CHICAGO (Reuters) – Home healthcare providers, the lifelines to 12 million vulnerable Americans, are scrambling to decide how to serve patients who show symptoms of coronavirus — and how to ensure that the providers themselves neither catch nor spread it.

A Texas-based company operating in 26 states instructed its caregivers to leave the homes of clients who recently traveled from states with “widespread community transmission” or who had contact with anyone screened for coronavirus, regardless of whether that person tested positive, according to an internal directive reviewed by Reuters.

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