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. TRANSITIONAL HOUSING ASSISTANCE GRANTS FOR CHILD VICTIMS OF 
              DOMESTIC VIOLENCE, STALKING, OR SEXUAL ASSAULT.

    Subtitle B of the Violence Against Women Act of 1994 (42 U.S.C. 
13701 note; 108 Stat. 1925) is amended by adding at the end the 
following:

``CHAPTER 11--TRANSITIONAL HOUSING ASSISTANCE GRANTS FOR CHILD VICTIMS 
           OF DOMESTIC VIOLENCE, STALKING, OR SEXUAL ASSAULT

``SEC. 40299. TRANSITIONAL HOUSING ASSISTANCE GRANTS FOR CHILD VICTIMS 
              OF DOMESTIC VIOLENCE, STALKING, OR SEXUAL ASSAULT.

    ``(a) In General.--The Attorney General, acting in consultation 
with the Director of the Violence Against Women Office of the 
Department of Justice, shall award grants under this section to States, 
units of local government, Indian tribes, and other organizations 
(referred to in this section as the `recipient') to carry out programs 
to provide assistance to minors, adults, and their dependents--
            ``(1) who are homeless, or in need of transitional housing 
        or other housing assistance, as a result of fleeing a situation 
        of domestic violence; and
            ``(2) for whom emergency shelter services or other crisis 
        intervention services are unavailable or insufficient.
    ``(b) Grants.--Grants awarded under this section may be used for 
programs that provide--
            ``(1) short-term housing assistance, including rental or 
        utilities payments assistance and assistance with related 
        expenses such as payment of security deposits and other costs 
        incidental to relocation to transitional housing for persons 
        described in subsection (a); and
            ``(2) support services designed to enable a minor, an 
        adult, or a dependent of such minor or adult, who is fleeing a 
        situation of domestic violence to--
                    ``(A) locate and secure permanent housing; and
                    ``(B) integrate into a community by providing that 
                minor, adult, or dependent with services, such as 
                transportation, counseling, child care services, case 
                management, employment counseling, and other 
                assistance.
    ``(c) Duration.--
            ``(1) In general.--Except as provided in paragraph (2), a 
        minor, an adult, or a dependent, who receives assistance under 
        this section shall receive that assistance for not more than 18 
        months.
            ``(2) Waiver.--The recipient of a grant under this section 
        may waive the restriction under paragraph (1) for not more than 
        an additional 6 month period with respect to any minor, adult, 
        or dependent, who--
                    ``(A) has made a good-faith effort to acquire 
                permanent housing; and
                    ``(B) has been unable to acquire permanent housing.
    ``(d) Application.--
            ``(1) In general.--Each eligible entity desiring a grant 
        under this section shall submit an application to the Attorney 
        General at such time, in such manner, and accompanied by such 
        information as the Attorney General may reasonably require.
            ``(2) Contents.--Each application submitted pursuant to 
        paragraph (1) shall--
                    ``(A) describe the activities for which assistance 
                under this section is sought; and
                    ``(B) provide such additional assurances as the 
                Attorney General determines to be essential to ensure 
                compliance with the requirements of this section.
            ``(3) Application.--Nothing in this subsection shall be 
        construed to require--
                    ``(A) victims to participate in the criminal 
                justice system in order to receive services; or
                    ``(B) domestic violence advocates to breach client 
                confidentiality.
    ``(e) Report to the Attorney General.--
            ``(1) In general.--A recipient of a grant under this 
        section shall annually prepare and submit to the Attorney 
        General a report describing--
                    ``(A) the number of minors, adults, and dependents 
                assisted under this section; and
                    ``(B) the types of housing assistance and support 
                services provided under this section.
            ``(2) Contents.--Each report prepared and submitted 
        pursuant to paragraph (1) shall include information regarding--
                    ``(A) the amount of housing assistance provided to 
                each minor, adult, or dependent, assisted under this 
                section and the reason for that assistance;
                    ``(B) the number of months each minor, adult, or 
                dependent, received assistance under this section;
                    ``(C) the number of minors, adults, and dependents 
                who--
                            ``(i) were eligible to receive assistance 
                        under this section; and
                            ``(ii) were not provided with assistance 
                        under this section solely due to a lack of 
                        available housing; and
                    ``(D) the type of support services provided to each 
                minor, adult, or dependent, assisted under this 
                section.
    ``(f) Report to Congress.--
            ``(1) Reporting requirement.--The Attorney General, with 
        the Director of the Violence Against Women Office, shall 
        annually prepare and submit to the Committee on the Judiciary 
        of the House of Representatives and the Committee on the 
        Judiciary of the Senate a report that contains a compilation of 
        the information contained in the report submitted under 
        subsection (e).
            ``(2) Availability of report.--In order to coordinate 
        efforts to assist the victims of domestic violence, the 
        Attorney General, in coordination with the Director of the 
        Violence Against Women Office, shall transmit a copy of the 
        report submitted under paragraph (1) to--
                    ``(A) the Office of Community Planning and 
                Development at the United States Department of Housing 
                and Urban Development; and
                    ``(B) the Office of Women's Health at the United 
                States Department of Health and Human Services.
    ``(g) Authorization of Appropriations.--
            ``(1) In general.--There are authorized to be appropriated 
        to carry out this section $30,000,000 for each of the fiscal 
        years 2004 through 2008.
            ``(2) Limitations.--Of the amount made available to carry 
        out this section in any fiscal year, not more than 3 percent 
        may be used by the Attorney General for salaries and 
        administrative expenses.
            ``(3) Minimum amount.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), unless all eligible applications 
                submitted by any States, units of local government, 
                Indian tribes, or organizations within a State for a 
                grant under this section have been funded, that State, 
                together with the grantees within the State (other than 
                Indian tribes), shall be allocated in each fiscal year, 
                not less than 0.75 percent of the total amount 
                appropriated in the fiscal year for grants pursuant to 
                this section.
                    ``(B) Exception.--The United States Virgin Islands, 
                American Samoa, Guam, and the Northern Mariana Islands 
                shall each be allocated not less than 0.25 percent of 
                the total amount appropriated in the fiscal year for 
                grants pursuant to this section.''.

Output: Amends the Violence Against Women Act of 1994 to require the Attorney General to award grants to States, units of local government, Indian tribes, and other organizations to carry out programs to provide short-term housing assistance and related support services to minors, adults, and their dependents: (1) who are homeless, or in need of transitional housing or other housing assistance, as a result of fleeing a situation of domestic violence; and (2) for whom emergency shelter services or other crisis intervention services are unavailable or insufficient.

Limits the duration of such assistance to an 18-month period, except that a grant recipient may extend such assistance for an additional six-month period with respect to any minor, adult, or dependent who has been unable to acquire permanent housing despite a good-faith effort to do so.


Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Middle Class Flexible Savings Act of 
1993''.

SEC. 2. HIGHER MAXIMUM IRA DEDUCTION AND INCOME PHASEOUT LIMITS; 
              INFLATION ADJUSTMENT OF MAXIMUM IRA DEDUCTION AND 
              PHASEOUT LIMITS.

    (a) Higher Maximum IRA Deduction.--
            (1) In general.--The following provisions of the Internal 
        Revenue Code of 1986 are each amended by striking ``$2,000'' 
        and inserting ``$3,000'':
                    (A) Subsections (b)(1)(A) and (c)(2) of section 
                219.
                    (B) Subsections (a)(1), (b), and (j) of section 
                408.
            (2) Conforming amendment.--Sections 219(c)(2) and 408(d)(5) 
        are each amended by striking ``$2,250'' and inserting 
        ``$3,500''.
    (b) Higher Income Phaseout Limits.--
            (1) Subparagraph (B) of section 219(g)(3) of such Code is 
        amended--
                    (A) by striking ``$40,000'' and inserting 
                ``$50,000'', and
                    (B) by striking ``$25,000'' and inserting 
                ``$30,000''.
            (2) Clause (ii) of section 219(g)(2)(A) of such Code is 
        amended to read as follows:
                            ``(ii) $12,000.''
    (c) Inflation Adjustment of Maximum IRA Deduction and Income 
Phaseout Limits.--Section 219 of such Code is amended by inserting 
after subsection (f) the following new subsection:
    ``(g) Inflation Adjustment of Maximum Deduction and Income Phaseout 
Limits.--
            ``(1) In general.--In the case of any taxable year 
        beginning in a calendar year after 1993, each applicable dollar 
        amount shall be increased by an amount equal to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment under section 
                1(f)(3) for the calendar year in which the taxable year 
                begins, determined by substituting `calendar year 1992' 
                for `calendar year 1989' in subparagraph (B) thereof.
            ``(2) Applicable dollar amount.--For purposes of paragraph 
        (1), the term `applicable dollar amount' means--
                    ``(A) the $3,000 amount in subsections (b)(1)(A), 
                (c)(2), and (c)(3) of this section and in subsections 
                (a)(1), (b), and (j) of section 408,
                    ``(B) the $3,500 amount in subsection (c)(2) of 
                this section and in section 408(d)(5),
                    ``(C) the $50,000 and $30,000 amounts in subsection 
                (g)(3)(B), and
                    ``(D) the $12,000 amount in subsection 
                (g)(2)(A)(ii).
            ``(3) Rounding.--If any amount as adjusted under paragraph 
        (1) is not a multiple of $50, such amount shall be rounded to 
        the nearest multiple of $50 (or, if such amount is a multiple 
        of $25 and not of $50, such amount shall be rounded to the next 
        highest multiple of $50).''
    (d) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 1992.

SEC. 3. IRA FOR NONWORKING SPOUSE WITH YOUNG CHILDREN COMPUTED ON BASIS 
              OF COMPENSATION OF BOTH SPOUSES.

    (a) In General.--Subsection (c) of section 219 of the Internal 
Revenue Code of 1986 (relating to special rules for certain married 
individuals) is amended by adding at the end thereof the following new 
paragraph:
            ``(3) Higher limit for spouse with young children.--
                    ``(A) In general.--In the case of a qualifying 
                spouse, the amount allowable as a deduction under 
                paragraph (1) shall not exceed the lesser of--
                            ``(i) $3,000, or
                            ``(ii) the sum of--
                                    ``(I) the compensation includible 
                                in such individual's gross income for 
                                the taxable year, plus
                                    ``(II) the compensation includible 
                                in the gross income of such 
                                individual's spouse for the taxable 
                                year reduced by the amount allowable as 
                                a deduction under subsection (a) to 
                                such spouse for such taxable year.
                    ``(B) Qualifying spouse.--For purposes of 
                subparagraph (A), the term `qualifying spouse' means 
                any spouse of an individual if--
                            ``(i) such individual and spouse file a 
                        joint return for the taxable year,
                            ``(ii) such spouse has less than $1,000 of 
                        compensation (determined without regard to 
                        section 911) for the taxable year, and
                            ``(iii) such spouse has a child (as defined 
                        in section 151(c)(3)) who has not attained age 
                        6 as of the close of such taxable year and who 
                        is a dependent (as defined in section 152) of 
                        the taxpayer for such year.''
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 1992.

SEC. 4. PENALTY-FREE WITHDRAWALS FROM CERTAIN PLANS TO PAY EDUCATIONAL 
              EXPENSES, MEDICAL EXPENSES, AND BUSINESS START-UP 
              EXPENSES.

    (a) Educational Expenses and Business Start-up Expenses.--
            (1) In general.--Paragraph (2) of section 72(t) of the 
        Internal Revenue Code of 1986 (relating to exceptions to 10-
        percent additional tax on early distributions from qualified 
        retirement plans) is amended by adding at the end thereof the 
        following new subparagraph:
                    ``(D) Distributions from certain plans for 
                educational expenses and business start-up expenses.--
                            ``(i) In general.--Distributions to an 
                        individual from an individual retirement plan, 
                        or from amounts attributable to employer 
                        contributions made pursuant to elective 
                        deferrals described in subparagraph (A) or (C) 
                        of section 402(g)(3) or section 
                        501(c)(18)(D)(iii) to the extent such 
                        distributions do not exceed the sum of--
                                    ``(I) the qualified higher 
                                education expenses (as defined in 
                                paragraph (6)) of the taxpayer for the 
                                taxable year, and
                                    ``(II) the start-up expenditures 
                                (as defined in section 195(c)) of the 
                                taxpayer for the taxable year.
                            ``(ii) Adjusted gross income limit.--Clause 
                        (i) shall apply to distributions from an 
                        individual retirement plan only if the adjusted 
                        gross income of the distributee for the taxable 
                        year in which the distribution occurs does not 
                        exceed--
                                    ``(I) $60,000 in the case of an 
                                unmarried individual,
                                    ``(II) $70,000 in the case of a 
                                joint return, and
                                    ``(III) $35,000 in the case of a 
                                married individual filing a separate 
                                return.''
            (2) Qualified higher education expenses defined.--Section 
        72(t) of such Code is amended by adding at the end thereof the 
        following new paragraph:
            ``(6) Qualified higher education expenses.--For purposes of 
        paragraph (2)(D)--
                    ``(A) In general.--The term `qualified higher 
                education expenses' means tuition, fees, books, 
                supplies, and equipment required for the enrollment or 
                attendance of--
                            ``(i) the taxpayer,
                            ``(ii) the taxpayer's spouse, or
                            ``(iii) a child (as defined in section 
                        151(c)(3)) of the taxpayer,
                at an eligible educational institution (as defined in 
                section 135(c)(3)).
                    ``(B) Coordination with savings bond provisions.--
                The amount of qualified higher education expenses for 
                any taxable year shall be reduced by any amount 
                excludable from gross income under section 135.''
    (b) Catastrophic Illness Expenses.--Subparagraph (A) of section 
72(t)(3) of such Code is amended to read as follows:
                    ``(A) Certain exceptions not to apply to individual 
                retirement plans.--
                            ``(i) In general.--Except as provided in 
                        clause (ii), subparagraphs (A)(v), (B), and (C) 
                        of paragraph (2) shall not apply to 
                        distributions from an individual retirement 
                        plan.
                            ``(ii) Distributions for medical expenses 
                        from certain individual retirement plans.--
                        Subparagraph (B) of paragraph (2) shall apply 
                        to distributions from an individual retirement 
                        plan if the adjusted gross income of the 
                        distributee for the taxable year in which the 
                        distribution occurs does not exceed the 
                        applicable limitation under paragraph (2)(D).''
    (c) Conforming Amendments.--
            (1) Section 401(k)(2)(B)(i) of such Code is amended by 
        striking ``or'' at the end of subclause (III), by striking 
        ``and'' at the end of subclause (IV) and inserting ``or'', and 
        by inserting after subclause (IV) the following new subclause:
                                    ``(V) the date on which 
                                distributions for qualified higher 
                                education expenses (as defined in 
                                section 72(t)(6)) or start-up expenses 
                                (as defined in section 195(c)) are 
                                made, and''.
            (2) Section 403(b)(11) of such Code is amended by striking 
        ``or'' at the end of subparagraph (A), by striking the period 
        at the end of subparagraph (B) and inserting ``, or'', and by 
        inserting after subparagraph (B) the following new 
        subparagraph:
                    ``(C) for the payment of qualified higher education 
                expenses (as defined in section 72(t)(6)) or start-up 
                expenses (as defined in section 195(c)).''
    (d) Effective Date.--The amendments made by this section shall 
apply to payments and distributions after the date of the enactment of 
this Act.


Output: Middle Class Flexible Savings Act of 1993 - Amends the Internal Revenue Code to increase the retirement savings deduction and the maximum individual retirement account contribution from $2,000 to $3,000.  Raises income phase-out limits.  Provides an inflation adjustment for such amounts. 
Allows higher retirement savings deductions for nonworking spouses in households with one or more children under the age of six. 
Allows penalty-free distributions from certain retirement plans for:  (1) qualified higher education expenses of the taxpayer, spouse, or child; (2) business start-up expenditures; and (3) medical expenses. Limits such distributions to individuals whose adjusted gross income does not exceed:  $60,000 in the case of an unmarried individual, $70,000 in the case of a joint return, and $35,000 in the case of married individuals filing separately.