datamatters24/research-document-archive huggingface dataset:
I
103D CONGRESS
2D SESSION
H. R. 4685
To authorize the establishment of a premier lending program for participants
in the certified development company program, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
JUNE 30, 1994
Mr. LAFALCE introduced the following bill; which was referred to the
Committee on Small Business
A BILL
To authorize the establishment of a premier lending program
for participants in the certified development company
program, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
That this Act may be cited as the ‘‘Premier Lenders Pro-
gram Authorization Act of 1994’’.
(a) Title V of the Small Business Investment Act of
1958 (15 U.S.C. 695 et seq.) is amended by inserting the
following new section:
HR 4685 IH
‘‘SEC. 508. PREMIER LENDERS PROGRAM.
‘‘(a) The Administration is authorized to establish a
Premier Lenders Program for certified development com-
panies which meet the requirements of subsection (b).
‘‘(b) The Administration may designate a participant
in accelerated lenders program as a premier lender if such
company—
‘‘(1) has been an active participant in the accel-
erated lenders program for at least the last 12
months: Provided, That prior to January 1, 1996,
the Administration may waive this provision if the
applicant is qualified to participate in the acceler-
ated lenders program;
‘‘(2) has a history of submitting to the Admin-
istration adequately analyzed debenture guaranty
application packages; and
‘‘(3) agrees to assume and to reimburse the Ad-
ministration for 5 percent of any loss sustained by
the Administration on account of default by the cer-
tified development company in the payment of prin-
cipal and interest on a debenture issued by such
company and guaranteed by the Administration
under this section.
‘‘(c) Upon approval of an applicant as a premier lend-
er, the certified development company shall establish a loss
reserve in an amount equal to the anticipated losses to
‘‘(1) IN GENERAL.—The term ‘qualified wages’ 
means, with respect to any individual, the wages 
paid or incurred by the employer during the taxable 
year to such individual. 
‘‘(2) QUALIFIED
FIRST-YEAR
WAGES.—The 
term ‘qualified first-year wages’ means, with respect 
to any individual, qualified wages attributable to 
service rendered during the 1-year period beginning 
with the day the individual begins work for the em-
ployer. 
‘‘(3) WAGES.—The term ‘wages’ has the mean-
ing given such term by section 51(c), without regard 
to paragraph (4) thereof. 
‘‘(d) QUALIFIED VETERAN; HIRING DATE.—For pur-
poses of this section— 
‘‘(1) QUALIFIED VETERAN.—The term ‘quali-
fied veteran’ means any individual who is certified 
by the designated local agency (as defined in section 
51(d)(11)) as being a veteran (as defined in section 
51(d)(3)(B)). 
‘‘(2) HIRING DATE.—The term ‘hiring date’ has 
the meaning given such term by section 51(d). 
‘‘(e) QUALIFIED DISABLED VETERAN; APPLICABLE 
PERCENTAGE.— 
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HR 4685 IH
the certified development company pursuant to subsection
(b)(3) based upon the historic loss rate on debentures is-
sued by such company, or 3 percent of the aggregate prin-
cipal amount of debentures issued by such company and
guaranteed by the Administration under this section,
whichever is greater. The loss reserve shall be comprised
of segregated assets of the development company which
shall be securitized in favor of the Administration or of
such unqualified letters of credit or indemnity agreements
from a third party as the Administration deems appro-
priate.
‘‘(d) Upon designation and qualification of a com-
pany as a premier lender, and subject to such terms and
conditions as the Administration may determine and not-
withstanding the provisions of section 503(b)(6), the Ad-
ministration may permit a premier lender to approve loans
to be funded with the proceeds of and to authorize the
guaranty of a debenture issued by such company. The ap-
proval by the premier lender shall be subject to the final
approval as to eligibility of any such guaranty by the Ad-
ministration pursuant to subsection 503(a) of this Act,
but such final approval shall not include decisions by the
company involving creditworthiness, loan closing, or com-
pliance with legal requirements imposed by law or regula-
tion.
HR 4685 IH
‘‘(e) The designation of a qualified State or local de-
velopment company as a premier lender may be suspended
or revoked if the Administration determines that the com-
pany—
‘‘(1) has not continued to meet the criteria for
eligibility under subsection (b);
‘‘(2) has not established or maintained the loss
reserve required under subsection (c); or
‘‘(3) is failing to adhere to the Administration’s
rules and regulations or is violating any other appli-
cable provision of law.
‘‘(f) Suspension or revocation shall not affect any out-
standing debenture guarantee.’’.
(b) The Administration shall promulgate such regula-
tions to carry out this section within one hundred and
eighty days of the date of enactment.
(c) The Administration shall report to the Small
Business Committee of the United States Senate and to
the Small Business Committee of the United States House
of Representatives within one year, and annually there-
after, on the implementation of this section, specifically
including data on the number of development companies
designated as premier lenders, their debenture guarantee
volume, and the loss rate under this program, along with
HR 4685 IH
such other information as the Administration deems
appropriate.
(d) Section 508 of the Small Business Investment Act
is repealed on October 1, 1999.
Æ
HR 4686 IH
(c) DEFINITIONS.—For the purposes of this section,
the term ‘‘issuer’’ means the issuer of a debenture pursu-
ant to section 303 of the Small Business Investment Act
of 1958 which has been purchased by the Federal Financ-
ing Bank if the debenture is outstanding on the date of
enactment of this Act, and is not in default on such date.
(d) OTHER RIGHTS.—A modification of the interest
rate on a debenture as authorized in this section shall not
affect any rights or options of the issuer which are other-
wise authorized by contract or by law.
SEC. 4. MODIFICATION OF SPECIALIZED SMALL BUSINESS
INVESTMENT COMPANY DEBENTURE INTER-
EST RATES.
(a) INTEREST RATE MODIFICATION.—Upon the re-
quest of the issuer, the Small Business Administration is
authorized to modify the interest rate on a debenture is-
sued by a Small Business Investment Company licensed
under the provisions of section 301(d) of the Small Busi-
ness Investment Act of 1958. The reduction shall be effec-
tive January 2, 1995 and shall apply for the remainder
of the term of the debenture. No other change shall be
made in the terms and conditions of the debenture, and
the modification in the interest rate shall not be construed
as new budget authority nor require any additional appro-
priation for credit subsidy on account of the modification.
HR 4686 IH
(b) DEFINITIONS.—For the purposes of this section,
the term ‘‘issuer’’ means a Specialized Small Business In-
vestment Company licensed under the provisions of section
301(d) of the Small Business Investment Act of 1958
which has issued a debenture which has been funded by
the Small Business Administration providing the deben-
ture is outstanding on the date of enactment of this Act
and is not in default on such date.
(c) OTHER RIGHTS.—A modification of the interest
rate on a debenture as authorized in this section shall not
affect any rights or options of the issuer which are other-
wise authorized by contract or by law.
SEC. 5. INTEREST RATE REDUCTIONS.
(a) IN GENERAL.—Upon enactment of an Appropria-
tions Act providing funds to carry out the provisions of
this Act and limited to amounts specifically provided in
advance in Appropriations Acts, the Small Business Ad-
ministration shall evaluate the outstanding portfolio of de-
bentures which are eligible for interest rate relief under
this Act. The Administration shall apply the funds appro-
priated to carry out this Act in order to reduce the highest
interest rate on all eligible debentures to a uniform rate.
described in paragraph (1), as well as the costs 
of paying overtime to such officials. 
(c) APPLICATION.— 
(1) IN GENERAL.—Each eligible law enforce-
ment agency seeking a grant under this section shall 
submit to the Attorney General an application at 
such time, in such manner, and accompanied by 
such information as the Attorney General may re-
quire. 
(2) CONTENTS.—Each application submitted 
pursuant to paragraph (1) shall— 
(A) describe the activities for which assist-
ance under this section is sought; and 
(B) provide such additional assurances as 
the Attorney General determines to be essential 
to ensure compliance with the requirements of 
this section. 
SEC. 202. AUTHORIZATION OF APPROPRIATIONS. 
There is authorized to be appropriated to the Attor-
ney General to carry out this title $150,000,000 for fiscal 
year 2011 and each succeeding fiscal year. 
SEC. 203. ENFORCEMENT OF FEDERAL IMMIGRATION LAW. 
Nothing in this title shall be construed to authorize 
State or local law enforcement agencies or their officers 
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to exercise Federal immigration law enforcement author-
ity. 
SEC. 204. REGULATIONS. 
Not later than 90 days after the date of the enact-
ment of this title, the Attorney General shall issue regula-
tions to carry out this title. 
Æ 
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amendments made by such section), except for sec-
tions 1253 and 1254. 
(3) GROUPINGS
OF
OTHER
PPACA
PROVI-
SIONS.—A grouping of provisions of the Patient 
Protection and Affordable Care Act is any of the fol-
lowing: 
(A) All of the sections of parts I, II, III, 
and V of subtitle D of title I of such Act (and 
the amendments made by such sections). 
(B) All of the sections of part I of subtitle 
E of title I of such Act (and the amendments 
made by such sections). 
(C) All of the sections of subtitle F of title 
I of such Act (and the amendments made by 
such sections). 
(D) Requirements imposed pursuant to 
section 3021(c)(2) of the Public Health Service 
Act (42 U.S.C. 300jj–51(c)(2)), as added by 
section 1561 of the Patient Protection and Af-
fordable Care Act. 
(E) All of the sections of subtitle A of title 
II of the Patient Protection and Affordable 
Care Act, except for section 2007, and all of 
the sections of subtitle C of such title (and the 
amendments made by such sections). 
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HR 4686 IH
(b) AUTHORIZATION.—There are authorized to be ap-
propriated $30,000,000 to carry out the provisions of this
Act in fiscal year 1995.
Æ
I 
112TH CONGRESS 
1ST SESSION 
H. R. 782 
To enable States to opt out of certain provisions of the Patient Protection 
and Affordable Care Act. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 17, 2011 
Mr. MCCOTTER (for himself, Mr. BISHOP of Utah, Mr. BROUN of Georgia, 
Mr. TIPTON, Mr. GUTHRIE, Mr. TIBERI, Mr. PAUL, Mr. FLAKE, Mr. 
MILLER of Florida, Mr. LONG, Mr. YOUNG of Alaska, Mr. KINZINGER 
of Illinois, Mr. FRANKS of Arizona, Mr. WALBERG, Mr. FLEMING, Mr. 
GINGREY of Georgia, Mr. POSEY, Mr. PENCE, Mr. SULLIVAN, Mr. ROO-
NEY, Mr. YODER, Mr. BILBRAY, and Mr. LAMBORN) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To enable States to opt out of certain provisions of the 
Patient Protection and Affordable Care Act. 
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 ‘‘State Health Care 
Flexibility Act of 2011’’. 
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SEC. 2. SEVERABILITY. 
If any provision of this Act, or any application of such 
provision to any person or circumstance, is held to be un-
constitutional, the remainder of the provisions of this Act 
and the application of the provision to any other person 
not similarly situated or to any other circumstance shall 
not be affected. 
SEC. 3. PERMITTING STATES TO OPT OUT OF CERTAIN PRO-
VISIONS OF PPACA. 
(a) IN GENERAL.—A qualifying State may elect to 
opt out of the application of any or all of the provisions 
of the Patient Protection and Affordable Care Act (Public 
Law 111–148) described in subsection (b) with respect to 
health insurance coverage within such State. 
(b) PROVISIONS DESCRIBED.—For purposes of this 
Act: 
(1) IN GENERAL.—A provision of the Patient 
Protection and Affordable Care Act described in this 
subsection is any section of such Act described in 
paragraph (2) or any grouping of provisions of such 
Act described in a subparagraph of paragraph (3). 
(2) SECTIONS RELATING TO PHSA HEALTH IN-
SURANCE MARKET REFORMS AND IMMEDIATE RE-
FORMS.—A section described in this paragraph is 
any section of subtitles A through C of title I of the 
Patient Protection and Affordable Care Act (and the 
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113TH CONGRESS 
2D SESSION 
H. R. 5078 
AN ACT 
To preserve existing rights and responsibilities with respect 
to waters of the United States, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
(c) QUALIFYING STATE.— 
(1) ENACTMENT OF STATE LAW.—For purposes 
of this section, the term ‘‘qualifying State’’ means a 
State that— 
(A) enacts a law after the date of enact-
ment of this Act that— 
(i) expresses the intent of the State to 
opt out of any or all of the provisions of 
the Patient Protection and Affordable Care 
Act (Public Law 111–148) described in 
subsection (b); 
(ii) contains a list of each such provi-
sion; and 
(iii) expresses the intent of the State 
to continue to administer health coverage- 
related laws as in effect in the State on 
March 22, 2010, or that provides for the 
implementation of related State laws en-
acted after such date; and 
(B) provides to the Secretary of Health 
and Human Services and the Secretary of the 
Treasury a notification that such State law was 
enacted. 
(2) REPEAL.—If a qualifying State repeals a 
law described in paragraph (1), the provisions of the 
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Patient Protection and Affordable Care Act listed in 
such law shall apply with respect to such State be-
ginning on the date of such repeal. 
(d) PRESERVING
EXISTING
STATE
LAW
OPT 
OUTS.—Nothing in this Act shall be construed as affect-
ing any State law enacted before the date of the enactment 
of this Act relating to the State opting out of the applica-
tion of any provision of the Patient Protection and Afford-
able Care Act. 
(e) REGULATIONS.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services, in consultation with the Secretary 
of the Treasury, shall promulgate regulations to provide 
for the implementation of this Act. 
(f) EFFECTIVE DATE.—The provisions of this section 
shall be effective and shall apply to a State as of the date 
of the enactment of this Act, without regard to whether 
regulations described in subsection (e) have been promul-
gated. 
Æ 
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‘‘(A) furnished in an area designated (under
section 332(a)(1)(A) of the Public Health Service
Act) as a health professional shortage area; or
‘‘(B) furnished during a year by a provider with
respect to whom not less than 75 percent of the pa-
tients for whom the provider furnishes such services
during the year are individuals—
‘‘(i) who are entitled to benefits under this
title;
‘‘(ii) who are eligible for medical assistance
under a State plan approved under title XIX;
or
‘‘(iii) with respect to whom the provider
did not receive any payment for the service.’’.
(c) EFFECTIVE DATE.—The amendments made by
subsections (a) and (b) shall apply to services furnished
on or after January 1, 1995.
SEC. 2. ESTABLISHMENT OF UPDATE TO CONVERSION FAC-
TOR FOR SERVICES FURNISHED IN 1995.
Section 1848(d)(3)(A) of the Social Security Act (42
U.S.C. 1395w–4(d)(3)(A)) is amended—
(1) by amending clause (v) to read as follows:
‘‘(v) ESTABLISHMENT
OF
PERCENT-
AGE
INCREASE
FOR
1995.—In applying
clause (i) for services furnished in 1995,
(2) FISL LOANS.—Section 427(a)(2)(C) of the
Higher 
Education 
Act 
of 
1965 
(20 
U.S.C.
1077(a)(2)(C)) is amended—
(A) in clause (ii), by striking ‘‘or’’ at the
end;
(B) in clause (iii), by adding ‘‘or’’ after the
semicolon at the end; and
(C) by inserting after clause (iii) the fol-
lowing clause:
‘‘(iv) during which the borrower is
serving in an internship or residency pro-
gram, in a health facility in a rural area,
in preparation for practice in an area of
primary care (including internal medicine,
pediatrics, 
obstetrics/gynecology, 
family
medicine, and osteopathy);’’.
(b) PERKINS LOANS.—Section 464(c)(2)(A) of the
Higher 
Education 
Act 
of 
1965 
(20 
U.S.C.
1087dd(c)(2)(A)) is amended—
(1) in clause (iii), by striking ‘‘or’’ at the end;
(2) in clause (iv), by adding ‘‘or’’ after the
semicolon at the end; and
(3) by inserting after clause (iv) the following
clause:
‘‘(v) during which the borrower is
serving in an internship or residency pro-
gram, in a health facility in a rural area,
in preparation for practice in an area of
primary care (including internal medicine,
pediatrics, 
obstetrics/gynecology, 
family
medicine, and osteopathy);’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall apply on and after the date of the enact-
ment of this Act with respect to loans made under the
Higher Education Act of 1965 before, on, or after such
date.
Æ
HR 4688 IH——2
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HR 4688 IH——4
HR 4688 IH——5
I
103D CONGRESS
2D SESSION
H. R. 4689
To amend title XVIII of the Social Security Act to increase the bonus
payment provided for physicians’ services furnished under part B of
the medicare program in a health professional shortage area to 20
percent in the case of primary care services, to establish updates for
1995 in the conversion factors used to determine the amount of payment
made for physicians’ services under the medicare program, and for other
purposes.
IN THE HOUSE OF REPRESENTATIVES
JUNE 30, 1994
Ms. LAMBERT introduced the following bill; which was referred jointly to the
Committees on Ways and Means and Energy and Commerce
A BILL
To amend title XVIII of the Social Security Act to increase
the bonus payment provided for physicians’ services fur-
nished under part B of the medicare program in a health
professional shortage area to 20 percent in the case
of primary care services, to establish updates for 1995
in the conversion factors used to determine the amount
of payment made for physicians’ services under the medi-
care program, 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. BONUS PAYMENT FOR PHYSICIAN SERVICES
PROVIDED 
IN 
HEALTH 
PROFESSIONAL
SHORTAGE AREAS.
(a) INCREASE IN AMOUNT OF PAYMENT FOR PRI-
MARY CARE SERVICES.—Section 1833(m) of the Social
Security Act (42 U.S.C. 1395l(m)) is amended by insert-
ing after ‘‘10 percent’’ the following: ‘‘(or, in the case of
primary care services defined in section 1842(i)(4), 20
percent)’’.
(b) EXTENSION TO CERTAIN NONPHYSICIAN PRO-
VIDERS
AND OTHER MEDICARE-DEPENDENT PROVID-
ERS.—Section 1833(m) of such Act (42 U.S.C. 1395l(m))
is amended—
(1) by striking ‘‘(m)’’ and inserting ‘‘(m)(1)’’;
(2) by inserting ‘‘described in paragraph (2)’’
after ‘‘physicians’ services’’;
(3) by striking ‘‘in an area’’ and all that follows
through ‘‘shortage area,’’;
(4) by striking ‘‘the physician’’ and inserting
‘‘the provider of the service’’; and
(5) by adding at the end the following new
paragraph:
‘‘(2) In paragraph (1), physicians’ services described
in this paragraph are services—
‘‘(3) foster the development of regional systems
for the provision of such services;
‘‘(4) sponsor workshops and conferences;
‘‘(5) as appropriate, disseminate to public and
private entities information obtained in carrying out
paragraphs (1) through (4);
‘‘(6) provide technical assistance to State and
local agencies;
‘‘(7) coordinate activities of the Department of
Health and Human Services; and
‘‘(8) as appropriate, coordinate activities of
such Department with activities of other Federal
agencies.
‘‘(c) CERTAIN REQUIREMENTS.—With respect to
emergency medical services (including trauma care), the
Secretary shall ensure that activities under subsection (b)
are carried out regarding—
‘‘(1) maintaining an adequate number of health
professionals with expertise in the provision of the
services, including hospital-based professionals and
prehospital-based professionals;
‘‘(2) developing, periodically reviewing, and re-
vising as appropriate, in collaboration with appro-
priate public and private entities, guidelines for the
provision of such services (including, for various typ-
the percentage increase in the appropriate
update index shall be equal to—
‘‘(I) 10.7 percentage points for
services included in the category of
surgical services (as defined for pur-
poses of subsection (j)(1)),
‘‘(II) 10.1 percentage points for
services included in the category of
primary care services (as defined for
purposes of subsection (j)(1)), and
‘‘(III) 7.4 percentage points for
any 
services 
not 
described 
in
subclause (I) or subclause (II).’’; and
(2) in clause (vi), by striking ‘‘Clauses (iv) and
(v)’’ and inserting ‘‘Clause (iv)’’.
Æ
after the date on which the task force is established under 
such subsection. 
(d) DUTIES.—The duties of the task force are as fol-
lows: 
(1) To identify key skills required by claims 
processors and adjudicators to perform the duties of 
claims processors and adjudicators in the various 
claims 
processing 
and 
adjudication 
positions 
throughout the Federal Government. 
(2) To identify reasons for employee attrition 
from claims processing positions. 
(3) Not later than one year after the date of 
the establishment of the task force, to develop a 
Governmentwide strategic and operational plan for 
promoting employment of veterans in claims proc-
essing positions in the Federal Government. 
(4) To coordinate with educational institutions 
to develop training and programs of education for 
members of the Armed Forces to prepare such mem-
bers for employment in claims processing and adju-
dication positions in the Federal Government. 
(5) To identify and coordinate offices of the De-
partment of Defense and the Department of Vet-
erans Affairs located throughout the United States 
to provide information about, and promotion of, 
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