428 
‘‘$31,200,000 for each of fiscal years 2020 and 2021 and 
$11,200,000 for each of fiscal years 2022 and 2023’’. 
SEC. 70507. FLEXIBILITY FOR MEMBERS OF NATIONAL 
HEALTH SERVICE CORPS DURING EMER-
GENCY PERIOD. 
Subsection (a) of section 333 of the Public Health 
Service Act (42 U.S.C. 254f) is amended by adding at the 
end the following new paragraph: 
‘‘(4) During an emergency period (as defined in 
section 1135(g)(1) of the Social Security Act, the 
Secretary may, notwithstanding this subpart and 
subpart III, assign members of the Corps to provide 
such health services at such places and for such 
number of hours as the Secretary determines nec-
essary to respond to the emergency, provided that— 
‘‘(A) the members voluntarily agree to 
such assignment and hours; 
‘‘(B) the places to which such members are 
assigned are within a reasonable distance of the 
places to which the respective members were as-
signed or were to be assigned absent a waiver 
under this paragraph; and 
‘‘(C) the minimum number of hours re-
quired are the same as were required prior to 
the date of enactment of this paragraph.’’. 
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SEC. 70508. READY RESERVE CORPS. 
(a) COMMISSIONED CORPS
AND READY RESERVE 
CORPS.—Section 203 of the Public Health Service Act (42 
U.S.C. 204) is amended— 
(1) in subsection (a)(1), by striking ‘‘ a Ready 
Reserve Corps for service in time of national emer-
gency’’ and inserting ‘‘, for service in time of a pub-
lic health or national emergency, a Ready Reserve 
Corps’’; and 
(2) in subsection (c)— 
(A) in the heading, by striking ‘‘RE-
SEARCH’’ and inserting ‘‘RESERVE CORPS’’; 
(B) in paragraph (1), by inserting ‘‘during 
public health or national emergencies’’ before 
the period; 
(C) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A), by inserting ‘‘, consistent with 
paragraph (1)’’ after ‘‘shall’’; 
(ii) in subparagraph (C), by inserting 
‘‘during such emergencies’’ after ‘‘mem-
bers’’; and 
(iii) in subparagraph (D), by inserting 
‘‘, consistent with subparagraph (C)’’ be-
fore the period; and 
(D) by adding at the end the following: 
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‘‘(3) STATUTORY REFERENCES TO RESERVE.— 
A reference in any Federal statute, except in the 
case of subsection (b), to the ‘Reserve Corps’ of the 
Public Health Service or to the ‘reserve’ of the Pub-
lic Health Service shall be deemed to be a reference 
to the Ready Reserve Corps.’’. 
(b) 
DEPLOYMENT
READINESS.—Section 
203A(a)(1)(B) of the Public Health Service Act (42 
U.S.C. 204a(a)(1)(B)) is amended by striking ‘‘Active Re-
serves’’ and inserting ‘‘Ready Reserve Corps’’. 
(c) RETIREMENT OF COMMISSIONED OFFICERS.— 
Section 211 of the Public Health Service Act (42 U.S.C. 
212) is amended— 
(1) by striking ‘‘(in the case of an officer in the 
Reserve Corps)’’ each place it appears; 
(2) by striking ‘‘the Service’’ each place it ap-
pears and inserting ‘‘the Regular Corps’’; 
(3) in subsection (c)— 
(A) in paragraph (1)— 
(i) by striking ‘‘or an officer of the 
Reserve Corps’’; and 
(ii) by inserting ‘‘or under section 
221(a)(19)’’ after ‘‘subsection (a)’’; and 
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431 
(B) in paragraph (2), by striking ‘‘Regular 
or Reserve Corps’’ and inserting ‘‘Regular 
Corps or Ready Reserve Corps’’; and 
(4) in subsection (f), by striking ‘‘the Regular 
or Reserve Corps of’’. 
(d) RIGHTS, PRIVILEGES, ETC. OF OFFICERS AND 
SURVIVING BENEFICIARIES.—Section 221 of the Public 
Health Service Act (42 U.S.C. 213a) is amended— 
(1) in subsection (a), by adding at the end the 
following: 
‘‘(19) Chapter 1223, Retired Pay for Non-Reg-
ular Service. 
‘‘(20) Section 12601, Compensation: Reserve on 
active duty accepting from any person. 
‘‘(21) Section 12684, Reserves: separation for 
absence without authority or sentence to imprison-
ment.’’; and 
(2) in subsection (b)— 
(A) by striking ‘‘Secretary of Health, Edu-
cation, and Welfare or his designee’’ and insert-
ing ‘‘Secretary of Health and Human Services 
or the designee of such secretary’’; 
(B) by striking ‘‘(b) The authority vested’’ 
and inserting the following: 
‘‘(b)(1) The authority vested’’; 
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(C) by striking ‘‘For purposes of’’ and in-
serting the following: 
‘‘(2) For purposes of’’; and 
(D) by adding at the end the following: 
‘‘(3) For purposes of paragraph (19) of subsection 
(a), the terms ‘Military department’, ‘Secretary con-
cerned’, and ‘Armed forces’ in such title 10 shall be 
deemed to include, respectively, the Department of Health 
and Human Services, the Secretary of Health and Human 
Services, and the Commissioned Corps.’’. 
SEC. 70509. LIMITATION ON LIABILITY FOR VOLUNTEER 
HEALTH 
CARE 
PROFESSIONALS 
DURING 
COVID-19 EMERGENCY RESPONSE. 
(a) LIMITATION ON LIABILITY.—Except as provided 
in subsection (b), a health care professional shall not be 
liable under Federal or State law for any harm caused 
by an act or omission of the professional in the provision 
of health care services during the public health emergency 
with respect to COVID–19 declared by the Secretary of 
Health and Human Services (referred to in this section 
as the ‘‘Secretary’’) pursuant to section 319 of the Public 
Health Service Act (42 U.S.C. 247d) on January 31, 
2020, if— 
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(1) the professional is providing health care 
services in response to such public health emergency, 
as a volunteer; and 
(2) the act or omission occurs— 
(A) in the course of providing health care 
services; 
(B) in the health care professional’s capac-
ity as a volunteer; 
(C) in the course of providing health care 
services that are within the scope of the license, 
registration, or certification of the volunteer, as 
defined by the State of licensure, registration, 
or certification; and 
(D) in a good faith belief that the indi-
vidual being treated is in need of health care 
services. 
(b) EXCEPTIONS.—Subsection (a) does not apply if— 
(1) the harm was caused by an act or omission 
constituting willful or criminal misconduct, gross 
negligence, reckless misconduct, or a conscious fla-
grant indifference to the rights or safety of the indi-
vidual harmed by the health care professional; or 
(2) the health care professional rendered the 
health care services under the influence (as deter-
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mined pursuant to applicable State law) of alcohol 
or an intoxicating drug. 
(c) PREEMPTION.— 
(1) IN GENERAL.—This section preempts the 
laws of a State or any political subdivision of a State 
to the extent that such laws are inconsistent with 
this section, unless such laws provide greater protec-
tion from liability. 
(2) VOLUNTEER
PROTECTION
ACT.—Protec-
tions afforded by this section are in addition to those 
provided by the Volunteer Protection Act of 1997 
(Public Law 105–19). 
(d) DEFINITIONS.—In this section— 
(1) the term ‘‘harm’’ includes physical, non-
physical, economic, and noneconomic losses; 
(2) the term ‘‘health care professional’’ means 
an individual who is licensed, registered, or certified 
under Federal or State law to provide health care 
services; 
(3) the term ‘‘health care services’’ means any 
services provided by a health care professional, or by 
any individual working under the supervision of a 
health care professional that relate to— 
(A) the diagnosis, prevention, or treatment 
of COVID-19; or 
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(B) the assessment or care of the health of 
a human being for COVID-19; and 
(4) the term ‘‘volunteer’’ means a health care 
professional who, with respect to the health care 
services rendered, does not receive compensation or 
any other thing of value in lieu of compensation, 
which compensation— 
(A) includes a payment under any insur-
ance policy or health plan, or under any Fed-
eral or State health benefits program; and 
(B) excludes receipt of items to be used ex-
clusively for rendering health care services in 
the health care professional’s capacity as a vol-
unteer described in subsection (a)(1) and ex-
cludes any reimbursement for travel to the site 
where the volunteer services are being rendered 
and any payments in cash or kind to cover 
room and board, if services are being rendered 
more than 75 miles from the volunteer’s prin-
cipal place of residence. 
(e) APPLICABILITY.—This section applies only with 
respect to a claim for a harm caused by an act or omission 
occurring— 
(1) on or after the date of enactment of this 
Act; and 
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(2) during the period of the public health emer-
gency declared by the Secretary of Health and 
Human Services pursuant to section 319 of the Pub-
lic Health Service Act (42 U.S.C. 247d) on January 
31, 2020 with respect to COVID-19. 
Subtitle B—Tribal Health 
SEC. 70521. IMPROVING STATE, LOCAL, AND TRIBAL PUB-
LIC HEALTH SECURITY. 
Section 319C–1 of the Public Health Service Act (42 
U.S.C. 247d–3a) is amended— 
(1) in the section heading, by striking ‘‘AND 
LOCAL’’ and inserting ‘‘, LOCAL, AND TRIBAL’’; 
(2) in subsection (b)— 
(A) in paragraph (1)— 
(i) in subparagraph (B), by striking 
‘‘or’’ at the end; 
(ii) in subparagraph (C), by striking 
‘‘and’’ at the end and inserting ‘‘or’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(D) be an Indian tribe, tribal organiza-
tion, or a consortium of Indian tribes or tribal 
organizations; and’’; and 
(B) in paragraph (2)— 
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(i) in the matter preceding subpara-
graph (A), by inserting ‘‘, as applicable’’ 
after ‘‘including’’; 
(ii) in subparagraph (A)(viii)— 
(I) by inserting ‘‘and tribal’’ 
after ‘‘with State’’; 
(II) by striking ‘‘(as defined in 
section 8101 of the Elementary and 
Secondary Education Act of 1965)’’ 
and inserting ‘‘and tribal educational 
agencies (as defined in sections 8101 
and 6132, respectively, of the Elemen-
tary and Secondary Education Act of 
1965)’’; and 
(III) by inserting ‘‘and tribal’’ 
after ‘‘and State’’; 
(iii) in subparagraph (G), by striking 
‘‘and tribal’’ and inserting ‘‘tribal, and 
urban Indian organization’’; and 
(iv) in subparagraph (H), by inserting 
‘‘, Indian tribes, and urban Indian organi-
zations’’ after ‘‘public health’’; 
(3) in subsection (e), by inserting ‘‘Indian 
tribes, tribal organizations, urban Indian organiza-
tions,’’ after ‘‘local emergency plans,’’; 
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(4) in subsection (h)— 
(A) in paragraph (1)(A)— 
(i) by striking ‘‘through 2023’’ and 
inserting ‘‘and 2020’’; and 
(ii) by inserting before the period ‘‘; 
and $690,000,000 for each of fiscal years 
2021 through 2023 for awards pursuant to 
paragraph (3) (subject to the authority of 
the Secretary to make awards pursuant to 
paragraphs (4) and (5)) and paragraph 
(8), of which not less than $5,000,000 
shall be reserved each fiscal year for 
awards under paragraph (8)’’; 
(B) in the heading of paragraph (3), by in-
serting ‘‘FOR STATES’’ after ‘‘AMOUNT’’; and 
(C) by adding at the end the following: 
‘‘(8) TRIBAL ELIGIBLE ENTITIES.— 
‘‘(A) 
DETERMINATION
OF
FUNDING 
AMOUNT.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall award at least 10 cooperative agree-
ments under this section, in amounts not 
less than the minimum amount determined 
under clause (ii), to eligible entities de-
scribed in subsection (b)(1)(D) that sub-
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439 
mits to the Secretary an application that 
meets the criteria of the Secretary for the 
receipt of such an award and that meets 
other reasonable implementation conditions 
established by the Secretary, in consulta-
tion with Indian tribes, for such awards. If 
the Secretary receives more than 10 appli-
cations under this section from eligible en-
tities described in subsection (b)(1)(D) 
that meet the criteria and conditions de-
scribed in the previous sentence, the Sec-
retary, in consultation with Indian tribes, 
may make additional awards under this 
section to such entities. 
‘‘(ii) MINIMUM
AMOUNT.—In deter-
mining the minimum amount of an award 
pursuant to clause (i), the Secretary, in 
consultation with Indian tribes, shall first 
determine an amount the Secretary con-
siders appropriate for the eligible entity. 
‘‘(B) AVAILABLE
UNTIL
EXPENDED.— 
Amounts provided to a tribal eligible entity 
under a cooperative agreement under this sec-
tion for a fiscal year and remaining unobligated 
at the end of such year shall remain available 
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440 
to such entity during the entirety of the per-
formance period, for the purposes for which 
said funds were provided. 
‘‘(C) NO MATCHING REQUIREMENT.—Sub-
paragraphs (B), (C), and (D) of paragraph (1) 
shall not apply with respect to cooperative 
agreements awarded under this section to eligi-
ble entities described in subsection (b)(1)(D).’’; 
and 
(5) by adding at the end the following: 
‘‘(l) SPECIAL RULES RELATED TO TRIBAL ELIGIBLE 
ENTITIES.— 
‘‘(1) MODIFICATIONS.—After consultation with 
Indian tribes, the Secretary may make necessary 
and appropriate modifications to the program under 
this section to facilitate the use of the cooperative 
agreement program by eligible entities described in 
subsection (b)(1)(D). 
‘‘(2) WAIVERS.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), the Secretary may waive or 
specify alternative requirements for any provi-
sion of this section (including regulations) that 
the Secretary administers in connection with 
this section if the Secretary finds that the waiv-
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441 
er or alternative requirement is necessary for 
the effective delivery and administration of this 
program with respect to eligible entities de-
scribed in subsection (b)(1)(D). 
‘‘(B) EXCEPTION.—The Secretary may not 
waive or specify alternative requirements under 
subparagraph (A) relating to labor standards or 
the environment. 
‘‘(3) CONSULTATION.—The Secretary shall con-
sult with Indian tribes and tribal organizations on 
the design of this program with respect to such 
tribes and organizations to ensure the effectiveness 
of the program in enhancing the security of Indian 
tribes with respect to public health emergencies. 
‘‘(4) REPORTING.— 
‘‘(A) IN GENERAL.—Not later than 2 years 
after the date of enactment of this subsection, 
and as an addendum to the biennial evaluations 
required under subsection (k), the Secretary, in 
coordination with the Director of the Indian 
Health Service, shall— 
‘‘(i) conduct a review of the implemen-
tation of this section with respect to eligi-
ble 
entities 
described 
in 
subsection 
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442 
(b)(1)(D), including any factors that may 
have limited its success; and 
‘‘(ii) submit a report describing the 
results of the review described in clause (i) 
to— 
‘‘(I) the Committee on Indian Af-
fairs, the Committee on Health, Edu-
cation, Labor, and Pensions, and the 
Committee on Appropriations of the 
Senate; and 
‘‘(II) the Subcommittee on Indig-
enous People of the Committee on 
Natural Resources, the Committee on 
Energy and Commerce, and the Com-
mittee on Appropriations of the House 
of Representatives. 
‘‘(B) 
ANALYSIS
OF
TRIBAL
PUBLIC 
HEALTH
EMERGENCY
INFRASTRUCTURE
LIMI-
TATION.—The Secretary shall include in the 
initial report submitted under subparagraph (A) 
a description of any public health emergency in-
frastructure limitation encountered by eligible 
entities described in subsection (b)(1)(D).’’. 
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443 
SEC. 70522. PROVISION OF ITEMS TO INDIAN PROGRAMS 
AND FACILITIES. 
(a) STRATEGIC
NATIONAL
STOCKPILE.—Section 
319F–2(a)(3)(G) of the Public Health Service Act (42 
U.S.C. 247d–6b(a)(3)(G)) is amended by inserting ‘‘, and, 
in the case that the Secretary deploys the stockpile under 
this subparagraph, ensure, in coordination with the appli-
cable States and programs and facilities, that appropriate 
drugs, vaccines and other biological products, medical de-
vices, and other supplies are deployed by the Secretary di-
rectly to health programs or facilities operated by the In-
dian Health Service, an Indian tribe, a tribal organization 
(as those terms are defined in section 4 of the Indian Self- 
Determination and Education Assistance Act (25 U.S.C. 
5304)), or an inter-tribal consortium (as defined in section 
501 of the Indian Self-Determination and Education As-
sistance Act (25 U.S.C. 5381)) or through an urban In-
dian organization (as defined in section 4 of the Indian 
Health Care Improvement Act), while avoiding duplicative 
distributions to such programs or facilities’’ before the 
semicolon. 
(b) DISTRIBUTION OF QUALIFIED PANDEMIC OR EPI-
DEMIC PRODUCTS TO IHS FACILITIES.—Title III of the 
Public Health Service Act (42 U.S.C. 241 et seq.) is 
amended by inserting after section 319F–4 the following: 
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444 
‘‘SEC. 319F–5. DISTRIBUTION OF QUALIFIED PANDEMIC OR 
EPIDEMIC PRODUCTS TO INDIAN PROGRAMS 
AND FACILITIES. 
‘‘In the case that the Secretary distributes qualified 
pandemic or epidemic products (as defined in section 
319F–3(i)(7)) to States or other entities, the Secretary 
shall ensure, in coordination with the applicable States 
and programs and facilities, that, as appropriate, such 
products are distributed directly to health programs or fa-
cilities operated by the Indian Health Service, an Indian 
tribe, a tribal organization (as those terms are defined in 
section 4 of the Indian Self-Determination and Education 
Assistance Act (25 U.S.C. 5304)), or an inter-tribal con-
sortium (as defined in section 501 of the Indian Self-De-
termination and Education Assistance Act (25 U.S.C. 
5381)) or through an urban Indian organization (as de-
fined in section 4 of the Indian Health Care Improvement 
Act), while avoiding duplicative distributions to such pro-
grams or facilities.’’. 
Subtitle C—Medical Product 
Supply Chain Improvements 
SEC. 70531. SHORTAGES OF ESSENTIAL DEVICES. 
Chapter V of the Federal Food, Drug, and Cosmetic 
Act (21 U.S.C. 351 et seq.) is amended by inserting after 
section 520 the following: 
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‘‘(2) REQUIRED
INCLUSIONS.—A notification 
under paragraph (1) shall include each of the fol-
lowing: 
‘‘(A) The name of the device, including the 
Device Identifier or National Product Code for 
the device, if applicable. 
‘‘(B) The name of the manufacturer of the 
device. 
‘‘(C) The reason for the notification, in-
cluding whether any of the following reasons 
apply: 
‘‘(i) Requirements related to com-
plying with quality system regulations. 
‘‘(ii) Shortage of a material used in 
the manufacture of the device. 
‘‘(iii) Shortage of a component, part, 
or accessory of the device. 
‘‘(iv) Delay in shipping of the device. 
‘‘(v) Increased demand for the device. 
‘‘(vi) Natural disaster. 
‘‘(vii) Cyber security. 
‘‘(viii) Facility closure. 
‘‘(ix) Other reasons as the Secretary 
deems appropriate. 
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447 
‘‘(D) The estimated duration of the dis-
continuance, interruption, or other situation or 
circumstance. 
‘‘(E) Any other information the manufac-
turer deems relevant. 
‘‘(3) TIMING.—The notification required under 
paragraph (1) shall be submitted, in a manner pre-
scribed by the Secretary— 
‘‘(A) no later than 6 months prior to the 
date of the discontinuance, interruption, or 
other situation or circumstance; or 
‘‘(B) if compliance with subparagraph (A) 
is not possible, as soon as is practicable, and in 
no case later than 5 business days after the 
manufacturer becomes aware of an event, situa-
tion, or circumstance requiring notification 
under paragraph (1). 
‘‘(b) DISTRIBUTION.— 
‘‘(1) PUBLIC
AVAILABILITY.—To the extent 
practicable, the Secretary shall distribute, through 
such means as the Secretary deems appropriate, in-
formation on any discontinuance, interruption, or 
other situation or circumstance described in sub-
section (a) to appropriate organizations, including to 
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448 
hospitals, physicians and other health care providers, 
patients, and supply chain partners. 
‘‘(2) PUBLIC HEALTH EXCEPTION.—The Sec-
retary may choose not to make information collected 
under this section publicly available pursuant to this 
section if the Secretary determines that the disclo-
sure of such information would adversely affect pub-
lic health, such as by increasing the possibility of an 
unnecessary over-purchase or other disruption of the 
availability of medical products to patients. 
‘‘(c) CONFIDENTIALITY.—Nothing in this section 
shall be construed as authorizing the Secretary to disclose 
any information that is a trade secret or confidential infor-
mation subject to section 552(b)(4) of title 5, United 
States Code, or section 1905 of title 18, United States 
Code. 
‘‘(d) FAILURE TO MEET REQUIREMENTS.—If a per-
son fails to submit information as required under sub-
section (a)— 
‘‘(1) the Secretary shall issue a letter to such 
person setting forth the basis for noncompliance and 
informing such person of a failure to comply; 
‘‘(2) within 30 calendar days from the issuance 
of a letter under paragraph (1), the person who re-
ceives such letter shall submit to the Secretary a 
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449 
written response to such letter setting forth the 
basis for noncompliance and providing information 
required under subsection (a); and 
‘‘(3) not later than 45 calendar days after the 
issuance of a letter under paragraph (1), the Sec-
retary shall make such letter and any response to 
such letter under paragraph (2) available to the pub-
lic on the public website of the Food and Drug Ad-
ministration, with appropriate redactions made to 
protect information described in subsection (c), ex-
cept that, if the Secretary determines that the letter 
under paragraph (1) was issued in error or, after re-
view of such response, the person had a reasonable 
basis for not notifying as required under subsection 
(a), the requirements of this paragraph shall not 
apply. 
‘‘(e) EXPEDITED INSPECTIONS AND REVIEWS.—If, 
based on notifications described in subsection (a) or any 
other relevant information, the Secretary concludes that 
there is, or is likely to be, a shortage of a device described 
in subsection (a), the Secretary may— 
‘‘(1) expedite the review of premarket submis-
sions under sections 510(k), 513(f)(2), 515, and 
520(m), that could help mitigate or prevent such 
shortage; or 
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‘‘(2) expedite an inspection or reinspection of 
an establishment that could help mitigate or prevent 
such shortage. 
‘‘(f) EFFECT OF NOTIFICATION.—The submission of 
a notification under subsection (a) shall not be con-
strued— 
‘‘(1) as an admission that any product that is 
the subject of such notification violates any provision 
of this Act; or 
‘‘(2) as evidence of the entity’s intent to market 
the product for an indication or use for which the 
product has not been approved or cleared by the 
Secretary. 
‘‘(g) IDENTIFICATION OF ESSENTIAL DEVICES.— 
‘‘(1) IN GENERAL.—In the event of, or in ad-
vance of, a declaration of a public health emergency 
pursuant to section 319 of the Public Health Service 
Act, the Secretary shall designate and make publicly 
available, including on the public website of the 
Food and Drug Administration, a list of devices that 
are critical to preventing, screening, diagnosing, 
treating, or mitigating the spread of a disease or 
condition during such emergency. 
‘‘(2) CONSIDERATION.—In developing such list, 
the Secretary shall take into consideration— 
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‘‘(A) the medical necessity of devices; 
‘‘(B) the urgency to prevent serious injury 
or death; and 
‘‘(C) the availability of other devices. 
‘‘(3) UPDATES.—During the course of such 
public health emergency, the Secretary shall update 
the list of essential devices as necessary, including 
adding and removing devices. 
‘‘(h) DEFINITIONS.—For purposes of this section: 
‘‘(1) ESSENTIAL DEVICE.—The term ‘essential 
device’ means a device designated in a list in effect 
under subsection (g). 
‘‘(2) MANUFACTURER.—The term ‘manufac-
turer’ means the entity that holds the medical device 
marketing submission, or if a medical device mar-
keting submission is not required, the entity respon-
sible for listing the medical device under section 510. 
‘‘(3) MEANINGFUL
DISRUPTION.—The term 
‘meaningful disruption’— 
‘‘(A) means a change in production that is 
reasonably likely to lead to a reduction in the 
supply of an essential device that is more than 
negligible and affects the ability to fill orders or 
meet expected demand for the device of the 
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manufacturer or contract terminal sterilizer in-
volved; and 
‘‘(B) does not include, so long as the man-
ufacturer expects to resume operations in a 
short period of time, not to exceed 6 months, 
interruptions in— 
‘‘(i) manufacturing due to matters 
such as routine maintenance or insignifi-
cant changes; or 
‘‘(ii) manufacturing of components or 
raw materials. 
‘‘(4) SHORTAGE.—The term ‘shortage’, with re-
spect to a device, means a period of time when the 
demand or projected demand for the device within 
the United States exceeds the supply of the device 
or a comparable device of that manufacturer or an-
other manufacturer, including as a result of dis-
continuance of a device or an interruption in the 
manufacturing or importation of a device or a com-
ponent of a device or the device constituent of a 
combination product.’’. 
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(2) by striking ‘‘$81,445,205 for the period be-
ginning on October 1, 2019, and ending on May 22, 
2020’’ and inserting ‘‘$21,141,096 for the period be-
ginning on October 1, 2020, and ending on Novem-
ber 30, 2020’’. 
SEC. 70542. DIABETES PROGRAMS. 
(a) TYPE I.—Section 330B(b)(2)(D) of the Public 
Health Service Act (42 U.S.C. 254c–2(b)(2)(D)) is 
amended by striking ‘‘and 2019, and $96,575,342 for the 
period beginning on October 1, 2019, and ending on May 
22, 2020’’ and inserting ‘‘through 2020, and $25,068,494 
for the period beginning on October 1, 2020, and ending 
on November 30, 2020’’. 
(b) INDIANS.—Section 330C(c)(2)(D) of the Public 
Health Service Act (42 U.S.C. 254c–3(c)(2)(D)) is 
amended by striking ‘‘and 2019, and $96,575,342 for the 
period beginning on October 1, 2019, and ending on May 
22, 2020’’ and inserting ‘‘through 2020, and $25,068,494 
for the period beginning on October 1, 2020, and ending 
on November 30, 2020’’. 
Subtitle E—Other Extenders 
SEC. 70551. EXTENSION OF SEXUAL RISK AVOIDANCE EDU-
CATION PROGRAM. 
Section 510 of the Social Security Act (42 U.S.C. 
710) is amended— 
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