,,ii #aaf? ,,congress #b;d ,session ,s4 #cedh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #ai1 #bjbj,mr4 ,mc,connell 7= himself1 ,mr4 ,alex&]1 ,mr4 ,crapo1 ,mr4 ,grassley1 ,mr4 ,rubio1 ,mr4 ,%elby1 & ,mr4 ,wick]7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to provide em]g5cy assi/ance & heal? c>e response = individuals1 families1 & bus9esses affect$ by ! #bjbj coronavirus p&emic4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,coronavirus ,aid1 ,relief1 & ,economic ,security ,act or ! ,,c>es ,act4 #b4 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,sec4 #b4 ,table ( cont5ts4,,division ,a--,small bus9ess int]ruption loans,sec4 #aaja4 ,def9itions4,sec4 #aajb4 #g7;a7 loan program4,sec4 #aajc4 ,entrepr5eurial developm5t4,sec4 #aajd4 ,waiv] ( mat*+ funds requirem5t "u ! wom5's bus9ess c5t] program4,sec4 #aaje4 ,loan =giv5ess4,sec4 #aajf4 ,direct appropriations4,sec4 #aajg4 ,m9ority bus9ess developm5t ag5cy4,sec4 #aajh4 ,waiv] ( prepaym5t p5alty4,sec4 #aaji4 ,unit$ ,/ates ,treasury ,program ,managem5t ,au?ority4,,division ,b--,relief = individuals1 families1 & businesses,t,i,t,l,e ,i--,rebates & o!r individual provisions,sec4 #baja4 #bjbj recov]y rebates = individuals4,sec4 #bajb4 ,delay ( c]ta9 deadl9es4,sec4 #bajc4 ,special rules = use ( retirem5t funds4,sec4 #bajd4 ,all[ance ( p>tial above ! l9e d$uction = *>itable contributions4,sec4 #baje4 ,modification ( limitations on *>itable contributions dur+ #bjbj4,,title ,,ii--,bus9ess provisions,sec4 #bbja4 ,delay ( e/imat$ tax paym5ts = corporations4,sec4 #bbjb4 ,delay ( paym5t ( employ] payroll taxes4,sec4 #bbjc4 ,modifications = net op]at+ losses4,sec4 #bbjd4 ,modification ( limitation on losses = taxpay]s o!r ?an corporations4,sec4 #bbje4 ,modification ( cr$it = prior ye> m9imum tax liability ( corporations4,sec4 #bbjf4 ,modification ( limitation on bus9ess int]e/4,sec4 #bbjg4 ,te*nical am5dm5ts reg>d+ qualifi$ improvem5t prop]ty4,sec4 #bbjh4 ,in/allm5ts n to prev5t cr$it or refund ( ov]paym5ts or increase e/imat$ taxes4,sec4 #bbji4 ,re/oration ( limitation on d[nw>d attribution ( /ock own]%ip 9 apply+ con/ructive own]%ip rules4,,division ,c--,assi/ance to sev]ely di/ress$ sectors ( ! ,unit$ ,/ates economy,t,i,t,l,e ,i--,economic ,stabilization,sec4 #caja4 ,%ort title4,sec4 #cajb4 ,em]g5cy relief ?r\gh loans & loan gu>antees4,sec4 #cajc4 ,limitation on c]ta9 employee comp5sation4,sec4 #cajd4 ,cont9uation ( c]ta9 air s]vice4,sec4 #caje4 ,reports4,sec4 #cajf4 ,coord9ation ) ,secret>y ( ,transportation4,sec4 #cajg4 ,def9itions4,sec4 #cajh4 ,rule ( con/ruction4,,title ,,ii--,aviation excise taxes,sec4 #cbja4 ,susp5sion ( c]ta9 aviation excise taxes4,,division ,d--,heal? c>e response,t,i,t,l,e ,i--,heal? provisions,subtitle ,a--,address+ supply shortages,p,a,r,t ,i--,mov+ ! /rategic national /ockpile to ,a,s,p,r,sec4 #daja4 ,mov+ ! /rategic national /ockpile to ,,aspr4,,"p ,,ii--,m$ical product supplies,sec4 #daaa4 ,national ,academies report on ,am]ica's m$ical product supply *a9 security4,sec4 #daab4 ,requir+ ! /rategic national /ockpile to include c]ta9 types ( m$ical supplies4,sec4 #daac4 ,treatm5t ( respiratory protective devices z cov]$ c\nt]measures4,,"p ,,iii--,mitigat+ em]g5cy drug %ortages ,sec4 #daba4 ,prioritize reviews ( drug applications2 inc5tives4,sec4 #dabb4 ,additional manufactur] report+ requirem5ts 9 response to drug %ortages4,sec4 #dabc4 ,,gao report on intra-ag5cy coord9ation4,sec4 #dabd4 ,report4,sec4 #dabe4 ,safe h>bor provision4,,"p ,,iv--,prev5t+ ess5tial m$ical device shortages,sec4 #daca4 ,discont9uance or int]ruption 9 ! production ( m$ical devices4,sec4 #dacb4 ,,gao report on intra-ag5cy coord9ation4,,"p ,v--,em]g5cy use ( laboratory develop$ tests,sec4 #dada4 ,em]g5cy use ( laboratory develop$ te/s4,subtitle ,b--,access to heal? c>e = ,,covid-#ai patients,p,a,r,t ,i--,cov]age ( te/+ & prev5tive services,sec4 #dbja4 ,cov]age ( diagno/ic te/+ = ,,covid-#ai4,sec4 #dbjb4 ,pric+ ( diagno/ic te/+4,sec4 #dbjc4 ,rapid cov]age ( prev5tive s]vices & vacc9es = coronavirus4,,"p ,,ii--,support = heal? c>e providers,sec4 #dbaa4 ,supplem5tal aw>ds = heal? c5t]s4,sec4 #dbab4 ,all[+ p]man5t direct hire ( ,,ndms heal? c>e pr(essionals4,sec4 #dbac4 ,teleheal? network & teleheal? res\rce c5t]s grant programs4,sec4 #dbad4 ,rural heal? c>e s]vices outrea*1 rural heal? network developm5t1 & small heal? c>e provid] quality improvem5t grant programs4,sec4 #dbae4 ,unit$ ,/ates ,public ,heal? ,s]vice ,mod]nization4,sec4 #dbaf4 ,limitation on liability = volunte] heal? c>e pr(essionals dur+ covid-#ai em]g5cy response4,,"p ,,iii--,miscellane\s provisions,sec4 #dbba4 ,confid5tiality & disclosure ( records relat+ to sub/ance use disord]4,sec4 #dbbb4 ,nutrition s]vices4,sec4 #dbbc4 ,guidance on protect$ heal? in=mation4,sec4 #dbbd4 ,reau?orization ( heal?y />t program4,subtitle ,c--,innovation,sec4 #dcja4 ,remov+ ! cap on ,,ota4,sec4 #dcjb4 ,ext5d+ ! priority review program = ag5ts t pres5t national security ?reats4,sec4 #dcjc4 ,priority zoonotic animal drugs4,subtitle ,d--,f9ance ,committee,sec4 #ddja4 ,exemption = teleheal? s]vices4,sec4 #ddjb4 ,inclusion ( c]ta9 ov]-!-c\nt] m$ical products z qualifi$ m$ical exp5ses4,sec4 #ddjc4 ,treatm5t ( direct prim>y c>e s]vice arrangem5ts4,sec4 #ddjd4 ,increas+ ,m$ic>e teleheal? flexibilities dur+ em]g5cy p]iod4,sec4 #ddje4 ,enhanc+ ,m$ic>e teleheal? s]vices = ,f$]ally qualifi$ heal? c5t]s & rural heal? cl9ics dur+ em]g5cy p]iod4,sec4 #ddjf4 ,tempor>y waiv] ( requirem5t = face-to-face visits betwe5 home dialysis pati5ts & physicians4,sec4 #ddjg4 ,improv+ c>e plann+ = ,m$ic>e home heal? s]vices4,sec4 #ddjh4 ,adju/m5t ( seque/ration4,sec4 #ddji4 ,m$ic>e hospital inpati5t prospective paym5t sy/em add-on paym5t = covid-#ai pati5ts dur+ em]g5cy p]iod4,sec4 #ddaj4 ,revis+ paym5t rates = durable m$ical equipm5t "u ! ,m$ic>e program ?r\gh duration ( em]g5cy p]iod4,sec4 #ddaa4 ,provid+ home & community-bas$ s]vices 9 acute c>e hospitals4,sec4 #ddab4 ,treatm5t ( te*nology-enabl$ collaborative le>n+ & capacity build+ models z m$ical assi/ance4,sec4 #ddac4 ,enc\rag+ ! developm5t & use ( ,,dis>m antimicrobial drugs4,sec4 #ddad4 ,novel m$ical products4,,title ,,ii--,education provisions,sec4 #deja4 ,%ort title4,sec4 #dejb4 ,def9itions4,sec4 #dejc4 ,campus-bas$ aid waiv]s4,sec4 #dejd4 ,use ( supplem5tal educational opportunity grants = em]g5cy aid4,sec4 #deje4 ,f$]al "w-/udy dur+ a qualify+ em]g5cy4,sec4 #dejf4 ,adju/m5t ( subsidiz$ loan usage limits4,sec4 #dejg4 ,exclusion f ,f$]al ,pell ,grant duration limit4,sec4 #dejh4 ,in/itutional refunds & ,f$]al /ud5t loan flexibility4,sec4 #deji4 ,satisfactory progress4,sec4 #deaj4 ,cont9u+ education at affect$ =eign in/itutions4,sec4 #deaa4 ,national em]g5cy educational waiv]s4,sec4 #deab4 ,,hbcu ,capital f9anc+4,sec4 #deac4 ,tempor>y relief = f$]al /ud5t loan borr[]s4,sec4 #dead4 ,provisions relat$ to ! ,corporation = ,national & ,community ,s]vice4,sec4 #deae4 ,work=ce response activities4,sec4 #deaf4 ,te*nical am5dm5ts4,,title ,,iii--,labor provisions,sec4 #dfja4 ,limitation on paid leave4,sec4 #dfjb4 ,em]g5cy ,paid ,sick ,leave ,act ,limitation4,sec4 #dfjc4 ,regulatory ,au?orities "u ! ,em]g5cy ,paid ,sick ,leave ,act4,sec4 #dfjd4 ,unemploym5t insurance4,sec4 #dfje4 ,,omb ,waiv] ( ,paid ,family & ,paid ,sick ,leave4,sec4 #dfjf4 ,paid leave = rehir$ employees4,sec4 #dfjg4 ,advance refund+ ( cr$its4,,division ,e--,tempor>y ,p]mit ,use to ,gu>antee ,money ,m>ket ,mutual ,funds,sec4 #ejja4 ,non-applicability ( re/rictions on ,,esf dur+ national em]g5cy4,,division ,f--,budget>y provisions,sec4 #fjja4 ,em]g5cy designation4 ,a ,small bus9ess int]ruption loans #aaja4 ,def9itions ,9 ?is division-- 7#a7 ! t]ms ,adm9i/ration & ,adm9i/rator mean ! ,small ,bus9ess ,adm9i/ration & ! ,adm9i/rator !re(2 & 7#b7 ! t]m small bus9ess conc]n has ! mean+ giv5 ! t]m 9 section #c ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcb74 #aajb4 #g7;a7 loan program 7a7 ,def9ition ( cov]$ p]iod ,9 ?is section1 ! t]m cov]$ p]iod means ! p]iod beg9n+ on ,m>* #a1 #bjbj & end+ on ,decemb] #ca1 #bjbj4 7b7 ,increas$ eligibility = c]ta9 small bus9esses & organizations 7#a7 ,9 g5]al ,dur+ ! cov]$ p]iod1 any bus9ess conc]n1 private nonpr(it organization1 or public nonpr(it organization :i* employs n m ?an #ejj employees %all be eligible to receive a loan made "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a771 9 addition to small bus9ess conc]ns4 7#b7 ,exclusion ( nonpr(its receiv+ ,m$icaid exp5ditures ,p>agraph 7#a7 %all n apply to a nonpr(it entity eligible = paym5t = items or s]vices furni%$ "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 or "u a waiv] ( su* plan4 7c7 ,maximum loan am\nt ,dur+ ! cov]$ p]iod1 ) respect to any loan gu>ante$ "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 = :i* an application is approv$ or p5d+ approval on or aft] ! date ( enactm5t ( ?is ,act1 ! maximum loan am\nt %all be ! less] (-- 7#a7 ! product obta9$ by multiply+-- 7,a7 ! av]age total mon?ly paym5ts by ! applicant = payroll1 mortgage paym5ts1 r5t paym5ts1 & paym5ts on any o!r debt obligations incurr$ dur+ ! #a ye> p]iod be=e ! date on :i* ! loan is made1 except t1 9 ! case ( an applicant t is seasonal employ]1 z det]m9$ by ! ,adm9i/rator1 ! av]age total mon?ly paym5ts = payroll %all be = ! p]iod beg9n+ ,m>* #a1 #bjai & end+ ,june #cj1 #bjai2 by 7,b7 #d2 or 7#b7 #aj1jjj1jjj4 7d7 ,all[able uses ( program loans 7#a7 ,9 g5]al ,dur+ ! cov]$ p]iod1 a recipi5t ( a loan made "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 7includ+ a recipi5t ( assi/ance "u ! ,community ,advantage ,pilot ,program ( ! ,adm9i/ration7 may1 9 addition to ! all[able uses ( su* a loan1 use ! proce$s ( ! loan =-- 7,a7 payroll support1 includ+ paid sick1 m$ical1 or family leave1 & co/s relat$ to ! cont9uation ( gr\p heal? c>e b5efits dur+ ^? p]iods ( leave2 7,b7 employee sal>ies2 7,c7 mortgage paym5ts2 7,d7 r5t 7includ+ r5t "u a lease agreem5t72 7,e7 utilities2 & 7,f7 any o!r debt obligations t 7 incurr$ be=e ! cov]$ p]iod4 7#b7 ,delegat$ au?ority 7,a7 ,9 g5]al ,= purposes ( mak+ loans = ! purposes describ$ 9 p>agraph 7#a71 a l5d] "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 %all be consid]$ to h delegat$ au?ority to make & approve loans "u su* section #g7;a7 bas$ on an evaluation ( ! eligibility ( ! borr[]4 7,b7 ,consid]ations ,9 evaluat+ ! eligibility ( a borr[] = a loan "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 ) ! t]ms describ$ 9 ?is subsection & subsection 7c71 a l5d] %all only consid] :e!r ! borr[]-- 7i7 0 9 op]ation on ,m>* #a1 #bjbj2 & 7ii7 _h employees = :om ! borr[] paid sal>ies & payroll taxes4 7#c7 ,limitation ,a borr[] t receives assi/ance "u section #g7;b77#b7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;b77#b77 relat$ to ,,covid-#ai = purposes ( pay+ payroll & provid+ payroll support %all n be eligible = a loan describ$ 9 p>agraph 7#a7 = ! same purpose4 7e7 ,fee waiv] = #g7;a7 loans ,dur+ ! cov]$ p]iod1 ) respect to ea* loan gu>ante$ "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77-- 7#a7 9 lieu ( ! fee o!rwise applicable "u section #g7;a77#bc77;,a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77#bc77;,a771 ! ,adm9i/rator %all collect no fee or r$uce fees to ! maximum ext5t possible2 & 7#b7 = :i* ! application is approv$ on or aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator %all1 9 lieu ( ! fee o!rwise applicable "u section #g7;a77#ah77;,a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77#ah77;,a771 collect no fee or r$uce fees to ! maximum ext5t possible4 7f7 ,gu>antee am\nt = #g7;a7 loans 7#a7 ,9 g5]al ,section #g7;a77#b77;,a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77#b77;,a77 is am5d$ by /rik+ equal to-- & all t foll[s ?r\gh ! end ( ! subp>agraph & ins]t+ equal to #ajj p]c5t ( ! balance ( ! f9anc+ out/&+ at ! "t ( disbursem5t ( ! loan44 7#b7 ,prospective repeal ,effective on ,janu>y #a1 #bjba1 section #g7;a77#b77;,a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77#b77;,a77 is am5d$ by /rik+ equal to #ajj p]c5t ( ! balance ( f9anc+ out/&+ at ! "t ( disbursem5t ( ! loan & ins]t+ equal to-- 7i7 #ge p]c5t ( ! balance ( ! f9anc+ out/&+ at ! "t ( disbursem5t ( ! loan1 if su* balance exce$s #aej1jjj2 or 7ii7 #he p]c5t ( ! balance ( ! f9anc+ out/&+ at ! "t ( disbursem5t ( ! loan1 if su* balance is less ?an or equal to #aej1jjj4 4 7g7 ,def]m5t ( #g7;a7 ,loans 7#a7 ,def9itions 7,a7 ,eligible borr[] ,! t]m eligible borr[] means-- 7i7 a small bus9ess conc]n2 or 7ii7 an organization made eligible by subsection 7b7 ( ?is section = a loan "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a774 7,b7 ,impact$ borr[] 7i7 ,9 g5]al ,9 ?is subsection1 ! t]m impact$ borr[] means an eligible borr[] t-- 7,i7 is 9 op]ation on ,m>* #a1 #bjbj2 & 7,,ii7 has an application = a loan made "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 t is approv$ or p5d+ approval on or aft] ! date ( enactm5t ( ?is ,act4 7ii7 ,presumption ,= purposes ( ?is subsection1 an impact$ borr[] is presum$ to h be5 adv]sely impact$ by ,,covid-#ai4 7#b7 ,def]ral ,dur+ ! cov]$ p]iod1 ! ,adm9i/rator %all-- 7,a7 consid] ea* eligible borr[] t applies = a loan "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 to be an impact$ borr[]2 & 7,b7 require l5d]s "u su* section #g7;a7 to provide complete paym5t def]m5t relief = impact$ borr[]s ) loans gu>ante$ "u su* section #g7;a7 = a p]iod ( n m ?an #a ye>4 7#c7 ,second>y m>ket ,dur+ ! cov]$ p]iod1 ) respect to a loan made "u #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 t is sold on ! second>y m>ket1 if an inve/or decl9es to approve a def]ral reque/$ by a l5d] "u p>agraph 7#b71 ! ,adm9i/rator %all ex]cise ! au?ority to pur*ase ! loan s t ! impact$ borr[] may receive a def]ral = a p]iod ( n m ?an #a ye>4 7#d7 ,guidance ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator %all provide guidance to l5d]s "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 on ! def]m5t process describ$ 9 ?is subsection4 7h7 ,commitm5ts = #g7;a7 loans ,dur+ ! cov]$ p]iod-- 7#a7 !re %all be no limitation on ! commitm5ts = g5]al bus9ess loans au?oriz$ "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a772 & 7#b7 ! am\nt au?oriz$ = commitm5ts = su* loans "u ! head+ bus9ess loans program acc\nt "u ! head+ ,small bus9ess adm9i/ration "u title ,v ( ! ,consolidat$ ,appropriations ,act1 #bjbj 7,public ,law #aaf-ic2 #acc ,/at4 #bdge7 %all n apply4 7i7 ,express loans 7#a7 ,9 g5]al ,section #g7;a77#ca77;,d7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77#ca77;,d77 is am5d$ by /rik+ #cej1jjj & ins]t+ #a1jjj1jjj4 7#b7 ,prospective repeal ,effective on ,janu>y #a1 #bjba1 section #g7;a77#ca77;,d7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77#ca77;,d77 is am5d$ by /rik+ #a1jjj1jjj & ins]t+ #cej1jjj4 #aajc4 ,entrepr5eurial developm5t 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m cov]$ small bus9ess conc]n means a small bus9ess conc]n t is locat$ 9 an area t is sub/antially affect$ by ! ,,covid-#ai2 7#b7 ! t]m res\rce p>tn] means-- 7,a7 a small bus9ess developm5t c5t]2 & 7,b7 a wom5's bus9ess c5t]2 7#c7 ! t]m small bus9ess developm5t c5t] has ! mean+ giv5 ! t]m 9 section #c ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcb72 7#d7 ! t]m sub/antially affect$ by ,,covid-#ai means1 ) respect to a cov]$ small bus9ess conc]n1 t ! cov]$ small bus9ess conc]n has exp]i5c$-- 7,a7 supply *a9 disruptions1 includ+ *anges 9-- 7i7 quantity & lead "t1 includ+ ! numb] ( %ipm5ts ( compon5ts & delays 9 %ipm5ts2 7ii7 quality1 includ+ %ortages 9 supply = quality control reasons2 & 7iii7 te*nology1 includ+ a compromis$ paym5t network2 7,b7 /aff+ *all5ges2 7,c7 a decrease 9 sales or cu/om]s2 or 7,d7 %utt]$ bus9esses2 & 7#e7 ! t]m wom5's bus9ess c5t] means a wom5's bus9ess c5t] describ$ 9 section #bi ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fef74 7b7 ,education1 tra9+1 & advis+ grants 7#a7 ,9 g5]al ,! ,adm9i/ration may provide f9ancial assi/ance 9 ! =m ( grants to res\rce p>tn]s to provide education1 tra9+1 & advis+ to cov]$ small bus9ess conc]ns4 7#b7 ,use ( funds ,grants "u ?is subsection %all be us$ = ! education1 tra9+1 & advis+ ( cov]$ small bus9ess conc]ns & _! employees on-- 7,a7 access+ & apply+ = res\rces provid$ by ! ,adm9i/ration & o!r ,f$]al res\rces relat+ to access to capital & bus9ess resili5cy2 7,b7 ! haz>ds & prev5tion ( ! transmission & communication ( ,,covid-#ai & o!r communicable diseases2 7,c7 ! pot5tial effects ( ,,covid-#ai on ! supply *a9s1 di/ribution1 & sale ( products ( cov]$ small bus9ess conc]ns & ! mitigation ( ^? effects2 7,d7 ! managem5t & practice ( telework to r$uce possible transmission ( ,,covid-#ai2 7,e7 ! managem5t & practice ( remote cu/om] s]vice by electronic or o!r means2 7,f7 ! risks ( & mitigation ( cyb] ?reats 9 remote cu/om] s]vice or telework practices2 7,g7 ! mitigation ( ! effects ( r$uc$ travel or outside activities on cov]$ small bus9ess conc]ns dur+ ,,covid-#ai or simil> occurr5ces2 & 7,h7 any o!r relevant bus9ess practices necess>y to mitigate ! economic effects ( ,,covid-#ai or simil> occurr5ces4 7#c7 ,grant det]m9ation 7,a7 ,small bus9ess developm5t c5t]s ,! ,adm9i/ration %all aw>d #hj p]c5t ( funds au?oriz$ to c>ry out ?is subsection to small bus9ess developm5t c5t]s1 :i* %all be aw>d$ pursuant to a =mula jo9tly develop$1 negotiat$1 & agre$ ^u1 ) full p>ticipation ( bo? p>ties1 betwe5 ! association =m$ "u section #ba7;a77#c77;,a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fdh7;a77#c77;,a77 & ! ,adm9i/ration4 7,b7 ,wom5's bus9ess c5t]s ,! ,adm9i/ration %all aw>d #bj p]c5t ( funds au?oriz$ to c>ry out ?is subsection to wom5's bus9ess c5t]s1 :i* %all be aw>d$ pursuant to a process e/abli%$ by ! ,adm9i/ration 9 consultation ) recipi5ts ( assi/ance4 7,c7 ,no mat*+ funds requir$ ,mat*+ funds %all n be requir$ = any grant "u ?is subsection4 7#d7 ,goals & metrics 7,a7 ,9 g5]al ,goals & metrics = ! funds made available "u ?is subsection %all be jo9tly develop$1 negotiat$1 & agre$ ^u1 ) full p>ticipation ( bo? p>ties1 betwe5 ! res\rce p>tn]s & ! ,adm9i/rator1 :i* %all-- 7i7 take into consid]ation ! ext5t ( ! circum/ances relat+ to ! spread ( ,,covid-#ai1 or simil> occurr5ces1 t affect cov]$ small bus9ess conc]ns locat$ 9 ! areas cov]$ by ! res\rce p>tn]1 p>ticul>ly 9 rural areas or economically di/ress$ areas2 7ii7 g5]ally foll[ ! use ( funds outl9$ 9 p>agraph 7#b71 b %all n re/rict ! activities ( res\rce p>tn]s 9 respond+ to unique situations2 & 7iii7 enc\rage res\rce p>tn]s to develop & provide s]vices to cov]$ small bus9ess conc]ns4 7,b7 ,public availability ,! ,adm9i/rator %all make publicly available ! me?odology by :i* ! ,adm9i/rator & res\rce p>tn]s jo9tly develop ! metrics & goals describ$ 9 subp>agraph 7,a74 7c7 ,res\rce p>tn] association grants 7#a7 ,9 g5]al ,! ,adm9i/rator may provide grants to an association or associations repres5t+ res\rce p>tn]s to e/abli% a c5traliz$ hub = ,,covid-#ai in=mation1 :i* %all include-- 7,a7 an onl9e plat=m t consolidates res\rces & in=mation available across multiple ,f$]al ag5cies = small bus9ess conc]ns relat$ to ,,covid-#ai2 & 7,b7 a tra9+ program to educate res\rce p>tn] c\nselors on ! res\rces & in=mation describ$ 9 subp>agraph 7,a74 7#b7 ,goals & metrics ,goals & metrics = ! funds made available "u ?is subsection %all be jo9tly develop$1 negotiat$1 & agre$ ^u1 ) full p>ticipation ( bo? p>ties1 betwe5 ! association or associations receiv+ a grant "u ?is subsection & ! ,adm9i/rator4 7d7 ,report ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 ! ,adm9i/rator %all submit to ! ,committee on ,small ,bus9ess & ,entrepr5eur%ip ( ! ,s5ate & ! ,committee on ,small ,bus9ess ( ! ,h\se ( ,repres5tatives a report-- 7#a7 t describes1 ) respect to ! initial ye> cov]$ by ! report-- 7,a7 ! programs & s]vices develop$ & provid$ by ! ,adm9i/ration & res\rce p>tn]s "u subsection 7b72 7,b7 ! initial ef=ts to provide ^? s]vices "u subsection 7b72 & 7,c7 ! onl9e plat=m & tra9+ develop$ & provid$ by ! ,adm9i/ration & ! association or associations "u subsection 7c72 & 7#b7 t describes1 ) respect to ! subsequ5t ye>s cov]$ by ! report-- 7,a7 ) respect to ! grant program "u subsection 7b7-- 7i7 ! ef=ts ( ! ,adm9i/rator & res\rce p>tn]s to develop s]vices to assi/ cov]$ small bus9ess conc]ns2 7ii7 ! *all5ges fac$ by own]s ( cov]$ small bus9ess conc]ns 9 access+ s]vices provid$ by ! ,adm9i/ration & res\rce p>tn]s2 7iii7 ! numb] ( unique cov]$ small bus9ess conc]ns t 7 s]v$ by ! ,adm9i/ration & res\rce p>tn]s2 & 7iv7 o!r relevant outcome p]=mance data ) respect to cov]$ small bus9ess conc]ns1 includ+ ! numb] ( employees affect$1 ! effect on sales1 ! disruptions ( supply *a9s1 & ! ef=ts made by ! ,adm9i/ration & res\rce p>tn]s to mitigate ^! effects2 & 7,b7 ) respect to ! grant program "u subsection 7c7-- 7i7 ! ef=ts ( ! ,adm9i/rator & ! association or associations to develop & evolve an onl9e res\rce = small bus9ess conc]ns2 & 7ii7 ! ef=ts ( ! ,adm9i/rator & ! association or associations to develop a tra9+ program = res\rce p>tn] c\nselors1 includ+ ! numb] ( c\nselors tra9$4 #aajd4 ,waiv] ( mat*+ funds requirem5t "u ! wom5's bus9ess c5t] program ,dur+ ! #c-mon? p]iod beg9n+ on ! date ( enactm5t ( ?is ,act1 ! requirem5t relat+ to obta9+ ca% contributions f non-,f$]al s\rces "u section #bi7;c77#a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fef7;c77#a77 is waiv$ = any recipi5t ( assi/ance "u su* section #bi4 #aaje4 ,loan =giv5ess 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m cov]$ #g7;a7 loan means a loan gu>ante$ "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 t is made dur+ ! cov]$ p]iod2 7#b7 ! t]m cov]$ p]iod means ! p]iod beg9n+ on ,m>* #a1 #bjbj & end+ on ,june #cj1 #bjbj2 7#c7 ! t]m eligible recipi5t means ! recipi5t ( a cov]$ #g7;a7 loan2 & 7#d7 ! t]m payroll co/s %all n include-- 7,a7 ! comp5sation ( an individual employee 9 excess ( #cc1ccc dur+ ! cov]$ p]iod2 7,b7 qualifi$ sick leave wages = :i* a cr$it is all[$ "u section #gjja ( ! ,families ,fir/ ,coronavirus ,response ,act2 or 7,c7 qualifi$ family leave wages = :i* a cr$it is all[$ "u section #gjjc ( ! ,families ,fir/ ,coronavirus ,response ,act4 7b7 ,=giv5ess ,an eligible recipi5t %all be eligible = =giv5ess ( indebt$ness on a cov]$ #g7;a7 loan 9 an am\nt equal to ! co/ ( ma9ta9+ payroll cont9uity dur+ ! cov]$ p]iod4 7c7 ,treatm5t ( am\nts =giv5 7#a7 ,9 g5]al ,am\nts :i* h be5 =giv5 "u ?is section %all be consid]$ cancel$ indebt$ness by l5d]s au?oriz$ "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a774 7#b7 ,= purposes ( r$emption ( gu>antees ,= purposes ( ! r$emption ( a gu>antee by ! l5d] = a cov]$ #g7;a7 loan1 am\nts :i* are =giv5 "u ?is section %all be treat$ z a default1 9 accordance ) ! proc$ures t are o!rwise applicable to a default on a loan gu>ante$ "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a774 7d7 ,limits on am\nt ( =giv5ess 7#a7 ,9 g5]al ,! am\nt ( loan =giv5ess "u ?is section = an eligible recipi5t %all n exce$ ! sum (-- 7,a7 ! total payroll co/s incurr$ by ! eligible recipi5t dur+ ! cov]$ p]iod2 & 7,b7 ! am\nt ( paym5ts made dur+ ! cov]$ p]iod on debt obligations t 7 incurr$ be=e ! cov]$ p]iod4 7#b7 ,r$uction bas$ on r$uction 9 numb] ( employees 7,a7 ,9 g5]al ,! am\nt ( loan =giv5ess "u ?is section %all be r$uc$ by ! p]c5tage equal to ! diff]5ce obta9$ by subtract+-- 7i7 ! quoti5t obta9$ by divid+-- 7,i7 ! av]age numb] ( full-"t equival5t employees p] mon? employ$ by ! eligible recipi5t dur+ ! cov]$ p]iod2 by 7,,ii7 7aa7 ! av]age numb] ( full "t equival5t employees p] mon? employ$ by ! eligible recipi5t dur+ ! p]iod beg9n+ on ,m>* #a1 #bjai & end+ on ,june #cj1 #bjai2 or 7bb7 9 ! case ( an eligible recipi5t t is seasonal employ]1 z det]m9$ by ! ,adm9i/rator1 ! av]age numb] ( full-"t equival5t employees p] mon? employ$ by ! eligible recipi5t dur+ ! p]iod beg9n+ on ,m>* #a1 #bjai & end+ on ,june #cj1 #bjai2 f 7ii7 #a4 7,b7 ,calculation ( av]age numb] ( employees ,! av]age numb] ( full-"t equival5t employees %all be det]m9$ by calculat+ ! av]age numb] ( employees = ea* pay p]iod fall+ )9 a mon?4 7#c7 ,r$uction relat+ to comp5sation ,! am\nt ( loan =giv5ess "u ?is section %all also be r$uc$ by ! am\nt ( any r$uction 9 excess ( #be p]c5t ( comp5sation 9 ! mo/ rec5t full qu>t] 9 :i* ! employee 0 paid 9 comp5sation dur+ ! cov]$ p]iod ( any employee :o 0 comp5sat$-- 7,a7 9 an am\nt less ?an #cc1ccc dur+ ! p]iod beg9n+ on ,m>* #a1 #bjai & end+ on ,june #cj1 #bjai2 or 7,b7 n m ?an #ajj1jjj on annualiz$ basis dur+ #bjai4 7#d7 ,exception = tipp$ work]s ,an eligible recipi5t ) tipp$ employees describ$ 9 section #c7m77#b77;,a7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc7m77#b77;,a77 may receive =giv5ess = additional wages paid to ^? employees4 7e7 ,application ,an eligible recipi5t seek+ loan =giv5ess "u ?is section %all submit to ! l5d] t orig9at$ ! cov]$ #g7;a7 loan an application1 :i* %all include docum5tation v]ify+ ! numb] ( full-"t equival5t employees on payroll & pay rates = ! p]iods describ$ 9 subsection 7d71 includ+-- 7#a7 payroll tax fil+s report$ to ! ,int]nal ,rev5ue ,s]vice2 7#b7 ,/ate income1 payroll1 & unemploym5t insurance fil+s2 7#c7 f9ancial /atem5ts v]ify+ paym5t on debt obligations incurr$ be=e ! cov]$ p]iod2 & 7#d7 any o!r docum5tation ! ,adm9i/rator det]m9es necess>y4 7f7 ,c]tification ,an eligible recipi5t receiv+ loan =giv5ess "u ?is section %all make a good fai? c]tification t ! unc]ta9ty ( curr5t economic conditions ju/ifies ! loan reque/ to support ! ongo+ op]ations ( ! borr[]1 & ackn[l$ges t funds w be us$ to reta9 work]s & ma9ta9 payroll4 7g7 ,prohibition on =giv5ess )\t docum5tation ,no eligible recipi5t %all receive =giv5ess "u ?is section )\t submitt+ to ! l5d] t orig9at$ ! cov]$ #g7;a7 loan ! docum5tation requir$ "u subsection 7e74 7h7 ,decision ,n lat] ?an #ae days aft] ! date on :i* a l5d] receives an application = loan =giv5ess "u ?is section f an eligible recipi5t1 ! l5d] %all issue a decision on ! an application4 7i7 ,taxability ,cancel$ indebt$ness "u ?is section %all be exclud$ f gross income = purposes ( ! ,int]nal ,rev5ue ,code ( #aihf4 7j7 ,rule ( con/ruction ,! cancellation ( indebt$ness on a cov]$ #g7;a7 loan "u ?is section %all n o!rwise modify ! t]ms & conditions ( ! cov]$ #g7;a7 loan4 7k7 ,regulations ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator %all issue guidance & regulations implem5t+ ?is section4 #aajf4 ,direct appropriations 7a7 ,9 g5]al ,!re is appropriat$1 out ( am\nts 9 ! ,treasury n o!rwise appropriat$1 = ! fiscal ye> end+ ,septemb] #cj1 #bjbj1 to rema9 available until ,septemb] #cj1 #bjba1 = additional am\nts-- 7#a7 #bii1djj1jjj1jjj "u ! head+ ,small ,bus9ess ,adm9i/ration--,bus9ess ,loans ,program ,acc\nt = ! co/ ( gu>ante$ loans z au?oriz$ "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a772 7#b7 #cjj1jjj1jjj "u ! head+ ,small ,bus9ess ,adm9i/ration--,sal>ies & ,exp5ses = sal>ies & exp5ses ( ! ,adm9i/ration2 7#c7 #be1jjj1jjj "u ! head+ ,small ,bus9ess ,adm9i/ration--,(fice ( ,inspector ,g5]al = necess>y exp5ses ( ! ,(fice ( ,inspector ,g5]al ( ! ,adm9i/ration 9 c>ry+ out ! provisions ( ! ,inspector ,g5]al ,act ( #aigh 7#e ,u4,s4,c4 ,app472 7#d7 #bfe1jjj1jjj "u ! head+ ,small ,bus9ess ,adm9i/ration--,entrepr5eurial ,developm5t ,programs1 ( :i*-- 7,a7 #bdj1jjj1jjj %all be = c>ry+ section #aajc7;b7 ( ?is ,act2 & 7,b7 #be1jjj1jjj %all be = c>ry+ out section #aajc7;c7 ( ?is ,act2 & 7#e7 #aj1jjj1jjj "u ! head+ ,dep>tm5t ( ,comm]ce--,m9ority ,bus9ess ,developm5t ,ag5cy = m9ority bus9ess c5t]s ( ! ,m9ority ,bus9ess ,developm5t ,ag5cy to provide te*nical assi/ance to small bus9ess conc]ns4 7b7 ,reports ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator %all submit to ! ,committee on ,appropriations ( ! ,s5ate & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives a detail$ exp5diture plan = us+ ! am\nts appropriat$ "u subsection 7a74 #aajg4 ,m9ority bus9ess developm5t ag5cy 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m ,ag5cy means ! ,m9ority ,bus9ess ,developm5t ,ag5cy ( ! ,dep>tm5t ( ,comm]ce2 7#b7 ! t]m cov]$ small bus9ess conc]n means a small bus9ess conc]n 7z def9$ 9 section #c ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcb7 t is locat$ 9 an area t is sub/antially affect$ by ! ,,covid-#ai2 7#c7 ! t]m m9ority bus9ess c5t] means a ,bus9ess ,c5t] ( ! ,ag5cy2 & 7#d7 ! t]m sub/antially affect$ by ,,covid-#ai means1 ) respect to a cov]$ small bus9ess conc]n1 t ! cov]$ small bus9ess conc]n has exp]i5c$-- 7,a7 supply *a9 disruptions1 includ+ *anges 9-- 7i7 quantity & lead "t1 includ+ ! numb] ( %ipm5ts ( compon5ts & delays 9 %ipm5ts2 7ii7 quality1 includ+ %ortages 9 supply = quality control reasons2 & 7iii7 te*nology1 includ+ a compromis$ paym5t network2 7,b7 /aff+ *all5ges2 7,c7 a decrease 9 sales or cu/om]s2 or 7,d7 %utt]$ bus9esses4 7b7 ,education1 tra9+1 & advis+ grants 7#a7 ,9 g5]al ,! ,ag5cy may provide f9ancial assi/ance 9 ! =m ( grants to m9ority bus9ess c5t]s to provide education1 tra9+1 & advis+ to cov]$ small bus9ess conc]ns4 7#b7 ,use ( funds ,grants "u ?is section %all be us$ = ! education1 tra9+1 & advis+ ( cov]$ small bus9ess conc]ns & _! employees on-- 7,a7 access+ & apply+ = res\rces provid$ by ! ,ag5cy & o!r ,f$]al res\rces relat+ to access to capital & bus9ess resili5cy2 7,b7 ! haz>ds & prev5tion ( ! transmission & communication ( ,,covid-#ai & o!r communicable diseases2 7,c7 ! pot5tial effects ( ,,covid-#ai on ! supply *a9s1 di/ribution1 & sale ( products ( cov]$ small bus9ess conc]ns & ! mitigation ( ^? effects2 7,d7 ! managem5t & practice ( telework to r$uce possible transmission ( ,,covid-#ai2 7,e7 ! managem5t & practice ( remote cu/om] s]vice by electronic or o!r means2 7,f7 ! risks ( & mitigation ( cyb] ?reats 9 remote cu/om] s]vice or telework practices2 7,g7 ! mitigation ( ! effects ( r$uc$ travel or outside activities on cov]$ small bus9ess conc]ns dur+ ,,covid-#ai or simil> occurr5ces2 & 7,h7 any o!r relevant bus9ess practices necess>y to mitigate ! economic effects ( ,,covid-#ai or simil> occurr5ces4 7#c7 ,no mat*+ funds requir$ ,mat*+ funds %all n be requir$ = any grant "u ?is section4 7#d7 ,goals & metrics 7,a7 ,9 g5]al ,goals & metrics = ! funds made available "u ?is section %all be jo9tly develop$1 negotiat$1 & agre$ ^u1 ) full p>ticipation ( bo? p>ties1 betwe5 ! m9ority bus9ess c5t]s & ! ,ag5cy1 :i* %all-- 7i7 take into consid]ation ! ext5t ( ! circum/ances relat+ to ! spread ( ,,covid-#ai1 or simil> occurr5ces1 t affect cov]$ small bus9ess conc]ns locat$ 9 ! areas cov]$ by ! m9ority bus9ess c5t]s1 p>ticul>ly 9 rural areas or economically di/ress$ areas2 7ii7 g5]ally foll[ ! use ( funds outl9$ 9 p>agraph 7#b71 b %all n re/rict ! activities ( m9ority bus9ess c5t]s 9 respond+ to unique situations2 & 7iii7 enc\rage m9ority bus9ess c5t]s to develop & provide s]vices to cov]$ small bus9ess conc]ns4 7,b7 ,public availability ,! ,ag5cy %all make publicly available ! me?odology by :i* ! ,ag5cy & m9ority bus9ess c5t]s jo9tly develop ! metrics & goals describ$ 9 subp>agraph 7,a74 7#e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #aj1jjj1jjj to c>ry out ?is section1 to rema9 available until exp5d$4 #aajh4 ,waiv] ( prepaym5t p5alty ,not)/&+ any o!r provision ( law1 = a loan made "u ! au?ority "u ?is division or an am5dm5t made by ?is division1 !re %all be no prepaym5t p5alty = any paym5t on ! loan made on or be=e ,decemb] #ca1 #bjbj4 #aaji4 ,unit$ ,/ates ,treasury ,program ,managem5t ,au?ority 7a7 ,au?ority to include additional f9ancial in/itutions ,! ,dep>tm5t ( ! ,treasury1 9 consultation ) ! ,adm9i/ration & ! o!r ,f$]al f9ancial regulatory ag5cies 7z def9$ 9 section #cac7r7 ( title #ca1 ,unit$ ,/ates ,code71 %all e/abli% crit]ia = insur$ depository in/itutions 7z def9$ 9 section #c ( ! ,f$]al ,deposit ,insurance ,act 7#ab ,u4,s4,c4 #ahac77 & o!r specializ$ l5d]s1 t d n already p>ticipate 9 l5d+ "u programs ( ! ,adm9i/ration1 to p>ticipate 9 a small bus9ess int]ruption loans program to provide loans "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 9 accordance ) ?is section until ! date on :i* ! national em]g5cy decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act 7#ej ,u4,s4,c4 #afja et seq47 ) respect to ! ,coronavirus ,disease #bjai 7,,covid-#ai7 expires4 7b7 ,crit]ia ,due to exig5t circum/ances1 ! eligibility crit]ia t w\ld o!rwise be applicable a loan made "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a77 %all n apply to a loan made "u ?is section4 7c7 ,safety & s\ndness ,an insur$ depository in/itution 7z def9$ 9 section #c ( ! ,f$]al ,deposit ,insurance ,act 7#ab ,u4,s4,c4 #ahac77 or o!r specializ$ l5d] may only p>ticipate 9 ! program e/abli%$ "u ?is section if p>ticipation does n affect ! safety & s\ndness ( ! in/itution or l5d]4 7d7 ,additional regulations ,! ,secret>y ( ! ,treasury1 9 consultation ) ! ,adm9i/rator1 %all issue regulations & guidance 9 ord] to direct additional l5d]s "u ?is section & e/abli% additional t]ms t set out comp5sation1 und]writ+ /&>ds1 int]e/ rates1 maturity1 & o!r relevant t]ms & conditions4 7e7 ,program adm9i/ration ,"u ! infra/ructure ( ! ,dep>tm5t ( ! ,treasury & ) guidance f ! ,secret>y ( ! ,treasury1 ! ,adm9i/ration %all adm9i/] ! program e/abli%$ "u ?is section until ! date on :i* ! national em]g5cy decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act 7#ej ,u4,s4,c4 #afja et seq47 ) respect to ! ,coronavirus ,disease #bjai 7,,covid-#ai7 expires4 ,b ,relief = individuals1 families1 & bus9esses ,i ,rebates & o!r individual provisions #baja4 #bjbj recov]y rebates = individuals 7a7 ,9 g5]al ,sub*apt] ,b ( *apt] #fe ( subtitle ,f ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ aft] section #fdbg ! foll[+ new section3 #fdbh4 #bjbj ,recov]y ,rebates = individuals 7a7 ,9 g5]al ,9 ! case ( an eligible individual1 !re %all be all[$ z a cr$it aga9/ ! tax impos$ by subtitle ,a = ! fir/ taxable ye> beg9n+ 9 #bjbj an am\nt equal to ! less] (-- 7#a7 net income tax liability1 or 7#b7 #a1bjj 7#b1djj 9 ! case ( a jo9t return74 7b7 ,special rules 7#a7 ,9 g5]al ,9 ! case ( a taxpay] describ$ 9 p>agraph 7#b7-- 7,a7 ! am\nt det]m9$ "u subsection 7a7 %all n be less ?an #fjj 7#a1bjj 9 ! case ( a jo9t return71 & 7,b7 ! am\nt det]m9$ "u subsection 7a7 7aft] ! application ( subp>agraph 7,a77 %all be increas$ by ! product ( #ejj multipli$ by ! numb] ( qualify+ *ildr5 7)9 ! mean+ ( section #bd7;c77 ( ! taxpay]4 7#b7 ,taxpay] describ$ ,a taxpay] is describ$ 9 ?is p>agraph if ! taxpay]-- 7,a7 has qualify+ income ( at lea/ #b1ejj1 or 7,b7 has-- 7i7 net income tax liability :i* is great] ?an z]o1 & 7ii7 gross income :i* is great] ?an ! basic /&>d d$uction4 7c7 ,treatm5t ( cr$it ,! cr$it all[$ by subsection 7a7 %all be treat$ z all[$ by subp>t ,c ( "p ,,iv ( sub*apt] ,a ( *apt] #a4 7d7 ,limitation bas$ on adju/$ gross income ,! am\nt ( ! cr$it all[$ by subsection 7a7 7det]m9$ )\t reg>d to ?is subsection & subsection 7f77 %all be r$uc$ 7b n bel[ z]o7 by #e p]c5t ( s mu* ( ! taxpay]'s adju/$ gross income z exce$s #ge1jjj 7#aej1jjj 9 ! case ( a jo9t return74 7e7 ,def9itions ,= purposes ( ?is section-- 7#a7 ,qualify+ income ,! t]m qualify+ income means-- 7,a7 e>n$ income1 7,b7 social security b5efits 7)9 ! mean+ ( section #hf7;d771 & 7,c7 any comp5sation or p5sion receiv$ "u *apt] #aa1 *apt] #ac1 or *apt] #ae ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,net income tax liability ,! t]m net income tax liability means ! excess (-- 7,a7 ! sum ( ! taxpay]'s regul> tax liability 7)9 ! mean+ ( section #bf7;b77 & ! tax impos$ by section #ee = ! taxable ye>1 ov] 7,b7 ! cr$its all[$ by "p ,,iv 7o!r ?an section #bd & subp>t ,c !re(7 ( sub*apt] ,a ( *apt] #a4 7#c7 ,eligible individual ,! t]m eligible individual means any individual o!r ?an-- 7,a7 any nonresid5t ali5 individual1 7,b7 any individual ) respect to :om a d$uction "u section #aea is all[able to ano!r taxpay] = a taxable ye> beg9n+ 9 ! cal5d> ye> 9 :i* ! individual's taxable ye> beg9s1 & 7,c7 an e/ate or tru/4 7#d7 ,e>n$ income ,! t]m e>n$ income has ! mean+ set =? 9 section #cb7;c77#b7 except t su* t]m %all n include net e>n+s f self-employm5t :i* are n tak5 into acc\nt 9 comput+ taxable income4 7#e7 ,basic /&>d d$uction ,! t]m basic /&>d d$uction %all h ! same mean+ z :5 us$ 9 section #fc 7z modifi$ by subsection 7c77#g7 ( su* section74 7f7 ,coord9ation ) advance refunds ( cr$it 7#a7 ,9 g5]al ,! am\nt ( cr$it :i* w\ld 7b = ?is p>agraph7 be all[able "u ?is section %all be r$uc$ 7b n bel[ z]o7 by ! aggregate refunds & cr$its made or all[$ to ! taxpay] "u subsection 7g74 ,any failure to s r$uce ! cr$it %all be treat$ z aris+ out ( a ma!matical or cl]ical error & assess$ accord+ to section #fbac7;b77#a74 7#b7 ,jo9t returns ,9 ! case ( a refund or cr$it made or all[$ "u subsection 7g7 ) respect to a jo9t return1 half ( su* refund or cr$it %all be treat$ z hav+ be5 made or all[$ to ea* individual fil+ su* return4 7g7 ,advance refunds & cr$its 7#a7 ,9 g5]al ,subject to p>agraph 7#e71 ea* individual :o 0 an eligible individual = su* individual's fir/ taxable ye> beg9n+ 9 #bjah %all be treat$ z hav+ made a paym5t aga9/ ! tax impos$ by *apt] #a = su* fir/ taxable ye> 9 an am\nt equal to ! advance refund am\nt = su* taxable ye>4 7#b7 ,advance refund am\nt ,= purposes ( p>agraph 7#a71 ! advance refund am\nt is ! am\nt t w\ld h be5 all[$ z a cr$it "u ?is section = su* fir/ taxable ye> if ?is section 7o!r ?an subsection 7f7 & ?is subsection7 _h appli$ to su* taxable ye>4 7#c7 ,tim+ ( paym5ts ,! ,secret>y %all1 subject to ! provisions ( ?is title1 refund or cr$it any ov]paym5t attributable to ?is section z rapidly z possible4 ,no refund or cr$it %all be made or all[$ "u ?is subsection aft] ,decemb] #ca1 #bjbj4 7#d7 ,no int]e/ ,no int]e/ %all be all[$ on any ov]paym5t attributable to ?is section4 7#e7 ,alt]nate taxable ye> ,9 ! case ( an individual :o1 at ! "t ( any det]m9ation made pursuant to p>agraph 7#c71 has n fil$ a tax return = ! ye> describ$ 9 p>agraph 7#a71 ! ,secret>y may apply su* p>agraph by sub/itut+ #bjai = #bjah4 7h7 ,id5tification numb] requirem5t 7#a7 ,9 g5]al ,no cr$it %all be all[$ "u subsection 7a7 to an eligible individual :o does n include on ! return ( tax = ! taxable ye>-- 7,a7 su* individual's valid id5tification numb]1 7,b7 9 ! case ( a jo9t return1 ! valid id5tification numb] ( su* individual's sp\se1 & 7,c7 9 ! case ( any qualify+ *ild tak5 into acc\nt "u subsection 7b77#a77;,b71 ! valid id5tification numb] ( su* qualify+ *ild4 7#b7 ,valid id5tification numb] 7,a7 ,9 g5]al ,= purposes ( p>agraph 7#a71 ! t]m valid id5tification numb] means a social security numb] 7z su* t]m is def9$ 9 section #bd7;h77#g774 7,b7 ,adoption taxpay] id5tification numb] ,= purposes ( p>agraph 7#a77;,c71 9 ! case ( a qualify+ *ild :o is adopt$1 ! t]m valid id5tification numb] %all include ! adoption taxpay] id5tification numb] ( su* *ild4 7i7 ,regulations ,! ,secret>y %all prescribe su* regulations or o!r guidance z may be necess>y to c>ry out ! purposes ( ?is section4 4 7b7 ,adm9i/rative am5dm5ts 7#a7 ,def9ition ( defici5cy ,section #fbaa7;b77#d77;,a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ & #cf;,b1 #afh7k77#d7 & ins]t+ #cf;,b1 & #fdbh4 7#b7 ,ma!matical or cl]ical error au?ority ,section #fbac7;g77#b77,l7 ( su* ,code is am5d$ by /rik+ or #cb & ins]t+ #cb1 or #fdbh4 7c7 ,treatm5t ( possessions 7#a7 ,paym5ts to possessions 7,a7 ,mirror code possession ,! ,secret>y ( ! ,treasury %all pay to ea* possession ( ! ,unit$ ,/ates :i* has a mirror code tax sy/em am\nts equal to ! loss 7if any7 to t possession by reason ( ! am5dm5ts made by ?is section4 ,su* am\nts %all be det]m9$ by ! ,secret>y ( ! ,treasury bas$ on in=mation provid$ by ! gov]nm5t ( ! respective possession4 7,b7 ,o!r possessions ,! ,secret>y ( ! ,treasury %all pay to ea* possession ( ! ,unit$ ,/ates :i* does n h a mirror code tax sy/em am\nts e/imat$ by ! ,secret>y ( ! ,treasury z be+ equal to ! aggregate b5efits 7if any7 t w\ld h be5 provid$ to resid5ts ( su* possession by reason ( ! am5dm5ts made by ?is section if a mirror code tax sy/em _h be5 9 effect 9 su* possession4 ,! prec$+ s5t5ce %all n apply unless ! respective possession has a plan1 :i* has be5 approv$ by ! ,secret>y ( ! ,treasury1 "u :i* su* possession w promptly di/ribute su* paym5ts to its resid5ts4 7#b7 ,coord9ation ) cr$it all[$ aga9/ ,unit$ ,/ates income taxes ,no cr$it %all be all[$ aga9/ ,unit$ ,/ates income taxes "u section #fdbh ( ! ,int]nal ,rev5ue ,code ( #aihf 7z add$ by ?is section7 to any p]son-- 7,a7 to :om a cr$it is all[$ aga9/ taxes impos$ by ! possession by reason ( ! am5dm5ts made by ?is section1 or 7,b7 :o is eligible = a paym5t "u a plan describ$ 9 p>agraph 7#a77;,b74 7#c7 ,def9itions & special rules 7,a7 ,possession ( ! ,unit$ ,/ates ,= purposes ( ?is subsection1 ! t]m possession ( ! ,unit$ ,/ates includes ! ,commonweal? ( ,pu]to ,rico & ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s4 7,b7 ,mirror code tax sy/em ,= purposes ( ?is subsection1 ! t]m mirror code tax sy/em means1 ) respect to any possession ( ! ,unit$ ,/ates1 ! income tax sy/em ( su* possession if ! income tax liability ( ! resid5ts ( su* possession "u su* sy/em is det]m9$ by ref]5ce to ! income tax laws ( ! ,unit$ ,/ates z if su* possession 7 ! ,unit$ ,/ates4 7,c7 ,treatm5t ( paym5ts ,= purposes ( section #acbd ( title #ca1 ,unit$ ,/ates ,code1 ! paym5ts "u ?is section %all be treat$ 9 ! same mann] z a refund due f a cr$it provision ref]r$ to 9 subsection 7b77#b7 ( su* section4 7d7 ,exception f ,treasury ,(fset ,program ,any cr$it or refund all[$ or made to any individual by reason ( section #fdbh ( ! ,int]nal ,rev5ue ,code ( #aihf 7z add$ by ?is section7 or by reason ( subsection 7c7 ( ?is section %all n be subject to r$uction or (fset pursuant to-- 7#a7 section #cgaf or #cgbj;,a ( title #ca1 ,unit$ ,/ates ,code1 or 7#b7 subsection 7d71 7e71 or 7f7 ( section #fdjb ( ! ,int]nal ,rev5ue ,code ( #aihf4 7e7 ,appropriations to c>ry out rebates 7#a7 ,9 g5]al ,imm$iately ^u ! enactm5t ( ?is ,act1 ! foll[+ sums are appropriat$1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 = ! fiscal ye> end+ ,septemb] #cj1 #bjbj3 7,a7 ,dep>tm5t ( ! ,treasury 7i7 ,= an additional am\nt = ,dep>tm5t ( ! ,treasury--,bureau ( ! ,fiscal ,s]vice--,sal>ies & ,exp5ses1 #gh1fej1jjj1 to rema9 available until ,septemb] #cj1 #bjba4 7ii7 ,= an additional am\nt = ,dep>tm5t ( ! ,treasury--,int]nal ,rev5ue ,s]vice--,taxpay] ,s]vices1 #gj1bjj1jjj1 to rema9 available until ,septemb] #cj1 #bjba4 7iii7 ,= an additional am\nt = ,dep>tm5t ( ! ,treasury--,int]nal ,rev5ue ,s]vice--,op]ations ,support1 #bji1fjj1jjj1 to rema9 available until ,septemb] #cj1 #bjba4 7,b7 ,social security adm9i/ration ,= an additional am\nt = ,social ,security ,adm9i/ration--,limitation on ,adm9i/rative ,exp5ses1 #ch1jjj1jjj1 to rema9 available until ,septemb] #cj1 #bjbj4 7#b7 ,reports ,no lat] ?an #ae days aft] enactm5t ( ?is ,act1 ! ,secret>y ( ! ,treasury %all submit a plan to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate detail+ ! expect$ use ( ! funds provid$ by p>agraph 7#a77;,a74 ,beg9n+ #ij days aft] enactm5t ( ?is ,act1 ! ,secret>y ( ! ,treasury %all submit a qu>t]ly report to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate detail+ ! actual exp5diture ( funds provid$ by p>agraph 7#a77;,a7 & ! expect$ exp5diture ( su* funds 9 ! subsequ5t qu>t]4 7f7 ,con=m+ am5dm5ts 7#a7 ,p>agraph 7#b7 ( section #acbd7;b7 ( title #ca1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ 8#fdbh10 aft] 8#ed;,b7h7104 7#b7 ,! table ( sections = sub*apt] ,b ( *apt] #fe ( subtitle ,f ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ aft] ! item relat+ to section #fdbg ! foll[+3 ,sec4 #fdbh4 #bjbj ,recov]y ,rebates = individuals4 4 #bajb4 ,delay ( c]ta9 deadl9es 7a7 ,fil+ deadl9es = #bjai 7#a7 ,9 g5]al ,9 ! case ( returns = taxable ye> #bjai1 includ+ = purposes ( section #faea7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 section #fjgb7;a7 ( su* ,code %all be appli$-- 7,a7 by sub/itut+ ,july = ,april1 & 7,b7 by sub/itut+ ! sev5? mon? = ! f\r? mon?4 7#b7 ,effective date ,p>agraph 7#a7 %all apply to all returns requir$ to be fil$ = taxable ye> #bjai4 7b7 ,e/imat$ tax paym5ts = individuals 7#a7 ,9 g5]al ,9 ! case ( an individual1 ! due date = any requir$ in/allm5t "u section #ffed ( ! ,int]nal ,rev5ue ,code ( #aihf :i* 7b = ! application ( ?is section7 w\ld be due dur+ ! applicable p]iod %all n be due be=e ,octob] #ae1 #bjbj1 & all su* in/allm5ts %all be treat$ z "o in/allm5t due on su* date4 ,! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate7 %all prescribe su* regulations or o!r guidance z may be necess>y to c>ry out ! purposes ( ?is subsection4 7#b7 ,applicable p]iod ,= purposes ( ?is subsection1 ! applicable p]iod is ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act & end+ be=e ,octob] #ae1 #bjbj4 #bajc4 ,special rules = use ( retirem5t funds 7a7 ,tax-favor$ )drawals f retirem5t plans 7#a7 ,9 g5]al ,section #gb7t7 ( ! ,int]nal ,rev5ue ,code ( #aihf %all n apply to any coronavirus-relat$ di/ribution4 7#b7 ,aggregate doll> limitation 7,a7 ,9 g5]al ,= purposes ( ?is subsection1 ! aggregate am\nt ( di/ributions receiv$ by an individual :i* may be treat$ z coronavirus-relat$ di/ributions = any taxable ye> %all n exce$ #ajj1jjj4 7,b7 ,treatm5t ( plan di/ributions ,if a di/ribution to an individual w\ld 7)\t reg>d to subp>agraph 7,a77 be a coronavirus-relat$ di/ribution1 a plan %all n be treat$ z violat+ any requirem5t ( ! ,int]nal ,rev5ue ,code ( #aihf m]ely because ! plan treats su* di/ribution z a coronavirus-relat$ di/ribution1 unless ! aggregate am\nt ( su* di/ributions f all plans ma9ta9$ by ! employ] 7& any memb] ( any controll$ gr\p :i* includes ! employ]7 to su* individual exce$s #ajj1jjj4 7,c7 ,controll$ gr\p ,= purposes ( subp>agraph 7,b71 ! t]m controll$ gr\p means any gr\p treat$ z a s+le employ] "u subsection 7b71 7c71 7m71 or 7o7 ( section #dad ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#c7 ,am\nt di/ribut$ may be repaid 7,a7 ,9 g5]al ,any individual :o receives a coronavirus-relat$ di/ribution may1 at any "t dur+ ! #c-ye> p]iod beg9n+ on ! day aft] ! date on :i* su* di/ribution 0 receiv$1 make #a or m contributions 9 an aggregate am\nt n to exce$ ! am\nt ( su* di/ribution to an eligible retirem5t plan ( :i* su* individual is a b5efici>y & to :i* a rollov] contribution ( su* di/ribution c\ld be made "u section #djb7;c71 #djc7;a77#d71 #djc7;b77#h71 #djh7;d77#c71 or #deg7;e77#af71 ( ! ,int]nal ,rev5ue ,code ( #aihf1 z ! case may be4 7,b7 ,treatm5t ( repaym5ts ( di/ributions f eligible retirem5t plans o!r ?an ,i,r,as ,= purposes ( ! ,int]nal ,rev5ue ,code ( #aihf1 if a contribution is made pursuant to subp>agraph 7,a7 ) respect to a coronavirus-relat$ di/ribution f an eligible retirem5t plan o!r ?an an individual retirem5t plan1 !n ! taxpay] %all1 to ! ext5t ( ! am\nt ( ! contribution1 be treat$ z hav+ receiv$ ! coronavirus-relat$ di/ribution 9 an eligible rollov] di/ribution 7z def9$ 9 section #djb7;c77#d7 ( su* ,code7 & z hav+ transf]r$ ! am\nt to ! eligible retirem5t plan 9 a direct tru/ee to tru/ee transf] )9 #fj days ( ! di/ribution4 7,c7 ,treatm5t ( repaym5ts ( di/ributions f ,i,r,as ,= purposes ( ! ,int]nal ,rev5ue ,code ( #aihf1 if a contribution is made pursuant to subp>agraph 7,a7 ) respect to a coronavirus-relat$ di/ribution f an individual retirem5t plan 7z def9$ by section #ggja7;a77#cg7 ( su* ,code71 !n1 to ! ext5t ( ! am\nt ( ! contribution1 ! coronavirus-relat$ di/ribution %all be treat$ z a di/ribution describ$ 9 section #djh7;d77#c7 ( su* ,code & z hav+ be5 transf]r$ to ! eligible retirem5t plan 9 a direct tru/ee to tru/ee transf] )9 #fj days ( ! di/ribution4 7#d7 ,def9itions ,= purposes ( ?is subsection-- 7,a7 ,coronavirus-relat$ di/ribution ,except z provid$ 9 p>agraph 7#b71 ! t]m coronavirus-relat$ di/ribution means any di/ribution f an eligible retirem5t plan made-- 7i7 on or aft] ! date ( ! enactm5t ( ?is ,act & be=e ,decemb] #ca1 #bjbj1 7ii7 to an individual-- 7,i7 :o is diagnos$ ) ! virus ,,s>s-,co,v-#b or ) coronavirus disease #bjai 7,,covid-#ai7 by a te/ approv$ by ! ,c5t]s = ,disease ,control & ,prev5tion1 7,,ii7 ^: sp\se or dep5d5t 7z def9$ 9 section #aeb ( ! ,int]nal ,rev5ue ,code ( #aihf7 is diagnos$ ) su* virus or disease by su* a te/1 or 7,,iii7 :o exp]i5ces adv]se f9ancial consequ5ces z a result ( be+ qu>ant9$1 be+ furl\gh$ or laid (f or hav+ "w h\rs r$uc$ due to su* virus or disease1 be+ unable to "w due to lack ( *ild c>e due to su* virus or disease1 clos+ or r$uc+ h\rs ( a bus9ess own$ or op]at$ by ! individual due to su* virus or disease1 or o!r factors z det]m9$ by ! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate74 7,b7 ,eligible retirem5t plan ,! t]m eligible retirem5t plan has ! mean+ giv5 su* t]m by section #djb7;c77#h77;,b7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#e7 ,income inclusion spread ov] #c-ye> p]iod 7,a7 ,9 g5]al ,9 ! case ( any coronavirus-relat$ di/ribution1 unless ! taxpay] elects n to h ?is p>agraph apply = any taxable ye>1 any am\nt requir$ to be includ$ 9 gross income = su* taxable ye> %all be s includ$ ratably ov] ! #c-taxable-ye> p]iod beg9n+ ) su* taxable ye>4 7,b7 ,special rule ,= purposes ( subp>agraph 7,a71 rules simil> to ! rules ( subp>agraph 7,e7 ( section #djh;,a7d77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf %all apply4 7#f7 ,special rules 7,a7 ,exemption ( di/ributions f tru/ee to tru/ee transf] & )hold+ rules ,= purposes ( sections #dja7;a77#ca71 #djb7;f71 & #cdje ( ! ,int]nal ,rev5ue ,code ( #aihf1 coronavirus-relat$ di/ributions %all n be treat$ z eligible rollov] di/ributions4 7,b7 ,coronavirus-relat$ di/ributions treat$ z meet+ plan di/ribution requirem5ts ,= purposes ( ! ,int]nal ,rev5ue ,code ( #aihf1 a coronavirus-relat$ di/ribution %all be treat$ z meet+ ! requirem5ts ( sections #dja7k77#b77;,b77i71 #djc7;b77#g77;,a77i71 #djc7;b77#aa71 & #deg7;d77#a77;,a7 ( su* ,code4 7b7 ,loans f qualifi$ plans 7#a7 ,increase 9 limit on loans n treat$ z di/ributions ,9 ! case ( any loan f a qualifi$ employ] plan 7z def9$ "u section #gb7p77#d7 ( ! ,int]nal ,rev5ue ,code ( #aihf7 to a qualifi$ individual made dur+ ! #ahj-;day p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act-- 7,a7 clause 7i7 ( section #gb7p77#b77;,a7 ( su* ,code %all be appli$ by sub/itut+ #ajj1jjj = #ej1jjj1 & 7,b7 clause 7ii7 ( su* section %all be appli$ by sub/itut+ ! pres5t value ( ! non=feitable accru$ b5efit ( ! employee "u ! plan = "o-half ( ! pres5t value ( ! non=feitable accru$ b5efit ( ! employee "u ! plan4 7#b7 ,delay ( repaym5t ,9 ! case ( a qualifi$ individual ) an out/&+ loan 7on or aft] ! date ( ! enactm5t ( ?is ,act7 f a qualifi$ employ] plan 7z def9$ 9 section #gb7p77#d7 ( ! ,int]nal ,rev5ue ,code ( #aihf7-- 7,a7 if ! due date pursuant to subp>agraph 7,b7 or 7,c7 ( section #gb7p77#b7 ( su* ,code = any repaym5t ) respect to su* loan occurs dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act & end+ on ,decemb] #ca1 #bjbj1 su* due date %all be delay$ = #a ye> 7or1 if lat]1 until ! date :i* is #ahj days aft] ! date ( ! enactm5t ( ?is ,act71 7,b7 any subsequ5t repaym5ts ) respect to any su* loan %all be appropriately adju/$ to reflect ! delay 9 ! due date "u subp>agraph 7,a7 & any int]e/ accru+ dur+ su* delay1 & 7,c7 9 det]m9+ ! #e-ye> p]iod & ! t]m ( a loan "u subp>agraph 7,b7 or 7,c7 ( section #gb7p77#b7 ( su* ,code1 ! p]iod describ$ 9 subp>agraph 7,a7 ( ?is p>agraph %all be disreg>d$4 7#c7 ,qualifi$ individual ,= purposes ( ?is subsection1 ! t]m qualifi$ individual means any individual :o is describ$ 9 subsection 7a77#d77;,a77ii74 7c7 ,provisions relat+ to plan am5dm5ts 7#a7 ,9 g5]al ,if ?is subsection applies to any am5dm5t to any plan or annuity contract1 su* plan or contract %all be treat$ z be+ op]at$ 9 accordance ) ! t]ms ( ! plan dur+ ! p]iod describ$ 9 p>agraph 7#b77;,b77i74 7#b7 ,am5dm5ts to :i* subsection applies 7,a7 ,9 g5]al ,?is subsection %all apply to any am5dm5t to any plan or annuity contract :i* is made-- 7i7 pursuant to any provision ( ?is section1 or pursuant to any regulation issu$ by ! ,secret>y ( ! ,treasury or ! ,secret>y ( ,labor 7or ! delegate ( ei!r su* ,secret>y7 "u any provision ( ?is section1 & 7ii7 on or be=e ! la/ day ( ! fir/ plan ye> beg9n+ on or aft] ,janu>y #a1 #bjbj1 or su* lat] date z ! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate7 may prescribe4 ,9 ! case ( a gov]nm5tal plan 7z def9$ 9 section #dad7;d7 ( ! ,int]nal ,rev5ue ,code ( #aihf71 clause 7ii7 %all be appli$ by sub/itut+ ! date :i* is #b ye>s aft] ! date o!rwise appli$ "u clause 7ii74 7,b7 ,conditions ,?is subsection %all n apply to any am5dm5t unless-- 7i7 dur+ ! p]iod-- 7,i7 beg9n+ on ! date t ?is section or ! regulation describ$ 9 subp>agraph 7,a77i7 takes effect 7or 9 ! case ( a plan or contract am5dm5t n requir$ by ?is section or su* regulation1 ! effective date specifi$ by ! plan71 & 7,,ii7 end+ on ! date describ$ 9 subp>agraph 7,a77ii7 7or1 if e>li]1 ! date ! plan or contract am5dm5t is adopt$71 ! plan or contract is op]at$ z if su* plan or contract am5dm5t 7 9 effect1 & 7ii7 su* plan or contract am5dm5t applies retroactively = su* p]iod4 #bajd4 ,all[ance ( p>tial above ! l9e d$uction = *>itable contributions 7a7 ,9 g5]al ,section #fb7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ aft] p>agraph 7#ba7 ! foll[+ new p>agraph3 7#bb7 ,*>itable contributions ,9 ! case ( taxable ye>s beg9n+ 9 #bjbj1 ! am\nt 7n to exce$ #cjj7 ( qualifi$ *>itable contributions made by an eligible taxpay] dur+ ! taxable ye> 4 4 7b7 ,def9itions ,section #fb ( su* ,code is am5d$ by add+ at ! end ! foll[+ new subsection3 7f7 ,def9itions relat+ to qualifi$ *>itable contributions ,= purposes ( subsection 7a77#bb7-- 7#a7 ,eligible taxpay] ,! t]m eligible taxpay] means any individual :o does n elect to itemize d$uctions4 7#b7 ,qualifi$ *>itable contributions ,! t]m qualifi$ *>itable contribution means a *>itable contribution 7z def9$ 9 section #agj7;c77-- 7,a7 :i* is made 9 ca%1 7,b7 = :i* a d$uction is all[able "u section #agj 7det]m9$ )\t reg>d to subsection 7b7 !re(71 & 7,c7 :i* is-- 7i7 made to an organization describ$ 9 section #agj7;b77#a77;,a71 & 7ii7 n-- 7,i7 to an organization describ$ 9 section #eji7;a77#c71 or 7,,ii7 = ! e/abli%m5t ( a new1 or ma9t5ance ( an exi/+1 donor advis$ fund 7z def9$ 9 section #diff7;d77#b774 ,su* t]m %all n include any am\nt :i* is treat$ z a *>itable contribution made 9 su* taxable ye> "u subsection 7b77#a77;,g7 or 7d77#a7 ( section #agj4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjai4 #baje4 ,modification ( limitations on *>itable contributions dur+ #bjbj 7a7 ,tempor>y susp5sion ( limitations on c]ta9 ca% contributions 7#a7 ,9 g5]al ,except z o!rwise provid$ 9 p>agraph 7#b71 qualifi$ contributions %all be disreg>d$ 9 apply+ subsections 7b7 & 7d7 ( section #agj ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#b7 ,treatm5t ( excess contributions ,= purposes ( section #agj ( ! ,int]nal ,rev5ue ,code ( #aihf-- 7,a7 ,individuals ,9 ! case ( an individual-- 7i7 ,limitation ,any qualifi$ contribution %all be all[$ z a d$uction only to ! ext5t t ! aggregate ( su* contributions does n exce$ ! excess ( ! taxpay]'s contribution base 7z def9$ 9 subp>agraph 7,h7 ( section #agj7;b77#a7 ( su* ,code7 ov] ! am\nt ( all o!r *>itable contributions all[$ "u section #agj7;b77#a7 ( su* ,code4 7ii7 ,c>ryov] ,if ! aggregate am\nt ( qualifi$ contributions made 9 ! contribution ye> 7)9 ! mean+ ( section #agj7;d77#a7 ( su* ,code7 exce$s ! limitation ( clause 7i71 su* excess %all be add$ to ! excess describ$ 9 section #agj7;b77#a77;,g77ii74 7,b7 ,corporations ,9 ! case ( a corporation-- 7i7 ,limitation ,any qualifi$ contribution %all be all[$ z a d$uction only to ! ext5t t ! aggregate ( su* contributions does n exce$ ! excess ( #be p]c5t ( ! taxpay]'s taxable income 7z det]m9$ "u p>agraph 7#b7 ( section #agj7;b7 ( su* ,code7 ov] ! am\nt ( all o!r *>itable contributions all[$ "u su* p>agraph4 7ii7 ,c>ryov] ,if ! aggregate am\nt ( qualifi$ contributions made 9 ! contribution ye> 7)9 ! mean+ ( section #agj7;d77#b7 ( su* ,code7 exce$s ! limitation ( clause 7i71 su* excess %all be appropriately tak5 into acc\nt "u section #agj7;d77#b7 subject to ! limitations !re(4 7#c7 ,qualifi$ contributions 7,a7 ,9 g5]al ,= purposes ( ?is subsection1 ! t]m qualifi$ contribution means any *>itable contribution 7z def9$ 9 section #agj7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf7 if-- 7i7 su* contribution is paid 9 ca% dur+ cal5d> ye> #bjbj to an organization describ$ 9 section #agj7;b77#a77;,a7 ( su* ,code1 & 7ii7 ! taxpay] has elect$ ! application ( ?is section ) respect to su* contribution4 7,b7 ,exception ,su* t]m %all n include a contribution by a donor if ! contribution is-- 7i7 to an organization describ$ 9 section #eji7;a77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 or 7ii7 = ! e/abli%m5t ( a new1 or ma9t5ance ( an exi/+1 donor advis$ fund 7z def9$ 9 section #diff7;d77#b7 ( su* ,code74 7,c7 ,application ( election to p>tn]%ips & s corporations ,9 ! case ( a p>tn]%ip or ,s corporation1 ! election "u subp>agraph 7,a77ii7 %all be made sep>ately by ea* p>tn] or %>ehold]4 7b7 ,increase 9 limits on contributions ( food inv5tory ,9 ! case ( any *>itable contribution ( food dur+ #bjbj to :i* section #agj7;e77#c77;,c7 ( ! ,int]nal ,rev5ue ,code ( #aihf applies1 subclauses 7,i7 & 7,,ii7 ( clause 7ii7 !re( %all ea* be appli$ by sub/itut+ #be p]c5t = #ae p]c5t4 7c7 ,effective date ,?is section %all apply to taxable ye>s end+ aft] ,decemb] #ca1 #bjai4 ,,ii ,bus9ess provisions #bbja4 ,delay ( e/imat$ tax paym5ts = corporations 7a7 ,9 g5]al ,9 ! case ( a corporation1 ! due date = any requir$ in/allm5t "u section #ffee ( ! ,int]nal ,rev5ue ,code ( #aihf :i* 7b = ! application ( ?is section7 w\ld be due dur+ ! applicable p]iod %all n be due be=e ,octob] #ae1 #bjbj1 & all su* in/allm5ts %all be treat$ z "o in/allm5t due on su* date4 ,! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate7 %all prescribe su* regulations or o!r guidance z may be necess>y to c>ry out ! purposes ( ?is section4 7b7 ,applicable p]iod ,= purposes ( ?is section1 ! applicable p]iod is ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act & end+ be=e ,octob] #ae1 #bjbj4 #bbjb4 ,delay ( paym5t ( employ] payroll taxes 7a7 ,9 g5]al 7#a7 ,taxes ,not)/&+ any o!r provision ( law1 ! paym5t = applicable employm5t taxes = ! payroll tax def]ral p]iod %all n be due be=e ! applicable date4 7#b7 ,deposits ,not)/&+ section #fcjb ( ! ,int]nal ,rev5ue ,code ( #aihf1 an employ] %all be treat$ z hav+ timely made all deposits ( applicable employm5t taxes t are requir$ to be made 7)\t reg>d to ?is section7 = su* taxes dur+ ! payroll tax def]ral p]iod if all su* deposits are made n lat] ?an ! applicable date4 7#c7 ,exception ,?is subsection %all n apply to any taxpay] if su* taxpay] has _h indebt$ness =giv5 "u section #aaje ( ?is ,act ) respect to a loan "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a774 7b7 ,,seca 7#a7 ,9 g5]al ,not)/&+ any o!r provision ( law1 ! paym5t = #ej p]c5t ( ! taxes impos$ "u section #adja7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf = ! payroll tax def]ral p]iod %all n be due be=e ! applicable date4 7#b7 ,e/imat$ taxes ,= purposes ( apply+ section #ffed ( ! ,int]nal ,rev5ue ,code ( #aihf to any taxable ye> :i* includes any "p ( ! payroll tax def]ral p]iod1 #ej p]c5t ( ! ( ! taxes impos$ "u section #adja7;a7 ( su* ,code = ! payroll tax def]ral p]iod %all n be treat$ z taxes to :i* su* section #ffed applies4 7c7 ,def9itions ,= purposes ( ?is section-- 7#a7 ,applicable employm5t taxes ,! t]m applicable employm5t taxes means ! foll[+3 7,a7 ,! taxes impos$ "u section #caaa7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7,b7 ,s mu* ( ! taxes impos$ "u section #cbaa7;a7 ( su* ,code z are attributable to ! rate 9 effect "u section #caaa7;a7 ( su* ,code4 7,c7 ,s mu* ( ! taxes impos$ "u section #cbba7;a7 ( su* ,code z are attributable to ! rate 9 effect "u section #caaa7;a7 ( su* ,code4 7#b7 ,payroll tax def]ral p]iod ,! t]m payroll tax def]ral p]iod means ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act & end+ be=e ,janu>y #a1 #bjba4 7#c7 ,applicable date ,! t]m applicable date means-- 7,a7 ,decemb] #ca1 #bjba1 ) respect to #ej p]c5t ( ! am\nts to :i* subsection 7a7 or 7b71 z ! case may be1 apply1 & 7,b7 ,decemb] #ca1 #bjbb1 ) respect to ! rema9+ su* am\nts4 7d7 ,tru/ funds held h>mless ,!re are h]eby appropriat$ 7out ( any money 9 ! ,treasury n o!rwise appropriat$7 = ea* fiscal ye> to ! ,f$]al ,old-,age & ,survivors ,insurance ,tru/ ,fund & ! ,f$]al ,disability ,insurance ,tru/ ,fund e/abli%$ "u section #bja ( ! ,social ,security ,act 7#db ,u4,s4,c4 #dja7 & ! ,social ,security ,equival5t ,b5efit ,acc\nt e/abli%$ "u section #ae;,a7a7 ( ! ,railroad ,retirem5t ,act ( #aigd 7#de ,u4,s4,c4 #bcan-#a7;a77 an am\nt equal to ! r$uction 9 ! transf]s to su* fund = su* fiscal ye> by reason ( ?is section4 ,am\nts appropriat$ by ! prec$+ s5t5ce %all be transf]r$ f ! g5]al fund at su* times & 9 su* mann] z to replicate to ! ext5t possible ! transf]s :i* w\ld h occurr$ to su* ,tru/ ,fund _h su* am5dm5ts n be5 enact$4 7e7 ,regulatory au?ority ,! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate7 %all issue su* regulations or o!r guidance z necess>y to c>ry out ! purposes ( ?is section4 #bbjc4 ,modifications = net op]at+ losses 7a7 ,tempor>y repeal ( taxable income limitation 7#a7 ,9 g5]al ,! fir/ s5t5ce ( section #agb7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ an am\nt equal to & all t foll[s & ins]t+ an am\nt equal to-- 7#a7 9 ! case ( a taxable ye> beg9n+ be=e ,janu>y #a1 #bjba1 ! aggregate ( ! net op]at+ loss c>ryov]s to su* ye>1 plus ! net op]at+ loss c>rybacks to su* ye>1 & 7#b7 9 ! case ( a taxable ye> beg9n+ aft] ,decemb] #ca1 #bjbj1 ! sum (-- 7,a7 ! aggregate am\nt ( net op]at+ losses aris+ 9 taxable ye>s beg9n+ be=e ,janu>y #a1 #bjah1 c>ri$ to su* taxable ye>1 plus 7,b7 ! less] (-- 7i7 ! aggregate am\nt ( net op]at+ losses aris+ 9 taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag1 c>ri$ to su* taxable ye>1 or 7ii7 #hj p]c5t ( ! excess 7if any7 (-- 7,i7 taxable income comput$ )\t reg>d to ! d$uctions "u ?is section & sections #aii;,a & #bej1 ov] 7,,ii7 ! am\nt det]m9$ "u subp>agraph 7,a74 4 7#b7 ,con=m+ am5dm5ts 7,a7 ,section #agb7;b77#b77;,c7 ( su* ,code is am5d$ to read z foll[s3 7,c7 = taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjbj1 be r$uc$ by #bj p]c5t ( ! excess 7if any7 describ$ 9 subsection 7a77#b77;,b77ii7 = su* taxable ye>4 4 7,b7 ,section #agb7;d77#f77;,c7 ( su* ,code is am5d$ by /rik+ subsection 7a77#b7 & ins]t+ subsection 7a77#b77;,b77ii77,i74 7,c7 ,section #hfj;,e7a77#c77;,b7 ( su* ,code is am5d$ by /rik+ all t foll[s = purposes ( & ins]t+ subsection 7a77#b77;,b77ii77,i7 & ! second s5t5ce ( subsection 7b77#b7 ( section #agb44 7b7 ,modification ( rules relat+ to c>rybacks 7#a7 ,9 g5]al ,section #agb7;b77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,special rule = losses aris+ 9 #bjah1 #bjai1 & #bjbj 7i7 ,9 g5]al ,9 ! case ( any net op]at+ loss aris+ 9 a taxable ye> beg9n+ aft] ,decemb] #ca1 #bjag1 & be=e ,janu>y #a1 #bjbj-- 7,i7 su* loss %all be a net op]at+ loss c>ryback to ea* ( ! #e taxable ye>s prec$+ ! taxable ye> ( su* loss1 & 7,,ii7 subp>agraphs 7,b7 & 7,c77i7 %all n apply4 7ii7 ,special rules = ,,reit's ,= purposes ( ?is subp>agraph-- 7,i7 ,9 g5]al ,a net op]at+ loss = a ,,reit ye> %all n be a net op]at+ loss c>ryback to any taxable ye> prec$+ ! taxable ye> ( su* loss4 7,,ii7 ,special rule ,9 ! case ( any net op]at+ loss = a taxable ye> :i* is n a ,,reit ye>1 su* loss %all n be c>ri$ back to any taxable ye> :i* is a ,,reit ye>4 7,,iii7 ,,reit ye> ,= purposes ( ?is subp>agraph1 ! t]m ,,reit ye> means any taxable ye> = :i* ! provisions ( "p ,,ii ( sub*apt] ,m 7relat+ to real e/ate inve/m5t tru/s7 apply to ! taxpay]4 7iii7 ,election ,a taxpay] may elect n to h clause 7i7 apply = any taxable ye>4 ,su* election %all be made 9 su* mann] z prescrib$ by ! ,secret>y & %all be made-- 7,i7 9 ! case ( any election relat+ to a net op]at+ loss aris+ 9 a taxable ye> beg9n+ 9 #bjah or #bjai1 by ! due date 7includ+ ext5sions ( "t7 = fil+ ! taxpay]'s return = ! fir/ taxable ye> end+ aft] ! date ( ! enactm5t ( ?is subp>agraph1 & 7,,ii7 9 ! case ( any election relat+ to a net op]at+ loss aris+ 9 a taxable ye> beg9n+ 9 #bjbj1 by ! due date 7includ+ ext5sions ( "t7 = su* taxable ye>4 ,su* election1 once made = any taxable ye>1 %all be irrevocable = su* taxable ye>4 4 7#b7 ,con=m+ am5dm5t ,section #agj7;b77#a77;,a7 ( su* ,code1 z am5d$ by subsection 7c77#b71 is am5d$ by /rik+ & 7,c77i7 & ins]t+ 1 7,c77i71 & 7,d74 7c7 ,te*nical am5dm5t relat+ to section #accjb ( ,public ,law #aae-ig 7#a7 ,section #accjb7;e7 ( ,public ,law #aae-ig is am5d$ to read z foll[s3 7e7 ,effective dates 7#a7 ,net op]at+ loss limitation ,! am5dm5ts made by subsections 7a7 & 7d77#b7 %all apply to-- 7,a7 taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag1 & 7,b7 taxable ye>s beg9n+ on or be=e ,decemb] #ca1 #bjag1 to :i* net op]at+ losses aris+ 9 taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag1 are c>ri$4 7#b7 ,c>ry=w>ds & c>rybacks ,! am5dm5ts made by subsections 7b71 7c71 & 7d77#a7 %all apply to net op]at+ losses aris+ 9 taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag4 4 7#b7 ,section #agb7;b77#a77;,a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7,a7 ,g5]al rule ,a net op]at+ loss = any taxable ye>-- 7i7 %all be a net op]at+ loss c>ryback to ! ext5t provid$ 9 subp>agraphs 7,b7 & 7,c77i71 & 7ii7 except z provid$ 9 subp>agraph 7,c77ii71 %all be a net op]at+ loss c>ryov]-- 7,i7 9 ! case ( a net op]at+ loss aris+ 9 a taxable ye> beg9n+ be=e ,janu>y #a1 #bjah1 to ea* ( ! #bj taxable ye>s foll[+ ! taxable ye> ( ! loss1 & 7,,ii7 9 ! case ( a net op]at+ loss aris+ 9 a taxable ye> beg9n+ aft] ,decemb] #ca1 #bjag1 to ea* taxable ye> foll[+ ! taxable ye> ( ! loss4 4 7d7 ,effective dates 7#a7 ,net op]at+ loss limitation ,! am5dm5ts made by subsection 7a7 %all apply-- 7,a7 to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag1 & 7,b7 taxable ye>s beg9n+ on or be=e ,decemb] #ca1 #bjag1 to :i* net op]at+ losses aris+ 9 taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag1 are c>ri$4 7#b7 ,c>ry=w>ds & c>rybacks ,! am5dm5t made by subsection 7b7 %all apply to net op]at+ losses aris+ 9 taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag4 7#c7 ,te*nical am5dm5ts ,! am5dm5ts made by subsection 7c7 %all take effect z if includ$ 9 ! provisions ( ,public ,law #aae-ig to :i* !y relate4 7#d7 ,special rule ,9 ! case ( a net op]at+ loss aris+ 9 a taxable ye> beg9n+ be=e ,janu>y #a1 #bjah1 & end+ aft] ,decemb] #ca1 #bjag-- 7,a7 an application "u section #fdaa7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf ) respect to ! c>ryback ( su* net op]at+ loss %all n fail to be treat$ z timely fil$ if fil$ n lat] ?an ! date :i* is #abj days aft] ! date ( ! enactm5t ( ?is ,act1 & 7,b7 an election to-- 7i7 =go any c>ryback ( su* net op]at+ loss1 7ii7 r$uce any p]iod to :i* su* net op]at+ loss may be c>ri$ back1 or 7iii7 revoke any election made "u section #agb7;b7 to =go any c>ryback ( su* net op]at+ loss1 %all n fail to be treat$ z timely made if made n lat] ?an ! date :i* is #abj days aft] ! date ( ! enactm5t ( ?is ,act4 #bbjd4 ,modification ( limitation on losses = taxpay]s o!r ?an corporations 7a7 ,9 g5]al ,section #dfa7l77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ ,decemb] #ca1 #bjag & ins]t+ ,decemb] #ca1 #bjbj4 7b7 ,te*nical am5dm5ts relat+ to section #aajab ( ,public ,law #aae-ig 7#a7 ,section #dfa7l77#b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ a net op]at+ loss c>ryov] to ! foll[+ taxable ye> "u section #agb & ins]t+ a net op]at+ loss = ! taxable ye> = purposes ( det]m9+ any net op]at+ loss c>ryov] "u section #agb7;b7 = subsequ5t taxable ye>s4 7#b7 ,section #dfa7l77#c77;,a7 ( su* ,code is am5d$-- 7,a7 9 clause 7i71 by ins]t+ & )\t reg>d to any d$uction all[able "u section #agb or #aii;,a aft] "u p>agraph 7#a71 & 7,b7 by add+ at ! end ! foll[+ flu% s5t5ce3 ,su* excess %all be det]m9$ )\t reg>d to any d$uctions1 gross income1 or ga9s attributable to any trade or bus9ess ( p]=m+ s]vices z an employee4 4 7#c7 ,section #dfa7l77#c7 ( su* ,code is am5d$ by r$esignat+ subp>agraph 7,b7 z subp>agraph 7,c7 & by ins]t+ aft] subp>agraph 7,a7 ! foll[+ new subp>agraph3 7,b7 ,treatm5t ( capital ga9s & losses 7i7 ,losses ,d$uctions = losses f sales or ex*anges ( capital assets %all n be tak5 into acc\nt "u subp>agraph 7,a77i74 7ii7 ,ga9s ,! am\nt ( ga9s f sales or ex*anges ( capital assets tak5 into acc\nt "u subp>agraph 7,a77ii7 %all n exce$ ! less] (-- 7,i7 ! capital ga9 net income det]m9$ by tak+ into acc\nt only ga9s & losses attributable to a trade or bus9ess1 or 7,,ii7 ! capital ga9 net income4 4 7c7 ,effective dates 7#a7 ,9 g5]al ,! am5dm5ts made by subsection 7a7 %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag4 7#b7 ,te*nical am5dm5ts ,! am5dm5ts made by subsection 7b7 %all take effect z if includ$ 9 ! provisions ( ,public ,law #aae-ig to :i* !y relate4 #bbje4 ,modification ( cr$it = prior ye> m9imum tax liability ( corporations 7a7 ,9 g5]al ,section #ec7;e7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7e7 ,cr$it treat$ z refundable = c]ta9 taxpay]s ,9 ! case ( ! fir/ taxable ye> ( a corporation beg9n+ 9 #bjah-- 7#a7 subsection 7c7 %all n apply1 & 7#b7 = purposes ( ?is title 7o!r ?an ?is section71 ! cr$it all[$ by reason ( ?is subsection %all be treat$ z all[$ "u subp>t ,c 7& n ?is subp>t74 4 7b7 ,effective date ,! am5dm5t made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag4 #bbjf4 ,modification ( limitation on bus9ess int]e/ 7a7 ,9 g5]al ,section #afc7;j7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by r$esignat+ p>agraph 7#aj7 z p>agraph 7#aa7 & by ins]t+ aft] p>agraph 7#i7 ! foll[+ new p>agraph3 7#aj7 ,special rule = taxable ye>s beg9n+ 9 #bjai & #bjbj 7,a7 ,9 g5]al ,9 ! case ( any taxable ye> beg9n+ 9 #bjai or #bjbj1 p>agraph 7#a77;,b7 %all be appli$ by sub/itut+ #ej p]c5t = #cj p]c5t4 7,b7 ,election to use #bjai income = taxable ye>s beg9n+ 9 #bjbj 7i7 ,9 g5]al ,subject to clause 7ii71 9 ! case ( any taxable ye> beg9n+ 9 #bjbj1 ! taxpay] may elect to apply ?is subsection by sub/itut+ ! adju/$ taxable income ( ! taxpay] = ! la/ taxable ye> beg9n+ 9 #bjai = ! adju/$ taxable income = su* taxable ye>4 7ii7 ,special rule = %ort taxable ye>s ,no election may be made "u clause 7i7 ) respect to any taxable ye> beg9n+ 9 #bjbj if su* taxable ye> is a %ort taxable ye>4 4 7b7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjah4 #bbjg4 ,te*nical am5dm5ts reg>d+ qualifi$ improvem5t prop]ty 7a7 ,9 g5]al ,section #afh ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$-- 7#a7 9 subsection 7e7-- 7,a7 9 p>agraph 7#c77;,e71 by /rik+ & at ! end ( clause 7v71 by /rik+ ! p]iod at ! end ( clause 7vi7 & ins]t+ 1 &1 & by add+ at ! end ! foll[+ new clause3 7vii7 any qualifi$ improvem5t prop]ty4 1 & 7,b7 9 p>agraph 7#f77;,a71 by ins]t+ made by ! taxpay] aft] any improvem5t1 & 7#b7 9 ! table conta9$ 9 subsection 7g77#c77;,b7-- 7,a7 by /rik+ ! item relat+ to subp>agraph 7,d77v71 & 7,b7 by ins]t+ aft] ! item relat+ to subp>agraph 7,e77vi7 ! foll[+ new item3 7,e77vii7#bj 4 7b7 ,effective date ,! am5dm5ts made by ?is section %all take effect z if includ$ 9 section #acbjd ( ,public ,law #aae-ig4 #bbjh4 ,in/allm5ts n to prev5t cr$it or refund ( ov]paym5ts or increase e/imat$ taxes 7a7 ,9 g5]al ,section #ife7;h7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,in/allm5ts n to prev5t cr$it or refund ( ov]paym5ts or increase e/imat$ taxes ,if an election is made "u p>agraph 7#a7 to pay ! net tax liability "u ?is section 9 in/allm5ts-- 7,a7 no in/allm5t ( su* net tax liability %all-- 7i7 9 ! case ( a reque/ = cr$it or refund1 be tak5 into acc\nt z a liability = purposes ( det]m9+ :e!r an ov]paym5t exi/s = purposes ( section #fdjb be=e ! date on :i* su* in/allm5t is due1 or 7ii7 = purposes ( sections #fdbe1 #ffed1 & #ffee1 be treat$ z a tax impos$ by section #a1 section #aa1 or sub*apt] ,l ( *apt] #a1 & 7,b7 ! fir/ s5t5ce ( section #fdjc %all n apply ) respect to any su* in/allm5t4 4 7b7 ,limitation on paym5t ( int]e/ ,9 ! case ( ! portion ( any ov]paym5t :i* exi/s by reason ( ! application ( section #ife7;h77#g7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7z add$ by ?is section7-- 7#a7 if cr$it or refund ( su* portion is made on or be=e ! date :i* is #de days aft] ! date ( ! enactm5t ( ?is ,act1 no int]e/ %all be all[$ or paid "u section #ffaa ( su* ,code ) respect to su* portion2 & 7#b7 if cr$it or refund ( su* portion is made aft] ! date :i* is #de days aft] ! date ( ! enactm5t ( ?is ,act1 no int]e/ %all be all[$ or paid "u section #ffaa ( su* ,code ) respect to su* portion = any p]iod be=e ! date ( ! enactm5t ( ?is ,act4 7c7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect z if includ$ 9 section #adajc ( ,public ,law #aae-ig4 #bbji4 ,re/oration ( limitation on d[nw>d attribution ( /ock own]%ip 9 apply+ con/ructive own]%ip rules 7a7 ,9 g5]al ,section #ieh7;b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$-- 7#a7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ,subp>agraphs 7,a71 7,b71 & 7,c7 ( section #cah7;a77#c7 %all n be appli$ s z to consid] a ,unit$ ,/ates p]son z own+ /ock :i* is own$ by a p]son :o is n a ,unit$ ,/ates p]son4 1 & 7#b7 by /rik+ ,p>agraph 7#a7 9 ! la/ s5t5ce & ins]t+ ,p>agraphs 7#a7 & 7#d74 7b7 ,=eign controll$ ,unit$ ,/ates %>ehold]s ,subp>t ,f ( "p ,,iii ( sub*apt] ,n ( *apt] #a ( su* ,code is am5d$ by ins]t+ aft] section #iea;,a ! foll[+ new section3 #iea;,b4 ,am\nts includ$ 9 gross income ( =eign controll$ ,unit$ ,/ates %>ehold]s 7a7 ,9 g5]al ,9 ! case ( any =eign controll$ ,unit$ ,/ates %>ehold] ( a =eign controll$ =eign corporation-- 7#a7 ?is subp>t 7o!r ?an sections #iea;,a1 #iea7;b71 #ieg1 & #ife7 %all be appli$ ) respect to su* %>ehold] 7sep>ately f1 & 9 addition to1 ! application ( ?is subp>t )\t reg>d to ?is section7-- 7,a7 by sub/itut+ =eign controll$ ,unit$ ,/ates %>ehold] = ,unit$ ,/ates %>ehold] ea* place x appe>s !re91 & 7,b7 by sub/itut+ =eign controll$ =eign corporation = controll$ =eign corporation ea* place x appe>s !re91 & 7#b7 sections #iea;,a & #ife %all be appli$ ) respect to su* %>ehold] -- 7,a7 by treat+ ea* ref]5ce to ,unit$ ,/ates %>ehold] 9 su* sections z includ+ a ref]5ce to su* %>ehold]1 & 7,b7 by treat+ ea* ref]5ce to controll$ =eign corporation 9 su* sections z includ+ a ref]5ce to su* =eign controll$ =eign corporation4 7b7 ,=eign controll$ ,unit$ ,/ates %>ehold] ,= purposes ( ?is section1 ! t]m =eign controll$ ,unit$ ,/ates %>ehold] means1 ) respect to any =eign corporation1 any ,unit$ ,/ates p]son :i* w\ld be a ,unit$ ,/ates %>ehold] ) respect to su* =eign corporation if-- 7#a7 section #iea7;b7 7 appli$ by sub/itut+ m ?an #ej p]c5t = #aj p]c5t or m1 & 7#b7 section #ieh7;b7 7 appli$ )\t reg>d to p>agraph 7#d7 !re(4 7c7 ,=eign controll$ =eign corporation ,= purposes ( ?is section1 ! t]m =eign controll$ =eign corporation means a =eign corporation1 o!r ?an a controll$ =eign corporation1 :i* w\ld be a controll$ =eign corporation if section #ieg7;a7 7 appli$-- 7#a7 by sub/itut+ =eign controll$ ,unit$ ,/ates %>ehold]s = ,unit$ ,/ates %>ehold]s1 & 7#b7 by sub/itut+ section #ieh7;b7 7o!r ?an p>agraph 7#d7 !re(7 = section #ieh7;b74 7d7 ,regulations ,! ,secret>y %all prescribe su* regulations or o!r guidance z may be necess>y or appropriate to c>ry out ! purposes ( ?is section1 includ+ regulations or o!r guidance-- 7#a7 to treat a =eign controll$ ,unit$ ,/ates %>ehold] or a =eign controll$ =eign corporation z a ,unit$ ,/ates %>ehold] or z a controll$ =eign corporation1 respectively1 = purposes ( provisions ( ?is title o!r ?an ?is subp>t1 & 7#b7 to prev5t ! avoidance ( ! purposes ( ?is section4 4 7c7 ,cl]ical am5dm5t ,! table ( sections = subp>t ,f ( "p ,,iii ( sub*apt] ,n ( *apt] #a ( su* ,code is am5d$ by ins]t+ aft] ! item relat+ to section #iea;,a ! foll[+ new item3 ,sec4 #iea;,b4 ,am\nts includ$ 9 gross income ( =eign controll$ ,unit$ ,/ates %>ehold]s4 4 7d7 ,effective date ,! am5dm5ts made by ?is section %all apply to-- 7#a7 ! la/ taxable ye> ( =eign corporations beg9n+ be=e ,janu>y #a1 #bjah1 & ea* subsequ5t taxable ye> ( su* =eign corporations1 & 7#b7 taxable ye>s ( ,unit$ ,/ates p]sons 9 :i* or ) :i* su* taxable ye>s ( =eign corporations end4 ,c ,assi/ance to sev]ely di/ress$ sectors ( ! ,unit$ ,/ates economy ,i ,economic ,/abilization #caja4 ,%ort title ,?is title may be cit$ z ! ,coronavirus ,economic ,/abilization ,act ( #bjbj4 #cajb4 ,em]g5cy relief ?r\gh loans & loan gu>antees 7a7 ,9 g5]al ,not)/&+ any o!r provision ( law1 to provide liquidity to eligible bus9esses relat$ to losses incurr$ z a direct result ( coronavirus1 ! ,secret>y is au?oriz$ to make or gu>antee loans to eligible bus9esses t d n1 9 ! aggregate1 exce$ #bjh1jjj1jjj1jjj & provide ! subsidy am\nts necess>y = su* loans & loan gu>antees 9 accordance ) ! provisions ( ! ,f$]al ,cr$it ,re=m ,act ( #aiij 7#b ,u4,s4,c4 #ffa et seq474 7b7 ,di/ribution ( loans & loan gu>antees ,loans & loan gu>antees made pursuant to subsection 7a7 %all be made available to eligible bus9ess z foll[s3 7#a7 ,n m ?an #ej1jjj1jjj1jjj %all be available = pass5g] air c>ri]s4 7#b7 ,n m ?an #h1jjj1jjj1jjj %all be available = c>go air c>ri]s4 7#c7 ,n m ?an #aej1jjj1jjj1jjj %all be available = o!r eligible bus9esses4 7c7 ,loans & loan gu>antees 7#a7 ,9 g5]al ,! ,secret>y %all review & decide on applications = loans & loan gu>antees "u ?is section & may ent] into agreem5ts to make or gu>antee loans to "o or m obligors if ! ,secret>y det]m9es1 9 ! ,secret>y's discretion1 t-- 7,a7 ! obligor is a eligible bus9ess = :i* cr$it is n reasonably available at ! "t ( ! transaction2 7,b7 ! int5d$ obligation by ! obligor is prud5tly incurr$2 & 7,c7 ! loan is suffici5tly secur$4 7#b7 ,t]ms & limitations 7,a7 ,=ms2 t]ms & conditions ,a loan or loan gu>antee %all be issu$ "u ?is section 9 su* =m & on su* t]ms & conditions & conta9 su* cov5ants1 repres5tatives1 w>ranties1 & requirem5ts 7includ+ requirem5ts = audits7 z ! ,secret>y det]m9es appropriate4 ,any loans made by ! ,secret>y "u ?is section %all be at a rate n less ?an a rate det]m9$ by ! ,secret>y tak+ into consid]ation ! curr5t av]age yield on out/&+ m>ketable obligations ( ! ,unit$ ,/ates ( comp>able maturity4 7,b7 ,proc$ures ,z soon z practicable1 b 9 no case lat] ?an #aj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all publi% proc$ures = application & m9imum requirem5ts1 :i* may be supplem5t$ by ! ,secret>y 9 ! ,secret>y's discretion1 = ! mak+ ( loans & loan gu>antees "u ?is section4 7d7 ,f9ancial protection ( gov]nm5t 7#a7 ,9 g5]al ,to ! ext5t feasible & practicable1 ! ,secret>y %all ensure t ! ,f$]al ,gov]nm5t is comp5sat$ = ! risk assum$ 9 mak+ loans & loan gu>antees "u ?is section4 7#b7 ,gov]nm5t p>ticipation 9 ga9s ,if an eligible bus9ess receives a loan or loan gu>antee f ! ,f$]al ,gov]nm5t "u ?is section1 ! ,secret>y is au?oriz$ to ent] into contracts "u :i* ! ,f$]al ,gov]nm5t1 cont+5t on ! f9ancial success ( ! eligible bus9ess1 w\ld p>ticipate 9 ! ga9s ( ! eligible bus9ess or its security hold]s ?r\gh ! use ( su* in/rum5ts z w>rants1 /ock options1 common or pref]r$ /ock1 or o!r appropriate equity in/rum5ts4 7e7 ,deposit ( proce$s ,am\nts collect$ by ! ,secret>y "u ?is section1 includ+ ! proce$s ( inve/m5ts1 e>n+s1 & int]e/ collect$1 %all be deposit$ z foll[s3 7#a7 ,am\nts collect$ f eligible bus9esses t receiv$ loans or loan gu>antees "u p>agraph 7#a7 or 7#b7 ( subsection 7b7 %all be deposit$ 9 ! ,airport & ,airway ,tru/ ,fund "u section #iejb ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#b7 ,am\nts collect$ f eligible bus9esses t receiv$ loans or loan gu>antees "u p>agraph 7#c7 ( subsection 7b7 %all be deposit$ 9 ! ,treasury z miscellane\s receipts4 7f7 ,adm9i/rative exp5ses ,not)/&+ any o!r provision ( law1 ! ,secret>y may use #ajj1jjj1jjj ( ! funds made available "u ?is section to pay co/s & adm9i/rative exp5ses associat$ ) ! provision ( direct loans or gu>antees au?oriz$ "u ?is section4 7g7 ,con=m+ am5dm5t ,section #aj7;a7 ( ! ,gold ,res]ve ,act ( #aicd 7#ca ,u4,s4,c4 #ecjb7;a77 is am5d$-- 7#a7 by /rik+ & be=e section #c2 & 7#b7 by ins]t+ & ! ,coronavirus ,economic ,/abilization ,act ( #bjbj1 be=e & = inve/+4 #cajc4 ,limitation on c]ta9 employee comp5sation 7a7 ,9 g5]al ,! ,secret>y may only ent] into a loan or loan agreem5t "u section #cajb7;a7 ) an eligible bus9ess aft] ! eligible bus9ess ent]s into a legally b9d+ agreem5t ) ! ,secret>y t1 dur+ ! #b-ye> p]iod beg9n+ ,m>* #a1 #bjbj1 & end+ ,m>* #a1 #bjbb1 no (fic] or employee ( ! eligible bus9ess ^: total comp5sation exce$$ #dbe1jjj 9 cal5d> ye> #bjai 7o!r ?an an employee ^: comp5sation is det]m9$ ?r\gh an exi/+ collective b>ga9+ agreem5t ent]$ into prior to ,m>* #a1 #bjbj7-- 7#a7 w receive f ! eligible bus9ess total comp5sation :i* exce$s1 dur+ any #ab consecutive mon?s ( su* #b-ye> p]iod1 ! total comp5sation receiv$ by ! (fic] or employee f ! eligible bus9ess 9 cal5d> ye> #bjai2 & 7#b7 w receive f ! eligible bus9ess sev]ance pay or o!r b5efits ^u t]m9ation ( employm5t ) ! eligible bus9ess :i* exce$s twice ! maximum total comp5sation receiv$ by ! (fic] or employee f ! eligible bus9ess 9 cal5d> ye> #bjai4 7b7 ,total comp5sation def9$ ,9 ?is section1 ! t]m total comp5sation includes sal>y1 bonuses1 aw>ds ( /ock1 & o!r f9ancial b5efits provid$ by an eligible bus9ess to an (fic] or employee ( ! eligible bus9ess4 #cajd4 ,cont9uation ( c]ta9 air s]vice ,! ,secret>y ( ,transportation is au?oriz$ to require1 to ! ext5t reasonable & practicable1 an air c>ri] receiv+ loans & loan gu>antees "u section #cajb to ma9ta9 s*$ul$ air transportation s]vice z ! ,secret>y ( ,transportation deems necess>y to ensure s]vices to any po9t s]v$ by t c>ri] be=e ,m>* #a1 #bjbj4 ,:5 consid]+ :e!r to ex]cise ! au?ority grant$ by ?is section1 ! ,secret>y ( ,transportation %all take into consid]ation ! air transportation ne$s ( small & remote communities4 #caje4 ,reports 7a7 ,secret>y ,! ,secret>y %all1 ) respect to ! loans & loan gu>antees provid$ "u section #cajb1 make su* reports z are requir$ "u section #ecjb or title #ca1 ,unit$ ,/ates ,code4 7b7 ,gov]nm5t acc\ntability (fice 7#a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on ! loans & loan gu>antees provid$ "u section #cajb4 7#b7 ,report ,n lat] ?an #i mon?s aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft] ?r\gh ! ye> succe$+ ! la/ ye> = :i* loans or loan gu>antees provid$ "u section #cajb are 9 effect1 ! ,comptroll] ,g5]al %all submit to ! ,committee on ,transportation & ,infra/ructure1 ! ,committee on ,appropriations1 & ! ,committee on ! ,budget ( ! ,h\se ( ,repres5tatives & ! ,committee on ,comm]ce1 ,sci5ce1 & ,transportation1 ! ,committee on ,appropriations1 & ! ,committee on ! ,budget ( ! ,s5ate a report on ! loans & loan gu>antees provid$ "u section #cajb4 #cajf4 ,coord9ation ) ,secret>y ( ,transportation ,9 implem5t+ ?is title ) respect to air c>ri]s1 ! ,secret>y %all coord9ate ) ! ,secret>y ( ,transportation4 #cajg4 ,def9itions ,9 ?is title3 7#a7 ,air c>ri] ,! t]m air c>ri] has ! mean+ su* t]m has "u section #djajb ( title #di1 ,unit$ ,/ates ,code4 7#b7 ,coronavirus ,! t]m coronavirus means ,,s>s-,co,v-#b or ano!r coronavirus ) p&emic pot5tial4 7#c7 ,cov]$ loss ,! t]m cov]$ loss includes losses1 direct or increm5tal1 incurr$ z a result ( coronavirus1 z det]m9$ by ! ,secret>y4 7#d7 ,eligible bus9ess ,! t]m eligible bus9ess means-- 7,a7 an air c>ri]2 or 7,b7 a ,unit$ ,/ates bus9ess t has incurr$ cov]$ losses su* t ! cont9u$ op]ations ( ! bus9ess are jeop>diz$1 z det]m9$ by ! ,secret>y1 & t has n o!rwise appli$ = or receiv$ economic relief 9 ! =m ( loans or loan gu>antees provid$ "u any o!r provision ( ?is ,act4 7#e7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ! ,treasury1 or ! designee ( ! ,secret>y ( ! ,treasury4 #cajh4 ,rule ( con/ruction ,no?+ 9 ?is title %all be con/ru$ to all[ ! ,secret>y to provide relief to eligible bus9esses except 9 ! =m ( secur$ loans & loan gu>antees z provid$ 9 ?is title & "u t]ms & conditions t are 9 ! int]e/ ( ! ,f$]al ,gov]nm5t4 ,,ii ,aviation excise taxes #cbja4 ,susp5sion ( c]ta9 aviation excise taxes 7a7 ,transportation by air ,9 ! case ( any paym5t = transportation by air 7includ+ any am\nt treat$ z paid = transportation by air by reason ( section #dbfa7;e77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf7 dur+ ! excise tax holiday p]iod1 no tax %all be impos$ "u section #dbfa or #dbga ( su* ,code4 ,! prec$+ s5t5ce %all n apply to am\nts paid = transportation on or be=e ! date ( ! enactm5t ( ?is ,act4 7b7 ,use ( k]os5e 9 comm]cial aviation ,9 ! case ( k]os5e us$ 9 comm]cial aviation 7z def9$ 9 section #djhc ( ! ,int]nal ,rev5ue ,code ( #aihf7 dur+ ! excise tax holiday p]iod-- 7#a7 no tax %all be impos$ on su* k]os5e "u-- 7,a7 section #djda7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 or 7,b7 section #djha ( su* ,code 7o!r ?an at ! rate provid$ 9 subsection 7a77#b77;,b7 !re(71 & 7#b7 section #fdbg7l7 ( su* ,code %all be appli$-- 7,a7 by treat+ su* use z a nontaxable use1 & 7,b7 )\t reg>d to p>agraph 7#d77;,a77ii7 !re(4 7c7 ,excise tax holiday p]iod ,= purposes ( section1 ! t]m excise tax holiday p]iod means ! p]iod beg9n+ aft] ! date ( ! enactm5t ( ?is section & end+ be=e ,janu>y #a1 #bjba4 ,d ,heal? c>e response ,i ,heal? provisions ,a ,address+ supply %ortages ,i ,mov+ ! /rategic national /ockpile to ,,aspr #daja4 ,mov+ ! /rategic national /ockpile to ,,aspr ,section #cai;,f-#b7;a77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7a77#a77 is am5d$ by /rik+ ,! ,secret>y1 9 collaboration ) ! ,assi/ant ,secret>y = ,prep>$ness & ,response & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & 9 coord9ation ) ! ,secret>y ( ,homel& ,security 7ref]r$ to 9 ?is section z ! ,homel& ,security ,secret>y71 %all ma9ta9 & ins]t+ ,! ,secret>y1 9 collaboration ) ! ,assi/ant ,secret>y = ,prep>$ness & ,response1 & 9 coord9ation ) ! ,secret>y ( ,homel& ,security 7ref]r$ to 9 ?is section z ! ,homel& ,security ,secret>y71 %all ma9ta94 ,,ii ,m$ical product supplies #daaa4 ,national ,academies report on ,am]ica's m$ical product supply *a9 security 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all ent] into an agreem5t ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is section z ! ,national ,academies7 to exam9e1 &1 9 a mann] t does n compromise national security1 report on1 ! security ( ! ,unit$ ,/ates m$ical product supply *a94 7b7 ,purposes ,! report develop$ "u ?is section %all-- 7#a7 assess & evaluate ! dep5d5ce ( ! ,unit$ ,/ates1 includ+ ! private comm]cial sector1 ,/ates1 & ! ,f$]al ,gov]nm5t1 on critical drugs & devices t are s\rc$ or manufactur$ outside ( ! ,unit$ ,/ates1 :i* may include an analysis (-- 7,a7 ! supply *a9 ( critical drugs & devices ( greate/ priority to provid+ heal? c>e2 7,b7 any pot5tial public heal? security or national security risks associat$ ) reliance on critical drugs & devices s\rc$ or manufactur$ outside ( ! ,unit$ ,/ates1 :i* may include responses to previ\s or exi/+ %ortages or public heal? em]g5cies1 su* z infecti\s disease outbreaks1 biot]ror attacks1 & o!r public heal? ?reats2 7,c7 any exi/+ supply *a9 in=mation gaps1 z applicable2 & 7,d7 pot5tial economic impact ( increas$ dome/ic manufactur+2 & 7#b7 provide recomm5dations1 :i* may include a plan to improve ! resili5cy ( ! supply *a9 = critical drugs & devices z describ$ 9 p>agraph 7#a71 & to address any supply vuln]abilities or pot5tial disruptions ( su* products t w\ld significantly affect or pose a ?reat to public heal? security or national security1 z appropriate1 :i* may include /rategies to-- 7,a7 promote supply *a9 r$undancy & cont+5cy plann+2 7,b7 enc\rage dome/ic manufactur+1 includ+ consid]ation ( economic impacts1 if any2 7,c7 improve supply *a9 in=mation gaps2 7,d7 improve plann+ consid]ations = m$ical product supply *a9 capacity dur+ public heal? em]g5cies2 & 7,e7 promote ! accessibility ( su* drugs & devices4 7c7 ,input ,9 conduct+ ! /udy & develop+ ! report "u subsection 7b71 ! ,national ,academies %all-- 7#a7 consid] input f ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,homel& ,security1 ! ,dep>tm5t ( ,def5se1 ! ,dep>tm5t ( ,comm]ce1 ! ,dep>tm5t ( ,/ate1 ! ,dep>tm5t ( ,vet]ans ,affairs1 ! ,dep>tm5t ( ,ju/ice1 & any o!r ,f$]al ag5cies z appropriate2 & 7#b7 consult ) relevant /akehold]s1 :i* may include conduct+ public meet+s & o!r =ms ( engagem5t1 z appropriate1 ) heal? c>e provid]s1 m$ical pr(essional societies1 ,/ate-bas$ societies1 public heal? exp]ts1 ,/ate & local public heal? dep>tm5ts1 ,/ate m$ical bo>ds1 pati5t gr\ps1 m$ical product manufactur]s1 heal? c>e di/ributors1 :olesal]s & gr\p pur*as+ organizations1 ph>maci/s1 & o!r entities ) exp]i5ce 9 heal? c>e & public heal?1 z appropriate4 7d7 ,def9itions ,9 ?is section1 ! t]ms device & drug h ! mean+s giv5 su* t]ms 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba74 #daab4 ,requir+ ! /rategic national /ockpile to include c]ta9 types ( m$ical supplies ,section #cai;,f-#b7;a77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7a77#a77 is am5d$ by ins]t+ 7includ+ p]sonal protective equipm5t1 ancill>y m$ical supplies1 & o!r applicable supplies requir$ = ! adm9i/ration ( drugs1 vacc9es & o!r biological products1 m$ical devices1 & diagno/ic te/s 9 ! /ockpile7 aft] o!r supplies4 #daac4 ,treatm5t ( respiratory protective devices z cov]$ c\nt]measures ,section #cai;,f-#c7;i77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;d7i77#a77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by /rik+ or at ! end2 7#b7 9 subp>agraph 7,c71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7#c7 by add+ at ! end ! foll[+3 7,d7 a respiratory protective device t is approv$ by ! ,national ,in/itute = ,occupational ,safety & ,heal? "u "p #hd ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulations71 & t ! ,secret>y det]m9es to be a priority = use dur+ a public heal? em]g5cy decl>$ pursuant to section #cai4 4 ,,iii ,mitigat+ em]g5cy drug %ortages #daba4 ,prioritize reviews ( drug applications2 inc5tives ,section #ejf;,c7g7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef;c7g77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ ! ,secret>y may & ins]t+ ! ,secret>y %all1 z appropriate2 7#b7 9 p>agraph 7#a71 by ins]t+ prioritize & be=e exp$ite ! review2 & 7#c7 9 p>agraph 7#b71 by ins]t+ prioritize & be=e exp$ite an inspection4 #dabb4 ,additional manufactur] report+ requirem5ts 9 response to drug %ortages 7a7 ,expansion ,to include active ph>maceutical +r$i5ts ,subsection 7a7 ( section #ejf;,c ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef;c7 is am5d$-- 7#a7 9 p>agraph 7#a77;,c71 by ins]t+ or any su* drug t is critical to ! public heal? dur+ a public heal? em]g5cy det]m9$ "u section #cai ( ! ,public ,heal? ,s]vice ,act aft] dur+ surg]y2 & 7#b7 9 ! flu% text at ! end-- 7,a7 by ins]t+ 1 or a discont9uance or an int]ruption 9 ! manufacture ( ! active ph>maceutical +r$i5ts ( su* drug1 be=e t is likely2 & 7,b7 by add+ at ! end ! foll[+3 ,notification "u ?is subsection %all include disclosure ( reasons = ! discont9uation or int]ruption1 z applicable2 if an active ph>maceutical +r$i5t is a reason =1 or risk factor 91 su* discont9uation or int]ruption1 ! s\rce ( ! active ph>maceutical +r$i5t & any alt]native s\rces = ! active ph>maceutical +r$i5t kn[n by ! manufactur]2 :e!r any associat$ m$ical devices us$ = prep>ation or adm9i/ration includ$ 9 ! f9i%$ dosage =m is a reason =1 or a risk factor 91 su* discont9uation or int]ruption2 ! expect$ duration ( ! int]ruption2 & su* o!r in=mation z ! ,secret>y may require44 7b7 ,,foia exemption ,section #ejf;,c7d7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef;c7d77 is am5d$ by add+ at ! end ! foll[+3 ,in=mation provid$ by a manufactur] to ! ,secret>y "u ?is section %all n be subject to disclosure "u section #eeb ( title #e1 ,unit$ ,/ates ,code44 7c7 ,manufactur+ cont+5cy plans ,section #ejf;,c ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef;c7 is am5d$ by add+ at ! end ! foll[+3 7j7 ,manufactur] cont+5cy plans ,ea* manufactur] ( a drug describ$ 9 subsection 7a7 or ( any active ph>maceutical +r$i5t or any associat$ m$ical devices us$ = prep>ation or adm9i/ration includ$ 9 ! f9i%$ dosage =m ( su* a drug1 %all ma9ta9 cont+5cy & r$undancy plans1 z applicable1 = ea* e/abli%m5t 9 :i* su* drugs or active ph>maceutical +r$i5ts ( su* drugs are manufactur$ to help prev5t or mitigate int]ruptions 9 ! supply ( ! drug or +r$i5t4 4 7d7 ,annual notification ,section #ejf;,e ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef;e7 is am5d$ by add+ at ! end ! foll[+3 7d7 ,int]ag5cy notification ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is subsection1 & e #ij days !reaft]1 ! ,secret>y %all transmit a report reg>d+ ! drugs ( ! curr5t drug %ortage li/ "u ?is section to ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 4 7e7 ,report+ aft] inspections ,section #gjd7;b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cgd7;b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#a7 & 7#b7 & subp>agraphs 7,a7 & 7,b72 7#b7 by /rik+ 7b7 ,^u completion & ins]t+ 7b77#a7 ,^u completion2 & 7#c7 by add+ at ! end ! foll[+3 7#b7 ,9 c>ry+ out ?is subsection ) respect to any e/abli%m5t manufactur+ a drug approv$ "u subsection 7c7 or 7j7 ( section #eje = :i* a notification has be5 submitt$ 9 accordance ) section #ejf;,c is1 or has be5 9 ! la/ #e ye>s1 li/$ on ! drug %ortage li/ "u section #ejf;,e1 or t is describ$ 9 section #eje7;j77#aa77;,a71 a copy ( ! report %all be s5t promptly to ! appropriate (fices ( ! ,food & ,drug ,adm9i/ration ) exp]tise reg>d+ drug %ortages4 ,su* (fices %all ensure timely & effective coord9ation reg>d+ ! reviews ( su* report & ov]see+ ! alignm5t ( any fe$back reg>d+ su* report1 or corrective or prev5tative actions1 aft] consid]ation ( ! sy/ematic b5efits & risks to public heal?1 pati5t safety1 ! drug supply & drug supply *a91 & timely pati5t access to su* drugs4 4 7f7 ,effective date ,! am5dm5ts made by ?is section & section #daba %all take effect on ! date t is #ahj days aft] ! date ( enactm5t ( ?is ,act4 #dabc4 ,,gao report on intra-ag5cy coord9ation 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report exam9+ ! ,food & ,drug ,adm9i/ration's intra-ag5cy coord9ation1 communication1 & decision mak+ 9 assess+ drug %ortage risks1 & tak+ corrective action4 7b7 ,cont5t ,! report %all include-- 7#a7 consid]ation (-- 7,a7 risks associat$ ) violations ( curr5t good manufactur+ practices2 7,b7 corrective & prev5tative actions ) respect to su* violations reque/$ by ! ,food & ,drug ,adm9i/ration2 7,c7 ! effects ( pot5tial manufactur+ sl[-d[ns or %ut-d[ns on pot5tial drug %ortages1 includ+ ! discont9uance ( drug manufactur+ & m>ket+2 7,d7 ef=ts to prioritize review ( applications = drugs t ! ,secret>y has det]m9$ "u section #ejf;,e ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef;e7 to be 9 %ortage2 & 7,e7 ef=ts to prioritize inspections ( facilities necess>y = approval ( applications = drugs describ$ 9 subp>agraph 7,d72 7#b7 a description ( h[ ! ,food & ,drug ,adm9i/ration proactively coord9ates /rategies to mitigate ! consequ5ces ( ! violations1 sl[-d[ns1 & %ut-d[ns describ$ 9 p>agraph 7#a7 across ag5cies2 & 7#c7 an evaluation ( *anges 9 relevant ,food & ,drug ,adm9i/ration practices t su* ag5cy has propos$ b n yet implem5t$4 #dabd4 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,commission] ( ,food & ,drugs & ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all develop & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report conta9+ recomm5dations-- 7#a7 = m>ket-bas$ inc5tives or o!r appropriate me*anisms1 suffici5t to enc\rage ! manufacture ( drugs 9 %ortage or at risk ( %ortage2 & 7#b7 on h[ ! ,em]g+ ,te*nology ,program ( ! ,food & ,drug ,adm9i/ration c help facilitate creat+ or upgrad+ exi/+ te*nologies to address drug %ortage *all5ges & promote mod]n1 reliable manufactur+ /rategies4 #dabe4 ,safe h>bor provision 7a7 ,9 g5]al ,! ,f$]al ,food1 ,drug1 & ,cosmetic ,act is am5d$ by ins]t+ aft] section #ejb 7#ba ,u4,s4,c4 #ceb7 ! foll[+3 #ejb;,a4 ,safe h>bor provision 7a7 ,9 g5]al ,! communication ( in=mation1 consi/5t ) subsection 7b71 ) respect to ! use ( a drug or device au?oriz$ "u section #efd provid$ or di/ribut$ to a heal? c>e provid]1 %all n-- 7#a7 be a basis = treat+ su* drug or device z misbr&$ "u subsection 7a7 or 7f7 ( section #ejb1 or 9 violation ( section #eje1 #eae1 or #efd ( ?is ,act or subsection 7a7 or 7k7 ( section #cea7;a77#a7 ( ! ,public ,heal? ,s]vice ,act1 z applicable2 or 7#b7 be treat$ z evid5ce t su* drug or device is misbr&$ "u subsection 7a7 or 7f7 ( section #ejb1 or 9 violation ( section #eje1 #eac1 #eae1 or #efd ( ?is ,act or subsection 7a7 or 7k7 ( section #cea ( ! ,public ,heal? ,s]vice ,act1 z applicable4 7b7 ,provision ( in=mation 7#a7 ,9 g5]al ,any in=mation relat+ to a use ( a drug or device au?oriz$ "u section #efd1 or = :i* a submission "u section #efd has be5 submitt$1 t-- 7,a7 is nei!r false nor mislead+1 :5 measur$ objectively aga9/ ! in=mation available at ! "t ! /atem5t is made2 7,b7 is accompani$1 z requir$1 by an appropriate disclaim]1 z describ$ 9 p>agraph 7#b72 & 7,c7 is bas$ on compet5t & reliable sci5tific evid5ce1 z describ$ 9 subsection 7c74 7#b7 ,disclaim]s ,= purposes ( p>agraph 7#a71 su* in=mation %all be accompani$1 z necess>y1 by an appropriate disclaim]1 includ+-- 7,a7 a /atem5t id5tify+ any diff]5ces betwe5 ! in=mation & any label+ ( ! drug or device2 7,b7 a /atem5t id5tify+ contradictory evid5ce2 & 7,c7 su* o!r in=mation z may be requir$ by regulation4 7c7 ,compet5t & reliable sci5tific evid5ce ,9 ?is section1 ! t]m compet5t & reliable sci5tific evid5ce means evid5ce e/abli%$ ?r\gh sci5tific me?ods t are widely accept$ by exp]ts 9 ! relevant field & foll[$ pursuant to a cle> & well-describ$ protocol1 z sci5tifically appropriate4 ,evid5ce may con/itute compet5t & reliable sci5tific evid5ce )9 ! mean+ ( ?is section-- 7#a7 reg>dless ( :e!r x is support$ by #b adequate & well-controll$ cl9ical /udies2 & 7#b7 may include-- 7,a7 in=mation d]iv$ f cl9ical trials1 obs]vational /udies1 cl9ical /udies or b5* te/s t describe p]=mance1 database reviews1 regi/ries1 pati5t utilization projections1 & model+ te*niques1 & ! data1 inputs1 & compon5ts ( su* in=mation2 7,b7 in=mation ab\t ! effects ( a drug or device 9 subgr\ps def9$ by demographic or o!r v>iables1 includ+ gr\ps def9$ by race1 sex1 risk factors1 or o!r v>iables1 su* z g5omic features or disease sev]ity2 7,c7 in=mation relat$ to ! em]g5cy use au?orization1 z applicable2 & 7,d7 in=mation relat+ to ! safety1 effectiv5ess1 or b5efit ( a use or treatm5t t is au?oriz$ "u section #efd = a drug or device1 includ+ in=mation reg>d+-- 7i7 heal? outcomes1 pati5t or c>egiv] exp]i5ce1 or o!r quality metrics2 & 7ii7 ! comp>ative effectiv5ess ( a drug or device relative to o!rs products1 o!r heal? c>e int]v5tions1 program & quality improvem5t int]v5tions1 or no int]v5tion4 7d7 ,di/ribution ,in=mation pursuant to subsection 7b7 may be di/ribut$ proactively ?r\gh writt5 or oral means1 or o!r in=mation plat=ms1 to a heal? c>e provid]1 payor1 =mul>y committee1 or o!r simil> entity c>ry+ out responsibilities = mak+ drug cov]age1 reimbursem5t1 or usage decisions on a population basis4 7e7 ,cov]age n exclud$ ,! di/ribution ( in=mation t o!rwise meets ! requirem5ts ( ?is section %all n fail to meet ! requirem5ts ( subsection 7a7 because ! manufactur] or di/ributor ( ! drug or device ab\t :i* in=mation is be+ di/ribut$ has-- 7#a7 k t su* drug or device is be+ us$ by pati5ts or heal? c>e practition]s 9 a mann] n describ$ 9 any label+ ( ! drug or device1 z applicable2 or 7#b7 objective or subjective int5t t su* drug or device be us$ 9 a mann] inconsi/5t ) any label+1 z applicable1 ( su* drug or device4 7f7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$-- 7#a7 to limit communication n specifically p]mitt$ by ?is section2 or 7#b7 to alt] or exp& ! au?ority ( ! ,secret>y to en=ce ! provisions ( ?is ,act1 except to ! ext5t t ! communication ( in=mation 9 accordance ) ?is section is p]mitt$4 4 ,,iv ,prev5t+ ess5tial m$ical device %ortages #daca4 ,discont9uance or int]ruption 9 ! production ( m$ical devices ,*apt] ,v ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cea et seq47 is am5d$ by ins]t+ aft] section #ejf;,i ! foll[+3 #ejf;,j4 ,discont9uance or int]ruption 9 ! production ( m$ical devices 7a7 ,9 g5]al ,a manufactur] ( a device t-- 7#a7 is critical to public heal? dur+ a public heal? em]g5cy1 includ+ devices t are life-support+1 life-su/a9+1 or int5d$ = use 9 em]g5cy m$ical c>e or dur+ surg]y2 or 7#b7 = :i* ! ,secret>y det]m9es t in=mation on pot5tial mean+ful supply disruptions ( su* device is ne$$ dur+1 or 9 advance (1 a public heal? em]g5cy2 %all1 dur+1 or 9 advance (1 a public heal? em]g5cy det]m9$ by ! ,secret>y pursuant to section #cai1 notify ! ,secret>y1 9 accordance ) subsection 7b71 ( a p]man5t discont9uance 9 ! manufacture ( ! device 7except = discont9uances z a result ( an approv$ modification ( ! device7 or an int]ruption ( ! manufacture ( ! device t is likely to lead to a mean+ful disruption 9 ! supply ( t device 9 ! ,unit$ ,/ates1 & ! reasons = su* discont9uance or int]ruption4 7b7 ,tim+ ,a notice requir$ "u subsection 7a7 %all be submitt$ to ! ,secret>y-- 7#a7 at lea/ #f mon?s prior to ! date ( ! discont9uance or int]ruption2 or 7#b7 if compliance ) p>agraph 7#a7 is n possible1 z soon z practicable4 7c7 ,di/ribution 7#a7 ,public availability ,to ! maximum ext5t practicable1 subject to p>agraph 7#b71 ! ,secret>y %all di/ribute1 ?r\gh su* means z ! ,secret>y det]m9es appropriate1 in=mation on ! discont9uance or int]ruption ( ! manufacture ( devices report$ "u subsection 7a7 to appropriate organizations1 includ+ physician1 heal? provid]1 pati5t organizations1 & supply *a9 p>tn]s1 z appropriate & applicable4 7#b7 ,public heal? exception ,! ,secret>y may *oose n to make in=mation collect$ "u ?is section publicly available pursuant to ?is section if ! ,secret>y det]m9es t disclosure ( su* in=mation w\ld adv]sely affect ! public heal?1 su* z by increas+ ! possibility ( unnecess>y ov] pur*ase ( product or o!r disruption ( ! availability ( m$ical products to pati5ts4 7d7 ,confid5tiality ,no?+ 9 ?is section %all be con/ru$ z au?oriz+ ! ,secret>y to disclose any in=mation t is a trade secret or confid5tial in=mation subject to section #eeb7;b77#d7 ( title #e1 ,unit$ ,/ates ,code1 or section #aije ( title #ah1 ,unit$ ,/ates ,code4 7e7 ,failure ,to meet requirem5ts ,if a p]son fails to submit in=mation requir$ "u subsection 7a7 9 accordance ) subsection 7b7-- 7#a7 ! ,secret>y %all issue a lett] to su* p]son in=m+ su* p]son ( su* failure2 7#b7 n lat] ?an #cj cal5d> days aft] ! issuance ( a lett] "u p>agraph 7#a71 ! p]son :o receives su* lett] %all submit to ! ,secret>y a writt5 response to su* lett] sett+ =? ! basis = noncompliance & provid+ in=mation requir$ "u subsection 7a72 & 7#c7 n lat] ?an #de cal5d> days aft] ! issuance ( a lett] "u p>agraph 7#a71 ! ,secret>y %all make su* lett] & any response to su* lett] "u p>agraph 7#b7 available to ! public on ! int]net website ( ! ,food & ,drug ,adm9i/ration1 ) appropriate r$actions made to protect in=mation describ$ 9 subsection 7d71 except t1 if ! ,secret>y det]m9es t ! lett] "u p>agraph 7#a7 0 issu$ 9 error or1 aft] review ( su* response1 ! p]son _h a reasonable basis = n notify+ z requir$ "u subsection 7a71 ! requirem5ts ( ?is p>agraph %all n apply4 7f7 ,exp$it$ ,inspections & ,reviews ,if1 bas$ on notifications describ$ 9 subsection 7a7 or any o!r relevant in=mation1 ! ,secret>y concludes t !re is1 or is likely to be1 a %ortage ( an device1 ! ,secret>y %all1 z appropriate-- 7#a7 prioritize & exp$ite ! review ( a submission "u section #eac7;f77#b71 #eae1 review ( a notification "u section #eaj7k71 or #ebj7m7 = a device t c\ld help mitigate or prev5t su* %ortage2 or 7#b7 prioritize & exp$ite an inspection or re9spection ( an e/abli%m5t t c\ld help mitigate or prev5t su* %ortage4 7g7 ,device %ortage li/ 7#a7 ,e/abli%m5t ,! ,secret>y %all e/abli% & ma9ta9 an up-to-date li/ ( devices t are det]m9$ by ! ,secret>y to be 9 %ortage 9 ! ,unit$ ,/ates4 7#b7 ,cont5ts ,= ea* device includ$ on ! li/ "u p>agraph 7#a71 ! ,secret>y %all include ! foll[+ in=mation3 7,a7 ,! category or "n ( ! device 9 %ortage4 7,b7 ,! "n ( ea* manufactur] ( su* device4 7,c7 ,! reason = ! %ortage1 z det]m9$ by ! ,secret>y1 select+ f ! foll[+ categories3 7i7 ,requirem5ts relat$ to comply+ ) good manufactur+ practices4 7ii7 ,regulatory delay4 7iii7 ,%ortage or discont9uance ( a compon5t or "p4 7iv7 ,discont9uance ( ! manufacture ( ! device4 7v7 ,delay 9 %ipp+ ( ! device4 7vi7 ,delay 9 /]ilization ( ! device4 7vii7 ,dem& increase = ! device4 7,d7 ,! e/imat$ duration ( ! %ortage z det]m9$ by ! ,secret>y4 7#c7 ,public availability 7,a7 ,9 g5]al ,subject to subp>agraphs 7,b7 & 7,c71 ! ,secret>y %all make ! in=mation 9 ! li/ "u p>agraph 7#a7 publicly available4 7,b7 ,trade secrets & confid5tial in=mation ,no?+ 9 ?is subsection %all be con/ru$ to alt] or am5d section #aije ( title #ah1 ,unit$ ,/ates ,code1 or section #eeb7;b77#d7 ( title #e ( su* ,code4 7,c7 ,public heal? exception ,! ,secret>y may elect n to make in=mation collect$ "u ?is subsection publicly available if ! ,secret>y det]m9es t disclosure ( su* in=mation w\ld adv]sely affect ! public heal? 7su* z by increas+ ! possibility ( ho>d+ or o!r disruption ( ! availability ( ! device to pati5ts74 7h7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to affect ! au?ority ( ! ,secret>y on ! date ( enactm5t ( ?is section to exp$ite ! review ( devices "u section #eae ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 section #eae;,b ( su* ,act relat+ to ! priority review program = devices1 & section #efd ( su* ,act relat+ to ! em]g5cy use au?orization au?orities4 7i7 ,def9itions ,9 ?is section3 7#a7 ,device ,! t]m device means a device 7z def9$ 9 section #bja7;h77 t is int5d$ = human use & is subject to sections #eaj7k71 #eac7;f77#b71 #eae1 or #ebj7m74 7#b7 ,mean+ful disruption ,! t]m mean+ful disruption-- 7,a7 means a *ange 9 production t is reasonably likely to lead to a r$uction 9 ! supply ( a device by a manufactur] t is m ?an negligible & affects ! ability ( ! manufactur] to fill ord]s or meet expect$ dem& = its product2 7,b7 does n include int]ruptions 9 manufactur+ due to matt]s su* z r\t9e ma9t5ance or insignificant *anges 9 manufactur+ s long z ! manufactur] expects to resume op]ations 9 a reasonable or %ort p]iod ( "t2 & 7,c7 does n include int]ruptions 9 manufactur+ ( compon5ts or raw mat]ials s long z su* int]ruptions d n result 9 a %ortage ( f9i%$ product & ! manufactur] expects to resume op]ations 9 a reasonable or %ort p]iod ( "t4 7#c7 ,%ortage ,! t]m %ortage1 ) respect to a device1 means a p]iod ( "t :5 ! dem& or project$ dem& = ! device )9 ! ,unit$ ,/ates exce$s ! supply ( ! device4 4 #dacb4 ,,gao report on intra-ag5cy coord9ation 7a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report exam9+ ! ,food & ,drug ,adm9i/ration's intra-ag5cy coord9ation1 communication1 & decision-mak+ 9 assess+ device %ortages & risks associat$ ) ! supply ( devices1 & any ef=ts by ! ,food & ,drug ,adm9i/ration to mitigate any device %ortages or to take corrective actions4 7b7 ,cont5t ,! report %all include-- 7#a7 consid]ation (-- 7,a7 risks ( creat+1 wors5+1 or ext5d+ a %ortage ( a device associat$ ) violations ( curr5t good manufactur+ practices2 7,b7 corrective & prev5tative actions ) respect to su* violations reque/$ by ! ,food & ,drug ,adm9i/ration2 7,c7 ! effects ( pot5tial manufactur+ disruptions or %ut-d[ns on pot5tial device %ortages1 :i* may include ! discont9uance ( device manufactur+ & m>ket+1 or ! manufactur+ ( device compon5ts or p>ts2 7,d7 ef=ts to prioritize & exp$ite ! review ( submissions = devices t ! ,secret>y has det]m9$ "u section #ejf;,j7g7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef;j7 to be 9 %ortage2 & 7,e7 ef=ts to prioritize inspections ( facilities necess>y = approval or cle>ance ( devices describ$ 9 subp>agraph 7,d72 7#b7 a description ( h[ ! ,food & ,drug ,adm9i/ration proactively coord9ates /rategies to mitigate ! consequ5ces ( ! violations1 sl[-d[ns1 & %ut-d[ns describ$ 9 p>agraph 7#a7 across ag5cies2 & 7#c7 an evaluation ( *anges 9 relevant ,food & ,drug ,adm9i/ration practices t su* ag5cy has propos$ b n yet implem5t$4 7c7 ,def9ition ,9 ?is section1 ! t]m device has ! mean+ giv5 su* t]m "u section #ejf;,j7i77#a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 z add$ by section #daca4 ,v ,em]g5cy use ( laboratory develop$ te/s #dada4 ,em]g5cy use ( laboratory develop$ te/s 7a7 ,9 g5]al ,= ! "t 9 :i* ! public heal? em]g5cy "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d7 relat$ to ! coronavirus 7,,covid-#ai71 decl>$ by ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 on ,janu>y #ca1 #bjbj1 is 9 place 7or su* o!r p]iod ( "t det]m9$ by ! ,secret>y71 te/s int5d$ to diagnose ,,covid-#ai t are describ$ 9 subsection 7b7 may be lawfully m>ket$ 9 accordance ) ?is section4 7b7 ,crit]ia ,te/s describ$ 9 subsection 7a7 may be lawfully m>ket$1 dur+ ! p]iod describ$ 9 su* subsection1 if su* te/-- 7#a7 is develop$ 9 a ,/ate t has notifi$ ! ,secret>y ( its int5tion to review te/s int5d$ to diagnose ,,covid-#ai2 7#b7 is develop$ 9 a laboratory ) a c]tificate to conduct high-complexity te/+ pursuant to section #cec ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfc;a71 & ! develop] ( su* te/-- 7,a7 is pursu+ an em]g5cy use au?orization "u section #efd ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c7 & provides updates to ! ,secret>y on ef=ts to pursue su* au?orization2 7,b7 validates su* te/ prior to use2 7,c7 notifies ! ,secret>y ( ! assay validation2 & 7,d7 includes a /atem5t toge!r ) ! results ( ! te/ t reads3 ,?is te/ 0 develop$ = use z a "p ( a response to ! public heal? em]g5cy decl>$ to address ! outbreak ( ,,covid-#ai4 ,?is te/ has n be5 review$ by ! ,food & ,drug ,adm9i/ration42 or 7#c7 is an 9 vitro diagno/ic te/ = :i* ! develop] ( su* te/ meets all ( ! requirem5ts ( subp>agraphs 7,a7 ?r\gh 7,d7 ( p>agraph 7#b7 ) respect to ! te/4 7c7 ,disposition ( product ,not)/&+ ! t]m9ation ( a decl>ation "u subsection 7b7 ( section #efd ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 or a revocation "u subsection 7g7 ( su* section ) respect to a product describ$ 9 subsection 7a71 ! ,secret>y %all consult ) ! develop] ( su* 9 vitro diagno/ic te/ ) respect to ! appropriate disposition ( su* te/ to ensure t au?orization ( any 9 vitro diagno/ic te/ "u ?is section %all cont9ue to be effective to provide = cont9u$ use ( su* product to prev5t or detect ,,covid-#ai4 7d7 ,9 vitro diagno/ic te/ ,9 ?is section1 ! t]m 9 vitro diagno/ic te/ has ! mean+ giv5 ! t]m 9 vitro diagno/ic product 9 section #hji4c7;a7 ( title #ba1 ,code ( ,f$]al ,regulations 7or successor regulations74 ,b ,access to heal? c>e = ,,covid-#ai pati5ts ,i ,cov]age ( te/+ & prev5tive s]vices #dbja4 ,cov]age ( diagno/ic te/+ = ,,covid-#ai 7a7 ,9 g5]al ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age 7includ+ a gr&fa!r$ heal? plan 7z def9$ 9 section #abea7;e7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjaa7;b777 %all provide cov]age1 & %all n impose any co/-%>+ 7includ+ d$uctibles1 copaym5ts1 & co9surance7 requirem5ts or prior au?orization or o!r m$ical managem5t requirem5ts1 = ! foll[+ items & s]vices furni%$ dur+ any portion ( ! public heal? em]g5cy decl>$ by ! ,secret>y ( ,heal? & ,human ,s]vices pursuant to section #cai ( ! ,public ,heal? ,s]vice ,act on ,janu>y #ca1 #bjbj1 ) respect to ,,covid-#ai1 beg9n+ on or aft] ! date ( ! enactm5t ( ?is ,act3 7#a7 ,an 9 vitro diagno/ic product 7z def9$ 9 section #hji4c7;a7 ( title #ba1 ,code ( ,f$]al ,regulations7 = ! detection ( ,,s>s-,co,v-#b or ! diagnosis ( ! virus t causes ,,covid-#ai1 & ! adm9i/ration ( su* an 9 vitro diagno/ic product1 t-- 7,a7 is approv$1 cle>$1 or au?oriz$ "u section #eaj7k71 #eac1 #eae1 or #efd ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj7k71 #cfj;c1 #cfj;e1 #cfj;bbb-#c72 7,b7 is a cl9ical laboratory s]vice p]=m$ 9 a laboratory 7includ+ a public heal? laboratory7 c]tifi$ to conduct high-complexity te/+ pursuant to section #cec ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bec;a7 = :i* ! develop] has reque/$1 or int5ds to reque/1 em]g5cy use au?orization "u section #efd ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c71 unless & until ! em]g5cy use au?orization reque/ "u su* section #efd has be5 d5i$ or ! develop] ( su* te/ does n submit a reque/ "u su* section )9 a reasonable timeframe2 or 7,c7 is develop$ 9 a ,/ate t has notifi$ ! ,secret>y ( ,heal? & ,human ,s]vices ( its int5tion to review te/s int5d$ to diagnose ,,covid-#ai4 7#b7 ,items & s]vices furni%$ to an individual dur+ heal? c>e provid] (fice visits1 urg5t c>e c5t] visits1 & em]g5cy room visits t result 9 an ord] = or adm9i/ration ( an 9 vitro diagno/ic product describ$ 9 p>agraph 7#a71 b only to ! ext5t su* items & s]vices relate to ! furni%+ or adm9i/ration ( su* product or to ! evaluation ( su* individual = purposes ( det]m9+ ! ne$ ( su* individual = su* product4 #dbjb4 ,pric+ ( diagno/ic te/+ 7a7 ,reimbursem5t rates ,a gr\p heal? plan or a heal? insurance issu] provid+ cov]age ( items & s]vices describ$ 9 section #bja7;a7 ) respect to an enrollee %all reimburse ! provid] ( ! diagno/ic te/+ z foll[s3 7#a7 ,if ! heal? plan or issu] has a negotiat$ rate = su* s]vice ) su* provid]1 su* negotiat$ rate %all apply4 7#b7 ,if ! heal? plan or issu] does n h a negotiat$ rate = su* s]vice ) su* provid]1 su* plan or issu] %all reimburse ! provid] 9 an am\nt t equals ! ca% price = su* s]vice z li/$ by ! provid] on a public int]net website4 7b7 ,requirem5t to ,publicize ,ca% ,price = ,diagno/ic ,te/+ = ,,covid-#ai 7#a7 ,9 g5]al ,ea* provid] ( a diagno/ic te/ = ,,covid-#ai %all make public ! ca% price = su* te/ on a public int]net website ( su* provid]4 7#b7 ,civil monet>y p5alties ,! ,secret>y ( ,heal? & ,human ,s]vices may impose a civil monet>y p5alty on any provid] ( a diagno/ic te/ = ,,covid-#ai t is n 9 compliance ) p>agraph 7#a7 & has n complet$ a corrective action plan to comply ) ! requirem5ts ( su* p>agraph1 9 an am\nt n to exce$ #cjj p] day t ! violation is ongo+4 #dbjc4 ,rapid cov]age ( prev5tive s]vices & vacc9es = coronavirus 7a7 ,9 g5]al ,not)/&+ #bgac7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ac71 ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury %all require gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance to cov] any qualify+ coronavirus prev5tive s]vice1 pursuant to section #bgac7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ac7;a774 ,! requirem5t describ$ 9 ?is subsection %all take effect ) respect to a qualify+ coronavirus prev5tion s]vice on ! specifi$ date describ$ 9 subsection 7b77#b74 7b7 ,def9itions ,= purposes ( ?is section3 7#a7 ,qualify+ coronavirus prev5tive s]vice ,! t]m qualify+ coronavirus prev5tive s]vice means an item1 s]vice1 or immunization t is int5d$ to prev5t or mitigate coronavirus disease #bjai & t is-- 7,a7 an evid5ce-bas$ item or s]vice t has 9 effect a rat+ ( ,a or ,b 9 ! curr5t recomm5dations ( ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce2 or 7,b7 an immunization t has 9 effect a recomm5dation f ! ,advisory ,committee on ,immunization ,practices ( ! ,c5t]s = ,disease ,control & ,prev5tion ) respect to ! individual involv$4 7#b7 ,specifi$ date ,! t]m specifi$ date means ! date t is #ae bus9ess days aft] ! date on :i* a recomm5dation is made relat+ to ! immunization z describ$ 9 su* p>agraph4 7#c7 ,heal? insurance t]ms ,9 ?is section1 ! t]ms gr\p heal? plan1 heal? insurance issu]1 gr\p heal? insurance cov]age1 & individual heal? insurance cov]age h ! mean+s giv5 su* t]ms 9 section #bgia ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ia74 ,,ii ,support = heal? c>e provid]s #dbaa4 ,supplem5tal aw>ds = heal? c5t]s 7a7 ,supplem5tal aw>ds ,section #ccj7r7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b7r77 is am5d$ by add+ at ! end ! foll[+3 7#f7 ,additional am\nts = supplem5tal aw>ds ,9 addition to any am\nts made available pursuant to ?is subsection1 section #djb;,a ( ?is ,act1 or section #ajejc ( ! ,pati5t ,protection & ,af=dable ,c>e ,act1 !re is au?oriz$ to be appropriat$1 & !re is appropriat$1 out ( any monies 9 ! ,treasury n o!rwise appropriat$1 #a1cbj1jjj1jjj = fiscal ye> #bjbj = supplem5tal aw>ds "u subsection 7d7 = ! detection ( ,,s>s-,co,v-#b or ! prev5tion1 diagnosis1 & treatm5t ( ,,covid-#ai4 4 7b7 ,application ( provisions ,am\nts appropriat$ pursuant to ! am5dm5t made by subsection 7a7 = fiscal ye> #bjbj %all be subject to ! requirem5ts conta9$ 9 ,public ,law #aaf-id = funds = programs au?oriz$ "u sections #ccj ?r\gh #cdj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed ?r\gh #bef74 #dbab4 ,all[+ p]man5t direct hire ( ,,ndms heal? c>e pr(essionals ,section #bhab7;c77#d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;c77#d77 is am5d$ to read z foll[s3 7#d7 ,c]ta9 appo9tm5ts ,if ! ,secret>y det]m9es t ! numb] ( int]mitt5t disa/] response p]sonnel )9 ! ,national ,disa/] ,m$ical ,sy/em "u ?is section is insuffici5t to address a public heal? em]g5cy or pot5tial public heal? em]g5cy1 ! ,secret>y may appo9t c&idates directly to p]sonnel positions = int]mitt5t disa/] response )9 su* sy/em4 ,! ,secret>y %all provide updates on ! numb] ( vacant or unfill$ positions )9 su* sy/em to ! congressional committees ( jurisdiction ea* qu>t] = :i* ?is au?ority is 9 effect4 4 #dbac4 ,teleheal? network & teleheal? res\rce c5t]s grant programs ,section #ccj;,i ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$-- 7#a7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ projects to demon/rate h[ teleheal? te*nologies c be us$ ?r\gh teleheal? networks & ins]t+ evid5ce-bas$ projects t utilize teleheal? te*nologies ?r\gh teleheal? networks2 7ii7 9 subp>agraph 7,a7-- 7,i7 by /rik+ ! quality ( & ins]t+ access to1 & ! quality (12 & 7,,ii7 by ins]t+ & aft] ! semicolon2 7iii7 by /rik+ subp>agraph 7,b72 7iv7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,b72 & 7v7 9 subp>agraph 7,b71 z s r$esignat$1 by /rik+ & pati5ts & _! families1 = decisionmak+ & ins]t+ 1 pati5ts1 & _! families2 & 7,b7 9 p>agraph 7#b7-- 7i7 by /rik+ demon/rate h[ teleheal? te*nologies c be us$ & ins]t+ support initiatives t utilize teleheal? te*nologies2 & 7ii7 by /rik+ 1 to e/abli% teleheal? res\rce c5t]s2 7#b7 9 subsection 7e71 by /rik+ #d ye>s & ins]t+ #e ye>s2 7#c7 9 subsection 7f7-- 7,a7 by /rik+ p>agraph 7#b72 7,b7 9 p>agraph 7#a77;,b7-- 7i7 by r$esignat+ clauses 7i7 ?r\gh 7iii7 z p>agraphs 7#a7 ?r\gh 7#c71 respectively1 & adju/+ ! m>g9s accord+ly2 7ii7 9 p>agraph 7#c71 z s r$esignat$ by clause 7i71 by r$esignat+ subclauses 7,i7 ?r\gh 7,,xii7 z subp>agraphs 7,a7 ?r\gh 7,l71 respectively1 & adju/+ ! m>g9s accord+ly2 & 7iii7 by /rik+ 7#a7 ,teleheal? network grants-- & all t foll[s ?r\gh 7,b7 ,teleheal? networks--2 & 7,c7 9 p>agraph 7#c77;,i71 z s r$esignat$1 by ins]t+ & sub/ance use disord] aft] m5tal heal? ea* place su* t]m appe>s2 7#d7 9 subsection 7g77#b71 by /rik+ or improve & ins]t+ & improve2 7#e7 by /rik+ subsection 7h72 7#f7 by r$esignat+ subsections 7i7 ?r\gh 7p7 z subsection 7h7 ?r\gh 7o71 respectively2 7#g7 9 subsection 7h71 z s r$esignat$-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,b71 by /rik+ m5tal heal?1 public heal?1 long-t]m c>e1 home c>e1 prev5tive & ins]t+ m5tal heal? c>e1 public heal? s]vices1 long-t]m c>e1 home c>e1 prev5tive c>e2 7ii7 9 subp>agraph 7,e71 by ins]t+ & regional aft] local2 & 7iii7 by /rik+ subp>agraph 7,f72 & 7,b7 9 p>agraph 7#b77;,a71 by /rik+ m$ically und]s]v$ areas or & ins]t+ rural areas1 m$ically und]s]v$ areas1 or2 7#h7 9 p>agraph 7#b7 ( subsection 7i71 z s r$esignat$1 by /rik+ ensure t-- & all t foll[s ?r\gh ! end ( subp>agraph 7,b7 & ins]t+ ensure t n less ?an #ej p]c5t ( ! funds aw>d$ %all be aw>d$ = projects 9 rural areas42 7#i7 9 subsection 7j71 z s r$esignat$-- 7,a7 9 p>agraph 7#a77;,b71 by /rik+ comput] h>dw>e & s(tw>e1 audio & video equipm5t1 comput] network equipm5t1 int]active equipm5t1 data t]m9al equipm5t1 & o!r2 & 7,b7 9 p>agraph 7#b77;,f71 by /rik+ heal? c>e provid]s &2 7#aj7 9 subsection 7k71 z s r$esignat$-- 7,a7 9 p>agraph 7#b71 by /rik+ #dj p]c5t & ins]t+ #bj p]c5t2 & 7,b7 9 p>agraph 7#c71 by /rik+ 7su* z lay+ cable or telephone l9es1 or pur*as+ or in/all+ micr[ave t[]s1 satellite di%es1 amplifi]s1 or digital swit*+ equipm5t72 7#aa7 by /rik+ subsections 7q7 & 7r7 & ins]t+ ! foll[+3 7p7 ,report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ! ,,c>es ,act1 & e #e ye>s !reaft]1 ! ,secret>y %all prep>e & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! activities & outcomes ( ! grant programs "u subsection 7b74 2 7#ab7 by r$esignat+ subsection 7s7 z subsection 7q72 & 7#ac7 9 subsection 7q71 z s r$esignat$1 by /rik+ ?is section-- & all t foll[s ?r\gh ! end ( p>agraph 7#b7 & ins]t+ ?is section #bi1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe44 #dbad4 ,rural heal? c>e s]vices outrea*1 rural heal? network developm5t1 & small heal? c>e provid] quality improvem5t grant programs ,section #ccj;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c7 is am5d$-- 7#a7 9 subsection 7d77#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+ ess5tial & ins]t+ basic2 & 7,b7 9 subp>agraph 7,b7-- 7i7 9 ! matt] prec$+ clause 7i71 by ins]t+ to aft] grants2 & 7ii7 9 clauses 7i71 7ii71 & 7iii71 by /rik+ to ea* place su* t]m appe>s2 7#b7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ improv+ & aft] outrea* by2 7ii7 by ins]t+ 1 ?r\gh community engagem5t & evid5ce-bas$ or innovative1 evid5ce-in=m$ models be=e ! p]iod ( ! fir/ s5t5ce2 & 7iii7 by /rik+ #c ye>s & ins]t+ #e ye>s2 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ %all aft] entity2 7ii7 9 subp>agraph 7,a71 by /rik+ %all be a rural public or rural nonpr(it private entity & ins]t+ be an entity ) demon/rat$ exp]i5ce s]v+1 or ! capacity to s]ve1 rural und]s]v$ populations2 7iii7 9 subp>agraphs 7,b7 & 7,c71 by /rik+ %all ea* place su* t]m appe>s2 & 7iv7 9 subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+ clause 7i71 by ins]t+ t aft] memb]s2 & 7,,ii7 9 clauses 7i7 & 7ii71 by /rik+ t ea* place su* t]m appe>s2 & 7,c7 9 p>agraph 7#c77;,c71 by /rik+ ! local community or region & ins]t+ ! rural und]s]v$ populations 9 ! local community or region2 7#c7 9 subsection 7f7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ promote1 ?r\gh plann+ & implem5tation1 ! developm5t ( integrat$ heal? c>e networks t h comb9$ ! functions ( ! entities p>ticipat+ 9 ! networks & ins]t+ plan1 develop1 & implem5t integrat$ heal? c>e networks t collaborate2 & 7,,ii7 9 clause 7ii71 by /rik+ ess5tial heal? c>e s]vices & ins]t+ basic heal? c>e s]vices & associat$ heal? outcomes2 & 7ii7 by am5d+ subp>agraph 7,b7 to read z foll[s3 7,b7 ,grant p]iods ,! ,director may aw>d grants "u ?is subsection = p]iods ( n m ?an #e ye>s4 2 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ %all aft] entity2 7ii7 9 subp>agraph 7,a71 by /rik+ %all be a rural public or rural nonpr(it private entity & ins]t+ be an entity ) demon/rat$ exp]i5ce s]v+1 or ! capacity to s]ve1 rural und]s]v$ populations2 7iii7 9 subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+ clause 7i7-- 7aa7 by /rik+ %all2 & 7bb7 by ins]t+ t aft] p>ticipants2 & 7,,ii7 9 clauses 7i7 & 7ii71 by /rik+ t ea* place su* t]m appe>s2 & 7iv7 9 subp>agraph 7,c71 by /rik+ %all2 & 7,c7 9 p>agraph 7#c7-- 7i7 by am5d+ clause 7iii7 ( subp>agraph 7,c7 to read z foll[s3 7iii7 h[ ! rural und]s]v$ populations 9 ! local community or region to be s]v$ w b5efit f & be involv$ 9 ! developm5t & ongo+ op]ations ( ! network2 2 & 7ii7 9 subp>agraph 7,d71 by /rik+ ! local community or region & ins]t+ ! rural und]s]v$ populations 9 ! local community or region2 7#d7 9 subsection 7g7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ 1 includ+ activities relat$ to increas+ c>e coord9ation1 enhanc+ *ronic disease managem5t1 & improv+ pati5t heal? outcomes be=e ! p]iod ( ! fir/ s5t5ce2 & 7ii7 by /rik+ #c ye>s & ins]t+ #e ye>s2 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ %all aft] entity2 7ii7 9 subp>agraphs 7,a7 & 7,b71 by /rik+ %all ea* place su* t]m appe>s2 & 7iii7 9 subp>agraph 7,a77ii71 by ins]t+ or regional aft] local2 & 7,c7 9 p>agraph 7#c77;,d71 by /rik+ ! local community or region & ins]t+ ! rural und]s]v$ populations 9 ! local community or region2 7#e7 9 subsection 7h77#c71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 z appropriate1 aft] ! ,secret>y2 7#f7 by am5d+ subsection 7i7 to read z foll[s3 7i7 ,report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ! ,,c>es ,act1 & e #e ye>s !reaft]1 ! ,secret>y %all prep>e & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! activities & outcomes ( ! grant programs "u subsections 7e71 7f71 & 7g71 includ+ ! impact ( projects fund$ "u su* programs on ! heal? /atus ( rural resid5ts ) *ronic conditions4 2 & 7#g7 9 subsection 7j71 by /rik+ #de1jjj1jjj = ea* ( fiscal ye>s #bjjh ?r\gh #bjab & ins]t+ #gi1ejj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #dbae4 ,unit$ ,/ates ,public ,heal? ,s]vice ,mod]nization 7a7 ,commission$ corps & ready res]ve corps ,section #bjc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bjd7 is am5d$-- 7#a7 9 subsection 7a77#a71 by /rik+ a ,ready ,res]ve ,corps = s]vice 9 "t ( national em]g5cy & ins]t+ 1 = s]vice 9 "t ( a public heal? or national em]g5cy1 a ,ready ,res]ve ,corps2 & 7#b7 9 subsection 7c7-- 7,a7 9 ! head+1 by /rik+ rese>* & ins]t+ ,res]ve ,corps2 7,b7 9 p>agraph 7#a71 by ins]t+ dur+ public heal? or national em]g5cies be=e ! p]iod2 7,c7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 consi/5t ) p>agraph 7#a7 aft] %all2 7ii7 9 subp>agraph 7,c71 by ins]t+ dur+ su* em]g5cies aft] memb]s2 & 7iii7 9 subp>agraph 7,d71 by ins]t+ 1 consi/5t ) subp>agraph 7,c7 be=e ! p]iod2 & 7,d7 by add+ at ! end ! foll[+3 7#c7 ,/atutory ref]5ces to res]ve ,a ref]5ce 9 any ,f$]al /atute1 except 9 ! case ( subsection 7b71 to ! ,res]ve ,corps ( ! ,public ,heal? ,s]vice or to ! res]ve ( ! ,public ,heal? ,s]vice %all be deem$ to be a ref]5ce to ! ,ready ,res]ve ,corps4 4 7b7 ,deploym5t read9ess ,section #bjc;,a7a77#a77;,b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bjd;a7a77#a77;,b77 is am5d$ by /rik+ ,active ,res]ves & ins]t+ ,ready ,res]ve ,corps4 7c7 ,retirem5t ( commission$ (fic]s ,section #baa ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bab7 is am5d$-- 7#a7 by /rik+ ! ,s]vice ea* place x appe>s & ins]t+ ! ,regul> ,corps2 7#b7 9 subsection 7a77#d71 by /rik+ 79 ! case ( an (fic] 9 ! ,res]ve ,corps72 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ or an (fic] ( ! ,res]ve ,corps2 & 7ii7 by ins]t+ or "u section #bba7;a77#ai7 aft] subsection 7a72 & 7,b7 9 p>agraph 7#b71 by /rik+ ,regul> or ,res]ve ,corps & ins]t+ ,regul> ,corps or ,ready ,res]ve ,corps2 & 7#d7 9 subsection 7f71 by /rik+ ! ,regul> or ,res]ve ,corps (4 7d7 ,rights1 privileges1 etc4 ( (fic]s & surviv+ b5efici>ies ,section #bba ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bac;a7 is am5d$-- 7#a7 9 subsection 7a71 by add+ at ! end ! foll[+3 7#ai7 ,*apt] #abbc1 ,retir$ ,pay = ,non-,regul> ,s]vice4 7#bj7 ,section #abfja1 ,comp5sation3 ,res]ve on active duty accept+ f any p]son4 7#ba7 ,section #abfhd1 ,res]ves3 sep>ation = abs5ce )\t au?ority or s5t5ce to imprisonm5t4 2 & 7#b7 9 subsection 7b7-- 7,a7 by /rik+ ,secret>y ( ,heal?1 ,education1 & ,welf>e or 8 designee & ins]t+ ,secret>y ( ,heal? & ,human ,s]vices or ! designee ( su* secret>y2 7,b7 by /rik+ 7b7 ,! au?ority ve/$ & ins]t+ ! foll[+3 7b7 7#a7 ,! au?ority ve/$ 2 7,c7 by /rik+ ,= purposes ( & ins]t+ ! foll[+3 7#b7 ,= purposes ( 2 & 7,d7 by add+ at ! end ! foll[+3 7#c7 ,= purposes ( p>agraph 7#ai7 ( subsection 7a71 ! t]ms ,milit>y dep>tm5t1 ,secret>y conc]n$1 & ,arm$ =ces 9 su* title #aj %all be deem$ to include1 respectively1 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,commission$ ,corps4 4 7e7 ,te*nical am5dm5ts ,title ,,ii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bjb et seq47 is am5d$-- 7#a7 9 sections #bjd & #bjg7;c71 by /rik+ ,regul> or ,res]ve ,corps ea* place x appe>s & ins]t+ ,regul> ,corps or ,ready ,res]ve ,corps2 7#b7 9 section #bjh7;a71 by /rik+ ,regul> & ,res]ve ,corps ea* place x appe>s & ins]t+ ,regul> ,corps & ,ready ,res]ve ,corps2 & 7#c7 9 section #bje7;c71 #bjf7;c71 #baj1 & #bai1 & 9 subsections 7a71 7b71 & 7d7 ( section #bjg1 by /rik+ ,res]ve ,corps ea* place x appe>s & ins]t+ ,ready ,res]ve ,corps4 #dbaf4 ,limitation on liability = volunte] heal? c>e pr(essionals dur+ covid-#ai em]g5cy response 7a7 ,limitation on liability ,except z provid$ 9 subsection 7b71 a heal? c>e pr(essional %all n be liable "u ,f$]al or ,/ate law = any h>m caus$ by an act or omission ( ! pr(essional 9 ! provision ( heal? c>e s]vices dur+ ! public heal? em]g5cy decl>$ by ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 pursuant to section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d7 on ,janu>y #ca1 #bjbj ) respect to ,,covid-#ai1 if-- 7#a7 ! pr(essional is provid+ heal? c>e s]vices 9 response to su* public heal? em]g5cy1 z a volunte]2 & 7#b7 ! act or omission occurs-- 7,a7 9 ! c\rse ( provid+ heal? c>e s]vices2 7,b7 9 ! heal? c>e pr(essional's capacity z a volunte]2 7,c7 9 ! c\rse ( provid+ heal? c>e s]vices t are )9 ! scope ( ! lic5se1 regi/ration1 or c]tification ( ! volunte]1 z def9$ by ! ,/ate ( lic5sure1 regi/ration1 or c]tification2 & 7,d7 9 a good fai? belief t ! individual be+ treat$ is 9 ne$ ( heal? c>e s]vices4 7b7 ,exceptions ,subsection 7a7 does n apply if-- 7#a7 ! h>m 0 caus$ by an act or omission con/itut+ willful or crim9al misconduct1 gross neglig5ce1 reckless misconduct1 or a consci\s flagrant indiff]5ce to ! rights or safety ( ! individual h>m$ by ! heal? c>e pr(essional2 or 7#b7 ! heal? c>e pr(essional r5d]$ ! heal? c>e s]vices "u ! influ5ce 7z det]m9$ pursuant to applicable ,/ate law7 ( alcohol or an intoxicat+ drug4 7c7 ,preemption 7#a7 ,9 g5]al ,?is section preempts ! laws ( a ,/ate or any political subdivision ( a ,/ate to ! ext5t t su* laws are inconsi/5t ) ?is section1 unless su* laws provide great] protection f liability4 7#b7 ,volunte] ,protection ,act ,protections af=d$ by ?is section are 9 addition to ^? provid$ by ! ,volunte] ,protection ,act ( #aiig 7,public ,law #aje-ai74 7d7 ,def9itions ,9 ?is section-- 7#a7 ! t]m h>m includes physical1 nonphysical1 economic1 & noneconomic losses2 7#b7 ! t]m heal? c>e pr(essional means an individual :o is lic5s$1 regi/]$1 or c]tifi$ "u ,f$]al or ,/ate law to provide heal? c>e s]vices2 7#c7 ! t]m heal? c>e s]vices means any s]vices provid$ by a heal? c>e pr(essional1 or by any individual work+ "u ! sup]vision ( a heal? c>e pr(essional t relate to-- 7,a7 ! diagnosis1 prev5tion1 or treatm5t ( ,,covid-#ai2 or 7,b7 ! assessm5t or c>e ( ! heal? ( a human be+2 & 7#d7 ! t]m volunte] means a heal? c>e pr(essional :o1 ) respect to ! heal? c>e s]vices r5d]$1 does n receive comp5sation or any o!r ?+ ( value 9 lieu ( comp5sation1 :i* comp5sation-- 7,a7 includes a paym5t "u any insurance policy or heal? plan1 or "u any ,f$]al or ,/ate heal? b5efits program2 & 7,b7 excludes receipt ( items to be us$ exclusively = r5d]+ heal? c>e s]vices 9 ! heal? c>e pr(essional's capacity z a volunte] describ$ 9 subsection 7a77#a74 7e7 ,effective date ,?is section %all take effect ^u ! date ( enactm5t ( ?is ,act1 & applies to a claim = h>m only if ! act or omission t caus$ su* h>m occurr$ on or aft] ! date ( enactm5t4 7f7 ,sunset ,?is section %all be 9 effect only = ! l5g? ( ! public heal? em]g5cy decl>$ by ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 pursuant to section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d7 on ,janu>y #ca1 #bjbj ) respect to ,,covid-#ai4 ,,iii ,miscellane\s provisions #dbba4 ,confid5tiality & disclosure ( records relat+ to sub/ance use disord] 7a7 ,con=m+ *anges relat+ to sub/ance use disord] ,subsections 7a7 & 7h7 ( section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7 are ea* am5d$ by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]4 7b7 ,disclosures to cov]$ entities consi/5t ) ,,hipaa ,p>agraph 7#a7 ( section #edc7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7;b77 is am5d$ to read z foll[s3 7#a7 ,cons5t ,! foll[+ %all apply ) respect to ! cont5ts ( any record ref]r$ to 9 subsection 7a73 7,a7 ,su* cont5ts may be us$ or disclos$ 9 accordance ) ! prior writt5 cons5t ( ! pati5t ) respect to :om su* record is ma9ta9$4 7,b7 ,once prior writt5 cons5t ( ! pati5t has be5 obta9$1 su* cont5ts may be us$ or disclos$ by a cov]$ entity1 bus9ess associate1 or a program subject to ?is section = purposes ( treatm5t1 paym5t1 & heal? c>e op]ations z p]mitt$ by ! ,,hipaa regulations4 ,any in=mation s disclos$ may !n be r$isclos$ 9 accordance ) ! ,,hipaa regulations4 ,section #acdje7;c7 ( ! ,heal? ,in=mation ,te*nology & ,cl9ical ,heal? ,act 7#db ,u4,s4,c4 #agice7;c77 %all apply to all disclosures pursuant to subsection 7b77#a7 ( ?is section4 7,c7 ,x %all be p]missible = a pati5t's prior writt5 cons5t to be giv5 once = all su* future uses or disclosures = purposes ( treatm5t1 paym5t1 & heal? c>e op]ations1 until su* "t z ! pati5t revokes su* cons5t 9 writ+4 7,d7 ,section #acdje7;a7 ( ! ,heal? ,in=mation ,te*nology & ,cl9ical ,heal? ,act 7#db ,u4,s4,c4 #agice7;a77 %all apply to all disclosures pursuant to subsection 7b77#a7 ( ?is section4 4 7c7 ,disclosures ( de-,id5tifi$ heal? in=mation to public heal? au?orities ,p>agraph 7#b7 ( section #edc7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7;b771 is am5d$ by add+ at ! end ! foll[+3 7,d7 ,to a public heal? au?ority1 s long z su* cont5t meets ! /&>ds e/abli%$ 9 section #afd4ead7;b7 ( title #de1 ,code ( ,f$]al ,regulations 7or successor regulations7 = creat+ de-id5tifi$ in=mation4 4 7d7 ,def9itions ,section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7 is am5d$ by add+ at ! end ! foll[+3 7k7 ,def9itions ,= purposes ( ?is section3 7#a7 ,brea* ,! t]m brea* has ! mean+ giv5 su* t]m = purposes ( ! ,,hipaa regulations4 7#b7 ,bus9ess associate ,! t]m bus9ess associate has ! mean+ giv5 su* t]m = purposes ( ! ,,hipaa regulations4 7#c7 ,cov]$ entity ,! t]m cov]$ entity has ! mean+ giv5 su* t]m = purposes ( ! ,,hipaa regulations4 7#d7 ,heal? c>e op]ations ,! t]m heal? c>e op]ations has ! mean+ giv5 su* t]m = purposes ( ! ,,hipaa regulations4 7#e7 ,,hippa regulations ,! t]m ,,hipaa regulations has ! mean+ giv5 su* t]m = purposes ( p>ts #afj & #afd ( title #de1 ,code ( ,f$]al ,regulations4 7#f7 ,paym5t ,! t]m paym5t has ! mean+ giv5 su* t]m = purposes ( ! ,,hipaa regulations4 7#g7 ,public heal? au?ority ,! t]m public heal? au?ority has ! mean+ giv5 su* t]m = purposes ( ! ,,hipaa regulations4 7#h7 ,treatm5t ,! t]m treatm5t has ! mean+ giv5 su* t]m = purposes ( ! ,,hipaa regulations4 7#i7 ,unsecur$ protect$ heal? in=mation ,! t]m unprotect$ heal? in=mation has ! mean+ giv5 su* t]m = purposes ( ! ,,hipaa regulations4 4 7e7 ,use ( records 9 crim9al1 civil1 or adm9i/rative inve/igations1 actions1 or proce$+s ,subsection 7c7 ( section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7;c77 is am5d$ to read z foll[s3 7c7 ,use ( records 9 crim9al1 civil1 or adm9i/rative contexts ,except z o!rwise au?oriz$ by a c\rt ord] "u subsection 7b77#b77;,c7 or by ! cons5t ( ! pati5t1 a record ref]r$ to 9 subsection 7a71 or te/imony relay+ ! in=mation conta9$ !re91 may n be disclos$ or us$ 9 any civil1 crim9al1 adm9i/rative1 or legislative proce$+s conduct$ by any ,f$]al1 ,/ate1 or local au?ority1 includ+ ) respect to ! foll[+ activities3 7#a7 ,su* record or te/imony %all n be ent]$ into evid5ce 9 any crim9al prosecution or civil action be=e a ,f$]al or ,/ate c\rt4 7#b7 ,su* record or te/imony %all n =m "p ( ! record = decision or o!rwise be tak5 into acc\nt 9 any proce$+ be=e a ,f$]al1 ,/ate1 or local ag5cy4 7#c7 ,su* record or te/imony %all n be us$ by any ,f$]al1 ,/ate1 or local ag5cy = a law en=cem5t purpose or to conduct any law en=cem5t inve/igation4 7#d7 ,su* record or te/imony %all n be us$ 9 any application = a w>rant4 4 7f7 ,p5alties ,subsection 7f7 ( section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7 is am5d$ to read z foll[s3 7f7 ,p5alties ,! provisions ( sections #aagf & #aagg ( ! ,social ,security ,act %all apply to a violation ( ?is section to ! ext5t & 9 ! same mann] z su* provisions apply to a violation ( "p ,c ( title ,,xi ( su* ,act4 ,9 apply+ ! previ\s s5t5ce-- 7#a7 ! ref]5ce to ?is subsection 9 subsection 7a77#b7 ( su* section #aagf %all be treat$ z a ref]5ce to ?is subsection 7includ+ z appli$ pursuant to section #edc7;f7 ( ! ,public ,heal? ,s]vice ,act72 & 7#b7 9 subsection 7b7 ( su* section #aagf-- 7,a7 ea* ref]5ce to a p5alty impos$ "u subsection 7a7 %all be treat$ z a ref]5ce to a p5alty impos$ "u subsection 7a7 7includ+ z appli$ pursuant to section #edc7;f7 ( ! ,public ,heal? ,s]vice ,act72 & 7,b7 ea* ref]5ce to no damages obta9$ "u subsection 7d7 %all be treat$ z a ref]5ce to no damages obta9$ "u subsection 7d7 7includ+ z appli$ pursuant to section #edc7;f7 ( ! ,public ,heal? ,s]vice ,act74 4 7g7 ,antidiscrim9ation ,section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7 is am5d$ by ins]t+ aft] subsection 7h7 ! foll[+3 7i7 ,antidiscrim9ation 7#a7 ,9 g5]al ,no entity %all discrim9ate aga9/ an individual on ! basis ( in=mation receiv$ by su* entity pursuant to an inadv]t5t or int5tional disclosure ( records1 or in=mation conta9$ 9 records1 describ$ 9 subsection 7a7 9-- 7,a7 admission1 access to1 or treatm5t = heal? c>e2 7,b7 hir+1 fir+1 or t]ms ( employm5t1 or receipt ( work]'s comp5sation2 7,c7 ! sale1 r5tal1 or cont9u$ r5tal ( h\s+2 7,d7 access to ,f$]al1 ,/ate1 or local c\rts2 or 7,e7 access to1 approval (1 or ma9t5ance ( social s]vices & b5efits provid$ or fund$ by ,f$]al1 ,/ate1 or local gov]nm5ts4 7#b7 ,recipi5ts ( ,f$]al funds ,no recipi5t ( ,f$]al funds %all discrim9ate aga9/ an individual on ! basis ( in=mation receiv$ by su* recipi5t pursuant to an int5tional or inadv]t5t disclosure ( su* records or in=mation conta9$ 9 records describ$ 9 subsection 7a7 9 af=d+ access to ! s]vices provid$ ) su* funds4 4 7h7 ,notification 9 case ( brea* ,section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b71 z am5d$ by subsection 7g71 is fur!r am5d$ by ins]t+ aft] subsection 7i7 ! foll[+3 7j7 ,notification 9 case ( brea* ,! provisions ( section #acdjb ( ! ,,hite* ,act 7#db ,u4,s4,c4 #agicb7 %all apply to a program or activity describ$ 9 subsection 7a71 9 case ( a brea* ( records describ$ 9 subsection 7a71 to ! same ext5t & 9 ! same mann] z su* provisions apply to a cov]$ entity 9 ! case ( a brea* ( unsecur$ protect$ heal? in=mation4 4 7i7 ,regulations 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) appropriate ,f$]al ag5cies1 %all make su* revisions to regulations z may be necess>y = implem5t+ & en=c+ ! am5dm5ts made by ?is section1 su* t su* am5dm5ts %all apply ) respect to uses & disclosures ( in=mation occurr+ on or aft] ! date t is #ab mon?s aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,easily und]/&able notice ( privacy practices ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) appropriate legal1 cl9ical1 privacy1 & civil rights exp]ts1 %all update section #afd4ebj ( title #de1 ,code ( ,f$]al ,regulations1 s t cov]$ entities & entities creat+ or ma9ta9+ ! records describ$ 9 subsection 7a7 provide notice1 writt5 9 pla9 language1 ( privacy practices reg>d+ pati5t records ref]r$ to 9 section #edc7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7;a771 includ+-- 7,a7 a /atem5t ( ! pati5t's rights1 includ+ self-pay pati5ts1 ) respect to protect$ heal? in=mation & a brief description ( h[ ! individual may ex]cise ^! rights 7z requir$ by subsection 7b77#a77;iv7 ( su* section #afd4ebj72 & 7,b7 a description ( ea* purpose = :i* ! cov]$ entity is p]mitt$ or requir$ to use or disclose protect$ heal? in=mation )\t ! pati5t's writt5 au?orization 7z requir$ by subsection 7b77#b7 ( su* section #afd4ebj74 7j7 ,rules ( con/ruction ,no?+ 9 ?is title or ! am5dm5ts made by ?is title %all be con/ru$ to limit-- 7#a7 a pati5t's "r1 z describ$ 9 section #afd4ebb ( title #de1 ,code ( ,f$]al ,regulations1 or any successor regulation1 to reque/ a re/riction on ! use or disclosure ( a record ref]r$ to 9 section #edc7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7;a77 = purposes ( treatm5t1 paym5t1 or heal? c>e op]ations2 or 7#b7 a cov]$ entity's *oice1 z describ$ 9 section #afd4ejf ( title #de1 ,code ( ,f$]al ,regulations1 or any successor regulation1 to obta9 ! cons5t ( ! individual to use or disclose a record ref]r$ to 9 su* section #edc7;a7 to c>ry out treatm5t1 paym5t1 or heal? c>e op]ation4 7k7 ,s5se ( ,congress ,x is ! s5se ( ! ,congress t-- 7#a7 any p]son treat+ a pati5t ?r\gh a program or activity ) respect to :i* ! confid5tiality requirem5ts ( section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7 apply is enc\rag$ to access ! applicable ,/ate-bas$ prescription drug monitor+ program :5 cl9ically appropriate2 7#b7 pati5ts h ! "r to reque/ a re/riction on ! use or disclosure ( a record ref]r$ to 9 section #edc7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7;a77 = treatm5t1 paym5t1 or heal? c>e op]ations2 7#c7 cov]$ entities %\ld make e reasonable ef=t to ! ext5t feasible to comply ) a pati5t's reque/ = a re/riction reg>d+ su* use or disclosure2 7#d7 = purposes ( apply+ section #afd4eja ( title #de1 ,code ( ,f$]al ,regulations1 ! def9ition ( heal? c>e op]ations %all h ! mean+ giv5 su* t]m 9 su* section1 except t clause 7v7 ( p>agraph 7#f7 %all n apply2 & 7#e7 programs creat+ records ref]r$ to 9 section #edc7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7;a77 %\ld receive positive inc5tives = discuss+ ) _! pati5ts ! b5efits to cons5t+ to %>e su* records4 #dbbb4 ,nutrition s]vices 7a7 ,def9itions ,9 ?is section1 ! t]ms ,assi/ant ,secret>y1 ,secret>y1 ,/ate ag5cy1 & area ag5cy on ag+ h ! mean+s giv5 ! t]ms 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7b7 ,nutrition s]vices transf] crit]ia ,dur+ any portion ( ! ,,covid-#ai public heal? em]g5cy decl>$ "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d71 ! ,secret>y %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 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbc7;b771 betwe5 subp>t #a & subp>t #b ( "p ,c 7#db ,u4,s4,c4 #cjcj;d-#b 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$4 7c 7 ,home-deliv]$ nutrition s]vices waiv] ,= purposes ( ,/ate ag5cies det]m9+ ! deliv]y ( nutrition s]vices "u section #ccg ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;g71 dur+ ! p]iod ( ! ,,covid-#ai public heal? em]g5cy decl>$ "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d71 ! same mean+ %all be giv5 to an individual :o is unable to obta9 nutrition because ! individual is practic+ social di/anc+ due to ! em]g5cy z is giv5 to an individual :o is homeb\nd by reason ( illness4 7d7 ,diet>y guidel9es waiv] ,to facilitate implem5tation ( subp>ts #a & #b ( "p ,c ( title ,,iii ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;d-#b et seq47 dur+ any portion ( ! ,,covid-#ai public heal? em]g5cy decl>$ "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d71 ! ,assi/ant ,secret>y %all waive ! requirem5ts = meals provid$ "u ^? subp>ts to comply ) ! requirem5ts ( clauses 7i7 & 7ii7 ( section #cci7b77;,a7 ( su* ,act 7#db ,u4,s4,c4 #cjcj;g-#ba7b77;,a774 #dbbc4 ,guidance on protect$ heal? in=mation ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance on ! %>+ ( pati5ts' protect$ heal? in=mation pursuant to section #afj4ajc ( title #de1 ,code ( ,f$]al ,regulations 7or any successor regulations7 dur+ ! public heal? em]g5cy decl>$ by ! ,secret>y ( ,heal? & ,human ,s]vices "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d7 ) respect to ,,covid-#ai1 dur+ ! em]g5cy involv+ ,f$]al prim>y responsibility det]m9$ to exi/ by ! ,presid5t "u section #eja7;b7 ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eaia7;b77 ) respect to ,,covid-#ai1 & dur+ ! national em]g5cy decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act 7#ej ,u4,s4,c4 #afja et seq47 ) respect to ,,covid-#ai4 ,su* guidance %all include in=mation on compliance ) ! regulations promulgat$ pursuant to section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note7 & applicable policies1 includ+ su* policies t may come into effect dur+ su* em]g5cies4 #dbbd4 ,reau?orization ( heal?y />t program ,section #ccj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#h7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a71 by /rik+ 1 dur+ fiscal ye> #bjja & subsequ5t ye>s12 & 7,b7 9 p>agraph 7#b71 by ins]t+ or increas+ above ! national av]age aft] areas ) high2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by /rik+ consum]s ( project s]vices1 public heal? dep>tm5ts1 hospitals1 heal? c5t]s "u section #ccj & ins]t+ p>ticipants & =m] p>ticipants ( project s]vices1 public heal? dep>tm5ts1 hospitals1 heal? c5t]s "u section #ccj1 ,/ate sub/ance abuse ag5cies2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by /rik+ su* z l[ bir?weight & ins]t+ includ+ poor bir? outcomes 7su* z l[ bir?weight & pret]m bir?7 & social det]m9ants ( heal?2 7ii7 by r$esignat+ subp>agraph 7,b7 z subp>agraph 7,c72 7iii7 by ins]t+ aft] subp>agraph 7,a71 ! foll[+3 7,b7 ,communities )-- 7i7 high rates ( infant mortality or poor p]9atal outcomes2 or 7ii7 high rates ( infant mortality or poor p]9atal outcomes 9 specific subpopulations )9 ! community4 2 & 7iv7 9 subp>agraph 7,c7 7z s r$esignat$7-- 7,i7 by r$esignat+ clauses 7i7 & 7ii7 z clauses 7ii7 & 7iii71 respectively2 7,,ii7 by ins]t+ be=e clause 7ii7 7z s r$esignat$7 ! foll[+3 7i7 collaboration ) ! local community 9 ! developm5t ( ! project2 2 7,,iii7 9 clause 7ii7 7z s r$esignat$71 by /rik+ & at ! end2 7,,iv7 9 clause 7iii7 7z s r$esignat$71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,v7 by add+ at ! end ! foll[+3 7iv7 ! use & collection ( data demon/rat+ ! effectiv5ess ( su* program 9 decreas+ infant mortality rates & improv+ p]9atal outcomes1 z applicable1 or ! process by :i* new applicants plan to collect ?is data4 2 7#c7 9 subsection 7c7-- 7,a7 by /rik+ ,recipi5ts ( grants & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,recipi5ts ( grants 2 & 7,b7 by add+ at ! end ! foll[+3 7#b7 ,o!r programs ,! ,secret>y %all ensure coord9ation ( ! program c>ri$ out pursuant to ?is section ) o!r programs & activities relat$ to ! r$uction ( ! rate ( infant mortality & improv$ p]9atal & infant heal? outcomes support$ by ! ,dep>tm5t4 2 7#d7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a71 by /rik+ appropriat$-- & all t foll[s ?r\gh ! end & ins]t+ appropriat$ #abb1ejj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd42 & 7,b7 9 p>agraph 7#b77;,b71 by add+ at ! end ! foll[+3 8,evaluations may also include1 to ! ext5t practicable1 in=mation relat$ to-- 7i7 progress t[>d a*iev+ any grant metrics or outcomes relat$ to r$uc+ infant mortality rates1 improv+ p]9atal outcomes1 or r$uc+ ! disp>ity 9 heal? /atus2 7ii7 recomm5dations on pot5tial improvem5ts t may assi/ ) address+ gaps1 z applicable & appropriate2 & 7iii7 ! ext5t to :i* ! grantee coord9at$ ) ! community 9 :i* ! grantee is locat$ 9 ! developm5t ( ! project & deliv]y ( s]vices1 includ+ ) respect to te*nical assi/ance & m5tor%ip programs4 2 & 7#e7 by add+ at ! end ! foll[+3 7f7 ,,gao report 7#a7 ,9 g5]al ,n lat] ?an #d ye>s aft] ! date ( ! enactm5t ( ?is subsection1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct an indep5d5t evaluation1 & submit to ! appropriate ,committees ( ,congress a report1 conc]n+ ! ,heal?y ,/>t program "u ?is section4 7#b7 ,evaluation ,9 conduct+ ! evaluation "u p>agraph 7#a71 ! ,comptroll] ,g5]al %all consid]1 z applicable & appropriate1 in=mation f ! evaluations "u subsection 7e77#b77;,b74 7#c7 ,report ,! report describ$ 9 p>agraph 7#a7 %all review1 assess1 & provide recomm5dations1 z appropriate1 on ! foll[+3 7,a7 ,! allocation ( ,heal?y ,/>t program grants by ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 includ+ consid]ations made by su* ,adm9i/ration reg>d+ disp>ities 9 infant mortality or p]9atal outcomes among urban & rural areas 9 mak+ su* aw>ds4 7,b7 ,tr5ds 9 ! progress made t[>d meet+ ! evaluation crit]ia pursuant to subsection 7e77#b77;,b71 includ+ programs :i* decrease infant mortality rates & improve p]9atal outcomes1 programs t h n decreas$ infant mortality rates or improv$ p]9atal outcomes1 & programs t h made an impact on disp>ities 9 infant mortality or p]9atal outcomes4 7,c7 ,! ability ( grantees to improve heal? outcomes = project p>ticipants1 promote ! aw>5ess ( ! ,heal?y ,/>t program s]vices1 incorporate & promote family p>ticipation1 facilitate coord9ation ) ! community 9 :i* ! grantee is locat$1 & increase grantee acc\ntability ?r\gh quality improvem5t1 p]=mance monitor+1 evaluation1 & ! effect su* metrics may h t[>d decreas+ ! rate ( infant mortality & improv+ p]9atal outcomes4 7,d7 ,! ext5t to :i* su* ,f$]al programs are coord9at$ across ag5cies & ! id5tification ( opportunities = improv$ coord9ation 9 su* ,f$]al programs & activities4 4 ,c ,innovation #dcja4 ,remov+ ! cap on ,,ota ,section #cai,l7c77#e77;,a77ii7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7c77#e77;,a77ii77 is am5d$ to read z foll[s3 7ii7 ,limitations on au?ority ,to ! maximum ext5t practicable1 competitive proc$ures %all be us$ :5 ent]+ into transactions to c>ry out projects "u ?is subsection4 4 #dcjb4 ,ext5d+ ! priority review program = ag5ts t pres5t national security ?reats ,section #efe;,a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#d;a7 is am5d$ by /rik+ subsection 7g74 #dcjc4 ,priority zoonotic animal drugs ,*apt] ,v ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cea et seq47 is am5d$ by ins]t+ aft] section #eab ! foll[+3 #eab;,a4 ,priority zoonotic animal drugs 7a7 ,9 g5]al ,! ,secret>y %all1 at ! reque/ ( ! sponsor int5d+ to submit an application = approval ( a new animal drug "u section #eab7;b77#a7 or an application = conditional approval ( a new animal drug "u section #ega1 exp$ite ! developm5t & review ( su* new animal drug if prelim9>y cl9ical evid5ce indicates t ! new animal drug1 alone or 9 comb9ation ) #a or m o!r animal drugs1 has ! pot5tial to prev5t or treat a zoonotic disease 9 animals1 includ+ a vector borne-disease1 t has ! pot5tial to cause s]i\s adv]se heal? consequ5ces =1 or s]i\s or life-?reat5+ diseases 91 humans4 7b7 ,reque/ = designation ,! sponsor ( a new animal drug may reque/ ! ,secret>y to designate a new animal drug describ$ 9 subsection 7a7 z a priority zoonotic animal drug4 ,a reque/ = ! designation may be made concurr5tly )1 or at any "t aft]1 ! op5+ ( an inve/igational new animal drug file "u section #eab7;j7 or ! fil+ ( an application "u section #eab7;b77#a7 or #ega4 7c7 ,designation 7#a7 ,9 g5]al ,n lat] ?an #fj cal5d> days aft] ! receipt ( a reque/ "u subsection 7b71 ! ,secret>y %all det]m9e :e!r ! new animal drug t is ! subject ( ! reque/ meets ! crit]ia describ$ 9 subsection 7a74 ,if ! ,secret>y det]m9es t ! new animal drug meets ! crit]ia1 ! ,secret>y %all designate ! new animal drug z a priority zoonotic animal drug & %all take su* actions z are appropriate to exp$ite ! developm5t & review ( ! application = approval or conditional approval ( su* new animal drug4 7#b7 ,actions ,! actions to exp$ite ! developm5t & review ( an application "u p>agraph 7#a7 may include1 z appropriate-- 7,a7 tak+ /eps to ensure t ! design ( cl9ical trials is z effici5t z practicable1 :5 sci5tifically appropriate1 su* z by utiliz+ novel trial designs or drug developm5t tools 7includ+ biom>k]s7 t may r$uce ! numb] ( animals ne$$ = /udies2 7,b7 provid+ timely advice to1 & int]active communication )1 ! sponsor 7:i* may include meet+s ) ! sponsor & review team7 reg>d+ ! developm5t ( ! new animal drug to ensure t ! developm5t program to ga!r ! noncl9ical & cl9ical data necess>y = approval is z effici5t z practicable2 7,c7 involv+ s5ior manag]s & review /aff ) exp]i5ce 9 zoonotic or vector-borne disease to facilitate collaborative1 cross-discipl9>y review1 includ+1 z appropriate1 across ag5cy c5t]s2 & 7,d7 implem5t+ additional adm9i/rative or process enhancem5ts1 z necess>y1 to facilitate an effici5t review & developm5t program4 4 ,d ,f9ance ,committee #ddja4 ,exemption = teleheal? s]vices 7a7 ,9 g5]al ,p>agraph 7#b7 ( section #bbc7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,safe h>bor = abs5ce ( d$uctible = teleheal? ,9 ! case ( plan ye>s beg9n+ on or be=e ,decemb] #ca1 #bjba1 a plan %all n fail to be treat$ z a high d$uctible heal? plan by reason ( fail+ to h a d$uctible = teleheal? & o!r remote c>e s]vices4 4 7b7 ,c]ta9 cov]age disreg>d$ ,clause 7ii7 ( section #bbc7;c77#a77;,b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ or long-t]m c>e & ins]t+ long-t]m c>e1 or 79 ! case ( plan ye>s beg9n+ on or be=e ,decemb] #ca1 #bjba7 teleheal? & o!r remote c>e4 7c7 ,effective date ,! am5dm5ts made by ?is section %all take effect on ! date ( ! enactm5t ( ?is ,act4 #ddjb4 ,inclusion ( c]ta9 ov]-!-c\nt] m$ical products z qualifi$ m$ical exp5ses 7a7 ,h,s,as ,section #bbc7;d77#b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$-- 7#a7 by /rik+ ! la/ s5t5ce ( subp>agraph 7,a7 & ins]t+ ! foll[+3 ,= purposes ( ?is subp>agraph1 am\nts paid = m5/rual c>e products %all be treat$ z paid = m$ical c>e42 & 7#b7 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,m5/rual c>e product ,= purposes ( ?is p>agraph1 ! t]m m5/rual c>e product means a tampon1 pad1 l9]1 cup1 sponge1 or simil> product us$ by individuals ) respect to m5/ruation or o!r g5ital-tract secretions4 4 7b7 ,ar*] ,m,s,as ,section #bbj7;d77#b77;,a7 ( su* ,code is am5d$ by /rik+ ! la/ s5t5ce & ins]t+ ! foll[+3 ,= purposes ( ?is subp>agraph1 am\nts paid = m5/rual c>e products 7z def9$ 9 section #bbc7;d77#b77;,d77 %all be treat$ z paid = m$ical c>e44 7c7 ,heal? flexible sp5d+ arrangem5ts & heal? reimbursem5t arrangem5ts ,section #ajf ( su* ,code is am5d$ by /rik+ subsection 7f7 & ins]t+ ! foll[+ new subsection3 7f7 ,reimbursem5ts = m5/rual c>e products ,= purposes ( ?is section & section #aje1 exp5ses incurr$ = m5/rual c>e products 7z def9$ 9 section #bbc7;d77#b77;,d77 %all be treat$ z incurr$ = m$ical c>e4 4 7d7 ,effective dates 7#a7 ,di/ributions f sav+s acc\nts ,! am5dm5t made by subsections 7a7 & 7b7 %all apply to am\nts paid aft] ,decemb] #ca1 #bjai4 7#b7 ,reimbursem5ts ,! am5dm5t made by subsection 7c7 %all apply to exp5ses incurr$ aft] ,decemb] #ca1 #bjai4 #ddjc4 ,treatm5t ( direct prim>y c>e s]vice arrangem5ts 7a7 ,9 g5]al ,section #bbc7;c77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,treatm5t ( direct prim>y c>e s]vice arrangem5ts 7i7 ,9 g5]al ,a direct prim>y c>e s]vice arrangem5t %all n be treat$ z a heal? plan = purposes ( subp>agraph 7,a77ii74 7ii7 ,direct prim>y c>e s]vice arrangem5t ,= purposes ( ?is p>agraph-- 7,i7 ,9 g5]al ,! t]m direct prim>y c>e s]vice arrangem5t means1 ) respect to any individual1 an arrangem5t "u :i* su* individual is provid$ m$ical c>e 7z def9$ 9 section #bac7;d77 consi/+ solely ( prim>y c>e s]vices provid$ by prim>y c>e practition]s 7z def9$ 9 section #ahcc7x77#b77;,a7 ( ! ,social ,security ,act1 det]m9$ )\t reg>d to clause 7ii7 !re(71 if ! sole comp5sation = su* c>e is a fix$ p]iodic fee4 7,,ii7 ,limitation ,) respect to any individual = any mon?1 su* t]m %all n include any arrangem5t if ! aggregate fees = all direct prim>y c>e s]vice arrangem5ts 7det]m9$ )\t reg>d to ?is subclause7 ) respect to su* individual = su* mon? exce$ #aej 7twice su* doll> am\nt 9 ! case ( an individual ) any direct prim>y c>e s]vice arrangem5t 7z s det]m9$7 t cov]s m ?an "o individual74 7iii7 ,c]ta9 s]vices specifically exclud$ f treatm5t z prim>y c>e s]vices ,= purposes ( ?is p>agraph1 ! t]m prim>y c>e s]vices %all n include-- 7,i7 proc$ures t require ! use ( g5]al ane/hesia1 & 7,,ii7 laboratory s]vices n typically adm9i/]$ 9 an ambulatory prim>y c>e sett+4 ,! ,secret>y1 aft] consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all issue regulations or o!r guidance reg>d+ ! application ( ?is clause4 4 7b7 ,direct prim>y c>e s]vice arrangem5t fees treat$ z m$ical exp5ses ,section #bbc7;d77#b77;,c7 is am5d$ by /rik+ or at ! end ( clause 7iii71 by /rik+ ! p]iod at ! end ( clause 7iv7 & ins]t+ 1 or1 & by add+ at ! end ! foll[+ new clause3 7v7 any direct prim>y c>e s]vice arrangem5t4 4 7c7 ,inflation adju/m5t ,section #bbc7;g77#a7 ( su* ,code is am5d$-- 7#a7 by ins]t+ 1 7c77#a77;,d77ii77,,ii71 aft] 7b77#b71 ea* place su* t]m appe>s1 & 7#b7 9 subp>agraph 7,b71 by ins]t+ & 7iii7 aft] clause 7ii7 9 clause 7i71 by /rik+ & at ! end ( clause 7i71 by /rik+ ! p]iod at ! end ( clause 7ii7 & ins]t+ 1 &1 & by ins]t+ aft] clause 7ii7 ! foll[+ new clause3 7iii7 9 ! case ( ! doll> am\nt 9 subsection 7c77#a77;,d77ii77,,ii7 = taxable ye>s beg9n+ 9 cal5d> ye>s aft] #bjbj1 cal5d> ye> #bjai4 04 7d7 ,report+ ( direct prim>y c>e s]vice arrangem5t fees on w-#b ,section #fjea7;a7 ( su* ,code is am5d$ by /rik+ & at ! end ( p>agraph 7#af71 by /rik+ ! p]iod at ! end ( p>agraph 7#ag7 & ins]t+ 1 &1 & by ins]t+ aft] p>agraph 7#ag7 ! foll[+ new p>agraph3 7#ah7 9 ! case ( a direct prim>y c>e s]vice arrangem5t 7z def9$ 9 section #bbc7;c77#a77;,d77ii77 :i* is provid$ 9 connection ) employm5t1 ! aggregate fees = su* arrangem5t = su* employee4 4 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply to mon?s beg9n+ aft] ,decemb] #ca1 #bjai1 9 taxable ye>s end+ aft] su* date4 #ddjd4 ,increas+ ,m$ic>e teleheal? flexibilities dur+ em]g5cy p]iod ,section #aace ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7 is am5d$-- 7#a7 9 subsection 7b77#h71 by /rik+ to an individual by a qualifi$ provid] 7z def9$ 9 subsection 7g77#c77 & all t foll[s ?r\gh ! p]iod & ins]t+ 1 ! requirem5ts ( section #ahcd7m742 & 7#b7 9 subsection 7g71 by /rik+ p>agraph 7#c74 #ddje4 ,enhanc+ ,m$ic>e teleheal? s]vices = ,f$]ally qualifi$ heal? c5t]s & rural heal? cl9ics dur+ em]g5cy p]iod ,section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$-- 7#a7 9 ! fir/ s5t5ce ( p>agraph 7#a71 by /rik+ ,! ,secret>y & ins]t+ ,subject to p>agraph 7#h71 ! ,secret>y2 7#b7 9 p>agraph 7#b77;,a71 by /rik+ ,! ,secret>y & ins]t+ ,subject to p>agraph 7#h71 ! ,secret>y2 7#c7 9 p>agraph 7#d7-- 7,a7 9 subp>agraph 7,a71 by /rik+ ,! t]m & ins]t+ ,subject to p>agraph 7#h71 ! t]m2 & 7,b7 9 subp>agraph 7,f77i71 by /rik+ ,! t]m & ins]t+ ,subject to p>agraph 7#h71 ! t]m2 & 7#d7 by add+ at ! end ! foll[+ new p>agraph3 7#h7 ,enhanc+ teleheal? s]vices = ,f$]ally qualifi$ heal? c5t]s & rural heal? cl9ics dur+ em]g5cy p]iod 7,a7 ,9 g5]al ,dur+ ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7-- 7i7 ! ,secret>y %all pay = teleheal? s]vices t are furni%$ via a telecommunications sy/em by a ,f$]ally qualifi$ heal? c5t] or a rural heal? cl9ic to an eligible teleheal? individual enroll$ "u ?is "p not)/&+ t ! ,f$]ally qualifi$ heal? c5t] or rural cl9ic provid+ ! teleheal? s]vice is n at ! same location z ! b5efici>y2 7ii7 ! am\nt ( paym5t to a ,f$]ally qualifi$ heal? c5t] or rural heal? cl9ic t s]ves z a di/ant site = su* a teleheal? s]vice %all be det]m9$ "u subp>agraph 7,b72 & 7iii7 = purposes ( ?is subsection-- 7,i7 ! t]m di/ant site includes a ,f$]ally qualifi$ heal? c5t] or rural heal? cl9ic t furni%es a teleheal? s]vice to an eligible teleheal? individual2 & 7,,ii7 ! t]m teleheal? s]vices includes a rural heal? cl9ic s]vice or ,f$]ally qualifi$ heal? c5t] s]vice t is furni%$ us+ teleheal? to ! ext5t t paym5t codes correspond+ to s]vices id5tifi$ by ! ,secret>y "u clause 7i7 or 7ii7 ( p>agraph 7#d77;,f7 are li/$ on ! correspond+ claim = su* rural heal? cl9ic s]vice or ,f$]ally qualifi$ heal? c5t] s]vice4 7,b7 ,special paym5t rule ,! ,secret>y %all develop & implem5t paym5t me?ods t apply "u ?is subsection to a ,f$]ally qualifi$ heal? c5t] or rural heal? cl9ic t s]ves z a di/ant site t furni%es a teleheal? s]vice to an eligible teleheal? individual dur+ su* em]g5cy p]iod4 ,su* paym5t me?ods %all be bas$ on a composite rate t is simil> to ! paym5t t applies to paym5t = comp>able teleheal? s]vices "u ! physician fee s*$ule "u section #ahdh4 ,not)/&+ any o!r provision ( law1 ! ,secret>y may implem5t su* paym5t me?ods ?r\gh program in/ruction or o!rwise4 4 #ddjf4 ,tempor>y waiv] ( requirem5t = face-to-face visits betwe5 home dialysis pati5ts & physicians ,section #ahha7;b77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acierr7b77#c77;,b77 is am5d$-- 7#a7 9 clause 7i71 by /rik+ clause 7ii7 & ins]t+ clauses 7ii7 & 7iii72 7#b7 9 clause 7ii71 9 ! matt] prec$+ subclause 7,i71 by /rik+ ,clause 7i7 & ins]t+ ,except z provid$ 9 clause 7iii71 clause 7i72 & 7#c7 by add+ at ! end ! foll[+ new clause3 7iii7 ,! ,secret>y may waive ! provisions ( clause 7ii7 dur+ ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b74 4 #ddjg4 ,improv+ c>e plann+ = ,m$ic>e home heal? s]vices 7a7 ,"p ,a provisions ,section #ahad7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;f7a77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 a nurse practition] or cl9ical nurse speciali/ 7z su* t]ms are def9$ 9 section #ahfa7;aa77#e77 :o is work+ 9 accordance ) ,/ate law1 or a physician assi/ant 7z def9$ 9 section #ahfa7;aa77#e77 "u ! sup]vision ( a physician1 :o is aft] 9 ! case ( s]vices describ$ 9 subp>agraph 7,c71 a physician2 & 7,b7 9 subp>agraph 7,c7-- 7i7 by ins]t+ 1 a nurse practition]1 a cl9ical nurse speciali/1 or a physician assi/ant 7z ! case may be7 aft] physician ! fir/ #b times x appe>s2 & 7ii7 by /rik+ 1 &1 9 ! case ( a c]tification made by a physician & all t foll[s ?r\gh face-to-face enc\nt] & ins]t+ 1 &1 9 ! case ( a c]tification made by a physician aft] ,janu>y #a1 #bjaj1 or by a nurse practition]1 cl9ical nurse speciali/1 or physician assi/ant 7z ! case may be7 aft] a date specifi$ by ! ,secret>y 7b 9 no case lat] ?an ! date t is #f mon?s aft] ! date ( ! enactm5t ( ! ,,c>es ,act71 prior to mak+ su* c]tification a physician1 nurse practition]1 cl9ical nurse speciali/1 or physician assi/ant mu/ docum5t t a physician1 nurse practition]1 cl9ical nurse speciali/1 or physician assi/ant has _h a face-to-face enc\nt]2 7#b7 9 ! ?ird s5t5ce-- 7,a7 by /rik+ physician c]tification & ins]t+ c]tification2 7,b7 by ins]t+ 7or 9 ! case ( regulations to implem5t ! am5dm5ts made by section #ddjg ( ! ,,c>es ,act1 ! ,secret>y %all prescribe regulations1 :i* %all become effective no lat] ?an #f mon?s aft] ! enactm5t ( su* ,act77 aft] #aiha2 & 7,c7 by /rik+ a physician :o & ins]t+ a physician1 nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse-midwife1 or physician assi/ant :o2 & 7#c7 9 ! f\r? s5t5ce1 by ins]t+ 1 nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse-midwife1 or physician assi/ant aft] physician2 & 7#d7 9 ! fif? s5t5ce-- 7,a7 by ins]t+ or no lat] ?an six mon?s aft] ! enactm5t ( ?is legislation = purposes ( docum5tation = c]tification & rec]tification made "u p>agraph 7#b7 by a nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse-midwife1 or physician assi/ant12 & 7,b7 by ins]t+ 1 nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse-midwife1 or physician assi/ant aft] ( ! physician4 7b7 ,"p ,b provisions ,section #ahce7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acien7a77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 a nurse practition] or cl9ical nurse speciali/ 7z ^? t]ms are def9$ 9 section #ahfa7;aa77#e77 :o is work+ 9 accordance ) ,/ate law1 or a physician assi/ant 7z def9$ 9 section #ahfa7;aa77#e77 "u ! sup]vision ( a physician1 :o is aft] 9 ! case ( s]vices describ$ 9 subp>agraph 7,c71 a physician2 & 7,b7 9 subp>agraph 7,a7-- 7i7 9 ea* ( clauses 7ii7 & 7iii7 ( subp>agraph 7,a7 by ins]t+ 1 a nurse practition]1 a cl9ical nurse speciali/1 or a physician assi/ant 7z ! case may be7 aft] physician2 & 7ii7 9 clause 7iv71 by /rik+ aft] ,janu>y #a1 #bjaj & all t foll[s ?r\gh face-to-face enc\nt] & ins]t+ made by a physician aft] ,janu>y #a1 #bjaj1 or by a nurse practition]1 cl9ical nurse speciali/1 or physician assi/ant 7z ! case may be7 aft] a date specifi$ by ! ,secret>y 7b 9 no case lat] ?an ! date t is #f mon?s aft] ! date ( ! enactm5t ( ! ,,c>es ,act71 prior to mak+ su* c]tification a physician1 nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse-midwife1 or physician assi/ant mu/ docum5t t a physician1 nurse practition]1 cl9ical nurse speciali/1 or physician assi/ant has _h a face-to-face enc\nt]2 7#b7 9 ! ?ird s5t5ce1 by ins]t+ 1 nurse practition]1 cl9ical nurse speciali/1 or physician assi/ant 7z ! case may be7 aft] physician2 7#c7 9 ! f\r? s5t5ce-- 7,a7 by /rik+ physician c]tification & ins]t+ c]tification2 7,b7 by ins]t+ 7or 9 ! case ( regulations to implem5t ! am5dm5ts made by section #ddjg ( ! ,,c>es ,act ! ,secret>y %all prescribe regulations :i* %all become effective no lat] ?an #f mon?s aft] ! enactm5t ( su* ,act77 aft] #aiha2 & 7,c7 by /rik+ a physician :o & ins]t+ a physician1 nurse practition]1 cl9ical nurse speciali/1 or physician assi/ant :o2 7#d7 9 ! fif? s5t5ce1 by ins]t+ 1 nurse practition]1 cl9ical nurse speciali/1 or physician assi/ant aft] physician2 & 7#e7 9 ! six? s5t5ce-- 7,a7 by ins]t+ or no lat] ?an six mon?s aft] ! enactm5t ( ?is legislation = purposes ( docum5tation = c]tification & rec]ification made "u p>agraph 7#b7 by a nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse-midwife1 or physician assi/ant1 aft] ,janu>y #a1 #bjai2 & 7,b7 by ins]t+ 1 nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse-midwife1 or physician assi/ant aft] ( ! physician4 7c7 ,def9ition provisions 7#a7 ,home heal? s]vices ,section #ahfa7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7m77 is am5d$-- 7,a7 9 ! matt] prec$+ p>agraph 7#a7-- 7i7 by ins]t+ 1 a nurse practition] or a cl9ical nurse speciali/ 7z ^? t]ms are def9$ 9 subsection 7aa77#e771 or a physician assi/ant 7z def9$ 9 subsection 7aa77#e77 aft] physician ! fir/ place x appe>s2 & 7ii7 by ins]t+ 1 a nurse practition]1 a cl9ical nurse speciali/1 or a physician assi/ant aft] physician ! second place x appe>s2 & 7,b7 9 p>agraph 7#c71 by ins]t+ 1 a nurse practition]1 a cl9ical nurse speciali/1 or a physician assi/ant aft] physician4 7#b7 ,home heal? ag5cy ,section #ahfa7o77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7o77#b77 is am5d$-- 7,a7 by ins]t+ 1 nurse practition]s or cl9ical nurse speciali/s 7z ^? t]ms are def9$ 9 subsection 7aa77#e771 c]tifi$ nurse-midwives 7z def9$ 9 subsection 7gg771 or physician assi/ants 7z def9$ 9 subsection 7aa77#e77 aft] physicians2 & 7,b7 by ins]t+ 1 nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse-midwife1 physician assi/ant1 aft] physician4 7#c7 ,cov]$ o/eoporosis drug ,section #ahfa7kk77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7kk77#a77 is am5d$ by ins]t+ 1 nurse practition] or cl9ical nurse speciali/ 7z ^? t]ms are def9$ 9 subsection 7aa77#e771 c]tifi$ nurse-midwive 7z def9$ 9 subsection 7gg771 or physician assi/ant 7z def9$ 9 subsection #ahbj7;aa77#e77 aft] att5d+ physician4 7d7 ,home heal? prospective paym5t sy/em provisions ,section #ahie ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7 is am5d$-- 7#a7 9 subsection 7c77#a7-- 7,a7 by /rik+ 7provid$ "u section #ahdb7r772 & 7,b7 by ins]t+ ! #a nurse practition] or cl9ical nurse speciali/ 7z ^? t]ms are def9$ 9 section #ahfa7;aa77#e771 or ! physician assi/ant 7z def9$ 9 section #ahfa7;aa77#e77 aft] physician2 & 7#b7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a77;,a71 by ins]t+ or a nurse practition] or cl9ical nurse speciali/ 7z ^? t]ms are def9$ 9 section #ahfa7;aa77#e77 aft] physician2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 ! head+1 by /rik+ ,physician c]tification & ins]t+ ,rule ( con/ruction reg>d+ requirem5t = c]tification2 & 7ii7 by /rik+ physician4 7e7 ,application to ,m$icaid ,! am5dm5ts made "u ?is section %all apply "u title ,,xix ( ! ,social ,security ,act 9 ! same mann] & to ! same ext5t z su* requirem5ts apply "u title ,,xviii ( su* ,act or regulations promulgat$ !reund]4 7f7 ,effective date ,! ,secret>y ( ,heal? & ,human ,s]vices %all prescribe regulations to apply ! am5dm5ts made by ?is section to items & s]vices furni%$1 :i* %all become effective no lat] ?an six mon?s aft] ! enactm5t ( ?is legislation4 ,! ,secret>y %all promulgate an int]im f9al rule if necess>y1 to comply ) ! requir$ effective date4 #ddjh4 ,adju/m5t ( seque/ration 7a7 ,tempor>y susp5sion ( ,m$ic>e seque/ration ,dur+ ! p]iod beg9n+ on ,may #a1 #bjbj & end+ on ,decemb] #ca1 #bjbj1 ! ,m$ic>e programs "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 %all be exempt f r$uction "u any seque/ration ord] issu$ be=e1 on1 or aft] ! date ( enactm5t ( ?is ,act4 7b7 ,ext5sion ( direct sp5d+ r$uctions ?r\gh fiscal ye> #bjcj ,section #bea;,a7#f7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe 7#b ,u4,s4,c4 #ija;a7#f77 is am5d$-- 7#a7 9 subp>agraph 7,b71 9 ! matt] prec$+ clause 7i71 by /rik+ ?r\gh #bjbi & ins]t+ ?r\gh #bjcj2 & 7#b7 9 subp>agraph 7,c71 9 ! matt] prec$+ clause 7i71 by /rik+ fiscal ye> #bjbi & ins]t+ fiscal ye> #bjcj4 #ddji4 ,m$ic>e hospital inpati5t prospective paym5t sy/em add-on paym5t = covid-#ai pati5ts dur+ em]g5cy p]iod 7a7 ,9 g5]al ,section #ahhf7;d77#d77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#d77;,c77 is am5d$ by add+ at ! end ! foll[+ new clause3 7iv7 7,i7 ,= dis*>ges occurr+ dur+ ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b71 9 ! case ( a dis*>ge t has a pr9cipal or second>y diagnosis ( ,,covid-#ai1 ! ,secret>y %all increase ! weight+ factor = ea* diagnosis-relat$ gr\p 7) su* a pr9cipal or second>y diagnosis7 by #ae p]c5t4 7,,ii7 ,any adju/m5t "u subclause 7,i7 %all n be tak5 into acc\nt 9 apply+ budget neutrality "u clause 7iii74 4 7b7 ,implem5tation ,not)/&+ any o!r provision ( law1 ! ,secret>y may implem5t ! am5dm5t made by subsection 7a7 by program in/ruction or o!rwise4 #ddaj4 ,revis+ paym5t rates = durable m$ical equipm5t "u ! ,m$ic>e program ?r\gh duration ( em]g5cy p]iod 7a7 ,rural & noncontigu\s areas ,! ,secret>y ( ,heal? & ,human ,s]vices %all implem5t section #dad4baj7;g77#i77;iii7 ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation71 to apply ! transition rule describ$ 9 su* section to all applicable items & s]vices furni%$ 9 rural areas & noncontigu\s areas 7z su* t]ms are def9$ = purposes ( su* section7 z plann$ ?r\gh ,decemb] #ca1 #bjbj1 & ?r\gh ! duration ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b771 if long]4 7b7 ,areas o!r ?an rural & noncontigu\s areas ,) respect to items & s]vices furni%$ on or aft] ! date t is #cj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all apply section #dad4baj7;g77#i77;iv7 ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation71 z if ! ref]5ce to dates ( s]vice f ,june #a1 #bjah ?r\gh ,decemb] #ca1 #bjbj1 bas$ on ! fee s*$ule am\nt = ! area is equal to #ajj p]c5t ( ! adju/$ paym5t am\nt e/abli%$ "u ?is section 7 in/ead a ref]5ce to dates ( s]vice f ,m>* #f1 #bjbj1 ?r\gh ! rema9d] ( ! duration ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b771 bas$ on ! fee s*$ule am\nt = ! area is equal to #ge p]c5t ( ! adju/$ paym5t am\nt e/abli%$ "u ?is section & #be p]c5t ( ! unadju/$ fee s*$ule am\nt4 #ddaa4 ,provid+ home & community-bas$ s]vices 9 acute c>e hospitals ,section #aijb7;h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7h77 is am5d$-- 7#a7 by ins]t+ 7#a7 aft] 7h72 7#b7 by ins]t+ 1 home & community-bas$ s]vices provid$ "u subsection 7c71 7d71 or 7i7 ( section #aiae or "u a waiv] "u section #aaae1 self-direct$ p]sonal assi/ance s]vices provid$ pursuant to a writt5 plan ( c>e "u section #aiae7;j71 & home & community-bas$ att5dant s]vices & supports "u section #aiae7k7 be=e ! p]iod2 & 7#c7 by add+ at ! end ! foll[+3 7#b7 ,no?+ 9 ?is title1 title ,,xviii1 or title ,,xi %all be con/ru$ z prohibit+ receipt ( any c>e or s]vices specifi$ 9 p>agraph 7#a7 9 an acute c>e hospital t are-- 7,a7 id5tifi$ 9 an individual's p]son-c5t]$ plan ( s]vices & supports 7or comp>able plan ( c>e72 7,b7 provid$ to meet ne$s ( ! individual t are n met ?r\gh ! provision ( hospital s]vices2 7,c7 n a sub/itute = s]vices t ! hospital is obligat$ to provide ?r\gh its conditions ( p>ticipation or "u ,f$]al or ,/ate law2 & 7,d7 design$ to ensure smoo? transitions betwe5 acute c>e sett+s & home & community-bas$ sett+s1 & to pres]ve ! individual's functions4 4 #ddab4 ,treatm5t ( te*nology-enabl$ collaborative le>n+ & capacity build+ models z m$ical assi/ance ,section #aiae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifn7 is am5d$ by add+ at ! end ! foll[+3 7m7 ,te*nology-enabl$ collaborative le>n+ & capacity build+ models 7#a7 ,9 g5]al ,a ,/ate may provide1 z m$ical assi/ance1 a te*nology-enabl$ collaborative le>n+ & capacity build+ model us$ by a provid] p>ticipat+ "u ! ,/ate plan 7or a waiv] ( su* plan7 )\t reg>d to ! requirem5ts ( section #aijb7;a77#a7 7relat+ to /atewid5ess71 section #aijb7;a77#aj77;,b7 7relat+ to comp>ability71 & section #aijb7;a77#bc7 7relat+ to fre$om ( *oice ( provid]s74 7#b7 ,requirem5ts ,a ,/ate %all be eligible = ,f$]al f9ancial assi/ance = provid+ su* m$ical assi/ance "u ! foll[+ conditions3 7,a7 ,a p>ticipat+ provid] uses ! te*nology-enabl$ collaborative le>n+ & capacity build+ model to tra9 heal? pr(essionals 7:i* may include m$ical /ud5ts7 9 protocols = respond+ to a public heal? em]g5cy dur+ an em]g5cy p]iod1 includ+ any p]iod relat+ to an outbreak ( coronavirus disease #bjai 7,,covid-#ai74 7,b7 ,9 accordance ) section #aijb7;a77#be71 !re are no o!r ?ird p>ties liable to pay = ! use ( su* model by a p>ticipat+ provid]1 includ+ z reimbursem5t "u a m$ical1 social1 educational1 or o!r program4 7,c7 ,! ,/ate allocates ! co/s ( any "p ( ! use su* model :i* is reimbursable "u ano!r f$]ally fund$ program 9 accordance ) ,,omb ,circul> ,a-#hg 7or any relat$ or successor guidance or regulations reg>d+ allocation ( co/s among f$]ally fund$ programs7 "u an approv$ co/ allocation program4 7#c7 ,nonapplication ( "t limits ,subsection 7h7 %all n apply to ! provision ( m$ical assi/ance = te*nology-enabl$ collaborative le>n+ & capacity build+ models "u ?is subsection4 7#d7 ,def9itions ,9 ?is subsection3 7,a7 ,em]g5cy p]iod ,! t]m em]g5cy p]iod has ! mean+ giv5 t t]m 9 section #aace7;g77#a74 7,b7 ,te*nology-enabl$ collaborative le>n+ & capacity build+ model ,! t]m te*nology-enabl$ collaborative le>n+ & capacity build+ model has ! mean+ giv5 t t]m 9 section #b7g7 ( ! ,exp&+ ,capacity = ,heal? ,outcomes ,act 7,public ,law #aad-bgj1 #acj ,/at4 #acie74 4 #ddac4 ,enc\rag+ ! developm5t & use ( ,,dis>m antimicrobial drugs 7a7 ,additional paym5t = ,,dis>m antimicrobial drugs "u ,m$ic>e 7#a7 ,9 g5]al ,section #ahhf7;d77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#e77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,m7 7i7 7,i7 ,9 ! case ( dis*>ges occurr+ on or aft] ,octob] #a1 #bjba1 & be=e ,octob] #a1 #bjbf1 subject to subclause 7,,ii71 ! ,secret>y %all1 aft] notice & opportunity = public comm5t 79 ! publications requir$ by subsection 7e77#e7 = a fiscal ye> or o!rwise71 provide = an additional paym5t "u a me*anism 7sep>ate f ! me*anism e/abli%$ "u subp>agraph 7,k771 ) respect to su* dis*>ges involv+ any ,,dis>m antimicrobial drug1 9 an am\nt equal to-- 7aa7 ! am\nt payable "u section #ahdg;,a = su* drug dur+ ! cal5d> qu>t] 9 :i* ! dis*>ge occurr$2 or 7bb7 if no am\nt = su* drug is det]m9$ "u section #ahdg;,a1 an am\nt to be det]m9$ by ! ,secret>y 9 a mann] simil> to ! mann] 9 :i* paym5t am\nts are det]m9$ "u section #ahdg;,a bas$ on in=mation submitt$ by ! manufactur] or sponsor ( su* drug 7z requir$ "u clause 7v774 7,,ii7 ,9 det]m9+ ! am\nt payable "u section #ahdg;,a = purposes ( items 7aa7 & 7bb7 ( subclause 7,i71 subp>agraphs 7,a7 & 7,b7 ( subsection 7b77#a7 ( su* section %all be appli$ by sub/itut+ #ajj p]c5t = #ajf p]c5t ea* place x appe>s & p>agraph 7#h77;,b7 ( su* section %all be appli$ by sub/itut+ #j p]c5t = #f p]c5t4 7ii7 ,= purposes ( ?is subp>agraph1 a ,,dis>m antimicrobial drug is-- 7,i7 a drug-- 7aa7 t-- 7,,aa7 is approv$ by ! ,food & ,drug ,adm9i/ration2 7,,bb7 is designat$ by ! ,food & ,drug ,adm9i/ration z a qualifi$ infecti\s disease product "u subsection 7d7 ( section #eje;,e ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act2 & 7,,cc7 has receiv$ an ext5sion ( its exclusivity p]iod pursuant to subsection 7a7 ( su* section2 & 7bb7 t has be5 designat$ by ! ,secret>y pursuant to ! process e/abli%$ "u clause 7iv77,i77bb72 or 7,,ii7 an antibact]ial or antifungal biological product-- 7aa7 t is lic5s$ = use1 or an antibact]ial or antifungal biological product = :i* an indication is fir/ lic5s$ = use1 by ! ,food & ,drug ,adm9i/ration on or aft] ,june #e1 #bjad1 "u section #cea7;a7 ( ! ,public ,heal? ,s]vice ,act = human use to treat s]i\s or life-?reat5+ infections1 z det]m9$ by ! ,food & ,drug ,adm9i/ration1 includ+ ^? caus$ by1 or likely to be caus$ by-- 7,,aa7 an antibact]ial or antifungal resi/ant pa?og51 includ+ novel or em]g+ infecti\s pa?og5s2 or 7,,bb7 a qualify+ pa?og5 7z def9$ "u section #eje;,e7f7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act72 & 7bb7 has be5 designat$ by ! ,secret>y pursuant to ! process e/abli%$ "u clause 7iv77,i77bb74 7iii7 ,! me*anism e/abli%$ pursuant to clause 7i7 %all provide t ! additional paym5t "u clause 7i7 %all-- 7,i7 ) respect to a dis*>ge1 only be made to a subsection 7d7 hospital t1 z det]m9$ by ! ,secret>y-- 7aa7 is p>ticipat+ 9 ! ,national ,heal?c>e ,safety ,network ,antimicrobial ,use & ,resi/ance ,module ( ! ,c5t]s = ,disease ,control & ,prev5tion or a simil> report+ program1 z specifi$ by ! ,secret>y1 relat+ to antimicrobial drugs2 & 7bb7 has an antimicrobial /ew>d%ip program t aligns ) ! ,core ,elem5ts ( ,hospital ,antibiotic ,/ew>d%ip ,programs ( ! ,c5t]s = ,disease ,control & ,prev5tion or ! ,antimicrobial ,/ew>d%ip ,/&>d set by ! ,jo9t ,commission2 & 7,,ii7 apply to dis*>ges occurr+ on or aft] ,octob] #a ( ! ye> 9 :i* ! drug or biological product is designat$ by ! ,secret>y z a ,,dis>m antimicrobial drug4 7iv7 7,i7 ,! me*anism e/abli%$ pursuant to clause 7i7 %all provide = a process =-- 7aa7 a manufactur] or sponsor ( a drug or biological product to reque/ ! ,secret>y to designate ! drug or biological product z a ,,dis>m antimicrobial drug2 & 7bb7 ! designation by ! ,secret>y ( drugs & biological products z ,,dis>m antimicrobial drugs4 7,,ii7 ,a designation ( a drug or biological product z a ,,dis>m antimicrobial drug may be revok$ by ! ,secret>y if ! ,secret>y det]m9es t-- 7aa7 ! drug or biological product no long] meets ! requirem5ts = a ,,dis>m antimicrobial drug "u clause 7ii72 7bb7 ! reque/ = su* designation conta9$ an untrue /atem5t ( mat]ial fact2 or 7cc7 cl9ical or o!r in=mation t 0 n available to ! ,secret>y at ! "t su* designation 0 made %[s t-- 7,,aa7 su* drug or biological product is unsafe = use or n %[n to be safe = use = individuals :o are entitl$ to b5efits "u "p ,a2 or 7,,bb7 an alt]native to su* drug or biological product is an advance t sub/antially improves ! diagnosis or treatm5t ( su* individuals4 7,,iii7 ,n lat] ?an ,octob] #a1 #bjba1 & annually !reaft] ?r\gh ,octob] #a1 #bjbe1 ! ,secret>y %all publi% 9 ! ,f$]al ,regi/] a li/ ( ! ,,dis>m antimicrobial drugs designat$ "u ?is subp>agraph pursuant to ! process e/abli%$ "u clause 7iv77,i77bb74 7v7 7,i7 ,= purposes ( det]m9+ additional paym5t am\nts "u clause 7i71 a manufactur] or sponsor ( a drug or biological product t submits a reque/ describ$ 9 clause 7iv77,i77aa7 %all submit to ! ,secret>y in=mation describ$ 9 section #aibg7;b77#c77;,a77iii74 7,,ii7 ,! p5alties = failure to provide timely in=mation "u clause 7i7 ( subp>agraph 7,c7 ( section #aibg7;b77#c7 & = provid+ false in=mation "u clause 7ii7 ( su* subp>agraph %all apply to manufactur]s & sponsors ( a drug or biological product "u ?is section ) respect to in=mation "u subclause 7,i7 9 ! same mann] z su* p5alties apply to manufactur]s "u su* clauses ) respect to in=mation "u subp>agraph 7,a7 ( su* section4 7vi7 ,! me*anism e/abli%$ pursuant to clause 7i7 %all provide t-- 7,i7 except z provid$ 9 subclause 7,,ii71 no additional paym5t %all be made "u ?is subp>agraph = dis*>ges involv+ a ,,dis>m antimicrobial drug if any additional paym5ts h be5 made = dis*>ges involv+ su* drug z a new m$ical s]vice or te*nology "u subp>agraph 7,k72 7,,ii7 additional paym5ts may be made "u ?is subp>agraph = dis*>ges involv+ a ,,dis>m antimicrobial drug if any additional paym5ts h be5 made = dis*>ges occurr+ prior to ! date ( enactm5t ( ?is subp>agraph involv+ su* drug z a new m$ical s]vice or te*nology "u subp>agraph 7,k72 & 7,,iii7 no additional paym5t %all be made "u subp>agraph 7,k7 = dis*>ges involv+ a ,,dis>m antimicrobial drug z a new m$ical s]vice or te*nology if any additional paym5ts = dis*>ges involv+ su* drug h be5 made "u ?is subp>agraph4 4 7#b7 ,con=m+ am5dm5t ,section #ahhf7;d77#e77,k77ii77,,iii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#e77,k77ii77,,iii77 is am5d$ by /rik+ provide & ins]t+ subject to subp>agraph 7,m77vi71 provide4 7b7 ,/udy & reports on remov+ b>ri]s to ! developm5t ( ,,dis>m antimicrobial drugs 7#a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79 ?is subsection ref]r$ to z ! ,comptroll] ,g5]al7 %all1 9 consultation ) ! ,director ( ! ,national ,in/itutes ( ,heal?1 ! ,commission] ( ,food & ,drugs1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 conduct a /udy to-- 7,a7 id5tify & exam9e ! b>ri]s t prev5t ! developm5t ( ,,dis>m antimicrobial drugs 7z def9$ 9 section #ahhf7;d77#e77,m77ii7 ( ! ,social ,security ,act1 z add$ by subsection 7a772 & 7,b7 develop recomm5dations = actions to be tak5 9 ord] to ov]come any b>ri]s id5tifi$ "u subp>agraph 7,a74 7#b7 ,report ,octob] #a1 #bjbe1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! prelim9>y results ( ! /udy conduct$ "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 #ddad4 ,novel m$ical products 7a7 ,exp$it$ cod+ ( novel m$ical products ,section #aagd7;b77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#c7;b77#b77;,b77 is am5d$ by add+ at ! end ! foll[+ new clauses3 7iii7 ,exp$it$ cod+ ( novel m$ical products 7,i7 ,9 g5]al ,not)/&+ p>agraph 7#a71 9 ! case ( a novel m$ical product 7z def9$ 9 clause 7iv771 ! ,secret>y %all make modifications to ! ,,hcpcs code set at lea/ once e qu>t]4 7,,ii7 ,reque/ ,^u ! writt5 confid5tial reque/ ( a manufactur] ( a novel m$ical product1 ! ,secret>y %all make a det]m9ation :e!r to assign a ,,hcpcs code to su* product4 ,su* reque/ may occur on or aft] ! date on :i* ! product receives a designation z a break?r\gh !rapy "u section #ejf7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef7;a771 a break?r\gh device "u section #eae;,b ( su* ,act 7#ba ,u4,s4,c4 #cfj;e-#c71 or a reg5]ative advanc$ !rapy "u section #ejf7;g7 ( su* ,act 7#ba ,u4,s4,c4 #cef7;g774 7,,iii7 ,deadl9e = det]m9ation2 notification ,! ,secret>y %all-- 7aa7 n lat] ?an #ahj cal5d> days aft] receiv+ ! reque/ ( a manufactur] "u subclause 7,,ii71 make a det]m9ation "u su* subclause ) respect to ! reque/2 & 7bb7 n lat] ?an #cj cal5d> days aft] mak+ su* det]m9ation1 notify ! manufactur] ( ! det]m9ation4 7,,iv7 ,monitor+ utilization & outcomes ,a ,,hcpcs code assign$ "u ?is clause %all all[ = ! reliable monitor+ ( utilization & outcomes ( ! novel m$ical product z describ$ 9 clause 7vi74 7,v7 ,effective date ( code assignm5t ,if ! ,secret>y makes a det]m9ation to assign a ,,hcpcs code to a product "u subclause 7,,ii71 su* code-- 7aa7 may be assign$ )9 ! fir/ qu>t] aft] ! manufactur] files1 ) respect to su* product1 a new drug application "u section #eje7;b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7;b771 a biological product lic5se application "u section #cea7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7;a771 a prem>ket application "u section #eae7;c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;e7c771 a report "u section #eaj7k7 ( su* ,act 7#ba ,u4,s4,c4 #cfjk71 or a reque/ = classification "u section #eac7;f77#b7 ( su* ,act 7#ba ,u4,s4,c4 #cfj;c7f77#b772 & 7bb7 may n take effect be=e ! date ! product is approv$1 cle>$1 or lic5s$ by ! ,food & ,drug ,adm9i/ration4 7,,vi7 ,trade secrets & confid5tial in=mation ,no in=mation submitt$ "u subclause 7,,ii7 %all be con/ru$ z au?oriz+ ! ,secret>y to disclose any in=mation t is a trade secret or confid5tial in=mation subject to section #eeb7;b77#d7 ( title #e1 ,unit$ ,/ates ,code4 7iv7 ,novel m$ical product def9$ ,= purposes ( ?is subp>agraph1 ! t]m novel m$ical product means a drug1 biological product1 or m$ical device-- 7,i7 t has n be5 assign$ a ,,hcpcs code2 & 7,,ii7 t has be5 designat$ z a break?r\gh !rapy "u section #ejf7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef7;a771 a break?r\gh device "u section #eae;,b ( su* ,act 7#ba ,u4,s4,c4 #cfj;e-#c71 or a reg5]ative advanc$ !rapy "u section #ejf7;g7 ( su* ,act 7#ba ,u4,s4,c4 #cef7;g774 7v7 ,,hcpcs def9$ ,= purposes ( ?is subp>agraph1 ! t]m ,,hcpcs means ! ,heal?c>e ,common ,proc$ure ,cod+ ,sy/em4 7vi7 ,inpati5t products ,! ,secret>y %all e/abli% a code modifi] )9 ! hospital inpati5t prospective paym5t sy/em "u section #ahhf7;d7 to track ! utilization & outcomes ( novel m$ical products t are assign$ a ,,hcpcs code pursuant to ! exp$it$ cod+ process "u clause 7iii7 & are furni%$ by hospitals 9 inpati5t sett+s4 4 7b7 ,cov]age det]m9ations = novel m$ical products ,section #ahfb7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7l77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,cov]age pa?way = novel m$ical products 7,a7 ,9 g5]al ,! ,secret>y %all facilitate an effici5t cov]age pa?way to exp$ite a national cov]age decision = cov]age ) evid5ce developm5t process "u ?is title = novel m$ical products describ$ 9 subp>agraph 7,d74 ,! ,secret>y %all review su* novel m$ical products = ! cov]age process on an exp$it$ basis1 beg9n+ z soon z ! ,secret>y assigns a ,,hcpcs code to ! product "u clause 7iii77,v77aa7 ( section #aagd7;b77#b77;,b74 7,b7 ,det]m9ation ( cov]age ) evid5ce developm5t ,su* cov]age pa?way %all include1 ) respect to su* novel m$ical products1 if ! ,secret>y det]m9es cov]age ) evid5ce developm5t is appropriate1 issuance ( a national cov]age det]m9ation ( cov]age ) evid5ce developm5t = a p]iod up to1 b n to exce$1 #d ye>s f ! date ( su* det]m9ation4 7,c7 ,mod]niz+ paym5t options = novel m$ical products ,n lat] ?an #d ye>s aft] issu+ su* national cov]age det]m9ation1 ! ,secret>y %all submit to ,congress & to ! manufactur] ( ! novel m$ical product a report provid+ options = alt]native paym5t models "u ?is title = ! novel m$ical product or class ( su* products1 :i* may include ! utilization ( exi/+ models 9 ! comm]cial heal? insurance m>ket4 ,su* report %all include any recomm5dations = legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate to facilitate su* paym5t arrangem5ts4 7,d7 ,novel m$ical products describ$ ,= purposes ( ?is p>agraph1 a novel m$ical product describ$ 9 ?is subp>agraph is a novel m$ical product1 z def9$ 9 clause 7iv7 ( section #aagd7;b77#b77;,b71 t is assign$ a ,,hcpcs code pursuant to ! exp$it$ cod+ process "u clause 7iii7 ( su* section4 7,e7 ,cl>ification ,no?+ 9 ?is p>agraph %all prev5t ! ,secret>y f issu+ a noncov]age or a national cov]age det]m9ation = a novel m$ical product4 4 7c7 ,enhanc+ coord9ation ) ! ,food & ,drug ,adm9i/ration 7#a7 ,public ,meet+ 7,a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all conv5e a public meet+ = ! purposes ( discuss+ & provid+ input on improvem5ts to coord9ation betwe5 ! ,food & ,drug ,adm9i/ration & ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 9 prep>+ = ! availability ( novel m$ical products 7z def9$ 9 section #aagd7;b77#b77;,b77iv7 ( ! ,social ,security ,act1 z add$ by subsection 7a77 on ! m>ket 9 ! ,unit$ ,/ates4 7,b7 ,att5dees ,! public meet+ %all include-- 7i7 repres5tatives ( relevant ,f$]al ag5cies1 includ+ repres5tatives f ea* ( ! m$ical product c5t]s )9 ! ,food & ,drug ,adm9i/ration & repres5tatives f ! cod+1 cov]age1 & paym5t (fices )9 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7ii7 /akehold]s ) exp]tise 9 ! rese>* & developm5t ( novel m$ical products1 includ+ manufactur]s ( su* products2 7iii7 repres5tatives ( comm]cial heal? insurance pay]s2 7iv7 /akehold]s ) exp]tise 9 ! adm9i/ration & use ( novel m$ical products1 includ+ physicians2 & 7v7 /akehold]s repres5t+ pati5ts & ) exp]tise 9 ! utilization ( pati5t exp]i5ce data 9 m$ical product developm5t4 7,c7 ,topics ,! public meet+ %all include a discussion (-- 7i7 ! /atus ( ! drug & m$ical device developm5t pipel9e relat$ to ! availability ( novel m$ical products2 7ii7 ! anticipat$ exp]tise necess>y to review ! safety & effectiv5ess ( su* products at ! ,food & ,drug ,adm9i/ration & curr5t gaps 9 su* exp]tise1 if any2 7iii7 ! exp]tise necess>y to make cod+1 cov]age1 & paym5t decisions ) respect to su* products )9 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & curr5t gaps 9 su* exp]tise1 if any2 7iv7 tr5ds 9 ! diff]5ces 9 ! data necess>y to det]m9e ! safety & effectiv5ess ( a novel m$ical product & ! data necess>y to det]m9e :e!r a novel m$ical product meets ! reasonable & necess>y requirem5ts = cov]age & paym5t "u title ,,xviii ( ! ,social ,security ,act pursuant to section #ahfb7;a77#a77;,a7 ( su* ,act 7#db ,u4,s4,c4 #aciey7a77#a77;,a772 7v7 ! availability ( in=mation = sponsors ( su* novel m$ical products to meet ea* ( ^? requirem5ts2 & 7vi7 ! coord9ation ( in=mation relat$ to significant cl9ical improvem5t ov] exi/+ !rapies = pati5ts betwe5 ! ,food & ,drug ,adm9i/ration & ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ) respect to novel m$ical products4 7,d7 ,trade secrets & confid5tial in=mation ,no in=mation discuss$ z a "p ( ! public meet+ "u ?is p>agraph %all be con/ru$ z au?oriz+ ! ,secret>y to disclose any in=mation t is a trade secret or confid5tial in=mation subject to section #eeb7;b77#d7 ( title #e1 ,unit$ ,/ates ,code4 7#b7 ,improv+ transp>5cy ( crit]ia = ,m$ic>e cov]age 7,a7 ,updat+ guidance ,n lat] ?an #ah mon?s aft] ! public meet+ "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all update ! f9al guidance entitl$ ,national ,cov]age ,det]m9ations ) ,data ,collection z a ,condition ( ,cov]age3 ,cov]age ) ,evid5ce ,developm5t to improve ! availability & coord9ation ( in=mation z describ$ 9 clauses 7iv7 ?r\gh 7vi7 ( p>agraph 7#a77;,c71 & cl>ify novel m$ical product cl9ical data requirem5ts to meet reasonable & necess>y requirem5ts = cov]age & paym5t "u title ,,xviii ( ! ,social ,security ,act4 7,b7 ,f9aliz+ updat$ guidance ,n lat] ?an #ab mon?s aft] issu+ draft guidance "u subp>agraph 7,a71 ! ,secret>y %all f9alize ! updat$ guidance4 7d7 ,report on cod+1 cov]age1 & paym5t processes "u ,m$ic>e = new m$ical products 7#a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all publi% a report on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices reg>d+ processes "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 ) respect to ! cod+1 cov]age1 & paym5t ( m$ical products describ$ 9 p>agraph 7#b74 ,su* report %all include ! foll[+3 7,a7 ,a description ( *all5ges 9 ! cod+1 cov]age1 & paym5t processes "u ! ,m$ic>e program = m$ical products describ$ 9 su* p>agraph4 7,b7 ,recomm5dations to-- 7i7 incorporate pati5t exp]i5ce data 7su* z ! impact ( a disease or condition on ! lives ( pati5ts & pati5t treatm5t pref]5ces7 into ! cov]age & paym5t processes )9 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7ii7 decrease ! l5g? ( "t to make national & local cov]age det]m9ations "u ! ,m$ic>e program 7z ^? t]ms are def9$ 9 subp>agraph 7,a7 & 7,b71 respectively1 ( section #ahfb7l77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7l77#f7772 7iii7 /reaml9e ! cov]age process "u ! ,m$ic>e program & incorporate input f relevant /akehold]s into su* cov]age det]m9ations2 & 7iv7 id5tify pot5tial me*anisms to incorporate novel paym5t designs simil> to ^? 9 developm5t 9 comm]cial insurance plans & ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr et seq47 into ! ,m$ic>e program4 7#b7 ,m$ical products describ$ ,= purposes ( p>agraph 7#a71 a m$ical product describ$ 9 ?is p>agraph is a m$ical product1 includ+ a drug1 biological 7includ+ g5e & cell !rapy & g5e edit+71 or m$ical device1 t has be5 designat$ z a break?r\gh !rapy "u section #ejf7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef7;a771 a break?r\gh device "u section #eae;,b ( su* ,act 7#ba ,u4,s4,c4 #cfj;e-#c71 or a reg5]ative advanc$ !rapy "u section #ejf7;g7 ( su* ,act 7#ba ,u4,s4,c4 #cef7;g774 ,,ii ,education provisions #deja4 ,%ort title ,?is title may be cit$ z ! ,,covid-#ai ,p&emic ,education ,relief ,act ( #bjbj4 #dejb4 ,def9itions 7a7 ,def9itions ,9 ?is title3 7#a7 ,qualify+ em]g5cy ,! t]m qualify+ em]g5cy means-- 7,a7 a public heal? em]g5cy decl>$ by ! ,secret>y ( ,heal? & ,human ,s]vices pursuant to section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d72 7,b7 an ev5t = :i* ! ,presid5t decl>$ a major disa/] or an em]g5cy "u section #dja or #eja1 respectively1 ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eagj & #eaia72 or 7,c7 a national em]g5cy decl>$ by ! ,presid5t "u section #bja ( ! ,national ,em]g5cies ,act 7#ej ,u4,s4,c4 #afja et seq474 7#b7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ ( ! t]m "u section #ajb ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjb74 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,education4 #dejc4 ,campus-bas$ aid waiv]s 7a7 ,waiv] ( non-f$]al %>e requirem5t ,not)/&+ sections #dac;,c7a77#b7 & #ddc7;b77#e7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj;b-#b7;a77#b7 & #ajhg-ec7;b77#e771 ) respect to funds made available = aw>d ye>s #bjai-bjbj & #bjbj-bjba1 ! ,secret>y %all waive ! requirem5t t a p>ticipat+ in/itution ( high] education provide a non-,f$]al %>e to mat* ,f$]al funds provid$ to ! in/itution = ! programs au?oriz$ pursuant to subp>t #c ( "p ,a & "p ,c ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj;b et seq4 & #ajhg-ea et seq474 7b7 ,au?ority to reallocate ,not)/&+ sections #dac;,d1 #ddb1 & #dhh ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj;b-#c1 #ajhg-eb1 & #ajie71 dur+ a p]iod ( a qualify+ em]g5cy1 an in/itution may transf] up to #ajj p]c5t ( ! in/itution's unexp5d$ allotm5t "u section #ddb ( su* ,act to ! in/itution's allotm5t "u section #dac;,d ( su* ,act1 b may n transf] any funds f ! in/itution's unexp5d$ allotm5t "u section #dac;,d ( su* ,act to ! in/itution's allotm5t "u section #ddb ( su* ,act4 #dejd4 ,use ( supplem5tal educational opportunity grants = em]g5cy aid 7a7 ,9 g5]al ,not)/&+ section #dac;,b ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj;b-#a71 an in/itution ( high] education may res]ve any am\nt ( an in/itution's allocation "u subp>t #c ( "p ,a ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj;b et seq47 = a fiscal ye> to aw>d1 9 su* fiscal ye>1 em]g5cy f9ancial aid grants to assi/ und]graduate or graduate /ud5ts = unexpect$ exp5ses & unmet f9ancial ne$ z ! result ( a qualify+ em]g5cy4 7b7 ,det]m9ations ,9 det]m9+ eligibility = & aw>d+ em]g5cy f9ancial aid grants "u ?is section1 an in/itution ( high] education may-- 7#a7 waive ! am\nt ( ne$ calculation "u section #dga ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhgkk72 7#b7 all[ = a /ud5t affect$ by a qualify+ em]g5cy to receive funds 9 an am\nt t is n m ?an ! maximum ,f$]al ,pell ,grant = ! applicable aw>d ye>2 & 7#c7 utilize a contract ) a s*ol>%ip-grant+ organization designat$ = ! sole purpose ( accept+ applications f or disburs+ funds to /ud5ts enroll$ 9 ! in/itution ( high] education1 if su* s*ol>%ip-grant+ organization disburses ! full allocat$ am\nt provid$ to ! in/itution ( high] education to ! recipi5ts4 7c7 ,special rule ,any em]g5cy f9ancial aid grants to /ud5ts "u ?is section %all n be treat$ z o!r f9ancial assi/ance = ! purposes ( section #dga ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhgkk74 #deje4 ,f$]al "w-/udy dur+ a qualify+ em]g5cy 7a7 ,9 g5]al ,9 ! ev5t ( a qualify+ em]g5cy1 an in/itution ( high] education p>ticipat+ 9 ! program "u "p ,c ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg-ea et seq47 may make paym5ts "u su* "p to affect$ "w-/udy /ud5ts1 = ! p]iod ( "t 7n to exce$ "o academic ye>7 9 :i* affect$ /ud5ts 7 unable to fulfill ! /ud5ts' "w-/udy obligation = all or "p ( su* academic ye> due to su* qualify+ em]g5cy1 z foll[s3 7#a7 ,paym5ts may be made "u su* "p to affect$ "w-/udy /ud5ts 9 an am\nt equal to or less ?an ! am\nt ( wages su* /ud5ts w\ld h be5 paid "u su* "p _h ! /ud5ts be5 able to complete ! "w obligation necess>y to receive "w /udy funds1 z a "o "t grant or z multiple paym5ts4 7#b7 ,paym5ts %all n be made to any /ud5t :o 0 n eligible = "w /udy or 0 n complet+ ! "w obligation necess>y to receive "w /udy funds "u su* "p prior to ! occurr5ce ( ! qualify+ em]g5cy4 7#c7 ,any paym5ts made to affect$ "w-/udy /ud5ts "u ?is subsection %all meet ! mat*+ requirem5ts ( section #ddc ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg-ec71 unless su* mat*+ requirem5ts are waiv$ by ! ,secret>y ( ,education4 7b7 ,def9ition ( affect$ "w-/udy /ud5t ,9 ?is section1 ! t]m affect$ "w-/udy /ud5t means a /ud5t enroll$ at an eligible in/itution p>ticipat+ 9 ! program "u "p ,c ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg-ea et seq47 :o-- 7#a7 receiv$ a "w-/udy aw>d "u section #ddc ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg-ec7 = ! academic ye> dur+ :i* a qualify+ em]g5cy occurr$2 7#b7 e>n$ ,f$]al "w-/udy wages f su* eligible in/itution = su* academic ye>2 & 7#c7 0 prev5t$ f fulfill+ ! /ud5t's "w-/udy obligation = all or "p ( su* academic ye> due to su* qualify+ em]g5cy4 #dejf4 ,adju/m5t ( subsidiz$ loan usage limits ,not)/&+ section #dee7q77#c7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg;e7q77#c771 ! ,secret>y %all exclude f a /ud5t's p]iod ( enrollm5t = purposes ( loans made "u "p ,d ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg;a et seq47 any seme/] 7or ! equival5t7 dur+ :i* ! /ud5t 0 unable to rema9 enroll$ 9 s*ool z a result ( a qualify+ em]g5cy1 if ! ,secret>y is able to adm9i/] su* policy 9 a mann] t limits complexity & ! burd5 on ! /ud5t4 #dejg4 ,exclusion f ,f$]al ,pell ,grant duration limit ,! ,secret>y %all exclude f a /ud5t's ,f$]al ,pell ,grant duration limit "u section #dja7;c77#e7 ( ! ,high] ,education ,act ( #aife 7#b ,u4,s4,c4 #ajgj;a7c77#e77 any seme/] 7or ! equival5t7 t ! /ud5t does n complete due to a qualify+ em]g5cy if ! ,secret>y is able to adm9i/] su* policy 9 a mann] t limits complexity & ! burd5 on ! /ud5t4 #dejh4 ,in/itutional refunds & ,f$]al /ud5t loan flexibility 7a7 ,in/itutional waiv] ,! ,secret>y may waive ! in/itutional requirem5t 9 section #dhd;,b ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajia;b7 ) respect to ! am\nt ( grant or loan assi/ance 7o!r ?an assi/ance receiv$ "u "p ,c ( title ,,iv ( su* ,act7 to be return$ to ! title ,,iv programs if a recipi5t ( assi/ance "u title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj et seq47 )draws f ! in/itution dur+ ! paym5t p]iod or p]iod ( enrollm5t z a result ( a qualify+ em]g5cy4 7b7 ,/ud5t waiv] ,! ,secret>y may waive ! am\nts t /ud5ts are requir$ to return 9 section #dhd;,b ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajia;b7 ) respect to ,f$]al ,pell ,grants or o!r grant assi/ance if ! )drawals on :i* ! returns are bas$ on )drawals by /ud5ts :o )drew f ! in/itution z a result ( a qualify+ em]g5cy4 7c7 ,cancel+ loan obligation ,not)/&+ any o!r provision ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja et seq471 ! ,secret>y %all cancel ! borr[]'s obligation to repay ! portion ( a loan made "u "p ,d ( title ,,iv ( su* ,act = a recipi5t ( assi/ance :o )draws f ! in/itution dur+ ! paym5t p]iod z a result ( a qualify+ em]g5cy4 7d7 ,approv$ leave ( abs5ce ,not)/&+ any o!r provision ( law1 = purposes ( receiv+ assi/ance "u title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj et seq471 an in/itution ( high] education may1 z a result ( a qualify+ em]g5cy1 provide a /ud5t ) an approv$ leave ( abs5ce t does n require ! /ud5t to return at ! same po9t 9 ! academic program t ! /ud5t began ! leave ( abs5ce if ! /ud5t returns )9 ! same seme/] 7or ! equival5t74 #deji4 ,satisfactory progress ,not)/&+ section #dhd ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajia71 9 det]m9+ :e!r a /ud5t is ma9ta9+ satisfactory progress = purposes ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj et seq471 an in/itution ( high] education may1 z a result ( a qualify+ em]g5cy1 exclude f ! quantitative compon5t ( ! calculation any attempt$ cr$its t 7 n complet$ by su* /ud5t )\t requir+ an appeal by su* /ud5t4 #deaj4 ,cont9u+ education at affect$ =eign in/itutions 7a7 ,9 g5]al ,not)/&+ section #dha7;b7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhh7;b771 ) respect to a =eign in/itution1 9 ! case ( a public heal? em]g5cy1 major disa/] or em]g5cy1 or national em]g5cy decl>$ by ! applicable gov]nm5t au?orities 9 ! c\ntry 9 :i* ! =eign in/itution is locat$1 ! ,secret>y may p]mit any "p ( an o!rwise eligible program to be (f]$ via di/ance education = ! duration ( su* em]g5cy or disa/] & ! foll[+ paym5t p]iod = purposes ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj et seq474 7b7 ,eligibility ,an o!rwise eligible program t is (f]$ 9 :ole or 9 "p ?r\gh di/ance education by a =eign in/itution betwe5 ,m>* #a1 #bjbj1 & ! date ( enactm5t ( ?is ,act %all be deem$ eligible = ! purposes ( "p ,d ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg;a et seq47 = ! duration ( ! qualify+ em]g5cy & ! foll[+ paym5t p]iod = purposes ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj et seq474 ,n lat] ?an ,june #cj1 #bjbj1 an in/itution ( high] t uses ! au?ority provid$ 9 ! previ\s s5t5ce %all report su* use to ! ,secret>y4 7c7 ,report ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 & e #ahj days !reaft] = ! duration ( ! qualify+ em]g5cy & ! foll[+ paym5t p]iod1 ! ,secret>y %all submit to ! au?oriz+ committees 7z def9$ 9 section #ajc ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjc77 a report t id5tifies ea* =eign in/itution t c>ri$ out a di/ance education program au?oriz$ "u ?is section4 7d7 ,writt5 arrangem5ts 7#a7 ,9 g5]al ,not)/&+ section #ajb ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjb71 = ! duration ( a qualify+ em]g5cy & ! foll[+ paym5t p]iod1 ! ,secret>y may all[ a =eign in/itution to ent] into a writt5 arrangem5t ) an in/itution ( high] education locat$ 9 ! ,unit$ ,/ates t p>ticipates 9 ! ,f$]al ,direct ,loan ,program "u "p ,d ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg;a et seq47 = ! purpose ( all[+ a /ud5t ( ! =eign in/itution :o is a borr[] ( a loan made "u su* "p to take c\rses f ! in/itution ( high] education locat$ 9 ! ,unit$ ,/ates4 7#b7 ,=m ( arrangem5ts 7,a7 ,public or o!r nonpr(it in/itutions ,a =eign in/itution t is a public or o!r nonpr(it in/itution may ent] into a writt5 arrangem5t "u subsection 7a7 only ) an in/itution ( high] education describ$ 9 section #aja ( su* ,act 7#bj ,u4,s4,c4 #ajja74 7,b7 ,o!r in/itutions ,a =eign in/itution t is a graduate m$ical s*ool1 nurs+ s*ool1 or a vet]9>y s*ool & t is n a public or o!r nonpr(it in/itution may ent] into a writt5 arrangem5t "u subsection 7a7 ) an in/itution ( high] education describ$ 9 section #aja or section #ajb ( su* ,act 7#bj ,u4,s4,c4 #ajja & #ajjb74 7#c7 ,report use ,n lat] ?an ,june #cj1 #bjbj1 an in/itution ( high] t uses ! au?ority describ$ 9 p>agraph 7#b7 %all report su* use to ! ,secret>y4 7#d7 ,report f ! secret>y ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 & e #ahj days !reaft] = ! duration ( ! qualify+ em]g5cy & ! foll[+ paym5t p]iod1 ! ,secret>y %all submit to ! au?oriz+ committees 7z def9$ 9 section #ajc ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjc77 a report t id5tifies ea* =eign in/itution t ent]$ into a writt5 arrangem5t au?oriz$ "u subsection 7a74 #deaa4 ,national em]g5cy educational waiv]s 7a7 ,9 g5]al ,not)/&+ any o!r provision ( law1 ! ,secret>y ( ,education may waive any /atutory or regulatory provision describ$ "u subp>agraphs 7,a7 ?r\gh 7,c7 ( subsection 7b77#a7 if ! ,secret>y det]m9es t su* a waiv] is necess>y & appropriate due to ! em]g5cy involv+ ,f$]al prim>y responsibility det]m9$ to exi/ by ! ,presid5t "u ! section #eja7;b7 ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eaia7;b77 ) respect to ! ,coronavirus ,disease #bjai 7,,covid-#ai74 7b7 ,applicable provisions ( law 7#a7 ,9 g5]al ,! ,secret>y ( ,education may waive any /atutory or regulatory requirem5t 7su* z ^? requirem5ts relat$ to assessm5ts1 acc\ntability1 allocation ( funds1 & report+71 = :i* a waiv] reque/ is submitt$ "u subsection 7c71 if ! ,secret>y det]m9es t su* a waiv] is necess>y & appropriate z describ$ 9 subsection 7a71 "u ! foll[+ provisions ( law3 7,a7 ,! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #fcja et seq474 7,b7 ,! ,c>l ,d4 ,p]k9s ,c>e] & ,te*nical ,education ,act ( #bjjf 7#bj ,u4,s4,c4 #bcja et seq474 7,c7 ,! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja et seq474 7#b7 ,limitation ,! ,secret>y ( ,education %all n waive "u ?is section any /atutory or regulatory requirem5ts relat+ to applicable civil rights laws4 7c7 ,reque/s = waiv]s 7#a7 ,9 g5]al ,9 addition to any provision waiv$ by ! ,secret>y "u subsection 7a71 a ,/ate1 ,/ate educational ag5cy1 local educational ag5cy1 ,indian tribe1 or in/itution ( high] education t desires a waiv] f any /atutory or regulatory provision describ$ "u subp>agraphs 7,a7 ?r\gh 7,c7 ( subsection 7b77#a7 t ! ,secret>y has n already waiv$ 9 accordance ) subsection 7a71 may submit a waiv] reque/ to ! ,secret>y 9 accordance ) ?is subsection4 7#b7 ,reque/s submitt$ ,a reque/ = a waiv] "u ?is subsection %all-- 7,a7 id5tify ! ,f$]al programs affect$ by ! reque/$ waiv]2 7,b7 describe :i* ,f$]al /atutory or regulatory requirem5ts are to be waiv$2 & 7,c7 describe h[ ! em]g5cy involv+ ,f$]al prim>y responsibility det]m9$ to exi/ by ! ,presid5t "u ! section #eja7;b7 ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eaia7;b77 ) respect to ! ,coronavirus ,disease #bjai 7,,covid-#ai7 prev5ts or o!rwise re/ricts ! ability ( ! ,/ate1 ,/ate educational ag5cy1 local educational ag5cy1 ,indian tribe1 or in/itution ( high] education to comply ) su* /atutory or regulatory requirem5ts4 7#c7 ,secret>y approval 7,a7 ,9 g5]al ,except z provid$ "u subp>agraph 7,b71 ! ,secret>y ( ,education %all approve or disapprove a waiv] reque/ submitt$ "u p>agraph 7#a7 n m ?an #ae days aft] ! date on :i* su* reque/ is submitt$4 7,b7 ,exceptions ,! ,secret>y ( ,education may disapprove a waiv] reque/ submitt$ "u p>agraph 7#a71 only if ! ,secret>y det]m9es t-- 7i7 ! waiv] reque/ does n meet ! requirem5ts ( ?is section2 7ii7 ! waiv] is n p]mitt$ pursuant to subsection 7b77#b72 or 7iii7 ! description requir$ "u p>agraph 7#b77;,c7 provides insuffici5t in=mation to demon/rate t ! waiv+ ( su* requirem5ts is necess>y or appropriate consi/5t ) subsection 7a74 7#d7 ,duration 7,a7 ,9 g5]al ,except z provid$ 9 p>agraph 7,b71 a waiv] approv$ by ! ,secret>y ( ,education "u ?is subsection may be = a p]iod n to exce$ #a academic ye>4 7,b7 ,ext5sion ,! ,secret>y ( ,education may ext5d ! p]iod describ$ "u subp>agraph 7,a7 if ! ,/ate1 ,/ate educational ag5cy1 local educational ag5cy1 ,indian tribe1 or in/itution ( high] education demon/rates to ! ,secret>y t ext5d+ ! waiv+ ( su* requirem5ts is necess>y & appropriate consi/5t ) subsection 7a74 7d7 ,report+ & publication 7#a7 ,notify+ congress ,n lat] ?an #g days aft] grant+ a waiv] "u ?is section1 ! ,secret>y ( ,education %all notify ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,committee on ,appropriations ( ! ,s5ate1 ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives1 & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives ( su* waiv]4 7#b7 ,publication ,n lat] ?an #cj days aft] grant+ a waiv] "u ?is section1 ! ,secret>y ( ,education %all publi% a notice ( ! ,secret>y's decision 9 ! ,f$]al ,regi/] & on ! website ( ! ,dep>tm5t ( ,education4 7#c7 ,,idea report ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,education %all prep>e & submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,appropriations ( ! ,s5ate1 & ! ,committee on ,education & ,labor & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives1 ) recomm5dations on any additional waiv]s ! ,secret>y believes are necess>y to be enact$ into law "u ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adja et seq47 & ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gja et seq47 to provide limit$ flexibility to ,/ates & local educational ag5cies to meet ! unique ne$s ( /ud5ts ) disabilities dur+ ! em]g5cy involv+ ,f$]al prim>y responsibility det]m9$ to exi/ by ! ,presid5t "u ! section #eja7;b7 ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eaia7;b77 ) respect to ! ,coronavirus ,disease #bjai 7,,covid-#ai74 #deab4 ,,hbcu ,capital f9anc+ 7a7 ,def]m5t p]iod 7#a7 ,9 g5]al ,not)/&+ any provision ( title ,,iii ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajea et seq471 or any regulation promulgat$ "u su* title1 ! ,secret>y may grant a def]m5t1 = a p]iod ( a qualify+ em]g5cy to an in/itution t has receiv$ a loan "u "p ,d ( title ,,iii ( su* ,act 7#bj ,u4,s4,c4 #ajff et seq474 7#b7 ,t]ms ,dur+ ! def]m5t p]iod grant$ "u ?is subsection-- 7,a7 ! in/itution %all n be requir$ to pay any p]iodic in/allm5t ( pr9cipal requir$ "u ! loan agreem5t = su* loan2 & 7,b7 ! ,secret>y %all make pr9cipal paym5ts o!rwise due "u ! loan agreem5t4 7#c7 ,clos+ ,at ! clos+ ( a loan def]r$ "u ?is subsection1 t]ms %all be set "u :i* ! in/itution %all be requir$ to repay ! ,secret>y = ! paym5ts ( pr9cipal made by ! ,secret>y dur+ ! def]m5t1 on a s*$ule t beg9s ^u repaym5t to ! l5d] 9 full on ! loan agreem5t4 7b7 ,t]m9ation date 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! au?ority provid$ "u ?is section to grant a loan def]m5t "u subsection 7a71 %all t]m9ate on ! date t is ! end ( ! qualify+ em]g5cy4 7#b7 ,duration ,any provision ( a loan agreem5t or insurance agreem5t modifi$ or waiv$ by ! au?ority "u ?is section %all rema9 s modifi$ or waiv$ = ! duration ( ! p]iod cov]$ by ! loan agreem5t or insurance agreem5t4 7c7 ,report ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 & e #ahj days !reaft] dur+ ! p]iod beg9n+ on ! fir/ day ( ! qualify+ em]g5cy & end+ on ,septemb] #cj ( ! fiscal ye> foll[+ ! end ( ! qualify+ em]g5cy1 ! ,secret>y %all submit to ! au?oriz+ committees 7z def9$ 9 section #ajc ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjc77 a report t id5tifies ea* in/itution t receiv$ assi/ance or a waiv] "u ?is section4 #deac4 ,tempor>y relief = f$]al /ud5t loan borr[]s 7a7 ,9 g5]al ,! ,secret>y %all susp5d all paym5ts due = loans made "u "p ,d ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg;a et seq47 = #c mon?s4 7b7 ,no accrual ( int]e/ ,not)/&+ any o!r provision ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja et seq471 int]e/ %all n accrue on a loan describ$ "u subsection 7a7 = :i* paym5t 0 susp5d$ = ! p]iod ( ! susp5sion4 7c7 ,consid]ation ( paym5ts ,! ,secret>y %all deem ea* mon? = :i* a loan paym5t 0 susp5d$ "u ?is section z if ! borr[] ( ! loan _h made a paym5t = ! purpose ( any loan =giv5ess program au?oriz$ "u "p ,d ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajhg;a et seq47 = :i* ! borr[] w\ld h o!rwise qualifi$4 7d7 ,ext5sion ,! ,secret>y may ext5d ! p]iod ( susp5sion describ$ "u subsection 7a7 = an additional #c mon?s4 #dead4 ,provisions relat$ to ! ,corporation = ,national & ,community ,s]vice 7a7 ,accrual ( s]vice h\rs 7#a7 ,accrual ?r\gh o!r s]vice h\rs 7,a7 ,9 g5]al ,not)/&+ any o!r provision ( ! ,dome/ic ,volunte] ,s]vice ,act ( #aigc 7#db ,u4,s4,c4 #diej et seq47 or ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abeja et seq471 ! ,corporation = ,national & ,community ,s]vice %all all[ an individual describ$ 9 subp>agraph 7,b7 to accrue o!r s]vice h\rs t w c\nt t[>d ! numb] ( h\rs ne$$ = ! individual's education aw>d4 7,b7 ,affect$ individuals ,subp>agraph 7,a7 %all apply to any individual s]v+ 9 a position eligible = an educational aw>d "u subtitle ,d ( title ,i ( ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abfja et seq47-- 7i7 :o is p]=m+ limit$ s]vice due to ,,covid-#ai2 or 7ii7 ^: position has be5 susp5d$ or plac$ on hold due to ,,covid-#ai4 7#b7 ,provisions 9 case ( e>ly exit ,9 any case :]e an individual s]v+ 9 a position eligible = an educational aw>d "u subtitle ,d ( title ,i ( ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abfja et seq47 0 requir$ to exit ! position e>ly at ! direction ( ! ,corporation = ,national & ,community ,s]vice1 ! ,*ief ,executive ,(fic] ( ! ,corporation = ,national & ,community ,s]vice may-- 7,a7 deem su* individual z hav+ met ! requirem5ts ( ! position2 & 7,b7 aw>d ! individual ! full value ( ! educational aw>d "u su* subtitle = :i* ! individual w\ld o!rwise h be5 eligible4 7b7 ,availability ( funds ,not)/&+ any o!r provision ( law1 all funds made available to ! ,corporation = ,national & ,community ,s]vice "u any ,act1 includ+ ! am\nts appropriat$ to ! ,corporation "u ! head+s ,op]at+ ,exp5ses1 ,sal>ies & ,exp5ses1 & ,(fice ( ! ,inspector ,g5]al "u ! head+ ,corporation = ,national & ,community ,s]vice "u title ,,iv ( ,division ,a ( ! ,fur!r ,consolidat$ ,appropriations ,act1 #bjbj 7,public ,law #aaf-id71 %all rema9 available = ! fiscal ye> end+ ,septemb] #cj1 #bjba4 7c7 ,no requir$ return ( grant funds ,not)/&+ section #abi7l77#c77;,a77i7 ( ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abeha7l77#c77;,a77i771 ! ,*ief ,executive ,(fic] ( ! ,corporation = ,national & ,community ,s]vice may p]mit fix$-am\nt grant recipi5ts "u su* section #abi7l7 to ma9ta9 a pro rata am\nt ( grant funds1 at ! discretion ( ! ,corporation = ,national & ,community ,s]vice1 = p>ticipants :o exit$ or are s]v+ 9 a limit$ capacity due to ,,covid-#ai1 to enable ! grant recipi5ts to ma9ta9 op]ations & to accept p>ticipants4 7d7 ,ext5sion ( t]ms & age limits ,not)/&+ any o!r provision ( law1 ! ,corporation = ,national & ,community ,s]vice may ext5d ! t]m ( s]vice 7= a p]iod n to exce$ ! #a-ye> p]iod imm$iately foll[+ ! end ( ! national em]g5cy7 or waive any upp] age limit 7except 9 no case %all ! maximum age exce$ #bf ye>s ( age7 = national s]vice programs c>ri$ out by ! ,national ,civilian ,community ,corps "u subtitle ,e ( title ,i ( ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abfaa et seq471 & ! p>ticipants 9 su* programs1 = ! purposes (-- 7#a7 address+ disruptions due to ,,covid-#ai2 & 7#b7 m9imiz+ ! difficulty 9 return+ to full op]ation due to ,,covid-#ai on su* programs & p>ticipants4 #deae4 ,work=ce response activities 7a7 ,adm9i/rative co/s ,( ! total am\nt allocat$ to a local area "u section #abh7;b7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cafc7;b77 & section #acc7;b7 ( su* ,act 7#bi ,u4,s4,c4 #cagc7;b77 & available = adm9i/rative co/s = program ye> #bjai1 n m ?an #bj p]c5t ( ! total am\nt may be us$ by ! local bo>d involv$ = ! adm9i/rative co/s ( c>ry+ out local work=ce inve/m5t activities "u *apt] #b or *apt] #c ( subtitle ,b ( title ,i ( su* ,act 7#bi ,u4,s4,c4 #caea et seq471 if ! portion ( ! total am\nt t exce$s #aj p]c5t ( ! total am\nt z describ$ "u section #abh7;b77#d77;,a7 ( su* ,act is us$ to respond to ! ,,covid-#ai national em]g5cy4 7b7 ,rapid response activities 7#a7 ,/atewide rapid response ,( ! funds available = program ye> #bjai = /atewide activities "u section #abh7;a7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cafc7;a771 su* funds may be us$ = /atewide rapid response activities z describ$ 9 section #acd7;a77#b77;,a7 7#bi ,u4,s4,c4 #cagd7;a77#b77;,a77 = respond+ to ! ,,covid-#ai national em]g5cy4 7#b7 ,local bo>ds ,( ! funds available to a ,gov]nor "u section #acc7;a77#b7 ( su* ,act 7#bi ,u4,s4,c4 #cagc7;a77#b77 su* funds may be releas$ )9 #cj days to local bo>ds mo/ impact$ by ! coronavirus at ! det]m9ation ( ! ,gov]nor = rapid response activities relat$ to respond+ to ! ,,covid-#ai national em]g5cy4 7c7 ,def9itions ,9 ?is section3 7#a7 ,coronavirus ,! t]m coronavirus means coronavirus z def9$ 9 section #ejf ( ! ,coronavirus ,prep>$ness & ,response ,supplem5tal ,appropriations ,act1 #bjbj 7,public ,law #aaf-abc74 7#b7 ,,covid-#ai national em]g5cy ,! t]m ,,covid-#ai national em]g5cy means ! national em]g5cy decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act 7#ej ,u4,s4,c4 #afja et seq47 on ,m>* #ac1 #bjbj1 ) respect to ! coronavirus4 7#c7 ,,wioa t]ms ,except z o!rwise provid$1 ! t]ms 9 ?is section h ! mean+s giv5 ! t]ms 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cajb74 #deaf4 ,te*nical am5dm5ts 7a7 ,9 g5]al 7#a7 ,section #fajc7;a77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 z am5d$ by ! ,,future ,act 7,public ,law #aaf-ia71 is fur!r am5d$ by /rik+ 7#ac71 7#af7 & ins]t+ 7#ac77;,a71 7#ac77;,b71 7#ac77;,c71 7#ac77;,d77i71 7#af74 7#b7 ,section #fajc7p77#c77;,a7 ( su* ,code1 z s am5d$1 is fur!r am5d$ by /rik+ 7#ab71 & ins]t+ 7#ab71 7#ac77;,a71 7#ac77;,b71 7#ac77;,c71 7#ac77;,d77i74 7#c7 ,section #fajc7p77#d7 ( su* ,code1 z s am5d$1 is fur!r am5d$ by /rik+ 7#ac7 or 7#af7 ea* place x appe>s & ins]t+ 7#ac71 or 7#af74 7#d7 ,section #fajc7p77#d7 ( su* ,code1 z s am5d$ & z am5d$ by p>agraph 7#c71 is fur!r am5d$ by /rik+ 7#ac7 ea* place x appe>s & ins]t+ 7#ac77;,a71 7#ac77;,b71 7#ac77;,c71 7#ac77;,d77i74 7#e7 ,section #fajc7l77#ac77;,c77ii7 ( su* ,code1 z add$ by ! ,,future ,act 7,public ,law #aaf-ia71 is am5d$ by /rik+ section #bcf;,a7e77#d7 & ins]t+ section #bfc;,a7e77#d74 7b7 ,effective date ,! am5dm5ts made by ?is section %all apply z if includ$ 9 ! enactm5t ( ! ,,future ,act 7,public ,law #aaf-ia74 ,,iii ,labor provisions #dfja4 ,limitation on paid leave ,section #aaj7;b77#b77;,b7 ( ! ,family & ,m$ical ,leave ,act ( #aiic 7z add$ by ! ,em]g5cy ,family & ,m$ical ,leave ,expansion ,act7 is am5d$ by /rik+ clause 7ii7 & ins]t+ ! foll[+3 7ii7 ,limitation ,an employ] %all n be requir$ to pay m ?an #bjj p] day & #aj1jjj 9 ! aggregate = ea* employee = paid leave "u ?is section4 4 #dfjb4 ,em]g5cy ,paid ,sick ,leave ,act ,limitation ,section #eajb ( ! ,em]g5cy ,paid ,sick ,leave ,act 7division ,e ( ! ,families ,fir/ ,coronavirus ,response ,act7 is am5d$ by add+ at ! end ! foll[+3 7f7 ,limitations 7#a7 ,9 ,g5]al ,an employ] %all n be requir$ to pay m ?an ei!r-- 7,a7 #eaa p] day & #e1aaj 9 ! aggregate = ea* employee1 :5 ! employee is tak+ leave = a reason describ$ 9 p>agraph 7#a71 7#b71 or 7#c7 ( section #eajb7;a72 or 7,b7 #bjj p] day & #b1jjj 9 ! aggregate = ea* employee1 :5 ! employee is tak+ leave = a reason describ$ 9 p>agraph 7#d71 7#e71 or 7#f7 ( section #eajb7;a74 7#b7 ,expiration ( requirem5t ,an employ]'s requirem5t to provide paid leave ) respect to a specific employee %all expire at ! e>li] (-- 7,a7 ! "t :5 ! employ] has paid t employee = paid leave "u ?is section = an equival5t ( #hj h\rs ( "w2 or 7,b7 ^u ! employee's return to "w aft] tak+ paid leave "u ?is section4 4 #dfjc4 ,regulatory ,au?orities "u ! ,em]g5cy ,paid ,sick ,leave ,act ,section #eaaa7b7 ( ! ,em]g5cy ,paid ,sick ,leave ,act 7division ,e ( ! ,families ,fir/ ,coronavirus ,response ,act7 is am5d$ by /rik+ section #eajb7;a77#e7 & ins]t+ p>agraphs 7#d7 & 7#e7 ( section #eajb7;a77#e74 #dfjd4 ,unemploym5t insurance ,section #ijc7;h77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aajc7;h77#b77;,b771 z add$ by section #dajb ( ! ,em]g5cy ,unemploym5t ,insurance ,/abilization & ,access ,act ( #bjbj1 is am5d$ to read z foll[s3 7,b7 ,! ,/ate ensures t applications = unemploym5t comp5sation1 & assi/ance ) ! application process1 are accessible 9 p]son1 by phone1 or onl9e4 4 #dfje4 ,,omb ,waiv] ( ,paid ,family & ,paid ,sick ,leave 7a7 ,family & ,m$ical ,leave ,act ( #aiic ,section #aaj7;a7 ( title ,i ( ! ,family & ,m$ical ,leave ,act ( #aiic 7#bi ,u4,s4,c4 #bfaa et seq47 7z add$ by division ,c ( ! ,families ,fir/ ,coronavirus ,response ,act7 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,! ,director ( ! ,(fice ( ,managem5t & ,budget %all h ! au?ority to exclude = good cause f ! requirem5ts "u subsection 7b7 c]ta9 employ]s ( ! ,unit$ ,/ates ,gov]nm5t ) respect to c]ta9 categories ( ,executive ,bran* employees4 4 7b7 ,em]g5cy ,paid ,sick ,leave ,act ,! ,em]g5cy ,paid ,sick ,leave ,act 7division ,e ( ! ,families ,fir/ ,coronavirus ,response ,act7 is am5d$ by add+ at ! end ! foll[+ new section3 #eaab4 ,au?ority to exclude c]ta9 employees ,! ,director ( ! ,(fice ( ,managem5t & ,budget %all h ! au?ority to exclude = good cause f ! def9ition ( employee "u section #eaaj7a7 c]ta9 employees describ$ 9 subp>agraphs 7,e7 & 7,f7 ( su* section1 includ+ by exempt+ c]ta9 ,unit$ ,/ates ,gov]nm5t employ]s cov]$ by section #eaaj7b77;,a77i77,v7 f ! requirem5ts ( ?is title ) respect to c]ta9 categories ( ,executive ,bran* employees4 4 #dfjf4 ,paid leave = rehir$ employees ,section #aaj7;a77#a77;,a7 ( ! ,family & ,m$ical ,leave ,act ( #aiic1 z add$ by section #cajb ( ! ,em]g5cy ,family & ,m$ical ,leave ,expansion ,act1 is am5d$ to read z foll[s3 7,a7 ,eligible employee 7i7 ,9 g5]al ,9 lieu ( ! def9ition 9 sections #aja7b77;,a7 & #aja7b77;,b77ii71 ! t]m eligible employee means an employee :o has be5 employ$ = at lea/ #cj cal5d> days by ! employ] ) respect to :om leave is reque/$ "u section #ajb7;a77#a77;,f74 7ii7 ,rule reg>d+ rehir$ employees ,= purposes ( clause 7i71 ! t]m employ$ = at lea/ #cj cal5d> days1 us$ ) respect to an employee & an employ] describ$ 9 clause 7i71 includes an employee :o 0 laid (f by t employ] n e>li] ?an ,m>* #a1 #bjbj1 _h work$ = ! employ] = n less ?an #cj ( ! la/ #fj cal5d> days prior to ! employee's lay(f1 & 0 rehir$ by ! employ]4 4 #dfjg4 ,advance refund+ ( cr$its 7a7 ,payroll cr$it = requir$ paid sick leave ,section #gjja ( division ,g ( ! ,families ,fir/ ,coronavirus ,response ,act is am5d$ by ins]t+ aft] subsection 7g7 ! foll[+ new subsection3 7h7 ,treatm5t ( deposits ,! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate7 %all waive any p5alty "u section #ffef ( ! ,int]nal ,rev5ue ,code ( #aihf = any failure to make a deposit ( ! tax impos$ by section #caaa7;a7 or #cbba7;a7 ( su* ,code if ! ,secret>y det]m9es t su* failure 0 due to ! anticipation ( ! cr$it all[$ "u ?is section4 4 7b7 ,cr$it = sick leave = c]ta9 self-employ$ individuals ,section #gjjb ( division ,g ( ! ,families ,fir/ ,coronavirus ,response ,act is am5d$ by ins]t+ aft] subsection 7g7 ! foll[+ new subsection3 7h7 ,advanc+ cr$it ,! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate7 %all issue su* =ms & in/ructions z are necess>y-- 7#a7 to all[ ! advance paym5t ( ! cr$it "u subsection 7a71 subject to ! limitations provid$ 9 ?is section1 bas$ on su* in=mation z ! ,secret>y %all require1 & 7#b7 to provide = ! reconciliation ( su* advance paym5t ) ! am\nt advanc$ at ! "t ( fil+ ! return ( tax = ! taxable ye>4 4 7c7 ,payroll cr$it = requir$ paid family leave ,section #gjjc ( division ,g ( ! ,families ,fir/ ,coronavirus ,response ,act is am5d$ by ins]t+ aft] subsection 7g7 ! foll[+ new subsection3 7h7 ,treatm5t ( deposits ,! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate7 %all waive any p5alty "u section #ffef ( ! ,int]nal ,rev5ue ,code ( #aihf = any failure to make a deposit ( ! tax impos$ by section #caaa7;a7 or #cbba7;a7 ( su* ,code if ! ,secret>y det]m9es t su* failure 0 due to ! anticipation ( ! cr$it all[$ "u ?is section4 4 7d7 ,cr$it = family leave = c]ta9 self-employ$ individuals ,section #gjjd ( division ,g ( ! ,families ,fir/ ,coronavirus ,response ,act is am5d$ by ins]t+ aft] subsection 7e7 ! foll[+ new subsection3 7f7 ,advanc+ cr$it ,! ,secret>y ( ! ,treasury 7or ! ,secret>y's delegate7 %all issue su* =ms & in/ructions z are necess>y-- 7#a7 to all[ ! advance paym5t ( ! cr$it "u subsection 7a71 subject to ! limitations provid$ 9 ?is section1 bas$ on su* in=mation z ! ,secret>y %all require1 & 7#b7 to provide = ! reconciliation ( su* advance paym5t ) ! am\nt advanc$ at ! "t ( fil+ ! return ( tax = ! taxable ye>4 4 ,e ,tempor>y ,p]mit ,use to ,gu>antee ,money ,m>ket ,mutual ,funds #ejja4 ,non-applicability ( re/rictions on ,,esf dur+ national em]g5cy ,section #aca ( ! ,em]g5cy ,economic ,/abilization ,act ( #bjjh 7#ab ,u4,s4,c4 #ebcf7 %all n apply dur+ ! national em]g5cy conc]n+ ! novel coronavirus disease 7,,covid-#ai7 outbreak decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act 7#ej ,u4,s4,c4 #afja et seq474 ,f ,budget>y provisions #fjja4 ,em]g5cy designation 7a7 ,9 g5]al ,! am\nts provid$ "u ?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