datamatters24/research-document-archive huggingface dataset:
IIB 
115TH CONGRESS 
2D SESSION 
H. R. 6561 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 17, 2018 
Received; read twice and referred to the Committee on Finance 
AN ACT 
To direct the Secretary of Health and Human Services to 
issue a final regulation based on the proposed regulation 
relating to the Programs of All-Inclusive Care for the 
Elderly (PACE) under the Medicare and Medicaid pro-
grams. 
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 6561 RFS
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Comprehensive Care 
for Seniors Act of 2018’’. 
SEC. 2. DIRECTING THE SECRETARY OF HEALTH AND 
HUMAN SERVICES TO ISSUE A FINAL REGU-
LATION BASED ON THE PROPOSED REGULA-
TION RELATING TO THE PROGRAMS OF ALL- 
INCLUSIVE CARE FOR THE ELDERLY (PACE) 
UNDER THE MEDICARE AND MEDICAID PRO-
GRAMS. 
Not later than December 31, 2018, the Secretary of 
Health and Human Services shall issue a final regulation 
based on the provisions of the proposed regulation titled 
‘‘Medicare and Medicaid Programs; Programs of All-In-
clusive Care for the Elderly (PACE)’’ (81 Fed. Reg. 
54666). 
Passed the House of Representatives September 12, 
2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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I 
115TH CONGRESS 
2D SESSION 
H. R. 6562 
To support endemic orphan fungal disease research, incentivize Valley Fever 
vaccine development, discover new antifungal therapies and diagnostics, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 26, 2018 
Mr. MCCARTHY (for himself, Mr. SCHWEIKERT, Ms. BASS, Ms. SINEMA, and 
Ms. MCSALLY) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To support endemic orphan fungal disease research, 
incentivize Valley Fever vaccine development, discover 
new antifungal therapies and diagnostics, 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; TABLE OF CONTENTS. 
(a) IN GENERAL.—This Act may be cited as the 
‘‘Finding Orphan-disease Remedies With Antifungal Re-
search and Development Act of 2018’’ or the ‘‘FOR-
WARD Act of 2018’’. 
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(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
Sec. 3. Continuing support for research on endemic orphan fungal diseases. 
Sec. 4. Endemic orphan fungal disease Federal-State match pilot program. 
Sec. 5. FDA guidance for industry on development of diagnostics and 
antifungal drugs and vaccines for Valley Fever. 
Sec. 6. Including antifungal biological products as qualified infectious disease 
products. 
Sec. 7. Priority review to encourage treatments for endemic orphan fungal dis-
eases. 
Sec. 8. Including antifungal products in the CARB–X program. 
Sec. 9. Blockchain pilot program for hospital data security for coccidioidomy-
cosis research. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) Worldwide fungal infections, such as 
candidiasis, cryptococcosis, and aspergillosis, often 
pose fatal opportunistic threats to immunologically 
impaired persons. 
(2) 
Endemic 
fungal 
infections, 
such 
as 
histoplasmosis, 
coccidioidomycosis, 
and 
blasto-
mycosis, occur in certain geographic regions world-
wide, including in the United States, and are ac-
quired through exposure to the environment. 
(3) Because the endemic mycoses referred to in 
paragraph (2) are regional, such endemic mycoses 
do not receive the same amount of resources as 
mycoses of worldwide distribution, even though with-
in the regions in which they are endemic such 
strains pose significant public health threats. 
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upstream of Orick in section 34, T11N, R1E as 
a scenic river. 
‘‘(C) The 2.3-mile segment of Emerald 
Creek from its source in section 29, T10N, 
R2E to the confluence with Redwood Creek as 
a scenic river. 
‘‘(231) LACKS CREEK.—The following segments 
to be administered by the Secretary of the Interior: 
‘‘(A) The 5.1-mile segment from the con-
fluence with two unnamed tributaries in section 
14, T7N, R3E to Kings Crossing in section 27, 
T8N, R3E as a wild river. 
‘‘(B) The 2.7-mile segment from Kings 
Crossing to the confluence with Redwood Creek 
as a scenic river upon publication by the Sec-
retary of a notice in the Federal Register that 
sufficient inholdings within the segment have 
been acquired in fee title or as scenic easements 
to establish a manageable addition to the sys-
tem. 
‘‘(232) LOST MAN CREEK.—The following seg-
ments to be administered by the Secretary of the In-
terior: 
‘‘(A) The 6.2-mile segment of Lost Man 
Creek from its source in section 7, T10N, R2E 
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I 
115TH CONGRESS 
2D SESSION 
H. R. 6563 
To amend title XVIII of the Social Security Act to prevent growth rate 
cliff for out-of-pocket threshold under Medicare part D. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 26, 2018 
Mr. PALLONE (for himself and Mr. NEAL) introduced the following bill; which 
was referred to the Committee on Energy and Commerce, and in addition 
to the Committee on Ways and Means, for a period to be subsequently 
determined by the Speaker, in each case for consideration of such provi-
sions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to prevent 
growth rate cliff for out-of-pocket threshold under Medi-
care part D. 
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 ‘‘Lower Out-of-Pocket 
Costs for Seniors Act’’. 
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SEC. 2. PREVENTING GROWTH RATE CLIFF FOR OUT-OF- 
POCKET COST THRESHOLD UNDER MEDI-
CARE PART D. 
Section 1860D–2(b)(4)(B)(i) of the Social Security 
Act (42 U.S.C. 1395w–102(b)(4)(B)(i)) is amended— 
(1) in subclause (III), by adding at the end 
‘‘or’’; 
(2) in subclause (IV)— 
(A) by striking ‘‘each of years 2016 
through 2019’’ and inserting ‘‘2016 and each 
subsequent year’’; and 
(B) by striking the semicolon at the end 
and inserting a period; and 
(3) by striking subclauses (V) and (VI). 
Æ 
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to .25 miles upstream of the Prairie Creek con-
fluence as a recreational river. 
‘‘(B) The 2.3-mile segment of Larry 
Damm Creek from its source in section 44, 
T11N, R2E to the confluence with Lost Man 
Creek as a recreational river. 
‘‘(C) The 3.6-mile segment of Little Lost 
Man Creek from its source in section 6, T10N, 
R2E to .25 miles upstream of the Lost Man 
Creek road crossing as a wild river. 
‘‘(D) The 1.6-mile segment of Larry 
Damm Creek from its source in section 8, 
T11N, R2E to the unnamed confluence with 
the tributary in section 18, T11N, R1E, as a 
recreational river. 
‘‘(E) The .75-mile segment of Larry 
Damm Creek from the unnamed confluence 
with the tributary in section 18, T11N, R1E to 
the confluence with Lost Man Creek, as a sce-
nic river. 
‘‘(233) SOUTH
FORK
ELK
RIVER.—The fol-
lowing segments to be administered by the Secretary 
of the Interior through a cooperative management 
agreement with the State of California: 
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‘‘(35) FEE WAIVERS.—In the case of any loan 
under this section to an emerging business enter-
prise, the Administrator may waive the collection of 
any fee associated with the origination or guarantee 
of such a loan, unless— 
‘‘(A) in the case of a fiscal year, the Presi-
dent’s budget for the upcoming fiscal year, sub-
mitted to Congress pursuant to section 1105(a) 
of title 31, United States Code, includes a cost 
for the program established under this sub-
section that is above zero; and 
‘‘(B) no adverse effect on the waivers pro-
vided under paragraph (31)(G) or (33)(E)(ii). 
‘‘(36) EMERGING BUSINESS ENTERPRISES.— 
‘‘(A) REPORTS.—On the date that is one 
year after the end of the first fiscal year for 
which a loan is first guaranteed under this sub-
section, and annually thereafter, each lender 
making a loan guaranteed under this section 
shall report to the Administrator the total num-
ber of loans made under such section during 
the preceding fiscal year, the total amount 
loaned, and the number of waivers under para-
graph (35) provided. 
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‘‘(B) VERIFICATION.—A lender making a 
loan guaranteed under this section shall verify 
the status of a business concern as an emerging 
business enterprise before issuing a loan. The 
Administrator shall ensure that applications 
submitted under this section are required to in-
clude sufficient documentation to ensure that a 
lender can verify such status. 
‘‘(C) SANCTION.—If a business concern 
has received a loan under this subsection and 
that business concern has fraudulently mis-
represented its status as an emerging business 
enterprise, that business concern shall repay the 
amount of the loan to the lender (from which 
amount the lender shall repay the amount of 
any guarantee paid on the loan), and shall in 
addition pay a fine in an amount determined by 
the Administrator.’’. 
SEC. 3. SELF-CERTIFICATION. 
Not later than 180 days after the date of enactment 
of this Act, the Administrator shall by rule establish a 
process for initial self-certification of emerging business 
enterprises for purposes of participation in Federal con-
tracts, and eligibility for Express Loans under section 
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7(a)(31)(G) of the Small Business Act or other loans 
under section 7(a) of such Act. 
Æ 
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I 
115TH CONGRESS 
2D SESSION 
H. R. 6566 
To amend title 38, United States Code, to remove the manifestation period 
required for the presumptions of service connection for chloracne, 
porphyria cutanea tarda, and acute and subacute peripheral neuropathy 
associated with exposure to certain herbicide agents. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 26, 2018 
Mr. COURTNEY introduced the following bill; which was referred to the 
Committee on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to remove the mani-
festation period required for the presumptions of service 
connection for chloracne, porphyria cutanea tarda, and 
acute and subacute peripheral neuropathy associated 
with exposure to certain herbicide agents. 
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 ‘‘Agent Orange Expo-
sure Fairness Act’’. 
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SEC. 2. REMOVAL OF MANIFESTATION PERIOD REQUIRED 
FOR PRESUMPTIONS OF SERVICE CONNEC-
TION FOR CERTAIN DISEASES ASSOCIATED 
WITH EXPOSURE TO CERTAIN HERBICIDE 
AGENTS. 
Section 1116(a)(2) of title 38, United States Code, 
is amended— 
(1) in subparagraph (C), by striking ‘‘within 
one’’ and all that follows through ‘‘1975’’; 
(2) in subparagraph (E), by striking ‘‘within a’’ 
and all that follows through ‘‘1975’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(I) Acute and subacute peripheral neuropathy 
becoming manifest to a degree of disability of 10 
percent or more.’’. 
Æ 
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I 
115TH CONGRESS 
2D SESSION 
H. R. 6567 
To amend the Forest and Rangeland Renewable Resources Planning Act 
of 1974 to modify a provision relating to certain consultation requirements. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 26, 2018 
Mr. GIANFORTE introduced the following bill; which was referred to the Com-
mittee on Agriculture, and in addition to the Committee on Natural Re-
sources, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned 
A BILL 
To amend the Forest and Rangeland Renewable Resources 
Planning Act of 1974 to modify a provision relating 
to certain consultation requirements. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. NO ADDITIONAL CONSULTATION REQUIRED 
WITH RESPECT TO CERTAIN NEW INFORMA-
TION. 
Section 6(d)(2) of the Forest and Rangeland Renew-
able Resources Planning Act of 1974 (16 U.S.C. 
1604(d)(2)) is amended— 
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(1) in subparagraph (A)— 
(A) in clause (i), by striking ‘‘and’’ at the 
end; 
(B) in clause (ii), by striking the period at 
the end and inserting ‘‘; or’’; and 
(C) by adding at the end the following: 
‘‘(iii) any new information (within the 
meaning of subsection (b) of section 
402.16 of title 50, Code of Federal Regula-
tions (or a successor regulation)) relating 
to a land management plan, if the land 
management plan has been adopted by the 
Secretary as of the date on which the new 
information is revealed.’’; and 
(2) in subparagraph (B)(ii)— 
(A) by striking ‘‘since the date’’ and in-
serting the following: ‘‘since the later of— 
‘‘(I) the date’’; 
(B) in subclause (I) (as so designated), by 
striking ‘‘this section or the date’’ and inserting 
the following: ‘‘this section; and 
‘‘(II) as applicable— 
‘‘(aa) the date’’; and 
(C) in subclause (II)(aa) (as so des-
ignated), by striking ‘‘subparagraph, whichever 
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is later.’’ and inserting the following: ‘‘subpara-
graph; or 
‘‘(bb) the date on which new 
information relating to the land 
management plan is revealed as 
described in clause (iii) of that 
subparagraph.’’. 
Æ 
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I 
115TH CONGRESS 
1ST SESSION 
H. R. 656 
To amend title XIX of the Social Security Act to allow for greater State 
flexibility with respect to excluding providers who are involved in abortions. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 24, 2017 
Mr. DUFFY (for himself, Mrs. WAGNER, Mr. MULLIN, Mr. MEADOWS, Mr. 
STEWART, Mr. PITTENGER, Mr. GROTHMAN, Mr. WEBER of Texas, and 
Mr. LATTA) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to allow 
for greater State flexibility with respect to excluding 
providers who are involved in abortions. 
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 ‘‘Women’s Public 
Health and Safety Act’’. 
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et seq.) (commonly referred to as the ‘‘STOP Vio-
lence Against Women Formula Grant Program’’). 
(2) Section 41601 of the Violence Against 
Women Act of 1994 (34 U.S.C. 12511) (commonly 
referred to as the ‘‘Sexual Assault Services Pro-
gram’’). 
(e) GRANT TERM.— 
(1) IN GENERAL.—The Attorney General shall 
provide an increase in the amount provided to a 
State under the grant programs described in sub-
section (d) for a 2-year period. 
(2) RENEWAL.—A State that receives a grant 
under this section may submit an application for a 
renewal of such grant at such time, in such manner, 
and containing such information as the Attorney 
General may reasonably require. 
(3) LIMIT.—A State may not receive a grant 
under this section for more than 4 years. 
(f) USES OF FUNDS.—A State that receives a grant 
under this section shall use— 
(1) 25 percent of such funds for any of the per-
missible uses of funds under the grant program de-
scribed in paragraph (1) of subsection (d); and 
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(2) 75 percent of such funds for any of the per-
missible uses of funds under the grant program de-
scribed in paragraph (2) of subsection (d). 
(g) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this chapter 
$5,000,000 for each of fiscal years 2019 through 2023. 
SEC. 4. REPORT TO CONGRESS. 
The Attorney General shall submit to Congress, on 
an annual basis, a report containing— 
(1) the information required to be reported to 
the Attorney General under section 3(b); and 
(2) information on the number of reports made, 
during the previous year, to Federal law enforce-
ment agencies regarding Federal law enforcement 
officers engaging in a sexual act with an individual 
who is under arrest, in detention, or otherwise in the 
actual custody of the law enforcement officer. 
Æ 
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‘‘(A) The 3.6-mile segment of the Little 
South Fork Elk River from the source in sec-
tion 21, T3N, R1E to the confluence with the 
South Fork Elk River, as a wild river. 
‘‘(B) 
The 
2.2-mile 
segment 
of 
the 
unnamed tributary of the Little South Fork Elk 
River from its source in section 15, T3N, R1E 
to the confluence with the Little South Fork 
Elk River, as a wild river. 
‘‘(C) The 3.6-mile segment of the South 
Fork Elk River from the confluence of the Lit-
tle South Fork Elk River to the confluence with 
Tom Gulch, as a recreational river. 
‘‘(234) SALMON CREEK.—The 4.6-mile segment 
from its source in section 27, T3N, R1E to the 
Headwaters Forest Reserve boundary in section 18, 
T3N, R1E to be administered by the Secretary of 
the Interior as a wild river through a cooperative 
agreement with the State of California. 
‘‘(235) SOUTH
FORK
EEL
RIVER.—The fol-
lowing segments to be administered by the Secretary 
of the Interior: 
‘‘(A) The 6.2-mile segment from the con-
fluence with Jack of Hearts Creek to the south-
ern boundary of the South Fork Eel Wilderness 
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SEC. 2. INCREASING STATE FLEXIBILITY IN DETERMINING 
PARTICIPATION OF PROVIDERS WHO PER-
FORM, OR PARTICIPATE IN THE PERFORM-
ANCE OF, ABORTIONS. 
Section 1902 of the Social Security Act (42 U.S.C. 
1396a) is amended— 
(1) in subsection (a)(23), by striking ‘‘sub-
section (g)’’ and inserting ‘‘subsection (g), sub-
section (ll),’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(ll) RULES WITH RESPECT TO DETERMINATION OF 
PARTICIPATION OF PROVIDERS WHO PERFORM, OR PAR-
TICIPATE IN THE PERFORMANCE OF, ABORTIONS.— 
‘‘(1) IN
GENERAL.—Beginning October 1, 
2017, subject to paragraph (2), for purposes of this 
title, a State, at its option, may establish criteria 
with respect to the participation under the State 
plan (or under a waiver of the plan) of an institu-
tion, agency, entity, or person who performs, or par-
ticipates in the performance of, abortions. 
‘‘(2) EXCEPTION.—Paragraph (1) shall not 
apply to an abortion— 
‘‘(A) if the pregnancy is the result of an 
act of rape or incest; or 
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‘‘(B) in the case where a woman suffers 
from a physical disorder, physical injury, or 
physical illness that would, as certified by a 
physician, place the woman in danger of death 
unless an abortion is performed, including a 
life-endangering physical condition caused by or 
arising from the pregnancy itself. 
‘‘(3) DEFINITIONS.—For purposes of this sub-
section, the terms ‘institution’, ‘agency’, or ‘entity’ 
mean the entire legal institution, agency, or entity, 
or any part thereof, including any institution, agen-
cy, or entity that controls, is controlled by, or is 
under common control with such institution, agency, 
or entity.’’. 
Æ 
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(ii) by striking ‘‘an interim report’’ 
and inserting ‘‘a report’’; and 
(C) in paragraph (3)— 
(i) by striking ‘‘July 1, 2007’’ and in-
serting ‘‘360 days after the date of the en-
actment of the Homeless Veterans Com-
prehensive Assistance Act of 2018’’; and 
(ii) by striking ‘‘final’’. 
SEC. 4. EXTENSION OF AUTHORITY FOR HOUSING ASSIST-
ANCE FOR HOMELESS VETERANS. 
Section 2041(c) of title 38, United States Code, is 
amended by striking ‘‘2017’’ and inserting ‘‘2020’’. 
SEC. 5. ADDITIONAL OPTIONS FOR DENTAL CARE. 
Section 2062 of title 38, United States Code, is 
amended— 
(1) in subsection (b)(2), by adding at the end 
the following: 
‘‘(E) A Federally qualified health center.’’; 
and 
(2) by adding at the end the following: 
‘‘(d) 
PROVIDERS.—For 
purposes 
of 
section 
1712(a)(1)(H), the Secretary may award a contract to a 
Federally qualified health center that provides services to 
a veteran described in subsection (b).’’. 
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