[Congressional Record Volume 167, Number 42 (Friday, March 5, 2021)]
[Senate]
[Pages S1325-S1333]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 1151. Ms. COLLINS (for herself, Mr. Portman, Mr. Cassidy, Mrs. 
Capito, Mr. Romney, Ms. Murkowski, Mr. Rounds, Mr. Young, Mr. Tillis, 
and Mr. Crapo) submitted an amendment intended to be proposed 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:

       In lieu of the matter proposed to be inserted, insert the 
     following:

     SEC. 2. TABLE OF CONTENTS.

       The table of contents for this Act is as follows:

Sec. 2. Table of contents.

       TITLE I--COMMITTEE ON AGRICULTURE, NUTRITION, AND FORESTRY

Sec. 1001. Supplemental nutrition assistance program.
Sec. 1002. Additional assistance for SNAP online purchasing and 
              technology improvements.
Sec. 1003. Additional funding for nutrition assistance programs.
Sec. 1004. Commodity supplemental food program.
Sec. 1005. Improvements to WIC benefits.
Sec. 1006. WIC program modernization.
Sec. 1007. Meals and supplements reimbursements for individuals who 
              have not attained the age of 25.
Sec. 1008. Pandemic EBT program.

[[Page S1326]]

       TITLE II--COMMITTEE ON BANKING, HOUSING, AND URBAN AFFAIRS

Sec. 2001. COVID-19 emergency medical supplies enhancement.

                    TITLE III--COMMITTEE ON FINANCE

         Subtitle A--Funding for Providers Relating to COVID-19

Sec. 3001. Funding for providers relating to COVID-19.

                  Subtitle B--Unemployment Provisions

Sec. 3101. Extension of Federal Pandemic Unemployment Compensation.
Sec. 3102. Funding for fraud prevention, equitable access, and timely 
              payment to eligible workers.

              Subtitle C--Recovery Rebates to Individuals

Sec. 3201. 2021 recovery rebates to individuals.

     TITLE IV--COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS

                          Subtitle A--Vaccines

Sec. 4001. Funding for COVID-19 vaccine activities at the Centers for 
              Disease Control and Prevention.
Sec. 4002. Funding for vaccine confidence activities.
Sec. 4003. Funding for supply chain for COVID-19 vaccines, 
              therapeutics, and medical supplies.
Sec. 4004. Funding for COVID-19 vaccine, therapeutic, and device 
              activities at the Food and Drug Administration.

                          Subtitle B--Testing

Sec. 4101. Funding for COVID-19 testing, contact tracing, and 
              mitigation activities.
Sec. 4102. Funding for SARS-CoV-2 genomic sequencing and surveillance.
Sec. 4103. Funding for data modernization and forecasting center.

                Subtitle C--Strategic National Stockpile

Sec. 4201. Funding for the Strategic National Stockpile.

         Subtitle D--Mental Health and Substance Abuse Disorder

Sec. 4301. Funding for block grants for community mental health 
              services.
Sec. 4302. Funding for block grants for prevention and treatment of 
              substance abuse.
Sec. 4303. Funding for mental health and substance use disorder 
              training for health care professionals, 
              paraprofessionals, and public safety officers.
Sec. 4304. Funding for education and awareness campaign encouraging 
              healthy work conditions and use of mental health and 
              substance use disorder services by health care 
              professionals.
Sec. 4305. Funding for grants for health care providers to promote 
              mental health among their health professional workforce.
Sec. 4306. Funding for community-based local substance use disorder 
              services.
Sec. 4307. Funding for suicide prevention.
Sec. 4308. Funding for the National Child Traumatic Stress Network.
Sec. 4309. Funding for Project AWARE.
Sec. 4310. Funding for youth suicide prevention.
Sec. 4311. Funding for behavioral health workforce education and 
              training.
Sec. 4312. Funding for pediatric mental health care access.
Sec. 4313. Funding for expansion grants for certified community 
              behavioral health clinics.

                          Subtitle E--Schools

Sec. 4401. Elementary and secondary school emergency relief fund.
Sec. 4402. Emergency assistance to non-public schools.

                         Subtitle F--Child Care

Sec. 4501. Child Care and Development Block Grant Program.

              Subtitle G--Restrictions on the Use of Funds

Sec. 4701. Application of provisions.

    TITLE V--COMMITTEE ON HOMELAND SECURITY AND GOVERNMENTAL AFFAIRS

Sec. 5001. Federal Emergency Management Agency appropriation.
Sec. 5002. Small Provider Medical Supplies Fund.

       TITLE VI--COMMITTEE ON SMALL BUSINESS AND ENTREPRENEURSHIP

Sec. 6001. Additional appropriations for paycheck protection program, 
              second draw, and economic injury disaster loans.

       TITLE I--COMMITTEE ON AGRICULTURE, NUTRITION, AND FORESTRY

     SEC. 1001. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM.

       (a) Value of Benefits.--Section 702(a) of division N of the 
     Consolidated Appropriations Act, 2021 (Public Law 116-260) is 
     amended by striking ``June 30, 2021'' and inserting 
     ``September 30, 2021''.
       (b) SNAP Administrative Expenses.--In addition to amounts 
     otherwise available, there is hereby appropriated for fiscal 
     year 2021, out of any amounts in the Treasury not otherwise 
     appropriated, $1,150,000,000, to remain available until 
     September 30, 2023, with amounts to be obligated for each of 
     fiscal years 2021, 2022, and 2023, for the costs of State 
     administrative expenses associated with carrying out this 
     section and administering the supplemental nutrition 
     assistance program established under the Food and Nutrition 
     Act of 2008 (7 U.S.C. 2011 et seq.), of which--
       (1) $15,000,000 shall be for necessary expenses of the 
     Secretary of Agriculture (in this section referred to as the 
     ``Secretary'') for management and oversight of the program; 
     and
       (2) $1,135,000,000 shall be for the Secretary to make 
     grants to each State agency for each of fiscal years 2021 
     through 2023 as follows:
       (A) 75 percent of the amounts available shall be allocated 
     to States based on the share of each State of households that 
     participate in the supplemental nutrition assistance program 
     as reported to the Department of Agriculture for the most 
     recent 12-month period for which data are available, adjusted 
     by the Secretary (as of the date of the enactment of this 
     Act) for participation in disaster programs under section 
     5(h) of the Food and Nutrition Act of 2008 (7 U.S.C. 
     2014(h)); and
       (B) 25 percent of the amounts available shall be allocated 
     to States based on the increase in the number of households 
     that participate in the supplemental nutrition assistance 
     program as reported to the Department of Agriculture over the 
     most recent 12-month period for which data are available, 
     adjusted by the Secretary (as of the date of the enactment of 
     this Act) for participation in disaster programs under 
     section 5(h) of the Food and Nutrition Act of 2008 (7 U.S.C. 
     2014(h)).

     SEC. 1002. ADDITIONAL ASSISTANCE FOR SNAP ONLINE PURCHASING 
                   AND TECHNOLOGY IMPROVEMENTS.

       (a) Funding.--In addition to amounts otherwise made 
     available, there is appropriated for fiscal year 2021, out of 
     any amounts in the Treasury not otherwise appropriated, 
     $25,000,000 to remain available through September 30, 2026, 
     to carry out this section.
       (b) Use of Funds.--The Secretary of Agriculture may use the 
     amounts made available pursuant to subsection (a)--
       (1) to make technological improvements to improve online 
     purchasing in the supplemental nutrition assistance program 
     established under the Food and Nutrition Act of 2008 (7 
     U.S.C. 2011 et seq.);
       (2) to modernize electronic benefit transfer technology;
       (3) to support the mobile technologies demonstration 
     projects and the use of mobile technologies authorized under 
     section 7(h)(14) of the Food and Nutrition Act of 2008 (7 
     U.S.C. 2016(h)(14)); and
       (4) to provide technical assistance to educate retailers on 
     the process and technical requirements for the online 
     acceptance of the supplemental nutrition assistance program 
     benefits, for mobile payments, and for electronic benefit 
     transfer modernization initiatives.

     SEC. 1003. ADDITIONAL FUNDING FOR NUTRITION ASSISTANCE 
                   PROGRAMS.

       Section 704 of division N of the Consolidated 
     Appropriations Act, 2021 (Public Law 116-260) is amended--
       (1) by striking ``In addition'' and inserting the 
     following:
       ``(a) COVID-19 Response Funding.--In addition''; and
       (2) by adding at the end the following--
       ``(b) Additional Funding.--In addition to any other funds 
     made available, there is appropriated for fiscal year 2021, 
     out of any money in the Treasury not otherwise appropriated, 
     $1,000,000,000 to remain available until September 30, 2027, 
     for the Secretary of Agriculture to provide grants to the 
     Commonwealth of Northern Mariana Islands, Puerto Rico, and 
     American Samoa for nutrition assistance, of which $30,000,000 
     shall be available to provide grants to the Commonwealth of 
     Northern Mariana Islands for such assistance.''.

     SEC. 1004. COMMODITY SUPPLEMENTAL FOOD PROGRAM.

       In addition to amounts otherwise made available, there is 
     appropriated for fiscal year 2021, out of any money in the 
     Treasury not otherwise appropriated, $37,000,000, to remain 
     available until September 30, 2022, for activities authorized 
     by section 4(a) of the Agriculture and Consumer Protection 
     Act of 1973 (7 U.S.C. 612c note).

     SEC. 1005. IMPROVEMENTS TO WIC BENEFITS.

       (a) Definitions.--In this section:
       (1) Applicable period.--The term ``applicable period'' 
     means a period--
       (A) beginning after the date of enactment of this Act, as 
     selected by a State agency; and
       (B) ending not later than the earlier of--
       (i) 4 months after the date described in subparagraph (A); 
     or
       (ii) September 30, 2021.
       (2) Cash-value voucher.--The term ``cash-value voucher'' 
     has the meaning given the term in section 246.2 of title 7, 
     Code of Federal Regulations (as in effect on the date of the 
     enactment of this Act).
       (3) Program.--The term ``program'' means the special 
     supplemental nutrition program for women, infants, and 
     children established by section 17 of the Child Nutrition Act 
     of 1966 (42 U.S.C. 1786).
       (4) Qualified food package.--The term ``qualified food 
     package'' means each of the following food packages (as 
     defined in section 246.10(e) of title 7, Code of Federal 
     Regulations (as in effect on the date of the enactment of 
     this Act)):
       (A) Food package III-Participants with qualifying 
     conditions.

[[Page S1327]]

       (B) Food Package IV-Children 1 through 4 years.
       (C) Food Package V-Pregnant and partially (mostly) 
     breastfeeding women.
       (D) Food Package VI-Postpartum women.
       (E) Food Package VII-Fully breastfeeding.
       (5) Secretary.--The term ``Secretary'' means the Secretary 
     of Agriculture.
       (6) State agency.--The term ``State agency'' has the 
     meaning given the term in section 17(b) of the Child 
     Nutrition Act of 1966 (42 U.S.C. 1786(b)).
       (b) Authority to Increase Amount of Cash-value Voucher.--
     During 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 the Coronavirus Disease 2019 (COVID-19), and in 
     response to challenges relating to that public health 
     emergency, the Secretary may, in carrying out the program, 
     increase the amount of a cash-value voucher under a qualified 
     food package to an amount that is less than or equal to $35.
       (c) Application of Increased Amount of Cash-value Voucher 
     to State Agencies.--
       (1) Notification.--An increase to the amount of a cash-
     value voucher under subsection (b) shall apply to any State 
     agency that notifies the Secretary of--
       (A) the intent to use that increased amount, without 
     further application; and
       (B) the applicable period selected by the State agency 
     during which that increased amount shall apply.
       (2) Use of increased amount.--A State agency that makes a 
     notification to the Secretary under paragraph (1) shall use 
     the increased amount described in that paragraph--
       (A) during the applicable period described in that 
     notification; and
       (B) only during a single applicable period.
       (d) Sunset.--The authority of the Secretary under 
     subsection (b), and the authority of a State agency to 
     increase the amount of a cash-value voucher under subsection 
     (c), shall terminate on September 30, 2021.
       (e) Funding.--In addition to amounts otherwise made 
     available, there is appropriated to the Secretary, out of 
     funds in the Treasury not otherwise appropriated, 
     $490,000,000 to carry out this section, to remain available 
     until September 30, 2022.

     SEC. 1006. WIC PROGRAM MODERNIZATION.

       In addition to amounts otherwise available, there are 
     appropriated to the Secretary of Agriculture, out of amounts 
     in the Treasury not otherwise appropriated, $390,000,000 for 
     fiscal year 2021, to remain available until September 30, 
     2024, to carry out outreach, innovation, and program 
     modernization efforts, including appropriate waivers and 
     flexibility, to increase participation in and redemption of 
     benefits under programs established under section 17 of the 
     Child Nutrition Act of 1966 (7 U.S.C. 1431), except that such 
     waivers may not relate to the content of the WIC Food 
     Packages (as defined in section 246.10(e) of title 7, Code of 
     Federal Regulations (as in effect on the date of enactment of 
     this Act)), or the nondiscrimination requirements under 
     section 246.8 of title 7, Code of Federal Regulations (as in 
     effect on the date of enactment of this Act).

     SEC. 1007. MEALS AND SUPPLEMENTS REIMBURSEMENTS FOR 
                   INDIVIDUALS WHO HAVE NOT ATTAINED THE AGE OF 
                   25.

       (a) Program for At-risk School Children.--Beginning on the 
     date of enactment of this section, notwithstanding paragraph 
     (1)(A) of section 17(r) of the Richard B. Russell National 
     School Lunch Act (42 U.S.C. 1766(r)), during the COVID-19 
     public health emergency declared under section 319 of the 
     Public Health Service Act (42 U.S.C. 247d), the Secretary 
     shall reimburse institutions that are emergency shelters 
     under such section 17(r) (42 U.S.C. 1766(r)) for meals and 
     supplements served to individuals who, at the time of such 
     service--
       (1) have not attained the age of 25; and
       (2) are receiving assistance, including non-residential 
     assistance, from such emergency shelter.
       (b) Participation by Emergency Shelters.--Beginning on the 
     date of enactment of this section, notwithstanding paragraph 
     (5)(A) of section 17(t) of the Richard B. Russell National 
     School Lunch Act (42 U.S.C. 1766(t)), during the COVID-19 
     public health emergency declared under section 319 of the 
     Public Health Service Act (42 U.S.C. 247d), the Secretary 
     shall reimburse emergency shelters under such section 17(t) 
     (42 U.S.C. 1766(t)) for meals and supplements served to 
     individuals who, at the time of such service have not 
     attained the age of 25.
       (c) Definitions.--In this section:
       (1) Emergency shelter.--The term ``emergency shelter'' has 
     the meaning given the term under section 17(t)(1) of the 
     Richard B. Russell National School Lunch Act (42 U.S.C. 
     1766(t)(1)).
       (2) Secretary.--The term ``Secretary'' means the Secretary 
     of Agriculture.

     SEC. 1008. PANDEMIC EBT PROGRAM.

       Section 1101 of the Families First Coronavirus Response Act 
     (7 U.S.C. 2011 note; Public Law 116-127) is amended--
       (1) in subsection (a)--
       (A) by striking ``During fiscal years 2020 and 2021'' and 
     inserting ``In any school year in which there is a public 
     health emergency designation''; and
       (B) by inserting ``or in a covered summer period following 
     a school session'' after ``in session'';
       (2) in subsection (g), by striking ``During fiscal year 
     2020, the'' and inserting ``The'';
       (3) in subsection (h)(1)--
       (A) by inserting ``either'' after ``at least 1 child 
     enrolled in such a covered child care facility and''; and
       (B) by inserting ``or a Department of Agriculture grant-
     funded nutrition assistance program in the Commonwealth of 
     the Northern Mariana Islands, Puerto Rico, or American 
     Samoa'' before ``shall be eligible to receive assistance'';
       (4) by redesignating subsections (i) and (j) as subsections 
     (j) and (k), respectively;
       (5) by inserting after subsection (h) the following:
       ``(i) Emergencies During Summer.--The Secretary of 
     Agriculture may permit a State agency to extend a State 
     agency plan approved under subsection (b) for not more than 
     90 days for the purpose of operating the plan during a 
     covered summer period, during which time schools 
     participating in the school lunch program under the Richard 
     B. Russell National School Lunch Act or the school breakfast 
     program under section 4 of the Child Nutrition Act of 1966 
     (42 U.S.C. 1773 ) and covered child care facilities shall be 
     deemed closed for purposes of this section.'';
       (6) in subsection (j) (as so redesignated)--
       (A) by redesignating paragraphs (2) through (6) as 
     paragraphs (3) through (7), respectively;
       (B) by inserting after paragraph (1) the following:
       ``(2) Covered summer period.--The term `covered summer 
     period' means a summer period that follows a school year 
     during which there was a public health emergency 
     designation.''; and
       (C) in paragraph (5) (as so redesignated), by striking ``or 
     another coronavirus with pandemic potential''; and
       (7) in subsection (k) (as so redesignated), by inserting 
     ``Federal agencies,'' before ``State agencies''.

       TITLE II--COMMITTEE ON BANKING, HOUSING, AND URBAN AFFAIRS

     SEC. 2001. COVID-19 EMERGENCY MEDICAL SUPPLIES ENHANCEMENT.

       (a) Supporting Enhanced Use of the Defense Production Act 
     of 1950.--In addition to funds otherwise available, there is 
     appropriated, for fiscal year 2021, out of any money in the 
     Treasury not otherwise appropriated, $5,000,000,000, 
     notwithstanding section 304(e) of the Defense Production Act 
     of 1950 (50 U.S.C. 4534(e)), to remain available until 
     September 30, 2025, to carry out title III of such Act in 
     accordance with subsection (b).
       (b) Medical Supplies and Equipment.--Amounts appropriated 
     in subsection (a) shall be used for the purchase, production 
     (including the construction, repair, and retrofitting of 
     government-owned or private facilities as necessary), or 
     distribution of medical supplies and equipment (including 
     durable medical equipment) related to combating the COVID-19 
     pandemic, including--
       (1) in vitro diagnostic products for the detection of SARS-
     CoV-2 or the diagnosis of the virus that causes COVID-19, and 
     the reagents and other materials necessary for producing, 
     conducting, or administering such products, and the 
     machinery, equipment, laboratory capacity, or other 
     technology necessary to produce such products;
       (2) face masks and personal protective equipment, including 
     face shields, nitrile gloves, N-95 filtering facepiece 
     respirators, and any other masks or equipment (including 
     durable medical equipment) needed to respond to the COVID-19 
     pandemic, and the materials, machinery, additional 
     manufacturing lines or facilities, or other technology 
     necessary to produce such equipment; and
       (3) drugs, devices, and biological products that are 
     approved, cleared, licensed, or authorized for use in 
     treating or preventing COVID-19 and symptoms related to 
     COVID-19, and any materials, manufacturing machinery, 
     additional manufacturing or fill-finish lines or facilities, 
     technology, or equipment (including durable medical 
     equipment) necessary to produce or use such drugs, biological 
     products, or devices (including syringes, vials, or other 
     supplies or equipment related to delivery, distribution, or 
     administration).

                    TITLE III--COMMITTEE ON FINANCE

         Subtitle A--Funding for Providers Relating to COVID-19

     SEC. 3001. FUNDING FOR PROVIDERS RELATING TO COVID-19.

       Part A of title XI of the Social Security Act (42 U.S.C. 
     1301 et seq.) is amended by adding at the end the following:

     ``SEC. 1150C. FUNDING FOR PROVIDERS RELATING TO COVID-19.

       ``(a) Funding.--In addition to amounts otherwise available, 
     there is appropriated to the Secretary, for fiscal year 2021, 
     out of any monies in the Treasury not otherwise appropriated, 
     $35,00,000,000 for purposes of making payments to eligible 
     health care providers for health care related expenses and 
     lost revenues that are attributable to COVID-19. Amounts 
     appropriated under the preceding sentence shall remain 
     available until expended.
       ``(b) Special Rules.--
       ``(1) Parent organizations.--In the case of any payment 
     made under this section to an eligible health care provider, 
     but which is received by a parent organization of such 
     provider, such parent organization shall allocate all of such 
     payment to such provider.
       ``(2) Ensuring payment for providers in rural areas.--The 
     Secretary shall make not less than $8,500,000,000 of the 
     amounts appropriated under subsection (a) available for 
     eligible health care providers located in a rural area.

[[Page S1328]]

       ``(c) Application Requirement.--To be eligible for a 
     payment under this section, an eligible health care provider 
     shall submit to the Secretary an application in such form and 
     manner as the Secretary shall prescribe. Such application 
     shall contain the following:
       ``(1) A statement justifying the need of the provider for 
     the payment, including documentation of the health care 
     related expenses attributable to COVID-19 and lost revenues 
     attributable to COVID-19.
       ``(2) The tax identification number of the provider.
       ``(3) Such assurances as the Secretary determines 
     appropriate that the eligible health care provider will 
     maintain and make available such documentation and submit 
     such reports (at such time, in such form, and containing such 
     information as the Secretary shall prescribe) as the 
     Secretary determines is necessary to ensure compliance with 
     any conditions imposed by the Secretary under this section.
       ``(4) Any other information determined appropriate by the 
     Secretary.
       ``(d) Limitation.--Payments made to an eligible health care 
     provider under this section may not be used to reimburse any 
     expense or loss that--
       ``(1) has been reimbursed from another source; or
       ``(2) another source is obligated to reimburse.
       ``(e) Application of Requirements, Rules, and Procedures.--
     The Secretary shall apply any requirements, rules, or 
     procedures as the Secretary deems appropriate for the 
     efficient execution of this section.
       ``(f) Application of Provisions.--Amounts appropriated 
     pursuant to this section for fiscal year 2021 shall be 
     subject to the requirements contained in Public Law 116-94 
     for funds for programs authorized under sections 330 through 
     340 of the Public Health Service Act (42 U.S.C. 254b through 
     256).
       ``(g) Definitions.--In this section:
       ``(1) Eligible health care provider.--The term `eligible 
     health care provider' means--
       ``(A) a provider of services (as defined in section 
     1861(u)) or a supplier (as defined in section 1861(d)) that--
       ``(i) is enrolled in the Medicare program under title XVIII 
     under section 1866(j), including temporarily enrolled during 
     the emergency period described in section 1135(g)(1)(B) for 
     such period; and
       ``(ii) provides diagnoses, testing, or care for individuals 
     with possible or actual cases of COVID-19;
       ``(B) a provider or supplier that--
       ``(i) is enrolled with a State Medicaid plan under title 
     XIX (or a waiver of such plan) in accordance with subsections 
     (a)(77) and (kk) of section 1902 (including enrolled pursuant 
     to section 1902(a)(78) or section 1932(d)(6)) or enrolled 
     with a State child health plan under title XXI (or a waiver 
     of such plan) in accordance with subparagraph (G) of section 
     2107(e)(1) (including enrolled pursuant to subparagraph (D) 
     or (Q) of such section); and
       ``(ii) provides diagnoses, testing, or care for individuals 
     with possible or actual cases of COVID-19;
       ``(C) an assisted living facility (as defined for purposes 
     of the Older Americans Act); or
       ``(D) a senior congregate home provider (as defined by the 
     Secretary).
       ``(2) Health care related expenses attributable to covid-
     19.--The term `health care related expenses attributable to 
     COVID-19' means health care related expenses to prevent, 
     prepare for, and respond to COVID-19, including the building 
     or construction of a temporary structure, the leasing of a 
     property, the purchase of medical supplies and equipment, 
     including personal protective equipment and testing supplies, 
     providing for increased workforce and training, including 
     maintaining staff, obtaining additional staff, or both, the 
     operation of an emergency operation center, retrofitting a 
     facility, providing for surge capacity, and other expenses 
     determined appropriate by the Secretary.
       ``(3) Lost revenue attributable to covid-19.--The term 
     `lost revenue attributable to COVID-19' has the meaning given 
     that term in the Frequently Asked Questions guidance released 
     by the Department of Health and Human Services in June 2020, 
     including the difference between such provider's budgeted and 
     actual revenue if such budget had been established and 
     approved prior to March 27, 2020.
       ``(4) Payment.-- The term `payment' includes, as determined 
     appropriate by the Secretary, a pre-payment, a prospective 
     payment, a retrospective payment, or a payment through a 
     grant or other mechanism.
       ``(5) Rural area.--The term `rural area' means--
       ``(A) a rural area (as defined in section 1886(d)(2)(D));
       ``(B) an area treated as a rural area pursuant to section 
     1886(d)(8)(E); or
       ``(C) any other rural area (as defined by the 
     Secretary).''.

                  Subtitle B--Unemployment Provisions

     SEC. 3101. EXTENSION OF FEDERAL PANDEMIC UNEMPLOYMENT 
                   COMPENSATION.

       (a) In General.--Section 2104(e)(2) of the CARES Act (15 
     U.S.C. 9023(e)(2)) is amended by striking ``March 14, 2021'' 
     and inserting ``June 30, 2021''.
       (b) Amount.--Section 2104(b)(3)(A)(ii) of such Act (15 
     U.S.C. 9023(b)(3)(A)(ii)) is amended by striking ``March 14, 
     2021'' and inserting ``June 30, 2021''.

     SEC. 3102. FUNDING FOR FRAUD PREVENTION, EQUITABLE ACCESS, 
                   AND TIMELY PAYMENT TO ELIGIBLE WORKERS.

       (a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary of Labor 
     for fiscal year 2021, out of any money in the Treasury not 
     otherwise appropriated, $2,000,000,000, to remain available 
     until expended, to detect and prevent fraud, promote 
     equitable access, and ensure the timely payment of benefits 
     with respect to unemployment insurance programs, including 
     the program extended under section 3011.
       (b) Use of Funds.--Amounts made available under subsection 
     (a) may be used--
       (1) for Federal administrative costs related to the 
     purposes described in subsection (a);
       (2) for systemwide infrastructure investment and 
     development related to such purposes;
       (3) to make grants to States or territories administering 
     unemployment insurance programs described in subsection (a) 
     for such purposes, including the establishment of procedures 
     or the building of infrastructure to verify or validate 
     identity, implement Federal guidance regarding fraud 
     detection and prevention, and accelerate claims processing or 
     process claims backlogs due to the pandemic; and
       (4) for transfer to the Inspector General of the Department 
     of Labor, to the Attorney General, to the Commissioner of 
     Internal Revenue, or to other Federal agencies investigating 
     identity theft crime affecting Federal unemployment benefits, 
     as determined appropriate by the Secretary, for the 
     development of State tools for fraud detection or prevention 
     or for the investigation or prosecution of fraud.
       (c) Restrictions on Grants to States and Territories.--As a 
     condition of receiving a grant under subsection (b)(3), the 
     Secretary may require that a State or territory receiving 
     such a grant shall--
       (1) use such program integrity tools as the Secretary may 
     specify; and
       (2) as directed by the Secretary, conduct user 
     accessibility testing on any new system developed by the 
     Secretary pursuant to subsection (b)(2).
       (d) Reservation of Funds for System Improvements.--Of the 
     amount appropriated under subsection (a), the Secretary shall 
     reserve $100,000,000 to assist States in the following 
     activities:
       (1) Improving States' use of an automated electronic 
     transmission of requests for information relating to 
     unemployment compensation and the provision of such 
     information between such agency and employers or their 
     agents.
       (2) Using a system designated by the Secretary of Labor for 
     cross-matching claimants of unemployment compensation under 
     State law against any databases in the system to prevent and 
     detect fraud and improper payments.
       (3)(A) Comparing information in the National Directory of 
     New Hires or other wage sources against information about 
     individuals claiming unemployment compensation to identify 
     any such individuals who may have become employed, in 
     accordance with any regulations or guidance that the 
     Secretary of Health and Human Services may issue and 
     consistent with the computer matching provisions of the 
     Privacy Act of 1974.
       (B) Taking timely action to verify whether the individuals 
     identified are employed.
       (C) Taking appropriate action to suspend or modify 
     unemployment compensation payments if the individuals 
     identified are employed.
       (D) Initiating recovery of any improper unemployment 
     compensation payments that have been made.

              Subtitle C--Recovery Rebates to Individuals

     SEC. 3201. 2021 RECOVERY REBATES TO INDIVIDUALS.

       (a) In General.--Subchapter B of chapter 65 of the Internal 
     Revenue Code of 1986 is amended by inserting after section 
     6428A the following new section:

     ``SEC. 6428B. 2021 RECOVERY REBATES TO INDIVIDUALS.

       ``(a) In General.--In the case of an eligible individual, 
     there shall be allowed as a credit against the tax imposed by 
     subtitle A for the first taxable year beginning in 2021 an 
     amount equal to the 2021 rebate amount determined for such 
     taxable year.
       ``(b) 2021 Rebate Amount.--For purposes of this section, 
     the term `2021 rebate amount' means, with respect to any 
     taxpayer for any taxable year, the sum of--
       ``(1) $1,400 ($2,800 in the case of a joint return), plus
       ``(2) $500 multiplied by the number of dependents of the 
     taxpayer for such taxable year.
       ``(c) Eligible Individual.--For purposes of this section, 
     the term `eligible individual' means any individual other 
     than--
       ``(1) any nonresident alien individual,
       ``(2) any individual who is a dependent of another taxpayer 
     for a taxable year beginning in the calendar year in which 
     the individual's taxable year begins, and
       ``(3) an estate or trust.
       ``(d) Limitation Based on Adjusted Gross Income.--
       ``(1) In general.--The amount of the credit allowed by 
     subsection (a) (determined without regard to this subsection 
     and subsection (f)) shall be reduced (but not below zero) by 
     the amount which bears the same ratio to such credit (as so 
     determined) as--
       ``(A) the excess of--
       ``(i) the taxpayer's adjusted gross income for such taxable 
     year, over
       ``(ii) $40,000, bears to
       ``(B) $10,000.

[[Page S1329]]

       ``(2) Special rules.--
       ``(A) Joint return or surviving spouse.--In the case of a 
     joint return or a surviving spouse (as defined in section 
     2(a)), paragraph (1) shall be applied by substituting 
     `$80,000' for `$40,000' and `$20,000' for `$10,000'.
       ``(B) Head of household.--In the case of a head of 
     household (as defined in section 2(b)), paragraph (1) shall 
     be applied by substituting `$60,000' for `$40,000' and 
     `$15,000' for `$10,000'.
       ``(e) Definitions and Special Rules.--
       ``(1) Dependent defined.--For purposes of this section, the 
     term `dependent' has the meaning given such term by section 
     152.
       ``(2) Identification number requirement.--
       ``(A) In general.--In the case of a return other than a 
     joint return, the $1,400 amount in subsection (b)(1) shall be 
     treated as being zero unless the taxpayer includes the valid 
     identification number of the taxpayer on the return of tax 
     for the taxable year.
       ``(B) Joint returns.--In the case of a joint return, the 
     $2,800 amount in subsection (b)(1) shall be treated as 
     being--
       ``(i) $1,400 if the valid identification number of only 1 
     spouse is included on the return of tax for the taxable year, 
     and
       ``(ii) zero if the valid identification number of neither 
     spouse is so included.
       ``(C) Dependents.--A dependent shall not be taken into 
     account under subsection (b)(2) unless the valid 
     identification number of such dependent is included on the 
     return of tax for the taxable year.
       ``(D) Valid identification number.--
       ``(i) In general.--For purposes of this paragraph, the term 
     `valid identification number' means a social security number 
     (as such term is defined in section 24(h)(7)).
       ``(ii) Adoption taxpayer identification number.--For 
     purposes of subparagraph (C), in the case of a dependent who 
     is adopted or placed for adoption, the term `valid 
     identification number' shall include the adoption taxpayer 
     identification number of such dependent.
       ``(E) Special rule for members of the armed forces.--
     Subparagraph (B) shall not apply in the case where at least 1 
     spouse was a member of the Armed Forces of the United States 
     at any time during the taxable year and the valid 
     identification number of at least 1 spouse is included on the 
     return of tax for the taxable year.
       ``(F) Coordination with certain advance payments.--In the 
     case of any payment determined pursuant to subsection (g)(6), 
     a valid identification number shall be treated for purposes 
     of this paragraph as included on the taxpayer's return of tax 
     if such valid identification number is available to the 
     Secretary as described in such subsection.
       ``(G) Mathematical or clerical error authority.--Any 
     omission of a correct valid identification number required 
     under this paragraph shall be treated as a mathematical or 
     clerical error for purposes of applying section 6213(g)(2) to 
     such omission.
       ``(3) Credit treated as refundable.--The credit allowed by 
     subsection (a) shall be treated as allowed by subpart C of 
     part IV of subchapter A of chapter 1.
       ``(f) Coordination With Advance Refunds of Credit.--
       ``(1) Reduction of refundable credit.--The amount of the 
     credit which would (but for this paragraph) be allowable 
     under subsection (a) shall be reduced (but not below zero) by 
     the aggregate refunds and credits made or allowed to the 
     taxpayer (or, except as otherwise provided by the Secretary, 
     any dependent of the taxpayer) under subsection (g). Any 
     failure to so reduce the credit shall be treated as arising 
     out of a mathematical or clerical error and assessed 
     according to section 6213(b)(1).
       ``(2) Joint returns.--Except as otherwise provided by the 
     Secretary, in the case of a refund or credit made or allowed 
     under subsection (g) with respect to a joint return, half of 
     such refund or credit shall be treated as having been made or 
     allowed to each individual filing such return.
       ``(g) Advance Refunds and Credits.--
       ``(1) In general.--Subject to paragraphs (5) and (6), each 
     individual who was an eligible individual for such 
     individual's first taxable year beginning in 2019 shall be 
     treated as having made a payment against the tax imposed by 
     chapter 1 for such taxable year in an amount equal to the 
     advance refund amount for such taxable year.
       ``(2) Advance refund amount.--
       ``(A) In general.--For purposes of paragraph (1), the 
     advance refund amount is the amount that would have been 
     allowed as a credit under this section for such taxable year 
     if this section (other than subsection (f) and this 
     subsection) had applied to such taxable year.
       ``(B) Treatment of deceased individuals.--For purposes of 
     determining the advance refund amount with respect to such 
     taxable year--
       ``(i) any individual who was deceased before January 1, 
     2021, shall be treated for purposes of applying subsection 
     (e)(2) in the same manner as if the valid identification 
     number of such person was not included on the return of tax 
     for such taxable year (except that subparagraph (E) thereof 
     shall not apply),
       ``(ii) notwithstanding clause (i), in the case of a joint 
     return with respect to which only 1 spouse is deceased before 
     January 1, 2021, such deceased spouse was a member of the 
     Armed Forces of the United States at any time during the 
     taxable year, and the valid identification number of such 
     deceased spouse is included on the return of tax for the 
     taxable year, the valid identification number of 1 (and only 
     1) spouse shall be treated as included on the return of tax 
     for the taxable year for purposes of applying subsection 
     (e)(2)(B) with respect to such joint return, and
       ``(iii) no amount shall be determined under subsection 
     (e)(2) with respect to any dependent of the taxpayer if the 
     taxpayer (both spouses in the case of a joint return) was 
     deceased before January 1, 2021.
       ``(3) Timing and manner of payments.--The Secretary shall, 
     subject to the provisions of this title and consistent with 
     rules similar to the rules of subparagraphs (B) and (C) of 
     section 6428A(f)(3), refund or credit any overpayment 
     attributable to this subsection as rapidly as possible, 
     consistent with a rapid effort to make payments attributable 
     to such overpayments electronically if appropriate. No refund 
     or credit shall be made or allowed under this subsection 
     after December 31, 2021.
       ``(4) No interest.--No interest shall be allowed on any 
     overpayment attributable to this subsection.
       ``(5) Application to individuals who have filed a return of 
     tax for 2020.--
       ``(A) Application to 2020 returns filed at time of initial 
     determination.--If, at the time of any determination made 
     pursuant to paragraph (3), the individual referred to in 
     paragraph (1) has filed a return of tax for the individual's 
     first taxable year beginning in 2020, paragraph (1) shall be 
     applied with respect to such individual by substituting 
     `2020' for `2019'.
       ``(B) Additional payment.--
       ``(i) In general.--In the case of any individual who files, 
     before the additional payment determination date, a return of 
     tax for such individual's first taxable year beginning in 
     2020, the Secretary shall make a payment (in addition to any 
     payment made under paragraph (1)) to such individual equal to 
     the excess (if any) of--

       ``(I) the amount which would be determined under paragraph 
     (1) (after the application of subparagraph (A)) by applying 
     paragraph (1) as of the additional payment determination 
     date, over
       ``(II) the amount of any payment made with respect to such 
     individual under paragraph (1).

       ``(ii) Additional payment determination date.--The term 
     `additional payment determination date' means the earlier 
     of--

       ``(I) the date which is 90 days after the 2020 calendar 
     year filing deadline, or
       ``(II) September 1, 2021.

       ``(iii) 2020 calendar year filing deadline.--The term `2020 
     calendar year filing deadline' means the date specified in 
     section 6072(a) with respect to returns for calendar year 
     2020. Such date shall be determined after taking into account 
     any period disregarded under section 7508A if such disregard 
     applies to substantially all returns for calendar year 2020 
     to which section 6072(a) applies.
       ``(6) Application to certain individuals who have not filed 
     a return of tax for 2019 or 2020 at time of determination.--
     In the case of any individual who, at the time of any 
     determination made pursuant to paragraph (3), has filed a tax 
     return for neither the year described in paragraph (1) nor 
     for the year described in paragraph (5)(A), the Secretary 
     shall, consistent with rules similar to the rules of section 
     6428A(f)(5)(H)(i), apply paragraph (1) on the basis of 
     information available to the Secretary and shall, on the 
     basis of such information, determine the advance refund 
     amount with respect to such individual without regard to 
     subsection (d) unless the Secretary has reason to know that 
     such amount would otherwise be reduced by reason of such 
     subsection.
       ``(7) Special rule related to time of filing return.--
     Solely for purposes of this subsection, a return of tax shall 
     not be treated as filed until such return has been processed 
     by the Internal Revenue Service.
       ``(8) Restriction on use of certain previously issued 
     prepaid debit cards.--Payments made by the Secretary to 
     individuals under this section shall not be in the form of an 
     increase in the balance of any previously issued prepaid 
     debit card if, as of the time of the issuance of such card, 
     such card was issued solely for purposes of making payments 
     under section 6428 or 6428A.
       ``(h) Special Rules With Respect to Prisoners.--
       ``(1) Disallowance of credit.--
       ``(A) In general.--Subject to subparagraph (B), no credit 
     shall be allowed under subsection (a) to an eligible 
     individual who is, for each day during calendar year 2021, 
     described in clause (i), (ii), (iii), (iv), or (v) of section 
     202(x)(1)(A) of the Social Security Act (42 U.S.C. 
     402(x)(1)(A)).
       ``(B) Joint return.--In the case of eligible individuals 
     filing a joint return where 1 spouse is described in 
     subparagraph (A), subsection (b)(1) shall be applied by 
     substituting `$1,400' for `$2,800'.
       ``(2) Denial of advance refund or credit.--No refund or 
     credit shall be made or allowed under subsection (g) with 
     respect to any individual whom the Secretary has knowledge 
     is, at the time of any determination made pursuant to 
     paragraph (3) of such subsection, described in clause (i), 
     (ii), (iii), (iv), or (v) of section 202(x)(1)(A) of the 
     Social Security Act.
       ``(i) Regulations.--The Secretary shall prescribe such 
     regulations or other guidance as may be necessary or 
     appropriate to carry out the purposes of this section, 
     including--
       ``(1) regulations or other guidance providing taxpayers the 
     opportunity to provide

[[Page S1330]]

     the Secretary information sufficient to allow the Secretary 
     to make payments to such taxpayers under subsection (g) 
     (including the determination of the amount of such payment) 
     if such information is not otherwise available to the 
     Secretary, and
       ``(2) regulations or other guidance to ensure to the 
     maximum extent administratively practicable that, in 
     determining the amount of any credit under subsection (a) and 
     any credit or refund under subsection (g), an individual is 
     not taken into account more than once, including by different 
     taxpayers and including by reason of a change in joint return 
     status or dependent status between the taxable year for which 
     an advance refund amount is determined and the taxable year 
     for which a credit under subsection (a) is determined.''.
       (b) Treatment of Certain Possessions.--
       (1) Payments to possessions with mirror code tax systems.--
     The Secretary of the Treasury shall pay to each possession of 
     the United States which has a mirror code tax system amounts 
     equal to the loss (if any) to that possession by reason of 
     the amendments made by this section. Such amounts shall be 
     determined by the Secretary of the Treasury based on 
     information provided by the government of the respective 
     possession.
       (2) Payments to other possessions.--The Secretary of the 
     Treasury shall pay to each possession of the United States 
     which does not have a mirror code tax system amounts 
     estimated by the Secretary of the Treasury as being equal to 
     the aggregate benefits (if any) that would have been provided 
     to residents of such possession by reason of the amendments 
     made by this section if a mirror code tax system had been in 
     effect in such possession. The preceding sentence shall not 
     apply unless the respective possession has a plan, which has 
     been approved by the Secretary of the Treasury, under which 
     such possession will promptly distribute such payments to its 
     residents.
       (3) Coordination with credit allowed against united states 
     income taxes.--No credit shall be allowed against United 
     States income taxes under section 6428B of the Internal 
     Revenue Code of 1986 (as added by this section), nor shall 
     any credit or refund be made or allowed under subsection (g) 
     of such section, to any person--
       (A) to whom a credit is allowed against taxes imposed by 
     the possession by reason of the amendments made by this 
     section, or
       (B) who is eligible for a payment under a plan described in 
     paragraph (2).
       (4) Mirror code tax system.--For purposes of this 
     subsection, the term ``mirror code tax system'' means, with 
     respect to any possession of the United States, the income 
     tax system of such possession if the income tax liability of 
     the residents of such possession under such system is 
     determined by reference to the income tax laws of the United 
     States as if such possession were the United States.
       (5) Treatment of payments.--For purposes of section 1324 of 
     title 31, United States Code, the payments under this 
     subsection shall be treated in the same manner as a refund 
     due from a credit provision referred to in subsection (b)(2) 
     of such section.
       (c) Administrative Provisions.--
       (1) Definition of deficiency.--Section 6211(b)(4)(A) of the 
     Internal Revenue Code of 1986 is amended by striking ``6428, 
     and 6428A'' and inserting ``6428, 6428A, and 6428B''.
       (2) Conforming amendments.--
       (A) Paragraph (2) of section 1324(b) of title 31, United 
     States Code, is amended by inserting ``6428B,'' after 
     ``6428A,''.
       (B) The table of sections for subchapter B of chapter 65 of 
     the Internal Revenue Code of 1986 is amended by inserting 
     after the item relating to section 6428A the following new 
     item:

``Sec. 6428B. 2021 recovery rebates to individuals.''.

     TITLE IV--COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS

                          Subtitle A--Vaccines

     SEC. 4001. 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 subtitle 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--
       (A) the distribution and administration of vaccines 
     licensed under section 351 of the Public Health Service Act 
     (42 U.S.C. 262) 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. 4002. 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 of the Public 
     Health Service Act (42 U.S.C. 262) 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 of the Public 
     Health Service Act, as amended by section 311 of division BB 
     of the Consolidated Appropriations Act, 2021 (Public Law 116-
     260).

     SEC. 4003. 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. 4004. 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

[[Page S1331]]

     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.

                          Subtitle B--Testing

     SEC. 4101. FUNDING FOR COVID-19 TESTING, CONTACT TRACING, AND 
                   MITIGATION ACTIVITIES.

       (a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Secretary of Health 
     and Human Services (in this subtitle referred to as 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) of the Public 
     Health Service Act;
       (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. 4102. 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.

     SEC. 4103. 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.

                Subtitle C--Strategic National Stockpile

     SEC. 4201. FUNDING FOR THE STRATEGIC NATIONAL STOCKPILE.

       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, $15,000,000,000, to remain available 
     until expended, for maintenance of the Strategic National 
     Stockpile under section 319F-2(a) of the Public Health 
     Service Act (42 U.S.C. 247d-6b).

         Subtitle D--Mental Health and Substance Abuse Disorder

     SEC. 4301. 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 subtitle 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 of the Public Health Service Act (42 U.S.C. 300x et 
     seq.), subpart III of part B of title XIX of such Act (42 
     U.S.C. 300x-51 et seq.), and section 505(c) of such Act (42 
     U.S.C. 290aa-4(c)) with respect to mental health. 
     Notwithstanding section 1952 of the Public Health Service Act 
     (42 U.S.C. 300x-62), any amount awarded to a State out of 
     amounts appropriated by this section shall be expended by the 
     State by September 30, 2025.

     SEC. 4302. 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 of the Public 
     Health Service Act (42 U.S.C. 300x-21 et seq.), subpart III 
     of part B of title XIX of such Act (42 U.S.C. 300x-51 et 
     seq.), section 505(d) of such Act (42 U.S.C. 290aa-4(d)) with 
     respect to substance abuse, and section 515(d) of such Act 
     (42 U.S.C. 290bb-21(d)). Notwithstanding section 1952 of the 
     Public Health Service Act (42 U.S.C. 300x-62), any amount 
     awarded to a State out of amounts appropriated by this 
     section shall be expended by the State by September 30, 2025.

     SEC. 4303. 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. 4304. 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-

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     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;
       (2) help such professionals to identify risk factors in 
     themselves and others and respond to such risks;
       (3) include information on reducing or preventing suicide, 
     substance use disorders, burnout, and other mental health 
     conditions, and addressing stigma associated with seeking 
     mental health and substance use disorder support and 
     treatment; and
       (4) consider the needs of rural and medically underserved 
     communities.

     SEC. 4305. 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. 4306. FUNDING FOR COMMUNITY-BASED LOCAL SUBSTANCE USE 
                   DISORDER SERVICES.

       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 support community-based local substance use 
     disorder services, to remain available until expended, as 
     authorized in section 547 of the Public Health Service Act.

     SEC. 4307. FUNDING FOR 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, 
     $50,000,000, to remain available until expended, for carrying 
     out section 520E-3 of the Public Health Service Act.

     SEC. 4308. 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 of the Public Health Service Act (42 U.S.C. 
     290hh-1) with respect to addressing the problem of high-risk 
     or medically underserved persons who experience violence-
     related stress.

     SEC. 4309. 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 of the Public Health Service Act (42 U.S.C. 
     290bb-32) with respect to advancing wellness and resiliency 
     in education.

     SEC. 4310. 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 of the Public Health Service Act 
     (42 U.S.C. 290bb-36, 290bb-36b).

     SEC. 4311. 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 of the Public Health Service Act (42 
     U.S.C. 294e-1).

     SEC. 4312. 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. 4313. 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--Schools

     SEC. 4401. ELEMENTARY AND SECONDARY SCHOOL EMERGENCY RELIEF 
                   FUND.

       (a) In General.--In addition to amounts otherwise 
     available, there is appropriated to the Department of 
     Education for fiscal year 2021, out of any money in the 
     Treasury not otherwise appropriated, $19,000,000,000, to 
     remain available through September 30, 2022, for providing 
     grants to States in accordance with the same terms and 
     conditions that apply to the Elementary and Secondary School 
     Emergency Relief Fund of the Education Stabilization Fund for 
     funding appropriated for fiscal year 2021, except that a 
     State that receives a grant under this section shall use--
       (1) not less than 95 percent of such grant for subgrants to 
     local educational agencies that--
       (A) by April 1, 2021, provide in-person instruction for not 
     less than 50 percent of the students served by such agency 
     where the students physically attend and are taught by 
     teachers in a school not less than 50 percent of each school 
     week, as it was defined by the local educational agency prior 
     to the coronavirus emergency; and
       (B) on and after April 1, 2021, provide in-person 
     instruction in accordance with the requirements of (1), to 
     the greatest extent practicable, for the 2020-2021 and 2021-
     2022 academic years; and
       (2) not more than 5 percent of such grant to carry out, 
     directly or through grants or contacts, activities to support 
     the safe reopening of schools.

     SEC. 4402. EMERGENCY ASSISTANCE TO NON-PUBLIC SCHOOLS.

       In addition to amounts otherwise available, there is 
     appropriated to the Department of Education for fiscal year 
     2021, out of any money in the Treasury not otherwise 
     appropriated, $1,000,000,000, to remain available through 
     September 30, 2022, to provide supplemental Emergency 
     Education Relief grants to the Governors of each State for 
     emergency assistance to non-public schools in accordance with 
     the same terms and conditions that apply to funds provided 
     under section 312(d) of division M of the Consolidated 
     Appropriations Act, 2021 (Public Law 116-260).

                         Subtitle F--Child Care

     SEC. 4501. CHILD CARE AND DEVELOPMENT BLOCK GRANT PROGRAM.

       (a) Child Care and Development Block Grant Funding.--In 
     addition to amounts otherwise available, there is 
     appropriated for fiscal year 2021, out of any amounts in the 
     Treasury not otherwise appropriated, $20,000,000,000, to 
     remain available through September 30, 2021, to carry out the 
     program authorized under section 658C of the Child Care and 
     Development Block Grant Act of 1990 (42 U.S.C. 9858a) without 
     regard to the requirements in subparagraph (D) or (E) of 
     section 658E(c)(3) or section 658G of such Act (42 U.S.C. 
     9858c(c)(3), 9858e). Payments made to States, territories, 
     Indian Tribes, and Tribal organizations from funds made 
     available under this subsection shall be obligated in fiscal 
     year 2021.
       (b) Use of Funds.--States may use funds made available 
     under subsection (a)--
       (1) to provide financial assistance to eligible child care 
     providers under section 658P(6) of such Act (42 U.S.C. 
     9858n(6)) in the case of decreased attendance or closures 
     related to coronavirus, and to assure the providers are able 
     to remain open or reopen as appropriate and applicable, 
     including financial assistance for fixed costs and increased 
     operating expenses;
       (2) to stabilize the child care sector to help providers 
     afford increased operating expenses during the COVID-19 
     public health emergency;
       (3) to provide technical assistance to help providers apply 
     for funding available for purposes described in paragraph 
     (1), (2), or (5), including center-based child care 
     providers, family child care providers, and group home child 
     care providers;
       (4) to provide child care assistance to health care sector 
     employees, emergency responders, sanitation workers, 
     farmworkers, and other workers determined by a public 
     official to be essential during the response to coronavirus, 
     without regard to the income eligibility requirements of 
     section 658P(4) of the Child Care and Development Block Grant 
     Act of 1990 (42 U.S.C. 9858n(4)); and
       (5) to provide relief from copayments and tuition payments 
     for families, and for paying that portion of an eligible 
     child care provider's cost ordinarily paid through family 
     copayments.
       (c) Special Rule.--States, territories, Indian Tribes, and 
     Tribal organizations that receive funds made available under 
     subsection (a) shall use a portion of the funds to provide 
     assistance to eligible child care providers under section 
     658P(6) of such Act (42 U.S.C. 9858n(6)) that were not 
     receiving child care assistance under such Act (42 U.S.C. 
     9857 et seq.) prior to the COVID-19 public health emergency, 
     to maintain or resume the operation of child care programs, 
     including assistance for fixed costs and increased operating 
     expenses.

              Subtitle G--Restrictions on the Use of Funds

     SEC. 4701. APPLICATION OF PROVISIONS.

       Amounts appropriated pursuant to this title for fiscal year 
     2021 shall be subject to the requirements contained in Public 
     Law 116-94 for funds for programs authorized under sections 
     330 through 340 of the Public

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     Health Service Act (42 U.S.C. 254b through 256).

    TITLE V--COMMITTEE ON HOMELAND SECURITY AND GOVERNMENTAL AFFAIRS

     SEC. 5001. FEDERAL EMERGENCY MANAGEMENT AGENCY APPROPRIATION.

       In addition to amounts otherwise available, there is 
     appropriated to the Federal Emergency Management Agency for 
     fiscal year 2021, out of any money in the Treasury not 
     otherwise appropriated, $30,000,000,000, to remain available 
     until September 30, 2025, for major disasters declared 
     pursuant to the Robert T. Stafford Disaster Relief and 
     Emergency Assistance Act (42 U.S.C. 5121 et seq.).

     SEC. 5002. SMALL PROVIDER MEDICAL SUPPLIES FUND.

        In addition to amounts otherwise available, there is 
     appropriated to the Federal Emergency Management Agency for 
     fiscal year 2021, out of any money in the Treasury not 
     otherwise appropriated, $5,000,000,000, to remain available 
     until September 30, 2022, to establish a Small Provider 
     Medical Supplies Fund to provide personal protective 
     equipment for first responders and health care providers, to 
     prevent the transmission of SARS-CoV-2 and COVID-19.

       TITLE VI--COMMITTEE ON SMALL BUSINESS AND ENTREPRENEURSHIP

     SEC. 6001. ADDITIONAL APPROPRIATIONS FOR PAYCHECK PROTECTION 
                   PROGRAM, SECOND DRAW, AND ECONOMIC INJURY 
                   DISASTER LOANS.

       (a) Paycheck Protection Program and Second Draw Loans.--
       (1) Commitment authority.--Section 1102(b)(1) of the CARES 
     Act (Public Law 116-136) is amended--
       (A) by striking ``March 31, 2021'' and inserting ``June 30, 
     2021''; and
       (B) by striking ``$804,450,000,000'' and inserting 
     ``$844,445,000,000''.
       (2) Direct appropriations.--There is appropriated, out of 
     amounts in the Treasury not otherwise appropriated, for the 
     fiscal year ending September 30, 2021, to remain available 
     until expended, for additional amounts, $39,995,000,000 under 
     the heading ``Small Business Administration--Business Loans 
     Program Account, CARES Act'', for the cost of guaranteed 
     loans as authorized under paragraph (36) or (37) of section 
     7(a) of the Small Business Act (15 U.S.C. 636(a)).
       (b) Direct Appropriations for OIG Audits and 
     Investigations.--There is appropriated to the Office of 
     Inspector General of the Small Business Administration, out 
     of amounts in the Treasury not otherwise appropriated, for 
     the fiscal year ending September 30, 2021, to remain 
     available until expended, for additional amounts, $5,000,000 
     for audits and investigations related to loans made under 
     paragraph (36) or (37) of section 7(a) of the Small Business 
     Act (15 U.S.C. 636(a)).
       (c) EIDL.--There is appropriated to the Administrator of 
     the Small Business Administration, out of amounts in the 
     Treasury not otherwise appropriated, for the fiscal year 
     ending September 30, 2021, to remain available until 
     expended, for additional amounts, $10,000,000,000 for loans 
     made under section 7(b)(2) of the Small Business Act (15 
     U.S.C. 636(b)(2)).
                                 ______