; or (B) have fewer than 50 beds. (d) Fees The Secretary may charge such fees as determined appropriate with respect to a loan issued under this section, in an amount established annually by the Secretary, as necessary to reduce to zero the cost (as defined in section 502 of the Federal Credit Reform Act of 1990) to the Department of Health and Human Services of making loans under this section, which amounts shall be paid to and retained by the Secretary. (e) Limitation Commitments for loans authorized under this section shall not exceed— (1) $50,000,000 in fiscal year 2018; (2) $50,000,000 in fiscal year 2019; and (3) $100,000,000 for the duration of the loan program. 4. Prioritization under all-hazards public health emergency preparedness and response plan (a) In general Section 319C–1(b)(2)(A) of the Public Health Service Act (42 U.S.C. 247d–3a(b)(2)(A)) is amended— (1) in clause (viii), by striking at the end and ; (2) in clause (ix), by adding at the end and ; and (3) by inserting after clause (ix) the following new clause: (x) a description of— (I) the measures the entity has in place prioritizing nursing facilities and skilled nursing facilities with respect to public health emergency preparedness in the same manner as such plan prioritizes hospitals, while ensuring that, in prioritizing nursing facilities, skilled nursing facilities, and hospitals, the entity retains the discretion to prioritize among such facilities; and (II) information on the plans of each electric utility company within the entity’s jurisdiction to ensure that such facilities remain functioning or return to functioning as soon as practicable during power outages caused by natural hazards, including severe weather events; . (b) Effective date The amendments made by subsection (a) shall apply with respect to cooperative agreements awarded on or after the date of the enactment of this Act.