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

Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Opioid Use Disorder Treatment 
Expansion and Modernization Act''.

SEC. 2. FINDING.

    The Congress finds that opioid use disorder has become a public 
health epidemic that must be addressed by increasing awareness and 
access to all treatment options for opioid use disorder, overdose 
reversal, and relapse prevention.

SEC. 3. OPIOID USE DISORDER TREATMENT MODERNIZATION.

    (a) In General.--Section 303(g)(2) of the Controlled Substances Act 
(21 U.S.C. 823(g)(2)) is amended--
            (1) in subparagraph (B), by striking clauses (i), (ii), and 
        (iii) and inserting the following:
            ``(i) The practitioner is a qualifying practitioner (as 
        defined in subparagraph (G)).
            ``(ii) With respect to patients to whom the practitioner 
        will provide such drugs or combinations of drugs, the 
        practitioner has the capacity to provide directly, by referral, 
        or in such other manner as determined by the Secretary--
                    ``(I) all schedule III, IV, and V drugs, as well as 
                unscheduled medications approved by the Food and Drug 
                Administration, for the treatment of opioid use 
                disorder, including such drugs and medications for 
                maintenance, detoxification, overdose reversal, and 
                relapse prevention, as available; and
                    ``(II) appropriate counseling and other appropriate 
                ancillary services.
            ``(iii)(I) The total number of such patients of the 
        practitioner at any one time will not exceed the applicable 
        number. Except as provided in subclause (II), the applicable 
        number is 30.
            ``(II) The applicable number is 100 if, not sooner than 1 
        year after the date on which the practitioner submitted the 
        initial notification, the practitioner submits a second 
        notification to the Secretary of the need and intent of the 
        practitioner to treat up to 100 patients.
            ``(III) The Secretary may by regulation change such total 
        number.
            ``(IV) The Secretary may exclude from the applicable number 
        patients to whom such drugs or combinations of drugs are 
        directly administered by the qualifying practitioner in the 
        office setting.
            ``(iv) If the Secretary by regulation increases the total 
        number of patients which a qualifying practitioner is permitted 
        to treat pursuant to clause (iii)(II), the Secretary shall 
        require such a practitioner to obtain a written agreement from 
        each patient, including the patient's signature, that the 
        patient--
                    ``(I) will receive an initial assessment and 
                treatment plan and periodic assessments and treatment 
                plans thereafter;
                    ``(II) will be subject to medication adherence and 
                substance use monitoring;
                    ``(III) understands available treatment options, 
                including all drugs approved by the Food and Drug 
                Administration for the treatment of opioid use 
                disorder, including their potential risks and benefits; 
                and
                    ``(IV) understands that receiving regular 
                counseling services is critical to recovery.
            ``(v) The practitioner will comply with the reporting 
        requirements of subparagraph (D)(i)(IV).'';
            (2) in subparagraph (D)--
                    (A) in clause (i), by adding at the end the 
                following:
            ``(IV) The practitioner reports to the Secretary, at such 
        times and in such manner as specified by the Secretary, such 
        information and assurances as the Secretary determines 
        necessary to assess whether the practitioner continues to meet 
        the requirements for a waiver under this paragraph.'';
                    (B) in clause (ii), by striking ``Upon receiving a 
                notification under subparagraph (B)'' and inserting 
                ``Upon receiving a determination from the Secretary 
                under clause (iii) finding that a practitioner meets 
                all requirements for a waiver under subparagraph (B)''; 
                and
                    (C) in clause (iii)--
                            (i) by inserting ``and shall forward such 
                        determination to the Attorney General'' before 
                        the period at the end of the first sentence; 
                        and
                            (ii) by striking ``physician'' and 
                        inserting ``practitioner'';
            (3) in subparagraph (G)--
                    (A) by amending clause (ii)(IV) to read as follows:
                    ``(IV) The physician has, with respect to the 
                treatment and management of opiate-dependent patients, 
                completed not less than 8 hours of training (through 
                classroom situations, seminars at professional society 
                meetings, electronic communications, or otherwise) that 
                is provided by the American Society of Addiction 
                Medicine, the American Academy of Addiction Psychiatry, 
                the American Medical Association, the American 
                Osteopathic Association, the American Psychiatric 
                Association, or any other organization that the 
                Secretary determines is appropriate for purposes of 
                this subclause. Such training shall address--
                            ``(aa) opioid maintenance and 
                        detoxification;
                            ``(bb) appropriate clinical use of all 
                        drugs approved by the Food and Drug 
                        Administration for the treatment of opioid use 
                        disorder;
                            ``(cc) initial and periodic patient 
                        assessments (including substance use 
                        monitoring);
                            ``(dd) individualized treatment planning; 
                        overdose reversal; relapse prevention;
                            ``(ee) counseling and recovery support 
                        services;
                            ``(ff) staffing roles and considerations;
                            ``(gg) diversion control; and
                            ``(hh) other best practices, as identified 
                        by the Secretary.''; and
                    (B) by adding at the end the following:
            ``(iii) The term `qualifying practitioner' means--
                    ``(I) a qualifying physician, as defined in clause 
                (ii); or
                    ``(II) during the period beginning on the date of 
                the enactment of the Opioid Use Disorder Treatment 
                Expansion and Modernization Act and ending on the date 
                that is 3 years after such date of enactment, a 
                qualifying other practitioner, as defined in clause 
                (iv).
            ``(iv) The term `qualifying other practitioner' means a 
        nurse practitioner or physician assistant who satisfies each of 
        the following:
                    ``(I) The nurse practitioner or physician assistant 
                is licensed under State law to prescribe schedule III, 
                IV, or V medications for the treatment of pain.
                    ``(II) The nurse practitioner or physician 
                assistant satisfies one or more of the following:
                            ``(aa) Has completed not fewer than 24 
                        hours of initial training addressing each of 
                        the topics listed in clause (ii)(IV) (through 
                        classroom situations, seminars at professional 
                        society meetings, electronic communications, or 
                        otherwise) provided by the American Society of 
                        Addiction Medicine, the American Academy of 
                        Addiction Psychiatry, the American Medical 
                        Association, the American Osteopathic 
                        Association, the American Nurses Credentialing 
                        Center, the American Psychiatric Association, 
                        the American Association of Nurse 
                        Practitioners, the American Academy of 
                        Physician Assistants, or any other organization 
                        that the Secretary determines is appropriate 
                        for purposes of this subclause.
                            ``(bb) Has such other training or 
                        experience as the Secretary determines will 
                        demonstrate the ability of the nurse 
                        practitioner or physician assistant to treat 
                        and manage opiate-dependent patients.
                    ``(III) The nurse practitioner or physician 
                assistant is supervised by or works in collaboration 
                with a qualifying physician, if the nurse practitioner 
                or physician assistant is required by State law to 
                prescribe medications for the treatment of opioid use 
                disorder in collaboration with or under the supervision 
                of a physician.
        The Secretary may review and update the requirements for being 
        a qualifying other practitioner under this clause.''; and
            (4) in subparagraph (H)--
                    (A) in clause (i), by inserting after subclause 
                (II) the following:
            ``(III) Such other elements of the requirements under this 
        paragraph as the Secretary determines necessary for purposes of 
        implementing such requirements.''; and
                    (B) by amending clause (ii) to read as follows:
    ``(ii) Not later than 1 year after the date of enactment of the 
Opioid Use Disorder Treatment Expansion and Modernization Act, the 
Secretary shall update the treatment improvement protocol containing 
best practice guidelines for the treatment of opioid-dependent patients 
in office-based settings. The Secretary shall update such protocol in 
consultation with experts in opioid use disorder research and 
treatment.''.
    (b) Recommendation of Revocation or Suspension of Registration in 
Case of Substantial Noncompliance.--The Secretary of Health and Human 
Services may recommend to the Attorney General that the registration of 
a practitioner be revoked or suspended if the Secretary determines, 
according to such criteria as the Secretary establishes by regulation, 
that a practitioner who is registered under section 303(g)(2) of the 
Controlled Substances Act (21 U.S.C. 823(g)(2)) is not in substantial 
compliance with the requirements of such section, as amended by this 
Act.
    (c) Opioid Defined.--Section 102(18) of the Controlled Substances 
Act (21 U.S.C. 802(18)) is amended by inserting ``or `opioid''' after 
``The term `opiate'''.
    (d) Reports to Congress.--
            (1) In general.--Not later than 2 years after the date of 
        enactment of this Act and not less than over every 5 years 
        thereafter, the Secretary of Health and Human Services, in 
        consultation with the Drug Enforcement Administration and 
        experts in opioid use disorder research and treatment, shall--
                    (A) perform a thorough review of the provision of 
                opioid use disorder treatment services in the United 
                States, including services provided in opioid treatment 
                programs and other specialty and nonspecialty settings; 
                and
                    (B) submit a report to the Congress on the findings 
                and conclusions of such review.
            (2) Contents.--Each report under paragraph (1) shall 
        include an assessment of--
                    (A) compliance with the requirements of section 
                303(g)(2) of the Controlled Substances Act (21 U.S.C. 
                823(g)(2)), as amended by this Act;
                    (B) the measures taken by the Secretary of Health 
                and Human Services to ensure such compliance;
                    (C) whether there is further need to increase or 
                decrease the number of patients a waivered practitioner 
                is permitted to treat, as provided for by the amendment 
                made by subsection (a)(1);
                    (D) the extent to which, and proportions with 
                which, the full range of Food and Drug Administration-
                approved treatments for opioid use disorder are used in 
                routine health care settings and specialty substance 
                use disorder treatment settings;
                    (E) access to, and use of, counseling and recovery 
                support services, including the percentage of patients 
                receiving such services;
                    (F) changes in State or local policies and 
                legislation relating to opioid use disorder treatment;
                    (G) the use of prescription drug monitoring 
                programs by practitioners who are permitted to dispense 
                narcotic drugs to individuals pursuant to a waiver 
                under section 303(g)(2) of the Controlled Substances 
                Act (21 U.S.C. 823(g)(2));
                    (H) the findings resulting from inspections by the 
                Drug Enforcement Administration of practitioners 
                described in subparagraph (G); and
                    (I) the effectiveness of cross-agency collaboration 
                between Department of Health and Human Services and the 
                Drug Enforcement Administration for expanding effective 
                opioid use disorder treatment.

SEC. 4. SENSE OF CONGRESS.

    It is the Sense of Congress that, with respect to the total number 
of patients that a qualifying physician (as defined in subparagraph 
(G)(iii) of section 303(g)(2) of the Controlled Substances Act (21 
U.S.C. 823(g)(2)) can treat at any one time pursuant to such section, 
the Secretary of Health and Human Services should consider raising such 
total number to 250 patients following a third notification to the 
Secretary of the need and intent of the physician to treat up to 250 
patients that is submitted to the Secretary not sooner than 1 year 
after the date on which the physician submitted to the Secretary a 
second notification to treat up to 100 patients.

SEC. 5. PARTIAL FILLS OF SCHEDULE II CONTROLLED SUBSTANCES.

    (a) In General.--Section 309 of the Controlled Substances Act (21 
U.S.C. 829) is amended by adding at the end the following:
    ``(f) Partial Fills of Schedule II Controlled Substances.--
            ``(1) Partial fills.--
                    ``(A) In general.--A prescription for a controlled 
                substance in schedule II may be partially filled if--
                            ``(i) it is not prohibited by State law;
                            ``(ii) the prescription is written and 
                        filled in accordance with the Controlled 
                        Substances Act (21 U.S.C. 801 et seq.), 
                        regulations prescribed by the Attorney General, 
                        and State law;
                            ``(iii) the partial fill is requested by 
                        the patient or the practitioner that wrote the 
                        prescription; and
                            ``(iv) the total quantity dispensed in all 
                        partial fillings does not exceed the total 
                        quantity prescribed.
                    ``(B) Other circumstances.--A prescription for a 
                controlled substance in schedule II may be partially 
                filled in accordance with section 1306.13 of title 21, 
                Code of Federal Regulations (as in effect on the date 
                of enactment of the Reducing Unused Medications Act of 
                2016).
            ``(2) Remaining portions.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), remaining portions of a partially 
                filled prescription for a controlled substance in 
                schedule II--
                            ``(i) may be filled; and
                            ``(ii) shall be filled not later than 30 
                        days after the date on which the prescription 
                        is written.
                    ``(B) Emergency situations.--In emergency 
                situations, as described in subsection (a), the 
                remaining portions of a partially filled prescription 
                for a controlled substance in schedule II--
                            ``(i) may be filled; and
                            ``(ii) shall be filled not later than 72 
                        hours after the prescription is issued.''.
    (b) Rule of Construction.--Nothing in this section shall be 
construed to affect the authority of the Attorney General to allow a 
prescription for a controlled substance in schedule III, IV, or V of 
section 202(c) of the Controlled Substances Act (21 U.S.C. 812(c)) to 
be partially filled.

            Passed the House of Representatives May 11, 2016.

            Attest:

                                                 KAREN L. HAAS,

                                                                 Clerk.

Output: Opioid Use Disorder Treatment Expansion and Modernization Act (Sec. 3) This bill amends the Controlled Substances Act to revise the requirements for a practitioner to administer, dispense, or prescribe narcotic drugs for maintenance or detoxification treatment in an office-based opioid treatment program. Currently, a practitioner must notify the Department of Health and Human Services (HHS) and certify that he or she is a qualifying physician (i.e., a state-licensed physician with certain expertise), has the capacity to refer patients for appropriate counseling and ancillary services, and will comply with a patient limit. The patient limit is how many patients the practitioner can treat under the office-based treatment program at one time. This legislation expands qualifying practitioners to include nurse practitioners and physician assistants who are licensed in a state, have expertise (such as relevant training or expertise), and prescribe medications for opioid use disorder in collaboration with or under the supervision of a qualifying physician if state law requires physician oversight of prescribing authority. Additionally, it requires a qualifying practitioner to also certify that he or she will comply with reporting requirements and has the capacity to provide directly or by referral, or in another manner prescribed by HHS, all drugs approved by the Food and Drug Administration to treat opioid use disorder. HHS may issue regulations to change the maximum patient limit for a qualifying practitioner. If HHS increases the limit, then a qualifying practitioner must additionally certify that he or she will obtain written consent from each patient regarding available treatment options. HHS must update the treatment improvement protocol containing best practice guidelines for the treatment of opioid-dependent patients in office-based settings. HHS may recommend revoking or suspending the registration of a practitioner who fails to comply with the requirements of this Act. (Sec. 4) The bill expresses the sense of Congress that HHS should consider raising from 100 to 250 the maximum patient limit for a qualifying physician. (Sec. 5) It amends the Controlled Substances Act to allow a pharmacist to partially fill a prescription for a schedule II controlled substance (such as a prescription opioid painkiller) if: (1) it is not prohibited by state law, (2) it is prescribed in accordance with existing laws and regulations, (3) it is requested by the patient or prescribing practitioner, and (4) the total quantity dispensed in partial fillings does not exceed the total quantity prescribed. Additionally, a pharmacist may partially fill a prescription for a schedule II controlled substance in other circumstances in accordance with existing Drug Enforcement Administration (DEA) regulations. (Current DEA regulations permit partial fills when a pharmacist cannot supply a full quantity, a patient resides in a long-term care facility, or a patient is terminally ill.) The remaining of a partially filled prescription may be filled within 30 days or, in the case of an emergency situation, within 72 hours.


Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Adult Day Center Enhancement Act''.

SEC. 2. FINDINGS.

    The Congress finds the following:
            (1) One in 6 people in the United States lives with a 
        neurological disease or condition that can often result in 
        disability, and which may require the individual to seek 
        assistance in carrying out the activities of daily living. 
        Neurological diseases or conditions such as multiple sclerosis 
        (MS), early-onset Parkinson's disease, and traumatic brain 
        injury (TBI) can also typically affect younger adults in the 
        middle of their lives.
            (2) Multiple sclerosis is a chronic, often disabling 
        disease that attacks the central nervous system with symptoms 
        ranging from numbness in limbs to paralysis and loss of vision. 
        Most people with MS are diagnosed between the ages of 20 and 50 
        years of age. MS is a leading cause of disability in young 
        adults. Persons living with MS who experience more severe forms 
        of the disease are likely to require either home care or 
        nursing home placement, though the vast majority would prefer 
        to remain at home to receive the care they need. Where home 
        care is concerned, approximately 80 percent of such care is 
        provided by unpaid caregivers who are generally family members.
            (3) Parkinson's disease is a chronic, progressive 
        neurological disease. The four primary symptoms of Parkinson's 
        disease are tremor, or trembling in hands, arms, legs, jaw, and 
        face; rigidity, or stiffness of the limbs and trunk; 
        bradykinesia, or slowness of movement; and postural 
        instability, or impaired balance and coordination. Other 
        symptoms may include cognitive changes; difficulty in 
        swallowing, chewing, and speaking; urinary problems or 
        constipation; skin problems; and sleep disruptions. As these 
        symptoms become more pronounced, patients may have difficulty 
        walking, talking, or completing other simple tasks. It is 
        estimated that nearly 500,000 to 1,500,000 people live with 
        Parkinson's and of those 5 to 10 percent are diagnosed younger 
        than 60 and deemed ``early-onset''.
            (4) Traumatic brain injury is a neurological condition that 
        typically results from a blow or jolt to the head or a 
        penetrating head injury and that can impact one or more parts 
        of the brain, thereby temporarily or permanently disrupting 
        normal brain function. The Centers for Disease Control and 
        Prevention estimates that 1,700,000 TBIs occur annually, 
        resulting in disabilities affecting up to 90,000 people among a 
        broad range of age groups. Traumatic brain injury is also a 
        serious issue that affects military servicemembers. Estimates 
        in prior military conflicts indicate that TBI was present in 
        14-20 percent of surviving casualties.
            (5) Family caregivers are a crucial source of support and 
        assistance for individuals suffering with disabilities. Family 
        caregivers, the majority of whom are women, provide an 
        estimated $470,000,000,000 in ``free'' services annually. The 
        supply of family caregivers is unlikely to keep pace with 
        future demand. The caregiver support ratio of potential 
        caregivers aged 45 to 64 for each person aged 80 and older, for 
        instance, is 7 to 1 in 2010, 4 to 1 in 2030, and 3 to 1 in 
        2050.
            (6) The majority of family caregivers (or 53 percent) are 
        caring for someone ages 18 to 74. Forty-seven percent of family 
        caregivers are caring for someone 75 or older.
            (7) Adult day programs can offer services, including 
        medical care, rehabilitation therapies, dignified assistance 
        with the activities of daily living, nutrition therapy, health 
        monitoring, social interaction, stimulating activities, and 
        transportation to seniors, people with disabilities, and 
        younger adults with chronic diseases.
            (8) Adult day programs geared toward people living with 
        neurological diseases or conditions such as MS, Parkinson's 
        disease, TBI, or other similar diseases or conditions provide 
        an important response to the needs of people living with these 
        conditions and their family caregivers. Adult day programs can 
        help to ameliorate symptoms, reduce dependency, provide 
        important socialization opportunities, and maintain quality of 
        life.
            (9) Adult day programs have been shown to provide a range 
        of documented benefits including improvements in functional 
        status, social support, and reductions in fatigue, depression 
        and pain. Adult day programs also reduce ongoing medical care 
        and hospital costs and decrease admissions to nursing home 
        facilities, which can be costly for many families, by allowing 
        individuals to receive health and social services while 
        continuing to live at home.
            (10) There are currently few adult day programs focused on 
        younger adult populations in the United States. Although young 
        people living with neurological diseases or conditions may be 
        able to access existing adult day programs, such programs are 
        not typically intended for younger adults living with chronic 
        diseases or conditions, and may not provide the appropriate 
        services to meet the age-related or disability status of these 
        individuals.

SEC. 3. ESTABLISHMENT OF ADULT DAY PROGRAMS.

    (a) Survey of Existing Adult Day Programs.--
            (1) In general.--Not later than 90 days after the date of 
        the enactment of this section, the Assistant Secretary for 
        Aging shall initiate a comprehensive survey of current adult 
        day programs that provide care and support to individuals 
        including young adults living with neurological diseases or 
        conditions such as multiple sclerosis, Parkinson's disease, 
        traumatic brain injury, or any similar disease or condition.
            (2) Survey elements.--In carrying out the survey under 
        paragraph (1), the Assistant Secretary for Aging may utilize 
        existing publicly available research on adult day programs, and 
        shall--
                    (A) identify ongoing successful adult day programs, 
                including by providing a brief description of how such 
                programs were initially established and funded;
                    (B) identify which adult day programs are serving 
                young adults living with neurological diseases or 
                conditions;
                    (C) develop a set of best practices to help guide 
                the establishment and replication of additional 
                successful adult day programs, including--
                            (i) program guidelines;
                            (ii) recommendations on the scope of 
                        services that should be provided to individuals 
                        with neurological diseases or conditions 
                        including young adults (which may include 
                        rehabilitation therapy, psychosocial support, 
                        social stimulation and interaction, and 
                        spiritual, educational, or other such 
                        services); and
                            (iii) performance goals and indicators to 
                        measure and analyze the outcomes generated by 
                        the services provided and to evaluate the 
                        overall success of the program; and
                    (D) evaluate the extent to which the Administration 
                for Community Living supports adult day programs, 
                either directly or indirectly, through current Federal 
                grant programs.
            (3) Report.--Not later than 180 days after initiating the 
        survey under paragraph (1), the Assistant Secretary for Aging 
        shall produce and make publicly available a summary report on 
        the results of the survey. Such report shall include each of 
        the elements described in paragraph (2).
    (b) Establishment of Grant Program.--
            (1) In general.--Not later than 90 days after producing the 
        report required by subsection (a)(3), the Assistant Secretary 
        for Aging shall establish within the Administration for 
        Community Living a competitive grant program for awarding 
        grants annually to eligible entities, based on the best 
        practices developed under subsection (a), to fund adult day 
        programs serving younger people with neurological diseases or 
        conditions.
            (2) Eligible entities.--In order to be eligible for a grant 
        under this subsection, an entity shall demonstrate the 
        following:
                    (A) Understanding of the special needs of younger 
                people living with neurological diseases or conditions 
                such as multiple sclerosis, Parkinson's disease, 
                traumatic brain injury, or other similar diseases or 
                conditions, including their functional abilities and 
                the potential complications across all types of cases 
                and stages of such diseases or conditions.
                    (B) Understanding of the issues experienced by 
                family caregivers who assist a family member with 
                neurological diseases or conditions such as multiple 
                sclerosis, Parkinson's disease, traumatic brain injury, 
                or other similar diseases or conditions.
                    (C) A capacity to provide the services recommended 
                by the best practices developed under subsection (a).
            (3) Additional selection requirement.--The Assistant 
        Secretary for Aging shall not award a grant to an entity under 
        this subsection if the amount of the award would constitute 
        more than 40 percent of the operating budget of the entity in 
        the fiscal year for which funds for the grant are authorized to 
        be expended. For purposes of this subsection, the fair market 
        value of annual in-kind contributions of equipment or services 
        shall be considered as part of the operating budget of the 
        entity.
            (4) Selection of grant recipients.--Not later than 90 days 
        after establishing the grant program under this subsection, the 
        Assistant Secretary for Aging shall award the first annual 
        series of grants under the program. In awarding grants under 
        this subsection, the Assistant Secretary should ensure, to the 
        extent practicable, a diverse geographic representation among 
        grant recipients and that, subject to the availability of 
        appropriations--
                    (A) a minimum of 5 entities are selected as grant 
                recipients for the first fiscal year for which such 
                grants are awarded;
                    (B) a minimum of 10 entities are selected as grant 
                recipients for the second such fiscal year;
                    (C) a minimum of 12 entities are selected as grant 
                recipients for the third such fiscal year; and
                    (D) a minimum of 15 entities are selected as grant 
                recipients for the fourth such fiscal year.
            (5) Report.--No later than 1 year after the initial award 
        of grants under this subsection, and annually thereafter, the 
        Assistant Secretary for Aging shall produce and make publicly 
        available a brief summary report on the grant program under 
        this section. Each such report shall include the following:
                    (A) A description of the adult day programs 
                receiving funding under this section, including the 
                amount of Federal funding awarded and the expected 
                outcomes of each program.
                    (B) A description of performance goals and 
                indicators to monitor the progress of grant recipients 
                in--
                            (i) responding to the needs of younger 
                        individuals living with neurological diseases 
                        or conditions such as multiple sclerosis, 
                        Parkinson's disease, traumatic brain injury, or 
                        other similar diseases or conditions; and
                            (ii) assisting the family caregivers of 
                        such individuals.
                    (C) Any plans for improving oversight and 
                management of the grant program.
    (c) Definitions.--In this Act:
            (1) The term ``adult day program'' means a program that 
        provides comprehensive and effective care and support services 
        to individuals living with neurological diseases or conditions 
        such as multiple sclerosis, Parkinson's disease, traumatic 
        brain injury, or other similar diseases or conditions that may 
        result in a functional or degenerative disability and to their 
        family caregivers and that may assist participants in ways 
        that--
                    (A) maintain or improve their functional abilities, 
                or otherwise help them adjust to their changing 
                functional abilities;
                    (B) prevent the onset of complications associated 
                with severe forms of the disease or condition;
                    (C) promote alternatives to placement in nursing 
                homes;
                    (D) reduce the strain on family caregivers taking 
                care of a family member living with such diseases or 
                conditions;
                    (E) focus on supporting the emotional, social, and 
                intellectual needs of a younger adult population; or
                    (F) address the needs of veterans living with such 
                diseases or conditions.
            (2) The term ``family caregiver'' means a family member or 
        foster parent who provides unpaid assistance (which may include 
        in-home monitoring, management, supervision, care and 
        treatment, or other similar assistance) to another adult family 
        member with a special need.
    (d) Authorization of Appropriations.--To carry out this section, in 
addition to amounts otherwise made available for such purpose, there 
are authorized to be appropriated, and to remain available until 
expended, the following:
            (1) $1,000,000 for fiscal year 2017.
            (2) $3,000,000 for fiscal year 2018.
            (3) $6,000,000 for fiscal year 2019.
            (4) $8,000,000 for fiscal year 2020.
            (5) $10,000,000 for fiscal year 2021.

Output: Adult Day Center Enhancement Act This bill requires the Administration on Aging (AOA) to initiate a comprehensive survey of current adult day programs that provide care and support to individuals with neurological diseases or conditions such as multiple sclerosis, Parkinson's disease, or traumatic brain injury. The AOA must identify ongoing successful adult day programs and which of these serve young adults with neurological conditions and develop best practices to guide the establishment of additional successful adult day programs. The AOA must award grants for adult day programs that serve younger people with neurological conditions. An &quot;adult day program&quot; is defined as a program that provides comprehensive care and support services to individuals with neurological conditions and to their family caregivers and that may assist participants in ways that:  maintain or improve their functional abilities or otherwise help them adjust to their changing functional abilities; prevent the onset of complications associated with severe forms of the condition; promote alternatives to placement in nursing homes; reduce the strain on family caregivers of individuals with neurological conditions; focus on supporting the emotional, social, and intellectual needs of a younger adult population; or address the needs of veterans with neurological conditions. 


Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Ocean and Coastal Mapping 
Integration Act''.

SEC. 2. ESTABLISHMENT OF PROGRAM.

    (a) In General.--The President, in coordination with the 
Interagency Committee on Ocean and Coastal Mapping and affected coastal 
states, shall establish a program to develop a coordinated and 
comprehensive Federal ocean and coastal mapping plan for the Great 
Lakes and coastal state waters, the territorial sea, the exclusive 
economic zone, and the continental shelf of the United States that 
enhances ecosystem approaches in decision-making for conservation and 
management of marine resources and habitats, establishes research and 
mapping priorities, supports the siting of research and other 
platforms, and advances ocean and coastal science.
    (b) Membership.--The Committee shall be comprised of high-level 
representatives of the Department of Commerce, through the National 
Oceanic and Atmospheric Administration, the Department of the Interior, 
the National Science Foundation, the Department of Defense, the 
Environmental Protection Agency, the Department of Homeland Security, 
the National Aeronautics and Space Administration, and other 
appropriate Federal agencies involved in ocean and coastal mapping.
    (c) Program Parameters.--In developing such a program, the 
President, through the Committee, shall--
            (1) identify all Federal and federally funded programs 
        conducting shoreline delineation and ocean or coastal mapping, 
        noting geographic coverage, frequency, spatial coverage, 
        resolution, and subject matter focus of the data and location 
        of data archives;
            (2) facilitate cost-effective, cooperative mapping efforts 
        that incorporate policies for contracting with non-governmental 
        entities among all Federal agencies conducting ocean and 
        coastal mapping, by increasing data sharing, developing 
        appropriate data acquisition and metadata standards, and 
        facilitating the interoperability of in situ data collection 
        systems, data processing, archiving, and distribution of data 
        products;
            (3) facilitate the adaptation of existing technologies as 
        well as foster expertise in new ocean and coastal mapping 
        technologies, including through research, development, and 
        training conducted among Federal agencies and in cooperation 
        with non-governmental entities;
            (4) develop standards and protocols for testing innovative 
        experimental mapping technologies and transferring new 
        technologies between the Federal Government, coastal state, and 
        non-governmental entities;
            (5) provide for the archiving, management, and distribution 
        of data sets through a national registry as well as provide 
        mapping products and services to the general public in service 
        of statutory requirements;
            (6) develop data standards and protocols consistent with 
        standards developed by the Federal Geographic Data Committee 
        for use by Federal, coastal state, and other entities in 
        mapping and otherwise documenting locations of federally 
        permitted activities, living and nonliving coastal and marine 
        resources, marine ecosystems, sensitive habitats, submerged 
        cultural resources, undersea cables, offshore aquaculture 
        projects, offshore energy projects, and any areas designated 
        for purposes of environmental protection or conservation and 
        management of living and nonliving coastal and marine 
        resources;
            (7) identify the procedures to be used for coordinating the 
        collection and integration of Federal ocean and coastal mapping 
        data with coastal state and local government programs;
            (8) facilitate, to the extent practicable, the collection 
        of real-time tide data and the development of hydrodynamic 
        models for coastal areas to allow for the application of V-
        datum tools that will facilitate the seamless integration of 
        onshore and offshore maps and charts;
            (9) establish a plan for the acquisition and collection of 
        ocean and coastal mapping data; and
            (10) set forth a timetable for completion and 
        implementation of the plan.

SEC. 3. INTERAGENCY COMMITTEE ON OCEAN AND COASTAL MAPPING.

    (a) In General.--The Administrator of the National Oceanic and 
Atmospheric Administration, within 30 days after the date of enactment 
of this Act, shall convene or utilize an existing interagency committee 
on ocean and coastal mapping to implement section 2.
    (b) Membership.--The committee shall be comprised of senior 
representatives from Federal agencies with ocean and coastal mapping 
and surveying responsibilities. The representatives shall be high-
ranking officials of their respective agencies or departments and, 
whenever possible, the head of the portion of the agency or department 
that is most relevant to the purposes of this Act. Membership shall 
include senior representatives from the National Oceanic and 
Atmospheric Administration, the Chief of Naval Operations, the United 
States Geological Survey, the Minerals Management Service, the National 
Science Foundation, the National Geospatial-Intelligence Agency, the 
United States Army Corps of Engineers, the Coast Guard, the 
Environmental Protection Agency, the Federal Emergency Management 
Agency, the National Aeronautics and Space Administration, and other 
appropriate Federal agencies involved in ocean and coastal mapping.
    (c) Co-chairmen.--The Committee shall be co-chaired by a 
representative of the Department of Commerce and a representative of 
the Department of the Interior.
    (d) Subcommittee.--The co-chairmen shall establish a subcommittee 
to carry out the day-to-day work of the Committee, comprised of senior 
representatives of any member agency of the committee. Working groups 
may be formed by the full Committee to address issues of short 
duration. The subcommittee shall be chaired by the representative from 
the National Oceanic and Atmospheric Administration. The chairmen of 
the Committee may create such additional subcommittees and working 
groups as may be needed to carry out the work of Committee.
    (e) Meetings.--The committee shall meet on a quarterly basis, but 
each subcommittee and each working group shall meet on an as-needed 
basis.
    (f) Coordination.--The committee shall coordinate activities when 
appropriate, with--
            (1) other Federal efforts, including the Digital Coast, 
        Geospatial One-Stop, and the Federal Geographic Data Committee;
            (2) international mapping activities;
            (3) coastal states;
            (4) user groups through workshops and other appropriate 
        mechanisms; and
            (5) representatives of nongovernmental entities.
    (g) Advisory Panel.--The Administrator may convene an ocean and 
coastal mapping advisory panel consisting of representatives from 
nongovernmental entities to provide input regarding activities of the 
committee in consultation with the interagency committee.

SEC. 4. BIENNIAL REPORTS.

    No later than 18 months after the date of enactment of this Act, 
and biennially thereafter, the co-chairmen of the Committee shall 
transmit to the Senate Committee on Commerce, Science, and 
Transportation, the Senate Committee on Energy and Natural Resources, 
and the House of Representatives Committee on Natural Resources a 
report detailing progress made in implementing this Act, including--
            (1) an inventory of ocean and coastal mapping data within 
        the territorial sea and the exclusive economic zone and 
        throughout the Continental Shelf of the United States, noting 
        the age and source of the survey and the spatial resolution 
        (metadata) of the data;
            (2) identification of priority areas in need of survey 
        coverage using present technologies;
            (3) a resource plan that identifies when priority areas in 
        need of modern ocean and coastal mapping surveys can be 
        accomplished;
            (4) the status of efforts to produce integrated digital 
        maps of ocean and coastal areas;
            (5) a description of any products resulting from 
        coordinated mapping efforts under this Act that improve public 
        understanding of the coasts and oceans, or regulatory decision-
        making;
            (6) documentation of minimum and desired standards for data 
        acquisition and integrated metadata;
            (7) a statement of the status of Federal efforts to 
        leverage mapping technologies, coordinate mapping activities, 
        share expertise, and exchange data;
            (8) a statement of resource requirements for organizations 
        to meet the goals of the program, including technology needs 
        for data acquisition, processing, and distribution systems;
            (9) a statement of the status of efforts to declassify data 
        gathered by the Navy, the National Geospatial-Intelligence 
        Agency, and other agencies to the extent possible without 
        jeopardizing national security, and make it available to 
        partner agencies and the public;
            (10) a resource plan for a digital coast integrated mapping 
        pilot project for the northern Gulf of Mexico that will--
                    (A) cover the area from the authorized coastal 
                counties through the territorial sea;
                    (B) identify how such a pilot project will leverage 
                public and private mapping data and resources, such as 
                the United States Geological Survey National Map, to 
                result in an operational coastal change assessment 
                program for the subregion;
            (11) the status of efforts to coordinate Federal programs 
        with coastal state and local government programs and leverage 
        those programs;
            (12) a description of efforts of Federal agencies to 
        increase contracting with nongovernmental entities; and
            (13) an inventory and description of any new Federal or 
        federally funded programs conducting shoreline delineation and 
        ocean or coastal mapping since the previous reporting cycle.

SEC. 5. PLAN.

    (a) In General.--Not later than 6 months after the date of 
enactment of this Act, the Administrator, in consultation with the 
Committee, shall develop and submit to the Congress a plan for an 
integrated ocean and coastal mapping initiative within the National 
Oceanic and Atmospheric Administration.
    (b) Plan Requirements.--The plan shall--
            (1) identify and describe all ocean and coastal mapping 
        programs within the agency, including those that conduct 
        mapping or related activities in the course of existing 
        missions, such as hydrographic surveys, ocean exploration 
        projects, living marine resource conservation and management 
        programs, coastal zone management projects, and ocean and 
        coastal observations and science projects;
            (2) establish priority mapping programs and establish and 
        periodically update priorities for geographic areas in 
        surveying and mapping across all missions of the National 
        Oceanic and Atmospheric Administration, as well as minimum data 
        acquisition and metadata standards for those programs;
            (3) encourage the development of innovative ocean and 
        coastal mapping technologies and applications, through research 
        and development through cooperative or other agreements with 
        joint or cooperative research institutes or centers and with 
        other nongovernmental entities;
            (4) document available and developing technologies, best 
        practices in data processing and distribution, and leveraging 
        opportunities with other Federal agencies, coastal states, and 
        nongovernmental entities;
            (5) identify training, technology, and other resource 
        requirements for enabling the National Oceanic and Atmospheric 
        Administration's programs, vessels, and aircraft to support a 
        coordinated ocean and coastal mapping program;
            (6) identify a centralized mechanism or office for 
        coordinating data collection, processing, archiving, and 
        dissemination activities of all such mapping programs within 
        the National Oceanic and Atmospheric Administration that meets 
        Federal mandates for data accuracy and accessibility and 
        designate a repository that is responsible for archiving and 
        managing the distribution of all ocean and coastal mapping data 
        to simplify the provision of services to benefit Federal and 
        coastal state programs; and
            (7) set forth a timetable for implementation and completion 
        of the plan, including a schedule for submission to the 
        Congress of periodic progress reports and recommendations for 
        integrating approaches developed under the initiative into the 
        interagency program.
    (c) NOAA Joint Ocean and Coastal Mapping Centers.--The 
Administrator may maintain and operate up to 3 joint ocean and coastal 
mapping centers, including a joint hydrographic center, which shall 
each be co-located with an institution of higher education. The centers 
shall serve as hydrographic centers of excellence and may conduct 
activities necessary to carry out the purposes of this Act, including--
            (1) research and development of innovative ocean and 
        coastal mapping technologies, equipment, and data products;
            (2) mapping of the United States Outer Continental Shelf 
        and other regions;
            (3) data processing for nontraditional data and uses;
            (4) advancing the use of remote sensing technologies, for 
        related issues, including mapping and assessment of essential 
        fish habitat and of coral resources, ocean observations, and 
        ocean exploration; and
            (5) providing graduate education and training in ocean and 
        coastal mapping sciences for members of the National Oceanic 
        and Atmospheric Administration Commissioned Officer Corps, 
        personnel of other agencies with ocean and coastal mapping 
        programs, and civilian personnel.
    (d) NOAA Report.--The Administrator shall continue developing a 
strategy for expanding contracting with nongovernmental entities to 
minimize duplication and take maximum advantage of nongovernmental 
capabilities in fulfilling the Administration's mapping and charting 
responsibilities. Within 120 days after the date of enactment of this 
Act, the Administrator shall transmit a report describing the strategy 
developed under this subsection to the Senate Committee on Commerce, 
Science, and Transportation, the Senate Committee on Energy and Natural 
Resources, and the House of Representatives Committee on Natural 
Resources.

SEC. 6. EFFECT ON OTHER LAWS.

    Nothing in this Act shall be construed to supersede or alter the 
existing authorities of any Federal agency with respect to ocean and 
coastal mapping.

SEC. 7. AUTHORIZATION OF APPROPRIATIONS.

    (a) In General.--In addition to the amounts authorized by section 
306 of the Hydrographic Services Improvement Act of 1998 (33 U.S.C. 
892d), there are authorized to be appropriated to the Administrator to 
carry out this Act--
            (1) $26,000,000 for fiscal year 2009;
            (2) $32,000,000 for fiscal year 2010;
            (3) $38,000,000 for fiscal year 2011; and
            (4) $45,000,000 for each of fiscal years 2012 through 2015.
    (b) Joint Ocean and Coastal Mapping Centers.--Of the amounts 
appropriated pursuant to subsection (a), the following amounts shall be 
used to carry out section 5(c) of this Act:
            (1) $11,000,000 for fiscal year 2009.
            (2) $12,000,000 for fiscal year 2010.
            (3) $13,000,000 for fiscal year 2011.
            (4) $15,000,000 for each of fiscal years 2012 through 2015.
    (c) Cooperative Agreements.--To carry out interagency activities 
under section 3 of this Act, the head of any department or agency may 
execute a cooperative agreement with the Administrator, including those 
authorized by section 5 of the Act of August 6, 1947 (33 U.S.C. 883e).

SEC. 8. DEFINITIONS.

    In this Act:
            (1) Administrator.--The term ``Administrator'' means the 
        Administrator of the National Oceanic and Atmospheric 
        Administration.
            (2) Coastal state.--The term ``coastal state'' has the 
        meaning given that term by section 304(4) of the Coastal Zone 
        Management Act of 1972 (16 U.S.C. 1453(4).
            (3) Committee.--The term ``Committee'' means the 
        Interagency Ocean and Coastal Mapping Committee described in 
        section 3.
            (4) Exclusive economic zone.--The term ``exclusive economic 
        zone'' means the exclusive economic zone of the United States 
        established by Presidential Proclamation No. 5030, of March 10, 
        1983.
            (5) Ocean and coastal mapping.--The term ``ocean and 
        coastal mapping'' means the acquisition, processing, and 
        management of physical, biological, geological, chemical, and 
        archaeological characteristics and boundaries of ocean and 
        coastal areas, resources, and sea beds through the use of 
        acoustics, satellites, aerial photogrammetry, light and 
        imaging, direct sampling, and other mapping technologies.
            (6) Territorial sea.--The term ``territorial sea'' means 
        the belt of sea measured from the baseline of the United States 
        determined in accordance with international law, as set forth 
        in Presidential Proclamation Number 5928, dated December 27, 
        1988.
            (7) Nongovernmental entities.--The term ``nongovernmental 
        entities'' includes nongovernmental organizations, members of 
        the academic community, and private sector organizations that 
        provide products and services associated with measuring, 
        locating, and preparing maps, charts, surveys, aerial 
        photographs, satellite images, or other graphical or digital 
        presentations depicting natural or manmade physical features, 
        phenomena, and legal boundaries of the Earth.
            (8) Outer continental shelf.--The term ``Outer Continental 
        Shelf'' means all submerged lands lying seaward and outside of 
        lands beneath navigable waters (as that term is defined in 
        section 2 of the Submerged Lands Act (43 U.S.C. 1301)), and of 
        which the subsoil and seabed appertain to the United States and 
        are subject to its jurisdiction and control.


Output: Ocean and Coastal Mapping Integration Act - Directs the President to establish a a program to develop a coordinated and comprehensive federal ocean and coastal mapping program for the Great Lakes and coastal state waters, the territorial sea, the exclusive economic zone, and the U.S. continental shelf that enhances ecosystem approaches in decision-making for conservation and management of marine resources and habitats, establishes research and mapping priorities, supports the siting of research and other platforms, and advances ocean and coastal science.

Directs the Administrator of the National Oceanic and Atmospheric Administration (NOAA) to convene or use an existing interagency committee on ocean and coastal mapping to implement such program and to coordinate federal ocean and coastal mapping and surveying activities with other federal efforts (including the Digital Coast, Geospatial One-Stop, and the Federal Geographic Data Committee), international mapping activities, coastal states, user groups, and nongovernmental entities. Authorizes the Administrator to convene an ocean and coastal mapping advisory panel consisting of representatives from nongovernmental entities to provide input regarding activities of the committee.

Directs the Administrator to develop a plan for an integrated ocean and coastal mapping initiative within NOAA that: (1) identifies all ocean and coastal mapping programs within NOAA, establishing priorities; (2) encourages the development of innovative ocean and coastal mapping technologies and applications; and (3) documents available and developing technologies, best practices in data processing and distribution, and leveraging opportunities with other federal agencies, coastal states, and nongovernmental entities.

Authorizes the Administrator to establish joint ocean and coastal mapping centers of excellence (including a joint hydrographic center) in institutions of higher education to conduct specified activities, including: (1) research and development of innovative ocean and coastal mapping technologies, equipment, and data products; and (2) mapping of the U.S. outer continental shelf. Requires the Administrator to continue developing a strategy for expanding contracting with nongovernmental entities.