,,ii #aaf? ,,congress #b;d ,session ,s4 #cedd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #ai1 #bjbj,mr4 ,casey 7= himself1 ,mr4 ,book]1 ,mr4 ,br[n1 ,mr4 ,m55dez1 ,mr4 ,jones1 ,mr4 ,pet]s1 ,ms4 ,duckwor?1 ,mrs4 ,gillibr&1 ,ms4 ,s9ema1 ,mr4 ,blum5?al1 ,mr4 ,ka9e1 ,ms4 ,hassan1 ,mr4 ,re$1 ,ms4 ,w>r51 ,ms4 ,smi?1 ,mr4 ,te/]1 ,mr4 ,s&]s1 ,mrs4 ,%ahe51 ,ms4 ,baldw91 ,ms4 ,klobu*>1 ,ms4 ,ros51 ,mr4 ,m>key1 ,ms4 ,cortez ,ma/o1 & ,mr4 ,m]kley7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to assi/ old] ,am]icans & p ) disabilities affect$ by ,,covid-#ai4 #a4 ,%ort title2 table ( cont5ts 7a7 ,9 g5]al ,?is ,act may be cit$ z ! ,coronavirus ,relief = ,s5iors & ,p ) ,disabilities ,act ( #bjbj4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,supplem5tal ,appropriations,sec4 #aja4 ,supplem5tal appropriations4,,title ,,ii--,medicaid,sec4 #bja4 ,exp&$ access to m$ical assi/ance = ,m$ic>e co/s dur+ ! ,,covid-#ai public heal? em]g5cy4,sec4 #bjb4 ,au?ority to aw>d ,m$icaid ,,hcbs grants to respond to ! ,,covid-#ai public heal? em]g5cy4,,title ,,iii--,nutrition ,services,sec4 #cja4 ,def9itions4,sec4 #cjb4 ,congregate nutrition s]vices crit]ia4,sec4 #cjc4 ,home deliv]$ nutrition s]vices crit]ia4 ,i ,supplem5tal ,appropriations #aja4 ,supplem5tal appropriations ,! foll[+ sums are h]eby appropriat$1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 = ! fiscal ye> end+ ,septemb] #cj1 #bjbj1 & = o!r purposes1 namely3 ,dep>tm5t ( ,heal? & ,human ,s]vices ,c5t]s = ,m$ic>e ,m$icaid ,s]vices survey & c]tification activities ,= an additional am\nt = survey & c]tification activities au?oriz$ "u sections #ahfb7;g7 & #ahfd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7g71 #acie;aa7 & section #cec ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfc;a71 #aed1djj1jjj1 to rema9 available ?r\gh ,septemb] #cj1 #bjba3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress z be+ = an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,adm9i/ration = ,community ,liv+ ag+ & disability s]vices programs ,= an additional am\nt = ,ag+ & ,disability ,s]vices ,programs1 = c>ry+ out ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 7,,oaa71 #b1hea1hjj1jjj1 to rema9 available ?r\gh ,septemb] #cj1 #bjba1 ( :i*-- 7#a7 #a1jjj1jjj1jjj %all be = provid+ supportive s]vices "u "p ,b ( title ,,iii ( su* ,act 7#db ,u4,s4,c4 #cjcj;d et seq472 7#b7 #a1fej1jjj1jjj %all be = provid+ home deliv]$ nutrition s]vices "u subp>t #b ( "p ,c ( title ,,iii ( su* ,act 7#db ,u4,s4,c4 #cjcj;f et seq472 7#c7 #ahe1ijj1jjj %all be = provid+ support s]vices = family c>egiv]s "u "p ,e ( title ,,iii ( su* ,act 7#db ,u4,s4,c4 #cjcjs et seq472 & 7#d7 #ae1ijj1jjj %all be = provid+ eld] rights protection activities "u title ,,vii ( su* ,act 7#db ,u4,s4,c4 #cjeh et seq473 ,provid$1 ,t ,/ate mat*+ requirem5ts "u sections #cjd7;d77#a77;,d71 #cji7;b77#b71 & #cgc7;g77#b7 ( ! ,,oaa 7#db ,u4,s4,c4 #cjbd7;d77#a77;,d71 #cjbi7;b77#b71 & #cjcjs-#a7;g77#b77 %all n apply to any am\nt appropriat$ "u ?is head+3 ,provid$ fur!r1 ,t ! am\nt appropriat$ "u ?is head+ is designat$ by ,congress z be+ = an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe 7#b ,u4,s4,c4 #ija7;b77#b77;,a77i774 ,dep>tm5t ( ,agriculture ,food & nutrition s]vice commodity assi/ance program ,= an additional am\nt = ,commodity ,assi/ance ,program1 = necess>y exp5ses to c>ry out ! commodity supplem5tal food program e/abli%$ "u section #e ( ! ,agriculture & ,consum] ,protection ,act ( #aigc 7#g ,u4,s4,c4 #fab;c note2 ,public ,law #ic-hf71 #ee1jjj1jjj1 to rema9 available ?r\gh ,septemb] #cj1 #bjba3 ,provid$1 ,t ! am\nt appropriat$ "u ?is head+ is designat$ by ,congress z be+ = an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe 7#b ,u4,s4,c4 #ija7;b77#b77;,a77i774 ,,ii ,m$icaid #bja4 ,exp&$ access to m$ical assi/ance = ,m$ic>e co/s dur+ ! ,,covid-#ai public heal? em]g5cy 7a7 ,9 g5]al ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 7#a7 9 subsection 7a77#aj77;,e7-- 7,a7 9 clause 7iii71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 9 clause 7iv71 by /rik+ ! semicolon & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7v7 dur+ ! p]iod describ$ 9 subsection 7ss71 = mak+ m$ical assi/ance available = m$ic>e co/-%>+ 7z def9$ 9 section #aije7p77#c77 =-- 7,i7 individuals :o are describ$ 9 clause 7ii71 7iii71 or 7iv72 & 7,,ii7 individuals-- 7aa7 :o are n describ$ 9 clauses 7i7 ?r\gh 7iv7 b :o are eligible =1 or enroll$ 91 ! l[-income subsidy program "u section #ahfj;,d-#ad2 & 7bb7 ^: application = su* m$ical assi/ance is receiv$ by ! ,/ate 7or automatically initiat$ pursuant to ! transmittal ( data "u section #aadd7;c77#c77;,b77 be=e ! end ( ! em]g5cy p]iod def9$ 9 section #aace7;g77#a77;,b74 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7ss7 ,,covid-#ai em]g5cy assi/ance p]iod ,= purposes ( subsection 7a77#aj77;,e77v71 ! p]iod describ$ 9 ?is subsection is ! p]iod-- 7#a7 beg9n+ ) ! date ( enactm5t ( ?is subsection2 & 7#b7 end+ ) ! la/ day ( ! #ab? mon? t beg9s aft] ! em]g5cy p]iod def9$ 9 section #aace7;g77#a77;,b74 4 7b7 ,transmittal ( data to ,/ates & automatic enrollm5t ( individuals ,section #aadd7;c77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#ad7;c77#c77 is am5d$-- 7#a7 by /rik+ ,beg9n+ on ,janu>y #a1 #bjaj & ins]t+ ! foll[+3 7,a7 ,transmittal ( ,,lis applications to ,/ates ,beg9n+ on ,janu>y #a1 #bjaj 2 & 7#b7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,transmittal ( ,,lis enrollm5t in=mation to ,/ates dur+ ! ,,covid-#ai public heal? em]g5cy ,dur+ ! p]iod describ$ 9 section #aijb7ss71 ! ,secret>y1 9 coord9ation ) ! ,commission] ( ,social ,security1 %all electronically transmit to ! appropriate ,/ate ,m$icaid ag5cy data relat$ to ea* individual :o is enroll$ 9 ! l[-income subsidy program "u section #ahfj;,d-#ad1 & su* transmittal %all initiate an application ( ! individual = b5efits "u ! ,m$ic>e ,sav+s ,program ) ! ,/ate ,m$icaid ag5cy4 ,9 ord] to ensure t su* data transmittal provides effective assi/ance = purposes ( ,/ate adjudication ( applications = b5efits "u ! ,m$ic>e ,sav+s ,program1 ! ,secret>y %all consult ) ! ,/ates reg>d+ ! cont5t1 =m1 frequ5cy1 & mann] 9 :i* data 7on a uni=m basis = all ,/ates7 %all be transmitt$ "u ?is subp>agraph4 4 7c7 ,additional appropriation = adm9i/rative co/s = ! ,dep>tm5t ( ,heal? & ,human ,s]vices & ! ,social ,security ,adm9i/ration 7#a7 ,9 g5]al ,!re are h]eby appropriat$ to c>ry out ! requirem5t ( subp>agraph 7,b7 ( section #aadd7;c77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#ad7;c77#c771 z add$ by subsection 7b71 out ( any funds 9 ! ,treasury n o!rwise appropriat$-- 7,a7 #a1jjj1jjj to ! ,secret>y ( ,heal? & ,human ,s]vices1 to rema9 available until exp5d$2 & 7,b7 #a1jjj1jjj to ! ,commission] ( ,social ,security1 to rema9 available until exp5d$4 7#b7 ,supplem5t n supplant ,any am\nts appropriat$ pursuant to ?is subsection %all be 9 addition to any o!r am\nts o!rwise appropriat$ pursuant to any o!r provision ( law4 7d7 ,budget neutrality ) respect to m$ic>e advantage paym5ts ,! ,secret>y ( ,heal? & ,human ,s]vices %all assess ! effect ( ! am5dm5ts made by subsection 7a7 on paym5ts to ,m$ic>e ,advantage plans "u "p ,c ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ba et seq47 & make necess>y adju/m5ts to ensure t1 dur+ ! ,,covid-#ai em]g5cy assi/ance p]iod describ$ 9 subsection 7ss7 ( section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 7z add$ by subsection 7a771 risk-adju/$ paym5ts "u su* "p ) respect to individuals newly enroll$ 9 ! ,m$ic>e ,sav+s ,program 7z def9$ 9 section #aadd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#ad77 pursuant to su* am5dm5ts d n exce$ su* paym5ts t w\ld h be5 made "u su* "p ) respect to su* individuals if su* subsection _h n be5 enact$4 7e7 ,f$]al m$ical assi/ance p]c5tage ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7b71 by /rik+ & 7ff7 & ins]t+ 7ff71 & 7gg72 & 7#b7 by add+ at ! end ! foll[+3 7gg7 ,increas$ ,,fmap = additional exp5ditures = m$ic>e co/-,%>+ provid$ dur+ ! ,,covid-#ai public heal? em]g5cy ,not)/&+ subsection 7b71 ! ,f$]al m$ical assi/ance p]c5tage = a ,/ate %all be #ajj p]c5t-- 7#a7 ) respect to ! additional am\nts exp5d$ by ! ,/ate = m$ical assi/ance provid$ dur+ ! p]iod describ$ 9 section #aijb7ss7 "u ! ,/ate plan "u ?is title or a waiv] ( su* plan t are attributable to ! requirem5ts impos$ by section #aijb7;a77#aj77;,e77v72 7#b7 ) respect to exp5ditures describ$ 9 section #aijc7;a77#g7 t-- 7,a7 are made by ! ,/ate dur+ ! p]iod describ$ 9 section #aijb7ss72 & 7,b7 ! ,/ate demon/rates to ! satisfaction ( ! ,secret>y are attributable to adm9i/rative co/s relat$ to meet+ su* requirem5ts2 & 7#c7 ) respect to exp5ditures t are made by ! ,/ate to det]m9e :e!r individuals :o are provid$ m$ical assi/ance = m$ic>e co/-%>+ "u section #aijb7;a77#aj77;,e77v77,,ii7 rema9 eligible = su* assi/ance aft] ! p]iod describ$ 9 section #aijb7ss74 4 #bjb4 ,au?ority to aw>d ,m$icaid ,,hcbs grants to respond to ! ,,covid-#ai public heal? em]g5cy 7a7 ,9 g5]al ,! ,secret>y is au?oriz$ to aw>d grants to ,/ates 9 accordance ) ?is section to enhance access to home & community-bas$ s]vices dur+ ! ,,covid-#ai public heal? em]g5cy p]iod4 7b7 ,def9itions ,9 ?is section3 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 ,eligible individual ,! t]m eligible individual means an individual :o is eligible = or enroll$ = m$ical assi/ance "u a ,/ate ,m$icaid program4 7#c7 ,home & community-bas$ s]vices ,! t]m home & community-bas$ s]vices means1 ) respect to a ,/ate ,m$icaid program1 home & community-bas$ s]vices 7includ+ home heal? & p]sonal c>e s]vices7 t are provid$ "u ! ,/ate's qualifi$ ,,hcbs program or t c\ld be provid$ "u su* a program b are o!rwise provid$ "u ! ,m$icaid program4 7#d7 ,indian tribe ,! t]m ,indian tribe means an ,indian tribe1 a tribal organization1 or an urban ,indian organization 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc771 & includes a tribal consortium ( ,indian tribes or tribal organizations 7z s def9$74 7#e7 ,m$icaid program ,! t]m ,m$icaid program means1 ) respect to a ,/ate1 ! ,/ate program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7includ+ any waiv] or demon/ration "u su* title or "u section #aaae ( su* ,act 7#db ,u4,s4,c4 #acae7 relat+ to su* title74 7#f7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#g7 ,/ate ,! t]m ,/ate has ! mean+ giv5 su* t]m = purposes ( title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#h7 ,qualifi$ ,,hcbs program ,! t]m qualifi$ ,,hcbs program means a program provid+ home & community-bas$ s]vices op]at+ "u a ,/ate ,m$icaid program1 :e!r or n op]at+ "u waiv] au?ority4 7c7 ,grants to ,/ates 7#a7 ,9 g5]al ,dur+ ! ,,covid-#ai public heal? em]g5cy p]iod1 ! ,secret>y may aw>d grants to ,/ates ) applications meet+ ! requirem5ts ( p>agraph 7#b74 7#b7 ,application requirem5ts ,a ,/ate seek+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* =m & mann]1 & conta9+ su* in=mation z ! ,secret>y %all require4 7#c7 ,limitations 7,a7 ,t]m9ation ( au?ority ,! ,secret>y %all n aw>d any grants "u ?is section ) respect to a ,/ate t submits an application aft] ! date t is #fj days aft] ! end ( ! ,,covid-#ai public heal? em]g5cy p]iod4 7,b7 ,use ( funds ,a ,/ate to :i* a grant is made "u ?is section %all only use grant funds 9 accordance ) subsection 7d74 7,c7 ,ma9t5ance ( ,/ate ef=t ,f$]al funds paid to a ,/ate pursuant to ?is section mu/ be us$ to supplem5t1 b n supplant1 ! level ( ,/ate funds exp5d$ = home & community-bas$ s]vices = eligible individuals programs 9 effect = su* individuals at ! "t ! grant is aw>d$ "u ?is section4 7#d7 ,mon?ly grant paym5t am\nts 7,a7 ,9 g5]al ,subject to p>agraph 7#e71 ! ,secret>y %all pay to ea* ,/ate t is aw>d$ a grant "u ?is section1 = ea* mon? dur+ ! ,/ate's grant p]iod 7z def9$ 9 subp>agraph 7,c771 an am\nt equal to #ae p]c5t ( ! am\nt det]m9$ = ! ,/ate "u subp>agraph 7,b74 7,b7 ,av]age mon?ly ,,hcbs exp5ditures ,! am\nt det]m9$ = a ,/ate "u ?is subp>agraph is ! am\nt equal to-- 7i7 ! sum (-- 7,i7 ! av]age annual am\nt ( ,/ate exp5ditures "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 t are attributable to provid+ m$ical assi/ance = home & community-bas$ s]vices = ! #c mo/ rec5t fiscal ye>s = :i* data is available2 & 7,,ii7 ! av]age annual am\nt1 if any1 receiv$ by ! ,/ate pursuant to an ,,mfp demon/ration project conduct$ "u section #fjga ( ! ,deficit ,r$uction ,act ( #bjje 7#db ,u4,s4,c4 #acif;a note7 = ! #c mo/ rec5t fiscal ye>s = :i* data is available2 divid$ by 7ii7 #ab4 7,c7 ,grant p]iod def9$ ,9 ?is p>agraph1 ! t]m grant p]iod means1 ) respect to a ,/ate1 ! p]iod ( mon?s-- 7i7 beg9n+ ) ! mon? 9 :i* ! ,secret>y approves ! ,/ate's application = a grant "u ?is section2 & 7ii7 end+ ) ! twelf? mon? t beg9s aft] ! end ( ! ,,covid-#ai public heal? em]g5cy p]iod4 7#e7 ,grants to ,indian tribes 7,a7 ,9 g5]al ,dur+ ! ,,covid-#ai public heal? em]g5cy p]iod1 ! ,secret>y may aw>d grants to an ,indian tribe 9 ! same mann]1 & subject to ! same requirem5ts1 z apply to a ,/ate1 except z o!rwise provid$ 9 ?is p>agraph4 7,b7 ,application ,any ,indian tribe seek+ a grant "u ?is section %all submit to ! ,secret>y an application t includes 79 addition to any o!r in=mation ! ,secret>y %all require7 an id5tification ( ! population & s]vice area or areas to be s]v$ by ! activities & programs t w be fund$ by ! grant4 7,c7 ,mon?ly grant paym5t am\nts 7i7 ,9 g5]al ,! ,secret>y %all pay to ea* ,indian tribe t is aw>d$ a grant "u ?is section1 = ea* mon? dur+ ! tribe's grant p]iod 7z def9$ 9 clause 7iii771 an am\nt equal to #ae p]c5t ( ! am\nt det]m9$ = ! tribe "u clause 7ii74 7ii7 ,tribal %>e ( mon?ly ,,hcbs exp5ditures ,! am\nt det]m9$ = an ,indian tribe "u ?is clause is equal to-- 7,i7 ! total ( ! av]age annual am\nt ( ,/ate exp5ditures made by a ,/ate or ,/ates "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 t are attributable to provid+ m$ical assi/ance = home & community-bas$ s]vices to eligible individuals :o reside 9 ! s]vice area or areas id5tifi$ by ! tribe pursuant to subp>agraph 7,b7 = ! #c mo/ rec5t fiscal ye>s = :i* data is available2 divid$ by 7,,ii7 #ab4 7iii7 ,grant p]iod ,! t]m grant p]iod has ! same mean+ ) respect to an ,indian tribe z ! t]m has ) respect to a ,/ate "u p>agraph 7#d77;,c74 7,d7 ,r$uction ( ,/ate grant am\nts ,if any ,/ate 9 :i* lies a s]vice area or areas id5tifi$ by an ,indian tribe 9 a successful grant application pursuant to subp>agraph 7,b7 is also aw>d$ a grant "u ?is section1 ! ,secret>y %all r$uce ! am\nt payable to su* ,/ate ea* mon? "u p>agraph 7#d7 by ! portion ( ! am\nt payable to ! ,indian tribe "u ?is p>agraph t is attributable to exp5ditures by ! ,/ate4 7d7 ,p]missible uses ( funds 7#a7 ,9 g5]al ,a ,/ate to :i* a grant is made "u ?is section may use grant funds-- 7,a7 to "w ) community p>tn]s su* z ,area ,ag5cies on ,ag+1 ,indep5d5t ,liv+ ,c5t]s1 nonpr(it home & community bas$ s]vice provid]s1 & o!r entities provid+ home & community-bas$ s]vices2 7,b7 dur+ ! ,,covid-#ai public heal? em]g5cy p]iod1 = ! purposes describ$ 9 p>agraph 7#b72 & 7,c7 aft] ! end ( su* p]iod1 = ! purposes describ$ 9 p>agraph 7#c74 7#b7 ,p]missible uses dur+ ! em]g5cy p]iod ,! purposes describ$ 9 ?is p>agraph = :i* a ,/ate may use grant funds aw>d$ "u ?is section are ! foll[+3 7,a7 ,to increase rates = home heal? & direct s]vice work] ag5cies to provide home & community-bas$ s]vices "u ! ,/ate ,m$icaid program1 provid$ t any ag5cy or individual t receives paym5t "u su* an increas$ rate increases ! comp5sation x pays its home heal? or direct s]vice work]s4 7,b7 ,to provide paid sick leave1 paid family leave1 & paid m$ical leave = home heal? work]s & direct s]vice work]s4 7,c7 ,to provide haz>d pay1 ov]time pay1 & %ift diff]5tial pay = home heal? work]s & direct s]vice work]s4 7,d7 ,to provide home & community-bas$ s]vices to eligible individuals :o are on wait+ li/s = programs approv$ "u sections #aaae or #aiae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae1 #acifn74 7,e7 ,to pur*ase em]g5cy supplies & equipm5t necess>y to enhance access to s]vices & to protect ! heal? & well-be+ ( home heal? work]s & direct s]vice work]s4 7,f7 ,to pay = home heal? work] & direct s]vice work] travel to conduct home & community-bas$ s]vices4 7,g7 ,to recruit new direct s]vice work]s & home heal? work]s4 7,h7 ,to support family c>e provid]s ( eligible individuals ) ne$$ supplies & equipm5t & pay4 7,i7 ,to pay = tra9+ = direct s]vice work]s & home heal? work]s t is specific to ! ,,covid-#ai public heal? em]g5cy4 7,j7 ,to pay = assi/ive te*nologies1 /aff+1 & o!r co/s incurr$ dur+ ! public heal? em]g5cy 9 ord] to facility community integration & ensure an individual's p]son-c5t]$ s]vice plan cont9ue to be fully implem5t$4 7,k7 ,to support direct s]vice work]s & home heal? work]s go+ to nurs+ facilities1 hospitals1 in/itutions1 & qu>ant9e sett+s to provide s]vices to eligible individuals :o usually receive home & community-bas$ s]vices & h *os5 to tempor>ily move to a m re/rictive sett+4 7,l7 ,to prep>e in=mation & public heal? & educational mat]ials 9 accessible =mats ab\t prev5tion1 treatm5t1 recov]y & o!r aspects ( ,,covid-#ai = eligible individuals1 _! families1 & ! g5]al community s]v$ by home heal? & direct s]vice ag5cies1 includ+ =mats accessible to p ) l[ lit]acy or intellectual disabilities4 7,m7 ,to pay = ,am]ican sign language int]pret]s to assi/ 9 provid+ home & community-bas$ s]vices to eligible individuals & to in=m ! g5]al public ab\t ,,covid-#ai4 7,n7 ,to all[ = day s]vice provid]s to %ift to provid+ home-bas$ s]vices4 7,o7 ,to pay = ,,covid-#ai te/+ 9 home sett+s4 7,p7 ,to pay = o!r exp5ses deem$ appropriate by ! ,secret>y & :i* meet ! crit]ia ( ! home & community-bas$ sett+s rule4 7#c7 ,p]missible uses aft] ! em]g5cy p]iod ,! purpose describ$ 9 ?is p>agraph = :i* a ,/ate may use grant funds aw>d$ "u ?is section is to assi/ eligible individuals :o _h to relocate to a nurs+ facility or in/itutional sett+ f _! homes dur+ ! ,,covid-#ai public heal? em]g5cy p]iod 9-- 7,a7 mov+ back to _! homes 7includ+ by pay+ = mov+ co/s72 7,b7 resum+ home & community-bas$ s]vices2 7,c7 receiv+ m5tal heal? s]vices & necess>y rehabilitative s]vice to rega9 skills lo/ :ile relocat$ dur+ ! public heal? em]g5cy p]iod2 & 7,d7 cont9u+ home & community-bas$ s]vices = eligible individuals :o 7 s]v$ f a wait+ li/ = su* s]vices dur+ ! public heal? em]g5cy p]iod4 7e7 ,report+ requirem5ts 7#a7 ,/ate report+ requirem5ts ,n lat] ?an #ah mon?s aft] ! end ( ! ,,covid-#ai public heal? em]g5cy p]iod1 any ,/ate t receiv$ a grant "u ?is section %all submit a report to ! ,secret>y t conta9s ! foll[+ in=mation3 7,a7 ,activities & programs t 7 fund$ us+ grant am\nts4 7,b7 ,! numb] ( eligible individuals :o 7 s]v$ by su* activities & programs4 7,c7 ,! numb] ( eligible individuals :o 7 able to resume home & community-bas$ s]vices z a result ( su* activities & programs4 7#b7 ,,hhs report ,n lat] ?an #ah mon?s aft] ! end ( ! ,,covid-#ai public heal? em]g5cy p]iod1 ! ,secret>y %all issue a public summ>y ( ! grants aw>d$ "u ?is section4 7f7 ,appropriation 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 !re are appropriat$ = fiscal ye> #bjbj f any funds 9 ! ,treasury n o!rwise appropriat$ su* sums z are necess>y to c>ry out ?is section1 to rema9 available until exp5d$4 7#b7 ,availability ( appropriations ,am\nts made available "u p>agraph 7#a7 %all n be available = ! aw>d+ ( grants to ,/ates t d n submit an application = su* a grant be=e ! date describ$ 9 subsection 7c77#c77;,a74 7#c7 ,unus$ grant funds ,a ,/ate t receives a grant "u ?is section %all return to ! ,secret>y any portion ( su* grant t is unus$ z ( ! date t is #a ye> aft] ! la/ day ( ! ,,covid-#ai public heal? em]g5cy p]iod1 & su* return$ portion %all rev]t to ! ,treasury4 ,,iii ,nutrition ,s]vices #cja4 ,def9itions ,section #cjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbb7 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#b7 ?r\gh 7#d7 z p>agraphs 7#c7 ?r\gh 7#e71 respectively2 & 7#b7 by ins]t+ aft] p>agraph 7#a7 ! foll[+3 7#b7 ,,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 beg9n+ on or aft] ! date ( ! enactm5t ( ?is ,act4 4 #cjb4 ,congregate nutrition s]vices crit]ia 7a7 ,def9itions ,9 ?is section3 7#a7 ,area ag5cy on ag+2 ,/ate ag5cy ,! t]ms area ag5cy on ag+ & ,/ate ag5cy h ! mean+s giv5 ! t]ms 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7#b7 ,,covid-#ai public heal? em]g5cy p]iod ,! t]m ,,covid-#ai public heal? em]g5cy p]iod has ! mean+ giv5 ! t]m 9 section #cjb ( su* ,act 7#db ,u4,s4,c4 #cjbb74 7b7 ,transf]s ,= purposes ( section #cjh7;b77#d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbh7;b77#d771 dur+ ! ,,covid-#ai public heal? em]g5cy p]iod ! ,secret>y ( ,heal? & ,human ,s]vices %all all[ a ,/ate ag5cy or an area ag5cy on ag+1 )\t prior approval1 to transf] n m ?an #ajj p]c5t ( ! funds receiv$ by ! ,/ate ag5cy or area ag5cy on ag+1 respectively1 & attributable to funds appropriat$ "u p>agraph 7#a7 or 7#b7 ( section #cjc7;b7 ( su* ,act 7#db ,u4,s4,c4 #cjbc7;b771 betwe5 subp>t #a & subp>t #b ( "p ,c ( su* ,act 7#db ,u4,s4,c4 #cjcj;d-#ba et seq47 = su* use z ! ,/ate ag5cy or area ag5cy on ag+1 respectively1 consid]s appropriate to meet ! ne$s ( ! ,/ate or area s]v$4 #cjc4 ,home deliv]$ nutrition s]vices crit]ia ,section #ccg ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;g7 is am5d$-- 7#a7 by ins]t+ 7a7 be=e ,! ,assi/ant ,secret>y2 & 7#b7 by add+ at ! end ! foll[+3 7b7 ,= purposes ( det]m9+ priority = ! deliv]y ( nutrition s]vices "u ?is subp>t1 dur+ ! ,,covid-#ai public heal? em]g5cy p]iod1 ! ,assi/ant ,secret>y %all give ! same priority1 z ! ,assi/ant ,secret>y gives to an individual :o is homeb\nd by reason ( illness1 to-- 7#a7 an individual :o is unable to obta9 nutrition because ! individual is "u a qu>ant9e1 practic+ social di/anc+1 or o!rwise unable to leave home1 due to ! em]g5cy2 7#b7 a p]son "u age #ah1 or an individual ) a disability1 :o resides 9 ! same home z ! recipi5t if1 accord+ to crit]ia det]m9$ by ! area ag5cy on ag+1 provision ( su* nutrition s]vices to ! p]son or individual is 9 ! be/ int]e/ ( ! recipi5t2 & 7#c7 an individual ) a disability :o-- 7,a7 is at home dur+ ! public heal? em]g5cy p]iod2 & 7,b7 usually receives s]vices 9 a day program1 at ! individual's place ( "w1 or ?r\gh a visit+ direct s]vice work] :o may n be able to cont9ue to provide s]vices dur+ ! public heal? em]g5cy p]iod4 4