,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ddij  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #f1 #bjbj ,mr4  
,s&]s 7= himself1 ,mrs4 ,gillibr&1 &    
,mr4 ,m>key7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
impose an em]g5cy tax on ! increase 9   
weal? ( billionaires dur+ ! ,,covid-#ai 
p&emic 9 ord] to pay = all ( !          
out-(-pocket heal?c>e exp5ses ( !       
un9sur$ & "u-insur$1 includ+            
prescription drugs1 = "o ye>4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,make  
,billionaires ,pay ,act4  ,i ,p&emic    
weal? tax  #aja4 ,imposition ( p&emic   
weal? tax  7a7 ,9 g5]al ,! ,int]nal     
,rev5ue ,code ( #aihf is am5d$ by ins]t+
 aft] subtitle ,b ! foll[+ new subtitle3
  ,b-#a ,p&emic weal? tax  ,*apt]       
#ah--;,det]m9ation ( weal? tax  #ah     
,det]m9ation ( weal? tax  ,sec4 #bija4  
,imposition ( tax4 ,sec4 #bijb4 ,net    
value ( assets4 ,sec4 #bijc4 ,special   
rules4  #bija4 ,imposition ( tax  7a7 ,9

 g5]al ,9 ! case ( any applicable       
individual1 !re is h]eby impos$ a tax ( 
#fj p]c5t ( ! excess 7if any7 (-- 7#a7 !
 net value ( assets ( ! applicable      
individual on ,decemb] #ca1 #bjbj1 ov]  
7#b7 ! great] (-- 7,a7 ! net value (    
assets ( ! applicable individual on ,m>*
 #ah1 #bjbj1 or  7,b7 #a1jjj1jjj1jjj4   
7b7 ,applicable individual ,= purposes (
 ?is *apt]1 ! t]m applicable individual 
means any individual ^: assets h a net  
value on ,decemb] #ca1 #bjbj1 ( m ?an   
#a1jjj1jjj1jjj4  #bijb4 ,net value (    
assets  7a7 ,9 g5]al ,! net value (     
assets held by an applicable individual 
z ( any day %all be ! excess (-- 7#a7 ! 
value ( all prop]ty ( ! applicable      
individual1 real or p]sonal1 tangible or
 intangible1 :]ev] situat$1 on su* day1 
ov]  7#b7 ! am\nt ( any debt ow$ by !   
applicable individual on su* day4  7b7  
,inclusion ( c]ta9 gifts ,= purposes (  
?is subtitle1 any prop]ty transf]r$ by  
an applicable individual dur+ ! p]iod   
describ$ 9 section #bija7;a7 to an      

individual :o is a memb] ( ! family ( ! 
applicable individual 7z det]m9$ "u     
section #bfg7;c77#d77 & has n atta9$ !  
age ( #ah %all be treat$ z prop]ty held 
by ! taxpay] = any date be=e su*        
individual atta9s ! age ( #ah4  7c7     
,e/abli%m5t ( valuation rules  7#a7     
,au?ority ( ,secret>y ,! ,secret>y %all 
e/abli% rules & me?ods = det]m9+ ! value
 ( any asset = purposes ( ?is subtitle4 
7#b7 ,g5]al rules ,except z o!rwise     
provid$ 9 ?is p>agraph1 ! rules & me?ods
 e/abli%$ "u p>agraph 7#a7 may be simil>
 to ! rules ( "p ,,iii ( sub*apt] ,a (  
*apt] #aa 7o!r ?an ! rules ( sections   
#bjca7;c71 #bjcb;,a1 #bjce1 & #bjdd74   
#bijc4 ,special rules  7a7 ,m>ri$       
individuals ,! ,secret>y %all by        
regulations e/abli% rules = !           
application ( ?is subtitle to m>ri$     
individuals4  7b7 ,deceas$ individuals  
,9 ! case ( any individual :o dies dur+ 
! p]iod describ$ 9 section #bija7;a71   
section #bija7;a7 %all be appli$ by     
sub/itut+ ! date ( ! individual's dea? =

 ,decemb] #ca1 #bjbj4  7c7 ,anti-,abuse 
rules ,! ,secret>y %all prescribe su*   
rules z necess>y to prev5t ! avoidance (
 ! purposes ( ?is section1 includ+ ?r\gh
 ! use ( tru/s4  4  7b7 ,no d$uction f  
income taxes ,section #bge is am5d$ by  
ins]t+ aft] p>agraph 7#f7 ! foll[+ new  
p>agraph3  7#g7 ,taxes impos$ by *apt]  
#ah4  4  7c7 ,cl]ical am5dm5t ,! table (
 subtitles is am5d$ by ins]t+ aft] !    
item relat+ to subtitle ,b ! foll[+ new 
item3  ,subtitle ,b-#a--,p&emic weal?   
tax  4  ,,ii ,reimbursem5ts = c]ta9 co/s
 ( heal? c>e items & s]vices includ+    
prescription drugs furni%$ dur+ public  
heal? em]g5cy  #bja4 ,reimbursem5ts =   
c]ta9 co/s ( heal? c>e items & s]vices  
includ+ prescription drugs furni%$ dur+ 
public heal? em]g5cy  7a7 ,9 g5]al ,dur+
 ! #a-ye> p]iod t beg9s on ! date (     
enactm5t ( ?is ,act1 ! ,secret>y %all   
make paym5ts to qualifi$ provid]s )     
respect to applicable heal? c>e items & 
s]vices z def9$ 9 subsection 7b7 t are  
furni%$ to an applicable individual 9 an

 am\nt equal to-- 7#a7 9 ! case ( any   
portion ( su* p]iod 9 :i* an applicable 
individual is enroll$ 9 a public or     
private heal? insurance plan1 ! am\nt ( 
any co/-%>+1 includ+ any d$uctibles1    
copaym5ts1 co9surance or simil> *>ges1 t
 w\ld o!rwise be applicable "u su* plan1
 includ+ ) respect to prescription drug 
cov]age "u ! plan2 &  7#b7 9 ! case (   
any portion ( su* p]iod 9 :i* an        
applicable individual is un9sur$1 !     
am\nt t w\ld be paid to ! qualifi$      
provid] = ! same or equival5t items or  
s]vices1 includ+ ) respect to any       
inpati5t or physician-adm9i/]$ drugs 7& 
exclud+ outpati5t prescription drugs or 
biologicals ) respect to :i* cov]age is 
provid$ "u subsection 7e771 "u ! ,m$ic>e
 program "u title ,,xviii ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acie et  
seq474  7b7 ,applicable heal? c>e items 
& s]vices2 applicable individual def9$  
,9 ?is section3  7#a7 ,applicable heal? 
c>e items & s]vices ,! t]m applicable   
heal? c>e items & s]vices means1 )      

respect to an applicable individual1 any
 heal? c>e items & s]vices t are        
m$ically necess>y or appropriate = !    
ma9t5ance ( heal? or = ! diagnosis1     
treatm5t1 or rehabilitation ( a heal?   
condition ( ! applicable individual1    
includ+-- 7,a7 any te/+ s]vices &       
treatm5ts = ,,covid-#ai or relat$       
complications1 includ+ vacc9es1         
diagno/ic te/s1 drugs & biologicals1 &  
!rapies2 &  7,b7 9 ! case ( an          
applicable individual :o is enroll$ 9 a 
public or private heal? insurance plan1 
any heal? c>e items & s]vices cov]$ by  
su* plan z ( ,m>* #a1 #bjbj1 or 9 ! case
 ( an applicable individual :o enrolls 9
 su* plan aft] ! date1 any heal? c>e    
items & s]vices cov]$ by su* plan z ( ! 
date ( su* enrollm5t4  7#b7 ,applicable 
individual ,! t]m applicable individual 
means an individual :o is a resid5t ( ! 
,unit$ ,/ates4  7c7 ,requirem5ts  7#a7  
,no effect on applicable co/-%>+        
requirem5ts ,no?+ 9 ?is section %all    
affect ! application ( any requirem5ts  

applicable "u ,f$]al or ,/ate law )     
respect to cov]age ( heal? c>e items &  
s]vices )\t any co/ %>+4  7#b7          
,ma9t5ance ( ,ef=t  7,a7 ,9 g5]al ,dur+ 
! p]iod describ$ 9 subsection 7a71 a    
public or private heal? plan %all n     
increase co/ %>+1 decrease b5efits1 or  
o!rwise make cov]age less g5]\s ?an !   
b5efits (f]$ on ! date ( enactm5t ( ?is 
,act4  7,b7 ,new ,items & ,s]vices ,dur+
 su* p]iod1 a public or private heal?   
plan %all provide cov]age ( new items & 
s]vices1 includ+ ^? relat$ to           
,,covid-#ai1 z appropriate1 at a m9imum1
 at a level consi/5t ) ! prior cov]age  
practices & =mul>ies ( ! plan4  7#c7    
,limitation on out-(-pocket exp5ses     
,dur+ su* p]iod1 9 ord] to be eligible  
to receive paym5ts "u ?is section1 a    
qualifi$ provid] %all agree n to impose 
on an applicable individual any *>ge =  
applicable heal? c>e items & s]vices    
furni%$ to ! applicable individual4     
7#d7 ,p]missible bill+ ( plans2         
limitation on balance bill+ ,dur+ su*   

p]iod1 9 ord] to be eligible to receive 
paym5ts "u ?is section1 a qualifi$      
provid] %all agree1 ) respect to        
applicable heal? c>e items & s]vices    
furni%$ to an applicable individual :5  
su* individual is enroll$ 9 a public or 
private heal? insurance plan-- 7,a7 n to
 impose any *>ge on ! plan = su* items &
 s]vices beyond ! am\nt o!rwise payable 
by ! plan2 &  7,b7 n to bill !          
applicable individual = any am\nts 9    
excess ( ! am\nt describ$ 9 subp>agraph 
7,a74  7#e7 ,m$ical debt collection ,a  
qualifi$ provid] %all agree--  7,a7 to  
imm$iately halt all m$ical debt         
collection1 includ+ collection          
activities c>ri$ out by ?ird p>ties1    
dur+ su* p]iod & %all n collect m$ical  
debt or h ?ird p>ties collect m$ical    
debt = applicable heal? c>e items &     
s]vices furni%$ dur+ su* p]iod2 &  7,b7 
to refra9 f pursu+ m$ical debt          
collection1 includ+ collection          
activities c>ri$ out by ?ird p>ties1    
aft] su* p]iod ) respect to items &     

s]vices relat$ to ! diagnosis or        
treatm5t ( ,,covid-#ai 7reg>dless ( :e!r
 su* s]vices 7 furni%$ be=e1 dur+1 or   
aft] su* p]iod7 & %all n collect m$ical 
debt or h ?ird p>ties collect m$ical    
debt = su* items or s]vices aft] su*    
p]iod4  7#f7 ,submission ( bills &      
docum5tation ,a qualifi$ provid] %all   
agree to submit bills & any requir$     
support+ docum5tation relat+ to !       
provision ( applicable heal? c>e items &
 s]vices )9 #cj days aft] ! date (      
provid+ su* s]vices1 9 su* mann] z !    
,secret>y det]m9es appropriate4  7d7    
,waiv] ( late enrollm5t p5alties "u     
,m$ic>e ,dur+ ! p]iod describ$ 9        
subsection 7a71 no increase 9 ! mon?ly  
premium ( an individual pursuant to     
section #ahah7;c71 #ahci7;b71 or        
#ahfj;,d-#ac ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acie;i-#b7;c71          
#acier7b71 #aciew-#aac7 %all be effect$ 
9 ! case ( any individual :o enrolls =  
b5efits "u title ,,xviii ( su* ,act )   
respect to any p]iod prior to ! date (  

su* enrollm5t4  7e7 ,cov]age ) respect  
to outpati5t prescription drugs  7#a7 ,9
 g5]al ,dur+ ! p]iod describ$ 9         
subsection 7a71 ) respect to outpati5t  
prescription drugs or biologicals       
describ$ 9 subsection 7b77#a77;,a7 t are
 disp5s$ to un9sur$ individuals1 !      
,secret>y %all e/abli% proc$ures "u     
:i*-- 7,a7 su* drugs or biologicals are 
disp5s$ at no co/ to su* individuals2   
7,b7 ph>macies t disp5se su* drugs or   
biologicals-- 7i7 are reimburs$ by !    
,secret>y = su* drugs or biologicals    
disp5s$ to su* individuals at an am\nt  
equal to ! price paid by ! ,secret>y (  
,vet]ans ,affairs to procure ! drug or  
biological "u ! laws adm9i/]$ by !      
,secret>y ( ,vet]ans ,affairs2 &  7ii7  
agree n to *>ge su* individuals = any   
diff]5ce betwe5 ! am\nt reimburs$ "u    
clause 7i7 & ! co/ to ! ph>macy = !     
drug2 &  7,c7 manufactur]s ( su* drugs  
or biologicals reimburse ph>macies = any
 diff]5ce describ$ 9 subp>agraph        
7,b77ii7 ) respect to drugs or          

biologicals ( ! manufactur] t are       
disp5s$ to su* individuals4  7#b7       
,condition ( cov]age "u ,m$ic>e ,dur+ ! 
p]iod describ$ 9 subsection 7a71 no     
cov]age may be provid$ "u "p ,b or ,d ( 
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;j et seq41        
#aciew-#aja et seq47 ) respect to a drug
 or biological ( a manufactur] if !     
manufactur] does n ent] into an agreem5t
 ) ! ,secret>y to c>ry out ! requirem5ts
 applicable ) respect to su*            
manufactur]s "u ?is subsection4  7#c7   
,requirem5t = p>ticipat+ ph>macies ,dur+
 ! p]iod describ$ 9 subsection 7a71 a   
prescription drug plan "u "p ,d ( title 
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #aciew-#aja et seq47 may n    
contract ) a ph>macy if ! ph>macy does n
 ent] into an agreem5t ) ! ,secret>y to 
c>ry out ! requirem5ts applicable )     
respect to ph>macies "u ?is subsection4 
7f7 ,o!r def9itions  7#a7 ,public or    
private heal? insurance plan  7,a7 ,9   
g5]al ,! t]m public or private heal?    

insurance plan means any ( ! foll[+3 7i7
 ,a gr\p heal? plan1 or gr\p heal?      
insurance cov]age1 z su* t]ms are def9$ 
9 section #bgia ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#ia74  7ii7 ,a qualifi$ heal?   
plan1 z def9$ 9 section #acja ( !       
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjba74  7iii7     
,subject to subp>agraph 7,b71 any heal? 
insurance cov]age 7o!r ?an a plan       
describ$ 9 clause 7ii77 (f]$ 9 !        
individual m>ket1 z su* t]ms are def9$ 9
 section #bgia ( ! ,public ,heal?       
,s]vice ,act1 includ+ any %ort-t]m      
limit$ duration insurance4  7iv7 ,a     
heal? plan (f]$ "u *apt] #hi ( title #e1
 ,unit$ ,/ates ,code4  7v7 ,a ,f$]al    
heal? c>e program 7z def9$ "u section   
#aabh;,b7f7 ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acbj;a-#g;b7f771        
includ+--  7,i7 heal? b5efits furni%$ "u
 ! ,,tric>e program 7z def9$ 9 section  
#ajgb ( title #aj1 ,unit$ ,/ates ,code72
  7,,ii7 heal? b5efits furni%$ to       

vet]ans "u ! laws adm9i/]$ by !         
,secret>y ( ,vet]ans ,affairs2 &        
7,,iii7 heal? b5efits furni%$ 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 
includ+ ?r\gh an ,urban ,indian         
,organization1 reg>dless ( :e!r su*     
b5efits are = items or s]vices t h be5  
au?oriz$ "u ! pur*as$_/ref]r$ c>e sy/em 
fund$ by ! ,indian ,heal? ,s]vice or are
 cov]$ z a heal? s]vice ( ! ,indian     
,heal? ,s]vice4  7,b7 ,limitation on    
individual heal? insurance cov]age ,!   
t]m public or private heal? insurance   
cov]age includes ! heal? insurance      
cov]age describ$ 9 clause 7iii7 (       
subp>agraph 7,a7 only ) respect to an   
individual :o is enroll$ 9 su* cov]age  
on ,m>* #a1 #bjbj4  7#b7 ,qualifi$      
provid] ,! t]m qualifi$ provid] means a 
heal? c>e provid] :o is a p>ticipat+    
provid] "u ! ,m$ic>e program "u title   
,,xviii ( ! ,social ,security ,act 7#db 

,u4,s4,c4 #acie et seq474 ,su* t]m      
includes a heal? c>e provid] :o is n a  
p>ticipat+ provid] "u su* program if !  
heal? c>e provid] w\ld meet ! crit]ia = 
su* p>ticipation &1 if ! ,/ate requires 
! heal? c>e provid] to be lic5s$ by !   
,/ate1 is lic5s$ by ! ,/ate 9 :i* !     
items or s]vices are furni%$4  7#c7     
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7g7 ,implem5tation  7#a7 ,9 g5]al ,!    
,secret>y1 9 coord9ation ) ! ,secret>y (
 ! ,treasury1 ! ,commission] ( ,social  
,security1 & ! ,secret>y ( ,labor1 %all 
implem5t ! provisions ( ?is section n   
lat] ?an ! date t is #g days aft] ! date
 ( ! enactm5t ( ?is ,act4  7#b7 ,ensur+ 
timely paym5t ,! ,secret>y %all e/abli% 
a process & issue su* guidance z is     
necess>y to ensure a qualifi$ provid]   
receives paym5ts "u ?is section 9 a     
timely mann]4  7#c7 ,ensur+ collection (
 data on disp>ities ,! ,secret>y %all   
implem5t ?is section 9 a mann] & issue  
su* guidance z is necess>y to all[ = !  

ongo+1 accurate1 & timely collection &  
analysis ( data on disp>ities 9         
accordance ) subsection 7h74  7h7       
,collection ( data on disp>ities  7#a7  
,9 ,g5]al ,dur+ ! p]iod describ$ 9      
subsection 7a71 ! ,secret>y %all collect
 data on disp>ities across race1        
e?nicity1 prim>y language1 g5d]1 sexual 
ori5tation1 disability /atus1 age1      
geographic area1 insurance /atus1 &     
socioeconomic /atus--  7,a7 9 heal?     
outcomes & access to hea? c>e relat$ to 
! ,,covid-#ai outbreak1 includ+ data on 
,,covid-#ai cases1 treatm5t1 & dea?s2 & 
7,b7 9 pati5t access to applicable heal?
 c>e items & s]vices "u ?is section4    
7#b7 ,public availability ,! ,secret>y  
%all-- 7,a7 make data collect$ "u ?is   
subsection publicly available on !      
int]net website ( ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices z soon z is            
practicable1 b n lat] ?an #cj days aft] 
! date ( enactm5t ( ?is ,act1 9 a mann] 
t all[s rese>*]s1 s*ol>s1 heal? c>e     
provid]s1 & o!rs to access & analyze su*

 data1 )\t compromis+ pati5t privacy2 & 
7,b7 update su* data on a weekly basis  
!reaft] = ! duration ( ! p]iod describ$ 
9 subsection 7a74  7i7 ,weekly reports  
to ,congress  7#a7 ,9 g5]al ,on a weekly
 basis dur+ ! p]iod describ$ 9          
subsection 7a71 ! ,secret>y %all report 
to ,congress on--  7,a7 ! implem5tation 
( ?is section1 includ+ in=mation on !   
am\nt1 type1 & geographic di/ribution ( 
paym5ts to qualifi$ provid]s "u ?is     
section2 &  7,b7 any disp>ities 9 heal? 
& access to heal? c>e relat$ to !       
,,covid-#ai outbreak or pati5t access to
 applicable heal? c>e items & s]vices "u
 ?is section1 z id5tifi$ ?r\gh !        
collection & analysis ( data collect$ "u
 subsection 7h74  7#b7 ,public          
availability ,! ,secret>y %all make ea* 
report submitt$ "u p>agraph 7#a7        
publicly available on ! int]net website 
( ! ,dep>tm5t ( ,heal? & ,human         
,s]vices4  7j7 ,fund+ ,!re are au?oriz$ 
to be appropriat$ #djj1jjj1jjj1jjj to   
c>ry out ?is section4