,,ii  #aai? ,,congress  #b;d ,session   
,s4 #eeac  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bd1         
#bjbf,mr4 ,cassidy introduc$ ! foll[+   
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,program to e/abli% a pilot program to 
inc5tivize c]ta9 hospitals to pur*ase   
p]sonal protective equipm5t & m$ical    
consumables t are dome/ic products1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,dome/ic ,manufactur+  
,revitalization ,act ( #bjbf4  #b4      
,dome/ic pur*as+ inc5tives = c]ta9      
hospitals ,title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 is am5d$ by ins]t+ ! foll[+ aft]  
section #ahff;,g3  #ahff;,h4 ,pilot     
program inc5tiviz+ dome/ic pur*ases (   
p]sonal protective equipm5t & m$ical    
consumables by c]ta9 hospitals  7a7 ,9  
g5]al ,n lat] ?an #b ye>s aft] ! date ( 
enactm5t ( ?is section1 ! ,secret>y %all
 e/abli% a pilot program 7ref]r$ to 9   

?is section z ! ,program7 t meets !     
requirem5ts ( ?is section to inc5tivize 
eligible hospitals 7z def9$ 9 subsection
 7b77 to meet ! dome/ic pur*as+         
requirem5ts 7z describ$ 9 subsection    
7c774  7b7 ,eligible hospitals def9$    
7#a7 ,eligible hospital ,9 ?is section1 
subject to p>agraph 7#c71 ! t]m eligible
 hospital means a hospital-- 7,a7       
id5tifi$ by ! ,secret>y "u p>agraph     
7#b72 &  7,b7 t agrees to meet ! pur*as+
 requirem5ts describ$ 9 subsection 7c74 
7#b7 ,id5tification ,! ,secret>y %all   
id5tify ea* hospital t1 dur+ ! p]iod    
beg9n+ on ! date t is #e ye>s prior to !
 date ( enactm5t ( ?is section & end+ on
 ! date ( su* enactm5t1 receiv$ paym5t  
"u ?is title 9 an am\nt great] ?an !    
av]age am\nt ( paym5t receiv$ by        
hospitals "u ?is title dur+ su* p]iod4  
7c7 ,dome/ic pur*as+ requirem5t  7#a7 ,9
 g5]al ,subject to p>agraph 7#b71 !     
dome/ic pur*as+ requirem5t describ$ 9   
?is subsection is a requirem5t t n less 
?an #dj p]c5t ( ! p]sonal protective    

equipm5t & m$ical consumables pur*as$ by
 an eligible hospital t is p>ticipat+ 9 
! ,program %all be dome/ic products4    
7#b7 ,p]c5tage adju/m5t ,! ,secret>y may
 adju/ ! p]c5tage describ$ 9 p>agraph   
7#a7 to acc\nt = in/ances ( supply *a9  
disruptions1 natural disa/]s1 or        
national em]g5cies1 z det]m9$ by !      
,secret>y4  7#c7 ,atte/ation = dome/ic  
products  7,a7 ,submission to eligible  
hospitals ,ea* eligible hospital        
p>ticipat+ 9 ! ,program %all require !  
manufactur] ( ea* m$ical consumable &   
p]sonal protective equipm5t t ! hospital
 relies on to meet ! dome/ic pur*ase    
requirem5ts describ$ 9 ?is subsection to
 annually submit to ! hospital an       
atte/ation =m describ$ 9 subp>agraph    
7,b7 t su* consumable or equipm5t is a  
dome/ic product4  7,b7 ,developm5t ( =m 
,! ,secret>y %all develop an atte/ation 
=m 9 :i* a manufactur] describ$ 9       
subp>agraph 7,a7 %all atte/ "u p5alty ( 
p]jury t ! m$ical consumable or p]sonal 
protective equipm5t pur*as$ by an       

eligible hospital is a dome/ic product4 
7#d7 ,submission ( data ,! ,secret>y    
%all require ea* eligible hospital      
p>ticipat+ 9 ! ,program1 to submit z "p 
( any co/ report requir$ "u ?is title-- 
7,a7 ! total doll> am\nt & quantity (   
p]sonal protective equipm5t & m$ical    
consumables pur*as$ by su* hospital dur+
 ! co/ report+ p]iod t are dome/ic      
products2  7,b7 ! p]c5tage ( ! total    
am\nt ( p]sonal protective equipm5t &   
m$ical consumables pur*as$ by su*       
hospital dur+ ! co/ report+ p]iod t are 
dome/ic products2 &  7,c7 ea* atte/ation
 =m submitt$ to ! hospital "u p>agraph  
7#c77;,a74  7d7 ,decreas$ reimbursem5t  
rate  7#a7 ,9 g5]al ,= dis*>ges occurr+ 
aft] ! ?ird ye> ( ! ,program1 = ea*     
eligible hospital p>ticipat+ 9 !        
,program1 ! ,secret>y %all-- 7,a7       
det]m9e1 us+ ! data submitt$ "u p>agraph
 7#d7 ( subsection 7c71 if su* hospital 
met ! pur*as+ requirem5ts describ$ 9 su*
 subsection ) respect to ! prec$+ ye>2 &
  7,b7 decrease ! paym5t am\nt t w\ld   

o!rwise be made "u ! applicable paym5t  
sy/em by ! applicable p]c5t 7z def9$ 9  
p>agraph 7#b774  7#b7 ,applicable p]c5t 
def9$ ,9 ?is subsection1 ! t]m          
applicable p]c5t means ) respect to an  
eligible hospital t fail$ to meet !     
pur*as+ requirem5ts-- 7,a7 = #a ye>1 #b 
p]c5t2  7,b7 = #b ye>s1 #c p]c5t2  7,c7 
= #c ye>s1 #d p]c5t2  7,d7 = #d ye>s1 #e
 p]c5t2  7,e7 = #e ye>s1 #f p]c5t2  7,f7
 = #f ye>s1 #g p]c5t2 &  7,g7 = #g ye>s1
 #h p]c5t4  7#c7 ,l5g? ( decreas$ rate  
,any d$uction 9 paym5t made pursuant to 
?is subsection %all rema9 9 effect aft] 
! t]m9ation ( ! ,program4  7e7          
,reimbursem5t ( dome/ic products  7#a7  
,9 g5]al ,= dis*>ges occurr+ 9 ea* ye> (
 ! ,program1 = ea* eligible hospital    
p>ticipat+ 9 ! ,program1 ! ,secret>y    
%all1 f am\nts transf]r$ to ! ,secret>y 
"u section #c7;c7 ( ! ,dome/ic          
,manufactur+ ,revitalization ,act (     
#bjbf1 annually reimburse su* hospital !
 doll> am\nt submitt$ by su* hospital   
pursuant to subsection 7c77#d77;,a74    

7#b7 ,transf] to ,f$]al ,hospital       
,insurance ,tru/ ,fund ,aft] ! ,secret>y
 reimburses ea* hospital "u p>agraph    
7#a71 ! ,secret>y %all transf] any      
rema9+ am\nts transf]r$ to ! ,secret>y  
"u section #c7;c7 ( ! ,dome/ic          
,manufactur+ ,revitalization ,act (     
#bjbf1 to ! ,f$]al ,insurance ,tru/     
,fund "u section #ahag4  7f7 ,volunt>y  
p>ticipation by c]ta9 o!r hospitals ,!  
,secret>y %all e/abli% a process "u :i* 
a hospital n id5tifi$ by ! ,secret>y "u 
subsection 7b77#b7 may elect to         
p>ticipate 9 ! ,program4 ,9 ! case :]e a
 hospital makes an election "u ! prec$+ 
s5t5ce1 ! hospital %all be deem$ to be  
an eligible hospital "u ?is section4    
7g7 ,trade agreem5ts & ,buy ,am]ican    
,act  7#a7 ,9 g5]al ,! requirem5ts ( ?is
 section %all apply not)/&+ any         
requirem5ts "u ! ,gov]nm5t ,procurem5t  
,agreem5t1 any trade agreem5t to :i* !  
,unit$ ,/ates is a p>ty1 or waiv] "u    
*apt] #hc ( title #da1 ,unit$ ,/ates    
,code 7commonly kn[n z ! ,buy ,am]ican  

,act74  7#b7 ,gov]nm5t ,procurem5t      
,agreem5t def9$ ,= purposes ( ?is       
subsection1 ! t]m ,gov]nm5t ,procurem5t 
,agreem5t means ! ,agreem5t on ,gov]nm5t
 ,procurem5t ref]r$ to 9 section        
#aja7;d77#ag7 ( ! ,uruguay ,r\nd        
,agreem5ts ,act 7#ai ,u4,s4,c4          
#ceaa7;d77#ag774  7h7 ,additional       
def9itions ,9 ?is section3 7#a7 ,dome/ic
 product  7,a7 ,9 g5]al  7i7 ,def9ition 
,except z describ$ 9 subp>agraph 7,b71 !
 t]m dome/ic product1 ) respect to a    
m$ical consumable or p]sonal protective 
equipm5t1 means su* a consumable or     
equipm5t t meets ! foll[+ requirem5ts3  
7,i7 ,! f9al assembly or process+ ( su* 
consumable or equipm5t occurs 9 ! ,unit$
 ,/ates4  7,,ii7 ,n less ?an !          
applicable p]c5t ( ! total co/ (        
compon5ts 7z def9$ 9 subp>agraph 7,c77 (
 su* consumable or equipm5t is f dome/ic
 cont5t4  7ii7 ,applicable p]c5t ,=     
purposes ( clause 7i77,,ii71 ! t]m      
applicable p]c5t means-- 7,i7 ) respect 
to a ye> ( ! ,program occurr+ be=e !    

f\r? ye> ( ! ,program1 #fj p]c5t2 &     
7,,ii7 ) respect to ! f\r? ye> &        
subsequ5t ye>s ( ! ,program1 #ge p]c5t4 
7,b7 ,textile-bas$ p]sonal protective   
equipm5t ,) respect to textile-bas$     
p]sonal protective equipm5t1 su* z      
masks1 g[ns1 gloves1 & o!r equipm5t     
det]m9$ appropriate by ! ,secret>y1 !   
t]m dome/ic product means su* equipm5t t
 meets ! foll[+ requirem5ts3 7i7 ,ea*   
/age ( production ( ! textile-bas$      
p]sonal protective equipm5t occurs 9 !  
,unit$ ,/ates4  7ii7 ,ea* textile1      
fabric1 or fib] t comprises su* equipm5t
 is gr[n1 reprocess$1 reus$1 or produc$ 
9 ! ,unit$ ,/ates4  7,c7 ,total co/ (   
compon5ts ,= purposes ( subp>agraph     
7,a71 ! t]m total co/ ( compon5ts       
means-- 7i7 ) respect to a compon5t ( a 
m$ical consumable or p]sonal protective 
equipm5t pur*as$ by ! manufactur] ( su* 
consumable or equipm5t1 ! acquisition   
co/s ( su* compon5t1 includ+            
transportation co/s & any t>iff or duty 
applicable to su* compon5t2 &  7ii7 )   

respect to a compon5t ( su* consumable  
or equipm5t manufactur$ by ! manufactur]
 ( su* consumable or equipm5t1 !        
manufactur+ co/s ( su* compon5t1 includ+
 transportation & ov]head co/s          
attributable to ! compon5t1 m9us any    
pr(it & f9al assembly co/ attributable  
to ! compon5t4  7#b7 ,m$ical consumable 
,! t]m m$ical consumable means-- 7,a7 a 
m$ical or surgical in/rum5t su* z a     
syr+e1 ne$le1 infusion pump1 =cep1 &    
scalpel2  7,b7 a m$ical or surgical     
supply1 su* z an intrav5\s bag1 ca!t]1  
tra*eo/omy tube1 ane/hesia equipm5t1    
gauze1 b&age1 suture1 & any diagno/ic or
 laboratory reag5t2 &  7,c7 any relat$  
"p or compon5t det]m9$ appropriate by ! 
,secret>y4  7#c7 ,p]sonal protective    
equipm5t ,! t]m p]sonal protective      
equipm5t means equipm5t us$ = !         
protection ( individuals 9 a heal? c>e  
sett+ & includes a surgical mask1 ,n#ie 
respirator1 glove1 g[n1 & any o!r relat$
 m$ical "p or compon5t det]m9$          
appropriate by ! ,secret>y4  7i7        

,implem5tation ,?is section %all be     
implem5t$ ?r\gh notice & comm5t         
rulemak+4  7j7 ,t]m9ation ,! ,program   
%all t]m9ate on ! date t is #i ye>s aft]
 ! date on :i* ! ,secret>y implem5ts !  
,program4  4  #c4 ,modifications to     
rates ( duty to address dome/ic         
production ( p]sonal protective equipm5t
 & m$ical consumables  7a7 ,9 g5]al ,!  
,presid5t1 by proclamation1 %all revise 
! ,h>moniz$ ,t>iff ,s*$ule ( ! ,unit$   
,/ates 79 ?is section ref]r$ to z !     
,,hts7 to e/abli% rates ( duty = cov]$  
articles t are equival5t to #cjj p]c5t  
ad valorem4  7b7 ,phase-,9 ( duty       
increases ,! ,presid5t1 by proclamation1
 %all phase-9 ! application ( ! duty    
increases requir$ by subsection 7a7 z   
foll[s3  7#a7 ,on & aft] ! date t is    
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act1 #aj p]c5t ( ! total duty increase
 ) respect to an article %all apply4    
7#b7 ,on & aft] ! date t is #b ye>s aft]
 su* date ( enactm5t1 #be p]c5t ( !     
total duty increase ) respect to an     

article %all apply4  7#c7 ,on & aft] !  
date t is #d ye>s aft] su* date (       
enactm5t1 #ej p]c5t ( ! total duty      
increase ) respect to an article %all   
apply4  7#d7 ,on & aft] ! date t is #e  
ye>s aft] su* date ( enactm5t1 #ajj     
p]c5t ( ! total duty increase ) respect 
to an article %all apply4  7c7 ,transf] 
( am\nts ,n less frequ5tly ?an annually1
 ! ,secret>y ( ! ,treasury %all transf] 
to ! ,secret>y ( ,heal? & ,human        
,s]vices an am\nt equal to ! am\nt ( any
 additional duties collect$ pursuant to 
! increas$ duty rates "u ?is section    
dur+ ! previ\s ye>4  7d7 ,cov]$ article 
def9$ ,9 ?is section1 ! t]m cov]$       
article means an article "u any ( !     
foll[+ subhead+s ( ! ,,hts3 7#a7        
#cjje4aj4ej4  7#b7 #cjje4ij4aj4  7#c7   
#cjje4ij4ej4  7#d7 #cjjf4aj4jj4  7#e7   
#chbb4aa4jj4  7#f7 #chbb4ai4jj4  7#g7   
#cibc4bi4jj4  7#h7 #cibf4bj4aj4  7#i7   
#djae4ab4jj4  7#aj7 #fbaj4aj4ej4  7#aa7 
#fcjg4ij4ih4  7#ab7 #ijah4ca4jj4  7#ac7 
#ijah4cb4jj4  7#ad7 #ijah4ci4jj4  7#ae7 

#ijah4ij4cj4  7#af7 #ijah4ij4ge4  7#ag7 
#ijah4ij4hj4  7#ah7 #ijai4bj4jj4  7#ai7 
#ijbj4jj4fj4  7#bj7 #ijbj4jj4ij4  #d4   
,cr$its = production ( qualifi$ p]sonal 
protective equipm5t & inve/m5ts 9       
p]sonal protective equipm5t manufactur+ 
prop]ty  7a7 ,production ( qualifi$     
p]sonal protective equipm5t  7#a7 ,9    
g5]al ,subp>t ,d ( "p ,,iv ( sub*apt] ,a
 ( *apt] #a ( ! ,int]nal ,rev5ue ,code (
 #aihf is am5d$ by add+ at ! end !      
foll[+ new section3  #de;,,bb4 ,cr$it = 
production ( qualifi$ p]sonal protective
 equipm5t  7a7 ,9 g5]al ,= purposes (   
section #ch1 ! p]sonal protective       
equipm5t production cr$it = any taxable 
ye> is an am\nt equal to ! sum ( ! cr$it
 am\nts det]m9$ "u subsection 7b7 )     
respect to ea* item ( qualifi$ p]sonal  
protective equipm5t :i* is-- 7#a7       
produc$ by ! taxpay]1 &  7#b7 dur+ !    
taxable ye>1 sold by su* taxpay] to an  
unrelat$ p]son4  7b7 ,cr$it am\nt ,!    
am\nt det]m9$ "u ?is subsection )       
respect to any item ( qualifi$ p]sonal  

protective equipm5t %all be equal to--  
7#a7 9 ! case ( an ,n#ie respirator     
mask1 #j4be1  7#b7 9 ! case ( a surgical
 mask1 #j4aj1  7#c7 9 ! case ( a m$ical 
glove1 #j4je1  7#d7 9 ! case ( a        
surgical g[n1 #j4ej1 &  7#e7 9 ! case ( 
a v5tilator or any o!r major equipm5t   
:i* has be5 designat$ by ! ,secret>y (  
,heal? & ,human ,s]vices = purposes (   
?is section1 #bej4  7c7 ,qualifi$       
p]sonal protective equipm5t ,= purposes 
( ?is section1 ! t]m qualifi$ p]sonal   
protective equipm5t means any tangible  
p]sonal prop]ty :i*-- 7#a7 is describ$ 9
 subsection 7b71  7#b7 is produc$ 9 !   
,unit$ ,/ates1  7#c7 consi/s (-- 7,a7 9 
! case ( any equipm5t produc$ dur+      
cal5d> ye> #bjbf or #bjbg1 n less ?an   
#fj p]c5t dome/ic cont5t1 &  7,b7 9 !   
case ( any equipm5t produc$ aft]        
,decemb] #ca1 #bjbg1 n less ?an #ge     
p]c5t dome/ic cont5t1 &  7#d7 has be5   
c]tifi$ by ! ,secret>y ( ,heal? & ,human
 ,s]vices z satisfy+ applicable ,f$]al  
safety /&>ds4  7d7 ,t]m9ation ,?is      

section %all n apply to any qualifi$    
p]sonal protective equipm5t produc$ aft]
 ,decemb] #ca1 #bjce4  4  7#b7 ,cr$it to
 be "p ( g5]al bus9ess cr$it ,subsection
 7b7 ( section #ch ( su* ,code is am5d$ 
by /rik+ plus at ! end ( p>agraph 7#dj71
 by /rik+ ! p]iod at ! end ( p>agraph   
7#da7 & ins]t+ 1 plus1 & by add+ at !   
end ! foll[+ new p>agraph3  7#db7 !     
p]sonal protective equipm5t production  
cr$it det]m9$ "u section #de;,,bb7a74  4
  7b7 ,inve/m5t cr$it 9 lieu (          
production cr$it  7#a7 ,9 g5]al ,section
 #df ( ! ,int]nal ,rev5ue ,code ( #aihf 
is am5d$ by /rik+ & at ! end ( p>agraph 
7#f71 by /rik+ ! p]iod at ! end (       
p>agraph 7#g7 & ins]t+ 1 &1 & by add+ at
 ! end ! foll[+ new p>agraph3  7#h7 !   
p]sonal protective equipm5t inve/m5t    
cr$it4  4  7#b7 ,p]sonal protective     
equipm5t inve/m5t cr$it ,subp>t ,e ( "p 
,,iv ( sub*apt] ,a ( *apt] #a ( su*     
,code is am5d$ by ins]t+ aft] section   
#dh;,e ! foll[+3  #dh;,f4 ,inve/m5t     
cr$it = p]sonal protective equipm5t     

manufactur+ prop]ty  7a7 ,9 g5]al ,=    
purposes ( section #df1 ! p]sonal       
protective equipm5t inve/m5t cr$it = any
 taxable ye> is an am\nt equal to #bj   
p]c5t ( ! qualifi$ inve/m5t = su*       
taxable ye> ) respect to any ,,ppe      
manufactur+ facility ( a taxpay]4  7b7  
,qualifi$ inve/m5t  7#a7 ,9 g5]al ,=    
purposes ( subsection 7a71 ! qualifi$   
inve/m5t ) respect to any ,,ppe         
manufactur+ facility = any taxable ye>  
is ! basis ( any p]sonal protective     
equipm5t manufactur+ prop]ty plac$ 9    
s]vice by ! taxpay] dur+ su* taxable ye>
 :i* is "p ( a ,,ppe manufactur+        
facility4  7#b7 ,p]sonal protective     
equipm5t manufactur+ prop]ty  7,a7 ,9   
g5]al ,= purposes ( ?is section1 ! t]m  
p]sonal protective equipm5t manufactur+ 
prop]ty means prop]ty-- 7i7 :i* is      
tangible prop]ty1  7ii7 ) respect to :i*
 depreciation 7or amortization 9 lieu ( 
depreciation7 is all[able1  7iii7 :i*   
is-- 7,i7 con/ruct$1 recon/ruct$1 or    
erect$ by ! taxpay]1 or  7,,ii7 acquir$ 

by ! taxpay] if ! orig9al use ( su*     
prop]ty comm5ces ) ! taxpay]1  7iv7 :i* 
consi/s (-- 7,i7 9 ! case ( any prop]ty 
plac$ 9 s]vice dur+ cal5d> ye> #bjbf or 
#bjbg1 n less ?an #fj p]c5t dome/ic     
cont5t1 &  7,,ii7 9 ! case ( any prop]ty
 plac$ 9 s]vice aft] ,decemb] #ca1      
#bjbg1 n less ?an #ge p]c5t dome/ic     
cont5t1 &  7v7 :i* is integral to !     
op]ation ( ! ,,ppe manufactur+ facility4
  7,b7 ,build+s & /ructural compon5ts   
,rules simil> to ! rules "u section     
#dh;,d7b77#b77;,b7 %all apply = purposes
 ( ?is p>agraph4  7#c7 ,,ppe manufactur+
 facility ,= purposes ( ?is section1 !  
t]m ,,ppe manufactur+ facility means a  
facility locat$ 9 ! ,unit$ ,/ates :i* is
 us$ pr$om9ately 9 ! production (       
qualifi$ p]sonal protective equipm5t 7z 
def9$ 9 section #de;,,bb7c774  7c7      
,coord9ation ) p]sonal protective       
equipm5t production cr$it ,if a cr$it is
 all[$ "u ?is section = any taxable ye> 
) respect to any p]sonal protective     
equipm5t manufactur+ prop]ty plac$ 9    

s]vice by ! taxpay] dur+ su* taxable ye>
 :i* is "p ( a ,,ppe manufactur+        
facility1 no cr$it %all be all[$ "u     
section #de;,,bb = any qualifi$ p]sonal 
protective equipm5t 7z def9$ 9 section  
#de;,,bb7c77 :i* is produc$ at su* ,,ppe
 manufactur+ facility4  7d7 ,t]m9ation  
,?is section %all n apply to any p]sonal
 protective equipm5t manufactur+ prop]ty
 :i* is plac$ 9 s]vice aft] ,decemb]    
#ca1 #bjce4  4  7c7 ,cl]ical am5dm5ts   
7#a7 ,! table ( sections = subp>t ,d (  
"p ,,iv ( sub*apt] ,a ( *apt] #a ( !    
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+ new item3     
,sec4 #de;,,bb4 ,cr$it = production (   
qualifi$ p]sonal protective equipm5t4  4
  7#b7 ,! table ( sections = subp>t ,e (
 "p ,,iv ( sub*apt] ,a ( *apt] #a ( su* 
,code is am5d$ by add+ at ! end ! foll[+
 new item3  ,sec4 #dh;,f4 ,inve/m5t     
cr$it = p]sonal protective equipm5t     
manufactur+ prop]ty4  4  7d7 ,effective 
dates ,! am5dm5ts made by ?is section   
%all apply to qualifi$ p]sonal          

protective equipm5t produc$1 & p]sonal  
protective equipm5t manufactur+ prop]ty 
plac$ 9 s]vice1 aft] ,decemb] #ca1      
#bjbe4