Key Health Care and COVID Response Deadlines for 2021

The COVID-19 relief package enacted as part of the Consolidated Appropriations Act1 established several deadlines starting in early 2021. The incoming Biden Administration will face these and other key deadlines that will impact the response to the COVID-19 pandemic.


  • Eviction Moratorium: The CDC eviction moratorium expires January 31, 2021.
  • Student Loan Forbearance: Secretary of Education Betsy DeVos announced the extension of the federal student loan administrative forbearance period, the pause in interest accrual, and the suspension of collections activity through January 31, 2021.2


  • Unemployment Benefits: Several of the unemployment relief program extensions expire March 14, 2021.
    • Pandemic Unemployment Assistance: The extension of the Pandemic Unemployment Assistance expires on March 14, 2021 and benefits are phased out through April 5, 2021 (as long as the individual has not reached the maximum number of weeks).
    • Emergency Unemployment Relief for Governmental Entities and Nonprofit Organizations Federal Pandemic Unemployment Compensation
    • Federal Funding of the First Week of Compensable Regular Unemployment for States with No Waiting Week
    • Emergency State Staffing Flexibility
    • Pandemic Emergency Unemployment Compensation
    • Temporary Financing of Short-Time Compensation Payments in States with Programs in Law
    • Temporary Financing of Short-Time Compensation Agreements for States Without Programs in Law
    • Temporary Assistance for States with Advances
    • Full Federal Funding of Extended Unemployment Compensation
  • Credits for paid sick and family leave: The extension of the refundable payroll tax credits for paid sick and family leave, enacted in the Families First Coronavirus Response Act, expires at the end of March 2021.
  • Temporary Suspension of Medicare Sequestration: The delay of the Medicare sequester payment reductions expires March 31, 2021.
  • Paycheck Protection Program: The program was extended through March 31, 2021.


  • Public Health Emergency: The public health emergency declaration expires around April 21 (90 days from the most recent declaration which has not been finalized).


  • Supplemental Nutritional Assistance Program: the 15 percent monthly increase expires June 30, 2021.
  • End of State Fiscal Year: The fiscal year ends at the end of June in 46 states. States are required to balance their budgets which could result in program cuts.


  • Surprise Medical Billing: Deadline for the key rulemaking is July 1, 2021.
  • Debt ceiling: The debt ceiling is set to be reinstated on July 21, 2021.


  • Coronavirus Relief Fund Extension: The extension for state and local governments to make expenditures with CARES Act Coronavirus Relief Fund awards expires December 31, 2021.
  • Physician Fee Bump: The 3.75 percent increase in the Medicare physician fee schedule expires December 31, 2021.
  • Tax Extenders: Several tax extenders, including for energy and mortgage insurance premiums, expire on December 31, 2021.


  • Surprise billing provisions go into effect.
  • FDA medical product user fees expire September 30, 2022.

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