TASK DEFINITION: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Children's Health Insurance for 
Long-Term Development Act of 1996''.

SEC. 2. PURPOSE.

    The purpose of this act is to provide health insurance coverage for 
children during the Infant Neurological Risk Exposure Period (INREP). 
The INREP extends through age 3 and encompasses the period of most 
rapid neurological changes in young children. Health coverage will 
improve children's health and, through routine health supervision, 
promote parents' caregiving skills through these critical years.

SEC. 3. FINDINGS.

    Congress finds that--
            (1) 86 percent of children with private health insurance 
        are under-insured with respect to well-child care;
            (2) because the human brain develops rapidly until the age 
        of 3, children need regular screenings and follow-up care to 
        detect neurological abnormalities and ensure normal 
        development;
            (3) regular pediatric visits enable physicians to provide 
        guidance on parental activities, such as reading, that 
        stimulate the brain development of infants; and
            (4) children deserve health care coverage that promotes 
        normal brain and nervous system development.

SEC. 4. DEFINITIONS.

    As used in this Act:
            (1) Beneficiary.--The term ``beneficiary'' has the meaning 
        given such term under section 3(8) of the Employee Retirement 
        Income Security Act of 1974 (29 U.S.C. 1002(8)).
            (2) Child.--The term ``child'' means an individual who is 
        age 3 or younger.
            (3) Employee health benefit plan.--
                    (A) In general.--The term ``employee health benefit 
                plan'' means any employee welfare benefit plan, 
governmental plan, or church plan (as defined under paragraphs (1), 
(32), and (33) of section 3 of the Employee Retirement Income Security 
Act of 1974 (29 U.S.C. 1002 (1), (32), and (33))) that provides or pays 
for health benefits (such as provider and hospital benefits) for 
participants and beneficiaries whether--
                            (i) directly;
                            (ii) through a health plan offered by a 
                        health plan issuer as defined in paragraph (6); 
                        or
                            (iii) otherwise.
                    (B) Rule of construction.--An employee health 
                benefit plan shall not be construed to be a health plan 
                or a health plan issuer.
                    (C) Arrangements not included.--Such term does not 
                include the following, or any combination thereof:
                            (i) Coverage only for accident, or 
                        disability income insurance, or any combination 
                        thereof.
                            (ii) Medicare supplemental health insurance 
                        (as defined under section 1882(g)(1) of the 
                        Social Security Act (42 U.S.C. 1395ss(g)(1))).
                            (iii) Coverage issued as a supplement to 
                        liability insurance.
                            (iv) Liability insurance, including general 
                        liability insurance and automobile liability 
                        insurance.
                            (v) Workers' compensation or similar 
                        insurance.
                            (vi) Automobile medical payment insurance.
                            (vii) Coverage for a specified disease or 
                        illness.
                            (viii) Hospital or fixed indemnity 
                        insurance.
                            (ix) Short-term limited duration insurance.
                            (x) Credit-only, dental-only, or vision-
                        only insurance.
                            (xi) A health insurance policy providing 
                        benefits only for long-term care, nursing home 
care, home health care, community-based care, or any combination 
thereof.
            (4) Group purchaser.--The term ``group purchaser'' means 
        any person (as defined in section 3(9) of the Employee 
        Retirement Income Security Act of 1974 (29 U.S.C. 1002(9))) or 
        entity that purchases or pays for health benefits (such as 
        provider or hospital benefits) on behalf of participants or 
        beneficiaries in connection with an employee health benefit 
        plan.
            (5) Health plan.--
                    (A) In general.--The term ``health plan'' means any 
                group health plan or individual health plan.
                    (B) Group health plan.--The term ``group health 
                plan'' means any contract, policy, certificate, or 
                other arrangement offered by a health plan issuer to a 
                group purchaser that provides or pays for health 
                benefits (such as provider and hospital benefits) in 
                connection with an employee health benefit plan.
                    (C) Individual health plan.--The term ``individual 
                health plan'' means any contract, policy, certificate, 
                or other arrangement offered by a health plan issuer to 
                individuals that provides or pays for health benefits 
                (such as provider and hospital benefits) and that is 
                not a group health plan.
                    (D) Arrangements not included.--Such term does not 
                include the following, or any combination thereof:
                            (i) Coverage only for accident, or 
                        disability income insurance, or any combination 
                        thereof.
                            (ii) Medicare supplemental health insurance 
                        (as defined under section 1882(g)(1) of the 
                        Social Security Act).
                            (iii) Coverage issued as a supplement to 
                        liability insurance.
                            (iv) Liability insurance, including general 
                        liability insurance and automobile liability 
                        insurance.
                            (v) Workers' compensation or similar 
                        insurance.
                            (vi) Automobile medical payment insurance.
                            (vii) Coverage for a specified disease or 
                        illness.
                            (viii) Hospital or fixed indemnity 
                        insurance.
                            (ix) Short-term limited duration insurance.
                            (x) Credit-only, dental-only, or vision-
                        only insurance.
                            (xi) A health insurance policy providing 
                        benefits only for long-term care, nursing home 
                        care, home health care, community-based care, 
                        or any combination thereof.
                    (E) Certain plans included.--Such term includes any 
                plan or arrangement not described in any clause of 
                subparagraph (D) that provides for benefit payments, on 
                a periodic basis, for--
                            (i) a specified disease or illness; or
                            (ii) a period of hospitalization;
                without regard to the costs incurred or services 
                rendered during the period to which the payments 
                relate.
            (6) Health plan issuer.--The term ``health plan issuer'' 
        means any entity that is licensed (prior to or after the date 
        of enactment of this Act) by a State to offer a health plan.
            (7) Participant.--The term ``participant'' has the meaning 
        given such term under section 3(7) of the Employee Retirement 
        Income Security Act of 1974 (29 U.S.C. 1002(7)).
            (8) Secretary.--The term ``Secretary'' unless otherwise 
        specified means the Secretary of Labor.

SEC. 5. REQUIRED HEALTH CARE COVERAGE FOR CHILDREN.

    (a) In General.--Except as provided in subsection (b), a health 
plan or an employee health benefit plan shall ensure that coverage is 
provided with respect to a child who is a beneficiary under such plan 
for all medically necessary health care and related services, 
including--
            (1) appropriate screening services at intervals that meet 
        reasonable standards of medical and dental practice;
            (2) all appropriate immunizations;
            (3) necessary case management, transportation, and 
        scheduling assistance; and
            (4) such other necessary health care, diagnostic services, 
        treatment, and other measures to correct or ameliorate defects 
        and physical and mental illnesses and conditions discovered by 
        the screening services, whether or not such services are 
        covered for participants or policyholders under the plan.
    (b) Exception.--Notwithstanding subsection (a), a health plan or an 
employee health benefit plan shall not be required to provide coverage 
for health care and related services that are not safe, are not 
effective, or are experimental.

SEC. 6. PROHIBITIONS.

    In implementing the requirements of this Act, a health plan or an 
employee health benefit plan may not use a service limitation, 
including a lifetime benefit limit, of the plan to deny medically 
necessary health care and related services described in section 4 to a 
child.

SEC. 7. NOTICE.

    (a) Employee Health Benefit Plan.--An employee health benefit plan 
shall provide conspicuous notice to each participant regarding coverage 
required under this Act not later than 120 days after the date of 
enactment of this Act, and as part of its summary plan description.
    (b) Health Plan.--A health plan shall provide notice to each 
policyholder regarding coverage required under this Act. Such notice 
shall be in writing, prominently positioned, and be transmitted--
            (1) in a mailing made within 120 days after the date of 
        enactment of this Act by such plan to the policyholder; and
            (2) as part of the annual informational packet sent to the 
        policyholder.

SEC. 8. APPLICABILITY.

    (a) Construction.--
            (1) In general.--A requirement or standard imposed under 
        this Act on a health plan shall be deemed to be a requirement 
        or standard imposed on the health plan issuer. Such 
        requirements or standards shall be enforced by the State 
        insurance commissioner for the State involved or the official 
        or officials designated by the State to enforce the 
        requirements of this Act. In the case of a health plan offered 
        by a health plan issuer in connection with an employee health 
        benefit plan, the requirements or standards imposed under this 
        Act shall be enforced with respect to the health plan issuer by 
        the State insurance commissioner for the State involved or the 
        official or officials designated by the State to enforce the 
        requirements of this Act.
            (2) Limitation.--Except as provided in section 8(c), the 
        Secretary shall not enforce the requirements or standards of 
        this Act as they relate to health plan issuers or health plans. 
        In no case shall a State enforce the requirements or standards 
        of this Act as they relate to employee health benefit plans.
    (b) Rule of Construction.--Nothing in this Act shall be construed 
to affect or modify the provisions of section 514 of the Employee 
Retirement Income Security Act of 1974 (29 U.S.C. 1144).

SEC. 9. ENFORCEMENT.

    (a) Health Plan Issuers.--Each State shall require that each health 
plan issued, sold, renewed, offered for sale or operated in such State 
by a health plan issuer meet the standards established under this Act. 
A State shall submit such information as required by the Secretary 
demonstrating effective implementation of the requirements of this Act.
    (b) Employee Health Benefit Plans.--With respect to employee health 
benefit plans, the standards established under this Act shall be 
enforced in the same manner as provided for under sections 502, 504, 
506, and 510 of the Employee Retirement Income Security Act of 1974 (29 
U.S.C. 1132, 1134, 1136, and 1140). The civil penalties contained in 
paragraphs (1) and (2) of section 502(c) of such Act (29 U.S.C. 1132(c) 
(1) and (2)) shall apply to any information required by the Secretary 
to be disclosed and reported under this section.
    (c) Failure To Enforce.--In the case of the failure of a State to 
substantially enforce the standards and requirements set forth in this 
Act with respect to health plans, the Secretary, in consultation with 
the Secretary of Health and Human Services, shall enforce the standards 
of this Act in such State. In the case of a State that fails to 
substantially enforce the standards set forth in this Act, each health 
plan issuer operating in such State shall be subject to civil 
enforcement as provided for under sections 502, 504, 506, and 510 of 
the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1132, 
1134, 1136, and 1140). The civil penalties contained in paragraphs (1) 
and (2) of section 502(c) of such Act (29 U.S.C. 1132(c)(1) and (2)) 
shall apply to any information required by the Secretary to be 
disclosed and reported under this section.
    (d) Regulations.--The Secretary, in consultation with the Secretary 
of Health and Human Services, may promulgate such regulations as may be 
necessary or appropriate to carry out this Act.

SEC. 10. PREEMPTION.

    (a) In General.--The provisions of sections 4, 5, and 6 shall not 
preempt a State law or regulation--
            (1) that provides greater protections to patients or 
        policyholders than those required in this Act; or
            (2) that requires health plans to provide coverage for 
        pediatric care in accordance with guidelines established by the 
        American Academy of Pediatrics or other established 
        professional medical associations.
    (b) Employee Health Benefit Plans.--Nothing in this section affects 
the application of this Act to employee health benefit plans, as 
defined in section 2(3).

SEC. 11. EFFECTIVE DATE.

    Except as otherwise provided for in this Act, the provisions of 
this Act shall apply as follows:
            (1) With respect to health plans, such provisions shall 
        apply to such plans on the first day of the contract year 
        beginning on or after June 1, 1997.
            (2) With respect to employee health benefit plans, such 
        provisions shall apply to such plans on the first day of the 
        first plan year beginning on or after June 1, 1997.

SOLUTION: Children's Health Insurance for Long-Term Development Act of 1996 -   Requires health plans and employee health benefit plans to ensure coverage of all medically necessary health care and related services for children during the Infant Neurological Risk Exposure Period (INREP), which extends through age three and encompasses the period of most rapid neurological changes in young children. Prohibits health plans from using a service limitation, including a lifetime benefit limit, to deny medically necessary health care and related services to a child. 
Sets forth enforcement provisions.

PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Secure Embassy Construction and 
Counterterrorism Act of 1999''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) On August 17, 1998, two United States embassies in 
        Nairobi, Kenya, and in Dar Es Salaam, Tanzania, were destroyed 
        by simultaneously exploding bombs. The resulting explosions 
        killed 220 persons and injured more than 4,000 others. Twelve 
        Americans and 40 Kenyan and Tanzanian employees of the United 
        States Foreign Service were killed in the attack.
            (2) The United States personnel in both Dar Es Salaam and 
        Nairobi showed leadership and personal courage in their 
        response to the attacks. Despite the havoc wrecked upon the 
        embassies, staff in both embassies provided rapid response in 
        locating and rescuing victims, providing emergency assistance, 
        and quickly restoring embassy operations during a crisis.
            (3) The bombs are believed to have been set by individuals 
        associated with Osama bin Laden, leader of a known 
        transnational terrorist organization. In February of 1998 Bin 
        Laden issued a directive to his followers that called for 
        attacks against American interests anywhere in the world.
            (4) Following the bombings, additional threats have been 
        made against United States diplomatic facilities.
            (5) A review board was convened following the bombings, as 
        required by Public Law 99-399. The panel was chaired by Admiral 
        William J. Crowe, United States Navy (Ret).
            (6) The conclusions of the Crowe panel are strikingly 
        similar to those stated by the Inman Commission, which issued 
        an extensive embassy security report more than 14 years ago.
            (7) Admiral Crowe's panel issued a report setting out the 
        following two striking problems:
                    (A) The United States has devoted inadequate 
                resources towards security against terrorist attacks.
                    (B) The United States Government places too low a 
                priority on security concerns. The result has been a 
                failure to take adequate steps to prevent tragedies 
                such as the bombings in Kenya and Tanzania.
            (8) The Crowe panel found that there was an institutional 
        failure on the part of the Department of State and embassies 
        under its direction, to recognize threats posed by 
        transnational terrorism and vehicular bombs.
            (9) Responsibility for obtaining adequate resources for 
        security programs is widely shared throughout the United States 
        Government, including Congress. Unless the vulnerabilities 
        identified in the Crowe report are addressed in a sustained and 
        financially realistic manner, the lives and safety of United 
        States employees in diplomatic facilities will continue to be 
        at risk from further terrorist attacks.
            (10) Although service in the Foreign Service or other 
        Government positions in foreign countries can never be 
        completely without risk, the United States must ensure that the 
        risks are kept to a minimum.

SEC. 3. UNITED STATES DIPLOMATIC FACILITY DEFINED.

    In this Act, the term ``United States diplomatic facility'' means 
any embassy, chancery, legation, consulate or other office building or 
structure used by a United States diplomatic mission or consular post 
or by any agency of the United States.

SEC. 4. AUTHORIZATION OF APPROPRIATIONS.

    (a) Authority.--The Secretary of State may use funds available 
under the account established in subsection (b) for the purposes of 
constructing, or providing security upgrades to, United States 
diplomatic facilities in order to meet the security requirements set 
forth in section 6.
    (b) Establishment of Account.--There is established in the general 
fund of the Treasury of the United States an appropriations account for 
the Department of State which shall be known as the ``Embassy 
Construction and Security'' account.
    (c) Certification.--Prior to obligation of any amount from the 
Embassy Construction and Security account, the Secretary of State shall 
certify to Congress, in classified form, that construction or upgrading 
of the United States diplomatic facility is necessary to bring the 
United States into compliance with all applicable security 
requirements, including those requirements set forth in section 6.
    (d) Authorization of Appropriations.--
            (1) In general.--There are authorized to be appropriated to 
        the Department of State under ``Embassy Construction and 
        Security''--
                    (A) for fiscal year 2000, $600,000,000;
                    (B) for fiscal year 2001, $600,000,000;
                    (C) for fiscal year 2002, $600,000,000;
                    (D) for fiscal year 2003, $600,000,000; and
                    (E) for fiscal year 2004, $600,000,000.
            (2) Availability of funds.--Amounts appropriated pursuant 
        to paragraph (1) are authorized to remain available until 
        expended.

SEC. 5. OBLIGATION OF FUNDS.

    (a) Report.--Not later than 90 days after the date of enactment of 
this Act, the Secretary of State shall submit a classified report to 
Congress containing an identification of those United States diplomatic 
facilities that are most vulnerable to terrorist attack and setting 
out, in tiers of 20, those facilities from the most to the least 
vulnerable to such an attack.
    (b) Priority of Rebuilding Efforts.--Funds in the Embassy 
Construction and Security account allocated for construction of new 
embassies shall be used to rebuild only those embassies in the top 
three tiers, as designated by the Secretary of State.
    (c) Advanced Congressional Notifications.--Prior to obligation of 
funds in the Embassy Construction and Security account, or the 
reprogramming of funds out of that account, the Secretary of State 
shall notify the Committee on Foreign Relations of the Senate and the 
Committee on International Relations of the House of Representatives in 
accordance with section 34(a) of the State Department Basic Authorities 
Act of 1956 (22 U.S.C. 2706(a)), of the Secretary's intent to obligate 
or reprogram the funds, as the case may be.

SEC. 6. SECURITY REQUIREMENTS FOR UNITED STATES DIPLOMATIC FACILITIES.

    (a) Description of Requirements.--The following security 
requirements shall apply with respect to United States diplomatic 
facilities:
            (1) Threat assessments.--
                    (A) The Emergency Action Plan (EAP) of each United 
                States mission shall address threats from large 
                vehicular bombs and transnational terrorism.
                    (B) The ``Composite Threat List'' shall contain a 
                section that addresses acts of international terrorism 
                against United States diplomatic facilities based on 
                criteria for identifying threats that emphasize the 
                threat of transnational terrorism and includes such 
                other criteria as the physical security environment, 
                host government support, and cultural realities.
            (2) Site selection.--
                    (A) In selecting sites for new United States 
                diplomatic facilities abroad, all United States 
                Government agencies (except military installations) 
                shall be located on the same compound.
                    (B) The Secretary of State and the relevant agency 
                head may waive subparagraph (A) if the Secretary and 
                the agency head jointly certify to Congress that 
                security requirements so permit.
                    (C) Any waiver under this paragraph shall be 
                exercised only in accordance with the procedures 
                applicable to reprogramming notifications under section 
                34 of the State Department Basic Authorities Act of 
                1956 (22 U.S.C. 2706).
            (3) Perimeter distance.--Each newly constructed or acquired 
        United States diplomatic facility shall be sited not less than 
        100 feet from the perimeter of the property on which the 
        facility is situated.
            (4) Crisis management training.--
                    (A) The appropriate personnel of the Department of 
                State shall undertake crisis management training for 
                mass casualty and mass destruction incidents relating 
                to diplomatic facilities which are designed to bring 
                about a rapid response to such incidents from 
                Department of State headquarters in Washington, D.C.
                    (B) A program of appropriate instruction in crisis 
                management shall be provided to personnel at United 
                States diplomatic facilities abroad.
            (5) Foreign emergency support team.--The Foreign Emergency 
        Support Team (FEST) of the Department of State shall receive 
        sufficient support from the Department, including--
                    (A) conducting routine training exercises through 
                the FEST;
                    (B) providing personnel identified to serve on the 
                FEST as a collateral duty;
                    (C) providing personnel to assist in medical 
                relief, public affairs, engineering, and building 
                safety; and
                    (D) providing such additional support as may be 
                necessary to enable the FEST to provide support in a 
                post-crisis environment involving mass casualties and 
                physical damage.
            (6) Rapid response procedures.--The Secretary of State 
        shall enter into a memorandum of understanding with the 
        Secretary of Defense setting out rapid response procedures for 
        mobilization of personnel and equipment of their respective 
        departments to provide more effective assistance in times of 
        emergency with respect to United States diplomatic facilities.
            (7) Storage of emergency equipment and records.--All United 
        States diplomatic missions shall have emergency equipment and 
        records stored at a secure off-site facility.
    (b) Review and Revision by the Secretary of State.--The Secretary 
of State shall review and revise security requirements in effect for 
United States diplomatic facilities as of the date of enactment of this 
Act to ensure their compliance with the security requirements described 
in subsection (a).

SEC. 7. CLOSURE OF VULNERABLE POSTS.

    (a) Review.--The Secretary of State shall review the findings of 
the Overseas Presence Advisory Panel.
    (b) Report.--
            (1) In general.--Not later than January 1, 2000, the 
        Secretary of State shall submit a report to Congress in 
        classified form setting forth the results of the review 
        conducted under subsection (a).
            (2) Elements of the report.--The report shall--
                    (A) specify whether any United States diplomatic 
                facility should be closed because--
                            (i) the facility is high vulnerability and 
                        subject to threat of terrorist attack; and
                            (ii) adequate security enhancements cannot 
                        be provided to the facility; and
                    (B) identify plans to provide secure premises for 
                permanent use by the United States diplomatic mission, 
                whether in country or in a regional United States 
                diplomatic facility, or for temporary occupancy pending 
                construction of new buildings.

SEC. 8. CURRENT AND PROJECTED ROLE AND FUNCTION OF EACH UNITED STATES 
              DIPLOMATIC FACILITY.

    Not later than January 1, 2000, the Secretary of State shall submit 
a report to Congress, in classified and unclassified form, on the role 
and function of each United States diplomatic facility through 2010. 
The report shall describe--
            (1) the potential for reduction or transfer of personnel 
        and equipment if technology is adequately exploited for maximum 
        efficiencies;
            (2) the balance between the cost of maintaining a secure 
        United States diplomatic facility and the benefit of a United 
        States presence;
            (3) the potential for relying on regional United States 
        diplomatic facilities in certain parts of the world; and
            (4) necessary upgrades, in order of importance, for such 
        facilities.

SEC. 9. OVERSEAS SERVICE STAR.

    The State Department Basic Authorities Act of 1956 is amended by 
inserting after section 36 (22 U.S.C. 2708) the following new section:

``SEC. 36A. THE OVERSEAS SERVICE STAR.

    ``(a) Authority.--The President, upon the recommendation of the 
Secretary, may award an overseas service star to any member of the 
Foreign Service or any other civilian employee of the Government of the 
United States who, after August 1, 1998, while employed at, or assigned 
permanently or temporarily to, an official mission overseas or while 
traveling abroad on official business, incurred a wound or other injury 
or an illness (whether or not the wound, other injury, or illness 
resulted in death)--
            ``(1) as the person was performing official duties;
            ``(2) as the person was on the premises of a United States 
        mission abroad; or
            ``(3) by reason of the person's status as a United States 
        Government employee.
    ``(b) Cases Resulting From Unlawful Conduct.--Cases covered by 
subsection (a) include cases of wounds or other injuries incurred as a 
result of terrorist or military action, civil unrest, or criminal 
activities directed at any facility of the Government of the United 
States.
    ``(c) Selection Criteria.--The Secretary shall prescribe the 
procedures for identifying and considering persons eligible for award 
of an overseas service star and for selecting the persons to be 
recommended for the award.
    ``(d) Award in the Event of Death.--If a person selected for award 
of an overseas service star dies before being presented the award, the 
award may be made and the star presented to the person's family or to 
the person's representative, as designated by the President.
    ``(e) Form of Award.--The Secretary shall prescribe the design of 
the overseas service star. The award may not include a stipend or any 
other cash payment.
    ``(f) Funding.--
            ``(1) Any expenses incurred for awarding a person an 
        overseas service star may be paid out of appropriations 
        available at the time of the award for personnel of the 
        department or agency of the United States Government in which 
        the person was employed when the person incurred the wound, 
        injury, or illness upon which the award is based.
            ``(2) Limitation.--No funds may be made available under 
        this section for cash payments to recipients.''.

SOLUTION: Secure Embassy Construction and Counterterrorism Act of 1999 - Establishes within the Treasury an embassy construction and security account for the purpose of constructing, or providing security upgrades to, U.S. diplomatic facilities in order to meet specified security requirements, including that: (1) threat assessments such as the Emergency Action Plan and the Composite Threat List address threats to U.S. missions from large vehicular bombs and transnational terrorism; (2) in the selection of sites for new U.S. diplomatic facilities abroad, that all U.S. Government agencies (except military installations) be located on the same compound; (3) each newly constructed or acquired U.S. diplomatic facility be sited not less than 100 feet from the perimeter of the property on which the facility is situated; (4) appropriate Department of State and U.S. diplomatic personnel undertake crisis management training for mass casualty and mass destruction incidents relating to diplomatic facilities; (5) there is adequate Department of State support for the Foreign Emergency Support Team; (6) the Secretary of State enter into a memorandum of understanding with the Secretary of Defense setting out rapid response procedures for mobilization of personnel and equipment of their respective departments to provide more effective assistance in times of emergency with respect to U.S.  diplomatic facilities; and (7) all U.S. diplomatic missions have emergency equipment and records stored at a secure off-site facility. Authorizes appropriations. 
(Sec. 5) Directs the Secretary of State to report to Congress an identification of U.S. diplomatic facilities that are most vulnerable to terrorist attack, setting out, in tiers of 20, those facilities from the most to the least vulnerable to such an attack. Requires account funds allocated for construction of new embassies to be used to rebuild only those embassies in the top three tiers. 
(Sec. 7) Directs the Secretary to review, and report to Congress on, the findings of the Overseas Presence Advisory Panel with respect to the closure of vulnerable U.S. diplomatic missions overseas. 
(Sec. 8) Directs the Secretary to report to Congress on the role and function of each U.S. diplomatic facility through 2010. 
(Sec. 9) Amends the State Department Basic Authorities Act of 1956 to authorize the President to award an overseas service star to any member of the Foreign Service or any other civilian Government employee who while employed at, or assigned permanently or temporarily to, an official mission overseas, or while traveling abroad on official business, incurred a wound or other injury or an illness (whether or not resulting in death): (1) as the person was performing official duties; (2) as the person was on the premises of a U.S. mission abroad; or (3) by reason of the person's status as a U.S. Government employee.  Specifies award requirements.

PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Vaccinate America's Children through 
Complete Information & Education Act of 2015''.

SEC. 2. ENCOURAGING STATES TO STRENGTHEN ADMINISTRATIVE PROCEDURES 
              RELATED TO NONMEDICAL EXEMPTIONS FROM STATE VACCINATION 
              REQUIREMENTS.

    (a) In General.--Section 1928 of the Social Security Act (42 U.S.C. 
1396s) is amended--
            (1) by redesignating subsection (h) as subsection (i); and
            (2) by inserting after subsection (g) the following new 
        subsection:
    ``(h) Administrative Procedures for Granting Nonmedical 
Exemptions.--
            ``(1) Certification of adoption of procedures.--
                    ``(A) In general.--A State program under this 
                section does not comply with the requirements of this 
                section unless the State certifies to the Secretary 
                that the State has established administrative 
                procedures for granting nonmedical exemptions from 
                State immunization requirements (as defined in 
                subparagraph (B)) that include at least 2 of the 
                prerequisites described in paragraph (2).
                    ``(B) Nonmedical exemption from state immunization 
                requirement.--For purposes of this subsection, the term 
                `nonmedical exemption from State immunization 
                requirements' means any exemption from a State law that 
                requires a child to receive a pediatric vaccine 
                (including school immunization requirements) that is 
                not based on a medical reason.
            ``(2) Nonmedical exemption prerequisites.--The 
        prerequisites for granting a nonmedical exemption from State 
        immunization requirements described in this paragraph are the 
        following:
                    ``(A) The State requires that prior to the 
                exemption being granted, a parent or guardian seeking a 
                nonmedical exemption from State immunization 
                requirements for a child shall discuss the consequences 
                of nonvaccination with the child's pediatrician or 
                other primary care provider and that the discussion is 
                noted in the child's medical record.
                    ``(B) The State requires that prior to the 
                exemption being granted, a parent or guardian seeking a 
                nonmedical exemption from State immunization 
                requirements for a child read and sign a form that 
                discusses the risks of nonvaccination and submits the 
                form to the State.
                    ``(C) The State requires that prior to the 
                exemption being granted, a parent or guardian seeking a 
                nonmedical exemption from State immunization 
                requirements for a child submits to the State a 
                notarized letter describing the parent's or guardian's 
                reasons for seeking the exemption.
                    ``(D) The State requires that all nonmedical 
                exemptions from State immunization requirements shall 
                only be granted for a 1-year period and shall be 
                required to be renewed annually if a parent or guardian 
                of a child wants the exemption to continue for another 
                year.
            ``(3) Penalty.--
                    ``(A) In general.--With respect to a fiscal year, 
                if a State fails to submit the certification required 
                under paragraph (1) or if the administrative procedures 
                established by the State for granting nonmedical 
                exemptions from State immunization requirements do not 
                include at least 2 of the prerequisites described in 
                paragraph (2), the State shall pay the Secretary an 
                amount equal to--
                            ``(i) in the case of a State that is not a 
                        manufacturer of pediatric vaccines, 5 percent 
                        of the value (as determined by the Secretary) 
                        of the vaccines provided to the State under 
                        subsection (b)(2)(A) for that fiscal year; and
                            ``(ii) in the case of a State that is a 
                        manufacturer of pediatric vaccines, 5 percent 
                        of the sum of--
                                    ``(I) the value (as determined by 
                                the Secretary) of any vaccines provided 
                                to the State under subsection (b)(2)(A) 
                                for that fiscal year; and
                                    ``(II) the amount paid to the State 
                                for the fiscal year under subsection 
                                (b)(2)(C).
                    ``(B) Treatment as an overpayment.--A State payment 
                required to be made to the Secretary under subparagraph 
                (A) shall be deemed an overpayment to the State under 
                this title to be disallowed against the State's regular 
                quarterly draw for all spending under section 
                1903(d)(2). Such a disallowance is not subject to a 
                reconsideration under section 1116(e).''.
    (b) Conforming Amendments.--
            (1) Section 1928 of the Social Security Act (42 U.S.C. 
        1396s), as amended by subsection (a), is further amended--
                    (A) in subsection (a)(1)(A), by striking 
                ``subsection (h)(8)'' and inserting ``subsection 
                (i)(8)''; and
                    (B) in subsection (b)(2)(A)(iv), by striking 
                ``subsection (h)(3)'' and inserting ``subsection 
                (i)(3)''.
            (2) Section 609(d) of the Employee Retirement Income 
        Security Act of 1974 (42 U.S.C. 1169(d)) is amended by striking 
        ``section 1928(h)(6)'' and inserting ``section 1928(i)(6)''.
    (c) Effective Date.--The amendments made by this Act shall take 
effect on the date that is 1 year after the date of the enactment of 
this Act.

SOLUTION:
Vaccinate America's Children through Complete Information &amp; Education Act of 2015 This bill amends title XIX (Medicaid) of the Social Security Act to require a state to certify that it has established, in its pediatric vaccine distribution program, administrative procedures regarding nonmedical exemptions from state immunization requirements. These procedures must include at least two of the following prerequisites for granting a nonmedical exemption:  the child's parent or guardian shall discuss the consequences of nonvaccination with the child's primary care provider, as noted in the child's medical record;  the child's parent or guardian shall read, sign, and submit to the state a form discussing the risks of nonvaccination;  the child's parent of guardian shall submit to the state a notarized letter describing why the exemption is being sought; or  all medical exemptions shall be granted for only a one-year period and shall be required to be renewed annually only if the child's parent or guardian wants the exemption to continue for another year.  A state that does not comply with these requirements is subject to a monetary penalty.