,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fijf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ae1 #bjbj,ms4   
,jayapal 7= h]self1 ,ms4 ,bass1 ,ms4    
,bonamici1 ,mr4 ,de,fazio1 ,mrs4 ,d+ell1
 ,mr4 ,espaillat1 ,mr4 ,g>ca ( ,ill9ois1
 ,mr4 ,k5n$y1 ,mr4 ,khanna1 ,ms4 ,m5g1  
,ms4 ,norton1 ,ms4 ,ocasio-,cortez1 ,ms4
 ,om>1 ,mr4 ,pocan1 ,ms4 ,pressley1 ,mr4
 ,rask91 ,ms4 ,tlaib1 ,mr4 ,coh51 & ,mr4
 ,blum5au]7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 ,vet]ans' ,affairs1  
,arm$ ,s]vices1 ,ov]sight & ,re=m1 &    
,natural ,res\rces1 = a p]iod to be     
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to provide         
reimbursem5ts = c]ta9 co/s ( heal? c>e  
items & s]vices1 includ+ prescription   
drugs1 furni%$ dur+ ! public heal?      
em]g5cy decl>$ ) respect to ,,covid-#ai4
  #a4 ,%ort title ,?is ,act may be cit$ 

z ! ,heal? ,c>e ,em]g5cy ,gu>antee ,act4
  #b4 ,reimbursem5ts = c]ta9 co/s (     
heal? c>e items & s]vices includ+       
prescription drugs furni%$ dur+ public  
heal? em]g5cy  7a7 ,9 g5]al ,dur+ !     
p]iod beg9n+ on ! date ( enactm5t ( ?is 
,act & end+ on ! date ! ,secret>y       
c]tifies to ,congress t a vacc9e approv$
 by ! ,food & ,drug ,adm9i/ration =     
,,covid-#ai is widely available to !    
public1 ! ,secret>y %all make paym5ts to
 qualifi$ provid]s ) respect to         
applicable heal? c>e items & s]vices z  
def9$ 9 subsection 7b7 t are furni%$ to 
an applicable individual an am\nt equal 
to-- 7#a7 9 ! case ( any portion ( su*  
p]iod 9 :i* an applicable individual is 
enroll$ 9 a public or private heal?     
insurance plan1 ! am\nt ( any co/-%>+1  
includ+ any d$uctibles1 copaym5ts1      
co9surance or simil> *>ges1 t w\ld      
o!rwise be applicable "u su* plan1      
includ+ ) respect to prescription drug  
cov]age "u ! plan2 &  7#b7 9 ! case (   
any portion ( su* p]iod 9 :i* an        

applicable individual is un9sur$1 an    
am\nt equal to ! am\nt t w\ld be paid to
 ! qualifi$ provid] = ! same or         
equival5t items or s]vices1 includ+ )   
respect to any inpati5t or              
physician-adm9i/]$ drugs 7& exclud+     
outpati5t prescription drugs or         
biologicals ) respect to :i* cov]age is 
provid$ "u subsection 7e771 "u ! ,m$ic>e
 program "u title ,,xviii ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acie et  
seq474  7b7 ,applicable heal? c>e items 
& s]vices2 applicable individual def9$  
,9 ?is section3 7#a7 ,applicable heal?  
c>e items & s]vices ,! t]m applicable   
heal? c>e items & s]vices means1 )      
respect to an applicable individual1 any
 heal? c>e items & s]vices t are        
m$ically necess>y or appropriate = !    
ma9t5ance ( heal? or = ! diagnosis1     
treatm5t1 or rehabilitation ( a heal?   
condition ( ! applicable individual1    
includ+-- 7,a7 any te/+ s]vices &       
treatm5ts = ,,covid-#ai or relat$       
complications1 includ+ vacc9es1         

diagno/ic te/s1 drugs & biologicals1 &  
!rapies2 &  7,b7 9 ! case ( an          
applicable individual :o is enroll$ 9 a 
public or private heal? insurance plan1 
any heal? c>e items & s]vices cov]$ by  
su* plan z ( ,m>* #a1 #bjbj1 or 9 ! case
 ( an applicable individual :o enrolls 9
 su* plan aft] ! date1 any heal? c>e    
items & s]vices cov]$ by su* plan z ( ! 
date ( su* enrollm5t4  7#b7 ,applicable 
individual ,! t]m applicable individual 
means an individual :o is a resid5t ( ! 
,unit$ ,/ates4  7c7 ,requirem5ts  7#a7  
,no effect on applicable co/-%>+        
requirem5ts ,no?+ 9 ?is section %all    
affect ! application ( any requirem5ts  
applicable "u ,f$]al or ,/ate law )     
respect to cov]age ( heal? c>e items &  
s]vices )\t any co/-%>+4  7#b7          
,ma9t5ance ( ,ef=t  7,a7 ,9 g5]al ,dur+ 
! p]iod describ$ 9 subsection 7a71 a    
public or private heal? plan %all n     
increase co/-%>+1 decrease b5efits1 or  
o!rwise make cov]age less g5]\s ?an !   
b5efits (f]$ on ! date ( enactm5t ( ?is 

,act4  7,b7 ,new ,items & ,s]vices ,dur+
 su* p]iod1 a public or private heal?   
plan %all provide cov]age ( new items & 
s]vices1 includ+ ^? relat$ to           
,,covid-#ai1 z appropriate1 at a m9imum1
 at a level consi/5t ) ! prior cov]age  
practices & =mul>ies ( ! plan4  7#c7    
,limitation on out-(-pocket exp5ses     
,dur+ su* p]iod1 9 ord] to be eligible  
to receive paym5ts "u ?is section1 a    
qualifi$ provid] %all agree n to impose 
on an applicable individual any *>ge =  
applicable heal? c>e items & s]vices    
furni%$ to ! applicable individual4     
7#d7 ,p]missible bill+ ( plans2         
limitation on balance bill+ ,dur+ su*   
p]iod1 9 ord] to be eligible to receive 
paym5ts "u ?is section1 a qualifi$      
provid] %all agree1 ) respect to        
applicable heal? c>e items & s]vices    
furni%$ to an applicable individual :5  
su* individual is enroll$ 9 a public or 
private heal? insurance plan-- 7,a7 n to
 impose any *>ge on ! plan = su* items &
 s]vices beyond ! am\nt o!rwise payable 

by ! plan2 &  7,b7 n to bill !          
applicable individual = any am\nts 9    
excess ( ! am\nt describ$ 9 subp>agraph 
7,a74  7#e7 ,m$ical debt collection ,a  
qualifi$ provid] %all agree-- 7,a7 to   
imm$iately halt all m$ical debt         
collection1 includ+ collection          
activities c>ri$ out by ?ird p>ties1    
dur+ su* p]iod & %all n collect m$ical  
debt or h ?ird p>ties collect m$ical    
debt = applicable heal? c>e items &     
s]vices furni%$ dur+ su* p]iod2 &  7,b7 
to refra9 f pursu+ m$ical debt          
collection1 includ+ collection          
activities c>ri$ out by ?ird p>ties1    
aft] su* p]iod ) respect to items &     
s]vices relat$ to ! diagnosis or        
treatm5t ( ,,covid-#ai 7reg>dless ( :e!r
 su* s]vices 7 furni%$ be=e1 dur+1 or   
aft] su* p]iod7 & %all n collect m$ical 
debt or h ?ird p>ties collect m$ical    
debt = su* items or s]vices aft] su*    
p]iod4  7#f7 ,submission ( bills &      
docum5tation ,a qualifi$ provid] %all   
agree to submit bills & any requir$     

support+ docum5tation relat+ to !       
provision ( applicable heal? c>e items &
 s]vices )9 #cj days aft] ! date (      
provid+ su* s]vices1 9 su* mann] z !    
,secret>y det]m9es appropriate4  7d7    
,waiv] ( late enrollm5t p5alties "u     
,m$ic>e ,dur+ ! p]iod describ$ 9        
subsection 7a71 no increase 9 ! mon?ly  
premium ( an individual pursuant to     
section #ahah7;c71 #ahci7;b71 or        
#ahfj;,d-#ac ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acie;i-#b7;c71          
#acier7b71 #aciew-#aac7 %all be effect$ 
9 ! case ( any individual :o enrolls =  
b5efits "u title ,,xviii ( su* ,act )   
respect to any p]iod prior to ! date (  
su* enrollm5t4  7e7 ,cov]age ) respect  
to outpati5t prescription drugs  7#a7 ,9
 g5]al ,dur+ ! p]iod describ$ 9         
subsection 7a71 ) respect to outpati5t  
prescription drugs or biologicals       
describ$ 9 subsection 7b77#a77;,a7 t are
 disp5s$ to un9sur$ individuals1 !      
,secret>y %all e/abli% proc$ures "u     
:i*-- 7,a7 su* drugs or biologicals are 

disp5s$ at no co/ to su* individuals2   
7,b7 ph>macies t disp5se su* drugs or   
biologicals-- 7i7 are reimburs$ by !    
,secret>y = su* drugs or biologicals    
disp5s$ to su* individuals at an am\nt  
equal to ! price paid by ! ,secret>y (  
,vet]ans ,affairs to procure ! drug or  
biological "u ! laws adm9i/]$ by !      
,secret>y ( ,vet]ans ,affairs2 &  7ii7  
agree n to *>ge su* individuals = any   
diff]5ce betwe5 ! am\nt reimburs$ "u    
clause 7i7 & ! co/ to ! ph>macy = !     
drug2 &  7,c7 manufactur]s ( su* drugs  
or biologicals reimburse ph>macies = any
 diff]5ce describ$ 9 subp>agraph        
7,b77ii7 ) respect to drugs or          
biologicals ( ! manufactur] t are       
disp5s$ to su* individuals4  7#b7       
,condition ( cov]age "u ,m$ic>e ,dur+ ! 
p]iod describ$ 9 subsection 7a71 no     
cov]age may be provid$ "u "p ,b or ,d ( 
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;j et seq41        
#aciew-#aja et seq47 ) respect to a drug
 or biological ( a manufactur] if !     

manufactur] does n ent] into an agreem5t
 ) ! ,secret>y to c>ry out ! requirem5ts
 applicable ) respect to su*            
manufactur]s "u ?is subsection4  7#c7   
,requirem5t = p>ticipat+ ph>macies ,dur+
 ! p]iod describ$ 9 subsection 7a71 a   
prescription drug plan "u "p ,d ( title 
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #aciew-#aja et seq47 may n    
contract ) a ph>macy if ! ph>macy does n
 ent] into an agreem5t ) ! ,secret>y to 
c>ry out ! requirem5ts applicable )     
respect to ph>macies "u ?is subsection4 
7f7 ,o!r def9itions  7#a7 ,public or    
private heal? insurance plan  7,a7 ,9   
g5]al ,! t]m public or private heal?    
insurance plan means any ( ! foll[+3 7i7
 ,a gr\p heal? plan1 or gr\p heal?      
insurance cov]age1 z su* t]ms are def9$ 
9 section #bgia ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#ia74  7ii7 ,a qualifi$ heal?   
plan1 z def9$ 9 section #acja ( !       
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjba74  7iii7     

,subject to subp>agraph 7,b71 any heal? 
insurance cov]age 7o!r ?an a plan       
describ$ 9 clause 7ii77 (f]$ 9 !        
individual m>ket1 z su* t]ms are def9$ 9
 section #bgia ( ! ,public ,heal?       
,s]vice ,act1 includ+ any %ort-t]m      
limit$ duration insurance4  7iv7 ,a     
heal? plan (f]$ "u *apt] #hi ( title #e1
 ,unit$ ,/ates ,code4  7v7 ,a ,f$]al    
heal? c>e program 7z def9$ "u section   
#aabh;,b7f7 ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acbj;a-#g;b7f771        
includ+-- 7,i7 heal? b5efits furni%$ "u 
! ,,tric>e program 7z def9$ 9 section   
#ajgb ( title #aj1 ,unit$ ,/ates ,code72
  7,,ii7 heal? b5efits furni%$ to       
vet]ans "u ! laws adm9i/]$ by !         
,secret>y ( ,vet]ans ,affairs2 &        
7,,iii7 heal? b5efits furni%$ to        
,indians 7z def9$ 9 section #d ( !      
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afjc77 receiv+ heal?    
s]vices ?r\gh ! ,indian ,heal? ,s]vice1 
includ+ ?r\gh an ,urban ,indian         
,organization1 reg>dless ( :e!r su*     

b5efits are = items or s]vices t h be5  
au?oriz$ "u ! pur*as$_/ref]r$ c>e sy/em 
fund$ by ! ,indian ,heal? ,s]vice or are
 cov]$ z a heal? s]vice ( ! ,indian     
,heal? ,s]vice4  7,b7 ,limitation on    
individual heal? insurance cov]age ,!   
t]m public or private heal? insurance   
cov]age includes ! heal? insurance      
cov]age describ$ 9 clause 7iii7 (       
subp>agraph 7,a7 only ) respect to an   
individual :o is enroll$ 9 su* cov]age  
on ,m>* #a1 #bjbj4  7#b7 ,qualifi$      
provid] ,! t]m qualifi$ provid] means a 
heal? c>e provid] :o is a p>ticipat+    
provid] "u ! ,m$ic>e program "u title   
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq474 ,su* t]m      
includes a heal? c>e provid] :o is n a  
p>ticipat+ provid] "u su* program if !  
heal? c>e provid] w\ld meet ! crit]ia = 
su* p>ticipation &1 if ! ,/ate requires 
! heal? c>e provid] to be lic5s$ by !   
,/ate1 is lic5s$ by ! ,/ate 9 :i* !     
items or s]vices are furni%$4  7#c7     
,secret>y ,! t]m ,secret>y means !      

,secret>y ( ,heal? & ,human ,s]vices4   
7g7 ,implem5tation  7#a7 ,9 g5]al ,!    
,secret>y1 9 coord9ation ) ! ,secret>y (
 ! ,treasury1 ! ,commission] ( ,social  
,security1 & ! ,secret>y ( ,labor1 %all 
implem5t ! provisions ( ?is section n   
lat] ?an ! date t is #g days aft] ! date
 ( ! enactm5t ( ?is ,act4  7#b7 ,ensur+ 
timely paym5t ,! ,secret>y %all e/abli% 
a process & issue su* guidance z is     
necess>y to ensure a qualifi$ provid]   
receives paym5ts "u ?is section 9 a     
timely mann]4  7#c7 ,ensur+ collection (
 data on disp>ities ,! ,secret>y %all   
implem5t ?is section 9 a mann] & issue  
su* guidance z is necess>y to all[ = !  
ongo+1 accurate1 & timely collection &  
analysis ( data on disp>ities 9         
accordance ) subsection 7h74  7h7       
,collection ( data on disp>ities  7#a7  
,9 ,g5]al ,dur+ ! p]iod describ$ 9      
subsection 7a71 ! ,secret>y %all collect
 data on disp>ities across race1        
e?nicity1 prim>y language1 g5d]1 sexual 
ori5tation1 disability /atus1 age1      

geographic area1 insurance /atus1 &     
socioeconomic /atus-- 7,a7 9 heal?      
outcomes & access to hea? c>e relat$ to 
! ,,covid-#ai outbreak1 includ+ data on 
,,covid-#ai cases1 treatm5t1 & dea?s2 & 
7,b7 9 pati5t access to applicable heal?
 c>e items & s]vices "u ?is section4    
7#b7 ,public availability ,! ,secret>y  
%all-- 7,a7 make data collect$ "u ?is   
subsection publicly available on !      
int]net website ( ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices z soon z is            
practicable1 b n lat] ?an #cj days aft] 
! date ( enactm5t ( ?is ,act1 9 a mann] 
t all[s rese>*]s1 s*ol>s1 heal? c>e     
provid]s1 & o!rs to access & analyze su*
 data1 )\t compromis+ pati5t privacy2 & 
7,b7 update su* data on a weekly basis  
!reaft] = ! duration ( ! p]iod describ$ 
9 subsection 7a74  7i7 ,weekly reports  
to ,congress  7#a7 ,9 g5]al ,on a weekly
 basis dur+ ! p]iod describ$ 9          
subsection 7a71 ! ,secret>y %all report 
to ,congress on-- 7,a7 ! implem5tation (
 ?is section1 includ+ in=mation on !    

am\nt1 type1 & geographic di/ribution ( 
paym5ts to qualifi$ provid]s "u ?is     
section2 &  7,b7 any disp>ities 9 heal? 
& access to heal? c>e relat$ to !       
,,covid-#ai outbreak or pati5t access to
 applicable heal? c>e items & s]vices "u
 ?is section1 z id5tifi$ ?r\gh !        
collection & analysis ( data collect$ "u
 subsection 7h74  7#b7 ,public          
availability ,! ,secret>y %all make ea* 
report submitt$ "u p>agraph 7#a7        
publicly available on ! int]net website 
( ! ,dep>tm5t ( ,heal? & ,human         
,s]vices4  7j7 ,fund+ ,!re are au?oriz$ 
to be appropriat$ su* sums z are        
necess>y to c>ry out ?is section4