H. R. 3630—34 
(d) IMPLEMENTATION.—The Secretary of Health and Human 
Services shall implement such claims processing edits and issue 
such guidance as may be necessary to implement the amendments 
made by this section in a timely manner. Notwithstanding any 
other provision of law, the Secretary may implement the amend-
ments made by this section by program instruction. Of the amount 
of funds made available to the Secretary for fiscal year 2012 for 
program management for the Centers for Medicare & Medicaid 
Services, not to exceed $9,375,000 shall be available for such fiscal 
year and the first 3 months of fiscal year 2013 to carry out section 
1833(g)(5)(C) of the Social Security Act (relating to manual medical 
review), as added by subsection (a). 
(e) EFFECTIVE DATE.—The requirement of subparagraph (B) 
of section 1833(g)(5) of the Social Security Act (42 U.S.C. 
1395l(g)(5)), as added by subsection (a), shall apply to services 
furnished on or after March 1, 2012. 
(f) MEDPAC REPORT ON IMPROVED MEDICARE THERAPY BENE-
FITS.—Not later than June 15, 2013, the Medicare Payment 
Advisory Commission shall submit to the Committees on Energy 
and Commerce and Ways and Means of the House of Representa-
tives and to the Committee on Finance of the Senate a report 
making recommendations on how to improve the outpatient therapy 
benefit under part B of title XVIII of the Social Security Act. 
The report shall include recommendations on how to reform the 
payment system for such outpatient therapy services under such 
part so that the benefit is better designed to reflect individual 
acuity, condition, and therapy needs of the patient. Such report 
shall include an examination of private sector initiatives relating 
to outpatient therapy benefits. 
(g) COLLECTION OF ADDITIONAL DATA.— 
(1) STRATEGY.—The Secretary of Health and Human Serv-
ices shall implement, beginning on January 1, 2013, a claims- 
based data collection strategy that is designed to assist in 
reforming the Medicare payment system for outpatient therapy 
services subject to the limitations of section 1833(g) of the 
Social Security Act (42 U.S.C. 1395l(g)). Such strategy shall 
be designed to provide for the collection of data on patient 
function during the course of therapy services in order to better 
understand patient condition and outcomes. 
(2) CONSULTATION.—In proposing and implementing such 
strategy, the Secretary shall consult with relevant stakeholders. 
(h) GAO REPORT
ON
MANUAL
MEDICAL
REVIEW
PROCESS 
IMPLEMENTATION.—Not later than May 1, 2013, the Comptroller 
General of the United States shall submit to the Committees on 
Energy and Commerce and Ways and Means of the House of Rep-
resentatives and to the Committee on Finance of the Senate a 
report on the implementation of the manual medical review process 
referred to in section 1833(g)(5)(C) of the Social Security Act, as 
added by subsection (a). Such report shall include aggregate data 
on the number of individuals and claims subject to such process, 
the number of reviews conducted under such process, and the 
outcome of such reviews. 
SEC. 3006. PAYMENT FOR TECHNICAL COMPONENT OF CERTAIN PHYSI-
CIAN PATHOLOGY SERVICES. 
Section 542(c) of the Medicare, Medicaid, and SCHIP Benefits 
Improvement and Protection Act of 2000 (as enacted into law by
H. R. 3630—35 
section 1(a)(6) of Public Law 106–554), as amended by section 
732 of the Medicare Prescription Drug, Improvement, and Mod-
ernization Act of 2003 (42 U.S.C. 1395w–4 note), section 104 of 
division B of the Tax Relief and Health Care Act of 2006 (42 
U.S.C. 1395w–4 note), section 104 of the Medicare, Medicaid, and 
SCHIP Extension Act of 2007 (Public Law 110–173), section 136 
of the Medicare Improvements for Patients and Providers Act of 
2008 (Public Law 110–275), section 3104 of the Patient Protection 
and Affordable Care Act (Public Law 111–148), section 105 of the 
Medicare and Medicaid Extenders Act of 2010 (Public Law 111– 
309), and section 305 of the Temporary Payroll Tax Cut Continu-
ation Act of 2011 (Public Law 112–78), is amended by striking 
‘‘and the first two months of 2012’’ and inserting ‘‘and the first 
six months of 2012’’. 
SEC. 3007. AMBULANCE ADD-ON PAYMENTS. 
(a) GROUND AMBULANCE.—Section 1834(l)(13)(A) of the Social 
Security Act (42 U.S.C. 1395m(l)(13)(A)), as amended by section 
306(a) of the Temporary Payroll Tax Cut Continuation Act of 2011 
(Public Law 112–78), is amended— 
(1) in the matter preceding clause (i), by striking ‘‘March 
1, 2012’’ and inserting ‘‘January 1, 2013’’; and 
(2) in each of clauses (i) and (ii), by striking ‘‘March 1, 
2012’’ and inserting ‘‘January 1, 2013’’ each place it appears. 
(b) AIR
AMBULANCE.—Section 146(b)(1) of the Medicare 
Improvements for Patients and Providers Act of 2008 (Public Law 
110–275), as amended by sections 3105(b) and 10311(b) of the 
Patient Protection and Affordable Care Act (Public Law 111–148), 
section 106(b) of the Medicare and Medicaid Extenders Act of 2010 
(Public Law 111–309) and section 306(b) of the Temporary Payroll 
Tax Cut Continuation Act of 2011 (Public Law 112–78), is amended 
by striking ‘‘February 29, 2012’’ and inserting ‘‘December 31, 2012’’. 
(c) SUPER RURAL AMBULANCE.—Section 1834(l)(12)(A) of the 
Social Security Act (42 U.S.C. 1395m(l)(12)(A)), as amended by 
section 306(c) of Temporary Payroll Tax Cut Continuation Act of 
2011 (Public Law 112–78), is amended in the first sentence by 
striking ‘‘March 1, 2012’’ and inserting ‘‘January 1, 2013’’. 
(d) GAO REPORT UPDATE.—Not later than October 1, 2012, 
the Comptroller General of the United States shall update the 
GAO report GAO–07–383 (relating to Ambulance Providers: Costs 
and Expected Medicare Margins Vary Greatly) to reflect current 
costs for ambulance providers. 
(e) MEDPAC REPORT.—The Medicare Payment Advisory 
Commission shall conduct a study of— 
(1) the appropriateness of the add-on payments for ambu-
lance providers under paragraphs (12)(A) and (13)(A) of section 
1834(l) of the Social Security Act (42 U.S.C. 1395m(l)) and 
the treatment of air ambulance providers under section 
146(b)(1) of the Medicare Improvements for Patients and Pro-
viders Act of 2008 (Public Law 110–275); 
(2) the effect these add-on payments and such treatment 
have on the Medicare margins of ambulance providers; and 
(3) whether there is a need to reform the Medicare ambu-
lance fee schedule under such section and, if so, what should 
such reforms be, including whether the add-on payments should 
be included in the base rate.
H. R. 3630—36 
Not later than June 15, 2013, the Commission shall submit to 
the Committees on Ways and Means and Energy and Commerce 
of the House of Representatives and the Committee on Finance 
of the Senate a report on such study and shall include in the 
report such recommendations as the Commission deems appro-
priate. 
Subtitle B—Other Health Provisions 
SEC. 3101. QUALIFYING INDIVIDUAL PROGRAM. 
(a) EXTENSION.—Section 1902(a)(10)(E)(iv) of the Social Security 
Act (42 U.S.C. 1396a(a)(10)(E)(iv)), as amended by section 310(a) 
of the Temporary Payroll Tax Cut Continuation Act of 2011 (Public 
Law 112–78), is amended by striking ‘‘February’’ and inserting 
‘‘December’’. 
(b) EXTENDING TOTAL AMOUNT AVAILABLE FOR ALLOCATION.— 
Section 1933(g) of such Act (42 U.S.C. 1396u–3(g)), as amended 
by section 310(b) of the Temporary Payroll Tax Cut Continuation 
Act of 2011 (Public Law 112–78), is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (P), by striking ‘‘and’’ after the 
semicolon; 
(B) in subparagraph (Q), by striking ‘‘February 29, 
2012, the total allocation amount is $150,000,000.’’ and 
inserting ‘‘September 30, 2012, the total allocation amount 
is $450,000,000; and’’; and 
(C) by adding at the end the following new subpara-
graph: 
‘‘(R) for the period that begins on October 1, 2012, 
and ends on December 31, 2012, the total allocation amount 
is $280,000,000.’’; and 
(2) in paragraph (3), in the matter preceding subparagraph 
(A), by striking ‘‘or (P)’’ and inserting ‘‘(P), or (R)’’. 
SEC. 3102. TRANSITIONAL MEDICAL ASSISTANCE. 
Sections 1902(e)(1)(B) and 1925(f) of the Social Security Act 
(42 U.S.C. 1396a(e)(1)(B), 1396r–6(f)), as amended by section 311 
of the Temporary Payroll Tax Cut Continuation Act of 2011 (Public 
Law 112–78), are each amended by striking ‘‘February 29’’ and 
inserting ‘‘December 31’’. 
Subtitle C—Health Offsets 
SEC. 3201. REDUCTION OF BAD DEBT TREATED AS AN ALLOWABLE 
COST. 
(a) HOSPITALS.—Section 1861(v)(1)(T) of the Social Security Act 
(42 U.S.C. 1395x(v)(1)(T)) is amended— 
(1) in clause (iii), by striking ‘‘and’’ at the end; 
(2) in clause (iv)— 
(A) by striking ‘‘a subsequent fiscal year’’ and inserting 
‘‘fiscal years 2001 through 2012’’; and 
(B) by striking the period at the end and inserting 
‘‘, and’’; and 
(3) by adding at the end the following:
H. R. 3630—37 
‘‘(v) for cost reporting periods beginning during fiscal year 
2013 or a subsequent fiscal year, by 35 percent of such amount 
otherwise allowable.’’. 
(b) SKILLED NURSING FACILITIES.—Section 1861(v)(1)(V) of such 
Act (42 U.S.C. 1395x(v)(1)(V)) is amended— 
(1) in the matter preceding clause (i), by striking ‘‘with 
respect to cost reporting periods beginning on or after October 
1, 2005’’ and inserting ‘‘and (beginning with respect to cost 
reporting periods beginning during fiscal year 2013) for covered 
skilled nursing services described in section 1888(e)(2)(A) fur-
nished by hospital providers of extended care services (as 
described in section 1883)’’; 
(2) in clause (i), by striking ‘‘reduced by’’ and all that 
follows through ‘‘allowable; and’’ and inserting the following: 
‘‘reduced by— 
‘‘(I) for cost reporting periods beginning on or after October 
1, 2005, but before fiscal year 2013, 30 percent of such amount 
otherwise allowable; and 
‘‘(II) for cost reporting periods beginning during fiscal year 
2013 or a subsequent fiscal year, by 35 percent of such amount 
otherwise allowable.’’; and 
(3) in clause (ii), by striking ‘‘such section shall not be 
reduced.’’ and inserting ‘‘such section— 
‘‘(I) for cost reporting periods beginning on or after October 
1, 2005, but before fiscal year 2013, shall not be reduced; 
‘‘(II) for cost reporting periods beginning during fiscal year 
2013, shall be reduced by 12 percent of such amount otherwise 
allowable; 
‘‘(III) for cost reporting periods beginning during fiscal year 
2014, shall be reduced by 24 percent of such amount otherwise 
allowable; and 
‘‘(IV) for cost reporting periods beginning during a subse-
quent fiscal year, shall be reduced by 35 percent of such amount 
otherwise allowable.’’. 
(c) CERTAIN OTHER PROVIDERS.—Section 1861(v)(1) of such Act 
(42 U.S.C. 1395x(v)(1)) is amended by adding at the end the fol-
lowing new subparagraph: 
‘‘(W)(i) In determining such reasonable costs for providers 
described in clause (ii), the amount of bad debts otherwise treated 
as allowable costs which are attributable to deductibles and coinsur-
ance amounts under this title shall be reduced— 
‘‘(I) for cost reporting periods beginning during fiscal year 
2013, by 12 percent of such amount otherwise allowable; 
‘‘(II) for cost reporting periods beginning during fiscal year 
2014, by 24 percent of such amount otherwise allowable; and 
‘‘(III) for cost reporting periods beginning during a subse-
quent fiscal year, by 35 percent of such amount otherwise 
allowable. 
‘‘(ii) A provider described in this clause is a provider of services 
not described in subparagraph (T) or (V), a supplier, or any other 
type of entity that receives payment for bad debts under the 
authority under subparagraph (A).’’. 
(d) CONFORMING AMENDMENT FOR HOSPITAL SERVICES.—Section 
4008(c) of the Omnibus Budget Reconciliation Act of 1987 (42 U.S.C. 
1395 note), as amended by section 8402 of the Technical and Mis-
cellaneous Revenue Act of 1988 and section 6023 of the Omnibus 
Budget Reconciliation Act of 1989, is amended by adding at the
H. R. 3630—38 
end the following new sentence: ‘‘Effective for cost reporting periods 
beginning on or after October 1, 2012, the provisions of the previous 
two sentences shall not apply.’’. 
SEC. 3202. REBASE MEDICARE CLINICAL LABORATORY PAYMENT 
RATES. 
Section 1833(h)(2)(A) of the Social Security Act (42 U.S.C. 
1395l(h)(2)(A)) is amended— 
(1) in clause (i), by striking ‘‘paragraph (4)’’ and inserting 
‘‘clause (v), subparagraph (B), and paragraph (4)’’; 
(2) by moving clause (iv), subclauses (I) and (II) of such 
clause, and the flush matter at the end of such clause 6 ems 
to the left; and 
(3) by adding at the end the following new clause: 
‘‘(v) The Secretary shall reduce by 2 percent the fee schedules 
otherwise determined under clause (i) for 2013, and such reduced 
fee schedules shall serve as the base for 2014 and subsequent 
years.’’. 
SEC. 3203. REBASING STATE DSH ALLOTMENTS FOR FISCAL YEAR 2021. 
Section 1923(f) of the Social Security Act (42 U.S.C. 1396r– 
4(f)) is amended— 
(1) by redesignating paragraph (8) as paragraph (9); 
(2) in paragraph (3)(A) by striking ‘‘paragraphs (6) and 
(7)’’ and inserting ‘‘paragraphs (6), (7), and (8)’’; and 
(3) by inserting after paragraph (7) the following new para-
graph: 
‘‘(8) REBASING OF STATE DSH ALLOTMENTS FOR FISCAL YEAR 
2021.—With respect to fiscal year 2021, for purposes of applying 
paragraph (3)(A) to determine the DSH allotment for a State, 
the amount of the DSH allotment for the State under paragraph 
(3) for fiscal year 2020 shall be equal to the DSH allotment 
as reduced under paragraph (7).’’. 
SEC. 3204. TECHNICAL CORRECTION TO THE DISASTER RECOVERY 
FMAP PROVISION. 
(a) IN GENERAL.—Section 1905(aa) of the Social Security Act 
(42 U.S.C. 1396d(aa)) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (A), by striking ‘‘the Federal med-
ical assistance percentage determined for the fiscal year’’ 
and all that follows through the period and inserting ‘‘the 
State’s regular FMAP shall be increased by 50 percent 
of the number of percentage points by which the State’s 
regular FMAP for such fiscal year is less than the Federal 
medical assistance percentage determined for the State 
for the preceding fiscal year after the application of only 
subsection (a) of section 5001 of Public Law 111–5 (if 
applicable to the preceding fiscal year) and without regard 
to this subsection, subsections (y) and (z), and subsections 
(b) and (c) of section 5001 of Public Law 111–5.’’; and 
(B) in subparagraph (B), by striking ‘‘Federal medical 
assistance percentage determined for the preceding fiscal 
year’’ and all that follows through the period and inserting 
‘‘State’s regular FMAP for such fiscal year shall be 
increased by 25 percent of the number of percentage points 
by which the State’s regular FMAP for such fiscal year
H. R. 3630—40 
(3) in subparagraph (C), by striking ‘‘2003’’ and inserting 
‘‘2012’’. 
(b) HEALTHY MARRIAGE PROMOTION AND RESPONSIBLE FATHER-
HOOD
GRANTS.—Section 403(a)(2)(D) of such Act (42 U.S.C. 
603(a)(2)(D)) is amended by striking ‘‘2011’’ each place it appears 
and inserting ‘‘2012’’. 
(c) MAINTENANCE OF EFFORT REQUIREMENT.—Section 409(a)(7) 
of such Act (42 U.S.C. 609(a)(7)) is amended— 
(1) in subparagraph (A), by striking ‘‘fiscal year’’ and all 
that follows through ‘‘2013’’ and inserting ‘‘a fiscal year’’; and 
(2) in subparagraph (B)(ii)— 
(A) by striking ‘‘for fiscal years 1997 through 2012,’’; 
and 
(B) by striking ‘‘407(a) for the fiscal year,’’ and inserting 
‘‘407(a),’’. 
(d) TRIBAL GRANTS.—Section 412(a) of such Act (42 U.S.C. 
612(a)) is amended in each of paragraphs (1)(A) and (2)(A) by 
striking ‘‘each of fiscal years 1997’’ and all that follows through 
‘‘2003’’ and inserting ‘‘fiscal year 2012’’. 
(e) STUDIES AND DEMONSTRATIONS.—Section 413(h)(1) of such 
Act (42 U.S.C. 613(h)(1)) is amended by striking ‘‘each of fiscal 
years 1997 through 2002’’ and inserting ‘‘fiscal year 2012’’. 
(f) CENSUS BUREAU STUDY.—Section 414(b) of such Act (42 
U.S.C. 614(b)) is amended by striking ‘‘each of fiscal years 1996’’ 
and all that follows through ‘‘2003’’ and inserting ‘‘fiscal year 2012’’. 
(g) CHILD CARE ENTITLEMENT.—Section 418(a)(3) of such Act 
(42 U.S.C. 618(a)(3)) is amended by striking ‘‘appropriated’’ and 
all that follows and inserting ‘‘appropriated $2,917,000,000 for fiscal 
year 2012.’’. 
(h) GRANTS TO TERRITORIES.—Section 1108(b)(2) of such Act 
(42 U.S.C. 1308(b)(2)) is amended by striking ‘‘fiscal years 1997 
through 2003’’ and inserting ‘‘fiscal year 2012’’. 
(i) PREVENTION
OF DUPLICATE APPROPRIATIONS
FOR FISCAL 
YEAR 2012.—Expenditures made pursuant to the Short-Term TANF 
Extension Act (Public Law 112–35) and the Temporary Payroll 
Tax Cut Continuation Act of 2011 (Public Law 112–78) for fiscal 
year 2012 shall be charged to the applicable appropriation or 
authorization provided by the amendments made by this section 
for such fiscal year. 
(j) EFFECTIVE DATE.—This section and the amendments made 
by this section shall take effect on the date of the enactment 
of this Act. 
SEC. 4003. DATA EXCHANGE STANDARDIZATION FOR IMPROVED INTER-
OPERABILITY. 
(a) IN GENERAL.—Section 411 of the Social Security Act (42 
U.S.C. 611) is amended by adding at the end the following: 
‘‘(d) DATA EXCHANGE STANDARDIZATION FOR IMPROVED INTER-
OPERABILITY.— 
‘‘(1) DATA EXCHANGE STANDARDS.— 
‘‘(A) DESIGNATION.—The Secretary, in consultation 
with an interagency work group which shall be established 
by the Office of Management and Budget, and considering 
State and tribal perspectives, shall, by rule, designate a 
data exchange standard for any category of information 
required to be reported under this part.
H. R. 3630—41 
‘‘(B) DATA EXCHANGE STANDARDS MUST BE NONPROPRI-
ETARY AND INTEROPERABLE.—The data exchange standard 
designated under subparagraph (A) shall, to the extent 
practicable, be nonproprietary and interoperable. 
‘‘(C) OTHER
REQUIREMENTS.—In designating data 
exchange standards under this section, the Secretary shall, 
to the extent practicable, incorporate— 
‘‘(i) interoperable standards developed and main-
tained by an international voluntary consensus stand-
ards body, as defined by the Office of Management 
and Budget, such as the International Organization 
for Standardization; 
‘‘(ii) interoperable standards developed and main-
tained by intergovernmental partnerships, such as the 
National Information Exchange Model; and 
‘‘(iii) interoperable standards developed and main-
tained by Federal entities with authority over con-
tracting and financial assistance, such as the Federal 
Acquisition Regulatory Council. 
‘‘(2) DATA EXCHANGE STANDARDS FOR REPORTING.— 
‘‘(A) DESIGNATION.—The Secretary, in consultation 
with an interagency work group established by the Office 
of Management and Budget, and considering State and 
tribal perspectives, shall, by rule, designate data exchange 
standards to govern the data reporting required under 
this part. 
‘‘(B) REQUIREMENTS.—The data exchange standards 
required by subparagraph (A) shall, to the extent prac-
ticable— 
‘‘(i) incorporate a widely-accepted, nonproprietary, 
searchable, computer-readable format; 
‘‘(ii) be consistent with and implement applicable 
accounting principles; and 
‘‘(iii) be capable of being continually upgraded as 
necessary. 
‘‘(C) INCORPORATION OF NONPROPRIETARY STANDARDS.— 
In designating reporting standards under this paragraph, 
the Secretary shall, to the extent practicable, incorporate 
existing nonproprietary standards, such as the eXtensible 
Markup Language.’’. 
(b) EFFECTIVE DATES.— 
(1) DATA EXCHANGE STANDARDS.—The Secretary of Health 
and Human Services shall issue a proposed rule under section 
411(d)(1) of the Social Security Act within 12 months after 
the date of the enactment of this section, and shall issue 
a final rule under such section 411(d)(1), after public comment, 
within 24 months after such date of enactment. 
(2) DATA REPORTING STANDARDS.—The reporting standards 
required under section 411(d)(2) of such Act shall become effec-
tive with respect to reports required in the first reporting 
period, after the effective date of the final rule referred to 
in paragraph (1) of this subsection, for which the authority 
for data collection and reporting is established or renewed 
under the Paperwork Reduction Act.
H. R. 3630—42 
SEC. 4004. SPENDING POLICIES FOR ASSISTANCE UNDER STATE TANF 
PROGRAMS. 
(a) STATE REQUIREMENT.—Section 408(a) of the Social Security 
Act (42 U.S.C. 608(a)) is amended by adding at the end the fol-
lowing: 
‘‘(12) STATE
REQUIREMENT
TO
PREVENT
UNAUTHORIZED 
SPENDING OF BENEFITS.— 
‘‘(A) IN GENERAL.—A State to which a grant is made 
under section 403 shall maintain policies and practices 
as necessary to prevent assistance provided under the State 
program funded under this part from being used in any 
electronic benefit transfer transaction in— 
‘‘(i) any liquor store; 
‘‘(ii) any casino, gambling casino, or gaming 
establishment; or 
‘‘(iii) any retail establishment which provides 
adult-oriented entertainment in which performers dis-
robe or perform in an unclothed state for entertain-
ment. 
‘‘(B) DEFINITIONS.—For purposes of subparagraph (A)— 
‘‘(i) LIQUOR STORE.—The term ‘liquor store’ means 
any retail establishment which sells exclusively or pri-
marily intoxicating liquor. Such term does not include 
a grocery store which sells both intoxicating liquor 
and groceries including staple foods (within the 
meaning of section 3(r) of the Food and Nutrition Act 
of 2008 (7 U.S.C. 2012(r))). 
‘‘(ii) 
CASINO, 
GAMBLING
CASINO, 
OR
GAMING 
ESTABLISHMENT.—The terms ‘casino’, ‘gambling casino’, 
and ‘gaming establishment’ do not include— 
‘‘(I) a grocery store which sells groceries 
including such staple foods and which also offers, 
or is located within the same building or complex 
as, casino, gambling, or gaming activities; or 
‘‘(II) any other establishment that offers 
casino, gambling, or gaming activities incidental 
to the principal purpose of the business. 
‘‘(iii) 
ELECTRONIC
BENEFIT
TRANSFER
TRANS-
ACTION.—The term ‘electronic benefit transfer trans-
action’ means the use of a credit or debit card service, 
automated teller machine, point-of-sale terminal, or 
access to an online system for the withdrawal of funds 
or the processing of a payment for merchandise or 
a service.’’. 
(b) PENALTY.—Section 409(a) of such Act (42 U.S.C. 609(a)) 
is amended by adding at the end the following: 
‘‘(16) PENALTY FOR FAILURE TO ENFORCE SPENDING POLI-
CIES.— 
‘‘(A) IN GENERAL.—If, within 2 years after the date 
of the enactment of this paragraph, any State has not 
reported to the Secretary on such State’s implementation 
of the policies and practices required by section 408(a)(12), 
or the Secretary determines, based on the information pro-
vided in State reports, that any State has not implemented 
and maintained such policies and practices, the Secretary 
shall reduce, by an amount equal to 5 percent of the
H. R. 3630—43 
State family assistance grant, the grant payable to such 
State under section 403(a)(1) for— 
‘‘(i) the fiscal year immediately succeeding the year 
in which such 2-year period ends; and 
‘‘(ii) each succeeding fiscal year in which the State 
does not demonstrate that such State has implemented 
and maintained such policies and practices. 
‘‘(B) REDUCTION
OF
APPLICABLE
PENALTY.—The Sec-
retary may reduce the amount of the reduction required 
under subparagraph (A) based on the degree of noncompli-
ance of the State. 
‘‘(C) STATE NOT RESPONSIBLE FOR INDIVIDUAL VIOLA-
TIONS.—Fraudulent activity by any individual in an 
attempt to circumvent the policies and practices required 
by section 408(a)(12) shall not trigger a State penalty under 
subparagraph (A).’’. 
(c) 
ADDITIONAL
STATE
PLAN
REQUIREMENTS.—Section 
402(a)(1)(A) of such Act (42 U.S.C. 602(a)(1)(A)) is amended by 
adding at the end the following: 
‘‘(vii) Implement policies and procedures as nec-
essary to prevent access to assistance provided under 
the State program funded under this part through 
any electronic fund transaction in an automated teller 
machine or point-of-sale device located in a place 
described in section 408(a)(12), including a plan to 
ensure that recipients of the assistance have adequate 
access to their cash assistance. 
‘‘(viii) Ensure that recipients of assistance provided 
under the State program funded under this part have 
access to using or withdrawing assistance with 
minimal fees or charges, including an opportunity to 
access assistance with no fee or charges, and are pro-
vided information on applicable fees and surcharges 
that apply to electronic fund transactions involving 
the assistance, and that such information is made pub-
licly available.’’. 
(d) CONFORMING AMENDMENT.—Section 409(c)(4) of such Act 
(42 U.S.C. 609(c)(4)) is amended by striking ‘‘or (13)’’ and inserting 
‘‘(13), or (16)’’. 
SEC. 4005. TECHNICAL CORRECTIONS. 
(a) Section 404(d)(1)(A) of the Social Security Act (42 U.S.C. 
604(d)(1)(A)) is amended by striking ‘‘subtitle 1 of Title’’ and 
inserting ‘‘Subtitle A of title’’. 
(b) Sections 407(c)(2)(A)(i) and 409(a)(3)(C) of such Act (42 
U.S.C. 607(c)(2)(A)(i) and 609(a)(3)(C)) are each amended by striking 
‘‘403(b)(6)’’ and inserting ‘‘403(b)(5)’’. 
(c) Section 409(a)(2)(A) of such Act (42 U.S.C. 609(a)(2)(A)) 
is amended by moving clauses (i) and (ii) 2 ems to the right. 
(d) Section 409(c)(2) of such Act (42 U.S.C. 609(c)(2)) is amended 
by inserting a comma after ‘‘appropriate’’. 
(e) 
Section 
411(a)(1)(A)(ii)(III) 
of 
such 
Act 
(42 
U.S.C. 
611(a)(1)(A)(ii)(III)) is amended by striking the last close paren-
thesis.
H. R. 3630—44 
TITLE V—FEDERAL EMPLOYEES 
RETIREMENT 
SEC. 5001. INCREASE IN CONTRIBUTIONS TO FEDERAL EMPLOYEES’ 
RETIREMENT SYSTEM FOR NEW EMPLOYEES. 
(a) DEFINITIONS.—Section 8401 of title 5, United States Code, 
is amended— 
(1) in paragraph (35), by striking ‘‘and’’ at the end; 
(2) in paragraph (36), by striking the period and inserting 
‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(37) the term ‘revised annuity employee’ means any indi-
vidual who— 
‘‘(A) on December 31, 2012— 
‘‘(i) is not an employee or Member covered under 
this chapter; 
‘‘(ii) is not performing civilian service which is 
creditable service under section 8411; and 
‘‘(iii) has less than 5 years of creditable civilian 
service under section 8411; and 
‘‘(B) after December 31, 2012, becomes employed as 
an employee or becomes a Member covered under this 
chapter performing service which is creditable service 
under section 8411.’’. 
(b) INCREASE
IN CONTRIBUTIONS.—Section 8422(a)(3) of title 
5, United States Code, is amended— 
(1) by striking ‘‘The applicable percentage under this para-
graph for civilian service’’ and inserting ‘‘(A) The applicable 
percentage under this paragraph for civilian service by 
employees or Members other than revised annuity employees’’; 
and 
(2) by adding at the end the following: 
‘‘(B) The applicable percentage under this paragraph for civilian 
service by revised annuity employees shall be as follows: 
‘‘Employee 
9.3 
After December 31, 2012. 
Congressional employee 
9.3 
After December 31, 2012. 
Member 
9.3 
After December 31, 2012. 
Law enforcement officer, fire-
fighter, member of the Capitol 
Police, member of the Su-
preme Court Police, or air 
traffic controller 
9.8 
After December 31, 2012. 
Nuclear materials courier 
9.8 
After December 31, 2012. 
Customs and border protection 
officer 
9.8 
After December 31, 2012.’’. 
(c) REDUCTION IN CONGRESSIONAL ANNUITIES.— 
(1) IN GENERAL.—Section 8415 of title 5, United States 
Code, is amended— 
(A) by redesignating subsections (d) through (m) as 
subsections (e) through (n), respectively; and 
(B) by inserting after subsection (c) the following: 
‘‘(d) Notwithstanding any other provision of law, the annuity 
of an individual described in subsection (b) or (c) who is a revised 
annuity employee shall be computed in the same manner as in 
the case of an individual described in subsection (a).’’. 
(2) TECHNICAL AND CONFORMING AMENDMENTS.—
H. R. 3630—47 
(A) the Committee on Commerce, Science, and 
Transportation of the Senate; and 
(B) the Committee on Energy and Commerce of the 
House of Representatives. 
(4) ASSISTANT SECRETARY.—The term ‘‘Assistant Secretary’’ 
means the Assistant Secretary of Commerce for Communica-
tions and Information. 
(5) BOARD.—The term ‘‘Board’’ means the Board of the 
First Responder Network Authority established under section 
6204(b). 
(6) BROADCAST TELEVISION LICENSEE.—The term ‘‘broadcast 
television licensee’’ means the licensee of— 
(A) a full-power television station; or 
(B) a low-power television station that has been 
accorded primary status as a Class A television licensee 
under section 73.6001(a) of title 47, Code of Federal Regula-
tions. 
(7) BROADCAST TELEVISION SPECTRUM.—The term ‘‘broad-
cast television spectrum’’ means the portions of the electro-
magnetic spectrum between the frequencies from 54 megahertz 
to 72 megahertz, from 76 megahertz to 88 megahertz, from 
174 megahertz to 216 megahertz, and from 470 megahertz 
to 698 megahertz. 
(8) 
COMMERCIAL
MOBILE
DATA
SERVICE.—The 
term 
‘‘commercial mobile data service’’ means any mobile service 
(as defined in section 3 of the Communications Act of 1934 
(47 U.S.C. 153)) that is— 
(A) a data service; 
(B) provided for profit; and 
(C) available to the public or such classes of eligible 
users as to be effectively available to a substantial portion 
of the public, as specified by regulation by the Commission. 
(9) COMMERCIAL MOBILE SERVICE.—The term ‘‘commercial 
mobile service’’ has the meaning given such term in section 
332 of the Communications Act of 1934 (47 U.S.C. 332). 
(10) COMMERCIAL
STANDARDS.—The term ‘‘commercial 
standards’’ means the technical standards followed by the 
commercial mobile service and commercial mobile data service 
industries 
for 
network, 
device, 
and 
Internet 
Protocol 
connectivity. Such term includes standards developed by the 
Third Generation Partnership Project (3GPP), the Institute of 
Electrical and Electronics Engineers (IEEE), the Alliance for 
Telecommunications Industry Solutions (ATIS), the Internet 
Engineering Task Force (IETF), and the International Tele-
communication Union (ITU). 
(11) COMMISSION.—The term ‘‘Commission’’ means the Fed-
eral Communications Commission. 
(12) CORE NETWORK.—The term ‘‘core network’’ means the 
core network described in section 6202(b)(1). 
(13) EMERGENCY CALL.—The term ‘‘emergency call’’ means 
any real-time communication with a public safety answering 
point or other emergency management or response agency, 
including— 
(A) through voice, text, or video and related data; and 
(B) nonhuman-initiated automatic event alerts, such 
as alarms, telematics, or sensor data, which may also 
include real-time voice, text, or video communications.
H. R. 3630—48 
(14) EXISTING PUBLIC SAFETY BROADBAND SPECTRUM.—The 
term ‘‘existing public safety broadband spectrum’’ means the 
portion of the electromagnetic spectrum between the fre-
quencies— 
(A) from 763 megahertz to 768 megahertz; 
(B) from 793 megahertz to 798 megahertz; 
(C) from 768 megahertz to 769 megahertz; and 
(D) from 798 megahertz to 799 megahertz. 
(15) FIRST
RESPONDER
NETWORK
AUTHORITY.—The term 
‘‘First 
Responder 
Network 
Authority’’ 
means 
the 
First 
Responder Network Authority established under section 6204. 
(16) FORWARD
AUCTION.—The term ‘‘forward auction’’ 
means the portion of an incentive auction of broadcast television 
spectrum under section 6403(c). 
(17) INCENTIVE
AUCTION.—The term ‘‘incentive auction’’ 
means a system of competitive bidding under subparagraph 
(G) of section 309(j)(8) of the Communications Act of 1934, 
as added by section 6402. 
(18) INTEROPERABILITY BOARD.—The term ‘‘Interoperability 
Board’’ means the Technical Advisory Board for First Responder 
Interoperability established under section 6203. 
(19) MULTICHANNEL VIDEO PROGRAMMING DISTRIBUTOR.— 
The term ‘‘multichannel video programming distributor’’ has 
the meaning given such term in section 602 of the Communica-
tions Act of 1934 (47 U.S.C. 522). 
(20) NARROWBAND
SPECTRUM.—The term ‘‘narrowband 
spectrum’’ means the portion of the electromagnetic spectrum 
between the frequencies from 769 megahertz to 775 megahertz 
and between the frequencies from 799 megahertz to 805 mega-
hertz. 
(21) NATIONWIDE PUBLIC SAFETY BROADBAND NETWORK.— 
The term ‘‘nationwide public safety broadband network’’ means 
the nationwide, interoperable public safety broadband network 
described in section 6202. 
(22) NEXT GENERATION 9–1–1 SERVICES.—The term ‘‘Next 
Generation 9–1–1 services’’ means an IP-based system com-
prised of hardware, software, data, and operational policies 
and procedures that— 
(A) provides standardized interfaces from emergency 
call and message services to support emergency commu-
nications; 
(B) processes all types of emergency calls, including 
voice, text, data, and multimedia information; 
(C) acquires and integrates additional emergency call 
data useful to call routing and handling; 
(D) delivers the emergency calls, messages, and data 
to the appropriate public safety answering point and other 
appropriate emergency entities; 
(E) supports data or video communications needs for 
coordinated incident response and management; and 
(F) provides broadband service to public safety 
answering points or other first responder entities. 
(23) NIST.—The term ‘‘NIST’’ means the National Institute 
of Standards and Technology. 
(24) NTIA.—The term ‘‘NTIA’’ means the National Tele-
communications and Information Administration.
H. R. 3630—49 
(25) PUBLIC SAFETY ANSWERING POINT.—The term ‘‘public 
safety answering point’’ has the meaning given such term in 
section 222 of the Communications Act of 1934 (47 U.S.C. 
222). 
(26) PUBLIC
SAFETY
ENTITY.—The term ‘‘public safety 
entity’’ means an entity that provides public safety services. 
(27) PUBLIC
SAFETY
SERVICES.—The term ‘‘public safety 
services’’— 
(A) has the meaning given the term in section 337(f) 
of the Communications Act of 1934 (47 U.S.C. 337(f)); and 
(B) includes services provided by emergency response 
providers, as that term is defined in section 2 of the Home-
land Security Act of 2002 (6 U.S.C. 101). 
(28) PUBLIC SAFETY TRUST FUND.—The term ‘‘Public Safety 
Trust Fund’’ means the trust fund established under section 
6413(a)(1). 
(29) RADIO ACCESS NETWORK.—The term ‘‘radio access net-
work’’ means the radio access network described in section 
6202(b)(2). 
(30) REVERSE AUCTION.—The term ‘‘reverse auction’’ means 
the portion of an incentive auction of broadcast television spec-
trum under section 6403(a), in which a broadcast television 
licensee may submit bids stating the amount it would accept 
for voluntarily relinquishing some or all of its broadcast tele-
vision spectrum usage rights. 
(31) STATE.—The term ‘‘State’’ has the meaning given such 
term in section 3 of the Communications Act of 1934 (47 U.S.C. 
153). 
(32) ULTRA HIGH FREQUENCY.—The term ‘‘ultra high fre-
quency’’ means, with respect to a television channel, that the 
channel is located in the portion of the electromagnetic spec-
trum between the frequencies from 470 megahertz to 698 mega-
hertz. 
(33) VERY
HIGH
FREQUENCY.—The term ‘‘very high fre-
quency’’ means, with respect to a television channel, that the 
channel is located in the portion of the electromagnetic spec-
trum between the frequencies from 54 megahertz to 72 mega-
hertz, from 76 megahertz to 88 megahertz, or from 174 mega-
hertz to 216 megahertz. 
SEC. 6002. RULE OF CONSTRUCTION. 
Each range of frequencies described in this title shall be con-
strued to be inclusive of the upper and lower frequencies in the 
range. 
SEC. 6003. ENFORCEMENT. 
(a) IN GENERAL.—The Commission shall implement and enforce 
this title as if this title is a part of the Communications Act 
of 1934 (47 U.S.C. 151 et seq.). A violation of this title, or a 
regulation promulgated under this title, shall be considered to be 
a violation of the Communications Act of 1934, or a regulation 
promulgated under such Act, respectively. 
(b) EXCEPTIONS.— 
(1) OTHER
AGENCIES.—Subsection (a) does not apply in 
the case of a provision of this title that is expressly required 
to be carried out by an agency (as defined in section 551 
of title 5, United States Code) other than the Commission.
H. R. 3630—50 
(2) NTIA REGULATIONS.—The Assistant Secretary may 
promulgate such regulations as are necessary to implement 
and enforce any provision of this title that is expressly required 
to be carried out by the Assistant Secretary. 
SEC. 6004. NATIONAL SECURITY RESTRICTIONS ON USE OF FUNDS 
AND AUCTION PARTICIPATION. 
(a) USE OF FUNDS.—No funds made available by subtitle B 
or C may be used to make payments under a contract to a person 
described in subsection (c). 
(b) AUCTION PARTICIPATION.—A person described in subsection 
(c) may not participate in a system of competitive bidding under 
section 309(j) of the Communications Act of 1934 (47 U.S.C. 309(j))— 
(1) that is required to be conducted by this title; or 
(2) in which any spectrum usage rights for which licenses 
are being assigned were made available under clause (i) of 
subparagraph (G) of paragraph (8) of such section, as added 
by section 6402. 
(c) PERSON DESCRIBED.—A person described in this subsection 
is a person who has been, for reasons of national security, barred 
by any agency of the Federal Government from bidding on a con-
tract, participating in an auction, or receiving a grant. 
Subtitle A—Reallocation of Public Safety 
Spectrum 
SEC. 6101. REALLOCATION OF D BLOCK TO PUBLIC SAFETY. 
(a) IN GENERAL.—The Commission shall reallocate the 700 
MHz D block spectrum for use by public safety entities in accordance 
with the provisions of this Act. 
(b) SPECTRUM ALLOCATION.—Section 337(a) of the Communica-
tions Act of 1934 (47 U.S.C. 337(a)) is amended— 
(1) by striking ‘‘24’’ in paragraph (1) and inserting ‘‘34’’; 
and 
(2) by striking ‘‘36’’ in paragraph (2) and inserting ‘‘26’’. 
SEC. 6102. FLEXIBLE USE OF NARROWBAND SPECTRUM. 
The Commission may allow the narrowband spectrum to be 
used in a flexible manner, including usage for public safety 
broadband communications, subject to such technical and inter-
ference protection measures as the Commission may require. 
SEC. 6103. 470–512 MHZ PUBLIC SAFETY SPECTRUM. 
(a) IN GENERAL.—Not later than 9 years after the date of 
enactment of this title, the Commission shall— 
(1) reallocate the spectrum in the 470–512 MHz band 
(referred to in this section as the ‘‘T-Band spectrum’’) currently 
used by public safety eligibles as identified in section 90.303 
of title 47, Code of Federal Regulations; and 
(2) begin a system of competitive bidding under section 
309(j) of the Communications Act of 1934 (47 U.S.C. 309(j)) 
to grant new initial licenses for the use of the spectrum 
described in paragraph (1). 
(b) AUCTION
PROCEEDS.—Proceeds (including deposits and 
upfront payments from successful bidders) from the competitive 
bidding system described in subsection (a)(2) shall be available