datamatters24/research-document-archive huggingface dataset:
medical services practitioners of a registrant emer-
gency medical services agency in the course of pro-
viding emergency medical services pursuant to a 
standing order issued by one or more medical direc-
tors of such agency. A registrant emergency medical 
services agency shall keep any such standing order 
on file and make such standing order available to 
the Attorney General upon the Attorney General’s 
request. 
‘‘(3) In the case of administering a controlled 
substance pursuant to paragraph (2), the medical di-
rectors of the registrant emergency medical services 
agency shall not be required— 
‘‘(A) to be present; or 
‘‘(B) to provide a written or oral prescrip-
tion with regard to a known individual before or 
at the time of such administering. 
‘‘(c) RECEIPT, MOVEMENT, AND STORAGE OF CON-
TROLLED SUBSTANCES.— 
‘‘(1) RECEIPT.—The registrant emergency med-
ical services agency— 
‘‘(A) may receive controlled substances at 
any location of the agency designated by the 
agency for such receipt; and 
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I 
108TH CONGRESS 
2D SESSION 
H. R. 4767 
To amend the Internal Revenue Code of 1986 to triple the amount of 
the credit allowed for basic research. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 7, 2004 
Mr. SMITH of Michigan 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 triple 
the amount of the credit allowed for basic research. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. INCREASE IN AMOUNT OF CREDIT FOR BASIC 
RESEARCH. 
(a) IN GENERAL.—Paragraph (2) of section 41(a) of 
the Internal Revenue Code of 1986 (relating to general 
rule for credit for increasing research activities) is amend-
ed by striking ‘‘20 percent’’ and inserting ‘‘60 percent’’.
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to taxable years beginning after 
the date of the enactment of this Act. 
Æ
I 
114TH CONGRESS 
2D SESSION 
H. R. 4365 
To amend the Controlled Substances Act with regard to the provision of 
emergency medical services. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 12, 2016 
Mr. 
HUDSON
(for 
himself, 
Mr. 
BUTTERFIELD, 
Mr. 
COHEN, 
Mr. 
FARENTHOLD, Mr. HECK of Nevada, Mr. RUIZ, and Mr. WESTERMAN) 
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce, and in addition to the Committee on the Judiciary, 
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 the Controlled Substances Act with regard to 
the provision of emergency medical services. 
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 ‘‘Protecting Patient Ac-
cess to Emergency Medications Act of 2016’’. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
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(1) The use of controlled substances by emer-
gency medical services agencies to administer med-
ical care and medicines to individuals in the field is 
essential to save lives, manage pain, and improve 
health outcomes. 
(2) The unique nature of mobile emergency 
medical services is unlike other health care services 
governed by the Controlled Substances Act in that 
it requires the provision of time-sensitive and mobile 
medical care to individuals with critical injuries and 
illnesses in the field and movement of such individ-
uals to definitive care. 
(3) Regulatory oversight to prevent diversion 
should not disrupt the current delivery model of pro-
viding medical care to individuals by emergency 
medical services practitioners under the supervision 
of a physician medical director. 
(4) Such oversight should also recognize the va-
riety of emergency medical services agencies includ-
ing governmental, nongovernmental, private, and 
volunteer emergency medical services agencies. 
SEC. 3. EMERGENCY MEDICAL SERVICES. 
Part C of the Controlled Substances Act (21 U.S.C. 
821 et seq.) is amended by adding at the end the fol-
lowing: 
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vide emergency medical services within the 
scope of the professional’s State license or cer-
tification. 
‘‘(E) The term ‘emergency medical services 
vehicle’ means an ambulance, fire apparatus, 
supervisor truck, or other vehicle used by an 
emergency medical services agency for the pur-
pose of providing or facilitating emergency med-
ical care and transport or transporting con-
trolled substances to and from the registered 
and designated locations. 
‘‘(F) The term ‘hospital-based’ means, 
with respect to an agency, owned or operated by 
a hospital. 
‘‘(G) The term ‘medical director’ means a 
physician who is registered under subsection (f) 
and provides medical oversight for an emer-
gency medical services agency. 
‘‘(H) The term ‘medical oversight’ means 
supervision of the provision of medical care by 
an emergency medical services agency. 
‘‘(I) The term ‘medical professional’ means 
an emergency or other physician, or another 
medical professional (including an advanced 
practice registered nurse or physician assistant)
whose scope of practice under a State license or 
certification includes the ability to provide 
verbal orders. 
‘‘(J) The term ‘registered location’ means 
a location that appears on the certificate of reg-
istration issued to an emergency medical serv-
ices agency under this subsection or subsection 
(f), which shall be where the agency receives 
controlled substances from distributors. 
‘‘(K) The term ‘registered emergency med-
ical services agency’ means— 
‘‘(i) an emergency medical services 
agency that is registered pursuant to this 
subsection; or 
‘‘(ii) a hospital-based emergency med-
ical services agency that is covered by the 
registration of the hospital under sub-
section (f). 
‘‘(L) The term ‘specific State authority’ 
means a governmental agency or other such au-
thority, including a regional oversight and co-
ordinating body, that, pursuant to State law or 
regulation, develops clinical protocols regarding 
the delivery of emergency medical services in 
the geographic jurisdiction of such agency or
authority within the State that may be adopted 
by medical directors. 
‘‘(M) The term ‘standing order’ means a 
written medical protocol in which a medical di-
rector determines in advance the medical cri-
teria that must be met before administering 
controlled substances to individuals in need of 
emergency medical services. 
‘‘(N) The term ‘verbal order’ means an 
oral directive that is given through any method 
of communication including by radio or tele-
phone, directly to an emergency medical serv-
ices professional, to contemporaneously admin-
ister a controlled substance to individuals in 
need of emergency medical services outside the 
physical presence of the authorizing medical di-
rector.’’. 
Passed the House of Representatives November 14, 
2016. 
Attest: 
Clerk.
114TH CONGRESS 
2D SESSION 
H. R. 4365 
AN ACT 
To amend the Controlled Substances Act with re-
gard to the provision of emergency medical serv-
ices.
‘‘SEC. 312. EMERGENCY MEDICAL SERVICES. 
‘‘(a) REGISTRATION.— 
‘‘(1) IN GENERAL.—For the purpose of ena-
bling emergency medical services practitioners to 
dispense controlled substances in schedule II, III, 
IV, or V to ultimate users receiving emergency med-
ical services, the Attorney General shall, at the re-
quest of the emergency medical services agency em-
ploying such practitioners, register such emergency 
medical services agency under section 303(f) in lieu 
of registering the individual practitioners or one or 
more medical directors of such agency. 
‘‘(2) SINGLE REGISTRATION.—In registering an 
emergency medical services agency pursuant to para-
graph (1), the Attorney General shall require a sin-
gle registration per State, not a separate registration 
for each location of the emergency medical services 
agency. 
‘‘(b) MEDICAL OVERSIGHT.—Notwithstanding sec-
tion 309: 
‘‘(1) A registrant emergency medical services 
agency shall have one or more medical directors re-
sponsible for medical oversight of the agency’s provi-
sion of emergency medical services. 
‘‘(2) Controlled substances in schedule II, III, 
IV, or V may be administered by the emergency 
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108TH CONGRESS
2D SESSION
H. R. 4768
AN ACT
To authorize the Secretary of Veterans Affairs to
enter into certain major medical facility leases, to
authorize that Secretary to transfer real property
subject to certain limitations, otherwise to im-
prove management of medical facilities of the De-
partment of Veterans Affairs, and for other pur-
poses.
108TH CONGRESS
2D SESSION
H. R. 4768
AN ACT
To authorize the Secretary of Veterans Affairs to enter into
certain major medical facility leases, to authorize that
Secretary to transfer real property subject to certain
limitations, otherwise to improve management of medical
facilities of the Department of Veterans Affairs, and
for other purposes.
I 
114TH CONGRESS 
2D SESSION 
H. R. 4367 
To amend title XIX of the Social Security Act to end the increased Federal 
funding for Medicaid expansion with respect to inmates. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 12, 2016 
Mr. PITTS introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to end the 
increased Federal funding for Medicaid expansion with 
respect to inmates. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. ELIMINATING PPACA ENHANCED MEDICAID 
FMAP FOR PRISONERS. 
Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended— 
(1) in subsection (y)(2)(A), by adding at the 
end the following: ‘‘For items and services furnished 
on or after January 1, 2020, such term does not in-
clude an individual described in such subparagraph 
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during the period in which the individual is an in-
mate in a public institution and is a patient in a 
medical institution.’’; and 
(2) in subsection (z)(2)(A), by adding at the 
end the following: ‘‘For calendar quarters beginning 
on or after January 1, 2020, the preceding sentence 
shall not apply with respect to medical assistance for 
individuals who are inmates in a public institution 
and patients in a medical institution.’’. 
Æ 
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I 
114TH CONGRESS 
2D SESSION 
H. R. 4368 
To amend title XIX of the Social Security Act to clarify the treatment 
of lottery winnings and other lump sum income for purposes of income 
eligibility under the Medicaid program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 12, 2016 
Mr. PITTS (for himself and Mr. GUTHRIE) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to clarify 
the treatment of lottery winnings and other lump sum 
income for purposes of income eligibility under the Med-
icaid 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. TREATMENT OF LOTTERY WINNINGS AND 
OTHER LUMP-SUM INCOME FOR PURPOSES 
OF INCOME ELIGIBILITY UNDER MEDICAID. 
(a) IN GENERAL.—Section 1902 of the Social Secu-
rity Act (42 U.S.C. 1396a) is amended— 
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lected under subparagraph (A) may be used to 
carry out an eligible airport-related project de-
scribed in that subparagraph.’’. 
Æ 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; REFERENCES TO TITLE 38,
UNITED STATES CODE; TABLE OF CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Veterans Health Programs and Facilities Enhancement
Act of 2004’’.
(b) REFERENCES TO TITLE 38, UNITED STATES
CODE.—Except as otherwise expressly provided, whenever
in this Act an amendment or repeal is expressed in terms
of an amendment to, or repeal of, a section or other provi-
sion, the reference shall be considered to be made to a
section or other provision of title 38, United States Code.
(c) TABLE OF CONTENTS.—The table of contents for
this Act is as follows:
Sec. 1. Short title; references to title 38, United States Code; table of contents.
TITLE I—MEDICAL FACILITIES MANAGEMENT
Sec. 101. Major medical facility leases.
Sec. 102. Department of Veterans Affairs Capital Asset Fund.
Sec. 103. Annual report to Congress on inventory of Department of Veterans
Affairs historic properties.
Sec. 104. Authority to use project funds to construct or relocate surface park-
ing incidental to a construction or nonrecurring maintenance
project.
Sec. 105. Inapplicability of limitation on use of advance planning funds to au-
thorized major medical facility projects.
Sec. 106. Improvement in enhanced-use lease authorities.
Sec. 107. Extension of authority to provide care under long-term care pilot pro-
grams.
TITLE II—OTHER MATTERS
Sec. 201. Inclusion of all enrolled veterans among persons eligible to use can-
teens operated by Veterans’ Canteen Service.
Sec. 202. Enhancement of medical preparedness of Department.
TITLE I—MEDICAL FACILITIES
MANAGEMENT
SEC. 101. MAJOR MEDICAL FACILITY LEASES.
(a) AUTHORIZED LEASES.—The Secretary of Vet-
erans Affairs may enter into contracts for major medical
facility leases at the following locations, in an amount for
each facility lease not to exceed the amount shown for that
location:
(1) Wilmington, North Carolina, Outpatient
Clinic, $1,320,000.
(2) Greenville, North Carolina, Outpatient Clin-
ic, $1,220,000.
(3) 
Norfolk, 
Virginia, 
Outpatient 
Clinic,
$1,250,000.
(4) Summerfield, Florida, Marion County Out-
patient Clinic, $1,230,000.
(5) Knoxville, Tennessee, Outpatient Clinic,
$850,000.
(6) 
Toledo, 
Ohio, 
Outpatient 
Clinic,
$1,200,000.
(7) Crown Point, Indiana, Outpatient Clinic,
$850,000.
(8) Fort Worth, Texas, Tarrant County Out-
patient Clinic, $3,900,000.
SECTION 1. USE OF PASSENGER FACILITY CHARGES FROM 
ONE AIRPORT AT A PREVIOUSLY ASSOCIATED 
AIRPORT. 
(a) FINDINGS.—Congress makes the following find-
ings: 
(1) On December 22, 2015, the Los Angeles 
City Council, the Los Angeles Board of Airport 
Commissioners, the Los Angeles World Airports, the 
Ontario City Council, and the Ontario International 
Airport Authority agreed to transfer ownership and 
control of Ontario International Airport from the 
city of Los Angeles and Los Angeles World Airports 
to the Ontario International Airport Authority, a 
local joint powers authority established by and be-
tween the county of San Bernardino and the city of 
Ontario. 
(2) Pursuant to the agreement, the Ontario 
International Airport Authority intends to use be-
tween $70,000,000 and $120,000,000 in passenger 
facility charges collected at Ontario International 
Airport to finance eligible projects at Los Angeles 
International Airport, as compensation for passenger 
facility charges collected, consistent with section 
40117(b)(1) of title 49, United States Code, at Los 
Angeles International Airport for use at Ontario 
International Airport in the 1990s, when both air-
ports were controlled by Los Angeles World Air-
ports. 
(3) The amendment made by subsection (b) ap-
plies exclusively to Ontario International Airport, al-
lowing passenger facility charges to be used for eligi-
ble projects at Los Angeles International Airport 
while making no other changes to passenger facility 
charges eligibility requirements. 
(4) No additional appropriations are required to 
implement the agreement described in paragraph (1) 
or the amendment made by subsection (b). 
(b) 
PASSENGER
FACILITY
CHARGES.—Section 
40117(b) of title 49, United States Code, is amended by 
adding at the end the following: 
‘‘(8) USE OF PFC REVENUES AT PREVIOUSLY 
ASSOCIATED AIRPORT.— 
‘‘(A) IN
GENERAL.—Notwithstanding the 
requirements of paragraph (1) and subject to 
subparagraph (B), the Secretary may authorize 
use of a passenger facility charge to finance an 
eligible airport-related project if— 
‘‘(i) the eligible agency seeking to im-
pose the new charge controls an airport 
where a $2 passenger facility charge be-
came effective on January 1, 2013; and
‘‘(ii) the airport described in clause (i) 
and the airport at which the project will be 
carried out were under the control of the 
same eligible agency on October 1, 2015. 
‘‘(B) 
LIMITATION.—Not 
more 
than 
$120,000,000 in passenger facility charges col-
lected under subparagraph (A) may be used to 
carry out an eligible airport-related project de-
scribed in that subparagraph.’’. 
Passed the House of Representatives June 21, 2016. 
Attest: 
Clerk.
114TH CONGRESS 
2D SESSION 
H. R. 4369 
AN ACT 
To authorize the use of passenger facility charges 
at an airport previously associated with the air-
port at which the charges are collected.
ices a final estimated amount of compact migrant expendi-
tures for such quarter. 
(d) ESTIMATION AND NOTIFICATION BY SECRETARY 
OF HHS.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall estimate the number of per-
centage points that the FMAP for each affected ju-
risdiction would need to be increased for a calendar 
quarter to result in an increase in the amount of 
total Federal payments to the affected jurisdiction 
under title XIX of the Social Security Act for such 
quarter that is equivalent to the final estimated 
amount of compact migrant expenditures submitted 
under subsection (c) for such quarter. 
(2) CONTINUED
APPLICATION
OF
LIMITA-
TION.—In no case may the increase in the FMAP 
estimated by the Secretary of Health and Human 
Services under paragraph (1) result in the payments 
to an affected jurisdiction under title XIX of the So-
cial Security Act that exceed the limitations under 
subsections (f) and (g) of section 1108 of such Act 
(42 U.S.C. 1308). 
(3) NOTIFICATION.—Not later than 30 days be-
fore the beginning of the calendar quarter involved, 
the Secretary of Health and Human Services shall 
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notify each such chief executive official of the in-
crease in the FMAP estimated by the Secretary 
under this subsection for the affected jurisdiction in-
volved. 
(e) RECONCILING AND PAYMENT ADJUSTMENTS.— 
(1) REPORT BY AFFECTED JURISDICTIONS.— 
For each calendar quarter in which an increase in 
the FMAP is made for an affected jurisdiction under 
subsection (d), the chief executive official for the ju-
risdiction shall submit to the Secretary of the Inte-
rior an accounting of the total amount of compact 
migrant expenditures made by such jurisdiction for 
such quarter. Such accounting shall be submitted in 
such form and manner as the Secretary, in consulta-
tion with the Secretary of Health and Human Serv-
ices, shall specify. 
(2) REVIEW BY THE INTERIOR.—The Secretary 
of the Interior shall review each accounting sub-
mitted under paragraph (1) for accuracy, make any 
appropriate adjustments, and submit a final ac-
counting of the amount of compact migrant expendi-
tures for such quarter for each affected jurisdiction 
involved to the Secretary of Health and Human 
Services. 
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(3) ADJUSTMENT BY HHS.—The Secretary of 
Health and Human Services shall— 
(A) review whether the increase in the 
FMAP for each affected jurisdiction under sub-
section (a) for a calendar quarter involved re-
sulted in an increase in Federal payments to 
the affected jurisdiction under title XIX of the 
Social Security Act for such quarter in an 
amount that is equivalent to the final account-
ing of the amount of compact migrant expendi-
tures submitted under paragraph (2) for such 
jurisdiction; and 
(B) subject to the limitations under sub-
section (f) and (g) of section 1108 of such Act 
(42 U.S.C. 1308), shall make appropriate ad-
justments to the FMAP for the affected juris-
diction for future quarters to account for any 
overpayment or underpayment occurring as a 
result of the increase in such FMAP under this 
section for the quarter involved for that juris-
diction. 
(f) LIMITATION OF FMAP TO 100 PERCENT.—In no 
case shall an increase in the FMAP applicable to an af-
fected jurisdiction under this section result in an FMAP 
for that jurisdiction that exceeds 100 percent. 
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(g) RULE OF CONSTRUCTION.—This section shall not 
be construed as treating compact migrant expenditures as 
medical assistance under title XIX of the Social Security 
Act. 
(h) DEFINITIONS.—In this section: 
(1) AFFECTED JURISDICTION.—The term ‘‘af-
fected jurisdiction’’ has the meaning given such term 
in section 104(e)(2) of the Compact of Free Associa-
tion 
Amendments 
Act 
of 
2003 
(48 
U.S.C. 
1921c(e)(2)). 
(2) COMPACT
MIGRANT
EXPENDITURES.—(A) 
The term ‘‘compact migrant expenditures’’ means, 
for a calendar quarter with respect to an affected ju-
risdiction, the amount of non-Federal funds ex-
pended by such jurisdiction for items and services 
described in section 1905(a) of the Social Security 
Act (42 U.S.C. 1396d(a)) for qualified non-
immigrants (as defined in section 104(e)(2) of the 
Compact of Free Association Amendments Act of 
2003 (48 U.S.C. 1921c(e)(2))) and related adminis-
trative costs. 
(B) Such term includes payments made by an 
affected jurisdiction to health care providers for 
health care items and services provided to qualified 
nonimmigrants described in subparagraph (A), if 
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‘‘(3) may make available to the Congress rec-
ommendations that the Committee makes to the Sec-
retary; and
‘‘(4) shall meet at the call of—
‘‘(A) the Secretary, who shall call such a
meeting at least once during each calendar year;
or
‘‘(B) a majority of the Committee.
‘‘(b)(1) The Committee shall consist of 7 members ap-
pointed by the Secretary in accordance with this subsection,
each of whom has at least 5 years practical experience in
maritime operations. The term of each member is for a pe-
riod of not more than 5 years, specified by the Secretary.
Before filling a position on the Committee, the Secretary
shall publish a notice in the Federal Register soliciting
nominations for membership on the Committee.
‘‘(2) The membership of the Committee shall include—
‘‘(A) 3 members who are practicing Great Lakes
pilots and who reflect a regional balance;
‘‘(B) 1 member representing the interests of ves-
sel operators that contract for Great Lakes pilotage
services;
‘‘(C) 1 member representing the interests of
Great Lakes ports;