,,ii #aag? ,,congress #a/ ,session ,s4 #iah ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #bc1 #bjba,mr4 ,b>rasso 7= himself & ,mr4 ,cotton7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to (f] f9ancial support to heal? c>e provid]s1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,s5iors ,access to ,heal? ,c>e ,act4 #b4 ,provid] relief 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 ,fund1 #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 7ref]r$ to 9 ?is section z ! ,secret>y7 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 ,! ,secret>y %all1 on a roll+ basis1 review applications & make paym5ts "u ?is section4 7#d7 ,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#e7 ,paym5ts "u ?is section %all be made 9 consid]ation ( ! mo/ effici5t paym5t sy/ems practicable to provide em]g5cy paym5t4 7#f7 ,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#g7 ,= 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#h7 ,= 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#i7 ,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 ! ,committee on ,appropriations ( ! ,s5ate & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7#aj7 ,no?+ 9 ?is section limits ! au?ority ( ! ,inspector ,g5]al or ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates to conduct audits ( int]im paym5ts at an e>li] date4 7#aa7 ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all provide a report to ! ,committee on ,appropriations ( ! ,s5ate & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives 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$4 7c7 ,application ( requirem5ts1 rules1 & proc$ures ,! ,secret>y %all apply any requirem5ts1 rules1 or proc$ures z ! ,secret>y det]m9es appropriate = ! effici5t execution ( ?is section4 7d7 ,application ( provisions ,am\nts appropriat$ 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 ,act 7#db ,u4,s4,c4 #bed;b ?r\gh #bef74 7e7 ,def9itions ,= purposes ( ?is section3 7#a7 ,! 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#b7 ,! t]m paym5t means a pre-paym5t1 prospective paym5t1 or retrospective paym5t1 z ! ,secret>y det]m9es appropriate4 #c4 ,rural heal? cl9ic paym5ts 7a7 ,9 g5]al ,section #ahcc7;f77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7f77#c77 is am5d$-- 7#a7 9 subp>agraph 7,a7-- 7,a7 9 clause 7i71 by /rik+ subclauses 7,i7 & 7,,ii7 & ins]t+ ! foll[+3 7,i7 ) respect to a rural heal? cl9ic t _h a p] visit paym5t am\nt e/abli%$ = 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 & 7,b7 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 by /rik+ subp>agraph 7,b7 & ins]t+ ! foll[+3 7,b7 ,a rural heal? cl9ic describ$ 9 ?is subp>agraph is a rural heal? cl9ic t-- 7i7 z ( ,decemb] #ca1 #bjbj1 is 9 a hospital ) less ?an #ej b$s & aft] su* date su* hospital cont9ues to h less ?an #ej b$s 7n tak+ into acc\nt any increase 9 ! numb] ( b$s pursuant to a waiv] "u subsection 7b77#a77;,a7 ( section #aace dur+ ! em]g5cy p]iod describ$ 9 subsection 7g77#a77;,b7 ( su* section72 & 7ii7 7,i7 z ( ,decemb] #ca1 #bjbj1 0 enroll$ "u section #ahff7;j7 7includ+ tempor>y enrollm5t dur+ su* em]g5cy p]iod = su* em]g5cy p]iod72 or 7,,ii7 submitt$ an application to enroll "u section #ahff7;j7 7or a reque/ = su* a tempor>y enrollm5t = su* em]g5cy p]iod7 t 0 receiv$ n lat] ?an ,decemb] #ca1 #bjbj4 4 7b7 ,effective date ,! am5dm5ts made by ?is section %all take effect z if includ$ 9 ! enactm5t ( ! ,consolidat$ ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj74 #d4 ,rescission ( appropriations = ! ,coronavirus ,/ate ,fiscal ,recov]y ,fund 7a7 ,rescission ,( ! unobligat$ balances ( am\nts appropriat$ "u section #fjb7;a77#a7 ( ! ,social ,security ,act 7z add$ by section #iija ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b77 on ! date ( enactm5t ( ?is ,act1 #ab1cjj1jjj1jjj is resc9d$4 7b7 ,con=m+ am5dm5ts ,section #fjb ( ! ,social ,security ,act 7z add$ by section #iija ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b77 is am5d$-- 7#a7 9 subsection 7a77#a71 by /rik+ #bai1hjj1jjj1jjj & ins]t+ #bjg1ejj1jjj1jjj2 & 7#b7 9 subsection 7b77#c77;,a71 by /rik+ #aie1cjj1jjj1jjj & ins]t+ #ahc1jjj1jjj1jjj4 #e4 ,individuals n lawfully pres5t 9 ,unit$ ,/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 #f4 ,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 #g4 ,individuals n lawfully pres5t 9 ,unit$ ,/ates preclud$ f receiv+ ,,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$-- 7#a7 9 subp>agraph 7,a71 by /rik+ at ! end &2 7#b7 9 subp>agraph 7,b71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 is lawfully pres5t 9 ! ,unit$ ,/ates z ( ! date ( ! enactm5t ( ?is ,act4 4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all take effect z if includ$ 9 ! enactm5t ( section #ieja ( ! ,am]ican ,rescue ,plan ,act ( #bjba4