In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

[Q]: SECTION 1. SHORT TITLE.

        This Act may be cited as the ``Gun Crime Enforcement and Second 
Amendment Restoration Act of 1996''.

SEC. 2. FINDINGS.

        The Congress finds the following:
            (1) One of the primary duties of government is to protect 
        its citizens from armed violent criminals. America's cherished 
        liberty and the social and economic prosperity of its 
        communities are dependent upon government's ability to maintain 
        public safety.
            (2) Criminals, by definition, operate outside the law and 
        routinely acquire firearms when they so desire. Banning 
        specific types of firearms has no effect on the moral behavior 
        of those who choose to inflict harm on innocent citizens.
            (3) The most effective way to protect the public from gun-
        wielding violent criminals is to arrest, convict, and 
        incarcerate such predators, and to ensure that they serve 
        sentences of sufficient length to prevent them from returning 
        quickly to the streets.

SEC. 3. ARMED VIOLENT CRIMINAL APPREHENSION DIRECTIVE.

        (a) In General.--Not later than 180 days after the date of the 
enactment of this Act, the Attorney General of the United States shall 
establish an armed violent criminal apprehension program consistent 
with the following requirements:
            (1) Each United States attorney shall designate at least 1 
        assistant United States attorney to prosecute armed violent 
        criminals.
            (2) Each United States attorney shall establish an armed 
        violent criminal apprehension task force comprised of 
        appropriate law enforcement representatives. The task force 
        shall develop strategies for removing armed violent criminals 
        from the streets, taking into consideration--
                    (A) the importance of severe punishment in 
                deterring armed violent crime;
                    (B) the effectiveness of Federal and State laws 
                pertaining to apprehension and prosecution of armed 
                violent criminals;
                    (C) the resources available to each law enforcement 
                agency participating in the task force;
                    (D) the nature and extent of the violent crime 
                occurring in the district for which the United States 
                attorney is appointed; and
                    (E) the principle of limited Federal involvement in 
                the prosecution of crimes traditionally prosecuted in 
                State and local jurisdictions.
            (3) Not less frequently than monthly, the Attorney General 
        shall require each United States attorney to report to the 
        Department of Justice the number of defendants charged with, or 
        convicted of, violating section 922(g) or 924 of title 18, 
        United States Code, in the district for which the United States 
        attorney is appointed.
            (4) Not less frequently than twice annually, the Attorney 
        General shall submit to the Congress a compilation of the 
        information received by the Department of Justice pursuant to 
        paragraph (3) and a report on all waivers granted under 
        subsection (b).
        (b) Waiver Authority.--
            (1) Request for waiver.--A United States attorney may 
        request the Attorney General to waive the requirements of 
        subsection (a) with respect to the United States attorney.
            (2) Provision of waiver.--The Attorney General may waive 
        the requirements of subsection (a) pursuant to a request made 
        under paragraph (1), in accordance with guidelines which shall 
        be established by the Attorney General. In establishing the 
        guidelines, the Attorney General shall take into consideration 
        the number of assistant United States attorneys in the office 
        of the United States attorney making the request and the level 
        of violent crime committed in the district for which the United 
        States attorney is appointed.
        (c) Armed Violent Criminal Defined.--As used in this section, 
the term ``armed violent criminal'' means a person who is accused of 
violating section 922(g)(1) of title 18, United States Code, having 
been previously convicted of a violent crime, or who is accused of 
violating section 924 of such title.
        (d) Sunset.--This section shall have no force or effect after 
the 5-year period that begins 180 days after the date of the enactment 
of this Act.

SEC. 4. REPEAL OF THE PROHIBITIONS RELATING TO SEMIAUTOMATIC ASSAULT 
              WEAPONS AND LARGE CAPACITY AMMUNITION FEEDING DEVICES.

    (a) Section 922 of title 18, United States Code, is amended by 
striking subsections (v) and (w) and by striking the appendix.
    (b) Section 921(a) of such title is amended by striking paragraph 
(30).
    (c) Section 921(a)(31)(A) of such title is amended--
            (1) by striking ``manufactured after the date of enactment 
        of the Violent Crime Control and Law Enforcement Act of 1994''; 
        and
            (2) by striking ``, or that can be readily restored or 
        converted to accept,''.
    (d) Section 923(i) of such title is amended by striking the last 2 
sentences.
    (e) Section 924(a)(1)(B) of such title is amended by striking 
``(r), (v), or (w)'' and inserting ``or (r)''.
    (f) Section 110104 of the Violent Crime Control and Law Enforcement 
Act of 1994 (18 U.S.C. 921 note) is repealed.

SEC. 5. MANDATORY PRISON TERMS FOR POSSESSING, BRANDISHING, OR 
              DISCHARGING A FIREARM OR DESTRUCTIVE DEVICE DURING A 
              FEDERAL CRIME THAT IS A CRIME OF VIOLENCE OR A DRUG 
              TRAFFICKING CRIME.

    Section 924(c) of title 18, United States Code, is amended--
            (1) by redesignating paragraphs (2) and (3) as paragraphs 
        (4) and (5), respectively; and
            (2) by striking paragraph (1) and inserting the following:
    ``(1) A person who, during and in relation to any crime of violence 
or drug trafficking crime (including a crime of violence or drug 
trafficking crime which provides for an enhanced punishment if 
committed by the use of a deadly or dangerous weapon or device) for 
which the person may be prosecuted in a court of the United States--
            ``(A) possesses a firearm, shall, in addition to the 
        sentence imposed for the crime of violence or drug trafficking 
        crime, be sentenced to imprisonment for 5 years;
            ``(B) brandishes a firearm, shall, in addition to the 
        sentence imposed for the crime of violence or drug trafficking 
        crime, be sentenced to imprisonment for 10 years; or
            ``(C) discharges a firearm with the intent to injure 
        another person, shall, in addition to the sentence imposed for 
        the crime of violence or drug trafficking crime, be sentenced 
        to imprisonment for 20 years;
except that if the firearm is a short-barreled rifle or short-barreled 
shotgun, or is equipped with a large capacity ammunition feeding 
device, such additional sentence shall be imprisonment for 10 years 
more than the term of imprisonment that would otherwise be imposed 
under this paragraph, and if the firearm is a machinegun or destructive 
device or is equipped with a firearm silencer or firearm muffler, such 
additional sentence shall be imprisonment for 30 years.
    ``(2) In the case of the second or subsequent conviction of a 
person under this subsection--
            ``(A) if the person possessed a firearm during and in 
        relation to such second or subsequent crime of violence or drug 
        trafficking crime, the person shall, in addition to the 
        sentence imposed for such second or subsequent offense, be 
        sentenced to imprisonment for not less than 20 years;
            ``(B) if the person brandished a firearm during and in 
        relation to such second or subsequent crime of violence or drug 
        trafficking crime, the person shall, in addition to the 
        sentence imposed for such second or subsequent offense, be 
        sentenced to imprisonment for not less than 25 years; or
            ``(C) if the person discharged a firearm with the intent to 
        injure another person during and in relation to such second or 
        subsequent crime of violence or drug trafficking crime, the 
        person shall, in addition to the sentence imposed for such 
        second or subsequent offense, be sentenced to imprisonment for 
        not less than 30 years;
except that if the firearm is a machinegun or destructive device or is 
equipped with a firearm silencer or firearm muffler, the person shall, 
in addition to the sentence imposed for such second or subsequent 
offense, be sentenced to life imprisonment.
    ``(3)(A) Notwithstanding any other provision of law, the court 
shall not impose a probationary sentence on any person convicted of a 
violation of this subsection, nor shall a term of imprisonment imposed 
under this subsection run concurrently with any other term of 
imprisonment including that imposed for the crime of violence or drug 
trafficking crime in which the firearm was used.
    ``(B) No person sentenced under this subsection shall be released 
for any reason whatsoever during a term of imprisonment imposed under 
this subsection.''.

            Passed the House of Representatives March 22, 1996.

            Attest:

                                                ROBIN H. CARLE,

                                                                 Clerk.
[A]: Gun Crime Enforcement and Second Amendment Restoration Act of 1996 - Directs the Attorney General to:  (1) establish an armed violent criminal apprehension program under which each U.S. attorney shall designate at least one assistant U.S. attorney to prosecute armed violent criminals and shall establish an armed violent criminal apprehension task force to develop strategies for removing armed violent criminals from the streets; (2) require each U.S. attorney to report to the Department of Justice (DOJ) monthly on the number of defendants charged with, or convicted of, violating specified offenses (such as possession of a firearm by an illegal alien and using or carrying a firearm during and in relation to any crime of violence or drug trafficking crime) ; and (3) submit to the Congress at least twice annually a compilation of the information received by DOJ and a report on all waivers granted under this Act. Authorizes a U.S. attorney to request, and the Attorney General to grant, a waiver of such requirements with respect to the U.S.  attorney.  Directs the Attorney General, in establishing guidelines for such a waiver, to consider the number of assistant U.S. attorneys in the requesting office and the level of violent crime committed in the district. Terminates such program after five years. (Sec. 4) Amends the Violent Crime Control and Law Enforcement Act of 1994 to repeal:  (1) the ban on semiautomatic assault weapons and large capacity ammunition feeding devices; and (2) a provision of such Act directing the Attorney General to study the effect of provisions related to the ban, to determine their impact on violent and drug trafficking crime, and to report to the Congress. (Sec. 5) Provides mandatory additional prison terms of:  (1) five, ten, or 20 years, respectively, for possessing, brandishing, or discharging a firearm or destructive device during a Federal crime of violence or drug trafficking crime; and (2) 20, 25, or 30 years, respectively, for second or subsequent convictions or life imprisonment for a second or subsequent offense involving a machine gun or destructive device or a firearm equipped with a silencer or muffler.  Prohibits any person who receives such an mandatory additional sentence from being released for any reason during the imposed term of imprisonment.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Improving Physician Access in 
Teaching Hospitals (PATH) Act of 2011''.

SEC. 2. DISTRIBUTION OF ADDITIONAL RESIDENCY SLOTS.

    Section 1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)) is 
amended--
            (1) in paragraph (7)(E), by inserting ``paragraph (9),'' 
        after ``paragraph (8),''; and
            (2) by adding at the end the following:
            ``(9) Distribution of additional residency positions.--
                    ``(A) Reductions in limit based on unused 
                positions.--
                            ``(i) In general.--Except as provided in 
                        clause (ii), if a hospital's resident level (as 
                        defined in paragraph (7)(C)(i)) for each of the 
                        5 most recent cost reporting periods (ending 
                        before the date of the enactment of this 
                        paragraph) of the hospital for which a cost 
                        report has been settled (or, if not, submitted 
                        subject to audit) as determined by the 
                        Secretary is less than the otherwise applicable 
                        resident limit (as defined in paragraph 
                        (8)(H)(iii)), effective for portions of cost 
                        reporting periods occurring on or after the 
                        paragraph (9) effective date (as defined in 
                        subparagraph (E)), the otherwise applicable 
                        resident limit shall be reduced by the 
                        difference between such otherwise applicable 
                        resident limit and the highest such reference 
                        resident level for any of such 5 cost reporting 
                        periods.
                            ``(ii) Exception.--Clause (i) shall not 
                        apply to--
                                    ``(I) a hospital located in a rural 
                                area with fewer than 250 beds; or
                                    ``(II) a hospital that has had in 
                                effect a voluntary residency reduction 
                                plan under paragraph (6) or pursuant to 
                                section 402 of Public Law 90-248.
                    ``(B) Requirements for additional residency 
                slots.--
                            ``(i) In general.--The Secretary shall 
                        increase the otherwise applicable resident 
                        limit for hospitals that submit an application 
                        under this subparagraph by such number as the 
                        Secretary may approve for portions of cost 
                        reporting periods occurring on or after the 
                        paragraph (9) effective date. The aggregate 
                        number of increases in the otherwise applicable 
                        resident limit under this subparagraph shall be 
                        equal to the sum of--
                                    ``(I) the aggregate reduction in 
                                such limits attributable to 
                                subparagraph (A) (as estimated by the 
                                Secretary); and
                                    ``(II) 1,000 for portions of cost 
                                reporting periods occurring during the 
                                12-month period beginning on the 
                                paragraph (9) effective date, 1,000 
                                additional positions for portions of 
                                cost reporting periods occurring during 
                                the 12-month period beginning 1 year 
                                after such effective date, 1,000 
                                additional positions for portion of 
                                cost reporting period occurring during 
                                the 12-month period beginning 2 years 
                                after such effective date, and such 
                                number of additional positions for 
                                portions of the 2 subsequent cost 
                                reporting periods as the Secretary may 
                                determine necessary to support 
                                residency training programs in 
                                specialities that exceed 3 years.
                            ``(ii) Consideration in redistribution.--In 
                        determining for which hospitals the increase in 
                        the otherwise applicable resident limit is 
                        provided under this subparagraph, the Secretary 
                        shall take into account--
                                    ``(I) data provided by the Health 
                                Resources and Services Administration 
                                as a national standard to exhibit a 
                                specific demand in the health care 
                                workforce, as well as the 
                                Administration's projected demand and 
                                supply for physicians in the specialty 
                                of medicine involved; and
                                    ``(II) the demonstrated likelihood 
                                of the hospital filling positions made 
                                available under this paragraph within 
                                the first 3 cost reporting periods 
                                beginning on or after the paragraph (9) 
                                effective date.
                        The Secretary shall give special consideration 
                        for up to 25 additional positions in the case 
                        of a hospital that demonstrates the likelihood 
                        of filing such positions during the first cost 
                        reporting period beginning on or after such 
                        effective date.
                            ``(iii) Limitation.--In no case shall the 
                        number of additional positions made available 
                        to a hospital under this paragraph exceed 25 in 
                        the first cost reporting period or 75 for all 
                        cost reporting periods.
                    ``(C) Priority for additional positions resulting 
                from hospital closures.--With respect to additional 
                positions described in subparagraph (B)(i)(I) which are 
                derived from a reduction in limits under subparagraph 
                (A) for a hospital that closed (in this subparagraph 
                referred to as a `closed hospital'), the Secretary 
                shall distribute the increase to hospitals in the 
                following priority order:
                            ``(i) First, to other hospitals for the 
                        program or programs under which the hospital 
                        had a cooperative arrangement with the closed 
                        hospital under which residents in the graduate 
                        medical education program of the closed 
                        hospital also rotated through the other 
                        hospital.
                            ``(ii) Second, to other hospitals that are 
                        members of the same affiliated group of 
                        hospitals as the closed hospital.
                            ``(iii) Third, to other hospitals that are 
                        located in the same or contiguous core-based 
                        statistical area as the closed hospital.
                    ``(D) Preference.--After applying subparagraph (C) 
                and the special consideration under subparagraph (B), 
                in determining for which hospitals the increase in the 
                otherwise applicable resident limit is provided under 
                subparagraph (B), the Secretary shall give preference 
                to hospitals--
                            ``(i) that submit an application for new 
                        residents in primary care and geriatric 
                        medicine and in other specialties as determined 
                        to be in demand under subparagraph (B)(ii)(I); 
                        and
                            ``(ii) that emphasize training in community 
                        health centers and other community-based or 
                        hospital-sponsored clinics, and private 
                        physicians' offices, including physician 
                        groups.
                    ``(E) Paragraph (9) effective date defined.--In 
                this paragraph, the term `paragraph (9) effective date' 
                means July 1 of the year that begins after the date of 
                the enactment of this paragraph.
                    ``(F) Affiliation.--The provisions of this 
                paragraph shall be applied to hospitals which are 
                members of the same affiliated group (as defined by the 
                Secretary under paragraph (4)(H)(ii)) and the reference 
                resident level for each such hospital with respect to 
                the cost reporting period that results in the smallest 
                difference between the reference resident level and the 
                otherwise applicable resident limit.''.

SEC. 3. EXPANDING PRIMARY CARE BONUS TO CERTAIN UNDERSERVED 
              SPECIALTIES.

    (a) In General.--Section 1833(x)(2)(A) of the Social Security Act 
(42 U.S.C. 1395l(x)(2)(A)) is amended--
            (1) in clause (i)--
                    (A) by striking ``or'' at the end of subclause (I);
                    (B) by striking ``and'' at the end of subclause 
                (II) and inserting ``or''; and
                    (C) by adding at the end the following new 
                subclause:
                                    ``(III) is a physician (as 
                                described in section 1861(r)(1)) who is 
                                in an underserved specialty, such as 
                                psychiatry or neurology, as specified 
                                by the Secretary, or other specialty 
                                identified by the Secretary to be in 
                                demand; and''; and
            (2) in clause (ii), by inserting after ``(ii)'' the 
        following: ``in the case of an individual described in 
        subclause (I) or (II) of clause (i),''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to payments for items and services furnished on or after January 
1, 2012.

SEC. 4. SMALL PHYSICIAN PRACTICE RESIDENCY CREDIT.

    (a) In General.--Subpart D of part IV of subchapter A of chapter 1 
of the Internal Revenue Code of 1986 (relating to business related 
credits) is amended by adding at the end the following new section:

``SEC. 45S. SMALL PHYSICIAN PRACTICE RESIDENCY CREDIT.

    ``(a) In General.--For purposes of section 38, the amount of the 
small physician practice residency credit determined under this section 
for any taxable year with respect to a qualified small physician 
practice is the sum of the following:
            ``(1) Overall amount.--The per resident dollar amount 
        multiplied by the number of qualified teaching hospital 
        residents who provide services to, and are trained by, such 
        practice during the taxable year and who are in their first, 
        second, or third post-graduate year of medical residency.
            ``(2) Bonus.--The sum of--
                    ``(A) 50 percent of the per resident dollar amount 
                multiplied by the number of such residents who are in 
                their first post-graduate year of medical residency 
                during the taxable year; and
                    ``(B) 25 percent of the per resident dollar amount 
                multiplied by the average number of such residents who 
                are not counted under subparagraph (A) and are in their 
                second post-graduate year during the taxable year.
    ``(b) Qualified Small Physician Practice.--For purposes of this 
section, the term `qualified small physician practice' means any trade 
or business of providing physicians' services (as defined in section 
1861(q) of the Social Security Act), which may be a community health 
center, that is owned and operated by a doctor of medicine or 
osteopathy if fewer than 50 individuals are employed in such trade or 
business (including new training sites) and the trade or business 
includes as part of the practice the training of doctors of medicine or 
osteopathy in a rotation covering at least 6 months in the taxable 
year. All persons treated as a single employer under subsection (a) or 
(b) or section 52 or subsection (m) or (o) of section 414 shall be 
treated as a single trade or business for purposes of the preceding 
sentence.
    ``(c) Qualified Teaching Hospital Residents.--For purposes of this 
section, the term `qualified teaching hospital resident' means any 
resident (within the meaning of subparagraph (I) of section 1886(h)(5) 
of the Social Security Act) in an approved medical residency training 
program (as defined in subparagraph (A) of such section) which provides 
services to the qualified small physician practice (while utilizing the 
technologies and supplies of such practice) for a period not less 
than--
            ``(1) 4 weeks in the case of a primary care resident (as 
        defined in subparagraph (H) of such section); or
            ``(2) 2 weeks in the case of any other resident.
    ``(d) Per Resident Dollar Amount.--For purposes of this section, 
the term `per resident dollar amount' means, in the case of a qualified 
small physician practice that includes as part of the practice the 
training of doctors of medicine or osteopathy in a rotation covering--
            ``(1) at least 6 months but less than 9 months in the 
        taxable year, $2,500; or
            ``(2) at least 9 months in the taxable year, $3,000.
    ``(e) Residents Not Taken Into Account More Than Once.--A qualified 
teaching hospital resident shall be taken into account under subsection 
(a) for the taxable in which the period described in subsection (c) 
ends and shall not be so taken into account for any other taxable 
year.''.
    (b) Credit Allowed as Part of General Business Credit.--Section 
38(b) of such Code (defining current year business credit) is amended 
by striking ``plus'' at the end of paragraph (35), by striking the 
period at the end of paragraph (36) and inserting ``, plus'', and by 
adding at the end the following new paragraph:
            ``(37) the small physician practice residency credit 
        determined under section 45S(a).''.
    (c) Conforming Amendment.--The table of sections for subpart D of 
part IV of subchapter A of chapter 1 of such Code is amended by adding 
at the end the following new item:

``Sec. 45S. Small physician practice residency credit.''.
    (d) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after the date of the enactment of 
this Act.
[A]: Improving Physician Access in Teaching Hospitals (PATH) Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act with respect to distribution of additional resident positions as they affect calculation of payments for direct graduate medical education (DME) costs.

States that, if a hospital's resident level for each of the five most recent cost reporting periods is less than the otherwise applicable resident limit, then the otherwise applicable resident limit shall be reduced by the difference between it and the highest reference resident level for any of those five cost reporting periods. Excepts from this reduction requirement a hospital: (1) located in a rural area with fewer than 250 beds, or (2) that has had in effect a voluntary residency reduction plan.

Requires the Secretary of Health and Human Services (HHS) to increase the otherwise applicable resident limit (create additional residency slots) for applicant hospitals according to a specified formula that takes into account the aggregate reduction in limits attributable to this Act.

Expands the primary care bonus to certain underserved specialties, such as psychiatry or neurology.

Amends the Internal Revenue Code to allow a small physician practice residency credit.


[Q]: SECTION 1. SHORT TITLE.
    This Act may be cited as the ``State Offices of Rural Health 
Reauthorization Act of 2018''.
SEC. 2. STATE OFFICES OF RURAL HEALTH.
    Section 338J of the Public Health Service Act (42 U.S.C. 254r) is 
amended to read as follows:
``SEC. 338J. GRANTS TO STATE OFFICES OF RURAL HEALTH.
    ``(a) In General.--The Secretary, acting through the Director of 
the Federal Office of Rural Health Policy (established under section 
711 of the Social Security Act), shall make grants to each State Office 
of Rural Health for the purpose of improving health care in rural 
areas.
    ``(b) Requirement of Matching Funds.--
        ``(1) In general.--Subject to paragraph (2), the Secretary may 
    not make a grant under subsection (a) unless the State office of 
    rural health involved agrees, with respect to the costs to be 
    incurred in carrying out the purpose described in such subsection, 
    to provide non-Federal contributions toward such costs in an amount 
    equal to $3 for each $1 of Federal funds provided in the grant.
        ``(2) Waiver or reduction.--The Secretary may waive or reduce 
    the non-Federal contribution if the Secretary determines that 
    requiring matching funds would limit the State office of rural 
    health's ability to carry out the purpose described in subsection 
    (a).
        ``(3) Determination of amount of non-federal contribution.--
    Non-Federal contributions required in paragraph (1) may be in cash 
    or in kind, fairly evaluated, including plant, equipment, or 
    services. Amounts provided by the Federal Government, or services 
    assisted or subsidized to any significant extent by the Federal 
    Government, may not be included in determining the amount of such 
    non-Federal contributions.
    ``(c) Certain Required Activities.--Recipients of a grant under 
subsection (a) shall use the grant funds for purposes of--
        ``(1) maintaining within the State office of rural health a 
    clearinghouse for collecting and disseminating information on--
            ``(A) rural health care issues;
            ``(B) research findings relating to rural health care; and
            ``(C) innovative approaches to the delivery of health care 
        in rural areas;
        ``(2) coordinating the activities carried out in the State that 
    relate to rural health care, including providing coordination for 
    the purpose of avoiding redundancy in such activities; and
        ``(3) identifying Federal and State programs regarding rural 
    health, and providing technical assistance to public and nonprofit 
    private entities regarding participation in such programs.
    ``(d) Requirement Regarding Annual Budget for Office.--The 
Secretary may not make a grant under subsection (a) unless the State 
involved agrees that, for any fiscal year for which the State office of 
rural health receives such a grant, the office operated pursuant to 
subsection (a) of this section will be provided with an annual budget 
of not less than $150,000.
    ``(e) Certain Uses of Funds.--
        ``(1) Restrictions.--The Secretary may not make a grant under 
    subsection (a) unless the State office of rural health involved 
    agrees that the grant will not be expended--
            ``(A) to provide health care (including providing cash 
        payments regarding such care);
            ``(B) to conduct activities for which Federal funds are 
        expended--
                ``(i) within the State to provide technical and other 
            nonfinancial assistance under section 330A(f);
                ``(ii) under a memorandum of agreement entered into 
            with the State office of rural health under section 
            330A(h); or
                ``(iii) under a grant under section 338I;
            ``(C) to purchase medical equipment, to purchase 
        ambulances, aircraft, or other vehicles, or to purchase major 
        communications equipment;
            ``(D) to purchase or improve real property; or
            ``(E) to carry out any activity regarding a certificate of 
        need.
        ``(2) Authorities.--Activities for which a State office of 
    rural health may expend a grant under subsection (a) include--
            ``(A) paying the costs of maintaining an office of rural 
        health for purposes of subsection (a);
            ``(B) subject to paragraph (1)(B)(iii), paying the costs of 
        any activity carried out with respect to recruiting and 
        retaining health professionals to serve in rural areas of the 
        State; and
            ``(C) providing grants and contracts to public and 
        nonprofit private entities to carry out activities authorized 
        in this section.
        ``(3) Limit on indirect costs.--The Secretary may impose a 
    limit of no more than 15 percent on indirect costs claimed by the 
    recipient of the grant.
    ``(f) Reports.--The Secretary may not make a grant under subsection 
(a) unless the State office of rural health involved agrees--
        ``(1) to submit to the Secretary reports or performance data 
    containing such information as the Secretary may require regarding 
    activities carried out under this section; and
        ``(2) to submit such a report or performance data not later 
    than September 30 of each fiscal year immediately following any 
    fiscal year for which the State office of rural health has received 
    such a grant.
    ``(g) Requirement of Application.--The Secretary may not make a 
grant under subsection (a) unless an application for the grant is 
submitted to the Secretary and the application is in such form, is made 
in such manner, and contains such agreements, assurances, and 
information as the Secretary determines to be necessary to carry out 
such subsection.
    ``(h) Noncompliance.--The Secretary may not make payments under 
subsection (a) to a State office of rural health for any fiscal year 
subsequent to the first fiscal year of such payments unless the 
Secretary determines that, for the immediately preceding fiscal year, 
the State office of rural health has complied with each of the 
agreements made by the State office of rural health under this section.
    ``(i) Authorization of Appropriations.--
        ``(1) In general.--For the purpose of making grants under 
    subsection (a), there are authorized to be appropriated $12,500,000 
    for each of fiscal years 2018 through 2022.
        ``(2) Availability.--Amounts appropriated under paragraph (1) 
    shall remain available until expended.''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
[A]:
State Offices of Rural Health Reauthorization Act of 2018 This bill amends the Public Health Service Act to reauthorize through FY2022 and revise the grant program for state offices of rural health, including to require the Department of Health and Human Services (HHS) to make the grants, thus removing HHS's discretion to make them.