American Rescue Plan

$1.88 trillion total

HCBS funding: p.213

  • 10 percentage point FMAP bump (~$12.67 billion) (subject to a 95 percent limit) from April 1, 2021 to March 31, 2022 to implement or supplement the implementation of one or more activities to enhance, expand, or strengthen HCBS under the State Medicaid program
  • “supplement, not supplant” provision (p.214)


  • States that newly expand Medicaid would receive an additional 5 percentage point FMAP increase for 2 years (in addition to the 6.2 increase from the Families First Act) (p.212)
  • For two years, the 100% FMAP available to Indian Health Service providers would also apply to Urban Indian Health Programs and Native Hawaiian Health Care Systems services. (p.212)


  • $500 million to establish an emergency pilot program for rural healthcare development needs related to the COVID-19 pandemic (p.8)
  • $7.66 billion to bolster the public health workforce and COVID-19 response for costs related to recruiting, hiring and training individuals to serve as investigators, contact tracers, lab personnel, communication and policy experts, and other positions required to prevent, prepare for, and respond to COVID-19; PPE and other supplies; and other expenses (p.39)
  • $7.6 billion for community health centers (p.40)
  • $800 million for the National Health Service Corps (p.41)
  • $100 million for the Medical Reserve Corps (p.40)

Affordable Care Act/ Insurance

  • Increases the ACA’s premium subsidies for health insurance purchased through an exchange (increases the amount and expands who is eligible) (p.179). Read more about this topic.
  • People who receive (or have been approved to receive) unemployment compensation during 2021 are eligible for premium subsidies equivalent to people earning up to 133% FPL (p.36)
  • $20 million to HHS through FY22 for grants to ACA exchanges to modernize or update systems, programs, or other technology
  • COBRA premiums are subsidized for 6 months for people who lost employment or had hours reduced (p.124)

Testing, Vaccines, Etc.

  • $7.5 billion to HHS for vaccine activities at the CDC (planning, promoting, distribution, administering, tracking, etc.) (p.34)
  • $5.2 billion for BARDA (Biomedical Advanced Research and Development Authority – part of HHS) for vaccine and supplies procurement (in the Senate summary)
  • $47.8 billion to HHS for activities to detect, diagnose, trace and monitor COVID-19 and strategies to mitigate its spread (p.37)
  • $1.75 billion for enhanced genome sequencing (p.38)
  • $10 billion to carry out the Defense Production Act for medical supplies and equipment (testing, PPE, vaccines, etc.)
  • $1 billion to the CDC to strengthen public understanding and confidence in the COVID-19 vaccines and improve vaccination rates (p.35)
  • $6.05 billion for research, development, manufacturing, production and purchase of vaccines, therapeutics and ancillary medical products and supplies to respond to COVID and any pandemic-capable disease (available through HHS until expended) (p.36)
  • $500 million to FDA to evaluate the continued effectiveness of FDA regulated products approved to address COVID-19 and to expand continuous manufacturing abilities and expand inspections (p.36)
  • $750 million for activities conducted through the CDC to combat COVODI-19, SARS-CoV-2, and other emerging infectious disease threats globally (p.38)

Mental Health

  • $1.5 billion to HHS for community mental health services block grants and $1.5 billion for substance abuse prevention and treatment block grants (through FY25) (p.42)
  • Funding related to health professionals’ mental health including $80 million to HHS and HRSA for grants or contracts with entities in rural or underserved communities to train health professionals about these issues among healthcare professionals, $20 million to HHS/CDC to carry out an education and awareness campaign for healthcare professionals and first responders about risk factors and seeking support and treatment for their own mh and substance use concerns, and $40 million to HHS/HRSA for grants or contracts to establish or expand protocols for promoting mental health among healthcare providers (p.43-44)
  • $30 million for community-based overdose prevention programs, syringe services programs, and other harm reduction services (p.44)
  • $50 million for grants to address increased mh needs related to COVID-19 (p.44)
  • $10 million for the National Child Traumatic Stress Network (p.45)
  • $30 million for Project AWARE (Advancing Wellness and Resiliency in Education) (p.45)
  • $20 million to youth suicide and early prevention grants (p.45)
  • $100 million for MH workforce education and training grants (p.45)
  • $80 million for Pediatric Mental Health Care Access Grants (p.45)
  • $420 million for Certified Community Behavioral Health Clinics (p.45-46)
  • Allows states to offer community-based mobile crisis intervention services for five years, with an 85% FMAP (p.210)


  • $27.4 billion in Emergency Rental Assistance ($21.55 billion through the Coronavirus Relief Fund, $305 million reserved for territories, p.51)
  • $5 billion in emergency housing vouchers (p.55)
  • $100 million in rural rental assistance (p.57)
  • $100 million for housing counseling (through NeighborWorks America) (p.57)
  • $5 billion for supportive services and pandemic-related solutions for people experiencing homelessness (p.58)
  • $9.961 billion in funding to states, territories, tribes, and tribally designated housing entities to provide direct assistance to homeowners for mortgage and utility assistance (p.60)
  • $39 million for USDA 502 and 504 Direct mortgage programs (p.64)
  • $20 million to fair housing organizations (p.64)
  • NLIHC breakdown


  • $30.46 billion to transit agencies (most provided as formula grants based on the formula in preceding legislation) to remain available through FY24 (p.69)
    • $26 million for Section 5307 planning grants to restore service (Urbanized Area Formula Grants) (p.70)
    • $50 million for 5310 (FTA Enhanced Mobility for Seniors and Individuals with Disabilities Grants) (p.70)
    • $317 million for 5311 (Formula Grants for Rural Areas) (p.70)
    • Capital Investment Grants (CIG) (5309) – $1.425 billion for subsections (d) and (e) (New Start and Core Capacity projects), $250 million for subsection (h) (Small Start projects that are a recipient of a CIG allocation or an applicant in the project development phase) (p.71)
    • $100 million to preserve rural intercity bus services under the section 5311(f) program (p.72)
    • $2.21 billion for operating assistance grants to maintain operations and avoid layoffs and furloughs due to COVID-19 (p.72)
  • $1.7 billion in relief to Amtrak (National Railroad Passenger Corporation) to keep rail service running, rehire furloughed workers, and restore full long-distance service to remote communities (starts on p.91)
  • $15 billion to extend the airline payroll support program (to avert mass layoffs and furloughs) through FY21 or the date on which funds are expended (p.101)
  • $8 billion for airports (p.93)
  • $800 million for airport concessions to provide relief from rent and minimum annual guarantees (p.94)
  • $13 billion emergency paid leave fund for TSA employees (expires Sept 22) (p.97)


  • $3.03 billion in funding for programs authorized under IDEA (p.26)
    • 2.58 billion for grants to States under part B
    • 200 million for preschool grants under section 619
    • 250 million for programs for infants and toddlers with disabilities under Part C
  • $122.775 billion for the Elementary and Secondary School Education Relief Fund (ESSER); states are required to subgrant at least 90% to local educational agencies to address a list of activities starting on p. 17. (starts on p.16)
    • $800 million for the identification and provision of wraparound services for students experiencing homelessness (p.16)
  • $2.75 billion for States to provide services to non-public schools that serve a significant percentages of students from low-income families (p.20)
  • MOE (maintenance of effort) provision helps protect against cuts at the state and local level, “maintenance of equity” requirement helps ensure higher-poverty school districts and schools don’t shoulder a disproportionate amount of any cuts (p.21)
  • Higher Ed: $40 billion to colleges and universities, at least half of which must be spent on emergency financial aid grants to students, $3 billion of that for HCBUs, Tribal Colleges and Universities (TCUs, and other Minority Serving Universities (MSIs) (p.20)

Nursing facility strike teams: p.215

  • $250 million for states to implement strike teams to deploy to NFs with diagnosed or suspected cases of COVID-19 among residents or staff to assist with care, infection control or staffing

Disaster Relief

  • $50 billion for the Disaster Relief Fund at FEMA to pay for costs associated with major disaster declarations (PPE; vaccines; sanitation of schools, public transportation and courthouses; health care overtime costs; extending the funeral assistance program; and other costs). (p.76)
    • Funds under this section may be used to provide financial assistance to an individual or household to meet disaster-related funeral expenses (p.76)
  • $40 million for oversight of the COVID-19 response via the Pandemic Response Accountability Committee (p.75)
  • $12.8 million for the White House response to the coronavirus (p.76)
  • $400 million for the FEMA Emergency Food and Shelter Program and another $110 million for the emergency food and shelter program for the purposes of providing relief to families and individuals encountered by the US DHS (p.76)
  • $100 million for Assistance to Firefighter Grants (p.77)
  • $200 million for staffing for Adequate Fire and Emergency Response Grants (SAFER) (p.77)
  • $100 million for Emergency Management Performance Grants (p.77)

Stimulus Payments

  • $1400 payment per qualifying individual (starts on p.135)
  • *If you have a SSN, you are eligible (assuming you meet the other criteria); there’s no penalty for mixed-status immigrant families, however, ITIN (individual tax identification number) filers are still left out

Food Assistance

  • Extends the 15% increase in SNAP benefits through FY21 (p.12)
  • Provides $1.15 billion for SNAP ($15 million for management and oversight, $1.135 billion for grants to states for FY 21-23) (p.12)
  • $25 million to make technological improvements to improve online purchasing and make technology improvements for SNAP (p.12)
  • $1 billion in nutrition assistance for the Commonwealth of Northern Mariana Islands, Puerto Rico, and American Samoa (p.13)
  • Extends the Pandemic Electronic Benefits Transfer (P-EBT) program (a temporary food benefit program to provide extra benefits for families with school-aged children) (p.15)
  • Provides funding for outreach and modernization to make the WIC program (Special Supplemental Nutrition Program for Women, Infants, and Children) more user-friendly ($390 million) and increase the Cash Value Voucher benefit ($490 million) (starts p.13)

Employment and worker protections

  • $200 million for DOL worker protection enforcement activities (p.27)
  • $570 million to establish an Emergency Federal Employee Leave Fund (through OPM) through FY22 (p.74)
  • Ensures federal employees who are diagnosed with COVID-19 as a result of their service can receive workers’ compensation benefits and allow their families to receive survivor benefits if their loves one passes away (p.77)
  • Resets the 10-day/80-hour Paid Sick Leave (starting April 1, 2021) and adds new qualifications (obtaining a COVID-19 vaccine, recovering from illness related to the vaccine, waiting for test results, etc.) (p.158)
  • Changes to the Emergency Family and Medical Leave so qualified employees are eligible for full 12 weeks of paid leave (instead of 10 paid and 2 unpaid), and increases the cap from $10,000 to $12,000; expands qualifying reasons (p. 163)
  • Includes provisions for sick leave (p.168) and family leave (p.171) for self-employed individuals

Unemployment: p. 115

  • Extends enhanced unemployment insurance through Sept 6, 21 (includes the extra $300 Federal Pandemic Unemployment Compensation (FPUC), and extends FPUC for those who exhaust state benefits from 24 weeks to 53 weeks)
  • Expands Pandemic Unemployment Assistance (PUA) to people who wouldn’t regularly qualify like self-employed, gig workers, & freelancers

Older Americans Act

  • $1.34 billion for OAA programs (p.49_

Child Care:

  • -$40 billion for child care, including nearly $24 billion for Child Care Stabilization grants, nearly $15 billion for the Child Care and Development Block Grant (CCDBG) program, and $1 billion for Head Start (p.28)

Violence & Abuse

  • $350 million in funding for programs authorized under CAPTA (Child Abuse Prevention and Treatment Act) (p.32-33)


  • $4.5 billion for LIHEAP (Low Income Home Energy Assistance Program) (p.48)
  • $500 million for low-income water assistance (p.48)

Tech / Broadband

  • $7.172 billion to the FCC to create an Emergency Connectivity Fund to reimburse schools and libraries for internet access and devices for students and teachers learning remotely (p.106)
  • $10 billion for states, territories, and tribal governments intended to focus on enabling work, education and health monitoring, including remote options, in response for COVID-19 (this has been noted as a potential broadband investment) (p. 230)

Tribal provisions

  • $20 billion of the ~$219.8 COVID State Fiscal Recovery Fund for tribal governments (p.220)
  • $6.094 for Indian Health Service (p.237)
  • $900 million to the Bureau of Indian Affairs (p.238)
  • $750 million for Housing Assistance and Supportive Services Programs for Native Americans (p.239)
  • $20 million for grants to ensure survival and continuity of Native American languages during the pandemic (p.241)
  • $850 million for programs and activities operated or funded by the Bureau of Indian Education, for Bureau-funded schools, and for tribal colleges and universities (p.241)
  • $190 million for American Indian, Native Hawaiian, and Alaska Native Education (p.241)


  • $1 billion in funding to waive copays and cost sharing for veterans from April 6, 2020 through Sep 30, 2021 (or until funds are expended) (p.113)
  • Establishes a new program (funded at $386 million) to provide retraining assistance for veterans who have lost their jobs due to COVID (p.110)
  • Establishes an Emergency Department of Veterans Affairs Employee Leave Fund (funds at $80 million through September 20, 2022) (p. 113)

State and local assistance

  • Of the ~$350 billion for fiscal relief, 57% is allocated to states and 35% to local governments.
  • $269.8 billion for the COVID State Fiscal Recovery Fund – $219.8 billion for States, territories, and Tribal governments to mitigate the fiscal effects from COVID-19 to be available through December 31, 2024; $50 million for the Secretary for administration of funds to be available until expended (p.220)

Business and Economic Development

  • $10 billion for the SSBCI (State Small Business Credit Initiative) to help states support small businesses (p. 64)
  • $15 billion to the SBA in targeted EIDL (Economic Injury Disaster Loan) grants to hart-hit, underserved small businesses with increased flexible grant relief (p.82)­
  • $28.6 billion for the restaurant industry through a grant program (p.82)
  • $1.25 billion for the Shuttered Venue Operations Grant Program (p.88)
  • $725 billion and expanded PPP eligibility to include additional nonprofits and organizations (including internet publishing organizations) (p.78)
  • Adds COBRA premium assistance as an allowable payroll cost under PPP (p.81)
  • $175 million to fund a community navigator pilot program to get community navigator services to current or prospective owners of eligible businesses to improve access to assistance programs and resources ($100 million for the pilot and $75 million for outreach and education in the 10 most spoken languages in te US including a telephone hotline. (p.87)
  • $3 billion to the Economic Development Administration to aid communities in rebuilding local economies (p.90)


  • Enhances the Child Tax Credit to $3000 for children older than 6 and $3600 for children younger than 6 (currently $2000, of which only $1400 is refundable- change makes it fully refundable) – cutoff for higher-income families- plan is for the tax credit to be claimed on a monthly basis, rather than annually (starts on p.141)
  • Expands the Earned Income Tax Credit (EITC) for taxpayers with no qualifying children by: almost tripling the maximum amount in 2021, reducing the minimum qualifying age and eliminating the upper age limit, doubling the phase-in and phase-out percentages, and more. (starts on p. 149)