,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #gedf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #i1 #bjbj ,mr4  
,lewis introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = 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 direct !        
,secret>y ( ,heal? & ,human ,s]vices to 
ensure t m9ority & m$ically und]s]v$    
communities h mean+ful & imm$iate access
 to public heal? int]v5tions & m$ically 
necess>y heal? c>e s]vices dur+ !       
,,covid-#ai p&emic1 & = o!r purposes4   
#a4 ,%ort title2 table ( cont5ts  7a7   
,%ort title ,?is ,act may be cit$ z !   
,m9ority ,community ,public ,heal?      
,em]g5cy ,response ,act ( #bjbj4  7b7   
,table ( cont5ts ,! table ( cont5ts =   
?is ,act is z foll[s3  ,sec4 #a4 ,%ort  
title2 table ( cont5ts4 ,title          
,i--,rapid ,response ,grant ,program    

,sec4 #aja4 ,rapid response grant       
program4 ,title ,,ii--,equality 9       
,m$ic>e & ,m$icaid ,treatm5t ,sec4 #bja4
 ,improv+ access to c>e = ,m$ic>e &     
,m$icaid b5efici>ies4  ,i ,rapid        
,response ,grant ,program  #aja4 ,rapid 
response grant program ,title ,,xxviii (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #cjj;hh et seq47 is am5d$ by  
add+ at ! end ! foll[+ new subtitle3  ,d
 ,rapid ,response  #bhca4 ,rapid        
response grant program  7a7 ,e/abli%m5t 
( program ,! ,secret>y ( ,heal? & ,human
 ,s]vices %all aw>d grants to eligible  
entities describ$ 9 subsection 7b7 =    
,,covid-#ai prep>$ness & response ef=ts4
  7b7 ,eligible ,entities ,to be        
eligible to receive a grant "u ?is      
section1 an entity %all be a qualifi$   
gov]nm5t entity seek+ a grant = a       
qualifi$ community )9 its jurisdiction  
t-- 7#a7 is1 or conta9s1 a m$ically     
und]s]v$ community2 &  7#b7 has a       
p]c5tage ( ,,covid-#ai cases1           
hospitalizations1 or dea?s = any racial 

& e?nic m9ority gr\p t is great] ?an !  
p]c5tage ( su* cases 9 ! ,/ate or c\nty 
9 :i* ! community is locat$4  7c7       
,application ,to be eligible = a grant  
"u ?is section1 an eligible entity %all 
submit to ! ,secret>y an application at 
su* "t1 9 su* =m1 & conta9+ su*         
in=mation z ! ,secret>y det]m9es        
appropriate1 includ+--  7#a7            
docum5tation t ! entity is an eligible  
entity2  7#b7 a plan = c>ry+ out !      
activities describ$ 9 subsection 7f7 )  
am\nts receiv$ "u ?is section2  7#c7 an 
ov]sight plan = track+ & security (     
res\rces & supplies2 &  7#d7 a s*$ule = 
res\rce exp5diture & response read9ess4 
7d7 ,c]tification ,prior to aw>d+ a     
grant "u ?is section1 ! ,secret>y %all  
obta9 a c]tification f ! ,deputy        
,assi/ant ,secret>y = ,m9ority ,heal?1 !
 ,deputy ,assi/ant ,secret>y = ,wom5's  
,heal?1 & ! ,director ( ! ,(fice (      
,rural ,heal? ,policy t ! application   
involv$ addresses heal? disp>ities &    
social det]m9ants ( heal? z appropriate 

= populations to be c>$ = ?r\gh ! grant4
  7e7 ,priority ,9 mak+ grants "u ?is   
section1 ! ,secret>y %all give priority 
to eligible entities t are local        
gov]nm5ts & c\nty heal? dep>tm5ts4  7f7 
,grant uses ,a recipi5t ( a grant "u ?is
 section may use grant funds ) respect  
to ,,covid-#ai prep>$ness & rapid       
response ef=ts = any ( ! foll[+3 7#a7   
,pur*as+ m$ical supplies4  7#b7 ,provid+
 nutrition assi/ance4  7#c7 ,w>eh\s+    
/ockpil$ supplies1 includ+ r5t &        
security co/s4  7#d7 ,con/ruct+ & op]at+
 te/+ sites4  7#e7 ,provid+ qu>ant9e    
h\s+4  7#f7 ,provid+ public education   
relat$ to ! p&emic1 includ+ mis9=mation 
response4  7#g7 ,contact trac+4  7#h7   
,provid+ vacc9ations4  7#i7 ,di/ribut+1 
disp5s+1 & adm9i/]+ antiviral           
m$ications4  7#aj7 ,provid+ community   
mitigation4  7#aa7 ,p]=m+ laboratory    
epidemiology4  7#ab7 ,p]=m+             
surveillance4  7g7 ,report+  7#a7 ,grant
 recipi5ts ,n lat] ?an #a mon? aft] !   
date ( enactm5t ( ?is subtitle1 #f mon?s

 aft] su* date ( enactm5t1 & #a ye> aft]
 su* date ( enactm5t1 & annually        
!reaft]1 ! recipi5t ( a grant "u ?is    
section %all report to ! ,secret>y on ! 
program fund$ ?r\gh ! grant1 ) respect  
to--  7,a7 program ov]sight z describ$ 9
 subsection 7c77#c72  7,b7 delays 9     
fund+ exp5ditures2 &  7,c7 res\rce      
di/ribution4  7#b7 ,secret>y ,n lat] ?an
 #f mon?s aft] ! date ( enactm5t ( ?is  
subtitle & #a ye> aft] su* date (       
enactm5t1 & annually !reaft]1 !         
,secret>y %all report to ! ,congress on 
! programs fund$ by grants "u ?is       
section1 ) respect to--  7,a7 program   
ov]sight z describ$ 9 subsection        
7c77#c72 &  7,b7 unmet ne$s 9 grant     
recipi5t p&emic response infra/ructure4 
#bhcb4 ,plann+ grant program  7a7 ,9    
g5]al ,! ,secret>y may aw>d a plann+    
grant to any entity t c]tifies t-- 7#a7 
x is an eligible entity "u section      
#bhca7;b72 &  7#b7 x int5ds to submit to
 ! ,secret>y an application = a grant "u
 section #bhca4  7b7 ,use ( funds ,any  

grant aw>d$ "u ?is section1 = purposes (
 develop+ an application = a grant "u   
section #bhca1 %all be us$ to--  7#a7   
id5tify community ne$s to rapidly &     
effectively respond to ! ,,covid-#ai    
p&emic2  7#b7 e/imate ! co/ ( su* a     
response & ma9ta9+ a /ate ( read9ess2 & 
7#c7 hire /aff to c>ry out p>agraphs    
7#a7 & 7#b74  7c7 ,tim+ ,n lat] ?an #cj 
days aft] receipt ( an application = an 
aw>d "u ?is section1 ! ,secret>y %all   
det]m9e :e!r to aw>d ! grant4  7d7      
,fund+ condition ,z a condition on      
receipt ( a plann+ grant "u ?is section1
 an applicant %all agree to submit to ! 
,secret>y an application = a grant "u   
section #bhca no lat] ?an #ij days aft] 
receiv+ ! plann+ grant4  #bhcc4         
,community ,infecti\s ,disease ,heal?   
,s]vices ,plann+ ,c\ncil  7a7           
,e/abli%m5t ,to be eligible = assi/ance 
"u ?is subtitle1 ! *ief elect$ (ficial (
 ! qualifi$ gov]nm5t entity apply+ = su*
 assi/ance %all e/abli% or designate a  
,,covid-#ai_/;infecti\s disease heal?   

s]vices plann+ c\ncil 79 ?is section    
ref]r$ to z a ,,covid-#ai_/;infecti\s   
disease heal? s]vices plann+ c\ncil7 t  
%all reflect 9 its composition !        
demographics ( ! populations (          
individuals ) ,,covid-#ai & o!r         
infecti\s diseases 9 ! qualifi$         
community involv$1 ) p>ticul>           
consid]ation giv5 to disproportionately 
affect$ & hi/orically und]s]v$ gr\ps &  
subpopulations4  7b7 ,selection crit]ia 
,nom9ations = memb]%ip on a             
,,covid-#ai_/;infecti\s disease heal?   
s]vices plann+ c\ncil %all be id5tifi$  
?r\gh an op5 process & c&idates %all be 
select$ bas$ on locally del9eat$ &      
publiciz$ crit]ia4 ,su* crit]ia %all    
include a conflict-(-int]e/ /&>d t is 9 
accordance ) subsection 7f74  7c7       
,repres5tation ,a                       
,,covid-#ai_/;infecti\s disease heal?   
s]vices plann+ c\ncil--  7#a7 %all      
include repres5tatives (-- 7,a7 heal?   
c>e provid]s1 includ+ f$]ally qualifi$  
heal? c5t]s2  7,b7 community-bas$       

organizations s]v+ affect$ populations &
 ,,aids s]vice organizations2  7,c7     
social s]vice provid]s1 includ+ provid]s
 ( h\s+ & homeless s]vices2  7,d7 m5tal 
heal? & sub/ance abuse provid]s2  7,e7  
local public heal? ag5cies2  7,f7       
hospital plann+ ag5cies or heal? c>e    
plann+ ag5cies2  7,g7 affect$           
communities1 includ+--  7i7 individuals 
) ,,covid-#ai or ano!r infecti\s disease
 designat$ by ! c\ncil z hav+ a         
disproportionate effect on a racial &   
e?nic m9ority gr\p2  7ii7 memb]s ( a    
f$]ally recogniz$ ,indian ,tribe z      
repres5t$ 9 ! affect$ communities2 &    
7iii7 hi/orically und]s]v$ gr\ps &      
subpopulations2  7,h7 nonelect$         
community lead]s2  7,i7 ,/ate gov]nm5t  
7includ+ ! ,/ate ,m$icaid ag5cy72  7,j7 
grantees "u ?is subtitle1 or1 if none   
are op]at+ 9 ! area1 repres5tatives (   
organizations ) a hi/ory ( s]v+ *ildr51 
y\?1 wom51 & families liv+ ) ,,covid-#ai
 or o!r infecti\s diseases & op]at+ 9 ! 
area2  7,k7 grantees :o receive fund+ f 

o!r ,f$]al ,,covid-#ai or o!r infecti\s 
disease programs2 &  7,l7 repres5tatives
 ( individuals :o =m]ly 7 ,f$]al1 ,/ate1
 or local prison]s1 7 releas$ f ! cu/ody
 ( ! p5al sy/em dur+ ! prec$+ #c ye>s1 &
 _h ,,covid-#ai or ano!r infecti\s      
disease z ( ! date on :i* ! individuals 
7 s releas$2 &  7#b7 to ! ext5t         
possible1 %all include individuals :o h 
_h ,,covid-#ai4  7d7 ,me?od ( provid+ = 
c\ncil  7#a7 ,9 g5]al ,9 provid+ = a    
c\ncil = purposes ( subsection 7a71 a   
*ief elect$ (ficial ( a qualifi$        
gov]nm5t entity receiv+ a grant "u ?is  
subtitle may e/abli% ! c\ncil directly  
or designate an exi/+ entity to s]ve z !
 c\ncil1 subject to p>agraph 7#b74  7#b7
 ,consid]ation reg>d+ designation (     
c\ncil ,9 mak+ a det]m9ation ( :e!r to  
e/abli% or designate a c\ncil "u        
p>agraph 7#a71 a *ief elect$ (ficial ( a
 qualifi$ gov]nm5t entity receiv+ a     
grant "u ?is subtitle %all give priority
 to ! designation ( an exi/+ entity t   
has demon/rat$ exp]i5ce 9 plann+ = !    

,,covid-#ai & o!r infecti\s diseases    
heal? c>e s]vice ne$s )9 ! qualifi$     
community & 9 ! implem5tation ( su*     
plans 9 address+ ^? ne$s4 ,any exi/+    
entity s designat$ %all be exp&$ to     
include a broad repres5tation ( ! full  
range ( entities t provide su* s]vices  
)9 ! geographic area to be s]v$4  7e7   
,duties ,a ,,covid-#ai_/;infecti\s      
disease heal? s]vices plann+ c\ncil     
%all--  7#a7 det]m9e ! size &           
demographics ( ! population (           
individuals :o h or _h ,,covid-#ai or   
o!r infecti\s disease1 z well z ! size &
 demographics ( ! e/imat$ population (  
individuals ) ,,covid-#ai or o!r        
infecti\s disease :o are unaw>e ( _!    
,,covid-#ai or o!r infecti\s disease    
/atus2  7#b7 det]m9e ! ne$s ( su*       
population1 ) p>ticul> att5tion to--    
7,a7 individuals :o h or _h ,,covid-#ai 
or o!r infecti\s disease & are n receiv+
 heal? c>e ) respect to ,,covid-#ai or  
su* disease2  7,b7 disp>ities 9 access &
 s]vices among affect$ subpopulations & 

hi/orically und]s]v$ communities2 &     
7,c7 individuals :o are unaw>e t su*    
individual has or _h ,,covid-#ai or o!r 
infecti\s disease2  7#c7 e/abli%        
priorities = ! allocation ( funds )9 !  
qualifi$ community1 includ+ h[ be/ to   
meet ea* su* priority & additional      
factors t a grantee %\ld consid] 9      
allocat+ funds "u a grant bas$ on !--   
7,a7 size & demographics ( ! population 
( individuals :o h or _h ,,covid-#ai 7z 
det]m9$ "u p>agraph 7#a77 or o!r        
infecti\s disease & ! ne$s ( su*        
population 7z det]m9$ "u p>agraph 7#b772
  7,b7 demon/rat$ 7or probable7 co/     
effectiv5ess & outcome effectiv5ess (   
propos$ /rategies & int]v5tions1 to !   
ext5t t data are reasonably available2  
7,c7 priorities ( ! communities (       
individuals :o h or _h ,,covid-#ai or   
o!r infecti\s disease = :om ! s]vices   
are int5d$2  7,d7 availability ( o!r    
gov]nm5tal & nongov]nm5tal res\rces1    
includ+ ! ,/ate ,m$icaid plan "u title  
,,xix ( ! ,social ,security ,act & !    

,/ate ,*ildr5's ,heal? ,insurance       
,program "u title ,,xxi ( su* ,act to   
cov] heal? c>e co/s ( eligible          
individuals & families ) respect to     
,,covid-#ai or o!r infecti\s disease2 & 
7,e7 capacity developm5t ne$s result+ f 
disp>ities 9 ! availability (           
,,covid-#ai or o!r infecti\s            
disease-relat$ s]vices 9 hi/orically    
und]s]v$ communities2  7#d7 develop a   
compreh5sive plan = ! organization &    
deliv]y ( heal? & support s]vices       
describ$ 9 section #bhca t--  7,a7      
includes a /rategy = id5tify+           
individuals :o h or _h ,,covid-#ai or   
o!r infecti\s disease & = in=m+ !       
individuals ( & enabl+ ! individuals to 
utilize ! s]vices1 giv+ p>ticul>        
att5tion to elim9at+ disp>ities 9 access
 & s]vices among affect$ subpopulations 
& hi/orically und]s]v$ communities1 &   
includ+ discrete goals1 a timetable1 &  
an appropriate allocation ( funds2  7,b7
 includes a /rategy to coord9ate !      
provision ( su* s]vices ) programs to   

prev5t ! spread ( ,,covid-#ai or o!r    
infecti\s disease2  7,c7 is compatible )
 any ,/ate or local plan = ! provision (
 s]vices to individuals :o h ,,covid-#ai
 or o!r infecti\s disease2 &  7,d7      
includes a /rategy1 coord9at$ z         
appropriate ) o!r community /rategies & 
ef=ts1 includ+ discrete goals1 a        
timetable1 & appropriate fund+1 =       
id5tify+ individuals :o h ,,covid-#ai or
 o!r infecti\s disease or :o are unaw>e 
t su* individuals h ,,covid-#ai or o!r  
infecti\s disease1 mak+ su* individuals 
aw>e ( su* /atus1 & enabl+ su*          
individuals to use ! heal? & support    
s]vices describ$ 9 section #bhca1 )     
p>ticul> att5tion to r$uc+ b>ri]s to    
r\t9e te/+ & disp>ities 9 access &      
s]vices among affect$ subpopulations &  
hi/orically und]s]v$ communities2  7#e7 
assess ! effici5cy ( ! adm9i/rative     
me*anism 9 rapidly allocat+ funds to !  
areas ( greate/ ne$ )9 ! qualifi$       
community1 & at ! discretion ( a        
,,covid-#ai_/;infecti\s disease heal?   

s]vices plann+ c\ncil1 assess !         
effectiv5ess1 ei!r directly or ?r\gh    
contractual arrangem5ts1 ( ! s]vices    
(f]$ 9 meet+ ! id5tifi$ ne$s2  7#f7     
e/abli% me?ods = obta9+ input on        
community ne$s & priorities :i* may     
include public meet+s 79 accordance )   
subsection 7h771 conduct+ focus gr\ps1 &
 conv5+ ad-hoc panels2 &  7#g7 coord9ate
 ) ,f$]al grantees t provide ,,covid-#ai
 or o!r infecti\s disease-relat$ s]vices
 9 ! qualifi$ community4  7f7 ,conflicts
 ( int]e/  7#a7 ,9 g5]al ,a             
,,covid-#ai_/;infecti\s disease heal?   
s]vices plann+ c\ncil may n be directly 
involv$ 9 ! adm9i/ration ( a grant "u   
?is subtitle4 ,) respect to compliance )
 ! prec$+ s5t5ce1 a                     
,,covid-#ai_/;infecti\s disease heal?   
s]vices plann+ c\ncil may n designate   
7or o!rwise be involv$ 9 ! selection (7 
p>ticul> entities z recipi5ts ( any ( ! 
am\nts provid$ 9 ! grant4  7#b7 ,requir$
 agreem5ts ,an individual may s]ve on a 
,,covid-#ai_/;infecti\s disease heal?   

s]vices plann+ c\ncil only if !         
individual agrees t if ! individual has 
a f9ancial int]e/ 9 an entity1 if !     
individual is an employee ( a public or 
private entity1 or if ! individual is a 
memb] ( a public or private             
organization1 & su* entity or           
organization is seek+ am\nts f a grant  
"u ?is subtitle1 ! individual w n1 )    
respect to ! purpose = :i* ! entity     
seeks su* am\nts1 p>ticipate 7directly  
or 9 an advisory capacity7 9 ! process (
 select+ entities to receive su* am\nts 
= su* purpose4  7#c7 ,composition (     
c\ncil ,! foll[+ applies reg>d+ !       
memb]%ip ( a ,,covid-#ai_/;infecti\s    
disease heal? s]vices plann+ c\ncil3    
7,a7 ,n less ?an #cc p]c5t ( ! c\ncil   
%all be individuals :o-- 7i7 are n      
(fic]s1 employees1 or consultants to any
 entity t receives am\nts f su* a grant1
 & d n repres5t any su* entity2 &  7ii7 
reflect ! demographics ( ! population ( 
individuals :o h ,,covid-#ai or o!r     
infecti\s diseases z det]m9$ "u         

subsection 7e77#a74  7,b7 ,) respect to 
memb]%ip on a ,,covid-#ai_/;infecti\s   
disease heal? s]vices plann+ c\ncil1    
subp>agraph 7,a7 may n be con/ru$ z hav+
 any effect on entities t receive any   
,f$]al funds ) respect to ,,covid-#ai or
 o!r infecti\s disease b d n receive    
funds f grants "u section #bhca1 on     
(fic]s or employees ( su* entities1 or  
on individuals :o repres5t su* entities4
  7g7 ,grievance proc$ures ,a           
,,covid-#ai_/;infecti\s disease heal?   
s]vices plann+ c\ncil %all develop      
proc$ures = address+ grievances )       
respect to fund+ "u ?is subtitle1       
includ+ proc$ures = submitt+ grievances 
t _c be resolv$ to b9d+ arbitration4    
,su* proc$ures %all be describ$ 9 !     
by-laws ( a ,,covid-#ai_/;infecti\s     
disease heal? s]vices plann+ c\ncil & be
 consi/5t ) ! requirem5ts ( subsection  
7c74  7h7 ,public delib]ations ,)       
respect to a plann+ c\ncil "u subsection
 7a71 ! foll[+ applies3  7#a7 ,! c\ncil 
may n be *air$ solely by an employee ( !

 grantee "u ?is subtitle4  7#b7 ,9      
accordance ) crit]ia e/abli%$ by !      
,secret>y3  7,a7 ,! meet+s ( ! c\ncil   
%all be op5 to ! public & %all be held  
only aft] adequate notice to ! public4  
7,b7 ,! records1 reports1 transcripts1  
m9utes1 ag5da1 or o!r docum5ts :i* 7    
made available to or prep>$ = or by !   
c\ncil %all be available = public       
inspection & copy+ at a s+le location4  
7,c7 ,detail$ m9utes ( ea* meet+ ( !    
c\ncil %all be kept4 ,! accuracy ( all  
m9utes %all be c]tifi$ to by ! *air ( ! 
c\ncil4  7,d7 ,?is p>agraph does n apply
 to any disclosure ( in=mation ( a      
p]sonal nature t w\ld con/itute a cle>ly
 unw>rant$ invasion ( p]sonal privacy1  
includ+ any disclosure ( m$ical         
in=mation or p]sonnel matt]s4  #bhcd4   
,def9itions ,9 ?is subtitle3 7#a7       
,m$ically und]s]v$ community ,! t]m     
m$ically und]s]v$ community has ! mean+ 
giv5 ! t]m 9 section #gii;,b7#f74  7#b7 
,qualifi$ community ,! t]m qualifi$     
community means ei!r ( ! foll[+3 7,a7 ,a

 political subdivision ( a ,/ate4  7,b7 
,a gr\p ( political subdivisions ( "o or
 m ,/ates4  7#c7 ,qualifi$ gov]nm5t     
entity ,! t]m qualifi$ gov]nm5t entity  
means any ( ! foll[+3  7,a7 ,a ,/ate4   
7,b7 ,a political subdivision ( a ,/ate4
  7,c7 ,a gr\p ( political subdivisions 
( "o or m ,/ates4  7,d7 ,a c\nty heal?  
dep>tm5t4  7#d7 ,racial & e?nic m9ority 
gr\p ,! t]m racial & e?nic m9ority gr\p 
has ! mean+ giv5 ! t]m 9 section        
#agjg7;g74  7#e7 ,secret>y ,! t]m       
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#f7 ,/ate ,! t]m     
,/ate means ea* ( ! sev]al ,/ates1 !    
,di/rict ( ,columbia1 & ! t]ritories &  
possessions ( ! ,unit$ ,/ates4  #bhce4  
,au?orization ( appropriation ,!re is   
au?oriz$ to be appropriat$ to c>ry out  
?is subtitle #a1jjj1jjj1jjj1 to rema9   
available until exp5d$4  4  ,,ii        
,equality 9 ,m$ic>e & ,m$icaid ,treatm5t
  #bja4 ,improv+ access to c>e = ,m$ic>e
 & ,m$icaid b5efici>ies ,section        
#aaae;,a ( ! ,social ,security ,act 7#db

 ,u4,s4,c4 #acae;a7 is am5d$-- 7#a7 9   
subsection 7a77#c7--  7,a7 by ins]t+    
aft] relevant ,f$]al ag5cies1 ! foll[+3 
includ+ ! ,(fice ( ,m9ority ,heal? ( !  
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 !  
,(fice ( ,rural ,heal? ,policy ( !      
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 & ! ,(fice on ,wom5's    
,heal? 9 ! ,(fice ( ! ,secret>y12 &     
7,b7 by ins]t+ aft] m$ic9e ! foll[+3 1 !
 causes ( heal? disp>ities & social     
det]m9ants ( heal?12  7#b7 9 subsection 
7b7-- 7,a7 9 p>agraph 7#b7--  7i7 9     
subp>agraph 7,a7-- 7,i7 by ins]t+ aft] !
 fir/ s5t5ce1 ! foll[+ new s5t5ce3      
,prior to model selection1 ! ,secret>y  
%all consult ) ! ,(fice ( ,m9ority      
,heal? ( ! ,c5t]s = ,m$ic>e  ,m$icaid   
,s]vices1 ! ,f$]al ,(fice ( ,rural      
,heal? ,policy1 & ! ,(fice on ,wom5's   
,heal? to ensure t models "u            
consid]ation address heal? disp>ities & 
social det]m9ants ( heal? z appropriate 
= populations to be c>$ = "u ! model42  
7,,ii7 by ins]t+ 1 z well z improv+     

access to c>e receiv$ by individuals    
receiv+ b5efits "u su* title1 aft]      
title2 &  7,,iii7 by add+ at ! end !    
foll[+ new s5t5ce3 ,! models select$ "u 
?is subp>agraph %all include ! social   
det]m9ants ( heal? paym5t model describ$
 9 subp>agraph 7,d71 ! te/+ ( :i* %all  
beg9 n lat] ?an ,decemb] #ca1 #bjbj42   
7ii7 9 subp>agraph 7,c71 by add+ at !   
end ! foll[+ new clauses3  7ix7 ,:e!r ! 
model w affect access to c>e f provid]s 
& suppli]s c>+ = high-risk pati5ts or   
op]at+ 9 und]s]v$ areas4  7x7 ,:e!r !   
model has ! pot5tial to produce         
r$uctions 9 m9ority & rural heal?       
disp>ities4  2 &  7iii7 by add+ at ! end
 ! foll[+ new subp>agraph3  7,d7 ,social
 det]m9ants ( heal? paym5t model  7i7 ,9
 g5]al ,! social det]m9ants ( heal?     
paym5t model describ$ 9 ?is subp>agraph 
is a paym5t model t te/s ea* ( ! paym5t 
& s]vice deliv]y innovations describ$ 9 
clause 7ii7 9 a region det]m9$          
appropriate by ! ,secret>y4  7ii7       
,paym5t & s]vice deliv]y innovations    

describ$ ,= purposes ( clause 7i71 !    
paym5t & s]vice deliv]y innovations     
describ$ 9 ?is clause are ! foll[+3     
7,i7 ,paym5t & s]vice deliv]y           
innovations = behavioral heal? s]vices1 
focus+ on ga!r+ actionable data to      
address ! high] co/s associat$ )        
b5efici>ies ) diagnos$ behavioral       
conditions4  7,,ii7 ,paym5t & s]vice    
deliv]y innovations t>get+ conditions or
 comorbidities ( individuals entitl$ or 
enroll$ "u ! ,m$ic>e program "u title   
,,xviii & enroll$ "u a ,/ate plan "u !  
,m$icaid program "u title ,,xix to      
increase capacity 9 und]s]v$ areas4     
7,,iii7 ,paym5t & s]vice deliv]y        
innovations t>get$ on ,m$icaid-eligible 
pregnant & po/p>tum wom51 up to "o ye>  
aft] deliv]y4  7,,iv7 ,paym5t & s]vice  
deliv]y innovations t>get$ on           
communities :]e a p]c5tage ( ,,covid-#ai
 cases1 hospitalizations1 or dea?s = any
 racial or e?nic m9ority gr\p t is      
great] ?an ! p]c5tage ( su* cases 9 !   
,/ate or c\nty 9 :i* ! community is     

locat$4  2 &  7,b7 9 p>agraph           
7#d77;,a7-- 7i7 9 clause 7i7 at ! end1  
by /rik+ &2  7ii7 9 clause 7ii71 at !   
end1 by /rik+ ! p]iod & ins]t+ 2 &2 &   
7iii7 by add+ at ! end ! foll[+ new     
clause3  7iii7 ! ext5t to :i* ! model   
improves access to c>e or ! ext5t to :i*
 ! model improves c>e = high-risk       
pati5ts1 pati5ts f racial or e?nic      
m9orities1 or pati5ts 9 und]s]v$ areas4 
2  7#c7 9 subsection 7c7--  7,a7 9      
p>agraph 7#b71 by /rik+ at ! end &2     
7,b7 by r$esignat+ p>agraph 7#c7 z      
p>agraph 7#d72  7,c7 by ins]t+ aft]     
p>agraph 7#b7 ! foll[+ new p>agraph3    
7#c7 ! ,(fice ( ,m9ority ,heal? ( !     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices     
c]tifies t su* expansion w n r$uce      
access to c>e = l[-income1 m9ority1 or  
rural b5efici>ies2 &  2  7,d7 9 p>agraph
 7#d71 z r$esignat$ by subp>agraph 7,b71
 by ins]t+ be=e ! p]iod at ! end !      
foll[+3 nor increase heal? disp>ities   
exp]i5c$ by l[-income1 m9ority1 or rural
 b5efici>ies2 &  7,e7 9 ! matt] foll[+  

p>agraph 7#d71 z r$esignat$ by          
subp>agraph 7,b71 by ins]t+ 1 improve   
access to c>e1 aft] c>e2 &  7#d7 9      
subsection 7g7-- 7,a7 by ins]t+ 7or1    
beg9n+ ) #bjba1 once e ye> !reaft]7 aft]
 !reaft]2 &  7,b7 by add+ at ! end !    
foll[+ new s5t5ce3 ,= reports = #bjba & 
ea* subsequ5t ye>1 ea* su* report %all  
include in=mation on ! foll[+3  7#a7 ,! 
ext5t & sev]ity ( m9ority & rural heal? 
disp>ities 9 ,m$ic>e & ,m$icaid         
b5efici>ies4  7#b7 ,! int]v5tions t     
address social det]m9ants ( heal? 9     
paym5t models select$ by ! ,c5t] =      
,m$ic>e & ,m$icaid ,innovation = te/+4  
7#c7 ,! int]v5tions t address social    
det]m9ants ( heal? 9 paym5t models n    
select$ by ! ,c5t] = ,m$ic>e & ,m$icaid 
,innovation = te/+4  7#d7 ,!            
effectiv5ess ( int]v5tions 9 mitigat+   
negative heal? outcomes & high] co/s    
associat$ ) social det]m9ants ( heal? )9
 models select$ by ! ,c5t] = ,m$ic>e &  
,m$icaid ,innovation = te/+4  7#e7      
,*anges 9 disp>ities among m9orities &  

,m$ic>e & ,m$icaid b5efici>ies 9        
und]s]v$ areas t are attributable to    
provid] & suppli] p>ticipation 9 a      
,phase ,,ii model4  7#f7 ,9 consultation
 ) ! ,comptroll] ,g5]al ( ! ,unit$      
,/ates1 e/imat$ ,f$]al sav+s a*iev$     
?r\gh ! r$uction ( rural & m9ority heal?
 disp>ities4  7#g7 ,o!r areas det]m9$   
appropriate by ! ,secret>y4  4