(b) TABLE OF CONTENTS.—
TITLE I—ENERGY, NATURAL RESOURCES AND ENVIRONMENT
Subtitle A—Energy
Sec. 1101. Privatization of uranium enrichment.
Sec. 1102. Making permanent Nuclear Regulatory Commission annual charges.
Sec. 1103. Cogeneration.
Sec. 1104. FEMA radiological emergency preparedness fees.
Subtitle B—Central Utah
Sec. 1121. Prepayment of certain repayment contracts between the United
States and the Central Utah Water Conservancy District.
Subtitle C—Army Corps of Engineers
Sec. 1131. Regulatory Program Fund.
Subtitle D—Helium Reserve
Sec. 1141. Sale of helium processing and storage facility.
Subtitle E—Territories
Sec. 1151. Termination of annual direct assistance to Northern Mariana Is-
lands.
TITLE II—AGRICULTURAL PROGRAMS
Sec. 2001. Short title.
Subtitle A—Extension and Modification of Various Commodity Programs
Sec. 2101. Extension of loans, payments, and acreage reduction programs for
wheat through 2002.
Sec. 2102. Extension of loans, payments, and acreage reduction programs for
feed grains through 2002.
Sec. 2103. Extension of loans, payments, and acreage reduction programs for
cotton through 2002.
Sec. 2104. Extension of loans, payments, and acreage reduction programs for
rice through 2002.
Sec. 2105. Extension of loans and payments for oilseeds through 2002.
Sec. 2106. Increase in flex acres.
Sec. 2107. Reduction in 50/85 and 0/85 programs.
Subtitle B—Sugar
Sec. 2201. Extension and modification of sugar program.
Subtitle C—Peanuts
Sec. 2301. Extension of price support program for peanuts and related pro-
grams.
Sec. 2302. National poundage quotas and acreage allotments.
Sec. 2303. Sale, lease, or transfer of farm poundage quota.
Sec. 2304. Penalty for reentry of exported peanut products.
Sec. 2305. Price support program for peanuts.
Sec. 2306. Referendum regarding poundage quotas.
Sec. 2307. Regulations.
Subtitle D—Tobacco
Sec. 2401. Elimination of Federal budgetary outlays for tobacco programs.
Sec. 2402. Establishment of farm yield for Flue-cured tobacco based on individ-
ual farm production history.
Sec. 2403. Removal of farm reconstitution exception for Burley tobacco.
Sec. 2404. Reduction in percentage threshold for transfer of Flue-cured tobacco
quota in cases of disaster.
Sec. 2405. Expansion of types of tobacco subject to no net cost assessment.
Sec. 2406. Repeal of reporting requirements relating to export of tobacco.
Sec. 2407. Repeal of limitation on reducing national marketing quota for Flue-
cured and Burley tobacco.
Sec. 2408. Application of civil penalties under Tobacco Inspection Act.
Sec. 2409. Transfers of quota or allotment across county lines in a State.
Sec. 2410. Calculation of national marketing quota.
Sec. 2411. Clarification of authority to access civil money penalties.
Sec. 2412. Lease and transfer of farm marketing quotas for Burley tobacco.
Sec. 2413. Limitation on transfer of acreage allotments of other tobacco.
Sec. 2414. Good faith reliance on actions or advice of Department representa-
tives.
Sec. 2415. Uniform forfeiture dates for Flue-cured and Burley tobacco.
Sec. 2416. Sale of Burley and Flue-cured tobacco marketing quotas for a farm
by recent purchasers.
Subtitle E—Planting Flexibility
Sec. 2501. Definitions.
Sec. 2502. Crop and total acreage bases.
Sec. 2503. Planting flexibility.
Sec. 2504. Farm program payment yields.
Sec. 2505. Application of provisions.
Subtitle F—Miscellaneous Provisions
Sec. 2601. Limitations on amount of deficiency payments and land diversion
payments.
Sec. 2602. Sense of Congress regarding certain Canadian trade practices.
TITLE III—COMMERCE
Sec. 3101. Spectrum auctions.
Sec. 3102. Federal Communications Commission fee collections
Sec. 3103. Auction of recaptured analog licenses.
Sec. 3104. Patent and trademark fees.
Sec. 3105. Repeal of authorization of transitional appropriations for the United
States Postal Service.
TITLE IV—TRANSPORTATION
Sec. 4101. Extension of railroad safety fees.
Sec. 4102. Permanent extension of vessel tonnage duties.
Sec. 4103. Sale of Governors Island, New York.
Sec. 4104. Sale of air rights.
TITLE V—HOUSING PROVISIONS
Sec. 5101. Reduction of section 8 annual adjustment factors for units without
tenant turnover.
Sec. 5102. Maximum mortgage amount floor for single family mortgage insur-
ance.
Sec. 5103. Foreclosure avoidance and borrower assistance.
TITLE VI—INDEXATION AND MISCELLANEOUS ENTITLEMENT-
RELATED PROVISIONS
Sec. 6101. Consumer Price Index.
Sec. 6102. Reduction in title XX block grants to States for social services.
Sec. 6103. Matching rate requirement for title XX block grants to States for
social services.
Sec. 6104. Denial of unemployment insurance to certain high-income individ-
uals.
Sec. 6105. Denial of unemployment insurance to individuals who voluntarily
leave military service.
TITLE VII—MEDICAID REFORM
Subtitle A—Per Capita Spending Limit
Sec. 7001. Limitation on expenditures recognized for purposes of Federal fi-
nancial participation.
Subtitle B—Medicaid Managed Care
Sec. 7101. Permitting greater flexibility for States to enroll beneficiaries in
managed care arrangements.
Sec. 7102. Removal of barriers to provision of medicaid services through man-
aged care.
Sec. 7103. Additional requirements for medicaid managed care plans.
Sec. 7104. Preventing fraud in medicaid managed care.
Sec. 7105. Assuring adequacy of payments to medicaid managed care plans and
providers.
Sec. 7106. Sanctions for noncompliance by eligible managed care providers.
Sec. 7107. Report on public health services.
Sec. 7108. Report on payments to hospitals.
Sec. 7109. Conforming amendments.
Sec. 7110. Effective date; status of waivers.
Subtitle C—Additional Reforms of Medicaid Acute Care Program
Sec. 7201. Permitting increased flexibility in medicaid cost-sharing.
Sec. 7202. Limits on required coverage of additional treatment services under
EPSDT.
Sec. 7203. Delay in application of new requirements.
Sec. 7204. Deadline on action on waivers.
Subtitle D—National Commission on Medicaid Restructuring
Sec. 7301. Establishment of commission.
Sec. 7302. Duties of commission.
Sec. 7303. Administration.
Sec. 7304. Authorization of appropriations.
Sec. 7305. Termination.
Subtitle E—Restrictions on Disproportionate Share Payments
Sec. 7401. Reforming disproportionate share payments under State medicaid
programs.
Subtitle F—Fraud Reduction
Sec. 7501. Monitoring payments for dual eligibles.
Sec. 7502. Improved identification systems.
TITLE VIII—MEDICARE
Sec. 8000. Short title; references in title.
Subtitle A—Medicare Choice Program
PART 1—INCREASING CHOICE UNDER THE MEDICARE PROGRAM
Sec. 8001. Increasing choice under medicare.
Sec. 8002. Medicare Choice program.
‘‘PART C—PROVISIONS RELATING TO MEDICARE CHOICE
‘‘Sec. 1851. Requirements for Medicare Choice organizations.
‘‘Sec. 1852. Requirements relating to benefits, provision of services, enroll-
ment, and premiums.
‘‘Sec. 1853. Patient protection standards.
‘‘Sec. 1854. Provider-sponsored organizations.
‘‘Sec. 1855. Payments to Medicare Choice organizations.
‘‘Sec. 1856. Establishment of standards for Medicare Choice organizations
and products.
‘‘Sec. 1857. Medicare Choice certification.
‘‘Sec. 1858. Contracts with Medicare Choice organizations.
‘‘Sec. 1859. Demonstration project for high deductible/medisave products.
Sec. 8003. Reports.
Sec. 8004. Transitional rules for current medicare HMO program.
PART 2—SPECIAL RULES FOR MEDICARE CHOICE MEDICAL SAVINGS
ACCOUNTS
Sec. 8011. Medicare choice MSA’s.
Sec. 8012. Certain rebates excluded from gross income.
PART 3—SPECIAL ANTITRUST RULE FOR PROVIDER SERVICE NETWORKS
Sec. 8021. Application of antitrust rule of reason to provider service networks.
PART 4—COMMISSIONS
Sec. 8031. Medicare Payment Review Commission.
Sec. 8032. Commission on the Effect of the Baby Boom Generation on the
Medicare Program.
PART 5—PREEMPTION OF STATE ANTI-MANAGED CARE LAWS
Sec. 8041. Preemption of State law restrictions on managed care arrangements.
Sec. 8042. Preemption of State laws restricting utilization review programs.
Subtitle B—Provisions Relating to Regulatory Relief
PART 1—PROVISIONS RELATING TO PHYSICIAN FINANCIAL RELATIONSHIPS
Sec. 8101. Repeal of prohibitions based on compensation arrangements.
Sec. 8102. Revision of designated health services subject to prohibition.
Sec. 8103. Delay in implementation until promulgation of regulations.
Sec. 8104. Exceptions to prohibition.
Sec. 8105. Repeal of reporting requirements.
Sec. 8106. Preemption of State law.
Sec. 8107. Effective date.
PART 2—ANTITRUST REFORM
Sec. 8111. Publication of antitrust guidelines on activities of health plans.
Sec. 8112. Issuance of health care certificates of public advantage.
Sec. 8113. Study of impact on competition.
Sec. 8114. Antitrust exemption.
Sec. 8115. Requirements.
Sec. 8116. Definition.
PART 3—MALPRACTICE REFORM
SUBPART A—UNIFORM STANDARDS FOR MALPRACTICE CLAIMS.
Sec. 8121. Applicability.
Sec. 8122. Requirement for initial resolution of action through alternative dis-
pute resolution.
Sec. 8123. Optional application of practice guidelines.
Sec. 8124. Treatment of noneconomic and punitive damages.
Sec. 8125. Periodic payments for future losses.
Sec. 8126. Treatment of attorney’s fees and other costs.
Sec. 8127. Uniform statute of limitations.
Sec. 8128. Special provision for certain obstetric services.
Sec. 8129. Jurisdiction of Federal courts.
Sec. 8130. Preemption.
SUBPART B—REQUIREMENTS FOR STATE ALTERNATIVE DISPUTE RESOLUTION
SYSTEMS (ADR)
Sec. 8131. Basic requirements.
Sec. 8132. Certification of State systems; applicability of alternative Federal
system.
Sec. 8133. Reports on implementation and effectiveness of alternative dispute
resolution systems.
SUBPART C—DEFINITIONS
Sec. 8141. Definitions.
PART 4—PAYMENT AREAS FOR PHYSICIANS’ SERVICES UNDER MEDICARE
Sec. 8151. Modification of payment areas used to determine payments for phy-
sicians’ services under medicare.
Subtitle C—Medicare Payments to Health Care Providers
PART 1—PROVISIONS AFFECTING ALL PROVIDERS
Sec. 8201. One-year freeze in payments to providers.
PART 2—PROVISIONS AFFECTING DOCTORS