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Paycheck Protection Program and Health Care Enhancement Act This bill responds to the COVID-19 (i.e., coronavirus disease 2019) outbreak by providing additional funding for small business loans, health care providers, and COVID-19 testing. DIVISION A--SMALL BUSINESS PROGRAMS (Sec. 101) This division provides additional lending authority for certain Small Business Administration (SBA) programs in response to COVID-19. Specifically, the division increases the authority for (1) the Paycheck Protection Program, under which the SBA may guarantee certain loans to small businesses during the COVID-19 pandemic; and (2) advances on emergency economic injury disaster loans made in response to COVID-19. The division also expands eligibility for such disaster loans and advances to include agricultural enterprises. Additionally, the division requires the SBA to guarantee no less than a specified amount of paycheck protection loans made by certain insured depository institutions, community financial institutions, and credit unions. (Sec. 102) The amounts provided under this division are designated as an emergency requirement pursuant to the Statutory Pay-As-You-Go Act of 2010 (PAYGO) and the Senate PAYGO rule. DIVISION B--ADDITIONAL EMERGENCY APPROPRIATIONS FOR CORONAVIRUS RESPONSE Additional Emergency Appropriations for Coronavirus Response This division provides FY2020 supplemental appropriations for the Department of Health and Human Services (HHS) and the SBA in response to COVID-19. The supplemental appropriations are designated as emergency spending, which is exempt from discretionary spending limits. TITLE I--DEPARTMENT OF HEALTH AND HUMAN SERVICES This title provides $100 billion in FY2020 supplemental appropriations to HHS for the Public Health and Social Services Emergency Fund, including * $75 billion to reimburse health care providers for health care related expenses or lost revenues that are attributable to the coronavirus outbreak; and * $25 billion for expenses to research, develop, validate, manufacture, purchase, administer, and expand capacity for COVID-19 tests to effectively monitor and suppress COVID-19. The title allocates specified portions of the $25 billion for COVID-19 testing to * states, localities, territories, and tribes; * the Centers for Diseases Control and Prevention; * the National Institutes of Health; * the Biomedical Advanced Research and Development Authority; * the Food and Drug Administration; * community health centers; * rural health clinics; and * testing for the uninsured. The title also establishes several reporting requirements for HHS, including requirements to submit to Congress details regarding COVID-19 cases and a strategic testing plan (Sec. 101) This section specifies that certain authorities, conditions, and requirements included in the Coronavirus Aid, Relief, and Economic Security Act apply to the funds provided by this division to HHS. (Sec. 102) This section sets forth authorities and restrictions that apply to transferring funds provided by this title. (Sec. 103) This section requires specified funds provided by this title for the Public Health and Social Services Emergency Fund to be transferred to the HHS Office of Inspector General for oversight of activities supported with funds appropriated to HHS to respond to the COVID-19 outbreak. TITLE II--INDEPENDENT AGENCIES This title provides FY2020 supplemental appropriations to the SBA, including * $2.1 billion for salaries and expenses to administer programs related to COVID-19, * $50 billion for the Economic Injury Disaster Loan (EIDL) program, and * $10 billion for Emergency EIDL grants. TITLE III--GENERAL PROVISIONS--THIS ACT (Sec. 301) This section specifies that the funds provided by this division are in addition to funds otherwise appropriated for the fiscal year involved. (Sec. 302) Funds provided by this division may not remain available beyond the current fiscal year, unless this division provides otherwise. (Sec. 303) Unless otherwise specified by this division, the funds provided by this division are subject to the authorities and conditions that apply to the applicable appropriations account for FY2020. (Sec. 304) This section specifies that certain funds provided or transferred by this division may only be used to prevent, prepare for, and respond to the coronavirus outbreak. (Sec. 305) For the purposes of this division, the termcoronavirusmeans SARS-CoV-2 or another coronavirus with pandemic potential. (Sec. 306) This section provides that amounts designated by this division as emergency requirements are only available (or rescinded, if applicable) if the President subsequently designates the amounts and transmits the designations to Congress. (Sec. 307) This section specifies that the emergency funds that are transferred pursuant to this division retain the emergency designation. (Sec. 308) This section exempts the budgetary effects of this division from the Statutory Pay-As-You-Go Act of 2010 (PAYGO), (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.

Reducing Administrative Costs and Burdens in Health Care Act of 2019 This bill requires the Department of Health and Human Services (HHS) to take a series of actions relating to health care administrative costs. Specifically, HHS must develop a strategy and take associated action to reduce unnecessary costs and administrative burdens in the health care system, including Medicare, Medicaid, and the private health-insurance market, by at least half over a period of 10 years. HHS must also award grants so that states may establish commissions targeting such costs.

Reducing Administrative Costs and Burdens in Health Care Act of 2020 This bill requires the Department of Health and Human Services (HHS) to take a series of actions relating to health care administrative costs. Specifically, HHS must develop a strategy and take associated action to reduce unnecessary costs and administrative burdens in the health care system, including Medicare, Medicaid, and the private health-insurance market, by at least half over a period of 10 years. HHS must also award grants so that states may establish commissions targeting such costs.

Physician Assistant Education Public Health Initiatives Act of 2019 This bill requires the Health Resources and Services Administration (HRSA) to award grants to physician assistance education programs for clinical education and training. Half of available grant funds must go to programs at underserved sites in rural areas. HRSA must prioritize funding programs that focus on pediatrics, women’s health, or behavioral health. Further, the bill requires the Department of Health and Human Services to provide grants for research about physician assistant education and reauthorizes through FY2024 the Primary Care Training and Enhancement program.

Community and Public Health Programs Extension Act This bill reauthorizes several health care, research, and workforce programs through FY2024. Specifically, the bill reauthorizes * the Community Health Center Fund, which provides enhanced funding for community health centers and the National Health Service Corps; * payments to teaching health centers that operate graduate medical-education programs; * the Special Diabetes Program, which is administered by the National Institutes of Health; and * the Special Diabetes Program for Indians, which is administered by the Indian Health Service.

This bill directs the Department of Health and Human Services to award through FY2024 additional funds to the Indian Health Service Sanitation Facilities Construction Program. This program provides American Indian and Alaska Native homes and communities with water supply, sewage disposal, and solid waste disposal facilities.

Violence Against Women Health Act of 2019 This bill reauthorizes through FY2023 the Department of Health and Human Services program that awards grants to support the health care system's response to domestic violence. The bill also modifies the program, including by requiring that grant funds be used to (1) support training to address domestic violence in families enrolled in early childhood programs, (2) develop training and resources for behavioral health professionals, (3) support health education training related to labor and sex trafficking, and (4) support the coordination of domestic and sexual violence coalitions. Certain training must prioritize programs administered by the Health Resources & Services Administration's Office of Women's Health. The bill also permits grant funds to be used to establish state pilot programs that address substance use disorder in the context of domestic violence.

This bill requires the Department of Health and Human Services to award through FY2024 additional funds to the Indian Health Service Sanitation Facilities Construction Program. This program provides American Indian and Alaska Native homes and communities with water supply, sewage disposal, and solid waste disposal facilities.

Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2021 This bill provides FY2021 appropriations for the Department of Agriculture (USDA), the Food and Drug Administration, and related agencies. The bill provides appropriations to USDA for Agricultural Programs, including * the Office of the Secretary, * Executive Operations, * the Economic Research Service, * the National Agricultural Statistics Service, * the Agricultural Research Service, * the National Institute of Food and Agriculture, * the Animal and Plant Health Inspection Service, * the Agricultural Marketing Service, and * the Food Safety and Inspection Service. The bill also provides appropriations to USDA for Farm Production and Conservation Programs, including * the Farm Production and Conservation Business Center, * the Farm Service Agency, * the Risk Management Agency, and * the Natural Resources Conservation Service. The bill provides appropriations to the Federal Crop Insurance Corporation Fund and the Commodity Credit Corporation Fund. For USDA Rural Development programs, the bill includes appropriations for * Rural Development Salaries and Expenses, * the Rural Housing Service, * the Rural Business-Cooperative Service, and * the Rural Utilities Service. The bill provides appropriations to the Food and Nutrition Service for * Child Nutrition Programs; * the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); * the Supplemental Nutrition Assistance Program (SNAP, formerly known as the food stamp program); * the Commodity Assistance Program; and * Nutrition Programs Administration. The bill provides appropriations to the Foreign Agricultural Service for (1) Food for Peace Title II Grants, and (2) McGovern-Dole International Food for Education and Child Nutrition Program Grants. The bill also provides appropriations for * the Food and Drug Administration, * the Commodity Futures Trading Commission, and * the Farm Credit Administration. Additionally, the bill sets forth requirements and restrictions for using funds provided by this and other appropriations Acts.

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2021 This bill provides FY2021 appropriations to the Departments of Labor, Health and Human Services, and Education; and related agencies. The bill provides appropriations to the Department of Labor for * the Employment and Training Administration, * the Employee Benefits Security Administration, * the Pension Benefit Guaranty Corporation, * the Wage and Hour Division, * the Office of Labor-Management Standards, * the Office of Federal Contract Compliance Programs, * the Office of Workers' Compensation Programs, * the Occupational Safety and Health Administration, * the Mine Safety and Health Administration, * the Bureau of Labor Statistics, * the Office of Disability Employment Policy, and * Departmental Management. The bill provides appropriations to the Department of Health and Human Services for * the Health Resources and Services Administration, * the Centers for Disease Control and Prevention, * the National Institutes of Health, * the Substance Abuse and Mental Health Services Administration, * the Agency for Healthcare Research and Quality, * the Centers for Medicare and Medicaid Services, * the Administration for Children and Families, * the Administration for Community Living, and * the Office of the Secretary. The bill provides appropriations to the Department of Education for * Education for the Disadvantaged; * Impact Aid; * School Improvement Programs; * Indian Education; * Innovation and Improvement; * Safe Schools and Citizenship Education; * English Language Acquisition; * Special Education; * Rehabilitation Services; * Special Institutions for Persons with Disabilities; * Career, Technical, and Adult Education; * Student Financial Assistance; * Student Aid Administration; * Higher Education; * Howard University; * the College Housing and Academic Facilities Loan Program; * the Historically Black College and University Capital Financing Program Account; * the Institute of Education Sciences; and * Departmental Management. The bill provides appropriations to Related Agencies, including * the Committee for Purchase From People Who Are Blind or Severely Disabled, * the Corporation for National and Community Service, * the Corporation for Public Broadcasting, * the Federal Mediation and Conciliation Service, * the Federal Mine Safety and Health Review Commission, * the Institute of Museum and Library Services, * the Medicaid and CHIP Payment and Access Commission, * the Medicare Payment Advisory Commission, * the National Council on Disability, * the National Labor Relations Board, * the National Mediation Board, * the Occupational Safety and Health Review Commission, * the Railroad Retirement Board, and * the Social Security Administration. The bill also sets forth requirements and restrictions for using funds provided by this and other appropriations Acts.

Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2020 This bill provides FY2020 appropriations for the Department of Agriculture (USDA), the Food and Drug Administration, and Related Agencies. The bill provides appropriations to USDA for Agricultural Programs, including * the Office of the Secretary, * Executive Operations, * the Office of the Chief Information Officer, * the Office of the Chief Financial Officer, * the Office of Civil Rights, * Agriculture Buildings and Facilities, * Hazardous Materials Management, * the Office of Inspector General, * the Office of the General Counsel, * the Office of Ethics, * the Economic Research Service, * the National Agricultural Statistics Service, * the Agricultural Research Service, * the National Institute of Food and Agriculture, * the Animal and Plant Health Inspection Service, * the Agricultural Marketing Service, and * the Food Safety and Inspection Service. The bill also provides appropriations to USDA for Farm Production and Conservation Programs, including * the Farm Production and Conservation Business Center, * the Farm Service Agency, * the Risk Management Agency, and * the Natural Resources Conservation Service. The bill provides appropriations to the Federal Crop Insurance Corporation Fund and the Commodity Credit Corporation Fund. For USDA Rural Development programs, the bill includes appropriations for * Rural Development Salaries and Expenses, * the Rural Housing Service, * the Rural Business-Cooperative Service, and * the Rural Utilities Service. Within the Food and Nutrition Service budget, the bill includes appropriations for * Child Nutrition Programs; * the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); * the Supplemental Nutrition Assistance Program (SNAP, formerly known as the food stamp program); * the Commodity Assistance Program; and * Nutrition Programs Administration. Within the Foreign Agricultural Service budget, the bill provides appropriations for Food for Peace Title II Grants and McGovern-Dole International Food for Education and Child Nutrition Program Grants. The bill also provides appropriations for the Food and Drug Administration and the Farm Credit Administration. Additionally, the bill sets forth requirements and restrictions for using funds provided by this and other appropriations Acts.

Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2020 This bill provides FY2020 appropriations for the Department of Agriculture (USDA), the Food and Drug Administration, and Related Agencies. The bill provides appropriations to USDA for Agricultural Programs, including * the Office of the Secretary, * Executive Operations, * the Office of the Chief Information Officer, * the Office of the Chief Financial Officer, * the Office of Civil Rights, * Agriculture Buildings and Facilities, * Hazardous Materials Management, * the Office of Inspector General, * the Office of the General Counsel, * the Office of Ethics, * the Economic Research Service, * the National Agricultural Statistics Service, * the Agricultural Research Service, * the National Institute of Food and Agriculture, * the Animal and Plant Health Inspection Service, * the Agricultural Marketing Service, and * the Food Safety and Inspection Service. The bill also provides appropriations to USDA for Farm Production and Conservation Programs, including * the Farm Production and Conservation Business Center, * the Farm Service Agency, * the Risk Management Agency, and * the Natural Resources Conservation Service. The bill provides appropriations to the Federal Crop Insurance Corporation Fund and the Commodity Credit Corporation Fund. For USDA Rural Development programs, the bill includes appropriations for * Rural Development Salaries and Expenses, * the Rural Housing Service, * the Rural Business-Cooperative Service, and * the Rural Utilities Service. Within the Food and Nutrition Service budget, the bill includes appropriations for * Child Nutrition Programs; * the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); * the Supplemental Nutrition Assistance Program (SNAP, formerly known as the food stamp program); * the Commodity Assistance Program; and * Nutrition Programs Administration. Within the Foreign Agricultural Service budget, the bill provides appropriations for Food for Peace Title II Grants and McGovern-Dole International Food for Education and Child Nutrition Program Grants. The bill also provides appropriations for * the Food and Drug Administration, * the Commodity Futures Trading Commission, and * the Farm Credit Administration. Additionally, the bill sets forth requirements and restrictions for using funds provided by this and other appropriations Acts.

Home-Based Telemental Health Care Act of 2020 This bill establishes a grant program to fund demonstration projects to provide mental health services to medically underserved individuals in rural areas or in the farming, fishing, and forestry industries. Specifically, the Office for the Advancement of Telehealth within the Health Resources and Services Administration must award grants to public or nonprofit telemental health provider networks to deliver, and evaluate the impact of, home-based telemental services for such individuals. The office must coordinate activities with the Rural Health Liaison of the Department of Agriculture.

This bill requires that specified amounts be set aside from funds appropriated to carry out the Paycheck Protection Program, established to support small businesses in response to COVID-19 (i.e., coronavirus disease 2019), and it establishes requirements for processing program loan applications. The bill requires that $1 billion of program funds not otherwise obligated or expended be set aside for loan guarantees made by minority depository institutions and community development financial institutions. Further, for any future appropriations to carry out the program, the bill revises the amounts that the Small Business Administration (SBA) must set aside to provide for the cost of guaranteed paycheck protection loans made by certain lenders. The SBA and the Department of the Treasury must, no less than twice weekly, provide separate eight-hour periods during which they shall process (1) loan applications compiled by lenders with consolidated assets of less than $1 million, and (2) loan applications for less than $200,000 from a recipient that has 20 or fewer employees. The SBA and Treasury must report on funds made available to lenders and community development financial institutions to carry out the Paycheck Protection Program and the total consolidated assets of each lender. For future appropriations to carry out the program, the SBA and Treasury must report (1) daily on the amount of funds not yet obligated or expended, and (2) weekly on the amount of funds made available to lenders and community development financial institutions and the total consolidated assets of each lender.

Health Force and Resilience Force Act of 2020 This bill establishes and expands programs to bring on individuals to perform public health functions, such as contact tracing and vaccine administration, to respond to the COVID-19 (i.e., coronavirus disease 2019) emergency and meet other public health needs after that emergency ends. The bill provides funding for the Centers for Disease Control and Prevention (CDC) to establish a Health Force to recruit and train individuals for roles in public health and health care. The funds are designated as an emergency requirement, which exempts the funds from discretionary spending limits and other budget enforcement rules. Among other activities, the CDC must award grants to, or enter into contracts with, states and other jurisdictions to hire and deploy Health Force personnel. The Federal Emergency Management Agency must hire and train additional individuals for its Cadre of On-Call Response/Recovery Employees. These employees may be detailed to certain federal agencies or to state, local, or tribal governments to support efforts with respect to COVID-19 and other disasters and emergencies.

Health Force and Resilience Force Act of 2020 This bill establishes and expands programs to bring on individuals to perform public health functions, such as contact tracing and vaccine administration, to respond to the COVID-19 (i.e., coronavirus disease 2019) emergency and meet other public health needs after that emergency ends. The bill provides funding for the Centers for Disease Control and Prevention (CDC) to establish a Health Force to recruit and train individuals for roles in public health and health care. The funds are designated as an emergency requirement, which exempts the funds from discretionary spending limits and other budget enforcement rules. Among other activities, the CDC must award grants to, or enter into contracts with, states and other jurisdictions to hire and deploy Health Force personnel. The Federal Emergency Management Agency must hire and train additional individuals for its Cadre of On-Call Response/Recovery Employees. These employees may be detailed to certain federal agencies or to state, local, or tribal governments to support efforts with respect to COVID-19 and other disasters and emergencies.

Public Health Funding Restoration Act This bill increases annual funding for the Prevention and Public Health Fund (PPHF). (The PPHF assets are distributed to various agencies throughout the Department of Health and Human Services to (1) conduct community and clinical prevention initiatives, (2) research and track public health threats, (3) develop the public health infrastructure, and (4) other initiatives.)

Public Health Funding Restoration Act This bill increases annual funding for the Prevention and Public Health Fund (PPHF). (The PPHF assets are distributed to various agencies throughout the Department of Health and Human Services to (1) conduct community and clinical prevention initiatives, (2) research and track public health threats, (3) develop the public health infrastructure, and (4) other initiatives.)

This bill requires the Centers for Medicare & Medicaid Services to administer a Federal Invisible Risk Sharing Program that pays health insurers for claims by eligible individuals in order to lower health-insurance premiums in the individual market.

Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 or the EMPOWER for Health Act of 2019 This bill reauthorizes through FY2024 certain Health Resources & Services Administration (HRSA) training and education grants programs for health care professionals, including, among others, funding to increase the number of health care professionals from underrepresented groups. The bill also revises and reauthorizes through FY2024 the HRSA Geriatrics Workforce Enhancement Program and the Geriatrics Academic Career Award Program. Grants under these programs may be used to (1) support clinical training and integrate health care services for older adults and (2) promote the career development of eligible faculty specializing in geriatric health. HRSA must prioritize the funding of training and services in rural and underserved areas. Further, the bill reauthorizes the pediatric specialty loan repayment program. The program provides qualified pediatric medical specialists or child and adolescent mental, behavioral, and psychiatric health specialists up to three years of loan repayment in exchange for two years of service providing health care in an area with limited access to such care. Finally, the bill establishes grants for education programs to provide scholarships or stipends to students from underrepresented groups who are enrolled in programs for physical or occupational therapy, audiology, or speech-language pathology.

Respond to the Needs in the Opioid War Act or the Respond NOW Act This bill establishes the Opioid Epidemic Response Fund through FY2024 to fund programs and activities addressing the opioid and substance use epidemic, including * Substance Abuse and Mental Health Services Administration demonstration grants; * Centers for Disease Control and Prevention surveillance, prevention, and treatment programs; * Food and Drug Administration support of innovation in non-opioid and nonaddictive medical products for pain treatment; * National Institutes of Health research on creating longer-lasting or faster-acting antidotes for opioid overdoses; * Health Resources and Services Administration efforts to increase the availability and capacity of the behavioral health workforce; and * Administration for Children and Families programs for child abuse prevention and treatment. The bill also * extends funding through FY2024 for programs to help states and tribal organizations address substance use prevention and treatment, * allows a practitioner to dispense narcotic drugs for maintenance treatment or detoxification treatment to an increased number of patients under specified conditions, and * includes methadone treatment in Medicare coverage.

This bill provides statutory authority for the Growth Accelerator Fund Competition program within the Small Business Administration (SBA). Specifically, the bill requires the SBA, prioritizing small business concerns in underserved communities, to award prizes on a competitive basis to U.S. private entities that (1) assist small business concerns in accessing capital, mentors, and networking opportunities; and (2) advise small business concerns on topics such as market analysis, company strategy, revenue growth, and securing funding. The SBA must also develop metrics to evaluate the the program's effectiveness and benefits to the people of the United States that (1) are science-based and statistically driven, (2) reflect the SBA's mission, and (3) include factors relating to the program's economic impact.

Coronavirus Mental Health and Addiction Assistance Act of 2020 This bill provides emergency funds for the Substance Abuse and Mental Health Services Administration to award grants to establish a network of entities that provide mental health and substance use disorder programs during, or in connection with, the COVID-19 (i.e., coronavirus disease 2019) pandemic. Eligible entities include tribes, qualified nonprofit organizations, and partnerships of two or more eligible entities. Grant funds may be used for initiating or expanding telehealth services, support groups, and other activities to provide individuals with counseling and other resources to assist in the management of mental health or substance use disorders.

Coronavirus Mental Health and Addiction Assistance Act of 2020 This bill provides emergency funds for the Substance Abuse and Mental Health Services Administration to award grants to establish a network of entities that provide mental health and substance use disorder programs during, or in connection with, the COVID-19 (i.e., coronavirus disease 2019) pandemic. Eligible entities include tribes, qualified nonprofit organizations, and partnerships of two or more eligible entities. Grant funds may be used for initiating or expanding telehealth services, support groups, and other activities to provide individuals with counseling and other resources to assist in the management of mental health or substance use disorders.

Pursuing Equity in Mental Health Act of 2019 This bill establishes programs to support school-based mental health services and address racial and ethnic mental health disparities, among other provisions. Specifically, the Substance Abuse and Mental Health Services Administration (SAMHSA) must award grants for school- and community-based, mental health services. Such services must be trauma-informed and designed to provide comprehensive, culturally-appropriate interventions at a school-wide level. Further, the bill requires the SAMSHA to award grants that address racial and ethnic health disparities by (1) providing integrated health care in areas with a high proportion of racial and ethnic minority groups and (2) developing national programs for health professionals to reduce such disparities. The bill also (1) reauthorizes the minority fellowship program to support the education of mental health professionals who provide services to racial and ethnic minorities, (2) establishes a commission to research the effects of social media use on adolescents, and (3) prohibits the use of federal funds for specified conversion therapy in the context of sexual orientation or sexual identity.