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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Diverse Teachers Recruitment Act of 
2010''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Department of Education statistics reveal a lack of 
        diversity among public schoolteachers. During the school year 
        of 2007 through 2008, an estimated 83.1 percent of public 
        schoolteachers were Caucasian, while 7.1 percent were Latino, 7 
        percent were African-American, and 1.2 percent were Asian. Of 
        all public schoolteachers, 24.1 percent were male and 75.9 
        percent were female.
            (2) Some experts believe the lack of diversity can leave 
        students in underrepresented groups without role models to whom 
        they can relate, which may lead to poorer performance in the 
        classroom. Statistics show that students in some 
        underrepresented groups have lower standardized test scores and 
        lower graduation rates.
            (3) Teacher demographics should better reflect those of the 
        population as a whole, ensuring that students have role models 
        from diverse backgrounds and racial and ethnic groups and of 
        different genders.

SEC. 3. RECRUITMENT, TRAINING, AND RETENTION OF TEACHERS FROM 
              UNDERREPRESENTED GROUPS.

    (a) In General.--Title II of the Elementary and Secondary Education 
Act of 1965 (20 U.S.C. 6601 et seq.) is amended by adding at the end 
the following new part:

    ``PART E--RECRUITMENT, TRAINING, AND RETENTION OF TEACHERS FROM 
                        UNDERREPRESENTED GROUPS

``SEC. 2501. GRANT PROGRAM.

    ``(a) Authorization.--From amounts appropriated under section 2505, 
the Secretary shall make grants on a competitive basis to eligible 
entities for recruiting, training, and retaining individuals from 
underrepresented groups as teachers at public elementary schools and 
secondary schools.
    ``(b) Eligibility.--The Secretary may only make a grant under 
subsection (a) to an eligible entity that--
            ``(1) serves schools that have difficulty recruiting, 
        training, and retaining individuals from underrepresented 
        groups as teachers; and
            ``(2) submits an application at such time, in such form, 
        and containing such information and assurances as the Secretary 
        may require, including--
                    ``(A) a description of how the activities the 
                eligible entity carries out with grant funds will 
                ensure the recruitment, training, and retention of a 
                significant number of individuals from underrepresented 
                groups; and
                    ``(B) a description of the difficulty recruiting, 
                training, and retaining individuals from 
                underrepresented groups experienced by the schools 
                served by the eligible entity.
    ``(c) Priority.--In making grants under subsection (a), the 
Secretary shall give priority to--
            ``(1) local educational agencies (or consortia of local 
        educational agencies) that serve the most high-need schools; 
        and
            ``(2) local educational agencies (or consortia of local 
        educational agencies) that serve schools with the highest 
        percentages of minority individuals in their student 
        populations.
    ``(d) Matching Funds.--
            ``(1) In general.--The Secretary may not make a grant to an 
        eligible entity under subsection (a) unless the eligible entity 
        agrees that, with respect to the costs to be incurred by the 
        eligible entity in carrying out the activities for which the 
        grant is awarded, the eligible entity will make available non-
        Federal contributions in an amount equal to not less than 10 
        percent of the Federal funds provided under the grant.
            ``(2) Satisfying matching requirement.--The non-Federal 
        contributions required under paragraph (1) may be--
                    ``(A) in cash or in-kind, including services, 
                fairly evaluated; and
                    ``(B) from--
                            ``(i) any private source; or
                            ``(ii) a State educational agency or local 
                        educational agency.
            ``(3) Waiver.--The Secretary may waive or reduce the non-
        Federal contribution required by paragraph (1) if the eligible 
        entity involved demonstrates that it cannot meet the 
        contribution requirement due to financial hardship.

``SEC. 2502. REPORTS TO SECRETARY.

    ``An eligible entity receiving a grant under section 2501(a) shall 
submit to the Secretary not later than 90 days after the end of each 
school year in which the entity receives grant funds a report that 
contains--
            ``(1) a description of the activities for which the entity 
        used grant funds during such school year;
            ``(2) data concerning, with respect to the schools served 
        by the entity--
                    ``(A) the number of individuals from 
                underrepresented groups that began teaching during such 
                school year;
                    ``(B) the retention rate of teachers who are 
                individuals from underrepresented groups;
                    ``(C) in the case of the report covering the last 
                school year in which the entity receives grant funds, 
                indicators of student academic achievement during such 
                school year as compared with previous school years, 
                disaggregated, if possible, by the achievement of--
                            ``(i) economically disadvantaged students;
                            ``(ii) students from major racial groups;
                            ``(iii) students with disabilities; and
                            ``(iv) students with limited English 
                        proficiency;
                    ``(D) student graduation rates for the school year 
                covered by the report as compared with previous school 
                years, if applicable in the case of the schools served 
                by the entity; and
                    ``(E) student attendance rates for the school year 
                covered by the report as compared with previous school 
                years; and
            ``(3) a description of and data regarding such 
        characteristics of the schools served by the entity, and the 
        students of such schools, as the Secretary considers 
        appropriate, including the number and percentage of students in 
        each of the groups listed in clauses (i) through (iv) of 
        paragraph (2)(C).

``SEC. 2503. BEST PRACTICES INFORMATION CLEARINGHOUSE.

    ``(a) In General.--The Secretary shall evaluate the success of the 
activities carried out by eligible entities using grant funds received 
under section 2501(a) and compile a database of best practices for 
recruiting, training, and retaining individuals from underrepresented 
groups as public elementary and secondary school teachers. The 
Secretary shall make such database available to eligible entities 
(regardless of whether such entities have received grants under such 
section) through an Internet Web site.
    ``(b) Funds Available.--Of the amounts appropriated to carry out 
this part for a fiscal year, the Secretary may use not more than 10 
percent to carry out this section during such fiscal year.

``SEC. 2504. DEFINITIONS.

    ``In this part, the following definitions apply:
            ``(1) Eligible entity.--The term `eligible entity' means--
                    ``(A) a local educational agency (or consortium of 
                local educational agencies); or
                    ``(B) an entity that--
                            ``(i) has entered into a partnership with a 
                        local educational agency (or consortium of 
                        local educational agencies) in which the local 
                        educational agency (or consortium of local 
                        educational agencies) is the primary partner; 
                        and
                            ``(ii) is a private nonprofit organization, 
                        educational service agency, institution of 
                        higher education, or State educational agency.
            ``(2) High-need high school.--The term `high-need high 
        school' means a secondary school--
                    ``(A) in which the entering grade of the school is 
                not lower than grade 9 and that includes grade 12; and
                    ``(B) that has a graduation rate of not more than 
                65 percent in each of the 2 academic years prior to the 
                submission of the grant application.
            ``(3) High-need middle school.--The term `high-need middle 
        school' means a secondary school--
                    ``(A) in which the entering grade is not lower than 
                grade 6 and the highest grade is not higher than grade 
                9; and
                    ``(B) from which not less than 35 percent of the 
                students who complete such school enroll in a high-need 
                high school.
            ``(4) High-need school.--The term `high-need school' means 
        a public school, including a charter school (as such term is 
        defined in section 5210(1))--
                    ``(A) in which not less than 40 percent of the 
                enrolled students are eligible to receive free or 
                reduced price lunches under section 9(b) of the Richard 
                B. Russell National School Lunch Act (42 U.S.C. 
                1758(b)); or
                    ``(B) that is a high-need high school or a high-
                need middle school.
            ``(5) Individual from an underrepresented group.--The term 
        `individual from an underrepresented group' means an individual 
        who is a member of a racial group or gender that has 
        historically been underrepresented among teachers in public 
        primary and secondary schools in the United States.
            ``(6) Minority individual.--The term `minority individual' 
        means an individual who is a member of a racial group that has 
        historically been underrepresented among teachers in public 
        primary and secondary schools in the United States.

``SEC. 2505. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this part 
such sums as are necessary for fiscal years 2010 through 2015.''.
    (b) Clerical Amendment.--The table of contents in section 2 of the 
Elementary and Secondary Education Act of 1965 is amended by adding 
after the item related to section 2441 the following:

     Part E--Recruitment, Training, and Retention of Teachers From 
                        Underrepresented Groups

Sec. 2501. Grant program.
Sec. 2502. Reports to Secretary.
Sec. 2503. Best practices information clearinghouse.
Sec. 2504. Definitions.
Sec. 2505. Authorization of appropriations.
Diverse Teachers Recruitment Act of 2010 - Amends the Elementary and Secondary Education Act of 1965 to direct the Secretary of Education to award competitive matching grants to local educational agencies (LEAs) or nonprofits, educational service agencies, institutions of higher education, or states that enter into partnerships with such LEAs, for recruiting, training, and retaining individuals from underrepresented groups as public elementary and secondary school teachers.

Gives priority to LEAs that serve the most high-need schools and those that serve schools with the highest percentages of minorities in their student bodies.

Requires the Secretary to evaluate the success of the grantees and compile a database of best practices for recruiting, training, and retaining individuals from underrepresented groups as public elementary and secondary school teachers.

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    This Act may be cited as the ``Wildland Firefighters Health 
Protection Act''.

SEC. 2. DEFINITIONS.

    For the purposes of this Act--
            (1) the term ``wildland firefighter'' means an employee of 
        a Federal land management agency, the duties of whose position 
        are primarily to perform work directly related to the 
        prevention, control, suppression, and management of wildfires, 
        including--
                    (A) an employee of a Federal land management agency 
                who is assigned to support wildland fire suppression 
                activities; and
                    (B) an employee who is transferred to a supervisory 
                or administrative position from a position of wildland 
                firefighter (as defined by the preceding provisions of 
                this paragraph);
            (2) the term ``Federal land management agency'' means--
                    (A) within the Department of the Interior, the 
                Bureau of Land Management, the Bureau of Indian 
                Affairs, the National Park Service, and the Fish and 
                Wildlife Service; and
                    (B) within the Department of Agriculture, the 
                Forest Service; and
            (3) the term ``employee'' has the meaning given such term 
        by section 2105 of title 5, United States Code.

SEC. 3. CLASSIFICATION OF WILDLAND FIREFIGHTERS.

    (a) Requirements.--
            (1) In general.--Within 30 days after the date of the 
        enactment of this Act, the Office of Personnel Management, in 
        cooperation with the Federal land management agencies, shall 
        commence development of a separate and distinct wildland 
        firefighter occupational series that will more accurately 
        reflect the variety of duties performed by wildland 
        firefighters.
            (2) Designation.--The official title assigned to any 
        occupational series established pursuant to paragraph (1) shall 
        include the designation of ``Wildland Firefighter''.
            (3) Positions described.--Paragraph (1) applies with 
        respect to any class or other category of positions that 
        consists primarily or exclusively of forestry technician 
        positions, range technician positions, or any other positions 
        the duties and responsibilities of which include--
                    (A) significant wildfire preparedness and 
                suppression activities; or
                    (B) activities necessary to meet any other 
                emergency incident to which assigned.
            (4) Consultation.--Congress encourages the Office of 
        Personnel Management to consult with recognized employee 
        organizations, employee associations, and any other groups that 
        represent Federal wildland firefighters in carrying out this 
        subsection.
    (b) Hazardous Duty Differential Not Affected.--Section 5545(d)(1) 
of title 5, United States Code, is amended by striking all after 
``except'' and inserting an em dash and the following:
                    ``(A) an employee in an occupational series 
                covering positions for which the primary duties are 
                wildland firefighting, as determined by the Office; and
                    ``(B) in such other circumstances as the Office may 
                by regulation prescribe; and''.
    (c) Employees Currently in 401 Series.--Any individual who, as of 
the date of the enactment of this Act, holds a position of wildland 
firefighter shall have the option of either remaining in the 401 series 
(as in effect on such date under chapter 51 of title 5, United States 
Code) or being included in the new wildland firefighter series, as 
established pursuant to subsection (a).

SEC. 4. PAY AND BENEFITS.

    (a) In General.--In the case of a wildland firefighter, for full-
time, part-time, and intermittent tours of duty, hours of work 
officially ordered or approved in excess of 40 hours per week or 8 
hours per day shall be considered overtime work, inclusive of all time 
the firefighter is away from their official duty station assigned to an 
emergency incident, in support of an emergency incident, or pre-
positioned for emergency response, and shall be compensable as work 
time in accordance with section 5542(a) of title 5, United States Code, 
as amended by subsection (b)(1).
    (b) Requirements.--
            (1) Amendment to title 5.--Section 5542(a) of title 5, 
        United States Code, is amended by adding at the end (as a flush 
        left sentence) the following:
``Notwithstanding paragraphs (1) and (2), for a wildland firefighter 
assigned to an emergency incident, assigned in support of an emergency 
incident, or pre-positioned for emergency response, the overtime hourly 
rate of pay is an amount equal to one and one-half times the hourly 
rate of the basic pay of the employee, and that entire amount is 
premium pay.''.
            (2) Fair labor standards act of 1938.--For the purpose of 
        applying the provisions of the Fair Labor Standards Act of 1938 
        (29 U.S.C. 201, et seq.) with respect to wildland firefighters, 
        no violation referred to in such provisions shall be considered 
        to have occurred if the requirements described in paragraph (1) 
        are met.
    (c) Portal-to-Portal Compensation Pilot Program.--
            (1) Funding.--There is authorized to be appropriated 
        $25,000,000 to initiate a portal-to-portal pilot program under 
        this subsection, commencing with the 2013 wildfire season. Any 
        sums required in addition to amounts appropriated pursuant to 
        the preceding sentence may be secured from the existing 
        wildfire suppression budget for the fiscal year in which the 
        season occurs.
            (2) Duration.--The pilot program shall be carried out by 
        the Department of the Interior and the Department of 
        Agriculture for a period not to exceed 3 calendar years 
        beginning as of the start of the 2013 wildfire season.
            (3) Report.--No later than 90 days after the completion of 
        the pilot program, the Secretary of the Interior and the 
        Secretary of Agriculture shall submit to Congress a joint 
        report on the effectiveness of the pilot program. Such report 
        shall address the effect of the program with respect to--
                    (A) recruitment and retention of wildland 
                firefighters; and
                    (B) any cost savings.
            (4) Additional requirements.--To ensure adequate funding 
        and to realize maximum wildfire suppression savings, the 
        Secretary of the Interior and the Secretary of Agriculture 
        shall take appropriate measures to ensure that total funding 
        for non-Federal fire suppression personnel and other resources, 
        by their respective Departments--
                    (A) for the first year of the pilot program, do not 
                exceed 90 percent of their combined non-Federal fire 
                suppression costs for the 2011 and 2012 wildfire 
                seasons;
                    (B) for the second year of the pilot program, do 
                not exceed 75 percent of their combined non-Federal 
                fire suppression costs for the 2011 and 2012 wildfire 
                seasons; and
                    (C) for the third year of the pilot program, do not 
                exceed 65 percent of their combined non-Federal fire 
                suppression costs for the 2011 and 2012 wildfire 
                seasons.
    (d) Hazardous Duty Differential To Be Treated as Part of a Wildland 
Firefighter's Base Pay for Retirement Purposes.--
            (1) In general.--Section 8331(3) of title 5, United States 
        Code is amended--
                    (A) in subparagraph (G), by striking ``and'' at the 
                end;
                    (B) in subparagraph (H), by inserting ``and'' at 
                the end; and
                    (C) by adding after subparagraph (H) the following:
                    ``(I) with respect to a wildland firefighter (as 
                defined by section 2 of the Wildland Firefighters 
                Health Protection Act), any pay differential received 
                under section 5545(d);''.
            (2) Conforming amendment.--Such section 8331(3) is further 
        amended, in the matter following subparagraph (I) (as added by 
        paragraph (1)(C)), by striking ``subparagraphs (B) through (H) 
        of this paragraph'' and inserting ``subparagraphs (B) through 
        (I),''.
    (e) Hazardous Duty Differential.--
            (1) In general.--In the administration of section 5545(d) 
        of title 5, United States Code, the Office of Personnel 
        Management shall take such measures as may be necessary to 
        ensure that, under the schedule or schedules of pay 
        differentials for duty involving unusual physical hardship or 
        hazard, a pay differential of 25 percent shall be payable to an 
        individual while serving as a member of a wildland firefighting 
        crew.
            (2) Definition.--For purposes of this subsection, the term 
        ``wildland firefighting crew'' includes ground (hand crew, 
        hotshot, engine, and other fire apparatus personnel) and 
        airborne (smoke jumper or helitack) firefighting personnel on 
        the fire line of any wildfire or prescribed fuel treatment burn 
        or fire, as further defined in regulations of the Office of 
        Personnel Management.
    (f) Benefits for Seasonal Wildland Firefighters.--
            (1) Provisions relating to life insurance.--Section 8716(b) 
        of title 5, United States Code, is amended--
                    (A) in paragraph (2), by striking ``or'' at the 
                end;
                    (B) in paragraph (3), by striking the period at the 
                end and inserting ``; or''; and
                    (C) by adding after paragraph (3) the following:
            ``(4) a wildland firefighter within the meaning of section 
        2 of the Wildland Firefighters Health Protection Act.''.
            (2) Provisions relating to health benefits.--Section 
        8913(b) of title 5, United States Code, is amended--
                    (A) in paragraph (3), by striking ``or'' at the 
                end;
                    (B) in paragraph (4), by striking the period at the 
                end and inserting ``; or''; and
                    (C) by adding after paragraph (4) the following:
            ``(5) a wildland firefighter within the meaning of section 
        2 of the Wildland Firefighters Health Protection Act.''.
    (g) Buy Back of Civilian Time After 1989.--
            (1) In general.--Any individual who is subject to the 
        Federal Employees' Retirement System as a firefighter (within 
        the meaning of section 8401 of title 5, United States Code) on 
        the date of the enactment of this Act shall be entitled to have 
        any qualifying firefighter service treated as creditable 
        service under section 8411 of such title.
            (2) Qualifying firefighter service.--For purposes of this 
        subsection, the term ``qualifying firefighter service'' means, 
        in connection with an individual, any service--
                    (A) which was performed by such individual, as a 
                wildland firefighter, after 1989 and before the date of 
                the enactment of this Act; and
                    (B) for which such individual was not allowed to 
                receive retirement credit by reason of section 8347(g) 
                or 8402(c) of such title 5.
            (3) Deposit requirement.--Credit for a period of service 
        may not be given under this subsection unless the individual 
        involved makes a deposit, in such manner as the Office of 
        Personnel Management may by regulation require, equal to the 
        employee contributions that would have been required (in the 
        case of a firefighter) for such period under section 8334(c) or 
        8422(a) of such title 5, with interest.
            (4) Certification.--The Office of Personnel Management 
        shall accept the certification of the Secretary of the Interior 
        or the Secretary of Agriculture, as the case may be, concerning 
        whether an individual performed qualifying firefighter service 
        and the length of the period of such service the individual 
        performed.
Wildland Firefighters Health Protection Act - Defines "wildland firefighter" as an employee of a federal land management agency who performs work directly related to the prevention, control, suppression, and management of wildfires, including an employee who is assigned to support wildland fire suppression activities and an employee who is transferred to a supervisory or administrative position.

Directs the Office of Personnel Management (OPM), in cooperation with such agencies, to commence development of a separate wildland firefighter occupational series that will more accurately reflect the variety of duties performed.

Requires a wildland firefighter's hours of work officially ordered or approved in excess of 40 hours per week or 8 hours per day to be considered overtime work. Makes time the firefighter is away from his or her official duty station assigned to an emergency incident, in support of an emergency incident, or pre-positioned for emergency response compensable as work time. Includes hazardous duty differentials as basic pay for retirement purposes.

Prohibits OPM from excluding wildland firefighters from federal employees' group life insurance (FEGLI) and from federal health care benefits.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medical Nutrition Equity Act of 
2017''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Specialized food is often medically necessary for the 
        safe and effective management of many digestive and inherited 
        metabolic disorders that impact digestion, absorption, and 
        metabolism of nutrients.
            (2) Although medically necessary food is essential for 
        patients, it is often expensive and not uniformly reimbursed by 
        health insurance, leaving many families with an insurmountable 
        financial burden.
            (3) As a result, many patients who cannot afford medically 
        necessary food may experience adverse health consequences from 
        suboptimal disease management, including hospitalization, 
        intellectual impairment, behavioral dysfunction, inadequate 
        growth, nutrient deficiencies, and even death.

SEC. 3. COVERAGE OF MEDICALLY NECESSARY FOOD AND VITAMINS FOR DIGESTIVE 
              AND INHERITED METABOLIC DISORDERS UNDER FEDERAL HEALTH 
              PROGRAMS AND PRIVATE HEALTH INSURANCE.

    (a) Coverage Under the Medicare Program.--
            (1) Medically necessary food.--
                    (A) In general.--Section 1861(s)(2) of the Social 
                Security Act (42 U.S.C. 1395x(s)(2)) is amended--
                            (i) in subparagraph (FF), by striking 
                        ``and'' at the end;
                            (ii) in subparagraph (GG), by inserting 
                        ``and'' at the end; and
                            (iii) by adding at the end the following 
                        new subparagraph:
            ``(HH) medically necessary food (as defined in subsection 
        (jjj)) and the medical equipment and supplies necessary to 
        administer such food (other than medical equipment and supplies 
        described in subsection (n));''.
                    (B) Definition.--Section 1861 of the Social 
                Security Act (42 U.S.C. 1395x) is amended by adding at 
                the end the following new subsection:

                       ``Medically Necessary Food

    ``(jjj)(1) Subject to paragraph (2), the term `medically necessary 
food' means food, including a low protein modified food product and an 
amino acid preparation product, that is--
            ``(A) furnished pursuant to the prescription, order, or 
        recommendation (as applicable) of a physician or other health 
        care professional qualified to make such prescription, order, 
        or recommendation, for the dietary management of a covered 
        disease or condition;
            ``(B) a specially formulated and processed product (as 
        opposed to a naturally occurring foodstuff used in its natural 
        state) for the partial or exclusive feeding of an individual by 
        means of oral intake or enteral feeding by tube;
            ``(C) intended for the dietary management of an individual 
        who, because of therapeutic or chronic medical needs, has 
        limited or impaired capacity to ingest, digest, absorb, or 
        metabolize ordinary foodstuffs or certain nutrients, or who has 
        other special medically determined nutrient requirements, the 
        dietary management of which cannot be achieved by the 
        modification of the normal diet alone;
            ``(D) intended to be used under medical supervision, which 
        may include in a home setting; and
            ``(E) intended only for an individual receiving active and 
        ongoing medical supervision wherein the individual requires 
        medical care on a recurring basis for, among other things, 
        instructions on the use of the food.
    ``(2) For purposes of paragraph (1), the term `medically necessary 
food' does not include the following:
            ``(A) Foods taken as part of an overall diet designed to 
        reduce the risk of a disease or medical condition or as weight 
        loss products, even if they are recommended by a physician or 
        other health professional.
            ``(B) Foods marketed as gluten-free for the management of 
        celiac disease or non-celiac gluten sensitivity.
            ``(C) Foods marketed for the management of diabetes.
            ``(D) Other products determined appropriate by the 
        Secretary.
    ``(3) In this subsection, the term `covered disease or condition' 
means the following diseases or conditions:
            ``(A) Inherited metabolic disorders, including the 
        following:
                    ``(i) Disorders classified as metabolic disorders 
                on the Recommended Uniform Screening Panel Core 
                Conditions list of the Secretary of Health and Human 
                Services' Advisory Committee on Heritable Disorders in 
                Newborns and Children.
                    ``(ii) N-acetyl glutamate synthase deficiency.
                    ``(iii) Ornithine transcarbamlyase deficiency.
                    ``(iv) Carbamoyl phosphate synthestase deficiency.
                    ``(v) Inherited disorders of mitochondrial 
                functioning.
            ``(B) Medical and surgical conditions of malabsorption, 
        including the following:
                    ``(i) Impaired absorption of nutrients caused by 
                disorders affecting the absorptive surface, functional 
                length, and motility of the gastrointestinal tract, 
                including short bowel syndrome and chronic intestinal 
                pseudo-obstruction.
                    ``(ii) Malabsorption due to liver or pancreatic 
                disease.
            ``(C) Immunoglobulin E and non-Immunoglobulin E-mediated 
        allergies to food proteins, including the following:
                    ``(i) Immunoglobulin E and non-Immunoglobulin E-
                mediated allergies to food proteins.
                    ``(ii) Food protein-induced enterocolitis syndrome.
                    ``(iii) Eosinophilic disorders, including 
                eosinophilic esophagitis, eosinophilic gastroenteritis, 
                eosinophilic colitis, and post-transplant eosinophilic 
                disorders.
            ``(D) Inflammatory or immune mediated conditions of the 
        alimentary tract, including the following:
                    ``(i) Inflammatory bowel disease, including Crohn's 
                disease, ulcerative colitis, and indeterminate colitis.
                    ``(ii) Gastroesophageal reflux disease that is 
                nonresponsive to standard medical therapies.
            ``(E) Any other disease or condition determined appropriate 
        by the Secretary.
    ``(4) In this subsection, the term ` low protein modified food 
product' means a product formulated to have less than one gram of 
protein per serving.''.
                    (C) Payment.--Section 1833(a)(1) of the Social 
                Security Act (42 U.S.C. 1395l(a)(1)) is amended--
                            (i) by striking ``and'' before ``(BB)''; 
                        and
                            (ii) by inserting before the semicolon at 
                        the end the following: ``, and (CC) with 
                        respect to medically necessary food (as defined 
                        in section 1861(jjj)), the amount paid shall be 
                        an amount equal to 80 percent of the lesser of 
                        the actual charge for the services or the 
                        amount determined under a fee schedule 
                        established by the Secretary for purposes of 
                        this subparagraph.''.
                    (D) Effective date.--The amendments made by this 
                subsection shall apply to items and services furnished 
                on or after the date that is 1 year after the date of 
                the enactment of this Act.
            (2) Inclusion of medically necessary vitamins as a covered 
        part d drug.--
                    (A) In general.--Section 1860D-2(e)(1) of the 
                Social Security Act (42 U.S.C. 1395w-102(e)(1)) is 
                amended--
                            (i) in subparagraph (A), by striking ``or'' 
                        at the end;
                            (ii) in subparagraph (B), by striking the 
                        comma at the end and inserting ``; or''; and
                            (iii) by inserting after subparagraph (B) 
                        the following new subparagraph:
                    ``(C) medically necessary vitamins used for the 
                management of a covered disease or condition (as 
                defined in section 1861(jjj)(3)) pursuant to the 
                prescription, order, or recommendation (as applicable) 
                of a physician or other health care professional 
                qualified to make such prescription, order, or 
                recommendation,''.
                    (B) Effective date.--The amendments made by 
                subparagraph (A) shall apply to plan years beginning on 
                or after the date that is 1 year after the date of the 
                enactment of this Act.
    (b) Coverage Under the Medicaid Program.--
            (1) In general.--Section 1905(a) of the Social Security Act 
        (42 U.S.C. 1396d(a)) is amended--
                    (A) in paragraph (28), by striking ``and'' at the 
                end;
                    (B) by redesignating paragraph (29) as paragraph 
                (31); and
                    (C) by inserting after paragraph (28) the following 
                new paragraphs:
            ``(29) medically necessary food (as defined in section 
        1861(jjj)) and the medical equipment and supplies necessary to 
        administer such food;
            ``(30) medically necessary vitamins used for the management 
        of a covered disease or condition (as defined in section 
        1861(jjj)(3)) pursuant to the prescription, order, or 
        recommendation (as applicable) of a physician or other health 
        care professional qualified to make such prescription, order, 
        or recommendation; and''.
            (2) Conforming amendments.--
                    (A) Mandatory benefits.--Section 1902(a)(10)(A) of 
                the Social Security Act (42 U.S.C. 1396a(a)(10)(A)) is 
                amended, in the matter preceding clause (i), by 
                striking ``and (28)'' and inserting ``(28), (29), and 
                (30)''.
                    (B) Exception to coverage restriction.--Section 
                1927(d)(2)(E) of the Social Security Act (42 U.S.C. 
                1396r-8(d)(2)(E)) is amended by inserting ``and except 
                for medically necessary vitamins described in section 
                1905(a)(30)'' before the period at the end.
            (3) Effective date.--
                    (A) In general.--Subject to subparagraph (B), the 
                amendments made by this subsection shall take effect on 
                the date that is 1 year after the date of the enactment 
                of this Act.
                    (B) Exception to effective date if state 
                legislation required.--In the case of a State plan for 
                medical assistance under title XIX of the Social 
                Security Act which the Secretary of Health and Human 
                Services determines requires State legislation (other 
                than legislation appropriating funds) in order for the 
                plan to meet the additional requirements imposed by the 
                amendments made by this subsection, the State plan 
                shall not be regarded as failing to comply with the 
                requirements of such title solely on the basis of its 
                failure to meet this additional requirement before the 
                first day of the first calendar quarter beginning after 
                the close of the first regular session of the State 
                legislature that begins after the date of the enactment 
                of this Act. For purposes of the previous sentence, in 
                the case of a State that has a 2-year legislative 
                session, each year of such session shall be deemed to 
                be a separate regular session of the State legislature.
    (c) Coverage Under CHIP.--
            (1) In general.--Section 2103(c) of the Social Security Act 
        (42 U.S.C. 1397cc(c)) is amended by adding at the end the 
        following:
            ``(9) Medically necessary food.--The child health 
        assistance provided to a targeted low-income child under the 
        plan shall include coverage of medically necessary food (as 
        defined in section 1861(jjj)) and the medical equipment and 
        supplies necessary to administer such food.
            ``(10) Certain vitamins.--The child health assistance 
        provided to a targeted low-income child under the plan shall 
        include coverage of medically necessary vitamins used for the 
        management of a covered disease or condition (as defined in 
        section 1861(jjj)(3)) pursuant to the prescription, order, or 
        recommendation (as applicable) of a physician or other health 
        care professional qualified to make such prescription, order, 
        or recommendation.''.
            (2) Conforming amendment.--Section 2103(a) of the Social 
        Security Act (42 U.S.C. 1397cc(a)) is amended, in the matter 
        preceding paragraph (1), by striking ``and (7)'' and inserting 
        ``(7), (9), and (10)''.
            (3) Effective date.--
                    (A) In general.--Subject to subparagraph (B), the 
                amendments made by this subsection shall take effect on 
                the date that is 1 year after the date of the enactment 
                of this Act.
                    (B) Exception to effective date if state 
                legislation required.--In the case of a State child 
                health plan for child health assistance under title XXI 
                of the Social Security Act which the Secretary of 
                Health and Human Services determines requires State 
                legislation (other than legislation appropriating 
                funds) in order for the plan to meet the additional 
                requirements imposed by the amendments made by this 
                subsection, the State child health plan shall not be 
                regarded as failing to comply with the requirements of 
                such title solely on the basis of its failure to meet 
                this additional requirement before the first day of the 
                first calendar quarter beginning after the close of the 
                first regular session of the State legislature that 
                begins after the date of the enactment of this Act. For 
                purposes of the previous sentence, in the case of a 
                State that has a 2-year legislative session, each year 
                of such session shall be deemed to be a separate 
                regular session of the State legislature.
    (d) Modification of Diseases and Conditions Covered Under TRICARE 
Program.--Section 1077(h)(3) of title 10, United States Code, is 
amended--
            (1) in subparagraph (D), by striking ``and'';
            (2) by redesignating subparagraph (E) as subparagraph (F); 
        and
            (3) by inserting after subparagraph (D) the following:
            ``(E) Immunoglobulin E or non-Immunoglobulin E mediated 
        allergies to food proteins.''.
    (e) Coverage Under FEHBP.--
            (1) In general.--Section 8902 of title 5, United States 
        Code, is amended by adding at the end the following:
    ``(p) A contract for a plan under this chapter shall require the 
carrier to provide coverage for--
            ``(1) medically necessary food (as defined in section 
        1861(jjj) of the Social Security Act) and the medical equipment 
        and supplies necessary to administer such food; and
            ``(2) medically necessary vitamins in the same manner 
        provided for under section 1860D-2(e)(1)(C) of the Social 
        Security Act.''.
            (2) Effective date.--The amendment made by paragraph (1) 
        shall apply with respect to contract years beginning on or 
        after the date that is 1 year after the date of enactment of 
        this Act.
    (f) Coverage Under Private Health Insurance.--
            (1) In general.--Subpart II of part A of title XXVII of the 
        Public Health Service Act (42 U.S.C. 300gg-11 et seq.) is 
        amended by adding at the end the following:

``SEC. 2729. COVERAGE OF MEDICALLY NECESSARY FOOD AND VITAMINS.

    ``A health insurance issuer offering group or individual health 
insurance coverage shall provide coverage for--
            ``(1) medically necessary food (as defined in section 
        1861(jjj) of the Social Security Act) and the medical equipment 
        and supplies necessary to administer such food; and
            ``(2) medically necessary vitamins in the same manner 
        provided for under section 1860D-2(e)(1)(C) of the Social 
        Security Act.''.
            (2) Effective date.--The amendment made by paragraph (1) 
        shall apply to plan years beginning on or after the date that 
        is 1 year after the date of the enactment of this Act.

Medical Nutrition Equity Act of 2017 This bill provides for coverage, under Medicare, Medicaid, other specified federal health-care programs, and private health insurance,&nbsp;of foods and vitamins that are medically necessary for the management of&nbsp;certain digestive and metabolic disorders&nbsp;and conditions.