Last night, the Senate concluded votes on both a House republican CR and a Democratic CR, with both votes failing. With no path forward, the federal government shut down at midnight last night. This means that, among other things, telehealth flexibilities that were set to expire on September 30 are no longer in effect. The US Department of Health and Human Services (HHS) has also released a contingency plan outlining its operations during the government shutdown.  More updates will be shared as available.  Alliance members are able to view the Alliance Daily Article for more information about the impacts of a government shutdown.