171 
proved under section 1115 or subsection (b) or (c) of sec-
tion 1915. 
‘‘(b) QUALIFYING COMMUNITY-BASED MOBILE CRI-
SIS INTERVENTION SERVICES DEFINED.—For purposes 
of this section, the term ‘qualifying community-based mo-
bile crisis intervention services’ means, with respect to a 
State, items and services for which medical assistance is 
available under the State plan under this title or a waiver 
of such plan, that are— 
‘‘(1) furnished to an individual otherwise eligi-
ble for medical assistance under the State plan (or 
waiver of such plan) who is— 
‘‘(A) outside of a hospital or other facility 
setting; and 
‘‘(B) experiencing a mental health or sub-
stance use disorder crisis; 
‘‘(2) furnished by a multidisciplinary mobile cri-
sis team— 
‘‘(A) that includes at least 1 behavioral 
health care professional who is capable of con-
ducting an assessment of the individual, in ac-
cordance with the professional’s permitted scope 
of practice under State law, and other profes-
sionals or paraprofessionals with appropriate 
expertise in behavioral health or mental health
172 
crisis response, including nurses, social workers, 
peer support specialists, and others, as des-
ignated by the State through a State plan 
amendment (or waiver of such plan); 
‘‘(B) whose members are trained in trau-
ma-informed care, de-escalation strategies, and 
harm reduction; 
‘‘(C) that is able to respond in a timely 
manner and, where appropriate, provide— 
‘‘(i) screening and assessment; 
‘‘(ii) stabilization and de-escalation; 
and 
‘‘(iii) coordination with, and referrals 
to, health services as needed; 
‘‘(D) that maintains relationships with rel-
evant community partners, including medical 
and behavioral health providers, primary care 
providers, community health centers, crisis res-
pite centers, and managed care organizations (if 
applicable); 
‘‘(E) that maintains the privacy and con-
fidentiality of patient information consistent 
with Federal and State requirements; and 
‘‘(3) available 24 hours per day, every day of 
the year.
173 
‘‘(c) PAYMENTS.—Notwithstanding section 1905(b) 
or 1905(ff) and subject to subsections (y) and (z) of sec-
tion 1905, during each of the first 12 fiscal quarters oc-
curring during the period described in subsection (a) that 
a State meets the requirements described in subsection 
(d), the Federal medical assistance percentage applicable 
to amounts expended by the State for medical assistance 
for qualifying community-based mobile crisis intervention 
services furnished during such quarter shall be equal to 
85 percent. In no case shall the application of the previous 
sentence result in the Federal medical assistance percent-
age applicable to amounts expended by a State for medical 
assistance for such qualifying community-based mobile cri-
sis intervention services furnished during a quarter being 
less than the Federal medical assistance percentage that 
would apply to such amounts expended by the State for 
such services furnished during such quarter without appli-
cation of the previous sentence. 
‘‘(d) REQUIREMENTS.—The requirements described 
in this paragraph are the following: 
‘‘(1) The State demonstrates, to the satisfaction 
of the Secretary that it will be able to support the 
provision of qualifying community-based mobile cri-
sis intervention services that meet the conditions 
specified in subsection (b).
174 
‘‘(2) The State provides assurances satisfactory 
to the Secretary that— 
‘‘(A) any additional Federal funds received 
by the State for qualifying community-based 
mobile crisis intervention services provided 
under this section that are attributable to the 
increased Federal medical assistance percentage 
under subsection (c) will be used to supplement, 
and not supplant, the level of State funds ex-
pended for such services for the fiscal year pre-
ceding the first fiscal quarter occurring during 
the period described in subsection (a); 
‘‘(B) if the State made qualifying commu-
nity-based mobile crisis intervention services 
available in a region of the State in such fiscal 
year, the State will continue to make such serv-
ices available in such region under this section 
during each month occurring during the period 
described in subsection (a) for which the Fed-
eral medical assistance percentage under sub-
section (c) is applicable with respect to the 
State. 
‘‘(e) FUNDING FOR STATE PLANNING GRANTS.— 
There is appropriated, out of any funds in the Treasury 
not otherwise appropriated, $15,000,000 to the Secretary
175 
for purposes of implementing, administering, and making 
planning grants to States as soon as practicable for pur-
poses of developing a State plan amendment or section 
1115, 1915(b), or 1915(c) waiver request (or an amend-
ment to such a waiver) to provide qualifying community- 
based mobile crisis intervention services under this section, 
to remain available until expended.’’. 
SEC. 3104. TEMPORARY INCREASE IN FMAP FOR MEDICAL 
ASSISTANCE UNDER STATE MEDICAID PLANS 
WHICH BEGIN TO EXPEND AMOUNTS FOR 
CERTAIN MANDATORY INDIVIDUALS. 
Section 1905 of the Social Security Act (42 U.S.C. 
1396d), as amended by section 3101 of this subtitle, is 
further amended— 
(1) in subsection (b), in the first sentence, by 
striking ‘‘and (hh)’’ and inserting ‘‘(hh), and (ii)’’; 
(2) in subsection (ff), by striking ‘‘subject to 
subsection (hh)’’ and inserting ‘‘subject to sub-
sections (hh) and (ii)’’; and 
(3) by adding at the end the following new sub-
section: 
‘‘(ii) TEMPORARY INCREASE IN FMAP FOR MEDICAL 
ASSISTANCE UNDER STATE MEDICAID PLANS WHICH 
BEGIN TO EXPEND AMOUNTS FOR CERTAIN MANDATORY 
INDIVIDUALS.—
176 
‘‘(1) IN GENERAL.—For each quarter occurring 
during the 8-quarter period beginning with the first 
calendar quarter during which a qualifying State (as 
defined in paragraph (3)) expends amounts for all 
individuals 
described 
in 
section 
1902(a)(10)(A)(i)(VIII) under the State plan (or 
waiver of such plan), the Federal medical assistance 
percentage determined under subsection (b) for such 
State shall, after application of any increase, if ap-
plicable, under section 6008 of the Families First 
Coronavirus Response Act, be increased by 5 per-
centage points, except for any quarter (and each 
subsequent quarter) during such period during 
which the State ceases to provide medical assistance 
to any such individual under the State plan (or 
waiver of such plan). 
‘‘(2) SPECIAL
APPLICATION
RULES.—Any in-
crease described in paragraph (1) (or payment made 
for expenditures on medical assistance that are sub-
ject to such increase)— 
‘‘(A) shall not apply with respect to dis-
proportionate share hospital payments described 
in section 1923;
177 
‘‘(B) shall not be taken into account in cal-
culating the enhanced FMAP of a State under 
section 2105; 
‘‘(C) shall not be taken into account for 
purposes of part A, D, or E of title IV; and 
‘‘(D) shall not be taken into account for 
purposes of applying payment limits under sub-
sections (f) and (g) of section 1108. 
‘‘(3) DEFINITION.—For purposes of this sub-
section, the term ‘qualifying State’ means a State 
which has not expended amounts for all individuals 
described in section 1902(a)(10)(A)(i)(VIII) before 
the date of the enactment of this subsection.’’. 
SEC. 3105. EXTENSION OF 100 PERCENT FEDERAL MEDICAL 
ASSISTANCE PERCENTAGE TO URBAN INDIAN 
HEALTH ORGANIZATIONS AND NATIVE HA-
WAIIAN HEALTH CARE SYSTEMS. 
Section 1905(b) of the Social Security Act (42 U.S.C. 
1396d(b)) is amended by inserting after ‘‘(as defined in 
section 4 of the Indian Health Care Improvement Act)’’ 
the following: ‘‘; for the 8 fiscal year quarters beginning 
with the first fiscal year quarter beginning after the date 
of the enactment of the American Rescue Plan Act of 
2021, the Federal medical assistance percentage shall also 
be 100 per centum with respect to amounts expended as
178 
medical assistance for services which are received through 
an Urban Indian organization (as defined in paragraph 
(29) of section 4 of the Indian Health Care Improvement 
Act) that has a grant or contract with the Indian Health 
Service under title V of such Act; and, for such 8 fiscal 
year quarters, the Federal medical assistance percentage 
shall also be 100 per centum with respect to amounts ex-
pended as medical assistance for services which are re-
ceived through a Native Hawaiian Health Center (as de-
fined in section 12(4) of the Native Hawaiian Health Care 
Improvement Act) or a qualified entity (as defined in sec-
tion 6(b) of such Act) that has a grant or contract with 
the Papa Ola Lokahi under section 8 of such Act’’. 
SEC. 3106. SUNSET OF LIMIT ON MAXIMUM REBATE 
AMOUNT FOR SINGLE SOURCE DRUGS AND 
INNOVATOR MULTIPLE SOURCE DRUGS. 
Section 1927(c)(2)(D) of the Social Security Act (42 
U.S.C. 1396r–8(c)(2)(D)) is amended by inserting after 
‘‘December 31, 2009,’’ the following: ‘‘and before January 
1, 2023,’’. 
SEC. 3107. ADDITIONAL SUPPORT FOR MEDICAID HOME 
AND COMMUNITY-BASED SERVICES DURING 
THE COVID–19 EMERGENCY. 
(a) INCREASED FMAP.—
179 
(1) IN
GENERAL.—Notwithstanding section 
1905(b) of the Social Security Act (42 U.S.C. 
1396d(b)) or section 1905(ff), in the case of a State 
that meets the HCBS program requirements under 
subsection (b), the Federal medical assistance per-
centage determined for the State under section 
1905(b) of such Act (or, if applicable, under section 
1905(ff)) and, if applicable, increased under sub-
section (y), (z), (aa), or (ii) of section 1905 of such 
Act (42 U.S.C. 1396d), section 1915(k) of such Act 
(42 U.S.C. 1396n(k)), or section 6008(a) of the 
Families First Coronavirus Response Act (Public 
Law 116–127), shall be increased by 7.35 percent-
age points with respect to expenditures of the State 
under the State Medicaid program for home and 
community-based services (as defined in paragraph 
(2)(B)) that are provided during the HCBS program 
improvement period (as defined in paragraph 
(2)(A)). In no case may the application of the pre-
vious sentence result in the Federal medical assist-
ance percentage determined for a State being more 
than 95 percent with respect to such expenditures. 
Any payment made to Puerto Rico, the Virgin Is-
lands, Guam, the Northern Mariana Islands, or 
American Samoa for expenditures on medical assist-
180 
ance that are subject to the Federal medical assist-
ance percentage increase specified under the first 
sentence of this paragraph shall not be taken into 
account for purposes of applying payment limits 
under subsections (f) and (g) of section 1108 of the 
Social Security Act (42 U.S.C. 1308). 
(2) DEFINITIONS.—In this section: 
(A) HCBS PROGRAM
IMPROVEMENT
PE-
RIOD.—The term ‘‘HCBS program improve-
ment period’’ means, with respect to a State, 
the period— 
(i) beginning on April 1, 2021; and 
(ii) ending on March 31, 2022. 
(B) HOME AND COMMUNITY-BASED SERV-
ICES.—The term ‘‘home and community-based 
services’’ means any of the following: 
(i) Home health care services author-
ized under paragraph (7) of section 
1905(a) of the Social Security Act (42 
U.S.C. 1396d(a)). 
(ii) Personal care services authorized 
under paragraph (24) of such section. 
(iii) PACE services authorized under 
paragraph (26) of such section.
181 
(iv) Home and community-based serv-
ices authorized under subsections (b), (c), 
(i), (j), and (k) of section 1915 of such Act 
(42 U.S.C. 1396n), such services author-
ized under a waiver under section 1115 of 
such Act (42 U.S.C. 1315), and such serv-
ices through coverage authorized under 
section 1937 of such Act (42 U.S.C. 
1396u–7). 
(v) Case management services author-
ized under section 1905(a)(19) of the So-
cial Security Act (42 U.S.C. 1396d(a)(19)) 
and section 1915(g) of such Act (42 
U.S.C. 1396n(g)). 
(vi) Rehabilitative services, including 
those related to behavioral health, de-
scribed in section 1905(a)(13) of such Act 
(42 U.S.C. 1396d(a)(13)). 
(vii) Such other services specified by 
the Secretary of Health and Human Serv-
ices. 
(C) ELIGIBLE INDIVIDUAL.—The term ‘‘el-
igible individual’’ means an individual who is el-
igible for and enrolled for medical assistance 
under a State Medicaid program and includes
182 
an individual who becomes eligible for medical 
assistance under a State Medicaid program 
when removed from a waiting list. 
(D) 
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). 
(E) STATE.—The term ‘‘State’’ has the 
meaning given such term for purposes of title 
XIX of the Social Security Act (42 U.S.C. 1396 
et seq.). 
(b) STATE REQUIREMENTS FOR FMAP INCREASE.— 
As conditions for receipt of the increase under subsection 
(a) to the Federal medical assistance percentage deter-
mined for a State, the State shall meet each of the fol-
lowing requirements (referred to in subsection (a) as the 
HCBS program requirements): 
(1) SUPPLEMENT, NOT SUPPLANT.—The State 
shall use the Federal funds attributable to the in-
crease under subsection (a) to supplement, and not 
supplant, the level of State funds expended for home
183 
and community-based services for eligible individuals 
through programs in effect as of April 1, 2021. 
(2) REQUIRED IMPLEMENTATION OF CERTAIN 
ACTIVITIES.—The State shall implement, or supple-
ment the implementation of, one or more activities 
to enhance, expand, or strengthen home and commu-
nity-based services under the State Medicaid pro-
gram. 
SEC. 3108. FUNDING FOR STATE STRIKE TEAMS FOR RESI-
DENT AND EMPLOYEE SAFETY IN NURSING 
FACILITIES. 
Section 1919 of the Social Security Act (42 U.S.C. 
1396r) is amended by adding at the end the following new 
subsection: 
‘‘(k) FUNDING FOR STATE STRIKE TEAMS.—In addi-
tion to amounts otherwise available, there is appropriated 
to the Secretary, out of any monies in the Treasury not 
otherwise appropriated, $250,000,000, to remain available 
until expended, for purposes of allocating such amount 
among the States (including the District of Columbia and 
each territory of the United States) for such a State to 
establish and implement a strike team that will be de-
ployed to a nursing facility in the State with diagnosed 
or suspected cases of COVID–19 among residents or staff 
for the purposes of assisting with clinical care, infection
184 
control, or staffing during the emergency period described 
in section 1135(g)(1)(B).’’. 
SEC. 3109. SPECIAL RULE FOR THE PERIOD OF A DE-
CLARED PUBLIC HEALTH EMERGENCY RE-
LATED TO CORONAVIRUS. 
(a) IN GENERAL.—Section 1923(f)(3) of the Social 
Security Act (42 U.S.C. 1396r-4(f)(3)) is amended— 
(1) in subparagraph (A), by striking ‘‘subpara-
graph (E)’’ and inserting ‘‘subparagraphs (E) and 
(F)’’ ; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(F) 
ALLOTMENTS
DURING
THE 
CORONAVIRUS TEMPORARY MEDICAID FMAP IN-
CREASE.— 
‘‘(i) IN
GENERAL.—Notwithstanding 
any other provision of this subsection, for 
any fiscal year for which the Federal med-
ical assistance percentage applicable to ex-
penditures under this section is increased 
pursuant to section 6008 of the Families 
First Coronavirus Response Act, the Sec-
retary shall recalculate the annual DSH al-
lotment, including the DSH allotment 
specified under paragraph (6)(A)(vi), to
185 
ensure that the total DSH payments (in-
cluding both Federal and State shares) 
that a State may make related to a fiscal 
year is equal to the total DSH payments 
that the State could have made for such 
fiscal year without such increase to the 
Federal medical assistance percentage. 
‘‘(ii) NO
APPLICATION
TO
ALLOT-
MENTS BEGINNING AFTER COVID–19 EMER-
GENCY PERIOD.—The DSH allotment for 
any State for the first fiscal year beginning 
after the end of the emergency period de-
scribed in section 1135(g)(1)(B) or any 
succeeding fiscal year shall be determined 
under this paragraph without regard to the 
DSH allotments determined under clause 
(i).’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect and apply as if included 
in the enactment of the Families First Coronavirus Re-
sponse Act (Public Law 116–127).
186 
Subtitle C—Children’s Health 
Insurance Program 
SEC. 3201. MANDATORY COVERAGE OF COVID–19 VACCINES 
AND 
ADMINISTRATION 
AND 
TREATMENT 
UNDER CHIP. 
(a) COVERAGE.— 
(1) IN GENERAL.—Section 2103(c) of the So-
cial Security Act (42 U.S.C. 1397cc(c)) is amended 
by adding at the end the following paragraph: 
‘‘(11) REQUIRED COVERAGE OF COVID–19 VAC-
CINES AND TREATMENT.—Regardless of the type of 
coverage elected by a State under subsection (a), the 
child health assistance provided for a targeted low- 
income child, and, in the case of a State that elects 
to provide pregnancy-related assistance pursuant to 
section 2112, the pregnancy-related assistance pro-
vided for a targeted low-income pregnant woman (as 
such terms are defined for purposes of such section), 
shall include coverage, during the period beginning 
on the date of the enactment of this paragraph 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), of—
187 
‘‘(A) a COVID–19 vaccine (and the admin-
istration of the vaccine); and 
‘‘(B) testing and treatments for COVID- 
19, including specialized equipment and thera-
pies (including preventive therapies), and, in 
the case of an individual who is diagnosed with 
or presumed to have COVID–19, during the pe-
riod 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 otherwise covered 
under the State child health plan (or waiver of 
such plan).’’. 
(2) PROHIBITION OF COST SHARING.—Section 
2103(e)(2) of the Social Security Act (42 U.S.C. 
1397cc(e)(2)), as amended by section 6004(b)(3) of 
the Families First Coronavirus Response Act, is 
amended— 
(A) in the paragraph header, by inserting 
‘‘A COVID–19 VACCINE, COVID–19 TREATMENT,’’ 
before ‘‘OR PREGNANCY-RELATED ASSISTANCE’’; 
and 
(B) by striking ‘‘visits described in section 
1916(a)(2)(G), or’’ and inserting ‘‘services de-
scribed in section 1916(a)(2)(G), vaccines de-
188 
scribed in section 1916(a)(2)(H) administered 
during the period described in such section (and 
the administration of such vaccines), testing or 
treatments described in section 1916(a)(2)(I) 
furnished during the period described in such 
section, or’’. 
(b) TEMPORARY INCREASE IN FEDERAL PAYMENTS 
FOR COVERAGE
AND ADMINISTRATION
OF COVID–19 
VACCINES.—Section 2105(c) of the Social Security Act 
(42 U.S.C. 1397ee(c)) is amended by adding at the end 
the following new paragraph: 
‘‘(12) TEMPORARY
ENHANCED
PAYMENT
FOR 
COVERAGE AND ADMINISTRATION OF COVID–19 VAC-
CINES.—During the period described in section 
1905(hh)(2), notwithstanding subsection (b), the en-
hanced FMAP for a State, with respect to payments 
under subsection (a) for expenditures under the 
State child health plan (or a waiver of such plan) for 
a vaccine described in section 1905(a)(4)(E) (and 
the administration of such a vaccine), shall be equal 
to 100 percent.’’. 
(c) ADJUSTMENT OF CHIP ALLOTMENTS.—Section 
2104(m) of the Social Security Act (42 U.S.C. 
1397dd(m)) is amended—
189 
(1) in paragraph (2)(B), in the matter pre-
ceding clause (i), by striking ‘‘paragraphs (5) and 
(7)’’ and inserting ‘‘paragraphs (5), (7), and (12)’’; 
and 
(2) by adding at the end the following new 
paragraph: 
‘‘(12) ADJUSTING
ALLOTMENTS
TO
ACCOUNT 
FOR
INCREASED
FEDERAL
PAYMENTS
FOR
COV-
ERAGE
AND
ADMINISTRATION
OF
COVID–19
VAC-
CINES.—If a State, commonwealth, or territory re-
ceives payment for a fiscal year (beginning with fis-
cal year 2021) under subsection (a) of section 2105 
for expenditures that are subject to the enhanced 
FMAP specified under subsection (c)(12) of such 
section, the amount of the allotment determined for 
the State, commonwealth, or territory under this 
subsection— 
‘‘(A) for such fiscal year shall be increased 
by the projected expenditures for such year by 
the State, commonwealth, or territory under the 
State child health plan (or a waiver of such 
plan) 
for 
vaccines 
described 
in 
section 
1905(a)(4)(E) (and the administration of such 
vaccines); and
190 
‘‘(B) once actual expenditures are available 
in the subsequent fiscal year, the fiscal year al-
lotment that was adjusted by the amount de-
scribed in subparagraph (A) shall be adjusted 
on the basis of the difference between— 
‘‘(i) such projected amount of expend-
itures described in subparagraph (A) for 
such fiscal year described in such subpara-
graph by the State, commonwealth, or ter-
ritory; and 
‘‘(ii) the actual amount of expendi-
tures for such fiscal year described in sub-
paragraph (A) by the State, common-
wealth, or territory under the State child 
health plan (or waiver of such plan) for 
vaccines described in section 1905(a)(4)(E) 
(and the administration of such vac-
cines).’’. 
SEC. 3202. MODIFICATIONS TO CERTAIN COVERAGE UNDER 
CHIP FOR PREGNANT AND POSTPARTUM 
WOMEN. 
(a) MODIFICATIONS TO COVERAGE.— 
(1) IN
GENERAL.—Section 2107(e)(1) of the 
Social Security Act (42 U.S.C. 1397gg(e)(1)) is 
amended—
192 
(2) OPTIONAL COVERAGE OF TARGETED LOW- 
INCOME PREGNANT WOMEN.—Section 2112(d)(2)(A) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1397ll(d)(2)(A)) is amended by inserting after ‘‘60- 
day period’’ the following: ‘‘, or, in the case that 
subparagraph (A) of section 1902(e)(16) applies to 
the State child health plan (or waiver of such plan), 
pursuant to section 2107(e)(1), the 12-month pe-
riod,’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a), shall apply with respect to State elections 
made under paragraph (16) of section 1902(e) of the So-
cial Security Act (42 U.S.C. 1396a(e)), as added by sec-
tion 3102(a) of subtitle B of this title, during the 7-year 
period beginning on the 1st day of the 1st fiscal year quar-
ter that begins at least one year after the date of the en-
actment of this Act. 
Subtitle D—Other Provisions 
CHAPTER 1—ENSURING ENVIRONMENTAL 
HEALTH AND RATEPAYER PROTEC-
TION DURING THE PANDEMIC 
SEC. 3301. FUNDING FOR POLLUTION AND DISPARATE IM-
PACTS OF THE COVID–19 PANDEMIC. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Environmental Pro-
193 
tection Agency for fiscal year 2021, out of any money in 
the Treasury not otherwise appropriated, $100,000,000, 
to remain available until expended, to address health out-
come disparities from pollution and the COVID–19 pan-
demic, of which— 
(1) $50,000,000, shall be for grants, contracts, 
and other agency activities that identify and address 
disproportionate environmental or public health 
harms and risks in minority populations or low-in-
come populations under— 
(A) section 103(b) of the Clean Air Act 
(42 U.S.C. 7403(b)); 
(B) section 1442 of the Safe Drinking 
Water Act (42 U.S.C. 300j–1); 
(C) section 104(k)(7)(A) of the Com-
prehensive Environmental Response, Compensa-
tion, and Liability Act of 1980 (42 U.S.C. 
9604(k)(7)(A)); and 
(D) sections 791 through 797 of the En-
ergy Policy Act of 2005 (42 U.S.C. 16131 
through 16137); and 
(2) $50,000,000 shall be for grants and activi-
ties authorized under subsections (a) through (c) of 
section 103 of the Clean Air Act (42 U.S.C. 7403)
194 
and grants and activities authorized under section 
105 of such Act (42 U.S.C. 7405). 
(b) ADMINISTRATION OF FUNDS.— 
(1) Of the funds made available pursuant to 
subsection (a)(1), the Administrator shall reserve 2 
percent for administrative costs necessary to carry 
out activities funded pursuant to such subsection. 
(2) Of the funds made available pursuant to 
subsection (a)(2), the Administrator shall reserve 5 
percent for activities funded pursuant to such sub-
section other than grants. 
SEC. 3302. FUNDING FOR LIHEAP. 
In addition to amounts otherwise available, there is 
appropriated for fiscal year 2021, out of any amounts in 
the Treasury not otherwise appropriated, $4,500,000,000, 
to remain available through September 30, 2022, for addi-
tional funding to provide payments under section 2602(b) 
of the Low-Income Home Energy Assistance Act of 1981 
(42 U.S.C. 8621(b)), except that— 
(1) $2,250,000,000 of such amounts shall be 
allocated as though the total appropriation for such 
payments for fiscal year 2021 was less than 
$1,975,000,000; and
195 
(2) section 2607(b)(2)(B) of such Act (42 
U.S.C. 8626(b)(2)(B)) shall not apply to funds ap-
propriated under this section for fiscal year 2021. 
SEC. 3303. FUNDING FOR WATER ASSISTANCE PROGRAM. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary of Health 
and Human Services for fiscal year 2021, out of any 
amounts in the Treasury not otherwise appropriated, 
$500,000,000, to remain available until expended, for 
grants to States and Indian Tribes to assist low-income 
households, particularly those with the lowest incomes, 
that pay a high proportion of household income for drink-
ing water and wastewater services, by providing funds to 
owners or operators of public water systems or treatment 
works to reduce arrearages of and rates charged to such 
households for such services. 
(b) ALLOTMENT.—The Secretary shall— 
(1) allot amounts appropriated in this section to 
a State or Indian Tribe based on— 
(A) the percentage of households in the 
State, or under the jurisdiction of the Indian 
Tribe, with income equal or less than 150 per-
cent of the Federal poverty line; and 
(B) the percentage of households in the 
State, or under the jurisdiction of the Indian
196 
Tribe, that spend more than 30 percent of 
monthly income on housing; and 
(2) reserve up to 3 percent of the amount ap-
propriated in this section for Indian Tribes and trib-
al organizations. 
CHAPTER 2—DISTANCE LEARNING AND 
CONSUMER PROTECTION DURING THE 
COVID–19 PANDEMIC 
SEC. 3311. FUNDING FOR CONSUMER PRODUCT SAFETY 
FUND TO PROTECT CONSUMERS FROM PO-
TENTIALLY 
DANGEROUS 
PRODUCTS 
RE-
LATED TO COVID–19. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Consumer 
Product Safety Commission for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$50,000,000, to remain available until September 30, 
2026, for the purposes described in subsection (b). 
(b) PURPOSES.—The funds made available in sub-
section (a) shall only be used for purposes of the Con-
sumer Product Safety Commission to— 
(1) carry out the requirements in title XX of di-
vision FF of the Consolidated Appropriations Act, 
2021 (Public Law 116–260);
197 
(2) enhance targeting, surveillance, and screen-
ing of consumer products, particularly COVID–19 
products, entering the United States at ports of 
entry, including ports of entry for de minimis ship-
ments; 
(3) enhance monitoring of internet websites for 
the offering for sale of new and used violative con-
sumer products, particularly COVID–19 products, 
and coordination with retail and resale websites to 
improve identification and elimination of listings of 
such products; 
(4) increase awareness and communication par-
ticularly of COVID–19 product related risks and 
other consumer product safety information; and 
(5) improve the Commission’s data collection 
and analysis system especially with a focus on con-
sumer product safety risks resulting from the 
COVID–19 pandemic to socially disadvantaged indi-
viduals and other vulnerable populations. 
(c) DEFINITIONS.—In this section— 
(1) the term ‘‘Commission’’ means the Con-
sumer Product Safety Commission; 
(2) the term ‘‘violative consumer products’’ 
means consumer products in violation of an applica-
ble consumer product safety standard under the
198 
Consumer Product Safety Act (15 U.S.C. 2051 et 
seq.) or any similar rule, regulation, standard, or 
ban under any other Act enforced by the Commis-
sion; 
(3) the term ‘‘COVID–19 emergency period’’ 
means the period during which a public health emer-
gency declared pursuant to section 319 of the Public 
Health Service Act (42 U.S.C. 247d) with respect to 
the 2019 novel coronavirus (COVID–19), including 
under any renewal of such declaration, is in effect; 
and 
(4) the term ‘‘COVID–19 products’’ means con-
sumer products, as defined by section 3(a)(5) of the 
Consumer 
Product 
Safety 
Act 
(15 
U.S.C. 
2052(a)(5)), whose risks have been significantly af-
fected by COVID–19 or whose sales have materially 
increased during the COVID–19 emergency period 
as a result of the COVID–19 pandemic. 
SEC. 3312. FUNDING FOR E-RATE SUPPORT FOR EMER-
GENCY EDUCATIONAL CONNECTIONS AND 
DEVICES. 
(a) REGULATIONS REQUIRED.—Not later than 60 
days after the date of the enactment of this Act, the Com-
mission shall promulgate regulations providing for the 
provision, from amounts made available from the Emer-
199 
gency Connectivity Fund, of support under paragraphs 
(1)(B) and (2) of section 254(h) of the Communications 
Act of 1934 (47 U.S.C. 254(h)) to an eligible school or 
library, for the purchase during a COVID–19 emergency 
period of eligible equipment or advanced telecommuni-
cations and information services (or both), for use by— 
(1) in the case of a school, students and staff 
of the school at locations that include locations other 
than the school; and 
(2) in the case of a library, patrons of the li-
brary at locations that include locations other than 
the library. 
(b) SUPPORT AMOUNT.—In providing support under 
the covered regulations, the Commission shall reimburse 
100 percent of the costs associated with the eligible equip-
ment, advanced telecommunications and information serv-
ices, or eligible equipment and advanced telecommuni-
cations and information services, except that any reim-
bursement of a school or library for the costs associated 
with any eligible equipment may not exceed an amount 
that the Commission determines, with respect to the re-
quest by the school or library for the reimbursement, is 
reasonable. 
(c) EMERGENCY CONNECTIVITY FUND.—
200 
(1) ESTABLISHMENT.—There is established in 
the Treasury of the United States a fund to be 
known as the ‘‘Emergency Connectivity Fund’’. 
(2) APPROPRIATION.—In addition to amounts 
otherwise available, there is appropriated to the 
Emergency Connectivity Fund for fiscal year 2021, 
out of any money in the Treasury not otherwise ap-
propriated— 
(A) $7,599,000,000, to remain available 
until September 30, 2030, for— 
(i) the provision of support under the 
covered regulations; and 
(ii) the Commission to adopt, and the 
Commission and the Universal Service Ad-
ministrative Company to administer, the 
covered regulations; and 
(B) $1,000,000, to remain available until 
September 30, 2030, for the Inspector General 
of the Commission to conduct oversight of sup-
port provided under the covered regulations. 
(3) LIMITATION.—Not more than 2 percent of 
the amount made available under paragraph (2)(A) 
may be used for the purposes described in clause (ii) 
of such paragraph.
201 
(4) RELATIONSHIP
TO
UNIVERSAL
SERVICE 
CONTRIBUTIONS.—Support provided under the cov-
ered regulations shall be provided from amounts 
made available from the Emergency Connectivity 
Fund and not from contributions under section 
254(d) of the Communications Act of 1934 (47 
U.S.C. 254(d)). 
(d) DEFINITIONS.—In this section: 
(1) ADVANCED TELECOMMUNICATIONS AND IN-
FORMATION SERVICES.—The term ‘‘advanced tele-
communications and information services’’ means 
advanced telecommunications and information serv-
ices, as such term is used in section 254(h) of the 
Communications Act of 1934 (47 U.S.C. 254(h)). 
(2) COMMISSION.—The term ‘‘Commission’’ 
means the Federal Communications Commission. 
(3) CONNECTED
DEVICE.—The term ‘‘con-
nected device’’ means a laptop computer, tablet com-
puter, or similar end-user device that is capable of 
connecting to advanced telecommunications and in-
formation services. 
(4) COVERED REGULATIONS.—The term ‘‘cov-
ered regulations’’ means the regulations promul-
gated under subsection (a).
202 
(5) COVID–19 
EMERGENCY
PERIOD.—The 
term ‘‘COVID–19 emergency period’’ means a pe-
riod that— 
(A) begins on the date of a determination 
by the Secretary of Health and Human Services 
pursuant to section 319 of the Public Health 
Service Act (42 U.S.C. 247d) that a public 
health emergency exists as a result of COVID– 
19; and 
(B) ends on the June 30 that first occurs 
after the date that is 1 year after the date on 
which such determination (including any re-
newal thereof) terminates. 
(6) ELIGIBLE EQUIPMENT.—The term ‘‘eligible 
equipment’’ means the following: 
(A) Wi-Fi hotspots. 
(B) Modems. 
(C) Routers. 
(D) Devices that combine a modem and 
router. 
(E) Connected devices. 
(7) ELIGIBLE SCHOOL OR LIBRARY.—The term 
‘‘eligible school or library’’ means an elementary 
school, secondary school, or library (including a 
Tribal elementary school, Tribal secondary school, or
203 
Tribal library) eligible for support under paragraphs 
(1)(B) and (2) of section 254(h) of the Communica-
tions Act of 1934 (47 U.S.C. 254(h)). 
(8) EMERGENCY
CONNECTIVITY
FUND.—The 
term ‘‘Emergency Connectivity Fund’’ means the 
fund established under subsection (c)(1). 
(9) LIBRARY.—The term ‘‘library’’ includes a 
library consortium. 
(10) WI-FI.—The term ‘‘Wi-Fi’’ means a wire-
less networking protocol based on Institute of Elec-
trical and Electronics Engineers standard 802.11 
(or any successor standard). 
(11) 
WI-FI
HOTSPOT.—The 
term 
‘‘Wi-Fi 
hotspot’’ means a device that is capable of— 
(A) receiving advanced telecommunications 
and information services; and 
(B) sharing such services with a connected 
device through the use of Wi-Fi. 
CHAPTER 
3—OVERSIGHT 
OF 
DEPART-
MENT OF COMMERCE PREVENTION 
AND RESPONSE TO COVID–19 
SEC. 3321. FUNDING FOR DEPARTMENT OF COMMERCE IN-
SPECTOR GENERAL. 
In addition to amounts otherwise available, there is 
appropriated to the Office of the Inspector General of the
204 
Department of Commerce for fiscal year 2021, out of any 
money in the Treasury not otherwise appropriated, 
$3,000,000, to remain available until September 30, 2022, 
for oversight of activities supported with funds appro-
priated to the Department of Commerce to prevent, pre-
pare for, and respond to COVID–19. 
TITLE IV—COMMITTEE ON 
FINANCIAL SERVICES 
Subtitle A—Defense Production Act 
of 1950 
SEC. 4001. COVID–19 EMERGENCY MEDICAL SUPPLIES EN-
HANCEMENT. 
(a) SUPPORTING ENHANCED USE OF THE DEFENSE 
PRODUCTION ACT OF 1950.—In addition to funds other-
wise available, there is appropriated, for fiscal year 2021, 
out of any money in the Treasury not otherwise appro-
priated, $10,000,000,000, notwithstanding section 304(e) 
of the Defense Production Act of 1950 (50 U.S.C. 
4534(e)), to remain available until September 30, 2025, 
to carry out titles I, III, and VII of such Act in accordance 
with subsection (b). 
(b) MEDICAL SUPPLIES AND EQUIPMENT.— 
(1) TESTING, PPE, VACCINES, AND OTHER MA-
TERIALS.—Except as provided in paragraph (2), 
amounts appropriated in subsection (a) shall be used
205 
for the purchase, production (including the construc-
tion, repair, and retrofitting of government-owned or 
private facilities as necessary), or distribution of 
medical supplies and equipment (including durable 
medical equipment) related to combating the 
COVID–19 pandemic, including— 
(A) in vitro diagnostic products for the de-
tection of SARS-CoV-2 or the diagnosis of the 
virus that causes COVID–19, and the reagents 
and other materials necessary for producing, 
conducting, or administering such products, and 
the machinery, equipment, laboratory capacity, 
or other technology necessary to produce such 
products; 
(B) face masks and personal protective 
equipment, including face shields, nitrile gloves, 
N–95 filtering facepiece respirators, and any 
other masks or equipment (including durable 
medical equipment) needed to respond to the 
COVID–19 pandemic, and the materials, ma-
chinery, additional manufacturing lines or fa-
cilities, or other technology necessary to 
produce such equipment; and 
(C) drugs, devices, and biological products 
that are approved, cleared, licensed, or author-
206 
ized under either of such Acts for use in treat-
ing or preventing COVID–19 and symptoms re-
lated to COVID–19, and any materials, manu-
facturing machinery, additional manufacturing 
or fill-finish lines or facilities, technology, or 
equipment (including durable medical equip-
ment) necessary to produce or use such drugs, 
biological products, or devices (including sy-
ringes, vials, or other supplies or equipment re-
lated to delivery, distribution, or administra-
tion). 
(2) RESPONDING
TO
PUBLIC
HEALTH
EMER-
GENCIES.—After September 30, 2022, amounts ap-
propriated in subsection (a) may be used for any ac-
tivity authorized by paragraph (1), or any other ac-
tivity necessary to meet critical public health needs 
of the United States, with respect to any pathogen 
that the President has determined has the potential 
for creating a public health emergency. 
Subtitle B—Housing Provisions 
SEC. 4101. EMERGENCY RENTAL ASSISTANCE. 
(a) FUNDING.— 
(1) APPROPRIATION.—In addition to amounts 
otherwise available, there is appropriated to the Sec-
retary of the Treasury for fiscal year 2021, out of
207 
any money in the Treasury not otherwise appro-
priated, $20,250,000,000, to remain available until 
September 30, 2027, for making payments to eligi-
ble grantees under this section— 
(2) RESERVATION OF FUNDS.—Of the amount 
appropriated under paragraph (1), the Secretary 
shall reserve— 
(A) $305,000,000 for making payments 
under this section to the Commonwealth of 
Puerto Rico, the United States Virgin Islands, 
Guam, the Commonwealth of the Northern 
Mariana Islands, and American Samoa; 
(B) $30,000,000 for costs of the Secretary 
for the administration of emergency rental as-
sistance programs and technical assistance to 
recipients of any grants made by the Secretary 
to provide financial and other assistance to 
renters; 
(C) $3,000,000 for administrative expenses 
of the Inspector General relating to oversight of 
funds provided in this section; and 
(D) $1,200,000,000 for payments to high- 
need grantees as provided in this section. 
(b) ALLOCATION FOR RENTAL AND UTILITY ASSIST-
ANCE.—
208 
(1) ALLOCATION FOR STATES AND UNITS OF 
LOCAL GOVERNMENT.— 
(A) IN
GENERAL.—The amount appro-
priated under paragraph (1) of subsection (a) 
that remains after the application of paragraph 
(2) of such subsection shall be allocated to eligi-
ble grantees described in subparagraphs (A) 
and (B) of subsection (f)(1) in the same man-
ner as the amount appropriated under section 
501 of subtitle A of title V of division N of the 
Consolidated Appropriations Act, 2021 (Public 
Law 116–260) is allocated to States and units 
of local government under subsection (b)(1) of 
such section, except that section 501(b) of such 
subtitle A shall be applied— 
(i) without regard to clause (i) of 
paragraph (1)(A); 
(ii) by deeming the amount appro-
priated under paragraph (1) of subsection 
(a) of this Act that remains after the ap-
plication of paragraph (2) of such sub-
section to be the amount deemed to apply 
for purposes of applying clause (ii) of sec-
tion 501(b)(1)(A) of such subtitle A;
209 
(iii) by substituting ‘‘$152,000,000’’ 
for ‘‘$200,000,000’’ each place such term 
appears; 
(iv) in subclause (I) of such section 
501(b)(1)(A)(v), by substituting ‘‘under 
section 4101 of the American Rescue Plan 
Act of 2021’’ for ‘‘under section 501 of 
subtitle A of title V of division N of the 
Consolidated Appropriations Act, 2021’’; 
and 
(v) in subclause (II) of such section 
501(b)(1)(A)(v), by substituting ‘‘local 
government elects to receive funds from 
the Secretary under section 4101 of the 
American Rescue Plan Act of 2021 and 
will use the funds in a manner consistent 
with such section’’ for ‘‘local government 
elects to receive funds from the Secretary 
under section 501 of subtitle A of title V 
of division N of the Consolidated Appro-
priations Act, 2021 and will use the funds 
in a manner consistent with such section’’. 
(B) PRO
RATA
ADJUSTMENT.—The Sec-
retary shall make pro rata adjustments in the 
amounts of the allocations determined under
210 
subparagraph (A) of this paragraph for entities 
described in such subparagraph as necessary to 
ensure that the total amount of allocations 
made pursuant to such subparagraph does not 
exceed the remainder appropriated amount de-
scribed in such subparagraph. 
(2) ALLOCATIONS
FOR
TERRITORIES.—The 
amount reserved under subsection (a)(2)(A) shall be 
allocated to eligible grantees described in subsection 
(f)(1)(C) in the same manner as the amount appro-
priated under section 501(a)(2)(A) of subtitle A of 
title V of division N of the Consolidated Appropria-
tions Act, 2021 (Public Law 116–260) is allocated 
under section 501(b)(3) of such subtitle A to eligible 
grantees under subparagraph (C) of such section 
501(b)(3), except that section 501(b)(3) of such sub-
title A shall be applied— 
(A) in subparagraph (A), by inserting ‘‘of 
this Act’’ after ‘‘the amount reserved under 
subsection (a)(2)(A)’’; and 
(B) in clause (i) of subparagraph (B), by 
substituting ‘‘the amount equal to 0.3 percent 
of the amount appropriated under subsection 
(a)(1)’’ with ‘‘the amount equal to 0.3 percent
211 
of the amount appropriated under subsection 
(a)(1) of this Act’’. 
(3) HIGH-NEED
GRANTEES.—The Secretary 
shall allocate funds reserved under subsection 
(a)(2)(D) to eligible grantees with a high need for 
assistance under this section as evidenced by the 
number of very low-income renter households paying 
more than 50 percent of income on rent or living in 
substandard or overcrowded conditions, rental mar-
ket costs, and employment trends. 
(c) PAYMENT SCHEDULE.— 
(1) IN GENERAL.—The Secretary shall pay all 
eligible grantees not less than 40 percent of each 
such eligible grantee’s total allocation provided 
under subsection (b) within 60 days of enactment of 
this Act. 
(2) SUBSEQUENT
PAYMENTS.—The Secretary 
shall pay to eligible grantees additional amounts in 
tranches up to the full amount of each such eligible 
grantee’s total allocation in accordance with a proce-
dure established by the Secretary, provided that any 
such procedure established by the Secretary shall re-
quire that an eligible grantee must have obligated 
not less than 75 percent of the funds already dis-
212 
bursed by the Secretary pursuant to this section 
prior to disbursement of additional amounts. 
(d) USE OF FUNDS.— 
(1) IN
GENERAL.—An eligible grantee shall 
only use the funds provided from payments made 
under this section as follows: 
(A) FINANCIAL ASSISTANCE.— 
(i) IN
GENERAL.—Subject to clause 
(ii) of this subparagraph, funds received by 
an eligible grantee from payments made 
under this section shall be used to provide 
financial assistance to eligible households, 
not to exceed 18 months, including the 
payment of— 
(I) rent; 
(II) rental arrears; 
(III) utilities and home energy 
costs; 
(IV) utilities and home energy 
costs arrears; and 
(V) other expenses related to 
housing, as defined by the Secretary. 
(ii) 
LIMITATION.—The 
aggregate 
amount of financial assistance an eligible 
household may receive under this section,
213 
when combined with financial assistance 
provided under section 501 of subtitle A of 
title V of division N of the Consolidated 
Appropriations Act, 2021 (Public Law 
116–260), shall not exceed 18 months. 
(B) HOUSING STABILITY SERVICES.—Not 
more than 10 percent of funds received by an 
eligible grantee from payments made under this 
section may be used to provide case manage-
ment and other services intended to help keep 
households stably housed. 
(C) ADMINISTRATIVE
COSTS.—Not more 
than 15 percent of the total amount paid to an 
eligible grantee under this section may be used 
for administrative costs attributable to pro-
viding financial assistance, housing stability 
services, and other affordable rental housing 
and eviction prevention activities, including for 
data collection and reporting requirements re-
lated to such funds. 
(D) OTHER AFFORDABLE RENTAL HOUS-
ING AND EVICTION PREVENTION ACTIVITIES.— 
An eligible grantee may use any funds from 
payments made under this section that are un-
obligated on October 1, 2022, for purposes in
214 
addition to those specified in this paragraph, 
provided that— 
(i) such other purposes are affordable 
housing purposes, as defined by the Sec-
retary, serving very low-income families (as 
such term is defined in section 3(b) of the 
United States Housing Act of 1937 (42 
U.S.C. 1437a(b))); and 
(ii) prior to obligating any funds for 
such purposes, the eligible grantee has ob-
ligated not less than 75 percent of the 
total funds allocated to such eligible grant-
ee in accordance with this section. 
(2) DISTRIBUTION OF ASSISTANCE.—Amounts 
appropriated under subsection (a)(1) of this section 
shall be subject to the same terms and conditions 
that apply under paragraph (4) of section 501(c) of 
subtitle A of title V of division N of the Consolidated 
Appropriations Act, 2021 (Public Law 116–260) to 
amounts appropriated under subsection (a)(1) of 
such section 501. 
(e) REALLOCATION OF FUNDS.— 
(1) IN GENERAL.—Beginning March 31, 2022, 
the Secretary shall reallocate funds allocated to eligi-
ble grantees in accordance with subsection (b) but
215 
not yet paid in accordance with subsection (c)(2) ac-
cording to a procedure established by the Secretary. 
(2) ELIGIBILITY FOR REALLOCATED FUNDS.— 
The Secretary shall require an eligible grantee to 
have obligated 50 percent of the total amount of 
funds allocated to such eligible grantee under sub-
section (b) to be eligible to receive funds reallocated 
under paragraph (1) of this subsection. 
(3) PAYMENT OF REALLOCATED FUNDS BY THE 
SECRETARY.—The Secretary shall pay to each eligi-
ble grantee eligible for a payment of reallocated 
funds described in paragraph (2) of this subsection 
the amount allocated to such eligible grantee in ac-
cordance with the procedure established by the Sec-
retary in accordance with paragraph (2) of this sub-
section. 
(4) USE
OF
REALLOCATED
FUNDS.—Eligible 
grantees may use any funds received in accordance 
with this subsection only for purposes specified in 
paragraph (1) of subsection (d). 
(f) DEFINITIONS.—In this section: 
(1) ELIGIBLE
GRANTEE.—The term ‘‘eligible 
grantee’’ means any of the following: 
(A) The 50 States of the United States 
and the District of Columbia.
216 
(B) A unit of local government (as defined 
in paragraph (5)). 
(C) The Commonwealth of Puerto Rico, 
the United States Virgin Islands, Guam, the 
Commonwealth of the Northern Mariana Is-
lands, and American Samoa. 
(2) ELIGIBLE HOUSEHOLD.—The term ‘‘eligible 
household’’ means a household of 1 or more individ-
uals who are obligated to pay rent on a residential 
dwelling and with respect to which the eligible grant-
ee involved determines that— 
(A) 1 or more individuals within the house-
hold has— 
(i) qualified for unemployment bene-
fits; or 
(ii) experienced a reduction in house-
hold income, incurred significant costs, or 
experienced other financial hardship during 
or due, directly or indirectly, to the 
coronavirus pandemic; 
(B) 1 or more individuals within the 
household can demonstrate a risk of experi-
encing homelessness or housing instability; and 
(C) the household is a low-income family 
(as such term is defined in section 3(b) of the
217 
United States Housing Act of 1937 (42 U.S.C. 
1437a(b)). 
(3) INSPECTOR GENERAL.—The term ‘‘Inspec-
tor General’’ means the Inspector General of the De-
partment of the Treasury. 
(4) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of the Treasury. 
(5) UNIT OF LOCAL GOVERNMENT.—The term 
‘‘unit of local government’’ has the meaning given 
such term in section 501 of subtitle A of title V of 
division N of the Consolidated Appropriations Act, 
2021 (Public Law 116–260). 
(g) AVAILABILITY.—Funds provided to an eligible 
grantee under a payment made under this section shall 
remain available through September 30, 2025. 
(h) EXTENSION OF AVAILABILITY UNDER PROGRAM 
FOR EXISTING FUNDING.—Paragraph (1) of section 
501(e) of subtitle A of title V of division N of the Consoli-
dated Appropriations Act, 2021 (Public Law 116–260) is 
amended by striking ‘‘December 31, 2021’’ and inserting 
‘‘September 30, 2022’’. 
SEC. 4102. EMERGENCY HOUSING VOUCHERS. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Secretary of 
Housing and Urban Development (in this section referred
218 
to as the ‘‘Secretary’’) for fiscal year 2021, out of any 
money in the Treasury not otherwise appropriated, 
$5,000,000,000, to remain available until September 30, 
2030, for— 
(1) incremental emergency vouchers under sub-
section (b); 
(2) renewals of the vouchers under subsection 
(b); 
(3) fees for the costs of administering vouchers 
under subsection (b) and other eligible expenses de-
fined by notice to prevent, prepare, and respond to 
coronavirus to facilitate the leasing of the emergency 
vouchers, such as security deposit assistance and 
other costs related to retention and support of par-
ticipating owners; and 
(4) adjustments in the calendar year 2021 sec-
tion 8 renewal funding allocation, including main-
stream vouchers, for public housing agencies that ex-
perience a significant increase in voucher per-unit 
costs due to extraordinary circumstances or that, de-
spite taking reasonable cost savings measures, would 
otherwise be required to terminate rental assistance 
for families as a result of insufficient funding. 
(b) EMERGENCY VOUCHERS.—
219 
(1) IN GENERAL.—The Secretary shall provide 
emergency rental assistance vouchers under sub-
section (a), which shall be tenant-based rental assist-
ance under section 8(o) of the United States Hous-
ing Act of 1937 (42 U.S.C. 1437f(o)). 
(2) QUALIFYING INDIVIDUALS OR FAMILIES DE-
FINED.—For the purposes of this section, qualifying 
individuals or families are those who are— 
(A) homeless (as such term is defined in 
section 103(a) of the McKinney-Vento Home-
less Assistance Act (42 U.S.C. 11302(a)); 
(B) at risk of homelessness (as such term 
is defined in section 401(1) of the McKinney- 
Vento Homeless Assistance Act (42 U.S.C. 
11360(1))); 
(C) fleeing, or attempting to flee, domestic 
violence, dating violence, sexual assault, stalk-
ing, or human trafficking, as defined by the 
Secretary; or 
(D) recently homeless, as determined by 
the Secretary, and for whom providing rental 
assistance will prevent the family’s homeless-
ness or having high risk of housing instability. 
(3) ALLOCATION.—The Secretary shall notify 
public housing agencies of the number of emergency
220 
vouchers provided under this section to be allocated 
to the agency not later than 60 days after the date 
of the enactment of this Act, in accordance with a 
formula that includes public housing agency capacity 
and ensures geographic diversity, including with re-
spect to rural areas, among public housing agencies 
administering the Housing Choice Voucher program. 
(4) TERMS AND CONDITIONS.— 
(A) ELECTION TO ADMINISTER.—The Sec-
retary shall establish a procedure for public 
housing agencies to accept or decline the emer-
gency vouchers allocated to the agency in ac-
cordance with the formula under subparagraph 
(3). 
(B) FAILURE TO USE VOUCHERS PROMPT-
LY.—If a public housing agency fails to lease 
its authorized vouchers under subsection (b) on 
behalf of eligible families within a reasonable 
period of time, the Secretary may revoke and 
redistribute any unleased vouchers and associ-
ated funds, including administrative fees and 
costs referred to in subsection (a)(3), to other 
public housing agencies according to the for-
mula under paragraph (3).
221 
(5) WAIVERS
AND
ALTERNATIVE
REQUIRE-
MENTS.—The Secretary may waive or specify alter-
native requirements for any provision of the United 
States Housing Act of 1937 (42 U.S.C. 1437 et 
seq.) or regulation applicable to such statute other 
than requirements related to fair housing, non-
discrimination, labor standards, and the environ-
ment, upon a finding that the waiver or alternative 
requirement is necessary to expedite or facilitate the 
use of amounts made available in this section. 
(6) TERMINATION OF VOUCHERS UPON TURN-
OVER.—After September 30, 2023, a public housing 
agency may not reissue any vouchers made available 
under this section when assistance for the family as-
sisted ends. 
(c) TECHNICAL ASSISTANCE AND OTHER COSTS.— 
The Secretary may use not more $20,000,000 of the 
amounts made available under this section for the costs 
to the Secretary of administering and overseeing the im-
plementation of this section and the Housing Choice 
Voucher program generally, including information tech-
nology, financial reporting, and other costs. Of the 
amounts set aside under this subsection, the Secretary 
may use not more than $10,000,000, without competition, 
to make new awards or increase prior awards to existing
222 
technical assistance providers to provide an immediate in-
crease in capacity building and technical assistance to 
public housing agencies. 
(d) IMPLEMENTATION.—The Secretary may imple-
ment the provisions of this section by notice. 
SEC. 4103. EMERGENCY ASSISTANCE FOR RURAL HOUSING. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary of Agriculture for fiscal year 
2021, out of any money in the Treasury not otherwise ap-
propriated, $100,000,000, to remain available until Sep-
tember 30, 2022, to provide grants under section 
521(a)(2) of the Housing Act of 1949 or agreements en-
tered into in lieu of debt forgiveness or payments for eligi-
ble households as authorized by section 502(c)(5)(D) of 
the Housing Act of 1949, for temporary adjustment of in-
come losses for residents of housing financed or assisted 
under section 514, 515, or 516 of the Housing Act of 
1949 who have experienced income loss but are not cur-
rently receiving Federal rental assistance. 
SEC. 4104. HOUSING ASSISTANCE AND SUPPORTIVE SERV-
ICES PROGRAMS FOR NATIVE AMERICANS. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Secretary of 
Housing and Urban Development (in this section referred 
to as the ‘‘Secretary’’) for fiscal year 2021, out of any
223 
money in the Treasury not otherwise appropriated, 
$750,000,000, to remain available until September 30, 
2025, to prevent, prepare for, and respond to coronavirus, 
for activities and assistance authorized under title I of the 
Native American Housing Assistance and Self-Determina-
tion Act of 1996 (NAHASDA) (25 U.S.C. 4111 et seq.), 
under title VIII of NAHASDA (25 U.S.C. 4221 et seq.), 
and under section 106(a)(1) of the Housing and Commu-
nity Development Act of 1974 with respect to Indian 
tribes (42 U.S.C. 5301 et seq.), which shall be made avail-
able as follows: 
(1) HOUSING
BLOCK
GRANTS.—$455,000,000 
shall be available for the Native American Housing 
Block Grants and Native Hawaiian Housing Block 
Grant programs, as authorized under titles I and 
VIII of NAHASDA, subject to the following terms 
and conditions: 
(A) FORMULA.—Of the amounts made 
available under this paragraph, $450,000,000 
shall be for grants under title I of NAHASDA 
and shall be distributed according to the same 
funding formula used in fiscal year 2021. 
(B) NATIVE HAWAIIANS.—Of the amounts 
made 
available 
under 
this 
paragraph,
224 
$5,000,000 shall be for grants under title VIII 
of NAHASDA. 
(C) USE.—Amounts made available under 
this paragraph shall be used by recipients to 
prevent, 
prepare 
for, 
and 
respond 
to 
coronavirus, including to maintain normal oper-
ations and fund eligible affordable housing ac-
tivities under NAHASDA during the period 
that the program is impacted by coronavirus. In 
addition, amounts made available under sub-
paragraph (B) shall be used to provide rental 
assistance to eligible Native Hawaiian families 
both on and off the Hawaiian Home Lands. 
(D) TIMING
OF
OBLIGATIONS.—Amounts 
made available under this paragraph shall be 
used, as necessary, to cover or reimburse allow-
able costs to prevent, prepare for, and respond 
to coronavirus that are incurred by a recipient, 
including for costs incurred as of January 21, 
2020. 
(E) WAIVERS OR ALTERNATIVE REQUIRE-
MENTS.—The Secretary may waive or specify 
alternative requirements for any provision of 
NAHASDA (25 U.S.C. 4101 et seq.) or regula-
tion applicable to the Native American Housing
225 
Block Grant or Native Hawaiian Housing Block 
Grant program other than requirements related 
to fair housing, nondiscrimination, labor stand-
ards, and the environment, upon a finding that 
the waiver or alternative requirement is nec-
essary to expedite or facilitate the use of 
amounts made available under this paragraph. 
(F) UNOBLIGATED
AMOUNTS.—Amounts 
made available under this paragraph which are 
not accepted, are voluntarily returned, or other-
wise recaptured for any reason shall be used to 
fund grants under paragraph (2). 
(2) INDIAN COMMUNITY DEVELOPMENT BLOCK 
GRANTS.—$280,000,000 shall be available for grants 
under title I of the Housing and Community Devel-
opment Act of 1974, subject to the following terms 
and conditions: 
(A) USE.—Amounts made available under 
this paragraph shall be used, without competi-
tion, for emergencies that constitute imminent 
threats to health and safety and are designed to 
prevent, 
prepare 
for, 
and 
respond 
to 
coronavirus. 
(B) PLANNING.—Not to exceed 20 percent 
of any grant made with funds made available
226 
under this paragraph shall be expended for 
planning and management development and ad-
ministration. 
(C) TIMING
OF
OBLIGATIONS.—Amounts 
made available under this paragraph shall be 
used, as necessary, to cover or reimburse allow-
able costs to prevent, prepare for, and respond 
to coronavirus incurred by a recipient, including 
for costs incurred as of January 21, 2020. 
(D) INAPPLICABILITY OF PUBLIC SERVICES 
CAP.—Indian tribes may use up to 100 percent 
of any grant from amounts made available 
under this paragraph for public services activi-
ties to prevent, prepare for, and respond to 
coronavirus. 
(E) WAIVERS OR ALTERNATIVE REQUIRE-
MENTS.—The Secretary may waive or specify 
alternative requirements for any provision of 
title I of the Housing and Community Develop-
ment Act of 1974 (42 U.S.C. 5301 et seq.) or 
regulation applicable to the Indian Community 
Development Block Grant program other than 
requirements related to fair housing, non-
discrimination, labor standards, and the envi-
ronment, upon a finding that the waiver or al-
227 
ternative requirement is necessary to expedite 
or facilitate the use of amounts made available 
under this paragraph. 
(3) 
TECHNICAL
ASSISTANCE.—$10,000,000 
shall be used, without competition, to make new 
awards or increase prior awards to existing technical 
assistance providers to provide an immediate in-
crease in training and technical assistance to Indian 
tribes, Indian housing authorities, tribally des-
ignated housing entities, and recipients under title 
VIII of NAHASDA for activities under this section. 
(4) OTHER COSTS.—$5,000,000 shall be used 
for the administrative costs to oversee and admin-
ister the implementation of this section, and pay for 
associated information technology, financial report-
ing, and other costs. 
SEC. 4105. HOUSING COUNSELING. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Neighborhood 
Reinvestment Corporation (in this section referred to as 
the ‘‘Corporation’’) for fiscal year 2021, out of any money 
in 
the 
Treasury 
not 
otherwise 
appropriated, 
$100,000,000, to remain available until September 30, 
2025, for grants to housing counseling intermediaries ap-
proved by the Department of Housing and Urban Devel-
228 
opment, 
State 
housing 
finance 
agencies, 
and 
NeighborWorks organizations for providing housing coun-
seling services, as authorized under the Neighborhood Re-
investment Corporation Act (42 U.S.C. 8101-8107) and 
consistent with the discretion set forth in section 
606(a)(5) of such Act (42 U.S.C. 8105(a)(5)) to design 
and administer grant programs. Of the grant funds made 
available under this subsection, not less than 40 percent 
shall be provided to counseling organizations that— 
(1) target housing counseling services to minor-
ity and low-income populations facing housing insta-
bility; or 
(2) provide housing counseling services in 
neighborhoods having high concentrations of minor-
ity and low-income populations. 
(b) LIMITATION.—The aggregate amount provided to 
NeighborWorks organizations under this section shall not 
exceed 15 percent of the total of grant funds made avail-
able by subsection (a). 
(c) ADMINISTRATION
AND OVERSIGHT.—The Cor-
poration may retain a portion of the amounts provided 
under this section, in a proportion consistent with its 
standard rate for program administration in order to cover 
its expenses related to program administration and over-
sight.
229 
(d) HOUSING COUNSELING SERVICES DEFINED.— 
For the purposes of this section, the term ‘‘housing coun-
seling services’’ means— 
(1) housing counseling provided directly to 
households facing housing instability, such as evic-
tion, default, foreclosure, loss of income, or home-
lessness; 
(2) education, outreach, training, technology 
upgrades, and other program related support; and 
(3) operational oversight funding for grantees 
and subgrantees that receive funds under this sec-
tion. 
SEC. 4106. HOMELESSNESS ASSISTANCE AND SUPPORTIVE 
SERVICES PROGRAM. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Secretary of 
Housing and Urban Development (in this section referred 
to as the ‘‘Secretary’’) for fiscal year 2021, out of any 
money in the Treasury not otherwise appropriated, 
$5,000,000,000, to remain available until September 30, 
2025, except that amounts authorized under subsection 
(d)(3) shall remain available until September 30, 2029, 
for assistance under title II of the Cranston-Gonzalez Na-
tional Affordable Housing Act (42 U.S.C. 12721 et seq.)
230 
for the following activities to primarily benefit qualifying 
individuals or families: 
(1) Tenant-based rental assistance. 
(2) The development and support of affordable 
housing pursuant to section 212(a) of the Cranston- 
Gonzalez National Affordable Housing Act (42 
U.S.C. 12742(a)) (‘‘the Act’’ herein). 
(3) Supportive services to qualifying individuals 
or families not already receiving such supportive 
services, including— 
(A) activities listed in section 401(29) of 
the McKinney-Vento Homeless Assistance Act 
(42 U.S.C. 11360(29)); 
(B) housing counseling; and 
(C) homeless prevention services. 
(4) The acquisition and development of non- 
congregate shelter units, all or a portion of which 
may— 
(A) be converted to permanent affordable 
housing; 
(B) be used as emergency shelter under 
subtitle B of title IV of the McKinney-Vento 
Homeless Assistance Act (42 U.S.C. 11371- 
11378);
231 
(C) be converted to permanent housing 
under subtitle C of title IV of the McKinney- 
Vento Homeless Assistance Act (42 U.S.C. 
11381-11389); or 
(D) remain as non-congregate shelter 
units. 
(b) QUALIFYING INDIVIDUALS
OR FAMILIES DE-
FINED.—For the purposes of this section, qualifying indi-
viduals or families are those who are— 
(1) homeless, as defined in section 103(a) of 
the McKinney-Vento Homeless Assistance Act (42 
U.S.C. 11302(a)); 
(2) at-risk of homelessness, as defined in sec-
tion 401(1) of the McKinney-Vento Homeless Assist-
ance Act (42 U.S.C. 11360(1)); 
(3) fleeing, or attempting to flee, domestic vio-
lence, dating violence, sexual assault, stalking, or 
human trafficking, as defined by the Secretary; 
(4) in other populations where providing sup-
portive services or assistance under section 212(a) of 
the Act (42 U.S.C. 12742(a)) would prevent the 
family’s homelessness or would serve those with the 
greatest risk of housing instability; or
232 
(5) veterans and families that include a veteran 
family member that meet one of the preceding cri-
teria. 
(c) TERMS AND CONDITIONS.— 
(1) FUNDING RESTRICTIONS.—The cost limits 
in section 212(e) (42 U.S.C. 12742(e)), the commit-
ment requirements in section 218(g) (42 U.S.C. 
12748(g)), the matching requirements in section 220 
(42 U.S.C. 12750), and the set-aside for housing de-
veloped, sponsored, or owned by community housing 
development organizations required in section 231 of 
the Act (42 U.S.C. 12771) shall not apply for 
amounts made available in this section. 
(2) ADMINISTRATIVE COSTS.— Notwithstanding 
sections 212(c) and (d)(1) of the Act (42 U.S.C. 
12742(c) and (d)(1)), of the funds made available in 
this section for carrying out activities authorized in 
this section, a grantee may use up to fifteen percent 
of its allocation for administrative and planning 
costs. 
(3) OPERATING
EXPENSES.—Notwithstanding 
sections 212(a) and (g) of the Act (42 U.S.C. 
12742(a) and (g)), a grantee may use up to an addi-
tional five percent of its allocation for the payment 
of operating expenses of community housing develop-
270 
eligible contractors to submit requests for fi-
nancial assistance under this section. 
(C) DEADLINE FOR IMMEDIATE PAYROLL 
ASSISTANCE.—Not later than 10 days after the 
date of enactment of this section, the Secretary 
shall make initial payments to air carriers and 
contractors that submit requests for financial 
assistance approved by the Secretary. 
(4) TAXPAYER
PROTECTION.—The Secretary 
shall receive financial instruments issued by recipi-
ents of financial assistance under this section in the 
same form and amount, and under the same terms 
and conditions, as determined by the Secretary 
under section 408 of subtitle A of title IV of division 
N of the Consolidated Appropriations Act, 2021 
(Pub. L. No. 116-260). 
(5) 
ADMINISTRATIVE
EXPENSES.—Of 
the 
amounts made available under paragraph (1)(A), 
$10,000,000 shall be made available to the Sec-
retary for costs and administrative expenses associ-
ated with providing financial assistance under this 
section. 
(c) FUNDING.—In addition to amounts otherwise 
available, there is appropriated for fiscal year 2021, out 
of any money in the Treasury not otherwise appropriated,