,i #aagth ,,congress #ast ,session ,h4 ,r4 #acga ,,in ,,the ,,house ,,of ,,representatives ,february #be1 #bjba,mr4 ,reed introduced the following bill2 which was referred to the ,committee on ,appropriations1 and in addition to the ,committee on the ,budget1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,making supplemental appropriations for the fiscal year ending ,september #cj1 #bjba1 providing coronavirus emergency response and relief1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,crush the ,virus ,act of #bjba4 #b4 ,funding for ,,covid-#ai vaccine activities at the ,centers for ,disease ,control and ,prevention 7a7 ,in general ,in addition to amounts otherwise available1 there is appropriated to the ,secretary of ,health and ,human ,services 7in this ,act referred to as the ,secretary7 for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #h1ejj1jjj1jjj1 to remain available until expended1 to carry out activities to plan1 prepare for1 promote1 distribute1 administer1 monitor1 and track ,,covid-#ai vaccines1 working with ,states1 territories1 and ,tribes4 7b7 ,use of funds ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 and in consultation with other agencies1 as applicable1 shall1 in conducting activities referred to in subsection 7a7-- 7#a7 enhance1 expand1 and improve nationwide ,,covid-#ai vaccine distribution and administration1 including activities related to distribution of ancillary medical products and supplies related to vaccines2 7#b7 provide for the vaccination of employees and individuals working or residing in congregate settings and other high-risk environments2 7#c7 provide information and public outreach1 that is culturally and linguistically appropriate1 with respect to vaccines licensed under section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb7 or authorized under section #efd of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c7 in order to strengthen vaccine confidence in the ,united ,states1 including its territories and possessions1 particularly in minority and underserved communities with low rates of vaccination2 and 7#d7 provide technical assistance1 guidance1 and support to1 and award grants or cooperative agreements to1 ,state1 local1 ,tribal1 and territorial public health departments for enhancement of ,,covid-#ai vaccine distribution and administration capabilities1 including-- 7,a7 the distribution and administration of vaccines licensed under section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb7 or authorized under section #efd of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c7 and ancillary medical products and supplies related to vaccines2 7,b7 the establishment and expansion1 including staffing support1 of community vaccination centers1 particularly in rural1 frontier1 and underserved areas2 7,c7 the deployment of mobile vaccination units1 particularly in rural1 frontier1 and underserved areas2 7,d7 information technology1 data1 and reporting enhancements1 including improvements necessary to support sharing of data related to vaccine distribution and vaccinations and systems that enhance vaccine safety1 effectiveness1 and uptake1 particularly among underserved populations2 7,e7 facilities enhancements2 and 7,f7 communication with the public regarding when1 where1 and how to receive ,,covid-#ai vaccines4 #c4 ,funding research on and development of ,,covid-#ai vaccines1 therapeutics1 and medical supplies ,in addition to amounts otherwise available1 there is appropriated to the ,public ,health and ,social ,services ,emergency ,fund for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #aa1ejj1jjj1jjj1 to remain available until expended1 for necessary expenses with respect to research1 development1 manufacturing1 production1 and the purchase of vaccines1 therapeutics1 and ancillary medical products and supplies to prevent1 prepare1 or respond to-- 7#a7 ,,sars-,co,v-#b or any viral variant mutating therefrom with pandemic potential2 and 7#b7 ,,covid-#ai or any disease with potential for creating a pandemic4 #d4 ,funding for ,,covid-#ai testing1 contact tracing1 and mitigation activities 7a7 ,in general ,in addition to amounts otherwise available1 there is appropriated to the ,secretary for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #ej1jjj1jjj1jjj1 to remain available until expended1 to carry out activities to detect1 diagnose1 trace1 and monitor ,,sars-,co,v-#b and ,,covid-#ai infections and related strategies to mitigate the spread of ,,covid-#ai1 working with ,states1 territories1 and ,tribes4 7b7 ,use of funds ,from amounts appropriated by subsection 7a71 the ,secretary shall-- 7#a7 implement an evidence-based strategy for testing1 contact tracing1 surveillance1 and mitigation with respect to ,,sars-,co,v-#b and ,,covid-#ai2 7#b7 provide technical assistance1 guidance1 and support1 and award grants or cooperative agreements to ,state1 local1 and territorial public health departments for activities to detect1 diagnose1 trace1 and monitor ,,sars-,co,v-#b and ,,covid-#ai infections and related strategies and activities to mitigate the spread of ,,covid-#ai2 7#c7 award grants or cooperative agreements to ,state1 local1 ,tribal1 or territorial public health departments or public health laboratories-- 7,a7 to increase their capacity to sequence genomes of circulating strains of viruses and other organisms1 including ,,sars-,co,v-#b2 7,b7 to identify mutations in viruses and other organisms1 including ,,sars-,co,v-#b2 7,c7 to use genomic sequencing to identify outbreaks and clusters of diseases or infections1 including ,,covid-#ai2 and 7,d7 to develop effective disease response strategies based on genomic sequencing and surveillance data2 7#d7 support the development1 manufacturing1 procurement1 distribution1 and administration of tests to detect or diagnose ,,sars-,co,v-#b and ,,covid-#ai1 including supplies necessary for administering tests1 such as personal protective equipment2 7#e7 establish and expand ,federal1 ,state1 local1 and territorial testing and contact tracing capabilities1 including investments in laboratory capacity1 community-based testing sites1 and mobile testing units1 particularly in rural1 frontier1 and medically underserved areas2 7#f7 enhance information technology1 data modernization1 and reporting1 including improvements necessary to support sharing of data related to public health capabilities2 7#g7 award grants to1 or enter into cooperative agreements or contracts with1 ,state1 local1 and territorial public health departments to establish1 expand1 and sustain a public health workforce2 and 7#h7 to cover administrative and program support costs necessary to conduct activities related to subparagraph 7a74 #e4 ,federal ,emergency ,management ,agency appropriation ,in addition to amounts otherwise available1 there is appropriated to the ,federal ,emergency ,management ,agency for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #cj1jjj1jjj1jjj1 to remain available until ,september #cj1 #bjbe1 for major disasters declared pursuant to the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act 7#db ,u4,s4,c4 #eaba et seq474 #f4 ,,covid-#ai emergency medical supplies enhancement 7a7 ,supporting enhanced use of the ,defense ,production ,act of #aiej ,in addition to funds otherwise available1 there is appropriated1 for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #e1jjj1jjj1jjj1 to remain available until ,september #cj1 #bjbe1 to carry out titles ,i1 ,,iii1 and ,,vii of the ,defense ,production ,act of #aiej 7#ej ,u4,s4,c4 #deja et seq47 in accordance with subsection 7b74 7b7 ,medical supplies and equipment ,amounts appropriated in subsection 7a7 shall be used for the purchase1 production 7including the construction1 repair1 and retrofitting of government-owned or private facilities as necessary71 or distribution of medical supplies and equipment 7including durable medical equipment7 related to combating the ,,covid-#ai pandemic1 including-- 7#a7 in vitro diagnostic products 7as defined in section #hji4c7;a7 of title #ba1 ,code of ,federal ,regulations7 for the detection of ,,sars-,co,v-#b or the diagnosis of the virus that causes ,,covid-#ai1 and the reagents and other materials necessary for producing1 conducting1 or administering such products1 and the machinery1 equipment1 laboratory capacity1 or other technology necessary to produce such products2 7#b7 face masks and personal protective equipment1 including face shields1 nitrile gloves1 ,n-#ie filtering facepiece respirators1 and any other masks or equipment 7including durable medical equipment7 determined by the ,secretary of ,health and ,human ,services to be needed to respond to the ,,covid-#ai pandemic1 and the materials1 machinery1 additional manufacturing lines or facilities1 or other technology necessary to produce such equipment2 and 7#c7 drugs and devices 7as those terms are defined in the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq477 and biological products 7as that term is defined by section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb77 that are approved1 cleared1 licensed1 or authorized under either of such ,acts for use in treating or preventing ,,covid-#ai and symptoms related to ,,covid-#ai1 and any materials1 manufacturing machinery1 additional manufacturing or fill-finish lines or facilities1 technology1 or equipment 7including durable medical equipment7 necessary to produce or use such drugs1 biological products1 or devices 7including syringes1 vials1 or other supplies or equipment related to delivery1 distribution1 or administration74 7c7 ,delegation authority ,for purposes of using amounts appropriated in subsection 7a71 the ,president shall only delegate authority to1 with respect to any uses described under subsection 7b7-- 7#a7 the ,secretary of ,health and ,human ,services2 and 7#b7 the head of any other agency responsible for responding to the ,,covid-#ai pandemic if the ,president determines that such delegation is important to an effective response to such pandemic4 7d7 ,application of limitations under the ,defense ,production ,act of #aiej ,the requirements described in section #cjd7;e7 of the ,defense ,production ,act of #aiej 7#ej ,u4,s4,c4 #decd7;e77 shall not apply to the funds appropriated in subsection 7a7 until ,september #cj1 #bjbe4 #g4 ,personal protective equipment ,in addition to amounts otherwise available1 there is appropriated to the ,secretary for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #e1jjj1jjj1jjj to remain available until expended1 for necessary expenses with respect to the manufacturing1 acquisition1 and distribution of personal protective equipment for preventing the spread of ,,covid-#ai4 #h4 ,strategic ,national ,stockpile ,in addition to amounts otherwise available1 there is appropriated to the ,secretary for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #ae1jjj1jjj1jjj1 to remain available until expended1 for necessary expenses with respect to the procurement and stockpile pursuant to section #cai;,f-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7 of vaccines1 therapeutics1 and ancillary medical products and supplies to prevent1 prepare1 or respond to ,,sars-,co,v-#b or any viral variant mutating therefrom with pandemic potential1 and ,,covid-#ai4 #i4 ,provider ,relief ,fund 7a7 ,in addition to amounts otherwise available1 there is appropriated for the ,public ,health and ,social ,services ,emergency ,fund for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #ce1jjj1jjj1jjj1 to remain available until expended1 to prevent1 prepare for1 and respond to ,,covid-#ai1 domestically or internationally1 for necessary expenses to reimburse1 through grants or other mechanisms1 eligible health care providers for health care related expenses or lost revenues that are attributable to coronavirus4 7b7 ,of the eligible health care providers that are recipients of payments under this section1 #g1jjj1jjj1jjj of such amount shall be for suppliers and providers located in a rural area 7as defined in section #ahhf7;d77#b77;,d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#b77;,d7774 7c7 ,these funds may not be used to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse4 7d7 ,recipients of payments under this section shall submit reports and maintain documentation as the ,secretary determines are needed to ensure compliance with conditions that are imposed by this section for such payments1 and such reports and documentation shall be in such form1 with such content1 and in such time as the ,secretary may prescribe for such purpose4 7e7 ,the term eligible health care providers means public entities1 ,medicare or ,medicaid enrolled suppliers and providers1 and such for-profit entities and not-for-profit entities not otherwise described in this subsection as the ,secretary may specify1 within the ,united ,states 7including territories71 that provide diagnoses1 testing1 or care for individuals with possible or actual cases of ,,covid-#ai4 7f7 ,the ,secretary of ,health and ,human ,services shall1 on a rolling basis1 review applications and make payments under this section in this ,act4 7g7 ,funds appropriated under this section in this ,act shall be available for building or construction of temporary structures1 leasing of properties1 medical supplies and equipment including personal protective equipment and testing supplies1 increased workforce and trainings1 emergency operation centers1 retrofitting facilities1 and surge capacity4 7h7 ,in this section1 the term payment means a pre-payment1 prospective payment1 or retrospective payment1 as determined appropriate by the ,secretary4 7i7 ,payments under this section shall be made in consideration of the most efficient payment systems practicable to provide emergency payment4 7j7 ,to be eligible for a payment under this section1 an eligible health care provider shall submit to the ,secretary of ,health and ,human ,services an application that includes a statement justifying the need of the provider for the payment and the eligible health care provider shall have a valid tax identification number4 7k7 ,not later than #c years after final payments are made under this section1 the ,office of ,inspector ,general of the ,department of ,health and ,human ,services shall transmit a final report on audit findings with respect to this program to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate4 7l7 ,nothing in this section limits the authority of the ,inspector ,general or the ,comptroller ,general to conduct audits of interim payments at an earlier date4 7m7 ,not later than #fj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall provide a report to the ,committees on ,appropriations of the ,house of ,representatives and the ,senate on obligation of funds1 including obligations to such eligible health care providers summarized by ,state of the payment receipt4 7n7 ,such reports shall be updated and submitted to such ,committees every #fj days until funds are expended4 #aj4 ,funding for block grants for community mental health services ,in addition to amounts otherwise available1 there is appropriated to the ,secretary for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #a1gej1jjj1jjj1 to remain available until expended1 for carrying out subpart ,i of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq471 subpart ,,iii of part ,b of title ,,xix of such ,act 7#db ,u4,s4,c4 #cjjx-#ea et seq471 and section #eje7;c7 of such ,act 7#db ,u4,s4,c4 #bij;aa-#d7;c77 with respect to mental health4 ,notwithstanding section #aieb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#fb71 any amount awarded to a ,state out of amounts appropriated by this section shall be expended by the ,state by ,september #cj1 #bjbe4 #aa4 ,funding for block grants for prevention and treatment of substance abuse ,in addition to amounts otherwise available1 there is appropriated to the ,secretary for fiscal year #bjba1 out of any money in the ,treasury not otherwise appropriated1 #a1gej1jjj1jjj1 to remain available until expended1 for carrying out subpart ,,ii of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq471 subpart ,,iii of part ,b of title ,,xix of such ,act 7#db ,u4,s4,c4 #cjjx-#ea et seq471 section #eje7;d7 of such ,act 7#db ,u4,s4,c4 #bij;aa-#d7;d77 with respect to substance abuse1 and section #eae7;d7 of such ,act 7#db ,u4,s4,c4 #bij;bb-#ba7;d774 ,notwithstanding section #aieb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#fb71 any amount awarded to a ,state out of amounts appropriated by this section shall be expended by the ,state by ,september #cj1 #bjbe4 #ab4 ,miscellaneous provisions 7a7 ,applicable requirements ,amounts appropriated by this ,act are subject to the requirements contained in ,public ,law #aaf-id for funds for programs authorized under sections #ccj through #cdj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;b et seq474 7b7 ,emergency designation ,amounts appropriated by this ,act are designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4