Trump, Biden clash in final debate on COVID-19 response, health care, race

Aides to Trump and Biden separately reported their candidates tested negative for COVID-19 ahead of the final debate.

Earlier Thursday, White House press secretary Kayleigh McEnany told reporters that Trump had tested negative, and Trump’s chief of staff Mark Meadows said the president was tested during the flight from the Washington, D.C., area to Nashville.

They did not offer information on whether the people who accompanied Trump to Nashville -- including Ivanka Trump, Jared Kushner, Tiffany Trump, Bill Stepien, David Bossie and Robert O’Brien -- were tested.

] text=[MORE: Election 2020 live updates: 'I think the mute is very unfair': Trump on debate mics]/

Biden’s campaign said in an earlier statement the former vice president “underwent PCR testing for COVID-19 today and COVID-19 was not detected” -- his thirteenth negative test since the campaign began disclosing test results in the aftermath of the last debate and Trump’s positive diagnosis.

Biden told reporters on his way to Nashville that he'd hoped everyone got tested ahead of the debate.

At a NBC News town hall last week, Trump claimed he didn’t remember whether he’d been tested on the day of the first debate, which took place before his first positive COVID-19 test was reported.

-ABC News' Molly Nagle and Jordyn Phelps

Atlanta Mayor Keisha Lance Bottoms tweeted Thursday that she will be attending the presidential debate as a guest of Biden. Bottoms also tweeted that she was a guest at the first debate in September.

Other guests of the former vice president include small business owners Zweli and Leonardo Williams of Durham, North Carolina. Biden campaign senior adviser Symone Sanders said the campaign invited them to draw attention to the struggles of small business owners.

“These small business owners from Durham -- because these are much like small business owners from Wisconsin, like the small business owners down in Georgia, like small business owners all over this country -- who are grappling with how to make ends meet, how to continue to provide, not only for their families but their employees. They're making decisions that, frankly, they shouldn't have to make because the president failed them,” Sanders said. 

-ABC News’ John Verhovek and Beatrice Peterson.

Trump's advisers have urged him to highlight his policy differences with Biden and present his case to the American people as to why he deserves another four years in office, sources said.

He trails Biden in the polls and this is his final opportunity to pitch himself to a large audience in primetime before Election Day.

Some top advisers would like to see a less combative, calmer Trump at the debate but concede that is an uphill battle given the president will focus on Biden’s family, which aides hope will get under Biden's skin, multiple sources said. However, other top advisers don't think that focus helps move any of the remaining swing voters. 

Aides have also urged him not to interrupt Biden as much and have been re-watching the last debate with Hillary Clinton in 2016 as a guide as the White House views that debate as his strongest. The president's team also intends to heavily monitor the mute button usage, sources said. 

Trump has held no mock debates leading up to his final face-off with Biden and has prepped -- in what one source described as a "very compartmentalized" way -- with different subject matter experts providing the president a briefing and preparing notes for the president on a particular topic. He has said his best preparation comes from his exchanges with the press. 

The group advising the president has also slimmed down. For example, his former counselor Kellyanne Conway and former New Jersey Gov. Chris Christie have taken less prominent roles. 

-ABC News’ Katherine Faulders, John Santucci and Will Steakin

As he boarded his plane to Nashville earlier, Biden spoke briefly with reporters, telling them he's looking forward to the debate and said he hopes Trump plays by the rules. 

"There's plenty of time to talk when this is over, OK? So hopefully he's going to play by the rules. Hopefully everyone's been tested. Hopefully it's all worked out, the way the rules are. I'm looking forward to this," Biden said before getting on the plane.

Biden's team has remained tight-lipped about their debate preparation for the final debate, but allies and advisers to Biden said they aren't expecting much of a change from either candidate ahead of the crucial matchup.

"I think Joe Biden is prepared for a completely unconventional debate in which the President of the United States does not act presidential (for) one minute. And the challenge is to not be distracted by the Trump show, and to make sure that Joe effectively puts out his positive vision," Sen. Chris Coons, D-Del., told ABC News.

An aide to Biden said the former vice president plans to again focus on his message to viewers at home, but would not be shy about standing up to Trump's interjections when necessary, especially given reports of the president's planned personal attacks on Biden and his family.

-ABC News' Molly Nagle