II 
Calendar No. 10 
117TH CONGRESS 
1ST SESSION H. R. 1319 
IN THE SENATE OF THE UNITED STATES 
MARCH 2 (legislative day, MARCH 1), 2021 
Received; read the first time 
MARCH 2, 2021 
Read the second time and placed on the calendar 
AN ACT 
To provide for reconciliation pursuant to title II of S. Con. 
Res. 5. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘American Rescue Plan 
Act of 2021’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents for this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
TITLE I—COMMITTEE ON AGRICULTURE 
Subtitle A—Agriculture 
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CHAPTER 5—INDIAN HEALTH 
Sec. 3041. Funding for Indian health. 
CHAPTER 6—MENTAL HEALTH AND SUBSTANCE USE DISORDER 
Sec. 3051. Funding for block grants for community mental health services. 
Sec. 3052. Funding for block grants for prevention and treatment of substance 
abuse. 
Sec. 3053. Funding for mental and behavioral health training for health care 
professionals, paraprofessionals, and public safety officers. 
Sec. 3054. Funding for education and awareness campaign encouraging healthy 
work conditions and use of mental and behavioral health serv-
ices by health care professionals. 
Sec. 3055. Funding for grants for health care providers to promote mental and 
behavioral health among their health professional workforce. 
Sec. 3056. Funding for community-based funding for local substance use dis-
order services. 
Sec. 3057. Funding for community-based funding for local behavioral health 
needs. 
Sec. 3058. Funding for the National Child Traumatic Stress Network. 
Sec. 3059. Funding for Project AWARE. 
Sec. 3059A. Funding for youth suicide prevention. 
Sec. 3059B. Funding for behavioral health workforce education and training. 
CHAPTER 7—EXCHANGE GRANT PROGRAM 
Sec. 3061. Establishing a grant program for Exchange modernization. 
Subtitle B—Medicaid 
Sec. 3101. Mandatory coverage of COVID–19 vaccines and administration and 
treatment under Medicaid. 
Sec. 3102. Modifications to certain coverage under Medicaid for pregnant and 
postpartum women. 
Sec. 3103. State Option to Provide Qualifying Community-Based Mobile Crisis 
Intervention Services. 
Sec. 3104. Temporary increase in FMAP for medical assistance under State 
Medicaid plans which begin to expend amounts for certain 
mandatory individuals. 
Sec. 3105. Extension of 100 percent Federal medical assistance percentage to 
Urban Indian Health Organizations and Native Hawaiian 
Health Care Systems. 
Sec. 3106. Sunset of limit on maximum rebate amount for single source drugs 
and innovator multiple source drugs. 
Sec. 3107. Additional support for Medicaid home and community-based services 
during the COVID–19 emergency. 
Sec. 3108. Funding for State strike teams for resident and employee safety in 
nursing facilities. 
Sec. 3109. Special Rule for the Period of a Declared Public Health Emergency 
Related to Coronavirus. 
Subtitle C—Children’s Health Insurance Program 
Sec. 3201. Mandatory coverage of COVID–19 vaccines and administration and 
treatment under CHIP. 
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Sec. 3202. Modifications to certain coverage under CHIP for pregnant and 
postpartum women. 
Subtitle D—Other Provisions 
CHAPTER 1—ENSURING ENVIRONMENTAL HEALTH AND RATEPAYER 
PROTECTION DURING THE PANDEMIC 
Sec. 3301. Funding for pollution and disparate impacts of the COVID–19 pan-
demic. 
Sec. 3302. Funding for LIHEAP. 
Sec. 3303. Funding for water assistance program. 
CHAPTER 2—DISTANCE LEARNING AND CONSUMER PROTECTION DURING 
THE COVID–19 PANDEMIC 
Sec. 3311. Funding for consumer product safety fund to protect consumers 
from potentially dangerous products related to COVID–19. 
Sec. 3312. Funding for E-Rate support for emergency educational connections 
and devices. 
CHAPTER 3—OVERSIGHT OF DEPARTMENT OF COMMERCE PREVENTION AND 
RESPONSE TO COVID–19 
Sec. 3321. Funding for Department of Commerce Inspector General. 
TITLE IV—COMMITTEE ON FINANCIAL SERVICES 
Subtitle A—Defense Production Act of 1950 
Sec. 4001. COVID–19 emergency medical supplies enhancement. 
Subtitle B—Housing Provisions 
Sec. 4101. Emergency rental assistance. 
Sec. 4102. Emergency housing vouchers. 
Sec. 4103. Emergency assistance for rural housing. 
Sec. 4104. Housing assistance and supportive services programs for Native 
Americans. 
Sec. 4105. Housing counseling. 
Sec. 4106. Homelessness assistance and supportive services program. 
Sec. 4107. Homeowner Assistance Fund. 
Sec. 4108. Relief measures for section 502 and 504 direct loan borrowers. 
Sec. 4109. Fair housing activities. 
Subtitle C—Small Business (SSBCI) 
Sec. 4201. State Small Business Credit Initiative. 
Subtitle D—Airlines 
Sec. 4301. Air Transportation Payroll Support Program Extension. 
TITLE V—COMMITTEE ON OVERSIGHT AND REFORM 
Subtitle A—Coronavirus State and Local Fiscal Recovery Funds 
Sec. 5001. Coronavirus State and Local Fiscal Recovery Funds. 
Subtitle B—Other Matters 
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Sec. 5111. Emergency Federal Employee Leave Fund. 
Sec. 5112. Funding for the Government Accountability Office. 
Sec. 5113. Pandemic Response Accountability Committee funding availability. 
Sec. 5114. Funding for the White House. 
TITLE VI—COMMITTEE ON SMALL BUSINESS 
Sec. 6001. Modifications to paycheck protection program. 
Sec. 6002. Targeted EIDL advance. 
Sec. 6003. Support for restaurants. 
Sec. 6004. Community navigator pilot program. 
Sec. 6005. Shuttered venue operators. 
Sec. 6006. Direct appropriations. 
TITLE VII—COMMITTEE ON TRANSPORTATION AND 
INFRASTRUCTURE 
Subtitle A—Transportation and Infrastructure 
Sec. 7001. Federal Emergency Management Agency appropriation. 
Sec. 7002. Funeral assistance. 
Sec. 7003. Economic adjustment assistance. 
Sec. 7004. Great Lakes St. Lawrence Seaway Development Corporation oper-
ations and maintenance. 
Sec. 7005. Grants to the National Railroad Passenger Corporation. 
Sec. 7006. Federal Transit Administration grants. 
Sec. 7007. Relief for airports. 
Sec. 7008. Emergency FAA Employee Leave Fund. 
Subtitle B—Aviation Manufacturing Jobs Protection 
Sec. 7101. Definitions. 
Sec. 7102. Payroll support program. 
Subtitle C—Continued Assistance to Rail Workers 
Sec. 7201. Additional enhanced benefits under the Railroad Unemployment In-
surance Act. 
Sec. 7202. Extended unemployment benefits under the Railroad Unemployment 
Insurance Act. 
Sec. 7203. Extension of waiver of the 7-day waiting period for benefits under 
the Railroad Unemployment Insurance Act. 
Sec. 7204. Railroad Retirement Board and Office of the Inspector General 
funding. 
TITLE VIII—COMMITTEE ON VETERANS’ AFFAIRS 
Sec. 8001. Funding for claims and appeals processing. 
Sec. 8002. Funding availability for medical care and health needs. 
Sec. 8003. Funding for supply chain modernization. 
Sec. 8004. Funding for state homes. 
Sec. 8005. Funding for the Department of Veterans Affairs office of inspector 
general. 
Sec. 8006. Covid–19 veteran rapid retraining assistance program. 
Sec. 8007. Prohibition on copayments and cost sharing for veterans during 
emergency relating to COVID–19. 
Sec. 8008. Emergency Department of Veterans Affairs Employee Leave Fund. 
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TITLE IX—COMMITTEE ON WAYS AND MEANS 
Subtitle A—Crisis Support for Unemployed Workers 
PART 1—EXTENSION OF CARES ACT UNEMPLOYMENT PROVISIONS 
Sec. 9011. Extension of pandemic unemployment assistance. 
Sec. 9012. Extension of emergency unemployment relief for governmental enti-
ties and nonprofit organizations. 
Sec. 9013. Extension of Federal Pandemic Unemployment Compensation. 
Sec. 9014. Extension of full Federal funding of the first week of compensable 
regular unemployment for States with no waiting week. 
Sec. 9015. Extension of emergency State staffing flexibility. 
Sec. 9016. Extension of Pandemic Emergency Unemployment Compensation. 
Sec. 9017. Extension of temporary financing of short-time compensation pay-
ments in States with programs in law. 
Sec. 9018. Extension of temporary financing of short-time compensation agree-
ments for States without programs in law. 
PART 2—EXTENSION OF FFCRA UNEMPLOYMENT PROVISIONS 
Sec. 9021. Extension of temporary assistance for States with advances. 
Sec. 9022. Extension of full Federal funding of extended unemployment com-
pensation. 
PART 3—DEPARTMENT OF LABOR FUNDING FOR TIMELY, ACCURATE, AND 
EQUITABLE PAYMENT 
Sec. 9031. Funding for administration. 
Sec. 9032. Funding for fraud prevention, equitable access, and timely payment 
to eligible workers. 
Subtitle B—Emergency Assistance to Families Through Home Visiting 
Programs 
Sec. 9101. Emergency assistance to families through home visiting programs. 
Subtitle C—Emergency Assistance to Children and Families 
Sec. 9201. Pandemic Emergency Assistance. 
Subtitle D—Elder Justice and Support Guarantee 
Sec. 9301. Additional funding for aging and disability services programs. 
Subtitle E—Support to Skilled Nursing Facilities in Response to COVID–19 
Sec. 9401. Providing for infection control support to skilled nursing facilities 
through contracts with quality improvement organizations. 
Sec. 9402. Funding for strike teams for resident and employee safety in skilled 
nursing facilities. 
Subtitle F—Preserving Health Benefits for Workers 
Sec. 9501. Preserving health benefits for workers. 
Subtitle G—Promoting Economic Security 
PART 1—2021 RECOVERY REBATES TO INDIVIDUALS 
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Sec. 9601. 2021 recovery rebates to individuals. 
PART 2—CHILD TAX CREDIT 
Sec. 9611. Child tax credit improvements for 2021. 
Sec. 9612. Application of child tax credit in possessions. 
PART 3—EARNED INCOME TAX CREDIT 
Sec. 9621. Strengthening the earned income tax credit for individuals with no 
qualifying children. 
Sec. 9622. Taxpayer eligible for childless earned income credit in case of quali-
fying children who fail to meet certain identification require-
ments. 
Sec. 9623. Credit allowed in case of certain separated spouses. 
Sec. 9624. Modification of disqualified investment income test. 
Sec. 9625. Application of earned income tax credit in possessions of the United 
States. 
Sec. 9626. Temporary special rule for determining earned income for purposes 
of earned income tax credit. 
PART 4—DEPENDENT CARE ASSISTANCE 
Sec. 9631. Refundability and enhancement of child and dependent care tax 
credit. 
Sec. 9632. Increase in exclusion for employer-provided dependent care assist-
ance. 
PART 5—CREDITS FOR PAID SICK AND FAMILY LEAVE 
Sec. 9641. Payroll credits. 
Sec. 9642. Credit for sick leave for certain self-employed individuals. 
Sec. 9643. Credit for family leave for certain self-employed individuals. 
PART 6—EMPLOYEE RETENTION CREDIT 
Sec. 9651. Extension of employee retention credit. 
PART 7—PREMIUM TAX CREDIT 
Sec. 9661. Improving affordability by expanding premium assistance for con-
sumers. 
Sec. 9662. Temporary modification of limitations on reconciliation of tax cred-
its for coverage under a qualified health plan with advance pay-
ments of such credit. 
Sec. 9663. Application of premium tax credit in case of individuals receiving 
unemployment compensation during 2021. 
PART 8—MISCELLANEOUS PROVISIONS 
Sec. 9671. Repeal of election to allocate interest, etc. on worldwide basis. 
Sec. 9672. Tax treatment of targeted EIDL advances. 
Sec. 9673. Tax treatment of restaurant revitalization grants. 
Sec. 9674. Modification of exceptions for reporting of third party network 
transactions. 
Subtitle H—Pensions 
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(3) SOCIALLY
DISADVANTAGED
FARMER
OR 
RANCHER.—The term ‘‘socially disadvantaged farm-
er or rancher’’ has the meaning given the term in 
section 2501(a) of the Food, Agriculture, Conserva-
tion, and Trade Act of 1990 (7 U.S.C. 2279(a)). 
SEC. 1006. USDA ASSISTANCE AND SUPPORT FOR SOCIALLY 
DISADVANTAGED FARMERS, RANCHERS, FOR-
EST LAND OWNERS AND OPERATORS, AND 
GROUPS. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Secretary of 
Agriculture for fiscal year 2021, out of any money in the 
Treasury not otherwise appropriated, $1,010,000,000, to 
remain available until expended, to carry out this section. 
(b) ASSISTANCE.—The Secretary of Agriculture shall 
use the amounts made available pursuant to subsection 
(a)— 
(1) to provide outreach, mediation, financial 
training, capacity building training, cooperative de-
velopment training and support, and other technical 
assistance on issues concerning food, agriculture, ag-
ricultural credit, agricultural extension, rural devel-
opment, or nutrition to socially disadvantaged farm-
ers, ranchers, or forest landowners, or other mem-
bers of socially disadvantaged groups; 
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(2) to provide grants and loans to improve land 
access for socially disadvantaged farmers, ranchers, 
or forest landowners, including issues related to 
heirs’ property in a manner as determined by the 
Secretary; 
(3) to support the development of agricultural 
credit institutions that are designed to serve socially 
disadvantaged groups, including other financing in-
stitutions funded by the Farm Credit System; 
(4) to support the activities of one or more eq-
uity commissions that will address racial equity 
issues within the Department of Agriculture and its 
programs; 
(5) to support the development of one or more 
legal centers focused on agricultural legal issues of 
socially disadvantaged farmers, ranchers, or forest 
landowners or other members of socially disadvan-
taged groups; 
(6) to support and supplement agricultural re-
search, education, and extension, as well as scholar-
ships and programs that provide internships and 
pathways to Federal employment, at— 
(A) colleges or universities eligible to re-
ceive funds under the Act of August 30, 1890 
(commonly known as the ‘‘Second Morrill Act’’) 
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(7 U.S.C. 321 et seq.), including Tuskegee Uni-
versity; 
(B) 1994 Institutions (as defined in sec-
tion 532 of the Equity in Educational Land- 
Grant Status Act of 1994 (7 U.S.C. 301 note; 
Public Law 103–382)); 
(C) Alaska Native serving institutions and 
Native Hawaiian serving institutions eligible to 
receive grants under subsections (a) and (b), re-
spectively, of section 1419B of the National Ag-
ricultural Research, Extension, and Teaching 
Policy Act of 1977 (7 U.S.C. 3156); 
(D) Hispanic-serving institutions eligible to 
receive grants under section 1455 of the Na-
tional Agricultural Research, Extension, and 
Teaching Policy Act of 1977 (7 U.S.C. 3241); 
and 
(E) the insular area institutions of higher 
education located in the territories of the 
United States, as referred to in section 1489 of 
the National Agricultural Research, Extension, 
and Teaching Policy Act of 1977 (7 U.S.C. 
3361); 
(7) to provide assistance to socially disadvan-
taged farmers, ranchers, or forest landowners that 
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are former farm loan borrowers that suffered related 
adverse actions or past discrimination or bias in De-
partment of Agriculture programs, as determined by 
the Secretary; and 
(8) to establish pilot projects that focus on land 
acquisition, financial planning, and credit by pro-
viding technical and financial assistance related to 
agricultural production or timber production on non-
industrial private forest land to socially disadvan-
taged farmers, ranchers, or forest landowners, or 
other members of socially disadvantaged groups. 
(c) DEFINITIONS.—In this section: 
(1) NONINDUSTRIAL PRIVATE FOREST LAND.— 
The term ‘‘nonindustrial private forest land’’ has the 
meaning given the term in section 1201(a)(18) of 
the Food Security Act of 1985 (16 U.S.C. 
3801(a)(18)). 
(2) 
SOCIALLY
DISADVANTAGED
FARMER, 
RANCHER, OR FOREST LANDOWNER.—The term ‘‘so-
cially disadvantaged farmer, rancher, or forest land-
owner’’ means a farmer, rancher, or owner or oper-
ator of nonindustrial private forest land who is a 
member of a socially disadvantaged group. 
(3) SOCIALLY
DISADVANTAGED
GROUP.—The 
term ‘‘socially disadvantaged group’’ has the mean-
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ing given the term in section 2501(a) of the Food, 
Agriculture, Conservation, and Trade Act of 1990 (7 
U.S.C. 2279(a)). 
SEC. 1007. USE OF THE COMMODITY CREDIT CORPORATION 
FOR COMMODITIES AND ASSOCIATED EX-
PENSES. 
In addition to amounts otherwise made available, 
there are appropriated for fiscal year 2021, out of any 
money in the Treasury not otherwise appropriated, 
$800,000,000, to remain available until September 30, 
2022, to use the Commodity Credit Corporation to acquire 
and make available commodities under section 406(b) of 
the Food for Peace Act (7 U.S.C. 1736(b)) and for ex-
penses under such section. 
Subtitle B—Nutrition 
SEC. 1101. SUPPLEMENTAL NUTRITION ASSISTANCE PRO-
GRAM. 
(a) VALUE OF BENEFITS.—Section 702(a) of division 
N of the Consolidated Appropriations Act, 2021 (Public 
Law 116–260) is amended by striking ‘‘June 30, 2021’’ 
and inserting ‘‘September 30, 2021’’. 
(b) SNAP ADMINISTRATIVE EXPENSES.—In addition 
to amounts otherwise available, there is hereby appro-
priated for fiscal year 2021, out of any amounts in the 
Treasury not otherwise appropriated, $1,150,000,000, to 
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remain available until September 30, 2023, with amounts 
to be obligated for each of fiscal years 2021, 2022, and 
2023, for the costs of State administrative expenses asso-
ciated with carrying out this section and administering the 
supplemental nutrition assistance program established 
under the Food and Nutrition Act of 2008 (7 U.S.C. 2011 
et seq.), of which— 
(1) $15,000,000 shall be for necessary expenses 
of the Secretary of Agriculture (in this section re-
ferred to as the ‘‘Secretary’’) for management and 
oversight of the program; and 
(2) $1,135,000,000 shall be for the Secretary to 
make grants to each State agency for each of fiscal 
years 2021 through 2023 as follows: 
(A) 75 percent of the amounts available 
shall be allocated to States based on the share 
of each State of households that participate in 
the supplemental nutrition assistance program 
as reported to the Department of Agriculture 
for the most recent 12-month period for which 
data are available, adjusted by the Secretary 
(as of the date of the enactment of this Act) for 
participation in disaster programs under section 
5(h) of the Food and Nutrition Act of 2008 (7 
U.S.C. 2014(h)); and 
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(B) 25 percent of the amounts available 
shall be allocated to States based on the in-
crease in the number of households that partici-
pate in the supplemental nutrition assistance 
program as reported to the Department of Ag-
riculture over the most recent 12-month period 
for which data are available, adjusted by the 
Secretary (as of the date of the enactment of 
this Act) for participation in disaster programs 
under section 5(h) of the Food and Nutrition 
Act of 2008 (7 U.S.C. 2014(h)). 
SEC. 1102. ADDITIONAL ASSISTANCE FOR SNAP ONLINE 
PURCHASING AND TECHNOLOGY IMPROVE-
MENTS. 
(a) FUNDING.—In addition to amounts otherwise 
made available, there is appropriated for fiscal year 2021, 
out of any amounts in the Treasury not otherwise appro-
priated, $25,000,000 to remain available through Sep-
tember 30, 2026, to carry out this section. 
(b) USE OF FUNDS.—The Secretary of Agriculture 
may use the amounts made available pursuant to sub-
section (a)— 
(1) to make technological improvements to im-
prove online purchasing in the supplemental nutri-
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tion assistance program established under the Food 
and Nutrition Act of 2008 (7 U.S.C. 2011 et seq.); 
(2) to modernize electronic benefit transfer 
technology; 
(3) to support the mobile technologies dem-
onstration projects and the use of mobile tech-
nologies authorized under section 7(h)(14) of the 
Food and Nutrition Act of 2008 (7 U.S.C. 
2016(h)(14)); and 
(4) to provide technical assistance to educate 
retailers on the process and technical requirements 
for the online acceptance of the supplemental nutri-
tion assistance program benefits, for mobile pay-
ments, and for electronic benefit transfer moderniza-
tion initiatives. 
SEC. 1103. ADDITIONAL FUNDING FOR NUTRITION ASSIST-
ANCE PROGRAMS. 
Section 704 of division N of the Consolidated Appro-
priations Act, 2021 (Public Law 116–260) is amended— 
(1) by striking ‘‘In addition’’ and inserting the 
following: 
‘‘(a) COVID–19 RESPONSE FUNDING.—In addi-
tion’’; and 
(2) by adding at the end the following— 
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‘‘(b) ADDITIONAL FUNDING.—In addition to any 
other funds made available, there is appropriated for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $1,000,000,000 to remain available until 
September 30, 2027, for the Secretary of Agriculture to 
provide grants to the Commonwealth of Northern Mariana 
Islands, Puerto Rico, and American Samoa for nutrition 
assistance, of which $30,000,000 shall be available to pro-
vide grants to the Commonwealth of Northern Mariana 
Islands for such assistance.’’. 
SEC. 1104. COMMODITY SUPPLEMENTAL FOOD PROGRAM. 
In addition to amounts otherwise made available, 
there is appropriated for fiscal year 2021, out of any 
money in the Treasury not otherwise appropriated, 
$37,000,000, to remain available until September 30, 
2022, for activities authorized by section 4(a) of the Agri-
culture and Consumer Protection Act of 1973 (7 U.S.C. 
612c note). 
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TITLE II—COMMITTEE ON 
EDUCATION AND LABOR 
Subtitle A—Education Matters 
PART 1—DEPARTMENT OF EDUCATION 
SEC. 2001. ELEMENTARY AND SECONDARY SCHOOL EMER-
GENCY RELIEF FUND. 
(a) IN GENERAL.—In addition to amounts otherwise 
available through the Education Stabilization Fund, there 
is appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $128,554,800,000, to remain available 
through September 30, 2023, to carry out this section. 
(b) GRANTS.—From funds provided under subsection 
(a), the Secretary shall make grants to each State edu-
cational agency in accordance with this section. 
(c) ALLOCATIONS TO STATES.—The amount of each 
grant under subsection (b) shall be allocated by the Sec-
retary to each State in the same proportion as each State 
received under part A of title I of the Elementary and 
Secondary Education Act of 1965 in the most recent fiscal 
year. 
(d) SUBGRANTS
TO LOCAL EDUCATIONAL AGEN-
CIES.—Each State shall allocate not less than 90 percent 
of the grant funds awarded to the State under this section 
as subgrants to local educational agencies (including char-
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ter schools that are local educational agencies) in the State 
in proportion to the amount of funds such local edu-
cational agencies and charter schools that are local edu-
cational agencies received under part A of title I of the 
Elementary and Secondary Education Act of 1965 in the 
most recent fiscal year. 
(e) USES OF FUNDS.—A local educational agency 
that receives funds under this section— 
(1) shall reserve not less than 20 percent of 
such funds to address learning loss through the im-
plementation of evidence-based interventions, such 
as summer learning, extended day, comprehensive 
afterschool programs, or extended school year pro-
grams, and ensure that such interventions respond 
to students’ academic, social, and emotional needs 
and address the disproportionate impact of the 
coronavirus on the student subgroups described in 
section 1111(b)(2)(xi) of the Elementary and Sec-
ondary 
Education 
Act 
of 
1965 
(20 
U.S.C. 
6311(b)(2)(xi)), students experiencing homelessness, 
and children and youth in foster care; and 
(2) shall use the remaining funds for any of the 
following: 
(A) Any activity authorized by the Elemen-
tary and Secondary Education Act of 1965. 
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(B) Any activity authorized by the Individ-
uals with Disabilities Education Act. 
(C) Any activity authorized by the Adult 
Education and Family Literacy Act. 
(D) Any activity authorized by the Carl D. 
Perkins Career and Technical Education Act of 
2006. 
(E) Coordination of preparedness and re-
sponse efforts of local educational agencies with 
State, local, Tribal, and territorial public health 
departments, and other relevant agencies, to 
improve coordinated responses among such enti-
ties to prevent, prepare for, and respond to 
coronavirus. 
(F) Providing principals and others school 
leaders with the resources necessary to address 
the needs of their individual schools. 
(G) Activities to address the unique needs 
of low-income children or students, children 
with disabilities, English learners, racial and 
ethnic minorities, students experiencing home-
lessness, and foster care youth, including how 
outreach and service delivery will meet the 
needs of each population. 
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(H) Developing and implementing proce-
dures and systems to improve the preparedness 
and response efforts of local educational agen-
cies. 
(I) Training and professional development 
for staff of the local educational agency on sani-
tation and minimizing the spread of infectious 
diseases. 
(J) Purchasing supplies to sanitize and 
clean the facilities of a local educational agency, 
including buildings operated by such agency. 
(K) Planning for, coordinating, and imple-
menting activities during long-term closures, in-
cluding providing meals to eligible students, 
providing technology for online learning to all 
students, providing guidance for carrying out 
requirements under the IDEA and ensuring 
other educational services can continue to be 
provided consistent with all Federal, State, and 
local requirements. 
(L) Purchasing educational technology (in-
cluding hardware, software, and connectivity) 
for students who are served by the local edu-
cational agency that aids in regular and sub-
stantive educational interaction between stu-
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dents and their classroom instructors, including 
low-income students and children with disabil-
ities, which may include assistive technology or 
adaptive equipment. 
(M) Providing mental health services and 
supports. 
(N) Planning and implementing activities 
related to summer learning and supplemental 
afterschool programs, including providing class-
room instruction or online learning during the 
summer months and addressing the needs of 
low-income students, children with disabilities, 
English learners, migrant students, students ex-
periencing homelessness, and children in foster 
care. 
(O) Addressing learning loss among stu-
dents, including low-income students, children 
with disabilities, English learners, racial and 
ethnic minorities, students experiencing home-
lessness, and children and youth in foster care, 
of the local educational agency, including by— 
(i) administering and using high-qual-
ity assessments that are valid and reliable, 
to accurately assess students’ academic 
progress and assist educators in meeting 
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students’ 
academic 
needs, 
including 
through differentiating instruction; 
(ii) implementing evidence-based ac-
tivities to meet the comprehensive needs of 
students; 
(iii) providing information and assist-
ance to parents and families on how they 
can effectively support students, including 
in a distance learning environment; and 
(iv) tracking student attendance and 
improving student engagement in distance 
education. 
(P) School facility repairs and improve-
ments to enable operation of schools to reduce 
risk of virus transmission and exposure to envi-
ronmental health hazards, and to support stu-
dent health needs. 
(Q) Inspection, testing, maintenance, re-
pair, replacement, and upgrade projects to im-
prove the indoor air quality in school facilities, 
including mechanical and non-mechanical heat-
ing, ventilation, and air conditioning systems, 
filtering, purification and other air cleaning, 
fans, control systems, and window and door re-
pair and replacement. 
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(R) Developing strategies and imple-
menting public health protocols including, to 
the greatest extent practicable, policies in line 
with guidance from the Centers for Disease 
Control and Prevention for the reopening and 
operation of school facilities to effectively main-
tain the health and safety of students, edu-
cators, and other staff. 
(S) Other activities that are necessary to 
maintain the operation of and continuity of 
services in local educational agencies and con-
tinuing to employ existing staff of the local edu-
cational agency. 
(f) STATE FUNDING.—With funds not otherwise allo-
cated under subsection (d), a State— 
(1) shall reserve not less than 5 percent of the 
total amount of grant funds awarded to the State 
under this section to carry out, directly or through 
grants or contracts, activities to address learning 
loss by supporting the implementation of evidence- 
based interventions, such as summer learning, ex-
tended day, comprehensive afterschool programs, or 
extended school year programs, and ensure that 
such interventions respond to students’ academic, 
social, and emotional needs and address the dis-
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proportionate impact of the coronavirus on the stu-
dent subgroups described in section 1111(b)(2)(xi) 
of the Elementary and Secondary Education Act of 
1965 (20 U.S.C. 6311(b)(2)(xi)), students experi-
encing homelessness, and children and youth in fos-
ter care, including by providing additional support to 
local educational agencies to fully address such im-
pacts; and 
(2) may reserve not more than one-half of 1 
percent of the total amount of grant funds awarded 
to the State under this section for administrative 
costs and the remainder for emergency needs as de-
termined by the state educational agency to address 
issues responding to coronavirus, which may be ad-
dressed through the use of grants or contracts. 
(g) EQUITABLE SERVICES.— 
(1) IN GENERAL.—In carrying out subsection 
(e)(1), a local educational agency shall provide equi-
table services in the same manner as provided under 
section 1117 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 6320) to students 
and teachers in non-public schools, as determined in 
consultation with representatives of non-public 
schools, except that the standards for a bypass (if 
needed because a local educational agency is prohib-
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ited by law from providing equitable services or has 
substantially failed or is unwilling to provide equi-
table services) shall be solely determined by the Sec-
retary. 
(2) PUBLIC CONTROL OF FUNDS.—Control of 
funds provided under subsection (e)(1), and title to 
materials, equipment, and property purchased with 
such funds, shall be in a public agency, and a public 
agency shall administer such funds, materials, equip-
ment, and property and shall provide such services 
(or may contract for the provision of such services 
with a public or private entity). 
(h) REPORT.—A State receiving funds under this sec-
tion shall submit a report to the Secretary, not later than 
6 months after receiving funding provided in this section, 
and every 6 months thereafter until such funds are obli-
gated, that provides a detailed accounting of the use of 
funds provided under this section, including by identifying 
the specific amounts used to carry out subsections (e)(1) 
and (f)(1) and a description of the specific activities car-
ried out under such subsections. 
(i) REALLOCATION.—A State shall return to the Sec-
retary any funds received under this section that the State 
does not award within 1 year of receiving such funds and 
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the Secretary shall reallocate such funds to the remaining 
States in accordance with subsection (c). 
(j) ESEA TERMS.—The terms ‘‘child’’, ‘‘children 
with disabilities’’, ‘‘distance education’’, ‘‘elementary 
school’’, ‘‘English learner’’, ‘‘evidence-based’’, ‘‘extended 
learning time’’, ‘‘secondary school’’, ‘‘local educational 
agency’’, ‘‘parent’’, ‘‘school leader’’, ‘‘Secretary’’, ‘‘State’’, 
‘‘state educational agency’’, and ‘‘technology’’ have the 
meanings given those terms in section 8101 of the Ele-
mentary and Secondary Education Act of 1965 (20 U.S.C. 
7801). 
SEC. 2002. HIGHER EDUCATION EMERGENCY RELIEF FUND. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $39,584,570,000, to remain available 
through September 30, 2023, for making allocations to in-
stitutions of higher education in accordance with the same 
terms and conditions of section 314 of Coronavirus Re-
sponse and Relief Supplemental Appropriations Act, 2021 
(division M of Public Law 116–260), except that— 
(1) subsection (a)(1) of such section 314 shall 
be applied by substituting ‘‘91 percent’’ for ‘‘89 per-
cent’’; 
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(2) subsection (a)(2) of such section 314 shall 
be applied— 
(A) in the matter preceding subparagraph 
(A), by substituting ‘‘under the heading ‘Higher 
Education’ in the Department of Education Ap-
propriations Act, 2020’’ for ‘‘in the Further 
Consolidated Appropriations Act, 2020 (Public 
Law 116–94)’’; and 
(B) in subparagraph (B), by substituting 
‘‘under the heading ‘Higher Education’ in the 
Department of Education Appropriations Act, 
2020’’ for ‘‘in the Further Consolidated Appro-
priations Act, 2020 (Public Law 116–94)’’; 
(3) an institution that receives an allocation ap-
portioned in accordance with clause (iii) of sub-
section (a)(2)(A) of such section 314 that has a 
total endowment size of less than $1,000,000 (in-
cluding an institution that does not have an endow-
ment) shall be treated by the Secretary as having a 
total endowment size of $1,000,000 for the purposes 
of such clause (iii); 
(4) subsection (a)(4) of such section 314 shall 
be applied by substituting ‘‘1 percent’’ for ‘‘3 per-
cent’’; 
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(5) except as provided in paragraphs (7) and 
(9) of subsection (d) of such section 314, an institu-
tion shall use a portion of funds received under this 
section to— 
(A) implement evidence-based practices to 
monitor and suppress coronavirus in accordance 
with public health guidelines; and 
(B) conduct direct outreach to financial 
aid applicants about the opportunity to receive 
a financial aid adjustment due to the recent un-
employment of a family member or independent 
student, or other circumstances, described in 
section 479A of the Higher Education Act of 
1965 (20 U.S.C. 1087tt); 
(6) the following shall not apply to funds pro-
vided or received in accordance with this section— 
(A) subsection (b) of such section 314; 
(B) paragraph (2) of subsection (c) of such 
section 314; 
(C) paragraphs (1), (2), (4), (5), (6), and 
(8) of subsection (d) of such section 314; 
(D) subsections (e) and (f) of such section 
314; and 
(E) section 316 of the Coronavirus Re-
sponse and Relief Supplemental Appropriations 
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Act, 2021 (division M of Public Law 116–260); 
and 
(7) an institution that receives an allocation 
under this section apportioned in accordance with 
subparagraphs (A) through (D) of subsection (a)(1) 
of such section 314 shall use not less than 50 per-
cent of such allocation to provide emergency finan-
cial aid grants to students in accordance with sub-
section (c)(3) of such section 314. 
SEC. 2003. MAINTENANCE OF EFFORT AND MAINTENANCE 
OF EQUITY. 
(a) STATE MAINTENANCE OF EFFORT.— 
(1) IN GENERAL.—As a condition of receiving 
funds under section 2001, a State shall maintain 
support for elementary and secondary education, 
and for higher education (which shall include State 
funding to institutions of higher education and State 
need-based financial aid, and shall not include sup-
port for capital projects or for research and develop-
ment or tuition and fees paid by students), in each 
of fiscal years 2022 and 2023 at least at the propor-
tional levels of such State’s support for elementary 
and secondary education and for higher education 
relative to such State’s overall spending, averaged 
over fiscal years 2017, 2018, and 2019. 
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(2) WAIVER.—For the purpose of relieving fis-
cal burdens incurred by States in preventing, pre-
paring for, and responding to the coronavirus, the 
Secretary of Education may waive any maintenance 
of effort requirements associated with the Education 
Stabilization Fund. 
(b) STATE MAINTENANCE OF EQUITY.— 
(1) HIGH-POVERTY LOCAL EDUCATIONAL AGEN-
CIES.—As a condition of receiving funds under sec-
tion 2001, a State educational agency shall not, in 
fiscal year 2022 or 2023, reduce State funding (cal-
culated on a per-pupil basis) for any high-poverty 
local educational agency in the State by an amount 
that exceeds the overall per-pupil reduction in State 
funds, if any, across all local educational agencies in 
such State in such fiscal year. 
(2) LOCAL
EDUCATIONAL
AGENCIES
WITH 
HIGHEST
SHARE
OF
ECONOMICALLY
DISADVAN-
TAGED STUDENT.—Notwithstanding paragraph (1), 
as a condition of receiving funds under section 2001, 
a State educational agency shall not, in fiscal year 
2022 or 2023, reduce State funding for any local 
educational agency that is part of the 20 percent of 
local educational agencies in the State with the high-
est percentage of economically disadvantaged stu-
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dents (based on the percentages of economically dis-
advantaged students served by all local educational 
agencies in the State on the basis of the most recent 
satisfactory data available from the Department of 
Commerce (or, for local educational agencies for 
which no such data is available, such other data as 
the Secretary of Education determines is satisfac-
tory)) below the level of funding provided to such 
local educational agencies in fiscal year 2019. 
(c) LOCAL EDUCATIONAL AGENCY MAINTENANCE OF 
EQUITY FOR HIGH-POVERTY SCHOOLS.—As a condition 
of receiving funds under section 2001, a local educational 
agency shall not, in fiscal year 2022 or 2023— 
(1) reduce per-pupil funding (from combined 
State and local funding) for any high-poverty school 
served by such local educational agency by an 
amount that exceeds— 
(A) the total reduction in local educational 
agency funding (from combined State and local 
funding) for all schools served by the local edu-
cational agency in such fiscal year (if any); di-
vided by 
(B) the number of children enrolled in all 
schools served by the local educational agency 
in such fiscal year; or 
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(2) reduce per-pupil, full-time equivalent staff 
in any high-poverty school by an amount that ex-
ceeds— 
(A) the total reduction in full-time equiva-
lent staff in all schools served by such local 
educational agency in such fiscal year (if any); 
divided by 
(B) the number of children enrolled in all 
schools served by the local educational agency 
in such fiscal year. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘high-poverty local educational 
agency’’ means, with respect to a local educational 
agency in a State, a local educational agency that 
serves a higher percentage of economically disadvan-
taged students than the local educational agency 
that serves the median percentage of economically 
disadvantaged students, based on the percentages of 
economically disadvantaged students served by all 
local educational agencies in such State, on the basis 
of the most recent satisfactory data available from 
the Department of Commerce (or, for local edu-
cational agencies for which no such data is available, 
such other data as the Secretary of Education deter-
mines is satisfactory). 
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(2) The term ‘‘high-poverty school’’ means, with 
respect to a school served by a local educational 
agency, a school that serves a higher percentage of 
economically disadvantaged students (as determined 
by any measure of poverty, as determined by the 
Secretary of Education), than the school that serves 
the median percentage of economically disadvan-
taged students based on the percentages of economi-
cally disadvantaged students— 
(A) at all schools served by such local edu-
cational agency; or 
(B) at all schools within each grade-span 
of such local educational agency. 
(3) The term ‘‘overall per-pupil reduction in 
State funds’’ means, with respect to a fiscal year— 
(A) the amount of any reduction in the 
total amount of State funds provided to all local 
educational agencies in the State in such fiscal 
year compared to the total amount of such 
funds provided to all local educational agencies 
in the State in the previous fiscal year; divided 
by 
(B) the aggregate number of children en-
rolled in all schools served by all local edu-
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cational agencies in the State in the fiscal year 
for which the determination is being made. 
SEC. 2004. OUTLYING AREAS. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $850,000,000, to remain available through 
September 30, 2023, for the Secretary of Education to 
allocate awards to the outlying areas on the basis of their 
respective needs, as determined by the Secretary, to be 
allocated not more than 30 calendar days after the date 
of enactment of this Act. 
SEC. 2005. BUREAU OF INDIAN EDUCATION. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Interior for fiscal year 
2021, out of any money in the Treasury not otherwise ap-
propriated, $850,000,000, to remain available until ex-
pended, for the Secretary of the Interior for awards, which 
awards shall be determined and funds for such awards al-
located by the Secretary of the Interior not more than 30 
calendar days after the date of enactment of this Act, for 
programs operated or funded by the Bureau of Indian 
Education, for Bureau-funded schools (as defined in sec-
tion 1141(3) of the Education Amendments of 1978 (25 
U.S.C. 2021(3)), and for Tribal Colleges or Universities 
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(as defined in section 316(b)(3) of the Higher Education 
Act of 1965 (20 U.S.C. 1059c(b)(3))). 
SEC. 2006. GALLAUDET UNIVERSITY. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $19,250,000, to remain available through 
September 30, 2023, for the Kendall Demonstration Ele-
mentary School, the Model Secondary School for the Deaf, 
and Gallaudet University to prevent, prepare for, and re-
spond to coronavirus, domestically or internationally, in-
cluding to defray expenses associated with coronavirus (in-
cluding lost revenue, reimbursement for expenses already 
incurred, technology costs associated with a transition to 
distance education, faculty and staff trainings, and pay-
roll) and to provide financial aid grants to students, which 
may be used for any component of the student’s cost of 
attendance. 
SEC. 2007. STUDENT AID ADMINISTRATION. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $91,130,000, to remain available through 
September 30, 2023, for Student Aid Administration with-
in the Department of Education to prevent, prepare for, 
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and respond to coronavirus including direct outreach to 
students and borrowers about financial aid, economic im-
pact payments, means-tested benefits, unemployment as-
sistance, and tax benefits, for which the students and bor-
rowers may be eligible. 
SEC. 2008. HOWARD UNIVERSITY. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $35,000,000, to remain available through 
September 30, 2023, for Howard University to prevent, 
prepare for, and respond to coronavirus, including to de-
fray expenses associated with coronavirus (including lost 
revenue, reimbursement for expenses already incurred, 
technology costs associated with a transition to distance 
education, faculty and staff trainings, and payroll) and to 
provide financial aid grants to students, which may be 
used for any component of the student’s cost of attend-
ance. 
SEC. 2009. NATIONAL TECHNICAL INSTITUTE FOR THE 
DEAF. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $19,250,000, to remain available through 
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September 30, 2023, for the National Technical Institute 
for the Deaf to prevent, prepare for, and respond to 
coronavirus, including to defray expenses associated with 
coronavirus (including lost revenue, reimbursement for ex-
penses already incurred, technology costs associated with 
a transition to distance education, faculty and staff train-
ing, and payroll) and to provide financial aid grants to 
students, which may be used for any component of the 
student’s cost of attendance. 
SEC. 2010. INSTITUTE OF EDUCATION SCIENCES. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $100,000,000, to remain available through 
September 30, 2023, for the Institute of Education 
Sciences to carry out research related to addressing learn-
ing loss caused by the coronavirus among the student sub-
groups described in section 1111(b)(2)(xi) of the Elemen-
tary and Secondary Education Act of 1965 (20 U.S.C. 
6311(b)(2)(xi)) and students experiencing homelessness 
and children and youth in foster care, and to disseminate 
such findings to State educational agencies and local edu-
cational agencies and other appropriate entities. 
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SEC. 2011. PROGRAM ADMINISTRATION. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $15,000,000, to remain available through 
September 30, 2024, for Program Administration within 
the Department of Education to prevent, prepare for, and 
respond to coronavirus, and for salaries and expenses nec-
essary to implement this part. 
SEC. 2012. OFFICE OF INSPECTOR GENERAL. 
In addition to amounts otherwise available, there is 
appropriated to the Department of Education for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $5,000,000, to remain available until ex-
pended, for the Office of Inspector General of the Depart-
ment of Education, for salaries and expenses necessary for 
oversight, investigations, and audits of programs, grants, 
and projects funded under this part carried out by the 
Office of Inspector General. 
SEC. 2013. MODIFICATION OF REVENUE REQUIREMENTS 
FOR PROPRIETARY INSTITUTIONS OF HIGH-
ER EDUCATION. 
(a) IN GENERAL.—Section 487(a)(24) of the Higher 
Education Act of 1965 (20 U.S.C. 1094(a)(24)) is amend-
ed by striking ‘‘funds provided under this title’’ and insert-
ing ‘‘Federal funds that are disbursed or delivered to or 
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on behalf of a student to be used to attend such institution 
(referred to in this paragraph and subsection (d) as ‘Fed-
eral education assistance funds’)’’. 
(b) IMPLEMENTATION OF NON-FEDERAL REVENUE 
REQUIREMENT.—Section 487(d) of the Higher Education 
Act of 1965 (20 U.S.C. 1094(d)) is amended— 
(1) in the subsection heading, by striking ‘‘Non- 
title IV’’ and inserting ‘‘Non-Federal’’; and 
(2) in paragraph (1)(C), by striking ‘‘funds for 
a program under this title’’ and inserting ‘‘Federal 
education assistance funds’’. 
PART 2—MISCELLANEOUS 
SEC. 2021. NATIONAL ENDOWMENT FOR THE ARTS. 
In addition to amounts otherwise available, there is 
appropriated for fiscal year 2021, out of any money in 
the Treasury not otherwise appropriated, $135,000,000, 
to remain available until expended, under the National 
Foundation on the Arts and the Humanities Act of 1965, 
as follows: 
(1) Forty percent shall be for grants, and rel-
evant administrative expenses, to State arts agencies 
and regional arts organizations that support organi-
zations’ programming and general operating ex-
penses to cover up to 100 percent of the costs of the 
programs which the grants support, to prevent, pre-
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pare for, respond to, and recover from the 
coronavirus. 
(2) Sixty percent shall be for direct grants, and 
relevant administrative expenses, that support orga-
nizations’ programming and general operating ex-
penses to cover up to 100 percent of the costs of the 
programs which the grants support, to prevent, pre-
pare for, respond to, and recover from the 
coronavirus. 
SEC. 2022. NATIONAL ENDOWMENT FOR THE HUMANITIES. 
In addition to amounts otherwise available, there is 
appropriated for fiscal year 2021, out of any money in 
the Treasury not otherwise appropriated, $135,000,000, 
to remain available until expended, under the National 
Foundation on the Arts and the Humanities Act of 1965, 
as follows: 
(1) Forty percent shall be for grants, and rel-
evant administrative expenses, to State humanities 
councils that support humanities organizations’ pro-
gramming and general operating expenses to cover 
up to 100 percent of the costs of the programs 
which the grants support, to prevent, prepare for, 
respond to, and recover from the coronavirus. 
(2) Sixty percent shall be for direct grants, and 
relevant administrative expenses, that support hu-
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manities organizations’ programming and general 
operating expenses to cover up to 100 percent of the 
costs of the programs which the grants support, to 
prevent, prepare for, respond to, and recover from 
the coronavirus. 
SEC. 2023. INSTITUTE OF MUSEUM AND LIBRARY SERVICES. 
In addition to amounts otherwise available, there is 
appropriated to the Institute of Museum and Library 
Services for fiscal year 2021, out of any money in the 
Treasury not otherwise appropriated, $200,000,000, to re-
main available until expended, for necessary expenses to 
carry out museum and library services. The Director of 
the Institute of Museum and Library Services shall award 
not less than 89 percent of such funds to State library 
administrative agencies by applying the formula in section 
221(b) of the Museum and Library Services Act, except 
that— 
(1) section 221(b)(3)(A) of such Act shall be 
applied 
by 
substituting 
‘‘$2,000,000’’ 
for 
‘‘$680,000’’ and by substituting ‘‘$200,000’’ for 
‘‘$60,000’’; and 
(2) section 221(b)(3)(C) and subsections (b) 
and (c) of section 223 of such Act shall not apply 
to funds provided under this section. 
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SEC. 2024. COVID-19 RESPONSE RESOURCES FOR THE PRES-
ERVATION AND MAINTENANCE OF NATIVE 
AMERICAN LANGUAGES. 
(a) Section 816 of the Native American Programs 
Act of 1974 (42 U.S.C. 2992d) is amended by adding at 
the end the following: 
‘‘(f) In addition to amounts otherwise available, there 
is appropriated for fiscal year 2021, out of any money in 
the Treasury not otherwise appropriated, $10,000,000 to 
remain available until expended, to carry out section 
803C(g) of this Act.’’. 
(b) Section 803C of the Native American Programs 
Act of 1974 (42 U.S.C. 2991b-3) is amended by adding 
at the end the following: 
‘‘(g) EMERGENCY GRANTS FOR NATIVE AMERICAN 
LANGUAGE PRESERVATION
AND MAINTENANCE.—Not 
later than 180 days after the effective date of this sub-
section, the Secretary shall award grants to entities eligi-
ble to receive assistance under subsection (a) to ensure 
the survival and continuing vitality of Native American 
languages during and after the public health emergency 
declared by the Secretary pursuant to section 319 of the 
Public Health Service Act (42 U.S.C. 247d) with respect 
to the COVID–19 pandemic.’’. 
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Subtitle B—Labor Matters 
SEC. 2101. RAISING THE FEDERAL MINIMUM WAGE. 
(a) MINIMUM WAGE INCREASES.— 
(1) IN GENERAL.—Section 6(a)(1) of the Fair 
Labor Standards Act of 1938 (29 U.S.C. 206(a)(1)) 
is amended to read as follows: 
‘‘(1) except as otherwise provided in this sec-
tion, not less than— 
‘‘(A) $9.50 an hour, beginning on the ef-
fective date under section 2101(e) of the Amer-
ican Rescue Plan Act of 2021; 
‘‘(B) $11.00 an hour, beginning 1 year 
after such effective date; 
‘‘(C) $12.50 an hour, beginning 2 years 
after such effective date; 
‘‘(D) $14.00 an hour, beginning 3 years 
after such effective date; 
‘‘(E) $15.00 an hour, beginning 4 years 
after such effective date; and 
‘‘(F) beginning on the date that is 5 years 
after such effective date, and annually there-
after, the amount determined by the Secretary 
under subsection (h);’’. 
(2) DETERMINATION BASED ON INCREASE IN 
THE MEDIAN HOURLY WAGE OF ALL EMPLOYEES.— 
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Section 6 of the Fair Labor Standards Act of 1938 
(29 U.S.C. 206) is amended by adding at the end 
the following: 
‘‘(h)(1) Not later than each date that is 90 days be-
fore a new minimum wage determined under subsection 
(a)(1)(F) is to take effect, the Secretary shall determine 
the minimum wage to be in effect under this subsection 
for each period described in subsection (a)(1)(F). The 
wage determined under this subsection for a year shall 
be— 
‘‘(A) not less than the amount in effect under 
subsection (a)(1) on the date of such determination; 
‘‘(B) increased from such amount by the annual 
percentage increase, if any, in the median hourly 
wage of all employees as determined by the Bureau 
of Labor Statistics; and 
‘‘(C) rounded up to the nearest multiple of 
$0.05. 
‘‘(2) In calculating the annual percentage increase in 
the median hourly wage of all employees for purposes of 
paragraph (1)(B), the Secretary, through the Bureau of 
Labor Statistics, shall compile data on the hourly wages 
of all employees to determine such a median hourly wage 
and compare such median hourly wage for the most recent 
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year for which data are available with the median hourly 
wage determined for the preceding year.’’. 
(b) TIPPED EMPLOYEES.— 
(1) BASE MINIMUM WAGE FOR TIPPED EMPLOY-
EES AND TIPS RETAINED BY EMPLOYEES.—Section 
3(m)(2)(A)(i) of the Fair Labor Standards Act of 
1938 (29 U.S.C. 203(m)(2)(A)(i)) is amended to 
read as follows: 
‘‘(i) the cash wage paid such em-
ployee, which for purposes of such deter-
mination shall be not less than— 
‘‘(I) for the 1-year period begin-
ning on the effective date under sec-
tion 2101(e) of the American Rescue 
Plan Act of 2021, $4.95 an hour; 
‘‘(II) for each succeeding 1-year 
period until the hourly wage under 
this clause equals the wage in effect 
under section 6(a)(1) for such period, 
an hourly wage equal to the amount 
determined under this clause for the 
preceding year, increased by the lesser 
of— 
‘‘(aa) $2.00; or 
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‘‘(bb) the amount necessary 
for the wage in effect under this 
clause to equal the wage in effect 
under section 6(a)(1) for such 
period, rounded up to the nearest 
multiple of $0.05; and 
‘‘(III) for each succeeding 1-year 
period after all increases are made 
pursuant to subclause (II), the min-
imum wage in effect under section 
6(a)(1); and’’. 
(2) SCHEDULED
REPEAL
OF
SEPARATE
MIN-
IMUM WAGE FOR TIPPED EMPLOYEES.— 
(A) 
TIPPED
EMPLOYEES.—Section 
3(m)(2)(A) of the Fair Labor Standards Act of 
1938 (29 U.S.C. 203(m)(2)(A)), as amended by 
paragraph (1), is further amended by striking 
the sentence beginning with ‘‘In determining 
the wage an employer is required to pay a 
tipped employee,’’ and all that follows through 
‘‘of this subsection.’’ and inserting ‘‘The wage 
required to be paid to a tipped employee shall 
be the wage set forth in section 6(a)(1).’’. 
(B) EFFECTIVE DATE.—The amendments 
made by subparagraph (A) shall take effect on 
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the date that is 1 day after the date on which 
the hourly wage under subclause (III) of section 
3(m)(2)(A)(i) of the Fair Labor Standards Act 
of 1938 (29 U.S.C. 203(m)(2)(A)(i)), as 
amended by paragraph (1), takes effect. 
(3) PENALTIES.—Section 16 of the Fair Labor 
Standards Act of 1938 (29 U.S.C. 216) is amend-
ed— 
(A) in the third sentence of subsection (b), 
by inserting ‘‘or used’’ after ‘‘kept’’; and 
(B) in the second sentence of subsection 
(e)(2), by inserting ‘‘or used’’ after ‘‘kept’’. 
(c) NEWLY HIRED EMPLOYEES WHO ARE LESS 
THAN 20 YEARS OLD.— 
(1) IN GENERAL.—Section 6(g)(1) of the Fair 
Labor Standards Act of 1938 (29 U.S.C. 206(g)(1)) 
is amended by striking ‘‘a wage which is not less 
than $4.25 an hour.’’ and inserting the following: ‘‘a 
wage at a rate that is not less than— 
‘‘(A) for the 1-year period beginning on 
the effective date under section 2101(e) of the 
American Rescue Plan Act of 2021, $6.00 an 
hour; 
‘‘(B) for each succeeding 1-year period 
until the hourly wage under this paragraph 
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equals the wage in effect under section 6(a)(1) 
for such period, an hourly wage equal to the 
amount determined under this paragraph for 
the preceding year, increased by the lesser of— 
‘‘(i) $1.75; or 
‘‘(ii) the amount necessary for the 
wage in effect under this paragraph to 
equal the wage in effect under section 
6(a)(1) for such period, rounded up to the 
nearest multiple of $0.05; and 
‘‘(C) for each succeeding 1-year period 
after all increases are made pursuant to sub-
paragraph (B), the minimum wage in effect 
under section 6(a)(1).’’. 
(2) SCHEDULED
REPEAL
OF
SEPARATE
MIN-
IMUM WAGE FOR NEWLY HIRED EMPLOYEES WHO 
ARE LESS THAN 20 YEARS OLD.— 
(A) IN GENERAL.—Section 6(g)(1) of the 
Fair Labor Standards Act of 1938 (29 U.S.C. 
206(g)(1)), as amended by paragraph (1), shall 
be repealed. 
(B) EFFECTIVE DATE.—The repeal made 
by subparagraph (A) shall take effect on the 
date that is 1 day after the date on which the 
hourly wage under subparagraph (C) of section 
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6(g)(1) of the Fair Labor Standards Act of 
1938 (29 U.S.C. 206(g)(1)), as amended by 
paragraph (1), takes effect. 
(d) PROMOTING ECONOMIC SELF-SUFFICIENCY FOR 
INDIVIDUALS WITH DISABILITIES.— 
(1) PROHIBITION
ON
NEW
SPECIAL
CERTIFI-
CATES.— 
(A) IN
GENERAL.—Section 14(c) of the 
Fair Labor Standards Act of 1938 (29 U.S.C. 
214(c)) is amended by adding at the end the 
following: 
‘‘(6) PROHIBITION ON NEW SPECIAL CERTIFI-
CATES.—Notwithstanding paragraph (1), the Sec-
retary shall not issue a special certificate under this 
subsection to an employer that was not issued a spe-
cial certificate under this subsection before the date 
of enactment of the American Rescue Plan Act of 
2021.’’. 
(B) EFFECTIVE
DATE.—The amendment 
made by subparagraph (A) shall take effect on 
the date of enactment of this Act. 
(2) TRANSITION TO FAIR WAGES FOR INDIVID-
UALS
WITH
DISABILITIES.—Subparagraph (A) of 
section 14(c)(1) of the Fair Labor Standards Act of 
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1938 (29 U.S.C. 214(c)(1)) is amended to read as 
follows: 
‘‘(A) at a rate that equals or exceeds, for 
each year, the greater of— 
‘‘(i)(I) $5.00 an hour, beginning on 
the effective date under section 2101(e) of 
the American Rescue Plan Act of 2021; 
‘‘(II) $7.50 an hour, beginning 1 year 
after such effective date; 
‘‘(III) $10.00 an hour, beginning 2 
years after such effective date; 
‘‘(IV) $12.50 an hour, beginning 3 
years after such effective date; 
‘‘(V) $15.00 an hour, beginning 4 
years after such effective date; and 
‘‘(VI) the wage rate in effect under 
section 6(a)(1), beginning 5 years after 
such effective date; or 
‘‘(ii) if applicable, the wage rate in ef-
fect on the day before the date of enact-
ment of the American Rescue Plan Act of 
2021 for the employment, under a special 
certificate issued under this paragraph, of 
the individual for whom the wage rate is 
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being determined under this subpara-
graph,’’. 
(3) SUNSET.—Section 14(c) of the Fair Labor 
Standards Act of 1938 (29 U.S.C. 214(c)) is further 
amended by adding at the end the following: 
‘‘(7) SUNSET.—Beginning on the day after the 
date on which the wage rate described in paragraph 
(1)(A)(i)(VI) takes effect, the authority to issue spe-
cial certificates under paragraph (1) shall expire, 
and no special certificates issued under paragraph 
(1) shall have any legal effect.’’. 
(e) GENERAL EFFECTIVE DATE.—Except as other-
wise provided in this section, or the amendments made 
by this section, this section and the amendments made by 
this section shall take effect on the first day of the third 
month that begins after the date of the enactment of this 
Act. 
SEC. 2102. FUNDING FOR DEPARTMENT OF LABOR WORKER 
PROTECTION ACTIVITIES. 
(a) APPROPRIATION.—In addition to amounts other-
wise made available, out of any funds in the Treasury not 
otherwise appropriated, there are appropriated to the Sec-
retary of Labor for fiscal year 2021, $150,000,000, to re-
main available until September 30, 2023, for the Wage 
and Hour Division, the Office of Workers’ Compensation 
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Programs, the Office of the Solicitor, the Mine Safety and 
Health Administration, and the Occupational Safety and 
Health Administration to carry out COVID–19 related 
worker protection activities, and for the Office of Inspec-
tor General for oversight of the Secretary’s activities to 
prevent, prepare for, and respond to COVID–19. 
(b) ALLOCATION
OF AMOUNTS.—Amounts appro-
priated under subsection (a) shall be allocated as follows: 
(1) Not less than $75,000,000 shall be for the 
Occupational Safety and Health Administration, of 
which $10,000,000 shall be for Susan Harwood 
training grants and not less than $5,000,000 shall 
be for enforcement activities related to COVID–19 
at high risk workplaces including health care, meat 
and poultry processing facilities, agricultural work-
places and correctional facilities. 
(2) $12,500,000 shall be for the Office of In-
spector General. 
SEC. 2103. COMPENSATION PURSUANT TO THE LONGSHORE 
AND 
HARBOR 
WORKERS’ 
COMPENSATION 
ACT. 
(a) CLAIMS RELATED TO COVID–19.— 
(1) IN GENERAL.—Subject to subsection (c), a 
covered employee who receives a diagnosis or is sub-
ject to an order described in paragraph (2)(B) and 
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who provides notice of or files a claim under section 
12 or 13 of the Longshore and Harbor Workers’ 
Compensation Act (33 U.S.C. 912, 913), respec-
tively, relating to such diagnosis or order shall be 
conclusively presumed to have an injury arising out 
of or in the course of employment for the purpose 
of compensation under the Longshore and Harbor 
Workers’ Compensation Act. 
(2) COVERED EMPLOYEE.—In this section, the 
term ‘‘covered employee’’ means an individual who, 
at any time during the period beginning January 27, 
2020, and ending on January 27, 2023— 
(A) is an employee; and 
(B) is— 
(i) diagnosed with COVID–19; or 
(ii) ordered not to return to work by 
the employee’s employer or by a local, 
State, or Federal agency because of expo-
sure, or the risk of exposure, to 1 or more 
individuals diagnosed with COVID–19 in 
the workplace. 
(3) LIMITATION.—This section shall not apply 
with respect to a covered employee who— 
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(A) provides notice or files a claim de-
scribed in paragraph (1) on or before the date 
of the enactment of this Act; and 
(B) is determined to be entitled to the 
compensation described in paragraph (1) or 
awarded such compensation if such determina-
tion or award is made on or before such date. 
(4) DENIALS ON OR BEFORE THE DATE OF EN-
ACTMENT.—Paragraph (1) shall apply with respect 
to a covered employee who is determined not to be 
entitled to, or who is not awarded, compensation de-
scribed in paragraph (1) if such determination or de-
cision not to award such compensation is made on 
or before the date of enactment of this Act. 
(5) EXCLUSION.— The Secretary shall not con-
sider any compensation paid with respect to a notice 
or claim described in subsection (a), including com-
pensation for disability, death benefits, funeral and 
burial expenses, and medical expenses, in calculating 
the annual assessments under section 44(c)(2) of the 
Longshore and Harbor Workers’ Compensation Act 
(33 U.S.C. 944(c)(2)). 
(b) REIMBURSEMENT.— 
(1) IN GENERAL.— 
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(A) ENTITLEMENT.—Subject to subpara-
graph (B) and to the availability of appropria-
tions and limitation on payments under sub-
section (c), an employer of a covered employee 
or the employer’s carrier shall be entitled to re-
imbursement for any compensation paid with 
respect to a notice or claim described in sub-
section (a), including disability benefits, funeral 
and burial expenses, medical or other related 
costs for treatment and care, and reasonable 
and necessary allocated claims expenses. 
(B) SAFETY
AND
HEALTH
REQUIRE-
MENTS.—To be entitled to reimbursement 
under subparagraph (A)— 
(i) an employer shall be in compliance 
with all applicable safety and health guide-
lines and standards that are related to the 
prevention of occupational exposure to the 
novel coronavirus that causes COVID–19, 
including such guidelines and standards 
issued by the Occupational Safety and 
Health Administration, State plans ap-
proved under section 18 of the Occupa-
tional Safety and Health Act of 1970 (29 
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U.S.C. 667), and the National Institute for 
Occupational Safety and Health; and 
(ii) a carrier— 
(I) shall be a carrier for an em-
ployer that is in compliance with 
clause (i); and 
(II) shall not adjust the experi-
ence rating or the annual premium of 
the employer based upon the com-
pensation paid by the carrier with re-
spect to a notice or claim described in 
subparagraph (A). 
(2) REIMBURSEMENT PROCEDURES.— 
(A) IN GENERAL.—Subject to subsection 
(c), to receive reimbursement under paragraph 
(1)— 
(i) a claim for such reimbursement 
shall be submitted to the Secretary of 
Labor— 
(I) not earlier than— 
(aa) the date on which a 
compensation order (as described 
in section 19(e) of the Longshore 
and Harbor Workers’ Compensa-
tion Act (33 U.S.C. 919(e))) is 
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issued that fixes entitlement to 
benefits; or 
(bb) the date on which— 
(AA) 
a 
payment 
is 
made under such Act; 
(BB) 
entitlement 
to 
benefits is established under 
such Act; and 
(CC) the rate of com-
pensation and period of pay-
ment is relatively fixed and 
known; and 
(II) not later than one year after 
the final payment of compensation to 
a covered employee pursuant to this 
section; and 
(ii) an employer and the employer’s 
carrier shall make, keep, and preserve such 
records, make such reports, and provide 
such information, as the Secretary of 
Labor determines necessary or appropriate 
to carry out this section. 
(B) COMMUTATION OF COMPENSATION IN-
STALLMENTS.—The Secretary may commute 
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future compensation installments with respect 
to a claim under this section. 
(c) APPROPRIATIONS.— 
(1) IN GENERAL.—A reimbursement under sub-
section (b) shall be paid out of the Longshore 
COVID–19 Fund established in section 45 of the 
Longshore and Harbor Workers’ Compensation Act 
(in this section, referred to as the ‘‘Longshore 
COVID–19 Fund’’). 
(2) FUNDS.—In addition to amounts otherwise 
available, there are authorized to be appropriated, 
and there are appropriated, out of any money in the 
Treasury not otherwise appropriated, such sums as 
may be necessary for the period beginning on the 
date of enactment of this Act and ending on Sep-
tember 30, 2030, to the Longshore COVID–19 
Fund for each reimbursement paid out of such Fund 
under subsection (b). 
(3) LIMITATION.—With respect to a notice or 
claim for benefits approved on the basis of sub-
section (a), no payments may be made from the 
Longshore COVID–19 Fund or the special fund es-
tablished under section 44 of the Longshore and 
Harbor Workers’ Compensation Act (33 U.S.C. 944) 
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after September 30, 2030, for benefits, reimburse-
ments, or other expenditures relating to such claim. 
(4) FINAL
ACTION.—The action of the Sec-
retary in allowing or denying any reimbursement 
under subsection (b) shall be final and conclusive on 
all questions of law and fact. 
(d) DEFINITIONS.—In this section: 
(1) LHWCA TERMS.—The terms ‘‘carrier’’, 
‘‘compensation’’, ‘‘employee’’, and ‘‘employer’’ have 
the meanings given the terms in section 2 of the 
Longshore and Harbor Workers’ Compensation Act 
(33 U.S.C. 902). 
(2) NOVEL
CORONAVIRUS.—The term ‘‘novel 
coronavirus’’ means SARS–CoV–2 or any other 
coronavirus declared to be a pandemic by public 
health authorities. 
(e) LONGSHORE COVID–19 FUND.—The Longshore 
and Harbor Workers’ Compensation Act (33 U.S.C. 901) 
is amended by adding after section 44 the following: 
‘‘SEC. 45. LONGSHORE COVID–19 FUND. 
‘‘(a) IN GENERAL.—There is established in the 
United States Department of Labor the Longshore 
COVID–19 Fund (in this section, referred to as the 
‘Fund’), which consists of sums that are appropriated to 
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the Fund under section 2104(c)(2) of the American Res-
cue Act of 2021. 
‘‘(b) EXPENDITURES.—Amounts in the Fund shall be 
available for the reimbursement of an employer or the em-
ployer’s carrier for payment of compensation, death bene-
fits, and other benefits and expenses paid under this Act 
when reimbursement is required under section 2104(b) of 
the American Rescue Act of 2021, subject to any limita-
tions in such section.’’. 
Subtitle C—Human Services and 
Community Supports 
SEC. 2201. SUPPORTING OLDER AMERICANS AND THEIR 
FAMILIES. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated for fiscal year 2021, 
out of any money in the Treasury not otherwise appro-
priated, $1,444,000,000, to remain available until ex-
pended, to carry out the Older Americans Act of 1965. 
(b) ALLOCATION
OF
AMOUNTS.—Amounts made 
available by subsection (a) shall be available as follows: 
(1) $750,000,000 shall be available to carry out 
part C of title III of such Act. 
(2) $25,000,000 shall be available to carry out 
title VI of such Act, including part C of such title. 
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(3) $470,000,000 shall be available to carry out 
part B of title III of such Act, including for— 
(A) supportive services of the types made 
available for fiscal year 2020; 
(B) efforts related to COVID–19 vaccina-
tion outreach, including education, communica-
tion, transportation, and other activities to fa-
cilitate vaccination of older individuals; and 
(C) prevention and mitigation activities re-
lated to COVID–19 focused on addressing ex-
tended social isolation among older individuals, 
including activities for investments in techno-
logical equipment and solutions or other strate-
gies aimed at alleviating negative health effects 
of social isolation due to long-term stay-at-home 
recommendations for older individuals for the 
duration of the COVID–19 public health emer-
gency; 
(4) $44,000,000 shall be available to carry out 
part D of title III of such Act. 
(5) $145,000,000 shall be available to carry out 
part E of title III of such Act. 
(6) $10,000,000 shall be available to carry out 
the long-term care ombudsman program under title 
VII of such Act. 
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SEC. 2202. CHILD CARE AND DEVELOPMENT BLOCK GRANT 
PROGRAM. 
(a) CHILD CARE AND DEVELOPMENT BLOCK GRANT 
FUNDING.—In addition to amounts otherwise available, 
there is appropriated for fiscal year 2021, out of any 
amounts in the Treasury not otherwise appropriated, 
$14,990,000,000, to remain available through September 
30, 2021, to carry out the program authorized under sec-
tion 658C of the Child Care and Development Block Grant 
Act of 1990 (42 U.S.C. 9858a) without regard to require-
ments in sections 658E(c)(3)(E) or 658G of such Act (42 
U.S.C. 9858c(c)(3), 9858e). Payments made to States, 
territories, Indian Tribes, and Tribal organizations from 
funds made available under this subsection shall be obli-
gated in fiscal year 2021 or the succeeding 2 fiscal years. 
States, territories, Indian Tribes, and Tribal organizations 
are authorized to use such funds to provide child care as-
sistance to health care sector employees, emergency re-
sponders, sanitation workers, and other workers deemed 
essential during the response to coronavirus by public offi-
cials, without regard to the income eligibility requirements 
of section 658P(4) of the Child Care and Development 
Block Grant Act (42 U.S.C. 9858n(4)). 
(b) CHILD CARE STABILIZATION FUNDING.—In ad-
dition to amounts otherwise available, there is appro-
priated for fiscal year 2021, out of any amounts in the 
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Treasury not otherwise appropriated, $23,975,000,000, to 
remain available through September 30, 2021, for grants 
under section 2203 of this subtitle. Such grants shall be 
allotted in accordance with section 658O of the Child Care 
and Development Block Grant Act of 1990 (42 U.S.C. 
9858m), except that the requirements in subparagraphs 
(C) and (E) of section 658E(c)(3) and in section 658G 
of such Act (42 U.S.C. 9858c(c)(3), 9858e) shall not 
apply. 
(c) 
ADMINISTRATIVE
COSTS.—In 
addition 
to 
amounts otherwise available, there is appropriated for fis-
cal year 2021, out of any amounts in the Treasury not 
otherwise appropriated, $35,000,000, to remain available 
through September 30, 2025, for the costs of providing 
technical assistance and conducting research and for the 
administrative costs to carry out this section and section 
2203 of this subtitle. 
SEC. 2203. CHILD CARE STABILIZATION. 
(a) DEFINITIONS.—In this section: 
(1) COVID–19 PUBLIC HEALTH EMERGENCY.— 
The term ‘‘COVID–19 public health emergency’’ 
means the public health emergency declared by the 
Secretary of Health and Human Services under sec-
tion 319 of the Public Health Service Act (42 
U.S.C. 247d) on January 31, 2020, with respect to 
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COVID–19, including any renewal of the declara-
tion. 
(2) ELIGIBLE
CHILD
CARE
PROVIDER.—The 
term ‘‘eligible child care provider’’ means an eligible 
child care provider as defined in section 658P of the 
Child Care and Development Block Grant Act of 
1990 (42 U.S.C. 9858n) or a child care provider 
that is licensed, regulated, or registered in the State, 
territory, or Indian Tribe on the date of enactment 
of this Act and meets applicable State and local 
health and safety requirements. 
(b) GRANTS.—From the amounts appropriated to 
carry out this section and under the authority of section 
658O of the Child Care and Development Block Grant Act 
of 1990 (42 U.S.C. 9858m) and this section, the Secretary 
shall award to each lead agency a child care stabilization 
grant, without regard to the requirements in subpara-
graphs (C) and (E) of section 658E(c)(3), and in section 
658G, of the Child Care and Development Block Grant 
Act of 1990 (42 U.S.C. 9858c(c)(3), 9858e). Such grant 
shall be allotted in accordance with section 658O of the 
Child Care and Development Block Grant Act of 1990 (42 
U.S.C. 9858m). 
(c) STATE RESERVATIONS AND SUBGRANTS.— 
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(1) RESERVATION.—A lead agency for a State 
that receives a child care stabilization grant pursu-
ant to subsection (b) shall reserve not more than 10 
percent of such grant funds to administer subgrants, 
provide technical assistance and support for applying 
for and accessing the subgrant opportunity, publicize 
the availability of the subgrants, carry out activities 
to increase the supply of child care, and provide 
technical assistance to help child care providers im-
plement policies as described in paragraph (2)(D)(i). 
(2) SUBGRANTS
TO
QUALIFIED
CHILD
CARE 
PROVIDERS.— 
(A) IN GENERAL.—The lead agency shall 
use the remainder of the grant funds awarded 
pursuant to subsection (b) to make subgrants 
to qualified child care providers described in 
subparagraph (B), regardless of such a pro-
vider’s previous receipt of other Federal assist-
ance, to support the stability of the child care 
sector during and after the COVID–19 public 
health emergency. 
(B) QUALIFIED CHILD CARE PROVIDER.— 
To be qualified to receive a subgrant under this 
paragraph, a provider shall be an eligible child 
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care provider that on the date of submission of 
an application for the subgrant, was either— 
(i) open and available to provide child 
care services; or 
(ii) closed due to public health, finan-
cial hardship, or other reasons relating to 
the COVID–19 public health emergency. 
(C) SUBGRANT AMOUNT.—The amount of 
such a subgrant to a qualified child care pro-
vider shall be based on the provider’s stated 
current operating expenses, including costs as-
sociated with providing or preparing to provide 
child care services during the COVID–19 public 
health emergency, and to the extent practicable, 
cover sufficient operating expenses to ensure 
continuous operations for the intended period of 
the subgrant. 
(D) 
APPLICATION.—The 
lead 
agency 
shall— 
(i) make available on the lead agen-
cy’s website an application for qualified 
child care providers that includes certifi-
cations that, for the duration of the 
subgrant— 
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(I) the provider applying will, 
when open and available to provide 
child care services, implement policies 
in line with guidance from the cor-
responding State, Tribal, and local 
authorities, and in accordance with 
State, Tribal, and local orders, and, to 
the greatest extent possible, imple-
ment policies in line with guidance 
from the Centers for Disease Control 
and Prevention; 
(II) for each employee, the pro-
vider will pay not less than the full 
compensation, including any benefits, 
that was provided to the employee as 
of the date of submission of the appli-
cation for the subgrant (referred to in 
this subclause as ‘‘full compensa-
tion’’), and will not take any action 
that reduces the weekly amount of the 
employee’s compensation below the 
weekly amount of full compensation, 
or that reduces the employee’s rate of 
compensation below the rate of full 
compensation, including the involun-
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tary furloughing of any employee em-
ployed on the date of submission of 
the application for the subgrant; and 
(III) the provider will provide re-
lief from copayments and tuition pay-
ments for the families enrolled in the 
provider’s program, to the extent pos-
sible, and prioritize such relief for 
families struggling to make either 
type of payment; and 
(ii) accept and process applications 
submitted under this subparagraph on a 
rolling basis, and provide subgrant funds 
in advance of provider expenditures, except 
as provided in subsection (d)(2). 
(E) OBLIGATION.—The lead agency shall 
notify the Secretary if it is unable to obligate 
at least 50 percent of the funds received pursu-
ant to subsection (b) that are available for sub-
grants described in this paragraph within 9 
months of the date of enactment of this Act. 
(d) USES OF FUNDS.— 
(1) IN GENERAL.—A qualified child care pro-
vider that receives funds through such a subgrant 
shall use the funds for at least one of the following: 
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(A) Personnel costs, including payroll and 
salaries or similar compensation for an em-
ployee (including any sole proprietor or inde-
pendent contractor), employee benefits, pre-
mium pay, or costs for employee recruitment 
and retention. 
(B) Rent (including rent under a lease 
agreement) or payment on any mortgage obliga-
tion, utilities, facility maintenance or improve-
ments, or insurance. 
(C) Personal protective equipment, clean-
ing and sanitization supplies and services, or 
training and professional development related to 
health and safety practices. 
(D) Purchases of or updates to equipment 
and supplies to respond to the COVID–19 pub-
lic health emergency. 
(E) Goods and services necessary to main-
tain or resume child care services. 
(F) Mental health supports for children 
and employees. 
(2) REIMBURSEMENT.—The qualified child care 
provider may use the subgrant funds to reimburse 
the provider for sums obligated or expended before 
the date of enactment of this Act for the cost of a 
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good or service described in paragraph (1) to re-
spond to the COVID–19 public health emergency. 
(e) SUPPLEMENT NOT SUPPLANT.—Amounts made 
available to carry out this section shall be used to supple-
ment and not supplant other Federal, State, and local 
public funds expended to provide child care services for 
eligible individuals. 
SEC. 2204. HEAD START. 
In addition to amounts otherwise available, there is 
appropriated for fiscal year 2021, out of any amounts in 
the Treasury not otherwise appropriated, $1,000,000,000, 
to remain available through September 30, 2022, to carry 
out the Head Start Act, including for Federal administra-
tive expenses. After reserving funds for Federal adminis-
trative expenses, the Secretary shall allocate all remaining 
amounts to Head Start agencies for one-time grants, and 
shall allocate to each Head Start agency an amount that 
bears the same ratio to the portion available for allocations 
as the number of enrolled children served by the Head 
Start agency bears to the number of enrolled children 
served by all Head Start agencies. 
SEC. 2205. PROGRAMS FOR SURVIVORS. 
(a) IN GENERAL.—Section 303 of the Family Vio-
lence Prevention and Services Act (42 U.S.C. 10403) is 
amended by adding at the end the following: 
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‘‘(d) ADDITIONAL FUNDING.—For the purposes of 
carrying out this title, in addition to amounts otherwise 
made available for such purposes, there are appropriated, 
out of any amounts in the Treasury not otherwise appro-
priated, for fiscal year 2021, to remain available until ex-
pended, each of the following: 
‘‘(1) $180,000,000 to carry out sections 301 
through 312, to be allocated in the manner described 
in subsection (a)(2), except that a reference in sub-
section (a)(2) to an amount appropriated under sub-
section (a)(1) shall be considered to be a reference 
to an amount appropriated under this paragraph, 
and that the matching requirement under section 
306(c)(4) shall not apply. 
‘‘(2) $18,000,000 to carry out section 309. 
‘‘(3) $2,000,000 to carry out section 313, of 
which $1,000,000 for each fiscal year shall be allo-
cated to support Indian communities.’’. 
(b) COVID–19 PUBLIC HEALTH EMERGENCY DE-
FINED.—In this section, the term ‘‘COVID–19 public 
health emergency’’ means the public health emergency de-
clared by the Secretary of Health and Human Services 
under section 319 of the Public Health Service Act (42 
U.S.C. 247d) on January 31, 2020, with respect to 
COVID–19, including any renewal of the declaration. 
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(c) GRANTS
TO SUPPORT CULTURALLY SPECIFIC 
POPULATIONS.— 
(1) IN GENERAL.—In addition to amounts oth-
erwise made available, there is appropriated, out of 
any amounts in the Treasury not otherwise appro-
priated, to the Secretary of Health and Human 
Services, $49,500,000 for fiscal year 2021, to be 
available until expended, to carry out this subsection 
(excluding Federal administrative costs, for which 
funds are appropriated under subsection (e)). 
(2) USE
OF
FUNDS.—From amounts appro-
priated under paragraph (1), the Secretary acting 
through the Director of the Family Violence Preven-
tion and Services Program, shall— 
(A) support culturally specific community- 
based organizations to provide culturally spe-
cific activities for survivors of sexual assault 
and domestic violence, to address emergent 
needs resulting from the COVID–19 public 
health emergency and other public health con-
cerns; and 
(B) support culturally specific community- 
based organizations that provide culturally spe-
cific activities to promote strategic partnership 
development and collaboration in responding to 
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the impact of COVID–19 and other public 
health concerns on survivors of sexual assault 
and domestic violence. 
(d) GRANTS TO SUPPORT SURVIVORS OF SEXUAL AS-
SAULT.— 
(1) IN GENERAL.—In addition to amounts oth-
erwise made available, there is appropriated, out of 
any amounts in the Treasury not otherwise appro-
priated, to the Secretary of Health and Human 
Services, $198,000,000 for fiscal year 2021, to be 
available until expended, to carry out this subsection 
(excluding Federal administrative costs, for which 
funds are appropriated under subsection (e)). 
(2) USE
OF
FUNDS.—From amounts appro-
priated under paragraph (1), the Secretary acting 
through the Director of the Family Violence Preven-
tion and Services Program, shall assist rape crisis 
centers in transitioning to virtual services and meet-
ing the emergency needs of survivors. 
(e) 
ADMINISTRATIVE
COSTS.—In 
addition 
to 
amounts otherwise made available, there is appropriated 
to the Secretary of Health and Human Services, out of 
any amounts in the Treasury not otherwise appropriated, 
$2,500,000 for fiscal year 2021, to remain available until 
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expended, for the Federal administrative costs of carrying 
out subsections (c) and (d). 
SEC. 2206. CHILD ABUSE PREVENTION AND TREATMENT. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary of Health and Human Serv-
ices for fiscal year 2021, out of any money in the Treasury 
not otherwise appropriated, the following amounts, to re-
main available through September 30, 2023: 
(1) $250,000,000 for carrying out the program 
authorized under section 201 of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5116), 
which shall be allocated without regard to section 
204(4) of such Act (42 U.S.C. 5116d(4)) and shall 
be allotted to States in accordance with section 203 
of such Act (42 U.S.C. 5116b), except that— 
(A) in subsection (b)(1)(A) of such section 
203, ‘‘70 percent’’ shall be deemed to be ‘‘100 
percent’’; and 
(B) subsections (b)(1)(B) and (c) of such 
section 203 shall not apply; and 
(2) $100,000,000 for carrying out the State 
grant program authorized under section 106 of the 
Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106a), which shall be allocated without re-
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gard to section 112(a)(2) of such Act (42 U.S.C. 
5106h(a)(2)). 
SEC. 2207. CORPORATION FOR NATIONAL AND COMMUNITY 
SERVICE 
AND 
THE 
NATIONAL 
SERVICE 
TRUST. 
(a) CORPORATION FOR NATIONAL AND COMMUNITY 
SERVICE.—In addition to amounts otherwise made avail-
able, there is appropriated for fiscal year 2021, out of any 
money in the Treasury not otherwise appropriated, to the 
Corporation for National and Community Service, 
$852,000,000, to remain available through September 30, 
2024, to carry out subsection (b)), except that amounts 
to carry out subsection (b)(7) shall remain available until 
September 30, 2026. 
(b) ALLOCATION OF AMOUNTS.—Amounts provided 
by subsection (a) shall be allocated as follows: 
(1) AMERICORPS
STATE
AND
NATIONAL.— 
$620,000,000 shall be used— 
(A) to increase the living allowances of 
participants in national service programs; and 
(B) to make funding adjustments to exist-
ing (as of the date of enactment of this Act) 
awards and award new and additional awards 
to entities to support programs described in 
paragraphs (1)(B), (2)(B), (3)(B), (4)(B), and 
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(5)(B) of subsection (a), and subsection (b)(2), 
of section 122 of the National and Community 
Service Act of 1990 (42 U.S.C. 12572), wheth-
er or not the entities are already grant recipi-
ents under such provisions on the date of enact-
ment of this Act, and notwithstanding section 
122(a)(1)(B)(vi) of the National and Commu-
nity 
Service 
Act 
of 
1990 
(42 
U.S.C. 
12572(a)(1)(B)(vi)), by— 
(i) prioritizing entities serving com-
munities disproportionately impacted by 
COVID–19 and utilizing culturally com-
petent and multilingual strategies in the 
provision of services; and 
(ii) taking into account the diversity 
of communities and participants served by 
such entities, including racial, ethnic, so-
cioeconomic, linguistic, or geographic diver-
sity. 
(2) STATE
COMMISSIONS.—$20,000,000 shall 
be used to make adjustments to existing (as of the 
date of enactment of this Act) awards and new and 
additional awards, including awards to State Com-
missions on National and Community Service, under 
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section 126(a) of the National and Community Serv-
ice Act of 1990 (42 U.S.C. 12576(a)). 
(3) 
VOLUNTEER
GENERATION
FUND.— 
$20,000,000 shall be used for expenses authorized 
under section 501(a)(4)(F) of the National and 
Community Service Act of 1990 (42 U.S.C. 
12681(a)(4)(F)), which, notwithstanding section 
198P(d)(1)(B) 
of 
that 
Act 
(42 
U.S.C. 
12653p(d)(1)(B)), shall be for grants awarded by 
the Corporation for National and Community Serv-
ice on a competitive basis. 
(4) AMERICORPS VISTA.—$80,000,000 shall be 
used for the purposes described in section 101 of the 
Domestic Volunteer Service Act of 1973 (42 U.S.C. 
4951), including to increase the living allowances of 
volunteers, described in section 105(b) of the Do-
mestic Volunteer Service Act of 1973 (42 U.S.C. 
4955(b)). 
(5) NATIONAL
SENIOR
SERVICE
CORPS.— 
$30,000,000 shall be used for the purposes de-
scribed in section 200 of the Domestic Volunteer 
Service Act of 1973 (42 U.S.C. 5000). 
(6) 
ADMINISTRATIVE
COSTS.—$73,000,000 
shall be used for the Corporation for National and 
Community Service for administrative expenses to 
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carry out programs and activities funded by sub-
section (a). 
(7) 
OFFICE
OF
INSPECTOR
GENERAL.— 
$9,000,000 shall be used for the Office of Inspector 
General of the Corporation for National and Com-
munity Service for salaries and expenses necessary 
for oversight and audit of programs and activities 
funded by subsection (a). 
(c) NATIONAL SERVICE TRUST.—In addition to 
amounts otherwise made available, there is appropriated 
for fiscal year 2021, out of any money in the Treasury 
not otherwise appropriated, $148,000,000, to remain 
available until expended, for administration of the Na-
tional Service Trust, and for payment to the Trust for 
the provision of educational awards pursuant to section 
145(a)(1)(A) of the National and Community Service Act 
of 1990 (42 U.S.C. 12601(a)(1)(A)). 
Subtitle D—Child Nutrition & 
Related Programs 
SEC. 2301. IMPROVEMENTS TO WIC BENEFITS. 
(a) DEFINITIONS.—In this section: 
(1) APPLICABLE PERIOD.—The term ‘‘applica-
ble period’’ means a period— 
(A) beginning after the date of enactment 
of this Act, as selected by a State agency; and 
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(B) ending not later than the earlier of— 
(i) 4 months after the date described 
in subparagraph (A); or 
(ii) September 30, 2021. 
(2) CASH-VALUE VOUCHER.—The term ‘‘cash- 
value voucher’’ has the meaning given the term in 
section 246.2 of title 7, Code of Federal Regulations 
(as in effect on the date of the enactment of this 
Act). 
(3) PROGRAM.—The term ‘‘program’’ means 
the special supplemental nutrition program for 
women, infants, and children established by section 
17 of the Child Nutrition Act of 1966 (42 U.S.C. 
1786). 
(4) QUALIFIED
FOOD
PACKAGE.—The term 
‘‘qualified food package’’ means each of the fol-
lowing food packages (as defined in section 
246.10(e) of title 7, Code of Federal Regulations (as 
in effect on the date of the enactment of this Act)): 
(A) Food Package IV–Children 1 through 
4 years. 
(B) Food Package V–Pregnant and par-
tially (mostly) breastfeeding women. 
(C) Food Package VI–Postpartum women. 
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(D) 
Food 
Package 
VII–Fully 
breastfeeding. 
(5) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Agriculture. 
(6) STATE AGENCY.—The term ‘‘State agency’’ 
has the meaning given the term in section 17(b) of 
the Child Nutrition Act of 1966 (42 U.S.C. 
1786(b)). 
(b) AUTHORITY TO INCREASE AMOUNT OF CASH- 
VALUE VOUCHER.—During the public health emergency 
declared by the Secretary of Health and Human Services 
under section 319 of the Public Health Service Act (42 
U.S.C. 247d) on January 31, 2020, with respect to the 
Coronavirus Disease 2019 (COVID–19), and in response 
to challenges relating to that public health emergency, the 
Secretary may, in carrying out the program, increase the 
amount of a cash-value voucher under a qualified food 
package to an amount that is less than or equal to $35. 
(c) APPLICATION OF INCREASED AMOUNT OF CASH- 
VALUE VOUCHER TO STATE AGENCIES.— 
(1) NOTIFICATION.—An increase to the amount 
of a cash-value voucher under subsection (b) shall 
apply to any State agency that notifies the Secretary 
of— 
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(A) the intent to use that increased 
amount, without further application; and 
(B) the applicable period selected by the 
State agency during which that increased 
amount shall apply. 
(2) USE
OF
INCREASED
AMOUNT.—A State 
agency that makes a notification to the Secretary 
under paragraph (1) shall use the increased amount 
described in that paragraph— 
(A) during the applicable period described 
in that notification; and 
(B) only during a single applicable period. 
(d) SUNSET.—The authority of the Secretary under 
subsection (b), and the authority of a State agency to in-
crease the amount of a cash-value voucher under sub-
section (c), shall terminate on September 30, 2021. 
(e) FUNDING.—In addition to amounts otherwise 
made available, there is appropriated to the Secretary, out 
of funds in the Treasury not otherwise appropriated, 
$490,000,000 to carry out this section, to remain available 
until September 30, 2022. 
SEC. 2302. WIC PROGRAM MODERNIZATION. 
In addition to amounts otherwise available, there are 
appropriated to the Secretary of Agriculture, out of 
amounts in the Treasury not otherwise appropriated, 
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$390,000,000 for fiscal year 2021, to remain available 
until September 30, 2024, to carry out outreach, innova-
tion, and program modernization efforts, including appro-
priate waivers and flexibility, to increase participation in 
and redemption of benefits under programs established 
under section 17 of the Child Nutrition Act of 1966 (7 
U.S.C. 1431), except that such waivers may not relate to 
the content of the WIC Food Packages (as defined in sec-
tion 246.10(e) of title 7, Code of Federal Regulations (as 
in effect on the date of enactment of this Act)), or the 
nondiscrimination requirements under section 246.8 of 
title 7, Code of Federal Regulations (as in effect on the 
date of enactment of this Act). 
SEC. 2303. MEALS AND SUPPLEMENTS REIMBURSEMENTS 
FOR INDIVIDUALS WHO HAVE NOT ATTAINED 
THE AGE OF 25. 
(a) PROGRAM FOR AT-RISK SCHOOL CHILDREN.— 
Beginning on the date of enactment of this section, not-
withstanding paragraph (1)(A) of section 17(r) of the 
Richard B. Russell National School Lunch Act (42 U.S.C. 
1766(r)), during the COVID–19 public health emergency 
declared under section 319 of the Public Health Service 
Act (42 U.S.C. 247d), the Secretary shall reimburse insti-
tutions that are emergency shelters under such section 
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17(r) (42 U.S.C. 1766(r)) for meals and supplements 
served to individuals who, at the time of such service— 
(1) have not attained the age of 25; and 
(2) are receiving assistance, including non-resi-
dential assistance, from such emergency shelter. 
(b) PARTICIPATION BY EMERGENCY SHELTERS.— 
Beginning on the date of enactment of this section, not-
withstanding paragraph (5)(A) of section 17(t) of the 
Richard B. Russell National School Lunch Act (42 U.S.C. 
1766(t)), during the COVID–19 public health emergency 
declared under section 319 of the Public Health Service 
Act (42 U.S.C. 247d), the Secretary shall reimburse emer-
gency shelters under such section 17(t) (42 U.S.C. 
1766(t)) for meals and supplements served to individuals 
who, at the time of such service have not attained the age 
of 25. 
(c) DEFINITIONS.—In this section: 
(1) EMERGENCY SHELTER.—The term ‘‘emer-
gency shelter’’ has the meaning given the term 
under section 17(t)(1) of the Richard B. Russell Na-
tional School Lunch Act (42 U.S.C. 1766(t)(1)). 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Agriculture. 
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SEC. 2304. PANDEMIC EBT PROGRAM. 
Section 1101 of the Families First Coronavirus Re-
sponse Act (7 U.S.C. 2011 note; Public Law 116–127) 
is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘During fiscal years 2020 
and 2021’’ and inserting ‘‘In any school year in 
which there is a public health emergency des-
ignation’’; and 
(B) by inserting ‘‘or in a covered summer 
period following a school session’’ after ‘‘in ses-
sion’’; 
(2) in subsection (g), by striking ‘‘During fiscal 
year 2020, the’’ and inserting ‘‘The’’; 
(3) in subsection (h)(1)— 
(A) by inserting ‘‘either’’ after ‘‘at least 1 
child enrolled in such a covered child care facil-
ity and’’; and 
(B) by inserting ‘‘or a Department of Agri-
culture grant-funded nutrition assistance pro-
gram in the Commonwealth of the Northern 
Mariana Islands, Puerto Rico, or American 
Samoa’’ before ‘‘shall be eligible to receive as-
sistance’’; 
(4) by redesignating subsections (i) and (j) as 
subsections (j) and (k), respectively; 
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(5) by inserting after subsection (h) the fol-
lowing: 
‘‘(i) EMERGENCIES DURING SUMMER.—The Sec-
retary of Agriculture may permit a State agency to extend 
a State agency plan approved under subsection (b) for not 
more than 90 days for the purpose of operating the plan 
during a covered summer period, during which time 
schools participating in the school lunch program under 
the Richard B. Russell National School Lunch Act or the 
school breakfast program under section 4 of the Child Nu-
trition Act of 1966 (42 U.S.C. 1773) and covered child 
care facilities shall be deemed closed for purposes of this 
section.’’; 
(6) in subsection (j) (as so redesignated)— 
(A) 
by 
redesignating 
paragraphs 
(2) 
through (6) as paragraphs (3) through (7), re-
spectively; 
(B) by inserting after paragraph (1) the 
following: 
‘‘(2) COVERED
SUMMER
PERIOD.—The term 
‘covered summer period’ means a summer period 
that follows a school year during which there was a 
public health emergency designation.’’; and 
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(C) in paragraph (5) (as so redesignated), 
by striking ‘‘or another coronavirus with pan-
demic potential’’; and 
(7) in subsection (k) (as so redesignated), by 
inserting ‘‘Federal agencies,’’ before ‘‘State agen-
cies’’. 
Subtitle E—COBRA Continuation 
Coverage 
SEC. 2401. PRESERVING HEALTH BENEFITS FOR WORKERS. 
(a) PREMIUM ASSISTANCE
FOR COBRA CONTINU-
ATION COVERAGE FOR INDIVIDUALS AND THEIR FAMI-
LIES.— 
(1) PROVISION OF PREMIUM ASSISTANCE.— 
(A) 
REDUCTION
OF
PREMIUMS
PAY-
ABLE.—In the case of any premium for a pe-
riod of coverage during the period beginning on 
the first day of the first month beginning after 
the date of the enactment of this Act, and end-
ing on September 30, 2021, for COBRA con-
tinuation coverage with respect to any assist-
ance eligible individual described in paragraph 
(3), such individual shall be treated for pur-
poses of any COBRA continuation provision as 
having paid the amount of such premium if 
such individual pays (or any person other than 
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such individual’s employer pays on behalf of 
such individual) 15 percent of the amount of 
such premium. 
(B) PLAN ENROLLMENT OPTION.— 
(i) IN
GENERAL.—Notwithstanding 
the COBRA continuation provisions, any 
assistance eligible individual who is en-
rolled in a group health plan offered by a 
plan sponsor may, not later than 90 days 
after the date of notice of the plan enroll-
ment option described in this subpara-
graph, elect to enroll in coverage under a 
plan offered by such plan sponsor that is 
different than coverage under the plan in 
which such individual was enrolled at the 
time, in the case of any assistance eligible 
individual described in paragraph (3), the 
qualifying event specified in section 603(2) 
of the Employee Retirement Income Secu-
rity Act of 1974, section 4980B(f)(3)(B) 
of the Internal Revenue Code of 1986, or 
section 2203(2) of the Public Health Serv-
ice Act, except for the voluntary termi-
nation of such individual’s employment by 
such individual, occurred, and such cov-
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erage shall be treated as COBRA continu-
ation coverage for purposes of the applica-
ble COBRA continuation coverage provi-
sion. 
(ii) REQUIREMENTS.—Any assistance 
eligible individual may elect to enroll in 
different coverage as described in clause (i) 
only if— 
(I) the employer involved has 
made a determination that such em-
ployer will permit such assistance eli-
gible individual to enroll in different 
coverage as provided under this sub-
paragraph; 
(II) the premium for such dif-
ferent coverage does not exceed the 
premium for coverage in which such 
individual was enrolled at the time 
such qualifying event occurred; 
(III) the different coverage in 
which the individual elects to enroll is 
coverage that is also offered to simi-
larly situated active employees of the 
employer at the time at which such 
election is made; and 
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(IV) the different coverage in 
which the individual elects to enroll is 
not— 
(aa) coverage that provides 
only excepted benefits as defined 
in section 9832(c) of the Internal 
Revenue Code of 1986, section 
733(c) of the Employee Retire-
ment Income Security Act of 
1974, and section 2791(c) of the 
Public Health Service Act; 
(bb) a qualified small em-
ployer health reimbursement ar-
rangement (as defined in section 
9831(d)(2) of the Internal Rev-
enue Code of 1986); or 
(cc) a flexible spending ar-
rangement (as defined in section 
106(c)(2) of the Internal Rev-
enue Code of 1986). 
(2) LIMITATION OF PERIOD OF PREMIUM AS-
SISTANCE.— 
(A) ELIGIBILITY
FOR
ADDITIONAL
COV-
ERAGE.—Paragraph (1)(A) shall not apply with 
respect to any assistance eligible individual de-
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scribed in paragraph (3) for months of coverage 
beginning on or after the earlier of— 
(i) the first date that such individual 
is eligible for coverage under any other 
group health plan (other than coverage 
consisting of only excepted benefits (as de-
fined in section 9832(c) of the Internal 
Revenue Code of 1986, section 733(c) of 
the Employee Retirement Income Security 
Act of 1974, and section 2791(c) of the 
Public Health Service Act), coverage under 
a flexible spending arrangement (as de-
fined in section 106(c)(2) of the Internal 
Revenue Code of 1986), coverage under a 
qualified small employer health reimburse-
ment arrangement (as defined in section 
9831(d)(2) of the Internal Revenue Code 
of 1986)), or eligible for benefits under the 
Medicare program under title XVIII of the 
Social Security Act; or 
(ii) the earlier of— 
(I) the date following the expira-
tion of the maximum period of con-
tinuation coverage required under the 
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applicable COBRA continuation cov-
erage provision; or 
(II) the date following the expira-
tion of the period of continuation cov-
erage 
allowed 
under 
paragraph 
(4)(B)(ii). 
(B) NOTIFICATION
REQUIREMENT.—Any 
assistance eligible individual shall notify the 
group health plan with respect to which para-
graph (1)(A) applies if such paragraph ceases 
to apply by reason of clause (i) of subparagraph 
(A). Such notice shall be provided to the group 
health plan in such time and manner as may be 
specified by the Secretary of Labor. 
(3) ASSISTANCE
ELIGIBLE
INDIVIDUAL.—For 
purposes of this section, the term ‘‘assistance eligible 
individual’’ means, with respect to a period of cov-
erage during the period beginning on the first day 
of the first month beginning after the date of the en-
actment of this Act, and ending on September 30, 
2021, any individual that is a qualified beneficiary 
who— 
(A) is eligible for COBRA continuation 
coverage by reason of a qualifying event speci-
fied in section 603(2) of the Employee Retire-
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ment Income Security Act of 1974, section 
4980B(f)(3)(B) of the Internal Revenue Code 
of 1986, or section 2203(2) of the Public 
Health Service Act, except for the voluntary 
termination of such individual’s employment by 
such individual; and 
(B) elects such coverage. 
(4) EXTENSION OF ELECTION PERIOD AND EF-
FECT ON COVERAGE.— 
(A) IN GENERAL.—For purposes of apply-
ing section 605(a) of the Employee Retirement 
Income 
Security 
Act 
of 
1974, 
section 
4980B(f)(5)(A) of the Internal Revenue Code 
of 1986, and section 2205(a) of the Public 
Health Service Act, in the case of— 
(i) an individual who does not have an 
election of COBRA continuation coverage 
in effect on the first day of the first month 
beginning after the date of the enactment 
of this Act but who would be an assistance 
eligible individual described in paragraph 
(3) if such election were so in effect; or 
(ii) an individual who elected COBRA 
continuation coverage and discontinued 
from such coverage before the first day of 
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the first month beginning after the date of 
the enactment of this Act, 
such individual may elect the COBRA continu-
ation coverage under the COBRA continuation 
coverage provisions containing such provisions 
during the period beginning on the first day of 
the first month beginning after the date of the 
enactment of this Act and ending 60 days after 
the date on which the notification required 
under paragraph (6)(C) is provided to such in-
dividual. 
(B) COMMENCEMENT OF COBRA CONTINU-
ATION COVERAGE.—Any COBRA continuation 
coverage elected by a qualified beneficiary dur-
ing an extended election period under subpara-
graph (A)— 
(i) shall commence (including for pur-
poses of applying the treatment of pre-
mium payments under paragraph (1)(A) 
and any cost-sharing requirements for 
items and services under a group health 
plan) with the first period of coverage be-
ginning on or after the first day of the 
first month beginning after the date of the 
enactment of this Act, and 
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(ii) shall not extend beyond the period 
of COBRA continuation coverage that 
would have been required under the appli-
cable COBRA continuation coverage provi-
sion if the coverage had been elected as re-
quired under such provision. 
(5) NOTICES TO INDIVIDUALS.— 
(A) GENERAL NOTICE.— 
(i) IN GENERAL.—In the case of no-
tices provided under section 606(a)(4) of 
the Employee Retirement Income Security 
Act of 1974 (29 U.S.C. 1166(4)), section 
4980B(f)(6)(D) of the Internal Revenue 
Code of 1986, or section 2206(4) of the 
Public Health Service Act (42 U.S.C. 
300bb–6(4)), with respect to individuals 
who, during the period described in para-
graph (3), become entitled to elect COBRA 
continuation coverage, the requirements of 
such provisions shall not be treated as met 
unless such notices include an additional 
written notification to the recipient in clear 
and understandable language of— 
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(I) the availability of premium 
assistance with respect to such cov-
erage under this subsection; and 
(II) the option to enroll in dif-
ferent coverage if the employer per-
mits assistance eligible individuals de-
scribed in paragraph (3) to elect en-
rollment in different coverage (as de-
scribed in paragraph (1)(B)). 
(ii) ALTERNATIVE
NOTICE.—In the 
case of COBRA continuation coverage to 
which the notice provision under such sec-
tions does not apply, the Secretary of 
Labor, in consultation with the Secretary 
of the Treasury and the Secretary of 
Health and Human Services, shall, in con-
sultation with administrators of the group 
health plans (or other entities) that provide 
or administer the COBRA continuation 
coverage involved, provide rules requiring 
the provision of such notice. 
(iii) FORM.—The requirement of the 
additional notification under this subpara-
graph may be met by amendment of exist-
ing notice forms or by inclusion of a sepa-
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rate document with the notice otherwise 
required. 
(B) SPECIFIC REQUIREMENTS.—Each ad-
ditional notification under subparagraph (A) 
shall include— 
(i) the forms necessary for estab-
lishing eligibility for premium assistance 
under this subsection; 
(ii) the name, address, and telephone 
number necessary to contact the plan ad-
ministrator and any other person main-
taining relevant information in connection 
with such premium assistance; 
(iii) a description of the extended elec-
tion period provided for in paragraph 
(4)(A); 
(iv) a description of the obligation of 
the qualified beneficiary under paragraph 
(2)(B) and the penalty provided under sec-
tion 6720C of the Internal Revenue Code 
of 1986 for failure to carry out the obliga-
tion; 
(v) a description, displayed in a 
prominent manner, of the qualified bene-
ficiary’s right to a reduced premium and 
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any conditions on entitlement to the re-
duced premium; and 
(vi) a description of the option of the 
qualified beneficiary to enroll in different 
coverage if the employer permits such ben-
eficiary to elect to enroll in such different 
coverage under paragraph (1)(B). 
(C) NOTICE
IN
CONNECTION
WITH
EX-
TENDED ELECTION PERIODS.—In the case of 
any assistance eligible individual described in 
paragraph (3) (or any individual described in 
paragraph (4)(A)) who became entitled to elect 
COBRA continuation coverage before the first 
day of the first month beginning after the date 
of the enactment of this Act, the administrator 
of the applicable group health plan (or other 
entity) shall provide (within 60 days after such 
first day of such first month) for the additional 
notification required to be provided under sub-
paragraph (A) and failure to provide such no-
tice shall be treated as a failure to meet the no-
tice requirements under the applicable COBRA 
continuation provision. 
(D) MODEL NOTICES.—Not later than 30 
days after the date of enactment of this Act, 
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with respect to any assistance eligible individual 
described in paragraph (3), the Secretary of 
Labor, in consultation with the Secretary of the 
Treasury and the Secretary of Health and 
Human Services, shall prescribe models for the 
additional notification required under this para-
graph. 
(6) NOTICE
OF
EXPIRATION
OF
PERIOD
OF 
PREMIUM ASSISTANCE.— 
(A) IN GENERAL.—With respect to any as-
sistance eligible individual, subject to subpara-
graph 
(B), 
the 
requirements 
of 
section 
606(a)(4) of the Employee Retirement Income 
Security Act of 1974 (29 U.S.C. 1166(4)), sec-
tion 4980B(f)(6)(D) of the Internal Revenue 
Code of 1986, or section 2206(4) of the Public 
Health Service Act (42 U.S.C. 300bb–6(4)), 
shall not be treated as met unless the plan ad-
ministrator of the individual, during the period 
specified under subparagraph (C), provides to 
such individual a written notice in clear and un-
derstandable language— 
(i) that the premium assistance for 
such individual will expire soon and the 
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prominent identification of the date of 
such expiration; and 
(ii) that such individual may be eligi-
ble for coverage without any premium as-
sistance through— 
(I) COBRA continuation cov-
erage; or 
(II) coverage under a group 
health plan. 
(B) EXCEPTION.—The requirement for the 
group health plan administrator to provide the 
written notice under subparagraph (A) shall be 
waived if the premium assistance for such indi-
vidual expires pursuant to clause (i) of para-
graph (2)(A). 
(C) PERIOD SPECIFIED.—For purposes of 
subparagraph (A), the period specified in this 
subparagraph is, with respect to the date of ex-
piration of premium assistance for any assist-
ance eligible individual pursuant to a limitation 
requiring a notice under this paragraph, the pe-
riod beginning on the day that is 45 days before 
the date of such expiration and ending on the 
day that is 15 days before the date of such ex-
piration. 
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(D) MODEL NOTICES.—Not later than 45 
days after the date of enactment of this Act, 
with respect to any assistance eligible indi-
vidual, the Secretary of Labor, in consultation 
with the Secretary of the Treasury and the Sec-
retary of Health and Human Services, shall 
prescribe models for the notification required 
under this paragraph. 
(7) REGULATIONS.—The Secretary of the 
Treasury and the Secretary of Labor may jointly 
prescribe such regulations or other guidance as may 
be necessary or appropriate to carry out the provi-
sions of this subsection, including the prevention of 
fraud and abuse under this subsection, except that 
the Secretary of Labor and the Secretary of Health 
and Human Services may prescribe such regulations 
(including interim final regulations) or other guid-
ance as may be necessary or appropriate to carry 
out the provisions of paragraphs (5), (6), and (8). 
(8) OUTREACH.— 
(A) 
IN
GENERAL.—The 
Secretary 
of 
Labor, in consultation with the Secretary of the 
Treasury and the Secretary of Health and 
Human Services, shall provide outreach con-
sisting of public education and enrollment as-
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sistance relating to premium assistance pro-
vided under this subsection. Such outreach shall 
target employers, group health plan administra-
tors, public assistance programs, States, insur-
ers, and other entities as determined appro-
priate by such Secretaries. Such outreach shall 
include an initial focus on those individuals 
electing continuation coverage who are referred 
to in paragraph (5)(C). Information on such 
premium assistance, including enrollment, shall 
also be made available on websites of the De-
partments of Labor, Treasury, and Health and 
Human Services. 
(B) ENROLLMENT
UNDER
MEDICARE.— 
The Secretary of Health and Human Services 
shall provide outreach consisting of public edu-
cation. Such outreach shall target individuals 
who lose health insurance coverage. Such out-
reach shall include information regarding en-
rollment for Medicare benefits for purposes of 
preventing mistaken delays of such enrollment 
by such individuals, including lifetime penalties 
for failure of timely enrollment. 
(9) DEFINITIONS.—For purposes of this sec-
tion: 
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(A) ADMINISTRATOR.—The term ‘‘admin-
istrator’’ has the meaning given such term in 
section 3(16)(A) of the Employee Retirement 
Income Security Act of 1974. 
(B) COBRA
CONTINUATION
COVERAGE.— 
The term ‘‘COBRA continuation coverage’’ 
means continuation coverage provided pursuant 
to part 6 of subtitle B of title I of the Em-
ployee Retirement Income Security Act of 1974 
(other than under section 609), title XXII of 
the Public Health Service Act, or section 
4980B of the Internal Revenue Code of 1986 
(other than subsection (f)(1) of such section in-
sofar as it relates to pediatric vaccines), or 
under a State program that provides com-
parable continuation coverage. Such term does 
not include coverage under a health flexible 
spending arrangement under a cafeteria plan 
within the meaning of section 125 of the Inter-
nal Revenue Code of 1986. 
(C) COBRA
CONTINUATION
PROVISION.— 
The term ‘‘COBRA continuation provision’’ 
means the provisions of law described in sub-
paragraph (B). 
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(D) 
COVERED
EMPLOYEE.—The 
term 
‘‘covered employee’’ has the meaning given such 
term in section 607(2) of the Employee Retire-
ment Income Security Act of 1974. 
(E) QUALIFIED BENEFICIARY.—The term 
‘‘qualified beneficiary’’ has the meaning given 
such term in section 607(3) of the Employee 
Retirement Income Security Act of 1974. 
(F) GROUP
HEALTH
PLAN.—The term 
‘‘group health plan’’ has the meaning given 
such term in section 607(1) of the Employee 
Retirement Income Security Act of 1974. 
(G) STATE.—The term ‘‘State’’ includes 
the District of Columbia, the Commonwealth of 
Puerto Rico, the Virgin Islands, Guam, Amer-
ican Samoa, and the Commonwealth of the 
Northern Mariana Islands. 
(H) PERIOD
OF
COVERAGE.—Any ref-
erence in this subsection to a period of coverage 
shall be treated as a reference to a monthly or 
shorter period of coverage with respect to which 
premiums are charged with respect to such cov-
erage. 
(I) PLAN
SPONSOR.—The term ‘‘plan 
sponsor’’ has the meaning given such term in 
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section 3(16)(B) of the Employee Retirement 
Income Security Act of 1974. 
(J) PREMIUM.—The term ‘‘premium’’ in-
cludes, with respect to COBRA continuation 
coverage, any administrative fee. 
(10) IMPLEMENTATION FUNDING.—In addition 
to amounts otherwise made available, out of any 
funds in the Treasury not otherwise appropriated, 
there are appropriated to the Secretary of Labor for 
fiscal year 2021, $10,000,000, to remain available 
until expended, for the Employee Benefits Security 
Administration to carry out the provisions of this 
subtitle. 
(b) COBRA PREMIUM ASSISTANCE.— 
(1) ALLOWANCE OF CREDIT.— 
(A) IN GENERAL.—Subchapter B of chap-
ter 65 of the Internal Revenue Code of 1986 is 
amended by adding at the end the following 
new section: 
‘‘SEC. 6432. CONTINUATION COVERAGE PREMIUM ASSIST-
ANCE. 
‘‘(a) IN GENERAL.—The person to whom premiums 
are payable for continuation coverage under section 
2401(a)(1) of the American Rescue Plan Act of 2021 shall 
be allowed as a credit against the tax imposed by section 
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3111(b), or so much of the taxes imposed under section 
3221(a) as are attributable to the rate in effect under sec-
tion 3111(b), for each calendar quarter an amount equal 
to the premiums not paid by assistance eligible individuals 
for such coverage by reason of such section 2401(a)(1) 
with respect to such calendar quarter. 
‘‘(b) PERSON TO WHOM PREMIUMS ARE PAYABLE.— 
For purposes of subsection (a), except as otherwise pro-
vided by the Secretary, the person to whom premiums are 
payable under such continuation coverage shall be treated 
as being— 
‘‘(1) in the case of any group health plan which 
is a multiemployer plan (as defined in section 3(37) 
of the Employee Retirement Income Security Act of 
1974), the plan, 
‘‘(2) in the case of any group health plan not 
described in paragraph (1)— 
‘‘(A) which is subject to the COBRA con-
tinuation provisions contained in— 
‘‘(i) the Internal Revenue Code of 
1986, 
‘‘(ii) the Employee Retirement Income 
Security Act of 1974, or 
‘‘(iii) the Public Health Service Act, 
or 
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‘‘(B) under which some or all of the cov-
erage is not provided by insurance, 
the employer maintaining the plan, and 
‘‘(3) in the case of any group health plan not 
described in paragraph (1) or (2), the insurer pro-
viding the coverage under the group health plan. 
‘‘(c) LIMITATIONS AND REFUNDABILITY.— 
‘‘(1) CREDIT
LIMITED
TO
CERTAIN
EMPLOY-
MENT TAXES.—The credit allowed by subsection (a) 
with respect to any calendar quarter shall not exceed 
the tax imposed by section 3111(b), or so much of 
the taxes imposed under section 3221(a) as are at-
tributable to the rate in effect under section 
3111(b), for such calendar quarter (reduced by any 
credits allowed against such taxes under sections 
3131, 3132, and 3134) on the wages paid with re-
spect to the employment of all employees of the em-
ployer. 
‘‘(2) REFUNDABILITY OF EXCESS CREDIT.— 
‘‘(A) CREDIT
IS
REFUNDABLE.—If the 
amount of the credit under subsection (a) ex-
ceeds the limitation of paragraph (1) for any 
calendar quarter, such excess shall be treated 
as an overpayment that shall be refunded under 
sections 6402(a) and 6413(b). 
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‘‘(B) CREDIT MAY BE ADVANCED.—In an-
ticipation of the credit, including the refundable 
portion under subparagraph (A), the credit may 
be advanced, according to forms and instruc-
tions provided by the Secretary, up to an 
amount calculated under subsection (a) through 
the end of the most recent payroll period in the 
quarter. 
‘‘(C) TREATMENT
OF
DEPOSITS.—The 
Secretary shall waive any penalty under section 
6656 for any failure to make a deposit of the 
tax imposed by section 3111(b), or so much of 
the taxes imposed under section 3221(a) as are 
attributable to the rate in effect under section 
3111(b), if the Secretary determines that such 
failure was due to the anticipation of the credit 
allowed under this section. 
‘‘(D) TREATMENT
OF
PAYMENTS.—For 
purposes of section 1324 of title 31, United 
States Code, any amounts due to an employer 
under this paragraph shall be treated in the 
same manner as a refund due from a credit 
provision referred to in subsection (b)(2) of 
such section. 
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‘‘(3) OVERSTATEMENTS.—Any overstatement of 
the credit to which a person is entitled under this 
section (and any amount paid by the Secretary as a 
result of such overstatement) shall be treated as an 
underpayment by such person of the taxes described 
in paragraph (1) and may be assessed and collected 
by the Secretary in the same manner as such taxes. 
‘‘(d) GOVERNMENTAL ENTITIES.—For purposes of 
this section, the term ‘person’ includes the government of 
any State or political subdivision thereof, any Indian tribal 
government (as defined in section 139E(c)(1)), any agency 
or instrumentality of any of the foregoing, and any agency 
or instrumentality of the Government of the United States 
that is described in section 501(c)(1) and exempt from 
taxation under section 501(a). 
‘‘(e) DENIAL OF DOUBLE BENEFIT.—For purposes 
of chapter 1, the gross income of any person allowed a 
credit under this section shall be increased for the taxable 
year which includes the last day of any calendar quarter 
with respect to which such credit is allowed by the amount 
of such credit. No credit shall be allowed under this sec-
tion with respect to any amount which is taken into ac-
count as qualified wages under section 2301 of the 
CARES Act or section 3134 of this title or as qualified 
health plan expenses under section 7001(d) or 7003(d) of 
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the Families First Coronavirus Response Act or section 
3131 or 3132 of this title. 
‘‘(f) EXTENSION OF LIMITATION ON ASSESSMENT.— 
Notwithstanding section 6501, the limitation on the time 
period for the assessment of any amount attributable to 
a credit claimed under this section shall not expire before 
the date that is 5 years after the later of— 
‘‘(1) the date on which the original return 
which includes the calendar quarter with respect to 
which such credit is determined is filed, or 
‘‘(2) the date on which such return is treated 
as filed under section 6501(b)(2). 
‘‘(g) REGULATIONS.—The Secretary shall issue such 
regulations, or other guidance, forms, instructions, and 
publications, as may be necessary or appropriate to carry 
out this section, including— 
‘‘(1) the requirement to report information or 
the establishment of other methods for verifying the 
correct amounts of reimbursements under this sec-
tion, 
‘‘(2) the application of this section to group 
health plans that are multiemployer plans (as de-
fined in section 3(37) of the Employee Retirement 
Income Security Act of 1974), 
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‘‘(3) to allow the advance payment of the credit 
determined under subsection (a), subject to the limi-
tations provided in this section, based on such infor-
mation as the Secretary shall require, 
‘‘(4) to provide for the reconciliation of such 
advance payment with the amount of the credit at 
the time of filing the return of tax for the applicable 
quarter or taxable year, and 
‘‘(5) allowing the credit to third party payors 
(including professional employer organizations, cer-
tified professional employer organizations, or agents 
under section 3504).’’. 
(B) CLERICAL AMENDMENT.—The table of 
sections for subchapter B of chapter 65 of the 
Internal Revenue Code of 1986 is amended by 
adding at the end the following new item: 
‘‘Sec. 6432. Continuation coverage premium assistance.’’. 
(C) EFFECTIVE DATE.—The amendments 
made by this paragraph shall apply to pre-
miums to which subsection (a)(1)(A) applies 
and wages paid on or after April 1, 2021. 
(D) SPECIAL RULE IN CASE OF EMPLOYEE 
PAYMENT THAT IS NOT REQUIRED UNDER THIS 
SECTION.— 
(i) IN GENERAL.—In the case of an 
assistance eligible individual who pays, 
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with respect any period of coverage to 
which subsection (a)(1)(A) applies, the 
amount of the premium for such coverage 
that the individual would have (but for this 
Act) been required to pay, the person to 
whom such payment is payable shall reim-
burse such individual for the amount of 
such premium paid in excess of the 
amount required to be paid under sub-
section (a)(1)(A). 
(ii) CREDIT OF REIMBURSEMENT.—A 
person to which clause (i) applies shall be 
allowed a credit in the manner provided 
under section 6432 of the Internal Rev-
enue Code of 1986 for any payment made 
to the employee under such clause. 
(iii) PAYMENT
OF
CREDITS.—Any 
person to which clause (i) applies shall 
make the payment required under such 
clause to the individual not later than 60 
days after the date on which such indi-
vidual elects continuation coverage under 
subsection (a)(1). 
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(2) PENALTY FOR FAILURE TO NOTIFY HEALTH 
PLAN OF CESSATION OF ELIGIBILITY FOR PREMIUM 
ASSISTANCE.— 
(A) IN GENERAL.—Part I of subchapter B 
of chapter 68 of the Internal Revenue Code of 
1986 is amended by adding at the end the fol-
lowing new section: 
‘‘SEC. 6720C. PENALTY FOR FAILURE TO NOTIFY HEALTH 
PLAN OF CESSATION OF ELIGIBILITY FOR 
CONTINUATION COVERAGE PREMIUM ASSIST-
ANCE. 
‘‘(a) IN GENERAL.—Except in the case of a failure 
described in subsection (b) or (c), any person required to 
notify a group health plan under section 2401(a)(2)(B) 
of the American Rescue Plan Act of 2021 who fails to 
make such a notification at such time and in such manner 
as the Secretary of Labor may require shall pay a penalty 
of $250 for each such failure. 
‘‘(b) INTENTIONAL FAILURE.—In the case of any 
such failure that is fraudulent, such person shall pay a 
penalty equal to the greater of— 
‘‘(1) $250, or 
‘‘(2) 110 percent of the premium assistance 
provided under section 2401(a)(1)(A) of the Amer-
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ican Rescue Plan Act of 2021 after termination of 
eligibility under such section. 
‘‘(c) REASONABLE CAUSE EXCEPTION.—No penalty 
shall be imposed under this section with respect to any 
failure if it is shown that such failure is due to reasonable 
cause and not to willful neglect.’’. 
(B) CLERICAL AMENDMENT.—The table of 
sections of part I of subchapter B of chapter 68 
of such Code is amended by adding at the end 
the following new item: 
‘‘Sec. 6720C. Penalty for failure to notify health plan of cessation of eligibility 
for continuation coverage premium assistance.’’. 
(3) COORDINATION WITH HCTC.— 
(A) IN GENERAL.—Section 35(g)(9) of the 
Internal Revenue Code of 1986 is amended to 
read as follows: 
‘‘(9) CONTINUATION COVERAGE PREMIUM AS-
SISTANCE.—In the case of an assistance eligible in-
dividual who receives premium assistance for con-
tinuation coverage under section 2401(a)(1) of the 
American Rescue Plan Act of 2021 for any month 
during the taxable year, such individual shall not be 
treated as an eligible individual, a certified indi-
vidual, or a qualifying family member for purposes 
of this section or section 7527 with respect to such 
month.’’. 
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(B) EFFECTIVE
DATE.—The amendment 
made by subparagraph (A) shall apply to tax-
able years ending after the date of the enact-
ment of this Act. 
(4) EXCLUSION OF CONTINUATION COVERAGE 
PREMIUM ASSISTANCE FROM GROSS INCOME.— 
(A) IN GENERAL.—Part III of subchapter 
B of chapter 1 of the Internal Revenue Code of 
1986 is amended by inserting after section 
139H the following new section: 
‘‘SEC. 139I. CONTINUATION COVERAGE PREMIUM ASSIST-
ANCE. 
‘‘In the case of an assistance eligible individual (as 
defined in subsection (a)(3) of section 2401 of the Amer-
ican Rescue Plan Act of 2021), gross income does not in-
clude any premium assistance provided under subsection 
(a)(1) of such section.’’. 
(B) CLERICAL AMENDMENT.—The table of 
sections for part III of subchapter B of chapter 
1 of such Code is amended by inserting after 
the item relating to section 139H the following 
new item: 
‘‘Sec. 139I. Continuation coverage premium assistance.’’. 
(C) EFFECTIVE DATE.—The amendments 
made by this paragraph shall apply to taxable 
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years ending after the date of the enactment of 
this Act. 
TITLE III—COMMITTEE ON 
ENERGY AND COMMERCE 
Subtitle A—Public Health 
CHAPTER 1—VACCINES AND 
THERAPEUTICS 
SEC. 3001. FUNDING FOR COVID–19 VACCINE ACTIVITIES AT 
THE CENTERS FOR DISEASE CONTROL AND 
PREVENTION. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary of Health 
and Human Services (in this subtitle referred to as the 
‘‘Secretary’’) for fiscal year 2021, out of any money in 
the Treasury not otherwise appropriated, $7,500,000,000, 
to remain available until expended, to carry out activities 
to plan, prepare for, promote, distribute, administer, mon-
itor, and track COVID–19 vaccines. 
(b) USE OF FUNDS.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, and in consultation with other agencies, as appli-
cable, shall, in conducting activities referred to in sub-
section (a)— 
(1) conduct activities to enhance, expand, and 
improve nationwide COVID–19 vaccine distribution 
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and administration, including activities related to 
distribution of ancillary medical products and sup-
plies related to vaccines; and 
(2) provide technical assistance, guidance, and 
support to, and award grants or cooperative agree-
ments to, State, local, Tribal, and territorial public 
health departments for enhancement of COVID–19 
vaccine distribution and administration capabilities, 
including— 
(A) the distribution and administration of 
vaccines licensed under section 351 of the Pub-
lic Health Service Act (42 U.S.C. 262) or au-
thorized under section 564 of the Federal Food, 
Drug, and Cosmetic Act (21 U.S.C. 360bbb–3) 
and ancillary medical products and supplies re-
lated to vaccines; 
(B) the establishment and expansion, in-
cluding staffing support, of community vaccina-
tion centers, particularly in underserved areas; 
(C) the deployment of mobile vaccination 
units, particularly in underserved areas; 
(D) information technology, data, and re-
porting enhancements, including improvements 
necessary to support sharing of data related to 
vaccine distribution and vaccinations and sys-
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tems that enhance vaccine safety, effectiveness, 
and uptake, particularly among underserved 
populations; 
(E) facilities enhancements; 
(F) communication with the public regard-
ing when, where, and how to receive COVID– 
19 vaccines; and 
(G) transportation of individuals to facili-
tate vaccinations, including at community vac-
cination centers and mobile vaccination units, 
particularly for underserved populations. 
SEC. 3002. FUNDING FOR VACCINE CONFIDENCE ACTIVI-
TIES. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$1,000,000,000, to remain available until expended, to 
carry out activities, acting through the Director of the 
Centers for Disease Control and Prevention— 
(1) to strengthen vaccine confidence in the 
United States, including its territories and posses-
sions; 
(2) to provide further information and edu-
cation with respect to vaccines licensed under section 
351 of the Public Health Service Act (42 U.S.C. 
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262) or authorized under section 564 of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb– 
3); and 
(3) to improve rates of vaccination throughout 
the United States, including its territories and pos-
sessions, including through activities described in 
section 313 of the Public Health Service Act, as 
amended by section 311 of division BB of the Con-
solidated Appropriations Act, 2021 (Public Law 
116–260). 
SEC. 3003. FUNDING FOR SUPPLY CHAIN FOR COVID–19 
VACCINES, THERAPEUTICS, AND MEDICAL 
SUPPLIES. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$6,050,000,000, to remain available until expended, for 
necessary expenses with respect to research, development, 
manufacturing, production, and the purchase of vaccines, 
therapeutics, and ancillary medical products and supplies 
to prevent, prepare, or respond to— 
(1) SARS–CoV–2 or any viral variant mutating 
therefrom with pandemic potential; and 
(2) COVID–19 or any disease with potential for 
creating a pandemic. 
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SEC. 3004. FUNDING FOR COVID–19 VACCINE, THERA-
PEUTIC, AND DEVICE ACTIVITIES AT THE 
FOOD AND DRUG ADMINISTRATION. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$500,000,000, to remain available until expended, to be 
used for the evaluation of the continued performance, safe-
ty, and effectiveness, including with respect to emerging 
COVID–19 variants, of vaccines, therapeutics, and 
diagnostics approved, cleared, licensed, or authorized for 
use for the treatment, prevention, or diagnosis of COVID– 
19; facilitation of advanced continuous manufacturing ac-
tivities related to production of vaccines and related mate-
rials; facilitation and conduct of inspections related to the 
manufacturing of vaccines, therapeutics, and devices de-
layed or cancelled for reasons related to COVID–19; re-
view of devices authorized for use for the treatment, pre-
vention, or diagnosis of COVID–19; and oversight of the 
supply chain and mitigation of shortages of vaccines, 
therapeutics, and devices approved, cleared, licensed, or 
authorized for use for the treatment, prevention, or diag-
nosis of COVID–19 by the Food and Drug Administra-
tion. 
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CHAPTER 2—TESTING 
SEC. 3011. FUNDING FOR COVID–19 TESTING, CONTACT 
TRACING, AND MITIGATION ACTIVITIES. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $47,800,000,000, to remain available until 
expended, to carry out activities to detect, diagnose, trace, 
and monitor SARS–CoV–2 and COVID–19 infections and 
related strategies to mitigate the spread of COVID–19. 
(b) USE OF FUNDS.—From amounts appropriated by 
subsection (a), the Secretary shall— 
(1) implement a national, evidence-based strat-
egy for testing, contact tracing, surveillance, and 
mitigation with respect to SARS–CoV–2 and 
COVID–19, including through activities authorized 
under section 319(a) of the Public Health Service 
Act; 
(2) provide technical assistance, guidance, and 
support, and award grants or cooperative agree-
ments to State, local, and territorial public health 
departments for activities to detect, diagnose, trace, 
and monitor SARS–CoV–2 and COVID–19 infec-
tions and related strategies and activities to mitigate 
the spread of COVID–19; 
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(3) support the development, manufacturing, 
procurement, distribution, and administration of 
tests to detect or diagnose SARS–CoV–2 and 
COVID–19, including through— 
(A) support for the development, manufac-
ture, procurement, and distribution of supplies 
necessary for administering tests, such as per-
sonal protective equipment; and 
(B) support for the acquisition, construc-
tion, alteration, or renovation of non-federally 
owned 
facilities 
for 
the 
production 
of 
diagnostics and ancillary medical supplies where 
the Secretary determines that such an invest-
ment is necessary to ensure the production of 
sufficient amounts of such supplies. 
(4) establish and expand Federal, State, local, 
and territorial testing and contact tracing capabili-
ties, including investments in laboratory capacity, 
community-based testing sites, and mobile testing 
units, particularly in medically underserved areas; 
(5) enhance information technology, data mod-
ernization, and reporting, including improvements 
necessary to support sharing of data related to pub-
lic health capabilities; 
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(6) award grants to, or enter into cooperative 
agreements or contracts with, State, local, and terri-
torial public health departments to establish, ex-
pand, and sustain a public health workforce; and 
(7) to cover administrative and program sup-
port costs necessary to conduct activities related to 
subparagraph (a). 
SEC. 3012. FUNDING FOR SARS–COV–2 GENOMIC SEQUENC-
ING AND SURVEILLANCE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021 out of any money in the Treasury not otherwise 
appropriated, $1,750,000,000, to remain available until 
expended, to strengthen and expand activities and work-
force related to genomic sequencing, analytics, and disease 
surveillance. 
(b) USE OF FUNDS.—From amounts appropriated by 
subsection (a), the Secretary, acting through the Director 
of the Centers for Disease Control and Prevention, shall— 
(1) conduct, expand, and improve activities to 
sequence genomes, identify mutations, and survey 
the circulation and transmission of viruses and other 
organisms, including strains of SARS–CoV–2; 
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(2) award grants or cooperative agreements to 
State, local, Tribal, or territorial public health de-
partments or public health laboratories— 
(A) to increase their capacity to sequence 
genomes of circulating strains of viruses and 
other organisms, including SARS–CoV–2; 
(B) to identify mutations in viruses and 
other organisms, including SARS–CoV–2; 
(C) to use genomic sequencing to identify 
outbreaks and clusters of diseases or infections, 
including COVID–19; and 
(D) to develop effective disease response 
strategies based on genomic sequencing and 
surveillance data; 
(3) enhance and expand the informatics capa-
bilities of the public health workforce; and 
(4) award grants for the construction, alter-
ation, or renovation of facilities to improve genomic 
sequencing and surveillance capabilities at the State 
and local level. 
SEC. 3013. FUNDING FOR GLOBAL HEALTH. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any amounts in the Treasury not otherwise appropriated, 
$750,000,000, to remain available until expended, for ac-
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tivities to be conducted acting through the Director of the 
Centers for Disease Control and Prevention to combat 
SARS–CoV– 2, COVID–19, and other emerging infectious 
disease threats globally, including efforts related to global 
health security, global disease detection and response, 
global health protection, global immunization, and global 
coordination on public health. 
SEC. 3014. FUNDING FOR DATA MODERNIZATION AND 
FORECASTING CENTER. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$500,000,000, to remain available until expended, for ac-
tivities to be conducted acting through the Director of the 
Centers for Disease Control and Prevention to support 
public health data surveillance and analytics infrastruc-
ture modernization initiatives at the Centers for Disease 
Control and Prevention, and establish, expand, and main-
tain efforts to modernize the United States disease warn-
ing system to forecast and track hotspots for COVID–19, 
its variants, and emerging biological threats, including 
academic and workforce support for analytics and 
informatics infrastructure and data collection systems. 
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CHAPTER 3—PUBLIC HEALTH 
WORKFORCE 
SEC. 3021. FUNDING FOR PUBLIC HEALTH WORKFORCE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $7,660,000,000, to remain available until 
expended, to carry out activities related to establishing, 
expanding, and sustaining a public health workforce, in-
cluding by making awards to State, local, and territorial 
public health departments. 
(b) USE OF FUNDS FOR PUBLIC HEALTH DEPART-
MENTS.—Amounts made available to an awardee pursuant 
to subsection (a) shall be used for the following: 
(1) Costs, including wages and benefits, related 
to the recruiting, hiring, and training of individ-
uals— 
(A) to serve as case investigators, contact 
tracers, social support specialists, community 
health workers, public health nurses, disease 
intervention specialists, epidemiologists, pro-
gram 
managers, 
laboratory 
personnel, 
informaticians, communication and policy ex-
perts, and any other positions as may be re-
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quired to prevent, prepare for, and respond to 
COVID–19; and 
(B) who are employed by— 
(i) the State, territorial, or local pub-
lic health department involved; or 
(ii) a nonprofit private or public orga-
nization with demonstrated expertise in im-
plementing public health programs and es-
tablished relationships with such State, 
territorial, or local public health depart-
ments, particularly in medically under-
served areas. 
(2) Personal protective equipment, data man-
agement and other technology, or other necessary 
supplies. 
(3) Administrative costs and activities necessary 
for awardees to implement activities funded under 
this section. 
(4) Reporting to the Secretary on implementa-
tion of the activities funded under this section. 
(5) Subawards from recipients of awards under 
subsection (a) to local health departments for the 
purposes of the activities funded under this section. 
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SEC. 3022. FUNDING FOR MEDICAL RESERVE CORPS. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$100,000,000, to remain available until expended, for car-
rying out section 2813 of the Public Health Service Act 
(42 U.S.C. 300hh–15). 
CHAPTER 4—PUBLIC HEALTH 
INVESTMENTS 
SEC. 3031. FUNDING FOR COMMUNITY HEALTH CENTERS 
AND COMMUNITY CARE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $7,600,000,000, to remain available until 
expended, for necessary expenses for awarding grants and 
cooperative agreements under section 330 of the Public 
Health Service Act (42 U.S.C. 254b) to be awarded with-
out regard to the time limitation in subsection (e)(3) and 
subsections (e)(6)(A)(iii), (e)(6)(B)(iii), and (r)(2)(B) of 
such section 330, and for necessary expenses for awarding 
grants to Federally qualified health centers, as described 
in section 1861(aa)(4)(B) of the Social Security Act (42 
U.S.C.1395x(aa)(4)(B)), and for awarding grants or con-
tracts to Papa Ola Lokahi and to qualified entities under 
sections 4 and 6 of the Native Hawaiian Health Care Im-
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provement Act (42 U.S.C. 11703, 11705). Of the total 
amount appropriated by the preceding sentence, not less 
than $20,000,000 shall be for grants or contracts to Papa 
Ola Lokahi and to qualified entities under sections 4 and 
6 of the Native Hawaiian Health Care Improvement Act 
(42 U.S.C. 11703, 11705). 
(b) USE OF FUNDS.—Amounts made available to an 
awardee pursuant to subsection (a) shall be used— 
(1) to plan, prepare for, promote, distribute, 
administer, and track COVID–19 vaccines, and to 
carry out other vaccine-related activities; 
(2) to detect, diagnose, trace, and monitor 
COVID–19 infections and related activities nec-
essary to mitigate the spread of COVID–19, includ-
ing activities related to, and equipment or supplies 
purchased for, testing, contact tracing, surveillance, 
mitigation, and treatment of COVID–19; 
(3) to purchase equipment and supplies to con-
duct mobile testing or vaccinations for COVID–19, 
to purchase and maintain mobile vehicles and equip-
ment to conduct such testing or vaccinations, and to 
hire and train laboratory personnel and other staff 
to conduct such mobile testing or vaccinations, par-
ticularly in medically underserved areas; 
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(4) to establish, expand, and sustain the health 
care workforce to prevent, prepare for, and respond 
to COVID–19, and to carry out other health work-
force-related activities; 
(5) to modify, enhance, and expand health care 
services and infrastructure; and 
(6) to conduct community outreach and edu-
cation activities related to COVID–19. 
(c) PAST EXPENDITURES.—An awardee may use 
amounts awarded pursuant to subsection (a) to cover the 
costs of the awardee carrying out any of the activities de-
scribed in subsection (b) during the period beginning on 
the date of the declaration of a public health emergency 
by the Secretary under section 319 of the Public Health 
Service Act (42 U.S.C. 247d) on January 31, 2020, with 
respect to COVID–19 and ending on the date of such 
award. 
SEC. 3032. FUNDING FOR NATIONAL HEALTH SERVICE 
CORPS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $800,000,000, to remain available until ex-
pended, for carrying out sections 338A, 338B, and 338I 
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of the Public Health Service Act (42 U.S.C. 254l, 254l– 
1, 254q–1) with respect to the health workforce. 
(b) STATE LOAN REPAYMENT PROGRAMS.— 
(1) IN GENERAL.—Of the amount made avail-
able pursuant to subsection (a), $100,000,000 shall 
be made available for providing primary health serv-
ices through grants to States under section 338I(a) 
of the Public Health Service Act (42 U.S.C. 254q– 
1(a)). 
(2) CONDITIONS.—With respect to grants de-
scribed in paragraph (1) using funds made available 
under such paragraph: 
(A) Section 338I(b) of the Public Health 
Service Act (42 U.S.C. 254q–1(b)) shall not 
apply. 
(B) Notwithstanding section 338I(d)(2) of 
the Public Health Service Act (42 U.S.C. 254q– 
1(d)(2)), not more than 10 percent of an award 
to a State from such amounts, may be used by 
the State for costs of administering the State 
loan repayment program. 
SEC. 3033. FUNDING FOR NURSE CORPS. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
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$200,000,000, to remain available until expended, for car-
rying out section 846 of the Public Health Service Act 
(42 U.S.C. 297n). 
SEC. 3034. FUNDING FOR TEACHING HEALTH CENTERS 
THAT OPERATE GRADUATE MEDICAL EDU-
CATION. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, and notwithstanding the capped amount ref-
erenced in sections 340H(b)(2) and 340H(d)(2) of the 
Public Health Service Act (42 U.S.C. 256h(b)(2) and 
(d)(2)), there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $330,000,000, to remain available until 
September 30, 2023, for the program of payments to 
teaching health centers that operate graduate medical 
education under section 340H of the Public Health Serv-
ice Act (42 U.S.C. 256h) and for teaching health center 
development grants authorized under section 749A of the 
Public Health Service Act (42 U.S.C. 293l–1). 
(b) USE OF FUNDS.—Amounts made available pursu-
ant to subsection (a) shall be used for the following activi-
ties: 
(1) For making payments to establish new ap-
proved graduate medical residency training pro-
grams pursuant to section 340H(a)(1)(C) of the 
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Public 
Health 
Service 
Act 
(42 
U.S.C. 
256h(a)(1)(C)). 
(2) To provide an increase to the per resident 
amount described in section 340H(a)(2) of the Pub-
lic Health Service Act (42 U.S.C. 256h(a)(2)) of 
$10,000. 
(3) For making payments under section 
340H(a)(1)(A) of the Public Health Service Act (42 
U.S.C. 256h(a)(1)(A))) to qualified teaching health 
centers for maintenance of filled positions at existing 
approved graduate medical residency training pro-
grams. 
(4) For making payments under section 
340H(a)(1)(B) of the Public Health Service Act (42 
U.S.C. 256h(a)(1)(B)) for the expansion of existing 
approved graduate medical residency training pro-
grams. 
(5) For making awards under section 749A of 
the Public Health Service Act (42 U.S.C. 293l–1) to 
teaching health centers for the purpose of estab-
lishing new accredited or expanded primary care 
residency programs. 
(6) To cover administrative costs and activities 
necessary for qualified teaching health centers re-
ceiving payments under section 340H of the Public 
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Health Service Act (42 U.S.C. 256h) to carry out 
activities under such section. 
SEC. 3035. FUNDING FOR FAMILY PLANNING. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$50,000,000, to remain available until expended, for nec-
essary expenses for making grants and contracts under 
section 1001 of the Public Health Service Act (42 U.S.C. 
300). 
SEC. 3036. FUNDING FOR OFFICE OF INSPECTOR GENERAL. 
In addition to amounts otherwise available, there is 
appropriated to the inspector general of the Department 
of Health and Human Services for fiscal year 2021, out 
of any money in the Treasury not otherwise appropriated, 
$5,000,000, to remain available until expended, for over-
sight of activities supported with funds appropriated to 
the Department of Health and Human Services to pre-
vent, prepare for, and respond to coronavirus 2019 or 
COVID–19, domestically or internationally. 
CHAPTER 5—INDIAN HEALTH 
SEC. 3041. FUNDING FOR INDIAN HEALTH. 
(a) In addition to amounts otherwise available, there 
is appropriated to the Secretary for fiscal year 2021, out 
of any money in the Treasury not otherwise appropriated, 
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$6,094,000,000, to remain available until expended, of 
which— 
(1) $5,484,000,000 shall be for carrying out 
the Act of August 5, 1954 (42 U.S.C. 2001 et seq.) 
(commonly referred to as the Transfer Act), the In-
dian Self-Determination and Education Assistance 
Act (25 U.S.C. 5301 et seq.), the Indian Health 
Care Improvement Act (25 U.S.C. 1601 et seq.), 
and titles II and III of the Public Health Service 
Act (42 U.S.C. 201 et seq. and 241 et seq.) with re-
spect to the Indian Health Service, of which— 
(A) $2,000,000,000 shall be for lost reim-
bursements, in accordance with section 207 of 
the Indian Health Care Improvement Act (25 
U.S.C. 1621f); 
(B) $500,000,000 shall be for the provi-
sion of additional health care services, services 
provided through the Purchased/Referred Care 
program, and other related activities; 
(C) $140,000,000 shall be for information 
technology, telehealth infrastructure, and the 
Indian Health Service electronic health records 
system; 
(D) $84,000,000 shall be for maintaining 
operations of the Urban Indian health program, 
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which shall be in addition to other amounts 
made available under this subsection for Urban 
Indian organizations (as defined in section 4 of 
the Indian Health Care Improvement Act (25 
U.S.C. 1603)); 
(E) $600,000,000 shall be for necessary 
expenses to plan, prepare for, promote, dis-
tribute, administer, and track COVID–19 vac-
cines, for the purposes described in subpara-
graphs (F) and (G), and for other vaccine-re-
lated activities; 
(F) $1,500,000,000 shall be for necessary 
expenses to detect, diagnose, trace, and monitor 
COVID–19 infections, activities necessary to 
mitigate the spread of COVID–19, supplies nec-
essary for such activities, for the purposes de-
scribed in subparagraphs (E) and (G), and for 
other related activities; 
(G) $240,000,000 shall be for necessary 
expenses to establish, expand, and sustain a 
public health workforce to prevent, prepare for, 
and respond to COVID–19, other public health 
workforce-related activities, for the purposes de-
scribed in subparagraphs (E) and (F), and for 
other related activities; and 
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(H) $420,000,000 shall be for necessary 
expenses related to mental and behavioral 
health prevention and treatment services, for 
the purposes described in subparagraph (C) and 
paragraph (2) as related to mental and behav-
ioral health, and for other related activities; 
(2) $600,000,000 shall be for the lease, pur-
chase, construction, alteration, renovation, or equip-
ping of health facilities to respond to COVID–19, 
and for maintenance and improvement projects nec-
essary to respond to COVID–19 under section 7 of 
the Act of August 5, 1954 (42 U.S.C. 2004a), the 
Indian Self-Determination and Education Assistance 
Act (25 U.S.C. 5301 et seq.), the Indian Health 
Care Improvement Act (25 U.S.C. 1601 et seq.), 
and titles II and III of the Public Health Service 
Act (42 U.S.C. 202 et seq.) with respect to the In-
dian Health Service; and 
(3) $10,000,000 shall be for carrying out sec-
tion 7 of the Act of August 5, 1954 (42 U.S.C. 
2004a) for expenses relating to potable water deliv-
ery. 
(b) Funds appropriated by subsection (a) shall be 
made available to restore amounts, either directly or 
through reimbursement, for obligations for the purposes 
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specified in this section that were incurred to prevent, pre-
pare for, and respond to COVID–19 during the period be-
ginning on the date on which the public health emergency 
was declared by the Secretary on January 31, 2020, pur-
suant to section 319 of the Public Health Service Act (42 
U.S.C. 247d) with respect to COVID–19 and ending on 
the date of the enactment of this Act. 
(c) Funds made available under subsection (a) to 
Tribes and Tribal organizations under the Indian Self-De-
termination and Education Assistance Act (25 U.S.C. 
5301 et seq.) shall be available on a one-time basis. Such 
non-recurring funds shall not be part of the amount re-
quired by section 106 of the Indian Self-Determination 
and Education Assistance Act (25 U.S.C. 5325), and such 
funds shall only be used for the purposes identified in this 
section. 
CHAPTER 6—MENTAL HEALTH AND 
SUBSTANCE USE DISORDER 
SEC. 3051. FUNDING FOR BLOCK GRANTS FOR COMMUNITY 
MENTAL HEALTH SERVICES. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$1,750,000,000, to remain available until expended, for 
carrying out subpart I of part B of title XIX of the Public 
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Health Service Act (42 U.S.C. 300x et seq.), subpart III 
of part B of title XIX of such Act (42 U.S.C. 300x–51 
et seq.), and section 505(c) of such Act (42 U.S.C. 290aa– 
4(c)) with respect to mental health. Notwithstanding sec-
tion 1952 of the Public Health Service Act (42 U.S.C. 
300x–62), any amount awarded to a State out of amounts 
appropriated by this section shall be expended by the State 
by September 30, 2025. 
SEC. 3052. FUNDING FOR BLOCK GRANTS FOR PREVENTION 
AND TREATMENT OF SUBSTANCE ABUSE. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$1,750,000,000, to remain available until expended, for 
carrying out subpart II of part B of title XIX of the Public 
Health Service Act (42 U.S.C. 300x–21 et seq.), subpart 
III of part B of title XIX of such Act (42 U.S.C. 300x– 
51 et seq.), section 505(d) of such Act (42 U.S.C. 290aa– 
4(d)) with respect to substance abuse, and section 515(d) 
of such Act (42 U.S.C. 290bb–21(d)). Notwithstanding 
section 1952 of the Public Health Service Act (42 U.S.C. 
300x–62), any amount awarded to a State out of amounts 
appropriated by this section shall be expended by the State 
by September 30, 2025. 
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SEC. 3053. FUNDING FOR MENTAL AND BEHAVIORAL 
HEALTH TRAINING FOR HEALTH CARE PRO-
FESSIONALS, 
PARAPROFESSIONALS, 
AND 
PUBLIC SAFETY OFFICERS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $80,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
(b) USE
OF
FUNDING.—The Secretary, acting 
through the Administrator of the Health Resources and 
Services Administration, shall, taking into consideration 
the needs of rural and medically underserved communities, 
use amounts appropriated by subsection (a) to award 
grants or contracts to health professions schools, academic 
health centers, State or local governments, Indian Tribes 
and Tribal organizations, or other appropriate public or 
private nonprofit entities (or consortia of entities, includ-
ing entities promoting multidisciplinary approaches), to 
plan, develop, operate, or participate in health professions 
and nursing training activities for health care students, 
residents, professionals, paraprofessionals, trainees, and 
public safety officers, and employers of such individuals, 
in evidence-informed strategies for reducing and address-
ing suicide, burnout, and mental and behavioral health 
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conditions (including substance use disorders) among 
health care professionals. 
SEC. 3054. FUNDING FOR EDUCATION AND AWARENESS 
CAMPAIGN ENCOURAGING HEALTHY WORK 
CONDITIONS AND USE OF MENTAL AND BE-
HAVIORAL HEALTH SERVICES BY HEALTH 
CARE PROFESSIONALS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $20,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
(b) USE OF FUNDS.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention and in consultation with the medical professional 
community, shall use amounts appropriated by subsection 
(a) to carry out a national evidence-based education and 
awareness campaign directed at health care professionals 
and first responders (such as emergency medical service 
providers), and employers of such professionals and first 
responders. Such awareness campaign shall— 
(1) encourage primary prevention of mental and 
behavioral health conditions and secondary and ter-
tiary prevention by encouraging health care profes-
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sionals to seek support and treatment for their own 
behavioral health concerns; 
(2) help such professionals to identify risk fac-
tors in themselves and others and respond to such 
risks; 
(3) include information on reducing or pre-
venting suicide, substance use disorders, burnout, 
and other mental and behavioral health conditions, 
and addressing stigma associated with seeking men-
tal and behavioral health support and treatment; 
and 
(4) consider the needs of rural and medically 
underserved communities. 
SEC. 3055. FUNDING FOR GRANTS FOR HEALTH CARE PRO-
VIDERS TO PROMOTE MENTAL AND BEHAV-
IORAL HEALTH AMONG THEIR HEALTH PRO-
FESSIONAL WORKFORCE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $40,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
(b) USE OF FUNDS.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall, taking into consideration the needs 
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of rural and medically underserved communities, use 
amounts appropriated by subsection (a) to award grants 
or contracts to entities providing health care, including 
health care providers associations and Federally qualified 
health centers, to establish, enhance, or expand evidence- 
informed programs or protocols to promote mental and be-
havioral health among their providers, other personnel, 
and members. 
SEC. 3056. FUNDING FOR COMMUNITY-BASED FUNDING 
FOR 
LOCAL 
SUBSTANCE 
USE 
DISORDER 
SERVICES. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $30,000,000, to remain available until ex-
pended, to carry out the purpose described in subsection 
(b). 
(b) USE OF FUNDS.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health 
and Substance Use and in consultation with the Di-
rector of the Centers for Disease Control and Pre-
vention, shall award grants to support States; local, 
Tribal, and territorial governments; Tribal organiza-
tions; nonprofit community-based organizations; and 
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primary care and behavioral health organizations to 
support community-based overdose prevention pro-
grams, syringe services programs, and other harm 
reduction services, with respect to harms of drug 
misuse that are exacerbated by the COVID–19 pub-
lic health emergency. 
(2) USE
OF
GRANT
FUNDS.—Grant funds 
awarded under this section to eligible entities may 
be used for preventing and controlling the spread of 
infectious diseases and the consequences of such dis-
eases for individuals with substance use disorder, 
distributing opioid overdose reversal medication to 
individuals at risk of overdose, connecting individ-
uals at risk for, or with, a substance use disorder to 
overdose education, counseling, and health edu-
cation, and encouraging such individuals to take 
steps to reduce the negative personal and public 
health impacts of substance use or misuse. 
SEC. 3057. FUNDING FOR COMMUNITY-BASED FUNDING 
FOR LOCAL BEHAVIORAL HEALTH NEEDS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $50,000,000, to remain available until ex-
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pended, to carry out the purpose described in subsection 
(b). 
(b) USE OF FUNDS.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health 
and Substance Use, shall award grants to State, 
local, Tribal, and territorial governments, Tribal or-
ganizations, nonprofit community-based entities, and 
primary care and behavioral health organizations to 
address increased community behavioral health 
needs worsened by the COVID–19 public health 
emergency. 
(2) USE
OF
GRANT
FUNDS.—Grant funds 
awarded under this section to eligible entities may 
be used for promoting care coordination among local 
entities; training the mental and behavioral health 
workforce, relevant stakeholders, and community 
members; expanding evidence-based integrated mod-
els of care; addressing surge capacity for mental and 
behavioral health needs; providing mental and behav-
ioral health services to individuals with mental 
health needs (including co-occurring substance use 
disorders) as delivered by behavioral and mental 
health professionals utilizing telehealth services; and 
supporting, enhancing, or expanding mental and be-
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havioral health preventive and crisis intervention 
services. 
SEC. 3058. FUNDING FOR THE NATIONAL CHILD TRAU-
MATIC STRESS NETWORK. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$10,000,000, to remain available until expended, for car-
rying out section 582 of the Public Health Service Act 
(42 U.S.C. 290hh–1) with respect to addressing the prob-
lem of high-risk or medically underserved persons who ex-
perience violence-related stress. 
SEC. 3059. FUNDING FOR PROJECT AWARE. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$30,000,000, to remain available until expended, for car-
rying out section 520A of the Public Health Service Act 
(42 U.S.C. 290bb–32) with respect to advancing wellness 
and resiliency in education. 
SEC. 3059A. FUNDING FOR YOUTH SUICIDE PREVENTION. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$20,000,000, to remain available until expended, for car-
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rying out sections 520E and 520E–2 of the Public Health 
Service Act (42 U.S.C. 290bb–36, 290bb–36b). 
SEC. 3059B. FUNDING FOR BEHAVIORAL HEALTH WORK-
FORCE EDUCATION AND TRAINING. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$100,000,000, to remain available until expended, for car-
rying out section 756 of the Public Health Service Act 
(42 U.S.C. 294e–1). 
CHAPTER 7—EXCHANGE GRANT 
PROGRAM 
SEC. 3061. ESTABLISHING A GRANT PROGRAM FOR EX-
CHANGE MODERNIZATION. 
(a) IN GENERAL.—Out of funds appropriated under 
subsection (b), the Secretary shall award grants to each 
American Health Benefits Exchange established under 
section 1311(b) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 18031(b)) (other than an Exchange 
established by the Secretary under section 1321(c) of such 
Act (42 U.S.C. 18041(c))) that submits to the Secretary 
an application at such time and in such manner, and con-
taining such information, as specified by the Secretary, 
for purposes of enabling such Exchange to modernize or 
update any system, program, or technology utilized by 
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such Exchange to ensure such Exchange is compliant with 
all applicable requirements. 
(b) FUNDING.—There is appropriated, out of any 
monies in the Treasury not otherwise obligated, 
$20,000,000, to remain available until expended, for car-
rying out this section. 
Subtitle B—Medicaid 
SEC. 3101. MANDATORY COVERAGE OF COVID–19 VACCINES 
AND 
ADMINISTRATION 
AND 
TREATMENT 
UNDER MEDICAID. 
(a) COVERAGE.— 
(1) IN GENERAL.—Section 1905(a)(4) of the 
Social Security Act (42 U.S.C. 1396d(a)(4)) is 
amended— 
(A) by striking ‘‘and (D)’’ and inserting 
‘‘(D)’’; and 
(B) by striking the semicolon at the end 
and inserting ‘‘; (E) during the period begin-
ning on the date of the enactment of the Amer-
ican Rescue Plan Act of 2021 and ending on 
the last day of the first calendar quarter that 
begins at least one year after the last day of the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B), a COVID–19 vaccine and ad-
ministration of the vaccine; and (F) during the 
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period beginning on the date of the enactment 
of the American Rescue Plan Act of 2021 and 
ending on the last day of the first calendar 
quarter that begins at least one year after the 
last day of the emergency period described in 
section 1135(g)(1)(B), testing and treatments 
for COVID-19, including specialized equipment 
and therapies (including preventive therapies), 
and, without regard to the requirements of sec-
tion 1902(a)(10)(B) (relating to comparability), 
in the case of an individual who is diagnosed 
with or presumed to have COVID–19, during 
the period such individual has (or is presumed 
to have) COVID–19, the treatment of a condi-
tion that may seriously complicate the treat-
ment of COVID–19, if otherwise covered under 
the State plan (or waiver of such plan);’’. 
(2) MAKING COVID–19 VACCINE AVAILABLE TO 
ADDITIONAL ELIGIBILITY GROUPS AND TREATMENT 
AVAILABLE
TO
CERTAIN
UNINSURED.—Section 
1902(a)(10) of such Act (42 U.S.C. 1396a(a)(10)) 
is amended in the matter following subparagraph 
(G)— 
(A) by striking ‘‘and to other conditions 
which may complicate pregnancy, (VIII)’’ and 
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inserting ‘‘, medical assistance for services re-
lated to other conditions which may complicate 
pregnancy, and medical assistance for vaccines 
described in section 1905(a)(4)(E) and the ad-
ministration of such vaccines during the period 
described in such section, (VIII)’’; 
(B) by inserting ‘‘and medical assistance 
for vaccines described in section 1905(a)(4)(E) 
and the administration of such vaccines during 
the period described in such section’’ after ‘‘(de-
scribed in subsection (z)(2))’’; 
(C) by striking ‘‘cancer (XV)’’ and insert-
ing ‘‘cancer, (XV)’’; 
(D) by inserting ‘‘and medical assistance 
for vaccines described in section 1905(a)(4)(E) 
and the administration of such vaccines during 
the period described in such section’’ after ‘‘de-
scribed in subsection (k)(1)’’; 
(E) by inserting ‘‘and medical assistance 
for vaccines described in section 1905(a)(4)(E) 
and the administration of such vaccines during 
the period described in such section’’ after 
‘‘family planning setting’’; 
(F) by striking ‘‘and (XVIII)’’ and insert-
ing ‘‘(XVIII)’’; 
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(G) by striking ‘‘and any visit described in 
section 1916(a)(2)(G) that is furnished during 
any such portion’’ and inserting ‘‘, any service 
described in section 1916(a)(2)(G) that is fur-
nished during any such portion, any vaccine de-
scribed in section 1905(a)(4)(E) (and the ad-
ministration of such vaccine) that is furnished 
during any such portion, and testing and treat-
ments for COVID-19, including specialized 
equipment and therapies (including preventive 
therapies), and, in the case of an individual who 
is diagnosed with or presumed to have COVID– 
19, during the period such individual has (or is 
presumed to have) COVID–19, the treatment of 
a condition that may seriously complicate the 
treatment of COVID–19, if otherwise covered 
under the State plan (or waiver of such plan)’’; 
and 
(H) by striking the semicolon at the end 
and inserting ‘‘, and (XIX) medical assistance 
shall be made available during the period de-
scribed in section 1905(a)(4)(E) for vaccines 
described in such section and the administra-
tion of such vaccines, for any individual who is 
eligible for and receiving medical assistance 
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under the State plan or under a waiver of such 
plan (other than an individual who is eligible 
for medical assistance consisting only of pay-
ment of premiums pursuant to subparagraph 
(E) or (F) or section 1933), notwithstanding 
any provision of this title limiting such individ-
ual’s eligibility for medical assistance under 
such plan or waiver to coverage for a limited 
type of benefits and services that would not oth-
erwise include coverage of a COVID–19 vaccine 
and its administration;’’. 
(3) PROHIBITION OF COST SHARING.— 
(A) IN GENERAL.—Subsections (a)(2) and 
(b)(2) of section 1916 of the Social Security 
Act (42 U.S.C. 1396o) are each amended— 
(i) in subparagraph (F), by striking 
‘‘or’’ at the end; 
(ii) in subparagraph (G), by striking 
‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing subparagraphs: 
‘‘(H) during the period beginning on the 
date of the enactment of this subparagraph and 
ending on the last day of the first calendar 
quarter that begins at least one year after the 
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last day of the emergency period described in 
section 1135(g)(1)(B), a COVID–19 vaccine 
and the administration of such vaccine (for any 
individual eligible for medical assistance for 
such vaccine (and administration)); or 
‘‘(I) during the period beginning on the 
date of the enactment of this subparagraph and 
ending on the last day of the first calendar 
quarter that begins at least one year after the 
last day of the emergency period described in 
section 1135(g)(1)(B), testing and treatments 
for COVID-19, including specialized equipment 
and therapies (including preventive therapies), 
and, in the case of an individual who is diag-
nosed with or presumed to have COVID–19, 
during the period during which such individual 
has (or is presumed to have) COVID–19, the 
treatment of a condition that may seriously 
complicate the treatment of COVID–19, if oth-
erwise covered under the State plan (or waiver 
of such plan); and’’. 
(B) APPLICATION TO ALTERNATIVE COST 
SHARING.—Section 1916A(b)(3)(B) of the So-
cial Security Act (42 U.S.C. 1396o–1(b)(3)(B)) 
is amended— 
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(i) in clause (xi), by striking ‘‘any 
visit’’ and inserting ‘‘any service’’; and 
(ii) by adding at the end the following 
clauses: 
‘‘(xii) During the period beginning on 
the date of the enactment of this clause 
and ending on the last day of the first cal-
endar quarter that begins at least one year 
after the last day of the emergency period 
described in section 1135(g)(1)(B), a 
COVID–19 vaccine and the administration 
of such vaccine (for any individual eligible 
for medical assistance for such vaccine 
(and administration)). 
‘‘(xiii) During the period beginning on 
the date of the enactment of this clause 
and ending on the last day of the first cal-
endar quarter that begins at least one year 
after the last day of the emergency period 
described in section 1135(g)(1)(B), testing 
and treatments for COVID-19, including 
specialized equipment and therapies (in-
cluding preventive therapies), and, in the 
case of an individual who is diagnosed with 
or presumed to have COVID–19, during 
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the period during which such individual 
has (or is presumed to have) COVID–19, 
the treatment of a condition that may seri-
ously complicate the treatment of COVID– 
19, if otherwise covered under the State 
plan (or waiver of such plan).’’. 
(4) INCLUSION
IN
THE
MEDICAID
DRUG
RE-
BATE PROGRAM OF COVERED OUTPATIENT DRUGS 
USED FOR COVID–19 TREATMENT.— 
(A) IN
GENERAL.—The requirements of 
section 1927 of the Social Security Act (42 
U.S.C. 1396r–8) shall apply to any drug or bio-
logical product to which subparagraph (F) of 
section 1905(a)(4) of such Act, as added by 
paragraph (1), applies or to which the sub-
clause (XVIII) in the matter following subpara-
graph (G) of section 1902(a)(10) of such Act, 
as added by paragraph (2), applies that is— 
(i) furnished as medical assistance in 
accordance with such subparagraph (F) or 
subclause 
(XVIII) 
and 
section 
1902(a)(10)(A) of such Act, as applicable, 
for the treatment, or prevention, of 
COVID-19, as described in such subpara-
graph or subclause, respectively; and 
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(ii) a covered outpatient drug (as de-
fined in section 1927(k) of such Act, ex-
cept that, in applying paragraph (2)(A) of 
such section to a drug to which such sub-
paragraph (F) or such subclause (XVIII) 
applies, such drug shall be deemed a pre-
scribed drug for purposes of section 
1905(a)(12) of such Act). 
(B) CONFORMING
AMENDMENT.—Section 
1927(d)(7) of the Social Security Act (42 
U.S.C. 1396r–8(d)(7)) is amended by adding at 
the end the following new subparagraph: 
‘‘(E) Drugs and biological products to 
which section 1905(a)(4)(F) and subclause 
(XVIII) in the matter following subparagraph 
(G) of section 1902(a)(10) apply that are fur-
nished as medical assistance in accordance with 
such section or clause, respectively, for the 
treatment or prevention, of COVID–19, as de-
scribed in such subparagraph of subclause, re-
spectively, and section 1902(a)(10)(A).’’. 
(5) ALTERNATIVE
BENEFIT
PLANS.—Section 
1937(b) of the Social Security Act (42 U.S.C. 
1396u–7(b)) is amended by adding at the end the 
following new paragraph: 
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