,,ii #aagth ,,congress #ast ,session ,s4 #ghc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #af1 #bjba,ms4 ,warren 7for herself1 ,mr4 ,padilla1 ,mr4 ,markey1 ,ms4 ,smith1 ,mr4 ,merkley1 and ,mr4 ,blumenthal7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,making emergency supplemental appropriations for the fiscal year ending ,september #cj1 #bjba1 and for other purposes4 ,that the following sums are hereby appropriated1 out of any money in the ,treasury not otherwise appropriated1 for the fiscal year ending ,september #cj1 #bjba1 and for other purposes1 namely3 ,i ,department of ,health and ,human ,services ,office of the ,secretary public health and social services emergency fund 7including transfer of funds7 ,for an additional amount for ,public ,health and ,social ,services ,emergency ,fund1 #h1jjj1jjj1jjj1 to remain available until ,september #cj1 #bjbd1 for the implementation of the comprehensive program to prevent1 prepare for1 and respond to ,,covid-#ai in medically underserved communities1 as authorized by section #aja3 ,provided1 ,that of such amounts1 #fj1jjj1jjj shall be transferred to ,general ,departmental ,management and made available to the ,office of ,minority ,health for the implementation of such program3 ,provided further1 ,that the amounts made available 7including amounts transferred7 under this heading shall be in addition to amounts otherwise available for such purposes3 ,provided further1 ,that such amounts are designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 ,indian ,health ,service ,indian ,health ,services ,for an additional amount for ,indian ,health ,services1 #djj1jjj1jjj1 to remain available until ,september #cj1 #bjbd1 for the implementation of a comprehensive program to prevent1 prepare for1 and respond to ,,covid-#ai through programs and services administered by the ,indian ,health ,service1 ,indian ,tribes1 ,tribal organizations1 ,urban ,indian organizations1 and health service providers to ,tribes pursuant to a contract or compact under the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecja et seq47 or the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afja et seq471 as authorized by section #ajb of this ,act3 ,provided1 ,that such amounts shall be in addition to amounts otherwise available for such purposes3 ,provided further1 ,that such funds shall be allocated at the discretion of the ,director of the ,indian ,health ,service3 ,provided further1 ,that the amount provided under this heading in this ,act shall be distributed through ,indian ,health ,service directly operated programs and to ,tribes and ,tribal organizations under the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecja et seq47 and through contracts or grants with ,urban ,indian ,organizations under title ,v of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afea et seq473 ,provided further1 ,that any amounts made available under this heading and transferred to ,tribes or ,tribal organizations shall be transferred on a one-time basis1 and that these non-recurring funds are not part of the amount required by section #ajf of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecbe71 and that such amounts may only be used for the purposes authorized by section #ajb of this ,act1 notwithstanding any other provision of law3 ,provided further1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe4 ,general ,provisions -- ,this ,act #aja4 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 in consultation with the ,deputy ,assistant ,secretary for ,minority ,health1 the ,director of the ,centers for ,disease ,control and ,prevention1 and the ,administrator of the ,administration for ,community ,living1 shall implement a comprehensive program to-- 7#a7 prevent1 prepare for1 and respond to ,,covid-#ai in medically underserved communities2 and 7#b7 ensure that such program is designed to complement the efforts of ,state1 local1 territorial1 and ,tribal public health agencies4 7b7 ,components ,the comprehensive program under subsection 7a7 shall include the following3 7#a7 ,the provision of diagnostic tests for ,,sars-,co,v-#b1 including rapid response tests and testing through the use of mobile health units4 7#b7 ,the provision of serological tests related to ,,sars-,co,v-#b4 7#c7 ,contact tracing to monitor the contacts of individuals who are or were infected with ,,sars-,co,v-#b4 7#d7 ,equitable vaccine distribution and implementation4 7#e7 ,the provision of personal protective equipment to essential workers4 7#f7 ,the facilitation of-- 7,a7 voluntary isolation and quarantine of individuals presumed or confirmed to be infected with1 or exposed to individuals presumed or confirmed to be infected with1 the virus that causes ,,covid-#ai2 and 7,b7 the provision of social services and support for such individuals4 7#g7 ,a culturally competent and multilingual social marketing campaign carried out by trusted members of the community involved to increase public awareness of-- 7,a7 health precautions to prevent exposure to the virus that causes ,,covid-#ai2 7,b7 the benefits of monitoring and testing for ,,covid-#ai2 7,c7 education about the safety and effectiveness of vaccines for ,,covid-#ai2 7,d7 health care assistance programs and entities that provide testing1 tracing1 and vaccination services related to ,,sars-,co,v-#b2 7,e7 public assistance and unemployment programs for individuals affected by the spread of ,,covid-#ai2 7,f7 the purpose and protections of personal and demographic information collected by entities engaged in administering ,,covid-#ai testing1 treatment1 follow-up1 and vaccines2 and 7,g7 other public awareness priorities4 7c7 ,grants to partners ,to carry out the components of the comprehensive program under subsection 7b71 the ,secretary shall-- 7#a7 provide grants to-- 7,a7 faith-based1 community1 and nonprofit organizations2 and 7,b7 eligible institutions of higher education described in section #cga7;a7 of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajfgq7a77 that have partnerships with one or more faith-based1 community1 or nonprofit organizations2 and 7#b7 ensure that grantees represent or demonstrate an intent to subcontract with entities having relationships with medically underserved communities4 7d7 ,hiring of personnel ,the individuals hired and trained to perform services pursuant to the comprehensive program under subsection 7a7 shall have-- 7#a7 experience working in medically underserved communities2 and 7#b7 relationships with individuals who reside in medically underserved communities4 7e7 ,protection of personal information ,the ,secretary shall ensure that the individually identifiable information collected to perform contact tracing pursuant to the comprehensive program under subsection 7a7 is secure from unauthorized access and disclosure4 7f7 ,limitations on use of collection1 use and disclosure of personal information ,individuals1 ,federal agencies1 and entities carrying out actions under or administering the program under this section shall collect only the information strictly necessary to carry out the program1 and shall not-- 7#a7 use or disclose the information generated pursuant to the program for any purpose other than carrying out the program2 7#b7 publish or sell individually identifiable information generated pursuant to the program nor transmit such data for purposes other than carrying out the program1 including sharing personally identifiable information with any local1 ,state1 or ,federal law enforcement agency2 or 7#c7 permit anyone other than the officers and employees of the entities charged with administering the program1 who are subject to the limitations of this section1 to access or examine such individually identifiable information4 7g7 ,strategy 7#a7 ,in general ,not later than #cj days after the date of the enactment of this ,act1 the ,secretary shall develop and publish a comprehensive strategy with respect to the comprehensive program under subsection 7a7 for the purpose of addressing health and health disparities1 taking into consideration the following3 7,a7 ,race and ethnicity4 7,b7 ,sex 7including sexual orientation and gender identity74 7,c7 ,age4 7,d7 ,limited ,english proficiency4 7,e7 ,socioeconomic status4 7,f7 ,disability4 7,g7 ,census tract4 7,h7 ,occupation4 7,i7 ,other demographic data4 7#b7 ,consultation ,in developing the strategy under paragraph 7#a71 the ,secretary shall consult with health officials who represent the following3 7,a7 ,state and territorial governments4 7,b7 ,local governments4 7,c7 ,tribal governments4 #ajb4 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,indian ,health ,service1 shall implement a comprehensive program to prevent and respond to ,,covid-#ai through programs and services administered by-- 7#a7 the ,indian ,health ,service2 and 7#b7 ,indian ,tribes1 ,tribal organizations1 ,urban ,indian organizations1 and health service providers to ,tribes pursuant to a contract or compact under-- 7,a7 the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecja et seq472 or 7,b7 the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afja et seq474 7b7 ,components ,the comprehensive program under subsection 7a7 shall include the following3 7#a7 ,the provision of diagnostic tests for the virus that causes ,,covid-#ai1 including rapid response tests and testing through the use of mobile health units4 7#b7 ,the provision of serological tests related to ,,sars-,co,v-#b4 7#c7 ,contact tracing to identify and monitor the contacts of individuals who are or were infected with the virus that causes ,,covid-#ai1 including hiring and training culturally and linguistically competent contact tracers4 7#d7 ,equitable vaccine distribution and implementation4 7#e7 ,the provision of personal protective equipment to essential workers1 including-- 7,a7 community health representatives employed under section #eaf of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afaf;f72 and 7,b7 community health aides employed under section #aai of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afafl74 7#f7 ,the facilitation of-- 7,a7 voluntary isolation and quarantine of individuals presumed or confirmed to be infected with1 or exposed to individuals presumed or confirmed to be infected with1 the virus that causes ,,covid-#ai2 and 7,b7 the provision of social services and support for such individuals4 7#g7 ,a culturally competent and linguistically appropriate social marketing campaign carried out by trusted members of the community involved to increase public awareness of-- 7,a7 health precautions to prevent exposure to1 and the spread of1 the virus that causes ,,covid-#ai2 7,b7 the benefits of monitoring and testing for such virus2 7,c7 education about the safety and effectiveness of vaccines for ,,covid-#ai2 7,d7 health care assistance programs and entities that provide testing1 tracing1 and vaccination services related to ,,sars-,co,v-#b2 7,e7 public assistance and unemployment programs for individuals affected by the spread of ,,covid-#ai2 7,f7 the purpose and protections of personal and demographic information collected by entities engaged in administering ,,covid-#ai testing1 treatment1 follow-up1 and vaccines2 and 7,g7 other public awareness priorities4 7#h7 ,awarding grants or cooperative agreements to epidemiology centers established under section #bad of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afbam74 7c7 ,consultation ,before implementing the program under subsection 7a71 the ,secretary shall-- 7#a7 consult with ,indian ,tribes and ,tribal organizations2 and 7#b7 confer with ,urban ,indian organizations4 #ajc4 ,in this ,act3 7#a7 ,the term essential worker means-- 7,a7 a health sector employee2 7,b7 an emergency response worker2 7,c7 a sanitation worker2 7,d7 a worker at a business which a ,state1 local1 territorial1 or ,tribal government official has determined must remain open to serve the public during a public health emergency 7as declared pursuant to section #cai of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d77 with respect to ,,covid-#ai2 and 7,e7 any other worker who cannot telework1 and whom the ,state deems to be essential during a public health emergency with respect to ,,covid-#ai4 7#b7 ,the term ,indian ,tribe means an ,indian tribe as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd74 7#c7 ,the term medically underserved communities means communities that each-- 7,a7 have a rate of infection1 hospitalization1 or death with respect to ,,covid-#ai that is higher than the national average2 7,b7 have a high percentage of racial and ethnic minorities2 7,c7 have a significant number of individuals who are limited ,english proficient2 or 7,d7 are above the #ijth percentile according to the area deprivation index developed by the ,administrator of the ,health ,resources and ,services ,administration4 7#d7 ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#e7 ,the term ,tribal organization means a tribal organization as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd74 7#f7 ,the term ,urban ,indian organization has the meaning given such term in section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc74 #ajd4 ,unless otherwise provided for by this ,act1 the additional amounts appropriated by this ,act to appropriations accounts shall be available under the authorities and conditions applicable to such appropriations accounts for fiscal year #bjba4 #aje4 ,each amount designated in this ,act by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe shall be available 7or transferred1 as applicable7 only if the ,president subsequently so designates all such amounts and transmits such designations to the ,congress4 ,this ,act may be cited as the ,,covid ,community ,care ,act4