1204 
SEC. 122. SUPPORT FOR EFFORTS AT THE UNITED NATIONS 
ON THE HUMANITARIAN CRISIS IN VEN-
EZUELA. 
(a) SENSE OF CONGRESS.—It is the sense of Congress 
that the United Nations humanitarian agencies should con-
duct and publish independent assessments of the humani-
tarian situation in Venezuela, including— 
(1) the extent and impact of the shortages of 
food, medicine, and medical supplies in Venezuela; 
(2) basic health indicators in Venezuela, such as 
maternal and child mortality rates and the preva-
lence and treatment of communicable diseases; and 
(3) the efforts needed to resolve the shortages 
identified in paragraph (1) and to improve the health 
indicators referred to in paragraph (2). 
(b) UNITED NATIONS RESIDENT COORDINATOR.—The 
President should instruct the Permanent Representative to 
the United Nations to use the voice, vote, and influence of 
the United States at the United Nations to support the ef-
forts of the Resident Coordinator for Venezuela in a manner 
that— 
(1) contributes to Venezuela’s long-term recovery; 
and 
(2) advances humanitarian efforts in Venezuela 
and for Venezuelans residing in neighboring coun-
tries.
1205 
SEC. 123. COORDINATION AND DISTRIBUTION OF HUMANI-
TARIAN ASSISTANCE TO THE PEOPLE OF VEN-
EZUELA. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Humanitarian Assistance to the Venezuelan People Act of 
2019’’. 
(b) DEFINED TERM.—In this section, the term ‘‘appro-
priate congressional committees’’ means— 
(1) the Committee on Foreign Relations of the 
Senate; 
(2) the Committee on Appropriations of the Sen-
ate; 
(3) the Committee on Banking, Housing, and 
Urban Affairs of the Senate; 
(4) the Committee on Foreign Affairs of the 
House of Representatives; 
(5) the Committee on Appropriations of the 
House of Representatives; and 
(6) the Committee on Financial Services of the 
House of Representatives. 
(c) REPORT ON THE COORDINATION AND DISTRIBU-
TION OF HUMANITARIAN ASSISTANCE TO THE PEOPLE OF 
VENEZUELA
INCLUDING
STRATEGY
ON
FUTURE
EF-
FORTS.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this Act, the Secretary of
1206 
State, in coordination with the Administrator of the 
United States Agency for International Development, 
shall submit a report to the appropriate congressional 
committees that evaluates the delivery and coordina-
tion of humanitarian assistance to the people of Ven-
ezuela since the onset of the humanitarian crisis, 
whether residing in Venezuela or elsewhere in the 
Western Hemisphere. 
(2) MATTERS TO BE INCLUDED.—The report re-
quired under paragraph (1) shall— 
(A) identify how United States Agency for 
International Development and Department of 
State best practices are being utilized in pro-
viding humanitarian assistance to Venezuela 
and countries in the region, including a descrip-
tion of coordination efforts with United States 
embassies and USAID missions throughout the 
region; 
(B) describe the current and anticipated 
challenges to distributing humanitarian assist-
ance in Venezuela and countries hosting Ven-
ezuelan migrants; 
(C) describe the coordination of United 
States assistance with foreign donors; and
1207 
(D) describe how the distribution of human-
itarian assistance is being monitored and evalu-
ated, including— 
(i) the number of beneficiaries receiv-
ing such assistance; 
(ii) an assessment of how humani-
tarian and development assistance is bene-
fitting Venezuelan migrants inside and out-
side of the country; and 
(iii) what additional staff may be nec-
essary to manage such assistance. 
Subtitle C—Addressing Regime 
Cohesion 
SEC. 131. CLASSIFIED BRIEFING ON DECLINING COHESION 
INSIDE THE VENEZUELAN MILITARY AND THE 
MADURO REGIME. 
(a) REPORTING REQUIREMENT.—Not later than 90 
days after the date of the enactment of this Act, the Sec-
retary of State, acting through the Bureau of Intelligence 
and Research, and in coordination with the Director of Na-
tional Intelligence, shall provide a briefing to the appro-
priate congressional committees that assesses the declining 
cohesion inside the Venezuelan military and security forces 
and the Maduro regime.
1208 
(b) ADDITIONAL ELEMENTS.—The briefing required 
under subsection (a) shall— 
(1) identify senior members of the Venezuelan 
military and the Maduro regime, including generals, 
admirals, cabinet ministers, deputy cabinet ministers, 
and the heads of intelligence agencies, whose loyalty 
to Nicola´s Maduro is declining; 
(2) describe the factors that would accelerate the 
decision making of individuals identified in para-
graph (1)— 
(A) to break with the Maduro regime; and 
(B) to recognize the Interim President of 
Venezuela and his government; and 
(3) assess and detail the massive number of de-
sertions and defections that have occurred at the offi-
cer and enlisted levels inside the Venezuelan military 
and security forces. 
(c) APPROPRIATE CONGRESSIONAL COMMITTEES.—In 
this section, the term ‘‘appropriate congressional commit-
tees’’ means— 
(1) the Committee on Foreign Relations of the 
Senate; 
(2) the Select Committee on Intelligence of the 
Senate;
1209 
(3) the Committee on Foreign Affairs of the 
House of Representatives; and 
(4) the Permanent Select Committee on Intel-
ligence of the House of Representatives. 
SEC. 132. ADDITIONAL RESTRICTIONS ON VISAS. 
(a) IN GENERAL.—The Secretary of State shall impose 
the visa restrictions described in subsection (c) on any for-
eign person who the Secretary determines— 
(1) is a current or former senior official of the 
Maduro regime, or any foreign person acting on be-
half of such regime, who is knowingly responsible for, 
complicit in, responsible for ordering, controlling, or 
otherwise directing, or participating in (directly or 
indirectly) any activity in or in relation to Ven-
ezuela, on or after January 23, 2019, that signifi-
cantly undermines or threatens the integrity of— 
(A) the democratically-elected National As-
sembly of Venezuela; or 
(B) the President of such National Assem-
bly, while serving as Interim President of Ven-
ezuela, or the senior government officials under 
the supervision of such President; 
(2) is the spouse or adult child of a foreign per-
son described in paragraph (1); or
1210 
(3) is the spouse or adult child of Venezuelan 
person sanctioned under— 
(A) section 5(a) of the Venezuela Defense of 
Human Rights and Civil Society Act of 2014 
(Public Law 113–278), as amended by section 
163 of this title; 
(B) section 804(b) of the Foreign Narcotics 
Kingpin Designation Act (21 U.S.C. 1903(b)); or 
(C) Executive Orders 13692 (50 U.S.C. 
1701 note) and 13850. 
(b) REMOVAL FROM VISA REVOCATION LIST.—Pursu-
ant to such procedures as the Secretary of State may estab-
lish to implement this section— 
(1) if any person described in subsection (a)(1) 
recognizes and pledges support for the Interim Presi-
dent of Venezuela or a subsequent democratically 
elected government of Venezuela, that person and any 
family members of that person who were subject to 
visa restrictions pursuant to subsection (a)(2) shall 
no longer be subject to such visa restrictions; and 
(2) if any person described in subparagraphs (A) 
through (C) of subsection (a)(3) recognizes and 
pledges support for the Interim President of Venezuela 
or a subsequent democratically elected government of 
Venezuela, any family members of that person who
1211 
were subject to visa restrictions pursuant to sub-
section (a)(3) shall no longer be subject to such visa 
restrictions. 
(c) VISA RESTRICTIONS DESCRIBED.— 
(1) VISAS, ADMISSION, OR PAROLE.—An alien 
described in subsection (a) is— 
(A) inadmissible to the United States; 
(B) ineligible to receive a visa or other doc-
umentation to enter the United States; and 
(C) otherwise ineligible to be admitted or 
paroled into the United States or to receive any 
benefit under the Immigration and Nationality 
Act (8 U.S.C. 1101 et seq.). 
(2) CURRENT VISAS REVOKED.— 
(A) IN
GENERAL.—An alien described in 
subsection (a) is subject to revocation of any visa 
or other entry documentation regardless of when 
the visa or other entry documentation is or was 
issued. 
(B) IMMEDIATE
EFFECT.—A revocation 
under subparagraph (A) shall— 
(i) take effect immediately; and 
(ii) automatically cancel any other 
valid visa or entry documentation that is in 
the alien’s possession.
1212 
(3) EXCEPTIONS.—Sanctions under paragraphs 
(1) and (2) shall not apply with respect to an alien 
if admitting or paroling the alien into the United 
States is necessary— 
(A) to permit the United States to comply 
with the Agreement regarding the Headquarters 
of the United Nations, signed at Lake Success 
June 26, 1947, and entered into force November 
21, 1947, between the United Nations and the 
United States, or other applicable international 
obligations; or 
(B) to carry out or assist law enforcement 
activity in the United States. 
(d) RULEMAKING.—The President shall issue such reg-
ulations, licenses, and orders as may be necessary to carry 
out this section. 
SEC. 133. WAIVER FOR SANCTIONED OFFICIALS THAT REC-
OGNIZE THE INTERIM PRESIDENT OF VEN-
EZUELA. 
(a) REMOVAL OF SANCTIONS.—If a person sanctioned 
under any of the provisions of law described in subsection 
(b) recognizes and pledges supports for the Interim Presi-
dent of Venezuela or a subsequent democratically elected 
government, the person shall no longer be subject to such 
sanctions, pursuant to such procedures as the Secretary of
1213 
State and the Secretary of the Treasury may establish to 
implement this section. 
(b) SANCTIONS DESCRIBED.—The sanctions described 
in this subsection are set forth in the following provisions 
of law: 
(1)(A) Paragraphs (3) and (4) of section 5(a) of 
the Venezuela Defense of Human Rights and Civil So-
ciety Act of 2014 (Public Law 113–278), as amended 
by section 163 of this title. 
(B) Paragraph (5) of section 5(a) of such Act, to 
the extent such paragraph relates to the sanctions de-
scribed in paragraph (3) or (4) of such subsection. 
(2)(A) Clauses (1) and (4) of section 1(a)(ii)(A) 
of Executive Order 13692 (50 U.S.C. 1701 note). 
(B) Subparagraph (D)(2) of section 1(a)(ii) of 
such Executive Order, to the extent such subpara-
graph relates to the provisions of law cited in sub-
paragraph (A). 
(3)(A) Section 1(a)(ii) of Executive Order 13850. 
(B) Paragraph (iii) of section 1(a) of such Exec-
utive Order, to the extent such paragraph relates to 
the provision of law cited in subparagraph (A). 
(c) RULEMAKING.—The President shall issue such reg-
ulations, licenses, and orders as may be necessary to carry 
out this section.
1214 
Subtitle D—Restoring Democracy 
and Addressing the Political 
Crisis in Venezuela 
SEC. 141. SUPPORT FOR THE ORGANIZATION OF AMERICAN 
STATES AND THE LIMA GROUP. 
(a) SENSE OF CONGRESS.—It is the sense of Congress 
that the Secretary of State should— 
(1) take additional steps to support ongoing ef-
forts by the Secretary General of the Organization of 
American States to promote diplomatic initiatives to 
foster the restoration of democracy and the rule of law 
in Venezuela; 
(2) conduct diplomatic engagement in support of 
efforts by the Lima Group to restore democracy and 
the rule of law in Venezuela and facilitate the deliv-
ery of humanitarian assistance for the Venezuelan 
people; and 
(3) engage with the International Contact Group 
on Venezuela to advance a peaceful and democratic 
solution to the current crisis. 
(b) DEFINED TERMS.—In this section: 
(1) INTERNATIONAL
CONTACT
GROUP
ON
VEN-
EZUELA.—The ‘‘International Contact Group on Ven-
ezuela’’ refers to a diplomatic bloc—
1215 
(A) whose members include the European 
Union, France, Germany, Italy, Spain, Por-
tugal, Sweden, the Netherlands, the United King-
dom, Ecuador, Costa Rica, and Uruguay; and 
(B) which was established to advance a 
peaceful and democratic solution to the current 
crisis in Venezuela. 
(2) LIMA GROUP.—The ‘‘Lima Group’’ refers to 
a diplomatic bloc— 
(A) whose members include Argentina, 
Brazil, Canada, Chile, Colombia, Costa Rica, 
Guatemala, Guyana, Honduras, Panama, Para-
guay, Peru, and Saint Lucia; and 
(B) which was established to address the po-
litical, economic, and humanitarian crises in 
Venezuela. 
SEC. 142. ACCOUNTABILITY FOR CRIMES AGAINST HUMAN-
ITY. 
(a) SENSE OF CONGRESS.—It is the sense of Congress 
that the Secretary of State should conduct robust diplomatic 
engagement in support of efforts in Venezuela, and on the 
part of the international community, to ensure account-
ability for possible crimes against humanity and serious 
violations of human rights.
1216 
(b) REPORT.—Not later than 90 days after the date 
of the enactment of this Act, the Secretary of State shall 
submit a report to Congress that— 
(1) evaluates the degree to which the Maduro re-
gime and its officials, including members of the Ven-
ezuelan security forces, have engaged in actions that 
constitute possible crimes against humanity and seri-
ous violations of human rights; and 
(2) provides options for holding accountable the 
perpetrators identified under paragraph (1). 
SEC. 143. SUPPORT FOR INTERNATIONAL ELECTION OBSER-
VATION AND DEMOCRATIC CIVIL SOCIETY. 
(a) IN GENERAL.—The Secretary of State, in coordi-
nation with the Administrator of the United States Agency 
for International Development— 
(1) shall work with the Organization of Amer-
ican States to ensure credible international observa-
tion of future elections in Venezuela that contributes 
to free, fair, and transparent democratic electoral 
processes; and 
(2) shall work with nongovernmental organiza-
tions— 
(A) to strengthen democratic governance 
and institutions, including the democratically 
elected National Assembly of Venezuela;
1217 
(B) to defend internationally recognized 
human rights for the people of Venezuela, includ-
ing support for efforts to document crimes 
against humanity and violations of human 
rights; 
(C) to support the efforts of independent 
media outlets to broadcast, distribute, and share 
information beyond the limited channels made 
available by the Maduro regime; and 
(D) to combat corruption and improve the 
transparency and accountability of institutions 
that are part of the Maduro regime. 
(b) ENGAGEMENT AT THE ORGANIZATION OF AMER-
ICAN STATES.—The Secretary of State, acting through the 
United States Permanent Representative to the Organiza-
tion of American States, should advocate and build diplo-
matic support for sending an election observation mission 
to Venezuela to ensure that democratic electoral processes 
are organized and carried out in a free, fair, and trans-
parent manner. 
(c) BRIEFING REQUIREMENT.—Not later than 180 
days after the date of the enactment of this Act, the Sec-
retary of State, in coordination with the Administrator of 
the United States Agency for International Development,
1218 
shall provide a briefing on the strategy to carry out the 
activities described in subsection (a) to— 
(1) the Committee on Foreign Relations of the 
Senate; 
(2) the Committee on Appropriations of the Sen-
ate; 
(3) the Committee on Foreign Affairs of the 
House of Representatives; and 
(4) the Committee on Appropriations of the 
House of Representatives. 
(d) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—There are authorized to be ap-
propriated to the Secretary of State for fiscal year 
2020, $17,500,000 to carry out the activities set forth 
in subsection (a). 
(2) NOTIFICATION
REQUIREMENTS.—Amounts 
appropriated pursuant to paragraph (1) are subject 
to the notification requirements applicable to expendi-
tures from the Economic Support Fund under section 
531(c) of the Foreign Assistance Act of 1961 (22 
U.S.C. 2346(c)) and from the Development Assistance 
Fund under section 653(a) of the Foreign Assistance 
Act of 1961 (22 U.S.C. 2413(a)), to the extent that 
such funds are expended.
1219 
Subtitle E—Supporting the 
Reconstruction of Venezuela 
SEC. 151. RECOVERING ASSETS STOLEN FROM THE VEN-
EZUELAN PEOPLE. 
(a) RECOVERING
ASSETS.—The President, acting 
through the Secretary of State and in consultation with the 
Secretary of the Treasury, shall advance a coordinated 
international effort— 
(1) to work with foreign governments— 
(A) to share financial investigations intel-
ligence, as appropriate; 
(B) to block the assets identified pursuant 
to paragraph (2); and 
(C) to provide technical assistance to help 
governments establish the necessary legal frame-
work to carry out asset forfeitures; and 
(2) to carry out special financial investigations 
to identify and track assets taken from the people and 
institutions of Venezuela through theft, corruption, 
money laundering, or other illicit means. 
(b) STRATEGY REQUIREMENT.— 
(1) IN GENERAL.—Not later than 180 days after 
the date of the enactment of this Act, the President, 
acting through the Secretary of State and in consulta-
tion with the Secretary of the Treasury, shall submit
1220 
a strategy for carrying out the activities described in 
subsection (a) to Congress. 
(2) ADDITIONAL
ELEMENTS.—The strategy re-
quired under paragraph (1) shall— 
(A) assess whether the United States or an-
other member of the international community 
should establish a managed fund to hold the as-
sets identified pursuant to subsection (a)(2) that 
could be returned to a future democratic govern-
ment in Venezuela; and 
(B) include such recommendations as the 
President and the Secretary of State consider ap-
propriate for legislative or administrative action 
in the United States that would be needed to es-
tablish and manage the fund described in sub-
paragraph (A). 
Subtitle F—Restoring the Rule of 
Law in Venezuela 
SEC. 161. DEVELOPING AND IMPLEMENTING A COORDI-
NATED SANCTIONS STRATEGY WITH PART-
NERS IN THE WESTERN HEMISPHERE AND 
THE EUROPEAN UNION. 
(a) STRENGTHENING SANCTIONS CAPACITY IN LATIN 
AMERICA AND THE CARIBBEAN.—The Secretary of State, 
in consultation with the Secretary of the Treasury, shall
1221 
offer to provide technical assistance to partner governments 
in Latin America and the Caribbean to assist such govern-
ments in establishing the legislative and regulatory frame-
works needed to impose targeted sanctions on officials of 
the Maduro regime who— 
(1) are responsible for human rights abuses; 
(2) have engaged in public corruption; or 
(3) are undermining democratic institutions and 
processes in Venezuela. 
(b) COORDINATING INTERNATIONAL SANCTIONS.—The 
Secretary of State, in consultation with the Secretary of 
the Treasury, shall engage in diplomatic efforts with part-
ner governments, including the Government of Canada, gov-
ernments in the European Union, and governments in 
Latin America and the Caribbean, to impose targeted sanc-
tions on the Maduro regime officials described in subsection 
(a). 
(c) STRATEGY REQUIREMENT.—Not later than 90 days 
after the date of the enactment of this Act, the Secretary 
of State, in consultation with the Secretary of the Treasury, 
shall submit a strategy for carrying out the activities de-
scribed in subsection (a) to— 
(1) the Committee on Foreign Relations of the 
Senate;
1222 
(2) the Committee on Appropriations of the Sen-
ate; 
(3) the Committee on Banking, Housing, and 
Urban Affairs of the Senate; 
(4) the Committee on Foreign Affairs of the 
House of Representatives; 
(5) the Committee on Appropriations of the 
House of Representatives; and 
(6) the Committee on Financial Services of the 
House of Representatives. 
(d) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—There is authorized to be ap-
propriated to the Secretary of State for fiscal year 
2020, $3,000,000 to carry out the activities set forth 
in subsection (a). 
(2) NOTIFICATION
REQUIREMENTS.—Amounts 
appropriated pursuant to paragraph (1) are subject 
to the notification requirements applicable to expendi-
tures from the Economic Support Fund under section 
531(c) of the Foreign Assistance Act of 1961 (22 
U.S.C. 2346(c)) and the International Narcotics and 
Law Enforcement Fund under section 489 of the For-
eign Assistance Act of 1961 (22 U.S.C. 2291h) to the 
extent that such funds are expended.
1223 
SEC. 162. CLASSIFIED BRIEFING ON THE INVOLVEMENT OF 
VENEZUELAN 
OFFICIALS 
IN 
CORRUPTION 
AND ILLICIT NARCOTICS TRAFFICKING. 
(a) BRIEFING REQUIREMENT.—Not later than 90 days 
after the date of the enactment of this Act, the Secretary 
of State, acting through the Bureau of Intelligence and Re-
search, and in coordination with the Director of National 
Intelligence, shall provide a classified briefing to the appro-
priate congressional committees on the involvement of sen-
ior officials of the Maduro regime, including members of 
the National Electoral Council, the judicial system, and the 
Venezuelan security forces, in illicit narcotics trafficking 
and significant acts of public corruption in Venezuela. 
(b) ADDITIONAL ELEMENTS.—The briefing provided 
under subsection (a) shall— 
(1) describe how the significant acts of public 
corruption pose challenges for United States national 
security and impact the rule of law and democratic 
governance in countries of the Western Hemisphere; 
(2) identify individuals for whom there is cred-
ible information that they frustrated the ability of the 
United States to combat illicit narcotics trafficking; 
(3) include an assessment of the relationship be-
tween individuals identified under subsection (a) and 
Nicola´s Maduro or members of his cabinet; and
1224 
(4) include input from the Drug Enforcement 
Administration, the Office of Foreign Assets Control, 
and the Financial Crimes Enforcement Network. 
(c) APPROPRIATE CONGRESSIONAL COMMITTEES.—In 
this section, the term ‘‘appropriate congressional commit-
tees’’ means— 
(1) the Committee on Foreign Relations of the 
Senate; 
(2) the Select Committee on Intelligence of the 
Senate; 
(3) the Committee on Banking, Housing, and 
Urban Affairs of the Senate; 
(4) the Committee on Foreign Affairs of the 
House of Representatives; 
(5) the Permanent Select Committee on Intel-
ligence of the House of Representatives; and 
(6) the Committee on Financial Services of the 
House of Representatives. 
SEC. 163. CONCERNS OVER PDVSA TRANSACTIONS WITH 
ROSNEFT. 
(a) FINDINGS.—Congress makes the following findings: 
(1) In late 2016, Venezuelan state-owned oil 
company Petro´leos de Venezuela, S.A. (referred to in 
this section as ‘‘PDVSA’’), through a no compete 
transaction, secured a loan from Russian government-
1225 
controlled oil company Rosneft, using 49.9 percent of 
PDVSA’s American subsidiary, CITGO Petroleum 
Corporation, including its assets in the United States, 
as collateral. As a result of this transaction, 100 per-
cent of CITGO is held as collateral by PDVSA’s 
creditors. 
(2) CITGO, a wholly owned subsidiary of 
PDVSA, is engaged in interstate commerce and owns 
and controls critical energy infrastructure in 19 
States of the United States, including an extensive 
network of pipelines, 48 terminals, and 3 refineries, 
with a combined oil refining capacity of 749,000 bar-
rels per day. CITGO’s refinery in Lake Charles, Lou-
isiana, is the sixth largest refinery in the United 
States. 
(3) The Department of the Treasury imposed 
sanctions on Rosneft, which is controlled by the Gov-
ernment of the Russian Federation, and its Executive 
Chairman, Igor Sechin, following Russia’s military 
invasion of Ukraine and its illegal annexation of Cri-
mea in 2014. 
(4) The Department of Homeland Security has 
designated the energy sector as critical to United 
States infrastructure.
1226 
(5) The growing economic crisis in Venezuela 
raises the probability that the Maduro regime and 
PDVSA will default on their international debt obli-
gations, resulting in a scenario in which Rosneft 
could come into control of CITGO’s United States en-
ergy infrastructure holdings. 
(b) SENSE OF CONGRESS.—It is the sense of Congress 
that— 
(1) control of critical United States energy infra-
structure by Rosneft, a Russian government-controlled 
entity currently under United States sanctions that is 
led by Igor Sechin, who is also under United States 
sanctions and is a close associate of Vladimir Putin, 
would pose a significant risk to United States na-
tional security and energy security; and 
(2) a default by PDVSA on its loan from 
Rosneft, resulting in Rosneft coming into possession 
of PDVSA’s United States CITGO assets, would war-
rant careful consideration by the Committee on For-
eign Investment in the United States. 
(c) PREVENTING
ROSNEFT
FROM
CONTROLLING 
UNITED STATES ENERGY INFRASTRUCTURE.—The Presi-
dent shall take all necessary steps to prevent Rosneft from 
gaining control of critical United States energy infrastruc-
ture.
1227 
(d) SECURITY RISK REPORT.—Not later than 90 days 
after the date of the enactment of this Act, the President 
shall submit a report assessing the national security risks 
posed by potential Russian acquisition and control of 
CITGO’s United States energy infrastructure holdings to— 
(1) the Committee on Foreign Relations of the 
Senate; 
(2) the Committee on Homeland Security and 
Governmental Affairs of the Senate; 
(3) the Committee on Banking, Housing, and 
Urban Affairs of the Senate; 
(4) the Committee on Foreign Affairs of the 
House of Representatives; 
(5) the Committee on Homeland Security of the 
House of Representatives; and 
(6) the Committee on Financial Services of the 
House of Representatives. 
SEC. 164. CLASSIFIED BRIEFING ON ACTIVITIES OF CER-
TAIN FOREIGN GOVERNMENTS AND ACTORS 
IN VENEZUELA. 
(a) IN GENERAL.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of State, 
acting through the Bureau of Intelligence and Research of 
the Department of State, and in coordination with the Di-
1228 
rector of National Intelligence, shall provide a classified 
briefing to the appropriate congressional committees on— 
(1) the full extent of cooperation by the Govern-
ment of the Russian Federation, the Government of 
the People’s Republic of China, the Government of 
Cuba, and the Government of Iran with the Maduro 
regime; and 
(2) the activities inside Venezuelan territory of 
foreign armed groups, including Colombian criminal 
organizations and defectors from the Colombian gue-
rilla group known as the Revolutionary Armed Forces 
of Colombia, and foreign terrorist organizations, in-
cluding the Colombian guerilla group known as the 
National Liberation Army (ELN). 
(b) APPROPRIATE CONGRESSIONAL COMMITTEES.—In 
this section, the term ‘‘appropriate congressional commit-
tees’’ means— 
(1) the Committee on Foreign Relations of the 
Senate; 
(2) the Select Committee on Intelligence of the 
Senate; 
(3) the Committee on Foreign Affairs of the 
House of Representatives; and 
(4) the Permanent Select Committee on Intel-
ligence of the House of Representatives.
1229 
SEC. 165. COUNTERING RUSSIAN INFLUENCE IN VEN-
EZUELA. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Russian-Venezuelan Threat Mitigation Act’’. 
(b) 
THREAT
ASSESSMENT
AND
STRATEGY
TO 
COUNTER RUSSIAN INFLUENCE IN VENEZUELA.— 
(1) DEFINED
TERM.—In this subsection, the 
term 
‘‘appropriate 
congressional 
committees’’ 
means— 
(A) the Committee on Foreign Relations of 
the Senate; and 
(B) the Committee on Foreign Affairs of the 
House of Representatives. 
(2) THREAT ASSESSMENT.—Not later than 120 
days after the date of the enactment of this Act, the 
Secretary of State shall submit a report to the appro-
priate congressional committees regarding— 
(A) an assessment of Russian-Venezuelan se-
curity cooperation; 
(B) the potential threat such cooperation 
poses to the United States and countries in the 
Western Hemisphere; and 
(C) a strategy to counter threats identified 
in subparagraphs (A) and (B). 
(c) ALIENS INELIGIBLE FOR VISAS, ADMISSION, OR 
PAROLE.—
1230 
(1) ALIENS DESCRIBED.—An alien described in 
this paragraph is an alien who the Secretary of State 
or the Secretary of Homeland Security (or a designee 
of either Secretary) knows, or has reason to believe, 
is acting or has acted on behalf of the Government of 
Russia in direct support of the security forces of the 
Maduro regime. 
(2) VISAS, ADMISSION, OR PAROLE.—An alien 
described in paragraph (1) is— 
(A) inadmissible to the United States; 
(B) ineligible to receive a visa or other doc-
umentation to enter the United States; and 
(C) otherwise ineligible to be admitted or 
paroled into the United States or to receive any 
benefit under the Immigration and Nationality 
Act (8 U.S.C. 1101 et seq.). 
(3) CURRENT VISAS REVOKED.— 
(A) IN
GENERAL.—An alien described in 
paragraph (1) is subject to revocation of any 
visa or other entry documentation regardless of 
when the visa or other entry documentation is or 
was issued. 
(B) IMMEDIATE
EFFECT.—A revocation 
under subparagraph (A) shall— 
(i) take effect immediately; and
1231 
(ii) automatically cancel any other 
valid visa or entry documentation that is in 
the alien’s possession. 
(4) EXCEPTIONS.—Sanctions under paragraphs 
(2) and (3) shall not apply with respect to an alien 
if admitting or paroling the alien into the United 
States is necessary— 
(A) to permit the United States to comply 
with the Agreement regarding the Headquarters 
of the United Nations, signed at Lake Success 
June 26, 1947, and entered into force November 
21, 1947, between the United Nations and the 
United States, or other applicable international 
obligations; or 
(B) to carry out or assist law enforcement 
activity in the United States. 
(5) NATIONAL
SECURITY.—The President may 
waive the application of this subsection with respect 
to an alien if the President— 
(A) determines that such a waiver is in the 
national interest of the United States; and 
(B) submits a notice of, and justification 
for, such waiver to the appropriate congressional 
committees.
1232 
(6) SUNSET.—This subsection shall terminate on 
the date that is 1 year after the date of the enactment 
of this Act. 
SEC. 166. RESTRICTION ON EXPORT OF COVERED ARTICLES 
AND 
SERVICES 
TO 
CERTAIN 
SECURITY 
FORCES OF VENEZUELA. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Venezuela Arms Restriction Act’’. 
(b) DEFINITIONS.—In this section: 
(1) 
APPROPRIATE
CONGRESSIONAL
COMMIT-
TEES.—The term ‘‘appropriate congressional commit-
tees’’ means— 
(A) the Committee on Foreign Relations of 
the Senate; 
(B) the Committee on Banking, Housing, 
and Urban Affairs of the Senate; 
(C) the Committee on Foreign Affairs of the 
House of Representatives; and 
(D) the Committee on Financial Services of 
the House of Representatives. 
(2) COVERED ARTICLE OR SERVICE.—The term 
‘‘covered article or service’’— 
(A) for purposes of subsection (c), means— 
(i) a defense article or defense service 
(as such terms are defined in section 47 of
1233 
the Arms Export Control Act (22 U.S.C. 
2794)); and 
(ii) any article included on the Com-
merce Control List set forth in Supplement 
No. 1 to part 774 of the Export Administra-
tion Regulations under subchapter C of 
chapter VII of title 15, Code of Federal Reg-
ulations, and controlled for crime control 
purposes, if the end user is likely to use the 
article to violate the human rights of the 
citizens of Venezuela; and 
(B) for purposes of subsection (d), means— 
(i) any defense article or defense serv-
ice of the type described in section 47 of the 
Arms Export Control Act (22 U.S.C. 2794); 
and 
(ii) any article of the type included on 
the Commerce Control List set forth in Sup-
plement No. 1 to part 774 of the Export Ad-
ministration Regulations and controlled for 
crime control purposes. 
(3) FOREIGN PERSON.—The term ‘‘foreign per-
son’’ means a person that is not a United States per-
son.
1234 
(4) PERSON.—The term ‘‘person’’ means an in-
dividual or entity. 
(5) SECURITY
FORCES
OF
VENEZUELA.—The 
term ‘‘security forces of Venezuela’’ includes— 
(A) the Bolivarian National Armed Forces, 
including the Bolivarian National Guard; 
(B) the Bolivarian National Intelligence 
Service; 
(C) the Bolivarian National Police; and 
(D) the Bureau for Scientific, Criminal and 
Forensic Investigations of the Ministry of Inte-
rior, Justice, and Peace. 
(6) UNITED STATES PERSON.—The term ‘‘United 
States person’’ means— 
(A) a United States citizen or an alien law-
fully admitted for permanent residence to the 
United States; or 
(B) an entity organized under the laws of 
the United States or of any jurisdiction within 
the United States, including a foreign branch of 
such an entity. 
(c) RESTRICTION ON EXPORT OF COVERED ARTICLES 
AND SERVICES TO CERTAIN SECURITY FORCES OF VEN-
EZUELA.—
1235 
(1) IN
GENERAL.—Notwithstanding any other 
provision of law, covered articles or services may not 
be exported from the United States to any element of 
the security forces of the Maduro regime. 
(2) DETERMINATION.—Not later than 180 days 
after the date of the enactment of this Act, the Sec-
retary of State, in consultation with the Secretary of 
Commerce and the heads of other departments and 
agencies, as appropriate, shall— 
(A) determine, using such information that 
is available to the Secretary of State, whether 
any covered article or service has been trans-
ferred since July 2017 to the security forces of 
Venezuela without a license or other authoriza-
tion as required by law; and 
(B) submit such determination in writing 
to the appropriate congressional committees. 
(d) REPORT.— 
(1) IN GENERAL.—Not later than 180 days after 
the date of the enactment of this Act, the Secretary of 
State, in consultation with the Secretary of Com-
merce, as appropriate, shall submit a report to the 
appropriate congressional committees regarding the 
transfer by foreign persons of covered articles or serv-
1236 
ices to elements of the security forces of Venezuela that 
are under the authority of the Maduro regime. 
(2) MATTERS TO BE INCLUDED.—The report re-
quired under paragraph (1) shall include— 
(A) a list of all significant transfers by for-
eign persons of covered articles or services to 
such elements of the security forces of Venezuela 
since July 2017; 
(B) a list of all foreign persons who main-
tain an existing defense relationship with such 
elements of the security forces of Venezuela; and 
(C) any known use of covered articles or 
services by such elements of the security forces of 
Venezuela or associated forces, including para-
military groups, that have coordinated with such 
security forces to assault, intimidate, or murder 
political activists, protesters, dissidents, and 
other civil society leaders, including Juan 
Guaido´. 
(e) SUNSET.—This section shall terminate on the ear-
lier of— 
(1) the date that is 3 years after the date of the 
enactment of this Act; or 
(2) the date on which the President certifies to 
the appropriate congressional committees that the
1237 
Government of Venezuela has returned to a demo-
cratic form of government with respect for the essen-
tial elements of representative democracy as set forth 
in Article 3 of the Inter-American Democratic Char-
ter, adopted by the Organization of American States 
in Lima on September 11, 2001. 
Subtitle G—Cryptocurrency and En-
suring 
the 
Effectiveness 
of 
United States Sanctions 
SEC. 
171. 
BRIEFING 
ON 
THE 
IMPACT 
OF 
CRYPTOCURRENCIES 
ON 
UNITED 
STATES 
SANCTIONS. 
(a) DEFINITION.—In this section, the term ‘‘appro-
priate congressional committees’’ means— 
(1) the Committee on Foreign Relations of the 
Senate; 
(2) the Committee on Banking, Housing, and 
Urban Affairs of the Senate; 
(3) the Committee on Foreign Affairs of the 
House of Representatives; and 
(4) the Committee on Financial Services of the 
House of Representatives. 
(b) METHODOLOGY.—Not later than 180 days after the 
date of the enactment of this Act, the Secretary of State 
and the Secretary of the Treasury, after consultation with
1238 
the Chairman of the Securities and Exchange Commission 
and the Chairman of the Commodity Futures Trading 
Commission, shall develop a methodology to assess how any 
digital currency, digital coin, or digital token, that was 
issued by, for, or on behalf of the Maduro regime is being 
utilized to circumvent or undermine United States sanc-
tions. 
(c) BRIEFING.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary of State and the 
Secretary of the Treasury shall brief the appropriate con-
gressional committees on the methodology developed under 
subsection (b). 
Subtitle H—Miscellaneous 
Provisions 
SEC. 181. CONGRESSIONAL BRIEFINGS. 
(a) HUMANITARIAN ASSISTANCE; SANCTIONS COORDI-
NATION.— 
(1) IN GENERAL.—Not later than 15 days after 
any of the congressional committees listed in para-
graph (2) requests a briefing regarding the implemen-
tation— 
(A) of section 121, the Secretary of State 
and the Administrator of the United States 
Agency for International Development shall pro-
vide such briefing to such committee; and
1239 
(B) of section 161, the Secretary of State 
shall provide such briefing to such committee. 
(2) CONGRESSIONAL COMMITTEES.—The commit-
tees listed in this paragraph are— 
(A) the Committee on Foreign Relations of 
the Senate; 
(B) the Committee on Appropriations of the 
Senate; 
(C) the Committee on Foreign Affairs of the 
House of Representatives; and 
(D) the Committee on Appropriations of the 
House of Representatives. 
(b) 
UNITED
NATIONS; 
NEGOTIATED
SOLUTION; 
CRIMES AGAINST HUMANITY.— 
(1) IN GENERAL.—Not later than 15 days after 
any congressional committee listed in paragraph (2) 
requests a briefing regarding the implementation of 
section 113, 122, or 142, the Secretary of State shall 
provide such briefing to such committee. 
(2) CONGRESSIONAL COMMITTEES.—The congres-
sional committees listed in this paragraph are— 
(A) the Committee on Foreign Relations of 
the Senate; and 
(B) the Committee on Foreign Affairs of the 
House of Representatives.
1240 
(c) REGIME COHESION.— 
(1) IN GENERAL.—Not later than 15 days after 
a congressional committee listed in paragraph (2) re-
quests a briefing regarding the implementation of sec-
tion 131, the Secretary of State and the Director of 
National Intelligence shall provide such briefing to 
such committee. 
(2) CONGRESSIONAL COMMITTEES.—The congres-
sional committees listed in this paragraph are— 
(A) the Committee on Foreign Relations of 
the Senate; 
(B) the Select Committee on Intelligence of 
the Senate; 
(C) the Committee on Foreign Affairs of the 
House of Representatives; and 
(D) the Permanent Select Committee on In-
telligence of the House of Representatives. 
(d) INTERNATIONAL ELECTION OBSERVATION; DEMO-
CRATIC CIVIL SOCIETY.—Not later than 15 days after a 
congressional committee listed in subsection (a)(2) requests 
a briefing regarding the implementation of section 143, the 
Secretary of State and the Administrator of the United 
States Agency for International Development shall provide 
such briefing to such committee.
1241 
(e) VISA RESTRICTIONS; SANCTIONS WAIVER.—Not 
later than 15 days after a congressional committee listed 
in subsection (b)(2) requests a briefing regarding the imple-
mentation of section 132 or 133, the Secretary of State shall 
provide such briefing to such committee. 
(f) RECOVERY OF STOLEN ASSETS.— 
(1) IN GENERAL.—Not later than 15 days after 
a congressional committee listed in paragraph (2) re-
quests a briefing regarding the implementation of sec-
tion 151, the Secretary of State, the Secretary of the 
Treasury, and the Attorney General shall provide 
such briefing to such committee. 
(2) CONGRESSIONAL COMMITTEES.—The congres-
sional committees listed in this paragraph are— 
(A) the Committee on Foreign Relations of 
the Senate; 
(B) the Committee on Banking, Housing, 
and Urban Affairs of the Senate; 
(C) the Committee on the Judiciary of the 
Senate; 
(D) the Committee on Foreign Affairs of the 
House of Representatives; 
(E) the Committee on Financial Services of 
the House of Representatives; and
1242 
(F) the Committee on the Judiciary of the 
House of Representatives. 
(g) PDVSA TRANSACTIONS WITH ROSNEFT.— 
(1) IN GENERAL.—Not later than 15 days after 
a congressional committee listed in paragraph (2) re-
quests a briefing regarding the implementation of sec-
tion 163, the Secretary of State, the Secretary of the 
Treasury, and the Secretary of Homeland Security 
shall provide such briefing to such committee. 
(2) CONGRESSIONAL COMMITTEES.—The congres-
sional committees listed in this paragraph are— 
(A) the Committee on Foreign Relations of 
the Senate; 
(B) the Committee on Homeland Security 
and Governmental Affairs of the Senate; 
(C) the Committee on Foreign Affairs of the 
House of Representatives; and 
(D) the Committee on Homeland Security 
of the House of Representatives. 
SEC. 182. PROHIBITION ON CONSTRUCTION OF PROVISIONS 
OF THIS TITLE AS AN AUTHORIZATION FOR 
THE USE OF MILITARY FORCE. 
Nothing in this title may be construed as an authoriza-
tion for the use of military force.
1243 
SEC. 183. EXTENSION AND TERMINATION OF SANCTIONS 
AGAINST VENEZUELA. 
(a) AMENDMENT.—Section 5(e) of the Venezuela De-
fense of Human Rights and Civil Society Act of 2014 (Pub-
lic Law 113–278; 50 U.S.C. 1701 note) is amended by strik-
ing ‘‘December 31, 2019’’ and inserting ‘‘December 31, 
2023’’. 
(b) TERMINATION.—The requirement to impose sanc-
tions under this title shall terminate on December 31, 2023. 
TITLE II—EASTERN MEDITERRA-
NEAN SECURITY AND ENERGY 
PARTNERSHIP 
SEC. 201. SHORT TITLE. 
This title may be cited as the ‘‘Eastern Mediterranean 
Security and Energy Partnership Act of 2019’’. 
SEC. 202. FINDINGS. 
Congress makes the following findings: 
(1) The security of partners and allies in the 
Eastern Mediterranean region is critical to the secu-
rity of the United States and Europe. 
(2) Greece is a valuable member of the North At-
lantic Treaty Organization (NATO) and a key pillar 
of stability in the Eastern Mediterranean. 
(3) Israel is a steadfast ally of the United States 
and has been designated a ‘‘major non-NATO ally’’ 
and ‘‘major strategic partner’’.
1244 
(4) Cyprus is a key strategic partner and signed 
a Statement of Intent with the United States on No-
vember 6, 2018, to enhance bilateral security coopera-
tion. 
(5) The countries of Greece, Cyprus, and Israel 
have participated in critical trilateral summits to 
improve cooperation on energy and security issues. 
(6) Secretary of State Mike Pompeo participated 
in the trilateral summit among Israel, Greece, and 
Cyprus on March 20, 2019. 
(7) The United States, Israel, Greece, and Cy-
prus oppose any action in the Eastern Mediterranean 
and the Aegean Sea that could challenge stability, 
violate international law, or undermine good neigh-
borly relations, and in a joint declaration on March 
21, 2019, agreed to ‘‘defend against external malign 
influences in the Eastern Mediterranean and the 
broader Middle East’’. 
(8) The recent discovery of what may be the re-
gion’s largest natural gas field off the Egyptian coast 
and the newest discoveries of natural gas off the coast 
of Cyprus could represent a significant and positive 
development for the Eastern Mediterranean and the 
Middle East, enhancing the region’s strategic energy 
significance.
1245 
(9) It is in the national security interest of the 
United States to promote, achieve, and maintain en-
ergy security among, and through cooperation with, 
allies. 
(10) Natural gas developments in the Eastern 
Mediterranean have the potential to provide economic 
gains and contribute to energy security in the region 
and Europe, as well as support European efforts to 
diversify away from natural gas supplied by the Rus-
sian Federation. 
(11) The soon to be completed Trans Adriatic 
Pipeline is a critical component of the Southern Gas 
Corridor and the European Union’s efforts to diver-
sify energy resources. 
(12) The proposed Eastern Mediterranean pipe-
line, if commercially viable, would provide for energy 
diversification in accordance with the European 
Union’s third energy package of reforms. 
(13) The United States acknowledges the achieve-
ments and importance of the Binational Industrial 
Research and Development Foundation (BIRD) and 
the United States-Israel Binational Science Founda-
tion (BSF) and supports continued multiyear fund-
ing to ensure the continuity of the programs of the 
Foundations.
1246 
(14) The United States has welcomed Greece’s al-
location of 2 percent of its gross domestic product 
(GDP) to defense in accordance with commitments 
made at the 2014 NATO Summit in Wales. 
(15) Energy exploration in the Eastern Medi-
terranean region must be safeguarded against threats 
posed by terrorist and extremist groups, including 
Hezbollah and any other actor in the region. 
(16) The energy exploration in the Republic of 
Cyprus’s Exclusive Economic Zone and territorial 
waters— 
(A) furthers United States interests by pro-
viding a potential alternative to Russian gas for 
United States allies and partners; and 
(B) should not be impeded by other sov-
ereign states. 
(17) The United States Government cooperates 
closely with Cyprus, Greece, and Israel through infor-
mation sharing agreements. 
(18) United States officials have assisted the 
Government of the Republic of Cyprus with crafting 
that nation’s national security strategy. 
(19) The United States Government provides 
training to Cypriot officials in areas such as cyberse-
1247 
curity, counterterrorism, and explosive ordnance dis-
posal and stockpile management. 
(20) Israel, Greece, and Cyprus are valued mem-
bers of the Proliferation Security Initiative to combat 
the trafficking of weapons of mass destruction. 
(21) The Republic of Cyprus continues to work 
closely with the United Nations and regional partners 
in Europe to combat terrorism and violent extremism. 
(22) Despite robust economic and security rela-
tions with the United States, the Republic of Cyprus 
has been subject to a United States prohibition on the 
export of defense articles and services since 1987. 
(23) The 1987 arms prohibition was designed to 
restrict United States arms sales and transfers to the 
Republic of Cyprus and the occupied part of Cyprus 
to avoid hindering reunification efforts. 
(24) At least 40,000 Turkish troops are stationed 
in the occupied part of Cyprus with some weapons 
procured from the United States through mainland 
Turkey. 
(25) While the United States has, as a matter of 
policy, avoided the provision of defense articles and 
services to the Republic of Cyprus, the Government of 
Cyprus has, in the past, sought to obtain defense arti-
cles from other countries, including countries, such as
1248 
Russia, that pose challenges to United States interests 
around the world. 
SEC. 203. STATEMENT OF POLICY. 
It is the policy of the United States— 
(1) to continue to actively participate in the tri-
lateral dialogue on energy, maritime security, cyber-
security and protection of critical infrastructure con-
ducted among Israel, Greece, and Cyprus; 
(2) to support diplomatic efforts with partners 
and allies to deepen energy security cooperation 
among Greece, Cyprus, and Israel and to encourage 
the private sector to make investments in energy in-
frastructure in the Eastern Mediterranean region; 
(3) to strongly support the completion of the 
Trans Adriatic and Eastern Mediterranean Pipelines 
and the establishment of liquified natural gas (LNG) 
terminals across the Eastern Mediterranean as a 
means of diversifying regional energy needs away 
from the Russian Federation; 
(4) to maintain a robust United States naval 
presence and investments in the naval facility at 
Souda Bay, Greece and develop deeper security co-
operation with Greece to include the recent MQ–9 de-
ployments to the Larissa Air Force Base and United 
States Army helicopter training in central Greece;
1249 
(5) to welcome Greece’s commitment to move for-
ward with the Interconnector Greece-Bulgaria (IGB 
pipeline) and additional LNG terminals that will 
help facilitate delivery of non-Russian gas to the Bal-
kans and central Europe; 
(6) to support deepened security cooperation 
with the Republic of Cyprus through the removal of 
the arms embargo on the country; 
(7) to support robust International Military 
Education and Training (IMET) programming with 
Greece and the Republic of Cyprus; 
(8) to leverage relationships within the European 
Union to encourage investments in Cypriot border 
and maritime security; 
(9) to support efforts to counter Russian Federa-
tion interference and influence in the Eastern Medi-
terranean through increased security cooperation with 
Greece, Cyprus, and Israel, to include intelligence 
sharing, cyber, and maritime domain awareness; 
(10) to support the Republic of Cyprus’ efforts to 
regulate its banking industry to ensure that it is not 
used as a source of international money laundering 
and encourage additional measures toward that end; 
(11) to strongly oppose any actions that would 
trigger mandatory sanctions pursuant to section 231
1250 
of the Countering America’s Adversaries Through 
Sanctions Act (CAATSA) (Public Law 115–44), to 
include the purchase of military equipment from the 
Russian Federation; 
(12) to continue robust official strategic engage-
ment with Israel, Greece, and Cyprus; 
(13) to urge countries in the region to deny port 
services to Russian Federation vessels deployed to 
support the government of Bashar Al-Assad in Syria; 
(14) to support joint military exercises among 
Israel, Greece, and Cyprus; 
(15) to fully implement relevant CAATSA provi-
sions to prevent interference by the Russian Federa-
tion in the region; 
(16) to support efforts by countries in the region 
to demobilize military equipment supplied by the 
Russian Federation in favor of equipment provided 
by NATO and NATO-allied member countries; and 
(17) to strongly support the active and robust 
participation of Israel, Cyprus, and Greece in the 
Combating Terrorism Fellowship Program. 
SEC. 204. UNITED STATES-EASTERN MEDITERRANEAN EN-
ERGY COOPERATION. 
(a) IN GENERAL.—The Secretary of State, in coordi-
nation with the Secretary of Energy, may enter into cooper-
1251 
ative agreements supporting and enhancing dialogue and 
planning involving international partnerships between the 
United States and Israel, Greece, and the Republic of Cy-
prus. 
(b) ANNUAL REPORTS.—If the Secretary of State, in 
coordination with the Secretary of Energy, enters into 
agreements authorized under subsection (a), the Secretary 
shall submit an annual report to the appropriate congres-
sional committees that describes— 
(1) actions taken to implement such agreements; 
and 
(2) any projects undertaken pursuant to such 
agreements. 
(c) UNITED STATES-EASTERN MEDITERRANEAN EN-
ERGY CENTER.—The Secretary of Energy, in coordination 
with the Secretary of State, may establish a joint United 
States-Eastern Mediterranean Energy Center in the United 
States leveraging the experience, knowledge, and expertise 
of institutions of higher education and entities in the pri-
vate sector, among others, in offshore energy development 
to further dialogue and collaboration to develop more robust 
academic cooperation in energy innovation technology and 
engineering, water science, technology transfer, and anal-
ysis of emerging geopolitical implications, which include
1252 
opportunities as well as crises and threats from foreign nat-
ural resource and energy acquisitions. 
SEC. 205. REPEAL OF PROHIBITION ON TRANSFER OF ARTI-
CLES ON THE UNITED STATES MUNITIONS 
LIST TO THE REPUBLIC OF CYPRUS. 
(a) SENSE OF CONGRESS.—It is the sense of Congress 
that— 
(1) allowing for the export, re-export or transfer 
of arms subject to the United States Munitions List 
(part 121 of title 22, Code of Federal Regulations) to 
the Republic of Cyprus would advance United States 
security interests in Europe by helping to reduce the 
dependence of the Government of the Republic of Cy-
prus on other countries, including countries that pose 
challenges to United States interests around the 
world, for defense-related materiel; and 
(2) it is in the interest of the United States to 
continue to support United Nations-facilitated efforts 
toward a comprehensive solution to the division of 
Cyprus. 
(b) MODIFICATION OF PROHIBITION.—Section 620C(e) 
of the Foreign Assistance Act of 1961 (22 U.S.C. 2373(e)) 
is amended—
1253 
(1) in paragraph (1), by striking ‘‘Any agree-
ment’’ and inserting ‘‘Except as provided in para-
graph (3), any agreement’’; and 
(2) by adding at the end the following new para-
graph: 
‘‘(3) The requirement under paragraph (1) shall not 
apply to any sale or other provision of any defense article 
or defense service to Cyprus if the end-user of such defense 
article or defense service is the Government of the Republic 
of Cyprus.’’. 
(c) EXCLUSION OF THE GOVERNMENT OF THE REPUB-
LIC OF CYPRUS FROM CERTAIN RELATED REGULATIONS.— 
(1) IN GENERAL.—Subject to subsection (d) and 
except as provided in paragraph (2), beginning on the 
date of the enactment of this Act, the Secretary of 
State shall not apply a policy of denial for exports, 
re-exports, or transfers of defense articles and defense 
services destined for or originating in the Republic of 
Cyprus if— 
(A) the request is made by or on behalf of 
the Government of the Republic of Cyprus; and 
(B) the end-user of such defense articles or 
defense services is the Government of the Repub-
lic of Cyprus.
1254 
(2) EXCEPTION.—This exclusion shall not apply 
to any denial based upon credible human rights con-
cerns. 
(d) LIMITATIONS ON THE TRANSFER OF ARTICLES ON 
THE UNITED STATES MUNITIONS LIST TO THE REPUBLIC 
OF CYPRUS.— 
(1) IN GENERAL.—The policy of denial for ex-
ports, re-exports, or transfers of defense articles on the 
United States Munitions List to the Republic of Cy-
prus shall remain in place unless the President deter-
mines and certifies to the appropriate congressional 
committees not less than annually that— 
(A) the Government of the Republic of Cy-
prus is continuing to cooperate with the United 
States Government in efforts to implement re-
forms on anti-money laundering regulations and 
financial regulatory oversight; and 
(B) the Government of the Republic of Cy-
prus has made and is continuing to take the 
steps necessary to deny Russian military vessels 
access to ports for refueling and servicing. 
(2) WAIVER.—The President may waive the lim-
itations contained in this subsection for one fiscal 
year if the President determines that it is essential to
1256 
(3) Establishing a rapport between the United 
States military and the country’s military to build 
alliances for the future. 
(4) Enhancement of interoperability and capa-
bilities for joint operations. 
(5) Focusing on professional military education. 
(6) Enabling countries to use their national 
funds to receive a reduced cost for other Department 
of Defense education and training. 
SEC. 207. FOREIGN MILITARY FINANCING. 
(a) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated for fiscal year 2021 up to 
$3,000,000 for Foreign Military Financing (FMF) assist-
ance for Greece to assist the country in meeting its commit-
ment as a member of the North Atlantic Treaty Organiza-
tion (NATO) to dedicate 20 percent of its defense budget 
to enhance research and development. 
(b) SENSE OF CONGRESS.—It is the sense of Congress 
that Greece should receive robust support under the Euro-
pean Recapitalization Incentive Program implemented by 
the Department of Defense.
1257 
SEC. 208. STRATEGY ON UNITED STATES SECURITY AND EN-
ERGY COOPERATION IN THE EASTERN MEDI-
TERRANEAN. 
(a) IN GENERAL.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of State, 
in consultation with the Secretary of Defense and the Sec-
retary of Energy, shall submit to the appropriate congres-
sional committees a strategy on enhanced security and en-
ergy cooperation with countries in the Eastern Mediterra-
nean region, including Israel, the Republic of Cyprus, and 
Greece. 
(b) ELEMENTS.—The report required under subsection 
(a) shall include the following elements: 
(1) A description of United States participation 
in and support for the Eastern Mediterranean Nat-
ural Gas Forum. 
(2) An evaluation of all possible delivery mecha-
nisms into Europe for natural gas discoveries in the 
Eastern Mediterranean region. 
(3) An evaluation of efforts to protect energy ex-
ploration infrastructure in the region, including in-
frastructure owned or operated by United States com-
panies. 
(4) An assessment of the capacity of the Republic 
of Cyprus to host an Energy Crisis Center in the re-
gion which could provide basing facilities in support
1258 
of search and rescue efforts in the event of an acci-
dent. 
(5) An assessment of the timing of potential nat-
ural gas delivery in the region as well as an assess-
ment of the ultimate destination countries for the nat-
ural gas delivery from the region. 
(6) A plan to work with United States businesses 
seeking to invest in Eastern Mediterranean energy ex-
ploration, development, and cooperation. 
(c) FORM.—The report required under subsection (a) 
shall be submitted in unclassified form, but may contain 
a classified annex. 
SEC. 209. REPORT ON RUSSIAN FEDERATION MALIGN IN-
FLUENCE IN THE EASTERN MEDITERRANEAN. 
(a) IN GENERAL.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of State 
shall submit to the appropriate congressional committees a 
report on Russian Federation malign influence in the Re-
public of Cyprus, Greece, and Israel since January 1, 2017. 
(b) ELEMENTS.—The report required under subsection 
(a) shall include the following elements: 
(1) An assessment of security, political, and en-
ergy goals of the Russian Federation in the Eastern 
Mediterranean.
1259 
(2) A description of energy projects of the Gov-
ernment of the Russian Federation in the Eastern 
Mediterranean. 
(3) A listing of Russian national ownership of 
media outlets in these countries, including the name 
of the media outlet, approximate viewership, and as-
sessment of whether the outlet promotes pro-Kremlin 
views. 
(4) An assessment of military engagement by the 
Government of the Russian Federation in the security 
sector, including engagement by military equipment 
and personnel contractors. 
(5) An assessment of efforts supported by the 
Government of the Russian Federation to influence 
elections in the three countries, through the use of 
cyber attacks, social media campaigns, or other ma-
lign influence techniques. 
(6) An assessment of efforts by the Government 
of the Russian Federation to intimidate and influence 
the decision by His All Holiness Ecumenical Patri-
arch Bartholomew, leader of 300,000,000 Orthodox 
Christians worldwide, to grant autocephaly to the 
Ukrainian Orthodox Church.
1260 
(c) FORM.—The report required under subsection (a) 
shall be submitted in unclassified form, but may contain 
a classified annex. 
SEC. 210. REPORT ON INTERFERENCE BY OTHER COUN-
TRIES IN THE EXCLUSIVE ECONOMIC ZONE 
OF THE REPUBLIC OF CYPRUS. 
(a) IN GENERAL.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of State, 
in consultation with the Secretary of Defense and the Sec-
retary of Energy, shall submit to the appropriate congres-
sional committees a report listing incidents since January 
1, 2017, determined by the Secretary of State to interfere 
in efforts by the Republic of Cyprus to explore and exploit 
natural resources in its Exclusive Economic Zone. 
(b) FORM.—The report required under subsection (a) 
shall be submitted in unclassified form, but may contain 
a classified annex. 
SEC. 211. REPORT ON INTERFERENCE BY OTHER COUN-
TRIES IN THE AIRSPACE OF GREECE. 
(a) IN GENERAL.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of State, 
in consultation with the Secretary of Defense, shall submit 
to the appropriate congressional committees a report listing 
incidents since January 1, 2017, determined by the Sec-
1261 
retary of State to be violations of the airspace of the sov-
ereign territory of Greece by its neighbors. 
(b) FORM.—The report required under subsection (a) 
shall be submitted in unclassified form, but may contain 
a classified annex. 
SEC. 212. APPROPRIATE CONGRESSIONAL COMMITTEES. 
In this title, the term ‘‘appropriate congressional com-
mittees’’ means the Committee on Foreign Relations of the 
Senate and the Committee on Foreign Affairs of the House 
of Representatives. 
TITLE III—END NEGLECTED 
TROPICAL DISEASES ACT 
SEC. 301. SHORT TITLE. 
This title may be cited as the ‘‘End Neglected Tropical 
Diseases Act’’. 
SEC. 302. STATEMENT OF POLICY. 
It is the policy of the United States to support a broad 
range of implementation and research and development ac-
tivities that work toward the achievement of cost-effective 
and sustainable treatment, control, and, where possible, 
elimination of neglected tropical diseases for the economic 
and social well-being of all people. 
SEC. 303. DEFINITION. 
In this title, the terms ‘‘neglected tropical diseases’’ 
and ‘‘NTDs’’—
1262 
(1) mean infections caused by pathogens, includ-
ing viruses, bacteria, protozoa, and helminths that 
disproportionately impact individuals living in ex-
treme poverty, especially in developing countries; and 
(2) include— 
(A) Buruli ulcer (Mycobacterium Ulcerans 
infection); 
(B) Chagas disease; 
(C) dengue or severe dengue fever; 
(D) dracunculiasis (Guinea worm disease); 
(E) echinococcosis; 
(F) foodborne trematodiases; 
(G) human African trypanosomiasis (sleep-
ing sickness); 
(H) leishmaniasis; 
(I) leprosy; 
(J) lymphatic filariasis (elephantiasis); 
(K) onchocerciasis (river blindness); 
(L) scabies; 
(M) schistosomiasis; 
(N) soil-transmitted helminthiases (STH) 
(roundworm, whipworm, and hookworm); 
(O) taeniasis/cysticercosis; 
(P) trachoma; and 
(Q) yaws (endemic treponematoses).
1263 
SEC. 304. EXPANSION OF UNITED STATES AGENCY FOR 
INTERNATIONAL DEVELOPMENT NEGLECTED 
TROPICAL DISEASES PROGRAM. 
(a) SENSE OF CONGRESS.—It is the sense of Congress 
that the Neglected Tropical Diseases Program, as in effect 
on the date of the enactment of this Act, should— 
(1) provide integrated drug treatment packages 
to as many individuals suffering from NTDs or at 
risk of acquiring NTDs, including individuals dis-
placed by manmade and natural disasters, as 
logistically feasible; 
(2) better integrate NTD control and treatment 
tools and approaches into complementary develop-
ment and global health programs by coordinating, to 
the extent practicable and appropriate, across mul-
tiple sectors, including those relating to HIV/AIDS, 
malaria, tuberculosis, education, nutrition, other in-
fectious diseases, maternal and child health, and 
water, sanitation, and hygiene; 
(3) establish low-cost, high-impact community- 
and school-based NTD programs to reach large at-risk 
populations, including school-age children, with inte-
grated drug treatment packages, as feasible; 
(4) as opportunities emerge and resources allow, 
engage in research and development of new tools and 
approaches to reach the goals relating to the elimi-
1264 
nation of NTDs as set forth by the 2012 World Health 
Organization publication ‘‘Accelerating Work to Over-
come the Global Impact of Neglected Tropical Dis-
eases: A Roadmap for Implementation’’, including for 
Chagas disease, Guinea worm, human African 
trypanosomiasis (sleeping sickness), leprosy, and vis-
ceral leishmaniasis; and 
(5) monitor research on and developments in the 
prevention and treatment of other NTDs so break-
throughs can be incorporated into the Neglected Trop-
ical Diseases Program, as practicable and appro-
priate. 
(b) PROGRAM PRIORITIES.—The Administrator of the 
United States Agency for International Development (re-
ferred to in this section as the ‘‘Administrator’’) should in-
corporate the following priorities into the Neglected Trop-
ical Diseases Program (as in effect on the date of the enact-
ment of this Act): 
(1) Planning for and conducting robust moni-
toring and evaluation of program investments in 
order to accurately measure impact, identify and 
share lessons learned, and inform future NTD control 
and elimination strategies. 
(2) Coordinating program activities with com-
plementary development and global health programs
1265 
of the United States Agency for International Devel-
opment, including programs relating to water, sani-
tation, and hygiene, food and nutrition security, and 
education (both primary and secondary), in order to 
advance the goals of the London Declaration on Ne-
glected Tropical Diseases (2012). 
(3) Including morbidity management in treat-
ment plans for high-burden NTDs. 
(4) Incorporating NTDs included in the Global 
Burden of Disease Study 2010 into the program as 
opportunities emerge, to the extent practicable and 
appropriate. 
(5) Continuing investments in the research and 
development of new tools and approaches that com-
plement existing research investments and ensure that 
new discoveries make it through the pipeline and be-
come available to individuals who need them most. 
SEC. 305. ACTIONS BY DEPARTMENT OF STATE. 
(a) OFFICE OF THE GLOBAL AIDS COORDINATOR.— 
It is the sense of Congress that the Coordinator of United 
States Government Activities to Combat HIV/AIDS Glob-
ally should fully consider evolving research on the impact 
of NTDs on efforts to control HIV/AIDS when making fu-
ture programming decisions, as necessary and appropriate. 
(b) GLOBAL PROGRAMMING.—
1266 
(1) IN GENERAL.—The Secretary of State should 
encourage the Global Fund to take into consideration 
evolving research on the impact of NTDs on efforts to 
control HIV/AIDS when making programming deci-
sions, particularly with regard to female genital 
schistosomiasis, which studies suggest may be one of 
the most significant cofactors in the AIDS epidemic 
in Africa, as necessary and appropriate. 
(2) GLOBAL FUND.—In this subsection, the term 
‘‘Global Fund’’ means the public-private partnership 
known as the Global Fund to Fight AIDS, Tuber-
culosis and Malaria established pursuant to Article 
80 of the Swiss Civil Code. 
(c) G–20 COUNTRIES.—The Secretary of State, acting 
through the Office of Global Health Diplomacy, should en-
courage G–20 countries to significantly increase their role 
in the control and elimination of NTDs. 
SEC. 306. MULTILATERAL DEVELOPMENT AND HEALTH IN-
STITUTIONS. 
(a) FINDING.—Congress finds that the treatment of 
NTDs, including community- and school-based deworming 
programs, can be a highly cost-effective intervention, and 
schools can serve as an effective delivery mechanism for 
reaching large numbers of children with safe treatment for
1267 
soil-transmitted helminthiases (roundworm, whipworm, 
and hookworm) in particular. 
(b) UNITED NATIONS.—The President should direct the 
United States Permanent Representative to the United Na-
tions to use the voice, vote, and influence of the United 
States to urge the World Health Organization and the 
United Nations Development Programme to— 
(1) ensure the dissemination of best practices 
and programming on NTDs to governments and make 
data accessible to practitioners in an open and timely 
fashion; 
(2) highlight impacts of community- and school- 
based deworming programs on children’s health and 
education, emphasizing the cost-effectiveness of such 
programs; 
(3) 
encourage 
governments 
to 
implement 
deworming campaigns at the national level; 
(4) consider the designation of a portion of grant 
funds of the institutions to deworming initiatives and 
cross-sectoral collaboration with water, sanitation, 
and hygiene efforts and nutrition or education pro-
gramming, as practicable and appropriate; 
(5) encourage accurate monitoring and evalua-
tion of NTD programs, including deworming pro-
grams; and
1268 
(6) engage governments in cross-border initia-
tives for the treatment, control, prevention, and elimi-
nation 
of 
NTDs, 
and 
assist 
in 
developing 
transnational agreements, when and where necessary. 
SEC. 307. RULE OF CONSTRUCTION. 
Nothing in this title may be construed to increase au-
thorizations of appropriations for the United States Agency 
for International Development. 
TITLE IV—PREVENTING CHILD 
MARRIAGE 
IN 
DISPLACED 
POPULATIONS 
SEC. 401. SHORT TITLE. 
This title may be cited as the ‘‘Preventing Child Mar-
riage in Displaced Populations Act’’. 
SEC. 402. FINDINGS. 
Congress finds the following: 
(1) According to United Nations Children’s 
Fund (UNICEF), 12,000,000 girls marry before the 
age of 18 every year. 
(2) Early marriage denies children, especially 
girls, their right to make vital decisions about their 
well-being, including relating to their health, family, 
and career. Child brides are less likely to finish their 
education, and are at higher risk for abuse, con-
1269 
tracting HIV, and dying while pregnant or giving 
birth. 
(3) Child marriage also imposes substantial eco-
nomic costs to developing countries, impeding devel-
opment and prosperity gains. 
(4) Displaced populations are particularly vul-
nerable to child marriage, in communities where pov-
erty, instability, and displacement put pressure on 
families to marry children, particularly young girls, 
off at a young age. 
(5) One United Nations (UN) study found that 
child marriage rates were 4 times higher among dis-
placed Syrian refugees than among Syrians before the 
crisis. This indicates that displacement, instability, 
and poverty are driving child marriages. 
(6) United Nations agencies, including UNICEF 
and the United Nations High Commissioner for Refu-
gees (UNHCR), have acknowledged the dangers of 
child marriage and taken steps to address its risk in 
the populations they serve. 
(7) The UN Joint Program on Child Marriage 
supports this work by building the resilience of popu-
lations to indirectly prevent child marriage and by 
generating new data and evidence on the prevalence 
of child marriage in humanitarian and fragile set-
1270 
tings. For example, in Uganda, the UN Joint Pro-
gram on Child Marriage helped 27,000 adolescent 
girls strengthen critical skills through school clubs and 
Go Back to School campaigns, as well as life skills 
and financial literacy training. 
(8) After the UN Joint Program on Child Mar-
riage identified Yemen as one of its focus countries, 
65,000 people, of whom 45,000 are adolescents, were 
reached with awareness-raising activities on the 
harms of child marriage in 2018 alone. As a result, 
local council representatives, elders, and community 
leaders from 6 districts signed a pledge to support ad-
vocacy efforts to end child marriage. 
SEC. 403. PREVENTING CHILD MARRIAGE IN DISPLACED 
POPULATIONS. 
(a) IN GENERAL.—The President shall direct the 
United States Permanent Representative to the United Na-
tions to use the voice, vote, and influence of the United 
States at the United Nations to call for an adoption of an 
agreed upon definition of ‘‘child marriage’’ across United 
Nations agencies. 
(b) STRATEGY.—The President shall direct the United 
States Permanent Representative to the United Nations to 
use the voice, vote, and influence of the United States at 
the United Nations to call for the development of a com-
1271 
prehensive strategy to address child marriage in refugee set-
tlements administered by the United Nations. The strategy 
should include the following elements: 
(1) A mandate to regularly collect and report 
data related to the number of known or suspected 
child marriages taking place inside each such settle-
ment. 
(2) Protocols for United Nations personnel re-
garding prevention and monitoring of child mar-
riages inside each such settlement. 
(3) A description of United Nations programs 
administered at such settlements that include— 
(A) physical, mental, and emotional reha-
bilitation and support to children who have ex-
tricated themselves from child marriage; and 
(B) alternatives to child marriage, such as 
education initiatives. 
(4) Protocols regarding how United Nations per-
sonnel should— 
(A) report adults participating in illegal 
child marriages in each such settlement; and 
(B) monitor the prosecution of such adults 
by the authorities of the country in which the 
settlement at issue is located.
1272 
(c) RESEARCH.—The President shall direct the United 
States Permanent Representative to the United Nations to 
use the voice, vote, and influence of the United States at 
the United Nations to advocate for the United Nations and 
its appropriate agencies to include, as appropriate, in all 
of its research regarding child marriage, the relationship 
between child marriage and violence against girls, includ-
ing young children and infants. 
(d) DEFINITIONS.—In this section: 
(1) CHILD MARRIAGE.—The term ‘‘child mar-
riage’’ means a formal marriage or informal union 
involving at least one person younger than age 18. 
(2) ILLEGAL CHILD MARRIAGE.—The term ‘‘ille-
gal child marriage’’ means a child marriage that is 
illegal under the laws of the country in which the 
child marriage occurs. 
TITLE V—GLOBAL FRAGILITY 
SEC. 501. SHORT TITLE. 
This title may be cited as the ‘‘Global Fragility Act 
of 2019’’. 
SEC. 502. APPROPRIATE CONGRESSIONAL COMMITTEES DE-
FINED. 
In this title:
1273 
(1) 
APPROPRIATE
CONGRESSIONAL
COMMIT-
TEES.—The term ‘‘appropriate congressional commit-
tees’’ means— 
(A) the Committee on Foreign Relations 
and the Committee on Appropriations of the 
Senate; and 
(B) the Committee on Foreign Affairs and 
the Committee on Appropriations of the House of 
Representatives. 
(2) RELEVANT FEDERAL DEPARTMENT OR AGEN-
CY.—The term ‘‘relevant Federal department or agen-
cy’’ means the Department of State, the United States 
Agency for International Development, the Depart-
ment of Defense, the Department of Treasury, and 
any other Federal department or agency the President 
determines is relevant to carry out the purposes of 
this title. 
SEC. 503. STATEMENT OF POLICY. 
It is the policy of the United States to seek to stabilize 
conflict-affected areas and prevent violence and fragility 
globally, including by— 
(1) ensuring that all relevant Federal depart-
ments and agencies coordinate to achieve coherent, 
long-term goals for programs designed to carry out 
such policy;
1274 
(2) seeking to improve global, regional, and local 
coordination of relevant international and multilat-
eral development and donor organizations regarding 
efforts to carry out such policy; and 
(3) enhancing the effectiveness of United States 
foreign assistance programs and activities to carry 
out such policy, including by improving assessment, 
monitoring, and evaluation conducted by the relevant 
Federal departments and agencies. 
SEC. 504. GLOBAL FRAGILITY STRATEGY. 
(a) STRATEGY.—The President, in coordination with 
the Secretary of State, the Administrator of the United 
States Agency for International Development (‘‘USAID’’), 
the Secretary of Defense, and the heads of other relevant 
Federal departments and agencies, shall establish a com-
prehensive, integrated, ten-year strategy, to be referred to 
as the ‘‘Global Fragility Strategy’’, to contribute to the sta-
bilization of conflict-affected areas, address global fragility, 
and strengthen the capacity of the United States to be an 
effective leader of international efforts to prevent extremism 
and violent conflict. The strategy shall focus on addressing 
long-term causes of fragility and violence, and shall— 
(1) consider the causes of fragility and violence 
at both the local and national levels, the external ac-
1275 
tors that reinforce and exploit such conditions, and 
successful prevention strategies and their key features; 
(2) include specific objectives and multisectoral 
approaches to reduce fragility and the causes of vio-
lence, including those that strengthen state-society re-
lations, curb extremist ideology, and make society less 
vulnerable to the spread of extremism and violence; 
(3) encourage and empower local and national 
actors to address the concerns of their citizens, includ-
ing those in vulnerable communities, and build com-
munity resilience against violence and extremism; 
(4) address the long-term underlying causes of 
fragility and violence through participatory, locally 
led programs, empowering marginalized groups such 
as youth and women, inclusive dialogues and conflict 
resolutions processes, justice sector reform, good gov-
ernance, inclusive and accountable service delivery, 
and community policing and civilian security, in-
cluding by combatting impunity for security forces 
implicated in violations of internationally recognized 
human rights and other serious crimes; 
(5) describe approaches that ensure national 
leadership where appropriate and participatory en-
gagement by civil society and local partners in the 
design, implementation, and monitoring of programs;
1276 
(6) assign roles for relevant Federal departments 
and agencies to avoid duplication of efforts, while en-
suring that— 
(A) the Department of State is responsible 
for leading the drafting and execution of the 
strategy, establishing United States foreign pol-
icy, advancing diplomatic and political efforts, 
and overseeing the planning and implementation 
of security assistance and related civilian secu-
rity efforts; 
(B) USAID is responsible for overseeing 
prevention programs, and is the lead imple-
menting agency for development, humanitarian, 
and related non-security program policy; 
(C) activities undertaken or supported by 
the Department of Defense in relation to the 
Global Fragility Strategy are established through 
joint formulation and with the concurrence of the 
Secretary of State; and 
(D) other relevant Federal departments and 
agencies support the activities of the Department 
of State and USAID as appropriate, with the 
concurrence of the Secretary of State and the Ad-
ministrator of the United States Agency for 
International Development;
1277 
(7) describe programs that relevant Federal de-
partments and agencies will undertake to achieve the 
stated objectives, including descriptions of existing 
programs and funding by fiscal year and account; 
(8) identify mechanisms to improve coordination 
between the United States, foreign governments, and 
international organizations, including the World 
Bank, the United Nations, regional organizations, 
and private sector organizations; 
(9) address efforts to expand public-private part-
nerships and leverage private sector resources; 
(10) describe the criteria, metrics, and mecha-
nisms for monitoring and evaluation of programs and 
objectives in the strategy to ensure planning, imple-
mentation, and coordination are appropriately exe-
cuted and updated; 
(11) describe how the strategy will ensure that 
programs are country-led and context-specific; and 
(12) identify mechanisms or activities to reduce 
the risk that the programs, policies, or resources of the 
United States and its partners will facilitate corrup-
tion, empower or abet repressive local actors, or be ex-
ploited by extremists to gain support for their cause. 
(b) STAKEHOLDER CONSULTATION.—The Global Fra-
gility Strategy required under this section shall be devel-
1278 
oped in consultation with representatives of civil society 
and national and local governance entities in countries and 
regions described in section 505, as well as relevant inter-
national development organizations with experience imple-
menting programs in fragile states, multilateral organiza-
tions and donors, relevant private, academic, and philan-
thropic entities, and the appropriate congressional commit-
tees. 
(c) REPORT.—Not later than 270 days after the date 
of the enactment of this Act, the President shall submit to 
the appropriate congressional committees a report setting 
forth the strategy described in subsection (a), which shall 
be submitted in unclassified form, but may include a classi-
fied annex if necessary, and shall include, at a minimum, 
the following elements: 
(1) The objectives, general and specific, of the 
strategy. 
(2) An identification of the relevant Federal de-
partments and agencies that will be involved and the 
assignment of priorities to such departments and 
agencies. 
(3) A description of the compact-based partner-
ships that will be established to ensure local leader-
ship of strategies, policy, and programs, as well as
1279 
mutual accountability for results and resources need-
ed to support such partnerships. 
(4) An identification of the authorities, staffing, 
and other requirements, as necessary and appro-
priate, needed to effectively implement the Global 
Fragility Strategy. 
(5) A description of the ways in which United 
States leadership will be used to enhance overall 
international prevention efforts, including through in-
creasing the engagement of the member states of the 
Group of Seven and Group of Twenty. 
(6) An identification of which officials of the De-
partment of State, USAID, and the Department of 
Defense, with a rank not lower than Assistant Sec-
retary or Assistant Administrator, will be responsible 
for leading and overseeing the strategy. 
(7) A list of priority countries and regions se-
lected pursuant to section 505, including descriptions 
of the rationale for such selections. 
SEC. 505. SELECTION OF PRIORITY COUNTRIES AND RE-
GIONS. 
(a) IN GENERAL.—The President, in coordination 
with the Secretary of State, the Administrator of the United 
States Agency for International Development, and the Sec-
retary of Defense, and in consultation with the appropriate
1280 
congressional committees specified in subsection (b), shall 
select certain countries as ‘‘priority countries’’ and certain 
regions as ‘‘priority regions’’ for the purpose of imple-
menting the Global Fragility Strategy required under sec-
tion 504— 
(1) on the basis of— 
(A) the national security interests of the 
United States; 
(B) clearly defined indicators of the levels of 
violence or fragility in such country or region, 
such as the country’s or region’s— 
(i) ranking on recognized global fra-
gility lists, such as the Organization for 
Economic Co-operation and Development 
States of Fragility report, the Fund for 
Peace Fragile States Index, the World Bank 
Harmonized List of Fragile Situations, the 
Institute for Economics and Peace Global 
Peace Index, and the Holocaust Museum 
Early Warning Project Risk Assessment; 
(ii) ranking on select United States 
Government conflict and atrocity early 
warning watch lists; 
(iii) levels of violence, including vio-
lence committed by armed groups, state ac-
1281 
tors, and violent extremist organizations, 
gender-based violence, and violence against 
children and youth; and 
(iv) vulnerability to rising sea levels, 
flooding, drought, wildfires, desertification, 
deforestation, food insecurity, and human 
displacement; and 
(C) an assessment of— 
(i) the commitment and capacity of 
national and sub-national government enti-
ties and civil society partners in such coun-
try or region to work with relevant Federal 
departments and agencies on the Global 
Fragility Strategy, including by dem-
onstrating commitment to— 
(I) improving inclusive, trans-
parent, and accountable power struc-
tures, including effective, legitimate, 
and resilient national and sub-na-
tional institutions; and 
(II) ensuring strong foundations 
for human rights, rule of law, and 
equal access to justice; and 
(ii) the likelihood that United States 
assistance under the Global Fragility Strat-
1282 
egy would measurably help to reduce fra-
gility, prevent the spread of extremism and 
violence, and stabilize conflict-affected areas 
in each such country or region; and 
(2) in a manner that ensures that not fewer than 
five countries or regions are selected, including not 
fewer than two in which the priority will be pre-
venting violent conflict and fragility, rather than sta-
bilizing ongoing conflicts. 
(b) CONSULTATION WITH CONGRESS.—Prior to final-
ization of the selection of priority countries and regions 
under subsection (a), representatives from the Department 
of State, USAID, the Department of Defense, and other rel-
evant Federal departments and agencies, as necessary and 
appropriate, shall brief the appropriate congressional com-
mittees on the countries and regions being considered and 
shall consider congressional input on such prioritization. 
SEC. 506. PRIORITY COUNTRY AND REGIONAL PLANS. 
Not later than one year after the date of the enactment 
of this Act, the President, in coordination with the Sec-
retary of State, the Administrator of the United States 
Agency for International Development, the Secretary of De-
fense, and the heads of other relevant Federal departments 
and agencies, shall submit to the appropriate congressional 
committees ten-year plans to align and integrate under the
1283 
Global Fragility Strategy established pursuant to section 
504 all relevant diplomatic, development, and security as-
sistance and activities of the United States Government 
with respect to each of the countries and regions selected 
pursuant to section 505. Each such country and regional 
plan shall include the following elements: 
(1) Specific multi-year interagency plans for co-
ordination and implementation under each such plan. 
(2) An up-to-date baseline analysis for each such 
country or region, including an analysis of the condi-
tions that contribute to violence and fragility. 
(3) Prioritized descriptions of the goals and ob-
jectives for stabilizing conflict-affected areas, reducing 
fragility, and preventing the spread of extremism and 
violence in each such country. 
(4) Descriptions of how and when the relevant 
goals, objectives, plans, and benchmarks for each such 
country or region will be incorporated into relevant 
United States country or regional plans and strate-
gies, including the National Security Strategy of the 
United States, the Stabilization Assistance Review, 
Department of State Integrated Country Strategies, 
USAID Country Development Cooperation Strategies, 
and Department of Defense Campaign Plans, Oper-
1284 
ational Plans, and Regional Strategies, as well as 
any equivalent or successor plans or strategies. 
(5) Interagency plans to ensure that appropriate 
local actors, including government and civil society 
entities, have an appropriate ownership stake in de-
veloping, implementing, monitoring, and evaluating 
relevant activities under each such plan. 
(6) Interagency plans to integrate existing and 
planned security assistance and cooperation programs 
in each such country or region with the strategy, and 
to mitigate risks associated with such programs, in-
cluding risks related to corruption, governance, and 
human rights. 
(7) Assessment, monitoring, and evaluation 
frameworks for diplomatic, development, and security 
assistance and activities, which shall be informed by 
consultations with the stakeholders specified in section 
504(b), with clear metrics for each such country or re-
gion, as well as interagency plans for using such 
frameworks to adapt such activities on a regular 
basis. 
(8) Descriptions of available policy tools and 
how such tools will be used to reduce fragility, prevent 
the spread of extremism and violence, and stabilize 
conflict-affected areas in each such country or region.
1285 
(9) A description of how planning and imple-
mentation of assistance under the Global Fragility 
Strategy for each such country or region will be co-
ordinated in a manner that strengthens partnerships 
and leverages the unique expertise and resources of the 
United States Government and— 
(A) governments of such countries; 
(B) international development organiza-
tions; 
(C) relevant international donors; 
(D) multilateral organizations; and 
(E) the private sector. 
(10) A regional component outlining plans to 
address relevant transnational issues and how each 
such country is affected by or at risk of regional fra-
gility or violence. 
(11) When a region is selected, a component out-
lining plans to address factors at the individual coun-
try level that affect regional fragility or violence. 
SEC. 507. IMPLEMENTATION. 
The President, in coordination with the Secretary of 
State, the Administrator of the United States Agency for 
International Development, the Secretary of Defense, the 
heads of other relevant Federal departments and agencies, 
relevant United States ambassadors, USAID mission direc-
1286 
tors, geographic combatant commanders, and other relevant 
individuals with responsibility over activities in each pri-
ority country or region selected pursuant to section 505, 
shall ensure that— 
(1) the Global Fragility Strategy required under 
section 504, including each of the country plans devel-
oped under section 506, is implemented, updated, and 
coordinated on a regular basis; and 
(2) the strategy is used to guide United States 
Government policy at a senior level and incorporated 
into relevant strategies and plans across the United 
States Government such that the activities of all rel-
evant Federal departments and agencies are con-
sistent with the strategy. 
SEC. 508. BIENNIAL REPORTS AND CONGRESSIONAL CON-
SULTATION. 
(a) BIENNIAL REPORTS.—Not later than two years 
after the submission of the plans required in section 506, 
and every two years thereafter until the date that is ten 
years after the date of submission of such plans, the Presi-
dent, the Secretary of State, the Administrator of the 
United States Agency for International Development, the 
Secretary of Defense, and the heads of other relevant Federal 
departments and agencies shall jointly submit to the appro-
priate congressional committees an unclassified report,
1287 
which may include a classified annex, on progress made 
and lessons learned with respect to implementation of the 
Global Fragility Strategy established pursuant to section 
504. The report shall include the following elements: 
(1) Descriptions of steps taken to incorporate the 
strategy into any relevant, existing country and re-
gional plans or strategies. 
(2) Accountings of all funding received and obli-
gated to implement each such country and regional 
plan during the previous two years, and, to the extent 
feasible, projections of funding to be requested, 
planned, and implemented for the following two 
years. 
(3) Descriptions of progress made towards 
achieving specific targets, metrics, and indicators for 
each priority country and region. 
(4) Descriptions of any changes made to pro-
grams based on the results of assessment, monitoring, 
and evaluation for each priority country and region. 
(b) CONGRESSIONAL CONSULTATION.—The Secretary 
of State, the Administrator of the United States Agency for 
International Development, and the Secretary of Defense 
shall provide to any appropriate congressional committee 
briefings on the implementation of this title upon the re-
quest of any such committee.
1288 
SEC. 509. AUTHORIZATION OF APPROPRIATIONS. 
(a) PREVENTION AND STABILIZATION FUND.— 
(1) ESTABLISHMENT.—There is established in 
the Treasury of the United States a fund, which shall 
be known as the ‘‘Prevention and Stabilization Fund’’ 
(in this subsection referred to as ‘‘The Fund’’), to be 
administered by the Department of State and 
USAID, as appropriate, to support stabilization of 
conflict-affected areas and to mitigate fragility, in-
cluding through the Global Fragility Strategy estab-
lished pursuant to section 504, which shall replace the 
Relief and Recovery Fund. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to the Fund 
$200,000,000 for each of the fiscal years 2020 through 
2024. 
(3) PURPOSES OF THE FUND.— 
(A) IN GENERAL.—Amounts authorized to 
be appropriated to the Fund shall be used— 
(i) to support stabilization of conflict- 
affected areas and prevent global fragility, 
including through the Global Fragility 
Strategy established pursuant to section 
504; and 
(ii) to provide assistance to areas liber-
ated or at risk from, or under the control of,
1289 
the Islamic State of Iraq and Syria, other 
terrorist organizations, or violent extremist 
organizations, including for stabilization 
assistance for vulnerable ethnic and reli-
gious minority communities affected by con-
flict. 
(B) AMOUNTS IN ADDITION.—Amounts au-
thorized to be appropriated to the Fund under 
this section are in addition to any funds other-
wise made available for the purposes described in 
paragraph (1). 
(4) CONGRESSIONAL NOTIFICATION.—Funds may 
not be obligated under this section unless the congres-
sional committees specified in section 634A of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2394–1) 
are notified of the amount and nature of such pro-
posed obligation at least 15 days in advance of such 
proposed obligation, in accordance with the proce-
dures 
applicable 
to 
notifications 
regarding 
reprogrammings pursuant to such section. 
(b) COMPLEX CRISIS FUND.— 
(1) ESTABLISHMENT.—There is established in 
the Treasury of the United States a fund, which shall 
be known as the ‘‘Complex Crises Fund’’ (in this sub-
section referred to as the ‘‘Fund’’), to be administered
1290 
by USAID, to support programs and activities to pre-
vent or respond to emerging or unforeseen events over-
seas, including to support the Global Fragility Strat-
egy established pursuant to section 504. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to the Fund 
$30,000,000 for each of the fiscal years 2020 through 
2024, which shall remain available until expended. 
(3) PURPOSES OF THE FUND.— 
(A) IN
GENERAL.—Notwithstanding any 
other provision of law, except section 620M of the 
Foreign Assistance Act of 1961 (22 U.S.C. 
2378d), amounts in the Fund may be used to 
carry out the provisions of the Foreign Assist-
ance Act of 1961 (22 U.S.C. 2151 et seq.) to sup-
port programs and activities to prevent or re-
spond to emerging or unforeseen foreign chal-
lenges and complex crises overseas, including 
through the Global Fragility Strategy established 
pursuant to section 504. 
(B) AMOUNTS IN ADDITION.—Amounts au-
thorized to be appropriated to the Fund are in 
addition to any amounts otherwise made avail-
able for the purposes described in subparagraph 
(A).
1291 
(4) LIMITATIONS.— 
(A) IN GENERAL.—Amounts in the Fund 
may not be expended for lethal assistance or to 
respond to natural disasters. 
(B) ADMINISTRATIVE EXPENSES.—Not more 
than five percent of the amounts in the Fund 
may be used for administrative expenses. 
(5) CONGRESSIONAL NOTIFICATION.—The United 
States Agency for International Development shall 
notify the appropriate congressional committees not 
less than five days prior to the obligation of amounts 
in the Fund. 
(6) 
WAIVER.—The 
notification 
requirement 
under paragraph (5) may be waived if— 
(A) notification by the deadline specified in 
such paragraph would pose a substantial risk to 
human health or welfare; and 
(B) the appropriate congressional commit-
tees— 
(i) are notified as early as practicable 
but in no event later than three days after 
an obligation of amounts from the Fund; 
and
1292 
(ii) are provided with an explanation 
of the emergency circumstances that neces-
sitated such waiver. 
SEC. 510. IMPROVING AND LEVERAGING ASSISTANCE FOR 
THE GLOBAL FRAGILITY STRATEGY. 
(a) SENSE OF CONGRESS.—It is the sense of Congress 
that the President, the Secretary of State, the Administrator 
of the United States Agency for International Development, 
the Secretary of Defense, and the heads of other relevant 
Federal departments and agencies should— 
(1) develop more adaptive and responsive policy 
and program planning, implementation, and scaling 
under the Global Fragility Strategy established pur-
suant to section 504, and work with the appropriate 
congressional committees to identify any legislative 
changes that may be necessary to support such efforts; 
(2) better integrate the strategy and other con-
flict and violence reduction objectives and activities 
into other policy and program areas, where appro-
priate; and 
(3) support transparent and accountable multi-
lateral funds, initiatives, and strategies to enhance 
and better coordinate private and public efforts to 
stabilize conflict-affected areas and prevent violence 
and fragility globally.
1293 
(b) OTHER FUNDING
AND COST MATCHING.—The 
Global Fragility Strategy established pursuant to section 
504— 
(1) may, after consultation with the appropriate 
congressional committees, be supported with funds 
other than funds authorized to be appropriated pursu-
ant to section 509; and 
(2) shall seek to leverage funds from sources other 
than the United States Government in order to pro-
mote coordination and cost-matching to the max-
imum extent practicable. 
(c) MULTI-DONOR GLOBAL FRAGILITY FUND.— 
(1) AUTHORITY.—Pursuant to sections 607 and 
632 of the Foreign Assistance Act of 1961 (22 U.S.C. 
2357 and 2392), and consistent with subsection (b), 
and after consultation with the appropriate congres-
sional committees, the Secretary of State is authorized 
to establish funding mechanisms, to include the estab-
lishment of a Global Fragility Fund, to leverage, re-
ceive, coordinate, and program funds provided by 
other donors and private sector partners to carry out 
the purposes of this title. 
(2) PURPOSES.—A funding mechanism estab-
lished pursuant to paragraph (1) should—
1294 
(A) include input from and participation 
by key bilateral and multilateral donors, rep-
resentatives of civil society, relevant nongovern-
mental organizations and private sector entities, 
and developing countries where fragility threat-
ens to exacerbate violent extremism and under-
mine development; 
(B) enhance donor coordination and co-
operation; 
(C) advance clearly defined goals, objectives, 
and metrics for monitoring, evaluating, and 
measuring progress; and 
(D) focus on strengthening national and 
local good governance and conflict resolution ca-
pacity in fragile and conflict-affected areas over 
the long-term through comprehensive, compact- 
based agreements that support country-led strate-
gies. 
(3) CONGRESSIONAL NOTIFICATION.—Funds may 
not be obligated under this section except in consulta-
tion with the appropriate congressional committees 
and subject to the notification of such committees of 
the amount and proposed uses of such funds at least 
15 days in advance of such proposed obligation.
1295 
SEC. 511. RULE OF CONSTRUCTION. 
Nothing in this title shall be construed as a declaration 
of war or an authorization for the use of military force. 
TITLE VI—COMBATING WILDLIFE 
TRAFFICKING 
SEC. 601. SHORT TITLE. 
This title may be cited as the ‘‘Rescuing Animals With 
Rewards Act of 2019’’ or the ‘‘RAWR Act’’. 
SEC. 602. FINDINGS; SENSE OF CONGRESS. 
(a) FINDINGS.—Congress finds the following: 
(1) Wildlife trafficking is a major transnational 
crime that is estimated to generate over $10 billion a 
year in illegal profits and which is increasingly per-
petrated by organized, sophisticated criminal enter-
prises, including known terrorist organizations. 
(2) Wildlife trafficking not only threatens endan-
gered species worldwide, but also jeopardizes local se-
curity, spreads disease, undermines rule of law, fuels 
corruption, and damages economic development. 
(3) Combating wildlife trafficking requires a co-
ordinated and sustained approach at the global, re-
gional, national, and local levels. 
(4) Congress stated in the Eliminate, Neutralize, 
and Disrupt Wildlife Trafficking Act of 2016 that it 
is the policy of the United States to take immediate 
actions to stop the illegal global trade in wildlife and
1296 
wildlife products and associated transnational orga-
nized crime. 
(b) SENSE OF CONGRESS.—It is the sense of Congress 
that the Department of State’s rewards program is a power-
ful tool in combating sophisticated international crime and 
that the Department of State and Federal law enforcement 
should work in concert to offer rewards that target wildlife 
traffickers. 
SEC. 603. WILDLIFE TRAFFICKING PREVENTION AWARDS 
PROGRAM. 
Subparagraph (B) of section 36(k)(5) of the State De-
partment Basic Authorities Act of 1956 (22 U.S.C. 
2708(k)(5)) is amended by inserting ‘‘wildlife trafficking 
(as defined by section 2(12) of the Eliminate, Neutralize, 
and Disrupt Wildlife Trafficking Act of 2016 (16 U.S.C. 
7601(12); Public Law 114–231)) and’’ after ‘‘includes’’. 
TITLE VII—CHAMPIONING AMER-
ICAN BUSINESS THROUGH DI-
PLOMACY 
SEC. 701. SHORT TITLE. 
This title may be cited as the ‘‘Championing American 
Business Through Diplomacy Act of 2019’’. 
SEC. 702. FINDINGS. 
Congress makes the following findings:
1297 
(1) According to the 2017 National Security 
Strategy of the United States of America, ‘‘Retaining 
our position as the world’s preeminent economic actor 
strengthens our ability to use the tools of economic di-
plomacy for the good of Americans and others.’’. 
(2) A November 7, 2018, cable from Secretary of 
State Michael R. Pompeo to all diplomatic and con-
sular 
posts—‘‘Boosting 
Commercial 
Diplomacy 
Around the World’’—stated that ‘‘helping American 
companies is a foreign policy priority. . .Promoting 
broad-based, responsible, and sustainable economic 
growth helps to stabilize regions and creates new and 
growing markets for U.S. companies. A transparent 
and level playing field for U.S. investment in these 
countries counters real and growing challenges such 
as China’s Belt and Road initiative.’’. 
(3) In the January–February 2019 issue of The 
Foreign Service Journal, Ambassador Barbara Ste-
phenson, the President of the American Foreign Serv-
ice Association, wrote, ‘‘Foreign Service support for 
American business. . .is a major reason why the U.S. 
Foreign Service was created.’’.
1298 
SEC. 703. ECONOMIC DIPLOMACY WITHIN THE DEPART-
MENT OF STATE. 
Subsection (c) of section 1 of the State Department 
Basic Authorities Act of 1956 (22 U.S.C. 2651a) is amend-
ed— 
(1) by redesignating paragraph (3) as para-
graph (4); and 
(2) by inserting after paragraph (2) the fol-
lowing new paragraph: 
‘‘(3) ASSISTANT SECRETARY FOR ECONOMIC AND 
BUSINESS MATTERS.— 
‘‘(A) IN GENERAL.—Subject to the numer-
ical limitation specified in paragraph (1), there 
is authorized to be established in the Department 
of State an Assistant Secretary of State who 
shall be responsible to the Secretary of State for 
matters pertaining to international economics 
and business matters in the conduct of foreign 
policy. 
‘‘(B) MATTERS CONTEMPLATED.—The mat-
ters referred to in subparagraph (A) include the 
following: 
‘‘(i) International trade and invest-
ment policy. 
‘‘(ii) International finance, economic 
development, and debt policy.
1299 
‘‘(iii) Economic sanctions and com-
bating terrorist financing. 
‘‘(iv) International transportation pol-
icy. 
‘‘(v) Support for United States busi-
nesses. 
‘‘(vi) Economic policy analysis and 
private sector outreach. 
‘‘(vii) International data privacy and 
innovation policies. 
‘‘(viii) Such other related duties as the 
Secretary may from time to time des-
ignate.’’. 
SEC. 704. CHIEF OF MISSION RESPONSIBILITIES. 
Section 207 of the Foreign Service Act of 1980 (22 
U.S.C. 3927) is amended by adding at the end the following 
new subsection: 
‘‘(d) PROMOTION OF UNITED STATES ECONOMIC IN-
TERESTS.—Each chief of mission to a foreign country shall 
have as a principal duty the promotion of United States 
economic and commercial interests in such country.’’.
1300 
SEC. 705. INCREASED TRAINING IN ECONOMIC AND COM-
MERCIAL DIPLOMACY. 
Section 708 of the Foreign Service Act of 1980 (22 
U.S.C. 4028) is amended by adding at the end the following 
new subsection: 
‘‘(d) ECONOMIC AND COMMERCIAL DIPLOMACY.—The 
Secretary of State, with the assistance of other relevant offi-
cials and the private sector, shall establish as part of the 
standard training provided for economic and commercial 
officers of the Foreign Service, chiefs of mission, and deputy 
chiefs of mission, training on matters related to economic 
and commercial diplomacy, with particular attention to 
market access and other elements of an enabling framework 
for United States businesses, commercial advocacy, and 
United States foreign economic policy, in addition to 
awareness about the support of the United States Govern-
ment available to United States businesses, including sup-
port provided by the Department of Agriculture, the De-
partment of Commerce, the Export-Import Bank of the 
United States, the Millennium Challenge Corporation, the 
Trade and Development Agency, the Department of the 
Treasury, the United States Agency for International De-
velopment, and the United States International Develop-
ment Finance Corporation.’’.
1301 
SEC. 706. REPORT FROM EACH MISSION ON MATTERS OF 
COMMERCIAL RELATIONS. 
(a) IN GENERAL.—Not later than 1 year after the date 
of the enactment of this Act and annually thereafter, the 
chief of mission at each bilateral diplomatic mission of the 
United States and the Director of the American Institute 
in Taiwan shall submit to the Secretary of State mission 
plans that include the following: 
(1) Data and other information regarding ac-
tions taken by each such mission or Institute during 
the previous year to foster commercial relations and 
safeguard United States economic and business inter-
ests in the country or region in which each such chief 
of mission and the Director serves. 
(2) Each such mission’s and Institute’s antici-
pated economic and commercial priorities for the 
coming year. 
(b) REPORT TO CONGRESS.—The Secretary of State, 
after receiving the information required under subsection 
(a), shall submit to the Committee on Foreign Affairs of 
the House of Representatives and the Committee on Foreign 
Relations of the Senate a report, disaggregated by country 
or region, on activities and initiatives, including with ap-
propriate examples, to create an enabling environment and 
otherwise promote United States economic and business in-
terests in each such country or region, as well as informa-
1302 
tion about significant foreign competition to United States 
businesses in the relevant country or region, including 
state-directed investments by foreign governments and 
United States strategic competitors in such country or re-
gion. 
SEC. 707. CONSOLIDATED REPORT ON UNIFIED INVEST-
MENT CLIMATE STATEMENT AND COUNTRY 
COMMERCIAL GUIDE. 
(a) IN GENERAL.—The Secretary of State and the Sec-
retary of Commerce shall jointly produce and make publicly 
available on a United States Government internet website 
an annual country- and region-specific report regarding 
commercial relations with foreign countries and regions 
and safeguarding United States economic and business in-
terests abroad, including with regard to United States ex-
ports and investments, including by small- and medium- 
size enterprises. 
(b) MATTERS TO BE INCLUDED.—Each report re-
quired under subsection (a) shall include the following with 
respect to each country or region covered by each such re-
port: 
(1) Information about doing business in each 
country or region. 
(2) Background information about each coun-
try’s or region’s political environment.
1303 
(3) Information about selling United States 
products and services in each country or region. 
(4) Leading sectors for United States exports 
and investment in each country or region. 
(5) Information about trade regulations, cus-
toms, and standards in each country or region, such 
as— 
(A) information on import tariffs; and 
(B) documentation about which United 
States businesses should be aware when export-
ing, including any prohibited items or tem-
porary entry procedures. 
(6) Investment climate statements describing 
each country’s or region’s openness to foreign invest-
ments, such as information relating to each country’s 
or region’s— 
(A) investment policies; 
(B) market barriers; 
(C) business risks; 
(D) legal and regulatory system, including 
dispute resolution; 
(E) level of public and private sector cor-
ruption; 
(F) level of political violence and insta-
bility;
1304 
(G) adherence to internationally recognized 
core labor standards; and 
(H) protection of property rights. 
(7) Information about trade and project financ-
ing in each country or region, such as each country’s 
or region’s— 
(A) banking and financial system, and how 
United States businesses typically get paid; 
(B) foreign exchange controls; and 
(C) important sources of funding for project 
financing. 
(8) Relevant business travel information and 
business customs in each country or region. 
(9) Information about services and personnel of 
the diplomatic mission of the United States available 
to United States businesses to support their activities 
in each country or region. 
(10) Any significant trade or commercial agree-
ment that exists between the United States and each 
country or region. 
(11) A point of contact at the diplomatic or con-
sular mission of the United States in each country or 
region for United States businesses.
1305 
(c) RULE OF CONSTRUCTION.—Nothing in this section 
may be construed to require the duplication of existing re-
ports. 
SEC. 708. WHOLE-OF-GOVERNMENT COORDINATION AND 
CONSULTATION TO SUPPORT UNITED STATES 
ECONOMIC AND BUSINESS INTERESTS. 
(a) IN GENERAL.—The Secretary of State, in consulta-
tion with the Administrator of the United States Agency 
for International Development, the Secretary of Commerce, 
the Secretary of the Treasury, and the United States Trade 
Representative, shall have primary responsibility for co-
ordinating a whole-of-government effort to expand United 
States efforts in supporting United States economic and 
business interests abroad. The Secretary may delegate re-
sponsibilities under this Act to a senior, Senate-confirmed 
Department of State official. 
(b) RESPONSIBILITIES.—The Secretary shall— 
(1) chair the interagency coordinating committee 
established under subsection (c); 
(2) develop and implement the joint strategic 
plan required under subsection (c)(4) for all United 
States trade-related and trade capacity building and 
related technical assistance programs, in consultation 
with the coordinating committee established under 
subsection (c);
1306 
(3) advise the Federal departments and agencies 
designated by the President to participate in the 
interagency coordinating committee under this section 
in identifying the most needed and effective ways for 
United States diplomatic and consular posts and the 
departments and agencies that staff such posts to sup-
port the expansion of United States trade relations 
with host governments; 
(4) consult with the private sector in the develop-
ment of government-wide trade expansion efforts, in-
cluding establishing a point of contact and lead office 
within the Department of State to receive private-sec-
tor recommendations and comments concerning trade 
capacity assistance, coordination, consultations, and 
country-specific issues; 
(5) consult with the Office of Management and 
Budget regarding the administrative and human re-
sources needs that may be required to implement the 
provisions of this title; and 
(6) brief Congress on trade capacity building 
programs and make recommendations, as appro-
priate, to Congress for improvements in trade capac-
ity building efforts. 
(c) ECONOMIC DIPLOMACY ACTION GROUP.—
1307 
(1) ESTABLISHMENT.—The President shall estab-
lish an interagency coordinating committee, to be 
known as the ‘‘Economic Diplomacy Action Group’’, 
to coordinate and carry out the purposes of this sec-
tion. 
(2) LEADERSHIP.—The Group shall be chaired 
by the Secretary of State and the vice-chairs shall be 
the United States Trade Representative and the Sec-
retary of Commerce. The Secretaries and the United 
States Trade Representative may delegate responsibil-
ities under this Act to appropriate, senior, Senate- 
confirmed officials. 
(3) MEMBERSHIP.—The President may appoint 
to the Group senior officials from the United States 
Agency for International Development, the Depart-
ment of Agriculture, the Department of the Treasury, 
the Export-Import Bank, the United States Develop-
ment Finance Corporation, and any such other rel-
evant executive branch department or agency as the 
President determines to be substantially involved in 
trade capacity building and related assistance efforts 
in developing countries. 
(4) DEVELOPMENT OF JOINT STRATEGIC PLAN.— 
The Group shall develop a joint strategic plan for all
1308 
United States capacity building and technical assist-
ance programs. 
(d) DIPLOMACY TRADE EXPANSION ADVISORY COM-
MITTEE.— 
(1) ESTABLISHMENT OF TEAC.—The Chair and 
Vice-Chairs of the Economic Diplomacy Action Group 
shall establish a trade expansion advisory committee 
with selected representatives of the United States pri-
vate sector and other organizations, including labor 
organizations, with direct and relevant operational 
experience in importing from and exporting into de-
veloping countries, as appropriate, to provide com-
ment and advice on priorities for trade expansion 
initiatives. The Chair and Vice-Chairs of the Group 
may also appoint representatives from select non- 
profit organizations to the advisory committee if such 
representatives can demonstrate both a presence in 
and relevant operational or programmatic experience 
with trade capacity building efforts in developing 
countries. 
(2) MEETINGS.—The trade expansion advisory 
committee shall convene at least twice annually or 
more often as necessary at the call of the Chair and 
Vice-Chairs of the Group.
1309 
(3) STRATEGIC
PLANNING
ADVICE.—The trade 
expansion advisory committee shall advise the Chair 
and Vice-Chairs of the Group on ways that embassies 
can better support the United States private sector 
abroad, including assisting the Chair and Vice- 
Chairs— 
(A) in soliciting private-sector advice; 
(B) with respect to implementation of stra-
tegic planning; and 
(C) in advancing the overall mission and 
goals of United States national security. 
SEC. 709. PRIVATE SECTOR CONSULTATION AND COORDI-
NATION. 
(a) CONSULTATION WITH PRIVATE SECTOR BY EM-
BASSY.—In developing the priorities for trade expansion 
initiatives described in section 708(d), embassy mission 
teams shall convene local representatives of the United 
States private sector and the private sector of host countries 
to consult on issues affecting trade at the borders of such 
countries and take into account the private sector’s oper-
ational expertise and experience confronting the trade bar-
riers in such countries as well as its recommendations for 
reform and best practices. 
(b) INCLUSION
OF PRIVATE-SECTOR COMMENTS
IN 
MISSION PLANS.—Written comments from local United
1310 
States private sector representatives shall be included in the 
trade expansion component of mission plans submitted by 
the chief of mission to the Secretary of State, with rec-
ommendations and comments from the mission team, for 
the purpose of informing the development of the joint stra-
tegic plan on trade expansion priorities required pursuant 
to section 708(c)(4) and recommended funding for the im-
plementation of such plan. 
(c) DESIGNATED EMBASSY POINT OF CONTACT FOR 
PRIVATE SECTOR CONSULTATION.—Each chief of mission 
shall designate an appropriate point of contact within the 
embassy who shall receive recommendations from appro-
priate private sector representatives regarding the imple-
mentation of the strategic plan required under section 
708(c)(4) and ongoing trade barriers negatively impacting 
priority trade expansion. The chief of mission shall ensure 
that the designated point of contact shall be reasonably 
available for consultations with appropriate private sector 
representatives and to receive recommendations with respect 
to country-specific issues that may arise that will 
foreseeably disrupt trade. 
(d) REQUIREMENT TO PROTECT BUSINESS CONFIDEN-
TIAL INFORMATION.— 
(1) IN GENERAL.—The Secretary of State, Sec-
retary of Commerce, and United States Trade Rep-
1311 
resentative as well as the heads of all other agencies 
involved in the Economic Diplomacy Action Group 
established under section 708(c) shall protect from 
disclosure any proprietary information submitted by 
any private sector representative and marked as 
‘‘business confidential information’’, unless the party 
submitting the confidential business information had 
notice, at the time of submission, that such informa-
tion would be released by the head of any such de-
partment or agency, or such party subsequently con-
sents to the release of the information. To the extent 
business confidential information is provided, a non- 
confidential version of the information shall also be 
provided, in which the business confidential informa-
tion is summarized or, if necessary, deleted. 
(2) TREATMENT AS TRADE SECRETS.—Propri-
etary information submitted by a private party in 
accordance with this Act shall be considered to be a 
matter falling within the meaning of trade secrets 
and commercial or financial information exemption 
under section 552(b)(4) of title 5, United States Code, 
and shall be exempt from disclosure without the ex-
press approval of the private party.
1312 
SEC. 710. IMPROVING AWARENESS OF UNITED STATES GOV-
ERNMENT TOOLS AND SERVICES TO SUPPORT 
UNITED STATES BUSINESSES OVERSEAS. 
The Secretary of State and the Secretary of Commerce 
shall take actions to improve the awareness of United States 
businesses with respect to United States Government tools 
and services to assist such businesses overseas, especially 
small and medium-sized enterprises, including by coordi-
nating with State trade agencies, Export Assistance Cen-
ters, and Small Businesses Development Centers. 
SEC. 711. REPORT BY COMPTROLLER GENERAL OF THE 
UNITED STATES. 
(a) IN GENERAL.—Not later than 2 years after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall submit to the Committee on For-
eign Affairs of the House of Representatives and the Com-
mittee on Foreign Relations of the Senate a report on 
United States economic and commercial diplomacy. 
(b) MATTERS TO BE INCLUDED.—The report required 
under subsection (a) shall include an assessment of the fol-
lowing: 
(1) What is known about the effectiveness of 
United States economic and commercial diplomacy in 
influencing foreign governments and supporting 
United States businesses abroad.
1313 
(2) Coordination between the Department of 
State and the Department of Commerce with respect 
to United States economic and commercial diplo-
macy. 
(3) The effectiveness of training provided pursu-
ant to subsection (d) of section 708 of the Foreign 
Service Act of 1980 (as added by section 705 of this 
title) on matters relating to economic and commercial 
diplomacy. 
(4) The status and effectiveness of actions taken 
by the Secretary of State under section 710 of this 
title regarding commercial relations with foreign 
countries and regions and safeguarding United States 
economic and business interests abroad. 
(5) The status of the U.S. Commercial Service of 
the Department of Commerce and its effectiveness in 
advancing the economic and business interests of the 
United States abroad. 
(6) The status of the Foreign Service economics 
officers and their effectiveness in advancing the eco-
nomic and business interests of the United States 
abroad. 
(7) Recommendations to improve United States 
economic and commercial diplomacy.
1314 
TITLE 
VIII—UNITED 
STATES 
COMMISSION 
ON 
INTER-
NATIONAL RELIGIOUS FREE-
DOM REAUTHORIZATION 
SEC. 801. SHORT TITLE. 
This title may be cited as the ‘‘United States Commis-
sion on International Religious Freedom Reauthorization 
Act of 2019’’. 
SEC. 802. REAUTHORIZATION. 
Section 209 of the International Religious Freedom 
Act of 1998 (22 U.S.C. 6436) is amended by striking 
‘‘2019’’ and inserting ‘‘2022’’. 
SEC. 803. COMPOSITION OF COMMISSION. 
Section 201 of the International Religious Freedom 
Act of 1998 (22 U.S.C. 6431) is amended— 
(1) in subsection (b)(2)— 
(A) by striking ‘‘(A) IN GENERAL.—’’; and 
(B) by striking subparagraph (B); 
(2) by amending subsection (d) to read as fol-
lows: 
‘‘(d) ELECTION OF CHAIR AND VICE CHAIR.—At the 
first meeting of the Commission after May 30 of each year, 
a majority of the members of the Commission who are 
present and voting shall elect a Chair and a Vice Chair. 
The Vice Chair shall have been appointed by an officeholder
1315 
from a different political party than the officeholder who 
appointed the member of the Commission who was elected 
Chair. The positions of Chair and Vice Chair shall be ro-
tated annually between members who were appointed to the 
Commission by officeholders of different political parties.’’; 
(3) in subsection (f), by striking ‘‘Country Re-
port on Human Rights Practices’’ and inserting 
‘‘International Religious Freedom Report’’; and 
(4) by adding at the end the following: 
‘‘(j) REMOVAL.—If a payment is made under section 
415(a) of the Congressional Accountability Act of 1995 (2 
U.S.C. 1415(a)) for an award or settlement in connection 
with a claim alleging a violation of unlawful harassment, 
intimidation, reprisal, or discrimination under the Con-
gressional Accountability Act of 1995 (2 U.S.C. 1301 et 
seq.) that was committed personally by an individual who, 
at the time of committing the violation, was a Member of 
the Commission, the Member shall be removed from the 
Commission.’’. 
SEC. 804. DUTIES AND POWERS OF THE COMMISSION. 
(a) DUTIES.—Section 202(e) of the International Reli-
gious Freedom Act of 1998 (22 U.S.C. 6432) is amended— 
(1) by striking ‘‘The Commission’’ and inserting 
the following: 
‘‘(1) IN GENERAL.—The Commission’’; and
1316 
(2) by adding at the end the following: 
‘‘(2) TRACKING; REVIEW.—The Commission shall 
regularly— 
‘‘(A) track the implementation by the 
United States Government of the recommenda-
tions it makes under paragraph (1); and 
‘‘(B) review, to the extent practicable, the ef-
fectiveness of such implemented recommendations 
in advancing religious freedom internationally.’’. 
(b) POWERS.—Section 203(e) of the International Re-
ligious Freedom Act of 1998 (22 U.S.C. 6432a(e)) is amend-
ed by adding at the end the following: ‘‘If a Member of the 
Commission is invited to speak at an event in his or her 
capacity as a Commissioner, the Member shall provide no-
tice of the request to all Commissioners and the Executive 
Director as soon as the Commissioner becomes aware of such 
invitation. Speeches and responses to questions at official 
events shall reflect the views of the Commission. Official 
speeches and other prepared materials shall be made avail-
able to all Commissioners in advance of the event. If a Com-
missioner is speaking in his or her private capacity, he or 
she shall include qualifying language that the views they 
are representing are his or her own views and not the views 
of the Commission.’’.
1317 
SEC. 805. COMMISSION PERSONNEL MATTERS. 
(a) IN GENERAL.—Section 204 of the International 
Religious Freedom Act of 1998 (22 U.S.C. 6432b) is amend-
ed— 
(1) in subsection (b)— 
(A) by striking ‘‘fix the compensation of the 
Executive Director and other personnel’’ and in-
serting ‘‘provide reasonable compensation to the 
Executive Director’’; 
(B) by striking ‘‘and other personnel may 
not exceed the rate payable for level V of the Ex-
ecutive Schedule under section 5316’’ and insert-
ing ‘‘may not exceed the rate payable under level 
II of the Executive Schedule under section 5313’’; 
and 
(C) by adding at the end the following: 
‘‘The rate of pay for other personnel of the Com-
mission may not exceed the rate payable for level 
IV of the Executive Schedule under section 5315 
of such title. All employees of the Commission 
shall otherwise be treated as employees whose 
pay is disbursed by the Secretary of the Senate, 
including for purposes of applying the Standing 
Rules of the Senate. The Commission shall be 
treated as an employing office of the Senate.’’;
1318 
(2) in subsection (f), by striking ‘‘the commis-
sion, for the executive director’’ and inserting ‘‘the 
Commission, for the Executive Director’’; and 
(3) by striking subsection (g). 
(b) COVERAGE OF COMMISSION EMPLOYEES.—Section 
101(b) of the Congressional Accountability Act (2 U.S.C. 
1301(b)) is amended— 
(1) in paragraph (1), by inserting ‘‘the United 
States Commission on International Religious Free-
dom,’’ after ‘‘With respect to’’; 
(2) in paragraph (2)— 
(A) by redesignating subparagraphs (A) 
and (B) as clauses (i) and (ii), respectively; 
(B) by inserting ‘‘(A)’’ before ‘‘Subject to 
paragraph (3),’’; and 
(C) by adding at the end the following: 
‘‘(B) Legal assistance and representation 
under this chapter, including assistance and rep-
resentation with respect to the proposal or ac-
ceptance of the disposition of a claim under this 
chapter, shall be provided to the United States 
Commission on International Religious Freedom 
by the Office of Senate Chief Counsel for Em-
ployment of the Senate, in the case of assistance 
and representation in connection with a claim
1319 
filed under subchapter IV (including all subse-
quent proceedings under such subchapter in con-
nection with such claim).’’; and 
(3) in paragraph (3)— 
(A) in subparagraph (B), by striking ‘‘and’’ 
at the end; 
(B) in subparagraph (C), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(D) the term ‘United States Commission 
on International Religious Freedom’ means the 
Commission established under section 201 of the 
International Religious Freedom Act of 1998 (22 
U.S.C. 6431 et seq.).’’. 
SEC. 806. COMMISSION TRAVEL AND ANNUAL DISCLO-
SURES. 
(a) DUTIES.—Section 201(i) of the International Reli-
gious Freedom Act of 1998 (22 U.S.C. 6431(i)) is amended 
by striking ‘‘are subject to’’ and inserting ‘‘shall comply 
with’’. 
(b) POWERS.—Section 203(f) of the International Reli-
gious Freedom Act of 1998 (22 U.S.C. 6432a(f)) is amend-
ed— 
(1) by striking ‘‘The Members of the Commis-
sion’’ and inserting the following:
1320 
‘‘(1) IN GENERAL.—The Members of the Commis-
sion’’; and 
(2) by adding at the end the following: 
‘‘(2) PROHIBITION AGAINST PAYMENT OF OFFI-
CIAL TRAVEL BY NON-FEDERAL SOURCES.—Members 
of the Commission and Commission staff may not ac-
cept payment from a non-Federal source for expenses 
related to official travel on behalf of the Commis-
sion.’’. 
(c) ANNUAL DISCLOSURES.—Section 203 of the Inter-
national Religious Freedom Act of 1998, as amended by 
subsection (b), is further amended by adding at the end the 
following: 
‘‘(g) ANNUAL DISCLOSURES.—Not later than March 1 
of each year, each Member of the Commission shall submit 
a report to the appropriate congressional committees (as de-
fined in section 4(a) of the United States Commission on 
International Religious Freedom Reauthorization Act of 
2015 (22 U.S.C. 6433a(a)) with respect to the most recently 
concluded 12-month period, that discloses any travel by the 
Member outside of the United States that was paid for or 
reimbursed by a person or entity other than the Member, 
a relative of the Member, or the Federal Government, in-
cluding— 
‘‘(1) who paid for or reimbursed the travel;
1321 
‘‘(2) a good faith estimate of the cost of the trav-
el, if the travel was funded by a person or entity that 
does not employ the Member; and 
‘‘(3) brief details of the travel and events related 
to such travel.’’. 
SEC. 807. STRATEGIC PLAN. 
Section 4(d) of the United States Commission on 
International Religious Freedom Reauthorization Act of 
2015 (22 U.S.C. 6433a(d)) is amended by striking ‘‘Not 
later than 180 days after the date of the enactment of the 
Act, and not less frequently than biennially thereafter’’ and 
inserting ‘‘Not later than 180 days after the date of the en-
actment of this Act, and every 2 years thereafter’’. 
SEC. 808. AUTHORIZATION OF APPROPRIATIONS. 
Section 207(a) of the International Religious Freedom 
Act of 1998 (22 U.S.C. 6435(a)) is amended by striking 
‘‘2016 to 2019’’ and inserting ‘‘2019 through 2022’’. 
SEC. 809. RECORD RETENTION. 
Section 208 of the International Religious Freedom 
Act of 1998 (22 U.S.C. 6435a) is amended by adding at 
the end the following: 
‘‘(f) COMMISSION RECORDS.—The Commission shall 
comply with all of the records management requirements 
set forth in chapter 31 of title 44, United States Code (com-
monly referred to as the ‘Federal Records Act of 1950’).
1322 
‘‘(g) OFFICIAL EMAIL FOR COMMISSION BUSINESS.— 
When conducting any Commission business on electronic 
accounts, Commission Members and staff shall use official 
Commission electronic accounts.’’. 
TITLE IX—OTHER MATTERS 
SEC. 901. SPECIAL RULES FOR CERTAIN MONTHLY WORK-
ERS’ COMPENSATION PAYMENTS AND OTHER 
PAYMENTS FOR DEPARTMENT OF STATE PER-
SONNEL UNDER CHIEF OF MISSION AUTHOR-
ITY. 
(a) ADJUSTMENT OF COMPENSATION FOR CERTAIN IN-
JURIES.— 
(1) INCREASE.—The Secretary of State may pay 
an additional monthly monetary benefit, provided 
that the covered employee is receiving benefits under 
section 8105 or 8106 of title 5, United States Code, 
and may determine the amount of each monthly mon-
etary benefit amount by taking into account— 
(A) the severity of the qualifying injury; 
(B) the circumstances by which the covered 
employee became injured; and 
(C) the seniority of the covered employee, 
particularly for purposes of compensating for 
lost career growth.
1323 
(2) MAXIMUM.—Notwithstanding chapter 81 of 
title 5, United States Code, the total amount of 
monthly compensation increased under paragraph (1) 
may not exceed the monthly pay of the maximum rate 
of basic pay for GS–15 of the General Schedule under 
section 5332 of such title. 
(b) COSTS FOR TREATING QUALIFYING INJURIES.— 
The Secretary of State may pay the costs of or reimburse 
for diagnosing and treating— 
(1) a qualifying injury of a covered employee for 
such costs, that are not otherwise covered by chapter 
81 of title 5, United States Code, or other provision 
of Federal law; or 
(2) a covered individual, or a covered dependent, 
for such costs that are not otherwise covered by Fed-
eral law. 
(c) INFORMATION EXCHANGE.—To avoid duplicate or 
otherwise improper payments under this subsection, the 
Secretary of Labor and the Secretary of State shall ex-
change information about the amounts paid for treatment 
of qualifying injuries. 
(d) REGULATIONS.—Not later than 120 days after the 
date of the enactment of this Act, the Secretary of State 
shall—
1324 
(1) prescribe regulations ensuring the fair and 
equitable implementation of this section; and 
(2) submit to the Committee on Foreign Rela-
tions of the Senate and the Committee on Foreign Af-
fairs of the House of Representatives such regulations. 
(e) DEFINITIONS.—In this section: 
(1) COVERED DEPENDENT.—The term ‘‘covered 
dependent’’ means a family member (as defined by 
the Secretary of State) of a employee who, on or after 
January 1, 2016— 
(A) accompanies the employee to an as-
signed duty station in a foreign country under 
chief of mission authority; and 
(B) becomes injured by reason of a quali-
fying injury. 
(2) COVERED
EMPLOYEE.—The term ‘‘covered 
employee’’ means an employee of the Department of 
State who, on or after January 1, 2016, becomes in-
jured by reason of a qualifying injury and was as-
signed to a duty station in the Republic of Cuba, the 
People’s Republic of China, or another foreign coun-
try designated by the Secretary of State pursuant to 
subsection (f). 
(3) COVERED INDIVIDUAL.—The term ‘‘covered 
individual’’ means an individual who, on or after
1325 
January 1, 2016, becomes injured by reason of a 
qualifying injury and is— 
(A) detailed to a duty station in the Repub-
lic of Cuba, the People’s Republic of China, or 
another foreign country designated by the Sec-
retary of State pursuant to subsection (f); or 
(B) affiliated with the Department of State, 
as determined by the Secretary of State. 
(4) QUALIFYING INJURY.—The term ‘‘qualifying 
injury’’ means the following: 
(A) With respect to a covered dependent, an 
injury incurred— 
(i) during a period in which the cov-
ered dependent is accompanying an em-
ployee to an assigned duty station in the 
Republic of Cuba, the People’s Republic of 
China, or another foreign country des-
ignated by the Secretary of State pursuant 
to subsection (f); 
(ii) in connection with war, insur-
gency, hostile act, terrorist activity, or other 
incident designated by the Secretary of 
State; and 
(iii) that was not the result of the will-
ful misconduct of the covered dependent.
1326 
(B) With respect to a covered employee or 
a covered individual, an injury incurred— 
(i) during a period of assignment to a 
duty station in the Republic of Cuba, the 
People’s Republic of China, or another 
country designated by the Secretary of State 
pursuant to subsection (f); 
(ii) in connection with war, insur-
gency, hostile act, terrorist activity, or other 
incident designated by the Secretary of 
State; and 
(iii) that was not the result of the will-
ful misconduct of the covered employee or 
the covered individual. 
(f) DESIGNATION BY THE SECRETARY OF STATE OF 
ANOTHER FOREIGN COUNTRY
OR DUTY STATION.—The 
Secretary of State may designate another foreign country 
for the purposes of this section, provided that the Secretary 
reports such designation to the Committee on Foreign Rela-
tions of the Senate and the Committee on Foreign Affairs 
of the House of Representatives, and includes in such report 
a rationale for each such designation. The Secretary of 
State may not designate an added foreign country or duty 
station for purposes of providing additional monetary ben-
efit pursuant to subsection (a) or (b) for a qualifying injury
1327 
to covered employees, covered dependents, or covered indi-
viduals under this section unless the Secretary of State— 
(1) provides to the Committees on Foreign Rela-
tions of the Senate and the Committee on Foreign Af-
fairs of the House of Representatives 30 days’ notice 
of the designation of a particular additional country 
or duty station and the rationale for such addition; 
and 
(2) provides no such additional monetary benefit 
pursuant to subsection (a) or (b) to covered employ-
ees, covered dependents, or covered individuals for a 
qualifying injury until the 30-day notice period ex-
pires, unless there is written agreement by both the 
Chair and Ranking Members of both the Committee 
on Foreign Relations of the Senate and the Committee 
on Foreign Affairs of the House of Representatives 
that there is no objection to proceeding with provision 
of such monetary benefit compensation in less than 30 
days. 
(g) TREATMENT OF AMOUNTS.—For purposes of sec-
tion 104 of the Internal Revenue Code of 1986, amounts 
paid pursuant to this section shall be treated as amounts 
described in subsection (a)(5) of such section. 
(h) APPLICATION.—
1328 
(1) IN GENERAL.—This section shall apply with 
respect to— 
(A) payments made to covered employees 
(as defined in such section) under section 8105 
or 8106 of title 5, United States Code, beginning 
on or after January 1, 2016; and 
(B) diagnosis or treatment described in sub-
section (b) occurring on or after January 1, 
2016. 
(2) RULE OF CONSTRUCTION.—Nothing in this 
section shall modify or otherwise supersede chapter 81 
of title 5, or chapter 11 of title 42 United States Code. 
Monetary benefits and treatment expenses paid under 
this section shall not be considered payments under 
any workers’ compensation law. 
SEC. 902. DECLASSIFICATION OF INFORMATION RELATED 
TO CERTAIN ACTIONS BY SAUDI ARABIAN OF-
FICIALS. 
Not later than 30 days after the date of the enactment 
of this Act, the Director of the Federal Bureau of Investiga-
tion, in coordination with the Director of National Intel-
ligence, shall declassify, with any redactions necessary to 
protect intelligence sources and methods, any and all infor-
mation related to whether the Government of Saudi Arabia 
materially assisted or facilitated any citizen or national of
1329 
Saudi Arabia in departing from the United States while 
the citizen or national was awaiting trial or sentencing for 
a criminal offense committed in the United States. 
SEC. 903. PROMOTING SECURITY AND JUSTICE FOR VIC-
TIMS OF TERRORISM. 
(a) SHORT TITLE.—This section may be cited as the 
Promoting Security and Justice for Victims of Terrorism 
Act of 2019. 
(b) FACILITATION
OF
THE SETTLEMENT
OF TER-
RORISM-RELATED CLAIMS OF NATIONALS OF THE UNITED 
STATES.— 
(1) COMPREHENSIVE
PROCESS
TO
FACILITATE 
THE RESOLUTION OF ANTI-TERRORISM ACT CLAIMS.— 
The Secretary of State, in consultation with the At-
torney General, shall, not later than 30 days after the 
date of enactment of this Act, develop and initiate a 
comprehensive process for the Department of State to 
facilitate the resolution and settlement of covered 
claims. 
(2) ELEMENTS OF COMPREHENSIVE PROCESS.— 
The comprehensive process developed under paragraph 
(1) shall include, at a minimum, the following: 
(A) Not later than 45 days after the date of 
enactment of this Act, the Department of State 
shall publish a notice in the Federal Register
1330 
identifying the method by which a national of 
the United States, or a representative of a na-
tional of the United States, who has a covered 
claim, may contact the Department of State to 
give notice of the covered claim. 
(B) Not later than 120 days after the date 
of enactment of this Act, the Secretary of State, 
or a designee of the Secretary, shall meet (and 
make every effort to continue to meet on a reg-
ular basis thereafter) with any national of the 
United States, or a representative of a national 
of the United States, who has a covered claim 
and has informed the Department of State of the 
covered claim using the method established pur-
suant to subparagraph (A) to discuss the status 
of the covered claim, including the status of any 
settlement discussions with the Palestinian Au-
thority or the Palestine Liberation Organization. 
(C) Not later than 180 days after the date 
of enactment of this Act, the Secretary of State, 
or a designee of the Secretary, shall make every 
effort to meet (and make every effort to continue 
to meet on a regular basis thereafter) with rep-
resentatives of the Palestinian Authority and the 
Palestine Liberation Organization to discuss the
1331 
covered claims identified pursuant to subpara-
graph (A) and potential settlement of the covered 
claims. 
(3) REPORT
TO
CONGRESS.—The Secretary of 
State shall, not later than 240 days after the date of 
enactment of this Act, and annually thereafter for 5 
years, submit to the Committee on the Judiciary and 
the Committee on Foreign Relations of the Senate and 
the Committee on the Judiciary and the Committee 
on Foreign Affairs of the House of Representatives a 
report describing activities that the Department of 
State has undertaken to comply with this subsection, 
including specific updates regarding subparagraphs 
(B) and (C) of paragraph (2). 
(4) SENSE
OF
CONGRESS.—It is the sense of 
Congress that— 
(A) covered claims should be resolved in a 
manner that provides just compensation to the 
victims; 
(B) covered claims should be resolved and 
settled in favor of the victim to the fullest extent 
possible and without subjecting victims to unnec-
essary or protracted litigation; 
(C) the United States Government should 
take all practicable steps to facilitate the resolu-
1332 
tion and settlement of all covered claims, includ-
ing engaging directly with the victims or their 
representatives and the Palestinian Authority 
and the Palestine Liberation Organization; and 
(D) the United States Government should 
strongly urge the Palestinian Authority and the 
Palestine Liberation Organization to commit to 
good-faith negotiations to resolve and settle all 
covered claims. 
(5) DEFINITION.—In this subsection, the term 
‘‘covered claim’’ means any pending action by, or 
final judgment in favor of, a national of the United 
States, or any action by a national of the United 
States dismissed for lack of personal jurisdiction, 
under section 2333 of title 18, United States Code, 
against the Palestinian Authority or the Palestine 
Liberation Organization. 
(c) JURISDICTIONAL AMENDMENTS
TO FACILITATE 
RESOLUTION OF TERRORISM-RELATED CLAIMS OF NATION-
ALS OF THE UNITED STATES.— 
(1) IN GENERAL.—Section 2334(e) of title 18, 
United States Code, is amended— 
(A) by striking paragraph (1) and inserting 
the following:
1333 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), for purposes of any civil action under sec-
tion 2333 of this title, a defendant shall be deemed to 
have consented to personal jurisdiction in such civil 
action if, regardless of the date of the occurrence of the 
act of international terrorism upon which such civil 
action was filed, the defendant— 
‘‘(A) after the date that is 120 days after 
the date of the enactment of the Promoting Secu-
rity and Justice for Victims of Terrorism Act of 
2019, makes any payment, directly or indi-
rectly— 
‘‘(i) to any payee designated by any 
individual who, after being fairly tried or 
pleading guilty, has been imprisoned for 
committing any act of terrorism that in-
jured or killed a national of the United 
States, if such payment is made by reason 
of such imprisonment; or 
‘‘(ii) to any family member of any in-
dividual, following such individual’s death 
while committing an act of terrorism that 
injured or killed a national of the United 
States, if such payment is made by reason 
of the death of such individual; or
1334 
‘‘(B) after 15 days after the date of enact-
ment of the Promoting Security and Justice for 
Victims of Terrorism Act of 2019— 
‘‘(i) continues to maintain any office, 
headquarters, premises, or other facilities or 
establishments in the United States; 
‘‘(ii) establishes or procures any office, 
headquarters, premises, or other facilities or 
establishments in the United States; or 
‘‘(iii) conducts any activity while 
physically present in the United States on 
behalf of the Palestine Liberation Organiza-
tion or the Palestinian Authority.’’; 
(B) in paragraph (2), by adding at the end 
the following: ‘‘Except with respect to payments 
described in paragraph (1)(A), no court may 
consider the receipt of any assistance by a non-
governmental organization, whether direct or in-
direct, as a basis for consent to jurisdiction by 
a defendant.’’; and 
(C) by adding at the end the following: 
‘‘(3) EXCEPTION FOR CERTAIN ACTIVITIES AND 
LOCATIONS.—In determining whether a defendant 
shall be deemed to have consented to personal jurisdic-
1335 
tion under paragraph (1)(B), no court may con-
sider— 
‘‘(A) any office, headquarters, premises, or 
other facility or establishment used exclusively 
for the purpose of conducting official business of 
the United Nations; 
‘‘(B) any activity undertaken exclusively for 
the purpose of conducting official business of the 
United Nations; 
‘‘(C) any activity involving officials of the 
United States that the Secretary of State deter-
mines is in the national interest of the United 
States if the Secretary reports to the appropriate 
congressional committees annually on the use of 
the authority under this subparagraph; 
‘‘(D) any activity undertaken exclusively 
for the purpose of meetings with officials of the 
United States or other foreign governments, or 
participation in training and related activities 
funded or arranged by the United States Govern-
ment; 
‘‘(E) any activity related to legal represen-
tation— 
‘‘(i) for matters related to activities de-
scribed in this paragraph;
1336 
‘‘(ii) for the purpose of adjudicating or 
resolving claims filed in courts of the 
United States; or 
‘‘(iii) to comply with this subsection; 
or 
‘‘(F) any personal or official activities con-
ducted ancillary to activities listed under this 
paragraph. 
‘‘(4) RULE OF CONSTRUCTION.—Notwithstanding 
any other law (including any treaty), any office, 
headquarters, premises, or other facility or establish-
ment within the territory of the United States that is 
not specifically exempted by paragraph (3)(A) shall 
be considered to be in the United States for purposes 
of paragraph (1)(B). 
‘‘(5) DEFINED
TERM.—In this subsection, the 
term ‘defendant’ means— 
‘‘(A) the Palestinian Authority; 
‘‘(B) the Palestine Liberation Organization; 
‘‘(C) any organization or other entity that 
is a successor to or affiliated with the Pales-
tinian Authority or the Palestine Liberation Or-
ganization; or 
‘‘(D) any organization or other entity 
that—
1337 
‘‘(i) is identified in subparagraph (A), 
(B), or (C); and 
‘‘(ii) self identifies as, holds itself out 
to be, or carries out conduct in the name of, 
the ‘State of Palestine’ or ‘Palestine’ in con-
nection with official business of the United 
Nations.’’. 
(2) PRIOR
CONSENT
NOT
ABROGATED.—The 
amendments made by this subsection shall not abro-
gate any consent deemed to have been given under sec-
tion 2334(e) of title 18, United States Code, as in ef-
fect on the day before the date of enactment of this 
Act. 
(d) RULES OF CONSTRUCTION; APPLICABILITY; SEV-
ERABILITY.— 
(1) RULES OF CONSTRUCTION.— 
(A) IN
GENERAL.—This section, and the 
amendments made by this section, should be lib-
erally construed to carry out the purposes of 
Congress to provide relief for victims of ter-
rorism. 
(B) CASES
AGAINST
OTHER
PERSONS.— 
Nothing in this section may be construed to af-
fect any law or authority, as in effect on the day 
before the date of enactment of this Act, relating
1338 
to a case brought under section 2333(a) of title 
18, United States Code, against a person who is 
not a defendant, as defined in paragraph (5) of 
section 2334(e) of title 18, United States Code, 
as added by subsection (c)(1) of this section. 
(2) APPLICABILITY.—This section, and the 
amendments made by this section, shall apply to any 
case pending on or after August 30, 2016. 
(3) SEVERABILITY.—If any provision of this sec-
tion, an amendment made by this section, or the ap-
plication of such provision or amendment to any per-
son or circumstance is held to be unconstitutional, the 
remainder of this section, the amendments made by 
this section, and the application of such provisions to 
any person or circumstance shall not be affected there-
by. 
SEC. 904. DEBT RELIEF FOR SOMALIA. 
(a) DEBT RELIEF.—(1) Of the funds appropriated 
under titles III and IV of division G of this Act and under 
such titles in prior Acts making appropriations for the De-
partment of State, foreign operations, and related pro-
grams, not to exceed $35,000,000 may be transferred to the 
‘‘Department of the Treasury, Debt Restructuring’’ account 
for the same purposes and under the same authorities and 
conditions (other than the period of availability) as other
1339 
funds provided under that heading for the cost, as defined 
in section 502 of the Congressional Budget Act of 1974, of 
modifying loans and loan guarantees, as the President may 
determine, or for the cost of selling, reducing, or cancelling 
amounts owed to the United States as a result of loans made 
to Somalia, in the event that Somalia meets the domestic 
and internationally-agreed conditions and the transfer is 
consistent with United States law and foreign policy con-
siderations. 
(2) For the purposes of this section, no amounts may 
be transferred from amounts designated for Overseas Con-
tingency Operations/Global War on Terrorism or as emer-
gency requirements pursuant to a concurrent resolution on 
the budget or section 251(b)(2)(A) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
(3) Prior to the initial obligation of funds made avail-
able pursuant to this section, the Secretary of State shall 
submit to the appropriate congressional committees a report 
on the outcome of the Paris Club meeting on debt cancella-
tion for Somalia, the estimate of amounts needed and over 
what time period, and the proposed sources of funds to be 
transferred pursuant to this section: Provided, That such 
funds shall also be subject to prior consultation with the 
appropriate congressional committees and the regular noti-
fication procedures of such committees.
1340 
(b) DEBT RESTRUCTURING.—Section 501(i) of title V 
of H.R. 3425, as enacted into law by section 1000(a)(5) 
of Public Law 106–113 (113 Stat. 1501A–313), as most re-
cently amended by section 699H(b)(1) of division J of the 
Consolidated Appropriations Act, 2008 (Public Law 110– 
161; 121 Stat. 2372), is further amended by striking 
‘‘2000–2010’’ and inserting ‘‘2000–2021’’. 
(c) APPROPRIATE CONGRESSIONAL COMMITTEES DE-
FINED.—In this section, the term ‘‘appropriate congres-
sional committees’’ means— 
(1) the Committee on Foreign Relations and the 
Committee on Appropriations of the Senate; and 
(2) the Committee on Foreign Affairs and the 
Committee on Appropriations of the House of Rep-
resentatives. 
DIVISION K—NATIONAL LAW EN-
FORCEMENT MUSEUM COM-
MEMORATIVE COIN 
SEC. 101. SHORT TITLE. 
This division may be cited as the ‘‘National Law En-
forcement Museum Commemorative Coin Act’’. 
SEC. 102. FINDINGS. 
The Congress finds the following: 
(1) In 2000, Congress passed and President Wil-
liam J. Clinton signed into law the National Law
1341 
Enforcement Museum Act (Public Law 106–492), 
which authorized the National Law Enforcement Offi-
cers Memorial Fund, Inc., to build the National Law 
Enforcement Museum on Federal land in the District 
of Columbia to honor and commemorate the service 
and sacrifice of law enforcement officers in the United 
States. 
(2) In April 2016, construction began on the Na-
tional Law Enforcement Museum in the District of 
Columbia across the street from the National Law 
Enforcement Officers Memorial in Judiciary Square. 
(3) The National Law Enforcement Museum for-
mally opened in October of 2018. 
(4) The National Law Enforcement Museum’s 
mission is— 
(A) to honor and commemorate the extraor-
dinary service and sacrifice of America’s law en-
forcement officers; 
(B) to serve as an important bridge between 
law enforcement’s past and present, between the 
heroes of yesteryear and those who have followed 
in their footsteps, and between America’s peace 
officers and the public they serve;
1342 
(C) increase public understanding and sup-
port for law enforcement and to promote law en-
forcement safety; and 
(D) strengthen the relationship between law 
enforcement and the communities they serve with 
thought-provoking programs at the Museum and 
around the country that promote dialogue on 
topics of current interest. 
SEC. 103. COIN SPECIFICATIONS. 
(a) DENOMINATIONS.—The Secretary of the Treasury 
(hereafter in this Act referred to as the ‘‘Secretary’’) shall 
mint and issue the following coin: 
(1) $5 GOLD COINS.—Not more than 50,000 $5 
coins, which shall— 
(A) weigh 8.359 grams; 
(B) have a diameter of 0.850 inches; and 
(C) contain not less than 90 percent gold. 
(2) $1 SILVER COINS.—Not more than 400,000 
$1 coins, which shall— 
(A) weigh 26.73 grams; 
(B) have a diameter of 1.500 inches; and 
(C) contain not less than 90 percent silver. 
(3) HALF-DOLLAR CLAD COINS.—Not more than 
750,000 half-dollar coins which shall— 
(A) weigh 11.34 grams;
1343 
(B) have a diameter of 1.205 inches; and 
(C) be minted to the specifications for half- 
dollar coins contained in section 5112(b) of title 
31, United States Code. 
(b) LEGAL TENDER.—The coins minted under this Act 
shall be legal tender, as provided in section 5103 of title 
31, United States Code. 
(c) NUMISMATIC ITEMS.—For purposes of section 5134 
of title 31, United States Code, all coins minted under this 
Act shall be considered to be numismatic items. 
SEC. 104. DESIGN OF COINS. 
(a) DESIGN REQUIREMENTS.— 
(1) IN GENERAL.—The design of the coins mint-
ed under this Act shall be emblematic of the National 
Law Enforcement Museum and the service and sac-
rifice of law enforcement officers throughout the his-
tory of the United States. 
(2) DESIGNATION AND INSCRIPTIONS.—On each 
coin minted under this Act there shall be— 
(A) a designation of the value of the coin; 
(B) an inscription of the year ‘‘2021’’; and 
(C) inscriptions of the words ‘‘Liberty’’, ‘‘In 
God We Trust’’, ‘‘United States of America’’, 
and ‘‘E Pluribus Unum’’.
1344 
(b) SELECTION.—The design for the coins minted 
under this Act shall be— 
(1) selected by the Secretary after consultation 
with the Commission of Fine Arts and the National 
Law Enforcement Officers Memorial Fund, Inc.; and 
(2) reviewed by the Citizens Coinage Advisory 
Committee. 
SEC. 105. ISSUANCE OF COINS. 
(a) QUALITY OF COINS.—Coins minted under this Act 
shall be issued in uncirculated and proof qualities. 
(b) MINT FACILITIES.—Only one facility of the United 
States Mint may be used to strike any particular quality 
of the coins minted under this Act. 
(c) PERIOD FOR ISSUANCE.—The Secretary may issue 
coins minted under this Act only during the 1-year period 
beginning on January 1, 2021. 
SEC. 106. SALE OF COINS. 
(a) SALE PRICE.—The coins issued under this Act 
shall be sold by the Secretary at a price equal to the sum 
of— 
(1) the face value of the coins; 
(2) the surcharge provided in section 107(a) with 
respect to such coins; and
1345 
(3) the cost of designing and issuing the coins 
(including labor, materials, dies, use of machinery, 
overhead expenses, marketing, and shipping). 
(b) BULK SALES.—The Secretary shall make bulk sales 
of the coins issued under this Act at a reasonable discount. 
(c) PREPAID ORDERS.— 
(1) IN
GENERAL.—The Secretary shall accept 
prepaid orders for the coins minted under this Act be-
fore the issuance of such coins. 
(2) DISCOUNT.—Sale prices with respect to pre-
paid orders under paragraph (1) shall be at a reason-
able discount. 
SEC. 107. SURCHARGES. 
(a) IN GENERAL.—All sales of coins issued under this 
Act shall include a surcharge of— 
(1) $35 per coin for the $5 coin; 
(2) $10 per coin for the $1 coin; and 
(3) $5 per coin for the half-dollar coin. 
(b) DISTRIBUTION.—Subject to section 5134(f)(1) of 
title 31, United States Code, all surcharges received by the 
Secretary from the sale of coins issued under this Act shall 
be promptly paid by the Secretary to the National Law En-
forcement Officers Memorial Fund, Inc., for educational 
and outreach programs and exhibits.
1346 
(c) AUDITS.—The National Law Enforcement Officers 
Memorial Fund, Inc., shall be subject to the audit require-
ments of section 5134(f)(2) of title 31, United States Code, 
with regard to the amounts received under subsection (b). 
(d) LIMITATION.—Notwithstanding subsection (a), no 
surcharge may be included with respect to the issuance 
under this Act of any coin during a calendar year if, as 
of the time of such issuance, the issuance of such coin would 
result in the number of commemorative coin programs 
issued during such year to exceed the annual two commemo-
rative coin program issuance limitation under section 
5112(m)(1) of title 31, United States Code (as in effect on 
the date of the enactment of this Act). The Secretary of the 
Treasury may issue guidance to carry out this subsection. 
SEC. 108. FINANCIAL ASSURANCES. 
The Secretary shall take such actions as may be nec-
essary to ensure that— 
(1) minting and issuing coins under this Act 
will not result in any net cost to the United States 
Government; and 
(2) no funds, including applicable surcharges, 
are disbursed to any recipient designated in section 
107 until the total cost of designing and issuing all 
of the coins authorized by this Act (including labor, 
materials, dies, use of machinery, overhead expenses,
1347 
marketing, and shipping) is recovered by the United 
States Treasury, consistent with sections 5112(m) and 
5134(f) of title 31, United States Code. 
DIVISION L—DHS CYBER HUNT 
AND 
INCIDENT 
RESPONSE 
TEAMS 
SEC. 101. SHORT TITLE. 
This division may be cited as the ‘‘DHS Cyber Hunt 
and Incident Response Teams Act of 2019’’. 
SEC. 102. DEPARTMENT OF HOMELAND SECURITY CYBER 
HUNT AND INCIDENT RESPONSE TEAMS. 
(a) IN GENERAL.—Section 2209 of the Homeland Se-
curity Act of 2002 (6 U.S.C. 659) is amended— 
(1) in subsection (d)(1)(B)(iv), by inserting ‘‘, 
including cybersecurity specialists’’ after ‘‘entities’’; 
(2) by redesignating subsections (f) through (m) 
as subsections (g) through (n), respectively; 
(3) by inserting after subsection (e) the following: 
‘‘(f) CYBER HUNT AND INCIDENT RESPONSE TEAMS.— 
‘‘(1) IN GENERAL.—The Center shall maintain 
cyber hunt and incident response teams for the pur-
pose of leading Federal asset response activities and 
providing timely technical assistance to Federal and 
non-Federal entities, including across all critical in-
frastructure sectors, regarding actual or potential se-
1348 
curity incidents, as appropriate and upon request, in-
cluding— 
‘‘(A) assistance to asset owners and opera-
tors in restoring services following a cyber inci-
dent; 
‘‘(B) identification and analysis of cyberse-
curity risk and unauthorized cyber activity; 
‘‘(C) mitigation strategies to prevent, deter, 
and protect against cybersecurity risks; 
‘‘(D) recommendations to asset owners and 
operators for improving overall network and con-
trol systems security to lower cybersecurity risks, 
and other recommendations, as appropriate; and 
‘‘(E) such other capabilities as the Sec-
retary determines appropriate. 
‘‘(2) ASSOCIATED METRICS.—The Center shall— 
‘‘(A) define the goals and desired outcomes 
for each cyber hunt and incident response team; 
and 
‘‘(B) develop metrics— 
‘‘(i) to measure the effectiveness and ef-
ficiency of each cyber hunt and incident re-
sponse team in achieving the goals and de-
sired outcomes defined under subparagraph 
(A); and
1349 
‘‘(ii) that— 
‘‘(I) are quantifiable and action-
able; and 
‘‘(II) the Center shall use to im-
prove the effectiveness and account-
ability of, and service delivery by, 
cyber hunt and incident response 
teams. 
‘‘(3) CYBERSECURITY SPECIALISTS.—After notice 
to, and with the approval of, the entity requesting ac-
tion by or technical assistance from the Center, the 
Secretary may include cybersecurity specialists from 
the private sector on a cyber hunt and incident re-
sponse team.’’; and 
(4) in subsection (g), as so redesignated— 
(A) in paragraph (1), by inserting ‘‘, or 
any team or activity of the Center,’’ after ‘‘Cen-
ter’’; and 
(B) in paragraph (2), by inserting ‘‘, or 
any team or activity of the Center,’’ after ‘‘Cen-
ter’’. 
(b) REPORT.— 
(1) DEFINITIONS.—In this subsection— 
(A) the term ‘‘Center’’ means the national 
cybersecurity and communications integration
1350 
center established under section 2209(b) of the 
Homeland Security Act of 2002 (6 U.S.C. 
659(b)); 
(B) the term ‘‘cyber hunt and incident re-
sponse team’’ means a cyber hunt and incident 
response team maintained under section 2209(f) 
of the Homeland Security Act of 2002 (6 U.S.C. 
659(f)), as added by this Act; and 
(C) the term ‘‘incident’’ has the meaning 
given the term in section 2209(a) of the Home-
land Security Act of 2002 (6 U.S.C. 659(a)). 
(2) REPORT.—At the conclusion of each of the 
first 4 fiscal years after the date of enactment of the 
DHS Cyber Hunt and Incident Response Teams Act 
of 2019, the Center shall submit to the Committee on 
Homeland Security and Governmental Affairs of the 
Senate and the Committee on Homeland Security of 
the House of Representatives a report that includes— 
(A) information relating to the metrics used 
for evaluation and assessment of the cyber hunt 
and incident response teams and operations 
under section 2209(f)(2) of the Homeland Secu-
rity Act of 2002 (6 U.S.C. 659(f)(2)), as added 
by this Act, including the resources and staffing
1351 
of those cyber hunt and incident response teams; 
and 
(B) for the period covered by the report— 
(i) the total number of incident re-
sponse requests received; 
(ii) the number of incident response 
tickets opened; and 
(iii) a statement of— 
(I) all interagency staffing of 
cyber hunt and incident response 
teams; and 
(II) the interagency collaborations 
established to support cyber hunt and 
incident response teams. 
(c) NO ADDITIONAL FUNDS AUTHORIZED.—No addi-
tional funds are authorized to be appropriated to carry out 
the requirements of this Act and the amendments made by 
this Act. Such requirements shall be carried out using 
amounts otherwise authorized to be appropriated. 
DIVISION M—BIPARTISAN 
AMERICAN MINERS 
SEC. 101. SHORT TITLE. 
This division may be cited as the ‘‘Bipartisan Amer-
ican Miners Act of 2019’’.
1352 
SEC. 102. TRANSFERS TO 1974 UMWA PENSION PLAN. 
(a) IN GENERAL.—Subsection (i) of section 402 of the 
Surface Mining Control and Reclamation Act of 1977 (30 
U.S.C. 1232) is amended— 
(1) 
in 
paragraph 
(3)(A), 
by 
striking 
‘‘$490,000,000’’ and inserting ‘‘$750,000,000’’; 
(2) by redesignating paragraph (4) as para-
graph (5); and 
(3) by inserting after paragraph (3) the fol-
lowing: 
‘‘(4) ADDITIONAL AMOUNTS.— 
‘‘(A) CALCULATION.—If the dollar limita-
tion specified in paragraph (3)(A) exceeds the 
aggregate amount required to be transferred 
under paragraphs (1) and (2) for a fiscal year, 
the Secretary of the Treasury shall transfer an 
additional amount equal to the difference be-
tween such dollar limitation and such aggregate 
amount to the trustees of the 1974 UMWA Pen-
sion Plan to pay benefits required under that 
plan. 
‘‘(B) 
CESSATION
OF
TRANSFERS.—The 
transfers described in subparagraph (A) shall 
cease as of the first fiscal year beginning after 
the first plan year for which the funded percent-
age (as defined in section 432(j)(2) of the Inter-
1353 
nal Revenue Code of 1986) of the 1974 UMWA 
Pension Plan is at least 100 percent. 
‘‘(C) PROHIBITION ON BENEFIT INCREASES, 
ETC.—During a fiscal year in which the 1974 
UMWA Pension Plan is receiving transfers 
under subparagraph (A), no amendment of such 
plan which increases the liabilities of the plan by 
reason of any increase in benefits, any change in 
the accrual of benefits, or any change in the rate 
at which benefits become nonforfeitable under the 
plan may be adopted unless the amendment is 
required as a condition of qualification under 
part I of subchapter D of chapter 1 of the Inter-
nal Revenue Code of 1986. 
‘‘(D) CRITICAL
STATUS
TO
BE
MAIN-
TAINED.—Until such time as the 1974 UMWA 
Pension Plan ceases to be eligible for the trans-
fers described in subparagraph (A)— 
‘‘(i) the Plan shall be treated as if it 
were in critical status for purposes of sec-
tions 
412(b)(3), 
432(e)(3), 
and 
4971(g)(1)(A) of the Internal Revenue Code 
of 
1986 
and 
sections 
302(b)(3) 
and 
305(e)(3) of the Employee Retirement In-
come Security Act;
1354 
‘‘(ii) the Plan shall maintain and com-
ply with its rehabilitation plan under sec-
tion 432(e) of such Code and section 305(e) 
of such Act, including any updates thereto; 
and 
‘‘(iii) the provisions of subsections (c) 
and (d) of section 432 of such Code and 
subsections (c) and (d) of section 305 of 
such Act shall not apply. 
‘‘(E) TREATMENT OF TRANSFERS FOR PUR-
POSES
OF
WITHDRAWAL
LIABILITY
UNDER 
ERISA.—The amount of any transfer made under 
subparagraph (A) (and any earnings attrib-
utable thereto) shall be disregarded in deter-
mining the unfunded vested benefits of the 1974 
UMWA Pension Plan and the allocation of such 
unfunded vested benefits to an employer for pur-
poses of determining the employer’s withdrawal 
liability under section 4201 of the Employee Re-
tirement Income Security Act of 1974. 
‘‘(F) REQUIREMENT
TO
MAINTAIN
CON-
TRIBUTION
RATE.—A transfer under subpara-
graph (A) shall not be made for a fiscal year un-
less the persons that are obligated to contribute 
to the 1974 UMWA Pension Plan on the date of
1355 
the transfer are obligated to make the contribu-
tions at rates that are no less than those in effect 
on the date which is 30 days before the date of 
enactment of the Bipartisan American Miners 
Act of 2019. 
‘‘(G) ENHANCED ANNUAL REPORTING.— 
‘‘(i) IN GENERAL.—Not later than the 
90th day of each plan year beginning after 
the date of enactment of the Bipartisan 
American Miners Act of 2019, the trustees 
of the 1974 UMWA Pension Plan shall file 
with the Secretary of the Treasury or the 
Secretary’s delegate and the Pension Benefit 
Guaranty Corporation a report (including 
appropriate documentation and actuarial 
certifications from the plan actuary, as re-
quired by the Secretary of the Treasury or 
the Secretary’s delegate) that contains— 
‘‘(I) whether the plan is in endan-
gered or critical status under section 
305 of the Employee Retirement In-
come Security Act of 1974 and section 
432 of the Internal Revenue Code of 
1986 as of the first day of such plan 
year;
1356 
‘‘(II) the funded percentage (as 
defined in section 432(j)(2) of such 
Code) as of the first day of such plan 
year, and the underlying actuarial 
value of assets and liabilities taken 
into account in determining such per-
centage; 
‘‘(III) the market value of the as-
sets of the plan as of the last day of the 
plan year preceding such plan year; 
‘‘(IV) the total value of all con-
tributions made during the plan year 
preceding such plan year; 
‘‘(V) the total value of all benefits 
paid during the plan year preceding 
such plan year; 
‘‘(VI) cash flow projections for 
such plan year and either the 6 or 10 
succeeding plan years, at the election of 
the trustees, and the assumptions relied 
upon in making such projections; 
‘‘(VII) funding standard account 
projections for such plan year and the 
9 succeeding plan years, and the as-
1357 
sumptions relied upon in making such 
projections; 
‘‘(VIII) the total value of all in-
vestment gains or losses during the 
plan year preceding such plan year; 
‘‘(IX) any significant reduction in 
the number of active participants dur-
ing the plan year preceding such plan 
year, and the reason for such reduc-
tion; 
‘‘(X) a list of employers that with-
drew from the plan in the plan year 
preceding such plan year, and the re-
sulting reduction in contributions; 
‘‘(XI) a list of employers that 
paid withdrawal liability to the plan 
during the plan year preceding such 
plan year and, for each employer, a 
total assessment of the withdrawal li-
ability paid, the annual payment 
amount, and the number of years re-
maining in the payment schedule with 
respect to such withdrawal liability; 
‘‘(XII) any material changes to 
benefits, accrual rates, or contribution
1358 
rates during the plan year preceding 
such plan year; 
‘‘(XIII) any scheduled benefit in-
crease or decrease in the plan year pre-
ceding such plan year having a mate-
rial effect on liabilities of the plan; 
‘‘(XIV) 
details 
regarding 
any 
funding improvement plan or rehabili-
tation plan and updates to such plan; 
‘‘(XV) the number of participants 
and beneficiaries during the plan year 
preceding such plan year who are ac-
tive participants, the number of par-
ticipants and beneficiaries in pay sta-
tus, and the number of terminated 
vested participants and beneficiaries; 
‘‘(XVI) the information contained 
on the most recent annual funding no-
tice submitted by the plan under sec-
tion 101(f) of the Employee Retirement 
Income Security Act of 1974; 
‘‘(XVII) 
the 
information 
con-
tained on the most recent Department 
of Labor Form 5500 of the plan; and
1359 
‘‘(XVIII) copies of the plan docu-
ment and amendments, other retire-
ment benefit or ancillary benefit plans 
relating to the plan and contribution 
obligations under such plans, a break-
down of administrative expenses of the 
plan, participant census data and dis-
tribution of benefits, the most recent 
actuarial valuation report as of the 
plan year, copies of collective bar-
gaining agreements, and financial re-
ports, and such other information as 
the Secretary of the Treasury or the 
Secretary’s delegate, in consultation 
with the Secretary of Labor and the 
Director of the Pension Benefit Guar-
anty Corporation, may require. 
‘‘(ii) ELECTRONIC
SUBMISSION.—The 
report required under clause (i) shall be 
submitted electronically. 
‘‘(iii) INFORMATION
SHARING.—The 
Secretary of the Treasury or the Secretary’s 
delegate shall share the information in the 
report under clause (i) with the Secretary of 
Labor.
1360 
‘‘(iv) PENALTY.—Any failure to file the 
report required under clause (i) on or before 
the date described in such clause shall be 
treated as a failure to file a report required 
to be filed under section 6058(a) of the In-
ternal Revenue Code of 1986, except that 
section 6652(e) of such Code shall be ap-
plied with respect to any such failure by 
substituting ‘$100’ for ‘$25’. The preceding 
sentence shall not apply if the Secretary of 
the Treasury or the Secretary’s delegate de-
termines that reasonable diligence has been 
exercised by the trustees of such plan in at-
tempting to timely file such report. 
‘‘(H) 1974 
UMWA
PENSION
PLAN
DE-
FINED.—For purposes of this paragraph, the 
term ‘1974 UMWA Pension Plan’ has the mean-
ing given the term in section 9701(a)(3) of the 
Internal Revenue Code of 1986, but without re-
gard to the limitation on participation to indi-
viduals who retired in 1976 and thereafter.’’. 
(b) EFFECTIVE DATES.— 
(1) IN
GENERAL.—The amendments made by 
this section shall apply to fiscal years beginning after 
September 30, 2016.
1361 
(2) 
REPORTING
REQUIREMENTS.—Section 
402(i)(4)(G) of the Surface Mining Control and Rec-
lamation Act of 1977 (30 U.S.C. 1232(i)(4)(G)), as 
added by this section, shall apply to plan years begin-
ning after the date of the enactment of this Act. 
SEC. 103. INCLUSION IN MULTIEMPLOYER HEALTH BEN-
EFIT PLAN. 
Section 402(h)(2)(C) of the Surface Mining Control 
and Reclamation Act of 1977 (30 U.S.C. 1232(h)(2)(C)) is 
amended— 
(1) by striking ‘‘the Health Benefits for Miners 
Act of 2017’’ both places it appears in clause (ii) and 
inserting ‘‘the Bipartisan American Miners Act of 
2019’’; 
(2) by striking ‘‘, would be denied or reduced as 
a result of a bankruptcy proceeding commenced in 
2012 or 2015’’ in clause (ii)(II) and inserting ‘‘or a 
related coal wage agreement, would be denied or re-
duced as a result of a bankruptcy proceeding com-
menced in 2012, 2015, 2018, or 2019’’; 
(3) by striking ‘‘and’’ at the end of clause (ii)(I), 
by striking the period at the end of clause (ii)(II) and 
inserting ‘‘; and’’, and by inserting after clause 
(ii)(II) the following new subclause:
1362 
‘‘(III) the cost of administering 
the resolution of disputes process ad-
ministered (as of the date of the enact-
ment of the Bipartisan American Min-
ers Act of 2019) by the Trustees of the 
Plan.’’, 
(4) by striking ‘‘January 1, 2017’’ in clause (ii) 
and inserting ‘‘January 1, 2019’’; and 
(5) by adding at the end the following new 
clause: 
‘‘(vi) RELATED
COAL
WAGE
AGREE-
MENT.—For purposes of clause (ii), the 
term ‘related coal wage agreement’ means 
an agreement between the United Mine 
Workers of America and an employer in the 
bituminous coal industry that— 
‘‘(I) is a signatory operator; or 
‘‘(II) is or was a debtor in a 
bankruptcy proceeding that was con-
solidated, administratively or other-
wise, with the bankruptcy proceeding 
of a signatory operator or a related 
person to a signatory operator (as 
those terms are defined in section
1363 
9701(c) of the Internal Revenue Code 
of 1986).’’. 
SEC. 104. REDUCTION IN MINIMUM AGE FOR ALLOWABLE 
IN-SERVICE DISTRIBUTIONS. 
(a) IN GENERAL.—Section 401(a)(36) of the Internal 
Revenue Code of 1986 is amended by striking ‘‘age 62’’ and 
inserting ‘‘age 591⁄2’’. 
(b) APPLICATION TO GOVERNMENTAL SECTION 457(b) 
PLANS.—Clause (i) of section 457(d)(1)(A) of the Internal 
Revenue Code of 1986 is amended by inserting ‘‘(in the case 
of a plan maintained by an employer described in sub-
section (e)(1)(A), age 591⁄2)’’ before the comma at the end. 
(c) EFFECTIVE DATE.—The amendments made by this 
section shall apply to plan years beginning after December 
31, 2019. 
DIVISION N—HEALTH AND 
HUMAN SERVICES EXTENDERS 
TITLE I—HEALTH AND HUMAN 
SERVICES EXTENDERS 
Subtitle A—Medicare Provisions 
Sec. 101. Extension of the work geographic index floor under the Medicare pro-
gram. 
Sec. 102. Extension of funding for quality measure endorsement, input, and se-
lection. 
Sec. 103. Extension of funding outreach and assistance for low-income pro-
grams. 
Sec. 104. Extension of appropriations to the Patient-Centered Outcomes Re-
search Trust Fund; extension of certain health insurance fees. 
Sec. 105. Laboratory Access for Beneficiaries.
1364 
Sec. 106. Exclusion of complex rehabilitative manual wheelchairs from medicare 
competitive acquisition program; non-application of medicare 
fee-schedule adjustments for certain wheelchair accessories and 
cushions. 
Sec. 107. Extending pass-through status for certain drugs under part B of the 
Medicare program. 
Sec. 108. Hematopoietic stem cell acquisition payments. 
Subtitle B—Medicaid Provisions 
Sec. 201. Extension of Community Mental Health Services demonstration pro-
gram. 
Sec. 202. Medicaid funding for the territories. 
Sec. 203. Delay of DSH reductions. 
Sec. 204. Extension of spousal impoverishment protections. 
Sec. 205. Extension of the Money Follows the Person rebalancing demonstra-
tion program. 
Subtitle C—Human Services and Other Health Programs 
Sec. 301. Extension of demonstration projects to address health professions 
workforce needs. 
Sec. 302. Extension of the temporary assistance for needy families program 
and related programs. 
Sec. 303. Extension of sexual risk avoidance education program. 
Sec. 304. Extension of personal responsibility education program. 
Subtitle D—Public Health Provisions 
Sec. 401. Extension for community health centers, the national health service 
corps, and teaching health centers that operate GME pro-
grams. 
Sec. 402. Diabetes programs. 
Sec. 403. Poison Center Network Enhancement. 
Sec. 404. Kay Hagan Tick Act. 
Subtitle E—Revenue Provisions 
Sec. 501. Repeal of medical device excise tax. 
Sec. 502. Repeal of annual fee on health insurance providers. 
Sec. 503. Repeal of excise tax on high cost employer-sponsored health coverage. 
Subtitle F—Miscellaneous Provisions 
Sec. 601. Alaska native regional health entities. 
Sec. 602. Addressing expiration of child welfare demonstration projects and 
supporting Family First implementation. 
Sec. 603 Minimum age of sale of tobacco products. 
Sec. 604. Sale of tobacco products to individuals under the age of 21. 
Sec. 605. Biological product definition. 
Sec. 606. Protecting access to biological products. 
Sec. 607. Streamlining the transition of biological products. 
Sec. 608. Reenrollment of certain individuals in qualified health plans in certain 
Exchanges. 
Sec. 609. Protection of silver loading practice. 
Sec. 610. Actions for delays of generic drugs and biosimilar biological products.
1365 
Subtitle A—Medicare Provisions 
SEC. 101. EXTENSION OF THE WORK GEOGRAPHIC INDEX 
FLOOR UNDER THE MEDICARE PROGRAM. 
Section 1848(e)(1)(E) of the Social Security Act (42 
U.S.C. 1395w–4(e)(1)(E)) is amended by striking ‘‘Janu-
ary 1, 2020’’ and inserting ‘‘May 23, 2020’’. 
SEC. 102. EXTENSION OF FUNDING FOR QUALITY MEASURE 
ENDORSEMENT, INPUT, AND SELECTION. 
(a) IN GENERAL.—Section 1890(d)(2) of the Social Se-
curity Act (42 U.S.C. 1395aaa(d)(2)) is amended— 
(1) in the first sentence, by striking ‘‘$1,665,000 
for the period beginning on October 1, 2019, and end-
ing on December 20, 2019’’ and inserting ‘‘$4,830,000 
for the period beginning on October 1, 2019, and end-
ing on May 22, 2020’’; and 
(2) in the third sentence, by striking ‘‘December 
20, 2019,’’ and inserting ‘‘May 22, 2020’’. 
(b) EFFECTIVE DATE.—The amendments made by sub-
section (a) shall take effect as if included in the enactment 
of the Further Continuing Appropriations Act, 2020, and 
Further Health Extenders Act of 2019 (Public Law 116– 
69).
1366 
SEC. 103. EXTENSION OF FUNDING OUTREACH AND ASSIST-
ANCE FOR LOW-INCOME PROGRAMS. 
(a) ADDITIONAL FUNDING FOR STATE HEALTH INSUR-
ANCE PROGRAMS.—Subsection (a)(1)(B) of section 119 of 
the Medicare Improvements for Patients and Providers Act 
of 2008 (42 U.S.C. 1395b–3 note), as amended by section 
3306 of the Patient Protection and Affordable Care Act 
(Public Law 111–148), section 610 of the American Tax-
payer Relief Act of 2012 (Public Law 112–240), section 
1110 of the Pathway for SGR Reform Act of 2013 (Public 
Law 113–67), section 110 of the Protecting Access to Medi-
care Act of 2014 (Public Law 113–93), section 208 of the 
Medicare Access and CHIP Reauthorization Act of 2015 
(Public Law 114–10), section 50207 of division E of the 
Bipartisan Budget Act of 2018 (Public Law 115–123), sec-
tion 1402 of the Continuing Appropriations Act, 2020, and 
Health Extenders Act of 2019 (Public Law 116–59), and 
section 1402 of the Further Continuing Appropriations Act, 
2020, and Further Health Extenders Act of 2019 (Public 
Law 116–69), is amended— 
(1) in clause (x), by striking ‘‘and’’ at the end; 
(2) in clause (xi), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (xi) the following 
new clause:
1367 
‘‘(xii) for the period beginning on De-
cember 21, 2019, and ending on May 22, 
2020, of $5,485,000.’’. 
(b) ADDITIONAL FUNDING FOR AREA AGENCIES ON 
AGING.—Subsection (b)(1)(B) of such section 119, as so 
amended, is amended— 
(1) in clause (x), by striking ‘‘and’’ at the end; 
(2) in clause (xi), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (xi) the following 
new clause: 
‘‘(xii) for the period beginning on De-
cember 21, 2019, and ending on May 22, 
2020, of $3,165,000.’’. 
(c) ADDITIONAL FUNDING FOR AGING AND DISABILITY 
RESOURCE CENTERS.—Subsection (c)(1)(B) of such section 
119, as so amended, is amended— 
(1) in clause (x), by striking ‘‘and’’ at the end; 
(2) in clause (xi), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (xi) the following 
new clause: 
‘‘(xii) for the period beginning on De-
cember 21, 2019, and ending on May 22, 
2020, of $2,110,000.’’.
1368 
(d) ADDITIONAL FUNDING FOR CONTRACT WITH THE 
NATIONAL CENTER FOR BENEFITS AND OUTREACH EN-
ROLLMENT.—Subsection (d)(2) of such section 119, as so 
amended, is amended— 
(1) in clause (x), by striking ‘‘and’’ at the end; 
(2) in clause (xi), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (xi) the following 
new clause: 
‘‘(xii) for the period beginning on De-
cember 21, 2019, and ending on May 22, 
2020, of $5,063,000.’’. 
SEC. 104. EXTENSION OF APPROPRIATIONS TO THE PA-
TIENT-CENTERED 
OUTCOMES 
RESEARCH 
TRUST 
FUND; 
EXTENSION 
OF 
CERTAIN 
HEALTH INSURANCE FEES. 
(a) IN GENERAL.—Section 9511 of the Internal Rev-
enue Code of 1986 is amended— 
(1) in subsection (b)— 
(A) in paragraph (1)— 
(i) by inserting after subparagraph (E) 
the following new subparagraph: 
‘‘(F) For each of fiscal years 2020 through 
2029—
1369 
‘‘(i) an amount equivalent to the net 
revenues received in the Treasury from the 
fees imposed under subchapter B of chapter 
34 (relating to fees on health insurance and 
self-insured plans) for such fiscal year; and 
‘‘(ii) the applicable amount (as defined 
in paragraph (4)) for the fiscal year.’’; and 
(ii) by striking ‘‘and (E)(ii)’’ in the 
last sentence and inserting ‘‘(E)(ii), and 
(F)(ii)’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(4) APPLICABLE AMOUNT DEFINED.—In para-
graph (1)(F)(ii), the term ‘applicable amount’ 
means— 
‘‘(A) for fiscal year 2020, $275,500,000; 
‘‘(B) for fiscal year 2021, $285,000,000; 
‘‘(C) for fiscal year 2022, $293,500,000; 
‘‘(D) for fiscal year 2023, $311,500,000; 
‘‘(E) for fiscal year 2024, $320,000,000; 
‘‘(F) for fiscal year 2025, $338,000,000; 
‘‘(G) for fiscal year 2026, $355,500,000; 
‘‘(H) for fiscal year 2027, $363,500,000; 
‘‘(I) for fiscal year 2028, $381,000,000; and 
‘‘(J) for fiscal year 2029, $399,000,000.’’;
1370 
(2) in subsection (d)(2)(A), by striking ‘‘2019’’ 
and inserting ‘‘2029’’; and 
(3) in subsection (f), by striking ‘‘December 20, 
2019’’ and inserting ‘‘September 30, 2029’’. 
(b) HEALTH INSURANCE POLICIES.—Section 4375(e) 
of the Internal Revenue Code of 1986 is amended by strik-
ing ‘‘2019’’ and inserting ‘‘2029’’. 
(c) SELF-INSURED HEALTH PLANS.—Section 4376(e) 
of the Internal Revenue Code of 1986 is amended by strik-
ing ‘‘2019’’ and inserting ‘‘2029’’. 
(d) IDENTIFICATION
OF RESEARCH PRIORITIES.— 
Subsection (d)(1)(A) of section 1181 of the Social Security 
Act (42 U.S.C. 1320e) is amended by adding at the end 
the following: ‘‘Such national priorities shall include re-
search with respect to intellectual and developmental dis-
abilities and maternal mortality. Such priorities should re-
flect a balance between long-term priorities and short-term 
priorities, and be responsive to changes in medical evidence 
and in health care treatments.’’. 
(e) CONSIDERATION OF FULL RANGE OF OUTCOMES 
DATA.—Subsection (d)(2) of such section 1181 is amended 
by adding at the end the following subparagraph: 
‘‘(F) CONSIDERATION OF FULL RANGE OF 
OUTCOMES DATA.—Research shall be designed, as 
appropriate, to take into account and capture
1371 
the full range of clinical and patient-centered 
outcomes relevant to, and that meet the needs of, 
patients, clinicians, purchasers, and policy-mak-
ers in making informed health decisions. In ad-
dition to the relative health outcomes and clin-
ical effectiveness, clinical and patient-centered 
outcomes shall include the potential burdens and 
economic impacts of the utilization of medical 
treatments, items, and services on different stake-
holders and decision-makers respectively. These 
potential burdens and economic impacts include 
medical out-of-pocket costs, including health plan 
benefit and formulary design, non-medical costs 
to the patient and family, including caregiving, 
effects on future costs of care, workplace produc-
tivity and absenteeism, and healthcare utiliza-
tion.’’. 
(f) BOARD COMPOSITION.—Subsection (f) of such sec-
tion 1181 is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (C)— 
(i) in the matter preceding clause (i)— 
(I) by striking ‘‘Seventeen’’ and 
inserting ‘‘At least nineteen, but no 
more than twenty-one’’; and
1372 
(II) by striking ‘‘, not later than 
6 months after the date of enactment of 
this section,’’; and 
(ii) in clause (iii), by striking ‘‘3’’ and 
inserting ‘‘at least 3, but no more than 5’’; 
and 
(2) in paragraph (3)— 
(A) in the first sentence— 
(i) by striking the ‘‘the members’’ and 
inserting ‘‘members’’; and 
(ii) by inserting the following before 
the period at the end: ‘‘to the extent nec-
essary to preserve the evenly staggered terms 
of the Board.’’; and 
(B) by inserting the following after the first 
sentence: ‘‘Any member appointed to fill a va-
cancy occurring before the expiration of the term 
for which the member’s predecessor was ap-
pointed shall be appointed for the remainder of 
that term and thereafter may be eligible for re-
appointment to a full term. A member may serve 
after the expiration of that member’s term until 
a successor has been appointed.’’. 
(g) METHODOLOGY
COMMITTEE
APPOINTMENTS.— 
Such section 1181 is amended—
1373 
(1) in subsection (d)(6)(B), by striking ‘‘Comp-
troller General of the United States’’ and inserting 
‘‘Board’’; and 
(2) in subsection (h)(4)— 
(A) in subparagraph (A)(ii), by striking 
‘‘Comptroller General’’ and inserting ‘‘Board’’; 
and 
(B) in the first sentence of subparagraph 
(B), by striking ‘‘and of the Government Ac-
countability Office’’. 
(h) REPORTS BY THE COMPTROLLER GENERAL OF 
THE UNITED STATES.—Subsection (g)(2)(A) of such section 
1181 is amended— 
(1) by striking clause (iv) and inserting the fol-
lowing: 
‘‘(iv) Not less frequently than every 5 
years, the overall effectiveness of activities 
conducted under this section and the dis-
semination, training, and capacity building 
activities conducted under section 937 of the 
Public Health Service Act. Such review 
shall include the following: 
‘‘(I) A description of those activi-
ties and the financial commitments re-
lated to research, training, data capac-
1374 
ity building, and dissemination and 
uptake of research findings. 
‘‘(II) The extent to which the In-
stitute and the Agency for Healthcare 
Research and Quality have collabo-
rated with stakeholders, including pro-
vider and payer organizations, to fa-
cilitate the dissemination and uptake 
of research findings. 
‘‘(III) An analysis of available 
data and performance metrics, such as 
the estimated public availability and 
dissemination of research findings and 
uptake and utilization of research find-
ings in clinical guidelines and decision 
support tools, on the extent to which 
such research findings are used by 
health care decision-makers, the effect 
of the dissemination of such findings 
on changes in medical practice and re-
ducing practice variation and dispari-
ties in health care, and the effect of the 
research conducted and disseminated 
on innovation and the health care 
economy of the United States.’’; and
1375 
(2) by adding at the end the following new 
clause: 
‘‘(vi) Not less frequently than every 5 
years, any barriers that researchers funded 
by the Institute have encountered in con-
ducting studies or clinical trials, including 
challenges covering the cost of any medical 
treatments, services, and items described in 
subsection (a)(2)(B) for purposes of the re-
search study.’’. 
SEC. 105. LABORATORY ACCESS FOR BENEFICIARIES. 
(a) AMENDMENTS RELATING
TO REPORTING RE-
QUIREMENTS WITH RESPECT TO CLINICAL DIAGNOSTIC 
LABORATORY TESTS.— 
(1) REVISED REPORTING PERIOD FOR REPORT-
ING OF PRIVATE SECTOR PAYMENT RATES FOR ESTAB-
LISHMENT OF MEDICARE PAYMENT RATES.—Section 
1834A(a) of the Social Security Act (42 U.S.C. 
1395m–1(a)) is amended— 
(A) in paragraph (1)— 
(i) by striking ‘‘Beginning January 1, 
2016’’ and inserting the following: 
‘‘(A) 
GENERAL
REPORTING
REQUIRE-
MENTS.—Subject to subparagraph (B), beginning 
January 1, 2016’’;
1376 
(ii) in subparagraph (A), as added by 
subparagraph (A) of this paragraph, by in-
serting ‘‘(referred to in this subsection as 
the ‘reporting period’)’’ after ‘‘at a time 
specified by the Secretary’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(B) REVISED REPORTING PERIOD.—In the 
case of reporting with respect to clinical diag-
nostic laboratory tests that are not advanced di-
agnostic laboratory tests, the Secretary shall re-
vise the reporting period under subparagraph 
(A) such that— 
‘‘(i) no reporting is required during 
the period beginning January 1, 2020, and 
ending December 31, 2020; 
‘‘(ii) reporting is required during the 
period beginning January 1, 2021, and 
ending March 31, 2021; and 
‘‘(iii) reporting is required every three 
years after the period described in clause 
(ii).’’; and 
(B) in paragraph (4)— 
(i) by striking ‘‘In this section’’ and 
inserting the following:
1378 
(1) IN GENERAL.—The Medicare Payment Advi-
sory Commission (in this subsection referred to as the 
‘‘Commission’’) shall conduct a study to review the 
methodology the Administrator of the Centers for 
Medicare & Medicaid Services has implemented for 
the private payor rate-based clinical laboratory fee 
schedule under the Medicare program under title 
XVIII of the Social Security Act (42 U.S.C. 1395 et 
seq.). 
(2) SCOPE
OF
STUDY.—In carrying out the 
study described in paragraph (1), the Commission 
shall consider the following: 
(A) How best to implement the least bur-
densome data collection process required under 
section 1834A(a)(1) of such Act (42 U.S.C. 
1395m–1(a)(1)) that would— 
(i) result in a representative and sta-
tistically valid data sample of private mar-
ket rates from all laboratory market seg-
ments, including hospital outreach labora-
tories, physician office laboratories, and 
independent laboratories; and 
(ii) consider the variability of private 
payor payment rates across market seg-
ments.
1379 
(B) Appropriate statistical methods for esti-
mating rates that are representative of the mar-
ket. 
(3) REPORT TO CONGRESS.—Not later than 18 
months after the date of the enactment of this Act, the 
Commission shall submit to the Administrator, the 
Committee on Finance of the Senate, and the Com-
mittees on Ways and Means and Energy and Com-
merce of the House of Representatives a report that 
includes— 
(A) conclusions about the methodology de-
scribed in paragraph (1); and 
(B) any recommendations the Commission 
deems appropriate. 
SEC. 106. EXCLUSION OF COMPLEX REHABILITATIVE MAN-
UAL WHEELCHAIRS FROM MEDICARE COM-
PETITIVE ACQUISITION PROGRAM; NON-AP-
PLICATION OF MEDICARE FEE-SCHEDULE AD-
JUSTMENTS FOR CERTAIN WHEELCHAIR AC-
CESSORIES AND CUSHIONS. 
(a) EXCLUSION OF COMPLEX REHABILITATIVE MAN-
UAL WHEELCHAIRS FROM COMPETITIVE ACQUISITION PRO-
GRAM.—Section 1847(a)(2)(A) of the Social Security Act 
(42 U.S.C. 1395w–3(a)(2)(A)) is amended—
1380 
(1) by inserting ‘‘, complex rehabilitative man-
ual wheelchairs (as determined by the Secretary), and 
certain manual wheelchairs (identified, as of October 
1, 2018, by HCPCS codes E1235, E1236, E1237, 
E1238, and K0008 or any successor to such codes)’’ 
after ‘‘group 3 or higher’’; and 
(2) by striking ‘‘such wheelchairs’’ and inserting 
‘‘such complex rehabilitative power wheelchairs, com-
plex rehabilitative manual wheelchairs, and certain 
manual wheelchairs’’. 
(b) NON-APPLICATION OF MEDICARE FEE SCHEDULE 
ADJUSTMENTS FOR WHEELCHAIR ACCESSORIES AND SEAT 
AND BACK CUSHIONS WHEN FURNISHED IN CONNECTION 
WITH
COMPLEX
REHABILITATIVE
MANUAL
WHEEL-
CHAIRS.— 
(1) IN
GENERAL.—Notwithstanding any other 
provision of law, the Secretary of Health and Human 
Services shall not, during the period beginning on 
January 1, 2020, and ending on June 30, 2021, use 
information on the payment determined under the 
competitive acquisition programs under section 1847 
of the Social Security Act (42 U.S.C. 1395w–3) to ad-
just the payment amount that would otherwise be rec-
ognized under section 1834(a)(1)(B)(ii) of such Act 
(42 U.S.C. 1395m(a)(1)(B)(ii)) for wheelchair acces-
1381 
sories (including seating systems) and seat and back 
cushions when furnished in connection with complex 
rehabilitative manual wheelchairs (as determined by 
the Secretary), and certain manual wheelchairs (iden-
tified, as of October 1, 2018, by HCPCS codes E1235, 
E1236, E1237, E1238, and K0008 or any successor 
to such codes). 
(2) 
IMPLEMENTATION.—Notwithstanding 
any 
other provision of law, the Secretary may implement 
this subsection by program instruction or otherwise. 
SEC. 107. EXTENDING PASS-THROUGH STATUS FOR CER-
TAIN DRUGS UNDER PART B OF THE MEDI-
CARE PROGRAM. 
(a) IN GENERAL.—Section 1833(t)(6) of the Social Se-
curity Act (42 U.S.C. 1395l(t)(6)) is amended— 
(1) in subparagraph (E)(i), by striking ‘‘2018’’ 
and inserting ‘‘2018 or 2020’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(J) ADDITIONAL
PASS-THROUGH
EXTEN-
SION AND SPECIAL PAYMENT ADJUSTMENT RULE 
FOR
CERTAIN
DIAGNOSTIC
RADIOPHARMA-
CEUTICALS.—In the case of a drug or biological 
furnished in the context of a clinical study on 
diagnostic imaging tests approved under a cov-
1382 
erage with evidence development determination 
whose period of pass-through status under this 
paragraph concluded on December 31, 2018, and 
for which payment under this subsection was 
packaged into a payment for a covered OPD 
service (or group of services) furnished beginning 
January 1, 2019, the Secretary shall— 
‘‘(i) extend such pass-through status for 
such drug or biological for the 9-month pe-
riod beginning on January 1, 2020; 
‘‘(ii) remove, during such period, the 
packaged costs of such drug or biological (as 
determined by the Secretary) from the pay-
ment amount under this subsection for the 
covered OPD service (or group of services) 
with which it is packaged; and 
‘‘(iii) not make any adjustments to 
payment amounts under this subsection for 
a covered OPD service (or group of services) 
for which no costs were removed under 
clause (ii).’’. 
(b) IMPLEMENTATION.—Notwithstanding any other 
provision of law, the Secretary of Health and Human Serv-
ice may implement the amendments made by subsection (a) 
by program instruction or otherwise.
1383 
SEC. 108. HEMATOPOIETIC STEM CELL ACQUISITION PAY-
MENTS. 
Section 1886 of the Social Security Act (42 U.S.C. 
1395ww) is amended— 
(1) in subsection (a)(4), in the second sentence, 
by inserting ‘‘for cost reporting periods beginning on 
or after October 1, 2020, costs related to hematopoietic 
stem cell acquisition for the purpose of an allogeneic 
hematopoietic stem cell transplant (as described in 
subsection (d)(5)(M)),’’ after ‘‘October 1, 1987),’’; 
(2) in subsection (d)— 
(A) in paragraph (4)(C)(iii)— 
(i) by inserting ‘‘or payments under 
paragraph (5)(M) (beginning with fiscal 
year 2021)’’ after ‘‘fiscal year 1991)’’; and 
(ii) by inserting ‘‘or payments under 
paragraph (5)(M)’’ before the period at the 
end; and 
(B) in paragraph (5), by adding at the end 
the following new subparagraph: 
‘‘(M)(i) For cost reporting periods beginning on or 
after October 1, 2020, in the case of a subsection (d) hospital 
that furnishes an allogeneic hematopoietic stem cell trans-
plant to an individual during such a period, payment to 
such hospital for hematopoietic stem cell acquisition shall 
be made on a reasonable cost basis. The items included in
1384 
such hematopoietic stem cell acquisition shall be specified 
by the Secretary through rulemaking. 
‘‘(ii) For purposes of this subparagraph, the term 
‘allogeneic hematopoietic stem cell transplant’ means, with 
respect to an individual, the intravenous infusion of 
hematopoietic cells derived from bone marrow, peripheral 
blood stem cells, or cord blood, but not including embryonic 
stem cells, of a donor to an individual that are or may 
be used to restore hematopoietic function in such individual 
having an inherited or acquired deficiency or defect.’’. 
Subtitle B—Medicaid Provisions 
SEC. 201. EXTENSION OF COMMUNITY MENTAL HEALTH 
SERVICES DEMONSTRATION PROGRAM. 
Section 223(d)(3) of the Protecting Access to Medicare 
Act of 2014 (42 U.S.C. 1396a note) is amended by striking 
‘‘December 20, 2019’’ and inserting ‘‘May 22, 2020’’. 
SEC. 202. MEDICAID FUNDING FOR THE TERRITORIES. 
(a) TREATMENT OF CAP.—Section 1108(g) of the So-
cial Security Act (42 U.S.C. 1308(g)) is amended— 
(1) in paragraph (2)— 
(A) in the matter preceding subparagraph 
(A), 
by 
striking 
‘‘subject 
to 
and 
section 
1323(a)(2) of the Patient Protection and Afford-
able Care Act paragraphs (3) and (5)’’ and in-
serting ‘‘subject to section 1323(a)(2) of the Pa-
1385 
tient Protection and Affordable Care Act and 
paragraphs (3) and (5)’’; 
(B) in subparagraph (A)— 
(i) by striking ‘‘Puerto Rico shall not 
exceed the sum of’’ and inserting ‘‘Puerto 
Rico shall not exceed— 
‘‘(i) except as provided in clause (ii), 
the sum of’’; 
(ii) by striking ‘‘$100,000;’’ and in-
serting ‘‘$100,000; and’’; and 
(iii) by adding at the end the following 
new clause: 
‘‘(ii) for each of fiscal years 2020 
through 2021, the amount specified in para-
graph (6) for each such fiscal year;’’; 
(C) in subparagraph (B)— 
(i) by striking ‘‘the Virgin Islands 
shall not exceed the sum of’’ and inserting 
‘‘the Virgin Islands shall not exceed— 
‘‘(i) except as provided in clause (ii), 
the sum of’’; 
(ii) by striking ‘‘$10,000;’’ and insert-
ing ‘‘$10,000; and’’; and 
(iii) by adding at the end the following 
new clause:
1386 
‘‘(ii) for each of fiscal years 2020 
through 2021, $126,000,000;’’; 
(D) in subparagraph (C)— 
(i) by striking ‘‘Guam shall not exceed 
the sum of’’ and inserting ‘‘Guam shall not 
exceed— 
‘‘(i) except as provided in clause (ii), 
the sum of’’; 
(ii) by striking ‘‘$10,000;’’ and insert-
ing ‘‘$10,000; and’’; and 
(iii) by adding at the end the following 
new clause: 
‘‘(ii) for each of fiscal years 2020 
through 2021, $127,000,000;’’; 
(E) in subparagraph (D)— 
(i) by striking ‘‘the Northern Mariana 
Islands shall not exceed the sum of’’ and in-
serting ‘‘the Northern Mariana Islands shall 
not exceed— 
‘‘(i) except as provided in clause (ii), 
the sum of’’; and 
(ii) by adding at the end the following 
new clause: 
‘‘(ii) for each of fiscal years 2020 
through 2021, $60,000,000; and’’;
1387 
(F) in subparagraph (E)— 
(i) by striking ‘‘American Samoa shall 
not exceed the sum of’’ and inserting 
‘‘American Samoa shall not exceed— 
‘‘(i) except as provided in clause (ii), 
the sum of’’; 
(ii) by striking ‘‘$10,000.’’ and insert-
ing ‘‘$10,000; and’’; and 
(iii) by adding at the end the following 
new clause: 
‘‘(ii) for each of fiscal years 2020 
through 2021, $84,000,000.’’; and 
(G) by adding at the end the following flush 
sentence: 
‘‘For each fiscal year after fiscal year 2021, the total 
amount certified for Puerto Rico, the Virgin Islands, 
Guam, the Northern Mariana Islands, and American 
Samoa under subsection (f) and this subsection for the 
fiscal year shall be determined as if the preceding 
subparagraphs were applied to each of fiscal years 
2020 through 2021 without regard to clause (ii) of 
each such subparagraph.’’; and 
(2) by adding at the end the following new para-
graphs:
1388 
‘‘(6) APPLICATION TO PUERTO RICO FOR FISCAL 
YEARS 2020 THROUGH 2021.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the amount specified in this para-
graph is— 
‘‘(i) 
for 
fiscal 
year 
2020, 
$2,623,188,000; and 
‘‘(ii) 
for 
fiscal 
year 
2021, 
$2,719,072,000. 
‘‘(B) ADDITIONAL INCREASE FOR PUERTO 
RICO.— 
‘‘(i) IN GENERAL.—For each of fiscal 
years 2020 through 2021, the amount speci-
fied in this paragraph for the fiscal year 
shall be equal to the amount specified for 
such fiscal year under subparagraph (A) in-
creased by $200,000,000 if the Secretary 
certifies that, with respect to such fiscal 
year, Puerto Rico’s State plan under title 
XIX (or a waiver of such plan) establishes 
a reimbursement floor, implemented through 
a directed payment arrangement plan, for 
physician services that are covered under 
the Medicare part B fee schedule in the 
Puerto Rico locality established under sec-