Sec. 8211. Payments for physicians’ services.
PART 3—PROVISIONS AFFECTING HOSPITALS
Sec. 8221. Reduction in update for inpatient hospital services.
Sec. 8222. Elimination of formula-driven overpayments for certain outpatient
hospital services.
Sec. 8223. Establishment of prospective payment system for outpatient serv-
ices.
Sec. 8224. Reduction in medicare payments to hospitals for inpatient capital-
related costs.
Sec. 8225. Moratorium on PPS exemption for long-term care hospitals.
PART 4—PROVISIONS AFFECTING OTHER PROVIDERS
Sec. 8231. Revision of payment methodology for home health services.
Sec. 8232. Limitation of home health coverage under part A.
Sec. 8233. Reduction in fee schedule for durable medical equipment.
Sec. 8234. Nursing home billing.
Sec. 8235. Freeze in payments for clinical diagnostic laboratory tests.
PART 5—GRADUATE MEDICAL EDUCATION AND TEACHING HOSPITALS
Sec. 8241. Teaching hospital and graduate medical education trust fund.
Sec. 8242. Reduction in payment adjustments for indirect medical education.
Subtitle D—Provisions Relating to Medicare Beneficiaries
Sec. 8301. Part B premium.
Sec. 8302. Full cost of medicare part B coverage payable by high-income indi-
viduals.
Sec. 8303. Expanded coverage of preventive benefits.
Subtitle E—Medicare Fraud Reduction
Sec. 8401. Increasing beneficiary awareness of fraud and abuse.
Sec. 8402. Beneficiary incentives to report fraud and abuse.
Sec. 8403. Elimination of home health overpayments.
Sec. 8404. Skilled nursing facilities.
Sec. 8405. Direct spending for anti-fraud activities under medicare.
Sec. 8406. Fraud reduction demonstration project.
Sec. 8407. Report on competitive pricing.
Subtitle F—Improving Access to Health Care
PART 1—ASSISTANCE FOR RURAL PROVIDERS
SUBPART A—RURAL HOSPITALS
Sec. 8501. Sole community hospitals.
Sec. 8502. Clarification of treatment of EAC and RPC hospitals.
Sec. 8503. Establishment of rural emergency access care hospitals.
Sec. 8504. Classification of rural referral centers.
Sec. 8505. Floor on area wage index.
Sec. 8506. Medical education.
SUBPART B—RURAL PHYSICIANS AND OTHER PROVIDERS
Sec. 8511. Provider incentives.
Sec. 8512. National Health Service Corps loan repayments excluded from gross
income.
Sec. 8513. Telemedicine payment methodology.
Sec. 8514. Demonstration project to increase choice in rural areas.
PART 2—MEDICARE SUBVENTION
Sec. 8521. Medicare program payments for health care services provided in the
military health services system.
Subtitle G—Other Provisions
Sec. 8601. Extension and expansion of existing secondary payer requirements.
Sec. 8602. Repeal of medicare and medicaid coverage data bank.
Sec. 8603. Clarification of medicare coverage of items and services associated
with certain medical devices approved for investigational use.
Sec. 8604. Additional exclusion from coverage.
Sec. 8605. Extending medicare coverage of, and application of hospital insur-
ance tax to, all State and local government employees.
Subtitle H—Monitoring Achievement of Medicare Reform Goals
Sec. 8701. Establishment of budgetary and program goals.
Sec. 8702. Medicare Reform Commission.
Subtitle I—Lock-Box Provisions for Medicare Part B Savings from Growth
Reductions
Sec. 8801. Establishment of Medicare Growth Reduction Trust Fund for part
B savings.
Subtitle J—Clinical Laboratories
Sec. 8901. Exemption of physician office laboratories.
TITLE IX—WELFARE REFORM
Sec. 9000. Amendment of the Social Security Act.
Subtitle A—Temporary Employment Assistance
Sec. 9101. State plan.
Subtitle B—Make Work Pay
Sec. 9201. Transitional medicaid benefits.
Sec. 9202. Notice of availability required to be provided to applicants and
former recipients of temporary family assistance, food stamps,
and medicaid.
Sec. 9203. Notice of availability of earned income tax credit and dependent care
tax credit to be included on W–4 form.
Sec. 9204. Advance payment of earned income tax credit through State dem-
onstration programs.
Sec. 9205. Funding of child care services.
Sec. 9206. Certain Federal assistance includible in gross income.
Sec. 9207. Dependent care credit to be refundable; high-income taxpayers ineli-
gible for credit.
Subtitle C—Work First
Sec. 9301. Work first program.
Sec. 9302. Regulations.
Sec. 9303. Applicability to States.
Subtitle D—Family Responsibility And Improved Child Support Enforcement
CHAPTER 1—ELIGIBILITY AND OTHER MATTERS CONCERNING TITLE IV–D
PROGRAM CLIENTS
Sec. 9401. State obligation to provide paternity establishment and child support
enforcement services.
Sec. 9402. Distribution of payments.
Sec. 9403. Due process rights.
Sec. 9404. Privacy safeguards.
CHAPTER 2—PROGRAM ADMINISTRATION AND FUNDING
Sec. 9411. Federal matching payments.
Sec. 9412. Performance-based incentives and penalties.
Sec. 9413. Federal and State reviews and audits.
Sec. 9414. Required reporting procedures.
Sec. 9415. Automated data processing requirements.
Sec. 9416. Director of CSE program; staffing study.
Sec. 9417. Funding for Secretarial assistance to State programs.
Sec. 9418. Reports and data collection by the Secretary.
CHAPTER 3—LOCATE AND CASE TRACKING
Sec. 9421. Central State and case registry.
Sec. 9422. Centralized collection and disbursement of support payments.
Sec. 9423. Amendments concerning income withholding.
Sec. 9424. Locator information from interstate networks.
Sec. 9425. Expanded Federal parent locator service.
Sec. 9426. Use of social security numbers.
CHAPTER 4—STREAMLINING AND UNIFORMITY OF PROCEDURES
Sec. 9431. Adoption of uniform State laws.
Sec. 9432. Improvements to full faith and credit for child support orders.
Sec. 9433. State laws providing expedited procedures.
CHAPTER 5—PATERNITY ESTABLISHMENT
Sec. 9441. Sense of the Congress.
Sec. 9442. Availability of parenting social services for new fathers.
Sec. 9443. Cooperation requirement and good cause exception.
Sec. 9444. Federal matching payments.
Sec. 9445. State laws concerning paternity establishment.
Sec. 9446. Outreach for voluntary paternity establishment.
CHAPTER 6—ESTABLISHMENT AND MODIFICATION OF SUPPORT ORDERS
Sec. 9451. National Child Support Guidelines Commission.
Sec. 9452. Simplified process for review and adjustment of child support or-
ders.
CHAPTER 7—ENFORCEMENT OF SUPPORT ORDERS
Sec. 9461. Federal income tax refund offset.
Sec. 9462. Internal Revenue Service collection of arrears.
Sec. 9463. Authority to collect support from Federal employees.
Sec. 9464. Enforcement of child support obligations of members of the Armed
Forces.
Sec. 9465. Motor vehicle liens.
Sec. 9466. Voiding of fraudulent transfers.
Sec. 9467. State law authorizing suspension of licenses.
Sec. 9468. Reporting arrearages to credit bureaus.
Sec. 9469. Extended statute of limitation for collection of arrearages.
Sec. 9470. Charges for arrearages.
Sec. 9471. Denial of passports for nonpayment of child support.
Sec. 9472. International child support enforcement.
Sec. 9473. Seizure of lottery winnings, settlements, payouts, awards, and be-
quests, and sale of forfeited property, to pay child support ar-
rearages.
Sec. 9474. Liability of grandparents for financial support of children of their
minor children.
Sec. 9475. Sense of the Congress regarding programs for noncustodial parents
unable to meet child support obligations.
CHAPTER 8—MEDICAL SUPPORT
Sec. 9481. Technical correction to ERISA definition of medical child support
order.
CHAPTER 9—FOOD STAMP PROGRAM REQUIREMENTS
Sec. 9491. Cooperation with child support agencies.
Sec. 9492. Disqualification for child support arrears.
CHAPTER 10—EFFECT OF ENACTMENT
Sec. 9498. Effective dates.
Sec. 9499. Severability.
Subtitle E—Teen Pregnancy And Family Stability
Sec. 9501. State option to deny temporary employment assistance for addi-
tional children.
Sec. 9502. Supervised living arrangements for minors.
Sec. 9503. National clearinghouse on adolescent pregnancy.
Sec. 9504. Required completion of high school or other training for teenage
parents.
Sec. 9505. Denial of Federal housing benefits to minors who bear children out-
of-wedlock.
Sec. 9506. State option to deny temporary employment assistance to minor par-
ents.
Subtitle F—SSI Reform
Sec. 9601. Definition and eligibility rules.
Sec. 9602. Eligibility redeterminations and continuing disability reviews.
Sec. 9603. Additional accountability requirements.
Sec. 9604. Denial of SSI benefits by reason of disability to drug addicts and
alcoholics.
Sec. 9605. Denial of SSI benefits for 10 years to individuals found to have
fraudulently misrepresented residence in order to obtain bene-
fits simultaneously in 2 or more States.
Sec. 9606. Denial of SSI benefits for fugitive felons and probation and parole
violators.
Sec. 9607. Reapplication requirements for adults receiving SSI benefits by rea-
son of disability.
Sec. 9608. Reduction in unearned income exclusion.
Subtitle G—Food Assistance
CHAPTER 1—FOOD STAMP PROGRAM
Sec. 9701. Application of amendments.
Sec. 9702. Amendments to the Food Stamp Act of 1977.
Sec. 9703. Authority to establish authorization periods.
Sec. 9704. Specific period for prohibiting participation of stores based on lack
of business integrity.
Sec. 9705. Information for verifying eligibility for authorization.
Sec. 9706. Waiting period for stores that initially fail to meet authorization cri-
teria.
Sec. 9707. Bases for suspensions and disqualifications.
Sec. 9708. Authority to suspend stores violating program requirements pending
administrative and judicial review.
Sec. 9709. Disqualification of retailers who are disqualified from the WIC pro-
gram.
Sec. 9710. Permanent debarment of retailers who intentionally submit falsified
applications.
Sec. 9711. Expanded civil and criminal forfeiture for violations of the food
Stamp Act.
Sec. 9712. Expanded authority for sharing information provided by retailers.
Sec. 9713. Expanded definition of ‘‘coupon’’.
Sec. 9714. Doubled penalties for violating food stamp program requirements.
Sec. 9715. Mandatory claims collection methods.
Sec. 9716. Promoting expansion of electronic benefits transfer.
Sec. 9717. Reduction of basic benefit level.
Sec. 9718. 2-year freeze of standard deduction.
Sec. 9719. Pro-rating benefits after interruptions in participation.
Sec. 9720. Disqualification for participating in 2 or more States.
Sec. 9721. Disqualification relating to child support arrears.
Sec. 9722. State authorization to assist law enforcement officers in locating fu-
gitive felons.
Sec. 9723. Work requirement for able-bodied recipients.
Sec. 9724. Coordination of employment and training programs.
Sec. 9725. Extending current claims retention rates.
Sec. 9726. Nutrition assistance for Puerto Rico.
Sec. 9727. Treatment of children living at home.
CHAPTER 2—COMMODITY DISTRIBUTION
Sec. 9751. Short title.
Sec. 9752. Availability of commodities.
Sec. 9753. State, local and private supplementation of commodities.
Sec. 9754. State plan.
Sec. 9755. Allocation of commodities to States.
Sec. 9756. Priority system for State distribution of commodities.
Sec. 9757. Initial processing costs.
Sec. 9758. Assurances; anticipated use.
Sec. 9759. Authorization of appropriations.
Sec. 9760. Commodity supplemental food program.
Sec. 9761. Commodities not income.
Sec. 9762. Prohibition against certain State charges.
Sec. 9763. Definitions.
Sec. 9764. Regulations.
Sec. 9765. Finality of determinations.
Sec. 9766. Relationship to other programs.
Sec. 9767. Settlement and adjustment of claims.
Sec. 9768. Repealers; amendments.
CHAPTER 3—OTHER PROGRAMS
Sec. 9781. Child and adult care food program.
Sec. 9782. Resumption of discretionary funding for nutrition education and
training program.
Subtitle H—Treatment of Aliens
Sec. 9801. Extension of deeming of income and resources under TEA, SSI, and
food stamp programs.
Sec. 9802. Requirements for sponsor’s affidavits of support.
Sec. 9803. Extending requirement for affidavits of support to family-related
and diversity immigrants.
Subtitle I—Earned Income Tax Credit
Sec. 9901. Earned income tax credit denied to individuals not authorized to be
employed in the United States.
TITLE X—REDUCTIONS IN CORPORATE TAX SUBSIDIES AND
OTHER REFORMS
Sec. 10001. Short title.
Subtitle A—Tax Treatment of Expatriation
Sec. 10101. Revision of tax rules on expatriation.
Sec. 10102. Basis of assets of nonresident alien individuals becoming citizens
or residents.
Subtitle B—Modification to Earned Income Credit
Sec. 10201. Earned income tax credit denied to individuals with substantial
capital gain net income.
Subtitle C—Alternative Minimum Tax on Corporations Importing Products
into the United States at Artificially Inflated Prices
Sec. 10301. Alternative minimum tax on corporations importing products into
the United States at artificially inflated prices.
Subtitle D—Tax Treatment of Certain Extraordinary Dividends
Sec. 10401. Tax treatment of certain extraordinary dividends.
Subtitle E—Foreign Trust Tax Compliance
Sec. 10501. Improved information reporting on foreign trusts.
Sec. 10502. Modifications of rules relating to foreign trusts having one or more
United States beneficiaries.
Sec. 10503. Foreign persons not to be treated as owners under grantor trust
rules.
Sec. 10504. Information reporting regarding foreign gifts.
Sec. 10505. Modification of rules relating to foreign trusts which are not grant-
or trusts.
Sec. 10506. Residence of estates and trusts, etc.
Subtitle F—Limitation on Section 936 Credit
Sec. 10601. Limitation on section 936 credit.
TITLE XI—VETERANS’ AFFAIRS
Sec. 11001. Short title.
Subtitle A—Permanent Extension of Temporary Authorities
Sec. 11011. Authority to require that certain veterans agree to make
copayments in exchange for receiving health-care benefits.
Sec. 11012. Medical care cost recovery authority.
Sec. 11013. Income verification authority.
Sec. 11014. Limitation on pension for certain recipients of medicaid-covered
nursing home care.
Sec. 11015. Home loan fees.
Sec. 11016. Procedures applicable to liquidation sales on defaulted home loans
guaranteed by the Department of Veterans Affairs.
Subtitle B—Other Matters
Sec. 11021. Revised standard for liability for injuries resulting from Depart-
ment of Veterans Affairs treatment.
Sec. 11022. Enhanced loan asset sale authority.
Sec. 11023. Withholding of payments and benefits.
Subtitle C—Health Care Eligibility Reform
Sec. 11031. Hospital care and medical services.
Sec. 11032. Extension of authority to priority health care for Persian Gulf vet-
erans.
Sec. 11033. Prosthetics.
Sec. 11034. Management of health care.
Sec. 11035. Improved efficiency in health care resource management.
Sec. 11036. Sharing agreements for specialized medical resources.
Sec. 11037. Personnel furnishing shared resources.
TITLE XII—LEGISLATIVE BRANCH
Sec. 12101. Requirement that excess funds provided for official allowances of
Members of the House of Representatives be dedicated to defi-
cit reduction.
TITLE XIII—MISCELLANEOUS PROVISIONS
Sec. 13101. Elimination of disparity between effective dates for military and ci-
vilian retiree cost-of-living adjustments for fiscal years 1996,
1997, and 1998.
Sec. 13102. Disposal of certain materials in National Defense Stockpile for def-
icit reduction.
Sec. 13103. Requirement that certain agencies prefund Government health ben-
efits contributions for their annuitants.
Sec. 13104. Application of OMB Circular a–129.
Sec. 13105. 7-year extension of Hazardous Substance Superfund excise taxes.
TITLE XIV—BUDGET PROCESS PROVISIONS
CHAPTER 1—SHORT TITLE; PURPOSE
Sec. 14001. Short title.
Sec. 14002. Purpose.
CHAPTER 2—BUDGET ESTIMATES
Sec. 14051. Board of Estimates.
Subtitle B—Discretionary Spending Limits
Sec. 14101. Discretionary spending limits.
Sec. 14102. Technical and conforming changes.
Sec. 14103. Elimination of certain adjustments to discretionary spending lim-
its.
Subtitle C—Pay-As-You-Go Procedures
Sec. 14201. Permanent extension of pay-as-you-go procedures; ten-year
scorekeeping.
Sec. 14202. Elimination of emergency exception.
Subtitle D—Miscellaneous
Sec. 14301. Technical correction.
Sec. 14302. Repeal of expiration date.
Subtitle E—Deficit Control
Sec. 14401. Deficit control.
Sec. 14402. Sequestration process.
Subtitle F—Line Item Veto
Sec. 14501. Line item veto authority.
Sec. 14502. Line item veto effective unless disapproved.
Sec. 14503. Definitions.
Sec. 14504. Congressional consideration of line item vetoes.
Sec. 14505. Report of the General Accounting Office.
Sec. 14506. Judicial review.
Subtitle G—Enforcing Points of Order
Sec. 14601. Points of order in the Senate.
Sec. 14602. Points of order in the House of Representatives.
Subtitle H—Deficit Reduction Lock-box
Sec. 14701. Deficit reduction lock-box provisions of appropriation measures.
Sec. 14702. Downward adjustments.
Sec. 14703. CBO tracking.
Title I, Subtitle A
Subtitle I—Emergency Spending; Baseline Reform; Continuing Resolutions
Reform
CHAPTER 1—EMERGENCY SPENDING
Sec. 14801. Establishment of budget reserve account.
Sec. 14802. Congressional budget process changes.
Sec. 14803. Reporting.
CHAPTER 2—BASELINE REFORM
Sec. 14851. The baseline.
Sec. 14852. The President’s budget.
Sec. 14853. The congressional budget.
Sec. 14854. Congressional Budget Office reports to committees.
CHAPTER 3—RESTRICTED USES OF CONTINUING RESOLUTIONS
Sec. 14871. Restrictions respecting continuing resolutions.
Subtitle J—Technical and Conforming Amendments
Sec. 14901. Amendments to the Congressional Budget and Impoundment Con-
trol Act of 1974.
Sec. 14902. Technical and conforming amendments to the Rules of the House
of representatives.
Sec. 14903. President’s budget.
Subtitle K—Truth in Legislating
Sec. 14951. Identity, sponsor, and cost of certain provisions required to be re-
ported.
TITLE I—ENERGY, NATURAL
RESOURCES AND ENVIRONMENT
Subtitle A—Energy
SEC. 1101. PRIVATIZATION OF URANIUM ENRICHMENT.
(a) REFERENCE.—Except as otherwise expressly pro-
vided, whenever in this section an amendment or repeal
is expressed in terms of an amendment to, or repeal of,
a section or other provision, the reference shall be consid-
ered to be made to a section or other provision of the
Atomic Energy Act of 1954 (42 U.S.C. 2011 et seq.).
Title I, Subtitle A
(b) PRODUCTION FACILITY.—Paragraph v. of section
11 (42 U.S.C. 2014 v.) is amended by striking ‘‘or the
construction and operation of a uranium enrichment pro-
duction facility using Atomic Vapor Laser Isotope Separa-
tion technology’’.
(c) DEFINITIONS.—Section 1201 (42 U.S.C. 2297)
is amended—
(1) in paragraph (4), by inserting before the pe-
riod the following: ‘‘and any successor corporation
established through privatization of the Corpora-
tion’’;
(2) by redesignating paragraphs (10) through
(13) as paragraphs (14) through (17), respectively,
and by inserting after paragraph (9) the following
new paragraphs:
‘‘(10) The term ‘low-level radioactive waste’ has
the meaning given such term in section 102(9) of
the Low-Level Radioactive Waste Policy Amend-
ments Act of 1985 (42 U.S.C. 2021b(9)).
‘‘(11) The term ‘mixed waste’ has the meaning
given such term in section 1004(41) of the Solid
Waste Disposal Act (42 U.S.C. 6903(41)).
‘‘(12) The term ‘privatization’ means the trans-
fer of ownership of the Corporation to private inves-
tors pursuant to chapter 25.
Title I, Subtitle A
‘‘(13) The term ‘privatization date’ means the
date on which 100 percent of ownership of the Cor-
poration has been transferred to private investors.’’;
(3) by inserting after paragraph (17) (as redes-
ignated) the following new paragraph:
‘‘(18) The term ‘transition date’ means July 1,
1993.’’; and
(4) by redesignating the unredesignated para-
graph (14) as paragraph (19).
(d) EMPLOYEES OF THE CORPORATION.—
(1) PARAGRAPH (2).—Paragraphs (1) and (2)
of section 1305(e) (42 U.S.C. 2297b–4(e)(1)(2)) are
amended to read as follows:
‘‘(A) IN GENERAL.—It is the purpose of
this subsection to ensure that the privatization
of the Corporation shall not result in any ad-
verse effects on the pension benefits of employ-
ees at facilities that are operated, directly or
under contract, in the performance of the func-
tions vested in the Corporation.
‘‘(B) APPLICABILITY
OF
EXISTING
COL-
LECTIVE BARGAINING AGREEMENT.—The Cor-
poration shall abide by the terms of the collec-
tive bargaining agreement in effect on the pri-
vatization date at each individual facility.’’.