I 
116TH CONGRESS 
2D SESSION 
H. R. 6074 
IN THE SENATE OF THE UNITED STATES 
MARCH 4, 2020 
Received 
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 Representa-
tives of the United States of America in Congress assembled, 
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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-
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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: 
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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 
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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 
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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 
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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. 
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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 
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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, 
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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 
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(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 
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