114 
cian or laboratory under Clinical Laboratory Fee Schedule 
under section 1833(h)(8) of the Social Security Act. 
(b) DEFINITION.—In this section, the term ‘‘unin-
sured individual’’ means an individual who is not enrolled 
in— 
(1) a Federal health care program (as defined 
under section 1128B(f) of the Social Security Act 
(42 U.S.C. 1320a–7b(f)); or 
(2) a group health plan or health insurance cov-
erage offered by a health insurance issuer in the 
group or individual market (as such terms are de-
fined in section 2791 of the Public Health Service 
Act (42 U.S.C. 300gg–91)) or a health plan offered 
under chapter 89 of title 5, United States Code. 
(c) FUNDING.—To carry out this section, there is au-
thorized to be appropriated, and there is hereby appro-
priated, out of amounts in the Treasury not otherwise obli-
gated, $1,000,000,000, to remain available until ex-
pended. 
SEC. 106. TREATMENT OF PERSONAL RESPIRATORY PRO-
TECTIVE DEVICES AS COVERED COUNTER-
MEASURES. 
Section 319F–3(i)(1) of the Public Health Service 
Act (42 U.S.C. 247d–6d(i)(1)) is amended— 
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(1) in subparagraph (B), by striking ‘‘or’’ at 
the end; and 
(2) in subparagraph (C), by striking the period 
at the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(D) a personal respiratory protective de-
vice that is— 
‘‘(i) approved by the National Insti-
tute for Occupational Safety and Health 
under part 84 of title 42, Code of Federal 
Regulations (or successor regulations); 
‘‘(ii) subject to the emergency use au-
thorization issued by the Secretary on 
March 2, 2020, or subsequent emergency 
use authorizations, pursuant to section 564 
of the Federal Food, Drug, and Cosmetic 
Act (authorizing emergency use of personal 
respiratory protective devices during the 
COVID–19 outbreak); and 
‘‘(iii) used during the period begin-
ning on January 31, 2020, and ending on 
October 1, 2024, in response to the public 
health emergency declared on January 31, 
2020, pursuant to section 319 as a result 
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116 
of 
confirmed 
cases 
of 
2019 
Novel 
Coronavirus (2019-nCoV).’’. 
SEC. 107. APPLICATION WITH RESPECT TO TRICARE, COV-
ERAGE FOR VETERANS, AND COVERAGE FOR 
FEDERAL CIVILIANS. 
(a) TRICARE.—The Secretary of Defense may not re-
quire any copayment or other cost sharing under chapter 
55 of title 10, United States Code, for in vitro diagnostic 
products described in paragraph (1) of section 101(a) (or 
the administration of such products) or visits described 
in paragraph (2) of such section furnished during any por-
tion of the emergency period defined in paragraph (1)(B) 
of section 1135(g) of the Social Security Act (42 U.S.C. 
1320b–5(g)) beginning on or after the date of the enact-
ment of this Act. 
(b) VETERANS.—The Secretary of Veterans Affairs 
may not require any copayment or other cost sharing 
under chapter 17 of title 38, United States Code, for in 
vitro diagnostic products described in paragraph (1) of 
section 101(a) (or the adminsitration of such products) 
or visits described in paragraph (2) of such section fur-
nished during any portion of the emergency period defined 
in paragraph (1)(B) of section 1135(g) of the Social Secu-
rity Act (42 U.S.C. 1320b–5(g)) beginning on or after the 
date of the enactment of this Act. 
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117 
(c) FEDERAL CIVILIANS.—No copayment or other 
cost sharing may be required for any individual occupying 
a position in the civil service (as that term is defined in 
section 2101(1) of title 5, United States Code) enrolled 
in a health benefits plan, including any plan under chapter 
89 of title 5, United States Code, or for any other indi-
vidual currently enrolled in any plan under chapter 89 of 
title 5 for diagnostic tests’’ after ‘‘including any plan 
under chapter 89 of title 5, United States Code), for in 
vitro diagnostic products described in paragraph (1) of 
section 101(a) (or the administration of such products) 
or visits described in paragraph (2) of such section fur-
nished during any portion of the emergency period defined 
in paragraph (1)(B) of section 1135(g) of the Social Secu-
rity Act (42 U.S.C. 1320b–5(g)) beginning on or after the 
date of the enactment of this Act. 
SEC. 108. COVERAGE OF TESTING FOR COVID–19 AT NO 
COST SHARING FOR INDIANS RECEIVING 
CONTRACT HEALTH SERVICES. 
The Secretary of Health and Human Services shall 
cover, without the imposition of any cost sharing require-
ments, the cost of providing any COVID-19 related items 
and services as described in paragraph (1) of section 
101(a) (or the administration of such products) or visits 
described in paragraph (2) of such section furnished dur-
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118 
ing any portion of the emergency period defined in para-
graph (1)(B) of section 1135(g) of the Social Security Act 
(42 U.S.C. 320b–5(g)) beginning on or after the date of 
the enactment of this Act to Indians (as defined in section 
4 of the Indian Health Care Improvement Act (25 U.S.C. 
1603)) receiving health services through the Indian Health 
Service, regardless of whether such items or services have 
been authorized under the contract health services system 
funded by the Indian Health Service or is covered as a 
health service of the Indian Health Service. 
SEC. 109. TEMPORARY INCREASE OF MEDICAID FMAP. 
(a) IN GENERAL.—Subject to subsection (b), for each 
calendar quarter occurring during the period beginning on 
the first day of the emergency period defined in paragraph 
(1)(B) of section 1135(g) of the Social Security Act (42 
U.S.C. 1320b–5(g)) and ending on the last day of the cal-
endar quarter in which the last day of such emergency 
period occurs, the Federal medical assistance percentage 
determined for each State, including the District of Co-
lumbia, American Samoa, Guam, the Commonwealth of 
the Northern Mariana Islands, Puerto Rico, and the 
United States Virgin Islands, under section 1905(b) of the 
Social Security Act (42 U.S.C. 1396d(b)) shall be in-
creased by 8 percentage points. 
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119 
(b) REQUIREMENT FOR ALL STATES.—A State de-
scribed in subsection (a) may not receive the increase de-
scribed in such subsection in the Federal medical assist-
ance percentage for such State, with respect to a quarter, 
if— 
(1) eligibility standards, methodologies, or pro-
cedures under the State plan of such State under 
title XIX of the Social Security Act (42 U.S.C. 1396 
et seq.) (including any waiver under such title or 
section 1115 of such Act (42 U.S.C. 1315)) are 
more restrictive during such quarter than the eligi-
bility standards methodologies, or procedures, re-
spectively, under such plan (or waiver) as in effect 
on January 1, 2020; 
(2) the amount of any premium imposed by the 
State pursuant to section 1916 or 1916A of such 
Act (42 U.S.C. 1396o, 1396o–1) during such quar-
ter, with respect to an individual enrolled under such 
plan (or waiver), exceeds the amount of such pre-
mium as of January 1, 2020; 
(3) the State terminates or denies the enroll-
ment of any individual under such plan (or waiver) 
during such quarter for a reason other than a fail-
ure to satisfy financial, categorical, and State resi-
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120 
dency requirements (as applicable) under such plan 
(or waiver); 
(4) the State does not provide coverage under 
such plan (or waiver), without the imposition of cost 
sharing, during such quarter for any testing services 
and treatments for COVID–19, including vaccines, 
specialized equipment, and therapies; or 
(5) the State conducts during such quarter 
periodic income checks, including automated income 
checks, or eligibility redeterminations under such 
plan (or waiver) at a rate more frequent than once 
every 12 months. 
(c) REQUIREMENT FOR CERTAIN STATES.—Section 
1905(cc) of the Social Security Act (42 U.S.C. 1396d(cc)) 
is amended by striking ‘‘American Recovery and Reinvest-
ment Act of 2009.’’ and inserting ‘‘and section 109 of the 
Families First Coronavirus Response Act, except that in 
applying such treatments to the increases in the Federal 
medical assistance percentage under section 109 of the 
Families First Coronavirus Response Act, the reference to 
‘December 31, 2009’ shall be deemed to be a reference 
to ‘March 11, 2020’.’’. 
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121 
SEC. 110. INCREASE IN MEDICAID ALLOTMENTS FOR TER-
RITORIES. 
Section 1108(g) of the Social Security Act (42 U.S.C. 
1308(g)) is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (B)— 
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking ‘‘for each 
of 
fiscal 
years 
2020 
through 
2021, 
$126,000,000;’’ and inserting ‘‘for fiscal 
year 2020, $129,500,000; and’’; and 
(iii) by adding at the end the fol-
lowing new clause: 
‘‘(iii) 
for 
fiscal 
year 
2021, 
$128,500,000;’’; 
(B) in subparagraph (C)— 
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking ‘‘for each 
of 
fiscal 
years 
2020 
through 
2021, 
$127,000,000;’’ and inserting ‘‘for fiscal 
year 2020, $132,000,000; and’’; and 
(iii) by adding at the end the fol-
lowing new clause: 
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‘‘(iii) 
for 
fiscal 
year 
2021, 
$130,500,000;’’; 
(C) in subparagraph (D)— 
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking ‘‘for each 
of 
fiscal 
years 
2020 
through 
2021, 
$60,000,000; and’’ and inserting ‘‘for fis-
cal year 2020, $64,000,000; and’’; and 
(iii) by adding at the end the fol-
lowing new clause: 
‘‘(iii) 
for 
fiscal 
year 
2021, 
$63,000,000; and’’; and 
(D) in subparagraph (E)— 
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking ‘‘for each 
of 
fiscal 
years 
2020 
through 
2021, 
$84,000,000.’’ and inserting ‘‘for fiscal 
year 2020, $87,000,000; and’’; and 
(iii) by adding at the end the fol-
lowing new clause: 
‘‘(iii) 
for 
fiscal 
year 
2021, 
$86,000,000.’’; and 
(2) in paragraph (6)(A)— 
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(A) 
in 
clause 
(i), 
by 
striking 
‘‘$2,623,188,000’’ 
and 
inserting 
‘‘$2,743,188,000’’; and 
(B) 
in 
clause 
(ii), 
by 
striking 
‘‘$2,719,072,000’’ 
and 
inserting 
‘‘$2,804,072,000’’. 
DIVISION H—BUDGETARY 
EFFECTS 
SEC. 101. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budg-
etary effects of division B and each succeeding division 
shall not be entered on either PAYGO scorecard main-
tained pursuant to section 4(d) of the Statutory Pay-As- 
You-Go Act of 2010. 
(b) SENATE PAYGO SCORECARDS.—The budgetary 
effects of division B and each succeeding division shall not 
be entered on any PAYGO scorecard maintained for pur-
poses of section 4106 of H. Con. Res. 71 (115th Con-
gress). 
(c) CLASSIFICATION
OF BUDGETARY EFFECTS.— 
Notwithstanding Rule 3 of the Budget Scorekeeping 
Guidelines set forth in the joint explanatory statement of 
the committee of conference accompanying Conference Re-
port 105–217 and section 250(c)(8) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, the 
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budgetary effects of division B and each succeeding divi-
sion shall not be estimated— 
(1) for purposes of section 251 of such Act; and 
(2) for purposes of paragraph (4)(C) of section 
3 of the Statutory Pay-As-You-Go Act of 2010 as 
being included in an appropriation Act. 
Æ 
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