COVID-19 Policy Update - Summary of Key Policies-HEALS Act vs. HEROES Act - Akin Gump Strauss Hauer & Feld LLP
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COVID-19 Policy Update Summary of Key Policies—HEALS Act vs. HEROES Act July 28, 2020 Health Provisions Senate House HEALS Act HEROES Act COVID-19 Requires the Department Requires the Centers for Testing/Contact Tracing of Health and Human Disease Control and Services (HHS) to publish Prevention (CDC) to procedures and policies to create a new “nationwide expand access to samples evidence-based system” to support the for COVID-19 testing, development of COVID-19 contact tracing, diagnostics, therapeutics surveillance and and vaccines. No national mitigation. Grants would testing/contact tracing be allocated to provide a program is required. minimum level of funding for each state, with additional funds flowing to high-impact areas. © 2020 Akin Gump Strauss Hauer & Feld LLP 1
Senate House HEALS Act HEROES Act Telehealth Allows the Centers for Authorizes the Department Medicare and Medicaid of Veterans Affairs to Services (CMS) to extend make telehealth Medicare telehealth capabilities available to flexibilities through homeless veterans. No December 31, 2021 or the Medicare telehealth end of the public health policies. emergency (PHE), whichever is later. Extends telehealth flexibilities for federally qualified health centers (FQHCs) and rural health clinics (RHCs) for five years beyond the end of the PHE. Medicare Provides up to 270 days Reduces the interest rate Advance/Accelerated before offsetting claims for providers to one Payments and 18 months for Part A percent, limits recoupment providers and at least 14 to no more than 25 months for Part B percent of Medicare providers and suppliers to reimbursement claims, pay the full balance and and provides one full year before interest accrues. before offsetting claims No change to the interest and two years for rate. Allows employers to providers to pay the full offer telehealth as an balance. excepted benefit to employees who are not full-time or do not qualify for their employer’s coverage. © 2020 Akin Gump Strauss Hauer & Feld LLP 2
Senate House HEALS Act HEROES Act Nursing Homes Authorizes the creation of Directs HHS to allocate federal nursing home funds to states to create strike teams to supplement nursing home “strike state efforts. teams.” Requires the Secretary to: Requires HHS to provide develop online training additional assistance courses for nursing through Medicare Quality facilities, survey agencies, Improvement the long-term care Organizations (QIOs) to ombudsman in each state facilities struggling with and other individuals; infection control. enhance diagnostic testing; and develop training materials for personnel of nursing homes. Requires the Secretary to provide governors with a list of nursing facilities in which the reported cases of COVID-19 increased during the previous week. Authorizes the Secretary to create a website and seek input on developing training courses and best practices in infection control and prevention, including cohorting, strategies and use of telehealth to mitigate the transmission of COVID-19. Authorizes HHS to work with the Elder Justice Coordinating Council to promote testing and infection control in nursing facilities. Medicare Part B Maintains 2021 Medicare No applicable language. Part B premiums and deductible at 2020 levels. © 2020 Akin Gump Strauss Hauer & Feld LLP 3
Senate House HEALS Act HEROES Act Consolidated Omnibus No applicable language. Provides full premium Budget Reconciliation subsidies, through January Act (COBRA) 2021, to allow workers to maintain their employer- sponsored coverage if they are eligible for COBRA due to a layoff or reduction in hours, and for workers who have been furloughed but are still active in their employer- sponsored plan. Affordable Care Act No applicable language. Provides a two-month (ACA) Special special enrollment period Enrollment on the ACA Exchanges for individuals who are uninsured for any reason. Private Insurance No applicable language. Requires coverage of COVID-19 treatment with no patient cost-sharing in group and individual market insurance plans. Medicaid No applicable language. Provides a further temporary increase to the Federal Medical Assistance Percentage (FMAP) rate and delays implementation of the Medicaid Fiscal Accountability Regulation. © 2020 Akin Gump Strauss Hauer & Feld LLP 4
Tax Provisions Senate House HEALS Act HEROES Act Federal Pandemic The CARES Act provided Extends the $600 per Unemployment additional payments of week supplement to state Compensation (FPUC) $600 per week to and federal individuals receiving unemployment benefits unemployment insurance through January 31, 2021. (UI) through July 2020. Beginning in August, the HEALS Act proposes a reduced UI payment of $200 per week through September 2020. Beginning in October, the program would be replaced with a payment (up to $500) that when combined with the state UI payment would replace 70 percent of lost wages. Supplemental Provides payment to Extends the financial relief Emergency states to reimburse provided to reimbursable Unemployment Relief nonprofits, government employers in the CARES for Governmental agencies and Indian tribes Act through January 31, for half of the costs they Entities and Nonprofits 2021, and make technical incur through December 31, 2020 to pay corrections to ensure that unemployment benefits. states can simply waive This provision increases 50 percent of the amount the percentage from 50 to owed by such employers. 75 percent. © 2020 Akin Gump Strauss Hauer & Feld LLP 5
Senate House HEALS Act HEROES Act Employee Retention Tax The CARES Act provided Increases the per- Credit (ERTC) an ERTC in the form of a employee limit for the refundable payroll tax Employee Retention credit equal to 50 percent Credit (ERC) from 50 of certain wages paid by percent of $10,000 (or employers to employees $5,000 for the year) to 80 during the crisis. The percent of $45,000 (or Senate legislation $36,000 for the year) per increases the applicable employee. percentage of qualified wages reimbursed through the credit to 65 percent and enhances coordination between the credit and the PPP by allowing employers to be eligible for both programs. The maximum credit amount was also increased from $10,000 per year to $10,000 per quarter (with a maximum of $30,000 per year). Also, lowers the amount of reduction in gross receipts to qualify from a 50 percent decline to a 25 percent decline. Stimulus Payments Qualifying individuals Provides additional earning an adjusted gross economic stimulus income up to $75,000 payments in the form of a ($150,000 married), who refundable tax credit of are not a dependent are $1,200 for single filers, eligible for a $1,200 $2,400 for joint filers, plus ($2,400 married) rebate; $1,200 for each additional $500 dependent (up to three dependent rebate will now dependents per be provided to taxpayers household), with a phase- with dependents of any out for higher incomes. age. Phases-out once the income exceeds $99,000 ($146,500 head of household with one child or $198,000 joint filers with no children). © 2020 Akin Gump Strauss Hauer & Feld LLP 6
Senate House HEALS Act HEROES Act Earned Income Tax No applicable language. Expands the eligibility and Credit (EITC) the amount of the earned income tax credit for taxpayers with no qualifying children. Increases the maximum credit amount from $538 to $1,487. Child Tax Credit (CTC) No applicable language. Makes the CTC fully and Child and refundable for 2020 and Dependent Care Tax increases the amount to Credit (CDCTC) $3,000 per child ($3,600 for a child under age 6). Puerto Rico will receive the refundable CTC by having its residents file for the CTC with the IRS. Makes the CDCTC fully refundable for 2020 and increases the maximum credit rate to 50 percent. Work Opportunity Tax Temporarily adds 2020 No applicable language. Credit (WOTC) qualified COVID-19 unemployment recipients as a new WOTC targeted group; increases the credit amount applicable to the new targeted group to 50 percent of the first $10,000 of qualified first- year wages. This provision also removes the limitation on rehires for 2020 qualified recipients. © 2020 Akin Gump Strauss Hauer & Feld LLP 7
Senate House HEALS Act HEROES Act Safe and Healthy Establishes a refundable No applicable language. Workplace Tax Credit payroll tax credit equal to 50 percent of an employer’s qualified employee protection, workplace configuration and workplace technology expenses; cap is equal to $1,000 for each of the first 500 employees, plus $750 for each employee between 500 and 1,000, plus $500 for each employee that exceeds 1,000. Payroll Credit for Fixed No applicable language. Provides a 50 percent Expenses of Employers refundable payroll tax Subject to Closure by credit for qualified fixed COVID-19 costs, which include covered rent obligations, covered mortgage obligations and covered utility payments, limited to employers with no more than 1,500 full-time equivalent employees or no more than $41.5 million in gross receipts in 2019. State and Local Taxes No applicable language. Eliminates the $10,000 (SALT) cap on SALT deductions. Business Meal Provides temporary No applicable language. Deduction for allowance of 100 percent Restaurants deduction for business meals through 2020. © 2020 Akin Gump Strauss Hauer & Feld LLP 8
Senate House HEALS Act HEROES Act Retirement and Clarifies that money Creates an expanded Pensions purchase plans are partition program allowing included in the retirement the Pension Benefit plans qualifying for Guarantee Corporation Section 2202 of the (PBGC) to take on CARES Act, which increased financial temporarily allows obligations in distressed individuals to make multi-employer pensions penalty-free withdrawals plans; provides relief to from certain retirement single-employer plans by plans for COVID-19 extending amortization. related expenses. Independent Establishes a safe harbor Provides a 90 percent Contractors allowing marketplace refundable individual platform companies to income tax credit for provide certain COVID-19 certain self-employed related assistance to individuals who have service providers without experienced a significant jeopardizing their loss of income. independent contractor status. Paid Sick and Family No applicable language. Extends the refundable Leave payroll tax credits for paid sick and family leave through the end of 2021. Net Operating Loss Allows farmers who Limits NOL carrybacks to (NOL) elected a two-year NOL taxable years beginning carryback rather than on or after January 1, claim the five-year 2018. Prohibits taxpayers carryback provided by the with excessive executive CARES Act. Also allows compensation or farmers who previously excessive stock buybacks waived an election to and dividends from carry back NOL to revoke carrying back losses. the new waiver. Applies Reinstates and makes retroactively as if included permanent a limit on the in the CARES Act. ability of pass-through business owners to deduct business net operation losses over $250,000 ($500,000 for joint filers). © 2020 Akin Gump Strauss Hauer & Feld LLP 9
Senate House HEALS Act HEROES Act Carryover for Health and Allows FSA/Dependent Permits health and Dependent Care Flexible Care Flexible Spending dependent care flexible Spending Arrangements Account (DCFSA) unused spending arrangements to (FSAs) 2020 contribution allow participants to carry amounts to be rolled over over up to $2,750 in into the 2021 plan year. unused benefits and the annual maximum amount of unused dependent care assistance benefits, respectively, from 2020 to 2021. Health Savings Allows employer on-site No applicable language. Accounts (HSAs) clinics to be an eligible HSA expense through December 31, 2021. Paycheck Protection Program (PPP) Senate House HEALS Act HEROES Act Program Extension Extends authorization for Extends authorization for the PPP through the PPP through December 31, 2020. December 31, 2020. 7(a) Loans to Recovery Authorizes $100 billion in Includes proposals to Sector Businesses long-term, low-cost loans better support SBA’s core to recovery sector programs, including businesses, which include waiving fees associated seasonal businesses and with the SBA 7(a) and 504 businesses located in low- loan programs for income census tracts that borrowers and lenders meet the applicable SBA and increasing the annual revenue size standard, lending limit of the 7(a) have no more than 500 program from $30 billion employees, and to $75 billion. demonstrate at least a 50 percent reduction in gross revenues. © 2020 Akin Gump Strauss Hauer & Feld LLP 10
Senate House HEALS Act HEROES Act PPP Second Draw Provides $190 billion of Appropriates an additional Loans committed and $10 billion for Emergency appropriated funds to EIDL Grants to remain support PPP and PPP available until expended. Second Draw Loans. Sets aside funds Eligibility for PPP Second specifically for small Draw loans is defined as Community Development small businesses that Financial Institutions meet the applicable SBA (CDFIs), Minority revenue size standard, Depository Institutions have no more than 300 (MDIs), SBA microlenders employees and and SBA Certified demonstrate at least a 50 Development Companies percent reduction in gross (CDCs), and mandates revenues. that 25 percent of the Includes a $25 billion set- funds be used for small aside for entities with 10 businesses with 10 or or fewer employees and a fewer employees and that $10 billion set-aside for another 25 percent of the loans made by community funds be used solely for lenders. nonprofits. The maximum loan size Removes regulatory would equal 2.5 times actions that limited average total monthly forgiveness of non-payroll payroll costs, up to $2 operating expenses to 25 million. Businesses that percent of total received a PPP loan may forgiveness. not receive another PPP loan that aggregates to more than $10 million. The 60/40 cost allocation for payroll and nonpayroll costs to receive full PPP forgiveness continues to apply. © 2020 Akin Gump Strauss Hauer & Feld LLP 11
Senate House HEALS Act HEROES Act PPP Improvements Expands forgivable Adds flexibility in the expenses to include covered period for covered supplier costs, borrowers by extending covered worker protection the eight-week period to expenditures, and 24 weeks and extends the covered operations covered period from June expenditures. 30 to December 31. Allows borrowers to select Expands eligibility for the a preferred 8-week period PPP to all 501(C) through 2020 to use the nonprofits. forgivable loan proceeds. Simplifies the forgiveness application process for loans under $2 million. Expands PPP eligibility to include certain 501(c)(6) organizations, including Chambers of Commerce and Destination Marketing Organizations with 300 or fewer employees. Liability Reform Senate House HEALS Act HEROES Act Liability Reform Includes personal injury No applicable language. liability limitation, medical malpractice liability imitation, product liability limitation and labor/employment liability protection. © 2020 Akin Gump Strauss Hauer & Feld LLP 12
State/Local Government Assistance Senate House HEALS Act HEROES Act Coronavirus Relief The CARES Act provided Includes $500 billion for Funds $150 billion in state governments and “Coronavirus Relief $375 billion for local Funds” to state and local governments to mitigate governments to cover the fiscal impacts of COVID-19 related COVID-19. expenditures through the end of 2020. While Republicans have not proposed additional funding for state and local governments, they have proposed extending the end date that states and localities may use these funds from December 30, 2020, to 90 after the last day of a government’s fiscal year (FY) 2021. Critical Supply Chains and Expanding Manufacturing Capacity Senate House HEALS Act HEROES Act State Stockpiles Establishes state No applicable language stockpiles of medical products (PPE, ventilators, etc.) © 2020 Akin Gump Strauss Hauer & Feld LLP 13
Senate House HEALS Act HEROES Act Strategic National Aims to improve the SNS Enhances medical supply Stockpile (SNS) by partnering with medical chain elasticity, improves product manufacturers, the domestic production of distributors or other PPE and partners with entities to increase the industry to refresh and stockpiling and replenish existing stocks. manufacturing capacity of Allows the SNS to sell reserve amounts of products to other federal medical products to be departments/agencies provided during or in within six months of advance of a public health product expiration. emergency. Requires the Secretary of Requires that any HHS to report weekly on purchases by HHS of the inventory status of the covered items for the SNS SNS during a public be manufactured health emergency. domestically within five years except for Requires the SNS to purchases under develop improved $150,000 and those that processes for requests the Secretary determines and future is not available. Covered communications between PPE items include the SNS and states, as clothing, sanitizing well as report to Congress supplies and ancillary about every request made medical supplies such as to the SNS during COVID- disinfecting wipes, privacy 19. curtains, beds and Launches a Government bedding, testing swabs, Accountability Office gauze and bandages, (GAO) study on user fees tents, tarpaulins, covers or for the SNS. bags. The component parts must also be grown, reprocessed, reused or produced in the U.S. Guidance for States and Requires HHS to publish Guarantees the Indian Indian Tribes on guidance on how states Health Service (IHS) and Accessing the SNS and tribes can request other tribal health and access resources organizations direct from the SNS. access to the SNS. Credit for U.S. Establishes a 30 percent No applicable language. Manufacturers credit for U.S. manufacturers against equipment costs associated with PPE manufacturing. © 2020 Akin Gump Strauss Hauer & Feld LLP 14
Senate House HEALS Act HEROES Act Foreign Researchers Requires sponsors of No applicable language. foreign researchers to disclose information about foreign researchers to the State Department to prevent unauthorized access of export technologies. Microelectronics Establishes a grant No applicable language. program under the Department of Commerce for the purpose of constructing, expanding and modernizing commerce semiconductor manufacturing facilities in the U.S. Requires the Department of Defense to work with private sector microelectronic manufacturers to support collaborative research and a secure supply chain. Establishes a Multilateral Microelectronics Security Fund to incentivize multilateral participation and a secure microelectronics supply chain. National Centers of No applicable language. Creates the National Excellence in Centers of Excellence in Continuous Continuous Pharmaceutical Pharmaceutical Manufacturing Manufacturing. Supply Chain Flexibility No applicable language. Establishes a supply chain Manufacturing Pilot flexibility manufacturing Program pilot program to enhance medical supply chain elasticity and establish and maintain domestic reserves of medical supplies. © 2020 Akin Gump Strauss Hauer & Feld LLP 15
Senate House HEALS Act HEROES Act Supply Chain No applicable language. Requires the President to Vulnerabilities produce a detailed plan to ensure the supply of medical materials essential to national defense, analyze existing supply chains for vulnerabilities and detail measures that can be taken to diversify supply chains. Public Health and Social No applicable language. Allocates additional Services Emergency funding to the Public Fund Health and Social Services Emergency Fund for expanding manufacturing to respond to the COVID-19 pandemic. Education and Workforce Development Senate House HEALS Act HEROES Act Simplifying Student Reduces current Provides up to $10,000 in Loan Repayment repayment options to two debt relief to be applied to options: a standard 10- a private student loan. year mortgage-style Requires private student payment plan and an servicing companies that income-based payment receive funds to offer plan that limits payments income driven repayment to 10 percent of plans. discretionary income (the income amount above 150 percent of the federal poverty line). Emergency Education Authorizes one-time, No applicable language. Freedom Grants emergency appropriations funding for scholarship- granting organizations (SGOs) in each state. © 2020 Akin Gump Strauss Hauer & Feld LLP 16
Senate House HEALS Act HEROES Act Waivers for Career, Provides the Secretary Provides legislative Technical and Adult with the authority to flexibility for programs Education provide waivers from the under the Carl D. Perkins Carl D. Perkins Career Career and Technical and Technical Education Education Act of 2006, the Act of 2006, the Adult Adult Education and Education and Family Family Literacy Act, and Literacy Act and the allows Perkins CTE and General Education Adult Education eligible Provisions Act. agencies to apply for waivers under the General Education Provisions Act for the 2019-2020 academic year. Additional Workforce Authorizes 40 percent of Provides additional Activities funds provided under the eligibility and enrollment Workforce Innovation and length flexibilities for Job Opportunity Act to be Corps participants. used on incumbent worker Expands age and training or transitional enrollment length eligibility jobs. requirements for Provides the Secretary of YouthBuild activities. Labor with the authority to Requires the Secretary to waive age and program identify strategies to length requirements for support virtual and online Job Corps and learning and training for YouthBuild. apprenticeships. Authorizes additional funding to support youth activities under the Workforce Innovation and Opportunity Act, the Reentry Employment Opportunities program at the Department of Labor, National Dislocated Worker grants, and apprenticeship. © 2020 Akin Gump Strauss Hauer & Feld LLP 17
Senate House HEALS Act HEROES Act Workforce Recovery and Authorizes funding for a Allocates $485 million for Training Services formula grant to states to grants to states for adult support job training, employment and training including through activities activities, including authorized under the incumbent worker Workforce Innovation and trainings, transitional jobs, Opportunity Act such as on-the-job training, customized training, on- individualized career the-job training, Individual services and more. Training Accounts or transitional jobs. Amendments to Clarifies that the CARES Waives the nonfederal Education Provisions of Act waiver for matching match requirement for CARES funds in Federal Work nonprofit employers for Study extends to award years 2019-2020 participating nonprofit and 2020-2021. organizations. Extends flexibility to allow Extends CARES authority institutions to pay federal to reallocate work-study students Supplemental Education unable to complete their Opportunity Grant or jobs. Federal Work Study funds Clarifies that a foreign through the end of the institution is eligible to 2020-2021 award year. offer courses via distance Extends CARES waivers declaration and allows to foreign institutions foreign institutions to enter through the end of the into agreements with U.S.- 2020-2021 award year. based institutions. Clarifies that CARES Act relief for federal student loan borrows also applies to students in in-school deferment. © 2020 Akin Gump Strauss Hauer & Feld LLP 18
Tribal Provisions Senate House HEALS Act HEROES Act Guidance for States Requires HHS to publish Requires a process and Indian Tribes on guidance on how states developed that shall Accessing the SNS and tribes can request include the form and and access resources manner in which states, from the SNS. localities, tribes and territories are required to submit requests for supplies from the SNS; the criteria used by the Secretary in responding to such requests, including the reasons for fulfilling or denying such requests; and the circumstances that result in prioritization of distribution of supplies from the Stockpile to states, localities, tribes or territories. © 2020 Akin Gump Strauss Hauer & Feld LLP 19
Coronavirus Relief No additional funding for Provides $20 billion in Fund the Coronavirus Relief funding to assist tribal Fund, but provides governments with the expansion of allowable fiscal impacts from the use of Coronavirus Relief public health emergency Fund payments by states caused by the and tribal and local Coronavirus. The Act governments, and affirms the April 27, 2020 expands the end date for decision in the Chehalis allowable necessary lawsuit and clarifies the expenditures from intent of Congress that December 30, 2020 to 90 only federally recognized days after the last day of a tribal governments are government’s FY 2021. eligible for payments from the Coronavirus Relief Allows Coronavirus Relief Fund and not Alaska Funds to be used for Native Corporations. “revenue shortfalls,” defined as shortfalls of The bill requires the revenue from taxes, fees Treasury Secretary to or other sources of funds redistribute any returned for a state, local or other amounts from the CARES government relative to FY Act to eligible tribal 2019 levels. To be able to governments and requires use relief funds to cover redistribution of amounts revenue shortfalls, a received or recouped from government must certify prior payments for tribal that it has distributed at governments. The bill least 25 percent of requires the Treasury Coronavirus Relief Funds Secretary to disclose a it received to downstream detailed description of the governments. A allocation formula, and the government can use no process and methodology more than 25 percent of used to determine the relief funds it has received funding allocation. to cover revenue The term “Indian Tribe” is shortfalls. deleted and the term Tribal government under “Tribal Government” is the HEALS Act means a defined as “the recognized tribal government governing body of any identified pursuant to the Indian or Alaska Native Federally Recognized tribe, band, nation, Indian Tribe List Act of pueblo, village, 1994. community, component band, or component reservation, individually identified (including parenthetically) in the list published most recently as of the date of © 2020 Akin Gump Strauss Hauer & Feld LLP 20
Senate House HEALS Act HEROES Act enactment of this Act pursuant to the Federally Recognized Indian Tribe List Act of 1994.” The bill provides more flexibility for tribal, state and local governments to use the funds, and says that funds can be used to replace lost, delayed or decreased revenues stemming from the public health emergency with respect to COVID-19. The bill also extends the date range of allowable expenses from January 1, 2020 through December 31, 2020. The prior law only allowed for expenses incurred after March 1. Time to Rescue United States’ Trusts (TRUST) Act Senate House HEALS Act HEROES Act Federal Trust Funds Requires the Treasury No applicable language. Secretary to submit a report to Congress identifying each federal trust fund program projected to have inadequate balances at any point prior to the end of fiscal year (FY) 2035 and establishes a “Rescue Committee” for each trust fund to provide for the solvency of that trust fund and simply and improve the program. © 2020 Akin Gump Strauss Hauer & Feld LLP 21
COVID-19 Heroes Fund Senate House HEALS Act HEROES Act Premium Pay for No applicable language. Proposes establishing a Essential Workers $200 billion Heroes Fund. Under the provision, theTreasury would award grants to essential employers to provide premium pay to essential workers. Additional Supplemental Appropriations Senate House HEALS Act HEROES Act Agriculture, Rural Allocates $20 billion of Allocates $20 billion to Development, Food and direct payments to strengthen activities and Drug Administration and growers, producers and services that connect Related Agencies processors who are farmers and ranchers to impacted by COVID-19. stress assistance resources and programs. Commerce, Justice, Allocates $448 million for Allocates $400 million to Science and Related the Bureau of the Census, the Bureau of the Census Agencies including additional for expenses due to funding for field delays in the 2020 operations and data Decennial Census. processing related to the Allocates $200 million for 2020 Decennial Census. the Federal Bureau of Allocates $200 million for Prisons. Federal Bureau of Prisons. Financial Services and No additional funding for Allocates $500 billion for General Government: state and local state governments and governments, instead $375 billion for local allows them to use governments to mitigate CARES Act funds to make the fiscal impacts of up lost revenues. COVID-19. Homeland Security Allocates $1.08 billion for Allocates $1.3 billion to the Federal Emergency FEMA to respond to the Management Agency pandemic. (FEMA) to respond to the Allocates $3 million to the pandemic. Department of Homeland Allocates $208 million for Security Inspector pandemic response for General for oversight of the Transportation pandemic response Security Administration. activities. © 2020 Akin Gump Strauss Hauer & Feld LLP 22
Senate House HEALS Act HEROES Act Interior, Environment, Allocates $1.6 billion for Allocates $2.1 billion for and Related Agencies the Indian Health Service the Indian Health Service to address health care to address health care needs related to the needs related to the pandemic. pandemic. Allocates $1 billion to the Department of the Interior for building hospitals and critical infrastructure in the Insular Areas respond to the pandemic. © 2020 Akin Gump Strauss Hauer & Feld LLP 23
Labor, Health and Allocates $2.5 billion to Allocates $3.1 billion to Human Services, the Department of Labor the Department of Labor Education and Related to support workforce to support workforce Agencies training and worker training and worker protection activities protection activities relating to the pandemic. relating to the pandemic. For the Department of For the Department of Health and Human Health and Human Services: Services: • $3.4 billion for the • $2.1 billion for the Centers for Disease Centers for Disease Control and Control and Prevention. Prevention. $125 $100 million of this is million shall be available to tribes, tribal allocated to tribes, organizations, urban tribal organizations, Indian health urban Indian health organizations or health organizations or health service providers to service providers to tribes for health-related tribes for carrying out activities. surveillance, • $4.74 billion for the epidemiology, National Institutes of laboratory capacity, Health. infection control, immunization activity, • $175 billion to the mitigation, Public Health and communications and Social Services other preparedness Emergency Fund. and response activities. • $3 billion for the • $15.5 billion for the Substance Abuse and National Institutes of Mental Health Services Health. Administration. • $78.1 for the Public • $175 million for the Health and Social Centers for Medicare Services Emergency and Medicaid Services. Fund. • $10 billion for the • $4.5 billion for the Administration for the Substance Abuse and Administration for Mental Health Services Children and Families. • $150 million for the • $100 million for the Centers for Medicare Administration for and Medicaid Services. Community Living. • $16.7 billion for the • $7.6 billion for the Administration for Health Resources and Children and Families. Services Administration. © 2020 Akin Gump Strauss Hauer & Feld LLP 24
Senate House HEALS Act HEROES Act • $75 million for the • $4.57 billion for the Administration for Assistant Secretary for Community Living. Preparedness and Response. Provides $4.5 billion for the Substance Abuse and Provides $3 billion for the Mental Health Services Substance Abuse and Administration Mental Health Services (SAMHSA): Administration (SAMHSA): • $2 billion for Mental Health Services Block • $1.5 billion for Grant (at least half Substance Abuse must be directed to Prevention and behavioral health Treatment Block Grant. providers). • $1 billion for • $1.5 billion for Community Mental Substance Abuse and Health Services Block Prevention Treatment Grant. Block Grant. • $265 million for • $600 million for emergency response Certified Community grants to address Behavioral Health behavioral health Clinics. needs. • $50 million for Suicide • $25 million for Suicide Prevention Programs. Lifeline and Disaster Distress Helpline. • $100 million to support mental health in • $100 million for Project schools (Project AWARE. AWARE). • At least $150 million for • $250 million for flexible tribes, tribal emergency grants to organizations, urban states. Indian Health organizations or health service providers to tribes across a variety of programs. Allocates $105.1 billion for Allocates $100 billion for the Department of the Department of Education, including $525 Education, including $450 million for the Bureau of million for the Bureau of Indian Education (from the Indian Education (from the Department of Education Department of Education Stabilization Fund). Stabilization Fund). © 2020 Akin Gump Strauss Hauer & Feld LLP 25
Senate House HEALS Act HEROES Act Transportation, Housing Allocates $13 billion for Allocates $15 billion for and Urban the Department of ongoing work of State, Development, and Transportation, $10 billion Tribal, and Territorial Related Agencies of which is for the Airport Departments of Improvement Program Transportation and $16 (AIP)—the same amount billion for operating provided under the assistance grants to CARES Act. support transit agencies. No additional funding for AIP. State, Foreign Allocates $425 million for Allocates $2 million for the Operations, and Related Consular and Border Department of State Programs Security Programs. Inspector General. Relevant Links • Cares 2.0: Emergency Appropriations (Legislative Text) • Cares 2.0: Emergency Appropriations (Section-By-Section Summary) • Cares 2.0: Senate Finance Committee Provisions (Legislative Text) • Cares 2.0: Senate Finance Committee Provisions (Section-By-Section Summary) • Cares 2.0: Continuing Small Business Recovery and PPP Act (Legislative Text) • Cares 2.0: Continuing Small Business Recovery and PPP Act (Section-By-Section Summary) • Cares 2.0: Continuing Small Business Recovery and PPP Act (One-Pager) • Cares 2.0: Safely Back to School and Back to Work Act (Legislative Text) • Cares 2.0: Safely Back to School and Back to Work Act (Section-By-Section Summary) • Cares 2.0: Child Care Grants One-Pager • Cares 2.0: Simplifying Student Loan Repayment One-Pager • Cares 2.0: Safe to Work Act (Legislative Text) • Cares 2.0: Safe to Work Act (Section-By-Section Summary) • Cares 2.0: Supporting America’s Restaurant Workers Act (Legislative Text) • Cares 2.0: Cares 2.0 Restoring Critical Supply Chains and Intellectual Property Act (Legislative Text) • Cares 2.0: Cares 2.0 Restoring Critical Supply Chains and Intellectual Property Act (Section-By-Section Summary) • Cares 2.0: TRUST Act (Legislative Text) • Cares 2.0: TRUST Act (Section-By-Section Summary) • Cares 2.0: TRUST Act (One-Pager) © 2020 Akin Gump Strauss Hauer & Feld LLP 26
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