268 
ment of Health and Human Services such as 
the Centers for Medicare & Medicaid Services. 
(E) Collecting and analyzing data related 
to the social determinants of health. 
(c) GRANTS TO ADDRESS SOCIAL DETERMINANTS OF 
HEALTH.— 
(1) IN GENERAL.—The Director, as part of the 
Program, shall award grants to eligible entities to 
address social determinants of health in their com-
munities. 
(2) ELIGIBILITY.—To be eligible to apply for a 
grant under this subsection, an entity shall be— 
(A) a State, local, territorial, or Tribal 
health agency or organization; 
(B) a qualified nongovernmental entity, as 
defined by the Director; or 
(C) a consortium of entities that includes 
a State, local, territorial, or Tribal health agen-
cy or organization. 
(3) USE OF FUNDS.— 
(A) IN GENERAL.—A grant under this sub-
section shall be used to address social deter-
minants of health in a target community by de-
signing and implementing innovative, evidence- 
based, cross-sector strategies. 
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(B) TARGET
COMMUNITY.—For purposes 
of this subsection, a target community shall be 
a State, county, city, or other municipality. 
(4) PRIORITY.—In awarding grants under this 
subsection, the Director shall prioritize applicants 
proposing to serve target communities with signifi-
cant unmet health and social needs, as defined by 
the Director. 
(5) APPLICATION.—To seek a grant under this 
subsection, an eligible entity shall— 
(A) submit an application at such time, in 
such manner, and containing such information 
as the Director may require; 
(B) propose a set of activities to address 
social determinants of health through evidence- 
based, cross-sector strategies, which activities 
may include— 
(i) collecting quantifiable data from 
health care, social services, and other enti-
ties regarding the most significant gaps in 
health-promoting social, economic, and en-
vironmental needs; 
(ii) identifying evidence-based ap-
proaches to meeting the nonmedical, social 
needs of populations identified by data col-
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lection described in clause (i), such as un-
stable housing or inadequate food; 
(iii) developing scalable methods to 
meet patients’ social needs identified in 
clinical settings or other sites; 
(iv) convening entities such as local 
and State governmental and nongovern-
mental 
organizations, 
health 
systems, 
payors, and community-based organiza-
tions to review, plan, and implement com-
munity-wide interventions and strategies to 
advance health-promoting social conditions; 
(v) monitoring and evaluating the im-
pact of activities funded through the grant 
on the health and well-being of the resi-
dents of the target community and on the 
cost of health care; and 
(vi) such other activities as may be 
specified by the Director; 
(C) demonstrate how the eligible entity will 
collaborate with— 
(i) health systems; 
(ii) payors, including, as appropriate, 
medicaid managed care organizations (as 
defined in section 1903(m)(1)(A) of the 
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Social 
Security 
Act 
(42 
U.S.C. 
1396b(m)(1)(A))), 
Medicare 
Advantage 
plans under part C of title XVIII of such 
Act (42 U.S.C. 1395w–21 et seq.), and 
health insurance issuers and group health 
plans (as such terms are defined in section 
2791 of the Public Health Service Act); 
(iii) other relevant stakeholders and 
initiatives in areas of need, such as the Ac-
countable Health Communities Model of 
the Centers for Medicare & Medicaid Serv-
ices, health homes under the Medicaid pro-
gram under title XIX of the Social Secu-
rity Act (42 U.S.C. 1396 et seq.), commu-
nity-based organizations, and human serv-
ices organizations; 
(iv) other non-health care sector orga-
nizations, including organizations focusing 
on transportation, housing, or food access; 
and 
(v) local employers; and 
(D) identify key health inequities in the 
target community and demonstrate how the 
proposed efforts of the eligible entity would ad-
dress such inequities. 
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(6) MONITORING AND EVALUATION.—As a con-
dition of receipt of a grant under this subsection, a 
grantee shall agree to submit an annual report to 
the Director describing the activities carried out 
through the grant and the outcomes of such activi-
ties. 
(7) INDEPENDENT NATIONAL EVALUATION.— 
(A) IN GENERAL.—Not later than 5 years 
after the first grants are awarded under this 
subsection, the Director shall provide for the 
commencement of an independent national eval-
uation of the Program under this subsection. 
(B) REPORT
TO
CONGRESS.—Not later 
than 60 days after receiving the results of such 
independent national evaluation, the Director 
shall report such results to the Congress. 
(d) RESEARCH AND TRAINING.—The Director, as 
part of the Program— 
(1) shall award grants to nonprofit organiza-
tions and public or other nonprofit institutions of 
higher education— 
(A) to conduct research on best practices 
to improve social determinants of health; 
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273 
(B) to provide technical assistance, train-
ing, and evaluation assistance to grantees under 
subsection (c); and 
(C) to disseminate best practices to grant-
ees under subsection (c); and 
(2) may require a grantee under paragraph (1) 
to provide technical assistance and capacity building 
to entities that are eligible entities under subsection 
(c) but not receiving funds through such subsection. 
(e) FUNDING.— 
(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section, $50,000,000 
for each of fiscal years 2021 through 2026. 
(2) ALLOCATION.—Of the amount made avail-
able to carry out this section for a fiscal year, not 
less than 75 percent shall be used for grants under 
subsections (c) and (d). 
SEC. 605. FUNDING TO STATES, LOCALITIES, AND COMMU-
NITY-BASED 
ORGANIZATIONS 
FOR 
EMER-
GENCY AID AND SERVICES. 
(a) FUNDING FOR STATES.— 
(1) INCREASE IN FUNDING FOR SOCIAL SERV-
ICES BLOCK GRANT PROGRAM.— 
(A) APPROPRIATION.—Out of any money 
in the Treasury of the United States not other-
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wise appropriated, there are appropriated 
$9,600,000,000, which shall be available for 
payments under section 2002 of the Social Se-
curity Act. 
(B) DEADLINE
FOR
DISTRIBUTION
OF 
FUNDS.—Within 45 days after the date of the 
enactment of this Act, the Secretary of Health 
and Human Services shall distribute the funds 
made available by this paragraph, which shall 
be made available to States on an emergency 
basis for immediate obligation and expenditure. 
(C) SUBMISSION
OF
REVISED
PRE-EX-
PENDITURE REPORT.—Within 90 days after a 
State receives funds made available by this 
paragraph, the State shall submit to the Sec-
retary a revised pre-expenditure report pursu-
ant to title XX of the Social Security Act that 
describes how the State plans to administer the 
funds. 
(D) OBLIGATION OF FUNDS BY STATES.— 
A State to which funds made available by this 
paragraph are distributed shall obligate the 
funds not later than December 31, 2020. 
(E) 
EXPENDITURE
OF
FUNDS
BY 
STATES.—A grantee to which a State (or a sub-
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grantee to which a grantee) provides funds 
made available by this paragraph shall expend 
the funds not later than December 31, 2021. 
(2) RULES
GOVERNING
USE
OF
ADDITIONAL 
FUNDS.—A State to which funds made available by 
paragraph (1)(B) are distributed shall use the funds 
in accordance with the following: 
(A) PURPOSE.— 
(i) IN GENERAL.—The State shall use 
the funds only to support the provision of 
emergency services to disadvantaged chil-
dren, families, and households. 
(ii) DISADVANTAGED
DEFINED.—In 
this paragraph, the term ‘‘disadvantaged’’ 
means, with respect to an entity, that the 
entity— 
(I) is an individual, or is located 
in a community, that is experiencing 
material hardship; 
(II) is a household in which there 
is a child (as defined in section 12(d) 
of the Richard B. Russell National 
School Lunch Act) or a child served 
under section 11(a)(1) of such Act, 
who, if not for the closure of the 
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school attended by the child during a 
public health emergency designation 
and due to concerns about a COVID– 
19 outbreak, would receive free or re-
duced price school meals pursuant to 
such Act; 
(III) is an individual, or is lo-
cated in a community, with barriers to 
employment; or 
(IV) is located in a community 
that, as of the date of the enactment 
of this Act, is not experiencing a 56- 
day downward trajectory of— 
(aa) influenza-like illnesses; 
(bb) COVID-like syndromic 
cases; 
(cc) documented COVID–19 
cases; or 
(dd) positive test results as 
a percentage of total COVID–19 
tests. 
(B) PASS-THROUGH
TO
LOCAL
ENTI-
TIES.— 
(i) In the case of a State in which a 
county administers or contributes finan-
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cially to the non-Federal share of the 
amounts expended in carrying out a State 
program funded under title IV of the So-
cial Security Act, the State may pass funds 
so made available through to— 
(I) the chief elected official of the 
city or urban county that administers 
the program; or 
(II) local government and com-
munity-based organizations. 
(ii) In the case of any other State, the 
State shall— 
(I) pass the funds through to— 
(aa)(AA) local governments 
that will expend or distribute the 
funds in consultation with com-
munity-based organizations with 
experience serving disadvantaged 
families or individuals; or 
(BB) community-based or-
ganizations with experience serv-
ing disadvantaged families and 
individuals; and 
(bb) sub-State areas in pro-
portions based on the population 
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of disadvantaged individuals liv-
ing in the areas; and 
(II) report to the Secretary on 
how 
the 
State 
determined 
the 
amounts passed through pursuant to 
this clause. 
(C) METHODS.— 
(i) IN GENERAL.—The State shall use 
the funds only for— 
(I) administering emergency serv-
ices; 
(II) providing short-term cash, 
non-cash, or in-kind emergency dis-
aster relief; 
(III) providing services with dem-
onstrated need in accordance with ob-
jective criteria that are made available 
to the public; 
(IV) operational costs directly re-
lated to providing services described 
in subclauses (I), (II), and (III); 
(V) local government emergency 
social service operations; and 
(VI) providing emergency social 
services to rural and frontier commu-
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nities that may not have access to 
other emergency funding streams. 
(ii) 
ADMINISTERING
EMERGENCY 
SERVICES
DEFINED.—In clause (i), the 
term ‘‘administering emergency services’’ 
means— 
(I) providing basic disaster relief, 
economic, and well-being necessities to 
ensure communities are able to safely 
observe shelter-in-place and social 
distancing orders; 
(II) providing necessary supplies 
such as masks, gloves, and soap, to 
protect the public against infectious 
disease; and 
(III) connecting individuals, chil-
dren, and families to services or pay-
ments for which they may already be 
eligible. 
(D) PROHIBITIONS.— 
(i) NO INDIVIDUAL ELIGIBILITY DE-
TERMINATIONS
BY
GRANTEES
OR
SUB-
GRANTEES.—Neither a grantee to which 
the State provides the funds nor any sub-
grantee of such a grantee may exercise in-
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