datamatters24/research-document-archive huggingface dataset:
that savings cannot be made indirectly over time when 
testing quality of care delivery models.’’. 
(d) EVALUATING
QUALITY
OF
CARE.—Section 
1115A(b)(4) of the Social Security Act (42 U.S.C. 
1315a(b)(4)) is amended— 
(1) in subparagraph (A), by amending clause (i) 
to read as follows: 
‘‘(i) the quality of care furnished 
under the model, including the measure-
ment of patient-level outcomes, patient- 
centeredness, and any unintended con-
sequences, such as access to services, using 
criteria determined appropriate by the Sec-
retary for each model; and’’; and 
(2) in subparagraph (C), by striking ‘‘and’’ be-
fore ‘‘patient-centered care’’ and inserting ‘‘, are ap-
propriate to issues of quality outcomes related to the 
medical conditions under study, and are’’. 
SEC. 10. GAO REPORT. 
Not later than 12 months after the date of enactment 
of this Act, the Comptroller General of the United States 
shall submit to Congress a report on the efforts of the 
Center for Medicare and Medicaid Innovation to attract, 
retain, and develop emerging experts, including underrep-
resented individuals in medicine, such as women, racial 
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and ethnic minorities, and other groups. Such report shall 
include an analysis of the role minority staff play in model 
development and operational decisions on an ongoing 
bases and of the impact of the existing authority provided 
to the Center for Medicare and Medicaid Innovation to 
address workforce shortages and gaps in priority areas. 
SEC. 11. EFFECTIVE DATE. 
Except as otherwise provided in the previous sections 
of this Act (or the amendments made by such sections), 
such amendments shall apply with respect to the testing, 
expansion, or modification of models on or after January 
1, 2024. 
Æ 
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I 
118TH CONGRESS 
1ST SESSION H. R. 6735 
To require the Secretary of the Air Force to develop a long-term tactical 
fighter plan for the active and reserve components of the Air Force, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 13, 2023 
Mr. BACON introduced the following bill; which was referred to the Committee 
on Armed Services 
A BILL 
To require the Secretary of the Air Force to develop a 
long-term tactical fighter plan for the active and reserve 
components of the Air Force, 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 ‘‘Fighter Force Preser-
vation Act of 2023’’. 
SEC. 2. PLAN FOR LONG-TERM AIR FORCE FIGHTER FORCE 
STRUCTURE. 
(a) PLAN REQUIRED.—The Secretary of the Air 
Force, in consultation with the Director of the Air Na-
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tional Guard and the Commander of the Air Force Re-
serve, shall develop a long-term tactical fighter force struc-
ture, recapitalization, training, and sustainment plan for 
the active and reserve components of the Air Force. 
(b) ELEMENTS.—The plan under subsection (a) shall 
address each of the following: 
(1) The appropriate mix of tactical fighter air-
craft force structure, with accompanying operational 
risk analyses, required for the Secretary of the Air 
Force to meet expected steady-state, global force 
management allocation plans and geographical com-
batant commander contingency operational plans 
tasked to the Air Force using active and reserve 
component units. 
(2) The procurement, divestment, unit activa-
tion, deactivation, or re-missioning plans or actions 
the Secretary plans to implement, fiscal year-by-fis-
cal year, unit-by-unit, for the next 12 years for each 
active and reserve component tactical fighter aircraft 
unit existing as of the date of the enactment of this 
Act, including the rationale and justification for any 
such plans or actions. 
(3) The actions the Secretary will take to en-
sure that required operational readiness rates are 
maintained during any planned recapitalization, 
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(2) The Bureau of Labor Statistics reports that 
the labor organization representation in the private 
sector was 6.8 percent in 2022. 93.2 percent of pri-
vate sector employees had the freedom to represent 
themselves directly with their employer. 
(3) Over half the States have right-to-work 
laws, which guarantees an employee’s right to re-
frain from paying labor organization fees as a condi-
tion of employment. 
(4) Employees in right-to-work States who opt 
out of a labor organization must still accept labor 
organization negotiated compensation and terms of 
employment depriving them of their freedom from 
associating with the labor organization. 
(5) These employees should have the right to 
represent themselves in dealings with an employer. 
(6) While no employee should be required to 
pay a third party just to keep their job, labor orga-
nizations should be relieved of the requirement to 
provide services to nonpaying employees in right-to- 
work States that opt out of membership, refrain 
from paying dues, and reject labor organization rep-
resentation. 
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modernization, or change of mission affecting tac-
tical fighter aircraft units. 
(4) Any plans of the Secretary to augment or 
supplant existing piloted tactical fighter aircraft ca-
pability or capacity with Collaborative Combat Air-
craft Increment 1 or Increment 2 capability or ca-
pacity. 
(5) Any plans of the Secretary to augment or 
supplant existing piloted tactical fighter aircraft 
training events via acquisition and fielding of com-
mon, joint, all-domain, high-fidelity synthetic simula-
tion environments. 
(c) REPORT.—Not later than April 1, 2024, the Sec-
retary of the Air Force shall submit to the congressional 
defense committees a report that includes the plan devel-
oped under subsection (a). 
(d) FORM OF REPORT.—The report required under 
subsection (c) shall be submitted in unclassified form, but 
may contain a classified annex. 
(e) CONGRESSIONAL DEFENSE COMMITTEES DE-
FINED.—In this section, the term ‘‘congressional defense 
committees’’ has the meaning given that term in section 
101(a)(16) of title 10, United States Code. 
Æ 
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I 
118TH CONGRESS 
1ST SESSION H. R. 6737 
To require the Secretary of the Air Force to develop a force design for 
the Air Force and the Space Force, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 13, 2023 
Mr. BACON introduced the following bill; which was referred to the Committee 
on Armed Services 
A BILL 
To require the Secretary of the Air Force to develop a 
force design for the Air Force and the Space Force, 
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 ‘‘Air Force Future 
Force Design Act of 2023’’. 
SEC. 2. FUTURE FORCE DESIGN OF THE DEPARTMENT OF 
THE AIR FORCE. 
(a) FORCE DESIGN REQUIRED.—Not later than Au-
gust 31, 2024, the Secretary of the Air Force shall develop 
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a force design for the Air Force and Space Force projected 
through 2050. 
(b) ELEMENTS.—The force design under subsection 
(a) shall address— 
(1) the concepts, capabilities, and structural 
elements (including size and form) of the Air Force 
and Space Force that are necessary to ensure those 
forces effectively execute their core functions 
through 2050 in support of the National Defense 
Strategy and the National Military Strategy; 
(2) force structure, including the development 
of capabilities (including platforms and systems) at 
the correct level of capacity to address the challenges 
outlined by the National Defense Strategy and the 
National Military Strategy; 
(3) force composition, including recruitment 
and development of human capital, effective distribu-
tion of forces in the total force, and policies to in-
crease career flexibility across the various compo-
nents of the force; 
(4) organizational design, including develop-
ment of potential models to increase agility and 
operational effectiveness across the Air Force and 
Space Force; and 
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(5) such other matters as the Secretary of the 
Air Force determines to be relevant. 
(c) INFORMATION TO CONGRESS.—Not later than 60 
days after completion of the force design required under 
subsection (a), the Secretary of the Air Force shall— 
(1) submit a summary of the force design to 
the congressional defense committees; and 
(2) provide to the congressional defense com-
mittees a briefing on the force design. 
(d) CONGRESSIONAL DEFENSE COMMITTEES DE-
FINED.—In this section, the term ‘‘congressional defense 
committees’’ has the meaning given that term in section 
101(a)(16) of title 10, United States Code. 
Æ 
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I 
118TH CONGRESS 
1ST SESSION 
H. R. 673 
To amend Public Law 106–504 to allow certain land in Guam to be 
transferred to previous recorded owners of that land, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 31, 2023 
Mr. MOYLAN introduced the following bill; which was referred to the 
Committee on Natural Resources 
A BILL 
To amend Public Law 106–504 to allow certain land in 
Guam to be transferred to previous recorded owners of 
that land, 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 ‘‘Guam Excess Land 
Return Act’’. 
SEC. 2. TRANSFER OF LAND TO PREVIOUS OWNERS. 
Section 1(c)(5) of Public Law 106–504 is amended 
by striking ‘‘, except that such definition shall not include 
the transfer of land to an individual or entity for private 
use other than on a nondiscriminatory basis’’ and insert-
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ing ‘‘Such definition shall include the transfer of land to 
the person (or the heirs of the person) that owned the 
land when it was transferred to the Federal Government, 
if such prior ownership can be verified in the official 
records of the Government of Guam. Not more than 180 
days after the date of the enactment of the Guam Excess 
Land Return Act, the Government of Guam shall establish 
a process to transfer such land to such persons (or the 
heirs of such persons).’’. 
Æ 
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I 
118TH CONGRESS 
1ST SESSION H. R. 6740 
To require the Secretary of Defense to amend the Department of Defense 
Supplement to the Federal Acquisition Regulation to include consider-
ation of past performance of affiliates of small business concerns, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 13, 2023 
Mr. BACON introduced the following bill; which was referred to the Committee 
on Armed Services 
A BILL 
To require the Secretary of Defense to amend the Depart-
ment of Defense Supplement to the Federal Acquisition 
Regulation to include consideration of past performance 
of affiliates of small business concerns, 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 ‘‘Defense Small Busi-
ness Affiliate Consideration Act of 2023’’. 
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(H) general supports for living, including 
housing consultations, and subsidies for rent or 
assisted living communities, or subsidies for 
utilities such as gas, electric, and water; and 
(I) benefits to address specific needs of 
chronically ill individuals, including— 
(i) food, produce, and meals for en-
rollees with a chronic illness, delivered to 
the home of such individual or in a con-
gregate setting; and 
(ii) structural home modifications that 
have a reasonable expectation of improving 
or maintaining the health, mobility, or 
overall function of a chronically ill indi-
vidual. 
(2) AUTHORITY
TO
ADD
OR
MODIFY
BENE-
FITS.—The Director may add to, or otherwise mod-
ify, the covered benefits described in paragraph (1). 
(d) EVALUATION AND REPORTS.— 
(1) REPORTING
REQUIREMENT
FOR
SAFETY 
NET
HEALTH
PLANS.—Under the agreements en-
tered into under subsection (a), each safety net 
health plan shall submit to the Secretary such infor-
mation as required by the Secretary, at such time 
and in such manner as determined by the Secretary, 
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SEC. 2. CONSIDERATION OF PAST PERFORMANCE OF AF-
FILIATES OF SMALL BUSINESS CONCERNS. 
Not later than July 1, 2024, the Secretary of Defense 
shall amend section 215.305 of the Defense Federal Ac-
quisition Supplement (or any successor regulation) to re-
quire that when small business concerns bid on Depart-
ment of Defense contracts, the past performance evalua-
tion and source selection processes shall consider, if rel-
evant, the past performance information of affiliate com-
panies of the small business concerns. 
Æ 
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I 
118TH CONGRESS 
1ST SESSION H. R. 6744 
To prohibit the Secretary of Veterans Affairs from providing health care 
to, or engaging in claims processing for health care for, any individual 
unlawfully present in the United States who is not eligible for health 
care under the laws administered by the Secretary. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 13, 2023 
Mr. BOST (for himself, Mr. SELF, Mr. BERGMAN, Mr. SCOTT FRANKLIN of 
Florida, Mrs. MILLER-MEEKS, and Mr. MURPHY) introduced the fol-
lowing bill; which was referred to the Committee on Veterans’ Affairs 
A BILL 
To prohibit the Secretary of Veterans Affairs from providing 
health care to, or engaging in claims processing for 
health care for, any individual unlawfully present in the 
United States who is not eligible for health care under 
the laws administered by the Secretary. 
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 ‘‘No VA Resources for 
Illegal Aliens Act’’. 
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SEC. 2. LIMITATION ON CARE OR PROCESSING OF CLAIMS 
FOR CARE FROM DEPARTMENT OF VET-
ERANS AFFAIRS. 
The Secretary of Veterans Affairs may not provide 
health care to, and may not engage in claims processing 
for health care for, any individual unlawfully present in 
the United States who is not eligible for health care under 
the laws administered by the Secretary. 
Æ 
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(1) COLLABORATIVE PROCESS.—The term ‘‘col-
laborative process’’ means a process that— 
(A) includes multiple interested persons 
representing diverse interests; and 
(B)(i) is transparent and nonexclusive; or 
(ii) meets the requirements for a resource 
advisory 
committee 
under 
subsections 
(c) 
through (f) of section 205 of the Secure Rural 
Schools and Community Self-Determination Act 
of 2000 (16 U.S.C. 7125). 
(2) FEDERAL LAND.—The term ‘‘Federal land’’ 
means— 
(A) land of the National Forest System (as 
defined in section 11(a) of the Forest and 
Rangeland Renewable Resources Planning Act 
of 1974 (16 U.S.C. 1609(a))); and 
(B) public lands (as defined in section 103 
of the Federal Land Policy and Management 
Act of 1976 (43 U.S.C. 1702)). 
(3) SECRETARY CONCERNED.—The term ‘‘Sec-
retary concerned’’ means, as applicable— 
(A) the Secretary of Agriculture, acting 
through the Chief of the Forest Service; or 
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(c) EXCLUSION MODIFICATION.—Section 1862(a)(1) 
of the Social Security Act (42 U.S.C. 1395y(a)(1)) is 
amended— 
(1) in subparagraph (O), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (P), by striking the semi-
colon at the end and inserting ‘‘, and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(Q) in the case of peer support services (as de-
fined in section 1861(nnn)), which are not furnished 
by a rural health clinic, a Federally qualified health 
center, a community mental health center, or a cer-
tified community behavioral health clinic;’’. 
Æ 
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118TH CONGRESS 
2D SESSION 
H. R. 6750 
AN ACT 
To designate the facility of the United States Postal Service 
located at 501 Mercer Street Southwest in Wilson, North 
Carolina, as the ‘‘Milton F. Fitch, Sr. Post Office Build-
ing’’. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
‘‘(b) DISSEMINATION
OF
MATERIALS
AND
RE-
SOURCES.—Not later than 30 months after the date of 
the enactment of the HEARTS Act of 2024, the Secretary 
shall disseminate the materials and resources developed 
under subsection (a) in accordance with the following: 
‘‘(1) DISTRIBUTION
BY
STATE
EDUCATIONAL 
AGENCIES.—The Secretary shall make available such 
materials and resources to State educational agen-
cies to distribute— 
‘‘(A) to school administrators, educators, 
school health professionals, coaches, families, 
guardians, caregivers, and other appropriate in-
dividuals, the information developed under sub-
section (a)(1); 
‘‘(B) to parents, guardians, or other care-
givers, the cardiomyopathy risk assessment de-
veloped pursuant to section 312B(b)(1); and 
‘‘(C) to school administrators, educators, 
school health professionals, and coaches— 
‘‘(i) the guidelines described in sub-
section (a)(2); 
‘‘(ii) the training information de-
scribed in subsection (a)(3); and 
‘‘(iii) the recommendations described 
in subsection (a)(4).
SECTION 1. MILTON F. FITCH, SR. POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 501 Mercer Street Southwest in 
Wilson, North Carolina, shall be known and designated 
as the ‘‘Milton F. Fitch, Sr. Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, reg-
ulation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall 
be deemed to be a reference to the ‘‘Milton F. Fitch, Sr. 
Post Office Building’’. 
Passed the House of Representatives June 3, 2024. 
Attest: 
Clerk.
118TH CONGRESS 
2D SESSION 
H. R. 6750 
AN ACT 
To designate the facility of the United States Post-
al Service located at 501 Mercer Street South-
west in Wilson, North Carolina, as the ‘‘Milton 
F. Fitch, Sr. Post Office Building’’.
H. R. 6750 
One Hundred Eighteenth Congress 
of the 
United States of America 
AT THE SECOND SESSION 
Begun and held at the City of Washington on Wednesday, 
the third day of January, two thousand and twenty-four 
An Act 
To designate the facility of the United States Postal Service located at 501 Mercer 
Street Southwest in Wilson, North Carolina, as the ‘‘Milton F. Fitch, Sr. Post 
Office Building’’. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. MILTON F. FITCH, SR. POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States Postal 
Service located at 501 Mercer Street Southwest in Wilson, North 
Carolina, shall be known and designated as the ‘‘Milton F. Fitch, 
Sr. Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regulation, 
document, paper, or other record of the United States to the facility 
referred to in subsection (a) shall be deemed to be a reference 
to the ‘‘Milton F. Fitch, Sr. Post Office Building’’. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.
I 
118TH CONGRESS 
1ST SESSION H. R. 6750 
To designate the facility of the United States Postal Service located at 
501 Mercer Street Southwest in Wilson, North Carolina, as the ‘‘Milton 
F. Fitch, Sr. Post Office Building’’. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 13, 2023 
Mr. DAVIS of North Carolina (for himself, Mr. MURPHY, Ms. ADAMS, Mr. 
ROUZER, Ms. ROSS, Mr. HUDSON, Mr. JACKSON of North Carolina, Ms. 
FOXX, Mr. NICKEL, Mr. BISHOP of North Carolina, Ms. MANNING, Mr. 
MCHENRY, Mrs. FOUSHEE, and Mr. EDWARDS) introduced the following 
bill; which was referred to the Committee on Oversight and Account-
ability 
A BILL 
To designate the facility of the United States Postal Service 
located at 501 Mercer Street Southwest in Wilson, North 
Carolina, as the ‘‘Milton F. Fitch, Sr. Post Office Build-
ing’’. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. MILTON F. FITCH, SR. POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 501 Mercer Street Southwest in 
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Wilson, North Carolina, shall be known and designated 
as the ‘‘Milton F. Fitch, Sr. Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, reg-
ulation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall 
be deemed to be a reference to the ‘‘Milton F. Fitch, Sr. 
Post Office Building’’. 
Æ 
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(D) inscriptions of the words ‘‘Liberty’’, 
‘‘In God We Trust’’, ‘‘United States of Amer-
ica’’, and ‘‘E Pluribus Unum’’. 
(b) SELECTION.—The designs for the coins minted 
under this Act shall be— 
(1) selected by the Secretary after consultation 
with the Roberto Clemente Foundation, Roberto 
Clemente’s living family members, and the Commis-
sion of the Fine Arts; and 
(2) reviewed by the Citizens Coinage Advisory 
Committee. 
SEC. 5. ISSUANCE OF COINS. 
(a) QUALITY OF COINS.—Coins minted under this 
Act shall be issued in uncirculated and proof qualities. 
(b) PERIOD
FOR ISSUANCE.—The Secretary may 
issue coins under this Act only during the calendar year 
beginning on January 1, 2027. 
SEC. 6. SALE OF COINS. 
(a) SALE PRICE.—The coins issued under this Act 
shall be sold by the Secretary at a price equal to the sum 
of— 
(1) the face value of the coins; 
(2) the surcharge provided in section 7(a) with 
respect to such coins; and