SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Coronavirus Prepared-
ness and Response Supplemental Appropriations Act, 
2020’’. 
SEC. 2. 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 divi-
sion. 
DIVISION A—CORONAVIRUS PREPARED-
NESS AND RESPONSE SUPPLEMENTAL 
APPROPRIATIONS ACT, 2020 
The following sums are hereby are 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 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
FOOD AND DRUG ADMINISTRATION 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $61,000,000, to remain available until expended, 
to prevent, prepare for, and respond to coronavirus, do-
mestically or internationally, including the development of 
necessary medical countermeasures and vaccines, ad-
vanced manufacturing for medical products, the moni-
toring of medical product supply chains, and related ad-
ministrative activities: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
TITLE II 
SMALL BUSINESS ADMINISTRATION 
DISASTER LOANS PROGRAM ACCOUNT 
(INCLUDING TRANSFERS OF FUNDS) 
For an additional amount for the ‘‘Disaster Loans 
Program Account’’ for administrative expenses to carry 
out the disaster loan program authorized by section 7(b) 
of the Small Business Act, $20,000,000, to remain avail-
able until expended: Provided, That such amounts may be 
transferred to and merged with ‘‘Small Business Adminis-
tration—Salaries and Expenses’’: Provided further, That 
for purposes of section 7(b)(2)(D) of the Small Business 
Act, coronavirus shall be deemed to be a disaster and 
amounts available under ‘‘Disaster Loans Program Ac-
count’’ for the cost of direct loans in any fiscal year may 
be used to make economic injury disaster loans under such 
section in response to the coronavirus: Provided further, 
That none of the funds provided under this heading in 
this Act may be used for indirect administrative expenses:
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: Provided further, 
That amounts repurposed under this heading that were 
previously designated by the Congress as an emergency 
requirement pursuant to the Balanced Budget and Emer-
gency Deficit Control Act of 1985 are designated by the 
Congress as an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
TITLE III 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
CDC–WIDE ACTIVITIES AND PROGRAM SUPPORT 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘CDC–Wide Activities 
and Program Support’’, $2,200,000,000, to remain avail-
able until September 30, 2022, to prevent, prepare for, 
and respond to coronavirus, domestically or internation-
ally: Provided, That not less than $950,000,000 of the 
amount provided shall be for grants to or cooperative 
agreements with States, localities, territories, tribes, tribal 
organizations, urban Indian health organizations, or
health service providers to tribes, to carry out surveillance, 
epidemiology, laboratory capacity, infection control, miti-
gation, communications, and other preparedness and re-
sponse activities: Provided further, That $475,000,000 of 
the funds made available in the preceding proviso shall 
be allocated within 30 days of the date of enactment of 
this Act: Provided further, That every grantee that re-
ceived a Public Health Emergency Preparedness grant for 
fiscal year 2019 shall receive not less than 90 percent of 
that grant level from funds provided in the first proviso 
under this heading in this Act, and not less than 
$40,000,000 of such funds shall be allocated to tribes, 
tribal organizations, urban Indian health organizations, or 
health service providers to tribes: Provided further, That 
the Director of the Centers for Disease Control and Pre-
vention (‘‘CDC’’) may satisfy the funding thresholds out-
lined in the preceding two provisos by making awards 
through other grant or cooperative agreement mecha-
nisms: Provided further, That each grantee described in 
the third proviso under this heading in this Act shall sub-
mit a spend plan to the CDC not later than 45 days after 
the date of enactment of this Act: Provided further, That 
of the amount provided under this heading in this Act, 
not less than $300,000,000 shall be for global disease de-
tection and emergency response: Provided further, That of
the amount provided under this heading in this Act, 
$300,000,000 shall be transferred to and merged with 
amounts in the Infectious Diseases Rapid Response Re-
serve Fund (‘‘Reserve Fund’’), established by section 231 
of division B of Public Law 115–245: Provided further, 
That the Secretary of Health and Human Services, in con-
sultation with the Director of the CDC, shall provide a 
report to the Committees on Appropriations of the House 
of Representatives and the Senate every 14 days, for one 
year from the date from any such declaration or deter-
mination described in the third proviso of section 231 of 
division B of Public Law 115–245, that details commit-
ment and obligation information for the Reserve Fund 
during the prior two weeks, as long as such report would 
detail obligations in excess of $5,000,000, and upon the 
request by such Committees: Provided further, That funds 
appropriated under this heading in this Act may be used 
for grants for the construction, alteration, or renovation 
of non-Federally owned facilities to improve preparedness 
and response capability at the State and local level: Pro-
vided further, That funds may be used for purchase and 
insurance of official motor vehicles in foreign countries: 
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 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘National Institute of 
Allergy and Infectious Diseases’’, $836,000,000, to re-
main available until September 30, 2024, to prevent, pre-
pare for, and respond to coronavirus, domestically or 
internationally: Provided, That of the amount appro-
priated under this heading in this Act, not less than 
$10,000,000 shall be transferred to ‘‘National Institute of 
Environmental Health Sciences’’ for worker-based train-
ing to prevent and reduce exposure of hospital employees, 
emergency first responders, and other workers who are at 
risk of exposure to coronavirus through their work duties: 
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 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Public Health and So-
cial Services Emergency Fund’’, $3,100,000,000, to re-
main available until September 30, 2024, to prevent, pre-
pare 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, 
and the purchase of vaccines, therapeutics, diagnostics, 
necessary medical supplies, medical surge capacity, and 
related administrative activities: Provided, That such 
funds 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 devel-
oped using funds made available under this heading 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 govern-
ment with funds made available under this heading, in-
cluding vaccines, therapeutics, and diagnostics, shall be
purchased in accordance with Federal Acquisition Regula-
tion guidance on fair and reasonable pricing: Provided fur-
ther, That the Secretary may take such measures author-
ized under current law to ensure that vaccines, thera-
peutics, and diagnostics developed from funds provided in 
this Act will be affordable in the commercial market: Pro-
vided further, That in carrying out the previous proviso, 
the Secretary shall not take actions that delay the develop-
ment of such products: Provided further, That products 
purchased with funds appropriated in this paragraph 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 
heading 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 Serv-
ice Act: Provided further, That funds appropriated under 
this heading in this Act may be used for grants for the 
construction, alteration, or renovation of non-Federally 
owned facilities to improve preparedness and response ca-
pability at the State and local level: Provided further, That 
funds appropriated under this heading in this Act may be 
used for the construction, alteration, or renovation of non- 
Federally owned facilities for the production of vaccines,
therapeutics, and diagnostics where the Secretary deter-
mines that such a contract is necessary to secure sufficient 
amounts of such supplies: Provided further, That of the 
amount provided under this heading in this Act, 
$100,000,000 shall be transferred to ‘‘Health Resources 
and Services Administration—Primary Health Care’’ for 
grants under the Health Centers Program, as defined by 
section 330 of the Public Health Service Act, to prevent, 
prepare for, and respond to coronavirus: 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 So-
cial Services Emergency Fund’’, $300,000,000, to remain 
available until September 30, 2024, for products pur-
chased as described in the first paragraph under this 
heading, including the purchase of vaccines, therapeutics, 
and diagnostics, and under the same terms and conditions 
as the amounts made available in the first paragraph 
under this heading in this Act: Provided, That the amount 
made available in this paragraph shall only be made avail-
able if the Secretary of Health and Human Services cer-
tifies to the Committees on Appropriations of the House 
of Representatives and the Senate that the funds made
available in the first paragraph under this heading in this 
Act allotted for such purchase of such products will be 
obligated imminently and that additional funds are nec-
essary to purchase vaccines, therapeutics, or diagnostics 
in quantities determined by the Secretary to be adequate 
help to address the public health need: Provided further, 
That the Secretary shall notify the Committees on Appro-
priations of the House of Representatives and the Senate 
of such certification: 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 TRANSFER OF FUNDS) 
SEC. 301. (a) Funds appropriated in this title may 
be made available to restore amounts, either directly or 
through reimbursement, for obligations incurred by agen-
cies of the Department of Health and Human Services to 
prevent, prepare for, and respond to coronavirus, domesti-
cally or internationally, prior to the date of enactment of 
this Act. This subsection shall not apply to obligations in-
curred by the Infectious Diseases Rapid Response Reserve 
Fund.
(b) Grants or cooperative agreements with States, lo-
calities, territories, tribes, tribal organizations, urban In-
dian health organizations, or health service providers to 
tribes, under this title, to carry out surveillance, epidemi-
ology, laboratory capacity, infection control, mitigation, 
communications, and other preparedness and response ac-
tivities to prevent, prepare for, and respond to coronavirus 
shall include amounts to reimburse costs for these pur-
poses incurred between January 20, 2020, and the date 
of enactment of this Act. 
(c) If any funds have been reprogrammed or trans-
ferred from an appropriation, as described in the notifica-
tion submitted by the Secretary of Health and Human 
Services to the Committees on Appropriations of the 
House of Representatives and the Senate on February 2, 
2020, prior to the date of enactment of this Act, such 
amounts shall be reprogrammed or transferred back to 
that appropriation within 45 days of the date of enactment 
of this Act. 
SEC. 302. 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. 303. Funds made available by this title may be 
used to enter into contracts with individuals for the provi-
sion 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 Appro-
priations of the House of Representatives and the Senate: 
Provided, That such individuals may not be deemed em-
ployees of the United States for the purpose of any law 
administered by the Office of Personnel Management: Pro-
vided further, That the authority made available pursuant 
to this section shall expire on September 30, 2024. 
SEC. 304. Funds appropriated by this title may be 
transferred to, and merged with, other appropriation ac-
counts under the headings ‘‘Centers for Disease Control 
and Prevention’’, ‘‘Public Health and Social Services 
Emergency Fund’’, and ‘‘National Institutes of Health’’ 
to prevent, prepare for, and respond to coronavirus, do-
mestically or internationally, following consultation with 
the Office of Management and Budget: Provided, That the 
Committees on Appropriations of the House of Represent-
atives and the Senate shall be notified 10 days in advance 
of any such transfer: Provided further, That upon a deter-
mination that all or part of the funds transferred from 
an appropriation by this title are not necessary, such 
amounts may be transferred back to that appropriation: 
Provided further, That none of the funds made available 
by this title may be transferred pursuant to the authority 
in section 205 of division A of Public Law 116–94 or sec-
tion 241(a) of the Public Health Service Act. 
SEC. 305. 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 an-
ticipated uses of funds made available to the Department 
of Health and Human Services in this Act, including esti-
mated personnel and administrative costs, to the Commit-
tees on Appropriations of the House of Representatives 
and the Senate: Provided, That such plan 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. 306. Of the funds appropriated by this title 
under the heading ‘‘Public Health and Social Services
Emergency Fund’’, up to $2,000,000 shall be transferred 
to, and merged with, funds made available under the head-
ing ‘‘Office of the Secretary, Office of Inspector General’’, 
and shall remain available until expended, for oversight 
of activities supported with funds appropriated to the De-
partment of Health and Human Services in titles I and 
III: Provided, That the Inspector General of the Depart-
ment of Health and Human Services shall consult with 
the Committees on Appropriations of the House of Rep-
resentatives 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 IV 
DEPARTMENT OF STATE 
ADMINISTRATION OF FOREIGN AFFAIRS 
DIPLOMATIC PROGRAMS 
For an additional amount for ‘‘Diplomatic Pro-
grams’’, $264,000,000, to remain available until Sep-
tember 30, 2022, for necessary expenses to prevent, pre-
pare for, and respond to coronavirus, including for main-
taining consular operations, reimbursement of evacuation 
expenses, and emergency preparedness: 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 AGENCY FOR INTERNATIONAL 
DEVELOPMENT 
FUNDS APPROPRIATED TO THE PRESIDENT 
OFFICE OF INSPECTOR GENERAL 
For an additional amount for ‘‘Office of Inspector 
General’’, $1,000,000, to remain available until September 
30, 2022, for oversight of activities funded by this title 
and administered by the United States Agency for Inter-
national Development: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
BILATERAL ECONOMIC ASSISTANCE 
FUNDS APPROPRIATED TO THE PRESIDENT 
GLOBAL HEALTH PROGRAMS 
For an additional amount for ‘‘Global Health Pro-
grams’’, $435,000,000, to remain available until Sep-
tember 30, 2022, for necessary expenses to prevent, pre-
pare for, and respond to coronavirus: Provided, That such 
funds shall be administered by the Administrator of the 
United States Agency for International Development: Pro-
vided further, That of the funds appropriated under this 
heading in this Act, not less than $200,000,000 shall be
transferred to, and merged with, funds made available for 
the Emergency Reserve Fund established pursuant to sec-
tion 7058(c)(1) of the Department of State, Foreign Oper-
ations, and Related Programs Appropriations Act, 2017 
(division J of Public Law 115–31): Provided further, That 
funds made available pursuant to the previous proviso 
shall be made available under the terms and conditions 
of such section, as amended: 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. 
INTERNATIONAL DISASTER ASSISTANCE 
For an additional amount for ‘‘International Disaster 
Assistance’’, $300,000,000, to remain available until ex-
pended, for necessary expenses 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. 
ECONOMIC SUPPORT FUND 
For an additional amount for ‘‘Economic Support 
Fund’’, $250,000,000, to remain available until Sep-
tember 30, 2022, for necessary expenses to prevent, pre-
pare for, and respond to coronavirus, including to address 
related economic, security, and stabilization requirements: 
Provided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
GENERAL PROVISIONS—THIS TITLE 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 401. Funds appropriated by this title shall only 
be made available for obligation subject to the regular no-
tification procedures of the Committees on Appropriations 
of the House of Representatives and the Senate: Provided, 
That the requirement of this section shall not apply to 
funds appropriated by this title under the heading ‘‘Inter-
national Disaster Assistance’’. 
SEC. 402. (a) Funds appropriated by this title under 
the heading ‘‘Diplomatic Programs’’ may be transferred 
to, and merged with, funds available under the ‘‘Consular 
and Border Security Programs’’ account to maintain con-
sular operations impacted by coronavirus. 
(b) Of the funds appropriated by this title under the 
heading ‘‘Economic Support Fund’’, up to $7,000,000 
may be transferred to, and merged with, funds appro-
priated under the heading ‘‘Operating Expenses’’ in Acts 
making appropriations for the Department of State, for-
Law 116–94) is amended by striking ‘‘, not to exceed 
$10,000,000’’ and inserting in lieu thereof ‘‘for Worldwide 
Security Protection, not to exceed $100,000,000’’ and by 
adding the following before the period at the end: ‘‘: Pro-
vided, That no amounts may be transferred from amounts 
that were designated by the Congress for Overseas Contin-
gency Operations/Global War on Terrorism pursuant to 
the Concurrent Resolution on the Budget or the Balanced 
Budget and Emergency Deficit Control Act of 1985’’: Pro-
vided, That the exercise of the authority provided by such 
paragraph shall be subject to prior consultation with the 
Committees on Appropriations of the House of Represent-
atives and the Senate. 
SEC. 404. Funds appropriated by this title under the 
headings ‘‘Global Health Programs’’ and ‘‘Economic Sup-
port Fund’’ may be made available as contributions to 
international organizations to prevent, prepare for, and re-
spond to coronavirus, following consultation with the Com-
mittees on Appropriations of the House of Representatives 
and the Senate. 
SEC. 405. Funds appropriated by this title under the 
headings ‘‘Diplomatic Programs’’, ‘‘Global Health Pro-
grams’’, ‘‘International Disaster Assistance’’, and ‘‘Eco-
nomic Support Fund’’ may be used to reimburse accounts 
administered by the Department of State and the United
States Agency for International Development for obliga-
tions incurred to prevent, prepare for, and respond to 
coronavirus prior to the date of enactment of this Act: 
Provided, That this section shall not apply to obligations 
incurred by the Emergency Reserve Fund, established 
pursuant to section 7058(c)(1) of the Department of 
State, Foreign Operations, and Related Programs Appro-
priations Act, 2017 (division J of Public Law 115–31). 
SEC. 406. (a) STRATEGY.—Not later than 15 days 
after the date of enactment of this Act, the Secretary of 
State and the Administrator of the United States Agency 
for International Development, following consultation with 
the heads of other relevant Federal agencies, shall jointly 
submit to the Committees on Appropriations of the House 
of Representatives and the Senate a strategy to prevent, 
prepare for, and respond to coronavirus abroad. 
(b) REPORTING REQUIREMENT.—Not later than 30 
days after enactment of this Act, the Secretary of State 
and the Administrator of the United States Agency for 
International Development shall jointly submit to the 
Committees on Appropriations of the House of Represent-
atives and the Senate a report on the proposed uses of 
funds appropriated by this title on a country and project 
basis: Provided, That such report shall be updated and 
submitted to such Committees every 60 days thereafter
until September 30, 2022, and every 180 days thereafter 
until all funds have been expended, and shall include infor-
mation detailing how estimates and assumptions contained 
in previous reports have changed, including obligations 
and expenditures on a country and project basis. 
TITLE V 
GENERAL PROVISIONS—THIS ACT 
SEC. 501. Each amount appropriated or made avail-
able by this Act is in addition to amounts otherwise appro-
priated for the fiscal year involved. 
SEC. 502. 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. 503. Unless otherwise provided for by this Act, 
the additional amounts appropriated by this Act to appro-
priations accounts shall be available under the authorities 
and conditions applicable to such appropriations accounts 
for fiscal year 2020. 
SEC. 504. (a) Subject to subsection (b), and notwith-
standing any other provision of law, funds made available 
in this Act, or transferred pursuant to authorization 
granted in this Act, may only be used to prevent, prepare 
for, and respond to coronavirus. 
(b) Subsection (a) shall not apply to section 301(c) 
of this Act, or to reimbursements made pursuant to au-
thority in this Act, or to funds made available in this Act 
for the Emergency Reserve Fund, established pursuant to 
section 7058(c)(1) of division J of Public Law 115–31, 
or to funds made available in this Act for the Infectious 
Diseases Rapid Response Reserve Fund, established pur-
suant to section 231 of division B of Public Law 115– 
245. 
SEC. 505. Not later than 60 days after the date of 
enactment of this Act, the Comptroller General of the 
United States shall consult with the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate on oversight of activities supported with funds appro-
priated by this Act. 
SEC. 506. In this Act, the term ‘‘coronavirus’’ means 
SARS–CoV–2 or another coronavirus with pandemic po-
tential. 
SEC. 507. 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. 508. Any amount appropriated by this Act, des-
ignated by the Congress as an emergency requirement
pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-
et and Emergency Deficit Control Act of 1985 and subse-
quently so designated by the President, and transferred 
pursuant to transfer authorities provided by this Act shall 
retain such designation. 
This division may be cited as the ‘‘Coronavirus Pre-
paredness and Response Supplemental Appropriations 
Act, 2020’’. 
DIVISION 
B—TELEHEALTH 
SERVICES DURING CERTAIN 
EMERGENCY PERIODS 
SEC. 101. SHORT TITLE. 
This division may be cited as the ‘‘Telehealth Services 
During Certain Emergency Periods Act of 2020’’. 
SEC. 102. SECRETARIAL AUTHORITY TO TEMPORARILY 
WAIVE OR MODIFY APPLICATION OF CER-
TAIN MEDICARE REQUIREMENTS WITH RE-
SPECT 
TO 
TELEHEALTH 
SERVICES 
FUR-
NISHED DURING CERTAIN EMERGENCY PERI-
ODS. 
(a) IN GENERAL.— 
(1) WAIVER AUTHORITY.—The first sentence of 
section 1135(b) of the Social Security Act (42 
U.S.C. 1320b–5(b)) is amended—
(A) in paragraph (6), by striking ‘‘and’’ at 
the end; 
(B) in paragraph (7), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (7) the 
following new paragraph: 
‘‘(8) in the case of a telehealth service (as de-
fined in paragraph (4)(F) of section 1834(m)) fur-
nished in any emergency area (or portion of such an 
area) during any portion of any emergency period to 
an individual by a qualified provider (as defined in 
subsection (g)(3))— 
‘‘(A) the requirements of paragraph (4)(C) 
of such section, except that a facility fee under 
paragraph (2)(B)(i) of such section may only be 
paid to an originating site that is a site de-
scribed in any of subclauses (I) through (IX) of 
paragraph (4)(C)(ii) of such section; and 
‘‘(B) the restriction on use of a telephone 
described in the second sentence of section 
410.78(a)(3) of title 42, Code of Federal Regu-
lations (or a successor regulation), but only if 
such telephone has audio and video capabilities 
that are used for two-way, real-time interactive 
communication.’’.
(2) DEFINITION
OF
QUALIFIED
PROVIDER.— 
Section 1135(g) of the Social Security Act (42 
U.S.C. 1320b–5(g)) is amended by adding at the 
end the following new paragraph: 
‘‘(3) QUALIFIED PROVIDER.—The term ‘quali-
fied provider’ means, with respect a telehealth serv-
ice (as defined in paragraph (4)(F) of section 
1834(m)) furnished to an individual, a physician or 
practitioner (as defined in paragraph (4)(D) or 
(4)(E), respectively, of such section) who— 
‘‘(A) furnished to such individual an item 
or service for which payment was made under 
title XVIII during the 3-year period ending on 
the date such telehealth service was furnished; 
or 
‘‘(B) is in the same practice (as deter-
mined by tax identification number) of a physi-
cian or practitioner (as so defined) who fur-
nished such an item or service to such indi-
vidual during such period.’’. 
(3) 
IMPLEMENTATION.—The 
Secretary 
of 
Health and Human Services may implement the 
amendments made by this subsection by program in-
struction or otherwise.
(b) CLARIFICATION OF DEFINITIONS OF EMERGENCY 
AREA AND EMERGENCY PERIOD.—Paragraph (1) of sec-
tion 1135(g) of the Social Security Act (42 U.S.C. 1320b– 
5(g)) is amended to read as follows: 
‘‘(1) EMERGENCY
AREA; 
EMERGENCY
PE-
RIOD.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), an ‘emergency area’ is a geo-
graphical area in which, and an ‘emergency pe-
riod’ is the period during which, there exists— 
‘‘(i) 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 
‘‘(ii) a public health emergency de-
clared by the Secretary pursuant to section 
319 of the Public Health Service Act. 
‘‘(B) EXCEPTION.—For purposes of sub-
section (b)(8), an ‘emergency area’ is a geo-
graphical area in which, and an ‘emergency pe-
riod’ is the period during which, there exists— 
‘‘(i) the public health emergency de-
clared 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’; and 
‘‘(ii) any renewal of such declaration 
pursuant to such section 319.’’. 
SEC. 103. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budg-
etary effects of this division shall not be entered on either 
PAYGO scorecard maintained pursuant to section 4(d) of 
the Statutory Pay-As-You-Go Act of 2010. 
(b) SENATE PAYGO SCORECARDS.—The budgetary 
effects of this division shall not be entered on any PAYGO 
scorecard maintained for purposes of section 4106 of H. 
Con. Res. 71 (115th Congress). 
(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 Re-
port 105–217 and section 250(c)(8) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, the 
budgetary effects of this division shall not be estimated— 
(1) 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. 
Passed the House of Representatives March 4, 
2020. 
Attest: 
Clerk.
116TH CONGRESS 
2D SESSION 
H. R. 6074 
AN ACT 
Making emergency supplemental appropriations for 
the fiscal year ending September 30, 2020, and 
for other purposes.