,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cgej  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ad1 #bjbj,mrs4   
,%ahe5 7= h]self1 ,mr4 ,b5net1 ,ms4     
,smi?1 ,ms4 ,cortez ,ma/o1 ,ms4 ,hassan1
 ,mr4 ,jones1 ,mr4 ,re$1 ,mr4 ,blum5?al1
 ,mr4 ,he9ri*1 ,mr4 ,man*91 ,mr4 ,durb91
 ,ms4 ,klobu*>1 ,ms4 ,w>r51 ,ms4 ,ros51 
& ,mr4 ,m>key7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to modify ! accel]at$ & advance   
paym5t programs "u p>ts ,a & ,b ( !     
,m$ic>e program dur+ ! ,,covid-#ai      
em]g5cy4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,m$ic>e ,accel]at$ &        
,advance ,paym5ts ,improvem5t ,act4  #b4
 ,modify+ ! accel]at$ & advance paym5t  
programs "u p>ts ,a & ,b ( ! ,m$ic>e    
program dur+ ! ,,covid-#ai em]g5cy  7a7 
,special repaym5t rules  7#a7 ,"p ,a    
,section #ahae7;f77#b77;,c7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acie;g7f77#b77;,c77 is am5d$ to read z 

foll[s3  7,c7 ,9 ! case ( an accel]at$  
paym5t made "u su* program on or aft] ! 
date ( ! enactm5t ( ! ,,c>es ,act & s   
made dur+ ! em]g5cy p]iod describ$ 9    
section #aace7;g77#a77;,b7-- 7i7 su*    
paym5t %all be treat$ z if su* paym5t 7 
made f ! ,g5]al ,fund ( ! ,treasury2    
7ii7 ^u reque/ ( ! hospital1 ! ,secret>y
 %all-- 7,i7 provide #a ye> be=e claims 
are (fset to rec\p su* paym5t2  7,,ii7  
provide t any su* (fset ( a claim to    
rec\p su* paym5t %all n exce$ #be p]c5t 
( ! am\nt ( su* claim2 &  7,,iii7 all[ n
 less ?an #b ye>s f ! date ( ! fir/     
accel]at$ paym5t be=e requir+ t ! out/&+
 balance be paid 9 full2 &  7iii7 !     
,secret>y may waive ! requirem5t t su*  
paym5t be repaid 7or rec\p$7 if1 n e>li]
 ?an #b ye>s f ! date ( ! fir/ accel]at$
 paym5t1 ! hospital submits to !        
,secret>y a reque/ = su* waiv] conta9+  
su* in=mation t demon/rates t-- 7,i7    
requir+ repaym5t ( su* paym5t 7or rec\p+
 su* paym5t7 w\ld con/itute an extreme  
h>d%ip = ! hospital2  7,,ii7 ! hospital 

made ef=ts to ma9ta9 a comp>able numb] (
 employees at a comp>able level ( pay   
dur+ ! su* em]g5cy p]iod comp>$ to !    
numb] (1 & level ( pay =1 su* employees 
z ( ! day be=e ! beg9n+ ( su* p]iod2 &  
7,,iii7 ! hospital did n increase       
executive comp5sation or und]take any   
/ock buyback1 if applicable1 dur+ su*   
em]g5cy p]iod4  4  7#b7 ,"p ,b  7,a7    
,cont9u+ conduct ( advance paym5t       
program ,not)/&+ any o!r provision (    
law1 ! ,secret>y ( ,heal? & ,human      
,s]vices %all c>ry out ! program        
describ$ 9 section #dba4bad ( title #db1
 ,code ( ,f$]al ,regulations 7or a      
successor regulation7 = ! duration ( !  
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;b-#e7;g77#a77;,b774  7,b7         
,repaym5t rules ,9 c>ry+ out su*        
program1 9 ! case ( a paym5t made "u su*
 program on or aft] ! date ( ! enactm5t 
( ! ,,c>es ,act 7,public ,law #aaf-acf7 
& s made dur+ ! 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 ! ,secret>y ( 
,heal? & ,human ,s]vices-- 7i7 %all     
treat su* paym5t z if su* paym5t 7 made 
f ! ,g5]al ,fund ( ! ,treasury2  7ii7 ^u
 reque/ ( ! entity receiv+ su* paym5t1  
%all-- 7,i7 provide #a ye> be=e claims  
are (fset to rec\p ! paym5t2  7,,ii7    
provide t any su* (fset ( a claim to    
rec\p su* paym5t %all n exce$ #be p]c5t 
( ! am\nt ( su* claim2 &  7,,iii7 all[ n
 less ?an #b ye>s f ! date ( ! fir/     
advance paym5t be=e requir+ t ! out/&+  
balance be paid 9 full2 &  7iii7 may    
waive ! requirem5t t su* paym5t be      
repaid 7or rec\p$7 if1 n e>li] ?an #b   
ye>s f ! date ( ! fir/ advance paym5t1 !
 entity submits to ! ,secret>y a reque/ 
= su* waiv] conta9+ su* in=mation t     
demon/rates t-- 7,i7 requir+ repaym5t ( 
su* paym5t 7or rec\p+ su* paym5t7 w\ld  
con/itute an extreme h>d%ip = ! entity2 
7,,ii7 ! entity made ef=ts to ma9ta9 a  
comp>able numb] ( employees at a        

comp>able level ( pay dur+ ! su* em]g5cy
 p]iod comp>$ to ! numb] (1 & level (   
pay =1 su* employees z ( ! day be=e !   
beg9n+ ( su* p]iod2 &  7,,iii7 ! entity 
did n increase executive comp5sation or 
und]take any /ock buyback1 if           
applicable1 dur+ su* em]g5cy p]iod4  7b7
 ,int]e/ rates  7#a7 ,"p ,a ,section    
#ahae7;d7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acie;g7d77 is am5d$ by  
ins]t+ be=e ! p]iod at ! end ! foll[+3  
7or1 9 ! case ( su* a det]m9ation made )
 respect to a paym5t made on or aft] !  
date ( ! enactm5t ( ! ,,c>es ,act & dur+
 ! em]g5cy p]iod describ$ 9 section     
#aace7;g77#a77;,b7 "u ! program "u      
subsection 7e77#c71 at a rate ( #a      
p]c5t74  7#b7 ,"p ,b ,section #ahcc7;j7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciel7j77 is am5d$ by ins]t+ 
be=e ! p]iod at ! end ! foll[+3 7or1 9 !
 case ( su* a det]m9ation made ) respect
 to a paym5t made on or aft] ! date ( ! 
enactm5t ( ! ,,c>es ,act & dur+ !       
em]g5cy p]iod describ$ 9 section        

#aace7;g77#a77;,b7 "u ! program describ$
 9 section #dba4bad ( title #db1 ,code (
 ,f$]al ,regulations 7or a successor    
regulation71 at a rate ( #a p]c5t74  7c7
 ,report  7#a7 ,reports dur+ ,,covid-#ai
 em]g5cy ,n lat] ?an #b weeks aft] !    
date ( ! enactm5t ( ?is section1 & e #b 
weeks !reaft] dur+ ! em]g5cy p]iod      
describ$ 9 section #aace7;g77#a77;,b7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acbj;b-#e7;g77#a77;,b771 ! ,secret>y ( 
,heal? & ,human ,s]vices %all submit to 
! ,committee on ,ways & ,means & !      
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & ! ,committee 
on ,f9ance ( ! ,s5ate1 a report t       
includes ! foll[+3 7,a7 ,! total am\nt (
 paym5ts made "u section #ahae7;e77#c7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acie;g7e77#c77 & "u ! program describ$
 9 section #dba4bad ( title #db1 ,code (
 ,f$]al ,regulations 7or a successor    
regulation7 dur+ ! #b-week p]iod prec$+ 
! date ( ! submission ( su* report4     
7,b7 ,! numb] ( entities receiv+ su*    

paym5ts dur+ su* p]iod4  7,c7 ,a        
specification ( ea* su* entity4  7#b7   
,reports aft] ,,covid-#ai em]g5cy  7,a7 
,9 g5]al ,n lat] ?an #f mon?s aft] !    
t]m9ation ( ! em]g5cy p]iod describ$ 9  
p>agraph 7#a71 & e #f mon?s !reaft]     
until all specifi$ paym5ts 7z def9$ 9   
subp>agraph 7,b77 h be5 rec\p$ or       
repaid1 ! ,secret>y ( ,heal? & ,human   
,s]vices %all submit to ! ,committee on 
,ways & ,means & ! ,committee on ,en]gy 
& ,comm]ce ( ! ,h\se ( ,repres5tatives1 
& ! ,committee on ,f9ance ( ! ,s5ate1 a 
report t includes ! foll[+3 7i7 ,! total
 am\nt ( all specifi$ paym5ts t h be5   
rec\p$ or repaid4  7ii7 ,! total am\nt (
 all specifi$ paym5ts t h be5 rec\p$ or 
repaid4  7iii7 ,! am\nt ( int]e/ t has  
accru$ ) respect to all specifi$        
paym5ts4  7,b7 ,specifi$ paym5ts ,=     
purposes ( subp>agraph 7,a71 ! t]m      
specifi$ paym5ts means all paym5ts made 
"u section #ahae7;e77#c7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acie;g7e77#c77 or "u ! program describ$

 9 section #dba4bad ( title #db1 ,code (
 ,f$]al ,regulations 7or a successor    
regulation7 made on or aft] ! date ( !  
enactm5t ( ! ,,c>es ,act 7,public ,law  
#aaf-acf7 dur+ ! em]g5cy p]iod describ$ 
9 su* subp>agraph4