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2020, including the difference between such provider’s 
budgeted and actual revenue if such budget had been 
established and approved prior to March 27, 2020. 
‘‘(4) PAYMENT.— The term ‘payment’ includes, 
as determined appropriate by the Secretary, a pre- 
payment, a prospective payment, a retrospective pay-
ment, or a payment through a grant or other mecha-
nism. 
‘‘(5) RURAL PROVIDER OR SUPPLIER.—The term 
‘rural provider or supplier’ means— 
‘‘(A) a— 
‘‘(i) provider or supplier located in a 
rural 
area 
(as 
defined 
in 
section 
1886(d)(2)(D)); or 
‘‘(ii) provider treated as located in a 
rural 
area 
pursuant 
to 
section 
1886(d)(8)(E); 
‘‘(B) a provider or supplier located in any 
other area that serves rural patients (as defined 
by the Secretary), which may include, but is not 
required to include, a metropolitan statistical 
area with a population of less than 500,000 (de-
termined based on the most recently available 
data);
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‘‘(C) a rural health clinic (as defined in sec-
tion 1861(aa)(2)); 
‘‘(D) a provider or supplier that furnishes 
home health, hospice, or long-term services and 
supports in an individual’s home located in a 
rural area (as defined in section 1886(d)(2)(D)); 
or 
‘‘(E) any other rural provider or supplier 
(as defined by the Secretary).’’. 
SEC. 9912. EXTENSION OF CUSTOMS USER FEES. 
(a) IN GENERAL.—Section 13031(j)(3) of the Consoli-
dated Omnibus Budget Reconciliation Act of 1985 (19 
U.S.C. 58c(j)(3)) is amended— 
(1) in subparagraph (A), by striking ‘‘October 
21, 2029’’ and inserting ‘‘September 30, 2030’’; and 
(2) in subparagraph (B)(i), by striking ‘‘October 
21, 2029’’ and inserting ‘‘September 30, 2030’’. 
(b) RATE FOR MERCHANDISE PROCESSING FEES.— 
Section 503 of the United States-Korea Free Trade Agree-
ment Implementation Act (Public Law 112–41; 19 U.S.C. 
3805 note) is amended by striking ‘‘October 21, 2029’’ and 
inserting ‘‘September 30, 2030’’.
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TITLE X—COMMITTEE ON 
FOREIGN RELATIONS 
SEC. 10001. DEPARTMENT OF STATE OPERATIONS. 
In addition to amounts otherwise available, there is 
authorized and appropriated to the Secretary of State for 
fiscal year 2021, out of any money in the Treasury not 
otherwise appropriated, $204,000,000, to remain available 
until September 30, 2022, for necessary expenses of the De-
partment of State to carry out the authorities, functions, 
duties, and responsibilities in the conduct of the foreign af-
fairs of the United States, to prevent, prepare for, and re-
spond to coronavirus domestically or internationally, which 
shall include maintaining Department of State operations. 
SEC. 10002. UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT OPERATIONS. 
In addition to amounts otherwise available, there is 
authorized and appropriated to the Administrator of the 
United States Agency for International Development for fis-
cal year 2021, out of any money in the Treasury not other-
wise appropriated, $41,000,000, to remain available until 
September 30, 2022, to carry out the provisions of section 
667 of the Foreign Assistance Act of 1961 (22 U.S.C. 2427) 
for necessary expenses of the United States Agency for Inter-
national Development to prevent, prepare for, and respond 
to coronavirus domestically or internationally, and for
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other operations and maintenance requirements related to 
coronavirus. 
SEC. 10003. GLOBAL RESPONSE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is authorized and appropriated to the Sec-
retary of State for fiscal year 2021, out of any money in 
the Treasury not otherwise appropriated, $8,675,000,000, 
to remain available until September 30, 2022, for necessary 
expenses to carry out the provisions of section 531 of chap-
ter 4 of part II of the Foreign Assistance Act of 1961 (22 
U.S.C. 2346) as health programs to prevent, prepare for, 
and respond to coronavirus, which shall include recovery 
from the impacts of such virus and shall be allocated as 
follows— 
(1) $905,000,000 to be made available to the 
United States Agency for International Development 
for global health activities to prevent, prepare for, 
and respond to coronavirus, which shall include a 
contribution to a multilateral vaccine development 
partnership to support epidemic preparedness; 
(2) $3,750,000,000 to be made available to the 
Department of State to support programs for the pre-
vention, treatment, and control of HIV/AIDS in order 
to prevent, prepare for, and respond to coronavirus, 
including to mitigate the impact on such programs
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from coronavirus and support recovery from the im-
pacts of the coronavirus, of which not less than 
$3,500,000,000 shall be for a United States contribu-
tion to the Global Fund to Fight AIDS, Tuberculosis 
and Malaria; 
(3) $3,090,000,000 to be made available to the 
United States Agency for International Development 
to prevent, prepare for, and respond to coronavirus, 
which shall include support for international disaster 
relief, rehabilitation, and reconstruction, for health 
activities, and to meet emergency food security needs; 
and 
(4) $930,000,000 to be made available to prevent, 
prepare for, and respond to coronavirus, which shall 
include activities to address economic and stabiliza-
tion requirements resulting from such virus. 
(b) WAIVER OF LIMITATION.—Any contribution to the 
Global Fund to Fight AIDS, Tuberculosis and Malaria 
made pursuant to subsection (a)(2) shall be made available 
notwithstanding section 202(d)(4)(A)(i) of the United 
States Leadership Against HIV/AIDS, Tuberculosis, and 
Malaria Act of 2003 (22 U.S.C. 7622(d)(4)(A)(i)), and such 
contribution shall not be considered a contribution for the 
purpose of applying such section 202(d)(4)(A)(i).
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SEC. 10004. HUMANITARIAN RESPONSE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is authorized and appropriated to the Sec-
retary of State for fiscal year 2021, out of any money in 
the Treasury not otherwise appropriated, $500,000,000, to 
remain available until September 30, 2022, to carry out 
the provisions of section 2(a) and (b) of the Migration and 
Refugee Assistance Act of 1962 (22 U.S.C. 2601(a) and (b)) 
to prevent, prepare for, and respond to coronavirus. 
(b) USE OF FUNDS.—Funds appropriated pursuant to 
this section shall not be made available for the costs of reset-
tling refugees in the United States. 
SEC. 10005. MULTILATERAL ASSISTANCE. 
In addition to amounts otherwise available, there is 
authorized and appropriated to the Secretary of State for 
fiscal year 2021, out of any money in the Treasury not 
otherwise appropriated, $580,000,000, to remain available 
until September 30, 2022, to carry out the provisions of 
section 301(a) of the Foreign Assistance Act of 1961 (22 
U.S.C. 2221(a)) to prevent, prepare for, and respond to 
coronavirus, which shall include support for the priorities 
and objectives of the United Nations Global Humanitarian 
Response Plan COVID–19 through voluntary contributions 
to international organizations and programs administered 
by such organizations.
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TITLE XI—COMMITTEE ON 
INDIAN AFFAIRS 
SEC. 11001. INDIAN HEALTH SERVICE. 
(a) In addition to amounts otherwise available, there 
is appropriated to the Secretary of Health and Human 
Services (in this section referred to as the ‘‘Secretary’’) for 
fiscal year 2021, out of any money in the Treasury not 
otherwise appropriated, $6,094,000,000, to remain avail-
able until expended, of which— 
(1) $5,484,000,000 shall be for carrying out the 
Act of August 5, 1954 (42 U.S.C. 2001 et seq.) (com-
monly referred to as the Transfer Act), the Indian 
Self-Determination and Education Assistance Act (25 
U.S.C. 5301 et seq.), the Indian Health Care Im-
provement Act (25 U.S.C. 1601 et seq.), and titles II 
and III of the Public Health Service Act (42 U.S.C. 
201 et seq. and 241 et seq.) with respect to the Indian 
Health Service, of which— 
(A) $2,000,000,000 shall be for lost reim-
bursements, in accordance with section 207 of the 
Indian Health Care Improvement Act (25 U.S.C. 
1621f); 
(B) $500,000,000 shall be for the provision 
of additional health care services, services pro-
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† HR 1319 EAS 
202 et seq.) with respect to the Indian Health Service; 
and 
(3) $10,000,000 shall be for carrying out section 
7 of the Act of August 5, 1954 (42 U.S.C. 2004a) for 
expenses relating to potable water delivery. 
(b) Funds appropriated by subsection (a) shall be 
made available to restore amounts, either directly or 
through reimbursement, for obligations for the purposes 
specified in this section that were incurred to prevent, pre-
pare for, and respond to COVID–19 during the period be-
ginning on the date on which the public health emergency 
was declared by the Secretary on January 31, 2020, pursu-
ant to section 319 of the Public Health Service Act (42 
U.S.C. 247d) with respect to COVID–19 and ending on the 
date of the enactment of this Act. 
(c) Funds made available under subsection (a) to 
Tribes and Tribal organizations under the Indian Self-De-
termination and Education Assistance Act (25 U.S.C. 5301 
et seq.) shall be available on a one-time basis. Such non- 
recurring funds shall not be part of the amount required 
by section 106 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5325), and such funds 
shall only be used for the purposes identified in this section.
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SEC. 11002. BUREAU OF INDIAN AFFAIRS. 
(a) IN GENERAL.—In addition to amounts otherwise 
made available, there is appropriated for fiscal year 2021, 
out of any money in the Treasury not otherwise appro-
priated, $900,000,000 to remain available until expended, 
pursuant to the Snyder Act (25 U.S.C. 13), of which— 
(1) $100,000,000 shall be for Tribal housing im-
provement; 
(2) $772,500,000 shall be for Tribal government 
services, public safety and justice, social services, 
child welfare assistance, and for other related ex-
penses; 
(3) $7,500,000 shall be for related Federal ad-
ministrative costs and oversight; and 
(4) $20,000,000 shall be to provide and deliver 
potable water. 
(b) EXCLUSIONS FROM CALCULATION.—Funds appro-
priated under subsection (a) shall be excluded from the cal-
culation of funds received by those Tribal governments that 
participate in the ‘‘Small and Needy’ ’’ program. 
(c) ONE-TIME BASIS FUNDS.—Funds made available 
under subsection (a) to Tribes and Tribal organizations 
under the Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 5301 et seq.) shall be available on a 
one-time basis. Such non-recurring funds shall not be part 
of the amount required by section 106 of the Indian Self-
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Determination and Education Assistance Act (25 U.S.C. 
5325), and such funds shall only be used for the purposes 
identified in this section. 
SEC. 11003. HOUSING ASSISTANCE AND SUPPORTIVE SERV-
ICES PROGRAMS FOR NATIVE AMERICANS. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Secretary of 
Housing and Urban Development (in this section referred 
to as the ‘‘Secretary’’) for fiscal year 2021, out of any 
money in the Treasury not otherwise appropriated, 
$750,000,000, to remain available until September 30, 
2025, to prevent, prepare for, and respond to coronavirus, 
for activities and assistance authorized under title I of the 
Native American Housing Assistance and Self-Determina-
tion Act of 1996 (NAHASDA) (25 U.S.C. 4111 et seq.), 
under title VIII of NAHASDA (25 U.S.C. 4221 et seq.), 
and under section 106(a)(1) of the Housing and Commu-
nity Development Act of 1974 with respect to Indian tribes 
(42 U.S.C. 5306(a)(1)), which shall be made available as 
follows: 
(1) HOUSING
BLOCK
GRANTS.—$455,000,000 
shall be available for the Native American Housing 
Block Grants and Native Hawaiian Housing Block 
Grant programs, as authorized under titles I and
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† HR 1319 EAS 
VIII of NAHASDA, subject to the following terms and 
conditions: 
(A) FORMULA.—Of the amounts made 
available under this paragraph, $450,000,000 
shall be for grants under title I of NAHASDA 
and shall be distributed according to the same 
funding formula used in fiscal year 2021. 
(B) NATIVE HAWAIIANS.—Of the amounts 
made available under this paragraph, $5,000,000 
shall 
be 
for 
grants 
under 
title 
VIII 
of 
NAHASDA. 
(C) USE.—Amounts made available under 
this paragraph shall be used by recipients to pre-
vent, prepare for, and respond to coronavirus, 
including to maintain normal operations and 
fund eligible affordable housing activities under 
NAHASDA during the period that the program 
is impacted by coronavirus. In addition, 
amounts made available under subparagraph 
(B) may be used to provide rental assistance to 
eligible Native Hawaiian families both on and 
off the Hawaiian Home Lands. 
(D) TIMING
OF
OBLIGATIONS.—Amounts 
made available under this paragraph shall be 
used, as necessary, to cover or reimburse allow-
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† HR 1319 EAS 
able costs to prevent, prepare for, and respond to 
coronavirus that are incurred by a recipient, in-
cluding for costs incurred after January 21, 
2020. 
(E) WAIVERS OR ALTERNATIVE REQUIRE-
MENTS.—The Secretary may waive or specify al-
ternative requirements for any provision of 
NAHASDA (25 U.S.C. 4101 et seq.) or regula-
tion applicable to the Native American Housing 
Block Grants or Native Hawaiian Housing 
Block Grant program other than requirements 
related to fair housing, nondiscrimination, labor 
standards, and the environment, upon a finding 
that the waiver or alternative requirement is 
necessary to expedite or facilitate the use of 
amounts made available under this paragraph. 
(F) 
UNOBLIGATED
AMOUNTS.—Amounts 
made available under this paragraph which are 
not accepted, are voluntarily returned, or other-
wise recaptured for any reason shall be used to 
fund grants under paragraph (2). 
(2) INDIAN
COMMUNITY
DEVELOPMENT
BLOCK 
GRANTS.—$280,000,000 shall be available for grants 
under title I of the Housing and Community Develop-
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† HR 1319 EAS 
ment Act of 1974, subject to the following terms and 
conditions: 
(A) USE.—Amounts made available under 
this paragraph shall be used for emergencies that 
constitute imminent threats to health and safety 
and are designed to prevent, prepare for, and re-
spond to coronavirus. 
(B) PLANNING.—Not to exceed 20 percent of 
any grant made with funds made available 
under this paragraph shall be expended for plan-
ning and management development and admin-
istration. 
(C) TIMING
OF
OBLIGATIONS.—Amounts 
made available under this paragraph shall be 
used, as necessary, to cover or reimburse allow-
able costs to prevent, prepare for, and respond to 
coronavirus incurred by a recipient, including 
for costs incurred after January 21, 2020. 
(D) INAPPLICABILITY OF PUBLIC SERVICES 
CAP.—Indian tribes may use up to 100 percent 
of any grant from amounts made available 
under this paragraph for public services activi-
ties to prevent, prepare for, and respond to 
coronavirus.