#aafth ,,congress #b;d ,session ,h4 ,r4 #fjgd ,,an ,,act ,making emergency supplemental appropriations for the fiscal year ending ,september #cj1 #bjbj1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,coronavirus ,preparedness and ,response ,supplemental ,appropriations ,act1 #bjbj4 #b4 ,references ,except as expressly provided otherwise1 any reference to this ,act contained in any division of this ,act shall be treated as referring only to the provisions of that division4 ,a ,coronavirus ,preparedness and ,response ,supplemental ,appropriations ,act1 #bjbj ,the following sums are hereby are appropriated1 out of any money in the ,treasury not otherwise appropriated1 for the fiscal year ending ,september #cj1 #bjbj1 and for other purposes1 namely3 ,i ,department of ,health and ,human ,services ,food and ,drug ,administration ,salaries and ,expenses ,for an additional amount for ,salaries and ,expenses1 #fa1jjj1jjj1 to remain available until expended1 to prevent1 prepare for1 and respond to coronavirus1 domestically or internationally1 including the development of necessary medical countermeasures and vaccines1 advanced manufacturing for medical products1 the monitoring of medical product supply chains1 and related administrative activities3 ,provided1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 ,,ii ,small ,business ,administration ,disaster ,loans ,program ,account 7,including ,transfers of ,funds7 ,for an additional amount for the ,disaster ,loans ,program ,account for administrative expenses to carry out the disaster loan program authorized by section #g7;b7 of the ,small ,business ,act1 #bj1jjj1jjj1 to remain available until expended3 ,provided1 ,that such amounts may be transferred to and merged with 8,small ,business ,administration--,salaries and ,expenses03 ,provided further1 ,that for purposes of section #g7;b77#b77;,d7 of the ,small ,business ,act1 coronavirus shall be deemed to be a disaster and amounts available under ,disaster ,loans ,program ,account for the cost of direct loans in any fiscal year may be used to make economic injury disaster loans under such section in response to the coronavirus3 ,provided further1 ,that none of the funds provided under this heading in this ,act may be used for indirect administrative expenses3 ,provided further1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe3 ,provided further1 ,that amounts repurposed under this heading that were previously designated by the ,congress as an emergency requirement pursuant to the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe are designated by the ,congress as an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 ,,iii ,department of ,health and ,human ,services ,centers for ,disease ,control and ,prevention ,,cdc-,wide ,activities and ,program ,support 7,including ,transfer of ,funds7 ,for an additional amount for ,,cdc-,wide ,activities and ,program ,support1 #b1bjj1jjj1jjj1 to remain available until ,september #cj1 #bjbb1 to prevent1 prepare for1 and respond to coronavirus1 domestically or internationally3 ,provided1 ,that not less than #iej1jjj1jjj of the amount provided shall be for grants to or cooperative agreements with ,states1 localities1 territories1 tribes1 tribal organizations1 urban ,indian health organizations1 or health service providers to tribes1 to carry out surveillance1 epidemiology1 laboratory capacity1 infection control1 mitigation1 communications1 and other preparedness and response activities3 ,provided further1 ,that #dge1jjj1jjj of the funds made available in the preceding proviso shall be allocated within #cj days of the date of enactment of this ,act3 ,provided further1 ,that every grantee that received a ,public ,health ,emergency ,preparedness grant for fiscal year #bjai shall receive not less than #ij percent of that grant level from funds provided in the first proviso under this heading in this ,act1 and not less than #dj1jjj1jjj of such funds shall be allocated to tribes1 tribal organizations1 urban ,indian health organizations1 or health service providers to tribes3 ,provided further1 ,that the ,director of the ,centers for ,disease ,control and ,prevention 7,,cdc7 may satisfy the funding thresholds outlined in the preceding two provisos by making awards through other grant or cooperative agreement mechanisms3 ,provided further1 ,that each grantee described in the third proviso under this heading in this ,act shall submit a spend plan to the ,,cdc not later than #de days after the date of enactment of this ,act3 ,provided further1 ,that of the amount provided under this heading in this ,act1 not less than #cjj1jjj1jjj shall be for global disease detection and emergency response3 ,provided further1 ,that of the amount provided under this heading in this ,act1 #cjj1jjj1jjj shall be transferred to and merged with amounts in the ,infectious ,diseases ,rapid ,response ,reserve ,fund 78,reserve ,fund071 established by section #bca of division ,b of ,public ,law #aae-bde3 ,provided further1 ,that the ,secretary of ,health and ,human ,services1 in consultation with the ,director of the ,,cdc1 shall provide a report to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate every #ad days1 for one year from the date from any such declaration or determination described in the third proviso of section #bca of division ,b of ,public ,law #aae-bde1 that details commitment and obligation information for the ,reserve ,fund during the prior two weeks1 as long as such report would detail obligations in excess of #e1jjj1jjj1 and upon the request by such ,committees3 ,provided further1 ,that funds appropriated under this heading in this ,act may be used for grants for the construction1 alteration1 or renovation of non-,federally owned facilities to improve preparedness and response capability at the ,state and local level3 ,provided further1 ,that funds may be used for purchase and insurance of official motor vehicles in foreign countries3 ,provided further1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 ,national ,institutes of ,health ,national ,institute of ,allergy and ,infectious ,diseases 7,including ,transfer of ,funds7 ,for an additional amount for ,national ,institute of ,allergy and ,infectious ,diseases1 #hcf1jjj1jjj1 to remain available until ,september #cj1 #bjbd1 to prevent1 prepare for1 and respond to coronavirus1 domestically or internationally3 ,provided1 ,that of the amount appropriated under this heading in this ,act1 not less than #aj1jjj1jjj shall be transferred to ,national ,institute of ,environmental ,health ,sciences for worker-based training to prevent and reduce exposure of hospital employees1 emergency first responders1 and other workers who are at risk of exposure to coronavirus through their work duties3 ,provided further1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 ,office of the ,secretary ,public ,health and ,social ,services ,emergency ,fund 7,including ,transfer of ,funds7 ,for an additional amount for ,public ,health and ,social ,services ,emergency ,fund1 #c1ajj1jjj1jjj1 to remain available until ,september #cj1 #bjbd1 to prevent1 prepare for1 and respond to coronavirus1 domestically or internationally1 including the development of necessary countermeasures and vaccines1 prioritizing platform-based technologies with ,u4,s4-based manufacturing capabilities1 and the purchase of vaccines1 therapeutics1 diagnostics1 necessary medical supplies1 medical surge capacity1 and related administrative activities3 ,provided1 ,that such funds may be used to develop and demonstrate innovations and enhancements to manufacturing platforms to support such capabilities3 ,provided further1 ,that the ,secretary of ,health and ,human ,services shall purchase vaccines developed using funds made available under this heading in this ,act to respond to an outbreak or pandemic related to coronavirus in quantities determined by the ,secretary to be adequate to address the public health need3 ,provided further1 ,that products purchased by the ,federal government with funds made available under this heading1 including vaccines1 therapeutics1 and diagnostics1 shall be purchased in accordance with ,federal ,acquisition ,regulation guidance on fair and reasonable pricing3 ,provided further1 ,that the ,secretary may take such measures authorized under current law to ensure that vaccines1 therapeutics1 and diagnostics developed from funds provided in this ,act will be affordable in the commercial market3 ,provided further1 ,that in carrying out the previous proviso1 the ,secretary shall not take actions that delay the development of such products3 ,provided further1 ,that products purchased with funds appropriated in this paragraph may1 at the discretion of the ,secretary of ,health and ,human ,services1 be deposited in the ,strategic ,national ,stockpile under section #cai;,f-#b of the ,public ,health ,service ,act3 ,provided further1 ,that funds appropriated under this heading in this ,act may be transferred to1 and merged with1 the fund authorized by section #cai;,f-#d1 the ,covered ,countermeasure ,process ,fund1 of the ,public ,health ,service ,act3 ,provided further1 ,that funds appropriated under this heading in this ,act may be used for grants for the construction1 alteration1 or renovation of non-,federally owned facilities to improve preparedness and response capability at the ,state and local level3 ,provided further1 ,that funds appropriated under this heading in this ,act may be used for the construction1 alteration1 or renovation of non-,federally owned facilities for the production of vaccines1 therapeutics1 and diagnostics where the ,secretary determines that such a contract is necessary to secure sufficient amounts of such supplies3 ,provided further1 ,that of the amount provided under this heading in this ,act1 #ajj1jjj1jjj shall be transferred to ,health ,resources and ,services ,administration--,primary ,health ,care for grants under the ,health ,centers ,program1 as defined by section #ccj of the ,public ,health ,service ,act1 to prevent1 prepare for1 and respond to coronavirus3 ,provided further1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 ,for an additional amount for ,public ,health and ,social ,services ,emergency ,fund1 #cjj1jjj1jjj1 to remain available until ,september #cj1 #bjbd1 for products purchased as described in the first paragraph under this heading1 including the purchase of vaccines1 therapeutics1 and diagnostics1 and under the same terms and conditions as the amounts made available in the first paragraph under this heading in this ,act3 ,provided1 ,that the amount made available in this paragraph shall only be made available if the ,secretary of ,health and ,human ,services certifies to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate that the funds made available in the first paragraph under this heading in this ,act allotted for such purchase of such products will be obligated imminently and that additional funds are necessary to purchase vaccines1 therapeutics1 or diagnostics in quantities determined by the ,secretary to be adequate help to address the public health need3 ,provided further1 ,that the ,secretary shall notify the ,committees on ,appropriations of the ,house of ,representatives and the ,senate of such certification3 ,provided further1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 ,general ,provisions--,this ,title 7,including ,transfer of ,funds7 #cja4 7a7 ,funds appropriated in this title may be made available to restore amounts1 either directly or through reimbursement1 for obligations incurred by agencies of the ,department of ,health and ,human ,services to prevent1 prepare for1 and respond to coronavirus1 domestically or internationally1 prior to the date of enactment of this ,act4 ,this subsection shall not apply to obligations incurred by the ,infectious ,diseases ,rapid ,response ,reserve ,fund4 7b7 ,grants or cooperative agreements with ,states1 localities1 territories1 tribes1 tribal organizations1 urban ,indian health organizations1 or health service providers to tribes1 under this title1 to carry out surveillance1 epidemiology1 laboratory capacity1 infection control1 mitigation1 communications1 and other preparedness and response activities to prevent1 prepare for1 and respond to coronavirus shall include amounts to reimburse costs for these purposes incurred between ,january #bj1 #bjbj1 and the date of enactment of this ,act4 7c7 ,if any funds have been reprogrammed or transferred from an appropriation1 as described in the notification submitted by the ,secretary of ,health and ,human ,services to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate on ,february #b1 #bjbj1 prior to the date of enactment of this ,act1 such amounts shall be reprogrammed or transferred back to that appropriation within #de days of the date of enactment of this ,act4 #cjb4 ,funds appropriated by this title may be used by the ,secretary of the ,health and ,human ,services to appoint1 without regard to the provisions of sections #ccji through #ccai of title #e of the ,united ,states ,code1 candidates needed for positions to perform critical work relating to coronavirus for which-- 7#a7 public notice has been given2 and 7#b7 the ,secretary has determined that such a public health threat exists4 #cjc4 ,funds made available by this title may be used to enter into contracts with individuals for the provision of personal services 7as described in section #ajd of part #cg of title #dh1 ,code of ,federal ,regulations 7#dh ,,cfr #cg4ajd77 to support the prevention of1 preparation for1 or response to coronavirus1 domestically and internationally1 subject to prior notification to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate3 ,provided1 ,that such individuals may not be deemed employees of the ,united ,states for the purpose of any law administered by the ,office of ,personnel ,management3 ,provided further1 ,that the authority made available pursuant to this section shall expire on ,september #cj1 #bjbd4 #cjd4 ,funds appropriated by this title may be transferred to1 and merged with1 other appropriation accounts under the headings ,centers for ,disease ,control and ,prevention1 ,public ,health and ,social ,services ,emergency ,fund1 and ,national ,institutes of ,health to prevent1 prepare for1 and respond to coronavirus1 domestically or internationally1 following consultation with the ,office of ,management and ,budget3 ,provided1 ,that the ,committees on ,appropriations of the ,house of ,representatives and the ,senate shall be notified #aj days in advance of any such transfer3 ,provided further1 ,that upon a determination that all or part of the funds transferred from an appropriation by this title are not necessary1 such amounts may be transferred back to that appropriation3 ,provided further1 ,that none of the funds made available by this title may be transferred pursuant to the authority in section #bje of division ,a of ,public ,law #aaf-id or section #bda7;a7 of the ,public ,health ,service ,act4 #cje4 ,not later than #cj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall provide a detailed spend plan of anticipated uses of funds made available to the ,department of ,health and ,human ,services in this ,act1 including estimated personnel and administrative costs1 to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate3 ,provided1 ,that such plan shall be updated and submitted to such ,committees every #fj days until ,september #cj1 #bjbd3 ,provided further1 ,that the spend plans shall be accompanied by a listing of each contract obligation incurred that exceeds #e1jjj1jjj which has not previously been reported1 including the amount of each such obligation4 #cjf4 ,of the funds appropriated by this title under the heading ,public ,health and ,social ,services ,emergency ,fund1 up to #b1jjj1jjj shall be transferred to1 and merged with1 funds made available under the heading ,office of the ,secretary1 ,office of ,inspector ,general1 and shall remain available until expended1 for oversight of activities supported with funds appropriated to the ,department of ,health and ,human ,services in titles ,i and ,,iii3 ,provided1 ,that the ,inspector ,general of the ,department of ,health and ,human ,services shall consult with the ,committees on ,appropriations of the ,house of ,representatives and the ,senate prior to obligating such funds3 ,provided further1 ,that the transfer authority provided by this section is in addition to any other transfer authority provided by law4 ,,iv department of state administration of foreign affairs diplomatic programs ,for an additional amount for ,diplomatic ,programs1 #bfd1jjj1jjj1 to remain available until ,september #cj1 #bjbb1 for necessary expenses to prevent1 prepare for1 and respond to coronavirus1 including for maintaining consular operations1 reimbursement of evacuation expenses1 and emergency preparedness3 ,provided1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 united states agency for international development funds appropriated to the president office of inspector general ,for an additional amount for ,office of ,inspector ,general1 #a1jjj1jjj1 to remain available until ,september #cj1 #bjbb1 for oversight of activities funded by this title and administered by the ,united ,states ,agency for ,international ,development3 ,provided1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 bilateral economic assistance funds appropriated to the president global health programs ,for an additional amount for ,global ,health ,programs1 #dce1jjj1jjj1 to remain available until ,september #cj1 #bjbb1 for necessary expenses to prevent1 prepare for1 and respond to coronavirus3 ,provided1 ,that such funds shall be administered by the ,administrator of the ,united ,states ,agency for ,international ,development3 ,provided further1 ,that of the funds appropriated under this heading in this ,act1 not less than #bjj1jjj1jjj shall be transferred to1 and merged with1 funds made available for the ,emergency ,reserve ,fund established pursuant to section #gjeh7;c77#a7 of the ,department of ,state1 ,foreign ,operations1 and ,related ,programs ,appropriations ,act1 #bjag 7division ,j of ,public ,law #aae-ca73 ,provided further1 ,that funds made available pursuant to the previous proviso shall be made available under the terms and conditions of such section1 as amended3 ,provided further1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 international disaster assistance ,for an additional amount for ,international ,disaster ,assistance1 #cjj1jjj1jjj1 to remain available until expended1 for necessary expenses to prevent1 prepare for1 and respond to coronavirus3 ,provided1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 economic support fund ,for an additional amount for ,economic ,support ,fund1 #bej1jjj1jjj1 to remain available until ,september #cj1 #bjbb1 for necessary expenses to prevent1 prepare for1 and respond to coronavirus1 including to address related economic1 security1 and stabilization requirements3 ,provided1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 general provisions--this title 7including transfer of funds7 #dja4 ,funds appropriated by this title shall only be made available for obligation subject to the regular notification procedures of the ,committees on ,appropriations of the ,house of ,representatives and the ,senate3 ,provided1 ,that the requirement of this section shall not apply to funds appropriated by this title under the heading ,international ,disaster ,assistance4 #djb4 7a7 ,funds appropriated by this title under the heading ,diplomatic ,programs may be transferred to1 and merged with1 funds available under the ,consular and ,border ,security ,programs account to maintain consular operations impacted by coronavirus4 7b7 ,of the funds appropriated by this title under the heading ,economic ,support ,fund1 up to #g1jjj1jjj may be transferred to1 and merged with1 funds appropriated under the heading ,operating ,expenses in ,acts making appropriations for the ,department of ,state1 foreign operations1 and related programs to prevent1 prepare for1 and respond to coronavirus4 7c7 ,funds appropriated by this title under the headings ,global ,health ,programs1 ,international ,disaster ,assistance1 and ,economic ,support ,fund may be transferred to1 and merged with1 funds appropriated by this title under such headings to prevent1 prepare for1 and respond to coronavirus4 7d7 ,the transfer authorities of this section are in addition to any other transfer authority provided by law4 7e7 ,upon a determination that all or part of the funds transferred pursuant to the authorities provided by this section are not necessary for such purposes1 such amounts may be transferred back to such appropriations4 7f7 ,no funds shall be transferred pursuant to this section unless at least #e days prior to making such transfer the ,secretary of ,state or the ,administrator of the ,united ,states ,agency for ,international ,development1 as appropriate1 notifies the ,committees on ,appropriations of the ,house of ,representatives and the ,senate in writing of the details of any such transfer4 #djc4 ,paragraph 7#f77;,b7 under the heading ,administration of ,foreign ,affairs1 ,diplomatic ,programs of the ,department of ,state1 ,foreign ,operations1 and ,related ,programs ,appropriations ,act1 #bjbj 7division ,g of ,public ,law #aaf-id7 is amended by striking 1 not to exceed #aj1jjj1jjj and inserting in lieu thereof for ,worldwide ,security ,protection1 not to exceed #ajj1jjj1jjj and by adding the following before the period at the end3 3 ,provided1 ,that no amounts may be transferred from amounts that were designated by the ,congress for ,overseas ,contingency ,operations_/,global ,war on ,terrorism pursuant to the ,concurrent ,resolution on the ,budget or the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe3 ,provided1 ,that the exercise of the authority provided by such paragraph shall be subject to prior consultation with the ,committees on ,appropriations of the ,house of ,representatives and the ,senate4 #djd4 ,funds appropriated by this title under the headings ,global ,health ,programs and ,economic ,support ,fund may be made available as contributions to international organizations to prevent1 prepare for1 and respond to coronavirus1 following consultation with the ,committees on ,appropriations of the ,house of ,representatives and the ,senate4 #dje4 ,funds appropriated by this title under the headings ,diplomatic ,programs1 ,global ,health ,programs1 ,international ,disaster ,assistance1 and ,economic ,support ,fund may be used to reimburse accounts administered by the ,department of ,state and the ,united ,states ,agency for ,international ,development for obligations incurred to prevent1 prepare for1 and respond to coronavirus prior to the date of enactment of this ,act3 ,provided1 ,that this section shall not apply to obligations incurred by the ,emergency ,reserve ,fund1 established pursuant to section #gjeh7;c77#a7 of the ,department of ,state1 ,foreign ,operations1 and ,related ,programs ,appropriations ,act1 #bjag 7division ,j of ,public ,law #aae-ca74 #djf4 7a7 ,strategy ,not later than #ae days after the date of enactment of this ,act1 the ,secretary of ,state and the ,administrator of the ,united ,states ,agency for ,international ,development1 following consultation with the heads of other relevant ,federal agencies1 shall jointly submit to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate a strategy to prevent1 prepare for1 and respond to coronavirus abroad4 7b7 ,reporting requirement ,not later than #cj days after enactment of this ,act1 the ,secretary of ,state and the ,administrator of the ,united ,states ,agency for ,international ,development shall jointly submit to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate a report on the proposed uses of funds appropriated by this title on a country and project basis3 ,provided1 ,that such report shall be updated and submitted to such ,committees every #fj days thereafter until ,september #cj1 #bjbb1 and every #ahj days thereafter until all funds have been expended1 and shall include information detailing how estimates and assumptions contained in previous reports have changed1 including obligations and expenditures on a country and project basis4 ,v ,general ,provisions--,this ,act #eja4 ,each amount appropriated or made available by this ,act is in addition to amounts otherwise appropriated for the fiscal year involved4 #ejb4 ,no part of any appropriation contained in this ,act shall remain available for obligation beyond the current fiscal year unless expressly so provided herein4 #ejc4 ,unless otherwise provided for by this ,act1 the additional amounts appropriated by this ,act to appropriations accounts shall be available under the authorities and conditions applicable to such appropriations accounts for fiscal year #bjbj4 #ejd4 7a7 ,subject to subsection 7b71 and notwithstanding any other provision of law1 funds made available in this ,act1 or transferred pursuant to authorization granted in this ,act1 may only be used to prevent1 prepare for1 and respond to coronavirus4 7b7 ,subsection 7a7 shall not apply to section #cja7;c7 of this ,act1 or to reimbursements made pursuant to authority in this ,act1 or to funds made available in this ,act for the ,emergency ,reserve ,fund1 established pursuant to section #gjeh7;c77#a7 of division ,j of ,public ,law #aae-ca1 or to funds made available in this ,act for the ,infectious ,diseases ,rapid ,response ,reserve ,fund1 established pursuant to section #bca of division ,b of ,public ,law #aae-bde4 #eje4 ,not later than #fj days after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall consult with the ,committees on ,appropriations of the ,house of ,representatives and the ,senate on oversight of activities supported with funds appropriated by this ,act4 #ejf4 ,in this ,act1 the term coronavirus means ,,sars-,co,v-#b or another coronavirus with pandemic potential4 #ejg4 ,each amount designated in this ,act by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe shall be available 7or rescinded or transferred1 if applicable7 only if the ,president subsequently so designates all such amounts and transmits such designations to the ,congress4 #ejh4 ,any amount appropriated by this ,act1 designated by the ,congress as an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe and subsequently so designated by the ,president1 and transferred pursuant to transfer authorities provided by this ,act shall retain such designation4 ,this division may be cited as the ,coronavirus ,preparedness and ,response ,supplemental ,appropriations ,act1 #bjbj4 ,b ,telehealth ,services ,during ,certain ,emergency ,periods #aja4 ,short title ,this division may be cited as the ,telehealth ,services ,during ,certain ,emergency ,periods ,act of #bjbj4 #ajb4 ,secretarial authority to temporarily waive or modify application of certain ,medicare requirements with respect to telehealth services furnished during certain emergency periods 7a7 ,in general 7#a7 ,waiver authority ,the first sentence of section #aace7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;b77 is amended-- 7,a7 in paragraph 7#f71 by striking and at the end2 7,b7 in paragraph 7#g71 by striking the period at the end and inserting 2 and2 and 7,c7 by inserting after paragraph 7#g7 the following new paragraph3 7#h7 in the case of a telehealth service 7as defined in paragraph 7#d77;,f7 of section #ahcd7m77 furnished in any emergency area 7or portion of such an area7 during any portion of any emergency period to an individual by a qualified provider 7as defined in subsection 7g77#c77-- 7,a7 the requirements of paragraph 7#d77;,c7 of such section1 except that a facility fee under paragraph 7#b77;,b77i7 of such section may only be paid to an originating site that is a site described in any of subclauses 7,i7 through 7,,ix7 of paragraph 7#d77;,c77ii7 of such section2 and 7,b7 the restriction on use of a telephone described in the second sentence of section #daj4gh7;a77#c7 of title #db1 ,code of ,federal ,regulations 7or a successor regulation71 but only if such telephone has audio and video capabilities that are used for two-way1 real-time interactive communication4 4 7#b7 ,definition of qualified provider ,section #aace7;g7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77 is amended by adding at the end the following new paragraph3 7#c7 ,qualified provider ,the term qualified provider means1 with respect a telehealth service 7as defined in paragraph 7#d77;,f7 of section #ahcd7m77 furnished to an individual1 a physician or practitioner 7as defined in paragraph 7#d77;,d7 or 7#d77;,e71 respectively1 of such section7 who-- 7,a7 furnished to such individual an item or service for which payment was made under title ,,xviii during the #c-year period ending on the date such telehealth service was furnished2 or 7,b7 is in the same practice 7as determined by tax identification number7 of a physician or practitioner 7as so defined7 who furnished such an item or service to such individual during such period4 4 7#c7 ,implementation ,the ,secretary of ,health and ,human ,services may implement the amendments made by this subsection by program instruction or otherwise4 7b7 ,clarification of definitions of emergency area and emergency period ,paragraph 7#a7 of section #aace7;g7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77 is amended to read as follows3 7#a7 ,emergency area2 emergency period 7,a7 ,in general ,subject to subparagraph 7,b71 an emergency area is a geographical area in which1 and an emergency period is the period during which1 there exists-- 7i7 an emergency or disaster declared by the ,president pursuant to the ,national ,emergencies ,act or the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act2 and 7ii7 a public health emergency declared by the ,secretary pursuant to section #cai of the ,public ,health ,service ,act4 7,b7 ,exception ,for purposes of subsection 7b77#h71 an emergency area is a geographical area in which1 and an emergency period is the period during which1 there exists-- 7i7 the public health emergency declared by the ,secretary pursuant to section #cai of the ,public ,health ,service ,act on ,january #ca1 #bjbj1 entitled ,determination that a ,public ,health ,emergency ,exists ,nationwide as the ,result of the #bjai ,novel ,coronavirus2 and 7ii7 any renewal of such declaration pursuant to such section #cai4 4 #ajc4 ,budgetary effects 7a7 ,statutory ,,paygo scorecards ,the budgetary effects of this division shall not be entered on either ,,paygo scorecard maintained pursuant to section #d7;d7 of the ,statutory ,pay-,as-,you-,go ,act of #bjaj4 7b7 ,senate ,,paygo scorecards ,the budgetary effects of this division shall not be entered on any ,,paygo scorecard maintained for purposes of section #dajf of ,h4 ,con4 ,res4 #ga 7#aaeth ,congress74 7c7 ,classification of budgetary effects ,notwithstanding ,rule #c of the ,budget ,scorekeeping ,guidelines set forth in the joint explanatory statement of the committee of conference accompanying ,conference ,report #aje-bag and section #bej7;c77#h7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe1 the budgetary effects of this division shall not be estimated-- 7#a7 for purposes of section #bea of such ,act2 and 7#b7 for purposes of paragraph 7#d77;,c7 of section #c of the ,statutory ,pay-,as-,you-,go ,act of #bjaj as being included in an appropriation ,act4 ,passed the ,house of ,representatives ,march #d1 #bjbj4;,clerk4