; and (B) by inserting after paragraph (12) the following new paragraph: (13) Adjustment for residents with covid–19 During any portion of the national emergency declared by the President under the National Emergencies Act ( 50 U.S.C. 1601 et seq.) with respect to the Coronavirus Disease 2019 (COVID–19) beginning on or after the date of the enactment of this paragraph and ending on the earlier of the date on which such emergency declaration terminates or the date that is 180 days after such date of enactment, in the case of a resident who has a principal or secondary diagnosis of COVID–19, the per diem amount of payment otherwise applicable shall be increased by 15 percent to reflect increased costs associated with such residents. . (2) Implementation Notwithstanding any other provision of law, the Secretary may implement the amendments made by this subsection by program instruction or otherwise. 6. Ensuring rural providers are included in CARES (a) In general The third paragraph in the matter under the heading public health and social services emergency fund (including transfer of funds) under the heading Office Of The Secretary under the heading DEPARTMENT OF HEALTH AND HUMAN SERVICES of division B of the CARES Act ( Public Law 116–136 ) is amended— (1) in the third proviso, by inserting , and includes skilled nursing facilities, nursing facilities, assisted living residences, and other types of facilities that provide housing and care for seniors after as the Secretary may specify ; and (2) by inserting after the second proviso the following: Provided further , That the Secretary shall use at least 20 percent of the funds appropriated under this paragraph in this Act to make payments under this paragraph to eligible health care providers located in rural areas, as defined by the Secretary: . (b) Effective date The amendments made by this section shall take effect as if included in the enactment of the CARES Act ( Public Law 116–136 ).