H. R. 2—85 
submit to Congress a report with options for amending existing 
fraud and abuse laws in, and regulations related to, titles XI and 
XVIII of the Social Security Act (42 U.S.C. 301 et seq.), through 
exceptions, safe harbors, or other narrowly targeted provisions, 
to permit gainsharing arrangements that otherwise would be subject 
to the civil money penalties described in paragraphs (1) and (2) 
of section 1128A(b) of such Act (42 U.S.C. 1320a–7a(b)), or similar 
arrangements between physicians and hospitals, and that improve 
care while reducing waste and increasing efficiency. The report 
shall— 
(1) consider whether such provisions should apply to owner-
ship interests, compensation arrangements, or other relation-
ships; 
(2) describe how the recommendations address account-
ability, transparency, and quality, including how best to limit 
inducements to stint on care, discharge patients prematurely, 
or otherwise reduce or limit medically necessary care; and 
(3) consider whether a portion of any savings generated 
by such arrangements (as compared to an historical benchmark 
or other metric specified by the Secretary to determine the 
impact of delivery and payment system changes under such 
title XVIII on expenditures made under such title) should 
accrue to the Medicare program under title XVIII of the Social 
Security Act. 
SEC. 513. MODIFICATION OF MEDICARE HOME HEALTH SURETY BOND 
CONDITION OF PARTICIPATION REQUIREMENT. 
Section 1861(o)(7) of the Social Security Act (42 U.S.C. 
1395x(o)(7)) is amended to read as follows: 
‘‘(7) provides the Secretary with a surety bond— 
‘‘(A) in a form specified by the Secretary and in an 
amount that is not less than the minimum of $50,000; 
and 
‘‘(B) that the Secretary determines is commensurate 
with the volume of payments to the home health agency; 
and’’. 
SEC. 514. OVERSIGHT OF MEDICARE COVERAGE OF MANUAL MANIPU-
LATION OF THE SPINE TO CORRECT SUBLUXATION. 
(a) IN GENERAL.—Section 1833 of the Social Security Act (42 
U.S.C. 1395l) is amended by adding at the end the following new 
subsection: 
‘‘(z) MEDICAL REVIEW OF SPINAL SUBLUXATION SERVICES.— 
‘‘(1) IN GENERAL.—The Secretary shall implement a process 
for the medical review (as described in paragraph (2)) of treat-
ment by a chiropractor described in section 1861(r)(5) by means 
of manual manipulation of the spine to correct a subluxation 
(as described in such section) of an individual who is enrolled 
under this part and apply such process to such services fur-
nished on or after January 1, 2017, focusing on services such 
as— 
‘‘(A) services furnished by a such a chiropractor whose 
pattern of billing is aberrant compared to peers; and 
‘‘(B) services furnished by such a chiropractor who, 
in a prior period, has a services denial percentage in the 
85th percentile or greater, taking into consideration the 
extent that service denials are overturned on appeal. 
‘‘(2) MEDICAL REVIEW.—
H. R. 2—86 
‘‘(A) PRIOR AUTHORIZATION MEDICAL REVIEW.— 
‘‘(i) IN GENERAL.—Subject to clause (ii), the Sec-
retary shall use prior authorization medical review 
for services described in paragraph (1) that are fur-
nished to an individual by a chiropractor described 
in section 1861(r)(5) that are part of an episode of 
treatment that includes more than 12 services. For 
purposes of the preceding sentence, an episode of treat-
ment shall be determined by the underlying cause 
that justifies the need for services, such as a diagnosis 
code. 
‘‘(ii) ENDING APPLICATION OF PRIOR AUTHORIZATION 
MEDICAL REVIEW.—The Secretary shall end the applica-
tion of prior authorization medical review under clause 
(i) to services described in paragraph (1) by such a 
chiropractor if the Secretary determines that the chiro-
practor has a low denial rate under such prior 
authorization medical review. The Secretary may sub-
sequently reapply prior authorization medical review 
to such chiropractor if the Secretary determines it to 
be appropriate and the chiropractor has, in the time 
period subsequent to the determination by the Sec-
retary of a low denial rate with respect to the chiro-
practor, furnished such services described in paragraph 
(1). 
‘‘(iii) EARLY
REQUEST
FOR
PRIOR
AUTHORIZATION 
REVIEW PERMITTED.—Nothing in this subsection shall 
be construed to prevent such a chiropractor from 
requesting prior authorization for services described 
in paragraph (1) that are to be furnished to an indi-
vidual before the chiropractor furnishes the twelfth 
such service to such individual for an episode of treat-
ment. 
‘‘(B) TYPE OF REVIEW.—The Secretary may use pre- 
payment review or post-payment review of services 
described in section 1861(r)(5) that are not subject to prior 
authorization medical review under subparagraph (A). 
‘‘(C) RELATIONSHIP TO LAW ENFORCEMENT ACTIVITIES.— 
The Secretary may determine that medical review under 
this subsection does not apply in the case where potential 
fraud may be involved. 
‘‘(3) NO PAYMENT WITHOUT PRIOR AUTHORIZATION.—With 
respect to a service described in paragraph (1) for which prior 
authorization medical review under this subsection applies, 
the following shall apply: 
‘‘(A) PRIOR AUTHORIZATION DETERMINATION.—The Sec-
retary shall make a determination, prior to the service 
being furnished, of whether the service would or would 
not 
meet 
the 
applicable 
requirements 
of 
section 
1862(a)(1)(A). 
‘‘(B) DENIAL OF PAYMENT.—Subject to paragraph (5), 
no payment may be made under this part for the service 
unless the Secretary determines pursuant to subparagraph 
(A) that the service would meet the applicable requirements 
of such section 1862(a)(1)(A). 
‘‘(4) 
SUBMISSION
OF
INFORMATION.—A 
chiropractor 
described in section 1861(r)(5) may submit the information
H. R. 2—87 
necessary for medical review by fax, by mail, or by electronic 
means. The Secretary shall make available the electronic means 
described in the preceding sentence as soon as practicable. 
‘‘(5) TIMELINESS.—If the Secretary does not make a prior 
authorization determination under paragraph (3)(A) within 14 
business days of the date of the receipt of medical documenta-
tion needed to make such determination, paragraph (3)(B) shall 
not apply. 
‘‘(6) 
APPLICATION
OF
LIMITATION
ON
BENEFICIARY 
LIABILITY.—Where payment may not be made as a result of 
the application of paragraph (2)(B), section 1879 shall apply 
in the same manner as such section applies to a denial that 
is made by reason of section 1862(a)(1). 
‘‘(7) REVIEW
BY
CONTRACTORS.—The medical review 
described in paragraph (2) may be conducted by medicare 
administrative contractors pursuant to section 1874A(a)(4)(G) 
or by any other contractor determined appropriate by the Sec-
retary that is not a recovery audit contractor. 
‘‘(8) MULTIPLE SERVICES.—The Secretary shall, where prac-
ticable, apply the medical review under this subsection in a 
manner so as to allow an individual described in paragraph 
(1) to obtain, at a single time rather than on a service-by- 
service basis, an authorization in accordance with paragraph 
(3)(A) for multiple services. 
‘‘(9) CONSTRUCTION.—With respect to a service described 
in paragraph (1) that has been affirmed by medical review 
under this subsection, nothing in this subsection shall be con-
strued to preclude the subsequent denial of a claim for such 
service that does not meet other applicable requirements under 
this Act. 
‘‘(10) IMPLEMENTATION.— 
‘‘(A) AUTHORITY.—The Secretary may implement the 
provisions of this subsection by interim final rule with 
comment period. 
‘‘(B) ADMINISTRATION.—Chapter 35 of title 44, United 
States Code, shall not apply to medical review under this 
subsection.’’. 
(b) IMPROVING DOCUMENTATION OF SERVICES.— 
(1) IN
GENERAL.—The Secretary of Health and Human 
Services shall, in consultation with stakeholders (including the 
American Chiropractic Association) and representatives of 
medicare administrative contractors (as defined in section 
1874A(a)(3)(A) of the Social Security Act (42 U.S.C. 1395kk– 
1(a)(3)(A))), develop educational and training programs to 
improve the ability of chiropractors to provide documentation 
to the Secretary of services described in section 1861(r)(5) in 
a manner that demonstrates that such services are, in accord-
ance with section 1862(a)(1) of such Act (42 U.S.C. 1395y(a)(1)), 
reasonable and necessary for the diagnosis or treatment of 
illness or injury or to improve the functioning of a malformed 
body member. 
(2) TIMING.—The Secretary shall make the educational and 
training programs described in paragraph (1) publicly available 
not later than January 1, 2016. 
(3) FUNDING.—The Secretary shall use funds made avail-
able under paragraph (10) of section 1893(h) of the Social
H. R. 2—88 
Security Act (42 U.S.C. 1395ddd(h)), as added by section 505, 
to carry out this subsection. 
(c) GAO STUDY AND REPORT.— 
(1) STUDY.—The Comptroller General of the United States 
shall conduct a study on the effectiveness of the process for 
medical review of services furnished as part of a treatment 
by means of manual manipulation of the spine to correct a 
subluxation implemented under subsection (z) of section 1833 
of the Social Security Act (42 U.S.C. 1395l), as added by sub-
section (a). Such study shall include an analysis of— 
(A) aggregate data on— 
(i) the number of individuals, chiropractors, and 
claims for services subject to such review; and 
(ii) the number of reviews conducted under such 
section; and 
(B) the outcomes of such reviews. 
(2) REPORT.—Not later than four years after the date of 
enactment of this Act, the Comptroller General shall submit 
to Congress a report containing the results of the study con-
ducted under paragraph (1), including recommendations for 
such legislation and administrative action with respect to the 
process for medical review implemented under subsection (z) 
of section 1833 of the Social Security Act (42 U.S.C. 1395l) 
as the Comptroller General determines appropriate. 
SEC. 515. NATIONAL EXPANSION OF PRIOR AUTHORIZATION MODEL 
FOR REPETITIVE SCHEDULED NON-EMERGENT AMBU-
LANCE TRANSPORT. 
(a) INITIAL EXPANSION.— 
(1) IN GENERAL.—In implementing the model described in 
paragraph (2) proposed to be tested under subsection (b) of 
section 1115A of the Social Security Act (42 U.S.C. 1315a), 
the Secretary of Health and Human Services shall revise the 
testing under subsection (b) of such section to cover, effective 
not later than January 1, 2016, States located in medicare 
administrative contractor (MAC) regions L and 11 (consisting 
of Delaware, the District of Columbia, Maryland, New Jersey, 
Pennsylvania, North Carolina, South Carolina, West Virginia, 
and Virginia). 
(2) MODEL DESCRIBED.—The model described in this para-
graph is the testing of a model of prior authorization for repet-
itive scheduled non-emergent ambulance transport proposed 
to be carried out in New Jersey, Pennsylvania, and South 
Carolina. 
(3) FUNDING.—The Secretary shall allocate funds made 
available under section 1115A(f)(1)(B) of the Social Security 
Act (42 U.S.C. 1315a(f)(1)(B)) to carry out this subsection. 
(b) NATIONAL EXPANSION.—Section 1834(l) of the Social Security 
Act (42 U.S.C. 1395m(l)) is amended by adding at the end the 
following new paragraph: 
‘‘(16) PRIOR
AUTHORIZATION
FOR
REPETITIVE
SCHEDULED 
NON-EMERGENT AMBULANCE TRANSPORTS.— 
‘‘(A) IN GENERAL.—Beginning January 1, 2017, if the 
expansion to all States of the model of prior authorization 
described in paragraph (2) of section 515(a) of the Medicare 
Access and CHIP Reauthorization Act of 2015 meets the 
requirements described in paragraphs (1) through (3) of
H. R. 2—89 
section 1115A(c), then the Secretary shall expand such 
model to all States. 
‘‘(B) FUNDING.—The Secretary shall use funds made 
available under section 1893(h)(10) to carry out this para-
graph. 
‘‘(C) CLARIFICATION REGARDING BUDGET NEUTRALITY.— 
Nothing in this paragraph may be construed to limit or 
modify the application of section 1115A(b)(3)(B) to models 
described in such section, including with respect to the 
model described in subparagraph (A) and expanded begin-
ning on January 1, 2017, under such subparagraph.’’. 
SEC. 516. REPEALING DUPLICATIVE MEDICARE SECONDARY PAYOR 
PROVISION. 
(a) IN GENERAL.—Section 1862(b)(5) of the Social Security Act 
(42 U.S.C. 1395y(b)(5)) is amended by inserting at the end the 
following new subparagraph: 
‘‘(E) END DATE.—The provisions of this paragraph shall 
not apply to information required to be provided on or 
after July 1, 2016.’’. 
(b) EFFECTIVE DATE.—The amendment made by subsection (a) 
shall take effect on the date of the enactment of this Act and 
shall apply to information required to be provided on or after 
January 1, 2016. 
SEC. 517. PLAN FOR EXPANDING DATA IN ANNUAL CERT REPORT. 
Not later than June 30, 2015, the Secretary of Health and 
Human Services shall submit to the Committee on Finance of 
the Senate, and to the Committees on Energy and Commerce and 
Ways and Means of the House of Representatives— 
(1) a plan for including, in the annual report of the Com-
prehensive Error Rate Testing (CERT) program, data on serv-
ices (or groupings of services) (other than medical visits) paid 
under the physician fee schedule under section 1848 of the 
Social Security Act (42 U.S.C. 1395w–4) where the fee schedule 
amount is in excess of $250 and where the error rate is in 
excess of 20 percent; and 
(2) to the extent practicable by such date, specific examples 
of services described in paragraph (1). 
SEC. 518. REMOVING FUNDS FOR MEDICARE IMPROVEMENT FUND 
ADDED BY IMPACT ACT OF 2014. 
Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)), as amended by section 3(e)(3) of the IMPACT Act 
of 
2014 
(Public 
Law 
113–185), 
is 
amended 
by 
striking 
‘‘$195,000,000’’ and inserting ‘‘$0’’. 
SEC. 519. RULE OF CONSTRUCTION. 
Except as explicitly provided in this subtitle, nothing in this 
subtitle, including the amendments made by this subtitle, shall 
be construed as preventing the use of notice and comment rule-
making in the implementation of the provisions of, and the amend-
ments made by, this subtitle.
H. R. 2—90 
Subtitle B—Other Provisions 
SEC. 521. EXTENSION OF TWO-MIDNIGHT PAMA RULES ON CERTAIN 
MEDICAL REVIEW ACTIVITIES. 
Section 111 of the Protecting Access to Medicare Act of 2014 
(Public Law 113–93; 42 U.S.C. 1395ddd note) is amended— 
(1) in subsection (a), by striking ‘‘the first 6 months of 
fiscal year 2015’’ and inserting ‘‘through the end of fiscal year 
2015’’; 
(2) in subsection (b), by striking ‘‘March 31, 2015’’ and 
inserting ‘‘September 30, 2015’’; and 
(3) by adding at the end the following new subsection: 
‘‘(c) CONSTRUCTION.—Except as provided in subsections (a) and 
(b), nothing in this section shall be construed as limiting the Sec-
retary’s authority to pursue fraud and abuse activities under such 
section 1893(h) or otherwise.’’. 
SEC. 522. REQUIRING BID SURETY BONDS AND STATE LICENSURE FOR 
ENTITIES SUBMITTING BIDS UNDER THE MEDICARE 
DMEPOS COMPETITIVE ACQUISITION PROGRAM. 
(a) BID SURETY BONDS.—Section 1847(a)(1) of the Social Secu-
rity Act (42 U.S.C. 1395w–3(a)(1)) is amended by adding at the 
end the following new subparagraphs: 
‘‘(G) REQUIRING BID BONDS FOR BIDDING ENTITIES.— 
With respect to rounds of competitions beginning under 
this subsection for contracts beginning not earlier than 
January 1, 2017, and not later than January 1, 2019, 
an entity may not submit a bid for a competitive acquisition 
area unless, as of the deadline for bid submission, the 
entity has obtained (and provided the Secretary with proof 
of having obtained) a bid surety bond (in this paragraph 
referred to as a ‘bid bond’) in a form specified by the 
Secretary consistent with subparagraph (H) and in an 
amount that is not less than $50,000 and not more than 
$100,000 for each competitive acquisition area in which 
the entity submits the bid. 
‘‘(H) TREATMENT OF BID BONDS SUBMITTED.— 
‘‘(i) FOR BIDDERS THAT SUBMIT BIDS AT OR BELOW 
THE MEDIAN AND ARE OFFERED BUT DO NOT ACCEPT 
THE CONTRACT.—In the case of a bidding entity that 
is offered a contract for any product category for a 
competitive acquisition area, if— 
‘‘(I) the entity’s composite bid for such product 
category and area was at or below the median 
composite bid rate for all bidding entities included 
in the calculation of the single payment amounts 
for such product category and area; and 
‘‘(II) the entity does not accept the contract 
offered for such product category and area, 
the bid bond submitted by such entity for such area 
shall be forfeited by the entity and the Secretary shall 
collect on it. 
‘‘(ii) TREATMENT OF OTHER BIDDERS.—In the case 
of a bidding entity for any product category for a 
competitive acquisition area, if the entity does not 
meet the bid forfeiture conditions in subclauses (I)
H. R. 2—91 
and (II) of clause (i) for any product category for such 
area, the bid bond submitted by such entity for such 
area shall be returned within 90 days of the public 
announcement of the contract suppliers for such area.’’. 
(b) STATE LICENSURE.— 
(1) IN GENERAL.—Section 1847(b)(2)(A) of the Social Secu-
rity Act (42 U.S.C. 1395w–3(b)(2)(A)) is amended by adding 
at the end the following new clause: 
‘‘(v) The entity meets applicable State licensure 
requirements.’’. 
(2) CONSTRUCTION.—Nothing in the amendment made by 
paragraph (1) shall be construed as affecting the authority 
of the Secretary of Health and Human Services to require 
State licensure of an entity under the Medicare competitive 
acquisition program under section 1847 of the Social Security 
Act (42 U.S.C. 1395w–3) before the date of the enactment 
of this Act. 
(c) GAO REPORT ON BID BOND IMPACT ON SMALL SUPPLIERS.— 
(1) STUDY.—The Comptroller General of the United States 
shall conduct a study that evaluates the effect of the bid surety 
bond requirement under the amendment made by subsection 
(a) on the participation of small suppliers in the Medicare 
DMEPOS competitive acquisition program under section 1847 
of the Social Security Act (42 U.S.C. 1395w–3). 
(2) REPORT.—Not later than 6 months after the date con-
tracts are first awarded subject to such bid surety bond require-
ment, the Comptroller General shall submit to Congress a 
report on the study conducted under paragraph (1). Such report 
shall include recommendations for changes in such requirement 
in order to ensure robust participation by legitimate small 
suppliers in the Medicare DMEPOS competition acquisition 
program. 
SEC. 523. PAYMENT FOR GLOBAL SURGICAL PACKAGES. 
(a) IN GENERAL.—Section 1848(c) of the Social Security Act 
(42 U.S.C. 1395w–4(c)) is amended by adding at the end the fol-
lowing new paragraph: 
‘‘(8) GLOBAL SURGICAL PACKAGES.— 
‘‘(A) 
PROHIBITION
OF
IMPLEMENTATION
OF
RULE 
REGARDING GLOBAL SURGICAL PACKAGES.— 
‘‘(i) IN GENERAL.—The Secretary shall not imple-
ment the policy established in the final rule published 
on November 13, 2014 (79 Fed. Reg. 67548 et seq.), 
that requires the transition of all 10-day and 90-day 
global surgery packages to 0-day global periods. 
‘‘(ii) CONSTRUCTION.—Nothing in clause (i) shall 
be construed to prevent the Secretary from revaluing 
misvalued codes for specific surgical services or 
assigning values to new or revised codes for surgical 
services. 
‘‘(B) COLLECTION OF DATA ON SERVICES INCLUDED IN 
GLOBAL SURGICAL PACKAGES.— 
‘‘(i) IN GENERAL.—Subject to clause (ii), the Sec-
retary shall through rulemaking develop and imple-
ment a process to gather, from a representative sample 
of physicians, beginning not later than January 1, 
2017, information needed to value surgical services.
H. R. 2—92 
Such information shall include the number and level 
of medical visits furnished during the global period 
and other items and services related to the surgery 
and furnished during the global period, as appropriate. 
Such information shall be reported on claims at the 
end of the global period or in another manner specified 
by the Secretary. For purposes of carrying out this 
paragraph (other than clause (iii)), the Secretary shall 
transfer from the Federal Supplemental Medical Insur-
ance Trust Fund under section 1841 $2,000,000 to 
the Center for Medicare & Medicaid Services Program 
Management Account for fiscal year 2015. Amounts 
transferred under the previous sentence shall remain 
available until expended. 
‘‘(ii) REASSESSMENT
AND
POTENTIAL
SUNSET.— 
Every 4 years, the Secretary shall reassess the value 
of the information collected pursuant to clause (i). 
Based on such a reassessment and by regulation, the 
Secretary may discontinue the requirement for collec-
tion of information under such clause if the Secretary 
determines that the Secretary has adequate informa-
tion from other sources, such as qualified clinical data 
registries, surgical logs, billing systems or other prac-
tice or facility records, and electronic health records, 
in order to accurately value global surgical services 
under this section. 
‘‘(iii) INSPECTOR
GENERAL
AUDIT.—The Inspector 
General of the Department of Health and Human Serv-
ices shall audit a sample of the information reported 
under clause (i) to verify the accuracy of the informa-
tion so reported. 
‘‘(C) IMPROVING ACCURACY OF PRICING FOR SURGICAL 
SERVICES.—For years beginning with 2019, the Secretary 
shall use the information reported under subparagraph 
(B)(i) as appropriate and other available data for the pur-
pose of improving the accuracy of valuation of surgical 
services under the physician fee schedule under this sec-
tion.’’. 
(b) INCENTIVE FOR REPORTING INFORMATION ON GLOBAL SUR-
GICAL SERVICES.—Section 1848(a) of the Social Security Act (42 
U.S.C. 1395w–4(a)) is amended by adding at the end the following 
new paragraph: 
‘‘(9) INFORMATION
REPORTING
ON
SERVICES
INCLUDED
IN 
GLOBAL
SURGICAL
PACKAGES.—With respect to services for 
which a physician is required to report information in accord-
ance with subsection (c)(8)(B)(i), the Secretary may through 
rulemaking delay payment of 5 percent of the amount that 
would otherwise be payable under the physician fee schedule 
under this section for such services until the information so 
required is reported.’’. 
SEC. 524. EXTENSION OF SECURE RURAL SCHOOLS AND COMMUNITY 
SELF-DETERMINATION ACT OF 2000. 
(a) PAYMENTS FOR FISCAL YEARS 2014 AND 2015.— 
(1) PAYMENTS REQUIRED.—Section 101 of the Secure Rural 
Schools and Community Self-Determination Act of 2000 (16
H. R. 2—93 
U.S.C. 7111) is amended by striking ‘‘2013’’ both places it 
appears and inserting ‘‘2015’’. 
(2) PROMPT PAYMENT.—Payments for fiscal year 2014 under 
title I of the Secure Rural Schools and Community Self-Deter-
mination Act of 2000 (16 U.S.C. 7111 et seq.), as amended 
by this section, shall be made not later than 45 days after 
the date of the enactment of this Act. 
(3) REDUCTION IN FISCAL YEAR 2014 PAYMENTS ON ACCOUNT 
OF PREVIOUS 25- AND 50-PERCENT PAYMENTS.—Section 101 of 
the Secure Rural Schools and Community Self-Determination 
Act of 2000 (16 U.S.C. 7111) is amended by adding at the 
end the following new subsection: 
‘‘(c) SPECIAL RULE FOR FISCAL YEAR 2014 PAYMENTS.— 
‘‘(1) STATE PAYMENT.—If an eligible county in a State that 
will receive a share of the State payment for fiscal year 2014 
has already received, or will receive, a share of the 25-percent 
payment for fiscal year 2014 distributed to the State before 
the date of the enactment of this subsection, the amount of 
the State payment shall be reduced by the amount of that 
eligible county’s share of the 25-percent payment. 
‘‘(2) COUNTY
PAYMENT.—If an eligible county that will 
receive a county payment for fiscal year 2014 has already 
received a 50-percent payment for that fiscal year, the amount 
of the county payment shall be reduced by the amount of 
the 50-percent payment.’’. 
(4) SHARES
OF
CALIFORNIA
STATE
PAYMENT.—Section 
103(d)(2) of the Secure Rural Schools and Community Self- 
Determination Act of 2000 (16 U.S.C. 7113(d)(2)) is amended 
by striking ‘‘2013’’ and inserting ‘‘2015’’. 
(b) USE OF FISCAL YEAR 2013 ELECTIONS AND RESERVATIONS 
FOR FISCAL YEARS 2014 AND 2015.—Section 102 of the Secure 
Rural Schools and Community Self-Determination Act of 2000 (16 
U.S.C. 7112) is amended— 
(1) in subsection (b)(1), by adding at the end the following 
new subparagraph: 
‘‘(C) EFFECT OF LATE PAYMENT FOR FISCAL YEARS 2014 
AND
2015.—The election otherwise required by subpara-
graph (A) shall not apply for fiscal year 2014 or 2015.’’; 
(2) in subsection (b)(2)— 
(A) in subparagraph (A), by adding at the end the 
following new sentence: ‘‘If such two-fiscal year period 
included fiscal year 2013, the county election to receive 
a share of the 25-percent payment or 50-percent payment, 
as applicable, also shall be effective for fiscal years 2014 
and 2015.’’; and 
(B) in subparagraph (B), by striking ‘‘2013’’ the second 
place it appears and inserting ‘‘2015’’; and 
(3) in subsection (d)— 
(A) by adding at the end of paragraph (1) the following 
new subparagraph: 
‘‘(E) EFFECT OF LATE PAYMENT FOR FISCAL YEAR 2014.— 
The election made by an eligible county under subpara-
graph (B), (C), or (D) for fiscal year 2013, or deemed to 
be made by the county under paragraph (3)(B) for that 
fiscal year, shall be effective for fiscal years 2014 and 
2015.’’; and
H. R. 2—94 
(B) by adding at the end of paragraph (3) the following 
new subparagraph: 
‘‘(C) EFFECT OF LATE PAYMENT FOR FISCAL YEAR 2014.— 
This paragraph does not apply for fiscal years 2014 and 
2015.’’. 
(c) SPECIAL PROJECTS ON FEDERAL LAND.—Title II of the Secure 
Rural Schools and Community Self-Determination Act of 2000 (16 
U.S.C. 7121 et seq.) is amended— 
(1) in section 203(a)(1) (16 U.S.C. 7123(a)(1)), by striking 
‘‘September 30 for fiscal year 2008 (or as soon thereafter as 
the Secretary concerned determines is practicable), and each 
September 30 thereafter for each succeeding fiscal year through 
fiscal year 2013’’ and inserting ‘‘September 30 of each fiscal 
year (or a later date specified by the Secretary concerned for 
the fiscal year)’’; 
(2) in section 204(e)(3)(B)(iii) (16 U.S.C. 7124(e)(3)(B)(iii)), 
by striking ‘‘each of fiscal years 2010 through 2013’’ and 
inserting ‘‘fiscal year 2010 and fiscal years thereafter’’; 
(3) in section 207(a) (16 U.S.C. 7127(a)), by striking ‘‘Sep-
tember 30, 2008 (or as soon thereafter as the Secretary con-
cerned determines is practicable), and each September 30 there-
after for each succeeding fiscal year through fiscal year 2013’’ 
and inserting ‘‘September 30 of each fiscal year (or a later 
date specified by the Secretary concerned for the fiscal year)’’; 
and 
(4) in section 208 (16 U.S.C. 7128)— 
(A) in subsection (a), by striking ‘‘2013’’ and inserting 
‘‘2017’’; and 
(B) in subsection (b), by striking ‘‘2014’’ and inserting 
‘‘2018’’. 
(d) COUNTY FUNDS.—Section 304 of the Secure Rural Schools 
and Community Self-Determination Act of 2000 (16 U.S.C. 7144) 
is amended— 
(1) in subsection (a), by striking ‘‘2013’’ and inserting 
‘‘2017’’; and 
(2) in subsection (b), by striking ‘‘2014’’ and inserting 
‘‘2018’’. 
(e) AUTHORIZATION
OF APPROPRIATIONS.—Section 402 of the 
Secure Rural Schools and Community Self-Determination Act of 
2000 (16 U.S.C. 7152) is amended by striking ‘‘for each of fiscal 
years 2008 through 2013’’. 
SEC. 525. EXCLUSION FROM PAYGO SCORECARDS. 
(a) STATUTORY PAY-AS-YOU-GO SCORECARDS.—The budgetary 
effects of this Act shall not be entered on either PAYGO scorecard 
maintained pursuant to section 4(d) of the Statutory Pay-As-You- 
Go Act of 2010.