datamatters24/research-document-archive huggingface dataset:
medically necessary’. Medicare does provide reim-
bursement, however, for more costly surgical breast 
reconstruction. 
(12) Due to the fact that the Medicare program 
does not provide reimbursement for custom fab-
ricated breast prostheses, many private insurance 
companies have also begun to limit their reimburse-
ment for them. 
(13) The Department of Veterans Affairs does 
provide the option of a custom fabricated prosthetic 
breast for women post-mastectomy. 
(14) Providing coverage for custom fabricated 
prosthetic breast devices and components will not in-
crease the incidence of breast mastectomies. 
SEC. 2. COVERAGE. 
(a) IN GENERAL.—Section 1861(s)(8) of the Social 
Security Act (42 U.S.C. 1395x(s)(8)) is amended— 
(1) by adding ‘‘and’’ after the semicolon at the 
end; 
(2) by inserting ‘‘(A)’’ after ‘‘(8)’’; and 
(3) by inserting after subparagraph (A) the fol-
lowing new subparagraph: 
‘‘(B) custom fabricated breast prostheses fol-
lowing surgical removal of the breast, including re-
placement of such prostheses;’’. 
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(b) CONFORMING AMENDMENT.—Section 1862(a)(7) 
of such Act (42 U.S.C. 1395y(a)(7)) is amended by strik-
ing ‘‘1861(s)(8)’’ and inserting ‘‘1861(s)(8)(A)’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items and services furnished on 
or after the date of enactment of this Act. 
Æ 
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tions submitted by the entities that meet 
the requirements applicable with respect to 
such a grant. If, for a grant cycle, there 
are fewer than 2 such eligible entities in a 
State, the Secretary shall include that in-
formation in the report required by sub-
section (g)(2) that covers the fiscal year. 
‘‘(B) GUARANTEE OF GRANTS FOR INDIAN 
POPULATIONS.—From the amount reserved 
under subsection (i)(2)(B) for each fiscal year, 
the Secretary shall award a grant under this 
paragraph to at least 10 eligible entities that 
are an Indian tribe, a tribal organization, or a 
tribal college or university, to the extent there 
are a sufficient number of applications sub-
mitted by the entities that meet the require-
ments applicable with respect to such a grant. 
‘‘(C) GUARANTEE OF GRANTEES IN THE 
TERRITORIES.—From 
the 
amount 
reserved 
under subsection (i)(2)(C) for each fiscal year, 
the Secretary shall award a grant under this 
paragraph to at least 2 eligible entities that are 
located in a territory, to the extent there are a 
sufficient number of applications submitted by 
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‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means a local government, Indian Tribe (or a 
consortium of Indian Tribes), Tribal Organization, 
Urban Indian Organization, or nonprofit organiza-
tion, including religious organizations, with a dem-
onstrated history of serving eligible mothers. 
‘‘(2) ELIGIBLE
MOTHER.—The term ‘eligible 
mother’ means— 
‘‘(A) a woman who is pregnant; or 
‘‘(B) a woman who has primary caregiving 
responsibilities for a child under the age of 6. 
‘‘(3) PROHIBITED ENTITY.—The term ‘prohib-
ited entity’ means an entity, including its affiliates, 
subsidiaries, successors, and clinics that, as of the 
date of enactment of this section, performs, induces, 
refers for, or counsels in favor of abortions, or pro-
vides financial support to any other organization 
that conducts such activities. 
‘‘(4) COMMUNITY-BASED
MENTORING
RELA-
TIONSHIP.—The term ‘community-based mentoring 
relationship’ means a dedicated mentor and, as ap-
plicable, group of mentors or a peer support group, 
that meet regularly with an eligible mother and help 
that mother address barriers to care, mental, behav-
ioral, and physical well-being, and economic mobility 
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by providing support services and linkages to com-
munity resources. A community-based mentoring re-
lationship should, to the extent practicable, have an 
understanding of the barriers and lived experience of 
that community, which may include shared lived ex-
perience.’’. 
Æ 
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shall, in connection with the underground injection of 
fluids or propping agents pursuant to hydraulic fracturing 
operations related to oil, gas, or geothermal production ac-
tivities, require any person conducting such operations— 
‘‘(1) to conduct testing of underground sources 
of drinking water in accordance with subsections (c) 
and (d)— 
‘‘(A) with respect to a site where, as of the 
date of enactment of this section, underground 
injection has not commenced for the first 
time— 
‘‘(i) prior to commencement of under-
ground injection at the site for the first 
time; 
‘‘(ii) at least once every 6 months dur-
ing the period beginning at the commence-
ment of underground injection described in 
clause (i) and ending at the cessation of 
such hydraulic fracturing operations; and 
‘‘(iii) at least once every 12 months 
during the 5-year period following the end 
of the period described in clause (ii); 
‘‘(B) with respect to a site where, as of the 
date of enactment of this section, there is no 
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active underground injection, but underground 
injection has previously occurred at the site— 
‘‘(i) prior to renewing underground in-
jection at the site; 
‘‘(ii) at least once every 6 months dur-
ing the period beginning at such renewal of 
underground injection and ending at the 
cessation of such hydraulic fracturing oper-
ations; and 
‘‘(iii) at least once every 12 months 
during the 5-year period following the end 
of the period described in clause (ii); and 
‘‘(C) with respect to a site where, as of the 
date of enactment of this section, such hydrau-
lic fracturing operations are occurring— 
‘‘(i) at least once every 6 months dur-
ing the period beginning on the date of en-
actment of this section ending at the ces-
sation of such hydraulic fracturing oper-
ations; and 
‘‘(ii) at least once every 12 months 
during the 5-year period following the end 
of the period described in clause (i); and 
‘‘(2) to submit reports to the Administrator on 
the results of testing under subparagraph (A), (B), 
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stracts Service numbers for each chemical and 
constituent, material safety data sheets when 
available, and the anticipated volume of each 
chemical; and 
‘‘(II) not later than 30 days after the end 
of any hydraulic fracturing operations, the list 
of chemicals used in each underground injection 
during such operations, including identification 
of the chemical constituents of mixtures, Chem-
ical Abstracts Service numbers for each chem-
ical and constituent, material safety data sheets 
when available, and the volume of each chemical 
used. 
‘‘(ii) The State or the Administrator, as appli-
cable, shall make the disclosure of chemical constitu-
ents referred to in clause (i) available to the public, 
including by posting the information on an appro-
priate internet website. 
‘‘(iii) Whenever the State or the Administrator, 
or a treating physician or nurse, determines that a 
medical emergency exists and the proprietary chem-
ical formula of a chemical used in hydraulic frac-
turing operations is necessary for medical treatment, 
the person conducting the hydraulic fracturing oper-
ations shall, upon request, immediately disclose the 
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I 
118TH CONGRESS 
1ST SESSION H. R. 4788 
To make opioid treatment programs eligible for grants under section 2008 
of the Social Security Act. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 20, 2023 
Mr. HIGGINS of New York introduced the following bill; which was referred 
to the Committee on Ways and Means 
A BILL 
To make opioid treatment programs eligible for grants under 
section 2008 of the Social Security Act. 
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 ‘‘Opioid Treatment Pro-
viders Act’’. 
SEC. 2. ELIGIBILITY OF OPIOID TREATMENT PROGRAMS 
FOR HEALTH PROFESSIONS OPPORTUNITY 
GRANTS. 
Section 2008(a)(4)(A) of the Social Security Act (42 
U.S.C. 1397g(a)(4)(A)) is amended by striking ‘‘or a com-
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munity-based organization’’ and inserting ‘‘, a community- 
based organization, or an opioid treatment program (as 
defined in section 1861(jjj)(2)) and other high quality 
comprehensive addiction care providers’’. 
SEC. 3. EFFECTIVE DATE. 
The amendment made by this Act shall take effect 
on October 1, 2023. 
Æ 
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I 
118TH CONGRESS 
1ST SESSION 
H. R. 478 
To amend the Internal Revenue Code of 1986 to allow for the inclusion 
of additional expenses in dependent care FSAs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 24, 2023 
Mrs. MILLER of West Virginia introduced the following bill; which was 
referred to the Committee on Ways and Means 
A BILL 
To amend the Internal Revenue Code of 1986 to allow for 
the inclusion of additional expenses in dependent care 
FSAs, 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 ‘‘Working Families 
Childcare Access Act of 2023’’ or the ‘‘WFCA Act of 
2023’’. 
SEC. 2. ADDITIONAL EXPENSES INCLUDED IN DEPENDENT 
CARE ASSISTANCE PROGRAMS. 
(a) IN GENERAL.—Section 129(e) of the Internal 
Revenue Code of 1986 is amended— 
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(1) in paragraph (1), by striking ‘‘or provision 
of, those’’ and inserting ‘‘or provision of, qualified 
adoption expenses (within the meaning of section 
137(d)), qualified sports expenses, qualified tutoring 
expenses, qualifying art expenses, or those’’, and 
(2) by adding at the end the following new 
paragraphs: 
‘‘(10) QUALIFIED
SPORTS
EXPENSES.—The 
term ‘qualified sports expenses’ means expenses paid 
or incurred for the participation or instruction of a 
dependent in a program of physical exercise or phys-
ical activity. 
‘‘(11) QUALIFIED TUTORING EXPENSES.—The 
term ‘qualified tutoring expenses’ means expenses 
paid or incurred for the participation or instruction 
of a dependent in virtual or in-person— 
‘‘(A) individual academic tutoring, or 
‘‘(B) small-group academic tutoring in a 
group of four students or fewer. 
‘‘(12) QUALIFIED ART EXPENSES.—The term 
‘qualified art expenses’ means expenses paid or in-
curred for the participation or instruction of a de-
pendent in a program of music or art.’’. 
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972 
(D) in the matter preceding paragraph (1), 
as redesignated by subparagraph (C) of this 
paragraph, by striking ‘‘covered odd-numbered 
fiscal year report’’ and inserting ‘‘report re-
quired under subsection (a)’’; 
(E) in paragraph (1), as so redesignated, by 
striking ‘‘covered odd-numbered fiscal year’’; and 
(F) in paragraph (2), as so redesignated, by 
striking ‘‘covered odd-numbered fiscal year’’. 
SEC. 1625. MATTERS RELATING TO PILOT PROGRAM ON DE-
VELOPMENT OF REENTRY VEHICLES AND RE-
LATED SYSTEMS. 
Section 1645 of the National Defense Authorization 
Act for Fiscal Year 2024 (Public Law 118–31; 10 U.S.C. 
4421 note prec.) is amended— 
(1) in subsection (a)— 
(A) by striking, ‘‘The Secretary of the Air 
Force’’ and inserting, ‘‘The Secretary of the 
Army, the Secretary of the Navy, and the Sec-
retary of the Air Force, acting jointly or sepa-
rately,’’; 
(B) by redesignating paragraphs (2) and 
(3) as paragraphs (3) and (4), respectively; 
(C) by inserting after paragraph (1) the fol-
lowing new paragraph (2):
SEC. 4. CARRY FORWARD OF UNUSED BENEFITS. 
(a) IN GENERAL.—Section 129(d) of the Internal 
Revenue Code of 1986 is amended by adding at the end 
the following new paragraph: 
‘‘(10) BENEFIT CARRY FORWARD RULES.— 
‘‘(A) IN GENERAL.—A plan meets the re-
quirements of this paragraph if it provides for 
the automatic carry forward from the close of 
a plan year to the succeeding plan year of any 
aggregate unused contributions totaling $20 or 
greater. 
‘‘(B) SMALL BALANCES.—For purposes of 
subparagraph (A), if an eligible employee car-
ries a balance of less than $20 at the end of a 
plan year, such employee may elect to carry for-
ward such balance to the next plan year or, if 
such employee makes no election, such balance 
may be forfeited. 
‘‘(C) EXCLUSION FROM GROSS INCOME.— 
No amount shall be included in gross income 
under this chapter by reason of any carry for-
ward under this paragraph. 
‘‘(D) COORDINATION
LIMITS.—The max-
imum amount which may be contributed to a 
dependent care assistance flexible spending ar-
rangement for any year to which an unused 
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amount is carried under this paragraph shall 
not be reduced by such unused amount.’’. 
(b) CONFORMING AMENDMENT.—Section 125(d)(2) 
of such Code is amended by adding at the end the fol-
lowing new subparagraph: 
‘‘(E) EXCEPTION FOR DEPENDENT CARE 
ASSISTANCE
FLEXIBLE
SPENDING
ARRANGE-
MENTS.—Subparagraph (A) shall not apply to a 
dependent care assistance flexible spending ar-
rangement which conforms to the benefit carry 
forward rules of section 129(d)(10).’’. 
(c) EFFECTIVE DATE.—The amendment made by 
this section shall apply to taxable years beginning after 
December 31, 2022. 
SEC. 5. INCREASE OF BENEFITS FOR DEPENDENT CARE AS-
SISTANCE PROGRAMS. 
(a) IN GENERAL.—Section 129(a)(2)(A) of the Inter-
nal Revenue Code of 1986 is amended by striking ‘‘$5,000 
($2,500’’ and inserting ‘‘$15,000 ($7,500’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall apply to taxable years beginning after 
December 31, 2022. 
Æ 
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1472 
onstrates is an effective, long-term conservation strat-
egy for marine turtles, freshwater turtles, or tortoises 
and the habitat of marine turtles, freshwater turtles, 
or tortoises. 
‘‘(2) EFFECT.—Nothing in this subsection pre-
cludes the Secretary from awarding a grant on an 
annual basis.’’. 
(b) AUTHORIZATION
OF APPROPRIATIONS.—Section 
7(a) of the Marine Turtle Conservation Act of 2004 (16 
U.S.C. 6606(a)) is amended by striking ‘‘2019 through 
2023’’ and inserting ‘‘2025 through 2029’’. 
SEC. 5308. REPORTING REQUIREMENTS. 
(a) REPORTS TO CONGRESS.—Annually, the Secretary 
of the Interior shall submit to the appropriate committees 
of Congress a report on the implementation of— 
(1) the African Elephant Conservation Act (16 
U.S.C. 4201 et seq.); 
(2) the Asian Elephant Conservation Act of 1997 
(16 U.S.C. 4261 et seq.); 
(3) the Rhinoceros and Tiger Conservation Act of 
1994 (16 U.S.C. 5301 et seq.); 
(4) the Great Ape Conservation Act of 2000 (16 
U.S.C. 6301 et seq.); and 
(5) the Marine Turtle Conservation Act of 2004 
(16 U.S.C. 6601 et seq.).
old), child survivors of commer-
cial sexual exploitation, dual sta-
tus youth (children in both foster 
care and juvenile justice sys-
tems), and cross over children 
(children that cross between the 
foster care and juvenile justice 
systems); or 
‘‘(dd) such other outcomes 
for children excluded from juve-
nile adjudication by age (under 
age of 12 and over the age of 15 
years old), child survivors of com-
mercial sexual exploitation, dual 
status youths (children in both 
foster care and juvenile justice 
systems), and cross over children 
(children that cross between the 
foster care and juvenile justice 
systems) as the State child wel-
fare agency and State juvenile 
justice agency may identify. 
‘‘(4) TRAINING AND TECHNICAL ASSISTANCE.— 
The Secretary may support State child welfare agen-
cies and State juvenile justice agencies by offering a 
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or (C) of paragraph (1) within 2 weeks of such test-
ing. 
‘‘(b) EXCEPTION.—The testing and reporting re-
quirements of subsection (a) do not apply with respect to 
hydraulic fracturing operations if there is no accessible un-
derground source of drinking water within a radius of one 
mile of the site where the operations occur. 
‘‘(c) SAMPLING LOCATIONS.—Testing required pur-
suant to subsection (a) shall occur— 
‘‘(1) at all accessible underground sources of 
drinking water within a radius of one-half mile of 
the site where the hydraulic fracturing operations 
occur; and 
‘‘(2) if there is no accessible underground 
source of drinking water within such radius, at the 
nearest accessible underground source of drinking 
water within a radius of one mile of such site. 
‘‘(d) TESTING.—Testing required pursuant to sub-
section (a) shall— 
‘‘(1) be conducted by one or more laboratories 
certified pursuant to the Environmental Protection 
Agency’s program for certifying laboratories for 
analysis of drinking water contaminants; and 
‘‘(2) include testing for any hazardous sub-
stance, pollutant, contaminant, or other factor that 
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(2) be ineligible to receive a grant from the Ex-
ecutive agency. 
SEC. 10. PRESIDENTIAL WAR POWERS UNDER THE COMMU-
NICATIONS ACT OF 1934. 
(a) IN GENERAL.—Section 706 of the Communica-
tions Act of 1934 (47 U.S.C. 606) is amended— 
(1) by striking subsections (c) through (g); and 
(2) by redesignating subsection (h) as sub-
section (c). 
(b) TECHNICAL AND CONFORMING AMENDMENTS.— 
Section 309(h) of the Communications Act of 1934 (47 
U.S.C. 309(h)) is amended— 
(1) by inserting ‘‘and’’ before ‘‘(2)’’; and 
(2) by striking ‘‘Act;’’ and all that follows 
through the period at the end and inserting the fol-
lowing: ‘‘Act.’’. 
SEC. 11. APPLICABILITY OF FOIA. 
(a) DEFINITION.—In this section, the term ‘‘agency’’ 
has the meaning given the term in section 551 of title 5, 
United States Code. 
(b) APPLICABILITY.—Notwithstanding any provision 
of section 552 of title 5, United States Code, any request 
made to an agency pursuant to that section for records 
relating to communication between an employee and a rep-
resentative of a provider— 
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(1) shall be granted by the agency without re-
gard to any exemption under subsection (b) of that 
section, except the agency may not release any iden-
tifying information of a user of a covered platform 
without express written consent granted by the user 
to the agency; and 
(2) may not be granted by the agency if the 
communication occurred pursuant to a warrant de-
scribed in section 4(a)(2). 
Æ 
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I 
118TH CONGRESS 
1ST SESSION H. R. 4794 
To amend the Internal Revenue Code of 1986 to permit expenditures from 
health savings accounts, flexible spending arrangements, and health reim-
bursement arrangements for dietary supplements. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 20, 2023 
Mr. LAHOOD (for himself, Mr. CURTIS, Mr. BOYLE of Pennsylvania, and Mr. 
GOTTHEIMER) introduced the following bill; which was referred to the 
Committee on Ways and Means 
A BILL 
To amend the Internal Revenue Code of 1986 to permit 
expenditures from health savings accounts, flexible 
spending arrangements, and health reimbursement ar-
rangements for dietary supplements. 
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 ‘‘Dietary Supplements 
Access Act’’. 
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SEC. 2. EXPENDITURES FROM HEALTH SAVINGS AC-
COUNTS, 
FLEXIBLE 
SPENDING 
ARRANGE-
MENTS, AND HEALTH REIMBURSEMENT AR-
RANGEMENTS FOR DIETARY SUPPLEMENTS. 
(a) IN GENERAL.—Section 223(d)(2) of the Internal 
Revenue Code of 1986 is amended by adding at the end 
the following: 
‘‘(E) 
DIETARY
NUTRITIONAL
SUPPLE-
MENT.—Amounts paid for a dietary supplement 
(as defined in section 201(ff) of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 
321(ff))) shall be treated as amounts paid for 
medical care.’’. 
(b) REIMBURSEMENTS FROM FLEXIBLE SPENDING 
ARRANGEMENTS AND HEALTH ARRANGEMENTS FOR DIE-
TARY NUTRITIONAL SUPPLEMENTS.—Section 106 of such 
Code is amended by adding at the end the following: 
‘‘(h) REIMBURSEMENTS FOR DIETARY NUTRITIONAL 
SUPPLEMENTS.—For purposes of this section and section 
105, expenses incurred for a dietary supplement (as de-
fined in section 201(ff) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 321(ff))) shall be treated as in-
curred for medical care.’’. 
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(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to taxable years ending after the 
date of the enactment of this Act. 
Æ 
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I 
118TH CONGRESS 
1ST SESSION H. R. 4798 
To amend the Foreign Assistance Act of 1961 to update and strengthen 
existing efforts to end violence against children, improve coordination 
among agencies addressing this violence, and promote the use of evidence- 
based strategies and critical information gathering capabilities, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 20, 2023 
Mr. MCGOVERN (for himself, Ms. SALAZAR, and Mr. FITZPATRICK) introduced 
the following bill; which was referred to the Committee on Foreign Affairs 
A BILL 
To amend the Foreign Assistance Act of 1961 to update 
and strengthen existing efforts to end violence against 
children, improve coordination among agencies address-
ing this violence, and promote the use of evidence-based 
strategies and critical information gathering capabilities, 
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 ‘‘Strengthening Efforts 
to End Violence Against Children Act of 2023’’. 
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