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ment services for the area within its juris-
diction; and 
‘‘(iii) for which, as determined by the 
Secretary, there is a negative revenue im-
pact due to implementation of a Federal 
program or changes to such program; and 
‘‘(B) the District of Columbia, the Common-
wealth of Puerto Rico, Guam, and the United 
States Virgin Islands. 
‘‘(2) ELIGIBLE TRIBAL GOVERNMENT.—The term 
‘eligible Tribal government’ means the recognized gov-
erning body of an eligible Tribe. 
‘‘(3) ELIGIBLE TRIBE.—The term ‘eligible Tribe’ 
means any Indian or Alaska Native tribe, band, na-
tion, pueblo, village, community, component band, or 
component reservation, individually identified (in-
cluding parenthetically) in the list published most re-
cently as of the date of enactment of this section pur-
suant to section 104 of the Federally Recognized In-
dian Tribe List Act of 1994 (25 U.S.C. 5131). 
‘‘(4) SECRETARY.—The term ‘Secretary’ means 
the Secretary of the Treasury.’’. 
(b) CONFORMING AMENDMENT.—The heading for title 
VI of the Social Security Act (42 U.S.C. 801 et seq.) is 
amended by striking ‘‘FUND’’ and inserting ‘‘, FISCAL
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RECOVERY, 
AND 
CRITICAL 
CAPITAL 
PROJECTS FUNDS’’. 
Subtitle N—Other Provisions 
SEC. 9911. FUNDING FOR PROVIDERS RELATING TO COVID– 
19. 
Part A of title XI of the Social Security Act (42 U.S.C. 
1301 et seq.) is amended by adding at the end the following: 
‘‘SEC. 1150C. FUNDING FOR PROVIDERS RELATING TO 
COVID–19. 
‘‘(a) FUNDING.—In addition to amounts otherwise 
available, there is appropriated to the Secretary, for fiscal 
year 2021, out of any monies in the Treasury not otherwise 
appropriated, $8,500,000,000 for purposes of making pay-
ments to eligible health care providers for health care re-
lated expenses and lost revenues that are attributable to 
COVID–19. Amounts appropriated under the preceding 
sentence shall remain available until expended. 
‘‘(b) APPLICATION REQUIREMENT.—To be eligible for 
a payment under this section, an eligible health care pro-
vider shall submit to the Secretary an application in such 
form and manner as the Secretary shall prescribe. Such ap-
plication shall contain the following: 
‘‘(1) A statement justifying the need of the pro-
vider for the payment, including documentation of the
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health care related expenses attributable to COVID–19 
and lost revenues attributable to COVID–19. 
‘‘(2) The tax identification number of the pro-
vider. 
‘‘(3) Such assurances as the Secretary determines 
appropriate that the eligible health care provider will 
maintain and make available such documentation 
and submit such reports (at such time, in such form, 
and containing such information as the Secretary 
shall prescribe) as the Secretary determines is nec-
essary to ensure compliance with any conditions im-
posed by the Secretary under this section. 
‘‘(4) Any other information determined appro-
priate by the Secretary. 
‘‘(c) LIMITATION.—Payments made to an eligible 
health care provider under this section may not be used to 
reimburse any expense or loss that— 
‘‘(1) has been reimbursed from another source; or 
‘‘(2) another source is obligated to reimburse. 
‘‘(d) APPLICATION OF REQUIREMENTS, RULES, AND 
PROCEDURES.—The Secretary shall apply any require-
ments, rules, or procedures as the Secretary deems appro-
priate for the efficient execution of this section. 
‘‘(e) DEFINITIONS.—In this section:
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‘‘(1) ELIGIBLE HEALTH CARE PROVIDER.—The 
term ‘eligible health care provider’ means— 
‘‘(A) a provider of services (as defined in 
section 1861(u)) or a supplier (as defined in sec-
tion 1861(d)) that— 
‘‘(i) is enrolled in the Medicare pro-
gram under title XVIII under section 
1866(j) (including temporarily enrolled 
during the emergency period described in 
section 1135(g)(1)(B) for such period); 
‘‘(ii) provides diagnoses, testing, or 
care for individuals with possible or actual 
cases of COVID–19; and 
‘‘(iii) is a rural provider or supplier; 
or 
‘‘(B) a provider or supplier that— 
‘‘(i) is enrolled with a State Medicaid 
plan under title XIX (or a waiver of such 
plan) 
in 
accordance 
with 
subsections 
(a)(77) and (kk) of section 1902 (including 
enrolled pursuant to section 1902(a)(78) or 
section 1932(d)(6)) or enrolled with a State 
child health plan under title XXI (or a 
waiver of such plan) in accordance with 
subparagraph (G) of section 2107(e)(1) (in-
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cluding enrolled pursuant to subparagraph 
(D) or (Q) of such section); 
‘‘(ii) provides diagnoses, testing, or 
care for individuals with possible or actual 
cases of COVID–19; and 
‘‘(iii) is a rural provider or supplier. 
‘‘(2) HEALTH CARE RELATED EXPENSES ATTRIB-
UTABLE TO COVID–19.—The term ‘health care related 
expenses attributable to COVID–19’ means health care 
related expenses to prevent, prepare for, and respond 
to COVID–19, including the building or construction 
of a temporary structure, the leasing of a property, 
the purchase of medical supplies and equipment, in-
cluding personal protective equipment and testing 
supplies, providing for increased workforce and train-
ing (including maintaining staff, obtaining addi-
tional staff, or both), the operation of an emergency 
operation center, retrofitting a facility, providing for 
surge capacity, and other expenses determined appro-
priate by the Secretary. 
‘‘(3) LOST REVENUE ATTRIBUTABLE TO COVID– 
19.—The term ‘lost revenue attributable to COVID– 
19’ has the meaning given that term in the Fre-
quently Asked Questions guidance released by the De-
partment of Health and Human Services in June