In the early months of 2020, the federal government began to express concern over the global outbreak of Coronavirus Disease 2019 (COVID-19). COVID-19 is a viral respiratory illness caused by a novel coronavirus. By late January, the Secretary of the U.S. Department of Health and Human Services (HHS) had invoked certain authorities to direct existing funds to respond to the COVID-19 outbreak. The HHS Secretary declared COVID-19 to be a Public Health Emergency, effective January 27, 2020.
On February 24, 2020, the Trump Administration submitted an initial emergency supplemental appropriations request to Congress. The Administration requested $1.25 billion in new funds for the HHS Public Health and Social Services Emergency Fund (PHSSEF) to support COVID-19 response efforts. The request included a number of other proposals, mostly related to repurposing existing funds from across the government toward response activities. All told, the Administration estimated needing to allocate about $2.5 billion toward COVID-19 response efforts.
On March 4, 2020, the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (H.R. 6074), was introduced in the House. The bill was passed by the House (415-2) on March 4 and by the Senate (96-1) on March 5. The bill was signed into law (P.L. 116-123) on March 6. This supplemental appropriations act is the first such act to be enacted in the aftermath of the COVID-19 outbreak. Any subsequent such actions are beyond the scope of the report.
According to the Congressional Budget Office (CBO), Division A of P.L. 116-123 provides roughly $7.8 billion in discretionary supplemental appropriations. (CBO estimates that provisions in Division B will cost roughly $490 million, but those provisions are not the focus of this report.) The funds in Division A of P.L. 116-123 are primarily intended to prevent, prepare for, and respond to the coronavirus. (For purposes of the bill, the term coronavirus refers to SARS-CoV-2, the virus that causes COVID-2019, or another coronavirus with pandemic potential.)
The majority of the funds in Division A are appropriated to HHS agencies and accounts. In total, the bill appropriates $6.5 billion to HHS, representing 84% of all funds in the bill. In general, these funds are for health emergency prevention, preparedness, and response activities related to COVID-19. Funds largely support domestic activities, but certain accounts include funds that may be allocated for global health activities. The HHS funds are distributed as follows:
The PHSSEF receives almost half of all funds in Division A, with appropriations totaling $3.4 billion when including $300 million in appropriations that are contingent upon future actions by HHS. PHSSEF funds are provided for the development of countermeasures and vaccines, as well as for the purchase of vaccines, therapeutics, diagnostics, necessary medical supplies, medical surge capacity, and administrative activities.
The Centers for Disease Control and Prevention (CDC) receives the next-largest share of all funds in the supplemental: $2.8 billion, accounting for more than a quarter of all funds in Division A. In general, these funds are intended to support core public health functions, including surveillance, laboratory capacity, infection control, and other activities. The funds are also for global disease detection and emergency response, as well as for activities carried out using the Infectious Diseases Rapid Response Reserve Fund (IDRRRF).
Remaining HHS funds are appropriated to the Food and Drug Administration ($61 million) and the National Institutes of Health ($836 million).
In addition to amounts appropriated to HHS, the supplemental provides $20 million in administrative funds for the Disaster Loans Program Account within the Small Business Administration (SBA). The supplemental also includes provisions clarifying that SBA disaster loans and economic injury disaster loans may be made in response to COVID-19. Finally, the supplemental provides nearly $1.3 billion (about 16% of all funds in Division A) to support foreign operations activities across several agencies and funding mechanisms. This includes funding to help the Department of State maintain consular operations, reimburse for evacuation expenses, and support emergency preparedness. Additional funds are provided for global health, international disaster assistance, economic support, and certain oversight activities.
In the early months of 2020, the federal government began to express concern over the global outbreak of Coronavirus Disease 2019 (COVID-19). COVID-19 is a viral respiratory illness caused by a novel coronavirus. By late January, the Secretary of the U.S. Department of Health and Human Services (HHS) had invoked certain authorities to direct existing funds to respond to the COVID-19 outbreak. The HHS Secretary declared COVID-19 to be a Public Health Emergency, effective January 27, 2020.
On February 24, 2020, the Trump Administration submitted an initial emergency supplemental appropriations request to Congress. The Administration requested $1.25 billion in new funds for the HHS Public Health and Social Services Emergency Fund (PHSSEF) to support COVID-19 response efforts. The request included a number of other proposals, mostly related to repurposing existing funds from across the government toward response activities. All told, the Administration estimated needing to allocate about $2.5 billion toward COVID-19 response efforts.
On March 4, 2020, the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (H.R. 6074), was introduced in the House. The bill was passed by the House (415-2) on March 4 and by the Senate (96-1) on March 5. The bill was signed into law (P.L. 116-123) on March 6. This supplemental appropriations act is the first such act to be enacted in the aftermath of the COVID-19 outbreak. Any subsequent such actions are beyond the scope of the report.
According to the Congressional Budget Office (CBO), Division A of P.L. 116-123 provides roughly $7.8 billion in discretionary supplemental appropriations. (CBO estimates that provisions in Division B will cost roughly $490 million, but those provisions are not the focus of this report.) The funds in Division A of P.L. 116-123 are primarily intended to prevent, prepare for, and respond to the coronavirus. (For purposes of the bill, the term coronavirus refers to SARS-CoV-2, the virus that causes COVID-2019, or another coronavirus with pandemic potential.)
The majority of the funds in Division A are appropriated to HHS agencies and accounts. In total, the bill appropriates $6.5 billion to HHS, representing 84% of all funds in the bill. In general, these funds are for health emergency prevention, preparedness, and response activities related to COVID-19. Funds largely support domestic activities, but certain accounts include funds that may be allocated for global health activities. The HHS funds are distributed as follows:
In addition to amounts appropriated to HHS, the supplemental provides $20 million in administrative funds for the Disaster Loans Program Account within the Small Business Administration (SBA). The supplemental also includes provisions clarifying that SBA disaster loans and economic injury disaster loans may be made in response to COVID-19. Finally, the supplemental provides nearly $1.3 billion (about 16% of all funds in Division A) to support foreign operations activities across several agencies and funding mechanisms. This includes funding to help the Department of State maintain consular operations, reimburse for evacuation expenses, and support emergency preparedness. Additional funds are provided for global health, international disaster assistance, economic support, and certain oversight activities.
By late February and early March 2020, the global outbreak of Coronavirus Disease 2019 (COVID-19), a viral respiratory illness caused by a novel coronavirus, had entered a new phase, with community spread occurring in many countries and several U.S. states. Concerns grew over the potential for the disease to spread widely, leading to increased hospitalizations and deaths. On March 6, 2020, Congress and the President enacted the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123), to provide emergency supplemental appropriations to prevent, prepare for, and respond to the coronavirus outbreak. This report provides an overview of appropriations in Division A and relevant policies and requirements pursuant to the supplemental.1 Funding in Division A is designated as being provided as an emergency requirement.
For the purposes of the supplemental, the term "coronavirus" refers to SARS-CoV-2, the virus that causes COVID-2019, or another coronavirus with pandemic potential. For an overview of congressional reporting requirements in the act, see CRS Insight IN11236, Oversight Provisions in H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act, by Ben Wilhelm.
Prior to the enactment of P.L. 116-123, domestic health coronavirus preparedness and response activities were primarily supported by the U.S. Department of Health and Human Services (HHS) using certain existing funding streams and transfer authorities. For instance, on January 25, 2020, the HHS Secretary determined that COVID-19 response activities would be supported by an allotment of $105 million from existing balances in the Infectious Disease Rapid Response Reserve Fund (IDRRRF; see the "Centers for Disease Control and Prevention (CDC)" section of this report). In addition, on February 2, 2020, HHS reportedly notified Congress of its intention to transfer up to $136 million to COVID-19 response efforts from other existing HHS accounts.2
On February 24, 2020, the Administration asked Congress for emergency supplemental appropriations of $1.25 billion for the HHS Public Health and Social Services Emergency Fund (PHSSEF) to support COVID-19 response efforts. The Administration's request included a number of other proposals, mostly related to repurposing existing funds from across the government, including HHS funds for current Ebola response activities.3 All told, the Administration estimated needing to allocate about $2.5 billion toward COVID-19 repose efforts.
The supplemental appropriations bill, H.R. 6074, was introduced and passed in the House on March 4, 2020; passed in the Senate on March 5, 2020; and signed into law (P.L. 116-123) by the President on March 6, 2020.
Division A of P.L. 116-123 provides a total of $7.767 billion in supplemental appropriations to aid in the U.S. and global coronavirus preparedness and response. This total includes $6.497 billion for the HHS (including contingent amounts), $20 million for the Small Business Administration, and $1.250 billion for foreign operations activities provided across several agencies and funding mechanisms.4 The funding is largely intended to aid in the domestic public health response to the outbreak, with limited amounts available for global health, diplomatic programs, and domestic and international economic assistance activities. Division B, which addresses telehealth services, is covered in CRS Report R46239, Telehealth and Telemedicine: Frequently Asked Questions.
Table 1 displays funds appropriated in Division A. The table is organized by each federal department or agency, with funds further broken down by account, program, or activity. The text below the table is organized in the same order and includes more detailed information on the purposes and specified uses of these funds.
Table 1. FY2020 Supplemental Appropriations for COVID-19
Preparedness and Response (P.L. 116-123, Division A)
Department or Agency, Program or Account |
Amount |
Availability |
|
Titles I and III—Department of Health and Human Services (HHS) |
|||
FDA, Salaries and Expenses |
|
until expended |
|
CDC, CDC–Wide Activities and Program Support |
|
until Sept. 30, 2022 |
|
Transfer to Infectious Diseases Rapid Response Reserve Fund (IDRRRF) (non-add) |
|
(as above) |
|
NIH, National Institute of Allergy and Infectious Diseases (NIAID) |
|
until Sept. 30, 2024 |
|
Transfer to NIH National Institute of Environmental Health Sciences (NIEHS) (non-add) |
|
(as above) |
|
OS, Public Health and Social Services Emergency Fund (PHSSEF), appropriated |
|
until Sept. 30, 2024 |
|
Transfer to HRSA, Primary Health Care (Health Centers Program) (non-add) |
|
(as above) |
|
Transfer to HHS Office of the Inspector General (OIG) (non-add) |
|
(as above) |
|
OS, PHSSEF, additional contingent amounta |
|
until Sept. 30, 2024 |
|
HHS Subtotal (includes contingent amount) |
|
||
Title II—Small Business Administration (SBA) |
|||
Disaster Loans Program Account |
|
until expended |
|
SBA Subtotal |
|
||
Title IV—Foreign Operations |
|||
Department of State, Diplomatic Programs |
|
until Sept. 30, 2022 |
|
U.S. Agency for International Development (USAID), Office of Inspector General |
|
until Sept. 30, 2022 |
|
Bilateral Economic Assistance—Global Health Programs |
|
until Sept. 30, 2022 |
|
Transfer to the Emergency Reserve Fund |
|
(as above) |
|
Bilateral Economic Assistance—International Disaster Assistance |
|
until expended |
|
Bilateral Economic Assistance—Economic Support Fund |
|
until Sept. 30, 2022 |
|
Transfer to Operating Expenses |
|
(as above) |
|
Foreign Operations Subtotal |
|
||
Total (includes HHS contingent amount) |
|
Source: Compiled by the Congressional Research Service based on amount specified in Division A of P.L. 116-123. The table does not include amounts associated with provisions in Division B of P.L. 116-123 that address certain telehealth services furnished during certain emergency periods. The Congressional Budget Office (CBO) estimated that the provisions in Division B would cost roughly $490 million over the course of FY2020-FY2022. See the CBO cost estimate for H.R. 6074, as posted on March 4, 2020, at https://www.cbo.gov/system/files/2020-03/hr6074.pdf.
Notes: FDA = Food and Drug Administration. CDC = Centers for Disease Control and Prevention. NIH = National Institutes of Health. OS = HHS Office of the Secretary. HRSA = Health Resources and Services Administration. PHSSEF = Public Health and Social Services Emergency Fund. For amounts shown as transfers, the bill text in some cases specifies a transfer of the exact amount shown; in other cases, bill text specifies transfers of not less than or up to the amount shown.
a. These funds may be used to purchase medical products (e.g., vaccines, therapeutics, and diagnostics). However, the availability of these appropriations is contingent upon future actions by HHS. Specifically, HHS must certify to the appropriations committees that funds from the initial $3.1 billion in PHHSEF appropriations that had been allotted for purchase of such products will be obligated imminently and that the additional $300 million is necessary to purchase vaccines, therapeutics, or diagnostics to adequately address the public health need.
Titles I and III of P.L. 116-123 provide a total of about $6.5 billion in appropriations to the Department of Health Human Services (HHS) for health emergency response activities related to COVID-19.5 The funds in these titles are provided to "prevent, prepare for, and respond to coronavirus, domestically or internationally." Funds largely support domestic activities, but certain accounts have available funding for HHS global health activities. (For information on additional international funding, see the "Foreign Operations" section of this report.)
Title I provides $61 million to FDA for domestic and international efforts "to prevent, prepare for, and respond to coronavirus" to be used for activities such as development of medical countermeasures (e.g., therapeutics, vaccines, and diagnostics), advanced manufacturing for medical products, monitoring of medical product supply chains, and related administrative activities.
Title III makes $2.2 billion available to CDC for domestic and international preparedness and response activities, including the following:
In addition to the activities detailed above, the supplemental specifies that the funds appropriated to the CDC may be used for grants for the construction, alteration, or renovation of nonfederally owned facilities to improve preparedness and response capability at the state and local level.
Title III makes $836 million available to the National Institute of Allergy and Infectious Diseases (NIAID) at NIH. These funds are for preparedness and response to COVID-19. NIAID supports scientific research on COVID-19 and other coronaviruses, as well as product development for medical countermeasures (e.g., vaccines) that could be used to curb the spread of the virus and/or to lessen its health impact. The bill specifies that
The Public Health and Social Services Emergency Fund is an account used in appropriations acts to provide the HHS Secretary with one-time or emergency funding, as well as annual funding for the office of the HHS Assistance Secretary for Preparedness and Response (ASPR). Title III of P.L. 116-123 makes $3.1 billion available to the PHSSEF for domestic and international coronavirus preparedness and response. PHSSEF funds may support a variety of activities, including
Title III also states that the HHS Secretary may take actions authorized under current law to ensure that products developed with provided funding will be affordable in the commercial market; however, the Secretary cannot take actions that delay the development of such products.11
The bill specifies that, out of the $3.1 billion:
In addition to the $3.1 billion appropriation to the PHSSEF, the supplemental provides another $300 million in PHSSEF appropriations that are contingent upon future actions by HHS. The contingent funds may be used to purchase medical products (e.g., vaccines, therapeutics, and diagnostics). However, in order for the additional $300 million to become available, HHS must certify to the House and Senate Appropriations Committees that (1) funds from the initial $3.1 billion that had been allotted for purchase of such products will be obligated imminently and (2) the additional funds are necessary to purchase vaccines, therapeutics, or diagnostics in quantities that will adequately address the public health need.
Title III contains a number of general and other provisions that provide further guidance or additional requirements associated with the supplemental funds. For example, these provisions give HHS certain hiring and contract flexibilities. In addition, they authorize HHS to use funds to restore certain prior obligations, and they establish certain expectations with respect to spend plans, transfers, and reporting and notifications to Congress.
Title III includes general provisions authorizing HHS to use amounts appropriated in this title to restore certain obligations incurred by HHS prior to the date of enactment for activities related to coronavirus preparedness and response.13 In some cases, HHS is required to reverse these actions. Specifically, HHS is directed to restore any amounts that had been transferred or reprogrammed for these purposes pursuant to a notice to appropriations committees on February 2, 2020.
Title III general provisions also specify that funds for certain grant awards or cooperative agreements to states, localities, and other entities are to include amounts to reimburse those entities for costs incurred for relevant public health and other preparedness and response activities between January 20, 2020, and the date of enactment.
Titles III includes the following reporting and notification requirements for HHS, generally, and for specific HHS agencies:
Spend Plan: HHS must provide a spend plan to the House and Senate Appropriations Committees not later than 30 days after the date of enactment. The spend plan must address anticipated uses of all funds made available to HHS in the supplemental. The spend plan must be updated and submitted to these committees every 60 days until September 30, 2024, and must include a list of each contract obligation in excess of $5 million that has not previously been reported.
Transfer Authority: HHS must notify the House and Senate Appropriations Committees 10 days in advance of a transfer made between CDC, NIH, and PHSSEF accounts. HHS may transfer nearly all amounts appropriated in Title III to these specified agencies and accounts, provided the transfers are made to prevent, prepare for, and respond to coronavirus, domestically or internationally.
Contracting: HHS must notify the House and Senate Appropriations Committees prior to using funding provided under Title III to enter into contracts with individuals for the provision of personal services to support coronavirus preparedness and response.14
Title II of P.L. 116-123 provides the Small Business Administration (SBA) with $20 million until expended for administrative expenses to carry out the SBA Disaster Loan Program.18 Title II also deems the coronavirus outbreak a disaster under Section 7(b)(2)(D) of the Small Business Act. Prior to the amendment, some questioned whether the coronavirus outbreak would meet the Small Business Act's legal definition of a disaster. The amendment addresses this question and clarifies that SBA Economic Injury Disaster Loans (EIDL) can be made available.
Title II does not provide additional funding to the SBA for disaster loans, including SBA EIDL. Instead, SBA EIDL loan funding in response to the coronavirus outbreak (as well as SBA disaster loan funding for other incidents) is to be funded by roughly $1.2 billion in disaster loan credit subsidy, which includes just over $1.1 billion in disaster loan credit subsidy carried over from previous years. This is possible because the Disaster Loan Account is a "no-year" account. No-year funding does not lapse at the end of the fiscal year. Rather, it is carried over to the next fiscal year.
A summary of the supplemental released by the House Appropriations Committee noted that the SBA is expected to make $1 billion in credit subsidy available to support the cost of anticipated defaults and related expenses of about $7 billion in EIDL loans.19 Still, the $1.2 billion in loan subsidy may be of concern to some if EIDL assistance in response to the outbreak becomes significant, if there is an uptick in 2020 disasters, or both. Consequently, Congress could consider providing additional supplemental funding through another appropriations package.
In addition, though the coronavirus outbreak is now considered by the SBA to be a disaster, SBA EIDL is not being made automatically available to businesses. Instead, EIDL must be requested by the state or territory governor by requesting one of the following types of declarations: (1) a major disaster declaration under the under the Robert T. Stafford Disaster Relief and Emergency Assistance Act (P.L. 93-288, as amended);20 (2) an SBA EIDL declaration under the Small Business Act (P.L. 83-163);21 (3) an SBA EIDL declaration under the Small Business Act based on the determination of a natural disaster by the Secretary of Agriculture;22 or (4) an SBA EIDL declaration based on the determination of the Secretary of Commerce that a fishery resource disaster has occurred.23
Title IV of P.L. 116-123 provides a total of $1.25 billion for Department of State, Foreign Operations, and Related Programs (SFOPS) appropriations accounts, $264 million of which is to be managed by the Department of State and $971 million of which is to be managed by the U.S. Agency for International Development (USAID).
Title IV designates $264 million for the Department of State's Diplomatic Programs account, which is the department's principal operating account. Generally, the account provides for human resources functions, overseas programs, security programs, and diplomatic policy and support. P.L. 116-123 indicates that the emergency funds for Diplomatic Programs are meant to support consular operations, reimburse evacuation expenses, and bolster emergency preparedness measures.
The act specified the provision of $971 million across a number of bilateral assistance appropriations accounts. These include the following:
According to USAID, the "funding will help address the threat of COVID-19 in the following high-priority countries: The Islamic Republic of Afghanistan; the Republics of Angola, Indonesia, Iraq, Kazakhstan, Kenya, South Africa, Tajikistan, The Philippines, Turkmenistan, Uzbekistan, Zambia, and Zimbabwe; the People's Republic of Bangladesh; Burma; the Kingdom of Cambodia; the Federal Democratic Republic of Ethiopia; the Kyrgyz Republic; the Lao People's Democratic Republic; Mongolia; the Federal Republic of Nepal; the Federal Republic of Nigeria; the Islamic Republic of Pakistan; the Kingdom of Thailand; and the Socialist Republic of Vietnam."24
The supplemental specifies that, out of the total appropriated to the GHP account, $200 million is to be transferred into USAID's Emergency Reserve Fund (ERF) to support coronavirus-related programs, including pandemic prevention, preparedness, and control. The ERF was established under the GHP account within final FY2017 appropriations (P.L. 115-31) "to enable the United States and the international public health community to respond rapidly to emerging health threats."
In the general provisions of Title IV of P.L. 116-123, Congress primarily offers guidance and requirements on transfer authorities, the Administration's strategy for fighting COVID-19 on an international scale, and the intervals in which Congress requires reporting.
Author Contact Information
Acknowledgments
The authors acknowledge CRS Research Assistant Isaac Nicchitta for his assistance in summarizing HHS provisions.
1. |
P.L. 116-123 also includes Division B, which addresses telehealth services furnished during certain emergency periods. For more information, see related discussion in CRS Report R46239, Telehealth and Telemedicine: Frequently Asked Questions. |
2. |
Yasmeen Abutaleb and Erica Werner, "HHS Notifies Congress that It May Tap Millions of Additional Dollars for Coronavirus Response," Washington Post, February 3, 2020. Annual appropriations acts give the HHS Secretary limited authority to transfer funds from one budget account to another within the department. For instance, a provision in the FY2020 HHS Appropriations Act (P.L. 116-94, Division A, Title II, §205) generally allows the Secretary to transfer up to 1% of the funds from any given account. In general, a recipient account may not be increased by more than 3%. Congressional appropriators must be notified in advance of any transfer. Another FY2020 appropriations provision (P.L. 116-94, Division A, Title V, §514) addresses the Secretary's authority to reprogram funds from one program, project, or activity in a given budget account to a different program, project, or activity within the same budget account. This provision places certain limits on such actions and clarifies the circumstances in which appropriations committees must be consulted in advance. |
3. |
Russell T. Vought, Acting Director, White House Office of Management and Budget, letter to the Honorable Michael R. Pence, President of the Senate, February 24, 2020. |
4. |
The amounts provided to HHS include $300 million in appropriations contingent upon future actions by HHS. This $300 million is referred to as a "contingent amount" in this report. For more information about the conditions of availability that apply to these funds, see the "Public Health and Social Services Emergency Fund (PHSSEF)" section of this report. |
5. |
Title I contains funds for the Food and Drug Administration (FDA), an agency that is typically funded in the annual Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (AG) Appropriations Act. Title III contains funding for several HHS agencies and accounts typically funded in the annual Departments of Labor, Health and Human Services, and Education, and Related Agencies (LHHS) Appropriations Act. |
6. |
Total FY2019 Public Health Emergency Preparedness funding was $623 million; 90% of this amount is approximately $561 million. CDC, "PHEP Budget Period 1 (Fiscal Year 2019) Funding," https://www.cdc.gov/cpr/readiness/00_docs/PHEP_Budget_Period_1_FY_2019_Funding_Table_August_2_2019.pdf. |
7. |
HHS, "CDC to Award Over $560 Million to State & Local Jurisdictions in Support of COVID-19 Response," press release, March 11, 2020, https://www.hhs.gov/about/news/2020-news-releases/index.html. |
8. |
HHS, "HHS announces upcoming action to provide funding to tribes for COVID-19 response," press release, March 20, 2020, https://www.hhs.gov/about/news/2020/03/20/hhs-announces-upcoming-action-to-provide-funding-to-tribes-for-covid-19-response.html. |
9. |
The IDRRRF was established in 2018 by P.L. 115-245 and is codified at 42 U.S.C. §247d-4a. Funds may be used to carry out titles II, III, and XVII of the Public Health Service Act (PHSA), which include broad authorities related to the research, public health prevention, and emergency response for infectious diseases. |
10. |
All purchases are to be made in accordance with Federal Acquisition Regulation guidance on fair and reasonable pricing (48 C.F.R. §15.404-1). At the discretion of the HHS Secretary, these products may be deposited in the Strategic National Stockpile authorized by PHSA Section 319F-2. |
11. |
This language could refer to a number of authorities, among them the march-in rights provisions of Bayh-Dole (35 U.S.C. 203) and general federal use rights of 28 U.S.C. 1498. See CRS Legal Sidebar LSB10422, COVID-19 Medical Countermeasures: Intellectual Property and Affordability, by Kevin J. Hickey. |
12. |
PHSA Section 319F-4. See also HHS, "Public Readiness and Emergency Preparedness Act," https://www.phe.gov/Preparedness/legal/prepact/Pages/default.aspx. |
13. |
Excludes obligations incurred by the CDC Infectious Disease Rapid Response Reserve Fund (IDRRRF). |
14. |
Personal service contracts are as described in 48 C.F.R. §37.104. The authority to enter into such contracts with funds provided in the supplemental expires on September 30, 2024. |
15. |
This requirement is included the CDC appropriations language, not in the Title III general provisions, but is discussed in this section because it deals with HHS spend plans and reporting requirements. |
16. |
CQ Newsmaker Transcripts, "Health and Human Services Secretary Azar Holds News Conference on Coronavirus," January 28, 2020, https://plus.cq.com/doc/newsmakertranscripts-5822133?8&searchId=XGVQS7c5press release. |
17. |
HHS, "Secretary Azar Declares Public Health Emergency for United States for Coronavirus Disease 2019," press release, January 31, 2020, https://www.hhs.gov/about/news/2020/01/31/secretary-azar-declares-public-health-emergency-us-2019-novel-coronavirus.html. |
18. |
For more information about the SBA Disaster Loan Program, see CRS Report R44412, SBA Disaster Loan Program: Frequently Asked Questions, by Bruce R. Lindsay. |
19. |
The title-by-title bill summary was released by the majority on March 4, 2020, and can be found as part of a press release made available at https://appropriations.house.gov/news/press-releases/house-passes-coronavirus-supplemental. |
20. |
Tribal leaders are also authorized to request major disasters. Major disaster assistance is contingent on the President granting the request for a major disaster. |
21. |
SBA EIDL declarations are issued by the SBA Administrator. |
22. |
This type of declaration makes SBA EIDL available to eligible small business cooperatives. |
23. |
This type of declaration makes SBA EIDL available to eligible fisheries. |
24. |
USAID, Novel Coronavirus (COVID-19), March 18, 2020. |
25. |
Regular reporting requirements can be found in FY2020-enacted appropriations, P.L. 116-94, Divison G. |