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II
116TH CONGRESS
2D SESSION
S. 4458
To grant the authority for States to enter into interstate compacts or
agreements for the purpose of procuring COVID–19 tests.
IN THE SENATE OF THE UNITED STATES
AUGUST 5, 2020
Mr. CASSIDY (for himself, Ms. SMITH, Mr. TILLIS, Mr. KING, and Mr. CAR-
PER) introduced the following bill; which was read twice and referred to
the Committee on the Judiciary
A BILL
To grant the authority for States to enter into interstate
compacts or agreements for the purpose of procuring
COVID–19 tests.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Suppress COVID–19
4
Act of 2020’’.
5
SEC. 2. INTERSTATE COMPACTS AND AGREEMENTS.
6
(a) ESTABLISHMENT AND PURPOSES.—The consent
7
of Congress is hereby given to States and Indian Tribes
8
to enter into compacts, not in conflict with any law of the
9
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•S 4458 IS
United States, for cooperative effort and mutual assist-
1
ance in procuring COVID–19 tests and supplies for such
2
tests, or cooperative agreements (referred to in this section
3
as ‘‘agreements’’) for cooperative effort and mutual assist-
4
ance in procuring COVID–19 tests and supplies through
5
memoranda of understanding.
6
(b) ASSISTANCE.—The Secretary of Health and
7
Human Services (referred to in this section as the ‘‘Sec-
8
retary’’) shall—
9
(1) take all possible steps to encourage and as-
10
sist States and Indian Tribes entering into interstate
11
compacts or agreements under this section;
12
(2) cooperate with such compacts and agree-
13
ments;
14
(3) cooperate with States and Indian Tribes
15
forming cooperative agreements for cooperative ef-
16
fort and mutual assistance in procuring COVID–19
17
tests and supplies for such tests, through memo-
18
randa of understanding instead of compacts; and
19
(4) encourage cooperative activities of Federal
20
departments and agencies with such compacts or
21
agreements.
22
(c) FUNDING.—
23
(1) APPROPRIATION.—
24
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•S 4458 IS
(A) IN GENERAL.—Effective on the date
1
that is 30 days after the date of enactment of
2
this Act, there are authorized to be appro-
3
priated to the Secretary, and there are hereby
4
appropriated, out of amounts in the Treasury
5
not otherwise appropriated, $25,000,000,000,
6
for purposes of supporting testing procurement.
7
Of such amount—
8
(i) $20,000,000,000 shall be made
9
available to States and Indian Tribes on
10
the date that is 30 days after such date of
11
enactment, which States or Indian Tribes
12
may forward to interstate compacts or
13
agreements authorized under this section;
14
and
15
(ii) $5,000,000,000 shall be reserved
16
for States and Indian Tribes that enter
17
into compacts authorized or agreements
18
recognized under this section.
19
(B) RESERVATION OF AMOUNTS.—Of the
20
amounts appropriated under subparagraph (A),
21
not less than $667,000,000 shall be reserved
22
for awards to Indian Tribes that shall be dis-
23
tributed by the Secretary in consultation with
24
the Indian Health Service.
25
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•S 4458 IS
(C) EMERGENCY DESIGNATION.—
1
(i) IN GENERAL.—The amounts pro-
2
vided by this paragraph are designated as
3
an emergency requirement pursuant to sec-
4
tion 4(g) of the Statutory Pay-As-You-Go
5
Act of 2010 (2 U.S.C. 933(g)).
6
(ii) DESIGNATION IN SENATE.—In the
7
Senate, this paragraph is designated as an
8
emergency requirement pursuant to section
9
4112(a) of H. Con. Res. 71 (115th Con-
10
gress), the concurrent resolution on the
11
budget for fiscal year 2018.
12
(2) ALLOTMENTS.—
13
(A) FUNDS FOR STATES.—Out of amounts
14
appropriated under paragraph (1) and allocated
15
for
the
purpose
described
in
paragraph
16
(1)(A)(i) and not reserved under paragraph
17
(1)(B), the Secretary shall allot to each State
18
an amount that bears the same relationship to
19
the total amount so allocated under paragraph
20
(1)(A)(i) and not so reserved that the amount
21
allotted to such State under the State’s Public
22
Health Emergency Preparedness cooperative
23
agreement for fiscal year 2019 bears to the
24
total amount appropriated to the Public Health
25
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•S 4458 IS
Emergency Preparedness program for fiscal
1
year 2019 for purposes of making allocations to
2
States.
3
(B) ALLOCATIONS FOR STATES ENTERING
4
INTO
COMPACTS
OR
AGREEMENTS.—The Sec-
5
retary, not later than 45 days after the date of
6
enactment of this Act, shall allocate the
7
amounts appropriated under paragraph (1) and
8
allocated for the purposes described in para-
9
graph (1)(A)(ii) to eligible States and Indian
10
Tribes that have entered into a compact or
11
agreement under this section or stated their in-
12
tent to enter into such a compact or agreement,
13
according to a formula established by the Sec-
14
retary that provides a base amount to each
15
such State and Indian Tribe, plus an additional
16
amount based on population.
17
(d) ELIGIBILITY FOR CERTAIN FUNDING.—A State
18
or Indian Tribe is eligible for an allocation under sub-
19
section (c)(2)(B) only if the compact or agreement that
20
the State or Indian Tribe has joined meets all of the fol-
21
lowing requirements:
22
(1) TRANSPARENCY PROVISIONS.—The compact
23
or agreement shall publicly disclose all contract
24
sums, terms, requests for proposals, and recipients
25
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•S 4458 IS
of contracts on a quarterly basis, and shall publicly
1
disclose, on a quarterly basis, key performance indi-
2
cators of, with respect to COVID–19 testing used by
3
the compact or agreement, the price, volume, speed
4
to market, and test turnaround time. With respect
5
to new contracts, compacts and agreements shall
6
give priority to contracting entities that can guar-
7
antee fulfillment of existing contracts with States or
8
Indian Tribes.
9
(2) PROCUREMENT GOVERNING STRUCTURE.—
10
The compact or agreement shall demonstrate having
11
consulted with, for purposes of developing contracts
12
for testing procurement, medical professionals, indi-
13
viduals with a background in public health, business,
14
biotechnology, logistics, manufacturing, or procure-
15
ment.
16
(3) ANTI-CORRUPTION PROVISIONS.—The com-
17
pact or agreement shall have in place anti-corruption
18
requirements that prohibit anyone who is overseeing
19
the development of the compact or agreement from
20
personally benefitting from any contract the compact
21
or agreement enters.
22
(4) TIMELY TESTING.—The compact or agree-
23
ment shall have as a goal testing turnaround times
24
of under 24 hours.
25
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(e) EXPIRATION.—Amounts appropriated under this
1
section and made available to States and Indian Tribes
2
for testing procurement shall remain available until the
3
later of December 31, 2021, or the date that is 90 days
4
after the public health emergency declared by the Sec-
5
retary of Health and Human Services under section 319
6
of the Public Health Service Act (42 U.S.C. 247d), on
7
January 31, 2020, with respect to COVID–19 expires,
8
and, on such applicable date, any such funds that remain
9
unobligated shall be remitted to the Treasury of the
10
United States.
11
SEC. 3. STATE PLANS.
12
(a) IN GENERAL.—
13
(1) IN GENERAL.—Effective on the date that is
14
30 days after the date of enactment of this Act,
15
there are hereby appropriated to the Public Health
16
and Social Services Emergency Fund, out of
17
amounts in the Treasury not otherwise appropriated,
18
$18,000,000,000, to remain available until ex-
19
pended, to prevent, prepare for, and respond to
20
COVID–19, domestically or internationally, for nec-
21
essary expenses undertaken by States and Tribal au-
22
thorities to implement COVID–19 testing, contact
23
tracing, and supporting isolation programs, and to
24
otherwise monitor and suppress COVID–19.
25
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(2)
RESERVATION
OF
AMOUNTS.—Of
the
1
amounts appropriated under subparagraph (A), not
2
less than $600,000,000 shall be reserved for awards
3
to Indian Tribes that shall be distributed by the Sec-
4
retary in consultation with the Indian Health Serv-
5
ice.
6
(3) EMERGENCY DESIGNATION.—
7
(A) IN GENERAL.—The amounts provided
8
by this subsection are designated as an emer-
9
gency requirement pursuant to section 4(g) of
10
the Statutory Pay-As-You-Go Act of 2010 (2
11
U.S.C. 933(g)).
12
(B) DESIGNATION
IN
SENATE.—In the
13
Senate, this subsection is designated as an
14
emergency requirement pursuant to section
15
4112(a) of H. Con. Res. 71 (115th Congress),
16
the concurrent resolution on the budget for fis-
17
cal year 2018.
18
(b) ALLOCATION TO STATES AND INDIAN TRIBES.—
19
(1) IN GENERAL.—Of the amount appropriated
20
under subsection (a), $9,000,000,000 shall be allo-
21
cated to States and Indian Tribes for contact trac-
22
ing personnel, $4,000,000,000 shall be allocated to
23
States and Indian Tribes for voluntary self-isolation,
24
income support for individuals in isolation, or other
25
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•S 4458 IS
isolation supports, $4,500,000,000 shall be allocated
1
to States for Tribal and local health offices, and
2
$500,000,000 shall be allocated to States and Indian
3
Tribes for data modernization in Tribal and local
4
health offices. States and Indian Tribes may apply
5
for a waiver from the Federal Government to use
6
amounts received under this paragraph for a dif-
7
ferent purpose than as originally disbursed, provided
8
that any such other use is consistent with the pur-
9
poses of this section. States and Indian Tribes shall
10
take all possible steps to distribute funding received
11
under this subsection to Tribal and local health of-
12
fices as promptly as possible.
13
(2) ALLOCATIONS
TO
STATES.—Amounts ap-
14
propriated under subsection (a)(1) and not reserved
15
under subsection (a)(2) shall be allotted to each
16
State in an amount that bears the same relationship
17
to the total amount appropriated under subsection
18
(a)(1) and not so reserved that the amount that the
19
State received pursuant to the Public Health Emer-
20
gency Preparedness cooperative agreement in fiscal
21
year 2019 bears to the total amount appropriated
22
under such cooperative agreement for such fiscal
23
year.
24
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•S 4458 IS
(3) STATE PLANS.—To be eligible for an alloca-
1
tion under paragraph (1), a State or Indian Tribe
2
shall submit to the Secretary a testing, tracing, and
3
supported isolation plan it intends to follow to
4
achieve suppression of COVID–19 to levels at or
5
below the low incidence plateau set forth by the Cen-
6
ters for Disease Control and Prevention. Such plan
7
shall be developed in consultation with State, local,
8
and Tribal public health departments, include key
9
performance indicators tied to field best practices for
10
contact tracing and supported isolation as well as
11
testing, and be submitted as an addendum to any
12
similar plan a State or Indian Tribe previously sub-
13
mitted to the Secretary, as required pursuant to the
14
Paycheck Protection Program and Health Care En-
15
hancement Act (Public Law 116–139). The Sec-
16
retary shall make each plan submitted under this
17
paragraph publicly available 60 days after submis-
18
sion.
19
(c) EXPIRATION.—Amounts appropriated under this
20
section and made available to States and Indian Tribes
21
for testing procurement shall remain available until the
22
later of December 31, 2021, or the date that is 90 days
23
after the public health emergency declared by the Sec-
24
retary of Health and Human Services under section 319
25
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•S 4458 IS
of the Public Health Service Act (42 U.S.C. 247d), on
1
January 31, 2020, with respect to COVID–19 expires,
2
and, on such applicable date, any such funds that remain
3
unobligated shall be remitted to the Treasury of the
4
United States.
5
(d) COORDINATION.—The Secretary shall develop a
6
plan to coordinate and provide guidance to States and In-
7
dian Tribes in drafting their testing plans described in this
8
section and seek to support the development of shared in-
9
dicators for all States and Indian Tribes.
10
SEC. 4. DEFINITIONS.
11
For purposes of this Act:
12
(1) The terms ‘‘COVID–19 test’’, ‘‘COVID–19
13
testing’’, and ‘‘testing’’ mean a viral or serological in
14
vitro diagnostic test defined in section 809.3 of title
15
21, Code of Federal Regulations (or successor regu-
16
lations) for the detection of SARS–CoV–2 or the di-
17
agnosis of the virus that causes COVID–19, and the
18
administration of such test, that—
19
(A) is approved, cleared, or authorized
20
under section 510(k), 513, 515, or 564 of the
21
Federal Food, Drug, and Cosmetic Act (21
22
U.S.C. 360(k), 360c, 360e, 360bbb–3);
23
(B) the developer has requested, or intends
24
to request, emergency use authorization under
25
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•S 4458 IS
section 564 of the Federal Food, Drug, and
1
Cosmetic Act (21 U.S.C. 360bbb–3), unless and
2
until the emergency use authorization request
3
under such section 564 has been denied or the
4
developer of such test does not submit a request
5
under such section within a reasonable time-
6
frame;
7
(C) is developed in and authorized by a
8
State that has notified the Secretary of Health
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