117 S783 IS: COVID Community Care Act
U.S. Senate
2021-03-16
text/xml
EN
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.
That the following sums are hereby appropriated, out of any money in the Treasury not otherwise appropriated, for the fiscal year ending September 30, 2021, and for other purposes, namely:<enum>I</enum><header>Department of Health and Human Services</header><appropriations-intermediate id="H7EA2FCD180F44BE3A74F5EB07F3F7978"><header>Office of the Secretary</header></appropriations-intermediate><appropriations-small id="HE672942A808F4BA3B7D598F291959129"><header>public health and social services emergency fund</header></appropriations-small><appropriations-small id="H077EC691866548778E8FD2AD596DBB52"><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>, $8,000,000,000, to remain available until September 30, 2024, for the implementation of the comprehensive program to prevent, prepare for, and respond to COVID–19 in medically underserved communities, as authorized by <internal-xref idref="H7C57C932F1F1489D8D8F06AA368809FB" legis-path="101.">section 101</internal-xref>: <italic>Provided,</italic> That of such amounts, $60,000,000 shall be transferred to <quote>General Departmental Management</quote> and made available to the <quote>Office of Minority Health</quote> for the implementation of such program: <italic>Provided further,</italic> That the amounts made available (including amounts transferred) under this heading shall be in addition to amounts otherwise available for such purposes: <italic>Provided further</italic>, That such amounts are 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-intermediate id="HDE37E20A00E64A5F8C37500BE82D999C"><header>Indian Health Service</header></appropriations-intermediate><appropriations-small id="H9F4F4FDAE757417B95CEC177B1A25D5F"><header>Indian Health Services</header><text display-inline="no-display-inline">For an additional amount for <quote>Indian Health Services</quote>, $400,000,000, to remain available until September 30, 2024, for the implementation of a comprehensive program to prevent, prepare for, and respond to COVID–19 through programs and services administered by the Indian Health Service, Indian Tribes, Tribal organizations, Urban Indian organizations, and health service providers to Tribes pursuant to a contract or compact under the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5301">25 U.S.C. 5301</external-xref> et seq.) or the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1601">25 U.S.C. 1601</external-xref> et seq.), as authorized by <internal-xref idref="H9A88EBDF4CC44CB998AA4AC64877B0B1" legis-path="102.">section 102</internal-xref> of this Act: <italic>Provided</italic>, That such amounts shall be in addition to amounts otherwise available for such purposes: <italic>Provided further</italic>, That such funds shall be allocated at the discretion of the Director of the Indian Health Service: <italic>Provided further,</italic> That the amount provided under this heading in this Act shall be distributed through Indian Health Service directly operated programs and to Tribes and Tribal organizations under the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5301">25 U.S.C. 5301</external-xref> et seq.) and through contracts or grants with Urban Indian Organizations under title V of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1651">25 U.S.C. 1651</external-xref> et seq.): <italic>Provided further</italic>, That any amounts made available under this heading and transferred to Tribes or Tribal organizations shall be transferred on a one-time basis, and that these non-recurring funds are not part of the amount required by section 106 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5325">25 U.S.C. 5325</external-xref>), and that such amounts may only be used for the purposes authorized by section 102 of this Act, notwithstanding any other provision of law: <italic>Provided further,</italic> 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="H94FB615C2D634CC5BDE639E0D1A2B2D0"><header>General Provisions — This Act</header></appropriations-major><section id="H7C57C932F1F1489D8D8F06AA368809FB"><enum>101.</enum><subsection commented="no" display-inline="yes-display-inline" id="H02DCCE6D37A14F06921A6E3FFF277AA8"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services, in consultation with the Deputy Assistant Secretary for Minority Health, the Director of the Centers for Disease Control and Prevention, and the Administrator of the Administration for Community Living, shall implement a comprehensive program to—</text><paragraph id="H8E5A2233F1C74435A58628096552E406"><enum>(1)</enum><text>prevent, prepare for, and respond to COVID–19 in medically underserved communities; and</text></paragraph><paragraph id="HE642F07C462E4D7B8DD7AC9435D34E7C"><enum>(2)</enum><text>ensure that such program is designed to complement the efforts of State, local, territorial, and Tribal public health agencies.</text></paragraph></subsection><subsection id="H3F35E25DD13C47B8A66E42CAA4AC3F29"><enum>(b)</enum><header>Components</header><text display-inline="yes-display-inline">The comprehensive program under subsection (a) shall include the following: </text><paragraph id="H17D37890624B4C649B3CD26E2862556D"><enum>(1)</enum><text display-inline="yes-display-inline">The provision of diagnostic tests for SARS–CoV–2, including rapid response tests and testing through the use of mobile health units.</text></paragraph><paragraph id="HC051E7F91AFD4960A198873E60E6D5E7"><enum>(2)</enum><text display-inline="yes-display-inline">The provision of serological tests related to SARS–CoV–2.</text></paragraph><paragraph id="HFEEC7E9E12F84BC886E3ABFFA1051597"><enum>(3)</enum><text display-inline="yes-display-inline">Contact tracing to monitor the contacts of individuals who are or were infected with SARS–CoV–2.</text></paragraph><paragraph id="H82DA50F278294C8E96DBE2F999E7204D"><enum>(4)</enum><text display-inline="yes-display-inline">Equitable vaccine distribution and implementation.</text></paragraph><paragraph id="H1AFB61BA9E044DCDBE5685E7212FE4D0"><enum>(5)</enum><text>The provision of personal protective equipment to essential workers.</text></paragraph><paragraph id="H88208B168D3843C49B323232FD4E0870"><enum>(6)</enum><text display-inline="yes-display-inline">The facilitation of—</text><subparagraph id="H445561078D5B4C7FBA8A76638B41A895"><enum>(A)</enum><text>voluntary isolation and quarantine of individuals presumed or confirmed to be infected with, or exposed to individuals presumed or confirmed to be infected with, the virus that causes COVID–19; and</text></subparagraph><subparagraph id="H9315BBC5BADC42069B3370AA663A5FBB"><enum>(B)</enum><text>the provision of social services and support for such individuals.</text></subparagraph></paragraph><paragraph id="H0898C2BF658B457889449ED9079D8C44"><enum>(7)</enum><text display-inline="yes-display-inline">A culturally competent and multilingual social marketing campaign carried out by trusted members of the community involved to increase public awareness of—</text><subparagraph display-inline="no-display-inline" id="H52DF275B8BD0483D8D9DE1365FE7A04F"><enum>(A)</enum><text>health precautions to prevent exposure to the virus that causes COVID–19;</text></subparagraph><subparagraph id="HDAFD83211A864FC28FBD80F416C42788"><enum>(B)</enum><text display-inline="yes-display-inline">the benefits of monitoring and testing for COVID–19;</text></subparagraph><subparagraph id="H5768D44A94AE4822AACE7353050A7EFE"><enum>(C)</enum><text display-inline="yes-display-inline">education about the safety and effectiveness of vaccines for COVID–19;</text></subparagraph><subparagraph id="H83DCA576DA5C419386A71359F3B465DC"><enum>(D)</enum><text display-inline="yes-display-inline">health care assistance programs and entities that provide testing, tracing, and vaccination services related to SARS–CoV–2;</text></subparagraph><subparagraph id="HEF513D8A9672445C9E49B589CF267930"><enum>(E)</enum><text display-inline="yes-display-inline">public assistance and unemployment programs for individuals affected by the spread of COVID–19;</text></subparagraph><subparagraph id="HBEB2351200424AF1B99D7A58A02F9C01"><enum>(F)</enum><text display-inline="yes-display-inline">the purpose and protections of personal and demographic information collected by entities engaged in administering COVID–19 testing, treatment, follow-up, and vaccines; and</text></subparagraph><subparagraph id="H7512EF6B2FBD4B62BD6A4443C3D4B4EA"><enum>(G)</enum><text display-inline="yes-display-inline">other public awareness priorities.</text></subparagraph></paragraph></subsection><subsection id="H181138F97F634F2FBA9DD0A16C42D5EF"><enum>(c)</enum><header>Grants to partners</header><text>To carry out the components of the comprehensive program under subsection (b), the Secretary shall—</text><paragraph id="HA8E90C06EED44C8094EC0664A13B6823"><enum>(1)</enum><text>provide grants to—</text><subparagraph id="HA5F8DE657DD64950BA548510A8BA9B31"><enum>(A)</enum><text>faith-based, community, and nonprofit organizations; and</text></subparagraph><subparagraph id="HFA4209C995974A46A36C05495CAEED13"><enum>(B)</enum><text display-inline="yes-display-inline">eligible institutions of higher education described in section 371(a) of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1067q">20 U.S.C. 1067q(a)</external-xref>) that have partnerships with one or more faith-based, community, or nonprofit organizations; and</text></subparagraph></paragraph><paragraph id="H20D213E69E654FA49404F769DD259EA5"><enum>(2)</enum><text display-inline="yes-display-inline">ensure that grantees represent or demonstrate an intent to subcontract with entities having relationships with medically underserved communities.</text></paragraph></subsection><subsection id="HE836027AAC214E69BC32F89263E01EAF"><enum>(d)</enum><header>Hiring of personnel</header><text>The individuals hired and trained to perform services pursuant to the comprehensive program under subsection (a) shall have—</text><paragraph id="HAAD39750B8EE4A359D8C8C6BBF130C67"><enum>(1)</enum><text display-inline="yes-display-inline">experience working in medically underserved communities; and</text></paragraph><paragraph id="H09EE7C32844247398569916DECD8262B"><enum>(2)</enum><text display-inline="yes-display-inline">relationships with individuals who reside in medically underserved communities.</text></paragraph></subsection><subsection id="H5DEC5B36D99E4523AAC3D8E15B7E1690"><enum>(e)</enum><header>Protection of personal information</header><text display-inline="yes-display-inline">The Secretary shall ensure that the individually identifiable information collected to perform contact tracing pursuant to the comprehensive program under subsection (a) is secure from unauthorized access and disclosure.</text></subsection><subsection id="HC7D7E5726FAE4D3380F1DF0BEAFC20BC"><enum>(f)</enum><header>Limitations on use of collection, use and disclosure of personal information</header><text display-inline="yes-display-inline">Individuals, Federal agencies, and entities carrying out actions under or administering the program under this section shall collect only the information strictly necessary to carry out the program, and shall not—</text><paragraph id="H2224919CF04746CE976FA08FB6E914CC"><enum>(1)</enum><text>use or disclose the information generated pursuant to the program for any purpose other than carrying out the program;</text></paragraph><paragraph id="H9C231F488C894C6BA8B141CF40E6FA14"><enum>(2)</enum><text>publish or sell individually identifiable information generated pursuant to the program nor transmit such data for purposes other than carrying out the program, including sharing personally identifiable information with any local, State, or Federal law enforcement agency; or</text></paragraph><paragraph id="H117E10C17AD4439391A7404C5A6FE3DD"><enum>(3)</enum><text>permit anyone other than the officers and employees of the entities charged with administering the program, who are subject to the limitations of this section, to access or examine such individually identifiable information.</text></paragraph></subsection><subsection id="H45716C7AF0C2421A90A7947A97AF554D"><enum>(g)</enum><header>Strategy</header><paragraph id="HA111F70DA12246718AE1253C5EBF30A3"><enum>(1)</enum><header>In general</header><text>Not later than 30 days after the date of the enactment of this Act, the Secretary shall develop and publish a comprehensive strategy with respect to the comprehensive program under subsection (a) for the purpose of addressing health and health disparities, taking into consideration the following:</text><subparagraph commented="no" id="H5BE8438269404F4F89B1D384471A3688"><enum>(A)</enum><text>Race and ethnicity.</text></subparagraph><subparagraph commented="no" id="H5056EA811A3043099AB55A48870FF44C"><enum>(B)</enum><text display-inline="yes-display-inline">Sex (including sexual orientation and gender identity).</text></subparagraph><subparagraph commented="no" id="H993C3FDF93D147D6AD84AC86F3D79410"><enum>(C)</enum><text>Age.</text></subparagraph><subparagraph commented="no" id="HB71F15F03D1B4D379EBBD3876A716642"><enum>(D)</enum><text>Limited English proficiency.</text></subparagraph><subparagraph commented="no" id="H03D60F7C37D249078586DF8BF1E399D4"><enum>(E)</enum><text>Socioeconomic status.</text></subparagraph><subparagraph commented="no" id="H39C107D4B3B4442DA215DB76C41C86C4"><enum>(F)</enum><text>Disability.</text></subparagraph><subparagraph commented="no" id="HDCA3177A2D7B4E92882A5D7E3880BE40"><enum>(G)</enum><text>Census tract.</text></subparagraph><subparagraph id="H7A6872F5BB744B0BB0EA3B9F2025B5DA"><enum>(H)</enum><text>Occupation.</text></subparagraph><subparagraph id="H16DD4D8E13C64523A0A950701697D2AC"><enum>(I)</enum><text>Other demographic data.</text></subparagraph></paragraph><paragraph id="H678C7640A0A2470DB1F3BA2AE6B96D11"><enum>(2)</enum><header>Consultation</header><text display-inline="yes-display-inline">In developing the strategy under paragraph (1), the Secretary shall consult with health officials who represent the following:</text><subparagraph id="H9E77D87D9E134713A8AEAA6223C1867A"><enum>(A)</enum><text>State and territorial governments.</text></subparagraph><subparagraph id="H19349BF4D4864860BE56AE875A623F6D"><enum>(B)</enum><text>Local governments.</text></subparagraph><subparagraph id="H68D498D4783741CC8A84E65C818FB4D3"><enum>(C)</enum><text>Tribal governments.</text></subparagraph></paragraph></subsection></section><section id="H9A88EBDF4CC44CB998AA4AC64877B0B1"><enum>102.</enum><subsection commented="no" display-inline="yes-display-inline" id="H00D908FE48E741FD9BD24E6CAA467E78"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services, acting through the Director of the Indian Health Service, shall implement a comprehensive program to prevent and respond to COVID–19 through programs and services administered by—</text><paragraph id="HB6E225415B394077B4BA5716EDDE8F97"><enum>(1)</enum><text>the Indian Health Service; and</text></paragraph><paragraph id="H830AA3952FA54EBA903A04E68300417F"><enum>(2)</enum><text display-inline="yes-display-inline">Indian Tribes, Tribal organizations, Urban Indian organizations, and health service providers to Tribes pursuant to a contract or compact under—</text><subparagraph id="HD6164B6FCBBA4B3CBBB4088493B28A8B"><enum>(A)</enum><text>the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5301">25 U.S.C. 5301</external-xref> et seq.); or</text></subparagraph><subparagraph id="HCAF9CBB64D7843ECA9B9E772012F995D"><enum>(B)</enum><text>the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1601">25 U.S.C. 1601</external-xref> et seq.).</text></subparagraph></paragraph></subsection><subsection id="H941AD93CD01E42FD935EE915AAA1809C"><enum>(b)</enum><header>Components</header><text>The comprehensive program under subsection (a) shall include the following: </text><paragraph id="H106865F1F83645CA8833FA72AFB6D3F5"><enum>(1)</enum><text display-inline="yes-display-inline">The provision of diagnostic tests for the virus that causes COVID–19, including rapid response tests and testing through the use of mobile health units.</text></paragraph><paragraph id="HA31807E048E44C51B976FDCDCEC47B9D"><enum>(2)</enum><text display-inline="yes-display-inline">The provision of serological tests related to SARS–CoV–2.</text></paragraph><paragraph id="HAE004DB308B24B59B2F4B58AD4B71CEE"><enum>(3)</enum><text display-inline="yes-display-inline">Contact tracing to identify and monitor the contacts of individuals who are or were infected with the virus that causes COVID–19, including hiring and training culturally and linguistically competent contact tracers.</text></paragraph><paragraph id="HB59C536D796D4413AFC364DBBEDAEFA1"><enum>(4)</enum><text display-inline="yes-display-inline">Equitable vaccine distribution and implementation.</text></paragraph><paragraph id="HE0D9162D442C43C8A4CA478B9E169AD2"><enum>(5)</enum><text display-inline="yes-display-inline">The provision of personal protective equipment to essential workers, including—</text><subparagraph id="H41D1846C239D44F99A809C88D1FE233E"><enum>(A)</enum><text>community health representatives employed under section 516 of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1616f">25 U.S.C. 1616f</external-xref>); and</text></subparagraph><subparagraph id="H2EF7CBD26E944F368C736788997B386B"><enum>(B)</enum><text display-inline="yes-display-inline">community health aides employed under section 119 of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1616l">25 U.S.C. 1616l</external-xref>).</text></subparagraph></paragraph><paragraph id="HEFFE4C86D2244BE992B93C93A3FF0BE7"><enum>(6)</enum><text display-inline="yes-display-inline">The facilitation of—</text><subparagraph id="H5FB0002BCE2D4B36A45AFF04FEBCB9FB"><enum>(A)</enum><text>voluntary isolation and quarantine of individuals presumed or confirmed to be infected with, or exposed to individuals presumed or confirmed to be infected with, the virus that causes COVID–19; and</text></subparagraph><subparagraph id="H956696FE31744B618E3E27BF32FDC789"><enum>(B)</enum><text>the provision of social services and support for such individuals.</text></subparagraph></paragraph><paragraph id="H33E3D7868E6842E7AD3848FDE6266AD2"><enum>(7)</enum><text display-inline="yes-display-inline">A culturally competent and linguistically appropriate social marketing campaign carried out by trusted members of the community involved to increase public awareness of—</text><subparagraph display-inline="no-display-inline" id="H66EC6956C344426CB4EA5C17142DDACE"><enum>(A)</enum><text>health precautions to prevent exposure to, and the spread of, the virus that causes COVID–19;</text></subparagraph><subparagraph id="H0A2143269E544945A375E116751519E9"><enum>(B)</enum><text display-inline="yes-display-inline">the benefits of monitoring and testing for such virus;</text></subparagraph><subparagraph id="HC478D26ED69642C0AFB05582FD32F1F8"><enum>(C)</enum><text display-inline="yes-display-inline">education about the safety and effectiveness of vaccines for COVID–19;</text></subparagraph><subparagraph id="H5759495BA2424D3D9B7B444EE27B08A2"><enum>(D)</enum><text display-inline="yes-display-inline">health care assistance programs and entities that provide testing, tracing, and vaccination services related to SARS–CoV–2; </text></subparagraph><subparagraph id="H83A796BDD76446CD8A35C07AA7A93DE5"><enum>(E)</enum><text>public assistance and unemployment programs for individuals affected by the spread of COVID–19;</text></subparagraph><subparagraph id="HDBBF4D55AA504225AB7FBB525CFA3C40"><enum>(F)</enum><text>the purpose and protections of personal and demographic information collected by entities engaged in administering COVID–19 testing, treatment, follow-up, and vaccines; and</text></subparagraph><subparagraph id="H38DB3AECF5CC47DE91D05E4B7471A67B"><enum>(G)</enum><text display-inline="yes-display-inline">other public awareness priorities.</text></subparagraph></paragraph><paragraph commented="no" id="H64F0C0D823FF4C9F92A9C10988EE7A2F"><enum>(8)</enum><text>Awarding grants or cooperative agreements to epidemiology centers established under section 214 of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1621m">25 U.S.C. 1621m</external-xref>).</text></paragraph></subsection><subsection id="H1B9B659328324989B73D00816D8C4401"><enum>(c)</enum><header>Consultation</header><text display-inline="yes-display-inline">Before implementing the program under subsection (a), the Secretary shall—</text><paragraph id="H074FB692CF38421D84D53CA7137C0B11"><enum>(1)</enum><text>consult with Indian Tribes and Tribal organizations; and</text></paragraph><paragraph id="H9F83F5CBA2A44571B36380E025B0DCA1"><enum>(2)</enum><text>confer with Urban Indian organizations.</text></paragraph></subsection></section><section id="HD394BA0D4E9E43C88A47A6999BA29A9E"><enum>103.</enum><text display-inline="yes-display-inline">In this Act:</text><paragraph id="HE6FA821437DE4B408F4C7341696D0A88"><enum>(1)</enum><text display-inline="yes-display-inline">The term <term>essential worker</term> means—</text><subparagraph id="H7889D1CD39E842F185213756457944E7"><enum>(A)</enum><text>a health sector employee;</text></subparagraph><subparagraph id="HE9B44675BE434E599A968AAFB5D9C952"><enum>(B)</enum><text>an emergency response worker;</text></subparagraph><subparagraph id="H5764A328DDCC4D75AAAB8706643A0609"><enum>(C)</enum><text>a sanitation worker;</text></subparagraph><subparagraph id="HDCD1AB8541254E50A3FA3393FB3271F0"><enum>(D)</enum><text display-inline="yes-display-inline">a worker at a business which a State, local, territorial, or Tribal government official has determined must remain open to serve the public during a public health emergency (as declared pursuant to section 319 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/247d">42 U.S.C. 247d</external-xref>)) with respect to COVID–19; and</text></subparagraph><subparagraph id="H2587CFAFD3E443F5AE83E6AC1D873B9C"><enum>(E)</enum><text display-inline="yes-display-inline">any other worker who cannot telework, and whom the State deems to be essential during a public health emergency with respect to COVID–19.</text></subparagraph></paragraph><paragraph id="H87CDF9FE1EA448539FDEB01A72AEFA30"><enum>(2)</enum><text display-inline="yes-display-inline">The term <term>Indian Tribe</term> means an <quote>Indian tribe</quote> as defined in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5304">25 U.S.C. 5304</external-xref>).</text></paragraph><paragraph id="H583BB2BC283A42EFA4A2DBE6E9ED707E"><enum>(3)</enum><text display-inline="yes-display-inline">The term <term>medically underserved communities</term> means communities that each—</text><subparagraph id="HA7AFC16C138F44FE99950A34988E48BB"><enum>(A)</enum><text display-inline="yes-display-inline">have a rate of infection, hospitalization, or death with respect to COVID–19 that is higher than the national average;</text></subparagraph><subparagraph id="H1727E6DF4B69404AA4D5F5746295BDF1"><enum>(B)</enum><text display-inline="yes-display-inline">have a high percentage of racial and ethnic minorities;</text></subparagraph><subparagraph id="H7A396A2F147849268700E9C05A2228B8"><enum>(C)</enum><text display-inline="yes-display-inline">have a significant number of individuals who are limited English proficient; or</text></subparagraph><subparagraph id="H8D370438F8774611A13A9337A17DCED2"><enum>(D)</enum><text display-inline="yes-display-inline">are above the 90th percentile according to the area deprivation index developed by the Administrator of the Health Resources and Services Administration.</text></subparagraph></paragraph><paragraph id="H1518924EE96C42ADB53F1F8BD5D3B418"><enum>(4)</enum><text>The term <term>Secretary</term> means the Secretary of Health and Human Services.</text></paragraph><paragraph id="HB4198E74229A4ABBA0B26937CB71CE51"><enum>(5)</enum><text display-inline="yes-display-inline">The term <term>Tribal organization</term> means a <quote>tribal organization</quote> as defined in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5304">25 U.S.C. 5304</external-xref>).</text></paragraph><paragraph id="H422A1FA587AE484F9668450E5C15322E"><enum>(6)</enum><text display-inline="yes-display-inline">The term <term>Urban Indian organization</term> has the meaning given such term in section 4 of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1603">25 U.S.C. 1603</external-xref>).</text></paragraph></section><section id="H339EF3A4C3264037885AAAC43735D589"><enum>104.</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 2021.</text></section><section id="H1086F7F66DA0440DA5A82031BFBCA233"><enum>105.</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 transferred, as applicable) only if the President subsequently so designates all such amounts and transmits such designations to the Congress.</text></section><section section-type="undesignated-section" id="HA035B501D84244A2AF09EF40CD80542E"><text display-inline="yes-display-inline">This Act may be cited as the <quote><short-title>COVID Community Care Act</short-title></quote>. </text></section>