datamatters24/research-document-archive huggingface dataset:
I 
115TH CONGRESS 
1ST SESSION H. R. 1151 
To amend title XIX of the Social Security Act to encourage the prioritization 
of the most vulnerable individuals under the Medicaid program. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 16, 2017 
Mr. HUDSON introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to encourage 
the prioritization of the most vulnerable individuals 
under the Medicaid program. 
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 ‘‘Encouraging the 
Prioritization of the Most Vulnerable Act’’. 
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SEC. 
2. 
ENCOURAGING 
MEDICAID 
DEMONSTRATION 
PROJECTS TO FOCUS ON THE MOST VULNER-
ABLE PATIENTS. 
(a) IN GENERAL.—Section 1115 of the Social Secu-
rity Act (42 U.S.C. 1315) is amended by adding at the 
end the following new subsection: 
‘‘(g) In making a determination using the authority 
under paragraph (2)(A) of subsection (a) (relating to 
treating costs that would not otherwise be included as ex-
penditures under section 1903 and which are not included 
as part of the costs of projects under section 1110 as ex-
penditures under the State plan or plans approved under 
title XIX) to approve an application or renewal of any ex-
perimental, pilot, or demonstration project undertaken 
under such subsection to promote the objectives of title 
XIX (referred to in this subsection as a ‘Medicaid dem-
onstration project’), the Secretary shall— 
‘‘(1) post on the website of the Centers for 
Medicare & Medicaid Services information regarding 
how any such approval prioritizes projects or pro-
grams have proven to be effective in improving the 
care or health outcomes of individuals who are unin-
sured, individuals eligible to receive medical assist-
ance under a State plan under title XIX, or individ-
uals whose household income does not exceed 150 
percent of the poverty line (as defined in section 
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any obligation of a covered health care professional under 
the Controlled Substances Act (21 U.S.C. 801 et seq.). 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) The term ‘covered health care professional’ 
means a health care professional who is— 
‘‘(A) authorized by the Secretary to pro-
vide health care under this chapter, including a 
private health care professional who provides 
such care under a contract or agreement en-
tered into with the Secretary, including a con-
tract entered into under section 1703 of this 
title; and 
‘‘(B) licensed, registered, or certified in a 
State to practice the health care profession of 
the health care professional. 
‘‘(2) The term ‘telemedicine’ means the use of 
telecommunication technology and information tech-
nology to provide health care or support the provi-
sion of health care in situations in which the patient 
and health care professional are separated by geo-
graphic distance.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 17 of such title is amended 
by inserting after the item relating to section 1730A the 
following new item: 
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2110(c)(5)) applicable to a family of the size in-
volved; 
‘‘(2) collect from the State submitting such ap-
plication or renewal, to the extent practicable, avail-
able data regarding the quality of care or health out-
comes for the individuals served by such Medicaid 
demonstration project; 
‘‘(3) post on the website of the Centers for 
Medicare & Medicaid Services information regarding 
how such Medicaid demonstration project does not 
duplicate other Federal programs or Federal funding 
opportunities; and 
‘‘(4) collect from the State submitting such ap-
plication or renewal, to the extent practicable, an 
analysis of the degree to which such Medicaid dem-
onstration project, if at all, displaces efforts under-
taken by private sector and charitable sector entities 
in such State to improve care and health outcomes 
for the individuals described in paragraph (1).’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply with respect to applications or 
renewals submitted on or after January 1, 2021. 
Æ 
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Wilderness Act of 1984 (16 U.S.C. 1132 note; Pub-
lic Law 98–339). 
(8) MOUNT
SKOKOMISH
WILDERNESS
ADDI-
TIONS.—Certain land managed by the Forest Serv-
ice, comprising approximately 8,933 acres, as gen-
erally depicted on the map, is incorporated in, and 
shall be managed as part of, the ‘‘Mount Skokomish 
Wilderness’’, as designated by section 3 of the 
Washington State Wilderness Act of 1984 (16 
U.S.C. 1132 note; Public Law 98–339). 
(9) WONDER
MOUNTAIN
WILDERNESS
ADDI-
TIONS.—Certain land managed by the Forest Serv-
ice, comprising approximately 26,517 acres, as gen-
erally depicted on the map, is incorporated in, and 
shall be managed as part of, the ‘‘Wonder Mountain 
Wilderness’’, as designated by section 3 of the 
Washington State Wilderness Act of 1984 (16 
U.S.C. 1132 note; Public Law 98–339). 
(10) MOONLIGHT DOME WILDERNESS.—Certain 
Federal land managed by the Forest Service, com-
prising approximately 9,117 acres, as generally de-
picted on the map, which shall be known as the 
‘‘Moonlight Dome Wilderness’’. 
(11) SOUTH QUINAULT RIDGE WILDERNESS.— 
Certain Federal land managed by the Forest Serv-
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given that term in section 1730B(d)(2) of title 38, 
United States Code, as added by subsection (a). 
SEC. 5. EXTENSION OF OPERATING HOURS FOR PHAR-
MACIES AND MEDICAL FACILITIES OF THE 
DEPARTMENT OF VETERANS AFFAIRS. 
(a) EXTENSION OF OPERATING HOURS FOR PHAR-
MACIES.—The Secretary of Veterans Affairs shall extend 
the operating hours for each pharmacy of the Department 
of Veterans Affairs during which the pharmacy offers 
services comparable to retail pharmacies to include— 
(1) operation on Saturday, Sunday, and Fed-
eral holidays; and 
(2) operation until 8:00 p.m. on weekdays that 
are not Federal holidays. 
(b) CONTRACTS WITH PROVIDERS DURING NIGHTS 
AND WEEKENDS.—The Secretary shall enter into con-
tracts, including through locum tenens arrangements, with 
physicians and nurses that meet qualifications set forth 
by the Secretary for purposes of this section under which 
such physicians and nurses work at medical facilities of 
the Department during nights and weekends. 
(c) SUPPORT STAFF.—The Secretary may obtain ad-
ditional support staff as necessary to carry out this sec-
tion, including by hiring employees or contracting for serv-
ices. 
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SEC. 6. CONDUCT OF BEST-PRACTICES PEER REVIEW OF 
EACH MEDICAL CENTER OF THE DEPART-
MENT OF VETERANS AFFAIRS. 
(a) IN GENERAL.—The Secretary of Veterans Affairs 
may provide for the conduct by a nongovernmental hos-
pital organization of a best-practices peer review of each 
medical center of the Department of Veterans Affairs to 
evaluate the efficacy of health care delivered at each such 
medical center. 
(b) PRIORITY.—The Secretary shall give priority for 
peer review conducted under subsection (a) to the medical 
centers of the Department with the longest wait times for 
an appointment or the worst health outcomes, as deter-
mined by the Secretary. 
Æ 
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I 
115TH CONGRESS 
1ST SESSION H. R. 1153 
To amend the Truth in Lending Act to improve upon the definitions provided 
for points and fees in connection with a mortgage transaction. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 16, 2017 
Mr. HUIZENGA (for himself, Mr. ROYCE of California, Mr. DAVID SCOTT of 
Georgia, Mr. STIVERS, Mr. MEEKS, and Mr. JOYCE of Ohio) introduced 
the following bill; which was referred to the Committee on Financial Serv-
ices 
A BILL 
To amend the Truth in Lending Act to improve upon the 
definitions provided for points and fees in connection 
with a mortgage transaction. 
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 ‘‘Mortgage Choice Act 
of 2017’’. 
SEC. 2. DEFINITION OF POINTS AND FEES. 
(a) AMENDMENT TO SECTION 103 OF TILA.—Sec-
tion 103(bb)(4) of the Truth in Lending Act (15 U.S.C. 
1602(bb)(4)) is amended— 
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(1) by striking ‘‘paragraph (1)(B)’’ and insert-
ing ‘‘paragraph (1)(A) and section 129C’’; 
(2) in subparagraph (C)— 
(A) by inserting ‘‘and insurance’’ after 
‘‘taxes’’; 
(B) in clause (ii), by inserting ‘‘, except as 
retained by a creditor or its affiliate as a result 
of their participation in an affiliated business 
arrangement (as defined in section 2(7) of the 
Real Estate Settlement Procedures Act of 1974 
(12 U.S.C. 2602(7))’’ after ‘‘compensation’’; 
and 
(C) by striking clause (iii) and inserting 
the following: 
‘‘(iii) the charge is— 
‘‘(I) a bona fide third-party charge 
not retained by the mortgage originator, 
creditor, or an affiliate of the creditor or 
mortgage originator; or 
‘‘(II) a charge set forth in section 
106(e)(1);’’; and 
(3) in subparagraph (D)— 
(A) by striking ‘‘accident,’’; and 
(B) by striking ‘‘or any payments’’ and in-
serting ‘‘and any payments’’. 
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(b) AMENDMENT TO SECTION 129C OF TILA.—Sec-
tion 129C of the Truth in Lending Act (15 U.S.C. 1639c) 
is amended— 
(1) in subsection (a)(5)(C), by striking ‘‘103’’ 
and all that follows through ‘‘or mortgage origi-
nator’’ and inserting ‘‘103(bb)(4)’’; and 
(2) in subsection (b)(2)(C)(i), by striking ‘‘103’’ 
and all that follows through ‘‘or mortgage origi-
nator)’’ and inserting ‘‘103(bb)(4)’’. 
SEC. 3. RULEMAKING. 
Not later than the end of the 90-day period beginning 
on the date of the enactment of this Act, the Bureau of 
Consumer Financial Protection shall issue final regula-
tions to carry out the amendments made by this Act, and 
such regulations shall be effective upon issuance. 
Æ 
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IIB 
115TH CONGRESS 
2D SESSION 
H. R. 1153 
IN THE SENATE OF THE UNITED STATES 
FEBRUARY 12, 2018 
Received; read twice and referred to the Committee on Banking, Housing, and 
Urban Affairs 
AN ACT 
To amend the Truth in Lending Act to improve upon the 
definitions provided for points and fees in connection 
with a mortgage transaction. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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HR 1153 RFS
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Mortgage Choice Act 
of 2017’’. 
SEC. 2. DEFINITION OF POINTS AND FEES. 
(a) AMENDMENT TO SECTION 103 OF TILA.—Sec-
tion 103(bb)(4) of the Truth in Lending Act (15 U.S.C. 
1602(bb)(4)) is amended— 
(1) by striking ‘‘paragraph (1)(B)’’ and insert-
ing ‘‘paragraph (1)(A) and section 129C’’; 
(2) in subparagraph (C)— 
(A) by inserting ‘‘and insurance’’ after 
‘‘taxes’’; 
(B) in clause (ii), by inserting ‘‘, except as 
retained by a creditor or its affiliate as a result 
of their participation in an affiliated business 
arrangement (as defined in section 2(7) of the 
Real Estate Settlement Procedures Act of 1974 
(12 U.S.C. 2602(7))’’ after ‘‘compensation’’; 
and 
(C) by striking clause (iii) and inserting 
the following: 
‘‘(iii) the charge is— 
‘‘(I) a bona fide third-party charge 
not retained by the mortgage originator, 
creditor, or an affiliate of the creditor or 
mortgage originator; or 
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HR 1153 RFS
‘‘(II) a charge set forth in section 
106(e)(1);’’; and 
(3) in subparagraph (D)— 
(A) by striking ‘‘accident,’’; and 
(B) by striking ‘‘or any payments’’ and in-
serting ‘‘and any payments’’. 
(b) AMENDMENT TO SECTION 129C OF TILA.—Sec-
tion 129C of the Truth in Lending Act (15 U.S.C. 1639c) 
is amended— 
(1) in subsection (a)(5)(C), by striking ‘‘103’’ 
and all that follows through ‘‘or mortgage origi-
nator’’ and inserting ‘‘103(bb)(4)’’; and 
(2) in subsection (b)(2)(C)(i), by striking ‘‘103’’ 
and all that follows through ‘‘or mortgage origi-
nator)’’ and inserting ‘‘103(bb)(4)’’. 
SEC. 3. RULEMAKING. 
Not later than the end of the 90-day period beginning 
on the date of the enactment of this Act, the Bureau of 
Consumer 
Financial 
Protection 
shall 
issue 
final 
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HR 1153 RFS
regulations to carry out the amendments made by this 
Act, and such regulations shall be effective upon issuance. 
Passed the House of Representatives February 8, 
2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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SECTION 1. ALLOWING PHYSICIAN ASSISTANTS, NURSE 
PRACTITIONERS, AND CLINICAL NURSE SPE-
CIALISTS TO SUPERVISE CARDIAC, INTEN-
SIVE CARDIAC, AND PULMONARY REHABILI-
TATION PROGRAMS. 
(a) CARDIAC AND INTENSIVE CARDIAC REHABILITA-
TION PROGRAMS.—Section 1861(eee) of the Social Secu-
rity Act (42 U.S.C. 1395x(eee)) is amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘physician-supervised’’; 
and 
(B) by inserting ‘‘under the supervision of 
a physician (as defined in subsection (r)(1)) or 
a physician assistant, nurse practitioner, or 
clinical nurse specialist (as those terms are de-
fined in subsection (aa)(5))’’ before the period 
at the end; 
(2) in paragraph (2)— 
(A) in subparagraph (A)(iii), by striking 
the period at the end and inserting a semicolon; 
and 
(B) in subparagraph (B), by striking ‘‘a 
physician’’ and inserting ‘‘a physician (as de-
fined in subsection (r)(1)) or a physician assist-
ant, nurse practitioner, or clinical nurse spe-
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I 
115TH CONGRESS 
1ST SESSION H. R. 1155 
To amend title XVIII of the Social Security Act to allow physician assistants, 
nurse practitioners, and clinical nurse specialists to supervise cardiac, 
intensive cardiac, and pulmonary rehabilitation programs. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 16, 2017 
Ms. JENKINS of Kansas (for herself and Mr. LEWIS of Georgia) introduced 
the following bill; which was referred to the Committee on Energy and 
Commerce, and in addition to the Committee on Ways and Means, for 
a period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XVIII of the Social Security Act to allow 
physician assistants, nurse practitioners, and clinical 
nurse specialists to supervise cardiac, intensive cardiac, 
and pulmonary rehabilitation programs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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cialist (as those terms are defined in subsection 
(aa)(5))’’; and 
(3) in paragraph (4)(A), in the matter pre-
ceding clause (i)— 
(A) by striking ‘‘physician-supervised’’; 
and 
(B) by inserting ‘‘under the supervision of 
a physician (as defined in subsection (r)(1)) or 
a physician assistant, nurse practitioner, or 
clinical nurse specialist (as those terms are de-
fined in subsection (aa)(5))’’ after ‘‘paragraph 
(3)’’. 
(b) PULMONARY REHABILITATION PROGRAMS.—Sec-
tion 1861(fff)(1) of the Social Security Act (42 U.S.C. 
1395x(fff)(1)) is amended— 
(1) by striking ‘‘physician-supervised’’; and 
(2) by inserting ‘‘under the supervision of a 
physician (as defined in subsection (r)(1)) or a phy-
sician assistant, nurse practitioner, or clinical nurse 
specialist (as those terms are defined in subsection 
(aa)(5))’’ before the period at the end. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items and services furnished on 
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or after the date that is one year after the date of the 
enactment of this Act. 
Æ 
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I 
115TH CONGRESS 
1ST SESSION H. R. 1156 
To repeal changes made by health care reform laws to the Medicare exception 
to the prohibition on certain physician referrals for hospitals, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 16, 2017 
Mr. SAM
JOHNSON
of Texas (for himself, Ms. JACKSON
LEE, Mr. 
SCHWEIKERT, Mr. WOMACK, Mr. FRANKS of Arizona, Mr. FARENTHOLD, 
Mr. SESSIONS, Mr. GOSAR, Mr. MULLIN, Mr. CARTER of Texas, Mr. 
BUCSHON, Mr. VALADAO, Mr. MEADOWS, Mr. WENSTRUP, Mr. FLORES, 
Mr. THORNBERRY, Mr. FORTENBERRY, Mr. BRIDENSTINE, Mr. POE of 
Texas, Mr. BABIN, Mrs. WALORSKI, Mr. ROKITA, Mr. MOONEY of West 
Virginia, Mr. WILLIAMS, Mrs. BROOKS of Indiana, Mr. COLE, Mr. RUS-
SELL, Mr. HENSARLING, Mr. OLSON, Mr. CRAWFORD, Mr. BARTON, Mr. 
BANKS of Indiana, Mr. CARTER of Georgia, Mr. HILL, Mr. HARRIS, Mr. 
GONZALEZ of Texas, and Mr. COSTELLO of Pennsylvania) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To repeal changes made by health care reform laws to the 
Medicare exception to the prohibition on certain physi-
cian referrals for hospitals, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Patient Access to 
Higher Quality Health Care Act of 2017’’. 
SEC. 2. REPEAL OF HEALTH CARE REFORM PROVISIONS 
LIMITING MEDICARE EXCEPTION TO THE 
PROHIBITION ON CERTAIN PHYSICIAN RE-
FERRALS FOR HOSPITALS. 
Sections 6001 and 10601 of the Patient Protection 
and Affordable Care Act (Public Law 111–148; 124 Stat. 
684, 1005) and section 1106 of the Health Care and Edu-
cation Reconciliation Act of 2010 (Public Law 111–152; 
124 Stat. 1049) are repealed and the provisions of law 
amended by such sections are restored as if such sections 
had never been enacted. 
Æ 
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I 
115TH CONGRESS 
1ST SESSION H. R. 1157 
To clarify the United States interest in certain submerged lands in the 
area of the Monomoy National Wildlife Refuge, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 16, 2017 
Mr. KEATING introduced the following bill; which was referred to the 
Committee on Natural Resources 
A BILL 
To clarify the United States interest in certain submerged 
lands in the area of the Monomoy National Wildlife 
Refuge, 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. UNITED STATES INTEREST IN CERTAIN SUB-
MERGED LANDS. 
The Congress finds that the United States did not 
acquire any right, title, or interest in or to submerged 
lands in Nantucket Sound or the waters above such sub-
merged lands as a result of the taking described in United 
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States v. 3,000 Acres of Land, Misc. Civil Action No. 
6340 (D. Mass., dated June 1, 1944). 
Æ 
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IB 
Union Calendar No. 406 
115TH CONGRESS 
2D SESSION 
H. R. 1157 
[Report No. 115–541] 
To clarify the United States interest in certain submerged lands in the 
area of the Monomoy National Wildlife Refuge, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 16, 2017 
Mr. KEATING introduced the following bill; which was referred to the 
Committee on Natural Resources 
FEBRUARY 2, 2018 
Committed to the Committee of the Whole House on the State of the Union 
and ordered to be printed 
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A BILL 
To clarify the United States interest in certain submerged 
lands in the area of the Monomoy National Wildlife 
Refuge, and for other purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. UNITED STATES INTEREST IN CERTAIN SUB-
MERGED LANDS. 
The Congress finds that the United States did not 
acquire any right, title, or interest in or to submerged 
lands in Nantucket Sound or the waters above such sub-
merged lands as a result of the taking described in United 
States v. 3,000 Acres of Land, Misc. Civil Action No. 
6340 (D. Mass., dated June 1, 1944). 
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Union Calendar No. 406 
115TH CONGRESS 
2D SESSION 
H. R. 1157 
[Report No. 115–541] 
A BILL 
To clarify the United States interest in certain sub-
merged lands in the area of the Monomoy Na-
tional Wildlife Refuge, and for other purposes. 
FEBRUARY 2, 2018 
Committed to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
VerDate Sep 11 2014 
21:34 Feb 02, 2018
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