I 
117TH CONGRESS 
1ST SESSION H. R. 3219 
To provide funding relating to COVID–19 for high Medicaid providers, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 13, 2021 
Mr. RUSH (for himself and Mr. DANNY K. DAVIS of Illinois) introduced the 
following bill; which was referred to the Committee on Appropriations 
A BILL 
To provide funding relating to COVID–19 for high Medicaid 
providers, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. FUNDING FOR HIGH MEDICAID PROVIDERS RE-
LATING TO COVID–19. 
(a) FUNDING.—In addition to amounts otherwise 
available, there is appropriated to the Secretary, for fiscal 
year 2021, out of any monies in the Treasury not other-
wise appropriated, $10,000,000,000 for purposes of mak-
ing payments to eligible high Medicaid health care pro-
viders for health care related expenses and lost revenues 
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that are attributable to COVID–19. Amounts appro-
priated under the preceding sentence shall remain avail-
able until expended. 
(b) APPLICATION REQUIREMENT.—To be eligible for 
a payment under this section, an eligible high Medicaid 
health care provider shall submit to the Secretary an ap-
plication in such form and manner as the Secretary shall 
prescribe. Such application shall contain the following: 
(1) A statement justifying the need of the pro-
vider for the payment, including documentation of 
the health care related expenses attributable to 
COVID–19 and lost revenues attributable to 
COVID–19. 
(2) The tax identification number of the pro-
vider. 
(3) Such assurances as the Secretary deter-
mines appropriate that the eligible high Medicaid 
health care provider will maintain and make avail-
able such documentation and submit such reports 
(at such time, in such form, and containing such in-
formation as the Secretary shall prescribe) as the 
Secretary determines is necessary to ensure compli-
ance with any conditions imposed by the Secretary 
under this section. 
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(4) Any other information determined appro-
priate by the Secretary. 
(c) LIMITATION.—Payments made to an eligible high 
Medicaid health care provider under this section may not 
be used to reimburse any expense or loss that— 
(1) has been reimbursed from another source; 
or 
(2) another source is obligated to reimburse. 
(d) APPLICATION OF REQUIREMENTS, RULES, AND 
PROCEDURES.—The Secretary shall apply any require-
ments, rules, or procedures as the Secretary deems appro-
priate for the efficient execution of this section. 
(e) DEFINITIONS.—In this section: 
(1) ELIGIBLE HIGH MEDICAID HEALTH CARE 
PROVIDER.—The term ‘‘eligible high Medicaid health 
care provider’’ means a provider of supplier that— 
(A) is enrolled with a State Medicaid plan 
under title XIX (or a waiver of such plan); 
(B) provides diagnoses, testing, or care for 
individuals with possible or actual cases of 
COVID–19; and 
(C) is either— 
(i) a disproportionate share hospitals 
described in Section 1923(b) of the Social 
Security Act; 
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(ii) a children’s hospitals described in 
Section 1886(d)(1)(B)(iii) of the Social Se-
curity Act and Section 340E of the Public 
Health Service Act; 
(iii) a physician or other practitioner 
described Section 1903(t)(2) of the Social 
Security Act (42 U.S.C. 1396b(t)(2)(A)); 
or 
(iv) such other providers and suppliers 
as the Secretary determines should be ap-
propriately considered to be included based 
on high caseloads of patients eligible under 
title XIX of the Social Security Act. 
(2) HEALTH
CARE
RELATED
EXPENSES
AT-
TRIBUTABLE TO COVID–19.—The term ‘‘health care 
related expenses attributable to COVID–19’’ means 
health care related expenses to prevent, prepare for, 
and respond to COVID–19, including the building or 
construction of a temporary structure, the leasing of 
a property, the purchase of medical supplies and 
equipment, including personal protective equipment 
and testing supplies, providing for increased work-
force and training (including maintaining staff, ob-
taining additional staff, or both), the operation of an 
emergency operation center, retrofitting a facility, 
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providing for surge capacity, and other expenses de-
termined appropriate by the Secretary. 
(3) LOST REVENUE ATTRIBUTABLE TO COVID– 
19.—The term ‘‘lost revenue attributable to COVID– 
19’’ has the meaning given that term in the Fre-
quently Asked Questions guidance released by the 
Department of Health and Human Services in June 
2020, including the difference between such pro-
vider’s budgeted and actual revenue if such budget 
had been established and approved prior to March 
27, 2020. 
(4) PAYMENT.—The term ‘‘payment’’ includes, 
as determined appropriate by the Secretary, a pre-
payment, a prospective payment, a retrospective pay-
ment, or a payment through a grant or other mecha-
nism. 
Æ 
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