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H.R. 8245 (116th Congress) — Payments to hospitals in COVID–19 hot spots to provide hero pay to eligible workers

Summary

H.R. 8245, The Dr. Joseph Costa Honoring Essential Americans Risking Their Safety Act of 2020, was introduced in the House of Representatives on September 14, 2020 by Mr. Ruppersberger and referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, and Ways and Means. Section 2 authorizes payments to hospitals in COVID-19 hot spots to provide hero pay of $110 for March, 2020 and $225 for any other applicable month to each eligible worker. Section 3 sets up a voluntary registry of individuals who work at high risk, and section 4 covers loan forgiveness for service in a long-term care or nursing home facility.

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Congressional materials
Document type
Bills Bills 116Hr8245Ih Bills 116Hr8245Ih
Case
Bills Bills 116Hr8245Ih Bills 116Hr8245Ih

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“H.R. 8245 (116th Congress) — Payments to hospitals in COVID–19 hot spots to provide hero pay to eligible workers.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-116hr8245ih-bills-116hr8245ih/, SHA-256 6e27d4eb9535ff72f726be5e69416d4ea13c040805b0ea829ce7b973a04bdf7a.

Full text

                                                                                                                                                                          I




                                                                       116TH CONGRESS
                                                                          2D SESSION
                                                                                                            H. R. 8245
                                                                       To authorize the Secretary of Health and Human Services to make payments
                                                                           to hospitals in COVID–19 hot spots to provide hero pay to eligible
                                                                           workers, and for other purposes.




                                                                                     IN THE HOUSE OF REPRESENTATIVES
                                                                                                    SEPTEMBER 14, 2020
                                                                       Mr. RUPPERSBERGER introduced the following bill; which was referred to the
                                                                           Committee on Energy and Commerce, and in addition to the Committees
                                                                           on Education and Labor, and Ways and Means, for a period to be subse-
                                                                           quently determined by the Speaker, in each case for consideration of such
                                                                           provisions as fall within the jurisdiction of the committee concerned




                                                                                                                 A BILL
                                                                       To authorize the Secretary of Health and Human Services
                                                                          to make payments to hospitals in COVID–19 hot spots
                                                                          to provide hero pay to eligible workers, and for other
                                                                          purposes.

                                                                         1              Be it enacted by the Senate and House of Representa-
                                                                         2 tives of the United States of America in Congress assembled,
                                                                         3     SECTION 1. SHORT TITLE.

                                                                         4              This Act may be cited as ‘‘The Dr. Joseph Costa
                                                                         5 Honoring Essential Americans Risking Their Safety Act




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                                                                         6 of 2020’’.




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                                                                         1     SEC. 2. HERO PAY FOR ELIGIBLE WORKERS AT HOSPITALS

                                                                         2                             IN COVID–19 HOT SPOTS.

                                                                         3              (a) HERO PAYMENTS.—
                                                                         4                       (1) IN GENERAL.—Subject to the availability of
                                                                         5              appropriations, the Secretary of Health and Human
                                                                         6              Services (in this section referred to as the ‘‘Sec-
                                                                         7              retary’’) shall make a payment to each eligible hos-
                                                                         8              pital to provide hero pay to each eligible worker of
                                                                         9              the hospital.
                                                                       10                        (2) ELIGIBLE HOSPITALS.—To be eligible to
                                                                       11               seek a payment under this section, a hospital shall—
                                                                       12                                  (A) be located in an area that is or was a
                                                                       13                        COVID–19 hot spot identified pursuant to sub-
                                                                       14                        section (b); and
                                                                       15                                  (B) submit an application at such time, in
                                                                       16                        such manner, and containing such information
                                                                       17                        and assurances as the Secretary may require.
                                                                       18                        (3) ELIGIBLE WORKERS.—To be eligible to re-
                                                                       19               ceive hero pay pursuant to this section, a worker
                                                                       20               shall—
                                                                       21                                  (A) be a health care professional (including
                                                                       22                        individuals charged with assisting in health care
                                                                       23                        services, the nonmedical care of patients, or
                                                                       24                        maintaining order and cleanliness) serving as




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                                                                       25                        the employee or agent of a hospital receiving a
                                                                       26                        payment under this section; and
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                                                                         1                                 (B) provide treatment or other applicable
                                                                         2                       services at the hospital directly to patients with
                                                                         3                       COVID–19.
                                                                         4                       (4) PAYMENT PERIOD.—A hospital receiving a
                                                                         5              payment under this section may provide hero pay to
                                                                         6              a worker under this section only with respect to
                                                                         7              months during which—
                                                                         8                                 (A) the hospital is located, for any number
                                                                         9                       of days, in a COVID–19 hot spot identified
                                                                       10                        pursuant to subsection (b); and
                                                                       11                                  (B) the worker provides treatment or other
                                                                       12                        applicable services, as described in paragraph
                                                                       13                        (3), for a minimum of 10 work days.
                                                                       14                        (5) PAYMENT AMOUNT.—The amount of the
                                                                       15               hero pay with respect to an eligible worker shall
                                                                       16               be—
                                                                       17                                  (A) $110 for March, 2020, if the payment
                                                                       18                        period for such worker includes such month;
                                                                       19                        and
                                                                       20                                  (B) $225 for any other applicable month.
                                                                       21                        (6) EXCLUSION                        FROM       GROSS            INCOME.—For

                                                                       22               purposes of the Internal Revenue Code of 1986,
                                                                       23               gross income shall not include hero pay under this
                                                                       24               section.



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                                                                       25               (b) IDENTIFICATION OF HOT SPOTS.—


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                                                                         1                       (1) IN GENERAL.—For purposes of this section,
                                                                         2              the Director of the Centers for Disease Control and
                                                                         3              Prevention (in this section referred to as the ‘‘Direc-
                                                                         4              tor’’) shall identify all COVID–19 hot spots in the
                                                                         5              United States.
                                                                         6                       (2) DEFINITION.—In this section, the term
                                                                         7              ‘‘COVID–19 hot spot’’ means an area—
                                                                         8                                 (A) for which a State declaration of emer-
                                                                         9                       gency is in effect in connection with COVID–
                                                                       10                        19; and
                                                                       11                                  (B) that has, as determined by the Direc-
                                                                       12                        tor, a high rate of hospitalization associated
                                                                       13                        with COVID–19.
                                                                       14      SEC. 3. VOLUNTARY REGISTRY OF CERTAIN INDIVIDUALS

                                                                       15                              WHO WORK AT HIGH RISK DURING COVID–19

                                                                       16                              PANDEMIC.

                                                                       17               (a) REGISTRY OF EMPLOYEES AT RISK OF COVID–
                                                                       18 19.—Beginning not later than 180 days after the date of
                                                                       19 the enactment of this Act, acting through the Director of
                                                                       20 the National Institute for Occupational Safety and Health
                                                                       21 shall maintain a registry of individuals who worked, dur-
                                                                       22 ing the emergency period, as a physician, nurse, or non-
                                                                       23 physician health care specialist in a hospital or COVID–
                                                                       24 19 alternative care site.



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                                                                         1              (b) CONSENT REQUIRED FOR INCLUSION.—The Di-
                                                                         2 rector shall—
                                                                         3                       (1) include an individual in the registry under
                                                                         4              this section only with the individual’s consent; and
                                                                         5                       (2) allow individuals in the registry, at any
                                                                         6              time, to opt out of the registry under this section
                                                                         7              and health monitoring under subsection (d).
                                                                         8              (c) GRANTS TO STATES.—The Director may award
                                                                         9 grants to States to encourage and facilitate the inclusion
                                                                       10 of eligible individuals in the registry under this section.
                                                                       11               (d) HEALTH MONITORING.—
                                                                       12                        (1) IN GENERAL.—Beginning not later than
                                                                       13               180 days after the date of the enactment of this Act,
                                                                       14               the Director shall monitor the health of the individ-
                                                                       15               uals in the registry under this section who, at some
                                                                       16               point during or after the emergency period, tested
                                                                       17               positive through diagnostic or serological testing for
                                                                       18               a present or past infection with the virus that causes
                                                                       19               COVID–19.
                                                                       20                        (2) DURATION.—Subject to subsection (b)(2),
                                                                       21               in carrying out monitoring under paragraph (1), the
                                                                       22               Director shall, with respect to each individual in the
                                                                       23               registry under this section, conduct such monitoring
                                                                       24               for the lifetime of the individual.



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                                                                         1              (e) PRIVACY REQUIREMENTS.—The data collection
                                                                         2 and analysis necessary for the registry under this section
                                                                         3 and monitoring under subsection (d) shall be conducted
                                                                         4 and maintained in a manner that protects the confiden-
                                                                         5 tiality of individually identifiable health information con-
                                                                         6 sistent with applicable statutes and regulations, including,
                                                                         7 as applicable, HIPAA privacy and security law (as defined
                                                                         8 in section 3009(a)(2) of the Public Health Service Act (42
                                                                         9 U.S.C. 300jj–19(a)(2)) and section 552a of title 5, United
                                                                       10 States Code.
                                                                       11               (f) AVAILABILITY FOR RESEARCH.—Subject to sub-
                                                                       12 section (e), in addition to using the registry under this
                                                                       13 subsection for health monitoring under subsection (d), the
                                                                       14 Director shall make the information in the registry avail-
                                                                       15 able to researchers for public health research.
                                                                       16               (g) PRELIMINARY REPORT.—Not later than 180 days
                                                                       17 after the date of the enactment of this Act, the Director
                                                                       18 shall submit to Congress a preliminary report on overall
                                                                       19 health outcomes of individuals in the registry under sub-
                                                                       20 section (a), including—
                                                                       21                        (1) recommendations on best practices for pro-
                                                                       22               tecting workers described in subsection (a) during
                                                                       23               the COVID–19 pandemic; and
                                                                       24                        (2) recommendations on how to compensate in-



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                                                                       25               dividuals in the registry under subsection (a) for


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                                                                         1              health care costs, which may include costs for acute
                                                                         2              and chronic conditions and mental health conditions,
                                                                         3              that develop as a result of contracting the virus that
                                                                         4              causes COVID–19.
                                                                         5              (h) DEFINITIONS.—In this section:
                                                                         6                       (1) DIRECTOR.—The term ‘‘Director’’ means
                                                                         7              the Director of the National Institute of Occupa-
                                                                         8              tional Safety and Health.
                                                                         9                       (2) EMERGENCY                        PERIOD.—The                 term ‘‘emer-
                                                                       10               gency period’’ has the meaning given to that term
                                                                       11               in section 1135(g)(1)(B) of the Social Security Act
                                                                       12               (42 U.S.C. 1320b–5(g)(1)(B))
                                                                       13                        (3) STATE.—The term ‘‘State’’ means each of
                                                                       14               the several States and the District of Columbia.
                                                                       15      SEC. 4. LOAN FORGIVENESS FOR SERVICE IN A LONG-TERM

                                                                       16                              CARE OR NURSING HOME FACILITY.

                                                                       17               (a) IN GENERAL.—During a qualifying COVID–19
                                                                       18 emergency, the Secretary of Education or the Secretary
                                                                       19 of Health and Human Services, as applicable, shall repay
                                                                       20 or cancel 10 percent of the outstanding balance of prin-
                                                                       21 cipal and interest due on the eligible Federal loans and
                                                                       22 the private education loans of a borrower for each 6-month
                                                                       23 period of service completed by the borrower.
                                                                       24               (b) LIMITATION.—The total amount of loans of a



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                                                                       25 borrower repaid or cancelled under paragraph (1) may not


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                                                                         1 exceed 50 percent of the outstanding balance of principal
                                                                         2 and interest due on such loans on the first day of the first
                                                                         3 6-month period of service with respect to which such loans
                                                                         4 are repaid or cancelled.
                                                                         5              (c) TREATMENT UNDER IRC.—The amount of a
                                                                         6 loan, and interest on a loan, which is canceled or repaid
                                                                         7 under this section shall not be considered income to the
                                                                         8 borrower for purposes of the Internal Revenue Code of
                                                                         9 1986.
                                                                       10               (d) DEFINITIONS.—In this section:
                                                                       11                        (1) ELIGIBLE FEDERAL LOAN.—The term ‘‘eli-
                                                                       12               gible Federal loan’’ means—
                                                                       13                                  (A) made, insured, or guaranteed under
                                                                       14                        part B, part D, or part E of title IV of the
                                                                       15                        Higher Education Act of 1965 (20 U.S.C. 1071
                                                                       16                        et seq., 1087a et seq., or 1087aa et seq.);
                                                                       17                                  (B) made under subpart II of part A of
                                                                       18                        title VII of the Public Health Service Act (42
                                                                       19                        U.S.C. 292q et seq.); or
                                                                       20                                  (C) made under part E of title VIII of the
                                                                       21                        Public Health Service Act (42 U.S.C. 297a et
                                                                       22                        seq.).
                                                                       23                        (2) QUALIFYING COVID–19 EMERGENCY.—The
                                                                       24               term ‘‘qualifying COVID–19 emergency’’ has the



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                                                                       25               meaning given to the term ‘‘qualifying emergency’’


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                                                                         1              in section 3502(a) of the CARES Act (Public Law
                                                                         2              116–136).
                                                                         3                       (3) PERIOD OF SERVICE.—The term ‘‘period of
                                                                         4              service’’, used with respect to a borrower, means a
                                                                         5              period in which the borrower—
                                                                         6                                 (A) is employed in a long-term care facil-
                                                                         7                       ity, nursing home facility, skilled nursing facil-
                                                                         8                       ity, or post-acute care facility located in a juris-
                                                                         9                       diction with respect to which a qualifying
                                                                       10                        COVID–19 emergency has been declared; and
                                                                       11                                  (B) provides care directly to an individual
                                                                       12                        in such facility at least 10 days per month.
                                                                       13                        (4) PRIVATE                  EDUCATION                LOAN.—The          term
                                                                       14               ‘‘private education loan’’ has the meaning given such
                                                                       15               term under section 140(a) of the Truth in Lending
                                                                       16               Act.
                                                                       17      SEC. 5. GRANTS FOR PROFESSIONAL TRAINING.

                                                                       18               (a) GRANT AUTHORIZED.—The Secretary of Health
                                                                       19 and Human Services shall pay to each eligible individual
                                                                       20 who submits an application under subsection (b), a grant
                                                                       21 equal to 50 percent of the cost of the tuition and fees for
                                                                       22 eligible professional training, which may not exceed
                                                                       23 $1,000 per individual.
                                                                       24               (b) APPLICATION.—To receive a grant under this sec-



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                                                                       25 tion, an eligible individual shall submit an application to


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                                                                         1 the Secretary at such time, in such manner, and con-
                                                                         2 taining such information as the Secretary may require,
                                                                         3 which shall include an agreement to commit to employ-
                                                                         4 ment, for not less than a 2-year period after receiving the
                                                                         5 eligible professional training for which the grant is award-
                                                                         6 ed, at a long-term care facility, nursing home facility,
                                                                         7 skilled nursing facility, or post-acute care facility and at
                                                                         8 which the individual will provide care directly to an indi-
                                                                         9 vidual in such facility at least 10 days per month for such
                                                                       10 2-year period.
                                                                       11               (c) REPAYMENT.—
                                                                       12                        (1) IN GENERAL.—In the event that an eligible
                                                                       13               individual fails or refuses to comply with the employ-
                                                                       14               ment commitment under subsection (b), the sum of
                                                                       15               the amounts of any grant received by such individual
                                                                       16               may, upon a determination of such a failure or re-
                                                                       17               fusal in such employment commitment, be subject to
                                                                       18               repayment, together with interest thereon accruing
                                                                       19               from the date of the grant award, in accordance
                                                                       20               with terms and conditions specified by the Secretary
                                                                       21               in regulations under this section.
                                                                       22                        (2) EXTENUATING CIRCUMSTANCES.—The Sec-
                                                                       23               retary may waive any repayment requirement under
                                                                       24               paragraph (1) in the event of extenuating cir-



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                                                                       25               cumstances.


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                                                                         1              (d) DEFINITIONS.—In this subsection:
                                                                         2                       (1) ELIGIBLE INDIVIDUAL.—The term ‘‘eligible
                                                                         3              individual’’ means an individual who is employed,
                                                                         4              and provides the care, as described in section
                                                                         5              4(d)(3).
                                                                         6                       (2) ELIGIBLE PROFESSIONAL TRAINING.—The
                                                                         7              term ‘‘eligible professional training’’ means training
                                                                         8              that leads to a recognized postsecondary credential
                                                                         9              for a health care career in a long-term care facility,
                                                                       10               nursing home facility, skilled nursing facility, or
                                                                       11               post-acute care facility.
                                                                       12                        (3) RECOGNIZED                        POSTSECONDARY                      CREDEN-

                                                                       13               TIAL.—The term ‘‘recognized postsecondary creden-

                                                                       14               tial’’ has the meaning given the term in section 3 of
                                                                       15               the Workforce Innovation and Opportunity Act (29
                                                                       16               U.S.C. 3102).
                                                                                                                                  Æ




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