I 118th CONGRESS 1st Session H. R. 3645 IN THE HOUSE OF REPRESENTATIVES May 24, 2023 Ms. Lee of Pennsylvania (for herself, Ms. Lee of California , Mr. Khanna , Ms. Blunt Rochester , Mr. Bowman , Ms. Brown , Mr. Boyle of Pennsylvania , Ms. Bush , Mr. Carson , Mr. Carter of Louisiana , Mr. Casar , Ms. Crockett , Mr. Clyburn , Mr. Deluzio , Mrs. Foushee , Mr. Frost , Mr. Robert Garcia of California , Mr. Jackson of Illinois , Ms. Jackson Lee , Mr. Johnson of Georgia , Mrs. McClellan , Mr. Mfume , Ms. Moore of Wisconsin , Ms. Ocasio-Cortez , Ms. Omar , Ms. Pressley , Mrs. Ramirez , Ms. Sewell , Ms. Strickland , Ms. Tlaib , Mrs. Watson Coleman , and Ms. Williams of Georgia ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Public Health Service Act to establish emergency grants to safeguard essential health care workers, and for other purposes.

1. Safeguarding essential health care workers Title III of the Public Health Service Act is amended by inserting after section 319D–1 ( 42 U.S.C. 247d–4b ) the following: 319D–2. Emergency grants to safeguard essential health care workers (a) Definitions In this section: (1) Emergency or disaster The term emergency or disaster means— (A) a major disaster declared by the President under section 401 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5170 ); (B) an emergency declared by the President under section 501 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5191 ); (C) a national emergency declared by the President under the National Emergencies Act ( 50 U.S.C. 1601 et seq. ); (D) a public health emergency declared under section 319; and (E) a State or local emergency or disaster, as declared by the applicable State or local government. (2) Eligible health care worker The term eligible health care worker means an essential health care worker whose work cannot be conducted remotely. (3) Essential health care worker The term essential health care worker means— (A) a health care provider, including a direct care worker (as defined in section 799B); (B) a medical technologist; (C) a public health worker; (D) an orderly (as defined in the 2010 Standard Occupational Classifications of the Department of Labor under the code for Orderlies (31–1015)); (E) an environmental service, janitorial, or custodial worker in a health care setting; and (F) any other professional role that the Secretary determines is essential to the care of patients or the maintenance of public health. (b) Grants (1) In general The Secretary may make grants to public or private nonprofit health care facilities and home health agencies for use in accordance with paragraph (2). (2) Use of funds (A) Hazardous duty compensation (i) In general The recipient of a grant under paragraph (1) shall use the grant funds to provide hazardous duty compensation to eligible health care workers for work performed during the period of an emergency or disaster in cases in which the Secretary determines that— (I) the performance of the work by the eligible health care worker for the applicable health care facility or home health agency is hazardous; or (II) the commute of the eligible health care worker is hazardous. (ii) Requirement (I) In general Subject to subclause (II), the amount of hazardous duty compensation under clause (i) shall be not more than $13 per hour, which shall be in addition to the wages or remuneration the eligible health care worker otherwise receives for the work. (II) Maximum amount The total amount of hazardous duty compensation received by any 1 eligible health care worker under this subparagraph may not exceed $25,000 per year. (B) Additional uses The recipient of a grant under paragraph (1) may use the grant funds to provide safety measures to safeguard and protect eligible health care workers from hazards due to the applicable emergency or disaster, including alternative transit options, personal protective equipment, and other safety measures. (c) Authorization of appropriations There are authorized to be appropriated to carry out this section such sums as may be necessary. .