{"id":5969,"date":"2019-06-01T09:17:16","date_gmt":"2019-06-01T09:17:16","guid":{"rendered":"https:\/\/laweuro.com\/?p=5969"},"modified":"2019-06-01T09:17:24","modified_gmt":"2019-06-01T09:17:24","slug":"public-law-115-123-bipartisan-budget-act-of-2018","status":"publish","type":"post","link":"https:\/\/laweuro.com\/?p=5969","title":{"rendered":"Public Law 115-123 &#8211; Bipartisan Budget Act of 2018"},"content":{"rendered":"<p>[115th Congress Public Law 123]<br \/>\n[From the U.S. Government Publishing Office]<\/p>\n<div><iframe loading=\"lazy\" class=\"embed-pdf-viewer\" src=\"https:\/\/laweuro.com\/wp-content\/uploads\/2019\/06\/PLAW-115publ123.pdf\" height=\"1000\" width=\"100%\" title=\"PLAW 115publ123\"><\/iframe><\/p>\n<p><a href=\"https:\/\/laweuro.com\/wp-content\/uploads\/2019\/06\/PLAW-115publ123.pdf\" title=\"PLAW 115publ123\">PLAW 115publ123<\/a><\/p>\n<\/div>\n<p>[[Page 63]]<\/p>\n<p>BIPARTISAN BUDGET ACT OF 2018<\/p>\n<p>[[Page 132 STAT. 64]]<\/p>\n<p>Public Law 115-123<br \/>\n115th Congress<\/p>\n<p>An Act<\/p>\n<p>To amend title 4, United States Code, to provide for the flying of the<br \/>\nflag at half-staff in the event of the death of a first responder in the<br \/>\nline of duty. &lt;&lt;NOTE: Feb. 9, 2018 &#8211; [H.R. 1892]&gt;&gt;<\/p>\n<p>Be it enacted by the Senate and House of Representatives of the<br \/>\nUnited States of America in Congress assembled, &lt;&lt;NOTE: Bipartisan<br \/>\nBudget Act of 2018.&gt;&gt;<br \/>\nSECTION 1. &lt;&lt;NOTE: 42 USC 1305 note.&gt;&gt; SHORT TITLE.<\/p>\n<p>This Act may be cited as the &#8220;Bipartisan Budget Act of 2018&#8221;.<\/p>\n<p>DIVISION A&#8211; &lt;&lt;NOTE: Honoring Hometown Heroes Act.&gt;&gt; HONORING HOMETOWN<br \/>\nHEROES ACT<br \/>\nSECTION 10101. &lt;&lt;NOTE: 4 USC 1 note.&gt;&gt; SHORT TITLE.<\/p>\n<p>This division may be cited as the &#8220;Honoring Hometown Heroes Act&#8221;.<br \/>\nSEC. 10102. PERMITTING THE FLAG TO BE FLOWN AT HALF-STAFF IN THE<br \/>\nEVENT OF THE DEATH OF A FIRST<br \/>\nRESPONDER SERVING IN THE LINE OF DUTY.<\/p>\n<p>(a) Amendment.&#8211;The sixth sentence of section 7(m) of title 4,<br \/>\nUnited States Code, is amended&#8211;<br \/>\n(1) by striking &#8220;or&#8221; after &#8220;possession of the United<br \/>\nStates&#8221; and inserting a comma;<br \/>\n(2) by inserting &#8220;or the death of a first responder working<br \/>\nin any State, territory, or possession who dies while serving in<br \/>\nthe line of duty,&#8221; after &#8220;while serving on active duty,&#8221;;<br \/>\n(3) by striking &#8220;and&#8221; after &#8220;former officials of the<br \/>\nDistrict of Columbia&#8221; and inserting a comma; and<br \/>\n(4) by inserting before the period the following: &#8220;, and<br \/>\nfirst responders working in the District of Columbia&#8221;.<\/p>\n<p>(b) First Responder Defined.&#8211;Such subsection is further amended&#8211;<br \/>\n(1) in paragraph (2), by striking &#8220;, United States Code;<br \/>\nand&#8221; and inserting a semicolon;<br \/>\n(2) in paragraph (3), by striking the period at the end and<br \/>\ninserting &#8220;; and&#8221;; and<br \/>\n(3) by adding at the end the following new paragraph:<br \/>\n&#8220;(4) the term `first responder&#8217; means a `public safety<br \/>\nofficer&#8217; as defined in section 1204 of title I of the Omnibus<br \/>\nCrime Control and Safe Streets Act of 1968 (34 U.S.C. 10284).&#8221;.<\/p>\n<p>(c) &lt;&lt;NOTE: Applicability. 4 USC 7 note.&gt;&gt; Effective Date.&#8211;The<br \/>\namendments made by this section shall apply with respect to deaths of<br \/>\nfirst responders occurring on or after the date of the enactment of this<br \/>\nAct.<\/p>\n<p>[[Page 132 STAT. 65]]<\/p>\n<p>DIVISION B&#8211;SUPPLEMENTAL APPROPRIATIONS, TAX RELIEF, AND MEDICAID<br \/>\nCHANGES RELATING TO CERTAIN DISASTERS AND FURTHER EXTENSION OF<br \/>\nCONTINUING APPROPRIATIONS<\/p>\n<p>Subdivision 1&#8211; &lt;&lt;NOTE: Further Additional Supplemental Appropriations<br \/>\nfor Disaster Relief Requirements Act, 2018.&gt;&gt; Further Additional<br \/>\nSupplemental Appropriations for Disaster Relief Requirements Act, 2018<\/p>\n<p>The following sums in this subdivision are appropriated, out of any<br \/>\nmoney in the Treasury not otherwise appropriated, for the fiscal year<br \/>\nending September 30, 2018 and for other purposes, namely:<\/p>\n<p>TITLE I<\/p>\n<p>DEPARTMENT OF AGRICULTURE<\/p>\n<p>AGRICULTURAL PROGRAMS<\/p>\n<p>Processing, Research and Marketing<\/p>\n<p>Office of the Secretary<\/p>\n<p>For an additional amount for the &#8220;Office of the Secretary&#8221;,<br \/>\n$2,360,000,000, which shall remain available until December 31, 2019,<br \/>\nfor necessary expenses related to crops, trees, bushes, and vine losses<br \/>\nrelated to the consequences of Hurricanes Harvey, Irma, Maria, and other<br \/>\nhurricanes and wildfires occurring in calendar year 2017 under such<br \/>\nterms and conditions as determined by the Secretary: Provided, That the<br \/>\nSecretary may provide assistance for such losses in the form of block<br \/>\ngrants to eligible states and territories: Provided further, That the<br \/>\ntotal amount of payments received under this heading and applicable<br \/>\npolicies of crop insurance under the Federal Crop Insurance Act (7<br \/>\nU.S.C. 1501 et seq.) or the Noninsured Crop Disaster Assistance Program<br \/>\n(NAP) under section 196 of the Federal Agriculture Improvement and<br \/>\nReform Act of 1996 (7 U.S.C. 7333) shall not exceed 85 percent of the<br \/>\nloss as determined by the Secretary: Provided further, That the total<br \/>\namount of payments received under this heading for producers who did not<br \/>\nobtain a policy or plan of insurance for an insurable commodity for the<br \/>\n2017 crop year, or 2018 crop year as applicable, under the Federal Crop<br \/>\nInsurance Act (7 U.S.C. 1501 et seq.) for the crop incurring the losses<br \/>\nor did not file the required paperwork and pay the service fee by the<br \/>\napplicable State filing deadline for a noninsurable commodity for the<br \/>\n2017 crop year, or 2018 crop year as applicable, under NAP for the crop<br \/>\nincurring the losses shall not exceed 65 percent of the loss as<br \/>\ndetermined by the Secretary: Provided further, That producers receiving<br \/>\npayments under this heading, as determined by the Secretary, shall be<br \/>\nrequired to purchase crop insurance where crop insurance is available<br \/>\nfor the next two available crop years, and producers receiving payments<br \/>\nunder this heading shall be required to purchase coverage under NAP<br \/>\nwhere crop insurance is not available in the next two available crop<br \/>\nyears, as determined by the Secretary: Provided<br \/>\nfurther, &lt;&lt;NOTE: Deadline. Reports.&gt;&gt; That, not later than 90 days<br \/>\nafter the end of fiscal year 2018, the Secretary shall submit a report<br \/>\nto the Congress specifying the type, amount, and method of such<br \/>\nassistance by state and territory and the status of the amounts<br \/>\nobligated and plans for<\/p>\n<p>[[Page 132 STAT. 66]]<\/p>\n<p>further expenditure and include improvements that can be made to Federal<br \/>\nCrop Insurance policies, either administratively or legislatively, to<br \/>\nincrease participation, particularly among underserved producers, in<br \/>\nhigher levels of coverage in future years for crops qualifying for<br \/>\nassistance under this heading: Provided further, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>Office of Inspector General<\/p>\n<p>For an additional amount for &#8220;Office of Inspector General&#8221;,<br \/>\n$2,500,000, to remain available until expended, for oversight and audit<br \/>\nof programs, grants, and activities funded by this subdivision and<br \/>\nadministered by the Department of Agriculture: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Agricultural Research Service<\/p>\n<p>buildings and facilities<\/p>\n<p>For an additional amount for &#8220;Buildings and Facilities&#8221;,<br \/>\n$22,000,000, to remain available until expended, for necessary expenses<br \/>\nrelated to the consequences of Hurricanes Harvey, Irma, and Maria:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Farm Service Agency<\/p>\n<p>emergency conservation program<\/p>\n<p>For an additional amount for the &#8220;Emergency Conservation Program&#8221;,<br \/>\nfor necessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria and of wildfires occurring in calendar year 2017, and<br \/>\nother natural disasters, $400,000,000, to remain available until<br \/>\nexpended: Provided, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Natural Resources Conservation Service<\/p>\n<p>watershed and flood prevention operations<\/p>\n<p>For an additional amount for &#8220;Watershed and Flood Prevention<br \/>\nOperations&#8221;, for necessary expenses for the Emergency Watershed<br \/>\nProtection Program related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria and of wildfires occurring in calendar year 2017, and<br \/>\nother natural disasters, $541,000,000, to remain available until<br \/>\nexpended: Provided, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>[[Page 132 STAT. 67]]<\/p>\n<p>RURAL DEVELOPMENT PROGRAMS<\/p>\n<p>Rural Housing Service<\/p>\n<p>rural housing insurance fund program account<\/p>\n<p>For an additional amount for &#8220;Rural Housing Insurance Fund Program<br \/>\nAccount&#8221;, $18,672,000, to remain available until September 30, 2019,<br \/>\nfor the cost of direct loans, including the cost of modifying loans as<br \/>\ndefined in section 502 of the Congressional Budget Act of 1974, for the<br \/>\nrehabilitation of section 515 rental housing (42 U.S.C. 1485) in areas<br \/>\nimpacted by Hurricanes Harvey, Irma, and Maria where owners were not<br \/>\nrequired to carry national flood insurance: Provided, That such amount<br \/>\nis designated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>Rural Utilities Service<\/p>\n<p>rural water and waste disposal program account<\/p>\n<p>For an additional amount for the &#8220;Rural Water and Waste Disposal<br \/>\nProgram Account&#8221;, $165,475,000, to remain available until expended, for<br \/>\ngrants to repair drinking water systems and sewer and solid waste<br \/>\ndisposal systems impacted by Hurricanes Harvey, Irma, and Maria:<br \/>\nProvided, That not to exceed $2,000,000 of the amount appropriated under<br \/>\nthis heading shall be for technical assistance grants for rural water<br \/>\nand waste systems pursuant to section 306(a)(22) of the Consolidated<br \/>\nFarm and Rural Development Act: Provided further, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>DOMESTIC FOOD PROGRAMS<\/p>\n<p>Food and Nutrition Service<\/p>\n<p>special supplemental nutrition program for women, infants, and children<br \/>\n(wic)<\/p>\n<p>For an additional amount for the &#8220;Special Supplemental Nutrition<br \/>\nProgram for Women, Infants, and Children&#8221;, $14,000,000, to remain<br \/>\navailable until September 30, 2019, for infrastructure grants to the<br \/>\nCommonwealth of Puerto Rico and the U.S. Virgin Islands to assist in the<br \/>\nrepair and restoration of buildings, equipment, technology, and other<br \/>\ninfrastructure damaged as a consequence of Hurricanes Irma and Maria:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>commodity assistance program<\/p>\n<p>For an additional amount for &#8220;Commodity Assistance Program&#8221; for<br \/>\nthe emergency food assistance program as authorized by section 27(a) of<br \/>\nthe Food and Nutrition Act of 2008 (7 U.S.C. 2036(a))<\/p>\n<p>[[Page 132 STAT. 68]]<\/p>\n<p>and section 204(a)(1) of the Emergency Food Assistance Act of 1983 (7<br \/>\nU.S.C. 7508(a)(1)), $24,000,000, to remain available until September 30,<br \/>\n2019, for necessary expenses of those jurisdictions that received a<br \/>\nmajor disaster or emergency declaration pursuant to section 401 or 501,<br \/>\nrespectively, of the Robert T. Stafford Disaster Relief and Emergency<br \/>\nAssistance Act (42 U.S.C. 5170, 5191) related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria or due to wildfires in 2017:<br \/>\nProvided, That notwithstanding any other provisions of the Emergency<br \/>\nFood Assistance Act of 1983, the Secretary of Agriculture may provide<br \/>\nresources to Puerto Rico, the Virgin Islands of the United States, and<br \/>\naffected States, as determined by the Secretary, to assist affected<br \/>\nfamilies and individuals without regard to sections 204 and 214 of such<br \/>\nAct (7 U.S.C. 7508, 7515) by allocating additional foods and funds for<br \/>\nadministrative expenses from resources specifically appropriated,<br \/>\ntransferred, or reprogrammed: Provided further, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>RELATED AGENCIES AND FOOD AND DRUG ADMINISTRATION<\/p>\n<p>Department of Health and Human Services<\/p>\n<p>food and drug administration<\/p>\n<p>buildings and facilities<\/p>\n<p>(including transfer of funds)<\/p>\n<p>For an additional amount for &#8220;Buildings and Facilities&#8221;,<br \/>\n$7,600,000, to remain available until expended, for necessary expenses<br \/>\nrelated to the consequences of Hurricanes Harvey, Irma, and Maria:<br \/>\nProvided, That such amount may be transferred to &#8220;Department of Health<br \/>\nand Human Services&#8211;Food and Drug Administration&#8211;Salaries and<br \/>\nExpenses&#8221; for costs related to repair of facilities, for replacement of<br \/>\nequipment, and for other increases in facility-related costs: Provided<br \/>\nfurther, That obligations incurred for the purposes provided herein<br \/>\nprior to the date of enactment of this subdivision may be charged to<br \/>\nfunds appropriated by this paragraph: Provided further, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>GENERAL PROVISION&#8211;THIS TITLE<\/p>\n<p>Sec. 20101. (a) Section 1501(b) of the Agricultural Act of 2014 (7<br \/>\nU.S.C. 9081(b)) is amended&#8211;<br \/>\n(1) in paragraph (1), in the matter before subparagraph (A),<br \/>\nby inserting &#8220;sold livestock for a reduced sale price, or<br \/>\nboth&#8221; after &#8220;normal mortality,&#8221;;<br \/>\n(2) in paragraph (2), by striking &#8220;applicable livestock on<br \/>\nthe day before the date of death of the livestock, as determined<br \/>\nby the Secretary.&#8221; and inserting the following:<br \/>\n&#8220;affected livestock, as determined by the Secretary, on, as<br \/>\napplicable&#8211;<\/p>\n<p>[[Page 132 STAT. 69]]<\/p>\n<p>&#8220;(A) the day before the date of death of the<br \/>\nlivestock; or<br \/>\n&#8220;(B) the day before the date of the event that<br \/>\ncaused the harm to the livestock that resulted in a<br \/>\nreduced sale price.&#8221;; and<br \/>\n(3) by adding at the end the following new paragraph:<br \/>\n&#8220;(4) A payment made under paragraph (1) to an eligible<br \/>\nproducer on a farm that sold livestock for a reduced sale price<br \/>\nshall&#8211;<br \/>\n&#8220;(A) be made if the sale occurs within a reasonable<br \/>\nperiod following the event, as determined by the<br \/>\nSecretary; and<br \/>\n&#8220;(B) be reduced by the amount that the producer<br \/>\nreceived for the sale.&#8221;.<\/p>\n<p>(b) Section 1501(d)(1) of the Agricultural Act of 2014 (7 U.S.C.<br \/>\n9081(d)(1)) is amended by striking &#8220;not more than $20,000,000 of&#8221;.<br \/>\n(c) Section 1501(e)(4)(C) of the Agricultural Act of 2014 (7 U.S.C.<br \/>\n9081(e)(4)(C)) is amended by striking &#8220;500 acres&#8221; and inserting<br \/>\n&#8220;1,000 acres&#8221;.<br \/>\n(d) Section 1501 of the Agricultural Act of 2014 (7 U.S.C. 9081) is<br \/>\namended&#8211;<br \/>\n(1) in subsection (e)(4)&#8211;<br \/>\n(A) by striking subparagraph (B); and<br \/>\n(B) by redesignating subparagraph (C), as amended by<br \/>\nsubsection (c), as subparagraph (B); and<br \/>\n(2) in subsection (f)(2), by striking &#8220;subsection (e)&#8221; and<br \/>\ninserting &#8220;subsections (b) and (e)&#8221;.<\/p>\n<p>(e) &lt;&lt;NOTE: Applicability. Effective date. 7 USC 9081 note.&gt;&gt;<br \/>\nSection 1501 of the Agricultural Act of 2014 (7 U.S.C. 9081), as amended<br \/>\nby this section, shall apply with respect to losses described in such<br \/>\nsection 1501 incurred on or after January 1, 2017.<\/p>\n<p>(f) The amounts provided by subsections (a) through (e) for fiscal<br \/>\nyear 2018 are designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>TITLE II<\/p>\n<p>DEPARTMENT OF COMMERCE<\/p>\n<p>Economic Development Administration<\/p>\n<p>economic development assistance programs<\/p>\n<p>(including transfers of funds)<\/p>\n<p>Pursuant to section 703 of the Public Works and Economic Development<br \/>\nAct (42 U.S.C. 3233), for an additional amount for &#8220;Economic<br \/>\nDevelopment Assistance Programs&#8221; for necessary expenses related to<br \/>\nflood mitigation, disaster relief, long-term recovery, and restoration<br \/>\nof infrastructure in areas that received a major disaster designation as<br \/>\na result of Hurricanes Harvey, Irma, and Maria, and of wildfires and<br \/>\nother natural disasters occurring in calendar year 2017 under the Robert<br \/>\nT. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121<br \/>\net seq.), $600,000,000, to remain available until expended: Provided,<br \/>\nThat<\/p>\n<p>[[Page 132 STAT. 70]]<\/p>\n<p>the amount provided under this heading is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985:<br \/>\nProvided further, That within the amount appropriated, up to 2 percent<br \/>\nof funds may be transferred to the &#8220;Salaries and Expenses&#8221; account for<br \/>\nadministration and oversight activities: Provided further, That within<br \/>\nthe amount appropriated, $1,000,000 shall be transferred to the &#8220;Office<br \/>\nof Inspector General&#8221; account for carrying out investigations and<br \/>\naudits related to the funding provided under this heading.<\/p>\n<p>National Oceanic and Atmospheric Administration<\/p>\n<p>operations, research, and facilities<\/p>\n<p>For an additional amount for &#8220;Operations, Research, and<br \/>\nFacilities&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, $120,904,000, to remain available<br \/>\nuntil September 30, 2019, as follows:<br \/>\n(1) $12,904,000 for repair and replacement of observing<br \/>\nassets, Federal real property, and equipment;<br \/>\n(2) $18,000,000 for marine debris assessment and removal;<br \/>\n(3) $40,000,000 for mapping, charting, and geodesy services;<br \/>\nand<br \/>\n(4) $50,000,000 to improve weather forecasting, hurricane<br \/>\nintensity forecasting and flood forecasting and mitigation<br \/>\ncapabilities, including data assimilation from ocean observing<br \/>\nplatforms and satellites:<\/p>\n<p>Provided, That the amount provided under this heading is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985: Provided further, &lt;&lt;NOTE: Spending plan. Deadline.&gt;&gt; That the<br \/>\nNational Oceanic and Atmospheric Administration shall submit a spending<br \/>\nplan to the Committees on Appropriations of the House of Representatives<br \/>\nand the Senate within 45 days after the date of enactment of this<br \/>\nsubdivision.<\/p>\n<p>procurement, acquisition and construction<\/p>\n<p>For an additional amount for &#8220;Procurement, Acquisition and<br \/>\nConstruction&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, $79,232,000, to remain available<br \/>\nuntil September 30, 2020, as follows:<br \/>\n(1) $29,232,000 for repair and replacement of Federal real<br \/>\nproperty and observing assets; and<br \/>\n(2) $50,000,000 for improvements to operational and research<br \/>\nweather supercomputing infrastructure and for improvement of<br \/>\nsatellite ground services used in hurricane intensity and track<br \/>\nprediction:<\/p>\n<p>Provided, That the amount provided under this heading is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985: Provided further, &lt;&lt;NOTE: Spending plan. Deadline.&gt;&gt; That the<br \/>\nNational Oceanic and Atmospheric Administration shall submit a spending<br \/>\nplan to the Committees on Appropriations of the House of Representatives<br \/>\nand the Senate within 45 days after the date of enactment of this<br \/>\nsubdivision.<\/p>\n<p>[[Page 132 STAT. 71]]<\/p>\n<p>fisheries disaster assistance<\/p>\n<p>For an additional amount for &#8220;Fisheries Disaster Assistance&#8221; for<br \/>\nnecessary expenses associated with the mitigation of fishery disasters,<br \/>\n$200,000,000, to remain available until expended: Provided, That funds<br \/>\nshall be used for mitigating the effects of commercial fishery failures<br \/>\nand fishery resource disasters declared by the Secretary of Commerce in<br \/>\ncalendar year 2017, as well those declared by the Secretary to be a<br \/>\ndirect result of Hurricanes Harvey, Irma, or Maria: Provided further,<br \/>\nThat the amount provided under this heading is designated by the<br \/>\nCongress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>DEPARTMENT OF JUSTICE<\/p>\n<p>United States Marshals Service<\/p>\n<p>salaries and expenses<\/p>\n<p>For an additional amount for &#8220;Salaries and Expenses&#8221; for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria, $2,500,000: Provided, That the amount provided under this<br \/>\nheading is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Federal Bureau of Investigation<\/p>\n<p>salaries and expenses<\/p>\n<p>For an additional amount for &#8220;Salaries and Expenses&#8221; for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria, $21,200,000: Provided, That the amount provided under this<br \/>\nheading is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Drug Enforcement Administration<\/p>\n<p>salaries and expenses<\/p>\n<p>For an additional amount for &#8220;Salaries and Expenses&#8221; for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria, $11,500,000: Provided, That the amount provided under this<br \/>\nheading is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Federal Prison System<\/p>\n<p>salaries and expenses<\/p>\n<p>For an additional amount for &#8220;Salaries and Expenses&#8221; for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria, $16,000,000: Provided, That the amount provided under this<br \/>\nheading is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>[[Page 132 STAT. 72]]<\/p>\n<p>buildings and facilities<\/p>\n<p>For an additional amount for &#8220;Buildings and Facilities&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $34,000,000, to remain available until expended:<br \/>\nProvided, That the amount provided under this heading is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>SCIENCE<\/p>\n<p>National Aeronautics and Space Administration<\/p>\n<p>construction and environmental compliance and restoration<\/p>\n<p>For an additional amount for &#8220;Construction and Environmental<br \/>\nCompliance and Restoration&#8221; for repairs at National Aeronautics and<br \/>\nSpace Administration facilities damaged by hurricanes during 2017,<br \/>\n$81,300,000, to remain available until expended: Provided, That the<br \/>\namount provided under this heading is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>National Science Foundation<\/p>\n<p>research and related activities<\/p>\n<p>For an additional amount for &#8220;Research and Related Activities&#8221; for<br \/>\nnecessary expenses to repair National Science Foundation radio<br \/>\nobservatory facilities damaged by hurricanes that occurred during 2017,<br \/>\n$16,300,000, to remain available until expended: Provided, That the<br \/>\namount provided under this heading is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985:<br \/>\nProvided further, &lt;&lt;NOTE: Spending plan. Deadline.&gt;&gt; That the National<br \/>\nScience Foundation shall submit a spending plan to the Committees on<br \/>\nAppropriations of the House of Representatives and the Senate within 45<br \/>\ndays after the date of enactment of this subdivision.<\/p>\n<p>RELATED AGENCIES<\/p>\n<p>Legal Services Corporation<\/p>\n<p>payment to the legal services corporation<\/p>\n<p>For an additional amount for &#8220;Payment to the Legal Services<br \/>\nCorporation&#8221; to carry out the purposes of the Legal Services<br \/>\nCorporation Act by providing for necessary expenses related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria and of the calendar<br \/>\nyear 2017 wildfires, $15,000,000: Provided, That the amount made<br \/>\navailable under this heading shall be used only to provide the mobile<br \/>\nresources, technology, and disaster coordinators necessary to provide<br \/>\nstorm-related services to the Legal Services Corporation client<br \/>\npopulation and only in the areas significantly affected by Hurricanes<br \/>\nHarvey, Irma, and Maria and by the calendar year 2017 wildfires:<br \/>\nProvided further, That such amount<\/p>\n<p>[[Page 132 STAT. 73]]<\/p>\n<p>is designated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985: Provided further, That none of the funds<br \/>\nappropriated in this subdivision to the Legal Services Corporation shall<br \/>\nbe expended for any purpose prohibited or limited by, or contrary to any<br \/>\nof the provisions of, sections 501, 502, 503, 504, 505, and 506 of<br \/>\nPublic Law 105-119, and all funds appropriated in this subdivision to<br \/>\nthe Legal Services Corporation shall be subject to the same terms and<br \/>\nconditions set forth in such sections, except that all references in<br \/>\nsections 502 and 503 to 1997 and 1998 shall be deemed to refer instead<br \/>\nto 2017 and 2018, respectively, and except that sections 501 and 503 of<br \/>\nPublic Law 104-134 (referenced by Public Law 105-119) shall not apply to<br \/>\nthe amount made available under this heading: Provided further, That,<br \/>\nfor the purposes of this subdivision, the Legal Services Corporation<br \/>\nshall be considered an agency of the United States Government.<\/p>\n<p>GENERAL PROVISION&#8211;THIS TITLE<\/p>\n<p>Sec. 20201. &lt;&lt;NOTE: Deadline. Waiver.&gt;&gt; (a) In recognition of the<br \/>\nconsistency of the Mid-Barataria Sediment Diversion, Mid-Breton Sound<br \/>\nSediment Diversion, and Calcasieu Ship Channel Salinity Control Measures<br \/>\nprojects, as selected by the 2017 Louisiana Comprehensive Master Plan<br \/>\nfor a Sustainable Coast, with the findings and policy declarations in<br \/>\nsection 2(6) of the Marine Mammal Protection Act (16 U.S.C. 1361 et<br \/>\nseq., as amended) regarding maintaining the health and stability of the<br \/>\nmarine ecosystem, within 120 days of the enactment of this section, the<br \/>\nSecretary of Commerce shall issue a waiver pursuant to section<br \/>\n101(a)(3)(A) and this section to section 101(a) and section 102(a) of<br \/>\nthe Act, for such projects that will remain in effect for the duration<br \/>\nof the construction, operations and maintenance of the projects. No<br \/>\nrulemaking, permit, determination, or other condition or limitation<br \/>\nshall be required when issuing a waiver pursuant to this section.<\/p>\n<p>(b) &lt;&lt;NOTE: Louisiana. Consultation.&gt;&gt; Upon issuance of a waiver<br \/>\npursuant to this section, the State of Louisiana shall, in consultation<br \/>\nwith the Secretary of Commerce:<br \/>\n(1) To the extent practicable and consistent with the<br \/>\npurposes of the projects, minimize impacts on marine mammal<br \/>\nspecies and population stocks; and<br \/>\n(2) Monitor and evaluate the impacts of the projects on such<br \/>\nspecies and population stocks.<\/p>\n<p>TITLE III<\/p>\n<p>DEPARTMENT OF DEFENSE<\/p>\n<p>DEPARTMENT OF DEFENSE&#8211;MILITARY<\/p>\n<p>OPERATION AND MAINTENANCE<\/p>\n<p>Operation and Maintenance, Army<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Army&#8221;,<br \/>\n$20,110,000, for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria: Provided, That<\/p>\n<p>[[Page 132 STAT. 74]]<\/p>\n<p>such amount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Operation and Maintenance, Navy<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Navy&#8221;,<br \/>\n$267,796,000, for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria: Provided, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>Operation and Maintenance, Marine Corps<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Marine<br \/>\nCorps&#8221;, $17,920,000, for necessary expenses related to the consequences<br \/>\nof Hurricanes Harvey, Irma, and Maria: Provided, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>Operation and Maintenance, Air Force<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Air<br \/>\nForce&#8221;, $20,916,000, for necessary expenses related to the consequences<br \/>\nof Hurricanes Harvey, Irma, and Maria: Provided, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>Operation and Maintenance, Defense-Wide<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Defense-<br \/>\nWide&#8221;, $2,650,000, for necessary expenses related to the consequences<br \/>\nof Hurricanes Harvey, Irma, and Maria: Provided, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>Operation and Maintenance, Army Reserve<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Army<br \/>\nReserve&#8221;, $12,500,000, for necessary expenses related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Operation and Maintenance, Navy Reserve<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Navy<br \/>\nReserve&#8221;, $2,922,000, for necessary expenses related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>[[Page 132 STAT. 75]]<\/p>\n<p>Operation and Maintenance, Air Force Reserve<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Air Force<br \/>\nReserve&#8221;, $5,770,000, for necessary expenses related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Operation and Maintenance, Army National Guard<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance, Army<br \/>\nNational Guard&#8221;, $55,471,000, for necessary expenses related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>PROCUREMENT<\/p>\n<p>Other Procurement, Navy<\/p>\n<p>For an additional amount for &#8220;Other Procurement, Navy&#8221;<br \/>\n$18,000,000, to remain available until September 30, 2020, for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria: Provided, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>REVOLVING AND MANAGEMENT FUNDS<\/p>\n<p>Defense Working Capital Funds<\/p>\n<p>For an additional amount for &#8220;Defense Working Capital Funds&#8221; for<br \/>\nthe Navy Working Capital Fund, $9,486,000, for necessary expenses<br \/>\nrelated to the consequences of Hurricanes Harvey, Irma, and Maria:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>OTHER DEPARTMENT OF DEFENSE PROGRAMS<\/p>\n<p>Defense Health Program<\/p>\n<p>For an additional amount for operation and maintenance for &#8220;Defense<br \/>\nHealth Program&#8221;, $704,000, for necessary expenses related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>[[Page 132 STAT. 76]]<\/p>\n<p>TITLE IV<\/p>\n<p>CORPS OF ENGINEERS&#8211;CIVIL<\/p>\n<p>DEPARTMENT OF THE ARMY<\/p>\n<p>investigations<\/p>\n<p>For an additional amount for &#8220;Investigations&#8221; for necessary<br \/>\nexpenses related to the completion, or initiation and completion, of<br \/>\nflood and storm damage reduction, including shore protection, studies<br \/>\nwhich are currently authorized or which are authorized after the date of<br \/>\nenactment of this subdivision, to reduce risk from future floods and<br \/>\nhurricanes, at full Federal expense, $135,000,000, to remain available<br \/>\nuntil expended: Provided, That of such amount, not less than<br \/>\n$75,000,000 is available for such studies in States and insular areas<br \/>\nthat were impacted by Hurricanes Harvey, Irma, and Maria: Provided<br \/>\nfurther, That funds made available under this heading shall be for high-<br \/>\npriority studies of projects in States and insular areas with more than<br \/>\none flood-related major disaster declared pursuant to the Robert T.<br \/>\nStafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 et<br \/>\nseq.) in calendar years 2014, 2015, 2016, or 2017: Provided further,<br \/>\nThat such amount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985: Provided<br \/>\nfurther, &lt;&lt;NOTE: Deadlines. Reports.&gt;&gt; That the Assistant Secretary of<br \/>\nthe Army for Civil Works shall provide a monthly report to the<br \/>\nCommittees on Appropriations of the House of Representatives and the<br \/>\nSenate detailing the allocation and obligation of these funds, including<br \/>\nnew studies selected to be initiated using funds provided under this<br \/>\nheading, beginning not later than 60 days after the enactment of this<br \/>\nsubdivision.<\/p>\n<p>construction<\/p>\n<p>For an additional amount for &#8220;Construction&#8221; for necessary expenses<br \/>\nto address emergency situations at Corps of Engineers projects, and to<br \/>\nconstruct, and rehabilitate and repair damages caused by natural<br \/>\ndisasters, to Corps of Engineers projects, $15,055,000,000, to remain<br \/>\navailable until expended: Provided, &lt;&lt;NOTE: Determination.&gt;&gt; That of<br \/>\nsuch amount, $15,000,000,000 is available to construct flood and storm<br \/>\ndamage reduction, including shore protection, projects which are<br \/>\ncurrently authorized or which are authorized after the date of enactment<br \/>\nof this subdivision, and flood and storm damage reduction, including<br \/>\nshore protection, projects which have signed Chief&#8217;s Reports as of the<br \/>\ndate of enactment of this subdivision or which are studied using funds<br \/>\nprovided under the heading &#8220;Investigations&#8221; if the Secretary<br \/>\ndetermines such projects to be technically feasible, economically<br \/>\njustified, and environmentally acceptable, in States and insular areas<br \/>\nwith more than one flood-related major disaster declared pursuant to the<br \/>\nRobert T. Stafford Disaster Relief and Emergency Assistance Act (42<br \/>\nU.S.C. 5121 et seq.) in calendar years 2014, 2015, 2016, or 2017:<br \/>\nProvided further, That of the amounts in the preceding proviso, not less<br \/>\nthan $10,425,000,000 shall be available for such projects within States<br \/>\nand insular areas that were impacted by Hurricanes Harvey, Irma, and<br \/>\nMaria: Provided further, &lt;&lt;NOTE: Puerto Rico. Virgin Islands.&gt;&gt; That<br \/>\nall repair, rehabilitation, study, design, and<\/p>\n<p>[[Page 132 STAT. 77]]<\/p>\n<p>construction of Corps of Engineers projects in Puerto Rico and the<br \/>\nUnited States Virgin Islands, using funds provided under this heading,<br \/>\nshall be conducted at full Federal expense: Provided further, That for<br \/>\nprojects receiving funding under this heading, the provisions of section<br \/>\n902 of the Water Resources Development Act of 1986 shall not apply to<br \/>\nthese funds: Provided further, That the completion of ongoing<br \/>\nconstruction projects receiving funds provided under this heading shall<br \/>\nbe at full Federal expense with respect to such funds: Provided<br \/>\nfurther, &lt;&lt;NOTE: Time period.&gt;&gt; That using funds provided under this<br \/>\nheading, the non-Federal cash contribution for projects eligible for<br \/>\nfunding pursuant to the first proviso shall be financed in accordance<br \/>\nwith the provisions of section 103(k) of Public Law 99-662 over a period<br \/>\nof 30 years from the date of completion of the project or separable<br \/>\nelement: Provided further, That up to $50,000,000 of the funds made<br \/>\navailable under this heading shall be used for continuing authorities<br \/>\nprojects to reduce the risk of flooding and storm damage: Provided<br \/>\nfurther, That any projects using funds appropriated under this heading<br \/>\nshall be initiated only after non-Federal interests have entered into<br \/>\nbinding agreements with the Secretary requiring, where applicable, the<br \/>\nnon-Federal interests to pay 100 percent of the operation, maintenance,<br \/>\nrepair, replacement, and rehabilitation costs of the project and to hold<br \/>\nand save the United States free from damages due to the construction or<br \/>\noperation and maintenance of the project, except for damages due to the<br \/>\nfault or negligence of the United States or its contractors: Provided<br \/>\nfurther, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985: Provided<br \/>\nfurther, &lt;&lt;NOTE: Deadlines. Reports.&gt;&gt; That the Assistant Secretary of<br \/>\nthe Army for Civil Works shall provide a monthly report to the<br \/>\nCommittees on Appropriations of the House of Representatives and the<br \/>\nSenate detailing the allocation and obligation of these funds, beginning<br \/>\nnot later than 60 days after the enactment of this subdivision.<\/p>\n<p>mississippi river and tributaries<\/p>\n<p>For an additional amount for &#8220;Mississippi River and Tributaries&#8221;<br \/>\nfor necessary expenses to address emergency situations at Corps of<br \/>\nEngineers projects, and to construct, and rehabilitate and repair<br \/>\ndamages to Corps of Engineers projects, caused by natural disasters,<br \/>\n$770,000,000, to remain available until expended: Provided, That of<br \/>\nsuch amount, $400,000,000 is available to construct flood and storm<br \/>\ndamage reduction projects which are currently authorized or which are<br \/>\nauthorized after the date of enactment of this subdivision: Provided<br \/>\nfurther, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985: Provided<br \/>\nfurther, &lt;&lt;NOTE: Deadlines. Reports.&gt;&gt; That the Assistant Secretary of<br \/>\nthe Army for Civil Works shall provide a monthly report to the<br \/>\nCommittees on Appropriations of the House of Representatives and the<br \/>\nSenate detailing the allocation and obligation of these funds, beginning<br \/>\nnot later than 60 days after the enactment of this subdivision.<\/p>\n<p>[[Page 132 STAT. 78]]<\/p>\n<p>operation and maintenance<\/p>\n<p>For an additional amount for &#8220;Operation and Maintenance&#8221; for<br \/>\nnecessary expenses to dredge Federal navigation projects in response to,<br \/>\nand repair damages to Corps of Engineers Federal projects caused by,<br \/>\nnatural disasters, $608,000,000, to remain available until expended, of<br \/>\nwhich such sums as are necessary to cover the Federal share of eligible<br \/>\noperation and maintenance costs for coastal harbors and channels, and<br \/>\nfor inland harbors shall be derived from the Harbor Maintenance Trust<br \/>\nFund: Provided, That such amount is designated by the Congress as being<br \/>\nfor an emergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985: Provided<br \/>\nfurther, &lt;&lt;NOTE: Deadlines. Reports.&gt;&gt; That the Assistant Secretary of<br \/>\nthe Army for Civil Works shall provide a monthly report to the<br \/>\nCommittees on Appropriations of the House of Representatives and the<br \/>\nSenate detailing the allocation and obligation of these funds, beginning<br \/>\nnot later than 60 days after the enactment of this subdivision.<\/p>\n<p>flood control and coastal emergencies<\/p>\n<p>For an additional amount for &#8220;Flood Control and Coastal<br \/>\nEmergencies&#8221;, as authorized by section 5 of the Act of August 18, 1941<br \/>\n(33 U.S.C. 701n), for necessary expenses to prepare for flood, hurricane<br \/>\nand other natural disasters and support emergency operations, repairs,<br \/>\nand other activities in response to such disasters, as authorized by<br \/>\nlaw, $810,000,000, to remain available until expended: Provided, That<br \/>\nfunding utilized for authorized shore protection projects shall restore<br \/>\nsuch projects to the full project profile at full Federal expense:<br \/>\nProvided further, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985:<br \/>\nProvided further, &lt;&lt;NOTE: Deadlines. Reports.&gt;&gt; That the Assistant<br \/>\nSecretary of the Army for Civil Works shall provide a monthly report to<br \/>\nthe Committees on Appropriations of the House of Representatives and the<br \/>\nSenate detailing the allocation and obligation of these funds, beginning<br \/>\nnot later than 60 days after the enactment of this subdivision.<\/p>\n<p>expenses<\/p>\n<p>For an additional amount for &#8220;Expenses&#8221; for necessary expenses to<br \/>\nadminister and oversee the obligation and expenditure of amounts<br \/>\nprovided in this title for the Corps of Engineers, $20,000,000, to<br \/>\nremain available until expended: Provided, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985: Provided<br \/>\nfurther, &lt;&lt;NOTE: Deadlines. Reports.&gt;&gt; That the Assistant Secretary of<br \/>\nthe Army for Civil Works shall provide a monthly report to the<br \/>\nCommittees on Appropriations of the House of Representatives and the<br \/>\nSenate detailing the allocation and obligation of these funds, beginning<br \/>\nnot later than 60 days after enactment of this subdivision.<\/p>\n<p>[[Page 132 STAT. 79]]<\/p>\n<p>DEPARTMENT OF ENERGY<\/p>\n<p>ENERGY PROGRAMS<\/p>\n<p>Electricity Delivery and Energy Reliability<\/p>\n<p>For an additional amount for &#8220;Electricity Delivery and Energy<br \/>\nReliability&#8221;, $13,000,000, to remain available until expended, for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, including technical assistance related to electric<br \/>\ngrids: Provided, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Strategic Petroleum Reserve<\/p>\n<p>For an additional amount for &#8220;Strategic Petroleum Reserve&#8221;,<br \/>\n$8,716,000, to remain available until expended, for necessary expenses<br \/>\nrelated to damages caused by Hurricanes Harvey, Irma, and Maria:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>GENERAL PROVISIONS&#8211;THIS TITLE<\/p>\n<p>Sec. 20401. &lt;&lt;NOTE: Deadlines. Reports. 33 USC 701n-2.&gt;&gt; In fiscal<br \/>\nyear 2018, and each fiscal year thereafter, the Chief of Engineers of<br \/>\nthe U.S. Army Corps of Engineers shall transmit to the Congress, after<br \/>\nreasonable opportunity for comment, but without change, by the Assistant<br \/>\nSecretary of the Army for Civil Works, a monthly report, the first of<br \/>\nwhich shall be transmitted to Congress not later than 2 days after the<br \/>\ndate of enactment of this subdivision and monthly thereafter, which<br \/>\nincludes detailed estimates of damages to each Corps of Engineers<br \/>\nproject, caused by natural disasters or otherwise.<\/p>\n<p>Sec. 20402. From the unobligated balances of amounts made available<br \/>\nto the U.S. Army Corps of Engineers, $518,900,000 under the heading<br \/>\n&#8220;Corps of Engineers&#8211;Civil, Flood Control and Coastal Emergencies&#8221; and<br \/>\n$210,000,000 under the heading &#8220;Corps of Engineers&#8211;Civil, Operations<br \/>\nand Maintenance&#8221; in title X of the Disaster Relief Appropriations Act,<br \/>\n2013 (Public Law 113-2; 127 Stat. 25) shall be transferred to &#8220;Corps of<br \/>\nEngineers&#8211;Civil, Construction&#8221;, to remain available until expended, to<br \/>\nrehabilitate, repair and construct Corps of Engineers projects:<br \/>\nProvided, That those projects may only include construction expenses,<br \/>\nincluding cost sharing, as described under the heading &#8220;Corps of<br \/>\nEngineers&#8211;Civil, Construction&#8221; in title X of that Act or other<br \/>\nconstruction expenses related to the consequences of Hurricane Sandy:<br \/>\nProvided further, That amounts transferred pursuant to this section that<br \/>\nwere previously designated by the Congress as an emergency requirement<br \/>\npursuant to the Balanced Budget and Emergency Deficit Control Act are<br \/>\ndesignated by the Congress as an emergency requirement pursuant to<br \/>\nsection 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit<br \/>\nControl Act of 1985: Provided further, &lt;&lt;NOTE: Deadlines. Reports.&gt;&gt;<br \/>\nThat the Assistant Secretary of the Army for Civil Works shall provide a<br \/>\nmonthly report to the Committees on Appropriations of the House of<br \/>\nRepresentatives and the Senate detailing the allocation and<\/p>\n<p>[[Page 132 STAT. 80]]<\/p>\n<p>obligation of these funds, beginning not later than 60 days after the<br \/>\nenactment of this subdivision.<\/p>\n<p>TITLE V<\/p>\n<p>INDEPENDENT AGENCIES<\/p>\n<p>General Services Administration<\/p>\n<p>real property activities<\/p>\n<p>federal buildings fund<\/p>\n<p>For an additional amount to be deposited in the &#8220;Federal Buildings<br \/>\nFund&#8221;, $126,951,000, to remain available until expended, for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Maria, and<br \/>\nIrma for repair and alteration of buildings under the custody and<br \/>\ncontrol of the Administrator of General Services, and real property<br \/>\nmanagement and related activities not otherwise provided for: Provided,<br \/>\nThat funds may be used to reimburse the &#8220;Federal Buildings Fund&#8221; for<br \/>\nobligations incurred for this purpose prior to enactment of this<br \/>\nsubdivision: Provided further, That not more than $15,000,000 shall be<br \/>\navailable for tenant improvements in damaged U.S. courthouses: Provided<br \/>\nfurther, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Small Business Administration<\/p>\n<p>office of inspector general<\/p>\n<p>For an additional amount for the &#8220;Office of Inspector General&#8221;,<br \/>\n$7,000,000, to remain available until expended: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>disaster loans program account<\/p>\n<p>(including transfer of funds)<\/p>\n<p>For an additional amount for the &#8220;Disaster Loans Program Account&#8221;<br \/>\nfor the cost of direct loans authorized by section 7(b) of the Small<br \/>\nBusiness Act, $1,652,000,000, to remain available until expended:<br \/>\nProvided, That up to $618,000,000 may be transferred to and merged with<br \/>\n&#8220;Salaries and Expenses&#8221; for administrative expenses to carry out the<br \/>\ndisaster loan program authorized by section 7(b) of the Small Business<br \/>\nAct: Provided further, That none of the funds provided under this<br \/>\nheading may be used for indirect administrative expenses: Provided<br \/>\nfurther, That the amount provided under this heading is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>[[Page 132 STAT. 81]]<\/p>\n<p>TITLE VI<\/p>\n<p>DEPARTMENT OF HOMELAND SECURITY<\/p>\n<p>DEPARTMENTAL MANAGEMENT, OPERATIONS, INTELLIGENCE, AND OVERSIGHT<\/p>\n<p>Office of Inspector General<\/p>\n<p>operations and support<\/p>\n<p>For an additional amount for &#8220;Operations and Support&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $25,000,000, to remain available until September 30,<br \/>\n2020, for audits and investigations of activities funded by this title:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>SECURITY, ENFORCEMENT, AND INVESTIGATIONS<\/p>\n<p>U.S. Customs and Border Protection<\/p>\n<p>operations and support<\/p>\n<p>For an additional amount for &#8220;Operations and Support&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $104,494,000, to remain available until September 30,<br \/>\n2019: Provided, That such amount is designated by the Congress as being<br \/>\nfor an emergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985: Provided<br \/>\nfurther, That not more than $39,400,000 may be used to carry out U.S.<br \/>\nCustoms and Border Protection activities in fiscal year 2018 in Puerto<br \/>\nRico and the United States Virgin Islands, in addition to any other<br \/>\namounts available for such purposes.<\/p>\n<p>procurement, construction, and improvements<\/p>\n<p>For an additional amount for &#8220;Procurement, Construction, and<br \/>\nImprovements&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, including for the reconstruction of<br \/>\nfacilities affected, $45,000,000, to remain available until September<br \/>\n30, 2022: Provided, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985:<br \/>\nProvided further, &lt;&lt;NOTE: Puerto Rico. Virgin Islands.&gt;&gt; That funds are<br \/>\nprovided to carry out U.S. Customs and Border Protection activities in<br \/>\nPuerto Rico and the United States Virgin Islands, in addition to any<br \/>\nother amounts available for such purposes.<\/p>\n<p>U.S. Immigration and Customs Enforcement<\/p>\n<p>operations and support<\/p>\n<p>For an additional amount for &#8220;Operations and Support&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes<\/p>\n<p>[[Page 132 STAT. 82]]<\/p>\n<p>Harvey, Irma, and Maria, $30,905,000, to remain available until<br \/>\nSeptember 30, 2019: Provided, That such amount is designated by the<br \/>\nCongress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>procurement, construction, and improvements<\/p>\n<p>For an additional amount for &#8220;Procurement, Construction, and<br \/>\nImprovements&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, $33,052,000, to remain available<br \/>\nuntil September 30, 2022: Provided, That such amount is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>Transportation Security Administration<\/p>\n<p>operations and support<\/p>\n<p>For an additional amount for &#8220;Operations and Support&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $10,322,000, to remain available until September 30,<br \/>\n2019: Provided, That such amount is designated by the Congress as being<br \/>\nfor an emergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Coast Guard<\/p>\n<p>operating expenses<\/p>\n<p>For an additional amount for &#8220;Operating Expenses&#8221; for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria, $112,136,000, to remain available until September 30, 2019:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>environmental compliance and restoration<\/p>\n<p>For an additional amount for &#8220;Environmental Compliance and<br \/>\nRestoration&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, $4,038,000, to remain available<br \/>\nuntil September 30, 2022: Provided, That such amount is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>acquisition, construction, and improvements<\/p>\n<p>For an additional amount for Acquisition, Construction, and<br \/>\nImprovements&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, Maria, and Matthew, $718,919,000, to remain<br \/>\navailable until September 30, 2022:<br \/>\nProvided, &lt;&lt;NOTE: Deadline. Expenditure plan.&gt;&gt; That, not later than 60<br \/>\ndays after enactment of this subdivision, the Secretary<\/p>\n<p>[[Page 132 STAT. 83]]<\/p>\n<p>of Homeland Security, or her designee, shall submit to the Committees on<br \/>\nAppropriations of the House of Representatives and the Senate a detailed<br \/>\nexpenditure plan for funds appropriated under this heading: Provided<br \/>\nfurther, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>PROTECTION, PREPAREDNESS, RESPONSE, AND RECOVERY<\/p>\n<p>Federal Emergency Management Agency<\/p>\n<p>operations and support<\/p>\n<p>For an additional amount for &#8220;Operations and Support&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $58,800,000, to remain available until September 30,<br \/>\n2019: Provided, That such amount is designated by the Congress as being<br \/>\nfor an emergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>procurement, construction, and improvements<\/p>\n<p>For an additional amount for &#8220;Procurement, Construction, and<br \/>\nImprovements&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, $1,200,000, to remain available<br \/>\nuntil September 30, 2020: Provided, That such amount is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>disaster relief fund<\/p>\n<p>&lt;&lt;NOTE: Web postings. Deadlines. Missions. Cost estimates.&gt;&gt; For an<br \/>\nadditional amount for &#8220;Disaster Relief Fund&#8221; for major disasters<br \/>\ndeclared pursuant to the Robert T. Stafford Disaster Relief and<br \/>\nEmergency Assistance Act (42 U.S.C. 5121 et seq.), $23,500,000,000, to<br \/>\nremain available until expended: Provided, &lt;&lt;NOTE: Grants.&gt;&gt; That the<br \/>\nAdministrator of the Federal Emergency Management Agency shall publish<br \/>\non the Agency&#8217;s website not later than 5 days after an award of a public<br \/>\nassistance grant under section 406 or 428 of the Robert T. Stafford<br \/>\nDisaster Relief and Emergency Assistance Act (42 U.S.C. 5172 or 5189f)<br \/>\nthat is in excess of $1,000,000, the specifics of each such grant award:<br \/>\nProvided further, That for any mission assignment or mission assignment<br \/>\ntask order to another Federal department or agency regarding a major<br \/>\ndisaster in excess of $1,000,000, not later than 5 days after the<br \/>\nissuance of such mission assignment or mission assignment task order,<br \/>\nthe Administrator shall publish on the Agency&#8217;s website the following:<br \/>\nthe name of the impacted State, the disaster declaration for such State,<br \/>\nthe assigned agency, the assistance requested, a description of the<br \/>\ndisaster, the total cost estimate, and the amount obligated: Provided<br \/>\nfurther, &lt;&lt;NOTE: Updates.&gt;&gt; That not later than 10 days after the last<br \/>\nday of each month until a mission assignment or mission assignment task<br \/>\norder described in the preceding proviso is completed and closed out,<br \/>\nthe Administrator shall update any changes to the total cost estimate<br \/>\nand the amount obligated: Provided further, That &lt;&lt;NOTE: Hurricane<br \/>\nHarvey. Hurricane Irma. Hurricane Maria.&gt;&gt; for a disaster declaration<br \/>\nrelated to Hurricanes Harvey, Irma,<\/p>\n<p>[[Page 132 STAT. 84]]<\/p>\n<p>or Maria, the Administrator shall submit to the Committees on<br \/>\nAppropriations of the House of Representatives and the Senate, not later<br \/>\nthan 5 days after the first day of each month beginning after the date<br \/>\nof enactment of this subdivision, and shall publish on the Agency&#8217;s<br \/>\nwebsite, not later than 10 days after the first day of each such month,<br \/>\nan estimate or actual amount, if available, for the current fiscal year<br \/>\nof the cost of the following categories of spending: public assistance,<br \/>\nindividual assistance, operations, mitigation, administrative, and any<br \/>\nother relevant category (including emergency measures and disaster<br \/>\nresources): Provided, further, &lt;&lt;NOTE: Reports.&gt;&gt; That not later than<br \/>\n10 days after the first day of each month, the Administrator shall<br \/>\npublish on the Agency&#8217;s website the report (referred to as the Disaster<br \/>\nRelief Monthly Report) as required by Public Law 114-4: Provided<br \/>\nfurther, That of the amounts provided under this heading for the<br \/>\nDisaster Relief Fund, up to $150,000,000 shall be transferred to the<br \/>\nDisaster Assistance Direct Loan Program Account for the cost to lend a<br \/>\nterritory or possession of the United States that portion of assistance<br \/>\nfor which the territory or possession is responsible under the cost-<br \/>\nsharing provisions of the major disaster declaration for Hurricanes Irma<br \/>\nor Maria, as authorized under section 319 of the Robert T. Stafford<br \/>\nDisaster Relief and Emergency Assistance Act (42 U.S.C. 5162): Provided<br \/>\nfurther, That of the amount provided under this paragraph for transfer,<br \/>\nup to $1,000,000 may be transferred to the Disaster Assistance Direct<br \/>\nLoan Program Account for administrative expenses to carry out the<br \/>\nAdvance of Non-Federal Share program, as authorized by section 319 of<br \/>\nthe Robert T. Stafford Disaster Relief and Emergency Assistance Act (42<br \/>\nU.S.C. 5162): Provided further, That such amount is designated by the<br \/>\nCongress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>RESEARCH, DEVELOPMENT, TRAINING, AND SERVICES<\/p>\n<p>Federal Law Enforcement Training Centers<\/p>\n<p>operations and support<\/p>\n<p>For an additional amount for &#8220;Operations and Support&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $5,374,000, to remain available until September 30,<br \/>\n2019: Provided, That such amount is designated by the Congress as being<br \/>\nfor an emergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>procurement, construction, and improvements<\/p>\n<p>For an additional amount for &#8220;Procurement, Construction, and<br \/>\nImprovements&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, $5,000,000, to remain available<br \/>\nuntil September 30, 2022: Provided, That such amount is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>[[Page 132 STAT. 85]]<\/p>\n<p>GENERAL PROVISIONS&#8211;THIS TITLE<\/p>\n<p>Sec. 20601. The Administrator of the Federal Emergency Management<br \/>\nAgency may provide assistance, pursuant to section 428 of the Robert T.<br \/>\nStafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 et<br \/>\nseq.), for critical services as defined in section 406 of the Robert T.<br \/>\nStafford Disaster Relief and Emergency Assistance Act for the duration<br \/>\nof the recovery for incidents DR-4336-PR, DR-4339-PR, DR-4340-USVI, and<br \/>\nDR-4335-USVI to&#8211;<br \/>\n(1) replace or restore the function of a facility or system<br \/>\nto industry standards without regard to the pre-disaster<br \/>\ncondition of the facility or system; and<br \/>\n(2) replace or restore components of the facility or system<br \/>\nnot damaged by the disaster where necessary to fully effectuate<br \/>\nthe replacement or restoration of disaster-damaged components to<br \/>\nrestore the function of the facility or system to industry<br \/>\nstandards.<\/p>\n<p>Sec. 20602. &lt;&lt;NOTE: President.&gt;&gt; Notwithstanding section 404 or<br \/>\n420 of the Robert T. Stafford Disaster Relief and Emergency Assistance<br \/>\nAct (42 U.S.C. 5170c and 8187), for fiscal years 2017 and 2018, the<br \/>\nPresident shall provide hazard mitigation assistance in accordance with<br \/>\nsuch section 404 in any area in which assistance was provided under such<br \/>\nsection 420.<\/p>\n<p>Sec. 20603. The third proviso of the second paragraph in title I of<br \/>\nPublic Law 115-72 under the heading &#8220;Federal Emergency Management<br \/>\nAgency&#8211;Disaster Relief Fund&#8221; &lt;&lt;NOTE: 131 Stat. 1225.&gt;&gt; shall be<br \/>\namended by striking &#8220;180 days&#8221; and inserting &#8220;365 days&#8221;: Provided,<br \/>\nThat amounts repurposed pursuant to this section that were previously<br \/>\ndesignated by the Congress as an emergency requirement pursuant to the<br \/>\nBalanced Budget and Emergency Deficit Control Act are designated by the<br \/>\nCongress as an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Sec. 20604. (a) Definition of Private Nonprofit Facility.&#8211;Section<br \/>\n102(11)(B) of the Robert T. Stafford Disaster Relief and Emergency<br \/>\nAssistance Act (42 U.S.C. 5122(11)(B)) is amended to read as follows:<br \/>\n&#8220;(A) In general.&#8211;The term `private nonprofit<br \/>\nfacility&#8217; means private nonprofit educational (without<br \/>\nregard to the religious character of the facility),<br \/>\nutility, irrigation, emergency, medical,<br \/>\nrehabilitational, and temporary or permanent custodial<br \/>\ncare facilities (including those for the aged and<br \/>\ndisabled) and facilities on Indian reservations, as<br \/>\ndefined by the President.<br \/>\n&#8220;(B) Additional facilities.&#8211;In addition to the<br \/>\nfacilities described in subparagraph (A), the term<br \/>\n`private nonprofit facility&#8217; includes any private<br \/>\nnonprofit facility that provides essential social<br \/>\nservices to the general public (including museums, zoos,<br \/>\nperforming arts facilities, community arts centers,<br \/>\ncommunity centers, libraries, homeless shelters, senior<br \/>\ncitizen centers, rehabilitation facilities, shelter<br \/>\nworkshops, broadcasting facilities, houses of worship,<br \/>\nand facilities that provide health and safety services<br \/>\nof a governmental nature), as defined by the President.<br \/>\nNo house of worship may be excluded from this definition<br \/>\nbecause leadership or membership in the<\/p>\n<p>[[Page 132 STAT. 86]]<\/p>\n<p>organization operating the house of worship is limited<br \/>\nto persons who share a religious faith or practice.&#8221;.<\/p>\n<p>(b) Repair, Restoration, and Replacement of Damaged Facilities.&#8211;<br \/>\nSection 406(a)(3) of the Robert T. Stafford Disaster Relief and<br \/>\nEmergency Assistance Act (42 U.S.C. 5172(a)(3)) is amended by adding at<br \/>\nthe end the following:<br \/>\n&#8220;(C) Religious facilities.&#8211;A church, synagogue,<br \/>\nmosque, temple, or other house of worship, educational<br \/>\nfacility, or any other private nonprofit facility, shall<br \/>\nbe eligible for contributions under paragraph (1)(B),<br \/>\nwithout regard to the religious character of the<br \/>\nfacility or the primary religious use of the facility.<br \/>\nNo house of worship, educational facility, or any other<br \/>\nprivate nonprofit facility may be excluded from<br \/>\nreceiving contributions under paragraph (1)(B) because<br \/>\nleadership or membership in the organization operating<br \/>\nthe house of worship is limited to persons who share a<br \/>\nreligious faith or practice.&#8221;.<\/p>\n<p>(c) &lt;&lt;NOTE: 42 USC 5122 note.&gt;&gt; Applicability.&#8211;This section and<br \/>\nthe amendments made by this section shall apply&#8211;<br \/>\n(1) &lt;&lt;NOTE: Effective date.&gt;&gt; to the provision of<br \/>\nassistance in response to a major disaster or emergency declared<br \/>\non or after August 23, 2017; or<br \/>\n(2) with respect to&#8211;<br \/>\n(A) any application for assistance that, as of the<br \/>\ndate of enactment of this Act, is pending before Federal<br \/>\nEmergency Management Agency; and<br \/>\n(B) any application for assistance that has been<br \/>\ndenied, where a challenge to that denial is not yet<br \/>\nfinally resolved as of the date of enactment of this<br \/>\nAct.<\/p>\n<p>Sec. 20605. (a) The Federal share of assistance, including direct<br \/>\nFederal assistance, provided under section 407 of the Robert T. Stafford<br \/>\nDisaster Relief and Emergency Assistance Act (42 U.S.C. 5173), with<br \/>\nrespect to a major disaster declared pursuant to such Act for damages<br \/>\nresulting from a wildfire in calendar year 2017, shall be 90 percent of<br \/>\nthe eligible costs under such section.<br \/>\n(b) &lt;&lt;NOTE: Applicability. Effective date.&gt;&gt; The Federal share<br \/>\nprovided by subsection (a) shall apply to assistance provided before,<br \/>\non, or after the date of enactment of this Act.<\/p>\n<p>federal cost-share adjustments for repair, restoration, and replacement<br \/>\nof damaged facilities<\/p>\n<p>Sec. 20606. Section 406(b) of the Robert T. Stafford Disaster<br \/>\nRelief and Emergency Assistance Act (42 U.S.C. 5172(b)) is amended by<br \/>\ninserting after paragraph (2) the following:<br \/>\n&#8220;(3) Increased federal share.&#8211;<br \/>\n&#8220;(A) Incentive measures.&#8211;The President may provide<br \/>\nincentives to a State or Tribal government to invest in<br \/>\nmeasures that increase readiness for, and resilience<br \/>\nfrom, a major disaster by recognizing such investments<br \/>\nthrough a sliding scale that increases the minimum<br \/>\nFederal share to 85 percent. Such measures may include&#8211;<br \/>\n&#8220;(i) the adoption of a mitigation plan<br \/>\napproved under section 322;<br \/>\n&#8220;(ii) investments in disaster relief,<br \/>\ninsurance, and emergency management programs;<\/p>\n<p>[[Page 132 STAT. 87]]<\/p>\n<p>&#8220;(iii) encouraging the adoption and<br \/>\nenforcement of the latest published editions of<br \/>\nrelevant consensus-based codes, specifications,<br \/>\nand standards that incorporate the latest hazard-<br \/>\nresistant designs and establish minimum acceptable<br \/>\ncriteria for the design, construction, and<br \/>\nmaintenance of residential structures and<br \/>\nfacilities that may be eligible for assistance<br \/>\nunder this Act for the purpose of protecting the<br \/>\nhealth, safety, and general welfare of the<br \/>\nbuildings&#8217; users against disasters;<br \/>\n&#8220;(iv) facilitating participation in the<br \/>\ncommunity rating system; and<br \/>\n&#8220;(v) funding mitigation projects or granting<br \/>\ntax incentives for projects that reduce risk.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Deadline. President.&gt;&gt; Comprehensive<br \/>\nguidance.&#8211;Not later than 1 year after the date of<br \/>\nenactment of this paragraph, the President, acting<br \/>\nthrough the Administrator, shall issue comprehensive<br \/>\nguidance to State and Tribal governments regarding the<br \/>\nmeasures and investments, weighted appropriately based<br \/>\non actuarial assessments of eligible actions, that will<br \/>\nbe recognized for the purpose of increasing the Federal<br \/>\nshare under this section. Guidance shall ensure that the<br \/>\nagency&#8217;s review of eligible measures and investments<br \/>\ndoes not unduly delay determining the appropriate<br \/>\nFederal cost share.<br \/>\n&#8220;(C) Report.&#8211;One year after the issuance of the<br \/>\nguidance required by subparagraph (B), the Administrator<br \/>\nshall submit to the Committee on Transportation and<br \/>\nInfrastructure of the House of Representatives and the<br \/>\nCommittee on Homeland Security and Governmental Affairs<br \/>\nof the Senate a report regarding the analysis of the<br \/>\nFederal cost shares paid under this section.<br \/>\n&#8220;(D) Savings clause.&#8211;Nothing in this paragraph<br \/>\nprevents the President from increasing the Federal cost<br \/>\nshare above 85 percent.&#8221;.<\/p>\n<p>Sec. 20607. Division F of the Consolidated Appropriations Act,<br \/>\n2017, &lt;&lt;NOTE: 131 Stat. 433.&gt;&gt; is amended by inserting the following at<br \/>\nthe end of Title V:<\/p>\n<p>&#8220;Sec. 545. (a) Premium Pay Authority.&#8211;During calendar year 2017,<br \/>\nany premium pay that is funded, either directly or through<br \/>\nreimbursement, by the `Federal Emergency Management Agency&#8211;Disaster<br \/>\nRelief Fund&#8217; shall be exempted from the aggregate of basic pay and<br \/>\npremium pay calculated under section 5547(a) of title 5, United States<br \/>\nCode, and any other provision of law limiting the aggregate amount of<br \/>\npremium pay payable on a biweekly or calendar year basis.<br \/>\n&#8220;(b) Overtime Authority.&#8211;During calendar year 2017, any overtime<br \/>\nthat is funded, either directly or through reimbursement, by the<br \/>\n`Federal Emergency Management Agency&#8211;Disaster Relief Fund&#8217; shall be<br \/>\nexempted from any annual limit on the amount of overtime payable in a<br \/>\ncalendar or fiscal year.<br \/>\n&#8220;(c) Applicability of Aggregate Limitation on Pay.&#8211;In determining<br \/>\nwhether an employee&#8217;s pay exceeds the applicable annual rate of basic<br \/>\npay payable under section 5307 of title 5, United States Code, the head<br \/>\nof an Executive agency shall not include pay exempted under this<br \/>\nsection.<\/p>\n<p>[[Page 132 STAT. 88]]<\/p>\n<p>&#8220;(d) Limitation of Pay Authority.&#8211;Pay exempted from otherwise<br \/>\napplicable limits under subsection (a) shall not cause the aggregate pay<br \/>\nearned for the calendar year in which the exempted pay is earned to<br \/>\nexceed the rate of basic pay payable for a position at level II of the<br \/>\nExecutive Schedule under section 5313 of title 5, United States Code.<br \/>\n&#8220;(e) Effective Date.&#8211;This section shall take effect as if enacted<br \/>\non December 31, 2016.&#8221;.<\/p>\n<p>TITLE VII<\/p>\n<p>DEPARTMENT OF THE INTERIOR<\/p>\n<p>United States Fish and Wildlife Service<\/p>\n<p>construction<\/p>\n<p>For an additional amount for &#8220;Construction&#8221; for necessary expenses<br \/>\nrelated to the consequences of Hurricanes Harvey, Irma, and Maria,<br \/>\n$210,629,000, to remain available until expended: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>National Park Service<\/p>\n<p>historic preservation fund<\/p>\n<p>For an additional amount for the &#8220;Historic Preservation Fund&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $50,000,000, to remain available until September 30,<br \/>\n2019, including costs to States and territories necessary to complete<br \/>\ncompliance activities required by section 306108 of title 54, United<br \/>\nStates Code (formerly section 106 of the National Historic Preservation<br \/>\nAct) and costs needed to administer the program: Provided, That grants<br \/>\nshall only be available for areas that have received a major disaster<br \/>\ndeclaration pursuant to the Robert T. Stafford Disaster Relief and<br \/>\nEmergency Assistance Act (42 U.S.C. 5121 et seq.): Provided further,<br \/>\nThat individual grants shall not be subject to a non-Federal matching<br \/>\nrequirement: Provided further, That such amount is designated by the<br \/>\nCongress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>construction<\/p>\n<p>For an additional amount for &#8220;Construction&#8221; for necessary expenses<br \/>\nrelated to the consequences of Hurricanes Harvey, Irma, and Maria,<br \/>\n$207,600,000, to remain available until expended: Provided, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>[[Page 132 STAT. 89]]<\/p>\n<p>United States Geological Survey<\/p>\n<p>surveys, investigations, and research<\/p>\n<p>For an additional amount for &#8220;Surveys, Investigations, and<br \/>\nResearch&#8221; for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, and in those areas impacted by a<br \/>\nmajor disaster declared pursuant to the Robert T. Stafford Disaster<br \/>\nRelief and Emergency Assistance Act (42 U.S.C. 5121 et seq.) with<br \/>\nrespect to wildfires in 2017, $42,246,000, to remain available until<br \/>\nexpended: Provided, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Departmental Offices<\/p>\n<p>Insular Affairs<\/p>\n<p>assistance to territories<\/p>\n<p>For an additional amount for &#8220;Technical Assistance&#8221; for financial<br \/>\nmanagement expenses related to the consequences of Hurricanes Irma and<br \/>\nMaria, $3,000,000, to remain available until expended: Provided, That<br \/>\nsuch amount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Office of Inspector General<\/p>\n<p>salaries and expenses<\/p>\n<p>For an additional amount for &#8220;Salaries and Expenses&#8221; for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria, $2,500,000, to remain available until expended: Provided, That<br \/>\nsuch amount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Environmental Protection Agency<\/p>\n<p>hazardous substance superfund<\/p>\n<p>For an additional amount for &#8220;Hazardous Substance Superfund&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $6,200,000, to remain available until expended:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>leaking underground storage tank trust fund program<\/p>\n<p>For an additional amount for &#8220;Leaking Underground Storage Tank<br \/>\nFund&#8221; for necessary expenses related to the consequences of Hurricanes<br \/>\nHarvey, Irma, and Maria, $7,000,000, to remain<\/p>\n<p>[[Page 132 STAT. 90]]<\/p>\n<p>available until expended: Provided, That such amount is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>state and tribal assistance grants<\/p>\n<p>For an additional amount for &#8220;State and Tribal Assistance Grants&#8221;<br \/>\nfor necessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria for the hazardous waste financial assistance grants<br \/>\nprogram and for other solid waste management activities, $50,000,000, to<br \/>\nremain available until expended: Provided, That none of these funds<br \/>\nallocated within Region 2 shall be subject to cost share requirements<br \/>\nunder section 3011(b) of the Solid Waste Disposal Act: Provided<br \/>\nfurther, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Administrative Provision&#8211;Environmental Protection Agency<\/p>\n<p>Of amounts previously appropriated for capitalization grants for the<br \/>\nState Revolving Funds under title VI of the Federal Water Pollution<br \/>\nControl Act or under section 1452 of the Safe Drinking Water Act to a<br \/>\nState or territory included as part of a disaster declaration related to<br \/>\nHurricanes Irma and Maria, all existing grant funds that are available<br \/>\nbut not drawn down shall not be subject to the matching or cost share<br \/>\nrequirements of sections 602(b)(2), 602(b)(3) of the Federal Water<br \/>\nPollution Control Act nor the matching requirements of section 1452(e)<br \/>\nof the Safe Drinking Water Act and shall be awarded to such state or<br \/>\nterritory: Provided, That, notwithstanding the requirements of section<br \/>\n603(d) of the Federal Water Pollution Control Act or section 1452(f) of<br \/>\nthe Safe Drinking Water Act, the state or territory shall utilize the<br \/>\nfull amount of such funds, excluding existing loans, to provide<br \/>\nadditional subsidization to eligible recipients in the form of<br \/>\nforgiveness of principal, negative interest loans or grants or any<br \/>\ncombination of these: Provided further, That such funds may be used for<br \/>\neligible projects whose purpose is to repair damage incurred as a result<br \/>\nof Hurricanes Irma and Maria, reduce flood damage risk and vulnerability<br \/>\nor to enhance resiliency to rapid hydrologic change or a natural<br \/>\ndisaster at treatment works as defined by section 212 of the Federal<br \/>\nWater Pollution Control Act or a public drinking water system under<br \/>\nsection 1452 of the Safe Drinking Water Act: Provided further, That any<br \/>\nproject involving the repair or replacement of a lead service line shall<br \/>\nreplace the entire lead service line, not just a portion.<\/p>\n<p>RELATED AGENCIES<\/p>\n<p>DEPARTMENT OF AGRICULTURE<\/p>\n<p>Forest Service<\/p>\n<p>state and private forestry<\/p>\n<p>For an additional amount for &#8220;State and Private Forestry&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes<\/p>\n<p>[[Page 132 STAT. 91]]<\/p>\n<p>Harvey, Irma, and Maria, $7,500,000, to remain available until expended:<br \/>\nProvided, That such amount is designated by the Congress as being for<br \/>\nan emergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>national forest system<\/p>\n<p>For an additional amount for &#8220;National Forest System&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, $20,652,000, to remain available until expended:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>capital improvement and maintenance<\/p>\n<p>For an additional amount for &#8220;Capital Improvement and Maintenance&#8221;<br \/>\nfor necessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, and the 2017 fire season, $91,600,000, to remain<br \/>\navailable until expended: Provided, That such amount is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>GENERAL PROVISION&#8211;THIS TITLE<\/p>\n<p>Sec. 20701. Agencies &lt;&lt;NOTE: Reports. Deadline.&gt;&gt; receiving funds<br \/>\nappropriated by this title shall each provide a monthly report to the<br \/>\nCommittees on Appropriations of the House of Representatives and the<br \/>\nSenate detailing the allocation and obligation of these funds by<br \/>\naccount, beginning not later than 90 days after enactment of this Act.<\/p>\n<p>TITLE VIII<\/p>\n<p>DEPARTMENT OF LABOR<\/p>\n<p>Employment and Training Administration<\/p>\n<p>training and employment services<\/p>\n<p>(including transfers of funds)<\/p>\n<p>For an additional amount for &#8220;Training and Employment Services&#8221;,<br \/>\n$100,000,000, for the dislocated workers assistance national reserve for<br \/>\nnecessary expenses directly related to the consequences of Hurricanes<br \/>\nHarvey, Maria, and Irma and those jurisdictions that received a major<br \/>\ndisaster declaration pursuant to the Robert T. Stafford Disaster Relief<br \/>\nand Emergency Assistance Act (42 U.S.C. 5121 et seq.) due to wildfires<br \/>\nin 2017, which shall be available from the date of enactment of this<br \/>\nsubdivision through September 30, 2019: Provided, That the Secretary of<br \/>\nLabor may transfer up to $2,500,000 of such funds to any other<br \/>\nDepartment of Labor account for reconstruction and recovery needs,<br \/>\nincluding worker protection activities: Provided further, That these<br \/>\nsums may be used to replace grant funds previously obligated to the<br \/>\nimpacted areas: Provided further, That of the amount provided, up to<\/p>\n<p>[[Page 132 STAT. 92]]<\/p>\n<p>$500,000, to remain available until expended, shall be transferred to<br \/>\n&#8220;Office of Inspector General&#8221;for oversight of activities responding to<br \/>\nsuch hurricanes and wildfires: Provided further, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>job corps<\/p>\n<p>For an additional amount for &#8220;Job Corps&#8221; for construction,<br \/>\nrehabilitation and acquisition for Job Corps Centers in Puerto Rico,<br \/>\n$30,900,000, which shall be available upon the date of enactment of this<br \/>\nsubdivision and remain available for obligation through June 30, 2021:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>General Provisions&#8211;Department of Labor<\/p>\n<p>deferral of interest payments for virgin islands<\/p>\n<p>Sec. 20801. Notwithstanding &lt;&lt;NOTE: Deadline. Time period.&gt;&gt; any<br \/>\nother provision of law, the interest payment of the Virgin Islands that<br \/>\nwas due under section 1202(b)(1) of the Social Security Act on September<br \/>\n29, 2017, shall not be due until September 28, 2018, and no interest<br \/>\nshall accrue on such amount through September 28, 2018: Provided, That<br \/>\nsuch amount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>flexibility in use of funds under wioa<\/p>\n<p>Sec. 20802. (a) In General.&#8211;Notwithstanding section 133(b)(4) of<br \/>\nthe Workforce Innovation and Opportunity Act, in States, as defined by<br \/>\nsection 3(56) of such Act, affected by Hurricanes Harvey, Irma, and<br \/>\nMaria, a local board, as defined by section 3(33) of such Act, in a<br \/>\nlocal area, as defined by section 3(32) of such Act, affected by such<br \/>\nHurricanes may transfer, if such transfer is approved by the Governor,<br \/>\nup to 100 percent of the funds allocated to the local area for Program<br \/>\nYears 2016 and 2017 for Youth Workforce Investment activities under<br \/>\nparagraphs (2) or (3) of section 128(b) of such Act, for Adult<br \/>\nemployment and training activities under paragraphs (2)(A) or (3) of<br \/>\nsection 133(b) of such Act, or for Dislocated Worker employment and<br \/>\ntraining activities under paragraph (2)(B) of section 133(b) of such Act<br \/>\namong&#8211;<br \/>\n(1) adult employment and training activities;<br \/>\n(2) dislocated worker employment and training activities;<br \/>\nand<br \/>\n(3) youth workforce investment activities.<\/p>\n<p>(b) The Virgin Islands.&#8211;Except for the funds reserved to carry out<br \/>\nrequired statewide activities under sections 127(b) and 134(a)(2) of the<br \/>\nWorkforce Innovation and Opportunity Act, the Governor of the Virgin<br \/>\nIslands may authorize the transfer of up to 100 percent of the remaining<br \/>\nfunds provided to the Virgin Islands for Program Years 2016 and 2017 for<br \/>\nYouth Workforce Investment activities under section 127(b)(1)(B) of such<br \/>\nAct, for Adult employment and training activities under section<br \/>\n132(b)(1)(A) of such<\/p>\n<p>[[Page 132 STAT. 93]]<\/p>\n<p>Act, or for Dislocated Worker employment and training activities under<br \/>\nsection 133(b)(2)(A) of such Act among&#8211;<br \/>\n(1) adult employment and training activities;<br \/>\n(2) dislocated worker employment and training activities;<br \/>\nand<br \/>\n(3) youth workforce investment activities.<\/p>\n<p>DEPARTMENT OF HEALTH AND HUMAN SERVICES<\/p>\n<p>Centers for Disease Control and Prevention<\/p>\n<p>cdc-wide activities and program support<\/p>\n<p>(including transfer of funds)<\/p>\n<p>For an additional amount for &#8220;CDC-Wide Activities and Program<br \/>\nSupport&#8221;, $200,000,000, to remain available until September 30, 2020,<br \/>\nfor response, recovery, preparation, mitigation, and other expenses<br \/>\ndirectly related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria: Provided, That obligations incurred for the purposes provided<br \/>\nherein prior to the date of enactment of this subdivision may be charged<br \/>\nto funds appropriated by this paragraph: Provided further, That of the<br \/>\namount provided, not less than $6,000,000 shall be transferred to the<br \/>\n&#8220;Buildings and Facilities&#8221; account for the purposes provided herein:<br \/>\nProvided further, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>National Institutes of Health<\/p>\n<p>office of the director<\/p>\n<p>For an additional amount for fiscal year 2018 for &#8220;Office of the<br \/>\nDirector&#8221;, $50,000,000, to remain available until September 30, 2020,<br \/>\nfor response, recovery, and other expenses directly related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria: Provided, That<br \/>\nobligations incurred for these purposes prior to the date of enactment<br \/>\nof this subdivision may be charged to funds appropriated by this<br \/>\nparagraph: Provided further, That funds appropriated by this paragraph<br \/>\nmay be used for construction grants or contracts under section 404I of<br \/>\nthe Public Health Service Act without regard to section 404I(c)(2):<br \/>\nProvided further, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>Administration for Children and Families<\/p>\n<p>children and families services programs<\/p>\n<p>For an additional amount for &#8220;Children and Families Services<br \/>\nPrograms&#8221;, $650,000,000, to remain available until September 30, 2021,<br \/>\nfor Head Start programs, for necessary expenses directly related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria, including making<br \/>\npayments under the Head Start Act: Provided, That none of the funds<br \/>\nappropriated in this paragraph shall be included in the calculation of<br \/>\nthe &#8220;base grant&#8221; in subsequent fiscal<\/p>\n<p>[[Page 132 STAT. 94]]<\/p>\n<p>years, as such term is defined in sections 640(a)(7)(A), 641A(h)(1)(B),<br \/>\nor 645(d)(3) of the Head Start Act: Provided further, That funds<br \/>\nappropriated in this paragraph are not subject to the allocation<br \/>\nrequirements of section 640(a) of the Head Start Act: Provided further,<br \/>\nThat funds appropriated in this paragraph shall not be available for<br \/>\ncosts that are reimbursed by the Federal Emergency Management Agency,<br \/>\nunder a contract for insurance, or by self-insurance: Provided further,<br \/>\nThat up to $12,500,000 shall be available for Federal administrative<br \/>\nexpenses: Provided further, That obligations incurred for the purposes<br \/>\nprovided herein prior to the date of enactment of this subdivision may<br \/>\nbe charged to funds appropriated under this heading: Provided further,<br \/>\nThat such amount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Office of the Secretary<\/p>\n<p>public health and social services emergency fund<\/p>\n<p>(including transfers of funds)<\/p>\n<p>For an additional amount for the &#8220;Public Health and Social Services<br \/>\nEmergency Fund&#8221;, $162,000,000, to remain available until September 30,<br \/>\n2020, for response, recovery, preparation, mitigation and other expenses<br \/>\ndirectly related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria, including activities authorized under section 319(a) of the<br \/>\nPublic Health Service Act (referred to in this subdivision as the &#8220;PHS<br \/>\nAct&#8221;): Provided, That of the amount provided, $60,000,000 shall be<br \/>\ntransferred to &#8220;Health Resources and Services Administration&#8211;Primary<br \/>\nHealth Care&#8221;, for expenses related to the consequences of Hurricanes<br \/>\nHarvey, Irma, and Maria for disaster response and recovery, for the<br \/>\nHealth Centers Program under section 330 of the PHS Act: Provided<br \/>\nfurther, That not less than $50,000,000, of amounts transferred under<br \/>\nthe preceding proviso, shall be available for alteration, renovation,<br \/>\nconstruction, equipment, and other capital improvement costs as<br \/>\nnecessary to meet the needs of areas affected by Hurricanes Harvey,<br \/>\nIrma, and Maria: Provided further, That the time limitation in section<br \/>\n330(e)(3) of the PHS Act shall not apply to funds made available under<br \/>\nthe preceding proviso: Provided further, That of the amount provided,<br \/>\nnot less than $20,000,000 shall be transferred to &#8220;Substance Abuse and<br \/>\nMental Health Services Administration&#8211;Health Surveillance and Program<br \/>\nSupport&#8221; for grants, contracts, and cooperative agreements for<br \/>\nbehavioral health treatment, crisis counseling, and other related<br \/>\nhelplines, and for other similar programs to provide support to<br \/>\nindividuals impacted by Hurricanes Harvey, Irma, and Maria: Provided<br \/>\nfurther, That of the amount provided, up to $2,000,000, to remain<br \/>\navailable until expended, shall be transferred to &#8220;Office of the<br \/>\nSecretary&#8211;Office of Inspector General&#8221; for oversight of activities<br \/>\nresponding to such hurricanes: Provided further, That obligations<br \/>\nincurred for the purposes provided herein prior to the date of enactment<br \/>\nof this subdivision may be charged to funds appropriated under this<br \/>\nheading: Provided further, That funds appropriated in this paragraph<br \/>\nshall not be available for costs that are reimbursed by the Federal<br \/>\nEmergency Management Agency, under a contract for insurance, or by self-<\/p>\n<p>[[Page 132 STAT. 95]]<\/p>\n<p>insurance: Provided further, That such amount is designated by the<br \/>\nCongress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>General Provision&#8211;Department of Health and Human Services<\/p>\n<p>direct hire authority for certain emergency response positions<\/p>\n<p>Sec. 20803. (a) &lt;&lt;NOTE: Determination. Notice.&gt;&gt; In General.&#8211;As<br \/>\nthe Secretary of Health and Human Services determines necessary to<br \/>\nrespond to a critical hiring need for emergency response positions,<br \/>\nafter providing public notice and without regard to the provisions of<br \/>\nsections 3309 through 3319 of title 5, United States Code, the Secretary<br \/>\nmay appoint candidates directly to the following positions, consistent<br \/>\nwith subsection (b), to perform critical work directly relating to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria:<br \/>\n(1) Intermittent disaster-response personnel in the National<br \/>\nDisaster Medical System, under section 2812 of the Public Health<br \/>\nService Act (42 U.S.C. 300hh-11).<br \/>\n(2) Term or temporary related positions in the Centers for<br \/>\nDisease Control and Prevention and the Office of the Assistant<br \/>\nSecretary for Preparedness and Response.<\/p>\n<p>(b) Expiration.&#8211;The authority under subsection (a) shall expire 270<br \/>\ndays after the date of enactment of this section.<\/p>\n<p>DEPARTMENT OF EDUCATION<\/p>\n<p>Hurricane Education Recovery<\/p>\n<p>(including transfer of funds)<\/p>\n<p>For an additional amount for &#8220;Hurricane Education Recovery&#8221; for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria, or wildfires in 2017 for which a major disaster or<br \/>\nemergency has been declared under sections 401 or 501 of the Robert T.<br \/>\nStafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170<br \/>\nand 5190) (referred to under this heading as &#8220;covered disaster or<br \/>\nemergency&#8221;), $2,700,000,000, to remain available through September 30,<br \/>\n2022, for assisting in meeting the educational needs of individuals<br \/>\naffected by a covered disaster or emergency: Provided, That such amount<br \/>\nis designated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985: Provided further, That&#8211;<br \/>\n(1) such funds shall be used&#8211;<br \/>\n(A) to make awards to eligible entities for<br \/>\nimmediate aid to restart school operations, in<br \/>\naccordance with paragraph (2);<br \/>\n(B) for temporary emergency impact aid for displaced<br \/>\nstudents, in accordance with paragraph (2);<br \/>\n(C) for emergency assistance to institutions of<br \/>\nhigher education and students attending institutions of<br \/>\nhigher education in an area directly affected by a<br \/>\ncovered disaster or emergency in accordance with<br \/>\nparagraph (3);<\/p>\n<p>[[Page 132 STAT. 96]]<\/p>\n<p>(D) for payments to institutions of higher education<br \/>\nto help defray the unexpected expenses associated with<br \/>\nenrolling displaced students from institutions of higher<br \/>\neducation directly affected by a covered disaster or<br \/>\nemergency, in accordance with paragraph (4); and<br \/>\n(E) to provide assistance to local educational<br \/>\nagencies serving homeless children and youth in<br \/>\naccordance with paragraph (5);<br \/>\n(2) immediate aid to restart school operations and temporary<br \/>\nemergency impact aid for displaced students described in<br \/>\nsubparagraphs (A) and (B) of paragraph (1) shall be provided<br \/>\nunder the statutory terms and conditions that applied to<br \/>\nassistance under sections 102 and 107 of title IV of division B<br \/>\nof Public Law 109-148, respectively, except that such sections<br \/>\nshall be applied so that&#8211;<br \/>\n(A) each reference to a major disaster declared in<br \/>\naccordance with section 401 of the Robert T. Stafford<br \/>\nDisaster Relief and Emergency Assistance Act (42 U.S.C.<br \/>\n5170) shall be to a major disaster or emergency declared<br \/>\nby the President in accordance with section 401 or 501,<br \/>\nrespectively, of such Act;<br \/>\n(B) each reference to Hurricane Katrina or Hurricane<br \/>\nRita shall be a reference to a covered disaster or<br \/>\nemergency;<br \/>\n(C) each reference to August 22, 2005 shall be to<br \/>\nthe date that is one week prior to the date that the<br \/>\nmajor disaster or emergency was declared for the area;<br \/>\n(D) each reference to the States of Louisiana,<br \/>\nMississippi, Alabama, and Texas shall be to the States<br \/>\nor territories affected by a covered disaster or<br \/>\nemergency, and each reference to the State educational<br \/>\nagencies of Louisiana, Mississippi, Alabama, or Texas<br \/>\nshall be a reference to the State educational agencies<br \/>\nthat serve the states or territories affected by a<br \/>\ncovered disaster or emergency;<br \/>\n(E) each reference to the 2005-2006 school year<br \/>\nshall be to the 2017-2018 school year;<br \/>\n(F) the references in section 102(h)(1) of title IV<br \/>\nof division B of Public Law 109-148 to the number of<br \/>\nnon-public and public elementary schools and secondary<br \/>\nschools in the State shall be to the number of students<br \/>\nin non-public and public elementary schools and<br \/>\nsecondary schools in the State, and the reference in<br \/>\nsuch section to the National Center for Data Statistics<br \/>\nCommon Core of Data for the 2003-2004 school year shall<br \/>\nbe to the most recent and appropriate data set for the<br \/>\n2016-2017 school year;<br \/>\n(G) in determining the amount of immediate aid<br \/>\nprovided to restart school operations as described in<br \/>\nsection 102(b) of title IV of division B of Public Law<br \/>\n109-148, the Secretary shall consider the number of<br \/>\nstudents enrolled, during the 2016-2017 school year, in<br \/>\nelementary schools and secondary schools that were<br \/>\nclosed as a result of a covered disaster or emergency;<br \/>\n(H) in determining the amount of emergency impact<br \/>\naid that a State educational agency is eligible to<br \/>\nreceive under paragraph (1)(B), the Secretary shall,<br \/>\nsubject to section 107(d)(1)(B) of such title, provide&#8211;<\/p>\n<p>[[Page 132 STAT. 97]]<\/p>\n<p>(i) $9,000 for each displaced student who is<br \/>\nan English learner, as that term is defined in<br \/>\nsection 8101 of the Elementary and Secondary<br \/>\nEducation Act of 1965 (20 U.S.C. 7801);<br \/>\n(ii) $10,000 for each displaced student who is<br \/>\na child with a disability (regardless of whether<br \/>\nthe child is an English learner); and<br \/>\n(iii) $8,500 for each displaced student who is<br \/>\nnot a child with a disability or an English<br \/>\nlearner;<br \/>\n(I) with respect to the emergency impact aid<br \/>\nprovided under paragraph (1)(B), the Secretary may<br \/>\nmodify the State educational agency and local<br \/>\neducational agency application timelines in section<br \/>\n107(c) of such title; and<br \/>\n(J) each reference to a public elementary school may<br \/>\ninclude, as determined by the local educational agency,<br \/>\na publicly-funded preschool program that enrolls<br \/>\nchildren below the age of kindergarten entry and is part<br \/>\nof an elementary school;<br \/>\n(3) $100,000,000 of the funds made available under this<br \/>\nheading shall be for programs authorized under subpart 3 of Part<br \/>\nA, part C of title IV and part B of title VII of the Higher<br \/>\nEducation Act of 1965 (20 U.S.C. 1087-51 et seq., 1138 et seq.)<br \/>\nfor institutions located in an area affected by a covered<br \/>\ndisaster or emergency, and students enrolled in such<br \/>\ninstitutions, except that&#8211;<br \/>\n(A) any requirements relating to matching, Federal<br \/>\nshare, reservation of funds, or maintenance of effort<br \/>\nunder such parts that would otherwise be applicable to<br \/>\nthat assistance shall not apply;<br \/>\n(B) such assistance may be used for student<br \/>\nfinancial assistance;<br \/>\n(C) such assistance may also be used for faculty and<br \/>\nstaff salaries, equipment, student supplies and<br \/>\ninstruments, or any purpose authorized under the Higher<br \/>\nEducation Act of 1965, by institutions of higher<br \/>\neducation that are located in areas affected by a<br \/>\ncovered disaster or emergency; and<br \/>\n(D) the Secretary shall prioritize, to the extent<br \/>\npossible, students who are homeless or at risk of<br \/>\nbecoming homeless as a result of displacement, and<br \/>\ninstitutions that have sustained extensive damage, by a<br \/>\ncovered disaster or emergency;<br \/>\n(4) up to $75,000,000 of the funds made available under this<br \/>\nheading shall be for payments to institutions of higher<br \/>\neducation to help defray the unexpected expenses associated with<br \/>\nenrolling displaced students from institutions of higher<br \/>\neducation at which operations have been disrupted by a covered<br \/>\ndisaster or emergency, in accordance with criteria established<br \/>\nby the Secretary and made publicly available;<br \/>\n(5) $25,000,000 of the funds made available under this<br \/>\nheading shall be available to provide assistance to local<br \/>\neducational agencies serving homeless children and youths<br \/>\ndisplaced by a covered disaster or emergency, consistent with<br \/>\nsection 723 of the McKinney-Vento Homeless Assistance Act (42<br \/>\nU.S.C. 11431-11435) and with section 106 of title IV of division<br \/>\nB of Public Law 109-148, except that funds shall be disbursed<br \/>\nbased on demonstrated need and the number<\/p>\n<p>[[Page 132 STAT. 98]]<\/p>\n<p>of homeless children and youth enrolled as a result of<br \/>\ndisplacement by a covered disaster or emergency;<br \/>\n(6) section 437 of the General Education Provisions Act (20<br \/>\nU.S.C. 1232) and section 553 of title 5, United States Code,<br \/>\nshall not apply to activities under this heading;<br \/>\n(7) $4,000,000 of the funds made available under this<br \/>\nheading, to remain available until expended, shall be<br \/>\ntransferred to the Office of the Inspector General of the<br \/>\nDepartment of Education for oversight of activities supported<br \/>\nwith funds appropriated under this heading, and up to $3,000,000<br \/>\nof the funds made available under this heading shall be for<br \/>\nprogram administration;<br \/>\n(8) up to $35,000,000 of the funds made available under this<br \/>\nheading shall be to carry out activities authorized under<br \/>\nsection 4631(b) of the Elementary and Secondary Education Act of<br \/>\n1965 (20 U.S.C. 7281(b)): Provided, That obligations incurred<br \/>\nfor the purposes provided herein prior to the date of enactment<br \/>\nof this subdivision may be charged to funds appropriated under<br \/>\nthis paragraph;<br \/>\n(9) &lt;&lt;NOTE: Waiver authority.&gt;&gt; the Secretary may waive,<br \/>\nmodify, or provide extensions for certain requirements of the<br \/>\nHigher Education Act of 1965 (20 U.S.C. 1001 et seq.) for<br \/>\naffected individuals, affected students, and affected<br \/>\ninstitutions in covered disaster or emergency areas in the same<br \/>\nmanner as the Secretary was authorized to waive, modify, or<br \/>\nprovide extensions for certain requirements of such Act under<br \/>\nprovisions of subtitle B of title IV of division B of Public Law<br \/>\n109-148 for affected individuals, affected students, and<br \/>\naffected institutions in areas affected by Hurricane Katrina and<br \/>\nHurricane Rita, except that the cost associated with any action<br \/>\ntaken by the Secretary under this paragraph is designated by the<br \/>\nCongress as being for an emergency requirement pursuant to<br \/>\nsection 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985; and<br \/>\n(10) if any provision under this heading or application of<br \/>\nsuch provision to any person or circumstance is held to be<br \/>\nunconstitutional, the remainder of the provisions under this<br \/>\nheading and the application of such provisions to any person or<br \/>\ncircumstance shall not be affected thereby.<\/p>\n<p>General Provision&#8211;Department of Education<\/p>\n<p>Sec. 20804. (a) &lt;&lt;NOTE: Loan forgiveness.&gt;&gt; Notwithstanding any<br \/>\nother provision of law, the Secretary of Education is hereby authorized<br \/>\nto forgive any outstanding balance owed to the Department of Education<br \/>\nunder the HBCU Hurricane Supplemental Loan program established pursuant<br \/>\nto section 2601 of Public Law 109-234, as modified by section 307 of<br \/>\ntitle III of division F of the Consolidated Appropriations Act, 2012<br \/>\n(Public Law 112-74), as carried forward by the Continuing Appropriations<br \/>\nResolution, 2013 (Public Law 112-175).<\/p>\n<p>(b) There are authorized to be appropriated, and there are hereby<br \/>\nappropriated, such sums as may be necessary to carry out subsection (a):<br \/>\nProvided, That such amount is designated by the Congress as an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the Balance<br \/>\nBudget and Emergency Deficit Control Act of 1985.<\/p>\n<p>[[Page 132 STAT. 99]]<\/p>\n<p>GENERAL PROVISIONS&#8211;THIS TITLE<\/p>\n<p>(including transfer of funds)<\/p>\n<p>Sec. 20805. Funds &lt;&lt;NOTE: Consultation.&gt;&gt; appropriated to the<br \/>\nDepartment of Health and Human Services by this title may be transferred<br \/>\nto, and merged with, other appropriation accounts under the headings<br \/>\n&#8220;Centers for Disease Control and Prevention&#8221; and &#8220;Public Health and<br \/>\nSocial Services Emergency Fund&#8221; for the purposes specified in this<br \/>\ntitle following consultation with the Office of Management and Budget:<br \/>\nProvided, That &lt;&lt;NOTE: Notification.&gt;&gt; the Committees on Appropriations<br \/>\nin the House of Representatives and the Senate shall be notified 10 days<br \/>\nin advance of any such transfer: Provided further,<br \/>\nThat, &lt;&lt;NOTE: Determination.&gt;&gt; upon a determination that all or part of<br \/>\nthe funds transferred from an appropriation are not necessary, such<br \/>\namounts may be transferred back to that appropriation: Provided<br \/>\nfurther, That none of the funds made available by this title may be<br \/>\ntransferred pursuant to the authority in section 205 of division H of<br \/>\nPublic Law 115-31 or section 241(a) of the PHS Act.<\/p>\n<p>Sec. 20806. Not &lt;&lt;NOTE: Deadlines. Spending plan. Cost<br \/>\nestimates.&gt;&gt; later than 30 days after enactment of this subdivision,<br \/>\nthe Secretary of Health and Human Services shall provide a detailed<br \/>\nspend plan of anticipated uses of funds made available in this title,<br \/>\nincluding estimated personnel and administrative costs, to the<br \/>\nCommittees on Appropriations: &lt;&lt;NOTE: Updates.&gt;&gt; Provided, That such<br \/>\nplans shall be updated and submitted to the Committees on Appropriations<br \/>\nevery 60 days until all funds are expended or expire.<\/p>\n<p>Sec. 20807. Unless otherwise provided for by this title, the<br \/>\nadditional amounts appropriated by this title to appropriations accounts<br \/>\nshall be available under the authorities and conditions applicable to<br \/>\nsuch appropriations accounts for fiscal year 2018.<\/p>\n<p>TITLE IX<\/p>\n<p>LEGISLATIVE BRANCH<\/p>\n<p>GOVERNMENT ACCOUNTABILITY OFFICE<\/p>\n<p>Salaries and Expenses<\/p>\n<p>For an additional amount for &#8220;Salaries and Expenses&#8221;, $14,000,000,<br \/>\nto remain available until expended, for audits and investigations<br \/>\nrelating to Hurricanes Harvey, Irma, and Maria and the 2017 wildfires:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>TITLE X<\/p>\n<p>DEPARTMENT OF DEFENSE<\/p>\n<p>Military Construction, Navy and Marine Corps<\/p>\n<p>For an additional amount for &#8220;Military Construction, Navy and<br \/>\nMarine Corps&#8221;, $201,636,000, to remain available until September 30,<br \/>\n2022, for necessary expenses related to the consequences of Hurricanes<br \/>\nHarvey, Irma, and Maria: Provided, That none of<\/p>\n<p>[[Page 132 STAT. 100]]<\/p>\n<p>the funds made available to the Navy and Marine Corps for recovery<br \/>\nefforts related to Hurricanes Harvey, Irma, and Maria in this<br \/>\nsubdivision shall be available for obligation until the Committees on<br \/>\nAppropriations of the House of Representatives and the Senate receive<br \/>\nform 1391 for each specific request: &lt;&lt;NOTE: Deadline. Expenditure<br \/>\nplan.&gt;&gt; Provided further, That, not later than 60 days after enactment<br \/>\nof this subdivision, the Secretary of the Navy, or his designee, shall<br \/>\nsubmit to the Committees on Appropriations of House of Representatives<br \/>\nand the Senate a detailed expenditure plan for funds provided under this<br \/>\nheading: Provided further, That such funds may be obligated or expended<br \/>\nfor planning and design and military construction projects not otherwise<br \/>\nauthorized by law: Provided further, That such amount is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>Military Construction, Army National Guard<\/p>\n<p>For an additional amount for &#8220;Military Construction, Army National<br \/>\nGuard&#8221;, $519,345,000, to remain available until September 30, 2022, for<br \/>\nnecessary expenses related to the consequences of Hurricanes Harvey,<br \/>\nIrma, and Maria: Provided, That none of the funds made available to the<br \/>\nArmy National Guard for recovery efforts related to Hurricanes Harvey,<br \/>\nIrma, and Maria in this subdivision shall be available for obligation<br \/>\nuntil the Committees on Appropriations of the House of Representatives<br \/>\nand the Senate receive form 1391 for each specific<br \/>\nrequest: &lt;&lt;NOTE: Deadline. Expenditure plan.&gt;&gt; Provided further, That,<br \/>\nnot later than 60 days after enactment of this subdivision, the Director<br \/>\nof the Army National Guard, or his designee, shall submit to the<br \/>\nCommittees on Appropriations of the House of Representatives and the<br \/>\nSenate a detailed expenditure plan for funds provided under this<br \/>\nheading: Provided further, That such funds may be obligated or expended<br \/>\nfor planning and design and military construction projects not otherwise<br \/>\nauthorized by law: Provided further, That such amount is designated by<br \/>\nthe Congress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>DEPARTMENT OF VETERANS AFFAIRS<\/p>\n<p>Veterans Health Administration<\/p>\n<p>medical services<\/p>\n<p>For an additional amount for &#8220;Medical Services&#8221;, $11,075,000, to<br \/>\nremain available until September 30, 2019, for necessary expenses<br \/>\nrelated to the consequences of Hurricanes Harvey, Irma, and Maria:<br \/>\nProvided, That such amount is designated by the Congress as being for an<br \/>\nemergency requirement pursuant to section 251(b)(2)(A)(i) of the<br \/>\nBalanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>medical support and compliance<\/p>\n<p>For an additional amount for &#8220;Medical Support and Compliance&#8221;,<br \/>\n$3,209,000, to remain available until September 30, 2019, for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria: Provided, That such amount is designated<\/p>\n<p>[[Page 132 STAT. 101]]<\/p>\n<p>by the Congress as being for an emergency requirement pursuant to<br \/>\nsection 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit<br \/>\nControl Act of 1985.<\/p>\n<p>medical facilities<\/p>\n<p>For an additional amount for &#8220;Medical Facilities&#8221;, $75,108,000, to<br \/>\nremain available until September 30, 2022, for necessary expenses<br \/>\nrelated to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria: &lt;&lt;NOTE: Expenditure plan.&gt;&gt; Provided, That none of these funds<br \/>\nshall be available for obligation until the Secretary of Veterans<br \/>\nAffairs submits to the Committees on Appropriations of the House of<br \/>\nRepresentatives and the Senate a detailed expenditure plan for funds<br \/>\nprovided under this heading: Provided further, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>Departmental Administration<\/p>\n<p>construction, minor projects<\/p>\n<p>For an additional amount for &#8220;Construction, Minor Projects&#8221;,<br \/>\n$4,088,000, to remain available until September 30, 2022, for necessary<br \/>\nexpenses related to the consequences of Hurricanes Harvey, Irma, and<br \/>\nMaria: Provided, That such amount is designated by the Congress as<br \/>\nbeing for an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>GENERAL PROVISION&#8211;THIS TITLE<\/p>\n<p>Sec. 21001. Notwithstanding &lt;&lt;NOTE: Puerto Rico.&gt;&gt; section<br \/>\n18236(b) of title 10, United States Code, the Secretary of Defense shall<br \/>\ncontribute to Puerto Rico, 100 percent of the total cost of construction<br \/>\n(including the cost of architectural, engineering and design services)<br \/>\nfor the acquisition, construction, expansion, rehabilitation, or<br \/>\nconversion of the Arroyo readiness center under paragraph (5) of section<br \/>\n18233(a) of title 10, United States Code.<\/p>\n<p>TITLE XI<\/p>\n<p>DEPARTMENT OF TRANSPORTATION<\/p>\n<p>Federal Aviation Administration<\/p>\n<p>operations<\/p>\n<p>(airport and airway trust fund)<\/p>\n<p>For an additional amount for &#8220;Operations&#8221;, $35,000,000, to be<br \/>\nderived from the Airport and Airway Trust Fund and to remain available<br \/>\nuntil expended, for necessary expenses related to the consequences of<br \/>\nHurricanes Harvey, Irma, and Maria, and other hurricanes occurring in<br \/>\ncalendar year 2017: Provided, That such amount is designated by the<br \/>\nCongress as being for an emergency requirement pursuant to section<br \/>\n251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act<br \/>\nof 1985.<\/p>\n<p>[[Page 132 STAT. 102]]<\/p>\n<p>facilities and equipment<\/p>\n<p>(airport and airway trust fund)<\/p>\n<p>For an additional amount for &#8220;Facilities and Equipment&#8221;,<br \/>\n$79,589,000, to be derived from the Airport and Airway Trust Fund and to<br \/>\nremain available until expended, for necessary expenses related to the<br \/>\nconsequences of Hurricanes Harvey, Irma, and Maria, and other hurricanes<br \/>\noccurring in calendar year 2017: Provided, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>Federal Highway Administration<\/p>\n<p>federal-aid highways<\/p>\n<p>emergency relief program<\/p>\n<p>For an additional amount for the &#8220;Emergency Relief Program&#8221; as<br \/>\nauthorized under section 125 of title 23, United States Code,<br \/>\n$1,374,000,000, to remain available until<br \/>\nexpended: &lt;&lt;NOTE: Applicability.&gt;&gt; Provided, That notwithstanding<br \/>\nsection 125(d)(4) of title 23, United States Code, no limitation on the<br \/>\ntotal obligations for projects under section 125 of such title shall<br \/>\napply to the Virgin Islands, Guam, American Samoa, and the Commonwealth<br \/>\nof the Northern Mariana Islands for fiscal year 2018 and fiscal year<br \/>\n2019: Provided further, That notwithstanding subsection (e) of section<br \/>\n120 of title 23, United States Code, for this fiscal year and hereafter,<br \/>\nthe Federal share for Emergency Relief funds made available under<br \/>\nsection 125 of such title to respond to damage caused by Hurricanes Irma<br \/>\nand Maria, shall be 100 percent for Puerto Rico: Provided further, That<br \/>\nsuch amount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985.<\/p>\n<p>Federal Transit Administration<\/p>\n<p>public transportation emergency relief program<\/p>\n<p>For an additional amount for the &#8220;Public Transportation Emergency<br \/>\nRelief Program&#8221; as authorized under section 5324 of title 49, United<br \/>\nStates Code, $330,000,000 to remain available until expended, for<br \/>\ntransit systems affected by Hurricanes Harvey, Irma, and Maria with<br \/>\nmajor disaster declarations in 2017: Provided, That not more than<br \/>\nthree-quarters of one percent of the funds for public transportation<br \/>\nemergency relief shall be available for administrative expenses and<br \/>\nongoing program management oversight as authorized under sections 5334<br \/>\nand 5338(f)(2) of such title and shall be in addition to any other<br \/>\nappropriations for such purpose: Provided further, That such amount is<br \/>\ndesignated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>[[Page 132 STAT. 103]]<\/p>\n<p>Maritime Administration<\/p>\n<p>operations and training<\/p>\n<p>For an additional amount for &#8220;Operations and Training&#8221;,<br \/>\n$10,000,000, to remain available until expended, for necessary expenses,<br \/>\nincluding for dredging, related to damage to Maritime Administration<br \/>\nfacilities resulting from Hurricane Harvey: Provided, That such amount<br \/>\nis designated by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985.<\/p>\n<p>General Provision&#8211;Department of Transportation<\/p>\n<p>Sec. 21101. Notwithstanding 49 U.S.C. 5302, for fiscal years 2018,<br \/>\n2019, and 2020 the Secretary of Transportation shall treat an area as an<br \/>\n&#8220;urbanized area&#8221; for purposes of 49 U.S.C. 5307 and 5336(a) until the<br \/>\nnext decennial census following the enactment of this Act if the area<br \/>\nwas defined and designated as an &#8220;urbanized&#8221; area by the Secretary of<br \/>\nCommerce in the 2000 decennial census and the population of such area<br \/>\nfell below 50,000 after the 2000 decennial census as a result of a major<br \/>\ndisaster: Provided, That an area treated as an &#8220;urbanized area&#8221; for<br \/>\npurposes of this section shall be assigned the population and square<br \/>\nmiles of the urbanized area designated by the Secretary of Commerce in<br \/>\nthe 2000 decennial census: Provided further, That the term &#8220;major<br \/>\ndisaster&#8221; has the meaning given such term in section 102(2) of the<br \/>\nDisaster Relief Act of 1974 (42 U.S.C. 5122(2)).<\/p>\n<p>DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT<\/p>\n<p>Community Planning and Development<\/p>\n<p>community development fund<\/p>\n<p>(including transfers of funds)<\/p>\n<p>For an additional amount for &#8220;Community Development Fund&#8221;,<br \/>\n$28,000,000,000, to remain available until expended, for necessary<br \/>\nexpenses for activities authorized under title I of the Housing and<br \/>\nCommunity Development Act of 1974 (42 U.S.C. 5301 et seq.) related to<br \/>\ndisaster relief, long-term recovery, restoration of infrastructure and<br \/>\nhousing, economic revitalization, and mitigation in the most impacted<br \/>\nand distressed areas resulting from a major declared disaster that<br \/>\noccurred in 2017 (except as otherwise provided under this heading)<br \/>\npursuant to the Robert T. Stafford Disaster Relief and Emergency<br \/>\nAssistance Act (42 U.S.C. 5121 et seq.): Provided, That funds shall be<br \/>\nawarded directly to the State, unit of general local government, or<br \/>\nIndian tribe (as such term is defined in section 102 of the Housing and<br \/>\nCommunity Development Act of 1974) at the discretion of the Secretary:<br \/>\nProvided further, That of the amounts made available under this heading,<br \/>\nup to $16,000,000,000 shall be allocated to meet unmet needs for<br \/>\ngrantees that have received or will receive allocations under this<br \/>\nheading for major declared disasters that occurred in 2017 or under the<br \/>\nsame heading of Division B of Public Law 115-56, except that, of the<br \/>\namounts made available under this proviso, no less than $11,000,000,000<br \/>\nshall be allocated to the States and units<\/p>\n<p>[[Page 132 STAT. 104]]<\/p>\n<p>of local government affected by Hurricane Maria, and of such amounts<br \/>\nallocated to such grantees affected by Hurricane Maria, $2,000,000,000<br \/>\nshall be used to provide enhanced or improved electrical power systems:<br \/>\nProvided further, That to the extent amounts under the previous proviso<br \/>\nare insufficient to meet all unmet needs, the allocation amounts related<br \/>\nto infrastructure shall be reduced proportionally based on the total<br \/>\ninfrastructure needs of all grantees: &lt;&lt;NOTE: Determination.&gt;&gt;<br \/>\nProvided further, That of the amounts made available under this heading,<br \/>\nno less than $12,000,000,000 shall be allocated for mitigation<br \/>\nactivities to all grantees of funding provided under this heading,<br \/>\nsection 420 of division L of Public Law 114-113, section 145 of division<br \/>\nC of Public Law 114-223, section 192 of division C of Public Law 114-223<br \/>\n(as added by section 101(3) of division A of Public Law 114-254),<br \/>\nsection 421 of division K of Public Law 115-31, and the same heading in<br \/>\ndivision B of Public Law 115-56, and that such mitigation activities<br \/>\nshall be subject to the same terms and conditions under this<br \/>\nsubdivision, as determined by the Secretary: Provided further, That all<br \/>\nsuch grantees shall receive an allocation of funds under the preceding<br \/>\nproviso in the same proportion that the amount of funds each grantee<br \/>\nreceived or will receive under the second proviso of this heading or the<br \/>\nheadings and sections specified in the previous proviso bears to the<br \/>\namount of all funds provided to all grantees specified in the previous<br \/>\nproviso: &lt;&lt;NOTE: Deadlines.&gt;&gt; Provided further, That of the amounts<br \/>\nmade available under the second and fourth provisos of this heading, the<br \/>\nSecretary shall allocate to all such grantees an aggregate amount not<br \/>\nless than 33 percent of each such amounts of funds provided under this<br \/>\nheading within 60 days after the enactment of this subdivision based on<br \/>\nthe best available data (especially with respect to data for all such<br \/>\ngrantees affected by Hurricanes Harvey, Irma, and Maria), and shall<br \/>\nallocate no less than 100 percent of the funds provided under this<br \/>\nheading by no later than December 1, 2018: Provided further, That the<br \/>\nSecretary shall not prohibit the use of funds made available under this<br \/>\nheading and the same heading in division B of Public Law 115-56 for non-<br \/>\nfederal share as authorized by section 105(a)(9) of the Housing and<br \/>\nCommunity Development Act of 1974 (42 U.S.C. 5305(a)(9)): Provided<br \/>\nfurther, That of the amounts made available under this heading, grantees<br \/>\nmay establish grant programs to assist small businesses for working<br \/>\ncapital purposes to aid in recovery: Provided further,<br \/>\nThat &lt;&lt;NOTE: Certification.&gt;&gt; as a condition of making any grant, the<br \/>\nSecretary shall certify in advance that such grantee has in place<br \/>\nproficient financial controls and procurement processes and has<br \/>\nestablished adequate procedures to prevent any duplication of benefits<br \/>\nas defined by section 312 of the Robert T. Stafford Disaster Relief and<br \/>\nEmergency Assistance Act (42 U.S.C. 5155), to ensure timely expenditure<br \/>\nof funds, to maintain comprehensive websites regarding all disaster<br \/>\nrecovery activities assisted with these funds, and to detect and prevent<br \/>\nwaste, fraud, and abuse of funds: Provided further, That with respect<br \/>\nto any such duplication of benefits, the Secretary and any grantee under<br \/>\nthis section shall not take into consideration or reduce the amount<br \/>\nprovided to any applicant for assistance from the grantee where such<br \/>\napplicant applied for and was approved, but declined assistance related<br \/>\nto such major declared disasters that occurred in 2014, 2015, 2016, and<br \/>\n2017 from the Small Business Administration under section 7(b) of the<br \/>\nSmall Business Act (15 U.S.C. 636(b)): &lt;&lt;NOTE: Web<br \/>\nposting. Records. Contracts. Determination.&gt;&gt; Provided further, That<br \/>\nthe<\/p>\n<p>[[Page 132 STAT. 105]]<\/p>\n<p>Secretary shall require grantees to maintain on a public website<br \/>\ninformation containing common reporting criteria established by the<br \/>\nDepartment that permits individuals and entities awaiting assistance and<br \/>\nthe general public to see how all grant funds are used, including copies<br \/>\nof all relevant procurement documents, grantee administrative contracts<br \/>\nand details of ongoing procurement processes, as determined by the<br \/>\nSecretary: &lt;&lt;NOTE: Plan.&gt;&gt; Provided further, That prior to the<br \/>\nobligation of funds a grantee shall submit a plan to the Secretary for<br \/>\napproval detailing the proposed use of all funds, including criteria for<br \/>\neligibility and how the use of these funds will address long-term<br \/>\nrecovery and restoration of infrastructure and housing, economic<br \/>\nrevitalization, and mitigation in the most impacted and distressed<br \/>\nareas: Provided further, That such funds may not be used for activities<br \/>\nreimbursable by, or for which funds are made available by, the Federal<br \/>\nEmergency Management Agency or the Army Corps of Engineers: Provided<br \/>\nfurther, That funds allocated under this heading shall not be considered<br \/>\nrelevant to the non-disaster formula allocations made pursuant to<br \/>\nsection 106 of the Housing and Community Development Act of 1974 (42<br \/>\nU.S.C. 5306): Provided further, That a State, unit of general local<br \/>\ngovernment, or Indian tribe may use up to 5 percent of its allocation<br \/>\nfor administrative costs: Provided further, That the sixth proviso<br \/>\nunder this heading in the Supplemental Appropriations for Disaster<br \/>\nRelief Requirements Act, 2017 (division B of Public Law 115-56) is<br \/>\namended &lt;&lt;NOTE: 131 Stat. 1138.&gt;&gt; by striking &#8220;State or subdivision<br \/>\nthereof&#8221; and inserting &#8220;State, unit of general local government, or<br \/>\nIndian tribe (as such term is defined in section 102 of the Housing and<br \/>\nCommunity Development Act of 1974 (42 U.S.C. 5302))&#8221;: Provided<br \/>\nfurther, That in administering &lt;&lt;NOTE: Waiver authority.&gt;&gt; the funds<br \/>\nunder this heading, the Secretary of Housing and Urban Development may<br \/>\nwaive, or specify alternative requirements for, any provision of any<br \/>\nstatute or regulation that the Secretary administers in connection with<br \/>\nthe obligation by the Secretary or the use by the recipient of these<br \/>\nfunds (except for requirements related to fair housing,<br \/>\nnondiscrimination, labor standards, and the environment), if the<br \/>\nSecretary finds that good cause exists for the waiver or alternative<br \/>\nrequirement and such waiver or alternative requirement would not be<br \/>\ninconsistent with the overall purpose of title I of the Housing and<br \/>\nCommunity Development Act of 1974: Provided further, That,<br \/>\nnotwithstanding the preceding proviso, recipients of funds provided<br \/>\nunder this heading that use such funds to supplement Federal assistance<br \/>\nprovided under section 402, 403, 404, 406, 407, 408(c)(4), or 502 of the<br \/>\nRobert T. Stafford Disaster Relief and Emergency Assistance Act (42<br \/>\nU.S.C. 5121 et seq.) may adopt, without review or public comment, any<br \/>\nenvironmental review, approval, or permit performed by a Federal agency,<br \/>\nand such adoption shall satisfy the responsibilities of the recipient<br \/>\nwith respect to such environmental review, approval or permit: Provided<br \/>\nfurther, That, notwithstanding section 104(g)(2) of the Housing and<br \/>\nCommunity Development Act of 1974 (42 U.S.C. 5304(g)(2)), the Secretary<br \/>\nmay, upon receipt of a request for release of funds and certification,<br \/>\nimmediately approve the release of funds for an activity or project<br \/>\nassisted under this heading if the recipient has adopted an<br \/>\nenvironmental review, approval or permit under the preceding proviso or<br \/>\nthe activity or project is categorically excluded from review under the<br \/>\nNational Environmental Policy Act of 1969 (42 U.S.C. 4321 et seq.):<br \/>\nProvided further, That the Secretary &lt;&lt;NOTE: Notice. Federal<br \/>\nRegister, publication. Deadline.&gt;&gt; shall publish via notice in the<br \/>\nFederal Register<\/p>\n<p>[[Page 132 STAT. 106]]<\/p>\n<p>any waiver, or alternative requirement, to any statute or regulation<br \/>\nthat the Secretary administers pursuant to title I of the Housing and<br \/>\nCommunity Development Act of 1974 no later than 5 days before the<br \/>\neffective date of such waiver or alternative requirement: Provided<br \/>\nfurther, That the eighth proviso under this heading in the Supplemental<br \/>\nAppropriations for Disaster Relief Requirements Act, 2017 (division B of<br \/>\nPublic Law 115-56) &lt;&lt;NOTE: 131 Stat. 1138.&gt;&gt; is amended by inserting<br \/>\n&#8220;408(c)(4),&#8221; after &#8220;407,&#8221;: Provided further, That of the amounts<br \/>\nmade available under this heading, up to $15,000,000 shall be made<br \/>\navailable for capacity building and technical assistance, including<br \/>\nassistance on contracting and procurement processes, to support States,<br \/>\nunits of general local government, or Indian tribes (and their<br \/>\nsubrecipients) that receive allocations pursuant to this heading,<br \/>\nreceived disaster recovery allocations under the same heading in Public<br \/>\nLaw 115-56, or may receive similar allocations for disaster recovery in<br \/>\nfuture appropriations Acts: Provided further, That of the amounts made<br \/>\navailable under this heading, up to $10,000,000 shall be transferred, in<br \/>\naggregate, to &#8220;Department of Housing and Urban Development&#8211;Program<br \/>\nOffice Salaries and Expenses&#8211;Community Planning and Development&#8221; for<br \/>\nnecessary costs, including information technology costs, of<br \/>\nadministering and overseeing the obligation and expenditure of amounts<br \/>\nunder this heading: Provided further, That the amount specified in the<br \/>\npreceding proviso shall be combined with funds appropriated under the<br \/>\nsame heading and for the same purpose in Public Law 115-56 and the<br \/>\naggregate of such amounts shall be available for any of the purposes<br \/>\nspecified under this heading or the same heading in Public Law 115-56<br \/>\nwithout limitation: Provided further, That, of the funds made available<br \/>\nunder this heading, $10,000,000 shall be transferred to the Office of<br \/>\nthe Inspector General for necessary costs of overseeing and auditing<br \/>\nfunds made available under this heading: Provided further, That such<br \/>\namount is designated by the Congress as being for an emergency<br \/>\nrequirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget<br \/>\nand Emergency Deficit Control Act of 1985: Provided further, That<br \/>\namounts repurposed pursuant to this section that were previously<br \/>\ndesignated by the Congress as an emergency requirement pursuant to the<br \/>\nBalanced Budget and Emergency Deficit Control Act are designated by the<br \/>\nCongress as an emergency requirement pursuant to section 251(b)(2)(A)(i)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985.<\/p>\n<p>General Provisions&#8211;Department of Housing and Urban Development<\/p>\n<p>Sec. 21102. Any funds made available under the heading &#8220;Community<br \/>\nDevelopment Fund&#8221; under this subdivision that remain available, after<br \/>\nthe other funds under such heading have been allocated for necessary<br \/>\nexpenses for activities authorized under such heading, shall be used for<br \/>\nadditional mitigation activities in the most impacted and distressed<br \/>\nareas resulting from a major declared disaster that occurred in 2014,<br \/>\n2015, 2016 or 2017: Provided, That such remaining funds shall be<br \/>\nawarded to grantees of funding provided for disaster relief under the<br \/>\nheading &#8220;Community Development Fund&#8221; in this subdivision, section 420<br \/>\nof division L of Public Law 114-113, section 145 of division C of Public<br \/>\nLaw 114-223, section 192 of division C of Public Law 114-223 (as added<br \/>\nby section 101(3) of division A of Public Law 114-254),<\/p>\n<p>[[Page 132 STAT. 107]]<\/p>\n<p>section 421 of division K of Public Law 115-31, and the same heading in<br \/>\ndivision B of Public Law 115-56 subject to the same terms and conditions<br \/>\nunder this subdivision and such Acts respectively: Provided further,<br \/>\nThat each such grantee shall receive an allocation from such remaining<br \/>\nfunds in the same proportion that the amount of funds such grantee<br \/>\nreceived under this subdivision and under the Acts specified in the<br \/>\nprevious proviso bears to the amount of all funds provided to all<br \/>\ngrantees specified in the previous proviso.<br \/>\nSec. 21103. For &lt;&lt;NOTE: Consultation.&gt;&gt; 2018, the Secretary of<br \/>\nHousing and Urban Development may make temporary adjustments to the<br \/>\nsection 8 housing choice voucher annual renewal funding allocations and<br \/>\nadministrative fee eligibility determinations for public housing<br \/>\nagencies located in the most impacted and distressed areas in which a<br \/>\nmajor Presidentially declared disaster occurred during 2017 under title<br \/>\nIV of the Robert T. Stafford Disaster Relief and Emergency Assistance<br \/>\nAct (42 U.S.C. 5170 et seq.), to avoid significant adverse funding<br \/>\nimpacts that would otherwise result from the disaster, or to facilitate<br \/>\nleasing up to a public housing agency&#8217;s authorized level of units under<br \/>\ncontract (but not to exceed such level), upon request by and in<br \/>\nconsultation with a public housing agency and supported by documentation<br \/>\nas required by the Secretary that demonstrates the need for the<br \/>\nadjustment.<\/p>\n<p>TITLE XII<\/p>\n<p>GENERAL PROVISIONS&#8211;THIS SUBDIVISION<\/p>\n<p>Sec. 21201. Each amount appropriated or made available by this<br \/>\nsubdivision is in addition to amounts otherwise appropriated for the<br \/>\nfiscal year involved.<br \/>\nSec. 21202. No part of any appropriation contained in this<br \/>\nsubdivision shall remain available for obligation beyond the current<br \/>\nfiscal year unless expressly so provided herein.<br \/>\nSec. 21203. Unless otherwise provided for by this subdivision, the<br \/>\nadditional amounts appropriated by this subdivision to appropriations<br \/>\naccounts shall be available under the authorities and conditions<br \/>\napplicable to such appropriations accounts for fiscal year 2018.<br \/>\nSec. 21204. Each &lt;&lt;NOTE: President.&gt;&gt; amount designated in this<br \/>\nsubdivision by the Congress as being for an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985 shall be available (or rescinded or<br \/>\ntransferred, if applicable) only if the President subsequently so<br \/>\ndesignates all such amounts and transmits such designations to the<br \/>\nCongress.<\/p>\n<p>Sec. 21205. For purposes of this subdivision, the consequences or<br \/>\nimpacts of any hurricane shall include damages caused by the storm at<br \/>\nany time during the entirety of its duration as a cyclone, as defined by<br \/>\nthe National Hurricane Center.<br \/>\nSec. 21206. Any &lt;&lt;NOTE: President.&gt;&gt; amount appropriated by this<br \/>\nsubdivision, designated by the Congress as an emergency requirement<br \/>\npursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985 and subsequently so designated by the<br \/>\nPresident, and transferred pursuant to transfer authorities provided by<br \/>\nthis subdivision shall retain such designation.<\/p>\n<p>[[Page 132 STAT. 108]]<\/p>\n<p>Sec. 21207. The &lt;&lt;NOTE: Applicability.&gt;&gt; terms and conditions<br \/>\napplicable to the funds provided in this subdivision, including those<br \/>\nprovided by this title, shall also apply to the funds made available in<br \/>\ndivision B of Public Law 115-56 and in division A of Public Law 115-72.<\/p>\n<p>Sec. 21208. (a) Section 305 of division A of the Additional<br \/>\nSupplemental Appropriations for Disaster Relief Requirements Act, 2017<br \/>\n(Public Law 115-72) &lt;&lt;NOTE: 131 Stat. 1227.&gt;&gt; is amended&#8211;<br \/>\n(1) in subsection (a)&#8211;<br \/>\n(A) &lt;&lt;NOTE: Deadline.&gt;&gt; by striking &#8220;(1) Not later<br \/>\nthan December 31, 2017,&#8221; and inserting &#8220;Not later than<br \/>\nMarch 31, 2018,&#8221;; and<br \/>\n(B) by striking paragraph (2); and<br \/>\n(2) in subsection (b), by striking &#8220;receiving funds under<br \/>\nthis division&#8221; and inserting &#8220;expending more than $10,000,000<br \/>\nof funds provided by this division and division B of Public Law<br \/>\n115-56 in any one fiscal year&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: Applicability.&gt;&gt; Section 305 of division A of the<br \/>\nAdditional Supplemental Appropriations for Disaster Relief Requirements<br \/>\nAct, 2017 (Public Law 115-72), as amended by this section, shall apply<br \/>\nto funds appropriated by this division as if they had been appropriated<br \/>\nby that division.<\/p>\n<p>(c) &lt;&lt;NOTE: Disaster assistance. Deadline. Guidance. 31 USC 501<br \/>\nnote.&gt;&gt; In order to proactively prepare for oversight of future<br \/>\ndisaster relief funding, not later than one year after the date of<br \/>\nenactment of this Act, the Director of the Office of Management and<br \/>\nBudget shall issue standard guidance for Federal agencies to use in<br \/>\ndesigning internal control plans for disaster relief funding. This<br \/>\nguidance shall leverage existing internal control review processes and<br \/>\nshall include, at a minimum, the following elements:<br \/>\n(1) &lt;&lt;NOTE: Criteria.&gt;&gt; Robust criteria for identifying and<br \/>\ndocumenting incremental risks and mitigating controls related to<br \/>\nthe funding.<br \/>\n(2) Guidance for documenting the linkage between the<br \/>\nincremental risks related to disaster funding and efforts to<br \/>\naddress known internal control risks.<\/p>\n<p>Sec. 21209. Any &lt;&lt;NOTE: Reports.&gt;&gt; agency or department provided<br \/>\nfunding in excess of $3,000,000,000 by this subdivision, including the<br \/>\nFederal Emergency Management Agency, the Department of Housing and Urban<br \/>\nDevelopment, and the Corps of Engineers, is directed to provide a report<br \/>\nto the Committees on Appropriations of the House of Representatives and<br \/>\nthe Senate regarding its efforts to provide adequate resources and<br \/>\ntechnical assistance for small, low-income communities affected by<br \/>\nnatural disasters.<\/p>\n<p>Sec. 21210. (a) &lt;&lt;NOTE: Deadline. Coordination. Puerto<br \/>\nRico. Reports. Plan.&gt;&gt; Not later than 180 days after the date of<br \/>\nenactment of this subdivision and in coordination with the Administrator<br \/>\nof the Federal Emergency Management Agency, with support and<br \/>\ncontributions from the Secretary of the Treasury, the Secretary of<br \/>\nEnergy, and other Federal agencies having responsibilities defined under<br \/>\nthe National Disaster Recovery Framework, the Governor of the<br \/>\nCommonwealth of Puerto Rico shall submit to Congress a report describing<br \/>\nthe Commonwealth&#8217;s 12- and 24-month economic and disaster recovery plan<br \/>\nthat&#8211;<br \/>\n(1) defines the priorities, goals, and expected outcomes of<br \/>\nthe recovery effort for the Commonwealth, based on damage<br \/>\nassessments prepared pursuant to Federal law, if applicable,<br \/>\nincluding&#8211;<br \/>\n(A) housing;<br \/>\n(B) economic issues, including workforce development<br \/>\nand industry expansion and cultivation;<br \/>\n(C) health and social services;<\/p>\n<p>[[Page 132 STAT. 109]]<\/p>\n<p>(D) natural and cultural resources;<br \/>\n(E) governance and civic institutions;<br \/>\n(F) electric power systems and grid restoration;<br \/>\n(G) environmental issues, including solid waste<br \/>\nfacilities; and<br \/>\n(H) other infrastructure systems, including repair,<br \/>\nrestoration, replacement, and improvement of public<br \/>\ninfrastructure such water and wastewater treatment<br \/>\nfacilities, communications networks, and transportation<br \/>\ninfrastructure;<br \/>\n(2) is consistent with&#8211;<br \/>\n(A) the Commonwealth&#8217;s fiscal capacity to provide<br \/>\nlong-term operation and maintenance of rebuilt or<br \/>\nreplaced assets;<br \/>\n(B) alternative procedures and associated<br \/>\nprogrammatic guidance adopted by the Administrator of<br \/>\nthe Federal Emergency Management Agency pursuant to<br \/>\nsection 428 of the Robert T. Stafford Disaster Relief<br \/>\nand Emergency Assistance Act (42 U.S.C. 5189f); and<br \/>\n(C) actions as may be necessary to mitigate<br \/>\nvulnerabilities to future extreme weather events and<br \/>\nnatural disasters and increase community resilience,<br \/>\nincluding encouraging the adoption and enforcement of<br \/>\nthe latest published editions of relevant consensus-<br \/>\nbased codes, specifications, and standards that<br \/>\nincorporate the latest hazard-resistant designs and<br \/>\nestablish minimum acceptable criteria for the design,<br \/>\nconstruction, and maintenance of residential structures<br \/>\nand facilities for the purpose of protecting the health,<br \/>\nsafety, and general welfare of the buildings&#8217; users<br \/>\nagainst disasters;<br \/>\n(3) promotes transparency and accountability through<br \/>\nappropriate public notification, outreach, and hearings;<br \/>\n(4) identifies performance metrics for assessing and<br \/>\nreporting on the progress toward achieving the Commonwealth&#8217;s<br \/>\nrecovery goals, as identified under paragraph (1);<br \/>\n(5) is developed in coordination with the Oversight Board<br \/>\nestablished under PROMESA; and<br \/>\n(6) &lt;&lt;NOTE: Certification.&gt;&gt; is certified by that Oversight<br \/>\nBoard to be consistent with the purpose set forth in section<br \/>\n101(a) of PROMESA (48 U.S.C. 2121(a)).<\/p>\n<p>(b) &lt;&lt;NOTE: Time period. Updates.&gt;&gt; At the end of every 30-day<br \/>\nperiod before the submission of the report described in subsection (a),<br \/>\nthe Governor of the Commonwealth of Puerto Rico, in coordination with<br \/>\nthe Administrator of the Federal Emergency Management Agency, shall<br \/>\nprovide to Congress interim status updates on progress developing such<br \/>\nreport.<\/p>\n<p>(c) &lt;&lt;NOTE: Time period.&gt;&gt; At the end of every 180-day period after<br \/>\nthe submission of the report described in subsection (a), the Governor<br \/>\nof the Commonwealth of Puerto Rico, in coordination with the<br \/>\nAdministrator of the Federal Emergency Management Agency, shall make<br \/>\npublic a report on progress achieving the goals set forth in such<br \/>\nreport.<\/p>\n<p>(d) During the development, and after the submission, of the report<br \/>\nrequired in subsection (a), the Oversight Board may provide to Congress<br \/>\nreports on the status of coordination with the Governor of Puerto Rico.<\/p>\n<p>[[Page 132 STAT. 110]]<\/p>\n<p>(e) Amounts made available by this subdivision to a covered<br \/>\nterritory for response to or recovery from Hurricane Irma or Hurricane<br \/>\nMaria in an aggregate amount greater than $10,000,000 may be reviewed by<br \/>\nthe Oversight Board under the Oversight Board&#8217;s authority under<br \/>\n204(b)(2) of PROMESA (48 U.S.C. 2144(b)(2)).<br \/>\n(f) &lt;&lt;NOTE: Assessments.&gt;&gt; When developing a Fiscal Plan while the<br \/>\nrecovery plan required under subsection (a) is in development and in<br \/>\neffect, the Oversight Board shall use and incorporate, to the greatest<br \/>\nextent feasible, damage assessments prepared pursuant to Federal law.<\/p>\n<p>(g) For purposes of this section, the terms &#8220;covered territory&#8221;<br \/>\nand &#8220;Oversight Board&#8221; have the meaning given those term in section 5<br \/>\nof PROMESA (48 U.S.C. 2104).<br \/>\nThis subdivision may be cited as the &#8220;Further Additional<br \/>\nSupplemental Appropriations for Disaster Relief Requirements Act,<br \/>\n2018&#8221;.<\/p>\n<p>SUBDIVISION 2&#8211;TAX RELIEF AND MEDICAID CHANGES RELATING TO CERTAIN<br \/>\nDISASTERS<\/p>\n<p>TITLE I&#8211;CALIFORNIA FIRES<\/p>\n<p>SEC. 20101. DEFINITIONS.<\/p>\n<p>For purposes of this title&#8211;<br \/>\n(1) California wildfire disaster zone.&#8211;The term<br \/>\n&#8220;California wildfire disaster zone&#8221; means that portion of the<br \/>\nCalifornia wildfire disaster area determined by the President to<br \/>\nwarrant individual or individual and public assistance from the<br \/>\nFederal Government under the Robert T. Stafford Disaster Relief<br \/>\nand Emergency Assistance Act by reason of wildfires in<br \/>\nCalifornia.<br \/>\n(2) &lt;&lt;NOTE: Time period. President.&gt;&gt; California wildfire<br \/>\ndisaster area.&#8211;The term &#8220;California wildfire disaster area&#8221;<br \/>\nmeans an area with respect to which between January 1, 2017<br \/>\nthrough January 18, 2018 a major disaster has been declared by<br \/>\nthe President under section 401 of such Act by reason of<br \/>\nwildfires in California.<br \/>\nSEC. 20102. SPECIAL DISASTER-RELATED RULES FOR USE OF RETIREMENT<br \/>\nFUNDS.<\/p>\n<p>(a) Tax-Favored Withdrawals From Retirement Plans.&#8211;<br \/>\n(1) In general.&#8211;Section 72(t) of the Internal Revenue Code<br \/>\nof 1986 shall not apply to any qualified wildfire distribution.<br \/>\n(2) Aggregate dollar limitation.&#8211;<br \/>\n(A) In general.&#8211;For purposes of this subsection,<br \/>\nthe aggregate amount of distributions received by an<br \/>\nindividual which may be treated as qualified wildfire<br \/>\ndistributions for any taxable year shall not exceed the<br \/>\nexcess (if any) of&#8211;<br \/>\n(i) $100,000, over<br \/>\n(ii) the aggregate amounts treated as<br \/>\nqualified wildfire distributions received by such<br \/>\nindividual for all prior taxable years.<\/p>\n<p>[[Page 132 STAT. 111]]<\/p>\n<p>(B) Treatment of plan distributions.&#8211;If a<br \/>\ndistribution to an individual would (without regard to<br \/>\nsubparagraph (A)) be a qualified wildfire distribution,<br \/>\na plan shall not be treated as violating any requirement<br \/>\nof the Internal Revenue Code of 1986 merely because the<br \/>\nplan treats such distribution as a qualified wildfire<br \/>\ndistribution, unless the aggregate amount of such<br \/>\ndistributions from all plans maintained by the employer<br \/>\n(and any member of any controlled group which includes<br \/>\nthe employer) to such individual exceeds $100,000.<br \/>\n(C) &lt;&lt;NOTE: Definition.&gt;&gt; Controlled group.&#8211;For<br \/>\npurposes of subparagraph (B), the term &#8220;controlled<br \/>\ngroup&#8221; means any group treated as a single employer<br \/>\nunder subsection (b), (c), (m), or (o) of section 414 of<br \/>\nthe Internal Revenue Code of 1986.<br \/>\n(3) Amount distributed may be repaid.&#8211;<br \/>\n(A) &lt;&lt;NOTE: Time period. Effective date.&gt;&gt; In<br \/>\ngeneral.&#8211;Any individual who receives a qualified<br \/>\nwildfire distribution may, at any time during the 3-year<br \/>\nperiod beginning on the day after the date on which such<br \/>\ndistribution was received, make one or more<br \/>\ncontributions in an aggregate amount not to exceed the<br \/>\namount of such distribution to an eligible retirement<br \/>\nplan of which such individual is a beneficiary and to<br \/>\nwhich a rollover contribution of such distribution could<br \/>\nbe made under section 402(c), 403(a)(4), 403(b)(8),<br \/>\n408(d)(3), or 457(e)(16), of the Internal Revenue Code<br \/>\nof 1986, as the case may be.<br \/>\n(B) Treatment of repayments of distributions from<br \/>\neligible retirement plans other than iras.&#8211;<br \/>\n&lt;&lt;NOTE: Deadline.&gt;&gt; For purposes of the Internal Revenue<br \/>\nCode of 1986, if a contribution is made pursuant to<br \/>\nsubparagraph (A) with respect to a qualified wildfire<br \/>\ndistribution from an eligible retirement plan other than<br \/>\nan individual retirement plan, then the taxpayer shall,<br \/>\nto the extent of the amount of the contribution, be<br \/>\ntreated as having received the qualified wildfire<br \/>\ndistribution in an eligible rollover distribution (as<br \/>\ndefined in section 402(c)(4) of such Code) and as having<br \/>\ntransferred the amount to the eligible retirement plan<br \/>\nin a direct trustee to trustee transfer within 60 days<br \/>\nof the distribution.<br \/>\n(C) Treatment of repayments for distributions from<br \/>\niras.&#8211;For purposes &lt;&lt;NOTE: Deadline.&gt;&gt; of the Internal<br \/>\nRevenue Code of 1986, if a contribution is made pursuant<br \/>\nto subparagraph (A) with respect to a qualified wildfire<br \/>\ndistribution from an individual retirement plan (as<br \/>\ndefined by section 7701(a)(37) of such Code), then, to<br \/>\nthe extent of the amount of the contribution, the<br \/>\nqualified wildfire distribution shall be treated as a<br \/>\ndistribution described in section 408(d)(3) of such Code<br \/>\nand as having been transferred to the eligible<br \/>\nretirement plan in a direct trustee to trustee transfer<br \/>\nwithin 60 days of the distribution.<br \/>\n(4) Definitions.&#8211;For purposes of this subsection&#8211;<br \/>\n(A) &lt;&lt;NOTE: Time periods.&gt;&gt; Qualified wildfire<br \/>\ndistribution.&#8211;Except as provided in paragraph (2), the<br \/>\nterm &#8220;qualified wildfire distribution&#8221; means any<br \/>\ndistribution from an eligible retirement plan made on or<br \/>\nafter October 8, 2017, and before January 1, 2019, to an<br \/>\nindividual whose principal place of abode during any<br \/>\nportion of the period from October 8, 2017,<\/p>\n<p>[[Page 132 STAT. 112]]<\/p>\n<p>to December 31, 2017, is located in the California<br \/>\nwildfire disaster area and who has sustained an economic<br \/>\nloss by reason of the wildfires to which the declaration<br \/>\nof such area relates.<br \/>\n(B) Eligible retirement plan.&#8211;The term &#8220;eligible<br \/>\nretirement plan&#8221; shall have the meaning given such term<br \/>\nby section 402(c)(8)(B) of the Internal Revenue Code of<br \/>\n1986.<br \/>\n(5) Income inclusion spread over 3-year period.&#8211;<br \/>\n(A) In general.&#8211;In the case of any qualified<br \/>\nwildfire distribution, unless the taxpayer elects not to<br \/>\nhave this paragraph apply for any taxable year, any<br \/>\namount required to be included in gross income for such<br \/>\ntaxable year shall be so included ratably over the 3-<br \/>\ntaxable-year period beginning with such taxable year.<br \/>\n(B) &lt;&lt;NOTE: Applicability.&gt;&gt; Special rule.&#8211;For<br \/>\npurposes of subparagraph (A), rules similar to the rules<br \/>\nof subparagraph (E) of section 408A(d)(3) of the<br \/>\nInternal Revenue Code of 1986 shall apply.<br \/>\n(6) Special rules.&#8211;<br \/>\n(A) Exemption of distributions from trustee to<br \/>\ntrustee transfer and withholding rules.&#8211;For purposes of<br \/>\nsections 401(a)(31), 402(f), and 3405 of the Internal<br \/>\nRevenue Code of 1986, qualified wildfire distributions<br \/>\nshall not be treated as eligible rollover distributions.<br \/>\n(B) Qualified wildfire distributions treated as<br \/>\nmeeting plan distribution requirements.&#8211;For purposes<br \/>\nthe Internal Revenue Code of 1986, a qualified wildfire<br \/>\ndistribution shall be treated as meeting the<br \/>\nrequirements of sections 401(k)(2)(B)(i),<br \/>\n403(b)(7)(A)(ii), 403(b)(11), and 457(d)(1)(A) of such<br \/>\nCode.<\/p>\n<p>(b) Recontributions of Withdrawals for Home Purchases.&#8211;<br \/>\n(1) Recontributions.&#8211;<br \/>\n(A) &lt;&lt;NOTE: Time period.&gt;&gt; In general.&#8211;Any<br \/>\nindividual who received a qualified distribution may,<br \/>\nduring the period beginning on October 8, 2017, and<br \/>\nending on June 30, 2018, make one or more contributions<br \/>\nin an aggregate amount not to exceed the amount of such<br \/>\nqualified distribution to an eligible retirement plan<br \/>\n(as defined in section 402(c)(8)(B) of the Internal<br \/>\nRevenue Code of 1986) of which such individual is a<br \/>\nbeneficiary and to which a rollover contribution of such<br \/>\ndistribution could be made under section 402(c),<br \/>\n403(a)(4), 403(b)(8), or 408(d)(3), of such Code, as the<br \/>\ncase may be.<br \/>\n(B) &lt;&lt;NOTE: Applicability.&gt;&gt; Treatment of<br \/>\nrepayments.&#8211;Rules similar to the rules of subparagraphs<br \/>\n(B) and (C) of subsection (a)(3) shall apply for<br \/>\npurposes of this subsection.<br \/>\n(2) &lt;&lt;NOTE: Definition.&gt;&gt; Qualified distribution.&#8211;For<br \/>\npurposes of this subsection, the term &#8220;qualified distribution&#8221;<br \/>\nmeans any distribution&#8211;<br \/>\n(A) described in section 401(k)(2)(B)(i)(IV),<br \/>\n403(b)(7)(A)(ii) (but only to the extent such<br \/>\ndistribution relates to financial hardship),<br \/>\n403(b)(11)(B), or 72(t)(2)(F), of the Internal Revenue<br \/>\nCode of 1986,<br \/>\n(B) &lt;&lt;NOTE: Time period.&gt;&gt; received after March 31,<br \/>\n2017, and before January 15, 2018, and<\/p>\n<p>[[Page 132 STAT. 113]]<\/p>\n<p>(C) which was to be used to purchase or construct a<br \/>\nprincipal residence in the California wildfire disaster<br \/>\narea but which was not so purchased or constructed on<br \/>\naccount of the wildfires to which the declaration of<br \/>\nsuch area relates.<\/p>\n<p>(c) Loans From Qualified Plans.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Time period. Applicability.&gt;&gt; Increase in limit<br \/>\non loans not treated as distributions.&#8211;In the case of any loan<br \/>\nfrom a qualified employer plan (as defined under section<br \/>\n72(p)(4) of the Internal Revenue Code of 1986) to a qualified<br \/>\nindividual made during the period beginning on the date of the<br \/>\nenactment of this Act and ending on December 31, 2018&#8211;<br \/>\n(A) clause (i) of section 72(p)(2)(A) of such Code<br \/>\nshall be applied by substituting &#8220;$100,000&#8221; for<br \/>\n&#8220;$50,000&#8221;, and<br \/>\n(B) clause (ii) of such section shall be applied by<br \/>\nsubstituting &#8220;the present value of the nonforfeitable<br \/>\naccrued benefit of the employee under the plan&#8221; for<br \/>\n&#8220;one-half of the present value of the nonforfeitable<br \/>\naccrued benefit of the employee under the plan&#8221;.<br \/>\n(2) &lt;&lt;NOTE: Effective date. Time periods.&gt;&gt; Delay of<br \/>\nrepayment.&#8211;In the case of a qualified individual with an<br \/>\noutstanding loan on or after October 8, 2017, from a qualified<br \/>\nemployer plan (as defined in section 72(p)(4) of the Internal<br \/>\nRevenue Code of 1986)&#8211;<br \/>\n(A) if the due date pursuant to subparagraph (B) or<br \/>\n(C) of section 72(p)(2) of such Code for any repayment<br \/>\nwith respect to such loan occurs during the period<br \/>\nbeginning on October 8, 2017, and ending on December 31,<br \/>\n2018, such due date shall be delayed for 1 year,<br \/>\n(B) any subsequent repayments with respect to any<br \/>\nsuch loan shall be appropriately adjusted to reflect the<br \/>\ndelay in the due date under paragraph (1) and any<br \/>\ninterest accruing during such delay, and<br \/>\n(C) in determining the 5-year period and the term of<br \/>\na loan under subparagraph (B) or (C) of section 72(p)(2)<br \/>\nof such Code, the period described in subparagraph (A)<br \/>\nshall be disregarded.<br \/>\n(3) &lt;&lt;NOTE: Definition. Time period.&gt;&gt; Qualified<br \/>\nindividual.&#8211;For purposes of this subsection, the term<br \/>\n&#8220;qualified individual&#8221; means any individual whose principal<br \/>\nplace of abode during any portion of the period from October 8,<br \/>\n2017, to December 31, 2017, is located in the California<br \/>\nwildfire disaster area and who has sustained an economic loss by<br \/>\nreason of wildfires to which the declaration of such area<br \/>\nrelates.<\/p>\n<p>(d) Provisions Relating to Plan Amendments.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Applicability.&gt;&gt; In general.&#8211;If this<br \/>\nsubsection applies to any amendment to any plan or annuity<br \/>\ncontract, such plan or contract shall be treated as being<br \/>\noperated in accordance with the terms of the plan during the<br \/>\nperiod described in paragraph (2)(B)(i).<br \/>\n(2) Amendments to which subsection applies.&#8211;<br \/>\n(A) In general.&#8211;This subsection shall apply to any<br \/>\namendment to any plan or annuity contract which is<br \/>\nmade&#8211;<br \/>\n(i) &lt;&lt;NOTE: Regulation.&gt;&gt; pursuant to any<br \/>\nprovision of this section, or pursuant to any<br \/>\nregulation issued by the Secretary or the<br \/>\nSecretary of Labor under any provision of this<br \/>\nsection, and<\/p>\n<p>[[Page 132 STAT. 114]]<\/p>\n<p>(ii) &lt;&lt;NOTE: Effective date.&gt;&gt; on or before<br \/>\nthe last day of the first plan year beginning on<br \/>\nor after January 1, 2019, or such later date as<br \/>\nthe Secretary may prescribe.<br \/>\nIn the case of a governmental plan (as defined in<br \/>\nsection 414(d) of the Internal Revenue Code of 1986),<br \/>\nclause (ii) shall be applied by substituting the date<br \/>\nwhich is 2 years after the date otherwise applied under<br \/>\nclause (ii).<br \/>\n(B) Conditions.&#8211;This subsection shall not apply to<br \/>\nany amendment unless&#8211;<br \/>\n(i) &lt;&lt;NOTE: Time period.&gt;&gt; during the<br \/>\nperiod&#8211;<br \/>\n(I) beginning on the date that this<br \/>\nsection or the regulation described in<br \/>\nsubparagraph (A)(i) takes effect (or in<br \/>\nthe case of a plan or contract amendment<br \/>\nnot required by this section or such<br \/>\nregulation, the effective date specified<br \/>\nby the plan), and<br \/>\n(II) ending on the date described in<br \/>\nsubparagraph (A)(ii) (or, if earlier,<br \/>\nthe date the plan or contract amendment<br \/>\nis adopted),<br \/>\nthe plan or contract is operated as if such plan or<br \/>\ncontract amendment were in effect, and<br \/>\n(ii) such plan or contract amendment applies<br \/>\nretroactively for such period.<br \/>\nSEC. 20103. EMPLOYEE RETENTION CREDIT FOR EMPLOYERS AFFECTED BY<br \/>\nCALIFORNIA WILDFIRES.<\/p>\n<p>(a) In General.&#8211;For purposes of section 38 of the Internal Revenue<br \/>\nCode of 1986, in the case of an eligible employer, the California<br \/>\nwildfire employee retention credit shall be treated as a credit listed<br \/>\nin subsection (b) of such section. For purposes of this subsection, the<br \/>\nCalifornia wildfire employee retention credit for any taxable year is an<br \/>\namount equal to 40 percent of the qualified wages with respect to each<br \/>\neligible employee of such employer for such taxable year. For purposes<br \/>\nof the preceding sentence, the amount of qualified wages which may be<br \/>\ntaken into account with respect to any individual shall not exceed<br \/>\n$6,000.<br \/>\n(b) &lt;&lt;NOTE: Effective date. Time periods.&gt;&gt; Definitions.&#8211;For<br \/>\npurposes of this section&#8211;<br \/>\n(1) Eligible employer.&#8211;The term &#8220;eligible employer&#8221; means<br \/>\nany employer&#8211;<br \/>\n(A) which conducted an active trade or business on<br \/>\nOctober 8, 2017, in the California wildfire disaster<br \/>\nzone, and<br \/>\n(B) with respect to whom the trade or business<br \/>\ndescribed in subparagraph (A) is inoperable on any day<br \/>\nafter October 8, 2017, and before January 1, 2018, as a<br \/>\nresult of damage sustained by reason of the wildfires to<br \/>\nwhich such declaration of such area relates.<br \/>\n(2) Eligible employee.&#8211;The term &#8220;eligible employee&#8221; means<br \/>\nwith respect to an eligible employer an employee whose principal<br \/>\nplace of employment on October 8, 2017, with such eligible<br \/>\nemployer was in the California wildfire disaster zone.<br \/>\n(3) Qualified wages.&#8211;The term &#8220;qualified wages&#8221; means<br \/>\nwages (as defined in section 51(c)(1) of the Internal Revenue<br \/>\nCode of 1986, but without regard to section 3306(b)(2)(B) of<br \/>\nsuch Code) paid or incurred by an eligible employer with respect<br \/>\nto an eligible employee on any day after October 8, 2017, and<br \/>\nbefore January 1, 2018, which occurs during the period&#8211;<\/p>\n<p>[[Page 132 STAT. 115]]<\/p>\n<p>(A) beginning on the date on which the trade or<br \/>\nbusiness described in paragraph (1) first became<br \/>\ninoperable at the principal place of employment of the<br \/>\nemployee immediately before the wildfires to which the<br \/>\ndeclaration of the California wildfire disaster area<br \/>\nrelates, and<br \/>\n(B) ending on the date on which such trade or<br \/>\nbusiness has resumed significant operations at such<br \/>\nprincipal place of employment.<br \/>\nSuch term shall include wages paid without regard to whether the<br \/>\nemployee performs no services, performs services at a different<br \/>\nplace of employment than such principal place of employment, or<br \/>\nperforms services at such principal place of employment before<br \/>\nsignificant operations have resumed.<\/p>\n<p>(c) Certain Rules To Apply.&#8211;For purposes of this section, rules<br \/>\nsimilar to the rules of sections 51(i)(1), 52, and 280C(a) of the<br \/>\nInternal Revenue Code of 1986, shall apply.<br \/>\n(d) Employee Not Taken Into Account More Than Once.&#8211;An employee<br \/>\nshall not be treated as an eligible employee for purposes of this<br \/>\nsection for any period with respect to any employer if such employer is<br \/>\nallowed a credit under section 51 of the Internal Revenue Code of 1986<br \/>\nwith respect to such employee for such period.<br \/>\nSEC. 20104. &lt;&lt;NOTE: Applicability. Definitions. Time periods.&gt;&gt;<br \/>\nADDITIONAL DISASTER-RELATED TAX RELIEF<br \/>\nPROVISIONS.<\/p>\n<p>(a) Temporary Suspension of Limitations on Charitable<br \/>\nContributions.&#8211;<br \/>\n(1) In general.&#8211;Except as otherwise provided in paragraph<br \/>\n(2), subsection (b) of section 170 of the Internal Revenue Code<br \/>\nof 1986 shall not apply to qualified contributions and such<br \/>\ncontributions shall not be taken into account for purposes of<br \/>\napplying subsections (b) and (d) of such section to other<br \/>\ncontributions.<br \/>\n(2) Treatment of excess contributions.&#8211;For purposes of<br \/>\nsection 170 of the Internal Revenue Code of 1986&#8211;<br \/>\n(A) Individuals.&#8211;In the case of an individual&#8211;<br \/>\n(i) Limitation.&#8211;Any qualified contribution<br \/>\nshall be allowed only to the extent that the<br \/>\naggregate of such contributions does not exceed<br \/>\nthe excess of the taxpayer&#8217;s contribution base (as<br \/>\ndefined in subparagraph (H) of section 170(b)(1)<br \/>\nof such Code) over the amount of all other<br \/>\ncharitable contributions allowed under section<br \/>\n170(b)(1) of such Code.<br \/>\n(ii) Carryover.&#8211;If the aggregate amount of<br \/>\nqualified contributions made in the contribution<br \/>\nyear (within the meaning of section 170(d)(1) of<br \/>\nsuch Code) exceeds the limitation of clause (i),<br \/>\nsuch excess shall be added to the excess described<br \/>\nin the portion of subparagraph (A) of such section<br \/>\nwhich precedes clause (i) thereof for purposes of<br \/>\napplying such section.<br \/>\n(B) Corporations.&#8211;In the case of a corporation&#8211;<br \/>\n(i) Limitation.&#8211;Any qualified contribution<br \/>\nshall be allowed only to the extent that the<br \/>\naggregate of such contributions does not exceed<br \/>\nthe excess of the taxpayer&#8217;s taxable income (as<br \/>\ndetermined under paragraph (2) of section 170(b)<br \/>\nof such Code) over the amount of all other<br \/>\ncharitable contributions allowed under such<br \/>\nparagraph.<\/p>\n<p>[[Page 132 STAT. 116]]<\/p>\n<p>(ii) Carryover.&#8211;Rules similar to the rules of<br \/>\nsubparagraph (A)(ii) shall apply for purposes of<br \/>\nthis subparagraph.<br \/>\n(3) Exception to overall limitation on itemized<br \/>\ndeductions.&#8211;So much of any deduction allowed under section 170<br \/>\nof the Internal Revenue Code of 1986 as does not exceed the<br \/>\nqualified contributions paid during the taxable year shall not<br \/>\nbe treated as an itemized deduction for purposes of section 68<br \/>\nof such Code.<br \/>\n(4) Qualified contributions.&#8211;<br \/>\n(A) In general.&#8211;For purposes of this subsection,<br \/>\nthe term &#8220;qualified contribution&#8221; means any charitable<br \/>\ncontribution (as defined in section 170(c) of the<br \/>\nInternal Revenue Code of 1986) if&#8211;<br \/>\n(i) such contribution&#8211;<br \/>\n(I) is paid during the period<br \/>\nbeginning on October 8, 2017, and ending<br \/>\non December 31, 2018, in cash to an<br \/>\norganization described in section<br \/>\n170(b)(1)(A) of such Code, and<br \/>\n(II) is made for relief efforts in<br \/>\nthe California wildfire disaster area,<br \/>\n(ii) the taxpayer obtains from such<br \/>\norganization contemporaneous written<br \/>\nacknowledgment (within the meaning of section<br \/>\n170(f)(8) of such Code) that such contribution was<br \/>\nused (or is to be used) for relief efforts<br \/>\ndescribed in clause (i)(II), and<br \/>\n(iii) the taxpayer has elected the application<br \/>\nof this subsection with respect to such<br \/>\ncontribution.<br \/>\n(B) Exception.&#8211;Such term shall not include a<br \/>\ncontribution by a donor if the contribution is&#8211;<br \/>\n(i) to an organization described in section<br \/>\n509(a)(3) of the Internal Revenue Code of 1986, or<br \/>\n(ii) for the establishment of a new, or<br \/>\nmaintenance of an existing, donor advised fund (as<br \/>\ndefined in section 4966(d)(2) of such Code).<br \/>\n(C) Application of election to partnerships and s<br \/>\ncorporations.&#8211;In the case of a partnership or S<br \/>\ncorporation, the election under subparagraph (A)(iii)<br \/>\nshall be made separately by each partner or shareholder.<\/p>\n<p>(b) Special Rules for Qualified Disaster-Related Personal Casualty<br \/>\nLosses.&#8211;<br \/>\n(1) In general.&#8211;If an individual has a net disaster loss<br \/>\nfor any taxable year&#8211;<br \/>\n(A) the amount determined under section<br \/>\n165(h)(2)(A)(ii) of the Internal Revenue Code of 1986<br \/>\nshall be equal to the sum of&#8211;<br \/>\n(i) such net disaster loss, and<br \/>\n(ii) so much of the excess referred to in the<br \/>\nmatter preceding clause (i) of section<br \/>\n165(h)(2)(A) of such Code (reduced by the amount<br \/>\nin clause (i) of this subparagraph) as exceeds 10<br \/>\npercent of the adjusted gross income of the<br \/>\nindividual,<br \/>\n(B) section 165(h)(1) of such Code shall be applied<br \/>\nby substituting &#8220;$500&#8221; for &#8220;$500 ($100 for taxable<br \/>\nyears beginning after December 31, 2009)&#8221;,<\/p>\n<p>[[Page 132 STAT. 117]]<\/p>\n<p>(C) the standard deduction determined under section<br \/>\n63(c) of such Code shall be increased by the net<br \/>\ndisaster loss, and<br \/>\n(D) section 56(b)(1)(E) of such Code shall not apply<br \/>\nto so much of the standard deduction as is attributable<br \/>\nto the increase under subparagraph (C) of this<br \/>\nparagraph.<br \/>\n(2) Net disaster loss.&#8211;For purposes of this subsection, the<br \/>\nterm &#8220;net disaster loss&#8221; means the excess of qualified<br \/>\ndisaster-related personal casualty losses over personal casualty<br \/>\ngains (as defined in section 165(h)(3)(A) of the Internal<br \/>\nRevenue Code of 1986).<br \/>\n(3) Qualified disaster-related personal casualty losses.&#8211;<br \/>\nFor purposes of this subsection, the term &#8220;qualified disaster-<br \/>\nrelated personal casualty losses&#8221; means losses described in<br \/>\nsection 165(c)(3) of the Internal Revenue Code of 1986 which<br \/>\narise in the California wildfire disaster area on or after<br \/>\nOctober 8, 2017, and which are attributable to the wildfires to<br \/>\nwhich the declaration of such area relates.<\/p>\n<p>(c) Special Rule for Determining Earned Income.&#8211;<br \/>\n(1) In general.&#8211;In the case of a qualified individual, if<br \/>\nthe earned income of the taxpayer for the taxable year which<br \/>\nincludes any portion of the period from October 8, 2017, to<br \/>\nDecember 31, 2017, is less than the earned income of the<br \/>\ntaxpayer for the preceding taxable year, the credits allowed<br \/>\nunder sections 24(d) and 32 of the Internal Revenue Code of 1986<br \/>\nmay, at the election of the taxpayer, be determined by<br \/>\nsubstituting&#8211;<br \/>\n(A) such earned income for the preceding taxable<br \/>\nyear, for<br \/>\n(B) such earned income for the taxable year which<br \/>\nincludes any portion of the period from October 8, 2017,<br \/>\nto December 31, 2017.<br \/>\n(2) Qualified individual.&#8211;For purposes of this subsection,<br \/>\nthe term &#8220;qualified individual&#8221; means any individual whose<br \/>\nprincipal place of abode during any portion of the period from<br \/>\nOctober 8, 2017, to December 31, 2017, was located&#8211;<br \/>\n(A) in the California wildfire disaster zone, or<br \/>\n(B) in the California wildfire disaster area (but<br \/>\noutside the California wildfire disaster zone) and such<br \/>\nindividual was displaced from such principal place of<br \/>\nabode by reason of the wildfires to which the<br \/>\ndeclaration of such area relates.<br \/>\n(3) Earned income.&#8211;For purposes of this subsection, the<br \/>\nterm &#8220;earned income&#8221; has the meaning given such term under<br \/>\nsection 32(c) of the Internal Revenue Code of 1986.<br \/>\n(4) Special rules.&#8211;<br \/>\n(A) Application to joint returns.&#8211;For purposes of<br \/>\nparagraph (1), in the case of a joint return for a<br \/>\ntaxable year which includes any portion of the period<br \/>\nfrom October 8, 2017, to December 31, 2017&#8211;<br \/>\n(i) such paragraph shall apply if either<br \/>\nspouse is a qualified individual, and<br \/>\n(ii) the earned income of the taxpayer for the<br \/>\npreceding taxable year shall be the sum of the<br \/>\nearned income of each spouse for such preceding<br \/>\ntaxable year.<br \/>\n(B) Uniform application of election.&#8211;Any election<br \/>\nmade under paragraph (1) shall apply with respect to<br \/>\nboth<\/p>\n<p>[[Page 132 STAT. 118]]<\/p>\n<p>sections 24(d) and 32, of the Internal Revenue Code of<br \/>\n1986.<br \/>\n(C) Errors treated as mathematical error.&#8211;For<br \/>\npurposes of section 6213 of the Internal Revenue Code of<br \/>\n1986, an incorrect use on a return of earned income<br \/>\npursuant to paragraph (1) shall be treated as a<br \/>\nmathematical or clerical error.<br \/>\n(D) No effect on determination of gross income,<br \/>\netc.&#8211;Except as otherwise provided in this subsection,<br \/>\nthe Internal Revenue Code of 1986 shall be applied<br \/>\nwithout regard to any substitution under paragraph (1).<\/p>\n<p>TITLE II&#8211;TAX RELIEF FOR HURRICANES HARVEY, IRMA, AND MARIA<\/p>\n<p>SEC. 20201. TAX RELIEF FOR HURRICANES HARVEY, IRMA, AND MARIA.<\/p>\n<p>(a) Modification of Hurricanes Harvey and Irma Disaster Areas.&#8211;<br \/>\nSubsections (a)(2) and (b)(2) of section 501 of the Disaster Tax Relief<br \/>\nand Airport and Airway Extension Act of 2017 (Public Law 115-63; 131<br \/>\nStat. 1173) are both amended by striking &#8220;September 21, 2017&#8221; and<br \/>\ninserting &#8220;October 17, 2017&#8221;.<br \/>\n(b) Employee Retention Credit.&#8211;Subsections (a)(3), (b)(3), and<br \/>\n(c)(3) of section 503 of the Disaster Tax Relief and Airport and Airway<br \/>\nExtension Act of 2017 (Public Law 115-63; 131 Stat. 1181) are each<br \/>\namended by striking &#8220;sections 51(i)(1) and 52&#8221; and inserting<br \/>\n&#8220;sections 51(i)(1), 52, and 280C(a)&#8221;.<br \/>\n(c) Effective Date.&#8211;The amendments made by this section shall take<br \/>\neffect as if included in the provisions of title V of the Disaster Tax<br \/>\nRelief and Airport and Airway Extension Act of 2017 to which such<br \/>\namendments relate.<\/p>\n<p>TITLE III&#8211;HURRICANE MARIA RELIEF FOR PUERTO RICO AND THE VIRGIN ISLANDS<br \/>\nMEDICAID PROGRAMS<\/p>\n<p>SEC. 20301. HURRICANE MARIA RELIEF FOR PUERTO RICO AND THE VIRGIN<br \/>\nISLANDS MEDICAID PROGRAMS.<\/p>\n<p>(a) Increased Caps.&#8211;Section 1108(g)(5) of the Social Security Act<br \/>\n(42 U.S.C. 1308(g)(5)) is amended&#8211;<br \/>\n(1) in subparagraph (A), by striking &#8220;subparagraph (B)&#8221;<br \/>\nand inserting &#8220;subparagraphs (B), (C), (D), and (E)&#8221;; and<br \/>\n(2) by adding at the end the following new subparagraphs:<br \/>\n&#8220;(C) &lt;&lt;NOTE: Time period.&gt;&gt; Subject to subparagraphs (D)<br \/>\nand (E), for the period beginning January 1, 2018, and ending<br \/>\nSeptember 30, 2019&#8211;<br \/>\n&#8220;(i) the amount of the increase otherwise provided<br \/>\nunder subparagraphs (A) and (B) for Puerto Rico shall be<br \/>\nfurther increased by $3,600,000,000; and<br \/>\n&#8220;(ii) the amount of the increase otherwise provided<br \/>\nunder subparagraph (A) for the Virgin Islands shall be<br \/>\nfurther increased by $106,931,000.<br \/>\n&#8220;(D) &lt;&lt;NOTE: Certifications.&gt;&gt; For the period described in<br \/>\nsubparagraph (C), the amount of the increase otherwise provided<br \/>\nunder subparagraph (A)&#8211;<\/p>\n<p>[[Page 132 STAT. 119]]<\/p>\n<p>&#8220;(i) for Puerto Rico shall be further increased by<br \/>\n$1,200,000,000 if the Secretary certifies that Puerto<br \/>\nRico has taken reasonable and appropriate steps during<br \/>\nsuch period, in accordance with a timeline established<br \/>\nby the Secretary, to&#8211;<br \/>\n&#8220;(I) implement methods, satisfactory to the<br \/>\nSecretary, for the collection and reporting of<br \/>\nreliable data to the Transformed Medicaid<br \/>\nStatistical Information System (T-MSIS) (or a<br \/>\nsuccessor system); and<br \/>\n&#8220;(II) demonstrate progress in establishing a<br \/>\nState medicaid fraud control unit described in<br \/>\nsection 1903(q); and<br \/>\n&#8220;(ii) for the Virgin Islands shall be further<br \/>\nincreased by $35,644,000 if the Secretary certifies that<br \/>\nthe Virgin Islands has taken reasonable and appropriate<br \/>\nsteps during such period, in accordance with a timeline<br \/>\nestablished by the Secretary, to meet the conditions for<br \/>\ncertification specified in subclauses (I) and (II) of<br \/>\nclause (i).<br \/>\n&#8220;(E) Notwithstanding any other provision of title XIX,<br \/>\nduring the period in which the additional funds provided under<br \/>\nsubparagraphs (C) and (D) are available for Puerto Rico and the<br \/>\nVirgin Islands, respectively, with respect to payments from such<br \/>\nadditional funds for amounts expended by Puerto Rico and the<br \/>\nVirgin Islands under such title, the Secretary shall increase<br \/>\nthe Federal medical assistance percentage or other rate that<br \/>\nwould otherwise apply to such payments to 100 percent.&#8221;.<\/p>\n<p>(b) Disregard of Certain Expenditures From Spending Cap.&#8211;Section<br \/>\n1108(g)(4) of the Social Security Act (42 U.S.C. 1308(g)(4)) is<br \/>\namended&#8211;<br \/>\n(1) by inserting &#8220;for a calendar quarter of such fiscal<br \/>\nyear,&#8221; after &#8220;section 1903(a)(3)&#8221;; and<br \/>\n(2) by striking &#8220;of such fiscal year for a calendar quarter<br \/>\nof such fiscal year,&#8221; and inserting &#8220;of such fiscal year, and<br \/>\nwith respect to fiscal years beginning with fiscal year 2018, if<br \/>\nthe Virgin Islands qualifies for a payment under section<br \/>\n1903(a)(6) for a calendar quarter (beginning on or after January<br \/>\n1, 2018) of such fiscal year,&#8221;.<\/p>\n<p>(c) Report to Congress.&#8211;Not later than July 1, 2018, the Secretary<br \/>\nof Health and Human Services shall submit a report to the Committee on<br \/>\nEnergy and Commerce of the House of Representatives and the Committee on<br \/>\nFinance of the Senate that&#8211;<br \/>\n(1) describes the steps taken by Puerto Rico and the Virgin<br \/>\nIslands to meet the conditions for certification specified in<br \/>\nclauses (i) and (ii), respectively, of section 1108(g)(5)(D) of<br \/>\nthe Social Security Act (42 U.S.C. 1308(g)(5)(D)) (as amended by<br \/>\nsubsection (a) of this section); and<br \/>\n(2) specifies timelines for each such territory to, as a<br \/>\ncondition of eligibility for any additional increases in the<br \/>\namounts determined for Puerto Rico or the Virgin Islands,<br \/>\nrespectively, under subsection (g) of section 1108 of such Act<br \/>\n(42 U.S.C. 1308) for purposes of payments under title XIX of<br \/>\nsuch Act for fiscal year 2019, complete&#8211;<br \/>\n(A) implementation of methods, satisfactory to the<br \/>\nSecretary, for the collection and reporting of reliable<br \/>\ndata to the Transformed Medicaid Statistical Information<br \/>\nSystem (T-MSIS) (or a successor system); and<\/p>\n<p>[[Page 132 STAT. 120]]<\/p>\n<p>(B) the establishment of a State medicaid fraud<br \/>\ncontrol unit described in section 1903(q) of the Social<br \/>\nSecurity Act (42 U.S.C. 1396d(q)).<\/p>\n<p>TITLE IV&#8211;BUDGETARY EFFECTS<\/p>\n<p>SEC. 20401. EMERGENCY DESIGNATION.<\/p>\n<p>This subdivision is designated as an emergency requirement pursuant<br \/>\nto section 4(g) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C.<br \/>\n933(g)).<br \/>\nSEC. 20402. DESIGNATION IN SENATE.<\/p>\n<p>In the Senate, this subdivision is designated as an emergency<br \/>\nrequirement pursuant to section 4112(a) of H. Con. Res. 71 (115th<br \/>\nCongress), the concurrent resolution on the budget for fiscal year 2018.<\/p>\n<p>Subdivision 3&#8211; &lt;&lt;NOTE: Further Extension of Continuing Appropriations<br \/>\nAct, 2018.&gt;&gt; Further Extension of Continuing Appropriations Act, 2018<\/p>\n<p>Sec. 20101. &lt;&lt;NOTE: 131 Stat. 1141.&gt;&gt; The Continuing<br \/>\nAppropriations Act, 2018 (division D of Public Law 115-56) is further<br \/>\namended by&#8211;<br \/>\n(1) striking the date specified in section 106(3) and<br \/>\ninserting &#8220;March 23, 2018&#8221;; and<br \/>\n(2) inserting after section 155 &lt;&lt;NOTE: Ante, p. 30.&gt;&gt; the<br \/>\nfollowing new sections:<\/p>\n<p>&#8220;Sec. 156. In addition to amounts provided by section 101, amounts<br \/>\nare provided for `Department of Commerce&#8211;Bureau of the Census&#8211;Periodic<br \/>\nCensus and Programs&#8217; at a rate for operations of $182,000,000 for an<br \/>\nadditional amount for the 2020 Decennial Census Program; and such<br \/>\namounts may be apportioned up to the rate for operations necessary to<br \/>\nmaintain the schedule and deliver the required data according to<br \/>\nstatutory deadlines in the 2020 Decennial Census Program.<br \/>\n&#8220;Sec. 157. Notwithstanding &lt;&lt;NOTE: Applicability.&gt;&gt; section 101,<br \/>\nthe matter preceding the first proviso and the first proviso under the<br \/>\nheading `Power Marketing Administrations&#8211;Operation and Maintenance,<br \/>\nSoutheastern Power Administration&#8217; in division D of Public Law 115-31<br \/>\nshall be applied by substituting `$6,379,000&#8242; for `$1,000,000&#8242; each<br \/>\nplace it appears.<\/p>\n<p>&#8220;Sec. 158. &lt;&lt;NOTE: 42 USC 6241 note.&gt;&gt; As authorized by section<br \/>\n404 of the Bipartisan Budget Act of 2015 (Public Law 114-74; 42 U.S.C.<br \/>\n6239 note), the Secretary of Energy shall draw down and sell not to<br \/>\nexceed $350,000,000 of crude oil from the Strategic Petroleum Reserve in<br \/>\nfiscal year 2018: Provided, That the proceeds from such drawdown and<br \/>\nsale shall be deposited into the `Energy Security and Infrastructure<br \/>\nModernization Fund&#8217; (in this section referred to as the `Fund&#8217;) during<br \/>\nfiscal year 2018: Provided further, That in addition to amounts<br \/>\notherwise made available by section 101, any amounts deposited in the<br \/>\nFund shall be made available and shall remain available until expended<br \/>\nat a rate for operations of $350,000,000, for necessary expenses in<br \/>\ncarrying out the Life Extension II project for the Strategic Petroleum<br \/>\nReserve.<\/p>\n<p>&#8220;Sec. 159. Amounts made available by section 101 for `The<br \/>\nJudiciary&#8211;Courts of Appeals, District Courts, and Other Judicial<br \/>\nServices&#8211;Fees of Jurors and Commissioners&#8217; may be apportioned up to the<br \/>\nrate for operations necessary to accommodate increased juror usage.<\/p>\n<p>[[Page 132 STAT. 121]]<\/p>\n<p>&#8220;Sec. 160. Section 144 of the Continuing Appropriations Act, 2018<br \/>\n(division D of Public Law 115-56), as amended by the Further Additional<br \/>\nContinuing Appropriations Act, 2018 (division A of Public Law 115-<br \/>\n96) &lt;&lt;NOTE: 131 Stat. 2044.&gt;&gt; , is amended by (1) striking `$11,761,000&#8242;<br \/>\nand inserting `$22,247,000&#8242;, and (2) striking `$1,104,000&#8242; and inserting<br \/>\n`$1,987,000&#8242;.<\/p>\n<p>&#8220;Sec. 161. Section &lt;&lt;NOTE: Applicability.&gt;&gt; 458(a)(4) of the<br \/>\nHigher Education Act of 1965 (20 U.S.C. 1087h(a)(4)) shall be applied by<br \/>\nsubstituting `2018&#8242; for `2017&#8242;.<\/p>\n<p>&#8220;Sec. 162. For &lt;&lt;NOTE: Waiver authority.&gt;&gt; the purpose of<br \/>\ncarrying out section 435(a)(2) of the Higher Education Act of 1965 (HEA)<br \/>\n(20 U.S.C. 1085(a)(2)), during the period covered by this Act the<br \/>\nSecretary of Education may waive the requirement under section<br \/>\n435(a)(5)(A)(ii) of the HEA (20 U.S.C. 1085(a)(5)(A)(ii)) for an<br \/>\ninstitution of higher education that offers an associate degree, is a<br \/>\npublic institution, and is located in an economically distressed county,<br \/>\ndefined as a county that ranks in the lowest 5 percent of all counties<br \/>\nin the United States based on a national index of county economic<br \/>\nstatus: Provided, That &lt;&lt;NOTE: Applicability.&gt;&gt; this section shall<br \/>\napply to an institution of higher education that otherwise would be<br \/>\nineligible to participate in a program under part A of title IV of the<br \/>\nHEA on or after the date of enactment of this Act due to the application<br \/>\nof section 435(a)(2) of the HEA.<\/p>\n<p>&#8220;Sec. 163. Notwithstanding any other provision of law, funds made<br \/>\navailable by this Act for military construction, land acquisition, and<br \/>\nfamily housing projects and activities may be obligated and expended to<br \/>\ncarry out planning and design and military construction projects<br \/>\nauthorized by law: Provided, That funds and authority provided by this<br \/>\nsection may be used notwithstanding sections 102 and 104: Provided<br \/>\nfurther, That such funds may be used only for projects identified by the<br \/>\nDepartment of the Air Force in its January 29, 2018, letter sent to the<br \/>\nCommittees on Appropriations of both Houses of Congress detailing<br \/>\nurgently needed fiscal year 2018 construction requirements.<br \/>\n&#8220;Sec. 164. (a) Section 116(h)(3)(D) of title 49, United States<br \/>\nCode, is amended&#8211;<br \/>\n&#8220;(1) in clause (i), by striking `During the 2-year period<br \/>\nbeginning on the date of enactment of this section, the&#8217;;<br \/>\ninserting `The&#8217;; and inserting the following after the first<br \/>\nsentence: `Any such funds or limitation of obligations or<br \/>\nportions thereof transferred to the Bureau may be transferred<br \/>\nback to and merged with the original account.&#8217;; and<br \/>\n&#8220;(2) in clause (ii) by striking `During the 2-year period<br \/>\nbeginning on the date of enactment of this section, the&#8217;;<br \/>\ninserting `The&#8217;; and inserting the following after the first<br \/>\nsentence: `Any such funds or limitation of obligations or<br \/>\nportions thereof transferred to the Bureau may be transferred<br \/>\nback to and merged with the original account.&#8217;.<\/p>\n<p>&#8220;(b) Section 503(l)(4) of the Railroad Revitalization and<br \/>\nRegulatory Reform Act of 1976 (45 U.S.C. 823(l)(4)) is amended&#8211;<br \/>\n&#8220;(1) in the heading by striking `Safety and operations<br \/>\naccount&#8217; and inserting `National Surface Transportation and<br \/>\nInnovative Finance Bureau account&#8217;; and<br \/>\n&#8220;(2) in subparagraph (A) by striking `Safety and Operations<br \/>\naccount of the Federal Railroad Administration&#8217; and inserting<br \/>\n`National Surface Transportation and Innovative Finance Bureau<br \/>\naccount&#8217;.<\/p>\n<p>[[Page 132 STAT. 122]]<\/p>\n<p>&#8220;Sec. 165. Section &lt;&lt;NOTE: Applicability.&gt;&gt; 24(o) of the United<br \/>\nStates Housing Act of 1937 (42 U.S.C. 1437v) shall be applied by<br \/>\nsubstituting the date specified in section 106(3) for `September 30,<br \/>\n2017&#8242;.&#8221;.<\/p>\n<p>This subdivision may be cited as the &#8220;Further Extension of<br \/>\nContinuing Appropriations Act, 2018&#8221;.<\/p>\n<p>DIVISION C&#8211;BUDGETARY AND OTHER MATTERS<\/p>\n<p>SEC. 30001. TABLE OF CONTENTS.<\/p>\n<p>The table of contents for this division is as follows:<\/p>\n<p>DIVISION C&#8211;BUDGETARY AND OTHER MATTERS<\/p>\n<p>Sec. 30001. Table of contents.<\/p>\n<p>TITLE I&#8211;BUDGET ENFORCEMENT<\/p>\n<p>Sec. 30101. Amendments to the Balanced Budget and Emergency Deficit<br \/>\nControl Act of 1985.<br \/>\nSec. 30102. Balances on the PAYGO Scorecards.<br \/>\nSec. 30103. Authority for fiscal year 2019 budget resolution in the<br \/>\nSenate.<br \/>\nSec. 30104. Authority for fiscal year 2019 budget resolution in the<br \/>\nHouse of Representatives.<br \/>\nSec. 30105. Exercise of rulemaking powers.<\/p>\n<p>TITLE II&#8211;OFFSETS<\/p>\n<p>Sec. 30201. Customs user fees.<br \/>\nSec. 30202. Aviation security service fees.<br \/>\nSec. 30203. Extension of certain immigration fees.<br \/>\nSec. 30204. Strategic Petroleum Reserve drawdown.<br \/>\nSec. 30205. Elimination of surplus funds of Federal reserve banks.<br \/>\nSec. 30206. Reemployment services and eligibility assessments.<\/p>\n<p>TITLE III&#8211;TEMPORARY EXTENSION OF PUBLIC DEBT LIMIT<\/p>\n<p>Sec. 30301. Temporary extension of public debt limit.<\/p>\n<p>TITLE IV&#8211;JOINT SELECT COMMITTEES<\/p>\n<p>Subtitle A&#8211;Joint Select Committee on Solvency of Multiemployer Pension<br \/>\nPlans<\/p>\n<p>Sec. 30421. Definitions.<br \/>\nSec. 30422. Establishment of Joint Select Committee.<br \/>\nSec. 30423. Funding.<br \/>\nSec. 30424. Consideration of joint committee bill in the Senate.<\/p>\n<p>Subtitle B&#8211;Joint Select Committee on Budget and Appropriations Process<br \/>\nReform<\/p>\n<p>Sec. 30441. Definitions.<br \/>\nSec. 30442. Establishment of Joint Select Committee.<br \/>\nSec. 30443. Funding.<br \/>\nSec. 30444. Consideration of joint committee bill in the Senate.<\/p>\n<p>TITLE I&#8211;BUDGET ENFORCEMENT<\/p>\n<p>SEC. 30101. AMENDMENTS TO THE BALANCED BUDGET AND EMERGENCY<br \/>\nDEFICIT CONTROL ACT OF 1985.<\/p>\n<p>(a) &lt;&lt;NOTE: Time periods.&gt;&gt; Revised Discretionary Spending<br \/>\nLimits.&#8211;Section 251(c) of the Balanced Budget and Emergency Deficit<br \/>\nControl Act of 1985 (2 U.S.C. 901(c)) is amended by striking paragraphs<br \/>\n(5) and (6) and inserting the following:<br \/>\n&#8220;(5) for fiscal year 2018&#8211;<br \/>\n&#8220;(A) for the revised security category,<br \/>\n$629,000,000,000 in new budget authority; and<br \/>\n&#8220;(B) for the revised nonsecurity category<br \/>\n$579,000,000,000 in new budget authority;<\/p>\n<p>[[Page 132 STAT. 123]]<\/p>\n<p>&#8220;(6) for fiscal year 2019&#8211;<br \/>\n&#8220;(A) for the revised security category,<br \/>\n$647,000,000,000 in new budget authority; and<br \/>\n&#8220;(B) for the revised nonsecurity category,<br \/>\n$597,000,000,000 in new budget authority;&#8221;.<\/p>\n<p>(b) Direct Spending Adjustments for Fiscal Years 2018 and 2019.&#8211;<br \/>\nSection 251A of the Balanced Budget and Emergency Deficit Control Act of<br \/>\n1985 (2 U.S.C. 901a), is amended&#8211;<br \/>\n(1) in paragraph (5)(B), in the matter preceding clause (i),<br \/>\nby striking &#8220;and (11)&#8221; and inserting &#8220;, (11), and (12)&#8221;; and<br \/>\n(2) by adding at the end the following:<br \/>\n&#8220;(12) Implementing direct spending reductions for fiscal<br \/>\nyears 2018 and 2019.&#8211;(A) OMB shall make the calculations<br \/>\nnecessary to implement the direct spending reductions calculated<br \/>\npursuant to paragraphs (3) and (4) without regard to the<br \/>\namendment made to section 251(c) revising the discretionary<br \/>\nspending limits for fiscal years 2018 and 2019 by the Bipartisan<br \/>\nBudget Act of 2018.<br \/>\n&#8220;(B) Paragraph (5)(B) shall not be implemented for fiscal<br \/>\nyears 2018 and 2019.&#8221;.<\/p>\n<p>(c) Extension of Direct Spending Reductions Through Fiscal Year<br \/>\n2027.&#8211;Section 251A(6) of the Balanced Budget and Emergency Deficit<br \/>\nControl Act of 1985 (2 U.S.C. 901a(6)) is amended&#8211;<br \/>\n(1) in subparagraph (B), in the matter preceding clause (i),<br \/>\nby striking &#8220;for fiscal year 2022, for fiscal year 2023, for<br \/>\nfiscal year 2024, and for fiscal year 2025&#8221; and inserting &#8220;for<br \/>\neach of fiscal years 2022 through 2027&#8221;; and<br \/>\n(2) in subparagraph (C), in the matter preceding clause (i),<br \/>\nby striking &#8220;fiscal year 2025&#8221; and inserting &#8220;fiscal year<br \/>\n2027&#8221;.<br \/>\nSEC. 30102. BALANCES ON THE PAYGO SCORECARDS.<\/p>\n<p>Effective on &lt;&lt;NOTE: Effective date.&gt;&gt; the date of enactment of<br \/>\nthis Act, the balances on the PAYGO scorecards established pursuant to<br \/>\nparagraphs (4) and (5) of section 4(d) of the Statutory Pay-As-You-Go<br \/>\nAct of 2010 (2 U.S.C. 933(d)) shall be zero.<br \/>\nSEC. 30103. AUTHORITY FOR FISCAL YEAR 2019 BUDGET RESOLUTION IN<br \/>\nTHE SENATE.<\/p>\n<p>(a) &lt;&lt;NOTE: Effective date. Applicability.&gt;&gt; Fiscal Year 2019.&#8211;For<br \/>\npurposes of enforcing the Congressional Budget Act of 1974 (2 U.S.C. 621<br \/>\net seq.) after April 15, 2018, and enforcing budgetary points of order<br \/>\nin prior concurrent resolutions on the budget, the allocations,<br \/>\naggregates, and levels provided for in subsection (b) shall apply in the<br \/>\nSenate in the same manner as for a concurrent resolution on the budget<br \/>\nfor fiscal year 2019 with appropriate budgetary levels for fiscal years<br \/>\n2020 through 2028.<\/p>\n<p>(b) &lt;&lt;NOTE: Time periods. Deadline.&gt;&gt; Committee Allocations,<br \/>\nAggregates, and Levels.&#8211;After April 15, 2018, but not later than May<br \/>\n15, 2018, the Chairman of the Committee on the Budget of the Senate<br \/>\nshall file&#8211;<br \/>\n(1) for the Committee on Appropriations, committee<br \/>\nallocations for fiscal year 2019 consistent with discretionary<br \/>\nspending limits set forth in section 251(c)(6) of the Balanced<br \/>\nBudget and Emergency Deficit Control Act of 1985, as amended by<br \/>\nthis Act, for the purposes of enforcing section 302 of the<br \/>\nCongressional Budget Act of 1974 (2 U.S.C. 633);<\/p>\n<p>[[Page 132 STAT. 124]]<\/p>\n<p>(2) for all committees other than the Committee on<br \/>\nAppropriations, committee allocations for fiscal years 2019,<br \/>\n2019 through 2023, and 2019 through 2028 consistent with the<br \/>\nmost recent baseline of the Congressional Budget Office, as<br \/>\nadjusted for the budgetary effects of any provision of law<br \/>\nenacted during the period beginning on the date such baseline is<br \/>\nissued and ending on the date of submission of such statement,<br \/>\nfor the purposes of enforcing section 302 of the Congressional<br \/>\nBudget Act of 1974 (2 U.S.C. 633);<br \/>\n(3) aggregate spending levels for fiscal year 2019 in<br \/>\naccordance with the allocations established under paragraphs (1)<br \/>\nand (2), for the purpose of enforcing section 311 of the<br \/>\nCongressional Budget Act of 1974 (2 U.S.C. 642);<br \/>\n(4) aggregate revenue levels for fiscal years 2019, 2019<br \/>\nthrough 2023, and 2019 through 2028 consistent with the most<br \/>\nrecent baseline of the Congressional Budget Office, as adjusted<br \/>\nfor the budgetary effects of any provision of law enacted during<br \/>\nthe period beginning on the date such baseline is issued and<br \/>\nending on the date of submission of such statement, for the<br \/>\npurpose of enforcing section 311 of the Congressional Budget Act<br \/>\nof 1974 (2 U.S.C. 642); and<br \/>\n(5) levels of Social Security revenues and outlays for<br \/>\nfiscal years 2019, 2019 through 2023, and 2019 through 2028<br \/>\nconsistent with the most recent baseline of the Congressional<br \/>\nBudget Office, as adjusted for the budgetary effects of any<br \/>\nprovision of law enacted during the period beginning on the date<br \/>\nsuch baseline is issued and ending on the date of submission of<br \/>\nsuch statement, for the purpose of enforcing sections 302 and<br \/>\n311 of the Congressional Budget Act of 1974 (2 U.S.C. 633 and<br \/>\n642).<\/p>\n<p>(c) Additional Matter.&#8211;The filing referred to in subsection (b) may<br \/>\nalso include for fiscal year 2019 the deficit-neutral reserve funds<br \/>\ncontained in title III of H. Con. Res. 71 (115th Congress) updated by<br \/>\none fiscal year.<br \/>\n(d) Expiration.&#8211;This section shall expire if a concurrent<br \/>\nresolution on the budget for fiscal year 2019 is agreed to by the Senate<br \/>\nand the House of Representatives pursuant to section 301 of the<br \/>\nCongressional Budget Act of 1974 (2 U.S.C. 632).<br \/>\nSEC. 30104. AUTHORITY FOR FISCAL YEAR 2019 BUDGET RESOLUTION IN<br \/>\nTHE HOUSE OF REPRESENTATIVES.<\/p>\n<p>(a) &lt;&lt;NOTE: Deadline.&gt;&gt; Fiscal Year 2019.&#8211;If a concurrent<br \/>\nresolution on the budget for fiscal year 2019 has not been adopted by<br \/>\nApril 15, 2018, for the purpose of enforcing the Congressional Budget<br \/>\nAct of 1974, the allocations, aggregates, and levels provided for in<br \/>\nsubsection (b) shall &lt;&lt;NOTE: Applicability. Effective date.&gt;&gt; apply in<br \/>\nthe House of Representatives after April 15, 2018, in the same manner as<br \/>\nfor a concurrent resolution on the budget for fiscal year 2019 with<br \/>\nappropriate budgetary levels for fiscal year 2019 and for fiscal years<br \/>\n2020 through 2028.<\/p>\n<p>(b) &lt;&lt;NOTE: Congressional Record, publication. Time<br \/>\nperiods. Deadline.&gt;&gt; Committee Allocations, Aggregates, and Levels.&#8211;In<br \/>\nthe House of Representatives, the Chair of the Committee on the Budget<br \/>\nshall submit a statement for publication in the Congressional Record<br \/>\nafter April 15, 2018, but not later than May 15, 2018, containing&#8211;<br \/>\n(1) for the Committee on Appropriations, committee<br \/>\nallocations for fiscal year 2019 for discretionary budget<br \/>\nauthority at the total level set forth in section 251(c)(6) of<br \/>\nthe Balanced<\/p>\n<p>[[Page 132 STAT. 125]]<\/p>\n<p>Budget and Emergency Deficit Control Act of 1985, as amended by<br \/>\nthis Act, and the outlays flowing therefrom, and committee<br \/>\nallocations for fiscal year 2019 for current law mandatory<br \/>\nbudget authority and outlays, for the purpose of enforcing<br \/>\nsection 302 of the Congressional Budget Act of 1974;<br \/>\n(2) for all committees other than the Committee on<br \/>\nAppropriations, committee allocations for fiscal year 2019 and<br \/>\nfor the period of fiscal years 2019 through 2028 at the levels<br \/>\nincluded in the most recent baseline of the Congressional Budget<br \/>\nOffice, as adjusted for the budgetary effects of any provision<br \/>\nof law enacted during the period beginning on the date such<br \/>\nbaseline is issued and ending on the date of submission of such<br \/>\nstatement, for the purpose of enforcing section 302 of the<br \/>\nCongressional Budget Act of 1974; and<br \/>\n(3) aggregate spending levels for fiscal year 2019 and<br \/>\naggregate revenue levels for fiscal year 2019 and for the period<br \/>\nof fiscal years 2019 through 2028, at the levels included in the<br \/>\nmost recent baseline of the Congressional Budget Office, as<br \/>\nadjusted for the budgetary effects of any provision of law<br \/>\nenacted during the period beginning on the date such baseline is<br \/>\nissued and ending on the date of submission of such statement,<br \/>\nfor the purpose of enforcing section 311 of the Congressional<br \/>\nBudget Act of 1974.<\/p>\n<p>(c) Additional Matter.&#8211;The statement referred to in subsection (b)<br \/>\nmay also include for fiscal year 2019, the matter contained in the<br \/>\nprovisions referred to in subsection (f)(1).<br \/>\n(d) Fiscal Year 2019 Allocation to the Committee on<br \/>\nAppropriations.&#8211;If the statement &lt;&lt;NOTE: Deadline. Congressional<br \/>\nRecord, publication.&gt;&gt; referred to in subsection (b) is not filed by<br \/>\nMay 15, 2018, then the matter referred to in subsection (b)(1) shall be<br \/>\nsubmitted by the Chair of the Committee on the Budget for publication in<br \/>\nthe Congressional Record on the next day that the House of<br \/>\nRepresentatives is in session.<\/p>\n<p>(e) Adjustments.&#8211;The chair of the Committee on the Budget of the<br \/>\nHouse of Representatives may adjust the levels included in the statement<br \/>\nreferred to in subsection (b) to reflect the budgetary effects of any<br \/>\nlegislation enacted during the 115th Congress that reduces the deficit<br \/>\nor as otherwise necessary.<br \/>\n(f) Application.&#8211;Upon submission of the statement referred to in<br \/>\nsubsection (b)&#8211;<br \/>\n(1) all references in sections 5101 through 5112, sections<br \/>\n5201 through 5205, section 5301, and section 5401 of House<br \/>\nConcurrent Resolution 71 (115th Congress) to a fiscal year shall<br \/>\nbe considered for all purposes in the House to be references to<br \/>\nthe succeeding fiscal year; and<br \/>\n(2) all references in the provisions referred to in<br \/>\nparagraph (1) to allocations, aggregates, or other appropriate<br \/>\nlevels in &#8220;this concurrent resolution&#8221;, &#8220;the most recently<br \/>\nagreed to concurrent resolution on the budget&#8221;, or &#8220;this<br \/>\nresolution&#8221; shall be considered for all purposes in the House<br \/>\nto be references to the allocations, aggregates, or other<br \/>\nappropriate levels contained in the statement referred to in<br \/>\nsubsection (b), as adjusted.<\/p>\n<p>(g) Expiration.&#8211;Subsections (a) through (f) shall no longer apply<br \/>\nif a concurrent resolution on the budget for fiscal year 2019 is agreed<br \/>\nto by the Senate and House of Representatives.<\/p>\n<p>[[Page 132 STAT. 126]]<\/p>\n<p>SEC. 30105. EXERCISE OF RULEMAKING POWERS.<\/p>\n<p>Sections 30103 and 30104 are enacted by the Congress&#8211;<br \/>\n(1) as an exercise of the rulemaking power of the Senate and<br \/>\nthe House of Representatives, respectively, and as such they<br \/>\nshall be considered as part of the rules of each House,<br \/>\nrespectively, or of that House to which they specifically apply,<br \/>\nand such rules shall supersede other rules only to the extent<br \/>\nthat they are inconsistent therewith; and<br \/>\n(2) with full recognition of the constitutional right of<br \/>\neither House to change such rules (so far as relating to such<br \/>\nHouse) at any time, in the same manner, and to the same extent<br \/>\nas in the case of any other rule of such House.<\/p>\n<p>TITLE II&#8211;OFFSETS<\/p>\n<p>SEC. 30201. CUSTOMS USER FEES.<\/p>\n<p>(a) In General.&#8211;Section 13031(j)(3) of the Consolidated Omnibus<br \/>\nBudget Reconciliation Act of 1985 (19 U.S.C. 58c(j)(3)) is amended&#8211;<br \/>\n(1) in subparagraph (A), by striking &#8220;January 14, 2026&#8221;<br \/>\nand inserting &#8220;February 24, 2027&#8221;; and<br \/>\n(2) in subparagraph (B)(i), by striking &#8220;September 30,<br \/>\n2025&#8221; and inserting &#8220;September 30, 2027&#8221;.<\/p>\n<p>(b) Rate for Merchandise Processing Fees.&#8211;Section 503 of the United<br \/>\nStates-Korea Free Trade Agreement Implementation Act (Public Law 112-41;<br \/>\n19 U.S.C. 3805 note) is amended by striking &#8220;January 14, 2026&#8221; and<br \/>\ninserting &#8220;February 24, 2027&#8221;.<br \/>\nSEC. 30202. AVIATION SECURITY SERVICE FEES.<\/p>\n<p>Paragraph (4) of section 44940(i) of title 49, United States Code,<br \/>\nis amended by adding at the end the following new subparagraphs:<br \/>\n&#8220;(M) $1,640,000,000 for fiscal year 2026.<br \/>\n&#8220;(N) $1,680,000,000 for fiscal year 2027.&#8221;.<br \/>\nSEC. 30203. EXTENSION OF CERTAIN IMMIGRATION FEES.<\/p>\n<p>(a) Visa Waiver Program.&#8211;Section 217(h)(3)(B)(iii) of the<br \/>\nImmigration and Nationality Act (8 U.S.C. 1187(h)(3)(B)(iii)) is amended<br \/>\nby striking &#8220;September 30, 2020&#8221; and inserting &#8220;September 30, 2027&#8221;.<br \/>\n(b) L-1 and H-1b Visas.&#8211;Section 411 of the Air Transportation<br \/>\nSafety and System Stabilization Act (49 U.S.C. 40101 note) is amended by<br \/>\nstriking &#8220;September 30, 2025&#8221; each place it appears and inserting<br \/>\n&#8220;September 30, 2027&#8221;.<br \/>\nSEC. 30204. STRATEGIC PETROLEUM RESERVE DRAWDOWN.<\/p>\n<p>(a) &lt;&lt;NOTE: 42 USC 6241 note.&gt;&gt; Drawdown and Sale.&#8211;<br \/>\n(1) In general.&#8211;Notwithstanding section 161 of the Energy<br \/>\nPolicy and Conservation Act (42 U.S.C. 6241), except as provided<br \/>\nin subsection (b), the Secretary of Energy shall draw down and<br \/>\nsell from the Strategic Petroleum Reserve&#8211;<br \/>\n(A) 30,000,000 barrels of crude oil during the<br \/>\nperiod of fiscal years 2022 through 2025;<br \/>\n(B) 35,000,000 barrels of crude oil during fiscal<br \/>\nyear 2026; and<br \/>\n(C) 35,000,000 barrels of crude oil during fiscal<br \/>\nyear 2027.<\/p>\n<p>[[Page 132 STAT. 127]]<\/p>\n<p>(2) Deposit of amounts received from sale.&#8211;Amounts received<br \/>\nfrom a sale under paragraph (1) shall be deposited in the<br \/>\ngeneral fund of the Treasury during the fiscal year in which the<br \/>\nsale occurs.<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 6241 note.&gt;&gt; Emergency Protection.&#8211;The<br \/>\nSecretary of Energy may not draw down and sell crude oil under this<br \/>\nsection in quantities that would limit the authority to sell petroleum<br \/>\nproducts under subsection (h) of section 161 of the Energy Policy and<br \/>\nConservation Act (42 U.S.C. 6241) in the full quantity authorized by<br \/>\nthat subsection.<\/p>\n<p>(c) Strategic Petroleum Drawdown Conditions and Limitations.&#8211;<br \/>\n(1) Conditions.&#8211;Section 161(h)(1) of the Energy Policy and<br \/>\nConservation Act (42 U.S.C. 6241(h)(1)) is amended in<br \/>\nsubparagraph (B) by striking &#8220;shortage; and&#8221; and all that<br \/>\nfollows through &#8220;Secretary of&#8221; in subparagraph (C) and<br \/>\ninserting the following: &#8220;shortage;<br \/>\n&#8220;(C) the Secretary has found that action taken<br \/>\nunder this subsection will not impair the ability of the<br \/>\nUnited States to carry out obligations of the United<br \/>\nStates under the international energy program; and<br \/>\n&#8220;(D) the Secretary of&#8221;.<br \/>\n(2) Limitations.&#8211;Section 161(h)(2) of the Energy Policy and<br \/>\nConservation Act (42 U.S.C. 6241(h)(2)) is amended by striking<br \/>\n&#8220;450,000,000&#8221; each place it appears and inserting<br \/>\n&#8220;350,000,000&#8221;.<br \/>\nSEC. 30205. ELIMINATION OF SURPLUS FUNDS OF FEDERAL RESERVE BANKS.<\/p>\n<p>Section 7(a)(3)(A) of the Federal Reserve Act (12 U.S.C.<br \/>\n289(a)(3)(A)) is amended by striking &#8220;$10,000,000,000&#8221; and inserting<br \/>\n&#8220;$7,500,000,000&#8221;.<br \/>\nSEC. 30206. REEMPLOYMENT SERVICES AND ELIGIBILITY ASSESSMENTS.<\/p>\n<p>(a) In General.&#8211;Title III of the Social Security Act (42 U.S.C. 501<br \/>\net seq.) is amended by adding at the end the following:<br \/>\n&#8220;SEC. 306. &lt;&lt;NOTE: 42 USC 506.&gt;&gt; GRANTS TO STATES FOR<br \/>\nREEMPLOYMENT SERVICES AND ELIGIBILITY<br \/>\nASSESSMENTS.<\/p>\n<p>&#8220;(a) In General.&#8211;The Secretary of Labor (in this section referred<br \/>\nto as the `Secretary&#8217;) shall award grants under this section for a<br \/>\nfiscal year to eligible States to conduct a program of reemployment<br \/>\nservices and eligibility assessments for individuals referred to<br \/>\nreemployment services as described in section 303(j) for weeks in such<br \/>\nfiscal year for which such individuals receive unemployment<br \/>\ncompensation.<br \/>\n&#8220;(b) Purposes.&#8211;The purposes of this section are to accomplish the<br \/>\nfollowing goals:<br \/>\n&#8220;(1) To improve employment outcomes of individuals that<br \/>\nreceive unemployment compensation and to reduce the average<br \/>\nduration of receipt of such compensation through employment.<br \/>\n&#8220;(2) To strengthen program integrity and reduce improper<br \/>\npayments of unemployment compensation by States through the<br \/>\ndetection and prevention of such payments to individuals who are<br \/>\nnot eligible for such compensation.<br \/>\n&#8220;(3) To promote alignment with the broader vision of the<br \/>\nWorkforce Innovation and Opportunity Act (29 U.S.C. 3101<\/p>\n<p>[[Page 132 STAT. 128]]<\/p>\n<p>et seq.) of increased program integration and service delivery<br \/>\nfor job seekers, including claimants for unemployment<br \/>\ncompensation.<br \/>\n&#8220;(4) To establish reemployment services and eligibility<br \/>\nassessments as an entry point for individuals receiving<br \/>\nunemployment compensation into other workforce system partner<br \/>\nprograms.<\/p>\n<p>&#8220;(c) Evidence-based Standards.&#8211;<br \/>\n&#8220;(1) In general.&#8211;In carrying out a State program of<br \/>\nreemployment services and eligibility assessments using grant<br \/>\nfunds awarded to the State under this section, a State shall use<br \/>\nsuch funds only for interventions demonstrated to reduce the<br \/>\nnumber of weeks for which program participants receive<br \/>\nunemployment compensation by improving employment outcomes for<br \/>\nprogram participants.<br \/>\n&#8220;(2) &lt;&lt;NOTE: Time period.&gt;&gt; Expanding evidence-based<br \/>\ninterventions.&#8211;In addition to the requirement imposed by<br \/>\nparagraph (1), a State shall&#8211;<br \/>\n&#8220;(A) for fiscal years 2023 and 2024, use no less<br \/>\nthan 25 percent of the grant funds awarded to the State<br \/>\nunder this section for interventions with a high or<br \/>\nmoderate causal evidence rating that show a demonstrated<br \/>\ncapacity to improve employment and earnings outcomes for<br \/>\nprogram participants;<br \/>\n&#8220;(B) for fiscal years 2025 and 2026, use no less<br \/>\nthan 40 percent of such grant funds for interventions<br \/>\ndescribed in subparagraph (A); and<br \/>\n&#8220;(C) &lt;&lt;NOTE: Effective date.&gt;&gt; for fiscal years<br \/>\nbeginning after fiscal year 2026, use no less than 50<br \/>\npercent of such grant funds for interventions described<br \/>\nin subparagraph (A).<\/p>\n<p>&#8220;(d) Evaluations.&#8211;<br \/>\n&#8220;(1) Required evaluations.&#8211;Any intervention without a high<br \/>\nor moderate causal evidence rating used by a State in carrying<br \/>\nout a State program of reemployment services and eligibility<br \/>\nassessments under this section shall be under evaluation at the<br \/>\ntime of use.<br \/>\n&#8220;(2) Funding limitation.&#8211;A State shall use not more than<br \/>\n10 percent of grant funds awarded to the State under this<br \/>\nsection to conduct or cause to be conducted evaluations of<br \/>\ninterventions used in carrying out a program under this section<br \/>\n(including evaluations conducted pursuant to paragraph (1)).<\/p>\n<p>&#8220;(e) State Plan.&#8211;<br \/>\n&#8220;(1) In general.&#8211;As a condition of eligibility to receive<br \/>\na grant under this section for a fiscal year, a State shall<br \/>\nsubmit to the Secretary, at such time and in such manner as the<br \/>\nSecretary may require, a State plan that outlines how the State<br \/>\nintends to conduct a program of reemployment services and<br \/>\neligibility assessments under this section, including&#8211;<br \/>\n&#8220;(A) assurances that, and a description of how, the<br \/>\nprogram will provide&#8211;<br \/>\n&#8220;(i) proper notification to participating<br \/>\nindividuals of the program&#8217;s eligibility<br \/>\nconditions, requirements, and benefits, including<br \/>\nthe issuance of warnings and simple, clear<br \/>\nnotifications to ensure that participating<br \/>\nindividuals are fully aware of the consequences of<\/p>\n<p>[[Page 132 STAT. 129]]<\/p>\n<p>failing to adhere to such requirements, including<br \/>\npolicies related to non-attendance or non-<br \/>\nfulfillment of work search requirements; and<br \/>\n&#8220;(ii) reasonable scheduling accommodations to<br \/>\nmaximize participation for eligible individuals;<br \/>\n&#8220;(B) assurances that, and a description of how, the<br \/>\nprogram will conform with the purposes outlined in<br \/>\nsubsection (b) and satisfy the requirement to use<br \/>\nevidence-based standards under subsection (c),<br \/>\nincluding&#8211;<br \/>\n&#8220;(i) a description of the evidence-based<br \/>\ninterventions the State plans to use to speed<br \/>\nreemployment;<br \/>\n&#8220;(ii) an explanation of how such<br \/>\ninterventions are appropriate to the population<br \/>\nserved; and<br \/>\n&#8220;(iii) if applicable, a description of the<br \/>\nevaluation structure the State plans to use for<br \/>\ninterventions without at least a moderate or high<br \/>\ncausal evidence rating, which may include national<br \/>\nevaluations conducted by the Department of Labor<br \/>\nor by other entities; and<br \/>\n&#8220;(C) a description of any reemployment activities<br \/>\nand evaluations conducted in the prior fiscal year, and<br \/>\nany data collected on&#8211;<br \/>\n&#8220;(i) characteristics of program participants;<br \/>\n&#8220;(ii) the number of weeks for which program<br \/>\nparticipants receive unemployment compensation;<br \/>\nand<br \/>\n&#8220;(iii) employment and other outcomes for<br \/>\nprogram participants consistent with State<br \/>\nperformance accountability measures provided by<br \/>\nthe State unemployment compensation program and in<br \/>\nsection 116(b) of the Workforce Innovation and<br \/>\nOpportunity Act (29 U.S.C. 3141(b)).<br \/>\n&#8220;(2) Approval.&#8211;The Secretary shall approve any State plan,<br \/>\nthat is timely submitted to the Secretary, in such manner as the<br \/>\nSecretary may require, that satisfies the conditions described<br \/>\nin paragraph (1).<br \/>\n&#8220;(3) &lt;&lt;NOTE: Determination.&gt;&gt; Disapproval and revision.&#8211;<br \/>\nIf the Secretary determines that a State plan submitted pursuant<br \/>\nto this subsection fails to satisfy the conditions described in<br \/>\nparagraph (1), the Secretary shall&#8211;<br \/>\n&#8220;(A) disapprove such plan;<br \/>\n&#8220;(B) &lt;&lt;NOTE: Deadline. Notice.&gt;&gt; provide to the<br \/>\nState, not later than 30 days after the date of receipt<br \/>\nof the State plan, a written notice of such disapproval<br \/>\nthat includes a description of any portion of the plan<br \/>\nthat was not approved and the reason for the disapproval<br \/>\nof each such portion; and<br \/>\n&#8220;(C) provide the State with an opportunity to<br \/>\ncorrect any such failure and submit a revised State<br \/>\nplan.<\/p>\n<p>&#8220;(f) Allocation of Funds.&#8211;<br \/>\n&#8220;(1) Base funding.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Time periods. Determination.&gt;&gt; In<br \/>\ngeneral.&#8211;For each fiscal year after fiscal year 2020,<br \/>\nthe Secretary shall allocate a percentage equal to the<br \/>\nbase funding percentage for such fiscal year of the<br \/>\nfunds made available for grants under this section among<br \/>\nthe States awarded such a grant for such fiscal year<br \/>\nusing a formula prescribed by the Secretary based on the<br \/>\nrate of insured unemployment (as defined in section<br \/>\n203(e)(1) of the Federal-State Extended Unemployment<br \/>\nCompensation Act of 1970 (26 U.S.C. 3304 note)) in the<br \/>\nState for<\/p>\n<p>[[Page 132 STAT. 130]]<\/p>\n<p>a period to be determined by the Secretary. In<br \/>\ndeveloping such formula with respect to a State, the<br \/>\nSecretary shall consider the importance of avoiding<br \/>\nsharp reductions in grant funding to a State over time.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Definition.&gt;&gt; Base funding<br \/>\npercentage.&#8211;For purposes of subparagraph (A), the term<br \/>\n`base funding percentage&#8217; means&#8211;<br \/>\n&#8220;(i) for fiscal years 2021 through 2026, 89<br \/>\npercent; and<br \/>\n&#8220;(ii) for fiscal years after 2026, 84<br \/>\npercent.<br \/>\n&#8220;(2) Reservation for outcome payments.&#8211;<br \/>\n&#8220;(A) In general.&#8211;Of the amounts made available for<br \/>\ngrants under this section for each fiscal year after<br \/>\n2020, the Secretary shall reserve a percentage equal to<br \/>\nthe outcome reservation percentage for such fiscal year<br \/>\nfor outcome payments to increase the amount otherwise<br \/>\nawarded to a State under paragraph (1). Such outcome<br \/>\npayments shall be paid to States conducting reemployment<br \/>\nservices and eligibility assessments under this section<br \/>\nthat, during the previous fiscal year, met or exceeded<br \/>\nthe outcome goals provided in subsection (b)(1) related<br \/>\nto reducing the average duration of receipt of<br \/>\nunemployment compensation by improving employment<br \/>\noutcomes.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Definition.&gt;&gt; Outcome reservation<br \/>\npercentage.&#8211;For purposes of subparagraph (A), the term<br \/>\n`outcome reservation percentage&#8217; means&#8211;<br \/>\n&#8220;(i) for fiscal years 2021 through 2026, 10<br \/>\npercent; and<br \/>\n&#8220;(ii) for fiscal years after 2026, 15<br \/>\npercent.<br \/>\n&#8220;(3) Reservation for research and technical assistance.&#8211;Of<br \/>\nthe amounts made available for grants under this section for<br \/>\neach fiscal year after 2020, the Secretary may reserve not more<br \/>\nthan 1 percent to conduct research and provide technical<br \/>\nassistance to States.<br \/>\n&#8220;(4) &lt;&lt;NOTE: Deadline.&gt;&gt; Consultation and public<br \/>\ncomment.&#8211;Not later than September 30, 2019, the Secretary<br \/>\nshall&#8211;<br \/>\n&#8220;(A) consult with the States and seek public<br \/>\ncomment in developing the allocation formula under<br \/>\nparagraph (1) and the criteria for carrying out the<br \/>\nreservations under paragraph (2); and<br \/>\n&#8220;(B) &lt;&lt;NOTE: Criteria.&gt;&gt; make publicly available<br \/>\nthe allocation formula and criteria developed pursuant<br \/>\nto subclause (A).<\/p>\n<p>&#8220;(g) &lt;&lt;NOTE: Deadline.&gt;&gt; Notification to Congress.&#8211;Not later than<br \/>\n90 days prior to making any changes to the allocation formula or the<br \/>\ncriteria developed pursuant to subsection (f)(5)(A), the Secretary shall<br \/>\nsubmit to Congress, including to the Committee on Ways and Means and the<br \/>\nCommittee on Appropriations of the House of Representatives and the<br \/>\nCommittee on Finance and the Committee on Appropriations of the Senate,<br \/>\na notification of any such change.<\/p>\n<p>&#8220;(h) Supplement Not Supplant.&#8211;Funds made available to carry out<br \/>\nthis section shall be used to supplement the level of Federal, State,<br \/>\nand local public funds that, in the absence of such availability, would<br \/>\nbe expended to provide reemployment services and eligibility assessments<br \/>\nto individuals receiving unemployment compensation, and in no case to<br \/>\nsupplant such Federal, State, or local public funds.<br \/>\n&#8220;(i) Definitions.&#8211;In this section:<\/p>\n<p>[[Page 132 STAT. 131]]<\/p>\n<p>&#8220;(1) Causal evidence rating.&#8211;The terms `high causal<br \/>\nevidence rating&#8217; and `moderate causal evidence rating&#8217; shall<br \/>\nhave the meaning given such terms by the Secretary of Labor.<br \/>\n&#8220;(2) Eligible state.&#8211;The term `eligible State&#8217; means a<br \/>\nState that has in effect a State plan approved by the Secretary<br \/>\nin accordance with subsection (e).<br \/>\n&#8220;(3) Intervention.&#8211;The term `intervention&#8217; means a service<br \/>\ndelivery strategy for the provision of State reemployment<br \/>\nservices and eligibility assessment activities under this<br \/>\nsection.<br \/>\n&#8220;(4) State.&#8211;The term `State&#8217; has the meaning given the<br \/>\nterm in section 205 of the Federal-State Extended Unemployment<br \/>\nCompensation Act of 1970 (26 U.S.C. 3304 note).<br \/>\n&#8220;(5) Unemployment compensation.&#8211;The term unemployment<br \/>\ncompensation means `regular compensation&#8217;, `extended<br \/>\ncompensation&#8217;, and `additional compensation&#8217; (as such terms are<br \/>\ndefined by section 205 of the Federal-State Extended<br \/>\nUnemployment Compensation Act of 1970 (26 U.S.C. 3304 note)).&#8221;.<\/p>\n<p>(b) Report.&#8211;Not later than 3 years after the date of enactment of<br \/>\nthis Act, the Secretary of Labor shall submit to Congress a report to<br \/>\ndescribe promising interventions used by States to provide reemployment<br \/>\nassistance.<br \/>\n(c) Adjustment to Discretionary Spending Limits.&#8211;Section 251(b)(2)<br \/>\nof the Balanced Budget and Emergency Deficit Control Act of 1985 (2<br \/>\nU.S.C. 901(b)(2)) is amended by adding at the end the following:<br \/>\n&#8220;(E) Reemployment services and eligibility<br \/>\nassessments.&#8211;<br \/>\n&#8220;(i) In general.&#8211;If a bill or joint<br \/>\nresolution making appropriations for a fiscal year<br \/>\nis enacted that specifies an amount for grants to<br \/>\nStates under section 306 of the Social Security<br \/>\nAct, then the adjustment for that fiscal year<br \/>\nshall be the additional new budget authority<br \/>\nprovided in that Act for such grants for that<br \/>\nfiscal year, but shall not exceed&#8211;<br \/>\n&#8220;(I) for fiscal year 2018, $0;<br \/>\n&#8220;(II) for fiscal year 2019,<br \/>\n$33,000,000;<br \/>\n&#8220;(III) for fiscal year 2020,<br \/>\n$58,000,000; and<br \/>\n&#8220;(IV) for fiscal year 2021,<br \/>\n$83,000,000.<br \/>\n&#8220;(ii) Definition.&#8211;As used in this<br \/>\nsubparagraph, the term `additional new budget<br \/>\nauthority&#8217; means the amount provided for a fiscal<br \/>\nyear, in excess of $117,000,000, in an<br \/>\nappropriation Act and specified to pay for grants<br \/>\nto States under section 306 of the Social Security<br \/>\nAct.&#8221;.<\/p>\n<p>(d) Other Budgetary Adjustments.&#8211;Section 314 of the Congressional<br \/>\nBudget Act of 1974 (2 U.S.C. 645) is amended by adding at the end the<br \/>\nfollowing:<br \/>\n&#8220;(g) Adjustment for Reemployment Services and Eligibility<br \/>\nAssessments.&#8211;<br \/>\n&#8220;(1) In general.&#8211;<br \/>\n&#8220;(A) Adjustments.&#8211;If the Committee on<br \/>\nAppropriations of either House reports an appropriation<br \/>\nmeasure for any of fiscal years 2022 through 2027 that<br \/>\nprovides budget authority for grants under section 306<br \/>\nof the Social<\/p>\n<p>[[Page 132 STAT. 132]]<\/p>\n<p>Security Act, or if a conference committee submits a<br \/>\nconference report thereon, the chairman of the Committee<br \/>\non the Budget of the House of Representatives or the<br \/>\nSenate shall make the adjustments referred to in<br \/>\nsubparagraph (B) to reflect the additional new budget<br \/>\nauthority provided for such grants in that measure or<br \/>\nconference report and the outlays resulting therefrom,<br \/>\nconsistent with subparagraph (D).<br \/>\n&#8220;(B) Types of adjustments.&#8211;The adjustments<br \/>\nreferred to in this subparagraph consist of adjustments<br \/>\nto&#8211;<br \/>\n&#8220;(i) the discretionary spending limits for<br \/>\nthat fiscal year as set forth in the most recently<br \/>\nadopted concurrent resolution on the budget;<br \/>\n&#8220;(ii) the allocations to the Committees on<br \/>\nAppropriations of the Senate and the House of<br \/>\nRepresentatives for that fiscal year under section<br \/>\n302(a); and<br \/>\n&#8220;(iii) the appropriate budget aggregates for<br \/>\nthat fiscal year in the most recently adopted<br \/>\nconcurrent resolution on the budget.<br \/>\n&#8220;(C) Enforcement.&#8211;The adjusted discretionary<br \/>\nspending limits, allocations, and aggregates under this<br \/>\nparagraph shall be considered the appropriate limits,<br \/>\nallocations, and aggregates for purposes of<br \/>\ncongressional enforcement of this Act and concurrent<br \/>\nbudget resolutions under this Act.<br \/>\n&#8220;(D) Limitation.&#8211;No adjustment may be made under<br \/>\nthis subsection in excess of&#8211;<br \/>\n&#8220;(i) for fiscal year 2022, $133,000,000;<br \/>\n&#8220;(ii) for fiscal year 2023, $258,000,000;<br \/>\n&#8220;(iii) for fiscal year 2024, $433,000,000;<br \/>\n&#8220;(iv) for fiscal year 2025, $533,000,000;<br \/>\n&#8220;(v) for fiscal year 2026, $608,000,000; and<br \/>\n&#8220;(vi) for fiscal year 2027, $633,000,000.<br \/>\n&#8220;(E) Definition.&#8211;As used in this subsection, the term<br \/>\n`additional new budget authority&#8217; means the amount provided for<br \/>\na fiscal year, in excess of $117,000,000, in an appropriation<br \/>\nmeasure or conference report (as the case may be) and specified<br \/>\nto pay for grants to States under section 306 of the Social<br \/>\nSecurity Act.<br \/>\n&#8220;(2) Report on 302(b) level.&#8211;Following any adjustment made<br \/>\nunder paragraph (1), the Committees on Appropriations of the<br \/>\nSenate and the House of Representatives may report appropriately<br \/>\nrevised suballocations pursuant to section 302(b) to carry out<br \/>\nthis subsection.&#8221;.<\/p>\n<p>TITLE III&#8211;TEMPORARY EXTENSION OF PUBLIC DEBT LIMIT<\/p>\n<p>SEC. 30301. &lt;&lt;NOTE: 31 USC 3101 note. Time period.&gt;&gt; TEMPORARY<br \/>\nEXTENSION OF PUBLIC DEBT LIMIT.<\/p>\n<p>(a) In General.&#8211;Section 3101(b) of title 31, United States Code,<br \/>\nshall not apply for the period beginning on the date of the enactment of<br \/>\nthis Act and ending on March 1, 2019.<br \/>\n(b) &lt;&lt;NOTE: Effective date.&gt;&gt; Special Rule Relating to Obligations<br \/>\nIssued During Extension Period.&#8211;Effective on March 2, 2019, the<br \/>\nlimitation<\/p>\n<p>[[Page 132 STAT. 133]]<\/p>\n<p>in effect under section 3101(b) of title 31, United States Code, shall<br \/>\nbe increased to the extent that&#8211;<br \/>\n(1) the face amount of obligations issued under chapter 31<br \/>\nof such title and the face amount of obligations whose principal<br \/>\nand interest are guaranteed by the United States Government<br \/>\n(except guaranteed obligations held by the Secretary of the<br \/>\nTreasury) outstanding on March 2, 2019, exceeds<br \/>\n(2) the face amount of such obligations outstanding on the<br \/>\ndate of the enactment of this Act.<\/p>\n<p>(c) Restoring Congressional Authority Over the National Debt.&#8211;<br \/>\n(1) Extension limited to necessary obligations.&#8211;An<br \/>\nobligation shall not be taken into account under subsection<br \/>\n(b)(1) unless the issuance of such obligation was necessary to<br \/>\nfund a commitment incurred pursuant to law by the Federal<br \/>\nGovernment that required payment before March 2, 2019.<br \/>\n(2) Prohibition on creation of cash reserve during extension<br \/>\nperiod.&#8211;The Secretary of the Treasury shall not issue<br \/>\nobligations during the period specified in subsection (a) for<br \/>\nthe purpose of increasing the cash balance above normal<br \/>\noperating balances in anticipation of the expiration of such<br \/>\nperiod.<\/p>\n<p>TITLE IV&#8211;JOINT SELECT COMMITTEES<\/p>\n<p>Subtitle A&#8211;Joint Select Committee on Solvency of Multiemployer Pension<br \/>\nPlans<\/p>\n<p>SEC. 30421. DEFINITIONS.<\/p>\n<p>In this subtitle&#8211;<br \/>\n(1) the term &#8220;joint committee&#8221; means the Joint Select<br \/>\nCommittee on Solvency of Multiemployer Pension Plans established<br \/>\nunder section 30422(a); and<br \/>\n(2) the term &#8220;joint committee bill&#8221; means a bill<br \/>\nconsisting of the proposed legislative language of the joint<br \/>\ncommittee recommended in accordance with section<br \/>\n30422(b)(2)(B)(ii) and introduced under section 30424(a).<br \/>\nSEC. 30422. ESTABLISHMENT OF JOINT SELECT COMMITTEE.<\/p>\n<p>(a) Establishment of Joint Select Committee.&#8211;There is established a<br \/>\njoint select committee of Congress to be known as the &#8220;Joint Select<br \/>\nCommittee on Solvency of Multiemployer Pension Plans&#8221;.<br \/>\n(b) Implementation.&#8211;<br \/>\n(1) Goal.&#8211;The goal of the joint committee is to improve the<br \/>\nsolvency of multiemployer pension plans and the Pension Benefit<br \/>\nGuaranty Corporation.<br \/>\n(2) Duties.&#8211;<br \/>\n(A) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; In general.&#8211;The<br \/>\njoint committee shall provide recommendations and<br \/>\nlegislative language that will significantly improve the<br \/>\nsolvency of multiemployer pension plans and the Pension<br \/>\nBenefit Guaranty Corporation.<br \/>\n(B) Report, recommendations, and legislative<br \/>\nlanguage.&#8211;<\/p>\n<p>[[Page 132 STAT. 134]]<\/p>\n<p>(i) &lt;&lt;NOTE: Deadline.&gt;&gt; In general.&#8211;Not<br \/>\nlater than November 30, 2018, the joint committee<br \/>\nshall vote on&#8211;<br \/>\n(I) a report that contains a<br \/>\ndetailed statement of the findings,<br \/>\nconclusions, and recommendations of the<br \/>\njoint committee; and<br \/>\n(II) proposed legislative language<br \/>\nto carry out the recommendations<br \/>\ndescribed in subclause (I).<br \/>\n(ii) Approval of report and legislative<br \/>\nlanguage.&#8211;<br \/>\n(I) In general.&#8211;The report of the<br \/>\njoint committee and the proposed<br \/>\nlegislative language described in clause<br \/>\n(i) shall only be approved upon<br \/>\nreceiving the votes of&#8211;<br \/>\n(aa) a majority of joint<br \/>\ncommittee members appointed by<br \/>\nthe Speaker of the House of<br \/>\nRepresentatives and the Majority<br \/>\nLeader of the Senate; and<br \/>\n(bb) a majority of joint<br \/>\ncommittee members appointed by<br \/>\nthe Minority Leader of the House<br \/>\nof Representatives and the<br \/>\nMinority Leader of the Senate.<br \/>\n(II) &lt;&lt;NOTE: Public information. Web<br \/>\nposting.&gt;&gt; Availability.&#8211;The text of<br \/>\nany report and proposed legislative<br \/>\nlanguage shall be publicly available in<br \/>\nelectronic form at least 24 hours prior<br \/>\nto its consideration.<br \/>\n(iii) Additional views.&#8211;A member of the joint<br \/>\ncommittee who gives notice of an intention to file<br \/>\nsupplemental, minority, or additional views at the<br \/>\ntime of the final joint committee vote on the<br \/>\napproval of the report and legislative language<br \/>\nunder clause (ii) shall be entitled to 2 calendar<br \/>\ndays after the day of such notice in which to file<br \/>\nsuch views in writing with the co-chairs. Such<br \/>\nviews shall then be included in the joint<br \/>\ncommittee report and printed in the same volume,<br \/>\nor part thereof, and their inclusion shall be<br \/>\nnoted on the cover of the report. In the absence<br \/>\nof timely notice, the joint committee report may<br \/>\nbe printed and transmitted immediately without<br \/>\nsuch views.<br \/>\n(iv) Transmission of report and legislative<br \/>\nlanguage.&#8211;If the report and legislative language<br \/>\nare approved by the joint committee pursuant to<br \/>\nclause (ii), the joint committee shall submit the<br \/>\njoint committee report and legislative language<br \/>\ndescribed in clause (i) to the President, the Vice<br \/>\nPresident, the Speaker of the House of<br \/>\nRepresentatives, and the majority and minority<br \/>\nleaders of each House of Congress not later than<br \/>\n15 calendar days after such approval.<br \/>\n(v) &lt;&lt;NOTE: Records.&gt;&gt; Report and legislative<br \/>\nlanguage to be made public.&#8211;Upon the approval of<br \/>\nthe joint committee report and legislative<br \/>\nlanguage pursuant to clause (ii), the joint<br \/>\ncommittee shall promptly make the full report and<br \/>\nlegislative language, and a record of any vote,<br \/>\navailable to the public.<br \/>\n(3) Membership.&#8211;<\/p>\n<p>[[Page 132 STAT. 135]]<\/p>\n<p>(A) In general.&#8211;The joint committee shall be<br \/>\ncomposed of 16 members appointed pursuant to<br \/>\nsubparagraph (B).<br \/>\n(B) Appointment.&#8211;Members of the joint committee<br \/>\nshall be appointed as follows:<br \/>\n(i) The Speaker of the House of<br \/>\nRepresentatives shall appoint 4 members from among<br \/>\nMembers of the House of Representatives.<br \/>\n(ii) The Minority Leader of the House of<br \/>\nRepresentatives shall appoint 4 members from among<br \/>\nMembers of the House of Representatives.<br \/>\n(iii) The Majority Leader of the Senate shall<br \/>\nappoint 4 members from among Members of the<br \/>\nSenate.<br \/>\n(iv) The Minority Leader of the Senate shall<br \/>\nappoint 4 members from among Members of the<br \/>\nSenate.<br \/>\n(C) Co-chairs.&#8211;Two of the appointed members of the<br \/>\njoint committee will serve as co-chairs. The Speaker of<br \/>\nthe House of Representatives and the Majority Leader of<br \/>\nthe Senate shall jointly appoint one co-chair, and the<br \/>\nMinority Leader of the House of Representatives and the<br \/>\nMinority Leader of the Senate shall jointly appoint the<br \/>\nsecond co-chair. &lt;&lt;NOTE: Deadline.&gt;&gt; The co-chairs<br \/>\nshall be appointed not later than 14 calendar days after<br \/>\nthe date of enactment of this Act.<br \/>\n(D) &lt;&lt;NOTE: Deadline.&gt;&gt; Date.&#8211;Members of the joint<br \/>\ncommittee shall be appointed not later than 14 calendar<br \/>\ndays after the date of enactment of this Act.<br \/>\n(E) &lt;&lt;NOTE: Deadline.&gt;&gt; Period of appointment.&#8211;<br \/>\nMembers shall be appointed for the life of the joint<br \/>\ncommittee. Any vacancy in the joint committee shall not<br \/>\naffect its powers, but shall be filled not later than 14<br \/>\ncalendar days after the date on which the vacancy<br \/>\noccurs, in the same manner as the original appointment<br \/>\nwas made. If a member of the joint committee ceases to<br \/>\nbe a Member of the House of Representatives or the<br \/>\nSenate, as the case may be, the member is no longer a<br \/>\nmember of the joint committee and a vacancy shall exist.<br \/>\n(4) Administration.&#8211;<br \/>\n(A) &lt;&lt;NOTE: Time periods.&gt;&gt; General authority.&#8211;For<br \/>\npurposes of enabling the joint committee to exercise its<br \/>\npowers, functions, and duties under this subtitle, and<br \/>\nconsistent with the Standing Rules of the Senate, there<br \/>\nis authorized from the date of enactment of this Act<br \/>\nthrough February 28, 2019, $500,000 to be allocated&#8211;<br \/>\n(i) in total during the period October 1, 2017<br \/>\nthrough September 30, 2018; and<br \/>\n(ii) any remaining amounts shall be carried<br \/>\nforward for the period October 1, 2018 through<br \/>\nFebruary 28, 2019.<br \/>\n(B) Expenses.&#8211;Expenses of the joint committee shall<br \/>\nbe paid from the contingent fund of the Senate upon<br \/>\nvouchers approved by the co-chairs, subject to the rules<br \/>\nand regulations of the Senate.<br \/>\n(C) Quorum.&#8211;Nine members of the joint committee<br \/>\nshall constitute a quorum for purposes of voting and<\/p>\n<p>[[Page 132 STAT. 136]]<\/p>\n<p>meeting, and 5 members of the joint committee shall<br \/>\nconstitute a quorum for holding hearings.<br \/>\n(D) Voting.&#8211;No proxy voting shall be allowed on<br \/>\nbehalf of the members of the joint committee.<br \/>\n(E) &lt;&lt;NOTE: Deadlines.&gt;&gt; Meetings.&#8211;<br \/>\n(i) Initial meeting.&#8211;Not later than 30<br \/>\ncalendar days after the date of enactment of this<br \/>\nAct, the joint committee shall hold its first<br \/>\nmeeting.<br \/>\n(ii) Agenda.&#8211;The co-chairs of the joint<br \/>\ncommittee shall provide an agenda to the joint<br \/>\ncommittee members not less than 48 hours in<br \/>\nadvance of any meeting.<br \/>\n(F) Hearings.&#8211;<br \/>\n(i) In general.&#8211;The joint committee may, for<br \/>\nthe purpose of carrying out this section, hold<br \/>\nsuch hearings, sit and act at such times and<br \/>\nplaces, require attendance of witnesses and<br \/>\nproduction of books, papers, and documents, take<br \/>\nsuch testimony, receive such evidence, and<br \/>\nadminister such oaths as the joint committee<br \/>\nconsiders advisable.<br \/>\n(ii) Hearing procedures and responsibilities<br \/>\nof co-chairs.&#8211;<br \/>\n(I) &lt;&lt;NOTE: Time period.&gt;&gt;<br \/>\nAnnouncement.&#8211;The co-chairs of the<br \/>\njoint committee shall make a public<br \/>\nannouncement of the date, place, time,<br \/>\nand subject matter of any hearing to be<br \/>\nconducted, not less than 7 days in<br \/>\nadvance of such hearing, unless the co-<br \/>\nchairs determine that there is good<br \/>\ncause to begin such hearing at an<br \/>\nearlier date.<br \/>\n(II) Equal representation of<br \/>\nwitnesses.&#8211;Each co-chair shall be<br \/>\nentitled to select an equal number of<br \/>\nwitnesses for each hearing held by the<br \/>\njoint committee.<br \/>\n(III) &lt;&lt;NOTE: Time period.&gt;&gt;<br \/>\nWritten statement.&#8211;A witness appearing<br \/>\nbefore the joint committee shall file a<br \/>\nwritten statement of proposed testimony<br \/>\nat least 2 calendar days before the<br \/>\nappearance of the witness, unless the<br \/>\nrequirement is waived by the co-chairs,<br \/>\nfollowing their determination that there<br \/>\nis good cause for failure to comply with<br \/>\nsuch requirement.<br \/>\n(G) Minimum number of public meetings and<br \/>\nhearings.&#8211;The joint committee shall hold&#8211;<br \/>\n(i) not less than a total of 5 public meetings<br \/>\nor public hearings; and<br \/>\n(ii) not less than 3 public hearings, which<br \/>\nmay include field hearings.<br \/>\n(H) Technical assistance.&#8211;Upon written request of<br \/>\nthe co-chairs, a Federal agency, including legislative<br \/>\nbranch agencies, shall provide technical assistance to<br \/>\nthe joint committee in order for the joint committee to<br \/>\ncarry out its duties.<br \/>\n(I) Staffing.&#8211;<br \/>\n(i) Details.&#8211;Employees of the legislative<br \/>\nbranch may be detailed to the joint committee on a<br \/>\nnonreimbursable basis, consistent with the rules<br \/>\nand regulations of the Senate.<\/p>\n<p>[[Page 132 STAT. 137]]<\/p>\n<p>(ii) Staff director.&#8211;The co-chairs, acting<br \/>\njointly, may designate one such employee as staff<br \/>\ndirector of the joint committee.<\/p>\n<p>(c) Ethical Standards.&#8211;Members on the joint committee who serve in<br \/>\nthe House of Representatives shall be governed by the ethics rules and<br \/>\nrequirements of the House. Members of the Senate who serve on the joint<br \/>\ncommittee shall comply with the ethics rules of the Senate.<br \/>\n(d) Termination.&#8211;The joint committee shall terminate on December<br \/>\n31, 2018 or 30 days after submission of its report and legislative<br \/>\nrecommendations pursuant to this section whichever occurs first.<br \/>\nSEC. 30423. FUNDING.<\/p>\n<p>(a) Special Reserve.&#8211;To enable the joint committee to exercise its<br \/>\npowers, functions, and duties under this subtitle, within the funds in<br \/>\nthe account for &#8220;Expenses of Inquiries and Investigations&#8221; of the<br \/>\nSenate, not more than $500,000 shall be allocated from the special<br \/>\nreserve established in S. Res. 62, agreed to February 28, 2017 (115th<br \/>\nCongress), for use by the joint committee.<br \/>\n(b) Expiration.&#8211;None of the funds made available by this section<br \/>\nmay be available for obligation by the joint committee after January 2,<br \/>\n2019.<br \/>\n(c) Availability Requirements.&#8211;For purposes of the joint committee,<br \/>\nsection 20(b) of S. Res. 62, agreed to February 28, 2017 (115th<br \/>\nCongress), shall not apply.<br \/>\nSEC. 30424. CONSIDERATION OF JOINT COMMITTEE BILL IN THE SENATE.<\/p>\n<p>(a) Introduction.&#8211;Upon receipt of proposed legislative language<br \/>\napproved in accordance with section 30422(b)(2)(B)(ii), the language<br \/>\nshall be introduced in the Senate (by request) on the next day on which<br \/>\nthe Senate is in session by the Majority Leader of the Senate or by a<br \/>\nMember of the Senate designated by the Majority Leader of the Senate.<br \/>\n(b) &lt;&lt;NOTE: Deadline.&gt;&gt; Committee Consideration.&#8211;A joint committee<br \/>\nbill introduced in the Senate under subsection (a) shall be jointly<br \/>\nreferred to the Committee on Finance and the Committee on Health,<br \/>\nEducation, Labor, and Pensions, which committees shall report the bill<br \/>\nwithout any revision and with a favorable recommendation, an unfavorable<br \/>\nrecommendation, or without recommendation, no later than 7 session days<br \/>\nafter introduction of the bill. If either committee fails to report the<br \/>\nbill within that period, that committee shall be automatically<br \/>\ndischarged from consideration of the bill, and the bill shall be placed<br \/>\non the appropriate calendar.<\/p>\n<p>(c) Motion to Proceed to Consideration.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Deadline.&gt;&gt; In general.&#8211;Notwithstanding rule<br \/>\nXXII of the Standing Rules of the Senate, it is in order, not<br \/>\nlater than 2 days of session after the date on which a joint<br \/>\ncommittee bill is reported or discharged from the Committee on<br \/>\nFinance and the Committee on Health, Education, Labor, and<br \/>\nPensions, for the Majority Leader of the Senate or the Majority<br \/>\nLeader&#8217;s designee to move to proceed to the consideration of the<br \/>\njoint committee bill. It shall also be in order for any Member<br \/>\nof the Senate to move to proceed to the consideration of the<br \/>\njoint committee bill at any time after the conclusion of such 2-<br \/>\nday period.<\/p>\n<p>[[Page 132 STAT. 138]]<\/p>\n<p>(2) Consideration of motion.&#8211;Consideration of the motion to<br \/>\nproceed to the consideration of the joint committee bill and all<br \/>\ndebatable motions and appeals in connection therewith shall not<br \/>\nexceed 10 hours, which shall be divided equally between the<br \/>\nMajority and Minority Leaders or their designees. A motion to<br \/>\nfurther limit debate is in order, shall require an affirmative<br \/>\nvote of three-fifths of Members duly chosen and sworn, and is<br \/>\nnot debatable.<br \/>\n(3) Vote threshold.&#8211;The motion to proceed to the<br \/>\nconsideration of the joint committee bill shall only be agreed<br \/>\nto upon an affirmative vote of three-fifths of Members duly<br \/>\nchosen and sworn.<br \/>\n(4) Limitations.&#8211;The motion is not subject to a motion to<br \/>\npostpone. All points of order against the motion to proceed to<br \/>\nthe joint committee bill are waived. A motion to reconsider the<br \/>\nvote by which the motion is agreed to or disagreed to shall not<br \/>\nbe in order.<br \/>\n(5) Deadline.&#8211;Not later than the last day of the 115th<br \/>\nCongress, the Senate shall vote on a motion to proceed to the<br \/>\njoint committee bill.<br \/>\n(6) &lt;&lt;NOTE: Definition.&gt;&gt; Companion measures.&#8211;For purposes<br \/>\nof this subsection, the term &#8220;joint committee bill&#8221; includes a<br \/>\nbill of the House of Representatives that is a companion measure<br \/>\nto the joint committee bill introduced in the Senate.<\/p>\n<p>(d) Rules of Senate.&#8211;This section is enacted by Congress&#8211;<br \/>\n(1) as an exercise of the rulemaking power of the Senate,<br \/>\nand as such is deemed a part of the rules of the Senate, but<br \/>\napplicable only with respect to the procedure to be followed in<br \/>\nthe Senate in the case of a joint committee bill, and supersede<br \/>\nother rules only to the extent that they are inconsistent with<br \/>\nsuch rules; and<br \/>\n(2) with full recognition of the constitutional right of the<br \/>\nSenate to change the rules (so far as relating to the procedure<br \/>\nof the Senate) at any time, in the same manner, and to the same<br \/>\nextent as in the case of any other rule of the Senate.<\/p>\n<p>Subtitle B&#8211;Joint Select Committee on Budget and Appropriations Process<br \/>\nReform<\/p>\n<p>SEC. 30441. DEFINITIONS.<\/p>\n<p>In this subtitle&#8211;<br \/>\n(1) the term &#8220;joint committee&#8221; means the Joint Select<br \/>\nCommittee on Budget and Appropriations Process Reform<br \/>\nestablished under section 30442(a); and<br \/>\n(2) the term &#8220;joint committee bill&#8221; means a bill<br \/>\nconsisting of the proposed legislative language of the joint<br \/>\ncommittee recommended in accordance with section<br \/>\n30442(b)(2)(B)(ii) and introduced under section 30444(a).<br \/>\nSEC. 30442. ESTABLISHMENT OF JOINT SELECT COMMITTEE.<\/p>\n<p>(a) Establishment of Joint Select Committee.&#8211;There is established a<br \/>\njoint select committee of Congress to be known as the &#8220;Joint Select<br \/>\nCommittee on Budget and Appropriations Process Reform&#8221;.<\/p>\n<p>[[Page 132 STAT. 139]]<\/p>\n<p>(b) Implementation.&#8211;<br \/>\n(1) Goal.&#8211;The goal of the joint committee is to reform the<br \/>\nbudget and appropriations process.<br \/>\n(2) Duties.&#8211;<br \/>\n(A) In general.&#8211;The joint committee shall provide<br \/>\nrecommendations and legislative language that will<br \/>\nsignificantly reform the budget and appropriations<br \/>\nprocess.<br \/>\n(B) Report, recommendations, and legislative<br \/>\nlanguage.&#8211;<br \/>\n(i) In general.&#8211;Not later than November 30,<br \/>\n2018, the joint committee shall vote on&#8211;<br \/>\n(I) a report that contains a<br \/>\ndetailed statement of the findings,<br \/>\nconclusions, and recommendations of the<br \/>\njoint committee; and<br \/>\n(II) proposed legislative language<br \/>\nto carry out the recommendations<br \/>\ndescribed in subclause (I).<br \/>\n(ii) Approval of report and legislative<br \/>\nlanguage.&#8211;<br \/>\n(I) In general.&#8211;The report of the<br \/>\njoint committee and the proposed<br \/>\nlegislative language described in clause<br \/>\n(i) shall only be approved upon<br \/>\nreceiving the votes of&#8211;<br \/>\n(aa) a majority of joint<br \/>\ncommittee members appointed by<br \/>\nthe Speaker of the House of<br \/>\nRepresentatives and the Majority<br \/>\nLeader of the Senate; and<br \/>\n(bb) a majority of joint<br \/>\ncommittee members appointed by<br \/>\nthe Minority Leader of the House<br \/>\nof Representatives and the<br \/>\nMinority Leader of the Senate.<br \/>\n(II) &lt;&lt;NOTE: Public information. Web<br \/>\nposting.&gt;&gt; Availability.&#8211;The text of<br \/>\nany report and proposed legislative<br \/>\nlanguage shall be publicly available in<br \/>\nelectronic form at least 24 hours prior<br \/>\nto its consideration.<br \/>\n(iii) &lt;&lt;NOTE: Time period.&gt;&gt; Additional<br \/>\nviews.&#8211;A member of the joint committee who gives<br \/>\nnotice of an intention to file supplemental,<br \/>\nminority, or additional views at the time of the<br \/>\nfinal joint committee vote on the approval of the<br \/>\nreport and legislative language under clause (ii)<br \/>\nshall be entitled to 2 calendar days after the day<br \/>\nof such notice in which to file such views in<br \/>\nwriting with the co-chairs. Such views shall then<br \/>\nbe included in the joint committee report and<br \/>\nprinted in the same volume, or part thereof, and<br \/>\ntheir inclusion shall be noted on the cover of the<br \/>\nreport. In the absence of timely notice, the joint<br \/>\ncommittee report may be printed and transmitted<br \/>\nimmediately without such views.<br \/>\n(iv) Transmission of report and legislative<br \/>\nlanguage.&#8211;If the report and legislative language<br \/>\nare approved by the joint committee pursuant to<br \/>\nclause (ii), the joint committee shall submit the<br \/>\njoint committee report and legislative language<br \/>\ndescribed in clause (i) to the President, the Vice<br \/>\nPresident, the Speaker of the House of<br \/>\nRepresentatives, and the<\/p>\n<p>[[Page 132 STAT. 140]]<\/p>\n<p>majority and minority leaders of each House of<br \/>\nCongress not later than 15 calendar days after<br \/>\nsuch approval.<br \/>\n(v) Report and legislative language to be made<br \/>\npublic.&#8211;Upon the approval of the joint committee<br \/>\nreport and legislative language pursuant to clause<br \/>\n(ii), the joint committee shall promptly make the<br \/>\nfull report and legislative language, and a record<br \/>\nof any vote, available to the public.<br \/>\n(3) Membership.&#8211;<br \/>\n(A) In general.&#8211;The joint committee shall be<br \/>\ncomposed of 16 members appointed pursuant to<br \/>\nsubparagraph (B).<br \/>\n(B) Appointment.&#8211;Members of the joint committee<br \/>\nshall be appointed as follows:<br \/>\n(i) The Speaker of the House of<br \/>\nRepresentatives shall appoint 4 members from among<br \/>\nMembers of the House of Representatives.<br \/>\n(ii) The Minority Leader of the House of<br \/>\nRepresentatives shall appoint 4 members from among<br \/>\nMembers of the House of Representatives.<br \/>\n(iii) The Majority Leader of the Senate shall<br \/>\nappoint 4 members from among Members of the<br \/>\nSenate.<br \/>\n(iv) The Minority Leader of the Senate shall<br \/>\nappoint 4 members from among Members of the<br \/>\nSenate.<br \/>\n(C) Co-chairs.&#8211;Two of the appointed members of the<br \/>\njoint committee will serve as co-chairs. The Speaker of<br \/>\nthe House of Representatives and the Majority Leader of<br \/>\nthe Senate shall jointly appoint one co-chair, and the<br \/>\nMinority Leader of the House of Representatives and the<br \/>\nMinority Leader of the Senate shall jointly appoint the<br \/>\nsecond co-chair. &lt;&lt;NOTE: Deadline.&gt;&gt; The co-chairs<br \/>\nshall be appointed not later than 14 calendar days after<br \/>\nthe date of enactment of this Act.<br \/>\n(D) &lt;&lt;NOTE: Deadline.&gt;&gt; Date.&#8211;Members of the joint<br \/>\ncommittee shall be appointed not later than 14 calendar<br \/>\ndays after the date of enactment of this Act.<br \/>\n(E) &lt;&lt;NOTE: Deadline.&gt;&gt; Period of appointment.&#8211;<br \/>\nMembers shall be appointed for the life of the joint<br \/>\ncommittee. Any vacancy in the joint committee shall not<br \/>\naffect its powers, but shall be filled not later than 14<br \/>\ncalendar days after the date on which the vacancy<br \/>\noccurs, in the same manner as the original appointment<br \/>\nwas made. If a member of the joint committee ceases to<br \/>\nbe a Member of the House of Representatives or the<br \/>\nSenate, as the case may be, the member is no longer a<br \/>\nmember of the joint committee and a vacancy shall exist.<br \/>\n(4) Administration.&#8211;<br \/>\n(A) &lt;&lt;NOTE: Time periods.&gt;&gt; General authority.&#8211;For<br \/>\npurposes of enabling the joint committee to exercise its<br \/>\npowers, functions, and duties under this subtitle, and<br \/>\nconsistent with the Standing Rules of the Senate, there<br \/>\nis authorized from the date of enactment of this Act<br \/>\nthrough February 28, 2019, $500,000 to be allocated&#8211;<\/p>\n<p>[[Page 132 STAT. 141]]<\/p>\n<p>(i) in total during the period October 1, 2017<br \/>\nthrough September 30, 2018; and<br \/>\n(ii) any remaining amounts shall be carried<br \/>\nforward for the period October 1, 2018 through<br \/>\nFebruary 28, 2019.<br \/>\n(B) Expenses.&#8211;Expenses of the joint committee shall<br \/>\nbe paid from the contingent fund of the Senate upon<br \/>\nvouchers approved by the co-chairs, subject to the rules<br \/>\nand regulations of the Senate.<br \/>\n(C) Quorum.&#8211;Nine members of the joint committee<br \/>\nshall constitute a quorum for purposes of voting and<br \/>\nmeeting, and 5 members of the joint committee shall<br \/>\nconstitute a quorum for holding hearings.<br \/>\n(D) Voting.&#8211;No proxy voting shall be allowed on<br \/>\nbehalf of the members of the joint committee.<br \/>\n(E) Meetings.&#8211;<br \/>\n(i) &lt;&lt;NOTE: Deadline.&gt;&gt; Initial meeting.&#8211;Not<br \/>\nlater than 30 calendar days after the date of<br \/>\nenactment of this Act, the joint committee shall<br \/>\nhold its first meeting.<br \/>\n(ii) &lt;&lt;NOTE: Time period.&gt;&gt; Agenda.&#8211;The co-<br \/>\nchairs of the joint committee shall provide an<br \/>\nagenda to the joint committee members not less<br \/>\nthan 48 hours in advance of any meeting.<br \/>\n(F) Hearings.&#8211;<br \/>\n(i) In general.&#8211;The joint committee may, for<br \/>\nthe purpose of carrying out this section, hold<br \/>\nsuch hearings, sit and act at such times and<br \/>\nplaces, require attendance of witnesses and<br \/>\nproduction of books, papers, and documents, take<br \/>\nsuch testimony, receive such evidence, and<br \/>\nadminister such oaths as the joint committee<br \/>\nconsiders advisable.<br \/>\n(ii) &lt;&lt;NOTE: Time periods.&gt;&gt; Hearing<br \/>\nprocedures and responsibilities of co-chairs.&#8211;<br \/>\n(I) &lt;&lt;NOTE: Public information.&gt;&gt;<br \/>\nAnnouncement.&#8211;The co-chairs of the<br \/>\njoint committee shall make a public<br \/>\nannouncement of the date, place, time,<br \/>\nand subject matter of any hearing to be<br \/>\nconducted, not less than 7 days in<br \/>\nadvance of such hearing, unless the co-<br \/>\nchairs determine that there is good<br \/>\ncause to begin such hearing at an<br \/>\nearlier date.<br \/>\n(II) Equal representation of<br \/>\nwitnesses.&#8211;Each co-chair shall be<br \/>\nentitled to select an equal number of<br \/>\nwitnesses for each hearing held by the<br \/>\njoint committee.<br \/>\n(III) Written statement.&#8211;A witness<br \/>\nappearing before the joint committee<br \/>\nshall file a written statement of<br \/>\nproposed testimony at least 2 calendar<br \/>\ndays before the appearance of the<br \/>\nwitness, unless the requirement is<br \/>\nwaived by the co-chairs, following their<br \/>\ndetermination that there is good cause<br \/>\nfor failure to comply with such<br \/>\nrequirement.<br \/>\n(G) Minimum number of public meetings and<br \/>\nhearings.&#8211;The joint committee shall hold&#8211;<br \/>\n(i) not less than a total of 5 public meetings<br \/>\nor public hearings; and<br \/>\n(ii) not less than 3 public hearings, which<br \/>\nmay include field hearings.<\/p>\n<p>[[Page 132 STAT. 142]]<\/p>\n<p>(H) Technical assistance.&#8211;Upon written request of<br \/>\nthe co-chairs, a Federal agency, including legislative<br \/>\nbranch agencies, shall provide technical assistance to<br \/>\nthe joint committee in order for the joint committee to<br \/>\ncarry out its duties.<br \/>\n(I) Staffing.&#8211;<br \/>\n(i) Details.&#8211;Employees of the legislative<br \/>\nbranch may be detailed to the joint committee on a<br \/>\nnonreimbursable basis, consistent with the rules<br \/>\nand regulations of the Senate.<br \/>\n(ii) Staff director.&#8211;The co-chairs, acting<br \/>\njointly, may designate one such employee as staff<br \/>\ndirector of the joint committee.<\/p>\n<p>(c) Ethical Standards.&#8211;Members on the joint committee who serve in<br \/>\nthe House of Representatives shall be governed by the ethics rules and<br \/>\nrequirements of the House. Members of the Senate who serve on the joint<br \/>\ncommittee shall comply with the ethics rules of the Senate.<br \/>\n(d) Termination.&#8211;The joint committee shall terminate on December<br \/>\n31, 2018 or 30 days after submission of its report and legislative<br \/>\nrecommendations pursuant to this section whichever occurs first.<br \/>\nSEC. 30443. FUNDING.<\/p>\n<p>(a) Special Reserve.&#8211;To enable the joint committee to exercise its<br \/>\npowers, functions, and duties under this subtitle, within the funds in<br \/>\nthe account for &#8220;Expenses of Inquiries and Investigations&#8221; of the<br \/>\nSenate, not more than $500,000 shall be allocated from the special<br \/>\nreserve established in S. Res. 62, agreed to February 28, 2017 (115th<br \/>\nCongress), for use by the joint committee.<br \/>\n(b) Expiration.&#8211;None of the funds made available by this section<br \/>\nmay be available for obligation by the joint committee after January 2,<br \/>\n2019.<br \/>\n(c) Availability Requirements.&#8211;For purposes of the joint committee,<br \/>\nsection 20(b) of S. Res. 62, agreed to February 28, 2017 (115th<br \/>\nCongress), shall not apply.<br \/>\nSEC. 30444. CONSIDERATION OF JOINT COMMITTEE BILL IN THE SENATE.<\/p>\n<p>(a) Introduction.&#8211;Upon receipt of proposed legislative language<br \/>\napproved in accordance with section 30442(b)(2)(B)(ii), the language<br \/>\nshall be introduced in the Senate (by request) on the next day on which<br \/>\nthe Senate is in session by the Majority Leader of the Senate or by a<br \/>\nMember of the Senate designated by the Majority Leader of the Senate.<br \/>\n(b) &lt;&lt;NOTE: Deadline.&gt;&gt; Committee Consideration.&#8211;A joint committee<br \/>\nbill introduced in the Senate under subsection (a) shall be referred to<br \/>\nthe Committee on the Budget, which shall report the bill without any<br \/>\nrevision and with a favorable recommendation, an unfavorable<br \/>\nrecommendation, or without recommendation, no later than 7 session days<br \/>\nafter introduction of the bill. If the Committee on the Budget fails to<br \/>\nreport the bill within that period, the committee shall be automatically<br \/>\ndischarged from consideration of the bill, and the bill shall be placed<br \/>\non the appropriate calendar.<\/p>\n<p>(c) Motion to Proceed to Consideration.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Deadline.&gt;&gt; In general.&#8211;Notwithstanding rule<br \/>\nXXII of the Standing Rules of the Senate, it is in order, not<br \/>\nlater than 2 days of session after the date on which a joint<br \/>\ncommittee<\/p>\n<p>[[Page 132 STAT. 143]]<\/p>\n<p>bill is reported or discharged from the Committee on the Budget,<br \/>\nfor the Majority Leader of the Senate or the Majority Leader&#8217;s<br \/>\ndesignee to move to proceed to the consideration of the joint<br \/>\ncommittee bill. It shall also be in order for any Member of the<br \/>\nSenate to move to proceed to the consideration of the joint<br \/>\ncommittee bill at any time after the conclusion of such 2-day<br \/>\nperiod.<br \/>\n(2) &lt;&lt;NOTE: Time period.&gt;&gt; Consideration of motion.&#8211;<br \/>\nConsideration of the motion to proceed to the consideration of<br \/>\nthe joint committee bill and all debatable motions and appeals<br \/>\nin connection therewith shall not exceed 10 hours, which shall<br \/>\nbe divided equally between the Majority and Minority Leaders or<br \/>\ntheir designees. A motion to further limit debate is in order,<br \/>\nshall require an affirmative vote of three-fifths of Members<br \/>\nduly chosen and sworn, and is not debatable.<br \/>\n(3) Vote threshold.&#8211;The motion to proceed to the<br \/>\nconsideration of the joint committee bill shall only be agreed<br \/>\nto upon an affirmative vote of three-fifths of Members duly<br \/>\nchosen and sworn.<br \/>\n(4) Limitations.&#8211;The motion is not subject to a motion to<br \/>\npostpone. &lt;&lt;NOTE: Waiver.&gt;&gt; All points of order against the<br \/>\nmotion to proceed to the joint committee bill are waived. A<br \/>\nmotion to reconsider the vote by which the motion is agreed to<br \/>\nor disagreed to shall not be in order.<br \/>\n(5) Deadline.&#8211;Not later than the last day of the 115th<br \/>\nCongress, the Senate shall vote on a motion to proceed to the<br \/>\njoint committee bill.<\/p>\n<p>(d) Rules of Senate.&#8211;This section is enacted by Congress&#8211;<br \/>\n(1) as an exercise of the rulemaking power of the Senate,<br \/>\nand as such is deemed a part of the rules of the Senate, but<br \/>\napplicable only with respect to the procedure to be followed in<br \/>\nthe Senate in the case of a joint committee bill, and supersede<br \/>\nother rules only to the extent that they are inconsistent with<br \/>\nsuch rules; and<br \/>\n(2) with full recognition of the constitutional right of the<br \/>\nSenate to change the rules (so far as relating to the procedure<br \/>\nof the Senate) at any time, in the same manner, and to the same<br \/>\nextent as in the case of any other rule of the Senate.<\/p>\n<p>DIVISION D&#8211;REVENUE MEASURES<\/p>\n<p>SECTION 40001. TABLE OF CONTENTS.<\/p>\n<p>The table of contents for this division is as follows:<\/p>\n<p>DIVISION D&#8211;REVENUE MEASURES<\/p>\n<p>Sec. 40001. Table of contents.<\/p>\n<p>TITLE I&#8211;EXTENSION OF EXPIRING PROVISIONS<\/p>\n<p>Sec. 40101. Amendment of Internal Revenue Code of 1986.<\/p>\n<p>Subtitle A&#8211;Tax Relief for Families and Individuals<\/p>\n<p>Sec. 40201. Extension of exclusion from gross income of discharge of<br \/>\nqualified principal residence indebtedness.<br \/>\nSec. 40202. Extension of mortgage insurance premiums treated as<br \/>\nqualified residence interest.<br \/>\nSec. 40203. Extension of above-the-line deduction for qualified tuition<br \/>\nand related expenses.<\/p>\n<p>[[Page 132 STAT. 144]]<\/p>\n<p>Subtitle B&#8211;Incentives for Growth, Jobs, Investment, and Innovation<\/p>\n<p>Sec. 40301. Extension of Indian employment tax credit.<br \/>\nSec. 40302. Extension of railroad track maintenance credit.<br \/>\nSec. 40303. Extension of mine rescue team training credit.<br \/>\nSec. 40304. Extension of classification of certain race horses as 3-year<br \/>\nproperty.<br \/>\nSec. 40305. Extension of 7-year recovery period for motorsports<br \/>\nentertainment complexes.<br \/>\nSec. 40306. Extension of accelerated depreciation for business property<br \/>\non an Indian reservation.<br \/>\nSec. 40307. Extension of election to expense mine safety equipment.<br \/>\nSec. 40308. Extension of special expensing rules for certain<br \/>\nproductions.<br \/>\nSec. 40309. Extension of deduction allowable with respect to income<br \/>\nattributable to domestic production activities in Puerto<br \/>\nRico.<br \/>\nSec. 40310. Extension of special rule relating to qualified timber gain.<br \/>\nSec. 40311. Extension of empowerment zone tax incentives.<br \/>\nSec. 40312. Extension of American Samoa economic development credit.<\/p>\n<p>Subtitle C&#8211;Incentives for Energy Production and Conservation<\/p>\n<p>Sec. 40401. Extension of credit for nonbusiness energy property.<br \/>\nSec. 40402. Extension and modification of credit for residential energy<br \/>\nproperty.<br \/>\nSec. 40403. Extension of credit for new qualified fuel cell motor<br \/>\nvehicles.<br \/>\nSec. 40404. Extension of credit for alternative fuel vehicle refueling<br \/>\nproperty.<br \/>\nSec. 40405. Extension of credit for 2-wheeled plug-in electric vehicles.<br \/>\nSec. 40406. Extension of second generation biofuel producer credit.<br \/>\nSec. 40407. Extension of biodiesel and renewable diesel incentives.<br \/>\nSec. 40408. Extension of production credit for Indian coal facilities.<br \/>\nSec. 40409. Extension of credits with respect to facilities producing<br \/>\nenergy from certain renewable resources.<br \/>\nSec. 40410. Extension of credit for energy-efficient new homes.<br \/>\nSec. 40411. Extension and phaseout of energy credit.<br \/>\nSec. 40412. Extension of special allowance for second generation biofuel<br \/>\nplant property.<br \/>\nSec. 40413. Extension of energy efficient commercial buildings<br \/>\ndeduction.<br \/>\nSec. 40414. Extension of special rule for sales or dispositions to<br \/>\nimplement FERC or State electric restructuring policy for<br \/>\nqualified electric utilities.<br \/>\nSec. 40415. Extension of excise tax credits relating to alternative<br \/>\nfuels.<br \/>\nSec. 40416. Extension of Oil Spill Liability Trust Fund financing rate.<\/p>\n<p>Subtitle D&#8211;Modifications of Energy Incentives<\/p>\n<p>Sec. 40501. Modifications of credit for production from advanced nuclear<br \/>\npower facilities.<\/p>\n<p>TITLE II&#8211;MISCELLANEOUS PROVISIONS<\/p>\n<p>Sec. 41101. Amendment of Internal Revenue Code of 1986.<br \/>\nSec. 41102. Modifications to rum cover over.<br \/>\nSec. 41103. Extension of waiver of limitations with respect to excluding<br \/>\nfrom gross income amounts received by wrongfully incarcerated<br \/>\nindividuals.<br \/>\nSec. 41104. Individuals held harmless on improper levy on retirement<br \/>\nplans.<br \/>\nSec. 41105. Modification of user fee requirements for installment<br \/>\nagreements.<br \/>\nSec. 41106. Form 1040SR for seniors.<br \/>\nSec. 41107. Attorneys fees relating to awards to whistleblowers.<br \/>\nSec. 41108. Clarification of whistleblower awards.<br \/>\nSec. 41109. Clarification regarding excise tax based on investment<br \/>\nincome of private colleges and universities.<br \/>\nSec. 41110. Exception from private foundation excess business holding<br \/>\ntax for independently-operated philanthropic business<br \/>\nholdings.<br \/>\nSec. 41111. Rule of construction for Craft Beverage Modernization and<br \/>\nTax Reform.<br \/>\nSec. 41112. Simplification of rules regarding records, statements, and<br \/>\nreturns.<br \/>\nSec. 41113. Modification of rules governing hardship distributions.<br \/>\nSec. 41114. Modification of rules relating to hardship withdrawals from<br \/>\ncash or deferred arrangements.<br \/>\nSec. 41115. Opportunity Zones rule for Puerto Rico.<br \/>\nSec. 41116. Tax home of certain citizens or residents of the United<br \/>\nStates living abroad.<br \/>\nSec. 41117. Treatment of foreign persons for returns relating to<br \/>\npayments made in settlement of payment card and third party<br \/>\nnetwork transactions.<br \/>\nSec. 41118. Repeal of shift in time of payment of corporate estimated<br \/>\ntaxes.<br \/>\nSec. 41119. Enhancement of carbon dioxide sequestration credit.<\/p>\n<p>[[Page 132 STAT. 145]]<\/p>\n<p>TITLE I&#8211;EXTENSION OF &lt;&lt;NOTE: Applicability.&gt;&gt; EXPIRING PROVISIONS<br \/>\nSEC. 40101. AMENDMENT OF INTERNAL REVENUE CODE OF 1986.<\/p>\n<p>Except as otherwise expressly provided, whenever in this title an<br \/>\namendment or repeal is expressed in terms of an amendment to, or repeal<br \/>\nof, a section or other provision, the reference shall be considered to<br \/>\nbe made to a section or other provision of the Internal Revenue Code of<br \/>\n1986.<\/p>\n<p>Subtitle A&#8211;Tax Relief for Families and Individuals<\/p>\n<p>SEC. 40201. EXTENSION OF EXCLUSION FROM GROSS INCOME OF DISCHARGE<br \/>\nOF QUALIFIED PRINCIPAL RESIDENCE<br \/>\nINDEBTEDNESS.<\/p>\n<p>(a) In General.&#8211;Section 108(a)(1)(E) &lt;&lt;NOTE: 26 USC 108.&gt;&gt; is<br \/>\namended by striking &#8220;January 1, 2017&#8221; each place it appears and<br \/>\ninserting &#8220;January 1, 2018&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 108 note.&gt;&gt; Effective Date.&#8211;The amendments made<br \/>\nby this section shall apply to discharges of indebtedness after December<br \/>\n31, 2016.<br \/>\nSEC. 40202. EXTENSION OF MORTGAGE INSURANCE PREMIUMS TREATED AS<br \/>\nQUALIFIED RESIDENCE INTEREST.<\/p>\n<p>(a) In General.&#8211;Subclause (I) of section 163(h)(3)(E)(iv) is<br \/>\namended by striking &#8220;December 31, 2016&#8221; and inserting &#8220;December 31,<br \/>\n2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 163 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to amounts paid or accrued after December<br \/>\n31, 2016.<br \/>\nSEC. 40203. EXTENSION OF ABOVE-THE-LINE DEDUCTION FOR QUALIFIED<br \/>\nTUITION AND RELATED EXPENSES.<\/p>\n<p>(a) In General.&#8211;Section 222(e) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 222 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to taxable years beginning after December<br \/>\n31, 2016.<\/p>\n<p>Subtitle B&#8211;Incentives for Growth, Jobs, Investment, and Innovation<\/p>\n<p>SEC. 40301. EXTENSION OF INDIAN EMPLOYMENT TAX CREDIT.<\/p>\n<p>(a) In General.&#8211;Section 45A(f) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 45A note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to taxable years beginning after December<br \/>\n31, 2016.<br \/>\nSEC. 40302. EXTENSION OF RAILROAD TRACK MAINTENANCE CREDIT.<\/p>\n<p>(a) In General.&#8211;Section 45G(f) is amended by striking &#8220;January 1,<br \/>\n2017&#8221; and inserting &#8220;January 1, 2018&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 45G note.&gt;&gt; Effective Date.&#8211;<br \/>\n(1) In general.&#8211;The amendment made by this section shall<br \/>\napply to expenditures paid or incurred in taxable years<br \/>\nbeginning after December 31, 2016.<\/p>\n<p>[[Page 132 STAT. 146]]<\/p>\n<p>(2) &lt;&lt;NOTE: Time period. Deadline.&gt;&gt; Safe harbor<br \/>\nassignments.&#8211;Assignments, including related expenditures paid<br \/>\nor incurred, under paragraph (2) of section 45G(b) of the<br \/>\nInternal Revenue Code of 1986 for taxable years ending after<br \/>\nJanuary 1, 2017, and before January 1, 2018, shall be treated as<br \/>\neffective as of the close of such taxable year if made pursuant<br \/>\nto a written agreement entered into no later than 90 days<br \/>\nfollowing the date of the enactment of this Act.<br \/>\nSEC. 40303. EXTENSION OF MINE RESCUE TEAM TRAINING CREDIT.<\/p>\n<p>(a) In General.&#8211;Section 45N(e) &lt;&lt;NOTE: 26 USC 45N.&gt;&gt; is amended by<br \/>\nstriking &#8220;December 31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 45N note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to taxable years beginning after December<br \/>\n31, 2016.<br \/>\nSEC. 40304. EXTENSION OF CLASSIFICATION OF CERTAIN RACE HORSES AS<br \/>\n3-YEAR PROPERTY.<\/p>\n<p>(a) In General.&#8211;Section 168(e)(3)(A)(i) is amended&#8211;<br \/>\n(1) by striking &#8220;January 1, 2017&#8221; in subclause (I) and<br \/>\ninserting &#8220;January 1, 2018&#8221;, and<br \/>\n(2) by striking &#8220;December 31, 2016&#8221; in subclause (II) and<br \/>\ninserting &#8220;December 31, 2017&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 168 note.&gt;&gt; Effective Date.&#8211;The amendments made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<br \/>\nSEC. 40305. EXTENSION OF 7-YEAR RECOVERY PERIOD FOR MOTORSPORTS<br \/>\nENTERTAINMENT COMPLEXES.<\/p>\n<p>(a) In General.&#8211;Section 168(i)(15)(D) is amended by striking<br \/>\n&#8220;December 31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 168 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<br \/>\nSEC. 40306. EXTENSION OF ACCELERATED DEPRECIATION FOR BUSINESS<br \/>\nPROPERTY ON AN INDIAN RESERVATION.<\/p>\n<p>(a) In General.&#8211;Section 168(j)(9) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 168 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<br \/>\nSEC. 40307. EXTENSION OF ELECTION TO EXPENSE MINE SAFETY<br \/>\nEQUIPMENT.<\/p>\n<p>(a) In General.&#8211;Section 179E(g) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 179E note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<br \/>\nSEC. 40308. EXTENSION OF SPECIAL EXPENSING RULES FOR CERTAIN<br \/>\nPRODUCTIONS.<\/p>\n<p>(a) In General.&#8211;Section 181(g) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 181 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to productions commencing after December 31,<br \/>\n2016.<br \/>\nSEC. 40309. &lt;&lt;NOTE: 26 USC 199 note.&gt;&gt; EXTENSION OF DEDUCTION<br \/>\nALLOWABLE WITH RESPECT TO INCOME<br \/>\nATTRIBUTABLE TO DOMESTIC PRODUCTION<br \/>\nACTIVITIES IN PUERTO RICO.<\/p>\n<p>For purposes of applying section 199(d)(8)(C) of the Internal<br \/>\nRevenue Code of 1986 with respect to taxable years beginning during<br \/>\n2017, such section shall be applied&#8211;<\/p>\n<p>[[Page 132 STAT. 147]]<\/p>\n<p>(1) by substituting &#8220;first 12 taxable years&#8221; for &#8220;first<br \/>\n11 taxable years&#8221;, and<br \/>\n(2) by substituting &#8220;January 1, 2018&#8221; for &#8220;January 1,<br \/>\n2017&#8221;.<br \/>\nSEC. 40310. &lt;&lt;NOTE: 26 USC 1201 note.&gt;&gt; EXTENSION OF SPECIAL RULE<br \/>\nRELATING TO QUALIFIED TIMBER GAIN.<\/p>\n<p>For purposes of applying section 1201(b) of the Internal Revenue<br \/>\nCode of 1986 with respect to taxable years beginning during 2017, such<br \/>\nsection shall be applied by substituting &#8220;2016 or 2017&#8221; for &#8220;2016&#8221;.<br \/>\nSEC. 40311. EXTENSION OF EMPOWERMENT ZONE TAX INCENTIVES.<\/p>\n<p>(a) In General.&#8211;<br \/>\n(1) Extension.&#8211;Section 1391(d)(1)(A)(i) &lt;&lt;NOTE: 26 USC<br \/>\n1391.&gt;&gt; is amended by striking &#8220;December 31, 2016&#8221; and<br \/>\ninserting &#8220;December 31, 2017&#8221;.<br \/>\n(2) &lt;&lt;NOTE: 26 USC 1391 note.&gt;&gt; Treatment of certain<br \/>\ntermination dates specified in nominations.&#8211;In the case of a<br \/>\ndesignation of an empowerment zone the nomination for which<br \/>\nincluded a termination date which is contemporaneous with the<br \/>\ndate specified in subparagraph (A)(i) of section 1391(d)(1) of<br \/>\nthe Internal Revenue Code of 1986 (as in effect before the<br \/>\nenactment of this Act), subparagraph (B) of such section shall<br \/>\nnot apply with respect to such designation if, after the date of<br \/>\nthe enactment of this section, the entity which made such<br \/>\nnomination amends the nomination to provide for a new<br \/>\ntermination date in such manner as the Secretary of the Treasury<br \/>\n(or the Secretary&#8217;s designee) may provide.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 1391 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby subsection (a)(1) shall apply to taxable years beginning after<br \/>\nDecember 31, 2016.<br \/>\nSEC. 40312. EXTENSION OF AMERICAN SAMOA ECONOMIC DEVELOPMENT<br \/>\nCREDIT.<\/p>\n<p>(a) In General.&#8211;Section 119 of division A of the Tax Relief and<br \/>\nHealth Care Act of 2006 &lt;&lt;NOTE: 26 USC 30A note.&gt;&gt; is amended&#8211;<br \/>\n(1) in subsection (d)&#8211;<br \/>\n(A) by striking &#8220;January 1, 2017&#8221; each place it<br \/>\nappears and inserting &#8220;January 1, 2018&#8221;,<br \/>\n(B) by striking &#8220;first 11 taxable years&#8221; in<br \/>\nparagraph (1) and inserting &#8220;first 12 taxable years&#8221;,<br \/>\nand<br \/>\n(C) by striking &#8220;first 5 taxable years&#8221; in<br \/>\nparagraph (2) and inserting &#8220;first 6 taxable years&#8221;,<br \/>\nand<br \/>\n(2) in subsection (e), by adding at the end the following:<br \/>\n&#8220;References in this subsection to section 199 of the Internal<br \/>\nRevenue Code of 1986 shall be treated as references to such<br \/>\nsection as in effect before its repeal.&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 30A note.&gt;&gt; Effective Date.&#8211;The amendments made<br \/>\nby this section shall apply to taxable years beginning after December<br \/>\n31, 2016.<\/p>\n<p>[[Page 132 STAT. 148]]<\/p>\n<p>Subtitle C&#8211;Incentives for Energy Production and Conservation<\/p>\n<p>SEC. 40401. EXTENSION OF CREDIT FOR NONBUSINESS ENERGY PROPERTY.<\/p>\n<p>(a) In General.&#8211;Section 25C(g)(2) &lt;&lt;NOTE: 26 USC 25C.&gt;&gt; is amended<br \/>\nby striking &#8220;December 31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 25C note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<br \/>\nSEC. 40402. EXTENSION AND MODIFICATION OF CREDIT FOR RESIDENTIAL<br \/>\nENERGY PROPERTY.<\/p>\n<p>(a) In General.&#8211;Section 25D(h) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and all that follows and inserting &#8220;December 31, 2021.&#8221;.<br \/>\n(b) Phaseout.&#8211;<br \/>\n(1) In general.&#8211;Section 25D(a) is amended by striking &#8220;the<br \/>\nsum of&#8211;&#8221; and all that follows and inserting &#8220;the sum of the<br \/>\napplicable percentages of&#8211;<br \/>\n&#8220;(1) the qualified solar electric property expenditures,<br \/>\n&#8220;(2) the qualified solar water heating property<br \/>\nexpenditures,<br \/>\n&#8220;(3) the qualified fuel cell property expenditures,<br \/>\n&#8220;(4) the qualified small wind energy property expenditures,<br \/>\nand<br \/>\n&#8220;(5) the qualified geothermal heat pump property<br \/>\nexpenditures,<\/p>\n<p>made by the taxpayer during such year.&#8221;.<br \/>\n(2) Conforming amendment.&#8211;Section 25D(g) is amended by<br \/>\nstriking &#8220;paragraphs (1) and (2) of&#8221;.<\/p>\n<p>(c) &lt;&lt;NOTE: 26 USC 25D note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<br \/>\nSEC. 40403. EXTENSION OF CREDIT FOR NEW QUALIFIED FUEL CELL MOTOR<br \/>\nVEHICLES.<\/p>\n<p>(a) In General.&#8211;Section 30B(k)(1) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 30B note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property purchased after December 31,<br \/>\n2016.<br \/>\nSEC. 40404. EXTENSION OF CREDIT FOR ALTERNATIVE FUEL VEHICLE<br \/>\nREFUELING PROPERTY.<\/p>\n<p>(a) In General.&#8211;Section 30C(g) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 30C note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<br \/>\nSEC. 40405. EXTENSION OF CREDIT FOR 2-WHEELED PLUG-IN ELECTRIC<br \/>\nVEHICLES.<\/p>\n<p>(a) In General.&#8211;Section 30D(g)(3)(E)(ii) is amended by striking<br \/>\n&#8220;January 1, 2017&#8221; and inserting &#8220;January 1, 2018&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 30D note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to vehicles acquired after December 31,<br \/>\n2016.<\/p>\n<p>[[Page 132 STAT. 149]]<\/p>\n<p>SEC. 40406. EXTENSION OF SECOND GENERATION BIOFUEL PRODUCER<br \/>\nCREDIT.<\/p>\n<p>(a) In General.&#8211;Section 40(b)(6)(J)(i) &lt;&lt;NOTE: 26 USC 40.&gt;&gt; is<br \/>\namended by striking &#8220;January 1, 2017&#8221; and inserting &#8220;January 1,<br \/>\n2018&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 40 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to qualified second generation biofuel<br \/>\nproduction after December 31, 2016.<br \/>\nSEC. 40407. EXTENSION OF BIODIESEL AND RENEWABLE DIESEL<br \/>\nINCENTIVES.<\/p>\n<p>(a) Income Tax Credit.&#8211;<br \/>\n(1) In general.&#8211;Subsection (g) of section 40A is amended by<br \/>\nstriking &#8220;December 31, 2016&#8221; and inserting &#8220;December 31,<br \/>\n2017&#8221;.<br \/>\n(2) &lt;&lt;NOTE: 26 USC 40A note.&gt;&gt; Effective date.&#8211;The<br \/>\namendment made by this subsection shall apply to fuel sold or<br \/>\nused after December 31, 2016.<\/p>\n<p>(b) Excise Tax Incentives.&#8211;<br \/>\n(1) In general.&#8211;Section 6426(c)(6) is amended by striking<br \/>\n&#8220;December 31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(2) Payments.&#8211;Section 6427(e)(6)(B) is amended by striking<br \/>\n&#8220;December 31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(3) &lt;&lt;NOTE: 26 USC 6426 note.&gt;&gt; Effective date.&#8211;The<br \/>\namendments made by this subsection shall apply to fuel sold or<br \/>\nused after December 31, 2016.<br \/>\n(4) &lt;&lt;NOTE: Time periods. Deadlines. 26 USC 6426 note.&gt;&gt;<br \/>\nSpecial rule for 2017.&#8211;Notwithstanding any other provision of<br \/>\nlaw, in the case of any biodiesel mixture credit properly<br \/>\ndetermined under section 6426(c) of the Internal Revenue Code of<br \/>\n1986 for the period beginning on January 1, 2017, and ending on<br \/>\nDecember 31, 2017, such credit shall be allowed, and any refund<br \/>\nor payment attributable to such credit (including any payment<br \/>\nunder section 6427(e) of such Code) shall be made, only in such<br \/>\nmanner as the Secretary of the Treasury (or the Secretary&#8217;s<br \/>\ndelegate) shall provide. Such<br \/>\nSecretary &lt;&lt;NOTE: Guidance. Claims.&gt;&gt; shall issue guidance<br \/>\nwithin 30 days after the date of the enactment of this Act<br \/>\nproviding for a one-time submission of claims covering periods<br \/>\ndescribed in the preceding sentence. Such guidance shall provide<br \/>\nfor a 180-day period for the submission of such claims (in such<br \/>\nmanner as prescribed by such Secretary) to begin not later than<br \/>\n30 days after such guidance is issued. Such claims shall be paid<br \/>\nby such Secretary not later than 60 days after receipt. If such<br \/>\nSecretary has not paid pursuant to a claim filed under this<br \/>\nsubsection within 60 days after the date of the filing of such<br \/>\nclaim, the claim shall be paid with interest from such date<br \/>\ndetermined by using the overpayment rate and method under<br \/>\nsection 6621 of such Code.<br \/>\nSEC. 40408. EXTENSION OF PRODUCTION CREDIT FOR INDIAN COAL<br \/>\nFACILITIES.<\/p>\n<p>(a) In General.&#8211;Section 45(e)(10)(A) is amended by striking &#8220;11-<br \/>\nyear period&#8221; each place it appears and inserting &#8220;12-year period&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 45 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to coal produced after December 31, 2016.<\/p>\n<p>[[Page 132 STAT. 150]]<\/p>\n<p>SEC. 40409. EXTENSION OF CREDITS WITH RESPECT TO FACILITIES<br \/>\nPRODUCING ENERGY FROM CERTAIN<br \/>\nRENEWABLE RESOURCES.<\/p>\n<p>(a) In General.&#8211;The following provisions of section<br \/>\n45(d) &lt;&lt;NOTE: 26 USC 45.&gt;&gt; are each amended by striking &#8220;January 1,<br \/>\n2017&#8221; each place it appears and inserting &#8220;January 1, 2018&#8221;:<br \/>\n(1) Paragraph (2)(A).<br \/>\n(2) Paragraph (3)(A).<br \/>\n(3) Paragraph (4)(B).<br \/>\n(4) Paragraph (6).<br \/>\n(5) Paragraph (7).<br \/>\n(6) Paragraph (9).<br \/>\n(7) Paragraph (11)(B).<\/p>\n<p>(b) Extension of Election To Treat Qualified Facilities as Energy<br \/>\nProperty.&#8211;Section 48(a)(5)(C)(ii) is amended by striking &#8220;January 1,<br \/>\n2017&#8221; and inserting &#8220;January 1, 2018&#8221;.<br \/>\n(c) &lt;&lt;NOTE: 26 USC 45 note.&gt;&gt; Effective Date.&#8211;The amendments made<br \/>\nby this section shall take effect on January 1, 2017.<br \/>\nSEC. 40410. EXTENSION OF CREDIT FOR ENERGY-EFFICIENT NEW HOMES.<\/p>\n<p>(a) In General.&#8211;Section 45L(g) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 45L note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to homes acquired after December 31, 2016.<br \/>\nSEC. 40411. EXTENSION AND PHASEOUT OF ENERGY CREDIT.<\/p>\n<p>(a) Extension of Solar and Thermal Energy Property.&#8211;Section<br \/>\n48(a)(3)(A) is amended&#8211;<br \/>\n(1) by striking &#8220;periods ending before January 1, 2017&#8221; in<br \/>\nclause (ii) and inserting &#8220;property the construction of which<br \/>\nbegins before January 1, 2022&#8221;, and<br \/>\n(2) by striking &#8220;periods ending before January 1, 2017&#8221; in<br \/>\nclause (vii) and inserting &#8220;property the construction of which<br \/>\nbegins before January 1, 2022&#8221;.<\/p>\n<p>(b) Phaseout of 30-Percent Credit Rate for Fiber-optic Solar,<br \/>\nQualified Fuel Cell, and Qualified Small Wind Energy Property.&#8211;<br \/>\n(1) In general.&#8211;Section 48(a) is amended by adding at the<br \/>\nend the following new paragraph:<br \/>\n&#8220;(7) Phaseout for fiber-optic solar, qualified fuel cell,<br \/>\nand qualified small wind energy property.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Time periods.&gt;&gt; In general.&#8211;Subject<br \/>\nto subparagraph (B), in the case of any qualified fuel<br \/>\ncell property, qualified small wind property, or energy<br \/>\nproperty described in paragraph (3)(A)(ii), the energy<br \/>\npercentage determined under paragraph (2) shall be equal<br \/>\nto&#8211;<br \/>\n&#8220;(i) in the case of any property the<br \/>\nconstruction of which begins after December 31,<br \/>\n2019, and before January 1, 2021, 26 percent, and<br \/>\n&#8220;(ii) in the case of any property the<br \/>\nconstruction of which begins after December 31,<br \/>\n2020, and before January 1, 2022, 22 percent.<br \/>\n&#8220;(B) Placed in service deadline.&#8211;In the case of<br \/>\nany energy property described in subparagraph (A) which<br \/>\nis not placed in service before January 1, 2024, the<br \/>\nenergy<\/p>\n<p>[[Page 132 STAT. 151]]<\/p>\n<p>percentage determined under paragraph (2) shall be equal<br \/>\nto 0 percent.&#8221;.<br \/>\n(2) Conforming amendment.&#8211;Section 48(a)(2)(A) &lt;&lt;NOTE: 26<br \/>\nUSC 48.&gt;&gt; is amended by striking &#8220;paragraph (6)&#8221; and<br \/>\ninserting &#8220;paragraphs (6) and (7)&#8221;.<br \/>\n(3) Clarification relating to phaseout for wind<br \/>\nfacilities.&#8211;Section 48(a)(5)(E) is amended by inserting &#8220;which<br \/>\nis treated as energy property by reason of this paragraph&#8221;<br \/>\nafter &#8220;using wind to produce electricity&#8221;.<\/p>\n<p>(c) Extension of Qualified Fuel Cell Property.&#8211;Section 48(c)(1)(D)<br \/>\nis amended by striking &#8220;for any period after December 31, 2016&#8221; and<br \/>\ninserting &#8220;the construction of which does not begin before January 1,<br \/>\n2022&#8221;.<br \/>\n(d) Extension of Qualified Microturbine Property.&#8211;Section<br \/>\n48(c)(2)(D) is amended by striking &#8220;for any period after December 31,<br \/>\n2016&#8221; and inserting &#8220;the construction of which does not begin before<br \/>\nJanuary 1, 2022&#8221;.<br \/>\n(e) Extension of Combined Heat and Power System Property.&#8211;Section<br \/>\n48(c)(3)(A)(iv) is amended by striking &#8220;which is placed in service<br \/>\nbefore January 1, 2017&#8221; and inserting &#8220;the construction of which<br \/>\nbegins before January 1, 2022&#8221;.<br \/>\n(f) Extension of Qualified Small Wind Energy Property.&#8211;Section<br \/>\n48(c)(4)(C) is amended by striking &#8220;for any period after December 31,<br \/>\n2016&#8221; and inserting &#8220;the construction of which does not begin before<br \/>\nJanuary 1, 2022&#8221;.<br \/>\n(g) &lt;&lt;NOTE: 26 USC 48 note.&gt;&gt; Effective Date.&#8211;<br \/>\n(1) In general.&#8211;Except as otherwise provided in this<br \/>\nsubsection, the amendments made by this section shall apply to<br \/>\nperiods after December 31, 2016, under rules similar to the<br \/>\nrules of section 48(m) of the Internal Revenue Code of 1986 (as<br \/>\nin effect on the day before the date of the enactment of the<br \/>\nRevenue Reconciliation Act of 1990).<br \/>\n(2) Extension of combined heat and power system property.&#8211;<br \/>\nThe amendment made by subsection (e) shall apply to property<br \/>\nplaced in service after December 31, 2016.<br \/>\n(3) Phaseouts and terminations.&#8211;The amendments made by<br \/>\nsubsection (b) shall take effect on the date of the enactment of<br \/>\nthis Act.<br \/>\nSEC. 40412. EXTENSION OF SPECIAL ALLOWANCE FOR SECOND GENERATION<br \/>\nBIOFUEL PLANT PROPERTY.<\/p>\n<p>(a) In General.&#8211;Section 168(l)(2)(D) is amended by striking<br \/>\n&#8220;January 1, 2017&#8221; and inserting &#8220;January 1, 2018&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 168 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<br \/>\nSEC. 40413. EXTENSION OF ENERGY EFFICIENT COMMERCIAL BUILDINGS<br \/>\nDEDUCTION.<\/p>\n<p>(a) In General.&#8211;Section 179D(h) is amended by striking &#8220;December<br \/>\n31, 2016&#8221; and inserting &#8220;December 31, 2017&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 179D note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to property placed in service after December<br \/>\n31, 2016.<\/p>\n<p>[[Page 132 STAT. 152]]<\/p>\n<p>SEC. 40414. EXTENSION OF SPECIAL RULE FOR SALES OR DISPOSITIONS TO<br \/>\nIMPLEMENT FERC OR STATE ELECTRIC<br \/>\nRESTRUCTURING POLICY FOR QUALIFIED<br \/>\nELECTRIC UTILITIES.<\/p>\n<p>(a) In General.&#8211;Section 451(k)(3), as amended by section 13221 of<br \/>\nPublic Law 115-97, &lt;&lt;NOTE: 26 USC 451.&gt;&gt; is amended by striking<br \/>\n&#8220;January 1, 2017&#8221; and inserting &#8220;January 1, 2018&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 451 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to dispositions after December 31, 2016.<br \/>\nSEC. 40415. EXTENSION OF EXCISE TAX CREDITS RELATING TO<br \/>\nALTERNATIVE FUELS.<\/p>\n<p>(a) Extension of Alternative Fuels Excise Tax Credits.&#8211;<br \/>\n(1) In general.&#8211;Sections 6426(d)(5) and 6426(e)(3) are each<br \/>\namended by striking &#8220;December 31, 2016&#8221; and inserting<br \/>\n&#8220;December 31, 2017&#8221;.<br \/>\n(2) Outlay payments for alternative fuels.&#8211;Section<br \/>\n6427(e)(6)(C) is amended by striking &#8220;December 31, 2016&#8221; and<br \/>\ninserting &#8220;December 31, 2017&#8221;.<br \/>\n(3) &lt;&lt;NOTE: 26 USC 6426 note.&gt;&gt; Effective date.&#8211;The<br \/>\namendments made by this subsection shall apply to fuel sold or<br \/>\nused after December 31, 2016.<\/p>\n<p>(b) &lt;&lt;NOTE: Time periods. Deadlines. 26 USC 6426 note.&gt;&gt; Special<br \/>\nRule for 2017.&#8211;Notwithstanding any other provision of law, in the case<br \/>\nof any alternative fuel credit properly determined under section 6426(d)<br \/>\nof the Internal Revenue Code of 1986 for the period beginning on January<br \/>\n1, 2017, and ending on December 31, 2017, such credit shall be allowed,<br \/>\nand any refund or payment attributable to such credit (including any<br \/>\npayment under section 6427(e) of such Code) shall be made, only in such<br \/>\nmanner as the Secretary of the Treasury (or the Secretary&#8217;s delegate)<br \/>\nshall provide. Such Secretary shall issue guidance within 30 days after<br \/>\nthe date of the enactment of this Act providing for a one-time<br \/>\nsubmission of claims covering periods described in the preceding<br \/>\nsentence. Such &lt;&lt;NOTE: Guidance. Claims.&gt;&gt; guidance shall provide for a<br \/>\n180-day period for the submission of such claims (in such manner as<br \/>\nprescribed by such Secretary) to begin not later than 30 days after such<br \/>\nguidance is issued. Such claims shall be paid by such Secretary not<br \/>\nlater than 60 days after receipt. If such Secretary has not paid<br \/>\npursuant to a claim filed under this subsection within 60 days after the<br \/>\ndate of the filing of such claim, the claim shall be paid with interest<br \/>\nfrom such date determined by using the overpayment rate and method under<br \/>\nsection 6621 of such Code.<br \/>\nSEC. 40416. EXTENSION OF OIL SPILL LIABILITY TRUST FUND FINANCING<br \/>\nRATE.<\/p>\n<p>(a) In General.&#8211;Section 4611(f)(2) is amended by striking<br \/>\n&#8220;December 31, 2017&#8221; and inserting &#8220;December 31, 2018&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 4611 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply on and after the first day of the first<br \/>\ncalendar month beginning after the date of the enactment of this Act.<\/p>\n<p>[[Page 132 STAT. 153]]<\/p>\n<p>Subtitle D&#8211;Modifications of Energy Incentives<\/p>\n<p>SEC. 40501. MODIFICATIONS OF CREDIT FOR PRODUCTION FROM ADVANCED<br \/>\nNUCLEAR POWER FACILITIES.<\/p>\n<p>(a) Treatment of Unutilized Limitation Amounts.&#8211;Section<br \/>\n45J(b) &lt;&lt;NOTE: 26 USC 45J.&gt;&gt; is amended&#8211;<br \/>\n(1) by inserting &#8220;or any amendment to&#8221; after &#8220;enactment<br \/>\nof&#8221; in paragraph (4), and<br \/>\n(2) by adding at the end the following new paragraph:<br \/>\n&#8220;(5) Allocation of unutilized limitation.&#8211;<br \/>\n&#8220;(A) In general.&#8211;Any unutilized national megawatt<br \/>\ncapacity limitation shall be allocated by the Secretary<br \/>\nunder paragraph (3) as rapidly as is practicable after<br \/>\nDecember 31, 2020&#8211;<br \/>\n&#8220;(i) first to facilities placed in service on<br \/>\nor before such date to the extent that such<br \/>\nfacilities did not receive an allocation equal to<br \/>\ntheir full nameplate capacity, and<br \/>\n&#8220;(ii) then to facilities placed in service<br \/>\nafter such date in the order in which such<br \/>\nfacilities are placed in service.<br \/>\n&#8220;(B) Unutilized national megawatt capacity<br \/>\nlimitation.&#8211;The term &lt;&lt;NOTE: Definition.&gt;&gt; `unutilized<br \/>\nnational megawatt capacity limitation&#8217; means the excess<br \/>\n(if any) of&#8211;<br \/>\n&#8220;(i) 6,000 megawatts, over<br \/>\n&#8220;(ii) the aggregate amount of national<br \/>\nmegawatt capacity limitation allocated by the<br \/>\nSecretary before January 1, 2021, reduced by any<br \/>\namount of such limitation which was allocated to a<br \/>\nfacility which was not placed in service before<br \/>\nsuch date.<br \/>\n&#8220;(C) Coordination with other provisions.&#8211;In the<br \/>\ncase of any unutilized national megawatt capacity<br \/>\nlimitation allocated by the Secretary pursuant to this<br \/>\nparagraph&#8211;<br \/>\n&#8220;(i) such allocation shall be treated for<br \/>\npurposes of this section in the same manner as an<br \/>\nallocation of national megawatt capacity<br \/>\nlimitation, and<br \/>\n&#8220;(ii) subsection (d)(1)(B) shall not apply to<br \/>\nany facility which receives such allocation.&#8221;.<\/p>\n<p>(b) Transfer of Credit by Certain Public Entities.&#8211;<br \/>\n(1) In general.&#8211;Section 45J is amended&#8211;<br \/>\n(A) by redesignating subsection (e) as subsection<br \/>\n(f), and<br \/>\n(B) by inserting after subsection (d) the following<br \/>\nnew subsection:<\/p>\n<p>&#8220;(e) Transfer of Credit by Certain Public Entities.&#8211;<br \/>\n&#8220;(1) In general.&#8211;If, with respect to a credit under<br \/>\nsubsection (a) for any taxable year&#8211;<br \/>\n&#8220;(A) a qualified public entity would be the<br \/>\ntaxpayer (but for this paragraph), and<br \/>\n&#8220;(B) such entity elects the application of this<br \/>\nparagraph for such taxable year with respect to all (or<br \/>\nany portion specified in such election) of such credit,<br \/>\nthe eligible project partner specified in such election, and not<br \/>\nthe qualified public entity, shall be treated as the taxpayer<\/p>\n<p>[[Page 132 STAT. 154]]<\/p>\n<p>for purposes of this title with respect to such credit (or such<br \/>\nportion thereof).<br \/>\n&#8220;(2) Definitions.&#8211;For purposes of this subsection&#8211;<br \/>\n&#8220;(A) Qualified public entity.&#8211;The term `qualified<br \/>\npublic entity&#8217; means&#8211;<br \/>\n&#8220;(i) a Federal, State, or local government<br \/>\nentity, or any political subdivision, agency, or<br \/>\ninstrumentality thereof,<br \/>\n&#8220;(ii) a mutual or cooperative electric<br \/>\ncompany described in section 501(c)(12) or<br \/>\n1381(a)(2), or<br \/>\n&#8220;(iii) a not-for-profit electric utility<br \/>\nwhich had or has received a loan or loan guarantee<br \/>\nunder the Rural Electrification Act of 1936.<br \/>\n&#8220;(B) Eligible project partner.&#8211;The term `eligible<br \/>\nproject partner&#8217; means any person who&#8211;<br \/>\n&#8220;(i) is responsible for, or participates in,<br \/>\nthe design or construction of the advanced nuclear<br \/>\npower facility to which the credit under<br \/>\nsubsection (a) relates,<br \/>\n&#8220;(ii) participates in the provision of the<br \/>\nnuclear steam supply system to such facility,<br \/>\n&#8220;(iii) participates in the provision of<br \/>\nnuclear fuel to such facility,<br \/>\n&#8220;(iv) is a financial institution providing<br \/>\nfinancing for the construction or operation of<br \/>\nsuch facility, or<br \/>\n&#8220;(v) has an ownership interest in such<br \/>\nfacility.<br \/>\n&#8220;(3) Special rules.&#8211;<br \/>\n&#8220;(A) Application to partnerships.&#8211;In the case of a<br \/>\ncredit under subsection (a) which is determined at the<br \/>\npartnership level&#8211;<br \/>\n&#8220;(i) for purposes of paragraph (1)(A), a<br \/>\nqualified public entity shall be treated as the<br \/>\ntaxpayer with respect to such entity&#8217;s<br \/>\ndistributive share of such credit, and<br \/>\n&#8220;(ii) the term `eligible project partner&#8217;<br \/>\nshall include any partner of the partnership.<br \/>\n&#8220;(B) Taxable year in which credit taken into<br \/>\naccount.&#8211;In the case of any credit (or portion thereof)<br \/>\nwith respect to which an election is made under<br \/>\nparagraph (1), such credit shall be taken into account<br \/>\nin the first taxable year of the eligible project<br \/>\npartner ending with, or after, the qualified public<br \/>\nentity&#8217;s taxable year with respect to which the credit<br \/>\nwas determined.<br \/>\n&#8220;(C) Treatment of transfer under private use<br \/>\nrules.&#8211;For purposes of section 141(b)(1), any benefit<br \/>\nderived by an eligible project partner in connection<br \/>\nwith an election under this subsection shall not be<br \/>\ntaken into account as a private business use.&#8221;.<br \/>\n(2) Special rule for proceeds of transfers for mutual or<br \/>\ncooperative electric companies.&#8211;Section 501(c)(12) &lt;&lt;NOTE: 26<br \/>\nUSC 501.&gt;&gt; is amended by adding at the end the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(I) In the case of a mutual or cooperative<br \/>\nelectric company described in this paragraph or an<br \/>\norganization described in section 1381(a)(2), income<br \/>\nreceived or accrued in connection with an election under<br \/>\nsection 45J(e)(1) shall be treated as an amount<br \/>\ncollected from members for the sole purpose of meeting<br \/>\nlosses and expenses.&#8221;.<\/p>\n<p>(c) &lt;&lt;NOTE: 26 USC 45J note.&gt;&gt; Effective Dates.&#8211;<\/p>\n<p>[[Page 132 STAT. 155]]<\/p>\n<p>(1) Treatment of unutilized limitation amounts.&#8211;The<br \/>\namendment made by subsection (a) shall take effect on the date<br \/>\nof the enactment of this Act.<br \/>\n(2) Transfer of credit by certain public entities.&#8211;The<br \/>\namendments made by subsection (b) shall apply to taxable years<br \/>\nbeginning after the date of the enactment of this Act.<\/p>\n<p>TITLE &lt;&lt;NOTE: Applicability.&gt;&gt; II&#8211;MISCELLANEOUS PROVISIONS<br \/>\nSEC. 41101. AMENDMENT OF INTERNAL REVENUE CODE OF 1986.<\/p>\n<p>Except as otherwise expressly provided, whenever in this title an<br \/>\namendment or repeal is expressed in terms of an amendment to, or repeal<br \/>\nof, a section or other provision, the reference shall be considered to<br \/>\nbe made to a section or other provision of the Internal Revenue Code of<br \/>\n1986.<br \/>\nSEC. 41102. MODIFICATIONS TO RUM COVER OVER.<\/p>\n<p>(a) Extension.&#8211;<br \/>\n(1) In general.&#8211;Section 7652(f)(1) &lt;&lt;NOTE: 26 USC 7652.&gt;&gt;<br \/>\nis amended by striking &#8220;January 1, 2017&#8221; and inserting<br \/>\n&#8220;January 1, 2022&#8221;.<br \/>\n(2) &lt;&lt;NOTE: 26 USC 7652 note.&gt;&gt; Effective date.&#8211;The<br \/>\namendment made by this subsection shall apply to distilled<br \/>\nspirits brought into the United States after December 31, 2016.<\/p>\n<p>(b) Determination of Taxes on Rum.&#8211;<br \/>\n(1) In general.&#8211;Section 7652(e) is amended by adding at the<br \/>\nend the following new paragraph:<br \/>\n&#8220;(5) Determination of amount of taxes collected.&#8211;For<br \/>\npurposes of this subsection, the amount of taxes collected under<br \/>\nsection 5001(a)(1) shall be determined without regard to section<br \/>\n5001(c).&#8221;.<br \/>\n(2) &lt;&lt;NOTE: 26 USC 7652 note.&gt;&gt; Effective date.&#8211;The<br \/>\namendment made by this subsection shall apply to distilled<br \/>\nspirits brought into the United States after December 31, 2017.<br \/>\nSEC. 41103. EXTENSION OF WAIVER OF LIMITATIONS WITH RESPECT TO<br \/>\nEXCLUDING FROM GROSS INCOME AMOUNTS<br \/>\nRECEIVED BY WRONGFULLY INCARCERATED<br \/>\nINDIVIDUALS.<\/p>\n<p>(a) In General.&#8211;Section 304(d) of the Protecting Americans from Tax<br \/>\nHikes Act of 2015 (26 U.S.C. 139F note) is amended by striking &#8220;1-<br \/>\nyear&#8221; and inserting &#8220;3-year&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 139F note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall take effect on the date of the enactment of this<br \/>\nAct.<br \/>\nSEC. 41104. INDIVIDUALS HELD HARMLESS ON IMPROPER LEVY ON<br \/>\nRETIREMENT PLANS.<\/p>\n<p>(a) In General.&#8211;Section 6343 is amended by adding at the end the<br \/>\nfollowing new subsection:<br \/>\n&#8220;(f) Individuals Held Harmless on Wrongful Levy, etc. on Retirement<br \/>\nPlan.&#8211;<br \/>\n&#8220;(1) &lt;&lt;NOTE: Determination.&gt;&gt; In general.&#8211;If the<br \/>\nSecretary determines that an individual&#8217;s account or benefit<br \/>\nunder an eligible retirement plan (as defined in section<br \/>\n402(c)(8)(B)) has been levied upon in a case to which subsection<br \/>\n(b) or (d)(2)(A) applies and property or an amount of money is<br \/>\nreturned to the individual&#8211;<\/p>\n<p>[[Page 132 STAT. 156]]<\/p>\n<p>&#8220;(A) the individual may contribute such property or<br \/>\nan amount equal to the sum of&#8211;<br \/>\n&#8220;(i) the amount of money so returned by the<br \/>\nSecretary, and<br \/>\n&#8220;(ii) interest paid under subsection (c) on<br \/>\nsuch amount of money,<br \/>\ninto such eligible retirement plan if such contribution<br \/>\nis permitted by the plan, or into an individual<br \/>\nretirement plan (other than an endowment contract) to<br \/>\nwhich a rollover contribution of a distribution from<br \/>\nsuch eligible retirement plan is permitted, but only if<br \/>\nsuch contribution is made not later than the due date<br \/>\n(not including extensions) for filing the return of tax<br \/>\nfor the taxable year in which such property or amount of<br \/>\nmoney is returned, and<br \/>\n&#8220;(B) the Secretary shall, at the time such property<br \/>\nor amount of money is returned, notify such individual<br \/>\nthat a contribution described in subparagraph (A) may be<br \/>\nmade.<br \/>\n&#8220;(2) Treatment as rollover.&#8211;The distribution on account of<br \/>\nthe levy and any contribution under paragraph (1) with respect<br \/>\nto the return of such distribution shall be treated for purposes<br \/>\nof this title as if such distribution and contribution were<br \/>\ndescribed in section 402(c), 402A(c)(3), 403(a)(4), 403(b)(8),<br \/>\n408(d)(3), 408A(d)(3), or 457(e)(16), whichever is applicable;<br \/>\nexcept that&#8211;<br \/>\n&#8220;(A) the contribution shall be treated as having<br \/>\nbeen made for the taxable year in which the distribution<br \/>\non account of the levy occurred, and the interest paid<br \/>\nunder subsection (c) shall be treated as earnings within<br \/>\nthe plan after the contribution and shall not be<br \/>\nincluded in gross income, and<br \/>\n&#8220;(B) such contribution shall not be taken into<br \/>\naccount under section 408(d)(3)(B).<br \/>\n&#8220;(3) Refund, etc., of income tax on levy.&#8211;<br \/>\n&#8220;(A) In general.&#8211;If any amount is includible in<br \/>\ngross income for a taxable year by reason of a<br \/>\ndistribution on account of a levy referred to in<br \/>\nparagraph (1) and any portion of such amount is treated<br \/>\nas a rollover contribution under paragraph (2), any tax<br \/>\nimposed by chapter 1 on such portion shall not be<br \/>\nassessed, and if assessed shall be abated, and if<br \/>\ncollected shall be credited or refunded as an<br \/>\noverpayment made on the due date for filing the return<br \/>\nof tax for such taxable year.<br \/>\n&#8220;(B) Exception.&#8211;Subparagraph (A) shall not apply<br \/>\nto a rollover contribution under this subsection which<br \/>\nis made from an eligible retirement plan which is not a<br \/>\nRoth IRA or a designated Roth account (within the<br \/>\nmeaning of section 402A) to a Roth IRA or a designated<br \/>\nRoth account under an eligible retirement plan.<br \/>\n&#8220;(4) Interest.&#8211;Notwithstanding subsection (d), interest<br \/>\nshall be allowed under subsection (c) in a case in which the<br \/>\nSecretary makes a determination described in subsection<br \/>\n(d)(2)(A) with respect to a levy upon an individual retirement<br \/>\nplan.<br \/>\n&#8220;(5) Treatment of inherited accounts.&#8211;For purposes of<br \/>\nparagraph (1)(A), section 408(d)(3)(C) shall be disregarded in<br \/>\ndetermining whether an individual retirement plan is a<\/p>\n<p>[[Page 132 STAT. 157]]<\/p>\n<p>plan to which a rollover contribution of a distribution from the<br \/>\nplan levied upon is permitted.&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 6343 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to amounts paid under subsections (b), (c),<br \/>\nand (d)(2)(A) of section 6343 of the Internal Revenue Code of 1986 in<br \/>\ntaxable years beginning after December 31, 2017.<br \/>\nSEC. 41105. MODIFICATION OF USER FEE REQUIREMENTS FOR INSTALLMENT<br \/>\nAGREEMENTS.<\/p>\n<p>(a) In General.&#8211;Section 6159 &lt;&lt;NOTE: 26 USC 6159.&gt;&gt; is amended by<br \/>\nredesignating subsection (f) as subsection (g) and by inserting after<br \/>\nsubsection (e) the following new subsection:<\/p>\n<p>&#8220;(f) Installment Agreement Fees.&#8211;<br \/>\n&#8220;(1) Limitation on fee amount.&#8211;The amount of any fee<br \/>\nimposed on an installment agreement under this section may not<br \/>\nexceed the amount of such fee as in effect on the date of the<br \/>\nenactment of this subsection.<br \/>\n&#8220;(2) Waiver or reimbursement.&#8211;In the case of any taxpayer<br \/>\nwith an adjusted gross income, as determined for the most recent<br \/>\nyear for which such information is available, which does not<br \/>\nexceed 250 percent of the applicable poverty level (as<br \/>\ndetermined by the Secretary)&#8211;<br \/>\n&#8220;(A) if the taxpayer has agreed to make payments<br \/>\nunder the installment agreement by electronic payment<br \/>\nthrough a debit instrument, no fee shall be imposed on<br \/>\nan installment agreement under this section, and<br \/>\n&#8220;(B) if the taxpayer is unable to make payments<br \/>\nunder the installment agreement by electronic payment<br \/>\nthrough a debit instrument, the Secretary shall, upon<br \/>\ncompletion of the installment agreement, pay the<br \/>\ntaxpayer an amount equal to any such fees imposed.&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 6159 note.&gt;&gt; Effective Date.&#8211;The amendments<br \/>\nmade by this section shall apply to agreements entered into on or after<br \/>\nthe date which is 60 days after the date of the enactment of this Act.<br \/>\nSEC. 41106. &lt;&lt;NOTE: 26 USC 7805 note.&gt;&gt; FORM 1040SR FOR SENIORS.<\/p>\n<p>(a) In General.&#8211;The Secretary of the Treasury (or the Secretary&#8217;s<br \/>\ndelegate) shall make available a form, to be known as &#8220;Form 1040SR&#8221;,<br \/>\nfor use by individuals to file the return of tax imposed by chapter 1 of<br \/>\nthe Internal Revenue Code of 1986. Such form shall be as similar as<br \/>\npracticable to Form 1040EZ, except that&#8211;<br \/>\n(1) the form shall be available only to individuals who have<br \/>\nattained age 65 as of the close of the taxable year,<br \/>\n(2) the form may be used even if income for the taxable year<br \/>\nincludes&#8211;<br \/>\n(A) social security benefits (as defined in section<br \/>\n86(d) of the Internal Revenue Code of 1986),<br \/>\n(B) distributions from qualified retirement plans<br \/>\n(as defined in section 4974(c) of such Code), annuities<br \/>\nor other such deferred payment arrangements,<br \/>\n(C) interest and dividends, or<br \/>\n(D) capital gains and losses taken into account in<br \/>\ndetermining adjusted net capital gain (as defined in<br \/>\nsection 1(h)(3) of such Code), and<br \/>\n(3) the form shall be available without regard to the amount<br \/>\nof any item of taxable income or the total amount of taxable<br \/>\nincome for the taxable year.<\/p>\n<p>[[Page 132 STAT. 158]]<\/p>\n<p>(b) Effective Date.&#8211;The form required by subsection (a) shall be<br \/>\nmade available for taxable years beginning after the date of the<br \/>\nenactment of this Act.<br \/>\nSEC. 41107. ATTORNEYS FEES RELATING TO AWARDS TO WHISTLEBLOWERS.<\/p>\n<p>(a) In General.&#8211;Paragraph (21) of section 62(a) &lt;&lt;NOTE: 26 USC<br \/>\n62.&gt;&gt; is amended to read as follows:<br \/>\n&#8220;(21) Attorneys&#8217; fees relating to awards to<br \/>\nwhistleblowers.&#8211;<br \/>\n&#8220;(A) In general.&#8211;Any deduction allowable under<br \/>\nthis chapter for attorney fees and court costs paid by,<br \/>\nor on behalf of, the taxpayer in connection with any<br \/>\naward under&#8211;<br \/>\n&#8220;(i) section 7623(b), or<br \/>\n&#8220;(ii) in the case of taxable years beginning<br \/>\nafter December 31, 2017, any action brought<br \/>\nunder&#8211;<br \/>\n&#8220;(I) section 21F of the Securities<br \/>\nExchange Act of 1934 (15 U.S.C. 78u-6),<br \/>\n&#8220;(II) a State false claims act,<br \/>\nincluding a State false claims act with<br \/>\nqui tam provisions, or<br \/>\n&#8220;(III) section 23 of the Commodity<br \/>\nExchange Act (7 U.S.C. 26).<br \/>\n&#8220;(B) May not exceed award.&#8211;Subparagraph (A) shall<br \/>\nnot apply to any deduction in excess of the amount<br \/>\nincludible in the taxpayer&#8217;s gross income for the<br \/>\ntaxable year on account of such award.&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 62 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to taxable years beginning after December<br \/>\n31, 2017.<br \/>\nSEC. 41108. CLARIFICATION OF WHISTLEBLOWER AWARDS.<\/p>\n<p>(a) Definition of Proceeds.&#8211;<br \/>\n(1) In general.&#8211;Section 7623 is amended by adding at the<br \/>\nend the following new subsection:<\/p>\n<p>&#8220;(c) Proceeds.&#8211;For purposes of this section, the term `proceeds&#8217;<br \/>\nincludes&#8211;<br \/>\n&#8220;(1) penalties, interest, additions to tax, and additional<br \/>\namounts provided under the internal revenue laws, and<br \/>\n&#8220;(2) any proceeds arising from laws for which the Internal<br \/>\nRevenue Service is authorized to administer, enforce, or<br \/>\ninvestigate, including&#8211;<br \/>\n&#8220;(A) criminal fines and civil forfeitures, and<br \/>\n&#8220;(B) violations of reporting requirements.&#8221;.<br \/>\n(2) Conforming amendments.&#8211;Paragraphs (1) and (2)(A) of<br \/>\nsection 7623(b) are each amended by striking &#8220;collected<br \/>\nproceeds (including penalties, interest, additions to tax, and<br \/>\nadditional amounts) resulting from the action&#8221; and inserting<br \/>\n&#8220;proceeds collected as a result of the action&#8221;.<\/p>\n<p>(b) Amount of Proceeds Determined Without Regard to Availability.&#8211;<br \/>\nParagraphs (1) and (2)(A) of section 7623(b) are each amended by<br \/>\ninserting &#8220;(determined without regard to whether such proceeds are<br \/>\navailable to the Secretary)&#8221; after &#8220;in response to such action&#8221;.<br \/>\n(c) Disputed Amount Threshold.&#8211;Section 7623(b)(5)(B) is amended by<br \/>\nstriking &#8220;tax, penalties, interest, additions to tax, and additional<br \/>\namounts&#8221; and inserting &#8220;proceeds&#8221;.<br \/>\n(d) &lt;&lt;NOTE: 26 USC 7623 note.&gt;&gt; Effective Date.&#8211;The amendments<br \/>\nmade by this section shall apply to information provided before, on, or<br \/>\nafter the date<\/p>\n<p>[[Page 132 STAT. 159]]<\/p>\n<p>of the enactment of this Act with respect to which a final determination<br \/>\nfor an award has not been made before such date of enactment.<br \/>\nSEC. 41109. CLARIFICATION REGARDING EXCISE TAX BASED ON INVESTMENT<br \/>\nINCOME OF PRIVATE COLLEGES AND<br \/>\nUNIVERSITIES.<\/p>\n<p>(a) In General.&#8211;Subsection (b)(1) of section 4968, as added by<br \/>\nsection 13701(a) of Public Law 115-97, &lt;&lt;NOTE: 26 USC 4968.&gt;&gt; is<br \/>\namended&#8211;<br \/>\n(1) by inserting &#8220;tuition-paying&#8221; after &#8220;500&#8221; in<br \/>\nsubparagraph (A), and<br \/>\n(2) by inserting &#8220;tuition-paying&#8221; after &#8220;50 percent of<br \/>\nthe&#8221; in subparagraph (B).<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 4968 note.&gt;&gt; Effective Date.&#8211;The amendments<br \/>\nmade by this section shall apply to taxable years beginning after<br \/>\nDecember 31, 2017.<br \/>\nSEC. 41110. EXCEPTION FROM PRIVATE FOUNDATION EXCESS BUSINESS<br \/>\nHOLDING TAX FOR INDEPENDENTLY-OPERATED<br \/>\nPHILANTHROPIC BUSINESS HOLDINGS.<\/p>\n<p>(a) In General.&#8211;Section 4943 is amended by adding at the end the<br \/>\nfollowing new subsection:<br \/>\n&#8220;(g) Exception for Certain Holdings Limited to Independently-<br \/>\noperated Philanthropic Business.&#8211;<br \/>\n&#8220;(1) In general.&#8211;Subsection (a) shall not apply with<br \/>\nrespect to the holdings of a private foundation in any business<br \/>\nenterprise which meets the requirements of paragraphs (2), (3),<br \/>\nand (4) for the taxable year.<br \/>\n&#8220;(2) Ownership.&#8211;The requirements of this paragraph are met<br \/>\nif&#8211;<br \/>\n&#8220;(A) 100 percent of the voting stock in the<br \/>\nbusiness enterprise is held by the private foundation at<br \/>\nall times during the taxable year, and<br \/>\n&#8220;(B) all the private foundation&#8217;s ownership<br \/>\ninterests in the business enterprise were acquired by<br \/>\nmeans other than by purchase.<br \/>\n&#8220;(3) All profits to charity.&#8211;<br \/>\n&#8220;(A) In general.&#8211;The requirements of this<br \/>\nparagraph are met if the business enterprise, not later<br \/>\nthan 120 days after the close of the taxable year,<br \/>\ndistributes an amount equal to its net operating income<br \/>\nfor such taxable year to the private foundation.<br \/>\n&#8220;(B) Net operating income.&#8211;For purposes of this<br \/>\nparagraph, the net operating income of any business<br \/>\nenterprise for any taxable year is an amount equal to<br \/>\nthe gross income of the business enterprise for the<br \/>\ntaxable year, reduced by the sum of&#8211;<br \/>\n&#8220;(i) the deductions allowed by chapter 1 for<br \/>\nthe taxable year which are directly connected with<br \/>\nthe production of such income,<br \/>\n&#8220;(ii) the tax imposed by chapter 1 on the<br \/>\nbusiness enterprise for the taxable year, and<br \/>\n&#8220;(iii) an amount for a reasonable reserve for<br \/>\nworking capital and other business needs of the<br \/>\nbusiness enterprise.<br \/>\n&#8220;(4) Independent operation.&#8211;The requirements of this<br \/>\nparagraph are met if, at all times during the taxable year&#8211;<br \/>\n&#8220;(A) no substantial contributor (as defined in<br \/>\nsection 4958(c)(3)(C)) to the private foundation or<br \/>\nfamily member<\/p>\n<p>[[Page 132 STAT. 160]]<\/p>\n<p>(as determined under section 4958(f)(4)) of such a<br \/>\ncontributor is a director, officer, trustee, manager,<br \/>\nemployee, or contractor of the business enterprise (or<br \/>\nan individual having powers or responsibilities similar<br \/>\nto any of the foregoing),<br \/>\n&#8220;(B) at least a majority of the board of directors<br \/>\nof the private foundation are persons who are not&#8211;<br \/>\n&#8220;(i) directors or officers of the business<br \/>\nenterprise, or<br \/>\n&#8220;(ii) family members (as so determined) of a<br \/>\nsubstantial contributor (as so defined) to the<br \/>\nprivate foundation, and<br \/>\n&#8220;(C) there is no loan outstanding from the business<br \/>\nenterprise to a substantial contributor (as so defined)<br \/>\nto the private foundation or to any family member of<br \/>\nsuch a contributor (as so determined).<br \/>\n&#8220;(5) Certain deemed private foundations excluded.&#8211;This<br \/>\nsubsection shall not apply to&#8211;<br \/>\n&#8220;(A) any fund or organization treated as a private<br \/>\nfoundation for purposes of this section by reason of<br \/>\nsubsection (e) or (f),<br \/>\n&#8220;(B) any trust described in section 4947(a)(1)<br \/>\n(relating to charitable trusts), and<br \/>\n&#8220;(C) any trust described in section 4947(a)(2)<br \/>\n(relating to split-interest trusts).&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 4943 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to taxable years beginning after December<br \/>\n31, 2017.<br \/>\nSEC. 41111. RULE OF CONSTRUCTION FOR CRAFT BEVERAGE MODERNIZATION<br \/>\nAND TAX REFORM.<\/p>\n<p>(a) In General.&#8211;Subpart A of part IX of subtitle C of title I of<br \/>\nPublic Law 115-97 is amended by adding at the end the following new<br \/>\nsection:<br \/>\n&#8220;SEC. 13809. &lt;&lt;NOTE: 26 USC 263A note.&gt;&gt; RULE OF CONSTRUCTION.<\/p>\n<p>&#8220;Nothing in this subpart, the amendments made by this subpart, or<br \/>\nany regulation promulgated under this subpart or the amendments made by<br \/>\nthis subpart, shall be construed to preempt, supersede, or otherwise<br \/>\nlimit or restrict any State, local, or tribal law that prohibits or<br \/>\nregulates the production or sale of distilled spirits, wine, or malt<br \/>\nbeverages.&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 263A note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall take effect as if included in Public Law 115-97.<br \/>\nSEC. 41112. SIMPLIFICATION OF RULES REGARDING RECORDS, STATEMENTS,<br \/>\nAND RETURNS.<\/p>\n<p>(a) &lt;&lt;NOTE: Time period.&gt;&gt; In General.&#8211;Subsection (a) of section<br \/>\n5555 is amended by adding at the end the following: &#8220;For calendar<br \/>\nquarters beginning after the date of the enactment of this sentence, and<br \/>\nbefore January 1, 2020, the Secretary shall permit a person to employ a<br \/>\nunified system for any records, statements, and returns required to be<br \/>\nkept, rendered, or made under this section for any beer produced in the<br \/>\nbrewery for which the tax imposed by section 5051 has been determined,<br \/>\nincluding any beer which has been removed for consumption on the<br \/>\npremises of the brewery.&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 5555 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to calendar quarters beginning after the<br \/>\ndate of the enactment of this Act.<\/p>\n<p>[[Page 132 STAT. 161]]<\/p>\n<p>SEC. 41113. &lt;&lt;NOTE: 26 USC 401 note.&gt;&gt; MODIFICATION OF RULES<br \/>\nGOVERNING HARDSHIP DISTRIBUTIONS.<\/p>\n<p>(a) &lt;&lt;NOTE: Deadline.&gt;&gt; In General.&#8211;Not later than 1 year after<br \/>\nthe date of the enactment of this Act, the Secretary of the Treasury<br \/>\nshall modify Treasury Regulation section 1.401(k)-1(d)(3)(iv)(E) to&#8211;<br \/>\n(1) delete the 6-month prohibition on contributions imposed<br \/>\nby paragraph (2) thereof, and<br \/>\n(2) make any other modifications necessary to carry out the<br \/>\npurposes of section 401(k)(2)(B)(i)(IV) of the Internal Revenue<br \/>\nCode of 1986.<\/p>\n<p>(b) Effective Date.&#8211;The revised regulations under this section<br \/>\nshall apply to plan years beginning after December 31, 2018.<br \/>\nSEC. 41114. MODIFICATION OF RULES RELATING TO HARDSHIP WITHDRAWALS<br \/>\nFROM CASH OR DEFERRED ARRANGEMENTS.<\/p>\n<p>(a) In General.&#8211;Section 401(k) &lt;&lt;NOTE: 26 USC 401.&gt;&gt; is amended by<br \/>\nadding at the end the following:<br \/>\n&#8220;(14) Special rules relating to hardship withdrawals.&#8211;For<br \/>\npurposes of paragraph (2)(B)(i)(IV)&#8211;<br \/>\n&#8220;(A) Amounts which may be withdrawn.&#8211;The following<br \/>\namounts may be distributed upon hardship of the<br \/>\nemployee:<br \/>\n&#8220;(i) Contributions to a profit-sharing or<br \/>\nstock bonus plan to which section 402(e)(3)<br \/>\napplies.<br \/>\n&#8220;(ii) Qualified nonelective contributions (as<br \/>\ndefined in subsection (m)(4)(C)).<br \/>\n&#8220;(iii) Qualified matching contributions<br \/>\ndescribed in paragraph (3)(D)(ii)(I).<br \/>\n&#8220;(iv) Earnings on any contributions described<br \/>\nin clause (i), (ii), or (iii).<br \/>\n&#8220;(B) No requirement to take available loan.&#8211;A<br \/>\ndistribution shall not be treated as failing to be made<br \/>\nupon the hardship of an employee solely because the<br \/>\nemployee does not take any available loan under the<br \/>\nplan.&#8221;.<\/p>\n<p>(b) Conforming Amendment.&#8211;Section 401(k)(2)(B)(i)(IV) is amended to<br \/>\nread as follows:<br \/>\n&#8220;(IV) subject to the provisions of<br \/>\nparagraph (14), upon hardship of the<br \/>\nemployee, or&#8221;.<\/p>\n<p>(c) &lt;&lt;NOTE: 26 USC 401 note.&gt;&gt; Effective Date.&#8211;The amendments made<br \/>\nby this section shall apply to plan years beginning after December 31,<br \/>\n2018.<br \/>\nSEC. 41115. OPPORTUNITY ZONES RULE FOR PUERTO RICO.<\/p>\n<p>(a) In General.&#8211;Subsection (b) of section 1400Z-1 is amended by<br \/>\nadding at the end the following new paragraph:<br \/>\n&#8220;(3) &lt;&lt;NOTE: Certification. Effective date.&gt;&gt; Special rule<br \/>\nfor puerto rico.&#8211;Each population census tract in Puerto Rico<br \/>\nthat is a low- income community shall be deemed to be certified<br \/>\nand designated as a qualified opportunity zone, effective on the<br \/>\ndate of the enactment of Public Law 115-97.&#8221;.<\/p>\n<p>(b) Conforming Amendment.&#8211;Section 1400Z-1(d)(1) is amended by<br \/>\ninserting &#8220;and subsection (b)(3)&#8221; after &#8220;paragraph (2)&#8221;.<br \/>\nSEC. 41116. TAX HOME OF CERTAIN CITIZENS OR RESIDENTS OF THE<br \/>\nUNITED STATES LIVING ABROAD.<\/p>\n<p>(a) In General.&#8211;Paragraph (3) of section 911(d) is amended by<br \/>\ninserting before the period at the end of the second sentence the<br \/>\nfollowing: &#8220;, unless such individual is serving in an area designated<br \/>\nby the President of the United States by Executive order<\/p>\n<p>[[Page 132 STAT. 162]]<\/p>\n<p>as a combat zone for purposes of section 112 in support of the Armed<br \/>\nForces of the United States&#8221;.<br \/>\n(b) &lt;&lt;NOTE: 26 USC 911 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall apply to taxable years beginning after December<br \/>\n31, 2017.<br \/>\nSEC. 41117. TREATMENT OF FOREIGN PERSONS FOR RETURNS RELATING TO<br \/>\nPAYMENTS MADE IN SETTLEMENT OF PAYMENT<br \/>\nCARD AND THIRD PARTY NETWORK<br \/>\nTRANSACTIONS.<\/p>\n<p>(a) In General.&#8211;Section 6050W(d)(1)(B) &lt;&lt;NOTE: 26 USC 6050W.&gt;&gt; is<br \/>\namended by adding at the end the following: &#8220;Notwithstanding the<br \/>\npreceding sentence, a person with only a foreign address shall not be<br \/>\ntreated as a participating payee with respect to any payment settlement<br \/>\nentity solely because such person receives payments from such payment<br \/>\nsettlement entity in dollars.&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 26 USC 6050W note.&gt;&gt; Effective Date.&#8211;The amendment<br \/>\nmade by this section shall apply to returns for calendar years beginning<br \/>\nafter December 31, 2017.<br \/>\nSEC. 41118. REPEAL OF SHIFT IN TIME OF PAYMENT OF CORPORATE<br \/>\nESTIMATED TAXES.<\/p>\n<p>The Trade Preferences Extension Act of 2015 is amended by striking<br \/>\nsection 803 &lt;&lt;NOTE: 26 USC 6655 note.&gt;&gt; (relating to time for payment<br \/>\nof corporate estimated taxes).<br \/>\nSEC. 41119. ENHANCEMENT OF CARBON DIOXIDE SEQUESTRATION CREDIT.<\/p>\n<p>(a) In General.&#8211;Section 45Q is amended to read as follows:<br \/>\n&#8220;SEC. 45Q. CREDIT FOR CARBON OXIDE SEQUESTRATION.<\/p>\n<p>&#8220;(a) General Rule.&#8211;For purposes of section 38, the carbon oxide<br \/>\nsequestration credit for any taxable year is an amount equal to the sum<br \/>\nof&#8211;<br \/>\n&#8220;(1) $20 per metric ton of qualified carbon oxide which<br \/>\nis&#8211;<br \/>\n&#8220;(A) captured by the taxpayer using carbon capture<br \/>\nequipment which is originally placed in service at a<br \/>\nqualified facility before the date of the enactment of<br \/>\nthe Bipartisan Budget Act of 2018, and<br \/>\n&#8220;(B) disposed of by the taxpayer in secure<br \/>\ngeological storage and not used by the taxpayer as<br \/>\ndescribed in paragraph (2)(B),<br \/>\n&#8220;(2) $10 per metric ton of qualified carbon oxide which<br \/>\nis&#8211;<br \/>\n&#8220;(A) captured by the taxpayer using carbon capture<br \/>\nequipment which is originally placed in service at a<br \/>\nqualified facility before the date of the enactment of<br \/>\nthe Bipartisan Budget Act of 2018, and<br \/>\n&#8220;(B)(i) used by the taxpayer as a tertiary<br \/>\ninjectant in a qualified enhanced oil or natural gas<br \/>\nrecovery project and disposed of by the taxpayer in<br \/>\nsecure geological storage, or<br \/>\n&#8220;(ii) utilized by the taxpayer in a manner<br \/>\ndescribed in subsection (f)(5),<br \/>\n&#8220;(3) &lt;&lt;NOTE: Time period.&gt;&gt; the applicable dollar amount<br \/>\n(as determined under subsection (b)(1)) per metric ton of<br \/>\nqualified carbon oxide which is&#8211;<\/p>\n<p>[[Page 132 STAT. 163]]<\/p>\n<p>&#8220;(A) captured by the taxpayer using carbon capture<br \/>\nequipment which is originally placed in service at a<br \/>\nqualified facility on or after the date of the enactment<br \/>\nof the Bipartisan Budget Act of 2018, during the 12-year<br \/>\nperiod beginning on the date the equipment was<br \/>\noriginally placed in service, and<br \/>\n&#8220;(B) disposed of by the taxpayer in secure<br \/>\ngeological storage and not used by the taxpayer as<br \/>\ndescribed in paragraph (4)(B), and<br \/>\n&#8220;(4) the applicable dollar amount (as determined under<br \/>\nsubsection (b)(1)) per metric ton of qualified carbon oxide<br \/>\nwhich is&#8211;<br \/>\n&#8220;(A) captured by the taxpayer using carbon capture<br \/>\nequipment which is originally placed in service at a<br \/>\nqualified facility on or after the date of the enactment<br \/>\nof the Bipartisan Budget Act of 2018, during the 12-year<br \/>\nperiod beginning on the date the equipment was<br \/>\noriginally placed in service, and<br \/>\n&#8220;(B)(i) used by the taxpayer as a tertiary<br \/>\ninjectant in a qualified enhanced oil or natural gas<br \/>\nrecovery project and disposed of by the taxpayer in<br \/>\nsecure geological storage, or<br \/>\n&#8220;(ii) utilized by the taxpayer in a manner<br \/>\ndescribed in subsection (f)(5).<\/p>\n<p>&#8220;(b) &lt;&lt;NOTE: Time periods.&gt;&gt; Applicable Dollar Amount; Additional<br \/>\nEquipment; Election.&#8211;<br \/>\n&#8220;(1) Applicable dollar amount.&#8211;<br \/>\n&#8220;(A) In general.&#8211;The applicable dollar amount<br \/>\nshall be an amount equal to&#8211;<br \/>\n&#8220;(i) for any taxable year beginning in a<br \/>\ncalendar year after 2016 and before 2027&#8211;<br \/>\n&#8220;(I) for purposes of paragraph (3)<br \/>\nof subsection (a), the dollar amount<br \/>\nestablished by linear interpolation<br \/>\nbetween $22.66 and $50 for each calendar<br \/>\nyear during such period, and<br \/>\n&#8220;(II) for purposes of paragraph (4)<br \/>\nof such subsection, the dollar amount<br \/>\nestablished by linear interpolation<br \/>\nbetween $12.83 and $35 for each calendar<br \/>\nyear during such period, and<br \/>\n&#8220;(ii) for any taxable year beginning in a<br \/>\ncalendar year after 2026&#8211;<br \/>\n&#8220;(I) for purposes of paragraph (3)<br \/>\nof subsection (a), an amount equal to<br \/>\nthe product of $50 and the inflation<br \/>\nadjustment factor for such calendar year<br \/>\ndetermined under section 43(b)(3)(B) for<br \/>\nsuch calendar year, determined by<br \/>\nsubstituting `2025&#8242; for `1990&#8242;, and<br \/>\n&#8220;(II) for purposes of paragraph (4)<br \/>\nof such subsection, an amount equal to<br \/>\nthe product of $35 and the inflation<br \/>\nadjustment factor for such calendar year<br \/>\ndetermined under section 43(b)(3)(B) for<br \/>\nsuch calendar year, determined by<br \/>\nsubstituting `2025&#8242; for `1990&#8242;.<br \/>\n&#8220;(B) Rounding.&#8211;The applicable dollar amount<br \/>\ndetermined under subparagraph (A) shall be rounded to<br \/>\nthe nearest cent.<\/p>\n<p>[[Page 132 STAT. 164]]<\/p>\n<p>&#8220;(2) Installation of additional carbon capture equipment on<br \/>\nexisting qualified facility.&#8211;In the case of a qualified<br \/>\nfacility placed in service before the date of the enactment of<br \/>\nthe Bipartisan Budget Act of 2018, for which additional carbon<br \/>\ncapture equipment is placed in service on or after the date of<br \/>\nthe enactment of such Act, the amount of qualified carbon oxide<br \/>\nwhich is captured by the taxpayer shall be equal to&#8211;<br \/>\n&#8220;(A) for purposes of paragraphs (1)(A) and (2)(A)<br \/>\nof subsection (a), the lesser of&#8211;<br \/>\n&#8220;(i) the total amount of qualified carbon<br \/>\noxide captured at such facility for the taxable<br \/>\nyear, or<br \/>\n&#8220;(ii) the total amount of the carbon dioxide<br \/>\ncapture capacity of the carbon capture equipment<br \/>\nin service at such facility on the day before the<br \/>\ndate of the enactment of the Bipartisan Budget Act<br \/>\nof 2018, and<br \/>\n&#8220;(B) for purposes of paragraphs (3)(A) and (4)(A)<br \/>\nof such subsection, an amount (not less than zero) equal<br \/>\nto the excess of&#8211;<br \/>\n&#8220;(i) the amount described in clause (i) of<br \/>\nsubparagraph (A), over<br \/>\n&#8220;(ii) the amount described in clause (ii) of<br \/>\nsuch subparagraph.<br \/>\n&#8220;(3) Election.&#8211;For purposes of determining the carbon<br \/>\noxide sequestration credit under this section, a taxpayer may<br \/>\nelect to have the dollar amounts applicable under paragraph (1)<br \/>\nor (2) of subsection (a) apply in lieu of the dollar amounts<br \/>\napplicable under paragraph (3) or (4) of such subsection for<br \/>\neach metric ton of qualified carbon oxide which is captured by<br \/>\nthe taxpayer using carbon capture equipment which is originally<br \/>\nplaced in service at a qualified facility on or after the date<br \/>\nof the enactment of the Bipartisan Budget Act of 2018.<\/p>\n<p>&#8220;(c) &lt;&lt;NOTE: Definition.&gt;&gt; Qualified Carbon Oxide.&#8211;For purposes<br \/>\nof this section&#8211;<br \/>\n&#8220;(1) In general.&#8211;The term `qualified carbon oxide&#8217; means&#8211;<br \/>\n&#8220;(A) any carbon dioxide which&#8211;<br \/>\n&#8220;(i) is captured from an industrial source by<br \/>\ncarbon capture equipment which is originally<br \/>\nplaced in service before the date of the enactment<br \/>\nof the Bipartisan Budget Act of 2018,<br \/>\n&#8220;(ii) would otherwise be released into the<br \/>\natmosphere as industrial emission of greenhouse<br \/>\ngas or lead to such release, and<br \/>\n&#8220;(iii) is measured at the source of capture<br \/>\nand verified at the point of disposal, injection,<br \/>\nor utilization,<br \/>\n&#8220;(B) any carbon dioxide or other carbon oxide<br \/>\nwhich&#8211;<br \/>\n&#8220;(i) is captured from an industrial source by<br \/>\ncarbon capture equipment which is originally<br \/>\nplaced in service on or after the date of the<br \/>\nenactment of the Bipartisan Budget Act of 2018,<br \/>\n&#8220;(ii) would otherwise be released into the<br \/>\natmosphere as industrial emission of greenhouse<br \/>\ngas or lead to such release, and<br \/>\n&#8220;(iii) is measured at the source of capture<br \/>\nand verified at the point of disposal, injection,<br \/>\nor utilization, or<\/p>\n<p>[[Page 132 STAT. 165]]<\/p>\n<p>&#8220;(C) in the case of a direct air capture facility,<br \/>\nany carbon dioxide which&#8211;<br \/>\n&#8220;(i) is captured directly from the ambient<br \/>\nair, and<br \/>\n&#8220;(ii) is measured at the source of capture<br \/>\nand verified at the point of disposal, injection,<br \/>\nor utilization.<br \/>\n&#8220;(2) &lt;&lt;NOTE: Definition.&gt;&gt; Recycled carbon oxide.&#8211;The<br \/>\nterm `qualified carbon oxide&#8217; includes the initial deposit of<br \/>\ncaptured carbon oxide used as a tertiary injectant. Such term<br \/>\ndoes not include carbon oxide that is recaptured, recycled, and<br \/>\nre-injected as part of the enhanced oil and natural gas recovery<br \/>\nprocess.<\/p>\n<p>&#8220;(d) &lt;&lt;NOTE: Definition.&gt;&gt; Qualified Facility.&#8211;For purposes of<br \/>\nthis section, the term `qualified facility&#8217; means any industrial<br \/>\nfacility or direct air capture facility&#8211;<br \/>\n&#8220;(1) the construction of which begins before January 1,<br \/>\n2024, and&#8211;<br \/>\n&#8220;(A) construction of carbon capture equipment<br \/>\nbegins before such date, or<br \/>\n&#8220;(B) the original planning and design for such<br \/>\nfacility includes installation of carbon capture<br \/>\nequipment, and<br \/>\n&#8220;(2) which captures&#8211;<br \/>\n&#8220;(A) in the case of a facility which emits not more<br \/>\nthan 500,000 metric tons of carbon oxide into the<br \/>\natmosphere during the taxable year, not less than 25,000<br \/>\nmetric tons of qualified carbon oxide during the taxable<br \/>\nyear which is utilized in a manner described in<br \/>\nsubsection (f)(5),<br \/>\n&#8220;(B) in the case of an electricity generating<br \/>\nfacility which is not described in subparagraph (A), not<br \/>\nless than 500,000 metric tons of qualified carbon oxide<br \/>\nduring the taxable year, or<br \/>\n&#8220;(C) in the case of a direct air capture facility<br \/>\nor any facility not described in subparagraph (A) or<br \/>\n(B), not less than 100,000 metric tons of qualified<br \/>\ncarbon oxide during the taxable year.<\/p>\n<p>&#8220;(e) Definitions.&#8211;For purposes of this section&#8211;<br \/>\n&#8220;(1) Direct air capture facility.&#8211;<br \/>\n&#8220;(A) In general.&#8211;Subject to subparagraph (B), the<br \/>\nterm `direct air capture facility&#8217; means any facility<br \/>\nwhich uses carbon capture equipment to capture carbon<br \/>\ndioxide directly from the ambient air.<br \/>\n&#8220;(B) Exception.&#8211;The term `direct air capture<br \/>\nfacility&#8217; shall not include any facility which captures<br \/>\ncarbon dioxide&#8211;<br \/>\n&#8220;(i) which is deliberately released from<br \/>\nnaturally occurring subsurface springs, or<br \/>\n&#8220;(ii) using natural photosynthesis.<br \/>\n&#8220;(2) Qualified enhanced oil or natural gas recovery<br \/>\nproject.&#8211;The term `qualified enhanced oil or natural gas<br \/>\nrecovery project&#8217; has the meaning given the term `qualified<br \/>\nenhanced oil recovery project&#8217; by section 43(c)(2), by<br \/>\nsubstituting `crude oil or natural gas&#8217; for `crude oil&#8217; in<br \/>\nsubparagraph (A)(i) thereof.<br \/>\n&#8220;(3) Tertiary injectant.&#8211;The term `tertiary injectant&#8217; has<br \/>\nthe same meaning as when used within section 193(b)(1).<\/p>\n<p>&#8220;(f) Special Rules.&#8211;<br \/>\n&#8220;(1) Only qualified carbon oxide captured and disposed of<br \/>\nor used within the united states taken into<\/p>\n<p>[[Page 132 STAT. 166]]<\/p>\n<p>account.&#8211; &lt;&lt;NOTE: Applicability.&gt;&gt; The credit under this<br \/>\nsection shall apply only with respect to qualified carbon oxide<br \/>\nthe capture and disposal, use, or utilization of which is<br \/>\nwithin&#8211;<br \/>\n&#8220;(A) the United States (within the meaning of<br \/>\nsection 638(1)), or<br \/>\n&#8220;(B) a possession of the United States (within the<br \/>\nmeaning of section 638(2)).<br \/>\n&#8220;(2) &lt;&lt;NOTE: Consultation.&gt;&gt; Secure geological storage.&#8211;<br \/>\nThe Secretary, in consultation with the Administrator of the<br \/>\nEnvironmental Protection Agency, the Secretary of Energy, and<br \/>\nthe Secretary of the Interior, shall establish regulations for<br \/>\ndetermining adequate security measures for the geological<br \/>\nstorage of qualified carbon oxide under subsection (a) such that<br \/>\nthe qualified carbon oxide does not escape into the atmosphere.<br \/>\nSuch term shall include storage at deep saline formations, oil<br \/>\nand gas reservoirs, and unminable coal seams under such<br \/>\nconditions as the Secretary may determine under such<br \/>\nregulations.<br \/>\n&#8220;(3) Credit attributable to taxpayer.&#8211;<br \/>\n&#8220;(A) In general.&#8211;Except as provided in<br \/>\nsubparagraph (B) or in any regulations prescribed by the<br \/>\nSecretary, any credit under this section shall be<br \/>\nattributable to&#8211;<br \/>\n&#8220;(i) in the case of qualified carbon oxide<br \/>\ncaptured using carbon capture equipment which is<br \/>\noriginally placed in service at a qualified<br \/>\nfacility before the date of the enactment of the<br \/>\nBipartisan Budget Act of 2018, the person that<br \/>\ncaptures and physically or contractually ensures<br \/>\nthe disposal, utilization, or use as a tertiary<br \/>\ninjectant of such qualified carbon oxide, and<br \/>\n&#8220;(ii) in the case of qualified carbon oxide<br \/>\ncaptured using carbon capture equipment which is<br \/>\noriginally placed in service at a qualified<br \/>\nfacility on or after the date of the enactment of<br \/>\nthe Bipartisan Budget Act of 2018, the person that<br \/>\nowns the carbon capture equipment and physically<br \/>\nor contractually ensures the capture and disposal,<br \/>\nutilization, or use as a tertiary injectant of<br \/>\nsuch qualified carbon oxide.<br \/>\n&#8220;(B) Election.&#8211;If the person described in<br \/>\nsubparagraph (A) makes an election under this<br \/>\nsubparagraph in such time and manner as the Secretary<br \/>\nmay prescribe by regulations, the credit under this<br \/>\nsection&#8211;<br \/>\n&#8220;(i) shall be allowable to the person that<br \/>\ndisposes of the qualified carbon oxide, utilizes<br \/>\nthe qualified carbon oxide, or uses the qualified<br \/>\ncarbon oxide as a tertiary injectant, and<br \/>\n&#8220;(ii) shall not be allowable to the person<br \/>\ndescribed in subparagraph (A).<br \/>\n&#8220;(4) Recapture.&#8211;The Secretary shall, by regulations,<br \/>\nprovide for recapturing the benefit of any credit allowable<br \/>\nunder subsection (a) with respect to any qualified carbon oxide<br \/>\nwhich ceases to be captured, disposed of, or used as a tertiary<br \/>\ninjectant in a manner consistent with the requirements of this<br \/>\nsection.<br \/>\n&#8220;(5) Utilization of qualified carbon oxide.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Definition.&gt;&gt; In general.&#8211;For<br \/>\npurposes of this section, utilization of qualified<br \/>\ncarbon oxide means&#8211;<br \/>\n&#8220;(i) the fixation of such qualified carbon<br \/>\noxide through photosynthesis or chemosynthesis,<br \/>\nsuch as through the growing of algae or bacteria,<\/p>\n<p>[[Page 132 STAT. 167]]<\/p>\n<p>&#8220;(ii) the chemical conversion of such<br \/>\nqualified carbon oxide to a material or chemical<br \/>\ncompound in which such qualified carbon oxide is<br \/>\nsecurely stored, or<br \/>\n&#8220;(iii) the use of such qualified carbon oxide<br \/>\nfor any other purpose for which a commercial<br \/>\nmarket exists (with the exception of use as a<br \/>\ntertiary injectant in a qualified enhanced oil or<br \/>\nnatural gas recovery project), as determined by<br \/>\nthe Secretary.<br \/>\n&#8220;(B) Measurement.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Determination. Consultation.&gt;&gt;<br \/>\nIn general.&#8211;For purposes of determining the<br \/>\namount of qualified carbon oxide utilized by the<br \/>\ntaxpayer under paragraph (2)(B)(ii) or (4)(B)(ii)<br \/>\nof subsection (a), such amount shall be equal to<br \/>\nthe metric tons of qualified carbon oxide which<br \/>\nthe taxpayer demonstrates, based upon an analysis<br \/>\nof lifecycle greenhouse gas emissions and subject<br \/>\nto such requirements as the Secretary, in<br \/>\nconsultation with the Secretary of Energy and the<br \/>\nAdministrator of the Environmental Protection<br \/>\nAgency, determines appropriate, were&#8211;<br \/>\n&#8220;(I) captured and permanently<br \/>\nisolated from the atmosphere, or<br \/>\n&#8220;(II) displaced from being emitted<br \/>\ninto the atmosphere,<br \/>\nthrough use of a process described in subparagraph<br \/>\n(A).<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Definition.&gt;&gt; Lifecycle<br \/>\ngreenhouse gas emissions.&#8211;For purposes of clause<br \/>\n(i), the term `lifecycle greenhouse gas emissions&#8217;<br \/>\nhas the same meaning given such term under<br \/>\nsubparagraph (H) of section 211(o)(1) of the Clean<br \/>\nAir Act (42 U.S.C. 7545(o)(1)), as in effect on<br \/>\nthe date of the enactment of the Bipartisan Budget<br \/>\nAct of 2018, except that `product&#8217; shall be<br \/>\nsubstituted for `fuel&#8217; each place it appears in<br \/>\nsuch subparagraph.<br \/>\n&#8220;(6) Election for applicable facilities.&#8211;<br \/>\n&#8220;(A) In general.&#8211;For purposes of this section, in<br \/>\nthe case of an applicable facility, for any taxable year<br \/>\nin which such facility captures not less than 500,000<br \/>\nmetric tons of qualified carbon oxide during the taxable<br \/>\nyear, the person described in paragraph (3)(A)(ii) may<br \/>\nelect to have such facility, and any carbon capture<br \/>\nequipment placed in service at such facility, deemed as<br \/>\nhaving been placed in service on the date of the<br \/>\nenactment of the Bipartisan Budget Act of 2018.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Definition.&gt;&gt; Applicable facility.&#8211;<br \/>\nFor purposes of this paragraph, the term `applicable<br \/>\nfacility&#8217; means a qualified facility&#8211;<br \/>\n&#8220;(i) which was placed in service before the<br \/>\ndate of the enactment of the Bipartisan Budget Act<br \/>\nof 2018, and<br \/>\n&#8220;(ii) for which no taxpayer claimed a credit<br \/>\nunder this section in regards to such facility for<br \/>\nany taxable year ending before the date of the<br \/>\nenactment of such Act.<br \/>\n&#8220;(7) Inflation adjustment.&#8211;In the case of any taxable year<br \/>\nbeginning in a calendar year after 2009, there shall be<br \/>\nsubstituted for each dollar amount contained in paragraphs<\/p>\n<p>[[Page 132 STAT. 168]]<\/p>\n<p>(1) and (2) of subsection (a) an amount equal to the product<br \/>\nof&#8211;<br \/>\n&#8220;(A) such dollar amount, multiplied by<br \/>\n&#8220;(B) the inflation adjustment factor for such<br \/>\ncalendar year determined under section 43(b)(3)(B) for<br \/>\nsuch calendar year, determined by substituting `2008&#8242;<br \/>\nfor `1990&#8242;.<\/p>\n<p>&#8220;(g) Application of Section for Certain Carbon Capture Equipment.&#8211;<br \/>\n&lt;&lt;NOTE: Consultation. Certification. Time period.&gt;&gt; In the case of any<br \/>\ncarbon capture equipment placed in service before the date of the<br \/>\nenactment of the Bipartisan Budget Act of 2018, the credit under this<br \/>\nsection shall apply with respect to qualified carbon oxide captured<br \/>\nusing such equipment before the end of the calendar year in which the<br \/>\nSecretary, in consultation with the Administrator of the Environmental<br \/>\nProtection Agency, certifies that, during the period beginning after<br \/>\nOctober 3, 2008, a total of 75,000,000 metric tons of qualified carbon<br \/>\noxide have been taken into account in accordance with&#8211;<br \/>\n&#8220;(1) subsection (a) of this section, as in effect on the<br \/>\nday before the date of the enactment of the Bipartisan Budget<br \/>\nAct of 2018, and<br \/>\n&#8220;(2) paragraphs (1) and (2) of subsection (a) of this<br \/>\nsection.<\/p>\n<p>&#8220;(h) Regulations.&#8211;The Secretary may prescribe such regulations and<br \/>\nother guidance as may be necessary or appropriate to carry out this<br \/>\nsection, including regulations or other guidance to&#8211;<br \/>\n&#8220;(1) ensure proper allocation under subsection (a) for<br \/>\nqualified carbon oxide captured by a taxpayer during the taxable<br \/>\nyear ending after the date of the enactment of the Bipartisan<br \/>\nBudget Act of 2018, and<br \/>\n&#8220;(2) &lt;&lt;NOTE: Determination.&gt;&gt; determine whether a facility<br \/>\nsatisfies the requirements under subsection (d)(1) during such<br \/>\ntaxable year.&#8221;.<\/p>\n<p>(b) Effective Date.&#8211; &lt;&lt;NOTE: Applicability. 26 USC 45Q note.&gt;&gt; The<br \/>\namendment made by this section shall apply to taxable years beginning<br \/>\nafter December 31, 2017.<\/p>\n<p>DIVISION E&#8211; &lt;&lt;NOTE: Advancing Chronic Care, Extenders, and Social<br \/>\nServices (ACCESS) Act.&gt;&gt; HEALTH AND HUMAN SERVICES EXTENDERS<br \/>\nSEC. 50100. SHORT TITLE; TABLE OF CONTENTS.<\/p>\n<p>(a) &lt;&lt;NOTE: 42 USC 1305 note.&gt;&gt; Short Title.&#8211;This division may be<br \/>\ncited as the &#8220;Advancing Chronic Care, Extenders, and Social Services<br \/>\n(ACCESS) Act&#8221;<\/p>\n<p>(b) Table of Contents.&#8211;The table of contents for this division is<br \/>\nas follows:<\/p>\n<p>DIVISION E&#8211;HEALTH AND HUMAN SERVICES EXTENDERS<\/p>\n<p>Sec. 50100. Short title; table of contents.<\/p>\n<p>TITLE I&#8211;CHIP<\/p>\n<p>Sec. 50101. Funding extension of the Children&#8217;s Health Insurance Program<br \/>\nthrough fiscal year 2027.<br \/>\nSec. 50102. Extension of pediatric quality measures program.<br \/>\nSec. 50103. Extension of outreach and enrollment program.<\/p>\n<p>TITLE II&#8211;MEDICARE EXTENDERS<\/p>\n<p>Sec. 50201. Extension of work GPCI floor.<br \/>\nSec. 50202. Repeal of Medicare payment cap for therapy services;<br \/>\nlimitation to ensure appropriate therapy.<br \/>\nSec. 50203. Medicare ambulance services.<br \/>\nSec. 50204. Extension of increased inpatient hospital payment adjustment<br \/>\nfor certain low-volume hospitals.<br \/>\nSec. 50205. Extension of the Medicare-dependent hospital (MDH) program.<br \/>\nSec. 50206. Extension of funding for quality measure endorsement, input,<br \/>\nand selection; reporting requirements.<\/p>\n<p>[[Page 132 STAT. 169]]<\/p>\n<p>Sec. 50207. Extension of funding outreach and assistance for low-income<br \/>\nprograms; State health insurance assistance program reporting<br \/>\nrequirements.<br \/>\nSec. 50208. Extension of home health rural add-on.<\/p>\n<p>TITLE III&#8211;CREATING HIGH-QUALITY RESULTS AND OUTCOMES NECESSARY TO<br \/>\nIMPROVE CHRONIC (CHRONIC) CARE<\/p>\n<p>Subtitle A&#8211;Receiving High Quality Care in the Home<\/p>\n<p>Sec. 50301. Extending the Independence at Home Demonstration Program.<br \/>\nSec. 50302. Expanding access to home dialysis therapy.<\/p>\n<p>Subtitle B&#8211;Advancing Team-Based Care<\/p>\n<p>Sec. 50311. Providing continued access to Medicare Advantage special<br \/>\nneeds plans for vulnerable populations.<\/p>\n<p>Subtitle C&#8211;Expanding Innovation and Technology<\/p>\n<p>Sec. 50321. Adapting benefits to meet the needs of chronically ill<br \/>\nMedicare Advantage enrollees.<br \/>\nSec. 50322. Expanding supplemental benefits to meet the needs of<br \/>\nchronically ill Medicare Advantage enrollees.<br \/>\nSec. 50323. Increasing convenience for Medicare Advantage enrollees<br \/>\nthrough telehealth.<br \/>\nSec. 50324. Providing accountable care organizations the ability to<br \/>\nexpand the use of telehealth.<br \/>\nSec. 50325. Expanding the use of telehealth for individuals with stroke.<\/p>\n<p>Subtitle D&#8211;Identifying the Chronically Ill Population<\/p>\n<p>Sec. 50331. Providing flexibility for beneficiaries to be part of an<br \/>\naccountable care organization.<\/p>\n<p>Subtitle E&#8211;Empowering Individuals and Caregivers in Care Delivery<\/p>\n<p>Sec. 50341. Eliminating barriers to care coordination under accountable<br \/>\ncare organizations.<br \/>\nSec. 50342. GAO study and report on longitudinal comprehensive care<br \/>\nplanning services under Medicare part B.<\/p>\n<p>Subtitle F&#8211;Other Policies to Improve Care for the Chronically Ill<\/p>\n<p>Sec. 50351. GAO study and report on improving medication<br \/>\nsynchronization.<br \/>\nSec. 50352. GAO study and report on impact of obesity drugs on patient<br \/>\nhealth and spending.<br \/>\nSec. 50353. HHS study and report on long-term risk factors for chronic<br \/>\nconditions among Medicare beneficiaries.<br \/>\nSec. 50354. Providing prescription drug plans with parts A and B claims<br \/>\ndata to promote the appropriate use of medications and<br \/>\nimprove health outcomes.<\/p>\n<p>TITLE IV&#8211;PART B IMPROVEMENT ACT AND OTHER PART B ENHANCEMENTS<\/p>\n<p>Subtitle A&#8211;Medicare Part B Improvement Act<\/p>\n<p>Sec. 50401. Home infusion therapy services temporary transitional<br \/>\npayment.<br \/>\nSec. 50402. Orthotist&#8217;s and prosthetist&#8217;s clinical notes as part of the<br \/>\npatient&#8217;s medical record.<br \/>\nSec. 50403. Independent accreditation for dialysis facilities and<br \/>\nassurance of high quality surveys.<br \/>\nSec. 50404. Modernizing the application of the Stark rule under<br \/>\nMedicare.<\/p>\n<p>Subtitle B&#8211;Additional Medicare Provisions<\/p>\n<p>Sec. 50411. Making permanent the removal of the rental cap for durable<br \/>\nmedical equipment under Medicare with respect to speech<br \/>\ngenerating devices.<br \/>\nSec. 50412. Increased civil and criminal penalties and increased<br \/>\nsentences for Federal health care program fraud and abuse.<br \/>\nSec. 50413. Reducing the volume of future EHR-related significant<br \/>\nhardship requests.<br \/>\nSec. 50414. Strengthening rules in case of competition for diabetic<br \/>\ntesting strips.<\/p>\n<p>TITLE V&#8211;OTHER HEALTH EXTENDERS<\/p>\n<p>Sec. 50501. Extension for family-to-family health information centers.<br \/>\nSec. 50502. Extension for sexual risk avoidance education.<\/p>\n<p>[[Page 132 STAT. 170]]<\/p>\n<p>Sec. 50503. Extension for personal responsibility education.<\/p>\n<p>TITLE VI&#8211;CHILD AND FAMILY SERVICES AND SUPPORTS EXTENDERS<\/p>\n<p>Subtitle A&#8211;Continuing the Maternal, Infant, and Early Childhood Home<br \/>\nVisiting Program<\/p>\n<p>Sec. 50601. Continuing evidence-based home visiting program.<br \/>\nSec. 50602. Continuing to demonstrate results to help families.<br \/>\nSec. 50603. Reviewing statewide needs to target resources.<br \/>\nSec. 50604. Improving the likelihood of success in high-risk<br \/>\ncommunities.<br \/>\nSec. 50605. Option to fund evidence-based home visiting on a pay for<br \/>\noutcome basis.<br \/>\nSec. 50606. Data exchange standards for improved interoperability.<br \/>\nSec. 50607. Allocation of funds.<\/p>\n<p>Subtitle B&#8211;Extension of Health Professions Workforce Demonstration<br \/>\nProjects<\/p>\n<p>Sec. 50611. Extension of health workforce demonstration projects for<br \/>\nlow-income individuals.<\/p>\n<p>TITLE VII&#8211;FAMILY FIRST PREVENTION SERVICES ACT<\/p>\n<p>Subtitle A&#8211;Investing in Prevention and Supporting Families<\/p>\n<p>Sec. 50701. Short title.<br \/>\nSec. 50702. Purpose.<\/p>\n<p>PART I&#8211;Prevention Activities Under Title IV-E<\/p>\n<p>Sec. 50711. Foster care prevention services and programs.<br \/>\nSec. 50712. Foster care maintenance payments for children with parents<br \/>\nin a licensed residential family-based treatment facility for<br \/>\nsubstance abuse.<br \/>\nSec. 50713. Title IV-E payments for evidence-based kinship navigator<br \/>\nprograms.<\/p>\n<p>PART II&#8211;Enhanced Support Under Title IV-B<\/p>\n<p>Sec. 50721. Elimination of time limit for family reunification services<br \/>\nwhile in foster care and permitting time-limited family<br \/>\nreunification services when a child returns home from foster<br \/>\ncare.<br \/>\nSec. 50722. Reducing bureaucracy and unnecessary delays when placing<br \/>\nchildren in homes across State lines.<br \/>\nSec. 50723. Enhancements to grants to improve well-being of families<br \/>\naffected by substance abuse.<\/p>\n<p>PART III&#8211;Miscellaneous<\/p>\n<p>Sec. 50731. Reviewing and improving licensing standards for placement in<br \/>\na relative foster family home.<br \/>\nSec. 50732. Development of a statewide plan to prevent child abuse and<br \/>\nneglect fatalities.<br \/>\nSec. 50733. Modernizing the title and purpose of title IV-E.<br \/>\nSec. 50734. Effective dates.<\/p>\n<p>PART IV&#8211;Ensuring the Necessity of a Placement That Is Not in a Foster<br \/>\nFamily Home<\/p>\n<p>Sec. 50741. Limitation on Federal financial participation for placements<br \/>\nthat are not in foster family homes.<br \/>\nSec. 50742. Assessment and documentation of the need for placement in a<br \/>\nqualified residential treatment program.<br \/>\nSec. 50743. Protocols to prevent inappropriate diagnoses.<br \/>\nSec. 50744. Additional data and reports regarding children placed in a<br \/>\nsetting that is not a foster family home.<br \/>\nSec. 50745. Criminal records checks and checks of child abuse and<br \/>\nneglect registries for adults working in child-care<br \/>\ninstitutions and other group care settings.<br \/>\nSec. 50746. Effective dates; application to waivers.<\/p>\n<p>PART V&#8211;Continuing Support for Child and Family Services<\/p>\n<p>Sec. 50751. Supporting and retaining foster families for children.<br \/>\nSec. 50752. Extension of child and family services programs.<br \/>\nSec. 50753. Improvements to the John H. Chafee foster care independence<br \/>\nprogram and related provisions.<\/p>\n<p>PART VI&#8211;Continuing Incentives to States to Promote Adoption and Legal<br \/>\nGuardianship<\/p>\n<p>Sec. 50761. Reauthorizing adoption and legal guardianship incentive<br \/>\nprograms.<\/p>\n<p>[[Page 132 STAT. 171]]<\/p>\n<p>PART VII&#8211;Technical Corrections<\/p>\n<p>Sec. 50771. Technical corrections to data exchange standards to improve<br \/>\nprogram coordination.<br \/>\nSec. 50772. Technical corrections to State requirement to address the<br \/>\ndevelopmental needs of young children.<\/p>\n<p>PART VIII&#8211;Ensuring States Reinvest Savings Resulting From Increase in<br \/>\nAdoption Assistance<\/p>\n<p>Sec. 50781. Delay of adoption assistance phase-in.<br \/>\nSec. 50782. GAO study and report on State reinvestment of savings<br \/>\nresulting from increase in adoption assistance.<\/p>\n<p>TITLE VIII&#8211;SUPPORTING SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS<\/p>\n<p>Sec. 50801. Short title.<br \/>\nSec. 50802. Social impact partnerships to pay for results.<\/p>\n<p>TITLE IX&#8211;PUBLIC HEALTH PROGRAMS<\/p>\n<p>Sec. 50901. Extension for community health centers, the National Health<br \/>\nService Corps, and teaching health centers that operate GME<br \/>\nprograms.<br \/>\nSec. 50902. Extension for special diabetes programs.<\/p>\n<p>TITLE X&#8211;MISCELLANEOUS HEALTH CARE POLICIES<\/p>\n<p>Sec. 51001. Home health payment reform.<br \/>\nSec. 51002. Information to satisfy documentation of Medicare eligibility<br \/>\nfor home health services.<br \/>\nSec. 51003. Technical amendments to Public Law 114-10.<br \/>\nSec. 51004. Expanded access to Medicare intensive cardiac rehabilitation<br \/>\nprograms.<br \/>\nSec. 51005. Extension of blended site neutral payment rate for certain<br \/>\nlong-term care hospital discharges; temporary adjustment to<br \/>\nsite neutral payment rates.<br \/>\nSec. 51006. Recognition of attending physician assistants as attending<br \/>\nphysicians to serve hospice patients.<br \/>\nSec. 51007. Extension of enforcement instruction on supervision<br \/>\nrequirements for outpatient therapeutic services in critical<br \/>\naccess and small rural hospitals through 2017.<br \/>\nSec. 51008. Allowing physician assistants, nurse practitioners, and<br \/>\nclinical nurse specialists to supervise cardiac, intensive<br \/>\ncardiac, and pulmonary rehabilitation programs.<br \/>\nSec. 51009. Transitional payment rules for certain radiation therapy<br \/>\nservices under the physician fee schedule.<\/p>\n<p>TITLE XI&#8211;PROTECTING SENIORS&#8217; ACCESS TO MEDICARE ACT<\/p>\n<p>Sec. 52001. Repeal of the Independent Payment Advisory Board.<\/p>\n<p>TITLE XII&#8211;OFFSETS<\/p>\n<p>Sec. 53101. Modifying reductions in Medicaid DSH allotments.<br \/>\nSec. 53102. Third party liability in Medicaid and CHIP.<br \/>\nSec. 53103. Treatment of lottery winnings and other lump-sum income for<br \/>\npurposes of income eligibility under Medicaid.<br \/>\nSec. 53104. Rebate obligation with respect to line extension drugs.<br \/>\nSec. 53105. Medicaid Improvement Fund.<br \/>\nSec. 53106. Physician fee schedule update.<br \/>\nSec. 53107. Payment for outpatient physical therapy services and<br \/>\noutpatient occupational therapy services furnished by a<br \/>\ntherapy assistant.<br \/>\nSec. 53108. Reduction for non-emergency ESRD ambulance transports.<br \/>\nSec. 53109. Hospital transfer policy for early discharges to hospice<br \/>\ncare.<br \/>\nSec. 53110. Medicare payment update for home health services.<br \/>\nSec. 53111. Medicare payment update for skilled nursing facilities.<br \/>\nSec. 53112. Preventing the artificial inflation of star ratings after<br \/>\nthe consolidation of Medicare Advantage plans offered by the<br \/>\nsame organization.<br \/>\nSec. 53113. Sunsetting exclusion of biosimilars from Medicare part D<br \/>\ncoverage gap discount program.<br \/>\nSec. 53114. Adjustments to Medicare part B and part D premium subsidies<br \/>\nfor higher income individuals.<br \/>\nSec. 53115. Medicare Improvement Fund.<br \/>\nSec. 53116. Closing the Donut Hole for Seniors.<br \/>\nSec. 53117. Modernizing child support enforcement fees.<br \/>\nSec. 53118. Increasing efficiency of prison data reporting.<br \/>\nSec. 53119. Prevention and Public Health Fund.<\/p>\n<p>[[Page 132 STAT. 172]]<\/p>\n<p>TITLE I&#8211;CHIP<\/p>\n<p>SEC. 50101. FUNDING EXTENSION OF THE CHILDREN&#8217;S HEALTH INSURANCE<br \/>\nPROGRAM THROUGH FISCAL YEAR 2027.<\/p>\n<p>(a) In General.&#8211;Section 2104(a) of the Social Security Act (42<br \/>\nU.S.C. 1397dd(a)), as amended by section 3002(a) of the HEALTHY KIDS Act<br \/>\n(division C of Public Law 115-120), is amended&#8211;<br \/>\n(1) in paragraph (25), by striking &#8220;; and&#8221; and inserting a<br \/>\nsemicolon;<br \/>\n(2) in paragraph (26), by striking the period at the end and<br \/>\ninserting a semicolon; and<br \/>\n(3) by adding at the end the following new paragraphs:<br \/>\n&#8220;(27) for each of fiscal years 2024 through 2026, such sums<br \/>\nas are necessary to fund allotments to States under subsections<br \/>\n(c) and (m); and<br \/>\n&#8220;(28) for fiscal year 2027, for purposes of making two<br \/>\nsemi-annual allotments&#8211;<br \/>\n&#8220;(A) $7,650,000,000 for the period beginning on<br \/>\nOctober 1, 2026, and ending on March 31, 2027; and<br \/>\n&#8220;(B) $7,650,000,000 for the period beginning on<br \/>\nApril 1, 2027, and ending on September 30, 2027.&#8221;.<\/p>\n<p>(b) Allotments.&#8211;<br \/>\n(1) In general.&#8211;Section 2104(m) of the Social Security Act<br \/>\n(42 U.S.C. 1397dd(m)), as amended by section 3002(b) of the<br \/>\nHEALTHY KIDS Act (division C of Public Law 115-120), is<br \/>\namended&#8211;<br \/>\n(A) in paragraph (2)(B)&#8211;<br \/>\n(i) in the matter preceding clause (i), by<br \/>\nstriking &#8220;(25)&#8221; and inserting &#8220;(27)&#8221;;<br \/>\n(ii) in clause (i), by striking &#8220;and 2023&#8221;<br \/>\nand inserting &#8220;, 2023, and 2027&#8221;; and<br \/>\n(iii) in clause (ii)(I), by striking &#8220;(or, in<br \/>\nthe case of fiscal year 2018, under paragraph<br \/>\n(4))&#8221; and inserting &#8220;(or, in the case of fiscal<br \/>\nyear 2018 or 2024, under paragraph (4) or (10),<br \/>\nrespectively)&#8221;;<br \/>\n(B) in paragraph (5)&#8211;<br \/>\n(i) by striking &#8220;or (10)&#8221; and inserting<br \/>\n&#8220;(10), or (11)&#8221;; and<br \/>\n(ii) by striking &#8220;or 2023,&#8221; and inserting<br \/>\n&#8220;2023, or 2027,&#8221;;<br \/>\n(C) in paragraph (7)&#8211;<br \/>\n(i) in subparagraph (A), by striking &#8220;2023&#8221;<br \/>\nand inserting &#8220;2027,&#8221;; and<br \/>\n(ii) in the matter following subparagraph (B),<br \/>\nby striking &#8220;or fiscal year 2022&#8221; and inserting<br \/>\n&#8220;fiscal year 2022, fiscal year 2024, or fiscal<br \/>\nyear 2026&#8221;;<br \/>\n(D) in paragraph (9)&#8211;<br \/>\n(i) by striking &#8220;or (10)&#8221; and inserting<br \/>\n&#8220;(10), or (11)&#8221;; and<br \/>\n(ii) by striking &#8220;or 2023,&#8221; and inserting<br \/>\n&#8220;2023, or 2027,&#8221;; and<br \/>\n(E) by adding at the end the following:<br \/>\n&#8220;(11) &lt;&lt;NOTE: Computations. States.&gt;&gt; For fiscal year<br \/>\n2027.&#8211;<br \/>\n&#8220;(A) First half.&#8211;Subject to paragraphs (5) and<br \/>\n(7), from the amount made available under subparagraph<br \/>\n(A)<\/p>\n<p>[[Page 132 STAT. 173]]<\/p>\n<p>of paragraph (28) of subsection (a) for the semi-annual<br \/>\nperiod described in such subparagraph, increased by the<br \/>\namount of the appropriation for such period under<br \/>\nsection 50101(b)(2) of the Advancing Chronic Care,<br \/>\nExtenders, and Social Services Act, the Secretary shall<br \/>\ncompute a State allotment for each State (including the<br \/>\nDistrict of Columbia and each commonwealth and<br \/>\nterritory) for such semi-annual period in an amount<br \/>\nequal to the first half ratio (described in subparagraph<br \/>\n(D)) of the amount described in subparagraph (C).<br \/>\n&#8220;(B) Second half.&#8211;Subject to paragraphs (5) and<br \/>\n(7), from the amount made available under subparagraph<br \/>\n(B) of paragraph (28) of subsection (a) for the semi-<br \/>\nannual period described in such subparagraph, the<br \/>\nSecretary shall compute a State allotment for each State<br \/>\n(including the District of Columbia and each<br \/>\ncommonwealth and territory) for such semi-annual period<br \/>\nin an amount equal to the amount made available under<br \/>\nsuch subparagraph, multiplied by the ratio of&#8211;<br \/>\n&#8220;(i) the amount of the allotment to such<br \/>\nState under subparagraph (A); to<br \/>\n&#8220;(ii) the total of the amount of all of the<br \/>\nallotments made available under such subparagraph.<br \/>\n&#8220;(C) Full year amount based on rebased amount.&#8211;The<br \/>\namount described in this subparagraph for a State is<br \/>\nequal to the Federal payments to the State that are<br \/>\nattributable to (and countable towards) the total amount<br \/>\nof allotments available under this section to the State<br \/>\nin fiscal year 2026 (including payments made to the<br \/>\nState under subsection (n) for fiscal year 2026 as well<br \/>\nas amounts redistributed to the State in fiscal year<br \/>\n2026), multiplied by the allotment increase factor under<br \/>\nparagraph (6) for fiscal year 2027.<br \/>\n&#8220;(D) First half ratio.&#8211;The first half ratio<br \/>\ndescribed in this subparagraph is the ratio of&#8211;<br \/>\n&#8220;(i) the sum of&#8211;<br \/>\n&#8220;(I) the amount made available<br \/>\nunder subsection (a)(28)(A); and<br \/>\n&#8220;(II) the amount of the<br \/>\nappropriation for such period under<br \/>\nsection 50101(b)(2) of the Advancing<br \/>\nChronic Care, Extenders, and Social<br \/>\nServices Act; to<br \/>\n&#8220;(ii) the sum of&#8211;<br \/>\n&#8220;(I) the amount described in clause<br \/>\n(i); and<br \/>\n&#8220;(II) the amount made available<br \/>\nunder subsection (a)(28)(B).&#8221;.<br \/>\n(2) One-time appropriation for fiscal year 2027.&#8211;There is<br \/>\nappropriated to the Secretary of Health and Human Services, out<br \/>\nof any money in the Treasury not otherwise appropriated, such<br \/>\nsums as are necessary to fund allotments to States under<br \/>\nsubsections (c) and (m) of section 2104 of the Social Security<br \/>\nAct (42 U.S.C. 1397dd) for fiscal year 2027, taking into account<br \/>\nthe full year amounts calculated for States under paragraph<br \/>\n(11)(C) of subsection (m) of such section (as added by paragraph<br \/>\n(1)) and the amounts appropriated under subparagraphs (A) and<br \/>\n(B) of subsection (a)(28) of such section (as added by<br \/>\nsubsection (a)). Such amount shall accompany the allotment<\/p>\n<p>[[Page 132 STAT. 174]]<\/p>\n<p>made for the period beginning on October 1, 2026, and ending on<br \/>\nMarch 31, 2027, under paragraph (28)(A) of section 2104(a) of<br \/>\nsuch Act (42 U.S.C. 1397dd(a)), to remain available until<br \/>\nexpended. Such amount shall be used to provide allotments to<br \/>\nStates under paragraph (11) of section 2104(m) of such Act for<br \/>\nthe first 6 months of fiscal year 2027 in the same manner as<br \/>\nallotments are provided under subsection (a)(28)(A) of such<br \/>\nsection 2104 and subject to the same terms and conditions as<br \/>\napply to the allotments provided from such subsection<br \/>\n(a)(28)(A).<\/p>\n<p>(c) Extension of the Child Enrollment Contingency Fund.&#8211;Section<br \/>\n2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)), as amended by<br \/>\nsection 3002(c) of the HEALTHY KIDS Act (division C of Public Law 115-<br \/>\n120), is amended&#8211;<br \/>\n(1) in paragraph (2)&#8211;<br \/>\n(A) in subparagraph (A)(ii)&#8211;<br \/>\n(i) by striking &#8220;and 2018 through 2022&#8221; and<br \/>\ninserting &#8220;2018 through 2022, and 2024 through<br \/>\n2026&#8221;; and<br \/>\n(ii) by striking &#8220;and 2023&#8221; and inserting<br \/>\n&#8220;2023, and 2027&#8221;; and<br \/>\n(B) in subparagraph (B)&#8211;<br \/>\n(i) by striking &#8220;and 2018 through 2022&#8221; and<br \/>\ninserting &#8220;2018 through 2022, and 2024 through<br \/>\n2026&#8221;; and<br \/>\n(ii) by striking &#8220;and 2023&#8221; and inserting<br \/>\n&#8220;2023, and 2027&#8221;; and<br \/>\n(2) in paragraph (3)(A), in the matter preceding clause<br \/>\n(i)&#8211;<br \/>\n(A) by striking &#8220;or in any of fiscal years 2018<br \/>\nthrough 2022&#8221; and inserting &#8220;fiscal years 2018 through<br \/>\n2022, or fiscal years 2024 through 2026&#8221;; and<br \/>\n(B) by striking &#8220;or 2023&#8221; and inserting &#8220;2023, or<br \/>\n2027&#8221;.<\/p>\n<p>(d) Extension of Qualifying States Option.&#8211;Section 2105(g)(4) of<br \/>\nthe Social Security Act (42 U.S.C. 1397ee(g)(4)), as amended by section<br \/>\n3002(d) of the HEALTHY KIDS Act (division C of Public Law 115-120), is<br \/>\namended&#8211;<br \/>\n(1) in the paragraph heading, by striking &#8220;through 2023&#8221;<br \/>\nand inserting &#8220;through 2027&#8221;; and<br \/>\n(2) in subparagraph (A), by striking &#8220;2023&#8221; and inserting<br \/>\n&#8220;2027&#8221;.<\/p>\n<p>(e) Extension of Express Lane Eligibility Option.&#8211;Section<br \/>\n1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)),<br \/>\nas amended by section 3002(e) of the HEALTHY KIDS Act (division C of<br \/>\nPublic Law 115-120), is amended by striking &#8220;2023&#8221; and inserting<br \/>\n&#8220;2027&#8221;.<br \/>\n(f) Assurance of Eligibility Standard for Children and Families.&#8211;<br \/>\n(1) In general.&#8211;Section 2105(d)(3) of the Social Security<br \/>\nAct (42 U.S.C. 1397ee(d)(3)), as amended by section 3002(f)(1)<br \/>\nof the HEALTHY KIDS Act (division C of Public Law 115-120), is<br \/>\namended&#8211;<br \/>\n(A) in the paragraph heading, by striking &#8220;through<br \/>\nseptember 30, 2023&#8221; and inserting &#8220;through september<br \/>\n30, 2027&#8221;; and<\/p>\n<p>[[Page 132 STAT. 175]]<\/p>\n<p>(B) in subparagraph (A), in the matter preceding<br \/>\nclause (i), by striking &#8220;2023&#8221; each place it appears<br \/>\nand inserting &#8220;2027&#8221;.<br \/>\n(2) Conforming amendments.&#8211;Section 1902(gg)(2) of the<br \/>\nSocial Security Act (42 U.S.C. 1396a(gg)(2)), as amended by<br \/>\nsection 3002(f)(2) of the HEALTHY KIDS Act (division C of Public<br \/>\nLaw 115-120), is amended&#8211;<br \/>\n(A) in the paragraph heading, by striking &#8220;through<br \/>\nseptember 30, 2023&#8221; and inserting &#8220;through september<br \/>\n30, 2027&#8221;; and<br \/>\n(B) by striking &#8220;2023,&#8221; each place it appears and<br \/>\ninserting &#8220;2027&#8221;.<br \/>\nSEC. 50102. EXTENSION OF PEDIATRIC QUALITY MEASURES PROGRAM.<\/p>\n<p>(a) In General.&#8211;Section 1139A(i)(1) of the Social Security Act (42<br \/>\nU.S.C. 1320b-9a(i)(1)), as amended by section 3003(b) of the HEALTHY<br \/>\nKIDS Act (division C of Public Law 115-120), is amended&#8211;<br \/>\n(1) in subparagraph (B), by striking &#8220;; and&#8221; and inserting<br \/>\na semicolon;<br \/>\n(2) in subparagraph (C), by striking the period at the end<br \/>\nand inserting &#8220;; and&#8221;; and<br \/>\n(3) by adding at the end the following new subparagraph:<br \/>\n&#8220;(D) &lt;&lt;NOTE: Time period.&gt;&gt; for the period of<br \/>\nfiscal years 2024 through 2027, $60,000,000 for the<br \/>\npurpose of carrying out this section (other than<br \/>\nsubsections (e), (f), and (g)).&#8221;.<\/p>\n<p>(b) Making Reporting Mandatory.&#8211;Section 1139A of the Social<br \/>\nSecurity Act (42 U.S.C. 1320b-9a) is amended&#8211;<br \/>\n(1) in subsection (a)&#8211;<br \/>\n(A) in the heading for paragraph (4), by inserting<br \/>\n&#8220;and mandatory reporting&#8221; after &#8220;reporting&#8221;;<br \/>\n(B) in paragraph (4)&#8211;<br \/>\n(i) by striking &#8220;Not later than&#8221; and<br \/>\ninserting the following:<br \/>\n&#8220;(A) Voluntary reporting.&#8211;Not later than&#8221;; and<br \/>\n(ii) by adding at the end the following:<br \/>\n&#8220;(B) &lt;&lt;NOTE: Effective dates.&gt;&gt; Mandatory<br \/>\nreporting.&#8211;Beginning with the annual State report on<br \/>\nfiscal year 2024 required under subsection (c)(1), the<br \/>\nSecretary shall require States to use the initial core<br \/>\nmeasurement set and any updates or changes to that set<br \/>\nto report information regarding the quality of pediatric<br \/>\nhealth care under titles XIX and XXI using the<br \/>\nstandardized format for reporting information and<br \/>\nprocedures developed under subparagraph (A).&#8221;; and<br \/>\n(C) in paragraph (6)(B), by inserting &#8220;and,<br \/>\nbeginning with the report required on January 1, 2025,<br \/>\nand for each annual report thereafter, the status of<br \/>\nmandatory reporting by States under titles XIX and XXI,<br \/>\nutilizing the initial core quality measurement set and<br \/>\nany updates or changes to that set&#8221; before the<br \/>\nsemicolon; and<br \/>\n(2) &lt;&lt;NOTE: Effective date.&gt;&gt; in subsection (c)(1)(A), by<br \/>\ninserting &#8220;and, beginning with the annual report on fiscal year<br \/>\n2024, all of the core measures described in subsection (a) and<br \/>\nany updates or changes to those measures&#8221; before the semicolon.<\/p>\n<p>[[Page 132 STAT. 176]]<\/p>\n<p>SEC. 50103. &lt;&lt;NOTE: Time periods.&gt;&gt; EXTENSION OF OUTREACH AND<br \/>\nENROLLMENT PROGRAM.<\/p>\n<p>(a) In General.&#8211;Section 2113 of the Social Security Act (42 U.S.C.<br \/>\n1397mm), as amended by section 3004(a) of the HEALTHY KIDS Act (division<br \/>\nC of Public Law 115-120), is amended&#8211;<br \/>\n(1) in subsection (a)(1), by striking &#8220;2023&#8221; and inserting<br \/>\n&#8220;2027&#8221;; and<br \/>\n(2) in subsection (g)&#8211;<br \/>\n(A) by striking &#8220;and $120,000,000&#8221; and inserting<br \/>\n&#8220;, $120,000,000&#8221;; and<br \/>\n(B) by inserting &#8220;, and $48,000,000 for the period<br \/>\nof fiscal years 2024 through 2027&#8221; after &#8220;2023&#8221;.<\/p>\n<p>(b) Additional Reserved Funds.&#8211;Section 2113(a) of the Social<br \/>\nSecurity Act (42 U.S.C. 1397mm(a)) is amended&#8211;<br \/>\n(1) in paragraph (1), by striking &#8220;paragraph (2)&#8221; and<br \/>\ninserting &#8220;paragraphs (2) and (3)&#8221;; and<br \/>\n(2) by adding at the end the following new paragraph:<br \/>\n&#8220;(3) Ten percent set aside for evaluating and providing<br \/>\ntechnical assistance to grantees.&#8211;For the period of fiscal<br \/>\nyears 2024 through 2027, an amount equal to 10 percent of such<br \/>\namounts shall be used by the Secretary for the purpose of<br \/>\nevaluating and providing technical assistance to eligible<br \/>\nentities awarded grants under this section.&#8221;.<\/p>\n<p>(c) Use of Reserved Funds for National Enrollment and Retention<br \/>\nStrategies.&#8211;Section 2113(h) of the Social Security Act (42 U.S.C.<br \/>\n1397mm(h)) is amended&#8211;<br \/>\n(1) in paragraph (5), by striking &#8220;; and&#8221; and inserting a<br \/>\nsemicolon;<br \/>\n(2) by redesignating paragraph (6) as paragraph (7); and<br \/>\n(3) by inserting after paragraph (5) the following new<br \/>\nparagraph:<br \/>\n&#8220;(6) the development of materials and toolkits and the<br \/>\nprovision of technical assistance to States regarding enrollment<br \/>\nand retention strategies for eligible children under this title<br \/>\nand title XIX; and&#8221;.<\/p>\n<p>TITLE II&#8211;MEDICARE EXTENDERS<\/p>\n<p>SEC. 50201. EXTENSION OF WORK GPCI FLOOR.<\/p>\n<p>Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-<br \/>\n4(e)(1)(E)) is amended by striking &#8220;January 1, 2018&#8221; and inserting<br \/>\n&#8220;January 1, 2020&#8221;.<br \/>\nSEC. 50202. REPEAL OF MEDICARE PAYMENT CAP FOR THERAPY SERVICES;<br \/>\nLIMITATION TO ENSURE APPROPRIATE<br \/>\nTHERAPY.<\/p>\n<p>Section 1833(g) of the Social Security Act (42 U.S.C. 1395l(g)) is<br \/>\namended&#8211;<br \/>\n(1) in paragraph (1)&#8211;<br \/>\n(A) by striking &#8220;Subject to paragraphs (4) and<br \/>\n(5)&#8221; and inserting &#8220;(A) Subject to paragraphs (4) and<br \/>\n(5)&#8221;;<br \/>\n(B) in the subparagraph (A), as inserted and<br \/>\ndesignated by subparagraph (A) of this paragraph, by<br \/>\nadding at the end the following new sentence: &#8220;The<br \/>\npreceding sentence shall not apply to expenses incurred<br \/>\nwith respect to services furnished after December 31,<br \/>\n2017.&#8221;; and<br \/>\n(C) by adding at the end the following new<br \/>\nsubparagraph:<\/p>\n<p>[[Page 132 STAT. 177]]<\/p>\n<p>&#8220;(B) With respect to services furnished during 2018 or a subsequent<br \/>\nyear, in the case of physical therapy services of the type described in<br \/>\nsection 1861(p), speech-language pathology services of the type<br \/>\ndescribed in such section through the application of section<br \/>\n1861(ll)(2), and physical therapy services and speech-language pathology<br \/>\nservices of such type which are furnished by a physician or as incident<br \/>\nto physicians&#8217; services, with respect to expenses incurred in any<br \/>\ncalendar year, any amount that is more than the amount specified in<br \/>\nparagraph (2) for the year shall not be considered as incurred expenses<br \/>\nfor purposes of subsections (a) and (b) unless the applicable<br \/>\nrequirements of paragraph (7) are met.&#8221;;<br \/>\n(2) in paragraph (3)&#8211;<br \/>\n(A) by striking &#8220;Subject to paragraphs (4) and<br \/>\n(5)&#8221; and inserting &#8220;(A) Subject to paragraphs (4) and<br \/>\n(5)&#8221;;<br \/>\n(B) in the subparagraph (A), as inserted and<br \/>\ndesignated by subparagraph (A) of this paragraph, by<br \/>\nadding at the end the following new sentence: &#8220;The<br \/>\npreceding sentence shall not apply to expenses incurred<br \/>\nwith respect to services furnished after December 31,<br \/>\n2017.&#8221;; and<br \/>\n(C) by adding at the end the following new<br \/>\nsubparagraph:.<\/p>\n<p>&#8220;(B) With respect to services furnished during 2018 or a subsequent<br \/>\nyear, in the case of occupational therapy services (of the type that are<br \/>\ndescribed in section 1861(p) through the operation of section 1861(g)<br \/>\nand of such type which are furnished by a physician or as incident to<br \/>\nphysicians&#8217; services), with respect to expenses incurred in any calendar<br \/>\nyear, any amount that is more than the amount specified in paragraph (2)<br \/>\nfor the year shall not be considered as incurred expenses for purposes<br \/>\nof subsections (a) and (b) unless the applicable requirements of<br \/>\nparagraph (7) are met.&#8221;;<br \/>\n(3) in paragraph (5)&#8211;<br \/>\n(A) by redesignating subparagraph (D) as paragraph<br \/>\n(8) and moving such paragraph to immediately follow<br \/>\nparagraph (7), as added by paragraph (4) of this<br \/>\nsection; and<br \/>\n(B) in subparagraph (E)(iv), by inserting &#8220;, except<br \/>\nas such process is applied under paragraph (7)(B)&#8221;<br \/>\nbefore the period at the end; and<br \/>\n(4) by adding at the end the following new paragraph:<\/p>\n<p>&#8220;(7) For purposes of paragraphs (1)(B) and (3)(B), with respect to<br \/>\nservices described in such paragraphs, the requirements described in<br \/>\nthis paragraph are as follows:<br \/>\n&#8220;(A) Inclusion of appropriate modifier.&#8211;The claim for such<br \/>\nservices contains an appropriate modifier (such as the KX<br \/>\nmodifier described in paragraph (5)(B)) indicating that such<br \/>\nservices are medically necessary as justified by appropriate<br \/>\ndocumentation in the medical record involved.<br \/>\n&#8220;(B) Targeted medical review for certain services above<br \/>\nthreshold.&#8211;<br \/>\n&#8220;(i) In general.&#8211;In the case where expenses that<br \/>\nwould be incurred for such services would exceed the<br \/>\nthreshold described in clause (ii) for the year, such<br \/>\nservices shall be subject to the process for medical<br \/>\nreview implemented under paragraph (5)(E).<br \/>\n&#8220;(ii) Threshold.&#8211;The threshold under this clause<br \/>\nfor&#8211;<\/p>\n<p>[[Page 132 STAT. 178]]<\/p>\n<p>&#8220;(I) a year before 2028, is $3,000;<br \/>\n&#8220;(II) 2028, is the amount specified in<br \/>\nsubclause (I) increased by the percentage increase<br \/>\nin the MEI (as defined in section 1842(i)(3)) for<br \/>\n2028; and<br \/>\n&#8220;(III) a subsequent year, is the amount<br \/>\nspecified in this clause for the preceding year<br \/>\nincreased by the percentage increase in the MEI<br \/>\n(as defined in section 1842(i)(3)) for such<br \/>\nsubsequent year;<br \/>\nexcept that if an increase under subclause (II) or (III)<br \/>\nfor a year is not a multiple of $10, it shall be rounded<br \/>\nto the nearest multiple of $10.<br \/>\n&#8220;(iii) Application.&#8211;The threshold under clause<br \/>\n(ii) shall be applied separately&#8211;<br \/>\n&#8220;(I) for physical therapy services and<br \/>\nspeech-language pathology services; and<br \/>\n&#8220;(II) for occupational therapy services.<br \/>\n&#8220;(iv) &lt;&lt;NOTE: Time period.&gt;&gt; Funding.&#8211;For<br \/>\npurposes of carrying out this subparagraph, the<br \/>\nSecretary shall provide for the transfer, from the<br \/>\nFederal Supplementary Medical Insurance Trust Fund under<br \/>\nsection 1841 to the Centers for Medicare &amp; Medicaid<br \/>\nServices Program Management Account, of $5,000,000 for<br \/>\neach fiscal year beginning with fiscal year 2018, to<br \/>\nremain available until expended. Such funds may not be<br \/>\nused by a contractor under section 1893(h) for medical<br \/>\nreviews under this subparagraph.&#8221;.<br \/>\nSEC. 50203. MEDICARE AMBULANCE SERVICES.<\/p>\n<p>(a) Extension of Certain Ground Ambulance Add-on Payments.&#8211;<br \/>\n(1) Ground ambulance.&#8211;Section 1834(l)(13)(A) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395m(l)(13)(A)) is amended by striking<br \/>\n&#8220;2018&#8221; and inserting &#8220;2023&#8221; each place it appears.<br \/>\n(2) Super rural ambulance.&#8211;Section 1834(l)(12)(A) of the<br \/>\nSocial Security Act (42 U.S.C. 1395m(l)(12)(A)) is amended, in<br \/>\nthe first sentence, by striking &#8220;2018&#8221; and inserting &#8220;2023&#8221;.<\/p>\n<p>(b) Requiring Ground Ambulance Providers of Services and Suppliers<br \/>\nto Submit Cost and Other Information.&#8211;Section 1834(l) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395m(l)) is amended by adding at the end the<br \/>\nfollowing new paragraph:<br \/>\n&#8220;(17) Submission of cost and other information.&#8211;<br \/>\n&#8220;(A) Development of data collection system.&#8211;The<br \/>\nSecretary shall develop a data collection system (which<br \/>\nmay include use of a cost survey) to collect cost,<br \/>\nrevenue, utilization, and other information determined<br \/>\nappropriate by the Secretary with respect to providers<br \/>\nof services (in this paragraph referred to as<br \/>\n`providers&#8217;) and suppliers of ground ambulance services.<br \/>\nSuch system shall be designed to collect information&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Evaluation.&gt;&gt; needed to<br \/>\nevaluate the extent to which reported costs relate<br \/>\nto payment rates under this subsection;<br \/>\n&#8220;(ii) on the utilization of capital equipment<br \/>\nand ambulance capacity, including information<br \/>\nconsistent with the type of information described<br \/>\nin section 1121(a); and<br \/>\n&#8220;(iii) on different types of ground ambulance<br \/>\nservices furnished in different geographic<br \/>\nlocations,<\/p>\n<p>[[Page 132 STAT. 179]]<\/p>\n<p>including rural areas and low population density<br \/>\nareas described in paragraph (12).<br \/>\n&#8220;(B) Specification of data collection system.&#8211;<br \/>\n&#8220;(i) In general.&#8211;The Secretary shall&#8211;<br \/>\n&#8220;(I) &lt;&lt;NOTE: Deadline.&gt;&gt; not later<br \/>\nthan December 31, 2019, specify the data<br \/>\ncollection system under subparagraph<br \/>\n(A); and<br \/>\n&#8220;(II) identify the providers and<br \/>\nsuppliers of ground ambulance services<br \/>\nthat would be required to submit<br \/>\ninformation under such data collection<br \/>\nsystem, including the representative<br \/>\nsample described in clause (ii).<br \/>\n&#8220;(ii) Determination of representative<br \/>\nsample.&#8211;<br \/>\n&#8220;(I) &lt;&lt;NOTE: Deadlines.&gt;&gt; In<br \/>\ngeneral.&#8211;Not later than December 31,<br \/>\n2019, with respect to the data<br \/>\ncollection for the first year under such<br \/>\nsystem, and for each subsequent year<br \/>\nthrough 2024, the Secretary shall<br \/>\ndetermine a representative sample to<br \/>\nsubmit information under the data<br \/>\ncollection system.<br \/>\n&#8220;(II) Requirements.&#8211;The sample<br \/>\nunder subclause (I) shall be<br \/>\nrepresentative of the different types of<br \/>\nproviders and suppliers of ground<br \/>\nambulance services (such as those<br \/>\nproviders and suppliers that are part of<br \/>\nan emergency service or part of a<br \/>\ngovernment organization) and the<br \/>\ngeographic locations in which ground<br \/>\nambulance services are furnished (such<br \/>\nas urban, rural, and low population<br \/>\ndensity areas).<br \/>\n&#8220;(III) Limitation.&#8211;The Secretary<br \/>\nshall not include an individual provider<br \/>\nor supplier of ground ambulance services<br \/>\nin the sample under subclause (I) in 2<br \/>\nconsecutive years, to the extent<br \/>\npracticable.<br \/>\n&#8220;(C) Reporting of cost information.&#8211;For each year,<br \/>\na provider or supplier of ground ambulance services<br \/>\nidentified by the Secretary under subparagraph<br \/>\n(B)(i)(II) as being required to submit information under<br \/>\nthe data collection system with respect to a period for<br \/>\nthe year shall submit to the Secretary information<br \/>\nspecified under the system. Such information shall be<br \/>\nsubmitted in a form and manner, and at a time, specified<br \/>\nby the Secretary for purposes of this subparagraph.<br \/>\n&#8220;(D) Payment reduction for failure to report.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Effective date.&gt;&gt; In general.&#8211;<br \/>\nBeginning January 1, 2022, subject to clause (ii),<br \/>\na 10 percent reduction to payments under this<br \/>\nsubsection shall be made for the applicable period<br \/>\n(as defined in clause (ii)) to a provider or<br \/>\nsupplier of ground ambulance services that&#8211;<br \/>\n&#8220;(I) is required to submit<br \/>\ninformation under the data collection<br \/>\nsystem with respect to a period under<br \/>\nsubparagraph (C); and<br \/>\n&#8220;(II) does not sufficiently submit<br \/>\nsuch information, as determined by the<br \/>\nSecretary.<br \/>\n&#8220;(ii) Applicable period defined.&#8211;For<br \/>\npurposes of clause (i), the term `applicable<br \/>\nperiod&#8217; means, with respect to a provider or<br \/>\nsupplier of ground ambulance<\/p>\n<p>[[Page 132 STAT. 180]]<\/p>\n<p>services, a year specified by the Secretary not<br \/>\nmore than 2 years after the end of the period with<br \/>\nrespect to which the Secretary has made a<br \/>\ndetermination under clause (i)(II) that the<br \/>\nprovider or supplier of ground ambulance services<br \/>\nfailed to sufficiently submit information under<br \/>\nthe data collection system.<br \/>\n&#8220;(iii) Hardship exemption.&#8211;The Secretary may<br \/>\nexempt a provider or supplier from the payment<br \/>\nreduction under clause (i) with respect to an<br \/>\napplicable period in the event of significant<br \/>\nhardship, such as a natural disaster, bankruptcy,<br \/>\nor other similar situation that the Secretary<br \/>\ndetermines interfered with the ability of the<br \/>\nprovider or supplier of ground ambulance services<br \/>\nto submit such information in a timely manner for<br \/>\nthe specified period.<br \/>\n&#8220;(iv) Informal review.&#8211;The Secretary shall<br \/>\nestablish a process under which a provider or<br \/>\nsupplier of ground ambulance services may seek an<br \/>\ninformal review of a determination that the<br \/>\nprovider or supplier is subject to the payment<br \/>\nreduction under clause (i).<br \/>\n&#8220;(E) Ongoing data collection.&#8211;<br \/>\n&#8220;(i) Revision of data collection system.&#8211;The<br \/>\nSecretary may, as the Secretary determines<br \/>\nappropriate and, if available, taking into<br \/>\nconsideration the report (or reports) under<br \/>\nsubparagraph (F), revise the data collection<br \/>\nsystem under subparagraph (A).<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Time period.&gt;&gt; Subsequent data<br \/>\ncollection.&#8211;In order to continue to evaluate the<br \/>\nextent to which reported costs relate to payment<br \/>\nrates under this subsection and for other purposes<br \/>\nthe Secretary deems appropriate, the Secretary<br \/>\nshall require providers and suppliers of ground<br \/>\nambulance services to submit information for years<br \/>\nafter 2024 as the Secretary determines<br \/>\nappropriate, but in no case less often than once<br \/>\nevery 3 years.<br \/>\n&#8220;(F) Ground ambulance data collection system<br \/>\nstudy.&#8211;<\/p>\n<p>&#8220;(i) &lt;&lt;NOTE: Deadline. Assessment. Reports.&gt;&gt; In<br \/>\ngeneral.&#8211;Not later than March 15, 2023, and as<br \/>\ndetermined necessary by the Medicare Payment<br \/>\nAdvisory Commission thereafter, such Commission<br \/>\nshall assess, and submit to Congress a report on,<br \/>\ninformation submitted by providers and suppliers<br \/>\nof ground ambulance services through the data<br \/>\ncollection system under subparagraph (A), the<br \/>\nadequacy of payments for ground ambulance services<br \/>\nunder this subsection, and geographic variations<br \/>\nin the cost of furnishing such services.<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Analysis.&gt;&gt; Contents.&#8211;A<br \/>\nreport under clause (i) shall contain the<br \/>\nfollowing:<br \/>\n&#8220;(I) An analysis of information<br \/>\nsubmitted through the data collection<br \/>\nsystem.<br \/>\n&#8220;(II) An analysis of any burden on<br \/>\nproviders and suppliers of ground<br \/>\nambulance services associated with the<br \/>\ndata collection system.<br \/>\n&#8220;(III) &lt;&lt;NOTE: Recommenda-tion.&gt;&gt;<br \/>\nA recommendation as to whether<br \/>\ninformation should continue to be<br \/>\nsubmitted through such data collection<br \/>\nsystem or if such<\/p>\n<p>[[Page 132 STAT. 181]]<\/p>\n<p>system should be revised under<br \/>\nsubparagraph (E)(i).<br \/>\n&#8220;(IV) Other information determined<br \/>\nappropriate by the Commission.<br \/>\n&#8220;(G) &lt;&lt;NOTE: Web posting.&gt;&gt; Public availability.&#8211;<br \/>\nThe Secretary shall post information on the results of<br \/>\nthe data collection under this paragraph on the Internet<br \/>\nwebsite of the Centers for Medicare &amp; Medicaid Services,<br \/>\nas determined appropriate by the Secretary.<br \/>\n&#8220;(H) &lt;&lt;NOTE: Notice.&gt;&gt; Implementation.&#8211;The<br \/>\nSecretary shall implement this paragraph through notice<br \/>\nand comment rulemaking.<br \/>\n&#8220;(I) Administration.&#8211;Chapter 35 of title 44,<br \/>\nUnited States Code, shall not apply to the collection of<br \/>\ninformation required under this subsection.<br \/>\n&#8220;(J) Limitations on review.&#8211;There shall be no<br \/>\nadministrative or judicial review under section 1869,<br \/>\nsection 1878, or otherwise of the data collection system<br \/>\nor identification of respondents under this paragraph.<br \/>\n&#8220;(K) Funding for implementation.&#8211;For purposes of<br \/>\ncarrying out subparagraph (A), the Secretary shall<br \/>\nprovide for the transfer, from the Federal Supplementary<br \/>\nMedical Insurance Trust Fund under section 1841, of<br \/>\n$15,000,000 to the Centers for Medicare &amp; Medicaid<br \/>\nServices Program Management Account for fiscal year<br \/>\n2018. Amounts transferred under this subparagraph shall<br \/>\nremain available until expended.&#8221;.<br \/>\nSEC. 50204. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT<br \/>\nADJUSTMENT FOR CERTAIN LOW-VOLUME<br \/>\nHOSPITALS.<\/p>\n<p>(a) In General.&#8211;Section 1886(d)(12) of the Social Security Act (42<br \/>\nU.S.C. 1395ww(d)(12)) is amended&#8211;<br \/>\n(1) in subparagraph (B), in the matter preceding clause (i),<br \/>\nby striking &#8220;fiscal year 2018&#8221; and inserting &#8220;fiscal year<br \/>\n2023&#8221;;<br \/>\n(2) in subparagraph (C)&#8211;<br \/>\n(A) in clause (i)&#8211;<br \/>\n(i) by striking &#8220;through 2017&#8221; the first<br \/>\nplace it appears and inserting &#8220;through 2022&#8221;;<br \/>\nand<br \/>\n(ii) by striking &#8220; and has less than 800<br \/>\ndischarges&#8221; and all that follows through the<br \/>\nperiod at the end and inserting the following<br \/>\n&#8220;and has&#8211;<br \/>\n&#8220;(I) with respect to each of fiscal<br \/>\nyears 2005 through 2010, less than 800<br \/>\ndischarges during the fiscal year;<br \/>\n&#8220;(II) with respect to each of<br \/>\nfiscal years 2011 through 2018, less<br \/>\nthan 1,600 discharges of individuals<br \/>\nentitled to, or enrolled for, benefits<br \/>\nunder part A during the fiscal year or<br \/>\nportion of fiscal year;<br \/>\n&#8220;(III) with respect to each of<br \/>\nfiscal years 2019 through 2022, less<br \/>\nthan 3,800 discharges during the fiscal<br \/>\nyear; and<br \/>\n&#8220;(IV) with respect to fiscal year<br \/>\n2023 and each subsequent fiscal year,<br \/>\nless than 800 discharges during the<br \/>\nfiscal year.&#8221;; and<br \/>\n(B) in clause (ii)&#8211;<\/p>\n<p>[[Page 132 STAT. 182]]<\/p>\n<p>(i) by striking &#8220;subparagraph (B)&#8221; and<br \/>\ninserting &#8220;subparagraphs (B) and (D)&#8221;; and<br \/>\n(ii) by inserting &#8220;(except as provided in<br \/>\nclause (i)(II) and subparagraph (D)(i))&#8221; after<br \/>\n&#8220;regardless&#8221;; and<br \/>\n(3) in subparagraph (D)&#8211;<br \/>\n(A) by striking &#8220;through 2017&#8221; and inserting<br \/>\n&#8220;through 2022&#8221;;<br \/>\n(B) by striking &#8220;hospitals with 200 or fewer&#8221; and<br \/>\ninserting the following: &#8220;hospitals&#8211;<br \/>\n&#8220;(i) with respect to each of fiscal years<br \/>\n2011 through 2018, with 200 or fewer&#8221;;<br \/>\n(C) by striking the period at the end and inserting<br \/>\n&#8220;or portion of fiscal year; and&#8221;; and<br \/>\n(D) by adding at the end the following new clause:<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Time period.&gt;&gt; with respect to<br \/>\neach of fiscal years 2019 through 2022, with 500<br \/>\nor fewer discharges in the fiscal year to 0<br \/>\npercent for low-volume hospitals with greater than<br \/>\n3,800 discharges in the fiscal year.&#8221;.<\/p>\n<p>(b) MedPAC Report on Extension of Increased Inpatient Hospital<br \/>\nPayment Adjustment for Certain Low-volume Hospitals.&#8211;<br \/>\n(1) In general.&#8211;Not later than March 15, 2022, the Medicare<br \/>\nPayment Advisory Commission shall submit to Congress a report on<br \/>\nthe extension of the increased inpatient hospital payment<br \/>\nadjustment for certain low-volume hospitals under section<br \/>\n1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12))<br \/>\nunder the provisions of, and amendments made by, this section.<br \/>\n(2) Contents.&#8211;The report under paragraph (1) shall include<br \/>\nan evaluation of the effects of such extension on the following:<br \/>\n(A) Beneficiary utilization of inpatient hospital<br \/>\nservices under title XVIII of the Social Security Act<br \/>\n(42 U.S.C. 1395 et seq.).<br \/>\n(B) The financial status of hospitals with a low<br \/>\nvolume of Medicare or total inpatient admissions.<br \/>\n(C) Program spending under such title XVIII.<br \/>\n(D) Other matters relevant to evaluating the effects<br \/>\nof such extension.<br \/>\nSEC. 50205. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH)<br \/>\nPROGRAM.<\/p>\n<p>(a) In General.&#8211;Section 1886(d)(5)(G) of the Social Security Act<br \/>\n(42 U.S.C. 1395ww(d)(5)(G)) is amended&#8211;<br \/>\n(1) in clause (i), by striking &#8220;October 1, 2017&#8221; and<br \/>\ninserting &#8220;October 1, 2022&#8221;;<br \/>\n(2) in clause (ii)(II), by striking &#8220;October 1, 2017&#8221; and<br \/>\ninserting &#8220;October 1, 2022&#8221;; and<br \/>\n(3) in clause (iv), by striking subclause (I) and inserting<br \/>\nthe following new subclause:<br \/>\n&#8220;(I) that is located in&#8211;<br \/>\n&#8220;(aa) a rural area; or<br \/>\n&#8220;(bb) a State with no rural area (as defined in<br \/>\nparagraph (2)(D)) and satisfies any of the criteria in<br \/>\nsubclause (I), (II), or (III) of paragraph<br \/>\n(8)(E)(ii),&#8221;; and<br \/>\n(4) by inserting after subclause (IV) the following new<br \/>\nflush sentences:<\/p>\n<p>[[Page 132 STAT. 183]]<\/p>\n<p>&#8220;Subclause &lt;&lt;NOTE: Applicability.&gt;&gt; (I)(bb) shall apply for purposes<br \/>\nof payment under clause (ii) only for discharges of a hospital occurring<br \/>\non or after the effective date of a determination of medicare-dependent<br \/>\nsmall rural hospital status made by the Secretary with respect to the<br \/>\nhospital after the date of the enactment of this sentence. For purposes<br \/>\nof applying subclause (II) of paragraph (8)(E)(ii) under subclause<br \/>\n(I)(bb), such subclause (II) shall be applied by inserting `as of<br \/>\nJanuary 1, 2018,&#8217; after `such State&#8217; each place it appears.&#8221;.<\/p>\n<p>(b) Conforming Amendments.&#8211;<br \/>\n(1) Extension of target amount.&#8211;Section 1886(b)(3)(D) of<br \/>\nthe Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended&#8211;<br \/>\n(A) in the matter preceding clause (i), by striking<br \/>\n&#8220;October 1, 2017&#8221; and inserting &#8220;October 1, 2022&#8221;;<br \/>\nand<br \/>\n(B) in clause (iv), by striking &#8220;through fiscal<br \/>\nyear 2017&#8221; and inserting &#8220;through fiscal year 2022&#8221;.<br \/>\n(2) Permitting hospitals to decline reclassification.&#8211;<br \/>\nSection 13501(e)(2) of the Omnibus Budget Reconciliation Act of<br \/>\n1993 (42 U.S.C. 1395ww note) is amended by striking &#8220;through<br \/>\nfiscal year 2017&#8221; and inserting &#8220;through fiscal year 2022&#8221;.<\/p>\n<p>(c) GAO Study and Report.&#8211;<br \/>\n(1) Study.&#8211;The Comptroller General of the United States (in<br \/>\nthis subsection referred to as the &#8220;Comptroller General&#8221;)<br \/>\nshall conduct a study on the medicare-dependent, small rural<br \/>\nhospital program under section 1886(d) of the Social Security<br \/>\nAct (42 U.S.C. 1395x(d)). &lt;&lt;NOTE: Analysis.&gt;&gt; Such study shall<br \/>\ninclude an analysis of the following:<br \/>\n(A) The payor mix of medicare-dependent, small rural<br \/>\nhospitals (as defined in paragraph (5)(G)(iv) of such<br \/>\nsection 1886(d)), how such mix will trend in future<br \/>\nyears (based on current trends and projections), and<br \/>\nwhether or not the requirement under subclause (IV) of<br \/>\nsuch paragraph should be revised.<br \/>\n(B) The characteristics of medicare-dependent, small<br \/>\nrural hospitals that meet the requirement of such<br \/>\nsubclause (IV) through the application of paragraph<br \/>\n(a)(iii)(A) or (a)(iii)(B) of section 412.108 of title<br \/>\n42, Code of Federal Regulations, including Medicare<br \/>\ninpatient and outpatient utilization, payor mix, and<br \/>\nfinancial status (including Medicare and total margins),<br \/>\nand whether or not Medicare payments for such hospitals<br \/>\nshould be revised.<br \/>\n(C) Such other items related to medicare-dependent,<br \/>\nsmall rural hospitals as the Comptroller General<br \/>\ndetermines appropriate.<br \/>\n(2) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Report.&#8211;Not later than 2<br \/>\nyears after the date of the enactment of this Act, the<br \/>\nComptroller General shall submit to Congress a report containing<br \/>\nthe results of the study conducted under paragraph (1), together<br \/>\nwith recommendations for such legislation and administrative<br \/>\naction as the Comptroller General determines appropriate.<br \/>\nSEC. 50206. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT,<br \/>\nINPUT, AND SELECTION; REPORTING<br \/>\nREQUIREMENTS.<\/p>\n<p>(a) Extension of Funding.&#8211;Section 1890(d)(2) of the Social Security<br \/>\nAct (42 U.S.C. 1395aaa(d)(2)) is amended&#8211;<\/p>\n<p>[[Page 132 STAT. 184]]<\/p>\n<p>(1) in the first sentence&#8211;<br \/>\n(A) by striking &#8220;2014 and&#8221; and inserting<br \/>\n&#8220;2014,&#8221;; and<br \/>\n(B) by inserting the following before the period:<br \/>\n&#8220;, and $7,500,000 for each of fiscal years 2018 and<br \/>\n2019&#8221;; and<br \/>\n(2) by adding at the end the following new sentence:<br \/>\n&#8220;Amounts transferred for each of fiscal years 2018 and 2019<br \/>\nshall be in addition to any unobligated funds transferred for a<br \/>\npreceding fiscal year that are available under the preceding<br \/>\nsentence.&#8221;<\/p>\n<p>(b) Annual Report by Secretary to Congress.&#8211;Section 1890 of the<br \/>\nSocial Security Act (42 U.S.C. 1395aaa) is amended by adding at the end<br \/>\nthe following new subsection:<br \/>\n&#8220;(e) &lt;&lt;NOTE: Effective date.&gt;&gt; Annual Report by Secretary to<br \/>\nCongress.&#8211;By not later than March 1 of each year (beginning with 2019),<br \/>\nthe Secretary shall submit to Congress a report containing the<br \/>\nfollowing:<br \/>\n&#8220;(1) &lt;&lt;NOTE: Plan. Contracts.&gt;&gt; A comprehensive plan that<br \/>\nidentifies the quality measurement needs of programs and<br \/>\ninitiatives of the Secretary and provides a strategy for using<br \/>\nthe entity with a contract under subsection (a) and any other<br \/>\nentity the Secretary has contracted with or may contract with to<br \/>\nperform work associated with section 1890A to help meet those<br \/>\nneeds, specifically with respect to the programs under this<br \/>\ntitle and title XIX. In &lt;&lt;NOTE: Updates.&gt;&gt; years after the<br \/>\nfirst plan under this paragraph is submitted, the requirements<br \/>\nof this paragraph may be met by providing an update to the plan.<br \/>\n&#8220;(2) The amount of funding provided under subsection (d)<br \/>\nfor purposes of carrying out this section and section 1890A that<br \/>\nhas been obligated by the Secretary, the amount of funding<br \/>\nprovided that has been expended, and the amount of funding<br \/>\nprovided that remains unobligated.<br \/>\n&#8220;(3) With respect to the activities described under this<br \/>\nsection or section 1890A, a description of how the funds<br \/>\ndescribed in paragraph (2) have been obligated or expended,<br \/>\nincluding how much of that funding has been obligated or<br \/>\nexpended for work performed by the Secretary, the entity with a<br \/>\ncontract under subsection (a), and any other entity the<br \/>\nSecretary has contracted with to perform work.<br \/>\n&#8220;(4) A description of the activities for which the funds<br \/>\ndescribed in paragraph (2) were used, including task orders and<br \/>\nactivities assigned to the entity with a contract under<br \/>\nsubsection (a), activities performed by the Secretary, and task<br \/>\norders and activities assigned to any other entity the Secretary<br \/>\nhas contracted with to perform work related to carrying out<br \/>\nsection 1890A.<br \/>\n&#8220;(5) The amount of funding described in paragraph (2) that<br \/>\nhas been obligated or expended for each of the activities<br \/>\ndescribed in paragraph (4).<br \/>\n&#8220;(6) &lt;&lt;NOTE: Estimate. Time period.&gt;&gt; Estimates for, and<br \/>\ndescriptions of, obligations and expenditures that the Secretary<br \/>\nanticipates will be needed in the succeeding two year period to<br \/>\ncarry out each of the quality measurement activities required<br \/>\nunder this section and section 1890A, including any obligations<br \/>\nthat will require funds to be expended in a future year.&#8221;.<\/p>\n<p>(c) Revisions to Annual Report From Consensus-based Entity to<br \/>\nCongress and the Secretary.&#8211;<\/p>\n<p>[[Page 132 STAT. 185]]<\/p>\n<p>(1) In general.&#8211;Section 1890(b)(5)(A) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395aaa(b)(5)(A)) is amended&#8211;<br \/>\n(A) by redesignating clauses (i) through (vi) as<br \/>\nsubclauses (I) through (VI), respectively, and moving<br \/>\nthe margins accordingly;<br \/>\n(B) in the matter preceding subclause (I), as<br \/>\nredesignated by subparagraph (A), by striking<br \/>\n&#8220;containing a description of&#8211;&#8221; and inserting<br \/>\n&#8220;containing the following:<br \/>\n&#8220;(i) A description of&#8211;&#8221;; and<br \/>\n(C) by adding at the end the following new clauses:<br \/>\n&#8220;(ii) An itemization of financial information<br \/>\nfor the fiscal year ending September 30 of the<br \/>\npreceding year, including&#8211;<br \/>\n&#8220;(I) annual revenues of the entity<br \/>\n(including any government funding,<br \/>\nprivate sector contributions, grants,<br \/>\nmembership revenues, and investment<br \/>\nrevenue);<br \/>\n&#8220;(II) annual expenses of the entity<br \/>\n(including grants paid, benefits paid,<br \/>\nsalaries or other compensation,<br \/>\nfundraising expenses, and overhead<br \/>\ncosts); and<br \/>\n&#8220;(III) a breakdown of the amount<br \/>\nawarded per contracted task order and<br \/>\nthe specific projects funded in each<br \/>\ntask order assigned to the entity.<br \/>\n&#8220;(iii) Any updates or modifications of<br \/>\ninternal policies and procedures of the entity as<br \/>\nthey relate to the duties of the entity under this<br \/>\nsection, including&#8211;<br \/>\n&#8220;(I) specifically identifying any<br \/>\nmodifications to the disclosure of<br \/>\ninterests and conflicts of interests for<br \/>\ncommittees, work groups, task forces,<br \/>\nand advisory panels of the entity; and<br \/>\n&#8220;(II) information on external<br \/>\nstakeholder participation in the duties<br \/>\nof the entity under this section<br \/>\n(including complete rosters for all<br \/>\ncommittees, work groups, task forces,<br \/>\nand advisory panels funded through<br \/>\ngovernment contracts, descriptions of<br \/>\nrelevant interests and any conflicts of<br \/>\ninterest for members of all committees,<br \/>\nwork groups, task forces, and advisory<br \/>\npanels, and the total percentage by<br \/>\nhealth care sector of all convened<br \/>\ncommittees, work groups, task forces,<br \/>\nand advisory panels.&#8221;.<br \/>\n(2) &lt;&lt;NOTE: Applicability. 42 USC 1395aaa note.&gt;&gt; Effective<br \/>\ndate.&#8211;The amendments made by this subsection shall apply to<br \/>\nreports submitted for years beginning with 2019.<\/p>\n<p>(d) GAO Study and Report.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Contracts.&gt;&gt; Study.&#8211;The Comptroller General of<br \/>\nthe United States shall conduct a study on health care quality<br \/>\nmeasurement efforts funded under sections 1890 and 1890A of the<br \/>\nSocial Security Act (42 U.S.C. 1395aaa; 1395aaa-1). Such study<br \/>\nshall include an examination of the following:<br \/>\n(A) The extent to which the Secretary of Health and<br \/>\nHuman Services (in this subsection referred to as the<br \/>\n&#8220;Secretary&#8221;) has set and prioritized objectives to be<br \/>\nachieved for each of the quality measurement activities<br \/>\nrequired under such sections 1890 and 1890A.<\/p>\n<p>[[Page 132 STAT. 186]]<\/p>\n<p>(B) The efforts that the Secretary has undertaken to<br \/>\nmeet quality measurement objectives associated with such<br \/>\nsections 1890 and 1890A, including division of<br \/>\nresponsibilities for those efforts within the Department<br \/>\nof Health and Human Services and through contracts with<br \/>\na consensus-based entity under subsection (a) of such<br \/>\nsection 1890 (in this subsection referred to as the<br \/>\n&#8220;consensus-based entity&#8221;) and other entities, and the<br \/>\nextent of any overlap among the work performed by the<br \/>\nSecretary, the consensus-based entity, the Measure<br \/>\nApplications Partnership (MAP) convened by such entity<br \/>\nto provide input to the Secretary on the selection of<br \/>\nquality and efficiency measures, and any other entities<br \/>\nthe Secretary has contracted with to perform work<br \/>\nrelated to carrying out such sections 1890 and 1890A.<br \/>\n(C) The total amount of funding provided to the<br \/>\nSecretary for purposes of carrying out such sections<br \/>\n1890 and 1890A, the amount of such funding that has been<br \/>\nobligated or expended by the Secretary, and the amount<br \/>\nof such funding that remains unobligated.<br \/>\n(D) How the funds described in subparagraph (C) have<br \/>\nbeen allocated, including how much of the funding has<br \/>\nbeen allocated for work performed by the Secretary, the<br \/>\nconsensus-based entity, and any other entity the<br \/>\nSecretary has contracted with to perform work related to<br \/>\ncarrying out such sections 1890 and 1890A, respectively,<br \/>\nand descriptions of such work.<br \/>\n(E) The extent to which the Secretary has developed<br \/>\na comprehensive and long-term plan to ensure that it can<br \/>\nachieve quality measurement objectives related to<br \/>\ncarrying out such sections 1890 and 1890A in a timely<br \/>\nmanner and with efficient use of available resources,<br \/>\nincluding the roles of the consensus-based entity, the<br \/>\nMeasure Applications Partnership (MAP), and any other<br \/>\nentity the Secretary has contracted with to perform work<br \/>\nrelated to such sections 1890 and 1890A in helping the<br \/>\nSecretary achieve those objectives.<br \/>\n(2) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Report.&#8211;Not later than 18<br \/>\nmonths after the date of enactment of this Act, the Comptroller<br \/>\nGeneral of the United States shall submit to Congress a report<br \/>\ncontaining the results of the study conducted under paragraph<br \/>\n(1), together with recommendations for such legislation and<br \/>\nadministrative action as the Comptroller General determines<br \/>\nappropriate.<br \/>\nSEC. 50207. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-<br \/>\nINCOME PROGRAMS; STATE HEALTH<br \/>\nINSURANCE ASSISTANCE PROGRAM REPORTING<br \/>\nREQUIREMENTS.<\/p>\n<p>(a) Funding Extensions.&#8211;<br \/>\n(1) Additional funding for state health insurance<br \/>\nprograms.&#8211;Subsection (a)(1)(B) of section 119 of the Medicare<br \/>\nImprovements for Patients and Providers Act of 2008 (42 U.S.C.<br \/>\n1395b-3 note), as amended by section 3306 of the Patient<br \/>\nProtection and Affordable Care Act (Public Law 111-148), section<br \/>\n610 of the American Taxpayer Relief Act of 2012 (Public Law 112-<br \/>\n240), section 1110 of the Pathway for SGR Reform Act of 2013<br \/>\n(Public Law 113-67), section 110 of the Protecting Access to<br \/>\nMedicare Act of 2014 (Public Law 113-93), and section<\/p>\n<p>[[Page 132 STAT. 187]]<\/p>\n<p>208 of the Medicare Access and CHIP Reauthorization Act of 2015<br \/>\n(Public Law 114-10) is amended&#8211;<br \/>\n(A) in clause (vi), by striking &#8220;and&#8221; at the end;<br \/>\n(B) in clause (vii), by striking the period at the<br \/>\nend and inserting &#8220;; and&#8221;; and<br \/>\n(C) by adding at the end the following new clauses:<br \/>\n&#8220;(viii) for fiscal year 2018, of $13,000,000;<br \/>\nand<br \/>\n&#8220;(ix) for fiscal year 2019, of<br \/>\n$13,000,000.&#8221;.<br \/>\n(2) Additional funding for area agencies on aging.&#8211;<br \/>\nSubsection (b)(1)(B) of such section 119, as so amended, is<br \/>\namended&#8211;<br \/>\n(A) in clause (vi), by striking &#8220;and&#8221; at the end;<br \/>\n(B) in clause (vii), by striking the period at the<br \/>\nend and inserting &#8220;; and&#8221;; and<br \/>\n(C) by inserting after clause (vii) the following<br \/>\nnew clauses:<br \/>\n&#8220;(viii) for fiscal year 2018, of $7,500,000;<br \/>\nand<br \/>\n&#8220;(ix) for fiscal year 2019, of $7,500,000.&#8221;.<br \/>\n(3) Additional funding for aging and disability resource<br \/>\ncenters.&#8211;Subsection (c)(1)(B) of such section 119, as so<br \/>\namended, is amended&#8211;<br \/>\n(A) in clause (vi), by striking &#8220;and&#8221; at the end;<br \/>\n(B) in clause (vii), by striking the period at the<br \/>\nend and inserting &#8220;; and&#8221;; and<br \/>\n(C) by inserting after clause (vii) the following<br \/>\nnew clauses:<br \/>\n&#8220;(viii) for fiscal year 2018, of $5,000,000;<br \/>\nand<br \/>\n&#8220;(ix) for fiscal year 2019, of $5,000,000.&#8221;.<br \/>\n(4) Additional funding for contract with the national center<br \/>\nfor benefits and outreach enrollment.&#8211;Subsection (d)(2) of such<br \/>\nsection 119, as so amended, is amended&#8211;<br \/>\n(A) in clause (vi), by striking &#8220;and&#8221; at the end;<br \/>\n(B) in clause (vii), by striking the period at the<br \/>\nend and inserting &#8220;; and&#8221;; and<br \/>\n(C) by inserting after clause (vii) the following<br \/>\nnew clauses:<br \/>\n&#8220;(viii) for fiscal year 2018, of $12,000,000;<br \/>\nand<br \/>\n&#8220;(ix) for fiscal year 2019, of<br \/>\n$12,000,000.&#8221;.<\/p>\n<p>(b) State Health Insurance Assistance Program Reporting<br \/>\nRequirements.&#8211; &lt;&lt;NOTE: Effective date. Web posting. Grants. 42 USC<br \/>\n1395b-3 note.&gt;&gt; Beginning not later than April 1, 2019, and biennially<br \/>\nthereafter, the Agency for Community Living shall electronically post on<br \/>\nits website the following information, with respect to grants to States<br \/>\nfor State health insurance assistance programs, (such information to be<br \/>\npresented by State and by entity receiving funds from the State to carry<br \/>\nout such a program funded by such grant):<br \/>\n(1) The amount of Federal funding provided to each such<br \/>\nState for such program for the period involved and the amount of<br \/>\nFederal funding provided by each such State for such program to<br \/>\neach such entity for the period involved.<br \/>\n(2) Information as the Secretary may specify, with respect<br \/>\nto such programs carried out through such grants, consistent<br \/>\nwith the terms and conditions for receipt of such grants.<br \/>\nSEC. 50208. EXTENSION OF HOME HEALTH RURAL ADD-ON.<\/p>\n<p>(a) Extension.&#8211;<\/p>\n<p>[[Page 132 STAT. 188]]<\/p>\n<p>(1) In general.&#8211;Section 421 of the Medicare Prescription<br \/>\nDrug, Improvement, and Modernization Act of 2003 (Public Law<br \/>\n108-173; 117 Stat. 2283; 42 U.S.C. 1395fff note), as amended by<br \/>\nsection 5201(b) of the Deficit Reduction Act of 2005 (Public Law<br \/>\n109-171; 120 Stat. 46), section 3131(c) of the Patient<br \/>\nProtection and Affordable Care Act (Public Law 111-148; 124<br \/>\nStat. 428), and section 210 of the Medicare Access and CHIP<br \/>\nReauthorization Act of 2015 (Public Law 114-10; 129 Stat. 151)<br \/>\nis amended&#8211;<br \/>\n(A) in subsection (a), by striking &#8220;January 1,<br \/>\n2018&#8221; and inserting &#8220;January 1, 2019&#8221; each place it<br \/>\nappears;<br \/>\n(B) by redesignating subsections (b) and (c) as<br \/>\nsubsections (c) and (d), respectively;<br \/>\n(C) in each of subsections (c) and (d), as so<br \/>\nredesignated, by striking &#8220;subsection (a)&#8221; and<br \/>\ninserting &#8220;subsection (a) or (b)&#8221;; and<br \/>\n(D) by inserting after subsection (a) the following<br \/>\nnew subsection:<\/p>\n<p>&#8220;(b) Subsequent Temporary Increase.&#8211;<br \/>\n&#8220;(1) &lt;&lt;NOTE: Determination.&gt;&gt; In general.&#8211;The Secretary<br \/>\nshall increase the payment amount otherwise made under such<br \/>\nsection 1895 for home health services furnished in a county (or<br \/>\nequivalent area) in a rural area (as defined in such section<br \/>\n1886(d)(2)(D)) that, as determined by the Secretary&#8211;<br \/>\n&#8220;(A) is in the highest quartile of all counties (or<br \/>\nequivalent areas) based on the number of Medicare home<br \/>\nhealth episodes furnished per 100 individuals who are<br \/>\nentitled to, or enrolled for, benefits under part A of<br \/>\ntitle XVIII of the Social Security Act or enrolled for<br \/>\nbenefits under part B of such title (but not enrolled in<br \/>\na plan under part C of such title)&#8211;<br \/>\n&#8220;(i) in the case of episodes and visits<br \/>\nending during 2019, by 1.5 percent; and<br \/>\n&#8220;(ii) in the case of episodes and visits<br \/>\nending during 2020, by 0.5 percent;<br \/>\n&#8220;(B) has a population density of 6 individuals or<br \/>\nfewer per square mile of land area and is not described<br \/>\nin subparagraph (A)&#8211;<br \/>\n&#8220;(i) in the case of episodes and visits<br \/>\nending during 2019, by 4 percent;<br \/>\n&#8220;(ii) in the case of episodes and visits<br \/>\nending during 2020, by 3 percent;<br \/>\n&#8220;(iii) in the case of episodes and visits<br \/>\nending during 2021, by 2 percent; and<br \/>\n&#8220;(iv) in the case of episodes and visits<br \/>\nending during 2022, by 1 percent; and<br \/>\n&#8220;(C) is not described in either subparagraph (A) or<br \/>\n(B)&#8211;<br \/>\n&#8220;(i) in the case of episodes and visits<br \/>\nending during 2019, by 3 percent;<br \/>\n&#8220;(ii) in the case of episodes and visits<br \/>\nending during 2020, by 2 percent; and<br \/>\n&#8220;(iii) in the case of episodes and visits<br \/>\nending during 2021, by 1 percent.<br \/>\n&#8220;(2) &lt;&lt;NOTE: Applicability.&gt;&gt; Rules for determinations.&#8211;<\/p>\n<p>[[Page 132 STAT. 189]]<\/p>\n<p>&#8220;(A) No switching.&#8211;For purposes of this<br \/>\nsubsection, the determination by the Secretary as to<br \/>\nwhich subparagraph of paragraph (1) applies to a county<br \/>\n(or equivalent area) shall be made a single time and<br \/>\nshall apply for the duration of the period to which this<br \/>\nsubsection applies.<br \/>\n&#8220;(B) Utilization.&#8211;In determining which counties<br \/>\n(or equivalent areas) are in the highest quartile under<br \/>\nparagraph (1)(A), the following rules shall apply:<br \/>\n&#8220;(i) The Secretary shall use data from 2015.<br \/>\n&#8220;(ii) The Secretary shall exclude data from<br \/>\nthe territories (and the territories shall not be<br \/>\ndescribed in such paragraph).<br \/>\n&#8220;(iii) The Secretary may exclude data from<br \/>\ncounties (or equivalent areas) in rural areas with<br \/>\na low volume of home health episodes (and if data<br \/>\nis so excluded with respect to a county (or<br \/>\nequivalent area), such county (or equivalent area)<br \/>\nshall not be described in such paragraph).<br \/>\n&#8220;(C) Population density.&#8211;In determining population<br \/>\ndensity under paragraph (1)(B), the Secretary shall use<br \/>\ndata from the 2010 decennial Census.<br \/>\n&#8220;(3) Limitations on review.&#8211;There shall be no<br \/>\nadministrative or judicial review under section 1869, section<br \/>\n1878, or otherwise of determinations under paragraph (1).&#8221;.<br \/>\n(2) Requirement to submit county data on claim form.&#8211;<br \/>\nSection 1895(c) of the Social Security Act (42 U.S.C.<br \/>\n1395fff(c)) is amended&#8211;<br \/>\n(A) in paragraph (1), by striking &#8220;and&#8221; at the<br \/>\nend;<br \/>\n(B) in paragraph (2), by striking the period at the<br \/>\nend and inserting &#8220;; and&#8221;; and<br \/>\n(C) by adding at the end the following new<br \/>\nparagraph:<br \/>\n&#8220;(3) in the case of home health services furnished on or<br \/>\nafter January 1, 2019, the claim contains the code for the<br \/>\ncounty (or equivalent area) in which the home health service was<br \/>\nfurnished.&#8221;.<\/p>\n<p>(b) HHS OIG Analysis.&#8211; &lt;&lt;NOTE: Deadline.&gt;&gt; Not later than January<br \/>\n1, 2023, the Inspector General of the Department of Health and Human<br \/>\nServices shall submit to Congress&#8211;<br \/>\n(1) an analysis of the home health claims and utilization of<br \/>\nhome health services by county (or equivalent area) under the<br \/>\nMedicare program; and<br \/>\n(2) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; recommendations the<br \/>\nInspector General determines appropriate based on such analysis.<\/p>\n<p>[[Page 132 STAT. 190]]<\/p>\n<p>TITLE III&#8211;CREATING HIGH-QUALITY RESULTS AND OUTCOMES NECESSARY TO<br \/>\nIMPROVE CHRONIC (CHRONIC) CARE<\/p>\n<p>Subtitle A&#8211;Receiving High Quality Care in the Home<\/p>\n<p>SEC. 50301. EXTENDING THE INDEPENDENCE AT HOME DEMONSTRATION<br \/>\nPROGRAM.<\/p>\n<p>(a) In General.&#8211;Section 1866E of the Social Security Act (42 U.S.C.<br \/>\n1395cc-5) is amended&#8211;<br \/>\n(1) in subsection (e)&#8211;<br \/>\n(A) in paragraph (1)&#8211;<br \/>\n(i) by striking &#8220;An agreement&#8221; and inserting<br \/>\n&#8220;Agreements&#8221;; and<br \/>\n(ii) by striking &#8220;5-year&#8221; and inserting &#8220;7-<br \/>\nyear&#8221;; and<br \/>\n(B) in paragraph (5)&#8211;<br \/>\n(i) by striking &#8220;10,000&#8221; and inserting<br \/>\n&#8220;15,000&#8221;; and<br \/>\n(ii) by adding at the end the following new<br \/>\nsentence: &#8220;An applicable beneficiary that<br \/>\nparticipates in the demonstration program by<br \/>\nreason of the increase from 10,000 to 15,000 in<br \/>\nthe preceding sentence pursuant to the amendment<br \/>\nmade by section 50301(a)(1)(B)(i) of the Advancing<br \/>\nChronic Care, Extenders, and Social Services Act<br \/>\nshall be considered in the spending target<br \/>\nestimates under paragraph (1) of subsection (c)<br \/>\nand the incentive payment calculations under<br \/>\nparagraph (2) of such subsection for the sixth and<br \/>\nseventh years of such program.&#8221;;<br \/>\n(2) in subsection (g), in the first sentence, by inserting<br \/>\n&#8220;, including, to the extent practicable, with respect to the<br \/>\nuse of electronic health information systems, as described in<br \/>\nsubsection (b)(1)(A)(vi)&#8221; after &#8220;under the demonstration<br \/>\nprogram&#8221;; and<br \/>\n(3) in subsection (i)(1)(A), by striking &#8220;will not receive<br \/>\nan incentive payment for the second of 2&#8221; and inserting &#8220;did<br \/>\nnot achieve savings for the third of 3&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 1395cc-5 note.&gt;&gt; Effective Date.&#8211;The amendment<br \/>\nmade by subsection (a)(3) shall take effect as if included in the<br \/>\nenactment of Public Law 111-148.<br \/>\nSEC. 50302. EXPANDING ACCESS TO HOME DIALYSIS THERAPY.<\/p>\n<p>(a) In General.&#8211;Section 1881(b)(3) of the Social Security Act (42<br \/>\nU.S.C. 1395rr(b)(3)) is amended&#8211;<br \/>\n(1) by redesignating subparagraphs (A) and (B) as clauses<br \/>\n(i) and (ii), respectively;<br \/>\n(2) in clause (ii), as redesignated by paragraph (1), by<br \/>\nstriking &#8220;on a comprehensive&#8221; and insert &#8220;subject to<br \/>\nsubparagraph (B), on a comprehensive&#8221;;<br \/>\n(3) by striking &#8220;With respect to&#8221; and inserting &#8220;(A) With<br \/>\nrespect to&#8221;; and<br \/>\n(4) by adding at the end the following new subparagraph:<\/p>\n<p>[[Page 132 STAT. 191]]<\/p>\n<p>&#8220;(B)(i) For purposes of subparagraph (A)(ii), subject to clause<br \/>\n(ii), an individual determined to have end stage renal disease receiving<br \/>\nhome dialysis may choose to receive monthly end stage renal disease-<br \/>\nrelated clinical assessments furnished on or after January 1, 2019, via<br \/>\ntelehealth.<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Applicability. Time periods.&gt;&gt; Clause (i) shall<br \/>\napply to an individual only if the individual receives a face-to-face<br \/>\nclinical assessment, without the use of telehealth&#8211;<br \/>\n&#8220;(I) in the case of the initial 3 months of home dialysis<br \/>\nof such individual, at least monthly; and<br \/>\n&#8220;(II) after such initial 3 months, at least once every 3<br \/>\nconsecutive months.&#8221;.<\/p>\n<p>(b) Originating Site Requirements.&#8211;<br \/>\n(1) In general.&#8211;Section 1834(m) of the Social Security Act<br \/>\n(42 U.S.C. 1395m(m)) is amended&#8211;<br \/>\n(A) in paragraph (4)(C)(ii), by adding at the end<br \/>\nthe following new subclauses:<br \/>\n&#8220;(IX) A renal dialysis facility,<br \/>\nbut only for purposes of section<br \/>\n1881(b)(3)(B).<br \/>\n&#8220;(X) The home of an individual, but<br \/>\nonly for purposes of section<br \/>\n1881(b)(3)(B).&#8221;; and<br \/>\n(B) by adding at the end the following new<br \/>\nparagraph:<br \/>\n&#8220;(5) Treatment of home dialysis monthly esrd-related<br \/>\nvisit.&#8211;The geographic requirements described in paragraph<br \/>\n(4)(C)(i) shall not apply with respect to telehealth services<br \/>\nfurnished on or after January 1, 2019, for purposes of section<br \/>\n1881(b)(3)(B), at an originating site described in subclause<br \/>\n(VI), (IX), or (X) of paragraph (4)(C)(ii).&#8221;.<br \/>\n(2) No facility fee if originating site for home dialysis<br \/>\ntherapy is the home.&#8211;Section 1834(m)(2)(B) of the Social<br \/>\nSecurity (42 U.S.C. 1395m(m)(2)(B)) is amended&#8211;<br \/>\n(A) by redesignating clauses (i) and (ii) as<br \/>\nsubclauses (I) and (II), and indenting appropriately;<br \/>\n(B) in subclause (II), as redesignated by<br \/>\nsubparagraph (A), by striking &#8220;clause (i) or this<br \/>\nclause&#8221; and inserting &#8220;subclause (I) or this<br \/>\nsubclause&#8221;;<br \/>\n(C) by striking &#8220;site.&#8211;With respect to&#8221; and<br \/>\ninserting &#8220;site.&#8211;<br \/>\n&#8220;(i) In general.&#8211;Subject to clause (ii),<br \/>\nwith respect to&#8221;; and<br \/>\n(D) by adding at the end the following new clause:<br \/>\n&#8220;(ii) No facility fee if originating site for<br \/>\nhome dialysis therapy is the home.&#8211;No facility<br \/>\nfee shall be paid under this subparagraph to an<br \/>\noriginating site described in paragraph<br \/>\n(4)(C)(ii)(X).&#8221;.<\/p>\n<p>(c) Clarification Regarding Telehealth Provided to Beneficiaries.&#8211;<br \/>\nSection 1128A(i)(6) of the Social Security Act (42 U.S.C. 1320a-<br \/>\n7a(i)(6)) is amended&#8211;<br \/>\n(1) in subparagraph (H), by striking &#8220;or&#8221; at the end;<br \/>\n(2) in subparagraph (I), by striking the period at the end<br \/>\nand inserting &#8220;; or&#8221;; and<br \/>\n(3) by adding at the end the following new subparagraph:<br \/>\n&#8220;(J) the provision of telehealth technologies (as<br \/>\ndefined by the Secretary) on or after January 1, 2019,<br \/>\nby a provider of services or a renal dialysis facility<br \/>\n(as such terms are defined for purposes of title XVIII)<br \/>\nto an individual with end stage renal disease who is<br \/>\nreceiving home dialysis<\/p>\n<p>[[Page 132 STAT. 192]]<\/p>\n<p>for which payment is being made under part B of such<br \/>\ntitle, if&#8211;<br \/>\n&#8220;(i) the telehealth technologies are not<br \/>\noffered as part of any advertisement or<br \/>\nsolicitation;<br \/>\n&#8220;(ii) the telehealth technologies are<br \/>\nprovided for the purpose of furnishing telehealth<br \/>\nservices related to the individual&#8217;s end stage<br \/>\nrenal disease; and<br \/>\n&#8220;(iii) the provision of the telehealth<br \/>\ntechnologies meets any other requirements set<br \/>\nforth in regulations promulgated by the<br \/>\nSecretary.&#8221;.<\/p>\n<p>(d) Conforming Amendment.&#8211;Section 1881(b)(1) of the Social Security<br \/>\nAct (42 U.S.C. 1395rr(b)(1)) is amended by striking &#8220;paragraph (3)(A)&#8221;<br \/>\nand inserting &#8220;paragraph (3)(A)(i)&#8221;.<\/p>\n<p>Subtitle B&#8211;Advancing Team-Based Care<\/p>\n<p>SEC. 50311. PROVIDING CONTINUED ACCESS TO MEDICARE ADVANTAGE<br \/>\nSPECIAL NEEDS PLANS FOR VULNERABLE<br \/>\nPOPULATIONS.<\/p>\n<p>(a) Extension.&#8211;Section 1859(f)(1) of the Social Security Act (42<br \/>\nU.S.C. 1395w-28(f)(1)) is amended by striking &#8220;and for periods before<br \/>\nJanuary 1, 2019&#8221;.<br \/>\n(b) Increased Integration of Dual SNPs.&#8211;<br \/>\n(1) In general.&#8211;Section 1859(f) of the Social Security Act<br \/>\n(42 U.S.C. 1395w-28(f)) is amended&#8211;<br \/>\n(A) in paragraph (3), by adding at the end the<br \/>\nfollowing new subparagraph:<br \/>\n&#8220;(F) The plan meets the requirements applicable<br \/>\nunder paragraph (8).&#8221;; and<br \/>\n(B) by adding at the end the following new<br \/>\nparagraph:<br \/>\n&#8220;(8) Increased integration of dual snps.&#8211;<br \/>\n&#8220;(A) Designated contact.&#8211;The Secretary, acting<br \/>\nthrough the Federal Coordinated Health Care Office<br \/>\nestablished under section 2602 of Public Law 111-148,<br \/>\nshall serve as a dedicated point of contact for States<br \/>\nto address misalignments that arise with the integration<br \/>\nof specialized MA plans for special needs individuals<br \/>\ndescribed in subsection (b)(6)(B)(ii) under this<br \/>\nparagraph and, consistent with such role, shall<br \/>\nestablish&#8211;<br \/>\n&#8220;(i) a uniform process for disseminating to<br \/>\nState Medicaid agencies information under this<br \/>\ntitle impacting contracts between such agencies<br \/>\nand such plans under this subsection; and<br \/>\n&#8220;(ii) basic resources for States interested<br \/>\nin exploring such plans as a platform for<br \/>\nintegration, such as a model contract or other<br \/>\ntools to achieve those goals.<br \/>\n&#8220;(B) Unified grievances and appeals process.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Deadline. Procedures.&gt;&gt; In<br \/>\ngeneral.&#8211;Not later than April 1, 2020, the<br \/>\nSecretary shall establish procedures, to the<br \/>\nextent feasible as determined by the Secretary,<br \/>\nunifying grievances and appeals procedures under<br \/>\nsections 1852(f), 1852(g), 1902(a)(3), 1902(a)(5),<br \/>\nand 1932(b)(4) for items and services provided by<br \/>\nspecialized MA plans for special needs individuals<br \/>\ndescribed in subsection (b)(6)(B)(ii) under this<br \/>\ntitle and title XIX. &lt;&lt;NOTE: Applicability.&gt;&gt;<br \/>\nWith respect<\/p>\n<p>[[Page 132 STAT. 193]]<\/p>\n<p>to items and services described in the preceding<br \/>\nsentence, procedures established under this clause<br \/>\nshall apply in place of otherwise applicable<br \/>\ngrievances and appeals procedures. The Secretary<br \/>\nshall solicit comment in developing such<br \/>\nprocedures from States, plans, beneficiaries and<br \/>\ntheir representatives, and other relevant<br \/>\nstakeholders.<br \/>\n&#8220;(ii) Procedures.&#8211;The procedures established<br \/>\nunder clause (i) shall be included in the plan<br \/>\ncontract under paragraph (3)(D) and shall&#8211;<br \/>\n&#8220;(I) adopt the provisions for the<br \/>\nenrollee that are most protective for<br \/>\nthe enrollee and, to the extent feasible<br \/>\nas determined by the Secretary, are<br \/>\ncompatible with unified timeframes and<br \/>\nconsolidated access to external review<br \/>\nunder an integrated process;<br \/>\n&#8220;(II) take into account differences<br \/>\nin State plans under title XIX to the<br \/>\nextent necessary;<br \/>\n&#8220;(III) be easily navigable by an<br \/>\nenrollee; and<br \/>\n&#8220;(IV) include the elements<br \/>\ndescribed in clause (iii), as<br \/>\napplicable.<br \/>\n&#8220;(iii) Elements described.&#8211;Both unified<br \/>\nappeals and unified grievance procedures shall<br \/>\ninclude, as applicable, the following elements<br \/>\ndescribed in this clause:<br \/>\n&#8220;(I) &lt;&lt;NOTE: Notification.&gt;&gt;<br \/>\nSingle written notification of all<br \/>\napplicable grievances and appeal rights<br \/>\nunder this title and title<br \/>\nXIX. &lt;&lt;NOTE: Waiver authority.&gt;&gt; For<br \/>\npurposes of this subparagraph, the<br \/>\nSecretary may waive the requirements<br \/>\nunder section 1852(g)(1)(B) when the<br \/>\nspecialized MA plan covers items or<br \/>\nservices under this part or under title<br \/>\nXIX.<br \/>\n&#8220;(II) Single pathways for<br \/>\nresolution of any grievance or appeal<br \/>\nrelated to a particular item or service<br \/>\nprovided by specialized MA plans for<br \/>\nspecial needs individuals described in<br \/>\nsubsection (b)(6)(B)(ii) under this<br \/>\ntitle and title XIX.<br \/>\n&#8220;(III) &lt;&lt;NOTE: Notices.&gt;&gt; Notices<br \/>\nwritten in plain language and available<br \/>\nin a language and format that is<br \/>\naccessible to the enrollee, including in<br \/>\nnon-English languages that are prevalent<br \/>\nin the service area of the specialized<br \/>\nMA plan.<br \/>\n&#8220;(IV) Unified timeframes for<br \/>\ngrievances and appeals processes, such<br \/>\nas an individual&#8217;s filing of a grievance<br \/>\nor appeal, a plan&#8217;s acknowledgment and<br \/>\nresolution of a grievance or appeal, and<br \/>\nnotification of decisions with respect<br \/>\nto a grievance or appeal.<br \/>\n&#8220;(V) Requirements for how the plan<br \/>\nmust process, track, and resolve<br \/>\ngrievances and appeals, to ensure<br \/>\nbeneficiaries are notified on a timely<br \/>\nbasis of decisions that are made<br \/>\nthroughout the grievance or appeals<br \/>\nprocess and are able to easily determine<br \/>\nthe status of a grievance or appeal.<br \/>\n&#8220;(iv) Continuation of benefits pending<br \/>\nappeal.&#8211;The unified procedures under clause (i)<br \/>\nshall, with respect to all benefits under parts A<br \/>\nand B and<\/p>\n<p>[[Page 132 STAT. 194]]<\/p>\n<p>title XIX subject to appeal under such procedures,<br \/>\nincorporate provisions under current law and<br \/>\nimplementing regulations that provide continuation<br \/>\nof benefits pending appeal under this title and<br \/>\ntitle XIX.<br \/>\n&#8220;(C) Requirement for unified grievances and<br \/>\nappeals.&#8211;For 2021 and subsequent years, the contract of<br \/>\na specialized MA plan for special needs individuals<br \/>\ndescribed in subsection (b)(6)(B)(ii) with a State<br \/>\nMedicaid agency under paragraph (3)(D) shall require the<br \/>\nuse of unified grievances and appeals procedures as<br \/>\ndescribed in subparagraph (B).<br \/>\n&#8220;(D) &lt;&lt;NOTE: Contracts. Determinations.&gt;&gt;<br \/>\nRequirements for integration.&#8211;<br \/>\n&#8220;(i) In general.&#8211;For 2021 and subsequent<br \/>\nyears, a specialized MA plan for special needs<br \/>\nindividuals described in subsection (b)(6)(B)(ii)<br \/>\nshall meet one or more of the following<br \/>\nrequirements, to the extent permitted under State<br \/>\nlaw, for integration of benefits under this title<br \/>\nand title XIX:<br \/>\n&#8220;(I) The specialized MA plan must<br \/>\nmeet the requirements of contracting<br \/>\nwith the State Medicaid agency described<br \/>\nin paragraph (3)(D) in addition to<br \/>\ncoordinating long-term services and<br \/>\nsupports or behavioral health services,<br \/>\nor both, by meeting an additional<br \/>\nminimum set of requirements determined<br \/>\nby the Secretary through the Federal<br \/>\nCoordinated Health Care Office<br \/>\nestablished under section 2602 of the<br \/>\nPatient Protection and Affordable Care<br \/>\nAct based on input from stakeholders,<br \/>\nsuch as notifying the State in a timely<br \/>\nmanner of hospitalizations, emergency<br \/>\nroom visits, and hospital or nursing<br \/>\nhome discharges of enrollees, assigning<br \/>\none primary care provider for each<br \/>\nenrollee, or sharing data that would<br \/>\nbenefit the coordination of items and<br \/>\nservices under this title and the State<br \/>\nplan under title XIX. Such minimum set<br \/>\nof requirements must be included in the<br \/>\ncontract of the specialized MA plan with<br \/>\nthe State Medicaid agency under such<br \/>\nparagraph.<br \/>\n&#8220;(II) The specialized MA plan must<br \/>\nmeet the requirements of a fully<br \/>\nintegrated plan described in section<br \/>\n1853(a)(1)(B)(iv)(II) (other than the<br \/>\nrequirement that the plan have similar<br \/>\naverage levels of frailty, as determined<br \/>\nby the Secretary, as the PACE program),<br \/>\nor enter into a capitated contract with<br \/>\nthe State Medicaid agency to provide<br \/>\nlong-term services and supports or<br \/>\nbehavioral health services, or both.<br \/>\n&#8220;(III) In the case of a specialized<br \/>\nMA plan that is offered by a parent<br \/>\norganization that is also the parent<br \/>\norganization of a Medicaid managed care<br \/>\norganization providing long term<br \/>\nservices and supports or behavioral<br \/>\nservices under a contract under section<br \/>\n1903(m), the parent organization must<br \/>\nassume clinical and financial<br \/>\nresponsibility for benefits provided<br \/>\nunder this title and title XIX with<br \/>\nrespect to any individual who<\/p>\n<p>[[Page 132 STAT. 195]]<\/p>\n<p>is enrolled in both the specialized MA<br \/>\nplan and the Medicaid managed care<br \/>\norganization.<br \/>\n&#8220;(ii) Suspension of enrollment for failure to<br \/>\nmeet requirements during initial period.&#8211;<br \/>\n&lt;&lt;NOTE: Determination.&gt;&gt; During the period of plan<br \/>\nyears 2021 through 2025, if the Secretary<br \/>\ndetermines that a specialized MA plan for special<br \/>\nneeds individuals described in subsection<br \/>\n(b)(6)(B)(ii) has failed to comply with clause<br \/>\n(i), the Secretary may provide for the application<br \/>\nagainst the Medicare Advantage organization<br \/>\noffering the plan of the remedy described in<br \/>\nsection 1857(g)(2)(B) in the same manner as the<br \/>\nSecretary may apply such remedy, and in accordance<br \/>\nwith the same procedures as would apply, in the<br \/>\ncase of an MA organization determined by the<br \/>\nSecretary to have engaged in conduct described in<br \/>\nsection 1857(g)(1). &lt;&lt;NOTE: Compliance.&gt;&gt; If the<br \/>\nSecretary applies such remedy to a Medicare<br \/>\nAdvantage organization under the preceding<br \/>\nsentence, the organization shall submit to the<br \/>\nSecretary (at a time, and in a form and manner,<br \/>\nspecified by the Secretary) information describing<br \/>\nhow the plan will come into compliance with clause<br \/>\n(i).<br \/>\n&#8220;(E) Study and report to congress.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Time<br \/>\nperiod. Consultation. Determination. Evaluation.&gt;&gt;<br \/>\nIn general.&#8211;Not later than March 15, 2022, and,<br \/>\nsubject to clause (iii), biennially thereafter<br \/>\nthrough 2032, the Medicare Payment Advisory<br \/>\nCommission established under section 1805, in<br \/>\nconsultation with the Medicaid and CHIP Payment<br \/>\nand Access Commission established under section<br \/>\n1900, shall conduct (and submit to the Secretary<br \/>\nand the Committees on Ways and Means and Energy<br \/>\nand Commerce of the House of Representatives and<br \/>\nthe Committee on Finance of the Senate a report<br \/>\non) a study to determine how specialized MA plans<br \/>\nfor special needs individuals described in<br \/>\nsubsection (b)(6)(B)(ii) perform among each other<br \/>\nbased on data from Healthcare Effectiveness Data<br \/>\nand Information Set (HEDIS) quality measures,<br \/>\nreported on the plan level, as required under<br \/>\nsection 1852(e)(3) (or such other measures or data<br \/>\nsources that are available and appropriate, such<br \/>\nas encounter data and Consumer Assessment of<br \/>\nHealthcare Providers and Systems data, as<br \/>\nspecified by such Commissions as enabling an<br \/>\naccurate evaluation under this subparagraph). Such<br \/>\nstudy shall include, as feasible, the following<br \/>\ncomparison groups of specialized MA plans for<br \/>\nspecial needs individuals described in subsection<br \/>\n(b)(6)(B)(ii):<br \/>\n&#8220;(I) A comparison group of such<br \/>\nplans that are described in subparagraph<br \/>\n(D)(i)(I).<br \/>\n&#8220;(II) A comparison group of such<br \/>\nplans that are described in subparagraph<br \/>\n(D)(i)(II).<br \/>\n&#8220;(III) A comparison group of such<br \/>\nplans operating within the Financial<br \/>\nAlignment Initiative demonstration for<br \/>\nthe period for which such plan is so<br \/>\noperating and the demonstration is in<br \/>\neffect, and, in the case that an<br \/>\nintegration option that is not with<br \/>\nrespect to specialized MA plans for<\/p>\n<p>[[Page 132 STAT. 196]]<\/p>\n<p>special needs individuals is established<br \/>\nafter the conclusion of the<br \/>\ndemonstration involved.<br \/>\n&#8220;(IV) A comparison group of such<br \/>\nplans that are described in subparagraph<br \/>\n(D)(i)(III).<br \/>\n&#8220;(V) A comparison group of MA<br \/>\nplans, as feasible, not described in a<br \/>\nprevious subclause of this clause, with<br \/>\nrespect to the performance of such plans<br \/>\nfor enrollees who are special needs<br \/>\nindividuals described in subsection<br \/>\n(b)(6)(B)(ii).<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Effective<br \/>\ndates. Consultation.&gt;&gt; Additional reports.&#8211;<br \/>\nBeginning with 2033 and every five years<br \/>\nthereafter, the Medicare Payment Advisory<br \/>\nCommission, in consultation with the Medicaid and<br \/>\nCHIP Payment and Access Commission, shall conduct<br \/>\na study described in clause (i).&#8221;.<br \/>\n(2) Conforming amendment to responsibilities of federal<br \/>\ncoordinated health care office.&#8211;Section 2602(d) of Public Law<br \/>\n111-148 (42 U.S.C. 1315b(d)) is amended by adding at the end the<br \/>\nfollowing new paragraphs:<br \/>\n&#8220;(6) To act as a designated contact for States under<br \/>\nsubsection (f)(8)(A) of section 1859 of the Social Security Act<br \/>\n(42 U.S.C. 1395w-28) with respect to the integration of<br \/>\nspecialized MA plans for special needs individuals described in<br \/>\nsubsection (b)(6)(B)(ii) of such section.<br \/>\n&#8220;(7) To be responsible, subject to the final approval of<br \/>\nthe Secretary, for developing regulations and guidance related<br \/>\nto the implementation of a unified grievance and appeals process<br \/>\nas described in subparagraphs (B) and (C) of section 1859(f)(8)<br \/>\nof the Social Security Act (42 U.S.C. 1395w-28(f)(8)).<br \/>\n&#8220;(8) To be responsible, subject to the final approval of<br \/>\nthe Secretary, for developing regulations and guidance related<br \/>\nto the integration or alignment of policy and oversight under<br \/>\nthe Medicare program under title XVIII of such Act and the<br \/>\nMedicaid program under title XIX of such Act regarding<br \/>\nspecialized MA plans for special needs individuals described in<br \/>\nsubsection (b)(6)(B)(ii) of such section 1859.&#8221;.<\/p>\n<p>(c) Improvements to Severe or Disabling Chronic Condition SNPs.&#8211;<br \/>\n(1) Care management requirements.&#8211;Section 1859(f)(5) of the<br \/>\nSocial Security Act (42 U.S.C. 1395w-28(f)(5)) is amended&#8211;<br \/>\n(A) by striking &#8220;all snps.&#8211;The requirements&#8221; and<br \/>\ninserting &#8220;all snps.&#8211;<br \/>\n&#8220;(A) In general.&#8211;Subject to subparagraph (B), the<br \/>\nrequirements&#8221;;<br \/>\n(B) by redesignating subparagraphs (A) and (B) as<br \/>\nclauses (i) and (ii), respectively, and indenting<br \/>\nappropriately; and<br \/>\n(C) in clause (ii), as redesignated by subparagraph<br \/>\n(B), by redesignating clauses (i) through (iii) as<br \/>\nsubclauses (I) through (III), respectively, and<br \/>\nindenting appropriately; and<br \/>\n(D) by adding at the end the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(B) Improvements to care management requirements<br \/>\nfor severe or disabling chronic condition snps.&#8211;For<br \/>\n2020 and subsequent years, in the case of a specialized<br \/>\nMA plan for special needs individuals described<\/p>\n<p>[[Page 132 STAT. 197]]<\/p>\n<p>in subsection (b)(6)(B)(iii), the requirements described<br \/>\nin this paragraph include the following:<br \/>\n&#8220;(i) The interdisciplinary team under<br \/>\nsubparagraph (A)(ii)(III) includes a team of<br \/>\nproviders with demonstrated expertise, including<br \/>\ntraining in an applicable specialty, in treating<br \/>\nindividuals similar to the targeted population of<br \/>\nthe plan.<br \/>\n&#8220;(ii) Requirements developed by the Secretary<br \/>\nto provide face-to-face encounters with<br \/>\nindividuals enrolled in the plan not less<br \/>\nfrequently than on an annual basis.<br \/>\n&#8220;(iii) As part of the model of care under<br \/>\nclause (i) of subparagraph (A), the results of the<br \/>\ninitial assessment and annual reassessment under<br \/>\nclause (ii)(I) of such subparagraph of each<br \/>\nindividual enrolled in the plan are addressed in<br \/>\nthe individual&#8217;s individualized care plan under<br \/>\nclause (ii)(II) of such subparagraph.<br \/>\n&#8220;(iv) As part of the annual evaluation and<br \/>\napproval of such model of care, the Secretary<br \/>\nshall take into account whether the plan fulfilled<br \/>\nthe previous year&#8217;s goals (as required under the<br \/>\nmodel of care).<br \/>\n&#8220;(v) The Secretary shall establish a minimum<br \/>\nbenchmark for each element of the model of care of<br \/>\na plan. The Secretary shall only approve a plan&#8217;s<br \/>\nmodel of care under this paragraph if each element<br \/>\nof the model of care meets the minimum benchmark<br \/>\napplicable under the preceding sentence.&#8221;.<br \/>\n(2) Revisions to the definition of a severe or disabling<br \/>\nchronic conditions specialized needs individual.&#8211;<br \/>\n(A) In general.&#8211;Section 1859(b)(6)(B)(iii) of the<br \/>\nSocial Security Act (42 U.S.C. 1395w-28(b)(6)(B)(iii))<br \/>\nis amended&#8211;<br \/>\n(i) by striking &#8220;who have&#8221; and inserting<br \/>\n&#8220;who&#8211;<br \/>\n&#8220;(I) before January 1, 2022,<br \/>\nhave&#8221;;<br \/>\n(ii) in subclause (I), as added by clause (i),<br \/>\nby striking the period at the end and inserting<br \/>\n&#8220;; and&#8221;; and<br \/>\n(iii) by adding at the end the following new<br \/>\nsubclause:<br \/>\n&#8220;(II) on or after January 1, 2022,<br \/>\nhave one or more comorbid and medically<br \/>\ncomplex chronic conditions that is life<br \/>\nthreatening or significantly limits<br \/>\noverall health or function, have a high<br \/>\nrisk of hospitalization or other adverse<br \/>\nhealth outcomes, and require intensive<br \/>\ncare coordination and that is listed<br \/>\nunder subsection (f)(9)(A).&#8221;.<br \/>\n(B) Panel of clinical advisors.&#8211;Section 1859(f) of<br \/>\nthe Social Security Act (42 U.S.C. 1395w-28(f)), as<br \/>\namended by subsection (b), is amended by adding at the<br \/>\nend the following new paragraph:<br \/>\n&#8220;(9) List of conditions for clarification of the definition<br \/>\nof a severe or disabling chronic conditions specialized needs<br \/>\nindividual.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Deadlines.&gt;&gt; In general.&#8211;Not later<br \/>\nthan December 31, 2020, and every 5 years thereafter,<br \/>\nsubject to subparagraphs (B) and (C), the Secretary<br \/>\nshall convene a panel of clinical<\/p>\n<p>[[Page 132 STAT. 198]]<\/p>\n<p>advisors to establish and update a list of conditions<br \/>\nthat meet each of the following criteria:<br \/>\n&#8220;(i) Conditions that meet the definition of a<br \/>\nsevere or disabling chronic condition under<br \/>\nsubsection (b)(6)(B)(iii) on or after January 1,<br \/>\n2022.<br \/>\n&#8220;(ii) Conditions that require prescription<br \/>\ndrugs, providers, and models of care that are<br \/>\nunique to the specific population of enrollees in<br \/>\na specialized MA plan for special needs<br \/>\nindividuals described in such subsection on or<br \/>\nafter such date and&#8211;<br \/>\n&#8220;(I) as a result of access to, and<br \/>\nenrollment in, such a specialized MA<br \/>\nplan for special needs individuals,<br \/>\nindividuals with such condition would<br \/>\nhave a reasonable expectation of slowing<br \/>\nor halting the progression of the<br \/>\ndisease, improving health outcomes and<br \/>\ndecreasing overall costs for individuals<br \/>\ndiagnosed with such condition compared<br \/>\nto available options of care other than<br \/>\nthrough such a specialized MA plan for<br \/>\nspecial needs individuals; or<br \/>\n&#8220;(II) have a low prevalence in the<br \/>\ngeneral population of beneficiaries<br \/>\nunder this title or a disproportionally<br \/>\nhigh per-beneficiary cost under this<br \/>\ntitle.<br \/>\n&#8220;(B) Inclusion of certain conditions.&#8211;The<br \/>\nconditions listed under subparagraph (A) shall include<br \/>\nHIV\/AIDS, end stage renal disease, and chronic and<br \/>\ndisabling mental illness.<br \/>\n&#8220;(C) Requirement.&#8211;In establishing and updating the<br \/>\nlist under subparagraph (A), the panel shall take into<br \/>\naccount the availability of varied benefits, cost-<br \/>\nsharing, and supplemental benefits under the model<br \/>\ndescribed in paragraph (2) of section 1859(h), including<br \/>\nthe expansion under paragraph (1) of such section.&#8221;.<\/p>\n<p>(d) Quality Measurement at the Plan Level for SNPs and Determination<br \/>\nof Feasability of Quality Measurement at the Plan Level for All MA<br \/>\nPlans.&#8211;Section 1853(o) of the Social Security Act (42 U.S.C. 1395w-<br \/>\n23(o)) is amended by adding at the end the following new paragraphs:<br \/>\n&#8220;(6) Quality measurement at the plan level for snps.&#8211;<br \/>\n&#8220;(A) In general.&#8211;Subject to subparagraph (B), the<br \/>\nSecretary may require reporting of data under section<br \/>\n1852(e) for, and apply under this subsection, quality<br \/>\nmeasures at the plan level for specialized MA plans for<br \/>\nspecial needs individuals instead of at the contract<br \/>\nlevel.<br \/>\n&#8220;(B) Considerations.&#8211;Prior to applying quality<br \/>\nmeasurement at the plan level under this paragraph, the<br \/>\nSecretary shall&#8211;<br \/>\n&#8220;(i) take into consideration the minimum<br \/>\nnumber of enrollees in a specialized MA plan for<br \/>\nspecial needs individuals in order to determine if<br \/>\na statistically significant or valid measurement<br \/>\nof quality at the plan level is possible under<br \/>\nthis paragraph;<br \/>\n&#8220;(ii) take into consideration the impact of<br \/>\nsuch application on plans that serve a<br \/>\ndisproportionate number of individuals dually<br \/>\neligible for benefits under this title and under<br \/>\ntitle XIX;<\/p>\n<p>[[Page 132 STAT. 199]]<\/p>\n<p>&#8220;(iii) if quality measures are reported at<br \/>\nthe plan level, ensure that MA plans are not<br \/>\nrequired to provide duplicative information; and<br \/>\n&#8220;(iv) ensure that such reporting does not<br \/>\ninterfere with the collection of encounter data<br \/>\nsubmitted by MA organizations or the<br \/>\nadministration of any changes to the program under<br \/>\nthis part as a result of the collection of such<br \/>\ndata.<br \/>\n&#8220;(C) Application.&#8211;If the Secretary applies quality<br \/>\nmeasurement at the plan level under this paragraph&#8211;<br \/>\n&#8220;(i) such quality measurement may include<br \/>\nMedicare Health Outcomes Survey (HOS), Healthcare<br \/>\nEffectiveness Data and Information Set (HEDIS),<br \/>\nConsumer Assessment of Healthcare Providers and<br \/>\nSystems (CAHPS) measures and quality measures<br \/>\nunder part D; and<br \/>\n&#8220;(ii) the Secretary shall consider applying<br \/>\nadministrative actions, such as remedies described<br \/>\nin section 1857(g)(2), at the plan level.<br \/>\n&#8220;(7) Determination of feasibility of quality measurement at<br \/>\nthe plan level for all ma plans.&#8211;<br \/>\n&#8220;(A) Determination of feasibility.&#8211;The Secretary<br \/>\nshall determine the feasibility of requiring reporting<br \/>\nof data under section 1852(e) for, and applying under<br \/>\nthis subsection, quality measures at the plan level for<br \/>\nall MA plans under this part.<br \/>\n&#8220;(B) Consideration of change.&#8211;After making a<br \/>\ndetermination under subparagraph (A), the Secretary<br \/>\nshall consider requiring such reporting and applying<br \/>\nsuch quality measures at the plan level as described in<br \/>\nsuch subparagraph&#8221;.<\/p>\n<p>(e) GAO Study and Report on State-Level Integration Between Dual<br \/>\nSNPs and Medicaid.&#8211;<br \/>\n(1) Study.&#8211;The Comptroller General of the United States (in<br \/>\nthis subsection referred to as the &#8220;Comptroller General&#8221;)<br \/>\nshall conduct a study on State-level integration between<br \/>\nspecialized MA plans for special needs individuals described in<br \/>\nsubsection (b)(6) (B)(ii) of section 1859 of the Social Security<br \/>\nAct (42 U.S.C. 1395w-28) and the Medicaid program under title<br \/>\nXIX of such Act (42 U.S.C. 1396 et seq.). &lt;&lt;NOTE: Analysis.&gt;&gt;<br \/>\nSuch study shall include an analysis of the following:<br \/>\n(A) The characteristics of States in which the State<br \/>\nagency responsible for administering the State plan<br \/>\nunder such title XIX has a contract with such a<br \/>\nspecialized MA plan and that delivers long-term services<br \/>\nand supports under the State plan under such title XIX<br \/>\nthrough a managed care program, including the<br \/>\nrequirements under such State plan with respect to long-<br \/>\nterm services and supports.<br \/>\n(B) The types of such specialized MA plans, which<br \/>\nmay include the following:<br \/>\n(i) A plan described in section<br \/>\n1853(a)(1)(B)(iv)(II) of such Act (42 U.S.C.<br \/>\n1395w-23(a)(1)(B)(iv)(II)).<br \/>\n(ii) A plan that meets the requirements<br \/>\ndescribed in subsection (f)(3)(D) of such section<br \/>\n1859.<br \/>\n(iii) A plan described in clause (ii) that<br \/>\nalso meets additional requirements established by<br \/>\nthe State.<\/p>\n<p>[[Page 132 STAT. 200]]<\/p>\n<p>(C) The characteristics of individuals enrolled in<br \/>\nsuch specialized MA plans.<br \/>\n(D) As practicable, the following with respect to<br \/>\nState programs for the delivery of long-term services<br \/>\nand supports under such title XIX through a managed care<br \/>\nprogram:<br \/>\n(i) Which populations of individuals are<br \/>\neligible to receive such services and supports.<br \/>\n(ii) Whether all such services and supports<br \/>\nare provided on a capitated basis or if any of<br \/>\nsuch services and supports are carved out and<br \/>\nprovided through fee-for service.<br \/>\n(E) As practicable, how the availability and<br \/>\nvariation of integration arrangements of such<br \/>\nspecialized MA plans offered in States affects spending,<br \/>\nservice delivery options, access to community-based<br \/>\ncare, and utilization of care.<br \/>\n(F) The efforts of State Medicaid programs to<br \/>\ntransition dually-eligible beneficiaries receiving long-<br \/>\nterm services and supports (LTSS) from institutional<br \/>\nsettings to home and community-based settings and<br \/>\nrelated financial impacts of such transitions.<br \/>\n(G) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Barriers and<br \/>\nopportunities for making further progress on dual<br \/>\nintegration, as well as recommendations for legislation<br \/>\nor administrative action to expedite or refine pathways<br \/>\ntoward fully integrated care.<br \/>\n(2) Report.&#8211; &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Not later than 2<br \/>\nyears after the date of the enactment of this Act, the<br \/>\nComptroller General shall submit to Congress a report containing<br \/>\nthe results of the study conducted under paragraph (1), together<br \/>\nwith recommendations for such legislation and administrative<br \/>\naction as the Comptroller General determines appropriate.<\/p>\n<p>Subtitle C&#8211;Expanding Innovation and Technology<\/p>\n<p>SEC. 50321. ADAPTING BENEFITS TO MEET THE NEEDS OF CHRONICALLY ILL<br \/>\nMEDICARE ADVANTAGE ENROLLEES.<\/p>\n<p>Section 1859 of the Social Security Act (42 U.S.C. 1395w-28) is<br \/>\namended by adding at the end the following new subsection:<br \/>\n&#8220;(h) National Testing of Medicare Advantage Value-Based Insurance<br \/>\nDesign Model.&#8211;<br \/>\n&#8220;(1) &lt;&lt;NOTE: Revision. Deadline.&gt;&gt; In general.&#8211;In<br \/>\nimplementing the Medicare Advantage Value-Based Insurance Design<br \/>\nmodel that is being tested under section 1115A(b), the Secretary<br \/>\nshall revise the testing of the model under such section to<br \/>\ncover, effective not later than January 1, 2020, all States.<br \/>\n&#8220;(2) Termination and modification provision not applicable<br \/>\nuntil january 1, 2022.&#8211;The provisions of section 1115A(b)(3)(B)<br \/>\nshall apply to the Medicare Advantage Value-Based Insurance<br \/>\nDesign model, including such model as revised under paragraph<br \/>\n(1), beginning January 1, 2022, but shall not apply to such<br \/>\nmodel, as so revised, prior to such date.<br \/>\n&#8220;(3) Funding.&#8211;The Secretary shall allocate funds made<br \/>\navailable under section 1115A(f)(1) to design, implement, and<br \/>\nevaluate the Medicare Advantage Value-Based Insurance Design<br \/>\nmodel, as revised under paragraph (1).&#8221;.<\/p>\n<p>[[Page 132 STAT. 201]]<\/p>\n<p>SEC. 50322. EXPANDING SUPPLEMENTAL BENEFITS TO MEET THE NEEDS OF<br \/>\nCHRONICALLY ILL MEDICARE ADVANTAGE<br \/>\nENROLLEES.<\/p>\n<p>(a) In General.&#8211;Section 1852(a)(3) of the Social Security Act (42<br \/>\nU.S.C. 1395w-22(a)(3)) is amended&#8211;<br \/>\n(1) in subparagraph (A), by striking &#8220;Each&#8221; and inserting<br \/>\n&#8220;Subject to subparagraph (D), each&#8221;; and<br \/>\n(2) by adding at the end the following new subparagraph:<br \/>\n&#8220;(D) Expanding supplemental benefits to meet the<br \/>\nneeds of chronically ill enrollees.&#8211;<br \/>\n&#8220;(i) In general.&#8211;For plan year 2020 and<br \/>\nsubsequent plan years, in addition to any<br \/>\nsupplemental health care benefits otherwise<br \/>\nprovided under this paragraph, an MA plan,<br \/>\nincluding a specialized MA plan for special needs<br \/>\nindividuals (as defined in section 1859(b)(6)),<br \/>\nmay provide supplemental benefits described in<br \/>\nclause (ii) to a chronically ill enrollee (as<br \/>\ndefined in clause (iii)).<br \/>\n&#8220;(ii) Supplemental benefits described.&#8211;<br \/>\n&#8220;(I) In general.&#8211;Supplemental<br \/>\nbenefits described in this clause are<br \/>\nsupplemental benefits that, with respect<br \/>\nto a chronically ill enrollee, have a<br \/>\nreasonable expectation of improving or<br \/>\nmaintaining the health or overall<br \/>\nfunction of the chronically ill enrollee<br \/>\nand may not be limited to being<br \/>\nprimarily health related benefits.<br \/>\n&#8220;(II) &lt;&lt;NOTE: Determination.&gt;&gt;<br \/>\nAuthority to waive uniformity<br \/>\nrequirements.&#8211;The Secretary may, only<br \/>\nwith respect to supplemental benefits<br \/>\nprovided to a chronically ill enrollee<br \/>\nunder this subparagraph, waive the<br \/>\nuniformity requirements under this part,<br \/>\nas determined appropriate by the<br \/>\nSecretary.<br \/>\n&#8220;(iii) Chronically ill enrollee defined.&#8211;In<br \/>\nthis subparagraph, the term `chronically ill<br \/>\nenrollee&#8217; means an enrollee in an MA plan that the<br \/>\nSecretary determines&#8211;<br \/>\n&#8220;(I) has one or more comorbid and<br \/>\nmedically complex chronic conditions<br \/>\nthat is life threatening or<br \/>\nsignificantly limits the overall health<br \/>\nor function of the enrollee;<br \/>\n&#8220;(II) has a high risk of<br \/>\nhospitalization or other adverse health<br \/>\noutcomes; and<br \/>\n&#8220;(III) requires intensive care<br \/>\ncoordination.&#8221;.<\/p>\n<p>(b) GAO Study and Report.&#8211;<br \/>\n(1) Study.&#8211;The Comptroller General of the United States (in<br \/>\nthis subsection referred to as the &#8220;Comptroller General&#8221;)<br \/>\nshall conduct a study on supplemental benefits provided to<br \/>\nenrollees in Medicare Advantage plans under part C of title<br \/>\nXVIII of the Social Security Act, including specialized MA plans<br \/>\nfor special needs individuals (as defined in section 1859(b)(6)<br \/>\nof such Act (42 U.S.C. 1395w-28(b)(6))). &lt;&lt;NOTE: Analysis.&gt;&gt; To<br \/>\nthe extend data are available, such study shall include an<br \/>\nanalysis of the following:<br \/>\n(A) The type of supplemental benefits provided to<br \/>\nsuch enrollees, the total number of enrollees receiving<br \/>\neach<\/p>\n<p>[[Page 132 STAT. 202]]<\/p>\n<p>supplemental benefit, and whether the supplemental<br \/>\nbenefit is covered by the standard benchmark cost of the<br \/>\nbenefit or with an additional premium.<br \/>\n(B) The frequency in which supplemental benefits are<br \/>\nutilized by such enrollees.<br \/>\n(C) The impact supplemental benefits have on&#8211;<br \/>\n(i) indicators of the quality of care received<br \/>\nby such enrollees, including overall health and<br \/>\nfunction of the enrollees;<br \/>\n(ii) the utilization of items and services for<br \/>\nwhich benefits are available under the original<br \/>\nMedicare fee-for-service program option under<br \/>\nparts A and B of such title XVIII by such<br \/>\nenrollees; and<br \/>\n(iii) the amount of the bids submitted by<br \/>\nMedicare Advantage Organizations for Medicare<br \/>\nAdvantage plans under such part C.<br \/>\n(2) Consultation.&#8211;In conducting the study under paragraph<br \/>\n(1), the Comptroller General shall, as necessary, consult with<br \/>\nthe Centers for Medicare &amp; Medicaid Services and Medicare<br \/>\nAdvantage organizations offering Medicare Advantage plans.<br \/>\n(3) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Report.&#8211;Not later than 5<br \/>\nyears after the date of the enactment of this Act, the<br \/>\nComptroller General shall submit to Congress a report containing<br \/>\nthe results of the study conducted under paragraph (1), together<br \/>\nwith recommendations for such legislation and administrative<br \/>\naction as the Comptroller General determines appropriate.<br \/>\nSEC. 50323. INCREASING CONVENIENCE FOR MEDICARE ADVANTAGE<br \/>\nENROLLEES THROUGH TELEHEALTH.<\/p>\n<p>(a) In General.&#8211;Section 1852 of the Social Security Act (42 U.S.C.<br \/>\n1395w-22) is amended&#8211;<br \/>\n(1) in subsection (a)(1)(B)(i), by inserting &#8220;, subject to<br \/>\nsubsection (m),&#8221; after &#8220;means&#8221;; and<br \/>\n(2) by adding at the end the following new subsection:<\/p>\n<p>&#8220;(m) Provision of Additional Telehealth Benefits.&#8211;<br \/>\n&#8220;(1) MA plan option.&#8211;For plan year 2020 and subsequent<br \/>\nplan years, subject to the requirements of paragraph (3), an MA<br \/>\nplan may provide additional telehealth benefits (as defined in<br \/>\nparagraph (2)) to individuals enrolled under this part.<br \/>\n&#8220;(2) Additional telehealth benefits defined.&#8211;<br \/>\n&#8220;(A) In general.&#8211;For purposes of this subsection<br \/>\nand section 1854:<br \/>\n&#8220;(i) Definition.&#8211;The term `additional<br \/>\ntelehealth benefits&#8217; means services&#8211;<br \/>\n&#8220;(I) for which benefits are<br \/>\navailable under part B, including<br \/>\nservices for which payment is not made<br \/>\nunder section 1834(m) due to the<br \/>\nconditions for payment under such<br \/>\nsection; and<br \/>\n&#8220;(II) that are identified for such<br \/>\nyear as clinically appropriate to<br \/>\nfurnish using electronic information and<br \/>\ntelecommunications technology when a<br \/>\nphysician (as defined in section<br \/>\n1861(r)) or practitioner (described in<br \/>\nsection 1842(b)(18)(C)) providing the<br \/>\nservice is not at the same location as<br \/>\nthe plan enrollee.<\/p>\n<p>[[Page 132 STAT. 203]]<\/p>\n<p>&#8220;(ii) Exclusion of capital and infrastructure<br \/>\ncosts and investments.&#8211;The term `additional<br \/>\ntelehealth benefits&#8217; does not include capital and<br \/>\ninfrastructure costs and investments relating to<br \/>\nsuch benefits.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Deadline.&gt;&gt; Public comment.&#8211;Not<br \/>\nlater than November 30, 2018, the Secretary shall<br \/>\nsolicit comments on&#8211;<br \/>\n&#8220;(i) what types of items and services<br \/>\n(including those provided through supplemental<br \/>\nhealth care benefits, such as remote patient<br \/>\nmonitoring, secure messaging, store and forward<br \/>\ntechnologies, and other non-face-to-face<br \/>\ncommunication) should be considered to be<br \/>\nadditional telehealth benefits; and<br \/>\n&#8220;(ii) the requirements for the provision or<br \/>\nfurnishing of such benefits (such as training and<br \/>\ncoordination requirements).<br \/>\n&#8220;(3) Requirements for additional telehealth benefits.&#8211;The<br \/>\nSecretary shall specify requirements for the provision or<br \/>\nfurnishing of additional telehealth benefits, including with<br \/>\nrespect to the following:<br \/>\n&#8220;(A) Physician or practitioner qualifications<br \/>\n(other than licensure) and other requirements such as<br \/>\nspecific training.<br \/>\n&#8220;(B) Factors necessary for the coordination of such<br \/>\nbenefits with other items and services including those<br \/>\nfurnished in-person.<br \/>\n&#8220;(C) &lt;&lt;NOTE: Determination.&gt;&gt; Such other areas as<br \/>\ndetermined by the Secretary.<br \/>\n&#8220;(4) Enrollee choice.&#8211;If an MA plan provides a service as<br \/>\nan additional telehealth benefit (as defined in paragraph (2))&#8211;<br \/>\n&#8220;(A) the MA plan shall also provide access to such<br \/>\nbenefit through an in-person visit (and not only as an<br \/>\nadditional telehealth benefit); and<br \/>\n&#8220;(B) an individual enrollee shall have discretion<br \/>\nas to whether to receive such service through the in-<br \/>\nperson visit or as an additional telehealth benefit.<br \/>\n&#8220;(5) Treatment under ma.&#8211;For purposes of this subsection<br \/>\nand section 1854, if a plan provides additional telehealth<br \/>\nbenefits, such additional telehealth benefits shall be treated<br \/>\nas if they were benefits under the original Medicare fee-for-<br \/>\nservice program option.<br \/>\n&#8220;(6) Construction.&#8211;Nothing in this subsection shall be<br \/>\nconstrued as affecting the requirement under subsection (a)(1)<br \/>\nthat MA plans provide enrollees with items and services (other<br \/>\nthan hospice care) for which benefits are available under parts<br \/>\nA and B, including benefits available under section 1834(m).&#8221;.<\/p>\n<p>(b) Clarification Regarding Inclusion in Bid Amount.&#8211;Section<br \/>\n1854(a)(6)(A)(ii)(I) of the Social Security Act (42 U.S.C. 1395w-<br \/>\n24(a)(6)(A)(ii)(I)) is amended by inserting &#8220;, including, for plan year<br \/>\n2020 and subsequent plan years, the provision of additional telehealth<br \/>\nbenefits as described in section 1852(m)&#8221; before the semicolon at the<br \/>\nend.<br \/>\nSEC. 50324. PROVIDING ACCOUNTABLE CARE ORGANIZATIONS THE ABILITY<br \/>\nTO EXPAND THE USE OF TELEHEALTH.<\/p>\n<p>(a) In General.&#8211;Section 1899 of the Social Security Act (42 U.S.C.<br \/>\n1395jjj) is amended by adding at the end the following new subsection:<\/p>\n<p>[[Page 132 STAT. 204]]<\/p>\n<p>&#8220;(l) Providing ACOs the Ability To Expand the Use of Telehealth<br \/>\nServices.&#8211;<br \/>\n&#8220;(1) In general.&#8211;In the case of telehealth services for<br \/>\nwhich payment would otherwise be made under this title furnished<br \/>\non or after January 1, 2020, for purposes of this subsection<br \/>\nonly, the following shall apply with respect to such services<br \/>\nfurnished by a physician or practitioner participating in an<br \/>\napplicable ACO (as defined in paragraph (2)) to a Medicare fee-<br \/>\nfor-service beneficiary assigned to the applicable ACO:<br \/>\n&#8220;(A) Inclusion of home as originating site.&#8211;<br \/>\nSubject to paragraph (3), the home of a beneficiary<br \/>\nshall be treated as an originating site described in<br \/>\nsection 1834(m)(4)(C)(ii).<br \/>\n&#8220;(B) No application of geographic limitation.&#8211;The<br \/>\ngeographic limitation under section 1834(m)(4)(C)(i)<br \/>\nshall not apply with respect to an originating site<br \/>\ndescribed in section 1834(m)(4)(C)(ii) (including the<br \/>\nhome of a beneficiary under subparagraph (A)), subject<br \/>\nto State licensing requirements.<br \/>\n&#8220;(2) Definitions.&#8211;In this subsection:<br \/>\n&#8220;(A) Applicable aco.&#8211;The term `applicable ACO&#8217;<br \/>\nmeans an ACO participating in a model tested or expanded<br \/>\nunder section 1115A or under this section&#8211;<br \/>\n&#8220;(i) that operates under a two-sided model&#8211;<br \/>\n&#8220;(I) described in section<br \/>\n425.600(a) of title 42, Code of Federal<br \/>\nRegulations; or<br \/>\n&#8220;(II) tested or expanded under<br \/>\nsection 1115A; and<br \/>\n&#8220;(ii) for which Medicare fee-for-service<br \/>\nbeneficiaries are assigned to the ACO using a<br \/>\nprospective assignment method, as determined<br \/>\nappropriate by the Secretary.<br \/>\n&#8220;(B) Home.&#8211;The term `home&#8217; means, with respect to<br \/>\na Medicare fee-for-service beneficiary, the place of<br \/>\nresidence used as the home of the beneficiary.<br \/>\n&#8220;(3) &lt;&lt;NOTE: Applicability.&gt;&gt; Telehealth services received<br \/>\nin the home.&#8211;In the case of telehealth services described in<br \/>\nparagraph (1) where the home of a Medicare fee-for-service<br \/>\nbeneficiary is the originating site, the following shall apply:<br \/>\n&#8220;(A) No facility fee.&#8211;There shall be no facility<br \/>\nfee paid to the originating site under section<br \/>\n1834(m)(2)(B).<br \/>\n&#8220;(B) Exclusion of certain services.&#8211;No payment may<br \/>\nbe made for such services that are inappropriate to<br \/>\nfurnish in the home setting such as services that are<br \/>\ntypically furnished in inpatient settings such as a<br \/>\nhospital.&#8221;.<\/p>\n<p>(b) Study and Report.&#8211;<br \/>\n(1) Study.&#8211;<br \/>\n(A) In general.&#8211; &lt;&lt;NOTE: 42 USC 1395jjj note.&gt;&gt; The<br \/>\nSecretary of Health and Human Services (in this<br \/>\nsubsection referred to as the &#8220;Secretary&#8221;) shall<br \/>\nconduct a study on the implementation of section 1899(l)<br \/>\nof the Social Security Act, as added by subsection<br \/>\n(a). &lt;&lt;NOTE: Analysis.&gt;&gt; Such study shall include an<br \/>\nanalysis of the utilization of, and expenditures for,<br \/>\ntelehealth services under such section.<br \/>\n(B) Collection of data.&#8211;The Secretary may collect<br \/>\nsuch data as the Secretary determines necessary to carry<br \/>\nout the study under this paragraph.<\/p>\n<p>[[Page 132 STAT. 205]]<\/p>\n<p>(2) &lt;&lt;NOTE: Recommenda- tions. 42 USC 1395jjj note.&gt;&gt;<br \/>\nReport.&#8211;Not later than January 1, 2026, the Secretary shall<br \/>\nsubmit to Congress a report containing the results of the study<br \/>\nconducted under paragraph (1), together with recommendations for<br \/>\nsuch legislation and administrative action as the Secretary<br \/>\ndetermines appropriate.<br \/>\nSEC. 50325. EXPANDING THE USE OF TELEHEALTH FOR INDIVIDUALS WITH<br \/>\nSTROKE.<\/p>\n<p>Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)), as<br \/>\namended by section 50302(b)(1), is amended&#8211;<br \/>\n(1) in paragraph (4)(C)(i), in the matter preceding<br \/>\nsubclause (I), by striking &#8220;The term&#8221; and inserting &#8220;Except<br \/>\nas provided in paragraph (6), the term&#8221;; and<br \/>\n(2) by adding at the end the following new paragraph:<br \/>\n&#8220;(6) Treatment of stroke telehealth services.&#8211;<br \/>\n&#8220;(A) Non-application of originating site<br \/>\nrequirements.&#8211; &lt;&lt;NOTE: Determination.&gt;&gt; The<br \/>\nrequirements described in paragraph (4)(C) shall not<br \/>\napply with respect to telehealth services furnished on<br \/>\nor after January 1, 2019, for purposes of diagnosis,<br \/>\nevaluation, or treatment of symptoms of an acute stroke,<br \/>\nas determined by the Secretary.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Definition.&gt;&gt; Inclusion of certain<br \/>\nsites.&#8211;With respect to telehealth services described in<br \/>\nsubparagraph (A), the term `originating site&#8217; shall<br \/>\ninclude any hospital (as defined in section 1861(e)) or<br \/>\ncritical access hospital (as defined in section<br \/>\n1861(mm)(1)), any mobile stroke unit (as defined by the<br \/>\nSecretary), or any other site determined appropriate by<br \/>\nthe Secretary, at which the eligible telehealth<br \/>\nindividual is located at the time the service is<br \/>\nfurnished via a telecommunications system.<br \/>\n&#8220;(C) No originating site facility fee for new<br \/>\nsites.&#8211;No facility fee shall be paid under paragraph<br \/>\n(2)(B) to an originating site with respect to a<br \/>\ntelehealth service described in subparagraph (A) if the<br \/>\noriginating site does not otherwise meet the<br \/>\nrequirements for an originating site under paragraph<br \/>\n(4)(C).&#8221;.<\/p>\n<p>Subtitle D&#8211;Identifying the Chronically Ill Population<\/p>\n<p>SEC. 50331. PROVIDING FLEXIBILITY FOR BENEFICIARIES TO BE PART OF<br \/>\nAN ACCOUNTABLE CARE ORGANIZATION.<\/p>\n<p>Section 1899(c) of the Social Security Act (42 U.S.C. 1395jjj(c)) is<br \/>\namended&#8211;<br \/>\n(1) by redesignating paragraphs (1) and (2) as subparagraphs<br \/>\n(A) and (B), respectively, and indenting appropriately;<br \/>\n(2) by striking &#8220;ACOs.&#8211;The Secretary&#8221; and inserting<br \/>\n&#8220;ACOs.&#8211;<br \/>\n&#8220;(1) In general.&#8211;Subject to paragraph (2), the<br \/>\nSecretary&#8221;; and<br \/>\n(3) by adding at the end the following new paragraph:<br \/>\n&#8220;(2) Providing flexibility.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Contracts.&gt;&gt; Choice of prospective<br \/>\nassignment.&#8211;For each agreement period (effective for<br \/>\nagreements entered into or renewed on or after January<br \/>\n1, 2020), in the case where an ACO established under the<br \/>\nprogram is in a Track that<\/p>\n<p>[[Page 132 STAT. 206]]<\/p>\n<p>provides for the retrospective assignment of Medicare<br \/>\nfee-for-service beneficiaries to the ACO, the Secretary<br \/>\nshall permit the ACO to choose to have Medicare fee-for-<br \/>\nservice beneficiaries assigned prospectively, rather<br \/>\nthan retrospectively, to the ACO for an agreement<br \/>\nperiod.<br \/>\n&#8220;(B) Assignment based on voluntary identification<br \/>\nby medicare fee-for-service beneficiaries.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Determination.&gt;&gt; In general.&#8211;<br \/>\nFor performance year 2018 and each subsequent<br \/>\nperformance year, if a system is available for<br \/>\nelectronic designation, the Secretary shall permit<br \/>\na Medicare fee-for-service beneficiary to<br \/>\nvoluntarily identify an ACO professional as the<br \/>\nprimary care provider of the beneficiary for<br \/>\npurposes of assigning such beneficiary to an ACO,<br \/>\nas determined by the Secretary.<br \/>\n&#8220;(ii) Notification process.&#8211;The Secretary<br \/>\nshall establish a process under which a Medicare<br \/>\nfee-for-service beneficiary is&#8211;<br \/>\n&#8220;(I) notified of their ability to<br \/>\nmake an identification described in<br \/>\nclause (i); and<br \/>\n&#8220;(II) informed of the process by<br \/>\nwhich they may make and change such<br \/>\nidentification.<br \/>\n&#8220;(iii) &lt;&lt;NOTE: Determination.&gt;&gt; Superseding<br \/>\nclaims-based assignment.&#8211;A voluntary<br \/>\nidentification by a Medicare fee-for-service<br \/>\nbeneficiary under this subparagraph shall<br \/>\nsupersede any claims-based assignment otherwise<br \/>\ndetermined by the Secretary.&#8221;.<\/p>\n<p>Subtitle E&#8211;Empowering Individuals and Caregivers in Care Delivery<\/p>\n<p>SEC. 50341. ELIMINATING BARRIERS TO CARE COORDINATION UNDER<br \/>\nACCOUNTABLE CARE ORGANIZATIONS.<\/p>\n<p>(a) In General.&#8211;Section 1899 of the Social Security Act (42 U.S.C.<br \/>\n1395jjj), as amended by section 50324(a), is amended&#8211;<br \/>\n(1) in subsection (b)(2), by adding at the end the following<br \/>\nnew subparagraph:<br \/>\n&#8220;(I) &lt;&lt;NOTE: Application.&gt;&gt; An ACO that seeks to<br \/>\noperate an ACO Beneficiary Incentive Program pursuant to<br \/>\nsubsection (m) shall apply to the Secretary at such<br \/>\ntime, in such manner, and with such information as the<br \/>\nSecretary may require.&#8221;;<br \/>\n(2) by adding at the end the following new subsection:<\/p>\n<p>&#8220;(m) Authority To Provide Incentive Payments to Beneficiaries With<br \/>\nRespect to Qualifying Primary Care Services.&#8211;<br \/>\n&#8220;(1) Program.&#8211;<br \/>\n&#8220;(A) In general.&#8211;In order to encourage Medicare<br \/>\nfee-for-service beneficiaries to obtain medically<br \/>\nnecessary primary care services, an ACO participating<br \/>\nunder this section under a payment model described in<br \/>\nclause (i) or (ii) of paragraph (2)(B) may apply to<br \/>\nestablish an ACO Beneficiary Incentive Program to<br \/>\nprovide incentive payments to such beneficiaries who are<br \/>\nfurnished qualifying services in accordance with this<br \/>\nsubsection. The Secretary shall permit such an ACO to<br \/>\nestablish such a program at the Secretary&#8217;s discretion<br \/>\nand subject to such requirements,<\/p>\n<p>[[Page 132 STAT. 207]]<\/p>\n<p>including program integrity requirements, as the<br \/>\nSecretary determines necessary.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Determination.&gt;&gt; Implementation.&#8211;The<br \/>\nSecretary shall implement this subsection on a date<br \/>\ndetermined appropriate by the Secretary. &lt;&lt;NOTE: Time<br \/>\nperiod.&gt;&gt; Such date shall be no earlier than January 1,<br \/>\n2019, and no later than January 1, 2020.<br \/>\n&#8220;(2) Conduct of program.&#8211;<br \/>\n&#8220;(A) Duration.&#8211;Subject to subparagraph (H), an ACO<br \/>\nBeneficiary Incentive Program established under this<br \/>\nsubsection shall be conducted for such period (of not<br \/>\nless than 1 year) as the Secretary may approve.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Determinations.&gt;&gt; Scope.&#8211;An ACO<br \/>\nBeneficiary Incentive Program established under this<br \/>\nsubsection shall provide incentive payments to all of<br \/>\nthe following Medicare fee-for-service beneficiaries who<br \/>\nare furnished qualifying services by the ACO:<br \/>\n&#8220;(i) With respect to the Track 2 and Track 3<br \/>\npayment models described in section 425.600(a) of<br \/>\ntitle 42, Code of Federal Regulations (or in any<br \/>\nsuccessor regulation), Medicare fee-for-service<br \/>\nbeneficiaries who are preliminarily prospectively<br \/>\nor prospectively assigned (or otherwise assigned,<br \/>\nas determined by the Secretary) to the ACO.<br \/>\n&#8220;(ii) With respect to any future payment<br \/>\nmodels involving two-sided risk, Medicare fee-for-<br \/>\nservice beneficiaries who are assigned to the ACO,<br \/>\nas determined by the Secretary.<br \/>\n&#8220;(C) Qualifying service.&#8211;For purposes of this<br \/>\nsubsection, a qualifying service is a primary care<br \/>\nservice, as defined in section 425.20 of title 42, Code<br \/>\nof Federal Regulations (or in any successor regulation),<br \/>\nwith respect to which coinsurance applies under part B,<br \/>\nfurnished through an ACO by&#8211;<br \/>\n&#8220;(i) an ACO professional described in<br \/>\nsubsection (h)(1)(A) who has a primary care<br \/>\nspecialty designation included in the definition<br \/>\nof primary care physician under section 425.20 of<br \/>\ntitle 42, Code of Federal Regulations (or any<br \/>\nsuccessor regulation);<br \/>\n&#8220;(ii) an ACO professional described in<br \/>\nsubsection (h)(1)(B); or<br \/>\n&#8220;(iii) a Federally qualified health center or<br \/>\nrural health clinic (as such terms are defined in<br \/>\nsection 1861(aa)).<br \/>\n&#8220;(D) Incentive payments.&#8211;An incentive payment made<br \/>\nby an ACO pursuant to an ACO Beneficiary Incentive<br \/>\nProgram established under this subsection shall be&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Time period.&gt;&gt; in an amount up<br \/>\nto $20, with such maximum amount updated annually<br \/>\nby the percentage increase in the consumer price<br \/>\nindex for all urban consumers (United States city<br \/>\naverage) for the 12-month period ending with June<br \/>\nof the previous year;<br \/>\n&#8220;(ii) in the same amount for each Medicare<br \/>\nfee-for-service beneficiary described in clause<br \/>\n(i) or (ii) of subparagraph (B) without regard to<br \/>\nenrollment of such a beneficiary in a medicare<br \/>\nsupplemental policy (described in section<br \/>\n1882(g)(1)), in a State Medicaid plan under title<br \/>\nXIX or a waiver of such a plan, or<\/p>\n<p>[[Page 132 STAT. 208]]<\/p>\n<p>in any other health insurance policy or health<br \/>\nbenefit plan;<br \/>\n&#8220;(iii) made for each qualifying service<br \/>\nfurnished to such a beneficiary described in<br \/>\nclause (i) or (ii) of subparagraph (B) during a<br \/>\nperiod specified by the Secretary; and<br \/>\n&#8220;(iv) &lt;&lt;NOTE: Deadline.&gt;&gt; made no later than<br \/>\n30 days after a qualifying service is furnished to<br \/>\nsuch a beneficiary described in clause (i) or (ii)<br \/>\nof subparagraph (B).<br \/>\n&#8220;(E) No separate payments from the secretary.&#8211;The<br \/>\nSecretary shall not make any separate payment to an ACO<br \/>\nfor the costs, including incentive payments, of carrying<br \/>\nout an ACO Beneficiary Incentive Program established<br \/>\nunder this subsection. Nothing in this subparagraph<br \/>\nshall be construed as prohibiting an ACO from using<br \/>\nshared savings received under this section to carry out<br \/>\nan ACO Beneficiary Incentive Program.<br \/>\n&#8220;(F) No application to shared savings<br \/>\ncalculation.&#8211;Incentive payments made by an ACO under<br \/>\nthis subsection shall be disregarded for purposes of<br \/>\ncalculating benchmarks, estimated average per capita<br \/>\nMedicare expenditures, and shared savings under this<br \/>\nsection.<br \/>\n&#8220;(G) Reporting requirements.&#8211;An ACO conducting an<br \/>\nACO Beneficiary Incentive Program under this subsection<br \/>\nshall, at such times and in such format as the Secretary<br \/>\nmay require, report to the Secretary such information<br \/>\nand retain such documentation as the Secretary may<br \/>\nrequire, including the amount and frequency of incentive<br \/>\npayments made and the number of Medicare fee-for-service<br \/>\nbeneficiaries receiving such payments.<br \/>\n&#8220;(H) Termination.&#8211;The Secretary may terminate an<br \/>\nACO Beneficiary Incentive Program established under this<br \/>\nsubsection at any time for reasons determined<br \/>\nappropriate by the Secretary.<br \/>\n&#8220;(3) Exclusion of incentive payments.&#8211;Any payment made<br \/>\nunder an ACO Beneficiary Incentive Program established under<br \/>\nthis subsection shall not be considered income or resources or<br \/>\notherwise taken into account for purposes of&#8211;<br \/>\n&#8220;(A) determining eligibility for benefits or<br \/>\nassistance (or the amount or extent of benefits or<br \/>\nassistance) under any Federal program or under any State<br \/>\nor local program financed in whole or in part with<br \/>\nFederal funds; or<br \/>\n&#8220;(B) any Federal or State laws relating to<br \/>\ntaxation.&#8221;;<br \/>\n(3) in subsection (e), by inserting &#8220;, including an ACO<br \/>\nBeneficiary Incentive Program under subsections (b)(2)(I) and<br \/>\n(m)&#8221; after &#8220;the program&#8221;; and<br \/>\n(4) in subsection (g)(6), by inserting &#8220;or of an ACO<br \/>\nBeneficiary Incentive Program under subsections (b)(2)(I) and<br \/>\n(m)&#8221; after &#8220;under subsection (d)(4)&#8221;.<\/p>\n<p>(b) Amendment to Section 1128B.&#8211;Section 1128B(b)(3) of the Social<br \/>\nSecurity Act (42 U.S.C. 1320a-7b(b)(3)) is amended&#8211;<br \/>\n(1) by striking &#8220;and&#8221; at the end of subparagraph (I);<br \/>\n(2) by striking the period at the end of subparagraph (J)<br \/>\nand inserting &#8220;; and&#8221;; and<br \/>\n(3) by adding at the end the following new subparagraph:<\/p>\n<p>[[Page 132 STAT. 209]]<\/p>\n<p>&#8220;(K) an incentive payment made to a Medicare fee-<br \/>\nfor-service beneficiary by an ACO under an ACO<br \/>\nBeneficiary Incentive Program established under<br \/>\nsubsection (m) of section 1899, if the payment is made<br \/>\nin accordance with the requirements of such subsection<br \/>\nand meets such other conditions as the Secretary may<br \/>\nestablish.&#8221;.<\/p>\n<p>(c) Evaluation and Report.&#8211;<br \/>\n(1) Evaluation.&#8211;The Secretary of Health and Human Services<br \/>\n(in this subsection referred to as the &#8220;Secretary&#8221;) shall<br \/>\nconduct an evaluation of the ACO Beneficiary Incentive Program<br \/>\nestablished under subsections (b)(2)(I) and (m) of section 1899<br \/>\nof the Social Security Act (42 U.S.C. 1395jjj), as added by<br \/>\nsubsection (a). &lt;&lt;NOTE: Analysis.&gt;&gt; The evaluation shall<br \/>\ninclude an analysis of the impact of the implementation of the<br \/>\nProgram on expenditures and beneficiary health outcomes under<br \/>\ntitle XVIII of the Social Security Act (42 U.S.C. 1395 et seq.).<br \/>\n(2) Report.&#8211; &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Not later than<br \/>\nOctober 1, 2023, the Secretary shall submit to Congress a report<br \/>\ncontaining the results of the evaluation under paragraph (1),<br \/>\ntogether with recommendations for such legislation and<br \/>\nadministrative action as the Secretary determines appropriate.<br \/>\nSEC. 50342. GAO STUDY AND REPORT ON LONGITUDINAL COMPREHENSIVE<br \/>\nCARE PLANNING SERVICES UNDER MEDICARE<br \/>\nPART B.<\/p>\n<p>(a) Study.&#8211;The Comptroller General shall conduct a study on the<br \/>\nestablishment under part B of the Medicare program under title XVIII of<br \/>\nthe Social Security Act of a payment code for a visit for longitudinal<br \/>\ncomprehensive care planning services. &lt;&lt;NOTE: Analysis.&gt;&gt; Such study<br \/>\nshall include an analysis of the following to the extent such<br \/>\ninformation is available:<br \/>\n(1) The frequency with which services similar to<br \/>\nlongitudinal comprehensive care planning services are furnished<br \/>\nto Medicare beneficiaries, which providers of services and<br \/>\nsuppliers are furnishing those services, whether Medicare<br \/>\nreimbursement is being received for those services, and, if so,<br \/>\nthrough which codes those services are being reimbursed.<br \/>\n(2) Whether, and the extent to which, longitudinal<br \/>\ncomprehensive care planning services would overlap, and could<br \/>\ntherefore result in duplicative payment, with services covered<br \/>\nunder the hospice benefit as well as the chronic care management<br \/>\ncode, evaluation and management codes, or other codes that<br \/>\nalready exist under part B of the Medicare program.<br \/>\n(3) Any barriers to hospitals, skilled nursing facilities,<br \/>\nhospice programs, home health agencies, and other applicable<br \/>\nproviders working with a Medicare beneficiary to engage in the<br \/>\ncare planning process and complete the necessary documentation<br \/>\nto support the treatment and care plan of the beneficiary and<br \/>\nprovide such documentation to other providers and the<br \/>\nbeneficiary or the beneficiary&#8217;s representative.<br \/>\n(4) Any barriers to providers, other than the provider<br \/>\nfurnishing longitudinal comprehensive care planning services,<br \/>\naccessing the care plan and associated documentation for use<br \/>\nrelated to the care of the Medicare beneficiary.<br \/>\n(5) Potential options for ensuring that applicable providers<br \/>\nare notified of a patient&#8217;s existing longitudinal care plan and<br \/>\nthat applicable providers consider that plan in making their<\/p>\n<p>[[Page 132 STAT. 210]]<\/p>\n<p>treatment decisions, and what the challenges might be in<br \/>\nimplementing such options.<br \/>\n(6) Stakeholder&#8217;s views on the need for the development of<br \/>\nquality metrics with respect to longitudinal comprehensive care<br \/>\nplanning services, such as measures related to&#8211;<br \/>\n(A) the process of eliciting input from the Medicare<br \/>\nbeneficiary or from a legally authorized representative<br \/>\nand documenting in the medical record the patient-<br \/>\ndirected care plan;<br \/>\n(B) the effectiveness and patient-centeredness of<br \/>\nthe care plan in organizing delivery of services<br \/>\nconsistent with the plan;<br \/>\n(C) the availability of the care plan and associated<br \/>\ndocumentation to other providers that care for the<br \/>\nbeneficiary; and<br \/>\n(D) the extent to which the beneficiary received<br \/>\nservices and support that is free from discrimination<br \/>\nbased on advanced age, disability status, or advanced<br \/>\nillness.<br \/>\n(7) Stakeholder&#8217;s views on how such quality metrics would<br \/>\nprovide information on&#8211;<br \/>\n(A) the goals, values, and preferences of the<br \/>\nbeneficiary;<br \/>\n(B) the documentation of the care plan;<br \/>\n(C) services furnished to the beneficiary; and<br \/>\n(D) outcomes of treatment.<br \/>\n(8) Stakeholder&#8217;s views on&#8211;<br \/>\n(A) the type of training and education needed for<br \/>\napplicable providers, individuals, and caregivers in<br \/>\norder to facilitate longitudinal comprehensive care<br \/>\nplanning services;<br \/>\n(B) the types of providers of services and suppliers<br \/>\nthat should be included in the interdisciplinary team of<br \/>\nan applicable provider; and<br \/>\n(C) the characteristics of Medicare beneficiaries<br \/>\nthat would be most appropriate to receive longitudinal<br \/>\ncomprehensive care planning services, such as<br \/>\nindividuals with advanced disease and individuals who<br \/>\nneed assistance with multiple activities of daily<br \/>\nliving.<br \/>\n(9) Stakeholder&#8217;s views on the frequency with which<br \/>\nlongitudinal comprehensive care planning services should be<br \/>\nfurnished.<\/p>\n<p>(b) Report.&#8211; &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Not later than 18 months<br \/>\nafter the date of the enactment of this Act, the Comptroller General<br \/>\nshall submit to Congress a report containing the results of the study<br \/>\nconducted under subsection (a), together with recommendations for such<br \/>\nlegislation and administrative action as the Comptroller General<br \/>\ndetermines appropriate.<\/p>\n<p>(c) Definitions.&#8211;In this section:<br \/>\n(1) Applicable provider.&#8211;The term &#8220;applicable provider&#8221;<br \/>\nmeans a hospice program (as defined in subsection (dd)(2) of<br \/>\nsection 1861 of the Social Security Act (42 U.S.C. 1395ww)) or<br \/>\nother provider of services (as defined in subsection (u) of such<br \/>\nsection) or supplier (as defined in subsection (d) of such<br \/>\nsection) that&#8211;<br \/>\n(A) furnishes longitudinal comprehensive care<br \/>\nplanning services through an interdisciplinary team; and<br \/>\n(B) meets such other requirements as the Secretary<br \/>\nmay determine to be appropriate.<\/p>\n<p>[[Page 132 STAT. 211]]<\/p>\n<p>(2) Comptroller general.&#8211;The term &#8220;Comptroller General&#8221;<br \/>\nmeans the Comptroller General of the United States.<br \/>\n(3) Interdisciplinary team.&#8211;The term &#8220;interdisciplinary<br \/>\nteam&#8221; means a group that&#8211;<br \/>\n(A) includes the personnel described in subsection<br \/>\n(dd)(2)(B)(i) of such section 1861;<br \/>\n(B) may include a chaplain, minister, or other<br \/>\nclergy; and<br \/>\n(C) may include other direct care personnel.<br \/>\n(4) Longitudinal comprehensive care planning services.&#8211;The<br \/>\nterm &#8220;longitudinal comprehensive care planning services&#8221; means<br \/>\na voluntary shared decisionmaking process that is furnished by<br \/>\nan applicable provider through an interdisciplinary team and<br \/>\nincludes a conversation with Medicare beneficiaries who have<br \/>\nreceived a diagnosis of a serious or life-threatening illness.<br \/>\nThe purpose of such services is to discuss a longitudinal care<br \/>\nplan that addresses the progression of the disease, treatment<br \/>\noptions, the goals, values, and preferences of the beneficiary,<br \/>\nand the availability of other resources and social supports that<br \/>\nmay reduce the beneficiary&#8217;s health risks and promote self-<br \/>\nmanagement and shared decisionmaking.<br \/>\n(5) Secretary.&#8211;The term &#8220;Secretary&#8221; means the Secretary<br \/>\nof Health and Human Services.<\/p>\n<p>Subtitle F&#8211;Other Policies to Improve Care for the Chronically Ill<\/p>\n<p>SEC. 50351. GAO STUDY AND REPORT ON IMPROVING MEDICATION<br \/>\nSYNCHRONIZATION.<\/p>\n<p>(a) Study.&#8211;The Comptroller General of the United States (in this<br \/>\nsection referred to as the &#8220;Comptroller General&#8221;) shall conduct a<br \/>\nstudy on the extent to which Medicare prescription drug plans (MA-PD<br \/>\nplans and stand alone prescription drug plans) under part D of title<br \/>\nXVIII of the Social Security Act and private payors use programs that<br \/>\nsynchronize pharmacy dispensing so that individuals may receive multiple<br \/>\nprescriptions on the same day to facilitate comprehensive counseling and<br \/>\npromote medication adherence. &lt;&lt;NOTE: Analysis.&gt;&gt; The study shall<br \/>\ninclude a analysis of the following:<br \/>\n(1) The extent to which pharmacies have adopted such<br \/>\nprograms.<br \/>\n(2) The common characteristics of such programs, including<br \/>\nhow pharmacies structure counseling sessions under such programs<br \/>\nand the types of payment and other arrangements that Medicare<br \/>\nprescription drug plans and private payors employ under such<br \/>\nprograms to support the efforts of pharmacies.<br \/>\n(3) How such programs compare for Medicare prescription drug<br \/>\nplans and private payors.<br \/>\n(4) What is known about how such programs affect patient<br \/>\nmedication adherence and overall patient health outcomes,<br \/>\nincluding if adherence and outcomes vary by patient<br \/>\nsubpopulations, such as disease state and socioeconomic status.<br \/>\n(5) What is known about overall patient satisfaction with<br \/>\nsuch programs and satisfaction with such programs, including<br \/>\nwithin patient subpopulations, such as disease state and<br \/>\nsocioeconomic status.<\/p>\n<p>[[Page 132 STAT. 212]]<\/p>\n<p>(6) The extent to which laws and regulations of the Medicare<br \/>\nprogram support such programs.<br \/>\n(7) Barriers to the use of medication synchronization<br \/>\nprograms by Medicare prescription drug plans.<\/p>\n<p>(b) Report.&#8211; &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Not later than 18 months<br \/>\nafter the date of the enactment of this Act, the Comptroller General<br \/>\nshall submit to Congress a report containing the results of the study<br \/>\nunder subsection (a), together with recommendations for such legislation<br \/>\nand administrative action as the Comptroller General determines<br \/>\nappropriate.<br \/>\nSEC. 50352. GAO STUDY AND REPORT ON IMPACT OF OBESITY DRUGS ON<br \/>\nPATIENT HEALTH AND SPENDING.<\/p>\n<p>(a) Study.&#8211;The Comptroller General of the United States (in this<br \/>\nsection referred to as the &#8220;Comptroller General&#8221;) shall, to the extent<br \/>\ndata are available, conduct a study on the use of prescription drugs to<br \/>\nmanage the weight of obese patients and the impact of coverage of such<br \/>\ndrugs on patient health and on health care spending. Such study shall<br \/>\nexamine the use and impact of these obesity drugs in the non-Medicare<br \/>\npopulation and for Medicare beneficiaries who have such drugs covered<br \/>\nthrough an MA-PD plan (as defined in section 1860D-1(a)(3)(C) of the<br \/>\nSocial Security Act (42 U.S.C. 1395w-101(a)(3)(C))) as a supplemental<br \/>\nhealth care benefit. &lt;&lt;NOTE: Analysis.&gt;&gt; The study shall include an<br \/>\nanalysis of the following:<br \/>\n(1) The prevalence of obesity in the Medicare and non-<br \/>\nMedicare population.<br \/>\n(2) The utilization of obesity drugs.<br \/>\n(3) The distribution of Body Mass Index by individuals<br \/>\ntaking obesity drugs, to the extent practicable.<br \/>\n(4) What is known about the use of obesity drugs in<br \/>\nconjunction with the receipt of other items or services, such as<br \/>\nbehavioral counseling, and how these compare to items and<br \/>\nservices received by obese individuals who do not take obesity<br \/>\ndrugs.<br \/>\n(5) Physician considerations and attitudes related to<br \/>\nprescribing obesity drugs.<br \/>\n(6) The extent to which coverage policies cease or limit<br \/>\ncoverage for individuals who fail to receive clinical benefit.<br \/>\n(7) What is known about the extent to which individuals who<br \/>\ntake obesity drugs adhere to the prescribed regimen.<br \/>\n(8) What is known about the extent to which individuals who<br \/>\ntake obesity drugs maintain weight loss over time.<br \/>\n(9) What is known about the subsequent impact such drugs<br \/>\nhave on medical services that are directly related to obesity,<br \/>\nincluding with respect to subpopulations determined based on the<br \/>\nextent of obesity.<br \/>\n(10) What is known about the spending associated with the<br \/>\ncare of individuals who take obesity drugs, compared to the<br \/>\nspending associated with the care of individuals who do not take<br \/>\nsuch drugs.<\/p>\n<p>(b) Report.&#8211; &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Not later than 18 months<br \/>\nafter the date of the enactment of this Act, the Comptroller General<br \/>\nshall submit to Congress a report containing the results of the study<br \/>\nunder subsection (a), together with recommendations for such legislation<br \/>\nand administrative action as the Comptroller General determines<br \/>\nappropriate.<\/p>\n<p>[[Page 132 STAT. 213]]<\/p>\n<p>SEC. 50353. HHS STUDY AND REPORT ON LONG-TERM RISK FACTORS FOR<br \/>\nCHRONIC CONDITIONS AMONG MEDICARE<br \/>\nBENEFICIARIES.<\/p>\n<p>(a) Study.&#8211;The Secretary of Health and Human Services (in this<br \/>\nsection referred to as the &#8220;Secretary&#8221;) shall conduct a study on long-<br \/>\nterm cost drivers to the Medicare program, including obesity, tobacco<br \/>\nuse, mental health conditions, and other factors that may contribute to<br \/>\nthe deterioration of health conditions among individuals with chronic<br \/>\nconditions in the Medicare population. The &lt;&lt;NOTE: Analysis.&gt;&gt; study<br \/>\nshall include an analysis of any barriers to collecting and analyzing<br \/>\nsuch information and how to remove any such barriers (including through<br \/>\nlegislation and administrative actions).<\/p>\n<p>(b) Report.&#8211; &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Not later than 18 months<br \/>\nafter the date of the enactment of this Act, the Secretary shall submit<br \/>\nto Congress a report containing the results of the study under<br \/>\nsubsection (a), together with recommendations for such legislation and<br \/>\nadministrative action as the Secretary determines<br \/>\nappropriate. &lt;&lt;NOTE: Web posting.&gt;&gt; The Secretary shall also post such<br \/>\nreport on the Internet website of the Department of Health and Human<br \/>\nServices.<br \/>\nSEC. 50354. PROVIDING PRESCRIPTION DRUG PLANS WITH PARTS A AND B<br \/>\nCLAIMS DATA TO PROMOTE THE APPROPRIATE<br \/>\nUSE OF MEDICATIONS AND IMPROVE HEALTH<br \/>\nOUTCOMES.<\/p>\n<p>Section 1860D-4(c) of the Social Security Act (42 U.S.C. 1395w-<br \/>\n104(c)) is amended by adding at the end the following new paragraph:<br \/>\n&#8220;(6) Providing prescription drug plans with parts a and b<br \/>\nclaims data to promote the appropriate use of medications and<br \/>\nimprove health outcomes.&#8211;<br \/>\n&#8220;(A) Process.&#8211;Subject to subparagraph (B), the<br \/>\nSecretary shall establish a process under which a PDP<br \/>\nsponsor of a prescription drug plan may submit a request<br \/>\nfor the Secretary to provide the sponsor, on a periodic<br \/>\nbasis and in an electronic format, beginning in plan<br \/>\nyear 2020, data described in subparagraph (D) with<br \/>\nrespect to enrollees in such plan. Such data shall be<br \/>\nprovided without regard to whether such enrollees are<br \/>\ndescribed in clause (ii) of paragraph (2)(A).<br \/>\n&#8220;(B) Purposes.&#8211;A PDP sponsor may use the data<br \/>\nprovided to the sponsor pursuant to subparagraph (A) for<br \/>\nany of the following purposes:<br \/>\n&#8220;(i) To optimize therapeutic outcomes through<br \/>\nimproved medication use, as such phrase is used in<br \/>\nclause (i) of paragraph (2)(A).<br \/>\n&#8220;(ii) To improving care coordination so as to<br \/>\nprevent adverse health outcomes, such as<br \/>\npreventable emergency department visits and<br \/>\nhospital readmissions.<br \/>\n&#8220;(iii) &lt;&lt;NOTE: Determination.&gt;&gt; For any<br \/>\nother purpose determined appropriate by the<br \/>\nSecretary.<br \/>\n&#8220;(C) Limitations on data use.&#8211;A PDP sponsor shall<br \/>\nnot use data provided to the sponsor pursuant to<br \/>\nsubparagraph (A) for any of the following purposes:<br \/>\n&#8220;(i) To inform coverage determinations under<br \/>\nthis part.<\/p>\n<p>[[Page 132 STAT. 214]]<\/p>\n<p>&#8220;(ii) To conduct retroactive reviews of<br \/>\nmedically accepted indications determinations.<br \/>\n&#8220;(iii) To facilitate enrollment changes to a<br \/>\ndifferent prescription drug plan or an MA-PD plan<br \/>\noffered by the same parent organization.<br \/>\n&#8220;(iv) To inform marketing of benefits.<br \/>\n&#8220;(v) &lt;&lt;NOTE: Determination.&gt;&gt; For any other<br \/>\npurpose that the Secretary determines is necessary<br \/>\nto include in order to protect the identity of<br \/>\nindividuals entitled to, or enrolled for, benefits<br \/>\nunder this title and to protect the security of<br \/>\npersonal health information.<br \/>\n&#8220;(D) &lt;&lt;NOTE: Determination.&gt;&gt; Data described.&#8211;The<br \/>\ndata described in this clause are standardized extracts<br \/>\n(as determined by the Secretary) of claims data under<br \/>\nparts A and B for items and services furnished under<br \/>\nsuch parts for time periods specified by the Secretary.<br \/>\nSuch data shall include data as current as<br \/>\npracticable.&#8221;.<\/p>\n<p>TITLE IV&#8211;PART B IMPROVEMENT ACT AND OTHER PART B ENHANCEMENTS<\/p>\n<p>Subtitle A&#8211;Medicare Part B Improvement Act<\/p>\n<p>SEC. 50401. HOME INFUSION THERAPY SERVICES TEMPORARY TRANSITIONAL<br \/>\nPAYMENT.<\/p>\n<p>(a) In General.&#8211;Section 1834(u) of the Social Security Act (42<br \/>\nU.S.C. 1395m(u)) is amended, by adding at the end the following new<br \/>\nparagraph:<br \/>\n&#8220;(7) Home infusion therapy services temporary transitional<br \/>\npayment.&#8211;<br \/>\n&#8220;(A) Temporary transitional payment.&#8211;<br \/>\n&#8220;(i) In general.&#8211;The Secretary shall, in<br \/>\naccordance with the payment methodology described<br \/>\nin subparagraph (B) and subject to the provisions<br \/>\nof this paragraph, provide a home infusion therapy<br \/>\nservices temporary transitional payment under this<br \/>\npart to an eligible home infusion supplier (as<br \/>\ndefined in subparagraph (F)) for items and<br \/>\nservices described in subparagraphs (A) and (B) of<br \/>\nsection 1861(iii)(2)) furnished during the period<br \/>\nspecified in clause (ii) by such supplier in<br \/>\ncoordination with the furnishing of transitional<br \/>\nhome infusion drugs (as defined in clause (iii)).<br \/>\n&#8220;(ii) Period specified.&#8211;For purposes of<br \/>\nclause (i), the period specified in this clause is<br \/>\nthe period beginning on January 1, 2019, and<br \/>\nending on the day before the date of the<br \/>\nimplementation of the payment system under<br \/>\nparagraph (1)(A).<br \/>\n&#8220;(iii) Transitional home infusion drug<br \/>\ndefined.&#8211;For purposes of this paragraph, the term<br \/>\n`transitional home infusion drug&#8217; has the meaning<br \/>\ngiven to the term `home infusion drug&#8217; under<br \/>\nsection 1861(iii)(3)(C)), except that clause (ii)<br \/>\nof such section shall not apply if a drug<br \/>\ndescribed in such clause<\/p>\n<p>[[Page 132 STAT. 215]]<\/p>\n<p>is identified in clauses (i), (ii), (iii) or (iv)<br \/>\nof subparagraph (C) as of the date of the<br \/>\nenactment of this paragraph.<br \/>\n&#8220;(B) Payment methodology.&#8211;For purposes of this<br \/>\nparagraph, the Secretary shall establish a payment<br \/>\nmethodology, with respect to items and services<br \/>\ndescribed in subparagraph (A)(i). Under such payment<br \/>\nmethodology the Secretary shall&#8211;<br \/>\n&#8220;(i) create the three payment categories<br \/>\ndescribed in clauses (i), (ii), and (iii) of<br \/>\nsubparagraph (C);<br \/>\n&#8220;(ii) assign drugs to such categories, in<br \/>\naccordance with such clauses;<br \/>\n&#8220;(iii) assign appropriate Healthcare Common<br \/>\nProcedure Coding System (HCPCS) codes to each<br \/>\npayment category; and<br \/>\n&#8220;(iv) establish a single payment amount for<br \/>\neach such payment category, in accordance with<br \/>\nsubparagraph (D), for each infusion drug<br \/>\nadministration calendar day in the individual&#8217;s<br \/>\nhome for drugs assigned to such category.<br \/>\n&#8220;(C) Payment categories.&#8211;<br \/>\n&#8220;(i) Payment category 1.&#8211;The Secretary shall<br \/>\ncreate a payment category 1 and assign to such<br \/>\ncategory drugs which are covered under the Local<br \/>\nCoverage Determination on External Infusion Pumps<br \/>\n(LCD number L33794) and billed with the following<br \/>\nHCPCS codes (as identified as of January 1, 2018,<br \/>\nand as subsequently modified by the Secretary):<br \/>\nJ0133, J0285, J0287, J0288, J0289, J0895, J1170,<br \/>\nJ1250, J1265, J1325, J1455, J1457, J1570, J2175,<br \/>\nJ2260, J2270, J2274, J2278, J3010, or J3285.<br \/>\n&#8220;(ii) Payment category 2.&#8211;The Secretary<br \/>\nshall create a payment category 2 and assign to<br \/>\nsuch category drugs which are covered under such<br \/>\nlocal coverage determination and billed with the<br \/>\nfollowing HCPCS codes (as identified as of January<br \/>\n1, 2018, and as subsequently modified by the<br \/>\nSecretary): J1555 JB, J1559 JB, J1561 JB, J1562<br \/>\nJB, J1569 JB, or J1575 JB.<br \/>\n&#8220;(iii) Payment category 3.&#8211;The Secretary<br \/>\nshall create a payment category 3 and assign to<br \/>\nsuch category drugs which are covered under such<br \/>\nlocal coverage determination and billed with the<br \/>\nfollowing HCPCS codes (as identified as of January<br \/>\n1, 2018, and as subsequently modified by the<br \/>\nSecretary): J9000, J9039, J9040, J9065, J9100,<br \/>\nJ9190, J9200, J9360, or J9370.<br \/>\n&#8220;(iv) Infusion drugs not otherwise<br \/>\nincluded.&#8211;With &lt;&lt;NOTE: Determination.&gt;&gt; respect<br \/>\nto drugs that are not included in payment category<br \/>\n1, 2, or 3 under clause (i), (ii), or (iii),<br \/>\nrespectively, the Secretary shall assign to the<br \/>\nmost appropriate of such categories, as determined<br \/>\nby the Secretary, drugs which are&#8211;<br \/>\n&#8220;(I) covered under such local<br \/>\ncoverage determination and billed under<br \/>\nHCPCS codes J7799 or J7999 (as<br \/>\nidentified as of July 1, 2017, and as<br \/>\nsubsequently modified by the Secretary);<br \/>\nor<\/p>\n<p>[[Page 132 STAT. 216]]<\/p>\n<p>&#8220;(II) billed under any code that is<br \/>\nimplemented after the date of the<br \/>\nenactment of this paragraph and included<br \/>\nin such local coverage determination or<br \/>\nincluded in subregulatory guidance as a<br \/>\nhome infusion drug described in<br \/>\nsubparagraph (A)(i).<br \/>\n&#8220;(D) Payment amounts.&#8211;<br \/>\n&#8220;(i) In general.&#8211;Under the payment<br \/>\nmethodology, the Secretary shall pay eligible home<br \/>\ninfusion suppliers, with respect to items and<br \/>\nservices described in subparagraph (A)(i)<br \/>\nfurnished during the period described in<br \/>\nsubparagraph (A)(ii) by such supplier to an<br \/>\nindividual, at amounts equal to the amounts<br \/>\ndetermined under the physician fee schedule<br \/>\nestablished under section 1848 for services<br \/>\nfurnished during the year for codes and units of<br \/>\nsuch codes described in clauses (ii), (iii), and<br \/>\n(iv) with respect to drugs included in the payment<br \/>\ncategory under subparagraph (C) specified in the<br \/>\nrespective clause, determined without application<br \/>\nof the geographic adjustment under subsection (e)<br \/>\nof such section.<br \/>\n&#8220;(ii) Payment amount for category 1.&#8211;For<br \/>\npurposes of clause (i), the codes and units<br \/>\ndescribed in this clause, with respect to drugs<br \/>\nincluded in payment category 1 described in<br \/>\nsubparagraph (C)(i), are one unit of HCPCS code<br \/>\n96365 plus three units of HCPCS code 96366 (as<br \/>\nidentified as of January 1, 2018, and as<br \/>\nsubsequently modified by the Secretary).<br \/>\n&#8220;(iii) Payment amount for category 2.&#8211;For<br \/>\npurposes of clause (i), the codes and units<br \/>\ndescribed in this clause, with respect to drugs<br \/>\nincluded in payment category 2 described in<br \/>\nsubparagraph (C)(i), are one unit of HCPCS code<br \/>\n96369 plus three units of HCPCS code 96370 (as<br \/>\nidentified as of January 1, 2018, and as<br \/>\nsubsequently modified by the Secretary).<br \/>\n&#8220;(iv) Payment amount for category 3.&#8211;For<br \/>\npurposes of clause (i), the codes and units<br \/>\ndescribed in this clause, with respect to drugs<br \/>\nincluded in payment category 3 described in<br \/>\nsubparagraph (C)(i), are one unit of HCPCS code<br \/>\n96413 plus three units of HCPCS code 96415 (as<br \/>\nidentified as of January 1, 2018, and as<br \/>\nsubsequently modified by the Secretary).<br \/>\n&#8220;(E) Clarifications.&#8211;<br \/>\n&#8220;(i) Infusion drug administration day.&#8211;For<br \/>\npurposes of this subsection, with respect to the<br \/>\nfurnishing of transitional home infusion drugs or<br \/>\nhome infusion drugs to an individual by an<br \/>\neligible home infusion supplier or a qualified<br \/>\nhome infusion therapy supplier, a reference to<br \/>\npayment to such supplier for an infusion drug<br \/>\nadministration calendar day in the individual&#8217;s<br \/>\nhome shall refer to payment only for the date on<br \/>\nwhich professional services (as described in<br \/>\nsection 1861(iii)(2)(A)) were furnished to<br \/>\nadminister such drugs to such individual. For<br \/>\npurposes of the previous sentence, an infusion<br \/>\ndrug administration calendar day shall include all<br \/>\nsuch drugs administered to such individual on such<br \/>\nday.<\/p>\n<p>[[Page 132 STAT. 217]]<\/p>\n<p>&#8220;(ii) Treatment of multiple drugs<br \/>\nadministered on same infusion drug administration<br \/>\nday.&#8211;In the case that an eligible home infusion<br \/>\nsupplier, with respect to an infusion drug<br \/>\nadministration calendar day in an individual&#8217;s<br \/>\nhome, furnishes to such individual transitional<br \/>\nhome infusion drugs which are not all assigned to<br \/>\nthe same payment category under subparagraph (C),<br \/>\npayment to such supplier for such infusion drug<br \/>\nadministration calendar day in the individual&#8217;s<br \/>\nhome shall be a single payment equal to the amount<br \/>\nof payment under this paragraph for the drug,<br \/>\namong all such drugs so furnished to such<br \/>\nindividual during such calendar day, for which the<br \/>\nhighest payment would be made under this<br \/>\nparagraph.<br \/>\n&#8220;(F) &lt;&lt;NOTE: Definition.&gt;&gt; Eligible home infusion<br \/>\nsuppliers.&#8211;In this paragraph, the term `eligible home<br \/>\ninfusion supplier&#8217; means a supplier that is enrolled<br \/>\nunder this part as a pharmacy that provides external<br \/>\ninfusion pumps and external infusion pump supplies and<br \/>\nthat maintains all pharmacy licensure requirements in<br \/>\nthe State in which the applicable infusion drugs are<br \/>\nadministered.<br \/>\n&#8220;(G) Implementation.&#8211;Notwithstanding any other<br \/>\nprovision of law, the Secretary may implement this<br \/>\nparagraph by program instruction or otherwise.&#8221;.<\/p>\n<p>(b) Conforming Amendments.&#8211;(1) Section 1842(b)(6)(I) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395u(b)(6)(I)) is amended by inserting &#8220;or, in<br \/>\nthe case of items and services described in clause (i) of section<br \/>\n1834(u)(7)(A) furnished to an individual during the period described in<br \/>\nclause (ii) of such section, payment shall be made to the eligible home<br \/>\ninfusion therapy supplier&#8221; after &#8220;payment shall be made to the<br \/>\nqualified home infusion therapy supplier&#8221;.<br \/>\n(2) &lt;&lt;NOTE: Applicability. 42 USC 1395l note.&gt;&gt; Section 5012(d) of<br \/>\nthe 21st Century Cures Act is amended by inserting the following before<br \/>\nthe period at the end: &#8220;, except that the amendments made by paragraphs<br \/>\n(1) and (2) of subsection (c) shall apply to items and services<br \/>\nfurnished on or after January 1, 2019&#8221;.<br \/>\nSEC. 50402. ORTHOTIST&#8217;S AND PROSTHETIST&#8217;S CLINICAL NOTES AS PART<br \/>\nOF THE PATIENT&#8217;S MEDICAL RECORD.<\/p>\n<p>Section 1834(h) of the Social Security Act (42 U.S.C. 1395m(h)) is<br \/>\namended by adding at the end the following new paragraph:<br \/>\n&#8220;(5) Documentation created by orthotists and<br \/>\nprosthetists.&#8211; &lt;&lt;NOTE: Determination.&gt;&gt; For purposes of<br \/>\ndetermining the reasonableness and medical necessity of<br \/>\northotics and prosthetics, documentation created by an orthotist<br \/>\nor prosthetist shall be considered part of the individual&#8217;s<br \/>\nmedical record to support documentation created by eligible<br \/>\nprofessionals described in section 1848(k)(3)(B).&#8221;<br \/>\nSEC. 50403. INDEPENDENT ACCREDITATION FOR DIALYSIS FACILITIES AND<br \/>\nASSURANCE OF HIGH QUALITY SURVEYS.<\/p>\n<p>(a) Accreditation and Surveys.&#8211;<br \/>\n(1) In general.&#8211;Section 1865 of the Social Security Act (42<br \/>\nU.S.C. 1395bb) is amended&#8211;<br \/>\n(A) in subsection (a)&#8211;<br \/>\n(i) in paragraph (1), in the matter preceding<br \/>\nsubparagraph (A), by striking &#8220;or the conditions<br \/>\nand requirements under section 1881(b)&#8221;; and<\/p>\n<p>[[Page 132 STAT. 218]]<\/p>\n<p>(ii) in paragraph (4), by inserting<br \/>\n&#8220;(including a renal dialysis facility)&#8221; after<br \/>\n&#8220;facility&#8221;; and<br \/>\n(B) by adding at the end the following new<br \/>\nsubsection:<\/p>\n<p>&#8220;(e) With respect to an accreditation body that has received<br \/>\napproval from the Secretary under subsection (a)(3)(A) for accreditation<br \/>\nof provider entities that are required to meet the conditions and<br \/>\nrequirements under section 1881(b), in addition to review and oversight<br \/>\nauthorities otherwise applicable under this title, the Secretary shall<br \/>\n(as the Secretary determines appropriate) conduct, with respect to such<br \/>\naccreditation body and provider entities, any or all of the following as<br \/>\nfrequently as is otherwise required to be conducted under this title<br \/>\nwith respect to other accreditation bodies or other provider entities:<br \/>\n&#8220;(1) Validation surveys referred to in subsection (d).<br \/>\n&#8220;(2) Accreditation program reviews (as defined in section<br \/>\n488.8(c) of title 42 of the Code of Federal Regulations, or a<br \/>\nsuccessor regulation).<br \/>\n&#8220;(3) Performance reviews (as defined in section 488.8(a) of<br \/>\ntitle 42 of the Code of Federal Regulations, or a successor<br \/>\nregulation).&#8221;.<br \/>\n(2) &lt;&lt;NOTE: 42 USC 1395bb note.&gt;&gt; Timing for acceptance of<br \/>\nrequests from accreditation organizations.&#8211;<br \/>\n&lt;&lt;NOTE: Deadline.&gt;&gt; Not later than 90 days after the date of<br \/>\nenactment of this Act, the Secretary of Health and Human<br \/>\nServices shall begin accepting requests from national<br \/>\naccreditation bodies for a finding described in section<br \/>\n1865(a)(3)(A) of the Social Security Act (42 U.S.C.<br \/>\n1395bb(a)(3)(A)) for purposes of accrediting provider entities<br \/>\nthat are required to meet the conditions and requirements under<br \/>\nsection 1881(b) of such Act (42 U.S.C. 1395rr(b)).<\/p>\n<p>(b) Requirement for Timing of Surveys of New Dialysis Facilities.&#8211;<br \/>\nSection 1881(b)(1) of the Social Security Act (42 U.S.C. 1395rr(b)(1))<br \/>\nis amended by adding at the end the following new<br \/>\nsentence: &lt;&lt;NOTE: Effective<br \/>\ndate. Survey. Determination. Deadline.&gt;&gt; &#8220;Beginning 180 days after the<br \/>\ndate of the enactment of this sentence, an initial survey of a provider<br \/>\nof services or a renal dialysis facility to determine if the conditions<br \/>\nand requirements under this paragraph are met shall be initiated not<br \/>\nlater than 90 days after such date on which both the provider enrollment<br \/>\nform (without regard to whether such form is submitted prior to or after<br \/>\nsuch date of enactment) has been determined by the Secretary to be<br \/>\ncomplete and the provider&#8217;s enrollment status indicates approval is<br \/>\npending the results of such survey.&#8221;.<br \/>\nSEC. 50404. MODERNIZING THE APPLICATION OF THE STARK RULE UNDER<br \/>\nMEDICARE.<\/p>\n<p>(a) Clarification of the Writing Requirement and Signature<br \/>\nRequirement for Arrangements Pursuant to the Stark Rule.&#8211;<br \/>\n(1) Writing requirement.&#8211;Section 1877(h)(1) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395nn(h)(1)) is amended by adding at<br \/>\nthe end the following new subparagraph:<br \/>\n&#8220;(D) &lt;&lt;NOTE: Determination.&gt;&gt; Written requirement<br \/>\nclarified.&#8211;In the case of any requirement pursuant to this<br \/>\nsection for a compensation arrangement to be in writing, such<br \/>\nrequirement shall be satisfied by such means as determined by<br \/>\nthe Secretary, including by a collection of documents, including<br \/>\ncontemporaneous documents evidencing the course of conduct<br \/>\nbetween the parties involved.&#8221;.<\/p>\n<p>[[Page 132 STAT. 219]]<\/p>\n<p>(2) Signature requirement.&#8211;Section 1877(h)(1) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395nn(h)(1)), as amended by paragraph<br \/>\n(1), is further amended by adding at the end the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(E) Special rule for signature requirements.&#8211;In<br \/>\nthe case of any requirement pursuant to this section for<br \/>\na compensation arrangement to be in writing and signed<br \/>\nby the parties, such signature requirement shall be met<br \/>\nif&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Time period.&gt;&gt; not later than<br \/>\n90 consecutive calendar days immediately following<br \/>\nthe date on which the compensation arrangement<br \/>\nbecame noncompliant, the parties obtain the<br \/>\nrequired signatures; and<br \/>\n&#8220;(ii) the compensation arrangement otherwise<br \/>\ncomplies with all criteria of the applicable<br \/>\nexception.&#8221;.<\/p>\n<p>(b) Indefinite Holdover for Lease Arrangements and Personal Services<br \/>\nArrangements Pursuant to the Stark Rule.&#8211;Section 1877(e) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395nn(e)) is amended&#8211;<br \/>\n(1) in paragraph (1), by adding at the end the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(C) Holdover lease arrangements.&#8211; &lt;&lt;NOTE: Time<br \/>\nperiod.&gt;&gt; In the case of a holdover lease arrangement<br \/>\nfor the lease of office space or equipment, which<br \/>\nimmediately follows a lease arrangement described in<br \/>\nsubparagraph (A) for the use of such office space or<br \/>\nsubparagraph (B) for the use of such equipment and that<br \/>\nexpired after a term of at least 1 year, payments made<br \/>\nby the lessee to the lessor pursuant to such holdover<br \/>\nlease arrangement, if&#8211;<br \/>\n&#8220;(i) the lease arrangement met the conditions<br \/>\nof subparagraph (A) for the lease of office space<br \/>\nor subparagraph (B) for the use of equipment when<br \/>\nthe arrangement expired;<br \/>\n&#8220;(ii) the holdover lease arrangement is on<br \/>\nthe same terms and conditions as the immediately<br \/>\npreceding arrangement; and<br \/>\n&#8220;(iii) the holdover arrangement continues to<br \/>\nsatisfy the conditions of subparagraph (A) for the<br \/>\nlease of office space or subparagraph (B) for the<br \/>\nuse of equipment.&#8221;; and<br \/>\n(2) in paragraph (3), by adding at the end the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(C) &lt;&lt;NOTE: Time period.&gt;&gt; Holdover personal<br \/>\nservice arrangement.&#8211;In the case of a holdover personal<br \/>\nservice arrangement, which immediately follows an<br \/>\narrangement described in subparagraph (A) that expired<br \/>\nafter a term of at least 1 year, remuneration from an<br \/>\nentity pursuant to such holdover personal service<br \/>\narrangement, if&#8211;<br \/>\n&#8220;(i) the personal service arrangement met the<br \/>\nconditions of subparagraph (A) when the<br \/>\narrangement expired;<br \/>\n&#8220;(ii) the holdover personal service<br \/>\narrangement is on the same terms and conditions as<br \/>\nthe immediately preceding arrangement; and<br \/>\n&#8220;(iii) the holdover arrangement continues to<br \/>\nsatisfy the conditions of subparagraph (A).&#8221;.<\/p>\n<p>[[Page 132 STAT. 220]]<\/p>\n<p>Subtitle B&#8211;Additional Medicare Provisions<\/p>\n<p>SEC. 50411. MAKING PERMANENT THE REMOVAL OF THE RENTAL CAP FOR<br \/>\nDURABLE MEDICAL EQUIPMENT UNDER<br \/>\nMEDICARE WITH RESPECT TO SPEECH<br \/>\nGENERATING DEVICES.<\/p>\n<p>Section 1834(a)(2)(A)(iv) of the Social Security Act (42 U.S.C.<br \/>\n1395m(a)(2)(A)(iv)) is amended by striking &#8220;and before October 1,<br \/>\n2018,&#8221;.<br \/>\nSEC. 50412. INCREASED CIVIL AND CRIMINAL PENALTIES AND INCREASED<br \/>\nSENTENCES FOR FEDERAL HEALTH CARE<br \/>\nPROGRAM FRAUD AND ABUSE.<\/p>\n<p>(a) Increased Civil Money Penalties and Criminal Fines.&#8211;<br \/>\n(1) Increased civil money penalties.&#8211;Section 1128A of the<br \/>\nSocial Security Act (42 U.S.C. 1320a-7a) is amended&#8211;<br \/>\n(A) in subsection (a), in the matter following<br \/>\nparagraph (10)&#8211;<br \/>\n(i) by striking &#8220;$10,000&#8221; and inserting<br \/>\n&#8220;$20,000&#8221; each place it appears;<br \/>\n(ii) by striking &#8220;$15,000&#8221; and inserting<br \/>\n&#8220;$30,000&#8221;; and<br \/>\n(iii) by striking &#8220;$50,000&#8221; and inserting<br \/>\n&#8220;$100,000&#8221; each place it appears; and<br \/>\n(B) in subsection (b)&#8211;<br \/>\n(i) in paragraph (1), in the flush text<br \/>\nfollowing subparagraph (B), by striking &#8220;$2,000&#8221;<br \/>\nand inserting &#8220;$5,000&#8221;;<br \/>\n(ii) in paragraph (2), by striking &#8220;$2,000&#8221;<br \/>\nand inserting &#8220;$5,000&#8221;; and<br \/>\n(iii) in paragraph (3)(A)(i), by striking<br \/>\n&#8220;$5,000&#8221; and inserting &#8220;$10,000&#8221;.<br \/>\n(2) Increased criminal fines.&#8211;Section 1128B of such Act (42<br \/>\nU.S.C. 1320a-7b) is amended&#8211;<br \/>\n(A) in subsection (a), in the matter following<br \/>\nparagraph (6)&#8211;<br \/>\n(i) by striking &#8220;$25,000&#8221; and inserting<br \/>\n&#8220;$100,000&#8221;; and<br \/>\n(ii) by striking &#8220;$10,000&#8221; and inserting<br \/>\n&#8220;$20,000&#8221;;<br \/>\n(B) in subsection (b)&#8211;<br \/>\n(i) in paragraph (1), in the flush text<br \/>\nfollowing subparagraph (B), by striking<br \/>\n&#8220;$25,000&#8221; and inserting &#8220;$100,000&#8221;; and<br \/>\n(ii) in paragraph (2), in the flush text<br \/>\nfollowing subparagraph (B), by striking<br \/>\n&#8220;$25,000&#8221; and inserting &#8220;$100,000&#8221;;<br \/>\n(C) in subsection (c), by striking &#8220;$25,000&#8221; and<br \/>\ninserting &#8220;$100,000&#8221;;<br \/>\n(D) in subsection (d), in the flush text following<br \/>\nparagraph (2), by striking &#8220;$25,000&#8221; and inserting<br \/>\n&#8220;$100,000&#8221;; and<br \/>\n(E) in subsection (e), by striking &#8220;$2,000&#8221; and<br \/>\ninserting &#8220;$4,000&#8221;.<\/p>\n<p>(b) Increased Sentences for Felonies Involving Federal Health Care<br \/>\nProgram Fraud and Abuse.&#8211;<\/p>\n<p>[[Page 132 STAT. 221]]<\/p>\n<p>(1) False statements and representations.&#8211;Section 1128B(a)<br \/>\nof the Social Security Act (42 U.S.C. 1320a-7b(a)) is amended,<br \/>\nin the matter following paragraph (6), by striking &#8220;not more<br \/>\nthan five years or both, or (ii)&#8221; and inserting &#8220;not more than<br \/>\n10 years or both, or (ii)&#8221;.<br \/>\n(2) Antikickback.&#8211;Section 1128B(b) of such Act (42 U.S.C.<br \/>\n1320a-7b(b)) is amended&#8211;<br \/>\n(A) in paragraph (1), in the flush text following<br \/>\nsubparagraph (B), by striking &#8220;not more than five<br \/>\nyears&#8221; and inserting &#8220;not more than 10 years&#8221;; and<br \/>\n(B) in paragraph (2), in the flush text following<br \/>\nsubparagraph (B), by striking &#8220;not more than five<br \/>\nyears&#8221; and inserting &#8220;not more than 10 years&#8221;.<br \/>\n(3) False statement or representation with respect to<br \/>\nconditions or operations of facilities.&#8211;Section 1128B(c) of<br \/>\nsuch Act (42 U.S.C. 1320a-7b(c)) is amended by striking &#8220;not<br \/>\nmore than five years&#8221; and inserting &#8220;not more than 10 years&#8221;.<br \/>\n(4) Excess charges.&#8211;Section 1128B(d) of such Act (42 U.S.C.<br \/>\n1320a-7b(d)) is amended, in the flush text following paragraph<br \/>\n(2), by striking &#8220;not more than five years&#8221; and inserting<br \/>\n&#8220;not more than 10 years&#8221;.<\/p>\n<p>(c) &lt;&lt;NOTE: Applicability. 42 USC 1320a-7a note.&gt;&gt; Effective<br \/>\nDate.&#8211;The amendments made by this section shall apply to acts committed<br \/>\nafter the date of the enactment of this Act.<br \/>\nSEC. 50413. REDUCING THE VOLUME OF FUTURE EHR-RELATED SIGNIFICANT<br \/>\nHARDSHIP REQUESTS.<\/p>\n<p>Section 1848(o)(2)(A) of the Social Security Act (42 U.S.C. 1395w-<br \/>\n4(o)(2)(A)) and section 1886(n)(3)(A) of such Act (42 U.S.C.<br \/>\n1395ww(n)(3)(A)) are each amended in the last sentence by striking &#8220;by<br \/>\nrequiring&#8221; and all that follows through &#8220;this paragraph&#8221;.<br \/>\nSEC. 50414. STRENGTHENING RULES IN CASE OF COMPETITION FOR<br \/>\nDIABETIC TESTING STRIPS.<\/p>\n<p>(a) Special Rule in Case of Competition for Diabetic Testing<br \/>\nStrips.&#8211;<br \/>\n(1) In general.&#8211;Paragraph (10) of section 1847(b) of the<br \/>\nSocial Security Act (42 U.S.C. 1395w-3(b)) is amended&#8211;<br \/>\n(A) in subparagraph (A), by striking the second<br \/>\nsentence and inserting the following new<br \/>\nsentence: &lt;&lt;NOTE: Determination.&gt;&gt; &#8220;With respect to<br \/>\nbids to furnish such types of products on or after<br \/>\nJanuary 1, 2019, the volume for such types of products<br \/>\nshall be determined by the Secretary through the use of<br \/>\nmultiple sources of data (from mail order and non-mail<br \/>\norder Medicare markets), including market-based data<br \/>\nmeasuring sales of diabetic testing strip products that<br \/>\nare not exclusively sold by a single retailer from such<br \/>\nmarkets.&#8221;; and<br \/>\n(B) by adding at the end the following new<br \/>\nsubparagraphs:<br \/>\n&#8220;(C) Demonstration of ability to furnish types of<br \/>\ndiabetic testing strip products.&#8211;With respect to bids<br \/>\nto furnish diabetic testing strip products on or after<br \/>\nJanuary 1, 2019, an entity shall attest to the Secretary<br \/>\nthat the entity has the ability to obtain an inventory<br \/>\nof the types and quantities of diabetic testing strip<br \/>\nproducts<\/p>\n<p>[[Page 132 STAT. 222]]<\/p>\n<p>that will allow the entity to furnish such products in a<br \/>\nmanner consistent with its bid and&#8211;<br \/>\n&#8220;(i) demonstrate to the Secretary, through<br \/>\nletters of intent with manufacturers, wholesalers,<br \/>\nor other suppliers, or other evidence as the<br \/>\nSecretary may specify, such ability; or<br \/>\n&#8220;(ii) demonstrate to the Secretary that it<br \/>\nmade a good faith attempt to obtain such a letter<br \/>\nof intent or such other evidence.<br \/>\n&#8220;(D) Use of unlisted types in calculation of<br \/>\npercentage.&#8211;With respect to bids to furnish diabetic<br \/>\ntesting strip products on or after January 1, 2019, in<br \/>\ndetermining under subparagraph (A) whether a bid<br \/>\nsubmitted by an entity under such subparagraph covers 50<br \/>\npercent (or such higher percentage as the Secretary may<br \/>\nspecify) of all types of diabetic testing strip<br \/>\nproducts, the Secretary may not attribute a percentage<br \/>\nto types of diabetic testing strip products that the<br \/>\nSecretary does not identify by brand, model, and market<br \/>\nshare volume.<br \/>\n&#8220;(E) Adherence to demonstration.&#8211;<br \/>\n&#8220;(i) In general.&#8211;In the case of an entity<br \/>\nthat is furnishing diabetic testing strip products<br \/>\non or after January 1, 2019, under a contract<br \/>\nentered into under the competition conducted<br \/>\npursuant to paragraph (1), the Secretary shall<br \/>\nestablish a process to monitor, on an ongoing<br \/>\nbasis, the extent to which such entity continues<br \/>\nto cover the product types included in the<br \/>\nentity&#8217;s bid.<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Determination.&gt;&gt;<br \/>\nTermination.&#8211;If the Secretary determines that an<br \/>\nentity described in clause (i) fails to maintain<br \/>\nin inventory, or otherwise maintain ready access<br \/>\nto (through requirements, contracts, or otherwise)<br \/>\na type of product included in the entity&#8217;s bid,<br \/>\nthe Secretary may terminate such contract unless<br \/>\nthe Secretary finds that the failure of the entity<br \/>\nto maintain inventory of, or ready access to, the<br \/>\nproduct is the result of the discontinuation of<br \/>\nthe product by the product manufacturer, a market-<br \/>\nwide shortage of the product, or the introduction<br \/>\nof a newer model or version of the product in the<br \/>\nmarket involved.&#8221;.<\/p>\n<p>(b) Codifying and Expanding Anti-switching Rule.&#8211;Section 1847(b) of<br \/>\nthe Social Security Act (42 U.S.C. 1395w-3(b)), as amended by subsection<br \/>\n(a)(1), is further amended&#8211;<br \/>\n(1) by redesignating paragraph (11) as paragraph (12); and<br \/>\n(2) by inserting after paragraph (10) the following new<br \/>\nparagraph:<br \/>\n&#8220;(11) Additional special rules in case of competition for<br \/>\ndiabetic testing strips.&#8211;<br \/>\n&#8220;(A) In general.&#8211;With respect to an entity that is<br \/>\nfurnishing diabetic testing strip products to<br \/>\nindividuals under a contract entered into under the<br \/>\ncompetitive acquisition program established under this<br \/>\nsection, the entity shall furnish to each individual a<br \/>\nbrand of such products that is compatible with the home<br \/>\nblood glucose monitor selected by the individual.<\/p>\n<p>[[Page 132 STAT. 223]]<\/p>\n<p>&#8220;(B) Prohibition on influencing and<br \/>\nincentivizing.&#8211;An entity described in subparagraph (A)<br \/>\nmay not attempt to influence or incentivize an<br \/>\nindividual to switch the brand of glucose monitor or<br \/>\ndiabetic testing strip product selected by the<br \/>\nindividual, including by&#8211;<br \/>\n&#8220;(i) persuading, pressuring, or advising the<br \/>\nindividual to switch; or<br \/>\n&#8220;(ii) furnishing information about<br \/>\nalternative brands to the individual where the<br \/>\nindividual has not requested such information.<br \/>\n&#8220;(C) Provision of information.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Deadline.&gt;&gt; Standardized<br \/>\ninformation.&#8211;Not later than January 1, 2019, the<br \/>\nSecretary shall develop and make available to<br \/>\nentities described in subparagraph (A)<br \/>\nstandardized information that describes the rights<br \/>\nof an individual with respect to such an entity.<br \/>\nThe information described in the preceding<br \/>\nsentence shall include information regarding&#8211;<br \/>\n&#8220;(I) the requirements established<br \/>\nunder subparagraphs (A) and (B);<br \/>\n&#8220;(II) the right of the individual<br \/>\nto purchase diabetic testing strip<br \/>\nproducts from another mail order<br \/>\nsupplier of such products or a retail<br \/>\npharmacy if the entity is not able to<br \/>\nfurnish the brand of such product that<br \/>\nis compatible with the home blood<br \/>\nglucose monitor selected by the<br \/>\nindividual; and<br \/>\n&#8220;(III) the right of the individual<br \/>\nto return diabetic testing strip<br \/>\nproducts furnished to the individual by<br \/>\nthe entity.<br \/>\n&#8220;(ii) Requirement.&#8211;With respect to diabetic<br \/>\ntesting strip products furnished on or after the<br \/>\ndate on which the Secretary develops the<br \/>\nstandardized information under clause (i), an<br \/>\nentity described in subparagraph (A) may not<br \/>\ncommunicate directly to an individual until the<br \/>\nentity has verbally provided the individual with<br \/>\nsuch standardized information.<br \/>\n&#8220;(D) &lt;&lt;NOTE: Requirement. Time period.&gt;&gt; Order<br \/>\nrefills.&#8211;With respect to diabetic testing strip<br \/>\nproducts furnished on or after January 1, 2019, the<br \/>\nSecretary shall require an entity furnishing diabetic<br \/>\ntesting strip products to an individual to contact and<br \/>\nreceive a request from the individual for such products<br \/>\nnot more than 14 days prior to dispensing a refill of<br \/>\nsuch products to the individual.&#8221;.<\/p>\n<p>(c) &lt;&lt;NOTE: 42 USC 1395w-3 note.&gt;&gt; Implementation; Non-application<br \/>\nof the Paperwork Reduction Act.&#8211;<br \/>\n(1) Implementation.&#8211;Notwithstanding any other provision of<br \/>\nlaw, the Secretary of Health and Human Services may implement<br \/>\nthe provisions of, and amendments made by, this section by<br \/>\nprogram instruction or otherwise.<br \/>\n(2) Non-application of the paperwork reduction act.&#8211;Chapter<br \/>\n35 of title 44, United States Code (commonly referred to as the<br \/>\n&#8220;Paperwork Reduction Act of 1995&#8221;), shall not apply to this<br \/>\nsection or the amendments made by this section.<\/p>\n<p>[[Page 132 STAT. 224]]<\/p>\n<p>TITLE V&#8211;OTHER HEALTH EXTENDERS<\/p>\n<p>SEC. 50501. EXTENSION FOR FAMILY-TO-FAMILY HEALTH INFORMATION<br \/>\nCENTERS.<\/p>\n<p>Section 501(c) of the Social Security Act (42 U.S.C. 701(c)) is<br \/>\namended&#8211;<br \/>\n(1) in paragraph (1)(A)&#8211;<br \/>\n(A) in clause (v), by striking &#8220;and&#8221; at the end;<br \/>\n(B) in clause (vi), by striking the period at the<br \/>\nend and inserting &#8220;; and&#8221;; and<br \/>\n(C) by adding at the end the following new clause:<br \/>\n&#8220;(vii) $6,000,000 for each of fiscal years 2018 and<br \/>\n2019.&#8221;;<br \/>\n(2) in paragraph (3)(C), by inserting before the period the<br \/>\nfollowing: &#8220;, and with respect to fiscal years 2018 and 2019,<br \/>\nsuch centers shall also be developed in all territories and at<br \/>\nleast one such center shall be developed for Indian tribes&#8221;;<br \/>\nand<br \/>\n(3) by amending paragraph (5) to read as follows:<\/p>\n<p>&#8220;(5) &lt;&lt;NOTE: Definitions.&gt;&gt; For purposes of this subsection&#8211;<br \/>\n&#8220;(A) the term `Indian tribe&#8217; has the meaning given such<br \/>\nterm in section 4 of the Indian Health Care Improvement Act (25<br \/>\nU.S.C. 1603);<br \/>\n&#8220;(B) the term `State&#8217; means each of the 50 States and the<br \/>\nDistrict of Columbia; and<br \/>\n&#8220;(C) the term `territory&#8217; means Puerto Rico, Guam, American<br \/>\nSamoa, the Virgin Islands, and the Northern Mariana Islands.&#8221;.<br \/>\nSEC. 50502. EXTENSION FOR SEXUAL RISK AVOIDANCE EDUCATION.<\/p>\n<p>(a) In General.&#8211;Section 510 of the Social Security Act (42 U.S.C.<br \/>\n710) is amended to read as follows:<br \/>\n&#8220;SEC. 510. SEXUAL RISK AVOIDANCE EDUCATION.<\/p>\n<p>&#8220;(a) In General.&#8211;<br \/>\n&#8220;(1) Allotments to states.&#8211;For the purpose described in<br \/>\nsubsection (b), the Secretary shall, for each of fiscal years<br \/>\n2018 and 2019, allot to each State which has transmitted an<br \/>\napplication for the fiscal year under section 505(a) an amount<br \/>\nequal to the product of&#8211;<br \/>\n&#8220;(A) the amount appropriated pursuant to subsection<br \/>\n(e)(1) for the fiscal year, minus the amount reserved<br \/>\nunder subsection (e)(2) for the fiscal year; and<br \/>\n&#8220;(B) the proportion that the number of low-income<br \/>\nchildren in the State bears to the total of such numbers<br \/>\nof children for all the States.<br \/>\n&#8220;(2) Other allotments.&#8211;<br \/>\n&#8220;(A) Other entities.&#8211;For the purpose described in<br \/>\nsubsection (b), the Secretary shall, for each of fiscal<br \/>\nyears 2018 and 2019, for any State which has not<br \/>\ntransmitted an application for the fiscal year under<br \/>\nsection 505(a), allot to one or more entities in the<br \/>\nState the amount that would have been allotted to the<br \/>\nState under paragraph (1) if the State had submitted<br \/>\nsuch an application.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Deadlines.&gt;&gt; Process.&#8211;The Secretary<br \/>\nshall select the recipients of allotments under<br \/>\nsubparagraph (A) by means of a competitive grant process<br \/>\nunder which&#8211;<\/p>\n<p>[[Page 132 STAT. 225]]<\/p>\n<p>&#8220;(i) &lt;&lt;NOTE: Notice.&gt;&gt; not later than 30<br \/>\ndays after the deadline for the State involved to<br \/>\nsubmit an application for the fiscal year under<br \/>\nsection 505(a), the Secretary publishes a notice<br \/>\nsoliciting grant applications; and<br \/>\n&#8220;(ii) not later than 120 days after such<br \/>\ndeadline, all such applications must be submitted.<\/p>\n<p>&#8220;(b) Purpose.&#8211;<br \/>\n&#8220;(1) In general.&#8211;Except for research under paragraph (5)<br \/>\nand information collection and reporting under paragraph (6),<br \/>\nthe purpose of an allotment under subsection (a) to a State (or<br \/>\nto another entity in the State pursuant to subsection (a)(2)) is<br \/>\nto enable the State or other entity to implement education<br \/>\nexclusively on sexual risk avoidance (meaning voluntarily<br \/>\nrefraining from sexual activity).<br \/>\n&#8220;(2) Required components.&#8211;Education on sexual risk<br \/>\navoidance pursuant to an allotment under this section shall&#8211;<br \/>\n&#8220;(A) ensure that the unambiguous and primary<br \/>\nemphasis and context for each topic described in<br \/>\nparagraph (3) is a message to youth that normalizes the<br \/>\noptimal health behavior of avoiding nonmarital sexual<br \/>\nactivity;<br \/>\n&#8220;(B) be medically accurate and complete;<br \/>\n&#8220;(C) be age-appropriate;<br \/>\n&#8220;(D) be based on adolescent learning and<br \/>\ndevelopmental theories for the age group receiving the<br \/>\neducation; and<br \/>\n&#8220;(E) be culturally appropriate, recognizing the<br \/>\nexperiences of youth from diverse communities,<br \/>\nbackgrounds, and experiences.<br \/>\n&#8220;(3) Topics.&#8211;Education on sexual risk avoidance pursuant<br \/>\nto an allotment under this section shall address each of the<br \/>\nfollowing topics:<br \/>\n&#8220;(A) The holistic individual and societal benefits<br \/>\nassociated with personal responsibility, self-<br \/>\nregulation, goal setting, healthy decisionmaking, and a<br \/>\nfocus on the future.<br \/>\n&#8220;(B) The advantage of refraining from nonmarital<br \/>\nsexual activity in order to improve the future prospects<br \/>\nand physical and emotional health of youth.<br \/>\n&#8220;(C) The increased likelihood of avoiding poverty<br \/>\nwhen youth attain self-sufficiency and emotional<br \/>\nmaturity before engaging in sexual activity.<br \/>\n&#8220;(D) The foundational components of healthy<br \/>\nrelationships and their impact on the formation of<br \/>\nhealthy marriages and safe and stable families.<br \/>\n&#8220;(E) How other youth risk behaviors, such as drug<br \/>\nand alcohol usage, increase the risk for teen sex.<br \/>\n&#8220;(F) How to resist and avoid, and receive help<br \/>\nregarding, sexual coercion and dating violence,<br \/>\nrecognizing that even with consent teen sex remains a<br \/>\nyouth risk behavior.<br \/>\n&#8220;(4) Contraception.&#8211;Education on sexual risk avoidance<br \/>\npursuant to an allotment under this section shall ensure that&#8211;<br \/>\n&#8220;(A) any information provided on contraception is<br \/>\nmedically accurate and complete and ensures that<br \/>\nstudents understand that contraception offers physical<br \/>\nrisk reduction, but not risk elimination; and<br \/>\n&#8220;(B) the education does not include demonstrations,<br \/>\nsimulations, or distribution of contraceptive devices.<\/p>\n<p>[[Page 132 STAT. 226]]<\/p>\n<p>&#8220;(5) Research.&#8211;<br \/>\n&#8220;(A) In general.&#8211;A State or other entity receiving<br \/>\nan allotment pursuant to subsection (a) may use up to 20<br \/>\npercent of such allotment to build the evidence base for<br \/>\nsexual risk avoidance education by conducting or<br \/>\nsupporting research.<br \/>\n&#8220;(B) Requirements.&#8211;Any research conducted or<br \/>\nsupported pursuant to subparagraph (A) shall be&#8211;<br \/>\n&#8220;(i) rigorous;<br \/>\n&#8220;(ii) evidence-based; and<br \/>\n&#8220;(iii) designed and conducted by independent<br \/>\nresearchers who have experience in conducting and<br \/>\npublishing research in peer-reviewed outlets.<br \/>\n&#8220;(6) Information collection and reporting.&#8211;A State or<br \/>\nother entity receiving an allotment pursuant to subsection (a)<br \/>\nshall, as specified by the Secretary&#8211;<br \/>\n&#8220;(A) collect information on the programs and<br \/>\nactivities funded through the allotment; and<br \/>\n&#8220;(B) submit reports to the Secretary on the data<br \/>\nfrom such programs and activities.<\/p>\n<p>&#8220;(c) National Evaluation.&#8211;<br \/>\n&#8220;(1) In general.&#8211;The Secretary shall&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Consultation.&gt;&gt; in consultation with<br \/>\nappropriate State and local agencies, conduct one or<br \/>\nmore rigorous evaluations of the education funded<br \/>\nthrough this section and associated data; and<br \/>\n&#8220;(B) &lt;&lt;NOTE: Reports.&gt;&gt; submit a report to the<br \/>\nCongress on the results of such evaluations, together<br \/>\nwith a summary of the information collected pursuant to<br \/>\nsubsection (b)(6).<br \/>\n&#8220;(2) Consultation.&#8211;In conducting the evaluations required<br \/>\nby paragraph (1), including the establishment of rigorous<br \/>\nevaluation methodologies, the Secretary shall consult with<br \/>\nrelevant stakeholders and evaluation experts.<\/p>\n<p>&#8220;(d) Applicability of Certain Provisions.&#8211;<br \/>\n&#8220;(1) Sections 503, 507, and 508 apply to allotments under<br \/>\nsubsection (a) to the same extent and in the same manner as such<br \/>\nsections apply to allotments under section 502(c).<br \/>\n&#8220;(2) Sections 505 and 506 apply to allotments under<br \/>\nsubsection (a) to the extent determined by the Secretary to be<br \/>\nappropriate.<\/p>\n<p>&#8220;(e) Definitions.&#8211;In this section:<br \/>\n&#8220;(1) The term `age-appropriate&#8217; means suitable (in terms of<br \/>\ntopics, messages, and teaching methods) to the developmental and<br \/>\nsocial maturity of the particular age or age group of children<br \/>\nor adolescents, based on developing cognitive, emotional, and<br \/>\nbehavioral capacity typical for the age or age group.<br \/>\n&#8220;(2) The term `medically accurate and complete&#8217; means<br \/>\nverified or supported by the weight of research conducted in<br \/>\ncompliance with accepted scientific methods and&#8211;<br \/>\n&#8220;(A) published in peer-reviewed journals, where<br \/>\napplicable; or<br \/>\n&#8220;(B) comprising information that leading<br \/>\nprofessional organizations and agencies with relevant<br \/>\nexpertise in the field recognize as accurate, objective,<br \/>\nand complete.<br \/>\n&#8220;(3) The term `rigorous&#8217;, with respect to research or<br \/>\nevaluation, means using&#8211;<\/p>\n<p>[[Page 132 STAT. 227]]<\/p>\n<p>&#8220;(A) established scientific methods for measuring<br \/>\nthe impact of an intervention or program model in<br \/>\nchanging behavior (specifically sexual activity or other<br \/>\nsexual risk behaviors), or reducing pregnancy, among<br \/>\nyouth; or<br \/>\n&#8220;(B) other evidence-based methodologies established<br \/>\nby the Secretary for purposes of this section.<br \/>\n&#8220;(4) The term `youth&#8217; refers to one or more individuals who<br \/>\nhave attained age 10 but not age 20.<\/p>\n<p>&#8220;(f) Funding.&#8211;<br \/>\n&#8220;(1) In general.&#8211;To carry out this section, there is<br \/>\nappropriated, out of any money in the Treasury not otherwise<br \/>\nappropriated, $75,000,000 for each of fiscal years 2018 and<br \/>\n2019.<br \/>\n&#8220;(2) Reservation.&#8211;The Secretary shall reserve, for each of<br \/>\nfiscal years 2018 and 2019, not more than 20 percent of the<br \/>\namount appropriated pursuant to paragraph (1) for administering<br \/>\nthe program under this section, including the conducting of<br \/>\nnational evaluations and the provision of technical assistance<br \/>\nto the recipients of allotments.&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 710 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall take effect as if enacted on October 1, 2017.<br \/>\nSEC. 50503. EXTENSION FOR PERSONAL RESPONSIBILITY EDUCATION.<\/p>\n<p>(a) In General.&#8211;Section 513 of the Social Security Act (42 U.S.C.<br \/>\n713) is amended&#8211;<br \/>\n(1) in subsection (a)(1)(A), by striking &#8220;2017&#8221; and<br \/>\ninserting &#8220;2019&#8221;; and<br \/>\n(2) in subsection (a)(4)&#8211;<br \/>\n(A) in subparagraph (A), by striking &#8220;2017&#8221; each<br \/>\nplace it appears and inserting &#8220;2019&#8221;; and<br \/>\n(B) in subparagraph (B)&#8211;<br \/>\n(i) in the subparagraph heading, by striking<br \/>\n&#8220;3-year grants&#8221; and inserting &#8220;Competitive prep<br \/>\ngrants&#8221;; and<br \/>\n(ii) in clause (i), by striking &#8220;solicit<br \/>\napplications to award 3-year grants in each of<br \/>\nfiscal years 2012 through 2017&#8221; and inserting<br \/>\n&#8220;continue through fiscal year 2019 grants awarded<br \/>\nfor any of fiscal years 2015 through 2017&#8221;;<br \/>\n(3) in subsection (c)(1), by inserting after &#8220;youth with<br \/>\nHIV\/AIDS,&#8221; the following: &#8220;victims of human trafficking,&#8221;;<br \/>\nand<br \/>\n(4) in subsection (f), by striking &#8220;2017&#8221; and inserting<br \/>\n&#8220;2019&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 713 note.&gt;&gt; Effective Date.&#8211;The amendments made<br \/>\nby this section shall take effect as if enacted on October 1, 2017.<\/p>\n<p>[[Page 132 STAT. 228]]<\/p>\n<p>TITLE VI&#8211;CHILD AND FAMILY SERVICES AND SUPPORTS EXTENDERS<\/p>\n<p>Subtitle A&#8211;Continuing the Maternal, Infant, and Early Childhood Home<br \/>\nVisiting Program<\/p>\n<p>SEC. 50601. CONTINUING EVIDENCE-BASED HOME VISITING PROGRAM.<\/p>\n<p>Section 511(j)(1)(H) of the Social Security Act (42 U.S.C.<br \/>\n711(j)(1)(H)) is amended by striking &#8220;fiscal year 2017&#8221; and inserting<br \/>\n&#8220;each of fiscal years 2017 through 2022&#8221;.<br \/>\nSEC. 50602. CONTINUING TO DEMONSTRATE RESULTS TO HELP FAMILIES.<\/p>\n<p>(a) Require Service Delivery Models To Demonstrate Improvement in<br \/>\nApplicable Benchmark Areas.&#8211;Section 511 of the Social Security Act (42<br \/>\nU.S.C. 711) is amended in each of subsections (d)(1)(A) and (h)(4)(A) by<br \/>\nstriking &#8220;each of&#8221;.<br \/>\n(b) Demonstration of Improvements in Subsequent Years.&#8211;Section<br \/>\n511(d)(1) of such Act (42 U.S.C. 711(d)(1)) is amended by adding at the<br \/>\nend the following:<br \/>\n&#8220;(D) &lt;&lt;NOTE: Reports.&gt;&gt; Demonstration of<br \/>\nimprovements in subsequent years.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Deadline. Time period.&gt;&gt;<br \/>\nContinued measurement of improvement in applicable<br \/>\nbenchmark areas.&#8211;The eligible entity, after<br \/>\ndemonstrating improvements for eligible families<br \/>\nas specified in subparagraphs (A) and (B), shall<br \/>\ncontinue to track and report, not later than 30<br \/>\ndays after the end of fiscal year 2020 and every 3<br \/>\nyears thereafter, information demonstrating that<br \/>\nthe program results in improvements for the<br \/>\neligible families participating in the program in<br \/>\nat least 4 of the areas specified in subparagraph<br \/>\n(A) that the service delivery model or models<br \/>\nselected by the entity are intended to improve.<br \/>\n&#8220;(ii) Corrective action plan.&#8211;If the<br \/>\neligible entity fails to demonstrate improvement<br \/>\nin at least 4 of the areas specified in<br \/>\nsubparagraph (A), as compared to eligible families<br \/>\nwho do not receive services under an early<br \/>\nchildhood home visitation program, the entity<br \/>\nshall develop and implement a plan to improve<br \/>\noutcomes in each of the areas specified in<br \/>\nsubparagraph (A) that the service delivery model<br \/>\nor models selected by the entity are intended to<br \/>\nimprove, subject to approval by the Secretary. The<br \/>\nplan shall include provisions for the Secretary to<br \/>\nmonitor implementation of the plan and conduct<br \/>\ncontinued oversight of the program, including<br \/>\nthrough submission by the entity of regular<br \/>\nreports to the Secretary.<br \/>\n&#8220;(iii) Technical assistance.&#8211;The Secretary<br \/>\nshall provide an eligible entity required to<br \/>\ndevelop and implement an improvement plan under<br \/>\nclause (ii) with technical assistance to develop<br \/>\nand implement the<\/p>\n<p>[[Page 132 STAT. 229]]<\/p>\n<p>plan. The Secretary may provide the technical<br \/>\nassistance directly or through grants, contracts,<br \/>\nor cooperative agreements.<br \/>\n&#8220;(iv) No improvement or failure to submit<br \/>\nreport.&#8211; &lt;&lt;NOTE: Determinations.&gt;&gt; If the<br \/>\nSecretary determines after a period of time<br \/>\nspecified by the Secretary that an eligible entity<br \/>\nimplementing an improvement plan under clause (ii)<br \/>\nhas failed to demonstrate any improvement in at<br \/>\nleast 4 of the areas specified in subparagraph<br \/>\n(A), or if the Secretary determines that an<br \/>\neligible entity has failed to submit the report<br \/>\nrequired by clause (i), the Secretary shall<br \/>\nterminate the grant made to the entity under this<br \/>\nsection and may include any unexpended grant funds<br \/>\nin grants made to nonprofit organizations under<br \/>\nsubsection (h)(2)(B).&#8221;.<\/p>\n<p>(c) Including Information on Applicable Benchmarks in Application.&#8211;<br \/>\nSection 511(e)(5) of such Act (42 U.S.C. 711(e)(5)) is amended by<br \/>\ninserting &#8220;that the service delivery model or models selected by the<br \/>\nentity are intended to improve&#8221; before the period at the end.<br \/>\nSEC. &lt;&lt;NOTE: Updates. Deadline.&gt;&gt; 50603. REVIEWING STATEWIDE NEEDS<br \/>\nTO TARGET RESOURCES.<\/p>\n<p>Section 511(b)(1) of the Social Security Act (42 U.S.C. 711(b)(1))<br \/>\nis amended by striking &#8220;Not later than&#8221; and all that follows through<br \/>\n&#8220;section 505(a))&#8221; and inserting &#8220;Each State shall, as a condition of<br \/>\nreceiving payments from an allotment for the State under section 502,<br \/>\nconduct a statewide needs assessment (which may be separate from but in<br \/>\ncoordination with the statewide needs assessment required under section<br \/>\n505(a) and which shall be reviewed and updated by the State not later<br \/>\nthan October 1, 2020)&#8221;.<br \/>\nSEC. 50604. IMPROVING THE LIKELIHOOD OF SUCCESS IN HIGH-RISK<br \/>\nCOMMUNITIES.<\/p>\n<p>Section 511(d)(4)(A) of the Social Security Act (42 U.S.C.<br \/>\n711(d)(4)(A)) is amended by inserting &#8220;, taking into account the<br \/>\nstaffing, community resource, and other requirements to operate at least<br \/>\none approved model of home visiting and demonstrate improvements for<br \/>\neligible families&#8221; before the period.<br \/>\nSEC. 50605. OPTION TO FUND EVIDENCE-BASED HOME VISITING ON A PAY<br \/>\nFOR OUTCOME BASIS.<\/p>\n<p>(a) In General.&#8211;Section 511(c) of the Social Security Act (42<br \/>\nU.S.C. 711(c)) is amended by redesignating paragraphs (3) and (4) as<br \/>\nparagraphs (4) and (5), respectively, and by inserting after paragraph<br \/>\n(2) the following:<br \/>\n&#8220;(3) Authority to use grant for a pay for outcomes<br \/>\ninitiative.&#8211;An eligible entity to which a grant is made under<br \/>\nparagraph (1) may use up to 25 percent of the grant for outcomes<br \/>\nor success payments related to a pay for outcomes initiative<br \/>\nthat will not result in a reduction of funding for services<br \/>\ndelivered by the entity under a childhood home visitation<br \/>\nprogram under this section while the eligible entity develops or<br \/>\noperates such an initiative.&#8221;.<\/p>\n<p>(b) Definition of Pay for Outcomes Initiative.&#8211;Section 511(k) of<br \/>\nsuch Act (42 U.S.C. 711(k)) is amended by adding at the end the<br \/>\nfollowing:<br \/>\n&#8220;(4) Pay for outcomes initiative.&#8211;The term `pay for<br \/>\noutcomes initiative&#8217; means a performance-based grant, contract,<\/p>\n<p>[[Page 132 STAT. 230]]<\/p>\n<p>cooperative agreement, or other agreement awarded by a public<br \/>\nentity in which a commitment is made to pay for improved<br \/>\noutcomes achieved as a result of the intervention that result in<br \/>\nsocial benefit and direct cost savings or cost avoidance to the<br \/>\npublic sector. Such an initiative shall include&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Study.&gt;&gt; a feasibility study that<br \/>\ndescribes how the proposed intervention is based on<br \/>\nevidence of effectiveness;<br \/>\n&#8220;(B) &lt;&lt;NOTE: Evaluation. Determination.&gt;&gt; a<br \/>\nrigorous, third-party evaluation that uses experimental<br \/>\nor quasi-experimental design or other research<br \/>\nmethodologies that allow for the strongest possible<br \/>\ncausal inferences to determine whether the initiative<br \/>\nhas met its proposed outcomes as a result of the<br \/>\nintervention;<br \/>\n&#8220;(C) &lt;&lt;NOTE: Deadline. Public<br \/>\ninformation. Reports. Requirement.&gt;&gt; an annual,<br \/>\npublicly available report on the progress of the<br \/>\ninitiative; and<br \/>\n&#8220;(D) a requirement that payments are made to the<br \/>\nrecipient of a grant, contract, or cooperative agreement<br \/>\nonly when agreed upon outcomes are achieved, except that<br \/>\nthis requirement shall not apply with respect to<br \/>\npayments to a third party conducting the evaluation<br \/>\ndescribed in subparagraph (B).&#8221;.<\/p>\n<p>(c) Extended Availability of Funds.&#8211;Section 511(j)(3) of such Act<br \/>\n(42 U.S.C. 711(j)(3)) is amended&#8211;<br \/>\n(1) by striking &#8220;(3) Availability.&#8211;Funds&#8221; and inserting<br \/>\nthe following:<br \/>\n&#8220;(3) Availability.&#8211;<br \/>\n&#8220;(A) In general.&#8211;Except as provided in<br \/>\nsubparagraph (B), funds&#8221;; and<br \/>\n(2) by adding at the end the following:<br \/>\n&#8220;(B) &lt;&lt;NOTE: Time period.&gt;&gt; Funds for pay for<br \/>\noutcomes initiatives.&#8211;Funds made available to an<br \/>\neligible entity under this section for a fiscal year (or<br \/>\nportion of a fiscal year) for a pay for outcomes<br \/>\ninitiative shall remain available for expenditure by the<br \/>\neligible entity for not more than 10 years after the<br \/>\nfunds are so made available.&#8221;.<br \/>\nSEC. 50606. DATA EXCHANGE STANDARDS FOR IMPROVED INTEROPERABILITY.<\/p>\n<p>(a) In General.&#8211;Section 511(h) of the Social Security Act (42<br \/>\nU.S.C. 711(h)) is amended by adding at the end the following:<br \/>\n&#8220;(5) Data exchange standards for improved<br \/>\ninteroperability.&#8211;<br \/>\n&#8220;(A) Designation and use of data exchange<br \/>\nstandards.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Consultation.&gt;&gt; Designation.&#8211;<br \/>\nThe head of the department or agency responsible<br \/>\nfor administering a program funded under this<br \/>\nsection shall, in consultation with an interagency<br \/>\nwork group established by the Office of Management<br \/>\nand Budget and considering State government<br \/>\nperspectives, designate data exchange standards<br \/>\nfor necessary categories of information that a<br \/>\nState agency operating the program is required to<br \/>\nelectronically exchange with another State agency<br \/>\nunder applicable Federal law.<br \/>\n&#8220;(ii) Data exchange standards must be<br \/>\nnonproprietary and interoperable.&#8211;The data<br \/>\nexchange standards designated under clause (i)<br \/>\nshall, to the<\/p>\n<p>[[Page 132 STAT. 231]]<\/p>\n<p>extent practicable, be nonproprietary and<br \/>\ninteroperable.<br \/>\n&#8220;(iii) Other requirements.&#8211;In designating<br \/>\ndata exchange standards under this paragraph, the<br \/>\nSecretary shall, to the extent practicable,<br \/>\nincorporate&#8211;<br \/>\n&#8220;(I) interoperable standards<br \/>\ndeveloped and maintained by an<br \/>\ninternational voluntary consensus<br \/>\nstandards body, as defined by the Office<br \/>\nof Management and Budget;<br \/>\n&#8220;(II) interoperable standards<br \/>\ndeveloped and maintained by<br \/>\nintergovernmental partnerships, such as<br \/>\nthe National Information Exchange Model;<br \/>\nand<br \/>\n&#8220;(III) interoperable standards<br \/>\ndeveloped and maintained by Federal<br \/>\nentities with authority over contracting<br \/>\nand financial assistance.<br \/>\n&#8220;(B) Data exchange standards for federal<br \/>\nreporting.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Consultation.&gt;&gt; Designation.&#8211;<br \/>\nThe head of the department or agency responsible<br \/>\nfor administering a program referred to in this<br \/>\nsection shall, in consultation with an interagency<br \/>\nwork group established by the Office of Management<br \/>\nand Budget, and considering State government<br \/>\nperspectives, designate data exchange standards to<br \/>\ngovern Federal reporting and exchange requirements<br \/>\nunder applicable Federal law.<br \/>\n&#8220;(ii) Requirements.&#8211;The data exchange<br \/>\nreporting standards required by clause (i) shall,<br \/>\nto the extent practicable&#8211;<br \/>\n&#8220;(I) incorporate a widely accepted,<br \/>\nnonproprietary, searchable, computer-<br \/>\nreadable format;<br \/>\n&#8220;(II) be consistent with and<br \/>\nimplement applicable accounting<br \/>\nprinciples;<br \/>\n&#8220;(III) be implemented in a manner<br \/>\nthat is cost-effective and improves<br \/>\nprogram efficiency and effectiveness;<br \/>\nand<br \/>\n&#8220;(IV) be capable of being<br \/>\ncontinually upgraded as necessary.<br \/>\n&#8220;(iii) Incorporation of nonproprietary<br \/>\nstandards.&#8211;In designating data exchange standards<br \/>\nunder this paragraph, the Secretary shall, to the<br \/>\nextent practicable, incorporate existing<br \/>\nnonproprietary standards, such as the eXtensible<br \/>\nMark up Language.<br \/>\n&#8220;(iv) Rule of construction.&#8211;Nothing in this<br \/>\nparagraph shall be construed to require a change<br \/>\nto existing data exchange standards for Federal<br \/>\nreporting about a program referred to in this<br \/>\nsection, if the head of the department or agency<br \/>\nresponsible for administering the program finds<br \/>\nthe standards to be effective and efficient.&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 711 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby subsection (a) shall take effect on the date that is 2 years after<br \/>\nthe date of enactment of this Act.<br \/>\nSEC. 50607. ALLOCATION OF FUNDS.<\/p>\n<p>Section 511(j) of the Social Security Act (42 U.S.C. 711(j)) is<br \/>\namended by adding at the end the following:<\/p>\n<p>[[Page 132 STAT. 232]]<\/p>\n<p>&#8220;(4) &lt;&lt;NOTE: Determination.&gt;&gt; Allocation of funds.&#8211;To the<br \/>\nextent that the grant amount awarded under this section to an<br \/>\neligible entity is determined on the basis of relative<br \/>\npopulation or poverty considerations, the Secretary shall make<br \/>\nthe determination using the most accurate Federal data available<br \/>\nfor the eligible entity.&#8221;.<\/p>\n<p>Subtitle B&#8211;Extension of Health Professions Workforce Demonstration<br \/>\nProjects<\/p>\n<p>SEC. 50611. EXTENSION OF HEALTH WORKFORCE DEMONSTRATION PROJECTS<br \/>\nFOR LOW-INCOME INDIVIDUALS.<\/p>\n<p>Section 2008(c)(1) of the Social Security Act (42 U.S.C.<br \/>\n1397g(c)(1)) is amended by striking &#8220;2017&#8221; and inserting &#8220;2019&#8221;.<\/p>\n<p>TITLE VII&#8211;FAMILY FIRST PREVENTION SERVICES ACT<\/p>\n<p>Subtitle A&#8211; &lt;&lt;NOTE: Bipartisan Budget Act of 2018.&gt;&gt; Investing in<br \/>\nPrevention and Supporting Families<br \/>\nSEC. 50701. &lt;&lt;NOTE: 42 USC 1305 note.&gt;&gt; SHORT TITLE.<\/p>\n<p>This subtitle may be cited as the &#8220;Bipartisan Budget Act of 2018&#8221;.<br \/>\nSEC. 50702. &lt;&lt;NOTE: 42 USC 622 note.&gt;&gt; PURPOSE.<\/p>\n<p>The purpose of this subtitle is to enable States to use Federal<br \/>\nfunds available under parts B and E of title IV of the Social Security<br \/>\nAct to provide enhanced support to children and families and prevent<br \/>\nfoster care placements through the provision of mental health and<br \/>\nsubstance abuse prevention and treatment services, in-home parent skill-<br \/>\nbased programs, and kinship navigator services.<\/p>\n<p>PART I&#8211;PREVENTION ACTIVITIES UNDER TITLE IV-E<\/p>\n<p>SEC. 50711. FOSTER CARE PREVENTION SERVICES AND PROGRAMS.<\/p>\n<p>(a) State Option.&#8211;Section 471 of the Social Security Act (42 U.S.C.<br \/>\n671) is amended&#8211;<br \/>\n(1) in subsection (a)(1), by striking &#8220;and&#8221; and all that<br \/>\nfollows through the semicolon and inserting &#8220;, adoption<br \/>\nassistance in accordance with section 473, and, at the option of<br \/>\nthe State, services or programs specified in subsection (e)(1)<br \/>\nof this section for children who are candidates for foster care<br \/>\nor who are pregnant or parenting foster youth and the parents or<br \/>\nkin caregivers of the children, in accordance with the<br \/>\nrequirements of that subsection;&#8221;; and<br \/>\n(2) by adding at the end the following:<\/p>\n<p>&#8220;(e) Prevention and Family Services and Programs.&#8211;<br \/>\n&#8220;(1) &lt;&lt;NOTE: Time period.&gt;&gt; In general.&#8211;Subject to the<br \/>\nsucceeding provisions of this subsection, the Secretary may make<br \/>\na payment to a State for providing the following services or<br \/>\nprograms for a child<\/p>\n<p>[[Page 132 STAT. 233]]<\/p>\n<p>described in paragraph (2) and the parents or kin caregivers of<br \/>\nthe child when the need of the child, such a parent, or such a<br \/>\ncaregiver for the services or programs are directly related to<br \/>\nthe safety, permanence, or well-being of the child or to<br \/>\npreventing the child from entering foster care:<br \/>\n&#8220;(A) Mental health and substance abuse prevention<br \/>\nand treatment services.&#8211;Mental health and substance<br \/>\nabuse prevention and treatment services provided by a<br \/>\nqualified clinician for not more than a 12-month period<br \/>\nthat begins on any date described in paragraph (3) with<br \/>\nrespect to the child.<br \/>\n&#8220;(B) In-home parent skill-based programs.&#8211;In-home<br \/>\nparent skill-based programs for not more than a 12-month<br \/>\nperiod that begins on any date described in paragraph<br \/>\n(3) with respect to the child and that include parenting<br \/>\nskills training, parent education, and individual and<br \/>\nfamily counseling.<br \/>\n&#8220;(2) Child described.&#8211;For purposes of paragraph (1), a<br \/>\nchild described in this paragraph is the following:<br \/>\n&#8220;(A) A child who is a candidate for foster care (as<br \/>\ndefined in section 475(13)) but can remain safely at<br \/>\nhome or in a kinship placement with receipt of services<br \/>\nor programs specified in paragraph (1).<br \/>\n&#8220;(B) A child in foster care who is a pregnant or<br \/>\nparenting foster youth.<br \/>\n&#8220;(3) Date described.&#8211;For purposes of paragraph (1), the<br \/>\ndates described in this paragraph are the following:<br \/>\n&#8220;(A) The date on which a child is identified in a<br \/>\nprevention plan maintained under paragraph (4) as a<br \/>\nchild who is a candidate for foster care (as defined in<br \/>\nsection 475(13)).<br \/>\n&#8220;(B) The date on which a child is identified in a<br \/>\nprevention plan maintained under paragraph (4) as a<br \/>\npregnant or parenting foster youth in need of services<br \/>\nor programs specified in paragraph (1).<br \/>\n&#8220;(4) Requirements related to providing services and<br \/>\nprograms.&#8211;Services and programs specified in paragraph (1) may<br \/>\nbe provided under this subsection only if specified in advance<br \/>\nin the child&#8217;s prevention plan described in subparagraph (A) and<br \/>\nthe requirements in subparagraphs (B) through (E) are met:<br \/>\n&#8220;(A) Prevention plan.&#8211;The State maintains a<br \/>\nwritten prevention plan for the child that meets the<br \/>\nfollowing requirements (as applicable):<br \/>\n&#8220;(i) Candidates.&#8211;In the case of a child who<br \/>\nis a candidate for foster care described in<br \/>\nparagraph (2)(A), the prevention plan shall&#8211;<br \/>\n&#8220;(I) identify the foster care<br \/>\nprevention strategy for the child so<br \/>\nthat the child may remain safely at<br \/>\nhome, live temporarily with a kin<br \/>\ncaregiver until reunification can be<br \/>\nsafely achieved, or live permanently<br \/>\nwith a kin caregiver;<br \/>\n&#8220;(II) list the services or programs<br \/>\nto be provided to or on behalf of the<br \/>\nchild to ensure the success of that<br \/>\nprevention strategy; and<br \/>\n&#8220;(III) &lt;&lt;NOTE: Compliance.&gt;&gt; comply<br \/>\nwith such other requirements as the<br \/>\nSecretary shall establish.<\/p>\n<p>[[Page 132 STAT. 234]]<\/p>\n<p>&#8220;(ii) Pregnant or parenting foster youth.&#8211;In<br \/>\nthe case of a child who is a pregnant or parenting<br \/>\nfoster youth described in paragraph (2)(B), the<br \/>\nprevention plan shall&#8211;<br \/>\n&#8220;(I) be included in the child&#8217;s<br \/>\ncase plan required under section 475(1);<br \/>\n&#8220;(II) list the services or programs<br \/>\nto be provided to or on behalf of the<br \/>\nyouth to ensure that the youth is<br \/>\nprepared (in the case of a pregnant<br \/>\nfoster youth) or able (in the case of a<br \/>\nparenting foster youth) to be a parent;<br \/>\n&#8220;(III) describe the foster care<br \/>\nprevention strategy for any child born<br \/>\nto the youth; and<br \/>\n&#8220;(IV) &lt;&lt;NOTE: Compliance.&gt;&gt; comply<br \/>\nwith such other requirements as the<br \/>\nSecretary shall establish.<br \/>\n&#8220;(B) Trauma-informed.&#8211;The services or programs to<br \/>\nbe provided to or on behalf of a child are provided<br \/>\nunder an organizational structure and treatment<br \/>\nframework that involves understanding, recognizing, and<br \/>\nresponding to the effects of all types of trauma and in<br \/>\naccordance with recognized principles of a trauma-<br \/>\ninformed approach and trauma-specific interventions to<br \/>\naddress trauma&#8217;s consequences and facilitate healing.<br \/>\n&#8220;(C) Only services and programs provided in<br \/>\naccordance with promising, supported, or well-supported<br \/>\npractices permitted.&#8211;<br \/>\n&#8220;(i) In general.&#8211;Only State expenditures for<br \/>\nservices or programs specified in subparagraph (A)<br \/>\nor (B) of paragraph (1) that are provided in<br \/>\naccordance with practices that meet the<br \/>\nrequirements specified in clause (ii) of this<br \/>\nsubparagraph and that meet the requirements<br \/>\nspecified in clause (iii), (iv), or (v),<br \/>\nrespectively, for being a promising, supported, or<br \/>\nwell-supported practice, shall be eligible for a<br \/>\nFederal matching payment under section<br \/>\n474(a)(6)(A).<br \/>\n&#8220;(ii) General practice requirements.&#8211;The<br \/>\ngeneral practice requirements specified in this<br \/>\nclause are the following:<br \/>\n&#8220;(I) The practice has a book,<br \/>\nmanual, or other available writings that<br \/>\nspecify the components of the practice<br \/>\nprotocol and describe how to administer<br \/>\nthe practice.<br \/>\n&#8220;(II) There is no empirical basis<br \/>\nsuggesting that, compared to its likely<br \/>\nbenefits, the practice constitutes a<br \/>\nrisk of harm to those receiving it.<br \/>\n&#8220;(III) If multiple outcome studies<br \/>\nhave been conducted, the overall weight<br \/>\nof evidence supports the benefits of the<br \/>\npractice.<br \/>\n&#8220;(IV) Outcome measures are reliable<br \/>\nand valid, and are administrated<br \/>\nconsistently and accurately across all<br \/>\nthose receiving the practice.<br \/>\n&#8220;(V) There is no case data<br \/>\nsuggesting a risk of harm that was<br \/>\nprobably caused by the treatment and<br \/>\nthat was severe or frequent.<br \/>\n&#8220;(iii) &lt;&lt;NOTE: Study.&gt;&gt; Promising<br \/>\npractice.&#8211;A practice shall be considered to be a<br \/>\n`promising practice&#8217; if the practice is superior<br \/>\nto an appropriate comparison practice using<\/p>\n<p>[[Page 132 STAT. 235]]<\/p>\n<p>conventional standards of statistical significance<br \/>\n(in terms of demonstrated meaningful improvements<br \/>\nin validated measures of important child and<br \/>\nparent outcomes, such as mental health, substance<br \/>\nabuse, and child safety and well-being), as<br \/>\nestablished by the results or outcomes of at least<br \/>\none study that&#8211;<br \/>\n&#8220;(I) was rated by an independent<br \/>\nsystematic review for the quality of the<br \/>\nstudy design and execution and<br \/>\ndetermined to be well-designed and well-<br \/>\nexecuted; and<br \/>\n&#8220;(II) utilized some form of control<br \/>\n(such as an untreated group, a placebo<br \/>\ngroup, or a wait list study).<br \/>\n&#8220;(iv) &lt;&lt;NOTE: Study.&gt;&gt; Supported practice.&#8211;<br \/>\nA practice shall be considered to be a `supported<br \/>\npractice&#8217; if&#8211;<br \/>\n&#8220;(I) the practice is superior to an<br \/>\nappropriate comparison practice using<br \/>\nconventional standards of statistical<br \/>\nsignificance (in terms of demonstrated<br \/>\nmeaningful improvements in validated<br \/>\nmeasures of important child and parent<br \/>\noutcomes, such as mental health,<br \/>\nsubstance abuse, and child safety and<br \/>\nwell-being), as established by the<br \/>\nresults or outcomes of at least one<br \/>\nstudy that&#8211;<br \/>\n&#8220;(aa) was rated by an<br \/>\nindependent systematic review<br \/>\nfor the quality of the study<br \/>\ndesign and execution and<br \/>\ndetermined to be well-designed<br \/>\nand well-executed;<br \/>\n&#8220;(bb) was a rigorous<br \/>\nrandom-controlled trial (or, if<br \/>\nnot available, a study using a<br \/>\nrigorous quasi-experimental<br \/>\nresearch design); and<br \/>\n&#8220;(cc) was carried out in a<br \/>\nusual care or practice setting;<br \/>\nand<br \/>\n&#8220;(II) &lt;&lt;NOTE: Time period.&gt;&gt; the<br \/>\nstudy described in subclause (I)<br \/>\nestablished that the practice has a<br \/>\nsustained effect (when compared to a<br \/>\ncontrol group) for at least 6 months<br \/>\nbeyond the end of the treatment.<br \/>\n&#8220;(v) &lt;&lt;NOTE: Studies.&gt;&gt; Well-supported<br \/>\npractice.&#8211;A practice shall be considered to be a<br \/>\n`well-supported practice&#8217; if&#8211;<br \/>\n&#8220;(I) the practice is superior to an<br \/>\nappropriate comparison practice using<br \/>\nconventional standards of statistical<br \/>\nsignificance (in terms of demonstrated<br \/>\nmeaningful improvements in validated<br \/>\nmeasures of important child and parent<br \/>\noutcomes, such as mental health,<br \/>\nsubstance abuse, and child safety and<br \/>\nwell-being), as established by the<br \/>\nresults or outcomes of at least two<br \/>\nstudies that&#8211;<br \/>\n&#8220;(aa) were rated by an<br \/>\nindependent systematic review<br \/>\nfor the quality of the study<br \/>\ndesign and execution and<br \/>\ndetermined to be well-designed<br \/>\nand well-executed;<br \/>\n&#8220;(bb) were rigorous random-<br \/>\ncontrolled trials (or, if not<br \/>\navailable, studies using a<br \/>\nrigorous quasi-experimental<br \/>\nresearch design); and<br \/>\n&#8220;(cc) were carried out in a<br \/>\nusual care or practice setting;<br \/>\nand<\/p>\n<p>[[Page 132 STAT. 236]]<\/p>\n<p>&#8220;(II) &lt;&lt;NOTE: Time period.&gt;&gt; at<br \/>\nleast one of the studies described in<br \/>\nsubclause (I) established that the<br \/>\npractice has a sustained effect (when<br \/>\ncompared to a control group) for at<br \/>\nleast 1 year beyond the end of<br \/>\ntreatment.<br \/>\n&#8220;(D) Guidance on practices criteria and pre-<br \/>\napproved services and programs.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Deadlines.&gt;&gt; In general.&#8211;Not<br \/>\nlater than October 1, 2018, the Secretary shall<br \/>\nissue guidance to States regarding the practices<br \/>\ncriteria required for services or programs to<br \/>\nsatisfy the requirements of subparagraph (C). The<br \/>\nguidance shall include a pre-approved list of<br \/>\nservices and programs that satisfy the<br \/>\nrequirements.<br \/>\n&#8220;(ii) Updates.&#8211;The Secretary shall issue<br \/>\nupdates to the guidance required by clause (i) as<br \/>\noften as the Secretary determines necessary.<br \/>\n&#8220;(E) &lt;&lt;NOTE: Time periods. Determination.&gt;&gt;<br \/>\nOutcome assessment and reporting.&#8211;The State shall<br \/>\ncollect and report to the Secretary the following<br \/>\ninformation with respect to each child for whom, or on<br \/>\nwhose behalf mental health and substance abuse<br \/>\nprevention and treatment services or in-home parent<br \/>\nskill-based programs are provided during a 12-month<br \/>\nperiod beginning on the date the child is determined by<br \/>\nthe State to be a child described in paragraph (2):<br \/>\n&#8220;(i) The specific services or programs<br \/>\nprovided and the total expenditures for each of<br \/>\nthe services or programs.<br \/>\n&#8220;(ii) The duration of the services or<br \/>\nprograms provided.<br \/>\n&#8220;(iii) &lt;&lt;NOTE: Deadline.&gt;&gt; In the case of a<br \/>\nchild described in paragraph (2)(A), the child&#8217;s<br \/>\nplacement status at the beginning, and at the end,<br \/>\nof the 1-year period, respectively, and whether<br \/>\nthe child entered foster care within 2 years after<br \/>\nbeing determined a candidate for foster care.<br \/>\n&#8220;(5) State plan component.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Plan.&gt;&gt; In general.&#8211;A State electing<br \/>\nto provide services or programs specified in paragraph<br \/>\n(1) shall submit as part of the State plan required by<br \/>\nsubsection (a) a prevention services and programs plan<br \/>\ncomponent that meets the requirements of subparagraph<br \/>\n(B).<br \/>\n&#8220;(B) &lt;&lt;NOTE: Time period.&gt;&gt; Prevention services<br \/>\nand programs plan component.&#8211;In order to meet the<br \/>\nrequirements of this subparagraph, a prevention services<br \/>\nand programs plan component, with respect to each 5-year<br \/>\nperiod for which the plan component is in operation in<br \/>\nthe State, shall include the following:<br \/>\n&#8220;(i) How providing services and programs<br \/>\nspecified in paragraph (1) is expected to improve<br \/>\nspecific outcomes for children and families.<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Assessments. Determination.&gt;&gt;<br \/>\nHow the State will monitor and oversee the safety<br \/>\nof children who receive services and programs<br \/>\nspecified in paragraph (1), including through<br \/>\nperiodic risk assessments throughout the period in<br \/>\nwhich the services and programs are provided on<br \/>\nbehalf of a child and reexamination of the<br \/>\nprevention plan maintained for the child under<br \/>\nparagraph (4) for the provision of the services or<br \/>\nprograms if the State determines<\/p>\n<p>[[Page 132 STAT. 237]]<\/p>\n<p>the risk of the child entering foster care remains<br \/>\nhigh despite the provision of the services or<br \/>\nprograms.<br \/>\n&#8220;(iii) With respect to the services and<br \/>\nprograms specified in subparagraphs (A) and (B) of<br \/>\nparagraph (1), information on the specific<br \/>\npromising, supported, or well-supported practices<br \/>\nthe State plans to use to provide the services or<br \/>\nprograms, including a description of&#8211;<br \/>\n&#8220;(I) the services or programs and<br \/>\nwhether the practices used are<br \/>\npromising, supported, or well-supported;<br \/>\n&#8220;(II) how the State plans to<br \/>\nimplement the services or programs,<br \/>\nincluding how implementation of the<br \/>\nservices or programs will be<br \/>\ncontinuously monitored to ensure<br \/>\nfidelity to the practice model and to<br \/>\ndetermine outcomes achieved and how<br \/>\ninformation learned from the monitoring<br \/>\nwill be used to refine and improve<br \/>\npractices;<br \/>\n&#8220;(III) how the State selected the<br \/>\nservices or programs;<br \/>\n&#8220;(IV) the target population for the<br \/>\nservices or programs; and<br \/>\n&#8220;(V) &lt;&lt;NOTE: Evaluation.&gt;&gt; how<br \/>\neach service or program provided will be<br \/>\nevaluated through a well-designed and<br \/>\nrigorous process, which may consist of<br \/>\nan ongoing, cross-site evaluation<br \/>\napproved by the Secretary.<br \/>\n&#8220;(iv) &lt;&lt;NOTE: Consultation.&gt;&gt; A description<br \/>\nof the consultation that the State agencies<br \/>\nresponsible for administering the State plans<br \/>\nunder this part and part B engage in with other<br \/>\nState agencies responsible for administering<br \/>\nhealth programs, including mental health and<br \/>\nsubstance abuse prevention and treatment services,<br \/>\nand with other public and private agencies with<br \/>\nexperience in administering child and family<br \/>\nservices, including community-based organizations,<br \/>\nin order to foster a continuum of care for<br \/>\nchildren described in paragraph (2) and their<br \/>\nparents or kin caregivers.<br \/>\n&#8220;(v) &lt;&lt;NOTE: Assessment.&gt;&gt; A description of<br \/>\nhow the State shall assess children and their<br \/>\nparents or kin caregivers to determine eligibility<br \/>\nfor services or programs specified in paragraph<br \/>\n(1).<br \/>\n&#8220;(vi) A description of how the services or<br \/>\nprograms specified in paragraph (1) that are<br \/>\nprovided for or on behalf of a child and the<br \/>\nparents or kin caregivers of the child will be<br \/>\ncoordinated with other child and family services<br \/>\nprovided to the child and the parents or kin<br \/>\ncaregivers of the child under the State plans in<br \/>\neffect under subparts 1 and 2 of part B.<br \/>\n&#8220;(vii) Descriptions of steps the State is<br \/>\ntaking to support and enhance a competent,<br \/>\nskilled, and professional child welfare workforce<br \/>\nto deliver trauma-informed and evidence-based<br \/>\nservices, including&#8211;<br \/>\n&#8220;(I) ensuring that staff is<br \/>\nqualified to provide services or<br \/>\nprograms that are consistent with the<br \/>\npromising, supported, or well-supported<br \/>\npractice models selected; and<\/p>\n<p>[[Page 132 STAT. 238]]<\/p>\n<p>&#8220;(II) developing appropriate<br \/>\nprevention plans, and conducting the<br \/>\nrisk assessments required under clause<br \/>\n(iii).<br \/>\n&#8220;(viii) &lt;&lt;NOTE: Assessment. Evaluation.&gt;&gt; A<br \/>\ndescription of how the State will provide training<br \/>\nand support for caseworkers in assessing what<br \/>\nchildren and their families need, connecting to<br \/>\nthe families served, knowing how to access and<br \/>\ndeliver the needed trauma-informed and evidence-<br \/>\nbased services, and overseeing and evaluating the<br \/>\ncontinuing appropriateness of the services.<br \/>\n&#8220;(ix) A description of how caseload size and<br \/>\ntype for prevention caseworkers will be<br \/>\ndetermined, managed, and overseen.<br \/>\n&#8220;(x) An assurance that the State will report<br \/>\nto the Secretary such information and data as the<br \/>\nSecretary may require with respect to the<br \/>\nprovision of services and programs specified in<br \/>\nparagraph (1), including information and data<br \/>\nnecessary to determine the performance measures<br \/>\nfor the State under paragraph (6) and compliance<br \/>\nwith paragraph (7).<br \/>\n&#8220;(C) Reimbursement for services under the<br \/>\nprevention plan component.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Evaluation.&gt;&gt; Limitation.&#8211;<br \/>\nExcept as provided in subclause (ii), a State may<br \/>\nnot receive a Federal payment under this part for<br \/>\na given promising, supported, or well-supported<br \/>\npractice unless (in accordance with subparagraph<br \/>\n(B)(iii)(V)) the plan includes a well-designed and<br \/>\nrigorous evaluation strategy for that practice.<br \/>\n&#8220;(ii) Waiver of limitation.&#8211;The Secretary<br \/>\nmay waive the requirement for a well-designed and<br \/>\nrigorous evaluation of any well-supported practice<br \/>\nif the Secretary deems the evidence of the<br \/>\neffectiveness of the practice to be compelling and<br \/>\nthe State meets the continuous quality improvement<br \/>\nrequirements included in subparagraph (B)(iii)(II)<br \/>\nwith regard to the practice.<br \/>\n&#8220;(6) Prevention services measures.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Time period.&gt;&gt; Establishment; annual<br \/>\nupdates.&#8211;Beginning with fiscal year 2021, and annually<br \/>\nthereafter, the Secretary shall establish the following<br \/>\nprevention services measures based on information and<br \/>\ndata reported by States that elect to provide services<br \/>\nand programs specified in paragraph (1):<br \/>\n&#8220;(i) Percentage of candidates for foster care<br \/>\nwho do not enter foster care.&#8211; &lt;&lt;NOTE: Time<br \/>\nperiod.&gt;&gt; The percentage of candidates for foster<br \/>\ncare for whom, or on whose behalf, the services or<br \/>\nprograms are provided who do not enter foster<br \/>\ncare, including those placed with a kin caregiver<br \/>\noutside of foster care, during the 12-month period<br \/>\nin which the services or programs are provided and<br \/>\nthrough the end of the succeeding 12-month period.<br \/>\n&#8220;(ii) Per-child spending.&#8211;The total amount<br \/>\nof expenditures made for mental health and<br \/>\nsubstance abuse prevention and treatment services<br \/>\nor in-home parent skill-based programs,<br \/>\nrespectively, for, or on behalf of, each child<br \/>\ndescribed in paragraph (2).<br \/>\n&#8220;(B) &lt;&lt;NOTE: Deadline. Updates.&gt;&gt; Data.&#8211;The<br \/>\nSecretary shall establish and annually update the<br \/>\nprevention services measures&#8211;<\/p>\n<p>[[Page 132 STAT. 239]]<\/p>\n<p>&#8220;(i) based on the median State values of the<br \/>\ninformation reported under each clause of<br \/>\nsubparagraph (A) for the 3 then most recent years;<br \/>\nand<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Determination.&gt;&gt; taking into<br \/>\naccount State differences in the price levels of<br \/>\nconsumption goods and services using the most<br \/>\nrecent regional price parities published by the<br \/>\nBureau of Economic Analysis of the Department of<br \/>\nCommerce or such other data as the Secretary<br \/>\ndetermines appropriate.<br \/>\n&#8220;(C) Publication of state prevention services<br \/>\nmeasures.&#8211; &lt;&lt;NOTE: Deadline. Public information.&gt;&gt; The<br \/>\nSecretary shall annually make available to the public<br \/>\nthe prevention services measures of each State.<br \/>\n&#8220;(7) Maintenance of effort for state foster care prevention<br \/>\nexpenditures.&#8211;<br \/>\n&#8220;(A) In general.&#8211;If a State elects to provide<br \/>\nservices and programs specified in paragraph (1) for a<br \/>\nfiscal year, the State foster care prevention<br \/>\nexpenditures for the fiscal year shall not be less than<br \/>\nthe amount of the expenditures for fiscal year 2014 (or,<br \/>\nat the option of a State described in subparagraph (E),<br \/>\nfiscal year 2015 or fiscal year 2016 (whichever the<br \/>\nState elects)).<br \/>\n&#8220;(B) &lt;&lt;NOTE: Definition.&gt;&gt; State foster care<br \/>\nprevention expenditures.&#8211;The term `State foster care<br \/>\nprevention expenditures&#8217; means the following:<br \/>\n&#8220;(i) TANF; iv-b; ssbg.&#8211;State expenditures<br \/>\nfor foster care prevention services and activities<br \/>\nunder the State program funded under part A<br \/>\n(including from amounts made available by the<br \/>\nFederal Government), under the State plan<br \/>\ndeveloped under part B (including any such<br \/>\namounts), or under the Social Services Block Grant<br \/>\nPrograms under subtitle A of title XX (including<br \/>\nany such amounts).<br \/>\n&#8220;(ii) Other state programs.&#8211;State<br \/>\nexpenditures for foster care prevention services<br \/>\nand activities under any State program that is not<br \/>\ndescribed in clause (i) (other than any State<br \/>\nexpenditures for foster care prevention services<br \/>\nand activities under the State program under this<br \/>\npart (including under a waiver of the program)).<br \/>\n&#8220;(C) &lt;&lt;NOTE: Definition.&gt;&gt; State expenditures.&#8211;<br \/>\nThe term `State expenditures&#8217; means all State or local<br \/>\nfunds that are expended by the State or a local agency<br \/>\nincluding State or local funds that are matched or<br \/>\nreimbursed by the Federal Government and State or local<br \/>\nfunds that are not matched or reimbursed by the Federal<br \/>\nGovernment.<br \/>\n&#8220;(D) &lt;&lt;NOTE: Requirement. Reports.&gt;&gt; Determination<br \/>\nof prevention services and activities.&#8211;The Secretary<br \/>\nshall require each State that elects to provide services<br \/>\nand programs specified in paragraph (1) to report the<br \/>\nexpenditures specified in subparagraph (B) for fiscal<br \/>\nyear 2014 and for such fiscal years thereafter as are<br \/>\nnecessary to determine whether the State is complying<br \/>\nwith the maintenance of effort requirement in<br \/>\nsubparagraph (A). The Secretary shall specify the<br \/>\nspecific services and activities under each program<br \/>\nreferred to in subparagraph (B) that are `prevention<br \/>\nservices and activities&#8217; for purposes of the reports.<\/p>\n<p>[[Page 132 STAT. 240]]<\/p>\n<p>&#8220;(E) State described.&#8211;For purposes of subparagraph<br \/>\n(A), a State is described in this subparagraph if the<br \/>\npopulation of children in the State in 2014 was less<br \/>\nthan 200,000 (as determined by the United States Census<br \/>\nBureau).<br \/>\n&#8220;(8) Prohibition against use of state foster care<br \/>\nprevention expenditures and federal iv-e prevention funds for<br \/>\nmatching or expenditure requirement.&#8211;A State that elects to<br \/>\nprovide services and programs specified in paragraph (1) shall<br \/>\nnot use any State foster care prevention expenditures for a<br \/>\nfiscal year for the State share of expenditures under section<br \/>\n474(a)(6) for a fiscal year.<br \/>\n&#8220;(9) Administrative costs.&#8211;Expenditures described in<br \/>\nsection 474(a)(6)(B)&#8211;<br \/>\n&#8220;(A) shall not be eligible for payment under<br \/>\nsubparagraph (A), (B), or (E) of section 474(a)(3); and<br \/>\n&#8220;(B) shall be eligible for payment under section<br \/>\n474(a)(6)(B) without regard to whether the expenditures<br \/>\nare incurred on behalf of a child who is, or is<br \/>\npotentially, eligible for foster care maintenance<br \/>\npayments under this part.<br \/>\n&#8220;(10) Application.&#8211;<br \/>\n&#8220;(A) In general.&#8211;The provision of services or<br \/>\nprograms under this subsection to or on behalf of a<br \/>\nchild described in paragraph (2) shall not be considered<br \/>\nto be receipt of aid or assistance under the State plan<br \/>\nunder this part for purposes of eligibility for any<br \/>\nother program established under this Act.<br \/>\n&#8220;(B) &lt;&lt;NOTE: Time period.&gt;&gt; Candidates in kinship<br \/>\ncare.&#8211;A child described in paragraph (2) for whom such<br \/>\nservices or programs under this subsection are provided<br \/>\nfor more than 6 months while in the home of a kin<br \/>\ncaregiver, and who would satisfy the AFDC eligibility<br \/>\nrequirement of section 472(a)(3)(A)(ii)(II) but for<br \/>\nresiding in the home of the caregiver for more than 6<br \/>\nmonths, is deemed to satisfy that requirement for<br \/>\npurposes of determining whether the child is eligible<br \/>\nfor foster care maintenance payments under section<br \/>\n472.&#8221;.<\/p>\n<p>(b) Definition.&#8211;Section 475 of such Act (42 U.S.C. 675) is amended<br \/>\nby adding at the end the following:<br \/>\n&#8220;(13) The term `child who is a candidate for foster care&#8217;<br \/>\nmeans, a child who is identified in a prevention plan under<br \/>\nsection 471(e)(4)(A) as being at imminent risk of entering<br \/>\nfoster care (without regard to whether the child would be<br \/>\neligible for foster care maintenance payments under section 472<br \/>\nor is or would be eligible for adoption assistance or kinship<br \/>\nguardianship assistance payments under section 473) but who can<br \/>\nremain safely in the child&#8217;s home or in a kinship placement as<br \/>\nlong as services or programs specified in section 471(e)(1) that<br \/>\nare necessary to prevent the entry of the child into foster care<br \/>\nare provided. The term includes a child whose adoption or<br \/>\nguardianship arrangement is at risk of a disruption or<br \/>\ndissolution that would result in a foster care placement.&#8221;.<\/p>\n<p>(c) Payments Under Title IV-E.&#8211;Section 474(a) of such Act (42<br \/>\nU.S.C. 674(a)) is amended&#8211;<br \/>\n(1) in paragraph (5), by striking the period at the end and<br \/>\ninserting &#8220;; plus&#8221;; and<br \/>\n(2) by adding at the end the following:<\/p>\n<p>[[Page 132 STAT. 241]]<\/p>\n<p>&#8220;(6) subject to section 471(e)&#8211;<br \/>\n&#8220;(A) for each quarter&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Time periods.&gt;&gt; subject to<br \/>\nclause (ii)&#8211;<br \/>\n&#8220;(I) beginning after September 30,<br \/>\n2019, and before October 1, 2026, an<br \/>\namount equal to 50 percent of the total<br \/>\namount expended during the quarter for<br \/>\nthe provision of services or programs<br \/>\nspecified in subparagraph (A) or (B) of<br \/>\nsection 471(e)(1) that are provided in<br \/>\naccordance with promising, supported, or<br \/>\nwell-supported practices that meet the<br \/>\napplicable criteria specified for the<br \/>\npractices in section 471(e)(4)(C); and<br \/>\n&#8220;(II) beginning after September 30,<br \/>\n2026, an amount equal to the Federal<br \/>\nmedical assistance percentage (which<br \/>\nshall be as defined in section 1905(b),<br \/>\nin the case of a State other than the<br \/>\nDistrict of Columbia, or 70 percent, in<br \/>\nthe case of the District of Columbia) of<br \/>\nthe total amount expended during the<br \/>\nquarter for the provision of services or<br \/>\nprograms specified in subparagraph (A)<br \/>\nor (B) of section 471(e)(1) that are<br \/>\nprovided in accordance with promising,<br \/>\nsupported, or well-supported practices<br \/>\nthat meet the applicable criteria<br \/>\nspecified for the practices in section<br \/>\n471(e)(4)(C) (or, with respect to the<br \/>\npayments made during the quarter under a<br \/>\ncooperative agreement or contract<br \/>\nentered into by the State and an Indian<br \/>\ntribe, tribal organization, or tribal<br \/>\nconsortium for the administration or<br \/>\npayment of funds under this part, an<br \/>\namount equal to the Federal medical<br \/>\nassistance percentage that would apply<br \/>\nunder section 479B(d) (in this paragraph<br \/>\nreferred to as the `tribal FMAP&#8217;) if the<br \/>\nIndian tribe, tribal organization, or<br \/>\ntribal consortium made the payments<br \/>\nunder a program operated under that<br \/>\nsection, unless the tribal FMAP is less<br \/>\nthan the Federal medical assistance<br \/>\npercentage that applies to the State);<br \/>\nexcept that<br \/>\n&#8220;(ii) not less than 50 percent of the total<br \/>\namount expended by a State under clause (i) for a<br \/>\nfiscal year shall be for the provision of services<br \/>\nor programs specified in subparagraph (A) or (B)<br \/>\nof section 471(e)(1) that are provided in<br \/>\naccordance with well-supported practices; plus<br \/>\n&#8220;(B) for each quarter specified in subparagraph<br \/>\n(A), an amount equal to the sum of the following<br \/>\nproportions of the total amount expended during the<br \/>\nquarter&#8211;<br \/>\n&#8220;(i) 50 percent of so much of the<br \/>\nexpenditures as are found necessary by the<br \/>\nSecretary for the proper and efficient<br \/>\nadministration of the State plan for the provision<br \/>\nof services or programs specified in section<br \/>\n471(e)(1), including expenditures for activities<br \/>\napproved by the Secretary that promote the<br \/>\ndevelopment of necessary processes and procedures<br \/>\nto establish and implement the provision of the<br \/>\nservices and<\/p>\n<p>[[Page 132 STAT. 242]]<\/p>\n<p>programs for individuals who are eligible for the<br \/>\nservices and programs and expenditures<br \/>\nattributable to data collection and reporting; and<br \/>\n&#8220;(ii) 50 percent of so much of the<br \/>\nexpenditures with respect to the provision of<br \/>\nservices and programs specified in section<br \/>\n471(e)(1) as are for training of personnel<br \/>\nemployed or preparing for employment by the State<br \/>\nagency or by the local agency administering the<br \/>\nplan in the political subdivision and of the<br \/>\nmembers of the staff of State-licensed or State-<br \/>\napproved child welfare agencies providing services<br \/>\nto children described in section 471(e)(2) and<br \/>\ntheir parents or kin caregivers, including on how<br \/>\nto determine who are individuals eligible for the<br \/>\nservices or programs, how to identify and provide<br \/>\nappropriate services and programs, and how to<br \/>\noversee and evaluate the ongoing appropriateness<br \/>\nof the services and programs.&#8221;.<\/p>\n<p>(d) Technical Assistance and Best Practices, Clearinghouse, and Data<br \/>\nCollection and Evaluations.&#8211;Section 476 of such Act (42 U.S.C. 676) is<br \/>\namended by adding at the end the following:<br \/>\n&#8220;(d) Technical Assistance and Best Practices, Clearinghouse, Data<br \/>\nCollection, and Evaluations Relating to Prevention Services and<br \/>\nPrograms.&#8211;<br \/>\n&#8220;(1) &lt;&lt;NOTE: Native Americans.&gt;&gt; Technical assistance and<br \/>\nbest practices.&#8211;The Secretary shall provide to States and, as<br \/>\napplicable, to Indian tribes, tribal organizations, and tribal<br \/>\nconsortia, technical assistance regarding the provision of<br \/>\nservices and programs described in section 471(e)(1) and shall<br \/>\ndisseminate best practices with respect to the provision of the<br \/>\nservices and programs, including how to plan and implement a<br \/>\nwell-designed and rigorous evaluation of a promising, supported,<br \/>\nor well-supported practice.<br \/>\n&#8220;(2) Clearinghouse of promising, supported, and well-<br \/>\nsupported practices.&#8211; &lt;&lt;NOTE: Evaluation.&gt;&gt; The Secretary<br \/>\nshall, directly or through grants, contracts, or interagency<br \/>\nagreements, evaluate research on the practices specified in<br \/>\nclauses (iii), (iv), and (v), respectively, of section<br \/>\n471(e)(4)(C), and programs that meet the requirements described<br \/>\nin section 427(a)(1), including culturally specific, or<br \/>\nlocation- or population-based adaptations of the practices, to<br \/>\nidentify and establish a public clearinghouse of the practices<br \/>\nthat satisfy each category described by such clauses. In<br \/>\naddition, the clearinghouse shall include information on the<br \/>\nspecific outcomes associated with each practice, including<br \/>\nwhether the practice has been shown to prevent child abuse and<br \/>\nneglect and reduce the likelihood of foster care placement by<br \/>\nsupporting birth families and kinship families and improving<br \/>\ntargeted supports for pregnant and parenting youth and their<br \/>\nchildren.<br \/>\n&#8220;(3) Data collection and evaluations.&#8211;The Secretary,<br \/>\ndirectly or through grants, contracts, or interagency<br \/>\nagreements, may collect data and conduct evaluations with<br \/>\nrespect to the provision of services and programs described in<br \/>\nsection 471(e)(1) for purposes of assessing the extent to which<br \/>\nthe provision of the services and programs&#8211;<br \/>\n&#8220;(A) reduces the likelihood of foster care<br \/>\nplacement;<br \/>\n&#8220;(B) increases use of kinship care arrangements; or<\/p>\n<p>[[Page 132 STAT. 243]]<\/p>\n<p>&#8220;(C) improves child well-being.<br \/>\n&#8220;(4) Reports to congress.&#8211;<br \/>\n&#8220;(A) In general.&#8211;The Secretary shall submit to the<br \/>\nCommittee on Finance of the Senate and the Committee on<br \/>\nWays and Means of the House of Representatives periodic<br \/>\nreports based on the provision of services and programs<br \/>\ndescribed in section 471(e)(1) and the activities<br \/>\ncarried out under this subsection.<br \/>\n&#8220;(B) Public availability.&#8211;The Secretary shall make<br \/>\nthe reports to Congress submitted under this paragraph<br \/>\npublicly available.<br \/>\n&#8220;(5) Appropriation.&#8211;Out of any money in the Treasury of<br \/>\nthe United States not otherwise appropriated, there are<br \/>\nappropriated to the Secretary $1,000,000 for fiscal year 2018<br \/>\nand each fiscal year thereafter to carry out this subsection.&#8221;.<\/p>\n<p>(e) Application to Programs Operated by Indian Tribal<br \/>\nOrganizations.&#8211;<br \/>\n(1) In general.&#8211;Section 479B of such Act (42 U.S.C. 679c)<br \/>\nis amended&#8211;<br \/>\n(A) in subsection (c)(1)&#8211;<br \/>\n(i) in subparagraph (C)(i)&#8211;<br \/>\n(I) in subclause (II), by striking<br \/>\n&#8220;and&#8221; after the semicolon;<br \/>\n(II) in subclause (III), by striking<br \/>\nthe period at the end and inserting &#8220;;<br \/>\nand&#8221;; and<br \/>\n(III) by adding at the end the<br \/>\nfollowing:<br \/>\n&#8220;(IV) at the option of the tribe,<br \/>\norganization, or consortium, services<br \/>\nand programs specified in section<br \/>\n471(e)(1) to children described in<br \/>\nsection 471(e)(2) and their parents or<br \/>\nkin caregivers, in accordance with<br \/>\nsection 471(e) and subparagraph (E).&#8221;;<br \/>\nand<br \/>\n(ii) by adding at the end the following:<br \/>\n&#8220;(E) Prevention services and programs for children<br \/>\nand their parents and kin caregivers.&#8211;<br \/>\n&#8220;(i) In general.&#8211; &lt;&lt;NOTE: Requirements.&gt;&gt; In<br \/>\nthe case of a tribe, organization, or consortium<br \/>\nthat elects to provide services and programs<br \/>\nspecified in section 471(e)(1) to children<br \/>\ndescribed in section 471(e)(2) and their parents<br \/>\nor kin caregivers under the plan, the Secretary<br \/>\nshall specify the requirements applicable to the<br \/>\nprovision of the services and programs. The<br \/>\nrequirements shall, to the greatest extent<br \/>\npracticable, be consistent with the requirements<br \/>\napplicable to States under section 471(e) and<br \/>\nshall permit the provision of the services and<br \/>\nprograms in the form of services and programs that<br \/>\nare adapted to the culture and context of the<br \/>\ntribal communities served.<br \/>\n&#8220;(ii) Performance measures.&#8211;The Secretary<br \/>\nshall establish specific performance measures for<br \/>\neach tribe, organization, or consortium that<br \/>\nelects to provide services and programs specified<br \/>\nin section 471(e)(1). The performance measures<br \/>\nshall, to the greatest extent practicable, be<br \/>\nconsistent with the prevention services measures<br \/>\nrequired for States under section 471(e)(6) but<br \/>\nshall allow for consideration of factors unique to<\/p>\n<p>[[Page 132 STAT. 244]]<\/p>\n<p>the provision of the services by tribes,<br \/>\norganizations, or consortia.&#8221;; and<br \/>\n(B) in subsection (d)(1), by striking &#8220;and (5)&#8221;<br \/>\nand inserting &#8220;(5), and (6)(A)&#8221;.<br \/>\n(2) Conforming amendment.&#8211;The heading for subsection (d) of<br \/>\nsection 479B of such Act (42 U.S.C. 679c) is amended by striking<br \/>\n&#8220;for Foster Care Maintenance and Adoption Assistance<br \/>\nPayments&#8221;.<\/p>\n<p>(f) Application to Programs Operated by Territories.&#8211;Section<br \/>\n1108(a)(2) of the Social Security Act (42 U.S.C. 1308(a)(2)) is amended<br \/>\nby striking &#8220;or 413(f)&#8221; and inserting &#8220;413(f), or 474(a)(6)&#8221;.<br \/>\nSEC. 50712. FOSTER CARE MAINTENANCE PAYMENTS FOR CHILDREN WITH<br \/>\nPARENTS IN A LICENSED RESIDENTIAL<br \/>\nFAMILY-BASED TREATMENT FACILITY FOR<br \/>\nSUBSTANCE ABUSE.<\/p>\n<p>(a) In General.&#8211;Section 472 of the Social Security Act (42 U.S.C.<br \/>\n672) is amended&#8211;<br \/>\n(1) in subsection (a)(2)(C), by striking &#8220;or&#8221; and<br \/>\ninserting &#8220;, with a parent residing in a licensed residential<br \/>\nfamily-based treatment facility, but only to the extent<br \/>\npermitted under subsection (j), or in a&#8221;; and<br \/>\n(2) by adding at the end the following:<\/p>\n<p>&#8220;(j) Children Placed With a Parent Residing in a Licensed<br \/>\nResidential Family-Based Treatment Facility for Substance Abuse.&#8211;<br \/>\n&#8220;(1) &lt;&lt;NOTE: Time period.&gt;&gt; In general.&#8211;Notwithstanding<br \/>\nthe preceding provisions of this section, a child who is<br \/>\neligible for foster care maintenance payments under this<br \/>\nsection, or who would be eligible for the payments if the<br \/>\neligibility were determined without regard to paragraphs (1)(B)<br \/>\nand (3) of subsection (a), shall be eligible for the payments<br \/>\nfor a period of not more than 12 months during which the child<br \/>\nis placed with a parent who is in a licensed residential family-<br \/>\nbased treatment facility for substance abuse, but only if&#8211;<br \/>\n&#8220;(A) the recommendation for the placement is<br \/>\nspecified in the child&#8217;s case plan before the placement;<br \/>\n&#8220;(B) the treatment facility provides, as part of<br \/>\nthe treatment for substance abuse, parenting skills<br \/>\ntraining, parent education, and individual and family<br \/>\ncounseling; and<br \/>\n&#8220;(C) the substance abuse treatment, parenting<br \/>\nskills training, parent education, and individual and<br \/>\nfamily counseling is provided under an organizational<br \/>\nstructure and treatment framework that involves<br \/>\nunderstanding, recognizing, and responding to the<br \/>\neffects of all types of trauma and in accordance with<br \/>\nrecognized principles of a trauma-informed approach and<br \/>\ntrauma-specific interventions to address the<br \/>\nconsequences of trauma and facilitate healing.<br \/>\n&#8220;(2) Application.&#8211;With respect to children for whom foster<br \/>\ncare maintenance payments are made under paragraph (1), only the<br \/>\nchildren who satisfy the requirements of paragraphs (1)(B) and<br \/>\n(3) of subsection (a) shall be considered to be children with<br \/>\nrespect to whom foster care maintenance payments are made under<br \/>\nthis section for purposes of subsection (h) or section<br \/>\n473(b)(3)(B).&#8221;.<\/p>\n<p>[[Page 132 STAT. 245]]<\/p>\n<p>(b) Conforming Amendment.&#8211;Section 474(a)(1) of such Act (42 U.S.C.<br \/>\n674(a)(1)) is amended by inserting &#8220;subject to section 472(j),&#8221; before<br \/>\n&#8220;an amount equal to the Federal&#8221; the first place it appears.<br \/>\nSEC. 50713. TITLE IV-E PAYMENTS FOR EVIDENCE-BASED KINSHIP<br \/>\nNAVIGATOR PROGRAMS.<\/p>\n<p>Section 474(a) of the Social Security Act (42 U.S.C. 674(a)), as<br \/>\namended by section 50711(c), is amended&#8211;<br \/>\n(1) in paragraph (6), by striking the period at the end and<br \/>\ninserting &#8220;; plus&#8221;; and<br \/>\n(2) by adding at the end the following:<br \/>\n&#8220;(7) &lt;&lt;NOTE: Determination.&gt;&gt; an amount equal to 50<br \/>\npercent of the amounts expended by the State during the quarter<br \/>\nas the Secretary determines are for kinship navigator programs<br \/>\nthat meet the requirements described in section 427(a)(1) and<br \/>\nthat the Secretary determines are operated in accordance with<br \/>\npromising, supported, or well-supported practices that meet the<br \/>\napplicable criteria specified for the practices in section<br \/>\n471(e)(4)(C), without regard to whether the expenditures are<br \/>\nincurred on behalf of children who are, or are potentially,<br \/>\neligible for foster care maintenance payments under this<br \/>\npart.&#8221;.<\/p>\n<p>PART II&#8211;ENHANCED SUPPORT UNDER TITLE IV-B<\/p>\n<p>SEC. 50721. ELIMINATION OF TIME LIMIT FOR FAMILY REUNIFICATION<br \/>\nSERVICES WHILE IN FOSTER CARE AND<br \/>\nPERMITTING TIME-LIMITED FAMILY<br \/>\nREUNIFICATION SERVICES WHEN A CHILD<br \/>\nRETURNS HOME FROM FOSTER CARE.<\/p>\n<p>(a) In General.&#8211;Section 431(a)(7) of the Social Security Act (42<br \/>\nU.S.C. 629a(a)(7)) is amended&#8211;<br \/>\n(1) in the paragraph heading, by striking &#8220;Time-limited<br \/>\nfamily&#8221; and inserting &#8220;Family&#8221;; and<br \/>\n(2) in subparagraph (A)&#8211;<br \/>\n(A) by striking &#8220;time-limited family&#8221; and<br \/>\ninserting &#8220;family&#8221;;<br \/>\n(B) by inserting &#8220;or a child who has been returned<br \/>\nhome&#8221; after &#8220;child care institution&#8221;; and<br \/>\n(C) by striking &#8220;, but only during the 15-month<br \/>\nperiod that begins on the date that the child, pursuant<br \/>\nto section 475(5)(F), is considered to have entered<br \/>\nfoster care&#8221; and inserting &#8220;and to ensure the strength<br \/>\nand stability of the reunification. &lt;&lt;NOTE: Time<br \/>\nperiod.&gt;&gt; In the case of a child who has been returned<br \/>\nhome, the services and activities shall only be provided<br \/>\nduring the 15-month period that begins on the date that<br \/>\nthe child returns home&#8221;.<\/p>\n<p>(b) Conforming Amendments.&#8211;<br \/>\n(1) Section 430 of such Act (42 U.S.C. 629) is amended in<br \/>\nthe matter preceding paragraph (1), by striking &#8220;time-<br \/>\nlimited&#8221;.<br \/>\n(2) Subsections (a)(4), (a)(5)(A), and (b)(1) of section 432<br \/>\nof such Act (42 U.S.C. 629b) are amended by striking &#8220;time-<br \/>\nlimited&#8221; each place it appears.<\/p>\n<p>[[Page 132 STAT. 246]]<\/p>\n<p>SEC. 50722. REDUCING BUREAUCRACY AND UNNECESSARY DELAYS WHEN<br \/>\nPLACING CHILDREN IN HOMES ACROSS STATE<br \/>\nLINES.<\/p>\n<p>(a) State Plan Requirement.&#8211;Section 471(a)(25) of the Social<br \/>\nSecurity Act (42 U.S.C. 671(a)(25)) is amended&#8211;<br \/>\n(1) by striking &#8220;provide&#8221; and inserting &#8220;provides&#8221;; and<br \/>\n(2) &lt;&lt;NOTE: Deadline.&gt;&gt; by inserting &#8220;, which, in the case<br \/>\nof a State other than the Commonwealth of Puerto Rico, the<br \/>\nUnited States Virgin Islands, Guam, or American Samoa, not later<br \/>\nthan October 1, 2027, shall include the use of an electronic<br \/>\ninterstate case-processing system&#8221; before the first semicolon.<\/p>\n<p>(b) Exemption of Indian Tribes.&#8211;Section 479B(c) of such Act (42<br \/>\nU.S.C. 679c(c)) is amended by adding at the end the following:<br \/>\n&#8220;(4) Inapplicability of state plan requirement to have in<br \/>\neffect procedures providing for the use of an electronic<br \/>\ninterstate case-processing system.&#8211;The requirement in section<br \/>\n471(a)(25) that a State plan provide that the State shall have<br \/>\nin effect procedures providing for the use of an electronic<br \/>\ninterstate case-processing system shall not apply to an Indian<br \/>\ntribe, tribal organization, or tribal consortium that elects to<br \/>\noperate a program under this part.&#8221;.<\/p>\n<p>(c) Funding for the Development of an Electronic Interstate Case-<br \/>\nprocessing System to Expedite the Interstate Placement of Children in<br \/>\nFoster Care or Guardianship, or for Adoption.&#8211;Section 437 of such Act<br \/>\n(42 U.S.C. 629g) is amended by adding at the end the following:<br \/>\n&#8220;(g) Funding for the Development of an Electronic Interstate Case-<br \/>\nprocessing System to Expedite the Interstate Placement of Children in<br \/>\nFoster Care or Guardianship, or for Adoption.&#8211;<br \/>\n&#8220;(1) Purpose.&#8211;The purpose of this subsection is to<br \/>\nfacilitate the development of an electronic interstate case-<br \/>\nprocessing system for the exchange of data and documents to<br \/>\nexpedite the placements of children in foster, guardianship, or<br \/>\nadoptive homes across State lines.<br \/>\n&#8220;(2) Requirements.&#8211;A State that seeks funding under this<br \/>\nsubsection shall submit to the Secretary the following:<br \/>\n&#8220;(A) A description of the goals and outcomes to be<br \/>\nachieved, which goals and outcomes must result in&#8211;<br \/>\n&#8220;(i) reducing the time it takes for a child<br \/>\nto be provided with a safe and appropriate<br \/>\npermanent living arrangement across State lines;<br \/>\n&#8220;(ii) improving administrative processes and<br \/>\nreducing costs in the foster care system; and<br \/>\n&#8220;(iii) the secure exchange of relevant case<br \/>\nfiles and other necessary materials in real time,<br \/>\nand timely communications and placement decisions<br \/>\nregarding interstate placements of children.<br \/>\n&#8220;(B) A description of the activities to be funded<br \/>\nin whole or in part with the funds, including the<br \/>\nsequencing of the activities.<br \/>\n&#8220;(C) A description of the strategies for<br \/>\nintegrating programs and services for children who are<br \/>\nplaced across State lines.<br \/>\n&#8220;(D) Such other information as the Secretary may<br \/>\nrequire.<\/p>\n<p>[[Page 132 STAT. 247]]<\/p>\n<p>&#8220;(3) Funding authority.&#8211;The Secretary may provide funds to<br \/>\na State that complies with paragraph (2). In providing funds<br \/>\nunder this subsection, the Secretary shall prioritize States<br \/>\nthat are not yet connected with the electronic interstate case-<br \/>\nprocessing system referred to in paragraph (1).<br \/>\n&#8220;(4) Use of funds.&#8211;A State to which funding is provided<br \/>\nunder this subsection shall use the funding to support the State<br \/>\nin connecting with, or enhancing or expediting services provided<br \/>\nunder, the electronic interstate case-processing system referred<br \/>\nto in paragraph (1).<br \/>\n&#8220;(5) &lt;&lt;NOTE: Deadline. Public information. Reports. Web<br \/>\nposting.&gt;&gt; Evaluations.&#8211;Not later than 1 year after the final<br \/>\nyear in which funds are awarded under this subsection, the<br \/>\nSecretary shall submit to the Congress, and make available to<br \/>\nthe general public by posting on a website, a report that<br \/>\ncontains the following information:<br \/>\n&#8220;(A) How using the electronic interstate case-<br \/>\nprocessing system developed pursuant to paragraph (4)<br \/>\nhas changed the time it takes for children to be placed<br \/>\nacross State lines.<br \/>\n&#8220;(B) The number of cases subject to the Interstate<br \/>\nCompact on the Placement of Children that were processed<br \/>\nthrough the electronic interstate case-processing<br \/>\nsystem, and the number of interstate child placement<br \/>\ncases that were processed outside the electronic<br \/>\ninterstate case-processing system, by each State in each<br \/>\nyear.<br \/>\n&#8220;(C) The progress made by States in implementing<br \/>\nthe electronic interstate case-processing system.<br \/>\n&#8220;(D) How using the electronic interstate case-<br \/>\nprocessing system has affected various metrics related<br \/>\nto child safety and well-being, including the time it<br \/>\ntakes for children to be placed across State lines.<br \/>\n&#8220;(E) How using the electronic interstate case-<br \/>\nprocessing system has affected administrative costs and<br \/>\ncaseworker time spent on placing children across State<br \/>\nlines.<br \/>\n&#8220;(6) &lt;&lt;NOTE: Consultation. Assessment.&gt;&gt; Data<br \/>\nintegration.&#8211;The Secretary, in consultation with the<br \/>\nSecretariat for the Interstate Compact on the Placement of<br \/>\nChildren and the States, shall assess how the electronic<br \/>\ninterstate case-processing system developed pursuant to<br \/>\nparagraph (4) could be used to better serve and protect children<br \/>\nthat come to the attention of the child welfare system, by&#8211;<br \/>\n&#8220;(A) connecting the system with other data systems<br \/>\n(such as systems operated by State law enforcement and<br \/>\njudicial agencies, systems operated by the Federal<br \/>\nBureau of Investigation for the purposes of the<br \/>\nInnocence Lost National Initiative, and other systems);<br \/>\n&#8220;(B) simplifying and improving reporting related to<br \/>\nparagraphs (34) and (35) of section 471(a) regarding<br \/>\nchildren or youth who have been identified as being a<br \/>\nsex trafficking victim or children missing from foster<br \/>\ncare; and<br \/>\n&#8220;(C) improving the ability of States to quickly<br \/>\ncomply with background check requirements of section<br \/>\n471(a)(20), including checks of child abuse and neglect<br \/>\nregistries as required by section 471(a)(20)(B).&#8221;.<\/p>\n<p>(d) Reservation of Funds To Improve the Interstate Placement of<br \/>\nChildren.&#8211;Section 437(b) of such Act (42 U.S.C. 629g(b)) is amended by<br \/>\nadding at the end the following:<\/p>\n<p>[[Page 132 STAT. 248]]<\/p>\n<p>&#8220;(4) Improving the interstate placement of children.&#8211;The<br \/>\nSecretary shall reserve $5,000,000 of the amount made available<br \/>\nfor fiscal year 2018 for grants under subsection (g), and the<br \/>\namount so reserved shall remain available through fiscal year<br \/>\n2022.&#8221;.<br \/>\nSEC. 50723. ENHANCEMENTS TO GRANTS TO IMPROVE WELL-BEING OF<br \/>\nFAMILIES AFFECTED BY SUBSTANCE ABUSE.<\/p>\n<p>Section 437(f) of the Social Security Act (42 U.S.C. 629g(f)) is<br \/>\namended&#8211;<br \/>\n(1) in the subsection heading, by striking &#8220;Increase the<br \/>\nWell-Being of, and To Improve the Permanency Outcomes for,<br \/>\nChildren Affected by&#8221; and inserting &#8220;Implement IV-E Prevention<br \/>\nServices, and Improve the Well-Being of, and Improve Permanency<br \/>\nOutcomes for, Children and Families Affected by Heroin, Opioids,<br \/>\nand Other&#8221;;<br \/>\n(2) by striking paragraph (2) and inserting the following:<br \/>\n&#8220;(2) Regional partnership defined.&#8211;In this subsection, the<br \/>\nterm `regional partnership&#8217; means a collaborative agreement<br \/>\n(which may be established on an interstate, State, or intrastate<br \/>\nbasis) entered into by the following:<br \/>\n&#8220;(A) Mandatory partners for all partnership<br \/>\ngrants.&#8211;<br \/>\n&#8220;(i) The State child welfare agency that is<br \/>\nresponsible for the administration of the State<br \/>\nplan under this part and part E.<br \/>\n&#8220;(ii) The State agency responsible for<br \/>\nadministering the substance abuse prevention and<br \/>\ntreatment block grant provided under subpart II of<br \/>\npart B of title XIX of the Public Health Service<br \/>\nAct.<br \/>\n&#8220;(B) Mandatory partners for partnership grants<br \/>\nproposing to serve children in out-of-home placements.&#8211;<br \/>\nIf the partnership proposes to serve children in out-of-<br \/>\nhome placements, the Juvenile Court or Administrative<br \/>\nOffice of the Court that is most appropriate to oversee<br \/>\nthe administration of court programs in the region to<br \/>\naddress the population of families who come to the<br \/>\nattention of the court due to child abuse or neglect.<br \/>\n&#8220;(C) Optional partners.&#8211;At the option of the<br \/>\npartnership, any of the following:<br \/>\n&#8220;(i) An Indian tribe or tribal consortium.<br \/>\n&#8220;(ii) Nonprofit child welfare service<br \/>\nproviders.<br \/>\n&#8220;(iii) For-profit child welfare service<br \/>\nproviders.<br \/>\n&#8220;(iv) Community health service providers,<br \/>\nincluding substance abuse treatment providers.<br \/>\n&#8220;(v) Community mental health providers.<br \/>\n&#8220;(vi) Local law enforcement agencies.<br \/>\n&#8220;(vii) School personnel.<br \/>\n&#8220;(viii) Tribal child welfare agencies (or a<br \/>\nconsortia of the agencies).<br \/>\n&#8220;(ix) Any other providers, agencies,<br \/>\npersonnel, officials, or entities that are related<br \/>\nto the provision of child and family services<br \/>\nunder a State plan approved under this subpart.<br \/>\n&#8220;(D) Exception for regional partnerships where the<br \/>\nlead applicant is an indian tribe or tribal consortia.&#8211;<br \/>\nIf an Indian tribe or tribal consortium enters<\/p>\n<p>[[Page 132 STAT. 249]]<\/p>\n<p>into a regional partnership for purposes of this<br \/>\nsubsection, the Indian tribe or tribal consortium&#8211;<br \/>\n&#8220;(i) may (but is not required to) include the<br \/>\nState child welfare agency as a partner in the<br \/>\ncollaborative agreement;<br \/>\n&#8220;(ii) may not enter into a collaborative<br \/>\nagreement only with tribal child welfare agencies<br \/>\n(or a consortium of the agencies); and<br \/>\n&#8220;(iii) if the condition described in<br \/>\nparagraph (2)(B) applies, may include tribal court<br \/>\norganizations in lieu of other judicial<br \/>\npartners.&#8221;;<br \/>\n(3) in paragraph (3)&#8211;<br \/>\n(A) in subparagraph (A)&#8211;<br \/>\n(i) by striking &#8220;2012 through 2016&#8221; and<br \/>\ninserting &#8220;2017 through 2021&#8221;; and<br \/>\n(ii) by striking &#8220;$500,000 and not more than<br \/>\n$1,000,000&#8221; and inserting &#8220;$250,000 and not more<br \/>\nthan $1,000,000&#8221;;<br \/>\n(B) in subparagraph (B)&#8211;<br \/>\n(i) in the subparagraph heading, by inserting<br \/>\n&#8220;; planning&#8221; after &#8220;approval&#8221;;<br \/>\n(ii) in clause (i), by striking &#8220;clause<br \/>\n(ii)&#8221; and inserting &#8220;clauses (ii) and (iii)&#8221;;<br \/>\nand<br \/>\n(iii) by adding at the end the following:<br \/>\n&#8220;(iii) &lt;&lt;NOTE: Time period.&gt;&gt; Sufficient<br \/>\nplanning.&#8211;A grant awarded under this subsection<br \/>\nshall be disbursed in two phases: a planning phase<br \/>\n(not to exceed 2 years) and an implementation<br \/>\nphase. The total disbursement to a grantee for the<br \/>\nplanning phase may not exceed $250,000, and may<br \/>\nnot exceed the total anticipated funding for the<br \/>\nimplementation phase.&#8221;; and<br \/>\n(C) by adding at the end the following:<br \/>\n&#8220;(D) &lt;&lt;NOTE: Determination.&gt;&gt; Limitation on<br \/>\npayment for a fiscal year.&#8211;No payment shall be made<br \/>\nunder subparagraph (A) or (C) for a fiscal year until<br \/>\nthe Secretary determines that the eligible partnership<br \/>\nhas made sufficient progress in meeting the goals of the<br \/>\ngrant and that the members of the eligible partnership<br \/>\nare coordinating to a reasonable degree with the other<br \/>\nmembers of the eligible partnership.&#8221;;<br \/>\n(4) in paragraph (4)&#8211;<br \/>\n(A) in subparagraph (B)&#8211;<br \/>\n(i) in clause (i), by inserting &#8220;, parents,<br \/>\nand families&#8221; after &#8220;children&#8221;;<br \/>\n(ii) in clause (ii), by striking &#8220;safety and<br \/>\npermanence for such children; and&#8221; and inserting<br \/>\n&#8220;safe, permanent caregiving relationships for the<br \/>\nchildren;&#8221;;<br \/>\n(iii) in clause (iii), by striking &#8220;or&#8221; and<br \/>\ninserting &#8220;increase reunification rates for<br \/>\nchildren who have been placed in out-of-home care,<br \/>\nor decrease&#8221;; and<br \/>\n(iv) by redesignating clause (iii) as clause<br \/>\n(v) and inserting after clause (ii) the following:<br \/>\n&#8220;(iii) improve the substance abuse treatment<br \/>\noutcomes for parents including retention in<br \/>\ntreatment and successful completion of treatment;<br \/>\n&#8220;(iv) facilitate the implementation,<br \/>\ndelivery, and effectiveness of prevention services<br \/>\nand programs under section 471(e); and&#8221;;<\/p>\n<p>[[Page 132 STAT. 250]]<\/p>\n<p>(B) in subparagraph (D), by striking &#8220;where<br \/>\nappropriate,&#8221;; and<br \/>\n(C) by striking subparagraphs (E) and (F) and<br \/>\ninserting the following:<br \/>\n&#8220;(E) A description of a plan for sustaining the<br \/>\nservices provided by or activities funded under the<br \/>\ngrant after the conclusion of the grant period,<br \/>\nincluding through the use of prevention services and<br \/>\nprograms under section 471(e) and other funds provided<br \/>\nto the State for child welfare and substance abuse<br \/>\nprevention and treatment services.<br \/>\n&#8220;(F) &lt;&lt;NOTE: Determination.&gt;&gt; Additional<br \/>\ninformation needed by the Secretary to determine that<br \/>\nthe proposed activities and implementation will be<br \/>\nconsistent with research or evaluations showing which<br \/>\npractices and approaches are most effective.&#8221;;<br \/>\n(5) in paragraph (5)(A), by striking &#8220;abuse treatment&#8221; and<br \/>\ninserting &#8220;use disorder treatment including medication assisted<br \/>\ntreatment and in-home substance abuse disorder treatment and<br \/>\nrecovery&#8221;;<br \/>\n(6) in paragraph (7)&#8211;<br \/>\n(A) by striking &#8220;and&#8221; at the end of subparagraph<br \/>\n(C); and<br \/>\n(B) by redesignating subparagraph (D) as<br \/>\nsubparagraph (E) and inserting after subparagraph (C)<br \/>\nthe following:<br \/>\n&#8220;(D) demonstrate a track record of successful<br \/>\ncollaboration among child welfare, substance abuse<br \/>\ndisorder treatment and mental health agencies; and&#8221;;<br \/>\n(7) in paragraph (8)&#8211;<br \/>\n(A) in subparagraph (A)&#8211;<br \/>\n(i) by striking &#8220;establish indicators that<br \/>\nwill be&#8221; and inserting &#8220;review indicators that<br \/>\nare&#8221;; and<br \/>\n(ii) by striking &#8220;in using funds made<br \/>\navailable under such grants to achieve the purpose<br \/>\nof this subsection&#8221; and inserting &#8220;and establish<br \/>\na set of core indicators related to child safety,<br \/>\nparental recovery, parenting capacity, and family<br \/>\nwell-being. In developing the core indicators, to<br \/>\nthe extent possible, indicators shall be made<br \/>\nconsistent with the outcome measures described in<br \/>\nsection 471(e)(6)&#8221;; and<br \/>\n(B) in subparagraph (B)&#8211;<br \/>\n(i) in the matter preceding clause (i), by<br \/>\ninserting &#8220;base the performance measures on<br \/>\nlessons learned from prior rounds of regional<br \/>\npartnership grants under this subsection, and&#8221;<br \/>\nbefore &#8220;consult&#8221;; and<br \/>\n(ii) by striking clauses (iii) and (iv) and<br \/>\ninserting the following:<br \/>\n&#8220;(iii) Other stakeholders or constituencies<br \/>\nas determined by the Secretary.&#8221;;<br \/>\n(8) in paragraph (9)(A), by striking clause (i) and<br \/>\ninserting the following:<br \/>\n&#8220;(i) Semiannual reports.&#8211;Not later than<br \/>\nSeptember 30 of each fiscal year in which a<br \/>\nrecipient of a grant under this subsection is paid<br \/>\nfunds under the grant, and every 6 months<br \/>\nthereafter, the grant recipient shall submit to<br \/>\nthe Secretary a report on the services provided<br \/>\nand activities carried out during the reporting<br \/>\nperiod, progress made in achieving the<\/p>\n<p>[[Page 132 STAT. 251]]<\/p>\n<p>goals of the program, the number of children,<br \/>\nadults, and families receiving services, and such<br \/>\nadditional information as the Secretary determines<br \/>\nis necessary. The report due not later than<br \/>\nSeptember 30 of the last such fiscal year shall<br \/>\ninclude, at a minimum, data on each of the<br \/>\nperformance indicators included in the evaluation<br \/>\nof the regional partnership.&#8221;; and<br \/>\n(9) in paragraph (10), by striking &#8220;2012 through 2016&#8221; and<br \/>\ninserting &#8220;2017 through 2021&#8221;.<\/p>\n<p>PART III&#8211;MISCELLANEOUS<\/p>\n<p>SEC. 50731. &lt;&lt;NOTE: Deadlines. 42 USC 671 note.&gt;&gt; REVIEWING AND<br \/>\nIMPROVING LICENSING STANDARDS FOR<br \/>\nPLACEMENT IN A RELATIVE FOSTER FAMILY<br \/>\nHOME.<\/p>\n<p>(a) Identification of Reputable Model Licensing Standards.&#8211;Not<br \/>\nlater than October 1, 2018, the Secretary of Health and Human Services<br \/>\nshall identify reputable model licensing standards with respect to the<br \/>\nlicensing of foster family homes (as defined in section 472(c)(1) of the<br \/>\nSocial Security Act).<br \/>\n(b) State Plan Requirement.&#8211;Section 471(a) of the Social Security<br \/>\nAct (42 U.S.C. 671(a)) is amended&#8211;<br \/>\n(1) in paragraph (34)(B), by striking &#8220;and&#8221; after the<br \/>\nsemicolon;<br \/>\n(2) in paragraph (35)(B), by striking the period at the end<br \/>\nand inserting a semicolon; and<br \/>\n(3) by adding at the end the following:<br \/>\n&#8220;(36) provides that, not later than April 1, 2019, the<br \/>\nState shall submit to the Secretary information addressing&#8211;<br \/>\n&#8220;(A) whether the State licensing standards are in<br \/>\naccord with model standards identified by the Secretary,<br \/>\nand if not, the reason for the specific deviation and a<br \/>\ndescription as to why having a standard that is<br \/>\nreasonably in accord with the corresponding national<br \/>\nmodel standards is not appropriate for the State;<br \/>\n&#8220;(B) whether the State has elected to waive<br \/>\nstandards established in 471(a)(10)(A) for relative<br \/>\nfoster family homes (pursuant to waiver authority<br \/>\nprovided by 471(a)(10)(D)), a description of which<br \/>\nstandards the State most commonly waives, and if the<br \/>\nState has not elected to waive the standards, the reason<br \/>\nfor not waiving these standards;<br \/>\n&#8220;(C) if the State has elected to waive standards<br \/>\nspecified in subparagraph (B), how caseworkers are<br \/>\ntrained to use the waiver authority and whether the<br \/>\nState has developed a process or provided tools to<br \/>\nassist caseworkers in waiving nonsafety standards per<br \/>\nthe authority provided in 471(a)(10)(D) to quickly place<br \/>\nchildren with relatives; and<br \/>\n&#8220;(D) a description of the steps the State is taking<br \/>\nto improve caseworker training or the process, if any;<br \/>\nand&#8221;.<br \/>\nSEC. 50732. DEVELOPMENT OF A STATEWIDE PLAN TO PREVENT CHILD ABUSE<br \/>\nAND NEGLECT FATALITIES.<\/p>\n<p>Section 422(b)(19) of the Social Security Act (42 U.S.C. 622(b)(19))<br \/>\nis amended to read as follows:<br \/>\n&#8220;(19) document steps taken to track and prevent child<br \/>\nmaltreatment deaths by including&#8211;<\/p>\n<p>[[Page 132 STAT. 252]]<\/p>\n<p>&#8220;(A) a description of the steps the State is taking<br \/>\nto compile complete and accurate information on the<br \/>\ndeaths required by Federal law to be reported by the<br \/>\nState agency referred to in paragraph (1), including<br \/>\ngathering relevant information on the deaths from the<br \/>\nrelevant organizations in the State including entities<br \/>\nsuch as State vital statistics department, child death<br \/>\nreview teams, law enforcement agencies, offices of<br \/>\nmedical examiners, or coroners; and<br \/>\n&#8220;(B) a description of the steps the State is taking<br \/>\nto develop and implement a comprehensive, statewide plan<br \/>\nto prevent the fatalities that involves and engages<br \/>\nrelevant public and private agency partners, including<br \/>\nthose in public health, law enforcement, and the<br \/>\ncourts.&#8221;.<br \/>\nSEC. 50733. MODERNIZING THE TITLE AND PURPOSE OF TITLE IV-E.<\/p>\n<p>(a) Part Heading.&#8211;The heading for part E of title IV of the Social<br \/>\nSecurity Act (42 U.S.C. 670 et seq.) is amended to read as follows:<\/p>\n<p>&#8220;PART E&#8211;FEDERAL PAYMENTS FOR FOSTER CARE, PREVENTION, AND<br \/>\nPERMANENCY&#8221;.<\/p>\n<p>(b) Purpose.&#8211;The first sentence of section 470 of such Act (42<br \/>\nU.S.C. 670) is amended&#8211;<br \/>\n(1) by striking &#8220;1995) and&#8221; and inserting &#8220;1995),&#8221;;<br \/>\n(2) by inserting &#8220;kinship guardianship assistance, and<br \/>\nprevention services or programs specified in section<br \/>\n471(e)(1),&#8221; after &#8220;needs,&#8221;; and<br \/>\n(3) by striking &#8220;(commencing with the fiscal year which<br \/>\nbegins October 1, 1980)&#8221;.<br \/>\nSEC. 50734. &lt;&lt;NOTE: 42 USC 622 note.&gt;&gt; EFFECTIVE DATES.<\/p>\n<p>(a) Effective Dates.&#8211;<br \/>\n(1) In general.&#8211;Except as provided in paragraph (2),<br \/>\nsubject to subsection (b), the amendments made by parts I<br \/>\nthrough III of this subtitle shall take effect on October 1,<br \/>\n2018.<br \/>\n(2) Exceptions.&#8211;The amendments made by sections 50711(d),<br \/>\n50731, and 50733 shall take effect on the date of enactment of<br \/>\nthis Act.<\/p>\n<p>(b) Transition Rule.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Determination.&gt;&gt; In general.&#8211;In the case of a<br \/>\nState plan under part B or E of title IV of the Social Security<br \/>\nAct which the Secretary of Health and Human Services determines<br \/>\nrequires State legislation (other than legislation appropriating<br \/>\nfunds) in order for the plan to meet the additional requirements<br \/>\nimposed by the amendments made by parts I through III of this<br \/>\nsubtitle, the State plan shall not be regarded as failing to<br \/>\ncomply with the requirements of such part solely on the basis of<br \/>\nthe failure of the plan to meet such additional requirements<br \/>\nbefore the first day of the first calendar quarter beginning<br \/>\nafter the close of the first regular session of the State<br \/>\nlegislature that begins after the date of enactment of this Act.<br \/>\nFor purposes of the previous sentence, in the case of a State<br \/>\nthat has a 2-year legislative session, each year of the session<br \/>\nshall be deemed to be a separate regular session of the State<br \/>\nlegislature.<\/p>\n<p>[[Page 132 STAT. 253]]<\/p>\n<p>(2) Application to programs operated by indian tribal<br \/>\norganizations.&#8211; &lt;&lt;NOTE: Determination.&gt;&gt; In the case of an<br \/>\nIndian tribe, tribal organization, or tribal consortium which<br \/>\nthe Secretary of Health and Human Services determines requires<br \/>\ntime to take action necessary to comply with the additional<br \/>\nrequirements imposed by the amendments made by parts I through<br \/>\nIII of this subtitle (whether the tribe, organization, or tribal<br \/>\nconsortium has a plan under section 479B of the Social Security<br \/>\nAct or a cooperative agreement or contract entered into with a<br \/>\nState), the Secretary shall provide the tribe, organization, or<br \/>\ntribal consortium with such additional time as the Secretary<br \/>\ndetermines is necessary for the tribe, organization, or tribal<br \/>\nconsortium to take the action to comply with the additional<br \/>\nrequirements before being regarded as failing to comply with the<br \/>\nrequirements.<\/p>\n<p>PART IV&#8211;ENSURING THE NECESSITY OF A PLACEMENT THAT IS NOT IN A FOSTER<br \/>\nFAMILY HOME<\/p>\n<p>SEC. 50741. LIMITATION ON FEDERAL FINANCIAL PARTICIPATION FOR<br \/>\nPLACEMENTS THAT ARE NOT IN FOSTER<br \/>\nFAMILY HOMES.<\/p>\n<p>(a) Limitation on Federal Financial Participation.&#8211;<br \/>\n(1) In general.&#8211;Section 472 of the Social Security Act (42<br \/>\nU.S.C. 672), as amended by section 50712(a), is amended&#8211;<br \/>\n(A) in subsection (a)(2)(C), by inserting &#8220;, but<br \/>\nonly to the extent permitted under subsection (k)&#8221;<br \/>\nafter &#8220;institution&#8221;; and<br \/>\n(B) by adding at the end the following:<\/p>\n<p>&#8220;(k) Limitation on Federal Financial Participation.&#8211;<br \/>\n&#8220;(1) &lt;&lt;NOTE: Effective date. Time period.&gt;&gt; In general.&#8211;<br \/>\nBeginning with the third week for which foster care maintenance<br \/>\npayments are made under this section on behalf of a child placed<br \/>\nin a child-care institution, no Federal payment shall be made to<br \/>\nthe State under section 474(a)(1) for amounts expended for<br \/>\nfoster care maintenance payments on behalf of the child unless&#8211;<br \/>\n&#8220;(A) the child is placed in a child-care<br \/>\ninstitution that is a setting specified in paragraph (2)<br \/>\n(or is placed in a licensed residential family-based<br \/>\ntreatment facility consistent with subsection (j)); and<br \/>\n&#8220;(B) in the case of a child placed in a qualified<br \/>\nresidential treatment program (as defined in paragraph<br \/>\n(4)), the requirements specified in paragraph (3) and<br \/>\nsection 475A(c) are met.<br \/>\n&#8220;(2) Specified settings for placement.&#8211;The settings for<br \/>\nplacement specified in this paragraph are the following:<br \/>\n&#8220;(A) A qualified residential treatment program (as<br \/>\ndefined in paragraph (4)).<br \/>\n&#8220;(B) A setting specializing in providing prenatal,<br \/>\npost-partum, or parenting supports for youth.<br \/>\n&#8220;(C) In the case of a child who has attained 18<br \/>\nyears of age, a supervised setting in which the child is<br \/>\nliving independently.<br \/>\n&#8220;(D) A setting providing high-quality residential<br \/>\ncare and supportive services to children and youth who<br \/>\nhave<\/p>\n<p>[[Page 132 STAT. 254]]<\/p>\n<p>been found to be, or are at risk of becoming, sex<br \/>\ntrafficking victims, in accordance with section<br \/>\n471(a)(9)(C).<br \/>\n&#8220;(3) Assessment to determine appropriateness of placement<br \/>\nin a qualified residential treatment program.&#8211;<br \/>\n&#8220;(A) Deadline for assessment.&#8211;In the case of a<br \/>\nchild who is placed in a qualified residential treatment<br \/>\nprogram, if the assessment required under section<br \/>\n475A(c)(1) is not completed within 30 days after the<br \/>\nplacement is made, no Federal payment shall be made to<br \/>\nthe State under section 474(a)(1) for any amounts<br \/>\nexpended for foster care maintenance payments on behalf<br \/>\nof the child during the placement.<br \/>\n&#8220;(B) Deadline for transition out of placement.&#8211;If<br \/>\nthe assessment required under section 475A(c)(1)<br \/>\ndetermines that the placement of a child in a qualified<br \/>\nresidential treatment program is not appropriate, a<br \/>\ncourt disapproves such a placement under section<br \/>\n475A(c)(2), or a child who has been in an approved<br \/>\nplacement in a qualified residential treatment program<br \/>\nis going to return home or be placed with a fit and<br \/>\nwilling relative, a legal guardian, or an adoptive<br \/>\nparent, or in a foster family home, Federal payments<br \/>\nshall be made to the State under section 474(a)(1) for<br \/>\namounts expended for foster care maintenance payments on<br \/>\nbehalf of the child while the child remains in the<br \/>\nqualified residential treatment program only during the<br \/>\nperiod necessary for the child to transition home or to<br \/>\nsuch a placement. In no event shall a State receive<br \/>\nFederal payments under section 474(a)(1) for amounts<br \/>\nexpended for foster care maintenance payments on behalf<br \/>\nof a child who remains placed in a qualified residential<br \/>\ntreatment program after the end of the 30-day period<br \/>\nthat begins on the date a determination is made that the<br \/>\nplacement is no longer the recommended or approved<br \/>\nplacement for the child.<br \/>\n&#8220;(4) &lt;&lt;NOTE: Definition.&gt;&gt; Qualified residential treatment<br \/>\nprogram.&#8211;For purposes of this part, the term `qualified<br \/>\nresidential treatment program&#8217; means a program that&#8211;<br \/>\n&#8220;(A) has a trauma-informed treatment model that is<br \/>\ndesigned to address the needs, including clinical needs<br \/>\nas appropriate, of children with serious emotional or<br \/>\nbehavioral disorders or disturbances and, with respect<br \/>\nto a child, is able to implement the treatment<br \/>\nidentified for the child by the assessment of the child<br \/>\nrequired under section 475A(c);<br \/>\n&#8220;(B) subject to paragraphs (5) and (6), has<br \/>\nregistered or licensed nursing staff and other licensed<br \/>\nclinical staff who&#8211;<br \/>\n&#8220;(i) provide care within the scope of their<br \/>\npractice as defined by State law;<br \/>\n&#8220;(ii) are on-site according to the treatment<br \/>\nmodel referred to in subparagraph (A); and<br \/>\n&#8220;(iii) are available 24 hours a day and 7<br \/>\ndays a week;<br \/>\n&#8220;(C) to extent appropriate, and in accordance with<br \/>\nthe child&#8217;s best interests, facilitates participation of<br \/>\nfamily members in the child&#8217;s treatment program;<\/p>\n<p>[[Page 132 STAT. 255]]<\/p>\n<p>&#8220;(D) facilitates outreach to the family members of<br \/>\nthe child, including siblings, documents how the<br \/>\noutreach is made (including contact information), and<br \/>\nmaintains contact information for any known biological<br \/>\nfamily and fictive kin of the child;<br \/>\n&#8220;(E) documents how family members are integrated<br \/>\ninto the treatment process for the child, including<br \/>\npost-discharge, and how sibling connections are<br \/>\nmaintained;<br \/>\n&#8220;(F) provides discharge planning and family-based<br \/>\naftercare support for at least 6 months post-discharge;<br \/>\nand<br \/>\n&#8220;(G) is licensed in accordance with section<br \/>\n471(a)(10) and is accredited by any of the following<br \/>\nindependent, not-for-profit organizations:<br \/>\n&#8220;(i) The Commission on Accreditation of<br \/>\nRehabilitation Facilities (CARF).<br \/>\n&#8220;(ii) The Joint Commission on Accreditation<br \/>\nof Healthcare Organizations (JCAHO).<br \/>\n&#8220;(iii) The Council on Accreditation (COA).<br \/>\n&#8220;(iv) Any other independent, not-for-profit<br \/>\naccrediting organization approved by the<br \/>\nSecretary.<br \/>\n&#8220;(5) Administrative costs.&#8211;The prohibition in paragraph<br \/>\n(1) on Federal payments under section 474(a)(1) shall not be<br \/>\nconstrued as prohibiting Federal payments for administrative<br \/>\nexpenditures incurred on behalf of a child placed in a child-<br \/>\ncare institution and for which payment is available under<br \/>\nsection 474(a)(3).<br \/>\n&#8220;(6) Rule of construction.&#8211;The requirements in paragraph<br \/>\n(4)(B) shall not be construed as requiring a qualified<br \/>\nresidential treatment program to acquire nursing and behavioral<br \/>\nhealth staff solely through means of a direct employer to<br \/>\nemployee relationship.&#8221;.<br \/>\n(2) Conforming amendment.&#8211;Section 474(a)(1) of the Social<br \/>\nSecurity Act (42 U.S.C. 674(a)(1)), as amended by section<br \/>\n50712(b), is amended by striking &#8220;section 472(j)&#8221; and<br \/>\ninserting &#8220;subsections (j) and (k) of section 472&#8221;.<\/p>\n<p>(b) Definition of Foster Family Home, Child-Care Institution.&#8211;<br \/>\nSection 472(c) of such Act (42 U.S.C. 672(c)(1)) is amended to read as<br \/>\nfollows:<br \/>\n&#8220;(c) Definitions.&#8211;For purposes of this part:<br \/>\n&#8220;(1) Foster family home.&#8211;<br \/>\n&#8220;(A) In general.&#8211;The term `foster family home&#8217;<br \/>\nmeans the home of an individual or family&#8211;<br \/>\n&#8220;(i) that is licensed or approved by the<br \/>\nState in which it is situated as a foster family<br \/>\nhome that meets the standards established for the<br \/>\nlicensing or approval; and<br \/>\n&#8220;(ii) in which a child in foster care has<br \/>\nbeen placed in the care of an individual, who<br \/>\nresides with the child and who has been licensed<br \/>\nor approved by the State to be a foster parent&#8211;<br \/>\n&#8220;(I) that the State deems capable<br \/>\nof adhering to the reasonable and<br \/>\nprudent parent standard;<br \/>\n&#8220;(II) that provides 24-hour<br \/>\nsubstitute care for children placed away<br \/>\nfrom their parents or other caretakers;<br \/>\nand<br \/>\n&#8220;(III) that provides the care for<br \/>\nnot more than six children in foster<br \/>\ncare.<\/p>\n<p>[[Page 132 STAT. 256]]<\/p>\n<p>&#8220;(B) State flexibility.&#8211;The number of foster<br \/>\nchildren that may be cared for in a home under<br \/>\nsubparagraph (A) may exceed the numerical limitation in<br \/>\nsubparagraph (A)(ii)(III), at the option of the State,<br \/>\nfor any of the following reasons:<br \/>\n&#8220;(i) To allow a parenting youth in foster<br \/>\ncare to remain with the child of the parenting<br \/>\nyouth.<br \/>\n&#8220;(ii) To allow siblings to remain together.<br \/>\n&#8220;(iii) To allow a child with an established<br \/>\nmeaningful relationship with the family to remain<br \/>\nwith the family.<br \/>\n&#8220;(iv) To allow a family with special training<br \/>\nor skills to provide care to a child who has a<br \/>\nsevere disability.<br \/>\n&#8220;(C) Rule of construction.&#8211;Subparagraph (A) shall<br \/>\nnot be construed as prohibiting a foster parent from<br \/>\nrenting the home in which the parent cares for a foster<br \/>\nchild placed in the parent&#8217;s care.<br \/>\n&#8220;(2) &lt;&lt;NOTE: Definition.&gt;&gt; Child-care institution.&#8211;<br \/>\n&#8220;(A) In general.&#8211;The term `child-care institution&#8217;<br \/>\nmeans a private child-care institution, or a public<br \/>\nchild-care institution which accommodates no more than<br \/>\n25 children, which is licensed by the State in which it<br \/>\nis situated or has been approved by the agency of the<br \/>\nState responsible for licensing or approval of<br \/>\ninstitutions of this type as meeting the standards<br \/>\nestablished for the licensing.<br \/>\n&#8220;(B) Supervised settings.&#8211;In the case of a child<br \/>\nwho has attained 18 years of age, the term shall include<br \/>\na supervised setting in which the individual is living<br \/>\nindependently, in accordance with such conditions as the<br \/>\nSecretary shall establish in regulations.<br \/>\n&#8220;(C) Exclusions.&#8211;The term shall not include<br \/>\ndetention facilities, forestry camps, training schools,<br \/>\nor any other facility operated primarily for the<br \/>\ndetention of children who are determined to be<br \/>\ndelinquent.&#8221;.<\/p>\n<p>(c) Training for State Judges, Attorneys, and Other Legal Personnel<br \/>\nin Child Welfare Cases.&#8211;Section 438(b)(1) of such Act (42 U.S.C.<br \/>\n629h(b)(1)) is amended in the matter preceding subparagraph (A) by<br \/>\ninserting &#8220;shall provide for the training of judges, attorneys, and<br \/>\nother legal personnel in child welfare cases on Federal child welfare<br \/>\npolicies and payment limitations with respect to children in foster care<br \/>\nwho are placed in settings that are not a foster family home,&#8221; after<br \/>\n&#8220;with respect to the child,&#8221;.<br \/>\n(d) Assurance of Nonimpact on Juvenile Justice System.&#8211;<br \/>\n(1) State plan requirement.&#8211;Section 471(a) of such Act (42<br \/>\nU.S.C. 671(a)), as amended by section 50731, is further amended<br \/>\nby adding at the end the following:<br \/>\n&#8220;(37) &lt;&lt;NOTE: Certification.&gt;&gt; includes a certification<br \/>\nthat, in response to the limitation imposed under section 472(k)<br \/>\nwith respect to foster care maintenance payments made on behalf<br \/>\nof any child who is placed in a setting that is not a foster<br \/>\nfamily home, the State will not enact or advance policies or<br \/>\npractices that would result in a significant increase in the<br \/>\npopulation of youth in the State&#8217;s juvenile justice system.&#8221;.<br \/>\n(2) &lt;&lt;NOTE: Evaluations.&gt;&gt; GAO study and report.&#8211;The<br \/>\nComptroller General of the United States shall evaluate the<br \/>\nimpact, if any, on State juvenile justice systems of the<br \/>\nlimitation imposed under<\/p>\n<p>[[Page 132 STAT. 257]]<\/p>\n<p>section 472(k) of the Social Security Act (as added by section<br \/>\n50741(a)(1)) on foster care maintenance payments made on behalf<br \/>\nof any child who is placed in a setting that is not a foster<br \/>\nfamily home, in accordance with the amendments made by<br \/>\nsubsections (a) and (b) of this section. In particular, the<br \/>\nComptroller General shall evaluate the extent to which children<br \/>\nin foster care who also are subject to the juvenile justice<br \/>\nsystem of the State are placed in a facility under the<br \/>\njurisdiction of the juvenile justice system and whether the lack<br \/>\nof available congregate care placements under the jurisdiction<br \/>\nof the child welfare systems is a contributing factor to that<br \/>\nresult. Not later than December 31, 2025, the Comptroller<br \/>\nGeneral shall submit to Congress a report on the results of the<br \/>\nevaluation.<br \/>\nSEC. 50742. ASSESSMENT AND DOCUMENTATION OF THE NEED FOR PLACEMENT<br \/>\nIN A QUALIFIED RESIDENTIAL TREATMENT<br \/>\nPROGRAM.<\/p>\n<p>Section 475A of the Social Security Act (42 U.S.C. 675a) is amended<br \/>\nby adding at the end the following:<br \/>\n&#8220;(c) Assessment, Documentation, and Judicial Determination<br \/>\nRequirements for Placement in a Qualified Residential Treatment<br \/>\nProgram.&#8211; &lt;&lt;NOTE: Applicability.&gt;&gt; In the case of any child who is<br \/>\nplaced in a qualified residential treatment program (as defined in<br \/>\nsection 472(k)(4)), the following requirements shall apply for purposes<br \/>\nof approving the case plan for the child and the case system review<br \/>\nprocedure for the child:<br \/>\n&#8220;(1)(A) &lt;&lt;NOTE: Deadline.&gt;&gt; Within 30 days of the start of<br \/>\neach placement in such a setting, a qualified individual (as<br \/>\ndefined in subparagraph (D)) shall&#8211;<br \/>\n&#8220;(i) assess the strengths and needs of the child<br \/>\nusing an age-appropriate, evidence-based, validated,<br \/>\nfunctional assessment tool approved by the Secretary;<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Determination.&gt;&gt; determine whether<br \/>\nthe needs of the child can be met with family members or<br \/>\nthrough placement in a foster family home or, if not,<br \/>\nwhich setting from among the settings specified in<br \/>\nsection 472(k)(2) would provide the most effective and<br \/>\nappropriate level of care for the child in the least<br \/>\nrestrictive environment and be consistent with the<br \/>\nshort- and long-term goals for the child, as specified<br \/>\nin the permanency plan for the child; and<br \/>\n&#8220;(iii) &lt;&lt;NOTE: Lists.&gt;&gt; develop a list of child-<br \/>\nspecific short- and long-term mental and behavioral<br \/>\nhealth goals.<br \/>\n&#8220;(B)(i) The State shall assemble a family and permanency<br \/>\nteam for the child in accordance with the requirements of<br \/>\nclauses (ii) and (iii). The qualified individual conducting the<br \/>\nassessment required under subparagraph (A) shall work in<br \/>\nconjunction with the family of, and permanency team for, the<br \/>\nchild while conducting and making the assessment.<br \/>\n&#8220;(ii) The family and permanency team shall consist of all<br \/>\nappropriate biological family members, relative, and fictive kin<br \/>\nof the child, as well as, as appropriate, professionals who are<br \/>\na resource to the family of the child, such as teachers, medical<br \/>\nor mental health providers who have treated the child, or<br \/>\nclergy. In the case of a child who has attained age 14, the<br \/>\nfamily and permanency team shall include the members of the<br \/>\npermanency planning team for the child that are selected by the<br \/>\nchild in accordance with section 475(5)(C)(iv).<\/p>\n<p>[[Page 132 STAT. 258]]<\/p>\n<p>&#8220;(iii) The State shall document in the child&#8217;s case plan&#8211;<br \/>\n&#8220;(I) the reasonable and good faith effort of the<br \/>\nState to identify and include all the individuals<br \/>\ndescribed in clause (ii) on the child&#8217;s family and<br \/>\npermanency team;<br \/>\n&#8220;(II) all contact information for members of the<br \/>\nfamily and permanency team, as well as contact<br \/>\ninformation for other family members and fictive kin who<br \/>\nare not part of the family and permanency team;<br \/>\n&#8220;(III) evidence that meetings of the family and<br \/>\npermanency team, including meetings relating to the<br \/>\nassessment required under subparagraph (A), are held at<br \/>\na time and place convenient for family;<br \/>\n&#8220;(IV) if reunification is the goal, evidence<br \/>\ndemonstrating that the parent from whom the child was<br \/>\nremoved provided input on the members of the family and<br \/>\npermanency team;<br \/>\n&#8220;(V) evidence that the assessment required under<br \/>\nsubparagraph (A) is determined in conjunction with the<br \/>\nfamily and permanency team;<br \/>\n&#8220;(VI) the placement preferences of the family and<br \/>\npermanency team relative to the assessment that<br \/>\nrecognizes children should be placed with their siblings<br \/>\nunless there is a finding by the court that such<br \/>\nplacement is contrary to their best interest; and<br \/>\n&#8220;(VII) if the placement preferences of the family<br \/>\nand permanency team and child are not the placement<br \/>\nsetting recommended by the qualified individual<br \/>\nconducting the assessment under subparagraph (A), the<br \/>\nreasons why the preferences of the team and of the child<br \/>\nwere not recommended.<br \/>\n&#8220;(C) &lt;&lt;NOTE: Determination.&gt;&gt; In the case of a child who<br \/>\nthe qualified individual conducting the assessment under<br \/>\nsubparagraph (A) determines should not be placed in a foster<br \/>\nfamily home, the qualified individual shall specify in writing<br \/>\nthe reasons why the needs of the child cannot be met by the<br \/>\nfamily of the child or in a foster family home. A shortage or<br \/>\nlack of foster family homes shall not be an acceptable reason<br \/>\nfor determining that the needs of the child cannot be met in a<br \/>\nfoster family home. The qualified individual also shall specify<br \/>\nin writing why the recommended placement in a qualified<br \/>\nresidential treatment program is the setting that will provide<br \/>\nthe child with the most effective and appropriate level of care<br \/>\nin the least restrictive environment and how that placement is<br \/>\nconsistent with the short- and long-term goals for the child, as<br \/>\nspecified in the permanency plan for the child.<br \/>\n&#8220;(D)(i) &lt;&lt;NOTE: Definition.&gt;&gt; Subject to clause (ii), in<br \/>\nthis subsection, the term `qualified individual&#8217; means a trained<br \/>\nprofessional or licensed clinician who is not an employee of the<br \/>\nState agency and who is not connected to, or affiliated with,<br \/>\nany placement setting in which children are placed by the State.<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Certification.&gt;&gt; The Secretary may approve a<br \/>\nrequest of a State to waive any requirement in clause (i) upon a<br \/>\nsubmission by the State, in accordance with criteria established<br \/>\nby the Secretary, that certifies that the trained professionals<br \/>\nor licensed clinicians with responsibility for performing the<br \/>\nassessments described in subparagraph (A) shall maintain<br \/>\nobjectivity with<\/p>\n<p>[[Page 132 STAT. 259]]<\/p>\n<p>respect to determining the most effective and appropriate<br \/>\nplacement for a child.<br \/>\n&#8220;(2) &lt;&lt;NOTE: Deadline.&gt;&gt; Within 60 days of the start of<br \/>\neach placement in a qualified residential treatment program, a<br \/>\nfamily or juvenile court or another court (including a tribal<br \/>\ncourt) of competent jurisdiction, or an administrative body<br \/>\nappointed or approved by the court, independently, shall&#8211;<br \/>\n&#8220;(A) consider the assessment, determination, and<br \/>\ndocumentation made by the qualified individual<br \/>\nconducting the assessment under paragraph (1);<br \/>\n&#8220;(B) &lt;&lt;NOTE: Determination.&gt;&gt; determine whether<br \/>\nthe needs of the child can be met through placement in a<br \/>\nfoster family home or, if not, whether placement of the<br \/>\nchild in a qualified residential treatment program<br \/>\nprovides the most effective and appropriate level of<br \/>\ncare for the child in the least restrictive environment<br \/>\nand whether that placement is consistent with the short-<br \/>\nand long-term goals for the child, as specified in the<br \/>\npermanency plan for the child; and<br \/>\n&#8220;(C) approve or disapprove the placement.<br \/>\n&#8220;(3) The written documentation made under paragraph (1)(C)<br \/>\nand documentation of the determination and approval or<br \/>\ndisapproval of the placement in a qualified residential<br \/>\ntreatment program by a court or administrative body under<br \/>\nparagraph (2) shall be included in and made part of the case<br \/>\nplan for the child.<br \/>\n&#8220;(4) As long as a child remains placed in a qualified<br \/>\nresidential treatment program, the State agency shall submit<br \/>\nevidence at each status review and each permanency hearing held<br \/>\nwith respect to the child&#8211;<br \/>\n&#8220;(A) demonstrating that ongoing assessment of the<br \/>\nstrengths and needs of the child continues to support<br \/>\nthe determination that the needs of the child cannot be<br \/>\nmet through placement in a foster family home, that the<br \/>\nplacement in a qualified residential treatment program<br \/>\nprovides the most effective and appropriate level of<br \/>\ncare for the child in the least restrictive environment,<br \/>\nand that the placement is consistent with the short- and<br \/>\nlong-term goals for the child, as specified in the<br \/>\npermanency plan for the child;<br \/>\n&#8220;(B) documenting the specific treatment or service<br \/>\nneeds that will be met for the child in the placement<br \/>\nand the length of time the child is expected to need the<br \/>\ntreatment or services; and<br \/>\n&#8220;(C) documenting the efforts made by the State<br \/>\nagency to prepare the child to return home or to be<br \/>\nplaced with a fit and willing relative, a legal<br \/>\nguardian, or an adoptive parent, or in a foster family<br \/>\nhome.<br \/>\n&#8220;(5) &lt;&lt;NOTE: Time periods.&gt;&gt; In the case of any child who<br \/>\nis placed in a qualified residential treatment program for more<br \/>\nthan 12 consecutive months or 18 nonconsecutive months (or, in<br \/>\nthe case of a child who has not attained age 13, for more than 6<br \/>\nconsecutive or nonconsecutive months), the State agency shall<br \/>\nsubmit to the Secretary&#8211;<br \/>\n&#8220;(A) the most recent versions of the evidence and<br \/>\ndocumentation specified in paragraph (4); and<br \/>\n&#8220;(B) the signed approval of the head of the State<br \/>\nagency for the continued placement of the child in that<br \/>\nsetting.&#8221;.<\/p>\n<p>[[Page 132 STAT. 260]]<\/p>\n<p>SEC. 50743. PROTOCOLS TO PREVENT INAPPROPRIATE DIAGNOSES.<\/p>\n<p>(a) State Plan Requirement.&#8211;Section 422(b)(15)(A) of the Social<br \/>\nSecurity Act (42 U.S.C. 622(b)(15)(A)) is amended&#8211;<br \/>\n(1) in clause (vi), by striking &#8220;and&#8221; after the semicolon;<br \/>\n(2) by redesignating clause (vii) as clause (viii); and<br \/>\n(3) by inserting after clause (vi) the following:<br \/>\n&#8220;(vii) the procedures and protocols the State<br \/>\nhas established to ensure that children in foster<br \/>\ncare placements are not inappropriately diagnosed<br \/>\nwith mental illness, other emotional or behavioral<br \/>\ndisorders, medically fragile conditions, or<br \/>\ndevelopmental disabilities, and placed in settings<br \/>\nthat are not foster family homes as a result of<br \/>\nthe inappropriate diagnoses; and&#8221;.<\/p>\n<p>(b) Evaluation.&#8211;Section 476 of such Act (42 U.S.C. 676), as amended<br \/>\nby section 50711(d), is further amended by adding at the end the<br \/>\nfollowing:<br \/>\n&#8220;(e) Evaluation of State Procedures and Protocols To Prevent<br \/>\nInappropriate Diagnoses of Mental Illness or Other Conditions.&#8211;The<br \/>\nSecretary shall conduct an evaluation of the procedures and protocols<br \/>\nestablished by States in accordance with the requirements of section<br \/>\n422(b)(15)(A)(vii). The evaluation shall analyze the extent to which<br \/>\nStates comply with and enforce the procedures and protocols and the<br \/>\neffectiveness of various State procedures and protocols and shall<br \/>\nidentify best practices. &lt;&lt;NOTE: Deadline. Reports.&gt;&gt; Not later than<br \/>\nJanuary 1, 2020, the Secretary shall submit a report on the results of<br \/>\nthe evaluation to Congress.&#8221;.<br \/>\nSEC. 50744. ADDITIONAL DATA AND REPORTS REGARDING CHILDREN PLACED<br \/>\nIN A SETTING THAT IS NOT A FOSTER<br \/>\nFAMILY HOME.<\/p>\n<p>Section 479A(a)(7)(A) of the Social Security Act (42 U.S.C.<br \/>\n679b(a)(7)(A)) is amended by striking clauses (i) through (vi) and<br \/>\ninserting the following:<br \/>\n&#8220;(i) with respect to each such placement&#8211;<br \/>\n&#8220;(I) the type of the placement<br \/>\nsetting, including whether the placement<br \/>\nis shelter care, a group home and if so,<br \/>\nthe range of the child population in the<br \/>\nhome, a residential treatment facility,<br \/>\na hospital or institution providing<br \/>\nmedical, rehabilitative, or psychiatric<br \/>\ncare, a setting specializing in<br \/>\nproviding prenatal, post-partum, or<br \/>\nparenting supports, or some other kind<br \/>\nof child-care institution and if so,<br \/>\nwhat kind;<br \/>\n&#8220;(II) the number of children in the<br \/>\nplacement setting and the age, race,<br \/>\nethnicity, and gender of each of the<br \/>\nchildren;<br \/>\n&#8220;(III) for each child in the<br \/>\nplacement setting, the length of the<br \/>\nplacement of the child in the setting,<br \/>\nwhether the placement of the child in<br \/>\nthe setting is the first placement of<br \/>\nthe child and if not, the number and<br \/>\ntype of previous placements of the<br \/>\nchild, and whether the child has special<br \/>\nneeds or another diagnosed mental or<br \/>\nphysical illness or condition; and<br \/>\n&#8220;(IV) the extent of any specialized<br \/>\neducation, treatment, counseling, or<br \/>\nother services provided in the setting;<br \/>\nand<\/p>\n<p>[[Page 132 STAT. 261]]<\/p>\n<p>&#8220;(ii) separately, the number and ages of<br \/>\nchildren in the placements who have a permanency<br \/>\nplan of another planned permanent living<br \/>\narrangement; and&#8221;.<br \/>\nSEC. 50745. CRIMINAL RECORDS CHECKS AND CHECKS OF CHILD ABUSE AND<br \/>\nNEGLECT REGISTRIES FOR ADULTS WORKING<br \/>\nIN CHILD-CARE INSTITUTIONS AND OTHER<br \/>\nGROUP CARE SETTINGS.<\/p>\n<p>(a) State Plan Requirement.&#8211;Section 471(a)(20) of the Social<br \/>\nSecurity Act (42 U.S.C. 671(a)(20)) is amended&#8211;<br \/>\n(1) in subparagraph (A)(ii), by striking &#8220;and&#8221; after the<br \/>\nsemicolon;<br \/>\n(2) in subparagraph (B)(iii), by striking &#8220;and&#8221;after the<br \/>\nsemicolon;<br \/>\n(3) in subparagraph (C), by adding &#8220;and&#8221; after the<br \/>\nsemicolon; and<br \/>\n(4) by inserting after subparagraph (C), the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(D) provides procedures for any child-care<br \/>\ninstitution, including a group home, residential<br \/>\ntreatment center, shelter, or other congregate care<br \/>\nsetting, to conduct criminal records checks, including<br \/>\nfingerprint-based checks of national crime information<br \/>\ndatabases (as defined in section 534(f)(3)(A) of title<br \/>\n28, United States Code), and checks described in<br \/>\nsubparagraph (B) of this paragraph, on any adult working<br \/>\nin a child-care institution, including a group home,<br \/>\nresidential treatment center, shelter, or other<br \/>\ncongregate care setting, unless the State reports to the<br \/>\nSecretary the alternative criminal records checks and<br \/>\nchild abuse registry checks the State conducts on any<br \/>\nadult working in a child-care institution, including a<br \/>\ngroup home, residential treatment center, shelter, or<br \/>\nother congregate care setting, and why the checks<br \/>\nspecified in this subparagraph are not appropriate for<br \/>\nthe State;&#8221;.<\/p>\n<p>(b) Technical Amendments.&#8211;Subparagraphs (A) and (C) of section<br \/>\n471(a)(20) of the Social Security Act (42 U.S.C. 671(a)(20)) are each<br \/>\namended by striking &#8220;section 534(e)(3)(A)&#8221; and inserting &#8220;section<br \/>\n534(f)(3)(A)&#8221;.<br \/>\nSEC. 50746. &lt;&lt;NOTE: 42 USC 622 note.&gt;&gt; EFFECTIVE DATES;<br \/>\nAPPLICATION TO WAIVERS.<\/p>\n<p>(a) Effective Dates.&#8211;<br \/>\n(1) In general.&#8211;Subject to paragraph (2) and subsections<br \/>\n(b), (c), and (d), the amendments made by this part shall take<br \/>\neffect as if enacted on January 1, 2018.<br \/>\n(2) &lt;&lt;NOTE: Determination.&gt;&gt; Transition rule.&#8211;In the case<br \/>\nof a State plan under part B or E of title IV of the Social<br \/>\nSecurity Act which the Secretary of Health and Human Services<br \/>\ndetermines requires State legislation (other than legislation<br \/>\nappropriating funds) in order for the plan to meet the<br \/>\nadditional requirements imposed by the amendments made by this<br \/>\npart, the State plan shall not be regarded as failing to comply<br \/>\nwith the requirements of part B or E of title IV of such Act<br \/>\nsolely on the basis of the failure of the plan to meet the<br \/>\nadditional requirements before the first day of the first<br \/>\ncalendar quarter beginning after the close of the first regular<br \/>\nsession of the State legislature that begins after the date of<br \/>\nenactment of this Act. For purposes of the previous sentence, in<br \/>\nthe case of a State that has a 2-year legislative session, each<br \/>\nyear of<\/p>\n<p>[[Page 132 STAT. 262]]<\/p>\n<p>the session shall be deemed to be a separate regular session of<br \/>\nthe State legislature.<\/p>\n<p>(b) Limitation on Federal Financial Participation for Placements<br \/>\nThat Are Not in Foster Family Homes and Related Provisions.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Effective date.&gt;&gt; In general.&#8211;The amendments<br \/>\nmade by sections 50741(a), 50741(b), 50741(d), and 50742 shall<br \/>\ntake effect on October 1, 2019.<br \/>\n(2) State option to delay effective date for not more than 2<br \/>\nyears.&#8211;If a State requests a delay in the effective date, the<br \/>\nSecretary of Health and Human Services shall delay the effective<br \/>\ndate provided for in paragraph (1) with respect to the State for<br \/>\nthe amount of time requested by the State, not to exceed 2<br \/>\nyears. If the effective date is so delayed for a period with<br \/>\nrespect to a State under the preceding sentence, then&#8211;<br \/>\n(A) notwithstanding section 50734, the date that the<br \/>\namendments made by section 50711(c) take effect with<br \/>\nrespect to the State shall be delayed for the period;<br \/>\nand<br \/>\n(B) &lt;&lt;NOTE: Applicability.&gt;&gt; in applying section<br \/>\n474(a)(6) of the Social Security Act with respect to the<br \/>\nState, &#8220;on or after the date this paragraph takes<br \/>\neffect with respect to the State&#8221; is deemed to be<br \/>\nsubstituted for &#8220;after September 30, 2019&#8221; in<br \/>\nsubparagraph (A)(i)(I) of such section.<\/p>\n<p>(c) Criminal Records Checks and Checks of Child Abuse and Neglect<br \/>\nRegistries for Adults Working in Child-care Institutions and Other Group<br \/>\nCare Settings.&#8211; &lt;&lt;NOTE: Effective date.&gt;&gt; Subject to subsection (a)(2),<br \/>\nthe amendments made by section 50745 shall take effect on October 1,<br \/>\n2018.<\/p>\n<p>(d) Application to States With Waivers.&#8211;In the case of a State<br \/>\nthat, on the date of enactment of this Act, has in effect a waiver<br \/>\napproved under section 1130 of the Social Security Act (42 U.S.C. 1320a-<br \/>\n9), the amendments made by this part shall not apply with respect to the<br \/>\nState before the expiration (determined without regard to any<br \/>\nextensions) of the waiver to the extent the amendments are inconsistent<br \/>\nwith the terms of the waiver.<\/p>\n<p>PART V&#8211;CONTINUING SUPPORT FOR CHILD AND FAMILY SERVICES<\/p>\n<p>SEC. 50751. SUPPORTING AND RETAINING FOSTER FAMILIES FOR CHILDREN.<\/p>\n<p>(a) Supporting and Retaining Foster Parents as a Family Support<br \/>\nService.&#8211;Section 431(a)(2)(B) of the Social Security Act (42 U.S.C.<br \/>\n631(a)(2)(B)) is amended by redesignating clauses (iii) through (vi) as<br \/>\nclauses (iv) through (vii), respectively, and inserting after clause<br \/>\n(ii) the following:<br \/>\n&#8220;(iii) To support and retain foster families<br \/>\nso they can provide quality family-based settings<br \/>\nfor children in foster care.&#8221;.<\/p>\n<p>(b) Support for Foster Family Homes.&#8211;Section 436 of such Act (42<br \/>\nU.S.C. 629f) is amended by adding at the end the following:<br \/>\n&#8220;(c) Support for Foster Family Homes.&#8211; &lt;&lt;NOTE: Appropriation<br \/>\nauthorization.&gt;&gt; Out of any money in the Treasury of the United States<br \/>\nnot otherwise appropriated, there are appropriated to the Secretary for<br \/>\nfiscal year 2018, $8,000,000 for the Secretary to make competitive<br \/>\ngrants to States, Indian tribes, or tribal consortia to support the<br \/>\nrecruitment and<\/p>\n<p>[[Page 132 STAT. 263]]<\/p>\n<p>retention of high-quality foster families to increase their capacity to<br \/>\nplace more children in family settings, focused on States, Indian<br \/>\ntribes, or tribal consortia with the highest percentage of children in<br \/>\nnon-family settings. The amount appropriated under this subparagraph<br \/>\nshall remain available through fiscal year 2022.&#8221;.<br \/>\nSEC. 50752. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS.<\/p>\n<p>(a) Extension of Stephanie Tubbs Jones Child Welfare Services<br \/>\nProgram.&#8211;Section 425 of the Social Security Act (42 U.S.C. 625) is<br \/>\namended by striking &#8220;2012 through 2016&#8221; and inserting &#8220;2017 through<br \/>\n2021&#8221;.<br \/>\n(b) Extension of Promoting Safe and Stable Families Program<br \/>\nAuthorizations.&#8211;<br \/>\n(1) In general.&#8211;Section 436(a) of such Act (42 U.S.C.<br \/>\n629f(a)) is amended by striking all that follows<br \/>\n&#8220;$345,000,000&#8221; and inserting &#8220;for each of fiscal years 2017<br \/>\nthrough 2021.&#8221;.<br \/>\n(2) Discretionary grants.&#8211;Section 437(a) of such Act (42<br \/>\nU.S.C. 629g(a)) is amended by striking &#8220;2012 through 2016&#8221; and<br \/>\ninserting &#8220;2017 through 2021&#8221;.<\/p>\n<p>(c) Extension of Funding Reservations for Monthly Caseworker Visits<br \/>\nand Regional Partnership Grants.&#8211;Section 436(b) of such Act (42 U.S.C.<br \/>\n629f(b)) is amended&#8211;<br \/>\n(1) in paragraph (4)(A), by striking &#8220;2012 through 2016&#8221;<br \/>\nand inserting &#8220;2017 through 2021&#8221;; and<br \/>\n(2) in paragraph (5), by striking &#8220;2012 through 2016&#8221; and<br \/>\ninserting &#8220;2017 through 2021&#8221;.<\/p>\n<p>(d) Reauthorization of Funding for State Courts.&#8211;<br \/>\n(1) Extension of program.&#8211;Section 438(c)(1) of such Act (42<br \/>\nU.S.C. 629h(c)(1)) is amended by striking &#8220;2012 through 2016&#8221;<br \/>\nand inserting &#8220;2017 through 2021&#8221;.<br \/>\n(2) Extension of federal share.&#8211;Section 438(d) of such Act<br \/>\n(42 U.S.C. 629h(d)) is amended by striking &#8220;2012 through 2016&#8221;<br \/>\nand inserting &#8220;2017 through 2021&#8221;.<\/p>\n<p>(e) Repeal of Expired Provisions.&#8211;Section 438(e) of such Act (42<br \/>\nU.S.C. 629h(e)) is repealed.<br \/>\nSEC. 50753. IMPROVEMENTS TO THE JOHN H. CHAFEE FOSTER CARE<br \/>\nINDEPENDENCE PROGRAM AND RELATED<br \/>\nPROVISIONS.<\/p>\n<p>(a) Authority To Serve Former Foster Youth Up To Age 23.&#8211;Section<br \/>\n477 of the Social Security Act (42 U.S.C. 677) is amended&#8211;<br \/>\n(1) in subsection (a)(5), by inserting &#8220;(or 23 years of<br \/>\nage, in the case of a State with a certification under<br \/>\nsubsection (b)(3)(A)(ii) to provide assistance and services to<br \/>\nyouths who have aged out of foster care and have not attained<br \/>\nsuch age, in accordance with such subsection)&#8221; after &#8220;21 years<br \/>\nof age&#8221;;<br \/>\n(2) in subsection (b)(3)(A)&#8211;<br \/>\n(A) by inserting &#8220;(i)&#8221; before &#8220;A certification&#8221;;<br \/>\n(B) by striking &#8220;children who have left foster<br \/>\ncare&#8221; and all that follows through the period and<br \/>\ninserting &#8220;youths who have aged out of foster care and<br \/>\nhave not attained 21 years of age.&#8221;; and<br \/>\n(C) by adding at the end the following:<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Determination.&gt;&gt; If the State has<br \/>\nelected under section 475(8)(B) to extend eligibility<br \/>\nfor foster care to all children who have not attained 21<br \/>\nyears of age, or if the Secretary determines that the<br \/>\nState agency responsible for administering the State<br \/>\nplans under this part and part B uses<\/p>\n<p>[[Page 132 STAT. 264]]<\/p>\n<p>State funds or any other funds not provided under this<br \/>\npart to provide services and assistance for youths who<br \/>\nhave aged out of foster care that are comparable to the<br \/>\nservices and assistance the youths would receive if the<br \/>\nState had made such an election, the certification<br \/>\nrequired under clause (i) may provide that the State<br \/>\nwill provide assistance and services to youths who have<br \/>\naged out of foster care and have not attained 23 years<br \/>\nof age.&#8221;; and<br \/>\n(3) in subsection (b)(3)(B), by striking &#8220;children who have<br \/>\nleft foster care&#8221; and all that follows through the period and<br \/>\ninserting &#8220;youths who have aged out of foster care and have not<br \/>\nattained 21 years of age (or 23 years of age, in the case of a<br \/>\nState with a certification under subparagraph (A)(i) to provide<br \/>\nassistance and services to youths who have aged out of foster<br \/>\ncare and have not attained such age, in accordance with<br \/>\nsubparagraph (A)(ii)).&#8221;.<\/p>\n<p>(b) Authority To Redistribute Unspent Funds.&#8211;Section 477(d) of such<br \/>\nAct (42 U.S.C. 677(d)) is amended&#8211;<br \/>\n(1) in paragraph (4), by inserting &#8220;or does not expend<br \/>\nallocated funds within the time period specified under section<br \/>\n477(d)(3)&#8221; after &#8220;provided by the Secretary&#8221;; and<br \/>\n(2) by adding at the end the following:<br \/>\n&#8220;(5) Redistribution of unexpended amounts.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Applicability.&gt;&gt; Availability of<br \/>\namounts.&#8211;To the extent that amounts paid to States<br \/>\nunder this section in a fiscal year remain unexpended by<br \/>\nthe States at the end of the succeeding fiscal year, the<br \/>\nSecretary may make the amounts available for<br \/>\nredistribution in the second succeeding fiscal year<br \/>\namong the States that apply for additional funds under<br \/>\nthis section for that second succeeding fiscal year.<br \/>\n&#8220;(B) Redistribution.&#8211;<br \/>\n&#8220;(i) In general.&#8211;The Secretary shall<br \/>\nredistribute the amounts made available under<br \/>\nsubparagraph (A) for a fiscal year among eligible<br \/>\napplicant<br \/>\nStates. &lt;&lt;NOTE: Definition. Determination.&gt;&gt; In<br \/>\nthis subparagraph, the term `eligible applicant<br \/>\nState&#8217; means a State that has applied for<br \/>\nadditional funds for the fiscal year under<br \/>\nsubparagraph (A) if the Secretary determines that<br \/>\nthe State will use the funds for the purpose for<br \/>\nwhich originally allotted under this section.<br \/>\n&#8220;(ii) Amount to be redistributed.&#8211;The amount<br \/>\nto be redistributed to each eligible applicant<br \/>\nState shall be the amount so made available<br \/>\nmultiplied by the State foster care ratio, (as<br \/>\ndefined in subsection (c)(4), except that, in such<br \/>\nsubsection, `all eligible applicant States (as<br \/>\ndefined in subsection (d)(5)(B)(i))&#8217; shall be<br \/>\nsubstituted for `all States&#8217;).<br \/>\n&#8220;(iii) Treatment of redistributed amount.&#8211;<br \/>\nAny amount made available to a State under this<br \/>\nparagraph shall be regarded as part of the<br \/>\nallotment of the State under this section for the<br \/>\nfiscal year in which the redistribution is made.<br \/>\n&#8220;(C) &lt;&lt;NOTE: Definition.&gt;&gt; Tribes.&#8211;For purposes<br \/>\nof this paragraph, the term `State&#8217; includes an Indian<br \/>\ntribe, tribal organization, or tribal consortium that<br \/>\nreceives an allotment under this section.&#8221;.<\/p>\n<p>[[Page 132 STAT. 265]]<\/p>\n<p>(c) Expanding and Clarifying the Use of Education and Training<br \/>\nVouchers.&#8211;<br \/>\n(1) In general.&#8211;Section 477(i)(3) of such Act (42 U.S.C.<br \/>\n677(i)(3)) is amended&#8211;<br \/>\n(A) by striking &#8220;on the date&#8221; and all that follows<br \/>\nthrough &#8220;23&#8221; and inserting &#8220;to remain eligible until<br \/>\nthey attain 26&#8221;; and<br \/>\n(B) by inserting &#8220;, but in no event may a youth<br \/>\nparticipate in the program for more than 5 years<br \/>\n(whether or not consecutive)&#8221; before the period.<br \/>\n(2) Conforming amendment.&#8211;Section 477(i)(1) of such Act (42<br \/>\nU.S.C. 677(i)(1)) is amended by inserting &#8220;who have attained 14<br \/>\nyears of age&#8221; before the period.<\/p>\n<p>(d) Other Improvements.&#8211;Section 477 of such Act (42 U.S.C. 677), as<br \/>\namended by subsections (a), (b), and (c), is amended&#8211;<br \/>\n(1) in the section heading, by striking &#8220;independence<br \/>\nprogram&#8221; and inserting &#8220;program for successful transition to<br \/>\nadulthood&#8221;;<br \/>\n(2) in subsection (a)&#8211;<br \/>\n(A) in paragraph (1)&#8211;<br \/>\n(i) by striking &#8220;identify children who are<br \/>\nlikely to remain in foster care until 18 years of<br \/>\nage and to help these children make the transition<br \/>\nto self-sufficiency by providing services&#8221; and<br \/>\ninserting &#8220;support all youth who have experienced<br \/>\nfoster care at age 14 or older in their transition<br \/>\nto adulthood through transitional services&#8221;;<br \/>\n(ii) by inserting &#8220;and post-secondary<br \/>\neducation&#8221; after &#8220;high school diploma&#8221;; and<br \/>\n(iii) by striking &#8220;training in daily living<br \/>\nskills, training in budgeting and financial<br \/>\nmanagement skills&#8221; and inserting &#8220;training and<br \/>\nopportunities to practice daily living skills<br \/>\n(such as financial literacy training and driving<br \/>\ninstruction)&#8221;;<br \/>\n(B) in paragraph (2), by striking &#8220;who are likely<br \/>\nto remain in foster care until 18 years of age receive<br \/>\nthe education, training, and services necessary to<br \/>\nobtain employment&#8221; and inserting &#8220;who have experienced<br \/>\nfoster care at age 14 or older achieve meaningful,<br \/>\npermanent connections with a caring adult&#8221;;<br \/>\n(C) in paragraph (3), by striking &#8220;who are likely<br \/>\nto remain in foster care until 18 years of age prepare<br \/>\nfor and enter postsecondary training and education<br \/>\ninstitutions&#8221; and inserting &#8220;who have experienced<br \/>\nfoster care at age 14 or older engage in age or<br \/>\ndevelopmentally appropriate activities, positive youth<br \/>\ndevelopment, and experiential learning that reflects<br \/>\nwhat their peers in intact families experience&#8221;; and<br \/>\n(D) by striking paragraph (4) and redesignating<br \/>\nparagraphs (5) through (8) as paragraphs (4) through<br \/>\n(7);<br \/>\n(3) in subsection (b)&#8211;<br \/>\n(A) in paragraph (2)(D), by striking &#8220;adolescents&#8221;<br \/>\nand inserting &#8220;youth&#8221;; and<br \/>\n(B) in paragraph (3)&#8211;<br \/>\n(i) in subparagraph (D)&#8211;<br \/>\n(I) by inserting &#8220;including<br \/>\ntraining on youth development&#8221; after<br \/>\n&#8220;to provide training&#8221;; and<\/p>\n<p>[[Page 132 STAT. 266]]<\/p>\n<p>(II) by striking &#8220;adolescents<br \/>\npreparing for independent living&#8221; and<br \/>\nall that follows through the period and<br \/>\ninserting &#8220;youth preparing for a<br \/>\nsuccessful transition to adulthood and<br \/>\nmaking a permanent connection with a<br \/>\ncaring adult.&#8221;;<br \/>\n(ii) in subparagraph (H), by striking<br \/>\n&#8220;adolescents&#8221; each place it appears and<br \/>\ninserting &#8220;youth&#8221;; and<br \/>\n(iii) in subparagraph (K)&#8211;<br \/>\n(I) by striking &#8220;an adolescent&#8221;<br \/>\nand inserting &#8220;a youth&#8221;; and<br \/>\n(II) by striking &#8220;the adolescent&#8221;<br \/>\neach place it appears and inserting<br \/>\n&#8220;the youth&#8221;; and<br \/>\n(4) in subsection (f), by striking paragraph (2) and<br \/>\ninserting the following:<br \/>\n&#8220;(2) &lt;&lt;NOTE: Analyses.&gt;&gt; Report to congress.&#8211;Not later<br \/>\nthan October 1, 2019, the Secretary shall submit to the<br \/>\nCommittee on Ways and Means of the House of Representatives and<br \/>\nthe Committee on Finance of the Senate a report on the National<br \/>\nYouth in Transition Database and any other databases in which<br \/>\nStates report outcome measures relating to children in foster<br \/>\ncare and children who have aged out of foster care or left<br \/>\nfoster care for kinship guardianship or adoption. The report<br \/>\nshall include the following:<br \/>\n&#8220;(A) A description of the reasons for entry into<br \/>\nfoster care and of the foster care experiences, such as<br \/>\nlength of stay, number of placement settings, case goal,<br \/>\nand discharge reason of 17-year-olds who are surveyed by<br \/>\nthe National Youth in Transition Database and an<br \/>\nanalysis of the comparison of that description with the<br \/>\nreasons for entry and foster care experiences of<br \/>\nchildren of other ages who exit from foster care before<br \/>\nattaining age 17.<br \/>\n&#8220;(B) A description of the characteristics of the<br \/>\nindividuals who report poor outcomes at ages 19 and 21<br \/>\nto the National Youth in Transition Database.<br \/>\n&#8220;(C) &lt;&lt;NOTE: Determination.&gt;&gt; Benchmarks for<br \/>\ndetermining what constitutes a poor outcome for youth<br \/>\nwho remain in or have exited from foster care and plans<br \/>\nthe executive branch will take to incorporate these<br \/>\nbenchmarks in efforts to evaluate child welfare agency<br \/>\nperformance in providing services to children<br \/>\ntransitioning from foster care.<br \/>\n&#8220;(D) An analysis of the association between types<br \/>\nof placement, number of overall placements, time spent<br \/>\nin foster care, and other factors, and outcomes at ages<br \/>\n19 and 21.<br \/>\n&#8220;(E) An analysis of the differences in outcomes for<br \/>\nchildren in and formerly in foster care at age 19 and 21<br \/>\namong States.&#8221;.<\/p>\n<p>(e) Clarifying Documentation Provided to Foster Youth Leaving Foster<br \/>\nCare.&#8211;Section 475(5)(I) of such Act (42 U.S.C. 675(5)(I)) is amended by<br \/>\ninserting after &#8220;REAL ID Act of 2005&#8221; the following: &#8220;, and any<br \/>\nofficial documentation necessary to prove that the child was previously<br \/>\nin foster care&#8221;.<\/p>\n<p>[[Page 132 STAT. 267]]<\/p>\n<p>PART VI&#8211;CONTINUING INCENTIVES TO STATES TO PROMOTE ADOPTION AND LEGAL<br \/>\nGUARDIANSHIP<\/p>\n<p>SEC. 50761. &lt;&lt;NOTE: 42 USC 673b note.&gt;&gt; REAUTHORIZING ADOPTION<br \/>\nAND LEGAL GUARDIANSHIP INCENTIVE<br \/>\nPROGRAMS.<\/p>\n<p>(a) In General.&#8211;Section 473A of the Social Security Act (42 U.S.C.<br \/>\n673b) is amended&#8211;<br \/>\n(1) in subsection (b)(4), by striking &#8220;2013 through 2015&#8221;<br \/>\nand inserting &#8220;2016 through 2020&#8221;;<br \/>\n(2) in subsection (h)(1)(D), by striking &#8220;2016&#8221; and<br \/>\ninserting &#8220;2021&#8221;; and<br \/>\n(3) in subsection (h)(2), by striking &#8220;2016&#8221; and inserting<br \/>\n&#8220;2021&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 673b note.&gt;&gt; Effective Date.&#8211;The amendments made<br \/>\nby subsection (a) shall take effect as if enacted on October 1, 2017.<\/p>\n<p>PART VII&#8211;TECHNICAL CORRECTIONS<\/p>\n<p>SEC. 50771. TECHNICAL CORRECTIONS TO DATA EXCHANGE STANDARDS TO<br \/>\nIMPROVE PROGRAM COORDINATION.<\/p>\n<p>(a) In General.&#8211;Section 440 of the Social Security Act (42 U.S.C.<br \/>\n629m) is amended to read as follows:<br \/>\n&#8220;SEC. 440. DATA EXCHANGE STANDARDS FOR IMPROVED INTEROPERABILITY.<\/p>\n<p>&#8220;(a) &lt;&lt;NOTE: Consultation. Establishment.&gt;&gt; Designation.&#8211;The<br \/>\nSecretary shall, in consultation with an interagency work group<br \/>\nestablished by the Office of Management and Budget and considering State<br \/>\ngovernment perspectives, by rule, designate data exchange standards to<br \/>\ngovern, under this part and part E&#8211;<br \/>\n&#8220;(1) necessary categories of information that State<br \/>\nagencies operating programs under State plans approved under<br \/>\nthis part are required under applicable Federal law to<br \/>\nelectronically exchange with another State agency; and<br \/>\n&#8220;(2) Federal reporting and data exchange required under<br \/>\napplicable Federal law.<\/p>\n<p>&#8220;(b) Requirements.&#8211;The data exchange standards required by<br \/>\nparagraph (1) shall, to the extent practicable&#8211;<br \/>\n&#8220;(1) incorporate a widely accepted, non-proprietary,<br \/>\nsearchable, computer-readable format, such as the Extensible<br \/>\nMarkup Language;<br \/>\n&#8220;(2) contain interoperable standards developed and<br \/>\nmaintained by intergovernmental partnerships, such as the<br \/>\nNational Information Exchange Model;<br \/>\n&#8220;(3) incorporate interoperable standards developed and<br \/>\nmaintained by Federal entities with authority over contracting<br \/>\nand financial assistance;<br \/>\n&#8220;(4) be consistent with and implement applicable accounting<br \/>\nprinciples;<br \/>\n&#8220;(5) be implemented in a manner that is cost-effective and<br \/>\nimproves program efficiency and effectiveness; and<br \/>\n&#8220;(6) be capable of being continually upgraded as necessary.<\/p>\n<p>&#8220;(c) Rule of Construction.&#8211;Nothing in this subsection shall be<br \/>\nconstrued to require a change to existing data exchange standards found<br \/>\nto be effective and efficient.&#8221;.<\/p>\n<p>[[Page 132 STAT. 268]]<\/p>\n<p>(b) &lt;&lt;NOTE: Deadline. Regulations. 42 USC 629m note.&gt;&gt; Effective<br \/>\nDate.&#8211;Not later than the date that is 24 months after the date of the<br \/>\nenactment of this section, the Secretary of Health and Human Services<br \/>\nshall issue a proposed rule that&#8211;<br \/>\n(1) &lt;&lt;NOTE: Determination.&gt;&gt; identifies federally required<br \/>\ndata exchanges, include specification and timing of exchanges to<br \/>\nbe standardized, and address the factors used in determining<br \/>\nwhether and when to standardize data exchanges; and<br \/>\n(2) specifies State implementation options and describes<br \/>\nfuture milestones.<br \/>\nSEC. 50772. TECHNICAL CORRECTIONS TO STATE REQUIREMENT TO ADDRESS<br \/>\nTHE DEVELOPMENTAL NEEDS OF YOUNG<br \/>\nCHILDREN.<\/p>\n<p>Section 422(b)(18) of the Social Security Act (42 U.S.C. 622(b)(18))<br \/>\nis amended by striking &#8220;such children&#8221; and inserting &#8220;all vulnerable<br \/>\nchildren under 5 years of age&#8221;.<\/p>\n<p>PART VIII&#8211;ENSURING STATES REINVEST SAVINGS RESULTING FROM INCREASE IN<br \/>\nADOPTION ASSISTANCE<\/p>\n<p>SEC. 50781. DELAY OF ADOPTION ASSISTANCE PHASE-IN.<\/p>\n<p>(a) In General.&#8211;The table in section 473(e)(1)(B) of the Social<br \/>\nSecurity Act (42 U.S.C. 673(e)(1)(B)) is amended by striking the last 2<br \/>\nrows and inserting the following:<\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-<br \/>\n&#8220;2017 through 2023&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.. 2<br \/>\n2024&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.. 2 (or, in the case of a child for whom an adoption assistance<br \/>\nagreement is entered into under this section on or after July 1,<br \/>\n2024, any age)<br \/>\n2025 or thereafter&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230; any age.&#8221;.<br \/>\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 673 note.&gt;&gt; Effective Date.&#8211;The amendment made<br \/>\nby this section shall take effect as if enacted on January 1, 2018.<br \/>\nSEC. 50782. GAO STUDY AND REPORT ON STATE REINVESTMENT OF SAVINGS<br \/>\nRESULTING FROM INCREASE IN ADOPTION<br \/>\nASSISTANCE.<\/p>\n<p>(a) Study.&#8211;The Comptroller General of the United States shall study<br \/>\nthe extent to which States are complying with the requirements of<br \/>\nsection 473(a)(8) of the Social Security Act (42 U.S.C. 673(a)(8))<br \/>\nrelating to the effects of phasing out the AFDC income eligibility<br \/>\nrequirements for adoption assistance payments under section 473 of the<br \/>\nSocial Security Act, as enacted by section 402 of the Fostering<br \/>\nConnections to Success and Increasing Adoptions Act of 2008 (Public Law<br \/>\n110-351; 122 Stat. 3975) and amended by section 206 of the Preventing<br \/>\nSex Trafficking and Strengthening Families Act (Public Law 113-183; 128<br \/>\nStat. 1919). &lt;&lt;NOTE: Analysis.&gt;&gt; In particular, the Comptroller General<br \/>\nshall analyze the extent to which States are complying with the<br \/>\nfollowing requirements under section 473(a)(8)(D) of the Social Security<br \/>\nAct:<\/p>\n<p>[[Page 132 STAT. 269]]<\/p>\n<p>(1) The requirement to spend an amount equal to the amount<br \/>\nof the savings (if any) in State expenditures under part E of<br \/>\ntitle IV of the Social Security Act resulting from phasing out<br \/>\nthe AFDC income eligibility requirements for adoption assistance<br \/>\npayments under section 473 of such Act to provide to children of<br \/>\nfamilies any service that may be provided under part B or E of<br \/>\ntitle IV of such Act.<br \/>\n(2) The requirement that a State shall spend not less than<br \/>\n30 percent of the amount of any savings described in paragraph<br \/>\n(1) on post-adoption services, post-guardianship services, and<br \/>\nservices to support and sustain positive permanent outcomes for<br \/>\nchildren who otherwise might enter into foster care under the<br \/>\nresponsibility of the State, with at least \\2\/3\\ of the spending<br \/>\nby the State to comply with the 30 percent requirement being<br \/>\nspent on post-adoption and post-guardianship services.<\/p>\n<p>(b) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; Report.&#8211;The Comptroller General<br \/>\nof the United States shall submit to the Committee on Finance of the<br \/>\nSenate, the Committee on Ways and Means of the House of Representatives,<br \/>\nand the Secretary of Health and Human Services a report that contains<br \/>\nthe results of the study required by subsection (a), including<br \/>\nrecommendations to ensure compliance with laws referred to in subsection<br \/>\n(a).<\/p>\n<p>TITLE VIII&#8211; &lt;&lt;NOTE: Social Impact Partnerships to Pay for Results<br \/>\nAct.&gt;&gt; SUPPORTING SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS<br \/>\nSEC. 50801. &lt;&lt;NOTE: 42 USC 1305 note.&gt;&gt; SHORT TITLE.<\/p>\n<p>This subtitle may be cited as the &#8220;Social Impact Partnerships to<br \/>\nPay for Results Act&#8221;.<br \/>\nSEC. 50802. SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS.<\/p>\n<p>Title XX of the Social Security Act (42 U.S.C. 1397 et seq.) is<br \/>\namended&#8211;<br \/>\n(1) in the title heading, by striking &#8220;TO STATES&#8221; and<br \/>\ninserting &#8220;AND PROGRAMS&#8221;; and<br \/>\n(2) by adding at the end the following:<\/p>\n<p>&#8220;Subtitle C&#8211;Social Impact Demonstration Projects<\/p>\n<p>&#8220;purposes<\/p>\n<p>&#8220;Sec. 2051. &lt;&lt;NOTE: 42 USC 1397n note.&gt;&gt; The purposes of this<br \/>\nsubtitle are the following:<br \/>\n&#8220;(1) To improve the lives of families and individuals in<br \/>\nneed in the United States by funding social programs that<br \/>\nachieve real results.<br \/>\n&#8220;(2) To redirect funds away from programs that, based on<br \/>\nobjective data, are ineffective, and into programs that achieve<br \/>\ndemonstrable, measurable results.<br \/>\n&#8220;(3) To ensure Federal funds are used effectively on social<br \/>\nservices to produce positive outcomes for both service<br \/>\nrecipients and taxpayers.<br \/>\n&#8220;(4) To establish the use of social impact partnerships to<br \/>\naddress some of our Nation&#8217;s most pressing problems.<\/p>\n<p>[[Page 132 STAT. 270]]<\/p>\n<p>&#8220;(5) To facilitate the creation of public-private<br \/>\npartnerships that bundle philanthropic or other private<br \/>\nresources with existing public spending to scale up effective<br \/>\nsocial interventions already being implemented by private<br \/>\norganizations, nonprofits, charitable organizations, and State<br \/>\nand local governments across the country.<br \/>\n&#8220;(6) To bring pay-for-performance to the social sector,<br \/>\nallowing the United States to improve the impact and<br \/>\neffectiveness of vital social services programs while<br \/>\nredirecting inefficient or duplicative spending.<br \/>\n&#8220;(7) To incorporate outcomes measurement and randomized<br \/>\ncontrolled trials or other rigorous methodologies for assessing<br \/>\nprogram impact.<\/p>\n<p>&#8220;social impact partnership application<\/p>\n<p>&#8220;Sec. 2052. &lt;&lt;NOTE: Deadline. Consultation. Federal Register,<br \/>\npublication. 42 USC 1397n-1 note.&gt;&gt; (a) Notice.&#8211;Not later than 1 year<br \/>\nafter the date of the enactment of this subtitle, the Secretary of the<br \/>\nTreasury, in consultation with the Federal Interagency Council on Social<br \/>\nImpact Partnerships, shall publish in the Federal Register a request for<br \/>\nproposals from States or local governments for social impact partnership<br \/>\nprojects in accordance with this section.<\/p>\n<p>&#8220;(b) Required Outcomes for Social Impact Partnership Project.&#8211;To<br \/>\nqualify as a social impact partnership project under this subtitle, a<br \/>\nproject must produce one or more measurable, clearly defined outcomes<br \/>\nthat result in social benefit and Federal, State, or local savings<br \/>\nthrough any of the following:<br \/>\n&#8220;(1) Increasing work and earnings by individuals in the<br \/>\nUnited States who are unemployed for more than 6 consecutive<br \/>\nmonths.<br \/>\n&#8220;(2) Increasing employment and earnings of individuals who<br \/>\nhave attained 16 years of age but not 25 years of age.<br \/>\n&#8220;(3) Increasing employment among individuals receiving<br \/>\nFederal disability benefits.<br \/>\n&#8220;(4) Reducing the dependence of low-income families on<br \/>\nFederal means-tested benefits.<br \/>\n&#8220;(5) Improving rates of high school graduation.<br \/>\n&#8220;(6) Reducing teen and unplanned pregnancies.<br \/>\n&#8220;(7) Improving birth outcomes and early childhood health<br \/>\nand development among low-income families and individuals.<br \/>\n&#8220;(8) Reducing rates of asthma, diabetes, or other<br \/>\npreventable diseases among low-income families and individuals<br \/>\nto reduce the utilization of emergency and other high-cost care.<br \/>\n&#8220;(9) Increasing the proportion of children living in two-<br \/>\nparent families.<br \/>\n&#8220;(10) Reducing incidences and adverse consequences of child<br \/>\nabuse and neglect.<br \/>\n&#8220;(11) Reducing the number of youth in foster care by<br \/>\nincreasing adoptions, permanent guardianship arrangements,<br \/>\nreunifications, or placements with a fit and willing relative,<br \/>\nor by avoiding placing children in foster care by ensuring they<br \/>\ncan be cared for safely in their own homes.<br \/>\n&#8220;(12) Reducing the number of children and youth in foster<br \/>\ncare residing in group homes, child care institutions, agency-<br \/>\noperated foster homes, or other non-family foster homes, unless<br \/>\nit is determined that it is in the interest of the child&#8217;s long-<br \/>\nterm health, safety, or psychological well-being to not be<br \/>\nplaced in a family foster home.<\/p>\n<p>[[Page 132 STAT. 271]]<\/p>\n<p>&#8220;(13) Reducing the number of children returning to foster<br \/>\ncare.<br \/>\n&#8220;(14) Reducing recidivism among juvenile offenders,<br \/>\nindividuals released from prison, or other high-risk<br \/>\npopulations.<br \/>\n&#8220;(15) Reducing the rate of homelessness among our most<br \/>\nvulnerable populations.<br \/>\n&#8220;(16) Improving the health and well-being of those with<br \/>\nmental, emotional, and behavioral health needs.<br \/>\n&#8220;(17) Improving the educational outcomes of special-needs<br \/>\nor low-income children.<br \/>\n&#8220;(18) Improving the employment and well-being of returning<br \/>\nUnited States military members.<br \/>\n&#8220;(19) Increasing the financial stability of low-income<br \/>\nfamilies.<br \/>\n&#8220;(20) Increasing the independence and employability of<br \/>\nindividuals who are physically or mentally disabled.<br \/>\n&#8220;(21) Other measurable outcomes defined by the State or<br \/>\nlocal government that result in positive social outcomes and<br \/>\nFederal savings.<\/p>\n<p>&#8220;(c) Application Required.&#8211;The notice described in subsection (a)<br \/>\nshall require a State or local government to submit an application for<br \/>\nthe social impact partnership project that addresses the following:<br \/>\n&#8220;(1) The outcome goals of the project.<br \/>\n&#8220;(2) A description of each intervention in the project and<br \/>\nanticipated outcomes of the intervention.<br \/>\n&#8220;(3) Rigorous evidence demonstrating that the intervention<br \/>\ncan be expected to produce the desired outcomes.<br \/>\n&#8220;(4) The target population that will be served by the<br \/>\nproject.<br \/>\n&#8220;(5) The expected social benefits to participants who<br \/>\nreceive the intervention and others who may be impacted.<br \/>\n&#8220;(6) Projected Federal, State, and local government costs<br \/>\nand other costs to conduct the project.<br \/>\n&#8220;(7) Projected Federal, State, and local government savings<br \/>\nand other savings, including an estimate of the savings to the<br \/>\nFederal Government, on a program-by-program basis and in the<br \/>\naggregate, if the project is implemented and the outcomes are<br \/>\nachieved as a result of the intervention.<br \/>\n&#8220;(8) If savings resulting from the successful completion of<br \/>\nthe project are estimated to accrue to the State or local<br \/>\ngovernment, the likelihood of the State or local government to<br \/>\nrealize those savings.<br \/>\n&#8220;(9) A plan for delivering the intervention through a<br \/>\nsocial impact partnership model.<br \/>\n&#8220;(10) A description of the expertise of each service<br \/>\nprovider that will administer the intervention, including a<br \/>\nsummary of the experience of the service provider in delivering<br \/>\nthe proposed intervention or a similar intervention, or<br \/>\ndemonstrating that the service provider has the expertise<br \/>\nnecessary to deliver the proposed intervention.<br \/>\n&#8220;(11) An explanation of the experience of the State or<br \/>\nlocal government, the intermediary, or the service provider in<br \/>\nraising private and philanthropic capital to fund social service<br \/>\ninvestments.<br \/>\n&#8220;(12) The detailed roles and responsibilities of each<br \/>\nentity involved in the project, including any State or local<br \/>\ngovernment<\/p>\n<p>[[Page 132 STAT. 272]]<\/p>\n<p>entity, intermediary, service provider, independent evaluator,<br \/>\ninvestor, or other stakeholder.<br \/>\n&#8220;(13) A summary of the experience of the service provider<br \/>\nin delivering the proposed intervention or a similar<br \/>\nintervention, or a summary demonstrating the service provider<br \/>\nhas the expertise necessary to deliver the proposed<br \/>\nintervention.<br \/>\n&#8220;(14) A summary of the unmet need in the area where the<br \/>\nintervention will be delivered or among the target population<br \/>\nwho will receive the intervention.<br \/>\n&#8220;(15) The proposed payment terms, the methodology used to<br \/>\ncalculate outcome payments, the payment schedule, and<br \/>\nperformance thresholds.<br \/>\n&#8220;(16) The project budget.<br \/>\n&#8220;(17) The project timeline.<br \/>\n&#8220;(18) The criteria used to determine the eligibility of an<br \/>\nindividual for the project, including how selected populations<br \/>\nwill be identified, how they will be referred to the project,<br \/>\nand how they will be enrolled in the project.<br \/>\n&#8220;(19) The evaluation design.<br \/>\n&#8220;(20) The metrics that will be used in the evaluation to<br \/>\ndetermine whether the outcomes have been achieved as a result of<br \/>\nthe intervention and how the metrics will be measured.<br \/>\n&#8220;(21) An explanation of how the metrics used in the<br \/>\nevaluation to determine whether the outcomes achieved as a<br \/>\nresult of the intervention are independent, objective indicators<br \/>\nof impact and are not subject to manipulation by the service<br \/>\nprovider, intermediary, or investor.<br \/>\n&#8220;(22) A summary explaining the independence of the<br \/>\nevaluator from the other entities involved in the project and<br \/>\nthe evaluator&#8217;s experience in conducting rigorous evaluations of<br \/>\nprogram effectiveness including, where available, well-<br \/>\nimplemented randomized controlled trials on the intervention or<br \/>\nsimilar interventions.<br \/>\n&#8220;(23) The capacity of the service provider to deliver the<br \/>\nintervention to the number of participants the State or local<br \/>\ngovernment proposes to serve in the project.<br \/>\n&#8220;(24) A description of whether and how the State or local<br \/>\ngovernment and service providers plan to sustain the<br \/>\nintervention, if it is timely and appropriate to do so, to<br \/>\nensure that successful interventions continue to operate after<br \/>\nthe period of the social impact partnership.<\/p>\n<p>&#8220;(d) Project Intermediary Information Required.&#8211;The application<br \/>\ndescribed in subsection (c) shall also contain the following information<br \/>\nabout any intermediary for the social impact partnership project<br \/>\n(whether an intermediary is a service provider or other entity):<br \/>\n&#8220;(1) Experience and capacity for providing or facilitating<br \/>\nthe provision of the type of intervention proposed.<br \/>\n&#8220;(2) The mission and goals.<br \/>\n&#8220;(3) Information on whether the intermediary is already<br \/>\nworking with service providers that provide this intervention or<br \/>\nan explanation of the capacity of the intermediary to begin<br \/>\nworking with service providers to provide the intervention.<br \/>\n&#8220;(4) Experience working in a collaborative environment<br \/>\nacross government and nongovernmental entities.<br \/>\n&#8220;(5) Previous experience collaborating with public or<br \/>\nprivate entities to implement evidence-based programs.<\/p>\n<p>[[Page 132 STAT. 273]]<\/p>\n<p>&#8220;(6) Ability to raise or provide funding to cover operating<br \/>\ncosts (if applicable to the project).<br \/>\n&#8220;(7) Capacity and infrastructure to track outcomes and<br \/>\nmeasure results, including&#8211;<br \/>\n&#8220;(A) capacity to track and analyze program<br \/>\nperformance and assess program impact; and<br \/>\n&#8220;(B) experience with performance-based awards or<br \/>\nperformance-based contracting and achieving project<br \/>\nmilestones and targets.<br \/>\n&#8220;(8) Role in delivering the intervention.<br \/>\n&#8220;(9) How the intermediary would monitor program success,<br \/>\nincluding a description of the interim benchmarks and outcome<br \/>\nmeasures.<\/p>\n<p>&#8220;(e) Feasibility Studies Funded Through Other Sources.&#8211;The notice<br \/>\ndescribed in subsection (a) shall permit a State or local government to<br \/>\nsubmit an application for social impact partnership funding that<br \/>\ncontains information from a feasibility study developed for purposes<br \/>\nother than applying for funding under this subtitle.<\/p>\n<p>&#8220;awarding social impact partnership agreements<\/p>\n<p>&#8220;Sec. 2053. &lt;&lt;NOTE: Deadline. Consultation. Determination. 42 USC<br \/>\n1397n-2 note.&gt;&gt; (a) Timeline in Awarding Agreement.&#8211;Not later than 6<br \/>\nmonths after receiving an application in accordance with section 2052,<br \/>\nthe Secretary, in consultation with the Federal Interagency Council on<br \/>\nSocial Impact Partnerships, shall determine whether to enter into an<br \/>\nagreement for a social impact partnership project with a State or local<br \/>\ngovernment.<\/p>\n<p>&#8220;(b) Considerations in Awarding Agreement.&#8211;In determining whether<br \/>\nto enter into an agreement for a social impact partnership project (the<br \/>\napplication for which was submitted under section 2052) the Secretary,<br \/>\nin consultation with the Federal Interagency Council on Social Impact<br \/>\nPartnerships and the head of any Federal agency administering a similar<br \/>\nintervention or serving a population similar to that served by the<br \/>\nproject, shall consider each of the following:<br \/>\n&#8220;(1) The recommendations made by the Commission on Social<br \/>\nImpact Partnerships.<br \/>\n&#8220;(2) The value to the Federal Government of the outcomes<br \/>\nexpected to be achieved if the outcomes specified in the<br \/>\nagreement are achieved as a result of the intervention.<br \/>\n&#8220;(3) The likelihood, based on evidence provided in the<br \/>\napplication and other evidence, that the State or local<br \/>\ngovernment in collaboration with the intermediary and the<br \/>\nservice providers will achieve the outcomes.<br \/>\n&#8220;(4) The savings to the Federal Government if the outcomes<br \/>\nspecified in the agreement are achieved as a result of the<br \/>\nintervention.<br \/>\n&#8220;(5) The savings to the State and local governments if the<br \/>\noutcomes specified in the agreement are achieved as a result of<br \/>\nthe intervention.<br \/>\n&#8220;(6) The expected quality of the evaluation that would be<br \/>\nconducted with respect to the agreement.<br \/>\n&#8220;(7) The capacity and commitment of the State or local<br \/>\ngovernment to sustain the intervention, if appropriate and<br \/>\ntimely and if the intervention is successful, beyond the period<br \/>\nof the social impact partnership.<\/p>\n<p>&#8220;(c) &lt;&lt;NOTE: Determinations.&gt;&gt; Agreement Authority.&#8211;<\/p>\n<p>[[Page 132 STAT. 274]]<\/p>\n<p>&#8220;(1) Agreement requirements.&#8211;In accordance with this<br \/>\nsection, the Secretary, in consultation with the Federal<br \/>\nInteragency Council on Social Impact Partnerships and the head<br \/>\nof any Federal agency administering a similar intervention or<br \/>\nserving a population similar to that served by the project, may<br \/>\nenter into an agreement for a social impact partnership project<br \/>\nwith a State or local government if the Secretary, in<br \/>\nconsultation with the Federal Interagency Council on Social<br \/>\nImpact Partnerships, determines that each of the following<br \/>\nrequirements are met:<br \/>\n&#8220;(A) The State or local government agrees to<br \/>\nachieve one or more outcomes as a result of the<br \/>\nintervention, as specified in the agreement and<br \/>\nvalidated by independent evaluation, in order to receive<br \/>\npayment.<br \/>\n&#8220;(B) The Federal payment to the State or local<br \/>\ngovernment for each specified outcome achieved as a<br \/>\nresult of the intervention is less than or equal to the<br \/>\nvalue of the outcome to the Federal Government over a<br \/>\nperiod not to exceed 10 years, as determined by the<br \/>\nSecretary, in consultation with the State or local<br \/>\ngovernment.<br \/>\n&#8220;(C) The duration of the project does not exceed 10<br \/>\nyears.<br \/>\n&#8220;(D) The State or local government has<br \/>\ndemonstrated, through the application submitted under<br \/>\nsection 2052, that, based on prior rigorous experimental<br \/>\nevaluations or rigorous quasi-experimental studies, the<br \/>\nintervention can be expected to achieve each outcome<br \/>\nspecified in the agreement.<br \/>\n&#8220;(E) The State, local government, intermediary, or<br \/>\nservice provider has experience raising private or<br \/>\nphilanthropic capital to fund social service investments<br \/>\n(if applicable to the project).<br \/>\n&#8220;(F) The State or local government has shown that<br \/>\neach service provider has experience delivering the<br \/>\nintervention, a similar intervention, or has otherwise<br \/>\ndemonstrated the expertise necessary to deliver the<br \/>\nintervention.<br \/>\n&#8220;(2) Payment.&#8211;The Secretary shall pay the State or local<br \/>\ngovernment only if the independent evaluator described in<br \/>\nsection 2055 determines that the social impact partnership<br \/>\nproject has met the requirements specified in the agreement and<br \/>\nachieved an outcome as a result of the intervention, as<br \/>\nspecified in the agreement and validated by independent<br \/>\nevaluation.<\/p>\n<p>&#8220;(d) &lt;&lt;NOTE: Deadline. Federal Register, publication.&gt;&gt; Notice of<br \/>\nAgreement Award.&#8211;Not later than 30 days after entering into an<br \/>\nagreement under this section the Secretary shall publish a notice in the<br \/>\nFederal Register that includes, with regard to the agreement, the<br \/>\nfollowing:<br \/>\n&#8220;(1) The outcome goals of the social impact partnership<br \/>\nproject.<br \/>\n&#8220;(2) A description of each intervention in the project.<br \/>\n&#8220;(3) The target population that will be served by the<br \/>\nproject.<br \/>\n&#8220;(4) The expected social benefits to participants who<br \/>\nreceive the intervention and others who may be impacted.<br \/>\n&#8220;(5) The detailed roles, responsibilities, and purposes of<br \/>\neach Federal, State, or local government entity, intermediary,<br \/>\nservice provider, independent evaluator, investor, or other<br \/>\nstakeholder.<\/p>\n<p>[[Page 132 STAT. 275]]<\/p>\n<p>&#8220;(6) The payment terms, the methodology used to calculate<br \/>\noutcome payments, the payment schedule, and performance<br \/>\nthresholds.<br \/>\n&#8220;(7) The project budget.<br \/>\n&#8220;(8) The project timeline.<br \/>\n&#8220;(9) &lt;&lt;NOTE: Criteria.&gt;&gt; The project eligibility criteria.<br \/>\n&#8220;(10) The evaluation design.<br \/>\n&#8220;(11) The metrics that will be used in the evaluation to<br \/>\ndetermine whether the outcomes have been achieved as a result of<br \/>\neach intervention and how these metrics will be measured.<br \/>\n&#8220;(12) &lt;&lt;NOTE: Estimate.&gt;&gt; The estimate of the savings to<br \/>\nthe Federal, State, and local government, on a program-by-<br \/>\nprogram basis and in the aggregate, if the agreement is entered<br \/>\ninto and implemented and the outcomes are achieved as a result<br \/>\nof each intervention.<\/p>\n<p>&#8220;(e) Authority to Transfer Administration of Agreement.&#8211;The<br \/>\nSecretary may transfer to the head of another Federal agency the<br \/>\nauthority to administer (including making payments under) an agreement<br \/>\nentered into under subsection (c), and any funds necessary to do so.<br \/>\n&#8220;(f) Requirement on Funding Used to Benefit Children.&#8211;Not less<br \/>\nthan 50 percent of all Federal payments made to carry out agreements<br \/>\nunder this section shall be used for initiatives that directly benefit<br \/>\nchildren.<\/p>\n<p>&#8220;feasibility study funding<\/p>\n<p>&#8220;Sec. 2054. &lt;&lt;NOTE: 42 USC 1397n-3 note.&gt;&gt; (a) Requests for<br \/>\nFunding for Feasibility Studies.&#8211;The Secretary shall reserve a portion<br \/>\nof the amount made available to carry out this subtitle to assist States<br \/>\nor local governments in developing feasibility studies to apply for<br \/>\nsocial impact partnership funding under section 2052. To be eligible to<br \/>\nreceive funding to assist with completing a feasibility study, a State<br \/>\nor local government shall submit an application for feasibility study<br \/>\nfunding addressing the following:<br \/>\n&#8220;(1) A description of the outcome goals of the social<br \/>\nimpact partnership project.<br \/>\n&#8220;(2) A description of the intervention, including<br \/>\nanticipated program design, target population, an estimate<br \/>\nregarding the number of individuals to be served, and setting<br \/>\nfor the intervention.<br \/>\n&#8220;(3) Evidence to support the likelihood that the<br \/>\nintervention will produce the desired outcomes.<br \/>\n&#8220;(4) A description of the potential metrics to be used.<br \/>\n&#8220;(5) The expected social benefits to participants who<br \/>\nreceive the intervention and others who may be impacted.<br \/>\n&#8220;(6) &lt;&lt;NOTE: Cost estimate.&gt;&gt; Estimated costs to conduct<br \/>\nthe project.<br \/>\n&#8220;(7) &lt;&lt;NOTE: Estimates.&gt;&gt; Estimates of Federal, State, and<br \/>\nlocal government savings and other savings if the project is<br \/>\nimplemented and the outcomes are achieved as a result of each<br \/>\nintervention.<br \/>\n&#8220;(8) &lt;&lt;NOTE: Time period.&gt;&gt; An estimated timeline for<br \/>\nimplementation and completion of the project, which shall not<br \/>\nexceed 10 years.<br \/>\n&#8220;(9) With respect to a project for which the State or local<br \/>\ngovernment selects an intermediary to operate the project, any<br \/>\npartnerships needed to successfully execute the project and the<br \/>\nability of the intermediary to foster the partnerships.<br \/>\n&#8220;(10) The expected resources needed to complete the<br \/>\nfeasibility study for the State or local government to apply for<br \/>\nsocial impact partnership funding under section 2052.<\/p>\n<p>[[Page 132 STAT. 276]]<\/p>\n<p>&#8220;(b) Federal Selection of Applications for Feasibility Study.&#8211;<br \/>\n&lt;&lt;NOTE: Deadline. Consultation.&gt;&gt; Not later than 6 months after<br \/>\nreceiving an application for feasibility study funding under subsection<br \/>\n(a), the Secretary, in consultation with the Federal Interagency Council<br \/>\non Social Impact Partnerships and the head of any Federal agency<br \/>\nadministering a similar intervention or serving a population similar to<br \/>\nthat served by the project, shall select State or local government<br \/>\nfeasibility study proposals for funding based on the following:<br \/>\n&#8220;(1) The recommendations made by the Commission on Social<br \/>\nImpact Partnerships.<br \/>\n&#8220;(2) The likelihood that the proposal will achieve the<br \/>\ndesired outcomes.<br \/>\n&#8220;(3) The value of the outcomes expected to be achieved as a<br \/>\nresult of each intervention.<br \/>\n&#8220;(4) The potential savings to the Federal Government if the<br \/>\nsocial impact partnership project is successful.<br \/>\n&#8220;(5) The potential savings to the State and local<br \/>\ngovernments if the project is successful.<\/p>\n<p>&#8220;(c) &lt;&lt;NOTE: Deadline. Web posting.&gt;&gt; Public Disclosure.&#8211;Not<br \/>\nlater than 30 days after selecting a State or local government for<br \/>\nfeasibility study funding under this section, the Secretary shall cause<br \/>\nto be published on the website of the Federal Interagency Council on<br \/>\nSocial Impact Partnerships information explaining why a State or local<br \/>\ngovernment was granted feasibility study funding.<\/p>\n<p>&#8220;(d) Funding Restriction.&#8211;<br \/>\n&#8220;(1) Feasibility study restriction.&#8211;The Secretary may not<br \/>\nprovide feasibility study funding under this section for more<br \/>\nthan 50 percent of the estimated total cost of the feasibility<br \/>\nstudy reported in the State or local government application<br \/>\nsubmitted under subsection (a).<br \/>\n&#8220;(2) Aggregate restriction.&#8211;Of the total amount made<br \/>\navailable to carry out this subtitle, the Secretary may not use<br \/>\nmore than $10,000,000 to provide feasibility study funding to<br \/>\nStates or local governments under this section.<br \/>\n&#8220;(3) No guarantee of funding.&#8211;The Secretary shall have the<br \/>\noption to award no funding under this section.<\/p>\n<p>&#8220;(e) &lt;&lt;NOTE: Deadline.&gt;&gt; Submission of Feasibility Study<br \/>\nRequired.&#8211;Not later than 9 months after the receipt of feasibility<br \/>\nstudy funding under this section, a State or local government receiving<br \/>\nthe funding shall complete the feasibility study and submit the study to<br \/>\nthe Federal Interagency Council on Social Impact Partnerships.<\/p>\n<p>&#8220;(f) Delegation of Authority.&#8211;The Secretary may transfer to the<br \/>\nhead of another Federal agency the authorities provided in this section<br \/>\nand any funds necessary to exercise the authorities.<\/p>\n<p>&#8220;evaluations<\/p>\n<p>&#8220;Sec. 2055. &lt;&lt;NOTE: Determination. 42 USC 1397n-4 note.&gt;&gt; (a)<br \/>\nAuthority to Enter Into Agreements.&#8211;For each State or local government<br \/>\nawarded a social impact partnership project approved by the Secretary<br \/>\nunder this subtitle, the head of the relevant agency, as recommended by<br \/>\nthe Federal Interagency Council on Social Impact Partnerships and<br \/>\ndetermined by the Secretary, shall enter into an agreement with the<br \/>\nState or local government to pay for all or part of the independent<br \/>\nevaluation to determine whether the State or local government project<br \/>\nhas achieved a specific outcome as a result of the intervention in order<br \/>\nfor the State or local government to receive outcome payments under this<br \/>\nsubtitle.<\/p>\n<p>[[Page 132 STAT. 277]]<\/p>\n<p>&#8220;(b) &lt;&lt;NOTE: Determination.&gt;&gt; Evaluator Qualifications.&#8211;The head<br \/>\nof the relevant agency may not enter into an agreement with a State or<br \/>\nlocal government unless the head determines that the evaluator is<br \/>\nindependent of the other parties to the agreement and has demonstrated<br \/>\nsubstantial experience in conducting rigorous evaluations of program<br \/>\neffectiveness including, where available and appropriate, well-<br \/>\nimplemented randomized controlled trials on the intervention or similar<br \/>\ninterventions.<\/p>\n<p>&#8220;(c) &lt;&lt;NOTE: Evaluation. Certification.&gt;&gt; Methodologies to Be<br \/>\nUsed.&#8211;The evaluation used to determine whether a State or local<br \/>\ngovernment will receive outcome payments under this subtitle shall use<br \/>\nexperimental designs using random assignment or other reliable,<br \/>\nevidence-based research methodologies, as certified by the Federal<br \/>\nInteragency Council on Social Impact Partnerships, that allow for the<br \/>\nstrongest possible causal inferences when random assignment is not<br \/>\nfeasible.<\/p>\n<p>&#8220;(d) Progress Report.&#8211;<br \/>\n&#8220;(1) Submission of report.&#8211;The independent evaluator<br \/>\nshall&#8211;<br \/>\n&#8220;(A) not later than 2 years after a project has<br \/>\nbeen approved by the Secretary and biannually thereafter<br \/>\nuntil the project is concluded, submit to the head of<br \/>\nthe relevant agency and the Federal Interagency Council<br \/>\non Social Impact Partnerships a written report<br \/>\nsummarizing the progress that has been made in achieving<br \/>\neach outcome specified in the agreement; and<br \/>\n&#8220;(B) before the scheduled time of the first outcome<br \/>\npayment and before the scheduled time of each subsequent<br \/>\npayment, submit to the head of the relevant agency and<br \/>\nthe Federal Interagency Council on Social Impact<br \/>\nPartnerships a written report that includes the results<br \/>\nof the evaluation conducted to determine whether an<br \/>\noutcome payment should be made along with information on<br \/>\nthe unique factors that contributed to achieving or<br \/>\nfailing to achieve the outcome, the challenges faced in<br \/>\nattempting to achieve the outcome, and information on<br \/>\nthe improved future delivery of this or similar<br \/>\ninterventions.<br \/>\n&#8220;(2) Submission to the secretary and congress.&#8211;Not later<br \/>\nthan 30 days after receipt of the written report pursuant to<br \/>\nparagraph (1)(B), the Federal Interagency Council on Social<br \/>\nImpact Partnerships shall submit the report to the Secretary and<br \/>\neach committee of jurisdiction in the House of Representatives<br \/>\nand the Senate.<\/p>\n<p>&#8220;(e) Final Report.&#8211;<br \/>\n&#8220;(1) Submission of report.&#8211;Within 6 months after the<br \/>\nsocial impact partnership project is completed, the independent<br \/>\nevaluator shall&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Evaluation.&gt;&gt; evaluate the effects of<br \/>\nthe activities undertaken pursuant to the agreement with<br \/>\nregard to each outcome specified in the agreement; and<br \/>\n&#8220;(B) submit to the head of the relevant agency and<br \/>\nthe Federal Interagency Council on Social Impact<br \/>\nPartnerships a written report that includes the results<br \/>\nof the evaluation and the conclusion of the evaluator as<br \/>\nto whether the State or local government has fulfilled<br \/>\neach obligation of the agreement, along with information<br \/>\non the unique factors that contributed to the success or<br \/>\nfailure of the project, the challenges faced in<br \/>\nattempting to achieve<\/p>\n<p>[[Page 132 STAT. 278]]<\/p>\n<p>the outcome, and information on the improved future<br \/>\ndelivery of this or similar interventions.<br \/>\n&#8220;(2) Submission to the secretary and congress.&#8211;Not later<br \/>\nthan 30 days after receipt of the written report pursuant to<br \/>\nparagraph (1)(B), the Federal Interagency Council on Social<br \/>\nImpact Partnerships shall submit the report to the Secretary and<br \/>\neach committee of jurisdiction in the House of Representatives<br \/>\nand the Senate.<\/p>\n<p>&#8220;(f) Limitation on Cost of Evaluations.&#8211;Of the amount made<br \/>\navailable under this subtitle for social impact partnership projects,<br \/>\nthe Secretary may not obligate more than 15 percent to evaluate the<br \/>\nimplementation and outcomes of the projects.<br \/>\n&#8220;(g) Delegation of Authority.&#8211;The Secretary may transfer to the<br \/>\nhead of another Federal agency the authorities provided in this section<br \/>\nand any funds necessary to exercise the authorities.<\/p>\n<p>&#8220;federal interagency council on social impact partnerships<\/p>\n<p>&#8220;Sec. 2056. &lt;&lt;NOTE: 42 USC 1397n-5 note.&gt;&gt; (a) Establishment.&#8211;<br \/>\nThere is established the Federal Interagency Council on Social Impact<br \/>\nPartnerships (in this section referred to as the `Council&#8217;) to&#8211;<br \/>\n&#8220;(1) coordinate with the Secretary on the efforts of social<br \/>\nimpact partnership projects funded under this subtitle;<br \/>\n&#8220;(2) advise and assist the Secretary in the development and<br \/>\nimplementation of the projects;<br \/>\n&#8220;(3) advise the Secretary on specific programmatic and<br \/>\npolicy matter related to the projects;<br \/>\n&#8220;(4) provide subject-matter expertise to the Secretary with<br \/>\nregard to the projects;<br \/>\n&#8220;(5) &lt;&lt;NOTE: Certification.&gt;&gt; certify to the Secretary that<br \/>\neach State or local government that has entered into an<br \/>\nagreement with the Secretary for a social impact partnership<br \/>\nproject under this subtitle and each evaluator selected by the<br \/>\nhead of the relevant agency under section 2055 has access to<br \/>\nFederal administrative data to assist the State or local<br \/>\ngovernment and the evaluator in evaluating the performance and<br \/>\noutcomes of the project;<br \/>\n&#8220;(6) address issues that will influence the future of<br \/>\nsocial impact partnership projects in the United States;<br \/>\n&#8220;(7) provide guidance to the executive branch on the future<br \/>\nof social impact partnership projects in the United States;<br \/>\n&#8220;(8) &lt;&lt;NOTE: Certification.&gt;&gt; prior to approval by the<br \/>\nSecretary, certify that each State and local government<br \/>\napplication for a social impact partnership contains rigorous,<br \/>\nindependent data and reliable, evidence-based research<br \/>\nmethodologies to support the conclusion that the project will<br \/>\nyield savings to the State or local government or the Federal<br \/>\nGovernment if the project outcomes are achieved;<br \/>\n&#8220;(9) &lt;&lt;NOTE: Certification.&gt;&gt; certify to the Secretary, in<br \/>\nthe case of each approved social impact partnership that is<br \/>\nexpected to yield savings to the Federal Government, that the<br \/>\nproject will yield a projected savings to the Federal Government<br \/>\nif the project outcomes are achieved, and coordinate with the<br \/>\nrelevant Federal agency to produce an after-action accounting<br \/>\nonce the project is complete to determine the actual Federal<br \/>\nsavings realized, and the extent to which actual savings aligned<br \/>\nwith projected savings; and<\/p>\n<p>[[Page 132 STAT. 279]]<\/p>\n<p>&#8220;(10) &lt;&lt;NOTE: Reports. Public information.&gt;&gt; provide<br \/>\nperiodic reports to the Secretary and make available reports<br \/>\nperiodically to Congress and the public on the implementation of<br \/>\nthis subtitle.<\/p>\n<p>&#8220;(b) Composition of Council.&#8211;The Council shall have 11 members, as<br \/>\nfollows:<br \/>\n&#8220;(1) Chair.&#8211;The Chair of the Council shall be the Director<br \/>\nof the Office of Management and Budget.<br \/>\n&#8220;(2) Other members.&#8211;The head of each of the following<br \/>\nentities shall designate one officer or employee of the entity<br \/>\nto be a Council member:<br \/>\n&#8220;(A) The Department of Labor.<br \/>\n&#8220;(B) The Department of Health and Human Services.<br \/>\n&#8220;(C) The Social Security Administration.<br \/>\n&#8220;(D) The Department of Agriculture.<br \/>\n&#8220;(E) The Department of Justice.<br \/>\n&#8220;(F) The Department of Housing and Urban<br \/>\nDevelopment.<br \/>\n&#8220;(G) The Department of Education.<br \/>\n&#8220;(H) The Department of Veterans Affairs.<br \/>\n&#8220;(I) The Department of the Treasury.<br \/>\n&#8220;(J) The Corporation for National and Community<br \/>\nService.<\/p>\n<p>&#8220;commission on social impact partnerships<\/p>\n<p>&#8220;Sec. 2057. &lt;&lt;NOTE: 42 USC 1397n-6 note.&gt;&gt; (a) Establishment.&#8211;<br \/>\nThere is established the Commission on Social Impact Partnerships (in<br \/>\nthis section referred to as the `Commission&#8217;).<\/p>\n<p>&#8220;(b) Duties.&#8211;The duties of the Commission shall be to&#8211;<br \/>\n&#8220;(1) assist the Secretary and the Federal Interagency<br \/>\nCouncil on Social Impact Partnerships in reviewing applications<br \/>\nfor funding under this subtitle;<br \/>\n&#8220;(2) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; make recommendations to<br \/>\nthe Secretary and the Federal Interagency Council on Social<br \/>\nImpact Partnerships regarding the funding of social impact<br \/>\npartnership agreements and feasibility studies; and<br \/>\n&#8220;(3) provide other assistance and information as requested<br \/>\nby the Secretary or the Federal Interagency Council on Social<br \/>\nImpact Partnerships.<\/p>\n<p>&#8220;(c) Composition.&#8211;The Commission shall be composed of nine<br \/>\nmembers, of whom&#8211;<br \/>\n&#8220;(1) one shall be appointed by the President, who will<br \/>\nserve as the Chair of the Commission;<br \/>\n&#8220;(2) one shall be appointed by the Majority Leader of the<br \/>\nSenate;<br \/>\n&#8220;(3) one shall be appointed by the Minority Leader of the<br \/>\nSenate;<br \/>\n&#8220;(4) one shall be appointed by the Speaker of the House of<br \/>\nRepresentatives;<br \/>\n&#8220;(5) one shall be appointed by the Minority Leader of the<br \/>\nHouse of Representatives;<br \/>\n&#8220;(6) one shall be appointed by the Chairman of the<br \/>\nCommittee on Finance of the Senate;<br \/>\n&#8220;(7) one shall be appointed by the ranking member of the<br \/>\nCommittee on Finance of the Senate;<br \/>\n&#8220;(8) one member shall be appointed by the Chairman of the<br \/>\nCommittee on Ways and Means of the House of Representatives; and<\/p>\n<p>[[Page 132 STAT. 280]]<\/p>\n<p>&#8220;(9) one shall be appointed by the ranking member of the<br \/>\nCommittee on Ways and Means of the House of Representatives.<\/p>\n<p>&#8220;(d) Qualifications of Commission Members.&#8211;The members of the<br \/>\nCommission shall&#8211;<br \/>\n&#8220;(1) be experienced in finance, economics, pay for<br \/>\nperformance, or program evaluation;<br \/>\n&#8220;(2) have relevant professional or personal experience in a<br \/>\nfield related to one or more of the outcomes listed in this<br \/>\nsubtitle; or<br \/>\n&#8220;(3) be qualified to review applications for social impact<br \/>\npartnership projects to determine whether the proposed metrics<br \/>\nand evaluation methodologies are appropriately rigorous and<br \/>\nreliant upon independent data and evidence-based research.<\/p>\n<p>&#8220;(e) &lt;&lt;NOTE: Deadlines.&gt;&gt; Timing of Appointments.&#8211;The appointments<br \/>\nof the members of the Commission shall be made not later than 120 days<br \/>\nafter the date of the enactment of this subtitle, or, in the event of a<br \/>\nvacancy, not later than 90 days after the date the vacancy<br \/>\narises. &lt;&lt;NOTE: President.&gt;&gt; If a member of Congress fails to appoint a<br \/>\nmember by that date, the President may select a member of the<br \/>\nPresident&#8217;s choice on behalf of the member of Congress. Notwithstanding<br \/>\nthe preceding sentence, if not all appointments have been made to the<br \/>\nCommission as of that date, the Commission may operate with no fewer<br \/>\nthan five members until all appointments have been made.<\/p>\n<p>&#8220;(f) Term of Appointments.&#8211;<br \/>\n&#8220;(1) In general.&#8211;The members appointed under subsection<br \/>\n(c) shall serve as follows:<br \/>\n&#8220;(A) Three members shall serve for 2 years.<br \/>\n&#8220;(B) Three members shall serve for 3 years.<br \/>\n&#8220;(C) &lt;&lt;NOTE: President.&gt;&gt; Three members (one of<br \/>\nwhich shall be Chair of the Commission appointed by the<br \/>\nPresident) shall serve for 4 years.<br \/>\n&#8220;(2) Assignment of terms.&#8211;The Commission shall designate<br \/>\nthe term length that each member appointed under subsection (c)<br \/>\nshall serve by unanimous agreement. In the event that unanimous<br \/>\nagreement cannot be reached, term lengths shall be assigned to<br \/>\nthe members by a random process.<\/p>\n<p>&#8220;(g) Vacancies.&#8211;Subject to subsection (e), in the event of a<br \/>\nvacancy in the Commission, whether due to the resignation of a member,<br \/>\nthe expiration of a member&#8217;s term, or any other reason, the vacancy<br \/>\nshall be filled in the manner in which the original appointment was made<br \/>\nand shall not affect the powers of the Commission.<br \/>\n&#8220;(h) Appointment Power.&#8211;Members of the Commission appointed under<br \/>\nsubsection (c) shall not be subject to confirmation by the Senate.<\/p>\n<p>&#8220;limitation on use of funds<\/p>\n<p>&#8220;Sec. 2058. &lt;&lt;NOTE: 42 USC 1397n-7 note.&gt;&gt; Of the amounts made<br \/>\navailable to carry out this subtitle, the Secretary may not use more<br \/>\nthan $2,000,000 in any fiscal year to support the review, approval, and<br \/>\noversight of social impact partnership projects, including activities<br \/>\nconducted by&#8211;<br \/>\n&#8220;(1) the Federal Interagency Council on Social Impact<br \/>\nPartnerships; and<\/p>\n<p>[[Page 132 STAT. 281]]<\/p>\n<p>&#8220;(2) any other agency consulted by the Secretary before<br \/>\napproving a social impact partnership project or a feasibility<br \/>\nstudy under section 2054.<\/p>\n<p>&#8220;no federal funding for credit enhancements<\/p>\n<p>&#8220;Sec. 2059. &lt;&lt;NOTE: 42 USC 1397n-8 note.&gt;&gt; No amount made available<br \/>\nto carry out this subtitle may be used to provide any insurance,<br \/>\nguarantee, or other credit enhancement to a State or local government<br \/>\nunder which a Federal payment would be made to a State or local<br \/>\ngovernment as the result of a State or local government failing to<br \/>\nachieve an outcome specified in an agreement.<\/p>\n<p>&#8220;availability of funds<\/p>\n<p>&#8220;Sec. 2060. &lt;&lt;NOTE: Termination date. 42 USC 1397n-9<br \/>\nnote.&gt;&gt; Amounts made available to carry out this subtitle shall remain<br \/>\navailable until 10 years after the date of the enactment of this<br \/>\nsubtitle.<\/p>\n<p>&#8220;website<\/p>\n<p>&#8220;Sec. 2061. The Federal &lt;&lt;NOTE: 42 USC 1397n-10 note.&gt;&gt;<br \/>\nInteragency Council on Social Impact Partnerships shall establish and<br \/>\nmaintain a public website that shall display the following:<br \/>\n&#8220;(1) &lt;&lt;NOTE: Records.&gt;&gt; A copy of, or method of accessing,<br \/>\neach notice published regarding a social impact partnership<br \/>\nproject pursuant to this subtitle.<br \/>\n&#8220;(2) A copy of each feasibility study funded under this<br \/>\nsubtitle.<br \/>\n&#8220;(3) For each State or local government that has entered<br \/>\ninto an agreement with the Secretary for a social impact<br \/>\npartnership project, the website shall contain the following<br \/>\ninformation:<br \/>\n&#8220;(A) The outcome goals of the project.<br \/>\n&#8220;(B) A description of each intervention in the<br \/>\nproject.<br \/>\n&#8220;(C) The target population that will be served by<br \/>\nthe project.<br \/>\n&#8220;(D) The expected social benefits to participants<br \/>\nwho receive the intervention and others who may be<br \/>\nimpacted.<br \/>\n&#8220;(E) The detailed roles, responsibilities, and<br \/>\npurposes of each Federal, State, or local government<br \/>\nentity, intermediary, service provider, independent<br \/>\nevaluator, investor, or other stakeholder.<br \/>\n&#8220;(F) The payment terms, methodology used to<br \/>\ncalculate outcome payments, the payment schedule, and<br \/>\nperformance thresholds.<br \/>\n&#8220;(G) The project budget.<br \/>\n&#8220;(H) The project timeline.<br \/>\n&#8220;(I) The project eligibility criteria.<br \/>\n&#8220;(J) The evaluation design.<br \/>\n&#8220;(K) The metrics used to determine whether the<br \/>\nproposed outcomes have been achieved and how these<br \/>\nmetrics are measured.<br \/>\n&#8220;(4) A copy of the progress reports and the final reports<br \/>\nrelating to each social impact partnership project.<br \/>\n&#8220;(5) &lt;&lt;NOTE: Estimate.&gt;&gt; An estimate of the savings to the<br \/>\nFederal, State, and local government, on a program-by-program<br \/>\nbasis and in the<\/p>\n<p>[[Page 132 STAT. 282]]<\/p>\n<p>aggregate, resulting from the successful completion of the<br \/>\nsocial impact partnership project.<\/p>\n<p>&#8220;regulations<\/p>\n<p>&#8220;Sec. 2062. &lt;&lt;NOTE: Consultation. 42 USC 1397n-11 note.&gt;&gt; The<br \/>\nSecretary, in consultation with the Federal Interagency Council on<br \/>\nSocial Impact Partnerships, may issue regulations as necessary to carry<br \/>\nout this subtitle.<\/p>\n<p>&#8220;definitions<\/p>\n<p>&#8220;Sec. 2063. &lt;&lt;NOTE: 42 USC 1397n-12 note.&gt;&gt; In this subtitle:<br \/>\n&#8220;(1) Agency.&#8211;The term `agency&#8217; has the meaning given that<br \/>\nterm in section 551 of title 5, United States Code.<br \/>\n&#8220;(2) Intervention.&#8211;The term `intervention&#8217; means a<br \/>\nspecific service delivered to achieve an impact through a social<br \/>\nimpact partnership project.<br \/>\n&#8220;(3) Secretary.&#8211;The term `Secretary&#8217; means the Secretary<br \/>\nof the Treasury.<br \/>\n&#8220;(4) Social impact partnership project.&#8211;The term `social<br \/>\nimpact partnership project&#8217; means a project that finances social<br \/>\nservices using a social impact partnership model.<br \/>\n&#8220;(5) Social impact partnership model.&#8211;The term `social<br \/>\nimpact partnership model&#8217; means a method of financing social<br \/>\nservices in which&#8211;<br \/>\n&#8220;(A) Federal funds are awarded to a State or local<br \/>\ngovernment only if a State or local government achieves<br \/>\ncertain outcomes agreed on by the State or local<br \/>\ngovernment and the Secretary; and<br \/>\n&#8220;(B) the State or local government coordinates with<br \/>\nservice providers, investors (if applicable to the<br \/>\nproject), and (if necessary) an intermediary to<br \/>\nidentify&#8211;<br \/>\n&#8220;(i) an intervention expected to produce the<br \/>\noutcome;<br \/>\n&#8220;(ii) a service provider to deliver the<br \/>\nintervention to the target population; and<br \/>\n&#8220;(iii) investors to fund the delivery of the<br \/>\nintervention.<br \/>\n&#8220;(6) State.&#8211;The term `State&#8217; means each State of the<br \/>\nUnited States, the District of Columbia, each commonwealth,<br \/>\nterritory or possession of the United States, and each federally<br \/>\nrecognized Indian tribe.<\/p>\n<p>&#8220;funding<\/p>\n<p>&#8220;Sec. 2064. &lt;&lt;NOTE: 42 USC 1397n-13 note.&gt;&gt; Out of any money in the<br \/>\nTreasury of the United States not otherwise appropriated, there is<br \/>\nhereby appropriated $100,000,000 for fiscal year 2018 to carry out this<br \/>\nsubtitle.&#8221;.<\/p>\n<p>TITLE IX&#8211;PUBLIC HEALTH PROGRAMS<\/p>\n<p>SEC. 50901. EXTENSION FOR COMMUNITY HEALTH CENTERS, THE NATIONAL<br \/>\nHEALTH SERVICE CORPS, AND TEACHING<br \/>\nHEALTH CENTERS THAT OPERATE GME<br \/>\nPROGRAMS.<\/p>\n<p>(a) Community Health Centers Funding.&#8211;Section 10503(b)(1)(F) of the<br \/>\nPatient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(1)(F)),<br \/>\nas amended by section 3101 of Public Law 115-96, is amended to read as<br \/>\nfollows:<\/p>\n<p>[[Page 132 STAT. 283]]<\/p>\n<p>&#8220;(F) $3,800,000,000 for fiscal year 2018 and<br \/>\n$4,000,000,000 for fiscal year 2019.&#8221;.<\/p>\n<p>(b) Other Community Health Centers Provisions.&#8211;Section 330 of the<br \/>\nPublic Health Service Act (42 U.S.C. 254b) is amended&#8211;<br \/>\n(1) in subsection (b)(1)(A)(ii), by striking &#8220;abuse&#8221; and<br \/>\ninserting &#8220;use disorder&#8221;;<br \/>\n(2) in subsection (b)(2)(A), by striking &#8220;abuse&#8221; and<br \/>\ninserting &#8220;use disorder&#8221;;<br \/>\n(3) in subsection (c)&#8211;<br \/>\n(A) in paragraph (1), by striking subparagraphs (B)<br \/>\nthrough (D);<br \/>\n(B) by striking &#8220;(1) In general&#8221; and all that<br \/>\nfollows through &#8220;The Secretary&#8221; and inserting the<br \/>\nfollowing:<br \/>\n&#8220;(1) Centers.&#8211;The Secretary&#8221;; and<br \/>\n(C) in paragraph (1), as amended, by redesignating<br \/>\nclauses (i) through (v) as subparagraphs (A) through (E)<br \/>\nand moving the margin of each of such redesignated<br \/>\nsubparagraph 2 ems to the left;<br \/>\n(4) by striking subsection (d) and inserting the following:<\/p>\n<p>&#8220;(d) Improving Quality of Care.&#8211;<br \/>\n&#8220;(1) Supplemental awards.&#8211;The Secretary may award<br \/>\nsupplemental grant funds to health centers funded under this<br \/>\nsection to implement evidence-based models for increasing access<br \/>\nto high-quality primary care services, which may include models<br \/>\nrelated to&#8211;<br \/>\n&#8220;(A) improving the delivery of care for individuals<br \/>\nwith multiple chronic conditions;<br \/>\n&#8220;(B) workforce configuration;<br \/>\n&#8220;(C) reducing the cost of care;<br \/>\n&#8220;(D) enhancing care coordination;<br \/>\n&#8220;(E) expanding the use of telehealth and<br \/>\ntechnology-enabled collaborative learning and capacity<br \/>\nbuilding models;<br \/>\n&#8220;(F) care integration, including integration of<br \/>\nbehavioral health, mental health, or substance use<br \/>\ndisorder services; and<br \/>\n&#8220;(G) addressing emerging public health or substance<br \/>\nuse disorder issues to meet the health needs of the<br \/>\npopulation served by the health center.<br \/>\n&#8220;(2) Sustainability.&#8211;In making supplemental awards under<br \/>\nthis subsection, the Secretary may consider whether the health<br \/>\ncenter involved has submitted a plan for continuing the<br \/>\nactivities funded under this subsection after supplemental<br \/>\nfunding is expended.<br \/>\n&#8220;(3) Special consideration.&#8211;The Secretary may give special<br \/>\nconsideration to applications for supplemental funding under<br \/>\nthis subsection that seek to address significant barriers to<br \/>\naccess to care in areas with a greater shortage of health care<br \/>\nproviders and health services relative to the national<br \/>\naverage.&#8221;;<br \/>\n(5) in subsection (e)(1)&#8211;<br \/>\n(A) in subparagraph (B)&#8211;<br \/>\n(i) by striking &#8220;2 years&#8221; and inserting &#8220;1<br \/>\nyear&#8221;; and<br \/>\n(ii) &lt;&lt;NOTE: Grants. Deadline. Implementation<br \/>\nplan.&gt;&gt; by adding at the end the following: &#8220;The<br \/>\nSecretary shall not make a grant under this<br \/>\nparagraph<\/p>\n<p>[[Page 132 STAT. 284]]<\/p>\n<p>unless the applicant provides assurances to the<br \/>\nSecretary that within 120 days of receiving grant<br \/>\nfunding for the operation of the health center,<br \/>\nthe applicant will submit, for approval by the<br \/>\nSecretary, an implementation plan to meet the<br \/>\nrequirements of subsection (k)(3) &lt;&lt;NOTE: Time<br \/>\nperiod.&gt;&gt; . The Secretary may extend such 120-day<br \/>\nperiod for achieving compliance upon a<br \/>\ndemonstration of good cause by the health<br \/>\ncenter.&#8221;; and<br \/>\n(B) in subparagraph (C)&#8211;<br \/>\n(i) in the subparagraph heading, by striking<br \/>\n&#8220;and plans&#8221;;<br \/>\n(ii) by striking &#8220;or plan (as described in<br \/>\nsubparagraphs (B) and (C) of subsection (c)(1))&#8221;;<br \/>\n(iii) by striking &#8220;or plan, including the<br \/>\npurchase&#8221; and inserting the following:<br \/>\n&#8220;including&#8211;<br \/>\n&#8220;(i) the purchase&#8221;;<br \/>\n(iv) by inserting &#8220;, which may include data<br \/>\nand information systems&#8221; after &#8220;of equipment&#8221;;<br \/>\n(v) by striking the period at the end and<br \/>\ninserting a semicolon; and<br \/>\n(vi) by adding at the end the following:<br \/>\n&#8220;(ii) the provision of training and technical<br \/>\nassistance; and<br \/>\n&#8220;(iii) other activities that&#8211;<br \/>\n&#8220;(I) reduce costs associated with<br \/>\nthe provision of health services;<br \/>\n&#8220;(II) improve access to, and<br \/>\navailability of, health services<br \/>\nprovided to individuals served by the<br \/>\ncenters;<br \/>\n&#8220;(III) enhance the quality and<br \/>\ncoordination of health services; or<br \/>\n&#8220;(IV) improve the health status of<br \/>\ncommunities.&#8221;;<br \/>\n(6) in subsection (e)(5)(B)&#8211;<br \/>\n(A) in the heading of subparagraph (B), by striking<br \/>\n&#8220;and plans&#8221;; and<br \/>\n(B) by striking &#8220;and subparagraphs (B) and (C) of<br \/>\nsubsection (c)(1) to a health center or to a network or<br \/>\nplan&#8221; and inserting &#8220;to a health center or to a<br \/>\nnetwork&#8221;;<br \/>\n(7) in subsection (e), by adding at the end the following:<br \/>\n&#8220;(6) New access points and expanded services.&#8211;<br \/>\n&#8220;(A) Approval of new access points.&#8211;<br \/>\n&#8220;(i) In general.&#8211;The Secretary may approve<br \/>\napplications for grants under subparagraph (A) or<br \/>\n(B) of paragraph (1) to establish new delivery<br \/>\nsites.<br \/>\n&#8220;(ii) Special consideration.&#8211;In carrying out<br \/>\nclause (i), the Secretary may give special<br \/>\nconsideration to applicants that have demonstrated<br \/>\nthe new delivery site will be located within a<br \/>\nsparsely populated area, or an area which has a<br \/>\nlevel of unmet need that is higher relative to<br \/>\nother applicants.<br \/>\n&#8220;(iii) Consideration of applications.&#8211;In<br \/>\ncarrying out clause (i), the Secretary shall<br \/>\napprove applications for grants in such a manner<br \/>\nthat the ratio of the medically underserved<br \/>\npopulations in rural areas which may be expected<br \/>\nto use the services provided by the applicants<br \/>\ninvolved to the medically<\/p>\n<p>[[Page 132 STAT. 285]]<\/p>\n<p>underserved populations in urban areas which may<br \/>\nbe expected to use the services provided by the<br \/>\napplicants is not less than two to three or<br \/>\ngreater than three to two.<br \/>\n&#8220;(iv) Service area overlap.&#8211;If in carrying<br \/>\nout clause (i) the applicant proposes to serve an<br \/>\narea that is currently served by another health<br \/>\ncenter funded under this section, the Secretary<br \/>\nmay consider whether the award of funding to an<br \/>\nadditional health center in the area can be<br \/>\njustified based on the unmet need for additional<br \/>\nservices within the catchment area.<br \/>\n&#8220;(B) Approval of expanded service applications.&#8211;<br \/>\n&#8220;(i) In general.&#8211;The Secretary may approve<br \/>\napplications for grants under subparagraph (A) or<br \/>\n(B) of paragraph (1) to expand the capacity of the<br \/>\napplicant to provide required primary health<br \/>\nservices described in subsection (b)(1) or<br \/>\nadditional health services described in subsection<br \/>\n(b)(2).<br \/>\n&#8220;(ii) Priority expansion projects.&#8211;In<br \/>\ncarrying out clause (i), the Secretary may give<br \/>\nspecial consideration to expanded service<br \/>\napplications that seek to address emerging public<br \/>\nhealth or behavioral health, mental health, or<br \/>\nsubstance abuse issues through increasing the<br \/>\navailability of additional health services<br \/>\ndescribed in subsection (b)(2) in an area in which<br \/>\nthere are significant barriers to accessing care.<br \/>\n&#8220;(iii) Consideration of applications.&#8211;In<br \/>\ncarrying out clause (i), the Secretary shall<br \/>\napprove applications for grants in such a manner<br \/>\nthat the ratio of the medically underserved<br \/>\npopulations in rural areas which may be expected<br \/>\nto use the services provided by the applicants<br \/>\ninvolved to the medically underserved populations<br \/>\nin urban areas which may be expected to use the<br \/>\nservices provided by such applicants is not less<br \/>\nthan two to three or greater than three to two.&#8221;;<br \/>\n(8) in subsection (h)&#8211;<br \/>\n(A) in paragraph (1), by striking &#8220;and children and<br \/>\nyouth at risk of homelessness&#8221; and inserting &#8220;,<br \/>\nchildren and youth at risk of homelessness, homeless<br \/>\nveterans, and veterans at risk of homelessness&#8221;; and<br \/>\n(B) in paragraph (5)&#8211;<br \/>\n(i) by striking subparagraph (B);<br \/>\n(ii) by redesignating subparagraph (C) as<br \/>\nsubparagraph (B); and<br \/>\n(iii) in subparagraph (B) (as so<br \/>\nredesignated)&#8211;<br \/>\n(I) in the subparagraph heading, by<br \/>\nstriking &#8220;abuse&#8221; and inserting &#8220;use<br \/>\ndisorder&#8221;; and<br \/>\n(II) by striking &#8220;abuse&#8221; and<br \/>\ninserting &#8220;use disorder&#8221;;<br \/>\n(9) in subsection (k)&#8211;<br \/>\n(A) in paragraph (2)&#8211;<br \/>\n(i) in the paragraph heading, by inserting<br \/>\n&#8220;unmet&#8221; before &#8220;need&#8221;;<br \/>\n(ii) in the matter preceding subparagraph (A),<br \/>\nby inserting &#8220;or subsection (e)(6)&#8221; after<br \/>\n&#8220;subsection (e)(1)&#8221;;<\/p>\n<p>[[Page 132 STAT. 286]]<\/p>\n<p>(iii) in subparagraph (A), by inserting<br \/>\n&#8220;unmet&#8221; before &#8220;need for health services&#8221;;<br \/>\n(iv) in subparagraph (B), by striking &#8220;and&#8221;<br \/>\nat the end;<br \/>\n(v) in subparagraph (C), by striking the<br \/>\nperiod at the end and inserting &#8220;; and&#8221;; and<br \/>\n(vi) by adding after subparagraph (C) the<br \/>\nfollowing:<br \/>\n&#8220;(D) in the case of an application for a grant<br \/>\npursuant to subsection (e)(6), a demonstration that the<br \/>\napplicant has consulted with appropriate State and local<br \/>\ngovernment agencies, and health care providers regarding<br \/>\nthe need for the health services to be provided at the<br \/>\nproposed delivery site.&#8221;;<br \/>\n(B) in paragraph (3)&#8211;<br \/>\n(i) in the matter preceding subparagraph (A),<br \/>\nby inserting &#8220;or subsection (e)(6)&#8221; after<br \/>\n&#8220;subsection (e)(1)(B)&#8221;;<br \/>\n(ii) in subparagraph (B), by striking &#8220;in the<br \/>\ncatchment area of the center&#8221; and inserting &#8220;,<br \/>\nincluding other health care providers that provide<br \/>\ncare within the catchment area, local hospitals,<br \/>\nand specialty providers in the catchment area of<br \/>\nthe center, to provide access to services not<br \/>\navailable through the health center and to reduce<br \/>\nthe non-urgent use of hospital emergency<br \/>\ndepartments&#8221;;<br \/>\n(iii) in subparagraph (H)(ii), by inserting<br \/>\n&#8220;who shall be directly employed by the center&#8221;<br \/>\nafter &#8220;approves the selection of a director for<br \/>\nthe center&#8221;;<br \/>\n(iv) in subparagraph (L), by striking &#8220;and&#8221;<br \/>\nat the end;<br \/>\n(v) in subparagraph (M), by striking the<br \/>\nperiod and inserting &#8220;; and&#8221;; and<br \/>\n(vi) by inserting after subparagraph (M), the<br \/>\nfollowing:<br \/>\n&#8220;(N) the center has written policies and procedures<br \/>\nin place to ensure the appropriate use of Federal funds<br \/>\nin compliance with applicable Federal statutes,<br \/>\nregulations, and the terms and conditions of the Federal<br \/>\naward.&#8221;; and<br \/>\n(C) by striking paragraph (4);<br \/>\n(10) in subsection (l), by adding at the end the following:<br \/>\n&#8220;Funds expended to carry out activities under this subsection<br \/>\nand operational support activities under subsection (m) shall<br \/>\nnot exceed 3 percent of the amount appropriated for this section<br \/>\nfor the fiscal year involved.&#8221;;<br \/>\n(11) in subsection (q)(4), by adding at the end the<br \/>\nfollowing: &#8220;A &lt;&lt;NOTE: Waiver. Time period.&gt;&gt; waiver provided<br \/>\nby the Secretary under this paragraph may not remain in effect<br \/>\nfor more than 1 year and may not be extended after such period.<br \/>\nAn entity may not receive more than one waiver under this<br \/>\nparagraph in consecutive years.&#8221;;<br \/>\n(12) in subsection (r)(3)&#8211;<br \/>\n(A) by striking &#8220;appropriate committees of Congress<br \/>\na report concerning the distribution of funds under this<br \/>\nsection&#8221; and inserting the following: &#8220;Committee on<br \/>\nHealth, Education, Labor, and Pensions of the Senate,<br \/>\nand the Committee on Energy and Commerce of the House of<br \/>\nRepresentatives, a report including, at a minimum&#8211;<\/p>\n<p>[[Page 132 STAT. 287]]<\/p>\n<p>&#8220;(A) the distribution of funds for carrying out<br \/>\nthis section&#8221;;<br \/>\n(B) by striking &#8220;populations. Such report shall<br \/>\ninclude an assessment&#8221; and inserting the following:<br \/>\n&#8220;populations;<br \/>\n&#8220;(B) an assessment&#8221;;<br \/>\n(C) by striking &#8220;and the rationale for any<br \/>\nsubstantial changes in the distribution of funds.&#8221; and<br \/>\ninserting a semicolon; and<br \/>\n(D) by adding at the end the following:<br \/>\n&#8220;(C) the distribution of awards and funding for new<br \/>\nor expanded services in each of rural areas and urban<br \/>\nareas;<br \/>\n&#8220;(D) the distribution of awards and funding for<br \/>\nestablishing new access points, and the number of new<br \/>\naccess points created;<br \/>\n&#8220;(E) the amount of unexpended funding for loan<br \/>\nguarantees and loan guarantee authority under title XVI;<br \/>\n&#8220;(F) the rationale for any substantial changes in<br \/>\nthe distribution of funds;<br \/>\n&#8220;(G) the rate of closures for health centers and<br \/>\naccess points;<br \/>\n&#8220;(H) the number and reason for any grants awarded<br \/>\npursuant to subsection (e)(1)(B); and<br \/>\n&#8220;(I) the number and reason for any waivers provided<br \/>\npursuant to subsection (q)(4).&#8221;;<br \/>\n(13) in subsection (r), by adding at the end the following<br \/>\nnew paragraph:<br \/>\n&#8220;(5) Funding for participation of health centers in all of<br \/>\nus research program.&#8211; &lt;&lt;NOTE: Appropriation authorization.&gt;&gt; In<br \/>\naddition to any amounts made available pursuant to paragraph (1)<br \/>\nof this subsection, section 402A of this Act, or section 10503<br \/>\nof the Patient Protection and Affordable Care Act, there is<br \/>\nauthorized to be appropriated, and there is appropriated, out of<br \/>\nany monies in the Treasury not otherwise appropriated, to the<br \/>\nSecretary $25,000,000 for fiscal year 2018 to support the<br \/>\nparticipation of health centers in the All of Us Research<br \/>\nProgram under the Precision Medicine Initiative under section<br \/>\n498E of this Act.&#8221;; and<br \/>\n(14) by striking subsection (s).<\/p>\n<p>(c) National Health Service Corps.&#8211;Section 10503(b)(2)(F) of the<br \/>\nPatient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(2)(F)),<br \/>\nas amended by section 3101 of Public Law 115-96, is amended to read as<br \/>\nfollows:<br \/>\n&#8220;(F) $310,000,000 for each of fiscal years 2018 and<br \/>\n2019.&#8221;.<\/p>\n<p>(d) Teaching Health Centers That Operate Graduate Medical Education<br \/>\nPrograms.&#8211;<br \/>\n(1) Payments.&#8211;Subsection (a) of section 340H of the Public<br \/>\nHealth Service Act (42 U.S.C. 256h) is amended to read as<br \/>\nfollows:<\/p>\n<p>&#8220;(a) Payments.&#8211;<br \/>\n&#8220;(1) In general.&#8211;Subject to subsection (h)(2), the<br \/>\nSecretary shall make payments under this section for direct<br \/>\nexpenses and indirect expenses to qualified teaching health<br \/>\ncenters that are listed as sponsoring institutions by the<br \/>\nrelevant accrediting body for, as appropriate&#8211;<\/p>\n<p>[[Page 132 STAT. 288]]<\/p>\n<p>&#8220;(A) maintenance of filled positions at existing<br \/>\napproved graduate medical residency training programs;<br \/>\n&#8220;(B) expansion of existing approved graduate<br \/>\nmedical residency training programs; and<br \/>\n&#8220;(C) establishment of new approved graduate medical<br \/>\nresidency training programs.<br \/>\n&#8220;(2) Per resident amount.&#8211;In making payments under<br \/>\nparagraph (1), the Secretary shall consider the cost of training<br \/>\nresidents at teaching health centers and the implications of the<br \/>\nper resident amount on approved graduate medical residency<br \/>\ntraining programs at teaching health centers.<br \/>\n&#8220;(3) Priority.&#8211;In making payments under paragraph (1)(C),<br \/>\nthe Secretary shall give priority to qualified teaching health<br \/>\ncenters that&#8211;<br \/>\n&#8220;(A) serve a health professional shortage area with<br \/>\na designation in effect under section 332 or a medically<br \/>\nunderserved community (as defined in section 799B); or<br \/>\n&#8220;(B) are located in a rural area (as defined in<br \/>\nsection 1886(d)(2)(D) of the Social Security Act).&#8221;.<br \/>\n(2) Funding.&#8211;Paragraph (1) of section 340H(g) of the Public<br \/>\nHealth Service Act (42 U.S.C. 256h(g)), as amended by section<br \/>\n3101 of Public Law 115-96, is amended by striking &#8220;and<br \/>\n$30,000,000 for the period of the first and second quarters of<br \/>\nfiscal year 2018,&#8221; and inserting &#8220;and $126,500,000 for each of<br \/>\nfiscal years 2018 and 2019,&#8221;.<br \/>\n(3) Annual reporting.&#8211;Subsection (h)(1) of section 340H of<br \/>\nthe Public Health Service Act (42 U.S.C. 256h) is amended&#8211;<br \/>\n(A) by redesignating subparagraph (D) as<br \/>\nsubparagraph (H); and<br \/>\n(B) by inserting after subparagraph (C) the<br \/>\nfollowing:<br \/>\n&#8220;(D) The number of patients treated by residents<br \/>\ndescribed in paragraph (4).<br \/>\n&#8220;(E) The number of visits by patients treated by<br \/>\nresidents described in paragraph (4).<br \/>\n&#8220;(F) Of the number of residents described in<br \/>\nparagraph (4) who completed their residency training at<br \/>\nthe end of such residency academic year, the number and<br \/>\npercentage of such residents entering primary care<br \/>\npractice (meaning any of the areas of practice listed in<br \/>\nthe definition of a primary care residency program in<br \/>\nsection 749A).<br \/>\n&#8220;(G) Of the number of residents described in<br \/>\nparagraph (4) who completed their residency training at<br \/>\nthe end of such residency academic year, the number and<br \/>\npercentage of such residents who entered practice at a<br \/>\nhealth care facility&#8211;<br \/>\n&#8220;(i) primarily serving a health professional<br \/>\nshortage area with a designation in effect under<br \/>\nsection 332 or a medically underserved community<br \/>\n(as defined in section 799B); or<br \/>\n&#8220;(ii) located in a rural area (as defined in<br \/>\nsection 1886(d)(2)(D) of the Social Security<br \/>\nAct).&#8221;.<br \/>\n(4) Report on training costs.&#8211;Not later than March 31,<br \/>\n2019, the Secretary of Health and Human Services shall submit to<br \/>\nthe Congress a report on the direct graduate expenses of<br \/>\napproved graduate medical residency training programs, and the<br \/>\nindirect expenses associated with the additional costs of<br \/>\nteaching residents, of qualified teaching health centers (as<br \/>\nsuch<\/p>\n<p>[[Page 132 STAT. 289]]<\/p>\n<p>terms are used or defined in section 340H of the Public Health<br \/>\nService Act (42 U.S.C. 256h)).<br \/>\n(5) Definition.&#8211;Subsection (j) of section 340H of the<br \/>\nPublic Health Service Act (42 U.S.C. 256h) is amended&#8211;<br \/>\n(A) by redesignating paragraphs (2) and (3) as<br \/>\nparagraphs (3) and (4), respectively; and<br \/>\n(B) by inserting after paragraph (1) the following:<br \/>\n&#8220;(2) New approved graduate medical residency training<br \/>\nprogram.&#8211;The term `new approved graduate medical residency<br \/>\ntraining program&#8217; means an approved graduate medical residency<br \/>\ntraining program for which the sponsoring qualified teaching<br \/>\nhealth center has not received a payment under this section for<br \/>\na previous fiscal year (other than pursuant to subsection<br \/>\n(a)(1)(C)).&#8221;.<br \/>\n(6) Technical correction.&#8211;Subsection (f) of section 340H<br \/>\n(42 U.S.C. 256h) is amended by striking &#8220;hospital&#8221; each place<br \/>\nit appears and inserting &#8220;teaching health center&#8221;.<br \/>\n(7) &lt;&lt;NOTE: Applicability. 42 USC 256h note.&gt;&gt; Payments for<br \/>\nprevious fiscal years.&#8211;The provisions of section 340H of the<br \/>\nPublic Health Service Act (42 U.S.C. 256h), as in effect on the<br \/>\nday before the date of enactment of Public Law 115-96, shall<br \/>\ncontinue to apply with respect to payments under such section<br \/>\nfor fiscal years before fiscal year 2018.<\/p>\n<p>(e) Application.&#8211;Amounts appropriated pursuant to this section for<br \/>\nfiscal year 2018 or 2019 are subject to the requirements contained in<br \/>\nPublic Law 115-31 for funds for programs authorized under sections 330<br \/>\nthrough 340 of the Public Health Service Act (42 U.S.C. 254b-256).<br \/>\n(f) Conforming Amendments.&#8211;Paragraph (4) of section 3014(h) of<br \/>\ntitle 18, United States Code, as amended by section 3101 of Public Law<br \/>\n115-96, is amended by striking &#8220;and section 3101(d) of the CHIP and<br \/>\nPublic Health Funding Extension Act&#8221; and inserting &#8220;and section<br \/>\n50901(e) of the Advancing Chronic Care, Extenders, and Social Services<br \/>\nAct&#8221;.<br \/>\nSEC. 50902. EXTENSION FOR SPECIAL DIABETES PROGRAMS.<\/p>\n<p>(a) Special Diabetes Program for Type I Diabetes.&#8211;Section<br \/>\n330B(b)(2)(D) of the Public Health Service Act (42 U.S.C. 254c-<br \/>\n2(b)(2)(D)), as amended by section 3102 of Public Law 115-96, is amended<br \/>\nto read as follows:<br \/>\n&#8220;(D) $150,000,000 for each of fiscal years 2018 and<br \/>\n2019, to remain available until expended.&#8221;.<\/p>\n<p>(b) Special Diabetes Program for Indians.&#8211;Subparagraph (D) of<br \/>\nsection 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c-<br \/>\n3(c)(2)), as amended by section 3102 of Public Law 115-96, is amended to<br \/>\nread as follows:<br \/>\n&#8220;(D) $150,000,000 for each of fiscal years 2018 and<br \/>\n2019, to remain available until expended.&#8221;.<\/p>\n<p>TITLE X&#8211;MISCELLANEOUS HEALTH CARE POLICIES<\/p>\n<p>SEC. 51001. &lt;&lt;NOTE: Time periods.&gt;&gt; HOME HEALTH PAYMENT REFORM.<\/p>\n<p>(a) Budget Neutral Transition to a 30-day Unit of Payment for Home<br \/>\nHealth Services.&#8211;Section 1895(b) of the Social Security Act (42 U.S.C.<br \/>\n1395fff(b)) is amended&#8211;<\/p>\n<p>[[Page 132 STAT. 290]]<\/p>\n<p>(1) in paragraph (2)&#8211;<br \/>\n(A) by striking &#8220;payment.&#8211;In defining&#8221; and<br \/>\ninserting &#8220;payment.&#8211;<br \/>\n&#8220;(A) In general.&#8211;In defining&#8221;; and<br \/>\n(B) by adding at the end the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(B) 30-day unit of service.&#8211;For purposes of<br \/>\nimplementing the prospective payment system with respect<br \/>\nto home health units of service furnished during a year<br \/>\nbeginning with 2020, the Secretary shall apply a 30-day<br \/>\nunit of service as the unit of service applied under<br \/>\nthis paragraph.&#8221;;<br \/>\n(2) in paragraph (3)&#8211;<br \/>\n(A) in subparagraph (A), by adding at the end the<br \/>\nfollowing new clause:<br \/>\n&#8220;(iv) Budget neutrality for 2020.&#8211;With<br \/>\nrespect to payments for home health units of<br \/>\nservice furnished that end during the 12-month<br \/>\nperiod beginning January 1, 2020, the Secretary<br \/>\nshall calculate a standard prospective payment<br \/>\namount (or amounts) for 30-day units of service<br \/>\n(as described in paragraph (2)(B)) for the<br \/>\nprospective payment system under this subsection.<br \/>\nSuch standard prospective payment amount (or<br \/>\namounts) shall be calculated in a manner such that<br \/>\nthe estimated aggregate amount of expenditures<br \/>\nunder the system during such period with<br \/>\napplication of paragraph (2)(B) is equal to the<br \/>\nestimated aggregate amount of expenditures that<br \/>\notherwise would have been made under the system<br \/>\nduring such period if paragraph (2)(B) had not<br \/>\nbeen enacted.<br \/>\nThe &lt;&lt;NOTE: Applicability.&gt;&gt; previous sentence<br \/>\nshall be applied before (and not affect the<br \/>\napplication of) paragraph (3)(B). In calculating<br \/>\nsuch amount (or amounts), the Secretary shall make<br \/>\nassumptions about behavior changes that could<br \/>\noccur as a result of the implementation of<br \/>\nparagraph (2)(B) and the case-mix adjustment<br \/>\nfactors established under paragraph (4)(B) and<br \/>\nshall provide a description of such assumptions in<br \/>\nthe notice and comment rulemaking used to<br \/>\nimplement this clause.&#8221;; and<br \/>\n(B) by adding at the end the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(D) &lt;&lt;NOTE: Notice. Regulations.&gt;&gt; Behavior<br \/>\nassumptions and adjustments.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Deadline. Determination.&gt;&gt; In<br \/>\ngeneral.&#8211;The Secretary shall annually determine<br \/>\nthe impact of differences between assumed behavior<br \/>\nchanges (as described in paragraph (3)(A)(iv)) and<br \/>\nactual behavior changes on estimated aggregate<br \/>\nexpenditures under this subsection with respect to<br \/>\nyears beginning with 2020 and ending with 2026.<br \/>\n&#8220;(ii) Permanent adjustments.&#8211;The Secretary<br \/>\nshall, at a time and in a manner determined<br \/>\nappropriate, through notice and comment<br \/>\nrulemaking, provide for one or more permanent<br \/>\nincreases or decreases to the standard prospective<br \/>\npayment amount (or amounts) for applicable years,<br \/>\non a prospective basis, to offset for such<br \/>\nincreases or decreases in estimated aggregate<br \/>\nexpenditures (as determined under clause (i)).<\/p>\n<p>[[Page 132 STAT. 291]]<\/p>\n<p>&#8220;(iii) Temporary adjustments for<br \/>\nretrospective behavior.&#8211;The Secretary shall, at a<br \/>\ntime and in a manner determined appropriate,<br \/>\nthrough notice and comment rulemaking, provide for<br \/>\none or more temporary increases or decreases to<br \/>\nthe payment amount for a unit of home health<br \/>\nservices (as determined under paragraph (4)) for<br \/>\napplicable years, on a prospective basis, to<br \/>\noffset for such increases or decreases in<br \/>\nestimated aggregate expenditures (as determined<br \/>\nunder clause (i)). &lt;&lt;NOTE: Applicability.&gt;&gt; Such a<br \/>\ntemporary increase or decrease shall apply only<br \/>\nwith respect to the year for which such temporary<br \/>\nincrease or decrease is made, and the Secretary<br \/>\nshall not take into account such a temporary<br \/>\nincrease or decrease in computing such amount<br \/>\nunder this subsection for a subsequent year.&#8221;;<br \/>\nand<br \/>\n(3) in paragraph (4)(B)&#8211;<br \/>\n(A) by striking &#8220;Factors.&#8211;The Secretary&#8221; and<br \/>\ninserting &#8220;Factors.&#8211;<br \/>\n&#8220;(i) In general.&#8211;The Secretary&#8221;; and<br \/>\n(B) by adding at the end the following new clause:<br \/>\n&#8220;(ii) Treatment of therapy thresholds.&#8211;For<br \/>\n2020 and subsequent years, the Secretary shall<br \/>\neliminate the use of therapy thresholds<br \/>\n(established by the Secretary) in case mix<br \/>\nadjustment factors established under clause (i)<br \/>\nfor calculating payments under the prospective<br \/>\npayment system under this subsection.&#8221;.<\/p>\n<p>(b) Technical Expert Panel.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; In general.&#8211;During the<br \/>\nperiod beginning on January 1, 2018, and ending on December 31,<br \/>\n2018, the Secretary of Health and Human Services shall hold at<br \/>\nleast one session of a technical expert panel, the participants<br \/>\nof which shall include home health providers, patient<br \/>\nrepresentatives, and other relevant stakeholders. The technical<br \/>\nexpert panel shall identify and prioritize recommendations with<br \/>\nrespect to the prospective payment system for home health<br \/>\nservices under section 1895(b) of the Social Security Act (42<br \/>\nU.S.C. 1395fff(b)), on the following:<br \/>\n(A) The Home Health Groupings Model, as described in<br \/>\nthe proposed rule &#8220;Medicare and Medicaid Programs; CY<br \/>\n2018 Home Health Prospective Payment System Rate Update<br \/>\nand Proposed CY 2019 Case-Mix Adjustment Methodology<br \/>\nRefinements; Home Health Value-Based Purchasing Model;<br \/>\nand Home Health Quality Reporting Requirements&#8221; (82<br \/>\nFed. Reg. 35294 through 35332 (July 28, 2017)).<br \/>\n(B) Alternative case-mix models to the Home Health<br \/>\nGroupings Model that were submitted during 2017 as<br \/>\ncomments in response to proposed rule making, including<br \/>\npatient-focused factors that consider the risks of<br \/>\nhospitalization and readmission to a hospital,<br \/>\nimprovement or maintenance of functionality of<br \/>\nindividuals to increase the capacity for self-care,<br \/>\nquality of care, and resource utilization.<br \/>\n(2) Inapplicability of faca.&#8211;The provisions of the Federal<br \/>\nAdvisory Committee Act (5 U.S.C. App.) shall not apply to the<br \/>\ntechnical expert panel under paragraph (1).<\/p>\n<p>[[Page 132 STAT. 292]]<\/p>\n<p>(3) Report.&#8211;Not later than April 1, 2019, the Secretary of<br \/>\nHealth and Human Services shall submit to the Committee on Ways<br \/>\nand Means and the Committee on Energy and Commerce of the House<br \/>\nof Representatives and the Committee on Finance of the Senate a<br \/>\nreport on the recommendations of such panel described in such<br \/>\nparagraph.<br \/>\n(4) &lt;&lt;NOTE: Deadline.&gt;&gt; Notice and comment rulemaking.&#8211;Not<br \/>\nlater than December 31, 2019, the Secretary of Health and Human<br \/>\nServices shall pursue notice and comment rulemaking on a case-<br \/>\nmix system with respect to the prospective payment system for<br \/>\nhome health services under section 1895(b) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395fff(b)).<\/p>\n<p>(c) Reports.&#8211;<br \/>\n(1) Interim report.&#8211;Not later than March 15, 2022, the<br \/>\nMedicare Payment Advisory Commission shall submit to Congress an<br \/>\ninterim report on the application of a 30-day unit of service as<br \/>\nthe unit of service applied under section 1895(b)(2) of the<br \/>\nSocial Security Act (42 U.S.C. 1395fff(b)(2)), as amended by<br \/>\nsubsection (a), including an analysis of the level of payments<br \/>\nprovided to home health agencies as compared to the cost of<br \/>\ndelivering home health services, and any unintended<br \/>\nconsequences, including with respect to behavioral changes and<br \/>\nquality.<br \/>\n(2) Final report.&#8211;Not later than March 15, 2026, such<br \/>\nCommission shall submit to Congress a final report on such<br \/>\napplication and any such consequences.<br \/>\nSEC. 51002. &lt;&lt;NOTE: Certification.&gt;&gt; INFORMATION TO SATISFY<br \/>\nDOCUMENTATION OF MEDICARE ELIGIBILITY<br \/>\nFOR HOME HEALTH SERVICES.<\/p>\n<p>(a) Part A.&#8211;Section 1814(a) of the Social Security Act (42 U.S.C.<br \/>\n1395f(a)) is amended by inserting before &#8220;For purposes of paragraph<br \/>\n(2)(C),&#8221; the following new sentence: &#8220;For purposes of documentation<br \/>\nfor physician certification and recertification made under paragraph (2)<br \/>\non or after January 1, 2019, and made with respect to home health<br \/>\nservices furnished by a home health agency, in addition to using<br \/>\ndocumentation in the medical record of the physician who so certifies or<br \/>\nthe medical record of the acute or post-acute care facility (in the case<br \/>\nthat home health services were furnished to an individual who was<br \/>\ndirectly admitted to the home health agency from such a facility), the<br \/>\nSecretary may use documentation in the medical record of the home health<br \/>\nagency as supporting material, as appropriate to the case involved.&#8221;.<br \/>\n(b) Part B.&#8211;Section 1835(a) of the Social Security Act (42 U.S.C.<br \/>\n1395n(a)) is amended by inserting before &#8220;For purposes of paragraph<br \/>\n(2)(A),&#8221; the following new sentence: &#8220;For purposes of documentation<br \/>\nfor physician certification and recertification made under paragraph (2)<br \/>\non or after January 1, 2019, and made with respect to home health<br \/>\nservices furnished by a home health agency, in addition to using<br \/>\ndocumentation in the medical record of the physician who so certifies or<br \/>\nthe medical record of the acute or post-acute care facility (in the case<br \/>\nthat home health services were furnished to an individual who was<br \/>\ndirectly admitted to the home health agency from such a facility), the<br \/>\nSecretary may use documentation in the medical record of the home health<br \/>\nagency as supporting material, as appropriate to the case involved.&#8221;.<\/p>\n<p>[[Page 132 STAT. 293]]<\/p>\n<p>SEC. 51003. TECHNICAL AMENDMENTS TO PUBLIC LAW 114-10.<\/p>\n<p>(a) MIPS Transition.&#8211;Section 1848 of the Social Security Act (42<br \/>\nU.S.C. 1395w-4) is amended&#8211;<br \/>\n(1) in subsection (q)&#8211;<br \/>\n(A) in paragraph (1)&#8211;<br \/>\n(i) in subparagraph (B), by striking &#8220;items<br \/>\nand services&#8221; and inserting &#8220;covered<br \/>\nprofessional services (as defined in subsection<br \/>\n(k)(3)(A))&#8221;; and<br \/>\n(ii) in subparagraph (C)(iv)&#8211;<br \/>\n(I) by amending subclause (I) to<br \/>\nread as follows:<br \/>\n&#8220;(I) &lt;&lt;NOTE: Time periods.&gt;&gt; The<br \/>\nminimum number (as determined by the<br \/>\nSecretary) of&#8211;<br \/>\n&#8220;(aa) for performance<br \/>\nperiods beginning before January<br \/>\n1, 2018, individuals enrolled<br \/>\nunder this part who are treated<br \/>\nby the eligible professional for<br \/>\nthe performance period involved;<br \/>\nand<br \/>\n&#8220;(bb) for performance<br \/>\nperiods beginning on or after<br \/>\nJanuary 1, 2018, individuals<br \/>\nenrolled under this part who are<br \/>\nfurnished covered professional<br \/>\nservices (as defined in<br \/>\nsubsection (k)(3)(A)) by the<br \/>\neligible professional for the<br \/>\nperformance period involved.&#8221;;<br \/>\n(II) in subclause (II), by striking<br \/>\n&#8220;items and services&#8221; and inserting<br \/>\n&#8220;covered professional services (as<br \/>\ndefined in subsection (k)(3)(A))&#8221;; and<br \/>\n(III) by amending subclause (III) to<br \/>\nread as follows:<br \/>\n&#8220;(III) &lt;&lt;NOTE: Time periods.&gt;&gt; The<br \/>\nminimum amount (as determined by the<br \/>\nSecretary) of&#8211;<br \/>\n&#8220;(aa) for performance<br \/>\nperiods beginning before January<br \/>\n1, 2018, allowed charges billed<br \/>\nby such professional under this<br \/>\npart for such performance<br \/>\nperiod; and<br \/>\n&#8220;(bb) for performance<br \/>\nperiods beginning on or after<br \/>\nJanuary 1, 2018, allowed charges<br \/>\nfor covered professional<br \/>\nservices (as defined in<br \/>\nsubsection (k)(3)(A)) billed by<br \/>\nsuch professional for such<br \/>\nperformance period.&#8221;;<br \/>\n(B) in paragraph (5)(D)&#8211;<br \/>\n(i) in clause (i)(I), by inserting &#8220;subject<br \/>\nto clause (iii),&#8221; after &#8220;clauses (i) and (ii) of<br \/>\nparagraph (2)(A),&#8221;; and<br \/>\n(ii) by adding at the end the following new<br \/>\nclause:<br \/>\n&#8220;(iii) Transition years.&#8211;For each of the<br \/>\nsecond, third, fourth, and fifth years for which<br \/>\nthe MIPS applies to payments, the performance<br \/>\nscore for the performance category described in<br \/>\nparagraph (2)(A)(ii) shall not take into account<br \/>\nthe improvement of the professional involved.&#8221;;<br \/>\n(C) in paragraph (5)(E)&#8211;<br \/>\n(i) in clause (i)(I)(bb)&#8211;<br \/>\n(I) in the heading by striking<br \/>\n&#8220;First 2 years&#8221; and inserting &#8220;First<br \/>\n5 years&#8221;; and<br \/>\n(II) by striking &#8220;the first and<br \/>\nsecond years&#8221; and inserting &#8220;each of<br \/>\nthe first through fifth years&#8221;;<\/p>\n<p>[[Page 132 STAT. 294]]<\/p>\n<p>(ii) in clause (i)(II)(bb)&#8211;<br \/>\n(I) in the heading, by striking &#8220;2<br \/>\nyears&#8221; and inserting &#8220;5 years&#8221;; and<br \/>\n(II) by striking the second sentence<br \/>\nand inserting the following new<br \/>\nsentences: &#8220;For each of the second,<br \/>\nthird, fourth, and fifth years for which<br \/>\nthe MIPS applies to payments, not less<br \/>\nthan 10 percent and not more than 30<br \/>\npercent of such score shall be based on<br \/>\nperformance with respect to the category<br \/>\ndescribed in clause (ii) of paragraph<br \/>\n(2)(A) &lt;&lt;NOTE: Determination.&gt;&gt; .<br \/>\nNothing in the previous sentence shall<br \/>\nbe construed, with respect to a<br \/>\nperformance period for a year described<br \/>\nin the previous sentence, as preventing<br \/>\nthe Secretary from basing 30 percent of<br \/>\nsuch score for such year with respect to<br \/>\nthe category described in such clause<br \/>\n(ii), if the Secretary determines, based<br \/>\non information posted under subsection<br \/>\n(r)(2)(I) that sufficient resource use<br \/>\nmeasures are ready for adoption for use<br \/>\nunder the performance category under<br \/>\nparagraph (2)(A)(ii) for such<br \/>\nperformance period.&#8221;;<br \/>\n(D) in paragraph (6)(D)&#8211;<br \/>\n(i) in clause (i), in the second sentence, by<br \/>\nstriking &#8220;Such performance threshold&#8221; and<br \/>\ninserting &#8220;Subject to clauses (iii) and (iv),<br \/>\nsuch performance threshold&#8221;;<br \/>\n(ii) in clause (ii)&#8211;<br \/>\n(I) in the first sentence, by<br \/>\ninserting &#8220;(beginning with 2019 and<br \/>\nending with 2024)&#8221; after &#8220;for each<br \/>\nyear of the MIPS&#8221;; and<br \/>\n(II) in the second sentence, by<br \/>\ninserting &#8220;subject to clause (iii),&#8221;<br \/>\nafter &#8220;For each such year,&#8221;;<br \/>\n(iii) in clause (iii)&#8211;<br \/>\n(I) in the heading, by striking<br \/>\n&#8220;2&#8221; and inserting &#8220;5&#8221;; and<br \/>\n(II) in the first sentence, by<br \/>\nstriking &#8220;two years&#8221; and inserting<br \/>\n&#8220;five years&#8221;; and<br \/>\n(iv) by adding at the end the following new<br \/>\nclause:<br \/>\n&#8220;(iv) Additional special rule for third,<br \/>\nfourth and fifth years of mips.&#8211;<br \/>\n&lt;&lt;NOTE: Determination.&gt;&gt; For purposes of<br \/>\ndetermining MIPS adjustment factors under<br \/>\nsubparagraph (A), in addition to the requirements<br \/>\nspecified in clause (iii), the Secretary shall<br \/>\nincrease the performance threshold with respect to<br \/>\neach of the third, fourth, and fifth years to<br \/>\nwhich the MIPS applies to ensure a gradual and<br \/>\nincremental transition to the performance<br \/>\nthreshold described in clause (i) (as estimated by<br \/>\nthe Secretary) with respect to the sixth year to<br \/>\nwhich the MIPS applies.&#8221;;<br \/>\n(E) in paragraph (6)(E)&#8211;<br \/>\n(i) by striking &#8220;In the case of items and<br \/>\nservices&#8221; and inserting &#8220;In the case of covered<br \/>\nprofessional services (as defined in subsection<br \/>\n(k)(3)(A))&#8221;; and<br \/>\n(ii) by striking &#8220;under this part with<br \/>\nrespect to such items and services&#8221; and inserting<br \/>\n&#8220;under this part with respect to such covered<br \/>\nprofessional services&#8221;; and<\/p>\n<p>[[Page 132 STAT. 295]]<\/p>\n<p>(F) in paragraph (7), in the first sentence, by<br \/>\nstriking &#8220;items and services&#8221; and inserting &#8220;covered<br \/>\nprofessional services (as defined in subsection<br \/>\n(k)(3)(A))&#8221;;<br \/>\n(2) in subsection (r)(2), by adding at the end the following<br \/>\nnew subparagraph:<br \/>\n&#8220;(I) &lt;&lt;NOTE: Deadline. Web<br \/>\nposting.&gt;&gt; Information.&#8211;The Secretary shall, not later<br \/>\nthan December 31st of each year (beginning with 2018),<br \/>\npost on the Internet website of the Centers for Medicare<br \/>\n&amp; Medicaid Services information on resource use measures<br \/>\nin use under subsection (q), resource use measures under<br \/>\ndevelopment and the time-frame for such development,<br \/>\npotential future resource use measure topics, a<br \/>\ndescription of stakeholder engagement, and the percent<br \/>\nof expenditures under part A and this part that are<br \/>\ncovered by resource use measures.&#8221;; and<br \/>\n(3) in subsection (s)(5)(B), by striking &#8220;section<br \/>\n1833(z)(2)(C)&#8221; and inserting &#8220;section 1833(z)(3)(D)&#8221;.<\/p>\n<p>(b) Physician-focused Payment Model Technical Advisory Committee<br \/>\nProvision of Initial Proposal Feedback.&#8211;Section 1868(c)(2)(C) of the<br \/>\nSocial Security Act (42 U.S.C. 1395ee(c)(2)(C)) is amended to read as<br \/>\nfollows:<br \/>\n&#8220;(C) Committee review of models submitted.&#8211;The<br \/>\nCommittee, on a periodic basis&#8211;<br \/>\n&#8220;(i) shall review models submitted under<br \/>\nsubparagraph (B);<br \/>\n&#8220;(ii) may provide individuals and stakeholder<br \/>\nentities who submitted such models with&#8211;<br \/>\n&#8220;(I) initial feedback on such<br \/>\nmodels regarding the extent to which<br \/>\nsuch models meet the criteria described<br \/>\nin subparagraph (A); and<br \/>\n&#8220;(II) an explanation of the basis<br \/>\nfor the feedback provided under<br \/>\nsubclause (I); and<br \/>\n&#8220;(iii) &lt;&lt;NOTE: Recommenda- tions.&gt;&gt; shall<br \/>\nprepare comments and recommendations regarding<br \/>\nwhether such models meet the criteria described in<br \/>\nsubparagraph (A) and submit such comments and<br \/>\nrecommendations to the Secretary.&#8221;.<br \/>\nSEC. 51004. EXPANDED ACCESS TO MEDICARE INTENSIVE CARDIAC<br \/>\nREHABILITATION PROGRAMS.<\/p>\n<p>Section 1861(eee)(4)(B) of the Social Security Act (42 U.S.C.<br \/>\n1395x(eee)(4)(B)) is amended&#8211;<br \/>\n(1) in clause (v), by striking &#8220;or&#8221; at the end;<br \/>\n(2) in clause (vi), by striking the period at the end and<br \/>\ninserting a semicolon; and<br \/>\n(3) by adding at the end the following new clauses:<br \/>\n&#8220;(vii) stable, chronic heart failure (defined as<br \/>\npatients with left ventricular ejection fraction of 35<br \/>\npercent or less and New York Heart Association (NYHA)<br \/>\nclass II to IV symptoms despite being on optimal heart<br \/>\nfailure therapy for at least 6 weeks); or<br \/>\n&#8220;(viii) &lt;&lt;NOTE: Determination.&gt;&gt; any additional<br \/>\ncondition for which the Secretary has determined that a<br \/>\ncardiac rehabilitation program shall be covered, unless<br \/>\nthe Secretary determines, using the same process used to<br \/>\ndetermine that the condition is covered for a cardiac<br \/>\nrehabilitation program, that such coverage is not<br \/>\nsupported by the clinical evidence.&#8221;.<\/p>\n<p>[[Page 132 STAT. 296]]<\/p>\n<p>SEC. 51005. EXTENSION OF BLENDED SITE NEUTRAL PAYMENT RATE FOR<br \/>\nCERTAIN LONG-TERM CARE HOSPITAL<br \/>\nDISCHARGES; TEMPORARY ADJUSTMENT TO<br \/>\nSITE NEUTRAL PAYMENT RATES.<\/p>\n<p>(a) Extension.&#8211;Section 1886(m)(6)(B)(i) of the Social Security Act<br \/>\n(42 U.S.C. 1395ww(m)(6)(B)(i)) is amended&#8211;<br \/>\n(1) in subclause (I), by striking &#8220;fiscal year 2016 or<br \/>\nfiscal year 2017&#8221; and inserting &#8220;fiscal years 2016 through<br \/>\n2019&#8221;; and<br \/>\n(2) in subclause (II), by striking &#8220;2018&#8221; and inserting<br \/>\n&#8220;2020&#8221;.<\/p>\n<p>(b) Temporary Adjustment to Site Neutral Payment Rates.&#8211;Section<br \/>\n1886(m)(6)(B) of the Social Security Act (42 U.S.C. 1395ww(m)(6)(B)) is<br \/>\namended&#8211;<br \/>\n(1) in clause (ii), in the matter preceding subclause (I),<br \/>\nby striking &#8220;In this paragraph&#8221; and inserting &#8220;Subject to<br \/>\nclause (iv), in this paragraph&#8221;; and<br \/>\n(2) by adding at the end the following new clause:<br \/>\n&#8220;(iv) Adjustment.&#8211;For each of fiscal years<br \/>\n2018 through 2026, the amount that would otherwise<br \/>\napply under clause (ii)(I) for the year<br \/>\n(determined without regard to this clause) shall<br \/>\nbe reduced by 4.6 percent.&#8221;.<br \/>\nSEC. 51006. RECOGNITION OF ATTENDING PHYSICIAN ASSISTANTS AS<br \/>\nATTENDING PHYSICIANS TO SERVE HOSPICE<br \/>\nPATIENTS.<\/p>\n<p>(a) Recognition of Attending Physician Assistants as Attending<br \/>\nPhysicians To Serve Hospice Patients.&#8211;<br \/>\n(1) In general.&#8211;Section 1861(dd)(3)(B) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395x(dd)(3)(B)) is amended&#8211;<br \/>\n(A) by striking &#8220;or nurse&#8221; and inserting &#8220;, the<br \/>\nnurse&#8221;; and<br \/>\n(B) by inserting &#8220;, or the physician assistant (as<br \/>\ndefined in such subsection)&#8221; after &#8220;subsection<br \/>\n(aa)(5))&#8221;.<br \/>\n(2) Clarification of hospice role of physician assistants.&#8211;<br \/>\nSection 1814(a)(7)(A)(i)(I) of the Social Security Act (42<br \/>\nU.S.C. 1395f(a)(7)(A)(i)(I)) is amended by inserting &#8220;or a<br \/>\nphysician assistant&#8221; after &#8220;a nurse practitioner&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: Applicability. 42 USC 1395f note.&gt;&gt; Effective Date.&#8211;The<br \/>\namendments made by this section shall apply to items and services<br \/>\nfurnished on or after January 1, 2019.<br \/>\nSEC. 51007. EXTENSION OF ENFORCEMENT INSTRUCTION ON SUPERVISION<br \/>\nREQUIREMENTS FOR OUTPATIENT<br \/>\nTHERAPEUTIC SERVICES IN CRITICAL<br \/>\nACCESS AND SMALL RURAL HOSPITALS<br \/>\nTHROUGH 2017.<\/p>\n<p>Section 1 of Public Law 113-198, as amended by section 1 of Public<br \/>\nLaw 114-112 and section 16004(a) of the 21st Century Cures Act (Public<br \/>\nLaw 114-255), &lt;&lt;NOTE: 128 Stat. 2057.&gt;&gt; is amended&#8211;<br \/>\n(1) in the section heading, by striking &#8220;2016&#8221; and<br \/>\ninserting &#8220;2017&#8221;; and<br \/>\n(2) by striking &#8220;and 2016&#8221; and inserting &#8220;2016, and<br \/>\n2017&#8221;.<\/p>\n<p>[[Page 132 STAT. 297]]<\/p>\n<p>SEC. 51008. ALLOWING PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS,<br \/>\nAND CLINICAL NURSE SPECIALISTS TO<br \/>\nSUPERVISE CARDIAC, INTENSIVE CARDIAC,<br \/>\nAND PULMONARY REHABILITATION PROGRAMS.<\/p>\n<p>(a) Cardiac and Intensive Cardiac Rehabilitation Programs.&#8211;Section<br \/>\n1861(eee) of the Social Security Act (42 U.S.C. 1395x(eee)) is amended&#8211;<br \/>\n(1) in paragraph (1)&#8211;<br \/>\n(A) by striking &#8220;physician-supervised&#8221;; and<br \/>\n(B) by inserting &#8220;under the supervision of a<br \/>\nphysician (as defined in subsection (r)(1)) or a<br \/>\nphysician assistant, nurse practitioner, or clinical<br \/>\nnurse specialist (as those terms are defined in<br \/>\nsubsection (aa)(5))&#8221; before the period at the end;<br \/>\n(2) in paragraph (2)&#8211;<br \/>\n(A) in subparagraph (A)(iii), by striking the period<br \/>\nat the end and inserting a semicolon; and<br \/>\n(B) in subparagraph (B), by striking &#8220;a physician&#8221;<br \/>\nand inserting &#8220;a physician (as defined in subsection<br \/>\n(r)(1)) or a physician assistant, nurse practitioner, or<br \/>\nclinical nurse specialist (as those terms are defined in<br \/>\nsubsection (aa)(5))&#8221;; and<br \/>\n(3) in paragraph (4)(A), in the matter preceding clause<br \/>\n(i)&#8211;<br \/>\n(A) by striking &#8220;physician-supervised&#8221;; and<br \/>\n(B) by inserting &#8220;under the supervision of a<br \/>\nphysician (as defined in subsection (r)(1)) or a<br \/>\nphysician assistant, nurse practitioner, or clinical<br \/>\nnurse specialist (as those terms are defined in<br \/>\nsubsection (aa)(5))&#8221; after &#8220;paragraph (3)&#8221;.<\/p>\n<p>(b) Pulmonary Rehabilitation Programs.&#8211;Section 1861(fff)(1) of the<br \/>\nSocial Security Act (42 U.S.C. 1395x(fff)(1)) is amended&#8211;<br \/>\n(1) by striking &#8220;physician-supervised&#8221;; and<br \/>\n(2) by inserting &#8220;under the supervision of a physician (as<br \/>\ndefined in subsection (r)(1)) or a physician assistant, nurse<br \/>\npractitioner, or clinical nurse specialist (as those terms are<br \/>\ndefined in subsection (aa)(5))&#8221; before the period at the end.<\/p>\n<p>(c) &lt;&lt;NOTE: Applicability. 42 USC 1395x note.&gt;&gt; Effective Date.&#8211;The<br \/>\namendments made by this section shall apply to items and services<br \/>\nfurnished on or after January 1, 2024.<br \/>\nSEC. 51009. TRANSITIONAL PAYMENT RULES FOR CERTAIN RADIATION<br \/>\nTHERAPY SERVICES UNDER THE PHYSICIAN<br \/>\nFEE SCHEDULE.<\/p>\n<p>Section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is<br \/>\namended&#8211;<br \/>\n(1) in subsection (b)(11), by striking &#8220;2017 and 2018&#8221; and<br \/>\ninserting &#8220;2017, 2018, and 2019&#8221;; and<br \/>\n(2) in subsection (c)(2)(K)(iv), by striking &#8220;2017 and<br \/>\n2018&#8221; and inserting &#8220;2017, 2018, and 2019&#8221;.<\/p>\n<p>[[Page 132 STAT. 298]]<\/p>\n<p>TITLE XI&#8211;PROTECTING SENIORS&#8217; ACCESS TO MEDICARE ACT<\/p>\n<p>SEC. 52001. REPEAL OF THE INDEPENDENT PAYMENT ADVISORY BOARD.<\/p>\n<p>(a) Repeal.&#8211;Section 1899A of the Social Security Act (42 U.S.C.<br \/>\n1395kkk) is repealed.<br \/>\n(b) Conforming Amendments.&#8211;<br \/>\n(1) Lobbying cooling-off period.&#8211;Paragraph (3) of section<br \/>\n207(c) of title 18, United States Code, is repealed.<br \/>\n(2) GAO study and report.&#8211;Section 3403(b) of the Patient<br \/>\nProtection and Affordable Care Act (42 U.S.C. 1395kkk-1) is<br \/>\nrepealed.<br \/>\n(3) MedPAC review and comment.&#8211;Section 1805(b) of the<br \/>\nSocial Security Act (42 U.S.C. 1395b-6(b)) is amended&#8211;<br \/>\n(A) by striking paragraph (4);<br \/>\n(B) by redesignating paragraphs (5) through (8) as<br \/>\nparagraphs (4) through (7), respectively; and<br \/>\n(C) by redesignating the paragraph (9) that was<br \/>\nredesignated by section 3403(c)(1) of the Patient<br \/>\nProtection and Affordable Care Act (Public Law 111-148)<br \/>\nas paragraph (8).<br \/>\n(4) Name change.&#8211;Section 10320(b) of the Patient Protection<br \/>\nand Affordable Care Act (Public Law 111-148) &lt;&lt;NOTE: 42 USC<br \/>\n1395kkk note.&gt;&gt; is repealed.<br \/>\n(5) Rule of construction.&#8211;Section 10320(c) of the Patient<br \/>\nProtection and Affordable Care Act (Public Law 111-148) is<br \/>\nrepealed.<\/p>\n<p>TITLE XII&#8211;OFFSETS<\/p>\n<p>SEC. 53101. MODIFYING REDUCTIONS IN MEDICAID DSH ALLOTMENTS.<\/p>\n<p>Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-<br \/>\n4(f)(7)(A)) is amended&#8211;<br \/>\n(1) in clause (i), in the matter preceding subclause (I), by<br \/>\nstriking &#8220;2018&#8221; and inserting &#8220;2020&#8221;; and<br \/>\n(2) in clause (ii), by striking subclauses (I) through<br \/>\n(VIII) and inserting the following:<br \/>\n&#8220;(I) $4,000,000,000 for fiscal year<br \/>\n2020; and<br \/>\n&#8220;(II) $8,000,000,000 for each of<br \/>\nfiscal years 2021 through 2025.&#8221;.<br \/>\nSEC. 53102. THIRD PARTY LIABILITY IN MEDICAID AND CHIP.<\/p>\n<p>(a) Modification of Third Party Liability Rules Related to Special<br \/>\nTreatment of Certain Types of Care and Payments.&#8211;<br \/>\n(1) In general.&#8211;Section 1902(a)(25)(E) of the Social<br \/>\nSecurity Act (42 U.S.C. 1396a(a)(25)(E)) is amended, in the<br \/>\nmatter preceding clause (i), by striking &#8220;prenatal or&#8221;.<br \/>\n(2) &lt;&lt;NOTE: 42 USC 1396a note.&gt;&gt; Effective date.&#8211;The<br \/>\namendment made by paragraph (1) shall take effect on the date of<br \/>\nenactment of this Act.<\/p>\n<p>(b) Delay in Effective Date and Repeal of Certain Bipartisan Budget<br \/>\nAct of 2013 Amendments.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Applicability.&gt;&gt; Repeal.&#8211;Effective as of<br \/>\nSeptember 30, 2017, subsection (b) of section 202 of the<br \/>\nBipartisan Budget Act of 2013 (Public Law 113-67; 127 Stat.<br \/>\n1177; 42 U.S.C. 1396a note) (including<\/p>\n<p>[[Page 132 STAT. 299]]<\/p>\n<p>any amendments made by such subsection) &lt;&lt;NOTE: 42 USC 1396a and<br \/>\nnote, 1396k, 1396p.&gt;&gt; is repealed and the provisions amended by<br \/>\nsuch subsection shall be applied and administered as if such<br \/>\namendments had never been enacted.<br \/>\n(2) Delay in effective date.&#8211;Subsection (c) of section 202<br \/>\nof the Bipartisan Budget Act of 2013 (Public Law 113-67; 127<br \/>\nStat. 1177; 42 U.S.C. 1396a note) is amended to read as follows:<\/p>\n<p>&#8220;(c) &lt;&lt;NOTE: 42 USC 1396a note.&gt;&gt; Effective Date.&#8211;The amendments<br \/>\nmade by subsection (a) shall take effect on October 1, 2019.&#8221;.<br \/>\n(3) &lt;&lt;NOTE: Applicability.&gt;&gt; Effective date; treatment.&#8211;The<br \/>\nrepeal and amendment made by this subsection shall take effect<br \/>\nas if enacted on September 30, 2017, and shall apply with<br \/>\nrespect to any open claims, including claims pending, generated,<br \/>\nor filed, after such date. The amendments made by subsections<br \/>\n(a) and (b) of section 202 of the Bipartisan Budget Act of 2013<br \/>\n(Public Law 113-67; 127 Stat. 1177; 42 U.S.C. 1396a note) that<br \/>\ntook effect on October 1, 2017, are null and void and section<br \/>\n1902(a)(25) of the Social Security Act (42 U.S.C. 1396a(a)(25))<br \/>\nshall be applied and administered as if such amendments had not<br \/>\ntaken effect on such date.<\/p>\n<p>(c) GAO Study and Report.&#8211;Not later than 18 months after the date<br \/>\nof enactment of this Act, the Comptroller General of the United States<br \/>\nshall submit a report to the Committee on Energy and Commerce of the<br \/>\nHouse of Representatives and the Committee on Finance of the Senate on<br \/>\nthe impacts of the amendments made by subsections (a)(1) and (b)(2),<br \/>\nincluding&#8211;<br \/>\n(1) the impact, or potential effect, of such amendments on<br \/>\naccess to prenatal and preventive pediatric care (including<br \/>\nearly and periodic screening, diagnostic, and treatment<br \/>\nservices) covered under State plans under such title (or waivers<br \/>\nof such plans);<br \/>\n(2) the impact, or potential effect, of such amendments on<br \/>\naccess to services covered under such plans or waivers for<br \/>\nindividuals on whose behalf child support enforcement is being<br \/>\ncarried out by a State agency under part D of title IV of such<br \/>\nAct; and<br \/>\n(3) the impact, or potential effect, on providers of<br \/>\nservices under such plans or waivers of delays in payment or<br \/>\nrelated issues that result from such amendments.<\/p>\n<p>(d) Application to CHIP.&#8211;<br \/>\n(1) In general.&#8211;Section 2107(e)(1) of the Social Security<br \/>\nAct (42 U.S.C. 1397gg(e)(1)) is amended&#8211;<br \/>\n(A) by redesignating subparagraphs (B) through (R)<br \/>\nas subparagraphs (C) through (S), respectively; and<br \/>\n(B) by inserting after subparagraph (A) the<br \/>\nfollowing new subparagraph:<br \/>\n&#8220;(B) Section 1902(a)(25) (relating to third party<br \/>\nliability).&#8221;.<br \/>\n(2) Mandatory reporting.&#8211;Section 1902(a)(25)(I)(i) of the<br \/>\nSocial Security Act (42 U.S.C. 1396a(a)(25)(I)(i)) is amended&#8211;<br \/>\n(A) by striking &#8220;medical assistance under the State<br \/>\nplan&#8221; and inserting &#8220;medical assistance under a State<br \/>\nplan (or under a waiver of the plan)&#8221;;<br \/>\n(B) by striking &#8220;(and, at State option, child&#8221; and<br \/>\ninserting &#8220;and child&#8221;; and<br \/>\n(C) by striking &#8220;title XXI)&#8221; and inserting &#8220;title<br \/>\nXXI&#8221;.<\/p>\n<p>[[Page 132 STAT. 300]]<\/p>\n<p>SEC. 53103. &lt;&lt;NOTE: 42 USC 1396a note.&gt;&gt; TREATMENT OF LOTTERY<br \/>\nWINNINGS AND OTHER LUMP-SUM INCOME FOR<br \/>\nPURPOSES OF INCOME ELIGIBILITY UNDER<br \/>\nMEDICAID.<\/p>\n<p>(a) In General.&#8211;Section 1902 of the Social Security Act (42 U.S.C.<br \/>\n1396a) is amended&#8211;<br \/>\n(1) in subsection (a)(17), by striking &#8220;(e)(14), (e)(14)&#8221;<br \/>\nand inserting &#8220;(e)(14), (e)(15)&#8221;; and<br \/>\n(2) in subsection (e)(14), by adding at the end the<br \/>\nfollowing new subparagraph:<br \/>\n&#8220;(K) Treatment of certain lottery winnings and<br \/>\nincome received as a lump sum.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Determination. Time<br \/>\nperiods.&gt;&gt; In general.&#8211;In the case of an<br \/>\nindividual who is the recipient of qualified<br \/>\nlottery winnings (pursuant to lotteries occurring<br \/>\non or after January 1, 2018) or qualified lump sum<br \/>\nincome (received on or after such date) and whose<br \/>\neligibility for medical assistance is determined<br \/>\nbased on the application of modified adjusted<br \/>\ngross income under subparagraph (A), a State<br \/>\nshall, in determining such eligibility, include<br \/>\nsuch winnings or income (as applicable) as income<br \/>\nreceived&#8211;<br \/>\n&#8220;(I) in the month in which such<br \/>\nwinnings or income (as applicable) is<br \/>\nreceived if the amount of such winnings<br \/>\nor income is less than $80,000;<br \/>\n&#8220;(II) over a period of 2 months if<br \/>\nthe amount of such winnings or income<br \/>\n(as applicable) is greater than or equal<br \/>\nto $80,000 but less than $90,000;<br \/>\n&#8220;(III) over a period of 3 months if<br \/>\nthe amount of such winnings or income<br \/>\n(as applicable) is greater than or equal<br \/>\nto $90,000 but less than $100,000; and<br \/>\n&#8220;(IV) over a period of 3 months<br \/>\nplus 1 additional month for each<br \/>\nincrement of $10,000 of such winnings or<br \/>\nincome (as applicable) received, not to<br \/>\nexceed a period of 120 months (for<br \/>\nwinnings or income of $1,260,000 or<br \/>\nmore), if the amount of such winnings or<br \/>\nincome is greater than or equal to<br \/>\n$100,000.<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Applicability.&gt;&gt; Counting in<br \/>\nequal installments.&#8211;For purposes of subclauses<br \/>\n(II), (III), and (IV) of clause (i), winnings or<br \/>\nincome to which such subclause applies shall be<br \/>\ncounted in equal monthly installments over the<br \/>\nperiod of months specified under such subclause.<br \/>\n&#8220;(iii) &lt;&lt;NOTE: Determination.&gt;&gt; Hardship<br \/>\nexemption.&#8211;An individual whose income, by<br \/>\napplication of clause (i), exceeds the applicable<br \/>\neligibility threshold established by the State,<br \/>\nshall continue to be eligible for medical<br \/>\nassistance to the extent that the State<br \/>\ndetermines, under procedures established by the<br \/>\nState (in accordance with standards specified by<br \/>\nthe Secretary), that the denial of eligibility of<br \/>\nthe individual would cause an undue medical or<br \/>\nfinancial hardship as determined on the basis of<br \/>\ncriteria established by the Secretary.<br \/>\n&#8220;(iv) Notifications and assistance required<br \/>\nin case of loss of eligibility.&#8211;A State shall,<br \/>\nwith respect to an individual who loses<br \/>\neligibility for medical<\/p>\n<p>[[Page 132 STAT. 301]]<\/p>\n<p>assistance under the State plan (or a waiver of<br \/>\nsuch plan) by reason of clause (i)&#8211;<br \/>\n&#8220;(I) before the date on which the<br \/>\nindividual loses such eligibility,<br \/>\ninform the individual&#8211;<br \/>\n&#8220;(aa) of the individual&#8217;s<br \/>\nopportunity to enroll in a<br \/>\nqualified health plan offered<br \/>\nthrough an Exchange established<br \/>\nunder title I of the Patient<br \/>\nProtection and Affordable Care<br \/>\nAct during the special<br \/>\nenrollment period specified in<br \/>\nsection 9801(f)(3) of the<br \/>\nInternal Revenue Code of 1986<br \/>\n(relating to loss of Medicaid or<br \/>\nCHIP coverage); and<br \/>\n&#8220;(bb) of the date on which<br \/>\nthe individual would no longer<br \/>\nbe considered ineligible by<br \/>\nreason of clause (i) to receive<br \/>\nmedical assistance under the<br \/>\nState plan or under any waiver<br \/>\nof such plan and be eligible to<br \/>\nreapply to receive such medical<br \/>\nassistance; and<br \/>\n&#8220;(II) provide technical assistance<br \/>\nto the individual seeking to enroll in<br \/>\nsuch a qualified health plan.<br \/>\n&#8220;(v) Qualified lottery winnings defined.&#8211;In<br \/>\nthis subparagraph, the term `qualified lottery<br \/>\nwinnings&#8217; means winnings from a sweepstakes,<br \/>\nlottery, or pool described in paragraph (3) of<br \/>\nsection 4402 of the Internal Revenue Code of 1986<br \/>\nor a lottery operated by a multistate or<br \/>\nmultijurisdictional lottery association, including<br \/>\namounts awarded as a lump sum payment.<br \/>\n&#8220;(vi) Qualified lump sum income defined.&#8211;In<br \/>\nthis subparagraph, the term `qualified lump sum<br \/>\nincome&#8217; means income that is received as a lump<br \/>\nsum from monetary winnings from gambling (as<br \/>\ndefined by the Secretary and including gambling<br \/>\nactivities described in section 1955(b)(4) of<br \/>\ntitle 18, United States Code).&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 1396a note.&gt;&gt; Rules of Construction.&#8211;<br \/>\n(1) Interception of lottery winnings allowed.&#8211;Nothing in<br \/>\nthe amendment made by subsection (a)(2) shall be construed as<br \/>\npreventing a State from intercepting the State lottery winnings<br \/>\nawarded to an individual in the State to recover amounts paid by<br \/>\nthe State under the State Medicaid plan under title XIX of the<br \/>\nSocial Security Act (42 U.S.C. 1396 et seq.) for medical<br \/>\nassistance furnished to the individual.<br \/>\n(2) Applicability limited to eligibility of recipient of<br \/>\nlottery winnings or lump sum income.&#8211;Nothing in the amendment<br \/>\nmade by subsection (a)(2) shall be construed, with respect to a<br \/>\ndetermination of household income for purposes of a<br \/>\ndetermination of eligibility for medical assistance under the<br \/>\nState plan under title XIX of the Social Security Act (42 U.S.C.<br \/>\n1396 et seq.) (or a waiver of such plan) made by applying<br \/>\nmodified adjusted gross income under subparagraph (A) of section<br \/>\n1902(e)(14) of such Act (42 U.S.C. 1396a(e)(14)), as limiting<br \/>\nthe eligibility for such medical assistance of any individual<br \/>\nthat is a member of the household other than the individual who<br \/>\nreceived qualified lottery winnings or qualified lump-sum<\/p>\n<p>[[Page 132 STAT. 302]]<\/p>\n<p>income (as defined in subparagraph (K) of such section<br \/>\n1902(e)(14), as added by subsection (a)(2) of this section).<br \/>\nSEC. 53104. REBATE OBLIGATION WITH RESPECT TO LINE EXTENSION<br \/>\nDRUGS.<\/p>\n<p>(a) In General.&#8211;Section 1927(c)(2)(C) of the Social Security Act<br \/>\n(42 U.S.C. 1396r-8(c)(2)(C)) is amended by striking &#8220;(C) treatment of<br \/>\nnew formulations.&#8211;In the case&#8221; and all that follows through the period<br \/>\nat the end of the first sentence and inserting the following:<br \/>\n&#8220;(C) Treatment of new formulations.&#8211;<br \/>\n&#8220;(i) In general.&#8211;In the case of a drug that<br \/>\nis a line extension of a single source drug or an<br \/>\ninnovator multiple source drug that is an oral<br \/>\nsolid dosage form, the rebate obligation for a<br \/>\nrebate period with respect to such drug under this<br \/>\nsubsection shall be the greater of the amount<br \/>\ndescribed in clause (ii) for such drug or the<br \/>\namount described in clause (iii) for such drug.<br \/>\n&#8220;(ii) Amount 1.&#8211;For purposes of clause (i),<br \/>\nthe amount described in this clause with respect<br \/>\nto a drug described in clause (i) and rebate<br \/>\nperiod is the amount computed under paragraph (1)<br \/>\nfor such drug, increased by the amount computed<br \/>\nunder subparagraph (A) and, as applicable,<br \/>\nsubparagraph (B) for such drug and rebate period.<br \/>\n&#8220;(iii) Amount 2.&#8211;For purposes of clause (i),<br \/>\nthe amount described in this clause with respect<br \/>\nto a drug described in clause (i) and rebate<br \/>\nperiod is the amount computed under paragraph (1)<br \/>\nfor such drug, increased by the product of&#8211;<br \/>\n&#8220;(I) the average manufacturer price<br \/>\nfor the rebate period of the line<br \/>\nextension of a single source drug or an<br \/>\ninnovator multiple source drug that is<br \/>\nan oral solid dosage form;<br \/>\n&#8220;(II) the highest additional rebate<br \/>\n(calculated as a percentage of average<br \/>\nmanufacturer price) under this paragraph<br \/>\nfor the rebate period for any strength<br \/>\nof the original single source drug or<br \/>\ninnovator multiple source drug; and<br \/>\n&#8220;(III) the total number of units of<br \/>\neach dosage form and strength of the<br \/>\nline extension product paid for under<br \/>\nthe State plan in the rebate period (as<br \/>\nreported by the State).&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: Applicability. 42 USC 1396r-8 note.&gt;&gt; Effective Date.&#8211;<br \/>\nThe amendments made subsection (a) shall apply with respect to rebate<br \/>\nperiods beginning on or after October 1, 2018.<br \/>\nSEC. 53105. MEDICAID IMPROVEMENT FUND.<\/p>\n<p>Section 1941(b) of the Social Security Act (42 U.S.C. 1396w-1(b)) is<br \/>\namended&#8211;<br \/>\n(1) in paragraph (1), by striking &#8220;$5,000,000&#8221; and<br \/>\ninserting &#8220;$0&#8221;; and<br \/>\n(2) in paragraph (3)(A), by striking &#8220;$980,000,000&#8221; and<br \/>\ninserting &#8220;$0&#8221;.<\/p>\n<p>[[Page 132 STAT. 303]]<\/p>\n<p>SEC. 53106. PHYSICIAN FEE SCHEDULE UPDATE.<\/p>\n<p>Section 1848(d)(18) of the Social Security Act (42 U.S.C. 1395w-<br \/>\n4(d)(18)) is amended by striking &#8220;paragraph (1)(C)&#8221; and all that<br \/>\nfollows and inserting the following: &#8220;paragraph (1)(C)&#8211;<br \/>\n&#8220;(A) for 2016 and each subsequent year through 2018<br \/>\nshall be 0.5 percent; and<br \/>\n&#8220;(B) for 2019 shall be 0.25 percent.&#8221;.<br \/>\nSEC. 53107. PAYMENT FOR OUTPATIENT PHYSICAL THERAPY SERVICES AND<br \/>\nOUTPATIENT OCCUPATIONAL THERAPY<br \/>\nSERVICES FURNISHED BY A THERAPY<br \/>\nASSISTANT.<\/p>\n<p>Section 1834 of the Social Security Act (42 U.S.C. 1395m) is amended<br \/>\nby adding at the end the following new subsection:<br \/>\n&#8220;(v) Payment for Outpatient Physical Therapy Services and<br \/>\nOutpatient Occupational Therapy Services Furnished by a Therapy<br \/>\nAssistant.&#8211;<br \/>\n&#8220;(1) &lt;&lt;NOTE: Time period.&gt;&gt; In general.&#8211;In the case of an<br \/>\noutpatient physical therapy service or outpatient occupational<br \/>\ntherapy service furnished on or after January 1, 2022, for which<br \/>\npayment is made under section 1848 or subsection (k), that is<br \/>\nfurnished in whole or in part by a therapy assistant (as defined<br \/>\nby the Secretary), the amount of payment for such service shall<br \/>\nbe an amount equal to 85 percent of the amount of payment<br \/>\notherwise applicable for the service under this part. Nothing in<br \/>\nthe preceding sentence shall be construed to change applicable<br \/>\nrequirements with respect to such services.<br \/>\n&#8220;(2) Use of modifier.&#8211;<\/p>\n<p>&#8220;(A) &lt;&lt;NOTE: Deadline.&gt;&gt; &lt;&lt;NOTE: Notice. Regulation.&gt;&gt;<br \/>\nEstablishment.&#8211;Not later than January 1, 2019, the<br \/>\nSecretary shall establish a modifier to indicate (in a<br \/>\nform and manner specified by the Secretary), in the case<br \/>\nof an outpatient physical therapy service or outpatient<br \/>\noccupational therapy service furnished in whole or in<br \/>\npart by a therapy assistant (as so defined), that the<br \/>\nservice was furnished by a therapy assistant.<br \/>\n&#8220;(B) Required use.&#8211;Each request for payment, or<br \/>\nbill submitted, for an outpatient physical therapy<br \/>\nservice or outpatient occupational therapy service<br \/>\nfurnished in whole or in part by a therapy assistant (as<br \/>\nso defined) on or after January 1, 2020, shall include<br \/>\nthe modifier established under subparagraph (A) for each<br \/>\nsuch service.<br \/>\n&#8220;(3) &lt;&lt;NOTE: Notice. Regulation.&gt;&gt; Implementation.&#8211;The<br \/>\nSecretary shall implement this subsection through notice and<br \/>\ncomment rulemaking.&#8221;.<br \/>\nSEC. 53108. REDUCTION FOR NON-EMERGENCY ESRD AMBULANCE TRANSPORTS.<\/p>\n<p>Section 1834(l)(15) of the Social Security Act (42. U.S.C.<br \/>\n1395m(l)(15)) is amended by striking &#8220;on or after October 1, 2013&#8221; and<br \/>\ninserting &#8220;during the period beginning on October 1, 2013, and ending<br \/>\non September 30, 2018, and by 23 percent for such services furnished on<br \/>\nor after October 1, 2018&#8221;.<br \/>\nSEC. 53109. HOSPITAL TRANSFER POLICY FOR EARLY DISCHARGES TO<br \/>\nHOSPICE CARE.<\/p>\n<p>(a) In General.&#8211;Section 1886(d)(5)(J) of the Social Security Act<br \/>\n(42 U.S.C. 1395ww(d)(5)(J)) is amended&#8211;<br \/>\n(1) in clause (ii)&#8211;<br \/>\n(A) in subclause (III), by striking &#8220;or&#8221; at the<br \/>\nend;<\/p>\n<p>[[Page 132 STAT. 304]]<\/p>\n<p>(B) by redesignating subclause (IV) as subclause<br \/>\n(V); and<br \/>\n(C) by inserting after subclause (III) the following<br \/>\nnew subclause:<br \/>\n&#8220;(IV) for discharges occurring on or after October 1, 2018,<br \/>\nis provided hospice care by a hospice program; or&#8221;; and<br \/>\n(2) in clause (iv)&#8211;<br \/>\n(A) by inserting after the first sentence the<br \/>\nfollowing new sentence: &#8220;The Secretary shall include in<br \/>\nthe proposed rule published for fiscal year 2019, a<br \/>\ndescription of the effect of clause (ii)(IV).&#8221;; and<br \/>\n(B) in subclause (I), by striking &#8220;and (III)&#8221; and<br \/>\ninserting &#8220;(III), and, in the case of proposed and<br \/>\nfinal rules for fiscal year 2019 and subsequent fiscal<br \/>\nyears, (IV)&#8221;.<\/p>\n<p>(b) MedPAC Evaluation and Report.&#8211;<br \/>\n(1) Evaluation.&#8211;The Medicare Payment Advisory Commission<br \/>\n(in this subsection referred to as the &#8220;Commission&#8221;) shall<br \/>\nconduct an evaluation of the effects of the amendments made by<br \/>\nsubsection (a), including the effects on&#8211;<br \/>\n(A) the numbers of discharges of patients from an<br \/>\ninpatient hospital setting to a hospice program;<br \/>\n(B) the lengths of stays of patients in an inpatient<br \/>\nhospital setting who are discharged to a hospice<br \/>\nprogram;<br \/>\n(C) spending under the Medicare program under title<br \/>\nXVIII of the Social Security Act; and<br \/>\n(D) other areas determined appropriate by the<br \/>\nCommission.<br \/>\n(2) Consideration.&#8211;In conducting the evaluation under<br \/>\nparagraph (1), the Commission shall consider factors such as<br \/>\nwhether the timely access to hospice care by patients admitted<br \/>\nto a hospital has been affected through changes to hospital<br \/>\npolicies or behaviors made as a result of such amendments.<br \/>\n(3) &lt;&lt;NOTE: Deadline.&gt;&gt; Preliminary results.&#8211;Not later<br \/>\nthan March 15, 2020, the Commission shall provide Congress with<br \/>\npreliminary results on the evaluation being conducted under<br \/>\nparagraph (1).<br \/>\n(4) Report.&#8211;Not later than March 15, 2021, the Commission<br \/>\nshall submit to Congress a report on the evaluation conducted<br \/>\nunder paragraph (1).<br \/>\nSEC. 53110. MEDICARE PAYMENT UPDATE FOR HOME HEALTH SERVICES.<\/p>\n<p>Section 1895(b)(3)(B) of the Social Security Act (42 U.S.C.<br \/>\n1395fff(b)(3)(B)) is amended&#8211;<br \/>\n(1) in clause (iii), in the last sentence, by inserting<br \/>\nbefore the period at the end the following: &#8220;and for 2020 shall<br \/>\nbe 1.5 percent&#8221;; and<br \/>\n(2) in clause (vi), by inserting &#8220;and 2020&#8221; after &#8220;except<br \/>\n2018&#8221;.<br \/>\nSEC. 53111. MEDICARE PAYMENT UPDATE FOR SKILLED NURSING<br \/>\nFACILITIES.<\/p>\n<p>Section 1888(e)(5)(B) of the Social Security Act (42 U.S.C.<br \/>\n1395yy(e)(5)(B)) is amended&#8211;<br \/>\n(1) in clause (i), by striking &#8220;and (iii)&#8221; and inserting<br \/>\n&#8220;, (iii), and (iv)&#8221;;<br \/>\n(2) in clause (ii), by striking &#8220;clause (iii)&#8221; and<br \/>\ninserting &#8220;clauses (iii) and (iv)&#8221;; and<\/p>\n<p>[[Page 132 STAT. 305]]<\/p>\n<p>(3) by adding at the end the following new clause:<br \/>\n&#8220;(iv) Special rule for fiscal year 2019.&#8211;For<br \/>\nfiscal year 2019 (or other similar annual period<br \/>\nspecified in clause (i)), the skilled nursing<br \/>\nfacility market basket percentage, after<br \/>\napplication of clause (ii), is equal to 2.4<br \/>\npercent.&#8221;.<br \/>\nSEC. 53112. PREVENTING THE ARTIFICIAL INFLATION OF STAR RATINGS<br \/>\nAFTER THE CONSOLIDATION OF MEDICARE<br \/>\nADVANTAGE PLANS OFFERED BY THE SAME<br \/>\nORGANIZATION.<\/p>\n<p>Section 1853(o)(4) of the Social Security Act (42 U.S.C. 1395w-<br \/>\n23(o)(4)) is amended by adding at the end the following new<br \/>\nsubparagraph:<br \/>\n&#8220;(D) Special rule to prevent the artificial<br \/>\ninflation of star ratings after the consolidation of<br \/>\nmedicare advantage plans offered by a single<br \/>\norganization.&#8211;<br \/>\n&#8220;(i) &lt;&lt;NOTE: Contracts.&gt;&gt; In general.&#8211;If&#8211;<br \/>\n&#8220;(I) a Medicare Advantage<br \/>\norganization has entered into more than<br \/>\none contract with the Secretary with<br \/>\nrespect to the offering of Medicare<br \/>\nAdvantage plans; and<br \/>\n&#8220;(II) &lt;&lt;NOTE: Effective date.&gt;&gt; on<br \/>\nor after January 1, 2019, the Secretary<br \/>\napproves a request from the organization<br \/>\nto consolidate the plans under one or<br \/>\nmore contract (in this subparagraph<br \/>\nreferred to as a `closed contract&#8217;) with<br \/>\nthe plans offered under a separate<br \/>\ncontract (in this subparagraph referred<br \/>\nto as the `continuing contract&#8217;);<br \/>\nwith respect to the continuing contract, the<br \/>\nSecretary shall adjust the quality rating under<br \/>\nthe 5-star rating system and any quality increase<br \/>\nunder this subsection and rebate amounts under<br \/>\nsection 1854 to reflect an enrollment-weighted<br \/>\naverage of scores or ratings for the continuing<br \/>\nand closed contracts, as determined appropriate by<br \/>\nthe Secretary.<br \/>\n&#8220;(ii) Application.&#8211;An adjustment under<br \/>\nclause (i) shall apply for any year for which the<br \/>\nquality rating of the continuing contract is based<br \/>\nprimarily on a measurement period that is prior to<br \/>\nthe first year in which a closed contract is no<br \/>\nlonger offered.&#8221;.<br \/>\nSEC. 53113. SUNSETTING EXCLUSION OF BIOSIMILARS FROM MEDICARE PART<br \/>\nD COVERAGE GAP DISCOUNT PROGRAM.<\/p>\n<p>Section 1860D-14A(g)(2)(A) of the Social Security Act (42 U.S.C.<br \/>\n1395w-114a(g)(2)(A)) is amended by inserting &#8220;, with respect to a plan<br \/>\nyear before 2019,&#8221; after &#8220;other than&#8221;.<br \/>\nSEC. 53114. ADJUSTMENTS TO MEDICARE PART B AND PART D PREMIUM<br \/>\nSUBSIDIES FOR HIGHER INCOME<br \/>\nINDIVIDUALS.<\/p>\n<p>(a) In General.&#8211;Section 1839(i)(3)(C)(i) of the Social Security Act<br \/>\n(42 U.S.C. 1395r(i)(3)(C)(i)) is amended&#8211;<br \/>\n(1) in subclause (II), in the matter preceding the table, by<br \/>\nstriking &#8220;years beginning with&#8221;; and<br \/>\n(2) by adding at the end the following new subclause:<br \/>\n&#8220;(III) Subject to paragraph (5),<br \/>\nfor years beginning with 2019:<\/p>\n<p>[[Page 132 STAT. 306]]<\/p>\n<p>&#8220;If the modified adjusted gross income is:&#8230;&#8230;. The applicable<br \/>\npercentage is:<br \/>\nMore than $85,000 but not more than $107,000&#8230;&#8230; 35 percent<br \/>\nMore than $107,000 but not more than $133,500&#8230;.. 50 percent<br \/>\nMore than $133,500 but not more than $160,000&#8230;.. 65 percent<br \/>\nMore than $160,000 but less than $500,000&#8230;&#8230;&#8230; 80 percent<br \/>\nAt least $500,000&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230; 85 percent.&#8221;.<\/p>\n<p>&#8221;. (b) Joint Returns.&#8211;Section 1839(i)(3)(C)(ii) of the Social<br \/>\nSecurity Act (42 U.S.C. 1395r(i)(3)(C)(ii)) is amended by inserting<br \/>\nbefore the period the following: &lt;&lt;NOTE: Applicability.&gt;&gt; &#8220;except,<br \/>\nwith respect to the dollar amounts applied in the last row of the table<br \/>\nunder subclause (III) of such clause (and the second dollar amount<br \/>\nspecified in the second to last row of such table), clause (i) shall be<br \/>\napplied by substituting dollar amounts which are 150 percent of such<br \/>\ndollar amounts for the calendar year&#8221;.<\/p>\n<p>(c) Inflation Adjustment.&#8211;Section 1839(i)(5) of the Social Security<br \/>\nAct (42 U.S.C. 1395r(i)(5)) is amended&#8211;<br \/>\n(1) in subparagraph (A), by striking &#8220;In the case&#8221; and<br \/>\ninserting &#8220;Subject to subparagraph (C), in the case&#8221;;<br \/>\n(2) in subparagraph (B), by striking &#8220;subparagraph (A)&#8221;<br \/>\nand inserting &#8220;subparagraph (A) or (C)&#8221;; and<br \/>\n(3) by adding at the end the following new subparagraph:<br \/>\n&#8220;(C) Treatment of adjustments for certain higher<br \/>\nincome individuals.&#8211;<br \/>\n&#8220;(i) In general.&#8211;Subparagraph (A) shall not<br \/>\napply with respect to each dollar amount in<br \/>\nparagraph (3) of $500,000.<br \/>\n&#8220;(ii) &lt;&lt;NOTE: Time periods.&gt;&gt; Adjustment<br \/>\nbeginning 2028.&#8211;In the case of any calendar year<br \/>\nbeginning after 2027, each dollar amount in<br \/>\nparagraph (3) of $500,000 shall be increased by an<br \/>\namount equal to&#8211;<br \/>\n&#8220;(I) such dollar amount, multiplied<br \/>\nby<br \/>\n&#8220;(II) the percentage (if any) by<br \/>\nwhich the average of the Consumer Price<br \/>\nIndex for all urban consumers (United<br \/>\nStates city average) for the 12-month<br \/>\nperiod ending with August of the<br \/>\npreceding calendar year exceeds such<br \/>\naverage for the 12-month period ending<br \/>\nwith August 2026.&#8221;.<br \/>\nSEC. 53115. MEDICARE IMPROVEMENT FUND.<\/p>\n<p>Section 1898(b)(1) of the Social Security Act (42 U.S.C.<br \/>\n1395iii(b)(1)) is amended by striking &#8220;$220,000,000&#8221; and inserting<br \/>\n&#8220;$0&#8221;.<br \/>\nSEC. 53116. CLOSING THE DONUT HOLE FOR SENIORS.<\/p>\n<p>(a) Closing Donut Hole Sooner.&#8211;Section 1860D-2(b)(2)(D) of the<br \/>\nSocial Security Act (42 U.S.C. 1395w-102(b)(2)(D))&#8211;<br \/>\n(1) in clause (i), by amending subclause (I) to read as<br \/>\nfollows:<br \/>\n&#8220;(I) equal to the difference<br \/>\nbetween&#8211;<\/p>\n<p>[[Page 132 STAT. 307]]<\/p>\n<p>&#8220;(aa) the applicable gap<br \/>\npercentage (specified in clause<br \/>\n(ii) for the year); and<br \/>\n&#8220;(bb) the discount<br \/>\npercentage specified in section<br \/>\n1860D-14A(g)(4)(A) for such<br \/>\napplicable drugs (or, in the<br \/>\ncase of a year after 2018, 50<br \/>\npercent); or&#8221;; and<br \/>\n(2) in clause (ii)&#8211;<br \/>\n(A) in subclause (IV), by adding &#8220;and&#8221; at the end;<br \/>\n(B) by striking subclause (V); and<br \/>\n(C) in subclause (VI)&#8211;<br \/>\n(i) by striking &#8220;2020&#8221; and inserting<br \/>\n&#8220;2019&#8221;; and<br \/>\n(ii) by redesignating such subclause as<br \/>\nsubclause (V).<\/p>\n<p>(b) Lowering Discounted Price.&#8211;Section 1860D-14A(g)(4)(A) of the<br \/>\nSocial Security Act (42 U.S.C. 1395w-114a(g)(4)(A)) is amended by<br \/>\ninserting &#8220;(or, with respect to a plan year after plan year 2018, 30<br \/>\npercent)&#8221; after &#8220;50 percent&#8221;.<br \/>\nSEC. 53117. MODERNIZING CHILD SUPPORT ENFORCEMENT FEES.<\/p>\n<p>(a) In General.&#8211;Section 454(6)(B)(ii) of the Social Security Act<br \/>\n(42 U.S.C. 654(6)(B)(ii)) is amended&#8211;<br \/>\n(1) by striking &#8220;$25&#8221; and inserting &#8220;$35&#8221;; and<br \/>\n(2) by striking &#8220;$500&#8221; each place it appears and inserting<br \/>\n&#8220;$550&#8221;.<\/p>\n<p>(b) &lt;&lt;NOTE: 42 USC 654 note.&gt;&gt; Effective Date.&#8211;<br \/>\n(1) &lt;&lt;NOTE: Applicability.&gt;&gt; In general.&#8211;The amendments<br \/>\nmade by subsection (a) shall take effect on the 1st day of the<br \/>\n1st fiscal year that begins on or after the date of the<br \/>\nenactment of this Act, and shall apply to payments under part D<br \/>\nof title IV of the Social Security Act (42 U.S.C. 651 et seq.)<br \/>\nfor calendar quarters beginning on or after such 1st day.<br \/>\n(2) &lt;&lt;NOTE: Determination.&gt;&gt; Delay permitted if state<br \/>\nlegislation required.&#8211;If the Secretary of Health and Human<br \/>\nServices determines that State legislation (other than<br \/>\nlegislation appropriating funds) is required in order for a<br \/>\nState plan developed pursuant to part D of title IV of the<br \/>\nSocial Security Act (42 U.S.C. 651 et seq.) to meet the<br \/>\nrequirements imposed by the amendment made by subsection (a),<br \/>\nthe plan shall not be regarded as failing to meet such<br \/>\nrequirements before the 1st day of the 1st calendar quarter<br \/>\nbeginning after the first regular session of the State<br \/>\nlegislature that begins after the date of the enactment of this<br \/>\nAct. &lt;&lt;NOTE: Time period.&gt;&gt; For purposes of the preceding<br \/>\nsentence, if the State has a 2-year legislative session, each<br \/>\nyear of the session is deemed to be a separate regular session<br \/>\nof the State legislature.<br \/>\nSEC. 53118. INCREASING EFFICIENCY OF PRISON DATA REPORTING.<\/p>\n<p>(a) In General.&#8211;Section 1611(e)(1)(I)(i)(II) of the Social Security<br \/>\nAct (42 U.S.C. 1382(e)(1)(I)(i)(II)) is amended by striking &#8220;30 days&#8221;<br \/>\neach place it appears and inserting &#8220;15 days&#8221;.<br \/>\n(b) &lt;&lt;NOTE: Applicability. 42 USC 1382 note.&gt;&gt; Effective Date.&#8211;The<br \/>\namendments made by subsection (a) shall apply with respect to any<br \/>\npayment made by the Commissioner of Social Security pursuant to section<br \/>\n1611(e)(1)(I)(i)(II) of the Social Security Act (42 U.S.C.<br \/>\n1382(e)(1)(I)(i)(II)) (as amended by such subsection) on or after the<br \/>\ndate that is 6 months after the date of enactment of this Act.<\/p>\n<p>[[Page 132 STAT. 308]]<\/p>\n<p>SEC. 53119. PREVENTION AND PUBLIC HEALTH FUND.<\/p>\n<p>Section 4002(b) of the Patient Protection and Affordable Care Act<br \/>\n(42 U.S.C. 300u-11(b)), as amended by section 3103 of Public Law 115-96,<br \/>\nis amended by striking paragraphs (4) through (9) and inserting the<br \/>\nfollowing:<br \/>\n&#8220;(4) for fiscal year 2019, $900,000,000;<br \/>\n&#8220;(5) for each of fiscal years 2020 and 2021, $950,000,000;<br \/>\n&#8220;(6) for each of fiscal years 2022 and 2023,<br \/>\n$1,000,000,000;<br \/>\n&#8220;(7) for each of fiscal years 2024 and 2025,<br \/>\n$1,300,000,000;<br \/>\n&#8220;(8) for each of fiscal years 2026 and 2027,<br \/>\n$1,800,000,000; and<br \/>\n&#8220;(9) for fiscal year 2028 and each fiscal year thereafter,<br \/>\n$2,000,000,000.&#8221;.<\/p>\n<p>DIVISION F&#8211; &lt;&lt;NOTE: Improvements to Agriculture Programs Act of 2018. 7<br \/>\nUSC 9011 note.&gt;&gt; IMPROVEMENTS TO AGRICULTURE PROGRAMS<\/p>\n<p>Sec. 60101. (a) Treatment of Seed Cotton.&#8211;<br \/>\n(1) Designation of seed cotton as a covered commodity.&#8211;<br \/>\nSection 1111(6) of the Agricultural Act of 2014 (7 U.S.C.<br \/>\n9011(6)) is amended&#8211;<br \/>\n(A) by striking &#8220;The term&#8221; and inserting the<br \/>\nfollowing:<br \/>\n&#8220;(A) In general.&#8211;The term&#8221;; and<br \/>\n(B) by adding at the end the following:<br \/>\n&#8220;(B) &lt;&lt;NOTE: Effective date.&gt;&gt; Inclusion.&#8211;<br \/>\nEffective beginning with the 2018 crop year, the term<br \/>\n`covered commodity&#8217; includes seed cotton.&#8221;.<br \/>\n(2) Reference price for seed cotton.&#8211;Section 1111(18) of<br \/>\nthe Agricultural Act of 2014 (7 U.S.C. 9011(18)) is amended by<br \/>\nadding at the end the following:<br \/>\n&#8220;(O) For seed cotton, $0.367 per pound.&#8221;.<br \/>\n(3) Definition of seed cotton.&#8211;Section 1111 of the<br \/>\nAgricultural Act of 2014 (7 U.S.C. 9011) is amended&#8211;<br \/>\n(A) by redesignating paragraphs (20) through (24) as<br \/>\nparagraphs (21) through (25), respectively; and<br \/>\n(B) by inserting after paragraph (19) the following:<br \/>\n&#8220;(20) Seed cotton.&#8211;The term `seed cotton&#8217; means unginned<br \/>\nupland cotton that includes both lint and seed.&#8221;.<br \/>\n(4) Payment yield.&#8211;Section 1113 of the Agricultural Act of<br \/>\n2014 (7 U.S.C. 9013) is amended by adding at the end the<br \/>\nfollowing:<\/p>\n<p>&#8220;(e) Payment Yield for Seed Cotton.&#8211;<br \/>\n&#8220;(1) Payment yield.&#8211;Subject to paragraph (2), the payment<br \/>\nyield for seed cotton for a farm shall be equal to 2.4 times the<br \/>\npayment yield for upland cotton for the farm established under<br \/>\nsection 1104(e)(3) of the Food, Conservation, and Energy Act of<br \/>\n2008 (7 U.S.C. 8714(e)(3)) (as in effect on September 30, 2013).<br \/>\n&#8220;(2) Update.&#8211;At the sole discretion of the owner of a farm<br \/>\nwith a yield for upland cotton described in paragraph (1), the<br \/>\nowner of the farm shall have a 1-time opportunity to update the<br \/>\npayment yield for upland cotton for the farm, as provided in<br \/>\nsubsection (d), for the purpose of calculating the payment yield<br \/>\nfor seed cotton under paragraph (1).&#8221;.<br \/>\n(5) Payment acres.&#8211;Section 1114(b) of the Agricultural Act<br \/>\nof 2014 (7 U.S.C. 9014(b)) is amended by adding at the end the<br \/>\nfollowing:<\/p>\n<p>[[Page 132 STAT. 309]]<\/p>\n<p>&#8220;(4) Seed cotton.&#8211;<br \/>\n&#8220;(A) &lt;&lt;NOTE: Deadline.&gt;&gt; In general.&#8211;Not later<br \/>\nthan 90 days after the date of enactment of this<br \/>\nparagraph, the Secretary shall require the owner of a<br \/>\nfarm to allocate all generic base acres on the farm<br \/>\nunder subparagraph (B) or (C), or both.<br \/>\n&#8220;(B) No recent history of covered commodities.&#8211;In<br \/>\nthe case of a farm on which no covered commodities<br \/>\n(including seed cotton) were planted or were prevented<br \/>\nfrom being planted at any time during the 2009 through<br \/>\n2016 crop years, the owner of such farm shall allocate<br \/>\ngeneric base acres on the farm to unassigned crop base<br \/>\nfor which no payments may be made under section 1116 or<br \/>\n1117.<br \/>\n&#8220;(C) Recent history of covered commodities.&#8211;In the<br \/>\ncase of a farm not described in subparagraph (B), the<br \/>\nowner of such farm shall allocate generic base acres on<br \/>\nthe farm&#8211;<br \/>\n&#8220;(i) subject to subparagraph (D), to seed<br \/>\ncotton base acres in a quantity equal to the<br \/>\ngreater of&#8211;<br \/>\n&#8220;(I) 80 percent of the generic base<br \/>\nacres on the farm; or<br \/>\n&#8220;(II) the average number of seed<br \/>\ncotton acres planted or prevented from<br \/>\nbeing planted on the farm during the<br \/>\n2009 through 2012 crop years (not to<br \/>\nexceed the total generic base acres on<br \/>\nthe farm); or<br \/>\n&#8220;(ii) to base acres for covered commodities<br \/>\n(including seed cotton), by applying subparagraphs<br \/>\n(B), (D), (E), and (F) of section 1112(a)(3).<br \/>\n&#8220;(D) Treatment of residual generic base acres.&#8211;In<br \/>\nthe case of a farm on which generic base acres are<br \/>\nallocated under subparagraph (C)(i), the residual<br \/>\ngeneric base acres shall be allocated to unassigned crop<br \/>\nbase for which no payments may be made under section<br \/>\n1116 or 1117.<br \/>\n&#8220;(E) Effect of failure to allocate.&#8211;In the case of<br \/>\na farm not described in subparagraph (B) for which the<br \/>\nowner of the farm fails to make an election under<br \/>\nsubparagraph (C), the owner of the farm shall be deemed<br \/>\nto have elected to allocate all generic base acres in<br \/>\naccordance with subparagraph (C)(i).&#8221;.<br \/>\n(6) Recordkeeping regarding unassigned crop base.&#8211;Section<br \/>\n1114 of the Agricultural Act of 2014 (7 U.S.C. 9014) is amended<br \/>\nby adding at the end the following:<\/p>\n<p>&#8220;(f) Unassigned Crop Base.&#8211;The Secretary shall maintain<br \/>\ninformation on generic base acres on a farm allocated as unassigned crop<br \/>\nbase under subsection (b)(4).&#8221;.<br \/>\n(7) Special election period for price loss coverage or<br \/>\nagriculture risk coverage.&#8211;Section 1115 of the Agricultural Act<br \/>\nof 2014 (7 U.S.C. 9015) is amended&#8211;<br \/>\n(A) in subsection (a), by striking &#8220;For&#8221; and<br \/>\ninserting &#8220;Except as provided in subsection (g), for&#8221;;<br \/>\nand<br \/>\n(B) by adding at the end the following:<\/p>\n<p>&#8220;(g) Special Election.&#8211;<br \/>\n&#8220;(1) In general.&#8211;In the case of acres allocated to seed<br \/>\ncotton on a farm, all of the producers on the farm shall be<br \/>\ngiven the opportunity to make a new 1-time election under<\/p>\n<p>[[Page 132 STAT. 310]]<\/p>\n<p>subsection (a) to reflect the designation of seed cotton as a<br \/>\ncovered commodity for that crop year under section 1111(6)(B).<br \/>\n&#8220;(2) Effect of failure to make unanimous election.&#8211;If all<br \/>\nthe producers on a farm fail to make a unanimous election under<br \/>\nparagraph (1), the producers on the farm shall be deemed to have<br \/>\nelected price loss coverage under section 1116 for acres<br \/>\nallocated on the farm to seed cotton.&#8221;.<br \/>\n(8) Effective price.&#8211;Section 1116 of the Agricultural Act<br \/>\nof 2014 (7 U.S.C. 9016) is amended by adding at the end the<br \/>\nfollowing:<\/p>\n<p>&#8220;(h) Effective Price for Seed Cotton.&#8211;<br \/>\n&#8220;(1) In general.&#8211;The effective price for seed cotton under<br \/>\nsubsection (b) shall be equal to the marketing year average<br \/>\nprice for seed cotton, as calculated under paragraph (2).<br \/>\n&#8220;(2) Calculation.&#8211;The marketing year average price for<br \/>\nseed cotton for a crop year shall be equal to the quotient<br \/>\nobtained by dividing&#8211;<br \/>\n&#8220;(A) the sum obtained by adding&#8211;<br \/>\n&#8220;(i) the product obtained by multiplying&#8211;<br \/>\n&#8220;(I) the upland cotton lint<br \/>\nmarketing year average price; and<br \/>\n&#8220;(II) the total United States<br \/>\nupland cotton lint production, measured<br \/>\nin pounds; and<br \/>\n&#8220;(ii) the product obtained by multiplying&#8211;<br \/>\n&#8220;(I) the cottonseed marketing year<br \/>\naverage price; and<br \/>\n&#8220;(II) the total United States<br \/>\ncottonseed production, measured in<br \/>\npounds; by<br \/>\n&#8220;(B) the sum obtained by adding&#8211;<br \/>\n&#8220;(i) the total United States upland cotton<br \/>\nlint production, measured in pounds; and<br \/>\n&#8220;(ii) the total United States cottonseed<br \/>\nproduction, measured in pounds.&#8221;.<br \/>\n(9) Deemed loan rate for seed cotton.&#8211;Section 1202 of the<br \/>\nAgricultural Act of 2014 (7 U.S.C. 9032) is amended by adding at<br \/>\nthe end the following:<\/p>\n<p>&#8220;(c) Seed Cotton.&#8211;<br \/>\n&#8220;(1) In general.&#8211;For purposes of section 1116(b)(2) and<br \/>\nparagraphs (1)(B)(ii) and (2)(A)(ii)(II) of section 1117(b), the<br \/>\nloan rate for seed cotton shall be deemed to be equal to $0.25<br \/>\nper pound.<br \/>\n&#8220;(2) Effect.&#8211;Nothing in this subsection authorizes any<br \/>\nnonrecourse marketing assistance loan under this subtitle for<br \/>\nseed cotton.&#8221;.<br \/>\n(10) Limitation on stacked income protection plan for<br \/>\nproducers of upland cotton.&#8211;Section 508B of the Federal Crop<br \/>\nInsurance Act (7 U.S.C. 1508b) is amended by adding at the end<br \/>\nthe following:<\/p>\n<p>&#8220;(f) &lt;&lt;NOTE: Effective date.&gt;&gt; Limitation.&#8211;Effective beginning<br \/>\nwith the 2019 crop year, a farm shall not be eligible for the Stacked<br \/>\nIncome Protection Plan for upland cotton for a crop year for which the<br \/>\nfarm is enrolled in coverage for seed cotton under&#8211;<br \/>\n&#8220;(1) price loss coverage under section 1116 of the<br \/>\nAgricultural Act of 2014 (7 U.S.C. 9016); or<br \/>\n&#8220;(2) agriculture risk coverage under section 1117 of that<br \/>\nAct (7 U.S.C. 9017).&#8221;.<\/p>\n<p>[[Page 132 STAT. 311]]<\/p>\n<p>(11) Technical correction.&#8211;Section 1114(b)(2) of the<br \/>\nAgricultural Act of 2014 (7 U.S.C. 9014(b)(2)) is amended by<br \/>\nstriking &#8220;paragraphs (1)(B) and (2)(B)&#8221; and inserting<br \/>\n&#8220;paragraphs (1) and (2)&#8221;.<br \/>\n(12) &lt;&lt;NOTE: 7 USC 9011 note.&gt;&gt; Administration.&#8211;The<br \/>\nSecretary of Agriculture shall carry out the amendments made by<br \/>\nthis subsection in accordance with section 1601 of the<br \/>\nAgricultural Act of 2014 (7 U.S.C. 9091).<br \/>\n(13) &lt;&lt;NOTE: Applicability. Effective date. 7 USC 9011<br \/>\nnote.&gt;&gt; Application.&#8211;Except as provided in paragraph (10), the<br \/>\namendments made by this subsection shall apply beginning with<br \/>\nthe 2018 crop year.<\/p>\n<p>(b) Margin Protection Program for Dairy Producers.&#8211;<br \/>\n(1) Monthly calculation of actual dairy production margin.&#8211;<br \/>\n(A) Definitions.&#8211;Section 1401 of the Agricultural<br \/>\nAct of 2014 (7 U.S.C. 9051) is amended&#8211;<br \/>\n(i) by striking paragraph (4); and<br \/>\n(ii) by redesignating paragraphs (5) through<br \/>\n(11) as paragraphs (4) through (10), respectively.<br \/>\n(B) Calculation of actual dairy production margin.&#8211;<br \/>\nSection 1402(b)(1) of the Agricultural Act of 2014 (7<br \/>\nU.S.C. 9052(b)(1)) is amended by striking &#8220;consecutive<br \/>\n2-month period&#8221; each place it appears and inserting<br \/>\n&#8220;month&#8221;.<br \/>\n(C) Margin protection payments.&#8211;Section 1406 of the<br \/>\nAgricultural Act of 2014 (7 U.S.C. 9056) is amended&#8211;<br \/>\n(i) by striking &#8220;consecutive 2-month period&#8221;<br \/>\neach place it appears and inserting &#8220;month&#8221;; and<br \/>\n(ii) in subsection (c)(2)(B), by striking<br \/>\n&#8220;6&#8221; and inserting &#8220;12&#8221;.<br \/>\n(2) Participation of dairy operations in margin protection<br \/>\nprogram.&#8211;Section 1404 of the Agricultural Act of 2014 (7 U.S.C.<br \/>\n9054) is amended&#8211;<br \/>\n(A) in subsection (b)&#8211;<br \/>\n(i) in paragraph (1), by inserting &#8220;,<br \/>\nincluding the establishment of a date each<br \/>\ncalendar year by which a dairy operation shall<br \/>\nregister for the calendar year&#8221; before the period<br \/>\nat the end;<br \/>\n(ii) by redesignating paragraphs (2) and (3)<br \/>\nas paragraphs (3) and (4), respectively; and<br \/>\n(iii) by inserting after paragraph (1) the<br \/>\nfollowing:<br \/>\n&#8220;(2) Extension of election period for 2018 calendar year.&#8211;<br \/>\n&lt;&lt;NOTE: Deadline. Determination.&gt;&gt; The Secretary shall extend<br \/>\nthe election period for the 2018 calendar year by not less than<br \/>\n90 days after the date of enactment of the Bipartisan Budget Act<br \/>\nof 2018 or such additional period as the Secretary determines is<br \/>\nnecessary for dairy operations to make new elections to<br \/>\nparticipate for that calendar year, including dairy operations<br \/>\nthat elected to so participate before that date of enactment.&#8221;;<br \/>\nand<br \/>\n(B) in subsection (c), by adding at the end the<br \/>\nfollowing:<br \/>\n&#8220;(4) Exemption.&#8211;A limited resource, beginning, veteran, or<br \/>\nsocially disadvantaged farmer, as defined by the Secretary,<br \/>\nshall be exempt from the administrative fee under this<br \/>\nsubsection.&#8221;.<br \/>\n(3) Production history of participating dairy operations.&#8211;<br \/>\nSection 1405(a) of the Agricultural Act of 2014 (7 U.S.C.<br \/>\n9055(a)) is amended by adding at the end the following:<\/p>\n<p>[[Page 132 STAT. 312]]<\/p>\n<p>&#8220;(3) Continued applicability of base production history.&#8211;A<br \/>\nproduction history established for a dairy operation under<br \/>\nparagraph (1) shall be the base production history for the dairy<br \/>\noperation in subsequent years (as adjusted under paragraph<br \/>\n(2)).&#8221;.<br \/>\n(4) Premiums for margin protection program.&#8211;Section 1407 of<br \/>\nthe Agricultural Act of 2014 (7 U.S.C. 9057) is amended&#8211;<br \/>\n(A) in subsection (b)&#8211;<br \/>\n(i) by striking the subsection heading and<br \/>\ninserting the following: &#8220;Tier I: Premium Per<br \/>\nHundredweight for First 5,000,000 Pounds of<br \/>\nProduction.&#8211;&#8221;;<br \/>\n(ii) in paragraph (1), by striking<br \/>\n&#8220;4,000,000&#8221; and inserting &#8220;5,000,000&#8221;; and<br \/>\n(iii) in paragraph (2)&#8211;<br \/>\n(I) by striking &#8220;$0.010&#8221; and<br \/>\ninserting &#8220;None&#8221;;<br \/>\n(II) by striking &#8220;$0.025&#8221; and<br \/>\ninserting &#8220;None&#8221;;<br \/>\n(III) by striking &#8220;$0.040&#8221; and<br \/>\ninserting &#8220;$0.009&#8221;;<br \/>\n(IV) by striking &#8220;$0.055&#8221; and<br \/>\ninserting &#8220;$0.016&#8221;;<br \/>\n(V) by striking &#8220;$0.090&#8221; and<br \/>\ninserting &#8220;$0.040&#8221;;<br \/>\n(VI) by striking &#8220;$0.217&#8221; and<br \/>\ninserting &#8220;$0.063&#8221;;<br \/>\n(VII) by striking &#8220;$0.300&#8221; and<br \/>\ninserting &#8220;$0.087&#8221;; and<br \/>\n(VIII) by striking &#8220;$0.475&#8221; and<br \/>\ninserting &#8220;$0.142&#8221;; and<br \/>\n(B) in subsection (c)&#8211;<br \/>\n(i) by striking the subsection heading and<br \/>\ninserting the following: &#8220;Tier II: Premium Per<br \/>\nHundredweight for Production in Excess of<br \/>\n5,000,000 Pounds.&#8211;&#8221;; and<br \/>\n(ii) in paragraph (1), by striking<br \/>\n&#8220;4,000,000&#8221; and inserting &#8220;5,000,000&#8221;.<br \/>\n(5) &lt;&lt;NOTE: 7 USC 9051 note.&gt;&gt; Application.&#8211;The amendments<br \/>\nmade by this subsection shall apply beginning with the 2018<br \/>\ncalendar year.<\/p>\n<p>(c) Limitation on Crop Insurance Livestock-Related Expenditures.&#8211;<br \/>\n(1) In general.&#8211;Section 523(b) of the Federal Crop<br \/>\nInsurance Act (7 U.S.C. 1523(b)) is amended by striking<br \/>\nparagraph (10).<br \/>\n(2) Conforming amendments.&#8211;Section 516 of the Federal Crop<br \/>\nInsurance Act (7 U.S.C. 1516) is amended in subsections<br \/>\n(a)(2)(C) and (b)(1)(D) by striking &#8220;subsections (a)(3)(E)(ii)<br \/>\nand (b)(10) of section 523&#8221; each place it appears and inserting<br \/>\n&#8220;subsection (a)(3)(E)(ii) of that section&#8221;.<\/p>\n<p>Sec. 60102. (a) Section 1240B of the Food Security Act of 1985 (16<br \/>\nU.S.C. 3839aa-2) is amended by striking subsection (a) and inserting the<br \/>\nfollowing:<br \/>\n&#8220;(a) &lt;&lt;NOTE: Time period. Payments. Contracts.&gt;&gt; Establishment.&#8211;<br \/>\nDuring each of the 2002 through 2019 fiscal years, the Secretary shall<br \/>\nprovide payments to producers that enter into contracts with the<br \/>\nSecretary under the program.&#8221;.<\/p>\n<p>(b) Section 1241 of the Food Security Act of 1985 (16 U.S.C. 3841)<br \/>\nis amended&#8211;<br \/>\n(1) in subsection (a)&#8211;<\/p>\n<p>[[Page 132 STAT. 313]]<\/p>\n<p>(A) in the matter preceding paragraph (1), by<br \/>\nstriking &#8220;2018&#8221; and inserting &#8220;2018 (and fiscal year<br \/>\n2019 in the case of the program specified in paragraph<br \/>\n(5))&#8221;; and<br \/>\n(B) in paragraph (5)(E), by striking &#8220;fiscal year<br \/>\n2018&#8221; and inserting &#8220;each of fiscal years 2018 through<br \/>\n2019&#8221;; and<br \/>\n(2) in subsection (b), by striking &#8220;2018&#8221; and inserting<br \/>\n&#8220;2018 (and fiscal year 2019 in the case of the program<br \/>\nspecified in subsection (a)(5))&#8221;.<\/p>\n<p>This division may be cited as the &#8220;Improvements to Agriculture<br \/>\nPrograms Act of 2018&#8221;.<\/p>\n<p>DIVISION G&#8211;BUDGETARY EFFECTS<\/p>\n<p>SEC. 70101. BUDGETARY EFFECTS.<\/p>\n<p>(a) In General.&#8211;The budgetary effects of division A, subdivision 2<br \/>\nof division B, and division C and each succeeding division shall not be<br \/>\nentered on either PAYGO scorecard maintained pursuant to section 4(d) of<br \/>\nthe Statutory Pay-As-You-Go Act of 2010.<br \/>\n(b) Senate Paygo Scorecards.&#8211;The budgetary effects of division A,<br \/>\nsubdivision 2 of division B, and division C and each succeeding division<br \/>\nshall not be entered on any PAYGO scorecard maintained for purposes of<br \/>\nsection 4106 of H. Con. Res. 71 (115th Congress).<br \/>\n(c) Classification of Budgetary Effects.&#8211;Notwithstanding Rule 3 of<br \/>\nthe Budget Scorekeeping Guidelines set forth in the joint explanatory<br \/>\nstatement of the committee of conference accompanying Conference Report<br \/>\n105-217 and section 250(c)(8) of the Balanced Budget and Emergency<br \/>\nDeficit Control Act of 1985, the budgetary effects of division A,<br \/>\nsubdivision 2 of division B, and division C and each succeeding division<br \/>\nshall not be estimated&#8211;<br \/>\n(1) for purposes of section 251 of such Act; and<br \/>\n(2) for purposes of paragraph (4)(C) of section 3 of the<br \/>\nStatutory Pay-As-You-Go Act of 2010 as being included in an<br \/>\nappropriation Act.<\/p>\n<p>Approved February 9, 2018.<\/p>\n<p>LEGISLATIVE HISTORY&#8211;H.R. 1892:<br \/>\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p>HOUSE REPORTS: No. 115-119 (Comm. on the Judiciary).<br \/>\nCONGRESSIONAL RECORD:<br \/>\nVol. 163 (2017):<br \/>\nMay 16, 18, considered and passed<br \/>\nHouse.<br \/>\nNov. 28, considered and passed<br \/>\nSenate, amended.<br \/>\nVol. 164 (2018):<br \/>\nFeb. 6, House concurred in Senate<br \/>\namendment with an amendment.<br \/>\nFeb. 7, Senate considered concurring<br \/>\nin House amendment with an<br \/>\namendment.<br \/>\nFeb. 8, Senate concurred in House<br \/>\namendment with an amendment.<br \/>\nHouse concurred in Senate<br \/>\namendment.<\/p>\n<p>&lt;all&gt;<\/p>\n<div class=\"social-share-buttons\"><a href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https:\/\/laweuro.com\/?p=5969\" target=\"_blank\" rel=\"noopener\">Facebook<\/a><a href=\"https:\/\/twitter.com\/intent\/tweet?url=https:\/\/laweuro.com\/?p=5969&text=Public+Law+115-123+%E2%80%93+Bipartisan+Budget+Act+of+2018\" target=\"_blank\" rel=\"noopener\">Twitter<\/a><a href=\"https:\/\/www.linkedin.com\/shareArticle?url=https:\/\/laweuro.com\/?p=5969&title=Public+Law+115-123+%E2%80%93+Bipartisan+Budget+Act+of+2018\" target=\"_blank\" rel=\"noopener\">LinkedIn<\/a><a href=\"https:\/\/pinterest.com\/pin\/create\/button\/?url=https:\/\/laweuro.com\/?p=5969&description=Public+Law+115-123+%E2%80%93+Bipartisan+Budget+Act+of+2018\" target=\"_blank\" rel=\"noopener\">Pinterest<\/a><\/div>","protected":false},"excerpt":{"rendered":"<p>[115th Congress Public Law 123] [From the U.S. Government Publishing Office] PLAW 115publ123 [[Page 63]] BIPARTISAN BUDGET ACT OF 2018 [[Page 132 STAT. 64]] Public Law 115-123 115th Congress An Act To amend title 4, United States Code, to provide&hellip;<\/p>\n<p class=\"more-link-p\"><a class=\"more-link\" href=\"https:\/\/laweuro.com\/?p=5969\">Read more &rarr;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-5969","post","type-post","status-publish","format-standard","hentry","category-public-and-private-laws-u-s"],"_links":{"self":[{"href":"https:\/\/laweuro.com\/index.php?rest_route=\/wp\/v2\/posts\/5969","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/laweuro.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/laweuro.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/laweuro.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/laweuro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5969"}],"version-history":[{"count":1,"href":"https:\/\/laweuro.com\/index.php?rest_route=\/wp\/v2\/posts\/5969\/revisions"}],"predecessor-version":[{"id":5971,"href":"https:\/\/laweuro.com\/index.php?rest_route=\/wp\/v2\/posts\/5969\/revisions\/5971"}],"wp:attachment":[{"href":"https:\/\/laweuro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5969"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/laweuro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5969"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/laweuro.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5969"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}