423 
Subtitle D—Elder Justice and 
Support Guarantee 
SEC. 9301. ADDITIONAL FUNDING FOR AGING AND DIS-
ABILITY SERVICES PROGRAMS. 
Subtitle A of title XX of the Social Security Act (42 
U.S.C. 1397-1397h) is amended by adding at the end the 
following: 
‘‘SEC. 2010. ADDITIONAL FUNDING FOR AGING AND DIS-
ABILITY SERVICES PROGRAMS. 
‘‘(a) APPROPRIATION.—In addition to amounts oth-
erwise available, there is appropriated for fiscal year 2021, 
out of any money in the Treasury not otherwise appro-
priated, $276,000,000, to remain available until expended, 
to carry out the programs described in subtitle B. 
‘‘(b) USE OF FUNDS.— 
‘‘(1) IN
GENERAL.—Of the amounts made 
available by subsection (a)— 
‘‘(A) $88,000,000 shall be made available 
to carry out the programs described in subtitle 
B in fiscal year 2021, of which not less than an 
amount equal to $100,0000,000 minus the 
amount previously provided in fiscal year 2021 
to carry out section 2042(b) shall be made 
available to carry out such section; and 
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‘‘(B) $188,000,000 shall be made available 
to carry out the programs described in subtitle 
B in fiscal year 2022, of which not less than 
$100,000,000 shall be for activities described in 
section 2042(b). 
‘‘(2) 
SERVICES
FOR
ALL
ADULTS.—The 
amounts made available by subsection (a) of this 
section to carry out section 2042(b) may be used to 
provide services under programs described in section 
2042(b) for all adults.’’. 
Subtitle 
E—Support 
to 
Skilled 
Nursing Facilities in Response 
to COVID–19 
SEC. 9401. PROVIDING FOR INFECTION CONTROL SUPPORT 
TO SKILLED NURSING FACILITIES THROUGH 
CONTRACTS WITH QUALITY IMPROVEMENT 
ORGANIZATIONS. 
Section 1862(g) of the Social Security Act (42 U.S.C. 
1395y(g)) is amended— 
(1) by striking ‘‘The Secretary’’ and inserting 
‘‘(1) The Secretary’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2) In addition to any amounts otherwise available, 
there is appropriated to the Secretary, out of any monies 
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in 
the 
Treasury 
not 
otherwise 
appropriated, 
$200,000,000, to remain available until expended, for pur-
poses of carrying out infection control support (as deter-
mined appropriate by the Secretary) through the develop-
ment and dissemination of protocols relating to the pre-
vention or mitigation of COVID–19 in skilled nursing fa-
cilities (as defined in section 1819(a)).’’. 
SEC. 9402. FUNDING FOR STRIKE TEAMS FOR RESIDENT 
AND EMPLOYEE SAFETY IN SKILLED NURS-
ING FACILITIES. 
Section 1819 of the Social Security Act (42 U.S.C. 
1395i–3) is amended by adding at the end the following 
new subsection: 
‘‘(k) FUNDING FOR STRIKE TEAMS.—In addition to 
amounts otherwise available, there is appropriated to the 
Secretary, out of any monies in the Treasury not otherwise 
appropriated, $250,000,000, to remain available until ex-
pended, for purposes of allocating such amount among the 
States (including the District of Columbia and each terri-
tory of the United States) to increase the capacity of such 
a State to respond to COVID–19 by allowing such a State 
to establish and implement a strike team that will be de-
ployed to a skilled nursing facility in the State with diag-
nosed or suspected cases of COVID–19 among residents 
or staff for the purposes of assisting with clinical care, 
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infection control, or staffing during the emergency period 
described in section 1135(g)(1)(B).’’. 
Subtitle F—Preserving Health 
Benefits for Workers 
SEC. 9500. SHORT TITLE. 
This subtitle may be cited as the ‘‘Worker Health 
Coverage Protection Act’’. 
SEC. 9501. PRESERVING HEALTH BENEFITS FOR WORKERS. 
(a) PREMIUM ASSISTANCE
FOR COBRA CONTINU-
ATION COVERAGE FOR INDIVIDUALS AND THEIR FAMI-
LIES.— 
(1) PROVISION OF PREMIUM ASSISTANCE.— 
(A) 
REDUCTION
OF
PREMIUMS
PAY-
ABLE.—In the case of any premium for a pe-
riod of coverage during the period beginning on 
the first day of the first month beginning after 
the date of the enactment of this Act, and end-
ing on September 30, 2021, for COBRA con-
tinuation coverage with respect to any assist-
ance eligible individual described in paragraph 
(3), such individual shall be treated for pur-
poses of any COBRA continuation provision as 
having paid the amount of such premium if 
such individual pays (or any person other than 
such individual’s employer pays on behalf of 
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such individual) 15 percent of the amount of 
such premium. 
(B) PLAN ENROLLMENT OPTION.— 
(i) IN
GENERAL.—Notwithstanding 
the COBRA continuation provisions, any 
assistance eligible individual who is en-
rolled in a group health plan offered by a 
plan sponsor may, not later than 90 days 
after the date of notice of the plan enroll-
ment option described in this subpara-
graph, elect to enroll in coverage under a 
plan offered by such plan sponsor that is 
different than coverage under the plan in 
which such individual was enrolled at the 
time, in the case of any assistance eligible 
individual described in paragraph (3), the 
qualifying event specified in section 603(2) 
of the Employee Retirement Income Secu-
rity Act of 1974, section 4980B(f)(3)(B) 
of the Internal Revenue Code of 1986, or 
section 2203(2) of the Public Health Serv-
ice Act, except for the voluntary termi-
nation of such individual’s employment by 
such individual, occurred, and such cov-
erage shall be treated as COBRA continu-
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ation coverage for purposes of the applica-
ble COBRA continuation coverage provi-
sion. 
(ii) REQUIREMENTS.—Any assistance 
eligible individual may elect to enroll in 
different coverage as described in clause (i) 
only if— 
(I) the employer involved has 
made a determination that such em-
ployer will permit such assistance eli-
gible individual to enroll in different 
coverage as provided under this sub-
paragraph; 
(II) the premium for such dif-
ferent coverage does not exceed the 
premium for coverage in which such 
individual was enrolled at the time 
such qualifying event occurred; 
(III) the different coverage in 
which the individual elects to enroll is 
coverage that is also offered to simi-
larly situated active employees of the 
employer at the time at which such 
election is made; and 
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(IV) the different coverage in 
which the individual elects to enroll is 
not— 
(aa) coverage that provides 
only excepted benefits as defined 
in section 9832(c) of the Internal 
Revenue Code of 1986, section 
733(c) of the Employee Retire-
ment Income Security Act of 
1974, and section 2791(c) of the 
Public Health Service Act; 
(bb) a qualified small em-
ployer health reimbursement ar-
rangement (as defined in section 
9831(d)(2) of the Internal Rev-
enue Code of 1986); or 
(cc) a flexible spending ar-
rangement (as defined in section 
106(c)(2) of the Internal Rev-
enue Code of 1986). 
(2) LIMITATION OF PERIOD OF PREMIUM AS-
SISTANCE.— 
(A) ELIGIBILITY
FOR
ADDITIONAL
COV-
ERAGE.—Paragraph (1)(A) shall not apply with 
respect to any assistance eligible individual de-
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scribed in paragraph (3) for months of coverage 
beginning on or after the earlier of— 
(i) the first date that such individual 
is eligible for coverage under any other 
group health plan (other than coverage 
consisting of only excepted benefits (as de-
fined in section 9832(c) of the Internal 
Revenue Code of 1986, section 733(c) of 
the Employee Retirement Income Security 
Act of 1974, and section 2791(c) of the 
Public Health Service Act), coverage under 
a flexible spending arrangement (as de-
fined in section 106(c)(2) of the Internal 
Revenue Code of 1986), coverage under a 
qualified small employer health reimburse-
ment arrangement (as defined in section 
9831(d)(2) of the Internal Revenue Code 
of 1986)), or eligible for benefits under the 
Medicare program under title XVIII of the 
Social Security Act; or 
(ii) the earlier of— 
(I) the date following the expira-
tion of the maximum period of con-
tinuation coverage required under the 
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applicable COBRA continuation cov-
erage provision; or 
(II) the date following the expira-
tion of the period of continuation cov-
erage 
allowed 
under 
paragraph 
(4)(B)(ii). 
(B) NOTIFICATION
REQUIREMENT.—Any 
assistance eligible individual shall notify the 
group health plan with respect to which para-
graph (1)(A) applies if such paragraph ceases 
to apply by reason of clause (i) of subparagraph 
(A) (as applicable). Such notice shall be pro-
vided to the group health plan in such time and 
manner as may be specified by the Secretary of 
Labor. 
(3) ASSISTANCE
ELIGIBLE
INDIVIDUAL.—For 
purposes of this section, the term ‘‘assistance eligible 
individual’’ means, with respect to a period of cov-
erage during the period beginning on the first day 
of the first month beginning after the date of the en-
actment of this Act, and ending on September 30, 
2021, any individual that is a qualified beneficiary 
who— 
(A) is eligible for COBRA continuation 
coverage by reason of a qualifying event speci-
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fied in section 603(2) of the Employee Retire-
ment Income Security Act of 1974, section 
4980B(f)(3)(B) of the Internal Revenue Code 
of 1986, or section 2203(2) of the Public 
Health Service Act, except for the voluntary 
termination of such individual’s employment by 
such individual; and 
(B) elects such coverage. 
(4) EXTENSION OF ELECTION PERIOD AND EF-
FECT ON COVERAGE.— 
(A) IN GENERAL.—For purposes of apply-
ing section 605(a) of the Employee Retirement 
Income 
Security 
Act 
of 
1974, 
section 
4980B(f)(5)(A) of the Internal Revenue Code 
of 1986, and section 2205(a) of the Public 
Health Service Act, in the case of— 
(i) an individual who does not have an 
election of COBRA continuation coverage 
in effect on the first day of the first month 
beginning after the date of the enactment 
of this Act but who would be an assistance 
eligible individual described in paragraph 
(3) if such election were so in effect; or 
(ii) an individual who elected COBRA 
continuation coverage and discontinued 
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from such coverage before the first day of 
the first month beginning after the date of 
the enactment of this Act, 
such individual may elect the COBRA continu-
ation coverage under the COBRA continuation 
coverage provisions containing such provisions 
during the period beginning on the first day of 
the first month beginning after the date of the 
enactment of this Act and ending 60 days after 
the date on which the notification required 
under paragraph (6)(C) is provided to such in-
dividual. 
(B) COMMENCEMENT OF COBRA CONTINU-
ATION COVERAGE.—Any COBRA continuation 
coverage elected by a qualified beneficiary dur-
ing an extended election period under subpara-
graph (A)— 
(i) shall commence (including for pur-
poses of applying the treatment of pre-
mium payments under paragraph (1)(A) 
and any cost-sharing requirements for 
items and services under a group health 
plan) with the first period of coverage be-
ginning on or after the first day of the 
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‘‘(2) NO
CAP.—Special financial assistance 
granted by the corporation under this section shall 
not be capped by the guarantee under 4022A. 
‘‘(j) DETERMINATION OF AMOUNT OF SPECIAL FI-
NANCIAL ASSISTANCE.— 
‘‘(1) IN
GENERAL.—The amount of financial 
assistance provided to a multiemployer plan eligible 
for financial assistance under this section shall be 
such amount required for the plan to pay all benefits 
due during the period beginning on the date of pay-
ment of the special financial assistance payment 
under this section and ending on the last day of the 
plan year ending in 2051, with no reduction in a 
participant’s or beneficiary’s accrued benefit as of 
the date of enactment of this section, except to the 
extent of a reduction in accordance with section 
305(e)(8) adopted prior to the plan’s application for 
special financial assistance under this section, and 
taking into account the reinstatement of benefits re-
quired under subsection (k). 
‘‘(2) PROJECTIONS.—The funding projections 
for purposes of this section shall be performed on a 
deterministic basis. 
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