health care organizations to assist such organizations with 
anticipated revenue loss or higher operating costs as a re-
sult of the COVID-19 emergency. 
(b) PROGRAM REQUIREMENTS.—The Secretary shall 
establish standards and guidelines for application, loan 
amount, repayment, and extension, and shall consider the 
eligible health care organization’s financial condition, serv-
ice in an area heavily impacted by the COVID-19 emer-
gency, or other factors deemed appropriate. 
(c) ELIGIBLE HEALTH CARE ORGANIZATIONS.—To 
be eligible for a loan under subsection (a), an entity 
shall— 
(1) be a health care provider or supplier that 
receives assistance or otherwise participates in the 
Medicare or Medicaid program under title XVIII or 
XIX of the Social Security Act (42 U.S.C. 1395 and 
1396 et seq.), including a hospital, critical access 
hospital, skilled nursing facility, physician practice, 
home health provider, community health center, am-
bulatory surgical care center, or hospice; and 
(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require. 
(d) TERMS AND CONDITIONS.— 
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(1) INTEREST.—A loan under this section shall 
have a rate of interest of not to exceed 2 percent. 
Interest shall begin to accrue on the date that is 60 
days after the date of origination. 
(2) TERM.—The term of a loan under this sec-
tion shall be 1 year minus one day. A borrower shall 
have the option to extend such term for a total of 
not to exceed 19 years. Further extensions may be 
granted if approval by the Secretary. 
(3) SECURITY.—An eligible health care organi-
zation shall not be required to provide security for 
a loan under this section. 
(4) PAYMENTS.—Loan payments shall be made 
on a biannual basis. 
(e) DEFINITIONS.—In this section: 
(1) 
COVID-19
EMERGENCY.—The 
term 
‘‘COVID-19 emergency’’ means the national emer-
gency declared by the President under the National 
Emergencies Act (50 U.S.C. 1601 et seq.) with re-
spect to the Coronavirus Disease 2019 (COVID-19). 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(f) USE OF CERTAIN FUNDS.—Loan recipients may 
use funds such recipients were awarded under the Public 
Health and Social Services Emergency Fund or the 
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Health Provider Assistance Fund established under sec-
tion 562 to repay loans awarded under this section, pro-
vided the funds from the Public Health and Social Serv-
ices Emergency Fund or the Health Provider Assistance 
Fund were awarded based on foregone revenue. 
(g) CLARIFICATION.—No individual, employer, or 
other entity may be restricted from participating in or 
benefitting from any exemption or benefit under this sec-
tion, based on any factor that is unrelated to its qualifica-
tions to perform the required services. 
(h) APPROPRIATIONS.—There is authorized to be ap-
propriated, and there is appropriated, to carry out this 
section, $80,000,000,000 for fiscal year 2020, to remain 
available until expended. 
Æ 
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