I
105TH CONGRESS
2D SESSION
H. R. 4844
To improve the quality of child care through grants and a commission on
child care standards, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
OCTOBER 15, 1998
Mr. STARK introduced the following bill; which was referred to the Committee
on Ways and Means, and in addition to the Committee on Education and
the Workforce, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned
A BILL
To improve the quality of child care through grants and
a commission on child care standards, 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.
This Act may be cited as the ‘‘Child Care Quality
Improvement Act of 1998’’.
SEC. 2. REFERENCE.
Except as otherwise expressly provided in this Act,
wherever in this Act a section or other provision is amend-
ed or repealed, the amendment or repeal shall be consid-
ered to be made to that section or other provision of the
Child Care and Development Block Grant Act of 1990 (42
U.S.C. 4858 et seq.).
SEC. 3. QUALITY IMPROVEMENT GRANTS.
(a) FUNDING.—Section 418 of the Social Security
Act (42 U.S.C. 618) is amended—
(1) by redesignating subsections (c) and (d) as
subsections (d) and (e), respectively; and
(2) by inserting after subsection (b) the follow-
ing:
‘‘(c) APPROPRIATIONS FOR CHILD CARE QUALITY
IMPROVEMENT GRANT PROGRAM.—
‘‘(1) APPROPRIATION.—Out of any money in
the Treasury of the United States not otherwise ap-
propriated, there are appropriated $600,000,000 for
each of the fiscal years 1999 through 2003 for car-
rying out activities that a State or territory deems
appropriate to realize the goal specified in section
658A(b)(6) of the CCDBG Act and the goals set
forth in the State’s or territory’s plan pursuant to
section 658E(c)(2) of such Act.
‘‘(2) 
RESERVATION
AND
ALLOTMENT
OF
FUNDS.—
‘‘(A) INDIAN TRIBES.—The Secretary shall
reserve 2 percent of the total amount appro-
priated pursuant to paragraph (1) of this sub-
section for each fiscal year for payments to In-
dian tribes. From the amount so reserved for a
fiscal year, the Secretary shall allot to an In-
dian tribe for the fiscal year an amount that
bears the same proportion to the amount so re-
served as the proportion of funds provided to
the Indian tribe under section 658O(c) of the
CCDBG Act for the fiscal year bears to the
total amount paid to all Indian tribes under
such section for the fiscal year.
‘‘(B) TERRITORIES.—The Secretary shall
reserve 1⁄2 of 1 percent of the total amount ap-
propriated pursuant to paragraph (1) of this
subsection for any fiscal year for payments to
the territories. From the amount so reserved
for a fiscal year, the Secretary shall allot to a
territory for the fiscal year an amount that
bears the same ratio to the amount so reserved
as the amount provided to the territory under
the CCDBG Act for fiscal year 1998 bears to
the total amount provided to all territories
under such Act for fiscal year 1998.
‘‘(C) STATES.—The Secretary shall allot
the total amount appropriated for a fiscal year
pursuant to paragraph (1) of this subsection
that remains after applying subparagraphs (A)
and (B) of this paragraph for the fiscal year,
among the qualifying States pursuant to the
formula used for determining the amount to be
allotted to the State under section 658O of the
CCDBG Act.
‘‘(3) MATCHING
PAYMENTS
TO
STATES
AND
TERRITORIES.—
‘‘(A) IN
GENERAL.—The Secretary shall
pay to each State and each territory that is a
qualifying jurisdiction for a fiscal year an
amount equal to the lesser of—
‘‘(i) the amount allotted to the State
or territory under paragraph (2) of this
subsection; or
‘‘(ii) 80 percent of expenditures by the
State or territory for activities that the
State or territory deems appropriate to re-
alize 
the 
goal 
specified 
in 
section
658A(b)(6) of the CCDBG Act and the
goals set forth in the State’s or territory’s
plan pursuant to section 658E(c)(2) of
such Act.
‘‘(B) 
REDISTRIBUTION.—Subsection
(a)(2)(D) shall apply to amounts allotted to
States under this subsection.
‘‘(4) PAYMENTS TO INDIAN TRIBES.—The Sec-
retary shall pay to each Indian tribe for a fiscal year
an amount equal to the lesser of—
‘‘(A) the amount allotted to the Indian
tribe under paragraph (2)(A) of this subsection;
or
‘‘(B) the total amount of expenditures by
the tribe for activities that the tribe deems ap-
propriate to realize the goal specified in section
658A(b)(6) of the CCDBG Act.
‘‘(5) DEFINITIONS.—In this subsection:
‘‘(A) CCDBG ACT.—The term ‘CCDBG
Act’ means the Child Care and Development
Block Grant Act of 1990 (42 U.S.C. 9801 et
seq.).
‘‘(B) 
QUALIFYING
JURISDICTION.—The
term ‘qualifying jurisdiction’ means a State or
territory that has in effect under its plan under
section 658E(c) of the CCDBG Act goals listed
pursuant to paragraph (2)(I) of such section.
‘‘(C) TERRITORY.—The term ‘territory’
means Puerto Rico, the United States Virgin
Islands, Guam, and the Commonwealth of the
Northern Mariana Islands.’’.
(b) GOALS.—Section 658A(b) (42 U.S.C. 9801 note)
is amended—
(1) in paragraph (4), by striking ‘‘and’’;
(2) in paragraph (5), by striking the period and
inserting ‘‘; and’’; and
(3) by adding at the end the following:
‘‘(6) to assist States in improving the quality of
child care for infants and children.’’.
(c) APPLICATION; USE OF FUNDS.—Section 658E
(42 U.S.C. 9858c) is amended—
(1) in subsection (c)(2), by adding at the end
the following:
‘‘(I) QUALITY BENCHMARKS.—In an appli-
cation in which the State requests amounts
available under section 418(c) of the Social Se-
curity Act, list established goals for quantifiable
improvements in child care quality within the
State, that accomplish the following:
‘‘(i) Increased training for child care
providers and administrators.
‘‘(ii) Enhanced licensing standards
(including at a minimum health and safe-
ty, adult-to-child ratios, groups sizes, and
criminal background checks) that will
apply to a broader range of child care fa-
cilities.
‘‘(iii) Reduced number of unlicensed
facilities offering child care.
‘‘(iv) Increased State monitoring and
enforcement of licensed providers.
‘‘(v) Decreased caregiver turnover
rates at child care facilities through incen-
tives such as increased compensation.
‘‘(vi) Higher levels of accreditation
among licensed child care facilities.
‘‘(vii) Other standards and practices
to improve the quality of child care.’’;
(2) in paragraph (c)(3), by striking ‘‘(3) USE’’
and inserting ‘‘(3) GENERAL USE’’;
(3) in subparagraph (c)(3)(B)—
(A) by striking ‘‘(5)’’ and inserting ‘‘(6)’’;
and
(B) by adding at the end the following:
‘‘The State shall use amounts provided to the
State for each fiscal year under section 418(c)
of the Social Security Act only for activities
that the State deems appropriate to realize the
goal specified in section 658A(b)(6) of this Act
and the goals set forth in the State’s plan pur-
suant to section 658E(c)(2) of this Act. Child
care providers that meet the definition in sec-
tion 658P(5)(B) of this Act and family child
care providers (unless the family child care pro-
vider is an eligible child care provider under
section 658P(5)(A) of this Act) shall not be eli-
gible for amounts provided to the State under
section 418(c) of the Social Security Act.’’;
(4) by redesignating subsection (d) as sub-
section (e); and
(5) by inserting after subsection (c) the follow-
ing:
‘‘(d) GRANTS TO LOCAL COLLABORATIVES.—
‘‘(1) IN
GENERAL.—A State that receives
amounts provided under section 418(c) of the Social
Security Act shall use such amounts, to the extent
possible, to make grants, on a competitive basis, to
local collaboratives to carry out child care quality
improvement activities.
‘‘(2) USE OF FUNDS.—A local collaborative that
receives a grant made under paragraph (1) may use
funds made available through the grant—
‘‘(A) to provide, in the community, activi-
ties designed to strengthen the quality of child
care for young children and expand the supply
of high quality child care services for young
children; and
‘‘(B) to pay for the salary and expenses of
the 
administrator 
described 
in 
paragraph
(5)(D), in accordance with such regulations as
the Secretary shall prescribe.
‘‘(3) MULTI-YEAR FUNDING.—In making grants
under this subsection, a State may make grants for
grant periods of more than 1 year to local
collaboratives with demonstrated success in carrying
out young child assistance activities.
‘‘(4) ELIGIBILITY.—To be eligible to receive a
grant under this subsection for a community, a local
collaborative shall demonstrate that the local collabo-
rative—
‘‘(A) is able to provide, through a coordi-
nated effort, child care quality improvement ac-
tivities; and
‘‘(B) includes—
‘‘(i) parents of young children in the
community;
‘‘(ii) all public agencies primarily pro-
viding services to young children in the
community;
‘‘(iii) businesses in the community;
‘‘(iv) representatives of the local gov-
ernment for the county or other political
subdivision in which the community is lo-
cated;
‘‘(v) officers of community organiza-
tions serving low-income individuals, as de-
fined by the Secretary, in the community;
‘‘(vi) community-based organizations
providing services to young children and
the parents of young children, such as or-
ganizations providing child care, carrying
out Head Start programs, or providing
pre-kindergarten education, mental health,
or family support services; and
‘‘(vii) nonprofit organizations that
serve the community and that are de-
scribed in section 501(c)(3) of the Internal
Revenue Code of 1986 and exempt from
taxation under section 501(a) of such
Code.
‘‘(5) APPLICATION.—To be eligible to receive a
grant under this subsection, a local collaborative
shall submit an application to the State at such
time, in such manner, and containing such informa-
tion as the State may require. At a minimum, the
application shall contain—
‘‘(A) sufficient information about the en-
tity described in paragraph (4)(B) to enable the
State to determine whether the entity complies
with the requirements of such paragraph; and
‘‘(B) a comprehensive plan for carrying out
child care quality improvement activities in the
community, including information indicating—
‘‘(i) the availability and cost of quality
child care in the community, as of the date
of submission of the plan, including infor-
mation on efforts to improve the quality;
‘‘(ii) the unmet needs of young chil-
dren, and parents of young children, in the
community for quality child care;
‘‘(iii) the manner in which funds made
available through the grant will be used to
improve child care quality in the commu-
nity and assist the State in accomplishing
the following:
‘‘(I) Increased training for child
care providers and administrators.
‘‘(II) Enhanced licensing stand-
ards (including at a minimum health
and 
safety, 
adult-to-child 
ratios,
groups sizes, and criminal background
checks) that will apply to a broader
range of child care facilities.
‘‘(III) Reduced number of unli-
censed facilities offering child care.
‘‘(IV) Increased State monitoring
and enforcement of licensed providers.
‘‘(V) Decreased caregiver turn-
over rates at child care facilities
through incentives such as increased
compensation.
‘‘(VI) Higher levels of accredita-
tion among licensed child care facili-
ties.
‘‘(VII) Other standards and prac-
tices to improve the quality of child
care;
‘‘(iv) how the local cooperative will use
at least 60 percent of the funds made
available through the grant to improve
child care quality as described in para-
graph (6);
‘‘(v) the comprehensive methods that
the collaborative will use to ensure that—
‘‘(I) each entity carrying out
child care quality activities through
the collaborative will coordinate the
activities with such activities carried
out by other entities through the col-
laborative; and
‘‘(II) the local collaborative will
coordinate the activities of the local
collaborative with—
‘‘(aa) other services provided
to young children, and the par-
ents of young children, in the
community; and
‘‘(bb) the activities of other
local collaboratives serving young
children and families in the com-
munity, if any; and
‘‘(vi) the manner in which the collabo-
rative will—
‘‘(I) evaluate the results achieved
by the collaboratives for improving
child care quality for young children
through activities carried out through
the grant; and
‘‘(II) prepare and submit to the
State annual reports describing the
results;
‘‘(C) an assurance that the local collabo-
rative will comply with the requirements of
clauses (iv), (v), and (vi) of subparagraph (B),
and paragraph (7); and
‘‘(D) an assurance that the local collabo-
rative will hire an administrator to oversee the
provision of the activities described in para-
graph (2).
‘‘(6) DISTRIBUTION.—In making grants under
this subsection, the State shall ensure that at least
60 percent of the funds made available through each
grant are used to improve child care quality for
young children who reside in school districts in
which half or more of the students receive free or re-
duced price lunches under the National School
Lunch Act (42 U.S.C. 1751 et seq.).
‘‘(7) LOCAL SHARE.—
‘‘(A) IN GENERAL.—The local collaborative
shall contribute a percentage (referred to in this
paragraph as the ‘local share’) of the cost of
carrying out child care improvement activities.
‘‘(B) PERCENTAGE.—The Secretary shall
by regulation specify the percentage referred to
in subparagraph (A).
‘‘(C) FORM.—The local share of the cost
shall be in cash.
‘‘(D) SOURCE.—The local collaborative
shall provide for the local share of the cost
through donations from private entities.
‘‘(E) WAIVER.—The State shall waive the
requirement of subparagraph (A) for poor rural
and urban areas, as defined by the Secretary.
‘‘(8) MONITORING.—The State shall monitor
the activities of local collaboratives that receive
grants under this subsection to ensure compliance
with the requirements of this subsection.’’.
(d) IMPROVEMENTS ON EXISTING FACILITIES.—Sec-
tion 658F(b) (42 U.S.C. 9858d(b)) is amended by adding
at the end the following:
‘‘(3) Notwithstanding paragraph (1) of this
subsection, funds available under section 418(c) of
the Social Security Act may be used to renovate or
repair a child care facility, other than a private resi-
dence, to the extent that such renovation or repair
is necessary to bring the facility into compliance
with State licensing requirements or requirements
for accreditation by organizations with nationally
recognized standards for providing high-quality care
to children.’’.
(e) CONSUMER EDUCATION; INFORMATION SHAR-
ING.—Section 658I(a) (42 U.S.C. 9858g(a)) is amend-
ed—
(1) in paragraph (2), by striking ‘‘and’’ at the
end;
(2) in paragraph (3), by striking the period and
inserting a semicolon; and
(3) by adding at the end the following:
‘‘(4) collect, publish, and make available to
States, child care providers, and the general public
consumer education information designed to promote
informed child care choices; and
‘‘(5) provide technical assistance to enable
States and local organizations—
‘‘(A) to share information on best child
care practices with the public; and
‘‘(B) to conduct activities designed to im-
prove the quality and availability of child
care.’’.
(f) COMPLIANCE.—Section 658I(b)(1) (42 U.S.C.
9858g(b)(1)) is amended by inserting before the period
the following: ‘‘, including the extent to which the State
is achieving the goals listed in the plan pursuant to section
658E(c)(2)(I)’’.
(g) REPORTS BY STATES.—Section 658K (42 U.S.C.
9858i) is amended—
(1) in the heading for such section, by striking
‘‘REPORTS’’ and inserting ‘‘REPORTS’’;
(2) in paragraph (a)(2)—
(A) in subparagraph (D), by striking
‘‘and’’ at the end;
(B) in subparagraph (E), by adding ‘‘and’’
at the end; and
(C) by inserting after subparagraph (E)
the following:
‘‘(F) in the case of a State that receives
amounts from funds provided under section
418(c) of the Social Security Act—
‘‘(i) the amount of such funds which
were provided to local collaboratives under
section 658E(d) of this Act;
‘‘(ii) the manner in which such funds
were used;
‘‘(iii) the number of child care provid-
ers that received funds from such amounts
as separately identified based on the types
of providers listed in section 658P(5) of
this Act;
‘‘(iv) the total number (without dupli-
cation) of children and families served with
such amounts; and
‘‘(v) the progress, if any, that the
State has made in attaining the goals list-
ed under section 658E(c)(2)(I) of this Act
in the plan submitted by the State.’’.
(h) REPORTS BY SECRETARY.—Section 658L (42
U.S.C. 9858j) is amended—
(1) in the heading for such section by striking
‘‘REPORT’’ and inserting ‘‘REPORTS’’;
(2) by inserting ‘‘(a) ACCESS TO CHILD CARE
REPORTS.—’’ before ‘‘Not later than’’;
(3) in subsection (a), as so designated by para-
graph (2) of this subsection—
(1) by inserting ‘‘and the Committee on
Ways and Means’’ after ‘‘Opportunities’’; and
(2) by adding at the end the following:
‘‘and progress on development and results of re-
search and demonstration projects as carried
out under section 658U’’ after ‘‘under section
658K’’; and
(4) by adding at the end the following:
‘‘(b) QUALITY OF CHILD CARE REPORTS.—
‘‘(1) BENCHMARK REPORTS.—Not later 1 year
after the date of the enactment of the Child Care
Quality Improvement Act of 1998, and annually
thereafter, the Secretary shall transmit to Congress
a report that contains a summary and analysis of
the information provided to the Secretary in the
State 
reports 
submitted 
pursuant 
to 
section
658K(a)(2)(F).
‘‘(2) IMPROVEMENT
REPORTS.—Not later 5
years after the date of the enactment of the Child
Care Quality Improvement Act of 1998, the Sec-
retary shall transmit to Congress a report that con-
tains a summary and analysis of the extent to which
funds provided under section 418(c) of the Social
Security Act have improved the quality of child
care.’’.
(i) ESTABLISHMENT
OF
RESEARCH
AND
DEM-
ONSTRATION ACTIVITIES.—The Child Care and Develop-
ment Block Grant Act of 1990 (42 U.S.C. 9858 et seq.)
is amended by adding at the end the following:
‘‘SEC. 658U. RESEARCH AND DEMONSTRATIONS.
‘‘(a) IN GENERAL.—The Secretary is authorized, ei-
ther directly or through grants, contracts, cooperative
agreements, or other arrangements, to carry out research,
demonstration projects, and other activities relating to
child care, including activities designed to improve the
quality and increase the availability of child care. Such
activities shall be coordinated with activities under the De-
partment of Education’s Office of Educational Research
and Improvement.
‘‘(b) ALLOWABLE ACTIVITIES.—Activities under this
section may include the following:
‘‘(1) RESEARCH
ON
CHILD
CARE
NEEDS
OF
LOW-INCOME FAMILIES.—Research designed to iden-
tify and overcome barriers restricting availability, af-
fordability, and quality of child care for low-income
families.
‘‘(2) RESEARCH ON GOOD POLICIES AND PRAC-
TICES.—Research designed to identify good child
care policies and practices, including the types of
child care settings, parent activities, and provider
training that most benefit the early development of
children.
‘‘(3) RESEARCH ON RETENTION OF CHILD CARE
PROVIDER STAFF.—Research on factors affecting re-
tention of child care provider staff, including the
National Child Care Provider Scholarship Program
under section 658G(b) and its subsequent effect on
outcomes for children.
‘‘(4) 
DEMONSTRATIONS
OF
TECHNOLOGY-
BASED EDUCATION AND TRAINING.—Demonstration
projects testing use of remote site and interactive
computer technology to provide education and train-
ing to child care providers and parents.
‘‘(5) DEMONSTRATION
PROJECTS
FOR
NEW
METHODS.—Demonstration projects addressing ways
to assist parents, such as parents who choose to stay
at home with their children and parents with par-
ticular child care needs, including parents of chil-
dren with special health care needs or disabilities,
homeless families, migrant families, teen parents
and foster parents.
‘‘(6) NATIONAL CENTER ON CHILD CARE STA-
TISTICS.—Establishment and operation of a Na-
tional Center on Child Care Statistics for the collec-
tion and dissemination of data and information on
child care.
‘‘(7) HOTLINE AND CONSUMER EDUCATION.—
Establishment and operation of a hotline to assist
parents to locate their local child care resource and
referral agency and public education activities to as-
sist parents in becoming informed consumers of
quality child care.
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There
is authorized to be appropriated to carry out this section
$30,000,000 for each of fiscal years 1999 through 2003.’’.
SEC. 4. ADVISORY COMMISSION.
(a) ESTABLISHMENT.—There is established a com-
mission to be known as the ‘‘Advisory Commission on
Quality Child Care’’.
(b) DUTIES.—The Commission shall—
(1) identify and study—
(A) the most important issues affecting the
quality of child care;
(B) the most efficient and effective manner
of ensuring that families in the United States
will receive quality child care; and
(C) other related topics that the Commis-
sion considers appropriate; and
(2) develop and make recommendations regard-
ing—
(A) feasible goals and targets for child care
programs operated by the States to improve the
quality of child care provided in accordance
with such programs;
(B) national standards for the quality of
child care; and
(C) other related topics that the Commis-
sion considers appropriate.
(c) NUMBER AND APPOINTMENT OF MEMBERS.—
The Commission shall be composed of 9 members who
shall be appointed by the President before the expiration
of the 6-month period beginning on the date of the enact-
ment of this Act.
(d) QUALIFICATIONS OF MEMBERS.—Each of the in-
dividuals appointed under subsection (a) shall be an indi-
vidual with distinctive expertise or experience in child care
or early childhood development.
(e) POLITICAL AFFILIATION.—Not more than 5
members appointed may be of the same political party.
(f) TERMS.—Each member shall be appointed for the
life of the Commission. Any vacancy in the Commission
shall not affect its powers, but shall be filled in the manner
in which the original appointment was made.
(g) BASIC PAY.—Each member shall serve without
pay.
(h) TRAVEL EXPENSES.—Each member shall receive
travel expenses, including per diem in lieu of subsistence,
in accordance with sections 5702 and 5703 of title 5,
United States Code.
(i) QUORUM.—A majority of the members of the
Commission shall constitute a quorum but a lesser number
may hold hearings.
(j) CHAIRPERSON.—The Chairperson of the Commis-
sion shall be designated by the President. The term of of-
fice of the Chairperson shall be for the life of the Commis-
sion. A vacancy in the office of the Chairperson shall be
filled in the manner in which the original designation was
made.
(k) MEETINGS.—The Commission shall meet not less
than 4 times. The initial meeting of the Commission shall
be at the call of the Chairperson and shall occur within
the 90-day period beginning on the date on which all mem-
bers of the Commission have been appointed. After the
initial meeting, the Commission shall meet at the call of
the Chairperson or a majority of its members.
(l) DIRECTOR.—The Commission shall have a Direc-
tor who shall be appointed by the Secretary of Health and
Human Services. The Secretary of Health and Human
Services shall fix the pay of the Director.
(m) STAFF.—Upon request of the Commission, the
Secretary of Health and Human Services shall detail, and
the head of any other Federal department or agency may
detail, on a reimbursable basis, any of the personnel of
that department or agency to the Commission to assist
it in carrying out its duties under this Act.
(n) ADMINISTRATIVE SUPPORT SERVICES.—Upon
the request of the Commission, the Administrator of Gen-
eral Services shall provide to the Commission, on a reim-
bursable basis, the administrative support services nec-
essary for the Commission to carry out its responsibilities
under this Act.
(o) HEARINGS
AND SESSIONS.—The Commission
may, for the purpose of carrying out this Act, hold hear-
ings, sit and act at times and places, take testimony, and
receive evidence as the Commission considers appropriate.
(p) POWERS OF MEMBERS AND AGENTS.—Any mem-
ber or agent of the Commission may, if authorized by the
Commission, take any action that the Commission is au-
thorized to take by this section.
(q) OBTAINING OFFICIAL DATA.—The Commission
may secure directly from any department or agency of the
United States information necessary to enable the Com-
mission to carry out this Act. Upon request of the Chair-
person, the head of the department or agency shall furnish
the information to the Commission.
(r) GIFTS, BEQUESTS, AND DEVISES.—The Commis-
sion may accept, use, and dispose of gifts, bequests, or
devises of services or property, both real and personal, for
the purpose of aiding or facilitating the work of the Com-
mission. Gifts, bequests, or devises of money and proceeds
from sales of other property received as gifts, bequests,
or devises shall be deposited in the Treasury and shall be
available for disbursement upon order of the Commission.
(s) MAILS.—The Commission may use the United
States mails in the same manner and under the same con-
ditions as other departments and agencies of the United
States.
(t) REPORTS.—
(1) INTERIM REPORTS.—As soon as practicable
after any hearing held by the Commission, the Com-
mission shall submit to the President, Congress, and
the Secretary of Health and Human Services an in-
terim report summarizing the hearing and contain-
ing any other information the Commission considers
appropriate.
(2) FINAL REPORT.—Not later than 2 years
after the date of the initial meeting of the Commis-
sion, the Commission shall submit to the President,
Congress, and the Secretary of Health and Human
Services a final report that—
(A) shall set forth the consensus findings
and recommendations of the Commission; and
(B) may set forth the majority but non-
consensus findings and recommendations of the
Commission and any other information that the
Commission considers appropriate.
(3) REPORT BY SECRETARY.—Not later than 2
years after the date on which the Commission sub-
mits its final report, the Secretary of Health and
Human Services shall submit to Congress a report
describing any actions that the Secretary of Health
and Human Services has taken with respect to the
final report of the Commission.
(u) TERMINATION.—The Commission shall terminate
2 years after the date of its initial meeting, or on the date
on which the Commission submits its final report, which-
ever occurs first.
Æ