datamatters24/research-document-archive huggingface dataset:
advance payments shall be made on request of 
the individual with respect to whom the deter-
mination is to be made. 
‘‘(2) INFORMATION REQUIREMENTS.— 
‘‘(A) IN GENERAL.—Each person providing 
health insurance coverage which constitutes 
medical care, and each trustee of a health sav-
ings account, shall provide the following infor-
mation to the Secretary and to the taxpayer 
with respect to such coverage or such account: 
‘‘(i) The total premium for the cov-
erage without regard to the credit under 
this section. 
‘‘(ii) The aggregate amount of any ad-
vance payment of such credit made with 
respect to such coverage or to such ac-
count. 
‘‘(iii) The name, address, age, and 
TIN of the primary insured or account 
holder (as the case may be) and the name, 
age, and TIN of each other individual ob-
taining coverage under such policy of in-
surance. 
VerDate Sep 11 2014 
21:30 Mar 06, 2017
Jkt 069200
PO 00000
Frm 00037
Fmt 6652
Sfmt 6201
E:\BILLS\H1275.IH
H1275
sradovich on DSK3GMQ082PROD with BILLS
Union Calendar No. 422 
115TH CONGRESS 
2D SESSION 
H. R. 1274 
[Report No. 115–561] 
A BILL 
To amend the Endangered Species Act of 1973 to 
require making available to States affected by de-
terminations that species are endangered species 
or threatened species all data that is the basis of 
such determinations, and for other purposes. 
FEBRUARY 15, 2018 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Sep 11 2014 
00:28 Feb 16, 2018
Jkt 079200
PO 00000
Frm 00006
Fmt 6651
Sfmt 6651
E:\BILLS\H1274.RH
H1274
SSpencer on DSKBBXCHB2PROD with BILLS
boundary, to be administered by the Secretary of the 
Interior, as a wild river. 
‘‘(229) SOUTH FORK CALAWAH RIVER, WASH-
INGTON.—The segment of the South Fork Calawah 
River and the major tributary Sitkum River from 
the headwaters to Hyas Creek to be administered by 
the Secretary of Agriculture, except those portions 
of the river within the boundaries of Olympic Na-
tional Park shall by administered by the Secretary 
of the Interior, including the following segments in 
the following classes: 
‘‘(A) The approximately 15.7-mile segment 
of the South Fork Calawah River from the 
headwaters to the Sitkum River, as a wild river. 
‘‘(B) The approximately 0.9-mile segment 
of the South Fork Calawah River from the 
Sitkum River to Hyas Creek, as a scenic river. 
‘‘(C) The approximately 1.6-mile segment 
of the Sitkum River from the headwaters to the 
Rugged Ridge Wilderness boundary, as a wild 
river. 
‘‘(D) The approximately 11.9-mile segment 
of the Sitkum River from the Rugged Ridge 
Wilderness boundary to the confluence with the 
South Fork Calawah, as a scenic river. 
VerDate Sep 11 2014 
01:10 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00024
Fmt 6652
Sfmt 6201
E:\BILLS\H1285.IH
H1285
lotter on DSK5VPTVN1PROD with BILLS
‘‘(230) SOL
DUC
RIVER, WASHINGTON.—The 
segment of the Sol Duc River from the headwaters 
to the Olympic National Park boundary to be ad-
ministered by the Secretary of the Interior, including 
the following segments of the mainstem and certain 
tributaries in the following classes: 
‘‘(A) The approximately 7.0-mile segment 
of the Sol Duc River from the headwaters to 
the end of Sol Duc Hot Springs Road, as a wild 
river. 
‘‘(B) The approximately 10.8-mile segment 
of the Sol Duc River from the end of Sol Duc 
Hot Springs Road to the Olympic National 
Park boundary, as a scenic river. 
‘‘(C) The approximately 14.2-mile segment 
of the North Fork Sol Duc River from the 
headwaters to the Olympic Hot Springs Road 
bridge, as a wild river. 
‘‘(D) The approximately 0.2-mile segment 
of the North Fork Sol Duc River from the 
Olympic Hot Springs Road bridge to the con-
fluence with the Sol Duc River, as a scenic 
river. 
‘‘(E) The approximately 8.0-mile segment 
of the South Fork Sol Duc River from the 
VerDate Sep 11 2014 
01:10 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00025
Fmt 6652
Sfmt 6201
E:\BILLS\H1285.IH
H1285
lotter on DSK5VPTVN1PROD with BILLS
I 
115TH CONGRESS 
1ST SESSION H. R. 1277 
To permit indefinite extensions for certain previously extended Medicaid 
managed care waivers. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2017 
Mrs. BLACKBURN introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To permit indefinite extensions for certain previously 
extended Medicaid managed care waivers. 
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 Medicaid Waiver 
Flexibility Act of 2017’’. 
SEC. 2. GRANDFATHERING CERTAIN MEDICAID MANAGED 
CARE WAIVERS. 
(a) IN GENERAL.—In the case of a State with a 
grandfathered managed care waiver, the State may con-
tinue to implement the managed care delivery system that 
VerDate Sep 11 2014 
01:08 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1277.IH
H1277
lotter on DSK5VPTVN1PROD with BILLS
provide training in early childhood STEM activities 
for teachers of early childhood programs. 
(4) The provision of professional development 
programs for teachers of early childhood program by 
institutions of higher education. 
(e) DEFINITIONS.—In this Act: 
(1) EARLY CHILDHOOD PROGRAM.—A program 
providing education and childcare to children from 
birth through 5 years of age. 
(2) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means— 
(A) a local educational agency providing an 
early childhood program; 
(B) an educational service agency serving 
more than one such local educational agency; 
(C) a nonprofit organization that provides 
early childhood education and care; or 
(D) an institution of higher education in 
partnership with an early childhood program to 
create training in early childhood STEM activi-
ties for teachers of such early childhood pro-
grams. 
(3) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
VerDate Sep 11 2014 
01:10 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H1288.IH
H1288
lotter on DSK5VPTVN1PROD with BILLS
is the subject of such waiver in perpetuity under the State 
plan under title XIX of the Social Security Act (or a waiv-
er of such plan) without submitting an application to the 
Secretary for a new waiver to implement such managed 
care delivery system, so long as the terms and conditions 
of the waiver involved are not modified. If the State seeks 
to modify the terms or conditions of such a waiver, the 
State shall submit to the Secretary an application for ap-
proval of a new waiver under such modified terms and con-
ditions. 
(b) STATE WITH
A GRANDFATHERED MANAGED 
CARE WAIVER DEFINED.—In this section, the term 
‘‘State with a grandfathered managed care waiver’’ means 
a State— 
(1) with a waiver approved by the Secretary of 
Health and Human Services under section 1915(b) 
of the Social Security Act (42 U.S.C. 1396u–2(b)) 
with respect to the authority of the State to imple-
ment a managed care delivery system under the 
State plan under title XIX of the Social Security Act 
(or under a waiver of such plan under section 1115 
of such Act) that is in effect as of January 1, 2017; 
and 
(2) the renewal of such waiver was approved no 
less than two times. 
VerDate Sep 11 2014 
01:08 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H1277.IH
H1277
lotter on DSK5VPTVN1PROD with BILLS
(c) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed, with respect to a waiver approved 
by the Secretary of Health and Human Services under 
section 1115 of the Social Security Act (42 U.S.C. 1315), 
to allow for the continued application in perpetuity of such 
waiver with respect to any aspect of the implementation 
of the Medicaid program under title XIX of such Act in 
such State other than the authority of the State to imple-
ment a managed care delivery system in such State. 
Æ 
VerDate Sep 11 2014 
01:08 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6301
E:\BILLS\H1277.IH
H1277
lotter on DSK5VPTVN1PROD with BILLS
I 
115TH CONGRESS 
1ST SESSION H. R. 1278 
To amend title 18, United States Code, to require firearm assembly kits 
to be considered to be firearms. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2017 
Mr. ESPAILLAT (for himself, Mr. SCHNEIDER, Mrs. WATSON COLEMAN, Ms. 
NORTON, Mr. COHEN, Mr. RASKIN, Mr. DEUTCH, Mr. BLUMENAUER, 
Mr. CICILLINE, Mr. GUTIE´RREZ, Ms. VELA´ZQUEZ, Mr. CA´RDENAS, and 
Mr. SWALWELL of California) introduced the following bill; which was re-
ferred to the Committee on the Judiciary 
A BILL 
To amend title 18, United States Code, to require firearm 
assembly kits to be considered to be firearms. 
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 ‘‘Ghost Guns Are Guns 
Act’’. 
SEC. 2. FIREARM ASSEMBLY KITS CONSIDERED TO BE 
FIREARMS. 
Section 921(a) of title 18, United States Code, is 
amended— 
VerDate Sep 11 2014 
01:08 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1278.IH
H1278
lotter on DSK5VPTVN1PROD with BILLS
(1) in paragraph (3), by striking ‘‘or (D) any 
destructive device’’ and inserting ‘‘; (D) any destruc-
tive device; or (E) any combination of parts designed 
or intended for use in converting any device into a 
firearm and from which a firearm may be readily as-
sembled’’; and 
(2) in paragraph (4)— 
(A) by adding ‘‘and’’ at the end of sub-
paragraph (A); 
(B) by striking ‘‘and’’ at the end of sub-
paragraph (B) and inserting a period; and 
(C) by striking subparagraph (C). 
Æ 
VerDate Sep 11 2014 
01:08 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6301
E:\BILLS\H1278.IH
H1278
lotter on DSK5VPTVN1PROD with BILLS
I 
115TH CONGRESS 
1ST SESSION H. R. 1279 
To amend title 38, United States Code, to direct the Secretary of Veterans 
Affairs to establish within the Department of Veterans Affairs a center 
of excellence in the prevention, diagnosis, mitigation, treatment, and 
rehabilitation of health conditions relating to exposure to burn pits. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2017 
Ms. ESTY (for herself, Mr. KING of New York, Ms. MCCOLLUM, and Mr. COS-
TELLO of Pennsylvania) introduced the following bill; which was referred 
to the Committee on Veterans’ Affairs, and in addition to the Committee 
on Armed Services, 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 38, United States Code, to direct the Sec-
retary of Veterans Affairs to establish within the Depart-
ment of Veterans Affairs a center of excellence in the 
prevention, diagnosis, mitigation, treatment, and rehabili-
tation of health conditions relating to exposure to burn 
pits. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1279.IH
H1279
lotter on DSK5VPTVN1PROD with BILLS
I 
115TH CONGRESS 
1ST SESSION 
H. R. 127 
To amend title 49, United States Code, with respect to urbanized area 
formula grants, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 3, 2017 
Mr. AL GREEN of Texas introduced the following bill; which was referred to 
the Committee on Transportation and Infrastructure 
A BILL 
To amend title 49, United States Code, with respect to 
urbanized area formula grants, 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 ‘‘Transportation for He-
roes Act of 2017’’. 
SEC. 2. URBANIZED AREA FORMULA GRANTS. 
Section 5307(c)(1)(D) of title 49, United States 
Code, is amended— 
(1) in clause (ii) by striking ‘‘and’’ at the end; 
VerDate Sep 11 2014 
03:51 Jan 07, 2017
Jkt 069200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H127.IH
H127
SSpencer on DSK4SPTVN1PROD with BILLS
(2) in clause (iii) by inserting ‘‘and’’ after the 
semicolon at the end; and 
(3) by adding at the end the following: 
‘‘(iv) veteran (as such term is defined 
in section 101 of title 38);’’. 
Æ 
VerDate Sep 11 2014 
03:51 Jan 07, 2017
Jkt 069200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6301
E:\BILLS\H127.IH
H127
SSpencer on DSK4SPTVN1PROD with BILLS
I 
115TH CONGRESS 
1ST SESSION H. R. 1281 
To extend the authorization of the Highlands Conservation Act. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2017 
Mr. FRELINGHUYSEN introduced the following bill; which was referred to the 
Committee on Natural Resources 
A BILL 
To extend the authorization of the Highlands Conservation 
Act. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. EXTENSION OF HIGHLANDS CONSERVATION 
ACT. 
Section 4(e) of the Highlands Conservation Act (Pub-
lic Law 108–421; 118 Stat. 2377) is amended by striking 
‘‘2014’’ and inserting ‘‘2021’’. 
Æ 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6301
E:\BILLS\H1281.IH
H1281
lotter on DSK5VPTVN1PROD with BILLS
SEC. 3. DESIGNATION OF OLYMPIC NATIONAL FOREST WIL-
DERNESS AREAS. 
(a) IN GENERAL.—In furtherance of the Wilderness 
Act (16 U.S.C. 1131 et seq.), the following Federal land 
in the Olympic National Forest in the State of Wash-
ington comprising approximately 126,554 acres, as gen-
erally depicted on the map entitled ‘‘Proposed Wild Olym-
pics Wilderness and Wild and Scenic Rivers Act’’ and 
dated May 29, 2012 (referred to in this section as the 
‘‘map’’), is designated as wilderness and as components 
of the National Wilderness Preservation System: 
(1) LOST CREEK WILDERNESS.—Certain Fed-
eral land managed by the Forest Service, comprising 
approximately 7,159 acres, as generally depicted on 
the map, which shall be known as the ‘‘Lost Creek 
Wilderness’’. 
(2) RUGGED
RIDGE
WILDERNESS.—Certain 
Federal land managed by the Forest Service, com-
prising approximately 5,956 acres, as generally de-
picted on the map, which shall be known as the 
‘‘Rugged Ridge Wilderness’’. 
(3) ALCKEE
CREEK
WILDERNESS.—Certain 
Federal land managed by the Forest Service, com-
prising approximately 1,787 acres, as generally de-
picted on the map, which shall be known as the 
‘‘Alckee Creek Wilderness’’. 
VerDate Sep 11 2014 
01:10 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H1285.IH
H1285
lotter on DSK5VPTVN1PROD with BILLS
each of the acquisition phases at which the acquisi-
tion decision authority determines whether such ac-
quisition program shall proceed to the next acquisi-
tion phase. 
‘‘(4) ACQUISITION DECISION MEMORANDUM.— 
The term ‘acquisition decision memorandum’, with 
respect to an acquisition, means the official acquisi-
tion decision event record that includes a docu-
mented record of decisions, exit criteria, and as-
signed actions for such acquisition, as determined by 
the person exercising acquisition decision authority 
for such acquisition. 
‘‘(5) ACQUISITION PROGRAM.—The term ‘acqui-
sition program’ means the process by which the De-
partment acquires, with any appropriated amounts, 
by contract for purchase or lease, property or serv-
ices (including construction) that support the mis-
sions and goals of the Department. 
‘‘(6) ACQUISITION
PROGRAM
BASELINE.—The 
term ‘acquisition program baseline’, with respect to 
an acquisition program, means a summary of the 
cost, schedule, and performance parameters, ex-
pressed in standard, measurable, quantitative terms, 
which must be met in order to accomplish the goals 
of such program. 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H1282.IH
H1282
sradovich on DSK3GMQ082PROD with BILLS
‘‘(7) BEST PRACTICES.—The term ‘best prac-
tices’, with respect to acquisition, means a knowl-
edge-based approach to capability development that 
includes— 
‘‘(A) identifying and validating needs; 
‘‘(B) assessing alternatives to select the 
most appropriate solution; 
‘‘(C) clearly establishing well-defined re-
quirements; 
‘‘(D) developing realistic cost assessments 
and schedules; 
‘‘(E) securing stable funding that matches 
resources to requirements; 
‘‘(F) demonstrating technology, design, 
and manufacturing maturity; 
‘‘(G) using milestones and exit criteria or 
specific 
accomplishments 
that 
demonstrate 
progress; 
‘‘(H) adopting and executing standardized 
processes with known success across programs; 
‘‘(I) establishing an adequate workforce 
that is qualified and sufficient to perform nec-
essary functions; and 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H1282.IH
H1282
sradovich on DSK3GMQ082PROD with BILLS
‘‘(J) integrating the capabilities described 
in subparagraphs (A) through (I) into the De-
partment’s mission and business operations. 
‘‘(8) MAJOR ACQUISITION PROGRAM.—The term 
‘major acquisition program’ means a Department 
acquisition program that is estimated by the Sec-
retary to require an eventual total expenditure of at 
least $300,000,000 (based on fiscal year 2017 con-
stant dollars) over its life cycle cost.’’. 
(b) CLERICAL AMENDMENT.—The table of contents 
in section 1(b) of the Homeland Security Act of 2002 (6 
U.S.C. 101 et seq.) is further amended by adding after 
the item relating to section 835 the following new item: 
‘‘Sec. 836. Acquisition Review Board.’’. 
Æ 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6301
E:\BILLS\H1282.IH
H1282
sradovich on DSK3GMQ082PROD with BILLS
I 
115TH CONGRESS 
1ST SESSION H. R. 1283 
To amend the Higher Education Act of 1965 to require the disclosure of 
the annual percentage rates applicable to Federal student loans. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2017 
Mr. HULTGREN (for himself, Mr. DAVID SCOTT of Georgia, and Mr. MESSER) 
introduced the following bill; which was referred to the Committee on 
Education and the Workforce 
A BILL 
To amend the Higher Education Act of 1965 to require 
the disclosure of the annual percentage rates applicable 
to Federal student loans. 
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 ‘‘Transparency in Stu-
dent Lending Act’’. 
SEC. 2. REQUIRED DISCLOSURES. 
Section 455(p) of the Higher Education Act of 1965 
(20 U.S.C. 1087e(p)) is amended— 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1283.IH
H1283
lotter on DSK5VPTVN1PROD with BILLS
(1) by striking ‘‘Each institution’’ and inserting 
the following: 
‘‘(1) IN GENERAL.—Each institution’’; and 
(2) by adding at the end the following: 
‘‘(2) DISCLOSURE OF APR AT TIME OF APPLICA-
TION.—In addition to the disclosures required under 
paragraph (1), each institution and contractor de-
scribed in such paragraph shall disclose to a bor-
rower before disbursement of a loan made under this 
part, in writing and in a form the borrower may 
keep, the annual percentage rate applicable to the 
loan, taking into account— 
‘‘(A) the amount of the loan; 
‘‘(B) the stated interest rate of the loan; 
‘‘(C) the standard term for a loan of the 
same type; 
‘‘(D) any fees or additional costs associ-
ated with the loan; and 
‘‘(E) any capitalization of interest on the 
loan.’’. 
Æ 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6301
E:\BILLS\H1283.IH
H1283
lotter on DSK5VPTVN1PROD with BILLS
I 
115TH CONGRESS 
1ST SESSION H. R. 1284 
To amend title XVIII of the Social Security Act to provide for the recognition 
of attending physician assistants as attending physicians to serve hospice 
patients, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2017 
Ms. JENKINS of Kansas (for herself and Mr. THOMPSON of California) intro-
duced the following bill; which was referred to the Committee on Ways 
and Means, and in addition to the Committee on Energy and Commerce, 
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 provide 
for the recognition of attending physician assistants as 
attending physicians to serve hospice patients, 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 ‘‘Medicare Patient Ac-
cess to Hospice Act of 2017’’. 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1284.IH
H1284
lotter on DSK5VPTVN1PROD with BILLS
SEC. 2. RECOGNITION OF ATTENDING PHYSICIAN ASSIST-
ANTS AS ATTENDING PHYSICIANS TO SERVE 
HOSPICE PATIENTS. 
(a) RECOGNITION OF ATTENDING PHYSICIAN AS-
SISTANTS AS ATTENDING PHYSICIANS TO SERVE HOS-
PICE PATIENTS.— 
(1) IN GENERAL.—Section 1861(dd)(3)(B) of 
the Social Security Act (42 U.S.C. 1395x(dd)(3)(B)) 
is amended— 
(A) by striking ‘‘or nurse’’ and inserting ‘‘, 
the nurse’’; and 
(B) by inserting ‘‘, or the physician assist-
ant (as defined in such subsection)’’ after ‘‘sub-
section (aa)(5))’’. 
(2) CLARIFICATION OF HOSPICE ROLE OF PHY-
SICIAN ASSISTANTS.—Section 1814(a)(7)(A)(i)(I) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395f(a)(7)(A)(i)(I)) is amended by inserting ‘‘or a 
physician assistant’’ after ‘‘a nurse practitioner’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items and services furnished on 
or after January 1, 2018. 
Æ 
VerDate Sep 11 2014 
01:09 Mar 04, 2017
Jkt 069200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6301
E:\BILLS\H1284.IH
H1284
lotter on DSK5VPTVN1PROD with BILLS
of the House of Representatives a report on the use of 
remote technologies under the special supplemental nutri-
tion program for women, infants, and children established 
by section 17 of the Child Nutrition Act of 1966 (42 
U.S.C. 1786) (referred to in this section as the ‘‘pro-
gram’’). 
(b) CONTENT OF REPORT.—The report submitted 
under subsection (a) shall include a description of— 
(1) the use of remote technologies and other 
digital tools, including video, telephone, and online 
platforms— 
(A) to certify eligible individuals for pro-
gram services; and 
(B) to provide nutrition education and 
breastfeeding support to program participants; 
(2) the impact of remote technologies, including 
video, telephone, and online platforms, on certifi-
cations, appointments, and participant satisfaction 
under the program; and 
(3) best practices— 
(A) to certify program participants for pro-
gram services using remote technologies; 
(B) to incorporate the use of digital tools 
into the program certification process; 
VerDate Sep 11 2014 
04:31 Mar 01, 2022
Jkt 029200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H6781.IH
H6781
kjohnson on DSK79L0C42PROD with BILLS
(C) to integrate nutrition education and 
breastfeeding support services for program par-
ticipants into remote technologies and plat-
forms; and 
(D) to securely manage program partici-
pant data. 
Æ 
VerDate Sep 11 2014 
04:31 Mar 01, 2022
Jkt 029200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6301
E:\BILLS\H6781.IH
H6781
kjohnson on DSK79L0C42PROD with BILLS