H.R. 266House116th Congress (2019-2021)Enacted

Paycheck Protection Program and Health Care Enhancement Act

Introduced January 8, 2019

AI-Generated Summary

Updated April 14, 2026 at 12:08 AM UTC

The Paycheck Protection Program and Health Care Enhancement Act adds billions of dollars to the federal response to the COVID‑19 pandemic. It expands funding for the Paycheck Protection Program and Emergency Disaster Loans, broadens eligibility to include small agricultural businesses, and sets aside loan guarantees for banks and credit unions. The bill also earmarks $100 billion for health‑care purposes, including $75 billion to reimburse providers and $25 billion to boost testing capacity, with specific allocations to the CDC, NIH, BARDA, FDA and state and tribal health programs. Additional appropriations support the Small Business Administration’s operations.

Key Provisions

  • Raises the total amount the Paycheck Protection Program can commit to $659 billion and the amount appropriated for it to $670.335 billion.
  • Doubles the Emergency Economic Injury Disaster Loan (EIDL) grant authority from $10 billion to $20 billion.
  • Expands EIDL eligibility to include agricultural enterprises with 500 or fewer employees.
  • Creates a $60 billion set‑aside for insured banks, credit unions and community financial institutions to guarantee loans for small businesses.
  • Designates all new amounts as emergency requirements under the PAY‑AS‑YOU‑GO rules.
  • Adds $75 billion to the HHS Public Health and Social Services Emergency Fund for reimbursements to eligible health‑care providers.
  • Adds $25 billion for COVID‑19 testing activities, with at least $11 billion earmarked for states, localities, tribes and other jurisdictions; sub‑allocations include $1 billion to the CDC, $1 billion to BARDA, $306 million to NIH‑NCI, $500 million to NIH‑BIB, $1 billion to NIH‑OD, $22 million to the FDA, $600 million to HRSA primary‑care grants, $225 million to rural health clinics, and up to $1 billion for testing the uninsured.
  • Provides $2.1 billion for SBA salaries and expenses, $50 billion for the SBA Disaster Loans Program Account, and $10 billion for additional emergency EIDL grants.

Legislative Activity

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29 earlier actions
Became Law Latest Action

Became Public Law No: 116-139.

April 24, 2020

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HouseIntro Referral

Introduced in House

January 8, 2019

HouseFloor

Rules Committee Resolution H. Res. 28 Reported to House. Rule provides for consideration of H.R. 264, H.R. 265, H.R. 266 and H.R. 267. Measure will be considered read. Bill is closed to amendments. The rule provides one hour of debate, orders the previous question, and allows one motion to commit on each bill. The rule waives the requirement of clause 6(a) of rule XIII for a two-thirds vote to consider a report from the Committee on Rules on the same day it is presented to the House with respect to any resolution reported through the legislative day of January 15, 2019, relating to a measure making or continuing appropriations for the fiscal year ending September 30, 2019.

January 8, 2019 • 7:39 PM

HouseIntro Referral

Referred to the House Committee on Appropriations.

January 8, 2019

HouseFloor

Considered under the provisions of rule H. Res. 28. (consideration: CR H469-498)

January 11, 2019 • 9:18 AM

HouseFloor

Rule provides for consideration of H.R. 264, H.R. 265, H.R. 266 and H.R. 267. Measure will be considered read. Bill is closed to amendments. The rule provides one hour of debate, orders the previous question, and allows one motion to commit on each bill. The rule waives the requirement of clause 6(a) of rule XIII for a two-thirds vote to consider a report from the Committee on Rules on the same day it is presented to the House with respect to any resolution reported through the legislative day of January 15, 2019, relating to a measure making or continuing appropriations for the fiscal year ending September 30, 2019.

January 11, 2019 • 9:18 AM

HouseFloor

DEBATE - The House proceeded with one hour of debate on H.R. 266.

January 11, 2019 • 9:19 AM

HouseFloor

The previous question was ordered pursuant to the rule.

January 11, 2019 • 10:41 AM

HouseFloor

Mr. Calvert moved to recommit with instructions to the Committee on Appropriations. (text: CR H497)

January 11, 2019 • 10:41 AM

HouseFloor

Floor summary: DEBATE - The House proceeded with 10 minutes of debate on the Calvert motion to recommit with instructions. The instructions contained in the motion seek to require the bill to be reported back to the House with an amendment to decrease the Bureau of Land Management, Management of Lands and Resources account by $6 million and increase the Wildland Fire Management account by a similar amount; and to increase the Forest Service, Forest and Rangeland Research account by $15 million, and decrease the Capital Improvement and Maintenance account by a similar amount.

January 11, 2019 • 10:42 AM

HouseFloor

The previous question on the motion to recommit with instructions was ordered without objection.

January 11, 2019 • 10:48 AM

HouseFloor

POSTPONED PROCEEDINGS - At the conclusion of debate on the motion to recommit with instructions, the Chair put the question on the motion, and by voice vote, announced that the noes had prevailed. Mr. Calvert demanded the yeas and nays and the Chair postponed further proceedings on the motion to recommit with instructions until a time to be announced.

January 11, 2019 • 10:49 AM

HouseFloor

Considered as unfinished business. (consideration: CR H502-503)

January 11, 2019 • 11:29 AM

HouseFloor

On motion to recommit with instructions Failed by the Yeas and Nays: 190 - 229 (Roll no. 26).

January 11, 2019 • 11:54 AM

HouseFloor

Passed/agreed to in House: On passage Passed by the Yeas and Nays: 240 - 179 (Roll no. 27).(text: CR H469-487)

January 11, 2019 • 12:04 PM

HouseFloor

On passage Passed by the Yeas and Nays: 240 - 179 (Roll no. 27). (text: CR H469-487)

January 11, 2019 • 12:04 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

January 11, 2019 • 12:04 PM

SenateCalendars

Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

January 14, 2019

SenateCalendars

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 12.

January 15, 2019

SenateFloor

Measure laid before Senate by unanimous consent. (consideration: CR S2183-2186)

April 21, 2020

SenateFloor

Passed Senate with an amendment by Voice Vote. (text of amendment in the nature of a substitute: CR S2184-2186)

April 21, 2020

SenateFloor

Message on Senate action sent to the House.

April 22, 2020

HouseResolving Differences

Mr. Neal moved that the House suspend the rules and agree to the Senate amendment. (consideration: CR H1920-1952, H1954-1955)

April 23, 2020 • 11:37 AM

HouseFloor

DEBATE - Pursuant to the order of the House of April 23, 2020, the House proceeded with 2 hours of debate on the motion to suspend the rules and agree to the Senate amendment to H.R. 266.

April 23, 2020 • 11:37 AM

HouseFloor

POSTPONED PROCEEDINGS - At the conclusion of debate on the motion to suspend the rules and agree to the Senate amendment to H.R. 266, the Chair put the question on the motion, and by voice vote, announced that the ayes had prevailed. Mr. Brady demanded the yeas and nays, and the Chair postponed further proceedings on the motion until a time to be announced.

April 23, 2020 • 3:12 PM

HouseNot Used

Resolving differences -- House actions: On motion that the House suspend the rules and agree to the Senate amendment Agreed to by the Yeas and Nays: (2/3 required): 388 - 5, 1 Present (Roll no. 104).(text of Senate amendment: CR H1920-1923)

April 23, 2020

HouseResolving Differences

On motion that the House suspend the rules and agree to the Senate amendment Agreed to by the Yeas and Nays: (2/3 required): 388 - 5, 1 Present (Roll no. 104). (text of Senate amendment: CR H1920-1923)

April 23, 2020 • 6:13 PM

HouseResolving Differences

Motion to reconsider laid on the table Agreed to without objection.

April 23, 2020 • 6:13 PM

President

Presented to President.

April 23, 2020

Became Law

Signed by President.

April 24, 2020

Became Law

Became Public Law No: 116-139.

April 24, 2020

Floor Debate

23 members

What members said about H.R. 266 on the floor

10 Republicans13 Democrats
Betty McCollum
Rep. Betty McCollumD-MN-4 · Jan 11, 2019

Madam Speaker, pursuant to House Resolution 28, I call up the bill (H.R. 266) making appropriations for the Department of the Interior, environment, and related agencies for the fiscal year ending…

James P. McGovern
Rep. James P. McGovernD-MA-2 · Jan 9, 2019

Mr. Speaker, by direction of the Committee on Rules, I call up House Resolution 28 and ask for its immediate consideration. Mr. Speaker, for the purpose of debate only, I yield the customary 30…

Tom Cole
Rep. Tom ColeR-OK-4 · Jan 9, 2019

Mr. Speaker, I want to thank my good friend, Chairman McGovern, for yielding me the customary 30 minutes, and I yield myself such time as I may consume. Mr. Speaker, we are back again on…

Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Jan 11, 2019

Mr. Speaker, I thank the gentlewoman for yielding. I think this is my first time in a long time of having a magic 1 minute, so I have some things to say. I was on the Appropriations Committee for 23…

Ken Calvert
Rep. Ken CalvertR-CA-42 · Jan 11, 2019

Madam Speaker, I yield myself such time as I may consume. Madam Speaker, I rise in opposition to H.R. 266, the Democratic proposal for funding the Department of the Interior, the Environmental…

Show 8 more
Tom Cole
Rep. Tom ColeR-OK-4 · Jan 11, 2019

Mr. Speaker, I thank my friend not only for yielding, but for his distinguished 4 years as the chairman of the Interior, Environment, and Related Agencies Subcommittee. I want to congratulate my good…

F. James Sensenbrenner, Jr.

Madam Speaker, due to a scheduled medical procedure, I was physically absent from the House of Representatives from January 10, 2019 to February 5, 2019. During that time, I missed 44 recorded votes.…

Raúl M. Grijalva
Rep. Raúl M. GrijalvaD-AZ-3 · Jan 11, 2019

Mr. Speaker, I rise today to add my voice of support for the Interior appropriations bill to fund the government. Trump's ongoing government shutdown has damaged our economy, our national parks, and…

Paul Mitchell
Rep. Paul MitchellR-MI-10 · Jan 9, 2019

Mr. Speaker, I know the gentleman has to recognize the irony, how, despite 2 years of claiming that he wants open rules, the Democrat rule package talking about regular order, and here we have a…

Michael K. Simpson
Rep. Michael K. SimpsonR-ID-2 · Jan 11, 2019

Mr. Speaker, I thank the gentleman from California, my good friend, for yielding and for the job that he has done as chairman of the Interior, Environment, and Related Agencies Subcommittee in the…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Jan 9, 2019

Mr. Speaker, breaking news to the American people: all the other body has to do, the Senate, is to take the bills passed by the Democratic majority in the House and the government will open in…

Bruce Westerman
Rep. Bruce WestermanR-AR-4 · Jan 11, 2019

Mr. Speaker, I thank the gentleman from California for yielding and for his hard work in putting together an appropriations product of the House, which is a far cry from what this bill is. It is not…

Ed Perlmutter
Rep. Ed PerlmutterD-CO-7 · Jan 9, 2019

Mr. Speaker, I thank Mr. McGovern for yielding time to me. Mr. Speaker, I rise today to support the rule and the four underlying bills to help fully reopen the United States of America. Here we are,…

Show 11 more
Dan Newhouse
Rep. Dan NewhouseR-WA-4 · Jan 9, 2019

Mr. Speaker, I thank my friend from Oklahoma for yielding me some time. Well, Mr. Speaker, here we are again. Last night, the Rules Committee, under its new chairman, Mr. McGovern, voted to bring…

David P. Joyce
Rep. David P. JoyceR-OH-14 · Jan 11, 2019

Mr. Speaker, I rise today to highlight some of my concerns with H.R. 266. As a Representative from the great State of Ohio, I know full well how important it is to provide programs that ensure we are…

Debbie Wasserman Schultz
Rep. Debbie Wasserman SchultzD-FL-23 · Jan 11, 2019

Madam Speaker, I thank the gentlewoman for yielding. Madam Speaker, I rise today to urge my colleagues to support this appropriations bill, which provides funding for the Department of the Interior,…

Chris Stewart
Rep. Chris StewartR-UT-2 · Jan 11, 2019

Mr. Speaker, I would like to begin by stating the obvious, if I could, when my Democratic colleagues call this bill a compromise. This bill is a lot of things, but a compromise it is not. It takes…

Derek Kilmer
Rep. Derek KilmerD-WA-6 · Jan 11, 2019

Mr. Speaker, I thank the gentlewoman for yielding. Mr. Speaker, I rise in strong support of this bill, which will restore funding for the Department of the Interior, for the Forest Service, and for…

Chellie Pingree
Rep. Chellie PingreeD-ME-1 · Jan 11, 2019

Mr. Speaker, I thank our future chair for yielding me the time. I appreciate it. Mr. Speaker, I consider it a privilege to sit on the Interior, Environment, and Related Agencies Subcommittee, where…

Kay Granger
Rep. Kay GrangerR-TX-12 · Jan 11, 2019

Madam Speaker, I rise today in opposition to H.R. 266. Unfortunately, moving this bill across the House floor will not resolve the partial government shutdown, as the President has said he will not…

Jared Huffman
Rep. Jared HuffmanD-CA-2 · Jan 11, 2019

Mr. Speaker, I thank the gentlewoman for yielding, and I rise today in support of this bill to reopen our national parks and end the Trump shutdown. Over the last 3 weeks, the conditions in our…

Barbara Lee
Rep. Barbara LeeD-CA-13 · Jan 11, 2019

Madam Speaker, let me thank Chairwoman McCollum for her leadership on this issue as we try to get the government open. Madam Speaker, I rise in strong support of the fiscal year 2019 Interior…

Judy Chu
Rep. Judy ChuD-CA-27 · Jan 9, 2019

Mr. Speaker, this morning I met Chrissy, an air traffic controller from Ventura, California. Her job is to ensure the safety and efficiency of air travel, but the Trump shutdown has caused chaos. Air…

Nita M. Lowey
Rep. Nita M. LoweyD-NY-17 · Jan 11, 2019

Madam Speaker, the Trump shutdown is now in its 21st day. It is outrageous that more than 800,000 Federal employees are going without pay, many of them while they are still working, and the American…

Bill Text

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Enrolled BillPublication date not provided

One Hundred Sixteenth Congress of the United States of America

At the Second Session

Begun and held at the City of Washington on Friday, the third day of January, two thousand and twenty

H. R. 266

AN ACT

Making appropriations for the Department of the Interior, environment, and related agencies for the fiscal year ending September 30, 2019, and for other purposes.

1.

Short title

This Act may be cited as the Paycheck Protection Program and Health Care Enhancement Act.

2.

Table of contents

The table of contents for this Act is as follows:

Sec. 1. Short title.

Sec. 2. Table of contents.

Sec. 3. References.

DIVISION A—Small business programs

Sec. 101. Amendments to the Paycheck Protection Program, economic injury disaster loans, and emergency grants.

Sec. 102. Emergency designation.

DIVISION B—Additional Emergency Appropriations for Coronavirus Response

3.

References

Except as expressly provided otherwise, any reference to ‘‘this Act’’ contained in any division of this Act shall be treated as referring only to the provisions of that division.

A

Small business programs

101.

Amendments to the Paycheck Protection Program, economic injury disaster loans, and emergency grants

(a)

Increased authority for commitments and appropriations for Paycheck Protection Program

Title I of division A of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116–136) is amended—

(1)

in section 1102(b)(1), by striking $349,000,000,000 and inserting $659,000,000,000; and

(2)

in section 1107(a)(1), by striking $349,000,000,000 and inserting $670,335,000,000.

(b)

Increased authorization for emergency EIDL grants

Section 1110(e)(7) of division A of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116–136) is amended by striking $10,000,000,000 and inserting $20,000,000,000.

(c)

Eligibility of agricultural enterprises for economic injury disaster loans and emergency grants

Section 1110(a)(2) of division A of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116–136) is amended—

(1)

in subparagraph (D), by striking or at the end;

(2)

in subparagraph (E), by striking the period at the end and inserting ; or; and

(3)

by adding at the end the following:

(F)

an agricultural enterprise (as defined in section 18(b) of the Small Business Act (15 U.S.C. 647(b)) with not more than 500 employees.

.

(d)

Set aside for insured depository institutions, credit unions, and community financial institutions

Section 7(a)(36) of the Small Business Act (15 U.S.C. 636(a)(36)) is amended—

(1)

in subparagraph (A)—

(A)

in clause (viii), by striking and at the end;

(B)

in clause (ix), by striking the period at the end and inserting a semicolon; and

(C)

by adding at the end the following:

(x)

the term community development financial institution has the meaning given the term in section 103 of the Riegle Community Development and Regulatory Improvement Act of 1994 (12 U.S.C. 4702));

(xi)

the term community financial institutions means—

(I)

a community development financial institution;

(II)

a minority depository institution, as defined in section 308 of the Financial Institutions Reform, Recovery, and Enforcement Act of 1989 (12 U.S.C. 1463 note);

(III)

a development company that is certified under title V of the Small Business Investment Act of 1958 (15 U.S.C. 695 et seq.); and

(IV)

an intermediary, as defined in section 7(m)(11); and

(xii)

the term credit union means a State credit union or a Federal credit union, as those terms are defined, respectively, in section 101 of the Federal Credit Union Act (12 U.S.C. 1752).

; and

(2)

by adding at the end the following:

(S)

Set-aside for insured depository institutions, credit unions, and community financial institutions

(i)

Insured depository institutions and credit unions

In making loan guarantees under this paragraph after the date of enactment of this clause, the Administrator shall guarantee not less than $30,000,000,000 in loans made by—

(I)

insured depository institutions with consolidated assets of not less than $10,000,000,000 and less than $50,000,000,000; and

(II)

credit unions with consolidated assets of not less than $10,000,000,000 and less than $50,000,000,000.

(ii)

Community financial institutions, small insured depository institutions, and credit unions

In making loan guarantees under this paragraph after the date of enactment of this clause, the Administrator shall guarantee not less than $30,000,000,000 in loans made by—

(I)

community financial institutions;

(II)

insured depository institutions with consolidated assets of less than $10,000,000,000; and

(III)

credit unions with consolidated assets of less than $10,000,000,000.

.

102.

Emergency designation

(a)

In general

The amounts provided under this division are designated as an emergency requirement pursuant to section 4(g) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 933(g)).

(b)

Designation in Senate

In the Senate, this division is designated as an emergency requirement pursuant to section 4112(a) of H. Con. Res. 71 (115th Congress), the concurrent resolution on the budget for fiscal year 2018.

B

Additional Emergency Appropriations for Coronavirus Response

The following sums are hereby appropriated, out of any money in the Treasury not otherwise appropriated, for the fiscal year ending September 30, 2020, and for other purposes, namely:

I

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

public health and social services emergency fund

(including transfer of funds)

For an additional amount for Public Health and Social Services Emergency Fund, $75,000,000,000, to remain available until expended, to prevent, prepare for, and respond to coronavirus, domestically or internationally, for necessary expenses to reimburse, through grants or other mechanisms, eligible health care providers for health care related expenses or lost revenues that are attributable to coronavirus: Provided, That these funds may not be used to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse: Provided further, That recipients of payments under this paragraph in this Act shall submit reports and maintain documentation as the Secretary of Health and Human Services (referred to in this paragraph as the Secretary) determines are needed to ensure compliance with conditions that are imposed by this paragraph in this Act for such payments, and such reports and documentation shall be in such form, with such content, and in such time as the Secretary may prescribe for such purpose: Provided further, That eligible health care providers means public entities, Medicare or Medicaid enrolled suppliers and providers, and such for-profit entities and not-for-profit entities not otherwise described in this proviso as the Secretary may specify, within the United States (including territories), that provide diagnoses, testing, or care for individuals with possible or actual cases of COVID–19: Provided further, That the Secretary shall, on a rolling basis, review applications and make payments under this paragraph in this Act: Provided further, That funds appropriated under this paragraph in this Act shall be available for building or construction of temporary structures, leasing of properties, medical supplies and equipment including personal protective equipment and testing supplies, increased workforce and trainings, emergency operation centers, retrofitting facilities, and surge capacity: Provided further, That, in this paragraph, the term payment means a pre-payment, prospective payment, or retrospective payment, as determined appropriate by the Secretary: Provided further, That payments under this paragraph in this Act shall be made in consideration of the most efficient payment systems practicable to provide emergency payment: Provided further, That to be eligible for a payment under this paragraph in this Act, an eligible health care provider shall submit to the Secretary an application that includes a statement justifying the need of the provider for the payment and the eligible health care provider shall have a valid tax identification number: Provided further, That, not later than 3 years after final payments are made under this paragraph in this Act, the Office of Inspector General of the Department of Health and Human Services shall transmit a final report on audit findings with respect to this program to the Committees on Appropriations of the House of Representatives and the Senate: Provided further, That nothing in this paragraph limits the authority of the Inspector General or the Comptroller General to conduct audits of interim payments at an earlier date: Provided further, That not later than 60 days after the date of enactment of this Act, the Secretary shall provide a report to the Committees on Appropriations of the House of Representatives and the Senate on obligation of funds, including obligations to such eligible health care providers summarized by State of the payment receipt: Provided further, That such reports shall be updated and submitted to such Committees every 60 days until funds are expended: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

For an additional amount for Public Health and Social Services Emergency Fund, $25,000,000,000, to remain available until expended, to prevent, prepare for, and respond to coronavirus, domestically or internationally, for necessary expenses to research, develop, validate, manufacture, purchase, administer, and expand capacity for COVID–19 tests to effectively monitor and suppress COVID–19, including tests for both active infection and prior exposure, including molecular, antigen, and serological tests, the manufacturing, procurement and distribution of tests, testing equipment and testing supplies, including personal protective equipment needed for administering tests, the development and validation of rapid, molecular point-of-care tests, and other tests, support for workforce, epidemiology, to scale up academic, commercial, public health, and hospital laboratories, to conduct surveillance and contact tracing, support development of COVID–19 testing plans, and other related activities related to COVID–19 testing: Provided, That of the amount appropriated under this paragraph in this Act, not less than $11,000,000,000 shall be for States, localities, territories, tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes for necessary expenses to develop, purchase, administer, process, and analyze COVID–19 tests, including support for workforce, epidemiology, use by employers or in other settings, scale up of testing by public health, academic, commercial, and hospital laboratories, and community-based testing sites, health care facilities, and other entities engaged in COVID–19 testing, conduct surveillance, trace contacts, and other related activities related to COVID–19 testing: Provided further, That of the amount identified in the preceding proviso, not less than $2,000,000,000 shall be allocated to States, localities, and territories according to the formula that applied to the Public Health Emergency Preparedness cooperative agreement in fiscal year 2019, not less than $4,250,000,000 shall be allocated to States, localities, and territories according to a formula methodology that is based on relative number of cases of COVID–19, and not less than $750,000,000 shall be allocated in coordination with the Director of the Indian Health Service, to tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes: Provided further, That the Secretary of Health and Human Services (referred to in this paragraph as the Secretary) may satisfy the funding thresholds outlined in the first and second provisos under this paragraph in this Act by making awards through other grant or cooperative agreement mechanisms: Provided further, That not later than 30 days after the date of enactment of this Act, the Governor or designee of each State, locality, territory, tribe, or tribal organization receiving funds pursuant to this Act shall submit to the Secretary its plan for COVID–19 testing, including goals for the remainder of calendar year 2020, to include: (1) the number of tests needed, month-by-month, to include diagnostic, serological, and other tests, as appropriate; (2) month-by-month estimates of laboratory and testing capacity, including related to workforce, equipment and supplies, and available tests; and (3) a description of how the State, locality, territory, tribe, or tribal organization will use its resources for testing, including as it relates to easing any COVID–19 community mitigation policies: Provided further, That the Secretary shall submit such formula methodology identified in the first proviso under this paragraph in this Act to the Committees on Appropriations of the House of Representatives and the Senate one day prior to awarding such funds: Provided further, That such funds identified in the first and second provisos under this paragraph in this Act shall be allocated within 30 days of the date of enactment of this Act: Provided further, That of the amount appropriated under this paragraph in this Act, not less than $1,000,000,000 shall be transferred to the Centers for Disease Control and Prevention—CDC-Wide Activities and Program Support for surveillance, epidemiology, laboratory capacity expansion, contact tracing, public health data surveillance and analytics infrastructure modernization, disseminating information about testing, and workforce support necessary to expand and improve COVID–19 testing: Provided further, That of the amount appropriated under this paragraph in this Act, not less than $306,000,000 shall be transferred to the National Institutes of Health—National Cancer Institute to develop, validate, improve, and implement serological testing and associated technologies for the purposes specified under this paragraph in this Act: Provided further, That of the amount appropriated under this paragraph in this Act, not less than $500,000,000 shall be transferred to the National Institutes of Health—National Institute of Biomedical Imaging and Bioengineering to accelerate research, development, and implementation of point of care and other rapid testing related to coronavirus: Provided further, That of the amount appropriated under this paragraph in this Act, not less than $1,000,000,000 shall be transferred to the National Institutes of Health—Office of the Director to develop, validate, improve, and implement testing and associated technologies; to accelerate research, development, and implementation of point of care and other rapid testing; and for partnerships with governmental and non-governmental entities to research, develop, and implement the activities outlined in this proviso: Provided further, That funds in the preceding proviso may be transferred to the accounts of the Institutes and Centers of the National Institutes of Health (referred to in this paragraph as the NIH) for the purposes specified in the preceding proviso: Provided further, That the transfer authority provided in the preceding proviso is in addition to all other transfer authority available to the NIH: Provided further, That of the amount appropriated under this paragraph in this Act, not less than $1,000,000,000 shall be available to the Biomedical Advanced Research and Development Authority for necessary expenses of advanced research, development, manufacturing, production, and purchase of diagnostic, serologic, or other COVID–19 tests or related supplies, and other activities related to COVID–19 testing at the discretion of the Secretary: Provided further, That of the amount appropriated under this paragraph in this Act, $22,000,000, shall be transferred to the Department of Health and Human Services—Food and Drug Administration—Salaries and Expenses to support activities associated with diagnostic, serological, antigen, and other tests, and related administrative activities: Provided further, That the amount appropriated under this paragraph in this Act may be used for grants for the rent, lease, purchase, acquisition, construction, alteration, renovation, or equipping of non-federally owned facilities to improve preparedness and response capability at the State and local level for diagnostic, serologic, or other COVID–19 tests, or related supplies: Provided further, That the amount appropriated under this paragraph in this Act may be used for construction, alteration, renovation, or equipping of non-federally owned facilities for the production of diagnostic, serologic, or other COVID–19 tests, or related supplies, where the Secretary determines that such a contract is necessary to secure, or for the production of, sufficient amounts of such tests or related supplies: Provided further, That funds appropriated under this paragraph in this Act may be used for purchase of medical supplies and equipment, including personal protective equipment and testing supplies to be used for administering tests, increased workforce and trainings, emergency operation centers, and surge capacity for diagnostic, serologic, or other COVID–19 tests, or related supplies: Provided further, That products purchased with funds appropriated under this paragraph in this Act may, at the discretion of the Secretary, be deposited in the Strategic National Stockpile under section 319F–2 of the Public Health Service Act: Provided further, That of the amount appropriated under this paragraph in this Act, $600,000,000 shall be transferred to Health Resources and Services Administration—Primary Health Care for grants under the Health Centers program, as defined by section 330 of the Public Health Service Act, and for grants to federally qualified health centers, as defined in section 1861(aa)(4)(B) of the Social Security Act: Provided further, That sections 330(e)(6)(A)(iii), 330(e)(6)(B)(iii), and 330(r)(2)(B) of the Public Health Service Act shall not apply to funds provided under the previous proviso: Provided further, That of the amount appropriated under this paragraph in this Act, $225,000,000 shall be used to provide additional funding for COVID–19 testing and related expenses, through grants or other mechanisms, to rural health clinics as defined in section 1861(aa)(2) of the Social Security Act, with such funds also available to such entities for building or construction of temporary structures, leasing of properties, and retrofitting facilities as necessary to support COVID–19 testing: Provided further, That such funds shall be distributed using the procedures developed for the Provider Relief Fund authorized under the third paragraph under this heading in division B of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116–136); may be distributed using contracts or agreements established for such program; and shall be subject to the process requirements applicable to such program: Provided further, That the Secretary may specify a minimum amount for each eligible entity accepting assistance under the two previous provisos: Provided further, That up to $1,000,000,000 of funds provided under this paragraph in this Act may be used to cover the cost of testing for the uninsured, using the definitions applicable to funds provided under this heading in Public Law 116–127: Provided further, That not later than 21 days after the date of enactment of this Act, the Secretary, in coordination with other appropriate departments and agencies, shall issue a report on COVID–19 testing: Provided further, That such report shall include data on demographic characteristics, including, in a de-identified and disaggregated manner, race, ethnicity, age, sex, geographic region and other relevant factors of individuals tested for or diagnosed with COVID–19, to the extent such information is available: Provided further, That such report shall include information on the number and rates of cases, hospitalizations, and deaths as a result of COVID–19: Provided further, That such report shall be submitted to the Committees on Appropriations of the House and Senate, and the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate, and updated and resubmitted to such Committees, as necessary, every 30 days until the end of the COVID–19 public health emergency first declared by the Secretary on January 31, 2020: Provided further, That not later than 180 days after the date of enactment of this Act, the Secretary shall issue a report on the number of positive diagnoses, hospitalizations, and deaths as a result of COVID–19, disaggregated nationally by race, ethnicity, age, sex, geographic region, and other relevant factors: Provided further, That such report shall include epidemiological analysis of such data: Provided further, That not later than 30 days after the date of the enactment of this Act, the Secretary, in coordination with other departments and agencies, as appropriate, shall report to the Committees on Appropriations of the House and Senate, the Committee on Energy and Commerce of the House of Representatives, and the Committee on Health, Education, Labor, and Pensions of the Senate on a COVID–19 strategic testing plan: Provided further, That such plan shall assist States, localities, territories, tribes, tribal organizations, and urban Indian health organizations, in understanding COVID–19 testing for both active infection and prior exposure, including hospital-based testing, high-complexity laboratory testing, point-of-care testing, mobile-testing units, testing for employers and other settings, and other tests as necessary: Provided further, That such plan shall include estimates of testing production that account for new and emerging technologies, as well as guidelines for testing: Provided further, That such plan shall address how the Secretary will increase domestic testing capacity, including testing supplies; and address disparities in all communities: Provided further, That such plan shall outline Federal resources that are available to support the testing plans of each State, locality, territory, tribe, tribal organization, and urban Indian health organization: Provided further, That such plan shall be updated every 90 days until funds are expended: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

General Provisions—This Title

(including transfer of funds)

101.

The requirements, authorities, and conditions described in sections 18108, 18109, and 18112 of division B of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116–136) shall apply to funds appropriated in this Act to the Department of Health and Human Services.

102.

Funds appropriated by this Act under the heading Department of Health and Human Services, except for the amounts specified in the first paragraph and the first and second provisos in the second paragraph under the heading Public Health and Social Services Emergency Fund, may be transferred to, and merged with, other appropriation accounts under the headings Centers for Disease Control and Prevention, Public Health and Social Services Emergency Fund, Food and Drug Administration, and National Institutes of Health to prevent, prepare for, and respond to coronavirus following consultation with the Office of Management and Budget: Provided, That the Committees on Appropriations of the House of Representatives and the Senate shall be notified 10 days in advance of any such transfer: Provided further, That, upon a determination that all or part of the funds transferred from an appropriation by this Act are not necessary, such amounts may be transferred back to that appropriation: Provided further, That none of the funds made available by this Act may be transferred pursuant to the authority in section 205 of division A of Public Law 116–94 or section 241(a) of the Public Health Service Act.

103.

Of the funds appropriated by this Act under the heading Public Health and Social Services Emergency Fund, up to $6,000,000 shall be transferred to, and merged with, funds made available under the heading Office of the Secretary, Office of Inspector General, and shall remain available until expended, for oversight of activities supported with funds appropriated to the Department of Health and Human Services to prevent, prepare for, and respond to coronavirus, domestically or internationally: Provided, That the Inspector General of the Department of Health and Human Services shall consult with the Committees on Appropriations of the House of Representatives and the Senate prior to obligating such funds: Provided further, That the transfer authority provided by this section is in addition to any other transfer authority provided by law.

II

Independent Agencies

Small Business Administration

Salaries and expenses

For an additional amount for Salaries and Expenses, $2,100,000,000, to remain available until September 30, 2021, to prevent, prepare for, and respond to coronavirus, domestically or internationally: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Disaster loans program account

For an additional amount for Disaster Loans Program Account for the cost of direct loans authorized by section 7(b) of the Small Business Act, $50,000,000,000, to remain available until expended, to prevent, prepare for, and respond to coronavirus, domestically or internationally: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Emergency EIDL grants

For an additional amount for Emergency EIDL Grants for the cost of emergency EIDL grants authorized by section 1110 of division A of the CARES Act (Public Law 116–136), $10,000,000,000, to remain available until expended, to prevent, prepare for, and respond to coronavirus, domestically or internationally: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

III

General Provisions—This Act

301.

Each amount appropriated or made available by this Act is in addition to amounts otherwise appropriated for the fiscal year involved.

302.

No part of any appropriation contained in this Act shall remain available for obligation beyond the current fiscal year unless expressly so provided herein.

303.

Unless otherwise provided for by this Act, the additional amounts appropriated by this Act to appropriations accounts shall be available under the authorities and conditions applicable to such appropriations accounts for fiscal year 2020.

304.

Notwithstanding any other provision of law, funds made available in this Act, or transferred pursuant to authorization granted in this Act, may only be used to prevent, prepare for, and respond to coronavirus.

305.

In this Act, the term coronavirus means SARS–CoV–2 or another coronavirus with pandemic potential.

306.

Each amount designated in this Act by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 shall be available (or rescinded or transferred, if applicable) only if the President subsequently so designates all such amounts and transmits such designations to the Congress.

307.

Any amount appropriated by this Act, designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 and subsequently so designated by the President, and transferred pursuant to transfer authorities provided by this Act shall retain such designation.

Budgetary effects

308.
(a)

Statutory PAYGO Scorecards

The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay As-You-Go Act of 2010.

(b)

Senate PAYGO Scorecards

The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress).

(c)

Classification of budgetary effects

Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(7) and (c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall be estimated for purposes of section 251 of such Act.

This division may be cited as the Additional Emergency Appropriations for Coronavirus Response.

Speaker of the House of Representatives.

Vice President of the United States and President of the Senate.