Text: H.R.6800 — 116th Congress (2019-2020)All Information (Except Text)

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[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6800 Engrossed in House (EH)]

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116th CONGRESS
  2d Session
                                H. R. 6800

_______________________________________________________________________

                                 AN ACT


 
Making emergency supplemental appropriations for the fiscal year ending 
              September 30, 2020, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as ``The Heroes Act''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents for this Act is as follows:

 DIVISION A--CORONAVIRUS RECOVERY SUPPLEMENTAL APPROPRIATIONS ACT, 2020

Title I--Agriculture, Rural Development, Food and Drug Administration, 
                            and Related Agencies
Title II--Commerce, Justice, Science, and Related Agencies
Title III--Financial Services and General Government
Title IV--Homeland Security
Title V--Interior, Environment, and Related Agencies
Title VI--Departments of Labor, Health and Human Services, and 
                            Education, and Related Agencies
Title VII--Legislative Branch
Title VIII--Department of State, Foreign Operations, and Related 
                            Programs
Title IX--Transportation, Housing and Urban Development, and Related 
                            Agencies
Title X--General Provisions--This Division
                     DIVISION B--REVENUE PROVISIONS

Title I--Economic stimulus
Title II--Additional relief for workers
Title III--Net operating losses
                     DIVISION C--HEALTH PROVISIONS

Title I--Medicaid Provisions
Title II--Medicare Provisions
Title III--Private Insurance Provisions
Title IV--Application to Other Health Programs
Title V--Public Health Policies
Title VI--Public Health Assistance
Title VII--Other matters
                   DIVISION D--RETIREMENT PROVISIONS

Title I--Relief for Multiemployer Pension Plans
Title II--Relief for Single Employer Pension Plans
Title III--Other Retirement Related Provisions
         DIVISION E--CONTINUED ASSISTANCE TO UNEMPLOYED WORKERS

  DIVISION F--ASSISTANCE TO AGRICULTURAL PRODUCERS AND OTHER MATTERS 
                        RELATING TO AGRICULTURE

Title I--Livestock
Title II--Dairy
Title III--Specialty Crops and Other Commodities
Title IV--Commodity Credit Corporation
Title V--Conservation
Title VI--Nutrition
          DIVISION G--ACCOUNTABILITY AND GOVERNMENT OPERATIONS

Title I--Accountability
Title II--Census Matters
Title III--Federal Workforce
Title IV--Federal Contracting Provisions
Title V--District of Columbia
Title VI--Other Matters
           DIVISION H--VETERANS AND SERVICEMEMBERS PROVISIONS

                 DIVISION I--SMALL BUSINESS PROVISIONS

    DIVISION J--SUPPORT FOR ESSENTIAL WORKERS, AT-RISK INDIVIDUALS, 
                       FAMILIES, AND COMMUNITIES

Title I--Family Care for Essential Workers
Title II--Pandemic Emergency Assistance and Services
Title III--Program Flexibility During the Pandemic
                     DIVISION K--COVID-19 HERO ACT

Title I--Providing Medical Equipment for First Responders and Essential 
                            Workers
Title II--Protecting Renters and Homeowners from Evictions and 
                            Foreclosures
Title III--Protecting People Experiencing Homelessness
Title IV--Suspending Negative Credit Reporting and Strengthening 
                            Consumer and Investor Protections
Title V--Forgiving Student Loan Debt and Protecting Student Borrowers
Title VI--Standing Up For Small Businesses, Minority-Owned Businesses, 
                            and Non-Profits
Title VII--Empowering Community Financial Institutions
Title VIII--Providing Assistance for State, Territory, Tribal, and 
                            Local Governments
Title IX--Providing Oversight and Protecting Taxpayers
    DIVISION L--FAMILIES, WORKERS, AND COMMUNITY SUPPORT PROVISIONS

Title I--Amendments to Emergency Family and Medical Leave Expansion Act 
                            and Emergency Paid Sick Leave Act
Title II--COVID-19 Workforce Development Response Activities
Title III--COVID-19 Every Worker Protection Act of 2020
Title IV--Community and Family Support
Title V--COVID-19 Protections under Longshore and Harbor Workers' 
                            Compensation Act
   DIVISION M--CONSUMER PROTECTION AND TELECOMMUNICATIONS PROVISIONS

Title I--COVID-19 Price Gouging Prevention
Title II--E-Rate Support for Wi-Fi Hotspots, Other Equipment, and 
                            Connected Devices
Title III--Emergency Benefit for Broadband Service
Title IV--Continued Connectivity
Title V--Don't Break Up the T-Band
Title VI--National Suicide Hotline Designation
Title VII--COVID-19 Compassion and Martha Wright Prison Phone Justice
Title VIII--Healthcare Broadband Expansion During COVID-19
          DIVISION N--GIVING RETIREMENT OPTIONS TO WORKERS ACT

          DIVISION O--EDUCATION PROVISIONS AND OTHER PROGRAMS

Title I--Higher Education Provisions
Title II--Other Programs
                         DIVISION P--ACCESS ACT

                    DIVISION Q--COVID-19 HEROES FUND

Title I--Provisions relating to State, Local, Tribal, and Private 
                            Sector Workers
Title II--Provisions relating to Federal employees and COVID-19
Title III--Coordination of benefits with other programs and laws
            DIVISION R--CHILD NUTRITION AND RELATED PROGRAMS

                       DIVISION S--OTHER MATTERS

Title I--Health Care Access for Urban Native Veterans Act
Title II--Tribal School Federal Insurance Parity
Title III--PRC for Native Veterans Act
Title IV--Wildlife-Borne Disease Prevention
Title V--Pandemic Relief for Aviation Workers and Passengers
Title VI--Amtrak and Rail Workers
Title VII--Energy and Environment Provisions
Title VIII--Death and disability benefits for public safety officers 
                            impacted by COVID-19
Title IX--Victims of Crime Act Amendments
Title X--Jabara-Heyer NO HATE Act
Title XI--Prisons and Jails
Title XII--Immigration Matters
Title XIII--Coronavirus Relief Fund Amendments
Title XIV--Rural Digital Opportunity
Title XV--Foreign Affairs Provisions
Title XVI--Scientific Integrity Act
                  DIVISION T--ADDITIONAL OTHER MATTERS

SEC. 3. REFERENCES.

    Except as expressly provided otherwise, any reference to ``this 
Act'' contained in any division of this Act shall be treated as 
referring only to the provisions of that division.

 DIVISION A--CORONAVIRUS RECOVERY SUPPLEMENTAL APPROPRIATIONS ACT, 2020

     The following sums are hereby appropriated, out of any money in 
the Treasury not otherwise appropriated, for the fiscal year ending 
September 30, 2020, and for other purposes, namely:

TITLE I--AGRICULTURE, RURAL DEVELOPMENT, FOOD AND DRUG ADMINISTRATION, 
                          AND RELATED AGENCIES

                       DEPARTMENT OF AGRICULTURE

                         AGRICULTURAL PROGRAMS

                      Office of Inspector General

    For an additional amount for ``Office of Inspector General'', 
$2,500,000, to remain available until September 30, 2021, to prevent, 
prepare for, and respond to coronavirus, domestically or 
internationally:  Provided, That the funding made available under this 
heading in this Act shall be used for conducting audits and 
investigations of projects and activities carried out with funds made 
available to the Department of Agriculture to prevent, prepare for, and 
respond to coronavirus, domestically or internationally:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                       RURAL DEVELOPMENT PROGRAMS

                         Rural Housing Service

                       rental assistance program

    For an additional amount for ``Rental Assistance Program'', 
$309,000,000, to remain available until September 30, 2021, to prevent, 
prepare for, and respond to coronavirus, for temporary adjustment of 
wage income losses for residents of housing financed or assisted under 
section 514, 515, or 516 of the Housing Act of 1949, without regard to 
any existing eligibility requirements based on income: Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                         DOMESTIC FOOD PROGRAMS

                       Food and Nutrition Service

                        child nutrition programs

    For an additional amount for ``Child Nutrition Programs'', 
$3,000,000,000 to remain available until September 30, 2021, to 
prevent, prepare for, and respond to coronavirus, domestically or 
internationally:  Provided, That the amount provided under this heading 
is for the purposes of carrying out section 180002 of the ``Child 
Nutrition and Related Programs Recovery Act'':  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

special supplemental nutrition program for women, infants, and children 
                                 (wic)

    For an additional amount for the ``Special Supplemental Nutrition 
Program for Women, Infants, and Children'', $1,100,000,000, to remain 
available until September 30, 2022:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                supplemental nutrition assistance program

    For an additional amount for ``Supplemental Nutrition Assistance 
Program'', $10,000,000,000, to remain available until September 30, 
2021, to prevent, prepare for, and respond to coronavirus:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                      commodity assistance program

    For an additional amount for ``Commodity Assistance Program'', 
$150,000,000, to remain available through September 30, 2021, for the 
emergency food assistance program as authorized by section 27(a) of the 
Food and Nutrition Act of 2008 (7 U.S.C. 2036(a)) and section 204(a)(1) 
of the Emergency Food Assistance Act of 1983 (7 U.S.C. 7508(a)(1)):  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     GENERAL PROVISIONS--THIS TITLE

    Sec. 10101.  For an additional amount for the Commonwealth of the 
Northern Mariana Islands, $1,822,000, to remain available until 
September 30, 2021, for nutrition assistance to prevent, prepare for, 
and respond to coronavirus:  Provided, That such amount is designated 
by the Congress as being for an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985.
    Sec. 10102.  Under the heading ``Commodity Assistance Program'' in 
the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116-
136), strike ``to prevent, prepare for, and respond to coronavirus, 
domestically or internationally,'':  Provided, That the amounts 
repurposed pursuant to the amendment made by this section that were 
previously designated by the Congress as an emergency requirement 
pursuant to the Balanced Budget and Emergency Deficit Control Act of 
1985 are designated by the Congress as an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.
    Sec. 10103.  For an additional amount for the program established 
under section 7522 of the Food, Conservation, and Energy Act of 2008 (7 
U.S.C. 5936), to prevent, prepare for, and respond to coronavirus, 
$20,000,000, to remain available until September 30, 2021:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.
    Sec. 10104.  Section 11004 of the Coronavirus Aid, Relief, and 
Economic Security Act (Public Law 116-136) is amended by inserting 
after the 4th proviso the following: ``Provided further, That the 
condition set forth in section 9003(f) of the Farm Security and Rural 
Investment Act of 2002 shall apply with respect to all construction, 
alteration, or repair work carried out, in whole or in part, with funds 
made available by this section:'': Provided, That amounts repurposed 
pursuant to the amendments made pursuant to this section are designated 
by the Congress as being for an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985.

       TITLE II--COMMERCE, JUSTICE, SCIENCE, AND RELATED AGENCIES

                         DEPARTMENT OF COMMERCE

                          Bureau of the Census

                      current surveys and programs

                     (including transfer of funds)

    For an additional amount for ``Current Surveys and Programs'', 
$10,000,000:  Provided, That such sums may be transferred to the Bureau 
of the Census Working Capital Fund for necessary expenses incurred as a 
result of the coronavirus, including for payment of salaries and leave 
to Bureau of the Census staff resulting from the suspension of data 
collection for reimbursable surveys conducted for other Federal 
agencies:  Provided further, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                     periodic censuses and programs

    For an additional amount for ``Periodic Censuses and Programs'', 
$400,000,000, to remain available until September 30, 2022, to prevent, 
prepare for, and respond to coronavirus:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

            National Oceanic and Atmospheric Administration

                   assistance to fishery participants

    Pursuant to section 12005 of the Coronavirus Aid, Relief, and 
Economic Security Act of 2020 (Public Law 116-136), for an additional 
amount for ``Assistance to Fishery Participants'', $100,000,000, to 
remain available until September 30, 2021, for necessary expenses to 
provide assistance to Tribal, subsistence, commercial, and charter 
fishery participants affected by the novel coronavirus (COVID-19), 
which may include direct relief payments:  Provided, That such amount 
is designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                        Departmental Management

                      office of inspector general

    For an additional amount for ``Office of Inspector General'', 
$1,000,000, to remain available until expended to prevent, prepare for, 
and respond to coronavirus, including the impact of coronavirus on the 
work of the Department of Commerce and to carry out investigations and 
audits related to the funding made available for the Department of 
Commerce in this Act and in title II of division B of Public Law 116-
136:  Provided, That such amount is designated by the Congress as being 
for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

            administrative provision--department of commerce

    Sec. 10201.  Notwithstanding any other provision of law, the 
Federal share for grants provided by the Economic Development 
Administration under Public Law 116-93, Public Law 116-20, and Public 
Law 116-136 shall be 100 percent:  Provided, That the amounts 
repurposed in this section that were previously designated by the 
Congress as an emergency requirement pursuant to the Balanced Budget 
and Emergency Deficit Control Act of 1985 are designated by the 
Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                         DEPARTMENT OF JUSTICE

                         Federal Prison System

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'', 
$200,000,000, to remain available until September 30, 2021, to prevent, 
prepare for, and respond to coronavirus, including the impact of 
coronavirus on the work of the Department of Justice, to include 
funding for medical testing and services, personal protective 
equipment, hygiene supplies and services, and sanitation services:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                      Office of Inspector General

    For an additional amount for ``Office of Inspector General'', 
$3,000,000, to remain available until expended to prevent, prepare for, 
and respond to coronavirus, including the impact of coronavirus on the 
work of the Department of Justice and to carry out investigations and 
audits related to the funding made available for the Department of 
Justice in this Act:  Provided, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

               State and Local Law Enforcement Activities

                    Office on Violence Against Women

       violence against women prevention and prosecution programs

    For an additional amount for ``Violence Against Women Prevention 
and Prosecution Programs'', $100,000,000, to remain available until 
expended, of which--
            (1) $30,000,000 is for grants to combat violence against 
        women, as authorized by part T of the Omnibus Crime Control and 
        Safe Streets Acts of 1968;
            (2) $15,000,000 is for transitional housing assistance 
        grants for victims of domestic violence, dating violence, 
        stalking, or sexual assault, as authorized by section 40299 of 
        the Violent Crime Control and Law Enforcement Act of 1994 
        (Public Law 103-322; ``1994 Act'');
            (3) $15,000,000 is for sexual assault victims assistance, 
        as authorized by section 41601 of the 1994 Act;
            (4) $10,000,000 is for rural domestic violence and child 
        abuse enforcement assistance grants, as authorized by section 
        40295 of the 1994 Act;
            (5) $10,000,000 is for legal assistance for victims, as 
        authorized by section 1201 of the Victims of Trafficking and 
        Violence Protection Act of 2000 (Public Law 106-386; ``2000 
        Act'');
            (6) $4,000,000 is for grants to assist tribal governments 
        in exercising special domestic violence criminal jurisdiction, 
        as authorized by section 904 of the Violence Against Women 
        Reauthorization Act of 2013; and
            (7) $16,000,000 is for grants to support families in the 
        justice system, as authorized by section 1301 of the 2000 Act:
  Provided, That a recipient of such funds shall not be subject, as a 
condition for receiving the funds, to any otherwise-applicable 
requirement to provide or obtain other Federal or non-Federal funds:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                       Office Of Justice Programs

               state and local law enforcement assistance

    For an additional amount for ``State and Local Law Enforcement 
Assistance'', $300,000,000, to remain available until expended, for the 
same purposes and subject to the same conditions as the appropriations 
for fiscal year 2020 under this heading in title II of division B of 
Public Law 116-136, including for the purchase of personal protective 
equipment, and for costs related to preventing and controlling 
coronavirus at correctional institutions:  Provided, That, 
notwithstanding section 502(a)(1) of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10153), funds provided under this 
heading in both this Act and title II of division B of Public Law 116-
136 may be used to supplant State or local funds:  Provided further, 
That a recipient of funds made available under this heading in both 
this Act and title II of division B of Public Law 116-136 shall not be 
subject, as a condition for receiving the funds, to any otherwise-
applicable requirement to provide or obtain other Federal or non-
Federal funds:  Provided further, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.
    For an additional amount for ``State and Local Law Enforcement 
Assistance'', $250,000,000, to remain available until expended, for 
offender reentry programs and research, as authorized by the Second 
Chance Act of 2007 (Public Law 110-199) and by the Second Chance 
Reauthorization Act of 2018 (Public Law 115-391), without regard to the 
time limitations specified at section 6(1) of such Act, to prevent, 
prepare for, and respond to coronavirus:  Provided, That, 
notwithstanding any other provision of law, funds provided under this 
heading may be used to supplant State or local funds:  Provided 
further, That a recipient of funds made available under this heading in 
this Act shall not be subject, as a condition for receiving the funds, 
to any otherwise-applicable requirement to provide or obtain other 
Federal or non-Federal funds:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.
    For an additional amount for ``State and Local Law Enforcement 
Assistance'', $600,000,000, to remain available until expended, for 
grants, contracts, cooperative agreements, and other assistance as 
authorized by the Pandemic Justice Response Act (``the Act''):  
Provided, That $500,000,000 is to establish and implement policies and 
procedures to prevent, detect, and stop the presence and spread of 
COVID-19 among arrestees, detainees, inmates, correctional facility 
staff, and visitors to the facilities; and for pretrial citation and 
release grants, as authorized by the Act:  Provided further, That 
$25,000,000 is for Rapid COVID-19 Testing, as authorized by the Act:  
Provided further, That $75,000,000 is for grants for Juvenile Specific 
Services, as authorized by the Act:  Provided further, That, 
notwithstanding any other provision of law, funds provided under this 
heading may be used to supplant State or local funds:  Provided 
further, That a recipient of funds made available under this heading in 
this Act shall not be subject, as a condition for receiving the funds, 
to any otherwise-applicable requirement to provide or obtain other 
Federal or non-Federal funds:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                  Community Oriented Policing Services

             community oriented policing services programs

    For an additional amount for ``Community Oriented Policing 
Services'', $300,000,000, to remain available until expended, for 
grants under section 1701 of title I of the 1968 Omnibus Crime Control 
and Safe Streets Act (34 U.S.C. 10381) for hiring and rehiring of 
additional career law enforcement officers under part Q of such title, 
notwithstanding subsection (i) of such section, and including for the 
purchase of personal protective equipment:  Provided, That, 
notwithstanding section 1704 of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10384), funds provided under this 
heading may be used to supplant State or local funds and may be used to 
retain career law enforcement officers:  Provided further, That a 
recipient of funds made available under this heading in this Act shall 
not be subject, as a condition for receiving the funds, to any 
otherwise-applicable requirement to provide or obtain other Federal or 
non-Federal funds:  Provided further, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                                SCIENCE

                      National Science Foundation

                    research and related activities

                     (including transfer of funds)

    For an additional amount for ``Research and Related Activities'', 
$125,000,000, to remain available until September 30, 2022, to prevent, 
prepare for, and respond to coronavirus, including to fund research 
grants, of which $1,000,000 shall be for a study on the spread of 
COVID-19 related disinformation:  Provided further, That, of the amount 
appropriated under this heading in this Act, up to 2 percent of funds 
may be transferred to the ``Agency Operations and Award Management'' 
account for management, administration, and oversight of funds provided 
under this heading in this Act:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                   administrative provision--science

                    study on covid-19 disinformation

    Sec. 10202.  (a) Study.--No later than 30 days after the date of 
enactment of this Act, the Director of the National Science Foundation 
shall enter into an arrangement with the National Academies of Science, 
Engineering, and Medicine (National Academies) to conduct a study on 
the current understanding of the spread of COVID-19-related 
disinformation on the internet and social media platforms. The study 
shall address the following:
            (1) the role disinformation and misinformation has played 
        in the public response to COVID-19;
            (2) the sources of COVID-19-related disinformation--both 
        foreign and domestic--and the mechanisms by which that 
        disinformation influences the public debate;
            (3) the role social media plays in the dissemination and 
        promotion of COVID-19 disinformation and misinformation content 
        and the role social media platforms play in the organization of 
        groups seeking to spread COVID-19 disinformation;
            (4) the potential financial returns for creators or 
        distributors of COVID-19 disinformation, and the role such 
        financial incentives play in the propagation of COVID-19 
        disinformation;
            (5) potential strategies to mitigate the dissemination and 
        negative impacts of COVID-19 disinformation, including 
        specifically, the dissemination of disinformation on social 
        media, including through improved disclosures; and
            (6) an analysis of the limitations of these mitigation 
        strategies, and an analysis of how these strategies can be 
        implemented without infringing on Americans' Constitutional 
        rights and civil liberties.
    (b) Report.--In entering into an arrangement under this section, 
the Director shall request that the National Academies transmit to 
Congress a report on the results of the study not later than 12 months 
after the date of enactment of this Act.
    (c) Authorization.--There is authorized to be appropriated for the 
purposes of conducting the study in this section $1,000,000.

                            RELATED AGENCIES

                       Legal Services Corporation

               payment to the legal services corporation

    For an additional amount for ``Payment to the Legal Services 
Corporation'', $50,000,000, for the same purposes and subject to the 
same conditions as the appropriations for fiscal year 2020 under this 
heading in title II of division B of Public Law 116-136:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

          TITLE III--FINANCIAL SERVICES AND GENERAL GOVERNMENT

                       DEPARTMENT OF THE TREASURY

                          Departmental Offices

                      office of inspector general

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'', 
$35,000,000, to remain available until expended, to conduct monitoring 
and oversight of the receipt, disbursement, and use of funds made 
available under the ``Coronavirus State Fiscal Relief Fund'' and the 
``Coronavirus Local Fiscal Relief Fund'' (collectively, ``Fiscal Relief 
Funds''):  Provided, That, if the Inspector General of the Department 
of the Treasury determines that an entity receiving a payment from 
amounts provided by the Fiscal Relief Funds has failed to comply with 
the provisions governing the use of such funding, the Inspector General 
shall transmit any relevant information related to such determination 
to the Committees on Appropriations of the House of Representatives and 
the Senate not later than 5 days after any such determination is made:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

           treasury inspector general for tax administration

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'', $2,500,000, 
to remain available until expended, to prevent, prepare for, and 
respond to coronavirus, domestically or internationally:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                       homeowner assistance fund

    For activities and assistance authorized in section 110202 of the 
``COVID-19 HERO Act'' , $75,000,000,000, to remain available until 
expended:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                      Bureau of the Fiscal Service

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'', 
$78,650,000, to remain available until September 30, 2021, to prevent, 
prepare for, and respond to coronavirus, domestically or 
internationally:  Provided, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                  coronavirus state fiscal relief fund

    For making payments to States, territories, and Tribal governments 
to mitigate the fiscal effects stemming from the public health 
emergency with respect to the Coronavirus Disease (COVID-19), 
$540,000,000,000 to remain available until expended, which shall be in 
addition to any other amounts available for making payments to States, 
territories, and Tribal governments for any purpose (including payments 
made under section 601 of the Social Security Act), of which:
                    (1) $20,000,000,000 shall be for making payments to 
                the Commonwealth of Puerto Rico, United States Virgin 
                Islands, Guam, Commonwealth of the Northern Mariana 
                Islands, and American Samoa:  Provided, That of the 
                amount made available in this paragraph, half shall be 
                allocated equally among each entity specified in this 
                paragraph, and half shall be allocated as an additional 
                amount to each such entity in an amount which bears the 
                same proportion to half of the total amount provided 
                under this paragraph as the relative population of each 
                such entity bears to the total population of all such 
                entities;
                    (2) $20,000,000,000 shall be for making payments to 
                Tribal governments:  Provided, That payments of amounts 
                made available in this paragraph shall be made to each 
                Tribal Government in an amount determined by the 
                Secretary of the Treasury, in consultation with the 
                Secretary of the Interior and Indian Tribes, that is 
                based on increased aggregate expenditures of each such 
                Tribal government (or a tribally-owned entity of such 
                Tribal government) in fiscal year 2020 relative to 
                aggregate expenditures in fiscal year 2019 by the 
                Tribal government (or tribally-owned entity) and 
                determined in such manner as the Secretary determines 
                appropriate to ensure that all amounts available 
                pursuant to the preceding proviso for fiscal year 2020 
                are distributed to Tribal governments:
                    (3) $250,000,000,000 shall be for making initial 
                payments to each of the 50 States and the District of 
                Columbia, of which--
                                    (A) $51,000,000,000 shall be 
                                allocated equally between each of the 
                                50 States and the District of Columbia;
                                    (B) $150,000,000,000 shall be 
                                allocated as an additional amount to 
                                each such entity in an amount which 
                                bears the same proportion to the total 
                                amount provided under this subparagraph 
                                as the relative population of each such 
                                entity bears to the total population of 
                                all such entities;
                                    (C) $49,000,000,000 shall be 
                                allocated as additional amounts among 
                                each of the 50 States and the District 
                                of Columbia in an amount which bears 
                                the same proportion to the total amount 
                                provided under this subparagraph as the 
                                relative prevalence of COVID-19 within 
                                each such entity bears to the total 
                                prevalence of COVID-19 within all such 
                                entities:  Provided, That the relative 
                                prevalence of COVID-19 shall be 
                                calculated using the most recent data 
                                on the number of confirmed and probable 
                                cases as published on the Internet by 
                                the Centers for Disease Control and 
                                Prevention for each entity specified in 
                                the preceding proviso;
            (4) $250,000,000,000 shall be for making an additional 
        payment to each of the 50 States and the District of Columbia, 
        of which--
                    (A) $51,000,000,000 shall be allocated equally 
                between each of the 50 States and the District of 
                Columbia; and
                    (B) $199,000,000,000 shall be allocated between 
                each such entity in an additional amount which bears 
                the same proportion to the total amount provided under 
                this subparagraph as the average estimated number of 
                seasonally-adjusted unemployed individuals (as measured 
                by the Bureau of Labor Statistics Local Area 
                Unemployment Statistics program) in each such entity 
                over the 3-month period ending in March 2021 bears to 
                the average estimated number of seasonally-adjusted 
                unemployed individuals in all such entities over the 
                same period.
  Provided further, That any entity receiving a payment from funds made 
available under this heading in this Act shall only use such amounts to 
respond to, mitigate, cover costs or replace foregone revenues not 
projected on January 31, 2020 stemming from the public health 
emergency, or its negative economic impacts, with respect to the 
Coronavirus Disease (COVID-19):  Provided further, That if the 
Inspector General of the Department of the Treasury determines that an 
entity receiving a payment from amounts provided under this heading has 
failed to comply with the preceding proviso, the amount equal to the 
amount of funds used in violation of such subsection shall be booked as 
a debt of such entity owed to the Federal Government, and any amounts 
recovered under this subsection shall be deposited into the general 
fund of the Treasury as discretionary offsetting receipts:  Provided 
further, That for purposes of the preceding provisos under this heading 
in this Act, the population of each entity described in any such 
proviso shall be determined based on the most recent year for which 
data are available from the Bureau of the Census, or in the case of an 
Indian tribe, shall be determined based on data certified by the Tribal 
government:  Provided further, That as used under this heading in this 
Act, the terms ``Tribal government'' and ``Indian Tribe'' have the same 
meanings as specified in section 601(g) of the Social Security Act (42 
U.S.C. 601(g)), as added by section 5001 of the CARES Act (Public Law 
116-136) and amended by section 191301 of division X of this Act, and 
the term ``State'' means one of the 50 States:  Provided further, That 
the Secretary of Treasury shall make all payments required pursuant to 
paragraphs (1), (2), and (3) not later than 30 days after the date of 
enactment of this Act, and shall make all payments required pursuant to 
paragraph (4) not later than May 3, 2021:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                  coronavirus local fiscal relief fund

    For making payments to metropolitan cities, counties, and other 
units of general local government to mitigate the fiscal effects 
stemming from the public health emergency with respect to the 
Coronavirus Disease (COVID-19), $375,000,000,000, to remain available 
until expended, which shall be in addition to any other amounts 
available for making payments to metropolitan cities, counties, and 
other units of general local government (including payments made under 
section 601 of the Social Security Act), of which--
            (1) $187,500,000,000 shall be for making payments to 
        metropolitan cities and other units of general local government 
        (as those terms are defined in section 102 of the Housing and 
        Community Development Act of 1974 (42 U.S.C. 5302)), of which--
                    (A) $131,250,000,000 shall be allocated pursuant to 
                the formula under section 106(b)(1) of the Housing and 
                Community Development Act of 1974 (42 U.S.C. 
                5306(b)(1)) to metropolitan cities (as defined in 
                section 102(a)(4) of such Act (42 U.S.C. 5302(a)(4)), 
                including metropolitan cities that have relinquished or 
                deferred their status as a metropolitan city as of the 
                date of enactment of this Act:  Provided, That 
                $87,500,000,000 of the funds provided under this 
                subparagraph shall be paid not later than 30 days after 
                the date of enactment of this Act:  Provided further, 
                That $43,750,000,000 of the funds provided under this 
                subparagraph shall be paid not earlier than April 15, 
                2021, but not later than May 3, 2021; and
                    (B) $56,250,000,000 shall be distributed to each 
                State (as that term is defined in section 102 of the 
                Housing and Community Development Act of 1974 (42 
                U.S.C. 5302)) for use by units of general local 
                government, other than counties or parishes, in 
                nonentitlement areas (as defined in such section 102) 
                of such States in an amount which bears the same 
                proportion to the total amount provided under this 
                subparagraph as the total population of such units of 
                general local government within the State bears to the 
                total population of all such units of general local 
                government in all such States:  Provided, That two-
                thirds of the funds provided under this subparagraph 
                and allocated to each such unit of general local 
                government shall be distributed to each such unit of 
                general local government not later than 30 days after 
                the date of enactment of this Act:  Provided further, 
                That the remainder of the funds provided under this 
                subparagraph and allocated to each such unit of general 
                local government shall be distributed to each such unit 
                of general local government not earlier than April 15, 
                2021, but not later than May 3, 2021:  Provided 
                further, That a State shall pass-through the amounts 
                received under this subparagraph, within 30 days of 
                receipt, to each such unit of general local government 
                in an amount that bears the same proportion to the 
                amount distributed to each such State as the population 
                of such unit of general local government bears to the 
                total population of all such units of general local 
                government within each such State:  Provided further, 
                That if a State has not elected to distribute amounts 
                allocated under this paragraph, the Secretary of the 
                Treasury shall pay the applicable amounts under this 
                subparagraph to such units of general local government 
                in the State not later than 30 days after the date on 
                which the State would otherwise have received the 
                amounts from the Secretary; and
            (2) $187,500,000,000 shall be paid directly to counties 
        within the 50 States, the District of Columbia, the 
        Commonwealth of Puerto Rico, the United States Virgin Islands, 
        Guam, the Commonwealth of the Northern Mariana Islands, and 
        American Samoa in an amount which bears the same proportion to 
        the total amount provided under this paragraph as the relative 
        population of each such county bears to the total population of 
        all such entities:  Provided, That two-thirds of the funds 
        provided under this paragraph and allocated to each such county 
        shall be distributed to each such county not later than 30 days 
        after the date of enactment of this Act:  Provided further, 
        That the remainder of the amount allocated to each such county 
        under this paragraph shall be distributed to each such county 
        not earlier than April 15, 2021, but not later than May 3, 
        2021:  Provided further, That no county that is an ``urban 
        county'' (as defined in section 102 of the Housing and 
        Community Development Act of 1974 (42 U.S.C. 5302)) shall 
        receive less than the amount the county would otherwise receive 
        if the amount distributed under this paragraph were allocated 
        to metropolitan cities and urban counties under section 106(b) 
        of the Housing and Community Development Act of 1974 (42 U.S.C. 
        5306(b)):  Provided further, That in the case of an amount to 
        be paid to a county that is not a unit of general local 
        government, the amount shall instead be paid to the State in 
        which such county is located, and such State shall distribute 
        such amount to units of general local government within such 
        county in an amounts that bear the same proportion as the 
        population of such units of general local government bear to 
        the total population of such county: Provided further, That for 
        purposes of this paragraph, the District of Columbia shall be 
        considered to consist of a single county that is a unit of 
        general local government:
  Provided further, That any entity receiving a payment from funds made 
available under this heading in this Act shall only use such amounts to 
respond to, mitigate, cover costs or replace foregone revenues not 
projected on January 31, 2020 stemming from the public health 
emergency, or its negative economic impacts, with respect to the 
Coronavirus Disease (COVID-19):  Provided further, That if the 
Inspector General of the Department of the Treasury determines that an 
entity receiving a payment from amounts provided under this heading has 
failed to comply with the preceding proviso, the amount equal to the 
amount of funds used in violation of such subsection shall be booked as 
a debt of such entity owed to the Federal Government, and any amounts 
recovered under this subsection shall be deposited into the general 
fund of the Treasury as discretionary offsetting receipts:  Provided 
further, That nothing in paragraph (1) or (2) shall be construed as 
prohibiting a unit of general local government that has formed a 
consolidated government, or that is geographically contained (in full 
or in part) within the boundaries of another unit of general local 
government from receiving a distribution under each of subparagraphs 
(A) and (B) under paragraph (1) or under paragraph (2), as applicable, 
based on the respective formulas specified contained therein:  Provided 
further, That the amounts otherwise determined for distribution to 
units of local government under each of subparagraphs (A) and (B) under 
paragraph (1) and under paragraph (2) shall each be adjusted by the 
Secretary of the Treasury on a pro rata basis to the extent necessary 
to comply with the amount appropriated and the requirements specified 
in each paragraph and subparagraph, as applicable:  Provided further, 
That as used under this heading in this Act, the term ``county'' means 
a county, parish, or other equivalent county division (as defined by 
the Bureau of the Census):  Provided further, That for purposes of the 
preceding provisos under this heading in this Act, the population of an 
entity shall be determined based on the most recent year for which data 
are available from the Bureau of the Census:  Provided further, That 
such amount is designated by Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

   Community Development Financial Institutions Fund Program Account

    For an additional amount for the ``Community Development Financial 
Institutions Fund Program Account'', $1,000,000,000, to remain 
available until September 30, 2021, to prevent, prepare for, and 
respond to coronavirus:  Provided, That the Community Development 
Financial Institutions Fund (CDFI) shall provide grants using a formula 
that takes into account criteria such as certification status, 
financial and compliance performance, portfolio and balance sheet 
strength, and program capacity:  Provided further, That not less than 
$25,000,000 shall be for financial assistance, technical assistance, 
and training and outreach programs designed to benefit Native American, 
Native Hawaiian, and Alaska Native communities:  Provided further, That 
the CDFI Fund shall make funds available under this subsection within 
60 days of the date of enactment of this Act:  Provided further, That 
funds made available under this heading may be used for administrative 
expenses, including administration of CDFI Fund programs and the New 
Markets Tax Credit Program:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

           administrative provision--internal revenue service

                     (including transfer of funds)

    Sec. 10301.  In addition to the amounts otherwise available to the 
Internal Revenue Service in fiscal year 2020, $520,000,000, to remain 
available until September 30, 2021, shall be available to prevent, 
prepare for, and respond to coronavirus, including for costs associated 
with the extended filing season:  Provided, That such funds may be 
transferred by the Commissioner to the ``Taxpayer Services'', 
``Enforcement'', or ``Operations Support'' accounts of the Internal 
Revenue Service for an additional amount to be used solely to prevent, 
prepare for, and respond to coronavirus, domestically or 
internationally:  Provided further, That the Committees on 
Appropriations of the House of Representatives and the Senate shall be 
notified in advance of any such transfer:  Provided further, That such 
transfer authority is in addition to any other transfer authority 
provided by law:  Provided further, That not later than 30 days after 
the date of enactment of this Act, the Commissioner shall submit to the 
Committees on Appropriations of the House of Representatives and the 
Senate a spending plan for such funds:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                          INDEPENDENT AGENCIES

                     Election Assistance Commission

                       election resilience grants

                     (including transfer of funds)

    For an additional amount for payments by the Election Assistance 
Commission to States for contingency planning, preparation, and 
resilience of elections for Federal office, $3,600,000,000, to remain 
available until September 30, 2021:  Provided, That of the amount 
provided under this heading, up to $5,000,000 may be transferred to and 
merged with ``Election Assistance Commission--Salaries and Expenses'':  
Provided further, That under this heading the term ``State'' means each 
of the 50 States, the District of Columbia, the Commonwealth of Puerto 
Rico, Guam, American Samoa, the United States Virgin Islands, and the 
Commonwealth of the Northern Mariana Islands:  Provided further, That 
the amount of the payments made to a State under this heading shall be 
consistent with sections 101(d) and 103 of the Help America Vote Act of 
2002 (52 U.S.C. 20903):  Provided further, That for the purposes of the 
preceding proviso, each reference to ``$5,000,000'' in such section 103 
shall be deemed to refer to ``$7,500,000'':  Provided further, That not 
later than 30 days after the date of enactment of this Act, the 
Election Assistance Commission shall obligate the funds to States under 
this heading in this Act:  Provided further, That not less than 50 
percent of the amount of the payment made to a State under this heading 
in this Act shall be allocated in cash or in kind to the units of local 
government which are responsible for the administration of elections 
for Federal office in the State:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

        administrative provision--election assistance commission

    Sec. 10302. (a) The last proviso under the heading ``Election 
Assistance Commission--Election Security Grants'' in the Financial 
Services and General Government Appropriations Act, 2020 (division C of 
Public Law 116-93; 133 Stat. 2461) shall not apply with respect to any 
payment made to a State using funds appropriated or otherwise made 
available to the Election Assistance Commission under the Coronavirus 
Aid, Relief, and Economic Security Act (Public Law 116-136).
    (b) The first proviso under the heading ``Election Assistance 
Commission--Election Security Grants'' in the Coronavirus Aid, Relief, 
and Economic Security Act (Public Law 116-136) is amended by striking 
``within 20 days of each election in the 2020 Federal election cycle in 
that State,'' and inserting ``not later than October 30, 2021,''.
    (c) The fourth proviso under the heading ``Election Assistance 
Commission--Election Security Grants'' in the Coronavirus Aid, Relief, 
and Economic Security Act (Public Law 116-136) is amended by striking 
``December 31, 2020'' and inserting ``September 30, 2021''.
    (d) Notwithstanding any requirement that a State legislature 
appropriate and release any funds made available under the Help America 
Vote Act of 2002, the chief election official of each State shall have 
access to the funds made available under the heading ``Election 
Assistance Commission--Election Security Grants'' in this Act and in 
the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116-
136) without any such action by the State legislature.
    (e) A State may elect to reallocate funds allocated under the 
heading ``Election Assistance Commission--Election Security Grants'' in 
the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116-
136) or under this heading in this Act as funds allocated under the 
heading ``Election Assistance Commission--Election Security Grants'' in 
the Financial Services and General Government Appropriations Act, 2020 
(division C of Public Law 116-93; 133 Stat. 2461) that were spent to 
prevent, prepare for, and respond to coronavirus, domestically or 
internationally, for the 2020 Federal election cycle; or funds 
allocated under the heading ``Election Assistance Commission--Election 
Reform Program'' in the Financial Services and Government 
Appropriations Act, 2018 (division E of Public Law 115-141) that were 
spent to prevent, prepare for, and respond to coronavirus, domestically 
or internationally, for the 2020 Federal election cycle.
    (f) This section shall take effect as if included in the enactment 
of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 
116-136).
    (g) The amounts repurposed pursuant to this section that were 
previously designated by the Congress as an emergency requirement 
pursuant to the Balanced Budget and Emergency Deficit Control Act of 
1985 are designated by the Congress as an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                   Federal Communications Commission

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'', 
$24,000,000, to remain available until September 30, 2021, for 
implementing title VIII of the Communications Act of 1934 (47 U.S.C. 
641 et seq.), as added by the Broadband DATA Act (Public Law 116-130):  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                      emergency connectivity fund

    For an additional amount for the ``Emergency Connectivity Fund'', 
$1,500,000,000, to remain available until September 30, 2021, to 
prevent, prepare for, and respond to coronavirus, domestically or 
internationally, through the provision of funding for Wi-fi hotspots, 
other equipment, connected devices, and advanced telecommunications and 
information services to schools and libraries as authorized in section 
130201:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                 emergency broadband connectivity fund

    For an additional amount for the ``Emergency Broadband Connectivity 
Fund'', $4,000,000,000, to remain available until September 30, 2021, 
to prevent, prepare for, and respond to coronavirus, domestically or 
internationally, through the provision of an emergency benefit for 
broadband service as authorized in section 130301:  Provided, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                    General Services Administration

                     technology modernization fund

    For an additional amount for the ``Technology Modernization Fund'', 
$1,000,000,000, to remain available until September 30, 2022, for 
technology-related modernization activities to prevent, prepare for, 
and respond to coronavirus, domestically or internationally:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     Office of Personnel Management

                      office of inspector general

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'', $1,000,000, 
to remain available until expended to prevent, prepare for, and respond 
to coronavirus, domestically or internationally:  Provided, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                     Small Business Administration

                         emergency eidl grants

    For an additional amount for ``Emergency EIDL Grants'' for the cost 
of emergency EIDL grants authorized by section 1110 of division A of 
the CARES Act (Public Law 116-136), $10,000,000,000, to remain 
available until expended, to prevent, prepare for, and respond to 
coronavirus, domestically or internationally:  Provided, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

        administrative provisions--small business administration

    Sec. 10303. (a) The third proviso under the heading ``Small 
Business Administration--Business Loans Program Account'' in the 
Financial Services and General Government Appropriations Act, 2020 
(division C of Public Law 116-93) is amended by striking 
``$30,000,000,000'' and inserting ``$75,000,000,000''.
    (b) The sixth proviso under the heading ``Small Business 
Administration--Business Loans Program Account'' in the Financial 
Services and General Government Appropriations Act, 2020 (division C of 
Public Law 116-93) is amended by striking ``$12,000,000,000'' and 
inserting ``$35,000,000,000''.

                      United States Postal Service

                     payment to postal service fund

    For an additional payment to the ``Postal Service Fund'', for 
revenue forgone due to coronavirus, $25,000,000,000, to remain 
available until September 30, 2022:  Provided, That the Postal Service, 
during the coronavirus emergency, shall prioritize the purchase of, and 
make available to all Postal Service employees and facilities, personal 
protective equipment, including gloves, masks, and sanitizers, and 
shall conduct additional cleaning and sanitizing of Postal Service 
facilities and delivery vehicles:  Provided further, That such amount 
is designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                      office of inspector general

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'', 
$15,000,000, to remain available until expended, to prevent, prepare 
for, and respond to coronavirus, domestically or internationally:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     general provisions--this title

    Sec. 10304. (a) Title V of division B of the CARES Act (Public Law 
116-136) is amended in the first proviso under the heading 
``Independent Agencies--Pandemic Response Accountability Committee'' by 
inserting ``or any other Act (including Acts other than appropriations 
Acts)'' after ``provided in this Act''.
    (b) Amounts repurposed under this section that were previously 
designated by the Congress, respectively, as an emergency requirement 
or as being for disaster relief pursuant to the Balanced Budget and 
Emergency Deficit Control Act are designated by the Congress as being 
for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985 or as being 
for disaster relief pursuant to section 251(b)(2)(D) of the Balanced 
Budget and Emergency Deficit Control Act of 1985.
    Sec. 10305.  Title V of division B of the CARES Act (Public Law 
116-136) is amended by striking the fifth proviso under the heading 
``General Services Administration--Real Property Activities--Federal 
Buildings Fund'':  Provided, That the amounts repurposed pursuant to 
this section that were previously designated by the Congress as an 
emergency requirement pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985 are designated by the Congress as an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.
    Sec. 10306.  For an additional amount for ``Department of the 
Treasury--Departmental Offices--Coronavirus Relief Fund'', an amount 
equal to--
            (1) $1,250,000,000; less
            (2) the amount allocated for the District of Columbia 
        pursuant to section 601(c)(6) of the Social Security Act:
  Provided, That such amounts shall only be available for making a 
payment to the District of Columbia, and shall be in addition to any 
other funds available for such purpose:  Provided further, That the 
Secretary of the Treasury shall pay all amounts provided by this 
section directly to the District of Columbia not less than 5 days after 
the date of enactment of this Act:  Provided further, That the District 
of Columbia shall use such amounts only to cover costs or replace 
foregone revenues stemming from the public health emergency with 
respect to the Coronavirus Disease (COVID-19):  Provided further, That 
such amount is designated by Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                      TITLE IV--HOMELAND SECURITY

                    DEPARTMENT OF HOMELAND SECURITY

                      OFFICE OF INSPECTOR GENERAL

                         operations and support

    For an additional amount for ``Operations and Support'', 
$3,000,000, to remain available until September 30, 2022, for oversight 
of activities of the Department of Homeland Security funded in this Act 
and in title VI of division B of Public Law 116-136 to prevent, prepare 
for, and respond to coronavirus:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                  Federal Emergency Management Agency

                           federal assistance

    For an additional amount for ``Federal Assistance'', 
$1,300,000,000, to remain available until September 30, 2021, to 
prevent, prepare for, and respond to coronavirus, of which $500,000,000 
shall be for Assistance to Firefighter Grants for the purchase of 
personal protective equipment and related supplies, mental health 
evaluations, training, and temporary infectious disease de-
contamination or sanitizing facilities and equipment; of which 
$500,000,000 shall be for Staffing for Adequate Fire and Emergency 
Response Grants; of which $100,000,000 shall be for Emergency 
Management Performance Grants; and of which $200,000,000 shall be for 
the Emergency Food and Shelter Program:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                     General Provisions--This Title

    Sec. 10401.  Notwithstanding any other provision of law, funds made 
available under ``Federal Emergency Management Agency--Federal 
Assistance'' shall only be used for the purposes specifically described 
under that heading.
    Sec. 10402. (a) Subsections (c)(2), (f), (g)(1), (h)(1)-(4), 
(h)(6), and (k) of section 33 of the Federal Fire Prevention and 
Control Act of 1974 (15 U.S.C. 2229) shall not apply to amounts 
appropriated for ``Federal Emergency Management Agency - Federal 
Assistance'' for Assistance to Firefighter Grants in this Act.
    (b) Subsection (k) of section 33 of the Federal Fire Prevention and 
Control Act of 1974 (15 U.S.C. 2229) shall not apply to Amounts 
provided for ``Federal Emergency Management Agency-Federal Assistance'' 
for Assistance to Firefighter Grants in title III of division D of 
Public Law 116-93 and in title VI of division B of Public Law 116-136.
    (c) Amounts repurposed under this section that were previously 
designated by the Congress, respectively, as an emergency requirement 
or as being for disaster relief pursuant to the Balanced Budget and 
Emergency Deficit Control Act are designated by the Congress as being 
for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985 or as being 
for disaster relief pursuant to section 251(b)(2)(D) of the Balanced 
Budget and Emergency Deficit Control Act of 1985.
    Sec. 10403.  Subsections (a)(1)(A), (a)(1)(B), (a)(1)(E), 
(a)(1)(G), (c)(1), (c)(2), and (c)(4) of section 34 of the Federal Fire 
Prevention and Control Act of 1974 (15 U.S.C. 2229a) shall not apply to 
amounts appropriated for ``Federal Emergency Management Agency - 
Federal Assistance'' for Staffing for Adequate Fire and Emergency 
Response Grants in this Act and in division D, title III of the 
Consolidated Appropriations Act, 2020 (Public Law 116-93).

          TITLE V--INTERIOR, ENVIRONMENT, AND RELATED AGENCIES

                       DEPARTMENT OF THE INTERIOR

                United States Fish and Wildlife Service

                          resource management

    For an additional amount for ``Resource Management'', $21,000,000, 
to remain available until expended for research; listing injurious 
species; electronic permitting system development; operation and 
maintenance; law enforcement interdiction and inspections; and other 
support activities, as described in sections 190402, 190403, and 190404 
of division S of this Act:  Provided, That amounts may be transferred 
to ``Surveys, Investigations and Research'' in the United States 
Geological Survey; ``National Oceanic and Atmospheric Administration'' 
in the Department of Commerce; and the ``Center for Disease Control'' 
in the Department of Health and Human Services:  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                    state and tribal wildlife grants

    For an additional amount for ``State and Tribal Wildlife Grants'', 
$50,000,000, to remain available until expended, for a onetime grant 
program as described in section 190405 of division S of this Act:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                    UNITED STATES GEOLOGICAL SURVEY

                 surveys, investigations, and research

    For an additional amount for ``Surveys, Investigations, and 
Research'', $40,000,000, to remain available until September 30, 2021, 
for technical assistance, biosurveillance of wildlife and environmental 
persistence studies and related research, database development, and 
accompanying activities as described in section 190404 of division S of 
this Act:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                        Bureau of Indian Affairs

                      operation of indian programs

    For an additional amount for ``Operation of Indian Programs'', 
$900,000,000, to remain available until September 30, 2021, to prevent, 
prepare for, and respond to coronavirus, of which--
            (1) $100,000,000 shall be for housing improvement;
            (2) $780,000,000 shall be for providing Tribal government 
        services, for Tribal government employee salaries to maintain 
        operations, and cleaning and sanitization of Tribally owned and 
        operated facilities; and
            (3) $20,000,000 shall be used to provide and deliver 
        potable water; and,
  Provided, That none of the funds appropriated herein shall be 
obligated until 3 days after the Bureau of Indian Affairs provides a 
detailed spend plan, which includes distribution and use of funds by 
Tribe, to the Committees on Appropriations of the House of 
Representatives and the Senate:  Provided further, That the Bureau 
shall notify the Committees on Appropriations of the House of 
Representatives and the Senate quarterly on the obligations and 
expenditures of the funds provided by this Act:  Provided further, That 
assistance received herein shall not be included in the calculation of 
funds received by those Tribal governments who participate in the 
``Small and Needy'' program:  Provided further, That such amounts, if 
transferred to Indian Tribes and Tribal organizations under the Indian 
Self-Determination and Education Assistance Act (1) will be transferred 
on a one-time basis, (2) are non-recurring funds that are not part of 
the amount required by 25 U.S.C. 5325, and (3) may only be used for the 
purposes identified under this heading in this Act, notwithstanding any 
other provision of law:  Provided further, That section 11008 of this 
Act shall not apply to tribal contracts entered into by the Bureau of 
Indian Affairs with this appropriation:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                          Departmental Offices

                            Insular Affairs

                       assistance to territories

    For an additional amount for ``Assistance to Territories'', 
$1,000,000,000, to remain available until expended, to prevent, prepare 
for, and respond to coronavirus, of which (1) $945,000,000 is for 
Capital Improvement Project grants for hospitals and other critical 
infrastructure; and (2) $55,000,000 is for territorial assistance, 
including general technical assistance:  Provided, That any 
appropriation for disaster assistance under this heading in this Act or 
previous appropriations Acts may be used as non-Federal matching funds 
for the purpose of hazard mitigation grants provided pursuant to 
section 404 of the Robert T. Stafford Disaster Relief and Emergency 
Assistance Act (42 U.S.C. 5170c):  Provided further, That amounts 
repurposed pursuant to this section that were previously designated by 
the Congress as an emergency requirement pursuant to the Balanced 
Budget and Emergency Deficit Control Act of 1985 are designated by the 
Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985:  Provided further, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                      Office of Inspector General

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'' , 
$5,000,000, to remain available until expended:  Provided, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                    Environmental Protection Agency

                 environmental programs and management

    For an additional amount for ``Environmental Programs and 
Management'', $50,000,000, to remain available until September 30, 
2021, for environmental justice grants as described in section 190702 
of division S of this Act: Provided, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

                         Indian Health Service

                         indian health services

                     (including transfer of funds)

    For an additional amount for ``Indian Health Services'', 
$2,100,000,000, to remain available until expended, to prevent, prepare 
for, respond to, and provide health services related to coronavirus, of 
which--
            (1) $1,000,000,000 shall be used to supplement reduced 
        third party revenue collections;
            (2) $500,000,000 shall be used for direct health and 
        telehealth services, including to purchase supplies and 
        personal protective equipment;
            (3) $140,000,000 shall be used to expand broadband 
        infrastructure and information technology for telehealth and 
        electronic health record system purposes;
            (4) $20,000,000 shall be used to address the needs of 
        domestic violence victims and homeless individuals and 
        families;
            (5) not less than $64,000,000 shall be for Urban Indian 
        Organizations; and,
            (6) not less than $10,000,000 shall be used to provide and 
        deliver potable water:
  Provided, That such funds shall be allocated at the discretion of the 
Director of the Indian Health Service:  Provided further, That of the 
funds provided herein, not less than $366,000,000 shall be transferred 
to and merged with ``Indian Health Service--Indian Health Facilities'' 
at the discretion of the Director to modify existing health facilities 
to provide isolation or quarantine space, to purchase and install 
updated equipment necessary, and for maintenance and improvement 
projects necessary to the purposes specified in this Act:  Provided 
further, That such amounts may be used to supplement amounts otherwise 
available for such purposes under ``Indian Health Facilities'':  
Provided further, That such amounts, if transferred to Tribes and 
Tribal organizations under the Indian Self-Determination and Education 
Assistance Act, will be transferred on a one-time basis and that these 
non-recurring funds are not part of the amount required by section 106 
of the Indian Self-Determination and Education Assistance Act (25 
U.S.C. 5325), and that such amounts may only be used for the purposes 
identified under this heading notwithstanding any other provision of 
law:  Provided further, That none of the funds appropriated under this 
heading in this Act for telehealth broadband activities shall be 
available for obligation until 3 days after the Indian Health Service 
provides to the Committees on Appropriations of the House of 
Representatives and the Senate, a detailed spend plan that includes the 
cost, location, and expected completion date of each activity:  
Provided further, That the Indian Health Service shall notify the 
Committees on Appropriations of the House of Representatives and the 
Senate quarterly on the obligations and expenditures of the funds 
provided by this Act:  Provided further, That section 11008 of this Act 
shall not apply to tribal contracts entered into by the Bureau of 
Indian Affairs with this appropriation:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

             National Foundation on the Arts and Humanities

                    National Endowment for the Arts

                       grants and administration

    For an additional amount for ``Grants and Administration'', 
$10,000,000 to remain available until September 30, 2021, for grants to 
respond to the impacts of coronavirus:  Provided, That such funds are 
available under the same terms and conditions as grant funding 
appropriated to this heading in Public Law 116-94:  Provided further, 
That 40 percent of such funds shall be distributed to State arts 
agencies and regional arts organizations and 60 percent of such funds 
shall be for direct grants:  Provided further, That notwithstanding any 
other provision of law, such funds may also be used by the recipients 
of such grants for purposes of the general operations of such 
recipients:  Provided further, That the matching requirements under 
subsections (e), (g)(4)(A), and (p)(3) of section 5 of the National 
Foundation on the Arts and Humanities Act of 1965 (20 U.S.C. 954) may 
be waived with respect to such grants:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                 National Endowment for the Humanities

                       grants and administration

    For an additional amount for ``Grants and Administration'', 
$10,000,000 to remain available until September 30, 2021, for grants to 
respond to the impacts of coronavirus:  Provided, That such funds are 
available under the same terms and conditions as grant funding 
appropriated to this heading in Public Law 116-94:  Provided further, 
That 40 percent of such funds shall be distributed to state humanities 
councils and 60 percent of such funds shall be for direct grants:  
Provided further, That notwithstanding any other provision of law, such 
funds may also be used by the recipients of such grants for purposes of 
the general operations of such recipients:  Provided further, That the 
matching requirements under subsection (h)(2)(A) of section 7 of the 
National Foundation on the Arts and Humanities Act of 1965 may be 
waived with respect to such grants:  Provided further, That such amount 
is designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

    TITLE VI--DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND 
                    EDUCATION, AND RELATED AGENCIES

                          DEPARTMENT OF LABOR

                 Employment and Training Administration

                    training and employment services

                     (including transfer of funds)

    For an additional amount for ``Training and Employment Services'', 
$2,040,000,000, to prevent, prepare for, and respond to coronavirus, of 
which $15,000,000 shall be transferred to ``Program Administration'', 
to remain available until September 30, 2021, to carry out activities 
in this Act, Public Law 116-127 and Public Law 116-136 for full-time 
equivalent employees, information technology upgrades needed to 
expedite payments and support implementation, including to expedite 
policy guidance and disbursement of funds, technical assistance and 
other assistance to States and territories to speed payment of Federal 
and State unemployment benefits, and of which the remaining amounts 
shall be used to carry out activities under the Workforce Innovation 
and Opportunity Act (referred to in this Act as ``WIOA'') as follows:
            (1) $485,000,000 for grants to the States for adult 
        employment and training activities, including incumbent worker 
        trainings, transitional jobs, on-the-job training, 
        individualized career services, supportive services, needs-
        related payments, and to facilitate remote access to training 
        services provided through a one-stop delivery system through 
        the use of technology, to remain available until June 30, 2021: 
         Provided, That an adult shall not be required to meet the 
        requirements of section 134(c)(3)(B) of the WIOA:  Provided 
        further, That an adult who meets the requirements described in 
        section 2102(a)(3)(A) of Public Law 116-136 may be eligible for 
        participation:  Provided further, That priority may be given to 
        individuals who are adversely impacted by economic changes due 
        to the coronavirus, including individuals seeking employment, 
        dislocated workers, individuals with barriers to employment, 
        individuals who are unemployed, or individuals who are 
        underemployed;
            (2) $518,000,000 for grants to the States for youth 
        activities, including supportive services, summer employment 
        for youth, and to facilitate remote access to training services 
        provided through a one-stop delivery system through the use of 
        technology, to remain available until June 30, 2021:  Provided, 
        That individuals described in section 2102(a)(3)(A) of Public 
        Law 116-136 may be eligible for participation as an out-of-
        school youth if they meet the requirements of clauses (i) and 
        (ii) of section 129(a)(1)(B) or as in-school youth if they meet 
        the requirements of clauses (i) and (iii) of section 
        129(a)(1)(C) of the WIOA;  Provided further, That priority 
        shall be given for out-of-school youth and youth with multiple 
        barriers to employment:  Provided further, That funds shall 
        support employer partnerships for youth employment and 
        subsidized employment, and partnerships with community-based 
        organizations to support such employment;
            (3) $597,000,000 for grants to States for dislocated worker 
        employment and training activities, including incumbent worker 
        trainings, transitional jobs, on-the-job training, 
        individualized career services, supportive services, needs-
        related payments, and to facilitate remote access to training 
        services provided through a one-stop delivery system through 
        the use of technology, to remain available until June 30, 2021: 
         Provided, That a dislocated worker shall not be required to 
        meet the requirements of section 134(c)(3)(B) of the WIOA:  
        Provided further, That a dislocated worker who meets the 
        requirements described in section 2102(a)(3)(A) of Public Law 
        116-136 may be eligible for participation;
            (4) $400,000,000 for the dislocated workers assistance 
        national reserve to remain available until September 30, 2023; 
        and
            (5) $25,000,000 for migrant and seasonal farmworker 
        programs under section 167 of the WIOA, including emergency 
        supportive services, to remain available until June 30, 2021, 
        of which no less than $500,000 shall be for the collection and 
        dissemination of electronic and printed materials related to 
        coronavirus to the migrant and seasonal farmworker population 
        nationwide, including Puerto Rico, through a cooperative 
        agreement;
  Provided, That the impact of the COVID-19 national emergency may be 
considered as an additional factor for reimbursement for on-the-job 
training under section 134(c)(3)(H) of the WIOA and as a factor in 
determining an employer's portion of the costs of providing customized 
training under section 3(14) of the WIOA:  Provided further, That 
notwithstanding section 134(d)(5) of the WIOA, a local board may use 40 
percent of funds received under paragraphs (1) and (3) for transitional 
jobs:  Provided further, That notwithstanding section 194(10) of the 
WIOA, that funds used to support transitional jobs may also be used to 
support public service employment:  Provided further, That sections 
127(b)(1)(C)(iv)(III), 132(b)(1)(B)(iv)(III), and 132(b)(2)(B)(iii)(II) 
shall not apply to funds appropriated under this heading:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                         Wage and Hour Division

                         salaries and expenses

    For an additional amount for ``Wage and Hour Division'', 
$6,500,000, to remain available until September 30, 2021, to prevent, 
prepare for, and respond to coronavirus, including for the 
administration, oversight, and coordination of worker protection 
activities related thereto:  Provided, That the Secretary of Labor 
shall use funds provided under this heading to support enforcement 
activities and outreach efforts to make individuals, particularly low-
wage workers, aware of their rights under division C and division E of 
Public Law 116-127:  Provided further, That such amount is designated 
by the Congress as being for an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985.

             Occupational Safety and Health Administration

                         salaries and expenses

    For an additional amount for ``Occupational Safety and Health 
Administration'', $100,000,000, to remain available until September 30, 
2021, for implementation of section 120302 of The Heroes Act and for 
worker protection and enforcement activities to prevent, prepare for, 
and respond to coronavirus, of which $25,000,000 shall be for Susan 
Harwood training grants and at least $70,000,000 shall be to hire 
additional compliance safety and health officers, and for state plan 
enforcement, to protect workers from coronavirus by enforcing all 
applicable standards and directives, including 29 CFR 1910.132, 29 CFR 
1910.134, section 5(a)(1) of the Occupational Safety and Health Act of 
1970, and 29 CFR 1910.1030:  Provided, That activities to protect 
workers from coronavirus supported by funds provided under this heading 
includes additional enforcement of standards and directives referenced 
in the preceding proviso at slaughterhouses, poultry processing plants, 
and agricultural workplaces:  Provided further, That within 15 days of 
the date of enactment of this Act, the Secretary of Labor shall submit 
a spending and hiring plan for the funds made available under this 
heading, and a monthly staffing report until all funds are expended, to 
the Committees on Appropriations of the House of Representatives and 
the Senate:  Provided further, That within 15 days of the date of 
enactment of this Act, the Secretary of Labor shall submit a plan for 
the additional enforcement activities described in the third proviso to 
the Committees on Appropriations of the House of Representatives and 
the Senate:  Provided further, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                      Office of Inspector General

    For an additional amount for ``Office of Inspector General'', 
$5,000,000, to remain available until expended, to prevent, prepare 
for, and respond to coronavirus.  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

             administrative provision--department of labor

    Sec. 10601.  There is hereby appropriated for fiscal year 2021 for 
``Department of Labor--Employment Training Administration--State 
Unemployment Insurance and Employment Service Operations'', 
$28,600,000, to be expended from the Employment Security Administration 
Account in the Unemployment Trust Fund (``the Trust Fund'') to carry 
out title III of the Social Security Act:  Provided, That such amount 
shall only become available for obligation if the Average Weekly 
Insured Unemployment (``AWIU'') for fiscal year 2021 is projected, by 
the Department of Labor during fiscal year 2021 to exceed 1,728,000:  
Provided further, That to the extent that the AWIU for fiscal year 2021 
is projected by the Department of Labor to exceed 1,728,000, an 
additional $28,600,000 from the Trust Fund shall be made available for 
obligation during fiscal year 2021 for every 100,000 increase in the 
AWIU level (including a pro rata amount for any increment less than 
100,000):  Provided further, That, except as specified in this section, 
amounts provided herein shall be available under the same authority and 
conditions applicable to funds provided to carry out title III of the 
Social Security Act under the heading ``Department of Labor--Employment 
Training Administration--State Unemployment Insurance and Employment 
Service Operations'' in division A of Public Law 116-94:  Provided 
further, That such amounts shall be in addition to any other funds made 
available in any fiscal year for such purposes:  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

              Health Resources and Services Administration

                          primary health care

    For an additional amount for ``Primary Health Care'', 
$7,600,000,000, to remain available until September 30, 2025, for 
necessary expenses to prevent, prepare for, and respond to coronavirus, 
for grants and cooperative agreements under the Health Centers Program, 
as defined by section 330 of the Public Health Service Act, and for 
grants to Federally qualified health centers, as defined in section 
1861(aa)(4)(B) of the Social Security Act, and for eligible entities 
under the Native Hawaiian Health Care Improvement Act, including 
maintenance or expansion of health center and system capacity and 
staffing levels:  Provided, That sections 330(r)(2)(B), 
330(e)(6)(A)(iii), and 330(e)(6)(B)(iii) shall not apply to funds 
provided under this heading in this Act:  Provided further, That funds 
provided under this heading in this Act may be used to (1) purchase 
equipment and supplies to conduct mobile testing for SARS-CoV-2 or 
COVID-19; (2) purchase and maintain mobile vehicles and equipment to 
conduct such testing; and (3) hire and train laboratory personnel and 
other staff to conduct such mobile testing:  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                      ryan white hiv/aids program

    For an additional amount for ``Ryan White HIV/AIDS Program'', 
$10,000,000, to remain available until September 30, 2022, to prevent, 
prepare for, and respond to coronavirus:  Provided, That awards from 
funds provided under this heading in this Act shall be through 
modifications to existing contracts and supplements to existing grants 
and cooperative agreements under parts A, B, C, D, F, and section 
2692(a) of title XXVI of the Public Health Service Act:  Provided 
further, That such supplements shall be awarded using a data-driven 
methodology determined by the Secretary of Health and Human Services:  
Provided further, That sections 2604(c), 2612(b), and 2651(c) of the 
Public Health Service Act shall not apply to funds provided under this 
heading in this Act:  Provided further, That the Secretary may waive 
any penalties and administrative requirements as necessary to ensure 
that the funds may be used efficiently:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

               Centers for Disease Control and Prevention

                cdc-wide activities and program support

    For an additional amount for ``CDC-Wide Activities and Program 
Support'', $2,130,000,000, to remain available until September 30, 
2024, to prevent, prepare for, and respond to coronavirus, domestically 
or internationally:  Provided, That of the amount provided under this 
heading in this Act, $1,000,000,000 shall be for Public Health 
Emergency Preparedness cooperative agreements under section 319C-1 of 
the Public Health Service Act:  Provided further, That, of the amount 
provided under this heading in this Act, $1,000,000,000 shall be for 
necessary expenses for grants for core public health infrastructure for 
State, local, Territorial, or Tribal health departments as described in 
section 30550 of division C of this Act:  Provided further, That of the 
amount made available under this heading in this Act for specified 
programs, not less than $100,000,000 shall be allocated to tribes, 
tribal organizations, urban Indian health organizations, or health 
service providers to tribes:  Provided further, That of the amount 
provided under this heading in this Act, $130,000,000 shall be for 
public health data surveillance and analytics infrastructure 
modernization:  Provided further, That funds appropriated under this 
heading in this Act for grants may be used for the rent, lease, 
purchase, acquisition, construction, alteration, or renovation of non-
Federally owned facilities to improve preparedness and response 
capability at the State and local level:  Provided further, That all 
construction, alteration, or renovation work, carried out, in whole or 
in part, with funds appropriated under this heading in this Act, or 
under this heading in the CARES ACT (P.L. 116-136), shall be subject to 
the requirements of section 1621(b)(1)(I) of the Public Health Service 
Act (42 U.S.C. 300s-1(b)(1)(I)):  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                     National Institutes of Health

         national institute of allergy and infectious diseases

    For an additional amount for ``National Institute of Allergy and 
Infectious Diseases'', $500,000,000, to remain available until 
September 30, 2024, to prevent, prepare for, and respond to 
coronavirus:  Provided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                  national institute of mental health

    For an additional amount for ``National Institute of Mental 
Health'', $200,000,000, to remain available until September 30, 2024, 
to prevent, prepare for, and respond to coronavirus:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                         office of the director

                     (including transfer of funds)

    For an additional amount for ``Office of the Director'', 
$4,021,000,000, to remain available until September 30, 2024, to 
prevent, prepare for, and respond to coronavirus, domestically or 
internationally:  Provided, That not less than $3,000,000,000 of the 
amount provided under this heading in this Act shall be for offsetting 
the costs related to reductions in lab productivity resulting from the 
coronavirus pandemic or public health measures related to the 
coronavirus pandemic:  Provided further, That up to $1,021,000,000 of 
the amount provided under this heading in this Act shall be to support 
additional scientific research or the programs and platforms that 
support research:  Provided further, That funds made available under 
this heading in this Act may be transferred to the accounts of the 
Institutes and Centers of the National Institutes of Health (``NIH''):  
Provided further, That this transfer authority is in addition to any 
other transfer authority available to the NIH:  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

       Substance Abuse and Mental Health Services Administration

                health surveillance and program support

    For an additional amount for ``Health Surveillance and Program 
Support'', $3,000,000,000, to remain available until September 30, 
2021, to prevent, prepare for, and respond to coronavirus:  Provided, 
That of the funds made available under this heading in this Act, 
$1,500,000,000 shall be for grants for the substance abuse prevention 
and treatment block grant program under subpart II of part B of title 
XIX of the Public Health Service Act (``PHS Act''):  Provided further, 
That of the funds made available under this heading in this Act, 
$1,000,000,000 shall be for grants for the community mental health 
services block grant program under subpart I of part B of title XIX of 
the PHS Act:  Provided further, That of the funds made available under 
this heading in this Act, $100,000,000 shall be for services to the 
homeless population:  Provided further, That of the funds made 
available under this heading in this Act, $100,000,000 shall be for 
activities and services under Project AWARE:  Provided further, That of 
the funds made available under this heading in this Act, $10,000,000 
shall be for the National Child Traumatic Stress Network:  Provided 
further, That of the amount made available under this heading in this 
Act, $265,000,000 is available for activities authorized under section 
501(o) of the Public Health Service Act:  Provided further, That of the 
amount made available under this heading in this Act, $25,000,000 shall 
be for the Suicide Lifeline and Disaster Distress Helpline:  Provided 
further, That of the amount made available under this heading in this 
Act for specified programs, not less than $150,000,000 shall be 
allocated to tribes, tribal organizations, urban Indian health 
organizations, or health or behavioral health service providers to 
tribes:  Provided further, That the Substance Abuse and Mental Health 
Services Administration has flexibility to amend allowable activities, 
timelines, and reporting requirements for the Substance Abuse 
Prevention and Treatment Block Grant and the Community Mental Health 
Services Block Grant pursuant to the public health emergency 
declaration:  Provided further, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                Centers for Medicare & Medicaid Services

                           program management

    For an additional amount for ``Program Management'', $150,000,000, 
to remain available through September 30, 2022, to prevent, prepare 
for, and respond to coronavirus, for State strike teams for resident 
and employee safety in skilled nursing facilities and nursing 
facilities, including activities to support clinical care, infection 
control, and staffing pursuant to section 30209 of this Act:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                Administration For Children And Families

                   low income home energy assistance

    For an additional amount for ``Low Income Home Energy Assistance'', 
$1,500,000,000, to remain available until September 30, 2021, to 
prevent, prepare for, and respond to coronavirus, for making payments 
under subsection (b) of section 2602 of the Low-Income Home Energy 
Assistance Act of 1981 (42 U.S.C. 8621 et seq.):  Provided, That of the 
amount provided under this heading in this Act, $750,000,000 shall be 
allocated as though the total appropriation for such payments for 
fiscal year 2020 was less than $1,975,000,000:  Provided further, That 
each grantee that receives an allotment of funds made available under 
this heading in this Act shall, for purposes of income eligibility, 
deem to be eligible any household that documents job loss or severe 
income loss dated after February 29, 2020, such as a layoff or furlough 
notice or verification of application for unemployment benefits:  
Provided further, That the limitation in section 2605(b)(9)(A) of the 
Low-Income Home Energy Assistance Act of 1981, regarding planning and 
administering the use of funds, shall apply to funds provided under 
this heading in this Act by substituting ``12.5 percent'' for ``10 
percent'':  Provided further, That section 2607(b)(2)(B) of such Act 
(42 U.S.C. 8626(b)(2)(B)) shall not apply to funds made available under 
this heading in this Act:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

   payments to states for the child care and development block grant

    For an additional amount for ``Payments to States for the Child 
Care and Development Block Grant'', $7,000,000,000, to remain available 
until September 30, 2021, to prevent, prepare for, and respond to 
coronavirus, including for Federal administrative expenses, which shall 
be used to supplement, not supplant State, Territory, and Tribal 
general revenue funds for child care assistance for low-income families 
within the United States (including territories) without regard to 
requirements in sections 658E(c)(3)(D)-(E) or section 658G of the Child 
Care and Development Block Grant Act:  Provided, That funds provided 
under this heading in this Act may be used for costs of providing 
relief from copayments and tuition payments for families and for paying 
that portion of the child care provider's cost ordinarily paid through 
family copayments, to provide continued payments and assistance to 
child care providers in the case of decreased enrollment or closures 
related to coronavirus, and to ensure child care providers are able to 
remain open or reopen as appropriate and applicable:  Provided further, 
That States, Territories, and Tribes are encouraged to place conditions 
on payments to child care providers that ensure that child care 
providers use a portion of funds received to continue to pay the 
salaries and wages of staff:  Provided further, That lead agencies 
shall, for the duration of the COVID-19 public health emergency, 
implement enrollment and eligibility policies that support the fixed 
costs of providing child care services by delinking provider 
reimbursement rates from an eligible child's absence and a provider's 
closure due to the COVID-19 public health emergency:  Provided further, 
That the Secretary shall remind States that CCDBG State plans do not 
need to be amended prior to utilizing existing authorities in the Child 
Care and Development Block Grant Act for the purposes provided herein:  
Provided further, That States, Territories, and Tribes are authorized 
to use funds appropriated under this heading in this Act to provide 
child care assistance to health care sector employees, emergency 
responders, sanitation workers, farmworkers, and other workers deemed 
essential during the response to coronavirus by public officials, 
without regard to the income eligibility requirements of section 
658P(4) of such Act:  Provided further, That funds appropriated under 
this heading in this Act shall be available to eligible child care 
providers under section 658P(6) of the CCDBG Act, even if such 
providers were not receiving CCDBG assistance prior to the public 
health emergency as a result of the coronavirus, for the purposes of 
cleaning and sanitation, and other activities necessary to maintain or 
resume the operation of programs:  Provided further, That no later than 
60 days after the date of enactment of this Act, each State, Territory, 
and Tribe that receives funding under this heading in this Act shall 
submit to the Secretary a report, in such manner as the Secretary may 
require, describing how the funds appropriated under this heading in 
this Act will be spent and that no later than 90 days after the date of 
enactment of this Act, the Secretary shall submit to the Committees on 
Appropriations of the House of Representatives and the Senate, the 
Committee on Education and Labor of the House of Representatives, and 
the Committee on Health, Education, Labor, and Pensions of the Senate a 
report summarizing such reports from the States, Territories, and 
Tribes:  Provided further, That no later than October 31, 2021, each 
State, Territory, and Tribe that receives funding under this heading in 
this Act shall submit to the Secretary a report, in such manner as the 
Secretary may require, describing how the funds appropriated under this 
heading in this Act were spent and that no later than 60 days after 
receiving such reports from the States, Territories, and Tribes, the 
Secretary shall submit to the Committees on Appropriations of the House 
of Representatives and the Senate, the Committee on Education and Labor 
of the House of Representatives, and the Committee on Health, 
Education, Labor, and Pensions of the Senate a report summarizing such 
reports from the States, Territories, and Tribes:  Provided further, 
That payments made under this heading in this Act may be obligated in 
this fiscal year or the succeeding two fiscal years:  Provided further, 
That funds appropriated under this heading in this Act may be made 
available to restore amounts, either directly or through reimbursement, 
for obligations incurred to prevent, prepare for, and respond to 
coronavirus, prior to the date of enactment of this Act:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                children and families services programs

    For an additional amount for ``Children and Families Services 
Programs'', $1,590,000,000, to remain available until September 30, 
2021, to prevent, prepare for, and respond to coronavirus, which shall 
be used as follows:
            (1) $50,000,000 for Family Violence Prevention and Services 
        grants as authorized by section 303(a) and 303(b) of the Family 
        Violence Prevention and Services Act with such funds available 
        to grantees without regard to matching requirements under 
        section 306(c)(4) of such Act, of which $2,000,000 shall be for 
        the National Domestic Violence Hotline:  Provided, That the 
        Secretary of Health and Human Services may make such funds 
        available for providing temporary housing and assistance to 
        victims of family, domestic, and dating violence;
            (2) $20,000,000 for necessary expenses for community-based 
        grants for the prevention of child abuse and neglect under 
        section 209 of the Child Abuse Prevention and Treatment Act, 
        which the Secretary shall make without regard to sections 
        203(b)(1) and 204(4) of such Act; and
            (3) $20,000,000 for necessary expenses for the Child Abuse 
        Prevention and Treatment Act State Grant program as authorized 
        by Section 112 of such Act;
            (4) $1,500,000,000 for necessary expenses for grants to 
        carry out the Low-Income Household Drinking Water and 
        Wastewater Assistance program, as described in section 190703 
        of division S of this Act.
  Provided, That funds made available under this heading in this Act 
may be used for the purposes provided herein to reimburse costs 
incurred between January 20, 2020, and the date of award:  Provided 
further, That funds appropriated by the CARES Act (P.L. 116-136) to 
carry out the Community Services Block Grant Act (42 U.S.C. 9901 et 
seq.) and received by a State shall be made available to eligible 
entities (as defined in section 673(1)(A) of such Act (42 U.S.C. 
9902(1)(A)) not later than either 30 days after such State receives 
such funds or 30 days after the date of the enactment of this Act, 
whichever occurs later:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                  ADMINISTRATION FOR COMMUNITY LIVING

                 aging and disability services programs

    For an additional amount for ``Aging and Disability Services 
Programs'', $100,000,000, to remain available until September 30, 2021, 
to prevent, prepare for, and respond to the coronavirus:  Provided, 
That of the amount made available under this heading in this Act, 
$85,000,000 shall be for activities authorized under the Older 
Americans Act of 1965 (``OAA'') and activities authorized under part B 
of title XX of the Social Security Act, including $20,000,000 for 
supportive services under part B of title III; $19,000,000 for 
nutrition services under subparts 1 and 2 of part C of title III; 
$1,000,000 for nutrition services under title VI; $20,000,000 for 
supportive services for family caregivers under part E of title III; 
$10,000,000 for evidence-based health promotion and disease prevention 
services under part D of title III; $10,000,000 for elder rights 
protection activities, including the long-term ombudsman program under 
title VII and adult protective services programs through the Elder 
Justice Act; and $5,000,000 shall be for grants to States to support 
the network of statewide senior legal services, including existing 
senior legal hotlines, efforts to expand such hotlines to all 
interested States, and legal assistance to providers, in order to 
ensure seniors have access to legal assistance, with such fund allotted 
to States consistent with paragraphs (1) through (3) of section 304(a) 
of the OAA:  Provided further, That State matching requirements under 
sections 304(d)(1)(D) and 373(g)(2) of the OAA shall not apply to funds 
made available under this heading:  Provided further, That of the 
amount made available under this heading in this Act, $10,000,000 shall 
be for activities authorized in the Developmental Disabilities 
Assistance and Bill of Rights Act of 2000:  Provided further, That of 
the amount made available under this heading in this Act, $5,000,000 
shall be for activities authorized in the Assistive Technology Act of 
2004:  Provided further, That of the amount made available in the 
preceding proviso, $5,000,000 shall be for the purchase of equipment to 
allow interpreters to provide appropriate and essential services to the 
hearing-impaired community:  Provided further, That for the purposes of 
the funding provided in the preceding proviso, during the emergency 
period described in section 1135(g)(1)(B) of the Social Security Act, 
for purposes of section 4(e)(2)(A) of the Assistive Technology Act of 
2004, the term ``targeted individuals and entities'' (as that term is 
defined in section 3(16) of the Assistive Technology Act of 2004) shall 
be deemed to include American Sign Language certified interpreters who 
are providing interpretation services remotely for individuals with 
disabilities:  Provided further, That during such emergency period, for 
the purposes of the previous two provisos, to facilitate the ability of 
individuals with disabilities to remain in their homes and practice 
social distancing, the Secretary shall waive the prohibitions on the 
use of grant funds for direct payment for an assistive technology 
device for an individual with a disability under sections 4(e)(2)(A) 
and 4(e)(5) of such Act:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                        Office of the Secretary

            public health and social services emergency fund

    For an additional amount for ``Public Health and Social Services 
Emergency Fund'', $4,575,000,000, to remain available until September 
30, 2024, to prevent, prepare for, and respond to coronavirus, 
domestically or internationally, including the development of necessary 
countermeasures and vaccines, prioritizing platform-based technologies 
with U.S.-based manufacturing capabilities, the purchase of vaccines, 
therapeutics, diagnostics, necessary medical supplies, as well as 
medical surge capacity, addressing blood supply chain, workforce 
modernization, telehealth access and infrastructure, initial advanced 
manufacturing, novel dispensing, enhancements to the U.S. Commissioned 
Corps, and other preparedness and response activities:  Provided, That 
funds appropriated under this paragraph in this Act may be used to 
develop and demonstrate innovations and enhancements to manufacturing 
platforms to support such capabilities:  Provided further, That the 
Secretary of Health and Human Services shall purchase vaccines 
developed using funds made available under this paragraph in this Act 
to respond to an outbreak or pandemic related to coronavirus in 
quantities determined by the Secretary to be adequate to address the 
public health need:  Provided further, That products purchased by the 
Federal government with funds made available under this paragraph in 
this Act, including vaccines, therapeutics, and diagnostics, shall be 
purchased in accordance with Federal Acquisition Regulation guidance on 
fair and reasonable pricing:  Provided further, That the Secretary may 
take such measures authorized under current law to ensure that 
vaccines, therapeutics, and diagnostics developed from funds provided 
in this Act will be affordable in the commercial market:  Provided 
further, That in carrying out the previous proviso, the Secretary shall 
not take actions that delay the development of such products:  Provided 
further, That products purchased with funds appropriated under this 
paragraph in this Act may, at the discretion of the Secretary of Health 
and Human Services, be deposited in the Strategic National Stockpile 
under section 319F-2 of the Public Health Service Act:  Provided 
further, That funds appropriated under this paragraph in this Act may 
be transferred to, and merged with, the fund authorized by section 
319F-4, the Covered Countermeasure Process Fund, of the Public Health 
Service Act:  Provided further, That of the amount made available under 
this paragraph in this Act, $3,500,000,000 shall be available to the 
Biomedical Advanced Research and Development Authority for necessary 
expenses of advanced research, development, manufacturing, production, 
and purchase of vaccines and therapeutics:  Provided further, That of 
the amount made available under this paragraph in this Act, 
$500,000,000 shall be available to the Biomedical Advanced Research and 
Development Authority for the construction, renovation, or equipping of 
U.S.-based next generation manufacturing facilities, other than 
facilities owned by the United States Government:  Provided further, 
That of the amount made available under this paragraph in this Act, 
$500,000,000 shall be available to the Biomedical Advanced Research and 
Development Authority to promote innovation in antibacterial research 
and development:  Provided further, That funds made available under 
this paragraph in this Act may be used for grants for the rent, lease, 
purchase, acquisition, construction, alteration, or renovation of non-
Federally owned facilities to improve preparedness and response 
capability at the State and local level:  Provided further, That funds 
appropriated under this paragraph in this Act may be used for the 
construction, alteration, renovation or equipping of non-Federally 
owned facilities for the production of vaccines, therapeutics, 
diagnostics, and medicines and other items purchased under section 
319F-2(a) of the Public Health Service Act where the Secretary 
determines that such a contract is necessary to assure sufficient 
domestic production of such supplies:  Provided further, That all 
construction, alteration, or renovation work, carried out, in whole or 
in part, with fund appropriated under this heading in this Act, the 
CARES Act (P.L. 116-136), or the Paycheck Protection Program and Health 
Care Enhancement Act (P.L. 116-139), shall be subject to the 
requirements of 42 U.S.C. 300s-1(b)(1)(I):  Provided further, That not 
later than seven days after the date of enactment of this Act, and 
weekly thereafter until the public health emergency related to 
coronavirus is no longer in effect, the Secretary shall report to the 
Committees on Appropriations of the House of Representatives and the 
Senate on the current inventory of ventilators and personal protective 
equipment in the Strategic National Stockpile, including the numbers of 
face shields, gloves, goggles and glasses, gowns, head covers, masks, 
and respirators, as well as deployment of ventilators and personal 
protective equipment during the previous week, reported by state and 
other jurisdiction:  Provided further, That after the date that a 
report is required to be submitted by the preceding proviso, amounts 
made available for ``Department of Health and Human Services--Office of 
the Secretary--General Departmental Management'' in Public Law 116-94 
for salaries and expenses of the Immediate Office of the Secretary 
shall be reduced by $250,000 for each day that such report has not been 
submitted:  Provided further, That not later than the first Monday in 
February of fiscal year 2021 and each fiscal year thereafter, the 
Secretary shall include in the annual budget submission for the 
Department, and submit to the Congress, the Secretary's request with 
respect to expenditures necessary to maintain the minimum level of 
relevant supplies in the Strategic National Stockpile, including in 
case of a significant pandemic, in consultation with the working group 
under section 319F(a) of the Public Health Service Act and the Public 
Health Emergency Medical Countermeasures Enterprise established under 
section 2811-1 of such Act:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.
    For an additional amount for ``Public Health and Social Services 
Emergency Fund'', $100,000,000,000, to remain available until expended, 
to prevent, prepare for, and respond to coronavirus, for necessary 
expenses to make payments under the Health Care Provider Relief Fund as 
described in section 30611 of division C of this Act:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.
    For an additional amount for ``Public Health and Social Services 
Emergency Fund'', $75,000,000,000, to remain available until expended, 
to prevent, prepare for, and respond to coronavirus, for necessary 
expenses to carry out the COVID-19 National Testing and Contact Tracing 
Initiative, as described in subtitle D of division C of this Act:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                        DEPARTMENT OF EDUCATION

                    State Fiscal Stabilization Fund

    For an additional amount for ``State Fiscal Stabilization Fund'', 
$90,000,000,000, to remain available until September 30, 2022, to 
prevent, prepare for, and respond to coronavirus:  Provided, That the 
Secretary of Education (referred to under this heading as 
``Secretary'') shall make grants to the Governor of each State for 
support of elementary, secondary, and postsecondary education and, as 
applicable, early childhood education programs and services:  Provided 
further, That of the amount made available, the Secretary shall first 
allocate up to one-half of 1 percent to the outlying areas and one-half 
of 1 percent to the Bureau of Indian Education (``BIE'') for activities 
consistent with this heading under such terms and conditions as the 
Secretary may determine:  Provided further, That the Secretary may 
reserve up to $30,000,000 for administration and oversight of the 
activities under this heading:  Provided further, That the Secretary 
shall allocate 61 percent of the remaining funds made available to 
carry out this heading to the States on the basis of their relative 
population of individuals aged 5 through 24 and allocate 39 percent on 
the basis of their relative number of children counted under section 
1124(c) of the Elementary and Secondary Education Act of 1965 (referred 
to under this heading as ``ESEA'') as State grants:  Provided further, 
That State grants shall support statewide elementary, secondary, and 
postsecondary activities; subgrants to local educational agencies; and, 
subgrants to public institutions of higher education:  Provided 
further, That States shall allocate 65 percent of the funds received 
under the fourth proviso as subgrants to local educational agencies in 
proportion to the amount of funds such local educational agencies 
received under part A of title I of the ESEA in the most recent fiscal 
year:  Provided further, That States shall allocate 30 percent of the 
funds received under the fourth proviso as subgrants to public 
institutions of higher education, of which the Governor shall reserve a 
percentage necessary to make the minimum grants described in the next 
proviso and, of the amounts remaining after making such reservation, 75 
percent shall be apportioned according to the relative share in the 
State of students who received Pell Grants who are not exclusively 
enrolled in distance education courses prior to the coronavirus 
emergency at the institution in the previous award year and 25 percent 
shall be apportioned according to the relative share in the State of 
the total enrollment of students at the institution who are not 
exclusively enrolled in distance education courses prior to the 
coronavirus emergency at the institution in the previous award year: 
Provided further, That any public institution of higher education that 
is not otherwise eligible for a grant of at least $1,000,000 under the 
preceding proviso and has an enrollment of at least 500 students shall 
be eligible to receive an amount equal to whichever is lesser of the 
total loss of revenue and increased costs associated with the 
coronavirus or $1,000,000: Provided further, That the Governor shall 
use any remaining funds that were unnecessary to carry out the previous 
proviso to distribute such funds to institutions of higher education in 
accordance with the formula in the preceding provisos: Provided 
further, That the Governor may use any funds received under the fourth 
proviso that are not specifically reserved under this heading for 
additional support to elementary, secondary, and postsecondary 
education, including supports for under-resourced institutions, 
institutions with high burden due to the coronavirus, and institutions 
who did not possess distance education capabilities prior to the 
coronavirus emergency:  Provided further, That the Governor shall 
return to the Secretary any funds received that the Governor does not 
award to local educational agencies and public institutions of higher 
education or otherwise commit within two years of receiving such funds, 
and the Secretary shall reallocate such funds to the remaining States 
in accordance with the fourth proviso:  Provided further, That 
Governors shall use State grants and subgrants to maintain or restore 
State and local fiscal support for elementary, secondary and 
postsecondary education:  Provided further, That funds for local 
educational agencies may be used for any activity authorized by the 
ESEA, including the Native Hawaiian Education Act and the Alaska Native 
Educational Equity, Support, and Assistance Act, the Individuals with 
Disabilities Education Act (``IDEA''), subtitle B of title VII of the 
McKinney-Vento Homeless Assistance Act , the Adult Education and Family 
Literacy Act or the Carl D. Perkins Career and Technical Education Act 
of 2006 (``the Perkins Act''):  Provided further, That a State or local 
educational agency receiving funds under this heading may use the funds 
for activities coordinated with State, local, tribal, and territorial 
public health departments to detect, prevent, or mitigate the spread of 
infectious disease or otherwise respond to coronavirus; support online 
learning by purchasing educational technology and internet access for 
students, which may include assistive technology or adaptive equipment, 
that aids in regular and substantive educational interactions between 
students and their classroom instructor; provide ongoing professional 
development to staff in how to effectively provide quality online 
academic instruction; provide assistance for children and families to 
promote equitable participation in quality online learning; plan and 
implement activities related to supplemental afterschool programs and 
summer learning, including providing classroom instruction or quality 
online learning during the summer months; plan for and coordinate 
during long-term closures, provide technology for quality online 
learning to all students, and how to support the needs of low-income 
students, racial and ethnic minorities, students with disabilities, 
English learners, students experiencing homelessness, and children in 
foster care, including how to address learning gaps that are created or 
exacerbated due to long-term closures; support the continuity of 
student engagement through social and emotional learning; and other 
activities that are necessary to maintain the operation of and 
continuity of services in local educational agencies, including 
maintaining employment of existing personnel, and reimbursement for 
eligible costs incurred during the national emergency:  Provided 
further, That a public institution of higher education that receives 
funds under this heading shall use funds for education and general 
expenditures (including defraying expenses due to lost revenue, 
reimbursement for expenses already incurred, and payroll) and grants to 
students for expenses directly related to coronavirus and the 
disruption of campus operations (which may include emergency financial 
aid to students for tuition, food, housing, technology, health care, 
and child care costs that shall not be required to be repaid by such 
students) or for the acquisition of technology and services directly 
related to the need for distance education and the training of faculty 
and staff to use such technology and services:  Provided further, That 
an institution of higher education may not use funds received under 
this heading to increase its endowment or provide funding for capital 
outlays associated with facilities related to athletics, sectarian 
instruction, or religious worship:  Provided further, That funds may be 
used to support hourly workers, such as education support 
professionals, classified school employees, and adjunct and contingent 
faculty:  Provided further, That a Governor of a State desiring to 
receive an allocation under this heading shall submit an application at 
such time, in such manner, and containing such information as the 
Secretary may reasonably require:  Provided further, That the Secretary 
shall issue a notice inviting applications not later than 15 days after 
the date of enactment of this Act:  Provided further, That any State 
receiving funding under this heading shall maintain its percent of 
total spending on elementary, secondary, and postsecondary education in 
fiscal year 2019 for fiscal years 2020, 2021, and 2022:  Provided 
further, That a State's application shall include assurances that the 
State will maintain support for elementary and secondary education in 
fiscal year 2020, fiscal year 2021, and fiscal year 2022 at least at 
the level of such support that is the average of such State's support 
for elementary and secondary education in the 3 fiscal years preceding 
the fiscal year for which State support for elementary and secondary 
education is provided:  Provided further, That a State's application 
shall include assurances that the State will maintain State support for 
higher education (not including support for capital projects or for 
research and development or tuition and fees paid by students) in 
fiscal year 2020, fiscal year 2021, and fiscal year 2022 at least at 
the level of such support that is the average of such State's support 
for higher education (which shall include State and local government 
funding to institutions of higher education and state financial aid) in 
the 3 fiscal years preceding the fiscal year for which State support 
for higher education is provided, and that any such State's support for 
higher education funding, as calculated as spending for public higher 
education per full-time equivalent student, shall be at least the same 
in fiscal year 2022 as it was in fiscal year 2019:  Provided further, 
That in such application, the Governor shall provide baseline data that 
demonstrates the State's current status in each of the areas described 
in such assurances in the preceding provisos:  Provided further, That a 
State's application shall include assurances that the State will not 
construe any provisions under this heading as displacing any otherwise 
applicable provision of any collective-bargaining agreement between an 
eligible entity and a labor organization as defined by section 2(5) of 
the National Labor Relations Act (29 U.S.C. 152(5)) or analogous State 
law:  Provided further, That a State's application shall include 
assurances that the State shall maintain the wages, benefits, and other 
terms and conditions of employment set forth in any collective-
bargaining agreement between the eligible entity and a labor 
organization, as defined in the preceding proviso:  Provided further, 
That a State's application shall include assurances that all students 
with disabilities are afforded their full rights under IDEA, including 
all rights and services outlined in individualized education programs 
(``IEPs''):  Provided further, That a State receiving funds under this 
heading shall submit a report to the Secretary, at such time and in 
such manner as the Secretary may require, that describes the use of 
funds provided under this heading:  Provided further, That no recipient 
of funds under this heading shall use funds to provide financial 
assistance to students to attend private elementary or secondary 
schools, unless such funds are used to provide special education and 
related services to children with disabilities whose IEPs require such 
placement, and where the school district maintains responsibility for 
providing such children a free appropriate public education, as 
authorized by IDEA:  Provided further, That a local educational agency, 
State, institution of higher education, or other entity that receives 
funds under ``State Fiscal Stabilization Fund'', shall to the greatest 
extent practicable, continue to pay its employees and contractors 
during the period of any disruptions or closures related to 
coronavirus:  Provided further, That the terms ``elementary education'' 
and ``secondary education'' have the meaning given such terms under 
State law:  Provided further, That the term ``institution of higher 
education'' has the meaning given such term in section 101 of the 
Higher Education Act of 1965:  Provided further, That the term ``fiscal 
year'' shall have the meaning given such term under State law:  
Provided further, That the term ``State'' means each of the 50 States, 
the District of Columbia, and the Commonwealth of Puerto Rico:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                            Higher Education

    For an additional amount for ``Higher Education'', $10,150,000,000, 
to remain available until September 30, 2021, to prevent, prepare for, 
and respond to coronavirus, of which $11,000,000 shall be transferred 
to ``National Technical Institute for the Deaf'' to help defray 
expenses (which may include lost revenue, reimbursement for expenses 
already incurred, technology costs associated with a transition to 
distance education, sign language and captioning costs associated with 
a transition to distance education, faculty and staff trainings, and 
payroll) directly caused by coronavirus and to enable emergency 
financial aid to students for expenses directly related to coronavirus 
and the disruption of university operations (which may include food, 
housing, transportation, technology, health care, and child care), of 
which $20,000,000 shall be transferred to ``Howard University'' to help 
defray expenses (which may include lost revenue, reimbursement for 
expenses already incurred, technology costs associated with a 
transition to distance education, technology costs associated with a 
transition to distance education, faculty and staff trainings, and 
payroll) directly related to coronavirus and to enable grants to 
students for expenses directly related to coronavirus and the 
disruption of university operations (which may include food, housing, 
transportation, technology, health care, and child care), of which 
$11,000,000 shall be transferred to ``Gallaudet University'' to help 
defray expenses (which may include lost revenue, reimbursement for 
expenses already incurred, technology costs associated with a 
transition to distance education, sign language and captioning costs 
associated with a transition to distance education, faculty and staff 
trainings, and payroll) directly related to coronavirus and to enable 
grants to students for expenses directly related to coronavirus and the 
disruption of university operations (which may include food, housing, 
transportation, technology, health care, and child care), and of which 
the remaining amounts shall be used to carry out parts A and B of title 
III, parts A and B of title V, subpart 4 of part A of title VII, and 
part B of title VII of the Higher Education Act of 1965 (``HEA'') as 
follows:
            (1) $1,708,000,000 for parts A and B of title III, parts A 
        and B of title V, and subpart 4 of part A of title VII of the 
        HEA to address needs directly related to coronavirus:  
        Provided, That such amount shall be allocated by the Secretary 
        proportionally to such programs covered under this paragraph 
        and based on the relative share of funding appropriated to such 
        programs in the Further Consolidated Appropriations Act, 2020 
        (Public Law 116-94) and distributed to institutions of higher 
        education as follows:
                    (A) Except as otherwise provided in subparagraph 
                (B), for eligible institutions under part B of title 
                III and subpart 4 of part A of title VII of the Higher 
                Education Act, the Secretary shall allot to each 
                eligible institution an amount using the following 
                formula:
                            (i) 70 percent according to a ratio 
                        equivalent to the number of Pell Grant 
                        recipients in attendance at such institution at 
                        the end of the school year preceding the 
                        beginning of that fiscal year and the total 
                        number of Pell Grant recipients at all such 
                        institutions;
                            (ii) 20 percent according to a ratio 
                        equivalent to the total number of students 
                        enrolled at such institution at the end of the 
                        school year preceding the beginning of that 
                        fiscal year and the number of students enrolled 
                        at all such institutions; and
                            (iii) 10 percent according to a ratio 
                        equivalent to the total endowment size at all 
                        eligible institutions at the end of the school 
                        year preceding the beginning of that fiscal 
                        year and the total endowment size at such 
                        institutions;
                    (B) For eligible institutions under section 326 of 
                the Higher Education Act, the Secretary shall allot to 
                each eligible institution an amount in proportion to 
                the award received from funding for such institutions 
                in the Further Consolidated Appropriations Act, 2020 
                (Public Law 116-94);
                    (C) For eligible institutions under section 316 of 
                the Higher Education Act, the Secretary shall allot 
                funding according to the formula in section 316(d)(3) 
                of the Higher Education Act;
                    (D) Notwithstanding section 318(f) of the Higher 
                Education Act, for eligible institutions under section 
                318 of the Higher Education Act, the Secretary shall 
                allot funding according to the formula in section 
                318(e) of the Higher Education Act;
                    (E) Except as provided in subparagraphs (C) and 
                (D), for eligible institutions under part A of title 
                III of the Higher Education Act and parts A and B of 
                title V, the Secretary shall issue an application for 
                eligible institutions to demonstrate unmet need, and 
                the Secretary shall allow eligible institutions to 
                apply for funds under one of the programs for which 
                they are eligible.
            (2) $8,400,000,000 for part B of title VII of the HEA for 
        institutions of higher education (as defined in section 101 or 
        102(c) of the HEA) to address needs directly related to 
        coronavirus as follows:
                    (A) $7,000,000,000 shall be provided to private, 
                nonprofit institutions of higher education--
                            (i) by reserving an amount necessary to 
                        make the minimum grants described in the second 
                        to last proviso under this heading; and
                            (ii) from amounts not reserved under clause 
                        (i), by apportioning--
                                    (I) 75 percent according to the 
                                relative share of enrollment of Federal 
                                Pell Grant recipients who are not 
                                exclusively enrolled in distance 
                                education courses prior to the 
                                coronavirus emergency; and
                                    (II) 25 percent according to the 
                                relative share of the total enrollment 
                                of students who were not Federal Pell 
                                Grant recipients who are not 
                                exclusively enrolled in distance 
                                education courses prior to the 
                                coronavirus emergency.
                    (B) $1,400,000,000 shall be for institutions of 
                higher education with unmet need related to the 
                coronavirus, including institutions of higher education 
                that offer their courses and programs exclusively 
                through distance education:
  Provided, That funds shall be used to make payments to such 
institutions to provide emergency grants to students who attended such 
institutions at any point during the coronavirus emergency and for any 
component of the student's cost of attendance (as defined under section 
472 of the HEA), including tuition, food, housing, course materials, 
technology, health care, and child care):  Provided further, That 
institutions of higher education may use such funds to defray expenses 
(including lost revenue, reimbursement for expenses already incurred, 
technology costs associated with a transition to distance education, 
faculty and staff trainings, and payroll) incurred by institutions of 
higher education:  Provided further, That such payments shall not be 
used to increase endowments or provide funding for capital outlays 
associated with facilities related to athletics, sectarian instruction, 
or religious worship:  Provided further, That any private, nonprofit 
institution of higher education that is not otherwise eligible for a 
grant of at least $1,000,000 under paragraph (2)(A)(ii) of this heading 
and has a total enrollment of at least 500 students shall be eligible 
to receive, from amounts reserved under paragraph (2)(A)(i), an amount 
equal to whichever is the lesser of the total loss of revenue and 
increased costs associated with the coronavirus or $1,000,000: Provided 
further, That of the funds provided under paragraph 2(B), the Secretary 
shall make an application available for institutions of higher 
education to demonstrate unmet need, which shall include for this 
purpose a dramatic decline in revenue as a result of campus closure, 
exceptional costs or challenges implementing distance education 
platforms due to lack of a technological infrastructure, serving a 
large percentage of students who lack access to adequate technology to 
move to distance education, serving a region or community that has been 
especially impacted by increased unemployment and displaced workers, 
serving communities or regions where the number of coronavirus cases 
has imposed exceptional costs on the institution, and other criteria 
that the Secretary shall identify after consultation with institutions 
of higher education or their representatives: Provided further, That no 
institution may receive an award unless it has submitted an application 
that describes the impact of the coronavirus on the institution and the 
ways that the institution will use the funds to ameliorate such impact: 
Provided further, That the Secretary shall brief the Committees on 
Appropriations fifteen days in advance of making any application 
available for funds under paragraph (2)(B):  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

              General Provisions--Department of Education

    Sec. 10602.  Amounts made available to ``Department of Education--
Office of Inspector General'' in title VIII of division B of Public Law 
116-136 are hereby permanently rescinded, and an amount of additional 
new budget authority equivalent to the amount rescinded is hereby 
appropriated, to remain available until expended, for the same purposes 
and under the same authorities as they were originally appropriated, 
and shall be in addition to any other funds available for such 
purposes:  Provided, That the amounts appropriated by this section may 
also be used for investigations and are available until expended:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.
    Sec. 10603.  The Coronavirus Aid, Relief, and Economic Security Act 
(P.L. 116-136) is amended by striking section 18001(a)(3):  Provided, 
That amounts repurposed pursuant to the amendment made by this section 
that were previously designated by the Congress as an emergency 
requirement pursuant to the Balanced Budget and Emergency Deficit 
Control Act of 1985 are designated by the Congress as an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.
    Sec. 10604.  Section 18005(a) of the Coronavirus Aid, Relief, and 
Economic Security Act (P.L. 116-136) is amended by inserting 
``including subsections (a)(4)(A)(i) and (c) of such section'' after 
``section 1117'' and by inserting ``Such equitable services shall be 
provided by the local educational agency in which the students reside, 
and the amount of funds available for such equitable services shall be 
based on the number of nonpublic school students who were identified in 
the calculation under section 1117(c)(1) of the ESEA for purposes of 
Title I-A during the 2019-2020 school year relative to the sum of such 
students in public schools during the 2019-2020 school year.'' after 
``representatives of nonpublic schools.'':  Provided, That amounts 
repurposed pursuant to the amendment made by this section that were 
previously designated by the Congress as an emergency requirement 
pursuant to the Balanced Budget and Emergency Deficit Control Act of 
1985 are designated by the Congress as an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.
    Sec. 10605.  Section 18004(c) of the Coronavirus Aid, Relief, and 
Economic Security Act (P.L. 116-136) is amended by striking ``to cover 
any costs associated with significant changes to the delivery of 
instruction due to the coronavirus'' and inserting ``to defray expenses 
(including lost revenue, reimbursement for expenses already incurred, 
technology costs associated with a transition to distance education, 
faculty and staff trainings, payroll) incurred by institutions of 
higher education.'':  Provided, That amounts repurposed pursuant to the 
amendment made by this section that were previously designated by the 
Congress as an emergency requirement pursuant to the Balanced Budget 
and Emergency Deficit Control Act of 1985 are designated by the 
Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.
    Sec. 10606.  With respect to the allocation and award of funds 
under this title, the Secretary of Education is prohibited from--
     (a) establishing a priority or preference not specified in this 
title; and
    (b) imposing limits on the use of such funds not specified in this 
title.

                            RELATED AGENCIES

             Corporation For National And Community Service

   administrative provisions--corporation for national and community 
                                service

    Sec. 10607. (a) The remaining unobligated balances of funds as of 
September 30, 2020, from amounts provided to ``Corporation for National 
and Community Service--Salaries and Expenses'' in title IV of division 
A of the Further Consolidated Appropriations Act, 2020 (Public Law 116-
94), are hereby permanently rescinded, and an amount of additional new 
budget authority equal to the unobligated balances rescinded is hereby 
appropriated on September 30, 2020, to remain available until September 
30, 2021, for the same purposes and under the same authorities that 
they were originally made available in Public Law 116-94, which shall 
be in addition to any other funds available for such purposes:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.
    (b) The remaining unobligated balances of funds as of September 30, 
2020, from amounts provided to ``Corporation for National and Community 
Service--Operating Expenses'' in title IV of division A of the Further 
Consolidated Appropriations Act, 2020 (Public Law 116-94), are hereby 
permanently rescinded, and an amount of additional new budget authority 
equal to the unobligated balances rescinded is hereby appropriated on 
September 30, 2020, to remain available until September 30, 2021, for 
the same purposes and under the same authorities that they were 
originally made available in Public Law 116-94, which shall be in 
addition to any other funds available for such purposes:  Provided, 
That any amounts appropriated by the preceding proviso shall not be 
subject to the allotment requirements otherwise applicable under 
sections 129(a), (b), (d), and (e) of the National and Community 
Service Act of 1993:  Provided further, That such amount is designated 
by the Congress as being for an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985.
    (c) The remaining unobligated balances of funds as of September 30, 
2020, from amounts provided to ``Corporation for National and Community 
Service--Office of Inspector General'' in title IV of division A of the 
Further Consolidated Appropriations Act, 2020 (Public Law 116-94), are 
hereby permanently rescinded, and an amount of additional new budget 
authority equal to the amount rescinded is hereby appropriated on 
September 30, 2020, to remain available until September 30, 2021, for 
the same purposes and under the same authorities that they were 
originally made available in Public Law 116-94, which shall be in 
addition to any other funds available for such purposes:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.
    (d)(1) Section 3514(b) of title III of division A of Public Law 
116-136 is hereby repealed, and such section shall be applied hereafter 
as if such subsection had never been enacted.
            (2)(A) In general.--The amounts provided under this 
        subsection are designated as an emergency requirement pursuant 
        to section 4(g) of the Statutory Pay-As-You-Go Act of 2010 (2 
        U.S.C. 933(g)), and the budgetary effects shall not be entered 
        on either PAYGO scorecard maintained pursuant to section 4(d) 
        of such Act.
            (B) Designation in the senate.--In the Senate, this 
        subsection is designated as an emergency requirement pursuant 
        to section 4112(a) of H. Con. Res. 71 (115th Congress), the 
        concurrent resolution on the budget for fiscal year 2018, and 
        the budgetary effects shall not be entered on any PAYGO 
        scorecard maintained for purposes of section 4106 of such 
        concurrent resolution.
            (C) Classification of budgetary effects.--Notwithstanding 
        Rule 3 of the Budget Scorekeeping Guidelines set forth in the 
        joint explanatory statement of the committee of conference 
        accompanying Conference Report 105-217 and section 250(c)(7) 
        and (c)(8) of the Balanced Budget and Emergency Deficit Control 
        Act of 1985, the budgetary effects of this subsection shall not 
        be estimated--
                    (i) for purposes of section 251 of such Act; and
                    (ii) for purposes of paragraph (4)(C) of section 3 
                of the Statutory Pay As-You-Go Act of 2010 as being 
                included in an appropriation Act.

                Institute of Museum and Library Services

    office of museum and library services: grants and administration

    For an additional amount for ``Institute of Museum and Library 
Services'', $5,000,000, to remain available until September 30, 2021, 
to prevent, prepare for, and respond to coronavirus, including grants 
to States, territories, tribes, museums, and libraries, to expand 
digital network access, purchase internet accessible devices, provide 
technical support services, and for operational expenses:  Provided, 
That any matching funds requirements for States, tribes, libraries, and 
museums are waived for grants provided with funds made available under 
this heading in this Act:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                       Railroad Retirement Board

                      limitation on administration

    For an additional amount for ``Limitation on Administration'', 
$4,500,000, to remain available until September 30, 2021, to prevent, 
prepare for, and respond to coronavirus, including the expeditious 
dispensation of railroad unemployment insurance benefits, and to 
support full-time equivalents and overtime hours as needed to 
administer the Railroad Unemployment Insurance Act:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

             limitation on the office of inspector general

    For an additional amount for ``Office of the Inspector General'', 
$500,000, to remain available until expended, to prevent, prepare for, 
and respond to coronavirus, including salaries and expenses necessary 
for oversight, investigations and audits of the Railroad Retirement 
Board and railroad unemployment insurance benefits funded in this Act 
and Public Law 116-136:  Provided, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                     GENERAL PROVISIONS--THIS TITLE

    Sec. 10608.  Notwithstanding any other provision of law, funds made 
available under each heading in this title shall only be used for the 
purposes specifically described under that heading.
    Sec. 10609.  Funds appropriated by this title may be used by the 
Secretary of the Health and Human Services to appoint, without regard 
to the provisions of sections 3309 through 3319 of title 5 of the 
United States Code, candidates needed for positions to perform critical 
work relating to coronavirus for which--
            (1) public notice has been given; and
            (2) the Secretary has determined that such a public health 
        threat exists.
    Sec. 10610.  Funds made available by this title may be used to 
enter into contracts with individuals for the provision of personal 
services (as described in section 104 of part 37 of title 48, Code of 
Federal Regulations (48 CFR 37.104)) to support the prevention of, 
preparation for, or response to coronavirus, domestically and 
internationally, subject to prior notification to the Committees on 
Appropriations of the House of Representatives and the Senate:  
Provided, That such individuals may not be deemed employees of the 
United States for the purpose of any law administered by the Office of 
Personnel Management:  Provided further, That the authority made 
available pursuant to this section shall expire on September 30, 2024.
    Sec. 10611.  Not later than 30 days after the date of enactment of 
this Act, the Secretary of Health and Human Services shall provide a 
detailed spend plan of anticipated uses of funds made available to the 
Department of Health and Human Services in this Act, including 
estimated personnel and administrative costs, to the Committees on 
Appropriations of the House of Representatives and the Senate:  
Provided, That such plans shall be updated and submitted to such 
Committees every 60 days until September 30, 2024:  Provided further, 
That the spend plans shall be accompanied by a listing of each contract 
obligation incurred that exceeds $5,000,000 which has not previously 
been reported, including the amount of each such obligation.
    Sec. 10612.  Not later than September 30, 2020, the remaining 
unobligated balances of funds made available through September 30, 
2020, under the heading ``National Institutes of Health'' in the 
Further Consolidated Appropriations Act, 2020 (Public Law 116-94) are 
hereby permanently rescinded, and an amount of additional new budget 
authority equivalent to the amount rescinded from each account is 
hereby appropriated to that account, to remain available until 
September 30, 2021, and shall be available for the same purposes, in 
addition to other funds as may be available for such purposes, and 
under the same authorities for which the funds were originally provided 
in Public Law 116-94:  Provided, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.
    Sec. 10613.  Funds made available in Public Law 113-235 to the 
accounts of the National Institutes of Health that were available for 
obligation through fiscal year 2015 and were obligated for multi-year 
research grants shall be available through fiscal year 2021 for the 
liquidation of valid obligations if the Director of the National 
Insitutes of Health determines the project suffered an interruption of 
activities attributable to SARS-CoV-2:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.
    Sec. 10614.  Of the funds appropriated by this title under the 
heading ``Public Health and Social Services Emergency Fund'', 
$75,000,000 shall be transferred to, and merged with, funds made 
available under the heading ``Office of the Secretary, Office of 
Inspector General'', and shall remain available until expended, for 
oversight of activities supported with funds appropriated to the 
Department of Health and Human Services in this Act:  Provided, That 
the Inspector General of the Department of Health and Human Services 
shall consult with the Committees on Appropriations of the House of 
Representatives and the Senate prior to obligating such funds:  
Provided further, That the transfer authority provided by this section 
is in addition to any other transfer authority provided by law.

                     TITLE VII--LEGISLATIVE BRANCH

                        HOUSE OF REPRESENTATIVES

    For an additional amount for the ``House of Representatives'', 
$5,000,000, to remain available until September 30, 2021, for necessary 
expenses to prevent, prepare for, and respond to coronavirus:  
Provided, That the amounts made available under this heading in this 
Act shall be allocated in accordance with a spend plan submitted to the 
Committee on Appropriations of the House of Representatives by the 
Chief Administrative Officer and approved by such Committee:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                    Government Accountability Office

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'', 
$30,000,000, to remain available until expended, for audits and 
investigations relating to COVID-19 or similar pandemics, as well as 
any related stimulus funding to assist the United States response to 
health and economic vulnerabilities to pandemics:  Provided, That, not 
later than 90 days after the date of enactment of this Act, the 
Government Accountability Office shall submit to the Committees on 
Appropriations of the House of Representatives and the Senate a spend 
plan specifying funding estimates and a timeline for such audits and 
investigations:  Provided further, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

   TITLE VIII--DEPARTMENT OF STATE, FOREIGN OPERATIONS, AND RELATED 
                                PROGRAMS

                          DEPARTMENT OF STATE

                   Administration of Foreign Affairs

                      office of inspector general

    For an additional amount for ``Office of Inspector General'', 
$2,000,000, to remain available until September 30, 2022, for oversight 
of funds administered by the Department of State and made available to 
prevent, prepare for, and respond to coronavirus by this title and by 
prior acts:  Provided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                    GENERAL PROVISIONS -- THIS TITLE

                     (including transfer of funds)

    Sec. 10801.  Section 21005 of the Emergency Appropriations for 
Coronavirus Health Response and Agency Operations (division B of Public 
Law 116-136) is amended by inserting at the end before the period ``and 
is further amended by striking `$5,563,619' in the second proviso under 
the heading `Repatriation Loans Program Account' and inserting in lieu 
thereof `$15,563,619'''.
    Sec. 10802.  Section 21009 of the Emergency Appropriations for 
Coronavirus Health Response and Agency Operations (division B of Public 
Law 116-136) is amended by striking ``fiscal year 2020'' and inserting 
in lieu thereof ``fiscal years 2020 and 2021'':  Provided, That the 
amount provided by this section is designated by the Congress as being 
for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                                TITLE IX

  TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED AGENCIES

                      DEPARTMENT OF TRANSPORTATION

                    Federal Aviation Administration

                               operations

    For an additional amount for ``Operations'', $75,000,000, to remain 
available until September 30, 2022, to prevent, prepare for, and 
respond to coronavirus:  Provided, That amounts made available under 
this heading in this Act shall be derived from the general fund, of 
which not less than $1,000,000 shall be for the Administrator to seek 
to enter into an agreement not later than 45 days after the date of 
enactment of this Act with a research organization established under 
chapter 1503 of title 36, United States Code, to conduct a study to 
determine whether the environmental controls systems in commercial 
airliners recirculate pathogens in the cabin air and to assess existing 
and potential technological solutions to reduce pathogen recirculation 
and to mitigate any elevated risk of exposure to pathogens in the cabin 
air:  Provided further That such amount is designated by the Congress 
as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                     Federal Highway Administration

                    highway infrastructure programs

    For an additional amount for ``Highway Infrastructure Programs'', 
$15,000,000,000, to remain available until expended:  Provided, That 
the funds made available under this heading shall be derived from the 
general fund, shall be in addition to any funds provided for fiscal 
year 2020 in this or any other Act for ``Federal-aid Highways'' under 
chapters 1 or 2 of title 23, United States Code, and shall not affect 
the distribution or amount of funds provided in any other Act:  
Provided further, That notwithstanding chapter 1 of title 23, United 
States Code, or any other provision of law, a State, territory, Puerto 
Rico, or Indian Tribe may use funds made available under this heading 
in this Act for activities eligible under section 133(b) of title 23, 
United States Code, for administrative and operations expenses, 
including salaries of employees (including those employees who have 
been placed on administrative leave) or contractors, information 
technology needs, and availability payments:  Provided further, That of 
the funds made available under this heading, $14,775,000,000 shall be 
available for States, $150,000,000 shall be available for the Tribal 
Transportation Program, as described in section 202 of title 23, United 
States Code, $60,000,000 shall be available for the Puerto Rico Highway 
Program, as described in section 165(b)(2)(C)(iii) of such title; and 
$15,000,000 shall be available for under the Territorial Highway 
Program, as described in section 165(c)(6) of such title:  Provided 
further, That for the purposes of funds made available under this 
heading the term ``State'' means any of the 50 States or the District 
of Columbia:  Provided further, That the funds made available under 
this heading for States shall be apportioned to States in the same 
ratio as the obligation limitation for fiscal year 2020 was distributed 
among the States in accordance with the formula specified in section 
120(a)(5) of division H of Public Law 116-94 and shall be apportioned 
not later than 30 days after the date of enactment of this Act:  
Provided further, That the funds made available under this heading 
shall be administered as if apportioned under chapter 1 of title 23, 
United States Code, except that activities eligible under the Tribal 
Transportation Program shall be administered as if allocated under 
chapter 2 of title 23, United States Code:  Provided further, That 
funds apportioned to a State under this heading shall be suballocated 
within the State to areas described in subsection 133(d)(1)(A)(i) of 
title 23, United States Code, in the same ratio that funds suballocated 
to those areas for fiscal year 2020 bears to the total amount of funds 
apportioned to the State for the Federal-aid highway program under 
section 104 of such title for fiscal year 2020:  Provided further, That 
of funds made available under this heading for activities eligible 
under section 133(b) of title 23, United States Code, any such activity 
shall be subject to the requirements of section 133(i) of such title:  
Provided further, That, except as provided in the following proviso, 
the funds made available under this heading for activities eligible 
under the Puerto Rico Highway Program and activities eligible under the 
Territorial Highway Program shall be administered as if allocated under 
sections 165(b) and 165(c), respectively, of such title:  Provided 
further, That the funds made available under this heading for 
activities eligible under the Puerto Rico Highway Program shall not be 
subject to the requirements of sections 165(b)(2)(A) or 165(b)(2)(B) of 
such title:  Provided further, That for amounts subject to the 
obligation limitation under the heading ``Department of 
Transportation--Federal Highway Administration--Federal-aid Highways--
(Limitation on Obligations)--(Highway Trust Fund)'' in Public Law 116-
94 for fiscal year 2020 that are obligated after the date of enactment 
of this Act, and for any amounts made available under this heading in 
this Act, the Federal share of the costs shall be, at the option of the 
State, District of Columbia, territory, Puerto Rico, or Indian Tribe, 
up to 100 percent, and may be available for administrative and 
operations expenses, including salaries of employees (including those 
employees who have been placed on administrative leave) or contractors, 
information technology needs, and availability payments:  Provided 
further, That section 120(c) of Public Law 116-94 shall not apply for 
fiscal year 2020, and that amounts that would otherwise have been 
redistributed by section 120(c) shall be retained by States and shall 
be available for their original purpose until September 30, 2021, 
except that such amounts shall be subject to such redistribution in 
fiscal year 2021:  Provided further, That amounts made available under 
section 147 of title 23, United States Code, for fiscal years 2019 and 
2020 are available for the administrative and operating expenses of 
eligible entities related to the response to a coronavirus public 
health emergency beginning on January 20, 2020, reimbursement for 
administrative and operating costs to maintain service including the 
purchase of personal protective equipment, and paying the 
administrative leave of operations personnel due to reductions in 
service:  Provided further, That funds made available for 
administrative and operating expenses authorized for fiscal year 2020 
in Public Law 116-94 or in this Act under this heading are not required 
to be included in a transportation improvement program or a statewide 
transportation improvement program under sections 134 or 135 of title 
23, United States Code, or chapter 53 of title 49, United States Code, 
as applicable:  Provided further, That unless otherwise specified, 
applicable requirements under title 23, United States Code, shall apply 
to funds made available under this heading:  Provided further, That the 
Administrator of the Federal Highway Administration may retain up to 
one half of one percent of the funds made available under this heading 
to fund the oversight by the Administrator of activities carried out 
with funds made available under this heading:  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                     Federal Transit Administration

                 public transportation emergency relief

    For an additional amount for ``Public Transportation Emergency 
Relief'', $15,750,000,000, to remain available until expended, to 
prevent, prepare for, and respond to coronavirus:  Provided, That of 
the amounts appropriated under this heading in this Act--
            (1) $11,750,000,000 shall be for grants to urbanized areas 
        with populations over 3,000,000 and shall be allocated in the 
        same ratio as funds were provided in fiscal year 2020:  
        Provided, That 15 percent of the amounts provided in this 
        paragraph shall be allocated as if such funds were provided 
        under section 5307 of title 49, United States Code and 
        apportioned in accordance with section 5336 of such title 
        (other than subsection (b)(3) and (c)(1)(A)) and 85 percent of 
        the amounts provided in this paragraph shall be allocated under 
        section 5337 of such title and apportioned in accordance with 
        such section:  Provided further, That funds provided under 
        section 5337 shall be added to funds apportioned under section 
        5307 for administration in accordance with provisions under 
        section 5307:  Provided further, That for urbanized areas with 
        multiple subrecipients, funds provided under section 5337 in 
        this paragraph shall be distributed among subrecipients using 
        the same ratio used to distribute funds made available for 
        section 5337 in fiscal year 2020; and
            (2) $4,000,000,000 shall be for grants to transit agencies 
        that, as a result of coronavirus, require significant 
        additional assistance to maintain basic transit services:  
        Provided, That such funds shall be administered as if they were 
        provided under section 5324 of title 49, United States Code:  
        Provided further, That any recipient or subrecipient of funds 
        under chapter 53 of title 49, United States Code, or an 
        intercity bus service provider that has, since October 1, 2018, 
        partnered with a recipient or subrecipient in order to meet the 
        requirements of section 5311(f) of such title shall be eligible 
        to directly apply for funds under this paragraph:  Provided 
        further, That entities that are subrecipients of funds under 
        chapter 53 of title 49 and have partnered with a recipient or 
        subrecipient in order to meet the requirements of section 
        5311(f) of such title shall be eligible to receive not more 
        than 18.75 percent of the total funds provided under this 
        paragraph:  Provided further, That such entities shall use 
        assistance provided under this heading only for workforce 
        retention or, the recall or rehire of any laid off, furloughed, 
        or terminated employee, associated with the provision of bus 
        service:  Provided further, That, the Secretary shall issue a 
        Notice of Funding Opportunity not later than 30 days after the 
        date of enactment of this Act and that such Notice of Funding 
        Opportunity shall require application submissions not later 
        than 45 days after the enactment of this Act:  Provided 
        further, That the Secretary shall make awards not later than 45 
        days after the application deadline:  Provided further, That 
        the Secretary shall require grantees to provide estimates of 
        financial need, data on reduced ridership, and a spending plan 
        for funds:  Provided further, That when evaluating applications 
        for assistance, the Secretary shall give priority to transit 
        agencies with the largest revenue loss as a percentage of their 
        operating expenses:  Provided further, That if applications for 
        assistance do not exceed available funds, the Secretary shall 
        reserve the remaining amounts for grantees to prevent, prepare 
        for, and respond to coronavirus and shall accept applications 
        on a rolling basis:  Provided further, That if amounts made 
        available under this heading in this Act remain unobligated on 
        December 31, 2021, such amounts shall be available for any 
        purpose eligible under section 5324 of title 49, United States 
        Code:
  Provided further, That the provision of funds under this section 
shall not affect the ability of any other agency of the Government, 
including the Federal Emergency Management Agency, or State agency, a 
local governmental entity, organization, or person, to provide any 
other funds otherwise authorized by law:  Provided further, That 
notwithstanding subsection (a)(1) or (b) of section 5307 of title 49, 
United States Code, subsection (a)(1) of section 5324 of such title, or 
any provision of chapter 53 of title 49, funds provided under this 
heading in this Act are available for the operating expenses of transit 
agencies related to the response to a coronavirus public health 
emergency, including, beginning on January 20, 2020, reimbursement for 
operating costs to maintain service and lost revenue due to the 
coronavirus public health emergency, including the purchase of personal 
protective equipment, and paying the administrative leave of operations 
or contractor personnel due to reductions in service:  Provided 
further, That to the maximum extent possible, funds made available 
under this heading in this Act and in title XII of division B of the 
CARES Act (Public Law 116-136) shall be directed to payroll and public 
transit service, unless the recipient certifies to the Secretary they 
have not furloughed any employees:  Provided further, That such 
operating expenses are not required to be included in a transportation 
improvement program, long-range transportation plan, statewide 
transportation plan, or a statewide transportation improvement program: 
 Provided further, That the Secretary shall not waive the requirements 
of section 5333 of title 49, United States Code, for funds appropriated 
under this heading in this Act:  Provided further, That unless 
otherwise specified, applicable requirements under chapter 53 of title 
49, United States Code, shall apply to funding made available under 
this heading in this Act, except that the Federal share of the costs 
for which any grant is made under this heading in this Act shall be, at 
the option of the recipient, up to 100 percent:  Provided further, That 
the amount made available under this heading in this Act shall be 
derived from the general fund and shall not be subject to any 
limitation on obligations for transit programs set forth in any Act:  
Provided further, That not more than one-half of one percent of the 
funds for transit infrastructure grants provided under this heading in 
this Act shall be available for administrative expenses and ongoing 
program management oversight as authorized under sections 5334 and 
5338(f)(2) of title 49, United States Code, and shall be in addition to 
any other appropriations for such purpose:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

              DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

                       Public and Indian Housing

                     tenant-based rental assistance

                     (including transfer of funds)

    For an additional amount for ``Tenant-Based Rental Assistance'', 
$4,000,000,000, to remain available until expended, and to be used 
under the same authority and conditions as the additional 
appropriations for fiscal year 2020 under this heading in title XII of 
division B of the CARES Act (Public Law 116-136), except that any 
amounts provided for administrative expenses and other expenses of 
public housing agencies for their section 8 programs, including 
Mainstream vouchers, under this heading in the CARES Act (Public Law 
116-136) and under this heading in this Act shall also be available for 
Housing Assistance Payments under section 8(o) of the United States 
Housing Act of 1937 (42 U.S.C. 1437f(o)):  Provided, That amounts made 
available under this heading in this Act and under the same heading in 
title XII of division B of the CARES Act may be used to cover or 
reimburse allowable costs incurred to prevent, prepare for, and respond 
to coronavirus regardless of the date on which such costs were 
incurred:  Provided further, That of the amounts made available under 
this heading in this Act, $500,000,000 shall be available for 
administrative expenses and other expenses of public housing agencies 
for their section 8 programs, including Mainstream vouchers:  Provided 
further, That of the amounts made available under this heading in this 
Act, $2,500,000,000 shall be available for adjustments in the calendar 
year 2020 section 8 renewal funding allocations, including Mainstream 
vouchers, for public housing agencies that experience a significant 
increase in voucher per-unit costs due to extraordinary circumstances 
or that, despite taking reasonable cost savings measures, as determined 
by the Secretary, would otherwise be required to terminate rental 
assistance for families as a result of insufficient funding:  Provided 
further, That of the amounts made available under this heading in this 
Act, $1,000,000,000 shall be used for incremental rental voucher 
assistance under section 8(o) of the United States Housing Act of 1937 
for use by individuals and families who are--homeless, as defined under 
section 103(a) of the McKinney-Vento Homeless Assistance Act (42 U.S.C. 
11302(a)); at risk of homelessness, as defined under section 401(1) of 
the McKinney-Vento Homeless Assistance Act (42 U.S.C. 11360(1)); or 
fleeing, or attempting to flee, domestic violence, dating violence, 
sexual assault, or stalking:  Provided further, That the Secretary 
shall allocate amounts made available in the preceding proviso to 
public housing agencies not later than 60 days after the date of 
enactment of this Act, according to a formula that considers the 
ability of the public housing agency to use vouchers promptly and the 
need of geographical areas based on factors to be determined by the 
Secretary, such as risk of transmission of coronavirus, high numbers or 
rates of sheltered and unsheltered homelessness, and economic and 
housing market conditions:  Provided further, That if a public housing 
authority elects not to administer or does not promptly issue all of 
its authorized vouchers within a reasonable period of time, the 
Secretary shall reallocate any unissued vouchers and associated funds 
to other public housing agencies according to the criteria in the 
preceding proviso:  Provided further, That a public housing agency 
shall not reissue any vouchers under this heading in this Act for 
incremental rental voucher assistance when assistance for the family 
initially assisted is terminated:  Provided further, That upon 
termination of incremental rental voucher assistance under this heading 
in this Act for one or more families assisted by a public housing 
agency, the Secretary shall reallocate amounts that are no longer 
needed by such public housing agency for assistance under this heading 
in this Act to another public housing agency for the renewal of 
vouchers previously authorized under this heading in this Act:  
Provided further, That amounts made available in this paragraph are in 
addition to any other amounts made available for such purposes:  
Provided further, That up to 0.5 percent of the amounts made available 
under this heading in this Act may be transferred, in aggregate, to 
``Department of Housing and Urban Development, Program Offices--Public 
and Indian Housing'' to supplement existing resources for the necessary 
costs of administering and overseeing the obligation and expenditure of 
these amounts, to remain available until September 30, 2024:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     public housing operating fund

                     (including transfer of funds)

    For an additional amount for ``Public Housing Operating Fund'', as 
authorized by section 9(e) of the United States Housing Act of 1937 (42 
U.S.C. 1437g(e)), $2,000,000,000, to remain available until September 
30, 2021, and to be used under the same authority and conditions as the 
additional appropriations for fiscal year 2020 under this heading in 
title XII of division B of the CARES Act (Public Law 116-136):  
Provided, That amounts made available under this heading in this Act 
and under the same heading in title XII of division B of the CARES Act 
may be used to cover or reimburse allowable costs incurred to prevent, 
prepare for, and respond to coronavirus regardless of the date on which 
such costs were incurred:  Provided further, That up to 0.5 percent of 
the amounts made available under this heading in this Act may be 
transferred, in aggregate, to ``Department of Housing and Urban 
Development, Program Offices--Public and Indian Housing'' to supplement 
existing resources for the necessary costs of administering and 
overseeing the obligation and expenditure of these amounts, to remain 
available until September 30, 2024:  Provided further, That such amount 
is designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                   Community Planning and Development

              housing opportunities for persons with aids

    For an additional amount for ``Housing Opportunities for Persons 
with AIDS'', $15,000,000, to remain available until September 30, 2021, 
and to be used under the same authority and conditions as the 
additional appropriations for fiscal year 2020 under this heading in 
title XII of division B of the CARES Act (Public Law 116-136):  
Provided, That amounts provided under this heading in this Act that are 
allocated pursuant to section 854(c)(5) of the AIDS Housing Opportunity 
Act (42 U.S.C. 12901 et seq.) shall remain available until September 
30, 2022:  Provided further, That not less than $15,000,000 of the 
amount provided under this heading in this Act shall be allocated 
pursuant to the formula in section 854 of such Act using the same data 
elements as utilized pursuant to that same formula in fiscal year 2020: 
 Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                       community development fund

                     (including transfer of funds)

    For an additional amount for ``Community Development Fund'', 
$5,000,000,000, to remain available until September 30, 2023, and to be 
used under the same authority and conditions as the additional 
appropriations for fiscal year 2020 under this heading in title XII of 
division B of the CARES Act (Public Law 116-136):  Provided, That such 
amount made available under this heading in this Act shall be 
distributed pursuant to section 106 of the Housing and Community 
Development Act of 1974 (42 U.S.C. 5306) to grantees that received 
allocations pursuant to such formula in fiscal year 2020, and that such 
allocations shall be made within 30 days of enactment of this Act:  
Provided further, That in administering funds under this heading, an 
urban county shall consider needs throughout the entire urban county 
configuration to prevent, prepare for, and respond to coronavirus:  
Provided further, That up to $100,000,000 of amounts made available 
under this heading in this Act may be used to make new awards or 
increase prior awards to existing technical assistance providers:  
Provided further, That of the amounts made available under this heading 
in this Act, up to $25,000,000 may be transferred to ``Department of 
Housing and Urban Development, Program Offices--Community Planning and 
Development'' for necessary costs of administering and overseeing the 
obligation and expenditure of amounts under this heading in this Act, 
to remain available until September 30, 2028:  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                       homeless assistance grants

                     (including transfer of funds)

    For an additional amount for ``Homeless Assistance Grants'', 
$11,500,000,000, to remain available until September 30, 2025, for the 
Emergency Solutions Grants program as authorized under subtitle B of 
title IV of the McKinney-Vento Homeless Assistance Act (42 U.S.C. 11371 
et seq.), as amended, and to be used under the same authority and 
conditions as the additional appropriations for fiscal year 2020 under 
this heading in title XII of division B of the CARES Act (Public Law 
116-136):  Provided, That $4,000,000,000 of the amount made available 
under this heading in this Act shall be distributed pursuant to 24 CFR 
576.3 to grantees that received allocations pursuant to that same 
formula in fiscal year 2020, and that such allocations shall be made 
within 30 days of enactment of this Act:  Provided further, That, in 
addition to amounts allocated in the preceding proviso, remaining 
amounts shall be allocated directly to a State or unit of general local 
government by the formula specified in the third proviso under this 
heading in title XII of division B of the CARES Act (Public Law 116-
136):  Provided further, That not later than 90 days after the date of 
enactment of this Act and every 60 days thereafter, the Secretary shall 
allocate a minimum of an additional $500,000,000, pursuant to the 
formula referred to in the preceding proviso, based on the best 
available data:  Provided further, That up to 0.5 percent of the 
amounts made available under this heading in this Act may be 
transferred to ``Department of Housing and Urban Development--Program 
Offices--Community Planning and Development'' for necessary costs of 
administering and overseeing the obligation and expenditure of amounts 
under this heading in this Act, to remain available until September 30, 
2030:  Provided further, That funds made available under this heading 
in this Act and under this heading in title XII of division B of the 
CARES Act (Public Law 116-136) may be used for eligible activities the 
Secretary determines to be critical in order to assist survivors of 
domestic violence, sexual assault, dating violence, and stalking or to 
assist homeless youth, age 24 and under:  Provided further, That 
amounts repurposed by this paragraph that were previously designated by 
the Congress as an emergency requirement pursuant to the Balanced 
Budget and Emergency Deficit Control Act of 1985 are designated by the 
Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985:  Provided further, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                      emergency rental assistance

    For activities and assistance authorized in section 110201, 
$100,000,000,000, to remain available until expended:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                            Housing Programs

                    project-based rental assistance

    For an additional amount for ``Project-Based Rental Assistance'', 
$750,000,000, to remain available until expended, and to be used under 
the same authority and conditions as the additional appropriations for 
fiscal year 2020 under this heading in title XII of division B of the 
CARES Act (Public Law 116-136):  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                        housing for the elderly

    For an additional amount for ``Housing for the Elderly'', 
$500,000,000, to remain available until September 30, 2023, and to be 
used under the same authority and conditions as the additional 
appropriations for fiscal year 2020 under this heading in title XII of 
division B of the CARES Act (Public Law 116-136):  Provided, That 
notwithstanding the first proviso under this heading in the CARES Act, 
$300,000,000 of the amount made available under this heading in this 
Act shall be for one-time grants for service coordinators, as 
authorized under section 676 of the Housing and Community Development 
Act of 1992 (42 U.S.C. 13632), and the continuation of existing 
congregate service grants for residents of assisted housing projects:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                  housing for persons with disabilities

    For an additional amount for ``Housing for Persons with 
Disabilities'', $200,000,000, to remain available until September 30, 
2023, and to be used under the same authority and conditions as the 
additional appropriations for fiscal year 2020 under this heading in 
title XII of division B of the CARES Act (Public Law 116-136):  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     housing counseling assistance

    For an additional amount for ``Housing Counseling Assistance'', for 
contracts, grants, and other assistance excluding loans, as authorized 
under section 106 of the Housing and Urban Development Act of 1968, 
$100,000,000, to remain available until September 30, 2022, including 
up to $8,000,000 for administrative contract services:  Provided, That 
funds made available under this heading in this Act shall be used for 
providing counseling and advice to tenants and homeowners, both current 
and prospective, with respect to property maintenance, financial 
management or literacy, foreclosure and eviction mitigation, and such 
other matters as may be appropriate to assist them in improving their 
housing conditions, meeting their financial needs, and fulfilling the 
responsibilities of tenancy or homeownership; for program 
administration; and for housing counselor training:  Provided further, 
That amounts made available under this heading in this Act may be used 
to purchase equipment and technology to deliver services through use of 
the Internet or other electronic or virtual means in response to the 
public health emergency related to the Coronavirus Disease 2019 (COVID-
19) pandemic:  Provided further, That for purposes of providing such 
grants from amounts provided under this heading, the Secretary may 
enter into multiyear agreements, as appropriate, subject to the 
availability of annual appropriations:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                   Fair Housing and Equal Opportunity

                        fair housing activities

    For an additional amount for ``Fair Housing Activities'', 
$14,000,000, to remain available until September 30, 2022, and to be 
used under the same authority and conditions as the additional 
appropriations for fiscal year 2020 under this heading in title XII of 
division B of the CARES Act (Public Law 116-136):  Provided, That of 
the funds made available under this heading in this Act, $4,000,000 
shall be for Fair Housing Organization Initiative grants through the 
Fair Housing Initiatives Program (FHIP), made available to existing 
grantees, which may be used for fair housing activities and for 
technology and equipment needs to deliver services through use of the 
Internet or other electronic or virtual means in response to the public 
health emergency related to the Coronavirus Disease 2019 (COVID-19) 
pandemic:  Provided further, That of the funds made available under 
this heading in this Act, $10,000,000 shall be for FHIP Education and 
Outreach grants made available to previously-funded national media 
grantees and State and local education and outreach grantees, to 
educate the public and the housing industry about fair housing rights 
and responsibilities during the COVID-19 pandemic:  Provided further, 
That such grants in the preceding proviso shall be divided evenly 
between the national media campaign and education and outreach 
activities:  Provided further, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                     GENERAL PROVISIONS--THIS TITLE

                        (including Rescissions)

    Sec. 10901.  There is hereby appropriated from the General Fund of 
the Treasury, for payment to the Airport and Airway Trust Fund, an 
amount equal to the amount authorized by section 9502(c) of title 26, 
United States Code.
    Sec. 10902.  Amounts previously made available in the Further 
Continuing Appropriations Act, 2013 (Public Law 113-6) for the heading 
``Department of Housing and Urban Development--Public and Indian 
Housing--Choice Neighborhoods Initiative'' shall remain available for 
expenditure for the purpose of paying valid obligations incurred prior 
to the expiration of such amounts through September 30, 2021.
    Sec. 10903.  The provision under the heading ``Office of the 
Inspector General--Salaries and Expenses'' in title XII of division B 
of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 
116-136) is amended by striking ``with funds made available in this Act 
to'' and inserting ``by'':  Provided, That the amounts repurposed in 
this section that were previously designated by the Congress as an 
emergency requirement pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985 are designated by the Congress as an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.
    Sec. 10904. (a) Notwithstanding section 51309(a)(1)(B) of title 46, 
United States Code, for fiscal year 2020, the Secretary of 
Transportation may confer the degree of bachelor of science on an 
individual who has not passed the examination for a merchant marine 
officer's license due to intervening efforts to prevent, prepare for, 
and respond to coronavirus.
    (b) The Secretary of Transportation may provide such individual up 
to 1 year after receipt of such degree to pass the examination for a 
merchant marine officer's license.
    (c) Nothing in this section shall be construed to allow the 
provision of a license under section 7101 of title 46, United States 
Code, to an individual who has not passed the required examination.
    Sec. 10905. (a) Notwithstanding section 51506(a)(3) of title 46, 
United States Code, for fiscal year 2020, the Secretary of 
Transportation may allow a State maritime academy to waive a condition 
for graduation for an individual to pass the examination required for 
the issuance of a license under section 7101 of title 46, United States 
Code, due to intervening efforts to prevent, prepare for, and respond 
to coronavirus.
    (b) The Secretary of Transportation may provide such individual up 
to 1 year after graduation to pass such examination.
    (c) Nothing in this section shall be construed to allow the 
provision of a license under section 7101 of title 46, United States 
Code, to an individual who has not passed the required examination.
    Sec. 10906.  Amounts made available under the headings ``Project-
Based Rental Assistance,'' ``Housing for the Elderly'' and ``Housing 
for Persons With Disabilities'' in title XII of division B of the CARES 
Act (Public Law 116-136) and under such headings in this title of this 
Act may be used, notwithstanding any other provision of law, to provide 
additional funds to maintain operations for such housing, for providing 
supportive services, and for taking other necessary actions to prevent, 
prepare for, and respond to coronavirus, including to actions to self-
isolate, quarantine, or to provide other coronavirus infection control 
services as recommended by the Centers for Disease Control and 
Prevention, including providing relocation services for residents of 
such housing to provide lodging at hotels, motels, or other locations:  
Provided, That the amounts repurposed pursuant to this section that 
were previously designated by the Congress as an emergency requirement 
pursuant to the Balanced Budget and Emergency Deficit Control Act of 
1985 are designated by the Congress as an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                                TITLE X

                   GENERAL PROVISIONS--THIS DIVISION

    Sec. 11001.  Not later than 30 days after the date of enactment of 
this Act, the head of each executive agency that receives funding in 
any division of this Act, or that received funding in the Coronavirus 
Preparedness and Response Supplemental Appropriations Act, 2020 
(division A of Public Law 116-123), the Second Coronavirus Preparedness 
and Response Supplemental Appropriations Act, 2020 (division A of 
Public Law 116-127), the CARES Act (Public Law 116-136), or the 
Paycheck Protection Program and Health Care Enhancement Act (Public Law 
116-139) shall provide a report detailing the anticipated uses of all 
such funding to the Committees on Appropriations of the House of 
Representatives and the Senate:  Provided, That each report shall 
include estimated personnel and administrative costs, as well as the 
total amount of funding apportioned, allotted, obligated, and expended, 
to date:  Provided further, That each such report shall be updated and 
submitted to such Committees every 60 days until all funds are expended 
or expire:  Provided further, That reports submitted pursuant to this 
section shall satisfy the requirements of section 1701 of division A of 
Public Law 116-127.
    Sec. 11002.  Each amount appropriated or made available by this Act 
is in addition to amounts otherwise appropriated for the fiscal year 
involved.
    Sec. 11003.  No part of any appropriation contained in this Act 
shall remain available for obligation beyond the current fiscal year 
unless expressly so provided herein.
    Sec. 11004.  Unless otherwise provided for by this Act, the 
additional amounts appropriated by this Act to appropriations accounts 
shall be available under the authorities and conditions applicable to 
such appropriations accounts for fiscal year 2020.
    Sec. 11005.  Each amount designated in this Act by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985 shall 
be available (or rescinded or transferred, if applicable) only if the 
President subsequently so designates all such amounts and transmits 
such designations to the Congress.
    Sec. 11006.  Any amount appropriated by this Act, designated by the 
Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985 and subsequently so designated by the President, and 
transferred pursuant to transfer authorities provided by this Act shall 
retain such designation.
    Sec. 11007. (a) Any contract or agreement entered into by an agency 
with a State or local government or any other non-Federal entity for 
the purposes of providing covered assistance, including any information 
and documents related to the performance of and compliance with such 
contract or agreement, shall be--
            (1) deemed an agency record for purposes of section 
        552(f)(2) of title 5, United States Code; and
            (2) subject to section 552 of title 5, United States Code 
        (commonly known as the ``Freedom of Information Act'').
    (b) In this section--
            (1) the term ``agency'' has the meaning given the term in 
        section 551 of title 5, United States Code; and
            (2) the term ``covered assistance''--
                    (A) means any assistance provided by an agency in 
                accordance with an Act or amendments made by an Act to 
                provide aid, assistance, or funding related to the 
                outbreak of COVID-19 that is enacted before, on, or 
                after the date of enactment of this Act; and
                    (B) includes any such assistance made available by 
                an agency under--
                            (i) this Act;
                            (ii) the Paycheck Protection Program and 
                        Health Care Enhancement Act (Public Law 116-
                        139), or an amendment made by that Act;
                            (iii) the CARES Act (Public Law 116-136), 
                        or an amendment made by that Act;
                            (iv) the Families First Coronavirus 
                        Response Act (Public Law 116-127), or an 
                        amendment made by that Act; or
                            (v) the Coronavirus Preparedness and 
                        Response Supplemental Appropriations Act, 2020 
                        (Public Law 116-123), or an amendment made by 
                        that Act.
    Sec. 11008. (a) Notwithstanding any other provision of law and in a 
manner consistent with other provisions in any division of this Act, 
all laborers and mechanics employed by contractors and subcontractors 
on projects funded directly by or assisted in whole or in part by and 
through the Federal Government pursuant to any division of this Act 
shall be paid wages at rates not less than those prevailing on projects 
of a character similar in the locality as determined by the Secretary 
of Labor in accordance with subchapter IV of chapter 31 of title 40, 
United States Code. With respect to the labor standards specified in 
this section, the Secretary of Labor shall have the authority and 
functions set forth in Reorganization Plan Numbered 14 of 1950 (64 
Stat. 1267; 5 U.S.C. App.) and section 3145 of title 40, United States 
Code.
    (b) The amounts provided by this section are designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                           budgetary effects

    Sec. 11009.  (a) Statutory PAYGO Emergency Designation.--The 
amounts provided under division B and each succeeding division are 
designated as an emergency requirement pursuant to section 4(g) of the 
Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 933(g)), and the 
budgetary effects shall not be entered on either PAYGO scorecard 
maintained pursuant to section 4(d) of such Act.
    (b) Senate PAYGO Emergency Designation.--In the Senate, division B 
and each succeeding division are designated as an emergency requirement 
pursuant to section 4112(a) of H. Con. Res. 71 (115th Congress), the 
concurrent resolution on the budget for fiscal year 2018, and the 
budgetary effects shall not be entered on any PAYGO scorecard 
maintained for purposes of section 4106 of such concurrent resolution.
    (c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of 
the Budget Scorekeeping Guidelines set forth in the joint explanatory 
statement of the committee of conference accompanying Conference Report 
105-217 and section 250(c)(8) of the Balanced Budget and Emergency 
Deficit Control Act of 1985, the budgetary effects of division B and 
each succeeding division shall not be estimated--
            (1) shall not be estimated for purposes of section 251 of 
        such Act; and
            (2) for purposes of paragraph (4)(C) of section 3 of the 
        Statutory Pay As-You-Go Act of 2010 as being included in an 
        appropriation Act.
    (d) Ensuring No Within-Session Sequestration.--Solely for the 
purpose of calculating a breach within a category for fiscal year 2020 
pursuant to section 251(a)(6) or section 254(g) of the Balanced Budget 
and Emergency Deficit Control Act of 1985, and notwithstanding any 
other provision of this division, the budgetary effects from this 
division shall be counted as amounts designated as being for an 
emergency requirement pursuant to section 251(b)(2)(A) of such Act.
     This division may be cited as the ``Coronavirus Recovery 
Supplemental Appropriations Act, 2020''.

                     DIVISION B--REVENUE PROVISIONS

SEC. 20001. SHORT TITLE.

    This division may be cited as the ``Worker Health Coverage 
Protection Act''.

                       TITLE I--ECONOMIC STIMULUS

             Subtitle A--2020 Recovery Rebate Improvements

SEC. 20101. DEPENDENTS TAKEN INTO ACCOUNT IN DETERMINING CREDIT AND 
              REBATES.

    (a) In General.--Section 6428(a)(2) of the Internal Revenue Code of 
1986 is amended by striking ``qualifying children (within the meaning 
of section 24(c))'' and inserting ``dependents (as defined in section 
152)''.
    (b) Conforming Amendments.--
            (1) Section 6428(g) of such Code is amended by striking 
        ``qualifying child'' each place it appears and inserting 
        ``dependent''.
            (2) Section 6428(g)(2)(B) of such Code is amended by 
        striking ``such child'' and inserting ``such dependent''.
    (c) Effective Date.--The amendments made by this section shall take 
effect as if included in section 2201 of the CARES Act.

SEC. 20102. INDIVIDUALS PROVIDING TAXPAYER IDENTIFICATION NUMBERS TAKEN 
              INTO ACCOUNT IN DETERMINING CREDIT AND REBATES.

    (a) In General.--Section 6428(g) of the Internal Revenue Code of 
1986, as amended by section 20101 of this Act, is amended to read as 
follows:
    ``(g) Identification Number Requirement.--
            ``(1) In general.--The $1,200 amount in subsection (a)(1) 
        shall be treated as being zero unless the taxpayer includes the 
        TIN of the taxpayer on the return of tax for the taxable year.
            ``(2) Joint returns.--In the case of a joint return, the 
        $2,400 amount in subsection (a)(1) shall be treated as being--
                    ``(A) zero if the TIN of neither spouse is included 
                on the return of tax for the taxable year, and
                    ``(B) $1,200 if the TIN of only one spouse is so 
                included.
            ``(3) Dependents.--A dependent shall not be taken into 
        account under subsection (a)(2) unless the TIN of such 
        dependent is included on the return of tax for the taxable 
        year.
            ``(4) Coordination with certain advance payments.--In the 
        case of any payment made pursuant to subsection (f)(5)(B), a 
        TIN shall be treated for purposes of this subsection as 
        included on the taxpayer's return of tax if such TIN is 
        provided pursuant to such subsection.
            ``(5) Mathematical or clerical error authority.--Any 
        omission of a correct TIN required under this subsection shall 
        be treated as a mathematical or clerical error for purposes of 
        applying section 6213(g)(2) to such omission.''.
    (b) Effective Date.--The amendment made by this section shall take 
effect as if included in section 2201 of the CARES Act.

SEC. 20103. 2020 RECOVERY REBATES NOT SUBJECT TO REDUCTION OR OFFSET 
              WITH RESPECT TO PAST-DUE SUPPORT.

    (a) In General.--Section 2201(d)(2) of the CARES Act is amended by 
inserting ``(c),'' before ``(d)''.
    (b) Effective Date.--The amendment made by this section shall apply 
to credits and refunds allowed or made after the date of the enactment 
of this Act.

SEC. 20104. PROTECTION OF 2020 RECOVERY REBATES.

    (a) In General.--Subsection (d) of section 2201 of the CARES Act, 
as amended by the preceding provisions of this Act, is amended--
            (1) by redesignating paragraphs (1), (2), and (3) as 
        subparagraphs (A), (B), and (C), and by moving such 
        subparagraphs 2 ems to the right,
            (2) by striking ``Reduction or Offset.--Any credit'' and 
        inserting ``Reduction, Offset, Garnishment, etc.--
            ``(1) In general.--Any credit'', and
            (3) by adding at the end the following new paragraphs:
            ``(2) Assignment of benefits.--
                    ``(A) In general.--Any applicable payment shall not 
                be subject to transfer, assignment, execution, levy, 
                attachment, garnishment, or other legal process, or the 
                operation of any bankruptcy or insolvency law, to the 
                same extent as payments described in section 207 of the 
                Social Security Act (42 U.S.C. 407) without regard to 
                subsection (b) thereof.
                    ``(B) Encoding of payments.--As soon as practicable 
                after the date of the enactment of this paragraph, the 
                Secretary of the Treasury shall encode applicable 
                payments that are paid electronically to any account--
                            ``(i) with a unique identifier that is 
                        reasonably sufficient to allow a financial 
                        institution to identify the payment as a 
                        payment protected under subparagraph (A), and
                            ``(ii) pursuant to the same specifications 
                        as required for a benefit payment to which part 
                        212 of title 31, Code of Federal regulations 
                        applies.
                    ``(C) Garnishment.--
                            ``(i) Encoded payments.--Upon receipt of a 
                        garnishment order that applies to an account 
                        that has received an applicable payment that is 
                        encoded as provided in subparagraph (B), a 
                        financial institution shall follow the 
                        requirements and procedures set forth in part 
                        212 of title 31, Code of Federal Regulations. 
                        This paragraph shall not alter the status of 
                        payments as tax refunds or other nonbenefit 
                        payments for purpose of any reclamation rights 
                        of the Department of Treasury or the Internal 
                        Revenue Service as per part 210 of title 31 of 
                        the Code of Federal Regulations.
                            ``(ii) Other payments.--If a financial 
                        institution receives a garnishment order (other 
                        than an order that has been served by the 
                        United States) that applies to an account into 
                        which an applicable payment that has not been 
                        encoded as provided in subparagraph (B) has 
                        been deposited on any date in the prior 60 days 
                        (including any date before the date of the 
                        enactment of this paragraph), the financial 
                        institution, upon the request of the account 
                        holder or for purposes of complying in good 
                        faith with a State order, State law, court 
                        order, or interpretation by a State Attorney 
                        General relating to garnishment order, may, but 
                        is not required to, treat the amount of the 
                        payment as exempt under law from garnishment 
                        without requiring the account holder to assert 
                        any right of garnishment exemption or requiring 
                        the consent of the judgment creditor.
                            ``(iii) Liability.--A financial institution 
                        that complies in good faith with clause (i) or 
                        that acts in good faith in reliance on clause 
                        (ii) shall not be liable under any Federal or 
                        State law, regulation, or court or other order 
                        to a creditor that initiates an order for any 
                        protected amounts, to an account holder for any 
                        frozen amounts or garnishment order applied.
                    ``(D) Definitions.--For purposes of this 
                paragraph--
                            ``(i) Account holder.--The term `account 
                        holder' means a natural person against whom a 
                        garnishment order is issued and whose name 
                        appears in a financial institution's records.
                            ``(ii) Applicable payment.--The term 
                        `applicable payment' means any payment of 
                        credit or refund by reason of section 6428 of 
                        such Code (as so added) or by reason of 
                        subsection (c) of this section.
                            ``(iii) Garnishment.--The term 
                        `garnishment' means execution, levy, 
                        attachment, garnishment, or other legal 
                        process.
                            ``(iv) Garnishment order.--The term 
                        `garnishment order' means a writ, order, 
                        notice, summons, judgment, levy, or similar 
                        written instruction issued by a court, a State 
                        or State agency, a municipality or municipal 
                        corporation, or a State child support 
                        enforcement agency, including a lien arising by 
                        operation of law for overdue child support or 
                        an order to freeze the assets in an account, to 
                        effect a garnishment against a debtor.''.
    (b) Effective Date.--The amendments made by this section shall take 
effect on the date of the enactment of this Act.

SEC. 20105. PAYMENTS TO REPRESENTATIVE PAYEES AND FIDUCIARIES.

    (a) In General.--Section 6428(f) of the Internal Revenue Code of 
1986 is amended by redesignating paragraph (6) as paragraph (7) and by 
inserting after paragraph (5) the following new paragraph:
            ``(6) Payment to representative payees and fiduciaries.--
                    ``(A) In general.--In the case of any individual 
                for which payment information is provided to the 
                Secretary by the Commissioner of Social Security, the 
                Railroad Retirement Board, or the Secretary of Veterans 
                Affairs, the payment by the Secretary under paragraph 
                (3) with respect to such individual may be made to such 
                individual's representative payee or fiduciary and the 
                entire payment shall be--
                            ``(i) provided to the individual who is 
                        entitled to the payment, or
                            ``(ii) used only for the benefit of the 
                        individual who is entitled to the payment.
                    ``(B) Application of enforcement provisions.--
                            ``(i) In the case of a payment described in 
                        subparagraph (A) which is made with respect to 
                        a social security beneficiary or a supplemental 
                        security income recipient, section 1129(a)(3) 
                        of the Social Security Act (42 U.S.C. 1320a-
                        8(a)(3)) shall apply to such payment in the 
                        same manner as such section applies to a 
                        payment under title II or XVI of such Act.
                            ``(ii) In the case of a payment described 
                        in subparagraph (A) which is made with respect 
                        to a railroad retirement beneficiary, section 
                        13 of the Railroad Retirement Act (45 U.S.C. 
                        231l) shall apply to such payment in the same 
                        manner as such section applies to a payment 
                        under such Act.
                            ``(iii) In the case of a payment described 
                        in subparagraph (A) which is made with respect 
                        to a veterans beneficiary, sections 5502, 6106, 
                        and 6108 of title 38, United States Code, shall 
                        apply to such payment in the same manner as 
                        such sections apply to a payment under such 
                        title.''.
    (b) Effective Date.--The amendments made by this section shall take 
effect as if included in section 2201 of the CARES Act.

SEC. 20106. APPLICATION TO TAXPAYERS WITH RESPECT TO WHOM ADVANCE 
              PAYMENT HAS ALREADY BEEN MADE.

    In the case of any taxpayer with respect to whom refund or credit 
was made or allowed before the date of the enactment of this Act under 
subsection (f) of section 6428 of the Internal Revenue Code of 1986 (as 
added by the CARES Act), such subsection shall be applied separately 
with respect to the excess (if any) of--
            (1) the advance refund amount determined under section 
        6428(f)(2) of such Code after the application of the amendments 
        made by this subtitle, over
            (2) the amount of such refund or credit so made or allowed.

         Subtitle B--Additional Recovery Rebates to Individuals

SEC. 20111. ADDITIONAL RECOVERY REBATES TO INDIVIDUALS.

    (a) In General.--Subchapter B of chapter 65 of the Internal Revenue 
Code of 1986 is amended by inserting after section 6428 the following 
new section:

``SEC. 6428A. ADDITIONAL RECOVERY REBATES TO INDIVIDUALS.

    ``(a) In General.--In the case of an eligible individual, there 
shall be allowed as a credit against the tax imposed by subtitle A for 
the first taxable year beginning in 2020 an amount equal to the 
additional rebate amount determined for such taxable year.
    ``(b) Additional Rebate Amount.--For purposes of this section, the 
term `additional rebate amount' means, with respect to any taxpayer for 
any taxable year, the sum of--
            ``(1) $1,200 ($2,400 in the case of a joint return), plus
            ``(2) $1,200 multiplied by the number of dependents of the 
        taxpayer for such taxable year (not in excess of 3 such 
        dependents).
    ``(c) Eligible Individual.--For purposes of this section, the term 
`eligible individual' means any individual other than--
            ``(1) any nonresident alien individual,
            ``(2) any individual with respect to whom a deduction under 
        section 151 is allowable to another taxpayer for a taxable year 
        beginning in the calendar year in which the individual's 
        taxable year begins, and
            ``(3) an estate or trust.
    ``(d) Limitation Based on Modified Adjusted Gross Income.--The 
amount of the credit allowed by subsection (a) (determined without 
regard to this subsection and subsection (f)) shall be reduced (but not 
below zero) by 5 percent of so much of the taxpayer's modified adjusted 
gross income as exceeds--
            ``(1) $150,000 in the case of a joint return or a surviving 
        spouse (as defined in section 2(a)),
            ``(2) $112,500 in the case of a head of household (as 
        defined in section 2(b)), and
            ``(3) $75,000 in any other case.
    ``(e) Definitions and Special Rules.--
            ``(1) Modified adjusted gross income.--For purposes of this 
        subsection (other than this paragraph), the term `modified 
        adjusted gross income' means adjusted gross income determined 
        without regard to sections 911, 931, and 933.
            ``(2) Dependent defined.--For purposes of this section, the 
        term `dependent' has the meaning given such term by section 
        152.
            ``(3) Credit treated as refundable.--The credit allowed by 
        subsection (a) shall be treated as allowed by subpart C of part 
        IV of subchapter A of chapter 1.
            ``(4) Identification number requirement.--
                    ``(A) In general.--The $1,200 amount in subsection 
                (b)(1) shall be treated as being zero unless the 
                taxpayer includes the TIN of the taxpayer on the return 
                of tax for the taxable year.
                    ``(B) Joint returns.--In the case of a joint 
                return, the $2,400 amount in subsection (b)(1) shall be 
                treated as being--
                            ``(i) zero if the TIN of neither spouse is 
                        included on the return of tax for the taxable 
                        year, and
                            ``(ii) $1,200 if the TIN of only one spouse 
                        is so included.
                    ``(C) Dependents.--A dependent shall not be taken 
                into account under subsection (b)(2) unless the TIN of 
                such dependent is included on the return of tax for the 
                taxable year.
                    ``(D) Coordination with certain advance payments.--
                In the case of any payment made pursuant to subsection 
                (g)(5)(A)(ii), a TIN shall be treated for purposes of 
                this paragraph as included on the taxpayer's return of 
                tax if such TIN is provided pursuant to such 
                subsection.
    ``(f) Coordination With Advance Refunds of Credit.--
            ``(1) Reduction of refundable credit.--The amount of the 
        credit which would (but for this paragraph) be allowable under 
        subsection (a) shall be reduced (but not below zero) by the 
        aggregate refunds and credits made or allowed to the taxpayer 
        (or any dependent of the taxpayer) under subsection (g). Any 
        failure to so reduce the credit shall be treated as arising out 
        of a mathematical or clerical error and assessed according to 
        section 6213(b)(1).
            ``(2) Joint returns.--In the case of a refund or credit 
        made or allowed under subsection (g) with respect to a joint 
        return, half of such refund or credit shall be treated as 
        having been made or allowed to each individual filing such 
        return.
    ``(g) Advance Refunds and Credits.--
            ``(1) In general.--Subject to paragraph (5), each 
        individual who was an eligible individual for such individual's 
        first taxable year beginning in 2019 shall be treated as having 
        made a payment against the tax imposed by chapter 1 for such 
        taxable year in an amount equal to the advance refund amount 
        for such taxable year.
            ``(2) Advance refund amount.--For purposes of paragraph 
        (1), the advance refund amount is the amount that would have 
        been allowed as a credit under this section for such taxable 
        year if this section (other than subsection (f) and this 
        subsection) had applied to such taxable year.
            ``(3) Timing and manner of payments.--
                    ``(A) Timing.--The Secretary shall, subject to the 
                provisions of this title, refund or credit any 
                overpayment attributable to this section as rapidly as 
                possible. No refund or credit shall be made or allowed 
                under this subsection after December 31, 2020.
                    ``(B) Delivery of payments.--Notwithstanding any 
                other provision of law, the Secretary may certify and 
                disburse refunds payable under this subsection 
                electronically to any account to which the payee 
                authorized, on or after January 1, 2018, the delivery 
                of a refund of taxes under this title or of a Federal 
                payment (as defined in section 3332 of title 31, United 
                States Code).
                    ``(C) Waiver of certain rules.--Notwithstanding 
                section 3325 of title 31, United States Code, or any 
                other provision of law, with respect to any payment of 
                a refund under this subsection, a disbursing official 
                in the executive branch of the United States Government 
                may modify payment information received from an officer 
                or employee described in section 3325(a)(1)(B) of such 
                title for the purpose of facilitating the accurate and 
                efficient delivery of such payment. Except in cases of 
                fraud or reckless neglect, no liability under sections 
                3325, 3527, 3528, or 3529 of title 31, United States 
                Code, shall be imposed with respect to payments made 
                under this subparagraph.
            ``(4) No interest.--No interest shall be allowed on any 
        overpayment attributable to this section.
            ``(5) Application to individuals who do not file a return 
        of tax for 2019.--
                    ``(A) In general.--In the case of an individual 
                who, at the time of any determination made pursuant to 
                paragraph (3), has not filed a tax return for the year 
                described in paragraph (1), the Secretary shall--
                            ``(i) apply paragraph (1) by substituting 
                        `2018' for `2019', and
                            ``(ii) in the case of a specified 
                        individual who has not filed a tax return for 
                        such individual's first taxable year beginning 
                        in 2018, determine the advance refund amount 
                        with respect to such individual without regard 
                        to subsections (d) and on the basis of 
                        information with respect to such individual 
                        which is provided by--
                                    ``(I) in the case of a specified 
                                social security beneficiary or a 
                                specified supplemental security income 
                                recipient, the Commissioner of Social 
                                Security,
                                    ``(II) in the case of a specified 
                                railroad retirement beneficiary, the 
                                Railroad Retirement Board, and
                                    ``(III) in the case of a specified 
                                veterans beneficiary, the Secretary of 
                                Veterans Affairs (in coordination with, 
                                and with the assistance of, the 
                                Commissioner of Social Security if 
                                appropriate).
                    ``(B) Specified individual.--For purposes of this 
                paragraph, the term `specified individual' means any 
                individual who is--
                            ``(i) a specified social security 
                        beneficiary,
                            ``(ii) a specified supplemental security 
                        income recipient,
                            ``(iii) a specified railroad retirement 
                        beneficiary, or
                            ``(iv) a specified veterans beneficiary.
                    ``(C) Specified social security beneficiary.--For 
                purposes of this paragraph--
                            ``(i) In general.--The term `specified 
                        social security beneficiary' means any 
                        individual who, for the last month that ends 
                        prior to the date of enactment of this section, 
                        is entitled to any monthly insurance benefit 
                        payable under title II of the Social Security 
                        Act (42 U.S.C. 401 et seq.), including payments 
                        made pursuant to sections 202(d), 223(g), and 
                        223(i)(7) of such Act.
                            ``(ii) Exception.--Such term shall not 
                        include any individual if such benefit is not 
                        payable for such month by reason of section 
                        202(x) of the Social Security Act (42 U.S.C. 
                        402(x)) or section 1129A of such Act (42 U.S.C. 
                        1320a-8a).
                    ``(D) Specified supplemental security income 
                recipient.--For purposes of this paragraph--
                            ``(i) In general.--The term `specified 
                        supplemental security income recipient' means 
                        any individual who, for the last month that 
                        ends prior to the date of enactment of this 
                        section, is eligible for a monthly benefit 
                        payable under title XVI of the Social Security 
                        Act (42 U.S.C. 1381 et seq.) (other than a 
                        benefit to an individual described in section 
                        1611(e)(1)(B) of such Act (42 U.S.C. 
                        1382(e)(1)(B)), including--
                                    ``(I) payments made pursuant to 
                                section 1614(a)(3)(C) of such Act (42 
                                U.S.C. 1382c(a)(3)(C)),
                                    ``(II) payments made pursuant to 
                                section 1619(a) (42 U.S.C. 1382h) or 
                                subsections (a)(4), (a)(7), or (p)(7) 
                                of section 1631 (42 U.S.C. 1383) of 
                                such Act, and
                                    ``(III) State supplementary 
                                payments of the type referred to in 
                                section 1616(a) of such Act (42 U.S.C. 
                                1382e(a)) (or payments of the type 
                                described in section 212(a) of Public 
                                Law 93-66) which are paid by the 
                                Commissioner under an agreement 
                                referred to in such section 1616(a) (or 
                                section 212(a) of Public Law 93-66).
                            ``(ii) Exception.--Such term shall not 
                        include any individual if such monthly benefit 
                        is not payable for such month by reason of 
                        subsection (e)(1)(A) or (e)(4) of section 1611 
                        (42 U.S.C. 1382) or section 1129A of such Act 
                        (42 U.S.C. 1320a-8a).
                    ``(E) Specified railroad retirement beneficiary.--
                For purposes of this paragraph, the term `specified 
                railroad retirement beneficiary' means any individual 
                who, for the last month that ends prior to the date of 
                enactment of this section, is entitled to a monthly 
                annuity or pension payment payable (without regard to 
                section 5(a)(ii) of the Railroad Retirement Act of 1974 
                (45 U.S.C. 231d(a)(ii))) under--
                            ``(i) section 2(a)(1) of such Act (45 
                        U.S.C. 231a(a)(1)),
                            ``(ii) section 2(c) of such Act (45 U.S.C. 
                        231a(c)),
                            ``(iii) section 2(d)(1) of such Act (45 
                        U.S.C. 231a(d)(1)), or
                            ``(iv) section 7(b)(2) of such Act (45 
                        U.S.C. 231f(b)(2)) with respect to any of the 
                        benefit payments described in subparagraph 
                        (C)(i).
                    ``(F) Specified veterans beneficiary.--For purposes 
                of this paragraph--
                            ``(i) In general.--The term `specified 
                        veterans beneficiary' means any individual who, 
                        for the last month that ends prior to the date 
                        of enactment of this section, is entitled to a 
                        compensation or pension payment payable under--
                                    ``(I) section 1110, 1117, 1121, 
                                1131, 1141, or 1151 of title 38, United 
                                States Code,
                                    ``(II) section 1310, 1312, 1313, 
                                1315, 1316, or 1318 of title 38, United 
                                States Code,
                                    ``(III) section 1513, 1521, 1533, 
                                1536, 1537, 1541, 1542, or 1562 of 
                                title 38, United States Code, or
                                    ``(IV) section 1805, 1815, or 1821 
                                of title 38, United States Code,
                        to a veteran, surviving spouse, child, or 
                        parent as described in paragraph (2), (3), 
                        (4)(A)(ii), or (5) of section 101, title 38, 
                        United States Code.
                            ``(ii) Exception.--Such term shall not 
                        include any individual if such compensation or 
                        pension payment is not payable, or was reduced, 
                        for such month by reason of section 1505, 5313, 
                        or 5313B of title 38, United States Code.
                    ``(G) Subsequent determinations and 
                redeterminations not taken into account.--For purposes 
                of this section, any individual's status as a specified 
                social security beneficiary, a specified supplemental 
                security income recipient, a specified railroad 
                retirement beneficiary, or a specified veterans 
                beneficiary shall be unaffected by any determination or 
                redetermination of any entitlement to, or eligibility 
                for, any benefit, payment, or compensation, if such 
                determination or redetermination occurs after the last 
                month that ends prior to the date of enactment of this 
                section.
                    ``(H) Payment to representative payees and 
                fiduciaries.--
                            ``(i) In general.--If the benefit, payment, 
                        or compensation referred to in subparagraph 
                        (C)(i), (D)(i), (E), or (F)(i) with respect to 
                        any specified individual is paid to a 
                        representative payee or fiduciary, payment by 
                        the Secretary under paragraph (3) with respect 
                        to such specified individual shall be made to 
                        such individual's representative payee or 
                        fiduciary and the entire payment shall be used 
                        only for the benefit of the individual who is 
                        entitled to the payment.
                            ``(ii) Application of enforcement 
                        provisions.--
                                    ``(I) In the case of a payment 
                                described in clause (i) which is made 
                                with respect to a specified social 
                                security beneficiary or a specified 
                                supplemental security income recipient, 
                                section 1129(a)(3) of the Social 
                                Security Act (42 U.S.C. 1320a-8(a)(3)) 
                                shall apply to such payment in the same 
                                manner as such section applies to a 
                                payment under title II or XVI of such 
                                Act.
                                    ``(II) In the case of a payment 
                                described in clause (i) which is made 
                                with respect to a specified railroad 
                                retirement beneficiary, section 13 of 
                                the Railroad Retirement Act (45 U.S.C. 
                                231l) shall apply to such payment in 
                                the same manner as such section applies 
                                to a payment under such Act.
                                    ``(III) In the case of a payment 
                                described in clause (i) which is made 
                                with respect to a specified veterans 
                                beneficiary, sections 5502, 6106, and 
                                6108 of title 38, United States Code, 
                                shall apply to such payment in the same 
                                manner as such sections apply to a 
                                payment under such title.
            ``(6) Notice to taxpayer.--Not later than 15 days after the 
        date on which the Secretary distributed any payment to an 
        eligible taxpayer pursuant to this subsection, notice shall be 
        sent by mail to such taxpayer's last known address. Such notice 
        shall indicate the method by which such payment was made, the 
        amount of such payment, and a phone number for the appropriate 
        point of contact at the Internal Revenue Service to report any 
        error with respect to such payment.
    ``(h) Regulations.--The Secretary shall prescribe such regulations 
or other guidance as may be necessary or appropriate to carry out the 
purposes of this section, including--
            ``(1) regulations or other guidance providing taxpayers the 
        opportunity to provide the Secretary information sufficient to 
        allow the Secretary to make payments to such taxpayers under 
        subsection (g) (including the determination of the amount of 
        such payment) if such information is not otherwise available to 
        the Secretary, and
            ``(2) regulations or other guidance providing for the 
        proper treatment of joint returns and taxpayers with dependents 
        to ensure that an individual is not taken into account more 
        than once in determining the amount of any credit under 
        subsection (a) and any credit or refund under subsection (g).
    ``(i) Outreach.--The Secretary shall carry out a robust and 
comprehensive outreach program to ensure that all taxpayers described 
in subsection (h)(1) learn of their eligibility for the advance refunds 
and credits under subsection (g); are advised of the opportunity to 
receive such advance refunds and credits as provided under subsection 
(h)(1); and are provided assistance in applying for such advance 
refunds and credits. In conducting such outreach program, the Secretary 
shall coordinate with other government, State, and local agencies; 
federal partners; and community-based nonprofit organizations that 
regularly interface with such taxpayers.''.
    (b) Treatment of Certain Possessions.--
            (1) Payments to possessions with mirror code tax systems.--
        The Secretary of the Treasury shall pay to each possession of 
        the United States which has a mirror code tax system amounts 
        equal to the loss (if any) to that possession by reason of the 
        amendments made by this section. Such amounts shall be 
        determined by the Secretary of the Treasury based on 
        information provided by the government of the respective 
        possession.
            (2) Payments to other possessions.--The Secretary of the 
        Treasury shall pay to each possession of the United States 
        which does not have a mirror code tax system amounts estimated 
        by the Secretary of the Treasury as being equal to the 
        aggregate benefits (if any) that would have been provided to 
        residents of such possession by reason of the amendments made 
        by this section if a mirror code tax system had been in effect 
        in such possession. The preceding sentence shall not apply 
        unless the respective possession has a plan, which has been 
        approved by the Secretary of the Treasury, under which such 
        possession will promptly distribute such payments to its 
        residents.
            (3) Coordination with credit allowed against united states 
        income taxes.--No credit shall be allowed against United States 
        income taxes under section 6428A of the Internal Revenue Code 
        of 1986 (as added by this section), nor shall any credit or 
        refund be made or allowed under subsection (g) of such section, 
        to any person--
                    (A) to whom a credit is allowed against taxes 
                imposed by the possession by reason of the amendments 
                made by this section, or
                    (B) who is eligible for a payment under a plan 
                described in paragraph (2).
            (4) Mirror code tax system.--For purposes of this 
        subsection, the term ``mirror code tax system'' means, with 
        respect to any possession of the United States, the income tax 
        system of such possession if the income tax liability of the 
        residents of such possession under such system is determined by 
        reference to the income tax laws of the United States as if 
        such possession were the United States.
    (c) Administrative Provisions.--
            (1) Definition of deficiency.--Section 6211(b)(4)(A) of the 
        Internal Revenue Code of 1986 is amended by striking ``and 
        6428'' and inserting ``6428, and 6428A''.
            (2) Mathematical or clerical error authority.--Section 
        6213(g)(2) of such Code is amended--
                    (A) by inserting ``or section 6428A (relating to 
                additional recovery rebates to individuals)'' before 
                the comma at the end of subparagraph (H), and
                    (B) by striking ``or 6428'' in subparagraph (L) and 
                inserting ``6428, or 6428A''.
            (3) Exception from reduction or offset.--Any credit or 
        refund allowed or made to any individual by reason of section 
        6428A of the Internal Revenue Code of 1986 (as added by this 
        section) or by reason of subsection (b) of this section shall 
        not be--
                    (A) subject to reduction or offset pursuant to 
                section 3716 or 3720A of title 31, United States Code,
                    (B) subject to reduction or offset pursuant to 
                subsection (c), (d), (e), or (f) of section 6402 of the 
                Internal Revenue Code of 1986, or
                    (C) reduced or offset by other assessed Federal 
                taxes that would otherwise be subject to levy or 
                collection.
            (4) Assignment of benefits.--
                    (A) In general.--Any applicable payment shall not 
                be subject to transfer, assignment, execution, levy, 
                attachment, garnishment, or other legal process, or the 
                operation of any bankruptcy or insolvency law, to the 
                same extent as payments described in section 207 of the 
                Social Security Act (42 U.S.C. 407) without regard to 
                subsection (b) thereof.
                    (B) Encoding of payments.--As soon as practicable 
                after the date of the enactment of the paragraph, the 
                Secretary of the Treasury shall encode applicable 
                payments that are paid electronically to any account--
                            (i) with a unique identifier that is 
                        reasonably sufficient to allow a financial 
                        institution to identify the payment as a 
                        payment protected under subparagraph (A), and
                            (ii) pursuant to the same specifications as 
                        required for a benefit payment to which part 
                        212 of title 31, Code of Federal regulations 
                        applies.
                    (C) Garnishment.--
                            (i) Encoded payments.--Upon receipt of a 
                        garnishment order that applies to an account 
                        that has received an applicable payment that is 
                        encoded as provided in subparagraph (B), a 
                        financial institution shall follow the 
                        requirements and procedures set forth in part 
                        212 of title 31, Code of Federal Regulations. 
                        This paragraph shall not alter the status of 
                        payments as tax refunds or other nonbenefit 
                        payments for purpose of any reclamation rights 
                        of the Department of Treasury or the Internal 
                        Revenue Serves as per part 210 of title 31 of 
                        the Code of Federal Regulations.
                            (ii) Other payments.--If a financial 
                        institution receives a garnishment order (other 
                        than an order that has been served by the 
                        United States) that applies to an account into 
                        which an applicable payment that has not been 
                        encoded as provided in subparagraph (B) has 
                        been deposited on any date in the prior 60 days 
                        (including any date before the date of the 
                        enactment of this paragraph), the financial 
                        institution, upon the request of the account 
                        holder or for purposes of complying in good 
                        faith with a State order, State law, court 
                        order, or interpretation by a State Attorney 
                        General relating to garnishment order, may, but 
                        is not required to, treat the amount of the 
                        payment as exempt under law from garnishment 
                        without requiring the account holder to assert 
                        any right of garnishment exemption or requiring 
                        the consent of the judgment creditor.
                            (iii) Liability.--A financial institution 
                        that complies in good faith with clause (i) or 
                        that acts in good faith in reliance on clause 
                        (ii) shall not be liable under any Federal or 
                        State law, regulation, or court or other order 
                        to a creditor that initiates an order for any 
                        protected amounts, to an account holder for any 
                        frozen amounts or garnishment order applied.
                    (D) Definitions.--For purposes of this paragraph--
                            (i) Account holder.--The term ``account 
                        holder'' means a natural person against whom a 
                        garnishment order is issued and whose name 
                        appears in a financial institution's records.
                            (ii) Applicable payment.--The term 
                        ``applicable payment'' means any payment of 
                        credit or refund by reason of section 6428 of 
                        such Code (as so added) or by reason of 
                        subsection (c) of this section.
                            (iii) Garnishment.--The term 
                        ``garnishment'' means execution, levy, 
                        attachment, garnishment, or other legal 
                        process.
                            (iv) Garnishment order.--The term 
                        ``garnishment order'' means a writ, order, 
                        notice, summons, judgment, levy, or similar 
                        written instruction issued by a court, a State 
                        or State agency, a municipality or municipal 
                        corporation, or a State child support 
                        enforcement agency, including a lien arising by 
                        operation of law for overdue child support or 
                        an order to freeze the assets in an account, to 
                        effect a garnishment against a debtor.
            (5) Treatment of credit and advance payments.--For purposes 
        of section 1324 of title 31, United States Code, any credit 
        under section 6428A(a) of the Internal Revenue Code of 1986, 
        any credit or refund under section 6428A(g) of such Code, and 
        any payment under subsection (b) of this section, shall be 
        treated in the same manner as a refund due from a credit 
        provision referred to in subsection (b)(2) of such section 
        1324.
            (6) Agency information sharing and assistance.--The 
        Commissioner of Social Security, the Railroad Retirement Board, 
        and the Secretary of Veterans Affairs shall each provide the 
        Secretary of the Treasury (or the Secretary's delegate) such 
        information and assistance as the Secretary of the Treasury (or 
        the Secretary's delegate) may require for purposes of making 
        payments under section 6428A(g) of the Internal Revenue Code of 
        1986 to individuals described in paragraph (5)(A)(ii) thereof.
            (7) Clerical amendment.--The table of sections for 
        subchapter B of chapter 65 of the Internal Revenue Code of 1986 
        is amended by inserting after the item relating to section 6428 
        the following new item:

``Sec. 6428A. Additional recovery rebates to individuals.''.
    (d) Appropriations to Carry Out This Section.--
            (1) In general.--Immediately upon the enactment of this 
        Act, the following sums are appropriated, out of any money in 
        the Treasury not otherwise appropriated, for the fiscal year 
        ending September 30, 2020--
                    (A) Social security administration.--For an 
                additional amount for ``Social Security 
                Administration--Limitation on Administrative 
                Expenses'', $40,500,000, to remain available until 
                September 30, 2021: Provided, that $2,500,000, to 
                remain available until September 30, 2024, shall be 
                transferred to ``Social Security Administration--Office 
                of Inspector General'' for necessary expenses in 
                carrying out the provisions of the Inspector General 
                Act of 1978.
                    (B) Railroad retirement board.--For an additional 
                amount for ``Railroad Retirement Board--Limitation on 
                Administration'', $8,300, to remain available until 
                September 30, 2021.
            (2) Reports.--Beginning 90 days after enactment of this 
        Act, the Secretary of the Treasury shall submit a quarterly 
        report to the Committees on Appropriations of the House of 
        Representatives and the Senate detailing the actual expenditure 
        of Internal Revenue Service funds in this Act, and the expected 
        expenditure of such funds in the subsequent quarter.
    (e) Certain Requirements Related to Recovery Rebates and Additional 
Recovery Rebates.--
            (1) Signatures on checks and notices, etc., by the 
        department of the treasury.--Any check issued to an individual 
        by the Department of the Treasury pursuant to section 6428 or 
        6428A of the Internal Revenue Code of 1986, and any notice 
        issued pursuant to section 6428(f)(6) or section 6428A(g)(6) of 
        such Code, may not be signed by or otherwise bear the name, 
        signature, image or likeness of the President, the Vice 
        President or any elected official or cabinet level officer of 
        the United States, or any individual who, with respect to any 
        of the aforementioned individuals, bears any relationship 
        described in subparagraphs (A) through (G) of section 152(d)(2) 
        of the Internal Revenue Code of 1986.
            (2) Effective date.--Paragraph (1) shall apply to checks 
        and notices issued after the date of the enactment of this Act.
    (f) Reports to Congress.--Each week beginning after the date of the 
enactment of this Act and beginning before December 31, 2020, on Friday 
of such week, not later than 3 p.m. Eastern Time, the Secretary of the 
Treasury shall provide a written report to the Committee on Ways and 
Means of the House of Representatives and the Committee on Finance of 
the Senate. Such report shall include the following information with 
respect to payments made pursuant to each of sections 6428 and 6428A of 
the Internal Revenue Code of 1986:
            (1) The number of scheduled payments sent to the Bureau of 
        Fiscal Service for payment by direct deposit or paper check for 
        the following week (stated separately for direct deposit and 
        paper check).
            (2) The total dollar amount of the scheduled payments 
        described in paragraph (1).
            (3) The number of direct deposit payments returned to the 
        Department of the Treasury and the total dollar value of such 
        payments, for the week ending on the day prior to the day on 
        which the report is provided.
            (4) The total number of letters related to payments under 
        section 6428 or 6428A of such Code mailed to taxpayers during 
        the week ending on the day prior to the day on which the report 
        is provided.

                  Subtitle C--Earned Income Tax Credit

SEC. 20121. STRENGTHENING THE EARNED INCOME TAX CREDIT FOR INDIVIDUALS 
              WITH NO QUALIFYING CHILDREN.

    (a) Special Rules for 2020.--Section 32 of the Internal Revenue 
Code of 1986 is amended by adding at the end the following new 
subsection:
    ``(n) Special Rules for Individuals Without Qualifying Children.--
In the case of any taxable year beginning after December 31, 2019, and 
before January 1, 2021--
            ``(1) Decrease in minimum age for credit.--
                    ``(A) In general.--Subsection (c)(1)(A)(ii)(II) 
                shall be applied by substituting `the applicable 
                minimum age' for `age 25'.
                    ``(B) Applicable minimum age.--For purposes of this 
                paragraph, the term `applicable minimum age' means--
                            ``(i) except as otherwise provided in this 
                        subparagraph, age 19,
                            ``(ii) in the case of a full-time student 
                        (other than a qualified former foster youth or 
                        a qualified homeless youth), age 25, and
                            ``(iii) in the case of a qualified former 
                        foster youth or a qualified homeless youth, age 
                        18.
                    ``(C) Full-time student.--For purposes of this 
                paragraph, the term `full-time student' means, with 
                respect to any taxable year, an individual who is an 
                eligible student (as defined in section 25A(b)(3)) 
                during at least 5 calendar months during the taxable 
                year.
                    ``(D) Qualified former foster youth.--For purposes 
                of this paragraph, the term `qualified former foster 
                youth' means an individual who--
                            ``(i) on or after the date that such 
                        individual attained age 14, was in foster care 
                        provided under the supervision or 
                        administration of a State or tribal agency 
                        administering (or eligible to administer) a 
                        plan under part B or part E of the Social 
                        Security Act (without regard to whether Federal 
                        assistance was provided with respect to such 
                        child under such part E), and
                            ``(ii) provides (in such manner as the 
                        Secretary may provide) consent for State and 
                        tribal agencies which administer a plan under 
                        part B or part E of the Social Security Act to 
                        disclose to the Secretary information related 
                        to the status of such individual as a qualified 
                        former foster youth.
                    ``(E) Qualified homeless youth.--For purposes of 
                this paragraph, the term `qualified homeless youth' 
                means, with respect to any taxable year, an individual 
                who--
                            ``(i) is certified by a local educational 
                        agency or a financial aid administrator during 
                        such taxable year as being either an 
                        unaccompanied youth who is a homeless child or 
                        youth, or as unaccompanied, at risk of 
                        homelessness, and self-supporting. Terms used 
                        in the preceding sentence which are also used 
                        in section 480(d)(1) of the Higher Education 
                        Act of 1965 shall have the same meaning as when 
                        used in such section, and
                            ``(ii) provides (in such manner as the 
                        Secretary may provide) consent for local 
                        educational agencies and financial aid 
                        administrators to disclose to the Secretary 
                        information related to the status of such 
                        individual as a qualified homeless youth.
            ``(2) Increase in maximum age for credit.--Subsection 
        (c)(1)(A)(ii)(II) shall be applied by substituting `age 66' for 
        `age 65'.
            ``(3) Increase in credit and phaseout percentages.--The 
        table contained in subsection (b)(1) shall be applied by 
        substituting `15.3' for `7.65' each place it appears therein.
            ``(4) Increase in earned income and phaseout amounts.--
                    ``(A) In general.--The table contained in 
                subsection (b)(2)(A) shall be applied--
                            ``(i) by substituting `$9,720' for 
                        `$4,220', and
                            ``(ii) by substituting `$11,490' for 
                        `$5,280'.
                    ``(B) Coordination with inflation adjustment.--
                Subsection (j) shall not apply to any dollar amount 
                specified in this paragraph.''.
    (b) Information Return Matching.--As soon as practicable, the 
Secretary of the Treasury (or the Secretary's delegate) shall develop 
and implement procedures to use information returns under section 6050S 
(relating to returns relating to higher education tuition and related 
expenses) to check the status of individuals as full-time students for 
purposes of section 32(n)(1)(B)(ii) of the Internal Revenue Code of 
1986 (as added by this section).
    (c) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2019.

SEC. 20122. TAXPAYER ELIGIBLE FOR CHILDLESS EARNED INCOME CREDIT IN 
              CASE OF QUALIFYING CHILDREN WHO FAIL TO MEET CERTAIN 
              IDENTIFICATION REQUIREMENTS.

    (a) In General.--Section 32(c)(1) of the Internal Revenue Code of 
1986 is amended by striking subparagraph (F).
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after the date of the enactment of this Act.

SEC. 20123. CREDIT ALLOWED IN CASE OF CERTAIN SEPARATED SPOUSES.

    (a) In General.--Section 32(d) of the Internal Revenue Code of 1986 
is amended--
            (1) by striking ``Married Individuals.--In the case of'' 
        and inserting the following: ``Married Individuals.--
            ``(1) In general.--In the case of'', and
            (2) by adding at the end the following new paragraph:
            ``(2) Determination of marital status.--For purposes of 
        this section--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), marital status shall be determined 
                under section 7703(a).
                    ``(B) Special rule for separated spouse.--An 
                individual shall not be treated as married if such 
                individual--
                            ``(i) is married (as determined under 
                        section 7703(a)) and does not file a joint 
                        return for the taxable year,
                            ``(ii) lives with a qualifying child of the 
                        individual for more than one-half of such 
                        taxable year, and
                            ``(iii)(I) during the last 6 months of such 
                        taxable year, does not have the same principal 
                        place of abode as the individual's spouse, or
                            ``(II) has a decree, instrument, or 
                        agreement (other than a decree of divorce) 
                        described in section 121(d)(3)(C) with respect 
                        to the individual's spouse and is not a member 
                        of the same household with the individual's 
                        spouse by the end of the taxable year.''.
    (b) Conforming Amendments.--
            (1) Section 32(c)(1)(A) of such Code is amended by striking 
        the last sentence.
            (2) Section 32(c)(1)(E)(ii) of such Code is amended by 
        striking ``(within the meaning of section 7703)''.
            (3) Section 32(d)(1) of such Code, as amended by subsection 
        (a), is amended by striking ``(within the meaning of section 
        7703)''.
    (c) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after the date of the enactment of 
this Act.

SEC. 20124. ELIMINATION OF DISQUALIFIED INVESTMENT INCOME TEST.

    (a) In General.--Section 32 of the Internal Revenue Code of 1986 is 
amended by striking subsection (i).
    (b) Conforming Amendments.--
            (1) Section 32(j)(1) of such Code is amended by striking 
        ``subsections (b)(2) and (i)(1)'' and inserting ``subsection 
        (b)(2)''.
            (2) Section 32(j)(1)(B)(i) of such Code is amended by 
        striking ``subsections (b)(2)(A) and (i)(1)'' and inserting 
        ``subsection (b)(2)(A)''.
            (3) Section 32(j)(2) of such Code is amended--
                    (A) by striking subparagraph (B), and
                    (B) by striking ``Rounding.--'' and all that 
                follows through ``If any dollar amount'' and inserting 
                the following: ``Rounding.--If any dollar amount''.
    (c) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after the date of the enactment of 
this Act.

SEC. 20125. APPLICATION OF EARNED INCOME TAX CREDIT IN POSSESSIONS OF 
              THE UNITED STATES.

    (a) In General.--Chapter 77 of the Internal Revenue Code of 1986 is 
amended by adding at the end the following new section:

``SEC. 7530. APPLICATION OF EARNED INCOME TAX CREDIT TO POSSESSIONS OF 
              THE UNITED STATES.

    ``(a) Puerto Rico.--
            ``(1) In general.--With respect to calendar year 2021 and 
        each calendar year thereafter, the Secretary shall, except as 
        otherwise provided in this subsection, make payments to Puerto 
        Rico equal to--
                    ``(A) the specified matching amount for such 
                calendar year, plus
                    ``(B) in the case of calendar years 2021 through 
                2025, the lesser of--
                            ``(i) the expenditures made by Puerto Rico 
                        during such calendar year for education efforts 
                        with respect to individual taxpayers and tax 
                        return preparers relating to the earned income 
                        tax credit, or
                            ``(ii) $1,000,000.
            ``(2) Requirement to reform earned income tax credit.--The 
        Secretary shall not make any payments under paragraph (1) with 
        respect to any calendar year unless Puerto Rico has in effect 
        an earned income tax credit for taxable years beginning in or 
        with such calendar year which (relative to the earned income 
        tax credit which was in effect for taxable years beginning in 
        or with calendar year 2019) increases the percentage of earned 
        income which is allowed as a credit for each group of 
        individuals with respect to which such percentage is separately 
        stated or determined in a manner designed to substantially 
        increase workforce participation.
            ``(3) Specified matching amount.--For purposes of this 
        subsection--
                    ``(A) In general.--The term `specified matching 
                amount' means, with respect to any calendar year, the 
                lesser of--
                            ``(i) the excess (if any) of--
                                    ``(I) the cost to Puerto Rico of 
                                the earned income tax credit for 
                                taxable years beginning in or with such 
                                calendar year, over
                                    ``(II) the base amount for such 
                                calendar year, or
                            ``(ii) the product of 3, multiplied by the 
                        base amount for such calendar year.
                    ``(B) Base amount.--
                            ``(i) Base amount for 2020.--In the case of 
                        calendar year 2020, the term `base amount' 
                        means the greater of--
                                    ``(I) the cost to Puerto Rico of 
                                the earned income tax credit for 
                                taxable years beginning in or with 
                                calendar year 2019 (rounded to the 
                                nearest multiple of $1,000,000), or
                                    ``(II) $200,000,000.
                            ``(ii) Inflation adjustment.--In the case 
                        of any calendar year after 2021, the term `base 
                        amount' means the dollar amount determined 
                        under clause (i) increased by an amount equal 
                        to--
                                    ``(I) such dollar amount, 
                                multiplied by--
                                    ``(II) the cost-of-living 
                                adjustment determined under section 
                                1(f)(3) for such calendar year, 
                                determined by substituting `calendar 
                                year 2020' for `calendar year 2016' in 
                                subparagraph (A)(ii) thereof.
                        Any amount determined under this clause shall 
                        be rounded to the nearest multiple of 
                        $1,000,000.
            ``(4) Rules related to payments and reports.--
                    ``(A) Timing of payments.--The Secretary shall make 
                payments under paragraph (1) for any calendar year--
                            ``(i) after receipt of the report described 
                        in subparagraph (B) for such calendar year, and
                            ``(ii) except as provided in clause (i), 
                        within a reasonable period of time before the 
                        due date for individual income tax returns (as 
                        determined under the laws of Puerto Rico) for 
                        taxable years which began on the first day of 
                        such calendar year.
                    ``(B) Annual reports.--With respect to calendar 
                year 2021 and each calendar year thereafter, Puerto 
                Rico shall provide to the Secretary a report which 
                shall include--
                            ``(i) an estimate of the costs described in 
                        paragraphs (1)(B)(i) and (3)(A)(i)(I) with 
                        respect to such calendar year, and
                            ``(ii) a statement of such costs with 
                        respect to the preceding calendar year.
                    ``(C) Adjustments.--
                            ``(i) In general.--In the event that any 
                        estimate of an amount is more or less than the 
                        actual amount as later determined and any 
                        payment under paragraph (1) was determined on 
                        the basis of such estimate, proper payment 
                        shall be made by, or to, the Secretary (as the 
                        case may be) as soon as practicable after the 
                        determination that such estimate was 
                        inaccurate. Proper adjustment shall be made in 
                        the amount of any subsequent payments made 
                        under paragraph (1) to the extent that proper 
                        payment is not made under the preceding 
                        sentence before such subsequent payments.
                            ``(ii) Additional reports.--The Secretary 
                        may require such additional periodic reports of 
                        the information described in subparagraph (B) 
                        as the Secretary determines appropriate to 
                        facilitate timely adjustments under clause (i).
                    ``(D) Determination of cost of earned income tax 
                credit.--For purposes of this subsection, the cost to 
                Puerto Rico of the earned income tax credit shall be 
                determined by the Secretary on the basis of the laws of 
                Puerto Rico and shall include reductions in revenues 
                received by Puerto Rico by reason of such credit and 
                refunds attributable to such credit, but shall not 
                include any administrative costs with respect to such 
                credit.
                    ``(E) Prevention of manipulation of base amount.--
                No payments shall be made under paragraph (1) if the 
                earned income tax credit as in effect in Puerto Rico 
                for taxable years beginning in or with calendar year 
                2019 is modified after the date of the enactment of 
                this subsection.
    ``(b) Possessions With Mirror Code Tax Systems.--
            ``(1) In general.--With respect to calendar year 2020 and 
        each calendar year thereafter, the Secretary shall, except as 
        otherwise provided in this subsection, make payments to the 
        Virgin Islands, Guam, and the Commonwealth of the Northern 
        Mariana Islands equal to--
                    ``(A) 75 percent of the cost to such possession of 
                the earned income tax credit for taxable years 
                beginning in or with such calendar year, plus
                    ``(B) in the case of calendar years 2020 through 
                2024, the lesser of--
                            ``(i) the expenditures made by such 
                        possession during such calendar year for 
                        education efforts with respect to individual 
                        taxpayers and tax return preparers relating to 
                        such earned income tax credit, or
                            ``(ii) $50,000.
            ``(2) Application of certain rules.--Rules similar to the 
        rules of subparagraphs (A), (B), (C), and (D) of subsection 
        (a)(4) shall apply for purposes of this subsection.
    ``(c) American Samoa.--
            ``(1) In general.--With respect to calendar year 2020 and 
        each calendar year thereafter, the Secretary shall, except as 
        otherwise provided in this subsection, make payments to 
        American Samoa equal to--
                    ``(A) the lesser of--
                            ``(i) 75 percent of the cost to American 
                        Samoa of the earned income tax credit for 
                        taxable years beginning in or with such 
                        calendar year, or
                            ``(ii) $12,000,000, plus
                    ``(B) in the case of calendar years 2020 through 
                2024, the lesser of--
                            ``(i) the expenditures made by American 
                        Samoa during such calendar year for education 
                        efforts with respect to individual taxpayers 
                        and tax return preparers relating to such 
                        earned income tax credit, or
                            ``(ii) $50,000.
            ``(2) Requirement to enact and maintain an earned income 
        tax credit.--The Secretary shall not make any payments under 
        paragraph (1) with respect to any calendar year unless American 
        Samoa has in effect an earned income tax credit for taxable 
        years beginning in or with such calendar year which allows a 
        refundable tax credit to individuals on the basis of the 
        taxpayer's earned income which is designed to substantially 
        increase workforce participation.
            ``(3) Inflation adjustment.--In the case of any calendar 
        year after 2020, the $12,000,000 amount in paragraph (1)(A)(ii) 
        shall be increased by an amount equal to--
                    ``(A) such dollar amount, multiplied by--
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for such calendar year, 
                determined by substituting `calendar year 2019' for 
                `calendar year 2016' in subparagraph (A)(ii) thereof.
        Any increase determined under this clause shall be rounded to 
        the nearest multiple of $100,000.
            ``(4) Application of certain rules.--Rules similar to the 
        rules of subparagraphs (A), (B), (C), and (D) of subsection 
        (a)(4) shall apply for purposes of this subsection.
    ``(d) Treatment of Payments.--For purposes of section 1324 of title 
31, United States Code, the payments under this section shall be 
treated in the same manner as a refund due from a credit provision 
referred to in subsection (b)(2) of such section.''.
    (b) Clerical Amendment.--The table of sections for chapter 77 of 
the Internal Revenue Code of 1986 is amended by adding at the end the 
following new item:

``Sec. 7529. Application of earned income tax credit to possessions of 
                            the United States.''.

SEC. 20126. TEMPORARY SPECIAL RULE FOR DETERMINING EARNED INCOME FOR 
              PURPOSES OF EARNED INCOME TAX CREDIT.

    (a) In General.--If the earned income of the taxpayer for the 
taxpayer's first taxable year beginning in 2020 is less than the earned 
income of the taxpayer for the preceding taxable year, the credit 
allowed under section 32 of the Internal Revenue Code of 1986 may, at 
the election of the taxpayer, be determined by substituting---
            (1) such earned income for the preceding taxable year, for
            (2) such earned income for the taxpayer's first taxable 
        year beginning in 2020.
    (b) Earned Income.--
            (1) In general.--For purposes of this section, the term 
        ``earned income'' has the meaning given such term under section 
        32(c) of the Internal Revenue Code of 1986.
            (2) Application to joint returns.--For purposes of 
        subsection (a), in the case of a joint return, the earned 
        income of the taxpayer for the preceding taxable year shall be 
        the sum of the earned income of each spouse for such preceding 
        taxable year.
    (c) Special Rules.--
            (1) Errors treated as mathematical error.--For purposes of 
        section 6213 of the Internal Revenue Code of 1986, an incorrect 
        use on a return of earned income pursuant to subsection (a) 
        shall be treated as a mathematical or clerical error.
            (2) No effect on determination of gross income, etc.--
        Except as otherwise provided in this subsection, the Internal 
        Revenue Code of 1986 shall be applied without regard to any 
        substitution under subsection (a).
    (d) Treatment of Certain Possessions.--
            (1) Payments to possessions with mirror code tax systems.--
        The Secretary of the Treasury shall pay to each possession of 
        the United States which has a mirror code tax system amounts 
        equal to the loss (if any) to that possession by reason of the 
        application of the provisions of this section (other than this 
        subsection) with respect to section 32 of the Internal Revenue 
        Code of 1986. Such amounts shall be determined by the Secretary 
        of the Treasury based on information provided by the government 
        of the respective possession.
            (2) Payments to other possessions.--The Secretary of the 
        Treasury shall pay to each possession of the United States 
        which does not have a mirror code tax system amounts estimated 
        by the Secretary of the Treasury as being equal to the 
        aggregate benefits (if any) that would have been provided to 
        residents of such possession by reason of the provisions of 
        this section (other than this subsection) with respect to 
        section 32 of the Internal Revenue Code of 1986 if a mirror 
        code tax system had been in effect in such possession. The 
        preceding sentence shall not apply unless the respective 
        possession has a plan, which has been approved by the Secretary 
        of the Treasury, under which such possession will promptly 
        distribute such payments to its residents.
            (3) Mirror code tax system.--For purposes of this section, 
        the term ``mirror code tax system'' means, with respect to any 
        possession of the United States, the income tax system of such 
        possession if the income tax liability of the residents of such 
        possession under such system is determined by reference to the 
        income tax laws of the United States as if such possession were 
        the United States.
            (4) Treatment of payments.--For purposes of section 1324 of 
        title 31, United States Code, the payments under this section 
        shall be treated in the same manner as a refund due from a 
        credit provision referred to in subsection (b)(2) of such 
        section.

                      Subtitle D--Child Tax Credit

SEC. 20131. CHILD TAX CREDIT IMPROVEMENTS FOR 2020.

    (a) In General.--Section 24 of the Internal Revenue Code of 1986 is 
amended by adding at the end the following new subsection:
    ``(i) Special Rules for 2020.--In the case of any taxable year 
beginning in 2020--
            ``(1) Refundable credit.--Subsection (h)(5) shall not apply 
        and the increase determined under the first sentence of 
        subsection (d)(1) shall be the amount determined under 
        subsection (d)(1)(A) (determined without regard to subsection 
        (h)(4)).
            ``(2) Credit amount.--Subsection (h)(2) shall not apply and 
        subsection (a) shall be applied by substituting `$3,000 ($3,600 
        in the case of a qualifying child who has not attained age 6 as 
        of the close of the calendar year in which the taxable year of 
        the taxpayer begins)' for `$1,000'.
            ``(3) 17-year-olds eligible for treatment as qualifying 
        children.--This section shall be applied--
                    ``(A) by substituting `age 18' for `age 17' in 
                subsection (c)(1), and
                    ``(B) by substituting `described in subsection (c) 
                (determined after the application of subsection 
                (i)(3)(A))' for `described in subsection (c)' in 
                subsection (h)(4)(A).''.
    (b) Advance Payment of Credit.--
            (1) In general.--Chapter 77 of such Code is amended by 
        inserting after section 7527 the following new section:

``SEC. 7527A. ADVANCE PAYMENT OF CHILD TAX CREDIT.

    ``(a) In General.--As soon as practicable after the date of the 
enactment of this Act, the Secretary shall establish a program for 
making advance payments of the credit allowed under subsection (a) of 
section 24 on a monthly basis (determined without regard to subsection 
(i)(4)) of such section), or as frequently as the Secretary determines 
to be administratively feasible, to taxpayers determined to be eligible 
for advance payment of such credit.
    ``(b) Limitation.--
            ``(1) In general.--The Secretary may make payments under 
        subsection (a) only to the extent that the total amount of such 
        payments made to any taxpayer during the taxable year does not 
        exceed an amount equal to the excess, if any, of--
                    ``(A) subject to paragraph (2), the amount 
                determined under subsection (a) of section 24 with 
                respect to such taxpayer (determined without regard to 
                subsection (i)(4)) of such section) for such taxable 
                year, over
                    ``(B) the estimated tax imposed by subtitle A, as 
                reduced by the credits allowable under subparts A and C 
                (other than section 24) of such part IV, with respect 
                to such taxpayer for such taxable year, as determined 
                in such manner as the Secretary deems appropriate.
            ``(2) Application of threshold amount limitation.--The 
        program described in subsection (a) shall make reasonable 
        efforts to apply the limitation of section 24(b) with respect 
        to payments made under such program.
    ``(c) Application.--The advance payments described in this section 
shall only be made with respect to credits allowed under section 24 for 
taxable years beginning during 2020.''.
            (2) Reconciliation of credit and advance credit.--Section 
        24(i) of such Code, as amended by subsection (a), is amended by 
        adding at the end the following new paragraph:
            ``(4) Reconciliation of credit and advance credit.--
                    ``(A) In general.--The amount of the credit allowed 
                under this section for any taxable year shall be 
                reduced (but not below zero) by the aggregate amount of 
                any advance payments of such credit under section 7527A 
                for such taxable year.
                    ``(B) Excess advance payments.--If the aggregate 
                amount of advance payments under section 7527A for the 
                taxable year exceeds the amount of the credit allowed 
                under this section for such taxable year (determined 
                without regard to subparagraph (A)), the tax imposed by 
                this chapter for such taxable year shall be increased 
                by the amount of such excess.''.
            (3) Clerical amemdment.--The table of sections for chapter 
        77 of such Code is amended by inserting after the item relating 
        to section 7527 the following new item:

``Sec. 7527A. Advance payment of child tax credit.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2019.

SEC. 20132. APPLICATION OF CHILD TAX CREDIT IN POSSESSIONS.

    (a) In General.--Section 24 of the Internal Revenue Code of 1986, 
as amended by the preceding provisions of this Act, is amended by 
adding at the end the following new subsection:
    ``(j) Application of Credit in Possessions.--
            ``(1) Mirror code possessions.--
                    ``(A) In general.--The Secretary shall pay to each 
                possession of the United States with a mirror code tax 
                system amounts equal to the loss to that possession by 
                reason of the application of this section (determined 
                without regard to this subsection) with respect to 
                taxable years beginning after 2019. Such amounts shall 
                be determined by the Secretary based on information 
                provided by the government of the respective 
                possession.
                    ``(B) Coordination with credit allowed against 
                united states income taxes.--No credit shall be allowed 
                under this section for any taxable year to any 
                individual to whom a credit is allowable against taxes 
                imposed by a possession with a mirror code tax system 
                by reason of the application of this section in such 
                possession for such taxable year.
                    ``(C) Mirror code tax system.--For purposes of this 
                paragraph, the term `mirror code tax system' means, 
                with respect to any possession of the United States, 
                the income tax system of such possession if the income 
                tax liability of the residents of such possession under 
                such system is determined by reference to the income 
                tax laws of the United States as if such possession 
                were the United States.
            ``(2) Puerto rico.--In the case of any bona fide resident 
        of Puerto Rico (within the meaning of section 937(a))--
                    ``(A) the credit determined under this section 
                shall be allowable to such resident,
                    ``(B) in the case of any taxable year beginning 
                during 2020, the increase determined under the first 
                sentence of subsection (d)(1) shall be the amount 
                determined under subsection (d)(1)(A) (determined 
                without regard to subsection (h)(4)),
                    ``(C) in the case of any taxable year beginning 
                after December 31, 2020, and before January 1, 2026, 
                the increase determined under the first sentence of 
                subsection (d)(1) shall be the lesser of--
                            ``(i) the amount determined under 
                        subsection (d)(1)(A) (determined without regard 
                        to subsection (h)(4)), or
                            ``(ii) the dollar amount in effect under 
                        subsection (h)(5), and
                    ``(D) in the case of any taxable year after 
                December 31, 2025, the increase determined under the 
                first sentence of subsection (d)(1) shall be the amount 
                determined under subsection (d)(1)(A).
            ``(3) American samoa.--
                    ``(A) In general.--The Secretary shall pay to 
                American Samoa amounts estimated by the Secretary as 
                being equal to the aggregate benefits that would have 
                been provided to residents of American Samoa by reason 
                of the application of this section for taxable years 
                beginning after 2019 if the provisions of this section 
                had been in effect in American Samoa.
                    ``(B) Distribution requirement.--Subparagraph (A) 
                shall not apply unless American Samoa has a plan, which 
                has been approved by the Secretary, under which 
                American Samoa will promptly distribute such payments 
                to the residents of American Samoa in a manner which 
                replicates to the greatest degree practicable the 
                benefits that would have been so provided to each such 
                resident.
                    ``(C) Coordination with credit allowed against 
                united states income taxes.--
                            ``(i) In general.--In the case of a taxable 
                        year with respect to which a plan is approved 
                        under subparagraph (B), this section (other 
                        than this subsection) shall not apply to any 
                        individual eligible for a distribution under 
                        such plan.
                            ``(ii) Application of section in event of 
                        absence of approved plan.--In the case of a 
                        taxable year with respect to which a plan is 
                        not approved under subparagraph (B), rules 
                        similar to the rules of paragraph (2) shall 
                        apply with respect to bona fide residents of 
                        American Samoa (within the meaning of section 
                        937(a)).
            ``(4) Treatment of payments.--The payments made under this 
        subsection shall be treated in the same manner for purposes of 
        section 1324(b)(2) of title 31, United States Code, as refunds 
        due from the credit allowed under this section.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2019.

                 Subtitle E--Dependent Care Assistance

SEC. 20141. REFUNDABILITY AND ENHANCEMENT OF CHILD AND DEPENDENT CARE 
              TAX CREDIT.

    (a) In General.--Section 21 of the Internal Revenue Code of 1986 is 
amended by adding at the end the following new subsection:
    ``(g) Special Rules for 2020.--In the case of any taxable year 
beginning after December 31, 2019, and before January 1, 2021--
            ``(1) Credit made refundable.--In the case of an individual 
        other than a nonresident alien, the credit allowed under 
        subsection (a) shall be treated as a credit allowed under 
        subpart C (and not allowed under this subpart).
            ``(2) Increase in applicable percentage.--Subsection (a)(2) 
        shall be applied--
                    ``(A) by substituting `50 percent' for `35 percent 
                ', and
                    ``(B) by substituting `$120,000' for `$15,000'.
            ``(3) Increase in dollar limit on amount creditable.--
        Subsection (c) shall be applied--
                    ``(A) by substituting `$6,000' for `$3,000' in 
                paragraph (1) thereof, and
                    ``(B) by substituting `twice the amount in effect 
                under paragraph (1)' for `$6,000' in paragraph (2) 
                thereof.''.
    (b) Conforming Amendment.--Section 1324(b)(2) of title 31, United 
States Code, is amended by inserting ``21 (by reason of subsection (g) 
thereof),'' before ``25A''.
    (c) Coordination With Possession Tax Systems.--Section 21(g)(1) of 
the Internal Revenue Code of 1986 (as added by this section) shall not 
apply to any person--
            (1) to whom a credit is allowed against taxes imposed by a 
        possession with a mirror code tax system by reason of the 
        application of section 21 of such Code in such possession for 
        such taxable year, or
            (2) to whom a credit would be allowed against taxes imposed 
        by a possession which does not have a mirror code tax system if 
        the provisions of section 21 of such Code had been in effect in 
        such possession for such taxable year.
    (d) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2019.

SEC. 20142. INCREASE IN EXCLUSION FOR EMPLOYER-PROVIDED DEPENDENT CARE 
              ASSISTANCE.

    (a) In General.--Section 129(a)(2) of the Internal Revenue Code of 
1986 is amended by adding at the end the following new subparagraph:
                    ``(D) Special rule for 2020.--In the case of any 
                taxable year beginning during 2020, subparagraph (A) 
                shall be applied be substituting `$10,500 (half such 
                dollar amount' for `$5,000 ($2,500'.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2019.
    (c) Retroactive Plan Amendments.--A plan or other arrangement that 
otherwise satisfies all applicable requirements of sections 106, 125, 
and 129 of the Internal Revenue Code of 1986 (including any rules or 
regulations thereunder) shall not fail to be treated as a cafeteria 
plan or dependent care flexible spending arrangement merely because 
such plan or arrangement is amended pursuant to a provision under this 
section and such amendment is retroactive, if--
            (1) such amendment is adopted no later than the last day of 
        the plan year in which the amendment is effective, and
            (2) the plan or arrangement is operated consistent with the 
        terms of such amendment during the period beginning on the 
        effective date of the amendment and ending on the date the 
        amendment is adopted.

         Subtitle F--Flexibility for Certain Employee Benefits

SEC. 20151. INCREASE IN CARRYOVER FOR HEALTH FLEXIBLE SPENDING 
              ARRANGEMENTS.

    (a) In General.--A plan or other arrangement that otherwise 
satisfies all of the applicable requirements of sections 106 and 125 of 
the Internal Revenue Code of 1986 (including any rules or regulations 
thereunder) shall not fail to be treated as a cafeteria plan or health 
flexible spending arrangement merely because such plan or arrangement 
permits participants to carry over an amount not in excess of $2,750 of 
unused benefits or contributions remaining in a health flexible 
spending arrangement from the plan year ending in 2020 to the plan year 
ending in 2021.
    (b) Definitions.--Any term used in this section which is also used 
in section 106 or 125 of the Internal Revenue Code of 1986 or the rules 
or regulations thereunder shall have the same meaning as when used in 
such section or rules or regulations.

SEC. 20152. CARRYOVER FOR DEPENDENT CARE FLEXIBLE SPENDING 
              ARRANGEMENTS.

    (a) In General.--A plan or other arrangement that otherwise 
satisfies all applicable requirements of sections 106, 125, and 129 of 
the Internal Revenue Code of 1986 (including any rules or regulations 
thereunder) shall not fail to be treated as a cafeteria plan or 
dependent care flexible spending arrangement merely because such plan 
or arrangement permits participants to carry over (under rules similar 
to the rules applicable to health flexible spending arrangements) an 
amount, not in excess of the amount in effect under section 
129(a)(2)(A) of such Code, of unused benefits or contributions 
remaining in a dependent care flexible spending arrangement from the 
plan year ending in 2020 to the plan year ending in 2021.
    (b) Definitions.--Any term used in this section which is also used 
in section 106, 125, or 129 of the Internal Revenue Code of 1986 or the 
rules or regulations thereunder shall have the same meaning as when 
used in such section or rules or regulations.

SEC. 20153. CARRYOVER OF PAID TIME OFF.

    (a) In General.--A plan that otherwise satisfies all applicable 
requirements of section 125 of the Internal Revenue Code of 1986 
(including any rules or regulations thereunder) shall not fail to be 
treated as a cafeteria plan merely because such plan permits 
participants to carry over (under rules similar to the rules applicable 
to health flexible spending arrangements) any amount of paid time off 
(without limitation) from the plan year ending in 2020 to the plan year 
ending in 2021.
    (b) Definitions.--Any term used in this section which is also used 
in section 125 of the Internal Revenue Code of 1986 or the rules or 
regulations thereunder shall have the same meaning as when used in such 
section or rules or regulations.

SEC. 20154. CHANGE IN ELECTION AMOUNT.

    (a) In General.--A plan or other arrangement that otherwise 
satisfies all applicable requirements of sections 106 and 125 of the 
Internal Revenue Code of 1986 (including any rules or regulations 
thereunder) shall not fail to be treated as a cafeteria plan or health 
flexible spending arrangement merely because such plan or arrangement 
allows an employee to make, with respect to the remaining portion of a 
period of coverage within the applicable period--
            (1) an election modifying the amount of such employee's 
        contributions to such a health flexible spending arrangement 
        (without regard to any change in status), or
            (2) an election modifying the amount of such employee's 
        elective paid time off.
Any election as modified under paragraph (1) shall not exceed the 
limitation applicable under section 125(i) for the taxable year.
    (b) One-time Application.--Paragraphs (1) and (2) of subsection (a) 
shall each apply to only 1 election change described in such paragraph 
with respect to an employee (in addition to any other election changes 
during a period of coverage permitted under the plan or arrangement 
without regard to this section).
    (c) Applicable Period.--For purposes of this section, the term 
``applicable period'' means the period beginning on the date of the 
enactment of this Act and ending on December 31, 2020.
    (d) Definitions.--Any term used in this section which is also used 
in section 106 or 125 of the Internal Revenue Code of 1986 or the rules 
or regulations thereunder shall have the same meaning as when used in 
such section or rules or regulations.

SEC. 20155. EXTENSION OF GRACE PERIODS, ETC.

    (a) In General.--A plan or other arrangement that otherwise 
satisfies all applicable requirements of sections 106, 125, or 129 of 
the Internal Revenue Code (including any rules or regulations 
thereunder) shall not fail to be treated as a cafeteria plan, health 
flexible spending arrangement, or dependent care flexible spending 
arrangement (whichever is applicable) merely because such plan or 
arrangement extends the grace period for the plan year ending in 2020 
to 12 months after the end of such plan year, with respect to unused 
benefits or contributions remaining in a health flexible spending 
arrangement or a dependent care flexible spending arrangement.
    (b) Post-termination Reimbursements From Health FSAs.--A plan or 
other arrangement that otherwise satisfies all applicable requirements 
of sections 106 and 125 of the Internal Revenue Code of 1986 (including 
any rules or regulations thereunder) shall not fail to be treated as a 
cafeteria plan or health flexible spending arrangement merely because 
such plan or arrangement allows (under rules similar to the rules 
applicable to dependent care flexible spending arrangements) an 
employee who ceases participation in the plan during calendar year 2020 
to continue to receive reimbursements from unused benefits or 
contributions through the end of the plan year (including any grace 
period, taking into account any modification of a grace period 
permitted under subsection (a)).
    (c) Definitions.--Any term used in this section which is also used 
in section 106, 125, or 129 of the Internal Revenue Code of 1986 or the 
rules or regulations thereunder shall have the same meaning as when 
used in such section or rules or regulations.

SEC. 20156. PLAN AMENDMENTS.

    A plan or other arrangement that otherwise satisfies all applicable 
requirements of sections 106, 125, and 129 of the Internal Revenue Code 
of 1986 (including any rules or regulations thereunder) shall not fail 
to be treated as a cafeteria plan, health flexible spending 
arrangement, or dependent care flexible spending arrangement merely 
because such plan or arrangement is amended pursuant to a provision 
under this subtitle and such amendment is retroactive, if--
            (1) such amendment is adopted no later than the last day of 
        the plan year in which the amendment is effective, and
            (2) the plan or arrangement is operated consistent with the 
        terms of such amendment during the period beginning on the 
        effective date of the amendment and ending on the date the 
        amendment is adopted.

             Subtitle G--Deduction of State and Local Taxes

SEC. 20161. ELIMINATION FOR 2020 AND 2021 OF LIMITATION ON DEDUCTION OF 
              STATE AND LOCAL TAXES.

    (a) In General.--Section 164(b)(6)(B) of the Internal Revenue Code 
of 1986 is amended by inserting ``in the case of a taxable year 
beginning before January 1, 2020, or after December 31, 2021,'' before 
``the aggregate amount of taxes''.
    (b) Conforming Amendments.--Section 164(b)(6) of the Internal 
Revenue Code of 1986 is amended--
            (1) by striking ``For purposes of subparagraph (B)'' and 
        inserting ``For purposes of this section'',
            (2) by striking ``January 1, 2018'' and inserting ``January 
        1, 2022'',
            (3) by striking ``December 31, 2017, shall'' and inserting 
        ``December 31, 2021, shall'', and
            (4) by adding at the end the following: ``For purposes of 
        this section, in the case of State or local taxes with respect 
        to any real or personal property paid during a taxable year 
        beginning in 2020 or 2021, the Secretary shall prescribe rules 
        which treat all or a portion of such taxes as paid in a taxable 
        year or years other than the taxable year in which actually 
        paid as necessary or appropriate to prevent the avoidance of 
        the limitations of this subsection.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to taxes paid or accrued in taxable years beginning after 
December 31, 2019.

                TITLE II--ADDITIONAL RELIEF FOR WORKERS

                     Subtitle A--Additional Relief

SEC. 20201. INCREASE IN ABOVE-THE-LINE DEDUCTION FOR CERTAIN EXPENSES 
              OF ELEMENTARY AND SECONDARY SCHOOL TEACHERS.

    (a) Increase.--Section 62(a)(2)(D) of the Internal Revenue Code of 
1986 is amended by striking ``$250'' and inserting ``$500''.
    (b) Conforming Amendments.--Section 62(d)(3) of the Internal 
Revenue Code of 1986 is amended--
            (1) by striking ``2015'' and inserting ``2020'',
            (2) by striking ``$250'' and inserting ``$500'', and
            (3) in subparagraph (B), by striking ``2014'' and inserting 
        ``2019''.
    (c) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2019.

SEC. 20202. ABOVE-THE-LINE DEDUCTION ALLOWED FOR CERTAIN EXPENSES OF 
              FIRST RESPONDERS.

    (a) In General.--Section 62(a)(2) of the Internal Revenue Code of 
1986 is amended by adding at the end the following new subparagraph:
                    ``(F) Certain expenses of first responders.--The 
                deductions allowed by section 162 which consist of 
                expenses, not in excess of $500, paid or incurred by a 
                first responder--
                            ``(i) as tuition or fees for the 
                        participation of the first responder in 
                        professional development courses related to 
                        service as a first responder, or
                            ``(ii) for uniforms used by the first 
                        responder in service as a first responder.''.
    (b) First Responder Defined.--Section 62(d) of the Internal Revenue 
Code of 1986 is amended by adding at the end the following new 
paragraph:
            ``(4) First responder.--For purposes of subsection 
        (a)(2)(F), the term `first responder' means, with respect to 
        any taxable year, any employee who provides at least 1000 hours 
        of service during such taxable year as a law enforcement 
        officer, firefighter, paramedic, or emergency medical 
        technician.''.
    (c) Inflation Adjustment.--Section 62(d)(3) of the Internal Revenue 
Code of 1986, as amended by the preceding provisions of this Act, is 
further amended by striking ``the $500 amount in subsection (a)(2)(D)'' 
and inserting ``the $500 amount in each of subparagraphs (D) and (F) of 
subsection (a)(2)''.
    (d) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2019.

SEC. 20203. TEMPORARY ABOVE-THE-LINE DEDUCTION FOR SUPPLIES AND 
              EQUIPMENT OF FIRST RESPONDERS AND COVID-19 FRONT LINE 
              EMPLOYEES.

    (a) In General.--Section 62(d) of the Internal Revenue Code of 
1986, as amended by the preceding provisions of this Act, is amended by 
adding at the end of the following new paragraph:
            ``(5) Temporary rule for first responders and covid-19 
        front line employees.--
                    ``(A) In general.--In the case of any taxable year 
                beginning in 2020--
                            ``(i) subsection (a)(2)(F)(ii) shall be 
                        applied by substituting `uniforms, supplies, or 
                        equipment' for `uniforms', and
                            ``(ii) for purposes of subsection 
                        (a)(2)(F), the term `first responder' shall 
                        include any COVID-19 front line employee.
                    ``(B) COVID-19 front line employee.--For purposes 
                of this paragraph, the term `COVID-19 front line 
                employee' means, with respect to any taxable year, any 
                individual who performs at least 1000 hours of 
                essential work (as defined in the COVID-19 Heroes Fund 
                Act of 2020 except without regard to the time period 
                during which such work is performed) during such 
                taxable year as an employee in a trade or business of 
                an employer.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2019.

SEC. 20204. PAYROLL CREDIT FOR CERTAIN PANDEMIC-RELATED EMPLOYEE 
              BENEFIT EXPENSES PAID BY EMPLOYERS.

    (a) In General.--In the case of an employer, there shall be allowed 
as a credit against applicable employment taxes for each calendar 
quarter an amount equal to the applicable percentage of the qualified 
pandemic-related employee benefit expenses paid by such employer with 
respect to such calendar quarter.
    (b) Limitations and Refundability.--
            (1) Dollar limitation per employee.--The qualified 
        pandemic-related employee benefit expenses which may be taken 
        into account under subsection (a) with respect to any employee 
        for any calendar quarter shall not exceed $5,000.
            (2) Credit limited to certain employment taxes.--The credit 
        allowed by subsection (a) with respect to any calendar quarter 
        shall not exceed the applicable employment taxes for such 
        calendar quarter (reduced by any credits allowed under 
        subsections (e) and (f) of section 3111 of such Code, sections 
        7001 and 7003 of the Families First Coronavirus Response Act, 
        and section 2301 of the CARES Act, for such quarter) on the 
        wages paid with respect to the employment of all the employees 
        of the employer for such calendar quarter.
            (3) Refundability of excess credit.--
                    (A) In general.--If the amount of the credit under 
                subsection (a) exceeds the limitation of paragraph (2) 
                for any calendar quarter, such excess shall be treated 
                as an overpayment that shall be refunded under sections 
                6402(a) and 6413(b) of the Internal Revenue Code of 
                1986.
                    (B) Treatment of payments.--For purposes of section 
                1324 of title 31, United States Code, any amounts due 
                to an employer under this paragraph shall be treated in 
                the same manner as a refund due from a credit provision 
                referred to in subsection (b)(2) of such section.
            (4) Coordination with government grants.--The qualified 
        pandemic-related employee benefit expenses taken into account 
        under this section by any employer shall be reduced by any 
        amounts provided by and Federal, State, or local government for 
        purposes of making or reimbursing such expenses.
    (c) Qualified Pandemic-related Employee Benefit Expenses.--For 
purposes of this section, the term ``qualified pandemic-related 
employee benefit expenses'' means any amount paid to or for the benefit 
of an employee in the employment of the employer if--
            (1) such amount is excludible from the gross income of the 
        employee under section 139 of the Internal Revenue Code of 1986 
        by reason of being a qualified disaster relief payment 
        described in subsection (b)(1) of such section with respect to 
        a qualified disaster described in subsection (c)(2) of such 
        section which was declared by reason of COVID-19, and
            (2) the employer elects (at such time and in such manner as 
        the Secretary may provide) to treat such amount as a qualified 
        pandemic-related employee benefit expense.
    (d) Applicable Percentage.--For purposes of this section--
            (1) In general.--The term ``applicable percentage'' means--
                    (A) 50 percent, in the case of qualified pandemic-
                related employee benefit expenses paid with respect to 
                an essential employee, and
                    (B) 30 percent, in any other case.
            (2) Essential employee.--The term ``essential employee'' 
        means, with respect to any employer for any calendar quarter, 
        any employee of such employer if a substantial portion of the 
        services performed by such employee for such employer during 
        such calendar quarter are essential work (as defined in the 
        COVID-19 Heroes Fund Act of 2020 except without regard to the 
        time period during which such work is performed).
    (e) Special Rules; Other Definitions.--
            (1) Application of certain non-discrimination rules.--No 
        credit shall be allowed under this section to any employer for 
        any calendar quarter if qualified pandemic-related employee 
        benefit expenses are provided by such employer to employees for 
        such calendar quarter in a manner which discriminates in favor 
        of highly compensated individuals (within the meaning of 
        section 125) as to eligibility for, or the amount of, such 
        benefit expenses. An employer may elect with respect to any 
        calendar quarter to apply this paragraph separately with 
        respect to essential employees and with respect to all other 
        employees.
            (2) Denial of double benefit.--For purposes of chapter 1 of 
        such Code, no deduction or credit (other than the credit 
        allowed under this section) shall be allowed for so much of 
        qualified pandemic-related employee benefit expenses as is 
        equal to the credit allowed under this section.
            (3) Third party payors.--Any credit allowed under this 
        section shall be treated as a credit described in section 
        3511(d)(2) of such Code.
            (4) Applicable employment taxes.--For purposes of this 
        section, the term ``applicable employment taxes'' means the 
        following:
                    (A) The taxes imposed under section 3111(a) of the 
                Internal Revenue Code of 1986.
                    (B) So much of the taxes imposed under section 
                3221(a) of such Code as are attributable to the rate in 
                effect under section 3111(a) of such Code.
            (5) Secretary.--For purposes of this section, the term 
        ``Secretary'' means the Secretary of the Treasury or the 
        Secretary's delegate.
            (6) Certain terms.--
                    (A) In general.--Any term used in this section 
                which is also used in chapter 21 or 22 of such Code 
                shall have the same meaning as when used in such 
                chapter (as the case may be).
                    (B) Certain provisions not taken into account 
                except for purposes of limiting credit to employment 
                taxes.--For purposes of subparagraph (A) (other than 
                with respect to subsection (b)(2)), section 3121(b) of 
                such Code shall be applied without regard to paragraphs 
                (1), (5), (6), (7), (8), (10), (13), (18), (19), and 
                (22) thereof (except with respect to services performed 
                in a penal institution by an inmate thereof) and 
                section 3231(e)(1) shall be applied without regard to 
                the sentence that begins ``Such term does not include 
                remuneration''.
    (f) Certain Governmental Employers.--
            (1) In general.--The credit under this section shall not be 
        allowed to the Federal Government or any agency or 
        instrumentality thereof.
            (2) Exception.--Paragraph (1) shall not apply to any 
        organization described in section 501(c)(1) of the Internal 
        Revenue Code of 1986 and exempt from tax under section 501(a) 
        of such Code.
    (g) Treatment of Deposits.--The Secretary shall waive any penalty 
under section 6656 of such Code for any failure to make a deposit of 
applicable employment taxes if the Secretary determines that such 
failure was due to the anticipation of the credit allowed under this 
section.
    (h) Regulations.--The Secretary shall prescribe such regulations or 
other guidance as may be necessary to carry out the purposes of this 
section, including regulations or other guidance--
            (1) to allow the advance payment of the credit determined 
        under subsection (a), subject to the limitations provided in 
        this section, based on such information as the Secretary shall 
        require,
            (2) to provide for the reconciliation of such advance 
        payment with the amount of the credit at the time of filing the 
        return of tax for the applicable quarter or taxable year,
            (3) for recapturing the benefit of credits determined under 
        this section in cases where there is a subsequent adjustment to 
        the credit determined under subsection (a), and
            (4) with respect to the application of the credit to third 
        party payors (including professional employer organizations, 
        certified professional employer organizations, or agents under 
        section 3504 of such Code), including to allow such payors to 
        submit documentation necessary to substantiate eligibility for, 
        and the amount of, the credit allowed under this section.
    (i) Application of Section.--This section shall apply only to 
qualified pandemic-related employee benefit expenses paid after March 
12, 2020, and before January 1, 2021.
    (j) Transfers to Certain Trust Funds.--There are hereby 
appropriated to the Federal Old-Age and Survivors Insurance Trust Fund 
and the Federal Disability Insurance Trust Fund established under 
section 201 of the Social Security Act (42 U.S.C. 401) and the Social 
Security Equivalent Benefit Account established under section 15A(a) of 
the Railroad Retirement Act of 1974 (45 U.S.C. 231n-1(a)) amounts equal 
to the reduction in revenues to the Treasury by reason of this section 
(without regard to this subsection). Amounts appropriated by the 
preceding sentence shall be transferred from the general fund at such 
times and in such manner as to replicate to the extent possible the 
transfers which would have occurred to such Trust Fund or Account had 
this section not been enacted.

        Subtitle B--Tax Credits to Prevent Business Interruption

SEC. 20211. IMPROVEMENTS TO EMPLOYEE RETENTION CREDIT.

    (a) Increase in Credit Percentage.--Section 2301(a) of the CARES 
Act is amended by striking ``50 percent'' and inserting ``80 percent''.
    (b) Increase in Per Employee Limitation.--Section 2301(b)(1) of the 
CARES Act is amended by striking ``for all calendar quarters shall not 
exceed $10,000.'' and inserting ``shall not exceed--
                    ``(A) $15,000 in any calendar quarter, and
                    ``(B) $45,000 in the aggregate for all calendar 
                quarters.''.
    (c) Modification of Threshold for Treatment as a Large Employer.--
            (1) In general.--Section 2301(c)(3)(A) of the CARES Act is 
        amended--
                    (A) by striking ``for which the average number of 
                full-time employees (within the meaning of section 
                4980H of the Internal Revenue Code of 1986) employed by 
                such eligible employer during 2019 was greater than 
                100'' in clause (i) and inserting ``which is a large 
                employer'', and
                    (B) by striking ``for which the average number of 
                full-time employees (within the meaning of section 
                4980H of the Internal Revenue Code of 1986) employed by 
                such eligible employer during 2019 was not greater than 
                100'' in clause (ii) and inserting ``which is not a 
                large employer''.
            (2) Large employer defined.--Section 2301(c) of the CARES 
        Act is amended by redesignating paragraph (6) as paragraph (7) 
        and by inserting after paragraph (5) the following new 
        paragraph:
            ``(6) Large employer.--The term `large employer' means any 
        eligible employer if--
                    ``(A) the average number of full-time employees (as 
                determined for purposes of determining whether an 
                employer is an applicable large employer for purposes 
                of section 4980H(c)(2) of the Internal Revenue Code of 
                1986) employed by such eligible employer during 
                calendar year 2019 was greater than 1,500, and
                    ``(B) the gross receipts (within the meaning of 
                section 448(c) of the Internal Revenue Code of 1986) of 
                such eligible employer during calendar year 2019 was 
                greater than $41,500,000.''.
    (d) Phase-in of Eligibility Based on Reduction in Gross Receipts.--
            (1) Decrease of reduction in gross receipts necessary to 
        qualify for credit.--Section 2301(c)(2)(B) of the CARES Act is 
        amended--
                    (A) by striking ``50 percent'' in clause (i) and 
                inserting ``90 percent'', and
                    (B) by striking ``80 percent'' in clause (ii) and 
                inserting ``90 percent''.
            (2) Phase-in of credit if reduction in gross receipts is 
        less than 50 percent.--Section 2301(c)(2) of the CARES Act is 
        amended by adding at the end the following new subparagraph:
                    ``(D) Phase-in of credit where business not 
                suspended and reduction in gross receipts less than 50 
                percent.--
                            ``(i) In general.--In the case of any 
                        calendar quarter with respect to which an 
                        eligible employer would not be an eligible 
                        employer if subparagraph (B)(i) were applied by 
                        substituting `50 percent' for `90 percent', the 
                        amount of the credit allowed under subsection 
                        (a) shall be reduced by the amount which bears 
                        the same ratio to the amount of such credit 
                        (determined without regard to this 
                        subparagraph) as--
                                    ``(I) the excess gross receipts 
                                percentage point amount, bears to
                                    ``(II) 40 percentage points.
                            ``(ii) Excess gross receipts percentage 
                        point amount.--For purposes of this 
                        subparagraph, the term `excess gross receipts 
                        percentage point amount' means, with respect to 
                        any calendar quarter, the excess of--
                                    ``(I) the lowest of the gross 
                                receipts percentage point amounts 
                                determined with respect to any calendar 
                                quarter during the period ending with 
                                such calendar quarter and beginning 
                                with the first calendar quarter during 
                                the period described in subparagraph 
                                (B), over
                                    ``(II) 50 percentage points.
                            ``(iii) Gross receipts percentage point 
                        amounts.--For purposes of this subparagraph, 
                        the term `gross receipts percentage point 
                        amount' means, with respect to any calendar 
                        quarter, the percentage (expressed as a number 
                        of percentage points) obtained by dividing--
                                    ``(I) the gross receipts (within 
                                the meaning of subparagraph (B)) for 
                                such calendar quarter, by
                                    ``(II) the gross receipts for the 
                                same calendar quarter in calendar year 
                                2019.''.
            (3) Gross receipts of tax-exempt organizations.--Section 
        2301(c)(2)(C) of the CARES Act is amended--
                    (A) by striking ``of such Code, clauses (i) and 
                (ii)(I)'' and inserting ``of such Code--
                            ``(i) clauses (i) and (ii)(I)'',
                    (B) by striking the period at the end and inserting 
                ``, and'', and
                    (C) by adding at the end the following new clause:
                            ``(ii) any reference in this section to 
                        gross receipts shall be treated as a reference 
                        to gross receipts within the meaning of section 
                        6033 of such Code.''.
    (e) Modification of Treatment of Health Plan Expenses.--
            (1) In general.--Section 2301(c)(5) of the CARES Act is 
        amended to read as follows:
            ``(5) Wages.--
                    ``(A) In general.--The term `wages' means wages (as 
                defined in section 3121(a) of the Internal Revenue Code 
                of 1986) and compensation (as defined in section 
                3231(e) of such Code).
                    ``(B) Allowance for certain health plan expenses.--
                            ``(i) In general.--Such term shall include 
                        amounts paid or incurred by the eligible 
                        employer to provide and maintain a group health 
                        plan (as defined in section 5000(b)(1) of the 
                        Internal Revenue Code of 1986), but only to the 
                        extent that such amounts are excluded from the 
                        gross income of employees by reason of section 
                        106(a) of such Code.
                            ``(ii) Allocation rules.--For purposes of 
                        this section, amounts treated as wages under 
                        clause (i) shall be treated as paid with 
                        respect to any employee (and with respect to 
                        any period) to the extent that such amounts are 
                        properly allocable to such employee (and to 
                        such period) in such manner as the Secretary 
                        may prescribe. Except as otherwise provided by 
                        the Secretary, such allocation shall be treated 
                        as properly made if made on the basis of being 
                        pro rata among periods of coverage.''.
            (2) Conforming amendment.--Section 2301(c)(3) of the CARES 
        Act is amended by striking subparagraph (C).
    (f) Qualified Wages Permitted to Include Amounts for Tip 
Replacement.--
            (1) In general.--Section 2301(c)(3)(B) of the CARES Act is 
        amended by inserting ``(including tips which would have been 
        deemed to be paid by the employer under section 3121(q))'' 
        after ``would have been paid''.
            (2) Conforming amendment.--Section 2301(h)(2) of the CARES 
        Act is amended by inserting ``45B or'' before ``45S''.
    (g) Certain Governmental Employers Eligible for Credit.--
            (1) In general.--Section 2301(f) of the CARES Act is 
        amended to read as follows:
    ``(f) Certain Governmental Employers.--
            ``(1) In general.--The credit under this section shall not 
        be allowed to the Federal Government or any agency or 
        instrumentality thereof.
            ``(2) Exception.--Paragraph (1) shall not apply to any 
        organization described in section 501(c)(1) of the Internal 
        Revenue Code of 1986 and exempt from tax under section 501(a) 
        of such Code.
            ``(3) Special rules.--In the case of any State government, 
        Indian tribal government, or any agency, instrumentality, or 
        political subdivision of the foregoing--
                    ``(A) clauses (i) and (ii)(I) of subsection 
                (c)(2)(A) shall apply to all operations of such entity, 
                and
                    ``(B) subclause (II) of subsection (c)(2)(A)(ii) 
                shall not apply.''.
            (2) Coordination with application of certain definitions.--
                    (A) In general.--Section 2301(c)(5)(A) of the CARES 
                Act, as amended by the preceding provisions of this 
                Act, is amended by adding at the end the following: 
                ``For purposes of the preceding sentence (other than 
                for purposes of subsection (b)(2)), wages as defined in 
                section 3121(a) of the Internal Revenue Code of 1986 
                shall be determined without regard to paragraphs (1), 
                (5), (6), (7), (8), (10), (13), (18), (19), and (22) of 
                section 3212(b) of such Code (except with respect to 
                services performed in a penal institution by an inmate 
                thereof).''.
                    (B) Conforming amendments.--Sections 2301(c)(6) of 
                the CARES Act is amended by striking ``Any term'' and 
                inserting ``Except as otherwise provided in this 
                section, any term''.
    (h) Application of Credit to Employers of Domestic Workers.--
            (1) In general.--Section 2301(c)(2) of the CARES Act, as 
        amended by the preceding provisions of this Act, is amended by 
        adding at the end the following new subparagraph:
                    ``(E) Employers of domestic workers.--In the case 
                of an employer with one or more employees who perform 
                domestic service (within the meaning of section 
                3121(a)(7) of such Code) in the private home of such 
                employer, with respect to such employees--
                            ``(i) subparagraph (A) shall be applied--
                                    ``(I) by substituting `employing an 
                                employee who performs domestic service 
                                in the private home of such employer' 
                                for `carrying on a trade or business' 
                                in clause (i) thereof, and
                                    ``(II) by substituting `such 
                                employment' for `the operation of the 
                                trade or business' in clause (ii)(I) 
                                thereof.
                            ``(ii) subclause (II) of subparagraph 
                        (A)(ii) shall not apply, and
                            ``(iii) such employer shall be treated as a 
                        large employer.''.
            (2) Denial of double benefit.--Section 2301(h)(2) of the 
        CARES Act, as amended by preceding provisions of this Act, is 
        amended--
                    (A) by striking ``shall not be taken into account 
                for purposes of'' and inserting ``shall not be taken 
                into account--
                    ``(A) for purposes of'',
                    (B) by striking the period at the end and inserting 
                ``, and'' , and
                    (C) by adding at the end the following:
                    ``(B) if such wages are paid for domestic service 
                described in subsection (c)(2)(E), as employment-
                related expenses for purposes of section 21 of such 
                Code.
        In the case of any individual who pays wages for domestic 
        service described in subsection (c)(2)(E) and receives a 
        reimbursement for such wages which is excludible from gross 
        income under section 129 of such Code, such wages shall not be 
        treated as qualified wages for purposes of this section.''.
    (i) Effective Date.--The amendments made by this section shall take 
effect as if included in section 2301 of the CARES Act.

SEC. 20212. PAYROLL CREDIT FOR CERTAIN FIXED EXPENSES OF EMPLOYERS 
              SUBJECT TO CLOSURE BY REASON OF COVID-19.

    (a) In General.--In the case of an eligible employer, there shall 
be allowed as a credit against applicable employment taxes for each 
calendar quarter an amount equal to 50 percent of the qualified fixed 
expenses paid or incurred by such employer during such calendar 
quarter.
    (b) Limitations and Refundability.--
            (1) Limitation.--The qualified fixed expenses which may be 
        taken into account under subsection (a) by any eligible 
        employer for any calendar quarter shall not exceed the least 
        of--
                    (A) the qualified fixed expenses paid by the 
                eligible employer in the same calendar quarter of 
                calendar year 2019,
                    (B) $50,000, or
                    (C) the greater of--
                            (i) 25 percent of the wages paid with 
                        respect to the employment of all the employees 
                        of the eligible employer for such calendar 
                        quarter, or
                            (ii) 6.25 percent of the gross receipts of 
                        the eligible employer for calendar year 2019.
            (2) Credit limited to certain employment taxes.--The credit 
        allowed by subsection (a) with respect to any calendar quarter 
        shall not exceed the applicable employment taxes for such 
        calendar quarter (reduced by any credits allowed under 
        subsections (e) and (f) of section 3111 of such Code, sections 
        7001 and 7003 of the Families First Coronavirus Response Act, 
        section 2301 of the CARES Act, and section 20204 of this 
        division, for such quarter) on the wages paid with respect to 
        the employment of all the employees of the eligible employer 
        for such calendar quarter.
            (3) Refundability of excess credit.--
                    (A) In general.--If the amount of the credit under 
                subsection (a) exceeds the limitation of paragraph (2) 
                for any calendar quarter, such excess shall be treated 
                as an overpayment that shall be refunded under sections 
                6402(a) and 6413(b) of the Internal Revenue Code of 
                1986.
                    (B) Treatment of payments.--For purposes of section 
                1324 of title 31, United States Code, any amounts due 
                to an employer under this paragraph shall be treated in 
                the same manner as a refund due from a credit provision 
                referred to in subsection (b)(2) of such section.
    (c) Definitions.--For purposes of this section--
            (1) Applicable employment taxes.--The term ``applicable 
        employment taxes'' means the following:
                    (A) The taxes imposed under section 3111(a) of the 
                Internal Revenue Code of 1986.
                    (B) So much of the taxes imposed under section 
                3221(a) of such Code as are attributable to the rate in 
                effect under section 3111(a) of such Code.
            (2) Eligible employer.--
                    (A) In general.--The term ``eligible employer'' 
                means any employer--
                            (i) which was carrying on a trade or 
                        business during calendar year 2020,
                            (ii) which had either--
                                    (I) not more than 1,500 full-time 
                                equivalent employees (as determined for 
                                purposes of determining whether an 
                                employer is an applicable large 
                                employer for purposes of section 
                                4980H(c)(2) of the Internal Revenue 
                                Code of 1986) for calendar year 2019, 
                                or
                                    (II) not more than $41,500,000 of 
                                gross receipts in the last taxable year 
                                ending in 2019, and
                            (iii) with respect to any calendar quarter, 
                        for which--
                                    (I) the operation of the trade or 
                                business described in clause (i) is 
                                fully or partially suspended during the 
                                calendar quarter due to orders from an 
                                appropriate governmental authority 
                                limiting commerce, travel, or group 
                                meetings (for commercial, social, 
                                religious, or other purposes) due to 
                                the coronavirus disease 2019 (COVID-
                                19), or
                                    (II) such calendar quarter is 
                                within the period described in 
                                subparagraph (B).
                    (B) Significant decline in gross receipts.--The 
                period described in this subparagraph is the period--
                            (i) beginning with the first calendar 
                        quarter beginning after December 31, 2019, for 
                        which gross receipts (within the meaning of 
                        section 448(c) of the Internal Revenue Code of 
                        1986) for the calendar quarter are less than 90 
                        percent of gross receipts for the same calendar 
                        quarter in the prior year, and
                            (ii) ending with the calendar quarter 
                        following the first calendar quarter beginning 
                        after a calendar quarter described in clause 
                        (i) for which gross receipts of such employer 
                        are greater than 90 percent of gross receipts 
                        for the same calendar quarter in the prior 
                        year.
                    (C) Tax-exempt organizations.--In the case of an 
                organization which is described in section 501(c) of 
                the Internal Revenue Code of 1986 and exempt from tax 
                under section 501(a) of such Code--
                            (i) any reference in this section to a 
                        trade or business shall be treated as a 
                        reference to all operations of such 
                        organization, and
                            (ii) any reference in this section to gross 
                        receipts shall be treated as a reference to 
                        gross receipts within the meaning of section 
                        6033 of the Internal Revenue Code of 1986.
                    (D) Phase-in of credit where business not suspended 
                and reduction in gross receipts less than 50 percent.--
                            (i) In general.--In the case of any 
                        calendar quarter with respect to which an 
                        eligible employer would not be an eligible 
                        employer if subparagraph (B)(i) were applied by 
                        substituting ``50 percent'' for ``90 percent'', 
                        the amount of the credit allowed under 
                        subsection (a) shall be reduced by the amount 
                        which bears the same ratio to the amount of 
                        such credit (determined without regard to this 
                        subparagraph) as--
                                    (I) the excess gross receipts 
                                percentage point amount, bears to
                                    (II) 40 percentage points.
                            (ii) Excess gross receipts percentage point 
                        amount.--For purposes of this subparagraph, the 
                        term ``excess gross receipts percentage point 
                        amount'' means, with respect to any calendar 
                        quarter, the excess of--
                                    (I) the lowest of the gross 
                                receipts percentage point amounts 
                                determined with respect to any calendar 
                                quarter during the period ending with 
                                such calendar quarter and beginning 
                                with the first calendar quarter during 
                                the period described in subparagraph 
                                (B), over
                                    (II) 50 percentage points.
                            (iii) Gross receipts percentage point 
                        amounts.--For purposes of this subparagraph, 
                        the term ``gross receipts percentage point 
                        amount'' means, with respect to any calendar 
                        quarter, the percentage (expressed as a number 
                        of percentage points) obtained by dividing--
                                    (I) the gross receipts (within the 
                                meaning of subparagraph (B)) for such 
                                calendar quarter, by
                                    (II) the gross receipts for the 
                                same calendar quarter in calendar year 
                                2019.
            (3) Qualified fixed expenses.--
                    (A) In general.--The term ``qualified fixed 
                expenses'' means the payment or accrual, in the 
                ordinary course of the eligible employer's trade or 
                business, of any covered mortgage obligation, covered 
                rent obligation, or covered utility payment. Such term 
                shall not include the prepayment of any obligation for 
                a period in excess of a month unless the payment for 
                such period is customarily due in advance.
                    (B) Application of definitions.--The terms 
                ``covered mortgage obligation'', ``covered rent 
                obligation'', and ``covered utility payment'' shall 
                each have the same meaning as when used in section 1106 
                of the CARES Act.
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of the Treasury or the Secretary's delegate.
            (5) Wages.--
                    (A) In general.--The term ``wages'' means wages (as 
                defined in section 3121(a) of the Internal Revenue Code 
                of 1986) and compensation (as defined in section 
                3231(e) of such Code). For purposes of the preceding 
                sentence (other than for purposes of subsection 
                (b)(2)), wages as defined in section 3121(a) of such 
                Code shall be determined without regard to paragraphs 
                (1), (8), (10), (13), (18), (19), and (22) of section 
                3121(b) of such Code.
                    (B) Allowance for certain health plan expenses.--
                            (i) In general.--Such term shall include 
                        amounts paid or incurred by the eligible 
                        employer to provide and maintain a group health 
                        plan (as defined in section 5000(b)(1) of the 
                        Internal Revenue Code of 1986), but only to the 
                        extent that such amounts are excluded from the 
                        gross income of employees by reason of section 
                        106(a) of such Code.
                            (ii) Allocation rules.--For purposes of 
                        this section, amounts treated as wages under 
                        clause (i) shall be treated as paid with 
                        respect to any employee (and with respect to 
                        any period) to the extent that such amounts are 
                        properly allocable to such employee (and to 
                        such period) in such manner as the Secretary 
                        may prescribe. Except as otherwise provided by 
                        the Secretary, such allocation shall be treated 
                        as properly made if made on the basis of being 
                        pro rata among periods of coverage.
            (6) Employer.--The term ``employer'' means any employer (as 
        defined in section 3401(d) of such Code) of at least one 
        employee on any day in calendar year 2020.
            (7) Other terms.--Except as otherwise provided in this 
        section, any term used in this section which is also used in 
        chapter 21 or 22 of the Internal Revenue Code of 1986 shall 
        have the same meaning as when used in such chapter.
    (d) Aggregation Rule.--All persons treated as a single employer 
under subsection (a) or (b) of section 52 of the Internal Revenue Code 
of 1986, or subsection (m) or (o) of section 414 of such Code, shall be 
treated as one employer for purposes of this section.
    (e) Denial of Double Benefit.--For purposes of chapter 1 of such 
Code, the gross income of any eligible employer, for the taxable year 
which includes the last day of any calendar quarter with respect to 
which a credit is allowed under this section, shall be increased by the 
amount of such credit.
    (f) Certain Governmental Employers.--
            (1) In general.--The credit under this section shall not be 
        allowed to the Federal Government, the government of any State, 
        of the District of Columbia, or of any possession of the United 
        States, any tribal government, or any political subdivision, 
        agency, or instrumentality of any of the foregoing.
            (2) Exception.--Paragraph (1) shall not apply to any 
        organization described in section 501(c)(1) of the Internal 
        Revenue Code of 1986 and exempt from tax under section 501(a) 
        of such Code.
    (g) Election Not to Have Section Apply.--This section shall not 
apply with respect to any eligible employer for any calendar quarter if 
such employer elects (at such time and in such manner as the Secretary 
may prescribe) not to have this section apply.
    (h) Transfers to Certain Trust Funds.--There are hereby 
appropriated to the Federal Old-Age and Survivors Insurance Trust Fund 
and the Federal Disability Insurance Trust Fund established under 
section 201 of the Social Security Act (42 U.S.C. 401) and the Social 
Security Equivalent Benefit Account established under section 15A(a) of 
the Railroad Retirement Act of 1974 (45 U.S.C. 231n-1(a)) amounts equal 
to the reduction in revenues to the Treasury by reason of this section 
(without regard to this subsection). Amounts appropriated by the 
preceding sentence shall be transferred from the general fund at such 
times and in such manner as to replicate to the extent possible the 
transfers which would have occurred to such Trust Fund or Account had 
this section not been enacted.
    (i) Treatment of Deposits.--The Secretary shall waive any penalty 
under section 6656 of such Code for any failure to make a deposit of 
applicable employment taxes if the Secretary determines that such 
failure was due to the anticipation of the credit allowed under this 
section.
    (j) Third Party Payors.--Any credit allowed under this section 
shall be treated as a credit described in section 3511(d)(2) of such 
Code.
    (k) Regulations and Guidance.--The Secretary shall issue such 
forms, instructions, regulations, and guidance as are necessary--
            (1) to allow the advance payment of the credit under 
        subsection (a), subject to the limitations provided in this 
        section, based on such information as the Secretary shall 
        require,
            (2) regulations or other guidance to provide for the 
        reconciliation of such advance payment with the amount of the 
        credit at the time of filing the return of tax for the 
        applicable quarter or taxable year,
            (3) with respect to the application of the credit under 
        subsection (a) to third party payors (including professional 
        employer organizations, certified professional employer 
        organizations, or agents under section 3504 of the Internal 
        Revenue Code of 1986), including regulations or guidance 
        allowing such payors to submit documentation necessary to 
        substantiate the eligible employer status of employers that use 
        such payors,
            (4) for application of subsection (b)(1)(A) and 
        subparagraphs (A)(ii)(II) and (B) of subsection (c)(2) in the 
        case of any employer which was not carrying on a trade or 
        business for all or part of the same calendar quarter in the 
        prior year, and
            (5) for recapturing the benefit of credits determined under 
        this section in cases where there is a subsequent adjustment to 
        the credit determined under subsection (a).
    (l) Application of Section.--This section shall apply only to 
qualified fixed expenses paid or accrued after March 12, 2020, and 
before January 1, 2021.

SEC. 20213. BUSINESS INTERRUPTION CREDIT FOR CERTAIN SELF-EMPLOYED 
              INDIVIDUALS.

    (a) Credit Against Tax.--In the case of an eligible self-employed 
individual, there shall be allowed as a credit against the tax imposed 
by chapter 1 of subtitle A of the Internal Revenue Code of 1986 for the 
taxpayer's first taxable year beginning in 2020 an amount equal to 90 
percent of the eligible self-employed individual's qualified self-
employment income.
    (b) Limitations.--
            (1) Overall limitation.--The amount of qualified self-
        employment income taken into account under subsection (a) with 
        respect to any eligible self-employed individual shall not 
        exceed $45,000.
            (2) Limitation based on modified adjusted gross income.--
                    (A) In general.--The amount of the credit allowed 
                by subsection (a) (after application of paragraph (1)) 
                shall be reduced (but not below zero) by 50 percent of 
                so much of the taxpayer's modified adjusted gross 
                income for the taxpayer's first taxable year beginning 
                in 2020 as exceeds $60,000 ($120,000 in the case of a 
                joint return).
                    (B) Modified adjusted gross income.--For purposes 
                of this section the term ``modified adjusted gross 
                income'' means adjusted gross income determined without 
                regard to sections 911, 931, and 933 of such Code.
    (c) Eligible Self-employed Individual.--For purposes of this 
section, the term ``eligible self-employed individual'' means an 
individual--
            (1) who--
                    (A) regularly carries on one or more trades or 
                businesses within the meaning of section 1402 of such 
                Code, or
                    (B) is allocated income or loss described in 
                section 702(a)(8) of such Code from any trade or 
                business carried on by a partnership which is not 
                excluded under section 1402 of such Code, and
            (2) for whom gross self-employment income during the first 
        taxable year beginning in 2020 is less than 90 percent of such 
        individual's gross self-employment income during the first 
        taxable year beginning in 2019.
    (d) Qualified Self-employment Income.--For purposes of this 
section--
            (1) In general.--The term ``qualified self-employment 
        income'' means the product of--
                    (A) the specified gross self-employment income 
                reduction for the first taxable year beginning in 2020, 
                multiplied by
                    (B) the ratio of--
                            (i) self-employment income (as determined 
                        under section 1402(b) of such Code, but not 
                        below zero) for the first taxable year 
                        beginning in 2019, divided by
                            (ii) gross self-employment income for the 
                        first taxable year beginning in 2019.
            (2) Limitation based on modified adjusted gross income.--In 
        the case of any taxpayer, qualified self-employment income 
        shall not exceed the excess (if any) of--
                    (A) modified adjusted gross income for the first 
                taxable year beginning in 2019, over
                    (B) modified adjusted gross income for the first 
                taxable year beginning in 2020.
            (3) Specified gross self-employment income reduction.--For 
        purposes of paragraph (1), the term ``specified gross self-
        employment income reduction'' means, with respect to a taxable 
        year, the excess (if any) of--
                    (A) 90 percent of gross self-employment income for 
                the taxable year preceding such taxable year, over
                    (B) gross self-employment income for such taxable 
                year.
    (e) Gross Self-employment Income.--For purposes of this section, 
the term ``gross self-employment income'' means, with respect to any 
taxable year, the sum of--
            (1) the eligible self-employed individuals' gross income 
        derived from all trades or business carried on by such 
        individual for purposes of determining net earnings from self-
        employment under section 1402 of such Code for such taxable 
        year, and
            (2) the eligible individual's distributive share of gross 
        income (as determined under section 702(c) of such Code) from 
        any trade or business carried on by a partnership for purposes 
        of determining net earnings from self-employment under section 
        1402 of such Code (and which is not excluded under such 
        section) for such taxable year.
    (f) Special Rules.--
            (1) Credit refundable.--
                    (A) In general.--The credit determined under this 
                section shall be treated as a credit allowed to the 
                taxpayer under subpart C of part IV of subchapter A of 
                chapter 1 of such Code.
                    (B) Treatment of payments.--For purposes of section 
                1324 of title 31, United States Code, any refund due 
                from the credit allowed under this section shall be 
                treated in the same manner as a refund due from a 
                credit provision referred to in subsection (b)(2) of 
                such section.
            (2) Documentation.--No credit shall be allowed under this 
        section unless the taxpayer maintains such documentation as the 
        Secretary of the Treasury (or the Secretary's delegate) may 
        prescribe to establish such individual as an eligible self-
        employed individual.
            (3) Denial of double benefit.--Qualified self-employment 
        income shall be reduced by--
                    (A) the qualified sick leave equivalent amount for 
                which a credit is allowed under section 7002(a) of the 
                Families First Coronavirus Response Act and the 
                qualified family leave equivalent amount for which a 
                credit is allowed under section 7004(a) of such Act,
                    (B) the qualified wages for which a credit is 
                allowed under section 2301 of the CARES Act,
                    (C) the amount of the credit allowed under section 
                6432 of the Internal Revenue Code of 1986 (as added by 
                this Act), and
                    (D) except to the extent taken into account in 
                determining gross self-employment income, amounts from 
                a covered loan under section 7(a)(36) of the Small 
                Business Act that are--
                            (i) forgiven pursuant to section 1106(b) of 
                        the CARES Act, and
                            (ii) paid or distributed to the eligible 
                        self-employed individual as payroll costs 
                        described in section 7(a)(36)(A)(viii)(I) of 
                        the Small Business Act.
            (4) Joint returns.--
                    (A) In general.--In the case of a joint return, the 
                taxpayer shall be treated for purposes of this section 
                as an eligible self-employed individual if either 
                spouse is an eligible self-employed individual.
                    (B) Application of modified adjusted gross income 
                limitation on qualified self-employment income.--If the 
                taxpayer filed a joint return for only one of the 
                taxable years described in subsection (d)(2), such 
                limitation shall apply in such manner as the Secretary 
                of the Treasury (or the Secretary's delegate) may 
                provide.
            (5) Election not to have section apply.--This section shall 
        not apply with respect to any taxpayer for any taxable year if 
        such taxpayer elects (at such time and in such manner as the 
        Secretary of the Treasury, or the Secretary's delegate, may 
        prescribe) not to have this section apply.
    (g) Application of Credit in Certain Possessions.--
            (1) Payments to possessions with mirror code tax systems.--
        The Secretary of the Treasury (or the Secretary's delegate) 
        shall pay to each possession of the United States which has a 
        mirror code tax system amounts equal to the loss (if any) to 
        that possession by reason of the application of the provisions 
        of this section. Such amounts shall be determined by the 
        Secretary of the Treasury (or the Secretary's delegate) based 
        on information provided by the government of the respective 
        possession.
            (2) Payments to other possessions.--The Secretary of the 
        Treasury (or the Secretary's delegate) shall pay to each 
        possession of the United States which does not have a mirror 
        code tax system amounts estimated by the Secretary of the 
        Treasury (or the Secretary's delegate) as being equal to the 
        aggregate benefits (if any) that would have been provided to 
        residents of such possession by reason of the provisions of 
        this section if a mirror code tax system had been in effect in 
        such possession. The preceding sentence shall not apply unless 
        the respective possession has a plan, which has been approved 
        by the Secretary of the Treasury (or the Secretary's delegate), 
        under which such possession will promptly distribute such 
        payments to its residents.
            (3) Mirror code tax system.--For purposes of this section, 
        the term ``mirror code tax system'' means, with respect to any 
        possession of the United States, the income tax system of such 
        possession if the income tax liability of the residents of such 
        possession under such system is determined by reference to the 
        income tax laws of the United States as if such possession were 
        the United States.
            (4) Treatment of payments.--For purposes of section 1324 of 
        title 31, United States Code, the payments under this section 
        shall be treated in the same manner as a refund due from a 
        credit provision referred to in subsection (b)(2) of such 
        section.
    (h) Certain Terms.--Any term used in this section which is also 
used in chapter 2 of the Internal Revenue Code of 1986 shall have the 
same meaning as when used in such chapter.
    (i) Regulations and Guidance.--The Secretary of the Treasury (or 
the Secretary's delegate) shall issue such forms, instructions, 
regulations, and guidance as are necessary or appropriate--
            (1) to allow the advance payment of the credit under 
        subsection (a) (including allowing use of the anticipated 
        credit to offset estimated taxes) based on the taxpayer's good 
        faith estimates of gross self-employment income and qualified 
        self-employment income for the first taxable year beginning in 
        2020 and such other information as the Secretary of the 
        Treasury (or the Secretary's delegate) shall require, subject 
        to the limitations provided in this section,
            (2) to provide for the reconciliation of such advance 
        payment with the amount of the credit at the time of filing the 
        return of tax for the taxpayer's first taxable year beginning 
        in 2020,
            (3) to provide for the application of this section to 
        partners in partnerships, and
            (4) to implement the purposes of this section.

           Subtitle C--Credits for Paid Sick and Family Leave

SEC. 20221. EXTENSION OF CREDITS.

    (a) In General.--Sections 7001(g), 7002(e), 7003(g), and 7004(e) of 
the Families First Coronavirus Response Act are each amended by 
striking ``2020'' and inserting ``2021''.
    (b) Effective Date.--The amendments made by this section shall take 
effect as if included in the provisions of the Families First 
Coronavirus Response Act to which they relate.

SEC. 20222. REPEAL OF REDUCED RATE OF CREDIT FOR CERTAIN LEAVE.

    (a) Payroll Credit.--Section 7001(b) of the Families First 
Coronavirus Response Act is amended by inserting ``or any day on or 
after the date of the enactment of the Worker Health Coverage 
Protection Act'' after ``in the case of any day any portion of which is 
paid sick time described in paragraph (1), (2), or (3) of section 
5102(a) of the Emergency Paid Sick Leave Act''.
    (b) Self-Employed Credit.--
            (1) In general.--Clauses (i) and (ii) of section 
        7002(c)(1)(B) of the Families First Coronavirus Response Act 
        are each amended by inserting inserting ``or any day on or 
        after the date of the enactment of the Worker Health Coverage 
        Protection Act'' after ``in the case of any day any portion of 
        which is paid sick time described in paragraph (1), (2), or (3) 
        of section 5102(a) of the Emergency Paid Sick Leave Act''.
            (2) Conforming amendment.--Section 7002(d)(3) of the 
        Families First Coronavirus Response Act is amended by inserting 
        inserting ``or any day on or after the date of the enactment of 
        the Worker Health Coverage Protection Act'' after ``in the case 
        of any day any portion of which is paid sick time described in 
        paragraph (1), (2), or (3) of section 5102(a) of the Emergency 
        Paid Sick Leave Act''.
    (c) Effective Date.--The amendments made by this section shall 
apply to days on or after the date of the enactment of this Act.

SEC. 20223. INCREASE IN LIMITATIONS ON CREDITS FOR PAID FAMILY LEAVE.

    (a) Increase in Overall Limitation on Qualified Family Leave 
Wages.--
            (1) In general.--Section 7003(b)(1)(B) of the Families 
        First Coronavirus Response Act is amended by striking 
        ``$10,000'' and inserting ``$12,000''.
            (2) Conforming amendment.--Section 7004(d)(3) of the 
        Families First Coronavirus Response Act is amended by striking 
        ``$10,000'' and inserting ``$12,000''.
    (b) Increase in Qualified Family Leave Equivalent Amount for Self-
employed Individuals.--Section 7004(c)(1)(A) of the Families First 
Coronavirus Response Act is amended by striking ``50'' and inserting 
``60''.
    (c) Effective Date.--The amendments made by this section shall take 
effect as if included in the provisions of the Families First 
Coronavirus Response Act to which they relate.

SEC. 20224. ELECTION TO USE PRIOR YEAR NET EARNINGS FROM SELF-
              EMPLOYMENT IN DETERMINING AVERAGE DAILY SELF-EMPLOYMENT 
              INCOME.

    (a) Credit for Sick Leave.--Section 7002(c) of the Families First 
Coronavirus Response Act is amended by adding at the end the following 
new paragraph:
            ``(4) Election to use prior year net earnings from self-
        employment income.--In the case of an individual who elects (at 
        such time and in such manner as the Secretary, or the 
        Secretary's delegate, may provide) the application of this 
        paragraph, paragraph (2)(A) shall be applied by substituting 
        `the prior taxable year' for `the taxable year'.''.
    (b) Credit for Family Leave.--Section 7004(c) of the Families First 
Coronavirus Response Act is amended by adding at the end the following 
new paragraph:
            ``(4) Election to use prior year net earnings from self-
        employment income.--In the case of an individual who elects (at 
        such time and in such manner as the Secretary, or the 
        Secretary's delegate, may provide) the application of this 
        paragraph, paragraph (2)(A) shall be applied by substituting 
        `the prior taxable year' for `the taxable year'.''.
    (c) Effective Date.--The amendments made by this section shall take 
effect as if included in the provisions of the Families First 
Coronavirus Response Act to which they relate.

SEC. 20225. FEDERAL, STATE, AND LOCAL GOVERNMENTS ALLOWED TAX CREDITS 
              FOR PAID SICK AND PAID FAMILY AND MEDICAL LEAVE.

    (a) In General.--Sections 7001(e) and 7003(e) of the Families First 
Coronavirus Response Act are each amended by striking paragraph (4).
    (b) Coordination With Application of Certain Definitions.--
            (1) In general.--Sections 7001(c) and 7003(c) of the 
        Families First Coronavirus Response Act are each amended--
                    (A) by inserting ``, determined without regard to 
                paragraphs (1) through (22) of section 3121(b) of such 
                Code'' after ``as defined in section 3121(a) of the 
                Internal Revenue Code of 1986'', and
                    (B) by inserting ``, determined without regard to 
                the sentence in paragraph (1) thereof which begins 
                `Such term does include remuneration''' after ``as 
                defined in section 3231(e) of the Internal Revenue 
                Code''.
            (2) Conforming amendments.--Sections 7001(e)(3) and 
        7003(e)(3) of the Families First Coronavirus Response Act are 
        each amended by striking ``Any term'' and inserting ``Except as 
        otherwise provided in this section, any term''.
    (c) Effective Date.--The amendments made by this section shall take 
effect as if included in the provisions of the Families First 
Coronavirus Response Act to which they relate.

SEC. 20226. CERTAIN TECHNICAL IMPROVEMENTS.

    (a) Coordination With Exclusion From Employment Taxes.--Sections 
7001(c) and 7003(c) of the Families First Coronavirus Response Act, as 
amended by the preceding provisions of this Act, are each amended--
            (1) by inserting ``and section 7005(a) of this Act,'' after 
        ``determined without regard to paragraphs (1) through (22) of 
        section 3121(b) of such Code'', and
            (2) by inserting ``and without regard to section 7005(a) of 
        this Act'' after ``which begins `Such term does not include 
        remuneration'''.
    (b) Clarification of Applicable Railroad Retirement Tax for Paid 
Leave Credits.--Sections 7001(e) and 7003(e) of the Families First 
Coronavirus Response Act, as amended by the preceding provisions of 
this Act, are each amended by adding at the end the following new 
paragraph:
            ``(4) References to railroad retirement tax.--Any reference 
        in this section to the tax imposed by section 3221(a) of the 
        Internal Revenue Code of 1986 shall be treated as a reference 
        to so much of such tax as is attributable to the rate in effect 
        under section 3111(a) of such Code.''.
    (c) Clarification of Treatment of Paid Leave for Applicable 
Railroad Retirement Tax.--Section 7005(a) of the Families First 
Coronavirus Response Act is amended by adding the following sentence at 
the end of such subsection: ``Any reference in this subsection to the 
tax imposed by section 3221(a) of such Code shall be treated as a 
reference to so much of the tax as is attributable to the rate in 
effect under section 3111(a) of such Code.''
    (d) Clarification of Applicable Railroad Retirement Tax for 
Hospital Insurance Tax Credit.--Section 7005(b)(1) of the Families 
First Coronavirus Response Act is amended to read as follows:
            ``(1) In general.--The credit allowed by section 7001 and 
        the credit allowed by section 7003 shall each be increased by 
        the amount of the tax imposed by section 3111(b) of the 
        Internal Revenue Code of 1986 and so much of the taxes imposed 
        under section 3221(a) of such Code as are attributable to the 
        rate in effect under section 3111(b) of such Code on qualified 
        sick leave wages, or qualified family leave wages, for which 
        credit is allowed under such section 7001 or 7003 
        (respectively).''.
    (e) Effective Date.--The amendments made by this section shall take 
effect as if included in the provisions of the Families First 
Coronavirus Response Act to which they relate.

SEC. 20227. CREDITS NOT ALLOWED TO CERTAIN LARGE EMPLOYERS.

    (a) Credit for Required Paid Sick Leave.--
            (1) In general.--Section 7001(a) of the Families First 
        Coronavirus Response Act is amended by striking ``In the case 
        of an employer'' and inserting ``In the case of an eligible 
        employer''.
            (2) Eligible employer.--Section 7001(c) of the Families 
        First Coronavirus Response Act, as amended by the preceding 
        provisions of this Act, is amended by striking ``For purposes 
        of this section, the term'' and all that precedes it and 
        inserting the following:
    ``(c) Definitions.--For purposes of this section--
            ``(1) Eligible employer.--The term `eligible employer' 
        means any employer other than an applicable large employer (as 
        defined in section 4980H(c)(2), determined by substituting 
        `500' for `50' each place it appears in subparagraphs (A) and 
        (B) thereof and without regard to subparagraphs (D) and (F) 
        thereof). For purposes of the preceding sentence, the 
        Government of the United States, the government of any State or 
        political subdivision thereof, or any agency or instrumentality 
        of any of the foregoing shall not be treated as an applicable 
        large employer.
            ``(2) Qualified sick leave wages.--The term''.
    (b) Credit for Required Paid Family Leave.--
            (1) In general.--Section 7003(a) of the Families First 
        Coronavirus Response Act is amended by striking ``In the case 
        of an employer'' and inserting ``In the case of an eligible 
        employer''.
            (2) Eligible employer.--Section 7003(c) of the Families 
        First Coronavirus Response Act, as amended by the preceding 
        provisions of this Act, is amended by striking ``For purposes 
        of this section, the term'' and all that precedes it and 
        inserting the following:
    ``(c) Definitions.--For purposes of this section--
            ``(1) Eligible employer.--The term `eligible employer' 
        means any employer other than an applicable large employer (as 
        defined in section 4980H(c)(2), determined by substituting 
        `500' for `50' each place it appears in subparagraphs (A) and 
        (B) thereof and without regard to subparagraphs (D) and (F) 
        thereof). For purposes of the preceding sentence, the 
        Government of the United States, the government of any State or 
        political subdivision thereof, or any agency or instrumentality 
        of any of the foregoing, shall not be treated as an applicable 
        large employer.
            ``(2) Qualified family leave wages.--The term''.
    (c) Effective Date.--The amendments made by this section shall 
apply to wages paid after the date of the enactment of this Act.

                        Subtitle D--Other Relief

SEC. 20231. PAYROLL TAX DEFERRAL ALLOWED FOR RECIPIENTS OF CERTAIN LOAN 
              FORGIVENESS.

    (a) In General.--Section 2302(a) of the CARES Act is amended by 
striking paragraph (3).
    (b) Effective Date.--The amendment made by this section shall take 
effect as if included in section 2302 of the CARES Act.

SEC. 20232. EMERGENCY FINANCIAL AID GRANTS.

    (a) In General.--In the case of a student receiving a qualified 
emergency financial aid grant--
            (1) such grant shall not be included in the gross income of 
        such individual for purposes of the Internal Revenue Code of 
        1986, and
            (2) such grant shall not be treated as described in 
        subparagraph (A), (B), or (C) of section 25A(g)(2) of such 
        Code.
    (b) Definitions.--For purposes of this subsection, the term 
``qualified emergency financial aid grant'' means--
            (1) any emergency financial aid grant awarded by an 
        institution of higher education under section 3504 of the CARES 
        Act,
            (2) any emergency financial aid grant from an institution 
        of higher education made with funds made available under 
        section 18004 of the CARES Act, and
            (3) any other emergency financial aid grant made to a 
        student from a Federal agency, a State, an Indian tribe, an 
        institution of higher education, or a scholarship-granting 
        organization (including a tribal organization, as defined in 
        section 4 of the Indian Self-Determination and Education 
        Assistance Act (25 U.S.C.5304)) for the purpose of providing 
        financial relief to students enrolled at institutions of higher 
        education in response to a qualifying emergency (as defined in 
        section 3502(a)(4) of the CARES Act).
    (c) Limitation.--This section shall not apply to that portion of 
any amount received which represents payment for teaching, research, or 
other services required as a condition for receiving the qualified 
emergency financial aid grant.
    (d) Effective Date.--This section shall apply to qualified 
emergency financial aid grants made after March 26, 2020.

SEC. 20233. CERTAIN LOAN FORGIVENESS AND OTHER BUSINESS FINANCIAL 
              ASSISTANCE UNDER CARES ACT NOT INCLUDIBLE IN GROSS 
              INCOME.

    (a) United States Treasury Program Management Authority.--For 
purposes of the Internal Revenue Code of 1986, no amount shall be 
included in gross income by reason of loan forgiveness described in 
section 1109(d)(2)(D) of the CARES Act.
    (b) Emergency EIDL Grants.--For purposes of the Internal Revenue 
Code of 1986, any advance described in section 1110(e) of the CARES Act 
shall not be included in the gross income of the person that receives 
such advance.
    (c) Subsidy for Certain Loan Payments.--For purposes of the 
Internal Revenue Code of 1986, any payment described in section 1112(c) 
of the CARES Act shall not be included in the gross income of the 
person on whose behalf such payment is made.
    (d) Effective Date.--Subsections (a), (b), and (c) shall apply to 
taxable years ending after the date of the enactment of the CARES Act.

SEC. 20234. AUTHORITY TO WAIVE CERTAIN INFORMATION REPORTING 
              REQUIREMENTS.

    The Secretary of the Treasury (or the Secretary's delegate) may 
provide an exception from any requirement to file an information return 
otherwise required by chapter 61 of the Internal Revenue Code of 1986 
with respect to any amount excluded from gross income by reason of 
section 1106(i) of the CARES Act or section 20232 or 20233 of this Act.

SEC. 20235. CLARIFICATION OF TREATMENT OF EXPENSES PAID OR INCURRED 
              WITH PROCEEDS FROM CERTAIN GRANTS AND LOANS.

    (a) In General.--For purposes of the Internal Revenue Code of 1986 
and notwithstanding any other provision of law, any deduction and the 
basis of any property shall be determined without regard to whether any 
amount is excluded from gross income under section 20233 of this Act or 
section 1106(i) of the CARES Act.
    (b) Clarification of Exclusion of Loan Forgiveness.--Section 
1106(i) of the CARES Act is amended to read as follows:
    ``(i) Taxability.--For purposes of the Internal Revenue Code of 
1986, no amount shall be included in the gross income of the eligible 
recipient by reason of forgiveness of indebtedness described in 
subsection (b).''.
    (c) Effective Date.--Subsection (a) and the amendment made by 
subsection (b) shall apply to taxable years ending after the date of 
the enactment of the CARES Act.

SEC. 20236. REINSTATEMENT OF CERTAIN PROTECTIONS FOR TAXPAYER RETURN 
              INFORMATION.

    (a) In General.--Section 6103(a)(3) of the Internal Revenue Code of 
1986, as amended by section 3516 of the CARES Act, is amended by 
striking ``(13)(A), (13)(B), (13)(C), (13)(D)(i), (16)'' and inserting 
``(13), (16)''.
    (b) Records Requirements.--Section 6103(p)(3)(A) of such Code, as 
so amended, is amended by striking ``(12), (13)(A), (13)(B), (13)(C), 
(13)(D)(i)'' and inserting ``(12),''.
    (c) Application of Safeguards.--Section 6103(p)(4) of such Code, as 
so amended, is amended by striking ``(13)(A), (13)(B), (13)(C), 
(13)(D)(i)'' each place it appears and inserting ``(13)''.
    (d) Effective Date.--The amendments made by this section shall 
apply to disclosures made after the date of the enactment of the FUTURE 
Act (Public Law 116-91).

                    TITLE III--NET OPERATING LOSSES

SEC. 20301. LIMITATION ON EXCESS BUSINESS LOSSES OF NON-CORPORATE 
              TAXPAYERS RESTORED AND MADE PERMANENT.

    (a) In General.--Section 461(l)(1) of the Internal Revenue Code of 
1986 is amended to read as follows:
            ``(1) Limitation.--In the case of a taxpayer other than a 
        corporation, any excess business loss of the taxpayer shall not 
        be allowed.''.
    (b) Farming Losses.--Section 461 of such Code is amended by 
striking subsection (j).
    (c) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2017.

SEC. 20302. CERTAIN TAXPAYERS ALLOWED CARRYBACK OF NET OPERATING LOSSES 
              ARISING IN 2019 AND 2020.

    (a) Carryback of Losses Arising in 2019 and 2020.--
            (1) In general.--Section 172(b)(1)(D)(i) of the Internal 
        Revenue Code of 1986 is amended to read as follows:
                            ``(i) In general.--In the case of any net 
                        operating loss arising in a taxable year 
                        beginning after December 31, 2018, and before 
                        January 1, 2021, and to which subparagraphs (B) 
                        and (C)(i) do not apply, such loss shall be a 
                        net operating loss carryback to each taxable 
                        year preceding the taxable year of such loss, 
                        but not to any taxable year beginning before 
                        January 1, 2018.''.
            (2) Conforming amendments.--
                    (A) The heading for section 172(b)(1)(D) of such 
                Code is amended by striking ``2018, 2019, and'' and 
                inserting ``2019 and''.
                    (B) Section 172(b)(1)(D) of such Code is amended by 
                striking clause (iii) and by redesignating clauses (iv) 
                and (v) as clauses (iii) and (iv), respectively.
                    (C) Section 172(b)(1)(D)(iii) of such Code, as so 
                redesignated, is amended by striking ``(i)(I)'' and 
                inserting ``(i)''.
                    (D) Section 172(b)(1)(D)(iv) of such Code, as so 
                redesignated, is amended--
                            (i) by striking ``If the 5-year carryback 
                        period under clause (i)(I)'' in subclause (I) 
                        and inserting ``If the carryback period under 
                        clause (i)'', and
                            (ii) by striking ``2018 or'' in subclause 
                        (II).
    (b) Disallowed for Certain Taxpayers.--Section 172(b)(1)(D) of such 
Code, as amended by the preceding provisions of this Act, is amended by 
adding at the end the following new clauses:
                            ``(v) Carryback disallowed for certain 
                        taxpayers.--Clause (i) shall not apply with 
                        respect to any loss arising in a taxable year 
                        in which--
                                    ``(I) the taxpayer (or any related 
                                person) is not allowed a deduction 
                                under this chapter for the taxable year 
                                by reason of section 162(m) or section 
                                280G, or
                                    ``(II) the taxpayer (or any related 
                                person) is a specified corporation for 
                                the taxable year.
                            ``(vi) Specified corporation.--For purposes 
                        of clause (v)--
                                    ``(I) In general.--The term 
                                `specified corporation' means, with 
                                respect to any taxable year, a 
                                corporation the aggregate distributions 
                                (including redemptions) of which during 
                                all taxable years ending after December 
                                31, 2017, exceed the sum of applicable 
                                stock issued of such corporation and 5 
                                percent of the fair market value of the 
                                stock of such corporation as of the 
                                last day of the taxable year.
                                    ``(II) Applicable stock issued.--
                                The term `applicable stock issued' 
                                means, with respect to any corporation, 
                                the aggregate fair market value of 
                                stock (as of the issue date of such 
                                stock) issued by the corporation during 
                                all taxable years ending after December 
                                31, 2017, in exchange for money or 
                                property other than stock in such 
                                corporation.
                                    ``(III) Certain preferred stock 
                                disregarded.--For purposes of subclause 
                                (I), stock described in section 
                                1504(a)(4), and distributions 
                                (including redemptions) with respect to 
                                such stock, shall be disregarded.
                            ``(vii) Related person.--For purposes of 
                        clause (v), a person is a related person to a 
                        taxpayer if the related person bears a 
                        relationship to the taxpayer specified in 
                        section 267(b) or section 707(b)(1).''.
    (c) Effective Date.--The amendments made by this section shall take 
effect as if included in the enactment of section 2303(b) of the 
Coronavirus Aid, Relief, and Economic Security Act.

                     DIVISION C--HEALTH PROVISIONS

                      TITLE I--MEDICAID PROVISIONS

SEC. 30101. COVID-19-RELATED TEMPORARY INCREASE OF MEDICAID FMAP.

    (a) In General.--Section 6008 of the Families First Coronavirus 
Response Act (42 U.S.C. 1396d note) is amended--
            (1) in subsection (a)--
                    (A) by inserting ``(or, if later, June 30, 2021)'' 
                after ``last day of such emergency period occurs''; and
                    (B) by striking ``6.2 percentage points.'' and 
                inserting ``the percentage points specified in 
                subsection (e). In no case may the application of this 
                section result in the Federal medical assistance 
                percentage determined for a State being more than 95 
                percent.''; and
            (2) by adding at the end the following new subsections:
    ``(e) Specified Percentage Points.--For purposes of subsection (a), 
the percentage points specified in this subsection are--
            ``(1) for each calendar quarter occurring during the period 
        beginning on the first day of the emergency period described in 
        paragraph (1)(B) of section 1135(g) of the Social Security Act 
        (42 U.S.C. 1320b-5(g)) and ending on June 30, 2020, 6.2 
        percentage points;
            ``(2) for each calendar quarter occurring during the period 
        beginning on July 1, 2020, and ending on June 30, 2021, 14 
        percentage points; and
            ``(3) for each calendar quarter, if any, occurring during 
        the period beginning on July 1, 2021, and ending on the last 
        day of the calendar quarter in which the last day of such 
        emergency period occurs, 6.2 percentage points.
    ``(f) Clarifications.--
            ``(1) In the case of a State that treats an individual 
        described in subsection (b)(3) as eligible for the benefits 
        described in such subsection, for the period described in 
        subsection (a), expenditures for medical assistance and 
        administrative costs attributable to such individual that would 
        not otherwise be included as expenditures under section 1903 of 
        the Social Security Act shall be regarded as expenditures under 
        the State plan approved under title XIX of the Social Security 
        Act or for administration of such State plan.
            ``(2) The limitations on payment under subsections (f) and 
        (g) of section 1108 of the Social Security Act (42 U.S.C. 1308) 
        shall not apply to Federal payments made under section 
        1903(a)(1) of the Social Security Act (42 U.S.C. 1396b(a)(1)) 
        attributable to the increase in the Federal medical assistance 
        percentage under this section.
            ``(3) Expenditures attributable to the increased Federal 
        medical assistance percentage under this section shall not be 
        counted for purposes of the limitations under section 
        2104(b)(4) of such Act (42 U.S.C. 1397dd(b)(4)).
            ``(4) Notwithstanding the first sentence of section 2105(b) 
        of the Social Security Act (42 U.S.C. 1397ee(b)), the 
        application of the increase under this section may result in 
        the enhanced FMAP of a State for a fiscal year under such 
        section exceeding 85 percent, but in no case may the 
        application of such increase before application of the second 
        sentence of such section result in the enhanced FMAP of the 
        State exceeding 95 percent.
    ``(g) Scope of Application.--An increase in the Federal medical 
assistance percentage for a State under this section shall not be taken 
into account for purposes of payments under part D of title IV of the 
Social Security Act (42 U.S.C. 651 et seq.).''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
take effect and apply as if included in the enactment of section 6008 
of the Families First Coronavirus Response Act (Public Law 116-127).

SEC. 30102. LIMITATION ON ADDITIONAL SECRETARIAL ACTION WITH RESPECT TO 
              MEDICAID SUPPLEMENTAL PAYMENTS REPORTING REQUIREMENTS.

    (a) In General.--Notwithstanding any other provision of law, during 
the period that begins on the date of enactment of this section and 
ends on the last day of the emergency period described in paragraph 
(1)(B) of section 1135(g) of the Social Security Act (42 U.S.C. 1320b-
5(g)), the Secretary of Health and Human Services shall not take any 
action (through promulgation of regulation, issue of regulatory 
guidance, or otherwise) to--
            (1) finalize or otherwise implement provisions contained in 
        the proposed rule published on November 18, 2019, on pages 
        63722 through 63785 of volume 84, Federal Register (relating to 
        parts 430, 433, 447, 455, and 457 of title 42, Code of Federal 
        Regulations); or
            (2) promulgate or implement any rule or provision similar 
        to the provisions described in paragraph (1) pertaining to the 
        Medicaid program established under title XIX of the Social 
        Security Act (42 U.S.C. 1396 et seq.) or the State Children's 
        Health Insurance Program established under title XXI of such 
        Act (42 U.S.C. 1397aa et seq.).
    (b) Continuation of Other Secretarial Authority.--Nothing in this 
section shall be construed as prohibiting the Secretary during the 
period described in subsection (a) from taking any action (through 
promulgation of regulation, issuance of regulatory guidance, or other 
administrative action) to enforce a provision of law in effect as of 
the date of enactment of this section with respect to the Medicaid 
program established under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) or the State Children's Health Insurance Program 
established under title XXI of such Act (42 U.S.C. 1397aa et seq.), or 
to promulgate or implement a new rule or provision during such period 
with respect to such programs, other than a rule or provision described 
in subsection (a) and subject to the prohibition set forth in that 
subsection.

SEC. 30103. ADDITIONAL SUPPORT FOR MEDICAID HOME AND COMMUNITY-BASED 
              SERVICES DURING THE COVID-19 EMERGENCY PERIOD.

    (a) Increased FMAP.--
            (1) In general.--Notwithstanding section 1905(b) of the 
        Social Security Act (42 U.S.C. 1396d(b)), in the case of an 
        HCBS program State, the Federal medical assistance percentage 
        determined for the State under section 1905(b) of such Act and, 
        if applicable, increased under subsection (y), (z), or (aa) of 
        section 1905 of such Act (42 U.S.C. 1396d), section 1915(k) of 
        such Act (42 U.S.C. 1396n(k)), or section 6008(a) of the 
        Families First Coronavirus Response Act (Public Law 116-127), 
        shall be increased by 10 percentage points with respect to 
        expenditures of the State under the State Medicaid program for 
        home and community-based services that are provided during the 
        HCBS program improvement period. In no case may the application 
        of the previous sentence result in the Federal medical 
        assistance percentage determined for a State being more than 95 
        percent.
            (2) Definitions.--In this section:
                    (A) HCBS program improvement period.--The term 
                ``HCBS program improvement period'' means, with respect 
                to a State, the period--
                            (i) beginning on July 1, 2020; and
                            (ii) ending on June 30, 2021.
                    (B) HCBS program state.--The term ``HCBS program 
                State'' means a State that meets the condition 
                described in subsection (b) by submitting an 
                application described in such subsection, which is 
                approved by the Secretary pursuant to subsection (c).
                    (C) Home and community-based services.--The term 
                ``home and community-based services'' means home health 
                care services authorized under paragraph (7) of section 
                1905(a) of the Social Security Act (42 U.S.C. 
                1396d(a)), personal care services authorized under 
                paragraph (24) of such section, PACE services 
                authorized under paragraph (26) of such section, 
                services authorized under subsections (b), (c), (i), 
                (j), and (k) of section 1915 of such Act (42 U.S.C. 
                1396n), such services authorized under a waiver under 
                section 1115 of such Act (42 U.S.C. 1315), and such 
                other services specified by the Secretary.
    (b) Condition.--The condition described in this subsection, with 
respect to a State, is that the State submits an application to the 
Secretary, at such time and in such manner as specified by the 
Secretary, that includes, in addition to such other information as the 
Secretary shall require--
            (1) a description of which activities described in 
        subsection (d) that a state plans to implement and a 
        description of how it plans to implement such activities;
            (2) assurances that the Federal funds attributable to the 
        increase under subsection (a) will be used--
                    (A) to implement the activities described in 
                subsection (d); and
                    (B) to supplement, and not supplant, the level of 
                State funds expended for home and community-based 
                services for eligible individuals through programs in 
                effect as of the date of the enactment of this section; 
                and
            (3) assurances that the State will conduct adequate 
        oversight and ensure the validity of such data as may be 
        required by the Secretary.
    (c) Approval of Application.--Not later than 90 days after the date 
of submission of an application of a State under subsection (b), the 
Secretary shall certify if the application is complete. Upon 
certification that an application of a State is complete, the 
application shall be deemed to be approved for purposes of this 
section.
    (d) Activities to Improve the Delivery of HCBS.--
            (1) In general.--A State shall work with community 
        partners, such as Area Agencies on Aging, Centers for 
        Independent Living, non-profit home and community-based 
        services providers, and other entities providing home and 
        community-based services, to implement--
                    (A) the purposes described in paragraph (2) during 
                the COVID-19 public health emergency period; and
                    (B) the purposes described in paragraph (3) after 
                the end of such emergency period.
            (2) Focused areas of hcbs improvement.--The purposes 
        described in this paragraph, with respect to a State, are the 
        following:
                    (A) To increase rates for home health agencies and 
                agencies that employ direct support professionals 
                (including independent providers in a self-directed or 
                consumer-directed model) to provide home and community-
                based services under the State Medicaid program, 
                provided that any agency or individual that receives 
                payment under such an increased rate increases the 
                compensation it pays its home health workers or direct 
                support professionals.
                    (B) To provide paid sick leave, paid family leave, 
                and paid medical leave for home health workers and 
                direct support professionals.
                    (C) To provide hazard pay, overtime pay, and shift 
                differential pay for home health workers and direct 
                support professionals.
                    (D) To provide home and community-based services to 
                eligible individuals who are on waiting lists for 
                programs approved under sections 1115 or 1915 of the 
                Social Security Act (42 U.S.C. 1315, 1396n).
                    (E) To purchase emergency supplies and equipment, 
                which may include items not typically covered under the 
                Medicaid program, such as personal protective 
                equipment, necessary to enhance access to services and 
                to protect the health and well-being of home health 
                workers and direct support professionals.
                    (F) To pay for the travel of home health workers 
                and direct support professionals to conduct home and 
                community-based services.
                    (G) To recruit new home health workers and direct 
                support professionals.
                    (H) To support family care providers of eligible 
                individuals with needed supplies and equipment, which 
                may include items not typically covered under the 
                Medicaid program, such as personal protective 
                equipment, and pay.
                    (I) To pay for training for home health workers and 
                direct support professionals that is specific to the 
                COVID-19 public health emergency.
                    (J) To pay for assistive technologies, staffing, 
                and other costs incurred during the COVID-19 public 
                health emergency period in order to facilitate 
                community integration and ensure an individual's 
                person-centered service plan continues to be fully 
                implemented.
                    (K) To prepare information and public health and 
                educational materials in accessible formats (including 
                formats accessible to people with low literacy or 
                intellectual disabilities) about prevention, treatment, 
                recovery and other aspects of COVID-19 for eligible 
                individuals, their families, and the general community 
                served by agencies described in subparagraph (A).
                    (L) To pay for American sign language interpreters 
                to assist in providing home and community-based 
                services to eligible individuals and to inform the 
                general public about COVID-19.
                    (M) To allow day services providers to provide home 
                and community-based services.
                    (N) To pay for other expenses deemed appropriate by 
                the Secretary to enhance, expand, or strengthen Home 
                and Community-Based Services, including retainer 
                payments, and expenses which meet the criteria of the 
                home and community-based settings rule published on 
                January 16, 2014.
            (3) Permissible uses after the emergency period.--The 
        purpose described in this paragraph, with respect to a State, 
        is to assist eligible individuals who had to relocate to a 
        nursing facility or institutional setting from their homes 
        during the COVID-19 public health emergency period in--
                    (A) moving back to their homes (including by paying 
                for moving costs, first month's rent, and other one-
                time expenses and start-up costs);
                    (B) resuming home and community-based services;
                    (C) receiving mental health services and necessary 
                rehabilitative service to regain skills lost while 
                relocated during the public health emergency period; 
                and
                    (D) while funds attributable to the increased FMAP 
                under this section remain available, continuing home 
                and community-based services for eligible individuals 
                who were served from a waiting list for such services 
                during the public health emergency period.
    (e) Reporting Requirements.--
            (1) State reporting requirements.--Not later than December 
        31, 2022, any State with respect to which an application is 
        approved by the Secretary pursuant to subsection (c) shall 
        submit a report to the Secretary that contains the following 
        information:
                    (A) Activities and programs that were funded using 
                Federal funds attributable to such increase.
                    (B) The number of eligible individuals who were 
                served by such activities and programs.
                    (C) The number of eligible individuals who were 
                able to resume home and community-based services as a 
                result of such activities and programs.
            (2) HHS evaluation.--
                    (A) In general.--The Secretary shall evaluate the 
                implementation and outcomes of this section in the 
                aggregate using an external evaluator with experience 
                evaluating home and community-based services, 
                disability programs, and older adult programs.
                    (B) Evaluation criteria.--For purposes of 
                subparagraph (A), the external evaluator shall--
                            (i) document and evaluate changes in 
                        access, availability, and quality of home and 
                        community-based services in each HCBS program 
                        State;
                            (ii) document and evaluate aggregate 
                        changes in access, availability, and quality of 
                        home and community-based services across all 
                        such States; and
                            (iii) evaluate the implementation and 
                        outcomes of this section based on--
                                    (I) the impact of this section on 
                                increasing funding for home and 
                                community-based services;
                                    (II) the impact of this section on 
                                achieving targeted access, 
                                availability, and quality of home and 
                                community-based services; and
                                    (III) promising practices 
                                identified by activities conducted 
                                pursuant to subsection (d) that 
                                increase access to, availability of, 
                                and quality of home and community-based 
                                services.
                    (C) Dissemination of evaluation findings.--The 
                Secretary shall--
                            (i) disseminate the findings from the 
                        evaluations conducted under this paragraph to--
                                    (I) all State Medicaid directors; 
                                and
                                    (II) the Committee on Energy and 
                                Commerce of the House of 
                                Representatives, the Committee on 
                                Finance of the Senate, and the Special 
                                Committee on Aging of the Senate; and
                            (ii) make all evaluation findings publicly 
                        available in an accessible electronic format 
                        and any other accessible format determined 
                        appropriate by the Secretary.
                    (D) Oversight.--Each State with respect to which an 
                application is approved by the Secretary pursuant to 
                subsection (c) shall ensure adequate oversight of the 
                expenditure of Federal funds pursuant to such increase 
                in accordance with the Medicaid regulations, including 
                section 1115 and 1915 waiver regulations and special 
                terms and conditions for any relevant waiver or grant 
                program.
            (3) Non-application of the paperwork reduction act.--
        Chapter 35 of title 44, United States Code (commonly referred 
        to as the ``Paperwork Reduction Act of 1995''), shall not apply 
        to the provisions of this subsection.
    (f) Additional Definitions.--In this section:
            (1) COVID-19 public health emergency period.--The term 
        ``COVID-19 public health emergency period'' means the portion 
        of the emergency period described in paragraph (1)(B) of 
        section 1135(g) of the Social Security Act (42 U.S.C. 1320b-
        5(g)) beginning on or after the date of the enactment of this 
        Act.
            (2) Eligible individual.--The term ``eligible individual'' 
        means an individual who is eligible for or enrolled for medical 
        assistance under a State Medicaid program.
            (3) Medicaid program.--The term ``Medicaid program'' means, 
        with respect to a State, the State program under title XIX of 
        the Social Security Act (42 U.S.C. 1396 et seq.) (including any 
        waiver or demonstration under such title or under section 1115 
        of such Act (42 U.S.C. 1315) relating to such title).
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
            (5) State.--The term ``State'' has the meaning given such 
        term for purposes of title XIX of the Social Security Act (42 
        U.S.C. 1396 et seq.).

SEC. 30104. COVERAGE AT NO COST SHARING OF COVID-19 VACCINE AND 
              TREATMENT.

    (a) Medicaid.--
            (1) In general.--Section 1905(a)(4) of the Social Security 
        Act (42 U.S.C. 1396d(a)(4)) is amended--
                    (A) by striking ``and (D)'' and inserting ``(D)''; 
                and
                    (B) by striking the semicolon at the end and 
                inserting ``; (E) during the portion of the emergency 
                period described in paragraph (1)(B) of section 1135(g) 
                beginning on the date of the enactment of The Heroes 
                Act, a COVID-19 vaccine licensed under section 351 of 
                the Public Health Service Act, or approved or 
                authorized under sections 505 or 564 of the Federal 
                Food, Drug, and Cosmetic Act, and administration of the 
                vaccine; (F) during such portion of the emergency 
                period described in paragraph (1)(B) of section 
                1135(g), items or services for the prevention or 
                treatment of COVID-19, including drugs approved or 
                authorized under such section 505 or such section 564 
                or, without regard to the requirements of section 
                1902(a)(10)(B) (relating to comparability), in the case 
                of an individual who is diagnosed with or presumed to 
                have COVID-19, during such portion of such emergency 
                period during which such individual is infected (or 
                presumed infected) with COVID-19, the treatment of a 
                condition that may complicate the treatment of COVID-
                19;''.
            (2) Prohibition of cost sharing.--
                    (A) In general.--Subsections (a)(2) and (b)(2) of 
                section 1916 of the Social Security Act (42 U.S.C. 
                1396o) are each amended--
                            (i) in subparagraph (F), by striking ``or'' 
                        at the end;
                            (ii) in subparagraph (G), by striking ``; 
                        and'' and inserting ``, or''; and
                            (iii) by adding at the end the following 
                        subparagraphs:
                    ``(H) during the portion of the emergency period 
                described in paragraph (1)(B) of section 1135(g) 
                beginning on the date of the enactment of this 
                subparagraph, a COVID-19 vaccine licensed under section 
                351 of the Public Health Service Act, or approved or 
                authorized under section 505 or 564 of the Federal 
                Food, Drug, and Cosmetic Act, and the administration of 
                such vaccine, or
                    ``(I) during such portion of the emergency period 
                described in paragraph (1)(B) of section 1135(g), any 
                item or service furnished for the treatment of COVID-
                19, including drugs approved or authorized under such 
                section 505 or such section 564 or, in the case of an 
                individual who is diagnosed with or presumed to have 
                COVID-19, during the portion of such emergency period 
                during which such individual is infected (or presumed 
                infected) with COVID-19, the treatment of a condition 
                that may complicate the treatment of COVID-19; and''.
                    (B) Application to alternative cost sharing.--
                Section 1916A(b)(3)(B) of the Social Security Act (42 
                U.S.C. 1396o-1(b)(3)(B)) is amended--
                            (i) in clause (xi), by striking ``any 
                        visit'' and inserting ``any service''; and
                            (ii) by adding at the end the following 
                        clauses:
                            ``(xii) During the portion of the emergency 
                        period described in paragraph (1)(B) of section 
                        1135(g) beginning on the date of the enactment 
                        of this clause, a COVID-19 vaccine licensed 
                        under section 351 of the Public Health Service 
                        Act, or approved or authorized under section 
                        505 or 564 of the Federal Food, Drug, and 
                        Cosmetic Act, and the administration of such 
                        vaccine.
                            ``(xiii) During such portion of the 
                        emergency period described in paragraph (1)(B) 
                        of section 1135(g), an item or service 
                        furnished for the treatment of COVID-19, 
                        including drugs approved or authorized under 
                        such section 505 or such section 564 or, in the 
                        case of an individual who is diagnosed with or 
                        presumed to have COVID-19, during such portion 
                        of such emergency period during which such 
                        individual is infected (or presumed infected) 
                        with COVID-19, the treatment of a condition 
                        that may complicate the treatment of COVID-
                        19.''.
                    (C) Clarification.--The amendments made by this 
                subsection shall apply with respect to a State plan of 
                a territory in the same manner as a State plan of one 
                of the 50 States.
    (b) State Pediatric Vaccine Distribution Program.--Section 1928 of 
the Social Security Act (42 U.S.C. 1396s) is amended--
            (1) in subsection (a)(1)--
                    (A) in subparagraph (A), by striking ``; and'' and 
                inserting a semicolon;
                    (B) in subparagraph (B), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following 
                subparagraph:
                    ``(C) during the portion of the emergency period 
                described in paragraph (1)(B) of section 1135(g) 
                beginning on the date of the enactment of this 
                subparagraph, each vaccine-eligible child (as defined 
                in subsection (b)) is entitled to receive a COVID-19 
                vaccine from a program-registered provider (as defined 
                in subsection (h)(7)) without charge for--
                            ``(i) the cost of such vaccine; or
                            ``(ii) the administration of such 
                        vaccine.'';
            (2) in subsection (c)(2)--
                    (A) in subparagraph (C)(ii), by inserting ``, but, 
                during the portion of the emergency period described in 
                paragraph (1)(B) of section 1135(g) beginning on the 
                date of the enactment of The Heroes Act, may not impose 
                a fee for the administration of a COVID-19 vaccine'' 
                before the period; and
                    (B) by adding at the end the following 
                subparagraph:
                    ``(D) The provider will provide and administer an 
                approved COVID-19 vaccine to a vaccine-eligible child 
                in accordance with the same requirements as apply under 
                the preceding subparagraphs to the provision and 
                administration of a qualified pediatric vaccine to such 
                a child.''; and
            (3) in subsection (d)(1), in the first sentence, by 
        inserting ``, including, during the portion of the emergency 
        period described in paragraph (1)(B) of section 1135(g) 
        beginning on the date of the enactment of The Heroes Act, with 
        respect to a COVID-19 vaccine licensed under section 351 of the 
        Public Health Service Act, or approved or authorized under 
        section 505 or 564 of the Federal Food, Drug, and Cosmetic 
        Act'' before the period.
    (c) CHIP.--
            (1) In general.--Section 2103(c) of the Social Security Act 
        (42 U.S.C. 1397cc(c)) is amended by adding at the end the 
        following paragraph:
            ``(11) Coverage of covid-19 vaccines and treatment.--
        Regardless of the type of coverage elected by a State under 
        subsection (a), child health assistance provided under such 
        coverage for targeted low-income children and, in the case that 
        the State elects to provide pregnancy-related assistance under 
        such coverage pursuant to section 2112, such pregnancy-related 
        assistance for targeted low-income pregnant women (as defined 
        in section 2112(d)) shall include coverage, during the portion 
        of the emergency period described in paragraph (1)(B) of 
        section 1135(g) beginning on the date of the enactment of this 
        paragraph, of--
                    ``(A) a COVID-19 vaccine licensed under section 351 
                of the Public Health Service Act, or approved or 
                authorized under section 505 or 564 of the Federal 
                Food, Drug, and Cosmetic Act, and the administration of 
                such vaccine; and
                    ``(B) any item or service furnished for the 
                treatment of COVID-19, including drugs approved or 
                authorized under such section 505 or such section 564, 
                or, in the case of an individual who is diagnosed with 
                or presumed to have COVID-19, during the portion of 
                such emergency period during which such individual is 
                infected (or presumed infected) with COVID-19, the 
                treatment of a condition that may complicate the 
                treatment of COVID-19.''.
            (2) Prohibition of cost sharing.--Section 2103(e)(2) of the 
        Social Security Act (42 U.S.C. 1397cc(e)(2)), as amended by 
        section 6004(b)(3) of the Families First Coronavirus Response 
        Act, is amended--
                    (A) in the paragraph header, by inserting ``a 
                covid-19 vaccine, covid-19 treatment,'' before ``or 
                pregnancy-related assistance''; and
                    (B) by striking ``visits described in section 
                1916(a)(2)(G), or'' and inserting ``services described 
                in section 1916(a)(2)(G), vaccines described in section 
                1916(a)(2)(H) administered during the portion of the 
                emergency period described in paragraph (1)(B) of 
                section 1135(g) beginning on the date of the enactment 
                of The Heroes Act, items or services described in 
                section 1916(a)(2)(I) furnished during such emergency 
                period, or''.
    (d) Conforming Amendments.--Section 1937 of the Social Security Act 
(42 U.S.C. 1396u-7) is amended--
            (1) in subsection (a)(1)(B), by inserting ``, under 
        subclause (XXIII) of section 1902(a)(10)(A)(ii),'' after 
        ``section 1902(a)(10)(A)(i)''; and
            (2) in subsection (b)(5), by adding before the period the 
        following: ``, and, effective on the date of the enactment of 
        The Heroes Act, must comply with subparagraphs (F) through (I) 
        of subsections (a)(2) and (b)(2) of section 1916 and subsection 
        (b)(3)(B) of section 1916A''.
    (e) Effective Date.--The amendments made by this section shall take 
effect on the date of enactment of this Act and shall apply with 
respect to a COVID-19 vaccine beginning on the date that such vaccine 
is licensed under section 351 of the Public Health Service Act (42 
U.S.C. 262), or approved or authorized under section 505 or 564 of the 
Federal Food, Drug, and Cosmetic Act.

SEC. 30105. OPTIONAL COVERAGE AT NO COST SHARING OF COVID-19 TREATMENT 
              AND VACCINES UNDER MEDICAID FOR UNINSURED INDIVIDUALS.

    (a) In General.--Section 1902(a)(10) of the Social Security Act (42 
U.S.C. 1396a(a)(10) is amended, in the matter following subparagraph 
(G), by striking ``and any visit described in section 1916(a)(2)(G)'' 
and inserting the following: ``, any COVID-19 vaccine that is 
administered during any such portion (and the administration of such 
vaccine), any item or service that is furnished during any such portion 
for the treatment of COVID-19, including drugs approved or authorized 
under section 505 or 564 of the Federal Food, Drug, and Cosmetic Act, 
or, in the case of an individual who is diagnosed with or presumed to 
have COVID-19, during the period such individual is infected (or 
presumed infected) with COVID-19, the treatment of a condition that may 
complicate the treatment of COVID-19, and any services described in 
section 1916(a)(2)(G)''.
    (b) Definition of Uninsured Individual.--
            (1) In general.--Subsection (ss) of section 1902 of the 
        Social Security Act (42 U.S.C. 1396a) is amended to read as 
        follows:
    ``(ss) Uninsured Individual Defined.--For purposes of this section, 
the term `uninsured individual' means, notwithstanding any other 
provision of this title, any individual who is not covered by minimum 
essential coverage (as defined in section 5000A(f)(1) of the Internal 
Revenue Code of 1986).''.
            (2) Effective date.--The amendment made by paragraph (1) 
        shall take effect and apply as if included in the enactment of 
        the Families First Coronavirus Response Act (Public Law 116-
        127).
    (c) Clarification Regarding Emergency Services for Certain 
Individuals.--Section 1903(v)(2) of the Social Security Act (42 U.S.C. 
1396b(v)(2)) is amended by adding at the end the following flush 
sentence:
        ``For purposes of subparagraph (A), care and services described 
        in such subparagraph include any in vitro diagnostic product 
        described in section 1905(a)(3)(B) (and the administration of 
        such product), any COVID-19 vaccine (and the administration of 
        such vaccine), any item or service that is furnished for the 
        treatment of COVID-19, including drugs approved or authorized 
        under section 505 or 564 of the Federal Food, Drug, and 
        Cosmetic Act, or a condition that may complicate the treatment 
        of COVID-19, and any services described in section 
        1916(a)(2)(G).''.
    (d) Inclusion of COVID-19 Concern as an Emergency Condition.--
Section 1903(v)(3) of the Social Security Act (42 U.S.C. 1396b(v)(3)) 
is amended by adding at the end the following flush sentence:
        ``Such term includes any indication that an alien described in 
        paragraph (1) may have contracted COVID-19.''.

SEC. 30106. EXTENSION OF FULL FEDERAL MEDICAL ASSISTANCE PERCENTAGE TO 
              INDIAN HEALTH CARE PROVIDERS.

    Section 1905 of the Social Security Act (42 U.S.C. 1396d) is 
amended--
            (1) in subsection (a), by amending paragraph (9) to read as 
        follows:
            ``(9) clinic services furnished by or under the direction 
        of a physician, without regard to whether the clinic itself is 
        administered by a physician, including--
                    ``(A) such services furnished outside the clinic by 
                clinic personnel to an eligible individual who does not 
                reside in a permanent dwelling or does not have a fixed 
                home or mailing address; and
                    ``(B) for the period beginning on July 1, 2020, and 
                ending on June 30, 2021, such services provided outside 
                the clinic on the basis of a referral from a clinic 
                administered by an Indian Health Program (as defined in 
                paragraph (12) of section 4 of the Indian Health Care 
                Improvement Act, or an Urban Indian Organization as 
                defined in paragraph (29) of section 4 of such Act that 
                has a grant or contract with the Indian Health Service 
                under title V of such Act;''.
            (2) in subsection (b), by inserting after ``(as defined in 
        section 4 of the Indian Health Care Improvement Act)'' the 
        following: ``; for the period beginning on July 1, 2020, and 
        ending on June 30, 2021, the Federal medical assistance 
        percentage shall also be 100 per centum with respect to amounts 
        expended as medical assistance for services which are received 
        through an Urban Indian organization (as defined in section 4 
        of the Indian Health Care Improvement Act) that has a grant or 
        contract with the Indian Health Service under title V of such 
        Act''.

SEC. 30107. MEDICAID COVERAGE FOR CITIZENS OF FREELY ASSOCIATED STATES.

    (a) In General.--Section 402(b)(2) of the Personal Responsibility 
and Work Opportunity Reconciliation Act of 1996 (8 U.S.C. 1612(b)(2)) 
is amended by adding at the end the following new subparagraph:
                    ``(G) Medicaid exception for citizens of freely 
                associated states.--With respect to eligibility for 
                benefits for the designated Federal program defined in 
                paragraph (3)(C) (relating to the Medicaid program), 
                section 401(a) and paragraph (1) shall not apply to any 
                individual who lawfully resides in 1 of the 50 States 
                or the District of Columbia in accordance with the 
                Compacts of Free Association between the Government of 
                the United States and the Governments of the Federated 
                States of Micronesia, the Republic of the Marshall 
                Islands, and the Republic of Palau and shall not apply, 
                at the option of the Governor of Puerto Rico, the 
                Virgin Islands, Guam, the Northern Mariana Islands, or 
                American Samoa as communicated to the Secretary of 
                Health and Human Services in writing, to any individual 
                who lawfully resides in the respective territory in 
                accordance with such Compacts.''.
    (b) Exception to 5-Year Limited Eligibility.--Section 403(d) of 
such Act (8 U.S.C. 1613(d)) is amended--
            (1) in paragraph (1), by striking ``or'' at the end;
            (2) in paragraph (2), by striking the period at the end and 
        inserting ``; or''; and
            (3) by adding at the end the following new paragraph:
            ``(3) an individual described in section 402(b)(2)(G), but 
        only with respect to the designated Federal program defined in 
        section 402(b)(3)(C).''.
    (c) Definition of Qualified Alien.--Section 431(b) of such Act (8 
U.S.C. 1641(b)) is amended--
            (1) in paragraph (6), by striking ``; or'' at the end and 
        inserting a comma;
            (2) in paragraph (7), by striking the period at the end and 
        inserting ``, or''; and
            (3) by adding at the end the following new paragraph:
            ``(8) an individual who lawfully resides in the United 
        States in accordance with a Compact of Free Association 
        referred to in section 402(b)(2)(G), but only with respect to 
        the designated Federal program defined in section 402(b)(3)(C) 
        (relating to the Medicaid program).''.
    (d) Application to State Plans.--Section 1902(a)(10)(A)(i) of the 
Social Security Act (42 U.S.C. 1396a(a)(10)(A)(i)) is amended by 
inserting after subclause (IX) the following:
                                    ``(X) who are described in section 
                                402(b)(2)(G) of the Personal 
                                Responsibility and Work Opportunity 
                                Reconciliation Act of 1996 and eligible 
                                for benefits under this title by reason 
                                of application of such section;''.
    (e) Conforming Amendments.--Section 1108 of the Social Security Act 
(42 U.S.C. 1308) is amended--
            (1) in subsection (f), in the matter preceding paragraph 
        (1), by striking ``subsections (g) and (h) and section 
        1935(e)(1)(B)'' and inserting ``subsections (g), (h), and (i) 
        and section 1935(e)(1)(B)''; and
            (2) by adding at the end the following:
    ``(i) Exclusion of Medical Assistance Expenditures for Citizens of 
Freely Associated States.--Expenditures for medical assistance provided 
to an individual described in section 431(b)(8) of the Personal 
Responsibility and Work Opportunity Reconciliation Act of 1996 (8 
U.S.C. 1641(b)(8)) shall not be taken into account for purposes of 
applying payment limits under subsections (f) and (g).''.
    (f) Effective Date.--The amendments made by this section shall 
apply to benefits for items and services furnished on or after the date 
of the enactment of this Act.

SEC. 30108. TEMPORARY INCREASE IN MEDICAID DSH ALLOTMENTS.

    (a) In General.--Section 1923(f)(3) of the Social Security Act (42 
U.S.C. 1396r-4(f)(3)) is amended--
            (1) in subparagraph (A), by striking ``and subparagraph 
        (E)'' and inserting ``and subparagraphs (E) and (F)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(F) Temporary increase in allotments during 
                certain public health emergency.--The DSH allotment for 
                any State for each of fiscal years 2020 and 2021 is 
                equal to 102.5 percent of the DSH allotment that would 
                be determined under this paragraph for the State for 
                each respective fiscal year without application of this 
                subparagraph, notwithstanding subparagraphs (B) and 
                (C). For each fiscal year after fiscal year 2021, the 
                DSH allotment for a State for such fiscal year is equal 
                to the DSH allotment that would have been determined 
                under this paragraph for such fiscal year if this 
                subparagraph had not been enacted.''.
    (b) DSH Allotment Adjustment for Tennessee.--Section 
1923(f)(6)(A)(vi) of the Social Security Act (42 U.S.C. 1396r-
4(f)(6)(A)(vi)) is amended--
            (1) by striking ``Notwithstanding any other provision of 
        this subsection'' and inserting the following:
                                    ``(I) In general.--Notwithstanding 
                                any other provision of this subsection 
                                (except as provided in subclause (II) 
                                of this clause)''; and
            (2) by adding at the end the following:
                                    ``(II) Temporary increase in 
                                allotments.--The DSH allotment for 
                                Tennessee for each of fiscal years 2020 
                                and 2021 shall be equal to 
                                $54,427,500.''.
    (c) Sense of Congress.--It is the sense of Congress that a State 
should prioritize making payments under the State plan of the State 
under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) (or 
a waiver of such plan) to disproportionate share hospitals that have a 
higher share of COVID-19 patients relative to other such hospitals in 
the State.

SEC. 30109. EXTENSION OF EXISTING SECTION 1115 DEMONSTRATIONS.

    (a) Applicability.--This section shall apply with respect to 
demonstrations operated by States pursuant to section 1115(a) of the 
Social Security Act (42 U.S.C. 1315(a)) to promote the objectives of 
title XIX or XXI of the Social Security Act with a project term set to 
end on or before February 28, 2021.
    (b) Approval of Extension.--Upon request by a State, the Secretary 
of Health and Human Services shall approve an extension of the 
demonstration project described in subsection (a) for a period up to 
and including December 31, 2021, to ensure continuity of programs and 
funding during the emergency period described in section 1135(g)(1)(B) 
of the Social Security Act (42 U.S.C. 1320b-5(g)(1)(B)).
    (c) Extension Terms and Conditions.--(1) The approval pursuant to 
this section shall extend the terms and conditions that applied to the 
demonstration project to the extension period. Financial terms and 
conditions shall continue at levels equivalent to the prior 
demonstration or program year. All demonstration program components 
shall be extended to operate through the end of the extension term. In 
its request for an extension, the State shall identify operational and 
programmatic changes necessary to continue and stabilize programs into 
the extension period and shall work with the Secretary of Health and 
Human Services to implement such changes.
    (2) Notwithstanding the foregoing, the State may request, and the 
Secretary of Health and Human Services may approve, modifications to a 
demonstration project's terms and conditions to address the impact of 
the federally designated public health emergency with respect to COVID-
19. Such modifications may, at the option of the State, become 
effective retroactive to the start of the calendar quarter in which the 
first day of the emergency period described in paragraph (1)(B) of 
section 1135(g) of the Social Security Act (42 U.S.C. 1320b-5(g)) 
occurs.
    (d) Budget Neutrality.--Budget neutrality for extensions under this 
section shall be deemed to have been met at the conclusion of the 
extension period, and States receiving extensions under this section 
shall not be required to submit a budget neutrality analysis for the 
extension period.
    (e) Expedited Application Process.--The Federal and State public 
notice and comment procedures or other time constraints otherwise 
applicable to demonstration project amendments shall be waived to 
expedite a State's extension request pursuant to this section. The 
Secretary of Health and Human Services shall approve the extension 
application within 45 days of a State's submission of its request, or 
such other timeframe as is mutually agreed to with the State.
    (f) Continuation of Secretarial Authority Under Declared 
Emergency.--This section does not restrict the Secretary of Health and 
Human Services from exercising existing flexibilities through 
demonstration projects operated pursuant to section 1115 of the Social 
Security Act (42 U.S.C. 1315) in conjunction with the COVID-19 public 
health emergency.
    (g) Rule of Construction.--Nothing in this section shall authorize 
the Secretary of Health and Human Service to approve or extend a waiver 
that fails to meet the requirements of section 1115 of the Social 
Security Act (42 U.S.C. 1315).

SEC. 30110. ALLOWING FOR MEDICAL ASSISTANCE UNDER MEDICAID FOR INMATES 
              DURING 30-DAY PERIOD PRECEDING RELEASE.

    (a) In General.--The subdivision (A) following paragraph (30) of 
section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is 
amended by inserting ``and except during the 30-day period preceding 
the date of release of such individual from such public institution'' 
after ``medical institution''.
    (b) Report.--Not later than June 30, 2022, the Medicaid and CHIP 
Payment and Access Commission shall submit a report to Congress on the 
Medicaid inmate exclusion under the subdivision (A) following paragraph 
(30) of section 1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)). Such report may, to the extent practicable, include the 
following information:
            (1) The number of incarcerated individuals who would 
        otherwise be eligible to enroll for medical assistance under a 
        State plan approved under title XIX of the Social Security Act 
        (42 U.S.C. 1396 et seq.) (or a waiver of such a plan).
            (2) Access to health care for incarcerated individuals, 
        including a description of medical services generally available 
        to incarcerated individuals.
            (3) A description of current practices related to the 
        discharge of incarcerated individuals, including how prisons 
        interact with State Medicaid agencies to ensure that such 
        individuals who are eligible to enroll for medical assistance 
        under a State plan or waiver described in paragraph (1) are so 
        enrolled.
            (4) If determined appropriate by the Commission, 
        recommendations for Congress, the Department of Health and 
        Human Services, or States regarding the Medicaid inmate 
        exclusion.
            (5) Any other information that the Commission determines 
        would be useful to Congress.

SEC. 30111. MEDICAID COVERAGE OF CERTAIN MEDICAL TRANSPORTATION.

    (a) Continuing Requirement of Medicaid Coverage of Necessary 
Transportation.--
            (1) Requirement.--Section 1902(a)(4) of the Social Security 
        Act (42 U.S.C. 1396a(a)(4)) is amended--
                    (A) by striking ``and including provision for 
                utilization'' and inserting ``including provision for 
                utilization''; and
                    (B) by inserting after ``supervision of 
                administration of the plan'' the following: ``, and, 
                subject to section 1903(i), including a specification 
                that the single State agency described in paragraph (5) 
                will ensure necessary transportation for beneficiaries 
                under the State plan to and from providers and a 
                description of the methods that such agency will use to 
                ensure such transportation''.
            (2) Application with respect to benchmark benefit packages 
        and benchmark equivalent coverage.--Section 1937(a)(1) of the 
        Social Security Act (42 U.S.C. 1396u-7(a)(1)) is amended--
                    (A) in subparagraph (A), by striking ``subsection 
                (E)'' and inserting ``subparagraphs (E) and (F)''; and
                    (B) by adding at the end the following new 
                subparagraph:
                    ``(F) Necessary transportation.--The State may only 
                exercise the option under subparagraph (A)(i) if, 
                subject to section 1903(i)(9) and in accordance with 
                section 1902(a)(4), the benchmark benefit package or 
                benchmark equivalent coverage described in such 
                subparagraph (or the State)--
                            ``(i) ensures necessary transportation for 
                        individuals enrolled under such package or 
                        coverage to and from providers; and
                            ``(ii) provides a description of the 
                        methods that will be used to ensure such 
                        transportation.''.
            (3) Limitation on federal financial participation.--Section 
        1903(i) of the Social Security Act (42 U.S.C. 1396b(i)) is 
        amended by inserting after paragraph (8) the following new 
        paragraph:
                    ``(9) with respect to any amount expended for non-
                emergency transportation described in section 
                1902(a)(4), unless the State plan provides for the 
                methods and procedures required under section 
                1902(a)(30)(A); or''.
            (4) Effective date.--The amendments made by this subsection 
        shall take effect on the date of the enactment of this Act and 
        shall apply to transportation furnished on or after such date.
    (b) Medicaid Program Integrity Measures Related to Coverage of 
Nonemergency Medical Transportation.--
            (1) GAO study.--Not later than two years after the date of 
        the enactment of this Act, the Comptroller General of the 
        United States shall conduct a study, and submit to Congress, a 
        report on coverage under the Medicaid program under title XIX 
        of the Social Security Act of nonemergency transportation to 
        medically necessary services. Such study shall take into 
        account the 2009 report of the Office of the Inspector General 
        of the Department of Health and Human Services, titled ``Fraud 
        and Abuse Safeguards for Medicaid Nonemergency Medical 
        Transportation'' (OEI-06-07-003200). Such report shall include 
        the following:
                    (A) An examination of the 50 States and the 
                District of Columbia to identify safeguards to prevent 
                and detect fraud and abuse with respect to coverage 
                under the Medicaid program of nonemergency 
                transportation to medically necessary services.
                    (B) An examination of transportation brokers to 
                identify the range of safeguards against such fraud and 
                abuse to prevent improper payments for such 
                transportation.
                    (C) Identification of the numbers, types, and 
                outcomes of instances of fraud and abuse, with respect 
                to coverage under the Medicaid program of such 
                transportation, that State Medicaid Fraud Control Units 
                have investigated in recent years.
                    (D) Identification of commonalities or trends in 
                program integrity, with respect to such coverage, to 
                inform risk management strategies of States and the 
                Centers for Medicare & Medicaid Services.
            (2) Stakeholder working group.--
                    (A) In general.--Not later than one year after the 
                date of the enactment of this Act, the Secretary of 
                Health and Human Services, through the Centers of 
                Medicare & Medicaid Services, shall convene a series of 
                meetings to obtain input from appropriate stakeholders 
                to facilitate discussion and shared learning about the 
                leading practices for improving Medicaid program 
                integrity, with respect to coverage of nonemergency 
                transportation to medically necessary services.
                    (B) Topics.--The meetings convened under 
                subparagraph (A) shall--
                            (i) focus on ongoing challenges to Medicaid 
                        program integrity as well as leading practices 
                        to address such challenges; and
                            (ii) address specific challenges raised by 
                        stakeholders involved in coverage under the 
                        Medicaid program of nonemergency transportation 
                        to medically necessary services, including 
                        unique considerations for specific groups of 
                        Medicaid beneficiaries meriting particular 
                        attention, such as American Indians and tribal 
                        land issues or accommodations for individuals 
                        with disabilities.
                    (C) Stakeholders.--Stakeholders described in 
                subparagraph (A) shall include individuals from State 
                Medicaid programs, brokers for nonemergency 
                transportation to medically necessary services that 
                meet the criteria described in section 1902(a)(70)(B) 
                of the Social Security Act (42 U.S.C. 1396a(a)(70)(B)), 
                providers (including transportation network companies), 
                Medicaid patient advocates, and such other individuals 
                specified by the Secretary.
            (3) Guidance review.--Not later than 18 months after the 
        date of the enactment of this Act, the Secretary of Health and 
        Human Services, through the Centers for Medicare & Medicaid 
        Services, shall assess guidance issued to States by the Centers 
        for Medicare & Medicaid Services relating to Federal 
        requirements for nonemergency transportation to medically 
        necessary services under the Medicaid program under title XIX 
        of the Social Security Act and update such guidance as 
        necessary to ensure States have appropriate and current 
        guidance in designing and administering coverage under the 
        Medicaid program of nonemergency transportation to medically 
        necessary services.
            (4) NEMT transportation provider and driver requirements.--
                    (A) State plan requirement.--Section 1902(a) of the 
                Social Security Act (42 U.S.C. 1396a(a)) is amended--
                            (i) by striking ``and'' at the end of 
                        paragraph (85);
                            (ii) by striking the period at the end of 
                        paragraph (86) and inserting ``; and''; and
                            (iii) by inserting after paragraph (86) the 
                        following new paragraph:
            ``(87) provide for a mechanism, which may include 
        attestation, that ensures that, with respect to any provider 
        (including a transportation network company) or individual 
        driver of nonemergency transportation to medically necessary 
        services receiving payments under such plan (but excluding any 
        public transit authority), at a minimum--
                    ``(A) each such provider and individual driver is 
                not excluded from participation in any Federal health 
                care program (as defined in section 1128B(f)) and is 
                not listed on the exclusion list of the Inspector 
                General of the Department of Health and Human Services;
                    ``(B) each such individual driver has a valid 
                driver's license;
                    ``(C) each such provider has in place a process to 
                address any violation of a State drug law; and
                    ``(D) each such provider has in place a process to 
                disclose to the State Medicaid program the driving 
                history, including any traffic violations, of each such 
                individual driver employed by such provider, including 
                any traffic violations.''.
                    (B) Effective date.--
                            (i) In general.--Except as provided in 
                        clause (ii), the amendments made by 
                        subparagraph (A) shall take effect on the date 
                        of the enactment of this Act and shall apply to 
                        services furnished on or after the date that is 
                        one year after the date of the enactment of 
                        this Act.
                            (ii) Exception if state legislation 
                        required.--In the case of a State plan for 
                        medical assistance under title XIX of the 
                        Social Security Act which the Secretary of 
                        Health and Human Services determines requires 
                        State legislation (other than legislation 
                        appropriating funds) in order for the plan to 
                        meet the additional requirement imposed by the 
                        amendments made by subparagraph (A), the State 
                        plan shall not be regarded as failing to comply 
                        with the requirements of such title solely on 
                        the basis of its failure to meet this 
                        additional requirement before the first day of 
                        the first calendar quarter beginning after the 
                        close of the first regular session of the State 
                        legislature that begins after the date of the 
                        enactment of this Act. For purposes of the 
                        previous sentence, in the case of a State that 
                        has a 2-year legislative session, each year of 
                        such session shall be deemed to be a separate 
                        regular session of the State legislature.
            (5) Analysis of t-msis data.--Not later than one year after 
        the date of the enactment of this Act, the Secretary of Health 
        and Human Services, through the Centers for Medicare & Medicaid 
        Services, shall analyze, and submit to Congress a report on, 
        the nation-wide data set under the Transformed Medicaid 
        Statistical Information System to identify recommendations 
        relating to coverage under the Medicaid program under title XIX 
        of the Social Security Act of nonemergency transportation to 
        medically necessary services.

                     TITLE II--MEDICARE PROVISIONS

SEC. 30201. HOLDING MEDICARE BENEFICIARIES HARMLESS FOR SPECIFIED 
              COVID-19 TREATMENT SERVICES FURNISHED UNDER PART A OR 
              PART B OF THE MEDICARE PROGRAM.

    (a) In General.--Notwithstanding any other provision of law, in the 
case of a specified COVID-19 treatment service (as defined in 
subsection (b)) furnished during any portion of the emergency period 
described in paragraph (1)(B) of section 1135(g) of the Social Security 
Act (42 U.S.C. 1320b-5(g)) beginning on or after the date of the 
enactment of this Act to an individual entitled to benefits under part 
A or enrolled under part B of title XVIII of the Social Security Act 
(42 U.S.C. 1395 et seq.) for which payment is made under such part A or 
such part B, the Secretary of Health and Human Services (in this 
section referred to as the ``Secretary'') shall provide that--
            (1) any cost-sharing required (including any deductible, 
        copayment, or coinsurance) applicable to such individual under 
        such part A or such part B with respect to such item or service 
        is paid by the Secretary; and
            (2) the provider of services or supplier (as defined in 
        section 1861 of the Social Security Act (42 U.S.C. 1395x)) does 
        not hold such individual liable for such requirement.
    (b) Definition of Specified COVID-19 Treatment Services.--For 
purposes of this section, the term ``specified COVID-19 treatment 
service'' means any item or service furnished to an individual for 
which payment may be made under part A or part B of title XVIII of the 
Social Security Act (42 U.S.C. 1395 et seq.) if such item or service is 
included in a claim with an ICD-10-CM code relating to COVID-19 (as 
described in the document entitled ``ICD-10-CM Official Coding 
Guidelines - Supplement Coding encounters related to COVID-19 
Coronavirus Outbreak'' published on February 20, 2020, or as otherwise 
specified by the Secretary).
    (c) Recovery of Cost-Sharing Amounts Paid by the Secretary in the 
Case of Supplemental Insurance Coverage.--
            (1) In general.--In the case of any amount paid by the 
        Secretary pursuant to subsection (a)(1) that the Secretary 
        determines would otherwise have been paid by a group health 
        plan or health insurance issuer (as such terms are defined in 
        section 2791 of the Public Health Service Act (42 U.S.C. 300gg-
        91)), a private entity offering a medicare supplemental policy 
        under section 1882 of the Social Security Act (42 U.S.C. 
        1395ss), any other health plan offering supplemental coverage, 
        a State plan under title XIX of the Social Security Act, or the 
        Secretary of Defense under the TRICARE program, such plan, 
        issuer, private entity, other health plan, State plan, or 
        Secretary of Defense, as applicable, shall pay to the 
        Secretary, not later than 1 year after such plan, issuer, 
        private entity, other health plan, State plan, or Secretary of 
        Defense receives a notice under paragraph (3), such amount in 
        accordance with this subsection.
            (2) Required information.--Not later than 9 months after 
        the date of the enactment of this Act, each group health plan, 
        health insurance issuer, private entity, other health plan, 
        State plan, and Secretary of Defense described in paragraph (1) 
        shall submit to the Secretary such information as the Secretary 
        determines necessary for purposes of carrying out this 
        subsection. Such information so submitted shall be updated by 
        such plan, issuer, private entity, other health plan, State 
        plan, or Secretary of Defense, as applicable, at such time and 
        in such manner as specified by the Secretary.
            (3) Review of claims and notification.--The Secretary shall 
        establish a process under which claims for items and services 
        for which the Secretary has paid an amount pursuant to 
        subsection (a)(1) are reviewed for purposes of identifying if 
        such amount would otherwise have been paid by a plan, issuer, 
        private entity, other health plan, State plan, or Secretary of 
        Defense described in paragraph (1). In the case such a claim is 
        so identified, the Secretary shall determine the amount that 
        would have been otherwise payable by such plan, issuer, private 
        entity, other health plan, State plan, or Secretary of Defense 
        and notify such plan, issuer, private entity, other health 
        plan, State plan, or Secretary of Defense of such amount.
            (4) Enforcement.--The Secretary may impose a civil monetary 
        penalty in an amount determined appropriate by the Secretary in 
        the case of a plan, issuer, private entity, other health plan, 
        or State plan that fails to comply with a provision of this 
        section. The provisions of section 1128A of the Social Security 
        Act shall apply to a civil monetary penalty imposed under the 
        previous sentence in the same manner as such provisions apply 
        to a penalty or proceeding under subsection (a) or (b) of such 
        section.
    (d) Funding.--The Secretary shall provide for the transfer to the 
Centers for Medicare & Medicaid Program Management Account from the 
Federal Hospital Insurance Trust Fund and the Federal Supplementary 
Trust Fund (in such portions as the Secretary determines appropriate) 
$100,000,000 for purposes of carrying out this section.
    (e) Report.--Not later than 3 years after the date of the enactment 
of this Act, the Inspector General of the Department of Health and 
Human Services shall submit to Congress a report containing an analysis 
of amounts paid pursuant to subsection (a)(1) compared to amounts paid 
to the Secretary pursuant to subsection (c).
    (f) Implementation.--Notwithstanding any other provision of law, 
the Secretary may implement the provisions of this section by program 
instruction or otherwise.

SEC. 30202. ENSURING COMMUNICATIONS ACCESSIBILITY FOR RESIDENTS OF 
              SKILLED NURSING FACILITIES DURING THE COVID-19 EMERGENCY 
              PERIOD.

    (a) In General.--Section 1819(c)(3) of the Social Security Act (42 
U.S.C. 1395i-3(c)(3)) is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by striking the period and 
        inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
                    ``(F) provide for reasonable access to the use of a 
                telephone, including TTY and TDD services (as defined 
                for purposes of section 483.10 of title 42, Code of 
                Federal Regulations (or a successor regulation)), and 
                the internet (to the extent available to the facility) 
                and inform each such resident (or a representative of 
                such resident) of such access and any changes in 
                policies or procedures of such facility relating to 
                limitations on external visitors.''.
    (b) COVID-19 Provisions.--
            (1) Guidance.--Not later than 15 days after the date of the 
        enactment of this Act, the Secretary of Health and Human 
        Service shall issue guidance on steps skilled nursing 
        facilities may take to ensure residents have access to 
        televisitation during the emergency period defined in section 
        1135(g)(1)(B) of the Social Security Act (42 U.S.C. 1320b-
        5(g)(1)(B)). Such guidance shall include information on how 
        such facilities will notify residents of such facilities, 
        representatives of such residents, and relatives of such 
        residents of the rights of such residents to such 
        televisitation, and ensure timely and equitable access to such 
        televisitation.
            (2) Review of facilities.--The Secretary of Health and 
        Human Services shall take such steps as determined appropriate 
        by the Secretary to ensure that residents of skilled nursing 
        facilities and relatives of such residents are made aware of 
        the access rights described in section 1819(c)(3)(F) of the 
        Social Security Act (42 U.S.C. 1395i-3(c)(3)(F)).

SEC. 30203. MEDICARE HOSPITAL INPATIENT PROSPECTIVE PAYMENT SYSTEM 
              OUTLIER PAYMENTS FOR COVID-19 PATIENTS DURING CERTAIN 
              EMERGENCY PERIOD.

    (a) In General.--Section 1886(d)(5)(A) of the Social Security Act 
(42 U.S.C. 1395ww(d)(5)(A)) is amended--
            (1) in clause (ii), by striking ``For cases'' and inserting 
        ``Subject to clause (vii), for cases'';
            (2) in clause (iii), by striking ``The amount'' and 
        inserting ``Subject to clause (vii), the amount'';
            (3) in clause (iv), by striking ``The total amount'' and 
        inserting ``Subject to clause (vii), the total amount''; and
            (4) by adding at the end the following new clause:
    ``(vii) For discharges that have a primary or secondary diagnosis 
of COVID-19 and that occur during the period beginning on the date of 
the enactment of this clause and ending on the sooner of January 31, 
2021, or the last day of the emergency period described in section 
1135(g)(1)(B), the amount of any additional payment under clause (ii) 
for a subsection (d) hospital for such a discharge shall be determined 
as if--
            ``(I) clause (ii) was amended by striking `plus a fixed 
        dollar amount determined by the Secretary';
            ``(II) the reference in clause (iii) to `approximate the 
        marginal cost of care beyond the cutoff point applicable under 
        clause (i) or (ii)' were a reference to `approximate the 
        marginal cost of care beyond the cutoff point applicable under 
        clause (i), or, in the case of an additional payment requested 
        under clause (ii), be equal to 100 percent of the amount by 
        which the costs of the discharge for which such additional 
        payment is so requested exceed the applicable DRG prospective 
        payment rate'; and
            ``(III) clause (iv) does not apply.''.
    (b) Exclusion From Reduction in Average Standardized Amounts 
Payable to Hospitals Located in Certain Areas.--Section 1886(d)(3)(B) 
of the Social Security Act (42 U.S.C. 1395ww(d)(3)(B)) is amended by 
inserting before the period the following: ``, other than additional 
payments described in clause (vii) of such paragraph''.
    (c) Implementation.--Notwithstanding any other provision of law, 
the Secretary of Health and Human Services may implement the amendments 
made by this section by program instruction or otherwise.

SEC. 30204. COVERAGE OF TREATMENTS FOR COVID-19 AT NO COST SHARING 
              UNDER THE MEDICARE ADVANTAGE PROGRAM.

    (a) In General.--Section 1852(a)(1)(B) of the Social Security Act 
(42 U.S.C. 1395w-22(a)(1)(B)) is amended by adding at the end the 
following new clause:
                            ``(vii) Special coverage rules for 
                        specified covid-19 treatment services.--
                        Notwithstanding clause (i), in the case of a 
                        specified COVID-19 treatment service (as 
                        defined in section 30201(b) of The Heroes Act) 
                        that is furnished during a plan year occurring 
                        during any portion of the emergency period 
                        defined in section 1135(g)(1)(B) beginning on 
                        or after the date of the enactment of this 
                        clause, a Medicare Advantage plan may not, with 
                        respect to such service, impose--
                                    ``(I) any cost-sharing requirement 
                                (including a deductible, copayment, or 
                                coinsurance requirement); and
                                    ``(II) in the case such service is 
                                a critical specified COVID-19 treatment 
                                service (including ventilator services 
                                and intensive care unit services), any 
                                prior authorization or other 
                                utilization management requirement.
                        A Medicare Advantage plan may not take the 
                        application of this clause into account for 
                        purposes of a bid amount submitted by such plan 
                        under section 1854(a)(6).''.
    (b) Implementation.--Notwithstanding any other provision of law, 
the Secretary of Health and Human Services may implement the amendments 
made by this section by program instruction or otherwise.

SEC. 30205. REQUIRING COVERAGE UNDER MEDICARE PDPS AND MA-PD PLANS, 
              WITHOUT THE IMPOSITION OF COST SHARING OR UTILIZATION 
              MANAGEMENT REQUIREMENTS, OF DRUGS INTENDED TO TREAT 
              COVID-19 DURING CERTAIN EMERGENCIES.

    (a) Coverage Requirement.--
            (1) In general.--Section 1860D-4(b)(3) of the Social 
        Security Act (42 U.S.C. 1395w-104(b)(3)) is amended by adding 
        at the end the following new subparagraph:
                    ``(I) Required inclusion of drugs intended to treat 
                covid-19.--
                            ``(i) In general.--Notwithstanding any 
                        other provision of law, a PDP sponsor offering 
                        a prescription drug plan shall, with respect to 
                        a plan year, any portion of which occurs during 
                        the period described in clause (ii), be 
                        required to--
                                    ``(I) include in any formulary--
                                            ``(aa) all covered part D 
                                        drugs with a medically accepted 
                                        indication (as defined in 
                                        section 1860D-2(e)(4)) to treat 
                                        COVID-19 that are marketed in 
                                        the United States; and
                                            ``(bb) all drugs authorized 
                                        under section 564 or 564A of 
                                        the Federal Food, Drug, and 
                                        Cosmetic Act to treat COVID-19; 
                                        and
                                    ``(II) not impose any prior 
                                authorization or other utilization 
                                management requirement with respect to 
                                such drugs described in item (aa) or 
                                (bb) of subclause (I) (other than such 
                                a requirement that limits the quantity 
                                of drugs due to safety).
                            ``(ii) Period described.--For purposes of 
                        clause (i), the period described in this clause 
                        is the period during which there exists the 
                        public health emergency declared by the 
                        Secretary pursuant to section 319 of the Public 
                        Health Service Act on January 31, 2020, 
                        entitled `Determination that a Public Health 
                        Emergency Exists Nationwide as the Result of 
                        the 2019 Novel Coronavirus' (including any 
                        renewal of such declaration pursuant to such 
                        section).''.
    (b) Elimination of Cost Sharing.--
            (1) Elimination of cost-sharing for drugs intended to treat 
        covid-19 under standard and alternative prescription drug 
        coverage.--Section 1860D-2 of the Social Security Act (42 
        U.S.C. 1395w-102) is amended--
                    (A) in subsection (b)--
                            (i) in paragraph (1)(A), by striking ``The 
                        coverage'' and inserting ``Subject to paragraph 
                        (8), the coverage'';
                            (ii) in paragraph (2)--
                                    (I) in subparagraph (A), by 
                                inserting after ``Subject to 
                                subparagraphs (C) and (D)'' the 
                                following: ``and paragraph (8)'';
                                    (II) in subparagraph (C)(i), by 
                                striking ``paragraph (4)'' and 
                                inserting ``paragraphs (4) and (8)''; 
                                and
                                    (III) in subparagraph (D)(i), by 
                                striking ``paragraph (4)'' and 
                                inserting ``paragraphs (4) and (8)'';
                            (iii) in paragraph (4)(A)(i), by striking 
                        ``The coverage'' and inserting ``Subject to 
                        paragraph (8), the coverage''; and
                            (iv) by adding at the end the following new 
                        paragraph:
            ``(8) Elimination of cost-sharing for drugs intended to 
        treat covid-19.--The coverage does not impose any deductible, 
        copayment, coinsurance, or other cost-sharing requirement for 
        drugs described in section 1860D-4(b)(3)(I)(i)(I) with respect 
        to a plan year, any portion of which occurs during the period 
        during which there exists the public health emergency declared 
        by the Secretary pursuant to section 319 of the Public Health 
        Service Act on January 31, 2020, entitled `Determination that a 
        Public Health Emergency Exists Nationwide as the Result of the 
        2019 Novel Coronavirus' (including any renewal of such 
        declaration pursuant to such section).''; and
                    (B) in subsection (c), by adding at the end the 
                following new paragraph:
            ``(4) Same elimination of cost-sharing for drugs intended 
        to treat covid-19.--The coverage is in accordance with 
        subsection (b)(8).''.
            (2) Elimination of cost-sharing for drugs intended to treat 
        covid-19 dispensed to individuals who are subsidy eligible 
        individuals.--Section 1860D-14(a) of the Social Security Act 
        (42 U.S.C. 1395w-114(a)) is amended--
                    (A) in paragraph (1)--
                            (i) in subparagraph (D)--
                                    (I) in clause (ii), by striking 
                                ``In the case of'' and inserting 
                                ``Subject to subparagraph (F), in the 
                                case of''; and
                                    (II) in clause (iii), by striking 
                                ``In the case of'' and inserting 
                                ``Subject to subparagraph (F), in the 
                                case of''; and
                            (ii) by adding at the end the following new 
                        subparagraph:
                    ``(F) Elimination of cost-sharing for drugs 
                intended to treat covid-19.--Coverage that is in 
                accordance with section 1860D-2(b)(8).''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (B), by striking ``A 
                        reduction'' and inserting ``Subject to 
                        subparagraph (F), a reduction'';
                            (ii) in subparagraph (D), by striking ``The 
                        substitution'' and inserting ``Subject to 
                        subparagraph (F), the substitution'';
                            (iii) in subparagraph (E), by inserting 
                        after ``Subject to'' the following: 
                        ``subparagraph (F) and''; and
                            (iv) by adding at the end the following new 
                        subparagraph:
                    ``(F) Elimination of cost-sharing for drugs 
                intended to treat covid-19.--Coverage that is in 
                accordance with section 1860D-2(b)(8).''.
    (c) Implementation.--Notwithstanding any other provision of law, 
the Secretary of Health and Human Services may implement the amendments 
made by this section by program instruction or otherwise.

SEC. 30206. MODIFYING THE ACCELERATED AND ADVANCE PAYMENT PROGRAMS 
              UNDER PARTS A AND B OF THE MEDICARE PROGRAM DURING THE 
              COVID-19 EMERGENCY.

    (a) Special Repayment Rules.--
            (1) Part a.--Section 1815(f)(2)(C) of the Social Security 
        Act (42 U.S.C. 1395g(f)(2)(C)) is amended to read as follows:
            ``(C) In the case of an accelerated payment made under the 
        program under subsection (e)(3) on or after the date of the 
        enactment of the CARES Act and so made during the emergency 
        period described in section 1135(g)(1)(B)--
                    ``(i) such payment shall be treated as if such 
                payment were made from the General Fund of the 
                Treasury; and
                    ``(ii) upon request of the hospital, the Secretary 
                shall--
                            ``(I) provide up to 1 year before claims 
                        are offset to recoup such payment;
                            ``(II) provide that any such offset of a 
                        claim to recoup such payment shall not exceed 
                        25 percent of the amount of such claim; and
                            ``(III) allow not less than 2 years from 
                        the date of the first accelerated payment 
                        before requiring that the outstanding balance 
                        be paid in full.''.
            (2) Part b.--In carrying out the program described in 
        section 421.214 of title 42, Code of Federal Regulations (or 
        any successor regulation), in the case of a payment made under 
        such program on or after the date of the enactment of the CARES 
        Act (Public Law 116-136) and so made during the emergency 
        period described in section 1135(g)(1)(B) of the Social 
        Security Act (42 U.S.C. 1320b-5(g)(1)(B)), the Secretary of 
        Health and Human Services shall--
                    (A) treat such payment as if such payment were made 
                from the General Fund of the Treasury; and
                    (B) upon request of the entity receiving such 
                payment--
                            (i) provide up to 1 year before claims are 
                        offset to recoup such payment;
                            (ii) provide that any such offset of a 
                        claim to recoup such payment shall not exceed 
                        25 percent of the amount of such claim; and
                            (iii) allow not less than 2 years from the 
                        date of the first advance payment before 
                        requiring that the outstanding balance be paid 
                        in full.
    (b) Interest Rates.--
            (1) Part a.--Section 1815(d) of the Social Security Act (42 
        U.S.C. 1395g(d)) is amended by inserting before the period at 
        the end the following: ``(or, in the case of such a 
        determination made with respect to a payment made on or after 
        the date of the enactment of the CARES Act and during the 
        emergency period described in section 1135(g)(1)(B) under the 
        program under subsection (e)(3), at a rate of 1 percent)''.
            (2) Part b.--Section 1833(j) of the Social Security Act (42 
        U.S.C. 1395l(j)) is amended by inserting before the period at 
        the end the following: ``(or, in the case of such a 
        determination made with respect to a payment made on or after 
        the date of the enactment of the CARES Act and during the 
        emergency period described in section 1135(g)(1)(B) under the 
        program described in section 421.214 of title 42, Code of 
        Federal Regulations (or any successor regulation), at a rate of 
        1 percent)''.
    (c) Report.--
            (1) Reports during covid-19 emergency.--Not later than 2 
        weeks after the date of the enactment of this section, and 
        every 2 weeks thereafter during the emergency period described 
        in section 1135(g)(1)(B) of the Social Security Act (42 U.S.C. 
        1320b-5(g)(1)(B)), the Secretary of Health and Human Services 
        shall submit to the Committee on Ways and Means and the 
        Committee on Energy and Commerce of the House of 
        Representatives, and the Committee on Finance of the Senate, a 
        report that includes the following:
                    (A) The total amount of payments made under section 
                1815(e)(3) of the Social Security Act (42 U.S.C. 
                1395g(e)(3)) and under the program described in section 
                421.214 of title 42, Code of Federal Regulations (or 
                any successor regulation) during the most recent 2-week 
                period for which data is available that precedes the 
                date of the submission of such report.
                    (B) The number of entities receiving such payments 
                during such period.
                    (C) A specification of each such entity.
            (2) Reports after covid-19 emergency.--
                    (A) In general.--Not later than 6 months after the 
                termination of the emergency period described in 
                paragraph (1), and every 6 months thereafter until all 
                specified payments (as defined in subparagraph (B)) 
                have been recouped or repaid, the Secretary of Health 
                and Human Services shall submit to the Committee on 
                Ways and Means and the Committee on Energy and Commerce 
                of the House of Representatives, and the Committee on 
                Finance of the Senate, a report that includes the 
                following:
                            (i) The total amount of all specified 
                        payments for which claims have been offset to 
                        recoup such payment or the balance has been 
                        repaid.
                            (ii) The amount of interest that has 
                        accrued with respect to all specified payments.
                    (B) Specified payments.--For purposes of 
                subparagraph (A), the term ``specified payments'' means 
                all payments made under section 1815(e)(3) of the 
                Social Security Act (42 U.S.C. 1395g(e)(3)) or under 
                the program described in section 421.214 of title 42, 
                Code of Federal Regulations (or any successor 
                regulation) made on or after the date of the enactment 
                of the CARES Act (Public Law 116-136) during the 
                emergency period described in such subparagraph.

SEC. 30207. MEDICARE SPECIAL ENROLLMENT PERIOD FOR INDIVIDUALS RESIDING 
              IN COVID-19 EMERGENCY AREAS.

    (a) In General.--Section 1837(i) of the Social Security Act (42 
U.S.C. 1395p(i)) is amended by adding at the end the following new 
paragraph:
            ``(5)(A) In the case of an individual who--
                    ``(i) is eligible under section 1836 to enroll in 
                the medical insurance program established by this part,
                    ``(ii) did not enroll (or elected not to be deemed 
                enrolled) under this section during an enrollment 
                period, and
                    ``(iii) during the emergency period (as described 
                in section 1135(g)(1)(B)), resided in an emergency area 
                (as described in such section),
                there shall be a special enrollment period described in 
                subparagraph (B).
                    ``(B) The special enrollment period referred to in 
                subparagraph (A) is the period that begins not later 
                than July 1, 2020, and ends on the last day of the 
                month in which the emergency period (as described in 
                section 1135(g)(1)(B)) ends.''.
    (b) Coverage Period for Individuals Transitioning From Other 
Coverage.--Section 1838(e) of the Social Security Act (42 U.S.C. 
1395q(e)) is amended--
            (1) by striking ``pursuant to section 1837(i)(3) or 
        1837(i)(4)(B)--'' and inserting the following: ``pursuant to--
            ``(1) section 1837(i)(3) or 1837(i)(4)(B)--'';
            (2) by redesignating paragraphs (1) and (2) as 
        subparagraphs (A) and (B), respectively, and moving the 
        indentation of each such subparagraph 2 ems to the right;
            (3) by striking the period at the end of the subparagraph 
        (B), as so redesignated, and inserting ``; or''; and
            (4) by adding at the end the following new paragraph:
            ``(2) section 1837(i)(5), the coverage period shall begin 
        on the first day of the month following the month in which the 
        individual so enrolls.''.
    (c) Funding.--The Secretary of Health and Human Services shall 
provide for the transfer from the Federal Hospital Insurance Trust Fund 
(as described in section 1817 of the Social Security Act (42 U.S.C. 
1395i)) and the Federal Supplementary Medical Insurance Trust Fund (as 
described in section 1841 of such Act (42 U.S.C. 1395t)), in such 
proportions as determined appropriate by the Secretary, to the Social 
Security Administration, of $30,000,000, to remain available until 
expended, for purposes of carrying out the amendments made by this 
section.
    (d) Implementation.--Notwithstanding any other provision of law, 
the Secretary of Health and Human Services may implement the amendments 
made by this section by program instruction or otherwise.

SEC. 30208. COVID-19 SKILLED NURSING FACILITY PAYMENT INCENTIVE 
              PROGRAM.

    (a) In General.--Section 1819 of the Social Security Act (42 U.S.C. 
1395i-3) is amended by adding at the end the following new subsection:
    ``(k) COVID-19 Designation Program.--
            ``(1) In general.--Not later than 2 weeks after the date of 
        the enactment of this subsection, the Secretary shall establish 
        a program under which a skilled nursing facility that makes an 
        election described in paragraph (2)(A) and meets the 
        requirements described in paragraph (2)(B) is designated (or a 
        portion of such facility is so designated) as a COVID-19 
        treatment center and receives incentive payments under section 
        1888(e)(13).
            ``(2) Designation.--
                    ``(A) In general.--A skilled nursing facility may 
                elect to be designated (or to have a portion of such 
                facility designated) as a COVID-19 treatment center 
                under the program established under paragraph (1) if 
                the facility submits to the Secretary, at a time and in 
                a manner specified by the Secretary, an application for 
                such designation that contains such information as 
                required by the Secretary and demonstrates that such 
                facility meets the requirements described in 
                subparagraph (B).
                    ``(B) Requirements.--The requirements described in 
                this subparagraph with respect to a skilled nursing 
                facility are the following:
                            ``(i) The facility has a star rating with 
                        respect to staffing of 4 or 5 on the Nursing 
                        Home Compare website (as described in 
                        subsection (i)) and has maintained such a 
                        rating on such website during the 2-year period 
                        ending on the date of the submission of the 
                        application described in subparagraph (A).
                            ``(ii) The facility has a star rating of 4 
                        or 5 with respect to health inspections on such 
                        website and has maintained such a rating on 
                        such website during such period.
                            ``(iii) During such period, the Secretary 
                        or a State has not found a deficiency with such 
                        facility relating to infection control that the 
                        Secretary or State determined immediately 
                        jeopardized the health or safety of the 
                        residents of such facility (as described in 
                        paragraph (1) or (2)(A) of subsection (h), as 
                        applicable).
                            ``(iv) The facility provides care at such 
                        facility (or, in the case of an election made 
                        with respect to a portion of such facility, to 
                        provide care in such portion of such facility) 
                        only to eligible individuals.
                            ``(v) The facility arranges for and 
                        transfers all residents of such facility (or 
                        such portion of such facility, as applicable) 
                        who are not eligible individuals to other 
                        skilled nursing facilities (or other portions 
                        of such facility, as applicable).
                            ``(vi) The facility complies with the 
                        notice requirement described in paragraph (4).
                            ``(vii) The facility meets the reporting 
                        requirement described in paragraph (5).
                            ``(viii) Any other requirement determined 
                        appropriate by the Secretary.
            ``(3) Duration of designation.--
                    ``(A) In general.--A designation of a skilled 
                nursing facility (or portion of such facility) as a 
                COVID-19 treatment center shall begin on a date 
                specified by the Secretary and end upon the earliest of 
                the following:
                            ``(i) The revocation of such designation 
                        under subparagraph (B).
                            ``(ii) The submission of a notification by 
                        such facility to the Secretary that such 
                        facility elects to terminate such designation.
                            ``(iii) The termination of the program (as 
                        specified in paragraph (6)).
                    ``(B) Revocation.--The Secretary may revoke the 
                designation of a skilled nursing facility (or portion 
                of such facility) as a COVID-19 treatment center if the 
                Secretary determines that the facility is no longer in 
                compliance with a requirement described in paragraph 
                (2)(B).
            ``(4) Resident notice requirement.--For purposes of 
        paragraph (2)(B)(vi), the notice requirement described in this 
        paragraph is that, not later than 72 hours before the date 
        specified by the Secretary under paragraph (3)(A) with respect 
        to the designation of a skilled nursing facility (or portion of 
        such facility) as a COVID-19 treatment center, the facility 
        provides a notification to each resident of such facility (and 
        to appropriate representatives or family members of each such 
        resident, as specified by the Secretary) that contains the 
        following:
                    ``(A) Notice of such designation.
                    ``(B) In the case such resident is not an eligible 
                individual (and, in the case such designation is made 
                only with respect to a portion of such facility, 
                resides in such portion of such facility)--
                            ``(i) a specification of when and where 
                        such resident will be transferred (or moved 
                        within such facility);
                            ``(ii) an explanation that, in lieu of such 
                        transfer or move, such resident may arrange for 
                        transfer to such other setting (including a 
                        home) selected by the resident; and
                            ``(iii) if such resident so arranges to be 
                        transferred to a home, information on Internet 
                        resources for caregivers who elect to care for 
                        such resident at home.
                    ``(C) Contact information for the State long-term 
                care ombudsman (established under section 307(a)(12) of 
                the Older Americans Act of 1965) for the applicable 
                State.
            ``(5) Reporting requirement.--
                    ``(A) In general.--For purposes of paragraph 
                (2)(B)(vii), the reporting requirement described in 
                this paragraph is, with respect to a skilled nursing 
                facility, that the facility reports to the Secretary, 
                weekly and in such manner specified by the Secretary, 
                the following (but only to the extent the information 
                described in clauses (i) through (vii) is not otherwise 
                reported to the Secretary weekly):
                            ``(i) The number of COVID-19 related deaths 
                        at such facility.
                            ``(ii) The number of discharges from such 
                        facility.
                            ``(iii) The number of admissions to such 
                        facility.
                            ``(iv) The number of beds occupied and the 
                        number of beds available at such facility.
                            ``(v) The number of residents on a 
                        ventilator at such facility.
                            ``(vi) The number of clinical and 
                        nonclinical staff providing direct patient care 
                        at such facility.
                            ``(vii) Such other information determined 
                        appropriate by the Secretary.
                    ``(B) Nonapplication of paperwork reduction act.--
                Chapter 35 of title 44, United States Code (commonly 
                known as the `Paperwork Reduction Act'), shall not 
                apply to the collection of information under this 
                paragraph.
            ``(6) Definition.--For purposes of this subsection, the 
        term `eligible individual' means an individual who, during the 
        30-day period ending on the first day on which such individual 
        is a resident of a COVID-19 treatment center (on or after the 
        date such center is so designated), was furnished a test for 
        COVID-19 that came back positive.
            ``(7) Termination.--The program established under paragraph 
        (1) shall terminate upon the termination of the emergency 
        period described in section 1135(g)(1)(B).
            ``(8) Prohibition on administrative and judicial review.--
        There shall be no administrative or judicial review under 
        section 1869, 1878, or otherwise of a designation of a skilled 
        nursing facility (or portion of such facility) as a COVID-19 
        treatment center, or revocation of such a designation, under 
        this subsection.''.
    (b) Payment Incentive.--Section 1888(e) of the Social Security Act 
(42 U.S.C. 1395yy(e)) is amended--
            (1) in paragraph (1), in the matter preceding subparagraph 
        (A), by striking ``and (12)'' and inserting ``(12), and (13)''; 
        and
            (2) by adding at the end the following new paragraph:
            ``(13) Adjustment for covid-19 treatment centers.--In the 
        case of a resident of a skilled nursing facility that has been 
        designated as a COVID-19 treatment center under section 1819(k) 
        (or in the case of a resident who resides in a portion of such 
        facility that has been so designated), if such resident is an 
        eligible individual (as defined in paragraph (5) of such 
        section), the per diem amount of payment for such resident 
        otherwise applicable shall be increased by 20 percent to 
        reflect increased costs associated with such residents.''.

SEC. 30209. FUNDING FOR STATE STRIKE TEAMS FOR RESIDENT AND EMPLOYEE 
              SAFETY IN SKILLED NURSING FACILITIES AND NURSING 
              FACILITIES.

    (a) In General.--Of the amounts made available under subsection 
(c), the Secretary of Health and Human Services (referred to in this 
section as the ``Secretary'') shall allocate such amounts among the 
States, in a manner that takes into account the percentage of skilled 
nursing facilities and nursing facilities in each State that have 
residents or employees who have been diagnosed with COVID-19, for 
purposes of establishing and implementing strike teams in accordance 
with subsection (b).
    (b) Use of Funds.--A State that receives funds under this section 
shall use such funds to establish and implement a strike team that will 
be deployed to a skilled nursing facility or nursing facility in the 
State with diagnosed or suspected cases of COVID-19 among residents or 
staff for the purposes of assisting with clinical care, infection 
control, or staffing.
    (c) Authorization of Appropriations.--For purposes of carrying out 
this section, there is authorized to be appropriated $500,000,000.
    (d) Definitions.--In this section:
            (1) Nursing facility.--The term ``nursing facility'' has 
        the meaning given such term in section 1919(a) of the Social 
        Security Act (42 U.S.C. 1396r(a)).
            (2) Skilled nursing facility.--The term ``skilled nursing 
        facility'' has the meaning given such term in section 1819(a) 
        of the Social Security Act (42 U.S.C. 1395i-3(a)).

SEC. 30210. PROVIDING FOR INFECTION CONTROL SUPPORT TO SKILLED NURSING 
              FACILITIES THROUGH CONTRACTS WITH QUALITY IMPROVEMENT 
              ORGANIZATIONS.

    (a) In General.--Section 1862(g) of the Social Security Act (42 
U.S.C. 1395y(g)) is amended--
            (1) by striking ``The Secretary'' and inserting ``(1) The 
        Secretary''; and
            (2) by adding at the end the following new paragraph:
    ``(2)(A) The Secretary shall ensure that at least 1 contract with a 
quality improvement organization described in paragraph (1) entered 
into on or after the date of the enactment of this paragraph and before 
the end of the emergency period described in section 1135(g)(1)(B) (or 
in effect as of such date) includes the requirement that such 
organization provide to skilled nursing facilities with cases of COVID-
19 (or facilities attempting to prevent outbreaks of COVID-19) 
infection control support described in subparagraph (B) during such 
period.
    ``(B) For purposes of subparagraph (A), the infection control 
support described in this subparagraph is, with respect to skilled 
nursing facilities described in such subparagraph, the development and 
dissemination to such facilities of protocols relating to the 
prevention or mitigation of COVID-19 at such facilities and the 
provision of training materials to such facilities relating to such 
prevention or mitigation.''.
    (b) Funding.--The Secretary of Health and Human Services shall 
provide for the transfer from the Federal Supplementary Medical 
Insurance Trust Fund (as described in section 1841 of the Social 
Security Act (42 U.S.C. 1395t)) and the Federal Hospital Insurance 
Trust Fund (as described in section 1817 of such Act (42 U.S.C. 
1395i)), in such proportions as determined appropriate by the 
Secretary, to the Centers for Medicare & Medicaid Services Program 
Management Account, of $210,000,000, to remain available until 
expended, for purposes of entering into contracts with quality 
improvement organizations under part B of title XI of such Act (42 
U.S.C. 1320c et seq.). Of the amount transferred pursuant to the 
previous sentence, not less that $110,000,000 shall be used for 
purposes of entering into such a contract that includes the requirement 
described in section 1862(g)(2)(A) of such Act (as added by subsection 
(a)).

SEC. 30211. REQUIRING LONG TERM CARE FACILITIES TO REPORT CERTAIN 
              INFORMATION RELATING TO COVID-19 CASES AND DEATHS.

    (a) In General.--The Secretary of Health and Human Services (in 
this section referred to as the ``Secretary'') shall, as soon as 
practicable, require that the information described in paragraph (1) of 
section 483.80(g) of title 42, Code of Federal Regulations, or a 
successor regulation, be reported by a facility (as defined for 
purposes of such section).
    (b) Demographic Information.--The Secretary shall post the 
following information with respect to skilled nursing facilities (as 
defined in section 1819(a) of the Social Security Act (42 U.S.C. 1395i-
3(a))) and nursing facilities (as defined in section 1919(a) of such 
Act (42 U.S.C. 1396r(a))) on the Nursing Home Compare website (as 
described in section 1819(i) of the Social Security Act (42 U.S.C. 
1395i-3(i))), or a successor website, aggregated by State:
            (1) The age, race/ethnicity, and preferred language of the 
        residents of such skilled nursing facilities and nursing 
        facilities with suspected or confirmed COVID-19 infections, 
        including residents previously treated for COVID-19.
            (2) The age, race/ethnicity, and preferred language 
        relating to total deaths and COVID-19 deaths among residents of 
        such skilled nursing facilities and nursing facilities.
    (c) Confidentiality.--Any information reported under this section 
that is made available to the public shall be made so available in a 
manner that protects the identity of residents of skilled nursing 
facilities and nursing facilities.
    (d) Implementation.--The Secretary may implement the provisions of 
this section be program instruction or otherwise.

SEC. 30212. FLOOR ON THE MEDICARE AREA WAGE INDEX FOR HOSPITALS IN ALL-
              URBAN STATES.

    (a) In General.--Section 1886(d)(3)(E) of the Social Security Act 
(42 U.S.C. 1395ww(d)(3)(E)) is amended--
            (1) in clause (i), in the first sentence, by striking ``or 
        (iii)'' and inserting ``, (iii), or (iv)''; and
            (2) by adding at the end the following new clause:
                            ``(iv) Floor on area wage index for 
                        hospitals in all-urban states.--
                                    ``(I) In general.--For discharges 
                                occurring on or after October 1, 2021, 
                                the area wage index applicable under 
                                this subparagraph to any hospital in an 
                                all-urban State (as defined in 
                                subclause (IV)) may not be less than 
                                the minimum area wage index for the 
                                fiscal year for hospitals in that 
                                State, as established under subclause 
                                (II).
                                    ``(II) Minimum area wage index.--
                                For purposes of subclause (I), the 
                                Secretary shall establish a minimum 
                                area wage index for a fiscal year for 
                                hospitals in each all-urban State using 
                                the methodology described in section 
                                412.64(h)(4) of title 42, Code of 
                                Federal Regulations, as in effect for 
                                fiscal year 2018.
                                    ``(III) Waiving budget 
                                neutrality.--Pursuant to the fifth 
                                sentence of clause (i), this subsection 
                                shall not be applied in a budget 
                                neutral manner.
                                    ``(IV) All-urban state defined.--In 
                                this clause, the term `all-urban State' 
                                means a State in which there are no 
                                rural areas (as defined in paragraph 
                                (2)(D)) or a State in which there are 
                                no hospitals classified as rural under 
                                this section.''.
    (b) Waiving Budget Neutrality.--
            (1) Technical amendatory correction.--Section 10324(a)(2) 
        of Public Law 111-148 is amended by striking ``third sentence'' 
        and inserting ``fifth sentence''.
            (2) Waiver.--Section 1886(d)(3)(E)(i) of the Social 
        Security Act (42 U.S.C. 1395ww(d)(3)(E)(i)) is amended, in the 
        fifth sentence--
                    (A) by striking ``and the amendments'' and 
                inserting ``, the amendments''; and
                    (B) by inserting ``, and the amendments made by 
                section 30212 of The Heroes Act'' after ``Care Act''.

SEC. 30213. RISK CORRIDOR PROGRAM FOR MEDICARE ADVANTAGE PLANS.

    (a) In General.--Section 1853 of the Social Security Act (42 U.S.C. 
1395w-23) is amended by adding at the end the following new subsection:
    ``(p) Risk Corridor Program During the COVID-19 Emergency.--
            ``(1) In general.--The Secretary shall establish and 
        administer a program of risk corridors for each plan year, any 
        portion of which occurs during the emergency period defined in 
        section 1135(g)(1)(B), under which the Secretary shall make 
        payments to MA organizations offering a Medicare Advantage plan 
        based on the ratio of the allowable costs of the plan to the 
        aggregate premiums of the plan.
            ``(2) Payment methodology.--The Secretary shall provide 
        under the program established under paragraph (1) that if the 
        allowable costs for a Medicare Advantage plan for any plan year 
        are more than 105 percent of the target amount, the Secretary 
        shall pay to the plan an amount equal to 75 percent of the 
        allowable costs in excess of 105 percent of the target amount.
            ``(3) Timing.--
                    ``(A) Submission of information by plans.--With 
                respect to a plan year for which the program described 
                in paragraph (1) is established and administered, not 
                later than July 1 of the succeeding plan year each MA 
                organization offering a Medicare Advantage plan shall 
                submit to the Secretary such information as the 
                Secretary may require for purposes of carrying out such 
                program.
                    ``(B) Payment.--The Secretary shall pay to an MA 
                organization offering a Medicare Advantage plan 
                eligible to receive a payment under the program with 
                respect to a plan year the amount provided under 
                paragraph (2) for such plan year not later than 60 days 
                after such organization submits information with 
                respect to such plan and plan year under subparagraph 
                (A).
            ``(4) Definitions.--
                    ``(A) Allowable costs.--The amount of allowable 
                costs of a MA organization offering a Medicare 
                Advantage plan for a plan year is an amount equal to 
                the total costs (other than administrative costs) of 
                such plan in providing benefits covered by such plan, 
                but only to the extent that such costs are incurred 
                with respect to such benefits for items and services 
                that are benefits under the original medicare fee-for-
                service program option.
                    ``(B) Target amount.--The target amount described 
                in this paragraph is, with respect to a Medicare 
                Advantage plan and a plan year, the total amount of 
                payments paid to the MA organization for the plan for 
                benefits under the original medicare fee-for-service 
                program option for the plan year, taking into account 
                amounts paid by the Secretary and enrollees, based upon 
                the bid amount submitted under section 1854, reduced by 
                the total amount of administrative expenses for the 
                year assumed in such bid.
            ``(5) Funding.--There are appropriated to the Centers for 
        Medicare & Medicaid Services Program Management Account, out of 
        any monies in the Treasury not otherwise obligated, such sums 
        as may be necessary for purposes of carrying out this 
        subsection.''.
    (b) Implementation.--Notwithstanding any other provision of law, 
the Secretary of Health and Human Service may implement the amendments 
made by this section by program instruction or otherwise.

SEC. 30214. RELIEF FOR SMALL RURAL HOSPITALS FROM INACCURATE 
              INSTRUCTIONS PROVIDED BY CERTAIN MEDICARE ADMINISTRATIVE 
              CONTRACTORS.

    Section 1886(d)(5) of the Social Security Act (42 U.S.C. 
1395ww(d)(5)) is amended by adding at the end the following new 
subparagraph:
    ``(N)(i) Subject to clause (ii), in the case of a sole community 
hospital or a medicare-dependent, small rural hospital with respect to 
which a medicare administrative contractor initially determined and 
paid a volume decrease adjustment under subparagraph (D)(ii) or 
(G)(iii) for a specified cost reporting period, at the election of the 
hospital, the Secretary of Health and Human Services shall replace the 
volume decrease adjustment subsequently determined for that specified 
cost reporting period by the medicare administrative contractor with 
the volume decrease adjustment initially determined and paid by the 
medicare administrative contractor for that specified cost reporting 
period.
    ``(ii)(I) Clause (i) shall not apply in the case of a sole 
community hospital or a medicare-dependent, small rural hospital for 
which the medicare administrative contractor determination of the 
volume decrease adjustment with respect to a specified cost reporting 
period of the hospital is administratively final before the date that 
is three years before the date of the enactment of this section.
    ``(II) For purposes of subclause (I), the date on which the 
medicare administrative contractor determination with respect to a 
volume decrease adjustment for a specified cost reporting period is 
administratively final is the latest of the following:
            ``(aa) The date of the contractor determination (as defined 
        in section 405.1801 of title 42, Code of Federal Regulations).
            ``(bb) The date of the final outcome of any reopening of 
        the medicare administrative contractor determination under 
        section 405.1885 of title 42, Code of Federal Regulations.
            ``(cc) The date of the final outcome of the final appeal 
        filed by such hospital with respect to such volume decrease 
        adjustment for such specified cost reporting period.
    ``(iii) For purposes of this subparagraph, the term `specified cost 
reporting period' means a cost reporting period of a sole community 
hospital or a medicare-dependent, small rural hospital, as the case may 
be, that begins during a fiscal year before fiscal year 2018.''.

SEC. 30215. DEEMING CERTAIN HOSPITALS TO BE LOCATED IN AN URBAN AREA 
              FOR PURPOSES OF PAYMENT FOR INPATIENT HOSPITAL SERVICES 
              UNDER THE MEDICARE PROGRAM.

    Section 1886(d)(10) of the Social Security Act (42 U.S.C. 
1395ww(d)(10)) is amended by adding at the end the following new 
subparagraph:
    ``(G)(i) For purposes of payment under this subsection for 
discharges occurring during the 3-year period beginning on October 1, 
2020, each hospital located in Albany, Saratoga, Schenectady, 
Montgomery, or Rensselaer County of New York shall be deemed to be 
located in the large urban area of Hartford-West Hartford-East of 
Hartford, Connecticut (CBSA 25540).
    ``(ii) Any deemed location of a hospital pursuant to clause (i) 
shall be treated as a decision of the Medicare Geographic 
Classification Review Board for purposes of paragraph (8)(D).''.

                TITLE III--PRIVATE INSURANCE PROVISIONS

                        Subtitle A--Health Plans

SEC. 30301. SPECIAL ENROLLMENT PERIOD THROUGH EXCHANGES; FEDERAL 
              EXCHANGE OUTREACH AND EDUCATIONAL ACTIVITIES.

    (a) Special Enrollment Period Through Exchanges.--Section 1311(c) 
of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(c)) 
is amended--
            (1) in paragraph (6)--
                    (A) in subparagraph (C), by striking at the end 
                ``and'';
                    (B) in subparagraph (D), by striking at the end the 
                period and inserting ``; and''; and
                    (C) by adding at the end the following new 
                subparagraph:
                    ``(E) subject to subparagraph (B) of paragraph (8), 
                the special enrollment period described in subparagraph 
                (A) of such paragraph.''; and
            (2) by adding at the end the following new paragraph:
            ``(8) Special enrollment period for certain public health 
        emergency.--
                    ``(A) In general.--The Secretary shall, subject to 
                subparagraph (B), require an Exchange to provide--
                            ``(i) for a special enrollment period 
                        during the emergency period described in 
                        section 1135(g)(1)(B) of the Social Security 
                        Act--
                                    ``(I) which shall begin on the date 
                                that is one week after the date of the 
                                enactment of this paragraph and which, 
                                in the case of an Exchange established 
                                or operated by the Secretary within a 
                                State pursuant to section 1321(c), 
                                shall be an 8-week period; and
                                    ``(II) during which any individual 
                                who is otherwise eligible to enroll in 
                                a qualified health plan through the 
                                Exchange may enroll in such a qualified 
                                health plan; and
                            ``(ii) that, in the case of an individual 
                        who enrolls in a qualified health plan through 
                        the Exchange during such enrollment period, the 
                        coverage period under such plan shall begin, at 
                        the option of the individual, on April 1, 2020, 
                        or on the first day of the month following the 
                        day the individual selects a plan through such 
                        special enrollment period.
                    ``(B) Exception.--The requirement of subparagraph 
                (A) shall not apply to a State-operated or State-
                established Exchange if such Exchange, prior to the 
                date of the enactment of this paragraph, established or 
                otherwise provided for a special enrollment period to 
                address access to coverage under qualified health plans 
                offered through such Exchange during the emergency 
                period described in section 1135(g)(1)(B) of the Social 
                Security Act.''.
    (b) Federal Exchange Outreach and Educational Activities.--Section 
1321(c) of the Patient Protection and Affordable Care Act (42 U.S.C. 
18041(c)) is amended by adding at the end the following new paragraph:
            ``(3) Outreach and educational activities.--
                    ``(A) In general.--In the case of an Exchange 
                established or operated by the Secretary within a State 
                pursuant to this subsection, the Secretary shall carry 
                out outreach and educational activities for purposes of 
                informing potential enrollees in qualified health plans 
                offered through the Exchange of the availability of 
                coverage under such plans and financial assistance for 
                coverage under such plans. Such outreach and 
                educational activities shall be provided in a manner 
                that is culturally and linguistically appropriate to 
                the needs of the populations being served by the 
                Exchange (including hard-to-reach populations, such as 
                racial and sexual minorities, limited English 
                proficient populations, and young adults).
                    ``(B) Limitation on use of funds.--No funds 
                appropriated under this paragraph shall be used for 
                expenditures for promoting non-ACA compliant health 
                insurance coverage.
                    ``(C) Non-ACA compliant health insurance 
                coverage.--For purposes of subparagraph (B):
                            ``(i) The term `non-ACA compliant health 
                        insurance coverage' means health insurance 
                        coverage, or a group health plan, that is not a 
                        qualified health plan.
                            ``(ii) Such term includes the following:
                                    ``(I) An association health plan.
                                    ``(II) Short-term limited duration 
                                insurance.
                    ``(D) Funding.--There are appropriated, out of any 
                funds in the Treasury not otherwise appropriated, 
                $25,000,000, to remain available until expended--
                            ``(i) to carry out this paragraph; and--
                            ``(ii) at the discretion of the Secretary, 
                        to carry out section 1311(i), with respect to 
                        an Exchange established or operated by the 
                        Secretary within a State pursuant to this 
                        subsection.''.
    (c) Implementation.--The Secretary of Health and Human Services may 
implement the provisions of (including amendments made by) this section 
through subregulatory guidance, program instruction, or otherwise.

SEC. 30302. EXPEDITED MEETING OF ACIP FOR COVID-19 VACCINES.

    (a) In General.--Notwithstanding section 3091 of the 21st Century 
Cures Act (21 U.S.C. 360bbb-4 note), the Advisory Committee on 
Immunization Practices shall meet and issue a recommendation with 
respect to a vaccine that is intended to prevent or treat COVID-19 not 
later than 15 business days after the date on which such vaccine is 
licensed under section 351 of the Public Health Service Act (42 U.S.C. 
262).
    (b) Definition.--In this section, the term ``Advisory Committee on 
Immunization Practices'' means the Advisory Committee on Immunization 
Practices established by the Secretary of Health and Human Services 
pursuant to section 222 of the Public Health Service Act (42 U.S.C. 
217a), acting through the Director of the Centers for Disease Control 
and Prevention.

SEC. 30303. COVERAGE OF COVID-19 RELATED TREATMENT AT NO COST SHARING.

    (a) In General.--A group health plan and a health insurance issuer 
offering group or individual health insurance coverage (including a 
grandfathered health plan (as defined in section 1251(e) of the Patient 
Protection and Affordable Care Act)) shall provide coverage, and shall 
not impose any cost sharing (including deductibles, copayments, and 
coinsurance) requirements, for the following items and services 
furnished during any portion of the emergency period defined in 
paragraph (1)(B) of section 1135(g) of the Social Security Act (42 
U.S.C. 1320b-5(g)) beginning on or after the date of the enactment of 
this Act:
            (1) Medically necessary items and services (including in-
        person or telehealth visits in which such items and services 
        are furnished) that are furnished to an individual who has been 
        diagnosed with (or after provision of the items and services is 
        diagnosed with) COVID-19 to treat or mitigate the effects of 
        COVID-19.
            (2) Medically necessary items and services (including in-
        person or telehealth visits in which such items and services 
        are furnished) that are furnished to an individual who is 
        presumed to have COVID-19 but is never diagnosed as such, if 
        the following conditions are met:
                    (A) Such items and services are furnished to the 
                individual to treat or mitigate the effects of COVID-19 
                or to mitigate the impact of COVID-19 on society.
                    (B) Health care providers have taken appropriate 
                steps under the circumstances to make a diagnosis, or 
                confirm whether a diagnosis was made, with respect to 
                such individual, for COVID-19, if possible.
    (b) Items and Services Related to COVID-19.--For purposes of this 
section--
            (1) not later than one week after the date of the enactment 
        of this section, the Secretary of Health and Human Services, 
        Secretary of Labor, and Secretary of the Treasury shall jointly 
        issue guidance specifying applicable diagnoses and medically 
        necessary items and services related to COVID-19; and
            (2) such items and services shall include all items or 
        services that are relevant to the treatment or mitigation of 
        COVID-19, regardless of whether such items or services are 
        ordinarily covered under the terms of a group health plan or 
        group or individual health insurance coverage offered by a 
        health insurance issuer.
    (c) Enforcement.--
            (1) Application with respect to phsa, erisa, and irc.--The 
        provisions of this section shall be applied by the Secretary of 
        Health and Human Services, Secretary of Labor, and Secretary of 
        the Treasury to group health plans and health insurance issuers 
        offering group or individual health insurance coverage as if 
        included in the provisions of part A of title XXVII of the 
        Public Health Service Act, part 7 of the Employee Retirement 
        Income Security Act of 1974, and subchapter B of chapter 100 of 
        the Internal Revenue Code of 1986, as applicable.
            (2) Private right of action.--An individual with respect to 
        whom an action is taken by a group health plan or health 
        insurance issuer offering group or individual health insurance 
        coverage in violation of subsection (a) may commence a civil 
        action against the plan or issuer for appropriate relief. The 
        previous sentence shall not be construed as limiting any 
        enforcement mechanism otherwise applicable pursuant to 
        paragraph (1).
    (d) Implementation.--The Secretary of Health and Human Services, 
Secretary of Labor, and Secretary of the Treasury may implement the 
provisions of this section through sub-regulatory guidance, program 
instruction or otherwise.
    (e) Terms.--The terms ``group health plan''; ``health insurance 
issuer''; ``group health insurance coverage'', and ``individual health 
insurance coverage'' have the meanings given such terms in section 2791 
of the Public Health Service Act (42 U.S.C. 300gg-91), section 733 of 
the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1191b), 
and section 9832 of the Internal Revenue Code of 1986, as applicable.

SEC. 30304. REQUIRING PRESCRIPTION DRUG REFILL NOTIFICATIONS DURING 
              EMERGENCIES.

    (a) ERISA.--
            (1) In general.--Subpart B of part 7 of subtitle B of title 
        I of the Employee Retirement Income Security Act of 1974 (29 
        U.S.C. 1185 et seq.) is amended by adding at the end the 
        following new section:

``SEC. 716. PROVISION OF PRESCRIPTION DRUG REFILL NOTIFICATIONS DURING 
              EMERGENCIES.

    ``(a) In General.--A group health plan, and a health insurance 
issuer offering health insurance coverage in connection with a group 
health plan, that provides benefits for prescription drugs under such 
plan or such coverage shall provide to each participant or beneficiary 
under such plan or such coverage who resides in an emergency area 
during an emergency period--
            ``(1) not later than 5 business days after the date of the 
        beginning of such period with respect to such area (or, the 
        case of the emergency period described in section 30304(d)(2) 
        of The Heroes Act, not later than 5 business days after the 
        date of the enactment of this section), a notification (written 
        in a manner that is clear and understandable to the average 
        participant or beneficiary)--
                    ``(A) of whether such plan or coverage will waive, 
                during such period with respect to such a participant 
                or beneficiary, any time restrictions under such plan 
                or coverage on any authorized refills for such drugs to 
                enable such refills in advance of when such refills 
                would otherwise have been permitted under such plan or 
                coverage; and
                    ``(B) in the case that such plan or coverage will 
                waive such restrictions during such period with respect 
                to such a participant or beneficiary, that contains 
                information on how such a participant or beneficiary 
                may obtain such a refill; and
            ``(2) in the case such plan or coverage elects to so waive 
        such restrictions during such period with respect to such a 
        participant or beneficiary after the notification described in 
        paragraph (1) has been provided with respect to such period, 
        not later than 5 business days after such election, a 
        notification of such election that contains the information 
        described in subparagraph (B) of such paragraph.
    ``(b) Emergency Area; Emergency Period.--For purposes of this 
section, an `emergency area' is a geographical area in which, and an 
`emergency period' is the period during which, there exists--
            ``(1) an emergency or disaster declared by the President 
        pursuant to the National Emergencies Act or the Robert T. 
        Stafford Disaster Relief and Emergency Assistance Act; and
            ``(2) a public health emergency declared by the Secretary 
        pursuant to section 319 of the Public Health Service Act.''.
            (2) Clerical amendment.--The table of contents of the 
        Employee Retirement Income Security Act of 1974 is amended by 
        inserting after the item relating to section 714 the following:

``Sec. 715. Additional market reforms.
``Sec. 716. Provision of prescription drug refill notifications during 
                            emergencies.''.
    (b) PHSA.--Subpart II of part A of title XXVII of the Public Health 
Service Act (42 U.S.C. 300gg-11 et seq.) is amended by adding at the 
end the following new section:

``SEC. 2730. PROVISION OF PRESCRIPTION DRUG REFILL NOTIFICATIONS DURING 
              EMERGENCIES.

    ``(a) In General.--A group health plan, and a health insurance 
issuer offering group or individual health insurance coverage, that 
provides benefits for prescription drugs under such plan or such 
coverage shall provide to each participant, beneficiary, or enrollee 
enrolled under such plan or such coverage who resides in an emergency 
area during an emergency period--
            ``(1) not later than 5 business days after the date of the 
        beginning of such period with respect to such area (or, the 
        case of the emergency period described in section 30304(d)(2) 
        of The Heroes Act, not later than 5 business days after the 
        date of the enactment of this section), a notification (written 
        in a manner that is clear and understandable to the average 
        participant, beneficiary, or enrollee)--
                    ``(A) of whether such plan or coverage will waive, 
                during such period with respect to such a participant, 
                beneficiary, or enrollee, any time restrictions under 
                such plan or coverage on any authorized refills for 
                such drugs to enable such refills in advance of when 
                such refills would otherwise have been permitted under 
                such plan or coverage; and
                    ``(B) in the case that such plan or coverage will 
                waive such restrictions during such period with respect 
                to such a participant, beneficiary, or enrollee, that 
                contains information on how such a participant, 
                beneficiary, or enrollee may obtain such a refill; and
            ``(2) in the case such plan or coverage elects to so waive 
        such restrictions during such period with respect to such a 
        participant, beneficiary, or enrollee after the notification 
        described in paragraph (1) has been provided with respect to 
        such period, not later than 5 business days after such 
        election, a notification of such election that contains the 
        information described in subparagraph (B) of such paragraph.
    ``(b) Emergency Area; Emergency Period.--For purposes of this 
section, an `emergency area' is a geographical area in which, and an 
`emergency period' is the period during which, there exists--
            ``(1) an emergency or disaster declared by the President 
        pursuant to the National Emergencies Act or the Robert T. 
        Stafford Disaster Relief and Emergency Assistance Act; and
            ``(2) a public health emergency declared by the Secretary 
        pursuant to section 319.''.
    (c) IRC.--
            (1) In general.--Subchapter B of chapter 100 of the 
        Internal Revenue Code of 1986 is amended by adding at the end 
        the following new section:

``SEC. 9816. PROVISION OF PRESCRIPTION DRUG REFILL NOTIFICATIONS DURING 
              EMERGENCIES.

    ``(a) In General.--A group health plan that provides benefits for 
prescription drugs under such plan shall provide to each participant or 
beneficiary enrolled under such plan who resides in an emergency area 
during an emergency period, not later than 5 business days after the 
date of the beginning of such period with respect to such area (or, the 
case of the emergency period described in section 30304(d)(2) of The 
Heroes Act, not later than 5 business days after the date of the 
enactment of this section)--
            ``(1) a notification (written in a manner that is clear and 
        understandable to the average participant or beneficiary)--
                    ``(A) of whether such plan will waive, during such 
                period with respect to such a participant or 
                beneficiary, any time restrictions under such plan on 
                any authorized refills for such drugs to enable such 
                refills in advance of when such refills would otherwise 
                have been permitted under such plan; and
                    ``(B) in the case that such plan will waive such 
                restrictions during such period with respect to such a 
                participant or beneficiary, that contains information 
                on how such a participant or beneficiary may obtain 
                such a refill; and
            ``(2) in the case such plan elects to so waive such 
        restrictions during such period with respect to such a 
        participant or beneficiary after the notification described in 
        paragraph (1) has been provided with respect to such period, 
        not later than 5 business days after such election, a 
        notification of such election that contains the information 
        described in subparagraph (B) of such paragraph.
    ``(b) Emergency Area; Emergency Period.--For purposes of this 
section, an `emergency area' is a geographical area in which, and an 
`emergency period' is the period during which, there exists--
            ``(1) an emergency or disaster declared by the President 
        pursuant to the National Emergencies Act or the Robert T. 
        Stafford Disaster Relief and Emergency Assistance Act; and
            ``(2) a public health emergency declared by the Secretary 
        pursuant to section 319 of the Public Health Service Act.''.
            (2) Clerical amendment.--The table of sections for 
        subchapter B of chapter 100 of the Internal Revenue Code of 
        1986 is amended by adding at the end the following new item:

``Sec. 9816. Provision of prescription drug refill notifications during 
                            emergencies.''.
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to--
            (1) emergency periods beginning on or after the date of the 
        enactment of this Act; and
            (2) the emergency period relating to the public health 
        emergency declared by the Secretary of Health and Human 
        Services pursuant to section 319 of the Public Health Service 
        Act on January 31, 2020, entitled ``Determination that a Public 
        Health Emergency Exists Nationwide as the Result of the 2019 
        Novel Coronavirus''.

SEC. 30305. IMPROVEMENT OF CERTAIN NOTIFICATIONS PROVIDED TO QUALIFIED 
              BENEFICIARIES BY GROUP HEALTH PLANS IN THE CASE OF 
              QUALIFYING EVENTS.

    (a) Employee Retirement Income Security Act of 1974.--
            (1) In general.--Section 606 of the Employee Retirement 
        Income Security Act of 1974 (29 U.S.C. 1166) is amended--
                    (A) in subsection (a)(4), in the matter following 
                subparagraph (B), by striking ``under this subsection'' 
                and inserting ``under this part in accordance with the 
                notification requirements under subsection (c)''; and
                    (B) in subsection (c)--
                            (i) by striking ``For purposes of 
                        subsection (a)(4), any notification'' and 
                        inserting ``For purposes of subsection (a)(4)--
            ``(1) any notification'';
                            (ii) by striking ``, whichever is 
                        applicable, and any such notification'' and 
                        inserting ``of subsection (a), whichever is 
                        applicable;
            ``(2) any such notification''; and
                            (iii) by striking ``such notification is 
                        made'' and inserting ``such notification is 
                        made; and
            ``(3) any such notification shall, with respect to each 
        qualified beneficiary with respect to whom such notification is 
        made, include information regarding any Exchange established 
        under title I of the Patient Protection and Affordable Care Act 
        through which such a qualified beneficiary may be eligible to 
        enroll in a qualified health plan (as defined in section 1301 
        of the Patient Protection and Affordable Care Act), including--
                    ``(A) the publicly accessible Internet website 
                address for such Exchange;
                    ``(B) the publicly accessible Internet website 
                address for the Find Local Help directory maintained by 
                the Department of Health and Human Services on the 
                healthcare.gov Internet website (or a successor 
                website);
                    ``(C) a clear explanation that--
                            ``(i) an individual who is eligible for 
                        continuation coverage may also be eligible to 
                        enroll, with financial assistance, in a 
                        qualified health plan offered through such 
                        Exchange, but, in the case that such individual 
                        elects to enroll in such continuation coverage 
                        and subsequently elects to terminate such 
                        continuation coverage before the period of such 
                        continuation coverage expires, such individual 
                        will not be eligible to enroll in a qualified 
                        health plan offered through such Exchange 
                        during a special enrollment period; and
                            ``(ii) an individual who elects to enroll 
                        in continuation coverage will remain eligible 
                        to enroll in a qualified health plan offered 
                        through such Exchange during an open enrollment 
                        period and may be eligible for financial 
                        assistance with respect to enrolling in such a 
                        qualified health plan;
                    ``(D) information on consumer protections with 
                respect to enrolling in a qualified health plan offered 
                through such Exchange, including the requirement for 
                such a qualified health plan to provide coverage for 
                essential health benefits (as defined in section 
                1302(b) of the Patient Protection and Affordable Care 
                Act) and the requirements applicable to such a 
                qualified health plan under part A of title XXVII of 
                the Public Health Service Act; and
                    ``(E) information on the availability of financial 
                assistance with respect to enrolling in a qualified 
                health plan, including the maximum income limit for 
                eligibility for a premium tax credit under section 36B 
                of the Internal Revenue Code of 1986.''.
            (2) Effective date.--The amendments made by paragraph (1) 
        shall apply with respect to qualifying events occurring on or 
        after the date that is 14 days after the date of the enactment 
        of this Act.
    (b) Public Health Service Act.--
            (1) In general.--Section 2206 of the Public Health Service 
        Act (42 U.S.C. 300bb-6) is amended--
                    (A) by striking ``In accordance'' and inserting the 
                following:
    ``(a) In General.--In accordance'';
                    (B) by striking ``of such beneficiary's rights 
                under this subsection'' and inserting ``of such 
                beneficiary's rights under this title in accordance 
                with the notification requirements under subsection 
                (b)''; and
                    (C) by striking ``For purposes of paragraph (4),'' 
                and all that follows through ``such notification is 
                made.'' and inserting the following:
    ``(b) Rules Relating to Notification of Qualified Beneficiaries by 
Plan Administrator.--For purposes of subsection (a)(4)--
            ``(1) any notification shall be made within 14 days of the 
        date on which the plan administrator is notified under 
        paragraph (2) or (3) of subsection (a), whichever is 
        applicable;
            ``(2) any such notification to an individual who is a 
        qualified beneficiary as the spouse of the covered employee 
        shall be treated as notification to all other qualified 
        beneficiaries residing with such spouse at the time such 
        notification is made; and
            ``(3) any such notification shall, with respect to each 
        qualified beneficiary with respect to whom such notification is 
        made, include information regarding any Exchange established 
        under title I of the Patient Protection and Affordable Care Act 
        through which such a qualified beneficiary may be eligible to 
        enroll in a qualified health plan (as defined in section 1301 
        of the Patient Protection and Affordable Care Act), including--
                    ``(A) the publicly accessible Internet website 
                address for such Exchange;
                    ``(B) the publicly accessible Internet website 
                address for the Find Local Help directory maintained by 
                the Department of Health and Human Services on the 
                healthcare.gov Internet website (or a successor 
                website);
                    ``(C) a clear explanation that--
                            ``(i) an individual who is eligible for 
                        continuation coverage may also be eligible to 
                        enroll, with financial assistance, in a 
                        qualified health plan offered through such 
                        Exchange, but, in the case that such individual 
                        elects to enroll in such continuation coverage 
                        and subsequently elects to terminate such 
                        continuation coverage before the period of such 
                        continuation coverage expires, such individual 
                        will not be eligible to enroll in a qualified 
                        health plan offered through such Exchange 
                        during a special enrollment period; and
                            ``(ii) an individual who elects to enroll 
                        in continuation coverage will remain eligible 
                        to enroll in a qualified health plan offered 
                        through such Exchange during an open enrollment 
                        period and may be eligible for financial 
                        assistance with respect to enrolling in such a 
                        qualified health plan;
                    ``(D) information on consumer protections with 
                respect to enrolling in a qualified health plan offered 
                through such Exchange, including the requirement for 
                such a qualified health plan to provide coverage for 
                essential health benefits (as defined in section 
                1302(b) of the Patient Protection and Affordable Care 
                Act) and the requirements applicable to such a 
                qualified health plan under part A of title XXVII; and
                    ``(E) information on the availability of financial 
                assistance with respect to enrolling in a qualified 
                health plan, including the maximum income limit for 
                eligibility for a premium tax credit under section 36B 
                of the Internal Revenue Code of 1986.''.
            (2) Effective date.--The amendments made by paragraph (1) 
        shall apply with respect to qualifying events occurring on or 
        after the date that is 14 days after the date of the enactment 
        of this Act.
    (c) Internal Revenue Code of 1986.--
            (1) In general.--Section 4980B(f)(6) of the Internal 
        Revenue Code of 1986 is amended--
                    (A) in subparagraph (D)--
                            (i) in clause (ii), by striking ``under 
                        subparagraph (C)'' and inserting ``under clause 
                        (iii)''; and
                            (ii) by redesignating clauses (i) and (ii) 
                        as subclauses (I) and (II), respectively, and 
                        moving the margin of each such subclause, as so 
                        redesignated, 2 ems to the right;
                    (B) by redesignating subparagraphs (A) through (D) 
                as clauses (i) through (iv), respectively, and moving 
                the margin of each such clause, as so redesignated, 2 
                ems to the right;
                    (C) by striking ``In accordance'' and inserting the 
                following:
                    ``(A) In general.--In accordance'';
                    (D) by inserting after ``of such beneficiary's 
                rights under this subsection'' the following: ``in 
                accordance with the notification requirements under 
                subparagraph (C)''; and
                    (E) by striking ``The requirements of subparagraph 
                (B)'' and all that follows through ``such notification 
                is made.'' and inserting the following:
                    ``(B) Alternative means of compliance with 
                requirement for notification of multiemployer plans by 
                employers.--The requirements of subparagraph (A)(ii) 
                shall be considered satisfied in the case of a 
                multiemployer plan in connection with a qualifying 
                event described in paragraph (3)(B) if the plan 
                provides that the determination of the occurrence of 
                such qualifying event will be made by the plan 
                administrator.
                    ``(C) Rules relating to notification of qualified 
                beneficiaries by plan administrator.--For purposes of 
                subparagraph (A)(iv)--
                            ``(i) any notification shall be made within 
                        14 days (or, in the case of a group health plan 
                        which is a multiemployer plan, such longer 
                        period of time as may be provided in the terms 
                        of the plan) of the date on which the plan 
                        administrator is notified under clause (ii) or 
                        (iii) of subparagraph (A), whichever is 
                        applicable;
                            ``(ii) any such notification to an 
                        individual who is a qualified beneficiary as 
                        the spouse of the covered employee shall be 
                        treated as notification to all other qualified 
                        beneficiaries residing with such spouse at the 
                        time such notification is made; and
                            ``(iii) any such notification shall, with 
                        respect to each qualified beneficiary with 
                        respect to whom such notification is made, 
                        include information regarding any Exchange 
                        established under title I of the Patient 
                        Protection and Affordable Care Act through 
                        which such a qualified beneficiary may be 
                        eligible to enroll in a qualified health plan 
                        (as defined in section 1301 of the Patient 
                        Protection and Affordable Care Act), 
                        including--
                                    ``(I) the publicly accessible 
                                Internet website address for such 
                                Exchange;
                                    ``(II) the publicly accessible 
                                Internet website address for the Find 
                                Local Help directory maintained by the 
                                Department of Health and Human Services 
                                on the healthcare.gov Internet website 
                                (or a successor website);
                                    ``(III) a clear explanation that--
                                            ``(aa) an individual who is 
                                        eligible for continuation 
                                        coverage may also be eligible 
                                        to enroll, with financial 
                                        assistance, in a qualified 
                                        health plan offered through 
                                        such Exchange, but, in the case 
                                        that such individual elects to 
                                        enroll in such continuation 
                                        coverage and subsequently 
                                        elects to terminate such 
                                        continuation coverage before 
                                        the period of such continuation 
                                        coverage expires, such 
                                        individual will not be eligible 
                                        to enroll in a qualified health 
                                        plan offered through such 
                                        Exchange during a special 
                                        enrollment period; and
                                            ``(bb) an individual who 
                                        elects to enroll in 
                                        continuation coverage will 
                                        remain eligible to enroll in a 
                                        qualified health plan offered 
                                        through such Exchange during an 
                                        open enrollment period and may 
                                        be eligible for financial 
                                        assistance with respect to 
                                        enrolling in such a qualified 
                                        health plan;
                                    ``(IV) information on consumer 
                                protections with respect to enrolling 
                                in a qualified health plan offered 
                                through such Exchange, including the 
                                requirement for such a qualified health 
                                plan to provide coverage for essential 
                                health benefits (as defined in section 
                                1302(b) of the Patient Protection and 
                                Affordable Care Act) and the 
                                requirements applicable to such a 
                                qualified health plan under part A of 
                                title XXVII of the Public Health 
                                Service Act; and
                                    ``(V) information on the 
                                availability of financial assistance 
                                with respect to enrolling in a 
                                qualified health plan, including the 
                                maximum income limit for eligibility 
                                for a premium tax credit under section 
                                36B.''.
            (2) Effective date.--The amendments made by paragraph (1) 
        shall apply with respect to qualifying events occurring on or 
        after the date that is 14 days after the date of the enactment 
        of this Act.
    (d) Model Notices.--Not later than 14 days after the date of the 
enactment of this Act, the Secretary of the Labor, in consultation with 
the Secretary of the Treasury and the Secretary of Health and Human 
Services, shall--
            (1) update the model Consolidated Omnibus Budget 
        Reconciliation Act of 1985 (referred to in this subsection as 
        ``COBRA'') continuation coverage general notice and the model 
        COBRA continuation coverage election notice developed by the 
        Secretary of Labor for purposes of facilitating compliance of 
        group health plans with the notification requirements under 
        section 606 of the Employee Retirement Income Security Act of 
        1974 (29 U.S.C. 1166) to include the information described in 
        paragraph (3) of subsection (c) of such section 606, as added 
        by subsection (a)(1);
            (2) provide an opportunity for consumer testing of each 
        such notice, as so updated, to ensure that each such notice is 
        clear and understandable to the average participant or 
        beneficiary of a group health plan; and
            (3) rename the model COBRA continuation coverage general 
        notice and the model COBRA continuation coverage election 
        notice as the ``model COBRA continuation coverage and 
        Affordable Care Act coverage general notice'' and the ``model 
        COBRA continuation coverage and Affordable Care Act coverage 
        election notice'', respectively.

SEC. 30306. SOONER COVERAGE OF TESTING FOR COVID-19.

    Section 6001(a) of division F of the Families First Coronavirus 
Response Act (42 U.S.C. 1320b-5 note) is amended by striking 
``beginning on or after'' and inserting ``beginning before, on, or 
after''.

SEC. 30307. RISK CORRIDOR PROGRAM FOR HEALTH INSURANCE COVERAGE OFFERED 
              IN THE INDIVIDUAL OR SMALL GROUP MARKET.

    (a) In General.--The Secretary of Health and Human Services (in 
this section referred to as the ``Secretary'') shall establish and 
administer a program of risk corridors for plan years 2020 and 2021 
under which the Secretary shall make payments to health insurance 
issuers offering health insurance coverage in the individual or small 
group market based on the ratio of the allowable costs of the coverage 
to the aggregate premiums of the coverage.
    (b) Payment Methodology.--The Secretary shall provide under the 
program established under subsection (a) that if the allowable costs 
for a health insurance issuer offering health insurance coverage in the 
individual or small group market for any plan year are more than 105 
percent of the target amount, the Secretary shall pay to the issuer an 
amount equal to 75 percent of the allowable costs in excess of 105 
percent of the target amount.
    (c) Information Collection.--The Secretary shall establish a 
process under which information is collected from health insurance 
issuers offering health insurance coverage in the individual or small 
group market for purposes of carrying out this section.
    (d) Non-application.--The provisions of this section shall not 
apply with respect to any group or individual health insurance coverage 
in relation to its provision of excepted benefits described in section 
2791(c)(1) of the Public Health Service Act (42 U.S.C. 300gg-91(c)).
    (e) Definitions.--In this section:
            (1) Allowable costs.--
                    (A) In general.--The amount of allowable costs of a 
                health insurance issuer offering health insurance 
                coverage in the individual or small group market for 
                any year is an amount equal to the total costs (other 
                than administrative costs) of such issuer in providing 
                benefits covered by such coverage.
                    (B) Certain reductions.--Allowable costs shall 
                reduced by any--
                            (i) risk adjustment payments received under 
                        section 1343 of the Patient Protection and 
                        Affordable Care Act (42 U.S.C. 18063); and
                            (ii) reinsurance payments received pursuant 
                        to a waiver approved under section 1332 of such 
                        Act (42 U.S.C. 18052).
            (2) Additional terms.--The terms ``health insurance 
        issuer'', ``health insurance coverage'', ``individual market'', 
        and ``small group market'' have the meanings given such terms 
        in section 2791 of the Public Health Service Act (42 U.S.C. 
        300gg-91).
            (3) Target amount.--The target amount of health insurance 
        coverage offered in the individual or small group market for 
        any year is an amount equal to the total premiums (including 
        any premium subsidies under any governmental program), reduced 
        by the administrative costs of the coverage.
    (f) Treatment for MLR.--Payments made under this section with 
respect to an applicable plan year to a health insurance issuer 
offering health insurance coverage in the individual or small group 
market shall for purposes of section 2718(b) of the Public Health 
Service Act (42 U.S.C. 300gg-18(b)) be included in the calculation of 
the premium revenue with respect to such issuer and year.
    (g) Implementation.--The Secretary of Health and Human Services may 
implement the provisions of this section by subregulatory guidance, 
program instruction, or otherwise.
    (h) Appropriation.--There are appropriated, out of any monies in 
the Treasury not otherwise appropriated, such sums as may be necessary 
to carry out this section.

SEC. 30308. RISK CORRIDOR PROGRAM FOR SELF-INSURED GROUP HEALTH PLANS 
              AND HEALTH INSURANCE COVERAGE OFFERED IN THE LARGE GROUP 
              MARKET.

    (a) In General.--The Secretary of Health and Human Services (in 
this section referred to as the ``Secretary''), in coordination with 
the Secretary of Labor and the Secretary of the Treasury, shall 
establish and administer a program of risk corridors for plan years 
2020 and 2021 under which the Secretary, in coordination with the 
Secretary of Labor and the Secretary of the Treasury, shall make 
payments in accordance with subsection (b) to self-insured group health 
plans and health insurance issuers offering health insurance coverage 
in the large group market.
    (b) Payment Methodology.--The Secretary, in coordination with the 
Secretary of Labor and the Secretary of the Treasury, shall provide 
under the program established under subsection (a) that if the 
allowable costs for a self-insured group health plan or health 
insurance coverage offered in the large group market for any plan year 
are more than 105 percent of the target amount, the Secretary shall pay 
to the plan, or issuer of such coverage, an amount equal to 75 percent 
of the allowable costs in excess of 105 percent of the target amount.
    (c) Information Collection.--
            (1) In general.--The Secretary, the Secretary of Labor, and 
        the Secretary of the Treasury may require self-insured group 
        health plans and health insurance issuers of health insurance 
        coverage offered in the large group market to report to the 
        applicable Secretary, in a form, manner, and timeframe 
        specified by the Secretaries, information necessary for 
        purposes of carrying out this section in accordance with the 
        process established under paragraph (2).
            (2) Process.--The Secretary, the Secretary of Labor, and 
        the Secretary of the Treasury shall jointly establish a process 
        prescribing the form and manner under which information is 
        collected from self-insured group health plans and health 
        insurance issuers offering health insurance coverage in the 
        large group market for purposes of carrying out this section.
    (d) Definitions.--
            (1) Allowable costs.--
                    (A) In general.--The amount of allowable costs of a 
                self-insured group health plan or health insurance 
                coverage offered in the large group market for any plan 
                year is an amount equal to the total costs (other than 
                administrative costs) of such plan or the issuer of 
                such coverage in covering items and services furnished 
                during such plan year under such plan or such coverage.
                    (B) Certain reductions.--Allowable costs of a self-
                insured group health plan or health insurance coverage 
                offered in the large group market for a plan year shall 
                be reduced by any--
                            (i) reinsurance payments received by such 
                        plan or coverage pursuant to a waiver approved 
                        under section 1332 of such Act (42 U.S.C. 
                        18052) for such plan year; and
                            (ii) other payments received by such plan 
                        or coverage (as specified by the Secretary) for 
                        such plan year.
            (2) Additional terms.--For purposes of this section, the 
        terms ``excepted benefits'', ``health insurance issuer'', 
        ``health insurance coverage'', and ``large group market'' have 
        the meanings given such terms in section 2791 of the Public 
        Health Service Act (42 U.S.C. 300gg-91), section 733 of the 
        Employee Retirement Income Security Act of 1974 (29 U.S.C. 
        1191b), and section 9832 of the Internal Revenue Code of 1986, 
        as applicable, and the term ``self-insured group health plan'' 
        has the meaning given such term for purposes of section 
        2701(a)(5) of the Public Health Service Act (42 U.S.C. 
        300gg(a)(5)).
            (3) Target amount.--
                    (A) In general.--The target amount of--
                            (i) a self-insured group health plan for an 
                        applicable plan year is--
                                    (I) in the case such plan was 
                                offered during the preceding plan year 
                                and was subject to the requirement of 
                                section 601(a) of the Employee 
                                Retirement Income Security Act of 1974 
                                (29 U.S.C. 1161(a)) during such 
                                preceding plan year, the expected cost 
                                to the plan for all individuals covered 
                                under such plan for such preceding plan 
                                year (without regard to whether such 
                                cost is paid by the employer or 
                                employee), taking into account 
                                applicable premiums (as defined in 
                                section 604(a) of such Act (29 U.S.C. 
                                1164(1))) for such plan and preceding 
                                plan year, reduced by any 
                                administrative costs for such preceding 
                                plan year and increased by 5 percent; 
                                or
                                    (II) in the case such plan is not 
                                described in subclause (I), the 
                                expected cost to the plan for all 
                                individuals covered under such plan for 
                                such applicable plan year (as 
                                determined under a methodology 
                                specified by the Secretary), reduced by 
                                any administrative costs for such plan 
                                year; and
                            (ii) health insurance coverage offered in 
                        the large group market for an applicable plan 
                        year is an amount equal to the total premiums 
                        (including any premium subsidies under any 
                        governmental program), as defined by the 
                        Secretary, for such plan year, reduced by the 
                        administrative costs of the coverage for such 
                        plan year.
                    (B) Applicable plan year.--The term ``applicable 
                plan year'' means plan year 2020 or plan year 2021, as 
                applicable.
    (e) Application.--
            (1) In general.--The provisions of subsection (c) shall be 
        applied by the Secretary of Health and Human Services, the 
        Secretary of Labor, and the Secretary of the Treasury to group 
        health plans and health insurance issuers offering health 
        insurance coverage in the large group market as if such 
        subsection were included in the provisions of part A of title 
        XXVII of the Public Health Service Act (42 U.S.C. 300gg et 
        seq.), part 7 of the Employee Retirement Income Security Act of 
        1974 (29 U.S.C. 1181 et seq.), and subchapter B of chapter 100 
        of the Internal Revenue Code of 1986, as applicable.
            (2) Treatment for mlr.--Payments made under this section 
        with respect to an applicable plan year to a self-insured group 
        health plan or health insurance issuer offering health 
        insurance coverage in the large group market shall for purposes 
        of section 2718(b) of the Public Health Service Act (42 U.S.C. 
        300gg-18(b)) be included in the calculation of the premium 
        revenue with respect to such plan or issuer, respectively, and 
        year.
    (f) Non-application.--The provisions of this section shall not 
apply with respect to--
            (1) any group health plan or group or individual health 
        insurance coverage in relation to its provision of excepted 
        benefits; or
            (2) a grandfathered health plan, as defined in section 
        1251(e) of the Patient Protection and Affordable Care Act (42 
        U.S.C. 18011(e)).
    (g) Implementation.--The Secretary, the Secretary of Labor, and the 
Secretary of the Treasury may implement the provisions of this section 
by subregulatory guidance, program instruction, or otherwise.
    (h) Appropriation.--There are appropriated, out of any monies in 
the Treasury not otherwise appropriated, such sums as may be necessary 
to carry out this section.

             Subtitle B--Worker Health Coverage Protection

SEC. 30311. SHORT TITLE.

    This subtitle may be cited as the ``Worker Health Coverage 
Protection Act''.

SEC. 30312. PRESERVING HEALTH BENEFITS FOR WORKERS.

    (a) Premium Assistance for COBRA Continuation Coverage and 
Furloughed Continuation Coverage for Individuals and Their Families.--
            (1) Provision of premium assistance.--
                    (A) Reduction of premiums payable.--
                            (i) COBRA continuation coverage.--In the 
                        case of any premium for a period of coverage 
                        during the period beginning on March 1, 2020, 
                        and ending on January 31, 2021 for COBRA 
                        continuation coverage with respect to any 
                        assistance eligible individual described in 
                        paragraph (3)(A), such individual shall be 
                        treated for purposes of any COBRA continuation 
                        provision as having paid the amount of such 
                        premium if such individual pays (and any person 
                        other than such individual's employer pays on 
                        behalf of such individual) 0 percent of the 
                        amount of such premium owed by such individual 
                        (as determined without regard to this 
                        subsection).
                            (ii) Furloughed continuation coverage.--In 
                        the case of any premium for a period of 
                        coverage during the period beginning on March 
                        1, 2020, and ending on January 31, 2021 for 
                        coverage under a group health plan with respect 
                        to any assistance eligible individual described 
                        in paragraph (3)(B), such individual shall be 
                        treated for purposes of coverage under the plan 
                        offered by the plan sponsor in which the 
                        individual is enrolled as having paid the 
                        amount of such premium if such individual pays 
                        (and any person other than such individual's 
                        employer pays on behalf of such individual) 0 
                        percent of the amount of such premium owed by 
                        such individual (as determined without regard 
                        to this subsection).
                    (B) Plan enrollment option.--
                            (i) In general.--Notwithstanding the COBRA 
                        continuation provisions, any assistance 
                        eligible individual who is enrolled in a group 
                        health plan offered by a plan sponsor may, not 
                        later than 90 days after the date of notice of 
                        the plan enrollment option described in this 
                        subparagraph, elect to enroll in coverage under 
                        a plan offered by such plan sponsor that is 
                        different than coverage under the plan in which 
                        such individual was enrolled at the time--
                                    (I) in the case of any assistance 
                                eligible individual described in 
                                paragraph (3)(A), the qualifying event 
                                specified in section 603(2) of the 
                                Employee Retirement Income Security Act 
                                of 1974, section 4980B(f)(3)(B) of the 
                                Internal Revenue Code of 1986, section 
                                2203(2) of the Public Health Service 
                                Act, or section 8905a of title 5, 
                                United States Code (except for the 
                                voluntary termination of such 
                                individual's employment by such 
                                individual), occurred, and such 
                                coverage shall be treated as COBRA 
                                continuation coverage for purposes of 
                                the applicable COBRA continuation 
                                coverage provision; or
                                    (II) in the case of any assistance 
                                eligible individual described in 
                                paragraph (3)(B), the furlough period 
                                began with respect to such individual.
                            (ii) Requirements.--Any assistance eligible 
                        individual may elect to enroll in different 
                        coverage as described in clause (i) only if--
                                    (I) the employer involved has made 
                                a determination that such employer will 
                                permit such assistance eligible 
                                individual to enroll in different 
                                coverage as provided under this 
                                subparagraph;
                                    (II) the premium for such different 
                                coverage does not exceed the premium 
                                for coverage in which such individual 
                                was enrolled at the time such 
                                qualifying event occurred or 
                                immediately before such furlough began;
                                    (III) the different coverage in 
                                which the individual elects to enroll 
                                is coverage that is also offered to the 
                                active employees of the employer, who 
                                are not in a furlough period, at the 
                                time at which such election is made; 
                                and
                                    (IV) the different coverage in 
                                which the individual elects to enroll 
                                is not--
                                            (aa) coverage that provides 
                                        only dental, vision, 
                                        counseling, or referral 
                                        services (or a combination of 
                                        such services);
                                            (bb) a qualified small 
                                        employer health reimbursement 
                                        arrangement (as defined in 
                                        section 9831(d)(2) of the 
                                        Internal Revenue Code of 1986);
                                            (cc) a flexible spending 
                                        arrangement (as defined in 
                                        section 106(c)(2) of the 
                                        Internal Revenue Code of 1986); 
                                        or
                                            (dd) benefits that provide 
                                        coverage for services or 
                                        treatments furnished in an on-
                                        site medical facility 
                                        maintained by the employer and 
                                        that consists primarily of 
                                        first-aid services, prevention 
                                        and wellness care, or similar 
                                        care (or a combination of such 
                                        care).
                    (C) Premium reimbursement.--For provisions 
                providing the payment of such premium, see section 6432 
                of the Internal Revenue Code of 1986, as added by 
                paragraph (14).
            (2) Limitation of period of premium assistance.--
                    (A) Eligibility for additional coverage.--Paragraph 
                (1)(A) shall not apply with respect to--
                            (i) any assistance eligible individual 
                        described in paragraph (3)(A) for months of 
                        coverage beginning on or after the earlier of--
                                    (I) the first date that such 
                                individual is eligible for coverage 
                                under any other group health plan 
                                (other than coverage consisting of only 
                                dental, vision, counseling, or referral 
                                services (or a combination thereof), 
                                coverage under a flexible spending 
                                arrangement (as defined in section 
                                106(c)(2) of the Internal Revenue Code 
                                of 1986), coverage of treatment that is 
                                furnished in an on-site medical 
                                facility maintained by the employer and 
                                that consists primarily of first-aid 
                                services, prevention and wellness care, 
                                or similar care (or a combination 
                                thereof)), or eligible for benefits 
                                under the Medicare program under title 
                                XVIII of the Social Security Act; or
                                    (II) the earliest of--
                                            (aa) the date following the 
                                        expiration of the maximum 
                                        period of continuation coverage 
                                        required under the applicable 
                                        COBRA continuation coverage 
                                        provision; or
                                            (bb) the date following the 
                                        expiration of the period of 
                                        continuation coverage allowed 
                                        under paragraph (4)(B)(ii); or
                            (ii) any assistance eligible individual 
                        described in paragraph (3)(B) for months of 
                        coverage beginning on or after the earlier of--
                                    (I) the first date that such 
                                individual is eligible for coverage 
                                under any other group health plan 
                                (other than coverage consisting of only 
                                dental, vision, counseling, or referral 
                                services (or a combination thereof), 
                                coverage under a flexible spending 
                                arrangement (as defined in section 
                                106(c)(2) of the Internal Revenue Code 
                                of 1986), coverage of treatment that is 
                                furnished in an on-site medical 
                                facility maintained by the employer and 
                                that consists primarily of first-aid 
                                services, prevention and wellness care, 
                                or similar care (or a combination 
                                thereof)), or eligible for benefits 
                                under the Medicare program under title 
                                XVIII of the Social Security Act; or
                                    (II) the first date that such 
                                individual is no longer in the furlough 
                                period.
                    (B) Notification requirement.--Any assistance 
                eligible individual shall notify the group health plan 
                with respect to which paragraph (1)(A) applies if such 
                paragraph ceases to apply by reason of clause (i)(I) or 
                (ii)(I) of subparagraph (A) (as applicable). Such 
                notice shall be provided to the group health plan in 
                such time and manner as may be specified by the 
                Secretary of Labor.
                    (C) Special enrollment period following expiration 
                of premium assistance.--Notwithstanding section 1311 of 
                the Patient Protection and Affordable Care Act (42 
                U.S.C. 18031), the expiration of premium assistance 
                pursuant to a limitation specified under subparagraph 
                (A) shall be treated as a qualifying event for which 
                any assistance eligible individual is eligible to 
                enroll in a qualified health plan offered through an 
                Exchange under title I of such Act (42 U.S.C. 18001 et 
                seq.) during a special enrollment period.
            (3) Assistance eligible individual.--For purposes of this 
        section, the term ``assistance eligible individual'' means, 
        with respect to a period of coverage during the period 
        beginning on March 1, 2020, and ending on January 31, 2021--
                    (A) any individual that is a qualified beneficiary 
                that--
                            (i) is eligible for COBRA continuation 
                        coverage by reason of a qualifying event 
                        specified in section 603(2) of the Employee 
                        Retirement Income Security Act of 1974, section 
                        4980B(f)(3)(B) of the Internal Revenue Code of 
                        1986, section 2203(2) of the Public Health 
                        Service Act, or section 8905a of title 5, 
                        United States Code (except for the voluntary 
                        termination of such individual's employment by 
                        such individual); and
                            (ii) elects such coverage; or
                    (B) any covered employee that is in a furlough 
                period that remains eligible for coverage under a group 
                health plan offered by the employer of such covered 
                employee.
            (4) Extension of election period and effect on coverage.--
                    (A) In general.--For purposes of applying section 
                605(a) of the Employee Retirement Income Security Act 
                of 1974, section 4980B(f)(5)(A) of the Internal Revenue 
                Code of 1986, section 2205(a) of the Public Health 
                Service Act, and section 8905a(c)(2) of title 5, United 
                States Code, in the case of--
                            (i) an individual who does not have an 
                        election of COBRA continuation coverage in 
                        effect on the date of the enactment of this Act 
                        but who would be an assistance eligible 
                        individual described in paragraph (3)(A) if 
                        such election were so in effect; or
                            (ii) an individual who elected COBRA 
                        continuation coverage on or after March 1, 
                        2020, and discontinued from such coverage 
                        before the date of the enactment of this Act,
                such individual may elect the COBRA continuation 
                coverage under the COBRA continuation coverage 
                provisions containing such provisions during the period 
                beginning on the date of the enactment of this Act and 
                ending 60 days after the date on which the notification 
                required under paragraph (7)(C) is provided to such 
                individual.
                    (B) Commencement of cobra continuation coverage.--
                Any COBRA continuation coverage elected by a qualified 
                beneficiary during an extended election period under 
                subparagraph (A)--
                            (i) shall apply as if such qualified 
                        beneficiary had been covered as of the date of 
                        a qualifying event specified in section 603(2) 
                        of the Employee Retirement Income Security Act 
                        of 1974, section 4980B(f)(3)(B) of the Internal 
                        Revenue Code of 1986, section 2203(2) of the 
                        Public Health Service Act, or section 8905a of 
                        title 5, United States Code, except for the 
                        voluntary termination of such beneficiary's 
                        employment by such beneficiary, that occurs no 
                        earlier than March 1, 2020 (including the 
                        treatment of premium payments under paragraph 
                        (1)(A) and any cost-sharing requirements for 
                        items and services under a group health plan); 
                        and
                            (ii) shall not extend beyond the period of 
                        COBRA continuation coverage that would have 
                        been required under the applicable COBRA 
                        continuation coverage provision if the coverage 
                        had been elected as required under such 
                        provision.
            (5) Expedited review of denials of premium assistance.--In 
        any case in which an individual requests treatment as an 
        assistance eligible individual described in subparagraph (A) or 
        (B) of paragraph (3) and is denied such treatment by the group 
        health plan, the Secretary of Labor (or the Secretary of Health 
        and Human Services in connection with COBRA continuation 
        coverage which is provided other than pursuant to part 6 of 
        subtitle B of title I of the Employee Retirement Income 
        Security Act of 1974), in consultation with the Secretary of 
        the Treasury, shall provide for expedited review of such 
        denial. An individual shall be entitled to such review upon 
        application to such Secretary in such form and manner as shall 
        be provided by such Secretary, in consultation with the 
        Secretary of Treasury. Such Secretary shall make a 
        determination regarding such individual's eligibility within 15 
        business days after receipt of such individual's application 
        for review under this paragraph. Either Secretary's 
        determination upon review of the denial shall be de novo and 
        shall be the final determination of such Secretary. A reviewing 
        court shall grant deference to such Secretary's determination. 
        The provisions of this paragraph, paragraphs (1) through (4), 
        and paragraphs (7) through (9) shall be treated as provisions 
        of title I of the Employee Retirement Income Security Act of 
        1974 for purposes of part 5 of subtitle B of such title.
            (6) Disregard of subsidies for purposes of federal and 
        state programs.--Notwithstanding any other provision of law, 
        any premium assistance with respect to an assistance eligible 
        individual under this subsection shall not be considered 
        income, in-kind support, or resources for purposes of 
        determining the eligibility of the recipient (or the 
        recipient's spouse or family) for benefits or assistance, or 
        the amount or extent of benefits or assistance, or any other 
        benefit provided under any Federal program or any program of a 
        State or political subdivision thereof financed in whole or in 
        part with Federal funds.
            (7) COBRA-specific notice.--
                    (A) General notice.--
                            (i) In general.--In the case of notices 
                        provided under section 606(a)(4) of the 
                        Employee Retirement Income Security Act of 1974 
                        (29 U.S.C. 1166(4)), section 4980B(f)(6)(D) of 
                        the Internal Revenue Code of 1986, section 
                        2206(4) of the Public Health Service Act (42 
                        U.S.C. 300bb-6(4)), or section 8905a(f)(2)(A) 
                        of title 5, United States Code, with respect to 
                        individuals who, during the period described in 
                        paragraph (3), become entitled to elect COBRA 
                        continuation coverage, the requirements of such 
                        provisions shall not be treated as met unless 
                        such notices include an additional notification 
                        to the recipient a written notice in clear and 
                        understandable language of--
                                    (I) the availability of premium 
                                assistance with respect to such 
                                coverage under this subsection; and
                                    (II) the option to enroll in 
                                different coverage if the employer 
                                permits assistance eligible individuals 
                                described in paragraph (3)(A) to elect 
                                enrollment in different coverage (as 
                                described in paragraph (1)(B)).
                            (ii) Alternative notice.--In the case of 
                        COBRA continuation coverage to which the notice 
                        provision under such sections does not apply, 
                        the Secretary of Labor, in consultation with 
                        the Secretary of the Treasury and the Secretary 
                        of Health and Human Services, shall, in 
                        consultation with administrators of the group 
                        health plans (or other entities) that provide 
                        or administer the COBRA continuation coverage 
                        involved, provide rules requiring the provision 
                        of such notice.
                            (iii) Form.--The requirement of the 
                        additional notification under this subparagraph 
                        may be met by amendment of existing notice 
                        forms or by inclusion of a separate document 
                        with the notice otherwise required.
                    (B) Specific requirements.--Each additional 
                notification under subparagraph (A) shall include--
                            (i) the forms necessary for establishing 
                        eligibility for premium assistance under this 
                        subsection;
                            (ii) the name, address, and telephone 
                        number necessary to contact the plan 
                        administrator and any other person maintaining 
                        relevant information in connection with such 
                        premium assistance;
                            (iii) a description of the extended 
                        election period provided for in paragraph 
                        (4)(A);
                            (iv) a description of the obligation of the 
                        qualified beneficiary under paragraph (2)(B) 
                        and the penalty provided under section 6720C of 
                        the Internal Revenue Code of 1986 for failure 
                        to carry out the obligation;
                            (v) a description, displayed in a prominent 
                        manner, of the qualified beneficiary's right to 
                        a reduced premium and any conditions on 
                        entitlement to the reduced premium;
                            (vi) a description of the option of the 
                        qualified beneficiary to enroll in different 
                        coverage if the employer permits such 
                        beneficiary to elect to enroll in such 
                        different coverage under paragraph (1)(B); and
                            (vii) information regarding any Exchange 
                        established under title I of the Patient 
                        Protection and Affordable Care Act (42 U.S.C. 
                        18001 et seq.) through which a qualified 
                        beneficiary may be eligible to enroll in a 
                        qualified health plan, including--
                                    (I) the publicly accessible 
                                internet website address for such 
                                Exchange;
                                    (II) the publicly accessible 
                                internet website address for the Find 
                                Local Help directory maintained by the 
                                Department of Health and Human Services 
                                on the healthcare.gov internet website 
                                (or a successor website);
                                    (III) a clear explanation that--
                                            (aa) an individual who is 
                                        eligible for continuation 
                                        coverage may also be eligible 
                                        to enroll, with financial 
                                        assistance, in a qualified 
                                        health plan offered through 
                                        such Exchange, but, in the case 
                                        that such individual elects to 
                                        enroll in such continuation 
                                        coverage and subsequently 
                                        elects to terminate such 
                                        continuation coverage before 
                                        the period of such continuation 
                                        coverage expires, such 
                                        termination does not initiate a 
                                        special enrollment period 
                                        (absent a qualifying event 
                                        specified in section 603(2) of 
                                        the Employee Retirement Income 
                                        Security Act of 1974, section 
                                        4980B(f)(3)(B) of the Internal 
                                        Revenue Code of 1986, section 
                                        2203(2) of the Public Health 
                                        Service Act, or section 8905a 
                                        of title 5, United States Code, 
                                        with respect to such 
                                        individual); and
                                            (bb) an individual who 
                                        elects to enroll in 
                                        continuation coverage will 
                                        remain eligible to enroll in a 
                                        qualified health plan offered 
                                        through such Exchange during an 
                                        open enrollment period and may 
                                        be eligible for financial 
                                        assistance with respect to 
                                        enrolling in such a qualified 
                                        health plan;
                                    (IV) information on consumer 
                                protections with respect to enrolling 
                                in a qualified health plan offered 
                                through such Exchange, including the 
                                requirement for such a qualified health 
                                plan to provide coverage for essential 
                                health benefits (as defined in section 
                                1302(b) of such Act (42 U.S.C. 
                                18022(b))) and the requirements 
                                applicable to such a qualified health 
                                plan under part A of title XXVII of the 
                                Public Health Service Act (42 U.S.C. 
                                300gg et seq.);
                                    (V) information on the availability 
                                of financial assistance with respect to 
                                enrolling in a qualified health plan, 
                                including the maximum income limit for 
                                eligibility for the premium tax credit 
                                under section 36B of the Internal 
                                Revenue Code of 1986; and
                                    (VI) information on any special 
                                enrollment periods during which any 
                                assistance eligible individual 
                                described in paragraph (3)(A)(i) may be 
                                eligible to enroll, with financial 
                                assistance, in a qualified health plan 
                                offered through such Exchange 
                                (including a special enrollment period 
                                for which an individual may be eligible 
                                due to the expiration of premium 
                                assistance pursuant to a limitation 
                                specified under paragraph (2)(A)).
                    (C) Notice in connection with extended election 
                periods.--In the case of any assistance eligible 
                individual described in paragraph (3)(A) (or any 
                individual described in paragraph (4)(A)) who became 
                entitled to elect COBRA continuation coverage before 
                the date of the enactment of this Act, the 
                administrator of the applicable group health plan (or 
                other entity) shall provide (within 60 days after the 
                date of enactment of this Act) for the additional 
                notification required to be provided under subparagraph 
                (A) and failure to provide such notice shall be treated 
                as a failure to meet the notice requirements under the 
                applicable COBRA continuation provision.
                    (D) Model notices.--Not later than 30 days after 
                the date of enactment of this Act, with respect to any 
                assistance eligible individual described in paragraph 
                (3)(A)--
                            (i) the Secretary of Labor, in consultation 
                        with the Secretary of the Treasury and the 
                        Secretary of Health and Human Services, shall 
                        prescribe models for the additional 
                        notification required under this paragraph 
                        (other than the additional notification 
                        described in clause (ii)); and
                            (ii) in the case of any additional 
                        notification provided pursuant to subparagraph 
                        (A) under section 8905a(f)(2)(A) of title 5, 
                        United States Code, the Office of Personnel 
                        Management shall prescribe a model for such 
                        additional notification.
            (8) Furlough-specific notice.--
                    (A) In general.--With respect to any assistance 
                eligible individual described in paragraph (3)(B) who, 
                during the period described in such paragraph, becomes 
                eligible for assistance pursuant to paragraph 
                (1)(A)(ii), the requirements of section 606(a)(4) of 
                the Employee Retirement Income Security Act of 1974 (29 
                U.S.C. 1166(4)), section 4980B(f)(6)(D) of the Internal 
                Revenue Code of 1986, section 2206(4) of the Public 
                Health Service Act (42 U.S.C. 300bb-6(4)), or section 
                8905a(f)(2)(A) of title 5, United States Code, shall 
                not be treated as met unless the group health plan 
                administrator, in accordance with the timing 
                requirement specified under subparagraph (B), provides 
                to the individual a written notice in clear and 
                understandable language of--
                            (i) the availability of premium assistance 
                        with respect to such coverage under this 
                        subsection;
                            (ii) the option of the qualified 
                        beneficiary to enroll in different coverage if 
                        the employer permits such beneficiary to elect 
                        to enroll in such different coverage under 
                        paragraph (1)(B); and
                            (iii) the information specified under 
                        paragraph (7)(B) (as applicable).
                    (B) Timing specified.--For purposes of subparagraph 
                (A), the timing requirement specified in this 
                subparagraph is--
                            (i) with respect to such an individual who 
                        is within a furlough period during the period 
                        beginning on March 1, 2020, and ending on the 
                        date of the enactment of this Act, 30 days 
                        after the date of such enactment; and
                            (ii) with respect to such an individual who 
                        is within a furlough period during the period 
                        beginning on the first day after the date of 
                        the enactment of this Act and ending on January 
                        31, 2021, 30 days after the date of the 
                        beginning of such furlough period.
                    (C) Model notices.--Not later than 30 days after 
                the date of enactment of this Act, with respect to any 
                assistance eligible individual described in paragraph 
                (3)(B)--
                            (i) the Secretary of Labor, in consultation 
                        with the Secretary of the Treasury and the 
                        Secretary of Health and Human Services, shall 
                        prescribe models for the notification required 
                        under this paragraph (other than the 
                        notification described in clause (ii)); and
                            (ii) in the case of any notification 
                        provided pursuant to subparagraph (A) under 
                        section 8905a(f)(2)(A) of title 5, United 
                        States Code, the Office of Personnel Management 
                        shall prescribe a model for such notification.
            (9) Notice of expiration of period of premium assistance.--
                    (A) In general.--With respect to any assistance 
                eligible individual, subject to subparagraph (B), the 
                requirements of section 606(a)(4) of the Employee 
                Retirement Income Security Act of 1974 (29 U.S.C. 
                1166(4)), section 4980B(f)(6)(D) of the Internal 
                Revenue Code of 1986, section 2206(4) of the Public 
                Health Service Act (42 U.S.C. 300bb-6(4)), or section 
                8905a(f)(2)(A) of title 5, United States Code, shall 
                not be treated as met unless the employer of the 
                individual, during the period specified under 
                subparagraph (C), provides to such individual a written 
                notice in clear and understandable language--
                            (i) that the premium assistance for such 
                        individual will expire soon and the prominent 
                        identification of the date of such expiration;
                            (ii) that such individual may be eligible 
                        for coverage without any premium assistance 
                        through--
                                    (I) COBRA continuation coverage; or
                                    (II) coverage under a group health 
                                plan;
                            (iii) that the expiration of premium 
                        assistance is treated as a qualifying event for 
                        which any assistance eligible individual is 
                        eligible to enroll in a qualified health plan 
                        offered through an Exchange under title I of 
                        such Act (42 U.S.C. 18001 et seq.) during a 
                        special enrollment period; and
                            (iv) the information specified in paragraph 
                        (7)(B)(vii).
                    (B) Exception.--The requirement for the group 
                health plan administrator to provide the written notice 
                under subparagraph (A) shall be waived in the case the 
                premium assistance for such individual expires pursuant 
                to clause (i)(I) or (ii)(I) of paragraph (2)(A).
                    (C) Period specified.--For purposes of subparagraph 
                (A), the period specified in this subparagraph is, with 
                respect to the date of expiration of premium assistance 
                for any assistance eligible individual pursuant to a 
                limitation requiring a notice under this paragraph, the 
                period beginning on the day that is 45 days before the 
                date of such expiration and ending on the day that is 
                15 days before the date of such expiration.
                    (D) Model notices.--Not later than 30 days after 
                the date of enactment of this Act, with respect to any 
                assistance eligible individual--
                            (i) the Secretary of Labor, in consultation 
                        with the Secretary of the Treasury and the 
                        Secretary of Health and Human Services, shall 
                        prescribe models for the notification required 
                        under this paragraph (other than the 
                        notification described in clause (ii)); and
                            (ii) in the case of any notification 
                        provided pursuant to subparagraph (A) under 
                        section 8905a(f)(2)(A) of title 5, United 
                        States Code, the Office of Personnel Management 
                        shall prescribe a model for such notification.
            (10) Regulations.--The Secretary of the Treasury and the 
        Secretary of Labor may jointly prescribe such regulations or 
        other guidance as may be necessary or appropriate to carry out 
        the provisions of this subsection, including the prevention of 
        fraud and abuse under this subsection, except that the 
        Secretary of Labor and the Secretary of Health and Human 
        Services may prescribe such regulations (including interim 
        final regulations) or other guidance as may be necessary or 
        appropriate to carry out the provisions of paragraphs (5), (7), 
        (8), (9), and (11).
            (11) Outreach.--
                    (A) In general.--The Secretary of Labor, in 
                consultation with the Secretary of the Treasury and the 
                Secretary of Health and Human Services, shall provide 
                outreach consisting of public education and enrollment 
                assistance relating to premium assistance provided 
                under this subsection. Such outreach shall target 
                employers, group health plan administrators, public 
                assistance programs, States, insurers, and other 
                entities as determined appropriate by such Secretaries. 
                Such outreach shall include an initial focus on those 
                individuals electing continuation coverage who are 
                referred to in paragraph (7)(C). Information on such 
                premium assistance, including enrollment, shall also be 
                made available on websites of the Departments of Labor, 
                Treasury, and Health and Human Services.
                    (B) Enrollment under medicare.--The Secretary of 
                Health and Human Services shall provide outreach 
                consisting of public education. Such outreach shall 
                target individuals who lose health insurance coverage. 
                Such outreach shall include information regarding 
                enrollment for benefits under title XVIII of the Social 
                Security Act (42 U.S.C. 1395 et seq.) for purposes of 
                preventing mistaken delays of such enrollment by such 
                individuals, including lifetime penalties for failure 
                of timely enrollment.
            (12) Definitions.--For purposes of this section:
                    (A) Administrator.--The term ``administrator'' has 
                the meaning given such term in section 3(16)(A) of the 
                Employee Retirement Income Security Act of 1974.
                    (B) COBRA continuation coverage.--The term ``COBRA 
                continuation coverage'' means continuation coverage 
                provided pursuant to part 6 of subtitle B of title I of 
                the Employee Retirement Income Security Act of 1974 
                (other than under section 609), title XXII of the 
                Public Health Service Act, section 4980B of the 
                Internal Revenue Code of 1986 (other than subsection 
                (f)(1) of such section insofar as it relates to 
                pediatric vaccines), or section 8905a of title 5, 
                United States Code, or under a State program that 
                provides comparable continuation coverage. Such term 
                does not include coverage under a health flexible 
                spending arrangement under a cafeteria plan within the 
                meaning of section 125 of the Internal Revenue Code of 
                1986.
                    (C) COBRA continuation provision.--The term ``COBRA 
                continuation provision'' means the provisions of law 
                described in subparagraph (B).
                    (D) Covered employee.--The term ``covered 
                employee'' has the meaning given such term in section 
                607(2) of the Employee Retirement Income Security Act 
                of 1974.
                    (E) Qualified beneficiary.--The term ``qualified 
                beneficiary'' has the meaning given such term in 
                section 607(3) of the Employee Retirement Income 
                Security Act of 1974.
                    (F) Group health plan.--The term ``group health 
                plan'' has the meaning given such term in section 
                607(1) of the Employee Retirement Income Security Act 
                of 1974.
                    (G) State.--The term ``State'' includes the 
                District of Columbia, the Commonwealth of Puerto Rico, 
                the Virgin Islands, Guam, American Samoa, and the 
                Commonwealth of the Northern Mariana Islands.
                    (H) Period of coverage.--Any reference in this 
                subsection to a period of coverage shall be treated as 
                a reference to a monthly or shorter period of coverage 
                with respect to which premiums are charged with respect 
                to such coverage.
                    (I) Plan sponsor.--The term ``plan sponsor'' has 
                the meaning given such term in section 3(16)(B) of the 
                Employee Retirement Income Security Act of 1974.
                    (J) Furlough period.--
                            (i) In general.--The term ``furlough 
                        period'' means, with respect to an individual 
                        and an employer of such individual, a period--
                                    (I) beginning with the first month 
                                beginning on or after March 1, 2020 and 
                                before January 31, 2021, during which 
                                such individual's employer reduces such 
                                individual's work hours (due to a lack 
                                of work, funds, or other 
                                nondisciplinary reason) to an amount 
                                that is less than 70 percent of the 
                                base month amount; and
                                    (II) ending with the earlier of--
                                            (aa) the first month 
                                        beginning after January 31, 
                                        2021; or
                                            (bb) the month following 
                                        the first month during which 
                                        work hours of such employee are 
                                        greater than 80 percent of work 
                                        hours of the base month amount.
                            (ii) Base month amount.--For purposes of 
                        clause (i), the term ``base month amount'' 
                        means, with respect to an individual and an 
                        employer of such individual, the greater of--
                                    (I) such individual's work hours in 
                                the month prior (or in the case such 
                                individual had no work hours in the 
                                month prior and had work hours in the 3 
                                months prior, the last month with work 
                                hours within the prior 3 months); and
                                    (II) such individual's work hours 
                                during the period beginning January 1, 
                                2020 and ending January 31, 2020.
            (13) Reports.--
                    (A) Interim report.--The Secretary of the Treasury 
                and the Secretary of Labor shall jointly submit an 
                interim report to the Committee on Education and Labor, 
                the Committee on Ways and Means, and the Committee on 
                Energy and Commerce of the House of Representatives and 
                the Committee on Health, Education, Labor, and Pensions 
                and the Committee on Finance of the Senate regarding 
                the premium assistance provided under this subsection 
                that includes--
                            (i) the number of individuals provided such 
                        assistance as of the date of the report; and
                            (ii) the total amount of expenditures 
                        incurred (with administrative expenditures 
                        noted separately) in connection with such 
                        assistance as of the date of the report.
                    (B) Final report.--As soon as practicable after the 
                last period of COBRA continuation coverage for which 
                premium assistance is provided under this section, the 
                Secretary of the Treasury and the Secretary of Labor 
                shall jointly submit a final report to each Committee 
                referred to in subparagraph (A) that includes--
                            (i) the number of individuals provided 
                        premium assistance under this section;
                            (ii) the average dollar amount (monthly and 
                        annually) of premium assistance provided to 
                        such individuals; and
                            (iii) the total amount of expenditures 
                        incurred (with administrative expenditures 
                        noted separately) in connection with premium 
                        assistance under this section.
            (14) COBRA premium assistance.--
                    (A) In general.--Subchapter B of chapter 65 of the 
                Internal Revenue Code of 1986 is amended by adding at 
                the end the following new section:

``SEC. 6432. CONTINUATION COVERAGE PREMIUM ASSISTANCE.

    ``(a) In General.--The person to whom premiums are payable for 
continuation coverage under section 30312(a)(1) of the Worker Health 
Coverage Protection Act shall be allowed as a credit against the tax 
imposed by section 3111(a), or so much of the taxes imposed under 
section 3221(a) as are attributable to the rate in effect under section 
3111(a), for each calendar quarter an amount equal to the premiums not 
paid by assistance eligible individuals for such coverage by reason of 
such section 30312(a)(1) with respect to such calendar quarter.
    ``(b) Person to Whom Premiums Are Payable.--For purposes of 
subsection (a), except as otherwise provided by the Secretary, the 
person to whom premiums are payable under such continuation coverage 
shall be treated as being--
            ``(1) in the case of any group health plan which is a 
        multiemployer plan (as defined in section 3(37) of the Employee 
        Retirement Income Security Act of 1974), the plan,
            ``(2) in the case of any group health plan not described in 
        paragraph (1)--
                    ``(A) which provides furlough continuation coverage 
                described in section 30312(a)(1)(A)(ii) of the Worker 
                Health Coverage Protection Act or subject to the COBRA 
                continuation provisions contained in--
                            ``(i) this title,
                            ``(ii) the Employee Retirement Income 
                        Security Act of 1974,
                            ``(iii) the Public Health Service Act, or
                            ``(iv) title 5, United States Code, or
                    ``(B) under which some or all of the coverage is 
                not provided by insurance,
        the employer maintaining the plan, and
            ``(3) in the case of any group health plan not described in 
        paragraph (1) or (2), the insurer providing the coverage under 
        the group health plan.
    ``(c) Limitations and Refundability.--
            ``(1) Credit limited to certain employment taxes.--The 
        credit allowed by subsection (a) with respect to any calendar 
        quarter shall not exceed the tax imposed by section 3111(a), or 
        so much of the taxes imposed under section 3221(a) as are 
        attributable to the rate in effect under section 3111(a), for 
        such calendar quarter (reduced by any credits allowed under 
        subsections (e) and (f) of section 3111, sections 7001 and 7003 
        of the Families First Coronavirus Response Act, section 2301 of 
        the CARES Act, and sections 20204 and 20212 of the COVID-19 Tax 
        Relief Act of 2020 for such quarter) on the wages paid with 
        respect to the employment of all employees of the employer.
            ``(2) Refundability of excess credit.--
                    ``(A) Credit is refundable.--If the amount of the 
                credit under subsection (a) exceeds the limitation of 
                paragraph (1) for any calendar quarter, such excess 
                shall be treated as an overpayment that shall be 
                refunded under sections 6402(a) and 6413(b).
                    ``(B) Credit may be advanced.--In anticipation of 
                the credit, including the refundable portion under 
                subparagraph (A), the credit may be advanced, according 
                to forms and instructions provided by the Secretary, up 
                to an amount calculated under subsection (a) through 
                the end of the most recent payroll period in the 
                quarter.
                    ``(C) Treatment of deposits.--The Secretary shall 
                waive any penalty under section 6656 for any failure to 
                make a deposit of the tax imposed by section 3111(a), 
                or so much of the taxes imposed under section 3221(a) 
                as are attributable to the rate in effect under section 
                3111(a), if the Secretary determines that such failure 
                was due to the anticipation of the credit allowed under 
                this section.
                    ``(D) Treatment of payments.--For purposes of 
                section 1324 of title 31, United States Code, any 
                amounts due to an employer under this paragraph shall 
                be treated in the same manner as a refund due from a 
                credit provision referred to in subsection (b)(2) of 
                such section.
            ``(3) Limitation on reimbursement for furloughed 
        employees.--In the case of an individual who for any month is 
        an assistance eligible individual described in section 
        30312(a)(3)(B) of the Worker Health Coverage Protection Act 
        with respect to any coverage, the credit determined with 
        respect to such individual under subsection (a) for any such 
        month ending during a calendar quarter shall not exceed the 
        amount of premium the individual would have paid for a full 
        month of such coverage for the month preceding the first month 
        for which an individual is such an assistance eligible 
        individual.
    ``(d) Governmental Entities.--For purposes of this section, the 
term `person' includes any governmental entity or Indian tribal 
government (as defined in section 139E(c)(1)).
    ``(e) Denial of Double Benefit.--For purposes of chapter 1, the 
gross income of any person allowed a credit under this section shall be 
increased for the taxable year which includes the last day of any 
calendar quarter with respect to which such credit is allowed by the 
amount of such credit. No amount for which a credit is allowed under 
this section shall be taken into account as qualified wages under 
section 2301 of the CARES Act or as qualified health plan expenses 
under section 7001(d) or 7003(d) of the Families First Coronavirus 
Response Act.
    ``(f) Reporting.--Each person entitled to reimbursement under 
subsection (a) for any period shall submit such reports (at such time 
and in such manner) as the Secretary may require, including--
            ``(1) an attestation of involuntary termination of 
        employment, reduction of hours, or furloughing, for each 
        assistance eligible individual on the basis of whose 
        termination, reduction of hours, or furloughing entitlement to 
        reimbursement is claimed under subsection (a),
            ``(2) a report of the amount of payroll taxes offset under 
        subsection (a) for the reporting period, and
            ``(3) a report containing the TINs of all covered 
        employees, the amount of subsidy reimbursed with respect to 
        each employee, and a designation with respect to each employee 
        as to whether the subsidy reimbursement is for coverage of 1 
        individual or 2 or more individuals.
    ``(g) Regulations.--The Secretary shall issue such regulations or 
other guidance as may be necessary or appropriate to carry out this 
section, including--
            ``(1) the requirement to report information or the 
        establishment of other methods for verifying the correct 
        amounts of reimbursements under this section,
            ``(2) the application of this section to group health plans 
        that are multiemployer plans (as defined in section 3(37) of 
        the Employee Retirement Income Security Act of 1974),
            ``(3) to allow the advance payment of the credit determined 
        under subsection (a), subject to the limitations provided in 
        this section, based on such information as the Secretary shall 
        require,
            ``(4) to provide for the reconciliation of such advance 
        payment with the amount of the credit at the time of filing the 
        return of tax for the applicable quarter or taxable year, and
            ``(5) with respect to the application of the credit to 
        third party payors (including professional employer 
        organizations, certified professional employer organizations, 
        or agents under section 3504).''.
                    (B) Social security trust funds held harmless.--
                There are hereby appropriated to the Federal Old-Age 
                and Survivors Insurance Trust Fund and the Federal 
                Disability Insurance Trust Fund established under 
                section 201 of the Social Security Act (42 U.S.C. 401) 
                and the Social Security Equivalent Benefit Account 
                established under section 15A(a) of the Railroad 
                Retirement Act of 1974 (45 U.S.C. 231n-1(a)) amounts 
                equal to the reduction in revenues to the Treasury by 
                reason of this section (without regard to this 
                subparagraph). Amounts appropriated by the preceding 
                sentence shall be transferred from the general fund at 
                such times and in such manner as to replicate to the 
                extent possible the transfers which would have occurred 
                to such Trust Fund or Account had this section not been 
                enacted.
                    (C) Clerical amendment.--The table of sections for 
                subchapter B of chapter 65 of the Internal Revenue Code 
                of 1986 is amended by adding at the end the following 
                new item:

``Sec. 6432. Continuation coverage premium assistance.''.
                    (D) Effective date.--The amendments made by this 
                paragraph shall apply to premiums to which subsection 
                (a)(1)(A) applies.
                    (E) Special rule in case of employee payment that 
                is not required under this section.--
                            (i) In general.--In the case of an 
                        assistance eligible individual who pays, with 
                        respect any period of coverage to which 
                        subsection (a)(1)(A) applies, the amount of the 
                        premium for such coverage that the individual 
                        would have (but for this Act) been required to 
                        pay, the person to whom such payment is payable 
                        shall reimburse such individual for the amount 
                        of such premium paid.
                            (ii) Credit of reimbursement.--A person to 
                        which clause (i) applies shall be allowed a 
                        credit in the manner provided under section 
                        6432 of the Internal Revenue Code of 1986 for 
                        any payment made to the employee under such 
                        clause.
                            (iii) Payment of credits.--Any person to 
                        which clause (i) applies shall make the payment 
                        required under such clause to the individual 
                        not later than 60 days after the date on which 
                        such individual elects continuation coverage 
                        under section 30312(a)(1) of the Worker Health 
                        Coverage Protection Act.
            (15) Penalty for failure to notify health plan of cessation 
        of eligibility for premium assistance.--
                    (A) In general.--Part I of subchapter B of chapter 
                68 of the Internal Revenue Code of 1986 is amended by 
                adding at the end the following new section:

``SEC. 6720C. PENALTY FOR FAILURE TO NOTIFY HEALTH PLAN OF CESSATION OF 
              ELIGIBILITY FOR CONTINUATION COVERAGE PREMIUM ASSISTANCE.

    ``(a) In General.--Except in the case of failure described in 
subsection (b) or (c), any person required to notify a group health 
plan under section 30312(a)(2)(B) of the Worker Health Coverage 
Protection Act who fails to make such a notification at such time and 
in such manner as the Secretary of Labor may require shall pay a 
penalty of $250.
    ``(b) Intentional Failure.--In the case of any such failure that is 
fraudulent, such person shall pay a penalty equal to the greater of--
            ``(1) $250, or
            ``(2) 110 percent of the premium assistance provided under 
        section 30312(a)(1)(A) of such Act after termination of 
        eligibility under such section.
    ``(c) Reasonable Cause Exception.--No penalty shall be imposed 
under this section with respect to any failure if it is shown that such 
failure is due to reasonable cause and not to willful neglect.''.
                    (B) Clerical amendment.--The table of sections of 
                part I of subchapter B of chapter 68 of such Code is 
                amended by adding at the end the following new item:

``Sec. 6720C. Penalty for failure to notify health plan of cessation of 
                            eligibility for continuation coverage 
                            premium assistance.''.
            (16) Coordination with hctc.--
                    (A) In general.--Section 35(g)(9) of the Internal 
                Revenue Code of 1986 is amended to read as follows:
            ``(9) Continuation coverage premium assistance.--In the 
        case of an assistance eligible individual who receives premium 
        assistance for continuation coverage under section 30312(a)(1) 
        of the Worker Health Coverage Protection Act for any month 
        during the taxable year, such individual shall not be treated 
        as an eligible individual, a certified individual, or a 
        qualifying family member for purposes of this section or 
        section 7527 with respect to such month.''.
                    (B) Effective date.--The amendment made by 
                subparagraph (A) shall apply to taxable years ending 
                after the date of the enactment of this Act.
            (17) Exclusion of continuation coverage premium assistance 
        from gross income.--
                    (A) In general.--Part III of subchapter B of 
                chapter 1 of the Internal Revenue Code of 1986 is 
                amended by inserting after section 139H the following 
                new section:

``SEC. 139I. CONTINUATION COVERAGE PREMIUM ASSISTANCE.

    ``In the case of an assistance eligible individual (as defined in 
subsection (a)(3) of section 30312 of the Worker Health Coverage 
Protection Act), gross income does not include any premium assistance 
provided under subsection (a)(1) of such section.''.
                    (B) Clerical amendment.--The table of sections for 
                part III of subchapter B of chapter 1 of such Code is 
                amended by inserting after the item relating to section 
                139H the following new item:

``Sec. 139I. Continuation coverage premium assistance.''.
                    (C) Effective date.--The amendments made by this 
                paragraph shall apply to taxable years ending after the 
                date of the enactment of this Act.
            (18) Deadlines with respect to notices.--Notwithstanding 
        section 518 of the Employee Retirement Income Security Act of 
        1974 and section 7508A of the Internal Revenue Code of 1986, 
        the Secretary of Labor and the Secretary of the Treasury, 
        respectively, may not waive or extend any deadline with respect 
        to the provision of notices described in paragraphs (7), (8), 
        and (9).
    (b) Rule of Construction.--In all matters of interpretation, rules, 
and operational procedures, the language of this section shall be 
interpreted broadly for the benefit of workers and their families.

             TITLE IV--APPLICATION TO OTHER HEALTH PROGRAMS

SEC. 30401. PROHIBITION ON COPAYMENTS AND COST SHARING FOR TRICARE 
              BENEFICIARIES RECEIVING COVID-19 TREATMENT.

    (a) In General.--Section 6006(a) of the Families First Coronavirus 
Response Act (Public Law 116-127; 38 U.S.C. 1074 note) is amended by 
striking ``or visits described in paragraph (2) of such section'' and 
inserting ``, visits described in paragraph (2) of such section, or 
medical care to treat COVID-19''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply with respect to medical care furnished on or after the date of 
the enactment of this Act.

SEC. 30402. PROHIBITION ON COPAYMENTS AND COST SHARING FOR VETERANS 
              RECEIVING COVID-19 TREATMENT FURNISHED BY DEPARTMENT OF 
              VETERANS AFFAIRS.

    (a) In General.--Section 6006(b) of the Families First Coronavirus 
Response Act (Public Law 116-127; 38 U.S.C. 1701 note) is amended by 
striking ``or visits described in paragraph (2) of such section'' and 
inserting ``, visits described in paragraph (2) of such section, or 
hospital care or medical services to treat COVID-19''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply with respect to hospital care and medical services furnished on 
or after the date of the enactment of this Act.

SEC. 30403. PROHIBITION ON COPAYMENTS AND COST SHARING FOR FEDERAL 
              CIVILIAN EMPLOYEES RECEIVING COVID-19 TREATMENT.

    (a) In General.--Section 6006(c) of the Families First Coronavirus 
Response Act (Public Law 116-127; 5 U.S.C. 8904 note) is amended by 
striking ``or visits described in paragraph (2) of such section'' and 
inserting ``, visits described in paragraph (2) of such section, or 
hospital care or medical services to treat COVID-19''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply with respect to hospital care and medical services furnished on 
or after the date of the enactment of this Act.

                    TITLE V--PUBLIC HEALTH POLICIES

SEC. 30501. DEFINITIONS.

    In this title:
            (1) Except as inconsistent with the provisions of this 
        title, the term ``Secretary'' means the Secretary of Health and 
        Human Services.
            (2) The term ``State'' refers to each of the 50 States and 
        the District of Columbia.
            (3) The term ``Tribal'', with respect to a department of 
        health (or health department), includes--
                    (A) Indian Tribes that--
                            (i) are operating one or more health 
                        facilities pursuant to an agreement under the 
                        Indian Self-Determination and Education 
                        Assistance Act (25 U.S.C. 5301 et seq.); or
                            (ii) receive services from a facility 
                        operated by the Indian Health Services; and
                    (B) Tribal organizations and Urban Indian 
                organizations.

                 Subtitle A--Supply Chain Improvements

SEC. 30511. MEDICAL SUPPLIES RESPONSE COORDINATOR.

    (a) In General.--The President shall appoint a Medical Supplies 
Response Coordinator to coordinate the efforts of the Federal 
Government regarding the supply and distribution of critical medical 
supplies and equipment related to detecting, diagnosing, preventing, 
and treating COVID-19, including personal protective equipment, medical 
devices, drugs, and vaccines.
    (b) Qualifications.--To qualify to be appointed as the Medical 
Supplies Response Coordinator, an individual shall be a senior 
government official with--
            (1) health care training, including training related to 
        infectious diseases or hazardous exposures; and
            (2) a familiarity with medical supply chain logistics.
    (c) Activities.--The Medical Supplies Response Coordinator shall--
            (1) consult with State, local, territorial, and Tribal 
        officials to ensure that health care facilities and health care 
        workers have sufficient personal protective equipment and other 
        medical supplies;
            (2) evaluate ongoing needs of States, localities, 
        territories, Tribes, health care facilities, and health care 
        workers to determine the need for critical medical supplies and 
        equipment;
            (3) serve as a point of contact for industry for 
        procurement and distribution of critical medical supplies and 
        equipment, including personal protective equipment, medical 
        devices, testing supplies, drugs, and vaccines;
            (4) procure and distribute critical medical supplies and 
        equipment, including personal protective equipment, medical 
        devices, testing supplies, drugs, and vaccines;
            (5)(A) establish and maintain an up-to-date national 
        database of hospital capacity, including beds, ventilators, and 
        supplies, including personal protective equipment, medical 
        devices, drugs, and vaccines; and
            (B) provide weekly reports to the Congress on gaps in such 
        capacity and progress made toward closing the gaps;
            (6) require, as necessary, industry reporting on production 
        and distribution of personal protective equipment, medical 
        devices, testing supplies, drugs, and vaccines and assess 
        financial penalties as may be specified by the Medical Supplies 
        Response Coordinator for failure to comply with such 
        requirements for reporting on production and distribution;
            (7) consult with the Secretary and the Administrator of the 
        Federal Emergency Management Agency, as applicable, to ensure 
        sufficient production levels under the Defense Production Act 
        of 1950 (50 U.S.C. 4501 et seq.); and
            (8) monitor the prices of critical medical supplies and 
        equipment, including personal protective equipment and medical 
        devices, drugs, and vaccines related to detecting, diagnosing, 
        preventing, and treating COVID-19 and report any suspected 
        price gouging of such materials to the Federal Trade Commission 
        and appropriate law enforcement officials.

SEC. 30512. INFORMATION TO BE INCLUDED IN LIST OF DEVICES DETERMINED TO 
              BE IN SHORTAGE.

    Section 506J(g)(2)(A) of the Federal Food, Drug, and Cosmetic Act, 
as added by section 3121 of the CARES Act (Public Law 116-136), is 
amended by inserting ``, including the device identifier or national 
product code for such device, if applicable'' before the period at the 
end.

SEC. 30513. EXTENDED SHELF LIFE DATES FOR ESSENTIAL DEVICES.

    (a) In General.--The Federal Food, Drug, and Cosmetic Act is 
amended by inserting after section 506J (21 U.S.C. 356j) the following:

``SEC. 506K. EXTENDED SHELF LIFE DATES FOR ESSENTIAL DEVICES.

    ``(a) In General.--A manufacturer of a device subject to 
notification requirements under section 506J (in this section referred 
to as an `essential device') shall--
            ``(1) submit to the Secretary data and information as 
        required by subsection (b)(1);
            ``(2) conduct and submit the results of any studies 
        required under subsection (b)(3); and
            ``(3) make any labeling change described in subsection (c) 
        by the date specified by the Secretary pursuant to such 
        subsection.
    ``(b) Notification.--
            ``(1) In general.--The Secretary may issue an order 
        requiring the manufacturer of any essential device to submit, 
        in such manner as the Secretary may prescribe, data and 
        information from any stage of development of the device 
        (including pilot, investigational, and final product 
        validation) that are adequate to assess the shelf life of the 
        device to determine the longest supported expiration date.
            ``(2) Unavailable or insufficient data and information.--If 
        the data and information referred to in paragraph (1) are not 
        available or are insufficient, the Secretary may require the 
        manufacturer of the device to--
                    ``(A) conduct studies adequate to provide the data 
                and information; and
                    ``(B) submit to the Secretary the results, data, 
                and information generated by such studies when 
                available.
    ``(c) Labeling.--The Secretary may issue an order requiring the 
manufacturer of an essential device to make by a specified date any 
labeling change regarding the expiration period that the Secretary 
determines to be appropriate based on the data and information required 
to be submitted under this section or any other data and information 
available to the Secretary.
    ``(d) Confidentiality.--Nothing in this section shall be construed 
as authorizing the Secretary to disclose any information that is a 
trade secret or confidential information subject to section 552(b)(4) 
of title 5, United States Code, or section 1905 of title 18, United 
States Code.''.
    (b) Civil Monetary Penalty.--Section 303(f) of the Federal Food, 
Drug, and Cosmetic Act (21 U.S.C. 333(f)) is amended by adding at the 
end the following:
    ``(10) Civil Monetary Penalty With Respect to Extended Shelf Life 
Dates for Essential Devices.--If the manufacturer of a device subject 
to notification requirements under section 506J violates section 506K 
by failing to submit data and information as required under section 
506K(b)(1), failing to conduct or submit the results of studies as 
required under section 506K(b)(3), or failing to make a labeling change 
as required under section 506K(c), such manufacturer shall be liable to 
the United States for a civil penalty in an amount not to exceed 
$10,000 for each such violation.''.
    (c) Emergency Use Eligible Products.--Subparagraph (A) of section 
564A(a)(1) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
360bbb-3a(a)(1)) is amended to read as follows:
                    ``(A) is approved or cleared under this chapter, 
                otherwise listed as a device pursuant to section 
                510(j), conditionally approved under section 571, or 
                licensed under section 351 of the Public Health Service 
                Act;''.

SEC. 30514. AUTHORITY TO DESTROY COUNTERFEIT DEVICES.

    (a) In General.--Section 801(a) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 381(a)) is amended--
            (1) in the fourth sentence, by inserting ``or counterfeit 
        device'' after ``counterfeit drug''; and
            (2) by striking ``The Secretary of the Treasury shall cause 
        the destruction of'' and all that follows through ``liable for 
        costs pursuant to subsection (c).'' and inserting the 
        following: ``The Secretary of the Treasury shall cause the 
        destruction of any such article refused admission unless such 
        article is exported, under regulations prescribed by the 
        Secretary of the Treasury, within 90 days of the date of notice 
        of such refusal or within such additional time as may be 
        permitted pursuant to such regulations, except that the 
        Secretary of Health and Human Services may destroy, without the 
        opportunity for export, any drug or device refused admission 
        under this section, if such drug or device is valued at an 
        amount that is $2,500 or less (or such higher amount as the 
        Secretary of the Treasury may set by regulation pursuant to 
        section 498(a)(1) of the Tariff Act of 1930 (19 U.S.C. 
        1498(a)(1))) and was not brought into compliance as described 
        under subsection (b). The Secretary of Health and Human 
        Services shall issue regulations providing for notice and an 
        opportunity to appear before the Secretary of Health and Human 
        Services and introduce testimony, as described in the first 
        sentence of this subsection, on destruction of a drug or device 
        under the seventh sentence of this subsection. The regulations 
        shall provide that prior to destruction, appropriate due 
        process is available to the owner or consignee seeking to 
        challenge the decision to destroy the drug or device. Where the 
        Secretary of Health and Human Services provides notice and an 
        opportunity to appear and introduce testimony on the 
        destruction of a drug or device, the Secretary of Health and 
        Human Services shall store and, as applicable, dispose of the 
        drug or device after the issuance of the notice, except that 
        the owner and consignee shall remain liable for costs pursuant 
        to subsection (c).''.
    (b) Definition.--Section 201(h) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 321(h)) is amended--
            (1) by redesignating subparagraphs (1), (2), and (3) as 
        clauses (A), (B), and (C), respectively; and
            (2) after making such redesignations--
                    (A) by striking ``(h) The term'' and inserting 
                ``(h)(1) The term''; and
                    (B) by adding at the end the following:
    ``(2) The term `counterfeit device' means a device which, or the 
container, packaging, or labeling of which, without authorization, 
bears a trademark, trade name, or other identifying mark, imprint, or 
symbol, or any likeness thereof, or is manufactured using a design, of 
a device manufacturer, packer, or distributor other than the person or 
persons who in fact manufactured, packed, or distributed such device 
and which thereby falsely purports or is represented to be the product 
of, or to have been packed or distributed by, such other device 
manufacturer, packer, or distributor.
    ``(3) For purposes of subparagraph (2)--
            ``(A) the term `manufactured' refers to any of the 
        following activities: manufacture, preparation, propagation, 
        compounding, assembly, or processing; and
            ``(B) the term `manufacturer' means a person who is engaged 
        in any of the activities listed in clause (A).''.

SEC. 30515. REPORTING REQUIREMENT FOR DRUG MANUFACTURERS.

    (a) Establishments in a Foreign Country.--Section 510(i) of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360(i)) is amended by 
inserting at the end the following new paragraph:
    ``(5) The requirements of paragraphs (1) and (2) shall apply to 
establishments within a foreign country engaged in the manufacture, 
preparation, propagation, compounding, or processing of any drug, 
including the active pharmaceutical ingredient, that is required to be 
listed pursuant to subsection (j). Such requirements shall apply 
regardless of whether the drug or active pharmaceutical ingredient 
undergoes further manufacture, preparation, propagation, compounding, 
or processing at a separate establishment or establishments outside the 
United States prior to being imported or offered for import into the 
United States.''.
    (b) Listing of Drugs.--Section 510(j)(1) of the Federal Food, Drug, 
and Cosmetic Act (21 U.S.C. 360(j)(1)) is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
            ``(F) in the case of a drug contained in the applicable 
        list, a certification that the registrant has--
                    ``(i) identified every other establishment where 
                manufacturing is performed for the drug; and
                    ``(ii) notified each known foreign establishment 
                engaged in the manufacture, preparation, propagation, 
                compounding, or processing of the drug, including the 
                active pharmaceutical ingredient, of the inclusion of 
                the drug in the list and the obligation to register.''.
    (c) Quarterly Reporting on Amount of Drugs Manufactured.--Section 
510(j)(3)(A) of the Federal Food, Drug, and Cosmetic Act (as added by 
section 3112 of the CARES Act (Public Law 116-136)) is amended by 
striking ``annually'' and inserting ``once during the month of March of 
each year, once during the month of June of each year, once during the 
month of September of each year, and once during the month of December 
of each year''.

SEC. 30516. RECOMMENDATIONS TO ENCOURAGE DOMESTIC MANUFACTURING OF 
              CRITICAL DRUGS.

    (a) In General.--Not later than 14 days after the date of enactment 
of this Act, the Secretary shall enter into an agreement with the 
National Academies of Sciences, Engineering, and Medicine (referred to 
in this section as the ``National Academies'') under which, not later 
than 90 days after the date of entering into the agreement, the 
National Academies will--
            (1) establish a committee of experts who are knowledgeable 
        about drug and device supply issues, including--
                    (A) sourcing and production of critical drugs and 
                devices;
                    (B) sourcing and production of active 
                pharmaceutical ingredients in critical drugs;
                    (C) the raw materials and other components for 
                critical drugs and devices; and
                    (D) the public health and national security 
                implications of the current supply chain for critical 
                drugs and devices;
            (2) convene a public symposium to--
                    (A) analyze the impact of United States dependence 
                on the foreign manufacturing of critical drugs and 
                devices on patient access and care, including in 
                hospitals and intensive care units; and
                    (B) recommend strategies to end United States 
                dependence on foreign manufacturing to ensure the 
                United States has a diverse and vital supply chain for 
                critical drugs and devices to protect the Nation from 
                natural or hostile occurrences; and
            (3) submit a report on the symposium's proceedings to the 
        Congress and publish a summary of such proceedings on the 
        public website of the National Academies.
    (b) Symposium.--In carrying out the agreement under subsection (a), 
the National Academies shall consult with--
            (1) the Department of Health and Human Services, the 
        Department of Homeland Security, the Department of Defense, the 
        Department of Commerce, the Department of State, the Department 
        of Veterans Affairs, the Department of Justice, and any other 
        Federal agencies as appropriate; and
            (2) relevant stakeholders, including drug and device 
        manufacturers, health care providers, medical professional 
        societies, State-based societies, public health experts, State 
        and local public health departments, State medical boards, 
        patient groups, health care distributors, wholesalers and group 
        purchasing organizations, pharmacists, and other entities with 
        experience in health care and public health, as appropriate.
    (c) Definitions.--For the purposes of this section:
            (1) The term ``critical''--
                    (A) with respect to a device, refers to a device 
                classified by the Food and Drug Administration as 
                implantable, life-saving, and life-sustaining; or
                    (B) with respect to a drug, refers to a drug that 
                is described in subsection (a) of section 506C of the 
                Federal Food, Drug, and Cosmetic Act (21 U.S.C. 356c) 
                (relating to notification of any discontinuance or 
                interruption in the production of life-saving drugs).
            (2) The terms ``device'' and ``drug'' have the meanings 
        given to those terms in section 201 of the Federal Food, Drug, 
        and Cosmetic Act (21 U.S.C. 321).

SEC. 30517. FAILURE TO NOTIFY OF A PERMANENT DISCONTINUANCE OR AN 
              INTERRUPTION.

    Section 301 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
331) is amended by adding at the end the following:
    ``(fff) The failure of a manufacturer of a drug described in 
section 506C(a) or an active pharmaceutical ingredient of such a drug, 
without a reasonable basis as determined by the Secretary, to notify 
the Secretary of a permanent discontinuance or an interruption, and the 
reasons for such discontinuance or interruption, as required by section 
506C.''.

SEC. 30518. FAILURE TO DEVELOP RISK MANAGEMENT PLAN.

    Section 301 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
331), as amended by section 30517, is further amended by adding at the 
end the following:
    ``(ggg) The failure to develop, maintain, and implement a risk 
management plan, as required by section 506C(j).''.

SEC. 30519. NATIONAL CENTERS OF EXCELLENCE IN CONTINUOUS PHARMACEUTICAL 
              MANUFACTURING.

    (a) In General.--Section 3016 of the 21st Century Cures Act (21 
U.S.C. 399h) is amended to read as follows:

``SEC. 3016. NATIONAL CENTERS OF EXCELLENCE IN CONTINUOUS 
              PHARMACEUTICAL MANUFACTURING.

    ``(a) In General.--The Secretary of Health and Human Services, 
acting through the Commissioner of Food and Drugs--
            ``(1) shall solicit and, beginning not later than 1 year 
        after the date of enactment of the Inspector General 
        Independence Act, receive requests from institutions of higher 
        education to be designated as a National Center of Excellence 
        in Continuous Pharmaceutical Manufacturing (in this section 
        referred to as a `National Center of Excellence') to support 
        the advancement and development of continuous manufacturing; 
        and
            ``(2) shall so designate any institution of higher 
        education that--
                    ``(A) requests such designation; and
                    ``(B) meets the criteria specified in subsection 
                (c).
    ``(b) Request for Designation.--A request for designation under 
subsection (a) shall be made to the Secretary at such time, in such 
manner, and containing such information as the Secretary may require. 
Any such request shall include a description of how the institution of 
higher education meets or plans to meet each of the criteria specified 
in subsection (c).
    ``(c) Criteria for Designation Described.--The criteria specified 
in this subsection with respect to an institution of higher education 
are that the institution has, as of the date of the submission of a 
request under subsection (a) by such institution--
            ``(1) physical and technical capacity for research and 
        development of continuous manufacturing;
            ``(2) manufacturing knowledge-sharing networks with other 
        institutions of higher education, large and small 
        pharmaceutical manufacturers, generic and nonprescription 
        manufacturers, contract manufacturers, and other entities;
            ``(3) proven capacity to design and demonstrate new, highly 
        effective technology for use in continuous manufacturing;
            ``(4) a track record for creating and transferring 
        knowledge with respect to continuous manufacturing;
            ``(5) the potential to train a future workforce for 
        research on and implementation of advanced manufacturing and 
        continuous manufacturing; and
            ``(6) experience in participating in and leading a 
        continuous manufacturing technology partnership with other 
        institutions of higher education, large and small 
        pharmaceutical manufacturers (including generic and 
        nonprescription drug manufacturers), contract manufacturers, 
        and other entities--
                    ``(A) to support companies with continuous 
                manufacturing in the United States;
                    ``(B) to support Federal agencies with technical 
                assistance, which may include regulatory and quality 
                metric guidance as applicable, for advanced 
                manufacturing and continuous manufacturing;
                    ``(C) with respect to continuous manufacturing, to 
                organize and conduct research and development 
                activities needed to create new and more effective 
                technology, capture and disseminate expertise, create 
                intellectual property, and maintain technological 
                leadership;
                    ``(D) to develop best practices for designing 
                continuous manufacturing; and
                    ``(E) to assess and respond to the workforce needs 
                for continuous manufacturing, including the development 
                of training programs if needed.
    ``(d) Termination of Designation.--The Secretary may terminate the 
designation of any National Center of Excellence designated under this 
section if the Secretary determines such National Center of Excellence 
no longer meets the criteria specified in subsection (c). Not later 
than 60 days before the effective date of such a termination, the 
Secretary shall provide written notice to the National Center of 
Excellence, including the rationale for such termination.
    ``(e) Conditions for Designation.--As a condition of designation as 
a National Center of Excellence under this section, the Secretary shall 
require that an institution of higher education enter into an agreement 
with the Secretary under which the institution agrees--
            ``(1) to collaborate directly with the Food and Drug 
        Administration to publish the reports required by subsection 
        (g);
            ``(2) to share data with the Food and Drug Administration 
        regarding best practices and research generated through the 
        funding under subsection (f);
            ``(3) to develop, along with industry partners (which may 
        include large and small biopharmaceutical manufacturers, 
        generic and nonprescription manufacturers, and contract 
        manufacturers) and another institution or institutions 
        designated under this section, if any, a roadmap for developing 
        a continuous manufacturing workforce;
            ``(4) to develop, along with industry partners and other 
        institutions designated under this section, a roadmap for 
        strengthening existing, and developing new, relationships with 
        other institutions; and
            ``(5) to provide an annual report to the Food and Drug 
        Administration regarding the institution's activities under 
        this section, including a description of how the institution 
        continues to meet and make progress on the criteria listed in 
        subsection (c).
    ``(f) Funding.--
            ``(1) In general.--The Secretary shall award funding, 
        through grants, contracts, or cooperative agreements, to the 
        National Centers of Excellence designated under this section 
        for the purpose of studying and recommending improvements to 
        continuous manufacturing, including such improvements as may 
        enable the Centers--
                    ``(A) to continue to meet the conditions specified 
                in subsection (e); and
                    ``(B) to expand capacity for research on, and 
                development of, continuing manufacturing.
            ``(2) Consistency with fda mission.--As a condition on 
        receipt of funding under this subsection, a National Center of 
        Excellence shall agree to consider any input from the Secretary 
        regarding the use of funding that would--
                    ``(A) help to further the advancement of continuous 
                manufacturing through the National Center of 
                Excellence; and
                    ``(B) be relevant to the mission of the Food and 
                Drug Administration.
            ``(3) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection $100,000,000, 
        to remain available until expended.
            ``(4) Rule of construction.--Nothing in this section shall 
        be construed as precluding a National Center for Excellence 
        designated under this section from receiving funds under any 
        other provision of this Act or any other Federal law.
    ``(g) Annual Review and Reports.--
            ``(1) Annual report.--Beginning not later than 1 year after 
        the date on which the first designation is made under 
        subsection (a), and annually thereafter, the Secretary shall--
                    ``(A) submit to Congress a report describing the 
                activities, partnerships and collaborations, Federal 
                policy recommendations, previous and continuing 
                funding, and findings of, and any other applicable 
                information from, the National Centers of Excellence 
                designated under this section; and
                    ``(B) make such report available to the public in 
                an easily accessible electronic format on the website 
                of the Food and Drug Administration.
            ``(2) Review of national centers of excellence and 
        potential designees.--The Secretary shall periodically review 
        the National Centers of Excellence designated under this 
        section to ensure that such National Centers of Excellence 
        continue to meet the criteria for designation under this 
        section.
            ``(3) Report on long-term vision of fda role.--Not later 
        than 2 years after the date on which the first designation is 
        made under subsection (a), the Secretary, in consultation with 
        the National Centers of Excellence designated under this 
        section, shall submit a report to the Congress on the long-term 
        vision of the Department of Health and Human Services on the 
        role of the Food and Drug Administration in supporting 
        continuous manufacturing, including--
                    ``(A) a national framework of principles related to 
                the implementation and regulation of continuous 
                manufacturing;
                    ``(B) a plan for the development of Federal 
                regulations and guidance for how advanced manufacturing 
                and continuous manufacturing can be incorporated into 
                the development of pharmaceuticals and regulatory 
                responsibilities of the Food and Drug Administration; 
                and
                    ``(C) appropriate feedback solicited from the 
                public, which may include other institutions, large and 
                small biopharmaceutical manufacturers, generic and 
                nonprescription manufacturers, and contract 
                manufacturers.
    ``(h) Definitions.--In this section:
            ``(1) Advanced manufacturing.--The term `advanced 
        manufacturing' means an approach for the manufacturing of 
        pharmaceuticals that incorporates novel technology, or uses an 
        established technique or technology in a new or innovative way 
        (such as continuous manufacturing where the input materials are 
        continuously transformed within the process by two or more unit 
        operations) that enhances drug quality or improves the 
        manufacturing process.
            ``(2) Continuous manufacturing.--The term `continuous 
        manufacturing'--
                    ``(A) means a process where the input materials are 
                continuously fed into and transformed within the 
                process, and the processed output materials are 
                continuously removed from the system; and
                    ``(B) consists of an integrated process that 
                consists of a series of two or more unit operations.
            ``(3) Institution of higher education.--The term 
        `institution of higher education' has the meaning given such 
        term in section 101(a) of the Higher Education Act of 1965 (20 
        U.S.C. 1001(a)).
            ``(4) Secretary.--The term `Secretary' means the Secretary 
        of Health and Human Services, acting through the Commissioner 
        of Food and Drugs.''.
    (b) Transition Rule.--Section 3016 of the 21st Century Cures Act 
(21 U.S.C. 399h), as in effect on the day before the date of the 
enactment of this section, shall apply with respect to grants awarded 
under such section before such date of enactment.

SEC. 30520. VACCINE MANUFACTURING AND ADMINISTRATION CAPACITY.

    (a) Enhancing Manufacturing Capacity.--
            (1) In general.--The Secretary, acting through the Director 
        of the Biomedical Advanced Research and Development Authority, 
        shall, as appropriate, award contracts, grants, and cooperative 
        agreements, and enter into other transactions, to expand and 
        enhance manufacturing capacity of vaccines and vaccine 
        candidates to prevent the spread of SARS-CoV-2 and COVID-19.
            (2) Authorization of appropriations.--To carry out this 
        subsection, there are authorized to be appropriated such sums 
        as may be necessary for fiscal years 2020 through 2024, to 
        remain available until expended.
    (b) Report on Vaccine Manufacturing and Administration Capacity.--
            (1) In general.--Not later than December 31, 2020, the 
        Secretary shall submit to the Committee on Energy and Commerce 
        of the House of Representatives and the Committee on Health, 
        Education, Labor and Pensions of the Senate a report 
        detailing--
                    (A) an assessment of the estimated supply of 
                vaccines and ancillary medical products related to 
                vaccine administration necessary to control and stop 
                the spread of SARS-CoV-2 and COVID-19, domestically and 
                internationally;
                    (B) an assessment of current and future domestic 
                manufacturing capacity for vaccines or vaccine 
                candidates to control or stop the spread of SARS-CoV-2 
                and COVID-19, vaccine candidates, and ancillary 
                products related to the administration of such 
                vaccines, including identification of any gaps in 
                manufacturing capacity;
                    (C) activities conducted to expand and enhance 
                manufacturing capacity for vaccines, vaccine 
                candidates, and ancillary medical products to levels 
                sufficient to control and stop the spread of SARS-CoV-2 
                and COVID-19, domestically and internationally, 
                including a list and explanation of all contracts, 
                grants, and cooperative agreements awarded, and other 
                transactions entered into, for purposes of such 
                expansion and enhancement and how such activities will 
                help to meet future domestic manufacturing capacity 
                needs;
                    (D) a plan for the ongoing support of enhanced 
                manufacturing capacity for vaccines, vaccine 
                candidates, and ancillary medical products sufficient 
                to control and stop the spread of SARS-CoV-2 and COVID-
                19, domestically and internationally; and
                    (E) a plan to support the administration of 
                vaccines approved or authorized by the Food and Drug 
                Administration to control and stop the spread of SARS-
                CoV-2 and COVID-19, domestically and internationally, 
                including Federal workforce enhancements necessary to 
                administer such vaccines.
            (2) Ancillary medical products.--For purposes of this 
        subsection, ``ancillary medical products'' includes--
                    (A) vials;
                    (B) bandages;
                    (C) alcohol swabs;
                    (D) syringes;
                    (E) needles;
                    (F) gloves and other personal protective equipment; 
                and
                    (G) other medical products the Secretary determines 
                necessary for the administration of vaccines.

         Subtitle B--Strategic National Stockpile Improvements

SEC. 30531. EQUIPMENT MAINTENANCE.

    Section 319F-2 of the Public Health Service Act (42 U.S.C. 247d-6b) 
is amended--
            (1) in subsection (a)(3)--
                    (A) in subparagraph (I), by striking ``; and'' and 
                inserting a semicolon;
                    (B) in subparagraph (J), by striking the period at 
                the end and inserting a semicolon; and
                    (C) by inserting the following new subparagraph at 
                the end:
                    ``(K) ensure the contents of the stockpile remain 
                in good working order and, as appropriate, conduct 
                maintenance services on such contents; and''; and
            (2) in subsection (c)(7)(B), by adding at the end the 
        following new clause:
                            ``(ix) Equipment maintenance service.--In 
                        carrying out this section, the Secretary may 
                        enter into contracts for the procurement of 
                        equipment maintenance services.''.

SEC. 30532. SUPPLY CHAIN FLEXIBILITY MANUFACTURING PILOT.

    (a) In General.--Section 319F-2(a)(3) of the Public Health Service 
Act (42 U.S.C. 247d-6b(a)(3)), as amended by section 30531, is further 
amended by adding at the end the following new subparagraph:
                    ``(L) enhance medical supply chain elasticity and 
                establish and maintain domestic reserves of critical 
                medical supplies (including personal protective 
                equipment, ancillary medical supplies, and other 
                applicable supplies required for the administration of 
                drugs, vaccines and other biological products, and 
                other medical devices (including diagnostic tests)) 
                by--
                            ``(i) increasing emergency stock of 
                        critical medical supplies;
                            ``(ii) geographically diversifying 
                        production of such medical supplies;
                            ``(iii) purchasing, leasing, or entering 
                        into joint ventures with respect to facilities 
                        and equipment for the production of such 
                        medical supplies; and
                            ``(iv) working with distributors of such 
                        medical supplies to manage the domestic 
                        reserves established under this subparagraph by 
                        refreshing and replenishing stock of such 
                        medical supplies.''.
    (b) Reporting; Sunset.--Section 319F-2(a) of the Public Health 
Service Act (42 U.S.C. 247d-6b(a)) is amended by adding at the end the 
following:
            ``(6) Reporting.--Not later than September 30, 2022, the 
        Secretary shall submit to the Committee on Energy and Commerce 
        of the House of Representatives and the Committee on Health, 
        Education, Labor and Pensions of the Senate a report on the 
        details of each purchase, lease, or joint venture entered into 
        under paragraph (3)(L), including the amount expended by the 
        Secretary on each such purchase, lease, or joint venture.
            ``(7) Sunset.--The authority to make purchases, leases, or 
        joint ventures pursuant to paragraph (3)(L) shall cease to be 
        effective on September 30, 2023.''.
    (c) Funding.--Section 319F-2(f) of the Public Health Service Act 
(42 U.S.C. 247d-6b(f)) is amended by adding at the end the following:
            ``(3) Supply chain elasticity.--
                    ``(A) In general.--For the purpose of carrying out 
                subsection (a)(3)(L), there is authorized to be 
                appropriated $500,000,000 for each of fiscal years 2020 
                through 2023, to remain available until expended.
                    ``(B) Relation to other amounts.--The amount 
                authorized to be appropriated by subparagraph (A) for 
                the purpose of carrying out subsection (a)(3)(L) is in 
                addition to any other amounts available for such 
                purpose.''.

SEC. 30533. REIMBURSABLE TRANSFERS FROM STRATEGIC NATIONAL STOCKPILE.

    Section 319F-2(a) of the Public Health Service Act (42 U.S.C. 247d-
6b(a)), as amended, is further amended by adding at the end the 
following:
            ``(8) Transfers and reimbursements.--
                    ``(A) In general.--Without regard to chapter 5 of 
                title 40, United States Code, the Secretary may 
                transfer to any Federal department or agency, on a 
                reimbursable basis, any drugs, vaccines and other 
                biological products, medical devices, and other 
                supplies in the stockpile if--
                            ``(i) the transferred supplies are less 
                        than 6 months from expiry;
                            ``(ii) the stockpile is able to replenish 
                        the supplies, as appropriate; and
                            ``(iii) the Secretary decides the transfer 
                        is in the best interest of the United States 
                        Government.
                    ``(B) Use of reimbursement.--Reimbursement derived 
                from the transfer of supplies pursuant to subparagraph 
                (A) may be used by the Secretary, without further 
                appropriation and without fiscal year limitation, to 
                carry out this section.
                    ``(C) Report.--Not later than September 30, 2022, 
                the Secretary shall submit to the Committee on Energy 
                and Commerce of the House of Representatives and the 
                Committee on Health, Education, Labor and Pensions of 
                the Senate a report on each transfer made under this 
                paragraph and the amount received by the Secretary in 
                exchange for that transfer.
                    ``(D) Sunset.--The authority to make transfers 
                under this paragraph shall cease to be effective on 
                September 30, 2023.''.

SEC. 30534. STRATEGIC NATIONAL STOCKPILE ACTION REPORTING.

    (a) In General.--The Assistant Secretary for Preparedness and 
Response (in this section referred to as the ``Assistant Secretary''), 
in coordination with the Administrator of the Federal Emergency 
Management Agency, shall--
            (1) not later than 30 days after the date of enactment of 
        this Act, issue a report to the Committee on Energy and 
        Commerce of the House of Representatives and the Committee on 
        Health, Education, Labor and Pensions of the Senate regarding 
        all State, local, Tribal, and territorial requests for supplies 
        from the Strategic National Stockpile related to COVID-19; and
            (2) not less than every 30 days thereafter through the end 
        of the emergency period (as such term is defined in section 
        1135(g)(1)(B) of the Social Security Act (42 U.S.C. 1320b-
        5(g)(1)(B))), submit to such committees an updated version of 
        such report.
    (b) Reporting Period.--
            (1) Initial report.--The initial report under subsection 
        (a) shall address all requests described in such subsection 
        made during the period--
                    (A) beginning on January 31, 2020; and
                    (B) ending on the date that is 30 days before the 
                date of submission of the report.
            (2) Updates.--Each update to the report under subsection 
        (a) shall address all requests described in such subsection 
        made during the period--
                    (A) beginning at the end of the previous reporting 
                period under this section; and
                    (B) ending on the date that is 30 days before the 
                date of submission of the updated report.
    (c) Contents of Report.--The report under subsection (a) (and 
updates thereto) shall include--
            (1) the details of each request described in such 
        subsection, including--
                    (A) the specific medical countermeasures, including 
                devices such as personal protective equipment, and 
                other materials requested; and
                    (B) the amount of such materials requested; and
            (2) the outcomes of each request described in subsection 
        (a), including--
                    (A) whether the request was wholly fulfilled, 
                partially fulfilled, or denied;
                    (B) if the request was wholly or partially 
                fulfilled, the fulfillment amount; and
                    (C) if the request was partially fulfilled or 
                denied, a rationale for such outcome.

SEC. 30535. IMPROVED, TRANSPARENT PROCESSES FOR THE STRATEGIC NATIONAL 
              STOCKPILE.

    (a) In General.--Not later than January 1, 2021, the Secretary, in 
collaboration with the Assistant Secretary for Preparedness and 
Response and the Director of the Centers for Disease Control and 
Prevention, shall develop and implement improved, transparent processes 
for the use and distribution of drugs, vaccines and other biological 
products, medical devices, and other supplies (including personal 
protective equipment, ancillary medical supplies, and other applicable 
supplies required for the administration of drugs, vaccines and other 
biological products, diagnostic tests, and other medical devices ) in 
the Strategic National Stockpile under section 319F-2 of the Public 
Health Service Act (42 U.S.C. 247d-6b) (in this section referred to as 
the ``Stockpile'').
    (b) Processes.--The processes developed under subsection (a) shall 
include--
            (1) the form and manner in which States, localities, 
        Tribes, and territories are required to submit requests for 
        supplies from the Stockpile;
            (2) the criteria used by the Secretary in responding to 
        such requests, including the reasons for fulfilling or denying 
        such requests;
            (3) what circumstances result in prioritization of 
        distribution of supplies from the Stockpile to States, 
        localities, Tribes, or territories;
            (4) clear plans for future, urgent communication between 
        the Secretary and States, localities, Tribes, and territories 
        regarding the outcome of such requests; and
            (5) any differences in the processes developed under 
        subsection (a) for geographically related emergencies, such as 
        weather events, and national emergencies, such as pandemics.
    (c) Report to Congress.--Not later than January 1, 2021, the 
Secretary shall--
            (1) submit a report to the Committee Energy and Commerce of 
        the House of Representatives and the Committee on Health, 
        Education, Labor and Pensions of the Senate regarding the 
        improved, transparent processes developed under this section; 
        and
            (2) include in such report recommendations for 
        opportunities for communication (by telebriefing, phone calls, 
        or in-person meetings) between the Secretary and States, 
        localities, Tribes, and territories regarding such improved, 
        transparent processes.

SEC. 30536. GAO STUDY ON THE FEASIBILITY AND BENEFITS OF A STRATEGIC 
              NATIONAL STOCKPILE USER FEE AGREEMENT.

    (a) In General.-- The Comptroller General of the United States 
shall conduct a study to investigate the feasibility of establishing 
user fees to offset certain Federal costs attributable to the 
procurement of single-source materials for the Strategic National 
Stockpile under section 319F-2 of the Public Health Service Act (42 
U.S.C. 247d-6b) and distributions of such materials from the Stockpile. 
In conducting this study, the Comptroller General shall consider, to 
the extent information is available--
            (1) whether entities receiving such distributions generate 
        profits from those distributions;
            (2) any Federal costs attributable to such distributions;
            (3) whether such user fees would provide the Secretary with 
        funding to potentially offset procurement costs of such 
        materials for the Strategic National Stockpile; and
            (4) any other issues the Comptroller General identifies as 
        relevant.
    (b) Report.--Not later than February 1, 2023, the Comptroller 
General of the United States shall submit to the Congress a report on 
the findings and conclusions of the study under subsection (a).

      Subtitle C--Testing and Testing Infrastructure Improvements

SEC. 30541. COVID-19 TESTING STRATEGY.

    (a) Strategy.--Not later than June 15, 2020, the Secretary shall 
update the COVID-19 strategic testing plan under the heading 
``Department of Health and Human Services--Office of the Secretary--
Public Health and Social Service Emergency Fund'' in title I of 
division B of the Paycheck Protection Program and Health Care 
Enhancement Act (Public Law 116-139, 134 Stat. 620, 626-627) and submit 
to the appropriate congressional committees such updated national plan 
identifying--
            (1) what level of, types of, and approaches to testing 
        (including predicted numbers of tests, populations to be 
        tested, and frequency of testing and the appropriate setting 
        whether a health care setting (such as hospital-based, high-
        complexity laboratory, point-of-care, mobile testing units, 
        pharmacies or community health centers) or non-health care 
        setting (such as workplaces, schools, or child care centers)) 
        are necessary--
                    (A) to sufficiently monitor and contribute to the 
                control of the transmission of SARS-CoV-2 in the United 
                States;
                    (B) to ensure that any reduction in social 
                distancing efforts, when determined appropriate by 
                public health officials, can be undertaken in a manner 
                that optimizes the health and safety of the people of 
                the United States, and reduces disparities (including 
                disparities related to race, ethnicity, sex, age, 
                disability status, socioeconomic status, and geographic 
                location) in the prevalence of, incidence of, and 
                health outcomes with respect to, COVID-19; and
                    (C) to provide for ongoing surveillance sufficient 
                to support contact tracing, case identification, 
                quarantine, and isolation to prevent future outbreaks 
                of COVID-19;
            (2) specific plans and benchmarks, each with clear 
        timelines, to ensure--
                    (A) such level of, types of, and approaches to 
                testing as are described in paragraph (1), with respect 
                to optimizing health and safety;
                    (B) sufficient availability of all necessary 
                testing materials and supplies, including extraction 
                and testing kits, reagents, transport media, swabs, 
                instruments, analysis equipment, personal protective 
                equipment if necessary for testing (including point-of-
                care testing), and other equipment;
                    (C) allocation of testing materials and supplies in 
                a manner that optimizes public health, including by 
                considering the variable impact of SARS-CoV-2 on 
                specific States, territories, Indian Tribes, Tribal 
                organizations, urban Indian organizations, communities, 
                industries, and professions;
                    (D) sufficient evidence of validation for tests 
                that are deployed as a part of such strategy;
                    (E) sufficient laboratory and analytical capacity, 
                including target turnaround time for test results;
                    (F) sufficient personnel, including personnel to 
                collect testing samples, conduct and analyze results, 
                and conduct testing follow-up, including contact 
                tracing, as appropriate; and
                    (G) enforcement of the Families First Coronavirus 
                Response Act (Public Law 116-127) to ensure patients 
                who are tested are not subject to cost sharing;
            (3) specific plans to ensure adequate testing in rural 
        areas, frontier areas, health professional shortage areas, and 
        medically underserved areas (as defined in section 330I(a) of 
        the Public Health Service Act (42 U.S.C. 254c-14(a))), and for 
        underserved populations, Native Americans (including Indian 
        Tribes, Tribal organizations, and urban Indian organizations), 
        and populations at increased risk related to COVID-19;
            (4) specific plans to ensure accessibility of testing to 
        people with disabilities, older individuals, and individuals 
        with underlying health conditions or weakened immune systems; 
        and
            (5) specific plans for broadly developing and implementing 
        testing for potential immunity in the United States, as 
        appropriate, in a manner sufficient--
                    (A) to monitor and contribute to the control of 
                SARS-CoV-2 in the United States;
                    (B) to ensure that any reduction in social 
                distancing efforts, when determined appropriate by 
                public health officials, can be undertaken in a manner 
                that optimizes the health and safety of the people of 
                the United States; and
                    (C) to reduce disparities (including disparities 
                related to race, ethnicity, sex, age, disability 
                status, socioeconomic status, and geographic location) 
                in the prevalence of, incidence of, and health outcomes 
                with respect to, COVID-19.
    (b) Coordination.--The Secretary shall carry out this section--
            (1) in coordination with the Administrator of the Federal 
        Emergency Management Agency;
            (2) in collaboration with other agencies and departments, 
        as appropriate; and
            (3) taking into consideration the State plans for COVID-19 
        testing prepared as required under the heading ``Department of 
        Health and Human Services--Office of the Secretary--Public 
        Health and Social Service Emergency Fund'' in title I of 
        division B of the Paycheck Protection Program and Health Care 
        Enhancement Act (Public Law 116-139; 134 Stat. 620, 624).
    (c) Updates.--
            (1) Frequency.--The updated national plan under subsection 
        (a) shall be updated every 30 days until the end of the public 
        health emergency first declared by the Secretary under section 
        319 of the Public Health Service Act (42 U.S.C. 247d) on 
        January 31, 2020, with respect to COVID-19.
            (2) Relation to other law.--Paragraph (1) applies in lieu 
        of the requirement (for updates every 90 days until funds are 
        expended) in the second to last proviso under the heading 
        ``Department of Health and Human Services--Office of the 
        Secretary--Public Health and Social Service Emergency Fund'' in 
        title I of division B of the Paycheck Protection Program and 
        Health Care Enhancement Act (Public Law 116-139; 134 Stat. 620, 
        627).
    (d) Appropriate Congressional Committees.--In this section, the 
term ``appropriate congressional committees'' means--
            (1) the Committee on Appropriations and the Committee on 
        Energy and Commerce of the House of Representatives; and
            (2) the Committee on Appropriations and the Committee on 
        Health, Education, Labor and Pensions and of the Senate.

SEC. 30542. CENTRALIZED TESTING INFORMATION WEBSITE.

    The Secretary shall establish and maintain a public, searchable 
webpage, to be updated and corrected as necessary through a process 
established by the Secretary, on the website of the Department of 
Health and Human Services that--
            (1) identifies all in vitro diagnostic and serological 
        tests used in the United States to analyze clinical specimens 
        for detection of SARS-CoV-2 or antibodies specific to SARS-CoV-
        2, including--
                    (A) those tests--
                            (i) that are approved, cleared, or 
                        authorized under section 510(k), 513, 515, or 
                        564 of the Federal Food, Drug, and Cosmetic Act 
                        (21 U.S.C. 360(k), 360c, 360e, 360bbb-3);
                            (ii) that have been validated by the test's 
                        developers for use on clinical specimens and 
                        for which the developer has notified the Food 
                        and Drug Administration of the developer's 
                        intent to market the test consistent with 
                        applicable guidance issued by the Secretary; or
                            (iii) that have been developed and 
                        authorized by a State that has notified the 
                        Secretary of the State's intention to review 
                        tests intended to diagnose COVID-19; and
                    (B) other SARS-CoV-2-related tests that the 
                Secretary determines appropriate in guidance, which may 
                include tests related to the monitoring of COVID-19 
                patient status;
            (2) provides relevant information, as determined by the 
        Secretary, on each test identified pursuant to paragraph (1), 
        which may include--
                    (A) the name and contact information of the 
                developer of the test;
                    (B) the date of receipt of notification by the Food 
                and Drug Administration of the developer's intent to 
                market the test;
                    (C) the date of authorization for use of the test 
                on clinical specimens, where applicable;
                    (D) the letter of authorization for use of the test 
                on clinical specimens, where applicable;
                    (E) any fact sheets, manufacturer instructions, and 
                package inserts for the test, including information on 
                intended use;
                    (F) sensitivity and specificity of the test; and
                    (G) in the case of tests distributed by commercial 
                manufacturers, the number of tests distributed and, if 
                available, the number of laboratories in the United 
                States with the required platforms installed to perform 
                the test; and
            (3) includes--
                    (A) a list of laboratories certified under section 
                353 of the Public Health Service Act (42 U.S.C. 263a; 
                commonly referred to as ``CLIA'') that--
                            (i) meet the regulatory requirements under 
                        such section to perform high- or moderate-
                        complexity testing; and
                            (ii) are authorized to perform SARS-CoV-2 
                        diagnostic or serological tests on clinical 
                        specimens; and
                    (B) information on each laboratory identified 
                pursuant to subparagraph (A), including--
                            (i) the name and address of the laboratory;
                            (ii) the CLIA certificate number;
                            (iii) the laboratory type;
                            (iv) the certificate type; and
                            (v) the complexity level.

SEC. 30543. MANUFACTURER REPORTING OF TEST DISTRIBUTION.

    (a) In General.--A commercial manufacturer of an in vitro 
diagnostic or serological COVID-19 test shall, on a weekly basis, 
submit a notification to the Secretary regarding distribution of each 
such test, which notification--
            (1) shall include the number of tests distributed and the 
        entities to which the tests are distributed; and
            (2) may include the quantity of such tests distributed by 
        the manufacturer.
    (b) Confidentiality.--Nothing in this section shall be construed as 
authorizing the Secretary to disclose any information that is a trade 
secret or confidential information subject to section 552(b)(4) of 
title 5, United States Code, or section 1905 of title 18, United States 
Code.
    (c) Failure to Meet Requirements.--If a manufacturer fails to 
submit a notification as required under subsection (a), the following 
applies:
            (1) The Secretary shall issue a letter to such manufacturer 
        informing such manufacturer of such failure.
            (2) Not later than 7 calendar days after the issuance of a 
        letter under paragraph (1), the manufacturer to whom such 
        letter is issued shall submit to the Secretary a written 
        response to such letter--
                    (A) setting forth the basis for noncompliance; and
                    (B) providing information as required under 
                subsection (a).
            (3) Not later than 14 calendar days after the issuance of a 
        letter under paragraph (1), the Secretary shall make such 
        letter and any response to such letter under paragraph (2) 
        available to the public on the internet website of the Food and 
        Drug Administration, with appropriate redactions made to 
        protect information described in subsection (b). The preceding 
        sentence shall not apply if the Secretary determines that--
                    (A) the letter under paragraph (1) was issued in 
                error; or
                    (B) after review of such response, the manufacturer 
                had a reasonable basis for not notifying as required 
                under subsection (a).

SEC. 30544. STATE TESTING REPORT.

    For any State that authorizes (or intends to authorize) one or more 
laboratories in the State to develop and perform in vitro diagnostic 
COVID-19 tests, the head of the department or agency of such State with 
primary responsibility for health shall--
            (1) notify the Secretary of such authorization (or 
        intention to authorize); and
            (2) provide the Secretary with a weekly report--
                    (A) identifying all laboratories authorized (or 
                intended to be authorized) by the State to develop and 
                perform in vitro diagnostic COVID-19 tests;
                    (B) including relevant information on all 
                laboratories identified pursuant to subparagraph (A), 
                which may include information on laboratory testing 
                capacity;
                    (C) identifying all in vitro diagnostic COVID-19 
                tests developed and approved for clinical use in 
                laboratories identified pursuant to subparagraph (A); 
                and
                    (D) including relevant information on all tests 
                identified pursuant to subparagraph (C), which may 
                include--
                            (i) the name and contact information of the 
                        developer of any such test;
                            (ii) any fact sheets, manufacturer 
                        instructions, and package inserts for any such 
                        test, including information on intended use; 
                        and
                            (iii) the sensitivity and specificity of 
                        any such test.

SEC. 30545. STATE LISTING OF TESTING SITES.

    Not later than 14 days after the date of enactment of this Act, any 
State receiving funding or assistance under this Act, as a condition on 
such receipt, shall establish and maintain a public, searchable webpage 
on the official website of the State that--
            (1) identifies all sites located in the State that provide 
        diagnostic or serological testing for SARS-CoV-2; and
            (2) provides appropriate contact information for SARS-CoV-2 
        testing sites pursuant to paragraph (1).

SEC. 30546. REPORTING OF COVID-19 TESTING RESULTS.

    (a) In General.--Every laboratory that performs or analyzes a test 
that is intended to detect SARS-CoV-2 or to diagnose a possible case of 
COVID-19 shall report daily the number of tests performed and the 
results from each such test to the Secretary of Health and Human 
Services and to the Secretary of Homeland Security, in such form and 
manner as such Secretaries may prescribe. Such information shall be 
made available to the public in a searchable, electronic format as soon 
as is practicable, and in no case later than one week after such 
information is received.
    (b) Additional Reporting Requirements.--The Secretaries specified 
in subsection (a)--
            (1) may specify additional reporting requirements under 
        this section by regulation, including by interim final rule, or 
        by guidance; and
            (2) may issue such regulations or guidance without regard 
        to the procedures otherwise required by section 553 of title 5, 
        United States Code.

SEC. 30547. GAO REPORT ON DIAGNOSTIC TESTS.

    (a) GAO Study.--Not later than 18 months after the date of 
enactment of this Act, the Comptroller General of the United States 
shall submit to the Committee on Energy and Commerce of the House of 
Representatives and the Committee on Health, Education, Labor and 
Pensions of the Senate a report describing the response of entities 
described in subsection (b) to the COVID-19 pandemic with respect to 
the development, regulatory evaluation, and deployment of diagnostic 
tests.
    (b) Entities Described.--Entities described in this subsection 
include--
            (1) laboratories, including public health, academic, 
        clinical, and commercial laboratories;
            (2) diagnostic test manufacturers;
            (3) State, local, Tribal, and territorial governments; and
            (4) the Food and Drug Administration, the Centers for 
        Disease Control and Prevention, the Centers for Medicare & 
        Medicaid Services, the National Institutes of Health, and other 
        relevant Federal agencies, as appropriate.
    (c) Contents.--The report under subsection (a) shall include--
            (1) a description of actions taken by entities described in 
        subsection (b) to develop, evaluate, and deploy diagnostic 
        tests;
            (2) an assessment of the coordination of Federal agencies 
        in the development, regulatory evaluation, and deployment of 
        diagnostic tests;
            (3) an assessment of the standards used by the Food and 
        Drug Administration to evaluate diagnostic tests;
            (4) an assessment of the clarity of Federal agency guidance 
        related to testing, including the ability for individuals 
        without medical training to understand which diagnostic tests 
        had been evaluated by the Food and Drug Administration;
            (5) a description of--
                    (A) actions taken and clinical processes employed 
                by States and territories that have authorized 
                laboratories to develop and perform diagnostic tests 
                not authorized, approved, or cleared by the Food and 
                Drug Administration, including actions of such States 
                and territories to evaluate the accuracy and 
                sensitivity of such tests; and
                    (B) the standards used by States and territories 
                when deciding when to authorize laboratories to develop 
                or perform diagnostic tests;
            (6) an assessment of the steps taken by laboratories and 
        diagnostic test manufacturers to validate diagnostic tests, as 
        well as the evidence collected by such entities to support 
        validation; and
            (7) based on available reports, an assessment of the 
        accuracy and sensitivity of a representative sample of 
        available diagnostic tests.
    (d) Definition.--In this section, the term ``diagnostic test'' 
means an in vitro diagnostic product (as defined in section 809.3(a) of 
title 21, Code of Federal Regulations) for--
            (1) the detection of SARS-CoV-2;
            (2) the diagnosis of the virus that causes COVID-19; or
            (3) the detection of antibodies specific to SARS-CoV-2, 
        such as a serological test.

SEC. 30548. PUBLIC HEALTH DATA SYSTEM TRANSFORMATION.

    Subtitle C of title XXVIII of the Public Health Service Act (42 
U.S.C. 300hh-31 et seq.) is amended by adding at the end the following:

``SEC. 2822. PUBLIC HEALTH DATA SYSTEM TRANSFORMATION.

    ``(a) Expanding CDC and Public Health Department Capabilities.--
            ``(1) In general.--The Secretary, acting through the 
        Director of the Centers for Disease Control and Prevention, 
        shall--
                    ``(A) conduct activities to expand, enhance, and 
                improve applicable public health data systems used by 
                the Centers for Disease Control and Prevention, related 
                to the interoperability and improvement of such systems 
                (including as it relates to preparedness for, 
                prevention and detection of, and response to public 
                health emergencies); and
                    ``(B) award grants or cooperative agreements to 
                State, local, Tribal, or territorial public health 
                departments for the expansion and modernization of 
                public health data systems, to assist public health 
                departments in--
                            ``(i) assessing current data infrastructure 
                        capabilities and gaps to improve and increase 
                        consistency in data collection, storage, and 
                        analysis and, as appropriate, to improve 
                        dissemination of public health-related 
                        information;
                            ``(ii) improving secure public health data 
                        collection, transmission, exchange, 
                        maintenance, and analysis;
                            ``(iii) improving the secure exchange of 
                        data between the Centers for Disease Control 
                        and Prevention, State, local, Tribal, and 
                        territorial public health departments, public 
                        health organizations, and health care 
                        providers, including by public health officials 
                        in multiple jurisdictions within such State, as 
                        appropriate, and by simplifying and supporting 
                        reporting by health care providers, as 
                        applicable, pursuant to State law, including 
                        through the use of health information 
                        technology;
                            ``(iv) enhancing the interoperability of 
                        public health data systems (including systems 
                        created or accessed by public health 
                        departments) with health information 
                        technology, including with health information 
                        technology certified under section 3001(c)(5);
                            ``(v) supporting and training data systems, 
                        data science, and informatics personnel;
                            ``(vi) supporting earlier disease and 
                        health condition detection, such as through 
                        near real-time data monitoring, to support 
                        rapid public health responses;
                            ``(vii) supporting activities within the 
                        applicable jurisdiction related to the 
                        expansion and modernization of electronic case 
                        reporting; and
                            ``(viii) developing and disseminating 
                        information related to the use and importance 
                        of public health data.
            ``(2) Data standards.--In carrying out paragraph (1), the 
        Secretary, acting through the Director of the Centers for 
        Disease Control and Prevention, shall, as appropriate and in 
        consultation with the Office of the National Coordinator for 
        Health Information Technology, designate data and technology 
        standards (including standards for interoperability) for public 
        health data systems, with deference given to standards 
        published by consensus-based standards development 
        organizations with public input and voluntary consensus-based 
        standards bodies.
            ``(3) Public-private partnerships.--The Secretary may 
        develop and utilize public-private partnerships for technical 
        assistance, training, and related implementation support for 
        State, local, Tribal, and territorial public health 
        departments, and the Centers for Disease Control and 
        Prevention, on the expansion and modernization of electronic 
        case reporting and public health data systems, as applicable.
    ``(b) Requirements.--
            ``(1) Health information technology standards.--The 
        Secretary may not award a grant or cooperative agreement under 
        subsection (a)(1)(B) unless the applicant uses or agrees to use 
        standards endorsed by the National Coordinator for Health 
        Information Technology pursuant to section 3001(c)(1) or 
        adopted by the Secretary under section 3004.
            ``(2) Waiver.--The Secretary may waive the requirement 
        under paragraph (1) with respect to an applicant if the 
        Secretary determines that the activities under subsection 
        (a)(1)(B) cannot otherwise be carried out within the applicable 
        jurisdiction.
            ``(3) Application.--A State, local, Tribal, or territorial 
        health department applying for a grant or cooperative agreement 
        under this section shall submit an application to the Secretary 
        at such time and in such manner as the Secretary may require. 
        Such application shall include information describing--
                    ``(A) the activities that will be supported by the 
                grant or cooperative agreement; and
                    ``(B) how the modernization of the public health 
                data systems involved will support or impact the public 
                health infrastructure of the health department, 
                including a description of remaining gaps, if any, and 
                the actions needed to address such gaps.
    ``(c) Strategy and Implementation Plan.--Not later than 180 days 
after the date of enactment of this section, the Secretary, acting 
through the Director of the Centers for Disease Control and Prevention, 
shall submit to the Committee on Health, Education, Labor and Pensions 
of the Senate and the Committee on Energy and Commerce of the House of 
Representatives a coordinated strategy and an accompanying 
implementation plan that identifies and demonstrates the measures the 
Secretary will utilize to--
            ``(1) update and improve applicable public health data 
        systems used by the Centers for Disease Control and Prevention; 
        and
            ``(2) carry out the activities described in this section to 
        support the improvement of State, local, Tribal, and 
        territorial public health data systems.
    ``(d) Consultation.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, shall consult with 
State, local, Tribal, and territorial health departments, professional 
medical and public health associations, associations representing 
hospitals or other health care entities, health information technology 
experts, and other appropriate public or private entities regarding the 
plan and grant program to modernize public health data systems pursuant 
to this section. Activities under this subsection may include the 
provision of technical assistance and training related to the exchange 
of information by such public health data systems used by relevant 
health care and public health entities at the local, State, Federal, 
Tribal, and territorial levels, and the development and utilization of 
public-private partnerships for implementation support applicable to 
this section.
    ``(e) Report to Congress.--Not later than 1 year after the date of 
enactment of this section, the Secretary shall submit a report to the 
Committee on Health, Education, Labor and Pensions of the Senate and 
the Committee on Energy and Commerce of the House of Representatives 
that includes--
            ``(1) a description of any barriers to--
                    ``(A) public health authorities implementing 
                interoperable public health data systems and electronic 
                case reporting;
                    ``(B) the exchange of information pursuant to 
                electronic case reporting; or
                    ``(C) reporting by health care providers using such 
                public health data systems, as appropriate, and 
                pursuant to State law;
            ``(2) an assessment of the potential public health impact 
        of implementing electronic case reporting and interoperable 
        public health data systems; and
            ``(3) a description of the activities carried out pursuant 
        to this section.
    ``(f) Electronic Case Reporting.--In this section, the term 
`electronic case reporting' means the automated identification, 
generation, and bilateral exchange of reports of health events among 
electronic health record or health information technology systems and 
public health authorities.
    ``(g) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $450,000,000 to remain 
available until expended.''.

SEC. 30549. PILOT PROGRAM TO IMPROVE LABORATORY INFRASTRUCTURE.

    (a) In General.--The Secretary shall award grants to States and 
political subdivisions of States to support the improvement, 
renovation, or modernization of infrastructure at clinical laboratories 
(as defined in section 353 of the Public Health Service Act (42 U.S.C. 
263a)) that will help to improve SARS-CoV-2 and COVID-19 testing and 
response activities, including the expansion and enhancement of testing 
capacity at such laboratories.
    (b) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $1,000,000,000 to remain 
available until expended.

SEC. 30550. CORE PUBLIC HEALTH INFRASTRUCTURE FOR STATE, LOCAL, TRIBAL, 
              AND TERRITORIAL HEALTH DEPARTMENTS.

    (a) Program.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, shall establish a core 
public health infrastructure program consisting of awarding grants 
under subsection (b).
    (b) Grants.--
            (1) Award.--For the purpose of addressing core public 
        health infrastructure needs, the Secretary--
                    (A) shall award a grant to each State health 
                department; and
                    (B) may award grants on a competitive basis to 
                State, local, Tribal, or territorial health 
                departments.
            (2) Allocation.--Of the total amount of funds awarded as 
        grants under this subsection for a fiscal year--
                    (A) not less than 50 percent shall be for grants to 
                State health departments under paragraph (1)(A); and
                    (B) not less than 30 percent shall be for grants to 
                State, local, Tribal, or territorial health departments 
                under paragraph (1)(B).
    (c) Use of Funds.--A State, local, Tribal, or territorial health 
department receiving a grant under subsection (b) shall use the grant 
funds to address core public health infrastructure needs, including 
those identified in the accreditation process under subsection (g).
    (d) Formula Grants to State Health Departments.--In making grants 
under subsection (b)(1)(A), the Secretary shall award funds to each 
State health department in accordance with--
            (1) a formula based on population size; burden of 
        preventable disease and disability; and core public health 
        infrastructure gaps, including those identified in the 
        accreditation process under subsection (g); and
            (2) application requirements established by the Secretary, 
        including a requirement that the State health department submit 
        a plan that demonstrates to the satisfaction of the Secretary 
        that the State's health department will--
                    (A) address its highest priority core public health 
                infrastructure needs; and
                    (B) as appropriate, allocate funds to local health 
                departments within the State.
    (e) Competitive Grants to State, Local, Tribal, and Territorial 
Health Departments.--In making grants under subsection (b)(1)(B), the 
Secretary shall give priority to applicants demonstrating core public 
health infrastructure needs identified in the accreditation process 
under subsection (g).
    (f) Maintenance of Effort.--The Secretary may award a grant to an 
entity under subsection (b) only if the entity demonstrates to the 
satisfaction of the Secretary that--
            (1) funds received through the grant will be expended only 
        to supplement, and not supplant, non-Federal and Federal funds 
        otherwise available to the entity for the purpose of addressing 
        core public health infrastructure needs; and
            (2) with respect to activities for which the grant is 
        awarded, the entity will maintain expenditures of non-Federal 
        amounts for such activities at a level not less than the level 
        of such expenditures maintained by the entity for the fiscal 
        year preceding the fiscal year for which the entity receives 
        the grant.
    (g) Establishment of a Public Health Accreditation Program.--
            (1) In general.--The Secretary shall--
                    (A) develop, and periodically review and update, 
                standards for voluntary accreditation of State, local, 
                Tribal, and territorial health departments and public 
                health laboratories for the purpose of advancing the 
                quality and performance of such departments and 
                laboratories; and
                    (B) implement a program to accredit such health 
                departments and laboratories in accordance with such 
                standards.
            (2) Cooperative agreement.--The Secretary may enter into a 
        cooperative agreement with a private nonprofit entity to carry 
        out paragraph (1).
    (h) Report.--The Secretary shall submit to the Congress an annual 
report on progress being made to accredit entities under subsection 
(g), including--
            (1) a strategy, including goals and objectives, for 
        accrediting entities under subsection (g) and achieving the 
        purpose described in subsection (g)(1)(A);
            (2) identification of gaps in research related to core 
        public health infrastructure; and
            (3) recommendations of priority areas for such research.
    (i) Definition.--In this section, the term ``core public health 
infrastructure'' includes--
            (1) workforce capacity and competency;
            (2) laboratory systems;
            (3) testing capacity, including test platforms, mobile 
        testing units, and personnel;
            (4) health information, health information systems, and 
        health information analysis;
            (5) disease surveillance;
            (6) contact tracing;
            (7) communications;
            (8) financing;
            (9) other relevant components of organizational capacity; 
        and
            (10) other related activities.
    (j) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $6,000,000,000, to remain 
available until expended.

SEC. 30551. CORE PUBLIC HEALTH INFRASTRUCTURE AND ACTIVITIES FOR CDC.

    (a) In General.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, shall expand and improve 
the core public health infrastructure and activities of the Centers for 
Disease Control and Prevention to address unmet and emerging public 
health needs.
    (b) Report.--The Secretary shall submit to the Congress an annual 
report on the activities funded through this section.
    (c) Definition.--In this section, the term ``core public health 
infrastructure'' has the meaning given to such term in section 30550.
    (d) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $1,000,000,000, to remain 
available until expended.

  Subtitle D--COVID-19 National Testing and Contact Tracing Initiative

SEC. 30561. NATIONAL SYSTEM FOR COVID-19 TESTING, CONTACT TRACING, 
              SURVEILLANCE, CONTAINMENT, AND MITIGATION.

    (a) In General.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, and in coordination with 
State, local, Tribal, and territorial health departments, shall 
establish and implement a nationwide evidence-based system for--
            (1) testing, contact tracing, surveillance, containment, 
        and mitigation with respect to COVID-19;
            (2) offering guidance on voluntary isolation and quarantine 
        of individuals infected with, or exposed to individuals 
        infected with, the virus that causes COVID-19; and
            (3) public reporting on testing, contact tracing, 
        surveillance, and voluntary isolation and quarantine activities 
        with respect to COVID-19.
    (b) Coordination; Technical Assistance.--In carrying out the 
national system under this section, the Secretary shall--
            (1) coordinate State, local, Tribal, and territorial 
        activities related to testing, contact tracing, surveillance, 
        containment, and mitigation with respect to COVID-19, as 
        appropriate; and
            (2) provide technical assistance for such activities, as 
        appropriate.
    (c) Consideration.--In establishing and implementing the national 
system under this section, the Secretary shall take into 
consideration--
            (1) the State plans referred to in the heading ``Public 
        Health and Social Services Emergency Fund'' in title I of 
        division B of the Paycheck Protection Program and Health Care 
        Enhancement Act (Public Law 116-139); and
            (2) the testing strategy submitted under section 30541.
    (d) Reporting.--The Secretary shall--
            (1) not later than December 31, 2020, submit to the 
        Committee on Energy and Commerce of the House of 
        Representatives and the Committee on Health, Education, Labor 
        and Pensions a preliminary report on the effectiveness of the 
        activities carried out pursuant to this subtitle; and
            (2) not later than December 21, 2021, submit to such 
        committees a final report on such effectiveness.

SEC. 30562. GRANTS.

    (a) In General.--To implement the national system under section 
30561, the Secretary, acting through the Director of the Centers for 
Disease Control and Prevention, shall, subject to the availability of 
appropriations, award grants to State, local, Tribal, and territorial 
health departments that seek grants under this section to carry out 
coordinated testing, contact tracing, surveillance, containment, and 
mitigation with respect to COVID-19, including--
            (1) diagnostic and surveillance testing and reporting;
            (2) community-based contact tracing efforts; and
            (3) policies related to voluntary isolation and quarantine 
        of individuals infected with, or exposed to individuals 
        infected with, the virus that causes COVID-19.
    (b) Flexibility.--The Secretary shall ensure that--
            (1) the grants under subsection (a) provide flexibility for 
        State, local, Tribal, and territorial health departments to 
        modify, establish, or maintain evidence-based systems; and
            (2) local health departments receive funding from State 
        health departments or directly from the Centers for Disease 
        Control and Prevention to contribute to such systems, as 
        appropriate.
    (c) Allocations.--
            (1) Formula.--The Secretary, acting through the Director of 
        the Centers for Disease Control and Prevention, shall allocate 
        amounts made available pursuant to subsection (a) in accordance 
        with a formula to be established by the Secretary that provides 
        a minimum level of funding to each State, local, Tribal, and 
        territorial health department that seeks a grant under this 
        section and allocates additional funding based on the following 
        prioritization:
                    (A) The Secretary shall give highest priority to 
                applicants proposing to serve populations in one or 
                more geographic regions with a high burden of COVID-19 
                based on data provided by the Centers for Disease 
                Control and Prevention, or other sources as determined 
                by the Secretary.
                    (B) The Secretary shall give second highest 
                priority to applicants preparing for, or currently 
                working to mitigate, a COVID-19 surge in a geographic 
                region that does not yet have a high number of reported 
                cases of COVID-19 based on data provided by the Centers 
                for Disease Control and Prevention, or other sources as 
                determined by the Secretary.
                    (C) The Secretary shall give third highest priority 
                to applicants proposing to serve high numbers of low-
                income and uninsured populations, including medically 
                underserved populations (as defined in section 
                330(b)(3) of the Public Health Service Act (42 U.S.C. 
                254b(b)(3))), health professional shortage areas (as 
                defined under section 332(a) of the Public Health 
                Service Act (42 U.S.C. 254e(a))), racial and ethnic 
                minorities, or geographically diverse areas, as 
                determined by the Secretary.
            (2) Notification.--Not later than the date that is one week 
        before first awarding grants under this section, the Secretary 
        shall submit to the Committee on Energy and Commerce of the 
        House of Representatives and the Committee on Health, 
        Education, Labor and Pensions of the Senate a notification 
        detailing the formula established under paragraph (1) for 
        allocating amounts made available pursuant to subsection (a).
    (d) Use of Funds.--A State, local, Tribal, and territorial health 
department receiving a grant under this section shall, to the extent 
possible, use the grant funds for the following activities, or other 
activities deemed appropriate by the Director of the Centers for 
Disease Control and Prevention:
            (1) Testing.--To implement a coordinated testing system 
        that--
                    (A) leverages or modernizes existing testing 
                infrastructure and capacity;
                    (B) is consistent with the updated testing strategy 
                required under section 30541;
                    (C) is coordinated with the State plan for COVID-19 
                testing prepared as required under the heading 
                ``Department of Health and Human Services--Office of 
                the Secretary--Public Health and Social Service 
                Emergency Fund'' in title I of division B of the 
                Paycheck Protection Program and Health Care Enhancement 
                Act (Public Law 116-139; 134 Stat. 620, 624);
                    (D) is informed by contact tracing and surveillance 
                activities under this subtitle;
                    (E) is informed by guidelines established by the 
                Centers for Disease Control and Prevention for which 
                populations should be tested;
                    (F) identifies how diagnostic and serological tests 
                in such system shall be validated prior to use;
                    (G) identifies how diagnostic and serological tests 
                and testing supplies will be distributed to implement 
                such system;
                    (H) identifies specific strategies for ensuring 
                testing capabilities and accessibility in medically 
                underserved populations (as defined in section 
                330(b)(3) of the Public Health Service Act (42 U.S.C. 
                254b(b)(3))), health professional shortage areas (as 
                defined under section 332(a) of the Public Health 
                Service Act (42 U.S.C. 254e(a))), racial and ethnic 
                minority populations, and geographically diverse areas, 
                as determined by the Secretary;
                    (I) identifies how testing may be used, and results 
                may be reported, in both health care settings (such as 
                hospitals, laboratories for moderate or high-complexity 
                testing, pharmacies, mobile testing units, and 
                community health centers) and non-health care settings 
                (such as workplaces, schools, childcare centers, or 
                drive-throughs);
                    (J) allows for testing in sentinel surveillance 
                programs, as appropriate; and
                    (K) supports the procurement and distribution of 
                diagnostic and serological tests and testing supplies 
                to meet the goals of the system.
            (2) Contact tracing.--To implement a coordinated contact 
        tracing system that--
                    (A) leverages or modernizes existing contact 
                tracing systems and capabilities, including community 
                health workers, health departments, and Federally 
                qualified health centers;
                    (B) is able to investigate cases of COVID-19, and 
                help to identify other potential cases of COVID-19, 
                through tracing contacts of individuals with positive 
                diagnoses;
                    (C) establishes culturally competent and 
                multilingual strategies for contact tracing, which may 
                include consultation with and support for cultural or 
                civic organizations with established ties to the 
                community;
                    (D) provides individuals identified under the 
                contact tracing program with information and support 
                for containment or mitigation;
                    (E) enables State, local, Tribal, and territorial 
                health departments to work with a nongovernmental, 
                community partner or partners and State and local 
                workforce development systems (as defined in section 
                3(67) of Workforce Innovation and Opportunity Act (29 
                U.S.C. 3102(67))) receiving grants under section 
                30566(b) of this Act to hire and compensate a locally-
                sourced contact tracing workforce, if necessary, to 
                supplement the public health workforce, to--
                            (i) identify the number of contact tracers 
                        needed for the respective State, locality, 
                        territorial, or Tribal health department to 
                        identify all cases of COVID-19 currently in the 
                        jurisdiction and those anticipated to emerge 
                        over the next 18 months in such jurisdiction;
                            (ii) outline qualifications necessary for 
                        contact tracers;
                            (iii) train the existing and newly hired 
                        public health workforce on best practices 
                        related to tracing close contacts of 
                        individuals diagnosed with COVID-19, including 
                        the protection of individual privacy and 
                        cybersecurity protection; and
                            (iv) equip the public health workforce with 
                        tools and resources to enable a rapid response 
                        to new cases;
                    (F) identifies the level of contact tracing needed 
                within the State, locality, territory, or Tribal area 
                to contain and mitigate the transmission of COVID-19;
                    (G) establishes statewide mechanisms to integrate 
                regular evaluation to the Centers for Disease Control 
                and Prevention regarding contact tracing efforts, makes 
                such evaluation publicly available, and to the extent 
                possible provides for such evaluation at the county 
                level; and
                    (H) identifies specific strategies for ensuring 
                contact tracing activities in medically underserved 
                populations (as defined in section 330(b)(3) of the 
                Public Health Service Act (42 U.S.C. 254b(b)(3))), 
                health professional shortage areas (as defined under 
                section 332(a) of the Public Health Service Act (42 
                U.S.C. 254e(a))), racial and ethnic minority 
                populations, and geographically diverse areas, as 
                determined by the Secretary.
            (3) Surveillance.--To strengthen the existing public health 
        surveillance system that--
                    (A) leverages or modernizes existing surveillance 
                systems within the respective State, local, Tribal, or 
                territorial health department and national surveillance 
                systems;
                    (B) detects and identifies trends in COVID-19 at 
                the county level;
                    (C) evaluates State, local, Tribal, and territorial 
                health departments in achieving surveillance 
                capabilities with respect to COVID-19;
                    (D) integrates and improves disease surveillance 
                and immunization tracking; and
                    (E) identifies specific strategies for ensuring 
                disease surveillance in medically underserved 
                populations (as defined in section 330(b)(3) of the 
                Public Health Service Act (42 U.S.C. 254b(b)(3))), 
                health professional shortage areas (as defined under 
                section 332(a) of the Public Health Service Act (42 
                U.S.C. 254e(a))), racial and ethnic minority 
                populations, and geographically diverse areas, as 
                determined by the Secretary.
            (4) Containment and mitigation.--To implement a coordinated 
        containment and mitigation system that--
                    (A) leverages or modernizes existing containment 
                and mitigation strategies within the respective State, 
                local, Tribal, or territorial governments and national 
                containment and mitigation strategies;
                    (B) may provide for, connect to, and leverage 
                existing social services and support for individuals 
                who have been infected with or exposed to COVID-19 and 
                who are isolated or quarantined in their homes, such as 
                through--
                            (i) food assistance programs;
                            (ii) guidance for household infection 
                        control;
                            (iii) information and assistance with 
                        childcare services; and
                            (iv) information and assistance pertaining 
                        to support available under the CARES Act 
                        (Public Law 116-136) and this Act;
                    (C) provides guidance on the establishment of safe, 
                high-quality, facilities for the voluntary isolation of 
                individuals infected with, or quarantine of the 
                contacts of individuals exposed to COVID-19, where 
                hospitalization is not required, which facilities 
                should--
                            (i) be prohibited from making inquiries 
                        relating to the citizenship status of an 
                        individual isolated or quarantined; and
                            (ii) be operated by a non-Federal, 
                        community partner or partners that--
                                    (I) have previously established 
                                relationships in localities;
                                    (II) work with local places of 
                                worship, community centers, medical 
                                facilities, and schools to recruit 
                                local staff for such facilities; and
                                    (III) are fully integrated into 
                                State, local, Tribal, or territorial 
                                containment and mitigation efforts; and
                    (D) identifies specific strategies for ensuring 
                containment and mitigation activities in medically 
                underserved populations (as defined in section 
                330(b)(3) of the Public Health Service Act (42 U.S.C. 
                254b(b)(3))), health professional shortage areas (as 
                defined under section 332(a) of the Public Health 
                Service Act (42 U.S.C. 254e(a))), racial and ethnic 
                minority populations, and geographically diverse areas, 
                as determined by the Secretary.
    (e) Reporting.--The Secretary shall facilitate mechanisms for 
timely, standardized reporting by grantees under this section regarding 
implementation of the systems established under this section and 
coordinated processes with the reporting as required and under the 
heading ``Department of Health and Human Services--Office of the 
Secretary--Public Health and Social Service Emergency Fund'' in title I 
of division B of the Paycheck Protection Program and Health Care 
Enhancement Act (Public Law 116-139, 134 Stat. 620), including--
            (1) a summary of county or local health department level 
        information from the States receiving funding, and information 
        from directly funded localities, territories, and Tribal 
        entities, about the activities that will be undertaken using 
        funding awarded under this section, including subgrants;
            (2) any anticipated shortages of required materials for 
        testing for COVID-19 under subsection (a); and
            (3) other barriers in the prevention, mitigation, or 
        treatment of COVID-19 under this section.
    (f) Public Listing of Awards.--The Secretary shall--
            (1) not later than 7 days after first awarding grants under 
        this section, post in a searchable, electronic format a list of 
        all awards made by the Secretary under this section, including 
        the recipients and amounts of such awards; and
            (2) update such list not less than every 7 days until all 
        funds made available to carry out this section are expended.

SEC. 30563. GUIDANCE, TECHNICAL ASSISTANCE, INFORMATION, AND 
              COMMUNICATION.

    (a) In General.-- Not later than 14 days after the date of the 
enactment of this Act, the Secretary, in coordination with other 
Federal agencies, as appropriate, shall issue guidance, provide 
technical assistance, and provide information to States, localities, 
Tribes, and territories, with respect to the following:
            (1) The diagnostic and serological testing of individuals 
        identified through contact tracing for COVID-19, including 
        information with respect to the reduction of duplication 
        related to programmatic activities, reporting, and billing.
            (2) Best practices regarding contact tracing, including the 
        collection of data with respect to such contact tracing and 
        requirements related to the standardization of demographic and 
        syndromic information collected as part of contact tracing 
        efforts.
            (3) Best practices regarding COVID-19 disease surveillance, 
        including best practices to reduce duplication in surveillance 
        activities, identifying gaps in surveillance and surveillance 
        systems, and ways in which the Secretary plans to effectively 
        support State, local, Tribal and territorial health departments 
        in addressing such gaps.
            (4) Information on ways for State, local, Tribal, and 
        territorial health departments to establish and maintain the 
        testing, contact tracing, and surveillance activities described 
        in paragraphs (1) through (3).
            (5) The protection of any personally identifiable health 
        information collected pursuant to this subtitle.
            (6) Best practices regarding privacy and cybersecurity 
        protection related to contact tracing, containment, and 
        mitigation efforts.
    (b) Guidance on Payment.--Not later than 14 days after the date of 
the enactment of this Act, the Secretary, in coordination with the 
Administrator of the Centers for Medicare & Medicaid Services, the 
Director of the Centers for Disease Control and Prevention, and in 
coordination with other Federal agencies, as appropriate, shall develop 
and issue to State, local, Tribal, and territorial health departments 
clear guidance and policies--
            (1) with respect to the coordination of claims submitted 
        for payment out of the Public Health and Social Services 
        Emergency Fund for services furnished in a facility referred to 
        in section 30562(d)(4)(C);
            (2) identifying how an individual who is isolated or 
        quarantined at home or in such a facility--
                    (A) incurs no out-of-pocket costs for any services 
                furnished to such individual while isolated; and
                    (B) may receive income support for lost earnings or 
                payments for expenses such as child care or elder care 
                while such individual is isolated at home or in such a 
                facility;
            (3) providing information and assistance pertaining to 
        support available under the CARES Act (Public Law 116-136) and 
        this Act; and
            (4) identifying State, local, Tribal, and territorial 
        health departments or partner agencies that may provide social 
        support services, such as groceries or meals, health education, 
        internet access, and behavioral health services, to individuals 
        who isolated or quarantined at home or in such a facility.
    (c) Guidance on Testing.--Not later than 14 days after the date of 
the enactment of this Act, the Secretary, in coordination with the 
Commissioner of Food and Drugs, the Director of the National Institutes 
of Health, and the Director of the Centers for Disease Control and 
Prevention, and in coordination with other Federal agencies as 
appropriate, shall develop and issue to State, local, Tribal, and 
territorial health departments clear guidance and policies regarding--
            (1) objective standards to characterize the performance of 
        all diagnostic and serological tests for COVID-19 in order to 
        independently evaluate tests continuously over time;
            (2) protocols for the evaluation of the performance of 
        diagnostic and serological tests for COVID-19; and
            (3) a repository of characterized specimens to use to 
        evaluate the performance of those tests that can be made 
        available for appropriate entities to use to evaluate 
        performance.
    (d) Communication.--The Secretary shall identify and publicly 
announce the form and manner for communication with State, local, 
Tribal, and territorial health departments for purposes of carrying out 
the activities addressed by guidance issued under subsections (a) and 
(b).
    (e) Availability to Providers.--Guidance issued under subsection 
(a)(1) shall be issued to health care providers.
    (f) Ongoing Provision of Guidance and Technical Assistance.--
Notwithstanding whether funds are available specifically to carry out 
this subtitle, guidance and technical assistance shall continue to be 
provided under this section.

SEC. 30564. RESEARCH AND DEVELOPMENT.

    The Secretary, in coordination with the Director of the Centers for 
Disease Control and Prevention and in collaboration with the Director 
of the National Institutes of Health, the Director of the Agency for 
Healthcare Research and Quality, the Commissioner of Food and Drugs, 
and the Administrator of the Centers for Medicare & Medicaid Services, 
shall support research and development on more efficient and effective 
strategies--
            (1) for the surveillance of SARS-CoV-2 and COVID-19;
            (2) for the testing and identification of individuals 
        infected with COVID-19; and
            (3) for the tracing of contacts of individuals infected 
        with COVID-19.

SEC. 30565. AWARENESS CAMPAIGNS.

    The Secretary, acting through the Director of the Centers for 
Disease Control and Prevention and in coordination with other offices 
and agencies, as appropriate, shall award competitive grants or 
contracts to one or more public or private entities, including faith-
based organizations, to carry out multilingual and culturally 
appropriate awareness campaigns. Such campaigns shall--
            (1) be based on available scientific evidence;
            (2) increase awareness and knowledge of COVID-19, including 
        countering stigma associated with COVID-19;
            (3) improve information on the availability of COVID-19 
        diagnostic testing; and
            (4) promote cooperation with contact tracing efforts.

SEC. 30566. GRANTS TO STATE AND TRIBAL WORKFORCE AGENCIES.

    (a) Definitions.--In this section:
            (1) In general.--Except as otherwise provided, the terms in 
        this section have the meanings given the terms in section 3 of 
        the Workforce Innovation and Opportunity Act (29 U.S.C. 3102).
            (2) Apprenticeship; apprenticeship program.--The term 
        ``apprenticeship'' or ``apprenticeship program'' means an 
        apprenticeship program registered under the Act of August 16, 
        1937 (commonly known as the ``National Apprenticeship Act'') 
        (50 Stat. 664, chapter 663; 29 U.S.C. 50 et seq.), including 
        any requirement, standard, or rule promulgated under such Act, 
        as such requirement, standard, or rule was in effect on 
        December 30, 2019.
            (3) Contact tracing and related positions.--The term 
        ``contact tracing and related positions'' means employment 
        related to contact tracing, surveillance, containment, and 
        mitigation activities as described in paragraphs (2), (3), and 
        (4) of section 30562(d).
            (4) Eligible entity.--The term ``eligible entity'' means--
                    (A) a State or territory, including the District of 
                Columbia and Puerto Rico;
                    (B) an Indian Tribe, Tribal organization, Alaska 
                Native entity, Indian-controlled organizations serving 
                Indians, or Native Hawaiian organizations;
                    (C) an outlying area; or
                    (D) a local board, if an eligible entity under 
                subparagraphs (A) through (C) has not applied with 
                respect to the area over which the local board has 
                jurisdiction as of the date on which the local board 
                submits an application under subsection (c).
            (5) Eligible individual.--Notwithstanding section 170(b)(2) 
        of the Workforce Innovation and Opportunity Act (29 U.S.C. 
        3225(b)(2)), the term ``eligible individual'' means an 
        individual seeking or securing employment in contact tracing 
        and related positions and served by an eligible entity or 
        community-based organization receiving funding under this 
        section.
            (6) Secretary.--The term ``Secretary'' means the Secretary 
        of Labor.
    (b) Grants.--
            (1) In general.--Subject to the availability of 
        appropriations under subsection (g), the Secretary shall award 
        national dislocated worker grants under section 170(b)(1)(B) of 
        the Workforce Innovation and Opportunity Act (29 U.S.C. 
        3225(b)(1)(B)) to each eligible entity that seeks a grant to 
        assist local boards and community-based organizations in 
        carrying out activities under subsections (f) and (d), 
        respectively, for the following purposes:
                    (A) To support the recruitment, placement, and 
                training, as applicable, of eligible individuals 
                seeking employment in contact tracing and related 
                positions in accordance with the national system for 
                COVID-19 testing, contact tracing, surveillance, 
                containment, and mitigation established under section 
                30561.
                    (B) To assist with the employment transition to new 
                employment or education and training of individuals 
                employed under this section in preparation for and upon 
                termination of such employment.
            (2) Timeline.--The Secretary of Labor shall--
                    (A) issue application requirements under subsection 
                (c) not later than 10 days after the date of enactment 
                of this section; and
                    (B) award grants to an eligible entity under 
                paragraph (1) not later than 10 days after the date on 
                which the Secretary receives an application from such 
                entity.
    (c) Grant Application.--An eligible entity applying for a grant 
under this section shall submit an application to the Secretary, at 
such time and in such form and manner as the Secretary may reasonably 
require, which shall include a description of--
            (1) how the eligible entity will support the recruitment, 
        placement, and training, as applicable, of eligible individuals 
        seeking employment in contact tracing and related positions by 
        partnering with--
                    (A) a State, local, Tribal, or territorial health 
                department; or
                    (B) one or more nonprofit or community-based 
                organizations partnering with such health departments;
            (2) how the activities described in paragraph (1) will 
        support State efforts to address the demand for contact tracing 
        and related positions with respect to--
                    (A) the State plans referred to in the heading 
                ``Public Health and Social Services Emergency Fund'' in 
                title I of division B of the Paycheck Protection 
                Program and Health Care Enhancement Act (Public Law 
                116-139);
                    (B) the testing strategy submitted under section 
                30541; and
                    (C) the number of eligible individuals that the 
                State plans to recruit and train under the plans and 
                strategies described in subparagraphs (A) and (B);
            (3) the specific strategies for recruiting and placement of 
        eligible individuals from or residing within the communities in 
        which they will work, including--
                    (A) plans for the recruitment of eligible 
                individuals to serve as contact tracers and related 
                positions, including dislocated workers, individuals 
                with barriers to employment, veterans, new entrants in 
                the workforce, or underemployed or furloughed workers, 
                who are from or reside in or near the local area in 
                which they will serve, and who, to the extent 
                practicable--
                            (i) have experience or a background in 
                        industry-sectors and occupations such as public 
                        health, social services, customer service, case 
                        management, or occupations that require related 
                        qualifications, skills, or competencies, such 
                        as strong interpersonal and communication 
                        skills, needed for contact tracing and related 
                        positions, as described in section 
                        30562(d)(2)(E)(ii); or
                            (ii) seek to transition to public health 
                        and public health related occupations upon the 
                        conclusion of employment in contact tracing and 
                        related positions; and
                    (B) how such strategies will take into account the 
                diversity of such community, including racial, ethnic, 
                socioeconomic, linguistic, or geographic diversity;
            (4) the amount, timing, and mechanisms for distribution of 
        funds provided to local boards or through subgrants as 
        described in subsection (d);
            (5) for eligible entities described in subparagraphs (A) 
        through (C) of subsection (a)(4), a description of how the 
        eligible entity will ensure the equitable distribution of funds 
        with respect to--
                    (A) geography (such as urban and rural 
                distribution);
                    (B) medically underserved populations (as defined 
                in section 33(b)(3) of the Public Health Service Act 
                (42 U.S.C. 254b(b)));
                    (C) health professional shortage areas (as defined 
                under section 332(a) of the Public Health Service Act 
                (42 U.S.C. 254e(a))); and
                    (D) the racial and ethnic diversity of the area; 
                and
            (6) for eligible entities who are local boards, a 
        description of how a grant to such eligible entity would serve 
        the equitable distribution of funds as described in paragraph 
        (5).
    (d) Subgrant Authorization and Application Process.--
            (1) In general.--An eligible entity may award a subgrant to 
        one or more community-based organizations for the purposes of 
        partnering with a State or local board to conduct outreach and 
        education activities to inform potentially eligible individuals 
        about employment opportunities in contact tracing and related 
        positions.
            (2) Application.--A community-based organization shall 
        submit an application at such time and in such manner as the 
        eligible entity may reasonably require, including--
                    (A) a demonstration of the community-based 
                organization's established expertise and effectiveness 
                in community outreach in the local area that such 
                organization plans to serve;
                    (B) a demonstration of the community-based 
                organization's expertise in providing employment or 
                public health information to the local areas in which 
                such organization plans to serve; and
                    (C) a description of the expertise of the 
                community-based organization in utilizing culturally 
                competent and multilingual strategies in the provision 
                of services.
    (e) Grant Distribution.--
            (1) Federal distribution.--
                    (A) Use of funds.-- The Secretary of Labor shall 
                use the funds appropriated to carry out this section as 
                follows:
                            (i) Subject to clause (ii), the Secretary 
                        shall distribute funds among eligible entities 
                        in accordance with a formula to be established 
                        by the Secretary that provides a minimum level 
                        of funding to each eligible entity that seeks a 
                        grant under this section and allocates 
                        additional funding as follows:
                                    (I) The formula shall give first 
                                priority based on the number and 
                                proportion of contact tracing and 
                                related positions that the State plans 
                                to recruit, place, and train 
                                individuals as a part of the State 
                                strategy described in subsection 
                                (c)(2)(A).
                                    (II) Subject to subclause (I), the 
                                formula shall give priority in 
                                accordance with section 30562(c).
                            (ii) Not more than 2 percent of the funding 
                        for administration of the grants and for 
                        providing technical assistance to recipients of 
                        funds under this section.
                    (B) Equitable distribution.--If the geographic 
                region served by one or more eligible entities 
                overlaps, the Secretary shall distribute funds among 
                such entities in such a manner that ensures equitable 
                distribution with respect to the factors under 
                subsection (c)(5).
            (2) Eligible entity use of funds.--An eligible entity 
        described in subparagraphs (A) through (C) of subsection 
        (a)(4)--
                    (A) shall, not later than 30 days after the date on 
                which the entity receives grant funds under this 
                section, provide not less than 70 percent of grant 
                funds to local boards for the purpose of carrying out 
                activities in subsection (f);
                    (B) may use up to 20 percent of such funds to make 
                subgrants to community-based organizations in the 
                service area to conduct outreach, to potential eligible 
                individuals, as described in subsection (d);
                    (C) in providing funds to local boards and awarding 
                subgrants under this subsection shall ensure the 
                equitable distribution with respect to the factors 
                described in subsection (c)(5); and
                    (D) may use not more than 10 percent of the funds 
                awarded under this section for the administrative costs 
                of carrying out the grant and for providing technical 
                assistance to local boards and community-based 
                organizations.
            (3) Local board use of funds.--A local board, or an 
        eligible entity that is a local board, shall use--
                    (A) not less than 60 percent of the funds for 
                recruitment and training for COVID-19 testing, contact 
                tracing, surveillance, containment, and mitigation 
                established under section 30561;
                    (B) not less than 30 of the funds to support the 
                transition of individuals hired as contact tracers and 
                related positions into an education or training 
                program, or unsubsidized employment upon completion of 
                such positions; and
                    (C) not more than 10 percent of the funds for 
                administrative costs.
    (f) Eligible Activities.--The State or local boards shall use funds 
awarded under this section to support the recruitment and placement of 
eligible individuals, training and employment transition as related to 
contact tracing and related positions, and for the following 
activities:
            (1) Establishing or expanding partnerships with--
                    (A) State, local, Tribal, and territorial public 
                health departments;
                    (B) community-based health providers, including 
                community health centers and rural health clinics;
                    (C) labor organizations or joint labor management 
                organizations;
                    (D) two-year and four-year institutions of higher 
                education (as defined in section 101 of the Higher 
                Education Act of 1965 (20 U.S.C. 1001)), including 
                institutions eligible to receive funds under section 
                371(a) of the Higher Education Act of 1965 (20 U.S.C. 
                1067q(a)); and
                    (E) community action agencies or other community-
                based organizations serving local areas in which there 
                is a demand for contact tracing and related positions.
            (2) Providing training for contact tracing and related 
        positions in coordination with State, local, Tribal, or 
        territorial health departments that is consistent with the 
        State or territorial testing and contact tracing strategy, and 
        ensuring that eligible individuals receive compensation while 
        participating in such training.
            (3) Providing eligible individuals with--
                    (A) adequate and safe equipment, environments, and 
                facilities for training and supervision, as applicable;
                    (B) information regarding the wages and benefits 
                related to contact tracing and related positions, as 
                compared to State, local, and national averages;
                    (C) supplies and equipment needed by the eligible 
                individuals to support placement of an individual in 
                contact tracing and related positions, as applicable;
                    (D) an individualized employment plan for each 
                eligible individual, as applicable--
                            (i) in coordination with the entity 
                        employing the eligible individual in a contact 
                        tracing and related positions; and
                            (ii) which shall include providing a case 
                        manager to work with each eligible individual 
                        to develop the plan, which may include--
                                    (I) identifying employment and 
                                career goals, and setting appropriate 
                                achievement objectives to attain such 
                                goals; and
                                    (II) exploring career pathways that 
                                lead to in-demand industries and 
                                sectors, including in public health and 
                                related occupations; and
                    (E) services for the period during which the 
                eligible individual is employed in a contact tracing 
                and related position to ensure job retention, which may 
                include--
                            (i) supportive services throughout the term 
                        of employment;
                            (ii) a continuation of skills training as 
                        related to employment in contact tracing and 
                        related positions, that is conducted in 
                        collaboration with the employers of such 
                        individuals;
                            (iii) mentorship services and job retention 
                        support for eligible individuals; or
                            (iv) targeted training for managers and 
                        workers working with eligible individuals (such 
                        as mentors), and human resource 
                        representatives;
            (4) Supporting the transition and placement in unsubsidized 
        employment for eligible individuals serving in contact tracing 
        and related positions after such positions are no longer 
        necessary in the State or local area, including--
                    (A) any additional training and employment 
                activities as described in section 170(d)(4) of the 
                Workforce Innovation and Opportunity Act (29 U.S.C. 
                3225(d)(4));
                    (B) developing the appropriate combination of 
                services to enable the eligible individual to achieve 
                the employment and career goals identified under 
                paragraph (3)(D)(ii)(I); and
                    (C) services to assist eligible individuals in 
                maintaining employment for not less than 12 months 
                after the completion of employment in contact tracing 
                and related positions, as appropriate.
            (5) Any other activities as described in subsections (a)(3) 
        and (b) of section 134 of the Workforce Innovation and 
        Opportunity Act (29 U.S.C. 3174).
    (g) Limitation.--Notwithstanding section 170(d)(3)(A) of the 
Workforce Innovation and Opportunity Act (29 U.S.C. 3225(d)(3)(A)), a 
person may be employed in a contact tracing and related positions using 
funds under this section for a period not greater than 2 years.
    (h) Reporting by the Department of Labor.--
            (1) In general.--Not later than 120 days of the enactment 
        of this Act, and once grant funds have been expended under this 
        section, the Secretary shall report to the Committee on 
        Education and Labor of the House of Representatives and the 
        Committee on Health, Education, Labor and Pensions of the 
        Senate, and make publicly available a report containing a 
        description of--
                    (A) the number of eligible individuals recruited, 
                hired, and trained in contact tracing and related 
                positions;
                    (B) the number of individuals successfully 
                transitioned to unsubsidized employment or training at 
                the completion of employment in contact tracing and 
                related positions using funds under this subtitle;
                    (C) the number of such individuals who were 
                unemployed prior to being hired, trained, or deployed 
                as described in paragraph (1);
                    (D) the performance of each program supported by 
                funds under this subtitle with respect to the 
                indicators of performance under section 116 of the 
                Workforce Innovation and Opportunity Act (29 U.S.C. 
                3141), as applicable;
                    (E) the number of individuals in unsubsidized 
                employment within six months and 1 year, respectively, 
                of the conclusion of employment in contact tracing and 
                related positions and, of those, the number of 
                individuals within a State, territorial, or local 
                public health department in an occupation related to 
                public health;
                    (F) any information on how eligible entities, local 
                boards, or community-based organizations that received 
                funding under this subsection were able to support the 
                goals of the national system for COVID-19 testing, 
                contact tracing, surveillance, containment, and 
                mitigation established under section 30561 of this Act; 
                and
                    (G) best practices for improving and increasing the 
                transition of individuals employed in contract tracing 
                and related positions to unsubsidized employment.
            (2) Disaggregation.--All data reported under paragraph (1) 
        shall be disaggregated by race, ethnicity, sex, age, and, with 
        respect to individuals with barriers to employment, 
        subpopulation of such individuals, except for when the number 
        of participants in a category is insufficient to yield 
        statistically reliable information or when the results would 
        reveal personally identifiable information about an individual 
        participant.
    (i) Special Rule.--Any funds used for programs under this section 
that are used to fund an apprenticeship or apprenticeship program shall 
only be used for, or provided to, an apprenticeship or apprenticeship 
program that meets the definition of such term subsection (a) of this 
section, including any funds awarded for the purposes of grants, 
contracts, or cooperative agreements, or the development, 
implementation, or administration, of an apprenticeship or an 
apprenticeship program.
    (j) Information Sharing Requirement for HHS.--The Secretary of 
Health and Human Services, acting through the Director of the Centers 
for Disease Control and Prevention, shall provide the Secretary of 
Labor, acting through the Assistant Secretary of the Employment and 
Training Administration, with information on grants under section 
30562, including--
            (1) the formula used to award such grants to State, local, 
        Tribal, and territorial health departments;
            (2) the dollar amounts of and scope of the work funded 
        under such grants;
            (3) the geographic areas served by eligible entities that 
        receive such grants; and
            (4) the number of contact tracers and related positions to 
        be hired using such grants.
    (k) Authorization of Appropriations.--Of the amounts appropriated 
to carry out this subtitle, $500,000,000 shall be used by the Secretary 
of Labor to carry out subsections (a) through (h) of this section.

SEC. 30567. APPLICATION OF THE SERVICE CONTRACT ACT TO CONTRACTS AND 
              GRANTS.

    Contracts and grants which include contact tracing as part of the 
scope of work and that are awarded under this subtitle shall require 
that contract tracers and related positions are paid not less than the 
prevailing wage and fringe rates required under chapter 67 of title 41, 
United States Code (commonly known as the ``Service Contract Act'') for 
the area in which the work is performed. To the extent that a 
nonstandard wage determination is required to establish a prevailing 
wage for contact tracers and related positions for purposes of this 
subtitle, the Secretary of Labor shall issue such determination not 
later than 14 days after the date of enactment of this Act, based on a 
job description used by the Centers for Disease Control and Prevention 
and contractors or grantees performing contact tracing for State public 
health agencies.

SEC. 30568. AUTHORIZATION OF APPROPRIATIONS.

    To carry out this subtitle, there are authorized to be appropriated 
$75,000,000,000, to remain available until expended.

 Subtitle E--Demographic Data and Supply Reporting Related to COVID-19

SEC. 30571. COVID-19 REPORTING PORTAL.

    (a) In General.--Not later than 15 days after the date of enactment 
of this Act, the Secretary shall establish and maintain an online 
portal for use by eligible health care entities to track and transmit 
data regarding their personal protective equipment and medical supply 
inventory and capacity related to COVID-19.
    (b) Eligible Health Care Entities.--In this section, the term 
``eligible health care entity'' means a licensed acute care hospital, 
hospital system, or long-term care facility with confirmed cases of 
COVID-19.
    (c) Submission.--An eligible health care entity shall report using 
the portal under this section on a biweekly basis in order to assist 
the Secretary in tracking usage and need of COVID-related supplies and 
personnel in a regular and real-time manner.
    (d) Included Information.--The Secretary shall design the portal 
under this section to include information on personal protective 
equipment and medical supply inventory and capacity related to COVID-
19, including with respect to the following:
            (1) Personal protective equipment.--Total personal 
        protective equipment inventory, including, in units, the 
        numbers of N95 masks and authorized equivalent respirator 
        masks, surgical masks, exam gloves, face shields, isolation 
        gowns, and coveralls.
            (2) Medical supply.--
                    (A) Total ventilator inventory, including, in 
                units, the number of universal, adult, pediatric, and 
                infant ventilators.
                    (B) Total diagnostic and serological test 
                inventory, including, in units, the number of test 
                platforms, tests, test kits, reagents, transport media, 
                swabs, and other materials or supplies determined 
                necessary by the Secretary.
            (3) Capacity.--
                    (A) Case count measurements, including confirmed 
                positive cases and persons under investigation.
                    (B) Total number of staffed beds, including medical 
                surgical beds, intensive care beds, and critical care 
                beds.
                    (C) Available beds, including medical surgical 
                beds, intensive care beds, and critical care beds.
                    (D) Total number of COVID-19 patients currently 
                utilizing a ventilator.
                    (E) Average number of days a COVID-19 patient is 
                utilizing a ventilator.
                    (F) Total number of additionally needed 
                professionals in each of the following categories: 
                intensivists, critical care physicians, respiratory 
                therapists, registered nurses, certified registered 
                nurse anesthetists, and laboratory personnel.
                    (G) Total number of hospital personnel currently 
                not working due to self-isolation following a known or 
                presumed COVID-19 exposure.
    (e) Access to Information Related to Inventory and Capacity.--The 
Secretary shall ensure that relevant agencies and officials, including 
the Centers for Disease Control and Prevention, the Assistant Secretary 
for Preparedness and Response, and the Federal Emergency Management 
Agency, have access to information related to inventory and capacity 
submitted under this section.
    (f) Weekly Report to Congress.--On a weekly basis, the Secretary 
shall transmit information related to inventory and capacity submitted 
under this section to the appropriate committees of the House and 
Senate.

SEC. 30572. REGULAR CDC REPORTING ON DEMOGRAPHIC DATA.

    Not later than 14 days after the date of enactment of this Act, the 
Secretary, in coordination with the Director of the Centers for Disease 
Control and Prevention, shall amend the reporting under the heading 
``Department of Health and Human Services--Office of the Secretary--
Public Health and Social Service Emergency Fund'' in title I of 
division B of the Paycheck Protection Program and Health Care 
Enhancement Act (Public Law 116-139; 134 Stat. 620, 626) on the 
demographic characteristics, including race, ethnicity, age, sex, 
gender, geographic region, and other relevant factors of individuals 
tested for or diagnosed with COVID-19, to include--
            (1) providing technical assistance to State, local, and 
        territorial health departments to improve the collection and 
        reporting of such demographic data;
            (2) if such data is not so collected or reported, the 
        reason why the State, local, or territorial department of 
        health has not been able to collect or provide such 
        information; and
            (3) making a copy of such report available publicly on the 
        website of the Centers for Disease Control and Prevention.

SEC. 30573. FEDERAL MODERNIZATION FOR HEALTH INEQUITIES DATA.

    (a) In General.--The Secretary shall work with covered agencies to 
support the modernization of data collection methods and infrastructure 
at such agencies for the purpose of increasing data collection related 
to health inequities, such as racial, ethnic, socioeconomic, sex, 
gender, and disability disparities.
    (b) Covered Agency Defined.--In this section, the term ``covered 
agency'' means each of the following Federal agencies:
            (1) The Agency for Healthcare Research and Quality.
            (2) The Centers for Disease Control and Prevention.
            (3) The Centers for Medicare & Medicaid Services.
            (4) The Food and Drug Administration.
            (5) The Office of the National Coordinator for Health 
        Information Technology.
            (6) The National Institutes of Health.
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated to each covered agency to carry out this section 
$4,000,000, to remain available until expended.

SEC. 30574. MODERNIZATION OF STATE AND LOCAL HEALTH INEQUITIES DATA.

    (a) In General.--Not later than 6 months after the date of 
enactment of this Act, the Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, shall award grants to 
State, local, and territorial health departments in order to support 
the modernization of data collection methods and infrastructure for the 
purposes of increasing data related to health inequities, such as 
racial, ethnic, socioeconomic, sex, gender, and disability disparities. 
The Secretary shall--
            (1) provide guidance, technical assistance, and information 
        to grantees under this section on best practices regarding 
        culturally competent, accurate, and increased data collection 
        and transmission; and
            (2) track performance of grantees under this section to 
        help improve their health inequities data collection by 
        identifying gaps and taking effective steps to support States, 
        localities, and territories in addressing the gaps.
    (b) Report.--Not later than 1 year after the date on which the 
first grant is awarded under this section, the Secretary shall submit 
to the Committee on Energy and Commerce of the House of Representatives 
and the Committee on Health, Education, Labor and Pensions of the 
Senate an initial report detailing--
            (1) nationwide best practices for ensuring States and 
        localities collect and transmit health inequities data;
            (2) nationwide trends which hinder the collection and 
        transmission of health inequities data;
            (3) Federal best practices for working with States and 
        localities to ensure culturally competent, accurate, and 
        increased data collection and transmission; and
            (4) any recommended changes to legislative or regulatory 
        authority to help improve and increase health inequities data 
        collection.
    (c) Final Report.--Not later than December 31, 2023, the Secretary 
shall--
            (1) update and finalize the initial report under subsection 
        (b); and
            (2) submit such final report to the committees specified in 
        such subsection.
    (d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $100,000,000, to remain 
available until expended.

SEC. 30575. TRIBAL FUNDING TO RESEARCH HEALTH INEQUITIES INCLUDING 
              COVID-19.

    (a) In General.--Not later than 6 months after the date of 
enactment of this Act, the Director of the Indian Health Service, in 
coordination with Tribal Epidemiology Centers and other Federal 
agencies, as appropriate, shall conduct or support research and field 
studies for the purposes of improved understanding of Tribal health 
inequities among American Indians and Alaska Natives, including with 
respect to--
            (1) disparities related to COVID-19;
            (2) public health surveillance and infrastructure regarding 
        unmet needs in Indian country and Urban Indian communities;
            (3) population-based health disparities;
            (4) barriers to health care services;
            (5) the impact of socioeconomic status; and
            (6) factors contributing to Tribal health inequities.
    (b) Consultation, Confer, and Coordination.--In carrying out this 
section, the Director of the Indian Health Service shall--
            (1) consult with Indian Tribes and Tribal organizations;
            (2) confer with Urban Indian organizations; and
            (3) coordinate with the Director of the Centers for Disease 
        Control and Prevention and the Director of the National 
        Institutes of Health.
    (c) Process.--Not later than 60 days after the date of enactment of 
this Act, the Director of the Indian Health Service shall establish a 
nationally representative panel to establish processes and procedures 
for the research and field studies conducted or supported under 
subsection (a). The Director shall ensure that, at a minimum, the panel 
consists of the following individuals:
            (1) Elected Tribal leaders or their designees.
            (2) Tribal public health practitioners and experts from the 
        national and regional levels.
    (d) Duties.--The panel established under subsection (c) shall, at a 
minimum--
            (1) advise the Director of the Indian Health Service on the 
        processes and procedures regarding the design, implementation, 
        and evaluation of, and reporting on, research and field studies 
        conducted or supported under this section;
            (2) develop and share resources on Tribal public health 
        data surveillance and reporting, including best practices; and
            (3) carry out such other activities as may be appropriate 
        to establish processes and procedures for the research and 
        field studies conducted or supported under subsection (a).
    (e) Report.--Not later than 1 year after expending all funds made 
available to carry out this section, the Director of the Indian Health 
Service, in coordination with the panel established under subsection 
(c), shall submit an initial report on the results of the research and 
field studies under this section to--
            (1) the Committee on Energy and Commerce and the Committee 
        on Natural Resources of the House of Representatives; and
            (2) the Committee on Indian Affairs and the Committee on 
        Health, Education, Labor and Pensions of the Senate.
    (f) Tribal Data Sovereignty.--The Director of the Indian Health 
Service shall ensure that all research and field studies conducted or 
supported under this section are tribally-directed and carried out in a 
manner which ensures Tribal-direction of all data collected under this 
section--
            (1) according to Tribal best practices regarding research 
        design and implementation, including by ensuring the consent of 
        the Tribes involved to public reporting of Tribal data;
            (2) according to all relevant and applicable Tribal, 
        professional, institutional, and Federal standards for 
        conducting research and governing research ethics;
            (3) with the prior and informed consent of any Indian Tribe 
        participating in the research or sharing data for use under 
        this section; and
            (4) in a manner that respects the inherent sovereignty of 
        Indian Tribes, including Tribal governance of data and 
        research.
    (g) Final Report.--Not later than December 31, 2023, the Director 
of the Indian Health Service shall--
            (1) update and finalize the initial report under subsection 
        (e); and
            (2) submit such final report to the committees specified in 
        such subsection.
    (h) Definitions.--In this section:
            (1) The terms ``Indian Tribe'' and ``Tribal organization'' 
        have the meanings given to such terms in section 4 of the 
        Indian Self-Determination and Education Assistance Act (25 
        U.S.C. 5304).
            (2) The term ``Urban Indian organization'' has the meaning 
        given to such term in section 4 of the Indian Health Care 
        Improvement Act (25 U.S.C. 1603).
    (i) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $25,000,000, to remain available 
until expended.

SEC. 30576. CDC FIELD STUDIES PERTAINING TO SPECIFIC HEALTH INEQUITIES.

    (a) In General.--Not later than 90 days after the date of enactment 
of this Act, the Secretary, acting through the Centers for Disease 
Control and Prevention, in collaboration with State, local, and 
territorial health departments, shall complete (by the reporting 
deadline in subsection (b)) field studies to better understand health 
inequities that are not currently tracked by the Secretary. Such 
studies shall include an analysis of--
            (1) the impact of socioeconomic status on health care 
        access and disease outcomes, including COVID-19 outcomes;
            (2) the impact of disability status on health care access 
        and disease outcomes, including COVID-19 outcomes;
            (3) the impact of language preference on health care access 
        and disease outcomes, including COVID-19 outcomes;
            (4) factors contributing to disparities in health outcomes 
        for the COVID-19 pandemic; and
            (5) other topics related to disparities in health outcomes 
        for the COVID-19 pandemic, as determined by the Secretary.
    (b) Report.--Not later than December 31, 2021, the Secretary shall 
submit to the Committee on Energy and Commerce of the House of 
Representatives and the Committee on Health, Education, Labor and 
Pensions of the Senate an initial report on the results of the field 
studies under this section.
    (c) Final Report.--Not later than December 31, 2023, the Secretary 
shall--
            (1) update and finalize the initial report under subsection 
        (b); and
            (2) submit such final report to the committees specified in 
        such subsection.
    (d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $25,000,000, to remain available 
until expended.

SEC. 30577. ADDITIONAL REPORTING TO CONGRESS ON THE RACE AND ETHNICITY 
              RATES OF COVID-19 TESTING, HOSPITALIZATIONS, AND 
              MORTALITIES.

    (a) In General.--Not later than August 1, 2020, the Secretary shall 
submit to the Committee on Appropriations and the Committee on Energy 
and Commerce of the House of Representatives and the Committee on 
Appropriations and the Committee on Health, Education, Labor and 
Pensions of the Senate an initial report--
            (1) describing the testing, positive diagnoses, 
        hospitalization, intensive care admissions, and mortality rates 
        associated with COVID-19, disaggregated by race, ethnicity, 
        age, sex, gender, geographic region, and other relevant factors 
        as determined by the Secretary;
            (2) including an analysis of any variances of testing, 
        positive diagnoses, hospitalizations, and deaths by demographic 
        characteristics; and
            (3) including proposals for evidenced-based response 
        strategies to reduce disparities related to COVID-19.
    (b) Final Report.--Not later than December 31, 2024, the Secretary 
shall--
            (1) update and finalize the initial report under subsection 
        (a); and
            (2) submit such final report to the committees specified in 
        such subsection.
    (c) Coordination.--In preparing the report submitted under this 
section, the Secretary shall take into account and otherwise coordinate 
such report with reporting required under section 30572 and under the 
heading ``Department of Health and Human Services--Office of the 
Secretary--Public Health and Social Service Emergency Fund'' in title I 
of division B of the Paycheck Protection Program and Health Care 
Enhancement Act (Public Law 116-139; 134 Stat. 620, 626).

                       Subtitle F--Miscellaneous

SEC. 30581. TECHNICAL CORRECTIONS TO AMENDMENTS MADE BY CARES ACT.

    (a) The amendments made by this section shall take effect as if 
included in the enactment of the CARES Act (Public Law 116-136).
    (b) Section 3112 of division A of the CARES Act (Public Law 116-
136) is amended--
            (1) in subsection (a)(2)(A), by striking the comma before 
        ``or a permanent'';
            (2) in subsection (d)(1), by striking ``and subparagraphs 
        (A) and (B)'' and inserting ``as subparagraphs (A) and (B)''; 
        and
            (3) in subsection (e), by striking ``Drug, Cosmetic Act'' 
        and inserting ``Drug, and Cosmetic Act''.
    (c) Section 6001(a)(1)(D) of division F of the Families First 
Coronavirus Response Act (Public Law 116-127), as amended by section 
3201 of division A of the CARES Act (Public Law 116-136), is amended by 
striking ``other test that''.
    (d) Subsection (k)(9) of section 543 of the Public Health Service 
Act (42 U.S.C. 290dd-2), as added by section 3221(d) of division A of 
the CARES Act (Public Law 116-136), is amended by striking 
``unprotected health information'' and inserting ``unsecured protected 
health information''.
    (e) Section 3401(2)(D) of division A of the CARES Act (Public Law 
116-136), is amended by striking ``Not Later than'' and inserting ``Not 
later than''.
    (f) Section 831(f) of the Public Health Service Act, as 
redesignated by section 3404(a)(6)(E) and amended by section 
3404(a)(6)(G) of division A of the CARES Act (Public Law 116-136), is 
amended by striking ``a health care facility, or a partnership of such 
a school and facility''.
    (g) Section 846(i) of the Public Health Service Act, as amended by 
section 3404(i)(8)(C) of division A of the CARES Act (Public Law 116-
136), is amended by striking ``871(b),,'' and inserting ``871(b),''.
    (h) Section 3606(a)(1)(A) of division A of the CARES Act (Public 
Law 116-136) is amended by striking ``In general'' and inserting ``In 
general''.
    (i) Section 3856(b)(1) of division A of the CARES Act (Public Law 
116-136) is amended to read as follows:
            ``(1) In general.--Section 905(b)(4) of the FDA 
        Reauthorization Act of 2017 (Public Law 115-52) is amended by 
        striking `Section 744H(e)(2)(B) of the Federal Food, Drug, and 
        Cosmetic Act (21 U.S.C. 379j-52(e)(2)(B))' and inserting 
        `Section 744H(f)(2)(B) of the Federal Food, Drug, and Cosmetic 
        Act, as redesignated by section 403(c)(1) of this Act,'.''.

                   TITLE VI--PUBLIC HEALTH ASSISTANCE

         Subtitle A--Assistance to Providers and Health System

SEC. 30611. HEALTH CARE PROVIDER RELIEF FUND.

    (a) In General.--Not later than 7 days after the date of enactment 
of this Act, the Secretary, acting through the Administrator of the 
Health Resources and Services Administration, shall establish a program 
under which the Secretary shall reimburse, through grants or other 
mechanisms, eligible health care providers for eligible expenses or 
lost revenues occurring during calendar quarters beginning on or after 
January 1, 2020, to prevent, prepare for, and respond to COVID-19, in 
an amount calculated under subsection (c).
    (b) Quarterly Basis.--
            (1) Submission of applications.--The Secretary shall give 
        applicants a period of 7 calendar days after the close of a 
        quarter to submit applications under this section with respect 
        to such quarter, except that the Secretary shall give 
        applicants a period of 7 calendar days after the date of 
        enactment of this Act to submit applications with respect to 
        the quarter beginning on January 1, 2020, if the applicant has 
        not previously submitted an application with the respect to 
        such quarter.
            (2) Review and payment.--The Secretary shall--
                    (A) review applications and make awards of 
                reimbursement under this section on a quarterly basis; 
                and
                    (B) award the reimbursements under this section for 
                a quarter not later than 14 calendar days after the 
                close of the quarter, except that the Secretary shall 
                award the reimbursements under this section for the 
                quarter beginning on January 1, 2020, not later than 14 
                calendar days after the date of enactment of this Act.
    (c) Calculation.--
            (1) In general.--The amount of the reimbursement to an 
        eligible health care provider under this section with respect 
        to a calendar quarter shall equal--
                    (A) the sum of--
                            (i) 100 percent of the eligible expenses, 
                        as described in subsection (d), of the provider 
                        during the quarter; and
                            (ii) subject to paragraph (3), 60 percent 
                        of the lost revenues, as described in 
                        subsection (e), of the provider during the 
                        quarter; less
                    (B) any funds that are--
                            (i) received by the provider during the 
                        quarter pursuant to the Coronavirus 
                        Preparedness and Response Supplemental 
                        Appropriations Act, 2020 (Public Law 116-123), 
                        the Families First Coronavirus Response Act 
                        (Public Law 116-127), the CARES Act (Public Law 
                        116-136), or the Paycheck Protection Program 
                        and Health Care Enhancement Act (Public Law 
                        116-139); and
                            (ii) not required to be repaid.
            (2) Carryover.--If the amount determined under paragraph 
        (1)(B) for a calendar quarter with respect to an eligible 
        health care provider exceeds the amount determined under 
        paragraph (1)(A) with respect to such provider and quarter, the 
        amount of such difference shall be applied in making the 
        calculation under this subsection, over each subsequent 
        calendar quarter for which the eligible health care provider 
        seeks reimbursement under this section.
            (3) Lost revenue limitation.--If the amount determined 
        under subsection (e) with respect to the lost revenue of an 
        eligible health care provider for a calendar quarter does not 
        exceed an amount that equals 10 percent of the net patient 
        revenue (as defined in such subsection) of the provider for the 
        corresponding quarter in 2019, the addend under paragraph 
        (1)(A)(ii), in making the calculation under paragraph (1), is 
        deemed to be zero.
    (d) Eligible Expenses.--Subject to subsection (h)(1), expenses 
eligible for reimbursement under this section include expenses for--
            (1) building or construction of temporary structures;
            (2) leasing of properties;
            (3) medical supplies and equipment including personal 
        protective equipment;
            (4) in vitro diagnostic tests, serological tests, or 
        testing supplies;
            (5) increased workforce and trainings;
            (6) emergency operation centers;
            (7) construction or retrofitting of facilities;
            (8) mobile testing units;
            (9) surge capacity;
            (10) retention of workforce; and
            (11) such other items and services as the Secretary 
        determines to be appropriate, in consultation with relevant 
        stakeholders.
    (e) Lost Revenues.--
            (1) In general.--Subject to subsection (h)(1), for purposes 
        of subsection (c)(1)(A)(ii), the lost revenues of an eligible 
        health care provider, with respect to the calendar quarter 
        involved, shall be equal to--
                    (A) net patient revenue of the provider for the 
                corresponding quarter in 2019 minus net patient revenue 
                of the provider for such quarter; less
                    (B) the savings of the provider during the calendar 
                quarter involved attributable to foregone wages, 
                payroll taxes, and benefits of personnel who were 
                furloughed or laid off by the provider during that 
                quarter.
            (2) Net patient revenue defined.--For purposes of paragraph 
        (1)(A), the term ``net patient revenue'', with respect to an 
        eligible health care provider and a calendar quarter, means the 
        sum of--
                    (A) 200 percent of the total amount of 
                reimbursement received by the provider during the 
                quarter for all items and services furnished under a 
                State plan or a waiver of a State plan under title XIX 
                of the Social Security Act (42 U.S.C. 1396 et seq.);
                    (B) 125 percent of the total amount of 
                reimbursement received by the provider during the 
                quarter for all items and services furnished under 
                title XVIII of the Social Security Act (42 U.S.C. 1395 
                et seq.); and
                    (C) 100 percent of the total amount of 
                reimbursement not described in subparagraph (A) or (B) 
                received by the provider during the quarter for all 
                items and services.
    (f) Insufficient Funds for a Quarter.--If there are insufficient 
funds made available to reimburse all eligible health care providers 
for all eligible expenses and lost revenues for a quarter in accordance 
with this section, the Secretary shall--
            (1) prioritize reimbursement of eligible expenses; and
            (2) using the entirety of the remaining funds, uniformly 
        reduce the percentage of lost revenues otherwise applicable 
        under subsection (c)(1)(A)(ii) to the extent necessary to 
        reimburse a portion of the lost revenues of all eligible health 
        care providers applying for reimbursement.
    (g) Application.--A health care provider seeking reimbursement 
under this section for a calendar quarter shall submit to the Secretary 
an application that--
            (1) provides documentation demonstrating that the health 
        care provider is an eligible health care provider;
            (2) includes a valid tax identification number of the 
        health care provider or, if the health care provider does not 
        have a valid tax identification number, an employer 
        identification number or such other identification number as 
        the Secretary may accept or may assign;
            (3) attests to the eligible expenses and lost revenues of 
        the health care provider, as described in subsection (d), 
        occurring during the calendar quarter;
            (4) includes an itemized listing of each such eligible 
        expense, including expenses incurred in providing uncompensated 
        care;
            (5) for purposes of subsection (c)(3), attests to whether 
        the amount determined under subsection (e) with respect to the 
        lost revenue of an eligible health care provider for a calendar 
        quarter exceeds an amount that equals 10 percent of the net 
        patient revenue (as defined in such subsection) of the provider 
        for the corresponding quarter in 2019;
            (6) includes projections of the eligible expenses and lost 
        revenues of the health care provider, as described in 
        subsection (c), for the calendar quarter that immediately 
        follows the calendar quarter for which reimbursement is sought; 
        and
            (7) indicates the dollar amounts described in each of 
        subparagraphs (A) and (B) of subsection (e)(1) and 
        subparagraphs (A), (B), and (C) of subsection (e)(2) for the 
        calendar quarter and any other information the Secretary 
        determines necessary to determine expenses and lost revenue 
        related to COVID-19.
    (h) Limitations.--
            (1) No duplicative reimbursement.--The Secretary may not 
        provide, and a health care provider may not accept, 
        reimbursement under this section for expenses or losses with 
        respect to which--
                    (A) the eligible health care provider is reimbursed 
                from other sources; or
                    (B) other sources are obligated to reimburse the 
                provider.
            (2) No executive compensation.--Reimbursement for eligible 
        expenses (as described in subsection (d)) and lost revenues (as 
        described in subsection (e)) shall not include compensation or 
        benefits, including salary, bonuses, awards of stock, or other 
        financial benefits, for an officer or employee described in 
        section 4004(a)(2) of the CARES Act (Public Law 116-136).
    (i) No Balance Billing as Condition of Receipt of Funds.--
            (1) Protecting individuals enrolled in health plans.--As a 
        condition of receipt of reimbursement under this section, a 
        health care provider, in the case such provider furnishes 
        during the emergency period described in section 1135(g)(1)(B) 
        of the Social Security Act (42 U.S.C. 1320b-5(g)(1)(B)) 
        (whether before, on, or after, the date on which the provider 
        submits an application under this section) a medically 
        necessary item or service described in subparagraph (A), (B), 
        or (C) of paragraph (3) to an individual who is described in 
        such subparagraph (A), (B), or (C), respectively, and enrolled 
        in a group health plan or group or individual health insurance 
        coverage offered by a health insurance issuer (including 
        grandfathered health plans as defined in section 1251(e) of the 
        Patient Protection and Affordable Care Act (42 U.S.C. 18011(e)) 
        and such provider is a nonparticipating provider with respect 
        to such plan or coverage and such plan or coverage and such 
        items and services would otherwise be covered under such plan 
        if furnished by a participating provider--
                    (A) may not bill or otherwise hold liable such 
                individual for a payment amount for such item or 
                service that is more than the cost-sharing amount that 
                would apply under such plan or coverage for such item 
                or service if such provider furnishing such service 
                were a participating provider with respect to such plan 
                or coverage;
                    (B) shall reimburse such individual in a timely 
                manner for any amount for such item or service paid by 
                the individual to such provider in excess of such cost-
                sharing amount;
                    (C) shall submit any claim for such item or service 
                directly to the plan or coverage; and
                    (D) shall not bill the individual for such cost-
                sharing amount until such individual is informed by the 
                plan or coverage of the required payment amount.
            (2) Protecting uninsured individuals.--As a condition of 
        receipt of reimbursement under this section, a health care 
        provider, in the case such reimbursement is with respect to 
        expenses incurred in providing uncompensated care (as described 
        in subsection (g)(4)) with respect to a medically necessary 
        item or service described in subparagraph (A), (B), or (C) of 
        paragraph (3) furnished during such emergency period (whether 
        before, on, or after, the date on which the provider submits an 
        application under this section) by the provider to an 
        individual who is described in such subparagraph (A), (B), or 
        (C), respectively--
                    (A) shall consider such reimbursement as payment in 
                full with respect to such item or service so furnished 
                to such individual;
                    (B) may not bill or otherwise hold liable such 
                individual for any payment for such item or service so 
                furnished to such individual; and
                    (C) shall reimburse such individual in a timely 
                manner for any amount for such item or service paid by 
                the individual to such provider.
            (3) Medically necessary items and services described.--For 
        purposes of this subsection, medically necessary items and 
        services described in this paragraph are--
                    (A) medically necessary items and services 
                (including in-person or telehealth visits in which such 
                items and services are furnished) that are furnished to 
                an individual who has been diagnosed with (or after 
                provision of the items and services is diagnosed with) 
                COVID-19 to treat or mitigate the effects of COVID-19;
                    (B) medically necessary items and services 
                (including in-person or telehealth visits in which such 
                items and services are furnished) that are furnished to 
                an individual who is presumed, in accordance with 
                paragraph (4), to have COVID-19 but is never diagnosed 
                as such; and
                    (C) a diagnostic test (and administration of such 
                test) as described in section 6001(a) of division F of 
                the Families First Coronavirus Response Act (42 U.S.C. 
                1320b-5 note) administered to an individual.
            (4) Presumptive case of covid-19.--For purposes of 
        paragraph (3)(B), an individual shall be presumed to have 
        COVID-19 if the medical record documentation of the individual 
        supports a diagnosis of COVID-19, even if the individual does 
        not have a positive in vitro diagnostic test result in the 
        medical record of the individual.
            (5) Penalty.--In the case of an eligible health care 
        provider that is paid a reimbursement under this section and 
        that is in violation of paragraph (1) or (2), in addition to 
        any other penalties that may be prescribed by law, the 
        Secretary may recoup from such provider up to the full amount 
        of reimbursement the provider receives under this section.
            (6) Definitions.--In this subsection:
                    (A) Nonparticipating provider.--The term 
                ``nonparticipating provider'' means, with respect to an 
                item or service and group health plan or group or 
                individual health insurance coverage offered by a 
                health insurance issuer, a health care provider that 
                does not have a contractual relationship directly or 
                indirectly with the plan or issuer, respectively, for 
                furnishing such an item or service under the plan or 
                coverage.
                    (B) Participating provider.--The term 
                ``participating provider'' means, with respect to an 
                item or service and group health plan or group or 
                individual health insurance coverage offered by a 
                health insurance issuer, a health care provider that 
                has a contractual relationship directly or indirectly 
                with the plan or issuer, respectively, for furnishing 
                such an item or service under the plan or coverage.
                    (C) Group health plan, health insurance coverage.--
                The terms ``group health plan'', ``health insurance 
                issuer'', ``group health insurance coverage'', and 
                ``individual health insurance coverage'' shall have the 
                meanings given such terms under section 2791 of the 
                Public Health Service Act (42 U.S.C. 300gg-91).
    (j) Reports.--
            (1) Award information.--In making awards under this 
        section, the Secretary shall post in a searchable, electronic 
        format, a list of all recipients and awards pursuant to funding 
        authorized under this section.
            (2) Reports by recipients.--Each recipient of an award 
        under this section shall, as a condition on receipt of such 
        award, submit reports and maintain documentation, in such form, 
        at such time, and containing such information, as the Secretary 
        determines is needed to ensure compliance with this section.
            (3) Public listing of awards.--The Secretary shall--
                    (A) not later than 7 days after the date of 
                enactment of this Act, post in a searchable, electronic 
                format, a list of all awards made by the Secretary 
                under this section, including the recipients and 
                amounts of such awards; and
                    (B) update such list not less than every 7 days 
                until all funds made available to carry out this 
                section are expended.
            (4) Inspector general report.--
                    (A) In general.--Not later than 3 years after final 
                payments are made under this section, the Inspector 
                General of the Department of Health and Human Services 
                shall transmit a final report on audit findings with 
                respect to the program under this section to the 
                Committee on Energy and Commerce and the Committee on 
                Appropriations of the House of Representatives and the 
                Committee on Health, Education, Labor and Pensions and 
                the Committee on Appropriations of the Senate.
                    (B) Rule of construction.--Nothing in this 
                paragraph shall be construed as limiting the authority 
                of the Inspector General of the Department of Health 
                and Human Services or the Comptroller General of the 
                United States to conduct audits of interim payments 
                earlier than the deadline described in subparagraph 
                (A).
    (k) Eligible Health Care Provider Defined.--In this section:
            (1) In general.--The term ``eligible health care provider'' 
        means a health care provider described in paragraph (2) that 
        provides diagnostic or testing services or treatment to 
        individuals with a confirmed or possible diagnosis of COVID-19.
            (2) Health care providers described.--A health care 
        provider described in this paragraph is any of the following:
                    (A) A health care provider enrolled as a 
                participating provider under a State plan approved 
                under title XIX of the Social Security Act (42 U.S.C. 
                1396 et seq.) (or a waiver of such a plan).
                    (B) A provider of services (as defined in 
                subsection (u) of section 1861 of the Social Security 
                Act (42 U.S.C. 1395x)) or a supplier (as defined in 
                subsection (d) of such section) that is enrolled as a 
                participating provider of services or participating 
                supplier under the Medicare program under title XVIII 
                of such Act (42 U.S.C. 1395 et seq.).
                    (C) A public entity.
                    (D) Any other entity not described in this 
                paragraph as the Secretary may specify.
    (l) Funding.--
            (1) Authorization of appropriations.--There is authorized 
        to be appropriated for an additional amount to carry out this 
        section $100,000,000,000, to remain available until expended.
            (2) Health care provider relief fund.--
                    (A) Use of appropriated funds.--
                            (i) In general.--In addition to amounts 
                        authorized to be appropriated pursuant to 
                        paragraph (1), the unobligated balance of all 
                        amounts appropriated to the Health Care 
                        Provider Relief Fund shall be made available 
                        only to carry out this section.
                            (ii) Amounts.--For purposes of clause (i), 
                        the following amounts are deemed to be 
                        appropriated to the Health Care Provider Relief 
                        Fund:
                                    (I) The unobligated balance of the 
                                appropriation of $100,000,000,000 in 
                                the third paragraph under the heading 
                                ``Department of Health and Human 
                                Services--Office of the Secretary--
                                Public Health and Social Services 
                                Emergency Fund'' in division B of the 
                                CARES Act (Public Law 116-136).
                                    (II) The unobligated balance of the 
                                appropriation under the heading 
                                ``Department of Health and Human 
                                Services--Office of the Secretary--
                                Public Health and Social Services 
                                Emergency Fund'' in division B of the 
                                Paycheck Protection Program and Health 
                                Care Enhancement Act (Public Law 116-
                                139).
                    (B) Limitation.--Of the unobligated balances 
                described in subparagraph (A)(ii), the Secretary may 
                not make available more than $10,000,000,000 to 
                reimburse eligible health care providers for expenses 
                incurred in providing uncompensated care.
                    (C) Future amounts.--Any appropriation enacted 
                subsequent to the date of enactment of this Act that is 
                made available for reimbursing eligible health care 
                providers as described in subsection (a) shall be made 
                available only to carry out this section.

SEC. 30612. PUBLIC HEALTH WORKFORCE LOAN REPAYMENT PROGRAM.

    Part D of title III of the Public Health Service Act (42 U.S.C. 
254b et seq.) is amended by adding at the end the following new 
subpart:

                ``Subpart XIII--Public Health Workforce

``SEC. 340J. LOAN REPAYMENT PROGRAM.

    ``(a) Establishment.--The Secretary of Health and Human Services 
shall establish a program to be known as the Public Health Workforce 
Loan Repayment Program (referred to in this section as the `Program') 
to assure an adequate supply of and encourage recruitment of public 
health professionals to eliminate critical public health workforce 
shortages in local, State, territorial, and Tribal public health 
agencies.
    ``(b) Eligibility.--To be eligible to participate in the Program, 
an individual shall--
            ``(1)(A) be accepted for enrollment, or be enrolled, as a 
        student in an accredited academic educational institution in a 
        State or territory in the final semester or equivalent of a 
        course of study or program leading to a public health degree, a 
        health professions degree or certificate, or a degree in 
        computer science, information science, information systems, 
        information technology, or statistics and have accepted 
        employment with a local, State, territorial, or Tribal public 
        health agency, or a related training fellowship, as recognized 
        by the Secretary, to commence upon graduation; or
            ``(B)(i) have graduated, during the preceding 10-year 
        period, from an accredited educational institution in a State 
        or territory and received a public health degree, a health 
        professions degree or certificate, or a degree in computer 
        science, information science, information systems, information 
        technology, or statistics; and
            ``(ii) be employed by, or have accepted employment with, a 
        local, State, territorial, or Tribal public health agency or a 
        related training fellowship, as recognized by the Secretary;
            ``(2) be a United States citizen;
            ``(3)(A) submit an application to the Secretary to 
        participate in the Program; and
            ``(B) execute a written contract as required in subsection 
        (c); and
            ``(4) not have received, for the same service, a reduction 
        of loan obligations under section 428K or 428L of the Higher 
        Education Act of 1965 (20 U.S.C. 1078-11, 1078-12).
    ``(c) Contract.--The written contract referred to in subsection 
(b)(3)(B) between the Secretary and an individual shall contain--
            ``(1) an agreement on the part of the Secretary that the 
        Secretary will repay, on behalf of the individual, loans 
        incurred by the individual in the pursuit of the relevant 
        degree or certificate in accordance with the terms of the 
        contract;
            ``(2) an agreement on the part of the individual that the 
        individual will serve in the full-time employment of a local, 
        State, or Tribal public health agency or a related fellowship 
        program in a position related to the course of study or program 
        for which the contract was awarded for a period of time equal 
        to the greater of--
                    ``(A) 2 years; or
                    ``(B) such longer period of time as determined 
                appropriate by the Secretary and the individual;
            ``(3) an agreement, as appropriate, on the part of the 
        individual to relocate to a priority service area (as 
        determined by the Secretary) in exchange for an additional loan 
        repayment incentive amount to be determined by the Secretary;
            ``(4) a provision that any financial obligation of the 
        United States arising out of a contract entered into under this 
        section and any obligation of the individual that is 
        conditioned thereon, is contingent on funds being appropriated 
        for loan repayments under this section;
            ``(5) a statement of the damages to which the United States 
        is entitled, under this section for the individual's breach of 
        the contract; and
            ``(6) such other statements of the rights and liabilities 
        of the Secretary and of the individual as the Secretary 
        determines appropriate, not inconsistent with this section.
    ``(d) Payments.--
            ``(1) In general.--A loan repayment provided for an 
        individual under a written contract referred to in subsection 
        (b)(3)(B) shall consist of payment, in accordance with 
        paragraph (2), for the individual toward the outstanding 
        principal and interest on education loans incurred by the 
        individual in the pursuit of the relevant degree in accordance 
        with the terms of the contract.
            ``(2) Equitable distribution.--In awarding contracts under 
        this section, the Secretary shall ensure--
                    ``(A) a certain percentage of contracts are awarded 
                to individuals who are not already working in public 
                health departments;
                    ``(B) an equitable distribution of funds 
                geographically; and
                    ``(C) an equitable distribution among State, local, 
                territorial, and Tribal public health departments.
            ``(3) Payments for years served.--For each year of service 
        that an individual contracts to serve pursuant to subsection 
        (c)(2), the Secretary may pay not more than $35,000 on behalf 
        of the individual for loans described in paragraph (1). With 
        respect to participants under the Program whose total eligible 
        loans are less than $105,000, the Secretary shall pay an amount 
        that does not exceed \1/3\ of the eligible loan balance for 
        each year of such service of such individual.
            ``(4) Tax liability.--For purposes of the Internal Revenue 
        Code of 1986, a payment made under this section shall be 
        treated in the same manner as an amount received under section 
        338B(g) of this Act, as described in section 108(f)(4) of such 
        Code.
    ``(e) Postponing Obligated Service.--With respect to an individual 
receiving a degree or certificate from a health professions or other 
related school, the date of the initiation of the period of obligated 
service may be postponed as approved by the Secretary.
    ``(f) Breach of Contract.--An individual who fails to comply with 
the contract entered into under subsection (c) shall be subject to the 
same financial penalties as provided for under section 338E of the 
Public Health Service Act (42 U.S.C. 254o) for breaches of loan 
repayment contracts under section 338B of such Act (42 U.S.C. section 
254l-1).
    ``(g) Definition.--For purposes of this section, the term `full-
time' means full-time as such term is used in section 455(m)(3) of the 
Higher Education Act of 1965.
    ``(h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section--
            ``(1) $100,000,000 for fiscal year 2020; and
            ``(2) $75,000,000 for fiscal year 2021.''.

SEC. 30613. EXPANDING CAPACITY FOR HEALTH OUTCOMES.

    (a) In General.--The Secretary, acting through the Administrator of 
the Health Resources and Services Administration, shall award grants to 
eligible entities to develop and expand the use of technology-enabled 
collaborative learning and capacity building models to respond to 
ongoing and real-time learning, health care information sharing, and 
capacity building needs related to COVID-19.
    (b) Eligible Entities.--To be eligible to receive a grant under 
this section, an entity shall have experience providing technology-
enabled collaborative learning and capacity building health care 
services--
            (1) in rural areas, frontier areas, health professional 
        shortage areas, or medically underserved area; or
            (2) to medically underserved populations or Indian Tribes.
    (c) Use of Funds.--An eligible entity receiving a grant under this 
section shall use funds received through the grant--
            (1) to advance quality of care in response to COVID-19, 
        with particular emphasis on rural and underserved areas and 
        populations;
            (2) to protect medical personnel and first responders 
        through sharing real-time learning through virtual communities 
        of practice;
            (3) to improve patient outcomes for conditions affected or 
        exacerbated by COVID-19, including improvement of care for 
        patients with complex chronic conditions; and
            (4) to support rapid uptake by health care professionals of 
        emerging best practices and treatment protocols around COVID-
        19.
    (d) Optional Additional Uses of Funds.--An eligible entity 
receiving a grant under this section may use funds received through the 
grant for--
            (1) equipment to support the use and expansion of 
        technology-enabled collaborative learning and capacity building 
        models, including hardware and software that enables distance 
        learning, health care provider support, and the secure exchange 
        of electronic health information;
            (2) the participation of multidisciplinary expert team 
        members to facilitate and lead technology-enabled collaborative 
        learning sessions, and professionals and staff assisting in the 
        development and execution of technology-enabled collaborative 
        learning;
            (3) the development of instructional programming and the 
        training of health care providers and other professionals that 
        provide or assist in the provision of services through 
        technology-enabled collaborative learning and capacity building 
        models; and
            (4) other activities consistent with achieving the 
        objectives of the grants awarded under this section.
    (e) Technology-enabled Collaborative Learning and Capacity Building 
Model Defined.--In this section, the term ``technology-enabled 
collaborative learning and capacity building model'' has the meaning 
given that term in section 2(7) of the Expanding Capacity for Health 
Outcomes Act (Public Law 114-270; 130 Stat. 1395).
    (f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $20,000,000, to remain available 
until expended.

SEC. 30614. ADDITIONAL FUNDING FOR MEDICAL RESERVE CORPS.

    Section 2813 of the Public Health Service Act (42 U.S.C. 300hh-15) 
is amended by striking ``$11,200,000 for each of fiscal years 2019 
through 2023'' and inserting ``$31,200,000 for each of fiscal years 
2020 and 2021 and $11,200,000 for each of fiscal years 2022 and 2023''.

SEC. 30615. GRANTS FOR SCHOOLS OF MEDICINE IN DIVERSE AND UNDERSERVED 
              AREAS.

    Subpart II of part C of title VII of the Public Health Service Act 
is amended by inserting after section 749B of such Act (42 U.S.C. 293m) 
the following:

``SEC. 749C. SCHOOLS OF MEDICINE IN UNDERSERVED AREAS.

    ``(a) Grants.--The Secretary, acting through the Administrator of 
the Health Resources and Services Administration, may award grants to 
institutions of higher education (including multiple institutions of 
higher education applying jointly) for the establishment, improvement, 
and expansion of an allopathic or osteopathic school of medicine, or a 
branch campus of an allopathic or osteopathic school of medicine.
    ``(b) Priority.--In selecting grant recipients under this section, 
the Secretary shall give priority to institutions of higher education 
that--
            ``(1) propose to use the grant for an allopathic or 
        osteopathic school of medicine, or a branch campus of an 
        allopathic or osteopathic school of medicine, in a combined 
        statistical area with fewer than 200 actively practicing 
        physicians per 100,000 residents according to the medical board 
        (or boards) of the State (or States) involved;
            ``(2) have a curriculum that emphasizes care for diverse 
        and underserved populations; or
            ``(3) are minority-serving institutions described in the 
        list in section 371(a) of the Higher Education Act of 1965.
    ``(c) Use of Funds.--The activities for which a grant under this 
section may be used include--
            ``(1) planning and constructing--
                    ``(A) a new allopathic or osteopathic school of 
                medicine in an area in which no other school is based; 
                or
                    ``(B) a branch campus of an allopathic or 
                osteopathic school of medicine in an area in which no 
                such school is based;
            ``(2) accreditation and planning activities for an 
        allopathic or osteopathic school of medicine or branch campus;
            ``(3) hiring faculty and other staff to serve at an 
        allopathic or osteopathic school of medicine or branch campus;
            ``(4) recruitment and enrollment of students at an 
        allopathic or osteopathic school of medicine or branch campus;
            ``(5) supporting educational programs at an allopathic or 
        osteopathic school of medicine or branch campus;
            ``(6) modernizing infrastructure or curriculum at an 
        existing allopathic or osteopathic school of medicine or branch 
        campus thereof;
            ``(7) expanding infrastructure or curriculum at existing an 
        allopathic or osteopathic school of medicine or branch campus; 
        and
            ``(8) other activities that the Secretary determines 
        further the development, improvement, and expansion of an 
        allopathic or osteopathic school of medicine or branch campus 
        thereof.
    ``(d) Definitions.--In this section:
            ``(1) The term `branch campus' means a geographically 
        separate site at least 100 miles from the main campus of a 
        school of medicine where at least one student completes at 
        least 60 percent of the student's training leading to a degree 
        of doctor of medicine.
            ``(2) The term `institution of higher education' has the 
        meaning given to such term in section 101(a) of the Higher 
        Education Act of 1965.
    ``(e) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $1,000,000,000, to remain 
available until expended.''.

SEC. 30616. GAO STUDY ON PUBLIC HEALTH WORKFORCE.

    (a) In General.--The Comptroller General of the United States shall 
conduct a study on the public health workforce in the United States 
during the COVID-19 pandemic.
    (b) Topics.--The study under subsection (a) shall address--
            (1) existing gaps in the Federal, State, local, Tribal, and 
        territorial public health workforce, including--
                    (A) epidemiological and disease intervention 
                specialists needed during the pandemic for contact 
                tracing, laboratory technicians necessary for testing, 
                community health workers for community supports and 
                services, and other staff necessary for contact 
                tracing, testing, or surveillance activities; and
                    (B) other personnel needed during the COVID-19 
                pandemic;
            (2) challenges associated with the hiring, recruitment, and 
        retention of the Federal, State, local, Tribal, and territorial 
        public health workforce; and
            (3) recommended steps the Federal Government should take to 
        improve hiring, recruitment, and retention of the public health 
        workforce.
    (c) Report.--Not later than December 1, 2021, the Comptroller 
General shall submit to the Congress a report on the findings of the 
study conducted under this section.

SEC. 30617. LONGITUDINAL STUDY ON THE IMPACT OF COVID-19 ON RECOVERED 
              PATIENTS.

    Part A of title IV of the Public Health Service Act (42 U.S.C. 281 
et seq.) is amended by adding at the end the following:

``SEC. 404O. LONGITUDINAL STUDY ON THE IMPACT OF COVID-19 ON RECOVERED 
              PATIENTS.

    ``(a) In General.--The Director of NIH, in consultation with the 
Director of the Centers for Disease Control and Prevention, shall 
conduct a longitudinal study, over not less than 10 years, on the full 
impact of SARS-CoV-2 or COVID-19 on infected individuals, including 
both short-term and long-term health impacts.
    ``(b) Timing.--The Director of NIH shall begin enrolling patients 
in the study under this section not later than 6 months after the date 
of enactment of this section.
    ``(c) Requirements.--The study under this section shall--
            ``(1) be nationwide;
            ``(2) include diversity of enrollees to account for gender, 
        age, race, ethnicity, geography, comorbidities, and 
        underrepresented populations, including pregnant and lactating 
        women;
            ``(3) study individuals with COVID-19 who experienced mild 
        symptoms, such individuals who experienced moderate symptoms, 
        and such individuals who experienced severe symptoms;
            ``(4) monitor the health outcomes and symptoms of 
        individuals with COVID-19, or who had prenatal exposure to 
        SARS-CoV-2 or COVID-19, including lung capacity and function, 
        and immune response, taking into account any pharmaceutical 
        interventions such individuals may have received;
            ``(5) monitor the mental health outcomes of individuals 
        with COVID-19, taking into account any interventions that 
        affected mental health; and
            ``(6) monitor individuals enrolled in the study not less 
        frequently than twice per year after the first year of the 
        individual's infection with SARS-CoV-2.
    ``(d) Public-private Research Network.--For purposes of carrying 
out the study under this section, the Director of NIH may develop a 
network of public-private research partners, provided that all 
research, including the research carried out through any such partner, 
is available publicly.
    ``(e) Summaries of Findings.--The Director of NIH shall make public 
a summary of findings under this section not less frequently than once 
every 3 months for the first 2 years of the study, and not less 
frequently than every 6 months thereafter. Such summaries may include 
information about how the findings of the study under this section 
compare with findings from research conducted abroad.
    ``(f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $200,000,000, to remain 
available until expended.''.

SEC. 30618. RESEARCH ON THE MENTAL HEALTH IMPACT OF COVID-19.

    (a) In General.--The Secretary, acting through the Director of the 
National Institute of Mental Health, shall conduct or support research 
on the mental health consequences of SARS-CoV-2 or COVID-19.
    (b) Use of Funds.--Research under subsection (a) may include the 
following:
            (1) Research on the mental health impact of SARS-CoV-2 or 
        COVID-19 on health care providers, including--
                    (A) traumatic stress;
                    (B) psychological distress; and
                    (C) psychiatric disorders.
            (2) Research on the impact of SARS-CoV-2 or COVID-19 
        stressors on mental health over time.
            (3) Research to strengthen the mental health response to 
        SARS-CoV-2 or COVID-19, including adapting to and maintaining 
        or providing additional services for new or increasing mental 
        health needs.
            (4) Research on the reach, efficiency, effectiveness, and 
        quality of digital mental health interventions.
            (5) Research on effectiveness of strategies for 
        implementation and delivery of evidence-based mental health 
        interventions and services for underserved populations.
            (6) Research on suicide prevention.
    (c) Research Coordination.--The Secretary shall coordinate 
activities under this section with similar activities conducted by 
national research institutes and centers of the National Institutes of 
Health to the extent that such institutes and centers have 
responsibilities that are related to the mental health consequences of 
SARS-CoV-2 or COVID-19.
    (d) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $200,000,000, to remain 
available until expended.

SEC. 30619. EMERGENCY MENTAL HEALTH AND SUBSTANCE USE TRAINING AND 
              TECHNICAL ASSISTANCE CENTER.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.) is amended by inserting after section 520A (42 
U.S.C. 290bb-32) the following:

``SEC. 520B. EMERGENCY MENTAL HEALTH AND SUBSTANCE USE TRAINING AND 
              TECHNICAL ASSISTANCE CENTER.

    ``(a) Establishment.--The Secretary, acting through the Assistant 
Secretary, shall establish or operate a center to be known as the 
Emergency Mental Health and Substance Use Training and Technical 
Assistance Center (referred to in this section as the `Center') to 
provide technical assistance and support--
            ``(1) to public or nonprofit entities seeking to establish 
        or expand access to mental health and substance use prevention, 
        treatment, and recovery support services, and increase 
        awareness of such services; and
            ``(2) to public health professionals, health care 
        professionals and support staff, essential workers (as defined 
        by a State, Tribe, locality, or territory), and members of the 
        public to address the trauma, stress, and mental health needs 
        associated with an emergency period.
    ``(b) Assistance and Support.--The assistance and support provided 
under subsection (a) shall include assistance and support with respect 
to--
            ``(1) training on identifying signs of trauma, stress, and 
        mental health needs;
            ``(2) providing accessible resources to assist individuals 
        and families experiencing trauma, stress, or other mental 
        health needs during and after an emergency period;
            ``(3) providing resources for substance use disorder 
        prevention, treatment, and recovery designed to assist 
        individuals and families during and after an emergency period;
            ``(4) the provision of language access services, including 
        translation services, interpretation, or other such services 
        for individuals with limited English speaking proficiency or 
        people with disabilities; and
            ``(5) evaluation and improvement, as necessary, of the 
        effectiveness of such services provided by public or nonprofit 
        entities.
    ``(c) Best Practices.--The Center shall periodically issue best 
practices for use by organizations seeking to provide mental health 
services or substance use disorder prevention, treatment, or recovery 
services to individuals during and after an emergency period.
    ``(d) Emergency Period.--In this section, the term `emergency 
period' has the meaning given such term in section 1135(g)(1)(A) of the 
Social Security Act.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $20,000,000 for each of fiscal 
years 2020 and 2021.''.

SEC. 30620. IMPORTANCE OF THE BLOOD AND PLASMA SUPPLY.

    (a) In General.--Section 3226 of the CARES Act (Public Law 116-136) 
is amended--
            (1) in the section heading after ``blood'' by inserting 
        ``and plasma''; and
            (2) by inserting after ``blood'' each time it appears ``and 
        plasma''.
    (b) Conforming Amendment.--The item relating to section 3226 in the 
table of contents in section 2 of the CARES Act (Public Law 116-136) is 
amended to read as follows:

``Sec. 3226. Importance of the blood and plasma supply.''.

          Subtitle B--Assistance for Individuals and Families

SEC. 30631. REIMBURSEMENT FOR ADDITIONAL HEALTH SERVICES RELATING TO 
              CORONAVIRUS.

    Title V of division A of the Families First Coronavirus Response 
Act (Public Law 116-127) is amended under the heading ``Department of 
Health and Human Services--Office of the Secretary--Public Health and 
Social Services Emergency Fund'' by inserting ``, or treatment related 
to SARS-CoV-2 or COVID-19 for uninsured individuals'' after ``or visits 
described in paragraph (2) of such section for uninsured individuals''.

SEC. 30632. CENTERS FOR DISEASE CONTROL AND PREVENTION COVID-19 
              RESPONSE LINE.

    (a) In General.--During the public health emergency declared by the 
Secretary pursuant to section 319 of the Public Health Service Act (42 
U.S.C. 247d) on January 31, 2020 with respect to COVID-19, the 
Secretary, acting through the Director of the Centers for Disease 
Control and Prevention, shall maintain a toll-free telephone number to 
address public health queries, including questions concerning COVID-19.
    (b) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $10,000,000, to remain available 
until expended.

SEC. 30633. GRANTS TO ADDRESS SUBSTANCE USE DURING COVID-19.

    (a) In General.--The Assistant Secretary for Mental Health and 
Substance Use of the Department of Health and Human Services (in this 
section referred to as the ``Assistant Secretary''), in consultation 
with the Director of the Centers for Disease Control and Prevention, 
shall award grants to States, political subdivisions of States, Tribes, 
Tribal organizations, and community-based entities to address the harms 
of drug misuse, including by--
            (1) preventing and controlling the spread of infectious 
        diseases, such as HIV/AIDS and viral hepatitis, and the 
        consequences of such diseases for individuals with substance 
        use disorder;
            (2) connecting individuals at risk for or with a substance 
        use disorder to overdose education, counseling, and health 
        education; or
            (3) encouraging such individuals to take steps to reduce 
        the negative personal and public health impacts of substance 
        use or misuse during the emergency period.
    (b) Considerations.--In awarding grants under this section, the 
Assistant Secretary shall prioritize grants to applicants proposing to 
serve areas with--
            (1) a high proportion of people who meet criteria for 
        dependence on or abuse of illicit drugs who have not received 
        any treatment;
            (2) high drug overdose death rates;
            (3) high telemedicine infrastructure needs; and
            (4) high behavioral health and substance use disorder 
        workforce needs.
    (c) Definition.--In this section, the term ``emergency period'' has 
the meaning given to such term in section 1135(g)(1)(B) of the Social 
Security Act (42 U.S.C. 1320b-5(g)(1)(B))).
    (d) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $10,000,000, to remain available 
until expended.

SEC. 30634. GRANTS TO SUPPORT INCREASED BEHAVIORAL HEALTH NEEDS DUE TO 
              COVID-19.

    (a) In General.--The Secretary, acting through the Assistant 
Secretary of Mental Health and Substance Use, shall award grants to 
States, political subdivisions of States, Indian Tribes and Tribal 
organizations, community-based entities, and primary care and 
behavioral health organizations to address behavioral health needs 
caused by the public health emergency declared pursuant to section 319 
of the Public Health Service Act (42 U.S.C. 247d) with respect to 
COVID-19.
    (b) Use of Funds.--An entity that receives a grant under subsection 
(a) may use funds received through such grant to--
            (1) increase behavioral health treatment and prevention 
        capacity, including to--
                    (A) promote coordination among local entities;
                    (B) train the behavioral health workforce, relevant 
                stakeholders, and community members;
                    (C) upgrade technology to support effective 
                delivery of health care services through telehealth 
                modalities;
                    (D) purchase medical supplies and equipment for 
                behavioral health treatment entities and providers;
                    (E) address surge capacity for behavioral health 
                needs such as through mobile units; and
                    (F) promote collaboration between primary care and 
                mental health providers; and
            (2) support or enhance behavioral health services, 
        including--
                    (A) emergency crisis intervention, including mobile 
                crisis units, 24/7 crisis call centers, and medically 
                staffed crisis stabilization programs;
                    (B) screening, assessment, diagnosis, and 
                treatment;
                    (C) mental health awareness trainings;
                    (D) evidence-based suicide prevention;
                    (E) evidence-based integrated care models;
                    (F) community recovery supports;
                    (G) outreach to underserved and minority 
                communities; and
                    (H) for front line health care workers.
    (c) Priority.--The Secretary shall give priority to applicants 
proposing to serve areas with a high number of COVID-19 cases.
    (d) Evaluation.--An entity that receives a grant under this section 
shall prepare and submit an evaluation to the Secretary at such time, 
in such manner, and containing such information as the Secretary may 
reasonably require, including--
            (1) an evaluation of activities carried out with funds 
        received through the grant; and
            (2) a process and outcome evaluation.
    (e) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $50,000,000 for each of fiscal 
years 2020 and 2021, to remain available until expended.

                    Subtitle C--Assistance to Tribes

SEC. 30641. IMPROVING STATE, LOCAL, AND TRIBAL PUBLIC HEALTH SECURITY.

    Section 319C-1 of the Public Health Service Act (42 U.S.C. 247d-3a) 
is amended--
            (1) in the section heading, by striking ``and local'' and 
        inserting ``, local, and tribal'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (B), by striking ``or'' 
                        at the end;
                            (ii) in subparagraph (C), by striking 
                        ``and'' at the end and inserting ``or''; and
                            (iii) by adding at the end the following:
                    ``(D) be an Indian Tribe, Tribal organization, or a 
                consortium of Indian Tribes or Tribal organizations; 
                and''; and
                    (B) in paragraph (2)--
                            (i) in the matter preceding subparagraph 
                        (A), by inserting ``, as applicable'' after 
                        ``including'';
                            (ii) in subparagraph (A)(viii)--
                                    (I) by inserting ``and Tribal'' 
                                after ``with State'';
                                    (II) by striking ``(as defined in 
                                section 8101 of the Elementary and 
                                Secondary Education Act of 1965)'' and 
                                inserting ``and Tribal educational 
                                agencies (as defined in sections 8101 
                                and 6132, respectively, of the 
                                Elementary and Secondary Education Act 
                                of 1965)''; and
                                    (III) by inserting ``and Tribal'' 
                                after ``and State'';
                            (iii) in subparagraph (G), by striking 
                        ``and tribal'' and inserting ``Tribal, and 
                        urban Indian organization''; and
                            (iv) in subparagraph (H), by inserting ``, 
                        Indian Tribes, and urban Indian organizations'' 
                        after ``public health'';
            (3) in subsection (e), by inserting ``Indian Tribes, Tribal 
        organizations, urban Indian organizations,'' after ``local 
        emergency plans,'';
            (4) in subsection (g)(1), by striking ``tribal officials'' 
        and inserting ``Tribal officials'';
            (5) in subsection (h)--
                    (A) in paragraph (1)(A)--
                            (i) by striking ``through 2023'' and 
                        inserting ``and 2020''; and
                            (ii) by inserting before the period ``; and 
                        $690,000,000 for each of fiscal years 2021 
                        through 2023 for awards pursuant to paragraph 
                        (3) (subject to the authority of the Secretary 
                        to make awards pursuant to paragraphs (4) and 
                        (5)) and paragraph (8), of which not less than 
                        $5,000,000 shall be reserved each fiscal year