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Agenda 05/12/2020 Item #16E 1 (Cares Act Provider Relief Payment)05/12/2020 EXECUTIVE SUMMARY Recommendation to ratify the County Manager’s acceptance of the Public Health and Social Services Emergency Fund payment under Public Law 116-136 “Cares Act Provider Relief Payment” in the amount of $458,750.17 that was deposited on April 17, 2020 and to authorize any necessary budget amendments. OBJECTIVE: To offset the loss of the County’s Emergency Management Services revenue during the Covid-19 outbreak. CONSIDERATIONS: President Trump signed a bipartisan CARES Act that provided $100 billion in relief funds to Hospitals and Healthcare providers on the front lines of the coronavirus response. Immediately, $30 billion was distributed to the Healthcare systems and electronically deposited to eligible Providers. Payments provided by the Federal Department of Health and Human Services under the Services Provider Relief Program are not considered a loan and will not be required to be repaid. A $458,750.17 payment was made to Collier County and calculated using their formula with our Fee for Service reimbursements in 2019. Approval of this item will ratify the County Manager’s acceptance of the payment and the terms and conditions that are back-up to this item. The diagram below represents the current revenue loss and the anticipated estimated revenue loss per day as the pandemic continues. Pre-Covid-19 dates Total Transports AVG Transports/day Avg CPT Cash per Day 1-1-2019 to 12-31- 2019 30,477 83.50 $387.96 $32,394.13 Post-Covid-19 dates Total Transports AVG Transports/day Avg CPT Cash per Day Estimated Revenue Loss per day 3-21-2020 to 4-22- 2020 2,100 63.64 $387.96 $24,688.36 $7,705.76 The funds will first be used to offset the loss of revenue to the maximum extent possible to give the greatest benefit to the County as the loss of revenue is an unallowable activity for FEMA reimbursement. If the loss of revenue does not exhaust the allocation, then the remaining funding will be used to cover a combination of expendables such as Personal Protection Equipment (PPE), medications purchased strictly related to the COVID-19 outbreak and janitorial supplies used to clean and sterilize EMS equipment and stations. To officially accept the funds, an attestation is required within 30 days of the receipt. Due to the unique nature of the award and its collaborative attestation process between agencies, the attestation needed to be signed prior to the next regularly scheduled Board meeting. Collier County CMA #5330 authorizes the County Manager to approve the submittal of grant applications with subsequent Board of County Commissioners (Board) action at the next regularly scheduled Board meeting to ratify the approval after-the-fact. The County Manager approved the grant application prior to the next 16.E.1 Packet Pg. 651 05/12/2020 meeting. FISCAL IMPACT: If necessary, a Budget Amendment may be required to recognize a total of $458,750.17 within EMS Fund 490, Cost Center 144610. LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote. - JAB GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts. RECOMMENDATION: To ratify the County Manager’s acceptance of the Public Health and Social Services Emergency Fund payment under Public Law 116-136 “Cares Act Provider Relief Payment” in the amount of $458,750.17 that was deposited on April 17, 2020 and to authorize any necessary budget amendments. Prepared by: Cindy Long, Accountant, Emergency Medical Services Admin. ATTACHMENT(S) 1. CM MEMO (PDF) 2. Acceptance of Terms and Conditions (PDF) 16.E.1 Packet Pg. 652 05/12/2020 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.1 Doc ID: 12316 Item Summary: Recommendation to ratify the County Manager’s acceptance of the Public Health and Social Services Emergency Fund payment under Public Law 116-136 “Cares Act Provider Relief Payment” in the amount of $458,750.17 that was deposited on April 17, 2020 and to authorize any necessary budget amendments. Meeting Date: 05/12/2020 Prepared by: Title: Accounting Technician – Emergency Medical Services Name: Erin Page 05/01/2020 11:44 AM Submitted by: Title: Division Director - EMS Operations – Emergency Medical Services Name: Tabatha Butcher 05/01/2020 11:44 AM Approved By: Review: Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 05/01/2020 12:53 PM Emergency Medical Services Tabatha Butcher Additional Reviewer Completed 05/01/2020 2:44 PM Administrative Services Department Len Price Level 2 Division Administrator Review Completed 05/01/2020 3:02 PM Grants Valerie Fleming Level 2 Grants Review Completed 05/01/2020 3:27 PM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 05/01/2020 4:53 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 05/01/2020 5:03 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 05/04/2020 8:14 AM Office of Management and Budget Laura Wells Additional Reviewer Completed 05/04/2020 9:17 AM Grants Therese Stanley Additional Reviewer Completed 05/04/2020 4:24 PM County Manager's Office Sean Callahan Level 4 County Manager Review Completed 05/05/2020 8:30 AM Board of County Commissioners MaryJo Brock Meeting Pending 05/12/2020 9:00 AM 16.E.1 Packet Pg. 653 16.E.1.aPacket Pg. 654Attachment: CM MEMO (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES Acceptance of Terms and Conditions If you receive a payment from funds appropriated in the Public Health and Social Services Emergency Fund for provider relief (“Relief Fund”) under Division B of Public Law 116-127 and retain that payment for at least 30 days without contacting HHS regarding remittance of those funds, you are deemed to have accepted the following Terms and Conditions. Please also indicate your acceptance below. This is not an exhaustive list and you must comply with any other relevant statutes and regulations, as applicable. Your commitment to full compliance with all Terms and Conditions is material to the Secretary’s decision to disburse these funds to you. Non-compliance with any Term or Condition is grounds for the Secretary to recoup some or all of the payment made from the Relief Fund. These Terms and Conditions apply directly to the recipient of payment from the Relief Fund. In general, the requirements that apply to the recipient, also apply to subrecipients and contractors under grants, unless an exception is specified. Relief Fund Payment Terms and Conditions  The Payment means the funds received from the Public Health and Social Services Emergency Fund (“Relief Fund”). The Recipient means the healthcare provider, whether an individual or an entity, receiving the Payment.  The Recipient certifies that it billed Medicare in 2019; provides or provided after January 31, 2020 diagnoses, testing, or care for individuals with possible or actual cases of COVID-19; is not currently terminated from participation in Medicare; is not currently excluded from participation in Medicare, Medicaid, and other Federal health care programs; and does not currently have Medicare billing privileges revoked.  The Recipient certifies that the Payment will only be used to prevent, prepare for, and respond to coronavirus, and shall reimburse the Recipient only for health care related expenses or lost revenues that are attributable to coronavirus.  The Recipient certifies that it will not use the Payment to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse.  The Recipient shall submit reports as the Secretary determines are needed to ensure compliance with conditions that are imposed on this Payment, and such reports shall be in such form, with such content, as specified by the Secretary in future program instructions directed to all Recipients.  Not later than 10 days after the end of each calendar quarter, any Recipient that is an entity receiving more than $150,000 total in funds under the Coronavirus Aid, Relief, and 16.E.1.b Packet Pg. 655 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES Economics Security Act (P.L. 116-136), the Coronavirus Preparedness and Response Supplemental Appropriations Act (P.L. 116-123), the Families First Coronavirus Response Act (P.L. 116-127), or any other Act primarily making appropriations for the coronavirus response and related activities, shall submit to the Secretary and the Pandemic Response Accountability Committee a report. This report shall contain: the total amount of funds received from HHS under one of the foregoing enumerated Acts; the amount of funds received that were expended or obligated for reach project or activity; a detailed list of all projects or activities for which large covered funds were expended or obligated, including: the name and description of the project or activity, and the estimated number of jobs created or retained by the project or activity, where applicable; and detailed information on any level of sub-contracts or subgrants awarded by the covered recipient or its subcontractors or subgrantees, to include the data elements required to comply with the Federal Funding Accountability and Transparency Act of 2006 allowing aggregate reporting on awards below $50,000 or to individuals, as prescribed by the Director of the Office of Management and Budget.  The Recipient shall maintain appropriate records and cost documentation including, as applicable, documentation required by 45 CFR § 75.302 – Financial management and 45 CFR § 75.361 through 75.365 – Record Retention and Access, and other information required by future program instructions to substantiate the reimbursement of costs under this award. The Recipient shall promptly submit copies of such records and cost documentation upon the request of the Secretary, and Recipient agrees to fully cooperate in all audits the Secretary, Inspector General, or Pandemic Response Accountability Committee conducts to ensure compliance with these Terms and Conditions.  The Secretary has concluded that the COVID-19 public health emergency has caused many healthcare providers to have capacity constraints. As a result, patients that would ordinarily be able to choose to receive all care from in-network healthcare providers may no longer be able to receive such care in-network. Accordingly, for all care for a presumptive or actual case of COVID-19, Recipient certifies that it will not seek to collect from the patient out-of-pocket expenses in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in- network Recipient. The following statutory provisions also apply: General Provisions in FY 2020 Consolidated Appropriation SEC. 202. Executive Pay. None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II: SEC. 210. Funding Prohibition for Gun Control Advocacy. None of the funds made available in this title may be used, in whole or in part, to advocate or promote gun control. 16.E.1.b Packet Pg. 656 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES SEC. 503. Lobbying (a) No part of any appropriation contained in this Act or transferred pursuant to section 4002 of Public Law 111–148 shall be used, other than for normal and recognized executive-legislative relationships, for publicity or propaganda purposes, for the preparation, distribution, or use of any kit, pamphlet, booklet, publication, electronic communication, radio, television, or video presentation designed to support or defeat the enactment of legislation before the Congress or any State or local legislature or legislative body, except in presentation to the Congress or any State or local legislature itself, or designed to support or defeat any proposed or pending regulation, administrative action, or order issued by the executive branch of any State or local government, except in presentation to the executive branch of any State or local government itself. (b) No part of any appropriation contained in this Act or transferred pursuant to section 4002 of Public Law 111–148 shall be used to pay the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the Congress or any State government, State legislature or local legislature or legislative body, other than for normal and recognized executive-legislative relationships or participation by an agency or officer of a State, local or tribal government in policymaking and administrative processes within the executive branch of that government. (c) The prohibitions in subsections (a) and (b) shall include any activity to advocate or promote any proposed, pending or future Federal, State or local tax increase, or any proposed, pending, or future requirement or restriction on any legal consumer product, including its sale or marketing, including but not limited to the advocacy or promotion of gun control. SEC. 506. Prohibits Use of Federal Funds for Abortions. (a) None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for any abortion. (b) None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for health benefits coverage that includes coverage of abortion. (c) The term ‘‘health benefits coverage’’ means the package of services covered by a managed care provider or organization pursuant to a contract or other arrangement. SEC. 507 Limitations on Abortion Funding Prohibition 16.E.1.b Packet Pg. 657 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES (a) The limitations established in the preceding section shall not apply to an abortion— (1) if the pregnancy is the result of an act of rape or incest; or (2) in the case where a woman suffers from a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death unless an abortion is performed. (b) Nothing in the preceding section shall be construed as prohibiting the expenditure by a State, locality, entity, or private person of State, local, or private funds (other than a State’s or locality’s contribution of Medicaid matching funds). (c) Nothing in the preceding section shall be construed as restricting the ability of any managed care provider from offering abortion coverage or the ability of a State or locality to contract separately with such a provider for such coverage with State funds (other than a State’s or locality’s contribution of Medicaid matching funds). (d)(1) None of the funds made available in this Act may be made available to a Federal agency or program, or to a State or local government, if such agency, program, or government subjects any institutional or individual health care entity to discrimination on the basis that the health care entity does not provide, pay for, provide coverage of, or refer for abortions. (2) In this subsection, the term ‘‘health care entity’’ includes an individual physician or other health care professional, a hospital, a provider-sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of health care facility, organization, or plan. Prohibits Use of Funds for Embryo Research SEC. 508. Prohibits Use of Funds for Embryo Research (a) None of the funds made available in this Act may be used for— (1) the creation of a human embryo or embryos for research purposes; or (2) research in which a human embryo or embryos are destroyed, discarded, or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in utero under 45 CFR 46.204(b) and section 498(b) of the Public Health Service Act (42 U.S.C. 289g(b)). (b) For purposes of this section, the term ‘‘human embryo or embryos’’ includes any organism, not protected as a human subject under 45 CFR 46 as of the date of the enactment of this Act, 16.E.1.b Packet Pg. 658 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES that is derived by fertilization, parthenogenesis, cloning, or any other means from one or more human gametes or human diploid cells. SEC. 509. Prohibits Promotion of Legalization of Controlled Substances (a) None of the funds made available in this Act may be used for any activity that promotes the legalization of any drug or other substance included in schedule I of the schedules of controlled substances established by section 202 of the Controlled Substances Act except for normal and recognized executive-congressional communications. (b) The limitation in subsection (a) shall not apply when there is significant medical evidence of a therapeutic advantage to the use of such drug or other substance or that federally sponsored clinical trials are being conducted to determine therapeutic advantage. SEC. 515. (b) Prohibits Asking Candidates for Federal Scientific Advisory Committees Their Political Affiliations; Prohibits Distribution of Intentionally False Information (b) None of the funds made available in this Act may be used to disseminate information that is deliberately false or misleading. SEC. 520. Pornography. (a) None of the funds made available in this Act may be used to maintain or establish a computer network unless such network blocks the viewing, downloading, and exchanging of pornography. (b) Nothing in subsection (a) shall limit the use of funds necessary for any Federal, State, tribal, or local law enforcement agency or any other entity carr ying out criminal investigations, prosecution, or adjudication activities. SEC. 521. Prohibits Funding ACORN or Its Affiliates or Subsidiaries. None of the funds made available under this or any other Act, or any prior Appropriations Act, may be provided to the Association of Community Organizations for Reform Now (ACORN), or any of its affiliates, subsidiaries, allied organizations, or successors. SEC. 527. Prohibits Federal Funding for Needle Exchange Except in Limited Circumstances. Notwithstanding any other provision of this Act, no funds appropriated in this Act shall be used to purchase sterile needles or syringes for the hypodermic injection of any illegal drug: Provided, That such limitation does not apply to the use of funds for elements of a program other than making such purchases if the relevant State or local health department, in consultation with the Centers for Disease Control and Prevention, determines that the State or local jurisdiction, as applicable, is experiencing, or is at risk for, a significant increase in 16.E.1.b Packet Pg. 659 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES hepatitis infections or an HIV outbreak due to injection drug use, and such program is operating in accordance with State and local law. Government-wide General Provisions SEC. 718. Propaganda. No part of any appropriation contained in this or any other Act shall be used directly or indirectly, including by private contractor, for publicity or propaganda purposes within the United States not heretofore authorized by the Congress. SEC. 732. Privacy Act. None of the funds made available in this Act may be used in contravention of section 552a of title 5, United States Code (popularly known as the Privacy Act), and regulations implementing that section. SEC. 742. Confidentiality Agreements. (a) None of the funds appropriated or otherwise made available by this or any other Act may be available for a contract, grant, or cooperative agreement with an entity that requires employees or contractors of such entity seeking to report fraud, waste, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contactors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information. (b) The limitation in subsection (a) shall not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information. SEC. 743. Nondisclosure Agreements (a) No funds appropriated in this or any other Act may be used to implement or enforce the agreements in Standard Forms 312 and 4414 of the Government or any other nondisclosure policy, form, or agreement if such policy, form, or agreement does not contain the following provisions: “These provisions are consistent with and do not supersede, conflict with, or otherwise alter the employee obligations, rights, or liabilities created by existing statute or Executive order relating to (1) classified information, (2) communications to Congress, (3) the reporting to an Inspector General of a violation of any law, rule, or regulation, or mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety, or (4) any other whistleblower protection. The definitions, requirements, obligations, rights, sanctions, and liabilities created by controlling Executive orders and statutory provisions are incorporated into this SEC. 743. (a) No funds appropriated in this or any other Act may be used to implement or enforce the agreements in Standard Forms 312 and 4414 of the Government or any other nondisclosure policy, form, or agreement if such 16.E.1.b Packet Pg. 660 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES policy, form, or agreement does not contain the following provisions: “These provisions are consistent with and do not supersede, conflict with, or otherwise alter the employee obligations, rights, or liabilities created by existing statute or Executive order relating to (1) classified information, (2) communications to Congress, (3) the reporting to an Inspector General of a violation of any law, rule, or regulation, or mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety, or (4) any other whistleblower protection. The definitions, requirements, obligations, rights, sanctions, and liabilities created by controlling Executive orders and statutory provisions are incorporated into this agreement and are controlling.”: Provided, That notwithstanding the preceding provision of this section, a nondisclosure policy form or agreement that is to be executed by a person connected with the conduct of an intelligence or intelligence-related activity, other than an employee or officer of the United States Government, may contain provisions appropriate to the particular activity for which such document is to be used. Such form or agreement shall, at a minimum, require that the person will not disclose any classified information received in the course of such activity unless specifically authorized to do so by the United States Government. Such nondisclosure forms shall also make it clear that they do not bar disclosures to Congress, or to an authorized official of an executive agency or the Department of Justice, that are essential to reporting a substantial violation of law. (b) A nondisclosure agreement may continue to be implemented and enforced notwithstanding subsection (a) if it complies with the requirements for such agreement that were in effect when the agreement was entered into. (c) No funds appropriated in this or any other Act may be used to implement or enforce any agreement entered into during fiscal year 2014 which does not contain substantially similar language to that required in subsection (a). SEC. 744. Unpaid Federal Tax Liability. None of the funds made available by this or any other Act may be used to enter into a contract, memorandum of understanding, or cooperative agreement with, make a grant to, or provide a loan or loan guarantee to, any corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless a Federal agency has considered suspension or debarment of the corporation and has made a determination that this further action is not necessary to protect the interests of the Government. SEC. 745. Criminal Felony Limitation. None of the funds made available by this or any other Act may be used to enter into a contract, memorandum of understanding, or cooperative agreement with, make a grant to, or provide a loan or loan guarantee to, any corporation that was 16.E.1.b Packet Pg. 661 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless a Federal agency has considered suspension or debarment of the corporation and has made a determination that this further action is not necessary to protect the interests of the Government. Other Appropriations Provisions 42 U.S.C. 289d note No funds appropriated under this Act or subsequent Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Acts shall be used by the National Institutes of Health, or any other Federal agency, or recipient of Fed eral funds on any project that entails the capture or procurement of chimpanzees obtained from the wild. For purposes of this section, the term ‘recipient of Federal funds’ includes private citizens, corporations, or other research institutions located outside of the United States that are recipients of Federal funds. Other Statutory Provisions Trafficking in Persons This award is subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. 7104) a. Provisions applicable to a recipient that is a private entity. 1. You as the recipient, your employees, subrecipients under this award, and subrecipients' employees may not i. Engage in severe forms of trafficking in persons during the period of time that the award is in effect; ii. Procure a commercial sex act during the period of time that the award is in effect; or iii. Use forced labor in the performance of the award or subawards under the award. 2. We as the Federal awarding agency may unilaterally terminate this award, without penalty, if you or a subrecipient that is a private entity – i. Is determined to have violated a prohibition in paragraph a.1 of this award term; or ii. Has an employee who is determined by the agency official authorized to terminate the award to have violated a prohibition in paragraph a.1 of this award term through conduct that is either- A. Associated with performance under this award; or B. Imputed to you or the subrecipient using the standards and due process for imputing the conduct of an individual to an organization that are provided in 2 CFR part 180, "OMB Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement)," as implemented by our agency at 2 CFR part 376. b. Provision applicable to a recipient other than a private entity. We as the Federal awarding agency may unilaterally terminate this award, without penalty, if a subrecipient that is a private entity- 1. Is determined to have violated an applicable prohibition in paragraph a.1 of this award term; or 16.E.1.b Packet Pg. 662 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES 2. Has an employee who is determined by the agency official authorized to terminate the award to have violated an applicable prohibition in paragraph a.1 of this award term through conduct that is either i. Associated with performance under this award; or ii. Imputed to the subrecipient using the standards and due process for imputing the conduct of an individual to an organization that are provided in 2 CFR part 180, "OMB Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement)," as implemented by our agency at 2 CFR part 376 c. Provisions applicable to any recipient. 1. You must inform us immediately of any information you receive from any source alleging a violation of a prohibition in paragraph a.1 of this award term 2. Our right to terminate unilaterally that is described in paragraph a.2 or b of this section: i. Implements section 106(g) of the Trafficking Victims Protection Act of 2000 (TVPA), as amended (22 U.S.C. 7104(g)), and ii. Is in addition to all other remedies for noncompliance that are available to us under this award. 3. You must include the requirements of paragraph a.1 of this award term in any subaward you make to a private entity. d. Definitions. For purposes of this award term: 1. "Employee" means either: i. An individual employed by you or a subrecipient who is engaged in the performance of the project or program under this award; or ii. Another person engaged in the performance of the project or program under this award and not compensated by you including, but not limited to, a volunteer or individual whose services are contributed by a third party as an in-kind contribution toward cost sharing or matching requirements. 2. "Forced labor" means labor obtained by any of the following methods: the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery. 3. "Private entity": i. Means any entity other than a State, local government, Indian tribe, or foreign public entity, as those terms are defined in 2 CFR 175.25. ii. Includes: A. A nonprofit organization, including any nonprofit institution of higher education, hospital, or tribal organization other than one included in the definition of Indian tribe at 2 CFR 175.25(b). B A for-profit organization. 4. “Severe forms of trafficking in persons," "commercial sex act," and "coercion" have the meanings given at section 103 of the TVPA, as amended (22 U.S.C. 7102) Whistleblower Protections 16.E.1.b Packet Pg. 663 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment) DEPARTMENT OF HEALTH & HUMAN SERVICES You are hereby given notice that the 48 CFR section 3.908, implementing section 828, entitled “Pilot Program for Enhancement of Contractor Employee Whistleblower protections,” of the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2013 (Pub. L. 112-239, enacted January 2, 2013) applies to this award. Human Subjects Protections If any activities under this project will involve human subjects in any research activities, you must provide satisfactory assurance of compliance with the participant protection requirement of the HHS/OASH Office of Human Research Protection (OHRP) prior to implementation of those research components. This assurance should be submitted to the OHRP in accordance with the appropriate regulations. Fraud, Abuse and Waste: The HHS Inspector General accepts tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement in Department of Health and Human Services' programs. Your information will be reviewed promptly by a professional staff member. Due to the high volume of information that they receive, they are unable to reply to submissions. You may reach the OIG through various channels. Internet: https://forms.oig.hhs.gov/hotlineoperations/index.aspx Phone: 1-800-HHS-TIPS (1-800-447-8477) Mail: US Department of Health and Human Services Office of Inspector General ATTN: OIG HOTLINE OPERATIONS PO Box 23489 Washington, DC 20026 For additional information visit https://oig.hhs.gov/fraud/report-fraud/index.asp 16.E.1.b Packet Pg. 664 Attachment: Acceptance of Terms and Conditions (12316 : Acceptance of the Public Health and Social Services Emergency Fund payment)