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

[EX Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Federal Firefighters Fairness Act of
2011''.

SEC. 2. CERTAIN DISEASES PRESUMED TO BE WORK-RELATED CAUSE OF
DISABILITY OR DEATH FOR FEDERAL EMPLOYEES IN FIRE
PROTECTION ACTIVITIES.

(a) Definition.--Section 8101 of title 5, United States Code, is
amended by striking ''and'' at the end of paragraph (19), by striking
the period at the end of paragraph (20) and inserting ''; and'', and by
adding at the end the following:
''(21) 'employee in fire protection activities' means a
firefighter, paramedic, emergency medical technician, rescue
worker, ambulance personnel, or hazardous material worker,
who--
''(A) is trained in fire suppression;
''(B) has the legal authority and responsibility to
engage in fire suppression;
''(C) is engaged in the prevention, control, and
extinguishment of fires or response to emergency
situations where life, property, or the environment is
at risk; and
''(D) performs such activities as a primary
responsibility of his or her job.''.
(b) Presumption Relating to Employees in Fire Protection
Activities.--Section 8102 of title 5, United States Code, is amended by
adding at the end the following:
''(c)(1) With regard to an employee in fire protection activities,
a disease specified in paragraph (3) shall be presumed to be
proximately caused by the employment of such employee, subject to the
length of service requirements specified. The disability or death of an
employee in fire protection activities due to such a disease shall be
presumed to result from personal injury sustained while in the
performance of such employee's duty. Such presumptions may be rebutted
by a preponderance of the evidence.
''(2) Such presumptions apply only if the employee in fire
protection activities is diagnosed with the disease for which
presumption is sought within 10 years of the last active date of
employment as an employee in fire protection activities.
''(3) The following diseases shall be presumed to be proximately
caused by the employment of the employee in fire protection activities:
''(A) If the employee has been employed for a minimum of 5
years in aggregate as an employee in fire protection
activities:
''(i) Heart disease.
''(ii) Lung disease.
''(iii) The following cancers:
''(I) Brain cancer.
''(II) Cancer of the blood or lymphatic
systems.
''(III) Leukemia.
''(IV) Lymphoma (except Hodgkin's disease).
''(V) Multiple myeloma.
''(VI) Bladder cancer.
''(VII) Kidney cancer.
''(VIII) Testicular cancer.
''(IX) Cancer of the digestive system.
''(X) Colon cancer.
''(XI) Liver cancer.
''(XII) Skin cancer.
''(XIII) Lung cancer.
''(iv) Any other cancer the contraction of which
the Secretary of Labor through regulations determines
to be related to the hazards to which an employee in
fire protection activities may be subject.
''(B) Regardless of the length of time an employee in fire
protection activities has been employed, any uncommon
infectious disease, including but not limited to tuberculosis,
hepatitis A, B, or C, the human immunodeficiency virus (HIV),
and any other uncommon infectious disease the contraction of
which the Secretary of Labor through regulations determines to
be related to the hazards to which an employee in fire
protection activities may be subject.''.
(c) Report.--Not later than 5 years after the date of enactment of
this Act, the National Institute of Occupational Safety and Health in
the Centers for Disease Control and Prevention shall examine the
implementation of this Act and appropriate scientific and medical data
related to the health risks associated with firefighting and submit to
Congress a report which shall include--
(1) an analysis of the injury claims made under this Act;
(2) an analysis of the available research related to the
health risks associated with firefighting; and
(3) recommendations for any administrative or legislative
actions necessary to ensure that those diseases most associated
with firefighting are included in the presumption created by
this Act.
(d) Effective Date.--The amendment made by this section applies to
an injury that is first diagnosed or a death that occurs, on or after
the date of enactment of this Act.
[EX A]: Federal Firefighters Fairness Act of 2011- Provides that: (1) specified diseases, including heart disease, lung disease, tuberculosis, hepatitis, human immunodeficiency virus, and specified cancers, of federal employees in fire protection activities shall be presumed to be proximately caused by such employment if the employee is diagnosed with the disease within 10 years of the last active date of employment in fire protection activities; (2) the disability or death of such an employee due to such a disease shall be presumed to result from personal injury sustained while in the performance of duty; and (3) such presumptions may be rebutted by a preponderance of the evidence.

Defines an "employee in fire protection activities" as a firefighter, paramedic, emergency medical technician, rescue worker, ambulance personnel, or hazardous material worker, who: (1) is trained in fire suppression; (2) has the legal authority and responsibility to engage in fire suppression; (3) is engaged in the prevention, control, and extinguishment of fires or response to emergency situations where life, property, or the environment is at risk; and (4) performs such activities as a primary responsibility of his or her job.

Directs the National Institute of Occupational Safety and Health in the Centers for Disease Control and Prevention (CDC) to examine the implementation of this Act and appropriate scientific and medical data related to the health risks associated with firefighting and to report to Congress on: (1) an analysis of the injury claims made under this Act; (2) an analysis of the available research related to the health risks associated with firefighting; and (3) recommendations for any administrative or legislative actions necessary to ensure that those diseases most associated with firefighting are included in the presumption created by this Act.

[EX Q]: SECTION 1. SHORT TITLE.

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

SEC. 2. FINDINGS.

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

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

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

''Medically Necessary Food

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

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

''A health insurance issuer offering group or individual health
insurance coverage shall provide coverage for--
''(1) medically necessary food (as defined in section
1861(jjj) of the Social Security Act) and the medical equipment
and supplies necessary to administer such food; and
''(2) medically necessary vitamins in the same manner
provided for under section 1860D-2(e)(1)(C) of the Social
Security Act.''.
(2) Effective date.--The amendment made by paragraph (1)
shall apply to plan years beginning on or after the date that
is 1 year after the date of the enactment of this Act.
[EX A]: Medical Nutrition Equity Act of 2017 This bill provides for coverage, under Medicare, Medicaid, other specified federal health-care programs, and private health insurance,of foods and vitamins that are medically necessary for the management ofcertain digestive and metabolic disordersand conditions.

[EX Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Pay Back America Act of 2004''.

SEC. 2. IMPOSITION OF EXCISE TAX ON INTERNATIONAL TRANSPORTATION BY
WATER.

(a) In General.--Chapter 36 of the Internal Revenue Code of 1986
(relating to certain other excise taxes) is amended by inserting after
subchapter B the following new subchapter:

''Subchapter C--International Transportation by Water

''Sec. 4475. Imposition of tax.
''Sec. 4476. Definitions.

''SEC. 4475. IMPOSITION OF TAX.

''(a) In General.--There is hereby imposed a tax of $3 per
passenger on a covered international voyage.
''(b) By Whom Paid.--The tax imposed by this section shall be paid
by the person providing the covered international voyage.
''(c) Time of Imposition.--The tax imposed by this section shall be
imposed only once for each passenger on a covered international voyage,
either at the time of first embarkation or disembarkation in the United
States.

''SEC. 4476. DEFINITIONS.

''For purposes of this subchapter--
''(1) Covered international voyage.--The term 'covered
international voyage' means a voyage of a commercial passenger
vessel if--
''(A) such voyage extends over 1 or more nights,
''(B) passengers embark or disembark the vessel in
the United States, and
''(C) passengers embark or disembark the vessel
outside the United States.
Such term shall not include any voyage of any vessel owned or
operated by the United States, a State, or any agency or
subdivision thereof.
''(2) Passenger vessel.--The term 'passenger vessel' means
any vessel having berth or stateroom accommodations for more
than 16 passengers.''.
(b) Conforming Amendment.--Section 6806 of such Code is amended by
striking ''subchapter B of chapter 36'' and inserting ''subchapter B or
C of chapter 36''.
(c) Effective Date.--The amendments made by this section shall
apply to passengers embarking or disembarking in the United States
after the date of the enactment of this Act.

SEC. 3. ESTABLISHMENT OF TRUST FUNDS.

(a) In General.--Chapter 98 of the Internal Revenue Code of 1986 is
amended by adding at the end the following new sections:

''SEC. 9511. CARIBBEAN PORTS AND INFRASTRUCTURE PROTECTION TRUST FUND.

''(a) Creation of Trust Fund.--There is established in the Treasury
of the United States a trust fund to be known as the 'Caribbean Ports
and Infrastructure Protection Trust Fund', consisting of such amounts
as may be appropriated or credited to such fund as provided in this
section or section 9602(b).
''(b) Transfers to Trust Fund.--There are hereby appropriated to
the Caribbean Ports and Infrastructure Protection Trust Fund amounts
equivalent to 32 percent of the taxes received in the Treasury under
subchapter C of chapter 36 (relating to international transportation by
water).
''(c) Expenditures From Trust Fund.--The Secretary shall make
payments, not less frequently than annually, from the Caribbean Ports
and Infrastructure Protection Trust Fund to--
''(1) the Bahamas, Cayman Islands, Barbados, Jamaica, Saint
Lucia, and Grenada, each in an amount equivalent to the sum
of--
''(A) 3 percent of the taxes received in the
Treasury under subchapter C of chapter 36, and
''(B) any amount credited to such fund under
section 9602(b) which is attributable to the amount
described in subparagraph (A), and
''(2) Antigua and Barbuda, Belize, British Virgin Islands,
Dominica, Guyana, Haiti, Montserrat, Saint Kitts and Nevis,
Saint Vincent and the Grenadines, Suriname, Trinidad and
Tobago, Anguilla, Bermuda, and Turks and Caicos Islands, each
in an amount equivalent to the sum of--
''(A) 1 percent of the taxes received in the
Treasury under subchapter C of chapter 36, and
''(B) any amount credited to such fund under
section 9602(b) which is attributable to the amount
described in subparagraph (A).

''SEC. 9512. WATER AND MARINE WILDLIFE PROTECTION TRUST FUND.

''(a) Creation of Trust Fund.--There is established in the Treasury
of the United States a trust fund to be known as the 'Water and Marine
Wildlife Protection Trust Fund', consisting of such amounts as may be
appropriated or credited to such fund as provided in this section or
section 9602(b).
''(b) Transfers to Trust Fund.--There are hereby appropriated to
the Water and Marine Wildlife Protection Trust Fund amounts equivalent
to 33 percent of the taxes received in the Treasury under subchapter C
of chapter 36 (relating to international transportation by water).
''(c) Expenditures From Trust Fund.--Amounts in the Water and
Marine Wildlife Protection Trust Fund shall be available, as provided
in appropriation Acts, for the purposes of making expenditures to carry
out environmental programs which provide for the clean up of waste in
the oceans or the enforcement of restrictions on the dumping of waste
in the oceans.''.
(b) Clerical Amendment.--The table of sections for chapter 98 of
such Code is amended by adding at the end the following new items:

''Sec. 9511. Caribbean Ports and Infrastructure Protection Trust Fund.
''Sec. 9512. Water and Marine Wildlife Protection Trust Fund.''.

SEC. 4. REQUIREMENTS RELATING TO PREVENTION OF POLLUTION FROM VESSELS.

(a) Findings.--The Congress finds the following:
(1) Pollution prevention devices required on vessels are
designed to reduce pollution. If they malfunction or are not
functioning then they cannot prevent pollution.
(2) Ensuring that these anti-pollution devices are
functioning will ensure a reduction in pollution and will also
give authorities advanced warning of pollution that has
occurred.
(3) Requiring biannual inspections of pollution prevention
equipment on vessels will ensure that such equipment is fully
operational and can ensure that it will perform its designed
task to its full potential.
(4) Department of Justice officials have found in a number
of cases fabricated entries in vessel oil record books that
give a false sense of compliance with MARPOL discharge
limitations.
(5) Recording shore-side disposal of garbage and sludge
from vessels will help to identify violators and help to deter
others from unlawful discharges at sea.
(6) Making violations of this Act a felony will have a
deterrent effect. Imposing stiff fines will also accomplish
that goal.
(b) Toll-Free Telephone Number for Reporting Illegal Dumping.--The
Secretary of the department in which the Coast Guard is operating shall
prescribe regulations by not later than 6 months after the date of the
enactment of this Act that require--
(1) that each cruise vessel that enters a port or place in
the United States while operating in the foreign or domestic
commerce of the United States must have posted, in elevators
and other common areas of the vessel, a notice stating--
(A) that any passenger who witnesses illegal
dumping from the vessel into waters of the United
States may report that dumping to the Coast Guard by
calling a toll-free telephone number of the National
Response Center or another appropriate office of the
Coast Guard; and
(B) such telephone numbers; and
(2) that the notice prescribed under paragraph (1) must be
included on each ticket for carriage of a passenger on such a
vessel in such commerce.
(c) Prohibitions.--It shall be unlawful--
(1) for any vessel to enter a port or place in the United
States if--
(A) the vessel does not have on board all pollution
prevention equipment otherwise required by law that
functions in proper functioning condition; or
(B) does not comply with requirements that apply to
the vessel under regulations prescribed under
subsection (b);
(2) to make any false entry in--
(A) any oil record book for a vessel; or
(B) any record of a vessel of shore-side disposal
of garbage or sludge from the vessel;
(3) to operate any cruise vessel in the foreign or domestic
commerce of the United States that does not comply with any
requirement that applies to the vessel under regulations
prescribed subsection (b); or
(4) to sell a ticket referred to in paragraph (2) of
subsection (b) that does not include any notice required under
regulations prescribed under subsection (b).
(d) Inspections.--The Secretary of the department in which the
Coast Guard is operating shall biannually inspect each vessel that is
documented under the laws of the United States to determine whether--
(1) the vessel has on board all pollution prevention
equipment required under subsection (c);
(2) such equipment functions properly; and
(3) in the case of a cruise vessel, the vessel complies
with requirements that apply to the vessel under regulations
prescribed under subsection (b).
(e) Penalty.--Any person that violates this section, and the owner
or operator of a vessel that violates this section, shall be fined
under title 18, United States Code, or imprisoned for one year and a
day (or such longer period as may apply under another provision of
law), or both.
(f) Relationship to Other Law.--This section is not intended to
affect the application of any other provision of law.
(g) Definitions.--In this section:
(1) cruise vessel.--
(A) In general.--The term ''cruise vessel'' means a
passenger vessel (as defined in section 2101(22) of
title 46, United States Code), that--
(i) is authorized to carry at least 250
passengers; and
(ii) has onboard sleeping facilities for
each passenger.
(B) Exclusions.--The term ''cruise vessel'' does
not include--
(i) a vessel of the United States operated
by the Federal Government; or
(ii) a vessel owned and operated by the
government of a State.
(2) Passenger.--
(A) In general.--The term ''passenger'' means any
person on board a cruise vessel for the purpose of
travel.
(B) Inclusions.-- The term ''passenger'' includes--
(i) a paying passenger; and
(ii) a staffperson, such as a crew member,
captain, or officer.
[EX A]:
Pay Back America Act of 2004 - Amends the Internal Revenue Code to impose a per passenger tax on covered international voyages of commercial passenger vessels.

Establishes the Caribbean Ports and Infrastructure Protection Trust Fund (Caribbean Fund) and the Water and Marine Wildlife Protection Trust Fund (Wildlife Fund) in the Treasury. Appropriates to those funds a percentage of the above-referenced taxes.

Authorizes the Secretary of of the Treasury to make specified payments from the Caribbean Fund to the Bahamas, the Cayman Islands, Barbados, Jamaica, Saint Lucia, Grenada, Antigua and Barbuda, Belize, the British Virgin Islands, Dominica, Guyana, Haiti, Montserrat, Saint Kitts and Nevis, Saint Vincent and the Grenadines, Suriname, Trinidad and Tobago, Anguilla, Bermuda, and the Turks and Caicos Islands.

Requires amounts in the Wildlife Fund to be used for ocean waste cleanup or enforcement of restrictions on ocean dumping.

Directs the Secretary of the department in which the Coast Guard is operating to issue regulations requiring cruise vessels entering U.S. ports or places to have: (1) posted notice that passengers may report illegal dumping from the vessel by calling a toll-free number; and (2) included such notice on each ticket sold.

Prohibits: (1) vessels from entering U.S. ports or places absent properly functioning pollution prevention equipment or compliance with notice requirements; (2) false entries in a vessel's oil record book or record of shore-side disposal; (3) operation of cruise vessels in U.S. foreign or domestic commerce that fail to comply with notice requirements.

Requires biannual inspections of vessels.