116 HR 4925 IH: Community Multi-share Coverage Program Act
U.S. House of Representatives
2019-10-30
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I116th CONGRESS1st SessionH. R. 4925IN THE HOUSE OF REPRESENTATIVESOctober 30, 2019Mr. Huizenga introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such
			 provisions as fall within the jurisdiction of the committee concernedA BILLTo require the Secretary of Health and Human Services to award grants to support community-based
			 coverage entities to carry out a coverage program that provides to
			 qualifying individuals health coverage and educational and occupational
			 training, and for other purposes.

 1.Short titleThis Act may be cited as the Community Multi-share Coverage Program Act. 2.Grants to community-based coverage entities to carry out a coverage program that provides health coverage and educational and occupational training (a)In generalNot later than 180 days after the date of the enactment of the Community Multi-share Coverage Program Act, the Secretary shall award at least 3 and not more than 5 grants to support community-based coverage entities to carry out qualifying coverage benefit pilot programs. Such programs shall—
 (1)reduce the number of uninsured individuals through hospital-community partnership initiatives that provide an affordable health coverage option for such individuals and provide a coverage transition for those limited to coverage through government-sponsored programs; and
 (2)test the feasibility of moving individuals eligible for medical assistance under a State plan under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) with full-time employment into such programs.
 (b)Qualifying coverage benefit program requirementsFor purposes of this section, the term qualifying coverage benefit program means a program that satisfies each of the following program requirements: (1)Health coverageUnder the program, a community-based coverage entity shall provide to qualifying individuals health coverage offered in connection with a qualifying coverage benefit program that satisfies the following:
 (A)First-dollar coverage (where such coverage is furnished by network providers and community resources) for—
 (i)diagnostic laboratory tests and x-rays; (ii)emergency ambulance services that are provided by ground transportation;
 (iii)emergency services (as defined in section 2719A(b)(2)(B) of the Public Health Service Act (42 U.S.C. 300gg–19a(b)(2)(B)));
 (iv)inpatient and outpatient hospital services; (v)mental health services;
 (vi)physician services; (vii)population health improvement services;
 (viii)preventatives services; (ix)prescription drugs; and
 (x)substance abuse services. (B)Coverage for—
 (i)community and individual assessment tools to identify any negative influences of health and economic self-sufficiency to assist physicians in understanding the social determinants of health impacting an individual;
 (ii)a planning process to resolve any negative influences identified pursuant to clause (i) and promote well-being through community partnerships between the community-based coverage entity and—
 (I)businesses; (II)educational institutions;
 (III)investors; (IV)local, State, and Federal governmental agencies; and
 (V)organizations described in section 501(c)(3) of the Internal Revenue Code of 1986 that focuses on human service needs relating to behavioral health, poverty, education, and access and safety;
 (iii)the monitoring of and support (including health coaching services and coordination of services within a community to address the needs of an individual) with respect to financial, emotional, and physical health; and
 (iv)any other benefit the community-based coverage entity determines appropriate. (2)Educational and occupational trainingUnder the program, a community-based coverage entity shall—
 (A)connect and foster ongoing relationships between qualifying individuals and educational and occupational training (including classes, workshops, mentorships, and apprenticeships) designed to enhance preparation for work and support economic self-sufficiency in a manner that reflects the needs of such individuals and opportunities in the community;
 (B)with respect to the comprehensive health improvement process described in subsection (e)(1)(C)(vi), identify and address barriers to employment and increasing income for qualifying individuals; and
 (C)measure and assess the effectiveness of the program in increasing employment and increasing income for qualifying individuals.
 (3)Board of directorsFor the purpose of carrying out the program, the community-based coverage entity shall form a board of directors, or utilize an existing board of directors, in accordance with subsection (e).
 (c)Community-Based coverage entityFor the purposes of this section, the term community-based coverage entity means an entity that maintains a physical presence within close geographic proximity to the individuals it is serving, with a focus on mitigating barriers to engagement by enabling face-to-face interactions between the entity staff, the individuals served, and community organizations.
 (d)Qualifying individualFor the purposes of this section, the term qualifying individual means an individual who meets the following requirements: (1)Subject to any modification made by such program pursuant to subsection (e)(2)(C)(vii), an income that exceeds 100 percent but does not exceed 400 percent of the poverty line applicable to a family of the size involved.
 (2)Not enrolled under a qualified health plan during the 180-day period preceding the date on which such qualifying individual seeks to enroll under the coverage program under this section.
 (3)Ineligibility for enrollment in a Federal health care program (including ineligibility to receive health services through the Indian Health Service).
 (4)Resides or works within the catchment area of a hospital described in subsection (g)(2)(C). (5)Works for a small employer that does not make enrollment in qualified health plans in the small group market such that the combined premium plus deductible cost to cover the employee’s household is less than seven percent of the employee’s household income available to its employees through—
 (A)in the case that a State elects to provide one exchange in the State for both qualifying individuals and qualified small employers pursuant to paragraph (2) of section 1311(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(b)), the American Health Benefit Exchange (as such term is used in paragraph (1) of such section) for the plan year in which such qualifying individual seeks health insurance coverage described in subsection (b)(1) from a qualifying coverage benefit program; and
 (B)in the case that a State retains separate exchanges for qualifying individuals and qualified small employers, the Small Business Health Options Program (as such term is used in section 1311(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(b)(2))) for the plan year in which such qualifying individual seeks health insurance coverage described in subsection (b)(1) from a qualifying coverage benefit program.
 (6)Any other requirement the Secretary determines appropriate. (e)Board of directors (1)CompositionA board of directors formed pursuant to subsection (b)(3) shall be composed of at least 9 members and not more than 15 members with representation from—
 (A)local health care providers, of which not more than two individuals may be from the sponsoring health care organization;
 (B)qualifying individuals; (C)contributing employers;
 (D)government representatives; (E)the local health authority;
 (F)local education systems; and (G)other representatives as necessary to reflect the community composition.
					(2)Duties
 (A)Enactment of bylawsA board of directors shall enact bylaws relating to— (i)public engagement with the board of directors;
 (ii)a shared goal of improving health access and increasing affordability; (iii)outcome-based goals for the program that considers the needs of the community;
 (iv)program costs; and (v)an intent to receive comments regarding the health improvement goals for the community.
 (B)MeetingsA board of directors shall meet at least bimonthly. (C)Qualifying coverage benefits programA board of directors shall—
 (i)carry out the qualifying coverage benefit program described in subsection (b); (ii)determine the share of payments for benefits under the health coverage described in subsection (b)(1) that are attributable to—
 (I)the amount awarded to a community-based coverage entity; (II)a sponsoring health care organization;
 (III)a qualifying individual; and (IV)an employer of a qualifying individual or a skilled trade organization of a qualifying individual;
 (iii)determine the premiums and limitations on payments (including deductibles and coinsurance amounts) for the health coverage described in subsection (b)(1) for a qualifying individual enrolled under such coverage and the extent, if any, to which such premiums and limitations for a qualifying individual shall increase as the income of such qualifying individual increases relative to the poverty line applicable to a family of the size involved;
 (iv)establish a procedure to— (I)assist qualifying individuals in enrolling under the health coverage described in subsection (b)(1);
 (II)assist a qualifying individual that does not meet the requirements of a qualified individual specified under subsection (d), is eligible for medical assistance under a State plan under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), and resides in the catchment area of the hospital described in subsection (g)(2)(C) in enrolling under the appropriate State plan under such program;
 (III)bill and collect the share of payments for benefits described in clause (ii); (IV)bill and collect the premiums and limitations on payment described in clause (iii);
 (V)for the purposes of integrating community resources, form partnerships with community population health initiatives;
 (VI)remove a qualifying individual from the health insurance coverage described in subsection (b)(1) in the case the qualifying individual—
 (aa)has been enrolled under the qualifying covered benefits program for a 4-year period; and (bb)fails to meet the milestones identified pursuant to clause (vi); and
 (VII)determine a maximum enrollment period for individual participation, including required milestones for addressing social determinants of health while enrolled;
 (v)for the purpose of encouraging a qualifying individual to seek a primary care physician, establish incentives for a qualifying individual to initially seek such physician for care (including the reduction of benefits until a primary care physician is engaged in the care of such qualifying individual);
 (vi)for the purpose of making progress toward health and economic self-sufficiency, establish routine milestones and supportive services (to be known as the comprehensive health improvement process) that a qualifying individual enrolled under health coverage described in subsection (b)(1) shall meet to maintain enrollment and such milestones shall include—
 (I)an assessment relating to social determinants of health, health risks, and any other assessment that is appropriate as determined by the circumstances of the qualifying individual;
 (II)meetings with a health coach to address social influences of health and to support the physical, emotional, and financial health of the qualifying individual;
 (III)connections with local community linkage partners to offer health-related programs and services; and
 (IV)enrollment in group classes that address barriers to physical, emotional, and financial health; (vii)for the purpose of tailoring a qualifying coverage benefits program to the needs and resources of the catchment area of the hospital described in subsection (g)(2)(C), determine the extent, if any, to narrow the income range specified in subsection (d)(1) with respect to first-time enrollees and continuing enrollees;
 (viii)incorporate population health improvement strategies into the benefits of health coverage described in subsection (b)(1), including strategies that align with the objectives of the program of the Secretary regarding health-status goals for 2020, commonly referred to as Healthy People 2020;
 (ix)select a plan administrator pursuant to subsection (g)(2)(E) to carry out administrative and accounting responsibilities of the health coverage described in subsection (b)(1); and
 (x)conduct a community asset assessment to determine the services to be made available in the community to address social determinants of health and the eligibility requirements for such services.
 (3)Advisory committeeA board of directors shall establish a finance advisory committee and a clinical and population health improvement advisory committee.
				(f)Grant terms
 (1)DurationA grant awarded under this section shall be made for a period of 4 years. (2)AmountThe Secretary shall determine the maximum amount of each grant awarded under subsection (a).
 (3)NumberThe Secretary may not award more than 4 grants under subsection (a). (g)Applications (1)In generalTo be eligible to be awarded a grant under subsection (a), a community-based coverage entity shall submit to the Secretary an application at such time, in such manner, and containing the certification described in paragraph (2) and such other information as the Secretary may require.
 (2)CertificationAn application described in paragraph (1) shall include a certification by the community-based coverage entity that the entity will—
 (A)not impose any preexisting condition exclusion (as such term is defined in section 2704(b)(1)(A)) of the Public Health Service Act (42 U.S.C. 300gg–3(b)(1)(A)) with respect to the health coverage described in subsection (b)(1);
 (B)not later than 2 years after the date on which a grant is awarded under subsection (a), establish a plan to measure quality and efficiency of care provided under the coverage program;
 (C)partner with a hospital that will establish a network of health care providers sufficient to provide services to qualifying individuals enrolled under the health insurance coverage described in subsection (b)(1);
 (D)seek to provide to 7 percent of individuals whose household income is more than 300 percent of the poverty line for a family of the size involved and less than the basic cost of living (as determined in a manner consistent the Asset Limited, Income Constrained, Employed or ALICE methodology that determines the cost of a basic household budget in the county of a State in which the catchment area of the hospital described in subparagraph (C) health coverage described in subsection (b)(1) is located) for the size of the family involved living in such catchment area; and
 (E)select an entity to carry out administrative and accounting responsibilities (including monthly billing, verification of eligibility of qualifying individuals, enrollment of qualifying individuals, maintenance of a list of active enrollees, and operation of a benefit utilization management program) necessary with respect to the health insurance coverage described in subsection (b)(1).
 (h)ReportingNot later than 1 year after the date of the enactment of this section and annually for each of the 3 succeeding years, the board of directors formed pursuant to subsection (b)(3) shall submit to the Secretary a report that—
 (1)evaluates the progress of the qualifying coverage benefits program; and (2)evaluates measurements relating to quality and efficiency of care described in subsection (g)(2)(B) collected by the community-based coverage entity.
 (i)DefinitionsIn this section: (1)AgencyThe term agency means a local, State, or Federal agency.
 (2)Federal health care programThe term Federal health care program has the meaning given such term in section 1128B(f) of the Social Security Act (42 U.S.C. 1320a–7b(f)).
 (3)First dollar coverageThe term first dollar coverage means coverage of a benefit by health coverage described in subsection (b)(1) without requiring any payment by the qualifying individual.
 (4)Health coachThe term health coach means an individual who is a member of the staff of the community-based coverage entity that has received training to provide health coaching services (including health improvement program services).
 (5)HospitalThe term hospital means an institution that— (A)meets the requirements of section 1861(e) of the Social Security Act (42 U.S.C. 1395x(e)); and
 (B)is an organization described in paragraphs (c)(3) and (r)(3) of section 501 of the Internal Revenue Code of 1986 and is exempt from taxation under section 501(a) of such Code.
					(6)Population health improvement service
 (A)In generalThe term population health improvement service means a service that supports the physical, emotional, and financial health of a qualifying individual through—
 (i)health coaching that— (I)identifies any social determinant of health that prevents a qualifying individual from obtaining physical, emotional, and financial health;
 (II)develops a personalized plan to improve the physical, emotional, and financial health of a qualifying individual based on the circumstances and health domain score of such qualifying individual; and
 (III)measures and evaluates the health domain score of an individual; (ii)health education courses; and
 (iii)integrated community linkage partnerships with organizations serving the catchment area of a hospital described in subsection (g)(2)(C) that provide health programs and services to qualifying individuals that—
 (I)support a qualifying individual with respect to any appropriate social determinant of health; and
 (II)support a qualifying individual in job retention, including jobs in childcare and transportation. (B)Health domain score definedIn this paragraph, the term health domain score means a measurement of specific influences of physical, emotional, and financial health with respect to a qualifying individual.
 (7)Qualified health planThe term qualified health plan has the meaning given such term in section 1301(a) of the Patient Protection and Affordable Care Act (42 U.S.C. 18021(a)).
 (8)SecretaryThe term Secretary means the Secretary of Health and Human Services. (9)Small Business Health Options ProgramThe term Small Business Health Options Program has the meaning given such term in section 1311(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(b)(2)).
 (10)Small employerThe term small employer has the meaning given such term in section 1304(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 18024(b)(2)).
 (11)Social determinants of healthThe term social determinants of health has the meaning given such term by the Director of the Centers for Disease Control and Prevention. (j)Authorization of appropriationsThere is authorized to be appropriated to carry out this section—
 (1)$4,800,000 for fiscal year 2020; (2)$7,200,000 for fiscal year 2021; and
 (3)$12,000,000 for each of fiscal years 2022 and 2023.


116 S4603 IS: Forest Health and Biomass Energy Act of 2020
U.S. Senate
2020-09-16
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II116th CONGRESS2d SessionS. 4603IN THE SENATE OF THE UNITED STATESSeptember 16, 2020Ms. McSally introduced the following bill; which was read twice and referred to the Committee on Energy and Natural ResourcesA BILLTo promote the use of forest restoration residue harvested on National Forest System land for renewable energy, and for other purposes.1.Short titleThis Act may be cited as the Forest Health and Biomass Energy Act of 2020.2.FindingsCongress finds that—(1)the current forest health crisis is due in part to overstocked forests that are unable to withstand the effects of a changing climate, drought, insect outbreaks, and disease;(2)removing small, dead, and dying trees as part of an ecological restoration prescription improves forest health and resilience and reduces the risk of unnatural wildfire;(3)in many regions of the United States, the rate of harvesting dead and dying trees is not keeping pace with mortality of those trees;(4)there is an urgent need to establish industry capacity in the removal of timber residue and biomass material from small trees that are at high risk of catastrophic wildfire;(5)wood biomass energy is a renewable source of energy that can generally reduce carbon emissions and other pollutants from a wildfire, open-burning fire, or prescribed fire, if biomass material is removed from forest land that is at high risk of catastrophic wildfire;(6)comprehensive data on the forest biomass potential of fire-prone Federal land is needed from the Department of Energy and the Department of Agriculture;(7)using forest thinning and slash as fuel for biomass power plants reduces carbon impacts and greatly reduces the emissions of carbon and other pollutants compared to wildfire, open-burning fire, and prescribed fire; and(8)removing concentrations of dead and fire-prone trees reduces the risk to the public, firefighters, and private and public employees who work in forest land and of high-intensity burns once the trees begin to break and fall down.3.Definition of high hazard areaIn this Act, the term high hazard area means—(1)an area of Federal land or non-Federal land located in an area in which—(A)a project is carried out under—(i)the Collaborative Forest Landscape Restoration Program established under section 4003 of the Omnibus Public Land Management Act of 2009 (16 U.S.C. 7303); or(ii)a good neighbor agreement entered into under section 8206 of the Agricultural Act of 2014 (16 U.S.C. 2113a); and(B)drought, tree mortality, insect outbreaks, or disease pose an imminent wildfire risk to a community, public infrastructure, health, or safety; and(2)any area of National Forest System land located west of the 100th meridian. 4.Designation of high hazard areas(a)In generalThe Secretary of Agriculture shall—(1)as necessary, designate high hazard areas of National Forest System land; and(2)maintain on a website an updated list of high hazard areas designated under paragraph (1).(b)DurationLand designated as a high hazard area under subsection (a) shall retain that designation for a period of not less than 15 years, unless the Secretary of Agriculture, after consultation with the Governor of the State in which the high hazard area is located, determines that the designation is no longer warranted.5.Classification of timber residue in high hazard areas as no-valueFor the removal of timber located within a high hazard area that is covered by the Collaborative Forest Landscape Restoration Program established under section 4003 of the Omnibus Public Land Management Act of 2009 (16 U.S.C. 7303) or a good neighbor agreement entered into under section 8206 of the Agricultural Act of 2014 (16 U.S.C. 2113a), the Secretary of Agriculture shall not charge a stumpage rate or assign any value to—(1)a tree that is—(A)less than 12 inches in diameter at breast height; and(B)cut to reduce a fire hazard and make stands more fire resilient;(2)any forest processing residue or byproduct of forest restoration, such as the top or a branch of a tree harvested for higher-valued wood products; or(3)a large dead tree that is not suitable for higher-valued wood products because of decay.6.Assessment of Federal land for wood biomass energy potential(a)Assessment(1)In generalNot later than 1 year after the date of enactment of this Act, the Secretary of Energy (referred to in this section as the Secretary), in coordination with the Secretary of the Interior and the Secretary of Agriculture, shall produce a comprehensive assessment (referred to in this section as the assessment) of the potential to produce biomass energy from land under the administrative jurisdiction of the Secretary of the Interior and the Secretary of Agriculture, subject to paragraph (2).(2)Exempted landThe assessment shall not apply to land—(A)that is a component of the National Wilderness Preservation System;(B)on which the removal of vegetation is prohibited or restricted by an Act of Congress or a Presidential proclamation; or(C)that is a wilderness study area.(b)Supply inventory(1)In generalThe assessment shall include an inventory of forest biomass supplies located on Federal land that are suitable for energy use.(2)ClassificationThe supply inventory described in paragraph (1) shall distinguish between forest biomass supplies that—(A)are live trees;(B)are dead or salvage trees;(C)are prone to drought, insect outbreak, or disease;(D)are mill residue; and(E)may potentially be harvested.(c)Evaluation of potential sourcesThe assessment shall evaluate whether the forest biomass supplies listed in the supply inventory described in subsection (b) are potential wood biomass sources, such as—(1)logging waste, such as tops of trees that otherwise produce commercial sawlogs;(2)trees that are too small to meet saw timber merchantability specifications;(3)trees and ladder fuels that are likely to be removed as part of forest management prescriptions to restore forest health and resiliency;(4)dead trees that are unsuitable for manufacture of sawlogs due to decay, staining, or insect damage;(5)portions of harvested trees that cannot be made into solid wood products;(6)unutilized slash;(7)mill residues; and(8)other wood products suitable for energy use.(d)Infrastructure distribution and capacityThe assessment shall take into consideration—(1)the availability, potential, and distribution of the forest biomass supplies listed in the supply inventory described in subsection (b); (2)the infrastructure that supports existing wood products and biomass energy production on the land covered by the assessment; and(3)existing and projected forest biomass energy consumption in the United States. (e)EstimatesBased on the supply inventory described in subsection (b), the Secretary shall develop—(1)a 5- and 10-year estimate of biomass energy that may be produced from supplies listed in the inventory; and(2)estimates for the associated costs of transporting and processing those supplies for use as energy.(f)ReportNot later than 1 year after the date of enactment of this Act, the Secretary shall submit to the Committee on Energy and Natural Resources of the Senate and the Committee on Natural Resources of the House of Representatives a report describing—(1)the assessment; and(2)the estimates developed under subsection (e).7.Wood biomass targetsThe President shall include in the annual submission of the budget of the United States Government under section 1105 of title 31, United States Code, an annual performance metric, which shall be established by the Secretary of Agriculture, for the harvest of wood biomass material in green tons made available for bioenergy markets.8.High Hazard Area Wood Biomass Fund(a)EstablishmentThere is established in the Treasury of the United States a fund, to be known as the High Hazard Area Wood Biomass Fund (referred to in this section as the Fund).(b)Deposits(1)In generalThe Secretary of Agriculture (referred to in this section as the Secretary) may transfer such percentage as the Secretary determines to be appropriate of the revenue generated from base stumpage rates of timber sales that occur on National Forest System land (other than revenue described in paragraph (2)) to the Secretary of the Treasury for deposit in the Fund.(2)ExclusionsRevenue generated from sales described in paragraph (1) may not be transferred under that paragraph if the revenue would, in the absence of that paragraph, be—(A)deposited in the special fund established under section 3 of the Act of June 9, 1930 (commonly known as the Knutson-Vandenberg Act) (46 Stat. 527, chapter 416; 16 U.S.C. 576b);(B)paid to a State, county, or territory under the Act of May 23, 1908 (35 Stat. 260, chapter 192; 16 U.S.C. 500); or (C)paid to a county under the Act of May 24, 1939 (53 Stat. 753, chapter 144; 43 U.S.C. 2621 et seq.).(c)Use of fundsAmounts in the Fund shall be used by the Secretary to assist timber operators and biomass energy producers with the collection, harvest, storage, and transportation (including by rail) of biomass material, such as byproducts of forest health treatments and hazardous fuels reduction projects, removed from National Forest System land in high hazard areas.(d)PriorityIn providing assistance under subsection (c), the Secretary shall give priority to an electricity generating unit that is fired at least 80 percent by coal and that converts to a majority of biomass power operations.(e)EffectNothing in this section affects the amount of a county payment under the Secure Rural Schools and Community Self-Determination Act of 2000 (16 U.S.C. 7101 et seq.).


I114th CONGRESS2d SessionH. R. 6343IN THE HOUSE OF REPRESENTATIVESNovember 17, 2016Mr. Veasey (for himself and Ms. Norton) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Agriculture, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concernedA BILLTo amend the Internal Revenue Code of 1986 to encourage the sale of locally and regionally produced agricultural products in underserved communities.
1.Short titleThis Act may be cited as the Farmers Markets for Food Deserts Act of 2016.  2.Agricultural product sales in underserved communities (a)In generalPart III of subchapter B of chapter 1 of the Internal Revenue Code of 1986 is amended by inserting before section 140 the following new section:

139G.Agricultural product sales in underserved communities
(a)In generalGross income does not include amounts received by the taxpayer which are derived from qualified agricultural food product sales. (b)Qualified agricultural food product salesFor purposes of this section, the term qualified agricultural food product sale means the sale of locally and regionally produced agricultural products (as such term is used in section 6 of the Farmer-to-Consumer Direct Marketing Act of 1976 (7 U.S.C. 3005), as in effect on the date of the enactment of this section) by the taxpayer to members of the general public at a fixed location (other than a retail store) located in a community described in subsection (e)(1) of such section, as in effect on such date of enactment. .
(b)Clerical amendmentThe table of sections for part III of subchapter B of chapter 1 of such Code is amended by inserting before the item relating to section 140:   Sec. 139G. Agricultural product sales in underserved communities.. (c)Effective dateThe amendments made by this section shall apply to taxable years beginning after December 31, 2016.
3.Clarification of use of grant funds under Farmers’ Market and Local Food Promotion Program Section 6(f) of the Farmer-to-Consumer Direct Marketing Act of 1976 (7 U.S.C. 3005(f)) is amended— (1)in the subsection heading, by striking Funds requirements for and inserting Use of funds by;
(2)in paragraph (1), in the paragraph heading, by inserting requirement after funds; and (3)by adding at the end the following new paragraph:

(3)Farmers’ market permit feesAn eligible entity may use a grant or other assistance provided under this section for purposes of paying any fees associated with obtaining a permit to sell locally and regionally produced agricultural products at a farmers’ market located in an area described in subsection (e)(1)..


116 S4610 IS: Wear Your Mask Act
U.S. Senate
2020-09-17
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II116th CONGRESS2d SessionS. 4610IN THE SENATE OF THE UNITED STATESSeptember 17, 2020Mr. Blumenthal (for himself, Mr. Carper, Mr. Brown, and Ms. Hirono) introduced the following bill; which was read twice and referred to the Committee on Homeland Security and Governmental AffairsA BILLTo require face masks in Federal facilities to prevent the transmission of SARS–CoV–2, and for other purposes.1.Short titleThis Act may be cited as the Wear Your Mask Act.2.Masks required in Federal facilities(a)Masks requiredEach Federal agency shall take action to ensure that an individual is required to wear a face mask if such individual is—(1)inside a Federal facility under the jurisdiction of such agency; and(2)within 6 feet of another individual.(b)EnforcementA Federal agency may remove or deny service to an individual who fails to wear a mask in accordance with subsection (a).(c)Provision of masksEach Federal agency shall make face masks available at each entrance to a Federal facility at which such agency maintains a presence.(d)FundingA Federal agency shall use funds otherwise appropriated to such agency to carry out this section.(e)DefinitionsIn this section, the following definitions apply:(1)Capitol BuildingsThe term Capitol Buildings has the meaning given such term in section 5101 of title 40, United States Code.(2)Face maskThe term face mask means a mask covering both the nose and mouth, or other protective face covering, that reasonably can be expected to minimize the transmission of SARS–CoV–2.(3)Federal agencyThe term Federal agency has the meaning given such term in section 102 of title 40, United States Code, except that with respect to Capitol Buildings the Office of the Architect of the Capitol shall be treated as the relevant Federal agency.(4)Federal facilityThe term Federal facility means—(A)a building or any part thereof owned or leased by the Federal Government for use by a Federal agency; and(B)the Capitol Buildings or any part thereof.(f)TerminationThe requirements of this section shall cease to have effect on the date on which the Director of the National Institute of Allergy and Infectious Diseases determines, and publishes in the Federal Register a notification of such determination, that the requirement to wear a mask is no longer necessary to prevent transmission of SARS–CoV–2.


110 HR 7204 IH: To amend title 49, United States Code, to direct the

U.S. House of Representatives
2008-09-28
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

		I
		110th CONGRESS
		2d Session
		H. R. 7204
		IN THE HOUSE OF REPRESENTATIVES

			September 28, 2008
			Ms. Jackson-Lee of
			 Texas introduced the following bill; which was referred to the
			 Committee on Transportation and
			 Infrastructure

		A BILL
		To amend title 49, United States Code, to direct the
		  Secretary of Transportation to establish sanctions and penalties applicable to
		  an employer whenever an employee of the employer is convicted of driving an
		  over-the-road bus under the influence of alcohol or a controlled substance
		  while acting within the scope of the employee’s employment.

		1.Sanctions applicable to
			 employers of over-the-road bus drivers convicted of driving under the
			 influenceSection 31310 of
			 title 49, United States Code, is amended by adding at the end the
			 following:

				(j)Sanctions
				applicable to employers of over-the-road bus drivers convicted of driving under
				the influence
					(1)SanctionsThe
				Secretary shall issue regulations establishing sanctions and penalties
				applicable to an employer whenever an employee of the employer is convicted of
				driving an over-the-road bus under the influence of alcohol or a controlled
				substance while acting within the scope of the employee’s employment.
					(2)Minimum
				requirementsThe regulations
				issued under paragraph (1) shall require, at a minimum, that an employer
				described in paragraph (1) be subject for each offense, upon conviction, to
				imprisonment for a term not to exceed one year or a fine under title 18, or
				both.
					(3)Over-the-road bus
				definedIn this subsection,
				the term over-the-road bus means a commercial motor vehicle
				providing intercity, fixed-route over-the-road service or other over-the-road
				service, as such terms are defined in section 3038(a) of the Transportation
				Equity Act for the 21st Century (49 U.S.C. 5310 note; 112 Stat. 392).
					.


114 HRES 44 IH: Amending the Rules of the House of Representatives to permit Delegates and the Resident Commissioner to the Congress to cast votes in the Committee of the Whole House on the state of the Union.
U.S. House of Representatives
2015-01-22
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

		IV
		114th CONGRESS
		1st Session
		H. RES. 44
		IN THE HOUSE OF REPRESENTATIVES

			January 22, 2015
			Mr. Hoyer submitted the following resolution; which was referred to the Committee on Rules

		RESOLUTION
		Amending the Rules of the House of Representatives to permit Delegates and the Resident
			 Commissioner to the Congress to cast votes in the Committee of the Whole
			 House on the state of the Union.

		1.Voting by Delegates and Resident Commissioner in Committee of the Whole
 (a)Permitting Votes To be CastClause 3(a) of rule III of the Rules of the House of Representatives is amended by inserting before the first sentence the following: In a Committee of the Whole House on the state of the Union, each Delegate and the Resident Commissioner shall possess the same powers and privileges as Members of the House..
 (b)Appointment of ChairThe first sentence of clause 1 of rule XVIII of the Rules of the House of Representatives is amended by striking Member and inserting Member, Delegate, or the Resident Commissioner.
 (c)Repeating of Certain VotesClause 6 of rule XVIII of the Rules of the House of Representatives is amended by adding at the end the following new paragraph:

 (h)Whenever a recorded vote on any question has been decided by a margin within which the votes cast by the Delegates and the Resident Commissioner have been decisive, the Committee of the Whole shall rise and the Speaker shall put such question de novo without intervening motion. Upon the announcement of the vote on that question, the Committee of the Whole shall resume its sitting without intervening motion..


113 HR 2296 IH: Local Taxpayer Relief Act
U.S. House of Representatives
2013-06-06
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

		I
		113th CONGRESS
		1st Session
		H. R. 2296
		IN THE HOUSE OF REPRESENTATIVES

			June 6, 2013
			Mrs. Noem (for
			 herself and Mr. Larsen of Washington)
			 introduced the following bill; which was referred to the
			 Committee on Education and the
			 Workforce

		A BILL
		To reauthorize the impact aid program under the
		  Elementary and Secondary Education Act of 1965.

		1.Short titleThis Act may be cited as the
			 Local Taxpayer Relief
			 Act.
		2.Making permanent
			 the amendments made by the Impact Aid Improvement Act of 2012Subsection (c) of the Impact Aid Improvement
			 Act of 2012 (20 U.S.C. 6301 note) is amended—
			(1)by striking
			 paragraphs (1) and (4); and
			(2)by redesignating
			 paragraphs (2) and (3) as paragraphs (1) and (2), respectively.
			3.PurposeSection 8001 (20 U.S.C. 7701) is amended, in
			 the matter preceding paragraph (1), by striking challenging State
			 standards and inserting college and career ready State academic
			 content and student academic achievement standards under section
			 1111(a)(1).
		4.Payments relating
			 to Federal acquisition of real property
			(a)AmendmentsSection 8002 of the Elementary and
			 Secondary Education Act of 1965 (20 U.S.C. 7702) is amended—
				(1)in subsection (f),
			 by striking paragraphs (4) and (5);
				(2)by striking
			 subsection (g) and inserting the following:

						(g)Former
				districts
							(1)ConsolidationsFor
				fiscal year 2006 and all succeeding fiscal years, if a local educational agency
				described in paragraph (2) is formed at any time after 1938 by the
				consolidation of 2 or more former school districts, the local educational
				agency may elect to have the Secretary determine its eligibility and any amount
				for which the local educational agency is eligible under this section for any
				fiscal year on the basis of one or more of those former districts, as
				designated by the local educational agency.
							(2)Eligible local
				educational agenciesA local educational agency referred to in
				paragraph (1) is—
								(A)any local
				educational agency that, for fiscal year 1994 or any preceding fiscal year,
				applied, and was determined to be eligible under, section 2(c) of the Act of
				September 20, 1950 (Public Law 874, 81st Congress), as that section was in
				effect for that fiscal year; or
								(B)a local
				educational agency formed by the consolidation of 2 or more districts, at least
				1 of which was eligible for assistance under this section for the fiscal year
				preceding the year of the consolidation, if—
									(i)for fiscal years
				2006 through 2013, the local educational had notified the Secretary of the
				designation not later than 30 days after the date of enactment of the Local
				Taxpayer Relief Act; and
									(ii)for fiscal year
				2014 and any subsequent fiscal year, the local educational agency includes the
				designation in its application under section 8005 or any timely amendment to
				such application.
									(3)Availability of
				fundsNotwithstanding any other provision of law limiting the
				period during which the Secretary may obligate funds appropriated for any
				fiscal year after 2005, the Secretary may obligate funds remaining after final
				payments have been made from any of such fiscal years to carry out this
				subsection.
							;
				(3)by striking
			 subsections (k) and (m); and
				(4)by redesignating
			 subsections (l) and (n) as subsections (j) and (k), respectively.
				(b)Effective
			 dateNotwithstanding the date of enactment of this Act, the
			 amendments made by this section shall apply to applications submitted for
			 fiscal year 2010 and all succeeding fiscal years.
			5.Payments for
			 eligible federally connected childrenSection 8003 of that Act (20 U.S.C. 7703) is
			 amended—
			(1)in subsection
			 (a)—
				(A)in paragraph (1),
			 in the matter preceding subparagraph (A), by inserting after such
			 agency, the following: including those children enrolled in a
			 State that has a State open enrollment policy (but not including those children
			 enrolled in a distance learning program not residing within the defined
			 boundaries of the agency),; and
				(B)in paragraph
			 (5)(A), by striking to be and all the follows through
			 situated and inserting the following: or under lease of
			 off-base property under subchapter IV of chapter 169 of title 10, United States
			 Code, to be children described under paragraph (1)(B) if the property described
			 is within the fenced security perimeter of the military facility or attached to
			 and under any type of force protection agreement with the military installation
			 upon which such housing is situated.;
				(2)in subsection
			 (b)(2)—
				(A)in subparagraph
			 (B)—
					(i)in
			 the subparagraph heading by striking continuing;
					(ii)by
			 amending clause (i) to read as follows:

							(i)In
				generalA heavily impacted local educational agency is eligible
				to receive a basic support payment under subparagraph (A) with respect to a
				number of children determined under subsection (a)(1) if the agency—
								(I)is a local
				educational agency whose boundaries are the same as a Federal military
				installation or the boundaries are the same as island property designated by
				the Secretary of the Interior to be property that is held in trust by the
				Federal Government and the agency has no taxing authority;
								(II)is a local
				educational agency—
									(aa)that has an
				enrollment of children described in subsection (a)(1) that constitutes a
				percentage of the total student enrollment of the agency that is not less than
				45 percent;
									(bb)that has a
				per-pupil expenditure that is less than—
										(AA)for an agency
				that has a total student enrollment of 500 or more students, 125 percent of the
				average per-pupil expenditure of the State in which the agency is located;
				or
										(BB)for an agency
				that has a total student enrollment of less than 500, 150 percent of the
				average per-pupil expenditure of the State in which the agency is located, or
				the average per pupil expenditure of 3 or more comparable local educational
				agencies in the State in which the agency is located; and
										(cc)that is an agency
				that—
										(AA)has a tax rate
				for general fund purposes that is at least 95 percent of the average tax rate
				for general fund purposes of comparable local educational agencies in the
				State; or
										(BB)was eligible to
				receive a payment under this subsection for fiscal year 2013 and is located in
				a State that by State law has eliminated ad valorem tax as a revenue source for
				local educational agencies;
										(III)is a local
				educational agency that has a total student enrollment of not less than 25,000
				students, of which not less than 50 percent are children described in
				subsection (a)(1) and not less than 5,500 of such children are children
				described in subparagraphs (A) and (B) of subsection (a)(1); or
								(IV)is a local
				educational agency that was eligible for and received a payment under this
				paragraph in fiscal year 2012 and—
									(aa)has
				an enrollment of children described in subsection (a)(1) that constitutes a
				percentage of the total student enrollment of the agency that is not less than
				20 percent;
									(bb)for
				the 3 fiscal years preceding the fiscal year for which the determination is
				made, the average enrollment of children who are not described in subsection
				(a)(1) and who are eligible for a free or reduced price lunch under the Richard
				B. Russell National School Lunch Act constitutes a percentage of the total
				student enrollment of the agency that is not less than 65 percent; and
									(cc)has
				a tax rate for general fund purposes which is not less than 1.25 percent of the
				average tax rate for general fund purposes for comparable local educational
				agencies in the State.
									;

					(iii)by
			 amending clause (ii) to read as follows:

							(ii)Loss of
				eligibility
								(I)In
				generalSubject to subclause (II), a heavily impacted local
				educational agency that met the requirements of clause (i) for a fiscal year
				shall be ineligible to receive a basic support payment under subparagraph (A)
				if the agency fails to meet the requirements of clause (i) for a subsequent
				fiscal year, except that such agency shall continue to receive a basic support
				payment under this paragraph for the fiscal year for which the ineligibility
				determination is made.
								(II)ExceptionFor
				a local educational agency that is eligible under subparagraph (A) but whose
				tax rate for general fund purposes falls below 95 percent of the average tax
				rate for general fund purposes of local educational agencies in the State for
				two consecutive years shall lose its eligibility and be subject to subclause
				(I).
								;
					(iv)by
			 amending clause (iii) to read as follows:

							(iii)ApplicationWith
				respect to the first year for which a heavily impacted local educational agency
				described in clause (i) applies for a basic support payment under subparagraph
				(A), or with respect to the first fiscal year for which a heavily impacted
				local educational agency applies for a basic support payment under subparagraph
				(A) after becoming ineligible under clause (i) for 1 or more preceding fiscal
				years, the agency shall apply for such payment at least 1 year prior to the
				start of that fiscal year.
							;
				and
					(v)by adding at the
			 end the following new clause:

							(iv)Special
				ruleNotwithstanding clause (i)(II), a local educational agency
				shall be considered eligible to receive a basic support payment under
				subparagraph (A) with respect to the number of children determined under
				subsection (a)(1) if the agency—
								(I)has an enrollment
				of children described in subsection (a)(1), including, for purposes of
				determining eligibility, those children described in subparagraphs (F) and (G)
				of such subsection, that constitutes a percentage of the total student
				enrollment of the agency that is not less than 35 percent; and
								(II)was eligible to
				receive assistance under subsection (b)(2) for fiscal year
				2001.
								;
					(B)by amending
			 subparagraph (C) to read as follows:

						(C)Maximum amount
				for heavily impacted local educational agencies
							(i)In
				generalThe maximum amount that a heavily impacted local
				educational agency is eligible to receive under this paragraph for any fiscal
				year is the sum of the total weighted student units, as computed under
				subsection (a)(2) and subject to clause (ii), multiplied by the greater
				of—
								(I)four-fifths of the
				average per-pupil expenditure of the State in which the local educational
				agency is located for the third fiscal year preceding the fiscal year for which
				the determination is made; or
								(II)four-fifths of
				the average per-pupil expenditure of all of the States for the third fiscal
				year preceding the fiscal year for which the determination is made.
								(ii)Special
				rule(I)(aa)For a local educational
				agency with respect to which 35 percent or more of the total student enrollment
				of the schools of the agency are children described in subparagraph (D) or (E)
				(or a combination thereof) of subsection (a)(1), and has an enrollment of
				children described in subparagraph (A), (B), or (C) of such subsection equal to
				at least 10 percent of the agency’s total enrollment, the Secretary shall
				calculate the weighted student units of those children described in
				subparagraph (D) or (E) of such subsection by multiplying the number of such
				children by a factor of 0.55.
									(bb)For any local educational agency that
				received a payment under this clause in fiscal year 2012, the local educational
				agency shall not be required to have an enrollment of children described in
				subparagraph (A), (B), or (C) of such subsection equal to at least 10 percent
				of the agency’s total enrollment.
									(II)For a local educational agency that has
				an enrollment of 100 or fewer children described in subsection (a)(1), the
				Secretary shall calculate the total number of weighted student units for
				purposes of subsection (a)(2) by multiplying the number of such children by a
				factor of 1.75.
								(III)For a local educational agency that
				does not qualify under subparagraph (B)(i)(I) of this subsection and has an
				enrollment of more than 100 but not more than 1,000 children described in
				subsection (a)(1), the Secretary shall calculate the total number of weighted
				student units for purposes of subsection (a)(2) by multiplying the number of
				such children by a factor of
				1.25.
								;
				(C)by amending
			 subparagraph (D) to read as follows:

						(D)Maximum amount
				for large heavily impacted local educational agencies(i)(I)Subject to clause (ii),
				the maximum amount that a heavily impacted local educational agency described
				in subclause (II) is eligible to receive under this paragraph for any fiscal
				year shall be determined in accordance with the formula described in paragraph
				(1)(C).
								(II)A heavily impacted local
				educational agency described in this subclause is a local educational agency
				that has a total student enrollment of not less than 25,000 students, of which
				not less than 50 percent are children described in subsection (a)(1) and not
				less than 5,500 of such children are children described in subparagraphs (A)
				and (B) of subsection (a)(1).
								(ii)For purposes of calculating the
				maximum amount described in clause (i), the factor used in determining the
				weighted student units under subsection (a)(2) with respect to children
				described in subparagraphs (A) and (B) of subsection (a)(1) shall be
				1.35.
							;
				(D)by striking
			 subparagraph (E);
				(E)by redesignating
			 subparagraph (F) as subparagraph (E);
				(F)in subparagraph
			 (E) (as so redesignated by subparagraph (G))—
					(i)by
			 striking clause (ii);
					(ii)by
			 striking ; and at the end of clause (i) and inserting a period;
			 and
					(iii)by
			 striking the Secretary and all that follows through shall
			 use and inserting the Secretary shall use;
					(G)by redesignating
			 subparagraph (G) as subparagraph (F);
				(H)in subparagraph
			 (F) (as so redesignated by subparagraph (I), in the matter preceding clause
			 (i), by striking (C)(i)(II)(bb) and inserting
			 (B)(i)(II)(bb)(BB);
				(I)by redesignating
			 subparagraph (H) as subparagraph (G); and
				(J)in subparagraph
			 (G) (as so redesignated by subparagraph (K)—
					(i)in
			 clause (i)—
						(I)by striking
			 (B), (C), (D). or (E), and inserting (B), (C), or
			 (D),;
						(II)by striking
			 by reason of and inserting due to;
						(III)by inserting
			 after clause (iii), the following: or as the direct
			 result of base realignment and closure or modularization as determined by the
			 Secretary of Defense and force structure change or force relocation,;
			 and
						(IV)by inserting
			 before the period at the end the following: or during such time as
			 activities associated with base closure and realignment, modularization, force
			 structure change, or force relocation is ongoing; and
						(ii)in
			 clause (ii), by striking (D) or (E) in both places such term
			 appears and inserting (C) or (D);
					(3)in subsection
			 (b)(3)(B)—
				(A)by redesignating
			 clause (iv) as clause (v); and
				(B)by inserting after
			 clause (iii) the following:

						(iv)For any local
				educational agency that is providing a program of distant learning to children
				not residing within the legally defined boundaries of the agency, the Secretary
				shall disregard such children from such agency’s total enrollment when
				calculating the percentage under subclause (I) of clause (i) and shall
				disregard any funds received for such children when calculating the total
				current expenditures attributed to the operation of such agency when
				calculating the percentage under subclause (II) of clause
				(i).
						;
				(4)in subsection
			 (b)(3)(C), by striking or (E) of paragraph (2), as the case may
			 be and inserting of paragraph (2);
			(5)by amending
			 subsection (b)(3)(D) to read as follows:

					(D)Ratable
				distributionFor any fiscal year described in subparagraph (A)
				for which the sums available exceed the amount required to pay each local
				educational agency 100 percent of its threshold payment the Secretary shall
				distribute the excess sums to each eligible local educational agency that has
				not received its full amount computed under paragraph (1) or (2) (as the case
				may be) by multiplying—
						(i)a
				percentage, the denominator of which is the difference between the full amount
				computed under paragraph (1) or (2) (as the case may be) for all local
				educational agencies and the amount of the threshold payment as calculated
				under subparagraphs (B) and (C) of all local educational agencies, and the
				numerator of which is the aggregate amount of the excess sums by—
						(ii)the difference
				between the full amount computed under paragraph (1) or (2) (as the case may
				be) for the agency and the amount of the threshold payment as calculated under
				subparagraphs (B) and (C) of the
				agency.
						;
			(6)in subsection (c),
			 by amending paragraph (2) to read as follows:

					(2)ExceptionCalculation
				of payments for a local educational agency shall be based on data from the
				fiscal year for which the agency is making an application for payment if such
				agency—
						(A)is newly
				established by a State, for the first year of operation of such agency
				only;
						(B)was eligible to
				receive a payment under this section for the previous fiscal year and has had
				an overall increase in enrollment (as determined by the Secretary in
				consultation with the Secretary of Defense, the Secretary of Interior or other
				Federal agencies)—
							(i)of
				not less than 10 percent, or 100 students, of children described in—
								(I)subparagraph (A),
				(B), (C), or (D) of subsection (a)(1); or
								(II)subparagraph (F)
				or (G) of subsection (a)(1), but only to the extent such children are civilian
				dependents of employees of the Department of Defense or the Department of
				Interior; and
								(ii)that is the
				direct result of closure or realignment of military installations under the
				base closure process or the relocation of members of the Armed Forces and
				civilian employees of the Department of Defense as part of force structure
				changes or movements of units or personnel between military installations or
				because of actions initiated by the Secretary of Interior or head of another
				Federal agency; and
							(C)was eligible to
				receive a payment under this section for the previous fiscal year and has had
				an overall increase in enrollment (as determined by the Secretary)—
							(i)of
				not less than 10 percent, or 100 students, of children described in subsection
				(a)(1); and
							(ii)that is the
				direct result of the closure of a local educational agency that received a
				payment under subsection (b)(1) or (b)(2) in the previous fiscal
				year.
							;
			(7)by amending
			 subsection (e) to read as follows:

					(e)Hold
				harmless
						(1)In
				generalSubject to paragraph (2) the total amount the Secretary
				shall pay a local education agency under subsection (b)—
							(A)for fiscal year
				2014 shall not be less than 95percent of the total amount that the local
				educational agency received under subsection (b)(1), (b)(2) or (b)(2)(B)(ii)
				for fiscal year 2013;
							(B)for fiscal year
				2015 shall not be less than 90 percent of the total amount that the local
				educational agency received under subsection (b)(1), (b)(2) or (b)(2)(B)(ii)
				for fiscal year 2013; and
							(C)for fiscal year
				2016 shall not be less than 85 percent of the total amount that the local
				educational agency received under subsection (b)(1), (b)(2) or (b)(2)(B)(ii)
				for fiscal year 2013.
							(2)Maximum
				paymentThe total amount provided to a local educational agency
				under subparagraph (A), (B), or (C) of paragraph (1) for a fiscal year shall
				not exceed the maximum basic support amount for such agency determined under
				paragraph (1) or (2) of subsection (b), as the case may be.
						(3)Ratable
				reduction
							(A)In
				generalIf the sums made available under this title for any
				fiscal year are insufficient to pay the full amounts that all local educational
				agencies in all States are eligible to receive under paragraph (1) for such
				year, then the Secretary shall ratably reduce the payments to all such agencies
				for such year.
							(B)Additional
				fundsIf additional funds become available for making payments
				under paragraph (1) for such fiscal year, payments that were reduced under
				subparagraph (A) shall be increased on the same basis as such payments were
				reduced.
							;
				and
			(8)by striking
			 subsection (g).
			6.Application for
			 payments under sections 8002 and 8003Section 8005 of that Act (20 U.S.C. 7705) is
			 amended by adding at the end the following:

				(e)Student
				countFor the purpose of meeting the requirements of section
				222.35 of the Code of the Federal Regulations, the Secretary shall establish a
				third option for an applicant when counting its federally connected children by
				using the date established by the applicant to register the students of such
				applicant for the fiscal year for which the application is
				filed.
				.
		7.ConstructionSection 8007 of that Act (20 U.S.C. 7707) is
			 amended—
			(1)in subsection
			 (a)—
				(A)in paragraph (1),
			 by striking 40 percent and inserting 80
			 percent;
				(B)in paragraph (2)
			 by adding at the end the following:

						(C)The agency is
				eligible under section 8003(b)(2) or is receiving a basic support payment under
				circumstances described in section
				8003(b)(2)(B)(ii).
						;
				and
				(C)by striking
			 paragraph (3) and inserting the following:

						(3)Amount of
				payments
							(A)Local education
				agencies impacted by military dependent childrenThe amount of a
				payment to each local educational agency described in this subsection that is
				impacted by military dependent children for a fiscal year shall be equal
				to—
								(i)(I)40 percent of the amount
				appropriated under section 8014(e) for such fiscal year; divided by
									(II)the number of children described in
				subparagraphs (B) and (D)(i) of section (8003)(a)(1) who were in average daily
				attendance for all local educational agencies described in paragraph (2),
				including the number of children attending a school facility described in
				section 8008(a) if the Secretary does not provide assistance for the school
				facility under that section for the fiscal year; multiplied by
									(ii)the number of
				children determined for such agency;
									(I)but not less than
				$25,000, except that this subparagraph shall not apply if the amount available
				to carry out paragraph (1) for such fiscal year is less than $32,000,000;
				and
									(II)not more than
				$4,000,000.
									(B)Local
				educational agencies impacted by children who reside on Indian
				landsThe amount of a payment to each local educational agency
				described in the subsection that is impacted by children who reside on Indian
				lands for a fiscal year shall be equal to—
								(i)(I)40 percent of the amount
				appropriated under section 8014(e) for such fiscal year; divided by
									(II)the number of children described in
				section 8003(a)(1)(C) who were in average daily attendance for all local
				educational agencies described in paragraph (2); multiplied by
									(ii)the number of
				children determined for such agency;
									(I)but not less than
				$25,000, except that this subparagraph shall not apply if the amount available
				to carry out paragraph (1) for such fiscal year is less than $32,000,000;
				and
									(II)not more than
				$4,000, 000.
									;
				and
				(2)in subsection
			 (b)—
				(A)in paragraph (1),
			 in the matter preceding subparagraph (A), by striking 60 percent
			 and inserting 20 percent;
				(B)in paragraph
			 (3)(A), in the matter preceding clause (i), by inserting after an
			 emergency grant under paragraph (2)(A) the following: if the
			 agency is covered by paragraph (7), or;
				(C)in paragraph
			 (3)(C)(i)(I), by striking the agency meets at least one and all
			 that follows through the period at the end and inserting the number of
			 children determined under section 8003(a)(1)(C) for the agency for the
			 preceding school year constituted at least 40 percent of the total student
			 enrollment in the schools of the agency during the preceding school
			 year.;
				(D)by striking
			 paragraph (3)(D)(ii)(II) and inserting the following:

						(II)The number of
				children determined under section 8003(a)(1)(C) for the school for the
				preceding school year constituted at least 40 percent of the total student
				enrollment in the school during the preceding school
				year.
						;
				(E)in paragraph
			 (4)(C), by striking (A), (B), (C), and (D) and inserting
			 (A) and (C);
				(F)by redesignating
			 paragraph (7) as paragraph (8); and
				(G)by inserting after
			 paragraph (6) the following:

						(7)Special
				ruleNotwithstanding paragraphs (3)(C)(i)(I) and (3)(D)(ii)(II),
				a local educational agency is eligible to receive a grant under this subsection
				not to exceed $4,000,000 in any one fiscal year if such agency—
							(A)was eligible to
				receive a payment under section 8003 for the fiscal year prior to the year for
				which the application is made; and
							(B)has had an overall
				increase in enrollment—
								(i)during the period
				between the end of the school year preceding the fiscal year for which the
				application is made and the beginning of the school year immediately preceding
				that school year;
								(ii)of not less than
				250 students or 10 percent (whichever is lower), are children described
				in—
									(I)subparagraph (A),
				(B), (C), or (D) of section 8003(a)(1); or
									(II)subparagraph (F)
				or (G) of section 8003(a)(1), but only to the extent such children are civilian
				dependents of employees of the Department of Defense; and
									(iii)that is the
				direct result of one or more of the following:
									(I)Base realignment
				and closure or global rebasing, as determined by the Secretary of
				Defense.
									(II)Force structure
				changes or force reductions.
									(III)An action
				initiated by the Secretary of Interior or head of another Federal
				agency.
									.
				8.State
			 consideration of payments in providing State aidSection 8009 of that Act (20 U.S.C. 7709) is
			 amended—
			(1)in subsection
			 (b)(1), by inserting before the period at the end the following: and for
			 which the average per pupil expenditure is equal to or greater than the average
			 per pupil expenditure of all the States in the third fiscal year preceding the
			 fiscal year for which the State is applying for equalization under the
			 section;
			(2)by amending
			 subsection (b)(2) to read as follows:

					(2)Computation
						(A)State currently
				qualifying
							(i)In
				generalFor purposes of paragraph (1), a program of State aid for
				any State qualifying under this section for fiscal year 2006 equalizes
				expenditures among local educational agencies if, in the second fiscal year
				preceding the fiscal year for which the determination is made the amount of
				per-pupil expenditures made by, or per-pupil revenues available to, the local
				educational agency in the State with the highest such per-pupil expenditures or
				revenues did not exceed the amount of such per-pupil expenditures made by, or
				per-pupil revenues available to, the local educational agency in the State with
				the lowest such expenditures or revenues by more than 25 percent as calculated
				under clause (ii).
							(B)Other
				factorsNotwithstanding regulations in effect prior to the
				enactment of this subparagraph, in making a determination under this
				subparagraph, the Secretary shall—
							(i)arrange all local
				educational agencies in the State by per-pupil expenditures or revenues in
				descending order from the highest to the lowest;
							(ii)using per-pupil
				expenditures or revenues as the only criteria disregard those local educational
				agencies that are spending above the 95th percentile and those spending below
				the 5th percentile;
							(iii)identify the
				local educational agency at the 95th percentile and the local educational
				agency at the 5th percentile;
							(iv)subtract the
				amount of per-pupil expenditures or revenues of the local educational agency at
				the 5th percentile from the amount of per-pupil expenditures or revenues of the
				local educational agency at the 95th percentile and divide the difference by
				the per-pupil expenditures or revenues of the local educational agency at the
				5th percentile; and
							(v)take into account
				the extent to which a program of State aid reflects the additional cost of
				providing free public education in particular types of local educational
				agencies such as those that are geographically isolated, or to particular types
				of students, such as children with disabilities.
							(C)New States
				applicants
							(i)In
				generalFor purposes of paragraph (1), a program of State aid for
				any State equalizing under this section after fiscal year 2006 equalizes
				expenditures among local educational agencies if, in the second fiscal year
				preceding the fiscal year for which the determination is made, the amount of
				per-pupil expenditures made by, or per pupil revenues available to, the local
				educational agency in the State with the highest such per-pupil expenditures or
				revenues did not exceed the amount of such per-pupil expenditures made by, or
				per-pupil revenues available to, the local educational agency in the State with
				the lowest such expenditures or revenues by more than 10 percent as calculated
				under clause (ii).
							(ii)Other
				factorsIn making a determination under this subparagraph, the
				Secretary notwithstanding regulations in use prior to the enactment of this Act
				shall—
								(I)arrange all local
				educational agencies in the State by per pupil expenditures or revenues in
				descending order from the highest to the lowest;
								(II)using per-pupil
				expenditures or revenues as the only criteria disregard those local educational
				agencies that are spending above the 95th percentile and those spending below
				the 5th percentile;
								(III)identify the
				local educational agency at the 95th percentile and the local educational
				agency at the 5th percentile;
								(IV)subtract the
				amount of per-pupil expenditures or revenues of the local educational agency at
				the 5th percentile from the amount of per-pupil expenditures or revenues of the
				local educational agency at the 95th percentile and divide the difference by
				the per-pupil expenditures or revenues of the local educational agency at the
				5th percentile; and
								(V)take into account
				the extent to which a program of State aid reflects the additional cost of
				providing free public education in particular types of local educational
				agencies, such as those that are geographically isolated, or to particular
				types of students, such as children with
				disabilities.
								;
				and
			(3)in subsection
			 (d)(2)—
				(A)by striking
			 A State and inserting the following:

						(A)In
				generalA State
						;
				and
				(B)by adding at the
			 end of the following:

						(B)States that are
				not equalized statesA State that has not been approved as an
				equalized State under subsection (b) shall not consider funds received under
				section 8002 or section 8003 of this title in any State formula or place a
				limit or direct the use of such funds or consider such
				funds.
						.
				9.DefinitionsSection 8013 of that Act (20 U.S.C. 7713) is
			 amended—
			(1)in paragraph (1)
			 by striking and Marine Corps and inserting Marine Corps,
			 and Coast Guard;
			(2)in paragraph
			 (4)—
				(A)in the first
			 sentence thereof, by striking part (A) of title I and title VI
			 and inserting title I and part A of title V; and
				(B)in the second
			 sentence, by striking be determined and inserting be
			 made;
				(3)in paragraph
			 (5)(A)(iii)—
				(A)by amending
			 subsclause (II) to read as follows:

						(II)used to provide
				housing for homeless children at closed military installations pursuant to
				section 501 of the McKinney-Vento Homeless Assistance Act (42 U.S.C.
				11411);
						;
				and
				(B)by amending
			 subclause (III) to read as follows:

						(III)used for
				affordable housing assisted under the Native American Housing Assistance and
				Self-Determination Act of 1996 (25 U.S.C. 4101 et.seq.);
				or
						;
				(4)in paragraph
			 (5)(A), by adding at the end the following:

					(VI)exempt of
				taxation real property and personal property identified by a local governmental
				entity, including State government, if upon such property resides a child whose
				parents or guardians are certified to live on such property is considered to
				meet the eligibility requirements of section 151.4 of part 150 of subchapter H
				of title 25, Code of Federal Regulations;
				or
					;
			(5)in paragraph
			 (8)(A), by inserting commas before and after and verified by;
			 and
			(6)in paragraph
			 (9)—
				(A)by amending
			 subparagraph (A) to read as follows:

						(A)In
				generalExcept as provided in subparagraph (C), the term
				local educational agency—
							(i)means a board of
				education or other legally constituted local school authority having
				administrative control and direction of free public education in a county,
				township, independent school district, or other school district; and
							(ii)includes any
				State agency that directly operates and maintains facilities for providing free
				public education; that except for those local educational agencies determined
				to be eligible to receive a payment under section 8003 prior to the date of the
				enactment of the Local Taxpayer Relief Act, when submitting an application
				under this title for the first time on or after the date of the enactment of
				such Act, has the authority to tax and has boundaries as defined by applicable
				State law for the purposes of levying such taxes, or has been granted the
				authority to receive an imputed tax from a city, county, township, or other
				general purpose political subdivision of a
				State.
							;
				and
				(B)in subparagraph
			 (B), by inserting a comma after Secretary determines.
				10.Authorization of
			 appropriationsSection 8014 of
			 that Act (20 U.S.C. 7714) is amended—
			(1)in subsection (a)
			 by striking $32,000,000 for fiscal year 2000 and inserting
			 $63,445,221 fiscal year 2014;
			(2)in subsection (b)
			 by striking $809,400,000 fiscal year 2000 and inserting
			 $1,093,203,000 for fiscal year 2014;
			(3)in subsection (c)
			 by striking $50,000,000 for fiscal year 2000 and inserting
			 $45,880,825 for fiscal year 2014;
			(4)by redesignating
			 subsection (e) as subsection (d);
			(5)in subsection (d)
			 (as so redesignated by paragraph (4), by striking $10,052,000
			 and all that follows through and such sums and inserting
			 $16,528,637 for fiscal year 2014;
			(6)by redesignating
			 subsection (f) as subsection (e);
			(7)in subsection (e)
			 (as so designated by paragraph (6)), by striking $5,000,000 for fiscal
			 year 2000 and inserting $4,591,393 for fiscal year 2014;
			 and
			(8)by adding at the
			 end of the following:

					(f)Allocation of
				dollars from previous fiscal yearsWhen final payments are made
				for a fiscal year the Secretary shall add any remaining funds to those funds
				appropriated for such section for the next fiscal year for the purpose of
				making payments subject to the provisions of the applicable
				section.
					.
			11.Additional and
			 conforming amendments
			(a)Subpart 20 of
			 part d of title vSubpart 15 (20 U.S.C. 7281 et seq.) of part D
			 of title V of that Act (relating to additional assistance for certain local
			 educational agencies impacted by Federal property acquisition) is
			 repealed.
			(b)Title
			 VIIITitle VIII of Elementary
			 and Secondary Education Act (20 U.S.C. 7701 et seq.) is further amended—
				(1)in section 8004
			 (20 U.S.C. 7704)—
					(A)in subsection
			 (e)(1)(B)(i), by striking involved, or if and inserting
			 involved or, if; and
					(B)in subsection (f),
			 by striking upon and inserting on;
					(2)in section 8008(a)
			 (20 U.S.C. 7708(a)), by striking section 8014(f) and inserting
			 “section 8014(e)”;
				(3)in section 8010
			 (20 U.S.C. 7710)—
					(A)in subsection (b),
			 by striking out require and inserting in lieu thereof
			 need; and
					(B)in subsection
			 (c)(1)—
						(i)in
			 subparagraph (A), by striking paragraph (3) and inserting
			 “paragraph (2)”; and
						(ii)in
			 subparagraph (B), by striking paragraph (3) and inserting
			 “paragraph (2)”; and
						(4)in section 8011(a)
			 (20 U.S.C. 7711 (a)), by striking or under and all that follows
			 through of 1994).


109 HR 1804 IH: To prescribe the oath of renunciation and allegiance for purposes of the Immigration and Nationality Act.
U.S. House of Representatives
2005-04-21
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I
109th CONGRESS
1st Session
H. R. 1804
IN THE HOUSE OF REPRESENTATIVES

April 21, 2005
Mr. Ryun of Kansas (for himself, Mr. Garrett of New Jersey, Mr. Baker, Mr. Hensarling, Mr. Graves, Mr. Tiahrt, Mr. Kennedy of Minnesota, and Mr. Everett) introduced the following bill; which was referred to the Committee on the Judiciary

A BILL
To prescribe the oath of renunciation and allegiance for purposes of the Immigration and Nationality Act.

1.Oath of renunciation and allegianceSection 337(a) of the Immigration and Nationality Act (8 U.S.C. 1448(a)) is amended by inserting after the child is unable to understand its meaning. the following: The oath referred to in this section shall be the oath provided for in paragraph (a) or (b) of section 337.1 of title 8, Code of Federal Regulations, as in effect on April 1, 2005..


117 S2930 IS: Improving Mental Health and Wellness in Schools Act
U.S. Senate
2021-10-05
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II117th CONGRESS1st SessionS. 2930IN THE SENATE OF THE UNITED STATESOctober 5, 2021Ms. Klobuchar (for herself and Ms. Lummis) introduced the following bill; which was read twice and referred to the Committee on Agriculture, Nutrition, and ForestryA BILLTo amend the Richard B. Russell National School Lunch Act to modify requirements for local school wellness policies.1.Short titleThis Act may be cited as the Improving Mental Health and Wellness in Schools Act.2.Local school wellness policySection 9A of the Richard B. Russell National School Lunch Act (42 U.S.C. 1758b) is amended—(1)in subsection (b)—(A)in paragraph (1), by inserting mental health promotion and education, after physical activity,;(B)in paragraph (2)(B), by striking obesity; and inserting obesity and eating disorders;;(C)in paragraph (3)—(i)by striking agency permit and inserting the following: “agency—(A)permit;(ii)in subparagraph (A) (as so designated)—(I)by inserting registered dietitians, school-based mental health services providers, after school administrators,; and(II)by adding and after the semicolon at the end; and(iii)by adding at the end the following:(B)establish a multidisciplinary team of school personnel to lead the development, implementation, and periodic review and updating of the local school wellness policy;; and(D)in paragraph (5)(B), by striking 1 and inserting 2; and(2)in subsection (d)—(A)in paragraph (1)—(i)by inserting in consultation with the Administrator of the Substance Abuse and Mental Health Services Administration, after Prevention,; and(ii)by inserting school-based mental health services providers (when available), after school food authorities,;(B)in paragraph (2)(C)—(i)by striking required to promote and inserting the following: “required—(i)to promote; and(ii)by adding at the end the following:(ii)to promote mental health, encourage mental health assessments, and establish resilient school environments; and; and(C)in paragraph (3)—(i)in subparagraph (A), by striking Prevention, and inserting Prevention and the Administrator of the Substance Abuse and Mental Health Services Administration,;(ii)in subparagraph (C), by striking 2014, and inserting 2026,; and(iii)by striking subparagraph (D).


114 HR 5233 : Clarifying Congressional Intent in Providing for DC Home Rule Act of 2016
U.S. House of Representatives
2016-05-26
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

		IIB
		114th CONGRESS
		2d Session
		H. R. 5233
		IN THE SENATE OF THE UNITED STATES
		May 26, 2016Received; read twice and referred to the Committee on Homeland Security and Governmental AffairsAN ACT
		To repeal the Local Budget Autonomy Amendment Act of 2012, to amend the District of Columbia Home
			 Rule Act to clarify the respective roles of the District government and
			 Congress in the local budget process of the District government, and for
			 other purposes.

 1.Short titleThis Act may be cited as the Clarifying Congressional Intent in Providing for DC Home Rule Act of 2016. 2.Repeal of Local Budget Autonomy Amendment Act of 2012Effective with respect to fiscal year 2013 and each succeeding fiscal year, the Local Budget Autonomy Amendment Act of 2012 (D.C. Law 19–321) is hereby repealed, and any provision of law amended or repealed by such Act shall be restored or revived as if such Act had not been enacted into law.
		3.Clarification of roles of District government and Congress in local budget process
 (a)Clarification of application of Federal appropriations process to General FundSection 450 of the District of Columbia Home Rule Act (sec. 1–204.50, D.C. Official Code) is amended—
 (1)in the first sentence, by striking The General Fund and inserting (a) In general.—The General Fund; and (2)by adding at the end the following new subsection:

 (b)Application of Federal appropriations processNothing in this Act shall be construed as creating a continuing appropriation of the General Fund described in subsection (a). All funds provided for the District of Columbia shall be appropriated on an annual fiscal year basis through the Federal appropriations process. For each fiscal year, the District shall be subject to all applicable requirements of subchapter III of chapter 13 and subchapter II of chapter 15 of title 31, United States Code (commonly known as the Anti-Deficiency Act), the Budget and Accounting Act of 1921, and all other requirements and restrictions applicable to appropriations for such fiscal year..
				(b)Clarification of limitation on authority of District of Columbia To change existing budget process
 lawsSection 603(a) of such Act (sec. 1–206.03(a), D.C. Official Code) is amended— (1)by striking existing; and
 (2)by striking the period at the end and inserting the following: , or as authorizing the District of Columbia to make any such change.. (c)Effective dateThe amendments made by this section shall take effect as if included in the enactment of the District of Columbia Home Rule Act.

	Passed the House of Representatives May 25, 2016.Karen L. Haas,Clerk.


109 HR 51 IH: To amend the Internal Revenue Code of 1986 to increase the dollar limitation on employer-provided group term life insurance that can be excluded from the gross income of the employee.
U.S. House of Representatives
2005-01-04
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I
109th CONGRESS
1st Session
H. R. 51
IN THE HOUSE OF REPRESENTATIVES

January 4, 2005
Mr. Burgess introduced the following bill; which was referred to the Committee on Ways and Means

A BILL
To amend the Internal Revenue Code of 1986 to increase the dollar limitation on employer-provided group term life insurance that can be excluded from the gross income of the employee.

1.FindingsCongress finds the following:
(1)The primary purpose of group term life insurance is to provide families with protection against the economic loss arising from the death of the principal family income producer.
(2)The Revenue Act of 1964 (Public Law 88–272) required individuals to pay an imputed income tax on the current value of employer-provided group term life insurance policies of more than $50,000.
(3)The value of the $50,000 limitation has steadily decreased since 1964 because the limitation was not indexed for inflation.
(4)The number of individuals affected by the $50,000 limitation in 1964 was estimated to be somewhere between 0.5 percent and 1 percent of the total number of individuals who received employer sponsored group term life insurance.
(5)The Department of the Treasury estimated that in 1999, 18.1 percent of employees receiving group term life insurance were affected by the $50,000 limitation (13.6 million of the 75 million total recipients of employer sponsored group term life insurance).
(6)If the $50,000 limitation had been indexed for inflation in 1964, the limitation would have been approximately $300,000 by 2004.
2.Increase in limitation on exclusion for employer-provided group term life insurance purchased for employees
(a)In generalParagraph (1) of section 79(a) of the Internal Revenue Code of 1986 is amended by striking $50,000 and inserting $300,000.
(b)Inflation adjustmentSection 79 of such Code (relating to group-term life insurance purchased for employees) is amended by adding at the end the following new subsection:

(f)Inflation adjustment
(1)In generalIn the case of a taxable year beginning after 2005, the $300,000 amount under subsection (a)(1) shall be increased by an amount equal to—
(A)such dollar amount, multiplied by
(B)the cost-of-living adjustment determined under section 1(f)(3) for the calendar year in which the taxable year begins, determined by substituting 2004 for 1992 in subparagraph (B) thereof.
(2)RoundingIf any amount as adjusted under paragraph (1) is not a multiple of $10,000, such amount shall be rounded to the nearest multiple of $10,000..
(c)Effective dateThe amendments made by this section shall apply to taxable years beginning after December 31, 2004.


114 HR 6214 IH: Power And Security Systems (PASS) Act
U.S. House of Representatives
2016-09-28
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I114th CONGRESS2d SessionH. R. 6214IN THE HOUSE OF REPRESENTATIVESSeptember 28, 2016Mr. Pompeo introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo provide for consideration of the extension under the Energy Policy and Conservation Act of
			 nonapplication of No-Load Mode energy efficiency standards to certain
			 security or life safety alarms or surveillance systems.

 1.Short titleThis Act may be cited as the Power And Security Systems (PASS) Act. 2.Extension of nonapplication of No-Load Mode energy efficiency standards to certain security or life safety alarms or surveillance systemsSection 325(u)(3)(E) of the Energy Policy and Conservation Act (42 U.S.C. 6295(u)(3)(E)) is amended—
 (1)in clause (ii), by striking manufactured before July 1, 2017,; and (2)in clause (iii)—
 (A)by striking and at the end of subclause (I); (B)by striking the period at the end of subclause (II) and inserting ; and; and
 (C)by adding at the end the following:  (III)determine, no later than July 1, 2019, if a no-load standard for these products should be prescribed..


		II
		111th CONGRESS
		1st Session
		S. 2838
		IN THE SENATE OF THE UNITED STATES

			December 4, 2009
			Mr. Bennet introduced
			 the following bill; which was read twice and referred to the
			 Committee on Health, Education, Labor,
			 and Pensions

		A BILL
		To give critical access hospitals priority in receiving
		  grants to implement health information technology, to expand participation in
		  the drug pricing agreement program under section 340B of the Public Health
		  Service Act, to provide for a study and report on pharmacy dispensing fees
		  under Medicaid, to provide for continuing funding for operation of State
		  offices of rural health, and for other purposes.

		1.Short
			 titleThis Act may be cited as
			 the Rural Health Access and
			 Improvement Act of 2009.
		2.Grants to
			 promote hospital health information technologySection 3013 of the Public Health Service
			 Act (42 U.S.C. 300jj–33) is amended by adding at the end the following:

				(j)PriorityIn
				awarding a grant under this section, the Secretary shall give priority to
				qualified State-designated entities that are critical access hospitals, as
				defined in section 1861(mm) of the Social Security
				Act.
				.
		3.Expanded
			 participation in section 340B programSection 340B(a)(4) of the Public Health
			 Service Act (42 U.S.C. 256b(a)(4)) is amended by adding at the end the
			 following:

				(M)A children’s
				hospital excluded from the Medicare prospective payment system pursuant to
				section 1886(d)(1)(B)(iii) of the Social Security Act, or a free-standing
				cancer hospital excluded from the Medicare prospective payment system pursuant
				to section 1886(d)(1)(B)(v) of the Social Security Act, that would meet the
				requirements of subparagraph (L), including the disproportionate share
				adjustment percentage requirement under clause (ii) of such subparagraph, if
				the hospital were a subsection (d) hospital as defined by section 1886(d)(1)(B)
				of the Social Security Act.
				(N)An entity that is
				a critical access hospital (as determined under section 1820(c)(2) of the
				Social Security Act), and that meets the requirements of subparagraph
				(L)(i).
				(O)An entity that is
				a rural referral center, as defined in section 1886(d)(5)(C)(i) of the Social
				Security Act, or a sole community hospital, as defined by section
				1886(d)(5)(C)(iii) of such Act, and that both meets the requirements of
				subparagraph (L)(i) and has a disproportionate share adjustment percentage
				equal to or greater than 8 percent.
				(P)An entity that is
				a rural health clinic, as defined in section 1861(aa)(2) of the Social Security
				Act.
				.
		4.GAO study and
			 report on dispensing fees
			(a)StudyThe
			 Comptroller General of the United States shall conduct a study of the cost in
			 each State of dispensing prescription drugs under the Medicaid program under
			 title XIX of the Social Security Act (42 U.S.C. 1396a et seq.), which shall
			 consider—
				(1)any reasonable
			 costs associated with pharmacists—
					(A)checking for
			 information regarding Medicaid coverage of individuals; and
					(B)performing
			 necessary clinical review and quality assurance activities, such as—
						(i)activities to
			 identify and reduce the frequency of patterns of fraud, abuse, gross overuse,
			 and inappropriate or medically unnecessary care among physicians, pharmacists,
			 and patients;
						(ii)activities
			 associated with specific drugs or groups of drugs, including potential and
			 actual severe adverse reactions to drugs, including education on therapeutic
			 appropriateness, over-utilization and under-utilization of drugs, appropriate
			 use of generic products, therapeutic duplication, drug-disease
			 contraindications, drug interactions, incorrect drug dosage or duration of drug
			 treatment, drug-allergy interactions, and clinical abuse or misuse; and
						(iii)any other
			 clinical review and quality assurance activities required under Federal or
			 State law;
						(2)the costs
			 incurred by a pharmacy that are associated with—
					(A)the measurement
			 or mixing of a drug covered by Medicaid;
					(B)filling the
			 container for such a drug;
					(C)physically
			 transferring the prescription to the patient, including any costs of delivering
			 the medication to the home of such patient;
					(D)special packaging
			 of drugs;
					(E)overhead costs of
			 the pharmacy, or the section of the facility that is devoted to a pharmacy, and
			 maintenance of the pharmacy or section of the facility (including the equipment
			 necessary to operate such pharmacy or such section and the salaries of
			 pharmacists and other pharmacy workers);
					(F)geographic
			 factors that impact operational costs;
					(G)compounding such
			 prescription if necessary; and
					(H)uncollectability
			 of Medicaid prescription copayments;
					(3)the variation in
			 costs described in paragraph (2) based on—
					(A)whether a product
			 dispensed is a rural or urban pharmacy;
					(B)whether the
			 product dispensed is a specialty pharmacy product; and
					(C)whether the
			 pharmacy is located in, or contracts with, a long-term care facility;
			 and
					(4)the increase in
			 dispensing fees, including the costs described in paragraphs (1), (2), and (3),
			 that would be sufficient to create an incentive for a pharmacist to promote the
			 substitution of covered general alternative therapies.
				(b)ReportNot
			 later than December 1, 2010, the Comptroller General of the United States shall
			 submit to the Secretary of Health and Human Services and to each State a report
			 describing the study conducted under subsection (a). The report shall
			 include—
				(1)the average cost
			 in each State of dispensing a prescription drug under Medicaid;
				(2)the findings of
			 the study conducted under subsection (a) with respect to—
					(A)the variation in
			 costs studied under subparagraphs (A) and (B) of paragraph (3) of such
			 subsection; and
					(B)the increase in
			 dispensing fees described in paragraph (4) of such subsection.
					(c)Use of
			 studyEach State shall use the report described in subsection (b)
			 to assess the adequacy of Medicaid pharmacy dispensing fees. The Secretary of
			 Health and Human Services shall use such report to approve State plan
			 amendments for States that submit such amendments for the purposes of
			 increasing Medicaid pharmacy dispensing fees.
			5.State offices of
			 rural healthSection 338J of
			 the Public Health Service Act (42 U.S.C. 254r) is amended by striking
			 subsection (k).