To no one’s surprise, Health and Human Services Secretary Alex Azar has renewed the public health emergency declaration for COVID-19, effective Oct. 23. He had previously renewed the PHE on April 21 and July 23. Impact: “This means that the current rules and guidelines … that were relaxed during the PHE will remain in effect through most of January,” points out Acevedo Consulting in Delray Beach, Florida. For home care and hospice, that list includes items ranging from more relaxed requirements related to telehealth to scaled-back aide supervision. For HHAs, a liberalized homebound definition is a big difference. On the hospice side, changes for non-core services and volunteers are in the mix.