,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ceei  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ba1 #bjbj,mr4    
,b5net 7= himself1 ,mr4 ,b>rasso1 ,ms4  
,smi?1 ,mr4 ,g>dn]1 ,mr4 ,jones1 & ,mrs4
 ,hyde-,smi?7 introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
provide em]g5cy f9ancial assi/ance to   
rural heal? c>e facilities & provid]s   
impact$ by ! ,,covid-#ai em]g5cy4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,imm$iate ,relief = ,rural ,facilities &
 ,provid]s ,act ( #bjbj4  #b4 ,rural    
heal? c>e facility grants  7a7 ,purpose 
,x is ! purpose ( ?is section to provide
 fund+ to /abilize rural hospitals &    
provide imm$iate f9ancial relief to     
prep>e & respond to ! ,,covid-#ai       
em]g5cy4  7b7 ,grants ,! ,secret>y1 act+
 ?r\gh ! ,adm9i/rator ( ! ,c5t]s =      
,m$ic>e  ,m$icaid ,s]vices1 %all e/abli%
 an em]g5cy op]at+ grant program & %all 
aw>d an em]g5cy op]at+ grant to an      
eligible ,m$ic>e p>ticipat+ heal? c>e   

facility4  7c7 ,allotm5ts & paym5ts     
7#a7 ,allotm5ts ,! ,secret>y %all1 f    
am\nts appropriat$ "u subsection 7i71   
allot to ea* facility eligible = a grant
 "u ?is section ! sum (-- 7,a7 an am\nt 
equal to ! numb] ( pati5t days 7includ+ 
acute1 sw+-b$1 & obs]vation days7 f     
,janu>y #a1 #bjai1 to ,april #a1 #bjai1 
) respect to ! facility1 multipli$ by   
#a1jjj2 &  7,b7 an am\nt equal to !     
total am\nt ( reimbursem5ts f all pay]  
s\rces to ! facility f ,janu>y #a1      
#bjai1 to ,april #a1 #bjai4  7#b7       
,paym5ts ,! ,secret>y %all make paym5ts 
"u grants aw>d$ to eligible facilities  
"u ?is section 9 ! am\nt ( ! allotm5ts  
describ$ 9 p>agraph 7#a74  7#c7 ,"t (   
grant ,a "o "t paym5t %all be made "u a 
grant aw>d$ "u ?is section n lat] ?an   
#ad days aft] ! date ( enactm5t ( ?is   
,act4  7d7 ,eligible facilities  7#a7 ,9
 g5]al ,to be eligible to receive a     
grant "u subsection 7b71 a ,m$ic>e      
p>ticipat+ heal? c>e facility %all      
submit to ! ,secret>y an application    

describ$ 9 p>agraph 7#b74  7#b7         
,application ,an application "u ?is     
p>agraph %all be submitt$ to ! ,secret>y
 n lat] t #ahj days aft] ! date (       
enactm5t ( ?is ,act & %all conta9 su*   
in=mation t ! ,secret>y may require1    
includ+-- 7,a7 a c]tification t-- 7i7 ! 
facility w suff] f9ancial losses z a    
result ( ! ,,covid-#ai em]g5cy2 &  7ii7 
9 ! abs5ce ( an em]g5cy grant "u ?is    
section1 ! facility w\ld be =c$ to ei!r 
r$uce /aff+ or op]ations2  7,b7 an      
assurance t ! am\nt reque/$ "u ! grant  
exce$s #acj p]c5t ( ! am\nt ( rev5ue    
collect$ by ! facility dur+ ! same p]iod
 ( ! ye> prec$+ ! ye> = :i* ! reque/ "u 
?is section is made2  7,c7 ! am\nt (    
sp5d+ incurr$ by ! facility z a result (
 ! ,,covid-#ai em]g5cy2  7,d7 a         
description on h[ ! facility w use grant
 funds2 &  7,e7 an assurance t !        
facility foll[$ ! ,secret>y's           
recomm5dations relat$ to ! ,,covid-#ai  
em]g5cy4  7e7 ,reconciliation  7#a7 ,9  
g5]al ,n lat] ?an #b ye>s aft] ! date on

 :i* ! ,,covid-#ai em]g5cy ends 7z      
det]m9$ by ! ,secret>y71 ! ,secret>y    
%all promulgate regulations "u :i* a    
facility t receives an em]g5cy grant "u 
?is section %all reconcile ! am\nt ( !  
em]g5cy grant )-- 7,a7 ! entire am\nt ( 
! grant allott$ to ! facility 9 ! case (
 a facility t 0 det]m9$ n to be eligible
 "u subsection 7d72  7,b7 any           
reimbursem5ts receiv$ by ! facility f   
?ird p>ties = s]vices provid$ dur+ su*  
em]g5cy2 &  7,c7 any portion ( ! grant  
funds t exce$s #acj p]c5t ( ! am\nt (   
rev5ue collect$ by ! facility dur+ !    
same #ij-;day p]iod ( ! ye> prec$+ ! ye>
 = :i* ! grant is be+ made z det]m9$    
?r\gh su* reconciliation to h be5       
recov]$ by ! facility ?r\gh ?ird-p>ty   
payors1 9 addition to any additional    
sp5d+ incurr$ by ! facility z a result (
 ! ,,covid-#ai em]g5cy1 ) ! ,f$]al      
,gov]nm5t4  7#b7 ,rec\pm5t ,!           
regulations "u ?is subsection %all      
include proc$ures ?r\gh :i* ! ,f$]al    
,gov]nm5t may rec\p any portion ( grant 

funds describ$ 9 p>agraph 7#a74  7f7    
,limitations on use ( funds  7#a7       
,con/ruction ( facilities  7,a7         
,limitations ,grants aw>d$ "u ?is       
section %all n be us$ by ! facility = ! 
pur*ase or improvem5t ( l&1 or !        
pur*ase1 con/ruction1 or p]man5t        
improvem5t ( any build+4  7,b7 ,waiv] ,!
 ,secret>y may wave ! limitation conta9$
 9 subp>agraph 7,a7 ^u a facility reque/
 = su* a waiv]1 if ! ,secret>y f9ds t ! 
reque/ describes circum/ances t ju/ify !
 pur*ase ( l& or ! con/rictive (        
facilities 7or ! mak+ ( p]man5t         
improvem5ts7 relat$ to ! ,,covid-#ai    
em]g5cy4  7#b7 ,political activities    
,grants aw>d$ "u ?is section %all n be  
us$ 9 a mann] involv+ ! use ( grant     
funds1 provisions ( s]vices1 or !       
employm5t or assignm5t ( p]sonnel1 9 a  
mann] support+ or result+ 9 !           
id5tification ( su* programs ) any      
p>tisan or nonp>tisan political activity
 or any political activity associat$ ) a
 c&idate1 or cont5d+ faction or gr\p1 9 

an election = public or p>ty (fice4  7g7
 ,legal action ,a facility t receives an
 em]g5cy grant "u ?is section %all be   
prohibit$ f comm5c+ any legal action    
aga9/ a pati5ts to recov] any co/s      
associat$ ) c>e provid$ to ! pati5t dur+
 ! ,,covid-#ai em]g5cy4  7h7 ,def9itions
 ,9 ?is section3 7#a7 ,,covid-#ai       
em]g5cy ,! t]m ,,covid-#ai em]g5cy means
 ! 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-#ai74  7#b7 ,m$ic>e p>ticipat+ 
heal? c>e facility ,! t]ms ,m$ic>e      
p>ticipat+ heal? c>e facility & facility
 mean-- 7,a7 an entity designat$ z-- 7i7
 a ,critical ,access ,hospital "u       
section #dhe ( subp>t ,f ( title #db1   
,code ( ,f$]al ,regulations2 or  7ii7 a 
subsection 7d7 hospital 7z def9$ 9      
p>agraph 7#a77;,b7 ( section            
#ahhf7;d77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#a77;,b777 t is locat$ 9 a   

rural area 7z def9$ 9 p>agraph 7#b77;,d7
 ( su* section72 &  7,b7 a provid] (    
s]vices enroll$ 9 ! ,m$ic>e program "u  
section #ahff7;j7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acie;cc7j774  7#c7 
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7i7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ su* sums z
 may be necess>y to c>ry out ?is        
section4  #c4 ,reimbursem5t adju/m5t =  
sw+ b$ program  7a7 ,purpose ,x is !    
purpose ( ?is section to improve ! heal?
 c>e sy/em to prep>e & respond to !     
,,covid-#ai em]g5cy 7z def9$ 9 section  
#b74  7b7 ,adju/m5t ,! ,secret>y (      
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 %all increase        
reimbursem5ts = rural hospitals "u ! sw+
 b$ program = ! duration ( ! ,,covid-#ai
 em]g5cy4  7c7 ,am\nt ,! am\nt ( an     
increase "u subsection 7b7 %all equal   
#bj p]c5t ( ! am\nt ( ! sw+ b$          
reimbursem5t t a rural hospital involv$ 

w\ld o!rwise receive "u ! sw+ b$        
program4  7d7 ,t]m9ation ,?is section   
%all n apply beg9n+ on ! date t is #cj  
days aft] ! date on :i* ! ,,covid-#ai   
em]g5cy ends 7z det]m9$ by ! ,secret>y74
  #d4 ,em]g5cy grants = physicians' &   
heal? c>e provid]s' practices  7a7      
,purpose ,x is ! purpose ( ?is section  
to provide fund+ to provide imm$iate    
relief & /abilization = physicians' &   
heal? c>e provid]s' practices ?r\gh     
em]g5cy grants to prep>e & respond to ! 
,,covid-#ai em]g5cy4  7b7 ,am5dm5t      
,title ,,iii ( ! ,public ,heal? ,s]vice 
,act is am5d$ by ins]t+ aft] section    
#ccj;,a-#a 7#db ,u4,s4,c4 #bed;c-#a;a7 !
 foll[+3  #ccj;,a-#b4 ,em]g5cy grants = 
physicians' & heal? c>e provid]s'       
practices  7a7 ,9 g5]al ,! ,secret>y    
%all e/abli% a program to support       
physicians' & heal? c>e provid]s'       
practices by aw>d+ em]g5cy grants to    
eligible heal? c>e practices &          
ambulatory surg]y c5t]s4  7b7 ,allotm5ts
 & paym5ts  7#a7 ,allotm5ts ,! ,secret>y

 %all1 f am\nts appropriat$ "u          
subsection 7e71 allot to ea* eligible   
heal? c>e practice or ambulatory surg]y 
c5t] an am\nt equal to ! actual payroll 
= ! eligible heal? c>e practice or      
ambulatory surg]y c5t] dur+ ! p]iod     
beg9n+ ,janu>y #a1 #bjai1 & end+ ,april 
#a1 #bjai4  7#b7 ,paym5ts ,! ,secret>y  
%all make paym5ts "u grants aw>d$ "u ?is
 section to ea* eligible heal? c>e      
practice or ambulatory surg]y c5t] 9 !  
am\nt ( ! allotm5t describ$ 9 p>agraph  
7#a7 ) respect to ea* su* practice or   
c5t]4  7#c7 ,"t ( grant ,n lat] ?an #ad 
days aft] ! date ( enactm5t ( ?is       
section1 ! ,secret>y %all make a "o-"t  
paym5t "u a grant "u ?is section to ea* 
eligible heal? c>e practice or          
ambulatory surg]y c5t]4  7c7            
,utilization ( paym5ts ,paym5ts made "u 
subsection 7b7 %all be utiliz$1 )       
respect to ! grantee involv$1 to        
comp5sate-- 7#a7 all h\rly /aff up to   
#be p] h\r & sal>i$ /aff up to #ge1jjj 9
 full2 &  7#b7 all h\rly /aff above #be 

p] h\r & sal>i$ /aff above #ge1jjj at a 
rate ( #be p] h\r or #ge1jjj 9 annual   
sal>y4  7d7 ,def9itions ,9 ?is section3 
7#a7 ,ambulatory surg]y c5t] ,! t]m     
ambulatory surg]y c5t] has ! mean+ giv5 
su* t]m 9 section #ahcc7;i7 ( ! ,social 
,security ,act4  7#b7 ,eligible heal?   
c>e practice ,! t]m eligible heal? c>e  
practice means a corporation1 limit$    
liability company1 or un9corporat$      
p]sonal entity t provides heal? c>e     
s]vices ( a physician or a heal? c>e    
provid] z lic5s$ "u ,/ate law4  7#c7    
,heal? c>e provid] ,! t]m heal? c>e     
provid] means an individual provid+     
heal? c>e s]vices "u ,/ate law z det]m9$
 by ! ,secret>y4  7#d7 ,physician ,! t]m
 physician means an individual t meets !
 def9ition "u section #ahfa7r7 ( !      
,social ,security ,act4  7e7            
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ su* sums z   
may be necess>y to c>ry out ?is section4
  4  #e4 ,em]g5cy l[-int]e/ loans =     
physicians' & heal? c>e provid]s'       

practices ,! ,small ,bus9ess ,act is    
am5d$ by ins]t+ aft] section #cb 7#ae   
,u4,s4,c4 #feg;b7 ! foll[+3  #cc4 #bjbj 
em]g5cy l[-int]e/ loans = physicians' & 
heal? c>e provid]s' practices  7a7      
,purpose ,x is ! purpose ( ?is section  
to provide l[-int]e/ loans = physicians'
 & heal? c>e provid]s' practices or     
ambulatory surg]y c5t]s1 :i* z a result 
( ! ,,covid-#ai em]g5cy1 h suff]$ a     
significant f9ancial impact4  7b7       
,l[-,int]e/ loans ,! ,adm9i/rator %all  
provide any eligible heal? c>e practice 
or ambulatory surg]y c5t]1 :i* z a      
result ( ! ,,covid-#ai em]g5cy1 has     
suff]$ a significant f9ancial impact1 a 
loan 9 su* am\nt z may be necess>y to   
enable su* ent]prise to ma9ta9 or resume
 op]ations 9 ord] to assi/ 9 ma9ta9+ &  
re/or+ ! economic viability ( ! practice
 or c5t]4 ,loans au?oriz$ by ?is section
 %all be made )\t reg>d to limitations  
on ! size ( loans :i* may o!rwise be    
impos$ by any o!r provision ( law or    
regulations promulgat$ pursuant !reto4  

7c7 ,int]e/ ,any loan made "u ?is       
section %all be subject to n to exce$   
4#be p]c5t int]e/1 & ! ,presid5t1 if    
det]m9$ necess>y1 may def] paym5ts (    
pr9cipal = a p]iod n to exce$ #c ye>s   
aft] ! date ( su* loan4  7d7 ,def]r$    
int]e/ accrual ,int]e/ on a loan "u ?is 
section %all n beg9 to accrue until !   
date t is #bd mon?s aft] ! date on :i* !
 ,,covid-#ai em]g5cy (ficially ends 7z  
det]m9$ by ! ,adm9i/rator74  7e7 ,o!r   
,f$]al assi/ance ,loans made "u ?is     
section %all be 9 addition to any o!r   
,f$]al em]g5cy assi/ance available1     
except t su* o!r assi/ance may be adju/$
 or modifi$ to ! ext5t det]m9$          
appropriate by ! ,adm9i/rator4  7f7     
,def9itions ,9 ?is section3 7#a7        
,ambulatory surg]y c5t] ,! t]m          
ambulatory surg]y c5t] has ! mean+ giv5 
su* t]m 9 section #ahcc7;i7 ( ! ,social 
,security ,act4  7#b7 ,eligible heal?   
c>e practice ,! t]m eligible heal? c>e  
practice means a corporation1 limit$    
liability company1 or un9corporat$      

p]sonal entity t provides heal? c>e     
s]vices ( a physician or a heal? c>e    
provid] z lic5s$ "u ,/ate law4  7#c7    
,heal? c>e provid] ,! t]m heal? c>e     
provid] means an individual provid+     
heal? c>e s]vices "u ,/ate law z det]m9$
 by ! ,adm9i/rator4  7#d7 ,physician ,! 
t]m physician means an individual t     
meets ! def9ition "u section #ahfa7r7 ( 
! ,social ,security ,act4  7g7 ,sunset  
,l[-int]e/ loans "u ?is section to      
eligible heal? c>e practices &          
ambulatory surg]y c5t]s %all only be    
made dur+ ! duration ( ! ,,covid-#ai    
em]g5cy4  7h7 ,au?orization (           
appropriations ,!re is au?oriz$ to be   
appropriat$ su* sums z may be necess>y  
to c>ry out ?is section4  4