116 S1817 IS: Kids Eat Local Act of 2019
U.S. Senate
2019-06-12
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.

		II
		116th CONGRESS1st Session
		S. 1817
		IN THE SENATE OF THE UNITED STATES

			June 12, 2019
			Mr. Brown (for himself and Ms. Collins) introduced the following bill; which was read twice and referred to the Committee on Agriculture, Nutrition, and Forestry

		A BILL
		To amend the Richard B. Russell National School Lunch Act to improve nutritional and other program
			 requirements relating to purchases of locally produced food.

 1.Short titleThis Act may be cited as the Kids Eat Local Act of 2019. 2.Purchases of locally produced foodSection 9(j)(3) of the Richard B. Russell National School Lunch Act (42 U.S.C. 1758(j)(3)) is amended—
 (1)by striking Program, to and inserting the following:  Program—(A)to;  (2)in subparagraph (A) (as so designated), by striking the period at the end and inserting ; or; and
 (3)by adding at the end the following:  (B)to use locally grown, locally raised, or locally caught as a product specification..


114 HR 588 IH: Medicare Beneficiary Preservation of Choice Act of 2015
U.S. House of Representatives
2015-01-28
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
		114th CONGRESS
		1st Session
		H. R. 588
		IN THE HOUSE OF REPRESENTATIVES

			January 28, 2015
			Mr. Rothfus (for himself and Mr. Schrader) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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 concerned

		A BILL
		To preserve Medicare beneficiary choice by restoring and expanding the Medicare open enrollment and
			 disenrollment opportunities repealed by section 3204(a) of the Patient
			 Protection and Affordable Care Act.

 1.Short titleThis Act may be cited as the Medicare Beneficiary Preservation of Choice Act of 2015. 2.Preservation of Medicare beneficiary choice under Medicare Advantage (a)In generalSection 1851(e)(2) of the Social Security Act (42 U.S.C. 1395w–21(e)(2)) is amended by amending subparagraph (C), as amended by section 3204(a) of the Patient Protection and Affordable Care Act (Public Law 111–148), to read as follows:

					(C)Continuous open enrollment and disenrollment for first 3 months in subsequent years
 (i)In generalSubject to clause (ii) and subparagraph (D), at any time during the first 3 months of a year, or, if the individual first becomes a Medicare Advantage eligible individual during a year, during the first 3 months of such year in which the individual is a Medicare Advantage eligible individual, a Medicare Advantage eligible individual may change the election under subsection (a)(1).
 (ii)Limitation of one change during open enrollment period each yearAn individual may exercise the right under clause (i) only once during the applicable 3-month period described in such clause in each year. The limitation under this clause shall not apply to changes in elections effected during an annual, coordinated election period under paragraph (3) or during a special enrollment period under paragraph (4).
 (iii)Limited application to part DThe previous provisions of this subparagraph shall only apply with respect to changes in enrollment in a prescription drug plan under part D in the case of an individual who, previous to such change in enrollment, is enrolled in a Medicare Advantage plan..
 (b)Conforming amendmentSection 1860D–1(b)(1)(B)(iii) of the Social Security Act (42 U.S.C. 1395w–101(b)(1)(B)(iii)) is amended by striking , (C),.
 (c)Effective dateThe amendments made by this section shall apply with respect to 2016 and succeeding years.


117 S1141 IS: Judiciary Act of 2021
U.S. Senate
2021-04-15
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. 1141IN THE SENATE OF THE UNITED STATESApril 15, 2021Mr. Markey introduced the following bill; which was read twice and referred to the Committee on the JudiciaryA BILLTo amend title 28, United States Code, to allow for twelve associate justices of the Supreme Court of the United States. 1.Short titleThis Act may be cited as the Judiciary Act of 2021.2.Number of justices; quorumSection 1 of title 28, United States Code, is amended by striking a Chief Justice of the United States and eight associate justices, any six of whom shall constitute a quorum and inserting a Chief Justice of the United States and twelve associate justices, any eight of whom shall constitute a quorum.


116 S4679 IS: Poverty Measurement Improvement Act
U.S. Senate
2020-09-23
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. 4679IN THE SENATE OF THE UNITED STATESSeptember 23, 2020Mr. Lee introduced the following bill; which was read twice and referred to the Committee on Homeland Security and Governmental AffairsA BILLTo require the Bureau of the Census to determine income and poverty levels in the United States in
			 a manner that accounts for the receipt of Federal benefits, and for other
 purposes. 1.Short titleThis Act may be cited as the Poverty Measurement Improvement Act.2.Improving the measurement of poverty in the United States(a)DefinitionsIn this section:(1)Federal benefitThe term Federal benefit means a benefit, refundable tax credit, or other form of assistance provided under any of the following programs:(A)Earned Income Tax Credit (refundable portion).(B)Child Tax Credit (refundable portion).(C)Supplemental Security Income.(D)Temporary Assistance for Needy Families.(E)Title IV–E Foster Care.(F)Title IV–E Adoption Assistance.(G)Medicaid.(H)SCHIP.(I)Indian Health Services.(J)PPACA refundable premium assistance and cost sharing tax credit.(K)Assets for Independence program.(L)Supplemental Nutrition Assistance Food Program.(M)School Breakfast.(N)School Lunch.(O)Women, Infants, and Children (WIC) Food Program.(P)Child and Adult Care Food Program.(Q)The Food Distribution Program on Indian Reservations (FDPIR).(R)Nutrition Program for the Elderly.(S)Seniors Farmers’ Market Nutrition Program.(T)Commodity Supplemental Food Program.(U)Section 8 Housing.(V)Public Housing.(W)Housing for Persons with Disabilities.(X)Home Investment Partnership Program.(Y)Rural Housing Service.(Z)Rural Housing Insurance Fund.(AA)Low-Income Home Energy Assistance Program.(BB)Universal Service Fund Low Income Support Mechanism (subsidized phone services).(CC)Pell Grants.(DD)Supplemental Educational Opportunity Grants.(EE)American Opportunity Tax Credit (refundable portion).(FF)Healthy Start.(GG)Job Corps.(HH)Head Start (including Early Head Start).(II)Weatherization Assistance.(JJ)Chafee Foster Care Independence Program.(KK)Child Care Subsidies from the Child Care and Development Fund.(LL)Child Care from the Temporary Assistance for Needy Families Block Grant.(MM)Emergency Assistance to Needy Families with Children.(NN)Senior Community Service Employment Program.(OO)Migrant and Seasonal Farm Workers Training Program.(PP)Indian and Native American Employment and Training Program.(QQ)Independent Living Education and Training Vouchers.(2)Resource unitThe term resource unit means all co-resident individuals who are related by birth, marriage, or adoption, plus any co-resident unrelated children, foster children, and unmarried partners and their relatives.(3)Earned incomeThe term earned income means individual income from the following:(A)Earnings.(B)Interest.(C)Dividends.(D)Rents, royalties, and estates and trusts.(E)The monetary value of employer-sponsored health insurance benefits.(F)Other forms of income, as determined by the Director.(4)Entitlement and other incomeThe term entitlement and other income means income from the following:(A)Unemployment (insurance) compensation.(B)Workers’ compensation.(C)Social Security.(D)Veterans’ payments and benefits.(E)Survivor benefits.(F)Disability benefits (not including benefits under the Supplemental Security Income program).(G)Pension or retirement income.(H)Alimony.(I)Child support.(J)Financial assistance from outside of the household.(K)Medicare.(5)Entitlement and earned unit incomeThe term entitlement and earned unit income means the sum of all earned income and entitlement and other income.(6)Income tax dataThe term income tax data means return information, as such term is defined under section 6103(b)(2) of the Internal Revenue Code of 1986.(7)Administering agencyThe term administering agency means a State or Federal agency responsible for administering a Federal benefit.(8)Total resource unit incomeThe term total resource unit income means, with respect to a resource unit, an amount equal to—(A)the sum of—(i)all earned income attributable to members of the unit;(ii)all entitlement and other income attributable to members of the unit; and(iii)an amount, or cash equivalent, of all Federal benefits received by members of the unit; minus(B)all State and Federal income and payroll taxes attributable to members of the unit.(9)Earned resource unit incomeThe term earned resource unit income means, with respect to a resource unit, all earned income attributable to members of the unit.(10)Personally identifiable informationThe term personally identifiable information means any information that identifies an individual or could reasonably be used to identify an individual that is—(A)collected pursuant to a survey conducted by the Bureau of the Census; or(B)disclosed to the Bureau of the Census by an administering agency for the purpose of carrying out subsection (b).(11)DirectorThe term Director means the Director of the Bureau of the Census.(b)Verification of data collected in the Annual Social and Economic Supplement to the Current Population Survey(1)In generalBeginning in fiscal year 2021, in order to more accurately determine the extent of poverty in the United States and the anti-poverty effectiveness of Federal benefit programs, the Director shall supplement the data collected under the Annual Social and Economic Supplement to the Current Population Survey with data from the appropriate administering agencies related to the following:(A)Participation in any Federal benefit program and the monetary or cash equivalent value of such benefit for an individual, where possible, and otherwise for resource units or households.(B)The total amount of earned income for individuals.(C)The total amount of entitlement and other income for individuals.(D)Payment of income taxes and payroll taxes for individuals.(E)Total resource unit income.(F)Total earned resource unit income.(2)Administering agency dataNot later than 6 months after receiving a request from the Director, the head of each administering agency shall make available to the Director such data (including income tax data) as the Director shall require for the purpose of carrying out this subsection and for the purposes outlined in section 6 of title 13, United States Code.(3)Publication of data(A)Rates and other data(i)ReportThe Director shall submit to Congress, not later than January 1, 2023, a report detailing the implementation of this Act, including—(I)the availability of related data;(II)the quality of the data; and(III)the methodology proposed for assigning dollar values to the receipt of noncash Federal benefits.(ii)Tables and graphsThe Director shall produce tables and graphs showing for each year the poverty rates and related data calculated using data collected under paragraph (1), including—(I)the total resource unit income for survey respondents;(II)the total earned resource unit income for survey respondents;(III)a breakdown of the amount of income taxes and payroll taxes attributable to survey respondents; and(IV)for 2024 and subsequent years, poverty rates calculated using updated poverty thresholds as described in clause (iii).(iii)Updated poverty thresholdsFor 2024 and subsequent years, the Director shall adjust the poverty thresholds used for determining poverty rates by using the personal consumption expenditure price index (as published by the Bureau of Economic Analysis).(B)ConfidentialityConsistent with the provisions of sections 8, 9, and 23(c) of title 13, United States Code, the Director shall ensure the confidentiality of information furnished to the Director under this subsection.(c)Protection and disclosure of personally identifiable information(1)In generalThe security, disclosure, and confidentiality provisions set forth in sections 9 and 23 of title 13, United States Code, shall apply to personally identifiable information obtained by the Bureau of the Census pursuant to this Act.(2)Restricted access to personally identifiable informationAccess to personally identifiable information collected to supplement the restricted-use Current Population Survey Annual Social and Economic Supplements in accordance with subsection (b)(1) shall be available only to those who have access to the Current Population Survey data with the permission of the Bureau of the Census and in accordance with any other applicable provision of law.(3)PenaltiesAny individual who knowingly accesses or discloses personally identifiable information in violation of this section shall be guilty of a felony and upon conviction thereof shall be fined in an amount of not more than $300,000 under title 18, United States Code, or imprisoned for not more than five years, or both.(d)State reporting of Federal dataBeginning with the first full calendar year that begins after the date of enactment of this Act, with respect to any Federal benefit that is administered at the State level by a State administering agency, such State administering agency shall submit each year to the Federal administering agency responsible for administering the benefit at the Federal level a report that identifies each resource unit that received such benefits during such year by the personally identifiable information of the head of the resource unit and the amount, or cash equivalent, of such benefit received by such resource unit.3.Commission on valuation of government benefits(a)EstablishmentThere is established within the United States Census Bureau a commission, to be known as the Commission on Valuation of Federal Benefits (referred to in this section as the Commission).(b)Composition(1)In generalThe Commission shall be composed of 8 members, of whom—(A)2 members shall be appointed by the majority leader of the Senate;(B)2 members shall be appointed by the minority leader of the Senate;(C)2 members shall be appointed by the Speaker of the House of Representatives; and(D)2 members shall be appointed by the minority leader of the House of Representatives.(2)Co-chairsOf the members of the Commission—(A)1 co-chair shall be designated by the majority leader of the Senate; and(B)1 co-chair shall be designated by the Speaker of the House of Representatives.(3)QualificationsEach member appointed to the Commission shall have experience in—(A)quantitative policy research; and(B)welfare or poverty studies.(c)Initial meetingNot later than 60 days after the date on which the last member is appointed under subsection (b), the Commission shall hold an initial meeting.(d)QuorumSix members of the Commission shall constitute a quorum.(e)No proxy votingProxy voting by members of the Commission shall be prohibited.(f)StaffThe Director of the Census Bureau shall appoint an executive director of the Commission.(g)Travel expensesMembers of the Commission shall serve without pay, but shall receive travel expenses in accordance with sections 5702 and 5703 of title 5, United States Code.(h)Duties of commission(1)Recommendations(A)In generalThe Commission shall produce recommendations for the valuation of Federal benefits listed under section 2(a)(1) for the purpose of United States Census Bureau estimates of the Federal Poverty Level, including non-cash benefits.(2)Report(A)In generalNot later than 270 days after the date of enactment of this Act, the Commission shall submit to Congress a report of the recommendations required under paragraph (1), including a detailed statement of methodology and reasoning behind recommendations.(B)Public availabilityThe report required by subparagraph (A) shall be made available on an internet website of the United States Government that is available to the public.(i)Powers of commissionOn request by the executive director of the Commission, the head of a Federal agency shall furnish information to the Commission.(j)Termination of commissionThe Commission shall terminate 90 days after the date on which the Commission submits the report under subsection (h)(2).(k)Authorization of appropriationsThere is authorized to be appropriated $1,000,000 to carry out this section. 4.GAO reports on effect of supplementary data on calculation of poverty rates and related measuresNot later than January 1, 2025, and every 2 years thereafter, the Comptroller General of the United States shall submit to Congress a report that compares the poverty rates and related measures calculated under the Annual Social and Economic Supplement to the Current Population Survey with the poverty rates and related measures calculated using the data collected under section 2(b)(1).


		II
		111th CONGRESS
		1st Session
		S. 2158
		IN THE SENATE OF THE UNITED STATES

			October 29, 2009
			Mr. Specter (for himself
			 and Mr. Casey) introduced the following
			 bill; which was read twice and referred to the
			 Committee on
			 Finance

		A BILL
		To suspend temporarily the duty on alkylated amino resin
		  solution, formaldehyde.

		1.Alkylated amino resin
			 solution, formaldehyde
			(a)In
			 generalSubchapter II of chapter 99 of the Harmonized Tariff
			 Schedule of the United States is amended by inserting in numerical sequence the
			 following new heading:

								9902.01.00Alkylated amino resin solution, formaldehyde;
						1,3,5-triazine-2,4,6-triamine (CAS No. 68955–24–8) (provided for in subheading
						3909.30.00)FreeNo changeNo changeOn or before 12/31/2011

					.
			(b)Effective
			 dateThe amendment made by subsection (a) applies to goods
			 entered, or withdrawn from warehouse for consumption, on or after the 15th day
			 after the date of the enactment of this Act.


		II
		112th CONGRESS
		2d Session
		S. 2171
		IN THE SENATE OF THE UNITED STATES

			March 7, 2012
			Mr. Pryor (for himself
			 and Mr. Blunt) introduced the following
			 bill; which was read twice and referred to the
			 Committee on Banking, Housing, and Urban
			 Affairs

		A BILL
		To enhance the promotion of exports of United States
		  goods and services, and for other purposes.

		1.Short
			 titleThis Act may be cited as
			 the Export Promotion Act of
			 2012.
		2.Improved
			 coordination of export promotion activities of Federal agencies by the Trade
			 Promotion Coordinating Committee
			(a)Duties of
			 TPCCSection 2312(b) of the
			 Export Enhancement Act of 1988 (15 U.S.C. 4727(b)) is amended—
				(1)in paragraph
			 (5)—
					(A)by inserting
			 , including a recommendation for the unified Federal trade promotion
			 budget required by subsection (c)(4) after assessment;
			 and
					(B)by striking
			 ; and and inserting a semicolon;
					(2)by redesignating
			 paragraph (6) as paragraph (7); and
				(3)by inserting
			 after paragraph (5) the following:

						(6)in conducting
				assessments under paragraph (5), review the proposed budget for a fiscal year
				of each agency with responsibility for export promotion or export financing
				activities before the agency submits that budget to the Office of Management
				and Budget and the President for inclusion in the budget of the President for
				that fiscal year submitted to Congress under section 1105(a) of title 31,
				United States Code;
				and
						.
				(b)Strategic
			 planSection 2312(c) of the Export Enhancement Act of 1988 (15
			 U.S.C. 4727(c)) is amended—
				(1)by redesignating
			 paragraphs (3), (4), (5), and (6) as paragraphs (4), (6), (7), and (8),
			 respectively;
				(2)in paragraph (2),
			 by inserting after coordination of such activities the
			 following: , based on consultations with, and recommendations from, a
			 representative number of United States exporters and other types of
			 export-related businesses;
				(3)by inserting
			 after paragraph (2) the following:

						(3)identify
				countries with which the United States could negotiate trade agreements to
				increase United States exports;
						;

				(4)by inserting
			 after paragraph (4), as redesignated, the following:

						(5)identify areas in
				which the TPCC can maximize existing partnerships with agencies by granting the
				TPCC the ability to partner with a partner of an agency that is a member of the
				TPCC without requiring an additional memorandum of understanding between the
				TPCC and that
				partner;
						;
				(5)in paragraph (7),
			 as redesignated, by striking ; and and inserting a semicolon;
			 and
				(6)by adding at the
			 end the following:

						(9)review and
				propose means to improve educational outreach to small- and medium-sized
				businesses with respect to the resources available through the TPCC and
				agencies that are members of the TPCC, including by consulting with, and
				considering recommendations from, United States exporters and the Small
				Business Administration with respect to improving outreach by the TPCC;
				and
						(10)clearly describe
				the role of each agency that is a member of the TPCC and the responsibility of
				each such agency for export promotion and export
				financing.
						.
				(c)ReportsSection 2312(f) of the Export Enhancement
			 Act of 1988 (15 U.S.C. 4727(f)) is amended to read as follows:

					(f)Reporting
				requirements
						(1)TPCC
				reportNot later than 18 months after the date of the enactment
				of the Export Promotion Act of
				2012, and March 30 of each year thereafter, the chairperson of
				the TPCC shall submit to the appropriate congressional committees a report
				that—
							(A)describes the
				strategic plan developed by the TPCC pursuant to subsection (c), the
				implementation of the plan, and any revisions to the plan;
							(B)assesses the
				performance of each agency that is a member of the TPCC with respect to Federal
				export promotion and export financing activities, including efforts to increase
				efficiency, decrease duplication, increase interagency coordination, and meet
				the goals of each such agency;
							(C)reviews the
				proposed annual budgets for each such agency and provides recommendations with
				respect to those budgets based on the strategic plan developed pursuant to
				subsection (c) and any anticipated revisions to the plan; and
							(D)describes the
				implementation of sections 303 and 304 of the FREEDOM Support Act (22 U.S.C.
				5823 and 5824) concerning funding for export promotion activities and the
				interagency working groups on energy of the TPCC.
							(2)Government
				Accountability Office report
							(A)In
				generalNot later than 18 months after the date of the enactment
				of the Export Promotion Act of
				2012, and every 2 years thereafter, the Comptroller General of
				the United States shall submit to the appropriate congressional committees a
				report that assesses the effectiveness of the TPCC.
							(B)ElementsThe
				report required by subparagraph (A) shall include an assessment of the
				following:
								(i)The operational
				efficiency and effectiveness of the TPCC.
								(ii)The efforts of
				the TPCC to coordinate Federal export promotion and export financing
				activities, including efforts to coordinate the budgets of the agencies that
				are members of the TPCC.
								(iii)Duplication of
				administrative functions, client management functions, and resources among
				those agencies and measures to decrease such duplication, including by reducing
				the office space or other resources available to those agencies.
								(iv)Improvements in
				efficiency and decreases in duplication of efforts among those agencies
				realized by the TPCC.
								(v)Other relevant
				information on the overall effectiveness of the TPCC.
								(C)Consideration
				of changing strategyIn preparing the report required by
				subparagraph (A), the Comptroller General shall take into account that the
				strategic plan of the TPCC is subject to change.
							(3)Appropriate
				congressional committees definedIn this subsection, the term
				appropriate congressional committees means—
							(A)the Committee on
				Appropriations, the Committee on Banking, Housing, and Urban Affairs, the
				Committee on Commerce, Science, and Transportation, the Committee on Finance,
				the Committee on Foreign Relations, and the Committee on Small Business and
				Entrepreneurship of the Senate; and
							(B)the Committee on
				Appropriations, the Committee on Energy and Commerce, the Committee on
				Financial Services, the Committee on Foreign Affairs, the Committee on Small
				Business, and the Committee on Ways and Means of the House of
				Representatives.
							.
			(d)Export.gov;
			 regulationsSection 2312 of the Export Enhancement Act of 1988
			 (15 U.S.C. 4727) is amended by adding at the end the following:

					(g)Information
				available on Export.govThe TPCC shall coordinate with the
				agencies that are members of the TPCC to publish information relevant to export
				promotion and export financing on Export.gov (or a successor website),
				including—
						(1)the information
				described in subsection (c)(10); and
						(2)detailed
				information on ongoing and anticipated trade missions, trade fairs, and related
				Federal and State export promotion and export financing activities.
						(h)Executive order
				and regulationsNot later than 18 months after the date of the
				enactment of the Export Promotion Act of
				2012, the President shall issue an executive order and such
				regulations as are necessary to provide the chairperson of the TPCC with the
				authority to ensure that the TPCC carries out each of its duties under
				subsection (b) and develops and implements the strategic plan under subsection
				(c).
					.
			3.Effective
			 deployment of resources of the United States and Foreign Commercial
			 ServiceSection 2301(c)(4) of
			 the Export Enhancement Act of 1988 (15 U.S.C. 4721(c)(4)) is amended—
			(1)by redesignating
			 subparagraphs (B) through (F) as subparagraphs (C) through (G),
			 respectively;
			(2)by striking
			 (4) Foreign
			 offices.—(A) The Secretary may and inserting the
			 following:

					(4)Foreign
				offices(A)(i)The Secretary shall
				conduct a global assessment of overseas markets to identify the markets with
				the greatest potential for increasing United States exports and redeploy
				Commercial Service personnel and other resources on the basis of the global
				assessment.
							(ii)The assessment conducted under clause
				(i) shall take into consideration recommendations from a representative number
				of United States exporters.
							(iii)Not later than 180 days after the
				date of the enactment of the Export Promotion
				Act of 2012, the Secretary shall submit to Congress a report on
				the results of the first global assessment conducted under clause (i) and a
				plan for the redeployment of Commercial Service personnel and other resources
				on the basis of the global assessment.
							(iv)The Secretary shall conduct a global
				assessment and redeployment described in clause (i) not less frequently than
				once in every 5-year period.
							(B)The Secretary
				may
						;
				and
			(3)in subparagraph
			 (F), as redesignated, by striking is authorized, upon the request of the
			 Secretary, to provide and inserting shall, upon the request of
			 the Secretary, provide.
			4.Strengthened
			 commercial diplomacy to increase United States exports
			(a)Development of
			 planSection 207(c) of the Foreign Service Act of 1980 (22 U.S.C.
			 3927(c)) is amended—
				(1)by inserting
			 (1) after (c); and
				(2)by adding at the
			 end the following:

						(2)(A)Each chief of mission
				to a foreign country shall develop a plan for effective diplomacy to remove or
				reduce obstacles to exports of United States goods and services, in
				consultation with—
								(i)the ambassador of the United States to
				the country;
								(ii)the Assistant Secretary of Commerce
				and Director General of the Commercial Service (established by section
				2301(a)(2) of the Export Enhancement Act of 1988 (15 U.S.C.
				4721(a)(2)));
								(iii)the heads of other Federal agencies
				with export promotion programs, acting through the Trade Promotion Coordinating
				Committee (established by section 2312 of the Export Enhancement Act of 1988
				(15 U.S.C. 4727)); and
								(iv)the trade advisory committees
				authorized by paragraphs (1) and (2) of section 135(c) of the Trade Act of 1974
				(19 U.S.C. 2155(c)), if those committees request consultation.
								(B)The chief of mission shall submit the
				plan required by subparagraph (A) to the Secretary for review by the Secretary
				before implementing the
				plan.
							.
				(b)Assessments and
			 promotionsSection 603(a) of the Foreign Service Act of 1980 (22
			 U.S.C. 4003(a)) is amended, in the second sentence, by inserting after
			 disciplinary actions, the following: assessments (with
			 respect to members of the Service with responsibilities relating to economic
			 affairs) of the effectiveness of efforts to promote the exportation of United
			 States goods and services in accordance with the plan developed pursuant to
			 section 207(c)(2),.
			(c)Inspector
			 generalSection 209(b) of the Foreign Service Act of 1980 (22
			 U.S.C. 3929(b)) is amended—
				(1)in paragraph (4),
			 by striking ; and and inserting a semicolon;
				(2)by redesignating
			 paragraph (5) as paragraph (6); and
				(3)by inserting
			 after paragraph (4) the following new paragraph:

						(5)the effectiveness of diplomacy
				relating to the promotion of exports of United States goods and services;
				and
						.


115 HR 6393 IH: 21st Century Internet Act
U.S. House of Representatives
2018-07-17
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.

I115th CONGRESS2d SessionH. R. 6393IN THE HOUSE OF REPRESENTATIVESJuly 17, 2018Mr. Coffman introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo amend the Communications Act of 1934 to provide for internet openness requirements for broadband
			 internet access service providers, and for other purposes.

 1.Short titleThis Act may be cited as the 21st Century Internet Act. 2.Broadband internet access serviceThe Communications Act of 1934 (47 U.S.C. 151 et seq.) is amended by adding at the end the following:

				VIIIBroadband Internet Access Service
					801.Internet openness
 (a)No blockingA broadband internet access service provider may not— (1)block lawful content, applications, or services, subject to reasonable network management;
 (2)charge an edge provider a fee to avoid blocking of the content, applications, or services provided by the edge provider; or
 (3)prohibit, restrict, or penalize the use of non-harmful devices on the network of the broadband internet access service provider, subject to reasonable network management.
 (b)No throttlingA broadband internet access service provider may not— (1)impair, degrade, slow down, speed up, or enhance lawful internet traffic on the basis of internet content, application, source, destination, service, or use of a non-harmful device, or any particular class of content, application, source, destination, service, or non-harmful device, subject to reasonable network management; or
 (2)charge an edge provider a fee to avoid the impairment, degradation, or slowing down of internet traffic of the edge provider, or for the speeding up or enhancement of such traffic, on the basis of internet content, application, source, destination, service, or use of a non-harmful device, or any particular class of content, application, source, destination, service, or non-harmful device.
 (c)No paid preferential treatmentA broadband internet access service provider may not engage in paid preferential treatment. (d)No unreasonable interference or disadvantage standard for internet conduct (1)In generalA broadband internet access service provider may not unreasonably interfere with or disadvantage—
 (A)the ability of end users to select, access, and use broadband internet access service or the lawful content, applications, services, or devices chosen by such end users, including any particular class of content, application, service, or device; or
 (B)the ability of edge providers to make available to end users lawful content, applications, services, or devices, including any particular class of content, application, service, or device.
 (2)Reasonable network managementReasonable network management shall not be considered a violation of this subsection. (e)Transparency (1)Disclosures requiredA broadband internet access service provider shall publicly disclose accurate and relevant information regarding the network management practices, performance (including speed, latency, and packet loss), and commercial terms of the broadband internet access services of such provider sufficient for consumers to make informed choices regarding use of such services and for edge providers to develop, market, and maintain internet offerings.
 (2)Form and manner of disclosuresThe disclosures required by paragraph (1) shall be— (A)made on a timely basis;
 (B)made prominently and in plain language; and (C)accessible to current and prospective end users and edge providers, the Commission, and third parties who wish to monitor network management practices.
								(3)Exceptions
 (A)In generalParagraph (1) does not require a broadband internet access service provider to publicly disclose information that—
 (i)is competitively sensitive; (ii)could compromise network security; or
 (iii)could undermine the efficacy of reasonable network management practices. (B)Redacted and unredacted versions of disclosureA broadband internet access service provider that withholds information under subparagraph (A) from any public disclosure made to comply with paragraph (1) shall—
 (i)submit to the Commission an unredacted version of such disclosure that contains the information withheld; and
 (ii)indicate in the public version of such disclosure that information has been redacted from such disclosure under subparagraph (A).
									(C)Evaluation by Commission
 (i)In generalNot later than 14 days after the Commission receives an unredacted version of a disclosure under subparagraph (B)(i), the Commission shall review such disclosure to determine if the information withheld from the public version of such disclosure meets the requirements for an exception under subparagraph (A).
 (ii)Deadline for disclosureIf the Commission determines under clause (i) that the information withheld from the public version of the disclosure does not meet the requirements for an exception under subparagraph (A), the broadband internet access service provider shall publicly disclose such information not later than 30 days after the date of the determination of the Commission. The running of the time period specified in the preceding sentence shall be tolled during the pendency of any petition for reconsideration of the determination under section 405, application for review of the determination under section 5(c) (in the case of a determination made under authority delegated under such section), or civil action seeking judicial review of the determination.
									802.Traffic exchange
 (a)Duty To interconnect and exchange Internet Protocol trafficA broadband internet access service provider shall have the duty to interconnect and exchange Internet Protocol traffic on a settlement-free basis with any person (including an edge provider or other internet service provider) seeking to exchange Internet Protocol traffic with such broadband internet access service provider, if the traffic exchange arrangement proposed by such person provides for the exchange of—
 (1)Internet Protocol traffic with such broadband internet access service provider on a reasonably localized basis; and
 (2)at least a reasonable minimum amount of Internet Protocol traffic with such broadband internet access service provider, except that the proportion of traffic sent and received between the person seeking to exchange traffic and the provider shall not be a factor in determining what is a reasonable minimum amount for purposes of this paragraph.
 (b)Indirect interconnectionA broadband internet access service provider may satisfy the duty of such provider under subsection (a) by interconnecting indirectly with any person requesting interconnection under such subsection, if—
 (1)as of the date of the enactment of this title, such broadband internet access service provider relies primarily on indirect interconnection for the exchange of all of the Internet Protocol traffic of such provider with other persons (including edge providers and other internet service providers); and
 (2)the entity through which Internet Protocol traffic will be exchanged with such provider offers settlement-free interconnection for the purpose of exchanging Internet Protocol traffic with such provider on terms that are at least as favorable to persons requesting interconnection as those required under subsection (a).
 (c)Unreasonable discrimination prohibitedA broadband internet access service provider may not unreasonably discriminate when entering into traffic exchange arrangements under subsection (a) or complying with the duty of such provider under such subsection through indirect interconnection in accordance with subsection (b).
 (d)Other traffic exchange arrangementsAny broadband internet access service provider traffic exchange arrangement other than an arrangement described in subsection (a) shall be made on a commercially reasonable basis.
 (e)Prohibition on evasion of internet openness obligationsA broadband internet access service provider may not engage in practices related to or in connection with Internet Protocol traffic exchange, or enter into traffic exchange arrangements, that are designed or intended to evade the obligations set forth in section 801.
						803.Other laws and considerations
 (a)Emergency communications, law enforcement, and related mattersNothing in this title supercedes any obligation or authorization a broadband internet access service provider may have to address the needs of emergency communications or law enforcement, public safety, or national security authorities, consistent with or as permitted by applicable law, or limits the ability of the provider to do so.
 (b)Copyright infringement and other unlawful activityNothing in this title prohibits reasonable efforts by a broadband internet access service provider to address copyright infringement or other unlawful activity.
						(c)End-User choice; specialized services
 (1)In generalNothing in this title shall be construed to limit— (A)the ability of end users to choose service plans or to exercise control over the broadband internet access service chosen by the user; or
 (B)except as provided in paragraph (2), the ability of broadband internet access service providers to offer specialized services.
 (2)Specialized servicesSpecialized services may not be— (A)offered or provided in ways that constitute a functional equivalent of broadband internet access service; or
 (B)otherwise designed or intended to evade the obligations set forth in section 801 or 802. 804.Access by persons with disabilities (a)ManufacturingA manufacturer of broadband equipment or broadband customer premises equipment shall ensure that the equipment is designed, developed, and fabricated to be accessible to and usable by individuals with disabilities, if readily achievable.
 (b)Broadband internet access serviceA broadband internet access service provider shall ensure that the service is accessible to and usable by individuals with disabilities, if readily achievable.
 (c)CompatibilityWhenever the requirements of subsections (a) and (b) are not readily achievable, such a manufacturer or provider shall ensure that the equipment or service is compatible with existing peripheral devices or specialized broadband customer premises equipment commonly used by individuals with disabilities to achieve access, if readily achievable.
 (d)GuidelinesNot later than 6 months after the date of the enactment of this title, the Architectural and Transportation Barriers Compliance Board shall develop guidelines for accessibility of broadband equipment and broadband customer premises equipment in conjunction with the Commission. The Board shall review and update the guidelines periodically.
 (e)No additional private rights authorizedNothing in this section shall be construed to authorize any private right of action to enforce any requirement of this section or any regulation thereunder. The Commission shall have exclusive jurisdiction with respect to any complaint under this section.
 (f)DefinitionsIn this section: (1)Broadband customer premises equipmentThe term broadband customer premises equipment means equipment employed on the premises of a person (other than a broadband internet access service provider) to originate, route, or terminate broadband internet access services.
 (2)Broadband equipmentThe term broadband equipment means equipment, other than broadband customer premises equipment, used by a broadband internet access service provider to provide broadband internet access service, and includes software integral to such equipment (including upgrades).
 (3)DisabilityThe term disability has the meaning given such term in section 3(1)(A) of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102(1)(A)).
 (4)Readily achievableThe term readily achievable has the meaning given such term in section 301(9) of such Act (42 U.S.C. 12181(9)). 805.Commission authority (a)Unfair or deceptive acts or practicesIt shall be unlawful for a broadband internet access service provider to engage in unfair or deceptive acts or practices.
 (b)General enforcement and implementation authorityIn addition to the authority with respect to complaints under subsection (c), the Commission shall have the authority to initiate investigations, bring enforcement actions, issue declaratory rulings, conduct rulemakings, and take such other actions consistent with sections 4(i) and 403 as are necessary to implement the requirements of this title. Nothing in this title shall alter the power of the Commission to impose forfeitures under title V.
						(c)Complaints
 (1)Formal complaintsThe Commission shall enforce the obligations established in this title through adjudication of complaints, under existing Commission complaint protocol.
 (2)Informal complaintsThe Commission may investigate informal complaints. Any such complaint shall set forth clearly and concisely the facts relied upon, the relief sought, the statutory or regulatory provisions (if any) pursuant to which the complaint is filed and under which relief is sought, and the interest of the person submitting the complaint.
 (d)Forbearance authority inapplicableThe authority of the Commission under section 10 shall not apply to this title or a regulation promulgated under this title.
 806.Prescriptive rate regulationNothing in this title shall be construed to grant authority to the Commission to prescribe the rate that a broadband internet access service provider may charge for such service in advance of the provision of such service.
 807.DefinitionsIn this title: (1)Broadband internet access service (A)In generalThe term broadband internet access service means a mass market retail service by wire or radio that provides the capability to transmit data to and receive data from all or substantially all internet endpoints, including any capabilities that are incidental to and enable the operation of the communications service, but excluding dial-up internet access service.
 (B)Functional equivalent; evasionSuch term includes any service that— (i)the Commission finds to be providing a functional equivalent of the service described in subparagraph (A); or
 (ii)is used to evade the obligations set forth in this title. (2)Broadband internet access service providerThe term broadband internet access service provider means a person engaged in the provision of broadband internet access service, insofar as such person is so engaged.
 (3)Edge providerThe term edge provider means any person who provides— (A)any content, application, or service over the internet; or
 (B)a device used for accessing any content, application, or service over the internet. (4)End userThe term end user means any person who uses a broadband internet access service.
 (5)Network management practiceThe term network management practice means a practice that has an exclusively technical network management justification, but such term does not include other business practices.
 (6)Paid preferential treatmentThe term paid preferential treatment means the management of the network of a broadband internet access service provider to directly or indirectly favor some internet traffic in relation to other internet traffic, including through the use of techniques such as traffic shaping, prioritization, resource reservation, or other forms of preferential traffic management, either—
 (A)in exchange for consideration (monetary or otherwise) from a third party; or (B)to benefit an affiliated entity
 (7)Reasonable network managementThe term reasonable network management means the use of a network management practice exclusively for, and tailored to achieving, a legitimate technical network management purpose, taking into account the particular network architecture and technology of the broadband internet access service.
 (8)Specialized servicesThe term specialized services means services accessed by means other than through broadband internet access service and that are offered or delivered over the same network as, and that may share network capacity with, broadband internet access services.
 (9)Traffic exchangeThe term traffic exchange, and the term exchange when used with respect to Internet Protocol traffic, mean the exchange of Internet Protocol traffic between networks.
 (10)Traffic exchange arrangementThe term traffic exchange arrangement means an arrangement that determines which networks exchange Internet Protocol traffic and the destinations to which such networks will deliver such traffic..
 3.Eligibility of broadband internet access services for universal service fundsSection 254 of the Communications Act of 1934 (47 U.S.C. 254) is amended— (1)in subsection (c), by adding at the end the following:

 (4)Broadband internet access servicesBroadband internet access services (as defined in section 807) shall be eligible to receive funding from Federal universal service support mechanisms authorized by this section.;
 (2)in the last sentence of subsection (d), by inserting (including a broadband internet access service provider (as defined in section 807)) after telecommunications; and (3)in subsection (e)—
 (A)in the first sentence, by inserting or a broadband internet access service provider (as defined in section 807) after section 214(e); and (B)in the second sentence, by inserting or provider after carrier.
 4.Effective dateThe amendments made by this Act shall apply with respect to broadband internet access service that is provided after the date that is 30 days after the date of the enactment of this Act.


IV115th CONGRESS1st SessionH. RES. 87IN THE HOUSE OF REPRESENTATIVESFebruary 3, 2017Mr. Ellison (for himself, Mr. Conyers, and Ms. Moore) submitted the following resolution; which was referred to the Committee on Foreign AffairsRESOLUTIONExpressing the sense of the House of Representatives that a Global Marshall Plan holds the potential to demonstrate the commitment of the United States to peace and prosperity through poverty reduction in the United States and abroad.
Whereas after World War II, the United States established a program to provide for the reconstruction of Europe, named after General George C. Marshall and commonly referred to as the Marshall Plan; Whereas by providing assistance to Europe through the Marshall Plan, the United States recognized the direct link between economic growth and political stability;
Whereas in 1948, United States financial support of the Marshall Plan represented a generous 13 percent of the Federal budget; Whereas the Marshall Plan made possible new measures of international cooperation by promoting European economic integration which has enhanced the security, freedom, and prosperity of the United States and the world;
Whereas the United States established foreign assistance programs, as prescribed by the Foreign Assistance Act of 1961, with a goal of the encouragement and sustained support of the people of developing countries in their efforts to acquire the knowledge and resources essential to development and to build the economic, political, and social institutions which will improve the quality of their lives; Whereas in announcing the Millennium Challenge Account on March 15, 2002, President George W. Bush stated The advance of development is a central commitment of American foreign policy. As a nation founded on the dignity and value of every life, America’s heart breaks because of the suffering and senseless death we see in our world. We work for prosperity and opportunity because they’re right. It’s the right thing to do.;
Whereas the World Bank reports that about eleven percent of the world’s population, 767,000,000 people, lives in extreme poverty on less than $1.90 per day; Whereas the United States has one of the highest levels of poverty among industrialized countries;
Whereas the United States should also work toward improving the life of its own poorest population, as 13.5 percent live below the Federal poverty level; Whereas there are more than 43,000,000 persons living on incomes less than the Federal Poverty Level, including more than 10,000,000 African-American persons, more than 2,000,000 Asian persons, more than 12,000,000 Hispanic persons, and more than 14,500,000 children;
Whereas at the United Nations Millennium Summit in 2000, the United States joined more than 180 countries in committing to work toward the United Nations Millennium Development Goals to improve life for the world’s poorest people by 2015; Whereas the United States joined more than 180 countries in committing to work toward the 17 Sustainable Development Goals to end all forms of poverty, fight inequalities, and tackle climate change by 2030;
Whereas empowering people in the United States and abroad to support themselves will provide a solid foundation for global economic recovery; Whereas the economic gap between the rich and the poor is even greater today than it was following World War II, when the United States Congress deemed the Marshall Plan essential to the security of the United States;
Whereas reducing poverty may assist in warding off harsh conditions that extremists may exploit to rally support for political violence; Whereas United States citizens and nongovernmental organizations have proposed a new Global Marshall Plan, including—
(1)providing increased funding to eliminate poverty, homelessness, hunger, inadequate education, and health care domestically and globally in addition to restoring the global environment;  (2)revising existing trade and other agreements in which the United States is currently involved so that such agreements favor improving the lives of the poor around the world, and approaching future agreements with like intent; and
(3)providing training to children and adults worldwide in techniques of nonviolent communication, diversity, environmental sustainability, family and parental support, stress reduction, emergency health techniques, diet and exercise, and caring for others who are in need of help; and Whereas a Global Marshall Plan, embracing a strategy of generosity, would reaffirm the United States commitment to ending global and United States poverty: Now, therefore, be it
That it is the sense of the House of Representatives that— (1)the elimination of poverty and hunger should remain key foreign and domestic policy goals for the United States;
(2)a Global Marshall Plan holds the potential to transform development assistance in a manner that would significantly reduce poverty; and (3)the President should implement a Global Marshall Plan to increase United States assistance towards the elimination of poverty.


116 S3060 IS: RPPA Commercial Recreation Concessions Pilot Program Act of 2019
U.S. Senate
2019-12-16
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 CONGRESS1st SessionS. 3060IN THE SENATE OF THE UNITED STATESDecember 16, 2019Ms. McSally introduced the following bill; which was read twice and referred to the Committee on Energy and Natural ResourcesA BILLTo require the Secretary of the Interior to establish a pilot program for commercial recreation
			 concessions on certain land managed by the Bureau of Land Management.

 1.Short titleThis Act may be cited as the RPPA Commercial Recreation Concessions Pilot Program Act of 2019. 2.Commercial recreation concessions pilot programThe Act of June 14, 1926 (commonly known as the Recreation and Public Purposes Act) (44 Stat. 741, chapter 578; 43 U.S.C. 869 et seq.), is amended by adding at the end the following:

				7.Commercial recreation concessions pilot program
 (a)In generalNotwithstanding any other provision of this Act (including any regulations under this Act), not later than 90 days after the date of enactment of this section, the Secretary shall establish a pilot program to authorize commercial recreation concessions on land patented or leased under this Act.
					(b)Concessions agreements
 (1)In generalIn carrying out the pilot program established under subsection (a), the Secretary shall enter into not more than 10 agreements with parties to whom the land described in subsection (a) has been patented or leased for the establishment of commercial recreation concessions on the land covered by the agreement.
						(2)Term
 (A)In generalAn agreement entered into under paragraph (1) shall be for a period that is consistent with the period of time required to amortize the capital investment made under the agreement but in any case not longer than 20 years.
 (B)ExtensionOn a finding of satisfactory performance, the Secretary may extend the term of an agreement for 1 additional period equal in length to the initial term.
							(3)Third-party agreements
 (A)In generalA party to an agreement entered into under paragraph (1) may enter into agreements with third parties for the establishment of commercial recreation concessions pursuant to the agreement entered into under paragraph (1).
 (B)TermAn agreement entered into under subparagraph (A) shall not be for a period that is longer than the term of the agreement entered into under paragraph (1).
 (c)Use of fundsA party to an agreement entered into under subsection (b)(1) shall not be required to use revenue collected pursuant to the commercial recreation concessions on the land covered by the agreement.
 (d)Authorized activitiesFor the term of an agreement entered into under subsection (b)(1), with respect to land covered by the agreement, any activity defined as permissible under parts 2920 and 2930 of title 43, Code of Federal Regulations (or successor regulations), shall be permissible.
 (e)EffectThe establishment of commercial recreation concessions under subsection (b) shall not be considered to be a change in use for purposes of this Act..


114 HR 3247 IH: FAIR TOW Act
U.S. House of Representatives
2015-07-28
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
		114th CONGRESS
		1st Session
		H. R. 3247
		IN THE HOUSE OF REPRESENTATIVES

			July 28, 2015
			Mr. Fleischmann (for himself and Mr. Brady of Pennsylvania) introduced the following bill; which was referred to the Committee on Transportation and Infrastructure

		A BILL
		To amend title 23, United States Code, to exempt covered heavy-duty tow and recovery vehicles from
			 certain weight limitations, and for other purposes.

 1.Short titleThis Act may be cited as the Fair Action for Interstate Recovery Vehicles on Truck Operating Weights Act or the FAIR TOW Act. 2.Vehicle weight limitations—Interstate SystemSection 127 of title 23, United States Code, is amended by adding at the end the following:

				(m)Covered heavy-Duty tow and recovery vehicles
 (1)In generalThe vehicle weight limitations set forth in this section do not apply to a covered heavy-duty tow and recovery vehicle.
 (2)Covered heavy-duty tow and recovery vehicle definedIn this subsection, the term covered heavy-duty tow and recovery vehicle means a vehicle that— (A)is transporting a disabled vehicle from the place where the vehicle became disabled to the nearest appropriate repair facility; and
 (B)has a gross vehicle weight that is equal to or exceeds the gross vehicle weight of the disabled vehicle being transported.
						.


		I
		112th CONGRESS
		1st Session
		H. R. 3658
		IN THE HOUSE OF REPRESENTATIVES

			December 14, 2011
			Mr. Blumenauer (for
			 himself, Mr. Poe of Texas,
			 Mr. Payne,
			 Mr. Burton of Indiana,
			 Mr. Carnahan,
			 Mr. Sires,
			 Mr. McCaul,
			 Mr. Berman,
			 Mr. McGovern,
			 Mr. Conyers,
			 Ms. Bass of California,
			 Ms. Lee of California, and
			 Mr. Smith of Washington) introduced
			 the following bill; which was referred to the
			 Committee on Foreign
			 Affairs

		A BILL
		To strengthen implementation of the Senator Paul Simon
		  Water for the Poor Act of 2005, and for other purposes.

		1.Short titleThis Act may be cited as the
			 Senator Paul Simon Water for the World
			 Act of 2012.
		2.FindingsCongress finds the following:
			(1)The Senator Paul
			 Simon Water for the Poor Act of 2005 (Public Law 109–121)—
				(A)makes access to
			 safe water and sanitation for developing countries a specific policy objective
			 of United States foreign assistance programs;
				(B)requires the
			 Secretary of State to—
					(i)develop a strategy
			 to elevate the role of water and sanitation policy; and
					(ii)improve the
			 effectiveness of United States assistance programs undertaken in support of
			 that strategy;
					(C)codifies Target 10
			 of the United Nations Millennium Development Goals; and
				(D)seeks to reduce by
			 half between 1990 (the baseline year) and 2015—
					(i)the
			 proportion of people who are unable to reach or afford safe drinking water;
			 and
					(ii)the
			 proportion of people without access to basic sanitation.
					(2)For maximum
			 effectiveness of assistance, safe drinking water, sanitation, and hygiene must
			 be coordinated with and integrated into programs and strategies for food
			 security, global health, environment, education, and gender equality.
			(3)On August 1, 2008,
			 Congress passed H. Con. Res. 318, which—
				(A)supports the goals
			 and ideals of the International Year of Sanitation; and
				(B)recognizes the
			 importance of sanitation on public health, poverty reduction, economic and
			 social development, and the environment.
				(4)While progress is
			 being made on safe water and sanitation efforts—
				(A)more than
			 884,000,000 people throughout the world lack access to safe drinking water;
			 and
				(B)2 of every 5
			 people in the world do not have access to basic sanitation services.
				(5)The health
			 consequences of unsafe drinking water and poor sanitation are
			 significant—
				(A)at any given time,
			 half of the world’s hospital beds are occupied by patients suffering from
			 diseases associated with lack of access to safe drinking water, inadequate
			 sanitation and poor hygiene;
				(B)more than
			 3,575,000 people die each year from water-related disease; and
				(C)chronic or acute
			 diarrhea can lead to cognitive delays, with severe repercussions for economic
			 development.
				(6)Clean water and
			 sanitation are among the most powerful drivers for human development. They
			 extend opportunity, enhance dignity, and help create a virtuous cycle of
			 improving health and rising wealth.
			(7)Diseases linked to
			 unsafe water and poor sanitation, as well as the time and energy women often
			 devote to collecting water, significantly reduce economic productivity in less
			 developed countries and promote lifecycles of disadvantage.
			(8)Expanding access
			 to clean water and sanitation is essential for reducing the global burden of
			 disease, advancing economic and social development, protecting basic human
			 rights, prevention of violence against women, and mitigating sources of
			 conflict.
			(9)Nearly
			 1,000,000,000 people across the globe still suffer from chronic hunger. Water
			 scarcity and poor water management reduce agricultural productivity and
			 threaten food security.
			(10)Approximately
			 half the world’s population lives in cities, often in slums characterized by
			 unsafe water, poor sanitation, lack of basic services, overcrowding, inferior
			 construction and insecure tenure.
			(11)According to the
			 2005 Millennium Ecosystem Assessment, commissioned by the United Nations, more
			 than 1/5 of the world population relies on freshwater that
			 is either polluted or excessively withdrawn.
			(12)According to the
			 United Nations, women make up 70 percent of the world’s poor. Yet, the time
			 they spend collecting water prevents them from undertaking other activities,
			 such as generating income or attending school.
			(13)A lack of access
			 to safe water and improved sanitation close to home and at school can impact
			 girls’ educational attainment and retention, limiting their ability to break
			 the cycle of poverty. Research has found increases in girls’ school enrollment
			 when clean water points were installed closer to home, and increases in girls’
			 school attendance when separate latrines for boys and girls were provided on
			 site. Meeting the water and sanitation targets of the Millennium Development
			 Goals would provide an estimated 272,000,000 additional school days per
			 year.
			(14)A lack of water
			 points close to home or safe, private latrines can put women and girls in
			 isolated situations, making them more vulnerable to sexual and physical
			 violence. Violence against women and girls has consequences ranging from
			 psychosocial trauma to heightened risk of HIV/AIDS.
			(15)Faith communities
			 across the United States contribute significantly to the improvement of water,
			 sanitation, and hygiene in developing countries. By applying their expertise,
			 providing services, building the capacity of local organizations, establishing
			 long-term partnerships with local communities, empowering marginalized groups,
			 and serving as a voice for the poor, faith-based and nonprofit organizations
			 complement and leverage assistance provided by the United States
			 Government.
			(16)United States
			 businesses have developed key technologies, donated goods and services,
			 partnered with private and public sector entities, and invested their capital
			 to improve water and sanitation in many developing countries.
			(17)Implementation of
			 the Senator Paul Simon Water for the Poor Act of 2005 must be significantly
			 strengthened if the purposes of section 136 of the Foreign Assistance Act, as
			 redesignated and amended by section 4 of this Act, are to be met.
			(18)The monitoring and evaluation of the
			 performance of United States foreign assistance programs and their contribution
			 to policy, strategies, projects, program goals, and priorities undertaken by
			 the Federal Government is essential to improving aid effectiveness.
			3.PurposeThe purpose of this Act and the amendments
			 made by this Act is to strengthen implementation of the Senator Paul Simon
			 Water for the Poor Act of 2005 (Public Law 109–121) by—
			(1)improving
			 coordination and oversight of water, sanitation, and hygiene programs within
			 and between United States Government agencies;
			(2)increasing the
			 sustainability of United States Government-supported water, sanitation, and
			 hygiene programs;
			(3)enhancing water,
			 sanitation, and hygiene expertise within the United States Agency for
			 International Development; and
			(4)integrating water
			 and sanitation into programs and strategies for food security, global health,
			 environment, education, and gender equality.
			4.Improving
			 coordination and oversight of safe water, sanitation, and hygiene projects and
			 activities
			(a)In
			 generalChapter 1 of part I
			 of the Foreign Assistance Act of 1961 (22 U.S.C. 2151 et seq.) is
			 amended—
				(1)by redesignating
			 section 135, as added by section 5(a) of the Senator Paul Simon Water for the
			 Poor Act of 2005 (Public Law 109–121; 119 Stat. 2536), as section 136;
			 and
				(2)in section 136, as
			 redesignated by paragraph (1) of this section—
					(A)in the section
			 heading, by striking and
			 sanitation and inserting , sanitation, and
			 hygiene;
					(B)in subsection (b),
			 by striking and sanitation and inserting , sanitation,
			 and hygiene; and
					(C)by adding at the
			 end the following:

							(e)Global water
				coordinator
								(1)In
				generalThe Administrator of
				the United States Agency for International Development (USAID) shall designate
				a senior advisor to coordinate and oversee water, sanitation, and hygiene
				assistance, who shall be known as the Global Water Coordinator,
				and who shall report directly to the Administrator and the Assistant
				Administrator overseeing water programs.
								(2)DutiesThe
				Global Water Coordinator shall—
									(A)oversee
				implementation of this section and the Senator Paul Simon Water for the Poor
				Act of 2005 (Public Law 109–121);
									(B)lead the
				development of the safe water and sanitation strategy required under section 6
				of the Senator Paul Simon Water for the Poor Act of 2005;
									(C)assist and monitor
				the development of country-specific water strategies in coordination with
				relevant USAID Mission Directors and other appropriate personnel;
									(D)integrate water,
				sanitation, and hygiene activities into global and country-specific strategies
				and programs, including those relating to food security, global health,
				environment, education, and gender equality;
									(E)develop appropriate benchmarks, indicators,
				and guidelines for monitoring and evaluation of water and sanitation programs
				as required under section 8 of the Senator
				Paul Simon Water for the World Act of 2012; and
									(F)foster the
				development, dissemination, and increased and consistent use of low-cost and
				sustainable technologies, public and private partnerships, credit guarantees
				and other financing arrangements that leverage non-Federal funds for impact on
				water, sanitation, and hygiene services that benefit the poor.
									(3)StaffThe
				Administrator shall ensure that a sufficient number of employees of USAID with
				appropriate experience are assigned to assist the Global Water Coordinator in
				carrying out the duties of paragraph (2).
								(f)Special advisor
				for water resources
								(1)In
				generalThe Secretary of State shall designate a senior advisor
				to coordinate and oversee policy relating to water and sanitation assistance,
				who shall be known as the Special Advisor for Water Resources,
				and who shall report directly to the Secretary of State and the Under Secretary
				overseeing water programs.
								(2)DutiesThe
				Special Advisor for Water Resources shall—
									(A)oversee and
				coordinate the diplomatic policy of the United States Government with respect
				to global freshwater issues, including—
										(i)working with
				partner countries and other stakeholders to develop and sustain political
				commitment to improving access to water, sanitation, and hygiene over the long
				term, and mitigating cross-border conflict;
										(ii)assisting and
				encouraging other countries and international organizations to plan and manage
				water resources in an efficient, transparent, equitable, inclusive, and
				environmentally sustainable manner;
										(iii)fostering
				regional and cross-border cooperation for integrated river basin and watershed
				management;
										(iv)mitigating
				transboundary conflict over water resources;
										(v)fostering integrated river basin and
				watershed management; and
										(vi)fostering
				agricultural and urban productivity of water resources; and
										(B)promote United
				States policy relating to international freshwater issues in key diplomatic and
				scientific forums.
									(3)StaffThe
				Secretary of State shall ensure that a sufficient number of employees of the
				Department of State with appropriate experience are assigned to assist the
				Special Advisor for Water Resources in carrying out the duties of paragraph
				(2).
								.
					(b)Interagency
			 consultation and coordination
				(1)In
			 generalNot later than 180 days after the date of enactment of
			 this Act, the Administrator of the United States Agency for International
			 Development and the Secretary of State shall develop and implement a process to
			 ensure regular consultation and coordination between the Global Water
			 Coordinator and the Special Advisor for Water Resources so that their efforts
			 are complimentary and in support of the safe water and sanitation
			 strategy.
				(2)Matters to be
			 includedThis process
			 required under paragraph (1) should include jointly convened meetings with any
			 Federal department or agency administering United States water, sanitation, and
			 hygiene programs to evaluate progress in carrying out the safe water and
			 sanitation strategy.
				(3)DefinitionsIn
			 this subsection—
					(A)the term
			 Global Water Coordinator means the Global Water Coordinator
			 designated under section 136(e) of the Foreign Assistance Act of 1961, as added
			 by subsection (a)(2) of this section;
					(B)the term
			 Special Advisor for Water Resources means the Special Advisor for
			 Water Resources designated under section 136(f) of the Foreign Assistance Act
			 of 1961, as added by subsection (a)(2) of this section; and
					(C)the term safe water and sanitation
			 strategy means the strategy required under section 6 of the Senator Paul
			 Simon Water for the Poor Act of 2005.
					5.Increasing
			 sustainability of safe water, sanitation, and hygiene projects and
			 activities
			(a)PrinciplesIn order to ensure that water, sanitation,
			 and hygiene projects and activities carried out under the authorities of
			 section 136 of the Foreign Assistance Act of 1961, as redesignated and amended
			 by section 4 of this Act, and the Senator Paul Simon Water for the Poor Act of
			 2005 (Public Law 109–121) achieve maximum impact and continue to deliver
			 lasting benefits after completion, such projects and activities shall be
			 carried out in accordance with the following principles:
				(1)Projects and
			 activities should be targeted to the poorest and most vulnerable countries and
			 communities, including women and girls, displaced persons and refugees, and
			 other marginalized populations.
				(2)Projects and activities should be designed
			 in consultation with a broad range of local and national stakeholders,
			 including communities directly affected by a lack of access to clean water,
			 sanitation or hygiene, nongovernmental organizations, cooperatives,
			 foundations, universities, private sector entities, and women-focused
			 organizations.
				(3)Projects and activities should be designed
			 wherever possible to be commercially viable over the long term, and undertaken
			 in conjunction with private enterprise.
				(4)Governments of countries in which projects
			 and activities are carried out should identify revenue streams sufficient to
			 cover the costs of maintaining public equipment and services with respect to
			 such projects and activities over the long term.
				(5)Projects and activities should provide for
			 a functioning management and maintenance system comprising tools, supply
			 chains, transport, equipment, training and individuals or institutions with
			 clear responsibilities for achieving sustainability.
				(6)With respect to projects and activities
			 that are managed by communities or institutions, effective external support
			 should be provided to such communities or institutions.
				(7)Projects should be designed to foster
			 sustainable water management in order to ensure the long-term sustainability of
			 each such project and to mitigate any negative environmental impacts.
				(8)Access to water
			 and sanitation should be expanded in an equitable manner and on the basis of
			 need, without regard to race, gender, religion, or ethnic origin.
				(b)Local
			 ownershipThe Administrator of the United States Agency for
			 International Development shall establish guidelines and procedures to ensure
			 that—
				(1)a broad range of local and national
			 stakeholders is consulted in the development of any country-specific water
			 strategy;
				(2)any water,
			 sanitation, and hygiene projects and activities authorized under each such
			 strategy are designed to address the specific needs of women and girls;
			 and
				(3)local civil society organizations,
			 including nonprofit organizations as well as businesses, are full participants
			 in the selection and design, implementation, monitoring, and evaluation of
			 water, sanitation, and hygiene projects and activities.
				(c)Local
			 procurement
				(1)AuthorityIn providing assistance under the
			 authorities of section 136 of the Foreign Assistance Act of 1961, as
			 redesignated and amended by section 4 of this Act, the Administrator of the
			 United States Agency for International Development is authorized to award
			 contracts and other acquisition instruments on a non-competitive basis to local
			 entities in high priority countries to carry out safe water, sanitation, and
			 hygiene projects and activities in such countries.
				(2)LimitationA
			 contract or other instrument described in paragraph (1) may not have a value
			 that exceeds $5,000,000.
				(3)Supersedes other
			 lawsThe Administrator of the
			 United States Agency for International Development may exercise the authority
			 of paragraph (1) notwithstanding any other provision of law.
				(4)DefinitionsIn
			 this subsection—
					(A)the term high priority country
			 means a country designated pursuant to section 6 of the Senator Paul Simon
			 Water for the Poor Act of 2005; and
					(B)the term
			 local entity means an individual, corporation, or other entity
			 that—
						(i)is organized under
			 the laws of the high priority country;
						(ii)has its principal
			 place of business or operations in such country; and
						(iii)is owned or
			 controlled by citizens of such country.
						(5)FundingFunds made available to carry out the
			 Senator Paul Simon Water for the Poor Act of 2005 for any fiscal year are
			 authorized to be made available to carry out this subsection.
				(d)Retention of
			 interest
				(1)AuthorityIn providing assistance under the
			 authorities of section 136 of the Foreign Assistance Act of 1961, as
			 redesignated and amended by section 4 of this Act, the Administrator of the
			 United States Agency for International Development is authorized to enter into
			 agreements with indigenous local private or public groups, associations, or
			 other entities in high priority countries to provide for the retention by such
			 group, association, or other entity, without deposit in the Treasury of the
			 United States and without further appropriation by law, of interest earned on
			 such assistance so provided.
				(2)LimitationAn
			 agreement described in paragraph (1) may not have a value that exceeds
			 $5,000,000.
				(3)Use of
			 interestAny interest earned on the advance of funds under an
			 agreement authorized under paragraph (1) may be used only for the purposes for
			 which the agreement is made.
				(4)AuditsThe Administrator shall, on a regular and
			 recurring basis, audit interest earned on advance funds under an agreement
			 authorized under paragraph (1) to ensure that the requirements of paragraph (3)
			 are met.
				(5)DefinitionIn this subsection, the term high
			 priority country means a country designated pursuant to section 6 of the
			 Senator Paul Simon Water for the Poor Act of 2005.
				6.Safe water,
			 sanitation, and hygiene strategySection 6 of the Senator Paul Simon Water
			 for the Poor Act of 2005 (22 U.S.C. 2152h note) is amended—
			(1)in the section
			 heading, by striking and
			 sanitation and inserting , sanitation, and
			 hygiene;
			(2)in subsection
			 (a)—
				(A)by striking
			 Secretary of State and inserting Administrator of the
			 United States Agency for International Development;
				(B)by striking
			 shall develop a strategy and inserting shall, not later
			 than January 1, 2013, and every four years thereafter, develop a strategy for
			 the next four years;
				(C)by striking
			 and sanitation and inserting , sanitation, and
			 hygiene; and
				(D)by striking
			 section 135 of the Foreign Assistance Act of 1961, as added by section
			 5(a) of this Act and inserting section 136 of the Foreign
			 Assistance Act of 1961, as amended by the Senator Paul Simon Water for the
			 World Act of 2012;
				(3)in subsection (b),
			 by striking Administrator of the United States Agency for International
			 Development and inserting Secretary of State;
			(4)in subsection (c),
			 by striking Secretary of State and inserting
			 President;
			(5)in subsection
			 (e)—
				(A)by striking and sanitation
			 each place it appears and inserting , sanitation, and
			 hygiene;
				(B)in paragraph (5),
			 by striking and at the end;
				(C)in paragraph (6),
			 by striking the period at the end and inserting a semicolon; and
				(D)by adding at the
			 end the following:

						(7)best practices for
				mobilizing and leveraging the financial and technical capacity of multilateral
				institutions, business, local governments, nongovernmental organizations, and
				civil society in forming public-private partnerships that measurably increase
				access to safe and affordable drinking water, sanitation, and hygiene;
						(8)the number, types,
				and level of specialists and generalists currently employed and projected to be
				needed in each functional and geographic area, including support, management,
				and administrative functions, to carry out the strategy; and
						(9)the assumptions
				regarding program and policy priorities and budget levels on which the strategy
				is
				based.
						;
				(6)in subsection (f)
			 to read as follows:

					(f)Designation of
				high priority countries
						(1)DesignationThe strategy required by subsection (a)
				shall further include the designation of high priority countries for assistance
				under section 136 of the Foreign Assistance Act of 1961, as amended by the
				Senator Paul Simon Water for the World Act of 2012.
						(2)CriteriaEach
				designation of a high priority country described in paragraph (1) shall be made
				on the basis of—
							(A)countries and
				communities in countries in which the need for increased access to safe water,
				sanitation, and hygiene is greatest; and
							(B)countries and communities in countries in
				which assistance under such section can be expected to make the greatest
				difference in promoting good health, economic development, poverty reduction,
				women’s empowerment, conflict prevention, and environmental
				sustainability.
							(3)Sense of
				CongressIt is the sense of
				Congress that each designation of a high priority country described in
				paragraph (1) should conform to the goals and objectives in the country’s
				multi-year development
				strategy.
						;
			(7)by striking
			 subsection (g); and
			(8)by inserting after
			 subsection (f) the following:

					(g)Actions with
				respect to high priority countriesFor each country that is designated as a
				high priority country, the United States Agency for International Development’s
				Mission Director for such country shall—
						(1)designate
				sustainably increasing access to safe drinking water and sanitation as a
				strategic objective, reflected in country-specific strategies that incorporate
				sustainable water management goals and targets; and
						(2)integrate, where
				appropriate, investments in water, sanitation, and hygiene with investments in
				food security, global health, environment and sustainable water management,
				education, and gender
				equality.
						.
			7.Transparency and
			 monitoring and evaluationSection 7 of the Senator Paul Simon Water
			 for the Poor Act of 2005 (22 U.S.C. 2152h note) is amended by striking section
			 7 and inserting the following:

				7.Transparency and
				monitoring and evaluation
					(a)Transparency
						(1)In
				generalNot later than 1 year
				after the date of the enactment of the Senator Paul Simon Water for the World Act of
				2012, the Administrator of the United States Agency for
				International Development shall, as part of the Agency’s Internet Website,
				establish and maintain a Webpage to make publicly available comprehensive,
				timely, comparable, and accessible information on United States water,
				sanitation, and hygiene foreign assistance programs. The head of each Federal
				department or agency that administers such programs shall on a regular basis
				publish and update on the Webpage such information with respect to programs of
				the department or agency.
						(2)Matters to be
				included
							(A)In
				generalTo ensure
				transparency, accountability, and effectiveness of United States water,
				sanitation, and hygiene foreign assistance programs, the information required
				by paragraph (1) shall include—
								(i)the strategy
				required by section 6;
								(ii)the multi-year development strategy of each
				developing country under section 6(a);
								(iii)an
				identification of each country designated as a high priority country under
				section 6(f), including a fully articulated rationale of why the country
				received the designation;
								(iv)a summary of the guidelines and procedures
				as required by section 5(b) of the Senator
				Paul Simon Water for the World Act of 2012;
								(v)for each fiscal
				year, information on the amount of funds expended in each country or program,
				disaggregated by purpose of assistance, including information on capital
				investments, and the source of such funds by account; and
								(vi)evaluations of
				water, sanitation, and hygiene programs, if any.
								(B)Posting
				requirementsSuch information shall be published on the Webpage
				not later than 30 days after the date of issuance of the information and shall
				be continuously updated.
							(C)Report in lieu
				of inclusionIf the head of a Federal department or agency
				described in paragraph (1) makes a determination that the inclusion of a
				required item of information on the Webpage would jeopardize the health or
				security of an implementing partner or program beneficiary or would be
				detrimental to the national interests of the United States, such item of
				information may be submitted to Congress in a written report in lieu of
				including it on the Webpage, along with the reasons for not including it on the
				Webpage.
							(3)DatabaseThe Webpage shall also contain a link to a
				searchable database available to the public containing such information
				relating to the current fiscal year and, as available, for each prior fiscal
				year dating to and including fiscal year 2006.
						(4)FormSuch information shall be published on the
				Webpage in unclassified form. Any information determined to be classified
				information may be submitted to Congress in classified form and an unclassified
				summary of such information shall be published on the Webpage.
						(b)Monitoring and
				evaluation
						(1)In
				generalThe head of each Federal department or agency that
				administers United States water, sanitation, and hygiene foreign assistance
				programs shall monitor and evaluate projects and activities carried out under
				such programs, including carrying out assessments of impact where appropriate,
				and ensuring results of evaluations are used to inform the design of such
				projects and activities. Such monitoring and evaluations shall be carried our
				in accordance with the principles described in section 5(a) of the
				Senator Paul Simon Water for the World Act of
				2012.
						(2)DefinitionsIn this subsection:
							(A)MonitoringThe term monitoring means,
				with respect to a United States water, sanitation, or hygiene foreign
				assistance program, a continuing function that uses systematic collection of
				data on specified indicators to provide management and the main stakeholders of
				an ongoing development intervention with indications of the extent of progress
				and achievement of objectives and progress in the use of allocated
				funds.
							(B)EvaluationThe term evaluation means,
				with respect to a United States water, sanitation, or hygiene foreign
				assistance program, the systematic collection and analysis of information about
				the characteristics and outcomes of the program and projects under the program
				as a basis for judgments, to improve effectiveness, and to inform decisions
				about current and future programming, including an explanation of the reasons
				for or causes of the observed
				results.
							.
		8.Report on
			 capacity and expertiseNot
			 later than 1 year after the date of enactment of this Act, the Comptroller
			 General of the United States shall submit to Congress a report assessing the
			 capacity of United States Government to carry out and fully implement this Act,
			 the Senator Paul Simon Water for the Poor Act of 2005 (Public Law 109–121), as
			 amended by this Act, and section 136 of the Foreign Assistance Act of 1961, as
			 amended by this Act. Such assessment shall give special focus to—
			(1)evaluating the
			 sufficiency of training programs at both the bureau and mission levels as they
			 relate to providing long-term, sustainable access to water, sanitation, and
			 hygiene;
			(2)identifying
			 overall levels of staff expertise on water, sanitation, and hygiene development
			 assistance and where additional expertise may be needed;
			(3)identifying
			 barriers to implementation;
			(4)identifying
			 options for and the estimated costs associated with remedying the problems
			 identified in the report; and
			(5)evaluate the
			 degree to which assistance is targeted towards high priority countries, as
			 defined by section 6(f) of the Paul Simon Water for the Poor Act of 2005
			 (Public Law 109–121).


109 HR 4824 IH: Pulmonary and Cardiac Rehabilitation Act of 2006
U.S. House of Representatives
2006-03-01
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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
2d Session
H. R. 4824
IN THE HOUSE OF REPRESENTATIVES

March 1, 2006
Mr. Pickering (for himself and Mr. Lewis of Georgia) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 concerned

A BILL
To amend title XVIII of the Social Security Act to provide coverage for cardiac rehabilitation and pulmonary rehabilitation services.

1.Short titleThis Act may be cited as the Pulmonary and Cardiac Rehabilitation Act of 2006.
2.Coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program
(a)In generalSection 1861 of the Social Security Act (42 U.S.C. 1395x), as amended by section 5112(a) of the Deficit Reduction Act of 2005, is amended—
(1)in subsection (s)(2)—
(A)in subparagraph (Z), by striking and at the end;
(B)in subparagraph (AA), by adding at the end ; and; and
(C)by adding at the end the following new subparagraph:

(BB)items and services furnished under a cardiac rehabilitation program (as defined in subsection (ccc)) or under a pulmonary rehabilitation program (as defined in subsection (ddd)).; and
(2)by adding at the end the following new subsections:

(ccc)Cardiac rehabilitation program
(1)The term cardiac rehabilitation program means a physician-supervised program (as described in paragraph (2)) that furnishes the items and services described in paragraph (3).
(2)A program described in this paragraph is a program under which—
(A)items and services under the program are delivered—
(i)in a physician's office;
(ii)in a physician-directed clinic; or
(iii)in a hospital on an outpatient basis;
(B)a physician is immediately available and accessible for medical consultation and medical emergencies at all times items and services are being furnished under the program, except that, in the case of items and services furnished under such a program in a hospital, such availability shall be presumed; and
(C)individualized treatment is furnished under a written plan established, reviewed, and signed by a physician every 30 days that describes—
(i)the patient's diagnosis;
(ii)the type, amount, frequency, and duration of the items and services furnished under the plan; and
(iii)the goals set for the patient under the plan.
(3)The items and services described in this paragraph are—
(A)physician-prescribed exercise;
(B)cardiac risk factor modification, including education, counseling, and behavioral intervention (to the extent such education, counseling, and behavioral intervention is closely related to the individual's care and treatment and is tailored to the individual's needs);
(C)psychosocial assessment;
(D)outcomes assessment; and
(E)such other items and services as the Secretary may determine, but only if such items and services are—
(i)reasonable and necessary for the diagnosis or active treatment of the individual's condition;
(ii)reasonably expected to improve or maintain the individual's condition and functional level; and
(iii)furnished under such guidelines relating to the frequency and duration of such items and services as the Secretary shall establish, taking into account accepted norms of medical practice and the reasonable expectation of patient improvement.
(4)The Secretary shall establish standards to ensure that a physician with expertise in the management of patients with cardiac pathophysiology who is licensed to practice medicine in the State in which a cardiac rehabilitation program is offered—
(A)is responsible for such program; and
(B)in consultation with appropriate staff, is involved substantially in directing the progress of individual patients in the program.
(ddd)Pulmonary rehabilitation program
(1)The term pulmonary rehabilitation program means a physician-supervised program (as described in subsection (ccc)(2) with respect to a program under this subsection) that furnishes the items and services described in paragraph (2).
(2)The items and services described in this paragraph are—
(A)physician-prescribed exercise;
(B)education or training (to the extent the education or training is closely and clearly related to the individual's care and treatment and is tailored to such individual's needs);
(C)psychosocial assessment;
(D)outcomes assessment; and
(E)such other items and services as the Secretary may determine, but only if such items and services are—
(i)reasonable and necessary for the diagnosis or active treatment of the individual's condition;
(ii)reasonably expected to improve or maintain the individual's condition and functional level; and
(iii)furnished under such guidelines relating to the frequency and duration of such items and services as the Secretary shall establish, taking into account accepted norms of medical practice and the reasonable expectation of patient improvement.
(3)The Secretary shall establish standards to ensure that a physician with expertise in the management of patients with respiratory pathophysiology who is licensed to practice medicine in the State in which a pulmonary rehabilitation program is offered—
(A)is responsible for such program; and
(B)in consultation with appropriate staff, is involved substantially in directing the progress of individual patients in the program..
(b)Effective dateThe amendments made by this section shall apply to items and services furnished on or after the date of the enactment of this Act.


113 S381 ES: To award a Congressional Gold Medal to the World War II members of the “Doolittle Tokyo Raiders”, for outstanding heroism, valor, skill, and service to the United States in conducting the bombings of Tokyo.
U.S. Senate

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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.

113th CONGRESS1st SessionS. 381IN THE SENATE OF THE UNITED STATESAN ACTTo award a Congressional Gold Medal to the World War II
		  members of the Doolittle Tokyo Raiders, for outstanding heroism,
		  valor, skill, and service to the United States in conducting the bombings of
		  Tokyo.1.FindingsCongress finds that—(1)on April 18,
			 1942, the brave men of the 17th Bombardment Group (Medium) became known as the
			 Doolittle Tokyo Raiders for outstanding heroism, valor, skill,
			 and service to the United States in conducting the bombings of Tokyo;(2)80 brave American
			 aircraft crewmen, led by Lieutenant Colonel James Doolittle, volunteered for an
			 extremely hazardous mission, without knowing the target,
			 location, or assignment, and willingly put their lives in harm's way, risking
			 death, capture, and torture;(3)the conduct of
			 medium bomber operations from a Navy aircraft carrier under combat conditions
			 had never before been attempted;(4)after the
			 discovery of the USS Hornet by Japanese picket ships 170 miles further away
			 from the prearranged launch point, the Doolittle Tokyo Raiders proceeded to
			 take off 670 miles from the coast of Japan;(5)by launching more
			 than 100 miles beyond the distance considered to be minimally safe for the
			 mission, the Doolittle Tokyo Raiders deliberately accepted the risk that the
			 B–25s might not have enough fuel to reach the designated air-fields in China on
			 return;(6)the additional
			 launch distance greatly increased the risk of crash landing in Japanese
			 occupied China, exposing the crews to higher probability of death, injury, or
			 capture;(7)because of that
			 deliberate choice, after bombing their targets in Japan, low on fuel and in
			 setting night and deteriorating weather, none of the 16 airplanes reached the
			 prearranged Chinese airfields;(8)of the 80
			 Doolittle Tokyo Raiders who launched on the raid, 8 were captured, 2 died in
			 the crash, and 70 returned to the United States;(9)of the 8 captured
			 Doolittle Tokyo Raiders, 3 were executed and 1 died of disease; and(10)there were only
			 5 surviving members of the Doolittle Tokyo Raiders as of February 2013.2.Congressional
			 gold medal(a)Presentation AuthorizedThe
			 President pro tempore of the Senate and the Speaker of the House of
			 Representatives shall make appropriate arrangements for the award, on behalf of
			 Congress, of 6 gold medals of appropriate design in honor of the World War II
			 members of the 17th Bombardment Group (Medium) who became known as the
			 Doolittle Tokyo Raiders, in recognition of their military
			 service during World War II.(b)Design and
			 strikingFor the purposes of the award referred to in  subsection (a), the Secretary of the Treasury shall strike the gold medals with suitable
			 emblems, devices, and inscriptions, to be determined by the Secretary.(c)Following Award of Medals(1)In
			 generalFollowing the award of the gold medals referred to in subsection (a), 5 of the gold medals shall be given to the 5 surviving members of the mission as of February 2013  or their next of kin, with a sixth medal to be given to the National Museum of the United States Air
			 Force, where it shall be displayed with the Doolittle Tokyo Raiders Goblets, as
			 appropriate, and made available for research.(2)Sense of
			 CongressIt is the sense of Congress that the National Museum of
			 the United States Air Force should make the gold medal received under paragraph (1) available for display elsewhere, particularly at other locations and
			 events associated with the Doolittle Tokyo Raiders.3.Duplicative MedalsUnder such regulations as the Secretary may prescribe, the
			 Secretary may strike and sell duplicates in bronze of the gold medal struck
			 under this Act, at a price sufficient to cover the costs of the medals,
			 including labor, materials, dyes, use of machinery, and overhead
			 expenses.4.Status of Medals(a)National
			 medalsMedals struck pursuant to this Act are national medals for
			 purposes of chapter 51 of title 31, United States Code.(b)Numismatic medalsFor purposes of sections 5134 and 5136 of title 31, United States Code, all medals struck under this Act are numismatic items.Passed the Senate November 19, 2013.Secretary