The NCSL Blog


By Margaret Wile

In an overwhelmingly bipartisan effort, both chambers of the U.S. Congress within a day of each other passed HR 6074, which provides $8.3 billion to combat COVID-19. President Donald Trump signed the appropriations bill into law on March 6.

coronavirus covid-19Of the $8.3 billion, at least $1.05 billion, primarily from the Centers for Disease Control and Prevention (DCD), will go to state, local and tribal efforts. The bill allows the CDC to provide grants or enter into cooperative agreements with state, local and tribal governments to dispense these funds. An added provision in the bill allows the federal government to reimburse states for expenses they incurred, dating back to January, to combat COVID-19. 

Below is a further breakdown of all the funds appropriated under this legislation.

Major Provisions

Total Funding Allocations of $8.3 Billion

  • $3.4 billion—Public Health and Social Services Emergency Fund
    • Vaccine efforts, therapeutics, diagnosis, medical supplies, medical surge capacity building, health services and oversight.
  • $2.2 billion—Centers for Disease Control and Prevention (CDC)
    • Federal, state and local public health efforts, surveillance, testing, infection control, mitigation and replenishing funds.
  • $985 million—Bilateral Assistance
    • Global health programs by supporting health systems overseas, international disaster assistance and economic support.
  • $264 million—Department of State
    • Consular operations, emergency evacuation and other preparedness efforts.
  • $836 million—National Institutes of Health (NIH)
    • Research and development of vaccines, therapeutics and diagnostics, and training to reduce exposure of hospital employees and first responders.
  • $82 million—Other
    • Food and Drug Administration (FDA) to review medical countermeasures, devices, therapies and vaccines.
    • Small Business Administration for small business disaster loans.
    • U.S. Agency for International Development for oversight.
  • $500 million—Allows for a temporary reimbursement of an estimated $500 million for telehealth for all Medicare enrollees regardless of whether they are located in a rural area.


State-specific Funding Included in the $8.3 Billion

  • At least $1.05 billion in grants to reimburse state and local governments for costs already incurred and for future anticipated costs to respond.
    • No less than $950 million in CDC funding.
      • Half of this funding must be allocated within 30 days of enactment.
      • $40 million of this must be allocated to tribes.  
    • No less than $100 million for community health centers.
Additional Resources:

Margaret Wile is a policy director in NCSL’s Health and Human Services Program.

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This blog offers updates on the National Conference of State Legislatures' research and training, the latest on federalism and the state legislative institution, and posts about state legislators and legislative staff. The blog is edited by NCSL staff and written primarily by NCSL's experts on public policy and the state legislative institution.