1127 
(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. 209. PROVIDING FOR INFECTION CONTROL SUPPORT 
TO SKILLED NURSING FACILITIES THROUGH 
CONTRACTS WITH QUALITY IMPROVEMENT 
ORGANIZATIONS. 
(a) IN GENERAL.—Section 1862(g) of the Social Se-
curity 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 de-
scribed 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 
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requirement that such organization provide to skilled 
nursing facilities with cases of COVID–19 (or facilities at-
tempting 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 re-
spect to skilled nursing facilities described in such sub-
paragraph, the development and dissemination to such fa-
cilities of protocols relating to the prevention or mitigation 
of COVID–19 at such facilities and the provision of train-
ing 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 de-
scribed 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 enter-
ing into contracts with quality improvement organizations 
under part B of title XI of such Act (42 U.S.C. 1320c 
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et seq.). Of the amount transferred pursuant to the pre-
vious 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. 210. REQUIRING LONG TERM CARE FACILITIES TO RE-
PORT 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 ‘‘Sec-
retary’’) shall, as soon as practicable, require that the in-
formation 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 pur-
poses 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 So-
cial Security Act (42 U.S.C. 1395i–3(a))) and nursing fa-
cilities (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, aggre-
gated by State: 
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(1) The age, race/ethnicity, and preferred lan-
guage of the residents of such skilled nursing facili-
ties and nursing facilities with suspected or con-
firmed COVID–19 infections, including residents 
previously treated for COVID–19. 
(2) The age, race/ethnicity, and preferred lan-
guage relating to total deaths and COVID–19 
deaths among residents of such skilled nursing facili-
ties 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 facili-
ties. 
(d) IMPLEMENTATION.—The Secretary may imple-
ment the provisions of this section be program instruction 
or otherwise. 
SEC. 211. FLOOR ON THE MEDICARE AREA WAGE INDEX 
FOR HOSPITALS IN ALL-URBAN STATES. 
(a) IN GENERAL.—Section 1886(d)(3)(E) of the So-
cial Security Act (42 U.S.C. 1395ww(d)(3)(E)) is amend-
ed— 
(1) in clause (i), in the first sentence, by strik-
ing ‘‘or (iii)’’ and inserting ‘‘, (iii), or (iv)’’; and 
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(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 
dis-
charges occurring on or after October 
1, 2021, the area wage index applica-
ble under this subparagraph to any 
hospital in an all-urban State (as de-
fined 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 ef-
fect for fiscal year 2018. 
‘‘(III) WAIVING
BUDGET
NEU-
TRALITY.—Pursuant to the fifth sen-
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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 re-
opening 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 pe-
riod of a sole community hospital or a medicare-depend-
ent, small rural hospital, as the case may be, that begins 
during a fiscal year before fiscal year 2018.’’. 
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SEC. 213. DEEMING CERTAIN HOSPITALS TO BE LOCATED 
IN AN URBAN AREA FOR PURPOSES OF PAY-
MENT 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 sub-
section for discharges occurring during the 3-year period 
beginning on October 1, 2020, each hospital located in Al-
bany, Saratoga, Schenectady, Montgomery, or Rensselaer 
County of New York shall be deemed to be located in the 
urban area of Hartford-East Hartford-Middletown, Con-
necticut (CBSA 25540), notwithstanding any other reclas-
sification or redesignation that otherwise would have ap-
plied for purposes of the wage index under this paragraph 
or subparagraphs (B) or (E) of paragraph (8). 
‘‘(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).’’. 
SEC. 214. EFFECTIVE DATE OF MEDICARE COVERAGE OF 
COVID–19 VACCINES WITHOUT ANY COST- 
SHARING. 
Effective as if included in the enactment of the 
CARES Act (Public Law 116–136; 42 U.S.C. 13951 
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note), section 3713(d) of such Act is amended by inserting 
before the period at the end the following: ‘‘or authorized 
for emergency use under section 564 of the Federal Food, 
Drug, and Cosmetic Act (21 U.S.C. 360bbb–3)’’. 
TITLE III—PRIVATE INSURANCE 
PROVISIONS 
SEC. 301. SPECIAL ENROLLMENT PERIOD THROUGH EX-
CHANGES. 
(a) SPECIAL ENROLLMENT PERIOD THROUGH EX-
CHANGES.—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 para-
graph (8), the special enrollment period de-
scribed in subparagraph (A) of such para-
graph.’’; and 
(2) by adding at the end the following new 
paragraph: 
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1137 
‘‘(8) SPECIAL ENROLLMENT PERIOD FOR CER-
TAIN PUBLIC HEALTH EMERGENCY.— 
‘‘(A) IN GENERAL.—The Secretary shall, 
subject to subparagraph (B), require an Ex-
change to provide— 
‘‘(i) for a special enrollment period 
during the emergency period described in 
section 1135(g)(1)(B) of the Social Secu-
rity 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 es-
tablished 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 Ex-
change 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 enroll-
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1138 
ment period, the coverage period under 
such plan shall begin on the first day of 
the month following the day the individual 
selects a plan through such special enroll-
ment period. 
‘‘(B) EXCEPTION.—The requirement of 
subparagraph (A) shall not apply to a State-op-
erated or State-established Exchange if such 
Exchange, prior to the date of the enactment of 
this paragraph, established or otherwise pro-
vided 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) IMPLEMENTATION.—The Secretary of Health and 
Human Services may implement the provisions of (includ-
ing amendments made by) this section through subregu-
latory guidance, program instruction, or otherwise. 
SEC. 302. 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 vac-
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1139 
cine 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 Advi-
sory 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 Dis-
ease Control and Prevention. 
SEC. 303. 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 insur-
ance 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, copay-
ments, 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: 
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1140 
(1) Medically necessary items and services (in-
cluding 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 (in-
cluding 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 ap-
propriate steps under the circumstances to 
make a diagnosis, or confirm whether a diag-
nosis 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— 
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1142 
curity 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 Em-
ployee Retirement Income Security Act of 1974 (29 
U.S.C. 1191b), and section 9832 of the Internal Revenue 
Code of 1986, as applicable. 
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1143 
SEC. 304. REQUIRING PRESCRIPTION DRUG REFILL NOTIFI-
CATIONS DURING EMERGENCIES. 
(a) ERISA.— 
(1) IN GENERAL.—Subpart B of part 7 of sub-
title 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 sec-
tion: 
‘‘SEC. 716. PROVISION OF PRESCRIPTION DRUG REFILL NO-
TIFICATIONS 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 bene-
fits for prescription drugs under such plan or such cov-
erage shall provide to each participant or beneficiary 
under such plan or such coverage who resides in an emer-
gency 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 de-
scribed in section 304(d)(2) of the Investing in 
America’s Health Care During the COVID–19 Pan-
demic 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 understand-
able to the average participant or beneficiary)— 
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‘‘(A) of whether such plan or coverage will 
waive, during such period with respect to such 
a participant or beneficiary, any time restric-
tions under such plan or coverage on any au-
thorized refills for such drugs to enable such re-
fills in advance of when such refills would oth-
erwise 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 bene-
ficiary, 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 pro-
vided 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 geo-
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1145 
graphical 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 Emer-
gency 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 con-
tents 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 emer-
gencies.’’. 
(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 
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1146 
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 de-
scribed in section 304(d)(2) of the Investing in 
America’s Health Care During the COVID–19 Pan-
demic 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 understand-
able to the average participant, beneficiary, or en-
rollee)— 
‘‘(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 
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1147 
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 notifica-
tion 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 geo-
graphical 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 Emer-
gency 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 amend-
ed by adding at the end the following new section: 
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‘‘SEC. 9816. PROVISION OF PRESCRIPTION DRUG REFILL 
NOTIFICATIONS DURING EMERGENCIES. 
‘‘(a) IN GENERAL.—A group health plan that pro-
vides 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 304(d)(2) of the Investing in America’s Health 
Care During the COVID–19 Pandemic 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, dur-
ing such period with respect to such a partici-
pant 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 per-
mitted under such plan; and 
‘‘(B) in the case that such plan will waive 
such restrictions during such period with re-
spect to such a participant or beneficiary, that 
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1149 
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 notifica-
tion described in paragraph (1) has been provided 
with respect to such period, not later than 5 busi-
ness 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 geo-
graphical 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 Emer-
gency 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 sec-
tions for subchapter B of chapter 100 of the Inter-
nal Revenue Code of 1986 is amended by adding at 
the end the following new item: 
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‘‘Sec. 9816. Provision of prescription drug refill notifications during emer-
gencies.’’. 
(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. 305. IMPROVEMENT OF CERTAIN NOTIFICATIONS PRO-
VIDED 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 fol-
lowing subparagraph (B), by striking ‘‘under 
this subsection’’ and inserting ‘‘under this part 
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in accordance with the notification requirements 
under subsection (c)’’; and 
(B) in subsection (c)— 
(i) by striking ‘‘For purposes of sub-
section (a)(4), any notification’’ and insert-
ing ‘‘For purposes of subsection (a)(4)— 
‘‘(1) any notification’’; 
(ii) by striking ‘‘, whichever is applica-
ble, and any such notification’’ and insert-
ing ‘‘of subsection (a), whichever is appli-
cable; 
‘‘(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 Pa-
tient Protection and Affordable Care Act through 
which such a qualified beneficiary may be eligible to 
enroll in a qualified health plan (as defined in sec-
tion 1301 of the Patient Protection and Affordable 
Care Act), including— 
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‘‘(A) 
the 
publicly 
accessible 
Internet 
website address for such Exchange; 
‘‘(B) 
the 
publicly 
accessible 
Internet 
website address for the Find Local Help direc-
tory 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 indi-
vidual elects to enroll in such continuation 
coverage and subsequently elects to termi-
nate such continuation coverage before the 
period of such continuation coverage ex-
pires, 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 eligi-
ble to enroll in a qualified health plan of-
fered through such Exchange during an 
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open enrollment period and may be eligible 
for financial assistance with respect to en-
rolling 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 re-
quirements 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 fi-
nancial 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 Rev-
enue Code of 1986.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply with respect to quali-
fying 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.— 
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(1) IN GENERAL.—Section 2206 of the Public 
Health Service Act (42 U.S.C. 300bb–6) is amend-
ed— 
(A) by striking ‘‘In accordance’’ and in-
serting 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 ac-
cordance with the notification requirements 
under subsection (b)’’; and 
(C) by striking ‘‘For purposes of para-
graph (4),’’ and all that follows through ‘‘such 
notification is made.’’ and inserting the fol-
lowing: 
‘‘(b) RULES RELATING TO NOTIFICATION OF QUALI-
FIED 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 cov-
ered employee shall be treated as notification to all 
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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 Pa-
tient Protection and Affordable Care Act through 
which such a qualified beneficiary may be eligible to 
enroll in a qualified health plan (as defined in sec-
tion 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 direc-
tory 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 indi-
vidual elects to enroll in such continuation 
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coverage and subsequently elects to termi-
nate such continuation coverage before the 
period of such continuation coverage ex-
pires, 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 eligi-
ble to enroll in a qualified health plan of-
fered through such Exchange during an 
open enrollment period and may be eligible 
for financial assistance with respect to en-
rolling 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 re-
quirements applicable to such a qualified health 
plan under part A of title XXVII; and 
‘‘(E) information on the availability of fi-
nancial assistance with respect to enrolling in a 
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qualified health plan, including the maximum 
income limit for eligibility for a premium tax 
credit under section 36B of the Internal Rev-
enue Code of 1986.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply with respect to quali-
fying 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 sub-
clause, as so redesignated, 2 ems to the 
right; 
(B) by redesignating subparagraphs (A) 
through (D) as clauses (i) through (iv), respec-
tively, and moving the margin of each such 
clause, as so redesignated, 2 ems to the right; 
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(C) by striking ‘‘In accordance’’ and in-
serting the following: 
‘‘(A) IN GENERAL.—In accordance’’; 
(D) by inserting after ‘‘of such bene-
ficiary’s rights under this subsection’’ the fol-
lowing: ‘‘in accordance with the notification re-
quirements under subparagraph (C)’’; and 
(E) by striking ‘‘The requirements of sub-
paragraph (B)’’ and all that follows through 
‘‘such notification is made.’’ and inserting the 
following: 
‘‘(B) ALTERNATIVE
MEANS
OF
COMPLI-
ANCE WITH REQUIREMENT FOR NOTIFICATION 
OF MULTIEMPLOYER PLANS BY EMPLOYERS.— 
The requirements of subparagraph (A)(ii) shall 
be considered satisfied in the case of a multiem-
ployer plan in connection with a qualifying 
event described in paragraph (3)(B) if the plan 
provides that the determination of the occur-
rence of such qualifying event will be made by 
the plan administrator. 
‘‘(C) RULES RELATING TO NOTIFICATION 
OF QUALIFIED BENEFICIARIES BY PLAN ADMIN-
ISTRATOR.—For 
purposes 
of 
subparagraph 
(A)(iv)— 
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‘‘(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 pro-
vided 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 indi-
vidual 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 Ex-
change established under title I of the Pa-
tient 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— 
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1160 
‘‘(I) the publicly accessible Inter-
net website address for such Ex-
change; 
‘‘(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 continu-
ation coverage and subsequently 
elects to terminate such continu-
ation coverage before the period 
of such continuation coverage ex-
pires, such individual will not be 
eligible to enroll in a qualified 
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1161 
health plan offered through such 
Exchange during a special enroll-
ment 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 enroll-
ing 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 es-
sential health benefits (as defined in 
section 1302(b) of the Patient Protec-
tion and Affordable Care Act) and the 
requirements applicable to such a 
qualified health plan under part A of 
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1162 
title XXVII of the Public Health 
Service Act; and 
‘‘(V) information on the avail-
ability of financial assistance with re-
spect 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 quali-
fying 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 Treas-
ury 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 require-
ments under section 606 of the Employee Retire-
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ment 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 con-
tinuation 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. 306. 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’’. 
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1164 
SEC. 307. CLARIFYING SCOPE OF COVERAGE REQUIRE-
MENT FOR ITEMS AND SERVICES RELATING 
TO COVID–19. 
Section 6001 of the Families First Coronavirus Re-
sponse Act (Public Law 116–127) is amended— 
(1) in subsection (b), by striking ‘‘subsection 
(a)’’ and inserting ‘‘subsections (a) and (e)’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(e) SCOPE OF COVERAGE REQUIREMENT.—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, without cost sharing and without prior 
authorization or other medical management requirements, 
in accordance with subsection (a) for tests, items, and 
services described in such subsection and furnished to an 
individual during the emergency period defined in para-
graph (1)(B) of section 1135(g) of the Social Security Act 
(42 U.S.C. 1320b-5(g)), regardless of— 
‘‘(1) why such individual sought such tests, 
items, and services; 
‘‘(2) the nature of the clinical assessment that 
was associated with such tests, items, and services; 
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‘‘(3) whether such individual was showing 
symptoms prior to being furnished such tests, items, 
and services; 
‘‘(4) in the case of such tests, whether or not 
such tests were ordered by a provider; 
‘‘(5) the frequency with which such individual is 
furnished such tests, items, and services; and 
‘‘(6) any other review of the encounters or 
events that preceded or followed the furnishing of 
such tests, items, and services.’’. 
SEC. 308. GUIDANCE ON BILLING FOR PROVIDER VISITS AS-
SOCIATED WITH COVID–19 TESTING. 
The Secretary of Health and Human Services, the 
Secretary of Labor, and the Secretary of the Treasury 
shall jointly issue guidance not later than 30 days after 
the date of enactment of this Act for purposes of clari-
fying— 
(1) the process for submitting claims for tests, 
items, and services described in section 6001(a) of 
the Families First Coronavirus Response Act (Public 
Law 116–127) to ensure that individuals enrolled in 
individual or group health insurance coverage or 
group health plans (including grandfathered health 
plans (as defined in section 1251(e) of the Patient 
Protection and Affordable Care Act)) to whom such 
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1166 
tests, items, and services are furnished are not sub-
ject to cost-sharing (including deductibles, copay-
ments, and coinsurance) or prior authorization or 
other medical management requirements; and 
(2) that providers should not collect cost-shar-
ing amounts from such individuals seeking such 
tests, items, or services. 
SEC. 309. IMPROVEMENTS TO TRANSPARENCY OF THE 
PRICING 
OF 
DIAGNOSTIC 
TESTING 
FOR 
COVID–19. 
(a) IN GENERAL.—Section 3202 of the CARES Act 
(Public Law 116–136) is amended— 
(1) in subsection (b)— 
(A) in the heading, by inserting ‘‘AND RE-
LATED ITEMS
AND SERVICES’’ after ‘‘DIAG-
NOSTIC TESTING FOR COVID–19’’; 
(B) in paragraph (1)— 
(i) by striking ‘‘a diagnostic test for 
COVID–19’’ and inserting ‘‘a test, item, or 
service described in section 6001(a) of divi-
sion F of the Families First Coronavirus 
Response Act’’; and 
(ii) by striking ‘‘such test’’ and insert-
ing ‘‘such test, item, or service’’; and 
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(C) in paragraph (2), by striking ‘‘a diag-
nostic test for COVID–19’’ and inserting ‘‘a 
test, item, or service described in section 
6001(a) of division F of the Families First 
Coronavirus Response Act’’; and 
(2) by adding at the end the following new sub-
sections: 
‘‘(c) IMPROVEMENTS TO TRANSPARENCY POLICY.— 
‘‘(1) IN
GENERAL.—Not later than 30 days 
after the date of the enactment of this subsection, 
the Secretary of Health and Human Services shall 
conduct a survey of providers of the items and serv-
ices described in section 6001(a) of division F of the 
Families First Coronavirus Response Act (Public 
Law 116– 127) regarding the cash prices for such 
items and services listed by the providers on a public 
internet website of such provider. 
‘‘(2) REPRESENTATIVE
SAMPLE.—In carrying 
out paragraph (1), the Secretary shall survey a sam-
ple of providers that is representative of the diver-
sity of sizes, geographic locations, and care settings 
(such as hospitals, laboratories, and independent 
freestanding emergency department) in which diag-
nostic testing for COVID–19 is performed. 
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‘‘(d) PUBLIC REPORT.—Not later than 60 days after 
the date of the enactment of this subsection, the Secretary 
of Health and Human Services shall publish on the Inter-
net website of the Department of Health and Human 
Services a report on cash prices for items and services 
published under subsection (b)(1) during the period begin-
ning on the date of the enactment of this Act and ending 
on the date of the enactment of this subsection, which 
shall include— 
‘‘(1) the percentage of providers that comply 
with the publication requirement under such sub-
section; 
‘‘(2) the average cash price for each item and 
service described in section 6001(a) of division F of 
the Families First Coronavirus Response Act that is 
published under such subsection; 
‘‘(3) with respect to each such item and service, 
a comparison of such average cash price to the reim-
bursement rate under the Medicare program under 
title XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.); and 
‘‘(4) any cash prices published under such sub-
section that substantially exceed the average cash 
price for each such item or service and the name of 
each provider that charges such prices.’’. 
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SEC. 310. GRANTS FOR EXCHANGE OUTREACH, EDUCATION, 
AND ENROLLMENT ASSISTANCE. 
(a) OUTREACH AND EDUCATION GRANTS TO STATES 
AND NAVIGATOR ENROLLMENT GRANTS TO EXCHANGES 
TO ASSIST ELIGIBLE INDIVIDUALS.— 
(1) OUTREACH
AND
EDUCATION
GRANTS
TO 
STATES.— 
(A) 
IN
GENERAL.—The 
Secretary 
of 
Health and Human Services shall carry out a 
program that awards grants to States that pro-
vide outreach and educational activities for pur-
poses of informing individuals of the availability 
of coverage under qualified health plans offered 
through an Exchange and financial assistance 
for coverage under such plans (including the in-
forming of eligible individuals of the availability 
of coverage under qualified health plans offered 
through an Exchange during the application 
process for unemployment compensation under 
State or Federal law). 
(B) CONSIDERATION OF CERTAIN NEEDS 
OF POPULATION OF EXCHANGE.—The outreach 
and educational activities described in subpara-
graph (A) shall be provided in a manner that 
is culturally and linguistically appropriate to 
the needs of the populations being served by the 
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1170 
Exchange (including hard-to-reach populations, 
such as racial and sexual minorities, limited 
English proficient populations, and young 
adults). 
(C) APPLICATIONS.—To be eligible to re-
ceive a grant under this paragraph, a State 
shall submit to the Secretary an application at 
such time, in such manner, and containing such 
information as the Secretary may require. 
(D) LIMITATION ON USE OF FUNDS.—No 
funds appropriated under paragraph (4)(A) 
shall be used for expenditures for promoting 
non-ACA compliant health insurance coverage. 
(E) GRANT DURATION AND AMOUNT.— 
(i) DURATION.—Each grant under 
this paragraph shall be for a 1-year period 
that begins on the date of the enactment 
of this Act (which may be renewed for a 1- 
year period by the Secretary of Health and 
Human Services). 
(ii) AMOUNT.— 
(I) IN GENERAL.—The Secretary 
of Health and Human Services shall 
determine the amount of each grant 
under this paragraph. 
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1171 
(II) 
MINIMUM.—Each 
grant 
under this paragraph shall be for an 
amount that is at least $500,000 for 
each 1-year period, and if applicable, 
at least $500,000 for any 1-year pe-
riod of renewal. 
(2) 
NAVIGATOR
ENROLLMENT
GRANTS 
THROUGH EXCHANGES.— 
(A) 
IN
GENERAL.—The 
Secretary 
of 
Health and Human Services shall award grants 
to Exchanges described in subparagraph (D) 
for purposes of facilitating the enrollment of in-
dividuals in qualified health plans offered 
through such Exchanges. 
(B) USE OF FUNDS.—Funds made avail-
able under a grant made under subparagraph 
(A) may only be used by such Exchanges to 
carry out the navigator program described in 
subsection (i)(1) of such section 1311. 
(C) APPLICATIONS.—To be eligible to re-
ceive a grant under this paragraph, for pur-
poses of carrying out subparagraph (A), an Ex-
change described in subparagraph (D) shall 
submit to the Secretary an application at such 
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time, in such manner, and containing such in-
formation as the Secretary may require. 
(D) EXCHANGE
DESCRIBED.—For pur-
poses of this paragraph, an Exchange described 
in this subparagraph is an Exchange that a 
State establishes and operates pursuant to sec-
tion 1311(b)(1) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 18031(b)(1)). 
(3) APPROPRIATIONS.—There are appropriated 
for each of fiscal years 2021 and 2022, to remain 
available through fiscal year 2023— 
(A) $100,000,000 to carry out paragraph 
(1)(A); and 
(B) $100,000,000— 
(i) to carry out paragraph (2)(A); and 
(ii) to carry out the navigator pro-
gram described in section 1311(i) of the 
Patient Protection and Affordable Care 
Act (42 U.S.C. 18031(i)) for Exchanges 
operated by the Secretary pursuant to sec-
tion 1321(c)(1) of such Act (42 U.S.C. 
18041(c)(1))). 
(4) DEFINITIONS.—In this subsection: 
(A) ELIGIBLE
INDIVIDUALS.—The term 
‘‘eligible individual’’ means, with respect to an 
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Exchange, an individual who is otherwise eligi-
ble to enroll through such Exchange. 
(B) EXCHANGE.—The term ‘‘Exchange’’ 
means an American Health Benefit Exchange 
established under section 1311 of the Patient 
Protection and Affordable Care Act (42 U.S.C. 
18031). 
(C) NON-ACA COMPLIANT HEALTH INSUR-
ANCE COVERAGE.— 
(i) IN
GENERAL.—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) INCLUSION.—Such term includes 
the following: 
(I) An association health plan. 
(II) Short-term limited duration 
insurance. 
(D) QUALIFIED HEALTH PLAN.—The term 
‘‘qualified health plan’’ has the meaning given 
such term in section 1301(a)(1) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 
18021(a)(1)). 
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(b) IMPLEMENTATION.—The Secretary of Health and 
Human Services may implement the provisions of this sec-
tion through subregulatory guidance, program instruction, 
or otherwise. 
SEC. 311. APPLICATION OF PREMIUM TAX CREDIT IN CASE 
OF 
INDIVIDUALS 
RECEIVING 
UNEMPLOY-
MENT COMPENSATION DURING THE COVID-19 
PUBLIC HEALTH EMERGENCY. 
(a) IN GENERAL.—Section 36B of the Internal Rev-
enue Code of 1986, as amended by the preceding provi-
sions of this Act, is amended by redesignating subsection 
(g) as subsection (h) and by inserting after subsection (f) 
the following new subsection: 
‘‘(g) SPECIAL RULE FOR INDIVIDUALS WHO RE-
CEIVE UNEMPLOYMENT COMPENSATION DURING COVID- 
19 PUBLIC HEALTH EMERGENCY.— 
‘‘(1) IN GENERAL.—For purposes of the credit 
determined under this section, in the case of a tax-
payer who has received, or has been approved to re-
ceive, unemployment compensation for any week 
during the applicable period, for the taxable year in 
which such week begins— 
‘‘(A) such taxpayer shall be treated as an 
applicable taxpayer, and 
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‘‘(B) there shall not be taken into account 
any household income of the taxpayer in excess 
of 133 percent of the poverty line for a family 
of the size involved. 
‘‘(2) APPLICABLE
PERIOD.—For purposes of 
this section, the applicable period is the period 
that— 
‘‘(A) begins on the date of the enactment 
of this subsection, and 
‘‘(B) ends 60 days after the last day of the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B) of the Social Security Act. 
‘‘(3) REASONABLE
EVIDENCE
OF
UNEMPLOY-
MENT COMPENSATION.—For purposes of this sub-
section, a taxpayer shall not be treated as having re-
ceived (or been approved to receive) unemployment 
compensation for any week unless such taxpayer 
provides documentation which demonstrates such re-
ceipt or approval. 
‘‘(4) UNEMPLOYMENT
COMPENSATION.—For 
purposes of this subsection, the term ‘unemployment 
compensation’ has the meaning given such term in 
section 1311(c)(8)(E) of the Patient Protection and 
Affordable Care Act.’’. 
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(b) EFFECTIVE DATE.—The amendments made by 
this section shall apply to taxable years beginning after 
December 31, 2019. 
SEC. 
312. 
INCREASING 
ACCESSIBILITY 
AND 
AFFORD-
ABILITY TO QUALIFIED HEALTH PLANS FOR 
INDIVIDUALS 
RECEIVING 
UNEMPLOYMENT 
COMPENSATION 
DURING 
THE 
COVID–19 
EMERGENCY PERIOD. 
(a) ESTABLISHMENT OF SPECIAL ENROLLMENT PE-
RIODS
FOR INDIVIDUALS RECEIVING UNEMPLOYMENT 
COMPENSATION.—Section 1311(c) of the Patient Protec-
tion 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 the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(E) special enrollment periods described 
in paragraph (8).’’; and 
(2) by adding at the end the following new 
paragraph: 
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‘‘(8) SPECIAL ENROLLMENT PERIODS FOR INDI-
VIDUALS
RECEIVING
UNEMPLOYMENT
COMPENSA-
TION.— 
‘‘(A) IN
GENERAL.—The special enroll-
ment period described in this paragraph— 
‘‘(i) in the case of an individual who 
becomes eligible for unemployment com-
pensation on any date before January 1, 
2021, is the period beginning on the first 
day on or after such date that the indi-
vidual is not eligible for minimum essential 
coverage (as defined in section 5000A(f) of 
the Internal Revenue Code of 1986) and 
ending on the later of— 
‘‘(I) December 31, 2020; and 
‘‘(II) the day that is 60 days 
after such first day; and 
‘‘(ii) in the case of an individual who 
becomes eligible for unemployment com-
pensation beginning on any date that is on 
or after January 1, 2021, is the 60-day pe-
riod beginning on the first day on or after 
such date that the individual is not eligible 
for minimum essential coverage. 
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‘‘(B) SELF-ATTESTATION.—For purposes 
of this paragraph, eligibility of an individual for 
unemployment compensation and the date on 
which such eligibility begins shall be determined 
by the self-attestation of such individual. 
‘‘(C) EXCLUSION.—For purposes of this 
paragraph, an individual shall not be treated as 
eligible for minimum essential coverage if— 
‘‘(i) such individual is eligible only for 
coverage 
described 
in 
section 
5000A(f)(1)(C) of the Internal Revenue 
Code of 1986; or 
‘‘(ii) such individual would not be 
treated as eligible for minimum essential 
coverage pursuant to section 36B(c)(2)(C) 
of such Code. 
‘‘(D) CLARIFICATION.—Nothing in sub-
paragraph (A) shall be construed to prohibit an 
individual described in such subparagraph from 
qualifying for multiple special enrollment peri-
ods under such subparagraph. 
‘‘(E) UNEMPLOYMENT COMPENSATION DE-
FINED.—In this paragraph, the term ‘unem-
ployment compensation’ means, with respect to 
an individual— 
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‘‘(i) regular compensation and ex-
tended compensation (as such terms are 
defined by section 205 of the Federal-State 
Extended 
Unemployment 
Compensation 
Act of 1970); 
‘‘(ii) unemployment compensation (as 
defined by section 85(b) of the Internal 
Revenue Code of 1986) provided under any 
program administered by a State under an 
agreement with the Secretary; 
‘‘(iii) pandemic unemployment assist-
ance under section 2102 of the CARES 
Act; 
‘‘(iv) pandemic emergency unemploy-
ment compensation under section 2107 of 
the CARES Act; 
‘‘(v) pandemic emergency unemploy-
ment extension compensation under section 
2107A of the CARES Act; 
‘‘(vi) unemployment benefits under 
the Railroad Unemployment Insurance 
Act; and 
‘‘(vii) trade adjustment assistance 
under title II of the Trade Act of 1974; 
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for which such individual is eligible for any 
week during the period beginning on the first 
day of the emergency period described in sec-
tion 1135(g)(1)(B) of the Social Security Act 
and ending on December 31, 2021.’’. 
(b) REQUIREMENT FOR FIRST DAY OF COVERAGE 
FOR INDIVIDUALS RECEIVING UNEMPLOYMENT COM-
PENSATION ENROLLING DURING SPECIAL ENROLLMENT 
PERIODS.—Section 1303 of the Patient Protection and 
Affordable Care Act (42 U.S.C. 18023) is amended by 
adding at the end the following new subsection: 
‘‘(e) REQUIREMENT FOR FIRST DAY OF COVERAGE 
FOR INDIVIDUALS RECEIVING UNEMPLOYMENT COM-
PENSATION ENROLLING DURING SPECIAL ENROLLMENT 
PERIODS.— 
‘‘(1) IN GENERAL.—In the case of an individual 
described in section 1311(c)(8)(A) who enrolls in a 
qualified health plan through an Exchange during a 
month during a special enrollment period described 
in such section, such coverage shall be effective be-
ginning on— 
‘‘(A) if such individual was enrolled in 
minimum essential coverage (other than the 
qualified health plan enrolled through such a 
special enrollment period) on the first day of 
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such month, the first day of such month on 
which the individual is longer so enrolled; and 
‘‘(B) if such individual was not enrolled in 
minimum essential coverage (other than the 
qualified health plan enrolled through such a 
special enrollment period) on the first day of 
such month, the first day of such month. 
‘‘(2) MINIMUM
ESSENTIAL
COVERAGE
DE-
FINED.—In this subsection, the term ‘minimum es-
sential coverage’ has the meaning given such term in 
section 5000A(f) of the Internal Revenue Code of 
1986.’’. 
(c) MODEL NOTICE AND PUBLICATION OF INFORMA-
TION RELATING TO SPECIAL ENROLLMENT PERIODS AND 
CREDITS FOR INDIVIDUALS RECEIVING UNEMPLOYMENT 
COMPENSATION.— 
(1) MODEL NOTICE.—The Secretary of Health 
and Human Services shall make available to States 
a model notice (which may be sent by mail, email, 
or electronic means upon the receipt of unemploy-
ment compensation (as defined in subparagraph (D) 
of section 1311(c)(8) of the Patient Protection and 
Affordable Care Act, as added by subsection (a)) 
that includes information with respect to the eligi-
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1182 
bility of individuals described in subparagraph (A) of 
such section— 
(A) to enroll in a qualified health plan of-
fered through an Exchange during a special en-
rollment 
period 
described 
in 
section 
1311(c)(8)(A) of such Act; 
(B) for the premium tax credit under sec-
tion 36B of the Internal Revenue Code of 1986; 
and 
(C) for any increase to the premium tax 
credit an individual otherwise receives under 
section 36B of the Internal Revenue Code of 
1986 by reason of subsection (g) of such sec-
tion. 
(2) PUBLICATION OF INFORMATION .—Section 
1311(b) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 18031(b)) by adding at the end 
the following new paragraph: 
‘‘(3) PUBLICATION OF INFORMATION RELATING 
TO
A
SPECIAL
ENROLLMENT
PERIOD
AND
CRED-
ITS.—An Exchange shall, not later than 7 days after 
the date of the enactment of this paragraph, promi-
nently post on the homepage of the Internet website 
for such Exchange information with respect to the 
special enrollment period described in subsection 
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(c)(8)(A) and hyperlinks to information with respect 
to the eligibility of individuals described in such sub-
section— 
‘‘(A) to enroll in a qualified health plan of-
fered through an Exchange during a special en-
rollment period described in such subsection; 
‘‘(B) for the premium tax credit under sec-
tion 36B of the Internal Revenue Code of 1986; 
and 
‘‘(C) for any increase to the premium tax 
credit an individual otherwise receives under 
section 36B of the Internal Revenue Code of 
1986 by reason of subsection (g) of such sec-
tion.’’. 
SEC. 313. TEMPORARY MODIFICATION OF LIMITATIONS ON 
RECONCILIATION OF TAX CREDITS FOR COV-
ERAGE UNDER A QUALIFIED HEALTH PLAN 
WITH ADVANCE PAYMENTS OF SUCH CREDIT. 
(a) IN GENERAL.—Section 36B(f)(2)(B) of the Inter-
nal Revenue Code of 1986 is amended by adding at the 
end the following new clause: 
‘‘(iii) TEMPORARY MODIFICATION OF 
LIMITATION ON INCREASE.—In the case of 
any taxable year beginning in 2020 or 
2021, clause (i) shall be applied— 
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‘‘(I) by substituting ‘600 percent’ 
for ‘400 percent’ the first place it ap-
pears therein, and 
‘‘(II) by substituting the fol-
lowing table for the table contained 
therein: 
‘‘If the household income (expressed as a percent of 
poverty line) is: 
The applicable dollar 
amount is: 
Less than 500% ........................................................
$0 
At least 500% but less than 550% ...........................
$1,600 
At least 550% but less than 600% ...........................
$2,650 
The dollar amounts in the table contained 
under this clause shall be increased under 
clause (ii) for taxable years beginning cal-
endar year 2021 by substituting ‘calendar 
year 2020’ for ‘calendar year 2013’ in sub-
clause (II) thereof.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall apply to taxable years beginning after 
December 31, 2019. 
SEC. 314. REQUIREMENTS FOR COBRA NOTICES RELATING 
TO THE AVAILABILITY OF HEALTH INSUR-
ANCE COVERAGE AND ASSISTANCE. 
(a) ADDITIONAL NOTIFICATION REQUIREMENT FOR 
COBRA NOTICES.— 
(1) IN GENERAL.—In the case of a notice pro-
vided under section 606(a)(4) of the Employee Re-
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1185 
tirement Income Security Act of 1974 (29 U.S.C. 
1166(4)), section 4980B(f)(6)(D) of the Internal 
Revenue Code of 1986, or section 2206(4) of the 
Public Health Service Act (42 U.S.C. 300bb–6(4)), 
with respect to an individual who, during the period 
described in paragraph (2), becomes entitled to elect 
COBRA continuation coverage, the requirements of 
such provisions shall not be treated as met unless 
such notice includes an additional written notice ad-
vising such individual, in clear and understandable 
language— 
(A) that such individual may be eligible 
for— 
(i) a special enrollment period de-
scribed in section 1311(c)(8)(A) of the Pa-
tient Protection and Affordable Care Act; 
and 
(ii) a premium tax credit under sec-
tion 36B of the Internal Revenue Code of 
1986 (including a possible increase to such 
credit by reason of subsection (g) of such 
section); and 
(B) of the existence and potential effects of 
the temporary modification of limitations on 
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reconciliation of such credits under section 
36B(f)(2)(B)(iii) of such Code. 
(2) PERIOD
DESCRIBED.—For purposes of 
paragraph (1), the period described in this para-
graph is the period that— 
(A) begins 14 days after the date of the 
enactment of this Act; and 
(B) ends 60 days after the last day of the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B) of the Social Security Act (42 
U.S.C. 1320b–5(g)(1)(B)). 
(3) FORM.—The requirement of the additional 
notification under this subsection may be met by 
amendment of existing notice forms or by inclusion 
of a separate document with the notice otherwise re-
quired. 
(4) MODEL NOTICES.—Not later than 14 days 
after the date of enactment of this Act, with respect 
to any individual described in paragraph (1), the 
Secretary of Labor, in consultation with the Sec-
retary of the Treasury and the Secretary of Health 
and Human Services, shall prescribe models for the 
additional notification required under this sub-
section. Such models shall include an estimate of the 
amount of the monthly premium of a silver-level 
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qualified health plan offered through an Exchange 
following the application of tax credits under section 
36B of the Internal Revenue Code of 1986 for the 
average individual eligible for the special enrollment 
period described in paragraph (1)(A)(i). 
(b) OUTREACH BY THE SECRETARY OF LABOR.—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 edu-
cation and enrollment assistance relating to premium as-
sistance, special enrollment periods, and reconciliation 
modifications described in subsection (a)(1). Such out-
reach shall target employers, group health plan adminis-
trators, public assistance programs, States, consumers, 
and other entities as determined appropriate by such Sec-
retaries. Information on such premium assistance, special 
enrollment periods, and reconciliation modifications shall 
also be made available on the websites of the Departments 
of Labor, Treasury, and Health and Human Services. 
(c) DEFINITIONS.—In this section: 
(1) COBRA CONTINUATION
COVERAGE.—The 
term ‘‘COBRA continuation coverage’’ means con-
tinuation coverage provided pursuant to part 6 of 
subtitle B of title I of the Employee Retirement In-
come Security Act of 1974 (other than under section 
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609), title XXII of the Public Health Service Act, or 
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 under a State 
program that provides comparable continuation cov-
erage. Such term does not include coverage under a 
health flexible spending arrangement under a cafe-
teria plan within the meaning of section 125 of the 
Internal Revenue Code of 1986. 
(2) EXCHANGE.—The term ‘‘Exchange’’ means 
an American Health Benefit Exchange established 
under section 1311 of the Patient Protection and 
Affordable Care Act. 
(3) 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. 
(4) QUALIFIED
HEALTH
PLAN.—The term 
‘‘qualified health plan’’ has the meaning given such 
term in section 1301(a)(1) of the Patient Protection 
and Affordable Care Act. 
(5) STATE.—The term ‘‘State’’ includes the 
District of Columbia, the Commonwealth of Puerto 
Rico, the Virgin Islands, Guam, American Samoa, 
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and the Commonwealth of the Northern Mariana Is-
lands. 
(6) 
UNEMPLOYMENT
COMPENSATION.—The 
term ‘‘unemployment compensation’’ means, with re-
spect to an individual— 
(A) regular compensation and extended 
compensation (as such terms are defined by 
section 205 of the Federal-State Extended Un-
employment Compensation Act of 1970); 
(B) unemployment compensation (as de-
fined by section 85(b) of the Internal Revenue 
Code of 1986) provided under any program ad-
ministered by a State under an agreement with 
the Secretary; 
(C) pandemic unemployment assistance 
under section 2102 of the CARES Act; 
(D) pandemic emergency unemployment 
compensation under section 2107 of the 
CARES Act; 
(E) unemployment benefits under the Rail-
road Unemployment Insurance Act; and 
(F) trade adjustment assistance under title 
II of the Trade Act of 1974; 
for which such individual is eligible for any week 
during the period described in subsection (a)(2). 
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TITLE IV—APPLICATION TO 
OTHER HEALTH PROGRAMS 
SEC. 401. PROHIBITION ON COPAYMENTS AND COST SHAR-
ING FOR TRICARE BENEFICIARIES RECEIV-
ING 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 de-
scribed 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 fur-
nished on or after the date of the enactment of this Act. 
SEC. 402. PROHIBITION ON COPAYMENTS AND COST SHAR-
ING 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 de-
scribed in paragraph (2) of such section’’ and inserting 
‘‘, visits described in paragraph (2) of such section, or hos-
pital care or medical services to treat COVID–19’’. 
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(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 en-
actment of this Act. 
SEC. 403. PROHIBITION ON COPAYMENTS AND COST SHAR-
ING FOR FEDERAL CIVILIAN EMPLOYEES RE-
CEIVING 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 de-
scribed in paragraph (2) of such section’’ and inserting 
‘‘, visits described in paragraph (2) of such section, or hos-
pital 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 en-
actment of this Act. 
TITLE V—PUBLIC HEALTH 
POLICIES 
SEC. 501. DEFINITIONS. 
In this title: 
(1) Except as inconsistent with the provisions 
of this title, the term ‘‘Secretary’’ means the Sec-
retary of Health and Human Services. 
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1192 
(2) The term ‘‘State’’ refers to each of the 50 
States and the District of Columbia. 
(3) The term ‘‘Tribal’’, with respect to a de-
partment of health (or health department), in-
cludes— 
(A) Indian Tribes that— 
(i) are operating one or more health 
facilities pursuant to an agreement under 
the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5301 et 
seq.); or 
(ii) receive services from a facility op-
erated by the Indian Health Services; and 
(B) Tribal organizations and Urban Indian 
organizations. 
Subtitle A—Supply Chain 
Improvements 
SEC. 511. 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, med-
ical devices, drugs, and vaccines. 
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(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 re-
lated to infectious diseases or hazardous exposures; 
and 
(2) a familiarity with medical supply chain lo-
gistics. 
(c) ACTIVITIES.—The Medical Supplies Response Co-
ordinator shall— 
(1) consult with State, local, territorial, and 
Tribal officials to ensure that health care facilities 
and health care workers have sufficient personal pro-
tective 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 med-
ical supplies and equipment; 
(3) serve as a point of contact for industry for 
procurement and distribution of critical medical sup-
plies and equipment, including personal protective 
equipment, medical devices, testing supplies, drugs, 
and vaccines; 
(4) procure and distribute critical medical sup-
plies and equipment, including personal protective 
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equipment, medical devices, testing supplies, drugs, 
and vaccines; 
(5)(A) establish and maintain an up-to-date na-
tional database of hospital capacity, including beds, 
ventilators, and supplies, including personal protec-
tive 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 Coor-
dinator for failure to comply with such requirements 
for reporting on production and distribution; 
(7) consult with the Secretary and the Adminis-
trator of the Federal Emergency Management Agen-
cy, as applicable, to ensure sufficient production lev-
els under the Defense Production Act of 1950 (50 
U.S.C. 4501 et seq.); and 
(8) monitor the prices of critical medical sup-
plies and equipment, including personal protective 
equipment and medical devices, drugs, and vaccines 
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(B) To assist with the employment transi-
tion to new employment or education and train-
ing 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 apply-
ing for a grant under this section shall submit an applica-
tion 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 re-
cruitment, 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 
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such an item or service under the plan or cov-
erage. 
(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 relation-
ship 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 INSUR-
ANCE
COVERAGE.—The terms ‘‘group health 
plan’’, ‘‘health insurance issuer’’, ‘‘group health 
insurance coverage’’, and ‘‘individual health in-
surance coverage’’ shall have the meanings 
given such terms under section 2791 of the 
Public Health Service Act (42 U.S.C. 300gg– 
91). 
(D) UNINSURED INDIVIDUAL.—The term 
‘‘uninsured individual’’ shall have the meaning 
given 
such 
term 
in 
the 
Families 
First 
Coronavirus Response Act (Public Law 116– 
127) for purposes of the additional amount 
made available under such Act to the Public 
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