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Hawaii’s COVID-19 case counts and hospitalizations have declined to the point where the islands are ready to welcome travelers once again, the governor said Tuesday. Gov. David Ige said vacationers and business travelers are welcome to return to the islands starting Nov. 1. (McAvoy, 10/20)

Idaho’s COVID-19 case numbers are so high that the state is still worse off than when it first entered crisis standards of care, but public health officials said Tuesday that some hope is on the horizon. “For the first time since July, things are headed in a better direction,” Idaho Department of Health and Welfare Director Dave Jeppesen said during a public briefing, noting that the number of new cases was flattening out. “It also means that we are not out of the woods yet.” (Boone, 10/19)

Montana became the state with the highest number of COVID-19 cases per 100,000 people in the country Tuesday morning. The New York Times COVID tracker moved Montana into the top slot as the state hit 97 cases per 100,000 people per day. Idaho and Wyoming follow with 78 cases and 75 cases per 100,000 people respectively. Alaska, which had been number one over the weekend, has moved down to fourth in the country with 71 cases per 100,000 people. “We are the hottest spot and Yellowstone County is leading with the number of cases in the state,” said Public Health Officer John Felton during a Tuesday meeting of the County Commissioners. (Schabacker, 10/19)

Homeland Security Secretary Alejandro Mayorkas tested positive Tuesday for COVID-19 and is isolating at home, the agency said. The secretary has been fully vaccinated and is experiencing only “mild congestion,” DHS said in a statement. The agency said he will work from home under the protocols recommended by the U.S. Centers for Disease and Prevention. (10/19)

Fox News host Neil Cavuto, who has been open about his health struggles with multiple sclerosis, announced Tuesday that he has tested positive for COVID-19 despite being vaccinated. Cavuto did not host his Fox show "Your World" on Tuesday due to the diagnosis. "While I'm somewhat stunned by this news, doctors tell me I'm lucky as well," Cavuto said in a statement shared with The Hill. "Had I not been vaccinated, and with all my medical issues, this would be a far more dire situation. It's not, because I did and I'm surviving this because I did."  (Prieb, 10/19)

Virginia Gov. Ralph Northam still has long COVID-19 symptoms more than a year after his initial infection, he said in an interview with the Virginian-Pilot. The Democratic governor is one of millions of Americans suffering from symptoms of long COVID, which could have serious implications for employers and social programs if enough people can no longer work because of it, per Axios' Caitlin Owens. (Garfinkel, 10/19)

CNN’s John King revealed during an on-air discussion of COVID-19 vaccine mandates on Tuesday that he has multiple sclerosis. “I’m going to share a secret I’ve never spoken before,” King said while leading a panel discussion on his “Inside Politics” show. “I’m immunocompromised. I have multiple sclerosis. So, I’m grateful you’re all vaccinated.” King and his guests were talking about mandates in the context of the death of former Secretary of State Colin Powell, who died Monday of COVID complications despite being vaccinated because he had cancer that compromised his immune system. (10/19)