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SECTION 1. SHORT TITLE.

This Act may be cited as the ''Broadband Adoption Act of 2015''.

SEC. 2. BROADBAND LIFELINE ASSISTANCE PROGRAM.

Section 254(j) of the Communications Act of 1934 (47 U.S.C. 254(j))
is amended to read as follows:
''(j) Lifeline Assistance.--
''(1) In general.--Nothing in this section, other than
paragraph (2) of this subsection, shall affect the collection,
distribution, or administration of the Lifeline program of the
Commission set forth under sections 54.400 through 54.417 of
title 47, Code of Federal Regulations, or any successor
thereto.
''(2) Broadband lifeline assistance program.--
''(A) Definitions.--In this paragraph--
''(i) the term 'broadband Internet access
service' has the meaning given that term under
section 8.11(a) of title 47, Code of Federal
Regulations, or any successor thereto;
''(ii) the terms 'duplicative support' and
'qualifying low-income consumer' have the
meanings given those terms in section 54.400 of
title 47, Code of Federal Regulations, or any
successor thereto;
''(iii) the term 'Lifeline program' means
the Lifeline program of the Commission set
forth under sections 54.400 through 54.417 of
title 47, Code of Federal Regulations, or any
successor thereto; and
''(iv) the term 'participating broadband
Internet access service provider' means a
provider of broadband Internet access service
that elects to participate in the Lifeline
program to provide broadband Internet access
service to qualifying low-income consumers
under the final rule adopted under subparagraph
(C)(i).
''(B) Purpose.--The purpose of this paragraph is to
promote the adoption of broadband Internet access
service by all people of the United States while
recognizing that the price of broadband Internet access
service is one of the barriers to adoption for low-
income households.
''(C) Establishment.--
''(i) In general.--Not later than 270 days
after the date of enactment of the Broadband
Adoption Act of 2015, the Commission shall
adopt a final rule establishing Lifeline
support under the Lifeline program for
broadband Internet access service to enable
qualifying low-income consumers in urban and
rural areas to purchase broadband Internet
access service at reduced charges by
reimbursing participating broadband Internet
access service providers for each such consumer
served.
''(ii) Model.--The final rule adopted under
clause (i) shall provide that a qualifying low-
income consumer may elect to apply Lifeline
support under the Lifeline program to basic
telephone service, voice telephony service, or
broadband Internet access service, regardless
of whether the service is purchased as a stand-
alone service or as part of a bundle of
services.
''(iii) Digital literacy program.--The
Commission shall consider providing a
preference to a participating broadband
Internet access service provider that includes
components involving digital literacy programs
as part of the offerings of the participating
broadband Internet access service provider.
''(D) State funds.--The Commission shall consult
with the Federal-State Joint Board instituted under
subsection (a)(1) regarding ways to encourage States to
develop programs that would work in conjunction with
the Lifeline program.
''(E) Amount of support.--
''(i) In general.--In calculating the
amount of Lifeline support to be provided to
each qualifying low-income consumer under the
final rule adopted under subparagraph (C)(i),
the Commission shall routinely study--
''(I) the prevailing market price
for broadband Internet access service;
''(II) the prevailing speed of
broadband Internet access service
adopted by households; and
''(III) the prevailing broadband
usage patterns of residential
consumers.
''(ii) Information.--In carrying out clause
(i), the Commission shall rely on information
that--
''(I) the Commission routinely
collects; or
''(II) is publicly available.
''(F) Technology neutral.--
''(i) In general.--To promote competition
from service providers to qualify under the
Lifeline program, the Commission shall ensure
that the final rule adopted under subparagraph
(C)(i) is neutral as to the types of technology
used to provide voice telephony or broadband
Internet access service under the Lifeline
program.
''(ii) Authorization.--A participating
broadband Internet access service provider--
''(I) shall not be required to be
an eligible telecommunications carrier
(as designated under section 214(e)) to
receive support under the Lifeline
program; and
''(II) shall obtain authorization
from the Commission in order to
participate in the Lifeline program.
''(G) Accountability.--
''(i) Nonduplication.--The final rule
adopted under subparagraph (C)(i) shall
incorporate regulations of the Commission in
effect on the date of enactment of this Act
that prevent the receipt of duplicative support
under the Lifeline program.
''(ii) Preventing waste, fraud, or abuse.--
In promulgating regulations to carry out this
paragraph, the Commission shall consider any
appropriate measures to prevent any waste,
fraud, or abuse in the administration of the
Lifeline program.
''(iii) Eligibility.--The Commission, in
consultation with other relevant Federal
agencies, shall establish a national database
to determine qualifying low-income consumer
eligibility for Lifeline program subsidies.
''(H) Evaluation reports.--Not later than 1 year
after the Commission adopts the final rule under
subparagraph (C)(i), and every year thereafter, the
Commission shall conduct an evaluation and issue a
report on the performance of the Lifeline program
during the 12-month period preceding the date on which
each report is issued.
''(I) GAO study.--Not later than 1 year after the
Commission adopts the final rule under subparagraph
(C)(i), the Comptroller General of the United States
shall conduct a study and issue a report on the
performance of the Lifeline support provided under the
Lifeline program for broadband Internet access service.
''(3) Clarification of authority.--Nothing in this section
shall be construed to limit the authority of the Commission
under any other provision of law, including the authority to
promulgate regulations to promote the adoption of broadband
service by low-income households in the United States.''.
Broadband Adoption Act of 2015 Amends the Communications Act of 1934 to direct the Federal Communications Commission (FCC) to adopt a final rule establishing support under the Universal Service Fund Lifeline Assistance Program for qualifying low-income consumers in urban and rural areas to purchase broadband Internet access service at reduced charges by reimbursing participating providers for each such consumer served. Requires the program to allow qualifying consumers to elect to apply support from the Lifeline program to basic telephone service, voice telephony service, or broadband Internet access service, regardless of whether the service is purchased as a stand-alone service or in a bundle. Directs the FCC to consult with the federal-state joint board on universal service regarding ways to encourage states to develop programs in conjunction with the Lifeline program. Requires the program to be technology neutral to promote competition from service providers. Requires participating broadband Internet access service providers to obtain FCC authorization to participate in the Lifeline program, but a provider is not required to be an eligible telecommunications carrier to receive support under the program. Directs the FCC to: (1) adopt regulations to prevent receipt of duplicative support under the Lifeline program, and (2) establish a national database to determine consumer eligibility.

SECTION 1. SHORT TITLE.

This Act may be cited as the ''Accurate Education for Prenatal
Screenings Act''.

SEC. 2. CELL-FREE DNA PRENATAL SCREENING EDUCATION PROGRAMS.

Part B of title III of the Public Health Service Act is amended by
inserting, after section 317T (42 U.S.C. 247b-22), the following:

''SEC. 317U. CELL-FREE DNA PRENATAL SCREENING EDUCATION PROGRAMS.

''(a) Education Programs.--With respect to cell-free DNA prenatal
screening, the Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall develop, implement, and
maintain two programs, one for patients and one for health care
providers, to educate patients and health care providers regarding
matters including--
''(1) the purposes and definitions of such screenings;
''(2) the reasons for patients and health care providers to
consider such screenings;
''(3) the conditions such screenings may detect, including
accurate and up-to-date information about such conditions'
clinical features, prognoses, and treatments according to
relevant national disability organizations and medical
professional societies;
''(4) the risks and benefits of, and alternatives to, the
various methods of administering such screenings and prenatal
diagnostic testings, including the option to forego such
screenings and testings, as per guidelines established by
medical professional societies;
''(5) the possible results of such screenings;
''(6) the accuracy of the results of such screenings,
including positive predictive value, negative predictive value,
specificity, sensitivity, the inability of such screenings to
reliably diagnose chromosomal abnormalities, and the fact that
such screenings may yield false-positive and false-negative
results;
''(7) the need for diagnostic testing, and counseling by a
genetics professional, for patients whose screenings yield
positive, abnormal, or indeterminate results; and
''(8) the need for communication of screening results to
patients and appropriate follow up per guidelines established
by medical professional societies.
''(b) Materials.--Each program developed under this section shall
include the provision of materials that--
''(1) contain information that is peer-reviewed, balanced,
accurate, and up-to-date;
''(2) enable the respective target audience to understand
the available options with regards to cell-free DNA prenatal
screenings, other prenatal screenings, and diagnostic tests;
''(3) promote the informed consent, and enhance the
decision-making processes of, the respective target audience
before and after such screenings;
''(4) contain information that appropriately addresses the
diversity of the patient population, including patients
proficient in languages other than English; and
''(5) contain contact information for relevant services and
support organizations for patients.
''(c) Assessment.--In developing, implementing, and maintaining
programs and materials under this section, the Secretary, acting
through the Director of the Centers for Disease Control and Prevention,
shall--
''(1) consult with relevant medical professional,
disability support, patient advocacy, parents, and genetics
professionals organizations;
''(2) consult with companies and laboratories that perform
cell-free DNA prenatal screenings or develop the technologies
for such screenings;
''(3) assess and evaluate existing education activities and
materials for health care providers and patients related to
such screenings; and
''(4) take the results of such consultations, assessment,
and evaluation into account in developing educational programs
and materials under this section.
''(d) Annual Report.--Not later than 16 months after the date of
enactment of this section and annually thereafter, the Secretary shall
submit a progress report to the Congress with respect to--
''(1) the development and implementation of the education
programs established under this section;
''(2) the accessibility of each program to its respective
target audience;
''(3) the adoption of each program by its respective target
audience; and
''(4) the Secretary's efforts to ensure health care
providers and patients receive the materials created pursuant
to this section.
''(e) Deadline.--The Secretary shall develop and implement the
education programs required by section 317U of the Public Health
Service Act (as added by subsection (a)) not later than 1 year after
the date of enactment of this Act''.
Accurate Education for Prenatal Screenings Act Amends the Public Health Service Act to direct the Centers for Disease Control and Prevention (CDC) to develop, implement, and maintain two programs, one to educate patients and one to educate health care providers regarding: the purposes and definitions of cell-free DNA prenatal screenings; the reasons for patients and providers to consider such screenings; the conditions such screenings may detect; the risks and benefits of, and alternatives to, the various methods of administering such screenings and prenatal diagnostic testing; the possible results of such screenings and the accuracy of such results; the need for diagnostic testing, and counseling by a genetics professional, for patients whose screenings yield positive, abnormal, or indeterminate results; and the need for communication of results to patients and appropriate follow-up per guidelines established by medical professional societies. Requires each program to provide materials that: contain information that is peer-reviewed, balanced, accurate, and up-to-date; enable the respective target audience to understand the available options with regard to such screenings, other prenatal screenings, and diagnostic tests; promote the informed consent of, and enhance the decision-making processes of, the respective target audience before and after such screenings; contain information that appropriately addresses the diversity of the patient population; and contain contact information for relevant services and support organizations for patients. Requires CDC to submit annual reports regarding: the development and implementation of such programs; the accessibility of each program to, and the adoption of each program by, its respective target audience; and CDC's efforts to ensure that providers and patients receive the materials created pursuant to this Act.

SECTION 1. SHORT TITLE.

This Act may be cited as the ''Safety and Accountability in
Construction Act''.

SEC. 2. HIGHWAY SAFETY.

(a) Submission of Project Management Plans.--Section 106(a)(1) of
title 23, United States Code, is amended by striking ''such'' and
inserting ''the project management plan and such other''.
(b) Independent Safety Reviews.--
(1) In general.--Chapter 4 of title 23, United States Code,
is amended by adding at the end the following:
''Sec. 413. Independent safety reviews
''(a) In General.--Subject to subsection (b), the Secretary of
Transportation (or the Secretary's designee) is authorized to contract
with a qualified independent engineer to objectively analyze the
planning, design, construction methods, and materials used to construct
any highway project financed with Federal funds if the Secretary (or
the Secretary's designee) determines that--
''(1) the project may endanger public safety;
''(2) the planning, design, or construction of the project
differs from the State's existing Project Management Plan;
''(3) the project is experiencing significant cost
overruns; or
''(4) there is a reasonable basis for requiring a safety
review of the project by an independent engineer.
''(b) Selection of Independent Engineer.--
''(1) In general.--If the Secretary makes a determination
under subsection (a), the Secretary shall select and hire an
engineer to conduct the analysis described in subsection (a).
''(2) Qualifications.--The engineer selected under this
subsection--
''(A) shall be a registered professional engineer
with a background in the appropriate engineering
discipline;
''(B) shall have significant knowledge and
experience in highway projects; and
''(C) may not have any prior association with the
project to be reviewed or any affiliation with any
project participant.
''(3) Notification requirement.--If an engineer is selected
under this section, the Secretary shall notify--
''(A) the members of Congress of the districts in
which the project being reviewed is located; and
''(B) the Committee on Commerce, Science, and
Transportation of the Senate;
''(C) the Committee on Environment and Public Works
of the Senate; and
''(D) the Committee on Transportation and
Infrastructure of the House of Representatives.
''(c) Access.--
''(1) In general.--The transportation department of each
State in which a highway project is being reviewed by an
independent engineer selected under subsection (b), and any
contractors involved in the project, shall provide the engineer
with reasonable access to the plans, records, and construction
sites of the project.
''(2) Contract provisions.--Beginning on the date of the
enactment of this section, each contract relating to a highway
project receiving Federal financial assistance shall
explicitly--
''(A) authorize the Secretary of Transportation to
conduct a safety review in accordance with this
section; and
''(B) require the parties to comply with paragraph
(1).
''(d) Reports.--
''(1) Analysis findings.--At the conclusion of the analysis
described in subsection (a), the independent engineer shall
submit a report containing the findings of such analysis to--
''(A) the Secretary of Transportation;
''(B) the Inspector General of the Department of
Transportation;
''(C) the Administrator of the Federal Highway
Administration; and
''(D) the transportation department of the State in
which the project is located.
''(2) Internal review.--The Inspector General of the
Department of Transportation shall ensure compliance with the
requirements under this section and shall submit a report
describing such compliance to--
''(A) the Secretary of Transportation;
''(B) the Administrator of the Federal Highway
Administration; and
''(C) the appropriate congressional committees.
''(e) Authorization of Appropriations.--There are authorized to be
appropriated $15,000,000 for each fiscal year to carry out this
section.''.
(2) Clerical amendment.--The table of sections in chapter 4
of title 23, United States Code, is amended by adding at the
end the following:

''413. Independent safety reviews.''.

SEC. 3. TUNNEL INSPECTIONS.

(a) In General.--Section 151 of title 23, United States Code, is
amended--
(1) in the section heading, by inserting ''and tunnel''
after ''bridge'';
(2) in subsections (a) and (c), by inserting ''and Tunnel''
after ''Bridge'' each place it appears in the subsection
headings;
(3) by inserting ''and tunnel'' after ''bridge'' each place
it appears;
(4) by inserting ''and tunnels'' after ''bridges'' each
place it appears; and
(5) in subsection (d), by striking ''section 104(a),
section 502, and section 144 of this title.'' and inserting
''sections 104(a), 144, and 502 for the bridge inspection
program and sections 104(a) and 502 for the tunnel inspection
program.''.
(b) Surface Transportation Program.--Section 133(b)(1) of title 23,
United States Code, is amended by inserting '', tunnels (including
safety inspections),'' after ''highways)''.
Safety and Accountability in Construction Act - Requires state transportation departments to submit project management plans for federal-aid highway projects to the Secretary of Transportation for approval.

Authorizes the Secretary to contract with a qualified independent engineer to provide independent safety reviews of federally-financed highway projects if certain determinations are made.

Requires the Secretary to establish a national tunnel inspection program (including national standards for the inspection of such tunnels).

Authorizes states to obligate apportioned surface transportation program funds for: (1) the construction and repair of tunnels; and (2) tunnel safety inspections.