,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cgfh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ai1 #bjbj ,mr4   
,casey 7= himself1 ,mr4 ,:iteh\se1 ,mr4 
,s*um]1 ,mr4 ,jones1 ,ms4 ,w>r51 ,ms4   
,baldw91 ,mr4 ,m>key1 ,mrs4 ,%ahe51 ,mr4
 ,m55dez1 ,mr4 ,re$1 ,mr4 ,van ,holl51  
,mr4 ,blum5?al1 ,ms4 ,hirono1 ,ms4      
,cortez ,ma/o1 ,ms4 ,ros51 & ,mr4       
,pet]s7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to protect old] adults & p )
 disabilities liv+ 9 nurs+ homes1       
int]m$iate c>e facilities1 & psy*iatric 
hospitals f ,,covid-#ai4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,nurs+  
,home ,,covid-#ai ,protection &         
,prev5tion ,act ( #bjbj4  #b4           
,,covid-#ai nurs+ home protections  7a7 
,program ,to support ,,covid-#ai        
response  7#a7 ,9 g5]al ,n lat] ?an #cj 
days aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y %all c>ry out a program "u  
:i* paym5ts are made to ,/ates & ,indian

 ,tribes 9 ord] to support cohort+      
individuals 9 skill$ nurs+ facilities1  
nurs+ facilities1 int]m$iate c>e        
facilities1 & psy*iatric hospitals bas$ 
on ,,covid-#ai /atus4  7#b7 ,application
 ,to be eligible to receive a paym5t "u 
?is subsection1 a ,/ate or ,indian      
,tribe %all submit to ! ,secret>y an    
application4 ,su* application %all      
include evid5ce t ! ,/ate or ,indian    
,tribe 7& involv$ skill$ nurs+          
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals7
 are able to cohort individuals 9       
compliance ) guidance issu$ by !        
,secret>y dur+ ! em]g5cy p]iod4 ,if     
feasible1 ! ,secret>y %all provide = an 
exp$it$ application process4  7#c7      
,requirem5ts ,to be eligible to receive 
a paym5t "u ?is subsection1 a ,/ate or  
,indian ,tribe %all comply ) ! foll[+3  
7,a7 ,foll[+ guidance ,! ,/ate or       
,indian ,tribe %all foll[ ! guidance    
e/abli%$ by ! ,secret>y "u p>agraph 7#e7
 & all o!r guidance issu$ by ! ,secret>y

 dur+ ! em]g5cy p]iod4  7,b7 ,report+ ,!
 ,/ate or ,indian ,tribe %all1 z det]m9$
 appropriate by ! ,secret>y1 p]iodically
 report to ! ,secret>y on ! foll[+3  7i7
 ,! conv5+ & recomm5dations ( ! task =ce
 "u subp>agraph 7,c71 cohort+ /rategies 
be+ us$1 ! use ( surge teams1 & !       
te*nical assi/ance & res\rces provid$ "u
 subp>agraph 7,d74  7ii7 ,! ,/ate or    
,indian ,tribe's di/ribution ( ! paym5ts
 receiv$ "u ! program "u ?is subsection 
& :at facilities are us+ su* paym5ts =  
7z p]mitt$ "u p>agraph 7#d77;,b774      
7iii7 ,o!r items det]m9$ appropriate by 
! ,secret>y4  7,c7 ,task =ce  7i7 ,9    
g5]al ,! ,/ate or ,indian ,tribe %all   
e/abli% a task =ce to provide advice on 
! ,/ate's or ,tribe's use & di/ribution 
( paym5ts receiv$ "u ! program "u ?is   
section1 includ+ on cohort+ /rategies1 !
 use ( surge teams1 resid5t rights      
7p>ticul>ly involv+ dis*>ges &          
transf]s71 & o!r topics z det]m9$       
appropriate by ! ,secret>y4  7ii7       
,memb]%ip ,a task =ce e/abli%$ "u clause

 7i7 %all include repres5tation f !     
foll[+3 7,i7 ,consum]s1 includ+ old]    
adults age #fe & old]1 individuals )    
disabilities1 family c>egiv]s1 & _!     
advocates4  7,,ii7 ,skill$ nurs+        
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals4
  7,,iii7 ,heal? c>e provid]s & o!r     
congregate sett+s 7includ+ hospitals &  
p]man5t or transitional h\s+ facilities7
 t transf] resid5ts to & f skill$ nurs+ 
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals4
  7,,iv7 ,heal? pr(essionals1 su* z     
direct c>e pr(essionals1 physicians1    
nurses1 & ph>maci/s4  7,v7 ,exp]ts 9    
public heal? & infecti\s diseases4      
7,,vi7 ,exp]ts 9 g]iatrics & long-t]m   
c>e m$ic9e4  7,,vii7 ,! ,/ate ,long-,t]m
 ,c>e ,ombudsman program 7z describ$ 9  
section #gab7;a77#a7 ( ! ,old] ,am]icans
 ,act ( #aife 7#db ,u4,s4,c4            
#cjeh;g7a77#a7774  7,,viii7 ,!          
protection & advocacy sy/em 7z e/abli%$ 
"u subtitle ,c ( title ,i ( !           

,developm5tal ,disabilities ,assi/ance &
 ,bill ( ,rights ,act 7#db ,u4,s4,c4    
#aejda et seq474  7,,ix7 ,/ate ag5cies1 
includ+ ! ,/ate survey+ ag5cy & ! ag5cy 
t adm9i/]s ! ,/ate plan "u ! ,m$icaid   
program "u title ,,xix ( ! ,social      
,security ,act4  7,x7 ,o!r              
repres5tatives z ! ,secret>y det]m9es   
appropriate4  7,d7 ,protocol to evaluate
 ,! ,/ate or ,indian ,tribe %all e/abli%
 an exp$it$ protocol to evaluate a      
facility's ability 7includ+ a facility  
retr(itt$ "u p>agraph 7#d77;,b77i77 to  
cohort individuals :o te/ positive =    
,,covid-#ai1 individuals :o te/ negative
 = ,,covid-#ai1 or individuals ) unkn[n 
/atus or :o are "u obs]vation4 ,su*     
protocol %all include an infection      
control self-assessm5t & an abbreviat$  
survey & may include a /&>d survey4     
7,e7 ,te*nical assi/ance & res\rces  7i7
 ,9 g5]al ,! ,/ate or ,indian ,tribe    
%all ensure t skill$ nurs+ facilities1  
nurs+ facilities1 int]m$iate c>e        
facilities1 & psy*iatric hospitals      

receive te*nical assi/ance & ! necess>y 
res\rces to-- 7,i7 implem5t prop]       
infection control protocols & practices2
  7,,ii7 m9imize unnecess>y transf]s2   
7,,iii7 ensure adequate /aff+1 includ+ !
 use ( surge teams2  7,,iv7 effectively 
use & provide access to te/+ & p]sonal  
protective equipm5t1 includ+ guidance on
 h[ to effectively use p]sonal          
protective equipm5t :5 access is limit$2
  7,v7 safely transition resid5ts to    
home & community-bas$ sett+s2 &  7,,vi7 
o!r topics1 z det]m9$ appropriate by !  
,secret>y4  7ii7 ,requirem5t = te*nical 
assi/ance ,! te*nical assi/ance requir$ 
"u clause 7i7 %all be provid$ by--  7,i7
 quality improvem5t organizations "u "p 
,b ( title ,,xi ( ! ,social ,security   
,act2 or  7,,ii7 o!r indep5d5t          
organizations ( a simil> type t d n h   
conflicts ( int]e/ & are deem$          
appropriate by ! ,secret>y4  7#d7 ,use (
 funds  7,a7 ,9 g5]al ,a ,/ate or       
,indian ,tribe t receives a paym5t "u ! 
program "u ?is subsection %all use funds

 to support skill$ nurs+ facilities1    
nurs+ facilities1 int]m$iate c>e        
facilities1 & psy*iatric hospitals t    
cohort1 & provide s]vices to1           
individuals :o te/ positive =           
,,covid-#ai1 individuals :o te/ negative
 = ,,covid-#ai1 & individuals ) unkn[n  
/atus or :o are "u obs]vation4 ,su*     
cohort+ %all be 9 compliance ) all      
guidance issu$ by ! ,secret>y dur+ !    
em]g5cy p]iod4  7,b7 ,p]missible uses & 
au?oriz$ co/s ,/ates & ,indian ,tribes  
%all use ! paym5ts receiv$ "u ! program 
"u ?is subsection = ! foll[+ purposes3  
7i7 ,to retr(it non-traditional         
facility-bas$ sett+s1 su* z hotels1     
dormitories1 s*ools1 *ur*es1 & o!r      
tempor>y or p]man5t %elt]s1 = tempor>y  
use z skill$ nurs+ facilities1 nurs+    
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals4  7ii7 ,to support
 skill$ nurs+ facilities1 nurs+         
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals ) ! e/abli%m5t (  
specializ$ units )9 su* facilities4     

7iii7 ,to provide te/+ kits or o!r      
supplies ne$$ = rapid turn>\nd to te/   
/aff memb]s & resid5ts ( skill$ nurs+   
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals 
= ,,covid-#ai4  7iv7 ,to provide p]sonal
 protective equipm5t to /aff memb]s (   
skill$ nurs+ facilities1 nurs+          
facilities1 int]m$iate c>e facilities1  
psy*iatric hospitals &1 :]e appropriate1
 to resid5ts ( su* facilities4  7v7 ,to 
safely facilitate necess>y transf]s to &
 f skill$ nurs+ facilities1 nurs+       
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals4  7vi7 ,to safely 
facilitate volunt>y dis*>ges to home &  
community-bas$ sett+s f skill$ nurs+    
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals4
  7vii7 ,to provide additional /aff+    
7includ+ ! use ( surge teams7 associat$ 
) ! ,,covid-#ai p&emic = skill$ nurs+   
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals1
 :i* may include provid+ premium or     

haz>d pay1 ov]time pay1 enhanc$ paym5t  
rates1 paid sick & family m$ical leave1 
*ildc>e1 tempor>y h\s+1 transportation1 
& o!r supportive s]vices = /aff memb]s4 
7viii7 ,to provide support = individuals
 :o h no o!r me*anism to pay = _! c>e at
 skill$ nurs+ facilities1 nurs+         
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals & are unable to   
pay4  7ix7 ,o!r purposes relat+ to !    
cohort+ describ$ 9 subp>agraph 7,a74    
7#e7 ,additional guidance ,= purposes ( 
! program "u ?is subsection1 n lat] ?an 
#cj days aft] ! date ( enactm5t ( ?is   
,act 7& prior to mak+ any paym5ts to    
,/ates or ,indian ,tribes "u ! program7 
! ,secret>y %all e/abli% guidance on !  
foll[+3  7,a7 ,:i* skill$ nurs+         
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals 
are p]mitt$ to cohort individuals :o te/
 positive = ,,covid-#ai1 individuals :o 
te/ negative = ,,covid-#ai1 &           
individuals ) unkn[n /atus or :o are "u 
obs]vation4 ,su* guidance %all acc\nt   

=-- 7i7 ! facility's hi/ory ( compliance
 ) ! requirem5ts ( p>ticipation "u      
titles ,,xviii & ,,xix ( ! ,social      
,security ,act1 includ+ requirem5ts     
relat+ to infection control & em]g5cy   
prep>$ness2  7ii7 ! facility's curr5t or
 pa/ affiliation 7z ei!r a c&idate or   
p>ticipant7 ) ! special focus facility  
program "u section #ahai7;f77#h7 ( su*  
,act 7#db ,u4,s4,c4 #acie;i-#c7;f77#h77 
& section #aiai7;f77#aj7 ( su* ,act 7#db
 ,u4,s4,c4 #acifr7f77#aj772 &  7iii7 !  
facility's ability to treat high-sev]ity
 resid5ts1 z applicable4  7,b7 ,consum] 
protections = resid5ts ( skill$ nurs+   
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals 
affect$ by ,,covid-#ai cohort+ policies1
 includ+ by-- 7i7 prohibit+ facilities f
 dis*>g+ resid5ts = failure to pay =    
s]vices2 &  7ii7 requir+ writt5         
notification to be provid$ to resid5ts &
 _! family & legal repres5tatives at    
lea/ #gb h\rs prior to dis*>ge or       
transf]s1 ) su* notice conta9+-- 7,i7   

in=mation on ! rights ( ! resid5t2      
7,,ii7 contact in=mation = ! ,/ate      
,long-,t]m ,c>e ,ombudsman program 7z   
describ$ 9 section #gab7;a77#a7 ( !     
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjeh;g7a77#a7772 &  7,,iii7  
contact in=mation = ! protection &      
advocacy sy/em 7z e/abli%$ "u subtitle  
,c ( title ,i ( ! ,developm5tal         
,disabilities ,assi/ance & ,bill (      
,rights ,act 7#db ,u4,s4,c4 #aejda et   
seq474  7,c7 ,/rategies to effectively  
cohort resid5ts ( skill$ nurs+          
facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals 
bas$ on ,,covid-#ai /atus1 includ+-- 7i7
 ! tempor>y utilization (               
non-traditional facility-bas$ sett+s1   
su* z hotels1 dormitories1 s*ools1      
*ur*es1 & o!r tempor>y or p]man5t       
%elt]s1 z skill$ nurs+ facilities1 nurs+
 facilities1 int]m$iate c>e facilities1 
& psy*iatric hospitals2  7ii7 h[ to     
safely & effectively move1 %elt] 9      
place1 & cohort )9 facilities2  7iii7 h[

 to e/abli% sep>ate facilities =        
individuals :o te/ positive =           
,,covid-#ai2  7iv7 h[ to e/abli% sep>ate
 facilities = individuals :o te/        
negative = ,,covid-#ai2  7v7 prop]      
proc$ures = conduct+ ,,covid-#ai te/+1  
s5d+ te/s to be analyz$1 & effective use
 ( ,,covid-#ai te/+2  7vi7 adequate     
/aff+1 ) cont+5cy plans dur+ %ortages1  
includ+ ! use (-- 7,i7 sep>ate /aff+    
accord+ to ,,covid-#ai /atus2 &  7,,ii7 
surge teams2  7vii7 effective use (     
p]sonal protective equipm5t1 includ+ 9  
cases :]e access to an adequate supply (
 p]sonal protective equipm5t is limit$2 
7viii7 h[ to m9imize resid5t transf]s to
 & f ! facilities2  7ix7 h[ to safely   
effectuate resid5t transf]s to home &   
community-bas$ sett+s f ! facilities2 & 
7x7 h[ to uphold resid5t rights 9       
accordance ) titles ,,xviii & ,,xix ( ! 
,social ,security ,act4  7#f7 ,report ,n
 lat] ?an #b ye>s aft] ! date ( !       
enactm5t ( ?is section1 ! ,secret>y %all
 submit to ! appropriate ,committees (  

,congress a report on ! program "u ?is  
section1 toge!r ) recomm5dations = su*  
legislation & adm9i/rative action z !   
,secret>y det]m9es appropriate4  7#g7   
,fund+ ,out ( any monies 9 ! ,treasury (
 ! ,unit$ ,/ates n o!rwise appropriat$1 
!re are appropriat$ to ! ,secret>y      
#bj1jjj1jjj1jjj = fiscal ye> #bjbj =    
mak+ paym5ts to ,/ates & ,indian ,tribes
 "u ?is subsection4 ,am\nts appropriat$ 
"u ! prec$+ s5t5ce %all rema9 available 
until exp5d$4  7b7 ,,covid-#ai data     
collection & disclosure  7#a7 ,data     
collection & publication by ! ,secret>y 
7,a7 ,9 g5]al ,beg9n+ aft] ! date (     
enactm5t ( ?is ,act & cont9u+ ?r\gh !   
end ( ! em]g5cy p]iod1 or ?r\gh a lat]  
date det]m9$ appropriate by ! ,secret>y1
 ! ,secret>y %all make publicly         
available on ! ,nurs+ ,home ,comp>e     
websites describ$ 9 sections #ahai7;i7 &
 #aiai7;i7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #acie;i-#c7;i72 #db      
,u4,s4,c4 #acifr7i77 & on ! int]net     
website ( ! ,c5t]s = ,m$ic>e  ,m$icaid  

,s]vices in=mation1 )9 ea* ,/ate1       
,indian ,tribe1 & ea* skill$ nurs+      
facility1 nurs+ facility1 int]m$iate c>e
 facility1 & psy*iatric hospitals1 on ! 
foll[+3  7i7 ,! numb] ( suspect$ &      
confirm$ ,,covid-#ai cases among        
resid5ts 9 skill$ nurs+ facilities1     
nurs+ facilities1 int]m$iate c>e        
facilities1 & psy*iatric hospitals4     
7ii7 ,! numb] ( suspect$ & confirm$     
,,covid-#ai cases among /aff p]sons 9   
skill$ nurs+ facilities1 nurs+          
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals4  7iii7 ,! numb] (
 total dea?s & ,,covid-#ai dea?s 7among 
bo? resid5ts & /aff p]sons1 includ+ by  
age1 g5d]1 race1 & e?nicity7 9 skill$   
nurs+ facilities1 nurs+ facilities1     
int]m$iate c>e facilities1 & psy*iatric 
hospitals4  7iv7 ,p]sonal protective    
equipm5t & h& hygi5e supplies 9 skill$  
nurs+ facilities1 nurs+ facilities1     
int]m$iate c>e facilities1 & psy*iatric 
hospitals4  7v7 ,v5tilator capacity &   
supplies available 9 skill$ nurs+       

facilities1 nurs+ facilities1 int]m$iate
 c>e facilities1 & psy*iatric hospitals4
  7vi7 ,resid5t b$s & c5sus 9 skill$    
nurs+ facilities1 nurs+ facilities1     
int]m$iate c>e facilities1 & psy*iatric 
hospitals4  7vii7 ,access to te/+ 9     
skill$ nurs+ facilities1 nurs+          
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals4  7viii7 ,/aff+   
%ortages 9 skill$ nurs+ facilities1     
nurs+ facilities1 int]m$iate c>e        
facilities1 & psy*iatric hospitals4     
7ix7 ,o!r items det]m9$ appropriate by !
 ,secret>y4  7,b7 ,update ,! data       
describ$ 9 subp>agraph 7,a7 %all be     
updat$ n less frequ5tly ?an on a daily  
basis4  7,c7 ,data %>+ & transf] ,!     
,secret>y %all %>e ! data describ$ 9    
subp>agraph 7,a7 )-- 7i7 ! ,dep>tm5t (  
,vet]ans ,affairs2  7ii7 ! ,f$]al       
,em]g5cy ,managem5t ,ag5cy2  7iii7      
,/ates2  7iv7 ,indian ,tribes2 &  7v7   
o!r entities det]m9$ appropriate by !   
,secret>y4  7,d7 ,privacy ,! ,secret>y  
%all take all necess>y /eps to protect !

 privacy ( individual resid5ts & /aff   
p]sons associat$ ) ! affect$ skill$     
nurs+ facility1 nurs+ facility1         
int]m$iate c>e facility1 or psy*iatric  
hospital4  7#b7 ,disclosure by          
facilities  7,a7 ,9 g5]al ,beg9n+ aft] !
 date ( enactm5t ( ?is ,act & cont9u+   
?r\gh ! end ( ! em]g5cy p]iod1 or ?r\gh 
a lat] date det]m9$ appropriate by !    
,secret>y1 ! ,secret>y %all ensure t    
skill$ nurs+ facilities1 nurs+          
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals provide           
notification :5 a case ( ,,covid-#ai is 
confirm$ among a resid5t or /aff p]son  
or :5 #c or m resid5ts or /aff exhibit !
 new-onset ( respiratory symptoms       
occurr+ )9 #gb h\rs ( ea* o!r to !      
foll[+3  7i7 ,resid5ts ( su* facility & 
resid5ts' family or legal repres5tative4
  7ii7 ,/ate ,long-,t]m ,c>e ,ombudsman 
programs 7z describ$ 9 section          
#gab7;a77#a7 ( ! ,old] ,am]icans ,act ( 
#aife 7#db ,u4,s4,c4 #cjeh;g7a77#a7774  
7iii7 ,! protection & advocacy sy/em 7z 

e/abli%$ "u subtitle ,c ( title ,i ( !  
,developm5tal ,disabilities ,assi/ance &
 ,bill ( ,rights ,act 7#db ,u4,s4,c4    
#aejda et seq474  7,b7 ,tim+ ,!         
notification requir$ "u subp>agraph 7,a7
 %all be provid$--  7i7 )9 #ab h\rs ( ! 
confirmation ( a ,,covid-#ai case or !  
confirmation ( #c or m resid5ts or /aff 
p]sons exhibit+ new-onset respiratory   
symptoms ) #gb h\rs ( ea* o!r2 &  7ii7 9
 ! mo/ exp$i5t mann] available1 to be   
foll[$-up ) writt5 notification to      
resid5ts ( ! facility & resid5ts' family
 or legal repres5tative4  7#c7 ,,hhs    
/udy & report on ,,covid-#ai outbreaks  
7,a7 ,/udy  7i7 ,9 g5]al ,! ,secret>y   
%all conduct a /udy on ,,covid-#ai      
outbreaks 9 skill$ nurs+ facilities1    
nurs+ facilities1 int]m$iate c>e        
facilities1 & psy*iatric hospitals4 ,su*
 /udy %all include an analysis (-- 7,i7 
! *>act]i/ics ( skill$ nurs+ facilities1
 nurs+ facilities1 int]m$iate c>e       
facilities1 & psy*iatric hospitals t    
exp]i5c$ ,,covid-#ai outbreaks2  7,,ii7 

! size ( ! outbreaks2  7,,iii7 ! numb] (
 dea?s ( resid5ts & /aff p]sons f       
,,covid-#ai2 &  7,,iv7 ! total numb] (  
dea?s ( resid5ts4  7ii7 ,*>act]i/ics ,! 
*>act]i/ics describ$ 9 clause 7i7 %all  
include--  7,i7 ! facility's hi/ory (   
compliance ) ! requirem5ts (            
p>ticipation "u titles ,,xviii & ,,xix (
 ! ,social ,security ,act1 includ+      
requirem5ts relat+ to infection control 
& em]g5cy prep>$ness2  7,,ii7 !         
facility's curr5t or pa/ affiliation 7z 
ei!r a c&idate or p>ticipant7 ) !       
special focus facility program "u       
section #ahai7;f77#h7 ( su* ,act 7#db   
,u4,s4,c4 #acie;i-#c7;f77#h77 & section 
#aiai7;f77#aj7 ( su* ,act 7#db ,u4,s4,c4
 #acifr7f77#aj772  7,,iii7 ! facility's 
resid5t size1 includ+ ! numb] ( occupi$ 
b$s2  7,,iv7 ! facility's geographic    
location2 &  7,v7 ! facility's =-pr(it  
or non-pr(it /atus4  7,b7 ,report ,n    
lat] ?an #f mon?s aft] ! end ( ! em]g5cy
 p]iod1 & e #f mon?s !reaft] ?r\gh ! end
 ( ! #b-ye> p]iod t beg9s at ! end ( !  

em]g5cy p]iod1 ! ,secret>y %all submit  
to ! appropriate ,committees ( ,congress
 a report conta9+ ! results ( ! /udy    
conduct$ "u p>agraph 7#a71 toge!r )     
recomm5dations = su* legislation &      
adm9i/rative action z ! ,secret>y       
det]m9es appropriate4  7c7 ,mon?ly      
brief+s on ! ,,covid-#ai response  7#a7 
,mon?ly brief+s ,n lat] ?an #ae days    
aft] ! date ( enactm5t ( ?is ,act1 & at 
lea/ once e #cj days !reaft] ?r\gh ! end
 ( ! em]g5cy p]iod1 ! ,secret>y %all    
brief ! appropriate ,committees (       
,congress 7includ+ all memb]s ( su*     
,committees7 on ! ,,covid-#ai outbreak 9
 skill$ nurs+ facilities1 nurs+         
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals & ! response by ! 
,secret>y to su* outbreak4  7#b7 ,report
 ,n lat] ?an #a ye> aft] ! date (       
enactm5t ( ?is ,act1 ! ,inspector ,g5]al
 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices %all submit to ,congress a     
report t evaluates ! response ( !       
,secret>y to ! ,,covid-#ai outbreak 9   

skill$ nurs+ facilities1 nurs+          
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals su* z guidance1   
rules1 or waiv]s e/abli%$ by !          
,secret>y4  7d7 ,rule ( con/ruction     
,no?+ 9 ?is section %all be con/ru$ to  
affect ! requirem5ts or conditions (    
p>ticipation "u titles ,,xviii & ,,xix (
 ! ,social ,security ,act ) respect to  
skill$ nurs+ facilities1 nurs+          
facilities1 int]m$iate c>e facilities1 &
 psy*iatric hospitals4  7e7 ,def9itions 
,9 ?is section3  7#a7 ,appropriate      
,committees ( ,congress ,! t]m          
appropriate ,committee ( ,congress      
means-- 7,a7 ! ,committee on ,f9ance ( !
 ,s5ate2  7,b7 ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions ( !      
,s5ate2  7,c7 ! ,special ,committee on  
,ag+ ( ! ,s5ate2  7,d7 ! ,committee on  
,ways & ,means ( ! ,h\se (              
,repres5tatives2 &  7,e7 ! ,committee on
 ,en]gy & ,comm]ce ( ! ,h\se (          
,repres5tatives4  7#b7 ,em]g5cy p]iod ,!
 t]m ,em]g5cy p]iod means ! em]g5cy     

p]iod describ$ 9 section                
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acie;b-#e7;g77#a77;,b774  7#c7 ,indian 
,tribe ,! t]m ,indian ,tribe has ! mean+
 giv5 t t]m 9 section #d ( ! ,indian    
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#d7 ,int]m$iate c>e facility ,! t]m    
int]m$iate c>e facility means an        
int]m$iate c>e facility describ$ 9      
section #aije7;d7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7d774  7#e7  
,nurs+ facility ,! t]m nurs+ facility   
has ! mean+ giv5 t t]m 9 section        
#aiai7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acifr7a774  7#f7        
,psy*iatric hospital ,! t]m psy*iatric  
hospital has ! mean+ giv5 t t]m 9       
section #ahfa7;f7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciex7f774  7#g7   
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7#h7 ,skill$ nurs+ facility ,! t]m      
skill$ nurs+ facility has ! mean+ giv5 t

 t]m 9 section #ahai7;a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acie;i-#c7;a774  7#i7 ,/ate ,! t]m     
,/ate means ! #ej ,/ates1 ! ,di/rict (  
,columbia1 ! ,commonweal? ( ,pu]to      
,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1   
,guam1 ! ,commonweal? ( ! ,nor!rn       
,m>iana ,isl&s1 & ,am]ican ,samoa4      
7#aj7 ,surge team ,! t]m surge team     
means a %ort-t]m /aff+ team4