datamatters24/research-document-archive huggingface dataset:
veteran is provided by a medical facility of the 
Department that is reasonably accessible to a 
covered veteran. 
‘‘(iii) Whether a medical condition of the 
covered veteran affects the ability of the covered 
veteran to travel. 
‘‘(iv) Whether there is compelling reason, 
as determined by the Secretary, that the vet-
eran needs to receive hospital care, medical 
services, or extended care services from a med-
ical facility other than a medical facility of the 
Department. 
‘‘(v) Such other considerations as the Sec-
retary considers appropriate. 
‘‘(3) If the Secretary has determined that the Depart-
ment does not offer the care or services the covered vet-
eran requires under subparagraph (A) of paragraph (1), 
that the Department does not operate a full-service med-
ical facility in the State in which the covered veteran re-
sides under subparagraph (B) of such paragraph, that the 
covered veteran is described under subparagraph (C) of 
such paragraph, or that the Department is not able to fur-
nish care or services in a manner that complies with des-
ignated access standards developed by the Secretary under 
section 1703B of this title under subparagraph (D) of 
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under subparagraph (A) with respect to more than three 
medical service lines described in such subparagraph at 
any one health care facility of the Department. 
‘‘(ii) The Secretary may not concurrently furnish hos-
pital care, medical services, or extended care services 
under subparagraph (A) with respect to more than 36 
medical service lines nationally described in such subpara-
graph. 
‘‘(2) The Secretary may limit the types of hospital 
care, medical services, or extended care services covered 
veterans may receive under paragraph (1) in terms of the 
length of time such care and services will be available, the 
location at which such care and services will be available, 
and the clinical care and services that will be available. 
‘‘(3)(A) Except as provided for in subparagraph (B), 
the hospital care, medical services, and extended care serv-
ices authorized under paragraph (1) with respect to a 
medical service line shall cease when the remediation de-
scribed in section 1706A with respect to such medical 
service line is complete. 
‘‘(B) The Secretary shall ensure continuity and co-
ordination of care for any veteran who elects to receive 
care or services under paragraph (1) from a health care 
provider specified in subsection (c) through the completion 
of an episode of care. 
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not show such number as being reassigned 
from such subscriber, and such person 
made such call within a reasonable period 
of time (as defined by the Commission) 
after such query; 
‘‘(iii) such query did not show such 
number as being reassigned from such sub-
scriber as a result of an inaccuracy on the 
part of— 
‘‘(I) the Commission or other en-
tity administering such database; or 
‘‘(II) a covered provider in reas-
signing such number or in making a 
report to such database about the re-
assignment of such number; 
‘‘(iv) such person did not otherwise 
know or have any reason to know that 
such number had been reassigned from 
such subscriber; 
‘‘(v) such call would have complied 
with the requirements of this subsection 
but for the lack of the prior express con-
sent of the called party; and 
‘‘(vi) such person— 
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(1) in subsection (a), by striking ‘‘spouse, or 
parent of the employee, or of the next of kin of an 
individual in the case of leave taken under such 
paragraph (3), as appropriate’’ and inserting 
‘‘spouse or domestic partner, parent, parent-in-law, 
grandparent, grandchild, sibling, aunt, or uncle of 
the employee, or of the next of kin of an individual 
in the case of leave taken under such paragraph (3), 
as appropriate, or any other individual related by 
blood or affinity whose close association with the 
employee is the equivalent of a family relationship’’; 
(2) in subsection (b)(4)(A), by striking ‘‘spouse, 
or parent and an estimate of the amount of time 
that such employee is needed to care for the son, 
daughter, spouse, or parent’’ and inserting ‘‘spouse 
or domestic partner, parent, parent-in-law, grand-
parent, grandchild, sibling, aunt, or uncle of the em-
ployee, or any other individual related by blood or 
affinity whose close association with the employee is 
the equivalent of a family relationship and an esti-
mate of the amount of time that such employee is 
needed to care for such son, daughter, spouse or do-
mestic partner, parent, parent-in-law, grandparent, 
sibling, aunt, or uncle, or such other individual’’; 
and 
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115TH CONGRESS 
2D SESSION 
H. R. 5676 
AN ACT 
To amend title XVIII of the Social Security Act to 
authorize the suspension of payments by Medi-
care prescription drug plans and MA–PD plans 
pending investigations of credible allegations of 
fraud by pharmacies.
I 
115TH CONGRESS 
2D SESSION 
H. R. 5675 
To amend title XVIII of the Social Security Act to require prescription 
drug plan sponsors under the Medicare program to establish drug man-
agement programs for at-risk beneficiaries. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 3, 2018 
Mr. BILIRAKIS (for himself, Mr. BEN RAY LUJA´N of New Mexico, Mr. ROS-
KAM, and Mr. LEVIN) introduced the following bill; which was referred 
to the Committee on Energy and Commerce, and in addition to the Com-
mittee on Ways and Means, for a period to be subsequently determined 
by the Speaker, in each case for consideration of such provisions as fall 
within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to require 
prescription drug plan sponsors under the Medicare pro-
gram to establish drug management programs for at- 
risk beneficiaries. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. REQUIRING PRESCRIPTION DRUG PLAN SPON-
SORS 
UNDER 
MEDICARE 
TO 
ESTABLISH 
DRUG MANAGEMENT PROGRAMS FOR AT- 
RISK BENEFICIARIES. 
Section 1860D–4(c) of the Social Security Act (42 
U.S.C. 1395w–104(c)) is amended— 
(1) in paragraph (1), by inserting after sub-
paragraph (E) the following new subparagraph: 
‘‘(F) With respect to plan years beginning 
on or after January 1, 2021, a drug manage-
ment program for at-risk beneficiaries described 
in paragraph (5).’’; and 
(2) in paragraph (5)(A), by inserting ‘‘(and for 
plan years beginning on or after January 1, 2021, 
a PDP sponsor shall)’’ after ‘‘A PDP sponsor may’’. 
Æ 
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IB 
Union Calendar No. 577 
115TH CONGRESS 
2D SESSION 
H. R. 5675 
[Report No. 115–743, Part I] 
To amend title XVIII of the Social Security Act to require prescription 
drug plan sponsors under the Medicare program to establish drug man-
agement programs for at-risk beneficiaries. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 3, 2018 
Mr. BILIRAKIS (for himself, Mr. BEN RAY LUJA´N of New Mexico, Mr. ROS-
KAM, and Mr. LEVIN) introduced the following bill; which was referred 
to the Committee on Energy and Commerce, and in addition to the Com-
mittee on Ways and Means, for a period to be subsequently determined 
by the Speaker, in each case for consideration of such provisions as fall 
within the jurisdiction of the committee concerned 
JUNE 12, 2018 
Additional sponsors: Mrs. BLACKBURN, Mr. WALDEN, and Mr. POSEY 
JUNE 12, 2018 
Reported from the Committee on Energy and Commerce 
JUNE 12, 2018 
The Committee on Ways and Means discharged; committed to the Committee 
of the Whole House on the State of the Union and ordered to be printed 
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A BILL 
To amend title XVIII of the Social Security Act to require 
prescription drug plan sponsors under the Medicare pro-
gram to establish drug management programs for at- 
risk beneficiaries. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. REQUIRING PRESCRIPTION DRUG PLAN SPON-
SORS 
UNDER 
MEDICARE 
TO 
ESTABLISH 
DRUG MANAGEMENT PROGRAMS FOR AT- 
RISK BENEFICIARIES. 
Section 1860D–4(c) of the Social Security Act (42 
U.S.C. 1395w–104(c)) is amended— 
(1) in paragraph (1), by inserting after sub-
paragraph (E) the following new subparagraph: 
‘‘(F) With respect to plan years beginning 
on or after January 1, 2021, a drug manage-
ment program for at-risk beneficiaries described 
in paragraph (5).’’; and 
(2) in paragraph (5)(A), by inserting ‘‘(and for 
plan years beginning on or after January 1, 2021, 
a PDP sponsor shall)’’ after ‘‘A PDP sponsor may’’. 
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Union Calendar No. 577 
115TH CONGRESS 
2D SESSION 
H. R. 5675 
[Report No. 115–743, Part I] 
A BILL 
To amend title XVIII of the Social Security Act to 
require prescription drug plan sponsors under 
the Medicare program to establish drug manage-
ment programs for at-risk beneficiaries. 
JUNE 12, 2018 
Reported from the Committee on Energy and Commerce 
JUNE 12, 2018 
The Committee on Ways and Means discharged; com-
mitted to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
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115TH CONGRESS 
2D SESSION 
H. R. 5676 
AN ACT 
To amend title XVIII of the Social Security Act to authorize 
the suspension of payments by Medicare prescription 
drug plans and MA–PD plans pending investigations of 
credible allegations of fraud by pharmacies. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Stop Excessive Nar-
cotics in our Retirement Communities Protection Act of 
2018’’ or the ‘‘SENIOR Communities Protection Act of 
2018’’. 
SEC. 2. SUSPENSION OF PAYMENTS BY MEDICARE PRE-
SCRIPTION DRUG PLANS AND MA–PD PLANS 
PENDING INVESTIGATIONS OF CREDIBLE AL-
LEGATIONS OF FRAUD BY PHARMACIES. 
(a) IN GENERAL.—Section 1860D–12(b) of the So-
cial Security Act (42 U.S.C. 1395w–112(b)) is amended 
by adding at the end the following new paragraph: 
‘‘(7) SUSPENSION OF PAYMENTS PENDING IN-
VESTIGATION OF CREDIBLE ALLEGATIONS OF FRAUD 
BY PHARMACIES.— 
‘‘(A) IN GENERAL.—The provisions of sec-
tion 1862(o) shall apply with respect to a PDP 
sponsor with a contract under this part, a phar-
macy, and payments to such pharmacy under 
this part in the same manner as such provisions 
apply with respect to the Secretary, a provider 
of services or supplier, and payments to such 
provider of services or supplier under this title. 
‘‘(B) RULE OF CONSTRUCTION.—Nothing 
in this paragraph shall be construed as limiting
the authority of a PDP sponsor to conduct 
postpayment review.’’. 
(b) APPLICATION
TO
MA–PD PLANS.—Section 
1857(f)(3) of the Social Security Act (42 U.S.C. 1395w– 
27(f)(3)) is amended by adding at the end the following 
new subparagraph: 
‘‘(D) SUSPENSION OF PAYMENTS PENDING 
INVESTIGATION OF CREDIBLE ALLEGATIONS OF 
FRAUD
BY
PHARMACIES.—Section 
1860D– 
12(b)(7).’’. 
(c) CONFORMING AMENDMENT.—Section 1862(o)(3) 
of the Social Security Act (42 U.S.C. 1395y(o)(3)) is 
amended by inserting ‘‘, section 1860D–12(b)(7) (includ-
ing as applied pursuant to section 1857(f)(3)(D)),’’ after 
‘‘this subsection’’. 
(d) CLARIFICATION RELATING TO CREDIBLE ALLE-
GATION OF FRAUD.—Section 1862(o) of the Social Secu-
rity Act (42 U.S.C. 1395y(o)) is amended by adding at 
the end the following new paragraph: 
‘‘(4) CREDIBLE
ALLEGATION
OF
FRAUD.—In 
carrying out this subsection, section 1860D– 
12(b)(7) (including as applied pursuant to section 
1857(f)(3)(D)), and section 1903(i)(2)(C), a fraud 
hotline tip (as defined by the Secretary) without fur-
ther evidence shall not be treated as sufficient evi-
dence for a credible allegation of fraud.’’. 
(e) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to plan years begin-
ning on or after January 1, 2020. 
Passed the House of Representatives June 19, 2018. 
Attest: 
Clerk.
IIB 
115TH CONGRESS 
2D SESSION 
H. R. 5676 
IN THE SENATE OF THE UNITED STATES 
JUNE 20, 2018 
Received; read twice and referred to the Committee on Finance 
AN ACT 
To amend title XVIII of the Social Security Act to authorize 
the suspension of payments by Medicare prescription 
drug plans and MA–PD plans pending investigations of 
credible allegations of fraud by pharmacies. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
VerDate Sep 11 2014 
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HR 5676 RFS 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Stop Excessive Nar-
cotics in our Retirement Communities Protection Act of 
2018’’ or the ‘‘SENIOR Communities Protection Act of 
2018’’. 
SEC. 2. SUSPENSION OF PAYMENTS BY MEDICARE PRE-
SCRIPTION DRUG PLANS AND MA–PD PLANS 
PENDING INVESTIGATIONS OF CREDIBLE AL-
LEGATIONS OF FRAUD BY PHARMACIES. 
(a) IN GENERAL.—Section 1860D–12(b) of the So-
cial Security Act (42 U.S.C. 1395w–112(b)) is amended 
by adding at the end the following new paragraph: 
‘‘(7) SUSPENSION OF PAYMENTS PENDING IN-
VESTIGATION OF CREDIBLE ALLEGATIONS OF FRAUD 
BY PHARMACIES.— 
‘‘(A) IN GENERAL.—The provisions of sec-
tion 1862(o) shall apply with respect to a PDP 
sponsor with a contract under this part, a phar-
macy, and payments to such pharmacy under 
this part in the same manner as such provisions 
apply with respect to the Secretary, a provider 
of services or supplier, and payments to such 
provider of services or supplier under this title. 
‘‘(B) RULE OF CONSTRUCTION.—Nothing 
in this paragraph shall be construed as limiting 
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(A) in the matter preceding clause (i), by 
striking ‘‘North Atlantic Treaty Organization 
(NATO) Support Organization’’ and inserting 
‘‘North Atlantic Treaty Organization (NATO) 
Support and Procurement Organization’’; and 
(B) in clause (i), by striking ‘‘support 
partnership agreement’’ and inserting ‘‘support 
or procurement partnership agreement’’; and 
(2) in subparagraph (C)(i), in the matter pre-
ceding subclause (I)— 
(A) by striking ‘‘North Atlantic Treaty Or-
ganization (NATO) Support Organization’’ and 
inserting ‘‘North Atlantic Treaty Organization 
(NATO) Support and Procurement Organiza-
tion’’; and 
(B) by striking ‘‘weapon system partner-
ship agreement’’ and inserting ‘‘support or pro-
curement partnership agreement’’. 
(b) AMENDMENTS RELATING TO REPORTS.—Section 
36(b)(6) of the Arms Export Control Act (22 U.S.C. 
2776(b)(6)) is amended by inserting ‘‘the North Atlantic 
Treaty Organization or’’ before ‘‘a member country’’. 
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HR 5676 RFS 
the authority of a PDP sponsor to conduct 
postpayment review.’’. 
(b) APPLICATION
TO
MA–PD PLANS.—Section 
1857(f)(3) of the Social Security Act (42 U.S.C. 1395w– 
27(f)(3)) is amended by adding at the end the following 
new subparagraph: 
‘‘(D) SUSPENSION OF PAYMENTS PENDING 
INVESTIGATION OF CREDIBLE ALLEGATIONS OF 
FRAUD
BY
PHARMACIES.—Section 
1860D– 
12(b)(7).’’. 
(c) CONFORMING AMENDMENT.—Section 1862(o)(3) 
of the Social Security Act (42 U.S.C. 1395y(o)(3)) is 
amended by inserting ‘‘, section 1860D–12(b)(7) (includ-
ing as applied pursuant to section 1857(f)(3)(D)),’’ after 
‘‘this subsection’’. 
(d) CLARIFICATION RELATING TO CREDIBLE ALLE-
GATION OF FRAUD.—Section 1862(o) of the Social Secu-
rity Act (42 U.S.C. 1395y(o)) is amended by adding at 
the end the following new paragraph: 
‘‘(4) CREDIBLE
ALLEGATION
OF
FRAUD.—In 
carrying out this subsection, section 1860D– 
12(b)(7) (including as applied pursuant to section 
1857(f)(3)(D)), and section 1903(i)(2)(C), a fraud 
hotline tip (as defined by the Secretary) without fur-
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HR 5676 RFS 
ther evidence shall not be treated as sufficient evi-
dence for a credible allegation of fraud.’’. 
(e) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to plan years begin-
ning on or after January 1, 2020. 
Passed the House of Representatives June 19, 2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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‘‘(i) reduced inappropriate use, abuse, 
diversion of, and overdose with, controlled 
substances; 
‘‘(ii) established or strengthened ini-
tiatives to ensure linkages to substance use 
disorder treatment services; or 
‘‘(iii) affected patient access to appro-
priate care in States operating PDMPs; 
‘‘(C) determine the progress of States in 
achieving interstate interoperability and intra-
state interoperability of PDMPs, including an 
assessment of technical, legal, and financial 
barriers to such progress and recommendations 
for addressing these barriers; 
‘‘(D) determines the progress of States in 
implementing near real-time electronic PDMPs; 
‘‘(E) provides an analysis of the privacy 
protections in place for the information re-
ported to the PDMP in each State receiving 
support under this section and any rec-
ommendations of the Secretary for additional 
Federal or State requirements for protection of 
this information; 
‘‘(F) determines the progress of States in 
implementing technological alternatives to cen-
(2) in subsection (g), in the matter preceding 
paragraph (1), by striking ‘‘may waive’’ and insert-
ing ‘‘may, on a case-by-case basis, waive’’; 
(3) by redesignating subsection (l) as subsection 
(m); and 
(4) by inserting after subsection (k) the fol-
lowing new subsection: 
‘‘(l) NOTIFICATION
AND
BRIEFING.—Not later 
than— 
‘‘(1) ten days after initiating a review of the ac-
tivities of the government of the country concerned 
within the 24-month period referred to in subsection 
(f)(1)(B)(i), the President, acting through the Sec-
retary of State, shall notify the Committee on For-
eign Affairs of the House of Representatives and the 
Committee on Foreign Relations of the Senate of 
such initiation; and 
‘‘(2) 20 days after the notification described in 
paragraph (1), the President, acting through the 
Secretary of State, shall brief such committees on 
the status of such review.’’. 
Æ 
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I 
115TH CONGRESS 
1ST SESSION 
H. R. 567 
To amend title 5, United States Code, to clarify the application of the 
restriction on the appointment of relatives to a position in the Federal 
Government, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 13, 2017 
Ms. SA´NCHEZ (for herself, Ms. SHEA-PORTER, Mr. CICILLINE, Ms. KAPTUR, 
Mr. BLUMENAUER, Ms. MICHELLE LUJAN GRISHAM of New Mexico, Mr. 
O’HALLERAN, Mr. THOMPSON of Mississippi, Mr. MCGOVERN, Mr. 
BUTTERFIELD, Mr. LANGEVIN, Mr. ELLISON, Ms. JAYAPAL, Ms. PIN-
GREE, and Mr. SARBANES) introduced the following bill; which was re-
ferred to the Committee on Oversight and Government Reform 
A BILL 
To amend title 5, United States Code, to clarify the applica-
tion of the restriction on the appointment of relatives 
to a position in the Federal Government, and for other 
purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Relatives in Govern-
ment Getting Employment Dishonorably Act’’ or the 
‘‘RIGGED Act’’. 
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SEC. 2. EMPLOYMENT OF RELATIVES; RESTRICTIONS. 
(a) IN GENERAL.—Section 3110 of title 5, United 
States Code, is amended— 
(1) in subsection (a)— 
(A) in paragraph (1)(A) by inserting ‘‘, in-
cluding the White House Office and the Execu-
tive Office of the President’’ after ‘‘Executive 
agency’’; 
(B) by redesignating paragraphs (2) and 
(3) as paragraphs (3) and (4), respectively; and 
(C) by inserting after paragraph (1) the 
following: 
‘‘(2) ‘civilian position’ means any existing or 
newly created position in an agency, including a po-
sition acting in a professional or official capacity as 
a consultant or advisor, regardless of whether such 
position is voluntary, gratuitous, or authorized by 
law to be compensated;’’; 
(2) in subsection (b), by striking ‘‘A public offi-
cial may not’’ and inserting ‘‘Notwithstanding any 
other provision of law, a public official may not’’; 
and 
(3) in subsection (c)— 
(A) by inserting ‘‘shall be removed imme-
diately and’’ after ‘‘in violation of this section’’; 
and 
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(B) by striking ‘‘as pay’’ and inserting ‘‘as 
salary or expenses’’. 
(b) APPLICATION
OF
PROHIBITED
PERSONNEL 
PRACTICES.—Section 2302(a)(2)(C) of title 5, United 
States Code, is amended by inserting ‘‘, including the 
White House Office,’’ after ‘‘Executive agency’’. 
Æ 
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