To improve the bill.

SA 1031. Mr. LANKFORD (for himself and Mr. Daines) proposed an
amendment to amendment SA 891 proposed by Mr. Schumer (for himself, Mr.
Wyden, Mrs. Murray, Mr. Brown, Mr. Peters, Mr. Cardin, Ms. Cantwell,
Ms. Stabenow, Mr. Tester, Mr. Menendez, Mr. Schatz, Mr. Carper, Mr.
Leahy, and Mr. Sanders) to the bill H.R. 1319, to provide for
reconciliation pursuant to title II of S. Con. Res. 5; which was
ordered to lie on the table; as follows:

Strike section 2204 and all that follows through the end
of subtitle H of title II and insert the following:

SEC. 2204. PROGRAMS FOR SURVIVORS.

Section 301 of division BB of the Consolidated
Appropriations Act, 2021, as amended by this Act, is amended
by adding at the end the following subsection:
``(g) Programs for Survivors.--
``(1) In general.--Section 303 of the Family Violence
Prevention and Services Act (42 U.S.C. 10403) is amended by
adding at the end the following:
`` `(d) Additional Funding.--For the purposes of carrying
out this title, in addition to amounts otherwise made
available for such purposes, there are appropriated, out of
any amounts in the Treasury not otherwise appropriated, for
fiscal year 2021, to remain available until expended except
as otherwise provided in this subsection, each of the
following:
`` `(1) $180,000,000 to carry out sections 301 through 312,
to be allocated in the manner described in subsection (a)(2),
except that--
`` `(A) a reference in subsection (a)(2) to an amount
appropriated under subsection (a)(1) shall be considered to
be a reference to an amount appropriated under this
paragraph;
`` `(B) the matching requirement in section 306(c)(4) and
condition in section 308(d)(3) shall not apply; and
`` `(C) each reference in section 305(e) to ``the end of
the following fiscal year'' shall be considered to be a
reference to ``the end of fiscal year 2025''; and
`` `(D) funds made available to a State in a grant under
section 306(a) and obligated in a timely manner shall be
available for expenditure, by the State or a recipient of
funds

[[Page S1296]]

from the grant, through the end of fiscal year 2025.
`` `(2) $18,000,000 to carry out section 309.
`` `(3) $2,000,000 to carry out section 313, of which
$1,000,000 shall be allocated to support Indian
communities.'.
``(2) Grant programs.--The Family Violence Prevention and
Services Act is amended by inserting after section 314 of
such Act (42 U.S.C. 10414) the following:

`` `SEC. 315. GRANTS TO SUPPORT CULTURALLY SPECIFIC
POPULATIONS AND GRANTS TO SUPPORT SURVIVORS OF
SEXUAL ASSAULT.

`` `(a) COVID-19 Public Health Emergency Defined.--In this
section, the term ``COVID-19 public health emergency'' means
the public health emergency declared by the Secretary of
Health and Human Services under section 319 of the Public
Health Service Act (42 U.S.C. 247d) on January 31, 2020, with
respect to COVID-19, including any renewal of the
declaration.
`` `(b) Grants to Support Culturally Specific
Populations.--
`` `(1) In general.--In addition to amounts otherwise made
available, there is appropriated, out of any amounts in the
Treasury not otherwise appropriated, to the Secretary of
Health and Human Services (in this section referred to as the
``Secretary''), $49,500,000 for fiscal year 2021, to be
available until expended, to carry out this subsection
(excluding Federal administrative costs, for which funds are
appropriated under subsection (d)).
`` `(2) Use of funds.--From amounts appropriated under
paragraph (1), the Secretary acting through the Director of
the Family Violence Prevention and Services Program, shall--
`` `(A) support culturally specific community-based
organizations to provide culturally specific activities for
survivors of sexual assault and domestic violence, to address
emergent needs resulting from the COVID-19 public health
emergency and other public health concerns; and
`` `(B) support culturally specific community-based
organizations that provide culturally specific activities to
promote strategic partnership development and collaboration
in responding to the impact of COVID-19 and other public
health concerns on survivors of sexual assault and domestic
violence.
`` `(c) Grants to Support Survivors of Sexual Assault.--
`` `(1) In general.--In addition to amounts otherwise made
available, there is appropriated, out of any amounts in the
Treasury not otherwise appropriated, to the Secretary,
$198,000,000 for fiscal year 2021, to be available until
expended, to carry out this subsection (excluding Federal
administrative costs, for which funds are appropriated under
subsection (d)).
`` `(2) Use of funds.--From the amounts appropriated under
paragraph (1), the Secretary, acting through the Director of
the Family Violence Prevention and Services Program, shall
assist rape crisis centers in transitioning to virtual
services and meeting the emergency needs of survivors.
`` `(d) Administrative Costs.--In addition to amounts
otherwise made available, there is appropriated to the
Secretary, out of any amounts in the Treasury not otherwise
appropriated, $2,500,000 for fiscal year 2021, to remain
available until expended, for the Federal administrative
costs of carrying out subsections (b) and (c).'.

SEC. 2205. CHILD ABUSE PREVENTION AND TREATMENT.

Section 301 of division BB of the Consolidated
Appropriations Act, 2021, as amended by this Act, is amended
by adding at the end the following new subsection:
``(h) Additional Funding for Child Abuse Prevention and
Treatment.--The Child Abuse Prevention and Treatment Act (42
U.S.C. 5101 et seq.) is amended by adding at the end the
following:

`` `TITLE III--ADDITIONAL FUNDING

`` `SEC. 301. CHILD ABUSE PREVENTION AND TREATMENT.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary of Health and Human Services
for fiscal year 2021, out of any money in the Treasury not
otherwise appropriated, the following amounts, to remain
available through September 30, 2023:
`` `(1) $250,000,000 for carrying out the program
authorized under section 201, which shall be allocated
without regard to section 204(4) and shall be allotted to
States in accordance with section 203, except that--
`` `(A) in subsection (b)(1)(A) of section 203, ``70
percent'' shall be deemed to be ``100 percent''; and
`` `(B) subsections (b)(1)(B) and (c) of section 203 shall
not apply; and
`` `(2) $100,000,000 for carrying out the State grant
program authorized under section 106, which shall be
allocated without regard to section 112(a)(2).'.

SEC. 2206. CORPORATION FOR NATIONAL AND COMMUNITY SERVICE AND
THE NATIONAL SERVICE TRUST.

Section 301 of division BB of the Consolidated
Appropriations Act, 2021, as amended by this Act, is amended
by adding at the end the following new subsection:
``(i) Corporation for national and community service and
the national service trust.--Title V of the National and
Community Service Act of 1990 is amended by inserting after
section 501 (42 U.S.C. 12681) the following:

`` `SEC. 502. ADDITIONAL AMOUNTS.

`` `(a) Corporation for National and Community Service.--In
addition to amounts otherwise made available, there is
appropriated for fiscal year 2021, out of any money in the
Treasury not otherwise appropriated, to the Corporation for
National and Community Service, $852,000,000, to remain
available through September 30, 2024, to carry out subsection
(b), except that amounts to carry out subsection (b)(7) shall
remain available until September 30, 2026.
`` `(b) Allocation of Amounts.--Amounts provided by
subsection (a) shall be allocated as follows:
`` `(1) Americorps state and national.--$620,000,000 shall
be used--
`` `(A) to increase the living allowances of participants
in national service programs; and
`` `(B) to make funding adjustments to existing (as of the
date of enactment of this section) awards and award new and
additional awards to entities to support programs described
in paragraphs (1)(B), (2)(B), (3)(B), (4)(B), and (5)(B) of
subsection (a), and subsection (b)(2), of section 122,
whether or not the entities are already grant recipients
under such provisions on the date of enactment of this Act,
and notwithstanding section 122(a)(1)(B)(vi), by--
`` `(i) prioritizing entities serving communities
disproportionately impacted by COVID-19 and utilizing
culturally competent and multilingual strategies in the
provision of services; and
`` `(ii) taking into account the diversity of communities
and participants served by such entities, including racial,
ethnic, socioeconomic, linguistic, or geographic diversity.
`` `(2) State commissions.--$20,000,000 shall be used to
make adjustments to existing (as of the date of enactment of
this section) awards and new and additional awards, including
awards to State Commissions on National and Community
Service, under section 126(a).
`` `(3) Volunteer generation fund.--$20,000,000 shall be
used for expenses authorized under section 501(a)(4)(F),
which, notwithstanding section 198P(d)(1)(B), shall be for
grants awarded by the Corporation for National and Community
Service on a competitive basis.
`` `(4) Americorps vista.--$80,000,000 shall be used for
the purposes described in section 101 of the Domestic
Volunteer Service Act of 1973 (42 U.S.C. 4951), including to
increase the living allowances of volunteers, described in
section 105(b) of the Domestic Volunteer Service Act of 1973
(42 U.S.C. 4955(b)).
`` `(5) National senior service corps.--$30,000,000 shall
be used for the purposes described in section 200 of the
Domestic Volunteer Service Act of 1973 (42 U.S.C. 5000).
`` `(6) Administrative costs.--$73,000,000 shall be used
for the Corporation for National and Community Service for
administrative expenses to carry out programs and activities
funded by subsection (a).
`` `(7) Office of inspector general.--$9,000,000 shall be
used for the Office of Inspector General of the Corporation
for National and Community Service for salaries and expenses
necessary for oversight and audit of programs and activities
funded by subsection (a).
`` `(c) National Service Trust.--In addition to amounts
otherwise made available, there is appropriated for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $148,000,000, to remain available until
expended, for administration of the National Service Trust,
and for payment to the Trust for the provision of educational
awards pursuant to section 145(a)(1)(A).'.

Subtitle D--Public Health

SEC. 2301. PUBLIC HEALTH.

Section 301 of division BB of the Consolidated
Appropriations Act, 2021, as amended by this Act, is amended
by adding at the end the following new subsections:
``(j) Phsa.--Title II of the Public Health Service Act (42
U.S.C. 202 et seq.) is amended by adding at the end the
following:

`` `PART E--MISCELLANEOUS FUNDING

`` `Subpart 1--Vaccines and Therapeutics

`` `SEC. 281A. FUNDING FOR COVID-19 VACCINE ACTIVITIES AT THE
CENTERS FOR DISEASE CONTROL AND PREVENTION.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary of Health
and Human Services (in this part referred to as the
``Secretary'') for fiscal year 2021, out of any money in the
Treasury not otherwise appropriated, $7,500,000,000, to
remain available until expended, to carry out activities to
plan, prepare for, promote, distribute, administer, monitor,
and track COVID-19 vaccines.
`` `(b) Use of Funds.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention,
and in consultation with other agencies, as applicable,
shall, in conducting activities referred to in subsection
(a)--
`` `(1) conduct activities to enhance, expand, and improve
nationwide COVID-19 vaccine distribution and administration,
including activities related to distribution of ancillary
medical products and supplies related to vaccines; and
`` `(2) provide technical assistance, guidance, and support
to, and award grants or cooperative agreements to, State,
local, Tribal, and territorial public health departments for
enhancement of COVID-19 vaccine distribution and
administration capabilities, including--

[[Page S1297]]

`` `(A) the distribution and administration of vaccines
licensed under section 351 or authorized under section 564 of
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-3)
and ancillary medical products and supplies related to
vaccines;
`` `(B) the establishment and expansion, including staffing
support, of community vaccination centers, particularly in
underserved areas;
`` `(C) the deployment of mobile vaccination units,
particularly in underserved areas;
`` `(D) information technology, standards-based data, and
reporting enhancements, including improvements necessary to
support standards-based sharing of data related to vaccine
distribution and vaccinations and systems that enhance
vaccine safety, effectiveness, and uptake, particularly among
underserved populations;
`` `(E) facilities enhancements;
`` `(F) communication with the public regarding when,
where, and how to receive COVID-19 vaccines; and
`` `(G) transportation of individuals to facilitate
vaccinations, including at community vaccination centers and
mobile vaccination units, particularly for underserved
populations.
`` `(c) Supplemental Funding for State Vaccination
Grants.--
`` `(1) Definitions.--In this subsection:
`` `(A) Base formula.--The term ``base formula'' means the
allocation formula that applied to the Public Health
Emergency Preparedness cooperative agreement in fiscal year
2020.
`` `(B) Alternative allocation.--The term ``alternative
allocation'' means an allocation to each State, territory, or
locality calculated using the percentage derived from the
allocation received by such State, territory, or locality of
the aggregate amount of fiscal year 2020 Public Health
Emergency Preparedness cooperative agreement awards under
section 319C-1 of the Public Health Service Act (42 U.S.C.
247d-3a).
`` `(2) Supplemental funding.--
`` `(A) In general.--Not later than 21 days after the date
of enactment of this Act, the Secretary shall use amounts
described in subsection (a) to provide supplemental funding
to any State, locality, or territory that received less of
the amounts that were appropriated under title III of
division M of Public Law 116-260 for vaccination grants to be
issued by the Centers for Disease Control and Prevention than
such State, locality, or territory would have received had
such amounts been allocated using the alternative allocation.
`` `(B) Amount.--The amount of supplemental funding
provided under this subsection shall be equal to the
difference between--
`` `(i) the amount the State, locality, or territory
received, or would receive, under the base formula; and
`` `(ii) the amount the State, locality, or territory would
receive under the alternative allocation.

`` `SEC. 281B. FUNDING FOR VACCINE CONFIDENCE ACTIVITIES.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$1,000,000,000, to remain available until expended, to carry
out activities, acting through the Director of the Centers
for Disease Control and Prevention--
`` `(1) to strengthen vaccine confidence in the United
States, including its territories and possessions;
`` `(2) to provide further information and education with
respect to vaccines licensed under section 351 or authorized
under section 564 of the Federal Food, Drug, and Cosmetic Act
(21 U.S.C. 360bbb-3); and
`` `(3) to improve rates of vaccination throughout the
United States, including its territories and possessions,
including through activities described in section 313, as
amended by section 311 of division BB of the Consolidated
Appropriations Act, 2021 (Public Law 116-260).

`` `SEC. 281C. FUNDING FOR SUPPLY CHAIN FOR COVID-19
VACCINES, THERAPEUTICS, AND MEDICAL SUPPLIES.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$6,050,000,000, to remain available until expended, for
necessary expenses with respect to research, development,
manufacturing, production, and the purchase of vaccines,
therapeutics, and ancillary medical products and supplies to
prevent, prepare, or respond to--
`` `(1) SARS-CoV-2 or any viral variant mutating therefrom
with pandemic potential; and
`` `(2) COVID-19 or any disease with potential for creating
a pandemic.

`` `SEC. 281D. FUNDING FOR COVID-19 VACCINE, THERAPEUTIC, AND
DEVICE ACTIVITIES AT THE FOOD AND DRUG
ADMINISTRATION.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$500,000,000, to remain available until expended, to be used
for the evaluation of the continued performance, safety, and
effectiveness, including with respect to emerging COVID-19
variants, of vaccines, therapeutics, and diagnostics
approved, cleared, licensed, or authorized for use for the
treatment, prevention, or diagnosis of COVID-19; facilitation
of advanced continuous manufacturing activities related to
production of vaccines and related materials; facilitation
and conduct of inspections related to the manufacturing of
vaccines, therapeutics, and devices delayed or cancelled for
reasons related to COVID-19; review of devices authorized for
use for the treatment, prevention, or diagnosis of COVID-19;
and oversight of the supply chain and mitigation of shortages
of vaccines, therapeutics, and devices approved, cleared,
licensed, or authorized for use for the treatment,
prevention, or diagnosis of COVID-19 by the Food and Drug
Administration.

`` `Subpart 2--Testing

`` `SEC. 282A. FUNDING FOR COVID-19 TESTING, CONTRACT
TRACING, AND MITIGATION ACTIVITIES.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $47,800,000,000, to remain available until
expended, to carry out activities to detect, diagnose, trace,
and monitor SARS-CoV-2 and COVID-19 infections and related
strategies to mitigate the spread of COVID-19.
`` `(b) Use of Funds.--From amounts appropriated by
subsection (a), the Secretary shall--
`` `(1) implement a national, evidence-based strategy for
testing, contact tracing, surveillance, and mitigation with
respect to SARS-CoV-2 and COVID-19, including through
activities authorized under section 319(a);
`` `(2) provide technical assistance, guidance, and
support, and award grants or cooperative agreements to State,
local, and territorial public health departments for
activities to detect, diagnose, trace, and monitor SARS-CoV-2
and COVID-19 infections and related strategies and activities
to mitigate the spread of COVID-19;
`` `(3) support the development, manufacturing,
procurement, distribution, and administration of tests to
detect or diagnose SARS-CoV-2 and COVID-19, including
through--
`` `(A) support for the development, manufacture,
procurement, and distribution of supplies necessary for
administering tests, such as personal protective equipment;
and
`` `(B) support for the acquisition, construction,
alteration, or renovation of non-Federally owned facilities
for the production of diagnostics and ancillary medical
products and supplies where the Secretary determines that
such an investment is necessary to ensure the production of
sufficient amounts of such supplies;
`` `(4) establish and expand Federal, State, local, and
territorial testing and contact tracing capabilities,
including--
`` `(A) ``through investments in laboratory capacity, such
as--
`` `(i) academic and research laboratories, or other
laboratories that could be used for processing of COVID-19
testing;
`` `(ii) community-based testing sites and community-based
organizations; or
`` `(iii) mobile health units, particularly in medically
underserved areas; and
`` `(B) with respect to quarantine and isolation of
contacts;
`` `(5) enhance information technology, data modernization,
and reporting, including improvements necessary to support
sharing of data related to public health capabilities;
`` `(6) award grants to, or enter into cooperative
agreements or contracts with, State, local, and territorial
public health departments to establish, expand, and sustain a
public health workforce; and
`` `(7) to cover administrative and program support costs
necessary to conduct activities related to subparagraph (a).

`` `SEC. 282B. FUNDING FOR SARS-COV-2 GENOMIC SEQUENCING AND
SURVEILLANCE.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021 out of any money in the Treasury not otherwise
appropriated, $1,750,000,000, to remain available until
expended, to strengthen and expand activities and workforce
related to genomic sequencing, analytics, and disease
surveillance.
`` `(b) Use of Funds.--From amounts appropriated by
subsection (a), the Secretary, acting through the Director of
the Centers for Disease Control and Prevention, shall--
`` `(1) conduct, expand, and improve activities to sequence
genomes, identify mutations, and survey the circulation and
transmission of viruses and other organisms, including
strains of SARS-CoV-2;
`` `(2) award grants or cooperative agreements to State,
local, Tribal, or territorial public health departments or
public health laboratories--
`` `(A) to increase their capacity to sequence genomes of
circulating strains of viruses and other organisms, including
SARS-CoV-2;
`` `(B) to identify mutations in viruses and other
organisms, including SARS-CoV-2;
`` `(C) to use genomic sequencing to identify outbreaks and
clusters of diseases or infections, including COVID-19; and
`` `(D) to develop effective disease response strategies
based on genomic sequencing and surveillance data;
`` `(3) enhance and expand the informatics capabilities of
the public health workforce; and
`` `(4) award grants for the construction, alteration, or
renovation of facilities to improve genomic sequencing and
surveillance capabilities at the State and local level.

[[Page S1298]]

`` `SEC. 282C. FUNDING FOR GLOBAL HEALTH.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any amounts in the Treasury not otherwise appropriated,
$750,000,000, to remain available until expended, for
activities to be conducted acting through the Director of the
Centers for Disease Control and Prevention to combat SARS-
CoV- 2, COVID-19, and other emerging infectious disease
threats globally, including efforts related to global health
security, global disease detection and response, global
health protection, global immunization, and global
coordination on public health.

`` `SEC. 282D. FUNDING FOR DATA MODERNIZATION AND FORECASTING
CENTER.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$500,000,000, to remain available until expended, for
activities to be conducted acting through the Director of the
Centers for Disease Control and Prevention to support public
health data surveillance and analytics infrastructure
modernization initiatives at the Centers for Disease Control
and Prevention, and establish, expand, and maintain efforts
to modernize the United States disease warning system to
forecast and track hotspots for COVID-19, its variants, and
emerging biological threats, including academic and workforce
support for analytics and informatics infrastructure and data
collection systems.

`` `Subpart 3--Public Health Workforce

`` `SEC. 283A. FUNDING FOR PUBLIC HEALTH WORKFORCE.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $7,660,000,000, to remain available until
expended, to carry out activities related to establishing,
expanding, and sustaining a public health workforce,
including by making awards to State, local, and territorial
public health departments.
`` `(b) Use of Funds for Public Health Departments.--
Amounts made available to an awardee pursuant to subsection
(a) shall be used for the following:
`` `(1) Costs, including wages and benefits, related to the
recruiting, hiring, and training of individuals--
`` `(A) to serve as case investigators, contact tracers,
social support specialists, community health workers, public
health nurses, disease intervention specialists,
epidemiologists, program managers, laboratory personnel,
informaticians, communication and policy experts, and any
other positions as may be required to prevent, prepare for,
and respond to COVID-19; and
`` `(B) who are employed by--
`` `(i) the State, territorial, or local public health
department involved; or
`` `(ii) a nonprofit private or public organization with
demonstrated expertise in implementing public health programs
and established relationships with such State, territorial,
or local public health departments, particularly in medically
underserved areas.
`` `(2) Personal protective equipment, data management and
other technology, or other necessary supplies.
`` `(3) Administrative costs and activities necessary for
awardees to implement activities funded under this section.
`` `(4) Subawards from recipients of awards under
subsection (a) to local health departments for the purposes
of the activities funded under this section.

`` `SEC. 283B. FUNDING FOR MEDICAL RESERVE CORPS.

`` ` In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$100,000,000, to remain available until expended, for
carrying out section 2813.

`` `Subpart 4--Public Health Investments

`` `SEC. 284A. FUNDING FOR COMMUNITY HEALTH CENTERS AND
COMMUNITY CARE.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $7,600,000,000, to remain available until
expended, for necessary expenses for awarding grants and
cooperative agreements under section 330 to be awarded
without regard to the time limitation in subsection (e)(3)
and subsections (e)(6)(A)(iii), (e)(6)(B)(iii), and (r)(2)(B)
of such section 330, and for necessary expenses for awarding
grants to Federally qualified health centers, as described in
section 1861(aa)(4)(B) of the Social Security Act (42
U.S.C.1395x(aa)(4)(B)), and for awarding grants or contracts
to Papa Ola Lokahi and to qualified entities under sections 4
and 6 of the Native Hawaiian Health Care Improvement Act (42
U.S.C. 11703, 11705). Of the total amount appropriated by the
preceding sentence, not less than $20,000,000 shall be for
grants or contracts to Papa Ola Lokahi and to qualified
entities under sections 4 and 6 of the Native Hawaiian Health
Care Improvement Act (42 U.S.C. 11703, 11705).
`` `(b) Use of Funds.--Amounts made available to an awardee
pursuant to subsection (a) shall be used--
`` `(1) to plan, prepare for, promote, distribute,
administer, and track COVID-19 vaccines, and to carry out
other vaccine-related activities;
`` `(2) to detect, diagnose, trace, and monitor COVID-19
infections and related activities necessary to mitigate the
spread of COVID-19, including activities related to, and
equipment or supplies purchased for, testing, contact
tracing, surveillance, mitigation, and treatment of COVID-19;
`` `(3) to purchase equipment and supplies to conduct
mobile testing or vaccinations for COVID-19, to purchase and
maintain mobile vehicles and equipment to conduct such
testing or vaccinations, and to hire and train laboratory
personnel and other staff to conduct such mobile testing or
vaccinations, particularly in medically underserved areas;
`` `(4) to establish, expand, and sustain the health care
workforce to prevent, prepare for, and respond to COVID-19,
and to carry out other health workforce-related activities;
`` `(5) to modify, enhance, and expand health care services
and infrastructure; and
`` `(6) to conduct community outreach and education
activities related to COVID-19.
`` `(c) Past Expenditures.--An awardee may use amounts
awarded pursuant to subsection (a) to cover the costs of the
awardee carrying out any of the activities described in
subsection (b) during the period beginning on the date of the
declaration of a public health emergency by the Secretary
under section 319 on January 31, 2020, with respect to COVID-
19 and ending on the date of such award.

`` `SEC. 284B. FUNDING FOR NATIONAL HEALTH SERVICE CORPS.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $800,000,000, to remain available until
expended, for carrying out sections 338A, 338B, and 338I with
respect to the health workforce.
`` `(b) Student Loan Repayment Programs.--
`` `(1) In general.--Of the amount made available pursuant
to subsection (a), $100,000,000 shall be made available for
providing primary health services through grants to States
under section 338I(a).
`` `(2) Conditions.--With respect to grants described in
paragraph (1) using funds made available under such
paragraph:
`` `(A) Section 338I(b) shall not apply.
`` `(B) Notwithstanding section 338I(d)(2), not more than
10 percent of an award to a State from such amounts, may be
used by the State for costs of administering the State loan
repayment program.

`` `SEC. 284C. FUNDING FOR NURSE CORPS.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$200,000,000, to remain available until expended, for
carrying out section 846.

`` `SEC. 284D. FUNDING FOR TEACHING HEALTH CENTERS THAT
OPERATE GRADUATE MEDICAL EDUCATION.

`` `(a) In General.--In addition to amounts otherwise
available, and notwithstanding the capped amount referenced
in sections 340H(b)(2) and 340H(d)(2), there is appropriated
to the Secretary for fiscal year 2021, out of any money in
the Treasury not otherwise appropriated, $330,000,000, to
remain available until September 30, 2023, for the program of
payments to teaching health centers that operate graduate
medical education under section 340H and for teaching health
center development grants authorized under section 749A.
`` `(b) Use of Funds.--Amounts made available pursuant to
subsection (a) shall be used for the following activities:
`` `(1) For making payments to establish new approved
graduate medical residency training programs pursuant to
section 340H(a)(1)(C).
`` `(2) To provide an increase to the per resident amount
described in section 340H(a)(2) of $10,000.
`` `(3) For making payments under section 340H(a)(1)(A) to
qualified teaching health centers for maintenance of filled
positions at existing approved graduate medical residency
training programs.
`` `(4) For making payments under section 340H(a)(1)(B) for
the expansion of existing approved graduate medical residency
training programs.
`` `(5) For making awards under section 749A to teaching
health centers for the purpose of establishing new accredited
or expanded primary care residency programs.
`` `(6) To cover administrative costs and activities
necessary for qualified teaching health centers receiving
payments under section 340H to carry out activities under
such section.

`` `SEC. 284E. FUNDING FOR FAMILY PLANNING.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$50,000,000, to remain available until expended, for
necessary expenses for making grants and contracts under
section 1001.

`` `PART F--MENTAL HEALTH AND SUBSTANCE USE DISORDER

`` `SEC. 286A. FUNDING FOR BLOCK GRANTS FOR COMMUNITY MENTAL
HEALTH SERVICES.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary of Health and Human Services
(in this part referred to as the ``Secretary'') for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $1,500,000,000, to remain available until
expended, for carrying out subpart I of part B of title XIX,
subpart III of part B of title XIX, and section 505(c) with
respect to mental health. Notwithstanding section 1952, any
amount

[[Page S1299]]

awarded to a State out of amounts appropriated by this
section shall be expended by the State by September 30, 2025.

`` `SEC. 286B. FUNDING FOR BLOCK GRANTS FOR PREVENTION AND
TREATMENT OF SUBSTANCE ABUSE.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$1,500,000,000, to remain available until expended, for
carrying out subpart II of part B of title XIX, subpart III
of part B of title XIX, section 505(d) with respect to
substance abuse, and section 515(d). Notwithstanding section
1952, any amount awarded to a State out of amounts
appropriated by this section shall be expended by the State
by September 30, 2025.

`` `SEC. 286C. FUNDING FOR MENTAL HEALTH AND SUBSTANCE USE
DISORDER TRAINING FOR HEALTH CARE
PROFESSIONALS, PARAPROFESSIONALS, AND PUBLIC
SAFETY OFFICERS.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $80,000,000, to remain available until
expended, for the purpose described in subsection (b).
`` `(b) Use of Funding.--The Secretary, acting through the
Administrator of the Health Resources and Services
Administration, shall, taking into consideration the needs of
rural and medically underserved communities, use amounts
appropriated by subsection (a) to award grants or contracts
to health professions schools, academic health centers, State
or local governments, Indian Tribes and Tribal organizations,
or other appropriate public or private nonprofit entities (or
consortia of entities, including entities promoting
multidisciplinary approaches), to plan, develop, operate, or
participate in health professions and nursing training
activities for health care students, residents,
professionals, paraprofessionals, trainees, and public safety
officers, and employers of such individuals, in evidence-
informed strategies for reducing and addressing suicide,
burnout, mental health conditions, and substance use
disorders among health care professionals.

`` `SEC. 286D. FUNDING FOR EDUCATION AND AWARENESS CAMPAIGN
ENCOURAGING HEALTHY WORK CONDITIONS AND USE OF
MENTAL HEALTH AND SUBSTANCE USE DISORDER
SERVICES BY HEALTH CARE PROFESSIONALS.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $20,000,000, to remain available until
expended, for the purpose described in subsection (b).
`` `(b) Use of Funds.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention
and in consultation with the medical professional community,
shall use amounts appropriated by subsection (a) to carry out
a national evidence-based education and awareness campaign
directed at health care professionals and first responders
(such as emergency medical service providers), and employers
of such professionals and first responders. Such awareness
campaign shall--
`` `(1) encourage primary prevention of mental health
conditions and substance use disorders and secondary and
tertiary prevention by encouraging health care professionals
to seek support and treatment for their own mental health and
substance use concerns; and
`` `(2) help such professionals to identify risk factors in
themselves and others and respond to such risks.

`` `SEC. 286E. FUNDING FOR GRANTS FOR HEALTH CARE PROVIDERS
TO PROMOTE MENTAL HEALTH AMONG THEIR HEALTH
PROFESSIONAL WORKFORCE.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $40,000,000, to remain available until
expended, for the purpose described in subsection (b).
`` `(b) Use of Funds.--The Secretary, acting through the
Administrator of the Health Resources and Services
Administration, shall, taking into consideration the needs of
rural and medically underserved communities, use amounts
appropriated by subsection (a) to award grants or contracts
to entities providing health care, including health care
providers associations and Federally qualified health
centers, to establish, enhance, or expand evidence-informed
programs or protocols to promote mental health among their
providers, other personnel, and members.

`` `SEC. 286F. FUNDING FOR COMMUNITY-BASED FUNDING FOR LOCAL
SUBSTANCE USE DISORDER SERVICES.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $30,000,000, to remain available until
expended, to carry out the purpose described in subsection
(b).
`` `(b) Use of Funds.--
`` `(1) In general.--The Secretary, acting through the
Assistant Secretary for Mental Health and Substance Use and
in consultation with the Director of the Centers for Disease
Control and Prevention, shall award grants to support States;
local, Tribal, and territorial governments; Tribal
organizations; nonprofit community-based organizations; and
primary and behavioral health organizations to support
community-based overdose prevention programs, syringe
services programs, and other harm reduction services.
`` `(2) Use of funds.--Grant funds awarded under this
section to eligible entities shall be used for preventing and
controlling the spread of infectious diseases and the
consequences of such diseases for individuals with substance
use disorder, distributing opioid overdose reversal
medication to individuals at risk of overdose, connecting
individuals at risk for, or with, a substance use disorder to
overdose education, counseling, and health education, and
encouraging such individuals to take steps to reduce the
negative personal and public health impacts of substance use
or misuse.

`` `SEC. 286G. FUNDING FOR COMMUNITY-BASED FUNDING FOR LOCAL
BEHAVIORAL HEALTH NEEDS.

`` `(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $50,000,000, to remain available until
expended, to carry out the purpose described in subsection
(b).
`` `(b) Use of Funds.--
`` `(1) In general.--The Secretary, acting through the
Assistant Secretary for Mental Health and Substance Use,
shall award grants to State, local, Tribal, and territorial
governments, Tribal organizations, nonprofit community-based
entities, and primary care and behavioral health
organizations to address increased community behavioral
health needs worsened by the COVID-19 public health
emergency.
`` `(2) Use of grant funds.--Grant funds awarded under this
section to eligible entities shall be used for promoting care
coordination among local entities; training the mental and
behavioral health workforce, relevant stakeholders, and
community members; expanding evidence-based integrated models
of care; addressing surge capacity for mental and behavioral
health needs; providing mental and behavioral health services
to individuals with mental health needs (including co-
occurring substance use disorders) as delivered by behavioral
and mental health professionals utilizing telehealth
services; and supporting, enhancing, or expanding mental and
behavioral health preventive and crisis intervention
services.

`` `SEC. 286H. FUNDING FOR THE NATIONAL CHILD TRAUMATIC
STRESS NETWORK.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$10,000,000, to remain available until expended, for carrying
out section 582 with respect to addressing the problem of
high-risk or medically underserved persons who experience
violence-related stress.

`` `SEC. 286I. FUNDING FOR PROJECT AWARE.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$30,000,000, to remain available until expended, for carrying
out section 520A with respect to advancing wellness and
resiliency in education.

`` `SEC. 286J. FUNDING FOR YOUTH SUICIDE PREVENTION.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$20,000,000, to remain available until expended, for carrying
out sections 520E and 520E-2.

`` `SEC. 286K. FUNDING FOR BEHAVIORAL HEALTH WORKFORCE
EDUCATION AND TRAINING.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$100,000,000, to remain available until expended, for
carrying out section 756.

`` `SEC. 286L. FUNDING FOR PEDIATRIC MENTAL HEALTH CARE
ACCESS.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary for fiscal year 2021, out of
any money in the Treasury not otherwise appropriated,
$80,000,000, to remain available until expended, for carrying
out section 330M of the Public Health Service Act (42 U.S.C.
254c-19).

`` `SEC. 286M. FUNDING FOR EXPANSION GRANTS FOR CERTIFIED
COMMUNITY BEHAVIORAL HEALTH CLINICS.

`` `In addition to amounts otherwise available, there is
appropriated to the Secretary, acting through the Assistant
Secretary for Mental Health and Substance Use, for fiscal
year 2021, out of any money in the Treasury not otherwise
appropriated, $420,000,000, to remain available until
expended, for grants to communities and community
organizations that meet the criteria for Certified Community
Behavioral Health Clinics pursuant to section 223(a) of the
Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a
note). '.

Subtitle E--Reduced Cost Sharing

SEC. 2401. REDUCED COST-SHARING.

(a) In General.--Section 1402 of the Patient Protection and
Affordable Care Act is amended by redesignating subsection
(f) as subsection (g) and by inserting after subsection (e)
the following new subsection:
``(f) Special Rule for Individuals Who Receive Unemployment
Compensation During 2021.--For purposes of this section, in
the

[[Page S1300]]

case of an individual who has received, or has been approved
to receive, unemployment compensation for any week beginning
during 2021, for the plan year in which such week begins--
``(1) such individual shall be treated as meeting the
requirements of subsection (b)(2), and
``(2) for purposes of subsections (c) and (d), there shall
not be taken into account any household income of the
individual in excess of 133 percent of the poverty line for a
family of the size involved.''.
(b) Effective Date.--The amendment made by this section
shall apply to plan years beginning after December 31, 2020.
______