		II
		Calendar No. 415
		110th CONGRESS
		1st Session
		S. 968
		[Report No. 110–193]
		IN THE SENATE OF THE UNITED STATES

			March 22, 2007
			Mrs. Boxer (for herself,
			 Mr. Smith, Mr.
			 Durbin, Mr. Brown,
			 Ms. Stabenow, Mrs. Murray, Mrs.
			 Clinton, Mr. Bingaman,
			 Mr. Menendez, Ms. Cantwell, Mr.
			 Levin, Mr. Sanders,
			 Mr. Johnson, and
			 Mr. Lautenberg) introduced the following
			 bill; which was read twice and referred to the
			 Committee on Foreign
			 Relations

			October 9, 2007
			Reported, under authority of the order of the Senate of
			 October 4, 2007, by Mr. Biden, with an
			 amendment
			Strike out all after the enacting clause and insert
			 the part printed in italic

		A BILL
		To amend the Foreign Assistance Act of 1961 to provide
		  increased assistance for the prevention, treatment, and control of
		  tuberculosis, and for other purposes.

		1.Short titleThis Act may be cited as the
			 Stop Tuberculosis (TB) Now Act of
			 2007.
		2.FindingsCongress finds the following:
			(1)Tuberculosis is one of the greatest
			 infectious causes of death of adults worldwide, killing 1.6 million people per
			 year—one person every 15 seconds.
			(2)One-third of the world’s population is
			 infected with the tuberculosis bacterium and an estimated 8.8 million
			 individuals develop active tuberculosis each year.
			(3)Tuberculosis is the leading infectious
			 killer among individuals who are HIV-positive due to their weakened immune
			 systems, and it is estimated that one-third of people with HIV infection have
			 tuberculosis.
			(4)Today, tuberculosis is a leading killer of
			 women of reproductive age.
			(5)There are 22 countries that account for 80
			 percent of the world’s burden of tuberculosis. The People’s Republic of China
			 and India account for 36 percent of all estimated new tuberculosis cases each
			 year.
			(6)Driven by the HIV/AIDS pandemic, incidence
			 rates of tuberculosis in Africa have more than doubled on average since 1990,
			 making it the only region in the world in which tuberculosis rates are not
			 currently stabilized or declining. The problem is so pervasive that in August
			 2005, African Health Ministers and the World Health Organization (WHO) declared
			 tuberculosis to be an emergency in Africa.
			(7)The wide extent of drug resistance,
			 including both multi-drug resistant tuberculosis (MDR–TB) and extensively drug
			 resistant tuberculosis (XDR–TB), represents both a critical challenge to the
			 global control of tuberculosis and a serious worldwide public health threat.
			 XDR–TB, which is characterized as being MDR–TB with additional resistance to
			 multiple second-line anti-tuberculosis drugs, is associated with worst
			 treatment outcomes of any form of tuberculosis. XDR–TB is converging with the
			 HIV epidemic, undermining gains in HIV prevention and treatment programs and
			 requires urgent interventions. Drug resistance surveillance reports have
			 confirmed the serious scale and spread of tuberculosis with XDR–TB strains
			 confirmed on six continents. Demonstrating the lethality of XDR–TB, an initial
			 outbreak in Tugela Ferry, South Africa killed 52 of 53 patients with hundreds
			 more cases reported since. Of the world’s regions, sub-Saharan Africa faces the
			 greatest gap in capacity to prevent, find, and treat XDR–TB.
			(8)With more than 50 percent of tuberculosis
			 cases in the United States attributable to foreign-born individuals and with
			 the increase in international travel, commerce, and migration, elimination of
			 tuberculosis in the United States depends on efforts to control the disease in
			 developing countries. Recent research has shown that to invest in tuberculosis
			 control abroad, where treatment and program costs are significantly cheaper
			 than in the United States, would be a cost-effective strategy to reduce
			 tuberculosis-related morbidity and mortality domestically.
			(9)The threat that tuberculosis poses for
			 Americans derives from the global spread of tuberculosis and the emergence and
			 spread of strains of multi-drug resistant tuberculosis and extensively drug
			 resistant tuberculosis, which are far more deadly, and more difficult and
			 costly to treat.
			(10)DOTS (Directly Observed Treatment
			 Short-course) is one of the most cost-effective health interventions available
			 today and is a core component of the new Stop TB Strategy.
			(11)The Stop TB Strategy, developed by the
			 World Health Organization, builds on the success of DOTS and ongoing challenges
			 so as to serve all those in need and reach targets for prevalence, mortality,
			 and incidence reduction. The Stop TB Strategy includes six components:
				(A)Pursuing high-quality expansion and
			 enhancement of DOTS coverage.
				(B)Implementing
			 tuberculosis and HIV collaborative activities, preventing and controlling
			 multi-drug resistant tuberculosis, and addressing other special
			 challenges.
				(C)Contributing to the strengthening of health
			 systems.
				(D)Engaging all health care providers,
			 including promotion of the International Standards for Tuberculosis
			 Care.
				(E)Empowering
			 individuals with tuberculosis and communities.
				(F)Enabling and
			 promoting research to develop new diagnostics, drugs, vaccines, and
			 program-based operational research relating to tuberculosis.
				(12)The Global Plan to Stop TB 2006–2015:
			 Actions for Life is a comprehensive plan developed by the Stop TB Partnership
			 that sets out the actions necessary to achieve the millennium development goal
			 of cutting tuberculosis deaths and disease burden in half by 2015 and thus
			 eliminate tuberculosis as a global health problem by 2050.
			(13)While innovations such as the Global
			 Tuberculosis Drug Facility have enabled low-income countries to treat a
			 standard case of tuberculosis with drugs that cost as little as $16 for a full
			 course of treatment, there are still millions of individuals with no access to
			 effective treatment.
			(14)As the global
			 resource investment in fighting tuberculosis increases, partner nations and
			 international institutions must commit to a corresponding increase in the
			 technical and program assistance necessary to ensure that the most effective
			 and efficient tuberculosis treatments are provided.
			(15)The Global Fund to Fight AIDS, Tuberculosis
			 and Malaria is an important global partnership established to combat these
			 three infectious diseases that together kill millions of people a year.
			 Expansion of effective tuberculosis treatment programs constitutes a major
			 component of Global Fund investment, along with integrated efforts to address
			 HIV and tuberculosis in areas of high prevalence.
			(16)The Centers for Disease Control and
			 Prevention (CDC) is actively involved with global tuberculosis control efforts
			 since the global tuberculosis epidemic directly impacts tuberculosis in the
			 United States, and because Congress has strongly urged the CDC each year to
			 increase its involvement with international tuberculosis control
			 efforts.
			(17)The CDC is assisting countries with a high
			 burden of tuberculosis to—
				(A)implement the World Health
			 Organization-recommended control strategies by improving the capacity to
			 diagnose and cure individuals with tuberculosis;
				(B)improve the capacity to diagnose, treat,
			 and prevent tuberculosis in HIV-infected individuals and individuals with
			 multi-drug resistant tuberculosis and extensively drug resistant tuberculosis;
			 and
				(C)conduct programmatically-relevant clinical
			 and operational research to identify and evaluate new diagnostics, treatment
			 regimes, and interventions to control tuberculosis.
				3.Assistance to
			 combat tuberculosis
			(a)PolicySection
			 104B(b) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–3(b)) is amended
			 to read as follows:

					(b)PolicyIt is a major objective of the foreign
				assistance program of the United States to control tuberculosis. In all
				countries in which the Government of the United States has established
				development programs, particularly in countries with the highest burden of
				tuberculosis and other countries with high rates of tuberculosis, the United
				States Government should prioritize the achievement of the following goals by
				not later than December 31, 2015:
						(1)Reduce by half the
				tuberculosis death and disease burden from the 1990 baseline.
						(2)Sustain or exceed the detection of at least
				70 percent of sputum smear-positive cases of tuberculosis and the cure of at
				least 85 percent of those cases
				detected.
						.
			(b)AuthorizationSection 104B(c) of the Foreign Assistance
			 Act of 1961 (22 U.S.C. 2151b–3(c)) is amended—
				(1)in the heading, by
			 striking Authorization and inserting
			 Assistance
			 required; and
				(2)by striking
			 is authorized to and inserting shall.
				(c)Priority To Stop
			 TB StrategySection 104B(e) of the Foreign Assistance Act of 1961
			 (22 U.S.C. 2151b–3(e)) is amended—
				(1)in the heading, to
			 read as follows: Priority
			 To Stop TB Strategy.—;
				(2)in the first
			 sentence, by striking In furnishing and all that follows through
			 , including funding and inserting the following:

						(1)PriorityIn
				furnishing assistance under subsection (c), the President shall give priority
				to—
							(A)activities
				described in the Stop TB Strategy, including expansion and enhancement of DOTS
				coverage, treatment for individuals infected with both tuberculosis and HIV and
				treatment for individuals with multi-drug resistant tuberculosis (MDR–TB),
				strengthening of health systems, use of the International Standards for
				Tuberculosis Care by all providers, empowering individuals with tuberculosis,
				and enabling and promoting research to develop new diagnostics, drugs, and
				vaccines, and program-based operational research relating to tuberculosis;
				and
							(B)funding
							;
				and
				(3)in the second
			 sentence—
					(A)by striking
			 In order to and all that follows through not less
			 than and inserting the following:

							(2)Availability of
				amountsIn order to meet the
				requirements of paragraph (1), the President—
								(A)shall ensure that not less
				than
								;
					(B)by striking
			 for Directly Observed Treatment Short-course (DOTS) coverage and
			 treatment of multi-drug resistant tuberculosis using DOTS–Plus, and
			 inserting to implement the Stop TB Strategy; and; and
					(C)by striking
			 including and all that follows and inserting the
			 following:

							(B)should ensure that not less than
				$15,000,000 of the amount made available to carry out this section for a fiscal
				year is used to make a contribution to the Global Tuberculosis Drug
				Facility.
							.
					(d)Assistance for
			 WHO and the Stop Tuberculosis PartnershipSection 104B of the
			 Foreign Assistance Act of 1961 (22 U.S.C. 2151b–3) is amended—
				(1)by redesignating
			 subsection (f) as subsection (g); and
				(2)by inserting after
			 subsection (e) the following new subsection:

						(f)Assistance for
				WHO and the Stop Tuberculosis PartnershipIn carrying out this section, the
				President, acting through the Administrator of the United States Agency for
				International Development, is authorized to provide increased resources to the
				World Health Organization (WHO) and the Stop Tuberculosis Partnership to
				improve the capacity of countries with high rates of tuberculosis and other
				affected countries to implement the Stop TB Strategy and specific strategies
				related to addressing extensively drug resistant tuberculosis
				(XDR–TB).
						.
				(e)DefinitionsSection
			 104B(g) of the Foreign Assistance Act of 1961, as redesignated by subsection
			 (d)(1), is amended—
				(1)in paragraph (1),
			 by adding at the end before the period the following: , including low
			 cost and effective diagnosis, treatment, and monitoring of tuberculosis, as
			 well as a reliable drug supply, and a management strategy for public health
			 systems, with health system strengthening, promotion of the use of the
			 International Standards for Tuberculosis Care by all care providers,
			 bacteriology under an external quality assessment framework, short-course
			 chemotherapy, and sound reporting and recording systems; and
				(2)by adding after
			 paragraph (5) the following new paragraph:

						(6)Stop TB
				StrategyThe term Stop
				TB Strategy means the six-point strategy to reduce tuberculosis
				developed by the World Health Organization. The strategy is described in the
				Global Plan to Stop TB 2007–2016: Actions for Life, a comprehensive plan
				developed by the Stop Tuberculosis Partnership that sets out the actions
				necessary to achieve the millennium development goal of cutting tuberculosis
				deaths and disease burden in half by
				2016.
						.
				(f)Annual
			 reportSection 104A(e)(2)(C)(iii) of the Foreign Assistance Act
			 of 1961 (22 U.S.C. 2151b–2(e)(2)(C)(iii)) is amended by adding at the end
			 before the semicolon the following: , including the percentage of such
			 United States foreign assistance provided for diagnosis and treatment of
			 individuals with tuberculosis in countries with the highest burden of
			 tuberculosis, as determined by the World Health Organization
			 (WHO).
			(g)Authorization of
			 appropriationsThere are authorized to be appropriated to the
			 President not less than $330,000,000 for fiscal year 2008 and not less than
			 $450,000,000 for fiscal year 2009 to carry out section 104B of the Foreign
			 Assistance Act of 1961 (22 U.S.C. 2151b–3), as amended by subsections (a)
			 through (e) of this section.
			4.Authorization of
			 appropriations for global tuberculosis activities of the Centers for Disease
			 Control and PreventionFor the
			 purpose of carrying out global tuberculosis activities through the Centers for
			 Disease Control and Prevention, there are authorized to be appropriated
			 $70,000,000 for fiscal year 2008 and $100,000,000 for fiscal year 2009. Such
			 authorization of appropriations is in addition to other authorizations of
			 appropriations that are available for such purposes. Amounts appropriated
			 pursuant to the authorization of appropriations under this section shall remain
			 available until expended.

		1.Short titleThis Act may be cited as the
			 Stop Tuberculosis (TB) Now Act of
			 2007.
		2.FindingsCongress finds the following:
			(1)Tuberculosis is one of the greatest
			 infectious causes of death of adults worldwide, killing 1.6 million people per
			 year—one person every 20 seconds.
			(2)One-third of the world’s population is
			 infected with the tuberculosis bacterium and an estimated 8.8 million
			 individuals develop active tuberculosis each year.
			(3)Tuberculosis is the leading infectious
			 killer among individuals who are HIV-positive due to their weakened immune
			 systems, and it is estimated that one-third of people with HIV infection have
			 tuberculosis.
			(4)Today, tuberculosis is a leading killer of
			 women of reproductive age.
			(5)There are 22 countries that account for 80
			 percent of the world’s burden of tuberculosis. The People’s Republic of China
			 and India account for 36 percent of all estimated new tuberculosis cases each
			 year.
			(6)Driven by the HIV/AIDS pandemic, incidence
			 rates of tuberculosis in Africa have more than doubled on average since 1990.
			 The problem is so pervasive that in August 2005, African Health Ministers and
			 the World Health Organization (WHO) declared tuberculosis to be an emergency in
			 Africa.
			(7)The wide extent of drug resistance,
			 including both multi-drug resistant tuberculosis (MDR–TB) and extensively drug
			 resistant tuberculosis (XDR–TB), represents both a critical challenge to the
			 global control of tuberculosis and a serious worldwide public health threat.
			 XDR–TB, which is characterized as being MDR–TB with additional resistance to
			 multiple second-line anti-tuberculosis drugs, is associated with worst
			 treatment outcomes of any form of tuberculosis. XDR–TB is converging with the
			 HIV epidemic, undermining gains in HIV prevention and treatment programs and
			 requires urgent interventions. Drug resistance surveillance reports have
			 confirmed the serious scale and spread of tuberculosis with XDR–TB strains
			 confirmed on six continents. Demonstrating the lethality of XDR–TB, an initial
			 outbreak in Tugela Ferry, South Africa killed 52 of 53 patients with hundreds
			 more cases reported since. Of the world’s regions, sub-Saharan Africa faces the
			 greatest gap in capacity to prevent, find, and treat XDR–TB.
			(8)With more than 50 percent of tuberculosis
			 cases in the United States attributable to foreign-born individuals and with
			 the increase in international travel, commerce, and migration, elimination of
			 tuberculosis in the United States depends on efforts to control the disease in
			 developing countries. Recent research has shown that to invest in tuberculosis
			 control abroad, where treatment and program costs are significantly cheaper
			 than in the United States, would be a cost-effective strategy to reduce
			 tuberculosis-related morbidity and mortality domestically.
			(9)The threat that tuberculosis poses for
			 Americans derives from the global spread of tuberculosis and the emergence and
			 spread of strains of multi-drug resistant tuberculosis and extensively drug
			 resistant tuberculosis, which are far more deadly, and more difficult and
			 costly to treat.
			(10)DOTS (Directly Observed Treatment
			 Short-course) is one of the most cost-effective health interventions available
			 today and is a core component of the new Stop TB Strategy.
			(11)The Stop TB Strategy, developed by the
			 World Health Organization, builds on the success of DOTS and ongoing challenges
			 so as to serve all those in need and reach targets for prevalence, mortality,
			 and incidence reduction. The Stop TB Strategy includes six components:
				(A)Pursuing high-quality expansion and
			 enhancement of DOTS coverage.
				(B)Implementing tuberculosis
			 and HIV collaborative activities, preventing and controlling multi-drug
			 resistant tuberculosis, and addressing other special challenges.
				(C)Contributing to the strengthening of health
			 systems.
				(D)Engaging all health care providers,
			 including promotion of the International Standards for Tuberculosis
			 Care.
				(E)Empowering individuals
			 with tuberculosis and communities.
				(F)Enabling and promoting
			 research to develop new diagnostics, drugs, vaccines, and program-based
			 operational research relating to tuberculosis.
				(12)The Global Plan to Stop TB 2006–2015:
			 Actions for Life is a comprehensive plan developed by the Stop TB Partnership
			 that sets out the actions necessary to achieve the millennium development goal
			 of cutting tuberculosis deaths and disease burden in half by 2015 and thus
			 eliminate tuberculosis as a global health problem by 2050.
			(13)While innovations such as the Global
			 Tuberculosis Drug Facility have enabled low-income countries to treat a
			 standard case of tuberculosis with drugs that cost as little as $16 for a full
			 course of treatment, there are still millions of individuals with no access to
			 effective treatment.
			(14)As the global resource
			 investment in fighting tuberculosis increases, partner nations and
			 international institutions must commit to a corresponding increase in the
			 technical and program assistance necessary to ensure that the most effective
			 and efficient tuberculosis treatments are provided.
			(15)The Global Fund to Fight AIDS, Tuberculosis
			 and Malaria is an important global partnership established to combat these
			 three infectious diseases that together kill millions of people a year.
			 Expansion of effective tuberculosis treatment programs constitutes a major
			 component of Global Fund investment, along with integrated efforts to address
			 HIV and tuberculosis in areas of high prevalence.
			(16)The United States Agency for International
			 Development (USAID) and the Centers for Disease Control and Prevention (CDC)
			 are actively involved with global tuberculosis control efforts. Because the
			 global tuberculosis epidemic directly impacts tuberculosis in the United
			 States, Congress has urged the CDC each year to increase its involvement with
			 international tuberculosis control efforts.
			(17)USAID is the lead United States Government
			 agency involved in international efforts to prevent, treat, and control
			 tuberculosis, working in close partnership with the CDC and with the
			 President's Emergency Plan for HIV/AIDS Relief. USAID's goal is to contribute
			 to the global reduction of morbidity and mortality associated with tuberculosis
			 by building country capacity to prevent and cure the disease and achieve global
			 targets of 70 percent case detection and 85 percent treatment success rates.
			 USAID provides support for tuberculosis programs in countries that have a high
			 burden of tuberculosis, high TB/HIV prevalence, or have high risk of
			 MDR–TB.
			(18)The CDC is assisting countries with a high
			 burden of tuberculosis to—
				(A)implement the World Health
			 Organization-recommended control strategies by improving the capacity to
			 diagnose and cure individuals with tuberculosis;
				(B)improve the capacity to diagnose, treat,
			 and prevent tuberculosis in HIV-infected individuals and individuals with
			 multi-drug resistant tuberculosis and extensively drug resistant tuberculosis;
			 and
				(C)conduct programmatically-relevant clinical
			 and operational research to identify and evaluate new diagnostics, treatment
			 regimes, and interventions to control tuberculosis.
				3.Assistance to combat
			 tuberculosis
			(a)PolicySection
			 104B(b) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–3(b)) is amended
			 to read as follows:

					(b)PolicyIt is a major objective of the foreign
				assistance program of the United States to control tuberculosis. In all
				countries in which the Government of the United States has established
				development programs, particularly in countries with the highest burden of
				tuberculosis and other countries with high rates of tuberculosis, the United
				States Government should prioritize the achievement of the following goals by
				not later than December 31, 2015:
						(1)Reduce by half the
				tuberculosis death and disease burden from the 1990 baseline.
						(2)Sustain or exceed the detection of at least
				70 percent of sputum smear-positive cases of tuberculosis and the cure of at
				least 85 percent of those cases
				detected.
						.
			(b)AuthorizationSection 104B(c) of the Foreign Assistance
			 Act of 1961 (22 U.S.C. 2151b–3(c)) is amended—
				(1)in the heading, by
			 striking Authorization and inserting
			 Assistance
			 required; and
				(2)by striking is
			 authorized to and inserting shall.
				(c)Priority To Stop TB
			 StrategySection 104B(e) of the Foreign Assistance Act of 1961
			 (22 U.S.C. 2151b–3(e)) is amended—
				(1)in the heading, to read
			 as follows: Priority To
			 Stop TB Strategy.—;
				(2)in the first sentence, by
			 striking In furnishing and all that follows through ,
			 including funding and inserting the following:

						(1)PriorityIn
				furnishing assistance under subsection (c), the President shall give priority
				to—
							(A)activities described in
				the Stop TB Strategy, including expansion and enhancement of DOTS coverage,
				treatment for individuals infected with both tuberculosis and HIV and treatment
				for individuals with multi-drug resistant tuberculosis (MDR–TB), strengthening
				of health systems, use of the International Standards for Tuberculosis Care by
				all providers, empowering individuals with tuberculosis, and enabling and
				promoting research to develop new diagnostics, drugs, and vaccines, and
				program-based operational research relating to tuberculosis; and
							(B)funding
							;
				and
				(3)in the second
			 sentence—
					(A)by striking In
			 order to and all that follows through not less than and
			 inserting the following:

							(2)Availability of
				amountsIn order to meet the
				requirements of paragraph (1), the President—
								(A)shall ensure that not less
				than
								;
					(B)by striking for
			 Directly Observed Treatment Short-course (DOTS) coverage and treatment of
			 multi-drug resistant tuberculosis using DOTS–Plus, and inserting
			 to implement the Stop TB Strategy; and; and
					(C)by striking
			 including and all that follows and inserting the
			 following:

							(B)should ensure that $15,000,000 of the
				amount made available to carry out this section for a fiscal year is used to
				make a contribution to the Global Tuberculosis Drug
				Facility.
							.
					(d)Assistance for WHO and
			 the Stop Tuberculosis PartnershipSection 104B of the Foreign
			 Assistance Act of 1961 (22 U.S.C. 2151b–3) is amended—
				(1)by redesignating
			 subsection (f) as subsection (g); and
				(2)by inserting after
			 subsection (e) the following new subsection:

						(f)Assistance for WHO and
				the Stop Tuberculosis PartnershipIn carrying out this section, the
				President, acting through the Administrator of the United States Agency for
				International Development, is authorized to provide increased resources to the
				World Health Organization (WHO) and the Stop Tuberculosis Partnership to
				improve the capacity of countries with high rates of tuberculosis and other
				affected countries to implement the Stop TB Strategy and specific strategies
				related to addressing extensively drug resistant tuberculosis
				(XDR–TB).
						.
				(e)DefinitionsSection
			 104B(g) of the Foreign Assistance Act of 1961, as redesignated by subsection
			 (d)(1), is amended—
				(1)in paragraph (1), by
			 adding at the end before the period the following: , including low cost
			 and effective diagnosis, treatment, and monitoring of tuberculosis, as well as
			 a reliable drug supply, and a management strategy for public health systems,
			 with health system strengthening, promotion of the use of the International
			 Standards for Tuberculosis Care by all care providers, bacteriology under an
			 external quality assessment framework, short-course chemotherapy, and sound
			 reporting and recording systems; and
				(2)by adding after paragraph
			 (5) the following new paragraph:

						(6)Stop TB
				StrategyThe term Stop
				TB Strategy means the six-point strategy to reduce tuberculosis
				developed by the World Health Organization. The strategy is described in the
				Global Plan to Stop TB 2007–2016: Actions for Life, a comprehensive plan
				developed by the Stop Tuberculosis Partnership that sets out the actions
				necessary to achieve the millennium development goal of cutting tuberculosis
				deaths and disease burden in half by
				2016.
						.
				(f)Annual
			 reportSection 104A(e)(2)(C)(iii) of the Foreign Assistance Act
			 of 1961 (22 U.S.C. 2151b–2(e)(2)(C)(iii)) is amended by adding at the end
			 before the semicolon the following: , including the percentage of such
			 United States foreign assistance provided for diagnosis and treatment of
			 individuals with tuberculosis in countries with the highest burden of
			 tuberculosis, as determined by the World Health Organization
			 (WHO).
			(g)Authorization of
			 appropriations
				(1)In
			 generalThere are authorized to be appropriated to the President
			 up to $400,000,000 for fiscal year 2008 and up to $550,000,000 for fiscal year
			 2009 to carry out section 104B of the Foreign Assistance Act of 1961 (22 U.S.C.
			 2151b–3), as amended by subsections (a) through (e) of this section.
				(2)Availability for
			 CDCOf the amounts appropriated pursuant to the authorization of
			 appropriations under paragraph (1), up to $70,000,000 may be available for
			 fiscal year 2008 and up to $100,000,000 may be available for fiscal year 2009
			 for the Centers for Disease Control and Prevention for the purpose of carrying
			 out global tuberculosis activities.
				(3)Availability until
			 expenditureAmounts appropriated pursuant to the authorization of
			 appropriations under paragraph (1) shall remain available until
			 expended.

		October 9, 2007
		Reported with an amendment


115 S1156 IS: School Infrastructure Modernization Act of 2017
U.S. Senate
2017-05-17
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.

II115th CONGRESS1st SessionS. 1156IN THE SENATE OF THE UNITED STATESMay 17, 2017Mr. Kaine (for himself and Mr. Warner) introduced the following bill; which was read twice and referred to the Committee on FinanceA BILLTo amend the Internal Revenue Code of 1986 to allow rehabilitation expenditures for public school
			 buildings to qualify for rehabilitation credit.

 1.Short titleThis Act may be cited as the School Infrastructure Modernization Act of 2017.
		2.Qualification of rehabilitation
			 expenditures for public school buildings for rehabilitation credit
 (a)In generalSection 47(c)(2)(B)(v) of the Internal Revenue Code of 1986 is amended by adding at the end the following new subclause:

					(III)Clause not to apply to public
 schoolsThis clause shall not apply in the case of any building which is a qualified public educational facility (as defined in section 142(k)(1), determined without regard to subparagraph (B) thereof) and used as such during some period before such expenditure and used as such immediately after such expenditure..
 (b)ReportNot later than the date which is 5 years after the date of the enactment of this Act, the Secretary of the Treasury, after consultation with the heads of appropriate Federal agencies, shall report to Congress on the effects resulting from the amendment made by subsection (a).
			(c)Effective
 dateThe amendment made by this section shall apply to property placed in service after the date of the enactment of this Act.


115 HJ 140 IH: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services relating to “Short-Term, Limited-Duration Insurance”.
U.S. House of Representatives
2018-09-13
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.

IA115th CONGRESS2d SessionH. J. RES. 140IN THE HOUSE OF REPRESENTATIVESSeptember 13, 2018Ms. Castor of Florida (for herself, Mr. Hoyer, Mr. Pallone, Mr. Neal, and Mr. Scott of Virginia) submitted the following joint resolution; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and 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 concernedJOINT RESOLUTIONProviding for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services relating to Short-Term, Limited-Duration Insurance.
That Congress disapproves the rule submitted by the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services relating to Short-Term, Limited-Duration Insurance (published at 83 Fed. Reg. 38212 (August 3, 2018)), and such rule shall have no force or effect.


116 HR 6942 IH: Internet Application Integrity and Disclosure Act
U.S. House of Representatives
2020-05-19
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I116th CONGRESS2d SessionH. R. 6942IN THE HOUSE OF REPRESENTATIVESMay 19, 2020Mr. Kinzinger introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo require any person that maintains an internet website or that sells or distributes a mobile application that is owned, wholly or partially, by the Chinese Communist Party or by a non-state owned entity located in China, to disclose that fact to any individual who downloads or otherwise uses such application.1.Short TitleThis Act may be cited as the Internet Application Integrity and Disclosure Act or the Internet Application I.D. Act. 2.Chinese ownership disclosure requirements(a)In general(1)DisclosureAny person that maintains an internet website or that sells or distributes a mobile application that is owned, wholly or partially, by the Chinese Communist Party or by a non-state owned entity located in China, shall disclose to any individual who downloads or otherwise uses such application, in a clear and conspicuous manner, that such website or mobile application is owned, wholly or partially, by the Chinese Communist Party or by a non-state owned entity located in China.(2)False informationIt shall be unlawful for any person to knowingly provide false information with respect to the information required under this subsection.3.Enforcement(a)Unfair and deceptive acts or practices(1)A violation of this Act shall be treated as a violation of a rule defining an unfair or deceptive act or practice prescribed under section 18(a)(1)(B) of the Federal Trade Commission Act (15 U.S.C. 57a(a)(1)(B)).(b)Powers of the Federal Trade Commission(1)In generalThe Federal Trade Commission shall enforce this Act in the same manner, by the same means, and with the same jurisdiction, powers, and duties as though all applicable terms and provisions of the Federal Trade Commission Act (15 U.S.C. 41 et seq.) were incorporated into and made a part of this Act.(2)Privileges and immunitiesAny person that violates this Act shall be subject to the penalties (including the provisions of subsections (l) and (m) of section 5 of such Act which provide for a maximum civil penalty per violation of $42,350 (as of February 14, 2019)), and entitled to the privileges and immunities, provided in the Federal Trade Commission Act (15 U.S.C. 41 et seq.).


110 HR 6942 IH: 5-Cent Restoration Act of

U.S. House of Representatives
2008-09-18
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

		I
		110th CONGRESS
		2d Session
		H. R. 6942
		IN THE HOUSE OF REPRESENTATIVES

			September 18, 2008
			Mr. Lucas introduced
			 the following bill; which was referred to the
			 Committee on Financial
			 Services

		A BILL
		To amend section 5112 of title 31, United States Code, to
		  provide for the return of the half-dime as the new 5-cent circulating coin, and
		  for other purposes.

		1.Short titleThis Act may be cited as the
			 5-Cent Restoration Act of
			 2008.
		2.Return of the
			 half-dime
			(a)In
			 generalParagraph (5) of
			 section 5112(a) of title 31, United States Code, is amended to read as
			 follows:

					(5)a clad half-dime that is based on the size
				and shape of the half-dime or 5-cent coin produced in the
				1870s.
					.
			(b)Effective
			 dateThe amendment made by subsection (a) shall apply to coins
			 issued after December 31, 2009.


117 S2510 IS: Preventing Health Emergencies And Temperature-related Illness and Deaths Act of 2021
U.S. Senate
2021-07-28
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.

II
117th CONGRESS1st Session
S. 2510
IN THE SENATE OF THE UNITED STATES

July 28, 2021
Mr. Markey (for himself, Mr. Padilla, and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Commerce, Science, and Transportation

A BILL
To reduce the health risks of heat by establishing the National Integrated Heat Health Information System Program within the National Oceanic and Atmospheric Administration and the National Integrated Heat Health Information System Interagency Committee to improve extreme heat preparedness, planning, and response, requiring a study, and establishing financial assistance programs to address heat effects, and for other purposes.

1.Short titleThis Act may be cited as the Preventing Health Emergencies And Temperature-related Illness and Deaths Act of 2021 or the Preventing HEAT Illness and Deaths Act of 2021. 2.DefinitionsIn this Act:
(1)Environmental justice communityThe term environmental justice community means a community with significant representation of communities of color, low-income communities, or Tribal and indigenous communities, that experiences, or is at risk of experiencing, higher or more adverse human health or environmental effects, as compared to other communities.  (2)Extreme heatThe term extreme heat means heat that exceeds local climatological norms in terms of any combination of the following:
(A)Duration.  (B)Intensity.
(C)Season length.  (D)Frequency.
(3)HeatThe term heat means any combination of the parameters associated with modulating human thermal regulation, such as air temperature, humidity, solar exposure, and wind speed. (4)Heat eventThe term heat event means an occurrence of extreme heat that may have heat-health implications.
(5)Heat-healthThe term heat-health means health effects to humans from heat, during or outside of heat events, including from vulnerability and exposure, or the risk of such effects. (6)PlanningThe term planning means activities performed across timescales (including days, weeks, months, years, and decades) with scenario-based, probabilistic or deterministic information to identify and take actions to proactively mitigate heat-health risks from increased frequency, duration, and intensity of heat waves and increased ambient temperature.
(7)PreparednessThe term preparedness means activities performed across timescales (including days, weeks, months, years, and decades) with probabilistic or deterministic information to manage risk in advance of a heat event and increased ambient temperature. (8)Urban heat islandThe term urban heat island means the phenomenon observed in urbanized areas in which heat is more extreme than in the surrounding exurban areas and heat is heterogeneously distributed within urbanized areas, due to factors including—
(A)low albedo and impervious surfaces; (B)low vegetation coverage; and
(C)waste heat produced in urban areas. 3.FindingsCongress makes the following findings:
(1)Extreme heat events have been the leading cause of weather-related death in the United States over the last 30 years, according to the Centers for Disease Control and Prevention and the National Weather Service. (2)The fourth National Climate Assessment, mandated by the Global Change Research Act of 1990 (15 U.S.C. 2921 et seq.), finds that during the next few decades, annual average temperature over the contiguous United States is projected to increase by a further 2.2°F relative to current temperatures, regardless of future scenarios. The National Climate Assessment projects that the frequency and intensity of extreme heat events will increase in the future as global temperature increases.
(3)Exposure to extreme heat can cause acute heat-related illnesses, such as heat stroke, which already result in more than 65,000 emergency room visits each year and exacerbate respiratory and cardiovascular illnesses. (4)Heat poses the greatest health risks for adults older than 65 years of age, pregnant people, young children, low-income communities, urban communities, communities with low air conditioning prevalence, socially isolated individuals, people with mental or physical disabilities, people with underlying medical conditions, agricultural or other outdoor workers, workers without sufficient access to cooling, athletes, incarcerated individuals, people experiencing homelessness, and military personnel.
(5)Increasingly common environmental exposures exacerbated by climate change, such as extreme heat, are significantly associated with serious adverse pregnancy outcomes across the United States. Those adverse pregnancy outcomes disproportionately impact Black mothers. (6)Heat exposure is an issue of environmental justice, as people living in low-income communities, communities of color, and Tribal communities face a number of interacting factors that render them more vulnerable to extreme heat.
(7)The impacts of heat on human health are more severe in urban areas where land surface properties create an urban heat island, particularly in neighborhoods with limited availability of or access to green spaces, shade, and tree cover, higher density of building structures, and more vehicular traffic. (8)Limited availability of tree cover and higher temperatures are correlated with low-income neighborhoods in urban areas. In Richmond, Virginia, Baltimore, Maryland, and Washington, D.C., researchers found that heat risk is disproportionately distributed to communities of color in patterns associated with segregation and redlining.
(9)Researchers have found that few communities in the United States have sufficient climate and health information, guidance, and resources for heat planning, preparedness, and response. (10)The risks associated with extreme heat have complex interactions and impacts, and the management of those risks requires a transdisciplinary approach.
(11)Regions, communities, and populations that face the greatest health consequences of extreme heat often may experience the lowest heat risk perceptions, have limited incentives, or have access to the fewest resources for responding to extreme heat, and as such, may be less likely to take precautions. (12)Research on the impacts of extreme heat on human health and the effectiveness of solutions under varying climate, social, and other contexts is stymied by a lack of access to reliable, timely health observations and surveillance due to proprietary data rights, expense, privacy and security concerns, inconsistent reporting of health outcomes and contributory factors, poor data integration and interoperability, few incentives and little systematic coordination to address those problems, and a lack of adequate climate observation, modeling, and assessment in urban, indoor, and occupational settings.
(13)Integrated climate and health research and information, when developed in a collaborative, transdisciplinary manner, can inform long- and medium-range scenario-based planning and decision making to protect vulnerable communities and populations from extreme heat, reduce exposure to extreme heat, and address factors that increase vulnerability. (14)Heat action plans and early warning systems can reduce heat-related morbidity and mortality by clearly identifying roles and responsibilities as well as evidence-based actions and thresholds to enhance preparedness, and by promoting behavior changes and actions taken by local governments, communities, and individuals through awareness and increased risk perception among those most vulnerable to the health impacts of heat.
4.National Integrated Heat Health Information System Interagency Committee
(a)Establishment of committeeThere is established within the Office of Science and Technology Policy an interagency committee, to be known as the National Integrated Heat Health Information System Interagency Committee (in this section referred to as the Committee). (b)PurposeThe Committee shall coordinate, plan, and direct agencies represented on the Committee to execute, as appropriate, activities across such agencies to ensure the National Integrated Heat Health Information System Program established by section 5 provides a united Federal approach to reducing health risks from heat across timescales (including days, weeks, months, years, and decades).
(c)Membership
(1)In generalIn order to carry out and achieve the purpose described in subsection (b), the Committee shall include the following:  (A)The Director of the National Integrated Heat Health Information System Program.
(B)Not fewer than 1 representative from each of the following: (i)From the Department of Commerce, the following:
(I)From the National Oceanic and Atmospheric Administration, the following: (aa)The National Weather Service.
(bb)The Office of Oceanic and Atmospheric Research, including the Climate Program Office. (II)The National Institute of Standards and Technology.
(III)The Bureau of the Census.  (ii)From the Department of Health and Human Services, the following:
(I)The Centers for Disease Control and Prevention, including the National Institute for Occupational Safety and Health. (II)The Office of the Assistant Secretary of Health and Human Services for Preparedness and Response.
(III)The Substance Abuse and Mental Health Services Administration. (IV)The National Institutes of Health.
(iii)From the Department of the Interior, the following:  (I)The Bureau of Indian Affairs.
(II)The Bureau of Land Management. (iv)From the Environmental Protection Agency, the following:
(I)The Office of Environmental Justice. (II)The Office of Air and Radiation, if the Administrator of the Environmental Protection Agency determines appropriate.
(III)The Office of Research and Development, if the Administrator determines appropriate.  (v)The Federal Emergency Management Agency.
(vi)The Department of Defense. (vii)The Occupational Safety and Health Administration.
(viii)The Department of Agriculture. (ix)The Department of Housing and Urban Development.
(x)The Department of Transportation.  (xi)The Department of Energy.
(xii)Such other Federal agencies as the Director of the Office of Science and Technology Policy considers appropriate. (2)Selection of representativesThe head of an agency specified in paragraph (1)(B) shall, in appointing representatives of the agency to the Committee, select representatives who have expertise in areas relevant to the responsibilities of the Committee, such as weather and climate prediction, health impacts, environmental justice, behavioral science, public health hazard preparedness and response, or mental health services.
(3)Co-chairs
(A)In generalThe members of the Committee shall select 2 individuals from among such members to serve as co-chairs of the Committee, subject to the approval of the Director of the Office of Science and Technology Policy. (B)Selection (i)Initial selectionOf the co-chairs first selected, one co-chair shall be from the National Oceanic and Atmospheric Administration and one co-chair shall be from the Centers for Disease Control and Prevention.
(ii)Subsequent selectionSubsequent co-chairs shall be selected from among the members of the Committee.  (C)TermsEach co-chair shall serve for a term of not more than 5 years.
(D)Responsibilities of co-chairsThe co-chairs of the Committee shall— (i)determine the agenda of the Committee, in consultation with other members of the Committee;
(ii)direct the work of the Committee;  (iii)convene meetings of the Committee not less frequently than once each fiscal quarter; and
(iv)if necessary, establish a coordination office for the Committee within the National Oceanic and Atmospheric Administration. (d)Responsibilities of committeeThe Committee shall promote an integrated, Federal Government-wide approach to reducing health risks and impacts of heat, including by—
(1)developing the strategic plan required by subsection (e);  (2)overseeing the study required by section 6(a)(1);
(3)coordinating across Federal agencies on heat-health communication, research, service delivery, and workforce development; (4)building capacity and partnerships with Federal and non-Federal entities; and
(5)annually preparing a budget for the financial assistance program under section 7 specifying how funds will be awarded by the Director of the National Integrated Heat Health Information System Program in alignment with the strategic plan required by subsection (e)(1) and in coordination with the climate and health research grant program under section 5(d)(2). (e)Strategic plan (1)In generalNot later than 2 years after the date of the enactment of this Act, the Committee shall submit to Congress a 5-year integrated strategic plan that outlines the goals and projects of the Committee, including how the Committee will—
(A)improve coordination and integration of interagency Federal actions to address health risks of heat; (B)conduct the study required by section 6(a)(1); and
(C)oversee the program for providing financial assistance under section 7. (2)UpdatesNot later than 5 years after the submission of the strategic plan required by paragraph (1), and every 5 years thereafter, the Committee shall submit to Congress an update of the plan, which shall include progress made toward goals outlined in the plan and new priorities that emerge.
(3)Public availabilityThe Committee shall make the strategic plan required by paragraph (1) and updates to the plan required by paragraph (2) available to the public on an internet website of the National Oceanic and Atmospheric Administration, with clear visuals indicating progress toward goals.  (f)Administrative supportThe Administrator of the National Oceanic and Atmospheric Administration shall provide technical and administrative support to the Committee, using amounts authorized to be appropriated to the Administration.
(g)ConsultationIn carrying out the responsibilities of the Committee, the Committee shall consult with relevant regional, State, Tribal, and local government agencies, international organizations and partners, research institutions, nongovernmental organizations and associations, and medical experts with expertise in emergency response, environmental health, economic or business development, or community engagement.  5.National Integrated Heat Health Information System Program of the National Oceanic and Atmospheric Administration (a)EstablishmentThere is established within the Office of Oceanic and Atmospheric Research of the National Oceanic and Atmospheric Administration a program, to be known as the National Integrated Heat Health Information System Program.
(b)PurposeThe purpose of the program established by subsection (a) is to improve the capacity of the United States to plan, prepare for, adapt to, and mitigate health risks of extreme heat across multiple timescales. (c)DirectorThe Program shall be headed by a Director.
(d)ResponsibilitiesIn carrying out the purpose described in subsection (b), the Director shall carry out the following responsibilities: (1)Implementation plan (A)In generalThe Director shall implement the strategic plan required by section 4(e)(1) by developing and implementing a multi-year implementation plan.
(B)ElementsIn developing and implementing the implementation plan under subparagraph (A), the Director shall focus on the following:  (i)Developing and sustaining robust relationships with climate, public health, environmental justice, and other Federal and non-Federal partners and decisionmakers—
(I)to respond to the demand for actionable information that reduces health risks on multiple timescales; and (II)to develop and deliver timely and accessible decision support services, tools, and information to inform planning, preparedness, and risk-reducing actions across timescales.
(ii)Coordinating and collaborating with the international community and global partners to conduct research and learn from, leverage, and contribute to global knowledge. (iii)Enhancing observations, surveillance, and monitoring necessary for the activities described in clauses (i) and (ii).
(iv)Communicating, educating, and building awareness and capacity to address heat risk across communities, sectors, and timescales. (v)Implementing and executing the grant program under paragraph (2) and the financial assistance program under section (7).
(vi)Conducting the study required by section 6(a)(1). (2)Grant programThe Director shall develop and implement a climate and health research grant program, in coordination with the financial assistance program under section 7 and other Federal programs—
(A)to improve understanding of— (i)the climate epidemiology and social drivers of heat-health vulnerability and risk;
(ii)the drivers of climate variability, predictability, and changes in extreme heat; and (iii)the impacts of extreme heat and compound hazards across timescales;
(B)to investigate and evaluate the effectiveness of risk management actions, interventions, policies, standards, codes, and guidelines; and (C)to address other topics as appropriate, including topics outlined in the strategic plan required by section 4(e)(1) and relevant to the study required by section 6(a)(1) and the financial assistance program under section 7.
(3)Additional activitiesThe Director shall carry out such other activities as the Committee considers appropriate.  6.Study on extreme heat information and response (a)Study (1)In generalNot later than 2 years after the date of the enactment of this Act, the Director of the National Integrated Heat Health Information System Program shall, in consultation with the entities described in section 4(g), complete a study on extreme heat information and response.
(2)OversightThe National Integrated Heat Health Information System Interagency Committee shall oversee the study required by paragraph (1).  (3)ElementsThe study required by paragraph (1) shall—
(A)identify policy and research gaps, which may include— (i)regions of the United States with the largest gaps between awareness, preparedness, and capacity to address extreme heat; and
(ii)heat-related gaps in data, such as— (I)the number of schools, prisons, and other public facilities that lack air conditioning; and
(II)the demographic breakdown of people affected by heat events, including by race, age, gender, occupation, and income;  (B)provide recommendations for addressing gaps with respect to policy, research, operations, communications, and data, including the gaps identified under subparagraph (A), affecting heat-health planning, preparedness, response, resilience, adaptation, and environmental justice and equity;
(C)provide such other recommendations as the Director considers appropriate, which may include strategies for— (i)communicating warnings to and promoting resilience of populations vulnerable to extreme heat;
(ii)effectively distributing extreme heat warnings, including to individuals with limited English proficiency and individuals who are socially isolated or have other established barriers to such information; (iii)designing warnings described in clause (ii) to convey the urgency and severity of heat events and achieve behavior changes that reduce the mortality and morbidity of extreme heat effects, without creating warning fatigue or confusion with other types of weather disaster warnings;
(iv)understanding compound and cascading risks, and implementing alternative heat-health risk reduction interventions to manage those risks collectively, such as reducing risk of the transmission of infectious diseases during heat waves by creating outdoor cooling locations or increasing ventilation and filtration in indoor cooling centers;  (v)promoting community resilience to heat events and incorporating principles of environmental justice in community response to heat waves;
(vi)addressing the impacts of extreme heat on energy cost and availability; and (vii)establishing labor and other standards for workers and heat; and
(D)consider such other subjects as the Committee considers appropriate, which may include— (i)the feasibility of enhancing existing nationwide data collection on heat-related illnesses and mortalities to improve and ensure consistent collection of national-level heat illness data across all 50 States, territories, and local jurisdictions of the United States;
(ii)mechanisms for financing heat preparedness; and  (iii)the effectiveness of county- or local-level heat awareness and communication tools, preparedness plans, or mitigation.
(4)Development of definitionsIn conducting the study required by paragraph (1), the Director shall work with heat and health experts to identify consistent and agreed upon definitions for heat events, heat waves, and other relevant terms.  (b)ReportNot later than 90 days after completing the study required by subsection (a)(1), the Committee shall—
(1)make available to the public on an internet website of the National Oceanic and Atmospheric Administration a report on the findings and conclusions of the study; and  (2)submit the report to—
(A)the Committee on Commerce, Science, and Transportation of the Senate; (B)the Committee on Health, Education, Labor, and Pensions of the Senate;
(C)the Committee on Science, Space, and Technology of the House of Representatives; (D)the Committee on Energy and Commerce of the House of Representatives; and
(E)the Committee on Education and Labor of the House of Representatives.  7.Financial assistance for resilience in addressing extreme heat and health risks (a)In general (1)EstablishmentNot later than 1 year after the date of the enactment of this Act, the Director of the National Integrated Heat Health Information System Program may, in coordination with the National Integrated Heat Health Information System Interagency Committee, establish and administer a community heat resilience program to provide financial assistance to eligible entities to carry out projects described in subsection (e) to ameliorate human health impacts of extreme heat events.
(2)RevisionUpon completion of the strategic plan required by section 4(e)(1), the Committee may revise the community heat resilience program to ensure the program aligns with the strategic plan and is administered in accordance with the plan.  (b)PurposeThe purpose of the financial assistance provided under this section is to improve community resilience to heat and heat-health impacts and further scientific research to address adaptation gaps and priorities.
(c)Forms of assistanceFinancial assistance provided under this section may be in the form of contracts, grants, or cooperative agreements. (d)Eligible entitiesEntities eligible to receive financial assistance under this section to carry out projects described in subsection (e) include—
(1)nonprofit entities;  (2)States;
(3)Tribes;  (4)local governments; and
(5)such other entities as the Director determines to be eligible. (e)Eligible projectsProjects described in this subsection include the following:
(1)Projects for cool roofs, cool pavements, urban forestry or tree plantings and maintenance, the provision of shade, cooling centers, retrofitting buildings for cooling, and acquisitions or upgrades of filtration systems or high-efficiency air conditioning systems.  (2)Training programs to support the development and integration of education and training programs for identifying and addressing risks associated with climate change for vulnerable individuals.
(3)Projects— (A)to expand public awareness of heat risks;
(B)to communicate risks and warnings to geographically, socially, and linguistically isolated communities; (C)to educate such communities about how to respond to extreme heat events; and
(D)to further scientific research regarding extreme heat events. (4)Other projects that the Director determines will achieve a significant reduction in heat exposure or increased resilience to extreme heat events.
(f)PrioritiesIn selecting eligible entities to receive financial assistance under this section, the Director shall prioritize entities that will carry out projects that provide benefits for historically disadvantaged communities and communities with significant heat disparities associated with race, ethnicity, or income. (g)Distribution of assistance (1)Environmental justice and low-income communitiesNot less than 40 percent of the amount of financial assistance provided under this section in any fiscal year shall be provided to eligible entities to implement projects described in subsection (e) in environmental justice communities or low-income communities.
(2)Equitable distributionThe Director shall seek to equitably distribute financial assistance provided under this section based on geographic location or such other factors as the Director determines appropriate.  (h)Matching requirement (1)In generalAn entity that receives financial assistance to carry out a project under this section shall contribute, from non-Federal sources, funds for the project in such amount as the Director determines appropriate.
(2)WaiverThe Director may waive the requirement under paragraph (1) for an entity if the Director determines that the entity does not have adequate resources to meet the requirement. (i)ReportsThe Committee shall require the Director to submit to the Committee, on an annual basis, a report on actions, outcomes, research needs, and data gaps under this section.
8.Authorization of appropriations
(a)National Integrated Heat Health Information System Interagency Committee; National Integrated Heat Health Information System Program; study on extreme heat information and responseThere are authorized to be appropriated to the National Oceanic and Atmospheric Administration to carry out sections 4, 5, and 6, including for any administrative costs for the National Integrated Heat Health Information System Interagency Committee and the National Integrated Heat Health Information System Program, the following: (1)For fiscal year 2022, $20,000,000.
(2)For fiscal year 2023, $20,000,000. (3)For fiscal year 2024, $20,000,000.
(4)For fiscal year 2025, $20,000,000. (5)For fiscal year 2026, $20,000,000.
(b)Financial assistance for resilience in addressing extreme heat and health risksThere are authorized to be appropriated to the National Oceanic and Atmospheric Administration to carry out section 7 the following: (1)For fiscal year 2022, $10,000,000.
(2)For fiscal year 2023, $10,000,000. (3)For fiscal year 2024, $20,000,000.
(4)For fiscal year 2025, $30,000,000. (5)For fiscal year 2026, $30,000,000.


115 HR 2895 IH: LGBT Pride Act
U.S. House of Representatives
2017-06-13
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 CONGRESS1st SessionH. R. 2895IN THE HOUSE OF REPRESENTATIVESJune 13, 2017Mr. Sean Patrick Maloney of New York (for himself, Mr. Cicilline, Mr. Takano, Mr. Carbajal, Mr. Swalwell of California, Mr. Carson of Indiana, Ms. Norton, Ms. Lee, Mr. Blumenauer, Ms. Shea-Porter, Ms. Brownley of California, Mr. Keating, Ms. Clark of Massachusetts, Ms. Titus, Mr. Peters, Ms. Esty of Connecticut, Mr. Pocan, Mr. Kildee, Ms. Schakowsky, Ms. Eshoo, Mr. Schiff, Mr. Moulton, Mr. Nadler, Mr. Al Green of Texas, and Mrs. Carolyn B. Maloney of New York) introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo provide a requirement to improve data collection efforts.

 1.Short titleThis Act may be cited as the LGBT Pride Act. 2.Improving data collection on the sexual orientation and gender identity of deceased individuals through the National Violent Death Reporting System (a)Collection of sexual orientation and gender identity data (1)In generalNot later than 120 days after the date of enactment of this Act, the Director of the Centers for Disease Control and Prevention shall take measures to improve the incidence of the collection of information on the sexual orientation and gender identity of deceased individuals through the National Violent Death Reporting System or any successor programs.
 (2)ConfidentialityAny information collected relating to the sexual orientation or gender identity of a decedent shall be maintained in accordance with the confidentiality and privacy standards and policies for the protection of individuals applicable to all other data collected for purposes of the National Violent Death Reporting System.
 (b)DefinitionsIn this section: (1)Gender identityThe term gender identity means an individual’s sense of being male, female, transgender, or another gender, as distinct from the individual’s sex assigned at birth.
 (2)Sexual orientationThe term sexual orientation means how a person identifies in terms of their emotional, romantic, or sexual attractions, and includes identification as straight, heterosexual, gay, lesbian, or bisexual, among other terms.
 (c)AuthorizationThere is authorized to be appropriated $25,000,000 for fiscal year 2018 to carry out this section. 3.Sense of CongressIt is the sense of the Congress that—
 (1)the Centers for Disease Control and Prevention has made significant efforts to encourage States and other jurisdictions to collect data on sexual orientation and gender identity through the National Violent Death Reporting System; and
 (2)jurisdictions that participate in the collection of such data through the National Violent Death Reporting System should be commended for their participation.


116 HR 9024 IH: Strengthening Department of Homeland Security Secure Mail Act
U.S. House of Representatives
2020-12-17
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.

I116th CONGRESS2d SessionH. R. 9024IN THE HOUSE OF REPRESENTATIVESDecember 17, 2020Ms. Speier introduced the following bill; which was referred to the Committee on the Judiciary, and in addition to the Committee on Oversight and Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concernedA BILLTo direct the Secretary of Homeland Security to provide for an option under which a person to whom a document is sent may elect to use the United States Postal Service’s Signature Confirmation service or Priority Mail Signature Confirmation Restricted Delivery service to send secure identity documents, and for other purposes.1.Short titleThis Act may be cited as the Strengthening Department of Homeland Security Secure Mail Act.2.DefinitionsIn this Act—(1)the terms Signature Confirmation service and Priority Mail Signature Confirmation Restricted Delivery service means the services described in section 503.8.1.1.a and 503.8.1.1.b, respectively, of the Domestic Mail Manual (or any successor services);(2)the term Immigration Examinations Fee Account means the account established under section 286(m) of the Immigration and Nationality Act (8 U.S.C. 1356(m));(3)the term Postal Service means the United States Postal Service; (4)the term Secretary means the Secretary of Homeland Security; and(5)the term secure identity document means an Employment Authorization Document, a Permanent Resident Card, a Travel Document (including advance parole document), or any other document so designated by the Secretary of Homeland Security.3.Use of Signature Confirmation and Priority Mail Signature Confirmation Restricted Delivery services to deliver secure identity document(a)In generalBeginning not later than 18 months after the date of enactment of this Act, the Secretary of Homeland Security shall provide for an option under which a person to whom a document is sent may elect to use the United States Postal Service’s Signature Confirmation service or Priority Mail Signature Confirmation Restricted Delivery service (or any successor services) to send a secure identity document.(b)Notice of changes; application(1)Notice of changesThe Postal Service shall notify the Secretary of any changes to the Signature Confirmation service or the Priority Mail Signature Confirmation Restricted Delivery service.(2)ApplicationIn carrying out subsection (a), the Postal Service shall allow any individual represented by an attorney or accredited representative and who elects to have a secure identity document delivered by a service described in such subsection to elect that such document may be delivered to any employee of such attorney or accredited representative. (c)Use of private carrier(1)In generalIf the Secretary determines that a private carrier that offers substantially similar services to the Signature Confirmation service or the Priority Mail Signature Confirmation Restricted Delivery service would provide better service and value than the Postal Service provides under subsection (a), the Secretary may, in accordance with paragraph (2) of this subsection—(A)decline or discontinue use of the Signature Confirmation service or Priority Mail Signature Confirmation Restricted Delivery service under subsection (a); and(B)enter into a contract with the private carrier to provide such substantially similar services.(2)RequirementsThe Secretary may not exercise the authority under paragraph (1) unless the Secretary determines, and notifies the Postal Service, that the private carrier offers services that are substantially similar to the Signature Confirmation service or Priority Mail Signature Confirmation Restricted Delivery service.4.ReportNot later than 2 years after the date of enactment of this Act, the Secretary shall submit to Congress a report that describes—(1)the implementation of the requirements under section 3; and(2)the number of times during the previous year that a person used a service under subsection (a) or (c)(1)(B) of section 3.


114 HR 3938 IH: To designate the facility of the United States Postal Service located at 6531 Van Nuys Boulevard in Van Nuys, California, as the “Marilyn Monroe Post Office”.
U.S. House of Representatives
2015-11-05
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

		I
		114th CONGRESS
		1st Session
		H. R. 3938
		IN THE HOUSE OF REPRESENTATIVES

			November 5, 2015
			Mr. Cárdenas (for himself, Mr. LaMalfa, Mr. Huffman, Mr. Garamendi, Mr. McClintock, Mr. Thompson of California, Ms. Matsui, Mr. Bera, Mr. Cook, Mr. McNerney, Mr. Denham, Mr. DeSaulnier, Ms. Lee, Ms. Speier, Mr. Swalwell of California, Mr. Costa, Mr. Honda, Ms. Eshoo, Ms. Lofgren, Mr. Farr, Mr. Valadao, Mrs. Capps, Mr. Knight, Ms. Brownley of California, Ms. Judy Chu of California, Mr. Schiff, Mr. Sherman, Mr. Aguilar, Mrs. Napolitano, Mr. Ted Lieu of California, Mr. Becerra, Mrs. Torres, Mr. Ruiz, Ms. Bass, Ms. Linda T. Sánchez of California, Mr. Royce, Ms. Roybal-Allard, Mr. Takano, Mr. Calvert, Ms. Maxine Waters of California, Ms. Hahn, Ms. Loretta Sanchez of California, Mr. Lowenthal, Mr. Issa, Mr. Vargas, Mr. Peters, Mrs. Davis of California, Mr. Nunes, Mr. Rohrabacher, and Mr. Hunter) introduced the following bill; which was referred to the Committee on Oversight and Government Reform

		A BILL
		To designate the facility of the United States Postal Service located at 6531 Van Nuys Boulevard in
			 Van Nuys, California, as the Marilyn Monroe Post Office.

		1.Marilyn Monroe Post Office
 (a)DesignationThe facility of the United States Postal Service located at 6531 Van Nuys Boulevard in Van Nuys, California, shall be known and designated as the Marilyn Monroe Post Office.
 (b)ReferencesAny reference in a law, map, regulation, document, paper, or other record of the United States to the facility referred to in subsection (a) shall be deemed to be a reference to the Marilyn Monroe Post Office.


117 HR 3348 IH: SOS: Sustaining Outpatient Services Act
U.S. House of Representatives
2021-05-19
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.

I117th CONGRESS1st SessionH. R. 3348IN THE HOUSE OF REPRESENTATIVESMay 19, 2021Mr. McGovern (for himself and Mr. Smith of Nebraska) 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 concernedA BILLTo amend title XVIII of the Social Security Act to allow payments under the Medicare program for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services, and for other purposes.1.Short titleThis Act may be cited as the SOS: Sustaining Outpatient Services Act.2.Allowing Medicare payments for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department servicesSection 1833(t)(1)(B) of the Social Security Act (42 U.S.C. 1395l(t)(1)(B)) is amended—(1)in clause (iv), by striking and at the end;(2)in clause (v)—(A)by inserting before does not include the following: subject to clause (vi),; and(B)by striking the period at the end and inserting ; and; and(3)by adding at the end the following new clause:(vi)includes, with respect to a year (beginning with 2022), any item or service—(I)that is furnished during such year by an off-campus outpatient department of a provider (as defined in subparagraph (B) of paragraph (21)); and(II)with respect to which the greatest total amount paid with respect to a physician speciality under the physician fee schedule under section 1848 for all such items or services furnished by physicians in such specialty during the previous year was less than $2,000,000..


I
One Hundred Twelfth Congress of the United States of America At the Second SessionBegun and held at the City of Washington on Tuesday, the third day of January, two thousand and twelve
H. R. 4967

AN ACT
To prevent the termination of the temporary office of bankruptcy judges in certain judicial districts.

1.Short titleThis Act may be cited as the Temporary Bankruptcy Judgeships Extension Act of 2012.
2.Extension of temporary office of bankruptcy judges in certain judicial districts
(a)Temporary office of bankruptcy judges authorized by Public Law 109–8
(1)ExtensionsThe temporary office of bankruptcy judges authorized for the following districts by section 1223(b) of Public Law 109–8 (28 U.S.C. 152 note) are extended until the applicable vacancy specified in paragraph (2) in the office of a bankruptcy judge for the respective district occurs:
(A)The central district of California.
(B)The eastern district of California.
(C)The district of Delaware.
(D)The southern district of Florida.
(E)The southern district of Georgia.
(F)The district of Maryland.
(G)The eastern district of Michigan.
(H)The district of New Jersey.
(I)The northern district of New York.
(J)The eastern district of North Carolina.
(K)The eastern district of Pennsylvania.
(L)The middle district of Pennsylvania.
(M)The district of Puerto Rico.
(N)The district of South Carolina.
(O)The western district of Tennessee.
(P)The eastern district of Virginia.
(Q)The district of Nevada.
(2)Vacancies
(A)Single vacanciesExcept as provided in subparagraphs (B), (C), (D), and (E), the 1st vacancy in the office of a bankruptcy judge for each district specified in paragraph (1)—
(i)occurring more than 5 years after the date of the enactment of this Act, and
(ii)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(B)Central district of CaliforniaThe 1st, 2d, and 3d vacancies in the office of a bankruptcy judge for the central district of California—
(i)occurring 5 years or more after the date of the enactment of this Act, and
(ii)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(C)District of DelawareThe 1st, 2d, 3d, and 4th vacancies in the office of a bankruptcy judge for the district of Delaware—
(i)occurring more than 5 years after the date of the enactment of this Act, and
(ii)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(D)Southern district of FloridaThe 1st and 2d vacancies in the office of a bankruptcy judge for the southern district of Florida—
(i)occurring more than 5 years after the date of the enactment of this Act, and
(ii)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(E)District of MarylandThe 1st, 2d, and 3d vacancies in the office of a bankruptcy judge for the district of Maryland—
(i)occurring more than 5 years after the date of the enactment of this Act, and
(ii)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(3)Applicability of other provisionsExcept as provided in paragraphs (1) and (2), all other provisions of section 1223(b) of Public Law 109–8 (28 U.S.C. 152 note) remain applicable to the temporary office of bankruptcy judges referred to in paragraph (1).
(b)Temporary office of bankruptcy judges extended by Public Law 109–8
(1)ExtensionsThe temporary office of bankruptcy judges authorized by section 3 of the Bankruptcy Judgeship Act of 1992 (28 U.S.C. 152 note) and extended by section 1223(c) of Public Law 109–8 (28 U.S.C. 152 note) for the district of Delaware, the district of Puerto Rico, and the eastern district of Tennessee are extended until the applicable vacancy specified in paragraph (2) in the office of a bankruptcy judge for the respective district occurs.
(2)Vacancies
(A)District of DelawareThe 5th vacancy in the office of a bankruptcy judge for the district of Delaware—
(i)occurring more than 5 years after the date of the enactment of this Act, and
(ii)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(B)District of Puerto RicoThe 2d vacancy in the office of a bankruptcy judge for the district of Puerto Rico—
(i)occurring more than 5 years after the date of the enactment of this Act, and
(ii)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(C)Eastern district of TennesseeThe 1st vacancy in the office of a bankruptcy judge for the eastern district of Tennessee—
(i)occurring more than 5 years after the date of the enactment of this Act, and
(ii)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(3)Applicability of other provisionsExcept as provided in paragraphs (1) and (2), all other provisions of section 3 of the Bankruptcy Judgeship Act of 1992 (28 U.S.C. 152 note) and section 1223(c) of Public Law 109–8 (28 U.S.C. 152 note) remain applicable to the temporary office of bankruptcy judges referred to in paragraph (1).
(c)Temporary office of the bankruptcy judge authorized by Public Law 102–361 for the middle district of North Carolina
(1)ExtensionThe temporary office of the bankruptcy judge authorized by section 3 of the Bankruptcy Judgeship Act of 1992 (28 U.S.C. 152 note) for the middle district of North Carolina is extended until the vacancy specified in paragraph (2) occurs.
(2)VacancyThe 1st vacancy in the office of a bankruptcy judge for the middle district of North Carolina—
(A)occurring more than 5 years after the date of the enactment of this Act, and
(B)resulting from the death, retirement, resignation, or removal of a bankruptcy judge, shall not be filled.
(3)Applicability of other provisionsExcept as provided in paragraphs (1) and (2), all other provisions of section 3 of the Bankruptcy Judgeship Act of 1992 (28 U.S.C. 152 note) remain applicable to the temporary office of the bankruptcy judge referred to in paragraph (1).
3.Bankruptcy filing fee increase
(a)Bankruptcy filing feesSection 1930(a)(3) of title 28, United States Code, is amended by striking $1,000 and inserting $1,167.
(b)United States Trustee System FundSection 589a(b)(2) of title 28, United States Code, is amended by striking 55 and inserting 48.89.
(c)Collection and deposit of miscellaneous bankruptcy feesSection 406(b) of the Judiciary Appropriations Act, 1990 (28 U.S.C. 1931 note) is amended by striking 25 and inserting 33.33.
(d)Paygo offset expenditure limitation$42 of the incremental amounts collected by reason of the enactment of subsection (a) shall be deposited in a special fund in the Treasury to be established after the date of enactment of this Act. Such amounts shall be available for the purposes specified in section 1931(a) of title 28, United States Code, but only to the extent specifically appropriated by an Act of Congress enacted after the date of enactment of this Act.
(e)Effective dateThis section and the amendments made by this section shall take effect 180 days after the date of enactment of this Act.
4.Subsequent reauthorizationPrior to further reauthorization of any judgeship authorized by this Act, the Committee on the Judiciary of the Senate and House of Representatives shall conduct a review of the bankruptcy judgeships authorized by this Act to determine the need, if any, for continued reauthorization of each judgeship, to evaluate any changes in all bankruptcy case filings and their effect, if any, on filing fee revenue, and to require the Administrative Office of the Courts to submit a report to the Committee on the Judiciary of the Senate and House of Representatives on bankruptcy case workload, bankruptcy judgeship costs, and filing fee revenue.
 Speaker of the House of Representatives.Vice President of the United States and President of the Senate.


		I
		111th CONGRESS
		2d Session
		H. R. 5027
		IN THE HOUSE OF REPRESENTATIVES

			April 14, 2010
			Mr. Tonko (for
			 himself, Mr. Grijalva,
			 Ms. Fudge, and
			 Ms. Richardson) introduced the
			 following bill; which was referred to the Committee on Education and
			 Labor

		A BILL
		To direct the Secretary of Agriculture to assess the
		  effectiveness and efficiency of administrative review systems to ensure
		  compliance with Federal meal standards.

		1.Short titleThis Act may be cited as the
			 Eating Healthy at School Act of
			 2010.
		2.FindingsCongress finds the following:
			(1)Information about school meal quality is
			 vital to maximizing the national investment in the school meal programs
			 established under the Richard B. Russell National School Lunch Act (42 U.S.C.
			 1751 et seq.) and section 4 of the Child Nutrition Act of 1966 (42 U.S.C. 1773)
			 and for measuring the effectiveness of and compliance with Federal school meal
			 standards.
			(2)Assessing
			 compliance with Federal school meal standards will enhance child health and the
			 nutritional quality of school meals, contribute to nutrition research and
			 evaluation of the school meal programs, and improve oversight of the school
			 meal programs.
			(3)According to the
			 School Nutrition Dietary Assessment Study-III of the school meals served under
			 the school meal programs in school year 2004–2005, the majority of schools
			 offered breakfasts and lunches that met the standards for the recommended daily
			 intake of key nutrients, such as vitamins A and C, calcium, protein, and iron,
			 but that the majority of school lunches were still too high in fat, saturated
			 fat, and sodium.
			(4)Reviews of the nutritional quality of
			 school meals under the school meals initiative for healthy children (60 Fed.
			 Reg. 31188 (1995)) assess only the lunches served in 1 school per school food
			 authority every 5 years and do not include assessments of breakfasts served by
			 schools participating in the school breakfast program established under section
			 4 of the Child Nutrition Act of 1966 (42 U.S.C. 1773) or compliance with
			 nutrition standards for foods sold in schools outside of the school meal
			 programs.
			(5)Reviews of school
			 meals under the school meals initiative for healthy children are laborious for
			 State child nutrition programs and local school food authorities. Simplified,
			 less burdensome, and more effective approaches are needed.
			(6)The Institute of Medicine recommends
			 changes to school meals to reflect the most recent Dietary Guidelines for
			 Americans published under section 301 of the National Nutrition Monitoring and
			 Related Research Act of 1990 (7 U.S.C. 5341). The recommendations for new meal
			 requirements involve significant shifts in the approach of schools to menu
			 planning and will likely require new mechanisms for monitoring meal
			 quality.
			(7)Food of poor
			 nutritional value sold in schools outside of the school meal programs can
			 undermine the national investment in school meals.
			(8)Gaps in Federal
			 requirements for program integrity reviews limit the ability to identify and
			 address meal counting and claiming errors.
			(9)Program integrity reviews are not required
			 for the school breakfast program. Twenty-one States reported to the Comptroller
			 General of the United States that they do not review the school breakfast
			 program.
			(10)The percentage of
			 meal counting and claiming errors is higher in the school breakfast program
			 than in the school lunch program.
			3.Compliance and
			 accountability study
			(a)In
			 generalThe Secretary of Agriculture shall conduct a study
			 to—
				(1)assess the
			 effectiveness and efficiency of administrative review systems to ensure—
					(A)each local
			 educational agency participating in the school lunch program established under
			 the Richard B. Russell National School Lunch Act (42 U.S.C. 1751 et seq.)
			 complies with the provisions of such Act, including the provisions with respect
			 to nutrition, eligibility, meal counts, and claims for reimbursement;
					(B)each local educational agency participating
			 in the school breakfast program established under section 4 of the Child
			 Nutrition Act of 1966 (42 U.S.C. 1773) complies with the provisions of such
			 Act, including the provisions with respect to nutrition, eligibility, meal
			 counts, and claims for reimbursement; and
					(C)each local educational agency described in
			 subparagraphs (A) and (B) is accountable for the compliance described in such
			 subparagraphs;
					(2)design and test alternative processes and
			 procedures that may improve the effectiveness and efficiency of the
			 administrative review systems described in paragraph (1), and determine the
			 optimal frequency for carrying out reviews under such systems; and
				(3)identify any
			 alternative processes and procedures for establishing a more effective and
			 efficient administrative review system which—
					(A)reflect the
			 results of tests of alternative processes and procedures conducted pursuant to
			 paragraph (2); and
					(B)consider the
			 practicality of implementing such alternative processes and procedures,
			 including the cost and burden of implementation that would be imposed on local
			 school food authorities, local educational agencies, and State educational
			 agencies.
					(b)ReportNot
			 later than 3 years after the date of the enactment of this Act, the Secretary
			 of Agriculture shall submit to the Committee on Education and Labor of the
			 House of Representatives and the Committee on Agriculture, Nutrition, and
			 Forestry of the Senate, a report that describes the results and recommendations
			 of the study conducted pursuant to subsection (a).
			(c)RegulationsThe Secretary of Agriculture may prescribe
			 regulations as may be necessary to implement the processes or procedures
			 identified pursuant to subsection (a)(3) for establishing an effective and
			 efficient administrative review system.
			(d)Funding
				(1)In
			 generalUpon the date of the enactment of this Act, out of any
			 funds in the Treasury not otherwise appropriated, the Secretary of the Treasury
			 shall transfer to the Secretary of Agriculture $3,500,000 to carry out this
			 section, to remain available until expended.
				(2)Receipt and
			 AcceptanceThe Secretary of Agriculture shall be entitled to
			 receive, shall accept, and shall use to carry out this section the funds
			 transferred under paragraph (1), without further appropriation.


117 S738 IS: Police Training and Independent Review Act of 2021
U.S. Senate
2021-03-11
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. 738IN THE SENATE OF THE UNITED STATESMarch 11, 2021Ms. Duckworth (for herself, Mr. Sanders, Ms. Hirono, Mr. Markey, Ms. Cantwell, Ms. Smith, Mr. Wyden, Ms. Warren, Mr. Van Hollen, Mr. Merkley, Ms. Cortez Masto, Mr. Kaine, Ms. Baldwin, Mr. Padilla, Ms. Rosen, Ms. Klobuchar, and Mr. Blumenthal) introduced the following bill; which was read twice and referred to the Committee on the JudiciaryA BILLTo provide for grants for States that require fair and impartial police training for law enforcement officers of that State and to incentivize States to enact laws requiring the independent investigation and prosecution of the use of deadly force by law enforcement officers, and for other purposes.1.Short titleThis Act may be cited as the Police Training and Independent Review Act of 2021.2.Grants for training and independent investigation and prosecutionTitle I of the Omnibus Crime Control and Safe Streets Act of 1968 (34 U.S.C. 10101 et seq.) is amended by adding at the end the following:PPGrants for training and independent investigation and prosecution3061.Grant authority(a)In generalThe Attorney General may make a grant to a State for purposes of implementing the training requirements described in section 3062(a) and an independent prosecution of law enforcement statute as described in section 3063.(b)TermThe term of a grant under subsection (a) shall be 1 fiscal year.3062.Training on fair and impartial policing(a)Training requirementThe requirements of this subsection are as follows:(1)A State shall require that all individuals enrolled in an academy of a law enforcement agency of the State and all law enforcement officers of the State complete a training session on fair and impartial policing each year, which includes—(A)anti-bias training on implicit and explicit bias on the basis of race, religion, ethnicity, national origin, gender, sexual orientation, gender identity, and disability;(B)training regarding—(i)cultural diversity;(ii)police interaction with individuals with mental illness or behavioral, mental, or physical disabilities;(iii)crisis intervention; and(iv)de-escalation tactics;(C)scenario-based training; and(D)a requirement that officers demonstrate proficiency in the subjects of the training through scenario-based tests.(2)Each law enforcement officer and each individual enrolled in an academy of a law enforcement agency of a State shall complete—(A)initial training described in paragraph (1) of not less than 8 hours; and(B)not less than 4 hours of training described in paragraph (1) every year thereafter.(3)A State shall certify to the Attorney General of the United States that such training sessions have been completed.(b)Compliance and ineligibility(1)Compliance dateTo be eligible for a grant under this part, a State shall, subject to paragraphs (2) and (3), be in compliance with the training requirements under subsection (a) not later than 240 days after the date of enactment of this part, except that the Attorney General may grant an additional 120 days to a State that is making good faith efforts to comply with such subsection.(2)Compliance before start of fiscal yearA State that fails to achieve compliance with the training requirements under subsection (a) in accordance with paragraph (1) of this subsection shall be eligible for a grant under this part for a fiscal year (subject to section 3063) if, on the last day of the previous fiscal year, the State is in compliance with such requirements.(3)IneligibilityA State that was eligible for a grant under this part and that, as of the last day of a fiscal year, is not in compliance with the training requirements under subsection (a) shall not be eligible for a grant under this part during the next fiscal year.(c)VerificationThe attorney general of a State receiving a grant under this part shall verify that the training of individuals enrolled in an academy of a law enforcement agency of the State and all law enforcement officers of the State meets the requirements under subsection (a).(d)Audit requirementsFor each fiscal year for which grants are made under this part, the Inspector General of the Department of Justice shall conduct audits of an appropriate number, as determined by the Inspector General, of States receiving such a grant to ensure compliance with the training requirements under subsection (a).3063.Independent review of law enforcement use of deadly forceTo be eligible for a grant under this part for a fiscal year, a State shall, as of the last day of the prior fiscal year, have enacted and have in effect an independent prosecution of law enforcement statute.3064.DefinitionsIn this part:(1)The term deadly force means that force which a reasonable person would consider likely to cause death or serious bodily harm.(2)The term independent prosecution, with respect to a criminal investigation or prosecution of a law enforcement officer’s use of deadly force, includes using one or more of the following methods:(A)Using an agency or civilian review board that investigates and independently reviews all officer use of force allegations.(B)Assigning the attorney general of the State in which the alleged crime was committed to conduct the criminal investigation and prosecution.(C)Adopting a procedure under which an automatic referral is made to a special prosecutor appointed and overseen by the attorney general of the State in which the alleged crime was committed.(D)Having law enforcement agencies agree to and implement memoranda of understanding with other law enforcement agencies under which the other law enforcement agencies—(i)shall conduct the criminal investigation; and(ii)upon conclusion of the criminal investigation, shall file a report with the attorney general of the State containing a determination regarding whether—(I)the use of deadly force was appropriate; and(II)any action should be taken by the attorney general of the State.(E)Using an independent prosecutor.(3)The term independent prosecution of law enforcement statute means a statute requiring an independent prosecution in a criminal matter in which—(A)one or more of the possible defendants is a law enforcement officer;(B)one or more of the alleged offenses involves the law enforcement officer’s use of deadly force in the course of carrying out that officer’s duty; and(C)the law enforcement officer’s use of deadly force resulted in a death or injury. (4)The term independent prosecutor means, with respect to a criminal investigation or prosecution of a law enforcement officer’s use of deadly force, a prosecutor who—(A)does not live or work in the same county as the county in which the alleged crime was committed; and(B)would not be involved in the prosecution in the ordinary course of that prosecutor’s duties..


		I
		112th CONGRESS
		1st Session
		H. R. 2077
		IN THE HOUSE OF REPRESENTATIVES

			June 1, 2011
			Mr. Price of Georgia
			 (for himself and Mrs. McMorris
			 Rodgers) introduced the following bill; which was referred to the
			 Committee on Energy and
			 Commerce

		A BILL
		To repeal medical loss ratio requirements for health
		  insurance.

		1.Short titleThis Act may be cited as the
			 MLR Repeal Act of
			 2011.
		2.Repealing medical
			 loss ratio requirementsSection 2718 of the Public Health Service
			 Act (42 U.S.C. 300gg–18), as added by section 1001(5) of the Patient Protection
			 and Affordable Care Act and as amended by section 10101(f) of such Act, is
			 repealed.