datamatters24/research-document-archive huggingface dataset:
required to place the parties to such arrangement at 
financial risk (as defined in clause (i)). 
‘‘(iii) The term ‘value-based risk-sharing trans-
action’ means a payment made under an arrange-
ment under which each party agrees— 
‘‘(I) to contribute to the achievement of 
preidentified clinical or economic target metrics 
that are specifically tailored to improve patient 
outcomes or reduce the costs of health care de-
livery without negatively affecting patient out-
comes; 
‘‘(II) to implement processes or procedures 
that otherwise optimize the delivery, efficiency, 
or quality of patient-centered care; and 
‘‘(III) to predetermine the allocation of fi-
nancial risk (as defined in clause (i)) assumed 
by each party based on the participant’s relative 
contribution to the achievement of targeted out-
comes.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall apply to arrangements entered into on 
or after the date of enactment of this Act. 
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SEC. 4. STARK LAW EXCEPTION FOR VALUE-BASED AR-
RANGEMENTS. 
(a) Section 1877(e) of the Social Security Act (42 
U.S.C. 1395nn(e)) is amended by adding at the end the 
following new paragraphs: 
‘‘(9) VALUE-BASED
ARRANGEMENTS.—Remu-
neration to a physician (or an immediate family 
member of such physician) paid under a value-based 
arrangement 
(as 
defined 
in 
section 
1128B(b)(5)(B)).’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall apply with respect to arrangements en-
tered into on or after the date of enactment of this Act. 
Æ 
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I 
115TH CONGRESS 
2D SESSION 
H. R. 7179 
To require the Administrator of the Environmental Protection Agency to 
revise certain ethylene oxide emissions standards under the Clean Air 
Act, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 28, 2018 
Mr. SCHNEIDER (for himself, Mr. FOSTER, and Mr. LIPINSKI) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To require the Administrator of the Environmental Protec-
tion Agency to revise certain ethylene oxide emissions 
standards under the Clean Air Act, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. ETHYLENE OXIDE EMISSIONS STANDARDS. 
(a) IN GENERAL.—Not later than 180 days after the 
date of enactment of this Act, the Administrator of the 
Environmental Protection Agency (referred to in this sec-
tion as the ‘‘Administrator’’) shall amend— 
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(1) subparts O and FFFF of part 63 of title 
40, Code of Federal Regulations, to revise the stand-
ards for the emission of ethylene oxide under those 
subparts based on the results described in the report 
of the National Center for Environmental Assess-
ment of the Environmental Protection Agency enti-
tled ‘‘Evaluation of the Inhalation Carcinogenicity of 
Ethylene Oxide’’ and dated December 2016; and 
(2) subpart O of part 63 of title 40, Code of 
Federal Regulations, to apply maximum achievable 
control technology (within the meaning of the Clean 
Air Act (42 U.S.C. 7401 et seq.)) requirements to 
chamber exhaust vents. 
(b) NOTIFICATION.— 
(1) IN GENERAL.—Not later than 30 days after 
the Administrator learns of a violation of the stand-
ards revised under subsection (a), the Administrator 
shall notify the public of the violation in a manner 
determined to be appropriate by the Administrator. 
(2) FAILURE TO NOTIFY.—If the Administrator 
fails to notify the public under paragraph (1) by the 
end of the period described in that paragraph, the 
Inspector General of the Environmental Protection 
Agency shall carry out an investigation to deter-
mine— 
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(A) the reason or reasons for which the 
Administrator failed to notify the public; 
(B) the public health risks associated with 
the failure of the Administrator to notify the 
public; and 
(C) any steps the Administrator should 
take to ensure the Administrator meets the re-
quirements described in paragraph (1) in the 
future. 
Æ 
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I 
115TH CONGRESS 
2D SESSION 
H. R. 7181 
To establish the number of Members of the House of Representatives at 
400. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 28, 2018 
Mr. ISSA introduced the following bill; which was referred to the Committee 
on the Judiciary 
A BILL 
To establish the number of Members of the House of 
Representatives at 400. 
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 ‘‘400 Act’’. 
SEC. 2. ESTABLISHMENT OF NUMBER OF REPRESENTA-
TIVES AT 400. 
(a) IN GENERAL.—Section 22(a) of the Act entitled 
‘‘An Act to provide for the fifteenth and subsequent decen-
nial census and to provide for apportionment of Rep-
resentatives in Congress’’, approved June 18, 1929 (2 
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U.S.C. 2a(a)), is amended by striking ‘‘the then existing 
number of Representatives’’ and inserting ‘‘400 Rep-
resentatives’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply with respect to the regular de-
cennial census conducted for 2020 and each subsequent 
decennial census. 
Æ 
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(C) in subparagraph (C) by striking 
‘‘$17,376,000’’ and inserting ‘‘$18,077,990’’; 
(3) in paragraph (2)— 
(A) in subparagraph (A)— 
(i) by striking ‘‘$2,794,745,000 for fis-
cal 
year 
2020’’ 
and 
inserting 
‘‘$3,312,114,000 for fiscal year 2022’’; and 
(ii) by striking ‘‘$3,312,114,000 for fis-
cal 
year 
2021’’ 
and 
inserting 
‘‘$3,477,600,000 for fiscal year 2023’’; and 
(B) in subparagraph (B)— 
(i) by striking ‘‘$10,000,000 for fiscal 
year 2020’’ and inserting ‘‘$20,400,000 for 
fiscal year 2022’’; and 
(ii) by striking ‘‘$20,000,000 for fiscal 
year 2021’’ and inserting ‘‘$20,808,000 for 
fiscal year 2023’’; 
(4) in paragraph (3)— 
(A) by striking ‘‘$13,834,000 for fiscal year 
2020’’ and inserting ‘‘$14,393,220 for fiscal year 
2022’’; and 
(B) by striking ‘‘$14,111,000 for fiscal year 
2021’’ and inserting ‘‘$14,681,084 for fiscal year 
2023’’; and 
(5) in paragraph (4)— 
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(A) by striking ‘‘$205,107,000 for fiscal 
year 2020’’ and inserting ‘‘$213,393,180 for fis-
cal year 2022’’; and 
(B) by striking ‘‘$209,209,000 for fiscal 
year 2021’’ and inserting ‘‘$217,661,044 for fis-
cal year 2023’’. 
SEC. 102. AUTHORIZED LEVELS OF MILITARY STRENGTH 
AND TRAINING. 
Section 4904 of title 14, United States Code, is amend-
ed— 
(1) in subsection (a) by striking ‘‘fiscal years 
2020 and 2021’’ and inserting ‘‘fiscal years 2022 and 
2023’’; and 
(2) in subsection (b) by striking ‘‘fiscal years 
2020 and 2021’’ and inserting ‘‘fiscal years 2022 and 
2023’’. 
SEC. 103. SHORESIDE INFRASTRUCTURE AND FACILITIES. 
(a) IN GENERAL.—Of the amounts authorized to be 
appropriated under section 4902(2)(A) of title 14, United 
States Code, for each of fiscal years 2022 and 2023, up to 
$585,000,000 shall be authorized for the Secretary of the 
department in which the Coast Guard is operating to fund 
the acquisition, construction, rebuilding, or improvement of 
Coast Guard shoreside infrastructure and facilities nec-
essary to support Coast Guard operations and readiness. 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘National Flood Insur-
ance Program Further Extension Act of 2018’’. 
SEC. 2. PROGRAM EXTENSION. 
(a) FINANCING.—Section 1309(a) of the National 
Flood Insurance Act of 1968 (42 U.S.C. 4016(a)) is 
amended by striking ‘‘November 30, 2018’’ and inserting 
‘‘December 7, 2018’’. 
(b) PROGRAM EXPIRATION.—Section 1319 of the Na-
tional Flood Insurance Act of 1968 (42 U.S.C. 4026) is 
amended by striking ‘‘November 30, 2018’’ and inserting 
‘‘December 7, 2018’’. 
Passed the House of Representatives November 29, 
2018. 
Attest: 
Clerk.
115TH CONGRESS 
2D SESSION 
H. R. 7187 
AN ACT 
To extend the National Flood Insurance Program 
until December 7, 2018.
II 
115TH CONGRESS 
2D SESSION 
H. R. 7187 
IN THE SENATE OF THE UNITED STATES 
NOVEMBER 29, 2018 
Received 
AN ACT 
To extend the National Flood Insurance Program until 
December 7, 2018. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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HR 7187 RDS
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘National Flood Insur-
ance Program Further Extension Act of 2018’’. 
SEC. 2. PROGRAM EXTENSION. 
(a) FINANCING.—Section 1309(a) of the National 
Flood Insurance Act of 1968 (42 U.S.C. 4016(a)) is 
amended by striking ‘‘November 30, 2018’’ and inserting 
‘‘December 7, 2018’’. 
(b) PROGRAM EXPIRATION.—Section 1319 of the Na-
tional Flood Insurance Act of 1968 (42 U.S.C. 4026) is 
amended by striking ‘‘November 30, 2018’’ and inserting 
‘‘December 7, 2018’’. 
Passed the House of Representatives November 29, 
2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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I 
115TH CONGRESS 
2D SESSION 
H. R. 7188 
To extend by two years the Chemical Facility Anti-Terrorism Standards 
Program of the Department of Homeland Security, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 29, 2018 
Mr. RATCLIFFE (for himself, Mr. RICHMOND, Mr. MCCAUL, Mr. THOMPSON 
of Mississippi, Mr. WALDEN, Mr. PALLONE, Mr. SHIMKUS, and Mr. 
TONKO) introduced the following bill; which was referred to the Com-
mittee on Homeland Security, and in addition to the Committee on En-
ergy and Commerce, 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 extend by two years the Chemical Facility Anti-Terrorism 
Standards Program of the Department of Homeland Se-
curity, 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 ‘‘Chemical Facility Anti- 
Terrorism Standards Program Extension Act’’. 
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SEC. 2. EXTENSION OF CHEMICAL FACILITY ANTI-TER-
RORISM STANDARDS PROGRAM OF THE DE-
PARTMENT OF HOMELAND SECURITY. 
Section 5 of the Protecting and Securing Chemical 
Facilities from Terrorist Attacks Act of 2014 (Public Law 
113–254; 6 U.S.C. 621 note) is amended by striking ‘‘4 
years’’ and inserting ‘‘6 years’’. 
Æ 
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‘‘SUBCHAPTER V—SMALL BUSINESS DEBTOR 
REORGANIZATION 
‘‘§ 1181. Inapplicability of other sections 
‘‘(a) IN GENERAL.—Sections 105(d), 1101(1), 1104, 
1105, 1106, 1107, 1108, 1115, 1116, 1121, 1123(a)(8), 
1123(c), 1127, 1129(a)(15), 1129(b), 1129(c), 1129(e) 
and 1141(d)(5) of this title do not apply in a case under 
this subchapter. 
‘‘(b) COURT AUTHORITY.—Unless the court for cause 
orders otherwise, paragraphs (1), (2), and (4) of section 
1102(a) and sections 1102(b), 1103, and 1125 of this title 
do not apply in a case under this subchapter. 
‘‘(c) SPECIAL RULE FOR DISCHARGE.—If a plan is 
confirmed under section 1191(b) of this title, section 
1141(d) of this title shall not apply, except as provided 
in section 1192 of this title. 
‘‘§ 1182. Definitions 
‘‘In this subchapter: 
‘‘(1) DEBTOR.—The term ‘debtor’ means a 
small business debtor. 
‘‘(2) DEBTOR IN POSSESSION.—The term ‘debt-
or in possession’ means the debtor, unless removed 
as debtor in possession under section 1185(a) of this 
title. 
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‘‘(ii) NOTIFICATION TO CONGRESS.— 
Not later than 14 days after the date on 
which the Administrator of ATSDR begins 
a reevaluation under clause (i), the Admin-
istrator of ATSDR shall notify Congress 
that the reevaluation is being conducted. 
‘‘(iii) PUBLICATION.—Not later than 
30 days after the date of completion of a 
reevaluation under clause (i), the Adminis-
trator of ATSDR shall— 
‘‘(I) publish in the Federal Reg-
ister any revisions to a health assess-
ment or a health consultation, as ap-
plicable, as a result of the reevalua-
tion; and 
‘‘(II) notify Congress of the revi-
sions described in subclause (I). 
‘‘(21) PERSONAL
EXPOSURE
TESTING.—The 
Administrator of ATSDR, in coordination with the 
Administrator, shall administer personal exposure 
tests for a chemical that has a new adverse public 
health risk as described in paragraph (20)(B)(i), as 
available, to vulnerable populations, including chil-
dren and the elderly. 
‘‘(22) COMMUNITY OUTREACH DIVISION.— 
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‘‘(A) 
ESTABLISHMENT.—The 
Adminis-
trator of ATSDR shall establish within the Of-
fice of Communication of ATSDR a division, to 
be known as the ‘Community Outreach Divi-
sion’. 
‘‘(B) PURPOSE.—The purpose of the of the 
Community Outreach Division shall be— 
‘‘(i) to include communities when de-
termining the priority of chemicals to un-
dergo review by ATSDR; and 
‘‘(ii) to communicate risk assessments 
to affected communities. 
‘‘(23) AUTHORIZATION OF APPROPRIATIONS.— 
There is authorized to be appropriated $70,000,000 
to carry out the duties of the ATSDR for fiscal year 
2019 and each fiscal year thereafter.’’. 
SEC. 6. DATA SAMPLING. 
If the ATSDR Administrator requests the EPA Ad-
ministrator to conduct a sample for a chemical that poses 
an adverse public health risk and the EPA Administrator 
rejects that request, the EPA Administrator shall submit 
to Congress a notice describing— 
(1) the request; and 
(2) the reasons for rejecting the request. 
Æ 
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I 
115TH CONGRESS 
1ST SESSION 
H. R. 718 
To amend title 18, United States Code, to prohibit the unlawful disposal 
of fetal remains, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 27, 2017 
Mr. TIBERI (for himself, Mr. WENSTRUP, Mr. ROE of Tennessee, Mr. JOYCE 
of Ohio, Mr. GIBBS, Mr. LATTA, Mr. RENACCI, Mr. TURNER, Mr. JOHN-
SON of Ohio, Mr. STIVERS, and Mr. CHABOT) introduced the following 
bill; which was referred to the Committee on the Judiciary 
A BILL 
To amend title 18, United States Code, to prohibit the 
unlawful disposal of fetal remains, 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 ‘‘Protecting the Dignity 
of Unborn Children Act of 2017’’. 
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SEC. 2. PROHIBITING UNLAWFUL DISPOSAL OF FETAL RE-
MAINS. 
(a) PROHIBITING UNLAWFUL DISPOSAL OF FETAL 
REMAINS.—Part I of title 18, United States Code, is 
amended by adding at the end the following: 
‘‘CHAPTER 125—UNLAWFUL DISPOSAL OF 
FETAL REMAINS 
‘‘2741. Unlawful disposal of fetal remains. 
‘‘§ 2741. Unlawful disposal of fetal remains 
‘‘(a) IN GENERAL.—Whoever recklessly disposes of 
or abandons fetal remains in a landfill or in any of the 
navigable waters of the United States shall be imprisoned 
not more than 3 years or fined under this title, or both. 
‘‘(b) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to authorize the prosecution of any 
woman for the disposal of the remains of her unborn child. 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) FETAL
REMAINS.—The term ‘fetal re-
mains’ means any part of a human fetus that is de-
ceased by reason of an abortion, but does not in-
clude any such part that has been cremated. 
‘‘(2) LANDFILL.—The term ‘landfill’ means a 
sanitary landfill, as such term is defined in section 
1004(26) of the Solid Waste Disposal Act. 
‘‘(3) NAVIGABLE
WATERS.—The term ‘navi-
gable waters’ has the meaning given such term in 
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section 502(7) of the Federal Water Pollution Con-
trol Act.’’. 
(b) CLERICAL AMENDMENT.—The table of chapters 
for such part is amended by inserting, after the item per-
taining to chapter 123, the following: 
‘‘125. Unlawful disposal of fetal remains ................................................ 2741’’. 
Æ 
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I 
115TH CONGRESS 
2D SESSION 
H. R. 7193 
To amend the VA MISSION Act of 2018 to expand the veterans healing 
veterans medical access and scholarship program to include more stu-
dents and schools. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 29, 2018 
Miss GONZA´LEZ-COLO´N of Puerto Rico introduced the following bill; which 
was referred to the Committee on Veterans’ Affairs 
A BILL 
To amend the VA MISSION Act of 2018 to expand the 
veterans healing veterans medical access and scholarship 
program to include more students and schools. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. VETERANS HEALING VETERANS MEDICAL AC-
CESS AND SCHOLARSHIP PROGRAM. 
Section 304 of the VA MISSION Act of 2018 (Public 
Law 115–182; 38 U.S.C. 7601 note) is amended— 
(1) in subsection (a), by striking ‘‘18 eligible 
veterans’’ and inserting ‘‘28 eligible veterans’’; and 
(2) in subsection (g)— 
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(A) in the subsection heading, by striking 
‘‘COVERED MEDICAL SCHOOLS’’ and inserting 
‘‘DEFINITIONS’’; 
(B) in paragraph (1), by redesignating 
subparagraphs (A) through (E) as clauses (i) 
through (v), respectively (and by moving such 
clauses two ems to the right); 
(C) 
by 
redesignating 
paragraphs 
(1) 
through (5) as subparagraphs (A) through (E), 
respectively (and by moving such subpara-
graphs two ems to the right); 
(D) by striking ‘‘section, the term’’ and in-
serting the following: ‘‘section: 
‘‘(1) COVERED MEDICAL SCHOOL.—The term’’; 
and 
(E) by adding at the end the following: 
‘‘(F) University of Puerto Rico School of 
Medicine. 
‘‘(G) Universidad Central del Caribe 
School of Medicine. 
‘‘(H) San Juan Bautista School of Medi-
cine. 
‘‘(I) Ponce Health Sciences University. 
‘‘(J) University of Texas Health Sciences 
Center at San Antonio. 
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‘‘(2) STATE.—The term ‘State’ has the mean-
ing given that term in section 101 of title 38, United 
States Code.’’. 
Æ 
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HR 71 RFS
ernment for which there is more than 
$1,000,000 in annual budget authority, 
which shall include— 
‘‘(I) any activity that is com-
monly referred to as a program by a 
Federal agency in communications 
with Congress, including any activity 
identified as a program in a budget 
request; 
‘‘(II) any activity that is com-
monly referred to as a program by a 
Federal agency in communications 
with the public, including each pro-
gram for which financial awards are 
made on a competitive basis; and 
‘‘(III) any activity referenced in 
law as a program after June 30, 
2019; and 
‘‘(ii) for each program identified in 
the program inventory, the information re-
quired under paragraph (3) or paragraph 
(4), as applicable.’’; 
(4) in paragraph (3), as so redesignated— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘INFORMATION.—Information 
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for each program described under paragraph 
(1)’’ and inserting ‘‘INFORMATION FOR LARGER 
PROGRAMS.—Information for each program 
identified in the program inventory required 
under paragraph (2) for which there is more 
than $10,000,000 in annual budget authority’’; 
(B) by striking subparagraph (C); 
(C) by redesignating subparagraph (B) as 
subparagraph (D); 
(D) by striking subparagraph (A) and in-
serting the following: 
‘‘(A) an identification of the program ac-
tivities that are aggregated, disaggregated, or 
consolidated as part of identifying programs; 
‘‘(B) for each program activity described in 
subparagraph (A), the amount of funding for 
the current fiscal year and previous 2 fiscal 
years; 
‘‘(C) an estimate of the amount of funding 
for the program;’’; 
(E) in subparagraph (D), as so redesig-
nated, by striking ‘‘and’’ at the end; and 
(F) by adding at the end the following: 
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