Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes.

I 116TH CONGRESS 2D SESSION H. R. 8192 Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes. IN THE HOUSE OF REPRESENTATIVES SEPTEMBER 8, 2020 Ms. LEE of California (for herself, Ms. BASS, Ms. KELLY of Illinois, Mr. CAS- TRO of Texas, Ms. JUDY CHU of California, Ms. HAALAND, Ms. DAVIDS of Kansas, Ms. SEWELL of Alabama, Ms. PRESSLEY, Mr. CARSON of In- diana, Ms. JACKSON LEE, Mr. BROWN of Maryland, Mr. HASTINGS, Mr. RUPPERSBERGER, Mr. GARCI´A of Illinois, Mr. TED LIEU of California, and Mr. GRIJALVA) introduced the following bill; which was referred to the Committee on Appropriations, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the juris- diction of the committee concerned A BILL Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 That the following sums are hereby appropriated, out 3 of any money in the Treasury not otherwise appropriated, 4 for the fiscal year ending September 30, 2020, and for 5 other purposes, namely: 6 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 2 •HR 8192 IH TITLE I—DEPARTMENT OF HEALTH AND 1 HUMAN SERVICES 2 OFFICE OF THE SECRETARY 3 PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 4 FUND 5 (INCLUDING TRANSFER OF FUNDS) 6 For an additional amount for ‘‘Public Health and So- 7 cial Services Emergency Fund’’, $8,000,000,000, to re- 8 main available until September 30, 2022, for the imple- 9 mentation of the comprehensive program to prevent and 10 respond to COVID–19 in medically underserved commu- 11 nities, as authorized by section 101: Provided, That of 12 such amounts, $60,000,000 shall be transferred to ‘‘Gen- 13 eral Departmental Management’’ and made available to 14 the ‘‘Office of Minority Health’’ for the implementation 15 of such program: Provided further, That the amounts 16 made available (including amounts transferred) under this 17 heading shall be in addition to amounts otherwise avail- 18 able for such purposes: Provided further, That such 19 amounts are designated by the Congress as being for an 20 emergency requirement pursuant to section 21 251(b)(2)(A)(i) of the Balanced Budget and Emergency 22 Deficit Control Act of 1985. 23 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 3 •HR 8192 IH INDIAN HEALTH SERVICE 1 INDIAN HEALTH SERVICES 2 For an additional amount for ‘‘Indian Health Serv- 3 ices’’, $400,000,000, to remain available until September 4 30, 2022, for the implementation of a comprehensive pro- 5 gram to prevent and respond to COVID–19 through pro- 6 grams and services administered by the Indian Health 7 Service and Indian Tribes, Tribal organizations, and 8 Urban Indian organizations pursuant to a contract or 9 compact under the Indian Self-Determination and Edu- 10 cation Assistance Act (25 U.S.C. 5301 et seq.) or the In- 11 dian Health Care Improvement Act (25 U.S.C. 1601 et 12 seq.), as authorized by section 102 of this Act: Provided, 13 That such amounts shall be in addition to amounts other- 14 wise available for such purposes: Provided further, That 15 such funds shall be allocated at the discretion of the Direc- 16 tor of the Indian Health Service: Provided further, That 17 the amount provided under this heading in this Act shall 18 be distributed through Indian Health Service directly op- 19 erated programs and to Tribes and Tribal organizations 20 under the Indian Self-Determination and Education As- 21 sistance Act (25 U.S.C. 5301 et seq.) and through con- 22 tracts or grants with Urban Indian Organizations under 23 title V of the Indian Health Care Improvement Act (25 24 U.S.C. 1651 et seq.): Provided further, That any amounts 25 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 4 •HR 8192 IH made available under this heading and transferred to 1 Tribes or Tribal organizations shall be transferred on a 2 one-time basis, and that these non-recurring funds are not 3 part of the amount required by section 106 of the Indian 4 Self-Determination and Education Assistance Act (25 5 U.S.C. 5325), and that such amounts may only be used 6 for the purposes authorized by section 102 of this Act, 7 notwithstanding any other provision of law: Provided fur- 8 ther, That such amount is designated by the Congress as 9 being for an emergency requirement pursuant to section 10 251(b)(2)(A)(i) of the Balanced Budget and Emergency 11 Deficit Control Act of 1985. 12 GENERAL PROVISIONS — THIS ACT 13 SEC. 101. (a) IN GENERAL.—The Secretary of 14 Health and Human Services, in consultation with the Dep- 15 uty Assistant Secretary for Minority Health, shall imple- 16 ment a comprehensive program to— 17 (1) prevent and respond to COVID–19 in medi- 18 cally underserved communities; and 19 (2) ensure that such program is designed to 20 complement the efforts of State and local public 21 health agencies. 22 (b) COMPONENTS.—The comprehensive program 23 under subsection (a) shall include the following: 24 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 5 •HR 8192 IH (1) The provision of diagnostic tests for the 1 virus that causes COVID–19, including rapid re- 2 sponse tests and testing through the use of mobile 3 health units. 4 (2) The provision of serological tests for the 5 virus that causes COVID–19. 6 (3) Contact tracing to monitor the contacts of 7 individuals who are or were infected with the virus 8 that causes COVID–19. 9 (4) The provision of personal protective equip- 10 ment to essential workers. 11 (5) The facilitation of— 12 (A) voluntary isolation and quarantine of 13 individuals presumed or confirmed to be in- 14 fected with, or exposed to individuals presumed 15 or confirmed to be infected with, the virus that 16 causes COVID–19; and 17 (B) the provision of social services and 18 support for such individuals. 19 (6) A culturally diverse and multilingual social 20 marketing campaign carried out by trusted members 21 of the community involved to increase public aware- 22 ness of— 23 (A) health precautions to prevent exposure 24 to the virus that causes COVID–19; 25 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 6 •HR 8192 IH (B) the benefits of monitoring and testing 1 for COVID–19; 2 (C) health care assistance programs and 3 entities that provide treatment for such virus; 4 and 5 (D) public assistance and unemployment 6 programs for individuals affected by the spread 7 of COVID–19. 8 (c) GRANTS TO PARTNERS.—To carry out the compo- 9 nents of the comprehensive program under subsection (b), 10 the Secretary shall provide grants to— 11 (1) faith-based, community, and nonprofit orga- 12 nizations; and 13 (2) eligible institutions of higher education de- 14 scribed in section 371(a) of the Higher Education 15 Act of 1965 (20 U.S.C. 1067q(a)) that have part- 16 nerships with one or more faith-based, community, 17 or nonprofit organizations. 18 (d) CONTACT TRACING.— 19 (1) LOCATION OF PERSONNEL.—The individ- 20 uals hired and trained to perform contact tracing 21 pursuant to the comprehensive program under sub- 22 section (a) shall have— 23 (A) experience in medically underserved 24 communities; and 25 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 7 •HR 8192 IH (B) relationships with individuals who re- 1 side in medically underserved communities. 2 (2) PROTECTION OF PERSONAL INFORMA- 3 TION.—The Secretary shall ensure that the individ- 4 ually identifiable information collected to perform 5 contact tracing pursuant to the comprehensive pro- 6 gram under subsection (a) is secure from unauthor- 7 ized access and disclosure. 8 (e) STRATEGY.— 9 (1) IN GENERAL.—Not later than 14 days after 10 the date of the enactment of this Act, the Secretary 11 shall develop and publish a comprehensive strategy 12 with respect to the comprehensive program under 13 subsection (a) for the purpose of addressing health 14 and health disparities, taking into consideration the 15 following: 16 (A) Race and ethnicity. 17 (B) Sex. 18 (C) Age. 19 (D) Limited English proficiency. 20 (E) Socioeconomic status. 21 (F) Disability. 22 (G) Census tract. 23 (H) Status as a member of the lesbian, 24 gay, bisexual, and transgender community. 25 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 8 •HR 8192 IH (I) Occupation. 1 (J) Other demographic data. 2 (2) CONSULTATION.—In developing the strat- 3 egy under paragraph (1), the Secretary shall consult 4 with health officials who represent the following: 5 (A) State and territorial governments. 6 (B) Local governments. 7 (C) Tribal governments. 8 SEC. 102. (a) IN GENERAL.—The Secretary of 9 Health and Human Services, acting through the Director 10 of the Indian Health Service, shall implement a com- 11 prehensive program to prevent and respond to COVID– 12 19 through programs and services administered by— 13 (1) the Indian Health Service; and 14 (2) Indian Tribes, Tribal organizations, and 15 Urban Indian organizations pursuant to a contract 16 or compact under— 17 (A) the Indian Self-Determination and 18 Education Assistance Act (25 U.S.C. 5301 et 19 seq.); or 20 (B) the Indian Health Care Improvement 21 Act (25 U.S.C. 1601 et seq.). 22 (b) COMPONENTS.—The comprehensive program 23 under subsection (a) shall include the following: 24 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 9 •HR 8192 IH (1) The provision of diagnostic tests for the 1 virus that causes COVID–19, including rapid re- 2 sponse tests and testing through the use of mobile 3 health units. 4 (2) The provision of serological tests for the 5 virus that causes COVID–19. 6 (3) Contact tracing to monitor the contacts of 7 individuals who are or were infected with the virus 8 that causes COVID–19, including hiring and train- 9 ing culturally and linguistically competent contact 10 tracers. 11 (4) The provision of personal protective equip- 12 ment to essential workers, including— 13 (A) community health representatives em- 14 ployed under section 516 of the Indian Health 15 Care Improvement Act (25 U.S.C. 1616f); and 16 (B) community health aides employed 17 under section 119 of the Indian Health Care 18 Improvement Act (25 U.S.C. 1616l). 19 (5) The facilitation of— 20 (A) voluntary isolation and quarantine of 21 individuals presumed or confirmed to be in- 22 fected with, or exposed to individuals presumed 23 or confirmed to be infected with, the virus that 24 causes COVID–19; and 25 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 10 •HR 8192 IH (B) the provision of social services and 1 support for such individuals. 2 (6) A culturally and linguistically appropriate 3 social marketing campaign carried out by trusted 4 members of the community involved to increase pub- 5 lic awareness of— 6 (A) health precautions to prevent exposure 7 to, and the spread of, the virus that causes 8 COVID–19; 9 (B) the benefits of monitoring and testing 10 for such virus; and 11 (C) other public awareness priorities. 12 (7) Awarding grants or cooperative agreements 13 to epidemiology centers established under section 14 214 of the Indian Health Care Improvement Act (25 15 U.S.C. 1621m). 16 (c) CONSULTATION.—Before implementing the pro- 17 gram under subsection (a), the Secretary shall— 18 (1) consult with Indian Tribes and Tribal orga- 19 nizations; and 20 (2) confer with Urban Indian organizations. 21 SEC. 103. In this Act: 22 (1) The term ‘‘essential worker’’ means— 23 (A) a health sector employee; 24 (B) an emergency response worker; 25 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 11 •HR 8192 IH (C) a sanitation worker; 1 (D) a worker at a business which a State 2 or local government official has determined 3 must remain open to serve the public during a 4 public health emergency (as declared pursuant 5 to section 319 of the Public Health Service Act 6 (42 U.S.C. 247d)) with respect to COVID–19; 7 and 8 (E) any other worker who cannot telework, 9 and whom the State deems to be essential dur- 10 ing a public health emergency with respect to 11 COVID–19. 12 (2) The term ‘‘Indian Tribe’’ means an ‘‘Indian 13 tribe’’ as defined in section 4 of the Indian Self-De- 14 termination and Education Assistance Act (25 15 U.S.C. 5304). 16 (3) The term ‘‘medically underserved commu- 17 nities’’ means communities that each— 18 (A) have a rate of infection, hospitaliza- 19 tion, or death with respect to COVID–19 that 20 is higher than the national average; 21 (B) have a high percentage of racial and 22 ethnic minorities; or 23 (C) are above the 90th percentile according 24 to the area deprivation index developed by the 25 VerDate Sep 11 2014 22:52 Sep 08, 2020 Jkt 099200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\H8192.IH H8192 pamtmann on DSKBC07HB2PROD with BILLS 12 •HR 8192 IH Administrator of the Health Resources and 1 Services Administration. 2 (4) The term ‘‘Secretary’’ means the Secretary 3 of Health and Human Services. 4 (5) The term ‘‘Tribal organization’’ means a 5 ‘‘tribal organization’’ as defined in section 4 of the 6 Indian Self-Determination and Education Assistance 7 Act (25 U.S.C. 5304). 8 (6) The term ‘‘Urban Indian organization’’ has 9 the meaning given such term in section 4 of the In- 10 dian Health Care Improvement Act (25 U.S.C. 11 1603). 12 SEC. 104. Unless otherwise provided for by this Act, 13 the additional amounts appropriated by this Act to appro- 14 priations accounts shall be available under the authorities 15 and conditions applicable to such appropriations accounts 16 for fiscal year 2020. 17 SEC. 105. Each amount designated in this Act by the 18 Congress as being for an emergen [Text truncated for display. Full text available on Congress.gov.]