Title: To provide funding relating to COVID-19 for high Medicaid providers, and for other purposes.
Policy area: Health

Summary:
This bill provides additional FY2021 funding for health care providers with high caseloads of Medicaid patients for COVID-19 expenses and lost revenue, including for capital expenses, medical equipment, staffing, and other operational costs. Providers must submit documentation justifying the need for funds, including qualifying expenses and lost revenue. Funds may not be used for expenses or losses that have already been reimbursed or that another source is obligated to reimburse.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3219 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 3219

 To provide funding relating to COVID-19 for high Medicaid providers, 
                        and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 13, 2021

 Mr. Rush (for himself and Mr. Danny K. Davis of Illinois) introduced 
      the following bill; which was referred to the Committee on 
                             Appropriations

_______________________________________________________________________

                                 A BILL


 
 To provide funding relating to COVID-19 for high Medicaid providers, 
                        and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. FUNDING FOR HIGH MEDICAID PROVIDERS RELATING TO COVID-19.

    (a) Funding.--In addition to amounts otherwise available, there is 
appropriated to the Secretary, for fiscal year 2021, out of any monies 
in the Treasury not otherwise appropriated, $10,000,000,000 for 
purposes of making payments to eligible high Medicaid health care 
providers for health care related expenses and lost revenues that are 
attributable to COVID-19. Amounts appropriated under the preceding 
sentence shall remain available until expended.
    (b) Application Requirement.--To be eligible for a payment under 
this section, an eligible high Medicaid health care provider shall 
submit to the Secretary an application in such form and manner as the 
Secretary shall prescribe. Such application shall contain the 
following:
            (1) A statement justifying the need of the provider for the 
        payment, including documentation of the health care related 
        expenses attributable to COVID-19 and lost revenues 
        attributable to COVID-19.
            (2) The tax identification number of the provider.
            (3) Such assurances as the Secretary determines appropriate 
        that the eligible high Medicaid health care provider will 
        maintain and make available such documentation and submit such 
        reports (at such time, in such form, and containing such 
        information as the Secretary shall prescribe) as the Secretary 
        determines is necessary to ensure compliance with any 
        conditions imposed by the Secretary under this section.
            (4) Any other information determined appropriate by the 
        Secretary.
    (c) Limitation.--Payments made to an eligible high Medicaid health 
care provider under this section may not be used to reimburse any 
expense or loss that--
            (1) has been reimbursed from another source; or
            (2) another source is obligated to reimburse.
    (d) Application of Requirements, Rules, and Procedures.--The 
Secretary shall apply any requirements, rules, or procedures as the 
Secretary deems appropriate for the efficient execution of this 
section.
    (e) Definitions.--In this section:
            (1) Eligible high medicaid health care provider.--The term 
        ``eligible high Medicaid health care provider'' means a 
        provider of supplier that--
                    (A) is enrolled with a State Medicaid plan under 
                title XIX (or a waiver of such plan);
                    (B) provides diagnoses, testing, or care for 
                individuals with possible or actual cases of COVID-19; 
                and
                    (C) is either--
                            (i) a disproportionate share hospitals 
                        described in Section 1923(b) of the Social 
                        Security Act;
                            (ii) a children's hospitals described in 
                        Section 1886(d)(1)(B)(iii) of the Social 
                        Security Act and Section 340E of the Public 
                        Health Service Act;
                            (iii) a physician or other practitioner 
                        described Section 1903(t)(2) of the Social 
                        Security Act (42 U.S.C. 1396b(t)(2)(A)); or
                            (iv) such other providers and suppliers as 
                        the Secretary determines should be 
                        appropriately considered to be included based 
                        on high caseloads of patients eligible under 
                        title XIX of the Social Security Act.
            (2) Health care related expenses attributable to covid-
        19.--The term ``health care related expenses attributable to 
        COVID-19'' means health care related expenses to prevent, 
        prepare for, and respond to COVID-19, including the building or 
        construction of a temporary structure, the leasing of a 
        property, the purchase of medical supplies and equipment, 
        including personal protective equipment and testing supplies, 
        providing for increased workforce and training (including 
        maintaining staff, obtaining additional staff, or both), the 
        operation of an emergency operation center, retrofitting a 
        facility, providing for surge capacity, and other expenses 
        determined appropriate by the Secretary.
            (3) Lost revenue attributable to covid-19.--The term ``lost 
        revenue attributable to COVID-19'' has the meaning given that 
        term in the Frequently Asked Questions guidance released by the 
        Department of Health and Human Services in June 2020, including 
        the difference between such provider's budgeted and actual 
        revenue if such budget had been established and approved prior 
        to March 27, 2020.
            (4) Payment.--The term ``payment'' includes, as determined 
        appropriate by the Secretary, a prepayment, a prospective 
        payment, a retrospective payment, or a payment through a grant 
        or other mechanism.
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