170 
(2) Section 104(k)(3)(C) of the Comprehensive 
Environmental Response, Compensation, and Liabil-
ity Act of 1980 (42 U.S.C. 9604(k)(3)(C)) is 
amended by inserting ‘‘or paragraph (4)’’ after 
‘‘under subparagraph (A)(ii) or (B)(ii)’’. 
SEC. 40008. PROGRAM FOR SUSTAINABLE REUSE AND AL-
TERNATIVE ENERGY ON BROWNFIELD SITES. 
Section 104(k) of the Comprehensive Environmental 
Response, Compensation, and Liability Act of 1980 (42 
U.S.C. 9604(k)) is amended by adding after paragraph 
(12), as redesignated by section 40007(a)(2) of this Act, 
the following new paragraph: 
‘‘(13) PROGRAM FOR SUSTAINABLE REUSE AND 
ALTERNATIVE ENERGY ON BROWNFIELD SITES.— 
‘‘(A) 
ESTABLISHMENT
AND
USE
OF 
FUNDS.—The Administrator shall establish a 
program to make grants, on a competitive 
basis, to eligible entities to be used at one or 
more brownfield sites for projects that reduce 
environmental impact, increase community liv-
ability, and encourage sustainability, includ-
ing— 
‘‘(i) sustainable reuse planning and 
site analysis, including— 
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171 
‘‘(I) site characterization and as-
sessment; 
‘‘(II) area and corridor sustain-
ability plans; and 
‘‘(III) engineering or feasibility 
analysis of environmentally beneficial 
site improvements; 
‘‘(ii) remediation; 
‘‘(iii) ecosystem restoration; and 
‘‘(iv) habitat restoration. 
‘‘(B) PROJECT SELECTION.—In addition to 
the criteria under paragraph (6), in selecting 
grant recipients under this paragraph, the Ad-
ministrator shall take into consideration the ex-
tent to which a grant will facilitate future use 
of a brownfield site in an environmentally bene-
ficial and sustainable manner, including the po-
tential for renewable energy production and 
green infrastructure, including greenways and 
hike-bike trails, green buildings, and mixed use 
and transit-oriented development in smart 
growth locations.’’. 
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172 
SEC. 40009. STAFF FOR SMALL, DISADVANTAGED, OR 
RURAL COMMUNITIES. 
Section 104(k) of the Comprehensive Environmental 
Response, Compensation, and Liability Act of 1980 (42 
U.S.C. 9604(k)) is amended by adding after paragraph 
(13) (as added by section 40008 of this Act) the following: 
‘‘(14) STAFF FOR SMALL, DISADVANTAGED, OR 
RURAL
COMMUNITIES.—The Administrator, upon 
approval of an application made by an eligible entity 
serving a community that has a small population, is 
disadvantaged, or is in a rural location, and in ac-
cordance with the applicable provisions of sub-
chapter VI of chapter 33 of title 5, United States 
Code, may assign employees of the Environmental 
Protection Agency to such eligible entity to build 
local capacity for the remediation and revitalization 
of brownfield sites located in such communities. The 
Administrator shall determine, consistent with exist-
ing law and regulation in effect as of the date of en-
actment of this paragraph and subject to comment 
and public review, what qualifies as a community 
that has a small population, is disadvantaged, or is 
in a rural location for purposes of this paragraph, 
provided that such definitions include rural munici-
palities, municipalities with populations of up to 
20,000, and municipalities in which the median 
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173 
household income is at or less than 2⁄3 of the State 
average.’’. 
SEC. 40010. SMALL COMMUNITY TECHNICAL ASSISTANCE 
GRANTS. 
Paragraph (7)(A) of section 104(k) of the Com-
prehensive Environmental Response, Compensation, and 
Liability Act of 1980 (42 U.S.C. 9604(k)) (as redesig-
nated by section 40007(a)(2) of this Act) is amended— 
(1) by striking ‘‘The Administrator may pro-
vide,’’ and inserting the following: 
‘‘(i) DEFINITIONS.—In this subpara-
graph: 
‘‘(I) DISADVANTAGED
AREA.— 
The term ‘disadvantaged area’ means 
an area with an annual median house-
hold income that is less than 2⁄3 of the 
statewide annual median household 
income, as determined by the latest 
available decennial census. 
‘‘(II) SMALL
COMMUNITY.—The 
term ‘small community’ means a com-
munity with a population of not more 
than 20,000 individuals, as deter-
mined by the latest available decennial 
census. 
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174 
‘‘(ii) 
ESTABLISHMENT
OF
PRO-
GRAM.—The Administrator shall establish 
a program to provide grants that pro-
vide,’’; and 
(2) by adding at the end the following: 
‘‘(iii) SMALL
OR
DISADVANTAGED 
COMMUNITY RECIPIENTS.— 
‘‘(I) IN
GENERAL.—Subject to 
subclause (II), in carrying out the 
program under clause (ii), the Admin-
istrator shall use not more than 
$1,500,000 of amounts made available 
to carry out this paragraph to provide 
grants to eligible entities and institu-
tions of higher education, as deter-
mined by the Administrator, to assist 
small 
communities, 
Indian 
tribes, 
rural areas, or disadvantaged areas in 
achieving the purposes described in 
clause (ii). 
‘‘(II) LIMITATION.—Each grant 
awarded under subclause (I) shall be 
not more than $10,000.’’. 
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175 
SEC. 40011. AUTHORIZATION OF APPROPRIATIONS. 
(a) AUTHORIZATION
OF
APPROPRIATIONS.—Sub-
paragraph (A) of paragraph (15) (as redesignated by sec-
tion 40007(a)(1) of this Act) of section 104(k) of the 
Comprehensive Environmental Response, Compensation, 
and Liability Act of 1980 (42 U.S.C. 9604(k)) is amended 
to read as follows: 
‘‘(A) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
priated to carry out this subsection— 
‘‘(i) $350,000,000 for fiscal year 
2018; 
‘‘(ii) $400,000,000 for fiscal year 
2019; 
‘‘(iii) $450,000,000 for fiscal year 
2020; 
‘‘(iv) $500,000,000 for fiscal year 
2021; and 
‘‘(v) $550,000,000 for fiscal year 
2022.’’. 
(b) SET ASIDE FOR PROGRAM FOR SUSTAINABLE 
REUSE
AND ALTERNATIVE ENERGY
ON BROWNFIELD 
SITES.—Paragraph (15) of section 104(k) of the Com-
prehensive Environmental Response, Compensation, and 
Liability Act of 1980 (42 U.S.C. 9604(k)), as redesig-
nated by section 40007(a)(1) of this Act and as amended 
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176 
by subsection (a) of this section, is further amended by 
adding after subparagraph (B) the following new subpara-
graph: 
‘‘(C) SET ASIDE FOR PROGRAM FOR SUS-
TAINABLE REUSE AND ALTERNATIVE ENERGY 
ON
BROWNFIELD
SITES.—Of amounts made 
available each fiscal year pursuant to subpara-
graph (A), at least 7.5 percent of such amounts 
shall be used to carry out the program under 
paragraph (13).’’. 
SEC. 40012. STATE RESPONSE PROGRAMS. 
Section 128(a)(3) of the Comprehensive Environ-
mental Response, Compensation, and Liability Act of 
1980 (42 U.S.C. 9628(a)(3)) is amended to read as fol-
lows: 
‘‘(3) FUNDING.—There are authorized to be ap-
propriated to carry out this subsection— 
‘‘(A) $70,000,000 for fiscal year 2018; 
‘‘(B) $80,000,000 for fiscal year 2019; 
‘‘(C) $90,000,000 for fiscal year 2020; 
‘‘(D) $100,000,000 for fiscal year 2021; 
and 
‘‘(E) $110,000,000 for fiscal year 2022.’’. 
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177 
TITLE V—HEALTHCARE 
INFRASTRUCTURE 
Subtitle A—Hospital Infrastructure 
SEC. 51001. HOSPITAL INFRASTRUCTURE. 
Section 1610(a) of the Public Health Service Act (42 
U.S.C. 300r(a)) is amended by striking paragraph (3) and 
inserting the following paragraphs: 
‘‘(3) PRIORITY.—In awarding grants under this sub-
section, the Secretary shall give priority to applicants 
whose projects will include, by design, cybersecurity 
against cyber threats. 
‘‘(4) AMERICAN IRON AND STEEL PRODUCTS.— 
‘‘(A) IN GENERAL.—As a condition on receipt 
of a grant under this section for a project, an entity 
shall ensure that all of the iron and steel products 
used in the project are produced in the United 
States. 
‘‘(B) APPLICATION.—Subparagraph (A) shall 
be waived in any case or category of cases in which 
the Secretary finds that— 
‘‘(i) applying subparagraph (A) would be 
inconsistent with the public interest; 
‘‘(ii) iron and steel products are not pro-
duced in the United States in sufficient and 
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178 
reasonably available quantities and of a satis-
factory quality; or 
‘‘(iii) inclusion of iron and steel products 
produced in the United States will increase the 
cost of the overall project by more than 25 per-
cent. 
‘‘(C) WAIVER.—If the Secretary receives a re-
quest for a waiver under this paragraph, the Sec-
retary shall make available to the public, on an in-
formal basis, a copy of the request and information 
available to the Secretary concerning the request, 
and shall allow for informal public input on the re-
quest for at least 15 days prior to making a finding 
based on the request. The Secretary shall make the 
request and accompanying information available by 
electronic means, including on the official public 
Internet site of the Department of Health and 
Human Services. 
‘‘(D) 
INTERNATIONAL
AGREEMENTS.—This 
paragraph shall be applied in a manner consistent 
with United States obligations under international 
agreements. 
‘‘(E) MANAGEMENT
AND
OVERSIGHT.—The 
Secretary may retain up to 0.25 percent of the funds 
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179 
appropriated for this section for management and 
oversight of the requirements of this paragraph. 
‘‘(F) EFFECTIVE DATE.—This paragraph does 
not apply with respect to a project if a State agency 
approves the engineering plans and specifications for 
the project, in that agency’s capacity to approve 
such plans and specifications prior to a project re-
questing bids, prior to the date of enactment of this 
paragraph. 
‘‘(5) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be appro-
priated $400,000,000 for each of fiscal years 2018 
through 2022.’’. 
Subtitle B—Indian Health Program 
Health Care Infrastructure 
SEC. 52001. 21ST CENTURY INDIAN HEALTH PROGRAM HOS-
PITALS AND OUTPATIENT HEALTH CARE FA-
CILITIES. 
The Indian Health Care Improvement Act is amend-
ed by inserting after section 301 of such Act (25 U.S.C. 
1631) the following: 
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180 
‘‘SEC. 301A. ADDITIONAL FUNDING FOR PLANNING, DESIGN, 
CONSTRUCTION, MODERNIZATION, AND REN-
OVATION OF HOSPITALS AND OUTPATIENT 
HEALTH CARE FACILITIES. 
‘‘(a) ADDITIONAL FUNDING.—For the purpose de-
scribed in subsection (b), in addition to any other funds 
available for such purpose, there is authorized to be appro-
priated to the Secretary $200,000,000 for each of fiscal 
years 2018 through 2022. 
‘‘(b) PURPOSE.—The purpose described in this sub-
section is the planning, design, construction, moderniza-
tion, and renovation of hospitals and outpatient health 
care facilities that are funded, in whole or part, by the 
Service through, or provided for in, a contract or compact 
with the Service under the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5301 et seq.).’’. 
Subtitle C—Laboratory 
Infrastructure 
SEC. 53001. PILOT PROGRAM TO IMPROVE LABORATORY IN-
FRASTRUCTURE. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services may award grants to States and political 
subdivisions of States to support the improvement, renova-
tion, or modernization of infrastructure at clinical labora-
tories (as defined in section 353 of the Public Health Serv-
ice Act (42 U.S.C. 263a)). 
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181 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$100,000,000, to remain available until expended. 
Subtitle D—Community-Based 
Care Infrastructure 
SEC. 54001. PILOT PROGRAM TO IMPROVE COMMUNITY- 
BASED CARE INFRASTRUCTURE. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services may award grants to qualified teaching 
health centers (as defined in section 340H of the Public 
Health Service Act (42 U.S.C. 256h)) and behavioral 
health care centers (as defined by the Secretary, to include 
both substance abuse and mental health care facilities) to 
support the improvement, renovation, or modernization of 
infrastructure at such centers. 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$100,000,000, to remain available until expended. 
Æ 
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