Sec. 2. Table of contents. 
TITLE I—AGRICULTURE 
Sec. 101. Short title. 
Sec. 102. ARRA sunset at June 30, 2012. 
Sec. 103. Categorical eligibility limited to cash assistance. 
Sec. 104. Standard utility allowances based on the receipt of energy assistance 
payments. 
Sec. 105. Employment and training; workfare. 
Sec. 106. End State bonus program for the supplemental nutrition assistance 
program. 
Sec. 107. Funding of employment and training programs. 
Sec. 108. Turn off indexing for nutrition education and obesity prevention. 
Sec. 109. Extension of Authorization of Food and Nutrition Act of 2008. 
Sec. 110. Effective dates and application of amendments. 
TITLE II—COMMITTEE ON ENERGY AND COMMERCE 
Subtitle A—Repeal of Certain ACA Funding Provisions 
Sec. 201. Repealing mandatory funding to states to establish American Health 
Benefit Exchanges. 
Sec. 202. Repealing Prevention and Public Health Fund. 
Sec. 203. Rescinding unobligated balances for CO-OP program. 
Subtitle B—Medicaid 
Sec. 211. Revision of provider tax indirect guarantee threshold. 
Sec. 212. Rebasing of State DSH allotments for fiscal year 2022. 
Sec. 213. Repeal of Medicaid and CHIP maintenance of effort requirements 
under PPACA. 
Sec. 214. Medicaid payments to territories. 
Sec. 215. Repealing bonus payments for enrollment under Medicaid and CHIP. 
Subtitle C—Liability Reform 
Sec. 221. Findings and purpose. 
Sec. 222. Encouraging speedy resolution of claims. 
Sec. 223. Compensating patient injury. 
Sec. 224. Maximizing patient recovery. 
Sec. 225. Additional HEALTH benefits. 
Sec. 226. Punitive damages. 
Sec. 227. Authorization of payment of future damages to claimants in 
HEALTH care lawsuits. 
Sec. 228. Definitions. 
Sec. 229. Effect on other laws. 
Sec. 230. State flexibility and protection of States’ rights. 
Sec. 231. Applicability; effective date. 
TITLE III—FINANCIAL SERVICES 
Sec. 301. Table of contents. 
Subtitle A—Orderly Liquidation Fund 
Sec. 311. Repeal of liquidation authority. 
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Subtitle B—Home Affordable Modification Program 
Sec. 321. Short title. 
Sec. 322. Congressional findings. 
Sec. 323. Termination of authority. 
Sec. 324. Sense of Congress. 
Subtitle C—Bureau of Consumer Financial Protection 
Sec. 331. Bringing the Bureau of Consumer Financial Protection into the reg-
ular appropriations process. 
Subtitle D—Flood Insurance Reform 
Sec. 341. Short title. 
Sec. 342. Extensions. 
Sec. 343. Mandatory purchase. 
Sec. 344. Reforms of coverage terms. 
Sec. 345. Reforms of premium rates. 
Sec. 346. Technical Mapping Advisory Council. 
Sec. 347. FEMA incorporation of new mapping protocols. 
Sec. 348. Treatment of levees. 
Sec. 349. Privatization initiatives. 
Sec. 350. FEMA annual report on insurance program. 
Sec. 351. Mitigation assistance. 
Sec. 352. Notification to homeowners regarding mandatory purchase require-
ment applicability and rate phase-ins. 
Sec. 353. Notification to members of congress of flood map revisions and up-
dates. 
Sec. 354. Notification and appeal of map changes; notification to communities 
of establishment of flood elevations. 
Sec. 355. Notification to tenants of availability of contents insurance. 
Sec. 356. Notification to policy holders regarding direct management of policy 
by FEMA. 
Sec. 357. Notice of availability of flood insurance and escrow in RESPA good 
faith estimate. 
Sec. 358. Reimbursement for costs incurred by homeowners and communities 
obtaining letters of map amendment or revision. 
Sec. 359. Enhanced communication with certain communities during map up-
dating process. 
Sec. 360. Notification to residents newly included in flood hazard areas. 
Sec. 361. Treatment of swimming pool enclosures outside of hurricane season. 
Sec. 362. Information regarding multiple perils claims. 
Sec. 363. FEMA authority to reject transfer of policies. 
Sec. 364. Appeals. 
Sec. 365. Reserve fund. 
Sec. 366. CDBG eligibility for flood insurance outreach activities and commu-
nity building code administration grants. 
Sec. 367. Technical corrections. 
Sec. 368. Requiring competition for national flood insurance program policies. 
Sec. 369. Studies of voluntary community-based flood insurance options. 
Sec. 370. Report on inclusion of building codes in floodplain management cri-
teria. 
Sec. 371. Study on graduated risk. 
Sec. 372. Report on flood-in-progress determination. 
Sec. 373. Study on repaying flood insurance debt. 
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Sec. 374. No cause of action. 
Sec. 375. Authority for the corps of engineers to provide specialized or technical 
services. 
Subtitle E—Repeal of the Office of Financial Research 
Sec. 381. Repeal of the Office of Financial Research. 
TITLE IV—COMMITTEE ON THE JUDICIARY 
Sec. 401. Short title. 
Sec. 402. Encouraging speedy resolution of claims. 
Sec. 403. Compensating patient injury. 
Sec. 404. Maximizing patient recovery. 
Sec. 405. Punitive damages. 
Sec. 406. Authorization of payment of future damages to claimants in health 
care lawsuits. 
Sec. 407. Definitions. 
Sec. 408. Effect on other laws. 
Sec. 409. State flexibility and protection of States’ rights. 
Sec. 410. Applicability; effective date. 
TITLE V—COMMITTEE ON OVERSIGHT AND GOVERNMENT 
REFORM 
Sec. 501. Retirement contributions. 
Sec. 502. Annuity supplement. 
Sec. 503. Contributions to Thrift Savings Fund of payments for accrued or ac-
cumulated leave. 
TITLE VI—COMMITTEE ON WAYS AND MEANS 
Subtitle A—Recapture of Overpayments Resulting From Certain Federally- 
subsidized Health Insurance 
Sec. 601. Recapture of overpayments resulting from certain federally-subsidized 
health insurance. 
Subtitle B—Social Security Number Required to Claim the Refundable 
Portion of the Child Tax Credit 
Sec. 611. Social security number required to claim the refundable portion of the 
child tax credit. 
Subtitle C—Human Resources Provisions 
Sec. 621. Repeal of the program of block grants to States for social services. 
TITLE I—AGRICULTURE 
SEC. 101. SHORT TITLE. 
This title may be cited as the ‘‘Agricultural Reconcili-
ation Act of 2012’’. 
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SEC. 102. ARRA SUNSET AT JUNE 30, 2012. 
Section 101(a)(2) of division A of the American Re-
covery and Reinvestment Act of 2009 (Public Law 111– 
5; 123 Stat. 120) is amended by striking ‘‘October 31, 
2013’’ and inserting ‘‘June 30, 2012’’. 
SEC. 103. CATEGORICAL ELIGIBILITY LIMITED TO CASH AS-
SISTANCE. 
Section 5 of the Food and Nutrition Act of 2008 (7 
U.S.C. 2014) is amended— 
(1) in the 2d sentence of subsection (a) by 
striking ‘‘households in which each member receives 
benefits’’ and inserting ‘‘households in which each 
member receives cash assistance’’, and 
(2) in subsection (j) by striking ‘‘or who re-
ceives benefits under a State program’’ and inserting 
‘‘or who receives cash assistance under a State pro-
gram’’. 
SEC. 104. STANDARD UTILITY ALLOWANCES BASED ON THE 
RECEIPT 
OF 
ENERGY 
ASSISTANCE 
PAY-
MENTS. 
(a) STANDARD UTILITY ALLOWANCE.—Section 5 of 
the Food and Nutrition Act of 2008 (7 U.S.C. 2014) is 
amended— 
(1) in subsection (e)(6)(C) by striking clause 
(iv), and 
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(2) in subsection (k) by striking paragraph (4) 
and inserting the following: 
‘‘(4) THIRD PARTY ENERGY ASSISTANCE PAY-
MENTS.—For purposes of subsection (d)(1), a pay-
ment made under a State law (other than a law re-
ferred to in paragraph (2)(G)) to provide energy as-
sistance to a household shall be considered money 
payable directly to the household.’’. 
(b) 
CONFORMING
AMENDMENTS.—Section 
2605(f)(2) of the Low-Income Home Energy Assistance 
Act of 1981 (42 U.S.C. 8624(f)(2)) is amended— 
(1) by striking ‘‘and for purposes of deter-
mining any excess shelter expense deduction under 
section 5(e) of the Food and Nutrition Act of 2008 
(7 U.S.C. 2014(e))’’, and 
(2) in subparagraph (A) by inserting before the 
semicolon the following: ‘‘, except that such pay-
ments or allowances shall not be deemed to be ex-
pended for purposes of determining any excess shel-
ter expense deduction under section 5(e)(6) of the 
Food and Nutrition Act of 2008 (7 U.S.C. 
2014(e)(6))’’. 
SEC. 105. EMPLOYMENT AND TRAINING; WORKFARE. 
(a) ADMINISTRATIVE COST-SHARING FOR EMPLOY-
MENT AND TRAINING PROGRAMS.— 
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(1) IN GENERAL.—Section 16 of the Food and 
Nutrition Act of 2008 (7 U.S.C. 2025) is amend-
ed— 
(A) in subsection (a) by inserting ‘‘(other 
than a program carried out under section 
6(d)(4) or section 20)’’ after ‘‘supplemental nu-
trition assistance program’’ the 1st place it ap-
pears, and 
(B) in subsection (h)— 
(i) by striking paragraphs (2) and (3), 
and 
(ii) by redesignating paragraphs (4) 
and (5) as paragraphs (2) and (3), respec-
tively. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 17(b)(1)(B)(iv)(III)(hh) of the 
Food and Nutrition Act of 2008 (7 U.S.C. 
2026(b)(1)(B)(iv)(III)(hh)) 
is 
amended 
by 
striking ‘‘(g), (h)(2), or (h)(3)’’ and inserting 
‘‘or (g)’’. 
(B) Section 22(d)(1)(B)(ii) of the Food 
and 
Nutrition 
Act 
of 
2008 
(7 
U.S.C. 
2031(d)(1)(B)(ii)) is amended is amended by 
striking ‘‘, (g), (h)(2), and (h)(3)’’ and insert-
ing ‘‘and (g)’’. 
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(b) ADMINISTRATIVE
COST-SHARING
AND
REIM-
BURSEMENTS FOR WORKFARE.—Section 20 of the Food 
and Nutrition Act of 2008 (7 U.S.C. 2029) is amended 
by striking subsection (g). 
SEC. 106. END STATE BONUS PROGRAM FOR THE SUPPLE-
MENTAL NUTRITION ASSISTANCE PROGRAM. 
Section 16 of the Food and Nutrition Act of 2008 
(7 U.S.C. 2025) is amended by striking subsection (d). 
SEC. 107. FUNDING OF EMPLOYMENT AND TRAINING PRO-
GRAMS. 
For purposes of fiscal year 2013, the reference to 
$90,000,000 in section 16(h)(1)(A) of the Food and Nu-
trition Act of 2008 (7 U.S.C. 2025(h)(1)(A)) shall be 
deemed to be a reference to $79,000,000. 
SEC. 108. TURN OFF INDEXING FOR NUTRITION EDU-
CATION AND OBESITY PREVENTION. 
Section 28(d) of the Food and Nutrition Act of 2008 
(7 U.S.C. 2037(d)) is amended by striking ‘‘years—’’ and 
all that follows through the period at the end, and insert-
ing ‘‘years, $375,000,000.’’. 
SEC. 109. EXTENSION OF AUTHORIZATION OF FOOD AND 
NUTRITION ACT OF 2008. 
Section 18(a)(1) of the Food and Nutrition Act of 
2008 (7 U.S.C. 2027(a)(1)) is amended by striking 
‘‘2012’’ and inserting ‘‘2013’’. 
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SEC. 110. EFFECTIVE DATES AND APPLICATION OF AMEND-
MENTS. 
(a) GENERAL EFFECTIVE DATE.—Except as pro-
vided in subsection (b), this title and the amendments 
made by this title shall take effect on October 1, 2012, 
and shall apply only with respect to certification periods 
that begin on or after such date. 
(b) SPECIAL EFFECTIVE DATE.—Section 107 and 
the amendments made by sections 102, 103, 104, and 109 
shall take effect on the date of the enactment of this Act 
and shall apply only with respect to certification periods 
that begin on or after such date. 
TITLE II—COMMITTEE ON 
ENERGY AND COMMERCE 
Subtitle A—Repeal of Certain ACA 
Funding Provisions 
SEC. 201. REPEALING MANDATORY FUNDING TO STATES TO 
ESTABLISH AMERICAN HEALTH BENEFIT EX-
CHANGES. 
(a) IN GENERAL.—Section 1311(a) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 18031(a)) 
is repealed. 
(b) RESCISSION OF UNOBLIGATED FUNDS.—Of the 
funds made available under such section 1311(a), the un-
obligated balance is rescinded. 
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SEC. 202. REPEALING PREVENTION AND PUBLIC HEALTH 
FUND. 
(a) IN GENERAL.—Section 4002 of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 300u–11) is 
repealed. 
(b) RESCISSION OF UNOBLIGATED FUNDS.—Of the 
funds made available by such section 4002, the unobli-
gated balance is rescinded. 
SEC. 203. RESCINDING UNOBLIGATED BALANCES FOR CO- 
OP PROGRAM. 
Of the funds made available under section 1322(g) 
of the Patient Protection and Affordable Care Act (42 
U.S.C. 18042(g)), the unobligated balance is rescinded. 
Subtitle B—Medicaid 
SEC. 211. REVISION OF PROVIDER TAX INDIRECT GUAR-
ANTEE THRESHOLD. 
Section 1903(w)(4)(C)(ii) of the Social Security Act 
(42 U.S.C. 1396b(w)(4)(C)(ii)) is amended by inserting 
‘‘and for portions of fiscal years beginning on or after Oc-
tober 1, 2012,’’ after ‘‘October 1, 2011,’’. 
SEC. 212. REBASING OF STATE DSH ALLOTMENTS FOR FIS-
CAL YEAR 2022. 
Section 1923(f) of the Social Security Act (42 U.S.C. 
1396r-4(f)) is amended— 
(1) by redesignating paragraph (9) as para-
graph (10); 
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(2) in paragraph (3)(A) by striking ‘‘para-
graphs (6), (7), and (8)’’ and inserting ‘‘paragraphs 
(6), (7), (8), and (9)’’; and 
(3) by inserting after paragraph (8) the fol-
lowing new paragraph: 
‘‘(9) REBASING OF STATE DSH ALLOTMENTS 
FOR
FISCAL
YEAR
2022.—With respect to fiscal 
2022, for purposes of applying paragraph (3)(A) to 
determine the DSH allotment for a State, the 
amount of the DSH allotment for the State under 
paragraph (3) for fiscal year 2021 shall be treated 
as if it were such amount as reduced under para-
graph (7).’’. 
SEC. 213. REPEAL OF MEDICAID AND CHIP MAINTENANCE 
OF EFFORT REQUIREMENTS UNDER PPACA. 
(a) REPEAL OF PPACA MEDICAID MOE.—Section 
1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended by striking subsection (gg). 
(b) REPEAL
OF
PPACA CHIP MOE.—Section 
2105(d)(3) of the Social Security Act (42 U.S.C. 
1397ee(d)(3)) is amended— 
(1) by striking subparagraph (A); 
(2) by redesignating subparagraphs (B) and 
(C) as subparagraphs (A) and (B), respectively; and 
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(3) in the paragraph heading, by striking 
‘‘CONTINUATION
OF
ELIGIBILITY
STANDARDS
FOR 
CHILDREN UNTIL OCTOBER 1, 2019’’ and inserting 
‘‘CONTINUITY OF COVERAGE’’. 
(c) CONFORMING AMENDMENTS.— 
(1) Section 1902(a) of the Social Security Act 
(42 U.S.C. 1396a(a)) is amended by striking para-
graph (74). 
(2) Effective January 1, 2014, paragraph (14) 
of section 1902(e) (as added by section 2002(a) of 
Public Law 111–148) is amended by striking the 
third sentence of subparagraph (A). 
(d) EFFECTIVE DATE.—Except as provided in sub-
section (c)(2), the amendments made by this section shall 
take effect on the date of the enactment of this section. 
SEC. 214. MEDICAID PAYMENTS TO TERRITORIES. 
(a) LIMIT ON PAYMENTS.—Section 1108(g) of the 
Social Security Act (42 U.S.C. 1308(g)) is amended— 
(1) in paragraph (2)— 
(A) by striking ‘‘paragraphs (3) and (5)’’; 
and 
(B) by inserting ‘‘paragraph (3)’’ after 
‘‘and subject to’’; 
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(2) in paragraph (4), by striking ‘‘(3), and’’ 
and all that follows through ‘‘of this subsection’’ and 
inserting ‘‘and (3) of this subsection’’; and 
(3) by striking paragraph (5). 
(b) FMAP.—The first sentence of section 1905(b) of 
the Social Security Act (42 U.S.C. 1396d(b)) is amended 
by striking ‘‘shall be 55 percent’’ and inserting ‘‘shall be 
50 percent’’. 
SEC. 215. REPEALING BONUS PAYMENTS FOR ENROLL-
MENT UNDER MEDICAID AND CHIP. 
(a) IN GENERAL.—Paragraphs (3) and (4) of section 
2105(a) of the Social Security Act (42 U.S.C. 1397ee(a)) 
are repealed. 
(b) RESCISSION OF UNOBLIGATED FUNDS.—Of the 
funds made available by section 2105(a)(3) of the Social 
Security Act, the unobligated balance is rescinded. 
(c) CONFORMING CHANGES.— 
(1) AVAILABILITY OF EXCESS FUNDS FOR PER-
FORMANCE
BONUSES.—Section 2104(n)(2) of the 
Social Security Act (42 U.S.C. 1397dd(n)(2)) is 
amended by striking subparagraph (D). 
(2) OUTREACH OR COVERAGE BENCHMARKS.— 
Section 2111(b)(3) of the Social Security Act (42 
U.S.C. 1397kk(b)(3)) is amended— 
(A) in subparagraph (A)— 
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(i) in clause (i), by inserting ‘‘or’’ 
after the semicolon at the end; and 
(ii) by striking clause (ii); and 
(B) by striking subparagraph (C). 
Subtitle C—Liability Reform 
SEC. 221. FINDINGS AND PURPOSE. 
(a) FINDINGS.— 
(1) EFFECT
ON
HEALTH
CARE
ACCESS
AND 
COSTS.—Congress finds that our current civil justice 
system is adversely affecting patient access to health 
care services, better patient care, and cost-efficient 
health care, in that the health care liability system 
is a costly and ineffective mechanism for resolving 
claims of health care liability and compensating in-
jured patients, and is a deterrent to the sharing of 
information among health care professionals which 
impedes efforts to improve patient safety and quality 
of care. 
(2) EFFECT
ON
INTERSTATE
COMMERCE.— 
Congress finds that the health care and insurance 
industries are industries affecting interstate com-
merce and the health care liability litigation systems 
existing throughout the United States are activities 
that affect interstate commerce by contributing to 
the high costs of health care and premiums for 
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health care liability insurance purchased by health 
care system providers. 
(3) EFFECT
ON
FEDERAL
SPENDING.—Con-
gress finds that the health care liability litigation 
systems existing throughout the United States have 
a significant effect on the amount, distribution, and 
use of Federal funds because of— 
(A) the large number of individuals who 
receive health care benefits under programs op-
erated or financed by the Federal Government; 
(B) the large number of individuals who 
benefit because of the exclusion from Federal 
taxes of the amounts spent to provide them 
with health insurance benefits; and 
(C) the large number of health care pro-
viders who provide items or services for which 
the Federal Government makes payments. 
(b) PURPOSE.—It is the purpose of this subtitle to 
implement reasonable, comprehensive, and effective health 
care liability reforms designed to— 
(1) improve the availability of health care serv-
ices in cases in which health care liability actions 
have been shown to be a factor in the decreased 
availability of services; 
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(2) reduce the incidence of ‘‘defensive medi-
cine’’ and lower the cost of health care liability in-
surance, all of which contribute to the escalation of 
health care costs; 
(3) ensure that persons with meritorious health 
care injury claims receive fair and adequate com-
pensation, including reasonable noneconomic dam-
ages; 
(4) improve the fairness and cost-effectiveness 
of our current health care liability system to resolve 
disputes over, and provide compensation for, health 
care liability by reducing uncertainty in the amount 
of compensation provided to injured individuals; and 
(5) provide an increased sharing of information 
in the health care system which will reduce unin-
tended injury and improve patient care. 
SEC. 222. ENCOURAGING SPEEDY RESOLUTION OF CLAIMS. 
The time for the commencement of a health care law-
suit shall be 3 years after the date of manifestation of 
injury or 1 year after the claimant discovers, or through 
the use of reasonable diligence should have discovered, the 
injury, whichever occurs first. In no event shall the time 
for commencement of a health care lawsuit exceed 3 years 
after the date of manifestation of injury unless tolled for 
any of the following— 
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(1) upon proof of fraud; 
(2) intentional concealment; or 
(3) the presence of a foreign body, which has no 
therapeutic or diagnostic purpose or effect, in the 
person of the injured person. 
Actions by a minor shall be commenced within 3 years 
from the date of the alleged manifestation of injury except 
that actions by a minor under the full age of 6 years shall 
be commenced within 3 years of manifestation of injury 
or prior to the minor’s 8th birthday, whichever provides 
a longer period. Such time limitation shall be tolled for 
minors for any period during which a parent or guardian 
and a health care provider or health care organization 
have committed fraud or collusion in the failure to bring 
an action on behalf of the injured minor. 
SEC. 223. COMPENSATING PATIENT INJURY. 
(a) UNLIMITED AMOUNT OF DAMAGES FOR ACTUAL 
ECONOMIC LOSSES IN HEALTH CARE LAWSUITS.—In any 
health care lawsuit, nothing in this subtitle shall limit a 
claimant’s recovery of the full amount of the available eco-
nomic damages, notwithstanding the limitation in sub-
section (b). 
(b) ADDITIONAL NONECONOMIC DAMAGES.—In any 
health care lawsuit, the amount of noneconomic damages, 
if available, may be as much as $250,000, regardless of 
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the number of parties against whom the action is brought 
or the number of separate claims or actions brought with 
respect to the same injury. 
(c) NO DISCOUNT OF AWARD FOR NONECONOMIC 
DAMAGES.—For purposes of applying the limitation in 
subsection (b), future noneconomic damages shall not be 
discounted to present value. The jury shall not be in-
formed about the maximum award for noneconomic dam-
ages. An award for noneconomic damages in excess of 
$250,000 shall be reduced either before the entry of judg-
ment, or by amendment of the judgment after entry of 
judgment, and such reduction shall be made before ac-
counting for any other reduction in damages required by 
law. If separate awards are rendered for past and future 
noneconomic damages and the combined awards exceed 
$250,000, the future noneconomic damages shall be re-
duced first. 
(d) FAIR SHARE RULE.—In any health care lawsuit, 
each party shall be liable for that party’s several share 
of any damages only and not for the share of any other 
person. Each party shall be liable only for the amount of 
damages allocated to such party in direct proportion to 
such party’s percentage of responsibility. Whenever a 
judgment of liability is rendered as to any party, a sepa-
rate judgment shall be rendered against each such party 
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