S.Amdt. 1151

SA 1151. Ms. COLLINS (for herself, Mr. Portman, Mr. Cassidy, Mrs.
Capito, Mr. Romney, Ms. Murkowski, Mr. Rounds, Mr. Young, Mr. Tillis,
and Mr. Crapo) submitted an amendment intended to be proposed 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:

In lieu of the matter proposed to be inserted, insert the
following:

SEC. 2. TABLE OF CONTENTS.

The table of contents for this Act is as follows:

Sec. 2. Table of contents.

TITLE I--COMMITTEE ON AGRICULTURE, NUTRITION, AND FORESTRY

Sec. 1001. Supplemental nutrition assistance program.
Sec. 1002. Additional assistance for SNAP online purchasing and
technology improvements.
Sec. 1003. Additional funding for nutrition assistance programs.
Sec. 1004. Commodity supplemental food program.
Sec. 1005. Improvements to WIC benefits.
Sec. 1006. WIC program modernization.
Sec. 1007. Meals and supplements reimbursements for individuals who
have not attained the age of 25.
Sec. 1008. Pandemic EBT program.

[[Page S1326]]

TITLE II--COMMITTEE ON BANKING, HOUSING, AND URBAN AFFAIRS

Sec. 2001. COVID-19 emergency medical supplies enhancement.

TITLE III--COMMITTEE ON FINANCE

Subtitle A--Funding for Providers Relating to COVID-19

Sec. 3001. Funding for providers relating to COVID-19.

Subtitle B--Unemployment Provisions

Sec. 3101. Extension of Federal Pandemic Unemployment Compensation.
Sec. 3102. Funding for fraud prevention, equitable access, and timely
payment to eligible workers.

Subtitle C--Recovery Rebates to Individuals

Sec. 3201. 2021 recovery rebates to individuals.

TITLE IV--COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS

Subtitle A--Vaccines

Sec. 4001. Funding for COVID-19 vaccine activities at the Centers for
Disease Control and Prevention.
Sec. 4002. Funding for vaccine confidence activities.
Sec. 4003. Funding for supply chain for COVID-19 vaccines,
therapeutics, and medical supplies.
Sec. 4004. Funding for COVID-19 vaccine, therapeutic, and device
activities at the Food and Drug Administration.

Subtitle B--Testing

Sec. 4101. Funding for COVID-19 testing, contact tracing, and
mitigation activities.
Sec. 4102. Funding for SARS-CoV-2 genomic sequencing and surveillance.
Sec. 4103. Funding for data modernization and forecasting center.

Subtitle C--Strategic National Stockpile

Sec. 4201. Funding for the Strategic National Stockpile.

Subtitle D--Mental Health and Substance Abuse Disorder

Sec. 4301. Funding for block grants for community mental health
services.
Sec. 4302. Funding for block grants for prevention and treatment of
substance abuse.
Sec. 4303. Funding for mental health and substance use disorder
training for health care professionals,
paraprofessionals, and public safety officers.
Sec. 4304. Funding for education and awareness campaign encouraging
healthy work conditions and use of mental health and
substance use disorder services by health care
professionals.
Sec. 4305. Funding for grants for health care providers to promote
mental health among their health professional workforce.
Sec. 4306. Funding for community-based local substance use disorder
services.
Sec. 4307. Funding for suicide prevention.
Sec. 4308. Funding for the National Child Traumatic Stress Network.
Sec. 4309. Funding for Project AWARE.
Sec. 4310. Funding for youth suicide prevention.
Sec. 4311. Funding for behavioral health workforce education and
training.
Sec. 4312. Funding for pediatric mental health care access.
Sec. 4313. Funding for expansion grants for certified community
behavioral health clinics.

Subtitle E--Schools

Sec. 4401. Elementary and secondary school emergency relief fund.
Sec. 4402. Emergency assistance to non-public schools.

Subtitle F--Child Care

Sec. 4501. Child Care and Development Block Grant Program.

Subtitle G--Restrictions on the Use of Funds

Sec. 4701. Application of provisions.

TITLE V--COMMITTEE ON HOMELAND SECURITY AND GOVERNMENTAL AFFAIRS

Sec. 5001. Federal Emergency Management Agency appropriation.
Sec. 5002. Small Provider Medical Supplies Fund.

TITLE VI--COMMITTEE ON SMALL BUSINESS AND ENTREPRENEURSHIP

Sec. 6001. Additional appropriations for paycheck protection program,
second draw, and economic injury disaster loans.

TITLE I--COMMITTEE ON AGRICULTURE, NUTRITION, AND FORESTRY

SEC. 1001. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM.

(a) Value of Benefits.--Section 702(a) of division N of the
Consolidated Appropriations Act, 2021 (Public Law 116-260) is
amended by striking ``June 30, 2021'' and inserting
``September 30, 2021''.
(b) SNAP Administrative Expenses.--In addition to amounts
otherwise available, there is hereby appropriated for fiscal
year 2021, out of any amounts in the Treasury not otherwise
appropriated, $1,150,000,000, to remain available until
September 30, 2023, with amounts to be obligated for each of
fiscal years 2021, 2022, and 2023, for the costs of State
administrative expenses associated with carrying out this
section and administering the supplemental nutrition
assistance program established under the Food and Nutrition
Act of 2008 (7 U.S.C. 2011 et seq.), of which--
(1) $15,000,000 shall be for necessary expenses of the
Secretary of Agriculture (in this section referred to as the
``Secretary'') for management and oversight of the program;
and
(2) $1,135,000,000 shall be for the Secretary to make
grants to each State agency for each of fiscal years 2021
through 2023 as follows:
(A) 75 percent of the amounts available shall be allocated
to States based on the share of each State of households that
participate in the supplemental nutrition assistance program
as reported to the Department of Agriculture for the most
recent 12-month period for which data are available, adjusted
by the Secretary (as of the date of the enactment of this
Act) for participation in disaster programs under section
5(h) of the Food and Nutrition Act of 2008 (7 U.S.C.
2014(h)); and
(B) 25 percent of the amounts available shall be allocated
to States based on the increase in the number of households
that participate in the supplemental nutrition assistance
program as reported to the Department of Agriculture over the
most recent 12-month period for which data are available,
adjusted by the Secretary (as of the date of the enactment of
this Act) for participation in disaster programs under
section 5(h) of the Food and Nutrition Act of 2008 (7 U.S.C.
2014(h)).

SEC. 1002. ADDITIONAL ASSISTANCE FOR SNAP ONLINE PURCHASING
AND TECHNOLOGY IMPROVEMENTS.

(a) Funding.--In addition to amounts otherwise made
available, there is appropriated for fiscal year 2021, out of
any amounts in the Treasury not otherwise appropriated,
$25,000,000 to remain available through September 30, 2026,
to carry out this section.
(b) Use of Funds.--The Secretary of Agriculture may use the
amounts made available pursuant to subsection (a)--
(1) to make technological improvements to improve online
purchasing in the supplemental nutrition assistance program
established under the Food and Nutrition Act of 2008 (7
U.S.C. 2011 et seq.);
(2) to modernize electronic benefit transfer technology;
(3) to support the mobile technologies demonstration
projects and the use of mobile technologies authorized under
section 7(h)(14) of the Food and Nutrition Act of 2008 (7
U.S.C. 2016(h)(14)); and
(4) to provide technical assistance to educate retailers on
the process and technical requirements for the online
acceptance of the supplemental nutrition assistance program
benefits, for mobile payments, and for electronic benefit
transfer modernization initiatives.

SEC. 1003. ADDITIONAL FUNDING FOR NUTRITION ASSISTANCE
PROGRAMS.

Section 704 of division N of the Consolidated
Appropriations Act, 2021 (Public Law 116-260) is amended--
(1) by striking ``In addition'' and inserting the
following:
``(a) COVID-19 Response Funding.--In addition''; and
(2) by adding at the end the following--
``(b) Additional Funding.--In addition to any other funds
made available, there is appropriated for fiscal year 2021,
out of any money in the Treasury not otherwise appropriated,
$1,000,000,000 to remain available until September 30, 2027,
for the Secretary of Agriculture to provide grants to the
Commonwealth of Northern Mariana Islands, Puerto Rico, and
American Samoa for nutrition assistance, of which $30,000,000
shall be available to provide grants to the Commonwealth of
Northern Mariana Islands for such assistance.''.

SEC. 1004. COMMODITY SUPPLEMENTAL FOOD PROGRAM.

In addition to amounts otherwise made available, there is
appropriated for fiscal year 2021, out of any money in the
Treasury not otherwise appropriated, $37,000,000, to remain
available until September 30, 2022, for activities authorized
by section 4(a) of the Agriculture and Consumer Protection
Act of 1973 (7 U.S.C. 612c note).

SEC. 1005. IMPROVEMENTS TO WIC BENEFITS.

(a) Definitions.--In this section:
(1) Applicable period.--The term ``applicable period''
means a period--
(A) beginning after the date of enactment of this Act, as
selected by a State agency; and
(B) ending not later than the earlier of--
(i) 4 months after the date described in subparagraph (A);
or
(ii) September 30, 2021.
(2) Cash-value voucher.--The term ``cash-value voucher''
has the meaning given the term in section 246.2 of title 7,
Code of Federal Regulations (as in effect on the date of the
enactment of this Act).
(3) Program.--The term ``program'' means the special
supplemental nutrition program for women, infants, and
children established by section 17 of the Child Nutrition Act
of 1966 (42 U.S.C. 1786).
(4) Qualified food package.--The term ``qualified food
package'' means each of the following food packages (as
defined in section 246.10(e) of title 7, Code of Federal
Regulations (as in effect on the date of the enactment of
this Act)):
(A) Food package III-Participants with qualifying
conditions.

[[Page S1327]]

(B) Food Package IV-Children 1 through 4 years.
(C) Food Package V-Pregnant and partially (mostly)
breastfeeding women.
(D) Food Package VI-Postpartum women.
(E) Food Package VII-Fully breastfeeding.
(5) Secretary.--The term ``Secretary'' means the Secretary
of Agriculture.
(6) State agency.--The term ``State agency'' has the
meaning given the term in section 17(b) of the Child
Nutrition Act of 1966 (42 U.S.C. 1786(b)).
(b) Authority to Increase Amount of Cash-value Voucher.--
During 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 the Coronavirus Disease 2019 (COVID-19), and in
response to challenges relating to that public health
emergency, the Secretary may, in carrying out the program,
increase the amount of a cash-value voucher under a qualified
food package to an amount that is less than or equal to $35.
(c) Application of Increased Amount of Cash-value Voucher
to State Agencies.--
(1) Notification.--An increase to the amount of a cash-
value voucher under subsection (b) shall apply to any State
agency that notifies the Secretary of--
(A) the intent to use that increased amount, without
further application; and
(B) the applicable period selected by the State agency
during which that increased amount shall apply.
(2) Use of increased amount.--A State agency that makes a
notification to the Secretary under paragraph (1) shall use
the increased amount described in that paragraph--
(A) during the applicable period described in that
notification; and
(B) only during a single applicable period.
(d) Sunset.--The authority of the Secretary under
subsection (b), and the authority of a State agency to
increase the amount of a cash-value voucher under subsection
(c), shall terminate on September 30, 2021.
(e) Funding.--In addition to amounts otherwise made
available, there is appropriated to the Secretary, out of
funds in the Treasury not otherwise appropriated,
$490,000,000 to carry out this section, to remain available
until September 30, 2022.

SEC. 1006. WIC PROGRAM MODERNIZATION.

In addition to amounts otherwise available, there are
appropriated to the Secretary of Agriculture, out of amounts
in the Treasury not otherwise appropriated, $390,000,000 for
fiscal year 2021, to remain available until September 30,
2024, to carry out outreach, innovation, and program
modernization efforts, including appropriate waivers and
flexibility, to increase participation in and redemption of
benefits under programs established under section 17 of the
Child Nutrition Act of 1966 (7 U.S.C. 1431), except that such
waivers may not relate to the content of the WIC Food
Packages (as defined in section 246.10(e) of title 7, Code of
Federal Regulations (as in effect on the date of enactment of
this Act)), or the nondiscrimination requirements under
section 246.8 of title 7, Code of Federal Regulations (as in
effect on the date of enactment of this Act).

SEC. 1007. MEALS AND SUPPLEMENTS REIMBURSEMENTS FOR
INDIVIDUALS WHO HAVE NOT ATTAINED THE AGE OF
25.

(a) Program for At-risk School Children.--Beginning on the
date of enactment of this section, notwithstanding paragraph
(1)(A) of section 17(r) of the Richard B. Russell National
School Lunch Act (42 U.S.C. 1766(r)), during the COVID-19
public health emergency declared under section 319 of the
Public Health Service Act (42 U.S.C. 247d), the Secretary
shall reimburse institutions that are emergency shelters
under such section 17(r) (42 U.S.C. 1766(r)) for meals and
supplements served to individuals who, at the time of such
service--
(1) have not attained the age of 25; and
(2) are receiving assistance, including non-residential
assistance, from such emergency shelter.
(b) Participation by Emergency Shelters.--Beginning on the
date of enactment of this section, notwithstanding paragraph
(5)(A) of section 17(t) of the Richard B. Russell National
School Lunch Act (42 U.S.C. 1766(t)), during the COVID-19
public health emergency declared under section 319 of the
Public Health Service Act (42 U.S.C. 247d), the Secretary
shall reimburse emergency shelters under such section 17(t)
(42 U.S.C. 1766(t)) for meals and supplements served to
individuals who, at the time of such service have not
attained the age of 25.
(c) Definitions.--In this section:
(1) Emergency shelter.--The term ``emergency shelter'' has
the meaning given the term under section 17(t)(1) of the
Richard B. Russell National School Lunch Act (42 U.S.C.
1766(t)(1)).
(2) Secretary.--The term ``Secretary'' means the Secretary
of Agriculture.

SEC. 1008. PANDEMIC EBT PROGRAM.

Section 1101 of the Families First Coronavirus Response Act
(7 U.S.C. 2011 note; Public Law 116-127) is amended--
(1) in subsection (a)--
(A) by striking ``During fiscal years 2020 and 2021'' and
inserting ``In any school year in which there is a public
health emergency designation''; and
(B) by inserting ``or in a covered summer period following
a school session'' after ``in session'';
(2) in subsection (g), by striking ``During fiscal year
2020, the'' and inserting ``The'';
(3) in subsection (h)(1)--
(A) by inserting ``either'' after ``at least 1 child
enrolled in such a covered child care facility and''; and
(B) by inserting ``or a Department of Agriculture grant-
funded nutrition assistance program in the Commonwealth of
the Northern Mariana Islands, Puerto Rico, or American
Samoa'' before ``shall be eligible to receive assistance'';
(4) by redesignating subsections (i) and (j) as subsections
(j) and (k), respectively;
(5) by inserting after subsection (h) the following:
``(i) Emergencies During Summer.--The Secretary of
Agriculture may permit a State agency to extend a State
agency plan approved under subsection (b) for not more than
90 days for the purpose of operating the plan during a
covered summer period, during which time schools
participating in the school lunch program under the Richard
B. Russell National School Lunch Act or the school breakfast
program under section 4 of the Child Nutrition Act of 1966
(42 U.S.C. 1773 ) and covered child care facilities shall be
deemed closed for purposes of this section.'';
(6) in subsection (j) (as so redesignated)--
(A) by redesignating paragraphs (2) through (6) as
paragraphs (3) through (7), respectively;
(B) by inserting after paragraph (1) the following:
``(2) Covered summer period.--The term `covered summer
period' means a summer period that follows a school year
during which there was a public health emergency
designation.''; and
(C) in paragraph (5) (as so redesignated), by striking ``or
another coronavirus with pandemic potential''; and
(7) in subsection (k) (as so redesignated), by inserting
``Federal agencies,'' before ``State agencies''.

TITLE II--COMMITTEE ON BANKING, HOUSING, AND URBAN AFFAIRS

SEC. 2001. COVID-19 EMERGENCY MEDICAL SUPPLIES ENHANCEMENT.

(a) Supporting Enhanced Use of the Defense Production Act
of 1950.--In addition to funds otherwise available, there is
appropriated, for fiscal year 2021, out of any money in the
Treasury not otherwise appropriated, $5,000,000,000,
notwithstanding section 304(e) of the Defense Production Act
of 1950 (50 U.S.C. 4534(e)), to remain available until
September 30, 2025, to carry out title III of such Act in
accordance with subsection (b).
(b) Medical Supplies and Equipment.--Amounts appropriated
in subsection (a) shall be used for the purchase, production
(including the construction, repair, and retrofitting of
government-owned or private facilities as necessary), or
distribution of medical supplies and equipment (including
durable medical equipment) related to combating the COVID-19
pandemic, including--
(1) in vitro diagnostic products for the detection of SARS-
CoV-2 or the diagnosis of the virus that causes COVID-19, and
the reagents and other materials necessary for producing,
conducting, or administering such products, and the
machinery, equipment, laboratory capacity, or other
technology necessary to produce such products;
(2) face masks and personal protective equipment, including
face shields, nitrile gloves, N-95 filtering facepiece
respirators, and any other masks or equipment (including
durable medical equipment) needed to respond to the COVID-19
pandemic, and the materials, machinery, additional
manufacturing lines or facilities, or other technology
necessary to produce such equipment; and
(3) drugs, devices, and biological products that are
approved, cleared, licensed, or authorized for use in
treating or preventing COVID-19 and symptoms related to
COVID-19, and any materials, manufacturing machinery,
additional manufacturing or fill-finish lines or facilities,
technology, or equipment (including durable medical
equipment) necessary to produce or use such drugs, biological
products, or devices (including syringes, vials, or other
supplies or equipment related to delivery, distribution, or
administration).

TITLE III--COMMITTEE ON FINANCE

Subtitle A--Funding for Providers Relating to COVID-19

SEC. 3001. FUNDING FOR PROVIDERS RELATING TO COVID-19.

Part A of title XI of the Social Security Act (42 U.S.C.
1301 et seq.) is amended by adding at the end the following:

``SEC. 1150C. FUNDING FOR PROVIDERS RELATING TO COVID-19.

``(a) Funding.--In addition to amounts otherwise available,
there is appropriated to the Secretary, for fiscal year 2021,
out of any monies in the Treasury not otherwise appropriated,
$35,00,000,000 for purposes of making payments to eligible
health care providers for health care related expenses and
lost revenues that are attributable to COVID-19. Amounts
appropriated under the preceding sentence shall remain
available until expended.
``(b) Special Rules.--
``(1) Parent organizations.--In the case of any payment
made under this section to an eligible health care provider,
but which is received by a parent organization of such
provider, such parent organization shall allocate all of such
payment to such provider.
``(2) Ensuring payment for providers in rural areas.--The
Secretary shall make not less than $8,500,000,000 of the
amounts appropriated under subsection (a) available for
eligible health care providers located in a rural area.

[[Page S1328]]

``(c) Application Requirement.--To be eligible for a
payment under this section, an eligible health care provider
shall submit to the Secretary an application in such form and
manner as the Secretary shall prescribe. Such application
shall contain the following:
``(1) A statement justifying the need of the provider for
the payment, including documentation of the health care
related expenses attributable to COVID-19 and lost revenues
attributable to COVID-19.
``(2) The tax identification number of the provider.
``(3) Such assurances as the Secretary determines
appropriate that the eligible health care provider will
maintain and make available such documentation and submit
such reports (at such time, in such form, and containing such
information as the Secretary shall prescribe) as the
Secretary determines is necessary to ensure compliance with
any conditions imposed by the Secretary under this section.
``(4) Any other information determined appropriate by the
Secretary.
``(d) Limitation.--Payments made to an eligible health care
provider under this section may not be used to reimburse any
expense or loss that--
``(1) has been reimbursed from another source; or
``(2) another source is obligated to reimburse.
``(e) Application of Requirements, Rules, and Procedures.--
The Secretary shall apply any requirements, rules, or
procedures as the Secretary deems appropriate for the
efficient execution of this section.
``(f) Application of Provisions.--Amounts appropriated
pursuant to this section for fiscal year 2021 shall be
subject to the requirements contained in Public Law 116-94
for funds for programs authorized under sections 330 through
340 of the Public Health Service Act (42 U.S.C. 254b through
256).
``(g) Definitions.--In this section:
``(1) Eligible health care provider.--The term `eligible
health care provider' means--
``(A) a provider of services (as defined in section
1861(u)) or a supplier (as defined in section 1861(d)) that--
``(i) is enrolled in the Medicare program under title XVIII
under section 1866(j), including temporarily enrolled during
the emergency period described in section 1135(g)(1)(B) for
such period; and
``(ii) provides diagnoses, testing, or care for individuals
with possible or actual cases of COVID-19;
``(B) a provider or supplier that--
``(i) is enrolled with a State Medicaid plan under title
XIX (or a waiver of such plan) in accordance with subsections
(a)(77) and (kk) of section 1902 (including enrolled pursuant
to section 1902(a)(78) or section 1932(d)(6)) or enrolled
with a State child health plan under title XXI (or a waiver
of such plan) in accordance with subparagraph (G) of section
2107(e)(1) (including enrolled pursuant to subparagraph (D)
or (Q) of such section); and
``(ii) provides diagnoses, testing, or care for individuals
with possible or actual cases of COVID-19;
``(C) an assisted living facility (as defined for purposes
of the Older Americans Act); or
``(D) a senior congregate home provider (as defined by the
Secretary).
``(2) Health care related expenses attributable to covid-
19.--The term `health care related expenses attributable to
COVID-19' means health care related expenses to prevent,
prepare for, and respond to COVID-19, including the building
or construction of a temporary structure, the leasing of a
property, the purchase of medical supplies and equipment,
including personal protective equipment and testing supplies,
providing for increased workforce and training, including
maintaining staff, obtaining additional staff, or both, the
operation of an emergency operation center, retrofitting a
facility, providing for surge capacity, and other expenses
determined appropriate by the Secretary.
``(3) Lost revenue attributable to covid-19.--The term
`lost revenue attributable to COVID-19' has the meaning given
that term in the Frequently Asked Questions guidance released
by the Department of Health and Human Services in June 2020,
including the difference between such provider's budgeted and
actual revenue if such budget had been established and
approved prior to March 27, 2020.
``(4) Payment.-- The term `payment' includes, as determined
appropriate by the Secretary, a pre-payment, a prospective
payment, a retrospective payment, or a payment through a
grant or other mechanism.
``(5) Rural area.--The term `rural area' means--
``(A) a rural area (as defined in section 1886(d)(2)(D));
``(B) an area treated as a rural area pursuant to section
1886(d)(8)(E); or
``(C) any other rural area (as defined by the
Secretary).''.

Subtitle B--Unemployment Provisions

SEC. 3101. EXTENSION OF FEDERAL PANDEMIC UNEMPLOYMENT
COMPENSATION.

(a) In General.--Section 2104(e)(2) of the CARES Act (15
U.S.C. 9023(e)(2)) is amended by striking ``March 14, 2021''
and inserting ``June 30, 2021''.
(b) Amount.--Section 2104(b)(3)(A)(ii) of such Act (15
U.S.C. 9023(b)(3)(A)(ii)) is amended by striking ``March 14,
2021'' and inserting ``June 30, 2021''.

SEC. 3102. FUNDING FOR FRAUD PREVENTION, EQUITABLE ACCESS,
AND TIMELY PAYMENT TO ELIGIBLE WORKERS.

(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary of Labor
for fiscal year 2021, out of any money in the Treasury not
otherwise appropriated, $2,000,000,000, to remain available
until expended, to detect and prevent fraud, promote
equitable access, and ensure the timely payment of benefits
with respect to unemployment insurance programs, including
the program extended under section 3011.
(b) Use of Funds.--Amounts made available under subsection
(a) may be used--
(1) for Federal administrative costs related to the
purposes described in subsection (a);
(2) for systemwide infrastructure investment and
development related to such purposes;
(3) to make grants to States or territories administering
unemployment insurance programs described in subsection (a)
for such purposes, including the establishment of procedures
or the building of infrastructure to verify or validate
identity, implement Federal guidance regarding fraud
detection and prevention, and accelerate claims processing or
process claims backlogs due to the pandemic; and
(4) for transfer to the Inspector General of the Department
of Labor, to the Attorney General, to the Commissioner of
Internal Revenue, or to other Federal agencies investigating
identity theft crime affecting Federal unemployment benefits,
as determined appropriate by the Secretary, for the
development of State tools for fraud detection or prevention
or for the investigation or prosecution of fraud.
(c) Restrictions on Grants to States and Territories.--As a
condition of receiving a grant under subsection (b)(3), the
Secretary may require that a State or territory receiving
such a grant shall--
(1) use such program integrity tools as the Secretary may
specify; and
(2) as directed by the Secretary, conduct user
accessibility testing on any new system developed by the
Secretary pursuant to subsection (b)(2).
(d) Reservation of Funds for System Improvements.--Of the
amount appropriated under subsection (a), the Secretary shall
reserve $100,000,000 to assist States in the following
activities:
(1) Improving States' use of an automated electronic
transmission of requests for information relating to
unemployment compensation and the provision of such
information between such agency and employers or their
agents.
(2) Using a system designated by the Secretary of Labor for
cross-matching claimants of unemployment compensation under
State law against any databases in the system to prevent and
detect fraud and improper payments.
(3)(A) Comparing information in the National Directory of
New Hires or other wage sources against information about
individuals claiming unemployment compensation to identify
any such individuals who may have become employed, in
accordance with any regulations or guidance that the
Secretary of Health and Human Services may issue and
consistent with the computer matching provisions of the
Privacy Act of 1974.
(B) Taking timely action to verify whether the individuals
identified are employed.
(C) Taking appropriate action to suspend or modify
unemployment compensation payments if the individuals
identified are employed.
(D) Initiating recovery of any improper unemployment
compensation payments that have been made.

Subtitle C--Recovery Rebates to Individuals

SEC. 3201. 2021 RECOVERY REBATES TO INDIVIDUALS.

(a) In General.--Subchapter B of chapter 65 of the Internal
Revenue Code of 1986 is amended by inserting after section
6428A the following new section:

``SEC. 6428B. 2021 RECOVERY REBATES TO INDIVIDUALS.

``(a) In General.--In the case of an eligible individual,
there shall be allowed as a credit against the tax imposed by
subtitle A for the first taxable year beginning in 2021 an
amount equal to the 2021 rebate amount determined for such
taxable year.
``(b) 2021 Rebate Amount.--For purposes of this section,
the term `2021 rebate amount' means, with respect to any
taxpayer for any taxable year, the sum of--
``(1) $1,400 ($2,800 in the case of a joint return), plus
``(2) $500 multiplied by the number of dependents of the
taxpayer for such taxable year.
``(c) Eligible Individual.--For purposes of this section,
the term `eligible individual' means any individual other
than--
``(1) any nonresident alien individual,
``(2) any individual who is a dependent of another taxpayer
for a taxable year beginning in the calendar year in which
the individual's taxable year begins, and
``(3) an estate or trust.
``(d) Limitation Based on Adjusted Gross Income.--
``(1) In general.--The amount of the credit allowed by
subsection (a) (determined without regard to this subsection
and subsection (f)) shall be reduced (but not below zero) by
the amount which bears the same ratio to such credit (as so
determined) as--
``(A) the excess of--
``(i) the taxpayer's adjusted gross income for such taxable
year, over
``(ii) $40,000, bears to
``(B) $10,000.

[[Page S1329]]

``(2) Special rules.--
``(A) Joint return or surviving spouse.--In the case of a
joint return or a surviving spouse (as defined in section
2(a)), paragraph (1) shall be applied by substituting
`$80,000' for `$40,000' and `$20,000' for `$10,000'.
``(B) Head of household.--In the case of a head of
household (as defined in section 2(b)), paragraph (1) shall
be applied by substituting `$60,000' for `$40,000' and
`$15,000' for `$10,000'.
``(e) Definitions and Special Rules.--
``(1) Dependent defined.--For purposes of this section, the
term `dependent' has the meaning given such term by section
152.
``(2) Identification number requirement.--
``(A) In general.--In the case of a return other than a
joint return, the $1,400 amount in subsection (b)(1) shall be
treated as being zero unless the taxpayer includes the valid
identification number of the taxpayer on the return of tax
for the taxable year.
``(B) Joint returns.--In the case of a joint return, the
$2,800 amount in subsection (b)(1) shall be treated as
being--
``(i) $1,400 if the valid identification number of only 1
spouse is included on the return of tax for the taxable year,
and
``(ii) zero if the valid identification number of neither
spouse is so included.
``(C) Dependents.--A dependent shall not be taken into
account under subsection (b)(2) unless the valid
identification number of such dependent is included on the
return of tax for the taxable year.
``(D) Valid identification number.--
``(i) In general.--For purposes of this paragraph, the term
`valid identification number' means a social security number
(as such term is defined in section 24(h)(7)).
``(ii) Adoption taxpayer identification number.--For
purposes of subparagraph (C), in the case of a dependent who
is adopted or placed for adoption, the term `valid
identification number' shall include the adoption taxpayer
identification number of such dependent.
``(E) Special rule for members of the armed forces.--
Subparagraph (B) shall not apply in the case where at least 1
spouse was a member of the Armed Forces of the United States
at any time during the taxable year and the valid
identification number of at least 1 spouse is included on the
return of tax for the taxable year.
``(F) Coordination with certain advance payments.--In the
case of any payment determined pursuant to subsection (g)(6),
a valid identification number shall be treated for purposes
of this paragraph as included on the taxpayer's return of tax
if such valid identification number is available to the
Secretary as described in such subsection.
``(G) Mathematical or clerical error authority.--Any
omission of a correct valid identification number required
under this paragraph shall be treated as a mathematical or
clerical error for purposes of applying section 6213(g)(2) to
such omission.
``(3) Credit treated as refundable.--The credit allowed by
subsection (a) shall be treated as allowed by subpart C of
part IV of subchapter A of chapter 1.
``(f) Coordination With Advance Refunds of Credit.--
``(1) Reduction of refundable credit.--The amount of the
credit which would (but for this paragraph) be allowable
under subsection (a) shall be reduced (but not below zero) by
the aggregate refunds and credits made or allowed to the
taxpayer (or, except as otherwise provided by the Secretary,
any dependent of the taxpayer) under subsection (g). Any
failure to so reduce the credit shall be treated as arising
out of a mathematical or clerical error and assessed
according to section 6213(b)(1).
``(2) Joint returns.--Except as otherwise provided by the
Secretary, in the case of a refund or credit made or allowed
under subsection (g) with respect to a joint return, half of
such refund or credit shall be treated as having been made or
allowed to each individual filing such return.
``(g) Advance Refunds and Credits.--
``(1) In general.--Subject to paragraphs (5) and (6), each
individual who was an eligible individual for such
individual's first taxable year beginning in 2019 shall be
treated as having made a payment against the tax imposed by
chapter 1 for such taxable year in an amount equal to the
advance refund amount for such taxable year.
``(2) Advance refund amount.--
``(A) In general.--For purposes of paragraph (1), the
advance refund amount is the amount that would have been
allowed as a credit under this section for such taxable year
if this section (other than subsection (f) and this
subsection) had applied to such taxable year.
``(B) Treatment of deceased individuals.--For purposes of
determining the advance refund amount with respect to such
taxable year--
``(i) any individual who was deceased before January 1,
2021, shall be treated for purposes of applying subsection
(e)(2) in the same manner as if the valid identification
number of such person was not included on the return of tax
for such taxable year (except that subparagraph (E) thereof
shall not apply),
``(ii) notwithstanding clause (i), in the case of a joint
return with respect to which only 1 spouse is deceased before
January 1, 2021, such deceased spouse was a member of the
Armed Forces of the United States at any time during the
taxable year, and the valid identification number of such
deceased spouse is included on the return of tax for the
taxable year, the valid identification number of 1 (and only
1) spouse shall be treated as included on the return of tax
for the taxable year for purposes of applying subsection
(e)(2)(B) with respect to such joint return, and
``(iii) no amount shall be determined under subsection
(e)(2) with respect to any dependent of the taxpayer if the
taxpayer (both spouses in the case of a joint return) was
deceased before January 1, 2021.
``(3) Timing and manner of payments.--The Secretary shall,
subject to the provisions of this title and consistent with
rules similar to the rules of subparagraphs (B) and (C) of
section 6428A(f)(3), refund or credit any overpayment
attributable to this subsection as rapidly as possible,
consistent with a rapid effort to make payments attributable
to such overpayments electronically if appropriate. No refund
or credit shall be made or allowed under this subsection
after December 31, 2021.
``(4) No interest.--No interest shall be allowed on any
overpayment attributable to this subsection.
``(5) Application to individuals who have filed a return of
tax for 2020.--
``(A) Application to 2020 returns filed at time of initial
determination.--If, at the time of any determination made
pursuant to paragraph (3), the individual referred to in
paragraph (1) has filed a return of tax for the individual's
first taxable year beginning in 2020, paragraph (1) shall be
applied with respect to such individual by substituting
`2020' for `2019'.
``(B) Additional payment.--
``(i) In general.--In the case of any individual who files,
before the additional payment determination date, a return of
tax for such individual's first taxable year beginning in
2020, the Secretary shall make a payment (in addition to any
payment made under paragraph (1)) to such individual equal to
the excess (if any) of--

``(I) the amount which would be determined under paragraph
(1) (after the application of subparagraph (A)) by applying
paragraph (1) as of the additional payment determination
date, over
``(II) the amount of any payment made with respect to such
individual under paragraph (1).

``(ii) Additional payment determination date.--The term
`additional payment determination date' means the earlier
of--

``(I) the date which is 90 days after the 2020 calendar
year filing deadline, or
``(II) September 1, 2021.

``(iii) 2020 calendar year filing deadline.--The term `2020
calendar year filing deadline' means the date specified in
section 6072(a) with respect to returns for calendar year
2020. Such date shall be determined after taking into account
any period disregarded under section 7508A if such disregard
applies to substantially all returns for calendar year 2020
to which section 6072(a) applies.
``(6) Application to certain individuals who have not filed
a return of tax for 2019 or 2020 at time of determination.--
In the case of any individual who, at the time of any
determination made pursuant to paragraph (3), has filed a tax
return for neither the year described in paragraph (1) nor
for the year described in paragraph (5)(A), the Secretary
shall, consistent with rules similar to the rules of section
6428A(f)(5)(H)(i), apply paragraph (1) on the basis of
information available to the Secretary and shall, on the
basis of such information, determine the advance refund
amount with respect to such individual without regard to
subsection (d) unless the Secretary has reason to know that
such amount would otherwise be reduced by reason of such
subsection.
``(7) Special rule related to time of filing return.--
Solely for purposes of this subsection, a return of tax shall
not be treated as filed until such return has been processed
by the Internal Revenue Service.
``(8) Restriction on use of certain previously issued
prepaid debit cards.--Payments made by the Secretary to
individuals under this section shall not be in the form of an
increase in the balance of any previously issued prepaid
debit card if, as of the time of the issuance of such card,
such card was issued solely for purposes of making payments
under section 6428 or 6428A.
``(h) Special Rules With Respect to Prisoners.--
``(1) Disallowance of credit.--
``(A) In general.--Subject to subparagraph (B), no credit
shall be allowed under subsection (a) to an eligible
individual who is, for each day during calendar year 2021,
described in clause (i), (ii), (iii), (iv), or (v) of section
202(x)(1)(A) of the Social Security Act (42 U.S.C.
402(x)(1)(A)).
``(B) Joint return.--In the case of eligible individuals
filing a joint return where 1 spouse is described in
subparagraph (A), subsection (b)(1) shall be applied by
substituting `$1,400' for `$2,800'.
``(2) Denial of advance refund or credit.--No refund or
credit shall be made or allowed under subsection (g) with
respect to any individual whom the Secretary has knowledge
is, at the time of any determination made pursuant to
paragraph (3) of such subsection, described in clause (i),
(ii), (iii), (iv), or (v) of section 202(x)(1)(A) of the
Social Security Act.
``(i) Regulations.--The Secretary shall prescribe such
regulations or other guidance as may be necessary or
appropriate to carry out the purposes of this section,
including--
``(1) regulations or other guidance providing taxpayers the
opportunity to provide

[[Page S1330]]

the Secretary information sufficient to allow the Secretary
to make payments to such taxpayers under subsection (g)
(including the determination of the amount of such payment)
if such information is not otherwise available to the
Secretary, and
``(2) regulations or other guidance to ensure to the
maximum extent administratively practicable that, in
determining the amount of any credit under subsection (a) and
any credit or refund under subsection (g), an individual is
not taken into account more than once, including by different
taxpayers and including by reason of a change in joint return
status or dependent status between the taxable year for which
an advance refund amount is determined and the taxable year
for which a credit under subsection (a) is determined.''.
(b) Treatment of Certain Possessions.--
(1) Payments to possessions with mirror code tax systems.--
The Secretary of the Treasury shall pay to each possession of
the United States which has a mirror code tax system amounts
equal to the loss (if any) to that possession by reason of
the amendments made by this section. Such amounts shall be
determined by the Secretary of the Treasury based on
information provided by the government of the respective
possession.
(2) Payments to other possessions.--The Secretary of the
Treasury shall pay to each possession of the United States
which does not have a mirror code tax system amounts
estimated by the Secretary of the Treasury as being equal to
the aggregate benefits (if any) that would have been provided
to residents of such possession by reason of the amendments
made by this section if a mirror code tax system had been in
effect in such possession. The preceding sentence shall not
apply unless the respective possession has a plan, which has
been approved by the Secretary of the Treasury, under which
such possession will promptly distribute such payments to its
residents.
(3) Coordination with credit allowed against united states
income taxes.--No credit shall be allowed against United
States income taxes under section 6428B of the Internal
Revenue Code of 1986 (as added by this section), nor shall
any credit or refund be made or allowed under subsection (g)
of such section, to any person--
(A) to whom a credit is allowed against taxes imposed by
the possession by reason of the amendments made by this
section, or
(B) who is eligible for a payment under a plan described in
paragraph (2).
(4) Mirror code tax system.--For purposes of this
subsection, the term ``mirror code tax system'' means, with
respect to any possession of the United States, the income
tax system of such possession if the income tax liability of
the residents of such possession under such system is
determined by reference to the income tax laws of the United
States as if such possession were the United States.
(5) Treatment of payments.--For purposes of section 1324 of
title 31, United States Code, the payments under this
subsection shall be treated in the same manner as a refund
due from a credit provision referred to in subsection (b)(2)
of such section.
(c) Administrative Provisions.--
(1) Definition of deficiency.--Section 6211(b)(4)(A) of the
Internal Revenue Code of 1986 is amended by striking ``6428,
and 6428A'' and inserting ``6428, 6428A, and 6428B''.
(2) Conforming amendments.--
(A) Paragraph (2) of section 1324(b) of title 31, United
States Code, is amended by inserting ``6428B,'' after
``6428A,''.
(B) The table of sections for subchapter B of chapter 65 of
the Internal Revenue Code of 1986 is amended by inserting
after the item relating to section 6428A the following new
item:

``Sec. 6428B. 2021 recovery rebates to individuals.''.

TITLE IV--COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS

Subtitle A--Vaccines

SEC. 4001. 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 subtitle 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--
(A) the distribution and administration of vaccines
licensed under section 351 of the Public Health Service Act
(42 U.S.C. 262) 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. 4002. 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 of the Public
Health Service Act (42 U.S.C. 262) 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 of the Public
Health Service Act, as amended by section 311 of division BB
of the Consolidated Appropriations Act, 2021 (Public Law 116-
260).

SEC. 4003. 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. 4004. 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

[[Page S1331]]

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.

Subtitle B--Testing

SEC. 4101. FUNDING FOR COVID-19 TESTING, CONTACT TRACING, AND
MITIGATION ACTIVITIES.

(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Secretary of Health
and Human Services (in this subtitle referred to as 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) of the Public
Health Service Act;
(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. 4102. 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.

SEC. 4103. 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.

Subtitle C--Strategic National Stockpile

SEC. 4201. FUNDING FOR THE STRATEGIC NATIONAL STOCKPILE.

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, $15,000,000,000, to remain available
until expended, for maintenance of the Strategic National
Stockpile under section 319F-2(a) of the Public Health
Service Act (42 U.S.C. 247d-6b).

Subtitle D--Mental Health and Substance Abuse Disorder

SEC. 4301. 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 subtitle 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 of the Public Health Service Act (42 U.S.C. 300x et
seq.), subpart III of part B of title XIX of such Act (42
U.S.C. 300x-51 et seq.), and section 505(c) of such Act (42
U.S.C. 290aa-4(c)) with respect to mental health.
Notwithstanding section 1952 of the Public Health Service Act
(42 U.S.C. 300x-62), any amount awarded to a State out of
amounts appropriated by this section shall be expended by the
State by September 30, 2025.

SEC. 4302. 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 of the Public
Health Service Act (42 U.S.C. 300x-21 et seq.), subpart III
of part B of title XIX of such Act (42 U.S.C. 300x-51 et
seq.), section 505(d) of such Act (42 U.S.C. 290aa-4(d)) with
respect to substance abuse, and section 515(d) of such Act
(42 U.S.C. 290bb-21(d)). Notwithstanding section 1952 of the
Public Health Service Act (42 U.S.C. 300x-62), any amount
awarded to a State out of amounts appropriated by this
section shall be expended by the State by September 30, 2025.

SEC. 4303. 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. 4304. 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-

[[Page S1332]]

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;
(2) help such professionals to identify risk factors in
themselves and others and respond to such risks;
(3) include information on reducing or preventing suicide,
substance use disorders, burnout, and other mental health
conditions, and addressing stigma associated with seeking
mental health and substance use disorder support and
treatment; and
(4) consider the needs of rural and medically underserved
communities.

SEC. 4305. 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. 4306. FUNDING FOR COMMUNITY-BASED LOCAL SUBSTANCE USE
DISORDER SERVICES.

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 support community-based local substance use
disorder services, to remain available until expended, as
authorized in section 547 of the Public Health Service Act.

SEC. 4307. FUNDING FOR 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,
$50,000,000, to remain available until expended, for carrying
out section 520E-3 of the Public Health Service Act.

SEC. 4308. 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 of the Public Health Service Act (42 U.S.C.
290hh-1) with respect to addressing the problem of high-risk
or medically underserved persons who experience violence-
related stress.

SEC. 4309. 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 of the Public Health Service Act (42 U.S.C.
290bb-32) with respect to advancing wellness and resiliency
in education.

SEC. 4310. 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 of the Public Health Service Act
(42 U.S.C. 290bb-36, 290bb-36b).

SEC. 4311. 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 of the Public Health Service Act (42
U.S.C. 294e-1).

SEC. 4312. 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. 4313. 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--Schools

SEC. 4401. ELEMENTARY AND SECONDARY SCHOOL EMERGENCY RELIEF
FUND.

(a) In General.--In addition to amounts otherwise
available, there is appropriated to the Department of
Education for fiscal year 2021, out of any money in the
Treasury not otherwise appropriated, $19,000,000,000, to
remain available through September 30, 2022, for providing
grants to States in accordance with the same terms and
conditions that apply to the Elementary and Secondary School
Emergency Relief Fund of the Education Stabilization Fund for
funding appropriated for fiscal year 2021, except that a
State that receives a grant under this section shall use--
(1) not less than 95 percent of such grant for subgrants to
local educational agencies that--
(A) by April 1, 2021, provide in-person instruction for not
less than 50 percent of the students served by such agency
where the students physically attend and are taught by
teachers in a school not less than 50 percent of each school
week, as it was defined by the local educational agency prior
to the coronavirus emergency; and
(B) on and after April 1, 2021, provide in-person
instruction in accordance with the requirements of (1), to
the greatest extent practicable, for the 2020-2021 and 2021-
2022 academic years; and
(2) not more than 5 percent of such grant to carry out,
directly or through grants or contacts, activities to support
the safe reopening of schools.

SEC. 4402. EMERGENCY ASSISTANCE TO NON-PUBLIC SCHOOLS.

In addition to amounts otherwise available, there is
appropriated to the Department of Education for fiscal year
2021, out of any money in the Treasury not otherwise
appropriated, $1,000,000,000, to remain available through
September 30, 2022, to provide supplemental Emergency
Education Relief grants to the Governors of each State for
emergency assistance to non-public schools in accordance with
the same terms and conditions that apply to funds provided
under section 312(d) of division M of the Consolidated
Appropriations Act, 2021 (Public Law 116-260).

Subtitle F--Child Care

SEC. 4501. CHILD CARE AND DEVELOPMENT BLOCK GRANT PROGRAM.

(a) Child Care and Development Block Grant Funding.--In
addition to amounts otherwise available, there is
appropriated for fiscal year 2021, out of any amounts in the
Treasury not otherwise appropriated, $20,000,000,000, to
remain available through September 30, 2021, to carry out the
program authorized under section 658C of the Child Care and
Development Block Grant Act of 1990 (42 U.S.C. 9858a) without
regard to the requirements in subparagraph (D) or (E) of
section 658E(c)(3) or section 658G of such Act (42 U.S.C.
9858c(c)(3), 9858e). Payments made to States, territories,
Indian Tribes, and Tribal organizations from funds made
available under this subsection shall be obligated in fiscal
year 2021.
(b) Use of Funds.--States may use funds made available
under subsection (a)--
(1) to provide financial assistance to eligible child care
providers under section 658P(6) of such Act (42 U.S.C.
9858n(6)) in the case of decreased attendance or closures
related to coronavirus, and to assure the providers are able
to remain open or reopen as appropriate and applicable,
including financial assistance for fixed costs and increased
operating expenses;
(2) to stabilize the child care sector to help providers
afford increased operating expenses during the COVID-19
public health emergency;
(3) to provide technical assistance to help providers apply
for funding available for purposes described in paragraph
(1), (2), or (5), including center-based child care
providers, family child care providers, and group home child
care providers;
(4) to provide child care assistance to health care sector
employees, emergency responders, sanitation workers,
farmworkers, and other workers determined by a public
official to be essential during the response to coronavirus,
without regard to the income eligibility requirements of
section 658P(4) of the Child Care and Development Block Grant
Act of 1990 (42 U.S.C. 9858n(4)); and
(5) to provide relief from copayments and tuition payments
for families, and for paying that portion of an eligible
child care provider's cost ordinarily paid through family
copayments.
(c) Special Rule.--States, territories, Indian Tribes, and
Tribal organizations that receive funds made available under
subsection (a) shall use a portion of the funds to provide
assistance to eligible child care providers under section
658P(6) of such Act (42 U.S.C. 9858n(6)) that were not
receiving child care assistance under such Act (42 U.S.C.
9857 et seq.) prior to the COVID-19 public health emergency,
to maintain or resume the operation of child care programs,
including assistance for fixed costs and increased operating
expenses.

Subtitle G--Restrictions on the Use of Funds

SEC. 4701. APPLICATION OF PROVISIONS.

Amounts appropriated pursuant to this title for fiscal year
2021 shall be subject to the requirements contained in Public
Law 116-94 for funds for programs authorized under sections
330 through 340 of the Public

[[Page S1333]]

Health Service Act (42 U.S.C. 254b through 256).

TITLE V--COMMITTEE ON HOMELAND SECURITY AND GOVERNMENTAL AFFAIRS

SEC. 5001. FEDERAL EMERGENCY MANAGEMENT AGENCY APPROPRIATION.

In addition to amounts otherwise available, there is
appropriated to the Federal Emergency Management Agency for
fiscal year 2021, out of any money in the Treasury not
otherwise appropriated, $30,000,000,000, to remain available
until September 30, 2025, for major disasters declared
pursuant to the Robert T. Stafford Disaster Relief and
Emergency Assistance Act (42 U.S.C. 5121 et seq.).

SEC. 5002. SMALL PROVIDER MEDICAL SUPPLIES FUND.

In addition to amounts otherwise available, there is
appropriated to the Federal Emergency Management Agency for
fiscal year 2021, out of any money in the Treasury not
otherwise appropriated, $5,000,000,000, to remain available
until September 30, 2022, to establish a Small Provider
Medical Supplies Fund to provide personal protective
equipment for first responders and health care providers, to
prevent the transmission of SARS-CoV-2 and COVID-19.

TITLE VI--COMMITTEE ON SMALL BUSINESS AND ENTREPRENEURSHIP

SEC. 6001. ADDITIONAL APPROPRIATIONS FOR PAYCHECK PROTECTION
PROGRAM, SECOND DRAW, AND ECONOMIC INJURY
DISASTER LOANS.

(a) Paycheck Protection Program and Second Draw Loans.--
(1) Commitment authority.--Section 1102(b)(1) of the CARES
Act (Public Law 116-136) is amended--
(A) by striking ``March 31, 2021'' and inserting ``June 30,
2021''; and
(B) by striking ``$804,450,000,000'' and inserting
``$844,445,000,000''.
(2) Direct appropriations.--There is appropriated, out of
amounts in the Treasury not otherwise appropriated, for the
fiscal year ending September 30, 2021, to remain available
until expended, for additional amounts, $39,995,000,000 under
the heading ``Small Business Administration--Business Loans
Program Account, CARES Act'', for the cost of guaranteed
loans as authorized under paragraph (36) or (37) of section
7(a) of the Small Business Act (15 U.S.C. 636(a)).
(b) Direct Appropriations for OIG Audits and
Investigations.--There is appropriated to the Office of
Inspector General of the Small Business Administration, out
of amounts in the Treasury not otherwise appropriated, for
the fiscal year ending September 30, 2021, to remain
available until expended, for additional amounts, $5,000,000
for audits and investigations related to loans made under
paragraph (36) or (37) of section 7(a) of the Small Business
Act (15 U.S.C. 636(a)).
(c) EIDL.--There is appropriated to the Administrator of
the Small Business Administration, out of amounts in the
Treasury not otherwise appropriated, for the fiscal year
ending September 30, 2021, to remain available until
expended, for additional amounts, $10,000,000,000 for loans
made under section 7(b)(2) of the Small Business Act (15
U.S.C. 636(b)(2)).
______