[1/n] THREAD: Summary of new "Paycheck Protection Program and Health Care Enhancement Act." I just got copy of the draft bill.

The bill has 2 divisions: small biz progs & coronavirus response.

Small biz has 2 sections: amendments to CARES programs & emergency designation.

[2/n] Section 101: Amendments to PPP, EIDL loans & EIDL grants

* PPP increased by $310B

* EIDL grants increased by $10B

* explicitly includes agricultural enterprises w/<500 empls as eligible for EIDL loans & grants

[3/n][Sec 101 cont]

Defines "comm developmt fin inst" using def in Riegle Act of 1994

Defines "comm fin inst" as:
* CDFIs or
* "minority depostry inst" as def in FIRRA 1989, or
* SBIC, or
* SBA-defined intermediary

Defines "credit union" as state or federal under FCUA

[4/n][Sec 101 cont]

Allocates $30B of #PPP to
* insured depositry inst w/assets >=$10B + <$50B
* credit unions w/assets >=$10B + <$50B

[5/n][Sec 101 cont]

Allocates $30B of #PPP to
* community fin insts (as def above)
* insured depositry inst w/assets >$10B
* credit unions w/assets <$10B

[6/n] Section 102 - Emergency Designation

Contains official/formal designations of allocated amounts to PPP & EIDL as emergency requirements

[7/n] Division B - Add'l $ for Coronavirus Response

Allocates add'l $75B to "Public Health and Social Services Emergency Fund" (PHSSEF) which was created in CARES act

Reimburses eligible health care providers for health care expenses or lost revenues attributable to coronavirus

[8/n] [Div B cont]

Eligible health care providers =
* public entities
* Medicare/Medicaid enrolled suppliers & providers
* For-profit & non-profit entities as designated by Secreatry of DHHS to provide diagnoses, testing, or care for individuals w/possible or actual COVID-19

[9/n] [Div B cont]

Recipients of above can use $ for building/construction temporary structures; leases; medical supplies & equip (incl PPE & testing suppplies); increased workforce & training; emergency ops centers; retrofitting facilities & surge capacity

[10/n] [Div B cont]

Allocates additional $25B to PHSSEF to

"prevent, prepare for & respond to coronavirus, domestically or internationally"

[11/n] [Div B cont]

Add'l $25B PHSSEF can be used for

"research, develop, validate, manufacture, purchase, administer, & expand capacity for COVID-19 tests"

[12/n] [Div B cont]

Allowed $ for tests:
Active infection and prior exposure
Molecular, antigen, & serological
Mfg, procuremt & distribution
Test equip & supplies (incl PPE for administering)
Molecular point-of-care
"other" tests

[13/n] [Div B cont]

Testing $ can also be used for:
Support for workforce
Epidemiology
Scale up academic, commercial, public health & hospital laboratories
Conduct surveillance & contract tracing
Development of COVID-19 test plans
"Other" activites related to COVID-19 testing

[14/n] [Div B cont]

Within above $25B total for testing, carve out of $11B for states, localities, territories, tribes/tribal orgs, urban Indian health orgs, & other health service providers to tribes. Similar allowable uses as for full $25B.

[15/n] [Div B cont]

Of the $11B carve-out, further carve-outs of
$2B min to states/local/territories based on 2019 PHEP formula
$4.25B min to states/local/territories based on relative # of COVID-19 cases
$750M min to be allocated by Dir of Indian Health

[16/n][Div B cont]

Within 30 days of passage, recipients must submit plan for COVID-19 testing thru remainder of 2020

[Contains specific details of what the submitted testing plans must address]

[17/n] [Div B cont]

Allocations min. $1B to CDC for "CDC-Wide Activities & Program Support"

[Outlines various intended uses of funds by CDC]

[18/n] [Div B cont]

Allocates min $306M to NIH - National Cancer Institute to "develop, validate, improve & implement serological testing & associated technologies"

[19/n][Div B cont]

Allocates min $500M to NIH-Nat'l Inst of Biomedical Imaging & Bioengineering to "accelerate research, development & implementation of point of care & other rapid testing related to coronavirus"

[20/n][Div B cont]

Allocates min $1B to NIH - Office of Director

[lists wide set of allowable uses tied to testing]

[21/n][Div B cont]

Allocates min $1B to Biomedical Advanced Research & Development Authority (BARDA) for misc activities tied to testing for coronavirus

[22/n][Div B cont]

Alloctes $22M to FDA for salaries & expenses to support activities associated with diagnostic, serological, antigen & other tests + related administrative activities.

[23/n][Div B cont]

$ in allocations above=OK to use for grants for "rent, lease, purchase, acq, construction, alteration, renovation, or equip" non-federally owned facilities to incr preparedness & response at state & local level for diagnostic, serological or other COVID tests

[24/n][Div B cont]

$ in allocations above= OK to use for contracts for "construction, alteration, renovation, or equip of non-federally owned facilities" for production of "diagnostic, serologic, or other COVID-19 tests, or related supplies"

[25/n][Div B cont]

$ in allocations above=OK to purchase
* med supplies & equip, incl PPE & testing supplies to be used for administering tests
* incr workforce & training
* emergency ops ctrs
* surge capacity for diagnostic, serologic & other COVID-19 tests or related supplies

[26/n][Div B cont]

Provides that at discretion of Sec HHS, products purchased with all $ above can be deposited in Strategic National Stockpile per PHSA

[27/n][Div B cont]

Allocates $600M to Health Res & Svcs Admin-Primary Health CAre for grants under Health Centers prog (in PHSA) and grants to fed qualified health centers (as defined in Social Security Act); lifts some PHSA restrictions for these grants

[28/n][Div B cont]

Allocates $225M to rural health clinics (as defined in Social Security Act) for COVID-19 testing & related expenses

Can be used for building/construct temp strucutres, property leases, & retrofitting as necessary to support COVID-19 testing

[29/n][Div B cont]

Allocates $1B to cover cost of testing of uninsured

[30/n][Div B cont]

Directs Sec HHS to report on COVID-19 testing within 21 days of passage of this Act:
* Demographic characteristics
* # & rates of cases, hospitalizations & deaths

Reports must be updated every 30 days until end of declared public health emergency

[31/n][Div B cont]

[Misc details on additional reports required, including epidemiological analysis witin 180 days - see language of bill if interested in specifics]

[32/n][Div B cont]

Requires Sec HHS to develop & report on nat'l COVID-19 strategic testing plan, to assist states/locals/territories/tribes/tribal orgs/urban Indian health orgs

[Misc specific details of what must be addressed in such plan - see language in bill if interested]

[33/n] General Provisions incl Transfer of Funds

Funds appropriated to DHHS subject to various sections of CARES

$ can generally be transfered/moved among CDC, PHSSEF, FDA, NIH after consulting with OMB and notifying House & Senate Appropriations cmtes

[34/n] [General Provisions cont.]

Allocates up to $6M to Office of Inspector General of DHHS for oversight of funds allocated to DHHS

IG must consult with Sen & House Approp cmtes

[35/n] TITLE II - Independent Agencies

Provides $2.1B to SBA for salaries & expenses thru 9/30/2021

[36/n] DISASTER LOANS PROGRAM ACCOUNT

Allocates additional $50B to EIDL 7(b) loans

Allocates additional $10B to emergency EIDL grants as authorized in CARES

[37/n] Title III - general provisions

[Contains language needed/designed to implement all above directives, exempts $ from Senate PAYGO scoring, etc.]

*If new developments arise w/changes or add'l info, I will add tweets to this thread as needed.*

[END OF INITIAL THREAD]