,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #hih  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #e1 #bjba,mr4
 ,ruiz 7= himself & ,ms4 ,und]wood7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means1 & ,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       
require gr\p heal? plans & heal?        
insurance issu]s (f]+ gr\p or individual
 heal? insurance cov]age to provide     
cov]age )\t any co/ %>+ = c]ta9 items & 
s]vices furni%$ dur+ any portion ( su*  
em]g5cy p]iod1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,c>e = ,,covid-#ai ,act ( #bjba4  #b4   
,cov]age ( ,,covid-#ai relat$ treatm5t  
at no co/ %>+  7a7 ,9 g5]al ,a gr\p     
heal? plan & a heal? insurance issu]    
(f]+ gr\p or individual heal? insurance 
cov]age 7includ+ a gr&fa!r$ heal? plan  

7z def9$ 9 section #abea7;e7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act77    
%all provide cov]age1 & %all n impose   
any co/ %>+ 7includ+ d$uctibles1        
copaym5ts1 & co9surance7 requirem5ts1 = 
! foll[+ items & s]vices furni%$ dur+   
any portion ( ! em]g5cy p]iod def9$ 9   
p>agraph 7#a77;,b7 ( section #aace7;g7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acbj;b-#e7;g77 beg9n+ on or aft] !    
date ( ! enactm5t ( ?is ,act3 7#a7      
,m$ically necess>y items & s]vices      
7includ+ 9-p]son or teleheal? visits 9  
:i* su* items & s]vices are furni%$7 t  
are furni%$ to an individual :o has be5 
diagnos$ ) 7or aft] provision ( ! items 
& s]vices is diagnos$ )7 ,,covid-#ai to 
treat or mitigate ! effects (           
,,covid-#ai4  7#b7 ,m$ically necess>y   
items & s]vices 7includ+ 9-p]son or     
teleheal? visits 9 :i* su* items &      
s]vices are furni%$7 t are furni%$ to an
 individual :o is presum$ to h          
,,covid-#ai b is nev] diagnos$ z su*1 if
 ! foll[+ conditions are met3 7,a7 ,su* 

items & s]vices are furni%$ to !        
individual to treat or mitigate !       
effects ( ,,covid-#ai or to mitigate !  
impact ( ,,covid-#ai on society4  7,b7  
,heal? c>e provid]s h tak5 appropriate  
/eps "u ! circum/ances to make a        
diagnosis1 or confirm :e!r a diagnosis 0
 made1 ) respect to su* individual1 =   
,,covid-#ai1 if possible4  7b7 ,items & 
s]vices relat$ to ,,covid-#ai ,=        
purposes ( ?is section-- 7#a7 n lat] ?an
 "o week aft] ! date ( ! enactm5t ( ?is 
section1 ! ,secret>y ( ,heal? & ,human  
,s]vices1 ,secret>y ( ,labor1 &         
,secret>y ( ! ,treasury %all jo9tly     
issue guidance specify+ applicable      
diagnoses & m$ically necess>y items &   
s]vices relat$ to ,,covid-#ai2 &  7#b7  
su* items & s]vices %all include all    
items or s]vices t are relevant to !    
treatm5t or mitigation ( ,,covid-#ai1   
reg>dless ( :e!r su* items or s]vices   
are ord9>ily cov]$ "u ! t]ms ( a gr\p   
heal? plan or gr\p or individual heal?  
insurance cov]age (f]$ by a heal?       

insurance issu]4  7c7 ,reimbursem5t to  
plans & cov]age = waiv+ co/ %>+  7#a7 ,9
 g5]al ,a gr\p heal? plan or a heal?    
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age 7includ+ a      
gr&fa!r$ heal? plan 7z def9$ 9 section  
#abea7;e7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act77 t does n impose   
co/ %>+ requirem5ts z describ$ 9        
subsection 7a7 %all notify ! ,secret>y (
 ,heal? & ,human ,s]vices1 ,secret>y (  
,labor1 & ,secret>y ( ! ,treasury 7?r\gh
 a jo9t process e/abli%$ jo9tly by !    
,secret>ies7 ( ! total doll> am\nt ( co/
 %>+ t1 b = ! application ( subsection  
7a71 w\ld h be5 requir$ "u su* plans &  
cov]age = items & s]vices relat$ to     
,,covid-#ai furni%$ dur+ ! p]iod to :i* 
subsection 7a7 applies to enrollees1    
p>ticipants1 & b5efici>ies 9 ! plan or  
cov]age to :om su* subsection applies1 b
 :i* 0 n impos$ = su* items & s]vices s 
furni%$ pursuant to su* subsection & !  
,secret>y ( ,heal? & ,human ,s]vices1 9 
coord9ation ) ! ,secret>y ( ,labor & !  

,secret>y ( ! ,treasury1 %all make      
paym5ts 9 accordance ) ?is subsection to
 ! plan or issu] equal to su* total     
doll> am\nt4  7#b7 ,me?odology = paym5ts
 ,! ,secret>y ( ,heal? & ,human         
,s]vices1 9 coord9ation ) ! ,secret>y ( 
,labor & ! ,secret>y ( ! ,treasury %all 
e/abli% a paym5t sy/em = mak+ paym5ts "u
 ?is subsection4 ,any su* sy/em %all    
make paym5t = ! value ( co/ %>+ n impos$
 by ! plan or issu] involv$4  7#c7 ,tim+
 ( paym5ts ,paym5ts made "u p>agraph    
7#a7 %all be made no lat] ?an ,may #a1  
#bjbb1 = am\nts ( co/ %>+ waiv]s )      
respect to #bjba4 ,paym5ts "u ?is       
subsection ) respect to su* waiv]s )    
respect to a ye> subsequ5t to #bjba t   
beg9s dur+ ! p]iod to :i* subsection 7a7
 applies %all be made no lat] ?an ,may (
 ! ye> foll[+ su* subsequ5t ye>4  7#d7  
,appropriations ,!re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 su* funds z are necess>y to
 c>ry out ?is subsection4  7d7 ,en=cem5t

  7#a7 ,application ) respect to ,,phsa1
 ,,erisa1 & ,,irc ,! provisions ( ?is   
section %all be appli$ by ! ,secret>y ( 
,heal? & ,human ,s]vices1 ,secret>y (   
,labor1 & ,secret>y ( ! ,treasury to    
gr\p heal? plans & heal? insurance      
issu]s (f]+ gr\p or individual heal?    
insurance cov]age z if includ$ 9 !      
provisions ( "p ,a ( title ,,xxvii ( !  
,public ,heal? ,s]vice ,act1 "p #g ( !  
,employee ,retirem5t ,income ,security  
,act ( #aigd1 & sub*apt] ,b ( *apt] #ajj
 ( ! ,int]nal ,rev5ue ,code ( #aihf1 z  
applicable4  7#b7 ,private "r ( action  
,an individual ) respect to :om an      
action is tak5 by a gr\p heal? plan or  
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age 9    
violation ( subsection 7a7 may comm5ce a
 civil action aga9/ ! plan or issu] =   
appropriate relief4 ,! previ\s s5t5ce   
%all n be con/ru$ z limit+ any en=cem5t 
me*anism o!rwise applicable pursuant to 
p>agraph 7#a74  7e7 ,implem5tation ,!   
,secret>y ( ,heal? & ,human ,s]vices1   

,secret>y ( ,labor1 & ,secret>y ( !     
,treasury may implem5t ! provisions (   
?is section ?r\gh sub-regulatory        
guidance1 program in/ruction1 or        
o!rwise4  7f7 ,t]ms ,! t]ms gr\p heal?  
plan1 heal? insurance issu]1 gr\p heal? 
insurance cov]age1 & individual heal?   
insurance cov]age h ! mean+s giv5 su*   
t]ms 9 section #bgia ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#ia71 section #gcc ( ! ,employee
 ,retirem5t ,income ,security ,act (    
#aigd 7#bi ,u4,s4,c4 #aaia;b71 & section
 #ihcb ( ! ,int]nal ,rev5ue ,code (     
#aihf1 z applicable4