,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #aiii  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ah1 #bjba,mr4   
,smi? ( ,miss\ri 7= himself1 ,mr4       
,brady1 ,mr4 ,burgess1 ,mr4 ,com]1 ,mr4 
,h>ris1 ,mr4 ,w5/rup1 & ,mrs4 ,rodg]s ( 
,wa%+ton7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means1 & 9 addition to ! ,committees on
 ,en]gy & ,comm]ce1 ,ov]sight & ,re=m1 !
 ,budget1 & ,education & ,labor1 = 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  ,to delay
 & (fset ! seque/] "u ! ,/atutory       
,pay-,z-,y-,g ,act ( #bjaj z a result ( 
! enactm5t ( ! ,am]ican ,rescue ,plan   
,act ( #bjba1 & = o!r purposes4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,protect ,s5iors & ,cut ,wa/e ,act4  #b4
 ,,paygo ,act seque/] ,! budget>y       
effects ( ! ,am]ican ,rescue ,plan ,act 
( #bjba %all n be c\nt$ = purposes (    
det]m9+ :e!r a seque/] occurs "u !      

report issu$ aft] ,congress adj\rns to  
end ! #a/ session ( ! #aag? ,congress & 
dur+ ,janu>y #bjbb "u section #e ( !    
,/atutory ,pay-,z-,y-,g ,act ( #bjaj4   
#c4 ,supplem5tal appropriations = !     
,public ,heal? & ,social ,s]vices       
,em]g5cy ,fund  7a7 ,supplem5tal        
appropriation ,!re is appropriat$1 out (
 any am\nts 9 ! ,treasury n o!rwise     
appropriat$1 = an additional am\nt =    
,public ,heal? & ,social ,s]vices       
,em]g5cy ,fund'1 #ab1cjj1jjj1jjj1 to    
rema9 available until exp5d$1 to prev5t1
 prep>e =1 & respond to coronavirus1    
dome/ically or int]nationally1 :i* %all 
be = necess>y exp5ses to reimburse1     
?r\gh grants or o!r me*anisms1 eligible 
heal? c>e provid]s = heal? c>e relat$   
exp5ses or lo/ rev5ues t are            
attributable to coronavirus4  7b7       
,conditions ,! foll[+ conditions %all   
apply ) respect to funds appropriat$ by 
subsection 7a73 7#a7 ,su* 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  7#b7 
,recipi5ts ( paym5ts "u ?is section %all
 submit reports & ma9ta9 docum5tation z 
! ,secret>y ( ,heal? & ,human ,s]vices  
det]m9es are ne$$ to ensure compliance )
 conditions t are impos$ by ?is         
subsection = su* paym5ts1 & su* reports 
& docum5tation %all be 9 su* =m1 ) su*  
cont5t1 & 9 su* "t z ! ,secret>y may    
prescribe = su* purpose4  7#c7 ,! 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 p>agraph 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  7#d7 ,!    
,secret>y %all1 on a roll+ basis1 review
 applications & make paym5ts "u ?is     
section4  7#e7 ,funds appropriat$ "u ?is
 section %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 
7#f7 ,9 ?is section1 ! t]m paym5t means 
a pre-paym5t1 prospective paym5t1 or    
retrospective paym5t1 z det]m9$         
appropriate by ! ,secret>y4  7#g7       
,paym5ts "u ?is section %all be made 9  
consid]ation ( ! mo/ effici5t paym5t    
sy/ems practicable to provide em]g5cy   
paym5t4  7#h7 ,to be eligible = a paym5t
 "u ?is section1 an eligible heal? c>e  
provid] %all submit to ! ,secret>y an   
application t includes a /atem5t ju/ify+
 ! ne$ ( ! provid] = ! paym5t & !       
eligible heal? c>e provid] %all h a     
valid tax id5tification numb]4  7#i7 ,= 
any reimbursem5t by ! ,secret>y f !     
,provid] ,relief ,fund to an eligible   
heal? c>e provid] t is a subsidi>y ( a  
p>5t organization1 ! p>5t organization  
may1 allocate 7?r\gh transf]s or        
o!rwise7 all or any portion ( su*       
reimbursem5t among ! subsidi>y eligible 

heal? c>e provid]s ( ! p>5t             
organization1 includ+ reimbursem5ts     
ref]r$ to by ! ,secret>y z ,t>get$      
,di/ribution paym5ts1 among subsidi>y   
eligible heal? c>e provid]s ( ! p>5t    
organization1 except t responsibility = 
report+ ! reallocat$ reimbursem5t %all  
rema9 ) ! orig9al recipi5t ( su*        
reimbursem5t4  7#aj7 ,= any reimbursem5t
 f ! ,provid] ,relief ,fund to an       
eligible heal? c>e provid] = heal? c>e  
relat$ exp5ses or lo/ rev5ues t are     
attributable to coronavirus 7includ+    
reimbursem5ts made be=e ! date ( !      
enactm5t ( ?is ,act71 su* provid] may   
calculate su* lo/ rev5ues us+ !         
,frequ5tly ,ask$ ,que/ions guidance     
releas$ by ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices 9 ,june #bjbj1 includ+ !      
diff]5ce betwe5 su* provid]'s budget$ & 
actual rev5ue budget if su* budget _h   
be5 e/abli%$ & approv$ prior to ,m>*    
#bg1 #bjbj4  7#aa7 ,( ! am\nt made      
available 9 ! ?ird p>agraph "u ! head+  
,dep>tm5t ( ,heal? & ,human             

,s]vices--,(fice ( ! ,secret>y--,public 
,heal? & ,social ,s]vices ,em]g5cy ,fund
 9 ,public ,law #aaf-acf1 n less ?an #he
 p]c5t ( ! unobligat$ balances available
 z ( ! date ( enactm5t ( ?is ,act & (   
any funds recov]$ f heal? c>e provid]s  
aft] ! date ( enactm5t ( ?is ,act %all  
be = any successor to ! ,phase #c ,g5]al
 ,di/ribution allocation to make paym5ts
 to eligible heal? c>e provid]s bas$ on 
applications t consid] f9ancial losses &
 *anges 9 op]at+ exp5ses occurr+ 9      
fiscal ye> #bjba t are attributable to  
coronavirus4  7#ab7 ,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  7#ac7   
,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  7#ad7 ,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]s1     
summ>iz$ by ,/ate ( ! paym5t receipt4   
,su* report %all be updat$ & submitt$ to
 su* ,committees e #fj days until funds 
are exp5d$4  7c7 ,em]g5cy designations  
7#a7 ,am\nts repurpos$ 9 subsection 7b7 
t 7 previ\sly designat$ by ! ,congress z
 an em]g5cy requirem5t pursuant to !    
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe are designat$ by !
 ,congress z an em]g5cy requirem5t      
pursuant to section #bea7;b77#b77;,a77i7
 ( ! ,balanc$ ,budget & ,em]g5cy        
,deficit ,control ,act ( #aihe4  7#b7 ,!
 am\nt appropriat$ by subsection 7a7 is 
designat$ by ! ,congress z be+ = an     
em]g5cy requirem5t pursuant to section  
#bea7;b77#b77;,a77i7 ( ! ,balanc$       
,budget & ,em]g5cy ,deficit ,control    

,act ( #aihe4  7#c7 ,ea* am\nt designat$
 9 ?is ,act by ! ,congress z an em]g5cy 
requirem5t pursuant to section          
#bea7;b77#b77;,a77i7 ( ! ,balanc$       
,budget & ,em]g5cy ,deficit ,control    
,act ( #aihe %all be available only if !
 ,presid5t subsequ5tly s designates all 
su* am\nts & transmits su* designations 
to ! ,congress4  7d7 ,application (     
provisions ,am\nts appropriat$ pursuant 
to ?is section & pursuant to title ,,ii 
( ,public ,law #aag-b %all be subject to
 ! requirem5ts conta9$ 9 ,public ,law   
#aaf-bfj = funds = programs au?oriz$ "u 
sections #ccj ?r\gh #cdj ( ! ,public    
,heal? ,s]vice ,act4  #d4 ,coronavirus  
,/ate ,fiscal ,recov]y ,fund adju/m5t   
7a7 ,9 g5]al ,section #fjb ( ! ,social  
,security ,act is am5d$-- 7#a7 9        
subsection 7a77#a71 by /rik+            
#bai1hjj1jjj1jjj & ins]t+               
#gi1hjj1jjj1jjj2 &  7#b7 9 subsection   
7b77#c71 by /rik+ #aie1cjj1jjj1jjj &    
ins]t+ #ee1cjj1jjj1jjj4  7b7 ,effective 
date ,! am5dm5ts made by subsection 7a7 

%all take effect z if includ$ 9 !       
enactm5t ( ! ,am]ican ,rescue ,plan ,act
 ( #bjba4  #e4 ,te*nical corrections    
7a7 ,rural heal? cl9ic paym5ts  7#a7 ,9 
g5]al ,section #ahcc7;f77#c7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciel7f77#c77 is am5d$-- 7,a7 9        
subp>agraph 7,a7-- 7i7 9 clause 7i71 by 
/rik+ subclauses 7,i7 & 7,,ii7 & ins]t+ 
! foll[+3  7,i7 ) respect to a rural    
heal? cl9ic t _h a p] visit paym5t am\nt
 e/abli%$ = s]vices furni%$ 9 #bjbj--   
7aa7 ! p] visit paym5t am\nt applicable 
to su* rural heal? cl9ic = rural heal?  
cl9ic s]vices furni%$ 9 #bjbj1 increas$ 
by ! p]c5tage increase 9 ! ,,mei        
applicable to prim>y c>e s]vices furni%$
 z ( ! fir/ day ( #bjba2 or  7bb7 !     
limit describ$ 9 p>agraph 7#b77;,a72 &  
7,,ii7 ) respect to a rural heal? cl9ic 
t did n h a p] visit paym5t am\nt       
e/abli%$ = s]vices furni%$ 9 #bjbj--    
7aa7 ! p] visit paym5t am\nt applicable 
to su* rural heal? cl9ic = rural heal?  
cl9ic s]vices furni%$ 9 #bjba2 or  7bb7 

! limit describ$ 9 p>agraph 7#b77;,a72 &
  2 &  7ii7 9 clause 7ii77,i71 by /rik+ 
"u clause 7i77,i7 & ins]t+ "u subclause 
7,i7 or 7,,ii7 ( clause 7i71 z          
applicable12 &  7,b7 9 subp>agraph      
7,b7-- 7i7 9 ! matt] prec$+ clause 7i71 
by /rik+ #bjai1 0 & ins]t+ #bjbj2  7ii7 
9 clause 7i71 by ins]t+ 0 aft] 7i72 &   
7iii7 by /rik+ clause 7ii7 & ins]t+ !   
foll[+3  7ii7 7,i7 0 enroll$ "u section 
#ahff7;j7 7includ+ tempor>y enrollm5t   
dur+ ! em]g5cy p]iod describ$ 9 section 
#aace7;g77#a77;,b7 = su* p]iod72 or     
7,,ii7 submitt$ an application =        
enrollm5t "u section #ahff7;j7 7or      
reque/$ su* a tempor>y enrollm5t = su*  
p]iod7 t 0 receiv$ n lat] ?an ,decemb]  
#ca1 #bjbj4  4  7#b7 ,effective date ,! 
am5dm5ts made by ?is subsection %all    
take effect z if includ$ 9 ! enactm5t ( 
! ,consolidat$ ,appropriations ,act1    
#bjba 7,public ,law #aaf-bfj74  7b7     
,additional am\nt = c]ta9 hospitals )   
high disproporationate %>e ,effective z 
if includ$ 9 ! enactm5t ( section       

#bjc7;a7 ( title ,,ii ( division ,,cc ( 
,public ,law #aaf-bfj1 subsection 7g7 ( 
section #aibc ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifr-#d7 am5d$ by su* 
section #bjc7;a7 is am5d$ by add+ at !  
end ! foll[+ new p>agraph3  7#c7        
,additional am\nt = c]ta9 hospitals )   
high disproporationate %>e  7,a7 ,9     
g5]al ,9 ! case ( a hospital ) high     
disproportionate %>e 7z def9$ 9         
subp>agraph 7,b77 locat$ 9 a ,/ate      
ref]5c$ 9 subsection 7e7 ( section #dgba
 ( ! ,balanc$ ,budget ,act ( #aiig1 a   
paym5t adju/m5t dur+ a ,/ate fiscal ye> 
%all be consid]$ consi/5t ) subsection  
7c7 if ! paym5t adju/m5t does n exce$   
#age p]c5t ( ! co/s ( furni%+ hospital  
s]vices dur+ ! ye>1 b only if ! ,gov]nor
 ( ! ,/ate c]tifies to ! satisfaction ( 
! ,secret>y t ! hospital's applicable   
m9imum am\nt is us$ = heal? s]vices dur+
 ! ye>4 ,9 det]m9+ ! am\nt t is us$ =   
su* s]vices dur+ a ye>1 !re %all be     
exclud$ any am\nts receiv$ "u ! ,public 
,heal? ,s]vice ,act1 title ,v1 title    

,,xviii1 or f ?ird p>ty payors 7n       
includ+ ! ,/ate plan "u ?is title7 t are
 us$ = provid+ su* s]vices dur+ ! ye>4  
7,b7 ,hospital ) high disproporationate 
%>e def9$ ,9 subp>agraph 7,a71 a        
hospital is a hospital ) high           
disproportionate %>e if-- 7i7 ! hospital
 is own$ or op]at$ by ! ,/ate 7or by an 
in/rum5tality or a unit ( gov]nm5t )9 ! 
,/ate72 &  7ii7 ! hospital-- 7,i7 meets 
! requirem5t describ$ 9 subp>agraphs    
7,a7 or 7,b7 ( subsection 7b77#a72 or   
7,,ii7 has ! l>ge/ numb] ( inpati5t days
 attributable to individuals entitl$ to 
b5efits "u ! ,/ate plan ( any hospital 9
 su* ,/ate = ! previ\s fiscal ye>4  7,c7
 ,applicable m9imum am\nt def9$ ,9      
subp>agraph 7,a71 ! applicable m9imum   
am\nt = a hospital = a fiscal ye> is    
equal to ! diff]5ce betwe5 ! am\nt ( !  
hospital's paym5t adju/m5t = ! fiscal   
ye> & ! co/s to ! hospital ( furni%+    
hospital s]vices describ$ 9 p>agraph    
7#a77;,a7 dur+ ! fiscal ye>4  4  #f4    
,individuals n lawfully pres5t 9 ,unit$ 

,/ates preclud$ f #bjba recov]y rebates 
7a7 ,9 g5]al ,section #fdbh;,b7c7 ( !   
,int]nal ,rev5ue ,code ( #aihf1 z add$  
by ! ,am]ican ,rescue ,plan ,act (      
#bjba1 is am5d$ by /rik+ & at ! end (   
p>agraph 7#b71 by r$esignat+ p>agraph   
7#c7 z p>agraph 7#d71 & by ins]t+ aft]  
p>agraph 7#b7 ! foll[+ new p>agraph3    
7#c7 any individual :o 0 n lawfully     
pres5t 9 ! ,unit$ ,/ates z ( ! date ( ! 
enactm5t ( ! ,am]ican ,rescue ,plan ,act
 ( #bjba1 &  4  7b7 ,effective date ,!  
am5dm5ts made by ?is section %all take  
effect z if includ$ 9 ! enactm5t (      
section #ifja ( ! ,am]ican ,rescue ,plan
 ,act ( #bjba4  #g4 ,inc>c]at$          
individuals preclud$ f #bjba recov]y    
rebates  7a7 ,9 g5]al ,section          
#fdbh;,b7c7 ( ! ,int]nal ,rev5ue ,code (
 #aihf1 z add$ by ! ,am]ican ,rescue    
,plan ,act ( #bjba & am5d$ by ! prec$+  
provisions ( ?is ,act1 is am5d$ by /rik+
 & at ! end ( p>agraph 7#c71 by         
r$esignat+ p>agraph 7#d7 z p>agraph     
7#e71 & by ins]t+ aft] p>agraph 7#c7 !  

foll[+ new p>agraph3  7#d7 any          
individual :o 0 inc>c]at$ on ! date ( ! 
enactm5t ( ! ,am]ican ,rescue ,plan ,act
 ( #bjba1 &  4  7b7 ,effective date ,!  
am5dm5ts made by ?is section %all take  
effect z if includ$ 9 ! enactm5t (      
section #ifja ( ! ,am]ican ,rescue ,plan
 ,act ( #bjba4  #h4 ,requir+ a ,social  
,security ,numb] to receive ,,cobra     
cont9uation cov]age  7a7 ,9 g5]al       
,section #ieja7;a77#c7 ( ! ,am]ican     
,rescue ,plan ,act ( #bjba 7,public ,law
 #aag-b7 is am5d$-- 7#a7 9 subp>agraph  
7,a71 by /rik+ at ! end &2  7#b7 9      
subp>agraph 7,b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+ new subp>agraph3  7,c7 has 
be5 issu$ a social security numb] 7z    
def9$ 9 section #bd7;h77#g7 ( ! ,int]nal
 ,rev5ue ,code ( #aihf7 by ! ,social    
,security ,adm9i/ration4  4  7b7        
,effective date ,! am5dm5t made by      
subsection 7a7 %all take effect z if    
includ$ 9 ! enactm5t ( section #ieja ( !
 ,am]ican ,rescue ,plan ,act ( #bjba4   

#i4 ,rescissions ( ,am]ican ,rescue     
,plan ,act ( #bjba funds ,( ! funds     
appropriat$ by ! ,am]ican ,rescue ,plan 
,act ( #bjba 7,public ,law #aag-b71 all 
unobligat$ funds available "u ! foll[+  
provisions ( su* ,act are h]eby resc9d$3
 7#a7 ,section #bjba 7relat+ to !       
,national ,end[m5t = ! ,arts74  7#b7    
,section #bjbb 7relat+ to ! ,national   
,end[m5t = ! ,humanities74  7#c7        
,section #djja 7relat+ to ! ,em]g5cy    
,f$]al ,employee ,leave ,fund74