,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cbjc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ac1 #bjba,ms4   
,matsui 7= h]self1 ,mr4 ,/ew>t1 ,mrs4   
,axne1 ,mr4 ,mc,kinley1 ,ms4 ,spanb]g]1 
& ,mr4 ,johnson ( ,s\? ,dakota7         
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to enable c]ta9 hospitals t 7  
p>ticipat+ 9 or appli$ = ! drug disc\nt 
program "u section #cdj;,b ( ! ,public  
,heal? ,s]vice ,act prior to !          
,,covid-#ai public heal? em]g5cy to     
tempor>ily ma9ta9 eligibility = su*     
program1 & = o!r purposes4  #a4         
,eligibility exception = ! drug disc\nt 
program due to ! ,,covid-#ai public     
heal? em]g5cy  7a7 ,9 g5]al  7#a7 ,,d%  
adju/m5t p]c5tage treatm5t ,not)/&+ any 
o!r provision ( law1 a hospital describ$
 9 subsection 7b7 t1 = an applicable    
cal5d> qu>t]1 o!rwise meets !           
requirem5ts = be+ a cov]$ entity "u     
subp>agraph 7,l71 7,m71 or 7,o7 (       
subsection 7a77#d7 ( section #cdj;,b ( !

 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bef;b7 b t1 = su* cal5d>     
qu>t]1 does n meet ! applicable         
requirem5t = ! disproportionate %>e     
adju/m5t p]c5tage describ$ 9 subsection 
7c71 %all be deem$ to meet su*          
applicable requirem5t "u su* respective 
subp>agraph = su* applicable cal5d>     
qu>t] 7includ+ any su* qu>t] occurr+    
be=e ! date ( ! enactm5t ( ?is ,act74   
7#b7 ,treatm5t ( c]ta9 entities ,not)/&+
 any o!r provision ( law1 a hospital    
describ$ 9 subsection 7b7 t1 on ! day   
be=e ! fir/ day ( ! ,,covid-#ai public  
heal? em]g5cy 7or at any po9t dur+ su*  
em]g5cy71 0 a cov]$ entity describ$ 9   
subp>agraph 7,l7 ( subsection 7a77#d7 ( 
section #cdj;,b ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bef;b71 b  
t1 = an applicable cal5d> qu>t]1 did n  
meet ! requirem5t describ$ 9 subp>agraph
 7,l77ii7 ( su* subsection &1 dur+ !    
,,covid-#ai public heal? em]g5cy1       
regi/]$ z a cov]$ entity describ$ 9     
subp>agraph 7,o7 ( su* subsection1 may  

elect to be deem$ to be a cov]$ entity  
describ$ 9 subp>agraph 7,l7 ( su*       
subsection = su* applicable cal5d>      
qu>t]1 & = any o!r qu>t] occurr+ dur+   
su* em]g5cy dur+ :i* su* entity 0 s     
regi/]$ z a cov]$ entity describ$ 9     
subp>agraph 7,o7 ( su* subsection1      
provid$ t1 = su* applicable cal5d> qu>t]
 & any su* o!r qu>t]1 ! entity met !    
requirem5ts describ$ 9 subsection       
7a77#e7 ( su* section &1 beg9n+ on !    
date on :i* ! entity makes su* election1
 ! entity meets ! requirem5t describ$ 9 
subp>agraph 7,l77iii7 ( subsection      
7a77#d7 ( su* section4  7b7 ,hospitals  
,a hospital describ$ 9 ?is subsection   
is-- 7#a7 an entity t1 on ! day be=e !  
fir/ day ( ! ,,covid-#ai public heal?   
em]g5cy1 0 a cov]$ entity describ$ 9    
subp>agraph 7,l71 7,m71 or 7,o7 (       
subsection 7a77#d7 ( section #cdj;,b ( !
 ,public ,heal? ,s]vice ,act p>ticipat+ 
9 ! drug disc\nt program "u su* section2
 or  7#b7 an entity t-- 7,a7 prior to or
 dur+ ! ,,covid-#ai public heal?        

em]g5cy1 submitt$ an application =      
p>ticipation 9 su* program z a cov]$    
entity describ$ 9 subp>agraph 7,l71     
7,m71 or 7,o7 ( section #cdj;,b7a77#d7 (
 ! ,public ,heal? ,s]vice ,act2  7,b7   
prior to or dur+ su* em]g5cy1 0 approv$ 
= su* p>ticipation2 &  7,c7 dur+ su*    
em]g5cy1 began p>ticipat+ 9 su* program4
  7c7 ,applicable requirem5t =          
disproportionate %>e adju/m5t p]c5tage  
,! applicable requirem5t = !            
disproportionate %>e adju/m5t p]c5tage  
describ$ 9 ?is subsection is-- 7#a7 9 ! 
case ( a hospital describ$ 9 subsection 
7a7 t o!rwise meets ! requirem5ts "u    
subp>agraph 7,l7 or 7,m7 ( section      
#cdj;,b7a77#d7 ( ! ,public ,heal?       
,s]vice ,act1 ! requirem5t "u           
subp>agraph 7,l77ii7 ( su* section2 &   
7#b7 9 ! case ( a hospital describ$ 9   
subsection 7a7 t o!rwise meets !        
requirem5ts "u subp>agraph 7,o7 ( su*   
section #cdj;,b7a77#d71 ! requirem5t )  
respect to ! disproportionate %>e       
adju/m5t p]c5tage describ$ 9 su*        

subp>agraph 7,o74  7d7 ,def9itions ,9   
?is section3 7#a7 ,applicable cal5d>    
qu>t] ,! t]m applicable cal5d> qu>t]    
means a cal5d> qu>t] = :i* eligibility =
 ! drug disc\nt program "u section      
#cdj;,b ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bef;b7 is bas$ on a co/ 
report+ p]iod = :i* ! ,,covid-#ai public
 heal? em]g5cy is 9 effect = all or "p (
 su* co/ report+ p]iod4  7#b7 ,cov]$    
entity ,! t]m cov]$ entity has ! mean+  
giv5 su* t]m 9 section #cdj;,b7a77#d7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bef;b7a77#d774  7#c7         
,,covid-#ai public heal? em]g5cy ,! t]m 
,,covid-#ai public heal? em]g5cy means !
 public heal? em]g5cy decl>$ by !       
,secret>y ( ,heal? & ,human ,s]vices "u 
section #cai ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdg;d7 on ,janu>y  
#ca1 #bjbj1 ) respect to ,,covid-#ai4