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1 1 (November 02, 2020)

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The COVID-19 Health Care Provider

Relief Fund



Updated November 2, 2020
In response to the Coronavirus Disease 2019 (COVID-19) pandemic, some health care providers limited
in-person visits and cancelled elective procedures to reduce the spread of COVID-19, prepare for
COVID-19  patients, and conserve personal protective equipment. As a consequence, some providers
reported forgone revenue and/or significant financial challenges, making it difficult to sustain services. To
address these concerns, Congress established the Provider Relief Fund (PRF) in the Coronavirus Aid,
Relief, and Economic Security (CARES) Act (P.L. 116-136) and appropriated $100 billion to reimburse,
through grants or other mechanisms, eligible health care providers for health care related expenses or lost
revenues that are attributable to coronavirus. The Paycheck Protection Program and Health Care
Enhancement Act (PPPHCEA,  P.L. 116-139) added an additional $75 billion to the PRF.
The PRF provides grants to eligible health care providers. Funds do not have to be repaid as long as the
provider meets the PRF's terms and conditions. This differs from other provider support programs
including the now suspended Medicare Accelerated and Advance Payment Program (AAP), which
provided advance Medicare payments. Some providers may have received funds from both programs.
Some providers (e.g., physician practices) may also be eligible for loans from the Paycheck Protection
Program (PPP), and can receive funds from both the PRF and PPP, so long as the funds are not
duplicative. In response to questions by providers, the Center for Medicare & Medicaid Services (CMS)
has clarified how PRF funds are to be reported as revenue, in Medicare Cost Reports for reporting
providers. In addition, the Internal Revenue Service (IRS) has clarified that PRF funds are taxable.

Fund  Administration
The PRF is administered under contract with the UnitedHealth Group. The Department of Health and
Human  Services (HHS) also administers a different but related fund that provides reimbursement for
COVID-19  testing and treatment for the uninsured, with a portion of PRF funds allocated for uninsured
treatment.

Eligibility, Terms, and  Conditions
To receive PRF funds, providers must submit an application with their tax ID number and required
revenue information. After receiving funds, providers must agree to the terms and conditions, namely,

                                                                Congressional Research Service
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