I 
111TH CONGRESS 
2D SESSION 
H. R. 5861 
To amend title XVIII of the Social Security Act to establish a cancer center 
construction loan program. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 26, 2010 
Ms. KILROY (for herself, Mr. RYAN of Ohio, and Mr. MEEK of Florida) intro-
duced 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 provisions as fall within the jurisdiction of the 
committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to establish 
a cancer center construction loan program. 
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 ‘‘Cancer Centers Assist-
ance for Renovations and Expansion Act of 2010’’. 
SEC. 2. CANCER CENTER CONSTRUCTION LOAN PROGRAM. 
The Social Security Act is amended by inserting after 
section 1897 the following new section: 
VerDate Mar 15 2010 
22:31 Jul 27, 2010
Jkt 089200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H5861.IH
H5861
hsrobinson on DSK69SOYB1PROD with BILLS
‘‘CANCER CENTER CONSTRUCTION LOAN PROGRAM 
‘‘SEC. 1897A. (a) ESTABLISHMENT.—The Secretary 
shall establish a loan program that provides loans to quali-
fying cancer centers (as defined in subsection (b)) for pay-
ment of the capital costs of projects for the improvement 
of research, prevention, or patient care infrastructure. 
‘‘(b) QUALIFYING CANCER CENTER
AND OTHER 
DEFINITIONS.—In this section: 
‘‘(1) The term ‘qualifying cancer center’ means 
an entity that— 
‘‘(A) is designated as a cancer center or 
comprehensive cancer center by the National 
Cancer Institute; or 
‘‘(B) is both a National Cancer Institute- 
designated comprehensive cancer center and a 
cancer 
hospital 
described 
in 
section 
1886(d)(1)(B)(v). 
‘‘(2) The term ‘project for the improvement of 
research, prevention, or patient care infrastructure’ 
means— 
‘‘(A) the expansion, remodeling, ren-
ovating, or altering of an existing clinical, pre-
vention, or research facility; or 
‘‘(B) the construction of a new clinical, 
prevention, or research facility. 
VerDate Mar 15 2010 
22:31 Jul 27, 2010
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H5861.IH
H5861
hsrobinson on DSK69SOYB1PROD with BILLS
‘‘(3) The term ‘intended use’ means the pur-
poses for which the infrastructure improvements 
were made. 
‘‘(4) The term ‘shovel ready’ means, with re-
spect to a project, that construction of the project— 
‘‘(A) has begun as of the date of the enact-
ment of this section; or 
‘‘(B) is ready (subject only to the receipt 
of permits) to begin, and will begin, not later 
than 90 days after such date. 
‘‘(c) APPLICATION; QUALIFICATIONS; TERMS
OF 
LOANS.— 
‘‘(1) IN GENERAL.—No loan may be provided 
under this section to a qualifying cancer center ex-
cept pursuant to an application that is submitted 
and approved in a time, manner, and form specified 
by the Secretary. 
‘‘(2) QUALIFICATIONS.—A loan may not be pro-
vided under this section for a project for a qualifying 
cancer center unless the applicant provides assur-
ances satisfactory to the Secretary that— 
‘‘(A) the project is a project for the im-
provement of research, prevention, or patient 
care infrastructure of the center; 
‘‘(B) the project is shovel ready; 
VerDate Mar 15 2010 
22:31 Jul 27, 2010
Jkt 089200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H5861.IH
H5861
hsrobinson on DSK69SOYB1PROD with BILLS
‘‘(C) the applicant will use the facility im-
proved or resulting from the project for its in-
tended use for a period of at least 20 years 
after completion of the project and has suffi-
cient funds available to demonstrate effective 
use of such facility for its intended use; 
‘‘(D) sufficient funds will be available to 
meet the non-Federal share of the cost of the 
infrastructure improvement; and 
‘‘(E) the proposed infrastructure improve-
ment will expand the applicant’s capacity for 
research, prevention or patient care, or is nec-
essary to improve or maintain the quality of the 
applicant’s research, prevention, or patient care. 
‘‘(3) NO FURTHER REQUIREMENTS.—The Sec-
retary shall not promulgate any further require-
ments or restrictions on a qualifying cancer center 
to obtain assistance under this section other than 
those specified in this section. 
‘‘(4) TERMS OF LOANS.— 
‘‘(A) IN GENERAL.—Loans under this sec-
tion shall be made consistent with the require-
ments of this section. 
‘‘(B) INTEREST RATE.—The interest rate 
for loans provided under this section shall be at 
VerDate Mar 15 2010 
22:31 Jul 27, 2010
Jkt 089200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H5861.IH
H5861
hsrobinson on DSK69SOYB1PROD with BILLS
lowest of the following (as published or deter-
mined, as the case may be, as of the date of the 
enactment of this section): 
‘‘(i) PRIME RATE.—The bank prime 
loan rate posted by a majority of the larg-
est 25 United States chartered commercial 
banks, as determined based on assets in 
domestic offices and as published by the 
Board of Governors of the Federal Reserve 
System. 
‘‘(ii) MINIMUM
FEDERAL
INTEREST 
RATE.—The minimum annual rate of in-
terest determined under section 3717(a) of 
title 31, United States Code. 
‘‘(iii) 
MUNICIPAL
MARKET
DATA 
RATE.—The 
Municipal 
Market 
Data 
(MMD) rate for triple-A rated bonds with 
a 1-year maturity, as published by Thom-
son Financial Services. 
‘‘(C) LIMITATIONS ON LOANS.—The max-
imum, aggregate amount of loans that may be 
made under this section (and for which reim-
bursement may be provided under subsection 
(d)(2)) for a qualifying cancer center is 75 per-
VerDate Mar 15 2010 
22:31 Jul 27, 2010
Jkt 089200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H5861.IH
H5861
hsrobinson on DSK69SOYB1PROD with BILLS