,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ddfi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #f1 #bjbj,ms4   
,smi? 7= h]self1 ,mr4 ,b5net1 & ,ms4    
,h>ris7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to ensure cov]age ( a       
,,covid-#ai vacc9e & treatm5t4  #a4     
,%ort title2 table ( cont5ts  7a7 ,%ort 
title ,?is ,act may be cit$ z !         
,,covid-#ai ,treatm5t ,cov]age ,act4    
7b7 ,table ( cont5ts ,! table ( cont5ts 
( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort 
title2 table ( cont5ts4,sec4 #b4        
,cov]age at no co/ %>+ ( ,,covid-#ai    
vacc9e & treatm5t "u ,m$icaid           
program4,sec4 #c4 ,cov]age ( treatm5t & 
vacc9es at no co/ %>+ = ! un9sur$4,sec4 
#d4 ,cov]age ( ,,covid-#ai treatm5t at  
no co/ %>+ "u ,m$ic>e program4,sec4 #e4 
,cov]age ( ,,covid-#ai treatm5t at no   
co/ %>+ "u ,m$ic>e ,advantage           
program4,sec4 #f4 ,cov]age ( ,,covid-#ai
 ,drugs at no co/ %>+ "u ,m$ic>e        

prescription drug plans4,sec4 #g4       
,cov]age ( ,,covid-#ai treatm5t at no   
co/ %>+ "u private heal? insurance4,sec4
 #h4 ,cov]age ( ,,covid-#ai treatm5t at 
no co/ %>+ = ,,tric>e recipi5ts4,sec4   
#i4 ,cov]age ( ,,covid-#ai treatm5t at  
no co/ %>+ = vet]ans4,sec4 #aj4 ,cov]age
 ( ,,covid-#ai treatm5t at no co/ %>+ = 
,f$]al civilian employees4,sec4 #aa4    
,cov]age ( ,,covid-#ai treatm5t at no   
co/ %>+ "u ,indian ,heal? ,s]vice4,sec4 
#ab4 ,s5se ( ,congress relat$ to        
surprise m$ical bills4,sec4 #ac4        
,special enrollm5t p]iod2 outrea* &     
enrollm5t activities4  #b4 ,cov]age at  
no co/ %>+ ( ,,covid-#ai vacc9e &       
treatm5t "u ,m$icaid program  7a7       
,m$icaid  7#a7 ,9 g5]al ,section        
#aije7;a77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif;d7a77#d77 is      
am5d$-- 7,a7 by /rik+ & 7,d7 & ins]t+   
7,d72 &  7,b7 by /rik+ ! semicolon at ! 
end & ins]t+ 2 7,e7 dur+ ! portion ( !  
em]g5cy p]iod describ$ 9 p>agraph       
7#a77;,b7 ( section #aace7;g7 beg9n+ on 

! date ( ! enactm5t ( ! ,,covid-#ai     
,treatm5t ,cov]age ,act1 a ,,covid-#ai  
vacc9e lic5s$ "u section #cea ( !       
,public ,heal? ,s]vice ,act1 or approv$ 
or au?oriz$ "u section #eje or #efd ( ! 
,f$]al ,food1 ,drug1 & ,cosmetic ,act1 &
 adm9i/ration ( ! vacc9e2 7,f7 dur+ su* 
portion ( ! em]g5cy p]iod describ$ 9    
p>agraph 7#a77;,b7 ( section #aace7;g71 
items or s]vices = ! prev5tion or       
treatm5t ( ,,covid-#ai1 includ+ drugs   
approv$ or au?oriz$ "u su* section #eje 
or su* section #efd or1 )\t reg>d to !  
requirem5ts ( section                   
#aijb7;a77#aj77;,b7 7relat+ to          
comp>ability71 9 ! case ( an individual 
:o is diagnos$ ) or presum$ to h        
,,covid-#ai1 dur+ su* portion ( su*     
em]g5cy p]iod dur+ :i* su* individual is
 infect$ 7or presum$ infect$7 )         
,,covid-#ai1 ! treatm5t ( a condition t 
may complicate ! treatm5t (             
,,covid-#ai24  7#b7 ,prohibition ( co/  
%>+  7,a7 ,9 g5]al ,subsections 7a77#b7 
& 7b77#b7 ( section #aiaf ( ! ,social   

,security ,act 7#db ,u4,s4,c4 #acifo7   
are ea* am5d$-- 7i7 9 subp>agraph 7,f71 
by /rik+ or at ! end2  7ii7 9           
subp>agraph 7,g71 by /rik+ 2 & & ins]t+ 
1 or2 &  7iii7 by add+ at ! end ! foll[+
 subp>agraphs3  7,h7 dur+ ! portion ( ! 
em]g5cy p]iod describ$ 9 p>agraph       
7#a77;,b7 ( section #aace7;g7 beg9n+ on 
! date ( ! enactm5t ( ?is subp>agraph1 a
 ,,covid-#ai vacc9e lic5s$ "u section   
#cea ( ! ,public ,heal? ,s]vice ,act1 or
 approv$ or au?oriz$ "u section #eje or 
#efd ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act1 & ! adm9i/ration ( su*  
vacc9e1 or  7,i7 dur+ su* portion ( !   
em]g5cy p]iod describ$ 9 p>agraph       
7#a77;,b7 ( section #aace7;g71 any item 
or s]vice furni%$ = ! treatm5t (        
,,covid-#ai1 includ+ drugs approv$ or   
au?oriz$ "u su* section #eje or su*     
section #efd or1 9 ! case ( an          
individual :o is diagnos$ ) or presum$  
to h ,,covid-#ai1 dur+ ! portion ( su*  
em]g5cy p]iod dur+ :i* su* individual is
 infect$ 7or presum$ infect$7 )         

,,covid-#ai1 ! treatm5t ( a condition t 
may complicate ! treatm5t ( ,,covid-#ai2
 &  4  7,b7 ,application to alt]native  
co/ %>+ ,section #aiaf;,a7b77#c77;,b7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acifo-#a7;b77#c77;,b77 is am5d$-- 7i7 9
 clause 7xi71 by /rik+ any visit &      
ins]t+ any s]vice2 &  7ii7 by add+ at ! 
end ! foll[+ clauses3  7xii7 ,dur+ !    
portion ( ! em]g5cy p]iod describ$ 9    
p>agraph 7#a77;,b7 ( section #aace7;g7  
beg9n+ on ! date ( ! enactm5t ( ?is     
clause1 a ,,covid-#ai vacc9e lic5s$ "u  
section #cea ( ! ,public ,heal? ,s]vice 
,act1 or approv$ or au?oriz$ "u section 
#eje or #efd ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act1 & ! adm9i/ration ( su*  
vacc9e4  7xiii7 ,dur+ su* portion ( !   
em]g5cy p]iod describ$ 9 p>agraph       
7#a77;,b7 ( section #aace7;g71 an item  
or s]vice furni%$ = ! treatm5t (        
,,covid-#ai1 includ+ drugs approv$ or   
au?oriz$ "u su* section #eje or su*     
section #efd or1 9 ! case ( an          
individual :o is diagnos$ ) or presum$  

to h ,,covid-#ai1 dur+ su* portion ( su*
 em]g5cy p]iod dur+ :i* su* individual  
is infect$ 7or presum$ infect$7 )       
,,covid-#ai1 ! treatm5t ( a condition t 
may complicate ! treatm5t ( ,,covid-#ai4
  4  7,c7 ,cl>ification ,! am5dm5ts made
 by ?is subsection %all apply ) respect 
to a ,/ate plan ( a t]ritory 9 ! same   
mann] z a ,/ate plan ( "o ( ! #ej       
,/ates4  7b7 ,/ate p$iatric vacc9e      
di/ribution program ,section #aibh ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acifs7 is am5d$-- 7#a7 9 subsection    
7a77#a7-- 7,a7 9 subp>agraph 7,a71 by   
/rik+ 2 & & ins]t+ a semicolon2  7,b7 9 
subp>agraph 7,b71 by /rik+ ! p]iod &    
ins]t+ 2 &2 &  7,c7 by add+ at ! end !  
foll[+ subp>agraph3  7,c7 dur+ ! portion
 ( ! em]g5cy p]iod describ$ 9 p>agraph  
7#a77;,b7 ( section #aace7;g7 beg9n+ on 
! date ( ! enactm5t ( ?is subp>agraph1  
ea* vacc9e-eligible *ild 7z def9$ 9     
subsection 7b77 is entitl$ to receive a 
,,covid-#ai vacc9e f a program-regi/]$  
provid] 7z def9$ 9 subsection 7h77#g77  

)\t *>ge =-- 7i7 ! co/ ( su* vacc9e2 or 
7ii7 ! adm9i/ration ( su* vacc9e4  2    
7#b7 9 subsection 7c77#b7-- 7,a7 9      
subp>agraph 7,c77ii71 by ins]t+ 1 b1    
dur+ ! portion ( ! em]g5cy p]iod        
describ$ 9 p>agraph 7#a77;,b7 ( section 
#aace7;g7 beg9n+ on ! date ( ! enactm5t 
( ! ,,covid-#ai ,treatm5t ,cov]age ,act1
 may n impose a fee = ! adm9i/ration ( a
 ,,covid-#ai vacc9e be=e ! p]iod2 &     
7,b7 by add+ at ! end ! foll[+          
subp>agraph3  7,d7 ,! provid] w provide 
& adm9i/] an approv$ ,,covid-#ai vacc9e 
to a vacc9e-eligible *ild 9 accordance )
 ! same requirem5ts z apply "u ! prec$+ 
subp>agraphs to ! provision &           
adm9i/ration ( a qualifi$ p$iatric      
vacc9e to su* a *ild4  2 &  7#c7 9      
subsection 7d77#a71 9 ! fir/ s5t5ce1 by 
ins]t+ 1 includ+1 dur+ ! portion ( !    
em]g5cy p]iod describ$ 9 p>agraph       
7#a77;,b7 ( section #aace7;g7 beg9n+ on 
! date ( ! enactm5t ( ! ,,covid-#ai     
,treatm5t ,cov]age ,act1 ) respect to a 
,,covid-#ai vacc9e lic5s$ "u section    

#cea ( ! ,public ,heal? ,s]vice ,act1 or
 approv$ or au?oriz$ "u section #eje or 
#efd ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act be=e ! p]iod4  7c7 ,,*ip 
7#a7 ,9 g5]al ,section #bajc7;c7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acig;cc7c77 is am5d$ by add+ at ! end !
 foll[+ p>agraph3  7#aa7 ,cov]age (     
,,covid-#ai vacc9es & treatm5t          
,reg>dless ( ! type ( cov]age elect$ by 
a ,/ate "u subsection 7a71 *ild heal?   
assi/ance provid$ "u su* cov]age =      
t>get$ l[-income *ildr5 &1 9 ! case t ! 
,/ate elects to provide pregnancy-relat$
 assi/ance "u su* cov]age pursuant to   
section #baab1 su* pregnancy-relat$     
assi/ance = t>get$ l[-income pregnant   
wom5 7z def9$ 9 section #baab7;d77 %all 
include cov]age1 dur+ ! portion ( !     
em]g5cy p]iod describ$ 9 p>agraph       
7#a77;,b7 ( section #aace7;g7 beg9n+ on 
! date ( ! enactm5t ( ?is p>agraph1 (-- 
7,a7 a ,,covid-#ai vacc9e lic5s$ "u     
section #cea ( ! ,public ,heal? ,s]vice 
,act1 or approv$ or au?oriz$ "u section 

#eje or #efd ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act1 & ! adm9i/ration ( su*  
vacc9e2 &  7,b7 any item or s]vice      
furni%$ = ! treatm5t ( ,,covid-#ai1     
includ+ drugs approv$ or au?oriz$ "u su*
 section #eje or su* section #efd1 or1 9
 ! case ( an individual :o is diagnos$ )
 or presum$ to h ,,covid-#ai1 dur+ !    
portion ( su* em]g5cy p]iod dur+ :i* su*
 individual is infect$ 7or presum$      
infect$7 ) ,,covid-#ai1 ! treatm5t ( a  
condition t may complicate ! treatm5t ( 
,,covid-#ai4  4  7#b7 ,prohibition ( co/
 %>+ ,section #bajc7;e77#b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acig;cc7e77#b771 z am5d$ by section    
#fjjd7;b77#c7 ( ! ,families ,fir/       
,coronavirus ,response ,act1 is am5d$-- 
7,a7 9 ! p>agraph head]1 by ins]t+ a    
,,covid-#ai vacc9e1 ,,covid-#ai         
treatm5t1 be=e or pregnancy-relat$      
assi/ance2 &  7,b7 by /rik+ visits      
describ$ 9 section #aiaf7;a77#b77;,g71  
or & ins]t+ s]vices describ$ 9 section  
#aiaf7;a77#b77;,g71 vacc9es describ$ 9  

section #aiaf7;a77#b77;,h7 adm9i/]$ dur+
 ! portion ( ! em]g5cy p]iod describ$ 9 
p>agraph 7#a77;,b7 ( section #aace7;g7  
beg9n+ on ! date ( ! enactm5t ( !       
,,covid-#ai ,treatm5t ,cov]age ,act1    
items or s]vices describ$ 9 section     
#aiaf7;a77#b77;,i7 furni%$ dur+ su*     
em]g5cy p]iod1 or4  7d7 ,con=m+ am5dm5ts
 ,section #aicg ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acifu-#g7 is       
am5d$-- 7#a7 9 subsection 7a77#a77;,b71 
by ins]t+ 1 "u subclause 7,,xxiii7 (    
section #aijb7;a77#aj77;,a77ii71 aft]   
section #aijb7;a77#aj77;,a77i72 &  7#b7 
9 subsection 7b77#e71 by add+ be=e !    
p]iod ! foll[+3 1 &1 effective on ! date
 ( ! enactm5t ( ! ,,covid-#ai ,treatm5t 
,cov]age ,act1 mu/ comply ) subp>agraphs
 7,f7 ?r\gh 7,i7 ( subsections 7a77#b7 &
 7b77#b7 ( section #aiaf & subsection   
7b77#c77;,b7 ( section #aiaf;,a4  7e7   
,effective date ,! am5dm5ts made by ?is 
section %all take effect on ! date (    
enactm5t ( ?is ,act & %all apply )      
respect to a ,,covid-#ai vacc9e beg9n+  

on ! date t su* vacc9e is lic5s$ "u     
section #cea ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bfb71 or approv$ or
 au?oriz$ "u section #eje or #efd ( !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act4  
#c4 ,cov]age ( treatm5t & vacc9es at no 
co/ %>+ = ! un9sur$  7a7 ,9 g5]al       
,section #aijb7;a77#aj7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77 is am5d$1 9 ! matt]    
foll[+ subp>agraph 7,g71 by /rik+ & any 
visit describ$ 9 section                
#aiaf7;a77#b77;,g7 & ins]t+ ! foll[+3 1 
any ,,covid-#ai vacc9e t is adm9i/]$    
dur+ any su* portion 7& ! adm9i/ration (
 su* vacc9e71 any item or s]vice t is   
furni%$ dur+ any su* portion = !        
treatm5t ( ,,covid-#ai1 includ+ drugs   
approv$ or au?oriz$ "u section #eje or  
#efd ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act1 or1 9 ! case ( an       
individual :o is diagnos$ ) or presum$  
to h ,,covid-#ai1 dur+ ! p]iod su*      
individual is infect$ 7or presum$       
infect$7 ) ,,covid-#ai1 ! treatm5t ( a  

condition t may complicate ! treatm5t ( 
,,covid-#ai1 ! treatm5t ( a             
,,covid-#ai-relat$ condition t foll[s ! 
treatm5t (1 or hospitalization )1       
,,covid-#ai1 & any s]vices describ$ 9   
section #aiaf7;a77#b77;,g74  7b7        
,def9ition ( un9sur$ individual  7#a7 ,9
 g5]al ,subsection 7ss7 ( section #aijb 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7 is am5d$ to read z   
foll[s3  7ss7 ,un9sur$ individual def9$ 
,= purposes ( ?is section1 ! t]m un9sur$
 individual means1 not)/&+ any o!r      
provision ( ?is title1 any individual :o
 is n cov]$ by m9imum ess5tial cov]age  
7z def9$ 9 section #ejjj;,a7f77#a7 ( !  
,int]nal ,rev5ue ,code ( #aihf74  4     
7#b7 ,effective date ,! am5dm5t made by 
p>agraph 7#a7 %all take effect & apply z
 if includ$ 9 ! enactm5t ( ! ,families  
,fir/ ,coronavirus ,response ,act       
7,public ,law #aaf-abg74  7c7           
,cl>ification reg>d+ em]g5cy s]vices =  
c]ta9 individuals ,= purposes ( apply+  
section #aijc7v77#b77;,a7 ( ! ,social   

,security ,act 7#db ,u4,s4,c4           
#acif;b7v77#b77;,a771 ! c>e & s]vices   
describ$ 9 su* section %all include !   
foll[+3 7#a7 ,9 vitro diagno/ic products
 7z def9$ 9 section #hji4c7;a7 ( title  
#ba1 ,code ( ,f$]al ,regulations71 & !  
adm9i/ration ( su* products4  7#b7 ,a   
,,covid-#ai vacc9e 7& ! adm9i/ration (  
su* vacc9e74  7#c7 ,any item or s]vice t
 is furni%$ = ! treatm5t ( ,,covid-#ai  
or a condition t may complicate !       
treatm5t ( ,,covid-#ai1 ! treatm5t ( a  
,,covid-#ai-relat$ condition t foll[s ! 
treatm5t (1 or hospitalization )1       
,,covid-#ai1 & any s]vices describ$ 9   
section #aiaf7;a77#b77;,g7 ( su* ,act   
7#db ,u4,s4,c4 #acifo7a77#b77;,g774  7d7
 ,em]g5cy ,m$icaid = individuals )      
suspect$ ,,covid-#ai infections ,=      
purposes ( apply+ section #aijc7v77#c7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acif;b7v77#c771 ! t]m em]g5cy m$ical  
condition 7z def9$ 9 su* section        
#aijc7v77#c77 %all include1 ) respect to
 an individual1 any conc]n t !          

individual may h contract$ ,,covid-#ai4 
7e7 ,treatm5t ( assi/ance & s]vices     
provid$ ,beg9n+ on ! date ( enactm5t (  
?is ,act-- 7#a7 ! value ( assi/ance or  
s]vices provid$ to any p]son "u a       
program ) respect to :i* a coronavirus  
response law e/abli%es or exp&s         
eligibility or b5efits %all n be        
consid]$ income or res\rces2 &  7#b7    
7,a7 any m$ical cov]age or s]vices      
provid$ to an individual "u subsection  
7v7 ( section #aijc ( ! ,social         
,security ,act 7#db ,u4,s4,c4 #acif;b7  
%all be consid]$ treatm5t = an em]g5cy  
m$ical condition 7z def9$ 9 subsection  
7v77#c7 ( su* section7 = any purpose "u 
any ,f$]al1 ,/ate1 or local law1 includ+
 law relat+ to taxation1 welf>e1 &      
public assi/ance programs2 &  7,b7 a    
p>ticipat+ ,/ate or political           
subdivision ( a ,/ate %all n decrease   
any assi/ance o!rwise provid$ to an     
individual because ( ! receipt ( b5efits
 "u ! ,social ,security ,act 7#db       
,u4,s4,c4 #cja et seq474  7f7 ,o!r      

def9itions ,9 ?is section3 7#a7         
,coronavirus public heal? em]g5cy ,! t]m
 coronavirus public heal? em]g5cy       
means-- 7,a7 an 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-#ai or  
any o!r coronavirus ) p&emic pot5tial2  
7,b7 an em]g5cy decl>$ by a ,f$]al      
(ficial ) respect to coronavirus 7z     
def9$ 9 section #ejf ( ! ,coronavirus   
,prep>$ness & ,response ,supplem5tal    
,appropriations ,act1 #bjbj 7,public    
,law #aaf-abc772  7,c7 a national       
em]g5cy decl>$ by ! ,presid5t "u !      
,national ,em]g5cies ,act 7#ej ,u4,s4,c4
 #afja et seq47 ) respect to ,,covid-#ai
 or any o!r coronavirus ) p&emic        
pot5tial2 &  7,d7 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 #bdg7;d77 ) respect to        

,,covid-#ai or any o!r coronavirus )    
p&emic pot5tial4  7#b7 ,coronavirus     
response law ,! t]m coronavirus response
 law means-- 7,a7 ! ,coronavirus        
,prep>$ness & ,response ,supplem5tal    
,appropriations ,act1 #bjbj 7,public    
,law #aaf-abc72  7,b7 ! ,families ,fir/ 
,coronavirus ,response ,act 7,public    
,law #aaf-abg72  7,c7 ! ,coronavirus    
,aid1 ,relief1 & ,economic ,security    
,act 7,public ,law #aaf-acf72 &  7,d7   
any subsequ5t law t appropriates or     
o!rwise makes available funds1          
e/abli%es1 am5ds1 or exp&s a program1 or
 au?orizes activities or assi/ance = a  
purpose t is expressly relat$ to        
respond+ to1 or mitigat+ ! effects (1 a 
coronavirus public heal? em]g5cy4  7g7  
,reimbursem5t = additional heal? s]vices
 relat+ to coronavirus ,title ,v (      
division ,a ( ! ,families ,fir/         
,coronavirus ,response ,act 7,public    
,law #aaf-abg7 is am5d$ "u ! head+      
,dep>tm5t ( ,heal? & ,human             
,s]vices--,(fice ( ! ,secret>y--,public 

,heal? & ,social ,s]vices ,em]g5cy ,fund
 by ins]t+ 1 or treatm5t relat$ to      
,,s>s-,co,v-#b or ,,covid-#ai = un9sur$ 
individuals aft] or visits describ$ 9   
p>agraph 7#b7 ( su* section = un9sur$   
individuals4  7h7 ,rule ( con/ruction   
,no?+ 9 ?is section %all be con/ru$ to  
limit-- 7#a7 ! types ( c>e & s]vices t  
are necess>y = ! treatm5t ( an em]g5cy  
condition = purposes ( section #aijc7v7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;b7v772 or  7#b7 ! types 
( m$ical conditions t are em]g5cy m$ical
 conditions = purposes ( su* section4   
#d4 ,cov]age ( ,,covid-#ai treatm5t at  
no co/ %>+ "u ,m$ic>e program  7a7 ,9   
g5]al ,not)/&+ any o!r provision ( law1 
9 ! case ( a specifi$ ,,covid-#ai       
treatm5t s]vice 7z def9$ 9 subsection   
7b77 furni%$ dur+ any portion ( !       
em]g5cy p]iod describ$ 9 p>agraph       
7#a77;,b7 ( section #aace7;g7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;b-#e7;g77 beg9n+ on or aft] ! date
 ( ! enactm5t ( ?is ,act to an          

individual entitl$ to b5efits "u "p ,a  
or enroll$ "u "p ,b ( title ,,xviii ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 = :i* paym5t is made "u  
su* "p ,a or su* "p ,b1 ! ,secret>y (   
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>y7 %all provide   
t-- 7#a7 any co/ %>+ requir$ 7includ+   
any d$uctible1 copaym5t1 or co9surance7 
applicable to su* individual "u su* "p  
,a or su* "p ,b ) respect to su* item or
 s]vice is paid by ! ,secret>y2 &  7#b7 
! provid] ( s]vices or suppli] 7z def9$ 
9 section #ahfa ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciex77 does n hold
 su* individual liable = su* requirem5t4
  7b7 ,def9ition ( specifi$ ,,covid-#ai 
treatm5t s]vices ,= purposes ( ?is      
section1 ! t]m specifi$ ,,covid-#ai     
treatm5t s]vice means any item or s]vice
 furni%$ to an individual = :i* paym5t  
may be made "u "p ,a or "p ,b ( title   
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq47 if su* item or 
s]vice is includ$ 9 a claim ) an        

,,icd-#aj-;,,cm code relat+ to          
,,covid-#ai 7z describ$ 9 ! docum5t     
entitl$ ,,icd-#aj-;,,cm ,(ficial ,cod+  
,guidel9es--,supplem5t ,cod+ enc\nt]s   
relat$ to ,,covid-#ai ,coronavirus      
,outbreak publi%$ on ,febru>y #bj1      
#bjbj1 or z o!rwise specifi$ by !       
,secret>y74  7c7 ,recov]y ( co/-,%>+    
am\nts paid by ! ,secret>y 9 ! case (   
supplem5tal insurance cov]age  7#a7 ,9  
g5]al ,9 ! case ( any am\nt paid by !   
,secret>y pursuant to subsection 7a77#a7
 t ! ,secret>y det]m9es w\ld o!rwise h  
be5 paid by a gr\p heal? plan or heal?  
insurance issu] 7z su* t]ms are def9$ 9 
section #bgia ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;gg-#ia771 a   
private entity (f]+ a m$ic>e supplem5tal
 policy "u section #ahhb ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #aciess71 
any o!r heal? plan (f]+ supplem5tal     
cov]age1 a ,/ate plan "u title ,,xix ( !
 ,social ,security ,act1 or ! ,secret>y 
( ,def5se "u ! ,,tric>e program1 su*    
plan1 issu]1 private entity1 o!r heal?  

plan1 ,/ate plan1 or ,secret>y (        
,def5se1 z applicable1 %all pay to !    
,secret>y1 n lat] ?an #a ye> aft] su*   
plan1 issu]1 private entity1 o!r heal?  
plan1 ,/ate plan1 or ,secret>y ( ,def5se
 receives a notice "u p>agraph 7#c71 su*
 am\nt 9 accordance ) ?is subsection4   
7#b7 ,requir$ in=mation ,n lat] ?an #i  
mon?s aft] ! date ( ! enactm5t ( ?is    
,act1 ea* gr\p heal? plan1 heal?        
insurance issu]1 private entity1 o!r    
heal? plan1 ,/ate plan1 & ,secret>y (   
,def5se describ$ 9 p>agraph 7#a7 %all   
submit to ! ,secret>y su* in=mation z ! 
,secret>y det]m9es necess>y = purposes (
 c>ry+ out ?is subsection4 ,su*         
in=mation s submitt$ %all be updat$ by  
su* plan1 issu]1 private entity1 o!r    
heal? plan1 ,/ate plan1 or ,secret>y (  
,def5se1 z applicable1 at su* "t & 9 su*
 mann] z specifi$ by ! ,secret>y4  7#c7 
,review ( claims & notification ,!      
,secret>y %all e/abli% a process "u :i* 
claims = items & s]vices = :i* !        
,secret>y has paid an am\nt pursuant to 

subsection 7a77#a7 are review$ =        
purposes ( id5tify+ if su* am\nt w\ld   
o!rwise h be5 paid by a plan1 issu]1    
private entity1 o!r heal? plan1 ,/ate   
plan1 or ,secret>y ( ,def5se describ$ 9 
p>agraph 7#a74 ,9 ! case su* a claim is 
s id5tifi$1 ! ,secret>y %all det]m9e !  
am\nt t w\ld h be5 o!rwise payable by   
su* plan1 issu]1 private entity1 o!r    
heal? plan1 ,/ate plan1 or ,secret>y (  
,def5se & notify su* plan1 issu]1       
private entity1 o!r heal? plan1 ,/ate   
plan1 or ,secret>y ( ,def5se ( su*      
am\nt4  7#d7 ,en=cem5t ,! ,secret>y may 
impose a civil monet>y p5alty 9 an am\nt
 det]m9$ appropriate by ! ,secret>y 9 ! 
case ( a plan1 issu]1 private entity1   
o!r heal? plan1 or ,/ate plan t fails to
 comply ) a provision ( ?is section4 ,! 
provisions ( section #aabh;,a ( !       
,social ,security ,act %all apply to a  
civil monet>y p5alty impos$ "u ! previ\s
 s5t5ce 9 ! same mann] z su* provisions 
apply to a p5alty or proce$+ "u         
subsection 7a7 or 7b7 ( su* section4    

7d7 ,fund+ ,! ,secret>y %all provide = !
 transf] to ! ,c5t]s = ,m$ic>e  ,m$icaid
 ,program ,managem5t ,acc\nt f ! ,f$]al 
,hospital ,insurance ,tru/ ,fund & !    
,f$]al ,supplem5t>y ,tru/ ,fund 79 su*  
portions z ! ,secret>y det]m9es         
appropriate7 #ajj1jjj1jjj = purposes (  
c>ry+ out ?is section4  7e7 ,report ,n  
lat] ?an #c ye>s aft] ! date ( !        
enactm5t ( ?is ,act1 ! ,inspector ,g5]al
 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices %all submit to ,congress a     
report conta9+ an analysis ( am\nts paid
 pursuant to subsection 7a77#a7 comp>$  
to am\nts paid to ! ,secret>y pursuant  
to subsection 7c74  7f7 ,implem5tation  
,not)/&+ any o!r provision ( law1 !     
,secret>y may implem5t ! provisions (   
?is section by program in/ruction or    
o!rwise4  #e4 ,cov]age ( ,,covid-#ai    
treatm5t at no co/ %>+ "u ,m$ic>e       
,advantage program  7a7 ,9 g5]al        
,section #aheb7;a77#a77;,b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciew-#bb7;a77#a77;,b77 is am5d$ by    

add+ at ! end ! foll[+ new clause3      
7vii7 ,special cov]age rules = specifi$ 
,,covid-#ai treatm5t s]vices ,not)/&+   
clause 7i71 9 ! case ( a specifi$       
,,covid-#ai treatm5t s]vice 7z def9$ 9  
section #d7;b7 ( ! ,,covid-#ai ,treatm5t
 ,cov]age ,act7 t is furni%$ dur+ a plan
 ye> occurr+ dur+ any portion ( !       
em]g5cy p]iod def9$ 9 section           
#aace7;g77#a77;,b7 beg9n+ on or aft] !  
date ( ! enactm5t ( ?is clause1 a       
,m$ic>e ,advantage plan may n1 ) respect
 to su* s]vice1 impose-- 7,i7 any       
co/-%>+ requirem5t 7includ+ a d$uctible1
 copaym5t1 or co9surance requirem5t72 & 
7,,ii7 9 ! case su* s]vice is a critical
 specifi$ ,,covid-#ai treatm5t s]vice   
7includ+ v5tilator s]vices & int5sive   
c>e unit s]vices71 any prior            
au?orization or o!r utilization         
managem5t requirem5t4  ,a ,m$ic>e       
,advantage plan may n take ! application
 ( ?is clause into acc\nt = purposes ( a
 bid am\nt submitt$ by su* plan "u      
section #ahed7;a77#f74  4  7b7          

,implem5tation ,not)/&+ any o!r         
provision ( law1 ! ,secret>y ( ,heal? & 
,human ,s]vices may implem5t ! am5dm5ts 
made by ?is section by program          
in/ruction or o!rwise4  #f4 ,cov]age (  
,,covid-#ai ,drugs at no co/ %>+ "u     
,m$ic>e prescription drug plans  7a7    
,cov]age requirem5t  7#a7 ,9 g5]al      
,section #ahfj;,d-#d7;b77#c7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#ajd7;b77#c77 is am5d$ by add+ at
 ! end ! foll[+ new subp>agraph3  7,i7  
,requir$ inclusion ( drugs int5d$ to    
treat ,,covid-#ai  7i7 ,9 g5]al ,not)/&+
 any o!r provision ( law1 a ,,pdp       
sponsor (f]+ a prescription drug plan   
%all1 ) respect to a plan ye>1 any      
portion ( :i* occurs dur+ ! p]iod       
describ$ 9 clause 7ii71 be requir$ to-- 
7,i7 include 9 any =mul>y-- 7aa7 all    
cov]$ "p ,d drugs ) a m$ically accept$  
indication 7z def9$ 9 section           
#ahfj;,d-#b7;e77#d77 to treat           
,,covid-#ai t are m>ket$ 9 ! ,unit$     
,/ates2 &  7bb7 all drugs au?oriz$ "u   

section #efd or #efd;,a ( ! ,f$]al      
,food1 ,drug1 & ,cosmetic ,act to treat 
,,covid-#ai2 &  7,,ii7 n impose any     
prior au?orization or o!r utilization   
managem5t requirem5t ) respect to su*   
drugs describ$ 9 item 7aa7 or 7bb7 (    
subclause 7,i7 7o!r ?an su* a requirem5t
 t limits ! quantity ( drugs due to     
safety74  7ii7 ,p]iod describ$ ,=       
purposes ( clause 7i71 ! p]iod describ$ 
9 ?is clause is ! p]iod dur+ :i* !re    
exi/s ! public heal? em]g5cy decl>$ by !
 ,secret>y pursuant to section #cai ( ! 
,public ,heal? ,s]vice ,act on ,janu>y  
#ca1 #bjbj1 entitl$ ,det]m9ation t a    
,public ,heal? ,em]g5cy ,exi/s          
,nationwide z ! ,result ( ! #bjai ,novel
 ,coronavirus 7includ+ any r5ewal ( su* 
decl>ation pursuant to su* section74  4 
7b7 ,elim9ation ( co/ %>+  7#a7         
,elim9ation ( co/ %>+ = drugs int5d$ to 
treat ,,covid-#ai "u /&>d & alt]native  
prescription drug cov]age ,section      
#ahfj;,d-#b ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #aciew-#ajb7 is am5d$--  

7,a7 9 subsection 7b7-- 7i7 9 p>agraph  
7#a77;,a71 by /rik+ ,! cov]age & ins]t+ 
,subject to p>agraph 7#h71 ! cov]age2   
7ii7 9 p>agraph 7#b7-- 7,i7 9           
subp>agraph 7,a71 by ins]t+ aft]        
,subject to subp>agraphs 7,c7 & 7,d7 !  
foll[+3 & p>agraph 7#h72  7,,ii7 9      
subp>agraph 7,c77i71 by /rik+ p>agraph  
7#d7 & ins]t+ p>agraphs 7#d7 & 7#h72 &  
7,,iii7 9 subp>agraph 7,d77i71 by /rik+ 
p>agraph 7#d7 & ins]t+ p>agraphs 7#d7 & 
7#h72  7iii7 9 p>agraph 7#d77;,a77i71 by
 /rik+ ,! cov]age & ins]t+ ,subject to  
p>agraph 7#h71 ! cov]age2 &  7iv7 by    
add+ at ! end ! foll[+ new p>agraph3    
7#h7 ,elim9ation ( co/-%>+ = drugs      
int5d$ to treat ,,covid-#ai ,! cov]age  
does n impose any d$uctible1 copaym5t1  
co9surance1 or o!r co/-%>+ requirem5t = 
drugs describ$ 9 section                
#ahfj;,d-#d7;b77#c77;,i77i77,i7 )       
respect to a plan ye>1 any portion ( :i*
 occurs dur+ ! p]iod dur+ :i* !re exi/s 
! public heal? em]g5cy decl>$ by !      
,secret>y pursuant to section #cai ( !  

,public ,heal? ,s]vice ,act on ,janu>y  
#ca1 #bjbj1 entitl$ ,det]m9ation t a    
,public ,heal? ,em]g5cy ,exi/s          
,nationwide z ! ,result ( ! #bjai ,novel
 ,coronavirus 7includ+ any r5ewal ( su* 
decl>ation pursuant to su* section74  2 
&  7,b7 9 subsection 7c71 by add+ at !  
end ! foll[+ new p>agraph3  7#d7 ,same  
elim9ation ( co/-%>+ = drugs int5d$ to  
treat ,,covid-#ai ,! cov]age is 9       
accordance ) subsection 7b77#h74  4     
7#b7 ,elim9ation ( co/ %>+ = drugs      
int5d$ to treat ,,covid-#ai disp5s$ to  
individuals :o are subsidy eligible     
individuals ,section #ahfj;,d-#ad7;a7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#aad7;a77 is am5d$-- 7,a7 9      
p>agraph 7#a7-- 7i7 9 subp>agraph 7,d7--
 7,i7 9 clause 7ii71 by /rik+ ,9 ! case 
( & ins]t+ ,subject to subp>agraph 7,f71
 9 ! case (2 &  7,,ii7 9 clause 7iii71  
by /rik+ ,9 ! case ( & ins]t+ ,subject  
to subp>agraph 7,f71 9 ! case (2 &  7ii7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,f7 ,elim9ation ( co/-%>+

 = drugs int5d$ to treat ,,covid-#ai    
,cov]age t is 9 accordance ) section    
#ahfj;,d-#b7;b77#h74  2 &  7,b7 9       
p>agraph 7#b7-- 7i7 9 subp>agraph 7,b71 
by /rik+ ,a r$uction & ins]t+ ,subject  
to subp>agraph 7,f71 a r$uction2  7ii7 9
 subp>agraph 7,d71 by /rik+ ,!          
sub/itution & ins]t+ ,subject to        
subp>agraph 7,f71 ! sub/itution2  7iii7 
9 subp>agraph 7,e71 by ins]t+ aft]      
,subject to ! foll[+3 subp>agraph 7,f7  
&2 &  7iv7 by add+ at ! end ! foll[+ new
 subp>agraph3  7,f7 ,elim9ation (       
co/-%>+ = drugs int5d$ to treat         
,,covid-#ai ,cov]age t is 9 accordance )
 section #ahfj;,d-#b7;b77#h74  4  7c7   
,implem5tation ,not)/&+ any o!r         
provision ( law1 ! ,secret>y ( ,heal? & 
,human ,s]vices may implem5t ! am5dm5ts 
made by ?is section by program          
in/ruction or o!rwise4  #g4 ,cov]age (  
,,covid-#ai treatm5t at no co/ %>+ "u   
private heal? insurance  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
 ,act77 %all provide cov]age1 & %all n  
impose any co/ %>+ 7includ+ d$uctibles1 
copaym5ts1 & co9surance7 requirem5ts1 = 
! foll[+ items & s]vices furni%$ dur+   
any portion ( ! em]g5cy p]iod def9$ 9   
p>agraph 7#a77;,b7 ( section #aace7;g7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acbj;b-#e7;g77 beg9n+ on or aft] !    
date ( ! enactm5t ( ?is ,act3 7#a7      
,m$ically necess>y items & s]vices      
7includ+ 9-p]son or teleheal? visits 9  
:i* su* items & s]vices are furni%$7 t  
are furni%$ to an individual :o has be5 
diagnos$ ) 7or aft] provision ( ! items 
& s]vices is diagnos$ )7 ,,covid-#ai to 
treat or mitigate ! effects (           
,,covid-#ai4  7#b7 ,m$ically necess>y   
items & s]vices 7includ+ 9-p]son or     
teleheal? visits 9 :i* su* items &      
s]vices are furni%$7 t are furni%$ to an
 individual :o is presum$ to h          
,,covid-#ai b is nev] diagnos$ z su*1 if

 ! foll[+ conditions are met3 7,a7 ,su* 
items & s]vices are furni%$ to !        
individual to treat or mitigate !       
effects ( ,,covid-#ai or to mitigate !  
impact ( ,,covid-#ai on society4  7,b7  
,heal? c>e provid]s h tak5 appropriate  
/eps "u ! circum/ances to make a        
diagnosis1 or confirm :e!r a diagnosis 0
 made1 ) respect to su* individual1 =   
,,covid-#ai1 if possible4  7b7 ,items & 
s]vices relat$ to ,,covid-#ai ,=        
purposes ( ?is section-- 7#a7 n lat] ?an
 "o week aft] ! date ( ! enactm5t ( ?is 
section1 ! ,secret>y ( ,heal? & ,human  
,s]vices1 ! ,secret>y ( ,labor1 & !     
,secret>y ( ! ,treasury %all jo9tly     
issue guidance specify+ applicable      
diagnoses & m$ically necess>y items &   
s]vices relat$ to ,,covid-#ai2 &  7#b7  
su* items & s]vices %all include all    
items or s]vices t are relevant to !    
treatm5t or mitigation ( ,,covid-#ai1   
reg>dless ( :e!r su* items or s]vices   
are ord9>ily cov]$ "u ! t]ms ( a gr\p   
heal? plan or gr\p or individual heal?  

insurance cov]age (f]$ by a heal?       
insurance issu]4  7c7 ,en=cem5t  7#a7   
,application ) respect to ,,phsa1       
,,erisa1 & ,,irc ,! provisions ( ?is    
section %all be appli$ by ! ,secret>y ( 
,heal? & ,human ,s]vices1 ! ,secret>y ( 
,labor1 & ! ,secret>y ( ! ,treasury to  
gr\p heal? plans & heal? insurance      
issu]s (f]+ gr\p or individual heal?    
insurance cov]age z if includ$ 9 !      
provisions ( "p ,a ( title ,,xxvii ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg et seq471 "p #g (     
subtitle ,b ( title ,i ( ! ,employee    
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aaha et seq471 &  
sub*apt] ,b ( *apt] #ajj ( ! ,int]nal   
,rev5ue ,code ( #aihf1 z applicable4    
7#b7 ,private "r ( action ,an individual
 ) respect to :om an action is tak5 by a
 gr\p heal? plan or heal? insurance     
issu] (f]+ gr\p or individual heal?     
insurance cov]age 9 violation (         
subsection 7a7 may comm5ce a civil      
action aga9/ ! plan or issu] =          

appropriate relief4 ,! previ\s s5t5ce   
%all n be con/ru$ z limit+ any en=cem5t 
me*anism o!rwise applicable pursuant to 
p>agraph 7#a74  7d7 ,implem5tation ,!   
,secret>y ( ,heal? & ,human ,s]vices1 ! 
,secret>y ( ,labor1 & ! ,secret>y ( !   
,treasury may implem5t ! provisions (   
?is section ?r\gh sub-regulatory        
guidance1 program in/ruction or o!rwise4
  7e7 ,t]ms ,! 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-#ia71 section #gcc ( ! ,employee
 ,retirem5t ,income ,security ,act (    
#aigd 7#bi ,u4,s4,c4 #aaia;b71 & section
 #ihcb ( ! ,int]nal ,rev5ue ,code (     
#aihf1 z applicable4  #h4 ,cov]age (    
,,covid-#ai treatm5t at no co/ %>+ =    
,,tric>e recipi5ts  7a7 ,9 g5]al        
,section #fjjf7;a7 ( ! ,families ,fir/  
,coronavirus ,response ,act 7,public    
,law #aaf-abg2 #ch ,u4,s4,c4 #ajgd note7

 is am5d$ by /rik+ or visits describ$ 9 
p>agraph 7#b7 ( su* section & ins]t+ 1  
visits describ$ 9 p>agraph 7#b7 ( su*   
section1 or m$ical c>e to treat         
,,covid-#ai4  7b7 ,effective date ,!    
am5dm5t made by subsection 7a7 %all     
apply ) respect to m$ical c>e furni%$ on
 or aft] ! date ( ! enactm5t ( ?is ,act4
  #i4 ,cov]age ( ,,covid-#ai treatm5t at
 no co/ %>+ = vet]ans  7a7 ,9 g5]al     
,section #fjjf7;b7 ( ! ,families ,fir/  
,coronavirus ,response ,act 7,public    
,law #aaf-abg2 #ch ,u4,s4,c4 #agja note7
 is am5d$ by /rik+ or visits describ$ 9 
p>agraph 7#b7 ( su* section & ins]t+ 1  
visits describ$ 9 p>agraph 7#b7 ( su*   
section1 or hospital c>e or m$ical      
s]vices to treat ,,covid-#ai4  7b7      
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply ) respect to  
hospital c>e & m$ical s]vices furni%$ on
 or aft] ! date ( ! enactm5t ( ?is ,act4
  #aj4 ,cov]age ( ,,covid-#ai treatm5t  
at no co/ %>+ = ,f$]al civilian         
employees  7a7 ,9 g5]al ,section        

#fjjf7;c7 ( ! ,families ,fir/           
,coronavirus ,response ,act 7,public    
,law #aaf-abg2 #e ,u4,s4,c4 #hijd note7 
is am5d$ by /rik+ or visits describ$ 9  
p>agraph 7#b7 ( su* section & ins]t+ 1  
visits describ$ 9 p>agraph 7#b7 ( su*   
section1 or hospital c>e or m$ical      
s]vices to treat ,,covid-#ai4  7b7      
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply ) respect to  
hospital c>e & m$ical s]vices furni%$ on
 or aft] ! date ( ! enactm5t ( ?is ,act4
  #aa4 ,cov]age ( ,,covid-#ai treatm5t  
at no co/ %>+ "u ,indian ,heal? ,s]vice 
,! ,secret>y ( ,heal? & ,human ,s]vices 
%all cov]1 )\t ! imposition ( any co/   
%>+ requirem5ts1 ! co/ ( ! foll[+ on or 
aft] ! date ( ! enactm5t ( ?is ,act to  
,indians 7z def9$ 9 section #d ( !      
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afjc77 receiv+ heal?    
s]vices ?r\gh ! ,indian ,heal? ,s]vice1 
reg>dless ( :e!r su* items or s]vices   
are au?oriz$ "u ! ,contract ,heal?      
,s]vices program fund$ by ! ,indian     

,heal? ,s]vice & op]at$ by ! ,indian    
,heal? ,s]vice or op]at$ by an ,indian  
tribe or tribal organization "u a       
contract or compact ) ! ,indian ,heal?  
,s]vice "u ! ,indian ,self-,det]m9ation 
& ,education ,assi/ance ,act 7#be       
,u4,s4,c4 #ecja et seq471 or are provid$
 z a heal? s]vice ( ! ,indian ,heal?    
,s]vice3 7#a7 ,a ,,covid-#ai vacc9e     
lic5s$ "u section #cea ( ! ,public      
,heal? ,s]vice ,act1 or approv$ or      
au?oriz$ "u section #eje or #efd ( !    
,f$]al ,food1 ,drug1 & ,cosmetic ,act1 &
 ! adm9i/ration ( su* vacc9e4  7#b7 ,any
 item or s]vice furni%$ = ! treatm5t (  
,,covid-#ai1 includ+ drugs approv$ or   
au?oriz$ "u su* section #eje or su*     
section #efd1 or1 9 ! case ( an         
individual :o is diagnos$ ) or presum$  
to h ,,covid-#ai1 dur+ ! portion ( su*  
em]g5cy p]iod dur+ :i* su* individual is
 infect$ 7or presum$ infect$7 )         
,,covid-#ai1 ! treatm5t ( a condition t 
may complicate ! treatm5t ( ,,covid-#ai4
  #ab4 ,s5se ( ,congress relat$ to      

surprise m$ical bills ,x is ! s5se (    
,congress t no individual %\ld receive a
 m$ical bill1 includ+ a balance bill1 = 
! co/ ( ,,covid-#ai treatm5t1 (fice     
visits relat$ to ,,covid-#ai treatm5t1  
,,covid-#ai vacc9es1 or ! adm9i/ration (
 ^? vacc9es4  #ac4 ,special enrollm5t   
p]iod2 outrea* & enrollm5t activities   
7a7 ,special enrollm5t p]iod ?r\gh      
,ex*anges ,section #acaa7;c7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act 7#db 
,u4,s4,c4 #ahjca7;c77 is am5d$-- 7#a7 9 
p>agraph 7#f7-- 7,a7 9 subp>agraph 7,c71
 by /rik+ at ! end &2  7,b7 9           
subp>agraph 7,d71 by /rik+ at ! end !   
p]iod & ins]t+ 2 &2 &  7,c7 by add+ at !
 end ! foll[+ new subp>agraph3  7,e7    
subject to subp>agraph 7,b7 ( p>agraph  
7#h71 ! special enrollm5t p]iod describ$
 9 subp>agraph 7,a7 ( su* p>agraph4  2 &
  7#b7 by add+ at ! end ! foll[+ new    
p>agraph3  7#h7 ,special enrollm5t p]iod
 = c]ta9 public heal? em]g5cy  7,a7 ,9  
g5]al ,! ,secret>y %all1 subject to     
subp>agraph 7,b71 require an ,ex*ange to

 provide-- 7i7 = a special enrollm5t    
p]iod dur+ ! em]g5cy p]iod describ$ 9   
section #aace7;g77#a77;,b7 ( ! ,social  
,security ,act-- 7,i7 :i* %all beg9 on !
 date t is "o week aft] ! date ( !      
enactm5t ( ?is p>agraph & :i*1 9 ! case 
( an ,ex*ange e/abli%$ or op]at$ by !   
,secret>y )9 a ,/ate pursuant to section
 #acba7;c71 %all be an #h-week p]iod2 & 
7,,ii7 dur+ :i* any individual :o is    
o!rwise eligible to enroll 9 a qualifi$ 
heal? plan ?r\gh ! ,ex*ange may enroll 9
 su* a qualifi$ heal? plan2 &  7ii7 t1 9
 ! case ( an individual :o enrolls 9 a  
qualifi$ heal? plan ?r\gh ! ,ex*ange    
dur+ su* enrollm5t p]iod1 ! cov]age     
p]iod "u su* plan %all beg91 at ! option
 ( ! individual1 on ,april #a1 #bjbj1 or
 on ! fir/ day ( ! mon? foll[+ ! day !  
individual selects a plan ?r\gh su*     
special enrollm5t p]iod4  7,b7          
,exception ,! requirem5t ( subp>agraph  
7,a7 %all n apply to a ,/ate-op]at$ or  
,/ate-e/abli%$ ,ex*ange if su* ,ex*ange1
 prior to ! date ( ! enactm5t ( ?is     

p>agraph1 e/abli%$ or o!rwise provid$ = 
a special enrollm5t p]iod to address    
access to cov]age "u qualifi$ heal?     
plans (f]$ ?r\gh su* ,ex*ange dur+ !    
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act4  4  7b7 ,f$]al ,ex*ange outrea* &
 educational activities ,section        
#acba7;c7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjda7;c77 is am5d$ by add+ at ! end ! 
foll[+ new p>agraph3  7#c7 ,outrea* &   
educational activities  7,a7 ,9 g5]al ,9
 ! case ( an ,ex*ange e/abli%$ or op]at$
 by ! ,secret>y )9 a ,/ate pursuant to  
?is subsection1 ! ,secret>y %all c>ry   
out outrea* & educational activities =  
purposes ( in=m+ pot5tial enrollees 9   
qualifi$ heal? plans (f]$ ?r\gh !       
,ex*ange ( ! availability ( cov]age "u  
su* plans & f9ancial assi/ance = cov]age
 "u su* plans4 ,su* outrea* &           
educational activities %all be provid$ 9
 a mann] t is culturally & l+ui/ically  
appropriate to ! ne$s ( ! populations   

be+ s]v$ by ! ,ex*ange 7includ+         
h>d-to-rea* populations1 su* z racial & 
sexual m9orities1 limit$ ,engli%        
pr(ici5t populations1 & "y adults74     
7,b7 ,limitation on use ( funds ,no     
funds appropriat$ "u ?is p>agraph %all  
be us$ = exp5ditures = promot+ non-,,aca
 compliant heal? insurance cov]age4     
7,c7 ,non-,,aca compliant heal?         
insurance cov]age ,= purposes (         
subp>agraph 7,b73 7i7 ,! t]m non-,,aca  
compliant heal? insurance cov]age means 
heal? insurance cov]age1 or a gr\p heal?
 plan1 t is n a qualifi$ heal? plan4    
7ii7 ,su* t]m includes ! foll[+3 7,i7   
,an association heal? plan4  7,,ii7     
,%ort-t]m limit$ duration insurance4    
7,d7 ,fund+ ,!re are appropriat$1 out ( 
any funds 9 ! ,treasury n o!rwise       
appropriat$1 #be1jjj1jjj1 to rema9      
available until exp5d$-- 7i7 to c>ry out
 ?is p>agraph2 &  7ii7 at ! discretion (
 ! ,secret>y1 to c>ry out section       
#acaa7;i71 ) respect to an ,ex*ange     
e/abli%$ or op]at$ by ! ,secret>y )9 a  

,/ate pursuant to ?is subsection4  4    
7c7 ,implem5tation ,! ,secret>y ( ,heal?
 & ,human ,s]vices may implem5t !       
provisions ( 7includ+ am5dm5ts made by7 
?is section ?r\gh subregulatory         
guidance1 program in/ruction1 or        
o!rwise4