<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE amendment-doc PUBLIC "-//US Congress//DTDs/amend.dtd//EN" "amend.dtd">
<amendment-doc amend-type="engrossed-amendment" amend-degree="first"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>116 HR 266 EAS: Paycheck Protection Program and Health Care Enhancement Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2020-04-21</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<engrossed-amendment-form>
<congress display="no">116th CONGRESS</congress><session display="no">2d Session</session><legis-num display="no">H.R. 266</legis-num><current-chamber display="yes">In the Senate of the United States,</current-chamber><action><action-date date="20200421">April 21, 2020.</action-date></action><legis-type display="yes">Amendment:</legis-type></engrossed-amendment-form><engrossed-amendment-body><section id="idcca819491ca54c96acbe56ca0c1f8954" section-type="resolved"><text>That the bill from the House of Representatives (H.R. 266) entitled <quote>An Act making appropriations for the Department of the Interior, environment, and related agencies for the fiscal year ending September 30, 2019, and for other purposes.</quote>, do pass with the following</text></section><amendment><amendment-instruction><text> Strike all after the enacting clause and insert the following: </text></amendment-instruction><amendment-block changed="added" reported-display-style="italic"><section id="S1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Paycheck Protection Program and Health Care Enhancement Act</short-title></quote>.</text></section><section id="idFB67EFFA9F61479391C9226F326EE4EE"><enum>2.</enum><header>Table of contents</header><subsection id="idB0FCF1C3AD974EDE8A30E80ADC90420C"><enum/><text>The table of contents for this Act is as follows:</text><toc changed="added" reported-display-style="italic"><toc-entry level="section" idref="S1">Sec. 1. Short title.</toc-entry><toc-entry level="section" idref="idFB67EFFA9F61479391C9226F326EE4EE">Sec. 2. Table of contents.</toc-entry><toc-entry level="section" idref="id44130001e6a14028919023aaf476e9e2">Sec. 3. References.</toc-entry><toc-entry level="division" idref="id5B80233A3F5E420B814033E3949C652A">DIVISION A—Small business programs</toc-entry><toc-entry level="section" idref="idE0962C7C6A0748EF8CC63168CBB2967A">Sec. 101. Amendments to the Paycheck Protection Program, economic injury disaster loans, and emergency grants.</toc-entry><toc-entry level="section" idref="id111A40BD3D684B10AF72C85289CCFC50">Sec. 102. Emergency designation.</toc-entry><toc-entry level="division">DIVISION B—Additional Emergency Appropriations for Coronavirus Response</toc-entry></toc></subsection></section><section id="id44130001e6a14028919023aaf476e9e2"><enum>3.</enum><header>References</header><text display-inline="no-display-inline">Except as expressly provided otherwise, any reference to ‘‘this Act’’ contained in any division of this Act shall be treated as referring only to the provisions of that division.</text></section><division id="id5B80233A3F5E420B814033E3949C652A" style="OLC"><enum>A</enum><header>Small business programs</header><section id="idE0962C7C6A0748EF8CC63168CBB2967A"><enum>101.</enum><header>Amendments to the Paycheck Protection Program, economic injury disaster loans, and emergency grants</header><subsection id="idD0DD1429685A4A508910C61C7D40BF29"><enum>(a)</enum><header>Increased authority for commitments and appropriations for Paycheck Protection Program</header><text display-inline="yes-display-inline">Title I of division A of the Coronavirus Aid, Relief, and Economic Security Act (<external-xref legal-doc="public-law" parsable-cite="pl/116/136">Public Law 116–136</external-xref>) is amended—</text><paragraph id="idA05BD74157024A19B1CF7067A847E411"><enum>(1)</enum><text display-inline="yes-display-inline">in section 1102(b)(1), by striking <quote>$349,000,000,000</quote> and inserting <quote>$659,000,000,000</quote>; and</text></paragraph><paragraph id="id8859DF403A6C489E94B907E54E6E3441"><enum>(2)</enum><text>in section 1107(a)(1), by striking <quote>$349,000,000,000</quote> and inserting <quote>$670,335,000,000</quote>.</text></paragraph></subsection><subsection id="idF63EFCEF544D44A7A7D426BF17721AF7"><enum>(b)</enum><header>Increased authorization for emergency EIDL grants</header><text>Section 1110(e)(7) of division A of the Coronavirus Aid, Relief, and Economic Security Act (<external-xref legal-doc="public-law" parsable-cite="pl/116/136">Public Law 116–136</external-xref>) is amended by striking <quote>$10,000,000,000</quote> and inserting <quote>$20,000,000,000</quote>.</text></subsection><subsection id="id615EB222E29945E9A94E9ABFB795E36D"><enum>(c)</enum><header>Eligibility of agricultural enterprises for economic injury disaster loans and emergency grants</header><text display-inline="yes-display-inline">Section 1110(a)(2) of division A of the Coronavirus Aid, Relief, and Economic Security Act (<external-xref legal-doc="public-law" parsable-cite="pl/116/136">Public Law 116–136</external-xref>) is amended—</text><paragraph id="idEA0E7679BE404B6B8B5DEEBE621E4FD1"><enum>(1)</enum><text>in subparagraph (D), by striking <quote>or</quote> at the end;</text></paragraph><paragraph id="id9BE98403F62C41AC89CBF0C8FB26DDEE"><enum>(2)</enum><text>in subparagraph (E), by striking the period at the end and inserting <quote>; or</quote>; and</text></paragraph><paragraph id="id16034AF3509B4E30BCAEDF4F637730D6"><enum>(3)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id758C9C79651C41B1959B892AA859FC04" changed="added" reported-display-style="italic"><subparagraph id="id91E2B5B1BD304CDDABB39E953932EA33"><enum>(F)</enum><text>an agricultural enterprise (as defined in section 18(b) of the Small Business Act (<external-xref legal-doc="usc" parsable-cite="usc/15/647">15 U.S.C. 647(b)</external-xref>) with not more than 500 employees.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="H5DD5C9ABFE24485E967C265035768958" display-inline="no-display-inline"><enum>(d)</enum><header>Set aside for insured depository institutions, credit unions, and community financial institutions</header><text display-inline="yes-display-inline">Section 7(a)(36) of the Small Business Act (<external-xref legal-doc="usc" parsable-cite="usc/15/636">15 U.S.C. 636(a)(36)</external-xref>) is amended—</text><paragraph id="H545B516202884BD6ABA3C73DDB7411C4"><enum>(1)</enum><text>in subparagraph (A)—</text><subparagraph id="H888DAF9D66504C779A72286ACC56FAF9"><enum>(A)</enum><text>in clause (viii), by striking <quote>and</quote> at the end;</text></subparagraph><subparagraph id="H1EA303EFC9CB47D28BA6CFDE56DD333E"><enum>(B)</enum><text>in clause (ix), by striking the period at the end and inserting a semicolon; and</text></subparagraph><subparagraph id="H86A0FD0CF8FB4C43B6553632EC474580"><enum>(C)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" id="H2680361FCF6345E9B168B5AD9B7B1F79" display-inline="no-display-inline" changed="added" reported-display-style="italic"><clause id="H8A8EFD22524647BBBCAD391140CAF0D7"><enum>(x)</enum><text>the term <term>community development financial institution</term> has the meaning given the term in section 103 of the Riegle Community Development and Regulatory Improvement Act of 1994 (<external-xref legal-doc="usc" parsable-cite="usc/12/4702">12 U.S.C. 4702</external-xref>));</text></clause><clause id="H0180F0CDA4D6496E8263C29E9A0499E7"><enum>(xi)</enum><text>the term <term>community financial institutions</term> means—</text><subclause id="H5CD689A7D7E04947A3086AD518533781"><enum>(I)</enum><text display-inline="yes-display-inline">a community development financial institution;</text></subclause><subclause id="H8C24EA8915EF435F9748DAB66A2BEB28"><enum>(II)</enum><text display-inline="yes-display-inline">a minority depository institution, as defined in section 308 of the Financial Institutions Reform, Recovery, and Enforcement Act of 1989 (<external-xref legal-doc="usc" parsable-cite="usc/12/1463">12 U.S.C. 1463</external-xref> note);</text></subclause><subclause id="H7BD09CF88B9D46408B6035C493EFE312"><enum>(III)</enum><text display-inline="yes-display-inline">a development company that is certified under title V of the Small Business Investment Act of 1958 (<external-xref legal-doc="usc" parsable-cite="usc/15/695">15 U.S.C. 695</external-xref> et seq.); and </text></subclause><subclause id="HE6E8E96B37364CE99421227CBB171D5E"><enum>(IV)</enum><text display-inline="yes-display-inline">an intermediary, as defined in section 7(m)(11); and</text></subclause></clause><clause id="H37662F464FD94C7ABF3C5C0CF9245793"><enum>(xii)</enum><text display-inline="yes-display-inline">the term <term>credit union</term> means a State credit union or a Federal credit union, as those terms are defined, respectively, in section 101 of the Federal Credit Union Act (<external-xref legal-doc="usc" parsable-cite="usc/12/1752">12 U.S.C. 1752</external-xref>).</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="H14B12D3D75A54642873DC6EC2AEE00FD"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block id="HC9532E40680E4567A661A8C0BD712E88" display-inline="no-display-inline" style="OLC" changed="added" reported-display-style="italic"><subparagraph id="HE35B26B8C7564D128B7A7465B5A2B830"><enum>(S)</enum><header>Set-aside for insured depository institutions, credit unions, and community financial institutions</header><clause id="H8FCF8A14384A469D8A5B80BAD178FF27"><enum>(i)</enum><header>Insured depository institutions and credit unions</header><text>In making loan guarantees under this paragraph after the date of enactment of this clause, the Administrator shall guarantee not less than $30,000,000,000 in loans made by—</text><subclause id="idfcde6c620f964d9c9f53a6e7b245e640"><enum>(I)</enum><text>insured depository institutions with consolidated assets of not less than $10,000,000,000 and less than $50,000,000,000; and</text></subclause><subclause id="id2f95ad92bb4e4f58bd27fa11d7ef90ba"><enum>(II)</enum><text>credit unions with consolidated assets of not less than $10,000,000,000 and less than $50,000,000,000.</text></subclause></clause><clause id="H8465314F53D84A02994DAD16B2451F1E"><enum>(ii)</enum><header>Community financial institutions, small insured depository institutions, and credit unions</header><text display-inline="yes-display-inline">In making loan guarantees under this paragraph after the date of enactment of this clause, the Administrator shall guarantee not less than $30,000,000,000 in loans made by—</text><subclause id="H1CE173E70311424CBC3B5A8506E253E8"><enum>(I)</enum><text display-inline="yes-display-inline"> community financial institutions;</text></subclause><subclause id="HE433E8CDFAB74E7F815BD01CEB16D20D"><enum>(II)</enum><text display-inline="yes-display-inline">insured depository institutions with consolidated assets of less than $10,000,000,000; and</text></subclause><subclause id="H67EEE28BD24D4E039436DDA86947C4BD" commented="no" display-inline="no-display-inline"><enum>(III)</enum><text display-inline="yes-display-inline">credit unions with consolidated assets of less than $10,000,000,000.</text></subclause></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection></section><section id="id111A40BD3D684B10AF72C85289CCFC50"><enum>102.</enum><header>Emergency designation</header><subsection id="ideeb69156058a4e6584f75dbcf3595786"><enum>(a)</enum><header>In general</header><text>The amounts provided under this division are designated as an emergency requirement pursuant to section 4(g) of the Statutory Pay-As-You-Go Act of 2010 (<external-xref legal-doc="usc" parsable-cite="usc/2/933">2 U.S.C. 933(g)</external-xref>).</text></subsection><subsection id="id1E2A2E24DC75490792F7CCFC4F8546A7" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header>Designation in Senate</header><text>In the Senate, this division is designated as an emergency requirement pursuant to section 4112(a) of H. Con. Res. 71 (115th Congress), the concurrent resolution on the budget for fiscal year 2018.</text></subsection></section></division><division id="id01A51FCC5E86419E853B638C2CFC2344" style="appropriations"><enum>B</enum><header display-inline="yes-display-inline">Additional Emergency Appropriations for Coronavirus Response</header><section id="H1B0835A5D2A94B40B5DB34E63BA9861A" section-type="undesignated-section"><text display-inline="yes-display-inline">The following sums are hereby appropriated, out of any money in the Treasury not otherwise appropriated, for the fiscal year ending September 30, 2020, and for other purposes, namely:</text></section><title id="id78A9ECE780CE45BCBB2ED1CBDF3317CB" style="appropriations"><enum>I</enum><header display-inline="no-display-inline">DEPARTMENT OF HEALTH AND HUMAN SERVICES</header><appropriations-intermediate id="id94FFDEA0A6DA48D1B082519F02AE44C4"><header>Office of the Secretary</header></appropriations-intermediate><appropriations-small id="idA50CC11D319A463B9FCE3F6A200C3AAB"><header>public health and social services emergency fund</header></appropriations-small><appropriations-small id="id0D6774DD4F234E78AF29EC9BFABC943B"><header>(including transfer of funds)</header><text display-inline="no-display-inline">For an additional amount for <quote>Public Health and Social Services Emergency Fund</quote>, $75,000,000,000, to remain available until expended, to prevent, prepare for, and respond to coronavirus, domestically or internationally, for necessary expenses to reimburse, through grants or other mechanisms, eligible health care providers for health care related expenses or lost revenues that are attributable to coronavirus: <proviso><italic>Provided</italic></proviso>, That these funds may not be used to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse: <proviso><italic>Provided further</italic></proviso>, That recipients of payments under this paragraph in this Act shall submit reports and maintain documentation as the Secretary of Health and Human Services (referred to in this paragraph as the <quote>Secretary</quote>) determines are needed to ensure compliance with conditions that are imposed by this paragraph in this Act for such payments, and such reports and documentation shall be in such form, with such content, and in such time as the Secretary may prescribe for such purpose: <proviso><italic>Provided further</italic></proviso>, That <quote>eligible health care providers</quote> means public entities, Medicare or Medicaid enrolled suppliers and providers, and such for-profit entities and not-for-profit entities not otherwise described in this proviso as the Secretary may specify, within the United States (including territories), that provide diagnoses, testing, or care for individuals with possible or actual cases of COVID–19: <proviso><italic>Provided further</italic></proviso>, That the Secretary shall, on a rolling basis, review applications and make payments under this paragraph in this Act: <proviso><italic>Provided further</italic></proviso>, That funds appropriated under this paragraph in this Act shall be available for building or construction of temporary structures, leasing of properties, medical supplies and equipment including personal protective equipment and testing supplies, increased workforce and trainings, emergency operation centers, retrofitting facilities, and surge capacity: <proviso><italic>Provided further</italic></proviso>, That, in this paragraph, the term <term>payment</term> means a pre-payment, prospective payment, or retrospective payment, as determined appropriate by the Secretary: <proviso><italic>Provided further</italic></proviso>, That payments under this paragraph in this Act shall be made in consideration of the most efficient payment systems practicable to provide emergency payment: <proviso><italic>Provided further</italic></proviso>, That to be eligible for a payment under this paragraph in this Act, an eligible health care provider shall submit to the Secretary an application that includes a statement justifying the need of the provider for the payment and the eligible health care provider shall have a valid tax identification number: <proviso><italic>Provided further</italic></proviso>, That, not later than 3 years after final payments are made under this paragraph in this Act, the Office of Inspector General of the Department of Health and Human Services shall transmit a final report on audit findings with respect to this program to the Committees on Appropriations of the House of Representatives and the Senate: <proviso><italic>Provided further</italic></proviso>, That nothing in this paragraph limits the authority of the Inspector General or the Comptroller General to conduct audits of interim payments at an earlier date: <proviso><italic>Provided further</italic></proviso>, That not later than 60 days after the date of enactment of this Act, the Secretary shall provide a report to the Committees on Appropriations of the House of Representatives and the Senate on obligation of funds, including obligations to such eligible health care providers summarized by State of the payment receipt: <proviso><italic>Provided further</italic></proviso>, That such reports shall be updated and submitted to such Committees every 60 days until funds are expended: <proviso><italic>Provided further</italic></proviso>, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. </text><text display-inline="no-display-inline">For an additional amount for <quote>Public Health and Social Services Emergency Fund</quote>, $25,000,000,000, to remain available until expended, to prevent, prepare for, and respond to coronavirus, domestically or internationally, for necessary expenses to research, develop, validate, manufacture, purchase, administer, and expand capacity for COVID–19 tests to effectively monitor and suppress COVID–19, including tests for both active infection and prior exposure, including molecular, antigen, and serological tests, the manufacturing, procurement and distribution of tests, testing equipment and testing supplies, including personal protective equipment needed for administering tests, the development and validation of rapid, molecular point-of-care tests, and other tests, support for workforce, epidemiology, to scale up academic, commercial, public health, and hospital laboratories, to conduct surveillance and contact tracing, support development of COVID–19 testing plans, and other related activities related to COVID–19 testing: <proviso><italic>Provided</italic></proviso>, That of the amount appropriated under this paragraph in this Act, not less than $11,000,000,000 shall be for States, localities, territories, tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes for necessary expenses to develop, purchase, administer, process, and analyze COVID–19 tests, including support for workforce, epidemiology, use by employers or in other settings, scale up of testing by public health, academic, commercial, and hospital laboratories, and community-based testing sites, health care facilities, and other entities engaged in COVID–19 testing, conduct surveillance, trace contacts, and other related activities related to COVID–19 testing: <proviso><italic>Provided further</italic></proviso>, That of the amount identified in the preceding proviso, not less than $2,000,000,000 shall be allocated to States, localities, and territories according to the formula that applied to the Public Health Emergency Preparedness cooperative agreement in fiscal year 2019, not less than $4,250,000,000 shall be allocated to States, localities, and territories according to a formula methodology that is based on relative number of cases of COVID–19, and not less than $750,000,000 shall be allocated in coordination with the Director of the Indian Health Service, to tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes: <proviso><italic>Provided further</italic></proviso>, That the Secretary of Health and Human Services (referred to in this paragraph as the <quote>Secretary</quote>) may satisfy the funding thresholds outlined in the first and second provisos under this paragraph in this Act by making awards through other grant or cooperative agreement mechanisms: <proviso><italic>Provided further</italic></proviso>, That not later than 30 days after the date of enactment of this Act, the Governor or designee of each State, locality, territory, tribe, or tribal organization receiving funds pursuant to this Act shall submit to the Secretary its plan for COVID–19 testing, including goals for the remainder of calendar year 2020, to include: (1) the number of tests needed, month-by-month, to include diagnostic, serological, and other tests, as appropriate; (2) month-by-month estimates of laboratory and testing capacity, including related to workforce, equipment and supplies, and available tests; and (3) a description of how the State, locality, territory, tribe, or tribal organization will use its resources for testing, including as it relates to easing any COVID–19 community mitigation policies: <proviso><italic>Provided further</italic></proviso>, That the Secretary shall submit such formula methodology identified in the first proviso under this paragraph in this Act to the Committees on Appropriations of the House of Representatives and the Senate one day prior to awarding such funds: <proviso><italic>Provided further</italic></proviso>, That such funds identified in the first and second provisos under this paragraph in this Act shall be allocated within 30 days of the date of enactment of this Act: <proviso><italic>Provided further</italic></proviso>, That of the amount appropriated under this paragraph in this Act, not less than $1,000,000,000 shall be transferred to the <quote>Centers for Disease Control and Prevention—CDC-Wide Activities and Program Support</quote> for surveillance, epidemiology, laboratory capacity expansion, contact tracing, public health data surveillance and analytics infrastructure modernization, disseminating information about testing, and workforce support necessary to expand and improve COVID–19 testing: <proviso><italic>Provided further</italic></proviso>, That of the amount appropriated under this paragraph in this Act, not less than $306,000,000 shall be transferred to the <quote>National Institutes of Health—National Cancer Institute</quote> to develop, validate, improve, and implement serological testing and associated technologies for the purposes specified under this paragraph in this Act: <proviso><italic>Provided further</italic></proviso>, That of the amount appropriated under this paragraph in this Act, not less than $500,000,000 shall be transferred to the <quote>National Institutes of Health—National Institute of Biomedical Imaging and Bioengineering</quote> to accelerate research, development, and implementation of point of care and other rapid testing related to coronavirus: <proviso><italic>Provided further</italic></proviso>, That of the amount appropriated under this paragraph in this Act, not less than $1,000,000,000 shall be transferred to the <quote>National Institutes of Health—Office of the Director</quote> to develop, validate, improve, and implement testing and associated technologies; to accelerate research, development, and implementation of point of care and other rapid testing; and for partnerships with governmental and non-governmental entities to research, develop, and implement the activities outlined in this proviso: <proviso><italic>Provided further</italic></proviso>, That funds in the preceding proviso may be transferred to the accounts of the Institutes and Centers of the National Institutes of Health (referred to in this paragraph as the <quote>NIH</quote>) for the purposes specified in the preceding proviso: <proviso><italic>Provided further</italic></proviso>, That the transfer authority provided in the preceding proviso is in addition to all other transfer authority available to the NIH: <proviso><italic>Provided further</italic></proviso>, That of the amount appropriated under this paragraph in this Act, not less than $1,000,000,000 shall be available to the Biomedical Advanced Research and Development Authority for necessary expenses of advanced research, development, manufacturing, production, and purchase of diagnostic, serologic, or other COVID–19 tests or related supplies, and other activities related to COVID–19 testing at the discretion of the Secretary: <proviso><italic>Provided further</italic></proviso>, That of the amount appropriated under this paragraph in this Act, $22,000,000, shall be transferred to the <quote>Department of Health and Human Services—Food and Drug Administration—Salaries and Expenses</quote> to support activities associated with diagnostic, serological, antigen, and other tests, and related administrative activities: <proviso><italic>Provided further</italic></proviso>, That the amount appropriated under this paragraph in this Act may be used for grants for the rent, lease, purchase, acquisition, construction, alteration, renovation, or equipping of non-federally owned facilities to improve preparedness and response capability at the State and local level for diagnostic, serologic, or other COVID–19 tests, or related supplies: <proviso><italic>Provided further</italic></proviso>, That the amount appropriated under this paragraph in this Act may be used for construction, alteration, renovation, or equipping of non-federally owned facilities for the production of diagnostic, serologic, or other COVID–19 tests, or related supplies, where the Secretary determines that such a contract is necessary to secure, or for the production of, sufficient amounts of such tests or related supplies: <proviso><italic>Provided further</italic></proviso>, That funds appropriated under this paragraph in this Act may be used for purchase of medical supplies and equipment, including personal protective equipment and testing supplies to be used for administering tests, increased workforce and trainings, emergency operation centers, and surge capacity for diagnostic, serologic, or other COVID–19 tests, or related supplies: <proviso><italic>Provided further</italic></proviso>, That products purchased with funds appropriated under this paragraph in this Act may, at the discretion of the Secretary, be deposited in the Strategic National Stockpile under section 319F–2 of the Public Health Service Act: <proviso><italic>Provided further</italic></proviso>, That of the amount appropriated under this paragraph in this Act, $600,000,000 shall be transferred to <quote>Health Resources and Services Administration—Primary Health Care</quote> for grants under the Health Centers program, as defined by section 330 of the Public Health Service Act, and for grants to federally qualified health centers, as defined in section 1861(aa)(4)(B) of the Social Security Act: <proviso><italic>Provided further</italic></proviso>, That sections 330(e)(6)(A)(iii), 330(e)(6)(B)(iii), and 330(r)(2)(B) of the Public Health Service Act shall not apply to funds provided under the previous proviso: <proviso><italic>Provided further</italic></proviso>, That of the amount appropriated under this paragraph in this Act, $225,000,000 shall be used to provide additional funding for COVID–19 testing and related expenses, through grants or other mechanisms, to rural health clinics as defined in section 1861(aa)(2) of the Social Security Act, with such funds also available to such entities for building or construction of temporary structures, leasing of properties, and retrofitting facilities as necessary to support COVID–19 testing: <proviso><italic>Provided further</italic></proviso>, That such funds shall be distributed using the procedures developed for the Provider Relief Fund authorized under the third paragraph under this heading in division B of the Coronavirus Aid, Relief, and Economic Security Act (<external-xref legal-doc="public-law" parsable-cite="pl/116/136">Public Law 116–136</external-xref>); may be distributed using contracts or agreements established for such program; and shall be subject to the process requirements applicable to such program: <proviso><italic>Provided further</italic></proviso>, That the Secretary may specify a minimum amount for each eligible entity accepting assistance under the two previous provisos: <proviso><italic>Provided further</italic></proviso>, That up to $1,000,000,000 of funds provided under this paragraph in this Act may be used to cover the cost of testing for the uninsured, using the definitions applicable to funds provided under this heading in <external-xref legal-doc="public-law" parsable-cite="pl/116/127">Public Law 116–127</external-xref>: <proviso><italic>Provided further</italic></proviso>, That not later than 21 days after the date of enactment of this Act, the Secretary, in coordination with other appropriate departments and agencies, shall issue a report on COVID–19 testing: <proviso><italic>Provided further</italic></proviso>, That such report shall include data on demographic characteristics, including, in a de-identified and disaggregated manner, race, ethnicity, age, sex, geographic region and other relevant factors of individuals tested for or diagnosed with COVID–19, to the extent such information is available: <proviso><italic>Provided further</italic></proviso>, That such report shall include information on the number and rates of cases, hospitalizations, and deaths as a result of COVID–19: <proviso><italic>Provided further</italic></proviso>, That such report shall be submitted to the Committees on Appropriations of the House and Senate, and the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate, and updated and resubmitted to such Committees, as necessary, every 30 days until the end of the COVID–19 public health emergency first declared by the Secretary on January 31, 2020: <proviso><italic>Provided further</italic></proviso>, That not later than 180 days after the date of enactment of this Act, the Secretary shall issue a report on the number of positive diagnoses, hospitalizations, and deaths as a result of COVID–19, disaggregated nationally by race, ethnicity, age, sex, geographic region, and other relevant factors: <proviso><italic>Provided further</italic></proviso>, That such report shall include epidemiological analysis of such data: <proviso><italic>Provided further</italic></proviso>, That not later than 30 days after the date of the enactment of this Act, the Secretary, in coordination with other departments and agencies, as appropriate, shall report to the Committees on Appropriations of the House and Senate, the Committee on Energy and Commerce of the House of Representatives, and the Committee on Health, Education, Labor, and Pensions of the Senate on a COVID–19 strategic testing plan: <proviso><italic>Provided further</italic></proviso>, That such plan shall assist States, localities, territories, tribes, tribal organizations, and urban Indian health organizations, in understanding COVID–19 testing for both active infection and prior exposure, including hospital-based testing, high-complexity laboratory testing, point-of-care testing, mobile-testing units, testing for employers and other settings, and other tests as necessary: <proviso><italic>Provided further</italic></proviso>, That such plan shall include estimates of testing production that account for new and emerging technologies, as well as guidelines for testing: <proviso><italic>Provided further</italic></proviso>, That such plan shall address how the Secretary will increase domestic testing capacity, including testing supplies; and address disparities in all communities: <proviso><italic>Provided further</italic></proviso>, That such plan shall outline Federal resources that are available to support the testing plans of each State, locality, territory, tribe, tribal organization, and urban Indian health organization: <proviso><italic>Provided further</italic></proviso>, That such plan shall be updated every 90 days until funds are expended: <proviso><italic>Provided further</italic></proviso>, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. </text></appropriations-small><appropriations-major id="HAE36803A9AC741609E5C51535CB531AE"><header>General Provisions—This Title</header></appropriations-major><appropriations-small id="HD0A7B072ADCB46FF84D3E2CEF63ED860" commented="no"><header>(including transfer of funds)</header></appropriations-small><section id="id07833430D5FC49DDB14C3DF89BB89724" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>101.</enum><text display-inline="yes-display-inline">The requirements, authorities, and conditions described in sections 18108, 18109, and 18112 of division B of the Coronavirus Aid, Relief, and Economic Security Act (<external-xref legal-doc="public-law" parsable-cite="pl/116/136">Public Law 116–136</external-xref>) shall apply to funds appropriated in this Act to the Department of Health and Human Services. </text></section><section id="idA6CDCA5EC2F64C3FAC95B5FCB1358EFC" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>102.</enum><text display-inline="yes-display-inline">Funds appropriated by this Act under the heading <quote>Department of Health and Human Services</quote>, except for the amounts specified in the first paragraph and the first and second provisos in the second paragraph under the heading <quote>Public Health and Social Services Emergency Fund</quote>, may be transferred to, and merged with, other appropriation accounts under the headings <quote>Centers for Disease Control and Prevention</quote>, <quote>Public Health and Social Services Emergency Fund</quote>, <quote>Food and Drug Administration</quote>, and <quote>National Institutes of Health</quote> to prevent, prepare for, and respond to coronavirus following consultation with the Office of Management and Budget: <proviso><italic>Provided</italic></proviso>, That the Committees on Appropriations of the House of Representatives and the Senate shall be notified 10 days in advance of any such transfer: <proviso><italic>Provided further</italic></proviso>, That, upon a determination that all or part of the funds transferred from an appropriation by this Act are not necessary, such amounts may be transferred back to that appropriation: <proviso><italic>Provided further</italic></proviso>, That none of the funds made available by this Act may be transferred pursuant to the authority in section 205 of division A of <external-xref legal-doc="public-law" parsable-cite="pl/116/94">Public Law 116–94</external-xref> or section 241(a) of the Public Health Service Act. </text></section><section id="id7B9E24035427400A8966723A8F163662" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>103.</enum><text display-inline="yes-display-inline">Of the funds appropriated by this Act under the heading <quote>Public Health and Social Services Emergency Fund</quote>, up to $6,000,000 shall be transferred to, and merged with, funds made available under the heading <quote>Office of the Secretary, Office of Inspector General</quote>, and shall remain available until expended, for oversight of activities supported with funds appropriated to the Department of Health and Human Services to prevent, prepare for, and respond to coronavirus, domestically or internationally: <proviso><italic>Provided</italic></proviso>, That the Inspector General of the Department of Health and Human Services shall consult with the Committees on Appropriations of the House of Representatives and the Senate prior to obligating such funds: <proviso><italic>Provided further</italic></proviso>, That the transfer authority provided by this section is in addition to any other transfer authority provided by law. </text></section></title><title id="idC5C203D4AA0844CC88736A58202E6E8F" style="appropriations"><enum>II</enum><appropriations-major id="id2AC529D61A7C4E9F8D6ECB884D7EE286"><header> Independent Agencies</header></appropriations-major><appropriations-intermediate id="id4814FAB7DC7F41E8B2EC1B0FEFF22F67"><header>Small Business Administration</header></appropriations-intermediate><appropriations-small id="id029CD9F82C6F4FD4B4D123CD09CBC0EE" commented="no"><header>Salaries and expenses</header><text display-inline="no-display-inline">For an additional amount for <quote>Salaries and Expenses</quote>, $2,100,000,000, to remain available until September 30, 2021, to prevent, prepare for, and respond to coronavirus, domestically or internationally: <proviso><italic>Provided</italic></proviso>, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. </text></appropriations-small><appropriations-small commented="no" id="idC67BE45D2EA5486690A727A66090866B"><header>Disaster loans program account</header><text display-inline="no-display-inline">For an additional amount for <quote>Disaster Loans Program Account</quote> for the cost of direct loans authorized by section 7(b) of the Small Business Act, $50,000,000,000, to remain available until expended, to prevent, prepare for, and respond to coronavirus, domestically or internationally: <proviso><italic>Provided</italic></proviso>, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. </text></appropriations-small><appropriations-small commented="no" id="idAF33D0B4C0A54BCBA42134402C4DFDDD"><header>Emergency EIDL grants</header><text display-inline="no-display-inline">For an additional amount for <quote>Emergency EIDL Grants</quote> for the cost of emergency EIDL grants authorized by section 1110 of division A of the CARES Act (<external-xref legal-doc="public-law" parsable-cite="pl/116/136">Public Law 116–136</external-xref>), $10,000,000,000, to remain available until expended, to prevent, prepare for, and respond to coronavirus, domestically or internationally: <proviso><italic>Provided</italic></proviso>, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.</text></appropriations-small></title><title id="HDCF846DFA69D4140A8E4F37491599035" style="appropriations"><enum>III</enum><header display-inline="no-display-inline">General Provisions—This Act</header><section id="H6C7207022330455E98001D164F2D6EE9"><enum>301.</enum><text display-inline="yes-display-inline">Each amount appropriated or made available by this Act is in addition to amounts otherwise appropriated for the fiscal year involved. </text></section><section id="H8A8647D5C67348D38B8862FA3C8EF864"><enum>302.</enum><text display-inline="yes-display-inline">No part of any appropriation contained in this Act shall remain available for obligation beyond the current fiscal year unless expressly so provided herein. </text></section><section id="H4ED4031B1EA0415CAACD08754568D6AF" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>303.</enum><text display-inline="yes-display-inline">Unless otherwise provided for by this Act, the additional amounts appropriated by this Act to appropriations accounts shall be available under the authorities and conditions applicable to such appropriations accounts for fiscal year 2020. </text></section><section id="HCDD0C6D6B8684B42A74EB07C905C87CD"><enum>304.</enum><text display-inline="yes-display-inline">Notwithstanding any other provision of law, funds made available in this Act, or transferred pursuant to authorization granted in this Act, may only be used to prevent, prepare for, and respond to coronavirus.</text></section><section id="H2277C5CEC54843FBA14FA0C1AC716E1C"><enum>305.</enum><text display-inline="yes-display-inline">In this Act, the term <term>coronavirus</term> means SARS–CoV–2 or another coronavirus with pandemic potential. </text></section><section id="H038C0937956D4CA8B5DAA6FDFB311C7E"><enum>306.</enum><text display-inline="yes-display-inline">Each amount designated in this Act by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 shall be available (or rescinded or transferred, if applicable) only if the President subsequently so designates all such amounts and transmits such designations to the Congress. </text></section><section id="HD4738F7A1EBE45AAACC18EE995002C8E"><enum>307.</enum><text display-inline="yes-display-inline">Any amount appropriated by this Act, designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 and subsequently so designated by the President, and transferred pursuant to transfer authorities provided by this Act shall retain such designation. </text></section><appropriations-small id="id6856EDE7B0324DD3BE8F1A7012A4BE05"><header>Budgetary effects</header></appropriations-small><section id="H1A0D129E83F34C59B8028E9EC54A9449"><enum>308.</enum><subsection commented="no" display-inline="yes-display-inline" id="id82be375191384dccb80e5125829e93b7"><enum>(a)</enum><header>Statutory PAYGO Scorecards</header><text display-inline="yes-display-inline">The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay As-You-Go Act of 2010. </text></subsection><subsection id="H3A344F8C5F1C45D59C6207B2B4C68CCD"><enum>(b)</enum><header>Senate PAYGO Scorecards</header><text>The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress).</text></subsection><subsection id="H681E2449092248C99BBE315BA2BBB552"><enum>(c)</enum><header>Classification of budgetary effects</header><text>Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(7) and (c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall be estimated for purposes of section 251 of such Act.</text></subsection></section><appropriations-small id="HCF1F4B6A2BB94FD8A47CCB27E0C9AC33" commented="no"><text display-inline="no-display-inline">This division may be cited as the <quote>Additional Emergency Appropriations for Coronavirus Response</quote>. </text></appropriations-small></title></division></amendment-block></amendment></engrossed-amendment-body><attestation><attestation-group><attestor></attestor><role>Secretary</role></attestation-group></attestation><endorsement></endorsement></amendment-doc> 

