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Coronavirus updates in Central Texas

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COVID-19 numbers:

  • Texas: More than 1.4 million cases have been reported in the state, and more than 26,400 people in Texas have died, according to the Texas Department of State Health Services.
  • Central Texas counties: 
    • Travis County: At least 48,208 cases have been reported and at least 531 people have died. At least 43,205 people have recovered from the virus. On Dec. 26, 415 new cases were reported in the county.
    • Hays County: At least 9,175 confirmed cases have been reported and at least 122 people have died. At least 7,625 people have recovered from the virus.
    • Williamson County: At least 18,568 cases have been reported in the county and at least 194 people have died. At least 16,892 people have recovered from the virus.
    • Updates:

      9 a.m. – City of Austin walk-in utility payment centers will temporarily close to the public in response to the city entering Stage 5. Customers who pay their utility bills at these locations are urged to pay online, at authorized pay stations/drop boxes, or by mail.

      Effective Monday, Dec. 28, the North Utility Customer Care Center at 8716 Research Blvd, Suite 115, and the new South Utility Customer Care Center at 1901 W. William Cannon Dr. will close. The Rosewood Zaragosa Utility Customer Care Center at 2800 Webberville Road, Suite 110, which has been closed since March 18, will remain closed.

Dallas County Reports Record-High 2,512 New COVID-19 Cases Along With 30 Deaths For 2nd Straight Day

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Dallas County Health and Human Services reported 2,512 additional positive cases of COVID-19 in Dallas County on Wednesday, Dec. 23.

Of those, 1,835 are confirmed cases and 677 are probable cases.

There is a cumulative total of 160,189 confirmed cases (PCR test). There is a cumulative total of 19,229 probable cases (antigen test).

A total of 1,544 Dallas County residents have lost their lives due to COVID-19 illness after 30 more deaths were announced Wednesday.

The deaths range from a man in his 20s who was found dead, to women in her 100s who had been hospitalized.

“As of this morning, we had 17 remaining ICU beds in Dallas Co., the worst we’ve seen so far,” said Dallas County Judge Clay Jenkins in a tweet. “If we reach the predicted worst-case scenarios, we will surpass our capacity. While hospitals can add beds, we don’t have the ability to easily add physicians, nurses, other clinical staff.”

Judge Jenkins said things could get worse in the next couple of weeks.

“The latest COVID predictions from UTSW, show a sharp increase in cases per day and hospitalizations. Up to 2,700 cases per day and 1,500 hospitalizations by January 5th. Whether we reach these record highs is entirely up to the personal decisions we all make in the next few days,” he said.

The provisional seven-day average of daily new confirmed and probable cases (by date of test collection) for CDC week 50 was 1,722, which is a rate of 65.3 daily new cases per 100,000 residents.

The percentage of respiratory specimens testing positive for SARS-CoV-2 remains high, with 23.3% of symptomatic patients presenting to area hospitals testing positive in week 50 (week ending 12/12/20).

Since the beginning of the pandemic, 3,864 healthcare workers and first responders have been reported with COVID-19 in Dallas County.

Over the past 30 days, there have been 4,955 COVID-19 cases in school-aged children and staff reported from 764 separate K-12 schools in Dallas County, including 692 staff members. Since the beginning of the pandemic, 21 school nurses have been diagnosed with COVID-19.

There are currently 100 active long-term care facility outbreaks. Since the beginning of the pandemic, a total of 2,696 residents and 1,590 healthcare workers in long-term facilities in Dallas have been diagnosed with COVID-19.

Of these, 640 have been hospitalized and 323 have died. About 22% of all deaths reported to date have been associated with long-term care facilities.

Thirty-nine outbreaks of COVID-19 in congregate-living facilities (e.g. homeless shelters, group homes, and halfway homes) have been reported in the past 30 days associated with 172 cases, including 6 hospitalizations. One facility has reported 93 COVID-19 outbreak cases since October.

Of all confirmed cases requiring hospitalization to date, more than two-thirds have been under 65 years of age.

Diabetes has been an underlying high-risk health condition reported in about a third of all hospitalized patients with COVID-19.

NBA outlines health and safety protocols for 2020-21 season

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Last week, the NBA distributed to teams a health-and-safety protocol guide for the 2020-21 NBA season, outlining procedures for how it will deal with the coronavirus.

Now the league has provided updated guidance detailing further restrictions at home and on the road, safety precautions for the NBA principals and their families, and discipline for violations that could affect other players, teams, and the game schedule itself.

Daily testing began last weekend in advance of training camps opening. Teams began required individual workouts Tuesday, with group activities starting this weekend.

Among the key provisions in the initial document:

• Occurrence of independent cases (not spread among players or staff), or a small or “expected number” of COVID-19 cases will not require a decision to suspend or cancel the season.

• Anyone who tests positive will have two routes to return to work: go 10 days or more after the first positive test or onset of symptoms, or test negative twice at least 24 hours apart via PCR testing.

• Any player who tests positive, even if asymptomatic, will not be allowed to exercise for a minimum of 10 days and then must be monitored in individual workouts for an additional two days.

• There are no criteria mentioned for what might prompt the NBA to suspend the season.

• Team traveling parties will be limited to 45 people, including 17 players, as they make their way around the country to play a home-and-road schedule in NBA arenas.

• As in the Orlando bubble, an anonymous tip line will be made available to report possible violations of safety protocols.

The latest memo specified the NBA’s response to and penalties for violation of safety protocols. After the successful restart last summer to complete the 2019-20 season and postseason in the Orlando “bubble,” the league is tackling a more traditional — and potentially precarious — approach this season with in-market games, including travel and hotel stays.

Details of the enhanced virus protocols and discipline policies include:

• Players violating the safety guidelines may face a loss of pay proportionate to any lost availability due to quarantines or reinstatement steps. Other penalties may include formal warnings, fines, suspensions, or educational sessions.

• The NBA may conduct unannounced inspections of team facilities to ensure that franchisees are complying with the safety protocols.

• Once a vaccine is available, the league and the National Basketball Players Association will negotiate whether players, coaches and staff will be required to receive it. If it is not required, adjustments to the safety provisions — such as requiring more masking or testing of those who choose not to receive the vaccination — might be implemented.

• While in their team’s home market, team personnel will be prohibited from going to bars, lounges, or clubs, from attending live entertainment or sports events, from using gyms, spas or pools, or from participating in social gatherings with more than 15 people.

• On the road, players, coaches, and staff will be permitted to dine outside their hotels if the restaurants provide outdoor dining, have fully privatized indoor rooms, or have met requirements to be formally approved by the league and the players’ union. The NBA and NBPA will work to provide a list of at least three approved restaurants in each market.

• Teams will designate traveling parties of no more than 45 people as “Tier 1” members. Other employees and staff with less direct contact, requiring masks and social-distancing, will be classified as “Tier 2.” Individuals in both tiers will be subject to daily coronavirus testing. The NBA also will provide twice-weekly tests for household members of players and staff.

• Teams also face potential penalties for failing to comply with or failing to report violations of the mandated safety protocols.

The NBA preseason schedule, featuring 49 games (two to four per team), begins Friday and runs through Dec. 19. The NBA’s plan for a 72-game regular-season starts Dec. 22 and ends in mid-May, with the 2021 Finals scheduled to be completed in July.

The 2019-20 season was interrupted by a virus shutdown that lasted from March 11 to July 30. Play resumed with 22 of the 30 teams participating in eight seeding games, after which a Play-In Tournament for the Western Conference No. 8 seed was followed by the traditional 16-team playoff bracket.

All games and activities of the restart were staged in a “bubble” at ESPN Wide World of Sports Complex in the Walt Disney World Resort outside Orlando. The ambitious and costly (approximately $180 million) project saved the league an estimated $1.5 billion in additional revenue losses while enabling the Los Angeles Lakers to be crowned as 2020 champions on Oct. 11.

Houston Rockets season opener against Oklahoma City postponed due to COVID-19

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The Houston Rockets game against Oklahoma City Thunder has been postponed due to positive or inconclusive COVID-19 tests.

The game’s cancellation came just a few hours before the team’s home opener at the Toyota Center.

Four other players have been quarantined after contact tracing. According to a statement, James Harden, who was set to start in Wednesday’s game, was unavailable due to a violation of the NBA’s health and safety protocols.

In a previous social media post, Harden was seen without a mask while at a group event.

With no Florida bubble, the players have to abide by strict rules. While in Houston, Rockets players can’t go to bars, clubs, or lounges. They can’t attend a live sporting event or social gatherings of more than 15 people.

On the road, they can only eat at approved restaurants, and eat outdoors, or in private rooms. The Rockets say the game will be rescheduled, and fans will receive information on how to attend.

Another Rockets star, John Wall, who tested negative for coronavirus, is among a group of players sent home Wednesday afternoon because of a positive test of another teammate.
The Rockets disclosed Tuesday that guard Ben McLemore is in self-isolation and out for Wednesday night’s regular-season opener against the Oklahoma City Thunder. McLemore tested positive days ago, sources said. He is not the teammate whose positive test initiated contact tracing on the team Wednesday.

The game was nine months in the making. Something fan Savannah Davis drove hours to enjoy.

Davis made the trip because the Rockets were going to play the first regular-season game with fans since March. But her emotions came out when she learned it was postponed a couple of hours before tip-off.

“I cried in my car. I was going to cry out here when you stopped me, but I’m not going to cry on TV because that’s awkward,” Davis told.

But she wasn’t the only disappointed fan. Instead of Toyota Center employees scanning tickets, a few of them informed fans the game was off.

After waiting months to see the Rockets play, it’ll at least be another week before they get another opportunity on New Year’s Eve night.
Read the NBA’s full statement on its website.

Houston Rockets season opener against Thunder postponed; Harden out for COVID-19 violation

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The NBA has postponed the Houston Rockets game against the Oklahoma City Thunder due to health and safety concerns, according to a release. The season-opening matchup was scheduled for Wednesday night at the Toyota Center in Houston.

The league stated that the Rockets did not have enough players to compete. According to league rules, teams must have eight eligible players or half of a typical 16-men roster.

“Three Houston Rockets players have returned tests that were either positive or inconclusive for coronavirus under the NBA’s testing program. Following the contract tracing protocols, four other players are quarantined at this time,” the NBA stated in a press release.

The NBA also stated that James Harden was unavailable for the game after he violated the league’s health and safety protocols.

A video on Instagram surfaced Wednesday morning showing Harden attending a party Monday night in Houston, where he was not wearing a mask. ESPN previously reported that if the NBA could verify the photos, then the Rockets star could miss the game.

According to the NBA, all other Rockets players were tested again Wednesday, and all returned negative results. While one additional player is out due to injury.

A total of nine Rockets players were unavailable for the game.

Mayor Turner’s Statement on the Stimulus Relief Bill

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Please attribute the following statement and information to Mayor Sylvester Turner.

“While negotiations continue over the stalled COVID-19 stimulus relief bill in Washington D.C., the City of Houston is leading efforts to help individuals who are struggling financially due to the pandemic. I am grateful that the Texas Supreme Court has extended its emergency eviction relief program, which will impose a moratorium on evictions through March 15The move will keep hard-working people in their homes during a deadly pandemic.

“The decision was made after I wrote a letter earlier this month urging the court to reinstate a 90-day suspension of eviction hearings to help contain the current surge of COVID-19 cases. You can review the letter here on the city’s government relations office webpage.

“And as the U.S. Congress debates whether to increase direct stimulus aid to Americans from $600 to $2,000, the City is putting $1,200 checks of much needed assistance directly into the hands of those who are struggling financially.

On December 2, Houston City Council unanimously approved another round of COVID-19 relief funds in the amount of $20 million. BakerRipley is administering the CARES Act fund program on the City’s behalf.

  • As of Wednesday, December 23, 2020 (today)
    • Direct Assistance
      • 13,230 direct assistance checks ($1,200 each) have been sent out totaling $15,876,000 (CARES Act)
      • 469 direct assistance checks ($1,200 each) have been distributed totaling $ 562,800 (Philanthropic Funds)
    • Rental Assistance
      • 12,125 tenants assisted through $15 million Round 2 of City of Houston Rental Assistance (CARES Act)
      • 11,853 tenants assisted through $15 million Round 1 of City of Houston Rental Assistance (CARES Act)
    • Utility Assistance
      • 3,567 direct utility assistance checks ($400) have been sent totaling $ 1,426,800 (CARES Act)
  • Additional direct assistance and utility assistance checks will go out at end of today, Wednesday, December 23.
  • We are on target to have all $20M ($19M in assistance) paid out by December 30, 2020.
  • Recipients are from the Harris County Direct Assistance waiting list and from other  City of Houston COVID-19 Assistance Programs.

“The City of Houston is putting critical dollars directly into families’ hands and there are no stipulations on how they can use the money. The funds can go to rent, utilities, or other critical needs. People facing financial challenges need to have flexibility ahead of the holidays.”

More delays, crashes expected as holiday exodus from the capital continues

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Motorists heading out of Wellington for Christmas and the summer holidays today should expect more traffic and delays after significant congestion across the region on Tuesday.

Waka Kotahi New Zealand Transport Agency is advising people to use its online holiday journey hotspots tool to work out when and where delays are expected across the entire State Highway network.

For Christmas Eve, it predicts traffic northbound on the Kāpiti Coast on State Highway 1, between Peka Peka and Ōtaki, will begin to get busy from 9 am and remain busy until 7.30 pm.

Southbound, it will be busy between 11 am and 5 pm.

State Highway 2 northbound on Remutaka Hill between Wellington and Featherston will be busy from midday until 3.30 pm.

An exodus of vehicles from the capital on Tuesday, coupled with a crash, resulted in heavy congestion and gridlock in some areas throughout the day, with some motorists reporting moving just 2 kilometers in one hour.

Traffic didn’t begin to ease until about 6.30 pm.

A crash across both lanes on SH1 near Ōtaki caused significant delays and led police to ask drivers to avoid the area unless it was urgent.

One motorist said it took two hours to get from the CBD to Paraparaumu, with one hour spent in crawling traffic between Plimmerton roundabout and Pukerua Bay – a stretch of road which usually takes less than five minutes.

“Everybody was well-behaved though, very patient, calm, and taking it in their stride,” she said.

Another motorist, Liz Hay, said she left Plimmerton roundabout about 12.45 pm. By 2 pm they were still “well south of Ōtaki”.

“We’re from the South Island and have never experienced anything like it. There are often sections where we don’t move at all.”

Greg Halford was also caught in the congestion and said an hour and 45 minutes after leaving Wellington they were still 10km out of Ōtaki.

CHRISTMAS EVE CAPITAL CRASHES

There have been two crashes across Wellington so far on Christmas Eve, as of 6.30 am.

In the first, a person received moderate injuries after their car crashed into a power pole on Hampshire St in Cannons Creek, Porirua, about 5.50 am.

The power pole was down across the road and police were in attendance as of 6.20 am, assisting with traffic control. The driver received moderate injuries.

The car would be towed, police said.

In the second crash, a car hit a barrier on Cuba St in Alicetown, Lower Hutt, just after 6 am. There were no injuries or road blockages in that crash.

Expects 85 million Americans to travel over holidays

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Tens of millions of people are expected to travel to family gatherings or winter vacations over Christmas, despite pleas by public health experts who fear the result could be another surge in COVID-19 cases.

In the U.S., AAA predicts that about 85 million people will travel between Dec. 23 and Jan. 3, most of them by car. If true, that would be a drop of nearly one-third from a year ago, but it would still be a massive movement of people in the middle of a pandemic.

Jordan Ford, 24, who was laid off as a guest-relations worker at Disneyland in March, said he plans to visit both his and his boyfriend’s families in Virginia and Arkansas over Christmas.

“It is pretty safe — everyone is wearing a mask, they clean the cabin thoroughly,” said Mr. Ford, who has traveled almost weekly in recent months from his home in Anaheim, Calif., and gets tested frequently. “After you get over that first trip since the pandemic started, I think you’ll feel comfortable no matter what.”

Experts worry that Christmas and New Year’s will turn into “superspreader” events because many people are letting down their guard — either out of pandemic fatigue or in light of the hopeful news that vaccines are starting to be distributed.

“Early on in the pandemic, people didn’t travel because they didn’t know what was to come,” said Dr. Peter Chin-Hong, an infectious-disease expert at the University of California, San Francisco, “but there is a feeling now that, ‘If I get it, it will be mild; it’s like a cold.’ ”

The seven-day rolling average of newly reported infections in the U.S. has risen from about 176,000 a day just before Thanksgiving to more than 215,000 a day. It’s too early to calculate how much of that increase is due to travel and gatherings over Thanksgiving, but experts believe they are a factor.

The Centers for Disease Control and Prevention says “postponing travel and staying home is the best way to protect yourself and others from COVID-19.” People who insist on travel should consider getting tested for the virus before and after their trip and to limit nonessential activities for seven days after travel with a negative test result and 10 days if they don’t get tested.

Other countries have imposed restrictions ahead of the holidays. Last month, England, Scotland, Wales, and Northern Ireland agreed to permit a maximum of three households to mix from Dec. 23-27, regardless of what local restrictions are in place.

Germany’s ADAC motoring association says holiday traffic will be sharply reduced. The reasons include not only caution and government urging to avoid personal contact, but also the simple fact that many traditional destinations — from the country’s enchanting Christmas markets to the Alpine ski resorts — have been ordered closed.

Christmas markets, which normally draw large crowds to city centers for steaming mugs of mulled wine, have been canceled; a lockdown imposed Dec. 9 closed retail deemed nonessential.

Meanwhile, the usual pilgrimage via autobahn to the ski slopes, which typically begins on Dec. 26, will be largely absent since France, Germany, and Italy have ordered ski resorts closed. Borders are open but with significant limits such as quarantine requirements.

In Latin America, a few countries have imposed some restrictions to try to keep people from traveling or meeting during the holidays, but others advised people only to practice social distancing and skip parties.

Panama has some of the strictest measures, including a curfew through Jan. 4 and a prohibition on leaving home at all from Dec. 25-28 and Jan. 1-4 unless it’s for essential activities such as buying food or medicine. Peru, one of the region’s hardest-hit countries, has banned the use of private cars on Christmas Eve and Day and New Year’s Eve and Day in hopes of discouraging people from traveling.

In the U.S., Rachel Watterson delayed her New Year’s Eve wedding because her fiancé’s family can’t travel to the U.S. from their home in Germany. Instead, the couple plans to elope and will fly from their home in Chicago to Hawaii with her parents, her brother, and a friend. They picked Hawaii because of requirements that include coronavirus testing before arrival and a rapid test at the airport.

“We felt this was one of the very few safe choices we can make if we are going to travel,” Ms. Watterson said.

Tim Brooks, a 37-year-old engineer in Long Beach, Calif., canceled a trip to Grand Cayman because of a ban on international visitors, then scrapped a Christmas visit to his parents in North Carolina as infections spiked in California and around the country.

“If it were just us, it wouldn’t be so bad, but we have older parents and we are trying to keep them safe,” Mr. Brooks said.

Airports and planes will be far less crowded this year in what is normally a high travel season. So far in December, air travel in the U.S. is down 67% from last year. If Thanksgiving is any indication, the number of travelers will rise the rest of the month, but airlines are warning that bookings have slowed down since the latest surge in COVID-19 cases.

The nation’s top four airlines now show December and January schedules that are anywhere from 33% to 46% smaller than a year earlier, according to figures from Airline Data Inc.

Last week, the average flight within the U.S. was only 49% full compared with more than 80% full a year ago, according to the trade group Airlines for America.

The short-term outlook remains grim for other travel-related businesses, including those that rely on winter tourism.

In Vermont ski country, the Trapp Family Lodge in Stowe is usually sold out during Christmas week, but only half the 96 rooms were booked by last week. It was a similar story at the nearby Lodge at Spruce Peak. Operators of both lodges blamed travel restrictions, especially quarantine requirements that are triggered by crossing state lines.

“It is frustrating as a business to basically be forbidden to do your job and to not be able to support your employees or your community,” said Sam von Trapp, executive vice president of the family’s lodge. “At the same time, we understand that there is very good intention behind all these restrictions.”

Cruise ships often command their highest prices at Christmas and other holidays when kids are off school, but few ships are sailing this season. Carnival, Royal Caribbean, Norwegian and Disney have all canceled U.S. sailings through Feb. 28. Voyages in other parts of the world have mostly been delayed.

Florida, which relies heavily on winter tourism, is also taking a big hit. The two-week period around Christmas is normally the busiest time of year for Walt Disney World in Orlando, said Len Testa, the president of TouringPlans.com, which forecasts park attendance. But this year, the Magic Kingdom has capped park attendance at 35%, so Mr. Testa only expects around 32,000 people on those days.

Mr. Testa also expects crowd levels to be lower than usual from January through March, with many visitors rescheduling their trips to May or later.

“Many families will put off their Spring Break trips until they’re vaccinated,” he said.

Tara Kelley had planned to drive seven hours across Florida from her home in Milligan in the state’s Panhandle to Orange City, near Daytona Beach, to visit her mother and stepfather for Christmas. But Ms. Kelley’s wife recently had surgery and spent a day at a hospital where there was a risk of exposure to the coronavirus, so they called off the trip.

“We had literally been planning this since February,” Ms. Kelley said. “It’s a blow.”

Theresa Medina, a 55-year-old retiree from South Boston, is still deciding whether she and her husband will visit his mother in the Dominican Republic this winter. She said she’s 80% sure they will, and she’s already packing a box to ship ahead of their arrival. But the couple plans to discuss it with her husband’s doctor in January.

If they go, Ms. Medina said they will get tested and wear protective gear, including face shields and masks.

“We may look silly on the plane, but precautions are precautions,” she said.

U.S. tops 18 million COVID-19 cases, as daily new cases and deaths are back on the rise

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Hospitalizations spike to a record, while vaccinations jump after more states provide public reports.

The U.S. topped another somber milestone in COVID-19 cases of 18 million on Tuesday, as the number of daily new cases and deaths got back to increasing to snap a brief streak of declines.

Hospitalizations rose for the first time in four days, but by enough to mark another record.

Meanwhile, with more states publicly reporting vaccinations, the number of doses administered nationwide jumped by more than 100,000.

Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, received his shot Tuesday morning on TV, as did Health and Human Services Secretary Alex Azar, a day after President-elect Joe Biden got his first shot of Pfizer Inc.’s PFE, +2.24% and BioNTech SE’s BNTX, -0.62% vaccine.

The U.S. has now recorded a total of 18,134,027 COVID-19 cases as of Tuesday morning, according to data provided by Johns Hopkins University, as the death toll rose to 321,301.

On a daily basis, new COVID-19 cases increased to 210,723 on Monday, up from 179,801 on Sunday to snap a three-day streak of declines, according to the New York Times data. At least 1,962 people died from COVID-19 on Monday, up from 1,422 on Sunday, also the first increase in four days.

The new daily counts were well below the one-day records of 280,514 (with data anomaly) in new cases seen on Dec. 11, the New York Times data shows, and 3,611 in deaths suffered on Dec. 16.

Hospitalizations jumped by 1,750 in a day to the record of 115,351, according to the COVID Tracking Project. That’s the biggest one-day increase since it rose by 2,265 on Dec. 15, and the record was the 17th reached this month.

There have now been 23 states that have publicly reported vaccinations, according to JHU data, with the dose count climbing to 244,706 from 144,336 the day before. The states that have reported the most doses administered are Florida with 43,716 and Texas with 42,248.

This comes amid growing concerns over a new, more infectious strain of the novel coronavirus that causes COVID-19 that has bubbled up from the U.K., which has led many countries to issue travel bans.

New York Gov. Andrew Cuomo announced Monday that Delta Air Lines Inc. DAL, +3.31%, and British Airways have agreed to require passengers show a negative COVID-19 test before boarding U.K. flights to New York City.

Donald Trump demands bigger stimulus checks in $900 billion COVID-19 relief package passed by Congress

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In an unexpected video posted to Twitter on Tuesday night, President Donald Trump denounced a sweeping COVID-19 relief package he was expected to sign, calling it a “disgrace” and urging congressional leaders to make several changes to the bill including increasing direct payments for Americans.

“It’s called the COVID relief bill, but it has almost nothing to do with COVID,” he said in a video posted just moments after he issued a raft of pardons for several allies. “I’m asking Congress to amend this bill and increase the ridiculously low $600 to $2,000 or $4,000 for a couple.”

The president stopped short of saying he would veto the bipartisan legislation but was expected to sign the measure alongside a $1.4 trillion spending bill to fund the government. Trump called on Congress to remove “wasteful and unnecessary items from this legislation,” appearing to conflate the relief bill with the government spending measure.

The roughly $900 billion measure was attached to a $1.4 trillion spending bill to fund the federal government through Sept. 30, 2021 (the end of the fiscal year) to form a nearly 5,600 page-bill that is one of the largest pieces of legislation Congress has ever tackled. The measure also includes bipartisan provisions like the end of surprise medical billing and legislation creating Smithsonian museums for women and Latinos.