datamatters24/research-document-archive huggingface dataset:
I 
117TH CONGRESS 
1ST SESSION H. R. 1811 
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. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Ms. CRAIG introduced the following bill; which was referred to the Committee 
on Natural Resources, 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 juris-
diction of the committee concerned 
A BILL 
To amend the Indian Health Care Improvement Act to au-
thorize additional funding for planning, design, construc-
tion, modernization, and renovation of hospitals and out-
patient health care facilities. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. 21ST CENTURY INDIAN HEALTH PROGRAM HOS-
PITALS AND OUTPATIENT HEALTH CARE FA-
CILITIES. 
The Indian Health Care Improvement Act is amend-
ed by inserting after section 301 of such Act (25 U.S.C. 
1631) the following: 
‘‘SEC. 301A. ADDITIONAL FUNDING FOR PLANNING, DESIGN, 
CONSTRUCTION, MODERNIZATION, AND REN-
OVATION OF HOSPITALS AND OUTPATIENT 
HEALTH CARE FACILITIES. 
‘‘(a) ADDITIONAL FUNDING.—For the purpose de-
scribed in subsection (b), in addition to any other funds 
available for such purpose, there is authorized to be appro-
priated $5,000,000,000 for the period of fiscal years 2022 
through 2026. 
‘‘(b) PURPOSE.—The purpose described in this sub-
section is the planning, design, construction, moderniza-
tion, 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 et seq.), in-
cluding to address COVID–19 and other subsequent pub-
lic health crises.’’. 
Æ 
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that the person transport the natural gas on vessels 
that meet the requirements described in paragraph 
(2) (including vessels with respect to which a waiver 
is in place for the requirement under paragraph 
(2)(A)(i)(II)(bb) or the requirement under para-
graph (2)(A)(ii)(IV), as applicable), so as to ensure 
the following: 
‘‘(A) A minimum of two percent of the 
natural gas that is exported by vessel is trans-
ported on such vessels in each of the 7 calendar 
years after the calendar year in which this sub-
section is enacted. 
‘‘(B) A minimum of three percent of the 
natural gas that is exported by vessel is trans-
ported on such vessels in each of the 8th and 
9th calendar years after the calendar year in 
which this subsection is enacted. 
‘‘(C) A minimum of four percent of the 
natural gas that is exported by vessel is trans-
ported on such vessels in each of the 10th and 
11th calendar years after the calendar year in 
which this subsection is enacted. 
‘‘(D) A minimum of six percent of the nat-
ural gas that is exported by vessel is trans-
ported on such vessels in each of the 12th and 
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(8) the impact of faster line speeds on the abil-
ity of such establishments to maintain protections 
for employees; and 
(9) any interference by any other Federal agen-
cy with reviews of any such establishments experi-
encing outbreaks of COVID–19 conducted by per-
sonnel of the Centers for Disease Control and Pre-
vention. 
(e) REPORTS TO CONGRESS.—Not later than Decem-
ber 31, 2021, the Secretary of Agriculture, the Secretary 
of Labor, and the Secretary of Health and Human Serv-
ices shall each submit to the Committee on Agriculture 
and the Committee on Education and Labor of the House 
of Representatives and the Committee on Health, Edu-
cation, Labor, and Pensions and the Committee on Agri-
culture, Nutrition, and Forestry of the Senate a report 
on the actions taken by the Secretary of Agriculture, the 
Secretary of Labor, and the Secretary of Health and 
Human Services, respectively, in response to the COVID– 
19 pandemic to protect animal, food, and worker safety. 
Each such report shall include the respective Secretary’s 
analysis of, with respect to facilities operated by covered 
processors, the matters specified in each (as applicable) 
of paragraphs (1) through (8) of subsection (d). 
(f) DEFINITIONS.—In this section: 
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(1) The term ‘‘covered establishment’’ means 
an official meat or poultry establishment that is sub-
ject to inspection under the Federal Meat Inspection 
Act (21 U.S.C. 601 et seq.) or the Poultry Products 
Inspection Act (21 U.S.C. 451 et seq.). 
(2) The term ‘‘COVID–19 emergency period’’ 
means— 
(A) the emergency period, as defined in 
section 1135(g)(1)(B) of the Social Security 
Act (42 U.S.C. 1320b–5(g)(1)(B)); and 
(B) the 90-day period that follows the end 
of such emergency period. 
Æ 
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rying out this section, the Secretary may customize such 
templates to address particular procurement situations. 
Æ 
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the displacement of existing employees or individuals who 
would otherwise perform similar work. 
(f) EMPLOYMENT PROTECTIONS.— 
(1) COLLECTIVE BARGAINING UNITS.— Partici-
pants shall be included in an established bargaining 
unit and covered by any applicable collective bar-
gaining agreement upon the establishment of such 
agreement. 
(2) WAGES UNDER THE PROGRAM.—Wage vari-
ation shall be built into the program, as determined 
by the Secretary of Labor, to account for workers’ 
previous experience, education, and region of resi-
dence, as well as the prospect of promotion within 
the National Employment Corps. 
(3) WEBSITE.—To manage projects past, 
present, and future, the National Employment Corps 
shall create a website where all projects will be list-
ed. 
(4) MINIMUM WAGE.—Any individual employed 
using funds under this section shall be paid wages 
at a rate that is not less than $15.00 per hour and 
that are comparable wages in the region, plus bene-
fits, and indexed for inflation. 
(g) APPRENTICESHIP DEFINED.—In this section, the 
term ‘‘apprenticeship’’ means an apprenticeship program 
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registered under the Act of August 16, 1937 (commonly 
known as the ‘‘National Apprenticeship Act’’) (50 Stat. 
664, chapter 663; 29 U.S.C. 50 et seq.), including any 
requirement, standard, or rule promulgated under such 
Act, as such requirement, standard, or rule was in effect 
on December 30, 2019. 
Æ 
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I 
117TH CONGRESS 
1ST SESSION H. R. 1818 
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. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Mrs. FLETCHER introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
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 mod-
ernization of infrastructure at clinical laboratories that 
will help to improve SARS–CoV–2 and COVID–19 test-
ing and response activities, including the expansion and 
enhancement of testing capacity at such laboratories. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 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, renova-
tion, or modernization of infrastructure at clinical labora-
tories (as defined in section 353 of the Public Health Serv-
ice Act (42 U.S.C. 263a)) that will help to improve SARS– 
CoV–2 and COVID–19 testing and response activities, in-
cluding the expansion and enhancement of testing capacity 
at such laboratories. 
(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. 
Æ 
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I 
117TH CONGRESS 
1ST SESSION H. R. 1822 
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. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Miss GONZA´LEZ-COLO´N introduced the following bill; which was referred to 
the Committee on Armed Services 
A BILL 
To amend title 10, United States Code, to ensure that cer-
tain TRICARE beneficiaries who reside in Puerto Rico 
may enroll in TRICARE Prime, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 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 sub-
section: 
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‘‘(f) AVAILABILITY OF TRICARE PRIME IN PUERTO 
RICO.—(1) In designating geographical areas under sub-
section (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-eligi-
ble 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 bene-
ficiaries are dependents of members who have relo-
cated pursuant to an order for a change in duty sta-
tion that does not authorize the dependent to accom-
pany the member to the new duty station at the ex-
pense 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 
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of subsection (f) of section 1097 of title 10, United States 
Code, as added by subsection (a). 
Æ 
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I 
117TH CONGRESS 
1ST SESSION H. R. 1823 
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. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Miss GONZA´LEZ-COLO´N (for herself and Mr. SOTO) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
A BILL 
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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. REMOVING MATCHING REQUIREMENT FOR A 
TERRITORY TO USE SPECIALLY ALLOCATED 
FEDERAL FUNDS FOR MEDICARE COVERED 
PART D DRUGS FOR LOW-INCOME INDIVID-
UALS. 
(a) IN GENERAL.—Section 1935(e)(1)(B) of the So-
cial Security Act (42 U.S.C. 1396u–5(e)(1)(B)) is amend-
ed by inserting before the period at the end the following: 
‘‘and the Federal medical assistance percentage shall be 
100 percent for expenditures under such plan that are at-
tributable 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)) is amended 
by striking ‘‘section 1933(d)’’ and inserting ‘‘sections 
1933(d) and 1935(e)(1)(B)’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to amounts expended for fiscal pe-
riods beginning on or after October 1, 2020. 
Æ 
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I 
117TH CONGRESS 
1ST SESSION H. R. 1824 
To amend title 49, United States Code, with respect to air cargo in Puerto 
Rico, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Miss GONZA´LEZ-COLO´N introduced the following bill; which was referred to 
the Committee on Transportation and Infrastructure 
A BILL 
To amend title 49, United States Code, with respect to 
air cargo in Puerto Rico, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Puerto Rico Air Cargo 
Industry Empowerment Act’’. 
SEC. 2. CARGO IN ALASKA OR PUERTO RICO. 
Section 41703(e) of title 49, United States Code, is 
amended— 
(1) in the subsection heading by inserting ‘‘OR 
PUERTO RICO’’ after ‘‘ALASKA’’; and 
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(2) by inserting ‘‘or Puerto Rico’’ after ‘‘Alas-
ka’’ each place it appears. 
Æ 
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I 
117TH CONGRESS 
1ST SESSION H. R. 1826 
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. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Miss GONZA´LEZ-COLO´N (for herself and Mr. SOTO) introduced the following 
bill; which was referred to the Committee on Energy and Commerce, and 
in addition to the Committee on Ways and Means, for a period to be sub-
sequently determined by the Speaker, in each case for consideration of 
such provisions as fall within the jurisdiction of the committee concerned 
A BILL 
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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Fairness in Medicare 
Part B Enrollment Act of 2021’’. 
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SEC. 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 Se-
curity 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 bene-
fits 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’’ before the 
period at the end of such sentence. 
(b) APPLICATION.—The amendment made by sub-
section (a) shall apply with respect to premiums paid for 
months beginning on or after the date of the enactment 
of this Act. 
Æ 
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‘‘(3) The term ‘other qualifying duty’ means the 
following: 
‘‘(A) During the period beginning on Au-
gust 1, 2025, and ending on July 31, 2032, ac-
tive duty for training performed by a member of 
the Armed Forces— 
‘‘(i) on or after August 1, 2025; or 
‘‘(ii) before August 1, 2025, if such in-
dividual is a member of the Armed Forces 
on or after such date. 
‘‘(B) On or after August 1, 2032, duty per-
formed before, on, or after such date that is— 
‘‘(i) active duty for training performed 
by a member of the Armed Forces; or 
‘‘(ii) inactive duty training performed 
by a member of the Armed Forces.’’. 
(c) TIME LIMITATION FOR USE OF ENTITLEMENT FOR 
OTHER QUALIFYING DUTY.—Section 3321 of such title is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘; or’’ 
and inserting a semicolon; 
(B) in paragraph (2), by striking the period 
at the end and inserting ‘‘; or’’; and 
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SEC. 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 man-
agers play in the pharmaceutical supply chain; 
(B) the state of competition among phar-
macy benefit managers, including the market 
share for the Nation’s 10 largest pharmacy 
benefit managers; 
(C) the use of rebates and fees by phar-
macy 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; 
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I 
117TH CONGRESS 
1ST SESSION H. R. 1829 
To require the Government Accountability Office to study the role pharma-
ceutical benefit managers play in the pharmaceutical supply chain and 
provide Congress with appropriate policy recommendations, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Mrs. HARSHBARGER (for herself and Mr. CARTER of Georgia) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
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 pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Pharmacy Benefit 
Manager Accountability Study Act of 2021’’. 
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(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-re-
bate prescription drugs over lower-cost, lower- 
rebate alternatives; 
(E) the average prior authorization ap-
proval time for each of the 10 largest pharmacy 
benefit managers; 
(F) factors affecting the use of step ther-
apy 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 et 
seq.), State Medicaid programs under title XIX 
of the Social Security Act (42 U.S.C. 1396 et 
seq.), the Federal Employees Health Benefits 
Program under chapter 89 of title 5, United 
States Code, or private payors, for a drug is 
more than such pharmacy benefit managers pay 
the pharmacy for the drug; and 
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(2) provides recommendations for legislative ac-
tion to lower the cost of prescription drugs for con-
sumers and payors, improve the efficiency of the 
pharmaceutical supply chain by lowering inter-
mediary costs, improve competition in pharmacy 
benefit management, and provide transparency in 
pharmacy benefit management. 
Æ 
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