datamatters24/research-document-archive huggingface dataset:
and until ratified by a law enacted by the host state
of the regional facility to which the waste would be
sent for treatment, storage, or disposal.
‘‘3) Enter into an agreement with any person
to allow waste from outside the region to be treated
or stored at facilities in the region. However, any
such agreement shall be revoked as a matter of law
if, within one year of the effective date of the agree-
ment, a law is enacted ordering such revocation by
the party state to which the waste would be sent for
treatment or storage.
‘‘4) Approve, or enter into an agreement with
any person for, the export of waste from the region.
‘‘5) Approve the disposal of waste generated
within the region at a facility in the region other
than a regional facility, subject to the limitations of
Articles V(f) and VII(a)(6).
‘‘6) Require that waste generated within the re-
gion be treated or stored at available regional facili-
ties, subject to the limitations of Articles V(f),
VII(a)(3) and VII(a)(6).
‘‘7) Appear as an intervenor or party in interest
before any court of law or any federal, state or local
agency, board or commission in any matter related
to waste management. In order to represent its
respect to such services. The measures es-
tablished under this clause shall include 
measures developed by the Pharmacy 
Quality Alliance (PQA) in the case of 
pharmacist providers. 
‘‘(ii) CONTINUAL DEVELOPMENT AND 
INCORPORATION OF MEDICATION THERAPY 
MANAGEMENT
MEASURES
IN
BROADER 
HEALTH
CARE
OUTCOMES
MEASURES.— 
The Secretary shall support the continual 
development and refinement of perform-
ance measures described in clause (i), in-
cluding the incorporation of medication use 
measures as part of broader health care 
outcomes measures. The Secretary shall 
work with State Medicaid programs to in-
corporate similar performance-based meas-
ures into State drug use review programs 
provided pursuant to section 1927(g). 
‘‘(iii) INCENTIVE PAYMENTS.— 
‘‘(I) IN
GENERAL.—Subject to 
subclause (II), for plan years begin-
ning on or after the date that is 1 
year after the date the establishment 
of measures and standards under 
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clause (i), pharmacies and other enti-
ties that furnish medication therapy 
management services under this part 
shall be provided (in a manner speci-
fied by the Secretary) with additional 
incentive payments based on the per-
formance of such pharmacies and en-
tities in meeting the such measures 
and standards. Such payments shall 
be made from the Medicare Prescrip-
tion Drug Account except that such 
payments may be made from the Fed-
eral Hospital Insurance Trust Fund 
or the Federal Supplemental Medical 
Insurance Trust Fund if the Sec-
retary determines, based on data 
under this part and parts A and B, 
that such services have resulted in a 
reduction in expenditures under part 
A or part B, respectively. 
‘‘(II) 
LIMITATION.—The 
total 
amount of additional incentive pay-
ments made under subclause (I) for a 
plan year may not exceed the amount 
by which the Secretary determines 
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there are reductions in expenditures 
under this title during such plan year 
resulting from medication therapy 
management services furnished under 
this part.’’. 
Æ 
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I 
112TH CONGRESS 
1ST SESSION 
H. R. 893 
To provide for the issuance and sale of a semipostal by the United States 
Postal Service for the fight against colorectal cancer. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 3, 2011 
Mr. DENT introduced the following bill; which was referred to the Committee 
on Oversight and Government Reform, and in addition to the Committees 
on Energy and Commerce and Armed Services, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To provide for the issuance and sale of a semipostal by 
the United States Postal Service for the fight against 
colorectal cancer. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. COLORECTAL CANCER SEMIPOSTAL. 
(a) IN GENERAL.—In order to contribute to the fight 
against colorectal cancer, the United States Postal Service 
shall provide for the issuance and sale of a semipostal, 
in accordance with section 416 of title 39, United States 
Code, subject to the following: 
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(1) 
DISPOSITION
OF
AMOUNTS.—Of 
the 
amounts becoming available from the sale of the 
semipostal— 
(A) 40 percent shall be transferred to the 
Department of Defense Peer Reviewed Medical 
Research Program for colorectal cancer re-
search; 
(B) 40 percent shall be transferred to the 
Centers for Disease Control and Prevention for 
colorectal cancer control programs; and 
(C) the remainder shall be transferred to 
the National Institutes of Health for colorectal 
cancer research. 
(2) EXCLUSION
FROM
NUMERICAL
LIMITA-
TION.—No semipostal issued pursuant to this Act 
shall be taken into account for purposes of applying 
any numerical limitation established under section 
416(e)(1)(C) of title 39, United States Code. 
(b) DEFINITIONS.—For purposes of this Act— 
(1) the term ‘‘semipostal’’ has the meaning 
given such term by section 416(a)(1) of title 39, 
United States Code; and 
(2) any determination of the ‘‘amounts becom-
ing available’’ from the sale of a semipostal shall be 
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I 
112TH CONGRESS 
1ST SESSION 
H. R. 894 
To amend title V of the Social Security Act to provide grants to States 
to establish State maternal mortality review committees on pregnancy- 
related deaths occurring within such States; to develop definitions of 
severe maternal morbidity and data collection protocols; and to eliminate 
disparities in maternal health outcomes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 3, 2011 
Mr. CONYERS (for himself and Ms. DEGETTE) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title V of the Social Security Act to provide 
grants to States to establish State maternal mortality 
review committees on pregnancy-related deaths occurring 
within such States; to develop definitions of severe mater-
nal morbidity and data collection protocols; and to elimi-
nate disparities in maternal health outcomes. 
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 ‘‘Maternal Health Ac-
countability Act of 2011’’. 
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$10,000,000 for each of fiscal years 2012 through 
2018. 
‘‘(b) PREGNANCY-RELATED DEATH REVIEW.— 
‘‘(1) REVIEW OF PREGNANCY-RELATED DEATH 
AND PREGNANCY-ASSOCIATED DEATH CASES.—For 
purposes of subsection (a), with respect to a State 
that receives a grant under subsection (a), the fol-
lowing shall apply: 
‘‘(A) MANDATORY
REPORTING
OF
PREG-
NANCY-RELATED DEATHS.— 
‘‘(i) IN GENERAL.—The State shall, 
through the State maternal mortality re-
view committee, develop a process, sepa-
rate from any reporting process established 
by the State department of health prior to 
the date of the enactment of this section, 
that provides for mandatory and confiden-
tial case reporting by individuals and enti-
ties described in clause (ii) of pregnancy- 
related deaths to the State department of 
health. 
‘‘(ii) INDIVIDUALS AND ENTITIES DE-
SCRIBED.—Individuals and entities de-
scribed in this clause include each of the 
following: 
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‘‘2) for any facility in the region to accept
waste from outside the region;
‘‘3) for any person to export from the region
waste that is generated within the region;
‘‘4) for any person to dispose of waste at a fa-
cility other than a regional facility;
‘‘5) for any person to deposit at a regional fa-
cility waste described in Article VII(a)(6); or
‘‘6) for any regional facility to accept waste de-
scribed in Article VII(a)(6).’’.
(23) Article IX of the compact is amended by
redesignating sections (c) and (d) as sections (d)
and (e), respectively, and by inserting after section
(b) the following new section:
‘‘c) It is a violation of this compact for any person
to treat or store waste at a facility other than a regional
facility if such treatment or storage is prohibited by the
Commission under Article III(i)(6).’’.
Passed the House of Representatives October 3,
1994.
Attest:
DONNALD K. ANDERSON,
Clerk.
HR 4814 RDS——2
113TH CONGRESS 
2D SESSION 
H. R. 5272 
AN ACT 
To prohibit certain actions with respect to deferred action 
for aliens not lawfully present in the United States, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
cations for fee exceptions, waivers, and reduc-
tions.
‘‘(5) The term ‘adjustment factor’ applicable to a
fiscal year is the lower of—
‘‘(A) the Consumer Price Index for all
urban consumers (all items; United States city
average) for August of the preceding fiscal year
divided by such Index for August 1994, or
‘‘(B) the total budget authority provided for
discretionary programs for the immediately pre-
ceding fiscal year (as reported in the Office of
Management and Budget sequestration preview
report, if available, required under section
254(d) of the Balanced Budget and Emergency
Deficit Control Act of 1985) divided by such
budget authority for fiscal year 1994 (as re-
ported in the Office of Management and Budget
final sequestration report submitted after the end
of the 103d Congress, 2d Session).
The term ‘budget authority’ in subparagraph (B) is
as defined in section 3(2)(A) of the Balanced Budget
and Emergency Deficit Control Act of 1985 (2 U.S.C.
622(2)(A)), as in effect as of January 1, 1994.
which contained the medianth resident day in the array
(except as provided in subsection (b)(4)) and the indexed
facility unit value of the nursing facility which contained
the 95th percentile resident day in that array during the
first year of operation of the Prospective Payment System
For Nursing Facilities. The fixed proportion (e.g., 1.1
times the median or 110 percent of the median) shall re-
main the same in subsequent years.
(3) To obtain the geographic ceiling on the indexed
facility unit value for nursing facilities in a geographic re-
gion in each subsequent year, the fixed proportion identi-
fied pursuant to subsection (b)(2) shall be multiplied by
the indexed facility unit value of the nursing facility which
contained the medianth resident day in the array of facil-
ity unit values for the geographic region during the base
year.
(4) The Secretary shall exclude low-volume and new
nursing facilities, as defined in subsections (a) and (b) of
section 113, respectively, for purposes of determining the
geographic ceiling for the nursing service cost center.
(c) The Secretary shall establish by regulation, proce-
dures for allowing exceptions to the geographic ceiling im-
posed on the nursing service cost center. The procedure
shall permit exceptions based on the following factors:
(d) APPLICABILITY
OF ADJUSTMENT.—The dollar 
amount that applies to a recovery is the dollar amount 
for the calendar year during which the amount of the re-
covery is made final. 
SEC. 5. LIMITATION OF INSURER LIABILITY WHEN IN-
SURER REJECTS CERTAIN SETTLEMENT OF-
FERS. 
In a civil action, to the extent the civil action seeks 
damages for the injury or death of an individual as the 
result of health care, when the insurer of a health care 
practitioner or health care institution rejects a reasonable 
settlement offer within policy limits, the insurer is not, by 
reason of that rejection, liable for damages in an amount 
that exceeds the liability of the insured. 
SEC. 6. MANDATORY JURY INSTRUCTION ON CAP ON DAM-
AGES. 
In a civil action tried to a jury, to the extent the civil 
action seeks damages for the injury or death of an indi-
vidual as the result of health care, the court shall instruct 
the jury that the jury is not to consider whether, or to 
what extent, a limitation on damages applies. 
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SEC. 7. DETERMINATION OF NEGLIGENCE; MANDATORY 
JURY INSTRUCTION. 
(a) IN GENERAL.—When an individual is injured or 
dies as the result of health care, liability for negligence 
may not be based solely on a bad result. 
(b) MANDATORY JURY INSTRUCTION.—In a civil ac-
tion tried to a jury, to the extent the civil action seeks 
damages for the injury or death of an individual as the 
result of health care and alleges liability for negligence, 
the court shall instruct the jury as provided in subsection 
(a). 
SEC. 8. EXPERT REPORTS REQUIRED TO BE SERVED IN 
CIVIL ACTIONS. 
(a) SERVICE REQUIRED.—To the extent a pleading 
filed in a civil action seeks damages against a health care 
practitioner for the injury or death of an individual as the 
result of health care, the party filing the pleading shall, 
not later than 120 days after the date on which the plead-
ing was filed, serve on each party against whom such dam-
ages are sought a qualified expert report. 
(b) QUALIFIED EXPERT REPORT.—As used in sub-
section (a), a qualified expert report is a written report 
of a qualified health care expert that— 
(1) includes a curriculum vitae for that expert; 
and 
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(9) The Ugandan military, which is leading the 
regional counter-LRA effort, is operational in South-
ern Sudan through an agreement with the Govern-
ments of Sudan and Southern Sudan, but it is not 
operational in South Darfur, making it a possible 
safe haven for LRA fighters. 
(10) Pursuant to the Lord’s Resistance Army 
Disarmament and Northern Uganda Recovery Act of 
2009 (Public Law 111–172), which was signed into 
law May 24, 2010, it is the policy of the United 
States to ‘‘disarm and demobilize’’ the Lord’s Re-
sistance Army. 
(11) The Obama Administration has announced 
that the United States is willing to begin the process 
to remove Sudan from the list of state sponsors of 
terrorism provided that Sudan allows the ref-
erendum on Southern Sudan’s independence to pro-
ceed peacefully and accepts the results. 
(12) In an open session convened by the House 
Foreign Affairs Committee on January 18, 2011, 
Ambassador Princeton Lyman, Department of State 
Special Advisor for Sudan, indicated that Sudan 
could be removed from the state sponsor of ter-
rorism list by July 2011, but stated that, ‘‘any sup-
port of [the LRA] by proxies or other such entities 
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would preclude our following through on [removing 
Sudan from the state sponsor of terrorism list]’’. 
SEC. 3. CONTINUATION OF RESTRICTIONS AGAINST THE 
REPUBLIC OF SUDAN. 
(a) IN GENERAL.—Restrictions against the Republic 
of Sudan that were imposed before, on, or after the date 
of the enactment of this Act by reason of a determination 
of the Secretary of State that the Republic of Sudan, for 
purposes of section 6(j) of the Export Administration Act 
of 1979, section 40 of the Arms Export Control Act, sec-
tion 620A of the Foreign Assistance Act of 1961, or other 
provision of law, is a government that has repeatedly pro-
vided support for acts of international terrorism, shall re-
main in effect, and may not be lifted pursuant to such 
provisions of law, unless, in addition to meeting the appli-
cable requirements under such provisions of law to lift 
such restrictions, the President submits to Congress a 
written certification described in subsection (b). 
(b) CERTIFICATION.—A certification referred to in 
subsection (a) is a certification that contains a determina-
tion of the President that the Republic of Sudan is no 
longer engaged in training, harboring, supplying, financ-
ing, or supporting in any way the Lord’s Resistance Army, 
its leader Joseph Kony, or his top commanders. 
Æ 
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that requires them to pay a toll, user fee, or 
fare; or 
(C) are required to pay much more for 
transportation access than residents of sur-
rounding jurisdictions, or in other jurisdictions 
across the country, for similar transportation 
options. 
(4) To address this inequality, and to reduce 
the financial hardship often imposed on such resi-
dents, several State and municipal governments and 
multi-State transportation authorities have estab-
lished programs that authorize discounted transpor-
tation tolls, user fees, and fares for such residents. 
(5) Transportation toll, user fee, and fare dis-
count programs based on residential status— 
(A) address actual unequal and undue fi-
nancial burdens placed on residents who live in 
areas that are only accessible through a means 
that requires them to pay a toll, user fee, or 
fare; 
(B) do not disadvantage or discriminate 
against those individuals ineligible for residen-
tial toll, user fee, or fare discount programs; 
(C) are not designed to favor the interests 
or promote the domestic industry or economic
‘‘(2) INFLATION ADJUSTMENT.—In the case of
any taxable year beginning after 1995, the $250 in
paragraph (1)(B) shall be equal to the sum of—
‘‘(A) the amount in effect under paragraph
(1)(B) for the preceding calendar year (after
application of this subparagraph), plus
‘‘(B) the product of the amount referred to
in subclause (A) multiplied by the cost-of-living
adjustment for the calendar year of the amount
under subclause (A).
‘‘(3) COST-OF-LIVING ADJUSTMENT.—For pur-
poses of paragraph (2), the cost-of-living adjustment
for any calendar year is the percentage (if any) by
which the cost index under paragraph (4) for the
preceding calendar year exceeds such index for the
second preceding calendar year.
‘‘(4) COST INDEX.—The Secretary, in consulta-
tion with the Secretary of Health and Human Serv-
ices, shall before January 1, 1996, establish a cost
index to measure increases in the cost of nursing
home and similar facilities. The Secretary may from
time to time revise such index to the extent nec-
essary to accurately measure increase or decreases
in such costs.
HR 897 RFS
SEC. 3. AUTHORIZATION OF LOCAL RESIDENTIAL OR COM-
MUTER TOLL, USER FEE OR FARE DISCOUNT 
PROGRAMS. 
(a) AUTHORITY TO PROVIDE RESIDENTIAL OR COM-
MUTER TOLL, USER FEE, OR FARE DISCOUNT PRO-
GRAMS.—States, counties, municipalities, and multi-juris-
dictional transportation authorities that operate or man-
age roads, highways, bridges, railroads, busses, ferries, or 
other transportation systems are authorized to establish 
programs that offer discounted transportation tolls, user 
fees, or other fares for residents of specific geographic 
areas in order to reduce or alleviate toll burdens imposed 
upon such residents. 
(b) RULEMAKING WITH RESPECT TO THE STATE, 
LOCAL, OR AGENCY PROVISION OF TOLL, USER FEE OR 
FARE DISCOUNT PROGRAMS TO LOCAL RESIDENTS OR 
COMMUTERS.—States, counties, municipalities, and multi- 
jurisdictional transportation authorities that operate or 
manage roads, highways, bridges, railroads, busses, fer-
ries, or other transportation systems are authorized to 
enact such rules or regulations that may be necessary to 
establish the programs authorized under subsection (a). 
(c) RULE OF CONSTRUCTION.—Nothing in this Act 
may be construed to limit or otherwise interfere with the 
authority, as of the date of the enactment of this Act, of 
States, counties, municipalities, and multi-jurisdictional 
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HR 897 RFS
transportation authorities that operate or manage roads, 
highways, bridges, railroads, busses, ferries, or other 
transportation systems. 
Passed the House of Representatives August 1, 
2012. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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104TH CONGRESS
2D SESSION
H. R. 3021
AN ACT
To guarantee the continuing full investment of So-
cial Security and other Federal funds in obliga-
tions of the United States.
I 
112TH CONGRESS 
1ST SESSION 
H. R. 899 
To amend title 41, United States Code, to extend the sunset date for certain 
protests of task and deliver order contracts. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 3, 2011 
Mr. LANKFORD (for himself and Mr. CONNOLLY of Virginia) introduced the 
following bill; which was referred to the Committee on Oversight and 
Government Reform 
A BILL 
To amend title 41, United States Code, to extend the sunset 
date for certain protests of task and deliver order contracts. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. EXTENSION OF SUNSET DATE FOR CERTAIN 
PROTESTS OF TASK AND DELIVER ORDER 
CONTRACTS. 
Paragraph (3) of section 4106(f) of title 41, United 
States Code, is amended to read as follows: 
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‘‘(3) EFFECTIVE
PERIOD.—Paragraph (1)(B) 
and paragraph (2) of this subsection shall not be in 
effect after September 30, 2016.’’. 
Æ 
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•HR 4822 EH1S
Government, distribute such information to the resi-
dences of congressional employees, and conduct sem-
inars and other activities designed to educate em-
ployers and employees in such information,
(3) compile and publish statistics on the use of
the Office by congressional employees, including the
number and type of contacts made with the Office,
on the reason for such contacts, on the number of
employees who initiated proceedings with the Office
under sections 7 through 12 and the result of such
proceedings, and on the number of employees who
filed a complaint under section 10, the basis for the
complaint, and the action taken on the complaint,
and
(4) within 180 days of the initial appointment
of the executive director and in conjunction with the
Clerk of the House of Representatives and the Sec-
retary of the Senate, develop a system for the collec-
tion of demographic data respecting the composition
of the congressional employees, including race, sex,
and wages, and a system for the collection of infor-
mation on employment practices, including family
leave and flexible work hours, in Congressional
offices.
104TH CONGRESS
2D SESSION
H. R. 3021
AN ACT
To guarantee the continuing full investment of Social Secu-
rity and other Federal funds in obligations of the United
States.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,