1298 
ment of health has not been able to collect or pro-
vide such information; and 
(3) making a copy of such report available pub-
licly on the website of the Centers for Disease Con-
trol and Prevention. 
SEC. 573. FEDERAL MODERNIZATION FOR HEALTH INEQUI-
TIES DATA. 
(a) IN GENERAL.—The Secretary shall work with 
covered agencies to support the modernization of data col-
lection methods and infrastructure at such agencies for 
the purpose of increasing data collection related to health 
inequities, such as racial, ethnic, socioeconomic, sex, gen-
der, and disability disparities. 
(b) COVERED AGENCY DEFINED.—In this section, 
the term ‘‘covered agency’’ means each of the following 
Federal agencies: 
(1) The Agency for Healthcare Research and 
Quality. 
(2) The Centers for Disease Control and Pre-
vention. 
(3) The Centers for Medicare & Medicaid Serv-
ices. 
(4) The Food and Drug Administration. 
(5) The Office of the National Coordinator for 
Health Information Technology. 
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(6) The National Institutes of Health. 
(c) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to each covered agency to 
carry out this section $4,000,000, to remain available 
until expended. 
SEC. 574. MODERNIZATION OF STATE AND LOCAL HEALTH 
INEQUITIES DATA. 
(a) IN GENERAL.—Not later than 6 months after the 
date of enactment of this Act, the Secretary, acting 
through the Director of the Centers for Disease Control 
and Prevention, shall award grants to State, local, and 
territorial health departments in order to support the 
modernization of data collection methods and infrastruc-
ture for the purposes of increasing data related to health 
inequities, such as racial, ethnic, socioeconomic, sex, gen-
der, and disability disparities. The Secretary shall— 
(1) provide guidance, technical assistance, and 
information to grantees under this section on best 
practices regarding culturally competent, accurate, 
and increased data collection and transmission; and 
(2) track performance of grantees under this 
section to help improve their health inequities data 
collection by identifying gaps and taking effective 
steps to support States, localities, and territories in 
addressing the gaps. 
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(b) REPORT.—Not later than 1 year after the date 
on which the first grant is awarded under this section, 
the Secretary shall submit to the Committee on Energy 
and Commerce of the House of Representatives and the 
Committee on Health, Education, Labor and Pensions of 
the Senate an initial report detailing— 
(1) nationwide best practices for ensuring 
States and localities collect and transmit health in-
equities data; 
(2) nationwide trends which hinder the collec-
tion and transmission of health inequities data; 
(3) Federal best practices for working with 
States and localities to ensure culturally competent, 
accurate, and increased data collection and trans-
mission; and 
(4) any recommended changes to legislative or 
regulatory authority to help improve and increase 
health inequities data collection. 
(c) FINAL REPORT.—Not later than three months 
after the end of the public health emergency declared pur-
suant to section 319 of the Public Health Service Act (42 
U.S.C. 247d) with respect to COVID–19, the Secretary 
shall— 
(1) update and finalize the initial report under 
subsection (b); and 
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(2) submit such final report to the committees 
specified in such subsection. 
(d) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$100,000,000, to remain available until expended. 
SEC. 575. TRIBAL FUNDING TO RESEARCH HEALTH INEQUI-
TIES INCLUDING COVID–19. 
(a) IN GENERAL.—Not later than 6 months after the 
date of enactment of this Act, the Director of the Indian 
Health Service, in coordination with Tribal Epidemiology 
Centers and other Federal agencies, as appropriate, shall 
conduct or support research and field studies for the pur-
poses of improved understanding of Tribal health inequi-
ties among American Indians and Alaska Natives, includ-
ing with respect to— 
(1) disparities related to COVID–19; 
(2) public health surveillance and infrastructure 
regarding unmet needs in Indian country and Urban 
Indian communities; 
(3) population-based health disparities; 
(4) barriers to health care services; 
(5) the impact of socioeconomic status; and 
(6) factors contributing to Tribal health inequi-
ties. 
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(b) CONSULTATION, CONFER, AND COORDINATION.— 
In carrying out this section, the Director of the Indian 
Health Service shall— 
(1) consult with Indian Tribes and Tribal orga-
nizations; 
(2) confer with Urban Indian organizations; 
and 
(3) coordinate with the Director of the Centers 
for Disease Control and Prevention and the Director 
of the National Institutes of Health. 
(c) PROCESS.—Not later than 60 days after the date 
of enactment of this Act, the Director of the Indian Health 
Service shall establish a nationally representative panel to 
establish processes and procedures for the research and 
field studies conducted or supported under subsection (a). 
The Director shall ensure that, at a minimum, the panel 
consists of the following individuals: 
(1) Elected Tribal leaders or their designees. 
(2) Tribal public health practitioners and ex-
perts from the national and regional levels. 
(d) DUTIES.—The panel established under subsection 
(c) shall, at a minimum— 
(1) advise the Director of the Indian Health 
Service on the processes and procedures regarding 
the design, implementation, and evaluation of, and 
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reporting on, research and field studies conducted or 
supported under this section; 
(2) develop and share resources on Tribal pub-
lic health data surveillance and reporting, including 
best practices; and 
(3) carry out such other activities as may be 
appropriate to establish processes and procedures for 
the research and field studies conducted or sup-
ported under subsection (a). 
(e) REPORT.—Not later than 1 year after expending 
all funds made available to carry out this section, the Di-
rector of the Indian Health Service, in coordination with 
the panel established under subsection (c), shall submit 
an initial report on the results of the research and field 
studies under this section to— 
(1) the Committee on Energy and Commerce 
and the Committee on Natural Resources of the 
House of Representatives; and 
(2) the Committee on Indian Affairs and the 
Committee on Health, Education, Labor and Pen-
sions of the Senate. 
(f) TRIBAL DATA SOVEREIGNTY.—The Director of 
the Indian Health Service shall ensure that all research 
and field studies conducted or supported under this sec-
tion are tribally-directed and carried out in a manner 
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which ensures Tribal-direction of all data collected under 
this section— 
(1) according to Tribal best practices regarding 
research design and implementation, including by 
ensuring the consent of the Tribes involved to public 
reporting of Tribal data; 
(2) according to all relevant and applicable 
Tribal, professional, institutional, and Federal 
standards for conducting research and governing re-
search ethics; 
(3) with the prior and informed consent of any 
Indian Tribe participating in the research or sharing 
data for use under this section; and 
(4) in a manner that respects the inherent sov-
ereignty of Indian Tribes, including Tribal govern-
ance of data and research. 
(g) FINAL REPORT.—Not later than three months 
after the end of the public health emergency declared pur-
suant to section 319 of the Public Health Service Act (42 
U.S.C. 247d) with respect to COVID–19, the Director of 
the Indian Health Service shall— 
(1) update and finalize the initial report under 
subsection (e); and 
(2) submit such final report to the committees 
specified in such subsection. 
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(h) DEFINITIONS.—In this section: 
(1) The terms ‘‘Indian Tribe’’ and ‘‘Tribal or-
ganization’’ have the meanings given to such terms 
in section 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304). 
(2) The term ‘‘Urban Indian organization’’ has 
the meaning given to such term in section 4 of the 
Indian Health Care Improvement Act (25 U.S.C. 
1603). 
(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$25,000,000, to remain available until expended. 
SEC. 576. CDC FIELD STUDIES PERTAINING TO SPECIFIC 
HEALTH INEQUITIES. 
(a) IN GENERAL.—Not later than 90 days after the 
date of enactment of this Act, the Secretary, acting 
through the Centers for Disease Control and Prevention, 
in collaboration with State, local, and territorial health de-
partments, shall complete (by the reporting deadline in 
subsection (b)) field studies to better understand health 
inequities that are not currently tracked by the Secretary. 
Such studies shall include an analysis of— 
(1) the impact of socioeconomic status on 
health care access and disease outcomes, including 
COVID–19 outcomes; 
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(2) the impact of disability status on health 
care access and disease outcomes, including COVID– 
19 outcomes; 
(3) the impact of language preference on health 
care access and disease outcomes, including COVID– 
19 outcomes; 
(4) factors contributing to disparities in health 
outcomes for the COVID–19 pandemic; and 
(5) other topics related to disparities in health 
outcomes for the COVID–19 pandemic, as deter-
mined by the Secretary. 
(b) REPORT.—Not later than December 31, 2021, 
the Secretary shall submit to the Committee on Energy 
and Commerce of the House of Representatives and the 
Committee on Health, Education, Labor and Pensions of 
the Senate an initial report on the results of the field stud-
ies under this section. 
(c) FINAL REPORT.—Not later than three months 
after the end of the public health emergency declared pur-
suant to section 319 of the Public Health Service Act (42 
U.S.C. 247d) with respect to COVID–19, the Secretary 
shall— 
(1) update and finalize the initial report under 
subsection (b); and 
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(2) submit such final report to the committees 
specified in such subsection. 
(d) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$25,000,000, to remain available until expended. 
SEC. 577. ADDITIONAL REPORTING TO CONGRESS ON THE 
RACE AND ETHNICITY RATES OF COVID–19 
TESTING, HOSPITALIZATIONS, AND MORTALI-
TIES. 
(a) IN GENERAL.—Not later than 30 days after the 
date of enactment of this Act, the Secretary shall submit 
to the Committee on Appropriations and the Committee 
on Energy and Commerce of the House of Representatives 
and the Committee on Appropriations and the Committee 
on Health, Education, Labor and Pensions of the Senate 
an initial report— 
(1) describing the testing, positive diagnoses, 
hospitalization, intensive care admissions, and mor-
tality 
rates 
associated 
with 
COVID–19, 
disaggregated by race, ethnicity, age, sex, gender, 
geographic region, and other relevant factors as de-
termined by the Secretary; 
(2) including an analysis of any variances of 
testing, positive diagnoses, hospitalizations, and 
deaths by demographic characteristics; and 
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(3) including proposals for evidenced-based re-
sponse strategies to reduce disparities related to 
COVID–19. 
(b) FINAL REPORT.—Not later than three months 
after the end of the public health emergency declared pur-
suant to section 319 of the Public Health Service Act (42 
U.S.C. 247d) with respect to COVID–19, the Secretary 
shall— 
(1) update and finalize the initial report under 
subsection (a); and 
(2) submit such final report to the committees 
specified in such subsection. 
(c) COORDINATION.—In preparing the report sub-
mitted under this section, the Secretary shall take into ac-
count and otherwise coordinate such report with reporting 
required under section 572 and under the heading ‘‘De-
partment of Health and Human Services—Office of the 
Secretary—Public Health and Social Service Emergency 
Fund’’ in title I of division B of the Paycheck Protection 
Program and Health Care Enhancement Act (Public Law 
116–139; 134 Stat. 620, 626). 
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Subtitle F—Miscellaneous 
SEC. 581. TECHNICAL CORRECTIONS TO AMENDMENTS 
MADE BY CARES ACT. 
(a) The amendments made by this section shall take 
effect as if included in the enactment of the CARES Act 
(Public Law 116–136). 
(b) Section 3112 of division A of the CARES Act 
(Public Law 116–136) is amended— 
(1) in subsection (a)(2)(A), by striking the 
comma before ‘‘or a permanent’’; 
(2) in subsection (d)(1), by striking ‘‘and sub-
paragraphs (A) and (B)’’ and inserting ‘‘as subpara-
graphs (A) and (B)’’; and 
(3) in subsection (e), by striking ‘‘Drug, Cos-
metic Act’’ and inserting ‘‘Drug, and Cosmetic Act’’. 
(c) Section 6001(a)(1)(D) of division F of the Fami-
lies First Coronavirus Response Act (Public Law 116– 
127), as amended by section 3201 of division A of the 
CARES Act (Public Law 116–136), is amended by strik-
ing ‘‘other test that’’. 
(d) Subsection (k)(9) of section 543 of the Public 
Health Service Act (42 U.S.C. 290dd–2), as added by sec-
tion 3221(d) of division A of the CARES Act (Public Law 
116–136), is amended by striking ‘‘unprotected health in-
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744H(f)(2)(B) of the Federal Food, Drug, and Cos-
metic Act, as redesignated by section 403(c)(1) of 
this Act,’.’’. 
TITLE VI—PUBLIC HEALTH 
ASSISTANCE 
SEC. 601. DEFINITION. 
In this title, the term ‘‘Secretary’’ means the Sec-
retary of Health and Human Services. 
Subtitle A—Assistance to Providers 
and Health System 
SEC. 611. HEALTH CARE PROVIDER RELIEF FUND. 
(a) IN GENERAL.—Not later than 7 days after the 
date of enactment of this Act, the Secretary, acting 
through the Administrator of the Health Resources and 
Services Administration, shall establish a program under 
which the Secretary shall reimburse, through grants or 
other mechanisms, eligible health care providers for eligi-
ble expenses or lost revenues occurring during calendar 
quarters beginning on or after January 1, 2020, to pre-
vent, prepare for, and respond to COVID–19, in an 
amount calculated under subsection (c). 
(b) QUARTERLY BASIS.— 
(1) SUBMISSION OF APPLICATIONS.—The Sec-
retary shall give applicants a period of 7 calendar 
days after the close of a quarter to submit applica-
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tions under this section with respect to such quarter, 
except that the Secretary shall give applicants a pe-
riod of 7 calendar days after the date of enactment 
of this Act to submit applications with respect to the 
quarters beginning on January 1 and April 1, 2020, 
if the applicant has not previously submitted an ap-
plication with the respect to such quarters. 
(2) REVIEW
AND
PAYMENT.—The Secretary 
shall— 
(A) review applications and make awards 
of reimbursement under this section on a quar-
terly basis; and 
(B) award the reimbursements under this 
section for a quarter not later than 14 calendar 
days after the close of the quarter, except that 
the Secretary shall award the reimbursements 
under this section for the quarters beginning on 
January 1 and April 1, 2020, not later than 14 
calendar days after the date of enactment of 
this Act. 
(c) CALCULATION.— 
(1) IN
GENERAL.—The amount of the reim-
bursement to an eligible health care provider under 
this section with respect to a calendar quarter shall 
equal— 
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(A) the sum of— 
(i) 100 percent of the eligible ex-
penses, as described in subsection (d), of 
the provider during the quarter; and 
(ii) subject to paragraph (3), 60 per-
cent of the lost revenues, as described in 
subsection (e), of the provider during the 
quarter; less 
(B) any funds that are— 
(i) received by the provider during the 
quarter pursuant to the Coronavirus Pre-
paredness and Response Supplemental Ap-
propriations Act, 2020 (Public Law 116– 
123), the Families First Coronavirus Re-
sponse Act (Public Law 116–127), the 
CARES Act (Public Law 116–136), or the 
Paycheck Protection Program and Health 
Care Enhancement Act (Public Law 116– 
139); and 
(ii) not required to be repaid. 
(2) CARRYOVER.—If the amount determined 
under paragraph (1)(B) for a calendar quarter with 
respect to an eligible health care provider exceeds 
the amount determined under paragraph (1)(A) with 
respect to such provider and quarter, the amount of 
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such difference shall be applied in making the cal-
culation under this subsection, over each subsequent 
calendar quarter for which the eligible health care 
provider seeks reimbursement under this section. 
(3) 
LOST
REVENUE
LIMITATION.—If 
the 
amount determined under subsection (e) with re-
spect to the lost revenue of an eligible health care 
provider for a calendar quarter does not exceed an 
amount that equals 10 percent of the net patient 
revenue (as defined in such subsection) of the pro-
vider for the corresponding quarter in 2019, the ad-
dend under paragraph (1)(A)(ii), in making the cal-
culation under paragraph (1), is deemed to be zero. 
(d) ELIGIBLE EXPENSES.—Subject to subsection 
(h)(1), expenses eligible for reimbursement under this sec-
tion include expenses for— 
(1) building or construction of temporary struc-
tures; 
(2) leasing of properties; 
(3) medical supplies and equipment including 
personal protective equipment; 
(4) in vitro diagnostic tests, serological tests, or 
testing supplies; 
(5) increased workforce and trainings; 
(6) emergency operation centers; 
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(7) construction or retrofitting of facilities; 
(8) mobile testing units; 
(9) surge capacity; 
(10) retention of workforce; and 
(11) such other items and services as the Sec-
retary determines to be appropriate, in consultation 
with relevant stakeholders. 
(e) LOST REVENUES.— 
(1) IN GENERAL.—Subject to subsection (h)(1), 
for purposes of subsection (c)(1)(A)(ii), the lost rev-
enues of an eligible health care provider, with re-
spect to the calendar quarter involved, shall be equal 
to— 
(A) net patient revenue of the provider for 
the corresponding quarter in 2019 minus net 
patient revenue of the provider for such quar-
ter; less 
(B) the savings of the provider during the 
calendar quarter involved attributable to fore-
gone wages, payroll taxes, and benefits of per-
sonnel who were furloughed or laid off by the 
provider during that quarter. 
(2) NET
PATIENT
REVENUE
DEFINED.—For 
purposes of paragraph (1)(A), the term ‘‘net patient 
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revenue’’, with respect to an eligible health care pro-
vider and a calendar quarter, means the sum of— 
(A) 200 percent of the total amount of re-
imbursement received by the provider during 
the quarter for all items and services furnished 
under a State plan or a waiver of a State plan 
under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.); 
(B) 125 percent of the total amount of re-
imbursement received by the provider during 
the quarter for all items and services furnished 
under title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.); and 
(C) 100 percent of the total amount of re-
imbursement not described in subparagraph (A) 
or (B) received by the provider during the quar-
ter for all items and services. 
(f) INSUFFICIENT FUNDS FOR A QUARTER.—If there 
are insufficient funds made available to reimburse all eligi-
ble health care providers for all eligible expenses and lost 
revenues for a quarter in accordance with this section, the 
Secretary shall— 
(1) prioritize reimbursement of eligible ex-
penses; and 
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(2) using the entirety of the remaining funds, 
uniformly reduce the percentage of lost revenues 
otherwise applicable under subsection (c)(1)(A)(ii) to 
the extent necessary to reimburse a portion of the 
lost revenues of all eligible health care providers ap-
plying for reimbursement. 
(g) APPLICATION.—A health care provider seeking 
reimbursement under this section for a calendar quarter 
shall submit to the Secretary an application that— 
(1) provides documentation demonstrating that 
the health care provider is an eligible health care 
provider; 
(2) includes a valid tax identification number of 
the health care provider or, if the health care pro-
vider does not have a valid tax identification num-
ber, an employer identification number or such other 
identification number as the Secretary may accept or 
may assign; 
(3) attests to the eligible expenses and lost rev-
enues of the health care provider, as described in 
subsection (d), occurring during the calendar quar-
ter; 
(4) includes an itemized listing of each such eli-
gible expense, including expenses incurred in pro-
viding uncompensated care; 
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(A) the eligible health care provider is re-
imbursed from other sources; or 
(B) other sources are obligated to reim-
burse the provider. 
(2) NO
EXECUTIVE
COMPENSATION.—Reim-
bursement for eligible expenses (as described in sub-
section (d)) and lost revenues (as described in sub-
section (e)) shall not include compensation or bene-
fits, including salary, bonuses, awards of stock, or 
other financial benefits, for an officer or employee 
described in section 4004(a)(2) of the CARES Act 
(Public Law 116–136). 
(i) NO BALANCE BILLING AS CONDITION OF RE-
CEIPT OF FUNDS.— 
(1) PROTECTING
INDIVIDUALS
ENROLLED
IN 
HEALTH PLANS.—As a condition of receipt of reim-
bursement under this section, a health care provider, 
in the case such provider furnishes during the emer-
gency period described in section 1135(g)(1)(B) of 
the Social Security Act (42 U.S.C. 1320b– 
5(g)(1)(B)) (whether before, on, or after, the date 
on which the provider submits an application under 
this section) a medically necessary item or service 
described in subparagraph (A), (B), or (C) of para-
graph (3) to an individual who is described in such 
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subparagraph (A), (B), or (C), respectively, and en-
rolled in a group health plan or group or individual 
health insurance coverage offered by a health insur-
ance issuer (including grandfathered health plans as 
defined in section 1251(e) of the Patient Protection 
and Affordable Care Act (42 U.S.C. 18011(e)) and 
such provider is a nonparticipating provider, with re-
spect to such plan or coverage or with respect to 
such item or service, and such plan or coverage and 
such items and services would otherwise be covered 
under such plan if furnished by a participating pro-
vider— 
(A) may not bill or otherwise hold liable 
such individual for a payment amount for such 
item or service that is more than the cost-shar-
ing amount that would apply under such plan 
or coverage for such item or service if such pro-
vider furnishing such service were a partici-
pating provider with respect to such plan or 
coverage; 
(B) shall reimburse such individual in a 
timely manner for any amount for such item or 
service paid by the individual to such provider 
in excess of such cost-sharing amount; 
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(C) shall submit any claim for such item or 
service directly to the plan or coverage; and 
(D) shall not bill the individual for such 
cost-sharing amount until such individual is in-
formed by the plan or coverage of the required 
payment amount. 
(2) PROTECTING
UNINSURED
INDIVIDUALS.— 
As a condition of receipt by a health care provider 
of reimbursement under this section, if the health 
care provider furnishes any medically necessary item 
or service described in subparagraph (A), (B), or (C) 
of paragraph (3) during the emergency period de-
scribed in section 1135(g)(1)(B) of the Social Secu-
rity Act (42 U.S.C. 1320b-5(g)(1)(B)) (whether be-
fore, on, or after, the date on which the provider 
submits an application under this section) to an un-
insured individual who is described in such subpara-
graph (A), (B), or (C), respectively, the health care 
provider— 
(A) shall submit a claim for purposes of 
reimbursement, with respect to such item or 
service— 
(i) from the uninsured portal estab-
lished pursuant to the provider relief fund 
established through the Public Health and 
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Social Services Emergency Fund under the 
Coronavirus Aid, Relief, and Economic Se-
curity Act (Public Law 116–136), or pur-
suant to activities authorized under section 
2812 of the Public Health Service Act (42 
U.S.C. 300hh–11) under the Public Health 
and Social Services Emergency Fund 
under the Families First Coronavirus Re-
sponse Act (Public Law 116–127); or 
(ii) if applicable, under this section 
with respect to expenses incurred in pro-
viding uncompensated care (as described in 
subsection (g)(4)) with respect to such 
medical care); and 
(B) if such claim is eligible for such reim-
bursement— 
(i) shall consider the amount of such 
reimbursement as payment in full with re-
spect to such item or service so furnished 
to such individual; 
(ii) may not bill or otherwise hold lia-
ble such individual for any payment for 
such item or service so furnished to such 
individual; and 
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(iii) shall reimburse such individual in 
a timely manner for any amount for such 
item or service paid by the individual to 
such provider. 
(3) MEDICALLY NECESSARY ITEMS AND SERV-
ICES DESCRIBED.—For purposes of this subsection, 
medically necessary items and services described in 
this paragraph are— 
(A) medically necessary items and services 
(including in-person or telehealth visits in which 
such items and services are furnished) that are 
furnished to an individual who has been diag-
nosed with (or after provision of the items and 
services is diagnosed with) COVID–19 to treat 
or mitigate the effects of COVID–19; 
(B) medically necessary items and services 
(including in-person or telehealth visits in which 
such items and services are furnished) that are 
furnished to an individual who is presumed, in 
accordance 
with 
paragraph 
(4), 
to 
have 
COVID–19 but is never diagnosed as such; and 
(C) a diagnostic test (and administration 
of such test) as described in section 6001(a) of 
division F of the Families First Coronavirus 
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Response Act (42 U.S.C. 1320b–5 note) admin-
istered to an individual. 
(4) PRESUMPTIVE
CASE
OF
COVID–19.—For 
purposes of paragraph (3)(B), an individual shall be 
presumed to have COVID–19 if the medical record 
documentation of the individual supports a diagnosis 
of COVID–19, even if the individual does not have 
a positive in vitro diagnostic test result in the med-
ical record of the individual. 
(5) PENALTY.—In the case of an eligible health 
care provider that is paid a reimbursement under 
this section and that is in violation of paragraph (1) 
or (2), in addition to any other penalties that may 
be prescribed by law, the Secretary may recoup from 
such provider up to the full amount of reimburse-
ment the provider receives under this section. 
(6) DEFINITIONS.—In this subsection: 
(A) NONPARTICIPATING
PROVIDER.—The 
term ‘‘nonparticipating 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 does not have a con-
tractual relationship directly or indirectly with 
the plan or issuer, respectively, for furnishing 
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Health and Social Services Emergency Fund 
for activities authorized under section 2812 of 
the Public Health Service Act (42 U.S.C. 
300hh–11). 
(j) REPORTS.— 
(1) AWARD INFORMATION.—In making awards 
under this section, the Secretary shall post in a 
searchable, electronic format, a list of all recipients 
and awards pursuant to funding authorized under 
this section. 
(2) REPORTS BY RECIPIENTS.—Each recipient 
of an award under this section shall, as a condition 
on receipt of such award, submit reports and main-
tain documentation, in such form, at such time, and 
containing such information, as the Secretary deter-
mines is needed to ensure compliance with this sec-
tion. 
(3) PUBLIC
LISTING
OF
AWARDS.—The Sec-
retary shall— 
(A) not later than 7 days after the date of 
enactment of this Act, post in a searchable, 
electronic format, a list of all awards made by 
the Secretary under this section, including the 
recipients and amounts of such awards; and 
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(B) update such list not less than every 7 
days until all funds made available to carry out 
this section are expended. 
(4) INSPECTOR GENERAL REPORT.— 
(A) IN GENERAL.—Not later than 3 years 
after final payments are made under this sec-
tion, the Inspector General of the Department 
of Health and Human Services shall transmit a 
final report on audit findings with respect to 
the program under this section to the Com-
mittee on Energy and Commerce and the Com-
mittee on Appropriations of the House of Rep-
resentatives and the Committee on Health, 
Education, Labor and Pensions and the Com-
mittee on Appropriations of the Senate. 
(B) RULE OF CONSTRUCTION.—Nothing in 
this paragraph shall be construed as limiting 
the authority of the Inspector General of the 
Department of Health and Human Services or 
the Comptroller General of the United States to 
conduct audits of interim payments earlier than 
the deadline described in subparagraph (A). 
(k) ELIGIBLE HEALTH CARE PROVIDER DEFINED.— 
In this section: 
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(1) IN
GENERAL.—The term ‘‘eligible health 
care provider’’ means a health care provider de-
scribed in paragraph (2) that provides diagnostic or 
testing services or treatment to individuals with a 
confirmed or possible diagnosis of COVID–19. 
(2) HEALTH CARE PROVIDERS DESCRIBED.—A 
health care provider described in this paragraph is 
any of the following: 
(A) A health care provider enrolled as a 
participating provider under a State plan ap-
proved under title XIX of the Social Security 
Act (42 U.S.C. 1396 et seq.) (or a waiver of 
such a plan). 
(B) A provider of services (as defined in 
subsection (u) of section 1861 of the Social Se-
curity Act (42 U.S.C. 1395x)) or a supplier (as 
defined in subsection (d) of such section) that 
is enrolled as a participating provider of serv-
ices or participating supplier under the Medi-
care program under title XVIII of such Act (42 
U.S.C. 1395 et seq.). 
(C) A public entity. 
(D) Any other entity not described in this 
paragraph as the Secretary may specify. 
(l) FUNDING.— 
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(1) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated for an addi-
tional 
amount 
to 
carry 
out 
this 
section 
$50,000,000,000, to remain available until ex-
pended. 
(2) HEALTH CARE PROVIDER RELIEF FUND.— 
(A) USE OF APPROPRIATED FUNDS.— 
(i) IN
GENERAL.—In addition to 
amounts authorized to be appropriated 
pursuant to paragraph (1), the unobligated 
balance of all amounts appropriated to the 
Health Care Provider Relief Fund shall be 
made available only to carry out this sec-
tion. 
(ii) 
AMOUNTS.—For 
purposes 
of 
clause (i), the following amounts are 
deemed to be appropriated to the Health 
Care Provider Relief Fund: 
(I) The unobligated balance of 
the 
appropriation 
of 
$100,000,000,000 in the third para-
graph under the heading ‘‘Depart-
ment of Health and Human Serv-
ices—Office of the Secretary—Public 
Health and Social Services Emergency 
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Fund’’ in division B of the CARES 
Act (Public Law 116–136). 
(II) The unobligated balance of 
the appropriation under the heading 
‘‘Department of Health and Human 
Services—Office of the Secretary— 
Public Health and Social Services 
Emergency Fund’’ in division B of the 
Paycheck Protection Program and 
Health Care Enhancement Act (Pub-
lic Law 116–139). 
(B) LIMITATION.—Of the unobligated bal-
ances described in subparagraph (A)(ii), the 
Secretary may not make available more than 
$5,000,000,000 to reimburse eligible health 
care providers for expenses incurred in pro-
viding uncompensated care. 
(C) FUTURE
AMOUNTS.—Any appropria-
tion enacted subsequent to the date of enact-
ment of this Act that is made available for re-
imbursing eligible health care providers as de-
scribed in subsection (a) shall be made available 
only to carry out this section. 
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SEC. 612. PUBLIC HEALTH WORKFORCE LOAN REPAYMENT 
PROGRAM. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by adding at the end 
the following new subpart: 
‘‘Subpart XIII—Public Health Workforce 
‘‘SEC. 340J. LOAN REPAYMENT PROGRAM. 
‘‘(a) ESTABLISHMENT.—The Secretary of Health 
and Human Services shall establish a program to be 
known as the Public Health Workforce Loan Repayment 
Program (referred to in this section as the ‘Program’) to 
assure an adequate supply of and encourage recruitment 
of public health professionals to eliminate critical public 
health workforce shortages in local, State, territorial, and 
Tribal public health agencies. 
‘‘(b) ELIGIBILITY.—To be eligible to participate in 
the Program, an individual shall— 
‘‘(1)(A) be accepted for enrollment, or be en-
rolled, as a student in an accredited academic edu-
cational institution in a State or territory in the 
final semester or equivalent of a course of study or 
program leading to a public health degree, a health 
professions degree or certificate, or a degree in com-
puter science, information science, information sys-
tems, information technology, or statistics and have 
accepted employment with a local, State, territorial, 
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or Tribal public health agency, or a related training 
fellowship, as recognized by the Secretary, to com-
mence upon graduation; or 
‘‘(B)(i) have graduated, during the preceding 
10-year period, from an accredited educational insti-
tution in a State or territory and received a public 
health degree, a health professions degree or certifi-
cate, or a degree in computer science, information 
science, information systems, information tech-
nology, or statistics; and 
‘‘(ii) be employed by, or have accepted employ-
ment with, a local, State, territorial, or Tribal public 
health agency or a related training fellowship, as 
recognized by the Secretary; 
‘‘(2) be a United States citizen; 
‘‘(3)(A) submit an application to the Secretary 
to participate in the Program; and 
‘‘(B) execute a written contract as required in 
subsection (c); and 
‘‘(4) not have received, for the same service, a 
reduction of loan obligations under section 428K or 
428L of the Higher Education Act of 1965 (20 
U.S.C. 1078–11, 1078–12). 
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‘‘(c) CONTRACT.—The written contract referred to in 
subsection (b)(3)(B) between the Secretary and an indi-
vidual shall contain— 
‘‘(1) an agreement on the part of the Secretary 
that the Secretary will repay, on behalf of the indi-
vidual, loans incurred by the individual in the pur-
suit of the relevant degree or certificate in accord-
ance with the terms of the contract; 
‘‘(2) an agreement on the part of the individual 
that the individual will serve in the full-time employ-
ment of a local, State, or Tribal public health agency 
or a related fellowship program in a position related 
to the course of study or program for which the con-
tract was awarded for a period of time equal to the 
greater of— 
‘‘(A) 2 years; or 
‘‘(B) such longer period of time as deter-
mined appropriate by the Secretary and the in-
dividual; 
‘‘(3) an agreement, as appropriate, on the part 
of the individual to relocate to a priority service area 
(as determined by the Secretary) in exchange for an 
additional loan repayment incentive amount to be 
determined by the Secretary; 
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‘‘(4) a provision that any financial obligation of 
the United States arising out of a contract entered 
into under this section and any obligation of the in-
dividual that is conditioned thereon, is contingent on 
funds being appropriated for loan repayments under 
this section; 
‘‘(5) a statement of the damages to which the 
United States is entitled, under this section for the 
individual’s breach of the contract; and 
‘‘(6) such other statements of the rights and li-
abilities of the Secretary and of the individual as the 
Secretary determines appropriate, not inconsistent 
with this section. 
‘‘(d) PAYMENTS.— 
‘‘(1) IN GENERAL.—A loan repayment provided 
for an individual under a written contract referred 
to in subsection (b)(3)(B) shall consist of payment, 
in accordance with paragraph (2), for the individual 
toward the outstanding principal and interest on 
education loans incurred by the individual in the 
pursuit of the relevant degree in accordance with the 
terms of the contract. 
‘‘(2) EQUITABLE DISTRIBUTION.—In awarding 
contracts under this section, the Secretary shall en-
sure— 
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‘‘(A) a certain percentage of contracts are 
awarded to individuals who are not already 
working in public health departments; 
‘‘(B) an equitable distribution of funds 
geographically; and 
‘‘(C) an equitable distribution among 
State, local, territorial, and Tribal public health 
departments. 
‘‘(3) PAYMENTS
FOR
YEARS
SERVED.—For 
each year of service that an individual contracts to 
serve pursuant to subsection (c)(2), the Secretary 
may pay not more than $35,000 on behalf of the in-
dividual for loans described in paragraph (1). With 
respect to participants under the Program whose 
total eligible loans are less than $105,000, the Sec-
retary shall pay an amount that does not exceed 1⁄3 
of the eligible loan balance for each year of such 
service of such individual. 
‘‘(4) TAX LIABILITY.—For purposes of the In-
ternal Revenue Code of 1986, a payment made 
under this section shall be treated in the same man-
ner as an amount received under section 338B(g) of 
this Act, as described in section 108(f)(4) of such 
Code. 
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‘‘(e) POSTPONING OBLIGATED SERVICE.—With re-
spect to an individual receiving a degree or certificate from 
a health professions or other related school, the date of 
the initiation of the period of obligated service may be 
postponed as approved by the Secretary. 
‘‘(f) BREACH OF CONTRACT.—An individual who fails 
to comply with the contract entered into under subsection 
(c) shall be subject to the same financial penalties as pro-
vided for under section 338E of the Public Health Service 
Act (42 U.S.C. 254o) for breaches of loan repayment con-
tracts under section 338B of such Act (42 U.S.C. section 
254l–1). 
‘‘(g) DEFINITION.—For purposes of this section, the 
term ‘full-time’ means full-time as such term is used in 
section 455(m)(3) of the Higher Education Act of 1965. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section— 
‘‘(1) $100,000,000 for fiscal year 2021; and 
‘‘(2) $75,000,000 for fiscal year 2022.’’. 
SEC. 613. EXPANDING CAPACITY FOR HEALTH OUTCOMES. 
(a) IN GENERAL.—The Secretary, acting through the 
Administrator of the Health Resources and Services Ad-
ministration, shall award grants to eligible entities to de-
velop and expand the use of technology-enabled collabo-
rative learning and capacity building models to respond 
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to ongoing and real-time learning, health care information 
sharing, and capacity building needs related to COVID– 
19. 
(b) ELIGIBLE ENTITIES.—To be eligible to receive a 
grant under this section, an entity shall have experience 
providing technology-enabled collaborative learning and 
capacity building health care services— 
(1) in rural areas, frontier areas, health profes-
sional shortage areas, or medically underserved area; 
or 
(2) to medically underserved populations or In-
dian Tribes. 
(c) USE OF FUNDS.—An eligible entity receiving a 
grant under this section shall use funds received through 
the grant— 
(1) to advance quality of care in response to 
COVID–19, with particular emphasis on rural and 
underserved areas and populations; 
(2) to protect medical personnel and first re-
sponders through sharing real-time learning through 
virtual communities of practice; 
(3) to improve patient outcomes for conditions 
affected or exacerbated by COVID–19, including im-
provement of care for patients with complex chronic 
conditions; and 
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(4) to support rapid uptake by health care pro-
fessionals of emerging best practices and treatment 
protocols around COVID–19. 
(d) OPTIONAL ADDITIONAL USES OF FUNDS.—An 
eligible entity receiving a grant under this section may use 
funds received through the grant for— 
(1) equipment to support the use and expansion 
of technology-enabled collaborative learning and ca-
pacity building models, including hardware and soft-
ware that enables distance learning, health care pro-
vider support, and the secure exchange of electronic 
health information; 
(2) the participation of multidisciplinary expert 
team members to facilitate and lead technology-en-
abled collaborative learning sessions, and profes-
sionals and staff assisting in the development and 
execution of technology-enabled collaborative learn-
ing; 
(3) the development of instructional program-
ming and the training of health care providers and 
other professionals that provide or assist in the pro-
vision of services through technology-enabled collabo-
rative learning and capacity building models; and 
(4) other activities consistent with achieving the 
objectives of the grants awarded under this section. 
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(e) TECHNOLOGY-ENABLED COLLABORATIVE LEARN-
ING AND CAPACITY BUILDING MODEL DEFINED.—In this 
section, the term ‘‘technology-enabled collaborative learn-
ing and capacity building model’’ has the meaning given 
that term in section 2(7) of the Expanding Capacity for 
Health Outcomes Act (Public Law 114–270; 130 Stat. 
1395). 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$20,000,000, to remain available until expended. 
SEC. 614. ADDITIONAL FUNDING FOR MEDICAL RESERVE 
CORPS. 
Section 2813(i) of the Public Health Service Act (42 
U.S.C. 300hh–15(i)) is amended by striking ‘‘$11,200,000 
for each of fiscal years 2019 through 2023’’ and inserting 
‘‘$31,200,000 for each of fiscal years 2021 and 2022 and 
$11,200,000 for each of fiscal years 2023 through 2025’’. 
SEC. 615. GRANTS FOR SCHOOLS OF MEDICINE IN DIVERSE 
AND UNDERSERVED AREAS. 
Subpart II of part C of title VII of the Public Health 
Service Act is amended by inserting after section 749B 
of such Act (42 U.S.C. 293m) the following: 
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‘‘SEC. 749C. SCHOOLS OF MEDICINE IN UNDERSERVED 
AREAS. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Administrator of the Health Resources and Services Ad-
ministration, may award grants to institutions of higher 
education (including multiple institutions of higher edu-
cation applying jointly) for the establishment, improve-
ment, and expansion of an allopathic or osteopathic school 
of medicine, or a branch campus of an allopathic or osteo-
pathic school of medicine. 
‘‘(b) PRIORITY.—In selecting grant recipients under 
this section, the Secretary shall give priority to institutions 
of higher education that— 
‘‘(1) propose to use the grant for an allopathic 
or osteopathic school of medicine, or a branch cam-
pus of an allopathic or osteopathic school of medi-
cine, in a combined statistical area with fewer than 
200 actively practicing physicians per 100,000 resi-
dents according to the medical board (or boards) of 
the State (or States) involved; 
‘‘(2) have a curriculum that emphasizes care for 
diverse and underserved populations; or 
‘‘(3) are minority-serving institutions described 
in the list in section 371(a) of the Higher Education 
Act of 1965. 
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‘‘(c) USE OF FUNDS.—The activities for which a 
grant under this section may be used include— 
‘‘(1) planning and constructing— 
‘‘(A) a new allopathic or osteopathic school 
of medicine in an area in which no other school 
is based; or 
‘‘(B) a branch campus of an allopathic or 
osteopathic school of medicine in an area in 
which no such school is based; 
‘‘(2) accreditation and planning activities for an 
allopathic or osteopathic school of medicine or 
branch campus; 
‘‘(3) hiring faculty and other staff to serve at 
an allopathic or osteopathic school of medicine or 
branch campus; 
‘‘(4) recruitment and enrollment of students at 
an allopathic or osteopathic school of medicine or 
branch campus; 
‘‘(5) supporting educational programs at an 
allopathic or osteopathic school of medicine or 
branch campus; 
‘‘(6) modernizing infrastructure or curriculum 
at an existing allopathic or osteopathic school of 
medicine or branch campus thereof; 
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‘‘(7) expanding infrastructure or curriculum at 
existing an allopathic or osteopathic school of medi-
cine or branch campus; and 
‘‘(8) other activities that the Secretary deter-
mines further the development, improvement, and 
expansion of an allopathic or osteopathic school of 
medicine or branch campus thereof. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) The term ‘branch campus’ means a geo-
graphically separate site at least 100 miles from the 
main campus of a school of medicine where at least 
one student completes at least 60 percent of the stu-
dent’s training leading to a degree of doctor of medi-
cine. 
‘‘(2) The term ‘institution of higher education’ 
has the meaning given to such term in section 
101(a) of the Higher Education Act of 1965. 
‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $1,000,000,000, to remain available until ex-
pended.’’. 
SEC. 616. GAO STUDY ON PUBLIC HEALTH WORKFORCE. 
(a) IN GENERAL.—The Comptroller General of the 
United States shall conduct a study on the public health 
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workforce in the United States during the COVID–19 
pandemic. 
(b) TOPICS.—The study under subsection (a) shall 
address— 
(1) existing gaps in the Federal, State, local, 
Tribal, and territorial public health workforce, in-
cluding— 
(A) epidemiological and disease interven-
tion specialists needed during the pandemic for 
contact tracing, laboratory technicians nec-
essary for testing, community health workers 
for community supports and services, and other 
staff necessary for contact tracing, testing, or 
surveillance activities; and 
(B) other personnel needed during the 
COVID–19 pandemic; 
(2) challenges associated with the hiring, re-
cruitment, and retention of the Federal, State, local, 
Tribal, and territorial public health workforce; and 
(3) recommended steps the Federal Government 
should take to improve hiring, recruitment, and re-
tention of the public health workforce. 
(c) REPORT.—Not later than December 1, 2022, the 
Comptroller General shall submit to the Congress a report 
on the findings of the study conducted under this section. 
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SEC. 617. LONGITUDINAL STUDY ON THE IMPACT OF 
COVID–19 ON RECOVERED PATIENTS. 
Part A of title IV of the Public Health Service Act 
(42 U.S.C. 281 et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 404O. LONGITUDINAL STUDY ON THE IMPACT OF 
COVID–19 ON RECOVERED PATIENTS. 
‘‘(a) IN GENERAL.—The Director of NIH, in con-
sultation with the Director of the Centers for Disease Con-
trol and Prevention, shall conduct a longitudinal study, 
over not less than 10 years, on the full impact of SARS– 
CoV–2 or COVID–19 on infected individuals, including 
both short-term and long-term health impacts. 
‘‘(b) TIMING.—The Director of NIH shall begin en-
rolling patients in the study under this section not later 
than 6 months after the date of enactment of this section. 
‘‘(c) REQUIREMENTS.—The study under this section 
shall— 
‘‘(1) be nationwide; 
‘‘(2) include diversity of enrollees to account for 
gender, 
age, 
race, 
ethnicity, 
geography, 
comorbidities, and underrepresented populations, in-
cluding pregnant and lactating women; 
‘‘(3) study individuals with COVID–19 who ex-
perienced mild symptoms, such individuals who expe-
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rienced moderate symptoms, and such individuals 
who experienced severe symptoms; 
‘‘(4) monitor the health outcomes and symp-
toms of individuals with COVID–19, or who had 
prenatal exposure to SARS–CoV–2 or COVID–19, 
including lung capacity and function, and immune 
response, taking into account any pharmaceutical 
interventions such individuals may have received; 
‘‘(5) monitor the mental health outcomes of in-
dividuals with COVID–19, taking into account any 
interventions that affected mental health; and 
‘‘(6) monitor individuals enrolled in the study 
not less frequently than twice per year after the first 
year of the individual’s infection with SARS–CoV–2. 
‘‘(d) PUBLIC-PRIVATE RESEARCH NETWORK.—For 
purposes of carrying out the study under this section, the 
Director of NIH may develop a network of public-private 
research partners, provided that all research, including the 
research carried out through any such partner, is available 
publicly. 
‘‘(e) SUMMARIES
OF FINDINGS.—The Director of 
NIH shall make public a summary of findings under this 
section not less frequently than once every 3 months for 
the first 2 years of the study, and not less frequently than 
every 6 months thereafter. Such summaries may include 
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information about how the findings of the study under this 
section compare with findings from research conducted 
abroad. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$200,000,000, to remain available until expended.’’. 
SEC. 618. RESEARCH ON THE MENTAL HEALTH IMPACT OF 
COVID–19. 
(a) IN GENERAL.—The Secretary, acting through the 
Director of the National Institute of Mental Health, shall 
conduct or support research on the mental health con-
sequences of SARS–CoV–2 or COVID–19. 
(b) USE OF FUNDS.—Research under subsection (a) 
may include the following: 
(1) Research on the mental health impact of 
SARS–CoV–2 or COVID–19 on health care pro-
viders, including— 
(A) traumatic stress; 
(B) psychological distress; and 
(C) psychiatric disorders. 
(2) Research on the impact of SARS–CoV–2 or 
COVID–19 stressors on mental health over time. 
(3) Research to strengthen the mental health 
response to SARS–CoV–2 or COVID–19, including 
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adapting to and maintaining or providing additional 
services for new or increasing mental health needs. 
(4) Research on the reach, efficiency, effective-
ness, and quality of digital mental health interven-
tions. 
(5) Research on effectiveness of strategies for 
implementation and delivery of evidence-based men-
tal health interventions and services for underserved 
populations. 
(6) Research on suicide prevention. 
(c) RESEARCH COORDINATION.—The Secretary shall 
coordinate activities under this section with similar activi-
ties conducted by national research institutes and centers 
of the National Institutes of Health to the extent that 
such institutes and centers have responsibilities that are 
related to the mental health consequences of SARS–CoV– 
2 or COVID–19. 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$200,000,000, to remain available until expended. 
SEC. 619. EMERGENCY MENTAL HEALTH AND SUBSTANCE 
USE TRAINING AND TECHNICAL ASSISTANCE 
CENTER. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–31 et seq.) is amended by 
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inserting after section 520A (42 U.S.C. 290bb–32) the fol-
lowing: 
‘‘SEC. 520B. EMERGENCY MENTAL HEALTH AND SUB-
STANCE USE TRAINING AND TECHNICAL AS-
SISTANCE CENTER. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Assistant Secretary, shall establish or operate 
a center to be known as the Emergency Mental Health 
and Substance Use Training and Technical Assistance 
Center (referred to in this section as the ‘Center’) to pro-
vide technical assistance and support— 
‘‘(1) to public or nonprofit entities seeking to 
establish or expand access to mental health and sub-
stance use prevention, treatment, and recovery sup-
port services, and increase awareness of such serv-
ices; and 
‘‘(2) to public health professionals, health care 
professionals and support staff, essential workers (as 
defined by a State, Tribe, locality, or territory), and 
members of the public to address the trauma, stress, 
and mental health needs associated with an emer-
gency period. 
‘‘(b) ASSISTANCE
AND SUPPORT.—The assistance 
and support provided under subsection (a) shall include 
assistance and support with respect to— 
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‘‘(1) training on identifying signs of trauma, 
stress, and mental health needs; 
‘‘(2) providing accessible resources to assist in-
dividuals and families experiencing trauma, stress, 
or other mental health needs during and after an 
emergency period; 
‘‘(3) providing resources for substance use dis-
order prevention, treatment, and recovery designed 
to assist individuals and families during and after an 
emergency period; 
‘‘(4) the provision of language access services, 
including translation services, interpretation, or 
other such services for individuals with limited 
English speaking proficiency or people with disabil-
ities; and 
‘‘(5) evaluation and improvement, as necessary, 
of the effectiveness of such services provided by pub-
lic or nonprofit entities. 
‘‘(c) BEST PRACTICES.—The Center shall periodi-
cally issue best practices for use by organizations seeking 
to provide mental health services or substance use disorder 
prevention, treatment, or recovery services to individuals 
during and after an emergency period. 
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‘‘(d) EMERGENCY PERIOD.—In this section, the term 
‘emergency period’ has the meaning given such term in 
section 1135(g)(1)(A) of the Social Security Act. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$20,000,000 for each of fiscal years 2021 and 2022.’’. 
SEC. 620. IMPORTANCE OF THE BLOOD AND PLASMA SUP-
PLY. 
(a) IN GENERAL.—Section 3226 of the CARES Act 
(Public Law 116–136) is amended— 
(1) in the section heading after ‘‘BLOOD’’ by 
inserting ‘‘AND PLASMA’’; and 
(2) by inserting after ‘‘blood’’ each time it ap-
pears ‘‘and plasma’’. 
(b) CONFORMING AMENDMENT.—The item relating 
to section 3226 in the table of contents in section 2 of 
the CARES Act (Public Law 116–136) is amended to read 
as follows: 
‘‘Sec. 3226. Importance of the blood and plasma supply.’’. 
Subtitle B—Assistance for 
Individuals and Families 
SEC. 631. REIMBURSEMENT FOR ADDITIONAL HEALTH 
SERVICES RELATING TO CORONAVIRUS. 
Title V of division A of the Families First 
Coronavirus Response Act (Public Law 116–127; 134 
Stat. 182) is amended under the heading ‘‘Department of 
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Health and Human Services—Office of the Secretary— 
Public Health and Social Services Emergency Fund’’ by 
inserting ‘‘, or treatment related to SARS–CoV–2 or 
COVID–19 for uninsured individuals’’ after ‘‘or visits de-
scribed in paragraph (2) of such section for uninsured in-
dividuals’’. 
SEC. 632. CENTERS FOR DISEASE CONTROL AND PREVEN-
TION COVID–19 RESPONSE LINE. 
(a) IN GENERAL.—During the public health emer-
gency declared by the Secretary pursuant to section 319 
of the Public Health Service Act (42 U.S.C. 247d) on Jan-
uary 31, 2020, with respect to COVID–19, the Secretary, 
acting through the Director of the Centers for Disease 
Control and Prevention, shall maintain a toll-free tele-
phone number to address public health queries, including 
questions concerning COVID–19. 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$10,000,000, to remain available until expended. 
SEC. 633. GRANTS TO ADDRESS SUBSTANCE USE DURING 
COVID–19. 
(a) IN GENERAL.—The Assistant Secretary for Men-
tal Health and Substance Use of the Department of 
Health and Human Services (in this section referred to 
as the ‘‘Assistant Secretary’’), in consultation with the Di-
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rector of the Centers for Disease Control and Prevention, 
shall award grants to States, political subdivisions of 
States, Tribes, Tribal organizations, and community-based 
entities to address the harms of drug misuse, including 
by— 
(1) preventing and controlling the spread of in-
fectious diseases, such as HIV/AIDS and viral hepa-
titis, and the consequences of such diseases for indi-
viduals with substance use disorder; 
(2) connecting individuals at risk for or with a 
substance use disorder to overdose education, coun-
seling, and health education; or 
(3) encouraging such individuals to take steps 
to reduce the negative personal and public health 
impacts of substance use or misuse during the emer-
gency period. 
(b) CONSIDERATIONS.—In awarding grants under 
this section, the Assistant Secretary shall prioritize grants 
to applicants proposing to serve areas with— 
(1) a high proportion of people who meet cri-
teria for dependence on or abuse of illicit drugs who 
have not received any treatment; 
(2) high drug overdose death rates; 
(3) high telemedicine infrastructure needs; and 
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(4) high behavioral health and substance use 
disorder workforce needs. 
(c) DEFINITION.—In this section, the term ‘‘emer-
gency period’’ has the meaning given to such term in sec-
tion 1135(g)(1)(B) of the Social Security Act (42 U.S.C. 
1320b–5(g)(1)(B))). 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$10,000,000, to remain available until expended. 
SEC. 634. GRANTS TO SUPPORT INCREASED BEHAVIORAL 
HEALTH NEEDS DUE TO COVID–19. 
(a) IN GENERAL.—The Secretary, acting through the 
Assistant Secretary of Mental Health and Substance Use, 
shall award grants to States, political subdivisions of 
States, Indian Tribes and Tribal organizations, commu-
nity-based entities, and primary care and behavioral 
health organizations to address behavioral health needs 
caused by the public health emergency declared pursuant 
to section 319 of the Public Health Service Act (42 U.S.C. 
247d) with respect to COVID–19. 
(b) USE OF FUNDS.—An entity that receives a grant 
under subsection (a) may use funds received through such 
grant to— 
(1) increase behavioral health treatment and 
prevention capacity, including to— 
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(A) promote coordination among local enti-
ties; 
(B) train the behavioral health workforce, 
relevant stakeholders, and community members; 
(C) upgrade technology to support effective 
delivery of health care services through tele-
health modalities; 
(D) purchase medical supplies and equip-
ment for behavioral health treatment entities 
and providers; 
(E) address surge capacity for behavioral 
health needs such as through mobile units; and 
(F) promote collaboration between primary 
care and mental health providers; and 
(2) support or enhance behavioral health serv-
ices, including— 
(A) emergency crisis intervention, includ-
ing mobile crisis units, 24/7 crisis call centers, 
and medically staffed crisis stabilization pro-
grams; 
(B) screening, assessment, diagnosis, and 
treatment; 
(C) mental health awareness trainings; 
(D) evidence-based suicide prevention; 
(E) evidence-based integrated care models; 
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(F) community recovery supports; 
(G) outreach to underserved and minority 
communities; and 
(H) for front line health care workers. 
(c) PRIORITY.—The Secretary shall give priority to 
applicants proposing to serve areas with a high number 
of COVID–19 cases. 
(d) EVALUATION.—An entity that receives a grant 
under this section shall prepare and submit an evaluation 
to the Secretary at such time, in such manner, and con-
taining such information as the Secretary may reasonably 
require, including— 
(1) an evaluation of activities carried out with 
funds received through the grant; and 
(2) a process and outcome evaluation. 
(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$50,000,000 for each of fiscal years 2021 and 2022, to 
remain available until expended. 
Subtitle C—Assistance to Tribes 
SEC. 641. IMPROVING STATE, LOCAL, AND TRIBAL PUBLIC 
HEALTH SECURITY. 
Section 319C–1 of the Public Health Service Act (42 
U.S.C. 247d–3a) is amended— 
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(1) in the section heading, by striking ‘‘AND 
LOCAL’’ and inserting ‘‘, LOCAL, AND TRIBAL’’; 
(2) in subsection (b)— 
(A) in paragraph (1)— 
(i) in subparagraph (B), by striking 
‘‘or’’ at the end; 
(ii) in subparagraph (C), by striking 
‘‘and’’ at the end and inserting ‘‘or’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(D) be an Indian Tribe, Tribal organization, 
or a consortium of Indian Tribes or Tribal organiza-
tions; and’’; and 
(B) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A), by inserting ‘‘, as applicable’’ 
after ‘‘including’’; 
(ii) in subparagraph (A)(viii)— 
(I) by inserting ‘‘and Tribal’’ 
after ‘‘with State’’; 
(II) by striking ‘‘(as defined in 
section 8101 of the Elementary and 
Secondary Education Act of 1965)’’ 
and inserting ‘‘and Tribal educational 
agencies (as defined in sections 8101 
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and 6132, respectively, of the Elemen-
tary and Secondary Education Act of 
1965)’’; and 
(III) by inserting ‘‘and Tribal’’ 
after ‘‘and State’’; 
(iii) in subparagraph (G), by striking 
‘‘and tribal’’ and inserting ‘‘Tribal, and 
urban Indian organization’’; and 
(iv) in subparagraph (H), by inserting 
‘‘, Indian Tribes, and urban Indian organi-
zations’’ after ‘‘public health’’; 
(3) in subsection (e), by inserting ‘‘Indian 
Tribes, Tribal organizations, urban Indian organiza-
tions,’’ after ‘‘local emergency plans,’’; 
(4) in subsection (g)(1), by striking ‘‘tribal offi-
cials’’ and inserting ‘‘Tribal officials’’; 
(5) in subsection (h)— 
(A) in paragraph (1)(A)— 
(i) by striking ‘‘through 2023’’ and 
inserting ‘‘and 2020’’; and 
(ii) by inserting before the period ‘‘; 
and $690,000,000 for each of fiscal years 
2021 through 2024 for awards pursuant to 
paragraph (3) (subject to the authority of 
the Secretary to make awards pursuant to 
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paragraphs (4) and (5)) and paragraph 
(8), of which not less than $5,000,000 
shall be reserved each fiscal year for 
awards under paragraph (8)’’; 
(B) in paragraph (2)(B), by striking ‘‘trib-
al public’’ and inserting ‘‘Tribal public’’; 
(C) in the heading of paragraph (3), by in-
serting ‘‘FOR STATES’’ after ‘‘AMOUNT’’; and 
(D) by adding at the end the following: 
‘‘(8) TRIBAL ELIGIBLE ENTITIES.— 
‘‘(A) 
DETERMINATION
OF
FUNDING 
AMOUNT.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall award at least 10 cooperative agree-
ments under this section, in amounts not 
less than the minimum amount determined 
under clause (ii), to eligible entities de-
scribed in subsection (b)(1)(D) that sub-
mits to the Secretary an application that 
meets the criteria of the Secretary for the 
receipt of such an award and that meets 
other reasonable implementation conditions 
established by the Secretary, in consulta-
tion with Indian Tribes, for such awards. 
If the Secretary receives more than 10 ap-
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19 Response’’ released on August 18, 2020 (or 
any successor document); and 
(B) workers included as essential workers 
in executive orders issued by the Governor of a 
State. 
(2) The term ‘‘containment and mitigation’’ in-
cludes the use of— 
(A) personal protective equipment; 
(B) other protections, including expanding 
or improving workplace infrastructure through 
engineering and work practice controls, such as 
ventilation systems, plexiglass partitions, air fil-
ters, and the use of hand sanitizer or sanitation 
supplies; 
(C) access to medical evaluations, testing 
(including rapid testing), and contact tracing; 
and 
(D) other related activities or equipment 
recommended or required by the Director of 
Centers of Disease Control and Prevention or 
required pursuant to the Occupational Safety 
and Health Act of 1970 (29 U.S.C. 651 et seq.) 
or a State plan approved pursuant to section 18 
of that Act (29 U.S.C. 667); and 
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(k) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$2,000,000,000, to remain available until expended. 
TITLE VII—VACCINE DEVELOP-
MENT, DISTRIBUTION, ADMIN-
ISTRATION, AND AWARENESS 
SEC. 701. DEFINITIONS. 
In this title: 
(1) The term ‘‘ancillary medical supplies’’ in-
cludes— 
(A) vials; 
(B) bandages; 
(C) alcohol swabs; 
(D) syringes; 
(E) needles; 
(F) gloves, masks, and other personal pro-
tective equipment; 
(G) cold storage equipment; and 
(H) other products the Secretary deter-
mines necessary for the administration of vac-
cines. 
(2) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
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1712A(a)(1)(C)’’ and inserting ‘‘clauses (i) through (v) of 
section 1712A(a)(1)(C)’’. 
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