datamatters24/research-document-archive huggingface dataset:
plan. Control under this paragraph shall be in form 
and substance. 
‘‘(5) The employer members shall have a com-
monality of interest as described in subsection (d). 
‘‘(6)(A) The group or association shall not 
make health coverage through the group health plan 
available other than to— 
‘‘(i) an employee of a current employer 
member of the group or association; 
‘‘(ii) a former employee of a current em-
ployer member of the group or association who 
became eligible for coverage under the group 
health plan when the former employee was an 
employee of the employer; and 
‘‘(iii) a beneficiary of an individual de-
scribed in clause (i) or (ii), such as a spouse or 
dependent child. 
‘‘(B) Notwithstanding subparagraph (A), the 
group or association shall not make health coverage 
through the group health plan available to any indi-
vidual (or beneficiaries of the individual) for any 
plan year following the plan year in which the plan 
determines pursuant to reasonable monitoring proce-
dures described in subsection (f)(2)(C) that the indi-
vidual ceases to meet the conditions described in 
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I 
116TH CONGRESS 
1ST SESSION H. R. 2291 
To amend the Internal Revenue Code of 1986 to provide tax incentives 
for the donation of wild game meat. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 10, 2019 
Mr. YOUNG (for himself, Mr. KELLY of Pennsylvania, Mr. LOEBSACK, and Mr. 
WESTERMAN) introduced the following bill; which was referred to the 
Committee on Ways and Means 
A BILL 
To amend the Internal Revenue Code of 1986 to provide 
tax incentives for the donation of wild game meat. 
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 ‘‘Wild Game Donation 
Act of 2019’’. 
SEC. 2. CHARITABLE DEDUCTION FOR COSTS ASSOCIATED 
WITH DONATIONS OF WILD GAME MEAT. 
(a) IN GENERAL.—Subsection (e) of section 170 of 
the Internal Revenue Code of 1986 is amended by adding 
at the end the following new paragraph: 
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subsection (f)(2) for being a working owner (unless 
the individual again meets those conditions), except 
as may be required by section 601. 
‘‘(7) The group or association, and any health 
coverage offered by the group or association, shall 
comply with the nondiscrimination provisions under 
subsection (e). 
‘‘(8) The group or association shall not be a 
health insurance issuer, or owned or controlled by 
such a health insurance issuer or by a subsidiary or 
affiliate of such a health insurance issuer, other 
than to the extent such entities participate in the 
group or association in their capacity as employer 
members of the group or association. 
‘‘(c) SUBSTANTIAL BUSINESS PURPOSE.— 
‘‘(1) IN GENERAL.—For purposes of subsection 
(b)(1), a substantial business purpose shall exist if 
the group or association would be a viable entity in 
the absence of sponsoring an employee benefit plan. 
‘‘(2) BUSINESS
PURPOSE.—For purposes of 
subsection (b)(1) and paragraph (1), a business pur-
pose shall— 
‘‘(A) include promoting common business 
interests of the members of the group or asso-
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‘‘(iii) such meat is processed for 
human consumption by a processor which 
is licensed for such purpose under the ap-
propriate Federal, State, and local laws 
and regulations and which is in compliance 
with all such laws and regulations, and 
‘‘(iv) such meat is apparently whole-
some (under regulations similar to the reg-
ulations under section 22(b)(2) of the Bill 
Emerson Good Samaritan Food Donation 
Act). 
‘‘(C) QUALIFIED
PROCESSING
FEE.—For 
purposes of this paragraph, the term ‘qualified 
processing fee’ means any fee or charge paid to 
a processor which fulfills the requirements of 
subparagraph (B)(iii) for the purpose of proc-
essing wild game meat, but only to the extent 
that such meat is donated as a charitable con-
tribution under this section.’’. 
(b) EXCLUSION OF PROCESSOR’S INCOME FROM TAX 
EXEMPT ORGANIZATIONS.— 
(1) IN GENERAL.—Part III of subchapter B of 
chapter 1 of the Internal Revenue Code of 1986 is 
amended by inserting after section 139G the fol-
lowing new section: 
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‘‘SEC. 139H. CERTAIN INCOME RECEIVED FROM CHARI-
TABLE ORGANIZATIONS. 
‘‘(a) IN GENERAL.—Gross income of a qualified meat 
processor shall not include any amount paid to such proc-
essor as a qualified processing fee by a charitable organi-
zation for the processing of donated wild game meat. 
‘‘(b) DEFINITIONS.—For purposes of this section— 
‘‘(1) QUALIFIED MEAT PROCESSOR.—The term 
‘qualified meat processor’ means a processor which 
fulfills the requirements of section 170(e)(8)(B)(iii). 
‘‘(2) CHARITABLE
ORGANIZATION.—The term 
‘charitable organization’ means an entity to which a 
charitable contribution may be made under section 
170(c) and the charitable purpose of which is to pro-
vide free food to individuals in need of food assist-
ance. 
‘‘(3) DONATED WILD GAME MEAT.—The term 
‘donated wild game meat’ means qualified wild game 
meat (as defined in section 170(e)(8)(B), without re-
gard to clause (iii) thereof) which is received as a 
charitable contribution (as defined in section 170(c)) 
by a charitable organization. 
‘‘(4) QUALIFIED PROCESSING FEE.—The term 
‘qualified processing fee’ means any fee or charge 
paid to a qualified meat processor for the purpose 
of processing donated wild game meat.’’. 
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(2) CLERICAL AMENDMENT.—The table of sec-
tions for part III of subchapter B of chapter 1 of 
the Internal Revenue Code of 1986 is amended by 
inserting after the item relating to section 139G the 
following new item: 
‘‘Sec. 139H. Certain income received from charitable organizations.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to donations made, and fees re-
ceived, after the date of the enactment of this Act. 
Æ 
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I 
116TH CONGRESS 
1ST SESSION H. R. 2292 
To amend the Patient Protection and Affordable Care Act to provide funding 
for American Health Benefit Exchanges navigator programs and outreach 
and promotional activities. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 12, 2019 
Ms. WATERS (for herself, Ms. NORTON, Ms. LEE of California, Mr. COHEN, 
Ms. SEWELL of Alabama, Ms. WASSERMAN SCHULTZ, Mr. GRIJALVA, 
Mrs. DEMINGS, Mr. RASKIN, Ms. WILSON of Florida, Mr. KHANNA, Mr. 
PAYNE, Ms. CLARKE of New York, Mr. DANNY K. DAVIS of Illinois, Mr. 
COX of California, Mrs. LURIA, Mrs. CAROLYN B. MALONEY of New 
York, Mr. GARAMENDI, Mr. THOMPSON of Mississippi, Mrs. WATSON 
COLEMAN, Mr. RUPPERSBERGER, Ms. MENG, Mr. GARCI´A of Illinois, and 
Ms. TLAIB) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend the Patient Protection and Affordable Care Act 
to provide funding for American Health Benefit Ex-
changes navigator programs and outreach and pro-
motional activities. 
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 ‘‘Affordable Care Act 
Outreach for the Uninsured, Transformative Recruitment, 
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and Enrollment Action for Compassionate Healthcare Act 
of 2019’’ or the ‘‘ACA OUTREACH Act’’. 
SEC. 2. FUNDING AMERICAN HEALTH BENEFIT EXCHANGES 
NAVIGATOR PROGRAMS AND OUTREACH AND 
PROMOTIONAL ACTIVITIES. 
(a) FUNDING FOR NAVIGATOR PROGRAM.—Section 
1311(i) of the Patient Protection and Affordable Care Act 
(42 U.S.C. 18031(i)) is amended by adding at the end 
the following new paragraph: 
‘‘(7) APPROPRIATIONS.—Out of any funds in 
the Treasury not otherwise appropriated, there is 
appropriated to the Secretary of Health and Human 
Services $100,000,000 for each of fiscal years 2019 
through 2022 for navigator programs under this 
subsection.’’. 
(b) FEDERAL EXCHANGES OUTREACH
AND PRO-
MOTIONAL ACTIVITIES.—Section 1321(c) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 18041(c)) 
is amended by adding at the end the following new para-
graph: 
‘‘(3) OUTREACH
AND
PROMOTIONAL
ACTIVI-
TIES.— 
‘‘(A) IN GENERAL.—In the case of an Ex-
change established or operated by the Secretary 
pursuant to this subsection, the Secretary may 
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‘‘(J) the total costs associated with mar-
keting and advertising for the qualifying drug; 
‘‘(2) with respect to the manufacturer— 
‘‘(A) the total revenue and the net profit 
of the manufacturer for each of the 12- and 36- 
month periods preceding the submission of the 
report; 
‘‘(B) all stock-based performance metrics 
used by the manufacturer to determine execu-
tive compensation for each of the 12- and 36- 
month periods preceding the submission of the 
report; and 
‘‘(C) any additional information the manu-
facturer chooses to provide related to drug pric-
ing decisions, such as total expenditures on— 
‘‘(i) drug research and development; 
or 
‘‘(ii) clinical trials on drugs that failed 
to receive approval by the Food and Drug 
Administration; and 
‘‘(3) such other related information as the Sec-
retary considers appropriate. 
‘‘(d) CIVIL PENALTY.—Any manufacturer of a quali-
fying drug that fails to submit a report for the drug as 
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I 
116TH CONGRESS 
1ST SESSION H. R. 2293 
To amend title XVIII of the Social Security Act to exclude complex rehabilita-
tive manual wheelchairs from the Medicare competitive acquisition pro-
gram, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 12, 2019 
Mr. LARSON of Connecticut (for himself, Mr. ZELDIN, Ms. STEFANIK, Mr. 
FITZPATRICK, Mr. HIGGINS of New York, Mr. TONKO, Mr. KELLY of 
Pennsylvania, Mr. EMMER, Mr. RUSH, Ms. CLARKE of New York, Mr. 
LANGEVIN, Mr. SWALWELL of California, Ms. JAYAPAL, Mr. SIRES, Mr. 
CONNOLLY, Mr. RUPPERSBERGER, Mr. DEFAZIO, Mr. MEEKS, Mr. 
LOEBSACK, Mr. KING of New York, Mr. ESPAILLAT, Ms. BONAMICI, and 
Miss RICE of New York) 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 exclude 
complex rehabilitative manual wheelchairs from the Medi-
care competitive acquisition program, 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, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Protecting Access to 
Wheelchairs Act’’. 
SEC. 2. EXCLUSION OF COMPLEX REHABILITATIVE MAN-
UAL WHEELCHAIRS FROM MEDICARE COM-
PETITIVE ACQUISITION PROGRAM; NON-AP-
PLICATION OF MEDICARE FEE-SCHEDULE 
ADJUSTMENTS FOR CERTAIN WHEELCHAIR 
ACCESSORIES AND CUSHIONS. 
(a) EXCLUSION OF COMPLEX REHABILITATIVE MAN-
UAL WHEELCHAIRS FROM COMPETITIVE ACQUISITION 
PROGRAM.—Section 1847(a)(2)(A) of the Social Security 
Act (42 U.S.C. 1395w–3(a)(2)(A)) is amended— 
(1) by inserting ‘‘, complex rehabilitative man-
ual wheelchairs (as determined by the Secretary), 
and certain manual wheelchairs (identified, as of Oc-
tober 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 insert-
ing ‘‘such complex rehabilitative power wheelchairs, 
complex rehabilitative manual wheelchairs, and cer-
tain manual wheelchairs’’. 
(b) NON-APPLICATION OF MEDICARE FEE SCHED-
ULE ADJUSTMENTS FOR WHEELCHAIR ACCESSORIES AND 
SEAT AND BACK CUSHIONS WHEN FURNISHED IN CON-
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‘‘(1) IN GENERAL.—Participating in or facili-
tating a group health plan sponsored by a bona fide 
group or association of employers pursuant to sub-
section (a) shall not be construed as establishing an 
employer or joint employer relationship under any 
Federal or State law. 
‘‘(2) APPLICATION OF PROVISION.—Paragraph 
(1) shall apply to a group health plan sponsored or 
facilitated by a franchisor and any franchisee, by 
multiple franchisors for the benefit of the employees 
of such franchisors and their franchisees, by mul-
tiple franchisees for the benefit of the employees of 
such franchisees, by a franchisor whose franchisee or 
franchisees participate or participates in the plan, or 
by a person or entity that contracts with any indi-
vidual as an independent contractor for whom the 
plan benefits. 
‘‘(i) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as repealing or otherwise limiting 
the application of this Act (including section 712 relating 
to mental health parity) to group health plans and em-
ployee welfare benefit plans.’’. 
Æ 
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NECTION
WITH
COMPLEX
REHABILITATIVE
MANUAL 
WHEELCHAIRS.— 
(1) IN GENERAL.—Notwithstanding any other 
provision of law, the Secretary of Health and 
Human Services shall not, during the period begin-
ning on July 1, 2019, and ending on December 31, 
2020, 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 adjust the payment amount that would 
otherwise 
be 
recognized 
under 
section 
1834(a)(1)(B)(ii) 
of 
such 
Act 
(42 
U.S.C. 
1395m(a)(1)(B)(ii)) for wheelchair accessories (in-
cluding seating systems) and seat and back cushions 
when furnished in connection with complex rehabili-
tative manual wheelchairs (as determined by the 
Secretary), and certain manual wheelchairs (identi-
fied, 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. 
Æ 
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‘‘(7) The term ‘text message’— 
‘‘(A) means a real-time or near real-time 
digital message consisting of text, images, 
sounds, or other information that is transmitted 
from or received by a device that is identified 
as the transmitting or receiving device by 
means of a telephone number; 
‘‘(B) includes— 
‘‘(i) a short message service (com-
monly referred to as ‘SMS’) message; 
‘‘(ii) an enhanced message service 
(commonly referred to as ‘EMS’) message; 
and 
‘‘(iii) a multimedia message service 
(commonly referred to as ‘MMS’) message; 
and 
‘‘(C) does not include a real-time, 2-way 
voice or video communication. 
‘‘(8) The term ‘text messaging service’ means a 
service that permits the transmission or receipt of a 
text message, including a service provided as part of 
or in connection with a voice service.’’; and 
(D) by adding at the end the following: 
‘‘(10) The term ‘voice service’ means any serv-
ice that— 
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(d) CLERICAL AMENDMENT.—The table of sections 
for chapter 77 of such Code is amended by adding at the 
end the following new item: 
‘‘Sec. 7529. Government-assisted tax-return preparation programs.’’. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out the amend-
ments made by this section such sums as may be necessary 
for each of fiscal years 2020 through 2024. 
(f) EFFECTIVE DATE.—The amendments made by 
this section shall apply to returns for taxable years begin-
ning after December 31, 2019. 
Æ 
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than remuneration referred to in the succeeding 
subsections of this section) equal to the con-
tribution and benefit base (determined under 
section 230) with respect to employment has 
been paid to an individual during any calendar 
year after 2019 with respect to which such con-
tribution and benefit base is effective, is paid to 
such individual during such calendar year;’’; 
and 
(B) by adding at the end the following new 
subsection: 
‘‘(l) For purposes of subparagraph (J) of subsection 
(a)(1), the applicable percentage for a calendar year, in 
connection with any calendar year referred to in such sub-
paragraph, shall be the percentage determined in accord-
ance with the following table: 
The applicable 
‘‘In the case of: 
percentage is: 
Calendar year 2020 .....................................................................
Calendar year 2021 .....................................................................
Calendar year 2022 .....................................................................
Calendar year 2023 .....................................................................
Calendar year 2024 .....................................................................
Calendar year 2025 .....................................................................
Calendar years after 2025 ...........................................................
0.’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply with respect to remu-
neration paid in calendar years after 2019. 
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(3) QUORUM.—A majority of the members of 
the Peer Group shall constitute a quorum, but a 
lesser number of members may hold meetings. 
SEC. 9. TERMINATION. 
The authorities and requirements provided under this 
Act shall terminate 11 years after the date of the enact-
ment of this Act. 
Æ 
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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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I 
116TH CONGRESS 
1ST SESSION H. R. 2306 
To amend titles XI and XIX of the Social Security Act to strengthen the 
Medicaid program in Puerto Rico, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 12, 2019 
Miss GONZA´LEZ-COLO´N of Puerto Rico introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To amend titles XI and XIX of the Social Security Act 
to strengthen the Medicaid program in Puerto Rico, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Puerto Rico Medicaid 
Act of 2019’’. 
SEC. 2. REMOVAL OF STATUTORY FMAP LIMITATION FOR 
PUERTO RICO. 
(a) IN GENERAL.—Section 1905(b)(2) of the Social 
Security Act (42 U.S.C. 1396d(b)(2)) is amended by strik-
ing ‘‘Puerto Rico,’’. 
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(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply with respect to medical assist-
ance furnished in calendar quarters beginning on or after 
October 1, 2019. 
SEC. 3. INCREASE TO CAP ON AMOUNTS RECOGNIZED 
UNDER TITLE XIX FOR PUERTO RICO. 
Section 1108(g)(2)(A) of the Social Security Act (42 
U.S.C. 1308(g)(2)(A)) is amended— 
(1) by striking ‘‘shall not exceed’’ and inserting 
‘‘shall not exceed— 
‘‘(i) for a fiscal year before fiscal year 
2020, and for fiscal year 2022 and each 
subsequent fiscal year,’’; 
(2) by striking the semicolon at the end and in-
serting ‘‘; and’’; and 
(3) by adding at the end the following new 
clause: 
‘‘(ii) for each of fiscal years 2020 and 
2021, $2,650,000,000;’’. 
Æ 
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I 
116TH CONGRESS 
1ST SESSION H. R. 2307 
To amend title 5, United States Code, to provide authority to the Adminis-
trator of the Drug Enforcement Administration to provide a cash award 
to Administration employees with foreign language skills, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 12, 2019 
Miss GONZA´LEZ-COLO´N of Puerto Rico introduced the following bill; which 
was referred to the Committee on Oversight and Reform 
A BILL 
To amend title 5, United States Code, to provide authority 
to the Administrator of the Drug Enforcement Adminis-
tration to provide a cash award to Administration em-
ployees with foreign language skills, 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. CASH AWARD FOR DRUG ENFORCEMENT AD-
MINISTRATION EMPLOYEES WITH FOREIGN 
LANGUAGE SKILLS. 
(a) IN GENERAL.—Section 5761 of title 5, United 
States Code, is amended to read as follows: 
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‘‘§ 5761. Foreign language proficiency pay awards for 
the Federal Bureau of Investigation and 
the Drug Enforcement Administration 
‘‘The Director of the Federal Bureau of Investigation 
or the Administrator of the Drug Enforcement Adminis-
tration may, under regulations prescribed by the Director 
or the Administrator (as the case may be), pay a cash 
award of up to 10 percent of basic pay to any Bureau 
or Administration employee (as the case may be) who 
maintains proficiency in a language or languages critical 
to the mission or who uses one or more foreign languages 
in the performance of official duties.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
for subchapter IV of chapter 57 of title 5, United States 
Code, is amended by striking the item relating to section 
5761 and inserting the following: 
‘‘5761. Foreign language proficiency pay awards for the Federal Bureau of In-
vestigation and the Drug Enforcement Administration.’’. 
Æ 
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