,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #acga  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #be1         
#bjba,mr4 ,re$ introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on         
,appropriations1 & 9 addition to !      
,committee on ! ,budget1 = a p]iod to be
 subsequ5tly det]m9$ by ! ,speak]1 9 ea*
 case = consid]ation ( su* provisions z 
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,mak+ supplem5tal   
appropriations = ! fiscal ye> end+      
,septemb] #cj1 #bjba1 provid+           
coronavirus em]g5cy response & relief1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,cru% ! ,virus ,act
 ( #bjba4  #b4 ,fund+ = ,,covid-#ai     
vacc9e activities at ! ,c5t]s = ,disease
 ,control & ,prev5tion  7a7 ,9 g5]al ,9 
addition to am\nts o!rwise available1   
!re is appropriat$ to ! ,secret>y (     
,heal? & ,human ,s]vices 79 ?is ,act    
ref]r$ to z ! ,secret>y7 = fiscal ye>   
#bjba1 out ( any money 9 ! ,treasury n  
o!rwise appropriat$1 #h1ejj1jjj1jjj1 to 

rema9 available until exp5d$1 to c>ry   
out activities to plan1 prep>e =1       
promote1 di/ribute1 adm9i/]1 monitor1 & 
track ,,covid-#ai vacc9es1 work+ )      
,/ates1 t]ritories1 & ,tribes4  7b7 ,use
 ( funds ,! ,secret>y1 act+ ?r\gh !     
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 & 9 consultation ) o!r   
ag5cies1 z applicable1 %all1 9 conduct+ 
activities ref]r$ to 9 subsection 7a7-- 
7#a7 enhance1 exp&1 & improve nationwide
 ,,covid-#ai vacc9e di/ribution &       
adm9i/ration1 includ+ activities relat$ 
to di/ribution ( ancill>y m$ical        
products & supplies relat$ to vacc9es2  
7#b7 provide = ! vacc9ation ( employees 
& individuals work+ or resid+ 9         
congregate sett+s & o!r high-risk       
environm5ts2  7#c7 provide in=mation &  
public outrea*1 t is culturally &       
l+ui/ically appropriate1 ) respect to   
vacc9es lic5s$ "u section #cea ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bfb7 or au?oriz$ "u section  
#efd ( ! ,f$]al ,food1 ,drug1 &         

,cosmetic ,act 7#ba ,u4,s4,c4           
#cfj;bbb-#c7 9 ord] to /r5g!n vacc9e    
confid5ce 9 ! ,unit$ ,/ates1 includ+ its
 t]ritories & possessions1 p>ticul>ly 9 
m9ority & und]s]v$ communities ) l[     
rates ( vacc9ation2 &  7#d7 provide     
te*nical assi/ance1 guidance1 & support 
to1 & aw>d grants or coop]ative         
agreem5ts to1 ,/ate1 local1 ,tribal1 &  
t]ritorial public heal? dep>tm5ts =     
enhancem5t ( ,,covid-#ai vacc9e         
di/ribution & adm9i/ration capabilities1
 includ+-- 7,a7 ! di/ribution &         
adm9i/ration ( vacc9es lic5s$ "u section
 #cea ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bfb7 or au?oriz$ "u     
section #efd ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act 7#ba ,u4,s4,c4           
#cfj;bbb-#c7 & ancill>y m$ical products 
& supplies relat$ to vacc9es2  7,b7 !   
e/abli%m5t & expansion1 includ+ /aff+   
support1 ( community vacc9ation c5t]s1  
p>ticul>ly 9 rural1 fronti]1 & und]s]v$ 
areas2  7,c7 ! deploym5t ( mobile       
vacc9ation units1 p>ticul>ly 9 rural1   

fronti]1 & und]s]v$ areas2  7,d7        
in=mation te*nology1 data1 & report+    
enhancem5ts1 includ+ improvem5ts        
necess>y to support %>+ ( data relat$ to
 vacc9e di/ribution & vacc9ations &     
sy/ems t enhance vacc9e safety1         
effectiv5ess1 & uptake1 p>ticul>ly among
 und]s]v$ populations2  7,e7 facilities 
enhancem5ts2 &  7,f7 communication ) !  
public reg>d+ :51 :]e1 & h[ to receive  
,,covid-#ai vacc9es4  #c4 ,fund+ rese>* 
on & developm5t ( ,,covid-#ai vacc9es1  
!rapeutics1 & m$ical supplies ,9        
addition to am\nts o!rwise available1   
!re is appropriat$ to ! ,public ,heal? &
 ,social ,s]vices ,em]g5cy ,fund =      
fiscal ye> #bjba1 out ( any money 9 !   
,treasury n o!rwise appropriat$1        
#aa1ejj1jjj1jjj1 to rema9 available     
until exp5d$1 = necess>y exp5ses )      
respect to rese>*1 developm5t1          
manufactur+1 production1 & ! pur*ase (  
vacc9es1 !rapeutics1 & ancill>y m$ical  
products & supplies to prev5t1 prep>e1  
or respond to-- 7#a7 ,,s>s-,co,v-#b or  

any viral v>iant mutat+ !refrom ) p&emic
 pot5tial2 &  7#b7 ,,covid-#ai or any   
disease ) pot5tial = creat+ a p&emic4   
#d4 ,fund+ = ,,covid-#ai te/+1 contact  
trac+1 & mitigation activities  7a7 ,9  
g5]al ,9 addition to am\nts o!rwise     
available1 !re is appropriat$ to !      
,secret>y = fiscal ye> #bjba1 out ( any 
money 9 ! ,treasury n o!rwise           
appropriat$1 #ej1jjj1jjj1jjj1 to rema9  
available until exp5d$1 to c>ry out     
activities to detect1 diagnose1 trace1 &
 monitor ,,s>s-,co,v-#b & ,,covid-#ai   
infections & relat$ /rategies to        
mitigate ! spread ( ,,covid-#ai1 work+ )
 ,/ates1 t]ritories1 & ,tribes4  7b7    
,use ( funds ,f am\nts appropriat$ by   
subsection 7a71 ! ,secret>y %all-- 7#a7 
implem5t an evid5ce-bas$ /rategy = te/+1
 contact trac+1 surveillance1 &         
mitigation ) respect to ,,s>s-,co,v-#b &
 ,,covid-#ai2  7#b7 provide te*nical    
assi/ance1 guidance1 & support1 & aw>d  
grants or coop]ative agreem5ts to ,/ate1
 local1 & t]ritorial public heal?       

dep>tm5ts = activities to detect1       
diagnose1 trace1 & monitor              
,,s>s-,co,v-#b & ,,covid-#ai infections 
& relat$ /rategies & activities to      
mitigate ! spread ( ,,covid-#ai2  7#c7  
aw>d grants or coop]ative agreem5ts to  
,/ate1 local1 ,tribal1 or t]ritorial    
public heal? dep>tm5ts or public heal?  
laboratories-- 7,a7 to increase _!      
capacity to sequ5ce g5omes ( circulat+  
/ra9s ( viruses & o!r organisms1 includ+
 ,,s>s-,co,v-#b2  7,b7 to id5tify       
mutations 9 viruses & o!r organisms1    
includ+ ,,s>s-,co,v-#b2  7,c7 to use    
g5omic sequ5c+ to id5tify outbreaks &   
clu/]s ( diseases or infections1 includ+
 ,,covid-#ai2 &  7,d7 to develop        
effective disease response /rategies    
bas$ on g5omic sequ5c+ & surveillance   
data2  7#d7 support ! developm5t1       
manufactur+1 procurem5t1 di/ribution1 & 
adm9i/ration ( te/s to detect or        
diagnose ,,s>s-,co,v-#b & ,,covid-#ai1  
includ+ supplies necess>y = adm9i/]+    
te/s1 su* z p]sonal protective equipm5t2

  7#e7 e/abli% & exp& ,f$]al1 ,/ate1    
local1 & t]ritorial te/+ & contact trac+
 capabilities1 includ+ inve/m5ts 9      
laboratory capacity1 community-bas$ te/+
 sites1 & mobile te/+ units1 p>ticul>ly 
9 rural1 fronti]1 & m$ically und]s]v$   
areas2  7#f7 enhance in=mation          
te*nology1 data mod]nization1 & report+1
 includ+ improvem5ts necess>y to support
 %>+ ( data relat$ to public heal?      
capabilities2  7#g7 aw>d grants to1 or  
ent] into coop]ative agreem5ts or       
contracts )1 ,/ate1 local1 & t]ritorial 
public heal? dep>tm5ts to e/abli%1 exp&1
 & su/a9 a public heal? work=ce2 &  7#h7
 to cov] adm9i/rative & program support 
co/s necess>y to conduct activities     
relat$ to subp>agraph 7a74  #e4 ,f$]al  
,em]g5cy ,managem5t ,ag5cy appropriation
 ,9 addition to am\nts o!rwise          
available1 !re is appropriat$ to !      
,f$]al ,em]g5cy ,managem5t ,ag5cy =     
fiscal ye> #bjba1 out ( any money 9 !   
,treasury n o!rwise appropriat$1        
#cj1jjj1jjj1jjj1 to rema9 available     

until ,septemb] #cj1 #bjbe1 = major     
disa/]s decl>$ pursuant to ! ,rob]t ,t4 
,/af=d ,disa/] ,relief & ,em]g5cy       
,assi/ance ,act 7#db ,u4,s4,c4 #eaba et 
seq474  #f4 ,,covid-#ai em]g5cy m$ical  
supplies enhancem5t  7a7 ,support+      
enhanc$ use ( ! ,def5se ,production ,act
 ( #aiej ,9 addition to funds o!rwise   
available1 !re is appropriat$1 = fiscal 
ye> #bjba1 out ( any money 9 ! ,treasury
 n o!rwise appropriat$1 #e1jjj1jjj1jjj1 
to rema9 available until ,septemb] #cj1 
#bjbe1 to c>ry out titles ,i1 ,,iii1 &  
,,vii ( ! ,def5se ,production ,act (    
#aiej 7#ej ,u4,s4,c4 #deja et seq47 9   
accordance ) subsection 7b74  7b7       
,m$ical supplies & equipm5t ,am\nts     
appropriat$ 9 subsection 7a7 %all be us$
 = ! pur*ase1 production 7includ+ !     
con/ruction1 repair1 & retr(itt+ (      
gov]nm5t-own$ or private facilities z   
necess>y71 or di/ribution ( m$ical      
supplies & equipm5t 7includ+ durable    
m$ical equipm5t7 relat$ to combat+ !    
,,covid-#ai p&emic1 includ+-- 7#a7 9    

vitro diagno/ic products 7z def9$ 9     
section #hji4c7;a7 ( title #ba1 ,code ( 
,f$]al ,regulations7 = ! detection (    
,,s>s-,co,v-#b or ! diagnosis ( ! virus 
t causes ,,covid-#ai1 & ! reag5ts & o!r 
mat]ials necess>y = produc+1 conduct+1  
or adm9i/]+ su* products1 & ! ma*9]y1   
equipm5t1 laboratory capacity1 or o!r   
te*nology necess>y to produce su*       
products2  7#b7 face masks & p]sonal    
protective equipm5t1 includ+ face       
%ields1 nitrile gloves1 ,n-#ie filt]+   
facepiece respirators1 & any o!r masks  
or equipm5t 7includ+ durable m$ical     
equipm5t7 det]m9$ by ! ,secret>y (      
,heal? & ,human ,s]vices to be ne$$ to  
respond to ! ,,covid-#ai p&emic1 & !    
mat]ials1 ma*9]y1 additional manufactur+
 l9es or facilities1 or o!r te*nology   
necess>y to produce su* equipm5t2 &     
7#c7 drugs & devices 7z ^? t]ms are     
def9$ 9 ! ,f$]al ,food1 ,drug1 &        
,cosmetic ,act 7#ba ,u4,s4,c4 #cja et   
seq477 & biological products 7z t t]m is
 def9$ by section #cea ( ! ,public      

,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bfb77 t are approv$1 cle>$1 lic5s$1 or 
au?oriz$ "u ei!r ( su* ,acts = use 9    
treat+ or prev5t+ ,,covid-#ai & symptoms
 relat$ to ,,covid-#ai1 & any mat]ials1 
manufactur+ ma*9]y1 additional          
manufactur+ or fill-f9i% l9es or        
facilities1 te*nology1 or equipm5t      
7includ+ durable m$ical equipm5t7       
necess>y to produce or use su* drugs1   
biological products1 or devices 7includ+
 syr+es1 vials1 or o!r supplies or      
equipm5t relat$ to deliv]y1 di/ribution1
 or adm9i/ration74  7c7 ,delegation     
au?ority ,= purposes ( us+ am\nts       
appropriat$ 9 subsection 7a71 !         
,presid5t %all only delegate au?ority   
to1 ) respect to any uses describ$ "u   
subsection 7b7-- 7#a7 ! ,secret>y (     
,heal? & ,human ,s]vices2 &  7#b7 ! head
 ( any o!r ag5cy responsible = respond+ 
to ! ,,covid-#ai p&emic if ! ,presid5t  
det]m9es t su* delegation is important  
to an effective response to su* p&emic4 
7d7 ,application ( limitations "u !     

,def5se ,production ,act ( #aiej ,!     
requirem5ts describ$ 9 section #cjd7;e7 
( ! ,def5se ,production ,act ( #aiej    
7#ej ,u4,s4,c4 #decd7;e77 %all n apply  
to ! funds appropriat$ 9 subsection 7a7 
until ,septemb] #cj1 #bjbe4  #g4        
,p]sonal protective equipm5t ,9 addition
 to am\nts o!rwise available1 !re is    
appropriat$ to ! ,secret>y = fiscal ye> 
#bjba1 out ( any money 9 ! ,treasury n  
o!rwise appropriat$1 #e1jjj1jjj1jjj to  
rema9 available until exp5d$1 = necess>y
 exp5ses ) respect to ! manufactur+1    
acquisition1 & di/ribution ( p]sonal    
protective equipm5t = prev5t+ ! spread (
 ,,covid-#ai4  #h4 ,/rategic ,national  
,/ockpile ,9 addition to am\nts o!rwise 
available1 !re is appropriat$ to !      
,secret>y = fiscal ye> #bjba1 out ( any 
money 9 ! ,treasury n o!rwise           
appropriat$1 #ae1jjj1jjj1jjj1 to rema9  
available until exp5d$1 = necess>y      
exp5ses ) respect to ! procurem5t &     
/ockpile pursuant to section #cai;,f-#b 
( ! ,public ,heal? ,s]vice ,act 7#db    

,u4,s4,c4 #bdg;d-#f;b7 ( vacc9es1       
!rapeutics1 & ancill>y m$ical products &
 supplies to prev5t1 prep>e1 or respond 
to ,,s>s-,co,v-#b or any viral v>iant   
mutat+ !refrom ) p&emic pot5tial1 &     
,,covid-#ai4  #i4 ,provid] ,relief ,fund
  7a7 ,9 addition to am\nts o!rwise     
available1 !re is appropriat$ = !       
,public ,heal? & ,social ,s]vices       
,em]g5cy ,fund = fiscal ye> #bjba1 out (
 any money 9 ! ,treasury n o!rwise      
appropriat$1 #ce1jjj1jjj1jjj1 to rema9  
available until exp5d$1 to prev5t1      
prep>e =1 & respond to ,,covid-#ai1     
dome/ically or int]nationally1 =        
necess>y exp5ses to reimburse1 ?r\gh    
grants or o!r me*anisms1 eligible heal? 
c>e provid]s = heal? c>e relat$ exp5ses 
or lo/ rev5ues t are attributable to    
coronavirus4  7b7 ,( ! eligible heal?   
c>e provid]s t are recipi5ts ( paym5ts  
"u ?is section1 #g1jjj1jjj1jjj ( su*    
am\nt %all be = suppli]s & provid]s     
locat$ 9 a rural area 7z def9$ 9 section
 #ahhf7;d77#b77;,d7 ( ! ,social         

,security ,act 7#db ,u4,s4,c4           
#acieww7d77#b77;,d7774  7c7 ,^! funds   
may n be us$ to reimburse exp5ses or    
losses t h be5 reimburs$ f o!r s\rces or
 t o!r s\rces are obligat$ to reimburse4
  7d7 ,recipi5ts ( paym5ts "u ?is       
section %all submit reports & ma9ta9    
docum5tation z ! ,secret>y det]m9es are 
ne$$ to ensure compliance ) conditions t
 are impos$ by ?is section = su*        
paym5ts1 & su* reports & docum5tation   
%all be 9 su* =m1 ) su* cont5t1 & 9 su* 
"t z ! ,secret>y may prescribe = su*    
purpose4  7e7 ,! t]m eligible heal? c>e 
provid]s means public entities1 ,m$ic>e 
or ,m$icaid enroll$ suppli]s & provid]s1
 & su* =-pr(it entities & n-=-pr(it     
entities n o!rwise describ$ 9 ?is       
subsection z ! ,secret>y may specify1 )9
 ! ,unit$ ,/ates 7includ+ t]ritories71 t
 provide diagnoses1 te/+1 or c>e =      
individuals ) possible or actual cases (
 ,,covid-#ai4  7f7 ,! ,secret>y ( ,heal?
 & ,human ,s]vices %all1 on a roll+     
basis1 review applications & make       

paym5ts "u ?is section 9 ?is ,act4  7g7 
,funds appropriat$ "u ?is section 9 ?is 
,act %all be available = build+ or      
con/ruction ( tempor>y /ructures1 leas+ 
( prop]ties1 m$ical supplies & equipm5t 
includ+ p]sonal protective equipm5t &   
te/+ supplies1 increas$ work=ce &       
tra9+s1 em]g5cy op]ation c5t]s1         
retr(itt+ facilities1 & surge capacity4 
7h7 ,9 ?is section1 ! t]m paym5t means a
 pre-paym5t1 prospective paym5t1 or     
retrospective paym5t1 z det]m9$         
appropriate by ! ,secret>y4  7i7        
,paym5ts "u ?is section %all be made 9  
consid]ation ( ! mo/ effici5t paym5t    
sy/ems practicable to provide em]g5cy   
paym5t4  7j7 ,to be eligible = a paym5t 
"u ?is section1 an eligible heal? c>e   
provid] %all submit to ! ,secret>y (    
,heal? & ,human ,s]vices an application 
t includes a /atem5t ju/ify+ ! ne$ ( !  
provid] = ! paym5t & ! eligible heal?   
c>e provid] %all h a valid tax          
id5tification numb]4  7k7 ,n lat] ?an #c
 ye>s aft] f9al paym5ts are made "u ?is 

section1 ! ,(fice ( ,inspector ,g5]al ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices  
%all transmit a f9al report on audit    
f9d+s ) respect to ?is program to !     
,committees on ,appropriations ( ! ,h\se
 ( ,repres5tatives & ! ,s5ate4  7l7     
,no?+ 9 ?is section limits ! au?ority ( 
! ,inspector ,g5]al or ! ,comptroll]    
,g5]al to conduct audits ( int]im       
paym5ts at an e>li] date4  7m7 ,n lat]  
?an #fj days aft] ! date ( enactm5t (   
?is ,act1 ! ,secret>y ( ,heal? & ,human 
,s]vices %all provide a report to !     
,committees on ,appropriations ( ! ,h\se
 ( ,repres5tatives & ! ,s5ate on        
obligation ( funds1 includ+ obligations 
to su* eligible heal? c>e provid]s      
summ>iz$ by ,/ate ( ! paym5t receipt4   
7n7 ,su* reports %all be updat$ &       
submitt$ to su* ,committees e #fj days  
until funds are exp5d$4  #aj4 ,fund+ =  
block grants = community m5tal heal?    
s]vices ,9 addition to am\nts o!rwise   
available1 !re is appropriat$ to !      
,secret>y = fiscal ye> #bjba1 out ( any 

money 9 ! ,treasury n o!rwise           
appropriat$1 #a1gej1jjj1jjj1 to rema9   
available until exp5d$1 = c>ry+ out     
subp>t ,i ( "p ,b ( title ,,xix ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjx et seq471 subp>t ,,iii (
 "p ,b ( title ,,xix ( su* ,act 7#db    
,u4,s4,c4 #cjjx-#ea et seq471 & section 
#eje7;c7 ( su* ,act 7#db ,u4,s4,c4      
#bij;aa-#d7;c77 ) respect to m5tal      
heal?4 ,not)/&+ section #aieb ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjx-#fb71 any am\nt aw>d$ to
 a ,/ate out ( am\nts appropriat$ by ?is
 section %all be exp5d$ by ! ,/ate by   
,septemb] #cj1 #bjbe4  #aa4 ,fund+ =    
block grants = prev5tion & treatm5t (   
sub/ance abuse ,9 addition to am\nts    
o!rwise available1 !re is appropriat$ to
 ! ,secret>y = fiscal ye> #bjba1 out (  
any money 9 ! ,treasury n o!rwise       
appropriat$1 #a1gej1jjj1jjj1 to rema9   
available until exp5d$1 = c>ry+ out     
subp>t ,,ii ( "p ,b ( title ,,xix ( !   
,public ,heal? ,s]vice ,act 7#db        

,u4,s4,c4 #cjjx-#ba et seq471 subp>t    
,,iii ( "p ,b ( title ,,xix ( su* ,act  
7#db ,u4,s4,c4 #cjjx-#ea et seq471      
section #eje7;d7 ( su* ,act 7#db        
,u4,s4,c4 #bij;aa-#d7;d77 ) respect to  
sub/ance abuse1 & section #eae7;d7 ( su*
 ,act 7#db ,u4,s4,c4 #bij;bb-#ba7;d774  
,not)/&+ section #aieb ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjjx-#fb71 any am\nt aw>d$ to a ,/ate  
out ( am\nts appropriat$ by ?is section 
%all be exp5d$ by ! ,/ate by ,septemb]  
#cj1 #bjbe4  #ab4 ,miscellane\s         
provisions  7a7 ,applicable requirem5ts 
,am\nts appropriat$ by ?is ,act are     
subject to ! requirem5ts conta9$ 9      
,public ,law #aaf-id = funds = programs 
au?oriz$ "u sections #ccj ?r\gh #cdj ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bed;b et seq474  7b7 ,em]g5cy
 designation ,am\nts appropriat$ by ?is 
,act are designat$ by ! ,congress z be+ 
= an em]g5cy requirem5t pursuant to     
section #bea7;b77#b77;,a77i7 ( !        
,balanc$ ,budget & ,em]g5cy ,deficit    

,control ,act ( #aihe4