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Pub. L. 116–139, PPP and Health Care Enhancement Act

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                                                                                      PUBLIC LAW 116–139—APR. 24, 2020




                                                                           PAYCHECK PROTECTION PROGRAM
                                                                         AND HEALTH CARE ENHANCEMENT ACT




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                                                                   134 STAT. 620                             PUBLIC LAW 116–139—APR. 24, 2020




                                                                                           Public Law 116–139
                                                                                           116th Congress
                                                                                                                                       An Act
                                                                      Apr. 24, 2020         Making appropriations for the Department of the Interior, environment, and related
                                                                       [H.R. 266]             agencies for the fiscal year ending September 30, 2019, and for other purposes.

                                                                                               Be it enacted by the Senate and House of Representatives of
                                                                   Paycheck                the United States of America in Congress assembled,
                                                                   Protection
                                                                   Program and             SECTION 1. SHORT TITLE.
                                                                   Health Care
                                                                   Enhancement                 This Act may be cited as the ‘‘Paycheck Protection Program
                                                                   Act.                    and Health Care Enhancement Act’’.
                                                                   15 USC 9001             SEC. 2. TABLE OF CONTENTS.
                                                                   note.
                                                                                                  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 dis-
                                                                                                      aster loans, and emergency grants.
                                                                                           Sec. 102. Emergency designation.
                                                                                                    DIVISION B—ADDITIONAL EMERGENCY APPROPRIATIONS FOR
                                                                                                                   CORONAVIRUS RESPONSE
                                                                                           SEC. 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.

                                                                                                       DIVISION A—SMALL BUSINESS
                                                                                                               PROGRAMS
                                                                                           SEC. 101. AMENDMENTS TO THE PAYCHECK PROTECTION PROGRAM,
                                                                                                      ECONOMIC INJURY DISASTER LOANS, AND EMERGENCY
                                                                                                      GRANTS.
                                                                                               (a) INCREASED AUTHORITY FOR COMMITMENTS AND APPROPRIA-
                                                                                           TIONS FOR PAYCHECK PROTECTION PROGRAM.—Title I of division
                                                                                           A of the Coronavirus Aid, Relief, and Economic Security Act (Public
                                                                                           Law 116–136) is amended—
                                                                   Ante, p. 293.                    (1) in section 1102(b)(1), by striking ‘‘$349,000,000,000’’
                                                                                               and inserting ‘‘$659,000,000,000’’; and
                                                                   Ante, p. 301.                    (2) in section 1107(a)(1), by striking ‘‘$349,000,000,000’’
                                                                                               and inserting ‘‘$670,335,000,000’’.




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                                                                                               (b) INCREASED AUTHORIZATION FOR EMERGENCY EIDL
                                                                                           GRANTS.—Section 1110(e)(7) of division A of the Coronavirus Aid,




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                                                                                      PUBLIC LAW 116–139—APR. 24, 2020                                                 134 STAT. 621

                                                                   Relief, and Economic Security Act (Public Law 116–136) is amended                                     Ante, p. 308.
                                                                   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—                                                         Ante, p. 306.
                                                                             (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:                                                Definitions.
                                                                                        ‘‘(x) the term ‘community development financial
                                                                                  institution’ has the meaning given the term in section
                                                                                  103 of the Riegle Community Development and Regu-
                                                                                  latory 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 para-
                                                                                  graph 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




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                                                                                        $10,000,000,000 and less than $50,000,000,000;
                                                                                        and




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                                                                   134 STAT. 622                             PUBLIC LAW 116–139—APR. 24, 2020

                                                                                                                        ‘‘(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 para-
                                                                                                              graph 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.’’.
                                                                                           SEC. 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 resolu-
                                                                                           tion on the budget for fiscal year 2018.
                                                                   Additional                         DIVISION B—ADDITIONAL EMERGENCY
                                                                   Emergency                      APPROPRIATIONS FOR CORONAVIRUS RESPONSE
                                                                   Appropriations
                                                                   for Coronavirus             The following sums are hereby appropriated, out of any money
                                                                   Response.
                                                                                           in the Treasury not otherwise appropriated, for the fiscal year
                                                                                           ending September 30, 2020, and for other purposes, namely:
                                                                                                                                        TITLE 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 attrib-
                                                                                           utable 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:
                                                                   Reports.                Provided further, That recipients of payments under this paragraph
                                                                   Records.                in this Act shall submit reports and maintain documentation as
                                                                   Determination.          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




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                                                                                           in this Act for such payments, and such reports and documentation
                                                                                           shall be in such form, with such content, and in such time as




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                                                                                      PUBLIC LAW 116–139—APR. 24, 2020                                                 134 STAT. 623

                                                                   the Secretary may prescribe for such purpose: Provided further,
                                                                   That ‘‘eligible health care providers’’ means public entities, Medicare                               Definition.
                                                                   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 applica-                                Review.
                                                                   tions and make payments under this paragraph in this Act: Pro-
                                                                   vided 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,                                  Definition.
                                                                   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 emer-
                                                                   gency 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 state-
                                                                   ment 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                                    Reports.
                                                                   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                                     Audits.
                                                                   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                                     Reports.
                                                                   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                                     Updates.
                                                                   shall be updated and submitted to such Committees every 60 days                                       Time period.
                                                                   until funds are expended: Provided further, That such amount
                                                                   is designated by the Congress as being for an emergency require-
                                                                   ment 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 expo-
                                                                   sure, including molecular, antigen, and serological tests, the manu-
                                                                   facturing, procurement and distribution of tests, testing equipment
                                                                   and testing supplies, including personal protective equipment
                                                                   needed for administering tests, the development and validation




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                                                                   of rapid, molecular point-of-care tests, and other tests, support
                                                                   for workforce, epidemiology, to scale up academic, commercial,




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                                                                   134 STAT. 624                             PUBLIC LAW 116–139—APR. 24, 2020

                                                                                           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 nec-
                                                                                           essary expenses to develop, purchase, administer, process, and ana-
                                                                                           lyze 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 enti-
                                                                                           ties engaged in COVID–19 testing, conduct surveillance, trace con-
                                                                                           tacts, 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 agree-
                                                                                           ment 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 ‘‘Sec-
                                                                                           retary’’) 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:
                                                                   Deadline.               Provided further, That not later than 30 days after the date of
                                                                   Testing plan.           enactment of this Act, the Governor or designee of each State,
                                                                                           locality, territory, tribe, or tribal organization receiving funds pursu-
                                                                                           ant 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
                                                                   Estimates.              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 avail-
                                                                                           able 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 mitiga-
                                                                   Methodologies.          tion 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
                                                                   Deadline.               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, epide-
                                                                                           miology, laboratory capacity expansion, contact tracing, public
                                                                                           health data surveillance and analytics infrastructure modernization,
                                                                                           disseminating information about testing, and workforce support




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                                                                                           necessary to expand and improve COVID–19 testing: Provided fur-
                                                                                           ther, That of the amount appropriated under this paragraph in




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                                                                                      PUBLIC LAW 116–139—APR. 24, 2020                                                 134 STAT. 625

                                                                   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 para-
                                                                   graph 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 govern-
                                                                   mental 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 addi-
                                                                   tion 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, manufac-
                                                                   turing, 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 diag-
                                                                   nostic, serological, antigen, and other tests, and related administra-
                                                                   tive 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, renova-
                                                                   tion, 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 sup-
                                                                   plies: Provided further, That the amount appropriated under this                                      Determination.
                                                                   paragraph in this Act may be used for construction, alteration,                                       Contracts.
                                                                   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 con-
                                                                   tract 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 admin-
                                                                   istering tests, increased workforce and trainings, emergency oper-
                                                                   ation centers, and surge capacity for diagnostic, serologic, or other
                                                                   COVID–19 tests, or related supplies: Provided further, That prod-




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                                                                   ucts purchased with funds appropriated under this paragraph in
                                                                   this Act may, at the discretion of the Secretary, be deposited in




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                                                                   134 STAT. 626                             PUBLIC LAW 116–139—APR. 24, 2020

                                                                                           the Strategic National Stockpile under section 319F–2 of the Public
                                                                                           Health Service Act: Provided further, That of the amount appro-
                                                                                           priated 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 appro-
                                                                                           priated 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:
                                                                   Contracts.              Provided further, That such funds shall be distributed using the
                                                                   Requirements.           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 estab-
                                                                                           lished for such program; and shall be subject to the process require-
                                                                                           ments applicable to such program: Provided further, That the Sec-
                                                                                           retary 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
                                                                   Coordination.           under this heading in Public Law 116–127: Provided further, That
                                                                   Reports.                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
                                                                   Data.                   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 rel-
                                                                                           evant factors of individuals tested for or diagnosed with COVID–
                                                                                           19, to the extent such information is available: Provided further,
                                                                   Data.                   That such report shall include information on the number and
                                                                                           rates of cases, hospitalizations, and deaths as a result of COVID–
                                                                   Updates.                19: Provided further, That such report shall be submitted to the
                                                                   Time period.            Committees on Appropriations of the House and Senate, and the
                                                                                           Committee on Energy and Commerce of the House of Representa-
                                                                                           tives 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,
                                                                   Reports.                2020: Provided further, That not later than 180 days after the
                                                                   Data.                   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, eth-
                                                                                           nicity, age, sex, geographic region, and other relevant factors: Pro-
                                                                   Analysis.               vided further, That such report shall include epidemiological anal-
                                                                   Coordination.           ysis of such data: Provided further, That not later than 30 days




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                                                                   Reports.                after the date of the enactment of this Act, the Secretary, in
                                                                   Testing plan.           coordination with other departments and agencies, as appropriate,




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                                                                                      PUBLIC LAW 116–139—APR. 24, 2020                                                 134 STAT. 627

                                                                   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 esti-                                    Testing estimates
                                                                   mates of testing production that account for new and emerging                                         and guidelines.
                                                                   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 organiza-
                                                                   tion, and urban Indian health organization: Provided further, That                                    Updates.
                                                                   such plan shall be updated every 90 days until funds are expended:                                    Time period.
                                                                   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 Con-
                                                                   trol Act of 1985.

                                                                                         GENERAL PROVISIONS—THIS TITLE

                                                                                                 (INCLUDING TRANSFER OF FUNDS)

                                                                        SEC. 101. The requirements, authorities, and conditions                                          Applicability.
                                                                   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.
                                                                        SEC. 102. Funds appropriated by this Act under the heading                                       Consultation.
                                                                   ‘‘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 ‘‘Cen-
                                                                   ters 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                                        Notification.
                                                                   the House of Representatives and the Senate shall be notified                                         Time period.
                                                                   10 days in advance of any such transfer: Provided further, That,                                      Determination.
                                                                   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 trans-
                                                                   ferred 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.
                                                                        SEC. 103. Of the funds appropriated by this Act under the




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                                                                   heading ‘‘Public Health and Social Services Emergency Fund’’, up
                                                                   to $6,000,000 shall be transferred to, and merged with, funds made




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                                                                   134 STAT. 628                             PUBLIC LAW 116–139—APR. 24, 2020

                                                                                           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:
                                                                   Consultation.           Provided, That the Inspector General of the Department of Health
                                                                                           and Human Services shall consult with the Committees on Appro-
                                                                                           priations 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.
                                                                                                                                       TITLE 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 Con-
                                                                                           trol 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 internation-
                                                                                           ally: 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 Con-
                                                                                           trol Act of 1985.
                                                                                                                                      TITLE III
                                                                                                                 GENERAL PROVISIONS—THIS ACT
                                                                                                SEC. 301. Each amount appropriated or made available by




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                                                                                           this Act is in addition to amounts otherwise appropriated for the
                                                                                           fiscal year involved.




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                                                                                      PUBLIC LAW 116–139—APR. 24, 2020                                                 134 STAT. 629

                                                                        SEC. 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.
                                                                        SEC. 303. Unless otherwise provided for by this Act, the addi-
                                                                   tional 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.
                                                                        SEC. 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.
                                                                        SEC. 305. In this Act, the term ‘‘coronavirus’’ means SARS–                                      Definition.
                                                                   CoV–2 or another coronavirus with pandemic potential.
                                                                        SEC. 306. Each amount designated in this Act by the Congress                                     President.
                                                                   as being for an emergency requirement pursuant to section
                                                                   251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Con-
                                                                   trol 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.
                                                                        SEC. 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 Con-
                                                                   trol 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

                                                                        SEC. 308. (a) STATUTORY PAYGO SCORECARDS.—The budgetary
                                                                   effects of this division shall not be entered on either PAYGO score-
                                                                   card 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 accom-
                                                                   panying 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.




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                                                                   134 STAT. 630                             PUBLIC LAW 116–139—APR. 24, 2020

                                                                                               This division may be cited as the ‘‘Additional Emergency Appro-
                                                                                           priations for Coronavirus Response’’.

                                                                                                 Approved April 24, 2020.




                                                                                           LEGISLATIVE HISTORY—H.R. 266:
                                                                                           CONGRESSIONAL RECORD:
                                                                                               Vol. 165 (2019): Jan. 11, considered and passed House.
                                                                                               Vol. 166 (2020): Apr. 21, considered and passed Senate, amended.
                                                                                                                Apr. 23, House concurred in Senate amendment.
                                                                                           DAILY COMPILATION OF PRESIDENTIAL DOCUMENTS (2020):
                                                                                                Apr. 24, Presidential remarks.




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