitals in Washington like we have seen in other places such as Italy.

We understand that a 148-bed field hospital with medical staff is being prepared to deploy to Washington from Fort Carson. As you know, this initial deployment is still far short of the 1,000 beds and staff that would have come with the U.S.N.S. Mercy. We request a timeline for exactly when the deployment from Fort Carson will be operational in Washington and when a decision about additional deployments of beds and medical personnel from federal agencies to Washington will be made.

Washington desperately needs additional bed capacity, but just as vital is that this additional capacity be accompanied by federal medical personnel and equipment. Anything short of this greatly jeopardizes the ability for Washington’s health care system to meet the urgent and growing needs of our communities.

Sincerely,

cc:       The Honorable Mike Pence, Vice President, United States of America

            The Honorable Mark Esper, Secretary of Defense

            The Honorable Alex Azar, Secretary of Health and Human Services

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Congressman Smith and Washington Members of Congress Send Letter to GEO on Northwest Detention Center Amid Coronavirus Outbreak in the Puget Sound Region

March 21, 2020

WASHINGTON, D.C. – Congressman Adam Smith (D-WA-09) led a letter with Senator Patty Murray (D-WA), Senator Maria Cantwell (D-WA), Congresswoman Pramila Jayapal (D-WA-07), Congressman Denny Heck (D-WA-10), and Congressman Derek Kilmer (D-WA-06) to the GEO Group Inc., the owner and operator of the Northwest Detention Center (NWDC) in Tacoma, Washington, requesting information on plans to mitigate and prepare for a potential COVID-19 outbreak.

“The GEO Group Inc. (GEO) has a contractual responsibility for the health and wellbeing of detainees and staff. Given the ongoing novel coronavirus (COVID-19) outbreak, we write to request information about steps being taken by GEO to plan, mitigate, and respond to any potential outbreak at the Northwest Detention Center (NWDC),” the members wrote.

“King County and the Seattle area is the epicenter of the COVID-19 outbreak in the United States. Public health experts expect confirmed cases to continue to rise and the outbreak to spread. Populations living in close quarters and confined spaces are especially vulnerable to potential catastrophic outbreaks. We have already seen that immigration detention centers, such as the NWDC, are particularly susceptible to outbreaks of diseases.”

Read the full letter here and below:

Dear Mr. Zoley:

As the owner and operator of the Northwest Detention Center in Tacoma, Washington, The GEO Group Inc. (GEO) has a contractual responsibility for the health and wellbeing of detainees and staff. Given the ongoing novel coronavirus (COVID-19) outbreak, we write to request information about steps being taken by GEO to plan, mitigate, and respond to any potential outbreak at the Northwest Detention Center (NWDC).

King County and the Seattle area is the epicenter of the COVID-19 outbreak in the United States. Public health experts expect confirmed cases to continue to rise and the outbreak to spread. Populations living in close quarters and confined spaces are especially vulnerable to potential catastrophic outbreaks. We have already seen that immigration detention centers, such as the NWDC, are particularly susceptible to outbreaks of diseases. In August of 2019, the CDC reported that nearly 1,000 detainees and staffers at US immigration detention facilities had gotten mumps in an 11-month timespan.  According to public health experts and officials, “people residing in close living quarters are especially vulnerable to COVID-19 and will need special attention both to minimize transmission risk and address their healthcare needs in the context of an outbreak.” 

According to the Performance Based National Detention Standards, which GEO group is required to meet, each facility “shall have written plans that address the management of infections and communicable diseases, including screening, prevention, education, identification, monitoring and surveillance… and reporting to local, state and federal agencies”.  We understand that restrictions were recently put in place for outside visitors to the NWDC, including legal counsel. 

Please provide the updated policies and procedures GEO has in place to prepare and respond to a potential outbreak at the NWDC, and answers to the following questions by Wednesday, March 25. In addition, we request that you answer the following inquiries:

  • How does GEO plan to identify individuals within the NWDC that are at a heightened risk of serious illness should they contract COVID-19? What protocols and procedures exist to protect these individuals?
  • What policies and procedures does GEO follow when committing individuals to medical isolation? Does the NWDC have the capacity to isolate individuals from other inmates effectively should they contract COVID-19 or show symptoms, per the recommendations of public health officials? How many detainees does GEO believe it has the space to quarantine in isolation at the NWDC? If this number is less than the current population of NWDC, what plans are in place to partner with Pierce County Public Health, Washington State Department of Health, and other relevant stakeholders to adequately quarantine detainees? Does this isolation result in solitary confinement?
  • What practices is GEO implementing to ensure social distancing recommendations from the CDC are met? Given the population count of NWDC and capacity of the facility, can GEO ensure that detainees maintain 6 feet of distance from one another at all times?
  • What COVID-19 testing capabilities does GEO have access to? How many people has GEO tested to date? What criteria is GEO using to determine if an individual will be tested? 
  • Does GEO report test results to Pierce County Public Health and the Washington State Department of Health? Has GEO consulted with the local or state public health agency on their mitigation and response plans? What public information does GEO plan to provide regarding test results at the NWDC? Will GEO make public the number of people it has tested and the results?
  • What screening procedures are being implemented to mitigate the harm that may be caused by GEO, DHS, and other staff coming and going from facilities? What steps is GEO taking to ensure that detainees can still have access to legal counsel, while minimizing potential spread of COVID-19? What is GEO doing to ensure that spaces used by attorneys and their clients are adequately sanitized between uses?
  • What additional measures have been implemented to augment existing hygiene and sanitation standards? 
  • What information has GEO provided to detainees about the COVID-19 outbreak? Given that family visits have stopped, what additional methods of communication is GEO facilitating between detainees and their families? Is GEO working to set up free audio or video calls during this uncertainty? If not, why not?
  • For individuals who have been deported since January 20, 2020, the beginning of the outbreak in Washington state, which countries have they been deported to, and for those deported to Mexico what is their medical access status?

Thank you for your attention to this critical public health matter.

Sincerely,

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Congressman Smith, Washington State Lawmakers Urge President Trump to Issue Major Disaster Declaration to Address Coronavirus

March 20, 2020

WASHINGTON, D.C. – Today, Congressman Adam Smith (D-WA, 9th), joined the entire Washington state congressional delegation in pushing President Trump to issue a major disaster declaration to help address the coronavirus outbreak in Washington state. This declaration would open up a full suite of Individual Assistance Programs as requested by Governor Inslee for Washington state, including Disaster Unemployment Assistance, Disaster Legal Services, Disaster Care Management, Crisis Counseling Assistance, and Training Program, Individuals and Households Program Assistance, Voluntary Agency Coordination, and Mass Care and Emergency Assistance. Congressman Smith joined U.S. Senators Patty Murray (D-WA) and Maria Cantwell (D-WA), as well as U.S. Representatives Rick Larsen (D-WA, 2nd), Cathy McMorris Rogers (R-WA, 5th), Jaime Herrera Beutler (R-WA, 3rd), Suzan K. DelBene (D-WA, 1st), Denny Heck (D-WA, 10th), Derek Kilmer (D-WA, 6th), Dan Newhouse (R-WA, 4th), Pramila Jayapal (D-WA, 7th), and Kim Schrier, M.D. (D-WA, 8th) in the letter.

“Taken together, the effects of this virus are unprecedented,” the Delegation wrote. “Governor Inslee and the Washington Emergency Management Division have implemented necessary precautions in order to limit the spread of COVID-19. Unfortunately, since this public health crisis began state and local government resources have been overwhelmed. This is unsustainable for our state and highlights why federal support is necessary.”

The Delegation continued: “We fully support Governor Inslee’s request for a major disaster declaration and ask that you grant the full suite of Individual Assistance programs as soon as possible.”

COVID-19 has caused, and continues to cause, unprecedented disruption of normal community functions including lifesaving and life-sustaining services, essential community services, and the overall health and safety of all residents in Washington state. Schools have been closed across the state, impacting students’ access to nutritious meals and more. Additionally, with major employers closing their doors or encouraging employees to work from home, small business, hospitality, and entertainment commerce has dropped precipitously across the state, especially in the Puget Sound region. The additional programs granted to the state under a major disaster declaration would go a significant way towards getting local and state governments the resources they need to meet these challenges.  

Read the full letter below or HERE.

Dear Mr. President:

We write in support of Governor Jay Inslee’s March 20, 2020 request for a declaration of a major disaster for the State of Washington. On January 20, 2020, the first domestic case of the 2019 Novel Coronavirus Disease (COVID-19) was reported in Washington state. Since that time, our constituents have grappled with 1,376 confirmed cases of COVID-19, of which 74 have resulted in fatality as of March 19, 2020. These numbers are anticipated to grow as the disease spreads rapidly in the coming weeks. Specifically, we urge you to authorize the full suite of Individual Assistance Programs as requested by Governor Inslee, including Disaster Unemployment Assistance, Disaster Legal Services, Disaster Care Management, Crisis Counseling Assistance and Training Program, Individuals and Households Program Assistance, Voluntary Agency Coordination, and Mass Care and Emergency Assistance.

The COVID-19 pandemic has caused, and continues to cause, unprecedented disruption of normal community functions including lifesaving and life-sustaining services and essential community services. COVID-19 threatens the overall health and safety of all residents in the state. The rapid spread of the virus has led to extensive closures of schools and cancellations of gatherings, public events, and conferences, straining state and local economies, and placing a considerable burden on state and local public health workers, emergency responders, health care systems, and government officials.

In order to mitigate the spread of COVID-19 in the state, the Governor has suspended in-person classroom instruction for school districts and institutions of higher education have been advised to create plans for distance learning. Closures of schools have created issues for vulnerable families who struggle to afford child care, food, and other services provided by schools. For example, the 1,106,784 children in Washington state who regularly receive free and reduced meals are no longer able to easily access these meals.

The small business community in our state has suffered substantial economic losses as a result of the COVID-19 pandemic. Major employers are closing their doors or encouraging employees to work from home. Small businesses have been forced to close, while hospitality and entertainment commerce has dropped precipitously across the Puget Sound region. Many businesses do not have sufficient capital to withstand closures lasting multiple weeks, forcing them to take drastic measures, including temporary lay-offs, to stay afloat and several tribal-owned businesses have closed.

Taken together, the effects of this virus are unprecedented. Governor Inslee and the Washington Emergency Management Division have implemented necessary precautions in order to limit the spread of COVID-19. Unfortunately, since this public health crisis began state and local government resources have been overwhelmed. This is unsustainable for our state and highlights why federal support is necessary.

We fully support Governor Inslee’s request for a major disaster declaration and ask that you grant the full suite of Individual Assistance programs as soon as possible. Thank you for your prompt attention to this important matter.

Sincerely,

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Congressman Smith Statement on House Passage of Families First Coronavirus Response Act

March 14, 2020

WASHINGTON, D.C. – Congressman Adam Smith (D-WA) released the following statement tonight after the House voted to pass the Families First Coronavirus Response Act (H.R. 6201), which strengthens the federal government’s response to the coronavirus outbreak and addresses the impacts of the coronavirus on financial security and the economy:

“The economic impacts of the coronavirus outbreak have been devastating to working families across the country. Americans desperately need relief right now and the Families First Coronavirus Response Act is a strong start toward delivering just that.

“We must not forget our most important job: protecting the health and safety of the American people. They need and deserve free coronavirus testing, paid sick leave, enhanced unemployment benefits, expanded food assistance programs, and additional funding for states, local jurisdictions, and health systems responding to the outbreak.

“This bill provides free coronavirus testing to all individuals who need a test, regardless of whether they are insured or uninsured. Additionally, we also increase federal funds for Medicaid to support the state and local governments and health systems that have already expended significant resources responding to this crisis.

“It is imperative that we support those who experience financial burdens during this health crisis. The bill establishes two weeks of paid sick leave and up to three months of paid family and medical leave. It also strengthens food assistance programs to help keep food on the table for children, families, and seniors.

“The Families First Coronavirus Response Act is a critically important step by Congress to support our ability to respond to this crisis, but it cannot be the last action Congress takes. More support is clearly needed to protect our public health, and we must expedite the delivery of medical supplies and test kits, alleviate the stress put on our health care system, and mitigate against the economic impacts of the crisis.”

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Congressman Smith Statement on President Trump’s Address on Coronavirus

March 11, 2020

WASHINGTON, D.C. – Congressman Adam Smith (D-WA) released the following statement tonight following the President’s address to the nation on the coronavirus (COVID-19) outbreak:

“We need competent, high-level leadership from this Administration to help move us through this public health and economic crisis. Economic assistance and bailouts will amount to nothing if we do not act now on the most important issue at hand: protecting the health and safety of the American people. We must take the necessary actions to address deficiencies within our health care system and reevaluate the insufficient response to the coronavirus epidemic.

“First, we must accelerate the availability and capacity for testing. While progress has been made in the state of Washington on this front with new labs opening to conduct more and more tests each day, the ability for individuals to get tested by their health care provider is still inadequate. This will only get worse as the virus spreads. The president failed to even mention testing during his speech tonight.

“Second, we must provide support to our already strained health care system. This means proactively making available existing resources and boosting medical supply chain capacity to ensure hospitals, providers, and public health agencies have the supplies, equipment, and personnel they need to care for our communities. To minimize strain on hospitals and provides, we also must have a whole-of-government approach to educating the public and implementing mitigation measures such as social distancing. 

“Lastly, in parallel, it is essential that we support individuals, families, and small businesses who may struggle with significant financial burdens during this health crisis. Deferring tax payments or putting a pause on payroll taxes is woefully insufficient. Congress should expand unemployment insurance, guarantee paid sick leave, make emergency small business loans available, and take immediate action to put money and resources directly in the hands of impacted people who need to pay rent and put food on the table for themselves and their families.

“COVID-19 is here. Travel restrictions will not change that. Public health officials and leaders throughout Washington State are working night and day to respond to this crisis. It is imperative we have the leadership from this Administration that reflects the gravity of this crisis and dedication required to effectively respond.”

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