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(B) any rule of law prescribed by this title 
in conflict with a rule of law of such title XXI 
shall not apply to such action. 
(2) If there is an aspect of a civil action 
brought for a vaccine-related injury or death to 
which a Federal rule of law under title XXI of the 
Public Health Service Act does not apply, then this 
title or otherwise applicable law (as determined 
under this title) will apply to such aspect of such ac-
tion. 
(b) OTHER FEDERAL LAW.—Except as provided in 
this section, nothing in this title shall be deemed to affect 
any defense available to a defendant in a health care law-
suit or action under any other provision of Federal law. 
SEC. 
409. 
STATE 
FLEXIBILITY 
AND 
PROTECTION 
OF 
STATES’ RIGHTS. 
(a) HEALTH CARE LAWSUITS.—The provisions gov-
erning health care lawsuits set forth in this title preempt, 
subject to subsections (b) and (c), State law to the extent 
that State law prevents the application of any provisions 
of law established by or under this title. The provisions 
governing health care lawsuits set forth in this title super-
sede chapter 171 of title 28, United States Code, to the 
extent that such chapter— 
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(1) provides for a greater amount of damages 
or contingent fees, a longer period in which a health 
care lawsuit may be commenced, or a reduced appli-
cability or scope of periodic payment of future dam-
ages, than provided in this title; or 
(2) prohibits the introduction of evidence re-
garding collateral source benefits, or mandates or 
permits subrogation or a lien on collateral source 
benefits. 
(b) PROTECTION OF STATES’ RIGHTS AND OTHER 
LAWS.—(1) Any issue that is not governed by any provi-
sion of law established by or under this title (including 
State standards of negligence) shall be governed by other-
wise applicable State or Federal law. 
(2) This title shall not preempt or supersede any 
State or Federal law that imposes greater procedural or 
substantive protections for health care providers and 
health care organizations from liability, loss, or damages 
than those provided by this title or create a cause of ac-
tion. 
(c) STATE FLEXIBILITY.—No provision of this title 
shall be construed to preempt— 
(1) any State law (whether effective before, on, 
or after the date of the enactment of this Act) that 
specifies a particular monetary amount of compen-
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satory or punitive damages (or the total amount of 
damages) that may be awarded in a health care law-
suit, regardless of whether such monetary amount is 
greater or lesser than is provided for under this title, 
notwithstanding section 303(a); or 
(2) any defense available to a party in a health 
care lawsuit under any other provision of State or 
Federal law. 
SEC. 410. APPLICABILITY; EFFECTIVE DATE. 
This title shall apply to any health care lawsuit 
brought in a Federal or State court, or subject to an alter-
native dispute resolution system, that is initiated on or 
after the date of the enactment of this Act, except that 
any health care lawsuit arising from an injury occurring 
prior to the date of the enactment of this Act shall be 
governed by the applicable statute of limitations provisions 
in effect at the time the injury occurred. 
TITLE V—COMMITTEE ON OVER-
SIGHT AND GOVERNMENT RE-
FORM 
SEC. 501. RETIREMENT CONTRIBUTIONS. 
(a) CIVIL SERVICE RETIREMENT SYSTEM.— 
(1) 
INDIVIDUAL
CONTRIBUTIONS.—Section 
8334(c) of title 5, United States Code, is amended— 
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(A) by striking ‘‘(c) Each’’ and inserting 
‘‘(c)(1) Each’’; and 
(B) by adding at the end the following: 
‘‘(2) Notwithstanding any other provision of this sub-
section, the applicable percentage of basic pay under this 
subsection shall— 
‘‘(A) except as provided in subparagraph (B) or 
(C), for purposes of computing an amount— 
‘‘(i) for a period in calendar year 2013, be 
equal to the applicable percentage under this 
subsection for calendar year 2012, plus an ad-
ditional 1.5 percentage points; 
‘‘(ii) for a period in calendar year 2014, be 
equal to the applicable percentage under this 
subsection for calendar year 2013 (as deter-
mined under clause (i)), plus an additional 0.5 
percentage point; 
‘‘(iii) for a period in calendar year 2015, 
2016, or 2017, be equal to the applicable per-
centage under this subsection for the preceding 
calendar year (as determined under clause (ii) 
or this clause, as the case may be), plus an ad-
ditional 1.0 percentage point; and 
‘‘(iv) for a period in any calendar year 
after 2017, be equal to the applicable percent-
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age under this subsection for calendar year 
2017 (as determined under clause (iii)); 
‘‘(B) for purposes of computing an amount with 
respect to a Member for Member service— 
‘‘(i) for a period in calendar year 2013, be 
equal to the applicable percentage under this 
subsection for calendar year 2012, plus an ad-
ditional 2.5 percentage points; 
‘‘(ii) for a period in calendar year 2014, 
2015, 2016, or 2017, be equal to the applicable 
percentage under this subsection for the pre-
ceding calendar year (as determined under 
clause (i) or this clause, as the case may be), 
plus an additional 1.5 percentage points; and 
‘‘(iii) for a period in any calendar year 
after 2017, be equal to the applicable percent-
age under this subsection for calendar year 
2017 (as determined under clause (ii)); and 
‘‘(C) for purposes of computing an amount with 
respect to a Member or employee for Congressional 
employee service— 
‘‘(i) for a period in calendar year 2013, be 
equal to the applicable percentage under this 
subsection for calendar year 2012, plus an ad-
ditional 2.5 percentage points; 
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