The CMS released recommendations on May 18, 2020 that in addition to an initial test, long-term care and assisted living facility residents should be tested if they have symptoms or if a staff member in their facility tests positive. The Centers suggested all staff should be tested weekly. The costs associated with following these recommendations caused severe alarm in the industry. AHCA stated that testing every staff member and resident in the United States only once would cost about $444 million, thus making repeated testing “unsustainable” without government subsidies.