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A rural hospital in Washington state. Photo: Nick Otto/Washington Post via Getty Images

Congress is about to provide $100 billion for hospitals and other health care providers to cope with the fallout from the coronavirus, but small hospitals have no idea how to access those funds — and many need the money immediately.

What they're saying: "A lot of rural hospitals out there need a cash infusion today," Alan Morgan, CEO of the National Rural Health Association, told Axios. "How is it going to happen? What is the process? There are way more questions than answers."

Details: The stimulus bill says "the Secretary of Health and Human Services shall, on a rolling basis, review applications and make payments" to hospitals and other providers, out of a $100 billion fund.

  • HHS said in a statement that it "is working diligently to ensure needed aid and resources get to our health care providers on the frontlines as quickly as possible," but did not respond to questions about how that process would work.

Between the lines: Many hospitals are part of large, profitable systems that benefit from their area's demographics. The coronavirus will cause them financial distress, but they are not in danger of going under.

  • Rural and safety net hospitals, which treat disproportionate amounts of older and low-income patients, have a lot less wiggle room to call off elective procedures as they wait for a coronavirus surge.
  • Many small hospitals can't get new loans from banks and could miss payroll as soon as next week.

The bottom line: I asked Morgan how this process was supposed to work. "I don't know," he said, "and we are greatly concerned."

Go deeper

Michigan board certifies Biden's win

Poll workers count absentee ballots in Detroit, Michigan on Nov. 4. Photo: Salwan Georges/The Washington Post via Getty Images

The Michigan Board of State Canvassers certified the state's election results on Monday, making President-elect Joe Biden's win there official and granting him the state's 16 electoral votes.

Why it matters: Republican Party leaders had unsuccessfully appealed to delay the official certification, amid the Trump campaign's failed legal challenges in key swing states.

Biden to nominate Janet Yellen as Treasury secretary

Photo: Photo by Alex Wong/Getty Images

President-elect Joe Biden is preparing to nominate former Fed Chair Janet Yellen as his Treasury Secretary, four people familiar with the matter tell Axios.

Why it matters: Yellen, 74, will bring instant economic celebrity to Biden’s team and, if confirmed, she will not only be the first female Treasury Secretary but also the first person to have held all three economic power positions in the federal government: the chair of Council of Economic Advisers, the chair of Federal Reserve and the Treasury Secretary.

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AstraZeneca and the University of Oxford on Monday reported promising efficacy data for their COVID-19 vaccine, which has less stringent storage requirements than the Pfizer and Moderna vaccines and may be distributed earlier in developing countries.

Axios Re:Cap digs into the state of vaccine and therapeutics manufacturing with Bob Nelsen, a successful biotech investor who on Monday launched Resilience, a giant new pharma production platform that he believes will prepare America for its next major health challenges.