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[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1892 Engrossed Amendment Senate (EAS)]

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                  In the Senate of the United States,

                        February 9 (legislative day, February 8), 2018.
    Resolved, That the bill from the House of Representatives (H.R. 
1892) entitled ``An Act to amend title 4, United States Code, to 
provide for the flying of the flag at half-staff in the event of the 
death of a first responder in the line of duty.'', do pass with the 
following

        SENATE AMENDMENT TO HOUSE AMENDMENT TO SENATE AMENDMENT:

            In lieu of the matter proposed to be inserted, insert the 
      following:

SECTION 1. SHORT TITLE.

    (a) Short Title.--This Act may be cited as the ``Bipartisan Budget 
Act of 2018''.

   DIVISION B--SUPPLEMENTAL APPROPRIATIONS, TAX RELIEF, AND MEDICAID 
    CHANGES RELATING TO CERTAIN DISASTERS AND FURTHER EXTENSION OF 
                       CONTINUING APPROPRIATIONS

   Subdivision 1--Further Additional Supplemental Appropriations for 
                 Disaster Relief Requirements Act, 2018

     The following sums in this subdivision are appropriated, out of 
any money in the Treasury not otherwise appropriated, for the fiscal 
year ending September 30, 2018 and for other purposes, namely:

                                TITLE I

                       DEPARTMENT OF AGRICULTURE

                         AGRICULTURAL PROGRAMS

                   Processing, Research and Marketing

                        Office of the Secretary

    For an additional amount for the ``Office of the Secretary'', 
$2,360,000,000, which shall remain available until December 31, 2019, 
for necessary expenses related to crops, trees, bushes, and vine losses 
related to the consequences of Hurricanes Harvey, Irma, Maria, and 
other hurricanes and wildfires occurring in calendar year 2017 under 
such terms and conditions as determined by the Secretary:  Provided, 
That the Secretary may provide assistance for such losses in the form 
of block grants to eligible states and territories:  Provided further, 
That the total amount of payments received under this heading and 
applicable policies of crop insurance under the Federal Crop Insurance 
Act (7 U.S.C. 1501 et seq.) or the Noninsured Crop Disaster Assistance 
Program (NAP) under section 196 of the Federal Agriculture Improvement 
and Reform Act of 1996 (7 U.S.C. 7333) shall not exceed 85 percent of 
the loss as determined by the Secretary:  Provided further, That the 
total amount of payments received under this heading for producers who 
did not obtain a policy or plan of insurance for an insurable commodity 
for the 2017 crop year, or 2018 crop year as applicable, under the 
Federal Crop Insurance Act (7 U.S.C. 1501 et seq.) for the crop 
incurring the losses or did not file the required paperwork and pay the 
service fee by the applicable State filing deadline for a noninsurable 
commodity for the 2017 crop year, or 2018 crop year as applicable, 
under NAP for the crop incurring the losses shall not exceed 65 percent 
of the loss as determined by the Secretary:  Provided further, That 
producers receiving payments under this heading, as determined by the 
Secretary, shall be required to purchase crop insurance where crop 
insurance is available for the next two available crop years, and 
producers receiving payments under this heading shall be required to 
purchase coverage under NAP where crop insurance is not available in 
the next two available crop years, as determined by the Secretary:  
Provided further, That, not later than 90 days after the end of fiscal 
year 2018, the Secretary shall submit a report to the Congress 
specifying the type, amount, and method of such assistance by state and 
territory and the status of the amounts obligated and plans for further 
expenditure and include improvements that can be made to Federal Crop 
Insurance policies, either administratively or legislatively, to 
increase participation, particularly among underserved producers, in 
higher levels of coverage in future years for crops qualifying for 
assistance under this heading:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                      Office of Inspector General

    For an additional amount for ``Office of Inspector General'', 
$2,500,000, to remain available until expended, for oversight and audit 
of programs, grants, and activities funded by this subdivision and 
administered by the Department of Agriculture:  Provided, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                     Agricultural Research Service

                        buildings and facilities

    For an additional amount for ``Buildings and Facilities'', 
$22,000,000, to remain available until expended, for necessary expenses 
related to the consequences of Hurricanes Harvey, Irma, and Maria:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                          Farm Service Agency

                     emergency conservation program

    For an additional amount for the ``Emergency Conservation 
Program'', for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria and of wildfires occurring in 
calendar year 2017, and other natural disasters, $400,000,000, to 
remain available until expended:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                 Natural Resources Conservation Service

               watershed and flood prevention operations

    For an additional amount for ``Watershed and Flood Prevention 
Operations'', for necessary expenses for the Emergency Watershed 
Protection Program related to the consequences of Hurricanes Harvey, 
Irma, and Maria and of wildfires occurring in calendar year 2017, and 
other natural disasters, $541,000,000, to remain available until 
expended:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                       RURAL DEVELOPMENT PROGRAMS

                         Rural Housing Service

              rural housing insurance fund program account

    For an additional amount for ``Rural Housing Insurance Fund Program 
Account'', $18,672,000, to remain available until September 30, 2019, 
for the cost of direct loans, including the cost of modifying loans as 
defined in section 502 of the Congressional Budget Act of 1974, for the 
rehabilitation of section 515 rental housing (42 U.S.C. 1485) in areas 
impacted by Hurricanes Harvey, Irma, and Maria where owners were not 
required to carry national flood insurance:  Provided, That such amount 
is designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                        Rural Utilities Service

             rural water and waste disposal program account

    For an additional amount for the ``Rural Water and Waste Disposal 
Program Account'', $165,475,000, to remain available until expended, 
for grants to repair drinking water systems and sewer and solid waste 
disposal systems impacted by Hurricanes Harvey, Irma, and Maria:  
Provided, That not to exceed $2,000,000 of the amount appropriated 
under this heading shall be for technical assistance grants for rural 
water and waste systems pursuant to section 306(a)(22) of the 
Consolidated Farm and Rural Development Act:  Provided further, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                         DOMESTIC FOOD PROGRAMS

                       Food and Nutrition Service

special supplemental nutrition program for women, infants, and children 
                                 (wic)

    For an additional amount for the ``Special Supplemental Nutrition 
Program for Women, Infants, and Children'', $14,000,000, to remain 
available until September 30, 2019, for infrastructure grants to the 
Commonwealth of Puerto Rico and the U.S. Virgin Islands to assist in 
the repair and restoration of buildings, equipment, technology, and 
other infrastructure damaged as a consequence of Hurricanes Irma and 
Maria:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                      commodity assistance program

    For an additional amount for ``Commodity Assistance Program'' for 
the emergency food assistance program as authorized by section 27(a) of 
the Food and Nutrition Act of 2008 (7 U.S.C. 2036(a)) and section 
204(a)(1) of the Emergency Food Assistance Act of 1983 (7 U.S.C. 
7508(a)(1)), $24,000,000, to remain available until September 30, 2019, 
for necessary expenses of those jurisdictions that received a major 
disaster or emergency declaration pursuant to section 401 or 501, 
respectively, of the Robert T. Stafford Disaster Relief and Emergency 
Assistance Act (42 U.S.C. 5170, 5191) related to the consequences of 
Hurricanes Harvey, Irma, and Maria or due to wildfires in 2017:  
Provided, That notwithstanding any other provisions of the Emergency 
Food Assistance Act of 1983, the Secretary of Agriculture may provide 
resources to Puerto Rico, the Virgin Islands of the United States, and 
affected States, as determined by the Secretary, to assist affected 
families and individuals without regard to sections 204 and 214 of such 
Act (7 U.S.C. 7508, 7515) by allocating additional foods and funds for 
administrative expenses from resources specifically appropriated, 
transferred, or reprogrammed:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

           RELATED AGENCIES AND FOOD AND DRUG ADMINISTRATION

                Department of Health and Human Services

                      food and drug administration

                        buildings and facilities

                     (including transfer of funds)

    For an additional amount for ``Buildings and Facilities'', 
$7,600,000, to remain available until expended, for necessary expenses 
related to the consequences of Hurricanes Harvey, Irma, and Maria:  
Provided, That such amount may be transferred to ``Department of Health 
and Human Services--Food and Drug Administration--Salaries and 
Expenses'' for costs related to repair of facilities, for replacement 
of equipment, and for other increases in facility-related costs:  
Provided further, That obligations incurred for the purposes provided 
herein prior to the date of enactment of this subdivision may be 
charged to funds appropriated by this paragraph:  Provided further, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     GENERAL PROVISION--THIS TITLE

    Sec. 20101. (a) Section 1501(b) of the Agricultural Act of 2014 (7 
U.S.C. 9081(b)) is amended--
            (1) in paragraph (1), in the matter before subparagraph 
        (A), by inserting ``sold livestock for a reduced sale price, or 
        both'' after ``normal mortality,'';
            (2) in paragraph (2), by striking ``applicable livestock on 
        the day before the date of death of the livestock, as 
        determined by the Secretary.'' and inserting the following:
        ``affected livestock, as determined by the Secretary, on, as 
        applicable--
                    ``(A) the day before the date of death of the 
                livestock; or
                    ``(B) the day before the date of the event that 
                caused the harm to the livestock that resulted in a 
                reduced sale price.''; and
            (3) by adding at the end the following new paragraph:
            ``(4) A payment made under paragraph (1) to an eligible 
        producer on a farm that sold livestock for a reduced sale price 
        shall--
                    ``(A) be made if the sale occurs within a 
                reasonable period following the event, as determined by 
                the Secretary; and
                    ``(B) be reduced by the amount that the producer 
                received for the sale.''.
    (b) Section 1501(d)(1) of the Agricultural Act of 2014 (7 U.S.C. 
9081(d)(1)) is amended by striking ``not more than $20,000,000 of''.
    (c) Section 1501(e)(4)(C) of the Agricultural Act of 2014 (7 U.S.C. 
9081(e)(4)(C)) is amended by striking ``500 acres'' and inserting 
``1,000 acres''.
    (d) Section 1501 of the Agricultural Act of 2014 (7 U.S.C. 9081) is 
amended--
            (1) in subsection (e)(4)--
                    (A) by striking subparagraph (B); and
                    (B) by redesignating subparagraph (C), as amended 
                by subsection (c), as subparagraph (B); and
            (2) in subsection (f)(2), by striking ``subsection (e)'' 
        and inserting ``subsections (b) and (e)''.
    (e) Section 1501 of the Agricultural Act of 2014 (7 U.S.C. 9081), 
as amended by this section, shall apply with respect to losses 
described in such section 1501 incurred on or after January 1, 2017.
    (f) The amounts provided by subsections (a) through (e) for fiscal 
year 2018 are designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                                TITLE II

                         DEPARTMENT OF COMMERCE

                  Economic Development Administration

                economic development assistance programs

                     (including transfers of funds)

    Pursuant to section 703 of the Public Works and Economic 
Development Act (42 U.S.C. 3233), for an additional amount for 
``Economic Development Assistance Programs'' for necessary expenses 
related to flood mitigation, disaster relief, long-term recovery, and 
restoration of infrastructure in areas that received a major disaster 
designation as a result of Hurricanes Harvey, Irma, and Maria, and of 
wildfires and other natural disasters occurring in calendar year 2017 
under the Robert T. Stafford Disaster Relief and Emergency Assistance 
Act (42 U.S.C. 5121 et seq.), $600,000,000, to remain available until 
expended:  Provided, That the amount provided under this heading is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985:  Provided further, That within 
the amount appropriated, up to 2 percent of funds may be transferred to 
the ``Salaries and Expenses'' account for administration and oversight 
activities:  Provided further, That within the amount appropriated, 
$1,000,000 shall be transferred to the ``Office of Inspector General'' 
account for carrying out investigations and audits related to the 
funding provided under this heading.

            National Oceanic and Atmospheric Administration

                  operations, research, and facilities

    For an additional amount for ``Operations, Research, and 
Facilities'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, $120,904,000, to remain available 
until September 30, 2019, as follows:
            (1) $12,904,000 for repair and replacement of observing 
        assets, Federal real property, and equipment;
            (2) $18,000,000 for marine debris assessment and removal;
            (3) $40,000,000 for mapping, charting, and geodesy 
        services; and
            (4) $50,000,000 to improve weather forecasting, hurricane 
        intensity forecasting and flood forecasting and mitigation 
        capabilities, including data assimilation from ocean observing 
        platforms and satellites:
  Provided, That the amount provided under this heading is designated 
by the Congress as being for an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985:  Provided further, That the National Oceanic and 
Atmospheric Administration shall submit a spending plan to the 
Committees on Appropriations of the House of Representatives and the 
Senate within 45 days after the date of enactment of this subdivision.

               procurement, acquisition and construction

    For an additional amount for ``Procurement, Acquisition and 
Construction'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, $79,232,000, to remain available 
until September 30, 2020, as follows:
            (1) $29,232,000 for repair and replacement of Federal real 
        property and observing assets; and
            (2) $50,000,000 for improvements to operational and 
        research weather supercomputing infrastructure and for 
        improvement of satellite ground services used in hurricane 
        intensity and track prediction:
  Provided, That the amount provided under this heading is designated 
by the Congress as being for an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985:  Provided further, That the National Oceanic and 
Atmospheric Administration shall submit a spending plan to the 
Committees on Appropriations of the House of Representatives and the 
Senate within 45 days after the date of enactment of this subdivision.

                     fisheries disaster assistance

    For an additional amount for ``Fisheries Disaster Assistance'' for 
necessary expenses associated with the mitigation of fishery disasters, 
$200,000,000, to remain available until expended:  Provided, That funds 
shall be used for mitigating the effects of commercial fishery failures 
and fishery resource disasters declared by the Secretary of Commerce in 
calendar year 2017, as well those declared by the Secretary to be a 
direct result of Hurricanes Harvey, Irma, or Maria:  Provided further, 
That the amount provided under this heading is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                         DEPARTMENT OF JUSTICE

                     United States Marshals Service

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $2,500,000:  Provided, That the amount provided under 
this heading is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                    Federal Bureau of Investigation

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $21,200,000:  Provided, That the amount provided under 
this heading is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                    Drug Enforcement Administration

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $11,500,000:  Provided, That the amount provided under 
this heading is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                         Federal Prison System

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $16,000,000:  Provided, That the amount provided under 
this heading is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                        buildings and facilities

    For an additional amount for ``Buildings and Facilities'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $34,000,000, to remain available until expended:  
Provided, That the amount provided under this heading is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                                SCIENCE

             National Aeronautics and Space Administration

       construction and environmental compliance and restoration

    For an additional amount for ``Construction and Environmental 
Compliance and Restoration'' for repairs at National Aeronautics and 
Space Administration facilities damaged by hurricanes during 2017, 
$81,300,000, to remain available until expended:  Provided, That the 
amount provided under this heading is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                      National Science Foundation

                    research and related activities

    For an additional amount for ``Research and Related Activities'' 
for necessary expenses to repair National Science Foundation radio 
observatory facilities damaged by hurricanes that occurred during 2017, 
$16,300,000, to remain available until expended:  Provided, That the 
amount provided under this heading is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985:  
Provided further, That the National Science Foundation shall submit a 
spending plan to the Committees on Appropriations of the House of 
Representatives and the Senate within 45 days after the date of 
enactment of this subdivision.

                            RELATED AGENCIES

                       Legal Services Corporation

               payment to the legal services corporation

    For an additional amount for ``Payment to the Legal Services 
Corporation'' to carry out the purposes of the Legal Services 
Corporation Act by providing for necessary expenses related to the 
consequences of Hurricanes Harvey, Irma, and Maria and of the calendar 
year 2017 wildfires, $15,000,000:  Provided, That the amount made 
available under this heading shall be used only to provide the mobile 
resources, technology, and disaster coordinators necessary to provide 
storm-related services to the Legal Services Corporation client 
population and only in the areas significantly affected by Hurricanes 
Harvey, Irma, and Maria and by the calendar year 2017 wildfires:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985:  
Provided further, That none of the funds appropriated in this 
subdivision to the Legal Services Corporation shall be expended for any 
purpose prohibited or limited by, or contrary to any of the provisions 
of, sections 501, 502, 503, 504, 505, and 506 of Public Law 105-119, 
and all funds appropriated in this subdivision to the Legal Services 
Corporation shall be subject to the same terms and conditions set forth 
in such sections, except that all references in sections 502 and 503 to 
1997 and 1998 shall be deemed to refer instead to 2017 and 2018, 
respectively, and except that sections 501 and 503 of Public Law 104-
134 (referenced by Public Law 105-119) shall not apply to the amount 
made available under this heading:  Provided further, That, for the 
purposes of this subdivision, the Legal Services Corporation shall be 
considered an agency of the United States Government.

                     GENERAL PROVISION--THIS TITLE

    Sec. 20201. (a) In recognition of the consistency of the Mid-
Barataria Sediment Diversion, Mid-Breton Sound Sediment Diversion, and 
Calcasieu Ship Channel Salinity Control Measures projects, as selected 
by the 2017 Louisiana Comprehensive Master Plan for a Sustainable 
Coast, with the findings and policy declarations in section 2(6) of the 
Marine Mammal Protection Act (16 U.S.C. 1361 et seq., as amended) 
regarding maintaining the health and stability of the marine ecosystem, 
within 120 days of the enactment of this section, the Secretary of 
Commerce shall issue a waiver pursuant to section 101(a)(3)(A) and this 
section to section 101(a) and section 102(a) of the Act, for such 
projects that will remain in effect for the duration of the 
construction, operations and maintenance of the projects. No 
rulemaking, permit, determination, or other condition or limitation 
shall be required when issuing a waiver pursuant to this section.
    (b) Upon issuance of a waiver pursuant to this section, the State 
of Louisiana shall, in consultation with the Secretary of Commerce:
            (1) To the extent practicable and consistent with the 
        purposes of the projects, minimize impacts on marine mammal 
        species and population stocks; and
            (2) Monitor and evaluate the impacts of the projects on 
        such species and population stocks.

                               TITLE III

                         DEPARTMENT OF DEFENSE

                    DEPARTMENT OF DEFENSE--MILITARY

                       OPERATION AND MAINTENANCE

                    Operation and Maintenance, Army

    For an additional amount for ``Operation and Maintenance, Army'', 
$20,110,000, for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                    Operation and Maintenance, Navy

    For an additional amount for ``Operation and Maintenance, Navy'', 
$267,796,000, for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                Operation and Maintenance, Marine Corps

    For an additional amount for ``Operation and Maintenance, Marine 
Corps'', $17,920,000, for necessary expenses related to the 
consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                  Operation and Maintenance, Air Force

    For an additional amount for ``Operation and Maintenance, Air 
Force'', $20,916,000, for necessary expenses related to the 
consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                Operation and Maintenance, Defense-Wide

    For an additional amount for ``Operation and Maintenance, Defense-
Wide'', $2,650,000, for necessary expenses related to the consequences 
of Hurricanes Harvey, Irma, and Maria:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                Operation and Maintenance, Army Reserve

    For an additional amount for ``Operation and Maintenance, Army 
Reserve'', $12,500,000, for necessary expenses related to the 
consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                Operation and Maintenance, Navy Reserve

    For an additional amount for ``Operation and Maintenance, Navy 
Reserve'', $2,922,000, for necessary expenses related to the 
consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

              Operation and Maintenance, Air Force Reserve

    For an additional amount for ``Operation and Maintenance, Air Force 
Reserve'', $5,770,000, for necessary expenses related to the 
consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

             Operation and Maintenance, Army National Guard

    For an additional amount for ``Operation and Maintenance, Army 
National Guard'', $55,471,000, for necessary expenses related to the 
consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                              PROCUREMENT

                        Other Procurement, Navy

    For an additional amount for ``Other Procurement, Navy'' 
$18,000,000, to remain available until September 30, 2020, for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria:  Provided, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                     REVOLVING AND MANAGEMENT FUNDS

                     Defense Working Capital Funds

    For an additional amount for ``Defense Working Capital Funds'' for 
the Navy Working Capital Fund, $9,486,000, for necessary expenses 
related to the consequences of Hurricanes Harvey, Irma, and Maria:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                  OTHER DEPARTMENT OF DEFENSE PROGRAMS

                         Defense Health Program

    For an additional amount for operation and maintenance for 
``Defense Health Program'', $704,000, for necessary expenses related to 
the consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                                TITLE IV

                       CORPS OF ENGINEERS--CIVIL

                         DEPARTMENT OF THE ARMY

                             investigations

    For an additional amount for ``Investigations'' for necessary 
expenses related to the completion, or initiation and completion, of 
flood and storm damage reduction, including shore protection, studies 
which are currently authorized or which are authorized after the date 
of enactment of this subdivision, to reduce risk from future floods and 
hurricanes, at full Federal expense, $135,000,000, to remain available 
until expended:  Provided, That of such amount, not less than 
$75,000,000 is available for such studies in States and insular areas 
that were impacted by Hurricanes Harvey, Irma, and Maria:  Provided 
further, That funds made available under this heading shall be for 
high-priority studies of projects in States and insular areas with more 
than one flood-related major disaster declared pursuant to the Robert 
T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 
5121 et seq.) in calendar years 2014, 2015, 2016, or 2017:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985:  Provided 
further, That the Assistant Secretary of the Army for Civil Works shall 
provide a monthly report to the Committees on Appropriations of the 
House of Representatives and the Senate detailing the allocation and 
obligation of these funds, including new studies selected to be 
initiated using funds provided under this heading, beginning not later 
than 60 days after the enactment of this subdivision.

                              construction

    For an additional amount for ``Construction'' for necessary 
expenses to address emergency situations at Corps of Engineers 
projects, and to construct, and rehabilitate and repair damages caused 
by natural disasters, to Corps of Engineers projects, $15,055,000,000, 
to remain available until expended:  Provided, That of such amount, 
$15,000,000,000 is available to construct flood and storm damage 
reduction, including shore protection, projects which are currently 
authorized or which are authorized after the date of enactment of this 
subdivision, and flood and storm damage reduction, including shore 
protection, projects which have signed Chief's Reports as of the date 
of enactment of this subdivision or which are studied using funds 
provided under the heading ``Investigations'' if the Secretary 
determines such projects to be technically feasible, economically 
justified, and environmentally acceptable, in States and insular areas 
with more than one flood-related major disaster declared pursuant to 
the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 
U.S.C. 5121 et seq.) in calendar years 2014, 2015, 2016, or 2017:  
Provided further, That of the amounts in the preceding proviso, not 
less than $10,425,000,000 shall be available for such projects within 
States and insular areas that were impacted by Hurricanes Harvey, Irma, 
and Maria:  Provided further, That all repair, rehabilitation, study, 
design, and construction of Corps of Engineers projects in Puerto Rico 
and the United States Virgin Islands, using funds provided under this 
heading, shall be conducted at full Federal expense:  Provided further, 
That for projects receiving funding under this heading, the provisions 
of section 902 of the Water Resources Development Act of 1986 shall not 
apply to these funds:  Provided further, That the completion of ongoing 
construction projects receiving funds provided under this heading shall 
be at full Federal expense with respect to such funds:  Provided 
further, That using funds provided under this heading, the non-Federal 
cash contribution for projects eligible for funding pursuant to the 
first proviso shall be financed in accordance with the provisions of 
section 103(k) of Public Law 99-662 over a period of 30 years from the 
date of completion of the project or separable element:  Provided 
further, That up to $50,000,000 of the funds made available under this 
heading shall be used for continuing authorities projects to reduce the 
risk of flooding and storm damage:  Provided further, That any projects 
using funds appropriated under this heading shall be initiated only 
after non-Federal interests have entered into binding agreements with 
the Secretary requiring, where applicable, the non-Federal interests to 
pay 100 percent of the operation, maintenance, repair, replacement, and 
rehabilitation costs of the project and to hold and save the United 
States free from damages due to the construction or operation and 
maintenance of the project, except for damages due to the fault or 
negligence of the United States or its contractors:  Provided further, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985:  Provided 
further, That the Assistant Secretary of the Army for Civil Works shall 
provide a monthly report to the Committees on Appropriations of the 
House of Representatives and the Senate detailing the allocation and 
obligation of these funds, beginning not later than 60 days after the 
enactment of this subdivision.

                   mississippi river and tributaries

    For an additional amount for ``Mississippi River and Tributaries'' 
for necessary expenses to address emergency situations at Corps of 
Engineers projects, and to construct, and rehabilitate and repair 
damages to Corps of Engineers projects, caused by natural disasters, 
$770,000,000, to remain available until expended:  Provided, That of 
such amount, $400,000,000 is available to construct flood and storm 
damage reduction projects which are currently authorized or which are 
authorized after the date of enactment of this subdivision:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985:  Provided 
further, That the Assistant Secretary of the Army for Civil Works shall 
provide a monthly report to the Committees on Appropriations of the 
House of Representatives and the Senate detailing the allocation and 
obligation of these funds, beginning not later than 60 days after the 
enactment of this subdivision.

                       operation and maintenance

    For an additional amount for ``Operation and Maintenance'' for 
necessary expenses to dredge Federal navigation projects in response 
to, and repair damages to Corps of Engineers Federal projects caused 
by, natural disasters, $608,000,000, to remain available until 
expended, of which such sums as are necessary to cover the Federal 
share of eligible operation and maintenance costs for coastal harbors 
and channels, and for inland harbors shall be derived from the Harbor 
Maintenance Trust Fund:  Provided, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985:  Provided further, That the Assistant Secretary of the 
Army for Civil Works shall provide a monthly report to the Committees 
on Appropriations of the House of Representatives and the Senate 
detailing the allocation and obligation of these funds, beginning not 
later than 60 days after the enactment of this subdivision.

                 flood control and coastal emergencies

    For an additional amount for ``Flood Control and Coastal 
Emergencies'', as authorized by section 5 of the Act of August 18, 1941 
(33 U.S.C. 701n), for necessary expenses to prepare for flood, 
hurricane and other natural disasters and support emergency operations, 
repairs, and other activities in response to such disasters, as 
authorized by law, $810,000,000, to remain available until expended:  
Provided, That funding utilized for authorized shore protection 
projects shall restore such projects to the full project profile at 
full Federal expense:  Provided further, That such amount is designated 
by the Congress as being for an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985:  Provided further, That the Assistant Secretary of 
the Army for Civil Works shall provide a monthly report to the 
Committees on Appropriations of the House of Representatives and the 
Senate detailing the allocation and obligation of these funds, 
beginning not later than 60 days after the enactment of this 
subdivision.

                                expenses

    For an additional amount for ``Expenses'' for necessary expenses to 
administer and oversee the obligation and expenditure of amounts 
provided in this title for the Corps of Engineers, $20,000,000, to 
remain available until expended:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985:  Provided further, That the 
Assistant Secretary of the Army for Civil Works shall provide a monthly 
report to the Committees on Appropriations of the House of 
Representatives and the Senate detailing the allocation and obligation 
of these funds, beginning not later than 60 days after enactment of 
this subdivision.

                          DEPARTMENT OF ENERGY

                            ENERGY PROGRAMS

              Electricity Delivery and Energy Reliability

    For an additional amount for ``Electricity Delivery and Energy 
Reliability'', $13,000,000, to remain available until expended, for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, including technical assistance related to electric 
grids:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                      Strategic Petroleum Reserve

    For an additional amount for ``Strategic Petroleum Reserve'', 
$8,716,000, to remain available until expended, for necessary expenses 
related to damages caused by Hurricanes Harvey, Irma, and Maria:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     GENERAL PROVISIONS--THIS TITLE

    Sec. 20401.  In fiscal year 2018, and each fiscal year thereafter, 
the Chief of Engineers of the U.S. Army Corps of Engineers shall 
transmit to the Congress, after reasonable opportunity for comment, but 
without change, by the Assistant Secretary of the Army for Civil Works, 
a monthly report, the first of which shall be transmitted to Congress 
not later than 2 days after the date of enactment of this subdivision 
and monthly thereafter, which includes detailed estimates of damages to 
each Corps of Engineers project, caused by natural disasters or 
otherwise.
    Sec. 20402.  From the unobligated balances of amounts made 
available to the U.S. Army Corps of Engineers, $518,900,000 under the 
heading ``Corps of Engineers--Civil, Flood Control and Coastal 
Emergencies'' and $210,000,000 under the heading ``Corps of Engineers--
Civil, Operations and Maintenance'' in title X of the Disaster Relief 
Appropriations Act, 2013 (Public Law 113-2; 127 Stat. 25) shall be 
transferred to ``Corps of Engineers--Civil, Construction'', to remain 
available until expended, to rehabilitate, repair and construct Corps 
of Engineers projects:  Provided, That those projects may only include 
construction expenses, including cost sharing, as described under the 
heading ``Corps of Engineers--Civil, Construction'' in title X of that 
Act or other construction expenses related to the consequences of 
Hurricane Sandy:  Provided further, That amounts transferred pursuant 
to this section that were previously designated by the Congress as an 
emergency requirement pursuant to the Balanced Budget and Emergency 
Deficit Control Act are designated by the Congress as an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985:  Provided further, That the 
Assistant Secretary of the Army for Civil Works shall provide a monthly 
report to the Committees on Appropriations of the House of 
Representatives and the Senate detailing the allocation and obligation 
of these funds, beginning not later than 60 days after the enactment of 
this subdivision.

                                TITLE V

                          INDEPENDENT AGENCIES

                    General Services Administration

                        real property activities

                         federal buildings fund

    For an additional amount to be deposited in the ``Federal Buildings 
Fund'', $126,951,000, to remain available until expended, for necessary 
expenses related to the consequences of Hurricanes Harvey, Maria, and 
Irma for repair and alteration of buildings under the custody and 
control of the Administrator of General Services, and real property 
management and related activities not otherwise provided for:  
Provided, That funds may be used to reimburse the ``Federal Buildings 
Fund'' for obligations incurred for this purpose prior to enactment of 
this subdivision:  Provided further, That not more than $15,000,000 
shall be available for tenant improvements in damaged U.S. courthouses: 
 Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                     Small Business Administration

                      office of inspector general

    For an additional amount for the ``Office of Inspector General'', 
$7,000,000, to remain available until expended:  Provided, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                     disaster loans program account

                     (including transfer of funds)

    For an additional amount for the ``Disaster Loans Program Account'' 
for the cost of direct loans authorized by section 7(b) of the Small 
Business Act, $1,652,000,000, to remain available until expended:  
Provided, That up to $618,000,000 may be transferred to and merged with 
``Salaries and Expenses'' for administrative expenses to carry out the 
disaster loan program authorized by section 7(b) of the Small Business 
Act:  Provided further, That none of the funds provided under this 
heading may be used for indirect administrative expenses:  Provided 
further, That the amount provided under this heading is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                                TITLE VI

                    DEPARTMENT OF HOMELAND SECURITY

    DEPARTMENTAL MANAGEMENT, OPERATIONS, INTELLIGENCE, AND OVERSIGHT

                      Office of Inspector General

                         operations and support

    For an additional amount for ``Operations and Support'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $25,000,000, to remain available until September 30, 
2020, for audits and investigations of activities funded by this title: 
 Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

               SECURITY, ENFORCEMENT, AND INVESTIGATIONS

                   U.S. Customs and Border Protection

                         operations and support

    For an additional amount for ``Operations and Support'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $104,494,000, to remain available until September 30, 
2019:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985:  
Provided further, That not more than $39,400,000 may be used to carry 
out U.S. Customs and Border Protection activities in fiscal year 2018 
in Puerto Rico and the United States Virgin Islands, in addition to any 
other amounts available for such purposes.

              procurement, construction, and improvements

    For an additional amount for ``Procurement, Construction, and 
Improvements'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, including for the reconstruction of 
facilities affected, $45,000,000, to remain available until September 
30, 2022:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985:  
Provided further, That funds are provided to carry out U.S. Customs and 
Border Protection activities in Puerto Rico and the United States 
Virgin Islands, in addition to any other amounts available for such 
purposes.

                U.S. Immigration and Customs Enforcement

                         operations and support

    For an additional amount for ``Operations and Support'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $30,905,000, to remain available until September 30, 
2019:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

              procurement, construction, and improvements

    For an additional amount for ``Procurement, Construction, and 
Improvements'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, $33,052,000, to remain available 
until September 30, 2022:  Provided, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                 Transportation Security Administration

                         operations and support

    For an additional amount for ``Operations and Support'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $10,322,000, to remain available until September 30, 
2019:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                              Coast Guard

                           operating expenses

    For an additional amount for ``Operating Expenses'' for necessary 
expenses related to the consequences of Hurricanes Harvey, Irma, and 
Maria, $112,136,000, to remain available until September 30, 2019:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                environmental compliance and restoration

    For an additional amount for ``Environmental Compliance and 
Restoration'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, $4,038,000, to remain available 
until September 30, 2022:  Provided, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

              acquisition, construction, and improvements

    For an additional amount for Acquisition, Construction, and 
Improvements'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, Maria, and Matthew, $718,919,000, to remain 
available until September 30, 2022:  Provided, That, not later than 60 
days after enactment of this subdivision, the Secretary of Homeland 
Security, or her designee, shall submit to the Committees on 
Appropriations of the House of Representatives and the Senate a 
detailed expenditure plan for funds appropriated under this heading:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

            PROTECTION, PREPAREDNESS, RESPONSE, AND RECOVERY

                  Federal Emergency Management Agency

                         operations and support

    For an additional amount for ``Operations and Support'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $58,800,000, to remain available until September 30, 
2019:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

              procurement, construction, and improvements

    For an additional amount for ``Procurement, Construction, and 
Improvements'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, $1,200,000, to remain available 
until September 30, 2020:  Provided, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                          disaster relief fund

    For an additional amount for ``Disaster Relief Fund'' for major 
disasters declared pursuant to the Robert T. Stafford Disaster Relief 
and Emergency Assistance Act (42 U.S.C. 5121 et seq.), $23,500,000,000, 
to remain available until expended:  Provided, That the Administrator 
of the Federal Emergency Management Agency shall publish on the 
Agency's website not later than 5 days after an award of a public 
assistance grant under section 406 or 428 of the Robert T. Stafford 
Disaster Relief and Emergency Assistance Act (42 U.S.C. 5172 or 5189f) 
that is in excess of $1,000,000, the specifics of each such grant 
award:  Provided further, That for any mission assignment or mission 
assignment task order to another Federal department or agency regarding 
a major disaster in excess of $1,000,000, not later than 5 days after 
the issuance of such mission assignment or mission assignment task 
order, the Administrator shall publish on the Agency's website the 
following: the name of the impacted State, the disaster declaration for 
such State, the assigned agency, the assistance requested, a 
description of the disaster, the total cost estimate, and the amount 
obligated:  Provided further, That not later than 10 days after the 
last day of each month until a mission assignment or mission assignment 
task order described in the preceding proviso is completed and closed 
out, the Administrator shall update any changes to the total cost 
estimate and the amount obligated:  Provided further, That for a 
disaster declaration related to Hurricanes Harvey, Irma, or Maria, the 
Administrator shall submit to the Committees on Appropriations of the 
House of Representatives and the Senate, not later than 5 days after 
the first day of each month beginning after the date of enactment of 
this subdivision, and shall publish on the Agency's website, not later 
than 10 days after the first day of each such month, an estimate or 
actual amount, if available, for the current fiscal year of the cost of 
the following categories of spending: public assistance, individual 
assistance, operations, mitigation, administrative, and any other 
relevant category (including emergency measures and disaster 
resources):  Provided, further, That not later than 10 days after the 
first day of each month, the Administrator shall publish on the 
Agency's website the report (referred to as the Disaster Relief Monthly 
Report) as required by Public Law 114-4:  Provided further, That of the 
amounts provided under this heading for the Disaster Relief Fund, up to 
$150,000,000 shall be transferred to the Disaster Assistance Direct 
Loan Program Account for the cost to lend a territory or possession of 
the United States that portion of assistance for which the territory or 
possession is responsible under the cost-sharing provisions of the 
major disaster declaration for Hurricanes Irma or Maria, as authorized 
under section 319 of the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5162):  Provided further, That of 
the amount provided under this paragraph for transfer, up to $1,000,000 
may be transferred to the Disaster Assistance Direct Loan Program 
Account for administrative expenses to carry out the Advance of Non-
Federal Share program, as authorized by section 319 of the Robert T. 
Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5162): 
 Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

             RESEARCH, DEVELOPMENT, TRAINING, AND SERVICES

                Federal Law Enforcement Training Centers

                         operations and support

    For an additional amount for ``Operations and Support'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $5,374,000, to remain available until September 30, 
2019:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

              procurement, construction, and improvements

    For an additional amount for ``Procurement, Construction, and 
Improvements'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, $5,000,000, to remain available 
until September 30, 2022:  Provided, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                     GENERAL PROVISIONS--THIS TITLE

    Sec. 20601.  The Administrator of the Federal Emergency Management 
Agency may provide assistance, pursuant to section 428 of the Robert T. 
Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 
et seq.), for critical services as defined in section 406 of the Robert 
T. Stafford Disaster Relief and Emergency Assistance Act for the 
duration of the recovery for incidents DR-4336-PR, DR-4339-PR, DR-4340-
USVI, and DR-4335-USVI to--
            (1) replace or restore the function of a facility or system 
        to industry standards without regard to the pre-disaster 
        condition of the facility or system; and
            (2) replace or restore components of the facility or system 
        not damaged by the disaster where necessary to fully effectuate 
        the replacement or restoration of disaster-damaged components 
        to restore the function of the facility or system to industry 
        standards.
    Sec. 20602.  Notwithstanding section 404 or 420 of the Robert T. 
Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170c 
and 8187), for fiscal years 2017 and 2018, the President shall provide 
hazard mitigation assistance in accordance with such section 404 in any 
area in which assistance was provided under such section 420.
    Sec. 20603.  The third proviso of the second paragraph in title I 
of Public Law 115-72 under the heading ``Federal Emergency Management 
Agency--Disaster Relief Fund'' shall be amended by striking ``180 
days'' and inserting ``365 days'':  Provided, That amounts repurposed 
pursuant to this section that were previously designated by the 
Congress as an emergency requirement pursuant to the Balanced Budget 
and Emergency Deficit Control Act are designated by the Congress as an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.
    Sec. 20604. (a) Definition of Private Nonprofit Facility.--Section 
102(11)(B) of the Robert T. Stafford Disaster Relief and Emergency 
Assistance Act (42 U.S.C. 5122(11)(B)) is amended to read as follows:
                    ``(A) In general.--The term `private nonprofit 
                facility' means private nonprofit educational (without 
                regard to the religious character of the facility), 
                utility, irrigation, emergency, medical, 
                rehabilitational, and temporary or permanent custodial 
                care facilities (including those for the aged and 
                disabled) and facilities on Indian reservations, as 
                defined by the President.
                    ``(B) Additional facilities.--In addition to the 
                facilities described in subparagraph (A), the term 
                `private nonprofit facility' includes any private 
                nonprofit facility that provides essential social 
                services to the general public (including museums, 
                zoos, performing arts facilities, community arts 
                centers, community centers, libraries, homeless 
                shelters, senior citizen centers, rehabilitation 
                facilities, shelter workshops, broadcasting facilities, 
                houses of worship, and facilities that provide health 
                and safety services of a governmental nature), as 
                defined by the President. No house of worship may be 
                excluded from this definition because leadership or 
                membership in the organization operating the house of 
                worship is limited to persons who share a religious 
                faith or practice.''.
    (b) Repair, Restoration, and Replacement of Damaged Facilities.--
Section 406(a)(3) of the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5172(a)(3)) is amended by adding at 
the end the following:
                    ``(C) Religious facilities.--A church, synagogue, 
                mosque, temple, or other house of worship, educational 
                facility, or any other private nonprofit facility, 
                shall be eligible for contributions under paragraph 
                (1)(B), without regard to the religious character of 
                the facility or the primary religious use of the 
                facility. No house of worship, educational facility, or 
                any other private nonprofit facility may be excluded 
                from receiving contributions under paragraph (1)(B) 
                because leadership or membership in the organization 
                operating the house of worship is limited to persons 
                who share a religious faith or practice.''.
    (c) Applicability.--This section and the amendments made by this 
section shall apply--
            (1) to the provision of assistance in response to a major 
        disaster or emergency declared on or after August 23, 2017; or
            (2) with respect to--
                    (A) any application for assistance that, as of the 
                date of enactment of this Act, is pending before 
                Federal Emergency Management Agency; and
                    (B) any application for assistance that has been 
                denied, where a challenge to that denial is not yet 
                finally resolved as of the date of enactment of this 
                Act.
    Sec. 20605. (a) The Federal share of assistance, including direct 
Federal assistance, provided under section 407 of the Robert T. 
Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5173), 
with respect to a major disaster declared pursuant to such Act for 
damages resulting from a wildfire in calendar year 2017, shall be 90 
percent of the eligible costs under such section.
    (b) The Federal share provided by subsection (a) shall apply to 
assistance provided before, on, or after the date of enactment of this 
Act.

federal cost-share adjustments for repair, restoration, and replacement 
                         of damaged facilities

    Sec. 20606.  Section 406(b) of the Robert T. Stafford Disaster 
Relief and Emergency Assistance Act (42 U.S.C. 5172(b)) is amended by 
inserting after paragraph (2) the following:
            ``(3) Increased federal share.--
                    ``(A) Incentive measures.--The President may 
                provide incentives to a State or Tribal government to 
                invest in measures that increase readiness for, and 
                resilience from, a major disaster by recognizing such 
                investments through a sliding scale that increases the 
                minimum Federal share to 85 percent. Such measures may 
                include--
                            ``(i) the adoption of a mitigation plan 
                        approved under section 322;
                            ``(ii) investments in disaster relief, 
                        insurance, and emergency management programs;
                            ``(iii) encouraging the adoption and 
                        enforcement of the latest published editions of 
                        relevant consensus-based codes, specifications, 
                        and standards that incorporate the latest 
                        hazard-resistant designs and establish minimum 
                        acceptable criteria for the design, 
                        construction, and maintenance of residential 
                        structures and facilities that may be eligible 
                        for assistance under this Act for the purpose 
                        of protecting the health, safety, and general 
                        welfare of the buildings' users against 
                        disasters;
                            ``(iv) facilitating participation in the 
                        community rating system; and
                            ``(v) funding mitigation projects or 
                        granting tax incentives for projects that 
                        reduce risk.
                    ``(B) Comprehensive guidance.--Not later than 1 
                year after the date of enactment of this paragraph, the 
                President, acting through the Administrator, shall 
                issue comprehensive guidance to State and Tribal 
                governments regarding the measures and investments, 
                weighted appropriately based on actuarial assessments 
                of eligible actions, that will be recognized for the 
                purpose of increasing the Federal share under this 
                section. Guidance shall ensure that the agency's review 
                of eligible measures and investments does not unduly 
                delay determining the appropriate Federal cost share.
                    ``(C) Report.--One year after the issuance of the 
                guidance required by subparagraph (B), the 
                Administrator shall submit to the Committee on 
                Transportation and Infrastructure of the House of 
                Representatives and the Committee on Homeland Security 
                and Governmental Affairs of the Senate a report 
                regarding the analysis of the Federal cost shares paid 
                under this section.
                    ``(D) Savings clause.--Nothing in this paragraph 
                prevents the President from increasing the Federal cost 
                share above 85 percent.''.
    Sec. 20607.  Division F of the Consolidated Appropriations Act, 
2017, is amended by inserting the following at the end of Title V:
    ``Sec. 545. (a) Premium Pay Authority.--During calendar year 2017, 
any premium pay that is funded, either directly or through 
reimbursement, by the `Federal Emergency Management Agency--Disaster 
Relief Fund' shall be exempted from the aggregate of basic pay and 
premium pay calculated under section 5547(a) of title 5, United States 
Code, and any other provision of law limiting the aggregate amount of 
premium pay payable on a biweekly or calendar year basis.
    ``(b) Overtime Authority.--During calendar year 2017, any overtime 
that is funded, either directly or through reimbursement, by the 
`Federal Emergency Management Agency--Disaster Relief Fund' shall be 
exempted from any annual limit on the amount of overtime payable in a 
calendar or fiscal year.
    ``(c) Applicability of Aggregate Limitation on Pay.--In determining 
whether an employee's pay exceeds the applicable annual rate of basic 
pay payable under section 5307 of title 5, United States Code, the head 
of an Executive agency shall not include pay exempted under this 
section.
    ``(d) Limitation of Pay Authority.--Pay exempted from otherwise 
applicable limits under subsection (a) shall not cause the aggregate 
pay earned for the calendar year in which the exempted pay is earned to 
exceed the rate of basic pay payable for a position at level II of the 
Executive Schedule under section 5313 of title 5, United States Code.
    ``(e) Effective Date.--This section shall take effect as if enacted 
on December 31, 2016.''.

                               TITLE VII

                       DEPARTMENT OF THE INTERIOR

                United States Fish and Wildlife Service

                              construction

    For an additional amount for ``Construction'' for necessary 
expenses related to the consequences of Hurricanes Harvey, Irma, and 
Maria, $210,629,000, to remain available until expended:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                         National Park Service

                       historic preservation fund

    For an additional amount for the ``Historic Preservation Fund'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $50,000,000, to remain available until September 30, 
2019, including costs to States and territories necessary to complete 
compliance activities required by section 306108 of title 54, United 
States Code (formerly section 106 of the National Historic Preservation 
Act) and costs needed to administer the program:  Provided, That grants 
shall only be available for areas that have received a major disaster 
declaration pursuant to the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5121 et seq.):  Provided further, 
That individual grants shall not be subject to a non-Federal matching 
requirement:  Provided further, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                              construction

    For an additional amount for ``Construction'' for necessary 
expenses related to the consequences of Hurricanes Harvey, Irma, and 
Maria, $207,600,000, to remain available until expended:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                    United States Geological Survey

                 surveys, investigations, and research

    For an additional amount for ``Surveys, Investigations, and 
Research'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, and in those areas impacted by a 
major disaster declared pursuant to the Robert T. Stafford Disaster 
Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.) with 
respect to wildfires in 2017, $42,246,000, to remain available until 
expended:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                          Departmental Offices

                            Insular Affairs

                       assistance to territories

    For an additional amount for ``Technical Assistance'' for financial 
management expenses related to the consequences of Hurricanes Irma and 
Maria, $3,000,000, to remain available until expended:  Provided, That 
such amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                      Office of Inspector General

                         salaries and expenses

    For an additional amount for ``Salaries and Expenses'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $2,500,000, to remain available until expended:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                    Environmental Protection Agency

                     hazardous substance superfund

    For an additional amount for ``Hazardous Substance Superfund'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $6,200,000, to remain available until expended:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

          leaking underground storage tank trust fund program

    For an additional amount for ``Leaking Underground Storage Tank 
Fund'' for necessary expenses related to the consequences of Hurricanes 
Harvey, Irma, and Maria, $7,000,000, to remain available until 
expended:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                   state and tribal assistance grants

    For an additional amount for ``State and Tribal Assistance Grants'' 
for necessary expenses related to the consequences of Hurricanes 
Harvey, Irma, and Maria for the hazardous waste financial assistance 
grants program and for other solid waste management activities, 
$50,000,000, to remain available until expended:  Provided, That none 
of these funds allocated within Region 2 shall be subject to cost share 
requirements under section 3011(b) of the Solid Waste Disposal Act:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

       Administrative Provision--Environmental Protection Agency

    Of amounts previously appropriated for capitalization grants for 
the State Revolving Funds under title VI of the Federal Water Pollution 
Control Act or under section 1452 of the Safe Drinking Water Act to a 
State or territory included as part of a disaster declaration related 
to Hurricanes Irma and Maria, all existing grant funds that are 
available but not drawn down shall not be subject to the matching or 
cost share requirements of sections 602(b)(2), 602(b)(3) of the Federal 
Water Pollution Control Act nor the matching requirements of section 
1452(e) of the Safe Drinking Water Act and shall be awarded to such 
state or territory:  Provided, That, notwithstanding the requirements 
of section 603(d) of the Federal Water Pollution Control Act or section 
1452(f) of the Safe Drinking Water Act, the state or territory shall 
utilize the full amount of such funds, excluding existing loans, to 
provide additional subsidization to eligible recipients in the form of 
forgiveness of principal, negative interest loans or grants or any 
combination of these:  Provided further, That such funds may be used 
for eligible projects whose purpose is to repair damage incurred as a 
result of Hurricanes Irma and Maria, reduce flood damage risk and 
vulnerability or to enhance resiliency to rapid hydrologic change or a 
natural disaster at treatment works as defined by section 212 of the 
Federal Water Pollution Control Act or a public drinking water system 
under section 1452 of the Safe Drinking Water Act:  Provided further, 
That any project involving the repair or replacement of a lead service 
line shall replace the entire lead service line, not just a portion.

                            RELATED AGENCIES

                       DEPARTMENT OF AGRICULTURE

                             Forest Service

                       state and private forestry

    For an additional amount for ``State and Private Forestry'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $7,500,000, to remain available until expended:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                         national forest system

    For an additional amount for ``National Forest System'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, $20,652,000, to remain available until expended:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                  capital improvement and maintenance

    For an additional amount for ``Capital Improvement and 
Maintenance'' for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, and the 2017 fire season, 
$91,600,000, to remain available until expended:  Provided, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

                     GENERAL PROVISION--THIS TITLE

    Sec. 20701.  Agencies receiving funds appropriated by this title 
shall each provide a monthly report to the Committees on Appropriations 
of the House of Representatives and the Senate detailing the allocation 
and obligation of these funds by account, beginning not later than 90 
days after enactment of this Act.

                               TITLE VIII

                          DEPARTMENT OF LABOR

                 Employment and Training Administration

                    training and employment services

                     (including transfers of funds)

    For an additional amount for ``Training and Employment Services'', 
$100,000,000, for the dislocated workers assistance national reserve 
for necessary expenses directly related to the consequences of 
Hurricanes Harvey, Maria, and Irma and those jurisdictions that 
received a major disaster declaration pursuant to the Robert T. 
Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 
et seq.) due to wildfires in 2017, which shall be available from the 
date of enactment of this subdivision through September 30, 2019:  
Provided, That the Secretary of Labor may transfer up to $2,500,000 of 
such funds to any other Department of Labor account for reconstruction 
and recovery needs, including worker protection activities:  Provided 
further, That these sums may be used to replace grant funds previously 
obligated to the impacted areas:  Provided further, That of the amount 
provided, up to $500,000, to remain available until expended, shall be 
transferred to ``Office of Inspector General''for oversight of 
activities responding to such hurricanes and wildfires:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                               job corps

    For an additional amount for ``Job Corps'' for construction, 
rehabilitation and acquisition for Job Corps Centers in Puerto Rico, 
$30,900,000, which shall be available upon the date of enactment of 
this subdivision and remain available for obligation through June 30, 
2021:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                General Provisions--Department of Labor

            deferral of interest payments for virgin islands

    Sec. 20801.  Notwithstanding any other provision of law, the 
interest payment of the Virgin Islands that was due under section 
1202(b)(1) of the Social Security Act on September 29, 2017, shall not 
be due until September 28, 2018, and no interest shall accrue on such 
amount through September 28, 2018:  Provided, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                 flexibility in use of funds under wioa

    Sec. 20802. (a) In General.--Notwithstanding section 133(b)(4) of 
the Workforce Innovation and Opportunity Act, in States, as defined by 
section 3(56) of such Act, affected by Hurricanes Harvey, Irma, and 
Maria, a local board, as defined by section 3(33) of such Act, in a 
local area, as defined by section 3(32) of such Act, affected by such 
Hurricanes may transfer, if such transfer is approved by the Governor, 
up to 100 percent of the funds allocated to the local area for Program 
Years 2016 and 2017 for Youth Workforce Investment activities under 
paragraphs (2) or (3) of section 128(b) of such Act, for Adult 
employment and training activities under paragraphs (2)(A) or (3) of 
section 133(b) of such Act, or for Dislocated Worker employment and 
training activities under paragraph (2)(B) of section 133(b) of such 
Act among--
            (1) adult employment and training activities;
            (2) dislocated worker employment and training activities; 
        and
            (3) youth workforce investment activities.
    (b) The Virgin Islands.--Except for the funds reserved to carry out 
required statewide activities under sections 127(b) and 134(a)(2) of 
the Workforce Innovation and Opportunity Act, the Governor of the 
Virgin Islands may authorize the transfer of up to 100 percent of the 
remaining funds provided to the Virgin Islands for Program Years 2016 
and 2017 for Youth Workforce Investment activities under section 
127(b)(1)(B) of such Act, for Adult employment and training activities 
under section 132(b)(1)(A) of such Act, or for Dislocated Worker 
employment and training activities under section 133(b)(2)(A) of such 
Act among--
            (1) adult employment and training activities;
            (2) dislocated worker employment and training activities; 
        and
            (3) youth workforce investment activities.

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

               Centers for Disease Control and Prevention

                cdc-wide activities and program support

                     (including transfer of funds)

    For an additional amount for ``CDC-Wide Activities and Program 
Support'', $200,000,000, to remain available until September 30, 2020, 
for response, recovery, preparation, mitigation, and other expenses 
directly related to the consequences of Hurricanes Harvey, Irma, and 
Maria:  Provided, That obligations incurred for the purposes provided 
herein prior to the date of enactment of this subdivision may be 
charged to funds appropriated by this paragraph:  Provided further, 
That of the amount provided, not less than $6,000,000 shall be 
transferred to the ``Buildings and Facilities'' account for the 
purposes provided herein:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                     National Institutes of Health

                         office of the director

    For an additional amount for fiscal year 2018 for ``Office of the 
Director'', $50,000,000, to remain available until September 30, 2020, 
for response, recovery, and other expenses directly related to the 
consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That 
obligations incurred for these purposes prior to the date of enactment 
of this subdivision may be charged to funds appropriated by this 
paragraph:  Provided further, That funds appropriated by this paragraph 
may be used for construction grants or contracts under section 404I of 
the Public Health Service Act without regard to section 404I(c)(2):  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                Administration for Children and Families

                children and families services programs

    For an additional amount for ``Children and Families Services 
Programs'', $650,000,000, to remain available until September 30, 2021, 
for Head Start programs, for necessary expenses directly related to the 
consequences of Hurricanes Harvey, Irma, and Maria, including making 
payments under the Head Start Act:  Provided, That none of the funds 
appropriated in this paragraph shall be included in the calculation of 
the ``base grant'' in subsequent fiscal years, as such term is defined 
in sections 640(a)(7)(A), 641A(h)(1)(B), or 645(d)(3) of the Head Start 
Act:  Provided further, That funds appropriated in this paragraph are 
not subject to the allocation requirements of section 640(a) of the 
Head Start Act:  Provided further, That funds appropriated in this 
paragraph shall not be available for costs that are reimbursed by the 
Federal Emergency Management Agency, under a contract for insurance, or 
by self-insurance:  Provided further, That up to $12,500,000 shall be 
available for Federal administrative expenses:  Provided further, That 
obligations incurred for the purposes provided herein prior to the date 
of enactment of this subdivision may be charged to funds appropriated 
under this heading:  Provided further, That such amount is designated 
by the Congress as being for an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985.

                        Office of the Secretary

            public health and social services emergency fund

                     (including transfers of funds)

    For an additional amount for the ``Public Health and Social 
Services Emergency Fund'', $162,000,000, to remain available until 
September 30, 2020, for response, recovery, preparation, mitigation and 
other expenses directly related to the consequences of Hurricanes 
Harvey, Irma, and Maria, including activities authorized under section 
319(a) of the Public Health Service Act (referred to in this 
subdivision as the ``PHS Act''):  Provided, That of the amount 
provided, $60,000,000 shall be transferred to ``Health Resources and 
Services Administration--Primary Health Care'', for expenses related to 
the consequences of Hurricanes Harvey, Irma, and Maria for disaster 
response and recovery, for the Health Centers Program under section 330 
of the PHS Act:  Provided further, That not less than $50,000,000, of 
amounts transferred under the preceding proviso, shall be available for 
alteration, renovation, construction, equipment, and other capital 
improvement costs as necessary to meet the needs of areas affected by 
Hurricanes Harvey, Irma, and Maria: Provided further, That the time 
limitation in section 330(e)(3) of the PHS Act shall not apply to funds 
made available under the preceding proviso:  Provided further, That of 
the amount provided, not less than $20,000,000 shall be transferred to 
``Substance Abuse and Mental Health Services Administration--Health 
Surveillance and Program Support'' for grants, contracts, and 
cooperative agreements for behavioral health treatment, crisis 
counseling, and other related helplines, and for other similar programs 
to provide support to individuals impacted by Hurricanes Harvey, Irma, 
and Maria:  Provided further, That of the amount provided, up to 
$2,000,000, to remain available until expended, shall be transferred to 
``Office of the Secretary--Office of Inspector General'' for oversight 
of activities responding to such hurricanes:  Provided further, That 
obligations incurred for the purposes provided herein prior to the date 
of enactment of this subdivision may be charged to funds appropriated 
under this heading:  Provided further, That funds appropriated in this 
paragraph shall not be available for costs that are reimbursed by the 
Federal Emergency Management Agency, under a contract for insurance, or 
by self-insurance:  Provided further, That such amount is designated by 
the Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

       General Provision--Department of Health and Human Services

     direct hire authority for certain emergency response positions

    Sec. 20803. (a) In General.--As the Secretary of Health and Human 
Services determines necessary to respond to a critical hiring need for 
emergency response positions, after providing public notice and without 
regard to the provisions of sections 3309 through 3319 of title 5, 
United States Code, the Secretary may appoint candidates directly to 
the following positions, consistent with subsection (b), to perform 
critical work directly relating to the consequences of Hurricanes 
Harvey, Irma, and Maria:
            (1) Intermittent disaster-response personnel in the 
        National Disaster Medical System, under section 2812 of the 
        Public Health Service Act (42 U.S.C. 300hh-11).
            (2) Term or temporary related positions in the Centers for 
        Disease Control and Prevention and the Office of the Assistant 
        Secretary for Preparedness and Response.
    (b) Expiration.--The authority under subsection (a) shall expire 
270 days after the date of enactment of this section.

                        DEPARTMENT OF EDUCATION

                      Hurricane Education Recovery

                     (including transfer of funds)

    For an additional amount for ``Hurricane Education Recovery'' for 
necessary expenses related to the consequences of Hurricanes Harvey, 
Irma, and Maria, or wildfires in 2017 for which a major disaster or 
emergency has been declared under sections 401 or 501 of the Robert T. 
Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170 
and 5190) (referred to under this heading as ``covered disaster or 
emergency''), $2,700,000,000, to remain available through September 30, 
2022, for assisting in meeting the educational needs of individuals 
affected by a covered disaster or emergency:  Provided, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985:  Provided further, That--
            (1) such funds shall be used--
                    (A) to make awards to eligible entities for 
                immediate aid to restart school operations, in 
                accordance with paragraph (2);
                    (B) for temporary emergency impact aid for 
                displaced students, in accordance with paragraph (2);
                    (C) for emergency assistance to institutions of 
                higher education and students attending institutions of 
                higher education in an area directly affected by a 
                covered disaster or emergency in accordance with 
                paragraph (3);
                    (D) for payments to institutions of higher 
                education to help defray the unexpected expenses 
                associated with enrolling displaced students from 
                institutions of higher education directly affected by a 
                covered disaster or emergency, in accordance with 
                paragraph (4); and
                    (E) to provide assistance to local educational 
                agencies serving homeless children and youth in 
                accordance with paragraph (5);
            (2) immediate aid to restart school operations and 
        temporary emergency impact aid for displaced students described 
        in subparagraphs (A) and (B) of paragraph (1) shall be provided 
        under the statutory terms and conditions that applied to 
        assistance under sections 102 and 107 of title IV of division B 
        of Public Law 109-148, respectively, except that such sections 
        shall be applied so that--
                    (A) each reference to a major disaster declared in 
                accordance with section 401 of the Robert T. Stafford 
                Disaster Relief and Emergency Assistance Act (42 U.S.C. 
                5170) shall be to a major disaster or emergency 
                declared by the President in accordance with section 
                401 or 501, respectively, of such Act;
                    (B) each reference to Hurricane Katrina or 
                Hurricane Rita shall be a reference to a covered 
                disaster or emergency;
                    (C) each reference to August 22, 2005 shall be to 
                the date that is one week prior to the date that the 
                major disaster or emergency was declared for the area;
                    (D) each reference to the States of Louisiana, 
                Mississippi, Alabama, and Texas shall be to the States 
                or territories affected by a covered disaster or 
                emergency, and each reference to the State educational 
                agencies of Louisiana, Mississippi, Alabama, or Texas 
                shall be a reference to the State educational agencies 
                that serve the states or territories affected by a 
                covered disaster or emergency;
                    (E) each reference to the 2005-2006 school year 
                shall be to the 2017-2018 school year;
                    (F) the references in section 102(h)(1) of title IV 
                of division B of Public Law 109-148 to the number of 
                non-public and public elementary schools and secondary 
                schools in the State shall be to the number of students 
                in non-public and public elementary schools and 
                secondary schools in the State, and the reference in 
                such section to the National Center for Data Statistics 
                Common Core of Data for the 2003-2004 school year shall 
                be to the most recent and appropriate data set for the 
                2016-2017 school year;
                    (G) in determining the amount of immediate aid 
                provided to restart school operations as described in 
                section 102(b) of title IV of division B of Public Law 
                109-148, the Secretary shall consider the number of 
                students enrolled, during the 2016-2017 school year, in 
                elementary schools and secondary schools that were 
                closed as a result of a covered disaster or emergency;
                    (H) in determining the amount of emergency impact 
                aid that a State educational agency is eligible to 
                receive under paragraph (1)(B), the Secretary shall, 
                subject to section 107(d)(1)(B) of such title, 
                provide--
                            (i) $9,000 for each displaced student who 
                        is an English learner, as that term is defined 
                        in section 8101 of the Elementary and Secondary 
                        Education Act of 1965 (20 U.S.C. 7801);
                            (ii) $10,000 for each displaced student who 
                        is a child with a disability (regardless of 
                        whether the child is an English learner); and
                            (iii) $8,500 for each displaced student who 
                        is not a child with a disability or an English 
                        learner;
                    (I) with respect to the emergency impact aid 
                provided under paragraph (1)(B), the Secretary may 
                modify the State educational agency and local 
                educational agency application timelines in section 
                107(c) of such title; and
                    (J) each reference to a public elementary school 
                may include, as determined by the local educational 
                agency, a publicly-funded preschool program that 
                enrolls children below the age of kindergarten entry 
                and is part of an elementary school;
            (3) $100,000,000 of the funds made available under this 
        heading shall be for programs authorized under subpart 3 of 
        Part A, part C of title IV and part B of title VII of the 
        Higher Education Act of 1965 (20 U.S.C. 1087-51 et seq., 1138 
        et seq.) for institutions located in an area affected by a 
        covered disaster or emergency, and students enrolled in such 
        institutions, except that--
                    (A) any requirements relating to matching, Federal 
                share, reservation of funds, or maintenance of effort 
                under such parts that would otherwise be applicable to 
                that assistance shall not apply;
                    (B) such assistance may be used for student 
                financial assistance;
                    (C) such assistance may also be used for faculty 
                and staff salaries, equipment, student supplies and 
                instruments, or any purpose authorized under the Higher 
                Education Act of 1965, by institutions of higher 
                education that are located in areas affected by a 
                covered disaster or emergency; and
                    (D) the Secretary shall prioritize, to the extent 
                possible, students who are homeless or at risk of 
                becoming homeless as a result of displacement, and 
                institutions that have sustained extensive damage, by a 
                covered disaster or emergency;
            (4) up to $75,000,000 of the funds made available under 
        this heading shall be for payments to institutions of higher 
        education to help defray the unexpected expenses associated 
        with enrolling displaced students from institutions of higher 
        education at which operations have been disrupted by a covered 
        disaster or emergency, in accordance with criteria established 
        by the Secretary and made publicly available;
            (5) $25,000,000 of the funds made available under this 
        heading shall be available to provide assistance to local 
        educational agencies serving homeless children and youths 
        displaced by a covered disaster or emergency, consistent with 
        section 723 of the McKinney-Vento Homeless Assistance Act (42 
        U.S.C. 11431-11435) and with section 106 of title IV of 
        division B of Public Law 109-148, except that funds shall be 
        disbursed based on demonstrated need and the number of homeless 
        children and youth enrolled as a result of displacement by a 
        covered disaster or emergency;
            (6) section 437 of the General Education Provisions Act (20 
        U.S.C. 1232) and section 553 of title 5, United States Code, 
        shall not apply to activities under this heading;
            (7) $4,000,000 of the funds made available under this 
        heading, to remain available until expended, shall be 
        transferred to the Office of the Inspector General of the 
        Department of Education for oversight of activities supported 
        with funds appropriated under this heading, and up to 
        $3,000,000 of the funds made available under this heading shall 
        be for program administration;
            (8) up to $35,000,000 of the funds made available under 
        this heading shall be to carry out activities authorized under 
        section 4631(b) of the Elementary and Secondary Education Act 
        of 1965 (20 U.S.C. 7281(b)):  Provided, That obligations 
        incurred for the purposes provided herein prior to the date of 
        enactment of this subdivision may be charged to funds 
        appropriated under this paragraph;
            (9) the Secretary may waive, modify, or provide extensions 
        for certain requirements of the Higher Education Act of 1965 
        (20 U.S.C. 1001 et seq.) for affected individuals, affected 
        students, and affected institutions in covered disaster or 
        emergency areas in the same manner as the Secretary was 
        authorized to waive, modify, or provide extensions for certain 
        requirements of such Act under provisions of subtitle B of 
        title IV of division B of Public Law 109-148 for affected 
        individuals, affected students, and affected institutions in 
        areas affected by Hurricane Katrina and Hurricane Rita, except 
        that the cost associated with any action taken by the Secretary 
        under this paragraph is designated by the Congress as being for 
        an emergency requirement pursuant to section 251(b)(2)(A)(i) of 
        the Balanced Budget and Emergency Deficit Control Act of 1985; 
        and
            (10) if any provision under this heading or application of 
        such provision to any person or circumstance is held to be 
        unconstitutional, the remainder of the provisions under this 
        heading and the application of such provisions to any person or 
        circumstance shall not be affected thereby.

               General Provision--Department of Education

    Sec. 20804. (a) Notwithstanding any other provision of law, the 
Secretary of Education is hereby authorized to forgive any outstanding 
balance owed to the Department of Education under the HBCU Hurricane 
Supplemental Loan program established pursuant to section 2601 of 
Public Law 109-234, as modified by section 307 of title III of division 
F of the Consolidated Appropriations Act, 2012 (Public Law 112-74), as 
carried forward by the Continuing Appropriations Resolution, 2013 
(Public Law 112-175).
    (b) There are authorized to be appropriated, and there are hereby 
appropriated, such sums as may be necessary to carry out subsection 
(a):  Provided, That such amount is designated by the Congress as an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balance Budget and Emergency Deficit Control Act of 1985.

                     GENERAL PROVISIONS--THIS TITLE

                     (including transfer of funds)

    Sec. 20805.  Funds appropriated to the Department of Health and 
Human Services by this title may be transferred to, and merged with, 
other appropriation accounts under the headings ``Centers for Disease 
Control and Prevention'' and ``Public Health and Social Services 
Emergency Fund'' for the purposes specified in this title following 
consultation with the Office of Management and Budget:  Provided, That 
the Committees on Appropriations in the House of Representatives and 
the Senate shall be notified 10 days in advance of any such transfer:  
Provided further, That, upon a determination that all or part of the 
funds transferred from an appropriation are not necessary, such amounts 
may be transferred back to that appropriation:  Provided further, That 
none of the funds made available by this title may be transferred 
pursuant to the authority in section 205 of division H of Public Law 
115-31 or section 241(a) of the PHS Act.
    Sec. 20806.  Not later than 30 days after enactment of this 
subdivision, the Secretary of Health and Human Services shall provide a 
detailed spend plan of anticipated uses of funds made available in this 
title, including estimated personnel and administrative costs, to the 
Committees on Appropriations:  Provided, That such plans shall be 
updated and submitted to the Committees on Appropriations every 60 days 
until all funds are expended or expire.
    Sec. 20807.  Unless otherwise provided for by this title, the 
additional amounts appropriated by this title to appropriations 
accounts shall be available under the authorities and conditions 
applicable to such appropriations accounts for fiscal year 2018.

                                TITLE IX

                           LEGISLATIVE BRANCH

                    GOVERNMENT ACCOUNTABILITY OFFICE

                         Salaries and Expenses

    For an additional amount for ``Salaries and Expenses'', 
$14,000,000, to remain available until expended, for audits and 
investigations relating to Hurricanes Harvey, Irma, and Maria and the 
2017 wildfires:  Provided, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                                TITLE X

                         DEPARTMENT OF DEFENSE

              Military Construction, Navy and Marine Corps

    For an additional amount for ``Military Construction, Navy and 
Marine Corps'', $201,636,000, to remain available until September 30, 
2022, for necessary expenses related to the consequences of Hurricanes 
Harvey, Irma, and Maria:  Provided, That none of the funds made 
available to the Navy and Marine Corps for recovery efforts related to 
Hurricanes Harvey, Irma, and Maria in this subdivision shall be 
available for obligation until the Committees on Appropriations of the 
House of Representatives and the Senate receive form 1391 for each 
specific request:  Provided further, That, not later than 60 days after 
enactment of this subdivision, the Secretary of the Navy, or his 
designee, shall submit to the Committees on Appropriations of House of 
Representatives and the Senate a detailed expenditure plan for funds 
provided under this heading:  Provided further, That such funds may be 
obligated or expended for planning and design and military construction 
projects not otherwise authorized by law:  Provided further, That such 
amount is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985.

               Military Construction, Army National Guard

    For an additional amount for ``Military Construction, Army National 
Guard'', $519,345,000, to remain available until September 30, 2022, 
for necessary expenses related to the consequences of Hurricanes 
Harvey, Irma, and Maria:  Provided, That none of the funds made 
available to the Army National Guard for recovery efforts related to 
Hurricanes Harvey, Irma, and Maria in this subdivision shall be 
available for obligation until the Committees on Appropriations of the 
House of Representatives and the Senate receive form 1391 for each 
specific request:  Provided further, That, not later than 60 days after 
enactment of this subdivision, the Director of the Army National Guard, 
or his designee, shall submit to the Committees on Appropriations of 
the House of Representatives and the Senate a detailed expenditure plan 
for funds provided under this heading:  Provided further, That such 
funds may be obligated or expended for planning and design and military 
construction projects not otherwise authorized by law:  Provided 
further, That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     DEPARTMENT OF VETERANS AFFAIRS

                     Veterans Health Administration

                            medical services

    For an additional amount for ``Medical Services'', $11,075,000, to 
remain available until September 30, 2019, for necessary expenses 
related to the consequences of Hurricanes Harvey, Irma, and Maria:  
Provided, That such amount is designated by the Congress as being for 
an emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

                     medical support and compliance

    For an additional amount for ``Medical Support and Compliance'', 
$3,209,000, to remain available until September 30, 2019, for necessary 
expenses related to the consequences of Hurricanes Harvey, Irma, and 
Maria:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                           medical facilities

    For an additional amount for ``Medical Facilities'', $75,108,000, 
to remain available until September 30, 2022, for necessary expenses 
related to the consequences of Hurricanes Harvey, Irma, and Maria:  
Provided, That none of these funds shall be available for obligation 
until the Secretary of Veterans Affairs submits to the Committees on 
Appropriations of the House of Representatives and the Senate a 
detailed expenditure plan for funds provided under this heading:  
Provided further, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                      Departmental Administration

                      construction, minor projects

    For an additional amount for ``Construction, Minor Projects'', 
$4,088,000, to remain available until September 30, 2022, for necessary 
expenses related to the consequences of Hurricanes Harvey, Irma, and 
Maria:  Provided, That such amount is designated by the Congress as 
being for an emergency requirement pursuant to section 251(b)(2)(A)(i) 
of the Balanced Budget and Emergency Deficit Control Act of 1985.

                     GENERAL PROVISION--THIS TITLE

    Sec. 21001.  Notwithstanding section 18236(b) of title 10, United 
States Code, the Secretary of Defense shall contribute to Puerto Rico, 
100 percent of the total cost of construction (including the cost of 
architectural, engineering and design services) for the acquisition, 
construction, expansion, rehabilitation, or conversion of the Arroyo 
readiness center under paragraph (5) of section 18233(a) of title 10, 
United States Code.

                                TITLE XI

                      DEPARTMENT OF TRANSPORTATION

                    Federal Aviation Administration

                               operations

                    (airport and airway trust fund)

    For an additional amount for ``Operations'', $35,000,000, to be 
derived from the Airport and Airway Trust Fund and to remain available 
until expended, for necessary expenses related to the consequences of 
Hurricanes Harvey, Irma, and Maria, and other hurricanes occurring in 
calendar year 2017:  Provided, That such amount is designated by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                        facilities and equipment

                    (airport and airway trust fund)

    For an additional amount for ``Facilities and Equipment'', 
$79,589,000, to be derived from the Airport and Airway Trust Fund and 
to remain available until expended, for necessary expenses related to 
the consequences of Hurricanes Harvey, Irma, and Maria, and other 
hurricanes occurring in calendar year 2017:  Provided, That such amount 
is designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                     Federal Highway Administration

                          federal-aid highways

                        emergency relief program

    For an additional amount for the ``Emergency Relief Program'' as 
authorized under section 125 of title 23, United States Code, 
$1,374,000,000, to remain available until expended:  Provided, That 
notwithstanding section 125(d)(4) of title 23, United States Code, no 
limitation on the total obligations for projects under section 125 of 
such title shall apply to the Virgin Islands, Guam, American Samoa, and 
the Commonwealth of the Northern Mariana Islands for fiscal year 2018 
and fiscal year 2019:  Provided further, That notwithstanding 
subsection (e) of section 120 of title 23, United States Code, for this 
fiscal year and hereafter, the Federal share for Emergency Relief funds 
made available under section 125 of such title to respond to damage 
caused by Hurricanes Irma and Maria, shall be 100 percent for Puerto 
Rico:  Provided further, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985.

                     Federal Transit Administration

             public transportation emergency relief program

    For an additional amount for the ``Public Transportation Emergency 
Relief Program'' as authorized under section 5324 of title 49, United 
States Code, $330,000,000 to remain available until expended, for 
transit systems affected by Hurricanes Harvey, Irma, and Maria with 
major disaster declarations in 2017:  Provided, That not more than 
three-quarters of one percent of the funds for public transportation 
emergency relief shall be available for administrative expenses and 
ongoing program management oversight as authorized under sections 5334 
and 5338(f)(2) of such title and shall be in addition to any other 
appropriations for such purpose:  Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985.

                        Maritime Administration

                        operations and training

    For an additional amount for ``Operations and Training'', 
$10,000,000, to remain available until expended, for necessary 
expenses, including for dredging, related to damage to Maritime 
Administration facilities resulting from Hurricane Harvey:  Provided, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985.

            General Provision--Department of Transportation

    Sec. 21101.  Notwithstanding 49 U.S.C. 5302, for fiscal years 2018, 
2019, and 2020 the Secretary of Transportation shall treat an area as 
an ``urbanized area'' for purposes of 49 U.S.C. 5307 and 5336(a) until 
the next decennial census following the enactment of this Act if the 
area was defined and designated as an ``urbanized'' area by the 
Secretary of Commerce in the 2000 decennial census and the population 
of such area fell below 50,000 after the 2000 decennial census as a 
result of a major disaster:  Provided, That an area treated as an 
``urbanized area'' for purposes of this section shall be assigned the 
population and square miles of the urbanized area designated by the 
Secretary of Commerce in the 2000 decennial census:  Provided further, 
That the term ``major disaster'' has the meaning given such term in 
section 102(2) of the Disaster Relief Act of 1974 (42 U.S.C. 5122(2)).

              DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

                   Community Planning and Development

                       community development fund

                     (including transfers of funds)

    For an additional amount for ``Community Development Fund'', 
$28,000,000,000, to remain available until expended, for necessary 
expenses for activities authorized under title I of the Housing and 
Community Development Act of 1974 (42 U.S.C. 5301 et seq.) related to 
disaster relief, long-term recovery, restoration of infrastructure and 
housing, economic revitalization, and mitigation in the most impacted 
and distressed areas resulting from a major declared disaster that 
occurred in 2017 (except as otherwise provided under this heading) 
pursuant to the Robert T. Stafford Disaster Relief and Emergency 
Assistance Act (42 U.S.C. 5121 et seq.):  Provided, That funds shall be 
awarded directly to the State, unit of general local government, or 
Indian tribe (as such term is defined in section 102 of the Housing and 
Community Development Act of 1974) at the discretion of the Secretary:  
Provided further, That of the amounts made available under this 
heading, up to $16,000,000,000 shall be allocated to meet unmet needs 
for grantees that have received or will receive allocations under this 
heading for major declared disasters that occurred in 2017 or under the 
same heading of Division B of Public Law 115-56, except that, of the 
amounts made available under this proviso, no less than $11,000,000,000 
shall be allocated to the States and units of local government affected 
by Hurricane Maria, and of such amounts allocated to such grantees 
affected by Hurricane Maria, $2,000,000,000 shall be used to provide 
enhanced or improved electrical power systems:  Provided further, That 
to the extent amounts under the previous proviso are insufficient to 
meet all unmet needs, the allocation amounts related to infrastructure 
shall be reduced proportionally based on the total infrastructure needs 
of all grantees:  Provided further, That of the amounts made available 
under this heading, no less than $12,000,000,000 shall be allocated for 
mitigation activities to all grantees of funding provided under this 
heading, section 420 of division L of Public Law 114-113, section 145 
of division C of Public Law 114-223, section 192 of division C of 
Public Law 114-223 (as added by section 101(3) of division A of Public 
Law 114-254), section 421 of division K of Public Law 115-31, and the 
same heading in division B of Public Law 115-56, and that such 
mitigation activities shall be subject to the same terms and conditions 
under this subdivision, as determined by the Secretary:  Provided 
further, That all such grantees shall receive an allocation of funds 
under the preceding proviso in the same proportion that the amount of 
funds each grantee received or will receive under the second proviso of 
this heading or the headings and sections specified in the previous 
proviso bears to the amount of all funds provided to all grantees 
specified in the previous proviso:  Provided further, That of the 
amounts made available under the second and fourth provisos of this 
heading, the Secretary shall allocate to all such grantees an aggregate 
amount not less than 33 percent of each such amounts of funds provided 
under this heading within 60 days after the enactment of this 
subdivision based on the best available data (especially with respect 
to data for all such grantees affected by Hurricanes Harvey, Irma, and 
Maria), and shall allocate no less than 100 percent of the funds 
provided under this heading by no later than December 1, 2018:  
Provided further, That the Secretary shall not prohibit the use of 
funds made available under this heading and the same heading in 
division B of Public Law 115-56 for non-federal share as authorized by 
section 105(a)(9) of the Housing and Community Development Act of 1974 
(42 U.S.C. 5305(a)(9)):  Provided further, That of the amounts made 
available under this heading, grantees may establish grant programs to 
assist small businesses for working capital purposes to aid in 
recovery:  Provided further, That as a condition of making any grant, 
the Secretary shall certify in advance that such grantee has in place 
proficient financial controls and procurement processes and has 
established adequate procedures to prevent any duplication of benefits 
as defined by section 312 of the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5155), to ensure timely expenditure 
of funds, to maintain comprehensive websites regarding all disaster 
recovery activities assisted with these funds, and to detect and 
prevent waste, fraud, and abuse of funds:  Provided further, That with 
respect to any such duplication of benefits, the Secretary and any 
grantee under this section shall not take into consideration or reduce 
the amount provided to any applicant for assistance from the grantee 
where such applicant applied for and was approved, but declined 
assistance related to such major declared disasters that occurred in 
2014, 2015, 2016, and 2017 from the Small Business Administration under 
section 7(b) of the Small Business Act (15 U.S.C. 636(b)):  Provided 
further, That the Secretary shall require grantees to maintain on a 
public website information containing common reporting criteria 
established by the Department that permits individuals and entities 
awaiting assistance and the general public to see how all grant funds 
are used, including copies of all relevant procurement documents, 
grantee administrative contracts and details of ongoing procurement 
processes, as determined by the Secretary:  Provided further, That 
prior to the obligation of funds a grantee shall submit a plan to the 
Secretary for approval detailing the proposed use of all funds, 
including criteria for eligibility and how the use of these funds will 
address long-term recovery and restoration of infrastructure and 
housing, economic revitalization, and mitigation in the most impacted 
and distressed areas:  Provided further, That such funds may not be 
used for activities reimbursable by, or for which funds are made 
available by, the Federal Emergency Management Agency or the Army Corps 
of Engineers:  Provided further, That funds allocated under this 
heading shall not be considered relevant to the non-disaster formula 
allocations made pursuant to section 106 of the Housing and Community 
Development Act of 1974 (42 U.S.C. 5306):  Provided further, That a 
State, unit of general local government, or Indian tribe may use up to 
5 percent of its allocation for administrative costs:  Provided 
further, That the sixth proviso under this heading in the Supplemental 
Appropriations for Disaster Relief Requirements Act, 2017 (division B 
of Public Law 115-56) is amended by striking ``State or subdivision 
thereof'' and inserting ``State, unit of general local government, or 
Indian tribe (as such term is defined in section 102 of the Housing and 
Community Development Act of 1974 (42 U.S.C. 5302))'':  Provided 
further, That in administering the funds under this heading, the 
Secretary of Housing and Urban Development may waive, or specify 
alternative requirements for, any provision of any statute or 
regulation that the Secretary administers in connection with the 
obligation by the Secretary or the use by the recipient of these funds 
(except for requirements related to fair housing, nondiscrimination, 
labor standards, and the environment), if the Secretary finds that good 
cause exists for the waiver or alternative requirement and such waiver 
or alternative requirement would not be inconsistent with the overall 
purpose of title I of the Housing and Community Development Act of 
1974:  Provided further, That, notwithstanding the preceding proviso, 
recipients of funds provided under this heading that use such funds to 
supplement Federal assistance provided under section 402, 403, 404, 
406, 407, 408(c)(4), or 502 of the Robert T. Stafford Disaster Relief 
and Emergency Assistance Act (42 U.S.C. 5121 et seq.) may adopt, 
without review or public comment, any environmental review, approval, 
or permit performed by a Federal agency, and such adoption shall 
satisfy the responsibilities of the recipient with respect to such 
environmental review, approval or permit:  Provided further, That, 
notwithstanding section 104(g)(2) of the Housing and Community 
Development Act of 1974 (42 U.S.C. 5304(g)(2)), the Secretary may, upon 
receipt of a request for release of funds and certification, 
immediately approve the release of funds for an activity or project 
assisted under this heading if the recipient has adopted an 
environmental review, approval or permit under the preceding proviso or 
the activity or project is categorically excluded from review under the 
National Environmental Policy Act of 1969 (42 U.S.C. 4321 et seq.):  
Provided further, That the Secretary shall publish via notice in the 
Federal Register any waiver, or alternative requirement, to any statute 
or regulation that the Secretary administers pursuant to title I of the 
Housing and Community Development Act of 1974 no later than 5 days 
before the effective date of such waiver or alternative requirement:  
Provided further, That the eighth proviso under this heading in the 
Supplemental Appropriations for Disaster Relief Requirements Act, 2017 
(division B of Public Law 115-56) is amended by inserting 
``408(c)(4),'' after ``407,'':  Provided further, That of the amounts 
made available under this heading, up to $15,000,000 shall be made 
available for capacity building and technical assistance, including 
assistance on contracting and procurement processes, to support States, 
units of general local government, or Indian tribes (and their 
subrecipients) that receive allocations pursuant to this heading, 
received disaster recovery allocations under the same heading in Public 
Law 115-56, or may receive similar allocations for disaster recovery in 
future appropriations Acts:  Provided further, That of the amounts made 
available under this heading, up to $10,000,000 shall be transferred, 
in aggregate, to ``Department of Housing and Urban Development--Program 
Office Salaries and Expenses--Community Planning and Development'' for 
necessary costs, including information technology costs, of 
administering and overseeing the obligation and expenditure of amounts 
under this heading:  Provided further, That the amount specified in the 
preceding proviso shall be combined with funds appropriated under the 
same heading and for the same purpose in Public Law 115-56 and the 
aggregate of such amounts shall be available for any of the purposes 
specified under this heading or the same heading in Public Law 115-56 
without limitation:  Provided further, That, of the funds made 
available under this heading, $10,000,000 shall be transferred to the 
Office of the Inspector General for necessary costs of overseeing and 
auditing funds made available under this heading:  Provided further, 
That such amount is designated by the Congress as being for an 
emergency requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 1985:  Provided 
further, That amounts repurposed pursuant to this section that were 
previously designated by the Congress as an emergency requirement 
pursuant to the Balanced Budget and Emergency Deficit Control Act are 
designated by the Congress as an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985.

    General Provisions--Department of Housing and Urban Development

    Sec. 21102.  Any funds made available under the heading ``Community 
Development Fund'' under this subdivision that remain available, after 
the other funds under such heading have been allocated for necessary 
expenses for activities authorized under such heading, shall be used 
for additional mitigation activities in the most impacted and 
distressed areas resulting from a major declared disaster that occurred 
in 2014, 2015, 2016 or 2017:  Provided, That such remaining funds shall 
be awarded to grantees of funding provided for disaster relief under 
the heading ``Community Development Fund'' in this subdivision, section 
420 of division L of Public Law 114-113, section 145 of division C of 
Public Law 114-223, section 192 of division C of Public Law 114-223 (as 
added by section 101(3) of division A of Public Law 114-254), section 
421 of division K of Public Law 115-31, and the same heading in 
division B of Public Law 115-56 subject to the same terms and 
conditions under this subdivision and such Acts respectively:  Provided 
further, That each such grantee shall receive an allocation from such 
remaining funds in the same proportion that the amount of funds such 
grantee received under this subdivision and under the Acts specified in 
the previous proviso bears to the amount of all funds provided to all 
grantees specified in the previous proviso.
    Sec. 21103.  For 2018, the Secretary of Housing and Urban 
Development may make temporary adjustments to the section 8 housing 
choice voucher annual renewal funding allocations and administrative 
fee eligibility determinations for public housing agencies located in 
the most impacted and distressed areas in which a major Presidentially 
declared disaster occurred during 2017 under title IV of the Robert T. 
Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170 
et seq.), to avoid significant adverse funding impacts that would 
otherwise result from the disaster, or to facilitate leasing up to a 
public housing agency's authorized level of units under contract (but 
not to exceed such level), upon request by and in consultation with a 
public housing agency and supported by documentation as required by the 
Secretary that demonstrates the need for the adjustment.

                               TITLE XII

                  GENERAL PROVISIONS--THIS SUBDIVISION

    Sec. 21201.  Each amount appropriated or made available by this 
subdivision is in addition to amounts otherwise appropriated for the 
fiscal year involved.
    Sec. 21202.  No part of any appropriation contained in this 
subdivision shall remain available for obligation beyond the current 
fiscal year unless expressly so provided herein.
    Sec. 21203.  Unless otherwise provided for by this subdivision, the 
additional amounts appropriated by this subdivision to appropriations 
accounts shall be available under the authorities and conditions 
applicable to such appropriations accounts for fiscal year 2018.
    Sec. 21204.  Each amount designated in this subdivision by the 
Congress as being for an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control 
Act of 1985 shall be available (or rescinded or transferred, if 
applicable) only if the President subsequently so designates all such 
amounts and transmits such designations to the Congress.
    Sec. 21205.  For purposes of this subdivision, the consequences or 
impacts of any hurricane shall include damages caused by the storm at 
any time during the entirety of its duration as a cyclone, as defined 
by the National Hurricane Center.
    Sec. 21206.  Any amount appropriated by this subdivision, 
designated by the Congress as an emergency requirement pursuant to 
section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit 
Control Act of 1985 and subsequently so designated by the President, 
and transferred pursuant to transfer authorities provided by this 
subdivision shall retain such designation.
    Sec. 21207.  The terms and conditions applicable to the funds 
provided in this subdivision, including those provided by this title, 
shall also apply to the funds made available in division B of Public 
Law 115-56 and in division A of Public Law 115-72.
    Sec. 21208. (a) Section 305 of division A of the Additional 
Supplemental Appropriations for Disaster Relief Requirements Act, 2017 
(Public Law 115-72) is amended--
            (1) in subsection (a)--
                    (A) by striking ``(1) Not later than December 31, 
                2017,'' and inserting ``Not later than March 31, 
                2018,''; and
                    (B) by striking paragraph (2); and
            (2) in subsection (b), by striking ``receiving funds under 
        this division'' and inserting ``expending more than $10,000,000 
        of funds provided by this division and division B of Public Law 
        115-56 in any one fiscal year''.
    (b) Section 305 of division A of the Additional Supplemental 
Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 
115-72), as amended by this section, shall apply to funds appropriated 
by this division as if they had been appropriated by that division.
    (c) In order to proactively prepare for oversight of future 
disaster relief funding, not later than one year after the date of 
enactment of this Act, the Director of the Office of Management and 
Budget shall issue standard guidance for Federal agencies to use in 
designing internal control plans for disaster relief funding. This 
guidance shall leverage existing internal control review processes and 
shall include, at a minimum, the following elements:
            (1) Robust criteria for identifying and documenting 
        incremental risks and mitigating controls related to the 
        funding.
            (2) Guidance for documenting the linkage between the 
        incremental risks related to disaster funding and efforts to 
        address known internal control risks.
    Sec. 21209.  Any agency or department provided funding in excess of 
$3,000,000,000 by this subdivision, including the Federal Emergency 
Management Agency, the Department of Housing and Urban Development, and 
the Corps of Engineers, is directed to provide a report to the 
Committees on Appropriations of the House of Representatives and the 
Senate regarding its efforts to provide adequate resources and 
technical assistance for small, low-income communities affected by 
natural disasters.
    Sec. 21210. (a) Not later than 180 days after the date of enactment 
of this subdivision and in coordination with the Administrator of the 
Federal Emergency Management Agency, with support and contributions 
from the Secretary of the Treasury, the Secretary of Energy, and other 
Federal agencies having responsibilities defined under the National 
Disaster Recovery Framework, the Governor of the Commonwealth of Puerto 
Rico shall submit to Congress a report describing the Commonwealth's 
12- and 24-month economic and disaster recovery plan that--
            (1) defines the priorities, goals, and expected outcomes of 
        the recovery effort for the Commonwealth, based on damage 
        assessments prepared pursuant to Federal law, if applicable, 
        including--
                    (A) housing;
                    (B) economic issues, including workforce 
                development and industry expansion and cultivation;
                    (C) health and social services;
                    (D) natural and cultural resources;
                    (E) governance and civic institutions;
                    (F) electric power systems and grid restoration;
                    (G) environmental issues, including solid waste 
                facilities; and
                    (H) other infrastructure systems, including repair, 
                restoration, replacement, and improvement of public 
                infrastructure such water and wastewater treatment 
                facilities, communications networks, and transportation 
                infrastructure;
            (2) is consistent with--
                    (A) the Commonwealth's fiscal capacity to provide 
                long-term operation and maintenance of rebuilt or 
                replaced assets;
                    (B) alternative procedures and associated 
                programmatic guidance adopted by the Administrator of 
                the Federal Emergency Management Agency pursuant to 
                section 428 of the Robert T. Stafford Disaster Relief 
                and Emergency Assistance Act (42 U.S.C. 5189f); and
                    (C) actions as may be necessary to mitigate 
                vulnerabilities to future extreme weather events and 
                natural disasters and increase community resilience, 
                including encouraging the adoption and enforcement of 
                the latest published editions of relevant consensus-
                based codes, specifications, and standards that 
                incorporate the latest hazard-resistant designs and 
                establish minimum acceptable criteria for the design, 
                construction, and maintenance of residential structures 
                and facilities for the purpose of protecting the 
                health, safety, and general welfare of the buildings' 
                users against disasters;
            (3) promotes transparency and accountability through 
        appropriate public notification, outreach, and hearings;
            (4) identifies performance metrics for assessing and 
        reporting on the progress toward achieving the Commonwealth's 
        recovery goals, as identified under paragraph (1);
            (5) is developed in coordination with the Oversight Board 
        established under PROMESA; and
            (6) is certified by that Oversight Board to be consistent 
        with the purpose set forth in section 101(a) of PROMESA (48 
        U.S.C. 2121(a)).
    (b) At the end of every 30-day period before the submission of the 
report described in subsection (a), the Governor of the Commonwealth of 
Puerto Rico, in coordination with the Administrator of the Federal 
Emergency Management Agency, shall provide to Congress interim status 
updates on progress developing such report.
    (c) At the end of every 180-day period after the submission of the 
report described in subsection (a), the Governor of the Commonwealth of 
Puerto Rico, in coordination with the Administrator of the Federal 
Emergency Management Agency, shall make public a report on progress 
achieving the goals set forth in such report.
    (d) During the development, and after the submission, of the report 
required in subsection (a), the Oversight Board may provide to Congress 
reports on the status of coordination with the Governor of Puerto Rico.
    (e) Amounts made available by this subdivision to a covered 
territory for response to or recovery from Hurricane Irma or Hurricane 
Maria in an aggregate amount greater than $10,000,000 may be reviewed 
by the Oversight Board under the Oversight Board's authority under 
204(b)(2) of PROMESA (48 U.S.C. 2144(b)(2)).
    (f) When developing a Fiscal Plan while the recovery plan required 
under subsection (a) is in development and in effect, the Oversight 
Board shall use and incorporate, to the greatest extent feasible, 
damage assessments prepared pursuant to Federal law.
    (g) For purposes of this section, the terms ``covered territory'' 
and ``Oversight Board'' have the meaning given those term in section 5 
of PROMESA (48 U.S.C. 2104).
    This subdivision may be cited as the ``Further Additional 
Supplemental Appropriations for Disaster Relief Requirements Act, 
2018''.

  SUBDIVISION 2--TAX RELIEF AND MEDICAID CHANGES RELATING TO CERTAIN 
                               DISASTERS

                       TITLE I--CALIFORNIA FIRES

SEC. 20101. DEFINITIONS.

    For purposes of this title--
            (1) California wildfire disaster zone.--The term 
        ``California wildfire disaster zone'' means that portion of the 
        California wildfire disaster area determined by the President 
        to warrant individual or individual and public assistance from 
        the Federal Government under the Robert T. Stafford Disaster 
        Relief and Emergency Assistance Act by reason of wildfires in 
        California.
            (2) California wildfire disaster area.--The term 
        ``California wildfire disaster area'' means an area with 
        respect to which between January 1, 2017 through January 18, 
        2018 a major disaster has been declared by the President under 
        section 401 of such Act by reason of wildfires in California.

SEC. 20102. SPECIAL DISASTER-RELATED RULES FOR USE OF RETIREMENT FUNDS.

    (a) Tax-Favored Withdrawals From Retirement Plans.--
            (1) In general.--Section 72(t) of the Internal Revenue Code 
        of 1986 shall not apply to any qualified wildfire distribution.
            (2) Aggregate dollar limitation.--
                    (A) In general.--For purposes of this subsection, 
                the aggregate amount of distributions received by an 
                individual which may be treated as qualified wildfire 
                distributions for any taxable year shall not exceed the 
                excess (if any) of--
                            (i) $100,000, over
                            (ii) the aggregate amounts treated as 
                        qualified wildfire distributions received by 
                        such individual for all prior taxable years.
                    (B) Treatment of plan distributions.--If a 
                distribution to an individual would (without regard to 
                subparagraph (A)) be a qualified wildfire distribution, 
                a plan shall not be treated as violating any 
                requirement of the Internal Revenue Code of 1986 merely 
                because the plan treats such distribution as a 
                qualified wildfire distribution, unless the aggregate 
                amount of such distributions from all plans maintained 
                by the employer (and any member of any controlled group 
                which includes the employer) to such individual exceeds 
                $100,000.
                    (C) Controlled group.--For purposes of subparagraph 
                (B), the term ``controlled group'' means any group 
                treated as a single employer under subsection (b), (c), 
                (m), or (o) of section 414 of the Internal Revenue Code 
                of 1986.
            (3) Amount distributed may be repaid.--
                    (A) In general.--Any individual who receives a 
                qualified wildfire distribution may, at any time during 
                the 3-year period beginning on the day after the date 
                on which such distribution was received, make one or 
                more contributions in an aggregate amount not to exceed 
                the amount of such distribution to an eligible 
                retirement plan of which such individual is a 
                beneficiary and to which a rollover contribution of 
                such distribution could be made under section 402(c), 
                403(a)(4), 403(b)(8), 408(d)(3), or 457(e)(16), of the 
                Internal Revenue Code of 1986, as the case may be.
                    (B) Treatment of repayments of distributions from 
                eligible retirement plans other than iras.--For 
                purposes of the Internal Revenue Code of 1986, if a 
                contribution is made pursuant to subparagraph (A) with 
                respect to a qualified wildfire distribution from an 
                eligible retirement plan other than an individual 
                retirement plan, then the taxpayer shall, to the extent 
                of the amount of the contribution, be treated as having 
                received the qualified wildfire distribution in an 
                eligible rollover distribution (as defined in section 
                402(c)(4) of such Code) and as having transferred the 
                amount to the eligible retirement plan in a direct 
                trustee to trustee transfer within 60 days of the 
                distribution.
                    (C) Treatment of repayments for distributions from 
                iras.--For purposes of the Internal Revenue Code of 
                1986, if a contribution is made pursuant to 
                subparagraph (A) with respect to a qualified wildfire 
                distribution from an individual retirement plan (as 
                defined by section 7701(a)(37) of such Code), then, to 
                the extent of the amount of the contribution, the 
                qualified wildfire distribution shall be treated as a 
                distribution described in section 408(d)(3) of such 
                Code and as having been transferred to the eligible 
                retirement plan in a direct trustee to trustee transfer 
                within 60 days of the distribution.
            (4) Definitions.--For purposes of this subsection--
                    (A) Qualified wildfire distribution.--Except as 
                provided in paragraph (2), the term ``qualified 
                wildfire distribution'' means any distribution from an 
                eligible retirement plan made on or after October 8, 
                2017, and before January 1, 2019, to an individual 
                whose principal place of abode during any portion of 
                the period from October 8, 2017, to December 31, 2017, 
                is located in the California wildfire disaster area and 
                who has sustained an economic loss by reason of the 
                wildfires to which the declaration of such area 
                relates.
                    (B) Eligible retirement plan.--The term ``eligible 
                retirement plan'' shall have the meaning given such 
                term by section 402(c)(8)(B) of the Internal Revenue 
                Code of 1986.
            (5) Income inclusion spread over 3-year period.--
                    (A) In general.--In the case of any qualified 
                wildfire distribution, unless the taxpayer elects not 
                to have this paragraph apply for any taxable year, any 
                amount required to be included in gross income for such 
                taxable year shall be so included ratably over the 3-
                taxable-year period beginning with such taxable year.
                    (B) Special rule.--For purposes of subparagraph 
                (A), rules similar to the rules of subparagraph (E) of 
                section 408A(d)(3) of the Internal Revenue Code of 1986 
                shall apply.
            (6) Special rules.--
                    (A) Exemption of distributions from trustee to 
                trustee transfer and withholding rules.--For purposes 
                of sections 401(a)(31), 402(f), and 3405 of the 
                Internal Revenue Code of 1986, qualified wildfire 
                distributions shall not be treated as eligible rollover 
                distributions.
                    (B) Qualified wildfire distributions treated as 
                meeting plan distribution requirements.--For purposes 
                the Internal Revenue Code of 1986, a qualified wildfire 
                distribution shall be treated as meeting the 
                requirements of sections 401(k)(2)(B)(i), 
                403(b)(7)(A)(ii), 403(b)(11), and 457(d)(1)(A) of such 
                Code.
    (b) Recontributions of Withdrawals for Home Purchases.--
            (1) Recontributions.--
                    (A) In general.--Any individual who received a 
                qualified distribution may, during the period beginning 
                on October 8, 2017, and ending on June 30, 2018, make 
                one or more contributions in an aggregate amount not to 
                exceed the amount of such qualified distribution to an 
                eligible retirement plan (as defined in section 
                402(c)(8)(B) of the Internal Revenue Code of 1986) of 
                which such individual is a beneficiary and to which a 
                rollover contribution of such distribution could be 
                made under section 402(c), 403(a)(4), 403(b)(8), or 
                408(d)(3), of such Code, as the case may be.
                    (B) Treatment of repayments.--Rules similar to the 
                rules of subparagraphs (B) and (C) of subsection (a)(3) 
                shall apply for purposes of this subsection.
            (2) Qualified distribution.--For purposes of this 
        subsection, the term ``qualified distribution'' means any 
        distribution--
                    (A) described in section 401(k)(2)(B)(i)(IV), 
                403(b)(7)(A)(ii) (but only to the extent such 
                distribution relates to financial hardship), 
                403(b)(11)(B), or 72(t)(2)(F), of the Internal Revenue 
                Code of 1986,
                    (B) received after March 31, 2017, and before 
                January 15, 2018, and
                    (C) which was to be used to purchase or construct a 
                principal residence in the California wildfire disaster 
                area but which was not so purchased or constructed on 
                account of the wildfires to which the declaration of 
                such area relates.
    (c) Loans From Qualified Plans.--
            (1) Increase in limit on loans not treated as 
        distributions.--In the case of any loan from a qualified 
        employer plan (as defined under section 72(p)(4) of the 
        Internal Revenue Code of 1986) to a qualified individual made 
        during the period beginning on the date of the enactment of 
        this Act and ending on December 31, 2018--
                    (A) clause (i) of section 72(p)(2)(A) of such Code 
                shall be applied by substituting ``$100,000'' for 
                ``$50,000'', and
                    (B) clause (ii) of such section shall be applied by 
                substituting ``the present value of the nonforfeitable 
                accrued benefit of the employee under the plan'' for 
                ``one-half of the present value of the nonforfeitable 
                accrued benefit of the employee under the plan''.
            (2) Delay of repayment.--In the case of a qualified 
        individual with an outstanding loan on or after October 8, 
        2017, from a qualified employer plan (as defined in section 
        72(p)(4) of the Internal Revenue Code of 1986)--
                    (A) if the due date pursuant to subparagraph (B) or 
                (C) of section 72(p)(2) of such Code for any repayment 
                with respect to such loan occurs during the period 
                beginning on October 8, 2017, and ending on December 
                31, 2018, such due date shall be delayed for 1 year,
                    (B) any subsequent repayments with respect to any 
                such loan shall be appropriately adjusted to reflect 
                the delay in the due date under paragraph (1) and any 
                interest accruing during such delay, and
                    (C) in determining the 5-year period and the term 
                of a loan under subparagraph (B) or (C) of section 
                72(p)(2) of such Code, the period described in 
                subparagraph (A) shall be disregarded.
            (3) Qualified individual.--For purposes of this subsection, 
        the term ``qualified individual'' means any individual whose 
        principal place of abode during any portion of the period from 
        October 8, 2017, to December 31, 2017, is located in the 
        California wildfire disaster area and who has sustained an 
        economic loss by reason of wildfires to which the declaration 
        of such area relates.
    (d) Provisions Relating to Plan Amendments.--
            (1) In general.--If this subsection applies to any 
        amendment to any plan or annuity contract, such plan or 
        contract shall be treated as being operated in accordance with 
        the terms of the plan during the period described in paragraph 
        (2)(B)(i).
            (2) Amendments to which subsection applies.--
                    (A) In general.--This subsection shall apply to any 
                amendment to any plan or annuity contract which is 
                made--
                            (i) pursuant to any provision of this 
                        section, or pursuant to any regulation issued 
                        by the Secretary or the Secretary of Labor 
                        under any provision of this section, and
                            (ii) on or before the last day of the first 
                        plan year beginning on or after January 1, 
                        2019, or such later date as the Secretary may 
                        prescribe.
                In the case of a governmental plan (as defined in 
                section 414(d) of the Internal Revenue Code of 1986), 
                clause (ii) shall be applied by substituting the date 
                which is 2 years after the date otherwise applied under 
                clause (ii).
                    (B) Conditions.--This subsection shall not apply to 
                any amendment unless--
                            (i) during the period--
                                    (I) beginning on the date that this 
                                section or the regulation described in 
                                subparagraph (A)(i) takes effect (or in 
                                the case of a plan or contract 
                                amendment not required by this section 
                                or such regulation, the effective date 
                                specified by the plan), and
                                    (II) ending on the date described 
                                in subparagraph (A)(ii) (or, if 
                                earlier, the date the plan or contract 
                                amendment is adopted),
                the plan or contract is operated as if such plan or 
                contract amendment were in effect, and
                            (ii) such plan or contract amendment 
                        applies retroactively for such period.

SEC. 20103. EMPLOYEE RETENTION CREDIT FOR EMPLOYERS AFFECTED BY 
              CALIFORNIA WILDFIRES.

    (a) In General.--For purposes of section 38 of the Internal Revenue 
Code of 1986, in the case of an eligible employer, the California 
wildfire employee retention credit shall be treated as a credit listed 
in subsection (b) of such section. For purposes of this subsection, the 
California wildfire employee retention credit for any taxable year is 
an amount equal to 40 percent of the qualified wages with respect to 
each eligible employee of such employer for such taxable year. For 
purposes of the preceding sentence, the amount of qualified wages which 
may be taken into account with respect to any individual shall not 
exceed $6,000.
    (b) Definitions.--For purposes of this section--
            (1) Eligible employer.--The term ``eligible employer'' 
        means any employer--
                    (A) which conducted an active trade or business on 
                October 8, 2017, in the California wildfire disaster 
                zone, and
                    (B) with respect to whom the trade or business 
                described in subparagraph (A) is inoperable on any day 
                after October 8, 2017, and before January 1, 2018, as a 
                result of damage sustained by reason of the wildfires 
                to which such declaration of such area relates.
            (2) Eligible employee.--The term ``eligible employee'' 
        means with respect to an eligible employer an employee whose 
        principal place of employment on October 8, 2017, with such 
        eligible employer was in the California wildfire disaster zone.
            (3) Qualified wages.--The term ``qualified wages'' means 
        wages (as defined in section 51(c)(1) of the Internal Revenue 
        Code of 1986, but without regard to section 3306(b)(2)(B) of 
        such Code) paid or incurred by an eligible employer with 
        respect to an eligible employee on any day after October 8, 
        2017, and before January 1, 2018, which occurs during the 
        period--
                    (A) beginning on the date on which the trade or 
                business described in paragraph (1) first became 
                inoperable at the principal place of employment of the 
                employee immediately before the wildfires to which the 
                declaration of the California wildfire disaster area 
                relates, and
                    (B) ending on the date on which such trade or 
                business has resumed significant operations at such 
                principal place of employment.
        Such term shall include wages paid without regard to whether 
        the employee performs no services, performs services at a 
        different place of employment than such principal place of 
        employment, or performs services at such principal place of 
        employment before significant operations have resumed.
    (c) Certain Rules To Apply.--For purposes of this section, rules 
similar to the rules of sections 51(i)(1), 52, and 280C(a) of the 
Internal Revenue Code of 1986, shall apply.
    (d) Employee Not Taken Into Account More Than Once.--An employee 
shall not be treated as an eligible employee for purposes of this 
section for any period with respect to any employer if such employer is 
allowed a credit under section 51 of the Internal Revenue Code of 1986 
with respect to such employee for such period.

SEC. 20104. ADDITIONAL DISASTER-RELATED TAX RELIEF PROVISIONS.

    (a) Temporary Suspension of Limitations on Charitable 
Contributions.--
            (1) In general.--Except as otherwise provided in paragraph 
        (2), subsection (b) of section 170 of the Internal Revenue Code 
        of 1986 shall not apply to qualified contributions and such 
        contributions shall not be taken into account for purposes of 
        applying subsections (b) and (d) of such section to other 
        contributions.
            (2) Treatment of excess contributions.--For purposes of 
        section 170 of the Internal Revenue Code of 1986--
                    (A) Individuals.--In the case of an individual--
                            (i) Limitation.--Any qualified contribution 
                        shall be allowed only to the extent that the 
                        aggregate of such contributions does not exceed 
                        the excess of the taxpayer's contribution base 
                        (as defined in subparagraph (H) of section 
                        170(b)(1) of such Code) over the amount of all 
                        other charitable contributions allowed under 
                        section 170(b)(1) of such Code.
                            (ii) Carryover.--If the aggregate amount of 
                        qualified contributions made in the 
                        contribution year (within the meaning of 
                        section 170(d)(1) of such Code) exceeds the 
                        limitation of clause (i), such excess shall be 
                        added to the excess described in the portion of 
                        subparagraph (A) of such section which precedes 
                        clause (i) thereof for purposes of applying 
                        such section.
                    (B) Corporations.--In the case of a corporation--
                            (i) Limitation.--Any qualified contribution 
                        shall be allowed only to the extent that the 
                        aggregate of such contributions does not exceed 
                        the excess of the taxpayer's taxable income (as 
                        determined under paragraph (2) of section 
                        170(b) of such Code) over the amount of all 
                        other charitable contributions allowed under 
                        such paragraph.
                            (ii) Carryover.--Rules similar to the rules 
                        of subparagraph (A)(ii) shall apply for 
                        purposes of this subparagraph.
            (3) Exception to overall limitation on itemized 
        deductions.--So much of any deduction allowed under section 170 
        of the Internal Revenue Code of 1986 as does not exceed the 
        qualified contributions paid during the taxable year shall not 
        be treated as an itemized deduction for purposes of section 68 
        of such Code.
            (4) Qualified contributions.--
                    (A) In general.--For purposes of this subsection, 
                the term ``qualified contribution'' means any 
                charitable contribution (as defined in section 170(c) 
                of the Internal Revenue Code of 1986) if--
                            (i) such contribution--
                                    (I) is paid during the period 
                                beginning on October 8, 2017, and 
                                ending on December 31, 2018, in cash to 
                                an organization described in section 
                                170(b)(1)(A) of such Code, and
                                    (II) is made for relief efforts in 
                                the California wildfire disaster area,
                            (ii) the taxpayer obtains from such 
                        organization contemporaneous written 
                        acknowledgment (within the meaning of section 
                        170(f)(8) of such Code) that such contribution 
                        was used (or is to be used) for relief efforts 
                        described in clause (i)(II), and
                            (iii) the taxpayer has elected the 
                        application of this subsection with respect to 
                        such contribution.
                    (B) Exception.--Such term shall not include a 
                contribution by a donor if the contribution is--
                            (i) to an organization described in section 
                        509(a)(3) of the Internal Revenue Code of 1986, 
                        or
                            (ii) for the establishment of a new, or 
                        maintenance of an existing, donor advised fund 
                        (as defined in section 4966(d)(2) of such 
                        Code).
                    (C) Application of election to partnerships and s 
                corporations.--In the case of a partnership or S 
                corporation, the election under subparagraph (A)(iii) 
                shall be made separately by each partner or 
                shareholder.
    (b) Special Rules for Qualified Disaster-Related Personal Casualty 
Losses.--
            (1) In general.--If an individual has a net disaster loss 
        for any taxable year--
                    (A) the amount determined under section 
                165(h)(2)(A)(ii) of the Internal Revenue Code of 1986 
                shall be equal to the sum of--
                            (i) such net disaster loss, and
                            (ii) so much of the excess referred to in 
                        the matter preceding clause (i) of section 
                        165(h)(2)(A) of such Code (reduced by the 
                        amount in clause (i) of this subparagraph) as 
                        exceeds 10 percent of the adjusted gross income 
                        of the individual,
                    (B) section 165(h)(1) of such Code shall be applied 
                by substituting ``$500'' for ``$500 ($100 for taxable 
                years beginning after December 31, 2009)'',
                    (C) the standard deduction determined under section 
                63(c) of such Code shall be increased by the net 
                disaster loss, and
                    (D) section 56(b)(1)(E) of such Code shall not 
                apply to so much of the standard deduction as is 
                attributable to the increase under subparagraph (C) of 
                this paragraph.
            (2) Net disaster loss.--For purposes of this subsection, 
        the term ``net disaster loss'' means the excess of qualified 
        disaster-related personal casualty losses over personal 
        casualty gains (as defined in section 165(h)(3)(A) of the 
        Internal Revenue Code of 1986).
            (3) Qualified disaster-related personal casualty losses.--
        For purposes of this subsection, the term ``qualified disaster-
        related personal casualty losses'' means losses described in 
        section 165(c)(3) of the Internal Revenue Code of 1986 which 
        arise in the California wildfire disaster area on or after 
        October 8, 2017, and which are attributable to the wildfires to 
        which the declaration of such area relates.
    (c) Special Rule for Determining Earned Income.--
            (1) In general.--In the case of a qualified individual, if 
        the earned income of the taxpayer for the taxable year which 
        includes any portion of the period from October 8, 2017, to 
        December 31, 2017, is less than the earned income of the 
        taxpayer for the preceding taxable year, the credits allowed 
        under sections 24(d) and 32 of the Internal Revenue Code of 
        1986 may, at the election of the taxpayer, be determined by 
        substituting--
                    (A) such earned income for the preceding taxable 
                year, for
                    (B) such earned income for the taxable year which 
                includes any portion of the period from October 8, 
                2017, to December 31, 2017.
            (2) Qualified individual.--For purposes of this subsection, 
        the term ``qualified individual'' means any individual whose 
        principal place of abode during any portion of the period from 
        October 8, 2017, to December 31, 2017, was located--
                    (A) in the California wildfire disaster zone, or
                    (B) in the California wildfire disaster area (but 
                outside the California wildfire disaster zone) and such 
                individual was displaced from such principal place of 
                abode by reason of the wildfires to which the 
                declaration of such area relates.
            (3) Earned income.--For purposes of this subsection, the 
        term ``earned income'' has the meaning given such term under 
        section 32(c) of the Internal Revenue Code of 1986.
            (4) Special rules.--
                    (A) Application to joint returns.--For purposes of 
                paragraph (1), in the case of a joint return for a 
                taxable year which includes any portion of the period 
                from October 8, 2017, to December 31, 2017--
                            (i) such paragraph shall apply if either 
                        spouse is a qualified individual, and
                            (ii) the earned income of the taxpayer for 
                        the preceding taxable year shall be the sum of 
                        the earned income of each spouse for such 
                        preceding taxable year.
                    (B) Uniform application of election.--Any election 
                made under paragraph (1) shall apply with respect to 
                both sections 24(d) and 32, of the Internal Revenue 
                Code of 1986.
                    (C) Errors treated as mathematical error.--For 
                purposes of section 6213 of the Internal Revenue Code 
                of 1986, an incorrect use on a return of earned income 
                pursuant to paragraph (1) shall be treated as a 
                mathematical or clerical error.
                    (D) No effect on determination of gross income, 
                etc.--Except as otherwise provided in this subsection, 
                the Internal Revenue Code of 1986 shall be applied 
                without regard to any substitution under paragraph (1).

      TITLE II--TAX RELIEF FOR HURRICANES HARVEY, IRMA, AND MARIA

SEC. 20201. TAX RELIEF FOR HURRICANES HARVEY, IRMA, AND MARIA.

    (a) Modification of Hurricanes Harvey and Irma Disaster Areas.--
Subsections (a)(2) and (b)(2) of section 501 of the Disaster Tax Relief 
and Airport and Airway Extension Act of 2017 (Public Law 115-63; 131 
Stat. 1173) are both amended by striking ``September 21, 2017'' and 
inserting ``October 17, 2017''.
    (b) Employee Retention Credit.--Subsections (a)(3), (b)(3), and 
(c)(3) of section 503 of the Disaster Tax Relief and Airport and Airway 
Extension Act of 2017 (Public Law 115-63; 131 Stat. 1181) are each 
amended by striking ``sections 51(i)(1) and 52'' and inserting 
``sections 51(i)(1), 52, and 280C(a)''.
    (c) Effective Date.--The amendments made by this section shall take 
effect as if included in the provisions of title V of the Disaster Tax 
Relief and Airport and Airway Extension Act of 2017 to which such 
amendments relate.

   TITLE III--HURRICANE MARIA RELIEF FOR PUERTO RICO AND THE VIRGIN 
                       ISLANDS MEDICAID PROGRAMS

SEC. 20301. HURRICANE MARIA RELIEF FOR PUERTO RICO AND THE VIRGIN 
              ISLANDS MEDICAID PROGRAMS.

    (a) Increased Caps.--Section 1108(g)(5) of the Social Security Act 
(42 U.S.C. 1308(g)(5)) is amended--
            (1) in subparagraph (A), by striking ``subparagraph (B)'' 
        and inserting ``subparagraphs (B), (C), (D), and (E)''; and
            (2) by adding at the end the following new subparagraphs:
            ``(C) Subject to subparagraphs (D) and (E), for the period 
        beginning January 1, 2018, and ending September 30, 2019--
                    ``(i) the amount of the increase otherwise provided 
                under subparagraphs (A) and (B) for Puerto Rico shall 
                be further increased by $3,600,000,000; and
                    ``(ii) the amount of the increase otherwise 
                provided under subparagraph (A) for the Virgin Islands 
                shall be further increased by $106,931,000.
            ``(D) For the period described in subparagraph (C), the 
        amount of the increase otherwise provided under subparagraph 
        (A)--
                    ``(i) for Puerto Rico shall be further increased by 
                $1,200,000,000 if the Secretary certifies that Puerto 
                Rico has taken reasonable and appropriate steps during 
                such period, in accordance with a timeline established 
                by the Secretary, to--
                            ``(I) implement methods, satisfactory to 
                        the Secretary, for the collection and reporting 
                        of reliable data to the Transformed Medicaid 
                        Statistical Information System (T-MSIS) (or a 
                        successor system); and
                            ``(II) demonstrate progress in establishing 
                        a State medicaid fraud control unit described 
                        in section 1903(q); and
                    ``(ii) for the Virgin Islands shall be further 
                increased by $35,644,000 if the Secretary certifies 
                that the Virgin Islands has taken reasonable and 
                appropriate steps during such period, in accordance 
                with a timeline established by the Secretary, to meet 
                the conditions for certification specified in 
                subclauses (I) and (II) of clause (i).
            ``(E) Notwithstanding any other provision of title XIX, 
        during the period in which the additional funds provided under 
        subparagraphs (C) and (D) are available for Puerto Rico and the 
        Virgin Islands, respectively, with respect to payments from 
        such additional funds for amounts expended by Puerto Rico and 
        the Virgin Islands under such title, the Secretary shall 
        increase the Federal medical assistance percentage or other 
        rate that would otherwise apply to such payments to 100 
        percent.''.
    (b) Disregard of Certain Expenditures From Spending Cap.--Section 
1108(g)(4) of the Social Security Act (42 U.S.C. 1308(g)(4)) is 
amended--
            (1) by inserting ``for a calendar quarter of such fiscal 
        year,'' after ``section 1903(a)(3)''; and
            (2) by striking ``of such fiscal year for a calendar 
        quarter of such fiscal year,'' and inserting ``of such fiscal 
        year, and with respect to fiscal years beginning with fiscal 
        year 2018, if the Virgin Islands qualifies for a payment under 
        section 1903(a)(6) for a calendar quarter (beginning on or 
        after January 1, 2018) of such fiscal year,''.
    (c) Report to Congress.--Not later than July 1, 2018, the Secretary 
of Health and Human Services shall submit a report to the Committee on 
Energy and Commerce of the House of Representatives and the Committee 
on Finance of the Senate that--
            (1) describes the steps taken by Puerto Rico and the Virgin 
        Islands to meet the conditions for certification specified in 
        clauses (i) and (ii ), respectively, of section 1108(g)(5)(D) 
        of the Social Security Act (42 U.S.C. 1308(g)(5)(D)) (as 
        amended by subsection (a) of this section); and
            (2) specifies timelines for each such territory to, as a 
        condition of eligibility for any additional increases in the 
        amounts determined for Puerto Rico or the Virgin Islands, 
        respectively, under subsection (g) of section 1108 of such Act 
        (42 U.S.C. 1308) for purposes of payments under title XIX of 
        such Act for fiscal year 2019, complete--
                    (A) implementation of methods, satisfactory to the 
                Secretary, for the collection and reporting of reliable 
                data to the Transformed Medicaid Statistical 
                Information System (T-MSIS) (or a successor system); 
                and
                    (B) the establishment of a State medicaid fraud 
                control unit described in section 1903(q) of the Social 
                Security Act (42 U.S.C. 1396d(q)).

                      TITLE IV--BUDGETARY EFFECTS

SEC. 20401. EMERGENCY DESIGNATION.

    This subdivision is designated as an emergency requirement pursuant 
to section 4(g) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 
933(g)).

SEC. 20402. DESIGNATION IN SENATE.

    In the Senate, this subdivision is designated as an emergency 
requirement pursuant to section 4112(a) of H. Con. Res. 71 (115th 
Congress), the concurrent resolution on the budget for fiscal year 
2018.

Subdivision 3--Further Extension of Continuing Appropriations Act, 2018

    Sec. 20101.  The Continuing Appropriations Act, 2018 (division D of 
Public Law 115-56) is further amended by--
            (1) striking the date specified in section 106(3) and 
        inserting ``March 23, 2018''; and
            (2) inserting after section 155 the following new sections:
    ``Sec. 156.  In addition to amounts provided by section 101, 
amounts are provided for `Department of Commerce--Bureau of the 
Census--Periodic Census and Programs' at a rate for operations of 
$182,000,000 for an additional amount for the 2020 Decennial Census 
Program; and such amounts may be apportioned up to the rate for 
operations necessary to maintain the schedule and deliver the required 
data according to statutory deadlines in the 2020 Decennial Census 
Program.
    ``Sec. 157.  Notwithstanding section 101, the matter preceding the 
first proviso and the first proviso under the heading `Power Marketing 
Administrations--Operation and Maintenance, Southeastern Power 
Administration' in division D of Public Law 115-31 shall be applied by 
substituting `$6,379,000' for `$1,000,000' each place it appears.
    ``Sec. 158.  As authorized by section 404 of the Bipartisan Budget 
Act of 2015 (Public Law 114-74; 42 U.S.C. 6239 note), the Secretary of 
Energy shall draw down and sell not to exceed $350,000,000 of crude oil 
from the Strategic Petroleum Reserve in fiscal year 2018:  Provided, 
That the proceeds from such drawdown and sale shall be deposited into 
the `Energy Security and Infrastructure Modernization Fund' (in this 
section referred to as the `Fund') during fiscal year 2018:  Provided 
further, That in addition to amounts otherwise made available by 
section 101, any amounts deposited in the Fund shall be made available 
and shall remain available until expended at a rate for operations of 
$350,000,000, for necessary expenses in carrying out the Life Extension 
II project for the Strategic Petroleum Reserve.
    ``Sec. 159.  Amounts made available by section 101 for `The 
Judiciary--Courts of Appeals, District Courts, and Other Judicial 
Services--Fees of Jurors and Commissioners' may be apportioned up to 
the rate for operations necessary to accommodate increased juror usage.
    ``Sec. 160.  Section 144 of the Continuing Appropriations Act, 2018 
(division D of Public Law 115-56), as amended by the Further Additional 
Continuing Appropriations Act, 2018 (division A of Public Law 115-96), 
is amended by (1) striking `$11,761,000' and inserting `$22,247,000', 
and (2) striking `$1,104,000' and inserting `$1,987,000'.
    ``Sec. 161.  Section 458(a)(4) of the Higher Education Act of 1965 
(20 U.S.C. 1087h(a)(4)) shall be applied by substituting `2018' for 
`2017'.
    ``Sec. 162.  For the purpose of carrying out section 435(a)(2) of 
the Higher Education Act of 1965 (HEA) (20 U.S.C. 1085(a)(2)), during 
the period covered by this Act the Secretary of Education may waive the 
requirement under section 435(a)(5)(A)(ii) of the HEA (20 U.S.C. 
1085(a)(5)(A)(ii)) for an institution of higher education that offers 
an associate degree, is a public institution, and is located in an 
economically distressed county, defined as a county that ranks in the 
lowest 5 percent of all counties in the United States based on a 
national index of county economic status:  Provided, That this section 
shall apply to an institution of higher education that otherwise would 
be ineligible to participate in a program under part A of title IV of 
the HEA on or after the date of enactment of this Act due to the 
application of section 435(a)(2) of the HEA.
    ``Sec. 163.  Notwithstanding any other provision of law, funds made 
available by this Act for military construction, land acquisition, and 
family housing projects and activities may be obligated and expended to 
carry out planning and design and military construction projects 
authorized by law:  Provided, That funds and authority provided by this 
section may be used notwithstanding sections 102 and 104:  Provided 
further, That such funds may be used only for projects identified by 
the Department of the Air Force in its January 29, 2018, letter sent to 
the Committees on Appropriations of both Houses of Congress detailing 
urgently needed fiscal year 2018 construction requirements.
    ``Sec. 164. (a) Section 116(h)(3)(D) of title 49, United States 
Code, is amended--
            ``(1) in clause (i), by striking `During the 2-year period 
        beginning on the date of enactment of this section, the'; 
        inserting `The'; and inserting the following after the first 
        sentence: `Any such funds or limitation of obligations or 
        portions thereof transferred to the Bureau may be transferred 
        back to and merged with the original account.'; and
            ``(2) in clause (ii) by striking `During the 2-year period 
        beginning on the date of enactment of this section, the'; 
        inserting `The'; and inserting the following after the first 
        sentence: `Any such funds or limitation of obligations or 
        portions thereof transferred to the Bureau may be transferred 
        back to and merged with the original account.'.
    ``(b) Section 503(l)(4) of the Railroad Revitalization and 
Regulatory Reform Act of 1976 (45 U.S.C. 823(l)(4)) is amended--
            ``(1) in the heading by striking `Safety and operations 
        account' and inserting `National Surface Transportation and 
        Innovative Finance Bureau account'; and
            ``(2) in subparagraph (A) by striking `Safety and 
        Operations account of the Federal Railroad Administration' and 
        inserting `National Surface Transportation and Innovative 
        Finance Bureau account'.
    ``Sec. 165.  Section 24(o) of the United States Housing Act of 1937 
(42 U.S.C. 1437v) shall be applied by substituting the date specified 
in section 106(3) for `September 30, 2017'.''.
    This subdivision may be cited as the ``Further Extension of 
Continuing Appropriations Act, 2018''.

                DIVISION C--BUDGETARY AND OTHER MATTERS

SEC. 30001. TABLE OF CONTENTS.

    The table of contents for this division is as follows:

                DIVISION C--BUDGETARY AND OTHER MATTERS

Sec. 30001. Table of contents.

                      TITLE I--BUDGET ENFORCEMENT

Sec. 30101. Amendments to the Balanced Budget and Emergency Deficit 
                            Control Act of 1985.
Sec. 30102. Balances on the PAYGO Scorecards.
Sec. 30103. Authority for fiscal year 2019 budget resolution in the 
                            Senate.
Sec. 30104. Authority for fiscal year 2019 budget resolution in the 
                            House of Representatives.
Sec. 30105. Exercise of rulemaking powers.

                           TITLE II--OFFSETS

Sec. 30201. Customs user fees.
Sec. 30202. Aviation security service fees.
Sec. 30203. Extension of certain immigration fees.
Sec. 30204. Strategic Petroleum Reserve drawdown.
Sec. 30205. Elimination of surplus funds of Federal reserve banks.
Sec. 30206. Reemployment services and eligibility assessments.

          TITLE III--TEMPORARY EXTENSION OF PUBLIC DEBT LIMIT

Sec. 30301. Temporary extension of public debt limit.

                   TITLE IV--JOINT SELECT COMMITTEES

Subtitle A--Joint Select Committee on Solvency of Multiemployer Pension 
                                 Plans

Sec. 30421. Definitions.
Sec. 30422. Establishment of Joint Select Committee.
Sec. 30423. Funding.
Sec. 30424. Consideration of joint committee bill in the Senate.

Subtitle B--Joint Select Committee on Budget and Appropriations Process 
                                 Reform

Sec. 30441. Definitions.
Sec. 30442. Establishment of Joint Select Committee.
Sec. 30443. Funding.
Sec. 30444. Consideration of joint committee bill in the Senate.

                      TITLE I--BUDGET ENFORCEMENT

SEC. 30101. AMENDMENTS TO THE BALANCED BUDGET AND EMERGENCY DEFICIT 
              CONTROL ACT OF 1985.

    (a) Revised Discretionary Spending Limits.--Section 251(c) of the 
Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 
901(c)) is amended by striking paragraphs (5) and (6) and inserting the 
following:
            ``(5) for fiscal year 2018--
                    ``(A) for the revised security category, 
                $629,000,000,000 in new budget authority; and
                    ``(B) for the revised nonsecurity category 
                $579,000,000,000 in new budget authority;
            ``(6) for fiscal year 2019--
                    ``(A) for the revised security category, 
                $647,000,000,000 in new budget authority; and
                    ``(B) for the revised nonsecurity category, 
                $597,000,000,000 in new budget authority;''.
    (b) Direct Spending Adjustments for Fiscal Years 2018 and 2019.--
Section 251A of the Balanced Budget and Emergency Deficit Control Act 
of 1985 (2 U.S.C. 901a), is amended--
            (1) in paragraph (5)(B), in the matter preceding clause 
        (i), by striking ``and (11)'' and inserting ``, (11), and 
        (12)''; and
            (2) by adding at the end the following:
            ``(12) Implementing direct spending reductions for fiscal 
        years 2018 and 2019.--(A) OMB shall make the calculations 
        necessary to implement the direct spending reductions 
        calculated pursuant to paragraphs (3) and (4) without regard to 
        the amendment made to section 251(c) revising the discretionary 
        spending limits for fiscal years 2018 and 2019 by the 
        Bipartisan Budget Act of 2018.
            ``(B) Paragraph (5)(B) shall not be implemented for fiscal 
        years 2018 and 2019.''.
    (c) Extension of Direct Spending Reductions Through Fiscal Year 
2027.--Section 251A(6) of the Balanced Budget and Emergency Deficit 
Control Act of 1985 (2 U.S.C. 901a(6)) is amended--
            (1) in subparagraph (B), in the matter preceding clause 
        (i), by striking ``for fiscal year 2022, for fiscal year 2023, 
        for fiscal year 2024, and for fiscal year 2025'' and inserting 
        ``for each of fiscal years 2022 through 2027''; and
            (2) in subparagraph (C), in the matter preceding clause 
        (i), by striking ``fiscal year 2025'' and inserting ``fiscal 
        year 2027''.

SEC. 30102. BALANCES ON THE PAYGO SCORECARDS.

    Effective on the date of enactment of this Act, the balances on the 
PAYGO scorecards established pursuant to paragraphs (4) and (5) of 
section 4(d) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 
933(d)) shall be zero.

SEC. 30103. AUTHORITY FOR FISCAL YEAR 2019 BUDGET RESOLUTION IN THE 
              SENATE.

    (a) Fiscal Year 2019.--For purposes of enforcing the Congressional 
Budget Act of 1974 (2 U.S.C. 621 et seq.) after April 15, 2018, and 
enforcing budgetary points of order in prior concurrent resolutions on 
the budget, the allocations, aggregates, and levels provided for in 
subsection (b) shall apply in the Senate in the same manner as for a 
concurrent resolution on the budget for fiscal year 2019 with 
appropriate budgetary levels for fiscal years 2020 through 2028.
    (b) Committee Allocations, Aggregates, and Levels.--After April 15, 
2018, but not later than May 15, 2018, the Chairman of the Committee on 
the Budget of the Senate shall file--
            (1) for the Committee on Appropriations, committee 
        allocations for fiscal year 2019 consistent with discretionary 
        spending limits set forth in section 251(c)(6) of the Balanced 
        Budget and Emergency Deficit Control Act of 1985, as amended by 
        this Act, for the purposes of enforcing section 302 of the 
        Congressional Budget Act of 1974 (2 U.S.C. 633);
            (2) for all committees other than the Committee on 
        Appropriations, committee allocations for fiscal years 2019, 
        2019 through 2023, and 2019 through 2028 consistent with the 
        most recent baseline of the Congressional Budget Office, as 
        adjusted for the budgetary effects of any provision of law 
        enacted during the period beginning on the date such baseline 
        is issued and ending on the date of submission of such 
        statement, for the purposes of enforcing section 302 of the 
        Congressional Budget Act of 1974 (2 U.S.C. 633);
            (3) aggregate spending levels for fiscal year 2019 in 
        accordance with the allocations established under paragraphs 
        (1) and (2), for the purpose of enforcing section 311 of the 
        Congressional Budget Act of 1974 (2 U.S.C. 642);
            (4) aggregate revenue levels for fiscal years 2019, 2019 
        through 2023, and 2019 through 2028 consistent with the most 
        recent baseline of the Congressional Budget Office, as adjusted 
        for the budgetary effects of any provision of law enacted 
        during the period beginning on the date such baseline is issued 
        and ending on the date of submission of such statement, for the 
        purpose of enforcing section 311 of the Congressional Budget 
        Act of 1974 (2 U.S.C. 642); and
            (5) levels of Social Security revenues and outlays for 
        fiscal years 2019, 2019 through 2023, and 2019 through 2028 
        consistent with the most recent baseline of the Congressional 
        Budget Office, as adjusted for the budgetary effects of any 
        provision of law enacted during the period beginning on the 
        date such baseline is issued and ending on the date of 
        submission of such statement, for the purpose of enforcing 
        sections 302 and 311 of the Congressional Budget Act of 1974 (2 
        U.S.C. 633 and 642).
    (c) Additional Matter.--The filing referred to in subsection (b) 
may also include for fiscal year 2019 the deficit-neutral reserve funds 
contained in title III of H. Con. Res. 71 (115th Congress) updated by 
one fiscal year.
    (d) Expiration.--This section shall expire if a concurrent 
resolution on the budget for fiscal year 2019 is agreed to by the 
Senate and the House of Representatives pursuant to section 301 of the 
Congressional Budget Act of 1974 (2 U.S.C. 632).

SEC. 30104. AUTHORITY FOR FISCAL YEAR 2019 BUDGET RESOLUTION IN THE 
              HOUSE OF REPRESENTATIVES.

    (a) Fiscal Year 2019.--If a concurrent resolution on the budget for 
fiscal year 2019 has not been adopted by April 15, 2018, for the 
purpose of enforcing the Congressional Budget Act of 1974, the 
allocations, aggregates, and levels provided for in subsection (b) 
shall apply in the House of Representatives after April 15, 2018, in 
the same manner as for a concurrent resolution on the budget for fiscal 
year 2019 with appropriate budgetary levels for fiscal year 2019 and 
for fiscal years 2020 through 2028.
    (b) Committee Allocations, Aggregates, and Levels.--In the House of 
Representatives, the Chair of the Committee on the Budget shall submit 
a statement for publication in the Congressional Record after April 15, 
2018, but not later than May 15, 2018, containing--
            (1) for the Committee on Appropriations, committee 
        allocations for fiscal year 2019 for discretionary budget 
        authority at the total level set forth in section 251(c)(6) of 
        the Balanced Budget and Emergency Deficit Control Act of 1985, 
        as amended by this Act, and the outlays flowing therefrom, and 
        committee allocations for fiscal year 2019 for current law 
        mandatory budget authority and outlays, for the purpose of 
        enforcing section 302 of the Congressional Budget Act of 1974;
            (2) for all committees other than the Committee on 
        Appropriations, committee allocations for fiscal year 2019 and 
        for the period of fiscal years 2019 through 2028 at the levels 
        included in the most recent baseline of the Congressional 
        Budget Office, as adjusted for the budgetary effects of any 
        provision of law enacted during the period beginning on the 
        date such baseline is issued and ending on the date of 
        submission of such statement, for the purpose of enforcing 
        section 302 of the Congressional Budget Act of 1974; and
            (3) aggregate spending levels for fiscal year 2019 and 
        aggregate revenue levels for fiscal year 2019 and for the 
        period of fiscal years 2019 through 2028, at the levels 
        included in the most recent baseline of the Congressional 
        Budget Office, as adjusted for the budgetary effects of any 
        provision of law enacted during the period beginning on the 
        date such baseline is issued and ending on the date of 
        submission of such statement, for the purpose of enforcing 
        section 311 of the Congressional Budget Act of 1974.
    (c) Additional Matter.--The statement referred to in subsection (b) 
may also include for fiscal year 2019, the matter contained in the 
provisions referred to in subsection (f)(1).
    (d) Fiscal Year 2019 Allocation to the Committee on 
Appropriations.--If the statement referred to in subsection (b) is not 
filed by May 15, 2018, then the matter referred to in subsection (b)(1) 
shall be submitted by the Chair of the Committee on the Budget for 
publication in the Congressional Record on the next day that the House 
of Representatives is in session.
    (e) Adjustments.--The chair of the Committee on the Budget of the 
House of Representatives may adjust the levels included in the 
statement referred to in subsection (b) to reflect the budgetary 
effects of any legislation enacted during the 115th Congress that 
reduces the deficit or as otherwise necessary.
    (f) Application.--Upon submission of the statement referred to in 
subsection (b)--
            (1) all references in sections 5101 through 5112, sections 
        5201 through 5205, section 5301, and section 5401 of House 
        Concurrent Resolution 71 (115th Congress) to a fiscal year 
        shall be considered for all purposes in the House to be 
        references to the succeeding fiscal year; and
            (2) all references in the provisions referred to in 
        paragraph (1) to allocations, aggregates, or other appropriate 
        levels in ``this concurrent resolution'', ``the most recently 
        agreed to concurrent resolution on the budget'', or ``this 
        resolution'' shall be considered for all purposes in the House 
        to be references to the allocations, aggregates, or other 
        appropriate levels contained in the statement referred to in 
        subsection (b), as adjusted.
    (g) Expiration.--Subsections (a) through (f) shall no longer apply 
if a concurrent resolution on the budget for fiscal year 2019 is agreed 
to by the Senate and House of Representatives.

SEC. 30105. EXERCISE OF RULEMAKING POWERS.

    Sections 30103 and 30104 are enacted by the Congress--
            (1) as an exercise of the rulemaking power of the Senate 
        and the House of Representatives, respectively, and as such 
        they shall be considered as part of the rules of each House, 
        respectively, or of that House to which they specifically 
        apply, and such rules shall supersede other rules only to the 
        extent that they are inconsistent therewith; and
            (2) with full recognition of the constitutional right of 
        either House to change such rules (so far as relating to such 
        House) at any time, in the same manner, and to the same extent 
        as in the case of any other rule of such House.

                           TITLE II--OFFSETS

SEC. 30201. CUSTOMS USER FEES.

    (a) In General.--Section 13031(j)(3) of the Consolidated Omnibus 
Budget Reconciliation Act of 1985 (19 U.S.C. 58c(j)(3)) is amended--
            (1) in subparagraph (A), by striking ``January 14, 2026'' 
        and inserting ``February 24, 2027''; and
            (2) in subparagraph (B)(i), by striking ``September 30, 
        2025'' and inserting ``September 30, 2027''.
    (b) Rate for Merchandise Processing Fees.--Section 503 of the 
United States-Korea Free Trade Agreement Implementation Act (Public Law 
112-41; 19 U.S.C. 3805 note) is amended by striking ``January 14, 
2026'' and inserting ``February 24, 2027''.

SEC. 30202. AVIATION SECURITY SERVICE FEES.

    Paragraph (4) of section 44940(i) of title 49, United States Code, 
is amended by adding at the end the following new subparagraphs:
                    ``(M) $1,640,000,000 for fiscal year 2026.
                    ``(N) $1,680,000,000 for fiscal year 2027.''.

SEC. 30203. EXTENSION OF CERTAIN IMMIGRATION FEES.

    (a) Visa Waiver Program.--Section 217(h)(3)(B)(iii) of the 
Immigration and Nationality Act (8 U.S.C. 1187(h)(3)(B)(iii)) is 
amended by striking ``September 30, 2020'' and inserting ``September 
30, 2027''.
    (b) L-1 and H-1b Visas.--Section 411 of the Air Transportation 
Safety and System Stabilization Act (49 U.S.C. 40101 note) is amended 
by striking ``September 30, 2025'' each place it appears and inserting 
``September 30, 2027''.

SEC. 30204. STRATEGIC PETROLEUM RESERVE DRAWDOWN.

    (a) Drawdown and Sale.--
            (1) In general.--Notwithstanding section 161 of the Energy 
        Policy and Conservation Act (42 U.S.C. 6241), except as 
        provided in subsection (b), the Secretary of Energy shall draw 
        down and sell from the Strategic Petroleum Reserve--
                    (A) 30,000,000 barrels of crude oil during the 
                period of fiscal years 2022 through 2025;
                    (B) 35,000,000 barrels of crude oil during fiscal 
                year 2026; and
                    (C) 35,000,000 barrels of crude oil during fiscal 
                year 2027.
            (2) Deposit of amounts received from sale.--Amounts 
        received from a sale under paragraph (1) shall be deposited in 
        the general fund of the Treasury during the fiscal year in 
        which the sale occurs.
    (b) Emergency Protection.--The Secretary of Energy may not draw 
down and sell crude oil under this section in quantities that would 
limit the authority to sell petroleum products under subsection (h) of 
section 161 of the Energy Policy and Conservation Act (42 U.S.C. 6241) 
in the full quantity authorized by that subsection.
    (c) Strategic Petroleum Drawdown Conditions and Limitations.--
            (1) Conditions.--Section 161(h)(1) of the Energy Policy and 
        Conservation Act (42 U.S.C. 6241(h)(1)) is amended in 
        subparagraph (B) by striking ``shortage; and'' and all that 
        follows through ``Secretary of'' in subparagraph (C) and 
        inserting the following: ``shortage;
                    ``(C) the Secretary has found that action taken 
                under this subsection will not impair the ability of 
                the United States to carry out obligations of the 
                United States under the international energy program; 
                and
                    ``(D) the Secretary of''.
            (2) Limitations.--Section 161(h)(2) of the Energy Policy 
        and Conservation Act (42 U.S.C. 6241(h)(2)) is amended by 
        striking ``450,000,000'' each place it appears and inserting 
        ``350,000,000''.

SEC. 30205. ELIMINATION OF SURPLUS FUNDS OF FEDERAL RESERVE BANKS.

    Section 7(a)(3)(A) of the Federal Reserve Act (12 U.S.C. 
289(a)(3)(A)) is amended by striking ``$10,000,000,000'' and inserting 
``$7,500,000,000''.

SEC. 30206. REEMPLOYMENT SERVICES AND ELIGIBILITY ASSESSMENTS.

    (a) In General.--Title III of the Social Security Act (42 U.S.C. 
501 et seq.) is amended by adding at the end the following:

``SEC. 306. GRANTS TO STATES FOR REEMPLOYMENT SERVICES AND ELIGIBILITY 
              ASSESSMENTS.

    ``(a) In General.--The Secretary of Labor (in this section referred 
to as the `Secretary') shall award grants under this section for a 
fiscal year to eligible States to conduct a program of reemployment 
services and eligibility assessments for individuals referred to 
reemployment services as described in section 303(j) for weeks in such 
fiscal year for which such individuals receive unemployment 
compensation.
    ``(b) Purposes.--The purposes of this section are to accomplish the 
following goals:
            ``(1) To improve employment outcomes of individuals that 
        receive unemployment compensation and to reduce the average 
        duration of receipt of such compensation through employment.
            ``(2) To strengthen program integrity and reduce improper 
        payments of unemployment compensation by States through the 
        detection and prevention of such payments to individuals who 
        are not eligible for such compensation.
            ``(3) To promote alignment with the broader vision of the 
        Workforce Innovation and Opportunity Act (29 U.S.C. 3101 et 
        seq.) of increased program integration and service delivery for 
        job seekers, including claimants for unemployment compensation.
            ``(4) To establish reemployment services and eligibility 
        assessments as an entry point for individuals receiving 
        unemployment compensation into other workforce system partner 
        programs.
    ``(c) Evidence-based Standards.--
            ``(1) In general.--In carrying out a State program of 
        reemployment services and eligibility assessments using grant 
        funds awarded to the State under this section, a State shall 
        use such funds only for interventions demonstrated to reduce 
        the number of weeks for which program participants receive 
        unemployment compensation by improving employment outcomes for 
        program participants.
            ``(2) Expanding evidence-based interventions.--In addition 
        to the requirement imposed by paragraph (1), a State shall--
                    ``(A) for fiscal years 2023 and 2024, use no less 
                than 25 percent of the grant funds awarded to the State 
                under this section for interventions with a high or 
                moderate causal evidence rating that show a 
                demonstrated capacity to improve employment and 
                earnings outcomes for program participants;
                    ``(B) for fiscal years 2025 and 2026, use no less 
                than 40 percent of such grant funds for interventions 
                described in subparagraph (A); and
                    ``(C) for fiscal years beginning after fiscal year 
                2026, use no less than 50 percent of such grant funds 
                for interventions described in subparagraph (A).
    ``(d) Evaluations.--
            ``(1) Required evaluations.--Any intervention without a 
        high or moderate causal evidence rating used by a State in 
        carrying out a State program of reemployment services and 
        eligibility assessments under this section shall be under 
        evaluation at the time of use.
            ``(2) Funding limitation.--A State shall use not more than 
        10 percent of grant funds awarded to the State under this 
        section to conduct or cause to be conducted evaluations of 
        interventions used in carrying out a program under this section 
        (including evaluations conducted pursuant to paragraph (1)).
    ``(e) State Plan.--
            ``(1) In general.--As a condition of eligibility to receive 
        a grant under this section for a fiscal year, a State shall 
        submit to the Secretary, at such time and in such manner as the 
        Secretary may require, a State plan that outlines how the State 
        intends to conduct a program of reemployment services and 
        eligibility assessments under this section, including--
                    ``(A) assurances that, and a description of how, 
                the program will provide--
                            ``(i) proper notification to participating 
                        individuals of the program's eligibility 
                        conditions, requirements, and benefits, 
                        including the issuance of warnings and simple, 
                        clear notifications to ensure that 
                        participating individuals are fully aware of 
                        the consequences of failing to adhere to such 
                        requirements, including policies related to 
                        non-attendance or non-fulfillment of work 
                        search requirements; and
                            ``(ii) reasonable scheduling accommodations 
                        to maximize participation for eligible 
                        individuals;
                    ``(B) assurances that, and a description of how, 
                the program will conform with the purposes outlined in 
                subsection (b) and satisfy the requirement to use 
                evidence-based standards under subsection (c), 
                including--
                            ``(i) a description of the evidence-based 
                        interventions the State plans to use to speed 
                        reemployment;
                            ``(ii) an explanation of how such 
                        interventions are appropriate to the population 
                        served; and
                            ``(iii) if applicable, a description of the 
                        evaluation structure the State plans to use for 
                        interventions without at least a moderate or 
                        high causal evidence rating, which may include 
                        national evaluations conducted by the 
                        Department of Labor or by other entities; and
                    ``(C) a description of any reemployment activities 
                and evaluations conducted in the prior fiscal year, and 
                any data collected on--
                            ``(i) characteristics of program 
                        participants;
                            ``(ii) the number of weeks for which 
                        program participants receive unemployment 
                        compensation; and
                            ``(iii) employment and other outcomes for 
                        program participants consistent with State 
                        performance accountability measures provided by 
                        the State unemployment compensation program and 
                        in section 116(b) of the Workforce Innovation 
                        and Opportunity Act (29 U.S.C. 3141(b)).
            ``(2) Approval.--The Secretary shall approve any State 
        plan, that is timely submitted to the Secretary, in such manner 
        as the Secretary may require, that satisfies the conditions 
        described in paragraph (1).
            ``(3) Disapproval and revision.--If the Secretary 
        determines that a State plan submitted pursuant to this 
        subsection fails to satisfy the conditions described in 
        paragraph (1), the Secretary shall--
                    ``(A) disapprove such plan;
                    ``(B) provide to the State, not later than 30 days 
                after the date of receipt of the State plan, a written 
                notice of such disapproval that includes a description 
                of any portion of the plan that was not approved and 
                the reason for the disapproval of each such portion; 
                and
                    ``(C) provide the State with an opportunity to 
                correct any such failure and submit a revised State 
                plan.
    ``(f) Allocation of Funds.--
            ``(1) Base funding.--
                    ``(A) In general.--For each fiscal year after 
                fiscal year 2020, the Secretary shall allocate a 
                percentage equal to the base funding percentage for 
                such fiscal year of the funds made available for grants 
                under this section among the States awarded such a 
                grant for such fiscal year using a formula prescribed 
                by the Secretary based on the rate of insured 
                unemployment (as defined in section 203(e)(1) of the 
                Federal-State Extended Unemployment Compensation Act of 
                1970 (26 U.S.C. 3304 note)) in the State for a period 
                to be determined by the Secretary. In developing such 
                formula with respect to a State, the Secretary shall 
                consider the importance of avoiding sharp reductions in 
                grant funding to a State over time.
                    ``(B) Base funding percentage.--For purposes of 
                subparagraph (A), the term `base funding percentage' 
                means--
                            ``(i) for fiscal years 2021 through 2026, 
                        89 percent; and
                            ``(ii) for fiscal years after 2026, 84 
                        percent.
            ``(2) Reservation for outcome payments.--
                    ``(A) In general.--Of the amounts made available 
                for grants under this section for each fiscal year 
                after 2020, the Secretary shall reserve a percentage 
                equal to the outcome reservation percentage for such 
                fiscal year for outcome payments to increase the amount 
                otherwise awarded to a State under paragraph (1). Such 
                outcome payments shall be paid to States conducting 
                reemployment services and eligibility assessments under 
                this section that, during the previous fiscal year, met 
                or exceeded the outcome goals provided in subsection 
                (b)(1) related to reducing the average duration of 
                receipt of unemployment compensation by improving 
                employment outcomes.
                    ``(B) Outcome reservation percentage.--For purposes 
                of subparagraph (A), the term `outcome reservation 
                percentage' means--
                            ``(i) for fiscal years 2021 through 2026, 
                        10 percent; and
                            ``(ii) for fiscal years after 2026, 15 
                        percent.
            ``(3) Reservation for research and technical assistance.--
        Of the amounts made available for grants under this section for 
        each fiscal year after 2020, the Secretary may reserve not more 
        than 1 percent to conduct research and provide technical 
        assistance to States.
            ``(4) Consultation and public comment.--Not later than 
        September 30, 2019, the Secretary shall--
                    ``(A) consult with the States and seek public 
                comment in developing the allocation formula under 
                paragraph (1) and the criteria for carrying out the 
                reservations under paragraph (2); and
                    ``(B) make publicly available the allocation 
                formula and criteria developed pursuant to subclause 
                (A).
    ``(g) Notification to Congress.--Not later than 90 days prior to 
making any changes to the allocation formula or the criteria developed 
pursuant to subsection (f)(5)(A), the Secretary shall submit to 
Congress, including to the Committee on Ways and Means and the 
Committee on Appropriations of the House of Representatives and the 
Committee on Finance and the Committee on Appropriations of the Senate, 
a notification of any such change.
    ``(h) Supplement Not Supplant.--Funds made available to carry out 
this section shall be used to supplement the level of Federal, State, 
and local public funds that, in the absence of such availability, would 
be expended to provide reemployment services and eligibility 
assessments to individuals receiving unemployment compensation, and in 
no case to supplant such Federal, State, or local public funds.
    ``(i) Definitions.--In this section:
            ``(1) Causal evidence rating.--The terms `high causal 
        evidence rating' and `moderate causal evidence rating' shall 
        have the meaning given such terms by the Secretary of Labor.
            ``(2) Eligible state.--The term `eligible State' means a 
        State that has in effect a State plan approved by the Secretary 
        in accordance with subsection (e).
            ``(3) Intervention.--The term `intervention' means a 
        service delivery strategy for the provision of State 
        reemployment services and eligibility assessment activities 
        under this section.
            ``(4) State.--The term `State' has the meaning given the 
        term in section 205 of the Federal-State Extended Unemployment 
        Compensation Act of 1970 (26 U.S.C. 3304 note).
            ``(5) Unemployment compensation.--The term unemployment 
        compensation means `regular compensation', `extended 
        compensation', and `additional compensation' (as such terms are 
        defined by section 205 of the Federal-State Extended 
        Unemployment Compensation Act of 1970 (26 U.S.C. 3304 
        note)).''.
    (b) Report.--Not later than 3 years after the date of enactment of 
this Act, the Secretary of Labor shall submit to Congress a report to 
describe promising interventions used by States to provide reemployment 
assistance.
    (c) Adjustment to Discretionary Spending Limits.--Section 251(b)(2) 
of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 
U.S.C. 901(b)(2)) is amended by adding at the end the following:
                    ``(E) Reemployment services and eligibility 
                assessments.--
                            ``(i) In general.--If a bill or joint 
                        resolution making appropriations for a fiscal 
                        year is enacted that specifies an amount for 
                        grants to States under section 306 of the 
                        Social Security Act, then the adjustment for 
                        that fiscal year shall be the additional new 
                        budget authority provided in that Act for such 
                        grants for that fiscal year, but shall not 
                        exceed--
                                    ``(I) for fiscal year 2018, $0;
                                    ``(II) for fiscal year 2019, 
                                $33,000,000;
                                    ``(III) for fiscal year 2020, 
                                $58,000,000; and
                                    ``(IV) for fiscal year 2021, 
                                $83,000,000.
                            ``(ii) Definition.--As used in this 
                        subparagraph, the term `additional new budget 
                        authority' means the amount provided for a 
                        fiscal year, in excess of $117,000,000, in an 
                        appropriation Act and specified to pay for 
                        grants to States under section 306 of the 
                        Social Security Act.''.
    (d) Other Budgetary Adjustments.--Section 314 of the Congressional 
Budget Act of 1974 (2 U.S.C. 645) is amended by adding at the end the 
following:
    ``(g) Adjustment for Reemployment Services and Eligibility 
Assessments.--
            ``(1) In general.--
                    ``(A) Adjustments.--If the Committee on 
                Appropriations of either House reports an appropriation 
                measure for any of fiscal years 2022 through 2027 that 
                provides budget authority for grants under section 306 
                of the Social Security Act, or if a conference 
                committee submits a conference report thereon, the 
                chairman of the Committee on the Budget of the House of 
                Representatives or the Senate shall make the 
                adjustments referred to in subparagraph (B) to reflect 
                the additional new budget authority provided for such 
                grants in that measure or conference report and the 
                outlays resulting therefrom, consistent with 
                subparagraph (D).
                    ``(B) Types of adjustments.--The adjustments 
                referred to in this subparagraph consist of adjustments 
                to--
                            ``(i) the discretionary spending limits for 
                        that fiscal year as set forth in the most 
                        recently adopted concurrent resolution on the 
                        budget;
                            ``(ii) the allocations to the Committees on 
                        Appropriations of the Senate and the House of 
                        Representatives for that fiscal year under 
                        section 302(a); and
                            ``(iii) the appropriate budget aggregates 
                        for that fiscal year in the most recently 
                        adopted concurrent resolution on the budget.
                    ``(C) Enforcement.--The adjusted discretionary 
                spending limits, allocations, and aggregates under this 
                paragraph shall be considered the appropriate limits, 
                allocations, and aggregates for purposes of 
                congressional enforcement of this Act and concurrent 
                budget resolutions under this Act.
                    ``(D) Limitation.--No adjustment may be made under 
                this subsection in excess of--
                            ``(i) for fiscal year 2022, $133,000,000;
                            ``(ii) for fiscal year 2023, $258,000,000;
                            ``(iii) for fiscal year 2024, $433,000,000;
                            ``(iv) for fiscal year 2025, $533,000,000;
                            ``(v) for fiscal year 2026, $608,000,000; 
                        and
                            ``(vi) for fiscal year 2027, $633,000,000.
            ``(E) Definition.--As used in this subsection, the term 
        `additional new budget authority' means the amount provided for 
        a fiscal year, in excess of $117,000,000, in an appropriation 
        measure or conference report (as the case may be) and specified 
        to pay for grants to States under section 306 of the Social 
        Security Act.
            ``(2) Report on 302(b) level.--Following any adjustment 
        made under paragraph (1), the Committees on Appropriations of 
        the Senate and the House of Representatives may report 
        appropriately revised suballocations pursuant to section 302(b) 
        to carry out this subsection.''.

          TITLE III--TEMPORARY EXTENSION OF PUBLIC DEBT LIMIT

SEC. 30301. TEMPORARY EXTENSION OF PUBLIC DEBT LIMIT.

    (a) In General.--Section 3101(b) of title 31, United States Code, 
shall not apply for the period beginning on the date of the enactment 
of this Act and ending on March 1, 2019.
    (b) Special Rule Relating to Obligations Issued During Extension 
Period.--Effective on March 2, 2019, the limitation in effect under 
section 3101(b) of title 31, United States Code, shall be increased to 
the extent that--
            (1) the face amount of obligations issued under chapter 31 
        of such title and the face amount of obligations whose 
        principal and interest are guaranteed by the United States 
        Government (except guaranteed obligations held by the Secretary 
        of the Treasury) outstanding on March 2, 2019, exceeds
            (2) the face amount of such obligations outstanding on the 
        date of the enactment of this Act.
    (c) Restoring Congressional Authority Over the National Debt.--
            (1) Extension limited to necessary obligations.--An 
        obligation shall not be taken into account under subsection 
        (b)(1) unless the issuance of such obligation was necessary to 
        fund a commitment incurred pursuant to law by the Federal 
        Government that required payment before March 2, 2019.
            (2) Prohibition on creation of cash reserve during 
        extension period.--The Secretary of the Treasury shall not 
        issue obligations during the period specified in subsection (a) 
        for the purpose of increasing the cash balance above normal 
        operating balances in anticipation of the expiration of such 
        period.

                   TITLE IV--JOINT SELECT COMMITTEES

Subtitle A--Joint Select Committee on Solvency of Multiemployer Pension 
                                 Plans

SEC. 30421. DEFINITIONS.

    In this subtitle--
            (1) the term ``joint committee'' means the Joint Select 
        Committee on Solvency of Multiemployer Pension Plans 
        established under section 30422(a); and
            (2) the term ``joint committee bill'' means a bill 
        consisting of the proposed legislative language of the joint 
        committee recommended in accordance with section 
        30422(b)(2)(B)(ii) and introduced under section 30424(a).

SEC. 30422. ESTABLISHMENT OF JOINT SELECT COMMITTEE.

    (a) Establishment of Joint Select Committee.--There is established 
a joint select committee of Congress to be known as the ``Joint Select 
Committee on Solvency of Multiemployer Pension Plans''.
    (b) Implementation.--
            (1) Goal.--The goal of the joint committee is to improve 
        the solvency of multiemployer pension plans and the Pension 
        Benefit Guaranty Corporation.
            (2) Duties.--
                    (A) In general.--The joint committee shall provide 
                recommendations and legislative language that will 
                significantly improve the solvency of multiemployer 
                pension plans and the Pension Benefit Guaranty 
                Corporation.
                    (B) Report, recommendations, and legislative 
                language.--
                            (i) In general.--Not later than November 
                        30, 2018, the joint committee shall vote on--
                                    (I) a report that contains a 
                                detailed statement of the findings, 
                                conclusions, and recommendations of the 
                                joint committee; and
                                    (II) proposed legislative language 
                                to carry out the recommendations 
                                described in subclause (I).
                            (ii) Approval of report and legislative 
                        language.--
                                    (I) In general.--The report of the 
                                joint committee and the proposed 
                                legislative language described in 
                                clause (i) shall only be approved upon 
                                receiving the votes of--
                                            (aa) a majority of joint 
                                        committee members appointed by 
                                        the Speaker of the House of 
                                        Representatives and the 
                                        Majority Leader of the Senate; 
                                        and
                                            (bb) a majority of joint 
                                        committee members appointed by 
                                        the Minority Leader of the 
                                        House of Representatives and 
                                        the Minority Leader of the 
                                        Senate.
                                    (II) Availability.--The text of any 
                                report and proposed legislative 
                                language shall be publicly available in 
                                electronic form at least 24 hours prior 
                                to its consideration.
                            (iii) Additional views.--A member of the 
                        joint committee who gives notice of an 
                        intention to file supplemental, minority, or 
                        additional views at the time of the final joint 
                        committee vote on the approval of the report 
                        and legislative language under clause (ii) 
                        shall be entitled to 2 calendar days after the 
                        day of such notice in which to file such views 
                        in writing with the co-chairs. Such views shall 
                        then be included in the joint committee report 
                        and printed in the same volume, or part 
                        thereof, and their inclusion shall be noted on 
                        the cover of the report. In the absence of 
                        timely notice, the joint committee report may 
                        be printed and transmitted immediately without 
                        such views.
                            (iv) Transmission of report and legislative 
                        language.--If the report and legislative 
                        language are approved by the joint committee 
                        pursuant to clause (ii), the joint committee 
                        shall submit the joint committee report and 
                        legislative language described in clause (i) to 
                        the President, the Vice President, the Speaker 
                        of the House of Representatives, and the 
                        majority and minority leaders of each House of 
                        Congress not later than 15 calendar days after 
                        such approval.
                            (v) Report and legislative language to be 
                        made public.--Upon the approval of the joint 
                        committee report and legislative language 
                        pursuant to clause (ii), the joint committee 
                        shall promptly make the full report and 
                        legislative language, and a record of any vote, 
                        available to the public.
            (3) Membership.--
                    (A) In general.--The joint committee shall be 
                composed of 16 members appointed pursuant to 
                subparagraph (B).
                    (B) Appointment.--Members of the joint committee 
                shall be appointed as follows:
                            (i) The Speaker of the House of 
                        Representatives shall appoint 4 members from 
                        among Members of the House of Representatives.
                            (ii) The Minority Leader of the House of 
                        Representatives shall appoint 4 members from 
                        among Members of the House of Representatives.
                            (iii) The Majority Leader of the Senate 
                        shall appoint 4 members from among Members of 
                        the Senate.
                            (iv) The Minority Leader of the Senate 
                        shall appoint 4 members from among Members of 
                        the Senate.
                    (C) Co-chairs.--Two of the appointed members of the 
                joint committee will serve as co-chairs. The Speaker of 
                the House of Representatives and the Majority Leader of 
                the Senate shall jointly appoint one co-chair, and the 
                Minority Leader of the House of Representatives and the 
                Minority Leader of the Senate shall jointly appoint the 
                second co-chair. The co-chairs shall be appointed not 
                later than 14 calendar days after the date of enactment 
                of this Act.
                    (D) Date.--Members of the joint committee shall be 
                appointed not later than 14 calendar days after the 
                date of enactment of this Act.
                    (E) Period of appointment.--Members shall be 
                appointed for the life of the joint committee. Any 
                vacancy in the joint committee shall not affect its 
                powers, but shall be filled not later than 14 calendar 
                days after the date on which the vacancy occurs, in the 
                same manner as the original appointment was made. If a 
                member of the joint committee ceases to be a Member of 
                the House of Representatives or the Senate, as the case 
                may be, the member is no longer a member of the joint 
                committee and a vacancy shall exist.
            (4) Administration.--
                    (A) In general.--To enable the joint committee to 
                exercise its powers, functions, and duties under this 
                subtitle, there are authorized to be disbursed by the 
                Senate the actual and necessary expenses of the joint 
                committee approved by the co-chairs, subject to the 
                rules and regulations of the Senate.
                    (B) Expenses.--To enable the joint committee to 
                exercise its powers, functions, and duties under this 
                subtitle, there are authorized to be appropriated for 
                each fiscal year such sums as may be necessary, to be 
                disbursed by the Secretary of the Senate on vouchers 
                signed by the co-chairs.
                    (C) Quorum.--Nine members of the joint committee 
                shall constitute a quorum for purposes of voting and 
                meeting, and 5 members of the joint committee shall 
                constitute a quorum for holding hearings.
                    (D) Voting.--No proxy voting shall be allowed on 
                behalf of the members of the joint committee.
                    (E) Meetings.--
                            (i) Initial meeting.--Not later than 30 
                        calendar days after the date of enactment of 
                        this Act, the joint committee shall hold its 
                        first meeting.
                            (ii) Agenda.--The co-chairs of the joint 
                        committee shall provide an agenda to the joint 
                        committee members not less than 48 hours in 
                        advance of any meeting.
                    (F) Hearings.--
                            (i) In general.--The joint committee may, 
                        for the purpose of carrying out this section, 
                        hold such hearings, sit and act at such times 
                        and places, require attendance of witnesses and 
                        production of books, papers, and documents, 
                        take such testimony, receive such evidence, and 
                        administer such oaths as the joint committee 
                        considers advisable.
                            (ii) Hearing procedures and 
                        responsibilities of co-chairs.--
                                    (I) Announcement.--The co-chairs of 
                                the joint committee shall make a public 
                                announcement of the date, place, time, 
                                and subject matter of any hearing to be 
                                conducted, not less than 7 days in 
                                advance of such hearing, unless the co-
                                chairs determine that there is good 
                                cause to begin such hearing at an 
                                earlier date.
                                    (II) Equal representation of 
                                witnesses.--Each co-chair shall be 
                                entitled to select an equal number of 
                                witnesses for each hearing held by the 
                                joint committee.
                                    (III) Written statement.--A witness 
                                appearing before the joint committee 
                                shall file a written statement of 
                                proposed testimony at least 2 calendar 
                                days before the appearance of the 
                                witness, unless the requirement is 
                                waived by the co-chairs, following 
                                their determination that there is good 
                                cause for failure to comply with such 
                                requirement.
                    (G) Minimum number of public meetings and 
                hearings.--The joint committee shall hold--
                            (i) not less than a total of 5 public 
                        meetings or public hearings; and
                            (ii) not less than 3 public hearings, which 
                        may include field hearings.
                    (H) Technical assistance.--Upon written request of 
                the co-chairs, a Federal agency, including legislative 
                branch agencies, shall provide technical assistance to 
                the joint committee in order for the joint committee to 
                carry out its duties.
                    (I) Staffing.--
                            (i) Details.--Employees of the legislative 
                        branch may be detailed to the joint committee 
                        on a nonreimbursable basis.
                            (ii) Staff director.--The co-chairs, acting 
                        jointly, may designate one such employee as 
                        staff director of the joint committee.
    (c) Ethical Standards.--Members on the joint committee who serve in 
the House of Representatives shall be governed by the ethics rules and 
requirements of the House. Members of the Senate who serve on the joint 
committee shall comply with the ethics rules of the Senate.
    (d) Termination.--The joint committee shall terminate on December 
31, 2018 or 30 days after submission of its report and legislative 
recommendations pursuant to this section whichever occurs first.

SEC. 30423. FUNDING.

    To enable the joint committee to exercise its powers, functions, 
and duties under this subtitle, there are authorized to be paid not 
more than $500,000 from the appropriations account for ``Expenses of 
Inquiries and Investigations'' of the Senate, such sums to be disbursed 
by the Secretary of the Senate, in accordance with Senate rules and 
procedures, upon vouchers signed by the co-chairs. The funds authorized 
under this section shall be available during the period beginning on 
the date of enactment of this Act and ending on January 2, 2019.

SEC. 30424. CONSIDERATION OF JOINT COMMITTEE BILL IN THE SENATE.

    (a) Introduction.--Upon receipt of proposed legislative language 
approved in accordance with section 30422(b)(2)(B)(ii), the language 
shall be introduced in the Senate (by request) on the next day on which 
the Senate is in session by the Majority Leader of the Senate or by a 
Member of the Senate designated by the Majority Leader of the Senate.
    (b) Committee Consideration.--A joint committee bill introduced in 
the Senate under subsection (a) shall be jointly referred to the 
Committee on Finance and the Committee on Health, Education, Labor, and 
Pensions, which committees shall report the bill without any revision 
and with a favorable recommendation, an unfavorable recommendation, or 
without recommendation, no later than 7 session days after introduction 
of the bill. If either committee fails to report the bill within that 
period, that committee shall be automatically discharged from 
consideration of the bill, and the bill shall be placed on the 
appropriate calendar.
    (c) Motion to Proceed to Consideration.--
            (1) In general.--Notwithstanding rule XXII of the Standing 
        Rules of the Senate, it is in order, not later than 2 days of 
        session after the date on which a joint committee bill is 
        reported or discharged from the Committee on Finance and the 
        Committee on Health, Education, Labor, and Pensions, for the 
        Majority Leader of the Senate or the Majority Leader's designee 
        to move to proceed to the consideration of the joint committee 
        bill. It shall also be in order for any Member of the Senate to 
        move to proceed to the consideration of the joint committee 
        bill at any time after the conclusion of such 2-day period.
            (2) Consideration of motion.--Consideration of the motion 
        to proceed to the consideration of the joint committee bill and 
        all debatable motions and appeals in connection therewith shall 
        not exceed 10 hours, which shall be divided equally between the 
        Majority and Minority Leaders or their designees. A motion to 
        further limit debate is in order, shall require an affirmative 
        vote of three-fifths of Members duly chosen and sworn, and is 
        not debatable.
            (3) Vote threshold.--The motion to proceed to the 
        consideration of the joint committee bill shall only be agreed 
        to upon an affirmative vote of three-fifths of Members duly 
        chosen and sworn.
            (4) Limitations.--The motion is not subject to a motion to 
        postpone. All points of order against the motion to proceed to 
        the joint committee bill are waived. A motion to reconsider the 
        vote by which the motion is agreed to or disagreed to shall not 
        be in order.
            (5) Deadline.--Not later than the last day of the 115th 
        Congress, the Senate shall vote on a motion to proceed to the 
        joint committee bill.
            (6) Companion measures.--For purposes of this subsection, 
        the term ``joint committee bill'' includes a bill of the House 
        of Representatives that is a companion measure to the joint 
        committee bill introduced in the Senate.
    (d) Rules of Senate.--This section is enacted by Congress--
            (1) as an exercise of the rulemaking power of the Senate, 
        and as such is deemed a part of the rules of the Senate, but 
        applicable only with respect to the procedure to be followed in 
        the Senate in the case of a joint committee bill, and supersede 
        other rules only to the extent that they are inconsistent with 
        such rules; and
            (2) with full recognition of the constitutional right of 
        the Senate to change the rules (so far as relating to the 
        procedure of the Senate) at any time, in the same manner, and 
        to the same extent as in the case of any other rule of the 
        Senate.

Subtitle B--Joint Select Committee on Budget and Appropriations Process 
                                 Reform

SEC. 30441. DEFINITIONS.

    In this subtitle--
            (1) the term ``joint committee'' means the Joint Select 
        Committee on Budget and Appropriations Process Reform 
        established under section 30442(a); and
            (2) the term ``joint committee bill'' means a bill 
        consisting of the proposed legislative language of the joint 
        committee recommended in accordance with section 
        30442(b)(2)(B)(ii) and introduced under section 30444(a).

SEC. 30442. ESTABLISHMENT OF JOINT SELECT COMMITTEE.

    (a) Establishment of Joint Select Committee.--There is established 
a joint select committee of Congress to be known as the ``Joint Select 
Committee on Budget and Appropriations Process Reform''.
    (b) Implementation.--
            (1) Goal.--The goal of the joint committee is to reform the 
        budget and appropriations process.
            (2) Duties.--
                    (A) In general.--The joint committee shall provide 
                recommendations and legislative language that will 
                significantly reform the budget and appropriations 
                process.
                    (B) Report, recommendations, and legislative 
                language.--
                            (i) In general.--Not later than November 
                        30, 2018, the joint committee shall vote on--
                                    (I) a report that contains a 
                                detailed statement of the findings, 
                                conclusions, and recommendations of the 
                                joint committee; and
                                    (II) proposed legislative language 
                                to carry out the recommendations 
                                described in subclause (I).
                            (ii) Approval of report and legislative 
                        language.--
                                    (I) In general.--The report of the 
                                joint committee and the proposed 
                                legislative language described in 
                                clause (i) shall only be approved upon 
                                receiving the votes of--
                                            (aa) a majority of joint 
                                        committee members appointed by 
                                        the Speaker of the House of 
                                        Representatives and the 
                                        Majority Leader of the Senate; 
                                        and
                                            (bb) a majority of joint 
                                        committee members appointed by 
                                        the Minority Leader of the 
                                        House of Representatives and 
                                        the Minority Leader of the 
                                        Senate.
                                    (II) Availability.--The text of any 
                                report and proposed legislative 
                                language shall be publicly available in 
                                electronic form at least 24 hours prior 
                                to its consideration.
                            (iii) Additional views.--A member of the 
                        joint committee who gives notice of an 
                        intention to file supplemental, minority, or 
                        additional views at the time of the final joint 
                        committee vote on the approval of the report 
                        and legislative language under clause (ii) 
                        shall be entitled to 2 calendar days after the 
                        day of such notice in which to file such views 
                        in writing with the co-chairs. Such views shall 
                        then be included in the joint committee report 
                        and printed in the same volume, or part 
                        thereof, and their inclusion shall be noted on 
                        the cover of the report. In the absence of 
                        timely notice, the joint committee report may 
                        be printed and transmitted immediately without 
                        such views.
                            (iv) Transmission of report and legislative 
                        language.--If the report and legislative 
                        language are approved by the joint committee 
                        pursuant to clause (ii), the joint committee 
                        shall submit the joint committee report and 
                        legislative language described in clause (i) to 
                        the President, the Vice President, the Speaker 
                        of the House of Representatives, and the 
                        majority and minority leaders of each House of 
                        Congress not later than 15 calendar days after 
                        such approval.
                            (v) Report and legislative language to be 
                        made public.--Upon the approval of the joint 
                        committee report and legislative language 
                        pursuant to clause (ii), the joint committee 
                        shall promptly make the full report and 
                        legislative language, and a record of any vote, 
                        available to the public.
            (3) Membership.--
                    (A) In general.--The joint committee shall be 
                composed of 16 members appointed pursuant to 
                subparagraph (B).
                    (B) Appointment.--Members of the joint committee 
                shall be appointed as follows:
                            (i) The Speaker of the House of 
                        Representatives shall appoint 4 members from 
                        among Members of the House of Representatives.
                            (ii) The Minority Leader of the House of 
                        Representatives shall appoint 4 members from 
                        among Members of the House of Representatives.
                            (iii) The Majority Leader of the Senate 
                        shall appoint 4 members from among Members of 
                        the Senate.
                            (iv) The Minority Leader of the Senate 
                        shall appoint 4 members from among Members of 
                        the Senate.
                    (C) Co-chairs.--Two of the appointed members of the 
                joint committee will serve as co-chairs. The Speaker of 
                the House of Representatives and the Majority Leader of 
                the Senate shall jointly appoint one co-chair, and the 
                Minority Leader of the House of Representatives and the 
                Minority Leader of the Senate shall jointly appoint the 
                second co-chair. The co-chairs shall be appointed not 
                later than 14 calendar days after the date of enactment 
                of this Act.
                    (D) Date.--Members of the joint committee shall be 
                appointed not later than 14 calendar days after the 
                date of enactment of this Act.
                    (E) Period of appointment.--Members shall be 
                appointed for the life of the joint committee. Any 
                vacancy in the joint committee shall not affect its 
                powers, but shall be filled not later than 14 calendar 
                days after the date on which the vacancy occurs, in the 
                same manner as the original appointment was made. If a 
                member of the joint committee ceases to be a Member of 
                the House of Representatives or the Senate, as the case 
                may be, the member is no longer a member of the joint 
                committee and a vacancy shall exist.
            (4) Administration.--
                    (A) In general.--To enable the joint committee to 
                exercise its powers, functions, and duties under this 
                subtitle, there are authorized to be disbursed by the 
                Senate the actual and necessary expenses of the joint 
                committee approved by the co-chairs, subject to the 
                rules and regulations of the Senate.
                    (B) Expenses.--To enable the joint committee to 
                exercise its powers, functions, and duties under this 
                subtitle, there are authorized to be appropriated for 
                each fiscal year such sums as may be necessary, to be 
                disbursed by the Secretary of the Senate on vouchers 
                signed by the co-chairs.
                    (C) Quorum.--Nine members of the joint committee 
                shall constitute a quorum for purposes of voting and 
                meeting, and 5 members of the joint committee shall 
                constitute a quorum for holding hearings.
                    (D) Voting.--No proxy voting shall be allowed on 
                behalf of the members of the joint committee.
                    (E) Meetings.--
                            (i) Initial meeting.--Not later than 30 
                        calendar days after the date of enactment of 
                        this Act, the joint committee shall hold its 
                        first meeting.
                            (ii) Agenda.--The co-chairs of the joint 
                        committee shall provide an agenda to the joint 
                        committee members not less than 48 hours in 
                        advance of any meeting.
                    (F) Hearings.--
                            (i) In general.--The joint committee may, 
                        for the purpose of carrying out this section, 
                        hold such hearings, sit and act at such times 
                        and places, require attendance of witnesses and 
                        production of books, papers, and documents, 
                        take such testimony, receive such evidence, and 
                        administer such oaths as the joint committee 
                        considers advisable.
                            (ii) Hearing procedures and 
                        responsibilities of co-chairs.--
                                    (I) Announcement.--The co-chairs of 
                                the joint committee shall make a public 
                                announcement of the date, place, time, 
                                and subject matter of any hearing to be 
                                conducted, not less than 7 days in 
                                advance of such hearing, unless the co-
                                chairs determine that there is good 
                                cause to begin such hearing at an 
                                earlier date.
                                    (II) Equal representation of 
                                witnesses.--Each co-chair shall be 
                                entitled to select an equal number of 
                                witnesses for each hearing held by the 
                                joint committee.
                                    (III) Written statement.--A witness 
                                appearing before the joint committee 
                                shall file a written statement of 
                                proposed testimony at least 2 calendar 
                                days before the appearance of the 
                                witness, unless the requirement is 
                                waived by the co-chairs, following 
                                their determination that there is good 
                                cause for failure to comply with such 
                                requirement.
                    (G) Minimum number of public meetings and 
                hearings.--The joint committee shall hold--
                            (i) not less than a total of 5 public 
                        meetings or public hearings; and
                            (ii) not less than 3 public hearings, which 
                        may include field hearings.
                    (H) Technical assistance.--Upon written request of 
                the co-chairs, a Federal agency, including legislative 
                branch agencies, shall provide technical assistance to 
                the joint committee in order for the joint committee to 
                carry out its duties.
                    (I) Staffing.--
                            (i) Details.--Employees of the legislative 
                        branch may be detailed to the joint committee 
                        on a nonreimbursable basis.
                            (ii) Staff director.--The co-chairs, acting 
                        jointly, may designate one such employee as 
                        staff director of the joint committee.
    (c) Ethical Standards.--Members on the joint committee who serve in 
the House of Representatives shall be governed by the ethics rules and 
requirements of the House. Members of the Senate who serve on the joint 
committee shall comply with the ethics rules of the Senate.
    (d) Termination.--The joint committee shall terminate on December 
31, 2018 or 30 days after submission of its report and legislative 
recommendations pursuant to this section whichever occurs first.

SEC. 30443. FUNDING.

    To enable the joint committee to exercise its powers, functions, 
and duties under this subtitle, there are authorized to be paid not 
more than $500,000 from the appropriations account for ``Expenses of 
Inquiries and Investigations'' of the Senate, such sums to be disbursed 
by the Secretary of the Senate, in accordance with Senate rules and 
procedures, upon vouchers signed by the co-chairs. The funds authorized 
under this section shall be available during the period beginning on 
the date of enactment of this Act and ending on January 2, 2019.

SEC. 30444. CONSIDERATION OF JOINT COMMITTEE BILL IN THE SENATE.

    (a) Introduction.--Upon receipt of proposed legislative language 
approved in accordance with section 30442(b)(2)(B)(ii), the language 
shall be introduced in the Senate (by request) on the next day on which 
the Senate is in session by the Majority Leader of the Senate or by a 
Member of the Senate designated by the Majority Leader of the Senate.
    (b) Committee Consideration.--A joint committee bill introduced in 
the Senate under subsection (a) shall be referred to the Committee on 
the Budget, which shall report the bill without any revision and with a 
favorable recommendation, an unfavorable recommendation, or without 
recommendation, no later than 7 session days after introduction of the 
bill. If the Committee on the Budget fails to report the bill within 
that period, the committee shall be automatically discharged from 
consideration of the bill, and the bill shall be placed on the 
appropriate calendar.
    (c) Motion to Proceed to Consideration.--
            (1) In general.--Notwithstanding rule XXII of the Standing 
        Rules of the Senate, it is in order, not later than 2 days of 
        session after the date on which a joint committee bill is 
        reported or discharged from the Committee on the Budget, for 
        the Majority Leader of the Senate or the Majority Leader's 
        designee to move to proceed to the consideration of the joint 
        committee bill. It shall also be in order for any Member of the 
        Senate to move to proceed to the consideration of the joint 
        committee bill at any time after the conclusion of such 2-day 
        period.
            (2) Consideration of motion.--Consideration of the motion 
        to proceed to the consideration of the joint committee bill and 
        all debatable motions and appeals in connection therewith shall 
        not exceed 10 hours, which shall be divided equally between the 
        Majority and Minority Leaders or their designees. A motion to 
        further limit debate is in order, shall require an affirmative 
        vote of three-fifths of Members duly chosen and sworn, and is 
        not debatable.
            (3) Vote threshold.--The motion to proceed to the 
        consideration of the joint committee bill shall only be agreed 
        to upon an affirmative vote of three-fifths of Members duly 
        chosen and sworn.
            (4) Limitations.--The motion is not subject to a motion to 
        postpone. All points of order against the motion to proceed to 
        the joint committee bill are waived. A motion to reconsider the 
        vote by which the motion is agreed to or disagreed to shall not 
        be in order.
            (5) Deadline.--Not later than the last day of the 115th 
        Congress, the Senate shall vote on a motion to proceed to the 
        joint committee bill.
    (d) Rules of Senate.--This section is enacted by Congress--
            (1) as an exercise of the rulemaking power of the Senate, 
        and as such is deemed a part of the rules of the Senate, but 
        applicable only with respect to the procedure to be followed in 
        the Senate in the case of a joint committee bill, and supersede 
        other rules only to the extent that they are inconsistent with 
        such rules; and
            (2) with full recognition of the constitutional right of 
        the Senate to change the rules (so far as relating to the 
        procedure of the Senate) at any time, in the same manner, and 
        to the same extent as in the case of any other rule of the 
        Senate.

                      DIVISION D--REVENUE MEASURES

SEC. 40001. TABLE OF CONTENTS.

    The table of contents for this division is as follows:

                      DIVISION D--REVENUE MEASURES

Sec. 40001. Table of contents.

               TITLE I--EXTENSION OF EXPIRING PROVISIONS

Sec. 40101. Amendment of Internal Revenue Code of 1986.

          Subtitle A--Tax Relief for Families and Individuals

Sec. 40201. Extension of exclusion from gross income of discharge of 
                            qualified principal residence indebtedness.
Sec. 40202. Extension of mortgage insurance premiums treated as 
                            qualified residence interest.
Sec. 40203. Extension of above-the-line deduction for qualified tuition 
                            and related expenses.

  Subtitle B--Incentives for Growth, Jobs, Investment, and Innovation

Sec. 40301. Extension of Indian employment tax credit.
Sec. 40302. Extension of railroad track maintenance credit.
Sec. 40303. Extension of mine rescue team training credit.
Sec. 40304. Extension of classification of certain race horses as 3-
                            year property.
Sec. 40305. Extension of 7-year recovery period for motorsports 
                            entertainment complexes.
Sec. 40306. Extension of accelerated depreciation for business property 
                            on an Indian reservation.
Sec. 40307. Extension of election to expense mine safety equipment.
Sec. 40308. Extension of special expensing rules for certain 
                            productions.
Sec. 40309. Extension of deduction allowable with respect to income 
                            attributable to domestic production 
                            activities in Puerto Rico.
Sec. 40310. Extension of special rule relating to qualified timber 
                            gain.
Sec. 40311. Extension of empowerment zone tax incentives.
Sec. 40312. Extension of American Samoa economic development credit.

     Subtitle C--Incentives for Energy Production and Conservation

Sec. 40401. Extension of credit for nonbusiness energy property.
Sec. 40402. Extension and modification of credit for residential energy 
                            property.
Sec. 40403. Extension of credit for new qualified fuel cell motor 
                            vehicles.
Sec. 40404. Extension of credit for alternative fuel vehicle refueling 
                            property.
Sec. 40405. Extension of credit for 2-wheeled plug-in electric 
                            vehicles.
Sec. 40406. Extension of second generation biofuel producer credit.
Sec. 40407. Extension of biodiesel and renewable diesel incentives.
Sec. 40408. Extension of production credit for Indian coal facilities.
Sec. 40409. Extension of credits with respect to facilities producing 
                            energy from certain renewable resources.
Sec. 40410. Extension of credit for energy-efficient new homes.
Sec. 40411. Extension and phaseout of energy credit.
Sec. 40412. Extension of special allowance for second generation 
                            biofuel plant property.
Sec. 40413. Extension of energy efficient commercial buildings 
                            deduction.
Sec. 40414. Extension of special rule for sales or dispositions to 
                            implement FERC or State electric 
                            restructuring policy for qualified electric 
                            utilities.
Sec. 40415. Extension of excise tax credits relating to alternative 
                            fuels.
Sec. 40416. Extension of Oil Spill Liability Trust Fund financing rate.

             Subtitle D--Modifications of Energy Incentives

Sec. 40501. Modifications of credit for production from advanced 
                            nuclear power facilities.

                   TITLE II--MISCELLANEOUS PROVISIONS

Sec. 41101. Amendment of Internal Revenue Code of 1986.
Sec. 41102. Modifications to rum cover over.
Sec. 41103. Extension of waiver of limitations with respect to 
                            excluding from gross income amounts 
                            received by wrongfully incarcerated 
                            individuals.
Sec. 41104. Individuals held harmless on improper levy on retirement 
                            plans.
Sec. 41105. Modification of user fee requirements for installment 
                            agreements.
Sec. 41106. Form 1040SR for seniors.
Sec. 41107. Attorneys fees relating to awards to whistleblowers.
Sec. 41108. Clarification of whistleblower awards.
Sec. 41109. Clarification regarding excise tax based on investment 
                            income of private colleges and 
                            universities.
Sec. 41110. Exception from private foundation excess business holding 
                            tax for independently-operated 
                            philanthropic business holdings.
Sec. 41111. Rule of construction for Craft Beverage Modernization and 
                            Tax Reform.
Sec. 41112. Simplification of rules regarding records, statements, and 
                            returns.
Sec. 41113. Modification of rules governing hardship distributions.
Sec. 41114. Modification of rules relating to hardship withdrawals from 
                            cash or deferred arrangements.
Sec. 41115. Opportunity Zones rule for Puerto Rico.
Sec. 41116. Tax home of certain citizens or residents of the United 
                            States living abroad.
Sec. 41117. Treatment of foreign persons for returns relating to 
                            payments made in settlement of payment card 
                            and third party network transactions.
Sec. 41118. Repeal of shift in time of payment of corporate estimated 
                            taxes.
Sec. 41119. Enhancement of carbon dioxide sequestration credit.

               TITLE I--EXTENSION OF EXPIRING PROVISIONS

SEC. 40101. AMENDMENT OF INTERNAL REVENUE CODE OF 1986.

    Except as otherwise expressly provided, whenever in this title an 
amendment or repeal is expressed in terms of an amendment to, or repeal 
of, a section or other provision, the reference shall be considered to 
be made to a section or other provision of the Internal Revenue Code of 
1986.

          Subtitle A--Tax Relief for Families and Individuals

SEC. 40201. EXTENSION OF EXCLUSION FROM GROSS INCOME OF DISCHARGE OF 
              QUALIFIED PRINCIPAL RESIDENCE INDEBTEDNESS.

    (a) In General.--Section 108(a)(1)(E) is amended by striking 
``January 1, 2017'' each place it appears and inserting ``January 1, 
2018''.
    (b) Effective Date.--The amendments made by this section shall 
apply to discharges of indebtedness after December 31, 2016.

SEC. 40202. EXTENSION OF MORTGAGE INSURANCE PREMIUMS TREATED AS 
              QUALIFIED RESIDENCE INTEREST.

    (a) In General.--Subclause (I) of section 163(h)(3)(E)(iv) is 
amended by striking ``December 31, 2016'' and inserting ``December 31, 
2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to amounts paid or accrued after December 31, 2016.

SEC. 40203. EXTENSION OF ABOVE-THE-LINE DEDUCTION FOR QUALIFIED TUITION 
              AND RELATED EXPENSES.

    (a) In General.--Section 222(e) is amended by striking ``December 
31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2016.

  Subtitle B--Incentives for Growth, Jobs, Investment, and Innovation

SEC. 40301. EXTENSION OF INDIAN EMPLOYMENT TAX CREDIT.

    (a) In General.--Section 45A(f) is amended by striking ``December 
31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2016.

SEC. 40302. EXTENSION OF RAILROAD TRACK MAINTENANCE CREDIT.

    (a) In General.--Section 45G(f) is amended by striking ``January 1, 
2017'' and inserting ``January 1, 2018''.
    (b) Effective Date.--
            (1) In general.--The amendment made by this section shall 
        apply to expenditures paid or incurred in taxable years 
        beginning after December 31, 2016.
            (2) Safe harbor assignments.--Assignments, including 
        related expenditures paid or incurred, under paragraph (2) of 
        section 45G(b) of the Internal Revenue Code of 1986 for taxable 
        years ending after January 1, 2017, and before January 1, 2018, 
        shall be treated as effective as of the close of such taxable 
        year if made pursuant to a written agreement entered into no 
        later than 90 days following the date of the enactment of this 
        Act.

SEC. 40303. EXTENSION OF MINE RESCUE TEAM TRAINING CREDIT.

    (a) In General.--Section 45N(e) is amended by striking ``December 
31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2016.

SEC. 40304. EXTENSION OF CLASSIFICATION OF CERTAIN RACE HORSES AS 3-
              YEAR PROPERTY.

    (a) In General.--Section 168(e)(3)(A)(i) is amended--
            (1) by striking ``January 1, 2017'' in subclause (I) and 
        inserting ``January 1, 2018'', and
            (2) by striking ``December 31, 2016'' in subclause (II) and 
        inserting ``December 31, 2017''.
    (b) Effective Date.--The amendments made by this section shall 
apply to property placed in service after December 31, 2016.

SEC. 40305. EXTENSION OF 7-YEAR RECOVERY PERIOD FOR MOTORSPORTS 
              ENTERTAINMENT COMPLEXES.

    (a) In General.--Section 168(i)(15)(D) is amended by striking 
``December 31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to property placed in service after December 31, 2016.

SEC. 40306. EXTENSION OF ACCELERATED DEPRECIATION FOR BUSINESS PROPERTY 
              ON AN INDIAN RESERVATION.

    (a) In General.--Section 168(j)(9) is amended by striking 
``December 31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to property placed in service after December 31, 2016.

SEC. 40307. EXTENSION OF ELECTION TO EXPENSE MINE SAFETY EQUIPMENT.

    (a) In General.--Section 179E(g) is amended by striking ``December 
31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to property placed in service after December 31, 2016.

SEC. 40308. EXTENSION OF SPECIAL EXPENSING RULES FOR CERTAIN 
              PRODUCTIONS.

    (a) In General.--Section 181(g) is amended by striking ``December 
31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to productions commencing after December 31, 2016.

SEC. 40309. EXTENSION OF DEDUCTION ALLOWABLE WITH RESPECT TO INCOME 
              ATTRIBUTABLE TO DOMESTIC PRODUCTION ACTIVITIES IN PUERTO 
              RICO.

    For purposes of applying section 199(d)(8)(C) of the Internal 
Revenue Code of 1986 with respect to taxable years beginning during 
2017, such section shall be applied--
            (1) by substituting ``first 12 taxable years'' for ``first 
        11 taxable years'', and
            (2) by substituting ``January 1, 2018'' for ``January 1, 
        2017''.

SEC. 40310. EXTENSION OF SPECIAL RULE RELATING TO QUALIFIED TIMBER 
              GAIN.

    For purposes of applying section 1201(b) of the Internal Revenue 
Code of 1986 with respect to taxable years beginning during 2017, such 
section shall be applied by substituting ``2016 or 2017'' for ``2016''.

SEC. 40311. EXTENSION OF EMPOWERMENT ZONE TAX INCENTIVES.

    (a) In General.--
            (1) Extension.--Section 1391(d)(1)(A)(i) is amended by 
        striking ``December 31, 2016'' and inserting ``December 31, 
        2017''.
            (2) Treatment of certain termination dates specified in 
        nominations.--In the case of a designation of an empowerment 
        zone the nomination for which included a termination date which 
        is contemporaneous with the date specified in subparagraph 
        (A)(i) of section 1391(d)(1) of the Internal Revenue Code of 
        1986 (as in effect before the enactment of this Act), 
        subparagraph (B) of such section shall not apply with respect 
        to such designation if, after the date of the enactment of this 
        section, the entity which made such nomination amends the 
        nomination to provide for a new termination date in such manner 
        as the Secretary of the Treasury (or the Secretary's designee) 
        may provide.
    (b) Effective Date.--The amendment made by subsection (a)(1) shall 
apply to taxable years beginning after December 31, 2016.

SEC. 40312. EXTENSION OF AMERICAN SAMOA ECONOMIC DEVELOPMENT CREDIT.

    (a) In General.--Section 119 of division A of the Tax Relief and 
Health Care Act of 2006 is amended--
            (1) in subsection (d)--
                    (A) by striking ``January 1, 2017'' each place it 
                appears and inserting ``January 1, 2018'',
                    (B) by striking ``first 11 taxable years'' in 
                paragraph (1) and inserting ``first 12 taxable years'', 
                and
                    (C) by striking ``first 5 taxable years'' in 
                paragraph (2) and inserting ``first 6 taxable years'', 
                and
            (2) in subsection (e), by adding at the end the following: 
        ``References in this subsection to section 199 of the Internal 
        Revenue Code of 1986 shall be treated as references to such 
        section as in effect before its repeal.''.
    (b) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2016.

     Subtitle C--Incentives for Energy Production and Conservation

SEC. 40401. EXTENSION OF CREDIT FOR NONBUSINESS ENERGY PROPERTY.

    (a) In General.--Section 25C(g)(2) is amended by striking 
``December 31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to property placed in service after December 31, 2016.

SEC. 40402. EXTENSION AND MODIFICATION OF CREDIT FOR RESIDENTIAL ENERGY 
              PROPERTY.

    (a) In General.--Section 25D(h) is amended by striking ``December 
31, 2016'' and all that follows and inserting ``December 31, 2021.''.
    (b) Phaseout.--
            (1) In general.--Section 25D(a) is amended by striking 
        ``the sum of--'' and all that follows and inserting ``the sum 
        of the applicable percentages of--
            ``(1) the qualified solar electric property expenditures,
            ``(2) the qualified solar water heating property 
        expenditures,
            ``(3) the qualified fuel cell property expenditures,
            ``(4) the qualified small wind energy property 
        expenditures, and
            ``(5) the qualified geothermal heat pump property 
        expenditures,
made by the taxpayer during such year.''.
            (2) Conforming amendment.--Section 25D(g) is amended by 
        striking ``paragraphs (1) and (2) of''.
    (c) Effective Date.--The amendment made by this section shall apply 
to property placed in service after December 31, 2016.

SEC. 40403. EXTENSION OF CREDIT FOR NEW QUALIFIED FUEL CELL MOTOR 
              VEHICLES.

    (a) In General.--Section 30B(k)(1) is amended by striking 
``December 31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to property purchased after December 31, 2016.

SEC. 40404. EXTENSION OF CREDIT FOR ALTERNATIVE FUEL VEHICLE REFUELING 
              PROPERTY.

    (a) In General.--Section 30C(g) is amended by striking ``December 
31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to property placed in service after December 31, 2016.

SEC. 40405. EXTENSION OF CREDIT FOR 2-WHEELED PLUG-IN ELECTRIC 
              VEHICLES.

    (a) In General.--Section 30D(g)(3)(E)(ii) is amended by striking 
``January 1, 2017'' and inserting ``January 1, 2018''.
    (b) Effective Date.--The amendment made by this section shall apply 
to vehicles acquired after December 31, 2016.

SEC. 40406. EXTENSION OF SECOND GENERATION BIOFUEL PRODUCER CREDIT.

    (a) In General.--Section 40(b)(6)(J)(i) is amended by striking 
``January 1, 2017'' and inserting ``January 1, 2018''.
    (b) Effective Date.--The amendment made by this section shall apply 
to qualified second generation biofuel production after December 31, 
2016.

SEC. 40407. EXTENSION OF BIODIESEL AND RENEWABLE DIESEL INCENTIVES.

    (a) Income Tax Credit.--
            (1) In general.--Subsection (g) of section 40A is amended 
        by striking ``December 31, 2016'' and inserting ``December 31, 
        2017''.
            (2) Effective date.--The amendment made by this subsection 
        shall apply to fuel sold or used after December 31, 2016.
    (b) Excise Tax Incentives.--
            (1) In general.--Section 6426(c)(6) is amended by striking 
        ``December 31, 2016'' and inserting ``December 31, 2017''.
            (2) Payments.--Section 6427(e)(6)(B) is amended by striking 
        ``December 31, 2016'' and inserting ``December 31, 2017''.
            (3) Effective date.--The amendments made by this subsection 
        shall apply to fuel sold or used after December 31, 2016.
            (4) Special rule for 2017.--Notwithstanding any other 
        provision of law, in the case of any biodiesel mixture credit 
        properly determined under section 6426(c) of the Internal 
        Revenue Code of 1986 for the period beginning on January 1, 
        2017, and ending on December 31, 2017, such credit shall be 
        allowed, and any refund or payment attributable to such credit 
        (including any payment under section 6427(e) of such Code) 
        shall be made, only in such manner as the Secretary of the 
        Treasury (or the Secretary's delegate) shall provide. Such 
        Secretary shall issue guidance within 30 days after the date of 
        the enactment of this Act providing for a one-time submission 
        of claims covering periods described in the preceding sentence. 
        Such guidance shall provide for a 180-day period for the 
        submission of such claims (in such manner as prescribed by such 
        Secretary) to begin not later than 30 days after such guidance 
        is issued. Such claims shall be paid by such Secretary not 
        later than 60 days after receipt. If such Secretary has not 
        paid pursuant to a claim filed under this subsection within 60 
        days after the date of the filing of such claim, the claim 
        shall be paid with interest from such date determined by using 
        the overpayment rate and method under section 6621 of such 
        Code.

SEC. 40408. EXTENSION OF PRODUCTION CREDIT FOR INDIAN COAL FACILITIES.

    (a) In General.--Section 45(e)(10)(A) is amended by striking ``11-
year period'' each place it appears and inserting ``12-year period''.
    (b) Effective Date.--The amendment made by this section shall apply 
to coal produced after December 31, 2016.

SEC. 40409. EXTENSION OF CREDITS WITH RESPECT TO FACILITIES PRODUCING 
              ENERGY FROM CERTAIN RENEWABLE RESOURCES.

    (a) In General.--The following provisions of section 45(d) are each 
amended by striking ``January 1, 2017'' each place it appears and 
inserting ``January 1, 2018'':
            (1) Paragraph (2)(A).
            (2) Paragraph (3)(A).
            (3) Paragraph (4)(B).
            (4) Paragraph (6).
            (5) Paragraph (7).
            (6) Paragraph (9).
            (7) Paragraph (11)(B).
    (b) Extension of Election To Treat Qualified Facilities as Energy 
Property.--Section 48(a)(5)(C)(ii) is amended by striking ``January 1, 
2017'' and inserting ``January 1, 2018''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on January 1, 2017.

SEC. 40410. EXTENSION OF CREDIT FOR ENERGY-EFFICIENT NEW HOMES.

    (a) In General.--Section 45L(g) is amended by striking ``December 
31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to homes acquired after December 31, 2016.

SEC. 40411. EXTENSION AND PHASEOUT OF ENERGY CREDIT.

    (a) Extension of Solar and Thermal Energy Property.--Section 
48(a)(3)(A) is amended--
            (1) by striking ``periods ending before January 1, 2017'' 
        in clause (ii) and inserting ``property the construction of 
        which begins before January 1, 2022'', and
            (2) by striking ``periods ending before January 1, 2017'' 
        in clause (vii) and inserting ``property the construction of 
        which begins before January 1, 2022''.
    (b) Phaseout of 30-Percent Credit Rate for Fiber-optic Solar, 
Qualified Fuel Cell, and Qualified Small Wind Energy Property.--
            (1) In general.--Section 48(a) is amended by adding at the 
        end the following new paragraph:
            ``(7) Phaseout for fiber-optic solar, qualified fuel cell, 
        and qualified small wind energy property.--
                    ``(A) In general.--Subject to subparagraph (B), in 
                the case of any qualified fuel cell property, qualified 
                small wind property, or energy property described in 
                paragraph (3)(A)(ii), the energy percentage determined 
                under paragraph (2) shall be equal to--
                            ``(i) in the case of any property the 
                        construction of which begins after December 31, 
                        2019, and before January 1, 2021, 26 percent, 
                        and
                            ``(ii) in the case of any property the 
                        construction of which begins after December 31, 
                        2020, and before January 1, 2022, 22 percent.
                    ``(B) Placed in service deadline.--In the case of 
                any energy property described in subparagraph (A) which 
                is not placed in service before January 1, 2024, the 
                energy percentage determined under paragraph (2) shall 
                be equal to 0 percent.''.
            (2) Conforming amendment.--Section 48(a)(2)(A) is amended 
        by striking ``paragraph (6)'' and inserting ``paragraphs (6) 
        and (7)''.
            (3) Clarification relating to phaseout for wind 
        facilities.--Section 48(a)(5)(E) is amended by inserting 
        ``which is treated as energy property by reason of this 
        paragraph'' after ``using wind to produce electricity''.
    (c) Extension of Qualified Fuel Cell Property.--Section 48(c)(1)(D) 
is amended by striking ``for any period after December 31, 2016'' and 
inserting ``the construction of which does not begin before January 1, 
2022''.
    (d) Extension of Qualified Microturbine Property.--Section 
48(c)(2)(D) is amended by striking ``for any period after December 31, 
2016'' and inserting ``the construction of which does not begin before 
January 1, 2022''.
    (e) Extension of Combined Heat and Power System Property.--Section 
48(c)(3)(A)(iv) is amended by striking ``which is placed in service 
before January 1, 2017'' and inserting ``the construction of which 
begins before January 1, 2022''.
    (f) Extension of Qualified Small Wind Energy Property.--Section 
48(c)(4)(C) is amended by striking ``for any period after December 31, 
2016'' and inserting ``the construction of which does not begin before 
January 1, 2022''.
    (g) Effective Date.--
            (1) In general.--Except as otherwise provided in this 
        subsection, the amendments made by this section shall apply to 
        periods after December 31, 2016, under rules similar to the 
        rules of section 48(m) of the Internal Revenue Code of 1986 (as 
        in effect on the day before the date of the enactment of the 
        Revenue Reconciliation Act of 1990).
            (2) Extension of combined heat and power system property.--
        The amendment made by subsection (e) shall apply to property 
        placed in service after December 31, 2016.
            (3) Phaseouts and terminations.--The amendments made by 
        subsection (b) shall take effect on the date of the enactment 
        of this Act.

SEC. 40412. EXTENSION OF SPECIAL ALLOWANCE FOR SECOND GENERATION 
              BIOFUEL PLANT PROPERTY.

    (a) In General.--Section 168(l)(2)(D) is amended by striking 
``January 1, 2017'' and inserting ``January 1, 2018''.
    (b) Effective Date.--The amendment made by this section shall apply 
to property placed in service after December 31, 2016.

SEC. 40413. EXTENSION OF ENERGY EFFICIENT COMMERCIAL BUILDINGS 
              DEDUCTION.

    (a) In General.--Section 179D(h) is amended by striking ``December 
31, 2016'' and inserting ``December 31, 2017''.
    (b) Effective Date.--The amendment made by this section shall apply 
to property placed in service after December 31, 2016.

SEC. 40414. EXTENSION OF SPECIAL RULE FOR SALES OR DISPOSITIONS TO 
              IMPLEMENT FERC OR STATE ELECTRIC RESTRUCTURING POLICY FOR 
              QUALIFIED ELECTRIC UTILITIES.

    (a) In General.--Section 451(k)(3), as amended by section 13221 of 
Public Law 115-97, is amended by striking ``January 1, 2017'' and 
inserting ``January 1, 2018''.
    (b) Effective Date.--The amendment made by this section shall apply 
to dispositions after December 31, 2016.

SEC. 40415. EXTENSION OF EXCISE TAX CREDITS RELATING TO ALTERNATIVE 
              FUELS.

    (a) Extension of Alternative Fuels Excise Tax Credits.--
            (1) In general.--Sections 6426(d)(5) and 6426(e)(3) are 
        each amended by striking ``December 31, 2016'' and inserting 
        ``December 31, 2017''.
            (2) Outlay payments for alternative fuels.--Section 
        6427(e)(6)(C) is amended by striking ``December 31, 2016'' and 
        inserting ``December 31, 2017''.
            (3) Effective date.--The amendments made by this subsection 
        shall apply to fuel sold or used after December 31, 2016.
    (b) Special Rule for 2017.--Notwithstanding any other provision of 
law, in the case of any alternative fuel credit properly determined 
under section 6426(d) of the Internal Revenue Code of 1986 for the 
period beginning on January 1, 2017, and ending on December 31, 2017, 
such credit shall be allowed, and any refund or payment attributable to 
such credit (including any payment under section 6427(e) of such Code) 
shall be made, only in such manner as the Secretary of the Treasury (or 
the Secretary's delegate) shall provide. Such Secretary shall issue 
guidance within 30 days after the date of the enactment of this Act 
providing for a one-time submission of claims covering periods 
described in the preceding sentence. Such guidance shall provide for a 
180-day period for the submission of such claims (in such manner as 
prescribed by such Secretary) to begin not later than 30 days after 
such guidance is issued. Such claims shall be paid by such Secretary 
not later than 60 days after receipt. If such Secretary has not paid 
pursuant to a claim filed under this subsection within 60 days after 
the date of the filing of such claim, the claim shall be paid with 
interest from such date determined by using the overpayment rate and 
method under section 6621 of such Code.

SEC. 40416. EXTENSION OF OIL SPILL LIABILITY TRUST FUND FINANCING RATE.

    (a) In General.--Section 4611(f)(2) is amended by striking 
``December 31, 2017'' and inserting ``December 31, 2018''.
    (b) Effective Date.--The amendment made by this section shall apply 
on and after the first day of the first calendar month beginning after 
the date of the enactment of this Act.

             Subtitle D--Modifications of Energy Incentives

SEC. 40501. MODIFICATIONS OF CREDIT FOR PRODUCTION FROM ADVANCED 
              NUCLEAR POWER FACILITIES.

    (a) Treatment of Unutilized Limitation Amounts.--Section 45J(b) is 
amended--
            (1) by inserting ``or any amendment to'' after ``enactment 
        of'' in paragraph (4), and
            (2) by adding at the end the following new paragraph:
            ``(5) Allocation of unutilized limitation.--
                    ``(A) In general.--Any unutilized national megawatt 
                capacity limitation shall be allocated by the Secretary 
                under paragraph (3) as rapidly as is practicable after 
                December 31, 2020--
                            ``(i) first to facilities placed in service 
                        on or before such date to the extent that such 
                        facilities did not receive an allocation equal 
                        to their full nameplate capacity, and
                            ``(ii) then to facilities placed in service 
                        after such date in the order in which such 
                        facilities are placed in service.
                    ``(B) Unutilized national megawatt capacity 
                limitation.--The term `unutilized national megawatt 
                capacity limitation' means the excess (if any) of--
                            ``(i) 6,000 megawatts, over
                            ``(ii) the aggregate amount of national 
                        megawatt capacity limitation allocated by the 
                        Secretary before January 1, 2021, reduced by 
                        any amount of such limitation which was 
                        allocated to a facility which was not placed in 
                        service before such date.
                    ``(C) Coordination with other provisions.--In the 
                case of any unutilized national megawatt capacity 
                limitation allocated by the Secretary pursuant to this 
                paragraph--
                            ``(i) such allocation shall be treated for 
                        purposes of this section in the same manner as 
                        an allocation of national megawatt capacity 
                        limitation, and
                            ``(ii) subsection (d)(1)(B) shall not apply 
                        to any facility which receives such 
                        allocation.''.
    (b) Transfer of Credit by Certain Public Entities.--
            (1) In general.--Section 45J is amended--
                    (A) by redesignating subsection (e) as subsection 
                (f), and
                    (B) by inserting after subsection (d) the following 
                new subsection:
    ``(e) Transfer of Credit by Certain Public Entities.--
            ``(1) In general.--If, with respect to a credit under 
        subsection (a) for any taxable year--
                    ``(A) a qualified public entity would be the 
                taxpayer (but for this paragraph), and
                    ``(B) such entity elects the application of this 
                paragraph for such taxable year with respect to all (or 
                any portion specified in such election) of such credit,
        the eligible project partner specified in such election, and 
        not the qualified public entity, shall be treated as the 
        taxpayer for purposes of this title with respect to such credit 
        (or such portion thereof).
            ``(2) Definitions.--For purposes of this subsection--
                    ``(A) Qualified public entity.--The term `qualified 
                public entity' means--
                            ``(i) a Federal, State, or local government 
                        entity, or any political subdivision, agency, 
                        or instrumentality thereof,
                            ``(ii) a mutual or cooperative electric 
                        company described in section 501(c)(12) or 
                        1381(a)(2), or
                            ``(iii) a not-for-profit electric utility 
                        which had or has received a loan or loan 
                        guarantee under the Rural Electrification Act 
                        of 1936.
                    ``(B) Eligible project partner.--The term `eligible 
                project partner' means any person who--
                            ``(i) is responsible for, or participates 
                        in, the design or construction of the advanced 
                        nuclear power facility to which the credit 
                        under subsection (a) relates,
                            ``(ii) participates in the provision of the 
                        nuclear steam supply system to such facility,
                            ``(iii) participates in the provision of 
                        nuclear fuel to such facility,
                            ``(iv) is a financial institution providing 
                        financing for the construction or operation of 
                        such facility, or
                            ``(v) has an ownership interest in such 
                        facility.
            ``(3) Special rules.--
                    ``(A) Application to partnerships.--In the case of 
                a credit under subsection (a) which is determined at 
                the partnership level--
                            ``(i) for purposes of paragraph (1)(A), a 
                        qualified public entity shall be treated as the 
                        taxpayer with respect to such entity's 
                        distributive share of such credit, and
                            ``(ii) the term `eligible project partner' 
                        shall include any partner of the partnership.
                    ``(B) Taxable year in which credit taken into 
                account.--In the case of any credit (or portion 
                thereof) with respect to which an election is made 
                under paragraph (1), such credit shall be taken into 
                account in the first taxable year of the eligible 
                project partner ending with, or after, the qualified 
                public entity's taxable year with respect to which the 
                credit was determined.
                    ``(C) Treatment of transfer under private use 
                rules.--For purposes of section 141(b)(1), any benefit 
                derived by an eligible project partner in connection 
                with an election under this subsection shall not be 
                taken into account as a private business use.''.
            (2) Special rule for proceeds of transfers for mutual or 
        cooperative electric companies.--Section 501(c)(12) is amended 
        by adding at the end the following new subparagraph:
                    ``(I) In the case of a mutual or cooperative 
                electric company described in this paragraph or an 
                organization described in section 1381(a)(2), income 
                received or accrued in connection with an election 
                under section 45J(e)(1) shall be treated as an amount 
                collected from members for the sole purpose of meeting 
                losses and expenses.''.
    (c) Effective Dates.--
            (1) Treatment of unutilized limitation amounts.--The 
        amendment made by subsection (a) shall take effect on the date 
        of the enactment of this Act.
            (2) Transfer of credit by certain public entities.--The 
        amendments made by subsection (b) shall apply to taxable years 
        beginning after the date of the enactment of this Act.

                   TITLE II--MISCELLANEOUS PROVISIONS

SEC. 41101. AMENDMENT OF INTERNAL REVENUE CODE OF 1986.

    Except as otherwise expressly provided, whenever in this title an 
amendment or repeal is expressed in terms of an amendment to, or repeal 
of, a section or other provision, the reference shall be considered to 
be made to a section or other provision of the Internal Revenue Code of 
1986.

SEC. 41102. MODIFICATIONS TO RUM COVER OVER.

    (a) Extension.--
            (1) In general.--Section 7652(f)(1) is amended by striking 
        ``January 1, 2017'' and inserting ``January 1, 2022''.
            (2) Effective date.--The amendment made by this subsection 
        shall apply to distilled spirits brought into the United States 
        after December 31, 2016.
    (b) Determination of Taxes on Rum.--
            (1) In general.--Section 7652(e) is amended by adding at 
        the end the following new paragraph:
            ``(5) Determination of amount of taxes collected.--For 
        purposes of this subsection, the amount of taxes collected 
        under section 5001(a)(1) shall be determined without regard to 
        section 5001(c).''.
            (2) Effective date.--The amendment made by this subsection 
        shall apply to distilled spirits brought into the United States 
        after December 31, 2017.

SEC. 41103. EXTENSION OF WAIVER OF LIMITATIONS WITH RESPECT TO 
              EXCLUDING FROM GROSS INCOME AMOUNTS RECEIVED BY 
              WRONGFULLY INCARCERATED INDIVIDUALS.

    (a) In General.--Section 304(d) of the Protecting Americans from 
Tax Hikes Act of 2015 (26 U.S.C. 139F note) is amended by striking ``1-
year'' and inserting ``3-year''.
    (b) Effective Date.--The amendment made by this section shall take 
effect on the date of the enactment of this Act.

SEC. 41104. INDIVIDUALS HELD HARMLESS ON IMPROPER LEVY ON RETIREMENT 
              PLANS.

    (a) In General.--Section 6343 is amended by adding at the end the 
following new subsection:
    ``(f) Individuals Held Harmless on Wrongful Levy, etc. on 
Retirement Plan.--
            ``(1) In general.--If the Secretary determines that an 
        individual's account or benefit under an eligible retirement 
        plan (as defined in section 402(c)(8)(B)) has been levied upon 
        in a case to which subsection (b) or (d)(2)(A) applies and 
        property or an amount of money is returned to the individual--
                    ``(A) the individual may contribute such property 
                or an amount equal to the sum of--
                            ``(i) the amount of money so returned by 
                        the Secretary, and
                            ``(ii) interest paid under subsection (c) 
                        on such amount of money,
                into such eligible retirement plan if such contribution 
                is permitted by the plan, or into an individual 
                retirement plan (other than an endowment contract) to 
                which a rollover contribution of a distribution from 
                such eligible retirement plan is permitted, but only if 
                such contribution is made not later than the due date 
                (not including extensions) for filing the return of tax 
                for the taxable year in which such property or amount 
                of money is returned, and
                    ``(B) the Secretary shall, at the time such 
                property or amount of money is returned, notify such 
                individual that a contribution described in 
                subparagraph (A) may be made.
            ``(2) Treatment as rollover.--The distribution on account 
        of the levy and any contribution under paragraph (1) with 
        respect to the return of such distribution shall be treated for 
        purposes of this title as if such distribution and contribution 
        were described in section 402(c), 402A(c)(3), 403(a)(4), 
        403(b)(8), 408(d)(3), 408A(d)(3), or 457(e)(16), whichever is 
        applicable; except that--
                    ``(A) the contribution shall be treated as having 
                been made for the taxable year in which the 
                distribution on account of the levy occurred, and the 
                interest paid under subsection (c) shall be treated as 
                earnings within the plan after the contribution and 
                shall not be included in gross income, and
                    ``(B) such contribution shall not be taken into 
                account under section 408(d)(3)(B).
            ``(3) Refund, etc., of income tax on levy.--
                    ``(A) In general.--If any amount is includible in 
                gross income for a taxable year by reason of a 
                distribution on account of a levy referred to in 
                paragraph (1) and any portion of such amount is treated 
                as a rollover contribution under paragraph (2), any tax 
                imposed by chapter 1 on such portion shall not be 
                assessed, and if assessed shall be abated, and if 
                collected shall be credited or refunded as an 
                overpayment made on the due date for filing the return 
                of tax for such taxable year.
                    ``(B) Exception.--Subparagraph (A) shall not apply 
                to a rollover contribution under this subsection which 
                is made from an eligible retirement plan which is not a 
                Roth IRA or a designated Roth account (within the 
                meaning of section 402A) to a Roth IRA or a designated 
                Roth account under an eligible retirement plan.
            ``(4) Interest.--Notwithstanding subsection (d), interest 
        shall be allowed under subsection (c) in a case in which the 
        Secretary makes a determination described in subsection 
        (d)(2)(A) with respect to a levy upon an individual retirement 
        plan.
            ``(5) Treatment of inherited accounts.--For purposes of 
        paragraph (1)(A), section 408(d)(3)(C) shall be disregarded in 
        determining whether an individual retirement plan is a plan to 
        which a rollover contribution of a distribution from the plan 
        levied upon is permitted.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to amounts paid under subsections (b), (c), and (d)(2)(A) of section 
6343 of the Internal Revenue Code of 1986 in taxable years beginning 
after December 31, 2017.

SEC. 41105. MODIFICATION OF USER FEE REQUIREMENTS FOR INSTALLMENT 
              AGREEMENTS.

    (a) In General.--Section 6159 is amended by redesignating 
subsection (f) as subsection (g) and by inserting after subsection (e) 
the following new subsection:
    ``(f) Installment Agreement Fees.--
            ``(1) Limitation on fee amount.--The amount of any fee 
        imposed on an installment agreement under this section may not 
        exceed the amount of such fee as in effect on the date of the 
        enactment of this subsection.
            ``(2) Waiver or reimbursement.--In the case of any taxpayer 
        with an adjusted gross income, as determined for the most 
        recent year for which such information is available, which does 
        not exceed 250 percent of the applicable poverty level (as 
        determined by the Secretary)--
                    ``(A) if the taxpayer has agreed to make payments 
                under the installment agreement by electronic payment 
                through a debit instrument, no fee shall be imposed on 
                an installment agreement under this section, and
                    ``(B) if the taxpayer is unable to make payments 
                under the installment agreement by electronic payment 
                through a debit instrument, the Secretary shall, upon 
                completion of the installment agreement, pay the 
                taxpayer an amount equal to any such fees imposed.''.
    (b) Effective Date.--The amendments made by this section shall 
apply to agreements entered into on or after the date which is 60 days 
after the date of the enactment of this Act.

SEC. 41106. FORM 1040SR FOR SENIORS.

    (a) In General.--The Secretary of the Treasury (or the Secretary's 
delegate) shall make available a form, to be known as ``Form 1040SR'', 
for use by individuals to file the return of tax imposed by chapter 1 
of the Internal Revenue Code of 1986. Such form shall be as similar as 
practicable to Form 1040EZ, except that--
            (1) the form shall be available only to individuals who 
        have attained age 65 as of the close of the taxable year,
            (2) the form may be used even if income for the taxable 
        year includes--
                    (A) social security benefits (as defined in section 
                86(d) of the Internal Revenue Code of 1986),
                    (B) distributions from qualified retirement plans 
                (as defined in section 4974(c) of such Code), annuities 
                or other such deferred payment arrangements,
                    (C) interest and dividends, or
                    (D) capital gains and losses taken into account in 
                determining adjusted net capital gain (as defined in 
                section 1(h)(3) of such Code), and
            (3) the form shall be available without regard to the 
        amount of any item of taxable income or the total amount of 
        taxable income for the taxable year.
    (b) Effective Date.--The form required by subsection (a) shall be 
made available for taxable years beginning after the date of the 
enactment of this Act.

SEC. 41107. ATTORNEYS FEES RELATING TO AWARDS TO WHISTLEBLOWERS.

    (a) In General.--Paragraph (21) of section 62(a) is amended to read 
as follows:
            ``(21) Attorneys' fees relating to awards to 
        whistleblowers.--
                    ``(A) In general.--Any deduction allowable under 
                this chapter for attorney fees and court costs paid by, 
                or on behalf of, the taxpayer in connection with any 
                award under--
                            ``(i) section 7623(b), or
                            ``(ii) in the case of taxable years 
                        beginning after December 31, 2017, any action 
                        brought under--
                                    ``(I) section 21F of the Securities 
                                Exchange Act of 1934 (15 U.S.C. 78u-6),
                                    ``(II) a State law relating to 
                                false or fraudulent claims that meets 
                                the requirements described in section 
                                1909(b) of the Social Security Act (42 
                                U.S.C. 1396h(b)), or
                                    ``(III) section 23 of the Commodity 
                                Exchange Act (7 U.S.C. 26).
                    ``(B) May not exceed award.--Subparagraph (A) shall 
                not apply to any deduction in excess of the amount 
                includible in the taxpayer's gross income for the 
                taxable year on account of such award.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2017.

SEC. 41108. CLARIFICATION OF WHISTLEBLOWER AWARDS.

    (a) Definition of Proceeds.--
            (1) In general.--Section 7623 is amended by adding at the 
        end the following new subsection:
    ``(c) Proceeds.--For purposes of this section, the term `proceeds' 
includes--
            ``(1) penalties, interest, additions to tax, and additional 
        amounts provided under the internal revenue laws, and
            ``(2) any proceeds arising from laws for which the Internal 
        Revenue Service is authorized to administer, enforce, or 
        investigate, including--
                    ``(A) criminal fines and civil forfeitures, and
                    ``(B) violations of reporting requirements.''.
            (2) Conforming amendments.--Paragraphs (1) and (2)(A) of 
        section 7623(b) are each amended by striking ``collected 
        proceeds (including penalties, interest, additions to tax, and 
        additional amounts) resulting from the action'' and inserting 
        ``proceeds collected as a result of the action''.
    (b) Amount of Proceeds Determined Without Regard to Availability.--
Paragraphs (1) and (2)(A) of section 7623(b) are each amended by 
inserting ``(determined without regard to whether such proceeds are 
available to the Secretary)'' after ``in response to such action''.
    (c) Disputed Amount Threshold.--Section 7623(b)(5)(B) is amended by 
striking ``tax, penalties, interest, additions to tax, and additional 
amounts'' and inserting ``proceeds''.
    (d) Effective Date.--The amendments made by this section shall 
apply to information provided before, on, or after the date of the 
enactment of this Act with respect to which a final determination for 
an award has not been made before such date of enactment.

SEC. 41109. CLARIFICATION REGARDING EXCISE TAX BASED ON INVESTMENT 
              INCOME OF PRIVATE COLLEGES AND UNIVERSITIES.

    (a) In General.--Subsection (b)(1) of section 4968, as added by 
section 13701(a) of Public Law 115-97, is amended--
            (1) by inserting ``tuition-paying'' after ``500'' in 
        subparagraph (A), and
            (2) by inserting ``tuition-paying'' after ``50 percent of 
        the'' in subparagraph (B).
    (b) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2017.

SEC. 41110. EXCEPTION FROM PRIVATE FOUNDATION EXCESS BUSINESS HOLDING 
              TAX FOR INDEPENDENTLY-OPERATED PHILANTHROPIC BUSINESS 
              HOLDINGS.

    (a) In General.--Section 4943 is amended by adding at the end the 
following new subsection:
    ``(g) Exception for Certain Holdings Limited to Independently-
operated Philanthropic Business.--
            ``(1) In general.--Subsection (a) shall not apply with 
        respect to the holdings of a private foundation in any business 
        enterprise which meets the requirements of paragraphs (2), (3), 
        and (4) for the taxable year.
            ``(2) Ownership.--The requirements of this paragraph are 
        met if--
                    ``(A) 100 percent of the voting stock in the 
                business enterprise is held by the private foundation 
                at all times during the taxable year, and
                    ``(B) all the private foundation's ownership 
                interests in the business enterprise were acquired by 
                means other than by purchase.
            ``(3) All profits to charity.--
                    ``(A) In general.--The requirements of this 
                paragraph are met if the business enterprise, not later 
                than 120 days after the close of the taxable year, 
                distributes an amount equal to its net operating income 
                for such taxable year to the private foundation.
                    ``(B) Net operating income.--For purposes of this 
                paragraph, the net operating income of any business 
                enterprise for any taxable year is an amount equal to 
                the gross income of the business enterprise for the 
                taxable year, reduced by the sum of--
                            ``(i) the deductions allowed by chapter 1 
                        for the taxable year which are directly 
                        connected with the production of such income,
                            ``(ii) the tax imposed by chapter 1 on the 
                        business enterprise for the taxable year, and
                            ``(iii) an amount for a reasonable reserve 
                        for working capital and other business needs of 
                        the business enterprise.
            ``(4) Independent operation.--The requirements of this 
        paragraph are met if, at all times during the taxable year--
                    ``(A) no substantial contributor (as defined in 
                section 4958(c)(3)(C)) to the private foundation or 
                family member (as determined under section 4958(f)(4)) 
                of such a contributor is a director, officer, trustee, 
                manager, employee, or contractor of the business 
                enterprise (or an individual having powers or 
                responsibilities similar to any of the foregoing),
                    ``(B) at least a majority of the board of directors 
                of the private foundation are persons who are not--
                            ``(i) directors or officers of the business 
                        enterprise, or
                            ``(ii) family members (as so determined) of 
                        a substantial contributor (as so defined) to 
                        the private foundation, and
                    ``(C) there is no loan outstanding from the 
                business enterprise to a substantial contributor (as so 
                defined) to the private foundation or to any family 
                member of such a contributor (as so determined).
            ``(5) Certain deemed private foundations excluded.--This 
        subsection shall not apply to--
                    ``(A) any fund or organization treated as a private 
                foundation for purposes of this section by reason of 
                subsection (e) or (f),
                    ``(B) any trust described in section 4947(a)(1) 
                (relating to charitable trusts), and
                    ``(C) any trust described in section 4947(a)(2) 
                (relating to split-interest trusts).''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2017.

SEC. 41111. RULE OF CONSTRUCTION FOR CRAFT BEVERAGE MODERNIZATION AND 
              TAX REFORM.

    (a) In General.--Subpart A of part IX of subtitle C of title I of 
Public Law 115-97 is amended by adding at the end the following new 
section:

``SEC. 13809. RULE OF CONSTRUCTION.

    ``Nothing in this subpart, the amendments made by this subpart, or 
any regulation promulgated under this subpart or the amendments made by 
this subpart, shall be construed to preempt, supersede, or otherwise 
limit or restrict any State, local, or tribal law that prohibits or 
regulates the production or sale of distilled spirits, wine, or malt 
beverages.''.
    (b) Effective Date.--The amendment made by this section shall take 
effect as if included in Public Law 115-97.

SEC. 41112. SIMPLIFICATION OF RULES REGARDING RECORDS, STATEMENTS, AND 
              RETURNS.

    (a) In General.--Subsection (a) of section 5555 is amended by 
adding at the end the following: ``For calendar quarters beginning 
after the date of the enactment of this sentence, and before January 1, 
2020, the Secretary shall permit a person to employ a unified system 
for any records, statements, and returns required to be kept, rendered, 
or made under this section for any beer produced in the brewery for 
which the tax imposed by section 5051 has been determined, including 
any beer which has been removed for consumption on the premises of the 
brewery.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to calendar quarters beginning after the date of the enactment of this 
Act.

SEC. 41113. MODIFICATION OF RULES GOVERNING HARDSHIP DISTRIBUTIONS.

    (a) In General.--Not later than 1 year after the date of the 
enactment of this Act, the Secretary of the Treasury shall modify 
Treasury Regulation section 1.401(k)-1(d)(3)(iv)(E) to--
            (1) delete the 6-month prohibition on contributions imposed 
        by paragraph (2) thereof, and
            (2) make any other modifications necessary to carry out the 
        purposes of section 401(k)(2)(B)(i)(IV) of the Internal Revenue 
        Code of 1986.
    (b) Effective Date.--The revised regulations under this section 
shall apply to plan years beginning after December 31, 2018.

SEC. 41114. MODIFICATION OF RULES RELATING TO HARDSHIP WITHDRAWALS FROM 
              CASH OR DEFERRED ARRANGEMENTS.

    (a) In General.--Section 401(k) is amended by adding at the end the 
following:
            ``(14) Special rules relating to hardship withdrawals.--For 
        purposes of paragraph (2)(B)(i)(IV)--
                    ``(A) Amounts which may be withdrawn.--The 
                following amounts may be distributed upon hardship of 
                the employee:
                            ``(i) Contributions to a profit-sharing or 
                        stock bonus plan to which section 402(e)(3) 
                        applies.
                            ``(ii) Qualified nonelective contributions 
                        (as defined in subsection (m)(4)(C)).
                            ``(iii) Qualified matching contributions 
                        described in paragraph (3)(D)(ii)(I).
                            ``(iv) Earnings on any contributions 
                        described in clause (i), (ii), or (iii).
                    ``(B) No requirement to take available loan.--A 
                distribution shall not be treated as failing to be made 
                upon the hardship of an employee solely because the 
                employee does not take any available loan under the 
                plan.''.
    (b) Conforming Amendment.--Section 401(k)(2)(B)(i)(IV) is amended 
to read as follows:
                                    ``(IV) subject to the provisions of 
                                paragraph (14), upon hardship of the 
                                employee, or''.
    (c) Effective Date.--The amendments made by this section shall 
apply to plan years beginning after December 31, 2018.

SEC. 41115. OPPORTUNITY ZONES RULE FOR PUERTO RICO.

    (a) In General.--Subsection (b) of section 1400Z-1 is amended by 
adding at the end the following new paragraph:
            ``(3) Special rule for puerto rico.--Each population census 
        tract in Puerto Rico that is a low- income community shall be 
        deemed to be certified and designated as a qualified 
        opportunity zone, effective on the date of the enactment of 
        Public Law 115-97.''.
    (b) Conforming Amendment.--Section 1400Z-1(d)(1) is amended by 
inserting ``and subsection (b)(3)'' after ``paragraph (2)''.

SEC. 41116. TAX HOME OF CERTAIN CITIZENS OR RESIDENTS OF THE UNITED 
              STATES LIVING ABROAD.

    (a) In General.--Paragraph (3) of section 911(d) is amended by 
inserting before the period at the end of the second sentence the 
following: ``, unless such individual is serving in an area designated 
by the President of the United States by Executive order as a combat 
zone for purposes of section 112 in support of the Armed Forces of the 
United States''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2017.

SEC. 41117. TREATMENT OF FOREIGN PERSONS FOR RETURNS RELATING TO 
              PAYMENTS MADE IN SETTLEMENT OF PAYMENT CARD AND THIRD 
              PARTY NETWORK TRANSACTIONS.

    (a) In General.--Section 6050W(d)(1)(B) is amended by adding at the 
end the following: ``Notwithstanding the preceding sentence, a person 
with only a foreign address shall not be treated as a participating 
payee with respect to any payment settlement entity solely because such 
person receives payments from such payment settlement entity in 
dollars.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to returns for calendar years beginning after December 31, 2017.

SEC. 41118. REPEAL OF SHIFT IN TIME OF PAYMENT OF CORPORATE ESTIMATED 
              TAXES.

    The Trade Preferences Extension Act of 2015 is amended by striking 
section 803 (relating to time for payment of corporate estimated 
taxes).

SEC. 41119. ENHANCEMENT OF CARBON DIOXIDE SEQUESTRATION CREDIT.

    (a) In General.--Section 45Q is amended to read as follows:

``SEC. 45Q. CREDIT FOR CARBON OXIDE SEQUESTRATION.

    ``(a) General Rule.--For purposes of section 38, the carbon oxide 
sequestration credit for any taxable year is an amount equal to the sum 
of--
            ``(1) $20 per metric ton of qualified carbon oxide which 
        is--
                    ``(A) captured by the taxpayer using carbon capture 
                equipment which is originally placed in service at a 
                qualified facility before the date of the enactment of 
                the Bipartisan Budget Act of 2018, and
                    ``(B) disposed of by the taxpayer in secure 
                geological storage and not used by the taxpayer as 
                described in paragraph (2)(B),
            ``(2) $10 per metric ton of qualified carbon oxide which 
        is--
                    ``(A) captured by the taxpayer using carbon capture 
                equipment which is originally placed in service at a 
                qualified facility before the date of the enactment of 
                the Bipartisan Budget Act of 2018, and
                    ``(B)(i) used by the taxpayer as a tertiary 
                injectant in a qualified enhanced oil or natural gas 
                recovery project and disposed of by the taxpayer in 
                secure geological storage, or
                    ``(ii) utilized by the taxpayer in a manner 
                described in subsection (f)(5),
            ``(3) the applicable dollar amount (as determined under 
        subsection (b)(1)) per metric ton of qualified carbon oxide 
        which is--
                    ``(A) captured by the taxpayer using carbon capture 
                equipment which is originally placed in service at a 
                qualified facility on or after the date of the 
                enactment of the Bipartisan Budget Act of 2018, during 
                the 12-year period beginning on the date the equipment 
                was originally placed in service, and
                    ``(B) disposed of by the taxpayer in secure 
                geological storage and not used by the taxpayer as 
                described in paragraph (4)(B), and
            ``(4) the applicable dollar amount (as determined under 
        subsection (b)(1)) per metric ton of qualified carbon oxide 
        which is--
                    ``(A) captured by the taxpayer using carbon capture 
                equipment which is originally placed in service at a 
                qualified facility on or after the date of the 
                enactment of the Bipartisan Budget Act of 2018, during 
                the 12-year period beginning on the date the equipment 
                was originally placed in service, and
                    ``(B)(i) used by the taxpayer as a tertiary 
                injectant in a qualified enhanced oil or natural gas 
                recovery project and disposed of by the taxpayer in 
                secure geological storage, or
                    ``(ii) utilized by the taxpayer in a manner 
                described in subsection (f)(5).
    ``(b) Applicable Dollar Amount; Additional Equipment; Election.--
            ``(1) Applicable dollar amount.--
                    ``(A) In general.--The applicable dollar amount 
                shall be an amount equal to--
                            ``(i) for any taxable year beginning in a 
                        calendar year after 2016 and before 2027--
                                    ``(I) for purposes of paragraph (3) 
                                of subsection (a), the dollar amount 
                                established by linear interpolation 
                                between $22.66 and $50 for each 
                                calendar year during such period, and
                                    ``(II) for purposes of paragraph 
                                (4) of such subsection, the dollar 
                                amount established by linear 
                                interpolation between $12.83 and $35 
                                for each calendar year during such 
                                period, and
                            ``(ii) for any taxable year beginning in a 
                        calendar year after 2026--
                                    ``(I) for purposes of paragraph (3) 
                                of subsection (a), an amount equal to 
                                the product of $50 and the inflation 
                                adjustment factor for such calendar 
                                year determined under section 
                                43(b)(3)(B) for such calendar year, 
                                determined by substituting `2025' for 
                                `1990', and
                                    ``(II) for purposes of paragraph 
                                (4) of such subsection, an amount equal 
                                to the product of $35 and the inflation 
                                adjustment factor for such calendar 
                                year determined under section 
                                43(b)(3)(B) for such calendar year, 
                                determined by substituting `2025' for 
                                `1990'.
                    ``(B) Rounding.--The applicable dollar amount 
                determined under subparagraph (A) shall be rounded to 
                the nearest cent.
            ``(2) Installation of additional carbon capture equipment 
        on existing qualified facility.--In the case of a qualified 
        facility placed in service before the date of the enactment of 
        the Bipartisan Budget Act of 2018, for which additional carbon 
        capture equipment is placed in service on or after the date of 
        the enactment of such Act, the amount of qualified carbon oxide 
        which is captured by the taxpayer shall be equal to--
                    ``(A) for purposes of paragraphs (1)(A) and (2)(A) 
                of subsection (a), the lesser of--
                            ``(i) the total amount of qualified carbon 
                        oxide captured at such facility for the taxable 
                        year, or
                            ``(ii) the total amount of the carbon 
                        dioxide capture capacity of the carbon capture 
                        equipment in service at such facility on the 
                        day before the date of the enactment of the 
                        Bipartisan Budget Act of 2018, and
                    ``(B) for purposes of paragraphs (3)(A) and (4)(A) 
                of such subsection, an amount (not less than zero) 
                equal to the excess of--
                            ``(i) the amount described in clause (i) of 
                        subparagraph (A), over
                            ``(ii) the amount described in clause (ii) 
                        of such subparagraph.
            ``(3) Election.--For purposes of determining the carbon 
        oxide sequestration credit under this section, a taxpayer may 
        elect to have the dollar amounts applicable under paragraph (1) 
        or (2) of subsection (a) apply in lieu of the dollar amounts 
        applicable under paragraph (3) or (4) of such subsection for 
        each metric ton of qualified carbon oxide which is captured by 
        the taxpayer using carbon capture equipment which is originally 
        placed in service at a qualified facility on or after the date 
        of the enactment of the Bipartisan Budget Act of 2018.
    ``(c) Qualified Carbon Oxide.--For purposes of this section--
            ``(1) In general.--The term `qualified carbon oxide' 
        means--
                    ``(A) any carbon dioxide which--
                            ``(i) is captured from an industrial source 
                        by carbon capture equipment which is originally 
                        placed in service before the date of the 
                        enactment of the Bipartisan Budget Act of 2018,
                            ``(ii) would otherwise be released into the 
                        atmosphere as industrial emission of greenhouse 
                        gas or lead to such release, and
                            ``(iii) is measured at the source of 
                        capture and verified at the point of disposal, 
                        injection, or utilization,
                    ``(B) any carbon dioxide or other carbon oxide 
                which--
                            ``(i) is captured from an industrial source 
                        by carbon capture equipment which is originally 
                        placed in service on or after the date of the 
                        enactment of the Bipartisan Budget Act of 2018,
                            ``(ii) would otherwise be released into the 
                        atmosphere as industrial emission of greenhouse 
                        gas or lead to such release, and
                            ``(iii) is measured at the source of 
                        capture and verified at the point of disposal, 
                        injection, or utilization, or
                    ``(C) in the case of a direct air capture facility, 
                any carbon dioxide which--
                            ``(i) is captured directly from the ambient 
                        air, and
                            ``(ii) is measured at the source of capture 
                        and verified at the point of disposal, 
                        injection, or utilization.
            ``(2) Recycled carbon oxide.--The term `qualified carbon 
        oxide' includes the initial deposit of captured carbon oxide 
        used as a tertiary injectant. Such term does not include carbon 
        oxide that is recaptured, recycled, and re-injected as part of 
        the enhanced oil and natural gas recovery process.
    ``(d) Qualified Facility.--For purposes of this section, the term 
`qualified facility' means any industrial facility or direct air 
capture facility--
            ``(1) the construction of which begins before January 1, 
        2024, and--
                    ``(A) construction of carbon capture equipment 
                begins before such date, or
                    ``(B) the original planning and design for such 
                facility includes installation of carbon capture 
                equipment, and
            ``(2) which captures--
                    ``(A) in the case of a facility which emits not 
                more than 500,000 metric tons of carbon oxide into the 
                atmosphere during the taxable year, not less than 
                25,000 metric tons of qualified carbon oxide during the 
                taxable year which is utilized in a manner described in 
                subsection (f)(5),
                    ``(B) in the case of an electricity generating 
                facility which is not described in subparagraph (A), 
                not less than 500,000 metric tons of qualified carbon 
                oxide during the taxable year, or
                    ``(C) in the case of a direct air capture facility 
                or any facility not described in subparagraph (A) or 
                (B), not less than 100,000 metric tons of qualified 
                carbon oxide during the taxable year.
    ``(e) Definitions.--For purposes of this section--
            ``(1) Direct air capture facility.--
                    ``(A) In general.--Subject to subparagraph (B), the 
                term `direct air capture facility' means any facility 
                which uses carbon capture equipment to capture carbon 
                dioxide directly from the ambient air.
                    ``(B) Exception.--The term `direct air capture 
                facility' shall not include any facility which captures 
                carbon dioxide--
                            ``(i) which is deliberately released from 
                        naturally occurring subsurface springs, or
                            ``(ii) using natural photosynthesis.
            ``(2) Qualified enhanced oil or natural gas recovery 
        project.--The term `qualified enhanced oil or natural gas 
        recovery project' has the meaning given the term `qualified 
        enhanced oil recovery project' by section 43(c)(2), by 
        substituting `crude oil or natural gas' for `crude oil' in 
        subparagraph (A)(i) thereof.
            ``(3) Tertiary injectant.--The term `tertiary injectant' 
        has the same meaning as when used within section 193(b)(1).
    ``(f) Special Rules.--
            ``(1) Only qualified carbon oxide captured and disposed of 
        or used within the united states taken into account.--The 
        credit under this section shall apply only with respect to 
        qualified carbon oxide the capture and disposal, use, or 
        utilization of which is within--
                    ``(A) the United States (within the meaning of 
                section 638(1)), or
                    ``(B) a possession of the United States (within the 
                meaning of section 638(2)).
            ``(2) Secure geological storage.--The Secretary, in 
        consultation with the Administrator of the Environmental 
        Protection Agency, the Secretary of Energy, and the Secretary 
        of the Interior, shall establish regulations for determining 
        adequate security measures for the geological storage of 
        qualified carbon oxide under subsection (a) such that the 
        qualified carbon oxide does not escape into the atmosphere. 
        Such term shall include storage at deep saline formations, oil 
        and gas reservoirs, and unminable coal seams under such 
        conditions as the Secretary may determine under such 
        regulations.
            ``(3) Credit attributable to taxpayer.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B) or in any regulations prescribed by 
                the Secretary, any credit under this section shall be 
                attributable to--
                            ``(i) in the case of qualified carbon oxide 
                        captured using carbon capture equipment which 
                        is originally placed in service at a qualified 
                        facility before the date of the enactment of 
                        the Bipartisan Budget Act of 2018, the person 
                        that captures and physically or contractually 
                        ensures the disposal, utilization, or use as a 
                        tertiary injectant of such qualified carbon 
                        oxide, and
                            ``(ii) in the case of qualified carbon 
                        oxide captured using carbon capture equipment 
                        which is originally placed in service at a 
                        qualified facility on or after the date of the 
                        enactment of the Bipartisan Budget Act of 2018, 
                        the person that owns the carbon capture 
                        equipment and physically or contractually 
                        ensures the capture and disposal, utilization, 
                        or use as a tertiary injectant of such 
                        qualified carbon oxide.
                    ``(B) Election.--If the person described in 
                subparagraph (A) makes an election under this 
                subparagraph in such time and manner as the Secretary 
                may prescribe by regulations, the credit under this 
                section--
                            ``(i) shall be allowable to the person that 
                        disposes of the qualified carbon oxide, 
                        utilizes the qualified carbon oxide, or uses 
                        the qualified carbon oxide as a tertiary 
                        injectant, and
                            ``(ii) shall not be allowable to the person 
                        described in subparagraph (A).
            ``(4) Recapture.--The Secretary shall, by regulations, 
        provide for recapturing the benefit of any credit allowable 
        under subsection (a) with respect to any qualified carbon oxide 
        which ceases to be captured, disposed of, or used as a tertiary 
        injectant in a manner consistent with the requirements of this 
        section.
            ``(5) Utilization of qualified carbon oxide.--
                    ``(A) In general.--For purposes of this section, 
                utilization of qualified carbon oxide means--
                            ``(i) the fixation of such qualified carbon 
                        oxide through photosynthesis or chemosynthesis, 
                        such as through the growing of algae or 
                        bacteria,
                            ``(ii) the chemical conversion of such 
                        qualified carbon oxide to a material or 
                        chemical compound in which such qualified 
                        carbon oxide is securely stored, or
                            ``(iii) the use of such qualified carbon 
                        oxide for any other purpose for which a 
                        commercial market exists (with the exception of 
                        use as a tertiary injectant in a qualified 
                        enhanced oil or natural gas recovery project), 
                        as determined by the Secretary.
                    ``(B) Measurement.--
                            ``(i) In general.--For purposes of 
                        determining the amount of qualified carbon 
                        oxide utilized by the taxpayer under paragraph 
                        (2)(B)(ii) or (4)(B)(ii) of subsection (a), 
                        such amount shall be equal to the metric tons 
                        of qualified carbon oxide which the taxpayer 
                        demonstrates, based upon an analysis of 
                        lifecycle greenhouse gas emissions and subject 
                        to such requirements as the Secretary, in 
                        consultation with the Secretary of Energy and 
                        the Administrator of the Environmental 
                        Protection Agency, determines appropriate, 
                        were--
                                    ``(I) captured and permanently 
                                isolated from the atmosphere, or
                                    ``(II) displaced from being emitted 
                                into the atmosphere,
                        through use of a process described in 
                        subparagraph (A).
                            ``(ii) Lifecycle greenhouse gas 
                        emissions.--For purposes of clause (i), the 
                        term `lifecycle greenhouse gas emissions' has 
                        the same meaning given such term under 
                        subparagraph (H) of section 211(o)(1) of the 
                        Clean Air Act (42 U.S.C. 7545(o)(1)), as in 
                        effect on the date of the enactment of the 
                        Bipartisan Budget Act of 2018, except that 
                        `product' shall be substituted for `fuel' each 
                        place it appears in such subparagraph.
            ``(6) Election for applicable facilities.--
                    ``(A) In general.--For purposes of this section, in 
                the case of an applicable facility, for any taxable 
                year in which such facility captures not less than 
                500,000 metric tons of qualified carbon oxide during 
                the taxable year, the person described in paragraph 
                (3)(A)(ii) may elect to have such facility, and any 
                carbon capture equipment placed in service at such 
                facility, deemed as having been placed in service on 
                the date of the enactment of the Bipartisan Budget Act 
                of 2018.
                    ``(B) Applicable facility.--For purposes of this 
                paragraph, the term `applicable facility' means a 
                qualified facility--
                            ``(i) which was placed in service before 
                        the date of the enactment of the Bipartisan 
                        Budget Act of 2018, and
                            ``(ii) for which no taxpayer claimed a 
                        credit under this section in regards to such 
                        facility for any taxable year ending before the 
                        date of the enactment of such Act.
            ``(7) Inflation adjustment.--In the case of any taxable 
        year beginning in a calendar year after 2009, there shall be 
        substituted for each dollar amount contained in paragraphs (1) 
        and (2) of subsection (a) an amount equal to the product of--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the inflation adjustment factor for such 
                calendar year determined under section 43(b)(3)(B) for 
                such calendar year, determined by substituting `2008' 
                for `1990'.
    ``(g) Application of Section for Certain Carbon Capture 
Equipment.--In the case of any carbon capture equipment placed in 
service before the date of the enactment of the Bipartisan Budget Act 
of 2018, the credit under this section shall apply with respect to 
qualified carbon oxide captured using such equipment before the end of 
the calendar year in which the Secretary, in consultation with the 
Administrator of the Environmental Protection Agency, certifies that, 
during the period beginning after October 3, 2008, a total of 
75,000,000 metric tons of qualified carbon oxide have been taken into 
account in accordance with--
            ``(1) subsection (a) of this section, as in effect on the 
        day before the date of the enactment of the Bipartisan Budget 
        Act of 2018, and
            ``(2) paragraphs (1) and (2) of subsection (a) of this 
        section.
    ``(h) Regulations.--The Secretary may prescribe such regulations 
and other guidance as may be necessary or appropriate to carry out this 
section, including regulations or other guidance to--
            ``(1) ensure proper allocation under subsection (a) for 
        qualified carbon oxide captured by a taxpayer during the 
        taxable year ending after the date of the enactment of the 
        Bipartisan Budget Act of 2018, and
            ``(2) determine whether a facility satisfies the 
        requirements under subsection (d)(1) during such taxable 
        year.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2017.

            DIVISION E--HEALTH AND HUMAN SERVICES EXTENDERS

SEC. 50100. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This division may be cited as the ``Advancing 
Chronic Care, Extenders, and Social Services (ACCESS) Act''
    (b) Table of Contents.--The table of contents for this division is 
as follows:

            DIVISION E--HEALTH AND HUMAN SERVICES EXTENDERS

Sec. 50100. Short title; table of contents.

                             TITLE I--CHIP

Sec. 50101. Funding extension of the Children's Health Insurance 
                            Program through fiscal year 2027.
Sec. 50102. Extension of pediatric quality measures program.
Sec. 50103. Extension of outreach and enrollment program.

                      TITLE II--MEDICARE EXTENDERS

Sec. 50201. Extension of work GPCI floor.
Sec. 50202. Repeal of Medicare payment cap for therapy services; 
                            limitation to ensure appropriate therapy.
Sec. 50203. Medicare ambulance services.
Sec. 50204. Extension of increased inpatient hospital payment 
                            adjustment for certain low-volume 
                            hospitals.
Sec. 50205. Extension of the Medicare-dependent hospital (MDH) program.
Sec. 50206. Extension of funding for quality measure endorsement, 
                            input, and selection; reporting 
                            requirements.
Sec. 50207. Extension of funding outreach and assistance for low-income 
                            programs; State health insurance assistance 
                            program reporting requirements.
Sec. 50208. Extension of home health rural add-on.

  TITLE III--CREATING HIGH-QUALITY RESULTS AND OUTCOMES NECESSARY TO 
                     IMPROVE CHRONIC (CHRONIC) CARE

          Subtitle A--Receiving High Quality Care in the Home

Sec. 50301. Extending the Independence at Home Demonstration Program.
Sec. 50302. Expanding access to home dialysis therapy.

                 Subtitle B--Advancing Team-Based Care

Sec. 50311. Providing continued access to Medicare Advantage special 
                            needs plans for vulnerable populations.

            Subtitle C--Expanding Innovation and Technology

Sec. 50321. Adapting benefits to meet the needs of chronically ill 
                            Medicare Advantage enrollees.
Sec. 50322. Expanding supplemental benefits to meet the needs of 
                            chronically ill Medicare Advantage 
                            enrollees.
Sec. 50323. Increasing convenience for Medicare Advantage enrollees 
                            through telehealth.
Sec. 50324. Providing accountable care organizations the ability to 
                            expand the use of telehealth.
Sec. 50325. Expanding the use of telehealth for individuals with 
                            stroke.

         Subtitle D--Identifying the Chronically Ill Population

Sec. 50331. Providing flexibility for beneficiaries to be part of an 
                            accountable care organization.

   Subtitle E--Empowering Individuals and Caregivers in Care Delivery

Sec. 50341. Eliminating barriers to care coordination under accountable 
                            care organizations.
Sec. 50342. GAO study and report on longitudinal comprehensive care 
                            planning services under Medicare part B.

   Subtitle F--Other Policies to Improve Care for the Chronically Ill

Sec. 50351. GAO study and report on improving medication 
                            synchronization.
Sec. 50352. GAO study and report on impact of obesity drugs on patient 
                            health and spending.
Sec. 50353. HHS study and report on long-term risk factors for chronic 
                            conditions among Medicare beneficiaries.
Sec. 50354. Providing prescription drug plans with parts A and B claims 
                            data to promote the appropriate use of 
                            medications and improve health outcomes.

     TITLE IV--PART B IMPROVEMENT ACT AND OTHER PART B ENHANCEMENTS

              Subtitle A--Medicare Part B Improvement Act

Sec. 50401. Home infusion therapy services temporary transitional 
                            payment.
Sec. 50402. Orthotist's and prosthetist's clinical notes as part of the 
                            patient's medical record.
Sec. 50403. Independent accreditation for dialysis facilities and 
                            assurance of high quality surveys.
Sec. 50404. Modernizing the application of the Stark rule under 
                            Medicare.

               Subtitle B--Additional Medicare Provisions

Sec. 50411. Making permanent the removal of the rental cap for durable 
                            medical equipment under Medicare with 
                            respect to speech generating devices.
Sec. 50412. Increased civil and criminal penalties and increased 
                            sentences for Federal health care program 
                            fraud and abuse.
Sec. 50413. Reducing the volume of future EHR-related significant 
                            hardship requests.
Sec. 50414. Strengthening rules in case of competition for diabetic 
                            testing strips.

                    TITLE V--OTHER HEALTH EXTENDERS

Sec. 50501. Extension for family-to-family health information centers.
Sec. 50502. Extension for sexual risk avoidance education.
Sec. 50503. Extension for personal responsibility education.

       TITLE VI--CHILD AND FAMILY SERVICES AND SUPPORTS EXTENDERS

 Subtitle A--Continuing the Maternal, Infant, and Early Childhood Home 
                            Visiting Program

Sec. 50601. Continuing evidence-based home visiting program.
Sec. 50602. Continuing to demonstrate results to help families.
Sec. 50603. Reviewing statewide needs to target resources.
Sec. 50604. Improving the likelihood of success in high-risk 
                            communities.
Sec. 50605. Option to fund evidence-based home visiting on a pay for 
                            outcome basis.
Sec. 50606. Data exchange standards for improved interoperability.
Sec. 50607. Allocation of funds.

  Subtitle B--Extension of Health Professions Workforce Demonstration 
                                Projects

Sec. 50611. Extension of health workforce demonstration projects for 
                            low-income individuals.

            TITLE VII--FAMILY FIRST PREVENTION SERVICES ACT

      Subtitle A--Investing in Prevention and Supporting Families

Sec. 50701. Short title.
Sec. 50702. Purpose.

             PART I--Prevention Activities Under Title IV-E

Sec. 50711. Foster care prevention services and programs.
Sec. 50712. Foster care maintenance payments for children with parents 
                            in a licensed residential family-based 
                            treatment facility for substance abuse.
Sec. 50713. Title IV-E payments for evidence-based kinship navigator 
                            programs.

               PART II--Enhanced Support Under Title IV-B

Sec. 50721. Elimination of time limit for family reunification services 
                            while in foster care and permitting time-
                            limited family reunification services when 
                            a child returns home from foster care.
Sec. 50722. Reducing bureaucracy and unnecessary delays when placing 
                            children in homes across State lines.
Sec. 50723. Enhancements to grants to improve well-being of families 
                            affected by substance abuse.

                        PART III--Miscellaneous

Sec. 50731. Reviewing and improving licensing standards for placement 
                            in a relative foster family home.
Sec. 50732. Development of a statewide plan to prevent child abuse and 
                            neglect fatalities.
Sec. 50733. Modernizing the title and purpose of title IV-E.
Sec. 50734. Effective dates.

PART IV--Ensuring the Necessity of a Placement That Is Not in a Foster 
                              Family Home

Sec. 50741. Limitation on Federal financial participation for 
                            placements that are not in foster family 
                            homes.
Sec. 50742. Assessment and documentation of the need for placement in a 
                            qualified residential treatment program.
Sec. 50743. Protocols to prevent inappropriate diagnoses.
Sec. 50744. Additional data and reports regarding children placed in a 
                            setting that is not a foster family home.
Sec. 50745. Criminal records checks and checks of child abuse and 
                            neglect registries for adults working in 
                            child-care institutions and other group 
                            care settings.
Sec. 50746. Effective dates; application to waivers.

        PART V--Continuing Support for Child and Family Services

Sec. 50751. Supporting and retaining foster families for children.
Sec. 50752. Extension of child and family services programs.
Sec. 50753. Improvements to the John H. Chafee foster care independence 
                            program and related provisions.

PART VI--Continuing Incentives to States to Promote Adoption and Legal 
                              Guardianship

Sec. 50761. Reauthorizing adoption and legal guardianship incentive 
                            programs.

                    PART VII--Technical Corrections

Sec. 50771. Technical corrections to data exchange standards to improve 
                            program coordination.
Sec. 50772. Technical corrections to State requirement to address the 
                            developmental needs of young children.

PART VIII--Ensuring States Reinvest Savings Resulting From Increase in 
                          Adoption Assistance

Sec. 50781. Delay of adoption assistance phase-in.
Sec. 50782. GAO study and report on State reinvestment of savings 
                            resulting from increase in adoption 
                            assistance.

  TITLE VIII--SUPPORTING SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS

Sec. 50801. Short title.
Sec. 50802. Social impact partnerships to pay for results.

                    TITLE IX--PUBLIC HEALTH PROGRAMS

Sec. 50901. Extension for community health centers, the National Health 
                            Service Corps, and teaching health centers 
                            that operate GME programs.
Sec. 50902. Extension for special diabetes programs.

              TITLE X--MISCELLANEOUS HEALTH CARE POLICIES

Sec. 51001. Home health payment reform.
Sec. 51002. Information to satisfy documentation of Medicare 
                            eligibility for home health services.
Sec. 51003. Technical amendments to Public Law 114-10.
Sec. 51004. Expanded access to Medicare intensive cardiac 
                            rehabilitation programs.
Sec. 51005. Extension of blended site neutral payment rate for certain 
                            long-term care hospital discharges; 
                            temporary adjustment to site neutral 
                            payment rates.
Sec. 51006. Recognition of attending physician assistants as attending 
                            physicians to serve hospice patients.
Sec. 51007. Extension of enforcement instruction on supervision 
                            requirements for outpatient therapeutic 
                            services in critical access and small rural 
                            hospitals through 2017.
Sec. 51008. Allowing physician assistants, nurse practitioners, and 
                            clinical nurse specialists to supervise 
                            cardiac, intensive cardiac, and pulmonary 
                            rehabilitation programs.
Sec. 51009. Transitional payment rules for certain radiation therapy 
                            services under the physician fee schedule.

          TITLE XI--PROTECTING SENIORS' ACCESS TO MEDICARE ACT

Sec. 52001. Repeal of the Independent Payment Advisory Board.

                           TITLE XII--OFFSETS

Sec. 53101. Modifying reductions in Medicaid DSH allotments.
Sec. 53102. Third party liability in Medicaid and CHIP.
Sec. 53103. Treatment of lottery winnings and other lump-sum income for 
                            purposes of income eligibility under 
                            Medicaid.
Sec. 53104. Rebate obligation with respect to line extension drugs.
Sec. 53105. Medicaid Improvement Fund.
Sec. 53106. Physician fee schedule update.
Sec. 53107. Payment for outpatient physical therapy services and 
                            outpatient occupational therapy services 
                            furnished by a therapy assistant.
Sec. 53108. Reduction for non-emergency ESRD ambulance transports.
Sec. 53109. Hospital transfer policy for early discharges to hospice 
                            care.
Sec. 53110. Medicare payment update for home health services.
Sec. 53111. Medicare payment update for skilled nursing facilities.
Sec. 53112. Preventing the artificial inflation of star ratings after 
                            the consolidation of Medicare Advantage 
                            plans offered by the same organization.
Sec. 53113. Sunsetting exclusion of biosimilars from Medicare part D 
                            coverage gap discount program.
Sec. 53114. Adjustments to Medicare part B and part D premium subsidies 
                            for higher income individuals.
Sec. 53115. Medicare Improvement Fund.
Sec. 53116. Closing the Donut Hole for Seniors.
Sec. 53117. Modernizing child support enforcement fees.
Sec. 53118. Increasing efficiency of prison data reporting.
Sec. 53119. Prevention and Public Health Fund.

                             TITLE I--CHIP

SEC. 50101. FUNDING EXTENSION OF THE CHILDREN'S HEALTH INSURANCE 
              PROGRAM THROUGH FISCAL YEAR 2027.

    (a) In General.--Section 2104(a) of the Social Security Act (42 
U.S.C. 1397dd(a)), as amended by section 3002(a) of the HEALTHY KIDS 
Act (division C of Public Law 115-120), is amended--
            (1) in paragraph (25), by striking ``; and'' and inserting 
        a semicolon;
            (2) in paragraph (26), by striking the period at the end 
        and inserting a semicolon; and
            (3) by adding at the end the following new paragraphs:
            ``(27) for each of fiscal years 2024 through 2026, such 
        sums as are necessary to fund allotments to States under 
        subsections (c) and (m); and
            ``(28) for fiscal year 2027, for purposes of making two 
        semi-annual allotments--
                    ``(A) $7,650,000,000 for the period beginning on 
                October 1, 2026, and ending on March 31, 2027; and
                    ``(B) $7,650,000,000 for the period beginning on 
                April 1, 2027, and ending on September 30, 2027.''.
    (b) Allotments.--
            (1) In general.--Section 2104(m) of the Social Security Act 
        (42 U.S.C. 1397dd(m)), as amended by section 3002(b) of the 
        HEALTHY KIDS Act (division C of Public Law 115-120), is 
        amended--
                    (A) in paragraph (2)(B)--
                            (i) in the matter preceding clause (i), by 
                        striking ``(25)'' and inserting ``(27)'';
                            (ii) in clause (i), by striking ``and 
                        2023'' and inserting ``, 2023, and 2027''; and
                            (iii) in clause (ii)(I), by striking ``(or, 
                        in the case of fiscal year 2018, under 
                        paragraph (4))'' and inserting ``(or, in the 
                        case of fiscal year 2018 or 2024, under 
                        paragraph (4) or (10), respectively)'';
                    (B) in paragraph (5)--
                            (i) by striking ``or (10)'' and inserting 
                        ``(10), or (11)''; and
                            (ii) by striking ``or 2023,'' and inserting 
                        ``2023, or 2027,'';
                    (C) in paragraph (7)--
                            (i) in subparagraph (A), by striking 
                        ``2023'' and inserting ``2027,''; and
                            (ii) in the matter following subparagraph 
                        (B), by striking ``or fiscal year 2022'' and 
                        inserting ``fiscal year 2022, fiscal year 2024, 
                        or fiscal year 2026'';
                    (D) in paragraph (9)--
                            (i) by striking ``or (10)'' and inserting 
                        ``(10), or (11)''; and
                            (ii) by striking ``or 2023,'' and inserting 
                        ``2023, or 2027,''; and
                    (E) by adding at the end the following:
            ``(11) For fiscal year 2027.--
                    ``(A) First half.--Subject to paragraphs (5) and 
                (7), from the amount made available under subparagraph 
                (A) of paragraph (28) of subsection (a) for the semi-
                annual period described in such subparagraph, increased 
                by the amount of the appropriation for such period 
                under section 50101(b)(2) of the Advancing Chronic 
                Care, Extenders, and Social Services Act, the Secretary 
                shall compute a State allotment for each State 
                (including the District of Columbia and each 
                commonwealth and territory) for such semi-annual period 
                in an amount equal to the first half ratio (described 
                in subparagraph (D)) of the amount described in 
                subparagraph (C).
                    ``(B) Second half.--Subject to paragraphs (5) and 
                (7), from the amount made available under subparagraph 
                (B) of paragraph (28) of subsection (a) for the semi-
                annual period described in such subparagraph, the 
                Secretary shall compute a State allotment for each 
                State (including the District of Columbia and each 
                commonwealth and territory) for such semi-annual period 
                in an amount equal to the amount made available under 
                such subparagraph, multiplied by the ratio of--
                            ``(i) the amount of the allotment to such 
                        State under subparagraph (A); to
                            ``(ii) the total of the amount of all of 
                        the allotments made available under such 
                        subparagraph.
                    ``(C) Full year amount based on rebased amount.--
                The amount described in this subparagraph for a State 
                is equal to the Federal payments to the State that are 
                attributable to (and countable towards) the total 
                amount of allotments available under this section to 
                the State in fiscal year 2026 (including payments made 
                to the State under subsection (n) for fiscal year 2026 
                as well as amounts redistributed to the State in fiscal 
                year 2026), multiplied by the allotment increase factor 
                under paragraph (6) for fiscal year 2027.
                    ``(D) First half ratio.--The first half ratio 
                described in this subparagraph is the ratio of--
                            ``(i) the sum of--
                                    ``(I) the amount made available 
                                under subsection (a)(28)(A); and
                                    ``(II) the amount of the 
                                appropriation for such period under 
                                section 50101(b)(2) of the Advancing 
                                Chronic Care, Extenders, and Social 
                                Services Act; to
                            ``(ii) the sum of--
                                    ``(I) the amount described in 
                                clause (i); and
                                    ``(II) the amount made available 
                                under subsection (a)(28)(B).''.
            (2) One-time appropriation for fiscal year 2027.--There is 
        appropriated to the Secretary of Health and Human Services, out 
        of any money in the Treasury not otherwise appropriated, such 
        sums as are necessary to fund allotments to States under 
        subsections (c) and (m) of section 2104 of the Social Security 
        Act (42 U.S.C. 1397dd) for fiscal year 2027, taking into 
        account the full year amounts calculated for States under 
        paragraph (11)(C) of subsection (m) of such section (as added 
        by paragraph (1)) and the amounts appropriated under 
        subparagraphs (A) and (B) of subsection (a)(28) of such section 
        (as added by subsection (a)). Such amount shall accompany the 
        allotment made for the period beginning on October 1, 2026, and 
        ending on March 31, 2027, under paragraph (28)(A) of section 
        2104(a) of such Act (42 U.S.C. 1397dd(a)), to remain available 
        until expended. Such amount shall be used to provide allotments 
        to States under paragraph (11) of section 2104(m) of such Act 
        for the first 6 months of fiscal year 2027 in the same manner 
        as allotments are provided under subsection (a)(28)(A) of such 
        section 2104 and subject to the same terms and conditions as 
        apply to the allotments provided from such subsection 
        (a)(28)(A).
    (c) Extension of the Child Enrollment Contingency Fund.--Section 
2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)), as amended by 
section 3002(c) of the HEALTHY KIDS Act (division C of Public Law 115-
120), is amended--
            (1) in paragraph (2)--
                    (A) in subparagraph (A)(ii)--
                            (i) by striking ``and 2018 through 2022'' 
                        and inserting ``2018 through 2022, and 2024 
                        through 2026''; and
                            (ii) by striking ``and 2023'' and inserting 
                        ``2023, and 2027''; and
                    (B) in subparagraph (B)--
                            (i) by striking ``and 2018 through 2022'' 
                        and inserting ``2018 through 2022, and 2024 
                        through 2026''; and
                            (ii) by striking ``and 2023'' and inserting 
                        ``2023, and 2027''; and
            (2) in paragraph (3)(A), in the matter preceding clause 
        (i)--
                    (A) by striking ``or in any of fiscal years 2018 
                through 2022'' and inserting ``fiscal years 2018 
                through 2022, or fiscal years 2024 through 2026''; and
                    (B) by striking ``or 2023'' and inserting ``2023, 
                or 2027''.
    (d) Extension of Qualifying States Option.--Section 2105(g)(4) of 
the Social Security Act (42 U.S.C. 1397ee(g)(4)), as amended by section 
3002(d) of the HEALTHY KIDS Act (division C of Public Law 115-120), is 
amended--
            (1) in the paragraph heading, by striking ``through 2023'' 
        and inserting ``through 2027''; and
            (2) in subparagraph (A), by striking ``2023'' and inserting 
        ``2027''.
    (e) Extension of Express Lane Eligibility Option.--Section 
1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)), 
as amended by section 3002(e) of the HEALTHY KIDS Act (division C of 
Public Law 115-120), is amended by striking ``2023'' and inserting 
``2027''.
    (f) Assurance of Eligibility Standard for Children and Families.--
            (1) In general.--Section 2105(d)(3) of the Social Security 
        Act (42 U.S.C. 1397ee(d)(3)), as amended by section 3002(f)(1) 
        of the HEALTHY KIDS Act (division C of Public Law 115-120), is 
        amended--
                    (A) in the paragraph heading, by striking ``through 
                september 30, 2023'' and inserting ``through september 
                30, 2027''; and
                    (B) in subparagraph (A), in the matter preceding 
                clause (i), by striking ``2023'' each place it appears 
                and inserting ``2027''.
            (2) Conforming amendments.--Section 1902(gg)(2) of the 
        Social Security Act (42 U.S.C. 1396a(gg)(2)), as amended by 
        section 3002(f)(2) of the HEALTHY KIDS Act (division C of 
        Public Law 115-120), is amended--
                    (A) in the paragraph heading, by striking ``through 
                september 30, 2023'' and inserting ``through september 
                30, 2027''; and
                    (B) by striking ``2023,'' each place it appears and 
                inserting ``2027''.

SEC. 50102. EXTENSION OF PEDIATRIC QUALITY MEASURES PROGRAM.

    (a) In General.--Section 1139A(i)(1) of the Social Security Act (42 
U.S.C. 1320b-9a(i)(1)), as amended by section 3003(b) of the HEALTHY 
KIDS Act (division C of Public Law 115-120), is amended--
            (1) in subparagraph (B), by striking ``; and'' and 
        inserting a semicolon;
            (2) in subparagraph (C), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
                    ``(D) for the period of fiscal years 2024 through 
                2027, $60,000,000 for the purpose of carrying out this 
                section (other than subsections (e), (f), and (g)).''.
    (b) Making Reporting Mandatory.--Section 1139A of the Social 
Security Act (42 U.S.C. 1320b-9a) is amended--
            (1) in subsection (a)--
                    (A) in the heading for paragraph (4), by inserting 
                ``and mandatory reporting'' after ``reporting'';
                    (B) in paragraph (4)--
                            (i) by striking ``Not later than'' and 
                        inserting the following:
                    ``(A) Voluntary reporting.--Not later than''; and
                            (ii) by adding at the end the following:
                    ``(B) Mandatory reporting.--Beginning with the 
                annual State report on fiscal year 2024 required under 
                subsection (c)(1), the Secretary shall require States 
                to use the initial core measurement set and any updates 
                or changes to that set to report information regarding 
                the quality of pediatric health care under titles XIX 
                and XXI using the standardized format for reporting 
                information and procedures developed under subparagraph 
                (A).''; and
                    (C) in paragraph (6)(B), by inserting ``and, 
                beginning with the report required on January 1, 2025, 
                and for each annual report thereafter, the status of 
                mandatory reporting by States under titles XIX and XXI, 
                utilizing the initial core quality measurement set and 
                any updates or changes to that set'' before the 
                semicolon; and
            (2) in subsection (c)(1)(A), by inserting ``and, beginning 
        with the annual report on fiscal year 2024, all of the core 
        measures described in subsection (a) and any updates or changes 
        to those measures'' before the semicolon.

SEC. 50103. EXTENSION OF OUTREACH AND ENROLLMENT PROGRAM.

    (a) In General.--Section 2113 of the Social Security Act (42 U.S.C. 
1397mm), as amended by section 3004(a) of the HEALTHY KIDS Act 
(division C of Public Law 115-120), is amended--
            (1) in subsection (a)(1), by striking ``2023'' and 
        inserting ``2027''; and
            (2) in subsection (g)--
                    (A) by striking ``and $120,000,000'' and inserting 
                ``, $120,000,000''; and
                    (B) by inserting ``, and $48,000,000 for the period 
                of fiscal years 2024 through 2027'' after ``2023''.
    (b) Additional Reserved Funds.--Section 2113(a) of the Social 
Security Act (42 U.S.C. 1397mm(a)) is amended--
            (1) in paragraph (1), by striking ``paragraph (2)'' and 
        inserting ``paragraphs (2) and (3)''; and
            (2) by adding at the end the following new paragraph:
            ``(3) Ten percent set aside for evaluating and providing 
        technical assistance to grantees.--For the period of fiscal 
        years 2024 through 2027, an amount equal to 10 percent of such 
        amounts shall be used by the Secretary for the purpose of 
        evaluating and providing technical assistance to eligible 
        entities awarded grants under this section.''.
    (c) Use of Reserved Funds for National Enrollment and Retention 
Strategies.--Section 2113(h) of the Social Security Act (42 U.S.C. 
1397mm(h)) is amended--
            (1) in paragraph (5), by striking ``; and'' and inserting a 
        semicolon;
            (2) by redesignating paragraph (6) as paragraph (7); and
            (3) by inserting after paragraph (5) the following new 
        paragraph:
            ``(6) the development of materials and toolkits and the 
        provision of technical assistance to States regarding 
        enrollment and retention strategies for eligible children under 
        this title and title XIX; and''.

                      TITLE II--MEDICARE EXTENDERS

SEC. 50201. EXTENSION OF WORK GPCI FLOOR.

    Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)) is amended by striking ``January 1, 2018'' and inserting 
``January 1, 2020''.

SEC. 50202. REPEAL OF MEDICARE PAYMENT CAP FOR THERAPY SERVICES; 
              LIMITATION TO ENSURE APPROPRIATE THERAPY.

    Section 1833(g) of the Social Security Act (42 U.S.C. 1395l(g)) is 
amended--
            (1) in paragraph (1)--
                    (A) by striking ``Subject to paragraphs (4) and 
                (5)'' and inserting ``(A) Subject to paragraphs (4) and 
                (5)'';
                    (B) in the subparagraph (A), as inserted and 
                designated by subparagraph (A) of this paragraph, by 
                adding at the end the following new sentence: ``The 
                preceding sentence shall not apply to expenses incurred 
                with respect to services furnished after December 31, 
                2017.''; and
                    (C) by adding at the end the following new 
                subparagraph:
    ``(B) With respect to services furnished during 2018 or a 
subsequent year, in the case of physical therapy services of the type 
described in section 1861(p), speech-language pathology services of the 
type described in such section through the application of section 
1861(ll)(2), and physical therapy services and speech-language 
pathology services of such type which are furnished by a physician or 
as incident to physicians' services, with respect to expenses incurred 
in any calendar year, any amount that is more than the amount specified 
in paragraph (2) for the year shall not be considered as incurred 
expenses for purposes of subsections (a) and (b) unless the applicable 
requirements of paragraph (7) are met.'';
            (2) in paragraph (3)--
                    (A) by striking ``Subject to paragraphs (4) and 
                (5)'' and inserting ``(A) Subject to paragraphs (4) and 
                (5)'';
                    (B) in the subparagraph (A), as inserted and 
                designated by subparagraph (A) of this paragraph, by 
                adding at the end the following new sentence: ``The 
                preceding sentence shall not apply to expenses incurred 
                with respect to services furnished after December 31, 
                2017.''; and
                    (C) by adding at the end the following new 
                subparagraph:.
    ``(B) With respect to services furnished during 2018 or a 
subsequent year, in the case of occupational therapy services (of the 
type that are described in section 1861(p) through the operation of 
section 1861(g) and of such type which are furnished by a physician or 
as incident to physicians' services), with respect to expenses incurred 
in any calendar year, any amount that is more than the amount specified 
in paragraph (2) for the year shall not be considered as incurred 
expenses for purposes of subsections (a) and (b) unless the applicable 
requirements of paragraph (7) are met.'';
            (3) in paragraph (5)--
                    (A) by redesignating subparagraph (D) as paragraph 
                (8) and moving such paragraph to immediately follow 
                paragraph (7), as added by paragraph (4) of this 
                section; and
                    (B) in subparagraph (E)(iv), by inserting ``, 
                except as such process is applied under paragraph 
                (7)(B)'' before the period at the end; and
            (4) by adding at the end the following new paragraph:
    ``(7) For purposes of paragraphs (1)(B) and (3)(B), with respect to 
services described in such paragraphs, the requirements described in 
this paragraph are as follows:
            ``(A) Inclusion of appropriate modifier.--The claim for 
        such services contains an appropriate modifier (such as the KX 
        modifier described in paragraph (5)(B)) indicating that such 
        services are medically necessary as justified by appropriate 
        documentation in the medical record involved.
            ``(B) Targeted medical review for certain services above 
        threshold.--
                    ``(i) In general.--In the case where expenses that 
                would be incurred for such services would exceed the 
                threshold described in clause (ii) for the year, such 
                services shall be subject to the process for medical 
                review implemented under paragraph (5)(E).
                    ``(ii) Threshold.--The threshold under this clause 
                for--
                            ``(I) a year before 2028, is $3,000;
                            ``(II) 2028, is the amount specified in 
                        subclause (I) increased by the percentage 
                        increase in the MEI (as defined in section 
                        1842(i)(3)) for 2028; and
                            ``(III) a subsequent year, is the amount 
                        specified in this clause for the preceding year 
                        increased by the percentage increase in the MEI 
                        (as defined in section 1842(i)(3)) for such 
                        subsequent year;
                except that if an increase under subclause (II) or 
                (III) for a year is not a multiple of $10, it shall be 
                rounded to the nearest multiple of $10.
                    ``(iii) Application.--The threshold under clause 
                (ii) shall be applied separately--
                            ``(I) for physical therapy services and 
                        speech-language pathology services; and
                            ``(II) for occupational therapy services.
                    ``(iv) Funding.--For purposes of carrying out this 
                subparagraph, the Secretary shall provide for the 
                transfer, from the Federal Supplementary Medical 
                Insurance Trust Fund under section 1841 to the Centers 
                for Medicare & Medicaid Services Program Management 
                Account, of $5,000,000 for each fiscal year beginning 
                with fiscal year 2018, to remain available until 
                expended. Such funds may not be used by a contractor 
                under section 1893(h) for medical reviews under this 
                subparagraph.''.

SEC. 50203. MEDICARE AMBULANCE SERVICES.

    (a) Extension of Certain Ground Ambulance Add-on Payments.--
            (1) Ground ambulance.--Section 1834(l)(13)(A) of the Social 
        Security Act (42 U.S.C. 1395m(l)(13)(A)) is amended by striking 
        ``2018'' and inserting ``2023'' each place it appears.
            (2) Super rural ambulance.--Section 1834(l)(12)(A) of the 
        Social Security Act (42 U.S.C. 1395m(l)(12)(A)) is amended, in 
        the first sentence, by striking ``2018'' and inserting 
        ``2023''.
    (b) Requiring Ground Ambulance Providers of Services and Suppliers 
to Submit Cost and Other Information.--Section 1834(l) of the Social 
Security Act (42 U.S.C. 1395m(l)) is amended by adding at the end the 
following new paragraph:
            ``(17) Submission of cost and other information.--
                    ``(A) Development of data collection system.--The 
                Secretary shall develop a data collection system (which 
                may include use of a cost survey) to collect cost, 
                revenue, utilization, and other information determined 
                appropriate by the Secretary with respect to providers 
                of services (in this paragraph referred to as 
                `providers') and suppliers of ground ambulance 
                services. Such system shall be designed to collect 
                information--
                            ``(i) needed to evaluate the extent to 
                        which reported costs relate to payment rates 
                        under this subsection;
                            ``(ii) on the utilization of capital 
                        equipment and ambulance capacity, including 
                        information consistent with the type of 
                        information described in section 1121(a); and
                            ``(iii) on different types of ground 
                        ambulance services furnished in different 
                        geographic locations, including rural areas and 
                        low population density areas described in 
                        paragraph (12).
                    ``(B) Specification of data collection system.--
                            ``(i) In general.--The Secretary shall--
                                    ``(I) not later than December 31, 
                                2019, specify the data collection 
                                system under subparagraph (A); and
                                    ``(II) identify the providers and 
                                suppliers of ground ambulance services 
                                that would be required to submit 
                                information under such data collection 
                                system, including the representative 
                                sample described in clause (ii).
                            ``(ii) Determination of representative 
                        sample.--
                                    ``(I) In general.--Not later than 
                                December 31, 2019, with respect to the 
                                data collection for the first year 
                                under such system, and for each 
                                subsequent year through 2024, the 
                                Secretary shall determine a 
                                representative sample to submit 
                                information under the data collection 
                                system.
                                    ``(II) Requirements.--The sample 
                                under subclause (I) shall be 
                                representative of the different types 
                                of providers and suppliers of ground 
                                ambulance services (such as those 
                                providers and suppliers that are part 
                                of an emergency service or part of a 
                                government organization) and the 
                                geographic locations in which ground 
                                ambulance services are furnished (such 
                                as urban, rural, and low population 
                                density areas).
                                    ``(III) Limitation.--The Secretary 
                                shall not include an individual 
                                provider or supplier of ground 
                                ambulance services in the sample under 
                                subclause (I) in 2 consecutive years, 
                                to the extent practicable.
                    ``(C) Reporting of cost information.--For each 
                year, a provider or supplier of ground ambulance 
                services identified by the Secretary under subparagraph 
                (B)(i)(II) as being required to submit information 
                under the data collection system with respect to a 
                period for the year shall submit to the Secretary 
                information specified under the system. Such 
                information shall be submitted in a form and manner, 
                and at a time, specified by the Secretary for purposes 
                of this subparagraph.
                    ``(D) Payment reduction for failure to report.--
                            ``(i) In general.--Beginning January 1, 
                        2022, subject to clause (ii), a 10 percent 
                        reduction to payments under this subsection 
                        shall be made for the applicable period (as 
                        defined in clause (ii)) to a provider or 
                        supplier of ground ambulance services that--
                                    ``(I) is required to submit 
                                information under the data collection 
                                system with respect to a period under 
                                subparagraph (C); and
                                    ``(II) does not sufficiently submit 
                                such information, as determined by the 
                                Secretary.
                            ``(ii) Applicable period defined.--For 
                        purposes of clause (i), the term `applicable 
                        period' means, with respect to a provider or 
                        supplier of ground ambulance services, a year 
                        specified by the Secretary not more than 2 
                        years after the end of the period with respect 
                        to which the Secretary has made a determination 
                        under clause (i)(II) that the provider or 
                        supplier of ground ambulance services failed to 
                        sufficiently submit information under the data 
                        collection system.
                            ``(iii) Hardship exemption.--The Secretary 
                        may exempt a provider or supplier from the 
                        payment reduction under clause (i) with respect 
                        to an applicable period in the event of 
                        significant hardship, such as a natural 
                        disaster, bankruptcy, or other similar 
                        situation that the Secretary determines 
                        interfered with the ability of the provider or 
                        supplier of ground ambulance services to submit 
                        such information in a timely manner for the 
                        specified period.
                            ``(iv) Informal review.--The Secretary 
                        shall establish a process under which a 
                        provider or supplier of ground ambulance 
                        services may seek an informal review of a 
                        determination that the provider or supplier is 
                        subject to the payment reduction under clause 
                        (i).
                    ``(E) Ongoing data collection.--
                            ``(i) Revision of data collection system.--
                        The Secretary may, as the Secretary determines 
                        appropriate and, if available, taking into 
                        consideration the report (or reports) under 
                        subparagraph (F), revise the data collection 
                        system under subparagraph (A).
                            ``(ii) Subsequent data collection.--In 
                        order to continue to evaluate the extent to 
                        which reported costs relate to payment rates 
                        under this subsection and for other purposes 
                        the Secretary deems appropriate, the Secretary 
                        shall require providers and suppliers of ground 
                        ambulance services to submit information for 
                        years after 2024 as the Secretary determines 
                        appropriate, but in no case less often than 
                        once every 3 years.
                    ``(F) Ground ambulance data collection system 
                study.--
                            ``(i) In general.--Not later than March 15, 
                        2023, and as determined necessary by the 
                        Medicare Payment Advisory Commission 
                        thereafter, such Commission shall assess, and 
                        submit to Congress a report on, information 
                        submitted by providers and suppliers of ground 
                        ambulance services through the data collection 
                        system under subparagraph (A), the adequacy of 
                        payments for ground ambulance services under 
                        this subsection, and geographic variations in 
                        the cost of furnishing such services.
                            ``(ii) Contents.--A report under clause (i) 
                        shall contain the following:
                                    ``(I) An analysis of information 
                                submitted through the data collection 
                                system.
                                    ``(II) An analysis of any burden on 
                                providers and suppliers of ground 
                                ambulance services associated with the 
                                data collection system.
                                    ``(III) A recommendation as to 
                                whether information should continue to 
                                be submitted through such data 
                                collection system or if such system 
                                should be revised under subparagraph 
                                (E)(i).
                                    ``(IV) Other information determined 
                                appropriate by the Commission.
                    ``(G) Public availability.--The Secretary shall 
                post information on the results of the data collection 
                under this paragraph on the Internet website of the 
                Centers for Medicare & Medicaid Services, as determined 
                appropriate by the Secretary.
                    ``(H) Implementation.--The Secretary shall 
                implement this paragraph through notice and comment 
                rulemaking.
                    ``(I) Administration.--Chapter 35 of title 44, 
                United States Code, shall not apply to the collection 
                of information required under this subsection.
                    ``(J) Limitations on review.--There shall be no 
                administrative or judicial review under section 1869, 
                section 1878, or otherwise of the data collection 
                system or identification of respondents under this 
                paragraph.
                    ``(K) Funding for implementation.--For purposes of 
                carrying out subparagraph (A), the Secretary shall 
                provide for the transfer, from the Federal 
                Supplementary Medical Insurance Trust Fund under 
                section 1841, of $15,000,000 to the Centers for 
                Medicare & Medicaid Services Program Management Account 
                for fiscal year 2018. Amounts transferred under this 
                subparagraph shall remain available until expended.''.

SEC. 50204. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT 
              ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS.

    (a) In General.--Section 1886(d)(12) of the Social Security Act (42 
U.S.C. 1395ww(d)(12)) is amended--
            (1) in subparagraph (B), in the matter preceding clause 
        (i), by striking ``fiscal year 2018'' and inserting ``fiscal 
        year 2023'';
            (2) in subparagraph (C)--
                    (A) in clause (i)--
                            (i) by striking ``through 2017'' the first 
                        place it appears and inserting ``through 
                        2022''; and
                            (ii) by striking `` and has less than 800 
                        discharges'' and all that follows through the 
                        period at the end and inserting the following 
                        ``and has--
                                    ``(I) with respect to each of 
                                fiscal years 2005 through 2010, less 
                                than 800 discharges during the fiscal 
                                year;
                                    ``(II) with respect to each of 
                                fiscal years 2011 through 2018, less 
                                than 1,600 discharges of individuals 
                                entitled to, or enrolled for, benefits 
                                under part A during the fiscal year or 
                                portion of fiscal year;
                                    ``(III) with respect to each of 
                                fiscal years 2019 through 2022, less 
                                than 3,800 discharges during the fiscal 
                                year; and
                                    ``(IV) with respect to fiscal year 
                                2023 and each subsequent fiscal year, 
                                less than 800 discharges during the 
                                fiscal year.''; and
                    (B) in clause (ii)--
                            (i) by striking ``subparagraph (B)'' and 
                        inserting ``subparagraphs (B) and (D)''; and
                            (ii) by inserting ``(except as provided in 
                        clause (i)(II) and subparagraph (D)(i))'' after 
                        ``regardless''; and
            (3) in subparagraph (D)--
                    (A) by striking ``through 2017'' and inserting 
                ``through 2022'';
                    (B) by striking ``hospitals with 200 or fewer'' and 
                inserting the following: ``hospitals--
                            ``(i) with respect to each of fiscal years 
                        2011 through 2018, with 200 or fewer'';
                    (C) by striking the period at the end and inserting 
                ``or portion of fiscal year; and''; and
                    (D) by adding at the end the following new clause:
                            ``(ii) with respect to each of fiscal years 
                        2019 through 2022, with 500 or fewer discharges 
                        in the fiscal year to 0 percent for low-volume 
                        hospitals with greater than 3,800 discharges in 
                        the fiscal year.''.
    (b) MedPAC Report on Extension of Increased Inpatient Hospital 
Payment Adjustment for Certain Low-volume Hospitals.--
            (1) In general.--Not later than March 15, 2022, the 
        Medicare Payment Advisory Commission shall submit to Congress a 
        report on the extension of the increased inpatient hospital 
        payment adjustment for certain low-volume hospitals under 
        section 1886(d)(12) of the Social Security Act (42 U.S.C. 
        1395ww(d)(12)) under the provisions of, and amendments made by, 
        this section.
            (2) Contents.--The report under paragraph (1) shall include 
        an evaluation of the effects of such extension on the 
        following:
                    (A) Beneficiary utilization of inpatient hospital 
                services under title XVIII of the Social Security Act 
                (42 U.S.C. 1395 et seq.).
                    (B) The financial status of hospitals with a low 
                volume of Medicare or total inpatient admissions.
                    (C) Program spending under such title XVIII.
                    (D) Other matters relevant to evaluating the 
                effects of such extension.

SEC. 50205. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM.

    (a) In General.--Section 1886(d)(5)(G) of the Social Security Act 
(42 U.S.C. 1395ww(d)(5)(G)) is amended--
            (1) in clause (i), by striking ``October 1, 2017'' and 
        inserting ``October 1, 2022'';
            (2) in clause (ii)(II), by striking ``October 1, 2017'' and 
        inserting ``October 1, 2022''; and
            (3) in clause (iv), by striking subclause (I) and inserting 
        the following new subclause:
            ``(I) that is located in--
                    ``(aa) a rural area; or
                    ``(bb) a State with no rural area (as defined in 
                paragraph (2)(D)) and satisfies any of the criteria in 
                subclause (I), (II), or (III) of paragraph 
                (8)(E)(ii),''; and
            (4) by inserting after subclause (IV) the following new 
        flush sentences:
``Subclause (I)(bb) shall apply for purposes of payment under clause 
(ii) only for discharges of a hospital occurring on or after the 
effective date of a determination of medicare-dependent small rural 
hospital status made by the Secretary with respect to the hospital 
after the date of the enactment of this sentence. For purposes of 
applying subclause (II) of paragraph (8)(E)(ii) under subclause 
(I)(bb), such subclause (II) shall be applied by inserting `as of 
January 1, 2018,' after `such State' each place it appears.''.
    (b) Conforming Amendments.--
            (1) Extension of target amount.--Section 1886(b)(3)(D) of 
        the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is 
        amended--
                    (A) in the matter preceding clause (i), by striking 
                ``October 1, 2017'' and inserting ``October 1, 2022''; 
                and
                    (B) in clause (iv), by striking ``through fiscal 
                year 2017'' and inserting ``through fiscal year 2022''.
            (2) Permitting hospitals to decline reclassification.--
        Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 
        1993 (42 U.S.C. 1395ww note) is amended by striking ``through 
        fiscal year 2017'' and inserting ``through fiscal year 2022''.
    (c) GAO Study and Report.--
            (1) Study.--The Comptroller General of the United States 
        (in this subsection referred to as the ``Comptroller General'') 
        shall conduct a study on the medicare-dependent, small rural 
        hospital program under section 1886(d) of the Social Security 
        Act (42 U.S.C. 1395x(d)). Such study shall include an analysis 
        of the following:
                    (A) The payor mix of medicare-dependent, small 
                rural hospitals (as defined in paragraph (5)(G)(iv) of 
                such section 1886(d)), how such mix will trend in 
                future years (based on current trends and projections), 
                and whether or not the requirement under subclause (IV) 
                of such paragraph should be revised.
                    (B) The characteristics of medicare-dependent, 
                small rural hospitals that meet the requirement of such 
                subclause (IV) through the application of paragraph 
                (a)(iii)(A) or (a)(iii)(B) of section 412.108 of title 
                42, Code of Federal Regulations, including Medicare 
                inpatient and outpatient utilization, payor mix, and 
                financial status (including Medicare and total 
                margins), and whether or not Medicare payments for such 
                hospitals should be revised.
                    (C) Such other items related to medicare-dependent, 
                small rural hospitals as the Comptroller General 
                determines appropriate.
            (2) Report.--Not later than 2 years after the date of the 
        enactment of this Act, the Comptroller General shall submit to 
        Congress a report containing the results of the study conducted 
        under paragraph (1), together with recommendations for such 
        legislation and administrative action as the Comptroller 
        General determines appropriate.

SEC. 50206. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, 
              INPUT, AND SELECTION; REPORTING REQUIREMENTS.

    (a) Extension of Funding.--Section 1890(d)(2) of the Social 
Security Act (42 U.S.C. 1395aaa(d)(2)) is amended--
            (1) in the first sentence--
                    (A) by striking ``2014 and'' and inserting 
                ``2014,''; and
                    (B) by inserting the following before the period: 
                ``, and $7,500,000 for each of fiscal years 2018 and 
                2019''; and
            (2) by adding at the end the following new sentence: 
        ``Amounts transferred for each of fiscal years 2018 and 2019 
        shall be in addition to any unobligated funds transferred for a 
        preceding fiscal year that are available under the preceding 
        sentence.''
    (b) Annual Report by Secretary to Congress.--Section 1890 of the 
Social Security Act (42 U.S.C. 1395aaa) is amended by adding at the end 
the following new subsection:
    ``(e) Annual Report by Secretary to Congress.--By not later than 
March 1 of each year (beginning with 2019), the Secretary shall submit 
to Congress a report containing the following:
            ``(1) A comprehensive plan that identifies the quality 
        measurement needs of programs and initiatives of the Secretary 
        and provides a strategy for using the entity with a contract 
        under subsection (a) and any other entity the Secretary has 
        contracted with or may contract with to perform work associated 
        with section 1890A to help meet those needs, specifically with 
        respect to the programs under this title and title XIX. In 
        years after the first plan under this paragraph is submitted, 
        the requirements of this paragraph may be met by providing an 
        update to the plan.
            ``(2) The amount of funding provided under subsection (d) 
        for purposes of carrying out this section and section 1890A 
        that has been obligated by the Secretary, the amount of funding 
        provided that has been expended, and the amount of funding 
        provided that remains unobligated.
            ``(3) With respect to the activities described under this 
        section or section 1890A, a description of how the funds 
        described in paragraph (2) have been obligated or expended, 
        including how much of that funding has been obligated or 
        expended for work performed by the Secretary, the entity with a 
        contract under subsection (a), and any other entity the 
        Secretary has contracted with to perform work.
            ``(4) A description of the activities for which the funds 
        described in paragraph (2) were used, including task orders and 
        activities assigned to the entity with a contract under 
        subsection (a), activities performed by the Secretary, and task 
        orders and activities assigned to any other entity the 
        Secretary has contracted with to perform work related to 
        carrying out section 1890A.
            ``(5) The amount of funding described in paragraph (2) that 
        has been obligated or expended for each of the activities 
        described in paragraph (4).
            ``(6) Estimates for, and descriptions of, obligations and 
        expenditures that the Secretary anticipates will be needed in 
        the succeeding two year period to carry out each of the quality 
        measurement activities required under this section and section 
        1890A, including any obligations that will require funds to be 
        expended in a future year.''.
    (c) Revisions to Annual Report From Consensus-based Entity to 
Congress and the Secretary.--
            (1) In general.--Section 1890(b)(5)(A) of the Social 
        Security Act (42 U.S.C. 1395aaa(b)(5)(A)) is amended--
                    (A) by redesignating clauses (i) through (vi) as 
                subclauses (I) through (VI), respectively, and moving 
                the margins accordingly;
                    (B) in the matter preceding subclause (I), as 
                redesignated by subparagraph (A), by striking 
                ``containing a description of--'' and inserting 
                ``containing the following:
                            ``(i) A description of--''; and
                    (C) by adding at the end the following new clauses:
                            ``(ii) An itemization of financial 
                        information for the fiscal year ending 
                        September 30 of the preceding year, including--
                                    ``(I) annual revenues of the entity 
                                (including any government funding, 
                                private sector contributions, grants, 
                                membership revenues, and investment 
                                revenue);
                                    ``(II) annual expenses of the 
                                entity (including grants paid, benefits 
                                paid, salaries or other compensation, 
                                fundraising expenses, and overhead 
                                costs); and
                                    ``(III) a breakdown of the amount 
                                awarded per contracted task order and 
                                the specific projects funded in each 
                                task order assigned to the entity.
                            ``(iii) Any updates or modifications of 
                        internal policies and procedures of the entity 
                        as they relate to the duties of the entity 
                        under this section, including--
                                    ``(I) specifically identifying any 
                                modifications to the disclosure of 
                                interests and conflicts of interests 
                                for committees, work groups, task 
                                forces, and advisory panels of the 
                                entity; and
                                    ``(II) information on external 
                                stakeholder participation in the duties 
                                of the entity under this section 
                                (including complete rosters for all 
                                committees, work groups, task forces, 
                                and advisory panels funded through 
                                government contracts, descriptions of 
                                relevant interests and any conflicts of 
                                interest for members of all committees, 
                                work groups, task forces, and advisory 
                                panels, and the total percentage by 
                                health care sector of all convened 
                                committees, work groups, task forces, 
                                and advisory panels.''.
            (2) Effective date.--The amendments made by this subsection 
        shall apply to reports submitted for years beginning with 2019.
    (d) GAO Study and Report.--
            (1) Study.--The Comptroller General of the United States 
        shall conduct a study on health care quality measurement 
        efforts funded under sections 1890 and 1890A of the Social 
        Security Act (42 U.S.C. 1395aaa; 1395aaa-1). Such study shall 
        include an examination of the following:
                    (A) The extent to which the Secretary of Health and 
                Human Services (in this subsection referred to as the 
                ``Secretary'') has set and prioritized objectives to be 
                achieved for each of the quality measurement activities 
                required under such sections 1890 and 1890A.
                    (B) The efforts that the Secretary has undertaken 
                to meet quality measurement objectives associated with 
                such sections 1890 and 1890A, including division of 
                responsibilities for those efforts within the 
                Department of Health and Human Services and through 
                contracts with a consensus-based entity under 
                subsection (a) of such section 1890 (in this subsection 
                referred to as the ``consensus-based entity'') and 
                other entities, and the extent of any overlap among the 
                work performed by the Secretary, the consensus-based 
                entity, the Measure Applications Partnership (MAP) 
                convened by such entity to provide input to the 
                Secretary on the selection of quality and efficiency 
                measures, and any other entities the Secretary has 
                contracted with to perform work related to carrying out 
                such sections 1890 and 1890A.
                    (C) The total amount of funding provided to the 
                Secretary for purposes of carrying out such sections 
                1890 and 1890A, the amount of such funding that has 
                been obligated or expended by the Secretary, and the 
                amount of such funding that remains unobligated.
                    (D) How the funds described in subparagraph (C) 
                have been allocated, including how much of the funding 
                has been allocated for work performed by the Secretary, 
                the consensus-based entity, and any other entity the 
                Secretary has contracted with to perform work related 
                to carrying out such sections 1890 and 1890A, 
                respectively, and descriptions of such work.
                    (E) The extent to which the Secretary has developed 
                a comprehensive and long-term plan to ensure that it 
                can achieve quality measurement objectives related to 
                carrying out such sections 1890 and 1890A in a timely 
                manner and with efficient use of available resources, 
                including the roles of the consensus-based entity, the 
                Measure Applications Partnership (MAP), and any other 
                entity the Secretary has contracted with to perform 
                work related to such sections 1890 and 1890A in helping 
                the Secretary achieve those objectives.
            (2) Report.--Not later than 18 months after the date of 
        enactment of this Act, the Comptroller General of the United 
        States shall submit to Congress a report containing the results 
        of the study conducted under paragraph (1), together with 
        recommendations for such legislation and administrative action 
        as the Comptroller General determines appropriate.

SEC. 50207. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME 
              PROGRAMS; STATE HEALTH INSURANCE ASSISTANCE PROGRAM 
              REPORTING REQUIREMENTS.

    (a) Funding Extensions.--
            (1) Additional funding for state health insurance 
        programs.--Subsection (a)(1)(B) of section 119 of the Medicare 
        Improvements for Patients and Providers Act of 2008 (42 U.S.C. 
        1395b-3 note), as amended by section 3306 of the Patient 
        Protection and Affordable Care Act (Public Law 111-148), 
        section 610 of the American Taxpayer Relief Act of 2012 (Public 
        Law 112-240), section 1110 of the Pathway for SGR Reform Act of 
        2013 (Public Law 113-67), section 110 of the Protecting Access 
        to Medicare Act of 2014 (Public Law 113-93), and section 208 of 
        the Medicare Access and CHIP Reauthorization Act of 2015 
        (Public Law 114-10) is amended--
                    (A) in clause (vi), by striking ``and'' at the end;
                    (B) in clause (vii), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by adding at the end the following new clauses:
                            ``(viii) for fiscal year 2018, of 
                        $13,000,000; and
                            ``(ix) for fiscal year 2019, of 
                        $13,000,000.''.
            (2) Additional funding for area agencies on aging.--
        Subsection (b)(1)(B) of such section 119, as so amended, is 
        amended--
                    (A) in clause (vi), by striking ``and'' at the end;
                    (B) in clause (vii), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by inserting after clause (vii) the following 
                new clauses:
                            ``(viii) for fiscal year 2018, of 
                        $7,500,000; and
                            ``(ix) for fiscal year 2019, of 
                        $7,500,000.''.
            (3) Additional funding for aging and disability resource 
        centers.--Subsection (c)(1)(B) of such section 119, as so 
        amended, is amended--
                    (A) in clause (vi), by striking ``and'' at the end;
                    (B) in clause (vii), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by inserting after clause (vii) the following 
                new clauses:
                            ``(viii) for fiscal year 2018, of 
                        $5,000,000; and
                            ``(ix) for fiscal year 2019, of 
                        $5,000,000.''.
            (4) Additional funding for contract with the national 
        center for benefits and outreach enrollment.--Subsection (d)(2) 
        of such section 119, as so amended, is amended--
                    (A) in clause (vi), by striking ``and'' at the end;
                    (B) in clause (vii), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by inserting after clause (vii) the following 
                new clauses:
                            ``(viii) for fiscal year 2018, of 
                        $12,000,000; and
                            ``(ix) for fiscal year 2019, of 
                        $12,000,000.''.
    (b) State Health Insurance Assistance Program Reporting 
Requirements.--Beginning not later than April 1, 2019, and biennially 
thereafter, the Agency for Community Living shall electronically post 
on its website the following information, with respect to grants to 
States for State health insurance assistance programs, (such 
information to be presented by State and by entity receiving funds from 
the State to carry out such a program funded by such grant):
            (1) The amount of Federal funding provided to each such 
        State for such program for the period involved and the amount 
        of Federal funding provided by each such State for such program 
        to each such entity for the period involved.
            (2) Information as the Secretary may specify, with respect 
        to such programs carried out through such grants, consistent 
        with the terms and conditions for receipt of such grants.

SEC. 50208. EXTENSION OF HOME HEALTH RURAL ADD-ON.

    (a) Extension.--
            (1) In general.--Section 421 of the Medicare Prescription 
        Drug, Improvement, and Modernization Act of 2003 (Public Law 
        108-173; 117 Stat. 2283; 42 U.S.C. 1395fff note), as amended by 
        section 5201(b) of the Deficit Reduction Act of 2005 (Public 
        Law 109-171; 120 Stat. 46), section 3131(c) of the Patient 
        Protection and Affordable Care Act (Public Law 111-148; 124 
        Stat. 428), and section 210 of the Medicare Access and CHIP 
        Reauthorization Act of 2015 (Public Law 114-10; 129 Stat. 151) 
        is amended--
                    (A) in subsection (a), by striking ``January 1, 
                2018'' and inserting ``January 1, 2019'' each place it 
                appears;
                    (B) by redesignating subsections (b) and (c) as 
                subsections (c) and (d), respectively;
                    (C) in each of subsections (c) and (d), as so 
                redesignated, by striking ``subsection (a)'' and 
                inserting ``subsection (a) or (b)''; and
                    (D) by inserting after subsection (a) the following 
                new subsection:
    ``(b) Subsequent Temporary Increase.--
            ``(1) In general.--The Secretary shall increase the payment 
        amount otherwise made under such section 1895 for home health 
        services furnished in a county (or equivalent area) in a rural 
        area (as defined in such section 1886(d)(2)(D)) that, as 
        determined by the Secretary--
                    ``(A) is in the highest quartile of all counties 
                (or equivalent areas) based on the number of Medicare 
                home health episodes furnished per 100 individuals who 
                are entitled to, or enrolled for, benefits under part A 
                of title XVIII of the Social Security Act or enrolled 
                for benefits under part B of such title (but not 
                enrolled in a plan under part C of such title)--
                            ``(i) in the case of episodes and visits 
                        ending during 2019, by 1.5 percent; and
                            ``(ii) in the case of episodes and visits 
                        ending during 2020, by 0.5 percent;
                    ``(B) has a population density of 6 individuals or 
                fewer per square mile of land area and is not described 
                in subparagraph (A)--
                            ``(i) in the case of episodes and visits 
                        ending during 2019, by 4 percent;
                            ``(ii) in the case of episodes and visits 
                        ending during 2020, by 3 percent;
                            ``(iii) in the case of episodes and visits 
                        ending during 2021, by 2 percent; and
                            ``(iv) in the case of episodes and visits 
                        ending during 2022, by 1 percent; and
                    ``(C) is not described in either subparagraph (A) 
                or (B)--
                            ``(i) in the case of episodes and visits 
                        ending during 2019, by 3 percent;
                            ``(ii) in the case of episodes and visits 
                        ending during 2020, by 2 percent; and
                            ``(iii) in the case of episodes and visits 
                        ending during 2021, by 1 percent.
            ``(2) Rules for determinations.--
                    ``(A) No switching.--For purposes of this 
                subsection, the determination by the Secretary as to 
                which subparagraph of paragraph (1) applies to a county 
                (or equivalent area) shall be made a single time and 
                shall apply for the duration of the period to which 
                this subsection applies.
                    ``(B) Utilization.--In determining which counties 
                (or equivalent areas) are in the highest quartile under 
                paragraph (1)(A), the following rules shall apply:
                            ``(i) The Secretary shall use data from 
                        2015.
                            ``(ii) The Secretary shall exclude data 
                        from the territories (and the territories shall 
                        not be described in such paragraph).
                            ``(iii) The Secretary may exclude data from 
                        counties (or equivalent areas) in rural areas 
                        with a low volume of home health episodes (and 
                        if data is so excluded with respect to a county 
                        (or equivalent area), such county (or 
                        equivalent area) shall not be described in such 
                        paragraph).
                    ``(C) Population density.--In determining 
                population density under paragraph (1)(B), the 
                Secretary shall use data from the 2010 decennial 
                Census.
            ``(3) Limitations on review.--There shall be no 
        administrative or judicial review under section 1869, section 
        1878, or otherwise of determinations under paragraph (1).''.
            (2) Requirement to submit county data on claim form.--
        Section 1895(c) of the Social Security Act (42 U.S.C. 
        1395fff(c)) is amended--
                    (A) in paragraph (1), by striking ``and'' at the 
                end;
                    (B) in paragraph (2), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by adding at the end the following new 
                paragraph:
            ``(3) in the case of home health services furnished on or 
        after January 1, 2019, the claim contains the code for the 
        county (or equivalent area) in which the home health service 
        was furnished.''.
    (b) HHS OIG Analysis.--Not later than January 1, 2023, the 
Inspector General of the Department of Health and Human Services shall 
submit to Congress--
            (1) an analysis of the home health claims and utilization 
        of home health services by county (or equivalent area) under 
        the Medicare program; and
            (2) recommendations the Inspector General determines 
        appropriate based on such analysis.

  TITLE III--CREATING HIGH-QUALITY RESULTS AND OUTCOMES NECESSARY TO 
                     IMPROVE CHRONIC (CHRONIC) CARE

          Subtitle A--Receiving High Quality Care in the Home

SEC. 50301. EXTENDING THE INDEPENDENCE AT HOME DEMONSTRATION PROGRAM.

    (a) In General.--Section 1866E of the Social Security Act (42 
U.S.C. 1395cc-5) is amended--
            (1) in subsection (e)--
                    (A) in paragraph (1)--
                            (i) by striking ``An agreement'' and 
                        inserting ``Agreements''; and
                            (ii) by striking ``5-year'' and inserting 
                        ``7-year''; and
                    (B) in paragraph (5)--
                            (i) by striking ``10,000'' and inserting 
                        ``15,000''; and
                            (ii) by adding at the end the following new 
                        sentence: ``An applicable beneficiary that 
                        participates in the demonstration program by 
                        reason of the increase from 10,000 to 15,000 in 
                        the preceding sentence pursuant to the 
                        amendment made by section 50301(a)(1)(B)(i) of 
                        the Advancing Chronic Care, Extenders, and 
                        Social Services Act shall be considered in the 
                        spending target estimates under paragraph (1) 
                        of subsection (c) and the incentive payment 
                        calculations under paragraph (2) of such 
                        subsection for the sixth and seventh years of 
                        such program.'';
            (2) in subsection (g), in the first sentence, by inserting 
        ``, including, to the extent practicable, with respect to the 
        use of electronic health information systems, as described in 
        subsection (b)(1)(A)(vi)'' after ``under the demonstration 
        program''; and
            (3) in subsection (i)(1)(A), by striking ``will not receive 
        an incentive payment for the second of 2'' and inserting ``did 
        not achieve savings for the third of 3''.
    (b) Effective Date.--The amendment made by subsection (a)(3) shall 
take effect as if included in the enactment of Public Law 111-148.

SEC. 50302. EXPANDING ACCESS TO HOME DIALYSIS THERAPY.

    (a) In General.--Section 1881(b)(3) of the Social Security Act (42 
U.S.C. 1395rr(b)(3)) is amended--
            (1) by redesignating subparagraphs (A) and (B) as clauses 
        (i) and (ii), respectively;
            (2) in clause (ii), as redesignated by paragraph (1), by 
        striking ``on a comprehensive'' and insert ``subject to 
        subparagraph (B), on a comprehensive'';
            (3) by striking ``With respect to'' and inserting ``(A) 
        With respect to''; and
            (4) by adding at the end the following new subparagraph:
    ``(B)(i) For purposes of subparagraph (A)(ii), subject to clause 
(ii), an individual determined to have end stage renal disease 
receiving home dialysis may choose to receive monthly end stage renal 
disease-related clinical assessments furnished on or after January 1, 
2019, via telehealth.
    ``(ii) Clause (i) shall apply to an individual only if the 
individual receives a face-to-face clinical assessment, without the use 
of telehealth--
            ``(I) in the case of the initial 3 months of home dialysis 
        of such individual, at least monthly; and
            ``(II) after such initial 3 months, at least once every 3 
        consecutive months.''.
    (b) Originating Site Requirements.--
            (1) In general.--Section 1834(m) of the Social Security Act 
        (42 U.S.C. 1395m(m)) is amended--
                    (A) in paragraph (4)(C)(ii), by adding at the end 
                the following new subclauses:
                                    ``(IX) A renal dialysis facility, 
                                but only for purposes of section 
                                1881(b)(3)(B).
                                    ``(X) The home of an individual, 
                                but only for purposes of section 
                                1881(b)(3)(B).''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(5) Treatment of home dialysis monthly esrd-related 
        visit.--The geographic requirements described in paragraph 
        (4)(C)(i) shall not apply with respect to telehealth services 
        furnished on or after January 1, 2019, for purposes of section 
        1881(b)(3)(B), at an originating site described in subclause 
        (VI), (IX), or (X) of paragraph (4)(C)(ii).''.
            (2) No facility fee if originating site for home dialysis 
        therapy is the home.--Section 1834(m)(2)(B) of the Social 
        Security (42 U.S.C. 1395m(m)(2)(B)) is amended--
                    (A) by redesignating clauses (i) and (ii) as 
                subclauses (I) and (II), and indenting appropriately;
                    (B) in subclause (II), as redesignated by 
                subparagraph (A), by striking ``clause (i) or this 
                clause'' and inserting ``subclause (I) or this 
                subclause'';
                    (C) by striking ``site.--With respect to'' and 
                inserting ``site.--
                            ``(i) In general.--Subject to clause (ii), 
                        with respect to''; and
                    (D) by adding at the end the following new clause:
                            ``(ii) No facility fee if originating site 
                        for home dialysis therapy is the home.--No 
                        facility fee shall be paid under this 
                        subparagraph to an originating site described 
                        in paragraph (4)(C)(ii)(X).''.
    (c) Clarification Regarding Telehealth Provided to Beneficiaries.--
Section 1128A(i)(6) of the Social Security Act (42 U.S.C. 1320a-
7a(i)(6)) is amended--
            (1) in subparagraph (H), by striking ``or'' at the end;
            (2) in subparagraph (I), by striking the period at the end 
        and inserting ``; or''; and
            (3) by adding at the end the following new subparagraph:
                    ``(J) the provision of telehealth technologies (as 
                defined by the Secretary) on or after January 1, 2019, 
                by a provider of services or a renal dialysis facility 
                (as such terms are defined for purposes of title XVIII) 
                to an individual with end stage renal disease who is 
                receiving home dialysis for which payment is being made 
                under part B of such title, if--
                            ``(i) the telehealth technologies are not 
                        offered as part of any advertisement or 
                        solicitation;
                            ``(ii) the telehealth technologies are 
                        provided for the purpose of furnishing 
                        telehealth services related to the individual's 
                        end stage renal disease; and
                            ``(iii) the provision of the telehealth 
                        technologies meets any other requirements set 
                        forth in regulations promulgated by the 
                        Secretary.''.
    (d) Conforming Amendment.--Section 1881(b)(1) of the Social 
Security Act (42 U.S.C. 1395rr(b)(1)) is amended by striking 
``paragraph (3)(A)'' and inserting ``paragraph (3)(A)(i)''.

                 Subtitle B--Advancing Team-Based Care

SEC. 50311. PROVIDING CONTINUED ACCESS TO MEDICARE ADVANTAGE SPECIAL 
              NEEDS PLANS FOR VULNERABLE POPULATIONS.

    (a) Extension.--Section 1859(f)(1) of the Social Security Act (42 
U.S.C. 1395w-28(f)(1)) is amended by striking ``and for periods before 
January 1, 2019''.
    (b) Increased Integration of Dual SNPs.--
            (1) In general.--Section 1859(f) of the Social Security Act 
        (42 U.S.C. 1395w-28(f)) is amended--
                    (A) in paragraph (3), by adding at the end the 
                following new subparagraph:
                    ``(F) The plan meets the requirements applicable 
                under paragraph (8).''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(8) Increased integration of dual snps.--
                    ``(A) Designated contact.--The Secretary, acting 
                through the Federal Coordinated Health Care Office 
                established under section 2602 of Public Law 111-148, 
                shall serve as a dedicated point of contact for States 
                to address misalignments that arise with the 
                integration of specialized MA plans for special needs 
                individuals described in subsection (b)(6)(B)(ii) under 
                this paragraph and, consistent with such role, shall 
                establish--
                            ``(i) a uniform process for disseminating 
                        to State Medicaid agencies information under 
                        this title impacting contracts between such 
                        agencies and such plans under this subsection; 
                        and
                            ``(ii) basic resources for States 
                        interested in exploring such plans as a 
                        platform for integration, such as a model 
                        contract or other tools to achieve those goals.
                    ``(B) Unified grievances and appeals process.--
                            ``(i) In general.--Not later than April 1, 
                        2020, the Secretary shall establish procedures, 
                        to the extent feasible as determined by the 
                        Secretary, unifying grievances and appeals 
                        procedures under sections 1852(f), 1852(g), 
                        1902(a)(3), 1902(a)(5), and 1932(b)(4) for 
                        items and services provided by specialized MA 
                        plans for special needs individuals described 
                        in subsection (b)(6)(B)(ii) under this title 
                        and title XIX. With respect to items and 
                        services described in the preceding sentence, 
                        procedures established under this clause shall 
                        apply in place of otherwise applicable 
                        grievances and appeals procedures. The 
                        Secretary shall solicit comment in developing 
                        such procedures from States, plans, 
                        beneficiaries and their representatives, and 
                        other relevant stakeholders.
                            ``(ii) Procedures.--The procedures 
                        established under clause (i) shall be included 
                        in the plan contract under paragraph (3)(D) and 
                        shall--
                                    ``(I) adopt the provisions for the 
                                enrollee that are most protective for 
                                the enrollee and, to the extent 
                                feasible as determined by the 
                                Secretary, are compatible with unified 
                                timeframes and consolidated access to 
                                external review under an integrated 
                                process;
                                    ``(II) take into account 
                                differences in State plans under title 
                                XIX to the extent necessary;
                                    ``(III) be easily navigable by an 
                                enrollee; and
                                    ``(IV) include the elements 
                                described in clause (iii), as 
                                applicable.
                            ``(iii) Elements described.--Both unified 
                        appeals and unified grievance procedures shall 
                        include, as applicable, the following elements 
                        described in this clause:
                                    ``(I) Single written notification 
                                of all applicable grievances and appeal 
                                rights under this title and title XIX. 
                                For purposes of this subparagraph, the 
                                Secretary may waive the requirements 
                                under section 1852(g)(1)(B) when the 
                                specialized MA plan covers items or 
                                services under this part or under title 
                                XIX.
                                    ``(II) Single pathways for 
                                resolution of any grievance or appeal 
                                related to a particular item or service 
                                provided by specialized MA plans for 
                                special needs individuals described in 
                                subsection (b)(6)(B)(ii) under this 
                                title and title XIX.
                                    ``(III) Notices written in plain 
                                language and available in a language 
                                and format that is accessible to the 
                                enrollee, including in non-English 
                                languages that are prevalent in the 
                                service area of the specialized MA 
                                plan.
                                    ``(IV) Unified timeframes for 
                                grievances and appeals processes, such 
                                as an individual's filing of a 
                                grievance or appeal, a plan's 
                                acknowledgment and resolution of a 
                                grievance or appeal, and notification 
                                of decisions with respect to a 
                                grievance or appeal.
                                    ``(V) Requirements for how the plan 
                                must process, track, and resolve 
                                grievances and appeals, to ensure 
                                beneficiaries are notified on a timely 
                                basis of decisions that are made 
                                throughout the grievance or appeals 
                                process and are able to easily 
                                determine the status of a grievance or 
                                appeal.
                            ``(iv) Continuation of benefits pending 
                        appeal.--The unified procedures under clause 
                        (i) shall, with respect to all benefits under 
                        parts A and B and title XIX subject to appeal 
                        under such procedures, incorporate provisions 
                        under current law and implementing regulations 
                        that provide continuation of benefits pending 
                        appeal under this title and title XIX.
                    ``(C) Requirement for unified grievances and 
                appeals.--For 2021 and subsequent years, the contract 
                of a specialized MA plan for special needs individuals 
                described in subsection (b)(6)(B)(ii) with a State 
                Medicaid agency under paragraph (3)(D) shall require 
                the use of unified grievances and appeals procedures as 
                described in subparagraph (B).
                    ``(D) Requirements for integration.--
                            ``(i) In general.--For 2021 and subsequent 
                        years, a specialized MA plan for special needs 
                        individuals described in subsection 
                        (b)(6)(B)(ii) shall meet one or more of the 
                        following requirements, to the extent permitted 
                        under State law, for integration of benefits 
                        under this title and title XIX:
                                    ``(I) The specialized MA plan must 
                                meet the requirements of contracting 
                                with the State Medicaid agency 
                                described in paragraph (3)(D) in 
                                addition to coordinating long-term 
                                services and supports or behavioral 
                                health services, or both, by meeting an 
                                additional minimum set of requirements 
                                determined by the Secretary through the 
                                Federal Coordinated Health Care Office 
                                established under section 2602 of the 
                                Patient Protection and Affordable Care 
                                Act based on input from stakeholders, 
                                such as notifying the State in a timely 
                                manner of hospitalizations, emergency 
                                room visits, and hospital or nursing 
                                home discharges of enrollees, assigning 
                                one primary care provider for each 
                                enrollee, or sharing data that would 
                                benefit the coordination of items and 
                                services under this title and the State 
                                plan under title XIX. Such minimum set 
                                of requirements must be included in the 
                                contract of the specialized MA plan 
                                with the State Medicaid agency under 
                                such paragraph.
                                    ``(II) The specialized MA plan must 
                                meet the requirements of a fully 
                                integrated plan described in section 
                                1853(a)(1)(B)(iv)(II) (other than the 
                                requirement that the plan have similar 
                                average levels of frailty, as 
                                determined by the Secretary, as the 
                                PACE program), or enter into a 
                                capitated contract with the State 
                                Medicaid agency to provide long-term 
                                services and supports or behavioral 
                                health services, or both.
                                    ``(III) In the case of a 
                                specialized MA plan that is offered by 
                                a parent organization that is also the 
                                parent organization of a Medicaid 
                                managed care organization providing 
                                long term services and supports or 
                                behavioral services under a contract 
                                under section 1903(m), the parent 
                                organization must assume clinical and 
                                financial responsibility for benefits 
                                provided under this title and title XIX 
                                with respect to any individual who is 
                                enrolled in both the specialized MA 
                                plan and the Medicaid managed care 
                                organization.
                            ``(ii) Suspension of enrollment for failure 
                        to meet requirements during initial period.--
                        During the period of plan years 2021 through 
                        2025, if the Secretary determines that a 
                        specialized MA plan for special needs 
                        individuals described in subsection 
                        (b)(6)(B)(ii) has failed to comply with clause 
                        (i), the Secretary may provide for the 
                        application against the Medicare Advantage 
                        organization offering the plan of the remedy 
                        described in section 1857(g)(2)(B) in the same 
                        manner as the Secretary may apply such remedy, 
                        and in accordance with the same procedures as 
                        would apply, in the case of an MA organization 
                        determined by the Secretary to have engaged in 
                        conduct described in section 1857(g)(1). If the 
                        Secretary applies such remedy to a Medicare 
                        Advantage organization under the preceding 
                        sentence, the organization shall submit to the 
                        Secretary (at a time, and in a form and manner, 
                        specified by the Secretary) information 
                        describing how the plan will come into 
                        compliance with clause (i).
                    ``(E) Study and report to congress.--
                            ``(i) In general.--Not later than March 15, 
                        2022, and, subject to clause (iii), biennially 
                        thereafter through 2032, the Medicare Payment 
                        Advisory Commission established under section 
                        1805, in consultation with the Medicaid and 
                        CHIP Payment and Access Commission established 
                        under section 1900, shall conduct (and submit 
                        to the Secretary and the Committees on Ways and 
                        Means and Energy and Commerce of the House of 
                        Representatives and the Committee on Finance of 
                        the Senate a report on) a study to determine 
                        how specialized MA plans for special needs 
                        individuals described in subsection 
                        (b)(6)(B)(ii) perform among each other based on 
                        data from Healthcare Effectiveness Data and 
                        Information Set (HEDIS) quality measures, 
                        reported on the plan level, as required under 
                        section 1852(e)(3) (or such other measures or 
                        data sources that are available and 
                        appropriate, such as encounter data and 
                        Consumer Assessment of Healthcare Providers and 
                        Systems data, as specified by such Commissions 
                        as enabling an accurate evaluation under this 
                        subparagraph). Such study shall include, as 
                        feasible, the following comparison groups of 
                        specialized MA plans for special needs 
                        individuals described in subsection 
                        (b)(6)(B)(ii):
                                    ``(I) A comparison group of such 
                                plans that are described in 
                                subparagraph (D)(i)(I).
                                    ``(II) A comparison group of such 
                                plans that are described in 
                                subparagraph (D)(i)(II).
                                    ``(III) A comparison group of such 
                                plans operating within the Financial 
                                Alignment Initiative demonstration for 
                                the period for which such plan is so 
                                operating and the demonstration is in 
                                effect, and, in the case that an 
                                integration option that is not with 
                                respect to specialized MA plans for 
                                special needs individuals is 
                                established after the conclusion of the 
                                demonstration involved.
                                    ``(IV) A comparison group of such 
                                plans that are described in 
                                subparagraph (D)(i)(III).
                                    ``(V) A comparison group of MA 
                                plans, as feasible, not described in a 
                                previous subclause of this clause, with 
                                respect to the performance of such 
                                plans for enrollees who are special 
                                needs individuals described in 
                                subsection (b)(6)(B)(ii).
                            ``(ii) Additional reports.--Beginning with 
                        2033 and every five years thereafter, the 
                        Medicare Payment Advisory Commission, in 
                        consultation with the Medicaid and CHIP Payment 
                        and Access Commission, shall conduct a study 
                        described in clause (i).''.
            (2) Conforming amendment to responsibilities of federal 
        coordinated health care office.--Section 2602(d) of Public Law 
        111-148 (42 U.S.C. 1315b(d)) is amended by adding at the end 
        the following new paragraphs:
            ``(6) To act as a designated contact for States under 
        subsection (f)(8)(A) of section 1859 of the Social Security Act 
        (42 U.S.C. 1395w-28) with respect to the integration of 
        specialized MA plans for special needs individuals described in 
        subsection (b)(6)(B)(ii) of such section.
            ``(7) To be responsible, subject to the final approval of 
        the Secretary, for developing regulations and guidance related 
        to the implementation of a unified grievance and appeals 
        process as described in subparagraphs (B) and (C) of section 
        1859(f)(8) of the Social Security Act (42 U.S.C. 1395w-
        28(f)(8)).
            ``(8) To be responsible, subject to the final approval of 
        the Secretary, for developing regulations and guidance related 
        to the integration or alignment of policy and oversight under 
        the Medicare program under title XVIII of such Act and the 
        Medicaid program under title XIX of such Act regarding 
        specialized MA plans for special needs individuals described in 
        subsection (b)(6)(B)(ii) of such section 1859.''.
    (c) Improvements to Severe or Disabling Chronic Condition SNPs.--
            (1) Care management requirements.--Section 1859(f)(5) of 
        the Social Security Act (42 U.S.C. 1395w-28(f)(5)) is amended--
                    (A) by striking ``all snps.--The requirements'' and 
                inserting ``all snps.--
                    ``(A) In general.--Subject to subparagraph (B), the 
                requirements'';
                    (B) by redesignating subparagraphs (A) and (B) as 
                clauses (i) and (ii), respectively, and indenting 
                appropriately; and
                    (C) in clause (ii), as redesignated by subparagraph 
                (B), by redesignating clauses (i) through (iii) as 
                subclauses (I) through (III), respectively, and 
                indenting appropriately; and
                    (D) by adding at the end the following new 
                subparagraph:
                    ``(B) Improvements to care management requirements 
                for severe or disabling chronic condition snps.--For 
                2020 and subsequent years, in the case of a specialized 
                MA plan for special needs individuals described in 
                subsection (b)(6)(B)(iii), the requirements described 
                in this paragraph include the following:
                            ``(i) The interdisciplinary team under 
                        subparagraph (A)(ii)(III) includes a team of 
                        providers with demonstrated expertise, 
                        including training in an applicable specialty, 
                        in treating individuals similar to the targeted 
                        population of the plan.
                            ``(ii) Requirements developed by the 
                        Secretary to provide face-to-face encounters 
                        with individuals enrolled in the plan not less 
                        frequently than on an annual basis.
                            ``(iii) As part of the model of care under 
                        clause (i) of subparagraph (A), the results of 
                        the initial assessment and annual reassessment 
                        under clause (ii)(I) of such subparagraph of 
                        each individual enrolled in the plan are 
                        addressed in the individual's individualized 
                        care plan under clause (ii)(II) of such 
                        subparagraph.
                            ``(iv) As part of the annual evaluation and 
                        approval of such model of care, the Secretary 
                        shall take into account whether the plan 
                        fulfilled the previous year's goals (as 
                        required under the model of care).
                            ``(v) The Secretary shall establish a 
                        minimum benchmark for each element of the model 
                        of care of a plan. The Secretary shall only 
                        approve a plan's model of care under this 
                        paragraph if each element of the model of care 
                        meets the minimum benchmark applicable under 
                        the preceding sentence.''.
            (2) Revisions to the definition of a severe or disabling 
        chronic conditions specialized needs individual.--
                    (A) In general.--Section 1859(b)(6)(B)(iii) of the 
                Social Security Act (42 U.S.C. 1395w-28(b)(6)(B)(iii)) 
                is amended--
                            (i) by striking ``who have'' and inserting 
                        ``who--
                                    ``(I) before January 1, 2022, 
                                have'';
                            (ii) in subclause (I), as added by clause 
                        (i), by striking the period at the end and 
                        inserting ``; and''; and
                            (iii) by adding at the end the following 
                        new subclause:
                                    ``(II) on or after January 1, 2022, 
                                have one or more comorbid and medically 
                                complex chronic conditions that is life 
                                threatening or significantly limits 
                                overall health or function, have a high 
                                risk of hospitalization or other 
                                adverse health outcomes, and require 
                                intensive care coordination and that is 
                                listed under subsection (f)(9)(A).''.
                    (B) Panel of clinical advisors.--Section 1859(f) of 
                the Social Security Act (42 U.S.C. 1395w-28(f)), as 
                amended by subsection (b), is amended by adding at the 
                end the following new paragraph:
            ``(9) List of conditions for clarification of the 
        definition of a severe or disabling chronic conditions 
        specialized needs individual.--
                    ``(A) In general.--Not later than December 31, 
                2020, and every 5 years thereafter, subject to 
                subparagraphs (B) and (C), the Secretary shall convene 
                a panel of clinical advisors to establish and update a 
                list of conditions that meet each of the following 
                criteria:
                            ``(i) Conditions that meet the definition 
                        of a severe or disabling chronic condition 
                        under subsection (b)(6)(B)(iii) on or after 
                        January 1, 2022.
                            ``(ii) Conditions that require prescription 
                        drugs, providers, and models of care that are 
                        unique to the specific population of enrollees 
                        in a specialized MA plan for special needs 
                        individuals described in such subsection on or 
                        after such date and--
                                    ``(I) as a result of access to, and 
                                enrollment in, such a specialized MA 
                                plan for special needs individuals, 
                                individuals with such condition would 
                                have a reasonable expectation of 
                                slowing or halting the progression of 
                                the disease, improving health outcomes 
                                and decreasing overall costs for 
                                individuals diagnosed with such 
                                condition compared to available options 
                                of care other than through such a 
                                specialized MA plan for special needs 
                                individuals; or
                                    ``(II) have a low prevalence in the 
                                general population of beneficiaries 
                                under this title or a disproportionally 
                                high per-beneficiary cost under this 
                                title.
                    ``(B) Inclusion of certain conditions.--The 
                conditions listed under subparagraph (A) shall include 
                HIV/AIDS, end stage renal disease, and chronic and 
                disabling mental illness.
                    ``(C) Requirement.--In establishing and updating 
                the list under subparagraph (A), the panel shall take 
                into account the availability of varied benefits, cost-
                sharing, and supplemental benefits under the model 
                described in paragraph (2) of section 1859(h), 
                including the expansion under paragraph (1) of such 
                section.''.
    (d) Quality Measurement at the Plan Level for SNPs and 
Determination of Feasability of Quality Measurement at the Plan Level 
for All MA Plans.--Section 1853(o) of the Social Security Act (42 
U.S.C. 1395w-23(o)) is amended by adding at the end the following new 
paragraphs:
            ``(6) Quality measurement at the plan level for snps.--
                    ``(A) In general.--Subject to subparagraph (B), the 
                Secretary may require reporting of data under section 
                1852(e) for, and apply under this subsection, quality 
                measures at the plan level for specialized MA plans for 
                special needs individuals instead of at the contract 
                level.
                    ``(B) Considerations.--Prior to applying quality 
                measurement at the plan level under this paragraph, the 
                Secretary shall--
                            ``(i) take into consideration the minimum 
                        number of enrollees in a specialized MA plan 
                        for special needs individuals in order to 
                        determine if a statistically significant or 
                        valid measurement of quality at the plan level 
                        is possible under this paragraph;
                            ``(ii) take into consideration the impact 
                        of such application on plans that serve a 
                        disproportionate number of individuals dually 
                        eligible for benefits under this title and 
                        under title XIX;
                            ``(iii) if quality measures are reported at 
                        the plan level, ensure that MA plans are not 
                        required to provide duplicative information; 
                        and
                            ``(iv) ensure that such reporting does not 
                        interfere with the collection of encounter data 
                        submitted by MA organizations or the 
                        administration of any changes to the program 
                        under this part as a result of the collection 
                        of such data.
                    ``(C) Application.--If the Secretary applies 
                quality measurement at the plan level under this 
                paragraph--
                            ``(i) such quality measurement may include 
                        Medicare Health Outcomes Survey (HOS), 
                        Healthcare Effectiveness Data and Information 
                        Set (HEDIS), Consumer Assessment of Healthcare 
                        Providers and Systems (CAHPS) measures and 
                        quality measures under part D; and
                            ``(ii) the Secretary shall consider 
                        applying administrative actions, such as 
                        remedies described in section 1857(g)(2), at 
                        the plan level.
            ``(7) Determination of feasibility of quality measurement 
        at the plan level for all ma plans.--
                    ``(A) Determination of feasibility.--The Secretary 
                shall determine the feasibility of requiring reporting 
                of data under section 1852(e) for, and applying under 
                this subsection, quality measures at the plan level for 
                all MA plans under this part.
                    ``(B) Consideration of change.--After making a 
                determination under subparagraph (A), the Secretary 
                shall consider requiring such reporting and applying 
                such quality measures at the plan level as described in 
                such subparagraph''.
    (e) GAO Study and Report on State-Level Integration Between Dual 
SNPs and Medicaid.--
            (1) Study.--The Comptroller General of the United States 
        (in this subsection referred to as the ``Comptroller General'') 
        shall conduct a study on State-level integration between 
        specialized MA plans for special needs individuals described in 
        subsection (b)(6) (B)(ii) of section 1859 of the Social 
        Security Act (42 U.S.C. 1395w-28) and the Medicaid program 
        under title XIX of such Act (42 U.S.C. 1396 et seq.). Such 
        study shall include an analysis of the following:
                    (A) The characteristics of States in which the 
                State agency responsible for administering the State 
                plan under such title XIX has a contract with such a 
                specialized MA plan and that delivers long-term 
                services and supports under the State plan under such 
                title XIX through a managed care program, including the 
                requirements under such State plan with respect to 
                long-term services and supports.
                    (B) The types of such specialized MA plans, which 
                may include the following:
                            (i) A plan described in section 
                        1853(a)(1)(B)(iv)(II) of such Act (42 U.S.C. 
                        1395w-23(a)(1)(B)(iv)(II)).
                            (ii) A plan that meets the requirements 
                        described in subsection (f)(3)(D) of such 
                        section 1859.
                            (iii) A plan described in clause (ii) that 
                        also meets additional requirements established 
                        by the State.
                    (C) The characteristics of individuals enrolled in 
                such specialized MA plans.
                    (D) As practicable, the following with respect to 
                State programs for the delivery of long-term services 
                and supports under such title XIX through a managed 
                care program:
                            (i) Which populations of individuals are 
                        eligible to receive such services and supports.
                            (ii) Whether all such services and supports 
                        are provided on a capitated basis or if any of 
                        such services and supports are carved out and 
                        provided through fee-for service.
                    (E) As practicable, how the availability and 
                variation of integration arrangements of such 
                specialized MA plans offered in States affects 
                spending, service delivery options, access to 
                community-based care, and utilization of care.
                    (F) The efforts of State Medicaid programs to 
                transition dually-eligible beneficiaries receiving 
                long-term services and supports (LTSS) from 
                institutional settings to home and community-based 
                settings and related financial impacts of such 
                transitions.
                    (G) Barriers and opportunities for making further 
                progress on dual integration, as well as 
                recommendations for legislation or administrative 
                action to expedite or refine pathways toward fully 
                integrated care.
            (2) Report.--Not later than 2 years after the date of the 
        enactment of this Act, the Comptroller General shall submit to 
        Congress a report containing the results of the study conducted 
        under paragraph (1), together with recommendations for such 
        legislation and administrative action as the Comptroller 
        General determines appropriate.

            Subtitle C--Expanding Innovation and Technology

SEC. 50321. ADAPTING BENEFITS TO MEET THE NEEDS OF CHRONICALLY ILL 
              MEDICARE ADVANTAGE ENROLLEES.

    Section 1859 of the Social Security Act (42 U.S.C. 1395w-28) is 
amended by adding at the end the following new subsection:
    ``(h) National Testing of Medicare Advantage Value-Based Insurance 
Design Model.--
            ``(1) In general.--In implementing the Medicare Advantage 
        Value-Based Insurance Design model that is being tested under 
        section 1115A(b), the Secretary shall revise the testing of the 
        model under such section to cover, effective not later than 
        January 1, 2020, all States.
            ``(2) Termination and modification provision not applicable 
        until january 1, 2022.--The provisions of section 
        1115A(b)(3)(B) shall apply to the Medicare Advantage Value-
        Based Insurance Design model, including such model as revised 
        under paragraph (1), beginning January 1, 2022, but shall not 
        apply to such model, as so revised, prior to such date.
            ``(3) Funding.--The Secretary shall allocate funds made 
        available under section 1115A(f)(1) to design, implement, and 
        evaluate the Medicare Advantage Value-Based Insurance Design 
        model, as revised under paragraph (1).''.

SEC. 50322. EXPANDING SUPPLEMENTAL BENEFITS TO MEET THE NEEDS OF 
              CHRONICALLY ILL MEDICARE ADVANTAGE ENROLLEES.

    (a) In General.--Section 1852(a)(3) of the Social Security Act (42 
U.S.C. 1395w-22(a)(3)) is amended--
            (1) in subparagraph (A), by striking ``Each'' and inserting 
        ``Subject to subparagraph (D), each''; and
            (2) by adding at the end the following new subparagraph:
                    ``(D) Expanding supplemental benefits to meet the 
                needs of chronically ill enrollees.--
                            ``(i) In general.--For plan year 2020 and 
                        subsequent plan years, in addition to any 
                        supplemental health care benefits otherwise 
                        provided under this paragraph, an MA plan, 
                        including a specialized MA plan for special 
                        needs individuals (as defined in section 
                        1859(b)(6)), may provide supplemental benefits 
                        described in clause (ii) to a chronically ill 
                        enrollee (as defined in clause (iii)).
                            ``(ii) Supplemental benefits described.--
                                    ``(I) In general.--Supplemental 
                                benefits described in this clause are 
                                supplemental benefits that, with 
                                respect to a chronically ill enrollee, 
                                have a reasonable expectation of 
                                improving or maintaining the health or 
                                overall function of the chronically ill 
                                enrollee and may not be limited to 
                                being primarily health related 
                                benefits.
                                    ``(II) Authority to waive 
                                uniformity requirements.--The Secretary 
                                may, only with respect to supplemental 
                                benefits provided to a chronically ill 
                                enrollee under this subparagraph, waive 
                                the uniformity requirements under this 
                                part, as determined appropriate by the 
                                Secretary.
                            ``(iii) Chronically ill enrollee defined.--
                        In this subparagraph, the term `chronically ill 
                        enrollee' means an enrollee in an MA plan that 
                        the Secretary determines--
                                    ``(I) has one or more comorbid and 
                                medically complex chronic conditions 
                                that is life threatening or 
                                significantly limits the overall health 
                                or function of the enrollee;
                                    ``(II) has a high risk of 
                                hospitalization or other adverse health 
                                outcomes; and
                                    ``(III) requires intensive care 
                                coordination.''.
    (b) GAO Study and Report.--
            (1) Study.--The Comptroller General of the United States 
        (in this subsection referred to as the ``Comptroller General'') 
        shall conduct a study on supplemental benefits provided to 
        enrollees in Medicare Advantage plans under part C of title 
        XVIII of the Social Security Act, including specialized MA 
        plans for special needs individuals (as defined in section 
        1859(b)(6) of such Act (42 U.S.C. 1395w-28(b)(6))). To the 
        extend data are available, such study shall include an analysis 
        of the following:
                    (A) The type of supplemental benefits provided to 
                such enrollees, the total number of enrollees receiving 
                each supplemental benefit, and whether the supplemental 
                benefit is covered by the standard benchmark cost of 
                the benefit or with an additional premium.
                    (B) The frequency in which supplemental benefits 
                are utilized by such enrollees.
                    (C) The impact supplemental benefits have on--
                            (i) indicators of the quality of care 
                        received by such enrollees, including overall 
                        health and function of the enrollees;
                            (ii) the utilization of items and services 
                        for which benefits are available under the 
                        original Medicare fee-for-service program 
                        option under parts A and B of such title XVIII 
                        by such enrollees; and
                            (iii) the amount of the bids submitted by 
                        Medicare Advantage Organizations for Medicare 
                        Advantage plans under such part C.
            (2) Consultation.--In conducting the study under paragraph 
        (1), the Comptroller General shall, as necessary, consult with 
        the Centers for Medicare & Medicaid Services and Medicare 
        Advantage organizations offering Medicare Advantage plans.
            (3) Report.--Not later than 5 years after the date of the 
        enactment of this Act, the Comptroller General shall submit to 
        Congress a report containing the results of the study conducted 
        under paragraph (1), together with recommendations for such 
        legislation and administrative action as the Comptroller 
        General determines appropriate.

SEC. 50323. INCREASING CONVENIENCE FOR MEDICARE ADVANTAGE ENROLLEES 
              THROUGH TELEHEALTH.

    (a) In General.--Section 1852 of the Social Security Act (42 U.S.C. 
1395w-22) is amended--
            (1) in subsection (a)(1)(B)(i), by inserting ``, subject to 
        subsection (m),'' after ``means''; and
            (2) by adding at the end the following new subsection:
    ``(m) Provision of Additional Telehealth Benefits.--
            ``(1) MA plan option.--For plan year 2020 and subsequent 
        plan years, subject to the requirements of paragraph (3), an MA 
        plan may provide additional telehealth benefits (as defined in 
        paragraph (2)) to individuals enrolled under this part.
            ``(2) Additional telehealth benefits defined.--
                    ``(A) In general.--For purposes of this subsection 
                and section 1854:
                            ``(i) Definition.--The term `additional 
                        telehealth benefits' means services--
                                    ``(I) for which benefits are 
                                available under part B, including 
                                services for which payment is not made 
                                under section 1834(m) due to the 
                                conditions for payment under such 
                                section; and
                                    ``(II) that are identified for such 
                                year as clinically appropriate to 
                                furnish using electronic information 
                                and telecommunications technology when 
                                a physician (as defined in section 
                                1861(r)) or practitioner (described in 
                                section 1842(b)(18)(C)) providing the 
                                service is not at the same location as 
                                the plan enrollee.
                            ``(ii) Exclusion of capital and 
                        infrastructure costs and investments.--The term 
                        `additional telehealth benefits' does not 
                        include capital and infrastructure costs and 
                        investments relating to such benefits.
                    ``(B) Public comment.--Not later than November 30, 
                2018, the Secretary shall solicit comments on--
                            ``(i) what types of items and services 
                        (including those provided through supplemental 
                        health care benefits, such as remote patient 
                        monitoring, secure messaging, store and forward 
                        technologies, and other non-face-to-face 
                        communication) should be considered to be 
                        additional telehealth benefits; and
                            ``(ii) the requirements for the provision 
                        or furnishing of such benefits (such as 
                        training and coordination requirements).
            ``(3) Requirements for additional telehealth benefits.--The 
        Secretary shall specify requirements for the provision or 
        furnishing of additional telehealth benefits, including with 
        respect to the following:
                    ``(A) Physician or practitioner qualifications 
                (other than licensure) and other requirements such as 
                specific training.
                    ``(B) Factors necessary for the coordination of 
                such benefits with other items and services including 
                those furnished in-person.
                    ``(C) Such other areas as determined by the 
                Secretary.
            ``(4) Enrollee choice.--If an MA plan provides a service as 
        an additional telehealth benefit (as defined in paragraph 
        (2))--
                    ``(A) the MA plan shall also provide access to such 
                benefit through an in-person visit (and not only as an 
                additional telehealth benefit); and
                    ``(B) an individual enrollee shall have discretion 
                as to whether to receive such service through the in-
                person visit or as an additional telehealth benefit.
            ``(5) Treatment under ma.--For purposes of this subsection 
        and section 1854, if a plan provides additional telehealth 
        benefits, such additional telehealth benefits shall be treated 
        as if they were benefits under the original Medicare fee-for-
        service program option.
            ``(6) Construction.--Nothing in this subsection shall be 
        construed as affecting the requirement under subsection (a)(1) 
        that MA plans provide enrollees with items and services (other 
        than hospice care) for which benefits are available under parts 
        A and B, including benefits available under section 1834(m).''.
    (b) Clarification Regarding Inclusion in Bid Amount.--Section 
1854(a)(6)(A)(ii)(I) of the Social Security Act (42 U.S.C. 1395w-
24(a)(6)(A)(ii)(I)) is amended by inserting ``, including, for plan 
year 2020 and subsequent plan years, the provision of additional 
telehealth benefits as described in section 1852(m)'' before the 
semicolon at the end.

SEC. 50324. PROVIDING ACCOUNTABLE CARE ORGANIZATIONS THE ABILITY TO 
              EXPAND THE USE OF TELEHEALTH.

    (a) In General.--Section 1899 of the Social Security Act (42 U.S.C. 
1395jjj) is amended by adding at the end the following new subsection:
    ``(l) Providing ACOs the Ability To Expand the Use of Telehealth 
Services.--
            ``(1) In general.--In the case of telehealth services for 
        which payment would otherwise be made under this title 
        furnished on or after January 1, 2020, for purposes of this 
        subsection only, the following shall apply with respect to such 
        services furnished by a physician or practitioner participating 
        in an applicable ACO (as defined in paragraph (2)) to a 
        Medicare fee-for-service beneficiary assigned to the applicable 
        ACO:
                    ``(A) Inclusion of home as originating site.--
                Subject to paragraph (3), the home of a beneficiary 
                shall be treated as an originating site described in 
                section 1834(m)(4)(C)(ii).
                    ``(B) No application of geographic limitation.--The 
                geographic limitation under section 1834(m)(4)(C)(i) 
                shall not apply with respect to an originating site 
                described in section 1834(m)(4)(C)(ii) (including the 
                home of a beneficiary under subparagraph (A)), subject 
                to State licensing requirements.
            ``(2) Definitions.--In this subsection:
                    ``(A) Applicable aco.--The term `applicable ACO' 
                means an ACO participating in a model tested or 
                expanded under section 1115A or under this section--
                            ``(i) that operates under a two-sided 
                        model--
                                    ``(I) described in section 
                                425.600(a) of title 42, Code of Federal 
                                Regulations; or
                                    ``(II) tested or expanded under 
                                section 1115A; and
                            ``(ii) for which Medicare fee-for-service 
                        beneficiaries are assigned to the ACO using a 
                        prospective assignment method, as determined 
                        appropriate by the Secretary.
                    ``(B) Home.--The term `home' means, with respect to 
                a Medicare fee-for-service beneficiary, the place of 
                residence used as the home of the beneficiary.
            ``(3) Telehealth services received in the home.--In the 
        case of telehealth services described in paragraph (1) where 
        the home of a Medicare fee-for-service beneficiary is the 
        originating site, the following shall apply:
                    ``(A) No facility fee.--There shall be no facility 
                fee paid to the originating site under section 
                1834(m)(2)(B).
                    ``(B) Exclusion of certain services.--No payment 
                may be made for such services that are inappropriate to 
                furnish in the home setting such as services that are 
                typically furnished in inpatient settings such as a 
                hospital.''.
    (b) Study and Report.--
            (1) Study.--
                    (A) In general.--The Secretary of Health and Human 
                Services (in this subsection referred to as the 
                ``Secretary'') shall conduct a study on the 
                implementation of section 1899(l) of the Social 
                Security Act, as added by subsection (a). Such study 
                shall include an analysis of the utilization of, and 
                expenditures for, telehealth services under such 
                section.
                    (B) Collection of data.--The Secretary may collect 
                such data as the Secretary determines necessary to 
                carry out the study under this paragraph.
            (2) Report.--Not later than January 1, 2026, the Secretary 
        shall submit to Congress a report containing the results of the 
        study conducted under paragraph (1), together with 
        recommendations for such legislation and administrative action 
        as the Secretary determines appropriate.

SEC. 50325. EXPANDING THE USE OF TELEHEALTH FOR INDIVIDUALS WITH 
              STROKE.

    Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)), as 
amended by section 50302(b)(1), is amended--
            (1) in paragraph (4)(C)(i), in the matter preceding 
        subclause (I), by striking ``The term'' and inserting ``Except 
        as provided in paragraph (6), the term''; and
            (2) by adding at the end the following new paragraph:
            ``(6) Treatment of stroke telehealth services.--
                    ``(A) Non-application of originating site 
                requirements.--The requirements described in paragraph 
                (4)(C) shall not apply with respect to telehealth 
                services furnished on or after January 1, 2019, for 
                purposes of diagnosis, evaluation, or treatment of 
                symptoms of an acute stroke, as determined by the 
                Secretary.
                    ``(B) Inclusion of certain sites.--With respect to 
                telehealth services described in subparagraph (A), the 
                term `originating site' shall include any hospital (as 
                defined in section 1861(e)) or critical access hospital 
                (as defined in section 1861(mm)(1)), any mobile stroke 
                unit (as defined by the Secretary), or any other site 
                determined appropriate by the Secretary, at which the 
                eligible telehealth individual is located at the time 
                the service is furnished via a telecommunications 
                system.
                    ``(C) No originating site facility fee for new 
                sites.--No facility fee shall be paid under paragraph 
                (2)(B) to an originating site with respect to a 
                telehealth service described in subparagraph (A) if the 
                originating site does not otherwise meet the 
                requirements for an originating site under paragraph 
                (4)(C).''.

         Subtitle D--Identifying the Chronically Ill Population

SEC. 50331. PROVIDING FLEXIBILITY FOR BENEFICIARIES TO BE PART OF AN 
              ACCOUNTABLE CARE ORGANIZATION.

    Section 1899(c) of the Social Security Act (42 U.S.C. 1395jjj(c)) 
is amended--
            (1) by redesignating paragraphs (1) and (2) as 
        subparagraphs (A) and (B), respectively, and indenting 
        appropriately;
            (2) by striking ``ACOs.--The Secretary'' and inserting 
        ``ACOs.--
            ``(1) In general.--Subject to paragraph (2), the 
        Secretary''; and
            (3) by adding at the end the following new paragraph:
            ``(2) Providing flexibility.--
                    ``(A) Choice of prospective assignment.--For each 
                agreement period (effective for agreements entered into 
                or renewed on or after January 1, 2020), in the case 
                where an ACO established under the program is in a 
                Track that provides for the retrospective assignment of 
                Medicare fee-for-service beneficiaries to the ACO, the 
                Secretary shall permit the ACO to choose to have 
                Medicare fee-for-service beneficiaries assigned 
                prospectively, rather than retrospectively, to the ACO 
                for an agreement period.
                    ``(B) Assignment based on voluntary identification 
                by medicare fee-for-service beneficiaries.--
                            ``(i) In general.--For performance year 
                        2018 and each subsequent performance year, if a 
                        system is available for electronic designation, 
                        the Secretary shall permit a Medicare fee-for-
                        service beneficiary to voluntarily identify an 
                        ACO professional as the primary care provider 
                        of the beneficiary for purposes of assigning 
                        such beneficiary to an ACO, as determined by 
                        the Secretary.
                            ``(ii) Notification process.--The Secretary 
                        shall establish a process under which a 
                        Medicare fee-for-service beneficiary is--
                                    ``(I) notified of their ability to 
                                make an identification described in 
                                clause (i); and
                                    ``(II) informed of the process by 
                                which they may make and change such 
                                identification.
                            ``(iii) Superseding claims-based 
                        assignment.--A voluntary identification by a 
                        Medicare fee-for-service beneficiary under this 
                        subparagraph shall supersede any claims-based 
                        assignment otherwise determined by the 
                        Secretary.''.

   Subtitle E--Empowering Individuals and Caregivers in Care Delivery

SEC. 50341. ELIMINATING BARRIERS TO CARE COORDINATION UNDER ACCOUNTABLE 
              CARE ORGANIZATIONS.

    (a) In General.--Section 1899 of the Social Security Act (42 U.S.C. 
1395jjj), as amended by section 50324(a), is amended--
            (1) in subsection (b)(2), by adding at the end the 
        following new subparagraph:
                    ``(I) An ACO that seeks to operate an ACO 
                Beneficiary Incentive Program pursuant to subsection 
                (m) shall apply to the Secretary at such time, in such 
                manner, and with such information as the Secretary may 
                require.'';
            (2) by adding at the end the following new subsection:
    ``(m) Authority To Provide Incentive Payments to Beneficiaries With 
Respect to Qualifying Primary Care Services.--
            ``(1) Program.--
                    ``(A) In general.--In order to encourage Medicare 
                fee-for-service beneficiaries to obtain medically 
                necessary primary care services, an ACO participating 
                under this section under a payment model described in 
                clause (i) or (ii) of paragraph (2)(B) may apply to 
                establish an ACO Beneficiary Incentive Program to 
                provide incentive payments to such beneficiaries who 
                are furnished qualifying services in accordance with 
                this subsection. The Secretary shall permit such an ACO 
                to establish such a program at the Secretary's 
                discretion and subject to such requirements, including 
                program integrity requirements, as the Secretary 
                determines necessary.
                    ``(B) Implementation.--The Secretary shall 
                implement this subsection on a date determined 
                appropriate by the Secretary. Such date shall be no 
                earlier than January 1, 2019, and no later than January 
                1, 2020.
            ``(2) Conduct of program.--
                    ``(A) Duration.--Subject to subparagraph (H), an 
                ACO Beneficiary Incentive Program established under 
                this subsection shall be conducted for such period (of 
                not less than 1 year) as the Secretary may approve.
                    ``(B) Scope.--An ACO Beneficiary Incentive Program 
                established under this subsection shall provide 
                incentive payments to all of the following Medicare 
                fee-for-service beneficiaries who are furnished 
                qualifying services by the ACO:
                            ``(i) With respect to the Track 2 and Track 
                        3 payment models described in section 
                        425.600(a) of title 42, Code of Federal 
                        Regulations (or in any successor regulation), 
                        Medicare fee-for-service beneficiaries who are 
                        preliminarily prospectively or prospectively 
                        assigned (or otherwise assigned, as determined 
                        by the Secretary) to the ACO.
                            ``(ii) With respect to any future payment 
                        models involving two-sided risk, Medicare fee-
                        for-service beneficiaries who are assigned to 
                        the ACO, as determined by the Secretary.
                    ``(C) Qualifying service.--For purposes of this 
                subsection, a qualifying service is a primary care 
                service, as defined in section 425.20 of title 42, Code 
                of Federal Regulations (or in any successor 
                regulation), with respect to which coinsurance applies 
                under part B, furnished through an ACO by--
                            ``(i) an ACO professional described in 
                        subsection (h)(1)(A) who has a primary care 
                        specialty designation included in the 
                        definition of primary care physician under 
                        section 425.20 of title 42, Code of Federal 
                        Regulations (or any successor regulation);
                            ``(ii) an ACO professional described in 
                        subsection (h)(1)(B); or
                            ``(iii) a Federally qualified health center 
                        or rural health clinic (as such terms are 
                        defined in section 1861(aa)).
                    ``(D) Incentive payments.--An incentive payment 
                made by an ACO pursuant to an ACO Beneficiary Incentive 
                Program established under this subsection shall be--
                            ``(i) in an amount up to $20, with such 
                        maximum amount updated annually by the 
                        percentage increase in the consumer price index 
                        for all urban consumers (United States city 
                        average) for the 12-month period ending with 
                        June of the previous year;
                            ``(ii) in the same amount for each Medicare 
                        fee-for-service beneficiary described in clause 
                        (i) or (ii) of subparagraph (B) without regard 
                        to enrollment of such a beneficiary in a 
                        medicare supplemental policy (described in 
                        section 1882(g)(1)), in a State Medicaid plan 
                        under title XIX or a waiver of such a plan, or 
                        in any other health insurance policy or health 
                        benefit plan;
                            ``(iii) made for each qualifying service 
                        furnished to such a beneficiary described in 
                        clause (i) or (ii) of subparagraph (B) during a 
                        period specified by the Secretary; and
                            ``(iv) made no later than 30 days after a 
                        qualifying service is furnished to such a 
                        beneficiary described in clause (i) or (ii) of 
                        subparagraph (B).
                    ``(E) No separate payments from the secretary.--The 
                Secretary shall not make any separate payment to an ACO 
                for the costs, including incentive payments, of 
                carrying out an ACO Beneficiary Incentive Program 
                established under this subsection. Nothing in this 
                subparagraph shall be construed as prohibiting an ACO 
                from using shared savings received under this section 
                to carry out an ACO Beneficiary Incentive Program.
                    ``(F) No application to shared savings 
                calculation.--Incentive payments made by an ACO under 
                this subsection shall be disregarded for purposes of 
                calculating benchmarks, estimated average per capita 
                Medicare expenditures, and shared savings under this 
                section.
                    ``(G) Reporting requirements.--An ACO conducting an 
                ACO Beneficiary Incentive Program under this subsection 
                shall, at such times and in such format as the 
                Secretary may require, report to the Secretary such 
                information and retain such documentation as the 
                Secretary may require, including the amount and 
                frequency of incentive payments made and the number of 
                Medicare fee-for-service beneficiaries receiving such 
                payments.
                    ``(H) Termination.--The Secretary may terminate an 
                ACO Beneficiary Incentive Program established under 
                this subsection at any time for reasons determined 
                appropriate by the Secretary.
            ``(3) Exclusion of incentive payments.--Any payment made 
        under an ACO Beneficiary Incentive Program established under 
        this subsection shall not be considered income or resources or 
        otherwise taken into account for purposes of--
                    ``(A) determining eligibility for benefits or 
                assistance (or the amount or extent of benefits or 
                assistance) under any Federal program or under any 
                State or local program financed in whole or in part 
                with Federal funds; or
                    ``(B) any Federal or State laws relating to 
                taxation.'';
            (3) in subsection (e), by inserting ``, including an ACO 
        Beneficiary Incentive Program under subsections (b)(2)(I) and 
        (m)'' after ``the program''; and
            (4) in subsection (g)(6), by inserting ``or of an ACO 
        Beneficiary Incentive Program under subsections (b)(2)(I) and 
        (m)'' after ``under subsection (d)(4)''.
    (b) Amendment to Section 1128B.--Section 1128B(b)(3) of the Social 
Security Act (42 U.S.C. 1320a-7b(b)(3)) is amended--
            (1) by striking ``and'' at the end of subparagraph (I);
            (2) by striking the period at the end of subparagraph (J) 
        and inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
                    ``(K) an incentive payment made to a Medicare fee-
                for-service beneficiary by an ACO under an ACO 
                Beneficiary Incentive Program established under 
                subsection (m) of section 1899, if the payment is made 
                in accordance with the requirements of such subsection 
                and meets such other conditions as the Secretary may 
                establish.''.
    (c) Evaluation and Report.--
            (1) Evaluation.--The Secretary of Health and Human Services 
        (in this subsection referred to as the ``Secretary'') shall 
        conduct an evaluation of the ACO Beneficiary Incentive Program 
        established under subsections (b)(2)(I) and (m) of section 1899 
        of the Social Security Act (42 U.S.C. 1395jjj), as added by 
        subsection (a). The evaluation shall include an analysis of the 
        impact of the implementation of the Program on expenditures and 
        beneficiary health outcomes under title XVIII of the Social 
        Security Act (42 U.S.C. 1395 et seq.).
            (2) Report.--Not later than October 1, 2023, the Secretary 
        shall submit to Congress a report containing the results of the 
        evaluation under paragraph (1), together with recommendations 
        for such legislation and administrative action as the Secretary 
        determines appropriate.

SEC. 50342. GAO STUDY AND REPORT ON LONGITUDINAL COMPREHENSIVE CARE 
              PLANNING SERVICES UNDER MEDICARE PART B.

    (a) Study.--The Comptroller General shall conduct a study on the 
establishment under part B of the Medicare program under title XVIII of 
the Social Security Act of a payment code for a visit for longitudinal 
comprehensive care planning services. Such study shall include an 
analysis of the following to the extent such information is available:
            (1) The frequency with which services similar to 
        longitudinal comprehensive care planning services are furnished 
        to Medicare beneficiaries, which providers of services and 
        suppliers are furnishing those services, whether Medicare 
        reimbursement is being received for those services, and, if so, 
        through which codes those services are being reimbursed.
            (2) Whether, and the extent to which, longitudinal 
        comprehensive care planning services would overlap, and could 
        therefore result in duplicative payment, with services covered 
        under the hospice benefit as well as the chronic care 
        management code, evaluation and management codes, or other 
        codes that already exist under part B of the Medicare program.
            (3) Any barriers to hospitals, skilled nursing facilities, 
        hospice programs, home health agencies, and other applicable 
        providers working with a Medicare beneficiary to engage in the 
        care planning process and complete the necessary documentation 
        to support the treatment and care plan of the beneficiary and 
        provide such documentation to other providers and the 
        beneficiary or the beneficiary's representative.
            (4) Any barriers to providers, other than the provider 
        furnishing longitudinal comprehensive care planning services, 
        accessing the care plan and associated documentation for use 
        related to the care of the Medicare beneficiary.
            (5) Potential options for ensuring that applicable 
        providers are notified of a patient's existing longitudinal 
        care plan and that applicable providers consider that plan in 
        making their treatment decisions, and what the challenges might 
        be in implementing such options.
            (6) Stakeholder's views on the need for the development of 
        quality metrics with respect to longitudinal comprehensive care 
        planning services, such as measures related to--
                    (A) the process of eliciting input from the 
                Medicare beneficiary or from a legally authorized 
                representative and documenting in the medical record 
                the patient-directed care plan;
                    (B) the effectiveness and patient-centeredness of 
                the care plan in organizing delivery of services 
                consistent with the plan;
                    (C) the availability of the care plan and 
                associated documentation to other providers that care 
                for the beneficiary; and
                    (D) the extent to which the beneficiary received 
                services and support that is free from discrimination 
                based on advanced age, disability status, or advanced 
                illness.
            (7) Stakeholder's views on how such quality metrics would 
        provide information on--
                    (A) the goals, values, and preferences of the 
                beneficiary;
                    (B) the documentation of the care plan;
                    (C) services furnished to the beneficiary; and
                    (D) outcomes of treatment.
            (8) Stakeholder's views on--
                    (A) the type of training and education needed for 
                applicable providers, individuals, and caregivers in 
                order to facilitate longitudinal comprehensive care 
                planning services;
                    (B) the types of providers of services and 
                suppliers that should be included in the 
                interdisciplinary team of an applicable provider; and
                    (C) the characteristics of Medicare beneficiaries 
                that would be most appropriate to receive longitudinal 
                comprehensive care planning services, such as 
                individuals with advanced disease and individuals who 
                need assistance with multiple activities of daily 
                living.
            (9) Stakeholder's views on the frequency with which 
        longitudinal comprehensive care planning services should be 
        furnished.
    (b) Report.--Not later than 18 months after the date of the 
enactment of this Act, the Comptroller General shall submit to Congress 
a report containing the results of the study conducted under subsection 
(a), together with recommendations for such legislation and 
administrative action as the Comptroller General determines 
appropriate.
    (c) Definitions.--In this section:
            (1) Applicable provider.--The term ``applicable provider'' 
        means a hospice program (as defined in subsection (dd)(2) of 
        section 1861 of the Social Security Act (42 U.S.C. 1395ww)) or 
        other provider of services (as defined in subsection (u) of 
        such section) or supplier (as defined in subsection (d) of such 
        section) that--
                    (A) furnishes longitudinal comprehensive care 
                planning services through an interdisciplinary team; 
                and
                    (B) meets such other requirements as the Secretary 
                may determine to be appropriate.
            (2) Comptroller general.--The term ``Comptroller General'' 
        means the Comptroller General of the United States.
            (3) Interdisciplinary team.--The term ``interdisciplinary 
        team'' means a group that--
                    (A) includes the personnel described in subsection 
                (dd)(2)(B)(i) of such section 1861;
                    (B) may include a chaplain, minister, or other 
                clergy; and
                    (C) may include other direct care personnel.
            (4) Longitudinal comprehensive care planning services.--The 
        term ``longitudinal comprehensive care planning services'' 
        means a voluntary shared decisionmaking process that is 
        furnished by an applicable provider through an 
        interdisciplinary team and includes a conversation with 
        Medicare beneficiaries who have received a diagnosis of a 
        serious or life-threatening illness. The purpose of such 
        services is to discuss a longitudinal care plan that addresses 
        the progression of the disease, treatment options, the goals, 
        values, and preferences of the beneficiary, and the 
        availability of other resources and social supports that may 
        reduce the beneficiary's health risks and promote self-
        management and shared decisionmaking.
            (5) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.

   Subtitle F--Other Policies to Improve Care for the Chronically Ill

SEC. 50351. GAO STUDY AND REPORT ON IMPROVING MEDICATION 
              SYNCHRONIZATION.

    (a) Study.--The Comptroller General of the United States (in this 
section referred to as the ``Comptroller General'') shall conduct a 
study on the extent to which Medicare prescription drug plans (MA-PD 
plans and stand alone prescription drug plans) under part D of title 
XVIII of the Social Security Act and private payors use programs that 
synchronize pharmacy dispensing so that individuals may receive 
multiple prescriptions on the same day to facilitate comprehensive 
counseling and promote medication adherence. The study shall include a 
analysis of the following:
            (1) The extent to which pharmacies have adopted such 
        programs.
            (2) The common characteristics of such programs, including 
        how pharmacies structure counseling sessions under such 
        programs and the types of payment and other arrangements that 
        Medicare prescription drug plans and private payors employ 
        under such programs to support the efforts of pharmacies.
            (3) How such programs compare for Medicare prescription 
        drug plans and private payors.
            (4) What is known about how such programs affect patient 
        medication adherence and overall patient health outcomes, 
        including if adherence and outcomes vary by patient 
        subpopulations, such as disease state and socioeconomic status.
            (5) What is known about overall patient satisfaction with 
        such programs and satisfaction with such programs, including 
        within patient subpopulations, such as disease state and 
        socioeconomic status.
            (6) The extent to which laws and regulations of the 
        Medicare program support such programs.
            (7) Barriers to the use of medication synchronization 
        programs by Medicare prescription drug plans.
    (b) Report.--Not later than 18 months after the date of the 
enactment of this Act, the Comptroller General shall submit to Congress 
a report containing the results of the study under subsection (a), 
together with recommendations for such legislation and administrative 
action as the Comptroller General determines appropriate.

SEC. 50352. GAO STUDY AND REPORT ON IMPACT OF OBESITY DRUGS ON PATIENT 
              HEALTH AND SPENDING.

    (a) Study.--The Comptroller General of the United States (in this 
section referred to as the ``Comptroller General'') shall, to the 
extent data are available, conduct a study on the use of prescription 
drugs to manage the weight of obese patients and the impact of coverage 
of such drugs on patient health and on health care spending. Such study 
shall examine the use and impact of these obesity drugs in the non-
Medicare population and for Medicare beneficiaries who have such drugs 
covered through an MA-PD plan (as defined in section 1860D-1(a)(3)(C) 
of the Social Security Act (42 U.S.C. 1395w-101(a)(3)(C))) as a 
supplemental health care benefit. The study shall include an analysis 
of the following:
            (1) The prevalence of obesity in the Medicare and non-
        Medicare population.
            (2) The utilization of obesity drugs.
            (3) The distribution of Body Mass Index by individuals 
        taking obesity drugs, to the extent practicable.
            (4) What is known about the use of obesity drugs in 
        conjunction with the receipt of other items or services, such 
        as behavioral counseling, and how these compare to items and 
        services received by obese individuals who do not take obesity 
        drugs.
            (5) Physician considerations and attitudes related to 
        prescribing obesity drugs.
            (6) The extent to which coverage policies cease or limit 
        coverage for individuals who fail to receive clinical benefit.
            (7) What is known about the extent to which individuals who 
        take obesity drugs adhere to the prescribed regimen.
            (8) What is known about the extent to which individuals who 
        take obesity drugs maintain weight loss over time.
            (9) What is known about the subsequent impact such drugs 
        have on medical services that are directly related to obesity, 
        including with respect to subpopulations determined based on 
        the extent of obesity.
            (10) What is known about the spending associated with the 
        care of individuals who take obesity drugs, compared to the 
        spending associated with the care of individuals who do not 
        take such drugs.
    (b) Report.--Not later than 18 months after the date of the 
enactment of this Act, the Comptroller General shall submit to Congress 
a report containing the results of the study under subsection (a), 
together with recommendations for such legislation and administrative 
action as the Comptroller General determines appropriate.

SEC. 50353. HHS STUDY AND REPORT ON LONG-TERM RISK FACTORS FOR CHRONIC 
              CONDITIONS AMONG MEDICARE BENEFICIARIES.

    (a) Study.--The Secretary of Health and Human Services (in this 
section referred to as the ``Secretary'') shall conduct a study on 
long-term cost drivers to the Medicare program, including obesity, 
tobacco use, mental health conditions, and other factors that may 
contribute to the deterioration of health conditions among individuals 
with chronic conditions in the Medicare population. The study shall 
include an analysis of any barriers to collecting and analyzing such 
information and how to remove any such barriers (including through 
legislation and administrative actions).
    (b) Report.--Not later than 18 months after the date of the 
enactment of this Act, the Secretary shall submit to Congress a report 
containing the results of the study under subsection (a), together with 
recommendations for such legislation and administrative action as the 
Secretary determines appropriate. The Secretary shall also post such 
report on the Internet website of the Department of Health and Human 
Services.

SEC. 50354. PROVIDING PRESCRIPTION DRUG PLANS WITH PARTS A AND B CLAIMS 
              DATA TO PROMOTE THE APPROPRIATE USE OF MEDICATIONS AND 
              IMPROVE HEALTH OUTCOMES.

    Section 1860D-4(c) of the Social Security Act (42 U.S.C. 1395w-
104(c)) is amended by adding at the end the following new paragraph:
            ``(6) Providing prescription drug plans with parts a and b 
        claims data to promote the appropriate use of medications and 
        improve health outcomes.--
                    ``(A) Process.--Subject to subparagraph (B), the 
                Secretary shall establish a process under which a PDP 
                sponsor of a prescription drug plan may submit a 
                request for the Secretary to provide the sponsor, on a 
                periodic basis and in an electronic format, beginning 
                in plan year 2020, data described in subparagraph (D) 
                with respect to enrollees in such plan. Such data shall 
                be provided without regard to whether such enrollees 
                are described in clause (ii) of paragraph (2)(A).
                    ``(B) Purposes.--A PDP sponsor may use the data 
                provided to the sponsor pursuant to subparagraph (A) 
                for any of the following purposes:
                            ``(i) To optimize therapeutic outcomes 
                        through improved medication use, as such phrase 
                        is used in clause (i) of paragraph (2)(A).
                            ``(ii) To improving care coordination so as 
                        to prevent adverse health outcomes, such as 
                        preventable emergency department visits and 
                        hospital readmissions.
                            ``(iii) For any other purpose determined 
                        appropriate by the Secretary.
                    ``(C) Limitations on data use.--A PDP sponsor shall 
                not use data provided to the sponsor pursuant to 
                subparagraph (A) for any of the following purposes:
                            ``(i) To inform coverage determinations 
                        under this part.
                            ``(ii) To conduct retroactive reviews of 
                        medically accepted indications determinations.
                            ``(iii) To facilitate enrollment changes to 
                        a different prescription drug plan or an MA-PD 
                        plan offered by the same parent organization.
                            ``(iv) To inform marketing of benefits.
                            ``(v) For any other purpose that the 
                        Secretary determines is necessary to include in 
                        order to protect the identity of individuals 
                        entitled to, or enrolled for, benefits under 
                        this title and to protect the security of 
                        personal health information.
                    ``(D) Data described.--The data described in this 
                clause are standardized extracts (as determined by the 
                Secretary) of claims data under parts A and B for items 
                and services furnished under such parts for time 
                periods specified by the Secretary. Such data shall 
                include data as current as practicable.''.

     TITLE IV--PART B IMPROVEMENT ACT AND OTHER PART B ENHANCEMENTS

              Subtitle A--Medicare Part B Improvement Act

SEC. 50401. HOME INFUSION THERAPY SERVICES TEMPORARY TRANSITIONAL 
              PAYMENT.

    (a) In General.--Section 1834(u) of the Social Security Act (42 
U.S.C. 1395m(u)) is amended, by adding at the end the following new 
paragraph:
            ``(7) Home infusion therapy services temporary transitional 
        payment.--
                    ``(A) Temporary transitional payment.--
                            ``(i) In general.--The Secretary shall, in 
                        accordance with the payment methodology 
                        described in subparagraph (B) and subject to 
                        the provisions of this paragraph, provide a 
                        home infusion therapy services temporary 
                        transitional payment under this part to an 
                        eligible home infusion supplier (as defined in 
                        subparagraph (F)) for items and services 
                        described in subparagraphs (A) and (B) of 
                        section 1861(iii)(2)) furnished during the 
                        period specified in clause (ii) by such 
                        supplier in coordination with the furnishing of 
                        transitional home infusion drugs (as defined in 
                        clause (iii)).
                            ``(ii) Period specified.--For purposes of 
                        clause (i), the period specified in this clause 
                        is the period beginning on January 1, 2019, and 
                        ending on the day before the date of the 
                        implementation of the payment system under 
                        paragraph (1)(A).
                            ``(iii) Transitional home infusion drug 
                        defined.--For purposes of this paragraph, the 
                        term `transitional home infusion drug' has the 
                        meaning given to the term `home infusion drug' 
                        under section 1861(iii)(3)(C)), except that 
                        clause (ii) of such section shall not apply if 
                        a drug described in such clause is identified 
                        in clauses (i), (ii), (iii) or (iv) of 
                        subparagraph (C) as of the date of the 
                        enactment of this paragraph.
                    ``(B) Payment methodology.--For purposes of this 
                paragraph, the Secretary shall establish a payment 
                methodology, with respect to items and services 
                described in subparagraph (A)(i). Under such payment 
                methodology the Secretary shall--
                            ``(i) create the three payment categories 
                        described in clauses (i), (ii), and (iii) of 
                        subparagraph (C);
                            ``(ii) assign drugs to such categories, in 
                        accordance with such clauses;
                            ``(iii) assign appropriate Healthcare 
                        Common Procedure Coding System (HCPCS) codes to 
                        each payment category; and
                            ``(iv) establish a single payment amount 
                        for each such payment category, in accordance 
                        with subparagraph (D), for each infusion drug 
                        administration calendar day in the individual's 
                        home for drugs assigned to such category.
                    ``(C) Payment categories.--
                            ``(i) Payment category 1.--The Secretary 
                        shall create a payment category 1 and assign to 
                        such category drugs which are covered under the 
                        Local Coverage Determination on External 
                        Infusion Pumps (LCD number L33794) and billed 
                        with the following HCPCS codes (as identified 
                        as of January 1, 2018, and as subsequently 
                        modified by the Secretary): J0133, J0285, 
                        J0287, J0288, J0289, J0895, J1170, J1250, 
                        J1265, J1325, J1455, J1457, J1570, J2175, 
                        J2260, J2270, J2274, J2278, J3010, or J3285.
                            ``(ii) Payment category 2.--The Secretary 
                        shall create a payment category 2 and assign to 
                        such category drugs which are covered under 
                        such local coverage determination and billed 
                        with the following HCPCS codes (as identified 
                        as of January 1, 2018, and as subsequently 
                        modified by the Secretary): J1555 JB, J1559 JB, 
                        J1561 JB, J1562 JB, J1569 JB, or J1575 JB.
                            ``(iii) Payment category 3.--The Secretary 
                        shall create a payment category 3 and assign to 
                        such category drugs which are covered under 
                        such local coverage determination and billed 
                        with the following HCPCS codes (as identified 
                        as of January 1, 2018, and as subsequently 
                        modified by the Secretary): J9000, J9039, 
                        J9040, J9065, J9100, J9190, J9200, J9360, or 
                        J9370.
                            ``(iv) Infusion drugs not otherwise 
                        included.--With respect to drugs that are not 
                        included in payment category 1, 2, or 3 under 
                        clause (i), (ii), or (iii), respectively, the 
                        Secretary shall assign to the most appropriate 
                        of such categories, as determined by the 
                        Secretary, drugs which are--
                                    ``(I) covered under such local 
                                coverage determination and billed under 
                                HCPCS codes J7799 or J7999 (as 
                                identified as of July 1, 2017, and as 
                                subsequently modified by the 
                                Secretary); or
                                    ``(II) billed under any code that 
                                is implemented after the date of the 
                                enactment of this paragraph and 
                                included in such local coverage 
                                determination or included in 
                                subregulatory guidance as a home 
                                infusion drug described in subparagraph 
                                (A)(i).
                    ``(D) Payment amounts.--
                            ``(i) In general.--Under the payment 
                        methodology, the Secretary shall pay eligible 
                        home infusion suppliers, with respect to items 
                        and services described in subparagraph (A)(i) 
                        furnished during the period described in 
                        subparagraph (A)(ii) by such supplier to an 
                        individual, at amounts equal to the amounts 
                        determined under the physician fee schedule 
                        established under section 1848 for services 
                        furnished during the year for codes and units 
                        of such codes described in clauses (ii), (iii), 
                        and (iv) with respect to drugs included in the 
                        payment category under subparagraph (C) 
                        specified in the respective clause, determined 
                        without application of the geographic 
                        adjustment under subsection (e) of such 
                        section.
                            ``(ii) Payment amount for category 1.--For 
                        purposes of clause (i), the codes and units 
                        described in this clause, with respect to drugs 
                        included in payment category 1 described in 
                        subparagraph (C)(i), are one unit of HCPCS code 
                        96365 plus three units of HCPCS code 96366 (as 
                        identified as of January 1, 2018, and as 
                        subsequently modified by the Secretary).
                            ``(iii) Payment amount for category 2.--For 
                        purposes of clause (i), the codes and units 
                        described in this clause, with respect to drugs 
                        included in payment category 2 described in 
                        subparagraph (C)(i), are one unit of HCPCS code 
                        96369 plus three units of HCPCS code 96370 (as 
                        identified as of January 1, 2018, and as 
                        subsequently modified by the Secretary).
                            ``(iv) Payment amount for category 3.--For 
                        purposes of clause (i), the codes and units 
                        described in this clause, with respect to drugs 
                        included in payment category 3 described in 
                        subparagraph (C)(i), are one unit of HCPCS code 
                        96413 plus three units of HCPCS code 96415 (as 
                        identified as of January 1, 2018, and as 
                        subsequently modified by the Secretary).
                    ``(E) Clarifications.--
                            ``(i) Infusion drug administration day.--
                        For purposes of this subsection, with respect 
                        to the furnishing of transitional home infusion 
                        drugs or home infusion drugs to an individual 
                        by an eligible home infusion supplier or a 
                        qualified home infusion therapy supplier, a 
                        reference to payment to such supplier for an 
                        infusion drug administration calendar day in 
                        the individual's home shall refer to payment 
                        only for the date on which professional 
                        services (as described in section 
                        1861(iii)(2)(A)) were furnished to administer 
                        such drugs to such individual. For purposes of 
                        the previous sentence, an infusion drug 
                        administration calendar day shall include all 
                        such drugs administered to such individual on 
                        such day.
                            ``(ii) Treatment of multiple drugs 
                        administered on same infusion drug 
                        administration day.--In the case that an 
                        eligible home infusion supplier, with respect 
                        to an infusion drug administration calendar day 
                        in an individual's home, furnishes to such 
                        individual transitional home infusion drugs 
                        which are not all assigned to the same payment 
                        category under subparagraph (C), payment to 
                        such supplier for such infusion drug 
                        administration calendar day in the individual's 
                        home shall be a single payment equal to the 
                        amount of payment under this paragraph for the 
                        drug, among all such drugs so furnished to such 
                        individual during such calendar day, for which 
                        the highest payment would be made under this 
                        paragraph.
                    ``(F) Eligible home infusion suppliers.--In this 
                paragraph, the term `eligible home infusion supplier' 
                means a supplier that is enrolled under this part as a 
                pharmacy that provides external infusion pumps and 
                external infusion pump supplies and that maintains all 
                pharmacy licensure requirements in the State in which 
                the applicable infusion drugs are administered.
                    ``(G) Implementation.--Notwithstanding any other 
                provision of law, the Secretary may implement this 
                paragraph by program instruction or otherwise.''.
    (b) Conforming Amendments.--(1) Section 1842(b)(6)(I) of the Social 
Security Act (42 U.S.C. 1395u(b)(6)(I)) is amended by inserting ``or, 
in the case of items and services described in clause (i) of section 
1834(u)(7)(A) furnished to an individual during the period described in 
clause (ii) of such section, payment shall be made to the eligible home 
infusion therapy supplier'' after ``payment shall be made to the 
qualified home infusion therapy supplier''.
    (2) Section 5012(d) of the 21st Century Cures Act is amended by 
inserting the following before the period at the end: ``, except that 
the amendments made by paragraphs (1) and (2) of subsection (c) shall 
apply to items and services furnished on or after January 1, 2019''.

SEC. 50402. ORTHOTIST'S AND PROSTHETIST'S CLINICAL NOTES AS PART OF THE 
              PATIENT'S MEDICAL RECORD.

    Section 1834(h) of the Social Security Act (42 U.S.C. 1395m(h)) is 
amended by adding at the end the following new paragraph:
            ``(5) Documentation created by orthotists and 
        prosthetists.--For purposes of determining the reasonableness 
        and medical necessity of orthotics and prosthetics, 
        documentation created by an orthotist or prosthetist shall be 
        considered part of the individual's medical record to support 
        documentation created by eligible professionals described in 
        section 1848(k)(3)(B).''.

SEC. 50403. INDEPENDENT ACCREDITATION FOR DIALYSIS FACILITIES AND 
              ASSURANCE OF HIGH QUALITY SURVEYS.

    (a) Accreditation and Surveys.--
            (1) In general.--Section 1865 of the Social Security Act 
        (42 U.S.C. 1395bb) is amended--
                    (A) in subsection (a)--
                            (i) in paragraph (1), in the matter 
                        preceding subparagraph (A), by striking ``or 
                        the conditions and requirements under section 
                        1881(b)''; and
                            (ii) in paragraph (4), by inserting 
                        ``(including a renal dialysis facility)'' after 
                        ``facility''; and
                    (B) by adding at the end the following new 
                subsection:
    ``(e) With respect to an accreditation body that has received 
approval from the Secretary under subsection (a)(3)(A) for 
accreditation of provider entities that are required to meet the 
conditions and requirements under section 1881(b), in addition to 
review and oversight authorities otherwise applicable under this title, 
the Secretary shall (as the Secretary determines appropriate) conduct, 
with respect to such accreditation body and provider entities, any or 
all of the following as frequently as is otherwise required to be 
conducted under this title with respect to other accreditation bodies 
or other provider entities:
            ``(1) Validation surveys referred to in subsection (d).
            ``(2) Accreditation program reviews (as defined in section 
        488.8(c) of title 42 of the Code of Federal Regulations, or a 
        successor regulation).
            ``(3) Performance reviews (as defined in section 488.8(a) 
        of title 42 of the Code of Federal Regulations, or a successor 
        regulation).''.
            (2) Timing for acceptance of requests from accreditation 
        organizations.--Not later than 90 days after the date of 
        enactment of this Act, the Secretary of Health and Human 
        Services shall begin accepting requests from national 
        accreditation bodies for a finding described in section 
        1865(a)(3)(A) of the Social Security Act (42 U.S.C. 
        1395bb(a)(3)(A)) for purposes of accrediting provider entities 
        that are required to meet the conditions and requirements under 
        section 1881(b) of such Act (42 U.S.C. 1395rr(b)).
    (b) Requirement for Timing of Surveys of New Dialysis Facilities.--
Section 1881(b)(1) of the Social Security Act (42 U.S.C. 1395rr(b)(1)) 
is amended by adding at the end the following new sentence: ``Beginning 
180 days after the date of the enactment of this sentence, an initial 
survey of a provider of services or a renal dialysis facility to 
determine if the conditions and requirements under this paragraph are 
met shall be initiated not later than 90 days after such date on which 
both the provider enrollment form (without regard to whether such form 
is submitted prior to or after such date of enactment) has been 
determined by the Secretary to be complete and the provider's 
enrollment status indicates approval is pending the results of such 
survey.''.

SEC. 50404. MODERNIZING THE APPLICATION OF THE STARK RULE UNDER 
              MEDICARE.

    (a) Clarification of the Writing Requirement and Signature 
Requirement for Arrangements Pursuant to the Stark Rule.--
            (1) Writing requirement.--Section 1877(h)(1) of the Social 
        Security Act (42 U.S.C. 1395nn(h)(1)) is amended by adding at 
        the end the following new subparagraph:
            ``(D) Written requirement clarified.--In the case of any 
        requirement pursuant to this section for a compensation 
        arrangement to be in writing, such requirement shall be 
        satisfied by such means as determined by the Secretary, 
        including by a collection of documents, including 
        contemporaneous documents evidencing the course of conduct 
        between the parties involved.''.
            (2) Signature requirement.--Section 1877(h)(1) of the 
        Social Security Act (42 U.S.C. 1395nn(h)(1)), as amended by 
        paragraph (1), is further amended by adding at the end the 
        following new subparagraph:
                    ``(E) Special rule for signature requirements.--In 
                the case of any requirement pursuant to this section 
                for a compensation arrangement to be in writing and 
                signed by the parties, such signature requirement shall 
                be met if--
                            ``(i) not later than 90 consecutive 
                        calendar days immediately following the date on 
                        which the compensation arrangement became 
                        noncompliant, the parties obtain the required 
                        signatures; and
                            ``(ii) the compensation arrangement 
                        otherwise complies with all criteria of the 
                        applicable exception.''.
    (b) Indefinite Holdover for Lease Arrangements and Personal 
Services Arrangements Pursuant to the Stark Rule.--Section 1877(e) of 
the Social Security Act (42 U.S.C. 1395nn(e)) is amended--
            (1) in paragraph (1), by adding at the end the following 
        new subparagraph:
                    ``(C) Holdover lease arrangements.--In the case of 
                a holdover lease arrangement for the lease of office 
                space or equipment, which immediately follows a lease 
                arrangement described in subparagraph (A) for the use 
                of such office space or subparagraph (B) for the use of 
                such equipment and that expired after a term of at 
                least 1 year, payments made by the lessee to the lessor 
                pursuant to such holdover lease arrangement, if--
                            ``(i) the lease arrangement met the 
                        conditions of subparagraph (A) for the lease of 
                        office space or subparagraph (B) for the use of 
                        equipment when the arrangement expired;
                            ``(ii) the holdover lease arrangement is on 
                        the same terms and conditions as the 
                        immediately preceding arrangement; and
                            ``(iii) the holdover arrangement continues 
                        to satisfy the conditions of subparagraph (A) 
                        for the lease of office space or subparagraph 
                        (B) for the use of equipment.''; and
            (2) in paragraph (3), by adding at the end the following 
        new subparagraph:
                    ``(C) Holdover personal service arrangement.--In 
                the case of a holdover personal service arrangement, 
                which immediately follows an arrangement described in 
                subparagraph (A) that expired after a term of at least 
                1 year, remuneration from an entity pursuant to such 
                holdover personal service arrangement, if--
                            ``(i) the personal service arrangement met 
                        the conditions of subparagraph (A) when the 
                        arrangement expired;
                            ``(ii) the holdover personal service 
                        arrangement is on the same terms and conditions 
                        as the immediately preceding arrangement; and
                            ``(iii) the holdover arrangement continues 
                        to satisfy the conditions of subparagraph 
                        (A).''.

               Subtitle B--Additional Medicare Provisions

SEC. 50411. MAKING PERMANENT THE REMOVAL OF THE RENTAL CAP FOR DURABLE 
              MEDICAL EQUIPMENT UNDER MEDICARE WITH RESPECT TO SPEECH 
              GENERATING DEVICES.

    Section 1834(a)(2)(A)(iv) of the Social Security Act (42 U.S.C. 
1395m(a)(2)(A)(iv)) is amended by striking ``and before October 1, 
2018,''.

SEC. 50412. INCREASED CIVIL AND CRIMINAL PENALTIES AND INCREASED 
              SENTENCES FOR FEDERAL HEALTH CARE PROGRAM FRAUD AND 
              ABUSE.

    (a) Increased Civil Money Penalties and Criminal Fines.--
            (1) Increased civil money penalties.--Section 1128A of the 
        Social Security Act (42 U.S.C. 1320a-7a) is amended--
                    (A) in subsection (a), in the matter following 
                paragraph (10)--
                            (i) by striking ``$10,000'' and inserting 
                        ``$20,000'' each place it appears;
                            (ii) by striking ``$15,000'' and inserting 
                        ``$30,000''; and
                            (iii) by striking ``$50,000'' and inserting 
                        ``$100,000'' each place it appears; and
                    (B) in subsection (b)--
                            (i) in paragraph (1), in the flush text 
                        following subparagraph (B), by striking 
                        ``$2,000'' and inserting ``$5,000'';
                            (ii) in paragraph (2), by striking 
                        ``$2,000'' and inserting ``$5,000''; and
                            (iii) in paragraph (3)(A)(i), by striking 
                        ``$5,000'' and inserting ``$10,000''.
            (2) Increased criminal fines.--Section 1128B of such Act 
        (42 U.S.C. 1320a-7b) is amended--
                    (A) in subsection (a), in the matter following 
                paragraph (6)--
                            (i) by striking ``$25,000'' and inserting 
                        ``$100,000''; and
                            (ii) by striking ``$10,000'' and inserting 
                        ``$20,000'';
                    (B) in subsection (b)--
                            (i) in paragraph (1), in the flush text 
                        following subparagraph (B), by striking 
                        ``$25,000'' and inserting ``$100,000''; and
                            (ii) in paragraph (2), in the flush text 
                        following subparagraph (B), by striking 
                        ``$25,000'' and inserting ``$100,000'';
                    (C) in subsection (c), by striking ``$25,000'' and 
                inserting ``$100,000'';
                    (D) in subsection (d), in the flush text following 
                paragraph (2), by striking ``$25,000'' and inserting 
                ``$100,000''; and
                    (E) in subsection (e), by striking ``$2,000'' and 
                inserting ``$4,000''.
    (b) Increased Sentences for Felonies Involving Federal Health Care 
Program Fraud and Abuse.--
            (1) False statements and representations.--Section 1128B(a) 
        of the Social Security Act (42 U.S.C. 1320a-7b(a)) is amended, 
        in the matter following paragraph (6), by striking ``not more 
        than five years or both, or (ii)'' and inserting ``not more 
        than 10 years or both, or (ii)''.
            (2) Antikickback.--Section 1128B(b) of such Act (42 U.S.C. 
        1320a-7b(b)) is amended--
                    (A) in paragraph (1), in the flush text following 
                subparagraph (B), by striking ``not more than five 
                years'' and inserting ``not more than 10 years''; and
                    (B) in paragraph (2), in the flush text following 
                subparagraph (B), by striking ``not more than five 
                years'' and inserting ``not more than 10 years''.
            (3) False statement or representation with respect to 
        conditions or operations of facilities.--Section 1128B(c) of 
        such Act (42 U.S.C. 1320a-7b(c)) is amended by striking ``not 
        more than five years'' and inserting ``not more than 10 
        years''.
            (4) Excess charges.--Section 1128B(d) of such Act (42 
        U.S.C. 1320a-7b(d)) is amended, in the flush text following 
        paragraph (2), by striking ``not more than five years'' and 
        inserting ``not more than 10 years''.
    (c) Effective Date.--The amendments made by this section shall 
apply to acts committed after the date of the enactment of this Act.

SEC. 50413. REDUCING THE VOLUME OF FUTURE EHR-RELATED SIGNIFICANT 
              HARDSHIP REQUESTS.

    Section 1848(o)(2)(A) of the Social Security Act (42 U.S.C. 1395w-
4(o)(2)(A)) and section 1886(n)(3)(A) of such Act (42 U.S.C. 
1395ww(n)(3)(A)) are each amended in the last sentence by striking ``by 
requiring'' and all that follows through ``this paragraph''.

SEC. 50414. STRENGTHENING RULES IN CASE OF COMPETITION FOR DIABETIC 
              TESTING STRIPS.

    (a) Special Rule in Case of Competition for Diabetic Testing 
Strips.--
            (1) In general.--Paragraph (10) of section 1847(b) of the 
        Social Security Act (42 U.S.C. 1395w-3(b)) is amended--
                    (A) in subparagraph (A), by striking the second 
                sentence and inserting the following new sentence: 
                ``With respect to bids to furnish such types of 
                products on or after January 1, 2019, the volume for 
                such types of products shall be determined by the 
                Secretary through the use of multiple sources of data 
                (from mail order and non-mail order Medicare markets), 
                including market-based data measuring sales of diabetic 
                testing strip products that are not exclusively sold by 
                a single retailer from such markets.''; and
                    (B) by adding at the end the following new 
                subparagraphs:
                    ``(C) Demonstration of ability to furnish types of 
                diabetic testing strip products.--With respect to bids 
                to furnish diabetic testing strip products on or after 
                January 1, 2019, an entity shall attest to the 
                Secretary that the entity has the ability to obtain an 
                inventory of the types and quantities of diabetic 
                testing strip products that will allow the entity to 
                furnish such products in a manner consistent with its 
                bid and--
                            ``(i) demonstrate to the Secretary, through 
                        letters of intent with manufacturers, 
                        wholesalers, or other suppliers, or other 
                        evidence as the Secretary may specify, such 
                        ability; or
                            ``(ii) demonstrate to the Secretary that it 
                        made a good faith attempt to obtain such a 
                        letter of intent or such other evidence.
                    ``(D) Use of unlisted types in calculation of 
                percentage.--With respect to bids to furnish diabetic 
                testing strip products on or after January 1, 2019, in 
                determining under subparagraph (A) whether a bid 
                submitted by an entity under such subparagraph covers 
                50 percent (or such higher percentage as the Secretary 
                may specify) of all types of diabetic testing strip 
                products, the Secretary may not attribute a percentage 
                to types of diabetic testing strip products that the 
                Secretary does not identify by brand, model, and market 
                share volume.
                    ``(E) Adherence to demonstration.--
                            ``(i) In general.--In the case of an entity 
                        that is furnishing diabetic testing strip 
                        products on or after January 1, 2019, under a 
                        contract entered into under the competition 
                        conducted pursuant to paragraph (1), the 
                        Secretary shall establish a process to monitor, 
                        on an ongoing basis, the extent to which such 
                        entity continues to cover the product types 
                        included in the entity's bid.
                            ``(ii) Termination.--If the Secretary 
                        determines that an entity described in clause 
                        (i) fails to maintain in inventory, or 
                        otherwise maintain ready access to (through 
                        requirements, contracts, or otherwise) a type 
                        of product included in the entity's bid, the 
                        Secretary may terminate such contract unless 
                        the Secretary finds that the failure of the 
                        entity to maintain inventory of, or ready 
                        access to, the product is the result of the 
                        discontinuation of the product by the product 
                        manufacturer, a market-wide shortage of the 
                        product, or the introduction of a newer model 
                        or version of the product in the market 
                        involved.''.
    (b) Codifying and Expanding Anti-switching Rule.--Section 1847(b) 
of the Social Security Act (42 U.S.C. 1395w-3(b)), as amended by 
subsection (a)(1), is further amended--
            (1) by redesignating paragraph (11) as paragraph (12); and
            (2) by inserting after paragraph (10) the following new 
        paragraph:
            ``(11) Additional special rules in case of competition for 
        diabetic testing strips.--
                    ``(A) In general.--With respect to an entity that 
                is furnishing diabetic testing strip products to 
                individuals under a contract entered into under the 
                competitive acquisition program established under this 
                section, the entity shall furnish to each individual a 
                brand of such products that is compatible with the home 
                blood glucose monitor selected by the individual.
                    ``(B) Prohibition on influencing and 
                incentivizing.--An entity described in subparagraph (A) 
                may not attempt to influence or incentivize an 
                individual to switch the brand of glucose monitor or 
                diabetic testing strip product selected by the 
                individual, including by--
                            ``(i) persuading, pressuring, or advising 
                        the individual to switch; or
                            ``(ii) furnishing information about 
                        alternative brands to the individual where the 
                        individual has not requested such information.
                    ``(C) Provision of information.--
                            ``(i) Standardized information.--Not later 
                        than January 1, 2019, the Secretary shall 
                        develop and make available to entities 
                        described in subparagraph (A) standardized 
                        information that describes the rights of an 
                        individual with respect to such an entity. The 
                        information described in the preceding sentence 
                        shall include information regarding--
                                    ``(I) the requirements established 
                                under subparagraphs (A) and (B);
                                    ``(II) the right of the individual 
                                to purchase diabetic testing strip 
                                products from another mail order 
                                supplier of such products or a retail 
                                pharmacy if the entity is not able to 
                                furnish the brand of such product that 
                                is compatible with the home blood 
                                glucose monitor selected by the 
                                individual; and
                                    ``(III) the right of the individual 
                                to return diabetic testing strip 
                                products furnished to the individual by 
                                the entity.
                            ``(ii) Requirement.--With respect to 
                        diabetic testing strip products furnished on or 
                        after the date on which the Secretary develops 
                        the standardized information under clause (i), 
                        an entity described in subparagraph (A) may not 
                        communicate directly to an individual until the 
                        entity has verbally provided the individual 
                        with such standardized information.
                    ``(D) Order refills.--With respect to diabetic 
                testing strip products furnished on or after January 1, 
                2019, the Secretary shall require an entity furnishing 
                diabetic testing strip products to an individual to 
                contact and receive a request from the individual for 
                such products not more than 14 days prior to dispensing 
                a refill of such products to the individual.''.
    (c) Implementation; Non-application of the Paperwork Reduction 
Act.--
            (1) Implementation.--Notwithstanding any other provision of 
        law, the Secretary of Health and Human Services may implement 
        the provisions of, and amendments made by, this section by 
        program instruction or otherwise.
            (2) Non-application of the paperwork reduction act.--
        Chapter 35 of title 44, United States Code (commonly referred 
        to as the ``Paperwork Reduction Act of 1995''), shall not apply 
        to this section or the amendments made by this section.

                    TITLE V--OTHER HEALTH EXTENDERS

SEC. 50501. EXTENSION FOR FAMILY-TO-FAMILY HEALTH INFORMATION CENTERS.

    Section 501(c) of the Social Security Act (42 U.S.C. 701(c)) is 
amended--
            (1) in paragraph (1)(A)--
                    (A) in clause (v), by striking ``and'' at the end;
                    (B) in clause (vi), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by adding at the end the following new clause:
            ``(vii) $6,000,000 for each of fiscal years 2018 and 
        2019.'';
            (2) in paragraph (3)(C), by inserting before the period the 
        following: ``, and with respect to fiscal years 2018 and 2019, 
        such centers shall also be developed in all territories and at 
        least one such center shall be developed for Indian tribes''; 
        and
            (3) by amending paragraph (5) to read as follows:
    ``(5) For purposes of this subsection--
            ``(A) the term `Indian tribe' has the meaning given such 
        term in section 4 of the Indian Health Care Improvement Act (25 
        U.S.C. 1603);
            ``(B) the term `State' means each of the 50 States and the 
        District of Columbia; and
            ``(C) the term `territory' means Puerto Rico, Guam, 
        American Samoa, the Virgin Islands, and the Northern Mariana 
        Islands.''.

SEC. 50502. EXTENSION FOR SEXUAL RISK AVOIDANCE EDUCATION.

    (a) In General.--Section 510 of the Social Security Act (42 U.S.C. 
710) is amended to read as follows:

``SEC. 510. SEXUAL RISK AVOIDANCE EDUCATION.

    ``(a) In General.--
            ``(1) Allotments to states.--For the purpose described in 
        subsection (b), the Secretary shall, for each of fiscal years 
        2018 and 2019, allot to each State which has transmitted an 
        application for the fiscal year under section 505(a) an amount 
        equal to the product of--
                    ``(A) the amount appropriated pursuant to 
                subsection (e)(1) for the fiscal year, minus the amount 
                reserved under subsection (e)(2) for the fiscal year; 
                and
                    ``(B) the proportion that the number of low-income 
                children in the State bears to the total of such 
                numbers of children for all the States.
            ``(2) Other allotments.--
                    ``(A) Other entities.--For the purpose described in 
                subsection (b), the Secretary shall, for each of fiscal 
                years 2018 and 2019, for any State which has not 
                transmitted an application for the fiscal year under 
                section 505(a), allot to one or more entities in the 
                State the amount that would have been allotted to the 
                State under paragraph (1) if the State had submitted 
                such an application.
                    ``(B) Process.--The Secretary shall select the 
                recipients of allotments under subparagraph (A) by 
                means of a competitive grant process under which--
                            ``(i) not later than 30 days after the 
                        deadline for the State involved to submit an 
                        application for the fiscal year under section 
                        505(a), the Secretary publishes a notice 
                        soliciting grant applications; and
                            ``(ii) not later than 120 days after such 
                        deadline, all such applications must be 
                        submitted.
    ``(b) Purpose.--
            ``(1) In general.--Except for research under paragraph (5) 
        and information collection and reporting under paragraph (6), 
        the purpose of an allotment under subsection (a) to a State (or 
        to another entity in the State pursuant to subsection (a)(2)) 
        is to enable the State or other entity to implement education 
        exclusively on sexual risk avoidance (meaning voluntarily 
        refraining from sexual activity).
            ``(2) Required components.--Education on sexual risk 
        avoidance pursuant to an allotment under this section shall--
                    ``(A) ensure that the unambiguous and primary 
                emphasis and context for each topic described in 
                paragraph (3) is a message to youth that normalizes the 
                optimal health behavior of avoiding nonmarital sexual 
                activity;
                    ``(B) be medically accurate and complete;
                    ``(C) be age-appropriate;
                    ``(D) be based on adolescent learning and 
                developmental theories for the age group receiving the 
                education; and
                    ``(E) be culturally appropriate, recognizing the 
                experiences of youth from diverse communities, 
                backgrounds, and experiences.
            ``(3) Topics.--Education on sexual risk avoidance pursuant 
        to an allotment under this section shall address each of the 
        following topics:
                    ``(A) The holistic individual and societal benefits 
                associated with personal responsibility, self-
                regulation, goal setting, healthy decisionmaking, and a 
                focus on the future.
                    ``(B) The advantage of refraining from nonmarital 
                sexual activity in order to improve the future 
                prospects and physical and emotional health of youth.
                    ``(C) The increased likelihood of avoiding poverty 
                when youth attain self-sufficiency and emotional 
                maturity before engaging in sexual activity.
                    ``(D) The foundational components of healthy 
                relationships and their impact on the formation of 
                healthy marriages and safe and stable families.
                    ``(E) How other youth risk behaviors, such as drug 
                and alcohol usage, increase the risk for teen sex.
                    ``(F) How to resist and avoid, and receive help 
                regarding, sexual coercion and dating violence, 
                recognizing that even with consent teen sex remains a 
                youth risk behavior.
            ``(4) Contraception.--Education on sexual risk avoidance 
        pursuant to an allotment under this section shall ensure that--
                    ``(A) any information provided on contraception is 
                medically accurate and complete and ensures that 
                students understand that contraception offers physical 
                risk reduction, but not risk elimination; and
                    ``(B) the education does not include 
                demonstrations, simulations, or distribution of 
                contraceptive devices.
            ``(5) Research.--
                    ``(A) In general.--A State or other entity 
                receiving an allotment pursuant to subsection (a) may 
                use up to 20 percent of such allotment to build the 
                evidence base for sexual risk avoidance education by 
                conducting or supporting research.
                    ``(B) Requirements.--Any research conducted or 
                supported pursuant to subparagraph (A) shall be--
                            ``(i) rigorous;
                            ``(ii) evidence-based; and
                            ``(iii) designed and conducted by 
                        independent researchers who have experience in 
                        conducting and publishing research in peer-
                        reviewed outlets.
            ``(6) Information collection and reporting.--A State or 
        other entity receiving an allotment pursuant to subsection (a) 
        shall, as specified by the Secretary--
                    ``(A) collect information on the programs and 
                activities funded through the allotment; and
                    ``(B) submit reports to the Secretary on the data 
                from such programs and activities.
    ``(c) National Evaluation.--
            ``(1) In general.--The Secretary shall--
                    ``(A) in consultation with appropriate State and 
                local agencies, conduct one or more rigorous 
                evaluations of the education funded through this 
                section and associated data; and
                    ``(B) submit a report to the Congress on the 
                results of such evaluations, together with a summary of 
                the information collected pursuant to subsection 
                (b)(6).
            ``(2) Consultation.--In conducting the evaluations required 
        by paragraph (1), including the establishment of rigorous 
        evaluation methodologies, the Secretary shall consult with 
        relevant stakeholders and evaluation experts.
    ``(d) Applicability of Certain Provisions.--
            ``(1) Sections 503, 507, and 508 apply to allotments under 
        subsection (a) to the same extent and in the same manner as 
        such sections apply to allotments under section 502(c).
            ``(2) Sections 505 and 506 apply to allotments under 
        subsection (a) to the extent determined by the Secretary to be 
        appropriate.
    ``(e) Definitions.--In this section:
            ``(1) The term `age-appropriate' means suitable (in terms 
        of topics, messages, and teaching methods) to the developmental 
        and social maturity of the particular age or age group of 
        children or adolescents, based on developing cognitive, 
        emotional, and behavioral capacity typical for the age or age 
        group.
            ``(2) The term `medically accurate and complete' means 
        verified or supported by the weight of research conducted in 
        compliance with accepted scientific methods and--
                    ``(A) published in peer-reviewed journals, where 
                applicable; or
                    ``(B) comprising information that leading 
                professional organizations and agencies with relevant 
                expertise in the field recognize as accurate, 
                objective, and complete.
            ``(3) The term `rigorous', with respect to research or 
        evaluation, means using--
                    ``(A) established scientific methods for measuring 
                the impact of an intervention or program model in 
                changing behavior (specifically sexual activity or 
                other sexual risk behaviors), or reducing pregnancy, 
                among youth; or
                    ``(B) other evidence-based methodologies 
                established by the Secretary for purposes of this 
                section.
            ``(4) The term `youth' refers to one or more individuals 
        who have attained age 10 but not age 20.
    ``(f) Funding.--
            ``(1) In general.--To carry out this section, there is 
        appropriated, out of any money in the Treasury not otherwise 
        appropriated, $75,000,000 for each of fiscal years 2018 and 
        2019.
            ``(2) Reservation.--The Secretary shall reserve, for each 
        of fiscal years 2018 and 2019, not more than 20 percent of the 
        amount appropriated pursuant to paragraph (1) for administering 
        the program under this section, including the conducting of 
        national evaluations and the provision of technical assistance 
        to the recipients of allotments.''.
    (b) Effective Date.--The amendment made by this section shall take 
effect as if enacted on October 1, 2017.

SEC. 50503. EXTENSION FOR PERSONAL RESPONSIBILITY EDUCATION.

    (a) In General.--Section 513 of the Social Security Act (42 U.S.C. 
713) is amended--
            (1) in subsection (a)(1)(A), by striking ``2017'' and 
        inserting ``2019''; and
            (2) in subsection (a)(4)--
                    (A) in subparagraph (A), by striking ``2017'' each 
                place it appears and inserting ``2019''; and
                    (B) in subparagraph (B)--
                            (i) in the subparagraph heading, by 
                        striking ``3-year grants'' and inserting 
                        ``Competitive prep grants''; and
                            (ii) in clause (i), by striking ``solicit 
                        applications to award 3-year grants in each of 
                        fiscal years 2012 through 2017'' and inserting 
                        ``continue through fiscal year 2019 grants 
                        awarded for any of fiscal years 2015 through 
                        2017'';
            (3) in subsection (c)(1), by inserting after ``youth with 
        HIV/AIDS,'' the following: ``victims of human trafficking,''; 
        and
            (4) in subsection (f), by striking ``2017'' and inserting 
        ``2019''.
    (b) Effective Date.--The amendments made by this section shall take 
effect as if enacted on October 1, 2017.

       TITLE VI--CHILD AND FAMILY SERVICES AND SUPPORTS EXTENDERS

 Subtitle A--Continuing the Maternal, Infant, and Early Childhood Home 
                            Visiting Program

SEC. 50601. CONTINUING EVIDENCE-BASED HOME VISITING PROGRAM.

    Section 511(j)(1)(H) of the Social Security Act (42 U.S.C. 
711(j)(1)(H)) is amended by striking ``fiscal year 2017'' and inserting 
``each of fiscal years 2017 through 2022''.

SEC. 50602. CONTINUING TO DEMONSTRATE RESULTS TO HELP FAMILIES.

    (a) Require Service Delivery Models To Demonstrate Improvement in 
Applicable Benchmark Areas.--Section 511 of the Social Security Act (42 
U.S.C. 711) is amended in each of subsections (d)(1)(A) and (h)(4)(A) 
by striking ``each of''.
    (b) Demonstration of Improvements in Subsequent Years.--Section 
511(d)(1) of such Act (42 U.S.C. 711(d)(1)) is amended by adding at the 
end the following:
                    ``(D) Demonstration of improvements in subsequent 
                years.--
                            ``(i) Continued measurement of improvement 
                        in applicable benchmark areas.--The eligible 
                        entity, after demonstrating improvements for 
                        eligible families as specified in subparagraphs 
                        (A) and (B), shall continue to track and 
                        report, not later than 30 days after the end of 
                        fiscal year 2020 and every 3 years thereafter, 
                        information demonstrating that the program 
                        results in improvements for the eligible 
                        families participating in the program in at 
                        least 4 of the areas specified in subparagraph 
                        (A) that the service delivery model or models 
                        selected by the entity are intended to improve.
                            ``(ii) Corrective action plan.--If the 
                        eligible entity fails to demonstrate 
                        improvement in at least 4 of the areas 
                        specified in subparagraph (A), as compared to 
                        eligible families who do not receive services 
                        under an early childhood home visitation 
                        program, the entity shall develop and implement 
                        a plan to improve outcomes in each of the areas 
                        specified in subparagraph (A) that the service 
                        delivery model or models selected by the entity 
                        are intended to improve, subject to approval by 
                        the Secretary. The plan shall include 
                        provisions for the Secretary to monitor 
                        implementation of the plan and conduct 
                        continued oversight of the program, including 
                        through submission by the entity of regular 
                        reports to the Secretary.
                            ``(iii) Technical assistance.--The 
                        Secretary shall provide an eligible entity 
                        required to develop and implement an 
                        improvement plan under clause (ii) with 
                        technical assistance to develop and implement 
                        the plan. The Secretary may provide the 
                        technical assistance directly or through 
                        grants, contracts, or cooperative agreements.
                            ``(iv) No improvement or failure to submit 
                        report.--If the Secretary determines after a 
                        period of time specified by the Secretary that 
                        an eligible entity implementing an improvement 
                        plan under clause (ii) has failed to 
                        demonstrate any improvement in at least 4 of 
                        the areas specified in subparagraph (A), or if 
                        the Secretary determines that an eligible 
                        entity has failed to submit the report required 
                        by clause (i), the Secretary shall terminate 
                        the grant made to the entity under this section 
                        and may include any unexpended grant funds in 
                        grants made to nonprofit organizations under 
                        subsection (h)(2)(B).''.
    (c) Including Information on Applicable Benchmarks in 
Application.--Section 511(e)(5) of such Act (42 U.S.C. 711(e)(5)) is 
amended by inserting ``that the service delivery model or models 
selected by the entity are intended to improve'' before the period at 
the end.

SEC. 50603. REVIEWING STATEWIDE NEEDS TO TARGET RESOURCES.

    Section 511(b)(1) of the Social Security Act (42 U.S.C. 711(b)(1)) 
is amended by striking ``Not later than'' and all that follows through 
``section 505(a))'' and inserting ``Each State shall, as a condition of 
receiving payments from an allotment for the State under section 502, 
conduct a statewide needs assessment (which may be separate from but in 
coordination with the statewide needs assessment required under section 
505(a) and which shall be reviewed and updated by the State not later 
than October 1, 2020)''.

SEC. 50604. IMPROVING THE LIKELIHOOD OF SUCCESS IN HIGH-RISK 
              COMMUNITIES.

    Section 511(d)(4)(A) of the Social Security Act (42 U.S.C. 
711(d)(4)(A)) is amended by inserting ``, taking into account the 
staffing, community resource, and other requirements to operate at 
least one approved model of home visiting and demonstrate improvements 
for eligible families'' before the period.

SEC. 50605. OPTION TO FUND EVIDENCE-BASED HOME VISITING ON A PAY FOR 
              OUTCOME BASIS.

    (a) In General.--Section 511(c) of the Social Security Act (42 
U.S.C. 711(c)) is amended by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively, and by inserting after paragraph 
(2) the following:
            ``(3) Authority to use grant for a pay for outcomes 
        initiative.--An eligible entity to which a grant is made under 
        paragraph (1) may use up to 25 percent of the grant for 
        outcomes or success payments related to a pay for outcomes 
        initiative that will not result in a reduction of funding for 
        services delivered by the entity under a childhood home 
        visitation program under this section while the eligible entity 
        develops or operates such an initiative.''.
    (b) Definition of Pay for Outcomes Initiative.--Section 511(k) of 
such Act (42 U.S.C. 711(k)) is amended by adding at the end the 
following:
            ``(4) Pay for outcomes initiative.--The term `pay for 
        outcomes initiative' means a performance-based grant, contract, 
        cooperative agreement, or other agreement awarded by a public 
        entity in which a commitment is made to pay for improved 
        outcomes achieved as a result of the intervention that result 
        in social benefit and direct cost savings or cost avoidance to 
        the public sector. Such an initiative shall include--
                    ``(A) a feasibility study that describes how the 
                proposed intervention is based on evidence of 
                effectiveness;
                    ``(B) a rigorous, third-party evaluation that uses 
                experimental or quasi-experimental design or other 
                research methodologies that allow for the strongest 
                possible causal inferences to determine whether the 
                initiative has met its proposed outcomes as a result of 
                the intervention;
                    ``(C) an annual, publicly available report on the 
                progress of the initiative; and
                    ``(D) a requirement that payments are made to the 
                recipient of a grant, contract, or cooperative 
                agreement only when agreed upon outcomes are achieved, 
                except that this requirement shall not apply with 
                respect to payments to a third party conducting the 
                evaluation described in subparagraph (B).''.
    (c) Extended Availability of Funds.--Section 511(j)(3) of such Act 
(42 U.S.C. 711(j)(3)) is amended--
            (1) by striking ``(3) Availability.--Funds'' and inserting 
        the following:
            ``(3) Availability.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), funds''; and
            (2) by adding at the end the following:
                    ``(B) Funds for pay for outcomes initiatives.--
                Funds made available to an eligible entity under this 
                section for a fiscal year (or portion of a fiscal year) 
                for a pay for outcomes initiative shall remain 
                available for expenditure by the eligible entity for 
                not more than 10 years after the funds are so made 
                available.''.

SEC. 50606. DATA EXCHANGE STANDARDS FOR IMPROVED INTEROPERABILITY.

    (a) In General.--Section 511(h) of the Social Security Act (42 
U.S.C. 711(h)) is amended by adding at the end the following:
            ``(5) Data exchange standards for improved 
        interoperability.--
                    ``(A) Designation and use of data exchange 
                standards.--
                            ``(i) Designation.--The head of the 
                        department or agency responsible for 
                        administering a program funded under this 
                        section shall, in consultation with an 
                        interagency work group established by the 
                        Office of Management and Budget and considering 
                        State government perspectives, designate data 
                        exchange standards for necessary categories of 
                        information that a State agency operating the 
                        program is required to electronically exchange 
                        with another State agency under applicable 
                        Federal law.
                            ``(ii) Data exchange standards must be 
                        nonproprietary and interoperable.--The data 
                        exchange standards designated under clause (i) 
                        shall, to the extent practicable, be 
                        nonproprietary and interoperable.
                            ``(iii) Other requirements.--In designating 
                        data exchange standards under this paragraph, 
                        the Secretary shall, to the extent practicable, 
                        incorporate--
                                    ``(I) interoperable standards 
                                developed and maintained by an 
                                international voluntary consensus 
                                standards body, as defined by the 
                                Office of Management and Budget;
                                    ``(II) interoperable standards 
                                developed and maintained by 
                                intergovernmental partnerships, such as 
                                the National Information Exchange 
                                Model; and
                                    ``(III) interoperable standards 
                                developed and maintained by Federal 
                                entities with authority over 
                                contracting and financial assistance.
                    ``(B) Data exchange standards for federal 
                reporting.--
                            ``(i) Designation.--The head of the 
                        department or agency responsible for 
                        administering a program referred to in this 
                        section shall, in consultation with an 
                        interagency work group established by the 
                        Office of Management and Budget, and 
                        considering State government perspectives, 
                        designate data exchange standards to govern 
                        Federal reporting and exchange requirements 
                        under applicable Federal law.
                            ``(ii) Requirements.--The data exchange 
                        reporting standards required by clause (i) 
                        shall, to the extent practicable--
                                    ``(I) incorporate a widely 
                                accepted, nonproprietary, searchable, 
                                computer-readable format;
                                    ``(II) be consistent with and 
                                implement applicable accounting 
                                principles;
                                    ``(III) be implemented in a manner 
                                that is cost-effective and improves 
                                program efficiency and effectiveness; 
                                and
                                    ``(IV) be capable of being 
                                continually upgraded as necessary.
                            ``(iii) Incorporation of nonproprietary 
                        standards.--In designating data exchange 
                        standards under this paragraph, the Secretary 
                        shall, to the extent practicable, incorporate 
                        existing nonproprietary standards, such as the 
                        eXtensible Mark up Language.
                            ``(iv) Rule of construction.--Nothing in 
                        this paragraph shall be construed to require a 
                        change to existing data exchange standards for 
                        Federal reporting about a program referred to 
                        in this section, if the head of the department 
                        or agency responsible for administering the 
                        program finds the standards to be effective and 
                        efficient.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect on the date that is 2 years after the date of enactment of 
this Act.

SEC. 50607. ALLOCATION OF FUNDS.

    Section 511(j) of the Social Security Act (42 U.S.C. 711(j)) is 
amended by adding at the end the following:
            ``(4) Allocation of funds.--To the extent that the grant 
        amount awarded under this section to an eligible entity is 
        determined on the basis of relative population or poverty 
        considerations, the Secretary shall make the determination 
        using the most accurate Federal data available for the eligible 
        entity.''.

  Subtitle B--Extension of Health Professions Workforce Demonstration 
                                Projects

SEC. 50611. EXTENSION OF HEALTH WORKFORCE DEMONSTRATION PROJECTS FOR 
              LOW-INCOME INDIVIDUALS.

    Section 2008(c)(1) of the Social Security Act (42 U.S.C. 
1397g(c)(1)) is amended by striking ``2017'' and inserting ``2019''.

            TITLE VII--FAMILY FIRST PREVENTION SERVICES ACT

      Subtitle A--Investing in Prevention and Supporting Families

SEC. 50701. SHORT TITLE.

    This subtitle may be cited as the ``Bipartisan Budget Act of 
2018''.

SEC. 50702. PURPOSE.

    The purpose of this subtitle is to enable States to use Federal 
funds available under parts B and E of title IV of the Social Security 
Act to provide enhanced support to children and families and prevent 
foster care placements through the provision of mental health and 
substance abuse prevention and treatment services, in-home parent 
skill-based programs, and kinship navigator services.

             PART I--PREVENTION ACTIVITIES UNDER TITLE IV-E

SEC. 50711. FOSTER CARE PREVENTION SERVICES AND PROGRAMS.

    (a) State Option.--Section 471 of the Social Security Act (42 
U.S.C. 671) is amended--
            (1) in subsection (a)(1), by striking ``and'' and all that 
        follows through the semicolon and inserting ``, adoption 
        assistance in accordance with section 473, and, at the option 
        of the State, services or programs specified in subsection 
        (e)(1) of this section for children who are candidates for 
        foster care or who are pregnant or parenting foster youth and 
        the parents or kin caregivers of the children, in accordance 
        with the requirements of that subsection;''; and
            (2) by adding at the end the following:
    ``(e) Prevention and Family Services and Programs.--
            ``(1) In general.--Subject to the succeeding provisions of 
        this subsection, the Secretary may make a payment to a State 
        for providing the following services or programs for a child 
        described in paragraph (2) and the parents or kin caregivers of 
        the child when the need of the child, such a parent, or such a 
        caregiver for the services or programs are directly related to 
        the safety, permanence, or well-being of the child or to 
        preventing the child from entering foster care:
                    ``(A) Mental health and substance abuse prevention 
                and treatment services.--Mental health and substance 
                abuse prevention and treatment services provided by a 
                qualified clinician for not more than a 12-month period 
                that begins on any date described in paragraph (3) with 
                respect to the child.
                    ``(B) In-home parent skill-based programs.--In-home 
                parent skill-based programs for not more than a 12-
                month period that begins on any date described in 
                paragraph (3) with respect to the child and that 
                include parenting skills training, parent education, 
                and individual and family counseling.
            ``(2) Child described.--For purposes of paragraph (1), a 
        child described in this paragraph is the following:
                    ``(A) A child who is a candidate for foster care 
                (as defined in section 475(13)) but can remain safely 
                at home or in a kinship placement with receipt of 
                services or programs specified in paragraph (1).
                    ``(B) A child in foster care who is a pregnant or 
                parenting foster youth.
            ``(3) Date described.--For purposes of paragraph (1), the 
        dates described in this paragraph are the following:
                    ``(A) The date on which a child is identified in a 
                prevention plan maintained under paragraph (4) as a 
                child who is a candidate for foster care (as defined in 
                section 475(13)).
                    ``(B) The date on which a child is identified in a 
                prevention plan maintained under paragraph (4) as a 
                pregnant or parenting foster youth in need of services 
                or programs specified in paragraph (1).
            ``(4) Requirements related to providing services and 
        programs.--Services and programs specified in paragraph (1) may 
        be provided under this subsection only if specified in advance 
        in the child's prevention plan described in subparagraph (A) 
        and the requirements in subparagraphs (B) through (E) are met:
                    ``(A) Prevention plan.--The State maintains a 
                written prevention plan for the child that meets the 
                following requirements (as applicable):
                            ``(i) Candidates.--In the case of a child 
                        who is a candidate for foster care described in 
                        paragraph (2)(A), the prevention plan shall--
                                    ``(I) identify the foster care 
                                prevention strategy for the child so 
                                that the child may remain safely at 
                                home, live temporarily with a kin 
                                caregiver until reunification can be 
                                safely achieved, or live permanently 
                                with a kin caregiver;
                                    ``(II) list the services or 
                                programs to be provided to or on behalf 
                                of the child to ensure the success of 
                                that prevention strategy; and
                                    ``(III) comply with such other 
                                requirements as the Secretary shall 
                                establish.
                            ``(ii) Pregnant or parenting foster 
                        youth.--In the case of a child who is a 
                        pregnant or parenting foster youth described in 
                        paragraph (2)(B), the prevention plan shall--
                                    ``(I) be included in the child's 
                                case plan required under section 
                                475(1);
                                    ``(II) list the services or 
                                programs to be provided to or on behalf 
                                of the youth to ensure that the youth 
                                is prepared (in the case of a pregnant 
                                foster youth) or able (in the case of a 
                                parenting foster youth) to be a parent;
                                    ``(III) describe the foster care 
                                prevention strategy for any child born 
                                to the youth; and
                                    ``(IV) comply with such other 
                                requirements as the Secretary shall 
                                establish.
                    ``(B) Trauma-informed.--The services or programs to 
                be provided to or on behalf of a child are provided 
                under an organizational structure and treatment 
                framework that involves understanding, recognizing, and 
                responding to the effects of all types of trauma and in 
                accordance with recognized principles of a trauma-
                informed approach and trauma-specific interventions to 
                address trauma's consequences and facilitate healing.
                    ``(C) Only services and programs provided in 
                accordance with promising, supported, or well-supported 
                practices permitted.--
                            ``(i) In general.--Only State expenditures 
                        for services or programs specified in 
                        subparagraph (A) or (B) of paragraph (1) that 
                        are provided in accordance with practices that 
                        meet the requirements specified in clause (ii) 
                        of this subparagraph and that meet the 
                        requirements specified in clause (iii), (iv), 
                        or (v), respectively, for being a promising, 
                        supported, or well-supported practice, shall be 
                        eligible for a Federal matching payment under 
                        section 474(a)(6)(A).
                            ``(ii) General practice requirements.--The 
                        general practice requirements specified in this 
                        clause are the following:
                                    ``(I) The practice has a book, 
                                manual, or other available writings 
                                that specify the components of the 
                                practice protocol and describe how to 
                                administer the practice.
                                    ``(II) There is no empirical basis 
                                suggesting that, compared to its likely 
                                benefits, the practice constitutes a 
                                risk of harm to those receiving it.
                                    ``(III) If multiple outcome studies 
                                have been conducted, the overall weight 
                                of evidence supports the benefits of 
                                the practice.
                                    ``(IV) Outcome measures are 
                                reliable and valid, and are 
                                administrated consistently and 
                                accurately across all those receiving 
                                the practice.
                                    ``(V) There is no case data 
                                suggesting a risk of harm that was 
                                probably caused by the treatment and 
                                that was severe or frequent.
                            ``(iii) Promising practice.--A practice 
                        shall be considered to be a `promising 
                        practice' if the practice is superior to an 
                        appropriate comparison practice using 
                        conventional standards of statistical 
                        significance (in terms of demonstrated 
                        meaningful improvements in validated measures 
                        of important child and parent outcomes, such as 
                        mental health, substance abuse, and child 
                        safety and well-being), as established by the 
                        results or outcomes of at least one study 
                        that--
                                    ``(I) was rated by an independent 
                                systematic review for the quality of 
                                the study design and execution and 
                                determined to be well-designed and 
                                well-executed; and
                                    ``(II) utilized some form of 
                                control (such as an untreated group, a 
                                placebo group, or a wait list study).
                            ``(iv) Supported practice.--A practice 
                        shall be considered to be a `supported 
                        practice' if--
                                    ``(I) the practice is superior to 
                                an appropriate comparison practice 
                                using conventional standards of 
                                statistical significance (in terms of 
                                demonstrated meaningful improvements in 
                                validated measures of important child 
                                and parent outcomes, such as mental 
                                health, substance abuse, and child 
                                safety and well-being), as established 
                                by the results or outcomes of at least 
                                one study that--
                                            ``(aa) was rated by an 
                                        independent systematic review 
                                        for the quality of the study 
                                        design and execution and 
                                        determined to be well-designed 
                                        and well-executed;
                                            ``(bb) was a rigorous 
                                        random-controlled trial (or, if 
                                        not available, a study using a 
                                        rigorous quasi-experimental 
                                        research design); and
                                            ``(cc) was carried out in a 
                                        usual care or practice setting; 
                                        and
                                    ``(II) the study described in 
                                subclause (I) established that the 
                                practice has a sustained effect (when 
                                compared to a control group) for at 
                                least 6 months beyond the end of the 
                                treatment.
                            ``(v) Well-supported practice.--A practice 
                        shall be considered to be a `well-supported 
                        practice' if--
                                    ``(I) the practice is superior to 
                                an appropriate comparison practice 
                                using conventional standards of 
                                statistical significance (in terms of 
                                demonstrated meaningful improvements in 
                                validated measures of important child 
                                and parent outcomes, such as mental 
                                health, substance abuse, and child 
                                safety and well-being), as established 
                                by the results or outcomes of at least 
                                two studies that--
                                            ``(aa) were rated by an 
                                        independent systematic review 
                                        for the quality of the study 
                                        design and execution and 
                                        determined to be well-designed 
                                        and well-executed;
                                            ``(bb) were rigorous 
                                        random-controlled trials (or, 
                                        if not available, studies using 
                                        a rigorous quasi-experimental 
                                        research design); and
                                            ``(cc) were carried out in 
                                        a usual care or practice 
                                        setting; and
                                    ``(II) at least one of the studies 
                                described in subclause (I) established 
                                that the practice has a sustained 
                                effect (when compared to a control 
                                group) for at least 1 year beyond the 
                                end of treatment.
                    ``(D) Guidance on practices criteria and pre-
                approved services and programs.--
                            ``(i) In general.--Not later than October 
                        1, 2018, the Secretary shall issue guidance to 
                        States regarding the practices criteria 
                        required for services or programs to satisfy 
                        the requirements of subparagraph (C). The 
                        guidance shall include a pre-approved list of 
                        services and programs that satisfy the 
                        requirements.
                            ``(ii) Updates.--The Secretary shall issue 
                        updates to the guidance required by clause (i) 
                        as often as the Secretary determines necessary.
                    ``(E) Outcome assessment and reporting.--The State 
                shall collect and report to the Secretary the following 
                information with respect to each child for whom, or on 
                whose behalf mental health and substance abuse 
                prevention and treatment services or in-home parent 
                skill-based programs are provided during a 12-month 
                period beginning on the date the child is determined by 
                the State to be a child described in paragraph (2):
                            ``(i) The specific services or programs 
                        provided and the total expenditures for each of 
                        the services or programs.
                            ``(ii) The duration of the services or 
                        programs provided.
                            ``(iii) In the case of a child described in 
                        paragraph (2)(A), the child's placement status 
                        at the beginning, and at the end, of the 1-year 
                        period, respectively, and whether the child 
                        entered foster care within 2 years after being 
                        determined a candidate for foster care.
            ``(5) State plan component.--
                    ``(A) In general.--A State electing to provide 
                services or programs specified in paragraph (1) shall 
                submit as part of the State plan required by subsection 
                (a) a prevention services and programs plan component 
                that meets the requirements of subparagraph (B).
                    ``(B) Prevention services and programs plan 
                component.--In order to meet the requirements of this 
                subparagraph, a prevention services and programs plan 
                component, with respect to each 5-year period for which 
                the plan component is in operation in the State, shall 
                include the following:
                            ``(i) How providing services and programs 
                        specified in paragraph (1) is expected to 
                        improve specific outcomes for children and 
                        families.
                            ``(ii) How the State will monitor and 
                        oversee the safety of children who receive 
                        services and programs specified in paragraph 
                        (1), including through periodic risk 
                        assessments throughout the period in which the 
                        services and programs are provided on behalf of 
                        a child and reexamination of the prevention 
                        plan maintained for the child under paragraph 
                        (4) for the provision of the services or 
                        programs if the State determines the risk of 
                        the child entering foster care remains high 
                        despite the provision of the services or 
                        programs.
                            ``(iii) With respect to the services and 
                        programs specified in subparagraphs (A) and (B) 
                        of paragraph (1), information on the specific 
                        promising, supported, or well-supported 
                        practices the State plans to use to provide the 
                        services or programs, including a description 
                        of--
                                    ``(I) the services or programs and 
                                whether the practices used are 
                                promising, supported, or well-
                                supported;
                                    ``(II) how the State plans to 
                                implement the services or programs, 
                                including how implementation of the 
                                services or programs will be 
                                continuously monitored to ensure 
                                fidelity to the practice model and to 
                                determine outcomes achieved and how 
                                information learned from the monitoring 
                                will be used to refine and improve 
                                practices;
                                    ``(III) how the State selected the 
                                services or programs;
                                    ``(IV) the target population for 
                                the services or programs; and
                                    ``(V) how each service or program 
                                provided will be evaluated through a 
                                well-designed and rigorous process, 
                                which may consist of an ongoing, cross-
                                site evaluation approved by the 
                                Secretary.
                            ``(iv) A description of the consultation 
                        that the State agencies responsible for 
                        administering the State plans under this part 
                        and part B engage in with other State agencies 
                        responsible for administering health programs, 
                        including mental health and substance abuse 
                        prevention and treatment services, and with 
                        other public and private agencies with 
                        experience in administering child and family 
                        services, including community-based 
                        organizations, in order to foster a continuum 
                        of care for children described in paragraph (2) 
                        and their parents or kin caregivers.
                            ``(v) A description of how the State shall 
                        assess children and their parents or kin 
                        caregivers to determine eligibility for 
                        services or programs specified in paragraph 
                        (1).
                            ``(vi) A description of how the services or 
                        programs specified in paragraph (1) that are 
                        provided for or on behalf of a child and the 
                        parents or kin caregivers of the child will be 
                        coordinated with other child and family 
                        services provided to the child and the parents 
                        or kin caregivers of the child under the State 
                        plans in effect under subparts 1 and 2 of part 
                        B.
                            ``(vii) Descriptions of steps the State is 
                        taking to support and enhance a competent, 
                        skilled, and professional child welfare 
                        workforce to deliver trauma-informed and 
                        evidence-based services, including--
                                    ``(I) ensuring that staff is 
                                qualified to provide services or 
                                programs that are consistent with the 
                                promising, supported, or well-supported 
                                practice models selected; and
                                    ``(II) developing appropriate 
                                prevention plans, and conducting the 
                                risk assessments required under clause 
                                (iii).
                            ``(viii) A description of how the State 
                        will provide training and support for 
                        caseworkers in assessing what children and 
                        their families need, connecting to the families 
                        served, knowing how to access and deliver the 
                        needed trauma-informed and evidence-based 
                        services, and overseeing and evaluating the 
                        continuing appropriateness of the services.
                            ``(ix) A description of how caseload size 
                        and type for prevention caseworkers will be 
                        determined, managed, and overseen.
                            ``(x) An assurance that the State will 
                        report to the Secretary such information and 
                        data as the Secretary may require with respect 
                        to the provision of services and programs 
                        specified in paragraph (1), including 
                        information and data necessary to determine the 
                        performance measures for the State under 
                        paragraph (6) and compliance with paragraph 
                        (7).
                    ``(C) Reimbursement for services under the 
                prevention plan component.--
                            ``(i) Limitation.--Except as provided in 
                        subclause (ii), a State may not receive a 
                        Federal payment under this part for a given 
                        promising, supported, or well-supported 
                        practice unless (in accordance with 
                        subparagraph (B)(iii)(V)) the plan includes a 
                        well-designed and rigorous evaluation strategy 
                        for that practice.
                            ``(ii) Waiver of limitation.--The Secretary 
                        may waive the requirement for a well-designed 
                        and rigorous evaluation of any well-supported 
                        practice if the Secretary deems the evidence of 
                        the effectiveness of the practice to be 
                        compelling and the State meets the continuous 
                        quality improvement requirements included in 
                        subparagraph (B)(iii)(II) with regard to the 
                        practice.
            ``(6) Prevention services measures.--
                    ``(A) Establishment; annual updates.--Beginning 
                with fiscal year 2021, and annually thereafter, the 
                Secretary shall establish the following prevention 
                services measures based on information and data 
                reported by States that elect to provide services and 
                programs specified in paragraph (1):
                            ``(i) Percentage of candidates for foster 
                        care who do not enter foster care.--The 
                        percentage of candidates for foster care for 
                        whom, or on whose behalf, the services or 
                        programs are provided who do not enter foster 
                        care, including those placed with a kin 
                        caregiver outside of foster care, during the 
                        12-month period in which the services or 
                        programs are provided and through the end of 
                        the succeeding 12-month period.
                            ``(ii) Per-child spending.--The total 
                        amount of expenditures made for mental health 
                        and substance abuse prevention and treatment 
                        services or in-home parent skill-based 
                        programs, respectively, for, or on behalf of, 
                        each child described in paragraph (2).
                    ``(B) Data.--The Secretary shall establish and 
                annually update the prevention services measures--
                            ``(i) based on the median State values of 
                        the information reported under each clause of 
                        subparagraph (A) for the 3 then most recent 
                        years; and
                            ``(ii) taking into account State 
                        differences in the price levels of consumption 
                        goods and services using the most recent 
                        regional price parities published by the Bureau 
                        of Economic Analysis of the Department of 
                        Commerce or such other data as the Secretary 
                        determines appropriate.
                    ``(C) Publication of state prevention services 
                measures.--The Secretary shall annually make available 
                to the public the prevention services measures of each 
                State.
            ``(7) Maintenance of effort for state foster care 
        prevention expenditures.--
                    ``(A) In general.--If a State elects to provide 
                services and programs specified in paragraph (1) for a 
                fiscal year, the State foster care prevention 
                expenditures for the fiscal year shall not be less than 
                the amount of the expenditures for fiscal year 2014 
                (or, at the option of a State described in subparagraph 
                (E), fiscal year 2015 or fiscal year 2016 (whichever 
                the State elects)).
                    ``(B) State foster care prevention expenditures.--
                The term `State foster care prevention expenditures' 
                means the following:
                            ``(i) TANF; iv-b; ssbg.--State expenditures 
                        for foster care prevention services and 
                        activities under the State program funded under 
                        part A (including from amounts made available 
                        by the Federal Government), under the State 
                        plan developed under part B (including any such 
                        amounts), or under the Social Services Block 
                        Grant Programs under subtitle A of title XX 
                        (including any such amounts).
                            ``(ii) Other state programs.--State 
                        expenditures for foster care prevention 
                        services and activities under any State program 
                        that is not described in clause (i) (other than 
                        any State expenditures for foster care 
                        prevention services and activities under the 
                        State program under this part (including under 
                        a waiver of the program)).
                    ``(C) State expenditures.--The term `State 
                expenditures' means all State or local funds that are 
                expended by the State or a local agency including State 
                or local funds that are matched or reimbursed by the 
                Federal Government and State or local funds that are 
                not matched or reimbursed by the Federal Government.
                    ``(D) Determination of prevention services and 
                activities.--The Secretary shall require each State 
                that elects to provide services and programs specified 
                in paragraph (1) to report the expenditures specified 
                in subparagraph (B) for fiscal year 2014 and for such 
                fiscal years thereafter as are necessary to determine 
                whether the State is complying with the maintenance of 
                effort requirement in subparagraph (A). The Secretary 
                shall specify the specific services and activities 
                under each program referred to in subparagraph (B) that 
                are `prevention services and activities' for purposes 
                of the reports.
                    ``(E) State described.--For purposes of 
                subparagraph (A), a State is described in this 
                subparagraph if the population of children in the State 
                in 2014 was less than 200,000 (as determined by the 
                United States Census Bureau).
            ``(8) Prohibition against use of state foster care 
        prevention expenditures and federal iv-e prevention funds for 
        matching or expenditure requirement.--A State that elects to 
        provide services and programs specified in paragraph (1) shall 
        not use any State foster care prevention expenditures for a 
        fiscal year for the State share of expenditures under section 
        474(a)(6) for a fiscal year.
            ``(9) Administrative costs.--Expenditures described in 
        section 474(a)(6)(B)--
                    ``(A) shall not be eligible for payment under 
                subparagraph (A), (B), or (E) of section 474(a)(3); and
                    ``(B) shall be eligible for payment under section 
                474(a)(6)(B) without regard to whether the expenditures 
                are incurred on behalf of a child who is, or is 
                potentially, eligible for foster care maintenance 
                payments under this part.
            ``(10) Application.--
                    ``(A) In general.--The provision of services or 
                programs under this subsection to or on behalf of a 
                child described in paragraph (2) shall not be 
                considered to be receipt of aid or assistance under the 
                State plan under this part for purposes of eligibility 
                for any other program established under this Act.
                    ``(B) Candidates in kinship care.--A child 
                described in paragraph (2) for whom such services or 
                programs under this subsection are provided for more 
                than 6 months while in the home of a kin caregiver, and 
                who would satisfy the AFDC eligibility requirement of 
                section 472(a)(3)(A)(ii)(II) but for residing in the 
                home of the caregiver for more than 6 months, is deemed 
                to satisfy that requirement for purposes of determining 
                whether the child is eligible for foster care 
                maintenance payments under section 472.''.
    (b) Definition.--Section 475 of such Act (42 U.S.C. 675) is amended 
by adding at the end the following:
            ``(13) The term `child who is a candidate for foster care' 
        means, a child who is identified in a prevention plan under 
        section 471(e)(4)(A) as being at imminent risk of entering 
        foster care (without regard to whether the child would be 
        eligible for foster care maintenance payments under section 472 
        or is or would be eligible for adoption assistance or kinship 
        guardianship assistance payments under section 473) but who can 
        remain safely in the child's home or in a kinship placement as 
        long as services or programs specified in section 471(e)(1) 
        that are necessary to prevent the entry of the child into 
        foster care are provided. The term includes a child whose 
        adoption or guardianship arrangement is at risk of a disruption 
        or dissolution that would result in a foster care placement.''.
    (c) Payments Under Title IV-E.--Section 474(a) of such Act (42 
U.S.C. 674(a)) is amended--
            (1) in paragraph (5), by striking the period at the end and 
        inserting ``; plus''; and
            (2) by adding at the end the following:
            ``(6) subject to section 471(e)--
                    ``(A) for each quarter--
                            ``(i) subject to clause (ii)--
                                    ``(I) beginning after September 30, 
                                2019, and before October 1, 2026, an 
                                amount equal to 50 percent of the total 
                                amount expended during the quarter for 
                                the provision of services or programs 
                                specified in subparagraph (A) or (B) of 
                                section 471(e)(1) that are provided in 
                                accordance with promising, supported, 
                                or well-supported practices that meet 
                                the applicable criteria specified for 
                                the practices in section 471(e)(4)(C); 
                                and
                                    ``(II) beginning after September 
                                30, 2026, an amount equal to the 
                                Federal medical assistance percentage 
                                (which shall be as defined in section 
                                1905(b), in the case of a State other 
                                than the District of Columbia, or 70 
                                percent, in the case of the District of 
                                Columbia) of the total amount expended 
                                during the quarter for the provision of 
                                services or programs specified in 
                                subparagraph (A) or (B) of section 
                                471(e)(1) that are provided in 
                                accordance with promising, supported, 
                                or well-supported practices that meet 
                                the applicable criteria specified for 
                                the practices in section 471(e)(4)(C) 
                                (or, with respect to the payments made 
                                during the quarter under a cooperative 
                                agreement or contract entered into by 
                                the State and an Indian tribe, tribal 
                                organization, or tribal consortium for 
                                the administration or payment of funds 
                                under this part, an amount equal to the 
                                Federal medical assistance percentage 
                                that would apply under section 479B(d) 
                                (in this paragraph referred to as the 
                                `tribal FMAP') if the Indian tribe, 
                                tribal organization, or tribal 
                                consortium made the payments under a 
                                program operated under that section, 
                                unless the tribal FMAP is less than the 
                                Federal medical assistance percentage 
                                that applies to the State); except that
                            ``(ii) not less than 50 percent of the 
                        total amount expended by a State under clause 
                        (i) for a fiscal year shall be for the 
                        provision of services or programs specified in 
                        subparagraph (A) or (B) of section 471(e)(1) 
                        that are provided in accordance with well-
                        supported practices; plus
                    ``(B) for each quarter specified in subparagraph 
                (A), an amount equal to the sum of the following 
                proportions of the total amount expended during the 
                quarter--
                            ``(i) 50 percent of so much of the 
                        expenditures as are found necessary by the 
                        Secretary for the proper and efficient 
                        administration of the State plan for the 
                        provision of services or programs specified in 
                        section 471(e)(1), including expenditures for 
                        activities approved by the Secretary that 
                        promote the development of necessary processes 
                        and procedures to establish and implement the 
                        provision of the services and programs for 
                        individuals who are eligible for the services 
                        and programs and expenditures attributable to 
                        data collection and reporting; and
                            ``(ii) 50 percent of so much of the 
                        expenditures with respect to the provision of 
                        services and programs specified in section 
                        471(e)(1) as are for training of personnel 
                        employed or preparing for employment by the 
                        State agency or by the local agency 
                        administering the plan in the political 
                        subdivision and of the members of the staff of 
                        State-licensed or State-approved child welfare 
                        agencies providing services to children 
                        described in section 471(e)(2) and their 
                        parents or kin caregivers, including on how to 
                        determine who are individuals eligible for the 
                        services or programs, how to identify and 
                        provide appropriate services and programs, and 
                        how to oversee and evaluate the ongoing 
                        appropriateness of the services and 
                        programs.''.
    (d) Technical Assistance and Best Practices, Clearinghouse, and 
Data Collection and Evaluations.--Section 476 of such Act (42 U.S.C. 
676) is amended by adding at the end the following:
    ``(d) Technical Assistance and Best Practices, Clearinghouse, Data 
Collection, and Evaluations Relating to Prevention Services and 
Programs.--
            ``(1) Technical assistance and best practices.--The 
        Secretary shall provide to States and, as applicable, to Indian 
        tribes, tribal organizations, and tribal consortia, technical 
        assistance regarding the provision of services and programs 
        described in section 471(e)(1) and shall disseminate best 
        practices with respect to the provision of the services and 
        programs, including how to plan and implement a well-designed 
        and rigorous evaluation of a promising, supported, or well-
        supported practice.
            ``(2) Clearinghouse of promising, supported, and well-
        supported practices.--The Secretary shall, directly or through 
        grants, contracts, or interagency agreements, evaluate research 
        on the practices specified in clauses (iii), (iv), and (v), 
        respectively, of section 471(e)(4)(C), and programs that meet 
        the requirements described in section 427(a)(1), including 
        culturally specific, or location- or population-based 
        adaptations of the practices, to identify and establish a 
        public clearinghouse of the practices that satisfy each 
        category described by such clauses. In addition, the 
        clearinghouse shall include information on the specific 
        outcomes associated with each practice, including whether the 
        practice has been shown to prevent child abuse and neglect and 
        reduce the likelihood of foster care placement by supporting 
        birth families and kinship families and improving targeted 
        supports for pregnant and parenting youth and their children.
            ``(3) Data collection and evaluations.--The Secretary, 
        directly or through grants, contracts, or interagency 
        agreements, may collect data and conduct evaluations with 
        respect to the provision of services and programs described in 
        section 471(e)(1) for purposes of assessing the extent to which 
        the provision of the services and programs--
                    ``(A) reduces the likelihood of foster care 
                placement;
                    ``(B) increases use of kinship care arrangements; 
                or
                    ``(C) improves child well-being.
            ``(4) Reports to congress.--
                    ``(A) In general.--The Secretary shall submit to 
                the Committee on Finance of the Senate and the 
                Committee on Ways and Means of the House of 
                Representatives periodic reports based on the provision 
                of services and programs described in section 471(e)(1) 
                and the activities carried out under this subsection.
                    ``(B) Public availability.--The Secretary shall 
                make the reports to Congress submitted under this 
                paragraph publicly available.
            ``(5) Appropriation.--Out of any money in the Treasury of 
        the United States not otherwise appropriated, there are 
        appropriated to the Secretary $1,000,000 for fiscal year 2018 
        and each fiscal year thereafter to carry out this 
        subsection.''.
    (e) Application to Programs Operated by Indian Tribal 
Organizations.--
            (1) In general.--Section 479B of such Act (42 U.S.C. 679c) 
        is amended--
                    (A) in subsection (c)(1)--
                            (i) in subparagraph (C)(i)--
                                    (I) in subclause (II), by striking 
                                ``and'' after the semicolon;
                                    (II) in subclause (III), by 
                                striking the period at the end and 
                                inserting ``; and''; and
                                    (III) by adding at the end the 
                                following:
                                    ``(IV) at the option of the tribe, 
                                organization, or consortium, services 
                                and programs specified in section 
                                471(e)(1) to children described in 
                                section 471(e)(2) and their parents or 
                                kin caregivers, in accordance with 
                                section 471(e) and subparagraph (E).''; 
                                and
                            (ii) by adding at the end the following:
                    ``(E) Prevention services and programs for children 
                and their parents and kin caregivers.--
                            ``(i) In general.--In the case of a tribe, 
                        organization, or consortium that elects to 
                        provide services and programs specified in 
                        section 471(e)(1) to children described in 
                        section 471(e)(2) and their parents or kin 
                        caregivers under the plan, the Secretary shall 
                        specify the requirements applicable to the 
                        provision of the services and programs. The 
                        requirements shall, to the greatest extent 
                        practicable, be consistent with the 
                        requirements applicable to States under section 
                        471(e) and shall permit the provision of the 
                        services and programs in the form of services 
                        and programs that are adapted to the culture 
                        and context of the tribal communities served.
                            ``(ii) Performance measures.--The Secretary 
                        shall establish specific performance measures 
                        for each tribe, organization, or consortium 
                        that elects to provide services and programs 
                        specified in section 471(e)(1). The performance 
                        measures shall, to the greatest extent 
                        practicable, be consistent with the prevention 
                        services measures required for States under 
                        section 471(e)(6) but shall allow for 
                        consideration of factors unique to the 
                        provision of the services by tribes, 
                        organizations, or consortia.''; and
                    (B) in subsection (d)(1), by striking ``and (5)'' 
                and inserting ``(5), and (6)(A)''.
            (2) Conforming amendment.--The heading for subsection (d) 
        of section 479B of such Act (42 U.S.C. 679c) is amended by 
        striking ``for Foster Care Maintenance and Adoption Assistance 
        Payments''.
    (f) Application to Programs Operated by Territories.--Section 
1108(a)(2) of the Social Security Act (42 U.S.C. 1308(a)(2)) is amended 
by striking ``or 413(f)'' and inserting ``413(f), or 474(a)(6)''.

SEC. 50712. FOSTER CARE MAINTENANCE PAYMENTS FOR CHILDREN WITH PARENTS 
              IN A LICENSED RESIDENTIAL FAMILY-BASED TREATMENT FACILITY 
              FOR SUBSTANCE ABUSE.

    (a) In General.--Section 472 of the Social Security Act (42 U.S.C. 
672) is amended--
            (1) in subsection (a)(2)(C), by striking ``or'' and 
        inserting ``, with a parent residing in a licensed residential 
        family-based treatment facility, but only to the extent 
        permitted under subsection (j), or in a''; and
            (2) by adding at the end the following:
    ``(j) Children Placed With a Parent Residing in a Licensed 
Residential Family-Based Treatment Facility for Substance Abuse.--
            ``(1) In general.--Notwithstanding the preceding provisions 
        of this section, a child who is eligible for foster care 
        maintenance payments under this section, or who would be 
        eligible for the payments if the eligibility were determined 
        without regard to paragraphs (1)(B) and (3) of subsection (a), 
        shall be eligible for the payments for a period of not more 
        than 12 months during which the child is placed with a parent 
        who is in a licensed residential family-based treatment 
        facility for substance abuse, but only if--
                    ``(A) the recommendation for the placement is 
                specified in the child's case plan before the 
                placement;
                    ``(B) the treatment facility provides, as part of 
                the treatment for substance abuse, parenting skills 
                training, parent education, and individual and family 
                counseling; and
                    ``(C) the substance abuse treatment, parenting 
                skills training, parent education, and individual and 
                family counseling is provided under an organizational 
                structure and treatment framework that involves 
                understanding, recognizing, and responding to the 
                effects of all types of trauma and in accordance with 
                recognized principles of a trauma-informed approach and 
                trauma-specific interventions to address the 
                consequences of trauma and facilitate healing.
            ``(2) Application.--With respect to children for whom 
        foster care maintenance payments are made under paragraph (1), 
        only the children who satisfy the requirements of paragraphs 
        (1)(B) and (3) of subsection (a) shall be considered to be 
        children with respect to whom foster care maintenance payments 
        are made under this section for purposes of subsection (h) or 
        section 473(b)(3)(B).''.
    (b) Conforming Amendment.--Section 474(a)(1) of such Act (42 U.S.C. 
674(a)(1)) is amended by inserting ``subject to section 472(j),'' 
before ``an amount equal to the Federal'' the first place it appears.

SEC. 50713. TITLE IV-E PAYMENTS FOR EVIDENCE-BASED KINSHIP NAVIGATOR 
              PROGRAMS.

    Section 474(a) of the Social Security Act (42 U.S.C. 674(a)), as 
amended by section 50711(c), is amended--
            (1) in paragraph (6), by striking the period at the end and 
        inserting ``; plus''; and
            (2) by adding at the end the following:
            ``(7) an amount equal to 50 percent of the amounts expended 
        by the State during the quarter as the Secretary determines are 
        for kinship navigator programs that meet the requirements 
        described in section 427(a)(1) and that the Secretary 
        determines are operated in accordance with promising, 
        supported, or well-supported practices that meet the applicable 
        criteria specified for the practices in section 471(e)(4)(C), 
        without regard to whether the expenditures are incurred on 
        behalf of children who are, or are potentially, eligible for 
        foster care maintenance payments under this part.''.

               PART II--ENHANCED SUPPORT UNDER TITLE IV-B

SEC. 50721. ELIMINATION OF TIME LIMIT FOR FAMILY REUNIFICATION SERVICES 
              WHILE IN FOSTER CARE AND PERMITTING TIME-LIMITED FAMILY 
              REUNIFICATION SERVICES WHEN A CHILD RETURNS HOME FROM 
              FOSTER CARE.

    (a) In General.--Section 431(a)(7) of the Social Security Act (42 
U.S.C. 629a(a)(7)) is amended--
            (1) in the paragraph heading, by striking ``Time-limited 
        family'' and inserting ``Family''; and
            (2) in subparagraph (A)--
                    (A) by striking ``time-limited family'' and 
                inserting ``family'';
                    (B) by inserting ``or a child who has been returned 
                home'' after ``child care institution''; and
                    (C) by striking ``, but only during the 15-month 
                period that begins on the date that the child, pursuant 
                to section 475(5)(F), is considered to have entered 
                foster care'' and inserting ``and to ensure the 
                strength and stability of the reunification. In the 
                case of a child who has been returned home, the 
                services and activities shall only be provided during 
                the 15-month period that begins on the date that the 
                child returns home''.
    (b) Conforming Amendments.--
            (1) Section 430 of such Act (42 U.S.C. 629) is amended in 
        the matter preceding paragraph (1), by striking ``time-
        limited''.
            (2) Subsections (a)(4), (a)(5)(A), and (b)(1) of section 
        432 of such Act (42 U.S.C. 629b) are amended by striking 
        ``time-limited'' each place it appears.

SEC. 50722. REDUCING BUREAUCRACY AND UNNECESSARY DELAYS WHEN PLACING 
              CHILDREN IN HOMES ACROSS STATE LINES.

    (a) State Plan Requirement.--Section 471(a)(25) of the Social 
Security Act (42 U.S.C. 671(a)(25)) is amended--
            (1) by striking ``provide'' and inserting ``provides''; and
            (2) by inserting ``, which, in the case of a State other 
        than the Commonwealth of Puerto Rico, the United States Virgin 
        Islands, Guam, or American Samoa, not later than October 1, 
        2027, shall include the use of an electronic interstate case-
        processing system'' before the first semicolon.
    (b) Exemption of Indian Tribes.--Section 479B(c) of such Act (42 
U.S.C. 679c(c)) is amended by adding at the end the following:
            ``(4) Inapplicability of state plan requirement to have in 
        effect procedures providing for the use of an electronic 
        interstate case-processing system.--.The requirement in section 
        471(a)(25) that a State plan provide that the State shall have 
        in effect procedures providing for the use of an electronic 
        interstate case-processing system shall not apply to an Indian 
        tribe, tribal organization, or tribal consortium that elects to 
        operate a program under this part.''.
    (c) Funding for the Development of an Electronic Interstate Case-
processing System to Expedite the Interstate Placement of Children in 
Foster Care or Guardianship, or for Adoption.--Section 437 of such Act 
(42 U.S.C. 629g) is amended by adding at the end the following:
    ``(g) Funding for the Development of an Electronic Interstate Case-
processing System to Expedite the Interstate Placement of Children in 
Foster Care or Guardianship, or for Adoption.--
            ``(1) Purpose.--The purpose of this subsection is to 
        facilitate the development of an electronic interstate case-
        processing system for the exchange of data and documents to 
        expedite the placements of children in foster, guardianship, or 
        adoptive homes across State lines.
            ``(2) Requirements.--A State that seeks funding under this 
        subsection shall submit to the Secretary the following:
                    ``(A) A description of the goals and outcomes to be 
                achieved, which goals and outcomes must result in--
                            ``(i) reducing the time it takes for a 
                        child to be provided with a safe and 
                        appropriate permanent living arrangement across 
                        State lines;
                            ``(ii) improving administrative processes 
                        and reducing costs in the foster care system; 
                        and
                            ``(iii) the secure exchange of relevant 
                        case files and other necessary materials in 
                        real time, and timely communications and 
                        placement decisions regarding interstate 
                        placements of children.
                    ``(B) A description of the activities to be funded 
                in whole or in part with the funds, including the 
                sequencing of the activities.
                    ``(C) A description of the strategies for 
                integrating programs and services for children who are 
                placed across State lines.
                    ``(D) Such other information as the Secretary may 
                require.
            ``(3) Funding authority.--The Secretary may provide funds 
        to a State that complies with paragraph (2). In providing funds 
        under this subsection, the Secretary shall prioritize States 
        that are not yet connected with the electronic interstate case-
        processing system referred to in paragraph (1).
            ``(4) Use of funds.--A State to which funding is provided 
        under this subsection shall use the funding to support the 
        State in connecting with, or enhancing or expediting services 
        provided under, the electronic interstate case-processing 
        system referred to in paragraph (1).
            ``(5) Evaluations.--Not later than 1 year after the final 
        year in which funds are awarded under this subsection, the 
        Secretary shall submit to the Congress, and make available to 
        the general public by posting on a website, a report that 
        contains the following information:
                    ``(A) How using the electronic interstate case-
                processing system developed pursuant to paragraph (4) 
                has changed the time it takes for children to be placed 
                across State lines.
                    ``(B) The number of cases subject to the Interstate 
                Compact on the Placement of Children that were 
                processed through the electronic interstate case-
                processing system, and the number of interstate child 
                placement cases that were processed outside the 
                electronic interstate case-processing system, by each 
                State in each year.
                    ``(C) The progress made by States in implementing 
                the electronic interstate case-processing system.
                    ``(D) How using the electronic interstate case-
                processing system has affected various metrics related 
                to child safety and well-being, including the time it 
                takes for children to be placed across State lines.
                    ``(E) How using the electronic interstate case-
                processing system has affected administrative costs and 
                caseworker time spent on placing children across State 
                lines.
            ``(6) Data integration.--The Secretary, in consultation 
        with the Secretariat for the Interstate Compact on the 
        Placement of Children and the States, shall assess how the 
        electronic interstate case-processing system developed pursuant 
        to paragraph (4) could be used to better serve and protect 
        children that come to the attention of the child welfare 
        system, by--
                    ``(A) connecting the system with other data systems 
                (such as systems operated by State law enforcement and 
                judicial agencies, systems operated by the Federal 
                Bureau of Investigation for the purposes of the 
                Innocence Lost National Initiative, and other systems);
                    ``(B) simplifying and improving reporting related 
                to paragraphs (34) and (35) of section 471(a) regarding 
                children or youth who have been identified as being a 
                sex trafficking victim or children missing from foster 
                care; and
                    ``(C) improving the ability of States to quickly 
                comply with background check requirements of section 
                471(a)(20), including checks of child abuse and neglect 
                registries as required by section 471(a)(20)(B).''.
    (d) Reservation of Funds To Improve the Interstate Placement of 
Children.--Section 437(b) of such Act (42 U.S.C. 629g(b)) is amended by 
adding at the end the following:
            ``(4) Improving the interstate placement of children.--The 
        Secretary shall reserve $5,000,000 of the amount made available 
        for fiscal year 2018 for grants under subsection (g), and the 
        amount so reserved shall remain available through fiscal year 
        2022.''.

SEC. 50723. ENHANCEMENTS TO GRANTS TO IMPROVE WELL-BEING OF FAMILIES 
              AFFECTED BY SUBSTANCE ABUSE.

    Section 437(f) of the Social Security Act (42 U.S.C. 629g(f)) is 
amended--
            (1) in the subsection heading, by striking ``Increase the 
        Well-Being of, and To Improve the Permanency Outcomes for, 
        Children Affected by'' and inserting ``Implement IV-E 
        Prevention Services, and Improve the Well-Being of, and Improve 
        Permanency Outcomes for, Children and Families Affected by 
        Heroin, Opioids, and Other'';
            (2) by striking paragraph (2) and inserting the following:
            ``(2) Regional partnership defined.--In this subsection, 
        the term `regional partnership' means a collaborative agreement 
        (which may be established on an interstate, State, or 
        intrastate basis) entered into by the following:
                    ``(A) Mandatory partners for all partnership 
                grants.--
                            ``(i) The State child welfare agency that 
                        is responsible for the administration of the 
                        State plan under this part and part E.
                            ``(ii) The State agency responsible for 
                        administering the substance abuse prevention 
                        and treatment block grant provided under 
                        subpart II of part B of title XIX of the Public 
                        Health Service Act.
                    ``(B) Mandatory partners for partnership grants 
                proposing to serve children in out-of-home 
                placements.--If the partnership proposes to serve 
                children in out-of-home placements, the Juvenile Court 
                or Administrative Office of the Court that is most 
                appropriate to oversee the administration of court 
                programs in the region to address the population of 
                families who come to the attention of the court due to 
                child abuse or neglect.
                    ``(C) Optional partners.--At the option of the 
                partnership, any of the following:
                            ``(i) An Indian tribe or tribal consortium.
                            ``(ii) Nonprofit child welfare service 
                        providers.
                            ``(iii) For-profit child welfare service 
                        providers.
                            ``(iv) Community health service providers, 
                        including substance abuse treatment providers.
                            ``(v) Community mental health providers.
                            ``(vi) Local law enforcement agencies.
                            ``(vii) School personnel.
                            ``(viii) Tribal child welfare agencies (or 
                        a consortia of the agencies).
                            ``(ix) Any other providers, agencies, 
                        personnel, officials, or entities that are 
                        related to the provision of child and family 
                        services under a State plan approved under this 
                        subpart.
                    ``(D) Exception for regional partnerships where the 
                lead applicant is an indian tribe or tribal 
                consortia.--If an Indian tribe or tribal consortium 
                enters into a regional partnership for purposes of this 
                subsection, the Indian tribe or tribal consortium--
                            ``(i) may (but is not required to) include 
                        the State child welfare agency as a partner in 
                        the collaborative agreement;
                            ``(ii) may not enter into a collaborative 
                        agreement only with tribal child welfare 
                        agencies (or a consortium of the agencies); and
                            ``(iii) if the condition described in 
                        paragraph (2)(B) applies, may include tribal 
                        court organizations in lieu of other judicial 
                        partners.'';
            (3) in paragraph (3)--
                    (A) in subparagraph (A)--
                            (i) by striking ``2012 through 2016'' and 
                        inserting ``2017 through 2021''; and
                            (ii) by striking ``$500,000 and not more 
                        than $1,000,000'' and inserting ``$250,000 and 
                        not more than $1,000,000'';
                    (B) in subparagraph (B)--
                            (i) in the subparagraph heading, by 
                        inserting ``; planning'' after ``approval'';
                            (ii) in clause (i), by striking ``clause 
                        (ii)'' and inserting ``clauses (ii) and 
                        (iii)''; and
                            (iii) by adding at the end the following:
                            ``(iii) Sufficient planning.--A grant 
                        awarded under this subsection shall be 
                        disbursed in two phases: a planning phase (not 
                        to exceed 2 years) and an implementation phase. 
                        The total disbursement to a grantee for the 
                        planning phase may not exceed $250,000, and may 
                        not exceed the total anticipated funding for 
                        the implementation phase.''; and
                    (C) by adding at the end the following:
                    ``(D) Limitation on payment for a fiscal year.--No 
                payment shall be made under subparagraph (A) or (C) for 
                a fiscal year until the Secretary determines that the 
                eligible partnership has made sufficient progress in 
                meeting the goals of the grant and that the members of 
                the eligible partnership are coordinating to a 
                reasonable degree with the other members of the 
                eligible partnership.'';
            (4) in paragraph (4)--
                    (A) in subparagraph (B)--
                            (i) in clause (i), by inserting ``, 
                        parents, and families'' after ``children'';
                            (ii) in clause (ii), by striking ``safety 
                        and permanence for such children; and'' and 
                        inserting ``safe, permanent caregiving 
                        relationships for the children;'';
                            (iii) in clause (iii), by striking ``or'' 
                        and inserting ``increase reunification rates 
                        for children who have been placed in out-of-
                        home care, or decrease''; and
                            (iv) by redesignating clause (iii) as 
                        clause (v) and inserting after clause (ii) the 
                        following:
                            ``(iii) improve the substance abuse 
                        treatment outcomes for parents including 
                        retention in treatment and successful 
                        completion of treatment;
                            ``(iv) facilitate the implementation, 
                        delivery, and effectiveness of prevention 
                        services and programs under section 471(e); 
                        and'';
                    (B) in subparagraph (D), by striking ``where 
                appropriate,''; and
                    (C) by striking subparagraphs (E) and (F) and 
                inserting the following:
                    ``(E) A description of a plan for sustaining the 
                services provided by or activities funded under the 
                grant after the conclusion of the grant period, 
                including through the use of prevention services and 
                programs under section 471(e) and other funds provided 
                to the State for child welfare and substance abuse 
                prevention and treatment services.
                    ``(F) Additional information needed by the 
                Secretary to determine that the proposed activities and 
                implementation will be consistent with research or 
                evaluations showing which practices and approaches are 
                most effective.'';
            (5) in paragraph (5)(A), by striking ``abuse treatment'' 
        and inserting ``use disorder treatment including medication 
        assisted treatment and in-home substance abuse disorder 
        treatment and recovery'';
            (6) in paragraph (7)--
                    (A) by striking ``and'' at the end of subparagraph 
                (C); and
                    (B) by redesignating subparagraph (D) as 
                subparagraph (E) and inserting after subparagraph (C) 
                the following:
                    ``(D) demonstrate a track record of successful 
                collaboration among child welfare, substance abuse 
                disorder treatment and mental health agencies; and'';
            (7) in paragraph (8)--
                    (A) in subparagraph (A)--
                            (i) by striking ``establish indicators that 
                        will be'' and inserting ``review indicators 
                        that are''; and
                            (ii) by striking ``in using funds made 
                        available under such grants to achieve the 
                        purpose of this subsection'' and inserting 
                        ``and establish a set of core indicators 
                        related to child safety, parental recovery, 
                        parenting capacity, and family well-being. In 
                        developing the core indicators, to the extent 
                        possible, indicators shall be made consistent 
                        with the outcome measures described in section 
                        471(e)(6)''; and
                    (B) in subparagraph (B)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``base the performance measures on 
                        lessons learned from prior rounds of regional 
                        partnership grants under this subsection, and'' 
                        before ``consult''; and
                            (ii) by striking clauses (iii) and (iv) and 
                        inserting the following:
                            ``(iii) Other stakeholders or 
                        constituencies as determined by the 
                        Secretary.'';
            (8) in paragraph (9)(A), by striking clause (i) and 
        inserting the following:
                            ``(i) Semiannual reports.--Not later than 
                        September 30 of each fiscal year in which a 
                        recipient of a grant under this subsection is 
                        paid funds under the grant, and every 6 months 
                        thereafter, the grant recipient shall submit to 
                        the Secretary a report on the services provided 
                        and activities carried out during the reporting 
                        period, progress made in achieving the goals of 
                        the program, the number of children, adults, 
                        and families receiving services, and such 
                        additional information as the Secretary 
                        determines is necessary. The report due not 
                        later than September 30 of the last such fiscal 
                        year shall include, at a minimum, data on each 
                        of the performance indicators included in the 
                        evaluation of the regional partnership.''; and
            (9) in paragraph (10), by striking ``2012 through 2016'' 
        and inserting ``2017 through 2021''.

                        PART III--MISCELLANEOUS

SEC. 50731. REVIEWING AND IMPROVING LICENSING STANDARDS FOR PLACEMENT 
              IN A RELATIVE FOSTER FAMILY HOME.

    (a) Identification of Reputable Model Licensing Standards.--Not 
later than October 1, 2018, the Secretary of Health and Human Services 
shall identify reputable model licensing standards with respect to the 
licensing of foster family homes (as defined in section 472(c)(1) of 
the Social Security Act).
    (b) State Plan Requirement.--Section 471(a) of the Social Security 
Act (42 U.S.C. 671(a)) is amended--
            (1) in paragraph (34)(B), by striking ``and'' after the 
        semicolon;
            (2) in paragraph (35)(B), by striking the period at the end 
        and inserting a semicolon; and
            (3) by adding at the end the following:
            ``(36) provides that, not later than April 1, 2019, the 
        State shall submit to the Secretary information addressing--
                    ``(A) whether the State licensing standards are in 
                accord with model standards identified by the 
                Secretary, and if not, the reason for the specific 
                deviation and a description as to why having a standard 
                that is reasonably in accord with the corresponding 
                national model standards is not appropriate for the 
                State;
                    ``(B) whether the State has elected to waive 
                standards established in 471(a)(10)(A) for relative 
                foster family homes (pursuant to waiver authority 
                provided by 471(a)(10)(D)), a description of which 
                standards the State most commonly waives, and if the 
                State has not elected to waive the standards, the 
                reason for not waiving these standards;
                    ``(C) if the State has elected to waive standards 
                specified in subparagraph (B), how caseworkers are 
                trained to use the waiver authority and whether the 
                State has developed a process or provided tools to 
                assist caseworkers in waiving nonsafety standards per 
                the authority provided in 471(a)(10)(D) to quickly 
                place children with relatives; and
                    ``(D) a description of the steps the State is 
                taking to improve caseworker training or the process, 
                if any; and''.

SEC. 50732. DEVELOPMENT OF A STATEWIDE PLAN TO PREVENT CHILD ABUSE AND 
              NEGLECT FATALITIES.

    Section 422(b)(19) of the Social Security Act (42 U.S.C. 
622(b)(19)) is amended to read as follows:
            ``(19) document steps taken to track and prevent child 
        maltreatment deaths by including--
                    ``(A) a description of the steps the State is 
                taking to compile complete and accurate information on 
                the deaths required by Federal law to be reported by 
                the State agency referred to in paragraph (1), 
                including gathering relevant information on the deaths 
                from the relevant organizations in the State including 
                entities such as State vital statistics department, 
                child death review teams, law enforcement agencies, 
                offices of medical examiners, or coroners; and
                    ``(B) a description of the steps the State is 
                taking to develop and implement a comprehensive, 
                statewide plan to prevent the fatalities that involves 
                and engages relevant public and private agency 
                partners, including those in public health, law 
                enforcement, and the courts.''.

SEC. 50733. MODERNIZING THE TITLE AND PURPOSE OF TITLE IV-E.

    (a) Part Heading.--The heading for part E of title IV of the Social 
Security Act (42 U.S.C. 670 et seq.) is amended to read as follows:

      ``PART E--FEDERAL PAYMENTS FOR FOSTER CARE, PREVENTION, AND 
                             PERMANENCY''.

    (b) Purpose.--The first sentence of section 470 of such Act (42 
U.S.C. 670) is amended--
            (1) by striking ``1995) and'' and inserting ``1995),'';
            (2) by inserting ``kinship guardianship assistance, and 
        prevention services or programs specified in section 
        471(e)(1),'' after ``needs,''; and
            (3) by striking ``(commencing with the fiscal year which 
        begins October 1, 1980)''.

SEC. 50734. EFFECTIVE DATES.

    (a) Effective Dates.--
            (1) In general.--Except as provided in paragraph (2), 
        subject to subsection (b), the amendments made by parts I 
        through III of this subtitle shall take effect on October 1, 
        2018.
            (2) Exceptions.--The amendments made by sections 50711(d), 
        50731, and 50733 shall take effect on the date of enactment of 
        this Act.
    (b) Transition Rule.--
            (1) In general.--In the case of a State plan under part B 
        or E of title IV of the Social Security Act which the Secretary 
        of Health and Human Services determines requires State 
        legislation (other than legislation appropriating funds) in 
        order for the plan to meet the additional requirements imposed 
        by the amendments made by parts I through III of this subtitle, 
        the State plan shall not be regarded as failing to comply with 
        the requirements of such part solely on the basis of the 
        failure of the plan to meet such additional requirements before 
        the first day of the first calendar quarter beginning after the 
        close of the first regular session of the State legislature 
        that begins after the date of enactment of this Act. For 
        purposes of the previous sentence, in the case of a State that 
        has a 2-year legislative session, each year of the session 
        shall be deemed to be a separate regular session of the State 
        legislature.
            (2) Application to programs operated by indian tribal 
        organizations.--In the case of an Indian tribe, tribal 
        organization, or tribal consortium which the Secretary of 
        Health and Human Services determines requires time to take 
        action necessary to comply with the additional requirements 
        imposed by the amendments made by parts I through III of this 
        subtitle (whether the tribe, organization, or tribal consortium 
        has a plan under section 479B of the Social Security Act or a 
        cooperative agreement or contract entered into with a State), 
        the Secretary shall provide the tribe, organization, or tribal 
        consortium with such additional time as the Secretary 
        determines is necessary for the tribe, organization, or tribal 
        consortium to take the action to comply with the additional 
        requirements before being regarded as failing to comply with 
        the requirements.

PART IV--ENSURING THE NECESSITY OF A PLACEMENT THAT IS NOT IN A FOSTER 
                              FAMILY HOME

SEC. 50741. LIMITATION ON FEDERAL FINANCIAL PARTICIPATION FOR 
              PLACEMENTS THAT ARE NOT IN FOSTER FAMILY HOMES.

    (a) Limitation on Federal Financial Participation.--
            (1) In general.--Section 472 of the Social Security Act (42 
        U.S.C. 672), as amended by section 50712(a), is amended--
                    (A) in subsection (a)(2)(C), by inserting ``, but 
                only to the extent permitted under subsection (k)'' 
                after ``institution''; and
                    (B) by adding at the end the following:
    ``(k) Limitation on Federal Financial Participation.--
            ``(1) In general.--Beginning with the third week for which 
        foster care maintenance payments are made under this section on 
        behalf of a child placed in a child-care institution, no 
        Federal payment shall be made to the State under section 
        474(a)(1) for amounts expended for foster care maintenance 
        payments on behalf of the child unless--
                    ``(A) the child is placed in a child-care 
                institution that is a setting specified in paragraph 
                (2) (or is placed in a licensed residential family-
                based treatment facility consistent with subsection 
                (j)); and
                    ``(B) in the case of a child placed in a qualified 
                residential treatment program (as defined in paragraph 
                (4)), the requirements specified in paragraph (3) and 
                section 475A(c) are met.
            ``(2) Specified settings for placement.--The settings for 
        placement specified in this paragraph are the following:
                    ``(A) A qualified residential treatment program (as 
                defined in paragraph (4)).
                    ``(B) A setting specializing in providing prenatal, 
                post-partum, or parenting supports for youth.
                    ``(C) In the case of a child who has attained 18 
                years of age, a supervised setting in which the child 
                is living independently.
                    ``(D) A setting providing high-quality residential 
                care and supportive services to children and youth who 
                have been found to be, or are at risk of becoming, sex 
                trafficking victims, in accordance with section 
                471(a)(9)(C).
            ``(3) Assessment to determine appropriateness of placement 
        in a qualified residential treatment program.--
                    ``(A) Deadline for assessment.--In the case of a 
                child who is placed in a qualified residential 
                treatment program, if the assessment required under 
                section 475A(c)(1) is not completed within 30 days 
                after the placement is made, no Federal payment shall 
                be made to the State under section 474(a)(1) for any 
                amounts expended for foster care maintenance payments 
                on behalf of the child during the placement.
                    ``(B) Deadline for transition out of placement.--If 
                the assessment required under section 475A(c)(1) 
                determines that the placement of a child in a qualified 
                residential treatment program is not appropriate, a 
                court disapproves such a placement under section 
                475A(c)(2), or a child who has been in an approved 
                placement in a qualified residential treatment program 
                is going to return home or be placed with a fit and 
                willing relative, a legal guardian, or an adoptive 
                parent, or in a foster family home, Federal payments 
                shall be made to the State under section 474(a)(1) for 
                amounts expended for foster care maintenance payments 
                on behalf of the child while the child remains in the 
                qualified residential treatment program only during the 
                period necessary for the child to transition home or to 
                such a placement. In no event shall a State receive 
                Federal payments under section 474(a)(1) for amounts 
                expended for foster care maintenance payments on behalf 
                of a child who remains placed in a qualified 
                residential treatment program after the end of the 30-
                day period that begins on the date a determination is 
                made that the placement is no longer the recommended or 
                approved placement for the child.
            ``(4) Qualified residential treatment program.--For 
        purposes of this part, the term `qualified residential 
        treatment program' means a program that--
                    ``(A) has a trauma-informed treatment model that is 
                designed to address the needs, including clinical needs 
                as appropriate, of children with serious emotional or 
                behavioral disorders or disturbances and, with respect 
                to a child, is able to implement the treatment 
                identified for the child by the assessment of the child 
                required under section 475A(c);
                    ``(B) subject to paragraphs (5) and (6), has 
                registered or licensed nursing staff and other licensed 
                clinical staff who--
                            ``(i) provide care within the scope of 
                        their practice as defined by State law;
                            ``(ii) are on-site according to the 
                        treatment model referred to in subparagraph 
                        (A); and
                            ``(iii) are available 24 hours a day and 7 
                        days a week;
                    ``(C) to extent appropriate, and in accordance with 
                the child's best interests, facilitates participation 
                of family members in the child's treatment program;
                    ``(D) facilitates outreach to the family members of 
                the child, including siblings, documents how the 
                outreach is made (including contact information), and 
                maintains contact information for any known biological 
                family and fictive kin of the child;
                    ``(E) documents how family members are integrated 
                into the treatment process for the child, including 
                post-discharge, and how sibling connections are 
                maintained;
                    ``(F) provides discharge planning and family-based 
                aftercare support for at least 6 months post-discharge; 
                and
                    ``(G) is licensed in accordance with section 
                471(a)(10) and is accredited by any of the following 
                independent, not-for-profit organizations:
                            ``(i) The Commission on Accreditation of 
                        Rehabilitation Facilities (CARF).
                            ``(ii) The Joint Commission on 
                        Accreditation of Healthcare Organizations 
                        (JCAHO).
                            ``(iii) The Council on Accreditation (COA).
                            ``(iv) Any other independent, not-for-
                        profit accrediting organization approved by the 
                        Secretary.
            ``(5) Administrative costs.--The prohibition in paragraph 
        (1) on Federal payments under section 474(a)(1) shall not be 
        construed as prohibiting Federal payments for administrative 
        expenditures incurred on behalf of a child placed in a child-
        care institution and for which payment is available under 
        section 474(a)(3).
            ``(6) Rule of construction.--The requirements in paragraph 
        (4)(B) shall not be construed as requiring a qualified 
        residential treatment program to acquire nursing and behavioral 
        health staff solely through means of a direct employer to 
        employee relationship.''.
            (2) Conforming amendment.--Section 474(a)(1) of the Social 
        Security Act (42 U.S.C. 674(a)(1)), as amended by section 
        50712(b), is amended by striking ``section 472(j)'' and 
        inserting ``subsections (j) and (k) of section 472''.
    (b) Definition of Foster Family Home, Child-Care Institution.--
Section 472(c) of such Act (42 U.S.C. 672(c)(1)) is amended to read as 
follows:
    ``(c) Definitions.--For purposes of this part:
            ``(1) Foster family home.--
                    ``(A) In general.--The term `foster family home' 
                means the home of an individual or family--
                            ``(i) that is licensed or approved by the 
                        State in which it is situated as a foster 
                        family home that meets the standards 
                        established for the licensing or approval; and
                            ``(ii) in which a child in foster care has 
                        been placed in the care of an individual, who 
                        resides with the child and who has been 
                        licensed or approved by the State to be a 
                        foster parent--
                                    ``(I) that the State deems capable 
                                of adhering to the reasonable and 
                                prudent parent standard;
                                    ``(II) that provides 24-hour 
                                substitute care for children placed 
                                away from their parents or other 
                                caretakers; and
                                    ``(III) that provides the care for 
                                not more than six children in foster 
                                care.
                    ``(B) State flexibility.--The number of foster 
                children that may be cared for in a home under 
                subparagraph (A) may exceed the numerical limitation in 
                subparagraph (A)(ii)(III), at the option of the State, 
                for any of the following reasons:
                            ``(i) To allow a parenting youth in foster 
                        care to remain with the child of the parenting 
                        youth.
                            ``(ii) To allow siblings to remain 
                        together.
                            ``(iii) To allow a child with an 
                        established meaningful relationship with the 
                        family to remain with the family.
                            ``(iv) To allow a family with special 
                        training or skills to provide care to a child 
                        who has a severe disability.
                    ``(C) Rule of construction.--Subparagraph (A) shall 
                not be construed as prohibiting a foster parent from 
                renting the home in which the parent cares for a foster 
                child placed in the parent's care.
            ``(2) Child-care institution.--
                    ``(A) In general.--The term `child-care 
                institution' means a private child-care institution, or 
                a public child-care institution which accommodates no 
                more than 25 children, which is licensed by the State 
                in which it is situated or has been approved by the 
                agency of the State responsible for licensing or 
                approval of institutions of this type as meeting the 
                standards established for the licensing.
                    ``(B) Supervised settings.--In the case of a child 
                who has attained 18 years of age, the term shall 
                include a supervised setting in which the individual is 
                living independently, in accordance with such 
                conditions as the Secretary shall establish in 
                regulations.
                    ``(C) Exclusions.--The term shall not include 
                detention facilities, forestry camps, training schools, 
                or any other facility operated primarily for the 
                detention of children who are determined to be 
                delinquent.''.
    (c) Training for State Judges, Attorneys, and Other Legal Personnel 
in Child Welfare Cases.--Section 438(b)(1) of such Act (42 U.S.C. 
629h(b)(1)) is amended in the matter preceding subparagraph (A) by 
inserting ``shall provide for the training of judges, attorneys, and 
other legal personnel in child welfare cases on Federal child welfare 
policies and payment limitations with respect to children in foster 
care who are placed in settings that are not a foster family home,'' 
after ``with respect to the child,''.
    (d) Assurance of Nonimpact on Juvenile Justice System.--
            (1) State plan requirement.--Section 471(a) of such Act (42 
        U.S.C. 671(a)), as amended by section 50731, is further amended 
        by adding at the end the following:
            ``(37) includes a certification that, in response to the 
        limitation imposed under section 472(k) with respect to foster 
        care maintenance payments made on behalf of any child who is 
        placed in a setting that is not a foster family home, the State 
        will not enact or advance policies or practices that would 
        result in a significant increase in the population of youth in 
        the State's juvenile justice system.''.
            (2) GAO study and report.--The Comptroller General of the 
        United States shall evaluate the impact, if any, on State 
        juvenile justice systems of the limitation imposed under 
        section 472(k) of the Social Security Act (as added by section 
        50741(a)(1)) on foster care maintenance payments made on behalf 
        of any child who is placed in a setting that is not a foster 
        family home, in accordance with the amendments made by 
        subsections (a) and (b) of this section. In particular, the 
        Comptroller General shall evaluate the extent to which children 
        in foster care who also are subject to the juvenile justice 
        system of the State are placed in a facility under the 
        jurisdiction of the juvenile justice system and whether the 
        lack of available congregate care placements under the 
        jurisdiction of the child welfare systems is a contributing 
        factor to that result. Not later than December 31, 2025, the 
        Comptroller General shall submit to Congress a report on the 
        results of the evaluation.

SEC. 50742. ASSESSMENT AND DOCUMENTATION OF THE NEED FOR PLACEMENT IN A 
              QUALIFIED RESIDENTIAL TREATMENT PROGRAM.

    Section 475A of the Social Security Act (42 U.S.C. 675a) is amended 
by adding at the end the following:
    ``(c) Assessment, Documentation, and Judicial Determination 
Requirements for Placement in a Qualified Residential Treatment 
Program.--In the case of any child who is placed in a qualified 
residential treatment program (as defined in section 472(k)(4)), the 
following requirements shall apply for purposes of approving the case 
plan for the child and the case system review procedure for the child:
            ``(1)(A) Within 30 days of the start of each placement in 
        such a setting, a qualified individual (as defined in 
        subparagraph (D)) shall--
                    ``(i) assess the strengths and needs of the child 
                using an age-appropriate, evidence-based, validated, 
                functional assessment tool approved by the Secretary;
                    ``(ii) determine whether the needs of the child can 
                be met with family members or through placement in a 
                foster family home or, if not, which setting from among 
                the settings specified in section 472(k)(2) would 
                provide the most effective and appropriate level of 
                care for the child in the least restrictive environment 
                and be consistent with the short- and long-term goals 
                for the child, as specified in the permanency plan for 
                the child; and
                    ``(iii) develop a list of child-specific short- and 
                long-term mental and behavioral health goals.
            ``(B)(i) The State shall assemble a family and permanency 
        team for the child in accordance with the requirements of 
        clauses (ii) and (iii). The qualified individual conducting the 
        assessment required under subparagraph (A) shall work in 
        conjunction with the family of, and permanency team for, the 
        child while conducting and making the assessment.
            ``(ii) The family and permanency team shall consist of all 
        appropriate biological family members, relative, and fictive 
        kin of the child, as well as, as appropriate, professionals who 
        are a resource to the family of the child, such as teachers, 
        medical or mental health providers who have treated the child, 
        or clergy. In the case of a child who has attained age 14, the 
        family and permanency team shall include the members of the 
        permanency planning team for the child that are selected by the 
        child in accordance with section 475(5)(C)(iv).
            ``(iii) The State shall document in the child's case plan--
                    ``(I) the reasonable and good faith effort of the 
                State to identify and include all the individuals 
                described in clause (ii) on the child's family and 
                permanency team;
                    ``(II) all contact information for members of the 
                family and permanency team, as well as contact 
                information for other family members and fictive kin 
                who are not part of the family and permanency team;
                    ``(III) evidence that meetings of the family and 
                permanency team, including meetings relating to the 
                assessment required under subparagraph (A), are held at 
                a time and place convenient for family;
                    ``(IV) if reunification is the goal, evidence 
                demonstrating that the parent from whom the child was 
                removed provided input on the members of the family and 
                permanency team;
                    ``(V) evidence that the assessment required under 
                subparagraph (A) is determined in conjunction with the 
                family and permanency team;
                    ``(VI) the placement preferences of the family and 
                permanency team relative to the assessment that 
                recognizes children should be placed with their 
                siblings unless there is a finding by the court that 
                such placement is contrary to their best interest; and
                    ``(VII) if the placement preferences of the family 
                and permanency team and child are not the placement 
                setting recommended by the qualified individual 
                conducting the assessment under subparagraph (A), the 
                reasons why the preferences of the team and of the 
                child were not recommended.
            ``(C) In the case of a child who the qualified individual 
        conducting the assessment under subparagraph (A) determines 
        should not be placed in a foster family home, the qualified 
        individual shall specify in writing the reasons why the needs 
        of the child cannot be met by the family of the child or in a 
        foster family home. A shortage or lack of foster family homes 
        shall not be an acceptable reason for determining that the 
        needs of the child cannot be met in a foster family home. The 
        qualified individual also shall specify in writing why the 
        recommended placement in a qualified residential treatment 
        program is the setting that will provide the child with the 
        most effective and appropriate level of care in the least 
        restrictive environment and how that placement is consistent 
        with the short- and long-term goals for the child, as specified 
        in the permanency plan for the child.
            ``(D)(i) Subject to clause (ii), in this subsection, the 
        term `qualified individual' means a trained professional or 
        licensed clinician who is not an employee of the State agency 
        and who is not connected to, or affiliated with, any placement 
        setting in which children are placed by the State.
            ``(ii) The Secretary may approve a request of a State to 
        waive any requirement in clause (i) upon a submission by the 
        State, in accordance with criteria established by the 
        Secretary, that certifies that the trained professionals or 
        licensed clinicians with responsibility for performing the 
        assessments described in subparagraph (A) shall maintain 
        objectivity with respect to determining the most effective and 
        appropriate placement for a child.
            ``(2) Within 60 days of the start of each placement in a 
        qualified residential treatment program, a family or juvenile 
        court or another court (including a tribal court) of competent 
        jurisdiction, or an administrative body appointed or approved 
        by the court, independently, shall--
                    ``(A) consider the assessment, determination, and 
                documentation made by the qualified individual 
                conducting the assessment under paragraph (1);
                    ``(B) determine whether the needs of the child can 
                be met through placement in a foster family home or, if 
                not, whether placement of the child in a qualified 
                residential treatment program provides the most 
                effective and appropriate level of care for the child 
                in the least restrictive environment and whether that 
                placement is consistent with the short- and long-term 
                goals for the child, as specified in the permanency 
                plan for the child; and
                    ``(C) approve or disapprove the placement.
            ``(3) The written documentation made under paragraph (1)(C) 
        and documentation of the determination and approval or 
        disapproval of the placement in a qualified residential 
        treatment program by a court or administrative body under 
        paragraph (2) shall be included in and made part of the case 
        plan for the child.
            ``(4) As long as a child remains placed in a qualified 
        residential treatment program, the State agency shall submit 
        evidence at each status review and each permanency hearing held 
        with respect to the child--
                    ``(A) demonstrating that ongoing assessment of the 
                strengths and needs of the child continues to support 
                the determination that the needs of the child cannot be 
                met through placement in a foster family home, that the 
                placement in a qualified residential treatment program 
                provides the most effective and appropriate level of 
                care for the child in the least restrictive 
                environment, and that the placement is consistent with 
                the short- and long-term goals for the child, as 
                specified in the permanency plan for the child;
                    ``(B) documenting the specific treatment or service 
                needs that will be met for the child in the placement 
                and the length of time the child is expected to need 
                the treatment or services; and
                    ``(C) documenting the efforts made by the State 
                agency to prepare the child to return home or to be 
                placed with a fit and willing relative, a legal 
                guardian, or an adoptive parent, or in a foster family 
                home.
            ``(5) In the case of any child who is placed in a qualified 
        residential treatment program for more than 12 consecutive 
        months or 18 nonconsecutive months (or, in the case of a child 
        who has not attained age 13, for more than 6 consecutive or 
        nonconsecutive months), the State agency shall submit to the 
        Secretary--
                    ``(A) the most recent versions of the evidence and 
                documentation specified in paragraph (4); and
                    ``(B) the signed approval of the head of the State 
                agency for the continued placement of the child in that 
                setting.''.

SEC. 50743. PROTOCOLS TO PREVENT INAPPROPRIATE DIAGNOSES.

    (a) State Plan Requirement.--Section 422(b)(15)(A) of the Social 
Security Act (42 U.S.C. 622(b)(15)(A)) is amended--
            (1) in clause (vi), by striking ``and'' after the 
        semicolon;
            (2) by redesignating clause (vii) as clause (viii); and
            (3) by inserting after clause (vi) the following:
                            ``(vii) the procedures and protocols the 
                        State has established to ensure that children 
                        in foster care placements are not 
                        inappropriately diagnosed with mental illness, 
                        other emotional or behavioral disorders, 
                        medically fragile conditions, or developmental 
                        disabilities, and placed in settings that are 
                        not foster family homes as a result of the 
                        inappropriate diagnoses; and''.
    (b) Evaluation.--Section 476 of such Act (42 U.S.C. 676), as 
amended by section 50711(d), is further amended by adding at the end 
the following:
    ``(e) Evaluation of State Procedures and Protocols To Prevent 
Inappropriate Diagnoses of Mental Illness or Other Conditions.--The 
Secretary shall conduct an evaluation of the procedures and protocols 
established by States in accordance with the requirements of section 
422(b)(15)(A)(vii). The evaluation shall analyze the extent to which 
States comply with and enforce the procedures and protocols and the 
effectiveness of various State procedures and protocols and shall 
identify best practices. Not later than January 1, 2020, the Secretary 
shall submit a report on the results of the evaluation to Congress.''.

SEC. 50744. ADDITIONAL DATA AND REPORTS REGARDING CHILDREN PLACED IN A 
              SETTING THAT IS NOT A FOSTER FAMILY HOME.

    Section 479A(a)(7)(A) of the Social Security Act (42 U.S.C. 
679b(a)(7)(A)) is amended by striking clauses (i) through (vi) and 
inserting the following:
                            ``(i) with respect to each such placement--
                                    ``(I) the type of the placement 
                                setting, including whether the 
                                placement is shelter care, a group home 
                                and if so, the range of the child 
                                population in the home, a residential 
                                treatment facility, a hospital or 
                                institution providing medical, 
                                rehabilitative, or psychiatric care, a 
                                setting specializing in providing 
                                prenatal, post-partum, or parenting 
                                supports, or some other kind of child-
                                care institution and if so, what kind;
                                    ``(II) the number of children in 
                                the placement setting and the age, 
                                race, ethnicity, and gender of each of 
                                the children;
                                    ``(III) for each child in the 
                                placement setting, the length of the 
                                placement of the child in the setting, 
                                whether the placement of the child in 
                                the setting is the first placement of 
                                the child and if not, the number and 
                                type of previous placements of the 
                                child, and whether the child has 
                                special needs or another diagnosed 
                                mental or physical illness or 
                                condition; and
                                    ``(IV) the extent of any 
                                specialized education, treatment, 
                                counseling, or other services provided 
                                in the setting; and
                            ``(ii) separately, the number and ages of 
                        children in the placements who have a 
                        permanency plan of another planned permanent 
                        living arrangement; and''.

SEC. 50745. CRIMINAL RECORDS CHECKS AND CHECKS OF CHILD ABUSE AND 
              NEGLECT REGISTRIES FOR ADULTS WORKING IN CHILD-CARE 
              INSTITUTIONS AND OTHER GROUP CARE SETTINGS.

    (a) State Plan Requirement.--Section 471(a)(20) of the Social 
Security Act (42 U.S.C. 671(a)(20)) is amended--
            (1) in subparagraph (A)(ii), by striking ``and'' after the 
        semicolon;
            (2) in subparagraph (B)(iii), by striking ``and''after the 
        semicolon;
            (3) in subparagraph (C), by adding ``and'' after the 
        semicolon; and
            (4) by inserting after subparagraph (C), the following new 
        subparagraph:
                    ``(D) provides procedures for any child-care 
                institution, including a group home, residential 
                treatment center, shelter, or other congregate care 
                setting, to conduct criminal records checks, including 
                fingerprint-based checks of national crime information 
                databases (as defined in section 534(f)(3)(A) of title 
                28, United States Code), and checks described in 
                subparagraph (B) of this paragraph, on any adult 
                working in a child-care institution, including a group 
                home, residential treatment center, shelter, or other 
                congregate care setting, unless the State reports to 
                the Secretary the alternative criminal records checks 
                and child abuse registry checks the State conducts on 
                any adult working in a child-care institution, 
                including a group home, residential treatment center, 
                shelter, or other congregate care setting, and why the 
                checks specified in this subparagraph are not 
                appropriate for the State;''.
    (b) Technical Amendments.--Subparagraphs (A) and (C) of section 
471(a)(20) of the Social Security Act (42 U.S.C. 671(a)(20)) are each 
amended by striking ``section 534(e)(3)(A)'' and inserting ``section 
534(f)(3)(A)''.

SEC. 50746. EFFECTIVE DATES; APPLICATION TO WAIVERS.

    (a) Effective Dates.--
            (1) In general.--Subject to paragraph (2) and subsections 
        (b), (c), and (d), the amendments made by this part shall take 
        effect as if enacted on January 1, 2018.
            (2) Transition rule.--In the case of a State plan under 
        part B or E of title IV of the Social Security Act which the 
        Secretary of Health and Human Services determines requires 
        State legislation (other than legislation appropriating funds) 
        in order for the plan to meet the additional requirements 
        imposed by the amendments made by this part, the State plan 
        shall not be regarded as failing to comply with the 
        requirements of part B or E of title IV of such Act solely on 
        the basis of the failure of the plan to meet the additional 
        requirements before the first day of the first calendar quarter 
        beginning after the close of the first regular session of the 
        State legislature that begins after the date of enactment of 
        this Act. For purposes of the previous sentence, in the case of 
        a State that has a 2-year legislative session, each year of the 
        session shall be deemed to be a separate regular session of the 
        State legislature.
    (b) Limitation on Federal Financial Participation for Placements 
That Are Not in Foster Family Homes and Related Provisions.--
            (1) In general.--The amendments made by sections 50741(a), 
        50741(b), 50741(d), and 50742 shall take effect on October 1, 
        2019.
            (2) State option to delay effective date for not more than 
        2 years.--If a State requests a delay in the effective date, 
        the Secretary of Health and Human Services shall delay the 
        effective date provided for in paragraph (1) with respect to 
        the State for the amount of time requested by the State, not to 
        exceed 2 years. If the effective date is so delayed for a 
        period with respect to a State under the preceding sentence, 
        then--
                    (A) notwithstanding section 50734, the date that 
                the amendments made by section 50711(c) take effect 
                with respect to the State shall be delayed for the 
                period; and
                    (B) in applying section 474(a)(6) of the Social 
                Security Act with respect to the State, ``on or after 
                the date this paragraph takes effect with respect to 
                the State'' is deemed to be substituted for ``after 
                September 30, 2019'' in subparagraph (A)(i)(I) of such 
                section.
    (c) Criminal Records Checks and Checks of Child Abuse and Neglect 
Registries for Adults Working in Child-care Institutions and Other 
Group Care Settings.--Subject to subsection (a)(2), the amendments made 
by section 50745 shall take effect on October 1, 2018.
    (d) Application to States With Waivers.--In the case of a State 
that, on the date of enactment of this Act, has in effect a waiver 
approved under section 1130 of the Social Security Act (42 U.S.C. 
1320a-9), the amendments made by this part shall not apply with respect 
to the State before the expiration (determined without regard to any 
extensions) of the waiver to the extent the amendments are inconsistent 
with the terms of the waiver.

        PART V--CONTINUING SUPPORT FOR CHILD AND FAMILY SERVICES

SEC. 50751. SUPPORTING AND RETAINING FOSTER FAMILIES FOR CHILDREN.

    (a) Supporting and Retaining Foster Parents as a Family Support 
Service.--Section 431(a)(2)(B) of the Social Security Act (42 U.S.C. 
631(a)(2)(B)) is amended by redesignating clauses (iii) through (vi) as 
clauses (iv) through (vii), respectively, and inserting after clause 
(ii) the following:
                            ``(iii) To support and retain foster 
                        families so they can provide quality family-
                        based settings for children in foster care.''.
    (b) Support for Foster Family Homes.--Section 436 of such Act (42 
U.S.C. 629f) is amended by adding at the end the following:
    ``(c) Support for Foster Family Homes.--Out of any money in the 
Treasury of the United States not otherwise appropriated, there are 
appropriated to the Secretary for fiscal year 2018, $8,000,000 for the 
Secretary to make competitive grants to States, Indian tribes, or 
tribal consortia to support the recruitment and retention of high-
quality foster families to increase their capacity to place more 
children in family settings, focused on States, Indian tribes, or 
tribal consortia with the highest percentage of children in non-family 
settings. The amount appropriated under this subparagraph shall remain 
available through fiscal year 2022.''.

SEC. 50752. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS.

    (a) Extension of Stephanie Tubbs Jones Child Welfare Services 
Program.--Section 425 of the Social Security Act (42 U.S.C. 625) is 
amended by striking ``2012 through 2016'' and inserting ``2017 through 
2021''.
    (b) Extension of Promoting Safe and Stable Families Program 
Authorizations.--
            (1) In general.--Section 436(a) of such Act (42 U.S.C. 
        629f(a)) is amended by striking all that follows 
        ``$345,000,000'' and inserting ``for each of fiscal years 2017 
        through 2021.''.
            (2) Discretionary grants.--Section 437(a) of such Act (42 
        U.S.C. 629g(a)) is amended by striking ``2012 through 2016'' 
        and inserting ``2017 through 2021''.
    (c) Extension of Funding Reservations for Monthly Caseworker Visits 
and Regional Partnership Grants.--Section 436(b) of such Act (42 U.S.C. 
629f(b)) is amended--
            (1) in paragraph (4)(A), by striking ``2012 through 2016'' 
        and inserting ``2017 through 2021''; and
            (2) in paragraph (5), by striking ``2012 through 2016'' and 
        inserting ``2017 through 2021''.
    (d) Reauthorization of Funding for State Courts.--
            (1) Extension of program.--Section 438(c)(1) of such Act 
        (42 U.S.C. 629h(c)(1)) is amended by striking ``2012 through 
        2016'' and inserting ``2017 through 2021''.
            (2) Extension of federal share.--Section 438(d) of such Act 
        (42 U.S.C. 629h(d)) is amended by striking ``2012 through 
        2016'' and inserting ``2017 through 2021''.
    (e) Repeal of Expired Provisions.--Section 438(e) of such Act (42 
U.S.C. 629h(e)) is repealed.

SEC. 50753. IMPROVEMENTS TO THE JOHN H. CHAFEE FOSTER CARE INDEPENDENCE 
              PROGRAM AND RELATED PROVISIONS.

    (a) Authority To Serve Former Foster Youth Up To Age 23.--Section 
477 of the Social Security Act (42 U.S.C. 677) is amended--
            (1) in subsection (a)(5), by inserting ``(or 23 years of 
        age, in the case of a State with a certification under 
        subsection (b)(3)(A)(ii) to provide assistance and services to 
        youths who have aged out of foster care and have not attained 
        such age, in accordance with such subsection)'' after ``21 
        years of age'';
            (2) in subsection (b)(3)(A)--
                    (A) by inserting ``(i)'' before ``A 
                certification'';
                    (B) by striking ``children who have left foster 
                care'' and all that follows through the period and 
                inserting ``youths who have aged out of foster care and 
                have not attained 21 years of age.''; and
                    (C) by adding at the end the following:
                    ``(ii) If the State has elected under section 
                475(8)(B) to extend eligibility for foster care to all 
                children who have not attained 21 years of age, or if 
                the Secretary determines that the State agency 
                responsible for administering the State plans under 
                this part and part B uses State funds or any other 
                funds not provided under this part to provide services 
                and assistance for youths who have aged out of foster 
                care that are comparable to the services and assistance 
                the youths would receive if the State had made such an 
                election, the certification required under clause (i) 
                may provide that the State will provide assistance and 
                services to youths who have aged out of foster care and 
                have not attained 23 years of age.''; and
            (3) in subsection (b)(3)(B), by striking ``children who 
        have left foster care'' and all that follows through the period 
        and inserting ``youths who have aged out of foster care and 
        have not attained 21 years of age (or 23 years of age, in the 
        case of a State with a certification under subparagraph (A)(i) 
        to provide assistance and services to youths who have aged out 
        of foster care and have not attained such age, in accordance 
        with subparagraph (A)(ii)).''.
    (b) Authority To Redistribute Unspent Funds.--Section 477(d) of 
such Act (42 U.S.C. 677(d)) is amended--
            (1) in paragraph (4), by inserting ``or does not expend 
        allocated funds within the time period specified under section 
        477(d)(3)'' after ``provided by the Secretary''; and
            (2) by adding at the end the following:
            ``(5) Redistribution of unexpended amounts.--
                    ``(A) Availability of amounts.--To the extent that 
                amounts paid to States under this section in a fiscal 
                year remain unexpended by the States at the end of the 
                succeeding fiscal year, the Secretary may make the 
                amounts available for redistribution in the second 
                succeeding fiscal year among the States that apply for 
                additional funds under this section for that second 
                succeeding fiscal year.
                    ``(B) Redistribution.--
                            ``(i) In general.--The Secretary shall 
                        redistribute the amounts made available under 
                        subparagraph (A) for a fiscal year among 
                        eligible applicant States. In this 
                        subparagraph, the term `eligible applicant 
                        State' means a State that has applied for 
                        additional funds for the fiscal year under 
                        subparagraph (A) if the Secretary determines 
                        that the State will use the funds for the 
                        purpose for which originally allotted under 
                        this section.
                            ``(ii) Amount to be redistributed.--The 
                        amount to be redistributed to each eligible 
                        applicant State shall be the amount so made 
                        available multiplied by the State foster care 
                        ratio, (as defined in subsection (c)(4), except 
                        that, in such subsection, `all eligible 
                        applicant States (as defined in subsection 
                        (d)(5)(B)(i))' shall be substituted for `all 
                        States').
                            ``(iii) Treatment of redistributed 
                        amount.--Any amount made available to a State 
                        under this paragraph shall be regarded as part 
                        of the allotment of the State under this 
                        section for the fiscal year in which the 
                        redistribution is made.
                    ``(C) Tribes.--For purposes of this paragraph, the 
                term `State' includes an Indian tribe, tribal 
                organization, or tribal consortium that receives an 
                allotment under this section.''.
    (c) Expanding and Clarifying the Use of Education and Training 
Vouchers.--
            (1) In general.--Section 477(i)(3) of such Act (42 U.S.C. 
        677(i)(3)) is amended--
                    (A) by striking ``on the date'' and all that 
                follows through ``23'' and inserting ``to remain 
                eligible until they attain 26''; and
                    (B) by inserting ``, but in no event may a youth 
                participate in the program for more than 5 years 
                (whether or not consecutive)'' before the period.
            (2) Conforming amendment.--Section 477(i)(1) of such Act 
        (42 U.S.C. 677(i)(1)) is amended by inserting ``who have 
        attained 14 years of age'' before the period.
    (d) Other Improvements.--Section 477 of such Act (42 U.S.C. 677), 
as amended by subsections (a), (b), and (c), is amended--
            (1) in the section heading, by striking ``independence 
        program'' and inserting ``program for successful transition to 
        adulthood'';
            (2) in subsection (a)--
                    (A) in paragraph (1)--
                            (i) by striking ``identify children who are 
                        likely to remain in foster care until 18 years 
                        of age and to help these children make the 
                        transition to self-sufficiency by providing 
                        services'' and inserting ``support all youth 
                        who have experienced foster care at age 14 or 
                        older in their transition to adulthood through 
                        transitional services'';
                            (ii) by inserting ``and post-secondary 
                        education'' after ``high school diploma''; and
                            (iii) by striking ``training in daily 
                        living skills, training in budgeting and 
                        financial management skills'' and inserting 
                        ``training and opportunities to practice daily 
                        living skills (such as financial literacy 
                        training and driving instruction)'';
                    (B) in paragraph (2), by striking ``who are likely 
                to remain in foster care until 18 years of age receive 
                the education, training, and services necessary to 
                obtain employment'' and inserting ``who have 
                experienced foster care at age 14 or older achieve 
                meaningful, permanent connections with a caring 
                adult'';
                    (C) in paragraph (3), by striking ``who are likely 
                to remain in foster care until 18 years of age prepare 
                for and enter postsecondary training and education 
                institutions'' and inserting ``who have experienced 
                foster care at age 14 or older engage in age or 
                developmentally appropriate activities, positive youth 
                development, and experiential learning that reflects 
                what their peers in intact families experience''; and
                    (D) by striking paragraph (4) and redesignating 
                paragraphs (5) through (8) as paragraphs (4) through 
                (7);
            (3) in subsection (b)--
                    (A) in paragraph (2)(D), by striking 
                ``adolescents'' and inserting ``youth''; and
                    (B) in paragraph (3)--
                            (i) in subparagraph (D)--
                                    (I) by inserting ``including 
                                training on youth development'' after 
                                ``to provide training''; and
                                    (II) by striking ``adolescents 
                                preparing for independent living'' and 
                                all that follows through the period and 
                                inserting ``youth preparing for a 
                                successful transition to adulthood and 
                                making a permanent connection with a 
                                caring adult.'';
                            (ii) in subparagraph (H), by striking 
                        ``adolescents'' each place it appears and 
                        inserting ``youth''; and
                            (iii) in subparagraph (K)--
                                    (I) by striking ``an adolescent'' 
                                and inserting ``a youth''; and
                                    (II) by striking ``the adolescent'' 
                                each place it appears and inserting 
                                ``the youth''; and
            (4) in subsection (f), by striking paragraph (2) and 
        inserting the following:
            ``(2) Report to congress.--Not later than October 1, 2019, 
        the Secretary shall submit to the Committee on Ways and Means 
        of the House of Representatives and the Committee on Finance of 
        the Senate a report on the National Youth in Transition 
        Database and any other databases in which States report outcome 
        measures relating to children in foster care and children who 
        have aged out of foster care or left foster care for kinship 
        guardianship or adoption. The report shall include the 
        following:
                    ``(A) A description of the reasons for entry into 
                foster care and of the foster care experiences, such as 
                length of stay, number of placement settings, case 
                goal, and discharge reason of 17-year-olds who are 
                surveyed by the National Youth in Transition Database 
                and an analysis of the comparison of that description 
                with the reasons for entry and foster care experiences 
                of children of other ages who exit from foster care 
                before attaining age 17.
                    ``(B) A description of the characteristics of the 
                individuals who report poor outcomes at ages 19 and 21 
                to the National Youth in Transition Database.
                    ``(C) Benchmarks for determining what constitutes a 
                poor outcome for youth who remain in or have exited 
                from foster care and plans the executive branch will 
                take to incorporate these benchmarks in efforts to 
                evaluate child welfare agency performance in providing 
                services to children transitioning from foster care.
                    ``(D) An analysis of the association between types 
                of placement, number of overall placements, time spent 
                in foster care, and other factors, and outcomes at ages 
                19 and 21.
                    ``(E) An analysis of the differences in outcomes 
                for children in and formerly in foster care at age 19 
                and 21 among States.''.
    (e) Clarifying Documentation Provided to Foster Youth Leaving 
Foster Care.--Section 475(5)(I) of such Act (42 U.S.C. 675(5)(I)) is 
amended by inserting after ``REAL ID Act of 2005'' the following: ``, 
and any official documentation necessary to prove that the child was 
previously in foster care''.

PART VI--CONTINUING INCENTIVES TO STATES TO PROMOTE ADOPTION AND LEGAL 
                              GUARDIANSHIP

SEC. 50761. REAUTHORIZING ADOPTION AND LEGAL GUARDIANSHIP INCENTIVE 
              PROGRAMS.

    (a) In General.--Section 473A of the Social Security Act (42 U.S.C. 
673b) is amended--
            (1) in subsection (b)(4), by striking ``2013 through 2015'' 
        and inserting ``2016 through 2020'';
            (2) in subsection (h)(1)(D), by striking ``2016'' and 
        inserting ``2021''; and
            (3) in subsection (h)(2), by striking ``2016'' and 
        inserting ``2021''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
take effect as if enacted on October 1, 2017.

                    PART VII--TECHNICAL CORRECTIONS

SEC. 50771. TECHNICAL CORRECTIONS TO DATA EXCHANGE STANDARDS TO IMPROVE 
              PROGRAM COORDINATION.

    (a) In General.--Section 440 of the Social Security Act (42 U.S.C. 
629m) is amended to read as follows:

``SEC. 440. DATA EXCHANGE STANDARDS FOR IMPROVED INTEROPERABILITY.

    ``(a) Designation.--The Secretary shall, in consultation with an 
interagency work group established by the Office of Management and 
Budget and considering State government perspectives, by rule, 
designate data exchange standards to govern, under this part and part 
E--
            ``(1) necessary categories of information that State 
        agencies operating programs under State plans approved under 
        this part are required under applicable Federal law to 
        electronically exchange with another State agency; and
            ``(2) Federal reporting and data exchange required under 
        applicable Federal law.
    ``(b) Requirements.--The data exchange standards required by 
paragraph (1) shall, to the extent practicable--
            ``(1) incorporate a widely accepted, non-proprietary, 
        searchable, computer-readable format, such as the Extensible 
        Markup Language;
            ``(2) contain interoperable standards developed and 
        maintained by intergovernmental partnerships, such as the 
        National Information Exchange Model;
            ``(3) incorporate interoperable standards developed and 
        maintained by Federal entities with authority over contracting 
        and financial assistance;
            ``(4) be consistent with and implement applicable 
        accounting principles;
            ``(5) be implemented in a manner that is cost-effective and 
        improves program efficiency and effectiveness; and
            ``(6) be capable of being continually upgraded as 
        necessary.
    ``(c) Rule of Construction.--Nothing in this subsection shall be 
construed to require a change to existing data exchange standards found 
to be effective and efficient.''.
    (b) Effective Date.--Not later than the date that is 24 months 
after the date of the enactment of this section, the Secretary of 
Health and Human Services shall issue a proposed rule that--
            (1) identifies federally required data exchanges, include 
        specification and timing of exchanges to be standardized, and 
        address the factors used in determining whether and when to 
        standardize data exchanges; and
            (2) specifies State implementation options and describes 
        future milestones.

SEC. 50772. TECHNICAL CORRECTIONS TO STATE REQUIREMENT TO ADDRESS THE 
              DEVELOPMENTAL NEEDS OF YOUNG CHILDREN.

    Section 422(b)(18) of the Social Security Act (42 U.S.C. 
622(b)(18)) is amended by striking ``such children'' and inserting 
``all vulnerable children under 5 years of age''.

PART VIII--ENSURING STATES REINVEST SAVINGS RESULTING FROM INCREASE IN 
                          ADOPTION ASSISTANCE

SEC. 50781. DELAY OF ADOPTION ASSISTANCE PHASE-IN.

    (a) In General.--The table in section 473(e)(1)(B) of the Social 
Security Act (42 U.S.C. 673(e)(1)(B)) is amended by striking the last 2 
rows and inserting the following:

 
 
----------------------------------------------------------------------------------------------------------------
``2017 through 2023..........................  2
2024.........................................  2 (or, in the case of a child for whom an adoption assistance
                                                agreement is entered into under this section on or after July 1,
                                                2024, any age)
2025 or thereafter...........................  any age.''.
----------------------------------------------------------------------------------------------------------------

    (b) Effective Date.--The amendment made by this section shall take 
effect as if enacted on January 1, 2018.

SEC. 50782. GAO STUDY AND REPORT ON STATE REINVESTMENT OF SAVINGS 
              RESULTING FROM INCREASE IN ADOPTION ASSISTANCE.

    (a) Study.--The Comptroller General of the United States shall 
study the extent to which States are complying with the requirements of 
section 473(a)(8) of the Social Security Act (42 U.S.C. 673(a)(8)) 
relating to the effects of phasing out the AFDC income eligibility 
requirements for adoption assistance payments under section 473 of the 
Social Security Act, as enacted by section 402 of the Fostering 
Connections to Success and Increasing Adoptions Act of 2008 (Public Law 
110-351; 122 Stat. 3975) and amended by section 206 of the Preventing 
Sex Trafficking and Strengthening Families Act (Public Law 113-183; 128 
Stat. 1919). In particular, the Comptroller General shall analyze the 
extent to which States are complying with the following requirements 
under section 473(a)(8)(D) of the Social Security Act:
            (1) The requirement to spend an amount equal to the amount 
        of the savings (if any) in State expenditures under part E of 
        title IV of the Social Security Act resulting from phasing out 
        the AFDC income eligibility requirements for adoption 
        assistance payments under section 473 of such Act to provide to 
        children of families any service that may be provided under 
        part B or E of title IV of such Act.
            (2) The requirement that a State shall spend not less than 
        30 percent of the amount of any savings described in paragraph 
        (1) on post-adoption services, post-guardianship services, and 
        services to support and sustain positive permanent outcomes for 
        children who otherwise might enter into foster care under the 
        responsibility of the State, with at least \2/3\ of the 
        spending by the State to comply with the 30 percent requirement 
        being spent on post-adoption and post-guardianship services.
    (b) Report.--The Comptroller General of the United States shall 
submit to the Committee on Finance of the Senate, the Committee on Ways 
and Means of the House of Representatives, and the Secretary of Health 
and Human Services a report that contains the results of the study 
required by subsection (a), including recommendations to ensure 
compliance with laws referred to in subsection (a).

  TITLE VIII--SUPPORTING SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS

SEC. 50801. SHORT TITLE.

    This subtitle may be cited as the ``Social Impact Partnerships to 
Pay for Results Act''.

SEC. 50802. SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS.

    Title XX of the Social Security Act (42 U.S.C. 1397 et seq.) is 
amended--
            (1) in the title heading, by striking ``TO STATES'' and 
        inserting ``AND PROGRAMS''; and
            (2) by adding at the end the following:

           ``Subtitle C--Social Impact Demonstration Projects

                               ``purposes

    ``Sec. 2051. The purposes of this subtitle are the following:
            ``(1) To improve the lives of families and individuals in 
        need in the United States by funding social programs that 
        achieve real results.
            ``(2) To redirect funds away from programs that, based on 
        objective data, are ineffective, and into programs that achieve 
        demonstrable, measurable results.
            ``(3) To ensure Federal funds are used effectively on 
        social services to produce positive outcomes for both service 
        recipients and taxpayers.
            ``(4) To establish the use of social impact partnerships to 
        address some of our Nation's most pressing problems.
            ``(5) To facilitate the creation of public-private 
        partnerships that bundle philanthropic or other private 
        resources with existing public spending to scale up effective 
        social interventions already being implemented by private 
        organizations, nonprofits, charitable organizations, and State 
        and local governments across the country.
            ``(6) To bring pay-for-performance to the social sector, 
        allowing the United States to improve the impact and 
        effectiveness of vital social services programs while 
        redirecting inefficient or duplicative spending.
            ``(7) To incorporate outcomes measurement and randomized 
        controlled trials or other rigorous methodologies for assessing 
        program impact.

                ``social impact partnership application

    ``Sec. 2052.  (a) Notice.--Not later than 1 year after the date of 
the enactment of this subtitle, the Secretary of the Treasury, in 
consultation with the Federal Interagency Council on Social Impact 
Partnerships, shall publish in the Federal Register a request for 
proposals from States or local governments for social impact 
partnership projects in accordance with this section.
    ``(b) Required Outcomes for Social Impact Partnership Project.--To 
qualify as a social impact partnership project under this subtitle, a 
project must produce one or more measurable, clearly defined outcomes 
that result in social benefit and Federal, State, or local savings 
through any of the following:
            ``(1) Increasing work and earnings by individuals in the 
        United States who are unemployed for more than 6 consecutive 
        months.
            ``(2) Increasing employment and earnings of individuals who 
        have attained 16 years of age but not 25 years of age.
            ``(3) Increasing employment among individuals receiving 
        Federal disability benefits.
            ``(4) Reducing the dependence of low-income families on 
        Federal means-tested benefits.
            ``(5) Improving rates of high school graduation.
            ``(6) Reducing teen and unplanned pregnancies.
            ``(7) Improving birth outcomes and early childhood health 
        and development among low-income families and individuals.
            ``(8) Reducing rates of asthma, diabetes, or other 
        preventable diseases among low-income families and individuals 
        to reduce the utilization of emergency and other high-cost 
        care.
            ``(9) Increasing the proportion of children living in two-
        parent families.
            ``(10) Reducing incidences and adverse consequences of 
        child abuse and neglect.
            ``(11) Reducing the number of youth in foster care by 
        increasing adoptions, permanent guardianship arrangements, 
        reunifications, or placements with a fit and willing relative, 
        or by avoiding placing children in foster care by ensuring they 
        can be cared for safely in their own homes.
            ``(12) Reducing the number of children and youth in foster 
        care residing in group homes, child care institutions, agency-
        operated foster homes, or other non-family foster homes, unless 
        it is determined that it is in the interest of the child's 
        long-term health, safety, or psychological well-being to not be 
        placed in a family foster home.
            ``(13) Reducing the number of children returning to foster 
        care.
            ``(14) Reducing recidivism among juvenile offenders, 
        individuals released from prison, or other high-risk 
        populations.
            ``(15) Reducing the rate of homelessness among our most 
        vulnerable populations.
            ``(16) Improving the health and well-being of those with 
        mental, emotional, and behavioral health needs.
            ``(17) Improving the educational outcomes of special-needs 
        or low-income children.
            ``(18) Improving the employment and well-being of returning 
        United States military members.
            ``(19) Increasing the financial stability of low-income 
        families.
            ``(20) Increasing the independence and employability of 
        individuals who are physically or mentally disabled.
            ``(21) Other measurable outcomes defined by the State or 
        local government that result in positive social outcomes and 
        Federal savings.
    ``(c) Application Required.--The notice described in subsection (a) 
shall require a State or local government to submit an application for 
the social impact partnership project that addresses the following:
            ``(1) The outcome goals of the project.
            ``(2) A description of each intervention in the project and 
        anticipated outcomes of the intervention.
            ``(3) Rigorous evidence demonstrating that the intervention 
        can be expected to produce the desired outcomes.
            ``(4) The target population that will be served by the 
        project.
            ``(5) The expected social benefits to participants who 
        receive the intervention and others who may be impacted.
            ``(6) Projected Federal, State, and local government costs 
        and other costs to conduct the project.
            ``(7) Projected Federal, State, and local government 
        savings and other savings, including an estimate of the savings 
        to the Federal Government, on a program-by-program basis and in 
        the aggregate, if the project is implemented and the outcomes 
        are achieved as a result of the intervention.
            ``(8) If savings resulting from the successful completion 
        of the project are estimated to accrue to the State or local 
        government, the likelihood of the State or local government to 
        realize those savings.
            ``(9) A plan for delivering the intervention through a 
        social impact partnership model.
            ``(10) A description of the expertise of each service 
        provider that will administer the intervention, including a 
        summary of the experience of the service provider in delivering 
        the proposed intervention or a similar intervention, or 
        demonstrating that the service provider has the expertise 
        necessary to deliver the proposed intervention.
            ``(11) An explanation of the experience of the State or 
        local government, the intermediary, or the service provider in 
        raising private and philanthropic capital to fund social 
        service investments.
            ``(12) The detailed roles and responsibilities of each 
        entity involved in the project, including any State or local 
        government entity, intermediary, service provider, independent 
        evaluator, investor, or other stakeholder.
            ``(13) A summary of the experience of the service provider 
        in delivering the proposed intervention or a similar 
        intervention, or a summary demonstrating the service provider 
        has the expertise necessary to deliver the proposed 
        intervention.
            ``(14) A summary of the unmet need in the area where the 
        intervention will be delivered or among the target population 
        who will receive the intervention.
            ``(15) The proposed payment terms, the methodology used to 
        calculate outcome payments, the payment schedule, and 
        performance thresholds.
            ``(16) The project budget.
            ``(17) The project timeline.
            ``(18) The criteria used to determine the eligibility of an 
        individual for the project, including how selected populations 
        will be identified, how they will be referred to the project, 
        and how they will be enrolled in the project.
            ``(19) The evaluation design.
            ``(20) The metrics that will be used in the evaluation to 
        determine whether the outcomes have been achieved as a result 
        of the intervention and how the metrics will be measured.
            ``(21) An explanation of how the metrics used in the 
        evaluation to determine whether the outcomes achieved as a 
        result of the intervention are independent, objective 
        indicators of impact and are not subject to manipulation by the 
        service provider, intermediary, or investor.
            ``(22) A summary explaining the independence of the 
        evaluator from the other entities involved in the project and 
        the evaluator's experience in conducting rigorous evaluations 
        of program effectiveness including, where available, well-
        implemented randomized controlled trials on the intervention or 
        similar interventions.
            ``(23) The capacity of the service provider to deliver the 
        intervention to the number of participants the State or local 
        government proposes to serve in the project.
            ``(24) A description of whether and how the State or local 
        government and service providers plan to sustain the 
        intervention, if it is timely and appropriate to do so, to 
        ensure that successful interventions continue to operate after 
        the period of the social impact partnership.
    ``(d) Project Intermediary Information Required.--The application 
described in subsection (c) shall also contain the following 
information about any intermediary for the social impact partnership 
project (whether an intermediary is a service provider or other 
entity):
            ``(1) Experience and capacity for providing or facilitating 
        the provision of the type of intervention proposed.
            ``(2) The mission and goals.
            ``(3) Information on whether the intermediary is already 
        working with service providers that provide this intervention 
        or an explanation of the capacity of the intermediary to begin 
        working with service providers to provide the intervention.
            ``(4) Experience working in a collaborative environment 
        across government and nongovernmental entities.
            ``(5) Previous experience collaborating with public or 
        private entities to implement evidence-based programs.
            ``(6) Ability to raise or provide funding to cover 
        operating costs (if applicable to the project).
            ``(7) Capacity and infrastructure to track outcomes and 
        measure results, including--
                    ``(A) capacity to track and analyze program 
                performance and assess program impact; and
                    ``(B) experience with performance-based awards or 
                performance-based contracting and achieving project 
                milestones and targets.
            ``(8) Role in delivering the intervention.
            ``(9) How the intermediary would monitor program success, 
        including a description of the interim benchmarks and outcome 
        measures.
    ``(e) Feasibility Studies Funded Through Other Sources.--The notice 
described in subsection (a) shall permit a State or local government to 
submit an application for social impact partnership funding that 
contains information from a feasibility study developed for purposes 
other than applying for funding under this subtitle.

            ``awarding social impact partnership agreements

    ``Sec. 2053.  (a) Timeline in Awarding Agreement.--Not later than 6 
months after receiving an application in accordance with section 2052, 
the Secretary, in consultation with the Federal Interagency Council on 
Social Impact Partnerships, shall determine whether to enter into an 
agreement for a social impact partnership project with a State or local 
government.
    ``(b) Considerations in Awarding Agreement.--In determining whether 
to enter into an agreement for a social impact partnership project (the 
application for which was submitted under section 2052) the Secretary, 
in consultation with the Federal Interagency Council on Social Impact 
Partnerships and the head of any Federal agency administering a similar 
intervention or serving a population similar to that served by the 
project, shall consider each of the following:
            ``(1) The recommendations made by the Commission on Social 
        Impact Partnerships.
            ``(2) The value to the Federal Government of the outcomes 
        expected to be achieved if the outcomes specified in the 
        agreement are achieved as a result of the intervention.
            ``(3) The likelihood, based on evidence provided in the 
        application and other evidence, that the State or local 
        government in collaboration with the intermediary and the 
        service providers will achieve the outcomes.
            ``(4) The savings to the Federal Government if the outcomes 
        specified in the agreement are achieved as a result of the 
        intervention.
            ``(5) The savings to the State and local governments if the 
        outcomes specified in the agreement are achieved as a result of 
        the intervention.
            ``(6) The expected quality of the evaluation that would be 
        conducted with respect to the agreement.
            ``(7) The capacity and commitment of the State or local 
        government to sustain the intervention, if appropriate and 
        timely and if the intervention is successful, beyond the period 
        of the social impact partnership.
    ``(c) Agreement Authority.--
            ``(1) Agreement requirements.--In accordance with this 
        section, the Secretary, in consultation with the Federal 
        Interagency Council on Social Impact Partnerships and the head 
        of any Federal agency administering a similar intervention or 
        serving a population similar to that served by the project, may 
        enter into an agreement for a social impact partnership project 
        with a State or local government if the Secretary, in 
        consultation with the Federal Interagency Council on Social 
        Impact Partnerships, determines that each of the following 
        requirements are met:
                    ``(A) The State or local government agrees to 
                achieve one or more outcomes as a result of the 
                intervention, as specified in the agreement and 
                validated by independent evaluation, in order to 
                receive payment.
                    ``(B) The Federal payment to the State or local 
                government for each specified outcome achieved as a 
                result of the intervention is less than or equal to the 
                value of the outcome to the Federal Government over a 
                period not to exceed 10 years, as determined by the 
                Secretary, in consultation with the State or local 
                government.
                    ``(C) The duration of the project does not exceed 
                10 years.
                    ``(D) The State or local government has 
                demonstrated, through the application submitted under 
                section 2052, that, based on prior rigorous 
                experimental evaluations or rigorous quasi-experimental 
                studies, the intervention can be expected to achieve 
                each outcome specified in the agreement.
                    ``(E) The State, local government, intermediary, or 
                service provider has experience raising private or 
                philanthropic capital to fund social service 
                investments (if applicable to the project).
                    ``(F) The State or local government has shown that 
                each service provider has experience delivering the 
                intervention, a similar intervention, or has otherwise 
                demonstrated the expertise necessary to deliver the 
                intervention.
            ``(2) Payment.--The Secretary shall pay the State or local 
        government only if the independent evaluator described in 
        section 2055 determines that the social impact partnership 
        project has met the requirements specified in the agreement and 
        achieved an outcome as a result of the intervention, as 
        specified in the agreement and validated by independent 
        evaluation.
    ``(d) Notice of Agreement Award.--Not later than 30 days after 
entering into an agreement under this section the Secretary shall 
publish a notice in the Federal Register that includes, with regard to 
the agreement, the following:
            ``(1) The outcome goals of the social impact partnership 
        project.
            ``(2) A description of each intervention in the project.
            ``(3) The target population that will be served by the 
        project.
            ``(4) The expected social benefits to participants who 
        receive the intervention and others who may be impacted.
            ``(5) The detailed roles, responsibilities, and purposes of 
        each Federal, State, or local government entity, intermediary, 
        service provider, independent evaluator, investor, or other 
        stakeholder.
            ``(6) The payment terms, the methodology used to calculate 
        outcome payments, the payment schedule, and performance 
        thresholds.
            ``(7) The project budget.
            ``(8) The project timeline.
            ``(9) The project eligibility criteria.
            ``(10) The evaluation design.
            ``(11) The metrics that will be used in the evaluation to 
        determine whether the outcomes have been achieved as a result 
        of each intervention and how these metrics will be measured.
            ``(12) The estimate of the savings to the Federal, State, 
        and local government, on a program-by-program basis and in the 
        aggregate, if the agreement is entered into and implemented and 
        the outcomes are achieved as a result of each intervention.
    ``(e) Authority to Transfer Administration of Agreement.--The 
Secretary may transfer to the head of another Federal agency the 
authority to administer (including making payments under) an agreement 
entered into under subsection (c), and any funds necessary to do so.
    ``(f) Requirement on Funding Used to Benefit Children.--Not less 
than 50 percent of all Federal payments made to carry out agreements 
under this section shall be used for initiatives that directly benefit 
children.

                      ``feasibility study funding

    ``Sec. 2054.  (a) Requests for Funding for Feasibility Studies.--
The Secretary shall reserve a portion of the amount made available to 
carry out this subtitle to assist States or local governments in 
developing feasibility studies to apply for social impact partnership 
funding under section 2052. To be eligible to receive funding to assist 
with completing a feasibility study, a State or local government shall 
submit an application for feasibility study funding addressing the 
following:
            ``(1) A description of the outcome goals of the social 
        impact partnership project.
            ``(2) A description of the intervention, including 
        anticipated program design, target population, an estimate 
        regarding the number of individuals to be served, and setting 
        for the intervention.
            ``(3) Evidence to support the likelihood that the 
        intervention will produce the desired outcomes.
            ``(4) A description of the potential metrics to be used.
            ``(5) The expected social benefits to participants who 
        receive the intervention and others who may be impacted.
            ``(6) Estimated costs to conduct the project.
            ``(7) Estimates of Federal, State, and local government 
        savings and other savings if the project is implemented and the 
        outcomes are achieved as a result of each intervention.
            ``(8) An estimated timeline for implementation and 
        completion of the project, which shall not exceed 10 years.
            ``(9) With respect to a project for which the State or 
        local government selects an intermediary to operate the 
        project, any partnerships needed to successfully execute the 
        project and the ability of the intermediary to foster the 
        partnerships.
            ``(10) The expected resources needed to complete the 
        feasibility study for the State or local government to apply 
        for social impact partnership funding under section 2052.
    ``(b) Federal Selection of Applications for Feasibility Study.--Not 
later than 6 months after receiving an application for feasibility 
study funding under subsection (a), the Secretary, in consultation with 
the Federal Interagency Council on Social Impact Partnerships and the 
head of any Federal agency administering a similar intervention or 
serving a population similar to that served by the project, shall 
select State or local government feasibility study proposals for 
funding based on the following:
            ``(1) The recommendations made by the Commission on Social 
        Impact Partnerships.
            ``(2) The likelihood that the proposal will achieve the 
        desired outcomes.
            ``(3) The value of the outcomes expected to be achieved as 
        a result of each intervention.
            ``(4) The potential savings to the Federal Government if 
        the social impact partnership project is successful.
            ``(5) The potential savings to the State and local 
        governments if the project is successful.
    ``(c) Public Disclosure.--Not later than 30 days after selecting a 
State or local government for feasibility study funding under this 
section, the Secretary shall cause to be published on the website of 
the Federal Interagency Council on Social Impact Partnerships 
information explaining why a State or local government was granted 
feasibility study funding.
    ``(d) Funding Restriction.--
            ``(1) Feasibility study restriction.--The Secretary may not 
        provide feasibility study funding under this section for more 
        than 50 percent of the estimated total cost of the feasibility 
        study reported in the State or local government application 
        submitted under subsection (a).
            ``(2) Aggregate restriction.--Of the total amount made 
        available to carry out this subtitle, the Secretary may not use 
        more than $10,000,000 to provide feasibility study funding to 
        States or local governments under this section.
            ``(3) No guarantee of funding.--The Secretary shall have 
        the option to award no funding under this section.
    ``(e) Submission of Feasibility Study Required.--Not later than 9 
months after the receipt of feasibility study funding under this 
section, a State or local government receiving the funding shall 
complete the feasibility study and submit the study to the Federal 
Interagency Council on Social Impact Partnerships.
    ``(f) Delegation of Authority.--The Secretary may transfer to the 
head of another Federal agency the authorities provided in this section 
and any funds necessary to exercise the authorities.

                             ``evaluations

    ``Sec. 2055.  (a) Authority to Enter Into Agreements.--For each 
State or local government awarded a social impact partnership project 
approved by the Secretary under this subtitle, the head of the relevant 
agency, as recommended by the Federal Interagency Council on Social 
Impact Partnerships and determined by the Secretary, shall enter into 
an agreement with the State or local government to pay for all or part 
of the independent evaluation to determine whether the State or local 
government project has achieved a specific outcome as a result of the 
intervention in order for the State or local government to receive 
outcome payments under this subtitle.
    ``(b) Evaluator Qualifications.--The head of the relevant agency 
may not enter into an agreement with a State or local government unless 
the head determines that the evaluator is independent of the other 
parties to the agreement and has demonstrated substantial experience in 
conducting rigorous evaluations of program effectiveness including, 
where available and appropriate, well-implemented randomized controlled 
trials on the intervention or similar interventions.
    ``(c) Methodologies to Be Used.--The evaluation used to determine 
whether a State or local government will receive outcome payments under 
this subtitle shall use experimental designs using random assignment or 
other reliable, evidence-based research methodologies, as certified by 
the Federal Interagency Council on Social Impact Partnerships, that 
allow for the strongest possible causal inferences when random 
assignment is not feasible.
    ``(d) Progress Report.--
            ``(1) Submission of report.--The independent evaluator 
        shall--
                    ``(A) not later than 2 years after a project has 
                been approved by the Secretary and biannually 
                thereafter until the project is concluded, submit to 
                the head of the relevant agency and the Federal 
                Interagency Council on Social Impact Partnerships a 
                written report summarizing the progress that has been 
                made in achieving each outcome specified in the 
                agreement; and
                    ``(B) before the scheduled time of the first 
                outcome payment and before the scheduled time of each 
                subsequent payment, submit to the head of the relevant 
                agency and the Federal Interagency Council on Social 
                Impact Partnerships a written report that includes the 
                results of the evaluation conducted to determine 
                whether an outcome payment should be made along with 
                information on the unique factors that contributed to 
                achieving or failing to achieve the outcome, the 
                challenges faced in attempting to achieve the outcome, 
                and information on the improved future delivery of this 
                or similar interventions.
            ``(2) Submission to the secretary and congress.--Not later 
        than 30 days after receipt of the written report pursuant to 
        paragraph (1)(B), the Federal Interagency Council on Social 
        Impact Partnerships shall submit the report to the Secretary 
        and each committee of jurisdiction in the House of 
        Representatives and the Senate.
    ``(e) Final Report.--
            ``(1) Submission of report.--Within 6 months after the 
        social impact partnership project is completed, the independent 
        evaluator shall--
                    ``(A) evaluate the effects of the activities 
                undertaken pursuant to the agreement with regard to 
                each outcome specified in the agreement; and
                    ``(B) submit to the head of the relevant agency and 
                the Federal Interagency Council on Social Impact 
                Partnerships a written report that includes the results 
                of the evaluation and the conclusion of the evaluator 
                as to whether the State or local government has 
                fulfilled each obligation of the agreement, along with 
                information on the unique factors that contributed to 
                the success or failure of the project, the challenges 
                faced in attempting to achieve the outcome, and 
                information on the improved future delivery of this or 
                similar interventions.
            ``(2) Submission to the secretary and congress.--Not later 
        than 30 days after receipt of the written report pursuant to 
        paragraph (1)(B), the Federal Interagency Council on Social 
        Impact Partnerships shall submit the report to the Secretary 
        and each committee of jurisdiction in the House of 
        Representatives and the Senate.
    ``(f) Limitation on Cost of Evaluations.--Of the amount made 
available under this subtitle for social impact partnership projects, 
the Secretary may not obligate more than 15 percent to evaluate the 
implementation and outcomes of the projects.
    ``(g) Delegation of Authority.--The Secretary may transfer to the 
head of another Federal agency the authorities provided in this section 
and any funds necessary to exercise the authorities.

      ``federal interagency council on social impact partnerships

    ``Sec. 2056.  (a) Establishment.--There is established the Federal 
Interagency Council on Social Impact Partnerships (in this section 
referred to as the `Council') to--
            ``(1) coordinate with the Secretary on the efforts of 
        social impact partnership projects funded under this subtitle;
            ``(2) advise and assist the Secretary in the development 
        and implementation of the projects;
            ``(3) advise the Secretary on specific programmatic and 
        policy matter related to the projects;
            ``(4) provide subject-matter expertise to the Secretary 
        with regard to the projects;
            ``(5) certify to the Secretary that each State or local 
        government that has entered into an agreement with the 
        Secretary for a social impact partnership project under this 
        subtitle and each evaluator selected by the head of the 
        relevant agency under section 2055 has access to Federal 
        administrative data to assist the State or local government and 
        the evaluator in evaluating the performance and outcomes of the 
        project;
            ``(6) address issues that will influence the future of 
        social impact partnership projects in the United States;
            ``(7) provide guidance to the executive branch on the 
        future of social impact partnership projects in the United 
        States;
            ``(8) prior to approval by the Secretary, certify that each 
        State and local government application for a social impact 
        partnership contains rigorous, independent data and reliable, 
        evidence-based research methodologies to support the conclusion 
        that the project will yield savings to the State or local 
        government or the Federal Government if the project outcomes 
        are achieved;
            ``(9) certify to the Secretary, in the case of each 
        approved social impact partnership that is expected to yield 
        savings to the Federal Government, that the project will yield 
        a projected savings to the Federal Government if the project 
        outcomes are achieved, and coordinate with the relevant Federal 
        agency to produce an after-action accounting once the project 
        is complete to determine the actual Federal savings realized, 
        and the extent to which actual savings aligned with projected 
        savings; and
            ``(10) provide periodic reports to the Secretary and make 
        available reports periodically to Congress and the public on 
        the implementation of this subtitle.
    ``(b) Composition of Council.--The Council shall have 11 members, 
as follows:
            ``(1) Chair.--The Chair of the Council shall be the 
        Director of the Office of Management and Budget.
            ``(2) Other members.--The head of each of the following 
        entities shall designate one officer or employee of the entity 
        to be a Council member:
                    ``(A) The Department of Labor.
                    ``(B) The Department of Health and Human Services.
                    ``(C) The Social Security Administration.
                    ``(D) The Department of Agriculture.
                    ``(E) The Department of Justice.
                    ``(F) The Department of Housing and Urban 
                Development.
                    ``(G) The Department of Education.
                    ``(H) The Department of Veterans Affairs.
                    ``(I) The Department of the Treasury.
                    ``(J) The Corporation for National and Community 
                Service.

               ``commission on social impact partnerships

    ``Sec. 2057.  (a) Establishment.--There is established the 
Commission on Social Impact Partnerships (in this section referred to 
as the `Commission').
    ``(b) Duties.--The duties of the Commission shall be to--
            ``(1) assist the Secretary and the Federal Interagency 
        Council on Social Impact Partnerships in reviewing applications 
        for funding under this subtitle;
            ``(2) make recommendations to the Secretary and the Federal 
        Interagency Council on Social Impact Partnerships regarding the 
        funding of social impact partnership agreements and feasibility 
        studies; and
            ``(3) provide other assistance and information as requested 
        by the Secretary or the Federal Interagency Council on Social 
        Impact Partnerships.
    ``(c) Composition.--The Commission shall be composed of nine 
members, of whom--
            ``(1) one shall be appointed by the President, who will 
        serve as the Chair of the Commission;
            ``(2) one shall be appointed by the Majority Leader of the 
        Senate;
            ``(3) one shall be appointed by the Minority Leader of the 
        Senate;
            ``(4) one shall be appointed by the Speaker of the House of 
        Representatives;
            ``(5) one shall be appointed by the Minority Leader of the 
        House of Representatives;
            ``(6) one shall be appointed by the Chairman of the 
        Committee on Finance of the Senate;
            ``(7) one shall be appointed by the ranking member of the 
        Committee on Finance of the Senate;
            ``(8) one member shall be appointed by the Chairman of the 
        Committee on Ways and Means of the House of Representatives; 
        and
            ``(9) one shall be appointed by the ranking member of the 
        Committee on Ways and Means of the House of Representatives.
    ``(d) Qualifications of Commission Members.--The members of the 
Commission shall--
            ``(1) be experienced in finance, economics, pay for 
        performance, or program evaluation;
            ``(2) have relevant professional or personal experience in 
        a field related to one or more of the outcomes listed in this 
        subtitle; or
            ``(3) be qualified to review applications for social impact 
        partnership projects to determine whether the proposed metrics 
        and evaluation methodologies are appropriately rigorous and 
        reliant upon independent data and evidence-based research.
    ``(e) Timing of Appointments.--The appointments of the members of 
the Commission shall be made not later than 120 days after the date of 
the enactment of this subtitle, or, in the event of a vacancy, not 
later than 90 days after the date the vacancy arises. If a member of 
Congress fails to appoint a member by that date, the President may 
select a member of the President's choice on behalf of the member of 
Congress. Notwithstanding the preceding sentence, if not all 
appointments have been made to the Commission as of that date, the 
Commission may operate with no fewer than five members until all 
appointments have been made.
    ``(f) Term of Appointments.--
            ``(1) In general.--The members appointed under subsection 
        (c) shall serve as follows:
                    ``(A) Three members shall serve for 2 years.
                    ``(B) Three members shall serve for 3 years.
                    ``(C) Three members (one of which shall be Chair of 
                the Commission appointed by the President) shall serve 
                for 4 years.
            ``(2) Assignment of terms.--The Commission shall designate 
        the term length that each member appointed under subsection (c) 
        shall serve by unanimous agreement. In the event that unanimous 
        agreement cannot be reached, term lengths shall be assigned to 
        the members by a random process.
    ``(g) Vacancies.--Subject to subsection (e), in the event of a 
vacancy in the Commission, whether due to the resignation of a member, 
the expiration of a member's term, or any other reason, the vacancy 
shall be filled in the manner in which the original appointment was 
made and shall not affect the powers of the Commission.
    ``(h) Appointment Power.--Members of the Commission appointed under 
subsection (c) shall not be subject to confirmation by the Senate.

                      ``limitation on use of funds

    ``Sec. 2058. Of the amounts made available to carry out this 
subtitle, the Secretary may not use more than $2,000,000 in any fiscal 
year to support the review, approval, and oversight of social impact 
partnership projects, including activities conducted by--
            ``(1) the Federal Interagency Council on Social Impact 
        Partnerships; and
            ``(2) any other agency consulted by the Secretary before 
        approving a social impact partnership project or a feasibility 
        study under section 2054.

              ``no federal funding for credit enhancements

    ``Sec. 2059. No amount made available to carry out this subtitle 
may be used to provide any insurance, guarantee, or other credit 
enhancement to a State or local government under which a Federal 
payment would be made to a State or local government as the result of a 
State or local government failing to achieve an outcome specified in an 
agreement.

                        ``availability of funds

    ``Sec. 2060. Amounts made available to carry out this subtitle 
shall remain available until 10 years after the date of the enactment 
of this subtitle.

                               ``website

    ``Sec. 2061. The Federal Interagency Council on Social Impact 
Partnerships shall establish and maintain a public website that shall 
display the following:
            ``(1) A copy of, or method of accessing, each notice 
        published regarding a social impact partnership project 
        pursuant to this subtitle.
            ``(2) A copy of each feasibility study funded under this 
        subtitle.
            ``(3) For each State or local government that has entered 
        into an agreement with the Secretary for a social impact 
        partnership project, the website shall contain the following 
        information:
                    ``(A) The outcome goals of the project.
                    ``(B) A description of each intervention in the 
                project.
                    ``(C) The target population that will be served by 
                the project.
                    ``(D) The expected social benefits to participants 
                who receive the intervention and others who may be 
                impacted.
                    ``(E) The detailed roles, responsibilities, and 
                purposes of each Federal, State, or local government 
                entity, intermediary, service provider, independent 
                evaluator, investor, or other stakeholder.
                    ``(F) The payment terms, methodology used to 
                calculate outcome payments, the payment schedule, and 
                performance thresholds.
                    ``(G) The project budget.
                    ``(H) The project timeline.
                    ``(I) The project eligibility criteria.
                    ``(J) The evaluation design.
                    ``(K) The metrics used to determine whether the 
                proposed outcomes have been achieved and how these 
                metrics are measured.
            ``(4) A copy of the progress reports and the final reports 
        relating to each social impact partnership project.
            ``(5) An estimate of the savings to the Federal, State, and 
        local government, on a program-by-program basis and in the 
        aggregate, resulting from the successful completion of the 
        social impact partnership project.

                             ``regulations

    ``Sec. 2062. The Secretary, in consultation with the Federal 
Interagency Council on Social Impact Partnerships, may issue 
regulations as necessary to carry out this subtitle.

                             ``definitions

    ``Sec. 2063. In this subtitle:
            ``(1) Agency.--The term `agency' has the meaning given that 
        term in section 551 of title 5, United States Code.
            ``(2) Intervention.--The term `intervention' means a 
        specific service delivered to achieve an impact through a 
        social impact partnership project.
            ``(3) Secretary.--The term `Secretary' means the Secretary 
        of the Treasury.
            ``(4) Social impact partnership project.--The term `social 
        impact partnership project' means a project that finances 
        social services using a social impact partnership model.
            ``(5) Social impact partnership model.--The term `social 
        impact partnership model' means a method of financing social 
        services in which--
                    ``(A) Federal funds are awarded to a State or local 
                government only if a State or local government achieves 
                certain outcomes agreed on by the State or local 
                government and the Secretary; and
                    ``(B) the State or local government coordinates 
                with service providers, investors (if applicable to the 
                project), and (if necessary) an intermediary to 
                identify--
                            ``(i) an intervention expected to produce 
                        the outcome;
                            ``(ii) a service provider to deliver the 
                        intervention to the target population; and
                            ``(iii) investors to fund the delivery of 
                        the intervention.
            ``(6) State.--The term `State' means each State of the 
        United States, the District of Columbia, each commonwealth, 
        territory or possession of the United States, and each 
        federally recognized Indian tribe.

                               ``funding

    ``Sec. 2064. Out of any money in the Treasury of the United States 
not otherwise appropriated, there is hereby appropriated $100,000,000 
for fiscal year 2018 to carry out this subtitle.''.

                    TITLE IX--PUBLIC HEALTH PROGRAMS

SEC. 50901. EXTENSION FOR COMMUNITY HEALTH CENTERS, THE NATIONAL HEALTH 
              SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE 
              GME PROGRAMS.

    (a) Community Health Centers Funding.--Section 10503(b)(1)(F) of 
the Patient Protection and Affordable Care Act (42 U.S.C. 254b-
2(b)(1)(F)), as amended by section 3101 of Public Law 115-96, is 
amended to read as follows:
                    ``(F) $3,800,000,000 for fiscal year 2018 and 
                $4,000,000,000 for fiscal year 2019.''.
    (b) Other Community Health Centers Provisions.--Section 330 of the 
Public Health Service Act (42 U.S.C. 254b) is amended--
            (1) in subsection (b)(1)(A)(ii), by striking ``abuse'' and 
        inserting ``use disorder'';
            (2) in subsection (b)(2)(A), by striking ``abuse'' and 
        inserting ``use disorder'';
            (3) in subsection (c)--
                    (A) in paragraph (1), by striking subparagraphs (B) 
                through (D);
                    (B) by striking ``(1) In general'' and all that 
                follows through ``The Secretary'' and inserting the 
                following:
            ``(1) Centers.--The Secretary''; and
                    (C) in paragraph (1), as amended, by redesignating 
                clauses (i) through (v) as subparagraphs (A) through 
                (E) and moving the margin of each of such redesignated 
                subparagraph 2 ems to the left;
            (4) by striking subsection (d) and inserting the following:
    ``(d) Improving Quality of Care.--
            ``(1) Supplemental awards.--The Secretary may award 
        supplemental grant funds to health centers funded under this 
        section to implement evidence-based models for increasing 
        access to high-quality primary care services, which may include 
        models related to--
                    ``(A) improving the delivery of care for 
                individuals with multiple chronic conditions;
                    ``(B) workforce configuration;
                    ``(C) reducing the cost of care;
                    ``(D) enhancing care coordination;
                    ``(E) expanding the use of telehealth and 
                technology-enabled collaborative learning and capacity 
                building models;
                    ``(F) care integration, including integration of 
                behavioral health, mental health, or substance use 
                disorder services; and
                    ``(G) addressing emerging public health or 
                substance use disorder issues to meet the health needs 
                of the population served by the health center.
            ``(2) Sustainability.--In making supplemental awards under 
        this subsection, the Secretary may consider whether the health 
        center involved has submitted a plan for continuing the 
        activities funded under this subsection after supplemental 
        funding is expended.
            ``(3) Special consideration.--The Secretary may give 
        special consideration to applications for supplemental funding 
        under this subsection that seek to address significant barriers 
        to access to care in areas with a greater shortage of health 
        care providers and health services relative to the national 
        average.'';
            (5) in subsection (e)(1)--
                    (A) in subparagraph (B)--
                            (i) by striking ``2 years'' and inserting 
                        ``1 year''; and
                            (ii) by adding at the end the following: 
                        ``The Secretary shall not make a grant under 
                        this paragraph unless the applicant provides 
                        assurances to the Secretary that within 120 
                        days of receiving grant funding for the 
                        operation of the health center, the applicant 
                        will submit, for approval by the Secretary, an 
                        implementation plan to meet the requirements of 
                        subsection (k)(3). The Secretary may extend 
                        such 120-day period for achieving compliance 
                        upon a demonstration of good cause by the 
                        health center.''; and
                    (B) in subparagraph (C)--
                            (i) in the subparagraph heading, by 
                        striking ``and plans'';
                            (ii) by striking ``or plan (as described in 
                        subparagraphs (B) and (C) of subsection 
                        (c)(1))'';
                            (iii) by striking ``or plan, including the 
                        purchase'' and inserting the following: 
                        ``including--
                            ``(i) the purchase'';
                            (iv) by inserting ``, which may include 
                        data and information systems'' after ``of 
                        equipment'';
                            (v) by striking the period at the end and 
                        inserting a semicolon; and
                            (vi) by adding at the end the following:
                            ``(ii) the provision of training and 
                        technical assistance; and
                            ``(iii) other activities that--
                                    ``(I) reduce costs associated with 
                                the provision of health services;
                                    ``(II) improve access to, and 
                                availability of, health services 
                                provided to individuals served by the 
                                centers;
                                    ``(III) enhance the quality and 
                                coordination of health services; or
                                    ``(IV) improve the health status of 
                                communities.'';
            (6) in subsection (e)(5)(B)--
                    (A) in the heading of subparagraph (B), by striking 
                ``and plans''; and
                    (B) by striking ``and subparagraphs (B) and (C) of 
                subsection (c)(1) to a health center or to a network or 
                plan'' and inserting ``to a health center or to a 
                network'';
            (7) in subsection (e), by adding at the end the following:
            ``(6) New access points and expanded services.--
                    ``(A) Approval of new access points.--
                            ``(i) In general.--The Secretary may 
                        approve applications for grants under 
                        subparagraph (A) or (B) of paragraph (1) to 
                        establish new delivery sites.
                            ``(ii) Special consideration.--In carrying 
                        out clause (i), the Secretary may give special 
                        consideration to applicants that have 
                        demonstrated the new delivery site will be 
                        located within a sparsely populated area, or an 
                        area which has a level of unmet need that is 
                        higher relative to other applicants.
                            ``(iii) Consideration of applications.--In 
                        carrying out clause (i), the Secretary shall 
                        approve applications for grants in such a 
                        manner that the ratio of the medically 
                        underserved populations in rural areas which 
                        may be expected to use the services provided by 
                        the applicants involved to the medically 
                        underserved populations in urban areas which 
                        may be expected to use the services provided by 
                        the applicants is not less than two to three or 
                        greater than three to two.
                            ``(iv) Service area overlap.--If in 
                        carrying out clause (i) the applicant proposes 
                        to serve an area that is currently served by 
                        another health center funded under this 
                        section, the Secretary may consider whether the 
                        award of funding to an additional health center 
                        in the area can be justified based on the unmet 
                        need for additional services within the 
                        catchment area.
                    ``(B) Approval of expanded service applications.--
                            ``(i) In general.--The Secretary may 
                        approve applications for grants under 
                        subparagraph (A) or (B) of paragraph (1) to 
                        expand the capacity of the applicant to provide 
                        required primary health services described in 
                        subsection (b)(1) or additional health services 
                        described in subsection (b)(2).
                            ``(ii) Priority expansion projects.--In 
                        carrying out clause (i), the Secretary may give 
                        special consideration to expanded service 
                        applications that seek to address emerging 
                        public health or behavioral health, mental 
                        health, or substance abuse issues through 
                        increasing the availability of additional 
                        health services described in subsection (b)(2) 
                        in an area in which there are significant 
                        barriers to accessing care.
                            ``(iii) Consideration of applications.--In 
                        carrying out clause (i), the Secretary shall 
                        approve applications for grants in such a 
                        manner that the ratio of the medically 
                        underserved populations in rural areas which 
                        may be expected to use the services provided by 
                        the applicants involved to the medically 
                        underserved populations in urban areas which 
                        may be expected to use the services provided by 
                        such applicants is not less than two to three 
                        or greater than three to two.'';
            (8) in subsection (h)--
                    (A) in paragraph (1), by striking ``and children 
                and youth at risk of homelessness'' and inserting ``, 
                children and youth at risk of homelessness, homeless 
                veterans, and veterans at risk of homelessness''; and
                    (B) in paragraph (5)--
                            (i) by striking subparagraph (B);
                            (ii) by redesignating subparagraph (C) as 
                        subparagraph (B); and
                            (iii) in subparagraph (B) (as so 
                        redesignated)--
                                    (I) in the subparagraph heading, by 
                                striking ``abuse'' and inserting ``use 
                                disorder''; and
                                    (II) by striking ``abuse'' and 
                                inserting ``use disorder'';
            (9) in subsection (k)--
                    (A) in paragraph (2)--
                            (i) in the paragraph heading, by inserting 
                        ``unmet'' before ``need'';
                            (ii) in the matter preceding subparagraph 
                        (A), by inserting ``or subsection (e)(6)'' 
                        after ``subsection (e)(1)'';
                            (iii) in subparagraph (A), by inserting 
                        ``unmet'' before ``need for health services'';
                            (iv) in subparagraph (B), by striking 
                        ``and'' at the end;
                            (v) in subparagraph (C), by striking the 
                        period at the end and inserting ``; and''; and
                            (vi) by adding after subparagraph (C) the 
                        following:
                    ``(D) in the case of an application for a grant 
                pursuant to subsection (e)(6), a demonstration that the 
                applicant has consulted with appropriate State and 
                local government agencies, and health care providers 
                regarding the need for the health services to be 
                provided at the proposed delivery site.'';
                    (B) in paragraph (3)--
                            (i) in the matter preceding subparagraph 
                        (A), by inserting ``or subsection (e)(6)'' 
                        after ``subsection (e)(1)(B)'';
                            (ii) in subparagraph (B), by striking ``in 
                        the catchment area of the center'' and 
                        inserting ``, including other health care 
                        providers that provide care within the 
                        catchment area, local hospitals, and specialty 
                        providers in the catchment area of the center, 
                        to provide access to services not available 
                        through the health center and to reduce the 
                        non-urgent use of hospital emergency 
                        departments'';
                            (iii) in subparagraph (H)(ii), by inserting 
                        ``who shall be directly employed by the 
                        center'' after ``approves the selection of a 
                        director for the center'';
                            (iv) in subparagraph (L), by striking 
                        ``and'' at the end;
                            (v) in subparagraph (M), by striking the 
                        period and inserting ``; and''; and
                            (vi) by inserting after subparagraph (M), 
                        the following:
                    ``(N) the center has written policies and 
                procedures in place to ensure the appropriate use of 
                Federal funds in compliance with applicable Federal 
                statutes, regulations, and the terms and conditions of 
                the Federal award.''; and
                    (C) by striking paragraph (4);
            (10) in subsection (l), by adding at the end the following: 
        ``Funds expended to carry out activities under this subsection 
        and operational support activities under subsection (m) shall 
        not exceed 3 percent of the amount appropriated for this 
        section for the fiscal year involved.'';
            (11) in subsection (q)(4), by adding at the end the 
        following: ``A waiver provided by the Secretary under this 
        paragraph may not remain in effect for more than 1 year and may 
        not be extended after such period. An entity may not receive 
        more than one waiver under this paragraph in consecutive 
        years.'';
            (12) in subsection (r)(3)--
                    (A) by striking ``appropriate committees of 
                Congress a report concerning the distribution of funds 
                under this section'' and inserting the following: 
                ``Committee on Health, Education, Labor, and Pensions 
                of the Senate, and the Committee on Energy and Commerce 
                of the House of Representatives, a report including, at 
                a minimum--
                    ``(A) the distribution of funds for carrying out 
                this section'';
                    (B) by striking ``populations. Such report shall 
                include an assessment'' and inserting the following: 
                ``populations;
                    ``(B) an assessment'';
                    (C) by striking ``and the rationale for any 
                substantial changes in the distribution of funds.'' and 
                inserting a semicolon; and
                    (D) by adding at the end the following:
                    ``(C) the distribution of awards and funding for 
                new or expanded services in each of rural areas and 
                urban areas;
                    ``(D) the distribution of awards and funding for 
                establishing new access points, and the number of new 
                access points created;
                    ``(E) the amount of unexpended funding for loan 
                guarantees and loan guarantee authority under title 
                XVI;
                    ``(F) the rationale for any substantial changes in 
                the distribution of funds;
                    ``(G) the rate of closures for health centers and 
                access points;
                    ``(H) the number and reason for any grants awarded 
                pursuant to subsection (e)(1)(B); and
                    ``(I) the number and reason for any waivers 
                provided pursuant to subsection (q)(4).'';
            (13) in subsection (r), by adding at the end the following 
        new paragraph:
            ``(5) Funding for participation of health centers in all of 
        us research program.--In addition to any amounts made available 
        pursuant to paragraph (1) of this subsection, section 402A of 
        this Act, or section 10503 of the Patient Protection and 
        Affordable Care Act, there is authorized to be appropriated, 
        and there is appropriated, out of any monies in the Treasury 
        not otherwise appropriated, to the Secretary $25,000,000 for 
        fiscal year 2018 to support the participation of health centers 
        in the All of Us Research Program under the Precision Medicine 
        Initiative under section 498E of this Act.''; and
            (14) by striking subsection (s).
    (c) National Health Service Corps.--Section 10503(b)(2)(F) of the 
Patient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(2)(F)), 
as amended by section 3101 of Public Law 115-96, is amended to read as 
follows:
                    ``(F) $310,000,000 for each of fiscal years 2018 
                and 2019.''.
    (d) Teaching Health Centers That Operate Graduate Medical Education 
Programs.--
            (1) Payments.--Subsection (a) of section 340H of the Public 
        Health Service Act (42 U.S.C. 256h) is amended to read as 
        follows:
    ``(a) Payments.--
            ``(1) In general.--Subject to subsection (h)(2), the 
        Secretary shall make payments under this section for direct 
        expenses and indirect expenses to qualified teaching health 
        centers that are listed as sponsoring institutions by the 
        relevant accrediting body for, as appropriate--
                    ``(A) maintenance of filled positions at existing 
                approved graduate medical residency training programs;
                    ``(B) expansion of existing approved graduate 
                medical residency training programs; and
                    ``(C) establishment of new approved graduate 
                medical residency training programs.
            ``(2) Per resident amount.--In making payments under 
        paragraph (1), the Secretary shall consider the cost of 
        training residents at teaching health centers and the 
        implications of the per resident amount on approved graduate 
        medical residency training programs at teaching health centers.
            ``(3) Priority.--In making payments under paragraph (1)(C), 
        the Secretary shall give priority to qualified teaching health 
        centers that--
                    ``(A) serve a health professional shortage area 
                with a designation in effect under section 332 or a 
                medically underserved community (as defined in section 
                799B); or
                    ``(B) are located in a rural area (as defined in 
                section 1886(d)(2)(D) of the Social Security Act).''.
            (2) Funding.--Paragraph (1) of section 340H(g) of the 
        Public Health Service Act (42 U.S.C. 256h(g)), as amended by 
        section 3101 of Public Law 115-96, is amended by striking ``and 
        $30,000,000 for the period of the first and second quarters of 
        fiscal year 2018,'' and inserting ``and $126,500,000 for each 
        of fiscal years 2018 and 2019,''.
            (3) Annual reporting.--Subsection (h)(1) of section 340H of 
        the Public Health Service Act (42 U.S.C. 256h) is amended--
                    (A) by redesignating subparagraph (D) as 
                subparagraph (H); and
                    (B) by inserting after subparagraph (C) the 
                following:
                    ``(D) The number of patients treated by residents 
                described in paragraph (4).
                    ``(E) The number of visits by patients treated by 
                residents described in paragraph (4).
                    ``(F) Of the number of residents described in 
                paragraph (4) who completed their residency training at 
                the end of such residency academic year, the number and 
                percentage of such residents entering primary care 
                practice (meaning any of the areas of practice listed 
                in the definition of a primary care residency program 
                in section 749A).
                    ``(G) Of the number of residents described in 
                paragraph (4) who completed their residency training at 
                the end of such residency academic year, the number and 
                percentage of such residents who entered practice at a 
                health care facility--
                            ``(i) primarily serving a health 
                        professional shortage area with a designation 
                        in effect under section 332 or a medically 
                        underserved community (as defined in section 
                        799B); or
                            ``(ii) located in a rural area (as defined 
                        in section 1886(d)(2)(D) of the Social Security 
                        Act).''.
            (4) Report on training costs.--Not later than March 31, 
        2019, the Secretary of Health and Human Services shall submit 
        to the Congress a report on the direct graduate expenses of 
        approved graduate medical residency training programs, and the 
        indirect expenses associated with the additional costs of 
        teaching residents, of qualified teaching health centers (as 
        such terms are used or defined in section 340H of the Public 
        Health Service Act (42 U.S.C. 256h)).
            (5) Definition.--Subsection (j) of section 340H of the 
        Public Health Service Act (42 U.S.C. 256h) is amended--
                    (A) by redesignating paragraphs (2) and (3) as 
                paragraphs (3) and (4), respectively; and
                    (B) by inserting after paragraph (1) the following:
            ``(2) New approved graduate medical residency training 
        program.--The term `new approved graduate medical residency 
        training program' means an approved graduate medical residency 
        training program for which the sponsoring qualified teaching 
        health center has not received a payment under this section for 
        a previous fiscal year (other than pursuant to subsection 
        (a)(1)(C)).''.
            (6) Technical correction.--Subsection (f) of section 340H 
        (42 U.S.C. 256h) is amended by striking ``hospital'' each place 
        it appears and inserting ``teaching health center''.
            (7) Payments for previous fiscal years.--The provisions of 
        section 340H of the Public Health Service Act (42 U.S.C. 256h), 
        as in effect on the day before the date of enactment of Public 
        Law 115-96, shall continue to apply with respect to payments 
        under such section for fiscal years before fiscal year 2018.
    (e) Application.--Amounts appropriated pursuant to this section for 
fiscal year 2018 or 2019 are subject to the requirements contained in 
Public Law 115-31 for funds for programs authorized under sections 330 
through 340 of the Public Health Service Act (42 U.S.C. 254b-256).
    (f) Conforming Amendments.--Paragraph (4) of section 3014(h) of 
title 18, United States Code, as amended by section 3101 of Public Law 
115-96, is amended by striking ``and section 3101(d) of the CHIP and 
Public Health Funding Extension Act'' and inserting ``and section 
50901(e) of the Advancing Chronic Care, Extenders, and Social Services 
Act''.

SEC. 50902. EXTENSION FOR SPECIAL DIABETES PROGRAMS.

    (a) Special Diabetes Program for Type I Diabetes.--Section 
330B(b)(2)(D) of the Public Health Service Act (42 U.S.C. 254c-
2(b)(2)(D)), as amended by section 3102 of Public Law 115-96, is 
amended to read as follows:
                    ``(D) $150,000,000 for each of fiscal years 2018 
                and 2019, to remain available until expended.''.
    (b) Special Diabetes Program for Indians.--Subparagraph (D) of 
section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c-
3(c)(2)), as amended by section 3102 of Public Law 115-96, is amended 
to read as follows:
                    ``(D) $150,000,000 for each of fiscal years 2018 
                and 2019, to remain available until expended.''.

              TITLE X--MISCELLANEOUS HEALTH CARE POLICIES

SEC. 51001. HOME HEALTH PAYMENT REFORM.

    (a) Budget Neutral Transition to a 30-day Unit of Payment for Home 
Health Services.--Section 1895(b) of the Social Security Act (42 U.S.C. 
1395fff(b)) is amended--
            (1) in paragraph (2)--
                    (A) by striking ``payment.--In defining'' and 
                inserting ``payment.--
                    ``(A) In general.--In defining''; and
                    (B) by adding at the end the following new 
                subparagraph:
                    ``(B) 30-day unit of service.--For purposes of 
                implementing the prospective payment system with 
                respect to home health units of service furnished 
                during a year beginning with 2020, the Secretary shall 
                apply a 30-day unit of service as the unit of service 
                applied under this paragraph.'';
            (2) in paragraph (3)--
                    (A) in subparagraph (A), by adding at the end the 
                following new clause:
                            ``(iv) Budget neutrality for 2020.--With 
                        respect to payments for home health units of 
                        service furnished that end during the 12-month 
                        period beginning January 1, 2020, the Secretary 
                        shall calculate a standard prospective payment 
                        amount (or amounts) for 30-day units of service 
                        (as described in paragraph (2)(B)) for the 
                        prospective payment system under this 
                        subsection. Such standard prospective payment 
                        amount (or amounts) shall be calculated in a 
                        manner such that the estimated aggregate amount 
                        of expenditures under the system during such 
                        period with application of paragraph (2)(B) is 
                        equal to the estimated aggregate amount of 
                        expenditures that otherwise would have been 
                        made under the system during such period if 
                        paragraph (2)(B) had not been enacted. The 
                        previous sentence shall be applied before (and 
                        not affect the application of) paragraph 
                        (3)(B). In calculating such amount (or 
                        amounts), the Secretary shall make assumptions 
                        about behavior changes that could occur as a 
                        result of the implementation of paragraph 
                        (2)(B) and the case-mix adjustment factors 
                        established under paragraph (4)(B) and shall 
                        provide a description of such assumptions in 
                        the notice and comment rulemaking used to 
                        implement this clause.''; and
                    (B) by adding at the end the following new 
                subparagraph:
                    ``(D) Behavior assumptions and adjustments.--
                            ``(i) In general.--The Secretary shall 
                        annually determine the impact of differences 
                        between assumed behavior changes (as described 
                        in paragraph (3)(A)(iv)) and actual behavior 
                        changes on estimated aggregate expenditures 
                        under this subsection with respect to years 
                        beginning with 2020 and ending with 2026.
                            ``(ii) Permanent adjustments.--The 
                        Secretary shall, at a time and in a manner 
                        determined appropriate, through notice and 
                        comment rulemaking, provide for one or more 
                        permanent increases or decreases to the 
                        standard prospective payment amount (or 
                        amounts) for applicable years, on a prospective 
                        basis, to offset for such increases or 
                        decreases in estimated aggregate expenditures 
                        (as determined under clause (i)).
                            ``(iii) Temporary adjustments for 
                        retrospective behavior.--The Secretary shall, 
                        at a time and in a manner determined 
                        appropriate, through notice and comment 
                        rulemaking, provide for one or more temporary 
                        increases or decreases to the payment amount 
                        for a unit of home health services (as 
                        determined under paragraph (4)) for applicable 
                        years, on a prospective basis, to offset for 
                        such increases or decreases in estimated 
                        aggregate expenditures (as determined under 
                        clause (i)). Such a temporary increase or 
                        decrease shall apply only with respect to the 
                        year for which such temporary increase or 
                        decrease is made, and the Secretary shall not 
                        take into account such a temporary increase or 
                        decrease in computing such amount under this 
                        subsection for a subsequent year.''; and
            (3) in paragraph (4)(B)--
                    (A) by striking ``Factors.--The Secretary'' and 
                inserting ``Factors.--
                            ``(i) In general.--The Secretary''; and
                    (B) by adding at the end the following new clause:
                            ``(ii) Treatment of therapy thresholds.--
                        For 2020 and subsequent years, the Secretary 
                        shall eliminate the use of therapy thresholds 
                        (established by the Secretary) in case mix 
                        adjustment factors established under clause (i) 
                        for calculating payments under the prospective 
                        payment system under this subsection.''.
    (b) Technical Expert Panel.--
            (1) In general.--During the period beginning on January 1, 
        2018, and ending on December 31, 2018, the Secretary of Health 
        and Human Services shall hold at least one session of a 
        technical expert panel, the participants of which shall include 
        home health providers, patient representatives, and other 
        relevant stakeholders. The technical expert panel shall 
        identify and prioritize recommendations with respect to the 
        prospective payment system for home health services under 
        section 1895(b) of the Social Security Act (42 U.S.C. 
        1395fff(b)), on the following:
                    (A) The Home Health Groupings Model, as described 
                in the proposed rule ``Medicare and Medicaid Programs; 
                CY 2018 Home Health Prospective Payment System Rate 
                Update and Proposed CY 2019 Case-Mix Adjustment 
                Methodology Refinements; Home Health Value-Based 
                Purchasing Model; and Home Health Quality Reporting 
                Requirements'' (82 Fed. Reg. 35294 through 35332 (July 
                28, 2017)).
                    (B) Alternative case-mix models to the Home Health 
                Groupings Model that were submitted during 2017 as 
                comments in response to proposed rule making, including 
                patient-focused factors that consider the risks of 
                hospitalization and readmission to a hospital, 
                improvement or maintenance of functionality of 
                individuals to increase the capacity for self-care, 
                quality of care, and resource utilization.
            (2) Inapplicability of faca.--The provisions of the Federal 
        Advisory Committee Act (5 U.S.C. App.) shall not apply to the 
        technical expert panel under paragraph (1).
            (3) Report.--Not later than April 1, 2019, the Secretary of 
        Health and Human Services shall submit to the Committee on Ways 
        and Means and the Committee on Energy and Commerce of the House 
        of Representatives and the Committee on Finance of the Senate a 
        report on the recommendations of such panel described in such 
        paragraph.
            (4) Notice and comment rulemaking.--Not later than December 
        31, 2019, the Secretary of Health and Human Services shall 
        pursue notice and comment rulemaking on a case-mix system with 
        respect to the prospective payment system for home health 
        services under section 1895(b) of the Social Security Act (42 
        U.S.C. 1395fff(b)).
    (c) Reports.--
            (1) Interim report.--Not later than March 15, 2022, the 
        Medicare Payment Advisory Commission shall submit to Congress 
        an interim report on the application of a 30-day unit of 
        service as the unit of service applied under section 1895(b)(2) 
        of the Social Security Act (42 U.S.C. 1395fff(b)(2)), as 
        amended by subsection (a), including an analysis of the level 
        of payments provided to home health agencies as compared to the 
        cost of delivering home health services, and any unintended 
        consequences, including with respect to behavioral changes and 
        quality.
            (2) Final report.--Not later than March 15, 2026, such 
        Commission shall submit to Congress a final report on such 
        application and any such consequences.

SEC. 51002. INFORMATION TO SATISFY DOCUMENTATION OF MEDICARE 
              ELIGIBILITY FOR HOME HEALTH SERVICES.

    (a) Part A.--Section 1814(a) of the Social Security Act (42 U.S.C. 
1395f(a)) is amended by inserting before ``For purposes of paragraph 
(2)(C),'' the following new sentence: ``For purposes of documentation 
for physician certification and recertification made under paragraph 
(2) on or after January 1, 2019, and made with respect to home health 
services furnished by a home health agency, in addition to using 
documentation in the medical record of the physician who so certifies 
or the medical record of the acute or post-acute care facility (in the 
case that home health services were furnished to an individual who was 
directly admitted to the home health agency from such a facility), the 
Secretary may use documentation in the medical record of the home 
health agency as supporting material, as appropriate to the case 
involved.''.
    (b) Part B.--Section 1835(a) of the Social Security Act (42 U.S.C. 
1395n(a)) is amended by inserting before ``For purposes of paragraph 
(2)(A),'' the following new sentence: ``For purposes of documentation 
for physician certification and recertification made under paragraph 
(2) on or after January 1, 2019, and made with respect to home health 
services furnished by a home health agency, in addition to using 
documentation in the medical record of the physician who so certifies 
or the medical record of the acute or post-acute care facility (in the 
case that home health services were furnished to an individual who was 
directly admitted to the home health agency from such a facility), the 
Secretary may use documentation in the medical record of the home 
health agency as supporting material, as appropriate to the case 
involved.''.

SEC. 51003. TECHNICAL AMENDMENTS TO PUBLIC LAW 114-10.

    (a) MIPS Transition.--Section 1848 of the Social Security Act (42 
U.S.C. 1395w-4) is amended--
            (1) in subsection (q)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (B), by striking 
                        ``items and services'' and inserting ``covered 
                        professional services (as defined in subsection 
                        (k)(3)(A))''; and
                            (ii) in subparagraph (C)(iv)--
                                    (I) by amending subclause (I) to 
                                read as follows:
                                    ``(I) The minimum number (as 
                                determined by the Secretary) of--
                                            ``(aa) for performance 
                                        periods beginning before 
                                        January 1, 2018, individuals 
                                        enrolled under this part who 
                                        are treated by the eligible 
                                        professional for the 
                                        performance period involved; 
                                        and
                                            ``(bb) for performance 
                                        periods beginning on or after 
                                        January 1, 2018, individuals 
                                        enrolled under this part who 
                                        are furnished covered 
                                        professional services (as 
                                        defined in subsection 
                                        (k)(3)(A)) by the eligible 
                                        professional for the 
                                        performance period involved.'';
                                    (II) in subclause (II), by striking 
                                ``items and services'' and inserting 
                                ``covered professional services (as 
                                defined in subsection (k)(3)(A))''; and
                                    (III) by amending subclause (III) 
                                to read as follows:
                                    ``(III) The minimum amount (as 
                                determined by the Secretary) of--
                                            ``(aa) for performance 
                                        periods beginning before 
                                        January 1, 2018, allowed 
                                        charges billed by such 
                                        professional under this part 
                                        for such performance period; 
                                        and
                                            ``(bb) for performance 
                                        periods beginning on or after 
                                        January 1, 2018, allowed 
                                        charges for covered 
                                        professional services (as 
                                        defined in subsection 
                                        (k)(3)(A)) billed by such 
                                        professional for such 
                                        performance period.'';
                    (B) in paragraph (5)(D)--
                            (i) in clause (i)(I), by inserting 
                        ``subject to clause (iii),'' after ``clauses 
                        (i) and (ii) of paragraph (2)(A),''; and
                            (ii) by adding at the end the following new 
                        clause:
                            ``(iii) Transition years.--For each of the 
                        second, third, fourth, and fifth years for 
                        which the MIPS applies to payments, the 
                        performance score for the performance category 
                        described in paragraph (2)(A)(ii) shall not 
                        take into account the improvement of the 
                        professional involved.'';
                    (C) in paragraph (5)(E)--
                            (i) in clause (i)(I)(bb)--
                                    (I) in the heading by striking 
                                ``First 2 years'' and inserting ``First 
                                5 years''; and
                                    (II) by striking ``the first and 
                                second years'' and inserting ``each of 
                                the first through fifth years'';
                            (ii) in clause (i)(II)(bb)--
                                    (I) in the heading, by striking ``2 
                                years'' and inserting ``5 years''; and
                                    (II) by striking the second 
                                sentence and inserting the following 
                                new sentences: ``For each of the 
                                second, third, fourth, and fifth years 
                                for which the MIPS applies to payments, 
                                not less than 10 percent and not more 
                                than 30 percent of such score shall be 
                                based on performance with respect to 
                                the category described in clause (ii) 
                                of paragraph (2)(A). Nothing in the 
                                previous sentence shall be construed, 
                                with respect to a performance period 
                                for a year described in the previous 
                                sentence, as preventing the Secretary 
                                from basing 30 percent of such score 
                                for such year with respect to the 
                                category described in such clause (ii), 
                                if the Secretary determines, based on 
                                information posted under subsection 
                                (r)(2)(I) that sufficient resource use 
                                measures are ready for adoption for use 
                                under the performance category under 
                                paragraph (2)(A)(ii) for such 
                                performance period.'';
                    (D) in paragraph (6)(D)--
                            (i) in clause (i), in the second sentence, 
                        by striking ``Such performance threshold'' and 
                        inserting ``Subject to clauses (iii) and (iv), 
                        such performance threshold'';
                            (ii) in clause (ii)--
                                    (I) in the first sentence, by 
                                inserting ``(beginning with 2019 and 
                                ending with 2024)'' after ``for each 
                                year of the MIPS''; and
                                    (II) in the second sentence, by 
                                inserting ``subject to clause (iii),'' 
                                after ``For each such year,'';
                            (iii) in clause (iii)--
                                    (I) in the heading, by striking 
                                ``2'' and inserting ``5''; and
                                    (II) in the first sentence, by 
                                striking ``two years'' and inserting 
                                ``five years''; and
                            (iv) by adding at the end the following new 
                        clause:
                            ``(iv) Additional special rule for third, 
                        fourth and fifth years of mips.--For purposes 
                        of determining MIPS adjustment factors under 
                        subparagraph (A), in addition to the 
                        requirements specified in clause (iii), the 
                        Secretary shall increase the performance 
                        threshold with respect to each of the third, 
                        fourth, and fifth years to which the MIPS 
                        applies to ensure a gradual and incremental 
                        transition to the performance threshold 
                        described in clause (i) (as estimated by the 
                        Secretary) with respect to the sixth year to 
                        which the MIPS applies.'';
                    (E) in paragraph (6)(E)--
                            (i) by striking ``In the case of items and 
                        services'' and inserting ``In the case of 
                        covered professional services (as defined in 
                        subsection (k)(3)(A))''; and
                            (ii) by striking ``under this part with 
                        respect to such items and services'' and 
                        inserting ``under this part with respect to 
                        such covered professional services''; and
                    (F) in paragraph (7), in the first sentence, by 
                striking ``items and services'' and inserting ``covered 
                professional services (as defined in subsection 
                (k)(3)(A))'';
            (2) in subsection (r)(2), by adding at the end the 
        following new subparagraph:
                    ``(I) Information.--The Secretary shall, not later 
                than December 31st of each year (beginning with 2018), 
                post on the Internet website of the Centers for 
                Medicare & Medicaid Services information on resource 
                use measures in use under subsection (q), resource use 
                measures under development and the time-frame for such 
                development, potential future resource use measure 
                topics, a description of stakeholder engagement, and 
                the percent of expenditures under part A and this part 
                that are covered by resource use measures.''; and
            (3) in subsection (s)(5)(B), by striking ``section 
        1833(z)(2)(C)'' and inserting ``section 1833(z)(3)(D)''.
    (b) Physician-focused Payment Model Technical Advisory Committee 
Provision of Initial Proposal Feedback.--Section 1868(c)(2)(C) of the 
Social Security Act (42 U.S.C. 1395ee(c)(2)(C)) is amended to read as 
follows:
                    ``(C) Committee review of models submitted.--The 
                Committee, on a periodic basis--
                            ``(i) shall review models submitted under 
                        subparagraph (B);
                            ``(ii) may provide individuals and 
                        stakeholder entities who submitted such models 
                        with--
                                    ``(I) initial feedback on such 
                                models regarding the extent to which 
                                such models meet the criteria described 
                                in subparagraph (A); and
                                    ``(II) an explanation of the basis 
                                for the feedback provided under 
                                subclause (I); and
                            ``(iii) shall prepare comments and 
                        recommendations regarding whether such models 
                        meet the criteria described in subparagraph (A) 
                        and submit such comments and recommendations to 
                        the Secretary.''.

SEC. 51004. EXPANDED ACCESS TO MEDICARE INTENSIVE CARDIAC 
              REHABILITATION PROGRAMS.

    Section 1861(eee)(4)(B) of the Social Security Act (42 U.S.C. 
1395x(eee)(4)(B)) is amended--
            (1) in clause (v), by striking ``or'' at the end;
            (2) in clause (vi), by striking the period at the end and 
        inserting a semicolon; and
            (3) by adding at the end the following new clauses:
                    ``(vii) stable, chronic heart failure (defined as 
                patients with left ventricular ejection fraction of 35 
                percent or less and New York Heart Association (NYHA) 
                class II to IV symptoms despite being on optimal heart 
                failure therapy for at least 6 weeks); or
                    ``(viii) any additional condition for which the 
                Secretary has determined that a cardiac rehabilitation 
                program shall be covered, unless the Secretary 
                determines, using the same process used to determine 
                that the condition is covered for a cardiac 
                rehabilitation program, that such coverage is not 
                supported by the clinical evidence.''.

SEC. 51005. EXTENSION OF BLENDED SITE NEUTRAL PAYMENT RATE FOR CERTAIN 
              LONG-TERM CARE HOSPITAL DISCHARGES; TEMPORARY ADJUSTMENT 
              TO SITE NEUTRAL PAYMENT RATES.

    (a) Extension.--Section 1886(m)(6)(B)(i) of the Social Security Act 
(42 U.S.C. 1395ww(m)(6)(B)(i)) is amended--
            (1) in subclause (I), by striking ``fiscal year 2016 or 
        fiscal year 2017'' and inserting ``fiscal years 2016 through 
        2019''; and
            (2) in subclause (II), by striking ``2018'' and inserting 
        ``2020''.
    (b) Temporary Adjustment to Site Neutral Payment Rates.--Section 
1886(m)(6)(B) of the Social Security Act (42 U.S.C. 1395ww(m)(6)(B)) is 
amended--
            (1) in clause (ii), in the matter preceding subclause (I), 
        by striking ``In this paragraph'' and inserting ``Subject to 
        clause (iv), in this paragraph''; and
            (2) by adding at the end the following new clause:
                            ``(iv) Adjustment.--For each of fiscal 
                        years 2018 through 2026, the amount that would 
                        otherwise apply under clause (ii)(I) for the 
                        year (determined without regard to this clause) 
                        shall be reduced by 4.6 percent.''.

SEC. 51006. RECOGNITION OF ATTENDING PHYSICIAN ASSISTANTS AS ATTENDING 
              PHYSICIANS TO SERVE HOSPICE PATIENTS.

    (a) Recognition of Attending Physician Assistants as Attending 
Physicians To Serve Hospice Patients.--
            (1) In general.--Section 1861(dd)(3)(B) of the Social 
        Security Act (42 U.S.C. 1395x(dd)(3)(B)) is amended--
                    (A) by striking ``or nurse'' and inserting ``, the 
                nurse''; and
                    (B) by inserting ``, or the physician assistant (as 
                defined in such subsection)'' after ``subsection 
                (aa)(5))''.
            (2) Clarification of hospice role of physician 
        assistants.--Section 1814(a)(7)(A)(i)(I) of the Social Security 
        Act (42 U.S.C. 1395f(a)(7)(A)(i)(I)) is amended by inserting 
        ``or a physician assistant'' after ``a nurse practitioner''.
    (b) Effective Date.--The amendments made by this section shall 
apply to items and services furnished on or after January 1, 2019.

SEC. 51007. EXTENSION OF ENFORCEMENT INSTRUCTION ON SUPERVISION 
              REQUIREMENTS FOR OUTPATIENT THERAPEUTIC SERVICES IN 
              CRITICAL ACCESS AND SMALL RURAL HOSPITALS THROUGH 2017.

    Section 1 of Public Law 113-198, as amended by section 1 of Public 
Law 114-112 and section 16004(a) of the 21st Century Cures Act (Public 
Law 114-255), is amended--
            (1) in the section heading, by striking ``2016'' and 
        inserting ``2017''; and
            (2) by striking ``and 2016'' and inserting ``2016, and 
        2017''.

SEC. 51008. ALLOWING PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND 
              CLINICAL NURSE SPECIALISTS TO SUPERVISE CARDIAC, 
              INTENSIVE CARDIAC, AND PULMONARY REHABILITATION PROGRAMS.

    (a) Cardiac and Intensive Cardiac Rehabilitation Programs.--Section 
1861(eee) of the Social Security Act (42 U.S.C. 1395x(eee)) is 
amended--
            (1) in paragraph (1)--
                    (A) by striking ``physician-supervised''; and
                    (B) by inserting ``under the supervision of a 
                physician (as defined in subsection (r)(1)) or a 
                physician assistant, nurse practitioner, or clinical 
                nurse specialist (as those terms are defined in 
                subsection (aa)(5))'' before the period at the end;
            (2) in paragraph (2)--
                    (A) in subparagraph (A)(iii), by striking the 
                period at the end and inserting a semicolon; and
                    (B) in subparagraph (B), by striking ``a 
                physician'' and inserting ``a physician (as defined in 
                subsection (r)(1)) or a physician assistant, nurse 
                practitioner, or clinical nurse specialist (as those 
                terms are defined in subsection (aa)(5))''; and
            (3) in paragraph (4)(A), in the matter preceding clause 
        (i)--
                    (A) by striking ``physician-supervised''; and
                    (B) by inserting ``under the supervision of a 
                physician (as defined in subsection (r)(1)) or a 
                physician assistant, nurse practitioner, or clinical 
                nurse specialist (as those terms are defined in 
                subsection (aa)(5))'' after ``paragraph (3)''.
    (b) Pulmonary Rehabilitation Programs.--Section 1861(fff)(1) of the 
Social Security Act (42 U.S.C. 1395x(fff)(1)) is amended--
            (1) by striking ``physician-supervised''; and
            (2) by inserting ``under the supervision of a physician (as 
        defined in subsection (r)(1)) or a physician assistant, nurse 
        practitioner, or clinical nurse specialist (as those terms are 
        defined in subsection (aa)(5))'' before the period at the end.
    (c) Effective Date.--The amendments made by this section shall 
apply to items and services furnished on or after January 1, 2024.

SEC. 51009. TRANSITIONAL PAYMENT RULES FOR CERTAIN RADIATION THERAPY 
              SERVICES UNDER THE PHYSICIAN FEE SCHEDULE.

    Section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is 
amended--
            (1) in subsection (b)(11), by striking ``2017 and 2018'' 
        and inserting ``2017, 2018, and 2019''; and
            (2) in subsection (c)(2)(K)(iv), by striking ``2017 and 
        2018'' and inserting ``2017, 2018, and 2019''.

          TITLE XI--PROTECTING SENIORS' ACCESS TO MEDICARE ACT

SEC. 52001. REPEAL OF THE INDEPENDENT PAYMENT ADVISORY BOARD.

    (a) Repeal.--Section 1899A of the Social Security Act (42 U.S.C. 
1395kkk) is repealed.
    (b) Conforming Amendments.--
            (1) Lobbying cooling-off period.--Paragraph (3) of section 
        207(c) of title 18, United States Code, is repealed.
            (2) GAO study and report.--Section 3403(b) of the Patient 
        Protection and Affordable Care Act (42 U.S.C. 1395kkk-1) is 
        repealed.
            (3) MedPAC review and comment.--Section 1805(b) of the 
        Social Security Act (42 U.S.C. 1395b-6(b)) is amended--
                    (A) by striking paragraph (4);
                    (B) by redesignating paragraphs (5) through (8) as 
                paragraphs (4) through (7), respectively; and
                    (C) by redesignating the paragraph (9) that was 
                redesignated by section 3403(c)(1) of the Patient 
                Protection and Affordable Care Act (Public Law 111-148) 
                as paragraph (8).
            (4) Name change.--Section 10320(b) of the Patient 
        Protection and Affordable Care Act (Public Law 111-148) is 
        repealed.
            (5) Rule of construction.--Section 10320(c) of the Patient 
        Protection and Affordable Care Act (Public Law 111-148) is 
        repealed.

                           TITLE XII--OFFSETS

SEC. 53101. MODIFYING REDUCTIONS IN MEDICAID DSH ALLOTMENTS.

    Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-
4(f)(7)(A)) is amended--
            (1) in clause (i), in the matter preceding subclause (I), 
        by striking ``2018'' and inserting ``2020''; and
            (2) in clause (ii), by striking subclauses (I) through 
        (VIII) and inserting the following:
                                    ``(I) $4,000,000,000 for fiscal 
                                year 2020; and
                                    ``(II) $8,000,000,000 for each of 
                                fiscal years 2021 through 2025.''.

SEC. 53102. THIRD PARTY LIABILITY IN MEDICAID AND CHIP.

    (a) Modification of Third Party Liability Rules Related to Special 
Treatment of Certain Types of Care and Payments.--
            (1) In general.--Section 1902(a)(25)(E) of the Social 
        Security Act (42 U.S.C. 1396a(a)(25)(E)) is amended, in the 
        matter preceding clause (i), by striking ``prenatal or''.
            (2) Effective date.--The amendment made by paragraph (1) 
        shall take effect on the date of enactment of this Act.
    (b) Delay in Effective Date and Repeal of Certain Bipartisan Budget 
Act of 2013 Amendments.--
            (1) Repeal.--Effective as of September 30, 2017, subsection 
        (b) of section 202 of the Bipartisan Budget Act of 2013 (Public 
        Law 113-67; 127 Stat. 1177; 42 U.S.C. 1396a note) (including 
        any amendments made by such subsection) is repealed and the 
        provisions amended by such subsection shall be applied and 
        administered as if such amendments had never been enacted.
            (2) Delay in effective date.--Subsection (c) of section 202 
        of the Bipartisan Budget Act of 2013 (Public Law 113-67; 127 
        Stat. 1177; 42 U.S.C. 1396a note) is amended to read as 
        follows:
    ``(c) Effective Date.--The amendments made by subsection (a) shall 
take effect on October 1, 2019.''.
            (3) Effective date; treatment.--The repeal and amendment 
        made by this subsection shall take effect as if enacted on 
        September 30, 2017, and shall apply with respect to any open 
        claims, including claims pending, generated, or filed, after 
        such date. The amendments made by subsections (a) and (b) of 
        section 202 of the Bipartisan Budget Act of 2013 (Public Law 
        113-67; 127 Stat. 1177; 42 U.S.C. 1396a note) that took effect 
        on October 1, 2017, are null and void and section 1902(a)(25) 
        of the Social Security Act (42 U.S.C. 1396a(a)(25)) shall be 
        applied and administered as if such amendments had not taken 
        effect on such date.
    (c) GAO Study and Report.--Not later than 18 months after the date 
of enactment of this Act, the Comptroller General of the United States 
shall submit a report to the Committee on Energy and Commerce of the 
House of Representatives and the Committee on Finance of the Senate on 
the impacts of the amendments made by subsections (a)(1) and (b)(2), 
including--
            (1) the impact, or potential effect, of such amendments on 
        access to prenatal and preventive pediatric care (including 
        early and periodic screening, diagnostic, and treatment 
        services) covered under State plans under such title (or 
        waivers of such plans);
            (2) the impact, or potential effect, of such amendments on 
        access to services covered under such plans or waivers for 
        individuals on whose behalf child support enforcement is being 
        carried out by a State agency under part D of title IV of such 
        Act; and
            (3) the impact, or potential effect, on providers of 
        services under such plans or waivers of delays in payment or 
        related issues that result from such amendments.
    (d) Application to CHIP.--
            (1) In general.--Section 2107(e)(1) of the Social Security 
        Act (42 U.S.C. 1397gg(e)(1)) is amended--
                    (A) by redesignating subparagraphs (B) through (R) 
                as subparagraphs (C) through (S), respectively; and
                    (B) by inserting after subparagraph (A) the 
                following new subparagraph:
                    ``(B) Section 1902(a)(25) (relating to third party 
                liability).''.
            (2) Mandatory reporting.--Section 1902(a)(25)(I)(i) of the 
        Social Security Act (42 U.S.C. 1396a(a)(25)(I)(i)) is amended--
                    (A) by striking ``medical assistance under the 
                State plan'' and inserting ``medical assistance under a 
                State plan (or under a waiver of the plan)'';
                    (B) by striking ``(and, at State option, child'' 
                and inserting ``and child''; and
                    (C) by striking ``title XXI)'' and inserting 
                ``title XXI''.

SEC. 53103. TREATMENT OF LOTTERY WINNINGS AND OTHER LUMP-SUM INCOME FOR 
              PURPOSES OF INCOME ELIGIBILITY UNDER MEDICAID.

    (a) In General.--Section 1902 of the Social Security Act (42 U.S.C. 
1396a) is amended--
            (1) in subsection (a)(17), by striking ``(e)(14), (e)(14)'' 
        and inserting ``(e)(14), (e)(15)''; and
            (2) in subsection (e)(14), by adding at the end the 
        following new subparagraph:
                    ``(K) Treatment of certain lottery winnings and 
                income received as a lump sum.--
                            ``(i) In general.--In the case of an 
                        individual who is the recipient of qualified 
                        lottery winnings (pursuant to lotteries 
                        occurring on or after January 1, 2018) or 
                        qualified lump sum income (received on or after 
                        such date) and whose eligibility for medical 
                        assistance is determined based on the 
                        application of modified adjusted gross income 
                        under subparagraph (A), a State shall, in 
                        determining such eligibility, include such 
                        winnings or income (as applicable) as income 
                        received--
                                    ``(I) in the month in which such 
                                winnings or income (as applicable) is 
                                received if the amount of such winnings 
                                or income is less than $80,000;
                                    ``(II) over a period of 2 months if 
                                the amount of such winnings or income 
                                (as applicable) is greater than or 
                                equal to $80,000 but less than $90,000;
                                    ``(III) over a period of 3 months 
                                if the amount of such winnings or 
                                income (as applicable) is greater than 
                                or equal to $90,000 but less than 
                                $100,000; and
                                    ``(IV) over a period of 3 months 
                                plus 1 additional month for each 
                                increment of $10,000 of such winnings 
                                or income (as applicable) received, not 
                                to exceed a period of 120 months (for 
                                winnings or income of $1,260,000 or 
                                more), if the amount of such winnings 
                                or income is greater than or equal to 
                                $100,000.
                            ``(ii) Counting in equal installments.--For 
                        purposes of subclauses (II), (III), and (IV) of 
                        clause (i), winnings or income to which such 
                        subclause applies shall be counted in equal 
                        monthly installments over the period of months 
                        specified under such subclause.
                            ``(iii) Hardship exemption.--An individual 
                        whose income, by application of clause (i), 
                        exceeds the applicable eligibility threshold 
                        established by the State, shall continue to be 
                        eligible for medical assistance to the extent 
                        that the State determines, under procedures 
                        established by the State (in accordance with 
                        standards specified by the Secretary), that the 
                        denial of eligibility of the individual would 
                        cause an undue medical or financial hardship as 
                        determined on the basis of criteria established 
                        by the Secretary.
                            ``(iv) Notifications and assistance 
                        required in case of loss of eligibility.--A 
                        State shall, with respect to an individual who 
                        loses eligibility for medical assistance under 
                        the State plan (or a waiver of such plan) by 
                        reason of clause (i)--
                                    ``(I) before the date on which the 
                                individual loses such eligibility, 
                                inform the individual--
                                            ``(aa) of the individual's 
                                        opportunity to enroll in a 
                                        qualified health plan offered 
                                        through an Exchange established 
                                        under title I of the Patient 
                                        Protection and Affordable Care 
                                        Act during the special 
                                        enrollment period specified in 
                                        section 9801(f)(3) of the 
                                        Internal Revenue Code of 1986 
                                        (relating to loss of Medicaid 
                                        or CHIP coverage); and
                                            ``(bb) of the date on which 
                                        the individual would no longer 
                                        be considered ineligible by 
                                        reason of clause (i) to receive 
                                        medical assistance under the 
                                        State plan or under any waiver 
                                        of such plan and be eligible to 
                                        reapply to receive such medical 
                                        assistance; and
                                    ``(II) provide technical assistance 
                                to the individual seeking to enroll in 
                                such a qualified health plan.
                            ``(v) Qualified lottery winnings defined.--
                        In this subparagraph, the term `qualified 
                        lottery winnings' means winnings from a 
                        sweepstakes, lottery, or pool described in 
                        paragraph (3) of section 4402 of the Internal 
                        Revenue Code of 1986 or a lottery operated by a 
                        multistate or multijurisdictional lottery 
                        association, including amounts awarded as a 
                        lump sum payment.
                            ``(vi) Qualified lump sum income defined.--
                        In this subparagraph, the term `qualified lump 
                        sum income' means income that is received as a 
                        lump sum from monetary winnings from gambling 
                        (as defined by the Secretary and including 
                        gambling activities described in section 
                        1955(b)(4) of title 18, United States Code).''.
    (b) Rules of Construction.--
            (1) Interception of lottery winnings allowed.--Nothing in 
        the amendment made by subsection (a)(2) shall be construed as 
        preventing a State from intercepting the State lottery winnings 
        awarded to an individual in the State to recover amounts paid 
        by the State under the State Medicaid plan under title XIX of 
        the Social Security Act (42 U.S.C. 1396 et seq.) for medical 
        assistance furnished to the individual.
            (2) Applicability limited to eligibility of recipient of 
        lottery winnings or lump sum income.--Nothing in the amendment 
        made by subsection (a)(2) shall be construed, with respect to a 
        determination of household income for purposes of a 
        determination of eligibility for medical assistance under the 
        State plan under title XIX of the Social Security Act (42 
        U.S.C. 1396 et seq.) (or a waiver of such plan) made by 
        applying modified adjusted gross income under subparagraph (A) 
        of section 1902(e)(14) of such Act (42 U.S.C. 1396a(e)(14)), as 
        limiting the eligibility for such medical assistance of any 
        individual that is a member of the household other than the 
        individual who received qualified lottery winnings or qualified 
        lump-sum income (as defined in subparagraph (K) of such section 
        1902(e)(14), as added by subsection (a)(2) of this section).

SEC. 53104. REBATE OBLIGATION WITH RESPECT TO LINE EXTENSION DRUGS.

    (a) In General.--Section 1927(c)(2)(C) of the Social Security Act 
(42 U.S.C. 1396r-8(c)(2)(C)) is amended by striking ``(C) treatment of 
new formulations.--In the case'' and all that follows through the 
period at the end of the first sentence and inserting the following:
                    ``(C) Treatment of new formulations.--
                            ``(i) In general.--In the case of a drug 
                        that is a line extension of a single source 
                        drug or an innovator multiple source drug that 
                        is an oral solid dosage form, the rebate 
                        obligation for a rebate period with respect to 
                        such drug under this subsection shall be the 
                        greater of the amount described in clause (ii) 
                        for such drug or the amount described in clause 
                        (iii) for such drug.
                            ``(ii) Amount 1.--For purposes of clause 
                        (i), the amount described in this clause with 
                        respect to a drug described in clause (i) and 
                        rebate period is the amount computed under 
                        paragraph (1) for such drug, increased by the 
                        amount computed under subparagraph (A) and, as 
                        applicable, subparagraph (B) for such drug and 
                        rebate period.
                            ``(iii) Amount 2.--For purposes of clause 
                        (i), the amount described in this clause with 
                        respect to a drug described in clause (i) and 
                        rebate period is the amount computed under 
                        paragraph (1) for such drug, increased by the 
                        product of--
                                    ``(I) the average manufacturer 
                                price for the rebate period of the line 
                                extension of a single source drug or an 
                                innovator multiple source drug that is 
                                an oral solid dosage form;
                                    ``(II) the highest additional 
                                rebate (calculated as a percentage of 
                                average manufacturer price) under this 
                                paragraph for the rebate period for any 
                                strength of the original single source 
                                drug or innovator multiple source drug; 
                                and
                                    ``(III) the total number of units 
                                of each dosage form and strength of the 
                                line extension product paid for under 
                                the State plan in the rebate period (as 
                                reported by the State).''.
    (b) Effective Date.--The amendments made subsection (a) shall apply 
with respect to rebate periods beginning on or after October 1, 2018.

SEC. 53105. MEDICAID IMPROVEMENT FUND.

    Section 1941(b) of the Social Security Act (42 U.S.C. 1396w-1(b)) 
is amended--
            (1) in paragraph (1), by striking ``$5,000,000'' and 
        inserting ``$0''; and
            (2) in paragraph (3)(A), by striking ``$980,000,000'' and 
        inserting ``$0''.

SEC. 53106. PHYSICIAN FEE SCHEDULE UPDATE.

    Section 1848(d)(18) of the Social Security Act (42 U.S.C. 1395w-
4(d)(18)) is amended by striking ``paragraph (1)(C)'' and all that 
follows and inserting the following: ``paragraph (1)(C)--
                    ``(A) for 2016 and each subsequent year through 
                2018 shall be 0.5 percent; and
                    ``(B) for 2019 shall be 0.25 percent.''.

SEC. 53107. PAYMENT FOR OUTPATIENT PHYSICAL THERAPY SERVICES AND 
              OUTPATIENT OCCUPATIONAL THERAPY SERVICES FURNISHED BY A 
              THERAPY ASSISTANT.

    Section 1834 of the Social Security Act (42 U.S.C. 1395m) is 
amended by adding at the end the following new subsection:
    ``(v) Payment for Outpatient Physical Therapy Services and 
Outpatient Occupational Therapy Services Furnished by a Therapy 
Assistant.--
            ``(1) In general.--In the case of an outpatient physical 
        therapy service or outpatient occupational therapy service 
        furnished on or after January 1, 2022, for which payment is 
        made under section 1848 or subsection (k), that is furnished in 
        whole or in part by a therapy assistant (as defined by the 
        Secretary), the amount of payment for such service shall be an 
        amount equal to 85 percent of the amount of payment otherwise 
        applicable for the service under this part. Nothing in the 
        preceding sentence shall be construed to change applicable 
        requirements with respect to such services.
            ``(2) Use of modifier.--
                    ``(A) Establishment.--Not later than January 1, 
                2019, the Secretary shall establish a modifier to 
                indicate (in a form and manner specified by the 
                Secretary), in the case of an outpatient physical 
                therapy service or outpatient occupational therapy 
                service furnished in whole or in part by a therapy 
                assistant (as so defined), that the service was 
                furnished by a therapy assistant.
                    ``(B) Required use.--Each request for payment, or 
                bill submitted, for an outpatient physical therapy 
                service or outpatient occupational therapy service 
                furnished in whole or in part by a therapy assistant 
                (as so defined) on or after January 1, 2020, shall 
                include the modifier established under subparagraph (A) 
                for each such service.
            ``(3) Implementation.--The Secretary shall implement this 
        subsection through notice and comment rulemaking.''.

SEC. 53108. REDUCTION FOR NON-EMERGENCY ESRD AMBULANCE TRANSPORTS.

    Section 1834(l)(15) of the Social Security Act (42. U.S.C. 
1395m(l)(15)) is amended by striking ``on or after October 1, 2013'' 
and inserting ``during the period beginning on October 1, 2013, and 
ending on September 30, 2018, and by 23 percent for such services 
furnished on or after October 1, 2018''.

SEC. 53109. HOSPITAL TRANSFER POLICY FOR EARLY DISCHARGES TO HOSPICE 
              CARE.

    (a) In General.--Section 1886(d)(5)(J) of the Social Security Act 
(42 U.S.C. 1395ww(d)(5)(J)) is amended--
            (1) in clause (ii)--
                    (A) in subclause (III), by striking ``or'' at the 
                end;
                    (B) by redesignating subclause (IV) as subclause 
                (V); and
                    (C) by inserting after subclause (III) the 
                following new subclause:
            ``(IV) for discharges occurring on or after October 1, 
        2018, is provided hospice care by a hospice program; or''; and
            (2) in clause (iv)--
                    (A) by inserting after the first sentence the 
                following new sentence: ``The Secretary shall include 
                in the proposed rule published for fiscal year 2019, a 
                description of the effect of clause (ii)(IV).''; and
                    (B) in subclause (I), by striking ``and (III)'' and 
                inserting ``(III), and, in the case of proposed and 
                final rules for fiscal year 2019 and subsequent fiscal 
                years, (IV)''.
    (b) MedPAC Evaluation and Report.--
            (1) Evaluation.--The Medicare Payment Advisory Commission 
        (in this subsection referred to as the ``Commission'') shall 
        conduct an evaluation of the effects of the amendments made by 
        subsection (a), including the effects on--
                    (A) the numbers of discharges of patients from an 
                inpatient hospital setting to a hospice program;
                    (B) the lengths of stays of patients in an 
                inpatient hospital setting who are discharged to a 
                hospice program;
                    (C) spending under the Medicare program under title 
                XVIII of the Social Security Act; and
                    (D) other areas determined appropriate by the 
                Commission.
            (2) Consideration.--In conducting the evaluation under 
        paragraph (1), the Commission shall consider factors such as 
        whether the timely access to hospice care by patients admitted 
        to a hospital has been affected through changes to hospital 
        policies or behaviors made as a result of such amendments.
            (3) Preliminary results.--Not later than March 15, 2020, 
        the Commission shall provide Congress with preliminary results 
        on the evaluation being conducted under paragraph (1).
            (4) Report.--Not later than March 15, 2021, the Commission 
        shall submit to Congress a report on the evaluation conducted 
        under paragraph (1).

SEC. 53110. MEDICARE PAYMENT UPDATE FOR HOME HEALTH SERVICES.

    Section 1895(b)(3)(B) of the Social Security Act (42 U.S.C. 
1395fff(b)(3)(B)) is amended--
            (1) in clause (iii), in the last sentence, by inserting 
        before the period at the end the following: ``and for 2020 
        shall be 1.5 percent''; and
            (2) in clause (vi), by inserting ``and 2020'' after 
        ``except 2018''.

SEC. 53111. MEDICARE PAYMENT UPDATE FOR SKILLED NURSING FACILITIES.

    Section 1888(e)(5)(B) of the Social Security Act (42 U.S.C. 
1395yy(e)(5)(B)) is amended--
            (1) in clause (i), by striking ``and (iii)'' and inserting 
        ``, (iii), and (iv)'';
            (2) in clause (ii), by striking ``clause (iii)'' and 
        inserting ``clauses (iii) and (iv)''; and
            (3) by adding at the end the following new clause:
                            ``(iv) Special rule for fiscal year 2019.--
                        For fiscal year 2019 (or other similar annual 
                        period specified in clause (i)), the skilled 
                        nursing facility market basket percentage, 
                        after application of clause (ii), is equal to 
                        2.4 percent.''.

SEC. 53112. PREVENTING THE ARTIFICIAL INFLATION OF STAR RATINGS AFTER 
              THE CONSOLIDATION OF MEDICARE ADVANTAGE PLANS OFFERED BY 
              THE SAME ORGANIZATION.

    Section 1853(o)(4) of the Social Security Act (42 U.S.C. 1395w-
23(o)(4)) is amended by adding at the end the following new 
subparagraph:
                    ``(D) Special rule to prevent the artificial 
                inflation of star ratings after the consolidation of 
                medicare advantage plans offered by a single 
                organization.--
                            ``(i) In general.--If--
                                    ``(I) a Medicare Advantage 
                                organization has entered into more than 
                                one contract with the Secretary with 
                                respect to the offering of Medicare 
                                Advantage plans; and
                                    ``(II) on or after January 1, 2019, 
                                the Secretary approves a request from 
                                the organization to consolidate the 
                                plans under one or more contract (in 
                                this subparagraph referred to as a 
                                `closed contract') with the plans 
                                offered under a separate contract (in 
                                this subparagraph referred to as the 
                                `continuing contract');
                        with respect to the continuing contract, the 
                        Secretary shall adjust the quality rating under 
                        the 5-star rating system and any quality 
                        increase under this subsection and rebate 
                        amounts under section 1854 to reflect an 
                        enrollment-weighted average of scores or 
                        ratings for the continuing and closed 
                        contracts, as determined appropriate by the 
                        Secretary.
                            ``(ii) Application.--An adjustment under 
                        clause (i) shall apply for any year for which 
                        the quality rating of the continuing contract 
                        is based primarily on a measurement period that 
                        is prior to the first year in which a closed 
                        contract is no longer offered.''.

SEC. 53113. SUNSETTING EXCLUSION OF BIOSIMILARS FROM MEDICARE PART D 
              COVERAGE GAP DISCOUNT PROGRAM.

    Section 1860D-14A(g)(2)(A) of the Social Security Act (42 U.S.C. 
1395w-114a(g)(2)(A)) is amended by inserting ``, with respect to a plan 
year before 2019,'' after ``other than''.

SEC. 53114. ADJUSTMENTS TO MEDICARE PART B AND PART D PREMIUM SUBSIDIES 
              FOR HIGHER INCOME INDIVIDUALS.

    (a) In General.--Section 1839(i)(3)(C)(i) of the Social Security 
Act (42 U.S.C. 1395r(i)(3)(C)(i)) is amended--
            (1) in subclause (II), in the matter preceding the table, 
        by striking ``years beginning with''; and
            (2) by adding at the end the following new subclause:
                                    ``(III) Subject to paragraph (5), 
                                for years beginning with 2019:

``If the modified adjusted gross income is:.......        The applicable
                                                          percentage is:
More than $85,000 but not more than $107,000......            35 percent
More than $107,000 but not more than $133,500.....            50 percent
More than $133,500 but not more than $160,000.....            65 percent
More than $160,000 but less than $500,000.........            80 percent
At least $500,000.................................        85 percent.''.
 

    (b) Joint Returns.--Section 1839(i)(3)(C)(ii) of the Social 
Security Act (42 U.S.C. 1395r(i)(3)(C)(ii)) is amended by inserting 
before the period the following: ``except, with respect to the dollar 
amounts applied in the last row of the table under subclause (III) of 
such clause (and the second dollar amount specified in the second to 
last row of such table), clause (i) shall be applied by substituting 
dollar amounts which are 150 percent of such dollar amounts for the 
calendar year''.
    (c) Inflation Adjustment.--Section 1839(i)(5) of the Social 
Security Act (42 U.S.C. 1395r(i)(5)) is amended--
            (1) in subparagraph (A), by striking ``In the case'' and 
        inserting ``Subject to subparagraph (C), in the case'';
            (2) in subparagraph (B), by striking ``subparagraph (A)'' 
        and inserting ``subparagraph (A) or (C)''; and
            (3) by adding at the end the following new subparagraph:
                    ``(C) Treatment of adjustments for certain higher 
                income individuals.--
                            ``(i) In general.--Subparagraph (A) shall 
                        not apply with respect to each dollar amount in 
                        paragraph (3) of $500,000.
                            ``(ii) Adjustment beginning 2028.--In the 
                        case of any calendar year beginning after 2027, 
                        each dollar amount in paragraph (3) of $500,000 
                        shall be increased by an amount equal to--
                                    ``(I) such dollar amount, 
                                multiplied by
                                    ``(II) the percentage (if any) by 
                                which the average of the Consumer Price 
                                Index for all urban consumers (United 
                                States city average) for the 12-month 
                                period ending with August of the 
                                preceding calendar year exceeds such 
                                average for the 12-month period ending 
                                with August 2026.''.

SEC. 53115. MEDICARE IMPROVEMENT FUND.

    Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ``$220,000,000'' and inserting 
``$0''.

SEC. 53116. CLOSING THE DONUT HOLE FOR SENIORS.

    (a) Closing Donut Hole Sooner.--Section 1860D-2(b)(2)(D) of the 
Social Security Act (42 U.S.C. 1395w-102(b)(2)(D))--
            (1) in clause (i), by amending subclause (I) to read as 
        follows:
                                    ``(I) equal to the difference 
                                between--
                                            ``(aa) the applicable gap 
                                        percentage (specified in clause 
                                        (ii) for the year); and
                                            ``(bb) the discount 
                                        percentage specified in section 
                                        1860D-14A(g)(4)(A) for such 
                                        applicable drugs (or, in the 
                                        case of a year after 2018, 50 
                                        percent); or''; and
            (2) in clause (ii)--
                    (A) in subclause (IV), by adding ``and'' at the 
                end;
                    (B) by striking subclause (V); and
                    (C) in subclause (VI)--
                            (i) by striking ``2020'' and inserting 
                        ``2019''; and
                            (ii) by redesignating such subclause as 
                        subclause (V).
    (b) Lowering Discounted Price.--Section 1860D-14A(g)(4)(A) of the 
Social Security Act (42 U.S.C. 1395w-114a(g)(4)(A)) is amended by 
inserting ``(or, with respect to a plan year after plan year 2018, 30 
percent)'' after ``50 percent''.

SEC. 53117. MODERNIZING CHILD SUPPORT ENFORCEMENT FEES.

    (a) In General.--Section 454(6)(B)(ii) of the Social Security Act 
(42 U.S.C. 654(6)(B)(ii)) is amended--
            (1) by striking ``$25'' and inserting ``$35''; and
            (2) by striking ``$500'' each place it appears and 
        inserting ``$550''.
    (b) Effective Date.--
            (1) In general.--The amendments made by subsection (a) 
        shall take effect on the 1st day of the 1st fiscal year that 
        begins on or after the date of the enactment of this Act, and 
        shall apply to payments under part D of title IV of the Social 
        Security Act (42 U.S.C. 651 et seq.) for calendar quarters 
        beginning on or after such 1st day.
            (2) Delay permitted if state legislation required.--If the 
        Secretary of Health and Human Services determines that State 
        legislation (other than legislation appropriating funds) is 
        required in order for a State plan developed pursuant to part D 
        of title IV of the Social Security Act (42 U.S.C. 651 et seq.) 
        to meet the requirements imposed by the amendment made by 
        subsection (a), the plan shall not be regarded as failing to 
        meet such requirements before the 1st day of the 1st calendar 
        quarter beginning after the first regular session of the State 
        legislature that begins after the date of the enactment of this 
        Act. For purposes of the preceding sentence, if the State has a 
        2-year legislative session, each year of the session is deemed 
        to be a separate regular session of the State legislature.

SEC. 53118. INCREASING EFFICIENCY OF PRISON DATA REPORTING.

    (a) In General.--Section 1611(e)(1)(I)(i)(II) of the Social 
Security Act (42 U.S.C. 1382(e)(1)(I)(i)(II)) is amended by striking 
``30 days'' each place it appears and inserting ``15 days''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply with respect to any payment made by the Commissioner of Social 
Security pursuant to section 1611(e)(1)(I)(i)(II) of the Social 
Security Act (42 U.S.C. 1382(e)(1)(I)(i)(II)) (as amended by such 
subsection) on or after the date that is 6 months after the date of 
enactment of this Act.

SEC. 53119. PREVENTION AND PUBLIC HEALTH FUND.

    Section 4002(b) of the Patient Protection and Affordable Care Act 
(42 U.S.C. 300u-11(b)), as amended by section 3103 of Public Law 115-
96, is amended by striking paragraphs (4) through (9) and inserting the 
following:
            ``(4) for fiscal year 2019, $900,000,000;
            ``(5) for each of fiscal years 2020 and 2021, $950,000,000;
            ``(6) for each of fiscal years 2022 and 2023, 
        $1,000,000,000;
            ``(7) for each of fiscal years 2024 and 2025, 
        $1,300,000,000;
            ``(8) for each of fiscal years 2026 and 2027, 
        $1,800,000,000; and
            ``(9) for fiscal year 2028 and each fiscal year thereafter, 
        $2,000,000,000.''.

            DIVISION F--IMPROVEMENTS TO AGRICULTURE PROGRAMS

    Sec. 60101. (a) Treatment of Seed Cotton.--
            (1) Designation of seed cotton as a covered commodity.--
        Section 1111(6) of the Agricultural Act of 2014 (7 U.S.C. 
        9011(6)) is amended--
                    (A) by striking ``The term'' and inserting the 
                following:
                    ``(A) In general.--The term''; and
                    (B) by adding at the end the following:
                    ``(B) Inclusion.--Effective beginning with the 2018 
                crop year, the term `covered commodity' includes seed 
                cotton.''.
            (2) Reference price for seed cotton.--Section 1111(18) of 
        the Agricultural Act of 2014 (7 U.S.C. 9011(18)) is amended by 
        adding at the end the following:
                    ``(O) For seed cotton, $0.367 per pound.''.
            (3) Definition of seed cotton.--Section 1111 of the 
        Agricultural Act of 2014 (7 U.S.C. 9011) is amended--
                    (A) by redesignating paragraphs (20) through (24) 
                as paragraphs (21) through (25), respectively; and
                    (B) by inserting after paragraph (19) the 
                following:
            ``(20) Seed cotton.--The term `seed cotton' means unginned 
        upland cotton that includes both lint and seed.''.
            (4) Payment yield.--Section 1113 of the Agricultural Act of 
        2014 (7 U.S.C. 9013) is amended by adding at the end the 
        following:
    ``(e) Payment Yield for Seed Cotton.--
            ``(1) Payment yield.--Subject to paragraph (2), the payment 
        yield for seed cotton for a farm shall be equal to 2.4 times 
        the payment yield for upland cotton for the farm established 
        under section 1104(e)(3) of the Food, Conservation, and Energy 
        Act of 2008 (7 U.S.C. 8714(e)(3)) (as in effect on September 
        30, 2013).
            ``(2) Update.--At the sole discretion of the owner of a 
        farm with a yield for upland cotton described in paragraph (1), 
        the owner of the farm shall have a 1-time opportunity to update 
        the payment yield for upland cotton for the farm, as provided 
        in subsection (d), for the purpose of calculating the payment 
        yield for seed cotton under paragraph (1).''.
            (5) Payment acres.--Section 1114(b) of the Agricultural Act 
        of 2014 (7 U.S.C. 9014(b)) is amended by adding at the end the 
        following:
            ``(4) Seed cotton.--
                    ``(A) In general.--Not later than 90 days after the 
                date of enactment of this paragraph, the Secretary 
                shall require the owner of a farm to allocate all 
                generic base acres on the farm under subparagraph (B) 
                or (C), or both.
                    ``(B) No recent history of covered commodities.--In 
                the case of a farm on which no covered commodities 
                (including seed cotton) were planted or were prevented 
                from being planted at any time during the 2009 through 
                2016 crop years, the owner of such farm shall allocate 
                generic base acres on the farm to unassigned crop base 
                for which no payments may be made under section 1116 or 
                1117.
                    ``(C) Recent history of covered commodities.--In 
                the case of a farm not described in subparagraph (B), 
                the owner of such farm shall allocate generic base 
                acres on the farm--
                            ``(i) subject to subparagraph (D), to seed 
                        cotton base acres in a quantity equal to the 
                        greater of--
                                    ``(I) 80 percent of the generic 
                                base acres on the farm; or
                                    ``(II) the average number of seed 
                                cotton acres planted or prevented from 
                                being planted on the farm during the 
                                2009 through 2012 crop years (not to 
                                exceed the total generic base acres on 
                                the farm); or
                            ``(ii) to base acres for covered 
                        commodities (including seed cotton), by 
                        applying subparagraphs (B), (D), (E), and (F) 
                        of section 1112(a)(3).
                    ``(D) Treatment of residual generic base acres.--In 
                the case of a farm on which generic base acres are 
                allocated under subparagraph (C)(i), the residual 
                generic base acres shall be allocated to unassigned 
                crop base for which no payments may be made under 
                section 1116 or 1117.
                    ``(E) Effect of failure to allocate.--In the case 
                of a farm not described in subparagraph (B) for which 
                the owner of the farm fails to make an election under 
                subparagraph (C), the owner of the farm shall be deemed 
                to have elected to allocate all generic base acres in 
                accordance with subparagraph (C)(i).''.
            (6) Recordkeeping regarding unassigned crop base.--Section 
        1114 of the Agricultural Act of 2014 (7 U.S.C. 9014) is amended 
        by adding at the end the following:
    ``(f) Unassigned Crop Base.--The Secretary shall maintain 
information on generic base acres on a farm allocated as unassigned 
crop base under subsection (b)(4).''.
            (7) Special election period for price loss coverage or 
        agriculture risk coverage.--Section 1115 of the Agricultural 
        Act of 2014 (7 U.S.C. 9015) is amended--
                    (A) in subsection (a), by striking ``For'' and 
                inserting ``Except as provided in subsection (g), 
                for''; and
                    (B) by adding at the end the following:
    ``(g) Special Election.--
            ``(1) In general.--In the case of acres allocated to seed 
        cotton on a farm, all of the producers on the farm shall be 
        given the opportunity to make a new 1-time election under 
        subsection (a) to reflect the designation of seed cotton as a 
        covered commodity for that crop year under section 1111(6)(B).
            ``(2) Effect of failure to make unanimous election.--If all 
        the producers on a farm fail to make a unanimous election under 
        paragraph (1), the producers on the farm shall be deemed to 
        have elected price loss coverage under section 1116 for acres 
        allocated on the farm to seed cotton.''.
            (8) Effective price.--Section 1116 of the Agricultural Act 
        of 2014 (7 U.S.C. 9016) is amended by adding at the end the 
        following:
    ``(h) Effective Price for Seed Cotton.--
            ``(1) In general.--The effective price for seed cotton 
        under subsection (b) shall be equal to the marketing year 
        average price for seed cotton, as calculated under paragraph 
        (2).
            ``(2) Calculation.--The marketing year average price for 
        seed cotton for a crop year shall be equal to the quotient 
        obtained by dividing--
                    ``(A) the sum obtained by adding--
                            ``(i) the product obtained by multiplying--
                                    ``(I) the upland cotton lint 
                                marketing year average price; and
                                    ``(II) the total United States 
                                upland cotton lint production, measured 
                                in pounds; and
                            ``(ii) the product obtained by 
                        multiplying--
                                    ``(I) the cottonseed marketing year 
                                average price; and
                                    ``(II) the total United States 
                                cottonseed production, measured in 
                                pounds; by
                    ``(B) the sum obtained by adding--
                            ``(i) the total United States upland cotton 
                        lint production, measured in pounds; and
                            ``(ii) the total United States cottonseed 
                        production, measured in pounds.''.
            (9) Deemed loan rate for seed cotton.--Section 1202 of the 
        Agricultural Act of 2014 (7 U.S.C. 9032) is amended by adding 
        at the end the following:
    ``(c) Seed Cotton.--
            ``(1) In general.--For purposes of section 1116(b)(2) and 
        paragraphs (1)(B)(ii) and (2)(A)(ii)(II) of section 1117(b), 
        the loan rate for seed cotton shall be deemed to be equal to 
        $0.25 per pound.
            ``(2) Effect.--Nothing in this subsection authorizes any 
        nonrecourse marketing assistance loan under this subtitle for 
        seed cotton.''.
            (10) Limitation on stacked income protection plan for 
        producers of upland cotton.--Section 508B of the Federal Crop 
        Insurance Act (7 U.S.C. 1508b) is amended by adding at the end 
        the following:
    ``(f) Limitation.--Effective beginning with the 2019 crop year, a 
farm shall not be eligible for the Stacked Income Protection Plan for 
upland cotton for a crop year for which the farm is enrolled in 
coverage for seed cotton under--
            ``(1) price loss coverage under section 1116 of the 
        Agricultural Act of 2014 (7 U.S.C. 9016); or
            ``(2) agriculture risk coverage under section 1117 of that 
        Act (7 U.S.C. 9017).''.
            (11) Technical correction.--Section 1114(b)(2) of the 
        Agricultural Act of 2014 (7 U.S.C. 9014(b)(2)) is amended by 
        striking ``paragraphs (1)(B) and (2)(B)'' and inserting 
        ``paragraphs (1) and (2)''.
            (12) Administration.--The Secretary of Agriculture shall 
        carry out the amendments made by this subsection in accordance 
        with section 1601 of the Agricultural Act of 2014 (7 U.S.C. 
        9091).
            (13) Application.--Except as provided in paragraph (10), 
        the amendments made by this subsection shall apply beginning 
        with the 2018 crop year.
    (b) Margin Protection Program for Dairy Producers.--
            (1) Monthly calculation of actual dairy production 
        margin.--
                    (A) Definitions.--Section 1401 of the Agricultural 
                Act of 2014 (7 U.S.C. 9051) is amended--
                            (i) by striking paragraph (4); and
                            (ii) by redesignating paragraphs (5) 
                        through (11) as paragraphs (4) through (10), 
                        respectively.
                    (B) Calculation of actual dairy production 
                margin.--Section 1402(b)(1) of the Agricultural Act of 
                2014 (7 U.S.C. 9052(b)(1)) is amended by striking 
                ``consecutive 2-month period'' each place it appears 
                and inserting ``month''.
                    (C) Margin protection payments.--Section 1406 of 
                the Agricultural Act of 2014 (7 U.S.C. 9056) is 
                amended--
                            (i) by striking ``consecutive 2-month 
                        period'' each place it appears and inserting 
                        ``month''; and
                            (ii) in subsection (c)(2)(B), by striking 
                        ``6'' and inserting ``12''.
            (2) Participation of dairy operations in margin protection 
        program.--Section 1404 of the Agricultural Act of 2014 (7 
        U.S.C. 9054) is amended--
                    (A) in subsection (b)--
                            (i) in paragraph (1), by inserting ``, 
                        including the establishment of a date each 
                        calendar year by which a dairy operation shall 
                        register for the calendar year'' before the 
                        period at the end;
                            (ii) by redesignating paragraphs (2) and 
                        (3) as paragraphs (3) and (4), respectively; 
                        and
                            (iii) by inserting after paragraph (1) the 
                        following:
            ``(2) Extension of election period for 2018 calendar 
        year.--The Secretary shall extend the election period for the 
        2018 calendar year by not less than 90 days after the date of 
        enactment of the Bipartisan Budget Act of 2018 or such 
        additional period as the Secretary determines is necessary for 
        dairy operations to make new elections to participate for that 
        calendar year, including dairy operations that elected to so 
        participate before that date of enactment.''; and
                    (B) in subsection (c), by adding at the end the 
                following:
            ``(4) Exemption.--A limited resource, beginning, veteran, 
        or socially disadvantaged farmer, as defined by the Secretary, 
        shall be exempt from the administrative fee under this 
        subsection.''.
            (3) Production history of participating dairy operations.--
        Section 1405(a) of the Agricultural Act of 2014 (7 U.S.C. 
        9055(a)) is amended by adding at the end the following:
            ``(3) Continued applicability of base production history.--
        A production history established for a dairy operation under 
        paragraph (1) shall be the base production history for the 
        dairy operation in subsequent years (as adjusted under 
        paragraph (2)).''.
            (4) Premiums for margin protection program.--Section 1407 
        of the Agricultural Act of 2014 (7 U.S.C. 9057) is amended--
                    (A) in subsection (b)--
                            (i) by striking the subsection heading and 
                        inserting the following: ``Tier I: Premium Per 
                        Hundredweight for First 5,000,000 Pounds of 
                        Production.--'';
                            (ii) in paragraph (1), by striking 
                        ``4,000,000'' and inserting ``5,000,000''; and
                            (iii) in paragraph (2)--
                                    (I) by striking ``$0.010'' and 
                                inserting ``None'';
                                    (II) by striking ``$0.025'' and 
                                inserting ``None'';
                                    (III) by striking ``$0.040'' and 
                                inserting ``$0.009'';
                                    (IV) by striking ``$0.055'' and 
                                inserting ``$0.016'';
                                    (V) by striking ``$0.090'' and 
                                inserting ``$0.040'';
                                    (VI) by striking ``$0.217'' and 
                                inserting ``$0.063'';
                                    (VII) by striking ``$0.300'' and 
                                inserting ``$0.087''; and
                                    (VIII) by striking ``$0.475'' and 
                                inserting ``$0.142''; and
                    (B) in subsection (c)--
                            (i) by striking the subsection heading and 
                        inserting the following: ``Tier II: Premium Per 
                        Hundredweight for Production in Excess of 
                        5,000,000 Pounds.--''; and
                            (ii) in paragraph (1), by striking 
                        ``4,000,000'' and inserting ``5,000,000''.
            (5) Application.--The amendments made by this subsection 
        shall apply beginning with the 2018 calendar year.
    (c) Limitation on Crop Insurance Livestock-related Expenditures.--
            (1) In general.--Section 523(b) of the Federal Crop 
        Insurance Act (7 U.S.C. 1523(b)) is amended by striking 
        paragraph (10).
            (2) Conforming amendments.--Section 516 of the Federal Crop 
        Insurance Act (7 U.S.C. 1516) is amended in subsections 
        (a)(2)(C) and (b)(1)(D) by striking ``subsections (a)(3)(E)(ii) 
        and (b)(10) of section 523'' each place it appears and 
        inserting ``subsection (a)(3)(E)(ii) of that section''.
    Sec. 60102. (a) Section 1240B of the Food Security Act of 1985 (16 
U.S.C. 3839aa-2) is amended by striking subsection (a) and inserting 
the following:
    ``(a) Establishment.--During each of the 2002 through 2019 fiscal 
years, the Secretary shall provide payments to producers that enter 
into contracts with the Secretary under the program.''.
    (b) Section 1241 of the Food Security Act of 1985 (16 U.S.C. 3841) 
is amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``2018'' and inserting ``2018 (and fiscal year 
                2019 in the case of the program specified in paragraph 
                (5))''; and
                    (B) in paragraph (5)(E), by striking ``fiscal year 
                2018'' and inserting ``each of fiscal years 2018 
                through 2019''; and
            (2) in subsection (b), by striking ``2018'' and inserting 
        ``2018 (and fiscal year 2019 in the case of the program 
        specified in subsection (a)(5))''.
    This division may be cited as the ``Improvements to Agriculture 
Programs Act of 2018''.

                     DIVISION G--BUDGETARY EFFECTS

SEC. 70101. BUDGETARY EFFECTS.

    (a) In General.--The budgetary effects of division A, subdivision 2 
of division B, and division C and each succeeding division shall not be 
entered on either PAYGO scorecard maintained pursuant to section 4(d) 
of the Statutory Pay-As-You-Go Act of 2010.
    (b) Senate Paygo Scorecards.--The budgetary effects of division A, 
subdivision 2 of division B, and division C and each succeeding 
division shall not be entered on any PAYGO scorecard maintained for 
purposes of section 4106 of H. Con. Res. 71 (115th Congress).
    (c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of 
the Budget Scorekeeping Guidelines set forth in the joint explanatory 
statement of the committee of conference accompanying Conference Report 
105-217 and section 250(c)(8) of the Balanced Budget and Emergency 
Deficit Control Act of 1985, the budgetary effects of division A, 
subdivision 2 of division B, and division C and each succeeding 
division shall not be estimated--
            (1) for purposes of section 251 of such Act; and
            (2) for purposes of paragraph (4)(C) of section 3 of the 
        Statutory Pay-As-You-Go Act of 2010 as being included in an 
        appropriation Act.

            Attest:

                                                             Secretary.
115th CONGRESS

  2d Session

                               H.R. 1892

_______________________________________________________________________

        SENATE AMENDMENT TO HOUSE AMENDMENT TO SENATE AMENDMENT
```