I 
116TH CONGRESS 
2D SESSION 
H. R. 6305 
To assist older Americans and people with disabilities affected by COVID– 
19. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 19, 2020 
Mrs. DINGELL (for herself, Ms. SCHAKOWSKY, Ms. MATSUI, Ms. PRESSLEY, 
Mr. DEUTCH, Ms. ROYBAL-ALLARD, and Mr. LAMB) introduced the fol-
lowing bill; which was referred to the Committee on Appropriations, and 
in addition to the Committees on the Budget, and Energy and Commerce, 
for a period to be subsequently determined by the Speaker, in each case 
for consideration of such provisions as fall within the jurisdiction of the 
committee concerned 
A BILL 
To assist older Americans and people with disabilities 
affected by COVID–19. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) IN GENERAL.—This Act may be cited as the 
‘‘Coronavirus Relief for Seniors and People with Disabil-
ities Act of 2020’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
Sec. 1. Short title; table of contents. 
TITLE I—SUPPLEMENTAL APPROPRIATIONS 
Sec. 101. Supplemental appropriations. 
TITLE II—MEDICAID 
Sec. 201. Expanded access to medical assistance for Medicare costs during the 
COVID-19 public health emergency. 
Sec. 202. Authority to award Medicaid HCBS grants to respond to the 
COVID–19 public health emergency. 
TITLE I—SUPPLEMENTAL 
APPROPRIATIONS 
SEC. 101. SUPPLEMENTAL APPROPRIATIONS. 
The following sums are hereby appropriated, out of 
any money in the Treasury not otherwise appropriated, 
for the fiscal year ending September 30, 2020, and for 
other purposes, namely: 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
CENTERS FOR MEDICARE & MEDICAID SERVICES 
SURVEY AND CERTIFICATION ACTIVITIES 
For an additional amount for survey and certification 
activities authorized under sections 1862(g) and 1864 of 
the Social Security Act (42 U.S.C. 1395y(g), 1395aa) and 
section 353 of the Public Health Service Act (42 U.S.C. 
263a), $154,400,000, to remain available through Sep-
tember 30, 2021: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
TITLE II—MEDICAID 
SEC. 201. EXPANDED ACCESS TO MEDICAL ASSISTANCE 
FOR MEDICARE COSTS DURING THE COVID-19 
PUBLIC HEALTH EMERGENCY. 
(a) IN GENERAL.—Section 1902 of the Social Secu-
rity Act (42 U.S.C. 1396a) is amended— 
(1) in subsection (a)(10)(E)— 
(A) in clause (iii), by striking ‘‘; and’’ and 
inserting a semicolon; 
(B) in clause (iv), by striking the semi-
colon and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(v) during the period described in sub-
section (ss), for making medical assistance 
available for medicare cost-sharing (as defined 
in section 1905(p)(3)) for— 
‘‘(I) individuals who are described in 
clause (ii), (iii), or (iv); and 
‘‘(II) individuals— 
‘‘(aa) who are not described in 
clauses (i) through (iv) but who are 
eligible for, or enrolled in, the low-in-
come subsidy program under section 
1860D–14; and 
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
‘‘(bb) whose application for such 
medical assistance is received by the 
State (or automatically initiated pur-
suant to the transmittal of data under 
section 1144(c)(3)(B)) before the end 
of the emergency period defined in 
section 1135(g)(1)(B).’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(ss) COVID–19 EMERGENCY
ASSISTANCE
PE-
RIOD.—For purposes of subsection (a)(10)(E)(v), the pe-
riod described in this subsection is the period— 
‘‘(1) beginning with the date of enactment of 
this subsection; and 
‘‘(2) ending with the last day of the 12th month 
that begins after the emergency period defined in 
section 1135(g)(1)(B).’’. 
(b) TRANSMITTAL OF DATA TO STATES AND AUTO-
MATIC
ENROLLMENT
OF
INDIVIDUALS.—Section 
1144(c)(3) of the Social Security Act (42 U.S.C. 1320b– 
14(c)(3)) is amended— 
(1) by striking ‘‘Beginning on January 1, 
2010’’ and inserting the following: 
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
‘‘(A) TRANSMITTAL OF LIS APPLICATIONS 
TO STATES.—Beginning on January 1, 2010’’; 
and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(B) TRANSMITTAL OF LIS ENROLLMENT 
INFORMATION TO STATES DURING THE COVID- 
19 PUBLIC HEALTH EMERGENCY.—During the 
period described in section 1902(ss), the Sec-
retary, in coordination with the Commissioner 
of Social Security, shall electronically transmit 
to the appropriate State Medicaid agency data 
related to each individual who is enrolled in the 
low-income subsidy program under section 
1860D–14, and such transmittal shall initiate 
an application of the individual for benefits 
under the Medicare Savings Program with the 
State Medicaid agency. In order to ensure that 
such data transmittal provides effective assist-
ance for purposes of State adjudication of ap-
plications for benefits under the Medicare Sav-
ings Program, the Secretary shall consult with 
the States regarding the content, form, fre-
quency, and manner in which data (on a uni-
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
form basis for all States) shall be transmitted 
under this subparagraph.’’. 
(c) ADDITIONAL APPROPRIATION FOR ADMINISTRA-
TIVE COSTS FOR THE DEPARTMENT OF HEALTH AND 
HUMAN SERVICES AND THE SOCIAL SECURITY ADMINIS-
TRATION.— 
(1) IN
GENERAL.—There are hereby appro-
priated to carry out the requirement of subpara-
graph (B) of section 1144(c)(3) of the Social Secu-
rity Act (42 U.S.C. 1320b–14(c)(3)), as added by 
subsection (b), out of any funds in the Treasury not 
otherwise appropriated— 
(A) $1,000,000 to the Secretary of Health 
and Human Services, to remain available until 
expended; and 
(B) $1,000,000 to the Commissioner of 
Social Security, to remain available until ex-
pended. 
(2) 
SUPPLEMENT
NOT
SUPPLANT.—Any 
amounts appropriated pursuant to this subsection 
shall be in addition to any other amounts otherwise 
appropriated pursuant to any other provision of law. 
(d) BUDGET NEUTRALITY WITH RESPECT TO MEDI-
CARE ADVANTAGE PAYMENTS.—The Secretary of Health 
and Human Services shall assess the effect of the amend-
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
ments made by subsection (a) on payments to Medicare 
Advantage plans under part C of title XVIII of the Social 
Security Act (42 U.S.C. 1395w–21 et seq.) and make nec-
essary adjustments to ensure that, during the COVID– 
19 emergency assistance period described in subsection 
(ss) of section 1902 of the Social Security Act (42 U.S.C. 
1396a) (as added by subsection (a)), risk-adjusted pay-
ments under such part with respect to individuals newly 
enrolled in the Medicare Savings Program (as defined in 
section 1144 of the Social Security Act (42 U.S.C. 1320b– 
14)) pursuant to such amendments do not exceed such 
payments that would have been made under such part 
with respect to such individuals if such subsection had not 
been enacted. 
(e) FEDERAL
MEDICAL
ASSISTANCE
PERCENT-
AGE.—Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended— 
(1) in subsection (b), by striking ‘‘and (ff)’’ and 
inserting ‘‘(ff), and (gg)’’; and 
(2) by adding at the end the following: 
‘‘(gg) INCREASED FMAP FOR ADDITIONAL EXPEND-
ITURES FOR MEDICARE COST-SHARING PROVIDED DUR-
ING
THE COVID-19 PUBLIC HEALTH EMERGENCY.— 
Notwithstanding subsection (b), the Federal medical as-
sistance percentage for a State shall be 100 percent— 
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
‘‘(1) with respect to the additional amounts ex-
pended by the State for medical assistance provided 
during the period described in section 1902(ss) 
under the State plan under this title or a waiver of 
such plan that are attributable to the requirements 
imposed by section 1902(a)(10)(E)(v); 
‘‘(2) with respect to expenditures described in 
section 1903(a)(7) that— 
‘‘(A) are made by the State during the pe-
riod described in section 1902(ss); and 
‘‘(B) the State demonstrates to the satis-
faction of the Secretary are attributable to ad-
ministrative costs related to meeting such re-
quirements; and 
‘‘(3) with respect to expenditures that are made 
by the State to determine whether individuals who 
are provided medical assistance for medicare cost- 
sharing under section 1902(a)(10)(E)(v)(II) remain 
eligible for such assistance after the period described 
in section 1902(ss).’’. 
SEC. 202. AUTHORITY TO AWARD MEDICAID HCBS GRANTS 
TO 
RESPOND 
TO 
THE 
COVID–19 
PUBLIC 
HEALTH EMERGENCY. 
(a) IN GENERAL.—The Secretary is authorized to 
award grants to States in accordance with this section to 
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
enhance access to home and community-based services 
during the COVID–19 public health emergency period. 
(b) DEFINITIONS.—In this section: 
(1) COVID–19 PUBLIC
HEALTH
EMERGENCY 
PERIOD.—The term ‘‘COVID–19 public health emer-
gency period’’ means the portion 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 
enactment of this Act. 
(2) ELIGIBLE INDIVIDUAL.—The term ‘‘eligible 
individual’’ means an individual who is eligible for or 
enrolled for medical assistance under a State Med-
icaid program. 
(3) HOME
AND
COMMUNITY-BASED
SERV-
ICES.—The term ‘‘home and community-based serv-
ices’’ means, with respect to a State Medicaid pro-
gram, home and community-based services (includ-
ing home health and personal care services) that are 
provided under the State’s qualified HCBS program 
or that could be provided under such a program but 
are otherwise provided under the Medicaid program. 
(4) INDIAN TRIBE.—The term ‘‘Indian tribe’’ 
means an Indian tribe, a tribal organization, or an 
urban Indian organization (as such terms are de-
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
fined in section 4 of the Indian Health Care Im-
provement Act (25 U.S.C. 1603)), and includes a 
tribal consortium of Indian tribes or tribal organiza-
tions (as so defined). 
(5) MEDICAID PROGRAM.—The term ‘‘Medicaid 
program’’ means, with respect to a State, the State 
program under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.) (including any waiver or 
demonstration under such title or under section 
1115 of such Act (42 U.S.C. 1315) relating to such 
title). 
(6) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(7) STATE.—The term ‘‘State’’ has the mean-
ing given such term for purposes of title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.). 
(8) QUALIFIED
HCBS
PROGRAM.—The term 
‘‘qualified HCBS program’’ means a program pro-
viding home and community-based services operating 
under a State Medicaid program, whether or not op-
erating under waiver authority. 
(c) GRANTS TO STATES.— 
(1) IN GENERAL.—During the COVID–19 pub-
lic health emergency period, the Secretary may 
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS
award grants to States with applications meeting the 
requirements of paragraph (2). 
(2) APPLICATION
REQUIREMENTS.—A State 
seeking a grant under this section shall submit an 
application to the Secretary at such time, in such 
form and manner, and containing such information 
as the Secretary shall require. 
(3) LIMITATIONS.— 
(A) TERMINATION
OF
AUTHORITY.—The 
Secretary shall not award any grants under this 
section with respect to a State that submits an 
application after the date that is 60 days after 
the end of the COVID–19 public health emer-
gency period. 
(B) USE OF FUNDS.—A State to which a 
grant is made under this section shall only use 
grant funds in accordance with subsection (d). 
(C) MAINTENANCE OF STATE EFFORT.— 
Federal funds paid to a State pursuant to this 
section must be used to supplement, but not 
supplant, the level of State funds expended for 
home and community-based services for eligible 
individuals programs in effect for such individ-
uals at the time the grant is awarded under 
this section. 
VerDate Sep 11 2014 
22:34 Apr 15, 2020
Jkt 099200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H6305.IH
H6305
pbinns on DSKJLVW7X2PROD with BILLS