,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ceag  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ah1 #bjbj,ms4    
,klobu*> 7= h]self & ,mr4 ,casey7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to increase !      
ability ( nurs+ facilities to access to 
teleheal? s]vices & obta9 te*nologies to
 all[ virtual visits dur+ ! public heal?
 em]g5cy relat+ to an outbreak (        
coronavirus disease #bjai 7,,covid-#ai71
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,advanc+          
,connectivity dur+ ! ,coronavirus to    
,ensure ,support = ,s5iors ,act or !    
,,access ,act4  ,i ,supplem5tal         
appropriations  #aja4 ,supplem5tal      
appropriations ,! foll[+ sums are h]eby 
appropriat$1 out ( any money 9 !        
,treasury n o!rwise appropriat$1 = !    
fiscal ye> end+ ,septemb] #cj1 #bjbj1 & 
= o!r purposes1 namely3  ,dep>tm5t (    
,heal? & ,human ,s]vices  ,heal?        
res\rces & s]vices adm9i/ration  rural  

heal? ,= an additional am\nt = !        
,teleheal? ,res\rce ,c5t] ( ! ,f$]al    
,(fice ( ,rural ,heal? ,policy ( !      
,(fice = ! ,advancem5t ( ,teleheal?1 to 
provide assi/ance ) respect to te*nical1
 legal1 regulatory s]vice deliv]y or o!r
 relat$ b>ri]s to ! developm5t (        
teleheal? te*nologies = skill$ nurs+    
facilities 7z def9$ 9 section #ahai ( ! 
,social ,security ,act7 & nurs+         
facilities 7z def9$ 9 section #aiai (   
su* ,act71 #ej1jjj1jjj to rema9         
available ?r\gh ,septemb] #cj1 #bjba4   
,,ii ,increas$ ,access to ,teleheal?    
,s]vices & ,o!r ,te*nologies  #bja4     
,def9itions ,9 ?is title3 7#a7          
,,covid-#ai public heal? em]g5cy p]iod  
,! t]m ,,covid-#ai public heal? em]g5cy 
p]iod means ! portion ( ! em]g5cy p]iod 
def9$ 9 p>agraph 7#a77;,b7 ( section    
#aace7;g7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acbj;b-#e7;g77 beg9n+ on
 or aft] ! date ( ! enactm5t ( ?is ,act4
  7#b7 ,m$icaid program ,! t]m ,m$icaid 
program means1 ) respect to a ,/ate1 !  

,/ate program "u title ,,xix ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acif et 
seq47 7includ+ any waiv] or demon/ration
 "u su* title or "u section #aaae ( su* 
,act 7#db ,u4,s4,c4 #acae7 relat+ to su*
 title74  7#c7 ,m$ic>e ,! t]m ,m$ic>e   
means ! program ( heal? insurance = !   
ag$ & disabl$ e/abli%$ "u title ,,xviii 
( ! ,social ,security ,act4  7#d7 ,nurs+
 facility ,! t]m nurs+ facility has !   
mean+ giv5 t t]m 9 section #aiai7;a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acifr7a774  7#e7 ,secret>y ,! t]m      
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#f7 ,skill$ nurs+    
facility ,! t]m skill$ nurs+ facility   
has ! mean+ giv5 t t]m 9 section        
#ahai7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acie;i-#c7;a774  7#g7   
,/ate ,! t]m ,/ate has ! mean+ giv5 su* 
t]m = purposes ( title ,,xix ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acif et 
seq474  #bjb4 ,id5tification ( b>ri]s to
 nurs+ facilities access+ teleheal?     
s]vices "u ,m$ic>e & ,m$icaid dur+ !    

,,covid-#ai public heal? em]g5cy  7a7   
,congressional brief+ ,n lat] ?an #ae   
days aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y %all brief ! congressional  
committees specifi$ 9 subsection 7c7 on 
options = imm$iately increas+ access    
dur+ ! ,,covid-#ai public heal? em]g5cy 
p]iod to teleheal? s]vices = :i* paym5t 
is available "u ,m$ic>e = skill$ nurs+  
facilities & "u ,m$icaid = nurs+        
facilities4 ,! brief+ %all also         
include-- 7#a7 in=mation reg>d+ ! ext5t 
to :i* access to teleheal? s]vices is   
requir$ = any facilities t are          
tempor>ily designat$ dur+ ! ,,covid-#ai 
public heal? em]g5cy p]iod z p>ticipat+ 
provid]s "u ,m$ic>e1 ,m$icaid1 or bo?1 =
 purposes ( furni%+ skill$ nurs+ s]vices
 or nurs+ facility s]vices to           
individuals :o are eligible = su*       
s]vices "u ,m$ic>e or ,m$icaid2 &  7#b7 
recomm5dations = su* adm9i/rative &     
legislative actions1 includ+ ) respect  
to fund+1 z ! ,secret>y det]m9es are    
necess>y4  7b7 ,report ,! ,secret>y %all

 submit a report to ! congressional     
committees specifi$ 9 subsection 7c7    
aft] ! brief+ requir$ "u subsection 7a7 
occurs t includes a summ>y ( ! brief+1  
any new or additional in=mation reque/$ 
dur+ su* brief+1 & su* o!r in=mation z !
 ,secret>y det]m9es appropriate4  7c7   
,congressional committees specifi$ ,!   
congressional committees specifi$ 9 ?is 
subsection are ! foll[+3 7#a7 ,!        
,committees on ,f9ance1 ,heal?1         
,education1 ,labor1 & ,p5sions1         
,comm]ce1 ,sci5ce1 & ,transportation1 & 
! ,special ,committee on ,ag+ ( !       
,s5ate4  7#b7 ,! ,committees on ,ways & 
,means & ,en]gy & ,comm]ce ( ! ,h\se (  
,repres5tatives4  #bjc4 ,au?ority to    
aw>d grants to nurs+ facilities =       
support+ virtual visits dur+ !          
,,covid-#ai public heal? em]g5cy  7a7 ,9
 g5]al ,! ,secret>y %all aw>d grants    
directly to skill$ nurs+ facilities &   
nurs+ facilities 9 accordance ) ?is     
section to support virtual visits by    
family memb]s & o!r individuals =       

resid5ts ( su* facilities dur+ !        
,,covid-#ai public heal? em]g5cy p]iod4 
7b7 ,application requirem5ts ,a facility
 seek+ a grant "u ?is section %all      
submit an application to ! ,secret>y at 
su* "t1 9 su* =m & mann]1 & conta9+ su* 
in=mation z ! ,secret>y %all require4   
7c7 ,use ( funds ,a facility aw>d$ a    
grant "u ?is section may only use !     
funds = exp5ditures attributable to     
obta9+ & us+-- 7#a7 te*nologies to      
support virtual visits by family memb]s 
& o!r individuals = resid5ts ( !        
facility2 &  7#b7 any o!r items or      
s]vices necess>y to c>ry out ! purposes 
= ! grant describ$ 9 subsection 7a74    
7d7 ,,fcc coord9ation  7#a7 ,9 g5]al ,! 
,f$]al ,communications ,commission 79   
?is subsection ref]r$ to z !            
,commission7 %all coord9ate ) !         
,secret>y 9 implem5t+ ! grant program   
e/abli%$ "u ?is section4  7#b7 ,waiv]   
au?ority ,! ,commission %all waive su*  
requirem5ts ( ! ,rural ,heal? ,c>e      
program "u subp>t ,g ( "p #ed ( title   

#dg1 ,code ( ,f$]al ,regulations 7or any
 successor regulation7 z necess>y1 & =  
su* p]iods z necess>y1 to ensure all    
facilities aw>d$ a grant "u ?is section 
are able to c>ry out ! purposes = !     
grant describ$ 9 subsection 7a74  7e7   
,limitations  7#a7 ,t]m9ation ( au?ority
 ,! ,secret>y %all n aw>d any grants "u 
?is section aft] ! end ( ! ,,covid-#ai  
public heal? em]g5cy p]iod4  7#b7       
,supplem5t1 n supplant ,f$]al funds paid
 to a skill$ nurs+ facility or a nurs+  
facility pursuant to ?is section mu/ be 
us$ to supplem5t1 b n supplant1 any o!r 
,f$]al1 ,/ate1 or local funds available 
to ! facility t may be us$ = a purpose  
specifi$ 9 subsection 7c74  7f7 ,report 
,n lat] ?an #cj days aft] ! end ( !     
,,covid-#ai public heal? em]g5cy p]iod1 
! ,secret>y %all submit a report to     
,congress on ! grants aw>d$ "u ?is      
section4  7g7 ,appropriation ,!re are   
appropriat$ to ! ,secret>y = fiscal ye> 
#bjbj f any funds 9 ! ,treasury n       
o!rwise appropriat$1 su* sums z are     

necess>y to c>ry out ?is section1 to    
rema9 ?r\gh ! la/ day ( ! mon? foll[+ ! 
mon? 9 :i* ! ,,covid-#ai public heal?   
em]g5cy p]iod ends4  ,,iii ,miscellane\s
  #cja4 ,em]g5cy designation  7a7 ,9    
g5]al ,! am\nts provid$ by ?is ,act are 
designat$ z an em]g5cy requirem5t       
pursuant to section #d7;g7 ( ! ,/atutory
 ,pay-,z-,y-,g ,act ( #bjaj 7#b         
,u4,s4,c4 #icc7;g774  7b7 ,designation 9
 ,s5ate ,9 ! ,s5ate1 ?is ,act is        
designat$ z an em]g5cy requirem5t       
pursuant to section #daab7;a7 ( ,h4     
,con4 ,res4 #ga 7#aae? ,congress71 !    
concurr5t resolution on ! budget =      
fiscal ye> #bjah4