cheaptrix/billsum-US_congress_and_house huggingface dataset:
To amend the Indian Health Care Improvement Act to authorize additional funding for planning, design, construction, modernization, and renovation of hospitals and outpatient health care facilities.

To amend the Indian Health Care Improvement Act to authorize additional funding for planning, design, construction, modernization, and renovation of hospitals and outpatient health care facilities. 1. 21st Century Indian health program hospitals and outpatient health care facilities The Indian Health Care Improvement Act is amended by inserting after section 301 of such Act ( 25 U.S.C. 1631 301A. Additional funding for planning, design, construction, modernization, and renovation of hospitals and outpatient health care facilities (a) Additional funding For the purpose described in subsection (b), in addition to any other funds available for such purpose, there is authorized to be appropriated $5,000,000,000 for the period of fiscal years 2022 through 2026. (b) Purpose The purpose described in this subsection is the planning, design, construction, modernization, and renovation of hospitals and outpatient health care facilities that are funded, in whole or part, by the Service through, or provided for in, a contract or compact with the Service under the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5301 .

Summary: This bill authorizes additional funding through FY2026 for the Indian Health Service to plan, design, construct, modernize, and renovate hospitals and outpatient health care facilities, including to address COVID-19 (i.e., coronavirus disease 2019).
To authorize the Secretary of Health and Human Services to award grants to States and political subdivisions of States to support the improvement, renovation, or modernization of infrastructure at clinical laboratories that will help to improve SARS-CoV-2 and COVID-19 testing and response activities, including the expansion and enhancement of testing capacity at such laboratories.

To authorize the Secretary of Health and Human Services to award grants to States and political subdivisions of States to support the improvement, renovation, or modernization of infrastructure at clinical laboratories that will help to improve SARS–CoV–2 and COVID–19 testing and response activities, including the expansion and enhancement of testing capacity at such laboratories. 1. Pilot program to improve laboratory infrastructure (a) In general The Secretary of Health and Human Services shall award grants to States and political subdivisions of States to support the improvement, renovation, or modernization of infrastructure at clinical laboratories (as defined in section 353 of the Public Health Service Act ( 42 U.S.C. 263a (b) Authorization of appropriations To carry out this section, there is authorized to be appropriated $4,500,000,000 for the period of fiscal years 2022 through 2026.

Summary: This bill requires the Department of Health and Human Services to award grants to states and localities for improving clinical laboratory infrastructure to expand COVID-19 (i.e., coronavirus disease 2019) testing capacity.
Veteran’s Choice Accountability Act

To improve the provision of health care by the Department of Veterans Affairs, and for other purposes. 1. Short title This Act may be cited as the Veteran’s Choice Accountability Act 2. Evaluation of fee-basis care provided by Department of Veterans Affairs The Secretary of Veterans Affairs shall evaluate all programs of the Department of Veterans Affairs under which the Secretary furnishes hospital care, medical services, and nursing home care to determine the most intensively used specialized care programs of the Department and to ensure such programs are maintained as centers of excellence. 3. Evaluation of implementation of VA Budget and Choice Improvement Act Not later than two years after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to Congress an evaluation of the implementation by the Secretary of the VA Budget and Choice Improvement Act (title IV of Public Law 114–41

Summary: Veteran's Choice Accountability Act This bill requires the Department of Veterans Affairs (VA) to evaluate VA programs that furnish hospital care, medical services, and nursing home care to ensure that the most intensively used specialized care programs are maintained as centers of excellence. The bill also requires the VA to submit an evaluation of the VA's implementation of the VA Budget and Choice Improvement Act.
RETROACTIVE Policy Act

To amend the Federal Water Pollution Control Act to clarify when the Administrator of the Environmental Protection Agency has the authority to prohibit the specification of a defined area, or deny or restrict the use of a defined area for specification, as a disposal site under section 404 of such Act, and for other purposes. 1. Short title This Act may be cited as the Revoking EPA’s Tyrannical Ruling Over Approved Commercial Tasks Involving no Violations of Environmental Policy Act RETROACTIVE Policy Act 2. Permits for dredged or fill material (a) In general Section 404(c) of the Federal Water Pollution Control Act ( 33 U.S.C. 1344(c) (1) by striking (c) (c)(1) (2) in paragraph (1), as so designated, by inserting during the period described in paragraph (2) and after notice and opportunity for public hearings (3) by adding at the end the following: (2) (A) The period during which the Administrator may prohibit the specification (including the withdrawal of specification) of any defined area as a disposal site, or deny or restrict the use of any defined area for specification (including the withdrawal of specification) as a disposal site, under paragraph (1) shall— (i) begin on the date that the Secretary provides notice to the Administrator that the Secretary has completed all procedures for processing an application for a permit under this section relating to the specification and is ready to determine, in accordance with the record and applicable regulations, whether the permit should be issued; and (ii) end on the date that the Secretary issues the permit. (B) The Secretary shall ensure that the period described in subparagraph (A) consists of not fewer than 30 consecutive days. (C) The Secretary may issue a permit under this section only after the Secretary provides notice to the Administrator in accordance with this paragraph. . (b) Applicability The amendments made by subsection (a) shall apply to a permit application submitted under section 404(a) of the Federal Water Pollution Control Act ( 33 U.S.C. 1344(a)

Summary: Revoking EPA's Tyrannical Ruling Over Approved Commercial Tasks Involving no Violations of Environmental Policy Act or the RETROACTIVE Policy Act This bill limits the period during which the Environmental Protection Agency may prohibit the specification, or restrict the use, of an area as a disposal site for discharges of dredged or fill materials into waters of the United States.
RURAL Act

To amend the Federal Insecticide, Fungicide, and Rodenticide Act and the Federal Water Pollution Control Act to clarify Congressional intent regarding the regulation of the use of pesticides in or near navigable waters, and for other purposes. 1. Short title This Act may be cited as the Reducing Unnecessary Regulations on Agricultural Lands Act RURAL Act 2. Use of authorized pesticides Section 3(f) of the Federal Insecticide, Fungicide, and Rodenticide Act ( 7 U.S.C. 136a(f) (5) Use of authorized pesticides Except as provided in section 402(t) of the Federal Water Pollution Control Act, the Administrator or a State may not require a permit under such Act for a discharge from a point source into navigable waters of a pesticide authorized for sale, distribution, or use under this Act, or the residue of such a pesticide, resulting from the application of such pesticide. . 3. Discharges of pesticides Section 402 of the Federal Water Pollution Control Act ( 33 U.S.C. 1342 (t) Discharges of pesticides (1) No permit requirement Except as provided in paragraph (2), a permit shall not be required by the Administrator or a State under this Act for a discharge from a point source into navigable waters of a pesticide authorized for sale, distribution, or use under the Federal Insecticide, Fungicide, and Rodenticide Act, or the residue of such a pesticide, resulting from the application of such pesticide. (2) Exceptions Paragraph (1) shall not apply to the following discharges of a pesticide or pesticide residue: (A) A discharge resulting from the application of a pesticide in violation of a provision of the Federal Insecticide, Fungicide, and Rodenticide Act that is relevant to protecting water quality, if— (i) the discharge would not have occurred but for the violation; or (ii) the amount of pesticide or pesticide residue in the discharge is greater than would have occurred without the violation. (B) Stormwater discharges subject to regulation under subsection (p). (C) The following discharges subject to regulation under this section: (i) Manufacturing or industrial effluent. (ii) Treatment works effluent. (iii) Discharges incidental to the normal operation of a vessel, including a discharge resulting from ballasting operations or vessel biofouling prevention. .

Summary: Reducing Unnecessary Regulations on Agricultural Lands Act or the RURAL Act This bill modifies requirements governing the use of pesticides in or near navigable waters. Specifically, the bill prohibits the Environmental Protection Agency or states from requiring permits under the National Pollutant Discharge Elimination System for discharges of pesticides into navigable waters if the pesticides are (1) registered, (2) used for their intended purposes, and (3) used in compliance with their pesticide label requirements. The bill establishes exemptions from this prohibition.
To amend title 10, United States Code, to ensure that certain TRICARE beneficiaries who reside in Puerto Rico may enroll in TRICARE Prime, and for other purposes.

To amend title 10, United States Code, to ensure that certain TRICARE beneficiaries who reside in Puerto Rico may enroll in TRICARE Prime, and for other purposes. 1. Availability of TRICARE Prime in Puerto Rico (a) Availability of TRICARE Prime in Puerto Rico Section 1097 of title 10, United States Code, is amended by adding at the end the following new subsection: (f) Availability of TRICARE Prime in Puerto Rico (1) In designating geographical areas under subsection (b)(3), the Secretary of Defense shall ensure that the individuals described in paragraph (2) may enroll in TRICARE Prime in the Commonwealth of Puerto Rico, beginning not later than January 1, 2022. (2) The individuals described in this paragraph are— (A) beneficiaries covered by subsection (c) of section 1086 of this title, other than Medicare-eligible beneficiaries described in subsection (d)(2) of such section; and (B) beneficiaries in the active-duty family member category (as described in section 1075(b)(1) of this title), without regard to whether such beneficiaries are dependents of members who have relocated pursuant to an order for a change in duty station that does not authorize the dependent to accompany the member to the new duty station at the expense of the United States. . (b) Report Not later than six months after the date of the enactment of this Act, the Secretary of Defense shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report on the progress of the Secretary in carrying out the requirements of subsection (f) of section 1097 of title 10, United States Code, as added by subsection (a).

Summary: This bill requires the Department of Defense to ensure that TRICARE beneficiaries whose health benefits are provided under contract, other than certain Medicare-eligible beneficiaries and certain beneficiaries in the active-duty family member category, may enroll in the TRICARE Prime managed care option in the Commonwealth of Puerto Rico, beginning not later than January 1, 2022.
To amend title XIX of the Social Security Act to remove the matching requirement for a territory to use specially allocated Federal funds for Medicare covered part D drugs for low-income individuals.

To amend title XIX of the Social Security Act to remove the matching requirement for a territory to use specially allocated Federal funds for Medicare covered part D drugs for low-income individuals. 1. Removing matching requirement for a territory to use specially allocated Federal funds for Medicare covered part D drugs for low-income individuals (a) In general Section 1935(e)(1)(B) of the Social Security Act ( 42 U.S.C. 1396u–5(e)(1)(B) and the Federal medical assistance percentage shall be 100 percent for expenditures under such plan that are attributable to this subsection and the additional amounts provided under paragraph (3) (b) Conforming amendment Section 1905(b) of the Social Security Act ( 42 U.S.C. 1396d(b) section 1933(d) sections 1933(d) and 1935(e)(1)(B) (c) Effective date The amendments made by this section shall apply to amounts expended for fiscal periods beginning on or after October 1, 2020.

Summary: This bill establishes a Federal Medical Assistance Percentage (i.e., federal matching rate) of 100% with respect to a U.S. territory's use of specified federal funds to provide covered drugs to low-income individuals who are eligible for the Medicare prescription drug benefit.
Fairness in Medicare Part B Enrollment Act of 2021

To amend title XVIII of the Social Security Act to eliminate late enrollment penalties under part B of the Medicare program for individuals residing in Puerto Rico if such individuals enroll within 5 years of becoming entitled to benefits under part A of such program. 1. Short title This Act may be cited as the Fairness in Medicare Part B Enrollment Act of 2021 2. Eliminating late enrollment penalties under part B of the Medicare program for certain individuals residing in Puerto Rico (a) In general Section 1839(b) of the Social Security Act is amended in the second sentence by inserting or months occurring in the 5-year period beginning on the date on which the individual becomes entitled to benefits under part A if such individual was residing in Puerto Rico as of such date and such date is after the date that is 4 years before the date of the enactment of the Fairness in Medicare Part B Enrollment Act of 2021 (b) Application The amendment made by subsection (a) shall apply with respect to premiums paid for months beginning on or after the date of the enactment of this Act.

Summary: Fairness in Medicare Part B Enrollment Act of 2021 This bill exempts an individual from late-enrollment penalties for Medicare medical services if the individual resided in Puerto Rico as of the date of eligibility and the individual enrolls within five years of such date. Currently, the late enrollment penalty is 10% of monthly premiums for each 12-month period during which the individual was not enrolled, and the penalty continues to apply for as long as the individual is enrolled in Medicare medical services.
Pharmacy Benefit Manager Accountability Study Act of 2021

To require the Government Accountability Office to study the role pharmaceutical benefit managers play in the pharmaceutical supply chain and provide Congress with appropriate policy recommendations, and for other purposes. 1. Short title This Act may be cited as the Pharmacy Benefit Manager Accountability Study Act of 2021 2. GAO Study Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Ways and Means, the Committee on Energy and Commerce, and the Committee on Education and Labor of the House of Representatives and to the Committee on Finance and the Committee on Health, Education, Labor, and Pensions of the Senate a report that— (1) addresses, at minimum— (A) the role that pharmacy benefit managers play in the pharmaceutical supply chain; (B) the state of competition among pharmacy benefit managers, including the market share for the Nation's 10 largest pharmacy benefit managers; (C) the use of rebates and fees by pharmacy benefit managers, including data for each of the 10 largest pharmacy benefit managers that reflects, for each drug in the formulary of each such pharmacy benefit manager— (i) the amount of the rebate passed on to patients; (ii) the amount of the rebate passed on to payors; (iii) the amount of the rebate kept by the pharmacy benefit manager; and (iv) the role of fees charged by the pharmacy benefit manager; (D) whether pharmacy benefit managers structure their formularies in favor of high-rebate prescription drugs over lower-cost, lower-rebate alternatives; (E) the average prior authorization approval time for each of the 10 largest pharmacy benefit managers; (F) factors affecting the use of step therapy in each of the 10 largest pharmacy benefit managers; and (G) the extent to which the price that pharmacy benefit managers charge payors, such as the Medicare program under title XXVIII of the Social Security Act ( 42 U.S.C. 1395 42 U.S.C. 1396 chapter 89 (2) provides recommendations for legislative action to lower the cost of prescription drugs for consumers and payors, improve the efficiency of the pharmaceutical supply chain by lowering intermediary costs, improve competition in pharmacy benefit management, and provide transparency in pharmacy benefit management.

Summary: Pharmacy Benefit Manager Accountability Study Act of 2021 This bill requires the Government Accountability Office to report on the role of pharmacy benefit managers in the pharmaceutical supply chain and recommend legislative actions to lower the cost of prescription drugs. The report must address the use of rebates and fees, the average prior authorization approval time, and the use of step therapy within the 10 largest pharmacy benefit managers.
PURE Executive Act

To amend title 18, United States Code, to establish a 5-year post-employment ban on lobbying by former senior executive branch personnel and to prohibit such personnel from lobbying at any time on behalf of foreign clients, and for other purposes. 1. Short title This Act may be cited as the Promoting the Unbiased Role of Employees in the Executive Act PURE Executive Act 2. 5-year post-employment ban on lobbying by former senior executive branch personnel (a) 5-year ban Section 207 of title 18, United States Code, is amended— (1) in subsection (c)(1), by striking within 1 year after the termination within 5 years after the termination (2) in subsection (d)(1), by striking within 2 years after the termination within 5 years after the termination (b) Effective date The amendments made by this section shall apply with respect to any individual who, on or after the date of the enactment of this Act, leaves a position to which subsection (c) or (d) of section 207 of title 18, United States Code, applies. 3. Prohibiting former senior executive branch personnel from lobbying at any time on behalf of any foreign clients (a) Lifetime prohibition Section 207(f) of title 18, United States Code, is amended— (1) by redesignating paragraph (3) as paragraph (4); and (2) by inserting after paragraph (2) the following new paragraph: (3) Special rule for senior personnel of the executive branch and independent agencies In the case of an individual who is subject to the restrictions of subsection (c) or (d), the restrictions described in paragraph (1) shall apply to representing, aiding, or advising foreign entities at any time after the individual leaves a position to which such subsection applies. . (b) Extension of prohibition to all foreign clients Paragraph (4) of section 207(f) of such title, as redesignated by subsection (a)(1), is amended by striking the period at the end and inserting the following: , except that in the case of an individual who is subject to the restrictions of subsection (c) or (d), such term means any foreign principal under such Act. (c) Effective date The amendments made by this section shall apply with respect to any individual who, on or after the date of the enactment of this Act, leaves a position to which subsection (c) or (d) of section 207 of title 18, United States Code, applies.

Summary: Promoting the Unbiased Role of Employees in the Executive Act or the PURE Executive Act This bill expands restrictions on post-employment lobbying for senior executive branch personnel. Specifically, the bill prohibits senior personnel (e.g., deputy secretaries) and very senior personnel (e.g., cabinet members) from lobbying agencies for five years after their employment ends. The bill also prohibits such personnel from lobbying on behalf of foreign entities, including foreign corporations, at any time after their employment ends. Currently, senior and very senior personnel may not lobby agencies for one year and two years post-employment, respectively, and may not lobby on behalf of foreign governments or political parties for one year post-employment.
GRUB Act

To direct the Secretary of Defense to pay a per diem to certain members of the National Guard who performed certain duty in the National Capital Region during the period beginning on January 26, 2021, and ending on March 15, 2021. 1. Short title This Act may be cited as the Guard Reimbursement for Unhealthy Bites Act GRUB Act 2. Per diem for members of the National Guard who performed certain duty in the National Capital Region (a) Per diem required The Secretary of Defense shall pay to a covered member a per diem— (1) for each day the covered member performed covered duty during the covered period; and (2) equal to the proportional meal rate determined by the Defense Travel Management Office for the National Capital Region. (b) Definitions In this section: (1) The term covered duty (A) in the National Capital Region; and (B) in support of the mission in response to the attacks on January 6, 2021, on the Capitol Buildings and the United States Capitol Grounds (described in sections 5101 and 5102 of title 40, United States Code). (2) The term covered member (3) The term covered period (4) The term National Capital Region

Summary: Guard Reimbursement for Unhealthy Bites Act or the GRUB Act This bill requires the Department of Defense to pay National Guard members a per diem for each day they performed duty between January 26, 2021, and March 15, 2021, in response to the attacks on January 6, 2021, on the U.S. Capitol building and grounds. The per diem rate must be equal to the proportional meal rate determined by the Defense Travel Management Office for the National Capital Region.