,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #fecj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #bh1          
#bjbb,mrs4 ,trahan 7= h]self & ,mr4     
,fitzpatrick7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committee 
on ,ways & ,means1 = 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 am5d ! ,public  
,heal? ,s]vice ,act to su/a9 s5ior      
congregate c>e op]ations 9 ! wake (     
ongo+ ,,covid-#ai f9ancial burd5s1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,safegu>d+ ,eld]ly     
,ne$s = ,infra/ructure & ,occupational  
,res\rces ,act ( #bjbb or ! ,,s5ior ,act
 ( #bjbb4  #b4 ,f9d+s ,! ,congress f9ds 
z foll[s3 7#a7 ,long-t]m c>e facilities 
& s5ior congregate c>e homes provide    
direct & p]sonaliz$ c>e1 :]e social     
di/anc+ is n possible1 #bd h\rs a day1  
#g days a week4  7#b7 ,assi/$ liv+1     

memory c>e1 indep5d5t liv+1 & o!r s5ior 
congregate c>e sett+s are ! homes (     
,am]ica's s5iors & critical options on !
 long-t]m c>e cont9uum2 ^! s5ior        
resid5ces provide safety & security =   
our ,nation's mo/ vuln]able population4 
7#c7 ,sixty p]c5t ( a s5ior's heal? is  
bas$ on social det]m9ants ( heal? :i*   
include ! ne$ = adequate nutrition1     
h\s+1 & social activities2 ?us support+ 
c>egiv]s & home- & community-bas$ c>e   
models t prioritize ! social det]m9ants 
( s5ior heal? %\ld be a priority ( !    
,congress4  7#d7 ,inve/+ 9 s5ior c>e & !
 c>egiv+ work=ce prev5ts hospitalization
 & skill$ nurs+ exp5ses1 pres]v+ ,m$ic>e
 & ,m$icaid budgets4  7#e7 ,s9ce ,m>* ( 
#bjbj1 s5ior c>e facilities h lo/ ov]   
#chj1jjj c>egiv]s & are exp]i5c+ a      
work=ce crisis z ,am]ica's population   
rapidly ages4  7#f7 ,by #bjcj1 ! entire 
,baby ,boom] ,g5]ation w be #fe ye>s (  
age or old]4  7#g7 ,by #bjfj1 ne>ly #ie 
million ,am]icans w be #fe ye>s ( age or
 old] & ! portion ( ! population ov] #he

 ye>s ( age w h tripl$ to ne>ly #bj     
million p]sons4  7#h7 ,fifty-two p]c5t (
 individuals require long-t]m c>e by age
 #fe4 ,individuals ov] #fe ye>s ( age   
are #gj p]c5t m likely to ne$ long-t]m  
c>e1 ) half ( ^? s5iors requir+ an ev5  
high] level ( c>e4  7#i7 ,! av]age      
duration ( long-t]m c>e is ne>ly #d     
ye>s1 & #ad p]c5t ( individuals ne$     
long-t]m c>e = #e or m ye>s4  7#aj7     
,tw5ty-sev5 p]c5t ( s5iors ov] #fe ye>s 
( age w sp5d at lea/ #ajj1jjj on        
long-t]m c>e1 & #ae p]c5t w h co/s =    
long-t]m c>e surpass+ #bej1jjj4  7#aa7  
,! av]age co/ = long-t]m c>e = a #fe-ye>
 old today is #ach1jjj4  7#ab7 ,long-t]m
 c>e infra/ructure mu/ address !        
availability ( co/-effective c>e & h\s+ 
options to meet ! gr[+ ne$s ( !         
,nation's ag+ population4  7#ac7 ,on    
av]age1 assi/$ liv+ co/s #d1cjj p] mon?1
 :i* equals #e4ia p] h\r ( available c>e
 7bas$ on #bd_/g c>e74 ,nurs+ homes co/ 
#h1hba p] mon? 7or #ac4ac p] h\r bas$ on
 #bd_/g c>e74 ,9-home c>e co/s #d1egf p]

 mon? 7or #bf p] h\r bas$ on #dd h\rs p]
 week c>e74  7#ad7 ,an individual #he   
ye>s ( age or old] is #fcj p]c5t m      
likely to die ( ,,covid-#ai4  7#ae7     
,sixty-?ree p]c5t ( resid5ts ( long-t]m 
c>e facilities ne$ assi/ance ) ba?+2 #dh
 p]c5t ne$ assi/ance ) dress+2 & #dj    
p]c5t ne$ assi/ance ) toilet+4  7#af7 ,m
 ?an #db p]c5t ( resid5ts ( long-t]m c>e
 facilities suff] f ,alzheim]'s disease 
or "s o!r =m ( dem5tia4  7#ag7 ,! p ( ! 
,unit$ ,/ates are a compassionate p :o  
are committ$ to protect+ ! mo/ vuln]able
 9 our society1 & we %\ld n jeop>dize ! 
f9ancial und]p9n+s ( ! long-t]m c>e     
communities our ,nation's s5ior citiz5s 
dep5d on day-9 & day-out4  #c4 ,s5ior   
c>egiv] relief assi/ance ,"p ,k ( title 
,,iii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bhj;c et seq47 is am5d$ 
by add+ at ! end ! foll[+ new subp>t3   
,,iv ,s5ior c>egiv] relief assi/ance    
#cii;,a-#a4 ,s5ior c>egiv] relief       
assi/ance  7a7 ,au?ority ,! ,secret>y   
%all provide assi/ance "u ?is section to

 eligible entities to /abilize & pres]ve
 s5ior congregate c>e op]ations4  7b7   
,eligible entities  7#a7 ,9 g5]al ,!    
,secret>y may provide assi/ance "u ?is  
section only to an entity t-- 7,a7 is an
 assi/$ liv+ facility2  7,b7            
demon/rates1 by provid+ su* docum5tation
 z ! ,secret>y %all require1 f9ancial   
ne$ by hav+-- 7i7 incurr$ uncomp5sat$   
losses because ( ! public heal? em]g5cy 
decl>$ "u section #cai ) respect to     
,,covid-#ai2 &  7ii7 consi/5tly ma9ta9$ 
ongo+ op]ations dur+ ! p]iod f ,m>* #ac1
 #bjbj1 to ,decemb] #ca1 #bjbj2 &  7,c7 
makes a good-fai? c]tification to !     
,secret>y-- 7i7 t ! unc]ta9ty ( exi/+   
economic conditions makes ! application 
= assi/ance "u ?is section necess>y to  
support ongo+ op]ations ( ! entity2 &   
7ii7 t all am\nts ( su* assi/ance w be  
us$ to promote ! heal? & well-be+ ( !   
facility's population ( s5iors1 to reta9
 work]s1 to ma9ta9 ! facility1 & = o!r  
eligible uses "u ! relevant provisions (
 ?is section4  7#b7 ,basis (            

det]m9ations ,any individual det]m9ation
 ( qualification ( an entity z an       
eligible entity = purposes ( ?is section
 %all be bas$ on review ( ! entity's    
exi/+ v]sus rec5t hi/oric f9ancials1    
includ+-- 7,a7 pr(it-loss /atem5ts2     
7,b7 acc\nt receivables2  7,c7 ,f$]al   
tax fil+s2 &  7,d7 su* o!r mat]ials t ! 
,secret>y deems relevant to meet !      
purposes ( ?is section4  7c7            
,applications ,! ,secret>y %all-- 7#a7  
provide = eligible entities to submit   
applications = assi/ance "u ?is section2
 &  7#b7 require su* applications-- 7,a7
 to set =? ! propos$ uses ( su*         
assi/ance2 &  7,b7 to conta9 su* o!r    
assurances & in=mation z ! ,secret>y may
 require4  7d7 ,=mula grants = heal?    
c>e-,relat$ exp5ses & lo/ rev5ue        
attributable to ,,covid-#ai  7#a7 ,9    
g5]al ,to ! ext5t & 9 ! am\nt (         
appropriations made 9 advance to c>ry   
out ?is section1 ! ,secret>y %all-- 7,a7
 make grants to eligible entities =     
heal? c>e-relat$ exp5ses attributable to

 ,,covid-#ai or to supplant lo/ rev5ue  
attributable to ,,covid-#ai2 &  7,b7    
di/ribute su* am\nts among eligible     
entities 9 an equitable & timely mann]1 
b n lat] ?an ,decemb] #ca1 #bjbb1 bas$  
on ! ord] 9 :i* approvable applications 
f su* entities are receiv$ by !         
,secret>y4  7#b7 ,limitation on         
adm9i/rative exp5ses ,z a condition on  
receipt ( a grant "u ?is section1 an    
eligible entity %all agree to use n m   
?an #e p]c5t ( ! am\nts receiv$ ?r\gh ! 
grant = adm9i/rative exp5ses4  7#c7     
,am\nt ,! am\nt ( assi/ance di/ribut$ to
 an eligible entity pursuant to ?is     
subsection %all be-- 7,a7 bas$ on !     
numb] ( b$s 9 ! facility to be assi/$2 &
  7,b7 proportional to ! uncomp5sat$    
losses ( ! eligible entity ref]r$ to 9  
subsection 7b77#a77;,b77i74  7#d7 ,rule 
( con/ruction ,no?+ 9 ?is subsection    
%all be con/ru$ z prev5t+ ! ,secret>y f 
mak+ assi/ance available to eligible    
entities at any "t be=e ! date specifi$ 
9 p>agraph 7#a77;,b74  7e7 ,s5ior       

c>egiv] relief grants  7#a7 ,9 g5]al ,to
 ! ext5t & 9 ! am\nt ( appropriations   
made 9 advance to c>ry out ?is section1 
! ,secret>y %all make grants to eligible
 entities = use 7subject to p>agraph    
7#b77 only = ! foll[+ purposes3 7,a7    
,enhanc$ broadb& connectivity &         
teleheal? support ,to ensure regul> &   
reliable communications connections     
betwe5 s5iors resid+ 9 ! assi/$ liv+    
facility ( ! entity & _! physicians &   
m$ical support p]sonnel4  7,b7 ,c>egiv] 
su/a9ability ,= co/s ( op]at+ & ma9ta9+ 
! assi/$ liv+ facility ( ! entity1      
includ+-- 7i7 = paym5ts ( pr9cipal or   
int]e/ on any mortgage obligation 9     
connection ) ! facility1 b n includ+ any
 prepaym5t ( pr9cipal on su* a mortgage 
obligation2  7ii7 = paym5ts ( r5t = a   
facility1 includ+ r5t "u a lease        
agreem5t1 b n includ+ any prepaym5t (   
r5t2  7iii7 = co/s ( activities to      
prev5t1 prep>e =1 & mitigate ! pres5ce (
 ,,covid-#ai on facility premises1      
includ+ co/s ( pur*as+ & in/all+        

equipm5t & supplies to dis9fect !       
premises1 support em]g5cy managem5t     
op]ations1 & provide = associat$        
/aff-relat$ exp5ses2  7iv7 = ma9t5ance  
exp5ses = ! facility = ! purposes (     
,,covid-#ai mitigation & infection      
control1 includ+ con/ruction to         
accommodate social di/anc+ & o!r        
prev5tive measures1 su* z plexiglass    
b>ri]s2  7v7 = co/s ( supplies = !      
facility1 includ+ protective equipm5t & 
clean+ mat]ials2 &  7vi7 = any o!r      
exp5ses t ! ,secret>y det]m9es to be    
ess5tial to ma9ta9+ ! facility4  7#b7   
,o!r activities ,no?+ 9 ?is subsection  
may be con/ru$ to prev5t ! ,secret>y f  
approv+ applications provid+ = use (    
funds = o!r co/s1 purposes1 & activities
 n specifically id5tifi$ 9 p>agraph 7#a7
 t ! ,secret>y deems appropriate &      
consi/5t ) ! purposes ( ?is section4    
7f7 ,report+ ,ea* recipi5t ( a grant "u 
subsection 7d7 or 7e7 %all submit       
reports & ma9ta9 docum5tation by su*    
deadl9es1 9 su* =m1 & conta9+ su* cont5t

 z ! ,secret>y det]m9es necess>y to     
ensure compliance ) ! conditions ( !    
grant4  7g7 ,tax treatm5t  7#a7         
,exclusion f gross income ,= purposes ( 
! ,int]nal ,rev5ue ,code ( #aihf1 am\nts
 receiv$ by an eligible entity f !      
,secret>y "u a grant "u subsection 7d7  
or 7e7 %all n be includ$ 9 ! gross      
income ( su* eligible entity4  7#b7     
,effect ( exclusion ,an eligible entity 
%all n h a tax d$uction d5i$1 a tax     
attribute r$uc$1 or any basis increas$  
by reason ( ! exclusion f gross income  
pursuant to p>agraph 7#a74  7h7 ,,gao   
report to ,congress ,n lat] ?an #b ye>s 
aft] ! date ( enactm5t ( ?is ,act1 !    
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ! ,congress a report     
assess+ ! efficacy ( assi/ance made     
available "u ?is section & ! activities 
support$ ) su* assi/ance4  7i7          
,def9itions ,9 ?is section3 7#a7 ,! t]m 
assi/$ liv+ facility means a lic5s$1    
regi/]$1 c]tifi$1 li/$1 or              
,/ate-regulat$ resid5ce1 manag$         

resid5tial community1 build+1 or "p ( a 
build+ t provides1 or contracts to      
provide1 h\s+ ) supportive s]vices on a 
cont9u+ basis to individuals :o-- 7,a7  
are eld]ly or h a m5tal heal?1          
developm5tal1 or physical disability2 & 
7,b7 are unrelat$ by blood or m>riage to
 ! own] or op]ator ( ! resid5ce1        
community1 build+1 or "p ( a build+ if !
 own] or op]ator is an individual4  7#b7
 ,! t]m eligible entity means an entity 
t is eligible "u subsection 7b7 to be   
provid$ assi/ance "u ?is section4  7#c7 
,! t]m heal? c>e-relat$ exp5ses         
attributable to ,,covid-#ai means heal? 
c>e-relat$ exp5ses to prev5t1 prep>e =1 
& respond to ,,covid-#ai1 includ+ !     
build+ or con/ruction ( a tempor>y      
/ructure1 ! leas+ ( a prop]ty1 ! pur*ase
 ( m$ical supplies & equipm5t 7includ+  
p]sonal protective equipm5t & te/+      
supplies71 provid+ = an exp&$ work=ce   
7includ+ by tra9+ /aff1 ma9ta9+ /aff1 & 
hir+ additional /aff71 ! op]ation ( an  
em]g5cy op]ation c5t]1 retr(itt+ a      

facility1 provid+ = surge capacity1 &   
o!r exp5ses det]m9$ appropriate by !    
,secret>y4  7#d7 ,! t]m lo/ rev5ue      
attributable to ,,covid-#ai means ! co/ 
( s]vices t 7 receiv$1 build+           
modifications made1 & tangible prop]ty  
ord]$ = mitigation & prev5tion (        
,,covid-#ai1 includ+ ! diff]5ce betwe5  
su* provid]'s budget$ & actual rev5ue if
 su* budget 0 e/abli%$ & approv$ be=e   
,m>* #bg1 #bjbj1 = ! purposes ( prev5t+1
 prep>+ =1 & respond+ to ,,covid-#ai4   
7j7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ #aj1jjj1jjj1jjj = fiscal
 ye> #bjbb1 to rema9 available until    
exp5d$4  4  #d4 ,s5ior c>egiv+ work=ce  
developm5t su/a9m5t grants ,"p ,k (     
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bhj;c et seq47 is  
am5d$ by ins]t+ aft] section #cii;,a-#a1
 z add$ by section #c ( ?is ,act1 !     
foll[+3  #cii;,a-#b4 ,s5ior c>egiv+     
work=ce developm5t su/a9m5t grants  7a7 
,9 g5]al ,! ,secret>y may aw>d grants to

 eligible entities to e/abli% or exp& a 
s5ior c>egiv] work=ce tra9+ & recruitm5t
 program on ! campus ( ! respective     
eligible entity4  7b7 ,am\nt2 duration  
,a grant "u ?is section %all be =-- 7#a7
 an am\nt ( n m ?an #a1jjj1jjj2 &  7#b7 
a t]m ( n m ?an #d ye>s4  7c7 ,use (    
funds ,am\nts provid$ to an eligible    
entity ?r\gh a grant "u ?is section %all
 be us$ to cov] ! co/s (-- 7#a7 e/abli%+
 or exp&+ a s5ior c>egiv] work=ce tra9+ 
& recruitm5t program describ$ 9         
subsection 7a71 includ+ co/s associat$ )
 recruitm5t1 tra9+1 & ret5tion ( s5ior  
c>egiv]s2 &  7#b7 te*nical assi/ance    
provid$ by ! eligible entity 9          
connection ) su* program4  7d7          
,application ,an eligible entity seek+ a
 grant "u ?is section %all submit an    
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7e7 ,reports    
,ea* recipi5t ( a grant "u ?is section  
%all submit reports & ma9ta9            
docum5tation by su* deadl9es1 9 su* =m1 

& conta9+ su* cont5t z ! ,secret>y      
det]m9es necess>y to ensure compliance )
 ! conditions ( ! grant4  7f7 ,tax      
treatm5t  7#a7 ,exclusion f gross income
 ,= purposes ( ! ,int]nal ,rev5ue ,code 
( #aihf1 am\nts receiv$ by an eligible  
entity f ! ,secret>y "u a grant "u ?is  
section %all n be includ$ 9 ! gross     
income ( su* eligible entity4  7#b7     
,effect ( exclusion ,an eligible entity 
%all n h a tax d$uction d5i$1 a tax     
attribute r$uc$1 or any basis increas$  
by reason ( ! exclusion f gross income  
pursuant to p>agraph 7#a74  7g7         
,def9itions  7#a7 ,! t]m eligible       
entity-- 7,a7 means an assi/$ liv+      
facility z def9$ 9 section #cii;,a-#a2 &
  7,b7 excludes any skill$ nurs+        
facility z def9$ 9 section #ahai7;a7 ( !
 ,social ,security ,act4  7#b7 ,! t]m   
s5ior c>egiv] means an individual :o    
furni%es direct p]sonal c>e1 assi/ance )
 activities ( daily liv+1 or any o!r    
relat$ s]vice = old] adults locat$ on a 
campus ( an eligible entity4  7h7       

,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #a1bej1jjj1jjj = fiscal ye> 
#bjbb1 to rema9 available until exp5d$4 
4  #e4 ,national ,heal? ,c>e ,work=ce   
,commission ,! ,national ,heal? ,c>e    
,work=ce ,commission e/abli%$ "u section
 #eaja ( ! ,pati5t ,protection &        
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#bidq7 %all-- 7#a7 n lat] ?an #ahj days 
aft] ! date ( enactm5t ( ?is ,act1      
pursuant to subsection 7d77#d7 ( su*    
section #eaja1 designate z a high       
priority area ! curr5t & project$       
work=ce ne$s ( assi/$ liv+ & o!r s5ior  
c>e sett+s t att5d to ! c>e ( ! s5ior   
population2 &  7#b7 n lat] ?an #a ye>   
aft] f9aliz+ su* designation1 submit a  
report pursuant to subsection           
7d77#b77;,d7 ( su* section #eaja to !   
,congress & ! ,adm9i/ration conta9+ a   
review (1 & recomm5dations on1 su* high 
priority area4