Federal
To amend the Public Health Service Act to establish emergency grants to safeguard essential health care workers, and for other purposes.
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I
118TH CONGRESS
1ST SESSION H. R. 3645
To amend the Public Health Service Act to establish emergency grants to
safeguard essential health care workers, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MAY 24, 2023
Ms. LEE of Pennsylvania (for herself, Ms. LEE of California, Mr. KHANNA,
Ms. BLUNT ROCHESTER, Mr. BOWMAN, Ms. BROWN, Mr. BOYLE of
Pennsylvania, Ms. BUSH, Mr. CARSON, Mr. CARTER of Louisiana, Mr.
CASAR, Ms. CROCKETT, Mr. CLYBURN, Mr. DELUZIO, Mrs. FOUSHEE,
Mr. FROST, Mr. ROBERT GARCIA of California, Mr. JACKSON of Illinois,
Ms. JACKSON LEE, Mr. JOHNSON of Georgia, Mrs. MCCLELLAN, Mr.
MFUME, Ms. MOORE of Wisconsin, Ms. OCASIO-CORTEZ, Ms. OMAR, Ms.
PRESSLEY, Mrs. RAMIREZ, Ms. SEWELL, Ms. STRICKLAND, Ms. TLAIB,
Mrs. WATSON COLEMAN, and Ms. WILLIAMS of Georgia) introduced the
following bill; which was referred to the Committee on Energy and Com-
merce
A BILL
To amend the Public Health Service Act to establish emer-
gency grants to safeguard essential health care workers,
and for other purposes.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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•HR 3645 IH
SECTION 1. SAFEGUARDING ESSENTIAL HEALTH CARE
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WORKERS.
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Title III of the Public Health Service Act is amended
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by inserting after section 319D–1 (42 U.S.C. 247d–4b)
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the following:
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‘‘SEC. 319D–2. EMERGENCY GRANTS TO SAFEGUARD ESSEN-
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TIAL HEALTH CARE WORKERS.
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‘‘(a) DEFINITIONS.—In this section:
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‘‘(1) EMERGENCY
OR
DISASTER.—The term
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‘emergency or disaster’ means—
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‘‘(A) a major disaster declared by the
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President under section 401 of the Robert T.
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Stafford Disaster Relief and Emergency Assist-
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ance Act (42 U.S.C. 5170);
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‘‘(B) an emergency declared by the Presi-
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dent under section 501 of the Robert T. Staf-
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ford Disaster Relief and Emergency Assistance
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Act (42 U.S.C. 5191);
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‘‘(C) a national emergency declared by the
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President under the National Emergencies Act
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(50 U.S.C. 1601 et seq.);
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‘‘(D) a public health emergency declared
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under section 319; and
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‘‘(E) a State or local emergency or dis-
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aster, as declared by the applicable State or
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local government.
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•HR 3645 IH
‘‘(2) ELIGIBLE HEALTH CARE WORKER.—The
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term ‘eligible health care worker’ means an essential
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health care worker whose work cannot be conducted
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remotely.
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‘‘(3) ESSENTIAL HEALTH CARE WORKER.—The
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term ‘essential health care worker’ means—
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‘‘(A) a health care provider, including a di-
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rect care worker (as defined in section 799B);
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‘‘(B) a medical technologist;
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‘‘(C) a public health worker;
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‘‘(D) an orderly (as defined in the 2010
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Standard Occupational Classifications of the
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Department of Labor under the code for Order-
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lies (31–1015));
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‘‘(E) an environmental service, janitorial,
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or custodial worker in a health care setting; and
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‘‘(F) any other professional role that the
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Secretary determines is essential to the care of
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patients or the maintenance of public health.
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‘‘(b) GRANTS.—
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‘‘(1) IN GENERAL.—The Secretary may make
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grants to public or private nonprofit health care fa-
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cilities and home health agencies for use in accord-
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ance with paragraph (2).
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‘‘(2) USE OF FUNDS.—
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•HR 3645 IH
‘‘(A) HAZARDOUS DUTY COMPENSATION.—
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‘‘(i) IN GENERAL.—The recipient of a
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grant under paragraph (1) shall use the
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grant funds to provide hazardous duty
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compensation to eligible health care work-
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ers for work performed during the period
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of an emergency or disaster in cases in
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which the Secretary determines that—
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‘‘(I) the performance of the work
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by the eligible health care worker for
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the applicable health care facility or
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home health agency is hazardous; or
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‘‘(II) the commute of the eligible
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health care worker is hazardous.
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‘‘(ii) REQUIREMENT.—
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‘‘(I) IN
GENERAL.—Subject to
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subclause (II), the amount of haz-
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ardous
duty
compensation
under
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clause (i) shall be not more than $13
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per hour, which shall be in addition to
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the wages or remuneration the eligible
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health care worker otherwise receives
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for the work.
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‘‘(II) MAXIMUM
AMOUNT.—The
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total amount of hazardous duty com-
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•HR 3645 IH
pensation received by any 1 eligible
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health care worker under this sub-
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paragraph may not exceed $25,000
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per year.
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‘‘(B) ADDITIONAL USES.—The recipient of
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a grant under paragraph (1) may use the grant
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funds to provide safety measures to safeguard
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and protect eligible health care workers from
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hazards due to the applicable emergency or dis-
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aster, including alternative transit options, per-
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sonal protective equipment, and other safety
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measures.
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‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There
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are authorized to be appropriated to carry out this section
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such sums as may be necessary.’’.
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Æ
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