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S. 3611, Provider Relief Fund Improvement Act

Summary

S. 3611, the Provider Relief Fund Improvement Act, is a Senate bill introduced February 9, 2022 by Shaheen, for herself and Collins, to provide for improvements in the reimbursement of eligible health care providers through the Provider Relief Fund, and for other purposes. Section 2, COVID–19 Provider Relief Fund improvements, begins with an extension of the deadline for eligible health care providers to use certain funds received from the COVID–19 Provider Relief Fund. For payment received periods 1 and 2, the extension is effective June 29, 2021.

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Issuer
Congressional materials
Document type
Bills Bills 117S3611Is Bills 117S3611Is
Case
Bills Bills 117S3611Is Bills 117S3611Is

Cite this document

“S. 3611, Provider Relief Fund Improvement Act.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-117s3611is-bills-117s3611is/, SHA-256 39c91de3ac04f879d692220ad535bbb0d4a31f2304135ad23e10eac73a17331c.

Full text

                                                                                                                                                                                II




                                                                       117TH CONGRESS
                                                                          2D SESSION
                                                                                                              S. 3611
                                                                           To provide for improvements in the reimbursement of eligible health care
                                                                             providers through the Provider Relief Fund, and for other purposes.




                                                                                   IN THE SENATE OF THE UNITED STATES
                                                                                                   FEBRUARY 9, 2022
                                                                       Mrs. SHAHEEN (for herself and Ms. COLLINS) introduced the following bill;
                                                                           which was read twice and referred to the Committee on Health, Edu-
                                                                           cation, Labor, and Pensions




                                                                                                                 A BILL
                                                                       To provide for improvements in the reimbursement of eligible
                                                                          health care providers through the Provider Relief Fund,
                                                                          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 ‘‘Provider Relief Fund
                                                                         5 Improvement Act’’.
                                                                         6     SEC. 2. COVID–19 PROVIDER RELIEF FUND IMPROVE-

                                                                         7                             MENTS.




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                                                                         8              (a) EXTENSION                      OF        DEADLINE                FOR          ELIGIBLE
                                                                         9 HEALTH CARE PROVIDERS TO USE CERTAIN FUNDS RE-


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                                                                         1     CEIVED            FROM           THE        COVID–19 PROVIDER RELIEF
                                                                         2 FUND.—
                                                                         3                        (1) PAYMENT RECEIVED PERIODS 1 AND 2.—
                                                                         4              Effective June 29, 2021, the deadline by which an
                                                                         5              eligible health care provider is required to use reim-
                                                                         6              bursements from the Provider Relief Fund received
                                                                         7              by such eligible health care provider during a cov-
                                                                         8              ered payment received period is extended until the
                                                                         9              end of the COVID–19 emergency period.
                                                                       10                         (2) ADJUSTMENT                      OF       REPORTING                  TIME   PE-

                                                                       11               RIOD.—The               Secretary shall make appropriate ad-
                                                                       12               justments to the reporting time period (as specified
                                                                       13               in the Provider Relief Fund guidance) that cor-
                                                                       14               responds to a covered payment received period to re-
                                                                       15               flect the extension of the applicable deadline under
                                                                       16               paragraph (1).
                                                                       17                         (3) MODIFICATION OF DEADLINE FOR PERIOD
                                                                       18               3.—The             deadline by which an eligible health care
                                                                       19               provider is required to use reimbursements from the
                                                                       20               Provider Relief Fund received by such eligible health
                                                                       21               care provider during the Payment Received Period
                                                                       22               referred to in the Provider Relief Fund Guidance as
                                                                       23               the Period 3 specified in table 1 of such guidance
                                                                       24               (beginning on January 1, 2021, and ending on June



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                                                                       25               30, 2021) shall be the later of—


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                                                                         1                                 (A) the end of the COVID–19 emergency
                                                                         2                        period; or
                                                                         3                                 (B) June 30, 2022.
                                                                         4              (b) REQUIREMENT TO DISTRIBUTE REMAINING
                                                                         5 COVID–19 PROVIDER RELIEF FUNDS BY MARCH 31,
                                                                         6 2022.—
                                                                         7                        (1) REQUIREMENT FOR DISTRIBUTIONS.—
                                                                         8                                 (A) IN GENERAL.—Not later than March
                                                                         9                        31, 2022, the Secretary shall distribute to eligi-
                                                                       10                         ble health care providers for health care related
                                                                       11                         expenses or lost revenues that are attributable
                                                                       12                         to coronavirus, any remaining funds appro-
                                                                       13                         priated to the Provider Relief Fund as of the
                                                                       14                         date of the enactment of this section for reim-
                                                                       15                         bursements.
                                                                       16                                  (B) DEADLINE                       TO      USE         FUNDS.—The

                                                                       17                         deadline by which an eligible health care pro-
                                                                       18                         vider is required to use reimbursements received
                                                                       19                         pursuant to subparagraph (A) is June 30,
                                                                       20                         2023.
                                                                       21                         (2) ACCOUNTING FOR HEALTH CARE RELATED
                                                                       22               EXPENSES OR LOST REVENUES IN THE SECOND,

                                                                       23               THIRD, AND FOURTH QUARTERS OF 2021.—Notwith-

                                                                       24               standing any other provision of law, distributions



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                                                                       25               made under paragraph (1) to eligible health care


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                                                                         1              providers shall account for financial losses and
                                                                         2              changes in operating expenses occurring in the sec-
                                                                         3              ond, third, or fourth quarter of calendar year 2021,
                                                                         4              that are attributable to coronavirus.
                                                                         5                        (3) ALLOCATION OF PAYMENTS RETURNED DUE
                                                                         6              TO PREVIOUS DEADLINES.—

                                                                         7                                 (A) IN GENERAL.—The Secretary shall es-
                                                                         8                        tablish a process for eligible health care pro-
                                                                         9                        viders to apply to receive funds from the Sec-
                                                                       10                         retary in amounts up to the amount each such
                                                                       11                         provider returned to the Provider Relief Fund
                                                                       12                         due to previous reporting and use of funds
                                                                       13                         deadlines.
                                                                       14                                  (B) CLARIFICATIONS.—Funding under this
                                                                       15                         paragraph shall be—
                                                                       16                                         (i) available with respect to amounts
                                                                       17                                  returned by eligible health care providers
                                                                       18                                  between June 30, 2021, and December 30,
                                                                       19                                  2021; and
                                                                       20                                         (ii) in addition to amounts made
                                                                       21                                  available to such providers under para-
                                                                       22                                  graph (1).
                                                                       23               (c) CLARIFICATION OF USE OF FUNDS FOR WORK-
                                                                       24      PLACE SAFETY AND SECURITY.—




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                                                                         1                        (1) IN GENERAL.—Funds appropriated to the
                                                                         2              Provider Relief Fund for eligible health care pro-
                                                                         3              viders and funds appropriated under section 1150C
                                                                         4              of the Social Security Act (42 U.S.C. 1320b–26) for
                                                                         5              eligible health care providers (as defined in sub-
                                                                         6              section (e)(1) of such section) before, on, or after
                                                                         7              the date of the enactment of this section may be
                                                                         8              used to reimburse an eligible health care provider for
                                                                         9              expenses incurred by the eligible health care provider
                                                                       10               for measures taken to establish or improve the secu-
                                                                       11               rity of the workplace of such eligible health care pro-
                                                                       12               vider and improve the safety of personnel of such eli-
                                                                       13               gible health care provider present at such workplace.
                                                                       14                         (2) ADDITIONAL CLARIFICATION OF PERMIS-
                                                                       15               SIBLE EXPENSES.—Expenses for workplace security

                                                                       16               and safety of personnel of an eligible health care
                                                                       17               provider described in paragraph (1) shall include the
                                                                       18               following:
                                                                       19                                  (A) Mitigation of risk of violence at the
                                                                       20                         workplace of such eligible health care provider,
                                                                       21                         including the employment of additional security
                                                                       22                         personnel, conduct of risk assessment activities,
                                                                       23                         implementation of response plans, implementa-
                                                                       24                         tion of small-scale changes to physical plant



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                                                                       25                         (such as the addition of more secure locks, the


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                                                                         1                        use of key card access, altering ingress and
                                                                         2                        egress points, and the installation of additional
                                                                         3                        security cameras), and staff education and
                                                                         4                        training.
                                                                         5                                 (B) Measures to prevent violence at the
                                                                         6                        workplace and against personnel of such eligible
                                                                         7                        health care provider, including education and
                                                                         8                        training of personnel on de-escalation protocols
                                                                         9                        and installation of panic buttons and other
                                                                       10                         similar, required equipment.
                                                                       11                                  (C) Trauma support for personnel with re-
                                                                       12                         spect to violence in the workplace, such as
                                                                       13                         counseling and other supports in the event of
                                                                       14                         significant workplace safety episodes, which
                                                                       15                         may include events that do not result in vio-
                                                                       16                         lence but may have significant impacts on per-
                                                                       17                         sonnel and the operations of the eligible health
                                                                       18                         care provider (commonly referred to as near-
                                                                       19                         misses).
                                                                       20               (d) DEFINITIONS.—In this section:
                                                                       21                         (1) CORONAVIRUS.—The term ‘‘coronavirus’’
                                                                       22               means              severe           acute             respiratory                 syndrome
                                                                       23               coronavirus                    2     (SARS–CoV–2)                         or       another
                                                                       24               coronavirus with pandemic potential.



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                                                                         1                        (2) COVERED PAYMENT RECEIVED PERIOD.—
                                                                         2              The term ‘‘covered payment received period’’ means,
                                                                         3              with respect to Payment Received Periods referred
                                                                         4              to in the Provider Relief Fund Guidance—
                                                                         5                                 (A) the ‘‘Period 1’’ specified in table 1 of
                                                                         6                        such guidance (beginning on April 10, 2020,
                                                                         7                        and ending on June 30, 2020); and
                                                                         8                                 (B) the ‘‘Period 2’’ specified in such table
                                                                         9                        (beginning on July 1, 2020, and ending on De-
                                                                       10                         cember 31, 2020).
                                                                       11                         (3)      COVID–19                   EMERGENCY                   PERIOD.—The

                                                                       12               term ‘‘COVID–19 emergency period’’ means the
                                                                       13               emergency period described in section 1135(g)(1)(B)
                                                                       14               of the Social Security Act (42 U.S.C. 1320b–
                                                                       15               5(g)(1)(B)).
                                                                       16                         (4) ELIGIBLE HEALTH CARE PROVIDER.—The
                                                                       17               term ‘‘eligible health care provider’’ has the meaning
                                                                       18               given such term in the third proviso of the third
                                                                       19               paragraph under the heading ‘‘Department of
                                                                       20               Health and Human Services—Office of the Sec-
                                                                       21               retary—Public Health and Social Services Emer-
                                                                       22               gency Fund’’ in division B of the CARES Act (Pub-
                                                                       23               lic Law 116–136).
                                                                       24                         (5) PROVIDER RELIEF FUND.—The term ‘‘Pro-



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                                                                       25               vider Relief Fund’’ means the funding appropriated


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                                                                         1              to prevent, prepare for, and respond to coronavirus,
                                                                         2              domestically or internationally, for necessary ex-
                                                                         3              penses to reimburse, through grants or other mecha-
                                                                         4              nisms, eligible health care providers for health care
                                                                         5              related expenses or lost revenues that are attrib-
                                                                         6              utable to coronavirus for which appropriations are
                                                                         7              made under—
                                                                         8                                 (A) the third paragraph under the heading
                                                                         9                        ‘‘Department of Health and Human Services—
                                                                       10                         Office of the Secretary—Public Health and So-
                                                                       11                         cial Services Emergency Fund’’ in division B of
                                                                       12                         the CARES Act (Public Law 116–136);
                                                                       13                                  (B) the first paragraph under the heading
                                                                       14                         ‘‘Department of Health and Human Services—
                                                                       15                         Office of the Secretary—Public Health and So-
                                                                       16                         cial Services Emergency Fund’’ in division B of
                                                                       17                         the Paycheck Protection Program and Health
                                                                       18                         Care Enhancement Act (Public Law 116–139);
                                                                       19                         and
                                                                       20                                  (C) the third paragraph under the heading
                                                                       21                         ‘‘Department of Health and Human Services—
                                                                       22                         Office of the Secretary—Public Health and So-
                                                                       23                         cial       Services             Emergency               Fund’’          of   the
                                                                       24                         Coronavirus Response and Relief Supplemental



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                                                                       25                         Appropriations Act, 2021 (division M of the


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                                                                         1                        Consolidated Appropriations Act, 2021 (Public
                                                                         2                        Law 116–260)).
                                                                         3                        (6) PROVIDER RELIEF FUND GUIDANCE.—The
                                                                         4              term ‘‘Provider Relief Fund Guidance’’ refers to the
                                                                         5              guidance entitled ‘‘Provider Relief Fund General and
                                                                         6              Targeted Distribution Post-Payment Notice of Re-
                                                                         7              porting Requirements’’ issued by the Secretary of
                                                                         8              Health and Human Services on June 11, 2021.
                                                                         9                        (7) SECRETARY.—The term ‘‘Secretary’’ means
                                                                       10               the Secretary of Health and Human Services, acting
                                                                       11               through the Administrator of the Health Resources
                                                                       12               and Services Administration.
                                                                                                                                  Æ




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