[Congressional Record Volume 167, Number 42 (Friday, March 5, 2021)]
[Senate]
[Pages S1295-S1300]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 1031. Mr. LANKFORD (for himself and Mr. Daines) proposed an 
amendment to amendment SA 891 proposed by Mr. Schumer (for himself, Mr. 
Wyden, Mrs. Murray, Mr. Brown, Mr. Peters, Mr. Cardin, Ms. Cantwell, 
Ms. Stabenow, Mr. Tester, Mr. Menendez, Mr. Schatz, Mr. Carper, Mr. 
Leahy, and Mr. Sanders) to the bill H.R. 1319, to provide for 
reconciliation pursuant to title II of S. Con. Res. 5; which was 
ordered to lie on the table; as follows:

        Strike section 2204 and all that follows through the end 
     of subtitle H of title II and insert the following:

     SEC. 2204. PROGRAMS FOR SURVIVORS.

       Section 301 of division BB of the Consolidated 
     Appropriations Act, 2021, as amended by this Act, is amended 
     by adding at the end the following subsection:
       ``(g) Programs for Survivors.--
       ``(1) In general.--Section 303 of the Family Violence 
     Prevention and Services Act (42 U.S.C. 10403) is amended by 
     adding at the end the following:
       `` `(d) Additional Funding.--For the purposes of carrying 
     out this title, in addition to amounts otherwise made 
     available for such purposes, there are appropriated, out of 
     any amounts in the Treasury not otherwise appropriated, for 
     fiscal year 2021, to remain available until expended except 
     as otherwise provided in this subsection, each of the 
     following:
       `` `(1) $180,000,000 to carry out sections 301 through 312, 
     to be allocated in the manner described in subsection (a)(2), 
     except that--
       `` `(A) a reference in subsection (a)(2) to an amount 
     appropriated under subsection (a)(1) shall be considered to 
     be a reference to an amount appropriated under this 
     paragraph;
       `` `(B) the matching requirement in section 306(c)(4) and 
     condition in section 308(d)(3) shall not apply; and
       `` `(C) each reference in section 305(e) to ``the end of 
     the following fiscal year'' shall be considered to be a 
     reference to ``the end of fiscal year 2025''; and
       `` `(D) funds made available to a State in a grant under 
     section 306(a) and obligated in a timely manner shall be 
     available for expenditure, by the State or a recipient of 
     funds

[[Page S1296]]

     from the grant, through the end of fiscal year 2025.
       `` `(2) $18,000,000 to carry out section 309.
       `` `(3) $2,000,000 to carry out section 313, of which 
     $1,000,000 shall be allocated to support Indian 
     communities.'.
       ``(2) Grant programs.--The Family Violence Prevention and 
     Services Act is amended by inserting after section 314 of 
     such Act (42 U.S.C. 10414) the following:

     `` `SEC. 315. GRANTS TO SUPPORT CULTURALLY SPECIFIC 
                   POPULATIONS AND GRANTS TO SUPPORT SURVIVORS OF 
                   SEXUAL ASSAULT.

       `` `(a) COVID-19 Public Health Emergency Defined.--In this 
     section, the term ``COVID-19 public health emergency'' means 
     the public health emergency declared by the Secretary of 
     Health and Human Services under section 319 of the Public 
     Health Service Act (42 U.S.C. 247d) on January 31, 2020, with 
     respect to COVID-19, including any renewal of the 
     declaration.
       `` `(b) Grants to Support Culturally Specific 
     Populations.--
       `` `(1) In general.--In addition to amounts otherwise made 
     available, there is appropriated, out of any amounts in the 
     Treasury not otherwise appropriated, to the Secretary of 
     Health and Human Services (in this section referred to as the 
     ``Secretary''), $49,500,000 for fiscal year 2021, to be 
     available until expended, to carry out this subsection 
     (excluding Federal administrative costs, for which funds are 
     appropriated under subsection (d)).
       `` `(2) Use of funds.--From amounts appropriated under 
     paragraph (1), the Secretary acting through the Director of 
     the Family Violence Prevention and Services Program, shall--
       `` `(A) support culturally specific community-based 
     organizations to provide culturally specific activities for 
     survivors of sexual assault and domestic violence, to address 
     emergent needs resulting from the COVID-19 public health 
     emergency and other public health concerns; and
       `` `(B) support culturally specific community-based 
     organizations that provide culturally specific activities to 
     promote strategic partnership development and collaboration 
     in responding to the impact of COVID-19 and other public 
     health concerns on survivors of sexual assault and domestic 
     violence.
       `` `(c) Grants to Support Survivors of Sexual Assault.--
       `` `(1) In general.--In addition to amounts otherwise made 
     available, there is appropriated, out of any amounts in the 
     Treasury not otherwise appropriated, to the Secretary, 
     $198,000,000 for fiscal year 2021, to be available until 
     expended, to carry out this subsection (excluding Federal 
     administrative costs, for which funds are appropriated under 
     subsection (d)).
       `` `(2) Use of funds.--From the amounts appropriated under 
     paragraph (1), the Secretary, acting through the Director of 
     the Family Violence Prevention and Services Program, shall 
     assist rape crisis centers in transitioning to virtual 
     services and meeting the emergency needs of survivors.
       `` `(d) Administrative Costs.--In addition to amounts 
     otherwise made available, there is appropriated to the 
     Secretary, out of any amounts in the Treasury not otherwise 
     appropriated, $2,500,000 for fiscal year 2021, to remain 
     available until expended, for the Federal administrative 
     costs of carrying out subsections (b) and (c).'.

     SEC. 2205. CHILD ABUSE PREVENTION AND TREATMENT.

       Section 301 of division BB of the Consolidated 
     Appropriations Act, 2021, as amended by this Act, is amended 
     by adding at the end the following new subsection:
       ``(h) Additional Funding for Child Abuse Prevention and 
     Treatment.--The Child Abuse Prevention and Treatment Act (42 
     U.S.C. 5101 et seq.) is amended by adding at the end the 
     following:

                   `` `TITLE III--ADDITIONAL FUNDING

     `` `SEC. 301. CHILD ABUSE PREVENTION AND TREATMENT.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary of Health and Human Services 
     for fiscal year 2021, out of any money in the Treasury not 
     otherwise appropriated, the following amounts, to remain 
     available through September 30, 2023:
       `` `(1) $250,000,000 for carrying out the program 
     authorized under section 201, which shall be allocated 
     without regard to section 204(4) and shall be allotted to 
     States in accordance with section 203, except that--
       `` `(A) in subsection (b)(1)(A) of section 203, ``70 
     percent'' shall be deemed to be ``100 percent''; and
       `` `(B) subsections (b)(1)(B) and (c) of section 203 shall 
     not apply; and
       `` `(2) $100,000,000 for carrying out the State grant 
     program authorized under section 106, which shall be 
     allocated without regard to section 112(a)(2).'.

     SEC. 2206. CORPORATION FOR NATIONAL AND COMMUNITY SERVICE AND 
                   THE NATIONAL SERVICE TRUST.

       Section 301 of division BB of the Consolidated 
     Appropriations Act, 2021, as amended by this Act, is amended 
     by adding at the end the following new subsection:
       ``(i) Corporation for national and community service and 
     the national service trust.--Title V of the National and 
     Community Service Act of 1990 is amended by inserting after 
     section 501 (42 U.S.C. 12681) the following:

     `` `SEC. 502. ADDITIONAL AMOUNTS.

       `` `(a) Corporation for National and Community Service.--In 
     addition to amounts otherwise made available, there is 
     appropriated for fiscal year 2021, out of any money in the 
     Treasury not otherwise appropriated, to the Corporation for 
     National and Community Service, $852,000,000, to remain 
     available through September 30, 2024, to carry out subsection 
     (b), except that amounts to carry out subsection (b)(7) shall 
     remain available until September 30, 2026.
       `` `(b) Allocation of Amounts.--Amounts provided by 
     subsection (a) shall be allocated as follows:
       `` `(1) Americorps state and national.--$620,000,000 shall 
     be used--
       `` `(A) to increase the living allowances of participants 
     in national service programs; and
       `` `(B) to make funding adjustments to existing (as of the 
     date of enactment of this section) awards and award new and 
     additional awards to entities to support programs described 
     in paragraphs (1)(B), (2)(B), (3)(B), (4)(B), and (5)(B) of 
     subsection (a), and subsection (b)(2), of section 122, 
     whether or not the entities are already grant recipients 
     under such provisions on the date of enactment of this Act, 
     and notwithstanding section 122(a)(1)(B)(vi), by--
       `` `(i) prioritizing entities serving communities 
     disproportionately impacted by COVID-19 and utilizing 
     culturally competent and multilingual strategies in the 
     provision of services; and
       `` `(ii) taking into account the diversity of communities 
     and participants served by such entities, including racial, 
     ethnic, socioeconomic, linguistic, or geographic diversity.
       `` `(2) State commissions.--$20,000,000 shall be used to 
     make adjustments to existing (as of the date of enactment of 
     this section) awards and new and additional awards, including 
     awards to State Commissions on National and Community 
     Service, under section 126(a).
       `` `(3) Volunteer generation fund.--$20,000,000 shall be 
     used for expenses authorized under section 501(a)(4)(F), 
     which, notwithstanding section 198P(d)(1)(B), shall be for 
     grants awarded by the Corporation for National and Community 
     Service on a competitive basis.
       `` `(4) Americorps vista.--$80,000,000 shall be used for 
     the purposes described in section 101 of the Domestic 
     Volunteer Service Act of 1973 (42 U.S.C. 4951), including to 
     increase the living allowances of volunteers, described in 
     section 105(b) of the Domestic Volunteer Service Act of 1973 
     (42 U.S.C. 4955(b)).
       `` `(5) National senior service corps.--$30,000,000 shall 
     be used for the purposes described in section 200 of the 
     Domestic Volunteer Service Act of 1973 (42 U.S.C. 5000).
       `` `(6) Administrative costs.--$73,000,000 shall be used 
     for the Corporation for National and Community Service for 
     administrative expenses to carry out programs and activities 
     funded by subsection (a).
       `` `(7) Office of inspector general.--$9,000,000 shall be 
     used for the Office of Inspector General of the Corporation 
     for National and Community Service for salaries and expenses 
     necessary for oversight and audit of programs and activities 
     funded by subsection (a).
       `` `(c) National Service Trust.--In addition to amounts 
     otherwise made available, there is appropriated for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $148,000,000, to remain available until 
     expended, for administration of the National Service Trust, 
     and for payment to the Trust for the provision of educational 
     awards pursuant to section 145(a)(1)(A).'.

                       Subtitle D--Public Health

     SEC. 2301. PUBLIC HEALTH.

       Section 301 of division BB of the Consolidated 
     Appropriations Act, 2021, as amended by this Act, is amended 
     by adding at the end the following new subsections:
       ``(j) Phsa.--Title II of the Public Health Service Act (42 
     U.S.C. 202 et seq.) is amended by adding at the end the 
     following:

                   `` `PART E--MISCELLANEOUS FUNDING

                `` `Subpart 1--Vaccines and Therapeutics

     `` `SEC. 281A. FUNDING FOR COVID-19 VACCINE ACTIVITIES AT THE 
                   CENTERS FOR DISEASE CONTROL AND PREVENTION.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary of Health 
     and Human Services (in this part referred to as the 
     ``Secretary'') for fiscal year 2021, out of any money in the 
     Treasury not otherwise appropriated, $7,500,000,000, to 
     remain available until expended, to carry out activities to 
     plan, prepare for, promote, distribute, administer, monitor, 
     and track COVID-19 vaccines.
       `` `(b) Use of Funds.--The Secretary, acting through the 
     Director of the Centers for Disease Control and Prevention, 
     and in consultation with other agencies, as applicable, 
     shall, in conducting activities referred to in subsection 
     (a)--
       `` `(1) conduct activities to enhance, expand, and improve 
     nationwide COVID-19 vaccine distribution and administration, 
     including activities related to distribution of ancillary 
     medical products and supplies related to vaccines; and
       `` `(2) provide technical assistance, guidance, and support 
     to, and award grants or cooperative agreements to, State, 
     local, Tribal, and territorial public health departments for 
     enhancement of COVID-19 vaccine distribution and 
     administration capabilities, including--

[[Page S1297]]

       `` `(A) the distribution and administration of vaccines 
     licensed under section 351 or authorized under section 564 of 
     the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-3) 
     and ancillary medical products and supplies related to 
     vaccines;
       `` `(B) the establishment and expansion, including staffing 
     support, of community vaccination centers, particularly in 
     underserved areas;
       `` `(C) the deployment of mobile vaccination units, 
     particularly in underserved areas;
       `` `(D) information technology, standards-based data, and 
     reporting enhancements, including improvements necessary to 
     support standards-based sharing of data related to vaccine 
     distribution and vaccinations and systems that enhance 
     vaccine safety, effectiveness, and uptake, particularly among 
     underserved populations;
       `` `(E) facilities enhancements;
       `` `(F) communication with the public regarding when, 
     where, and how to receive COVID-19 vaccines; and
       `` `(G) transportation of individuals to facilitate 
     vaccinations, including at community vaccination centers and 
     mobile vaccination units, particularly for underserved 
     populations.
       `` `(c) Supplemental Funding for State Vaccination 
     Grants.--
       `` `(1) Definitions.--In this subsection:
       `` `(A) Base formula.--The term ``base formula'' means the 
     allocation formula that applied to the Public Health 
     Emergency Preparedness cooperative agreement in fiscal year 
     2020.
       `` `(B) Alternative allocation.--The term ``alternative 
     allocation'' means an allocation to each State, territory, or 
     locality calculated using the percentage derived from the 
     allocation received by such State, territory, or locality of 
     the aggregate amount of fiscal year 2020 Public Health 
     Emergency Preparedness cooperative agreement awards under 
     section 319C-1 of the Public Health Service Act (42 U.S.C. 
     247d-3a).
       `` `(2) Supplemental funding.--
       `` `(A) In general.--Not later than 21 days after the date 
     of enactment of this Act, the Secretary shall use amounts 
     described in subsection (a) to provide supplemental funding 
     to any State, locality, or territory that received less of 
     the amounts that were appropriated under title III of 
     division M of Public Law 116-260 for vaccination grants to be 
     issued by the Centers for Disease Control and Prevention than 
     such State, locality, or territory would have received had 
     such amounts been allocated using the alternative allocation.
       `` `(B) Amount.--The amount of supplemental funding 
     provided under this subsection shall be equal to the 
     difference between--
       `` `(i) the amount the State, locality, or territory 
     received, or would receive, under the base formula; and
       `` `(ii) the amount the State, locality, or territory would 
     receive under the alternative allocation.

     `` `SEC. 281B. FUNDING FOR VACCINE CONFIDENCE ACTIVITIES.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $1,000,000,000, to remain available until expended, to carry 
     out activities, acting through the Director of the Centers 
     for Disease Control and Prevention--
       `` `(1) to strengthen vaccine confidence in the United 
     States, including its territories and possessions;
       `` `(2) to provide further information and education with 
     respect to vaccines licensed under section 351 or authorized 
     under section 564 of the Federal Food, Drug, and Cosmetic Act 
     (21 U.S.C. 360bbb-3); and
       `` `(3) to improve rates of vaccination throughout the 
     United States, including its territories and possessions, 
     including through activities described in section 313, as 
     amended by section 311 of division BB of the Consolidated 
     Appropriations Act, 2021 (Public Law 116-260).

     `` `SEC. 281C. FUNDING FOR SUPPLY CHAIN FOR COVID-19 
                   VACCINES, THERAPEUTICS, AND MEDICAL SUPPLIES.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $6,050,000,000, to remain available until expended, for 
     necessary expenses with respect to research, development, 
     manufacturing, production, and the purchase of vaccines, 
     therapeutics, and ancillary medical products and supplies to 
     prevent, prepare, or respond to--
       `` `(1) SARS-CoV-2 or any viral variant mutating therefrom 
     with pandemic potential; and
       `` `(2) COVID-19 or any disease with potential for creating 
     a pandemic.

     `` `SEC. 281D. FUNDING FOR COVID-19 VACCINE, THERAPEUTIC, AND 
                   DEVICE ACTIVITIES AT THE FOOD AND DRUG 
                   ADMINISTRATION.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $500,000,000, to remain available until expended, to be used 
     for the evaluation of the continued performance, safety, and 
     effectiveness, including with respect to emerging COVID-19 
     variants, of vaccines, therapeutics, and diagnostics 
     approved, cleared, licensed, or authorized for use for the 
     treatment, prevention, or diagnosis of COVID-19; facilitation 
     of advanced continuous manufacturing activities related to 
     production of vaccines and related materials; facilitation 
     and conduct of inspections related to the manufacturing of 
     vaccines, therapeutics, and devices delayed or cancelled for 
     reasons related to COVID-19; review of devices authorized for 
     use for the treatment, prevention, or diagnosis of COVID-19; 
     and oversight of the supply chain and mitigation of shortages 
     of vaccines, therapeutics, and devices approved, cleared, 
     licensed, or authorized for use for the treatment, 
     prevention, or diagnosis of COVID-19 by the Food and Drug 
     Administration.

                         `` `Subpart 2--Testing

     `` `SEC. 282A. FUNDING FOR COVID-19 TESTING, CONTRACT 
                   TRACING, AND MITIGATION ACTIVITIES.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $47,800,000,000, to remain available until 
     expended, to carry out activities to detect, diagnose, trace, 
     and monitor SARS-CoV-2 and COVID-19 infections and related 
     strategies to mitigate the spread of COVID-19.
       `` `(b) Use of Funds.--From amounts appropriated by 
     subsection (a), the Secretary shall--
       `` `(1) implement a national, evidence-based strategy for 
     testing, contact tracing, surveillance, and mitigation with 
     respect to SARS-CoV-2 and COVID-19, including through 
     activities authorized under section 319(a);
       `` `(2) provide technical assistance, guidance, and 
     support, and award grants or cooperative agreements to State, 
     local, and territorial public health departments for 
     activities to detect, diagnose, trace, and monitor SARS-CoV-2 
     and COVID-19 infections and related strategies and activities 
     to mitigate the spread of COVID-19;
       `` `(3) support the development, manufacturing, 
     procurement, distribution, and administration of tests to 
     detect or diagnose SARS-CoV-2 and COVID-19, including 
     through--
       `` `(A) support for the development, manufacture, 
     procurement, and distribution of supplies necessary for 
     administering tests, such as personal protective equipment; 
     and
       `` `(B) support for the acquisition, construction, 
     alteration, or renovation of non-Federally owned facilities 
     for the production of diagnostics and ancillary medical 
     products and supplies where the Secretary determines that 
     such an investment is necessary to ensure the production of 
     sufficient amounts of such supplies;
       `` `(4) establish and expand Federal, State, local, and 
     territorial testing and contact tracing capabilities, 
     including--
       `` `(A) ``through investments in laboratory capacity, such 
     as--
       `` `(i) academic and research laboratories, or other 
     laboratories that could be used for processing of COVID-19 
     testing;
       `` `(ii) community-based testing sites and community-based 
     organizations; or
       `` `(iii) mobile health units, particularly in medically 
     underserved areas; and
       `` `(B) with respect to quarantine and isolation of 
     contacts;
       `` `(5) enhance information technology, data modernization, 
     and reporting, including improvements necessary to support 
     sharing of data related to public health capabilities;
       `` `(6) award grants to, or enter into cooperative 
     agreements or contracts with, State, local, and territorial 
     public health departments to establish, expand, and sustain a 
     public health workforce; and
       `` `(7) to cover administrative and program support costs 
     necessary to conduct activities related to subparagraph (a).

     `` `SEC. 282B. FUNDING FOR SARS-COV-2 GENOMIC SEQUENCING AND 
                   SURVEILLANCE.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021 out of any money in the Treasury not otherwise 
     appropriated, $1,750,000,000, to remain available until 
     expended, to strengthen and expand activities and workforce 
     related to genomic sequencing, analytics, and disease 
     surveillance.
       `` `(b) Use of Funds.--From amounts appropriated by 
     subsection (a), the Secretary, acting through the Director of 
     the Centers for Disease Control and Prevention, shall--
       `` `(1) conduct, expand, and improve activities to sequence 
     genomes, identify mutations, and survey the circulation and 
     transmission of viruses and other organisms, including 
     strains of SARS-CoV-2;
       `` `(2) award grants or cooperative agreements to State, 
     local, Tribal, or territorial public health departments or 
     public health laboratories--
       `` `(A) to increase their capacity to sequence genomes of 
     circulating strains of viruses and other organisms, including 
     SARS-CoV-2;
       `` `(B) to identify mutations in viruses and other 
     organisms, including SARS-CoV-2;
       `` `(C) to use genomic sequencing to identify outbreaks and 
     clusters of diseases or infections, including COVID-19; and
       `` `(D) to develop effective disease response strategies 
     based on genomic sequencing and surveillance data;
       `` `(3) enhance and expand the informatics capabilities of 
     the public health workforce; and
       `` `(4) award grants for the construction, alteration, or 
     renovation of facilities to improve genomic sequencing and 
     surveillance capabilities at the State and local level.

[[Page S1298]]

  


     `` `SEC. 282C. FUNDING FOR GLOBAL HEALTH.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any amounts in the Treasury not otherwise appropriated, 
     $750,000,000, to remain available until expended, for 
     activities to be conducted acting through the Director of the 
     Centers for Disease Control and Prevention to combat SARS-
     CoV- 2, COVID-19, and other emerging infectious disease 
     threats globally, including efforts related to global health 
     security, global disease detection and response, global 
     health protection, global immunization, and global 
     coordination on public health.

     `` `SEC. 282D. FUNDING FOR DATA MODERNIZATION AND FORECASTING 
                   CENTER.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $500,000,000, to remain available until expended, for 
     activities to be conducted acting through the Director of the 
     Centers for Disease Control and Prevention to support public 
     health data surveillance and analytics infrastructure 
     modernization initiatives at the Centers for Disease Control 
     and Prevention, and establish, expand, and maintain efforts 
     to modernize the United States disease warning system to 
     forecast and track hotspots for COVID-19, its variants, and 
     emerging biological threats, including academic and workforce 
     support for analytics and informatics infrastructure and data 
     collection systems.

                 `` `Subpart 3--Public Health Workforce

     `` `SEC. 283A. FUNDING FOR PUBLIC HEALTH WORKFORCE.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $7,660,000,000, to remain available until 
     expended, to carry out activities related to establishing, 
     expanding, and sustaining a public health workforce, 
     including by making awards to State, local, and territorial 
     public health departments.
       `` `(b) Use of Funds for Public Health Departments.--
     Amounts made available to an awardee pursuant to subsection 
     (a) shall be used for the following:
       `` `(1) Costs, including wages and benefits, related to the 
     recruiting, hiring, and training of individuals--
       `` `(A) to serve as case investigators, contact tracers, 
     social support specialists, community health workers, public 
     health nurses, disease intervention specialists, 
     epidemiologists, program managers, laboratory personnel, 
     informaticians, communication and policy experts, and any 
     other positions as may be required to prevent, prepare for, 
     and respond to COVID-19; and
       `` `(B) who are employed by--
       `` `(i) the State, territorial, or local public health 
     department involved; or
       `` `(ii) a nonprofit private or public organization with 
     demonstrated expertise in implementing public health programs 
     and established relationships with such State, territorial, 
     or local public health departments, particularly in medically 
     underserved areas.
       `` `(2) Personal protective equipment, data management and 
     other technology, or other necessary supplies.
       `` `(3) Administrative costs and activities necessary for 
     awardees to implement activities funded under this section.
       `` `(4) Subawards from recipients of awards under 
     subsection (a) to local health departments for the purposes 
     of the activities funded under this section.

     `` `SEC. 283B. FUNDING FOR MEDICAL RESERVE CORPS.

       `` ` In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $100,000,000, to remain available until expended, for 
     carrying out section 2813.

                `` `Subpart 4--Public Health Investments

     `` `SEC. 284A. FUNDING FOR COMMUNITY HEALTH CENTERS AND 
                   COMMUNITY CARE.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $7,600,000,000, to remain available until 
     expended, for necessary expenses for awarding grants and 
     cooperative agreements under section 330 to be awarded 
     without regard to the time limitation in subsection (e)(3) 
     and subsections (e)(6)(A)(iii), (e)(6)(B)(iii), and (r)(2)(B) 
     of such section 330, and for necessary expenses for awarding 
     grants to Federally qualified health centers, as described in 
     section 1861(aa)(4)(B) of the Social Security Act (42 
     U.S.C.1395x(aa)(4)(B)), and for awarding grants or contracts 
     to Papa Ola Lokahi and to qualified entities under sections 4 
     and 6 of the Native Hawaiian Health Care Improvement Act (42 
     U.S.C. 11703, 11705). Of the total amount appropriated by the 
     preceding sentence, not less than $20,000,000 shall be for 
     grants or contracts to Papa Ola Lokahi and to qualified 
     entities under sections 4 and 6 of the Native Hawaiian Health 
     Care Improvement Act (42 U.S.C. 11703, 11705).
       `` `(b) Use of Funds.--Amounts made available to an awardee 
     pursuant to subsection (a) shall be used--
       `` `(1) to plan, prepare for, promote, distribute, 
     administer, and track COVID-19 vaccines, and to carry out 
     other vaccine-related activities;
       `` `(2) to detect, diagnose, trace, and monitor COVID-19 
     infections and related activities necessary to mitigate the 
     spread of COVID-19, including activities related to, and 
     equipment or supplies purchased for, testing, contact 
     tracing, surveillance, mitigation, and treatment of COVID-19;
       `` `(3) to purchase equipment and supplies to conduct 
     mobile testing or vaccinations for COVID-19, to purchase and 
     maintain mobile vehicles and equipment to conduct such 
     testing or vaccinations, and to hire and train laboratory 
     personnel and other staff to conduct such mobile testing or 
     vaccinations, particularly in medically underserved areas;
       `` `(4) to establish, expand, and sustain the health care 
     workforce to prevent, prepare for, and respond to COVID-19, 
     and to carry out other health workforce-related activities;
       `` `(5) to modify, enhance, and expand health care services 
     and infrastructure; and
       `` `(6) to conduct community outreach and education 
     activities related to COVID-19.
       `` `(c) Past Expenditures.--An awardee may use amounts 
     awarded pursuant to subsection (a) to cover the costs of the 
     awardee carrying out any of the activities described in 
     subsection (b) during the period beginning on the date of the 
     declaration of a public health emergency by the Secretary 
     under section 319 on January 31, 2020, with respect to COVID-
     19 and ending on the date of such award.

     `` `SEC. 284B. FUNDING FOR NATIONAL HEALTH SERVICE CORPS.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $800,000,000, to remain available until 
     expended, for carrying out sections 338A, 338B, and 338I with 
     respect to the health workforce.
       `` `(b) Student Loan Repayment Programs.--
       `` `(1) In general.--Of the amount made available pursuant 
     to subsection (a), $100,000,000 shall be made available for 
     providing primary health services through grants to States 
     under section 338I(a).
       `` `(2) Conditions.--With respect to grants described in 
     paragraph (1) using funds made available under such 
     paragraph:
       `` `(A) Section 338I(b) shall not apply.
       `` `(B) Notwithstanding section 338I(d)(2), not more than 
     10 percent of an award to a State from such amounts, may be 
     used by the State for costs of administering the State loan 
     repayment program.

     `` `SEC. 284C. FUNDING FOR NURSE CORPS.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $200,000,000, to remain available until expended, for 
     carrying out section 846.

     `` `SEC. 284D. FUNDING FOR TEACHING HEALTH CENTERS THAT 
                   OPERATE GRADUATE MEDICAL EDUCATION.

       `` `(a) In General.--In addition to amounts otherwise 
     available, and notwithstanding the capped amount referenced 
     in sections 340H(b)(2) and 340H(d)(2), there is appropriated 
     to the Secretary for fiscal year 2021, out of any money in 
     the Treasury not otherwise appropriated, $330,000,000, to 
     remain available until September 30, 2023, for the program of 
     payments to teaching health centers that operate graduate 
     medical education under section 340H and for teaching health 
     center development grants authorized under section 749A.
       `` `(b) Use of Funds.--Amounts made available pursuant to 
     subsection (a) shall be used for the following activities:
       `` `(1) For making payments to establish new approved 
     graduate medical residency training programs pursuant to 
     section 340H(a)(1)(C).
       `` `(2) To provide an increase to the per resident amount 
     described in section 340H(a)(2) of $10,000.
       `` `(3) For making payments under section 340H(a)(1)(A) to 
     qualified teaching health centers for maintenance of filled 
     positions at existing approved graduate medical residency 
     training programs.
       `` `(4) For making payments under section 340H(a)(1)(B) for 
     the expansion of existing approved graduate medical residency 
     training programs.
       `` `(5) For making awards under section 749A to teaching 
     health centers for the purpose of establishing new accredited 
     or expanded primary care residency programs.
       `` `(6) To cover administrative costs and activities 
     necessary for qualified teaching health centers receiving 
     payments under section 340H to carry out activities under 
     such section.

     `` `SEC. 284E. FUNDING FOR FAMILY PLANNING.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $50,000,000, to remain available until expended, for 
     necessary expenses for making grants and contracts under 
     section 1001.

          `` `PART F--MENTAL HEALTH AND SUBSTANCE USE DISORDER

     `` `SEC. 286A. FUNDING FOR BLOCK GRANTS FOR COMMUNITY MENTAL 
                   HEALTH SERVICES.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary of Health and Human Services 
     (in this part referred to as the ``Secretary'') for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $1,500,000,000, to remain available until 
     expended, for carrying out subpart I of part B of title XIX, 
     subpart III of part B of title XIX, and section 505(c) with 
     respect to mental health. Notwithstanding section 1952, any 
     amount

[[Page S1299]]

     awarded to a State out of amounts appropriated by this 
     section shall be expended by the State by September 30, 2025.

     `` `SEC. 286B. FUNDING FOR BLOCK GRANTS FOR PREVENTION AND 
                   TREATMENT OF SUBSTANCE ABUSE.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $1,500,000,000, to remain available until expended, for 
     carrying out subpart II of part B of title XIX, subpart III 
     of part B of title XIX, section 505(d) with respect to 
     substance abuse, and section 515(d). Notwithstanding section 
     1952, any amount awarded to a State out of amounts 
     appropriated by this section shall be expended by the State 
     by September 30, 2025.

     `` `SEC. 286C. FUNDING FOR MENTAL HEALTH AND SUBSTANCE USE 
                   DISORDER TRAINING FOR HEALTH CARE 
                   PROFESSIONALS, PARAPROFESSIONALS, AND PUBLIC 
                   SAFETY OFFICERS.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $80,000,000, to remain available until 
     expended, for the purpose described in subsection (b).
       `` `(b) Use of Funding.--The Secretary, acting through the 
     Administrator of the Health Resources and Services 
     Administration, shall, taking into consideration the needs of 
     rural and medically underserved communities, use amounts 
     appropriated by subsection (a) to award grants or contracts 
     to health professions schools, academic health centers, State 
     or local governments, Indian Tribes and Tribal organizations, 
     or other appropriate public or private nonprofit entities (or 
     consortia of entities, including entities promoting 
     multidisciplinary approaches), to plan, develop, operate, or 
     participate in health professions and nursing training 
     activities for health care students, residents, 
     professionals, paraprofessionals, trainees, and public safety 
     officers, and employers of such individuals, in evidence-
     informed strategies for reducing and addressing suicide, 
     burnout, mental health conditions, and substance use 
     disorders among health care professionals.

     `` `SEC. 286D. FUNDING FOR EDUCATION AND AWARENESS CAMPAIGN 
                   ENCOURAGING HEALTHY WORK CONDITIONS AND USE OF 
                   MENTAL HEALTH AND SUBSTANCE USE DISORDER 
                   SERVICES BY HEALTH CARE PROFESSIONALS.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $20,000,000, to remain available until 
     expended, for the purpose described in subsection (b).
       `` `(b) Use of Funds.--The Secretary, acting through the 
     Director of the Centers for Disease Control and Prevention 
     and in consultation with the medical professional community, 
     shall use amounts appropriated by subsection (a) to carry out 
     a national evidence-based education and awareness campaign 
     directed at health care professionals and first responders 
     (such as emergency medical service providers), and employers 
     of such professionals and first responders. Such awareness 
     campaign shall--
       `` `(1) encourage primary prevention of mental health 
     conditions and substance use disorders and secondary and 
     tertiary prevention by encouraging health care professionals 
     to seek support and treatment for their own mental health and 
     substance use concerns; and
       `` `(2) help such professionals to identify risk factors in 
     themselves and others and respond to such risks.

     `` `SEC. 286E. FUNDING FOR GRANTS FOR HEALTH CARE PROVIDERS 
                   TO PROMOTE MENTAL HEALTH AMONG THEIR HEALTH 
                   PROFESSIONAL WORKFORCE.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $40,000,000, to remain available until 
     expended, for the purpose described in subsection (b).
       `` `(b) Use of Funds.--The Secretary, acting through the 
     Administrator of the Health Resources and Services 
     Administration, shall, taking into consideration the needs of 
     rural and medically underserved communities, use amounts 
     appropriated by subsection (a) to award grants or contracts 
     to entities providing health care, including health care 
     providers associations and Federally qualified health 
     centers, to establish, enhance, or expand evidence-informed 
     programs or protocols to promote mental health among their 
     providers, other personnel, and members.

     `` `SEC. 286F. FUNDING FOR COMMUNITY-BASED FUNDING FOR LOCAL 
                   SUBSTANCE USE DISORDER SERVICES.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $30,000,000, to remain available until 
     expended, to carry out the purpose described in subsection 
     (b).
       `` `(b) Use of Funds.--
       `` `(1) In general.--The Secretary, acting through the 
     Assistant Secretary for Mental Health and Substance Use and 
     in consultation with the Director of the Centers for Disease 
     Control and Prevention, shall award grants to support States; 
     local, Tribal, and territorial governments; Tribal 
     organizations; nonprofit community-based organizations; and 
     primary and behavioral health organizations to support 
     community-based overdose prevention programs, syringe 
     services programs, and other harm reduction services.
       `` `(2) Use of funds.--Grant funds awarded under this 
     section to eligible entities shall be used for preventing and 
     controlling the spread of infectious diseases and the 
     consequences of such diseases for individuals with substance 
     use disorder, distributing opioid overdose reversal 
     medication to individuals at risk of overdose, connecting 
     individuals at risk for, or with, a substance use disorder to 
     overdose education, counseling, and health education, and 
     encouraging such individuals to take steps to reduce the 
     negative personal and public health impacts of substance use 
     or misuse.

     `` `SEC. 286G. FUNDING FOR COMMUNITY-BASED FUNDING FOR LOCAL 
                   BEHAVIORAL HEALTH NEEDS.

       `` `(a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $50,000,000, to remain available until 
     expended, to carry out the purpose described in subsection 
     (b).
       `` `(b) Use of Funds.--
       `` `(1) In general.--The Secretary, acting through the 
     Assistant Secretary for Mental Health and Substance Use, 
     shall award grants to State, local, Tribal, and territorial 
     governments, Tribal organizations, nonprofit community-based 
     entities, and primary care and behavioral health 
     organizations to address increased community behavioral 
     health needs worsened by the COVID-19 public health 
     emergency.
       `` `(2) Use of grant funds.--Grant funds awarded under this 
     section to eligible entities shall be used for promoting care 
     coordination among local entities; training the mental and 
     behavioral health workforce, relevant stakeholders, and 
     community members; expanding evidence-based integrated models 
     of care; addressing surge capacity for mental and behavioral 
     health needs; providing mental and behavioral health services 
     to individuals with mental health needs (including co-
     occurring substance use disorders) as delivered by behavioral 
     and mental health professionals utilizing telehealth 
     services; and supporting, enhancing, or expanding mental and 
     behavioral health preventive and crisis intervention 
     services.

     `` `SEC. 286H. FUNDING FOR THE NATIONAL CHILD TRAUMATIC 
                   STRESS NETWORK.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $10,000,000, to remain available until expended, for carrying 
     out section 582 with respect to addressing the problem of 
     high-risk or medically underserved persons who experience 
     violence-related stress.

     `` `SEC. 286I. FUNDING FOR PROJECT AWARE.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $30,000,000, to remain available until expended, for carrying 
     out section 520A with respect to advancing wellness and 
     resiliency in education.

     `` `SEC. 286J. FUNDING FOR YOUTH SUICIDE PREVENTION.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $20,000,000, to remain available until expended, for carrying 
     out sections 520E and 520E-2.

     `` `SEC. 286K. FUNDING FOR BEHAVIORAL HEALTH WORKFORCE 
                   EDUCATION AND TRAINING.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $100,000,000, to remain available until expended, for 
     carrying out section 756.

     `` `SEC. 286L. FUNDING FOR PEDIATRIC MENTAL HEALTH CARE 
                   ACCESS.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary for fiscal year 2021, out of 
     any money in the Treasury not otherwise appropriated, 
     $80,000,000, to remain available until expended, for carrying 
     out section 330M of the Public Health Service Act (42 U.S.C. 
     254c-19).

     `` `SEC. 286M. FUNDING FOR EXPANSION GRANTS FOR CERTIFIED 
                   COMMUNITY BEHAVIORAL HEALTH CLINICS.

       `` `In addition to amounts otherwise available, there is 
     appropriated to the Secretary, acting through the Assistant 
     Secretary for Mental Health and Substance Use, for fiscal 
     year 2021, out of any money in the Treasury not otherwise 
     appropriated, $420,000,000, to remain available until 
     expended, for grants to communities and community 
     organizations that meet the criteria for Certified Community 
     Behavioral Health Clinics pursuant to section 223(a) of the 
     Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a 
     note). '.

                    Subtitle E--Reduced Cost Sharing

     SEC. 2401. REDUCED COST-SHARING.

       (a) In General.--Section 1402 of the Patient Protection and 
     Affordable Care Act is amended by redesignating subsection 
     (f) as subsection (g) and by inserting after subsection (e) 
     the following new subsection:
       ``(f) Special Rule for Individuals Who Receive Unemployment 
     Compensation During 2021.--For purposes of this section, in 
     the

[[Page S1300]]

     case of an individual who has received, or has been approved 
     to receive, unemployment compensation for any week beginning 
     during 2021, for the plan year in which such week begins--
       ``(1) such individual shall be treated as meeting the 
     requirements of subsection (b)(2), and
       ``(2) for purposes of subsections (c) and (d), there shall 
     not be taken into account any household income of the 
     individual in excess of 133 percent of the poverty line for a 
     family of the size involved.''.
       (b) Effective Date.--The amendment made by this section 
     shall apply to plan years beginning after December 31, 2020.
                                 ______