SALT Act

Subjects: Health


<html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1326 Introduced in House (IH)]

&lt;DOC&gt;






118th CONGRESS
  1st Session
                                H. R. 1326

  To modify the limitation on the deduction by individuals of certain 
 State and local taxes and to provide coverage for hearing and vision 
                    care under the Medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 1, 2023

  Ms. Porter introduced the following bill; which was referred to the 
Committee on Ways and Means, and in addition to the Committee on Energy 
    and Commerce, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
  To modify the limitation on the deduction by individuals of certain 
 State and local taxes and to provide coverage for hearing and vision 
                    care under the Medicare program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Supporting Americans with Lower 
Taxes Act'' or as the ``SALT Act''.

SEC. 2. MODIFICATION OF LIMITATION ON THE DEDUCTION BY INDIVIDUALS OF 
              CERTAIN STATE AND LOCAL, ETC., TAXES.

    (a) In General.--Section 164(b)(6) of the Internal Revenue Code of 
1986 is amended to read as follows:
            ``(6) Limitation on deduction by certain high-income 
        individuals.--
                    ``(A) In general.--In the case of a taxpayer with 
                adjusted gross income which equals or exceeds $400,000 
                for any taxable year--
                            ``(i) foreign real property taxes shall not 
                        be taken into account under subsection (a)(1) 
                        (or section 216(a)) for such taxable year, and
                            ``(ii) the aggregate amount of taxes taken 
                        into account under paragraphs (1), (2), and (3) 
                        of subsection (a) and paragraph (5) of this 
                        subsection (and any tax described in any such 
                        paragraph taken into account under section 
                        216(a)(1)) for such taxable year shall not 
                        exceed $60,000.
                    ``(B) Phasedown of limitation based on adjusted 
                gross income.--The $60,000 amount in subparagraph 
                (A)(ii) shall be reduced (but not below zero) by the 
                dollar amount which bears the same ratio to $60,000 
                as--
                            ``(i) the excess of the taxpayer's adjusted 
                        gross income over $400,000, bears to
                            ``(ii) $600,000.
                    ``(C) Application restricted to certain taxpayers 
                and taxes.--
                            ``(i) Application to individuals.--
                        Subparagraph (A) shall only apply to 
                        individuals, estates, and trusts.
                            ``(ii) Exclusion of certain business 
                        taxes.--Subparagraph (A) shall not apply to any 
                        foreign taxes described in subsection (a)(3) or 
                        to any taxes described in paragraph (1) and (2) 
                        of subsection (a) which are paid or accrued in 
                        carrying on a trade or business or an activity 
                        described in section 212.
                    ``(D) Married individuals filing a separate 
                return.--In the case of a married individual filing a 
                separate return, subparagraphs (A) and (B) shall be 
                applied--
                            ``(i) by substituting `$200,000' for 
                        `$400,000' each place it appears,
                            ``(ii) by substituting `$30,000' for 
                        `$60,000' each place it appears, and
                            ``(iii) by substituting `$300,000' for 
                        `$600,000' in subparagraph (B)(ii).
                    ``(E) Estates and trusts.--In the case of an estate 
                or trust, adjusted gross income shall be determined as 
                provided in section 67(e).
                    ``(F) Denial of deduction to billionaires.--Unless 
                the taxpayer has less than $1,000,000,000 ($500,000,000 
                in the case of a married individual filing a separate 
                return) in assets as of the close of the taxable year 
                (and attests to such fact under penalty of perjury at 
                such time and in such manner as the Secretary may 
                provide)--
                            ``(i) subparagraph (A) shall be applied--
                                    ``(I) by substituting `zero' for 
                                `$400,000', and
                                    ``(II) by substituting `zero' for 
                                `$60,000', and
                            ``(ii) subparagraphs (B) and (D) shall not 
                        apply.
                For purposes of this subparagraph, the term `assets' 
                means all property, real or personal, tangible or 
                intangible, wherever situated (within the meaning of 
                section 2031) and such property shall be valued in the 
                same manner as for purposes of part III of subchapter A 
                of chapter 11.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to taxable years beginning after the date of the enactment of 
this Act.
    (c) Appropriations to Federal Supplementary Medical Insurance Trust 
Fund.--
            (1) In general.--There are hereby appropriated to the 
        Federal Supplementary Medical Insurance Trust Fund amounts 
        equivalent to the amounts received in the Treasury by reason of 
        the amendment made by subsection (a). Rules similar to the 
        rules of section 9601 of the Internal Revenue Code of 1986 
        shall apply with respect to transfers made by reason of the 
        preceding sentence.
            (2) Conforming amendment.--Section 1841(a) of the Social 
        Security Act (42 U.S.C. 1395t) is amended by inserting ``, or 
        section 2(b) of the SALT Act,'' after ``this part''.

SEC. 3. PROVIDING COVERAGE FOR HEARING CARE UNDER THE MEDICARE PROGRAM.

    (a) Provision of Audiology Services by Qualified Audiologists and 
Qualified Hearing Aid Professionals.--
            (1) In general.--Section 1861(ll) of the Social Security 
        Act (42 U.S.C. 1395x(ll)) is amended--
                    (A) in paragraph (3)--
                            (i) by inserting ``(and, beginning January 
                        1, 2025, such aural rehabilitation and 
                        treatment services)'' after ``assessment 
                        services'';
                            (ii) by inserting ``, and, beginning on 
                        January 1, 2025, such hearing assessment 
                        services furnished by a qualified hearing aid 
                        professional,'' after ``by a qualified 
                        audiologist''; and
                            (iii) by striking ``the audiologist'' and 
                        inserting ``the audiologist or qualified 
                        hearing aid professional''; and
                    (B) in paragraph (4), by adding at the end the 
                following new subparagraph:
            ``(C) The term `qualified hearing aid professional' means, 
        with respect to hearing assessment services described in 
        paragraph (3), an individual who--
                    ``(i) is licensed or registered as a hearing aid 
                dispenser, hearing aid specialist, hearing instrument 
                dispenser, or related professional by the State in 
                which the individual furnishes such services; and
                    ``(ii) meets such other requirements as the 
                Secretary determines appropriate (including 
                requirements relating to educational certifications or 
                accreditations), taking into account any additional 
                requirements for hearing aid specialists, hearing aid 
                dispensers, and hearing instrument dispensers 
                established by Medicare Advantage organizations under 
                part C, State plans (or waivers of such plans) under 
                title XIX, and the group health plans and health 
                insurance issuers (as such terms are defined in section 
                2791 of the Public Health Service Act).''.
            (2) Payment for qualified hearing aid professionals.--
        Section 1833(a)(1) of the Social Security Act (42 U.S.C. 
        1395l(a)(1)) is amended--
                    (A) by striking ``and'' before ``(HH)''; and
                    (B) by inserting before the semicolon at the end 
                the following: ``and (II) with respect to hearing 
                assessment services (as described in paragraph (3) of 
                section 1861(ll)) furnished by a qualified hearing aid 
                professional (as defined in paragraph (4)(C) of such 
                section), the amounts paid shall be equal to 80 percent 
                of the lesser of the actual charge for such services or 
                85 percent of the amount for such services determined 
                under the payment basis determined under section 
                1848''.
    (b) Coverage of Hearing Aids.--
            (1) Inclusion of hearing aids as prosthetic devices.--
        Section 1861(s)(8) of the Social Security Act (42 U.S.C. 
        1395x(s)(8)) is amended by inserting ``, and including hearing 
        aids (as described in section 1834(h)(7)) furnished on or after 
        January 1, 2025, to individuals diagnosed with moderately 
        severe, severe, or profound hearing loss'' before the semicolon 
        at the end.
            (2) Payment limitations for hearing aids.--Section 1834(h) 
        of the Social Security Act (42 U.S.C. 1395m(h)) is amended by 
        adding at the end the following new paragraphs:
            ``(6) Payment only on an assignment-related basis.--Payment 
        for hearing aids for which payment may be made under this part 
        may be made only on an assignment-related basis. The provisions 
        of section 1842(b)(18)(B) shall apply to hearing aids in the 
        same manner as they apply to services furnished by a 
        practitioner described in subsection (b)(18)(C).
            ``(7) Limitations for hearing aids.--Payment may be made 
        under this part with respect to an individual, with respect to 
        hearing aids furnished on or after January 1, 2025--
                    ``(A) not more than once per ear during a 5-year 
                period;
                    ``(B) only for types of such hearing aids that are 
                determined appropriate by the Secretary; and
                    ``(C) only if furnished pursuant to a written order 
                of a physician, qualified audiologist (as defined in 
                section 1861(ll)(4)), qualified hearing aid 
                professional (as so defined), physician assistant, 
                nurse practitioner, or clinical nurse specialist.''.
            (3) Application of competitive acquisition.--
                    (A) In general.--Section 1834(h)(1)(H) of the 
                Social Security Act (42 U.S.C. 1395m(h)(1)(H)) is 
                amended--
                            (i) in the header, by inserting ``and 
                        hearing aids'' after ``orthotics'';
                            (ii) by inserting ``, or of hearing aids 
                        described in paragraph (2)(D) of such 
                        section,'' after ``2011,''; and
                            (iii) in clause (i), by inserting ``or such 
                        hearing aids'' after ``such orthotics''.
                    (B) Conforming amendment.--
                            (i) In general.--Section 1847(a)(2) of the 
                        Social Security Act (42 U.S.C. 1395w-3(a)(2)) 
                        is amended by adding at the end the following 
                        new subparagraph:
                    ``(D) Hearing aids.--Hearing aids described in 
                section 1861(s)(8) for which payment would otherwise be 
                made under section 1834(h).''.
                            (ii) Exemption of certain items from 
                        competitive acquisition.--Section 1847(a)(7) of 
                        the Social Security Act (42 U.S.C. 1395w-
                        3(a)(7)) is amended by adding at the end the 
                        following new subparagraph:
                    ``(C) Certain hearing aids.--Those items and 
                services described in paragraph (2)(D) if furnished by 
                a physician or other practitioner (as defined by the 
                Secretary) to the physician's or practitioner's own 
                patients as part of the physician's or practitioner's 
                professional service.''.
            (4) Inclusion of qualified audiologists and qualified 
        hearing aid professionals as certain practitioners to receive 
        payment on an assignment-related basis.--Section 1842(b)(18)(C) 
        of the Social Security Act (42 U.S.C. 1395u(b)(18)(C)), is 
        amended by adding at the end the following new clauses:
                            ``(ix) Beginning on January 1, 2025, a 
                        qualified audiologist (as defined in section 
                        1861(ll)(4)(B)).
                            ``(x) A qualified hearing aid professional 
                        (as defined in section 1861(ll)(4)(C)).''.
    (c) Exclusion Modification.--Section 1862(a)(7) of the Social 
Security Act (42 U.S.C. 1395y(a)(7)) is amended by inserting ``(except 
such hearing aids or examinations therefor as described in and 
otherwise allowed under section 1861(s)(8))'' after ``hearing aids or 
examinations therefor''.
    (d) Inclusion as Excepted Medical Treatment.--Section 1821(b)(5)(A) 
of the Social Security Act (42 U.S.C. 1395i-5(b)(5)(A)) is amended--
            (1) in clause (i), by striking ``or'';
            (2) in clause (ii), by striking the period and inserting 
        ``, or''; and
            (3) by adding at the end the following new clause:
                            ``(iii) consisting of audiology services 
                        described in subsection (ll)(3) of section 
                        1861, or hearing aids described in subsection 
                        (s)(8) of such section, that are payable under 
                        part B as a result of the amendments made by 
                        the SALT Act.''.
    (e) Rural Health Clinics and Federally Qualified Health Centers.--
            (1) Clarifying coverage of audiology services as 
        physicians' services.--Section 1861(aa)(1)(A) of the Social 
        Security Act (42 U.S.C. 1395x(aa)(1)(A)) is amended by 
        inserting ``(including audiology services (as defined in 
        subsection (ll)(3)))'' after ``physicians' services''.
            (2) Inclusion of qualified audiologists and qualified 
        hearing aid professionals as rhc and fqhc practitioners.--
        Section 1861(aa)(1)(B) of the Social Security Act (42 U.S.C. 
        1395x(aa)(1)(B)) is amended by inserting ``or by a qualified 
        audiologist or a qualified hearing aid professional (as such 
        terms are defined in subsection (ll)),'' after ``(as defined in 
        subsection (hh)(1)),''.
            (3) Temporary payment rates for certain services under the 
        rhc air and fqhc pps.--
                    (A) AIR.--Section 1833 of the Social Security Act 
                (42 U.S.C. 1395l) is amended--
                            (i) in subsection (a)(3)(A), by inserting 
                        ``(which shall, in the case of audiology 
                        services (as defined in section 1861(ll)(3)), 
                        in lieu of any limits on reasonable charges 
                        otherwise applicable, be based on the rates 
                        payable for such services under the payment 
                        basis determined under section 1848 until such 
                        time as the Secretary determines sufficient 
                        data has been collected to otherwise apply such 
                        limits (or January 1, 2031, if no such 
                        determination has been made as of such date))'' 
                        after ``may prescribe in regulations''; and
                            (ii) by adding at the end the following new 
                        subsection:
    ``(ee) Disregard of Costs Attributable to Certain Services From 
Calculation of RHC AIR.--Payments for rural health clinic services 
other than audiology services (as defined in section 1861(ll)(3)) under 
the methodology for all-inclusive rates (established by the Secretary) 
under subsection (a)(3) shall not take into account the costs of such 
services while rates for such services are based on rates payable for 
such services under the payment basis established under section 
1848.''.
                    (B) PPS.--Section 1834(o) of the Social Security 
                Act (42 U.S.C. 1395m(o)) is amended by adding at the 
                end the following new paragraph:
            ``(5) Temporary payment rates based on pfs for certain 
        services.--The Secretary shall, in establishing payment rates 
        for audiology services (as defined in section 1861(ll)(3)) that 
        are Federally qualified health center services under the 
        prospective payment system established under this subsection, 
        in lieu of the rates otherwise applicable under such system, 
        base such rates on rates payable for such services under the 
        payment basis established under section 1848 until such time as 
        the Secretary determines sufficient data has been collected to 
        otherwise establish rates for such services under such system 
        (or January 1, 2031, if no such determination has been made as 
        of such date). Payments for Federally qualified health center 
        services other than such audiology services under such system 
        shall not take into account the costs of such services while 
        rates for such services are based on rates payable for such 
        services under the payment basis established under section 
        1848.''.
    (f) Implementation.--
            (1) In general.--In addition to amounts otherwise 
        available, the Secretary of Health and Human Services shall 
        provide for the transfer from the Federal Supplementary Medical 
        Insurance Trust Fund established under section 1841 of the 
        Social Security Act (42 U.S.C. 1395t) to the Centers for 
        Medicare & Medicaid Services Program Management Account of--
                    (A) $20,000,000 for each of fiscal years 2024 and 
                2025 for purposes of implementing the amendments made 
                by this section; and
                    (B) such sums as determined appropriate by the 
                Secretary for each subsequent fiscal year for purposes 
                of administering the provisions of such amendments.
            (2) Availability and additional use of funds.--Funds 
        transferred pursuant to paragraph (1) shall remain available 
        until expended and may be used, in addition to the purposes 
        specified in paragraph (1), to implement the amendments made by 
        section 4.
            (3) Administration.--The Secretary may implement, by 
        program instruction or otherwise, any of the provisions of, or 
        amendments made by, this section.

SEC. 4. PROVIDING COVERAGE FOR VISION CARE UNDER THE MEDICARE PROGRAM.

    (a) Coverage.--Section 1861(s)(2) of the Social Security Act (42 
U.S.C. 1395x(s)(2)) is amended--
            (1) in subparagraph (II), by striking ``and'' after the 
        semicolon at the end;
            (2) in subparagraph (JJ), by striking the period at the end 
        and adding ``; and''; and
            (3) by adding at the end the following new subparagraph:
            ``(KK) vision services (as defined in subsection (nnn));''.
    (b) Vision Services Defined.--Section 1861 of the Social Security 
Act (42 U.S.C. 1395x) is amended by adding at the end the following new 
subsection:
    ``(nnn) Vision Services.--The term `vision services' means--
            ``(1) routine eye examinations to determine the refractive 
        state of the eyes, including procedures performed during the 
        course of such examination; and
            ``(2) contact lens fitting services,
furnished on or after January 1, 2025, by or under the direct 
supervision of an ophthalmologist or optometrist who is legally 
authorized to furnish such examinations, procedures, or fitting 
services (as applicable) under State law (or the State regulatory 
mechanism provided by State law) of the State in which the 
examinations, procedures, or fitting services are furnished.''.
    (c) Payment Limitations.--Section 1834 of the Social Security Act 
(42 U.S.C. 1395m) is amended by adding at the end the following new 
subsection:
    ``(aa) Limitation for Vision Services.--With respect to vision 
services (as defined in section 1861(nnn)) and an individual, payment 
may be made under this part for only 1 routine eye examination 
described in paragraph (1) of such section and 1 contact lens fitting 
service described in paragraph (2) of such section during a 2-year 
period.''.
    (d) Payment Under Physician Fee Schedule.--Section 1848(j)(3) of 
the Social Security Act (42 U.S.C. 1395w-4(j)(3)) is amended by 
inserting ``(2)(KK),'' before ``(3)''.
    (e) Coverage of Conventional Eyeglasses and Contact Lenses.--
            (1) In general.--Section 1861(s)(8) of the Social Security 
        Act (42 U.S.C. 1395x(s)(8)) is amended by striking ``, and 
        including one pair of conventional eyeglasses or contact lenses 
        furnished subsequent to each cataract surgery with insertion of 
        an intraocular lens'' and inserting ``, including one pair of 
        conventional eyeglasses or contact lenses furnished subsequent 
        to each cataract surgery with insertion of an intraocular lens, 
        if furnished before January 1, 2025, and including conventional 
        eyeglasses or contact lenses (as described in section 
        1834(h)(8)), whether or not furnished subsequent to such a 
        surgery, if furnished on or after January 1, 2025''.
            (2) Conforming amendment.--Section 1842(b)(11)(A) of the 
        Social Security Act (42 U.S.C. 1395u(b)(11)(A)) is amended by 
        inserting ``furnished prior to January 1, 2025,'' after 
        ``relating to them,''.
    (f) Special Payment Rules for Eyeglasses and Contact Lenses.--
            (1) Limitations.--Section 1834(h) of the Social Security 
        Act (42 U.S.C. 1395m(h)), as amended by section 3, is further 
        amended by adding at the end the following new paragraph:
            ``(8) Payment limitations for eyeglasses and contact 
        lenses.--
                    ``(A) In general.--With respect to eyeglasses and 
                contact lenses furnished to an individual on or after 
                January 1, 2025, subject to subparagraph (B), payment 
                may be made under this part only--
                            ``(i) during a 2-year period, for either 1 
                        pair of eyeglasses (including lenses and 
                        frames) or not more than a 2-year supply of 
                        contact lenses;
                            ``(ii) with respect to amounts attributable 
                        to the lenses and frames of such a pair of 
                        eyeglasses or amounts attributable to such a 2-
                        year supply of contact lenses, in an amount not 
                        greater than--
                                    ``(I) for a pair of eyeglasses 
                                furnished in, or a 2-year supply of 
                                contact lenses beginning in, 2025--
                                            ``(aa) $85 for the lenses 
                                        of such pair of eyeglasses and 
                                        $85 for the frames of such pair 
                                        of eyeglasses; or
                                            ``(bb) $85 for such 2-year 
                                        supply of contact lenses; and
                                    ``(II) for the lenses and frames of 
                                a pair of eyeglasses furnished in, or a 
                                2-year supply of contact lenses 
                                beginning in, a subsequent year, the 
                                dollar amounts specified under this 
                                subparagraph for the previous year, 
                                increased by the percentage change 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;
                            ``(iii) if furnished pursuant to a written 
                        order of an ophthalmologist or optometrist 
                        described in subsection (nnn); and
                            ``(iv) if during the 2-year period 
                        described in clause (i), the individual did not 
                        already receive (as described in subparagraph 
                        (B)) one pair of conventional eyeglasses or 
                        contact lenses subsequent to a cataract surgery 
                        with insertion of an intraocular lens furnished 
                        during such period.
                    ``(B) Exception.--With respect to a 2-year period 
                described in subparagraph (A)(i), in the case of an 
                individual who receives cataract surgery with insertion 
                of an intraocular lens, notwithstanding subparagraph 
                (A), payment may be made under this part for one pair 
                of conventional eyeglasses or contact lenses furnished 
                subsequent to such cataract surgery during such period.
                    ``(C) Limitation on judicial review.--There shall 
                be no administrative or judicial review under section 
                1869 or otherwise of--
                            ``(i) the determination of the types of 
                        eyeglasses and contact lenses covered under 
                        this paragraph; or
                            ``(ii) the determination of fee schedule 
                        rates under this subsection for eyeglasses and 
                        contact lenses.''.
            (2) Application of competitive acquisition.--
                    (A) In general.--Section 1834(h)(1)(H) of the 
                Social Security Act (42 U.S.C. 1395m(h)(1)(H)), as 
                amended by section 3, is further amended--
                            (i) in the header, by striking ``and 
                        hearing aids'' and inserting ``hearing aids, 
                        eyeglasses, and contact lenses'';
                            (ii) by inserting ``and of eyeglasses and 
                        contact lenses described in paragraph (2)(E) of 
                        such section,'' after ``paragraph (2)(D) of 
                        such section,''; and
                            (iii) in clause (i), by inserting ``, or 
                        such eyeglasses and contact lenses'' after 
                        ``such hearing aids''.
                    (B) Conforming amendment.--
                            (i) In general.--Section 1847(a)(2) of the 
                        Social Security Act (42 U.S.C. 1395w-3(a)(2)), 
                        as amended by section 3, is further amended by 
                        adding at the end the following new 
                        subparagraph:
                    ``(E) Eyeglasses and contact lenses.--Eyeglasses 
                and contact lenses described in section 1861(s)(8) for 
                which payment would otherwise be made under section 
                1834(h).''.
                            (ii) Exemption of certain items from 
                        competitive acquisition.--Section 1847(a)(7) of 
                        the Social Security Act (42 U.S.C. 1395w-
                        3(a)(7)), as amended by section 3, is further 
                        amended by adding at the end the following new 
                        subparagraph:
                    ``(D) Certain eyeglasses and contact lenses.--Those 
                items and services described in paragraph (2)(E) if 
                furnished by a physician or other practitioner (as 
                defined by the Secretary) to the physician's or 
                practitioner's own patients as part of the physician's 
                or practitioner's professional service.''.
    (g) Exclusion Modifications.--Section 1862(a) of the Social 
Security Act (42 U.S.C. 1395y(a)) is amended--
            (1) in paragraph (1)--
                    (A) in subparagraph (O), by striking ``and'' at the 
                end;
                    (B) in subparagraph (P), by striking the semicolon 
                at the end and inserting ``, and''; and
                    (C) by adding at the end the following new 
                subparagraph:
            ``(Q) in the case of vision services (as defined in section 
        1861(nnn)) that are routine eye examinations and contact lens 
        fitting services (as described in paragraph (1) or (2), 
        respectively, of such section), which are furnished more 
        frequently than once during a 2-year period;''; and
            (2) in paragraph (7)--
                    (A) by inserting ``(other than such an examination 
                that is a vision service that is covered under section 
                1861(s)(2)(KK))'' after ``eye examinations''; and
                    (B) by inserting ``(other than such a procedure 
                that is a vision service that is covered under section 
                1861(s)(2)(KK))'' after ``refractive state of the 
                eyes''.
    (h) Implementation.--
            (1) Funding.--
                    (A) In general.--In addition to amounts otherwise 
                available, the Secretary of Health and Human Services 
                (in this subsection referred to as the ``Secretary'') 
                shall provide for the transfer from the Federal 
                Supplementary Medical Insurance Trust Fund under 
                section 1841 of the Social Security Act (42 U.S.C. 
                1395t) to the Centers for Medicare & Medicaid Services 
                Program Management Account of--
                            (i) $20,000,000 for each of fiscal years 
                        2024 and 2025 for purposes of implementing the 
                        amendments made by this section; and
                            (ii) such sums as determined appropriate by 
                        the Secretary for each subsequent fiscal year 
                        for purposes of administering the provisions of 
                        such amendments.
                    (B) Availability and additional use of funds.--
                Funds transferred pursuant to subparagraph (A) shall 
                remain available until expended and may be used, in 
                addition to the purpose specified in subparagraph 
                (A)(i), to implement the amendments made by section 3.
            (2) Administration.--The Secretary may implement, by 
        program instruction or otherwise, any of the provisions of, or 
        amendments made by, this section.
                                 &lt;all&gt;
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