datamatters24/research-document-archive huggingface dataset:
I 
116TH CONGRESS 
1ST SESSION H. R. 4620 
To amend title XVIII of the Social Security Act to expand eligibility for 
low-income subsidies under part D of the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 8, 2019 
Mr. ROSE of New York (for himself, Mr. VEASEY, and Mr. MORELLE) 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 expand 
eligibility for low-income subsidies under part D of the 
Medicare 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 ‘‘More Help for Seniors 
Act of 2019’’. 
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SEC. 2. EXPANDING ELIGIBILITY FOR LOW-INCOME SUB-
SIDIES UNDER PART D OF THE MEDICARE 
PROGRAM. 
Section 1860D–14(a) of the Social Security Act (42 
U.S.C. 1395w–114(a)) is amended— 
(1) in the header, by striking ‘‘INDIVIDUALS’’ 
and all that follows through ‘‘LINE’’ and inserting 
‘‘CERTAIN INDIVIDUALS’’; 
(2) in paragraph (1)— 
(A) by striking the header and inserting 
‘‘INDIVIDUALS WITH CERTAIN LOW INCOMES’’; 
and 
(B) in the matter preceding subparagraph 
(A), by inserting ‘‘(or, with respect to a plan 
year beginning on or after January 1, 2022, 
150 percent)’’ after ‘‘135 percent’’; 
(3) in paragraph (2)— 
(A) by striking the header and inserting 
‘‘OTHER LOW-INCOME INDIVIDUALS’’; and 
(B) in subparagraph (A)— 
(i) by inserting ‘‘(or, with respect to a 
plan year beginning on or after January 1, 
2022, 150 percent)’’ after ‘‘135 percent’’; 
and 
(ii) by inserting ‘‘(or, with respect to 
a plan year beginning on or after January 
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1, 2022, 200 percent)’’ after ‘‘150 per-
cent’’; and 
(4) in paragraph (3)(A)(ii), by inserting ‘‘(or, 
with respect to a plan year beginning on or after 
January 1, 2022, 200 percent)’’ after ‘‘150 per-
cent’’. 
Æ 
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‘‘(D) The loss of accreditation or candidacy for 
accreditation. 
‘‘(4)(A) An action described in this subparagraph is 
any of the following: 
‘‘(i) Publishing a warning on the internet 
website of the Department described in section 
3698(c)(2) of this title, or such other similar inter-
net website of the Department, that describes how 
an educational institution is failing to meet a re-
quirement under paragraph (1) or (2). 
‘‘(ii) Prohibiting the pursuit by an individual of 
a course of education at an educational institution 
under chapter 30, 32, 33, or 35 of this title, or 
chapter 1606 or 1607 of title 10, during the period 
beginning on the date of such prohibition and ending 
on a date specified by the State approving agency, 
in consultation with the Secretary, or the Secretary 
when acting in the role of the State approving agen-
cy, unless the individual was enrolled at the institu-
tion before such period. 
‘‘(B) The Secretary shall establish guidelines to en-
sure that the actions described in subparagraph (A) are 
applied in a proportional and uniform manner by State 
approving agencies, or the Secretary when acting in the 
role of the State approving agency. 
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IIB 
116TH CONGRESS 
1ST SESSION H. R. 4625 
IN THE SENATE OF THE UNITED STATES 
NOVEMBER 13, 2019 
Received; read twice and referred to the Committee on Veterans’ Affairs 
AN ACT 
To amend title 38, United States Code, to require that 
educational institutions abide by certain principles as 
a condition of approval for purposes of the educational 
assistance programs of the Department of Veterans Af-
fairs, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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uct is on the plan formulary in lieu of 
or in addition to the reference biologi-
cal product. 
‘‘(II) 
PREFERENCING.—Assess-
ing tier placement or cost sharing for 
a biosimilar biological product relative 
to the reference biological product. 
‘‘(III) 
UTILIZATION
MANAGE-
MENT TOOLS.—Assessing whether and 
how utilization management tools are 
used with respect to a biosimilar bio-
logical product relative to the ref-
erence biological product. 
‘‘(IV) 
UTILIZATION.—Assessing 
the percentage of enrollees prescribed 
the biosimilar biological product when 
the reference biological product is also 
available. 
‘‘(ii) DEFINITIONS.—In this subpara-
graph, the terms ‘biosimilar biological 
product’ and ‘reference biological product’ 
have the meaning given those terms in sec-
tion 1847A(c)(6). 
‘‘(iii) PROTECTING
PATIENT
INTER-
ESTS.—In developing such measures, the 
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Secretary shall ensure that each measure 
developed to address coverage, preferenc-
ing, or utilization management is con-
structed such that patients retain equal ac-
cess to appropriate therapeutic options 
without undue administrative burden.’’. 
(b) CLARIFICATION REGARDING APPLICATION
TO 
PRESCRIPTION DRUG PLANS.—To the extent the Sec-
retary of Health and Human Services applies the 5-star 
rating system under section 1853(o)(4) of the Social Secu-
rity Act (42 U.S.C. 1395w–23(o)(4)), or a similar system, 
to prescription drug plans under part D of title XVIII of 
such Act, the provisions of subparagraph (E) of such sec-
tion, as added by subsection (a) of this section, shall apply 
under the system with respect to such plans in the same 
manner as such provisions apply to the 5-star rating sys-
tem under such section 1853(o)(4). 
Æ 
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‘‘(ii) For each of fiscal years 2021 
through 2029, $200,000,000. 
‘‘(C) For support for continuous manufac-
turing of drugs and biological products, includ-
ing complex biological products such as regen-
erative medicine therapies, through grants to 
institutions of higher education and nonprofit 
organizations and other appropriate mecha-
nisms, for each of fiscal years 2020 through 
2029, $50,000,000. 
‘‘(D) For support for the Commissioner of 
Food and Drugs to engage experts, such as 
through the formation and operation of public- 
private partnerships or other appropriate col-
laborative efforts, to advance the development 
and delivery of individualized human gene ther-
apy products: 
‘‘(i) 
For 
fiscal 
year 
2020, 
$50,000,000. 
‘‘(ii) For each of fiscal years 2021 
through 2029, $10,000,000. 
‘‘(E) For support for inspections and en-
forcement activities across the Food and Drug 
Administration, including foreign and domestic 
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‘‘(C) proposes changes in the administra-
tive practices of the PBO to mitigate problems 
experienced by borrowers; and 
‘‘(D) identifies potential legislative changes 
which may be appropriate to mitigate such 
problems.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Section 433(b)(13) of the Higher Education 
Act of 1965 (20 U.S.C. 1083(b)(13)) is amended by 
striking ‘‘Student Loan Ombudsman’’ and inserting 
‘‘Borrower Advocate’’. 
(2) Section 433(e)(3)(E) of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1083(e)(3)(E)) is 
amended by striking ‘‘Student Loan Ombudsman’’ 
and inserting ‘‘Borrower Advocate’’. 
Æ 
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I 
116TH CONGRESS 
1ST SESSION H. R. 4628 
To amend title XVIII of the Social Security Act to eliminate the resource 
requirement with respect to subsidy-eligible individuals under part D 
of the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 8, 2019 
Ms. SCANLON (for herself, Mr. WELCH, and Mr. BRENDAN F. BOYLE of 
Pennsylvania) introduced 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 eliminate 
the resource requirement with respect to subsidy-eligible 
individuals under part D of the Medicare 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 ‘‘Better Tools to Lower 
Costs Act of 2019’’. 
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SEC. 2. ELIMINATING THE RESOURCE REQUIREMENT WITH 
RESPECT 
TO 
SUBSIDY-ELIGIBLE 
INDIVID-
UALS UNDER PART D OF THE MEDICARE 
PROGRAM. 
Section 1860D–14(a)(3)(A)(iii) of the Social Security 
Act (42 U.S.C. 1395w–114(a)(3)(A)(iii)) is amended by 
inserting ‘‘in the case of a plan year beginning before Jan-
uary 1, 2022,’’ before ‘‘meets’’. 
Æ 
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I 
116TH CONGRESS 
1ST SESSION H. R. 4629 
To amend title XVIII of the Social Security Act to require the Secretary 
of Health and Human Services to add a new set of measures to the 
5-star rating system under the Medicare Advantage program in order 
to encourage increased access to biosimilar biological products. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 8, 2019 
Mr. TONKO (for himself and Mr. GIBBS) introduced 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 provi-
sions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to require 
the Secretary of Health and Human Services to add 
a new set of measures to the 5-star rating system under 
the Medicare Advantage program in order to encourage 
increased access to biosimilar biological products. 
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 ‘‘Star Rating for 
Biosimilars Act’’. 
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SEC. 2. ADDITION OF NEW MEASURES BASED ON ACCESS 
TO BIOSIMILAR BIOLOGICAL PRODUCTS TO 
THE 5-STAR RATING SYSTEM UNDER MEDI-
CARE ADVANTAGE. 
(a) IN GENERAL.—Section 1853(o)(4) of the Social 
Security Act (42 U.S.C. 1395w–23(o)(4)) is amended by 
adding at the end the following new subparagraph: 
‘‘(E) ADDITION OF NEW MEASURES BASED 
ON ACCESS TO BIOSIMILAR BIOLOGICAL PROD-
UCTS.— 
‘‘(i) IN
GENERAL.—For 2021 and 
subsequent years, the Secretary shall add a 
new set of measures to the 5-star rating 
system based on access to biosimilar bio-
logical products covered under part B and, 
in the case of MA–PD plans, such prod-
ucts that are covered part D drugs. Such 
measures shall assess the impact a plan’s 
benefit structure may have on enrollees’ 
utilization of or ability to access biosimilar 
biological products, including in compari-
son to the reference biological product, and 
shall include measures, as applicable, with 
respect to the following: 
‘‘(I) 
COVERAGE.—Assessing 
whether a biosimilar biological prod-
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I 
116TH CONGRESS 
1ST SESSION 
H. R. 462 
To amend the Water Resources Development Act of 2000 to provide for 
expedited project implementation relating to the comprehensive Ever-
glades restoration plan. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 10, 2019 
Mr. HASTINGS (for himself, Mr. DIAZ-BALART, Mr. ROONEY of Florida, Ms. 
FRANKEL, Ms. MUCARSEL-POWELL, Mrs. MURPHY, and Mr. CRIST) in-
troduced the following bill; which was referred to the Committee on 
Transportation and Infrastructure 
A BILL 
To amend the Water Resources Development Act of 2000 
to provide for expedited project implementation relating 
to the comprehensive Everglades restoration plan. 
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 ‘‘Everglades for the 
Next Generation Act’’. 
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SEC. 
2. 
COMPREHENSIVE 
EVERGLADES 
RESTORATION 
PLAN. 
Section 601(d) of the Water Resources Development 
Act of 2000 (Public Law 106–541; 114 Stat. 2684) is 
amended— 
(1) in paragraph (1), by inserting ‘‘and subject 
to paragraph (3)’’ after ‘‘subsection (b) or (c)’’; and 
(2) by adding at the end the following: 
‘‘(3) 
EXPEDITED
PROJECT
IMPLEMENTA-
TION.—After completing a project implementation 
report prepared in accordance with subsections (f) 
and (h), the Secretary may carry out, without any 
further congressional authorization— 
‘‘(A) any project identified in the Plan for 
which a project implementation report is com-
pleted that is in accordance with an integrated 
delivery schedule approved by the Chief of En-
gineers and the South Florida Water Manage-
ment District, in consultation with the South 
Florida Ecosystem Restoration Task Force, 
subject to the condition that the report is com-
pleted not later than 5 years after the date of 
enactment of this paragraph; and 
‘‘(B) any group of projects under the Plan 
that the Secretary determines will provide re-
gional or watershed ecosystem or water supply 
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benefits if the group of projects is constructed 
in accordance with a project implementation re-
port approved by the Chief of Engineers and 
the South Florida Water Management District, 
in consultation with the South Florida Eco-
system Restoration Task Force, not later than 
5 years after the date of enactment of this 
paragraph.’’. 
Æ 
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I 
116TH CONGRESS 
1ST SESSION H. R. 4630 
To amend the Elementary and Secondary Education Act of 1965 to clarify 
when certain academic assessments shall be administered. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 8, 2019 
Mr. ZELDIN (for himself and Mr. YOUNG) introduced the following bill; which 
was referred to the Committee on Education and Labor 
A BILL 
To amend the Elementary and Secondary Education Act 
of 1965 to clarify when certain academic assessments 
shall be administered. 
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 ‘‘Student Testing Im-
provement and Accountability Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) Prior to 2001, Federal law required States 
only to test students once per grade span. 
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(2) Following the enactment of the No Child 
Left Behind Act of 2001, which amended the Ele-
mentary and Secondary Education Act of 1965, 
Federal education policy has placed an increased 
emphasis on testing assessments, requiring students 
to undergo standardized testing every year in grades 
3 through 8. 
(3) Reducing the frequency of federally required 
testing will allow more time for student learning and 
empower States and school districts to have more 
local control over the frequency of testing. 
(4) Students will have more time to receive one- 
on-one instruction and develop critical thinking and 
problem-solving skills through a well-rounded edu-
cation and curriculum. 
(5) Moving away from the Federal practice of 
annually ‘‘teaching to the test’’ will empower edu-
cators to provide instruction in a way that best in-
spires and prepares our country’s next generation of 
leaders. 
(6) With grade span testing, our educators will 
be more able to focus on those students who are 
most in need but who also lose the most class time 
preparing for annual tests. 
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(7) Grade span testing will allow States the 
flexibility to develop more meaningful, tailored as-
sessment systems that provide valid, reliable data. 
(8) The yearly testing currently required by 
Federal law should be replaced with grade span test-
ing. 
SEC. 3. ACADEMIC ASSESSMENTS. 
(a) AMENDMENT.—Section 1111(b)(2)(B)(v)(I) of 
the Elementary and Secondary Education Act of 1965 (20 
U.S.C. 6311(b)(2)(B)(v)) is amended to read as follows: 
‘‘(v)(I) in the case of mathematics 
and reading or language arts, be adminis-
tered not less than once during— 
‘‘(aa) grades 3 through 5; 
‘‘(bb) grades 6 through 9; and 
‘‘(cc) grades 10 through 12;’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on the first August 2 after 
the date of enactment of this Act. 
Æ 
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(1) in the matter preceding clause (i), by strik-
ing ‘‘2025’’ and inserting ‘‘2029’’; and 
(2) by striking clauses (iv) through (ix) and in-
serting the following: 
‘‘(iv) 
For 
fiscal 
year 
2020, 
$746,000,000. 
‘‘(v) 
For 
fiscal 
year 
2021, 
$551,000,000. 
‘‘(vi) For each of fiscal years 2022 
through 2024, $531,000,000. 
‘‘(vii) 
For 
fiscal 
year 
2025, 
$536,000,000. 
‘‘(viii) For each of fiscal years 2026 
through 2029, $531,000,000.’’. 
(b) FDA ACTIVITIES.—Paragraph (4) of section 
1002(b) of the 21st Century Cures Act (Public Law 114– 
255) is amended to read as follows: 
‘‘(4) FDA ACTIVITIES.—The activities author-
ized to be funded under this section shall consist of 
the following, and of the total amounts authorized to 
be appropriated under paragraph (3) there are au-
thorized to be appropriated to each category of ac-
tivities a total amount not to exceed the following: 
‘‘(A) In addition to the allocations speci-
fied in subparagraphs (B) through (K), for the 
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to carry out this section. Amounts transferred under this 
subsection shall remain available without further appro-
priation until expended.’’. 
(b) EMERGENCY DESIGNATION.—The amounts made 
available by amendments made by this section are des-
ignated as an emergency requirement pursuant to section 
4(g) of the Statutory Pay-As-You-Go Act of 2010 (2 
U.S.C. 933(g)). 
Æ 
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I 
116TH CONGRESS 
1ST SESSION H. R. 4632 
To amend title XVIII of the Social Security Act to require the Secretary 
of Health and Human Services to disseminate to part D subsidy eligible 
individuals information comparing the premiums under LIS benchmark 
plans for such individuals. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 11, 2019 
Mr. KIND (for himself, Ms. DAVIDS of Kansas, and Mr. BUTTERFIELD) 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 require 
the Secretary of Health and Human Services to dissemi-
nate to part D subsidy eligible individuals information 
comparing the premiums under LIS benchmark plans 
for such individuals. 
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 ‘‘Better Transparency 
in Information for Medicare Beneficiaries Act of 2019’’. 
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SEC. 2. DISSEMINATION TO MEDICARE PART D SUBSIDY EL-
IGIBLE INDIVIDUALS OF INFORMATION COM-
PARING PREMIUMS OF CERTAIN PRESCRIP-
TION DRUG PLANS. 
Section 1860D–1(c)(3) of the Social Security Act (42 
U.S.C. 1395w–101(c)(3)) is amended by adding at the end 
the following new subparagraph: 
‘‘(C) INFORMATION
ON
PREMIUMS
FOR 
SUBSIDY ELIGIBLE INDIVIDUALS.— 
‘‘(i) IN
GENERAL.—For plan year 
2022 and each subsequent plan year, the 
Secretary shall disseminate to each subsidy 
eligible individual (as defined in section 
1860D–14(a)(3)) information under this 
paragraph comparing premiums that would 
apply to such individual for prescription 
drug coverage under LIS benchmark plans, 
including, in the case of an individual en-
rolled in a prescription drug plan under 
this part, information that compares the 
premium that would apply if such indi-
vidual were to remain enrolled in such plan 
to premiums that would apply if the indi-
vidual were to enroll in other LIS bench-
mark plans. 
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‘‘(ii) LIS BENCHMARK
PLAN.—For 
purposes of clause (i), the term ‘LIS 
benchmark plan’ means, with respect to an 
individual, a prescription drug plan under 
this part that is offered in the region in 
which the individual resides and— 
‘‘(I) that provides for a premium 
that is not more than the low-income 
benchmark premium amount (as de-
fined in section 1860D–14(b)(2)) for 
such region; or 
‘‘(II) with respect to which the 
premium would be waived as de mini-
mis pursuant to section 1860D– 
14(a)(5) for such individual.’’. 
Æ 
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