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available in the first paragraph under this heading in this 
Act allotted for such purchase of such products will be 
obligated imminently and that additional funds are nec-
essary to purchase vaccines, therapeutics, or diagnostics 
in quantities determined by the Secretary to be adequate 
help to address the public health need: Provided further, 
That the Secretary shall notify the Committees on Appro-
priations of the House of Representatives and the Senate 
of such certification: Provided further, That such amount 
is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 
1985. 
GENERAL PROVISIONS—THIS TITLE 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 301. (a) Funds appropriated in this title may 
be made available to restore amounts, either directly or 
through reimbursement, for obligations incurred by agen-
cies of the Department of Health and Human Services to 
prevent, prepare for, and respond to coronavirus, domesti-
cally or internationally, prior to the date of enactment of 
this Act. This subsection shall not apply to obligations in-
curred by the Infectious Diseases Rapid Response Reserve 
Fund. 
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(b) Grants or cooperative agreements with States, lo-
calities, territories, tribes, tribal organizations, urban In-
dian health organizations, or health service providers to 
tribes, under this title, to carry out surveillance, epidemi-
ology, laboratory capacity, infection control, mitigation, 
communications, and other preparedness and response ac-
tivities to prevent, prepare for, and respond to coronavirus 
shall include amounts to reimburse costs for these pur-
poses incurred between January 20, 2020, and the date 
of enactment of this Act. 
(c) If any funds have been reprogrammed or trans-
ferred from an appropriation, as described in the notifica-
tion submitted by the Secretary of Health and Human 
Services to the Committees on Appropriations of the 
House of Representatives and the Senate on February 2, 
2020, prior to the date of enactment of this Act, such 
amounts shall be reprogrammed or transferred back to 
that appropriation within 45 days of the date of enactment 
of this Act. 
SEC. 302. Funds appropriated by this title may be 
used by the Secretary of the Health and Human Services 
to appoint, without regard to the provisions of sections 
3309 through 3319 of title 5 of the United States Code, 
candidates needed for positions to perform critical work 
relating to coronavirus for which— 
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(1) public notice has been given; and 
(2) the Secretary has determined that such a 
public health threat exists. 
SEC. 303. Funds made available by this title may be 
used to enter into contracts with individuals for the provi-
sion of personal services (as described in section 104 of 
part 37 of title 48, Code of Federal Regulations (48 CFR 
37.104)) to support the prevention of, preparation for, or 
response to coronavirus, domestically and internationally, 
subject to prior notification to the Committees on Appro-
priations of the House of Representatives and the Senate: 
Provided, That such individuals may not be deemed em-
ployees of the United States for the purpose of any law 
administered by the Office of Personnel Management: Pro-
vided further, That the authority made available pursuant 
to this section shall expire on September 30, 2024. 
SEC. 304. Funds appropriated by this title may be 
transferred to, and merged with, other appropriation ac-
counts under the headings ‘‘Centers for Disease Control 
and Prevention’’, ‘‘Public Health and Social Services 
Emergency Fund’’, and ‘‘National Institutes of Health’’ 
to prevent, prepare for, and respond to coronavirus, do-
mestically or internationally, following consultation with 
the Office of Management and Budget: Provided, That the 
Committees on Appropriations of the House of Represent-
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atives and the Senate shall be notified 10 days in advance 
of any such transfer: Provided further, That upon a deter-
mination that all or part of the funds transferred from 
an appropriation by this title are not necessary, such 
amounts may be transferred back to that appropriation: 
Provided further, That none of the funds made available 
by this title may be transferred pursuant to the authority 
in section 205 of division A of Public Law 116–94 or sec-
tion 241(a) of the Public Health Service Act. 
SEC. 305. Not later than 30 days after the date of 
enactment of this Act, the Secretary of Health and 
Human Services shall provide a detailed spend plan of an-
ticipated uses of funds made available to the Department 
of Health and Human Services in this Act, including esti-
mated personnel and administrative costs, to the Commit-
tees on Appropriations of the House of Representatives 
and the Senate: Provided, That such plan shall be updated 
and submitted to such Committees every 60 days until 
September 30, 2024: Provided further, That the spend 
plans shall be accompanied by a listing of each contract 
obligation incurred that exceeds $5,000,000 which has not 
previously been reported, including the amount of each 
such obligation. 
SEC. 306. Of the funds appropriated by this title 
under the heading ‘‘Public Health and Social Services 
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Emergency Fund’’, up to $2,000,000 shall be transferred 
to, and merged with, funds made available under the head-
ing ‘‘Office of the Secretary, Office of Inspector General’’, 
and shall remain available until expended, for oversight 
of activities supported with funds appropriated to the De-
partment of Health and Human Services in titles I and 
III: Provided, That the Inspector General of the Depart-
ment of Health and Human Services shall consult with 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate prior to obligating such funds: 
Provided further, That the transfer authority provided by 
this section is in addition to any other transfer authority 
provided by law. 
TITLE IV 
DEPARTMENT OF STATE 
ADMINISTRATION OF FOREIGN AFFAIRS 
DIPLOMATIC PROGRAMS 
For an additional amount for ‘‘Diplomatic Pro-
grams’’, $264,000,000, to remain available until Sep-
tember 30, 2022, for necessary expenses to prevent, pre-
pare for, and respond to coronavirus, including for main-
taining consular operations, reimbursement of evacuation 
expenses, and emergency preparedness: Provided, That 
such amount is designated by the Congress as being for 
an 
emergency 
requirement 
pursuant 
to 
section 
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251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT 
FUNDS APPROPRIATED TO THE PRESIDENT 
OFFICE OF INSPECTOR GENERAL 
For an additional amount for ‘‘Office of Inspector 
General’’, $1,000,000, to remain available until September 
30, 2022, for oversight of activities funded by this title 
and administered by the United States Agency for Inter-
national Development: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
BILATERAL ECONOMIC ASSISTANCE 
FUNDS APPROPRIATED TO THE PRESIDENT 
GLOBAL HEALTH PROGRAMS 
For an additional amount for ‘‘Global Health Pro-
grams’’, $435,000,000, to remain available until Sep-
tember 30, 2022, for necessary expenses to prevent, pre-
pare for, and respond to coronavirus: Provided, That such 
funds shall be administered by the Administrator of the 
United States Agency for International Development: Pro-
vided further, That of the funds appropriated under this 
heading in this Act, not less than $200,000,000 shall be 
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transferred to, and merged with, funds made available for 
the Emergency Reserve Fund established pursuant to sec-
tion 7058(c)(1) of the Department of State, Foreign Oper-
ations, and Related Programs Appropriations Act, 2017 
(division J of Public Law 115–31): Provided further, That 
funds made available pursuant to the previous proviso 
shall be made available under the terms and conditions 
of such section, as amended: Provided further, That such 
amount is designated by the Congress as being for an 
emergency 
requirement 
pursuant 
to 
section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
INTERNATIONAL DISASTER ASSISTANCE 
For an additional amount for ‘‘International Disaster 
Assistance’’, $300,000,000, to remain available until ex-
pended, for necessary expenses to prevent, prepare for, 
and respond to coronavirus: Provided, That such amount 
is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 
1985. 
ECONOMIC SUPPORT FUND 
For an additional amount for ‘‘Economic Support 
Fund’’, $250,000,000, to remain available until Sep-
tember 30, 2022, for necessary expenses to prevent, pre-
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pare for, and respond to coronavirus, including to address 
related economic, security, and stabilization requirements: 
Provided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
GENERAL PROVISIONS—THIS TITLE 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 401. Funds appropriated by this title shall only 
be made available for obligation subject to the regular no-
tification procedures of the Committees on Appropriations 
of the House of Representatives and the Senate: Provided, 
That the requirement of this section shall not apply to 
funds appropriated by this title under the heading ‘‘Inter-
national Disaster Assistance’’. 
SEC. 402. (a) Funds appropriated by this title under 
the heading ‘‘Diplomatic Programs’’ may be transferred 
to, and merged with, funds available under the ‘‘Consular 
and Border Security Programs’’ account to maintain con-
sular operations impacted by coronavirus. 
(b) Of the funds appropriated by this title under the 
heading ‘‘Economic Support Fund’’, up to $7,000,000 
may be transferred to, and merged with, funds appro-
priated under the heading ‘‘Operating Expenses’’ in Acts 
making appropriations for the Department of State, for-
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eign operations, and related programs to prevent, prepare 
for, and respond to coronavirus. 
(c) Funds appropriated by this title under the head-
ings ‘‘Global Health Programs’’, ‘‘International Disaster 
Assistance’’, and ‘‘Economic Support Fund’’ may be 
transferred to, and merged with, funds appropriated by 
this title under such headings to prevent, prepare for, and 
respond to coronavirus. 
(d) The transfer authorities of this section are in ad-
dition to any other transfer authority provided by law. 
(e) Upon a determination that all or part of the funds 
transferred pursuant to the authorities provided by this 
section are not necessary for such purposes, such amounts 
may be transferred back to such appropriations. 
(f) No funds shall be transferred pursuant to this sec-
tion unless at least 5 days prior to making such transfer 
the Secretary of State or the Administrator of the United 
States Agency for International Development, as appro-
priate, notifies the Committees on Appropriations of the 
House of Representatives and the Senate in writing of the 
details of any such transfer. 
SEC. 403. Paragraph (6)(B) under the heading ‘‘Ad-
ministration of Foreign Affairs, Diplomatic Programs’’ of 
the Department of State, Foreign Operations, and Related 
Programs Appropriations Act, 2020 (division G of Public 
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Law 116–94) is amended by striking ‘‘, not to exceed 
$10,000,000’’ and inserting in lieu thereof ‘‘for Worldwide 
Security Protection, not to exceed $100,000,000’’ and by 
adding the following before the period at the end: ‘‘: Pro-
vided, That no amounts may be transferred from amounts 
that were designated by the Congress for Overseas Contin-
gency Operations/Global War on Terrorism pursuant to 
the Concurrent Resolution on the Budget or the Balanced 
Budget and Emergency Deficit Control Act of 1985’’: Pro-
vided, That the exercise of the authority provided by such 
paragraph shall be subject to prior consultation with the 
Committees on Appropriations of the House of Represent-
atives and the Senate. 
SEC. 404. Funds appropriated by this title under the 
headings ‘‘Global Health Programs’’ and ‘‘Economic Sup-
port Fund’’ may be made available as contributions to 
international organizations to prevent, prepare for, and re-
spond to coronavirus, following consultation with the Com-
mittees on Appropriations of the House of Representatives 
and the Senate. 
SEC. 405. Funds appropriated by this title under the 
headings ‘‘Diplomatic Programs’’, ‘‘Global Health Pro-
grams’’, ‘‘International Disaster Assistance’’, and ‘‘Eco-
nomic Support Fund’’ may be used to reimburse accounts 
administered by the Department of State and the United 
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States Agency for International Development for obliga-
tions incurred to prevent, prepare for, and respond to 
coronavirus prior to the date of enactment of this Act: 
Provided, That this section shall not apply to obligations 
incurred by the Emergency Reserve Fund, established 
pursuant to section 7058(c)(1) of the Department of 
State, Foreign Operations, and Related Programs Appro-
priations Act, 2017 (division J of Public Law 115–31). 
SEC. 406. (a) STRATEGY.—Not later than 15 days 
after the date of enactment of this Act, the Secretary of 
State and the Administrator of the United States Agency 
for International Development, following consultation with 
the heads of other relevant Federal agencies, shall jointly 
submit to the Committees on Appropriations of the House 
of Representatives and the Senate a strategy to prevent, 
prepare for, and respond to coronavirus abroad. 
(b) REPORTING REQUIREMENT.—Not later than 30 
days after enactment of this Act, the Secretary of State 
and the Administrator of the United States Agency for 
International Development shall jointly submit to the 
Committees on Appropriations of the House of Represent-
atives and the Senate a report on the proposed uses of 
funds appropriated by this title on a country and project 
basis: Provided, That such report shall be updated and 
submitted to such Committees every 60 days thereafter 
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until September 30, 2022, and every 180 days thereafter 
until all funds have been expended, and shall include infor-
mation detailing how estimates and assumptions contained 
in previous reports have changed, including obligations 
and expenditures on a country and project basis. 
TITLE V 
GENERAL PROVISIONS—THIS ACT 
SEC. 501. Each amount appropriated or made avail-
able by this Act is in addition to amounts otherwise appro-
priated for the fiscal year involved. 
SEC. 502. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 503. Unless otherwise provided for by this Act, 
the additional amounts appropriated by this Act to appro-
priations accounts shall be available under the authorities 
and conditions applicable to such appropriations accounts 
for fiscal year 2020. 
SEC. 504. (a) Subject to subsection (b), and notwith-
standing any other provision of law, funds made available 
in this Act, or transferred pursuant to authorization 
granted in this Act, may only be used to prevent, prepare 
for, and respond to coronavirus. 
(b) Subsection (a) shall not apply to section 301(c) 
of this Act, or to reimbursements made pursuant to au-
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thority in this Act, or to funds made available in this Act 
for the Emergency Reserve Fund, established pursuant to 
section 7058(c)(1) of division J of Public Law 115–31, 
or to funds made available in this Act for the Infectious 
Diseases Rapid Response Reserve Fund, established pur-
suant to section 231 of division B of Public Law 115– 
245. 
SEC. 505. Not later than 60 days after the date of 
enactment of this Act, the Comptroller General of the 
United States shall consult with the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate on oversight of activities supported with funds appro-
priated by this Act. 
SEC. 506. In this Act, the term ‘‘coronavirus’’ means 
SARS–CoV–2 or another coronavirus with pandemic po-
tential. 
SEC. 507. Each amount designated in this Act by the 
Congress as being for an emergency requirement pursuant 
to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985 shall be available 
(or rescinded or transferred, if applicable) only if the 
President subsequently so designates all such amounts 
and transmits such designations to the Congress. 
SEC. 508. Any amount appropriated by this Act, des-
ignated by the Congress as an emergency requirement 
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pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-
et and Emergency Deficit Control Act of 1985 and subse-
quently so designated by the President, and transferred 
pursuant to transfer authorities provided by this Act shall 
retain such designation. 
This division may be cited as the ‘‘Coronavirus Pre-
paredness and Response Supplemental Appropriations 
Act, 2020’’. 
DIVISION 
B—TELEHEALTH 
SERVICES DURING CERTAIN 
EMERGENCY PERIODS 
SEC. 101. SHORT TITLE. 
This division may be cited as the ‘‘Telehealth Services 
During Certain Emergency Periods Act of 2020’’. 
SEC. 102. SECRETARIAL AUTHORITY TO TEMPORARILY 
WAIVE OR MODIFY APPLICATION OF CER-
TAIN MEDICARE REQUIREMENTS WITH RE-
SPECT 
TO 
TELEHEALTH 
SERVICES 
FUR-
NISHED DURING CERTAIN EMERGENCY PERI-
ODS. 
(a) IN GENERAL.— 
(1) WAIVER AUTHORITY.—The first sentence of 
section 1135(b) of the Social Security Act (42 
U.S.C. 1320b–5(b)) is amended— 
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(A) in paragraph (6), by striking ‘‘and’’ at 
the end; 
(B) in paragraph (7), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (7) the 
following new paragraph: 
‘‘(8) in the case of a telehealth service (as de-
fined in paragraph (4)(F) of section 1834(m)) fur-
nished in any emergency area (or portion of such an 
area) during any portion of any emergency period to 
an individual by a qualified provider (as defined in 
subsection (g)(3))— 
‘‘(A) the requirements of paragraph (4)(C) 
of such section, except that a facility fee under 
paragraph (2)(B)(i) of such section may only be 
paid to an originating site that is a site de-
scribed in any of subclauses (I) through (IX) of 
paragraph (4)(C)(ii) of such section; and 
‘‘(B) the restriction on use of a telephone 
described in the second sentence of section 
410.78(a)(3) of title 42, Code of Federal Regu-
lations (or a successor regulation), but only if 
such telephone has audio and video capabilities 
that are used for two-way, real-time interactive 
communication.’’. 
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(2) DEFINITION
OF
QUALIFIED
PROVIDER.— 
Section 1135(g) of the Social Security Act (42 
U.S.C. 1320b–5(g)) is amended by adding at the 
end the following new paragraph: 
‘‘(3) QUALIFIED PROVIDER.—The term ‘quali-
fied provider’ means, with respect a telehealth serv-
ice (as defined in paragraph (4)(F) of section 
1834(m)) furnished to an individual, a physician or 
practitioner (as defined in paragraph (4)(D) or 
(4)(E), respectively, of such section) who— 
‘‘(A) furnished to such individual an item 
or service for which payment was made under 
title XVIII during the 3-year period ending on 
the date such telehealth service was furnished; 
or 
‘‘(B) is in the same practice (as deter-
mined by tax identification number) of a physi-
cian or practitioner (as so defined) who fur-
nished such an item or service to such indi-
vidual during such period.’’. 
(3) 
IMPLEMENTATION.—The 
Secretary 
of 
Health and Human Services may implement the 
amendments made by this subsection by program in-
struction or otherwise. 
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