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118HR3241 | Amateur Radio Communications Improvement Act | [
[
"L000589",
"Rep. Lesko, Debbie [R-AZ-8]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3241 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3241
To direct the Federal Communications Commission to revise section
97.307(f) of title 47, Code of Federal Regulations, to allow greater
flexibility in the amateur radio service, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mrs. Lesko introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To direct the Federal Communications Commission to revise section
97.307(f) of title 47, Code of Federal Regulations, to allow greater
flexibility in the amateur radio service, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Amateur Radio Communications
Improvement Act''.
SEC. 2. FINDINGS.
Congress finds the following:
(1) More than 778,000 amateur operators in the United
States are licensed by the Federal Communications Commission in
the amateur radio services, and, by treaty, additional amateur
operators licensed by other sovereign entities and
jurisdictions are authorized to operate within the United
States.
(2) Amateur radio, in addition to providing life-saving
emergency communications at no cost to taxpayers, provides a
fertile ground for technical self-training in modern
telecommunications, electronics technology, and emergency
communications techniques and protocols.
(3) In 2016, the Commission issued a Notice of Proposed
Rulemaking agreeing with the petition of the American Radio
Relay League to remove an outmoded limit on digital data rate
transmissions (contained in part 97.307(f) of title 47, Code of
Federal Regulations) that constrains the use of the amateur
spectrum, particularly during emergencies and declared
disasters.
(4) Adopted in 1980, the present data rate limit is a relic
of an era long since relegated to obsolescence by the
remarkable advancements in digital data communications.
(5) The present data rate limit has no place in the modern
digital communications world. Slower speeds needlessly occupy
busy amateur frequencies for longer than necessary to transmit
messages, leading to unnecessary crowding without benefit to
anyone, and a delay in the transmission of mission critical
information during emergencies and declared disasters.
(6) United States amateurs developed the first amateur
digital protocols, but now are consigned to watching as
amateurs in other countries take the lead in squeezing more
data within each bandwidth. Amateurs in other countries
universally are permitted to use modern digital data speeds
denied amateurs in the United States. United States amateurs
can hear and decode higher speed signals every day, but are not
permitted to respond with the same protocol.
(7) This situation is not because of any affirmative
decision, but simply because there has been an 8-year
unexplained lack of action to update the rules.
(8) It is embarrassing that in recent years, including this
year, radio amateurs have had to apply to the Commission for
temporary waivers, which are always granted, of the limit on
data communications to efficiently manage emergency, health,
and welfare messages from hurricane-prone Caribbean islands,
and even from within the United States. Amateurs in the
Caribbean, as in other areas of the world, generally are using
equipment and software developed by the amateur community and
promoted by the International Telecommunication Union
specifically to ensure communications capabilities during times
of severe weather.
(9) Amateur radio has led many young people into scientific
and engineering professions, including many related to the
digital services and technologies that are at the heart of the
wireless communications marketplace of today. The incentive to
work on improving data communications technologies is the
ability to experiment on the airwaves and to employ improved
capabilities both casually and in times of need.
(10) This capability should be restored to radio amateurs
in the United States.
SEC. 3. REPEAL OF SYMBOL (BAUD) RATE LIMITS AND ADOPTION OF 2.8 KHZ
BANDWIDTH LIMIT.
Not later than 180 days after the date of the enactment of this
Act, the Federal Communications Commission shall revise section
97.307(f) of title 47, Code of Federal Regulations, to--
(1) repeal the symbol (baud) rate limits described in
paragraphs (3) and (4) of such section; and
(2) replace such limits with a 2.8 kilohertz bandwidth
limit for radioteletype and data emissions in the relevant
frequency bands.
<all>
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118HR3242 | To amend the Federal Reserve Act to establish a permanent Bank Term Funding Program to provide member banks and other depository institutions with short-term liquidity against long-term assets. | [
[
"L000569",
"Rep. Luetkemeyer, Blaine [R-MO-3]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3242 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3242
To amend the Federal Reserve Act to establish a permanent Bank Term
Funding Program to provide member banks and other depository
institutions with short-term liquidity against long-term assets.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Luetkemeyer introduced the following bill; which was referred to
the Committee on Financial Services
_______________________________________________________________________
A BILL
To amend the Federal Reserve Act to establish a permanent Bank Term
Funding Program to provide member banks and other depository
institutions with short-term liquidity against long-term assets.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. FEDERAL RESERVE BANK TERM FUNDING PROGRAM.
The Federal Reserve Act (12 U.S.C. 221 et seq.) is amended by
inserting after section 10B the following:
``SEC. 10C. BANK TERM FUNDING PROGRAM.
``(a) In General.--There is established a Bank Term Funding
Program, under which a Federal reserve bank may, subject to rules
established by the Board of Governors of the Federal Reserve System,
make advances to eligible borrowers, subject to eligible collateral
pledged by an eligible borrower.
``(b) Program Requirements.--In making advances under the Bank Term
Funding Program--
``(1) advances may only be made in an amount up to the
amount of the eligible collateral pledged, but advances shall
be made with recourse beyond the pledged collateral;
``(2) advances shall be made at a fixed rate equal to the
one-year overnight index swap rate plus 10 basis points, as of
the day the advance is made;
``(3) collateral shall be valued at par value and margin
shall be 100 percent of par value;
``(4) borrowers shall be allowed to prepay without penalty;
``(5) advances shall be made available with a term of up to
1 year; and
``(6) a Federal reserve bank may not charge the borrower a
fee.
``(c) Definitions.--In this section:
``(1) Eligible borrower.--The term `eligible borrower'
means any U.S. federally-insured bank, savings association, or
credit union or a U.S. branch or agency of a foreign bank that
is eligible for primary credit (as defined under section
201.4(a) of title 12, Code of Federal Regulations).
``(2) Eligible collateral.--The term `eligible collateral'
includes any collateral eligible for purchase by the Federal
reserve banks in open market operations (as described under
section 201.108(b) of title 12, Code of Federal
Regulations).''.
<all>
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118HR3243 | Small Business Stability Act | [
[
"L000569",
"Rep. Luetkemeyer, Blaine [R-MO-3]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3243 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3243
To amend the Federal Deposit Insurance Act to allow the Board of
Directors of the Federal Deposit Insurance Corporation to guarantee
noninterest-bearing transaction accounts for a certain period, and for
other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Luetkemeyer introduced the following bill; which was referred to
the Committee on Financial Services
_______________________________________________________________________
A BILL
To amend the Federal Deposit Insurance Act to allow the Board of
Directors of the Federal Deposit Insurance Corporation to guarantee
noninterest-bearing transaction accounts for a certain period, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Small Business Stability Act''.
SEC. 2. FEDERAL DEPOSIT INSURANCE CORPORATION GUARANTEE OF UNINSURED
DEPOSITS FOR A CERTAIN PERIOD.
Section 13(c)(4) of the Federal Deposit Insurance Act (12 U.S.C.
1823(c)(4)) is amended--
(1) in subparagraph (B), by inserting ``and except as
provided in subparagraph (H),'' after `` Fund,'';
(2) by redesignating subparagraph (H) as subparagraph (I);
and
(3) by inserting after subparagraph (G) the following:
``(H) Guarantee of uninsured deposits.--In
exercising the authority under this subsection with
respect to any insured depository institution, the
Corporation may guarantee deposits in noninterest-
bearing transaction accounts for a single period not to
exceed 60 days without regard for the requirements of
subparagraph (B) if, upon the written recommendation of
the Board of Directors (upon a vote of not less than
two-thirds of the members of the Board of Directors)
and the Board of Governors of the Federal Reserve
System (upon a vote of not less than two-thirds of the
members of such Board), the Secretary of the Treasury
(in consultation with the President) determines that--
``(i) the Corporation's compliance with
subparagraphs (A) and (E) with respect to any
insured depository institution for which the
Corporation proposes to guarantee deposits in
noninterest-bearing transaction accounts would
have serious adverse effects on the stability
of the entire banking system; and
``(ii) the Corporation's proposed guarantee
of deposits in noninterest-bearing transaction
accounts would avoid or mitigate such adverse
effects.''.
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118HR3244 | Stop Fentanyl Money Laundering Act of 2023 | [
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"sponsor"
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[
"N000193",
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[
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3244 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3244
To provide authority to the Secretary of the Treasury to take special
measures against certain entities outside of the United States of
primary money laundering concern in connection with illicit fentanyl
and narcotics financing, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Luetkemeyer (for himself, Mr. Nunn of Iowa, Mr. Barr, and Mrs. Kim
of California) introduced the following bill; which was referred to the
Committee on Financial Services, and in addition to the Committee on
the Judiciary, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide authority to the Secretary of the Treasury to take special
measures against certain entities outside of the United States of
primary money laundering concern in connection with illicit fentanyl
and narcotics financing, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Stop Fentanyl Money Laundering Act
of 2023''.
SEC. 2. GAO STUDY ON DESIGNATION OF MEXICAN CARTELS AS FOREIGN
TERRORIST ORGANIZATIONS.
(a) Findings.--The Congress finds the following:
(1) Entities placed on the list of Foreign Terrorist
Organizations maintained by the Secretary of State are
suspected of engaging in terrorism-related activities.
(2) By designating an entity to be placed on the list of
Foreign Terrorist Organizations, the United States seeks to
limit the entity's financial, property, and travel interests.
(3) Per section 219 of the Immigration and Nationality Act,
as amended by section 302 of the Antiterrorism and Effective
Death Penalty Act of 1996, the Secretary of State must
demonstrate that an entity of concern has met the following
three criteria to allow the Secretary to designate the entity
as a Foreign Terrorist Organization:
(A) The entity is a foreign organization.
(B) The entity engages in or retains the capability
and intent to engage in terrorism.
(C) The entity threatens the security of U.S.
nationals or the national defense, foreign relations,
or the economic interests of the United States.
(b) Study.--The Comptroller General of the United States, in
consultation with the Secretary of State, shall carry out a study on
the implications of the Secretary of State designating Mexican drug
cartels as foreign terrorist organizations under section 219 of the
Immigration and Nationality Act (8 U.S.C. 1189).
(c) Contents.--In carrying out the study required under subsection
(b), the Comptroller General shall--
(1) review any analyses conducted by Federal agencies
pertaining to designating Mexican drug cartels as foreign
terror organizations; and
(2) consider how such a determination would bolster the
Foreign Narcotics Kingpin Designation Act.
(d) Report.--Not later than the end of the 1-year period beginning
on the date of enactment of this Act, the Comptroller General shall
issue a report to the Congress containing--
(1) all findings and determinations made in carrying out
the study required under subsection (b); and
(2) a comprehensive analysis of the strategic benefits and
potential risks that designating Mexican drug cartels as
foreign terrorist organizations would provide in thwarting the
current fentanyl crisis, and how the United States could
alleviate possible downsides of the designation.
SEC. 3. DETERMINATION WITH RESPECT TO PRIMARY MONEY LAUNDERING CONCERN
OF ILLICIT FENTANYL AND NARCOTICS FINANCING.
(a) In General.--If the Secretary of the Treasury determines that
one or more financial institutions operating outside of the United
States, or one or more classes of transactions within, or involving, a
jurisdiction outside of the United States, or one or more types of
accounts within, or involving, a jurisdiction outside of the United
States is of primary money laundering concern in connection with
illicit fentanyl and narcotics financing, the Secretary of the Treasury
may, by order, regulation, or otherwise as permitted by law, require
domestic financial institutions and domestic financial agencies to take
one or more of the special measures described in section 5318A(b) of
title 31, United States Code.
(b) Classified Information.--In any judicial review of a finding of
the existence of a primary money laundering concern, or of the
requirement for 1 or more special measures with respect to a primary
money laundering concern made under this section, if the designation or
imposition, or both, were based on classified information (as defined
in section 1(a) of the Classified Information Procedures Act (18 U.S.C.
App.)), such information may be submitted by the Secretary of the
Treasury to the reviewing court ex parte and in camera. This subsection
does not confer or imply any right to judicial review of any finding
made or any requirement imposed under this section.
(c) Availability of Information.--The exemptions from, and
prohibitions on, search and disclosure referred to in section 9714(c)
of the National Defense Authorization Act for Fiscal Year 2021 (Public
Law 116-283; 31 U.S.C. 5318A note) shall apply to any report or record
of report filed pursuant to a requirement imposed under subsection (a).
For purposes of section 552 of title 5, United States Code, this
section shall be considered a statute described in subsection (b)(3)(B)
of that section.
(d) Penalties.--The penalties referred to in section 9714(d) of the
National Defense Authorization Act for Fiscal Year 2021 (Public Law
116-283; 31 U.S.C. 5318A note) shall apply to violations of any order,
regulation, special measure, or other requirement imposed under
subsection (a), in the same manner and to the same extent as described
in such section 9714(d).
(e) Injunctions.--The Secretary of the Treasury may bring a civil
action to enjoin a violation of any order, regulation, special measure,
or other requirement imposed under subsection (a) in the same manner
and to the same extent as described in section 9714(e) of the National
Defense Authorization Act for Fiscal Year 2021 (Public Law 116-283; 31
U.S.C. 5318A note).
(f) Definitions.--In this section, the terms ``domestic financial
agency'', ``domestic financial institution'', ``financial agency'', and
``financial institution'' have the meanings given those terms as used
in section 9714 of the National Defense Authorization Act for Fiscal
Year 2021 (Public Law 116-283; 31 U.S.C. 5318A note).
SEC. 4. TRADE-BASED MONEY LAUNDERING ADVISORY.
Not later than one year following the date of the enactment of this
Act, the Financial Crimes Enforcement Network shall update and issue a
new advisory to financial institutions on identifying Chinese
professional money laundering facilitating the trafficking of fentanyl
and other synthetic opioids. Such advisory shall incorporate the
following advisories:
(1) FIN-2014-A005, entitled ``Update on U.S. Currency
Restrictions in Mexico: Funnel Accounts and TBML'';
(2) FIN-2010-A001, entitled ``Advisory to Financial
Institutions on Filing Suspicious Activity Reports regarding
Trade-Based Money Laundering''; and
(3) FIN-2019-A006, entitled ``Advisory to Financial
Institutions on Illicit Financial Schemes and Methods Related
to the Trafficking of Fentanyl and Other Synthetic Opioids''.
SEC. 5. TREATMENT OF TRANSNATIONAL CRIMINAL ORGANIZATIONS IN SUSPICIOUS
TRANSACTIONS.
(a) Filing Instructions.--Not later than 180 days after the date of
the enactment of this Act, the Director of the Financial Crimes
Enforcement Network shall issue guidance or instructions to United
States financial institutions for filing reports on suspicious
transactions required by section 5318(g) of title 31, United States
Code, related to suspected narcotics trafficking by transnational
criminal organizations.
(b) Prioritization of Reports Relating to Narcotics Trafficking or
Transnational Criminal Organizations.--The Director shall prioritize
research into reports described in subsection (a) that indicate a
connection to trafficking of narcotics.
(c) Briefing to Congress.--Not later than one year after the date
of enactment of this Act, the Director shall brief the Committees on
Financial Services and Foreign Affairs of the House of Representatives
and the Committees on Banking, Housing, and Urban Affairs and Foreign
Relations of the Senate on the usefulness of the guidance or
instructions issued under subsection (a).
<all>
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118HR3245 | Nonprofit Stakeholders Engaging and Advancing Together Act of 2023 | [
[
"M000194",
"Rep. Mace, Nancy [R-SC-1]",
"sponsor"
],
[
"M001143",
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3245 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3245
To strengthen the partnership between the nonprofit organizations and
the Federal Government, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Mace (for herself and Ms. McCollum) introduced the following bill;
which was referred to the Committee on Oversight and Accountability,
and in addition to the Committees on Education and the Workforce, and
Ways and Means, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To strengthen the partnership between the nonprofit organizations and
the Federal Government, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Nonprofit Stakeholders Engaging and
Advancing Together Act of 2023''.
SEC. 2. FINDINGS.
The Congress finds that:
(1) The nonprofit sector is a trusted partner in working
with American communities, strengthening civil society, and
ensuring that all people living in the United States have the
opportunity to thrive.
(2) The Nation relies on the nonprofit sector for its
ability to harness and direct the generosity, service, and
volunteerism of the American people.
(3) Nonprofit organizations are a significant and highly
diverse sector of the United States economy that includes
1,800,000 organizations as of 2020, according to the Internal
Revenue Service. United States nonprofit organizations
contributed $1.5 trillion to the economy in 2022 and accounted
for 5.6 percent of the Gross Domestic Product of the United
States, according to Bureau of Economic Analysis data
interpreted by Independent Sector.
(4) Collectively, the nonprofit sector engages through and
is supported by more than 12.5 million workers, 20 million
board members, 60 million volunteers, and millions more donors.
In 2017, United States nonprofit organizations paid over $670
billion in wages.
(5) 92 percent of the 501(c)(3) public charities in the
United States have an annual budget of less than $1,000,000
according to data provided by the Internal Revenue Service.
(6) While no Federal agency regularly collects systematic
employment data on the nonprofit sector, at the local level,
nonprofits are a time-tested mechanism for delivering critical
community services.
(7) In order to maximize the nonprofit sector's ability to
utilize Federal investments to respond to community needs, the
Federal Government should take steps to encourage, support, and
promote volunteerism and charitable giving.
(8) National service programs provide an essential vehicle
for Americans of all ages eager to serve their communities and
transform their own lives in the process. Service programs also
provide a critical pipeline of emerging leaders into the
workforce, including the nonprofit workforce.
(9) Like for-profit entities, the nonprofit sector is
challenged during times of economic downturns. As employers and
providers of services to countless people, the sustainability
of this sector is of great national importance, yet the Federal
Government provides significant support to for-profit
businesses through the Small Business Administration and other
agencies and programs that nonprofit organizations are not able
to access.
(10) Despite the importance of the nonprofit sector to the
United States economy and to the success of many Federal,
State, and local policy initiatives, no Federal agency or
office has responsibility for evaluating, building, or
maintaining the capacity of the nonprofit sector.
SEC. 3. PURPOSES.
The purposes of this Act are the following:
(1) To enhance the ability of the nonprofit sector to
address public challenges and maximize opportunities to improve
quality of life in the communities where nonprofit
organizations work.
(2) To strengthen communities across the United States by
making the Federal Government a more productive partner with
nonprofit organizations through the establishment of better
Federal coordination with respect to, enhanced transparency
with respect to, and greater support for the work of nonprofit
organizations.
(3) Collect, assemble, and make available Federal data and
research on the nonprofit sector and to generate new data and
research where necessary to support the development of
effective Federal policy.
(4) Raise awareness of the nonprofit sector and the vital
civic, social, and economic contributions nonprofit
organizations make to the United States.
SEC. 4. WHITE HOUSE OFFICE ON NONPROFIT SECTOR PARTNERSHIP.
(a) Establishment.--There is established in the Executive Office of
the President an Office on Nonprofit Sector Partnership (in this
section referred to as the ``Office''). The Office will be led by a
Nonprofit Advisor.
(b) Functions.--The Office shall--
(1) strengthen and develop policies and actions which
enhance the sector's ability to address national and community
priorities;
(2) identify and promote policies that increase and sustain
charitable giving, volunteerism, and national service to
support the capacity of the nonprofit sector;
(3) publish, based upon regular consultation with the
nonprofit sector, policy options and recommendations for
leveraging the unique partnership between the Federal
Government and the nonprofit sector to accelerate repair and
rebuilding across America, particularly with respect to
underserved and marginalized communities;
(4) identify barriers and policies that hinder, increase,
or sustain opportunities for nonprofits to operate
internationally both on their own or in partnership with the
Federal Government;
(5) coordinate, across relevant Federal agencies, the task
of compiling, producing and making publicly available key
existing Federal data sources of relevance to the nonprofit
sector. This will include data on the economic health and
impact of the nonprofit sector (including employment and wage
data), data on Federal funding of the nonprofit sector
(including grants and contracts), Census data, and data on
aggregated types of revenue, volunteering and civic engagement
and be published publicly annually;
(6) direct a Federal agency, to be determined by the
Nonprofit Advisor within 180 days, to initiate, in consultation
with States, a competitive grant process to build a single
online portal, such that charities can fulfill State
registration and reporting requirements for States that choose
to participate through a single filing. An eligible grant
recipient must be a nonprofit organization with governing board
members possessing experience working to align charitable
registration requirements across States. In evaluating
applications for this portal, the Federal agency shall consider
whether the application will--
(A) enable smaller charities to respond to
disasters in their communities by raising funds from
multiple States;
(B) empower the public to make responsible
donations, especially to help those in need during
natural disasters or other crises of national
significance;
(C) eliminate costly inefficiencies for charities
operating or fundraising in multiple States;
(D) help nonprofits meet existing registration and
filing requirements;
(E) ensure appropriate cybersecurity standards are
being met or exceeded;
(F) preserve the public's trust in nonprofits; and
(G) establish a sustainable funding mechanism that
is not reliant on Federal funding for ongoing costs;
and
(7) convene a commission on Federal grant reform composed
of individuals representing Federal grantmaking agencies, pass-
through entities, and nonprofit grantees and subgrantees to
offer recommendations to streamline and improve the operational
relationship between all levels of government and the nonprofit
sector. In addition, the sector's access to, participation in
and performance in Federal, State, and local government
contracting and funding shall be assessed--
(A) the commission members shall be appointed by
the President and be drawn from the nonprofit sector to
include designees with substantial and diverse
experience in Federal, State, and local governmental
grantmaking processes, and shall include proportional
representation from small, medium, and large nonprofit
organizations as determined by annual expenses, and
include meaningful racial, gender, ethnic and
geographic diversity;
(B) the report of the commission shall include
recommendations on--
(i) improving provisions of the Uniform
Administrative Requirements, Cost Principles,
and Audit Requirements for Federal Awards (OMB
Uniform Guidance), (2 C.F.R. 200), related to
racial, gender, ethnic inclusion in grantmaking
processes, and to negotiation of indirect
costs, including a de minimis indirect cost
rate;
(ii) promoting Federal agency compliance
with the OMB Uniform Guidance to preserve the
integrity of Federal programs while allowing
nonprofit organizations streamlined access to
Federal funding opportunities, expressly in the
areas of payment by pass-through entities and
others of indirect cost rates and establishment
of a clearinghouse of agency decisions or other
means for maintaining consistent interpretation
of the OMB Uniform Guidance;
(iii) reviewing Federal statutes and
regulations to identify inconsistent
requirements and restrictions on payment of
``administrative costs'' and other terms and
definitions, and consider the impact of
inconsistent or conflicting rules on
organizations seeking Federal and State pass-
through grants on their operations and
sustainability;
(iv) assessing how grant agreements and
reimbursements can be modified to enable and
incentivize nonprofits to utilize government
grant funds to provide relevant professional
development to employees working on those
grants, and to ensure that interns and those in
apprenticeships working on government grants or
contracts are paid rather than unpaid; and
(v) reporting its recommendations on the
foregoing to the President and Congress, no
later than 18 months after enactment, and
addressing how grant and contract agreements
and reimbursements should be modified to enable
nonprofit grant recipients to respond to issues
of national significance; and
(C) at the direction of the President, but no later
than 5 years after the release of the report described
in subparagraph (B) of this paragraph, the commission
shall reconvene to further review the operational
relationship between all levels of government and the
nonprofit sector and evaluate it for improvement.
(c) Administration.--The President shall appoint a Nonprofit
Advisor within 90 days of enactment of this legislation. The Nonprofit
Advisor shall, in addition to being Director of the Office, serve as
the head of the Interagency Council, co-chair of the Advisory Council,
and responsible to carry out the provisions of this section and
coordinate with executive departments as appropriate with respect to
the mission of the Office and related governmental entities.
SEC. 5. INTERAGENCY COUNCIL ON NONPROFIT SECTOR PARTNERSHIP.
(a) Establishment.--There is established in the executive branch an
independent entity to be known as the Interagency Council on Nonprofit
Sector Partnership.
(b) Membership.--The Council shall be composed of the head of each
cabinet agency, or their designee in addition to the--
(1) Corporation for National and Community Service;
(2) National Endowment for the Humanities;
(3) National Endowment for the Arts;
(4) National Science Foundation;
(5) Institute of Museum and Library Services; and
(6) other agencies as determined by the President.
(c) Responsibilities.--The Interagency Council, shall issue
biennial reports providing specific recommendations on how the
nonprofit sector can best leverage and accelerate Federal investments
to repair and rebuild American communities and to offer specific
recommendations for strengthening, promoting, and improving the overall
ability of the nonprofit sector to address issues of national
significance. These recommendations shall include consideration of--
(1) improving Federal research and data access and
transparency, including by collecting and disseminating
disaggregated data and research relevant to the ability of the
nonprofit sector to respond to societal need;
(2) consulting and partnering with nonprofits as an engine
of employment, preparing Americans for their first jobs or new
jobs, deploying national service members to rebuild communities
while acquiring valuable professional and civic skills and
career guidance;
(3) legislation, regulation, and other action toward these
goals, including changes to the structure of the Interagency
Council;
(4) Federal efforts that could have an impact on charitable
giving, volunteerism, and national service;
(5) Federal investments that could bolster the civic
infrastructure of the United States, which includes its
workforce, volunteer force, capacity of nonprofit institutions,
and the norms and practices that help communities solve
problems; and
(6) how Federal technology policies and funding could be
more effectively aligned with the nonprofit sector and the
communities it serves.
(d) Administration.--The Interagency Council shall be chaired by
the Nonprofit Advisor and may accept staff detailed from Federal
agencies to support coordination and implementation efforts. The
Interagency Council shall meet no fewer than four times per year.
SEC. 6. ADVISORY BOARD ON THE NONPROFIT SECTOR.
(a) Establishment.--There is hereby established under the Federal
Advisory Committee Act, (Public Law 92-463), an Advisory Board on the
Nonprofit Sector, co-chaired by the Nonprofit Advisor and a designee
from the nonprofit sector, as appointed by the President and Congress
as described below, except for subsection (b)(2)(B) of this section.
(b) Membership.--
(1) Number and appointment.--The Advisory Board shall be
composed of 16 members as follows:
(A) The Nonprofit Advisor and seven additional
members shall be appointed by the President.
(B) Two members shall be appointed by the Speaker
of the House of Representatives.
(C) Two members shall be appointed by the minority
leader of the House of Representatives.
(D) Two members shall be appointed by the majority
leader of the Senate.
(E) Two members shall be appointed by the minority
leader of the Senate.
(2) With the exception of the Nonprofit Advisor, membership
of the Advisory Board shall be drawn from the nonprofit sector
to include designees with substantial and diverse experience
and points of view in the issues facing the nonprofit sector.
This shall include leading national organizations that
represent the interests of the broad sector, as well as
proportional representation to the extent possible from
representatives of large, medium and small nonprofit and
philanthropic organizations as determined by annual expenses
and include meaningful racial, gender, ethnic and geographic
diversity. The terms of members to the Advisory Board shall be
staggered between three and four years and renewable for one
term.
(A) Vacancies.--A vacancy on the Board shall be
filled in the manner in which the original appointment
was made.
(B) Basic pay and travel expenses.--With the
exception of the Nonprofit Advisor, all Voting Board
members shall, and nonvoting members may, be appointed
as special Government employees and receive a
consultant fee and be reimbursed for travel expenses,
including per diem in lieu of subsistence, in the same
manner as provided under the Federal Advisory Committee
Act, unless such compensation and reimbursement are
waived.
(C) Co-chairs.--The President shall designate the
Nonprofit Advisor as a co-chair of the Advisory Board
and select an additional co-chair from among the
members of the Board, who may not be members of the
same political party.
(c) Functions.--The Advisory Board shall issue biennial reports to
Congress, as well as advise the President and the Interagency Council
on matters involving policy affecting the nonprofit sector,
volunteerism, service, and other related topics. The Advisory Board
shall meet regularly, upon the call of the co-chairs, and shall--
(1) respond to requests from the President or the
President's designee for information, analysis, evaluation, or
advice;
(2) solicit information and ideas from a broad range of
stakeholders;
(3) in its biennial report, provide information on the
state of the nonprofit sector, charitable giving, volunteerism
and national service, as well as feedback on the effect of
Federal policies on each;
(4) in its biennial report, provide recommendations on
legislative, regulatory, and executive actions to improve and
support the nonprofit sector and its partnerships with the
Federal Government;
(5) in its biennial report, provide recommendations on
long-term opportunities to strengthen the nonprofit sector,
charitable giving, volunteerism and national service through
Federal actions and policy; and
(6) in its biennial report, include a statement analyzing
how any recommendations would impact the disparities between
members of different racial and ethnic groups.
(d) Administration.--The heads of executive departments and
agencies shall provide the Advisory Board with information concerning
appropriate matters when requested by the Advisory Board Co-Chairs and
as required for the purpose of carrying out the Advisory Board's
functions, unless otherwise prohibited by law.
SEC. 7. VOLUNTEERISM AND CHARITABLE GIVING.
(a) Treasury Department.--The Secretary of the Department of the
Treasury shall--
(1) analyze and publicly release the impact of relevant
statutes, regulations, and other actions on charitable giving
specifically and the nonprofit sector generally, including
analysis disaggregated by demographic factors whenever
possible; and
(2) examine the reconstitution of the Advisory Committee on
Tax Exempt and Government Entities.
(b) Department of Labor, Bureau of Labor Statistics.--The Bureau of
Labor Statistics shall within two years of enactment, issue a biennial
report on trends in the non-stipended volunteer force.
(c) Corporation for National and Community Service.--The
Corporation for National and Community Service shall--
(1) issue a comprehensive report assessing how CNCS can
best be structured and resourced to support the unique needs
and potential of both the non-stipended volunteer force and the
national service community. This assessment shall also consider
how underserved and marginalized communities can access service
programs. CNCS shall share that report with Congress within six
months of enactment and issue updates every two years,
thereafter;
(2) review existing programs such as the Volunteer
Generation Fund and the Nonprofit Capacity Building Program to
determine how these programs could be strengthened and/or
expanded to ensure, among other critical functions, they will
support a wide diversity of nonprofits to build capacity to
engage, sustain, and support the volunteer force, and to share
such recommendations with Congress within six months of
enactment;
(3) within 90 days of enactment, solicit input from the
nonprofit sector and the public about enhancing and revising
the Current Population Survey with supplements on--
(A) volunteerism;
(B) charitable giving; and
(C) civic engagement; and
(4) within six months of enactment, present the findings of
the input described in paragraph (3) to Congress and the Office
on the Nonprofit Sector.
SEC. 8. NATIONAL SERVICE.
The Corporation for National and Community Service shall--
(1) by no later than one year from the date of enactment,
make recommendations to Congress on updating Service Year
Fellowships to broaden access to national service for
underserved and marginalized communities and provide increased
capacity for all section 501(c)(3) nonprofits in moments of
increased need; and
(2) by no later than two years from the date of enactment,
redesign and relaunch the eGrants system, including user
testing that engages organizations who are not current grantees
and that represent or reach underserved and marginalized
communities to test barriers to submitting for a grant.
SEC. 9. GOVERNMENT RESEARCH AND DATA.
(a) Treasury Department.--The Secretary of the Department of the
Treasury shall--
(1) in consultation with the Advisory Committee, make
recommendations to Congress on how to formulate the way data
are recorded concerning government grants, contracts, and
reimbursements to nonprofit organizations on Form 990, Return
of Organization Exempt from Income Tax, to increase the utility
and clarity of Form 990 information. The IRS shall also take
steps to improve public access to 990 e-filed data, providing
the schema and metadata necessary to facilitate public use;
(2) revoke the use of form 1023-EZ for nonprofit filing
status and initiate a process to replace it, based upon
recommendations from the Advisory Board, the nonprofit sector,
representatives of the National Association of State Charities
Officials and government examinations; and
(3) in consultation with stakeholders in the nonprofit
sector, including the Advisory Board, consider and publicly
release recommendations, funding needs, and activities to
improve the nonprofit sector and to preserve integrity within
the sector and on behalf of the general public.
(b) Department of Labor, Bureau of Labor Statistics.--The Bureau of
Labor Statistics shall include nonprofit organizations as a distinct
category of employer in quarterly reports from its Quarterly Census of
Employment and Wages. Within 90 days of enactment, the Bureau of Labor
Statistics shall transmit a plan to Congress that will accomplish this
goal.
(c) Department of Commerce, Bureau of Economic Analysis.--The
Bureau of Economic Analysis shall in consultation with the Advisory
Committee, create a Satellite Account on Nonprofit and Related
Institutions and Volunteer Work within its national accounts program.
This account shall be published no less frequently than on a biennial
basis.
(d) White House, Office of Management and Budget.--The Office of
Management and Budget shall--
(1) solicit information from all relevant Federal agencies
that collect existing data on the nonprofit sector in all
published reports and publicly available tables and datasets
and direct these agencies to include existing data
disaggregated by the following factors--
(A) the number of clients served by nonprofit
organizations, including existing data on the race,
gender, age, income level, languages spoken, and
geographic location of such clients;
(B) existing data on types of revenues, expenses,
and operating reserves by nonprofit organizations of
various sizes and missions;
(C) the volunteer hours contributed to nonprofit
organizations by individuals in the United States; and
(D) other factors in existing data as determined in
consultation with the Advisory Board; and
(2) conduct an impact assessment of how government data
collection, algorithm use, and accuracy may have a
discriminatory or disparate impact on nonprofit issues or
communities they serve, particularly underserved and
marginalized communities.
SEC. 10. NONPARTISAN CIVIC ENGAGEMENT AND ADVOCACY.
The Government Accountability Office shall, within 1 year of
enactment and after gathering input from the Advisory Board and the
broader nonprofit sector, issue a report to Congress on--
(1) opportunities to clarify the difference between
nonpartisan civic engagement and the current prohibition on
political campaign intervention for organizations organized
under section 501(c)(3) of title 26, United States Code; and
(2) the role of the current ``facts and circumstances''
standard for tax-exempt entities organized under provisions of
the Internal Revenue Code other than section 501(c)(3) of title
26, United States Code.
SEC. 11. DEFINITIONS.
In this Act:
(1) Nonprofit.--The term ``nonprofit'' or ``nonprofit
organization'' shall include the definition included in section
501(c)(3) of title 26, United States Code, and in addition
shall mean a group organized for purposes other than generating
profit and in which no part of the organization's income is
distributed to its members, directors, or officers.
(2) Pass-through entity.--The term ``pass-through entity''
shall include the definition included in section 200.1 of title
2, Code of Federal Regulations, a non-Federal entity that
provides a subaward to a subrecipient to carry out part of a
Federal program.
(3) Nonprofit advisor.--The term ``Nonprofit Advisor''
means an individual who is--
(A) designated as an Assistant to the President;
(B) has experience working in the nonprofit sector
and government; and
(C) has demonstrated a commitment to strengthening
the partnership between the Federal Government and the
nonprofit sector.
(4) Current population survey.--The term ``Current
Population Survey'' means the jointly sponsored survey
administered by the Census Bureau and the Bureau of Labor
Statistics and approved by the Office of Management and Budget
(OMB Number 0607-0049).
(5) Underserved and marginalized communities.--The term
``underserved and marginalized communities'' means individuals
who are--
(A) American Indian or Alaska Native, Asian, Black
or African American, Hispanic or Latino, or Native
Hawaiian or Other Pacific Islander, and other
demographics included in and according to Office of
Management and Budget Statistical Policy Directive No.
15, Race and Ethnic Standards for Federal Statistics
and Administrative Reporting as amended;
(B) rural populations;
(C) individuals with disabilities;
(D) low-income or homeless individuals;
(E) individuals with mental health or substance
related disorders;
(F) victims of abuse or trauma;
(G) lesbian, gay, bisexual, and transgender
individuals; or
(H) refugees or migrants.
SEC. 12. AUTHORIZATION OF APPROPRIATIONS.
There is authorized to be appropriated to carry out the provisions
of this Act $50,000,000 for each of fiscal years 2024 through 2028.
<all>
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118HR3246 | Sanction Russian Nuclear Safety Violators Act of 2023 | [
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... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3246 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3246
To authorize the imposition of sanctions with respect to any foreign
person endangering the integrity or safety of the Zaporzhzhia nuclear
power plant.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Meeks (for himself, Mr. Keating, Ms. Wild, Mr. Allred, Mr. Pallone,
Ms. Kaptur, Mr. Cohen, Mr. Boyle of Pennsylvania, and Mr. Gallego)
introduced the following bill; which was referred to the Committee on
Foreign Affairs, and in addition to the Committee on the Judiciary, for
a period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To authorize the imposition of sanctions with respect to any foreign
person endangering the integrity or safety of the Zaporzhzhia nuclear
power plant.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Sanction Russian Nuclear Safety
Violators Act of 2023''.
SEC. 2. FINDINGS.
Congress makes the following findings:
(1) On February 24, 2022, the Government of the Russian
Federation, led by Vladimir Putin, launched an unprovoked,
full-scale invasion of Ukraine.
(2) Russian forces have illegally occupied the Zaporzhzhia
nuclear power plant, the largest nuclear power plant in Europe,
and have placed Russian military equipment within the power
plant.
(3) Officials from the Russian Federations State Atomic
Energy Corporation ``Rosatom'' have been present at the plant
since March 2022 and have requested information on confidential
issues regarding the plant's operations.
(4) The International Atomic Energy Association ``IAEA''
has stated that the presence of Rosatom officials is a
significant safety concern and could lead to technical
interference in the plant's operations, and has found that the
power plant has structural damage in places due to shelling
caused by Russia's invasion of Ukraine.
(5) The Director General has stated that failing to
demilitarize the Zaporzhzhia nuclear power plant is ``playing
with fire''.
(6) In May 2023, Russia evacuated citizens from the region
around Zaporizhzhia, including personnel who operate the plant,
further exacerbating concerns about the plant's stability and
safety.
SEC. 3. SANCTIONS.
(a) In General.--The President shall impose sanctions described in
subsection (b) with respect to any foreign person has endangered the
integrity, safety, or undermined Ukrainian operational control of the
Zaporzhzhia Nuclear Power Station located in southeastern Ukraine since
the Russian Federation launched an unprovoked, full-scale invasion of
Ukraine.
(b) Sanctions Described.--The sanctions described in this
subsection are the following:
(1) Asset blocking.--Notwithstanding the requirements of
section 202 of the International Emergency Economic Powers Act
(50 U.S.C. 1701), the President may exercise of all powers
granted to the President by that Act to the extent necessary to
block and prohibit all transactions in all property and
interests in property of the foreign person if such property
and interests in property are in the United States, come within
the United States, or are or come within the possession or
control of a United States person.
(2) Visas, admission, or parole.--
(A) In general.--An alien who the Secretary of
State or the Secretary of Homeland Security (or a
designee of one of such Secretaries) knows, or has
reason to believe, is described in subsection (a) is--
(i) inadmissible to the United States;
(ii) ineligible for a visa or other
documentation to enter the United States; and
(iii) otherwise ineligible to be admitted
or paroled into the United States or to receive
any other benefit under the Immigration and
Nationality Act (8 U.S.C. 1101 et seq.).
(B) Current visas revoked.--
(i) In general.--The issuing consular
officer, the Secretary of State, or the
Secretary of Homeland Security (or a designee
of one of such Secretaries) shall, in
accordance with section 221(i) of the
Immigration and Nationality Act (8 U.S.C.
1201(i)), revoke any visa or other entry
documentation issued to an alien described in
subparagraph (A) regardless of when the visa or
other entry documentation is issued.
(ii) Effect of revocation.--A revocation
under clause (i)--
(I) shall take effect immediately;
and
(II) shall automatically cancel any
other valid visa or entry documentation
that is in the alien's possession.
(c) Exceptions.--
(1) Exception to comply with international obligations.--
Sanctions under subsection (b)(2) shall not apply with respect
to the admission of an alien if admitting or paroling the alien
into the United States is necessary to permit the United States
to comply with the Agreement regarding the Headquarters of the
United Nations, signed at Lake Success June 26, 1947, and
entered into force November 21, 1947, between the United
Nations and the United States, or other applicable
international obligations.
(2) Exception relating to the provision of humanitarian
assistance.--Sanctions under this section may not be imposed
with respect to transactions or the facilitation of
transactions for--
(A) the sale of agricultural commodities, food,
medicine, or medical devices;
(B) the provision of humanitarian assistance;
(C) financial transactions relating to humanitarian
assistance; or
(D) transporting goods or services that are
necessary to carry out operations relating to
humanitarian assistance.
(3) Exception related to ukrainian operational control.--
Sanctions under this section shall not apply to any foreign
person seeking to reestablish Ukrainian operational control of
the Zaporizhzhia Nuclear Power Station or the surrounding
region.
(d) Implementation; Penalties.--
(1) Implementation.--The President may exercise all
authorities provided to the President under sections 203 and
205 of the International Emergency Economic Powers Act (50
U.S.C. 1702 and 1704) to carry out this subtitle.
(2) Penalties.--The penalties provided for in subsections
(b) and (c) of section 206 of the International Emergency
Economic Powers Act (50 U.S.C. 1705) shall apply to a person
that violates, attempts to violate, conspires to violate, or
causes a violation of regulations promulgated under section
403(b) to carry out paragraph (1)(A) to the same extent that
such penalties apply to a person that commits an unlawful act
described in section 206(a) of that Act.
(e) Waiver.--The President may waive the application of sanctions
imposed with respect to a foreign person under this section if the
President certifies to the appropriate congressional committees not
later than 15 days before such waiver is to take effect that the waiver
is vital to the national security interests of the United States.
(f) Definitions.--In this section--
(1) the term ``appropriate congressional committees'' means
the Committee on Foreign Affairs of the House of
Representatives and the Committee on Foreign Relations of the
Senate;
(2) the term ``foreign person'' means an individual or
entity that is not a United States person;
(3) the term ``United States person'' means--
(A) a United States citizen;
(B) a permanent resident alien of the United
States;
(C) an entity organized under the laws of the
United States or of any jurisdiction within the United
States, including a foreign branch of such an entity;
or
(D) a person in the United States.
<all>
</pre></body></html>
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118HR3247 | Aaron Salter, Jr., Responsible Body Armor Possession Act | [
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"co... | <p><b>Aaron Salter, Jr., Responsible Body Armor Possession Act</b></p> <p>This bill establishes a federal statutory framework to restrict the purchase, ownership, or possession of enhanced body armor by civilians. The term <i>enhanced body armor </i>means body armor, including a helmet or shield, with a ballistic resistance that meets or exceeds the ballistic performance standard of Type III armor, as determined using the National Institute of Justice standard in effect at the time the person purchases, owns, or possesses the armor. </p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3247 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3247
To prohibit the purchase, ownership, or possession of enhanced body
armor by civilians, with exceptions.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Meng (for herself, Mr. Higgins of New York, Ms. Norton, Mr. Johnson
of Georgia, Ms. Velazquez, Mr. Morelle, and Mr. Payne) introduced the
following bill; which was referred to the Committee on the Judiciary
_______________________________________________________________________
A BILL
To prohibit the purchase, ownership, or possession of enhanced body
armor by civilians, with exceptions.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Aaron Salter, Jr., Responsible Body
Armor Possession Act''.
SEC. 2. BAN ON PURCHASE, OWNERSHIP, OR POSSESSION OF ENHANCED BODY
ARMOR BY CIVILIANS; EXCEPTIONS.
(a) Ban.--
(1) In general.--Chapter 44 of title 18, United States
Code, is amended by adding at the end the following:
``Sec. 932. Ban on purchase, ownership, or possession of enhanced body
armor by civilians
``(a) Except as provided in subsection (b), it shall be unlawful
for a person to purchase, own, or possess enhanced body armor.
``(b) Subsection (a) shall not apply to--
``(1) a purchase, ownership, or possession by or under the
authority of--
``(A) the United States or any department or agency
of the United States; or
``(B) a State, or a department, agency, or
political subdivision of a State;
``(2) a covered law enforcement officer; or
``(3) enhanced body armor that was lawfully possessed by
any person at any time before the date this section takes
effect.
``(c) In this section, the term `covered law enforcement officer'--
``(1) has the meaning given the term `qualified law
enforcement officer' in section 926B and the term `qualified
retired law enforcement officer' in section 926C; and
``(2) includes corrections officers.''.
(2) Clerical amendment.--The table of sections for chapter
44 of title 18, United States Code, is amended by adding at the
end the following:
``932. Ban on purchase, ownership, or possession of enhanced body armor
by civilians.''.
(b) Enhanced Body Armor Defined.--Section 921(a) of such title is
amended by adding at the end the following:
``(36) The term `enhanced body armor' means body armor,
including a helmet or shield, the ballistic resistance of which
meets or exceeds the ballistic performance of Type III armor,
determined using such standard as the National Institute of
Justice has in effect at the time at which a person purchases,
owns, or possesses such armor.''.
(c) Penalties.--Section 924(a) of such title is amended by adding
at the end the following:
``(8) Whoever knowingly violates section 932 shall be fined
under this title, imprisoned not more than 10 years, or
both.''.
<all>
</pre></body></html>
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118HR3248 | Diagnostic Lab Testing Transparency Act | [
[
"M001215",
"Rep. Miller-Meeks, Mariannette [R-IA-1]",
"sponsor"
],
[
"D000197",
"Rep. DeGette, Diana [D-CO-1]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3248 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3248
To amend title XVIII of the Social Security Act to increase price
transparency of clinical diagnostic laboratory tests under the Medicare
program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mrs. Miller-Meeks (for herself and Ms. DeGette) introduced the
following bill; which was referred to the Committee on Energy and
Commerce, and in addition to the Committee on Ways and Means, for a
period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to increase price
transparency of clinical diagnostic laboratory tests under the Medicare
program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Diagnostic Lab Testing Transparency
Act''.
SEC. 2. INCREASING PRICE TRANSPARENCY OF CLINICAL DIAGNOSTIC LABORATORY
TESTS UNDER THE MEDICARE PROGRAM.
Section 1846 of the Social Security Act (42 U.S.C. 1395w-2) is
amended--
(1) in the header, by inserting ``and additional
requirements'' after ``sanctions''; and
(2) by adding at the end the following new subsection:
``(c) Price Transparency Requirement.--
``(1) In general.--Beginning January 1, 2025, each provider
of services or supplier that is available to furnish any
specified clinical diagnostic laboratory test under this title
shall--
``(A) make publicly available on an Internet
website the information described in paragraph (2) with
respect to each such specified clinical diagnostic
laboratory test that such provider or supplier is so
available to furnish; and
``(B) ensure that such information is updated not
less frequently than annually.
``(2) Information described.--For purposes of paragraph
(1), the information described in this paragraph is, with
respect to a provider of services or supplier and a specified
clinical diagnostic laboratory test, the following:
``(A) The discounted cash price for such test (or,
if no such price exists, the gross charge for such
test).
``(B) The deidentified minimum negotiated rate in
effect between such provider or supplier and any group
health plan or group or individual health insurance
coverage for such test.
``(C) The deidentified maximum negotiated rate in
effect between such provider or supplier and any such
plan or coverage for such test.
``(3) Inclusion of ancillary services.--Any price or rate
for a specified clinical diagnostic laboratory test available
to be furnished by a provider of services or supplier made
publicly available in accordance with paragraph (1) shall
include the price or rate (as applicable) for any ancillary
item or service (such as specimen collection services) that
would normally be furnished by such provider or supplier as
part of such test, as specified by the Secretary.
``(4) Enforcement.--
``(A) In general.--In the case that the Secretary
determines that a provider of services or supplier is
not in compliance with paragraph (1)--
``(i) not later than 30 days after such
determination, the Secretary shall notify such
provider or supplier of such determination;
``(ii) not later than 90 days after such
notification is sent, such provider or supplier
shall complete a corrective action plan to
comply with such paragraph and submit such plan
to the Secretary; and
``(iii) if such provider or supplier
continues to fail to comply with such paragraph
after the date that is 90 days after such
notification is sent, the Secretary may impose
a civil monetary penalty in an amount not to
exceed $300 for each day (beginning with the
date that is 91 days after such notification
was sent) during which such failure is ongoing.
``(B) Application of certain provisions.--The
provisions of section 1128A (other than subsections (a)
and (b) of such section) shall apply to a civil
monetary penalty imposed under this paragraph in the
same manner as such provisions apply to a civil
monetary penalty imposed under subsection (a) of such
section.
``(5) Definitions.--In this subsection:
``(A) Group health plan; group health insurance
coverage; individual health insurance coverage.--The
terms `group health plan', `group health insurance
coverage', and `individual health insurance coverage'
have the meaning given such terms in section 2791 of
the Public Health Service Act.
``(B) Specified clinical diagnostic laboratory
test.--The term `specified clinical diagnostic
laboratory test' means a clinical diagnostic laboratory
test that is included on the list of shoppable services
specified by the Centers for Medicare & Medicaid
Services (as described in section 180.60 of title 42,
Code of Federal Regulations (or a successor
regulation)).''.
<all>
</pre></body></html>
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118HR3249 | Protecting Circuit Boards and Substrates Act | [
[
"M001213",
"Rep. Moore, Blake D. [R-UT-1]",
"sponsor"
],
[
"E000215",
"Rep. Eshoo, Anna G. [D-CA-16]",
"cosponsor"
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[
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"Rep. Krishnamoorthi, Raja [D-IL-8]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3249 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3249
To provide incentives for the domestic production of printed circuit
boards, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Moore of Utah (for himself and Ms. Eshoo) introduced the following
bill; which was referred to the Committee on Ways and Means, and in
addition to the Committees on Energy and Commerce, and Science, Space,
and Technology, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide incentives for the domestic production of printed circuit
boards, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Protecting Circuit Boards and
Substrates Act''.
SEC. 2. TAX CREDIT FOR THE PURCHASE OR ACQUISITION OF PRINTED CIRCUIT
BOARDS MANUFACTURED IN THE UNITED STATES.
(a) In General.--Subpart D of part IV of subchapter A of chapter 1
of the Internal Revenue Code of 1986 is amended by inserting after
section 45Z the following new section:
``SEC. 45AA. CREDIT FOR THE PURCHASE OR ACQUISITION OF PRINTED CIRCUIT
BOARDS FABRICATED IN THE UNITED STATES.
``(a) In General.--For the purposes of section 38, the credit
determined under this section for the taxable year is an amount equal
to 25 percent of the cost paid or incurred by the taxpayer for the
purchase or acquisition of printed circuit boards fabricated in the
United States for the taxable year.
``(b) Definitions.--For the purposes of this section--
``(1) Printed circuit board.--The term `printed circuit
board' has the meaning given such term in section 3(a) of the
Protecting Circuit Boards and Substrates Act.
``(2) Fabricated.--The term `fabricated' means the use of
raw materials to manufacture a connected composite structure
featuring electrically conductive and non-conductive elements
by subtractive, additive, or other technique.
``(c) Regulations and Guidance.--The Secretary shall, in
consultation with the Secretary of Commerce, promulgate such
regulations and guidance as may be necessary or appropriate to carry
out this section.''.
(b) Clerical Amendment.--The table of sections for subpart D of
part IV of subchapter A of chapter 1 of such Code is amended by
inserting after the item relating to section 45Z the following new
item:
``Sec. 45AA. Credit for the purchase or acquisition of printed circuit
boards fabricated in the United States.''.
(c) Credit Made Part of General Business Credit.--Section 38(b) of
the Internal Revenue Code of 1986 is amended--
(1) in paragraph (37), by striking ``plus'',
(2) in paragraph (38), by striking the period at the end
and inserting ``, plus'', and
(3) by adding at the end the following new paragraph:
``(39) the credit for the purchase or acquisition of
printed circuit boards fabricated in the United States
determined under section 45AA.''.
(d) Effective Date.--The amendments made by this section shall
apply to amounts paid or incurred after December 31, 2022.
SEC. 3. INCENTIVES FOR PRINTED CIRCUIT BOARD MANUFACTURING AND RESEARCH
AND DEVELOPMENT.
(a) Definitions.--In this section:
(1) Active component.--The term ``active component'' means,
with respect to a printed circuit board, an electronic
component within an electronic circuit that relies on an
external power source to control or modify electrical signals.
(2) Covered entity.--The term ``covered entity'' means a
private entity, a consortium of private entities, or a
consortium of public and private entities with the ability to
substantially finance, construct, expand, or modernize a
facility relating to manufacturing or research and development
of printed circuit boards and integrated circuit substrates.
(3) Covered incentive.--The term ``covered incentive''
means--
(A) an incentive used for the purposes of
constructing, expanding, or modernizing a facility
described in paragraph (2) that will be located in the
United States; and
(B) a workforce-related incentive (including an
agreement to provide grants for workforce training or
vocational education), any concession with respect to
real property, funding for research and development
with respect to printed circuit boards, and any other
incentive determined by the Secretary, in consultation
with the Secretary of State, to be appropriate and
related to encouraging investment in facilities and
equipment in the United States for manufacturing or
research and development of printed circuit boards.
(4) Economically disadvantaged individual.--The term
``economically disadvantaged individual'' means an individual
described in section 8(a)(6)(A) of the Small Business Act (15
U.S.C. 637(a)(6)(A)).
(5) Foreign entity; foreign entity of concern.--The terms
``foreign entity'' and ``foreign entity of concern'' have the
meanings given such terms in section 9901 of the William M.
(Mac) Thornberry National Defense Authorization Act for Fiscal
Year 2021 (Public Law 116-283; 15 U.S.C. 4651).
(6) Historically black college or university.--The term
``historically Black college or university'' has the meaning
given the term ``part B institution'' in section 322 of the
Higher Education Act of 1965 (20 U.S.C. 1061).
(7) Institution of higher education.--The term
``institution of higher education'' has the meaning given such
term in section 101 of the Higher Education Act of 1965 (20
U.S.C. 1001).
(8) Integrated circuit substrate.--The term ``integrated
circuit substrate'' means a thin composite structure of layered
electrically conductive materials and organic electrically non-
conductive materials that electrically connects integrated
circuits to an underlying structure, including a printed
circuit board.
(9) Intelligence community.--The term ``intelligence
community'' has the meaning given that term in section 3 of the
National Security Act of 1947 (50 U.S.C. 3003).
(10) Minority-owned business and women-owned business.--The
terms ``minority-owned business'' and ``women-owned business''
have the meanings given such terms in section 704B(h) of the
Equal Credit Opportunity Act (15 U.S.C. 1691c-2(h)).
(11) Minority-serving institution.--The term ``minority-
serving institution'' means any of the following:
(A) An Alaska Native-serving institution (as that
term is defined in section 317(b) of the Higher
Education Act of 1965 (20 U.S.C. 1059d(b))).
(B) A Native Hawaiian-serving institution (as that
term is defined in section 317(b) of such Act (20
U.S.C. 1059d(b))).
(C) A Predominantly Black institution (as that term
is defined in section 371(c) of such Act (20 U.S.C.
1067q(c))).
(D) An Asian American and Native American Pacific
Islander-serving institution (as that term is defined
in section 320(b) of such Act (20 U.S.C. 1059g(b))).
(E) A Native American-serving, nontribal
institution (as that term is defined in section 319(b)
of such Act (20 U.S.C. 1059f(b))).
(12) Passive component.--The term ``passive component''
means, with respect to a printed circuit board, an electronic
component within an electronic circuit that functions using the
existing electronic current within the electronic circuit to
control or modify electrical signals.
(13) Person.--The term ``person'' means an individual or
entity.
(14) Printed circuit board.--The term ``printed circuit
board'' means a composite structure of layered electrically
conductive and non-conductive materials that provides
interconnections with other micro-electronics or electronics
systems or subsystems and electrical connections between active
and passive components, and may include components embedded in
the composite structure.
(15) Program.--The term ``Program'' means the program
established under subsection (b)(1).
(16) Secretary.--The term ``Secretary'' means the Secretary
of Commerce.
(17) Small business.--The term ``small business'' has the
meaning given the term ``small business concern'' under section
3(a) of the Small Business Act (15 U.S.C. 632(a)), except that
section 121.103 of title 13, Code of Federal Regulations (or
any successor regulation) shall not apply.
(18) State.--The term ``State'' means each State of the
United States, the District of Columbia, each commonwealth,
territory, or possession of the United States, and each
federally recognized Indian Tribe.
(19) Veteran-owned business.--The term ``veteran-owned
business'' has the meaning given the term ``small business
concern owned and controlled by veterans'' in section 3(q) of
the Small Business Act (15 U.S.C. 632(q)).
(b) Financial Assistance Program.--
(1) In general.--The Secretary shall establish a program
that, in accordance with the requirements of this section and
subject to the availability of appropriations for such
purposes, provides Federal financial assistance to covered
entities to incentivize investment in facilities and equipment
in the United States for manufacturing or research and
development of printed circuit boards and integrated circuit
substrates.
(2) Procedure.--
(A) In general.--A covered entity shall submit to
the Secretary an application that describes the project
for which the covered entity is seeking financial
assistance under the Program.
(B) Eligibility.--Except as provided in
subparagraph (C), in order for a covered entity to
qualify for financial assistance under the Program, the
covered entity shall demonstrate to the Secretary, in
the application submitted by the covered entity under
subparagraph (A), that--
(i) the covered entity has a documented
interest in carrying out a project that is a
covered incentive; and
(ii) with respect to the project described
in clause (i), the covered entity has--
(I) a plan the Secretary determines
to be executable to sustain the covered
incentive described in clause (i)
without additional Federal financial
assistance under the Program for
facility support;
(II) made commitments to worker and
community investment, including
through--
(aa) training and education
benefits provided by or paid
for by the covered entity; and
(bb) programs to expand
employment opportunity for
economically disadvantaged
individuals; and
(III) secured commitments from
regional educational and training
entities, postsecondary vocational
institutions (defined in section 102(c)
of the Higher Education Act of 1965 (20
U.S.C. 1002(c))), or institutions of
higher education to provide workforce
training, including programming for
training and job placement of
economically disadvantaged individuals.
(C) Small business exception.--The requirements in
subclauses (II) and (III) of subparagraph (B)(ii) do
not apply to small businesses.
(D) Due diligence.--With respect to the review by
the Secretary of an application submitted by a covered
entity under subparagraph (A), the Secretary may not
approve the application unless the Secretary--
(i) confirms that the covered entity has
satisfied the applicable eligibility criteria
under subparagraph (B); and
(ii) determines that the project to which
the application relates is in the interest of
the United States.
(E) Considerations for review.--
(i) In general.--Except as provided in
clause (ii), with respect to the review by the
Secretary of an application submitted by a
covered entity under subparagraph (A), the
Secretary shall consider whether the covered
entity has--
(I) previously received financial
assistance under the Program; and
(II) demonstrated that it is
responsive to the national security
needs or requirements established by
the intelligence community (or an
agency thereof), the National Nuclear
Security Administration, or the
Department of Defense.
(ii) Small businesses excluded.--Clause
(i)(I) does not apply with respect to an
application submitted by a small business under
subparagraph (A).
(F) Preferences.--
(i) In general.--The Secretary shall, when
practicable, give preference with respect to
the approval of an application submitted under
subparagraph (A) by a covered entity that--
(I) is a small business, minority-
owned business, women-owned business,
or veteran-owned business;
(II) expands the United States
production capacity of integrated
circuit substrates;
(III) is relocating a manufacturing
facility of printed circuit boards
currently located in an area owned by,
controlled by, or subject to the
jurisdiction or direction of a foreign
entity of concern; or
(IV) includes a workforce training
program that is--
(aa) a historically Black
college or university;
(bb) a Hispanic-serving
institution (as such term is
defined in section 502(a) of
the Higher Education Act of
1965 (20 U.S.C. 1101a(a)));
(cc) a Tribal College or
University (as such term is
defined in section 316(b) of
the Higher Education Act of
1965 (20 U.S.C. 1059c(b)));
(dd) a minority-serving
institution;
(ee) a rural-serving
institution of higher education
(as such term is defined in
section 861(b) of the Higher
Education Act of 1965 (20
U.S.C. 1161q(b))); or
(ff) a workforce training
organization that offers
industry-recognized, stackable,
and portable credentialing
programs.
(ii) Definitions.--In this subparagraph:
(I) Stackable.--The term
``stackable'' means a credential that
is part of a set of sequenced, related
credentials that demonstrating the
increasing qualifications of the
individual acquiring the credentials
for advancement along a specific career
path or to a more senior position in
the same or related career path.
(II) Portable.--The term
``portable'' means a credential that is
generally recognized and accepted by a
wide variety of entities and in
multiple geographic locations as
verifying the qualifications of an
individual.
(G) Foreign entities of concern exclusion.--
(i) The Secretary may not approve an
application of a covered entity if the
Secretary determines that the covered entity is
a foreign entity of concern.
(ii) None of the funds authorized to be
appropriated to carry out this subsection may
be provided to a foreign entity of concern.
(H) Records production.--
(i) In general.--The Secretary may request
from a covered entity that submits an
application under subparagraph (A) any records
and other information that the Secretary
determines necessary for the purposes of
ascertaining whether an award under the Program
will be used for the covered incentive for
which such award is sought, including records
or other information regarding the status of
such project.
(ii) Funding restriction.--No covered
entity that fails to provide records or
information requested by the Secretary under
this subparagraph shall be eligible for Federal
financial assistance under the Program if such
records or information are reasonably available
to such covered entity.
(3) Amount.--
(A) In general.--The Secretary shall determine the
appropriate amount and funding type for each financial
assistance award made to a covered entity under the
Program.
(B) Larger investment.--The amount awarded under
the Program with respect to any individual project may
not exceed $300,000,000 unless the Secretary, in
consultation with the Secretary of Defense and the
Director of National Intelligence, recommends to the
President, and the President notifies Congress, that a
larger award is necessary to--
(i) significantly increase the supply of
reliable, domestically produced printed circuit
boards that are relevant for the national
security and economic competitiveness of the
United States; and
(ii) meet the needs of national security.
(4) Use of funds.--
(A) In general.--Except as provided by subparagraph
(B), a covered entity that receives a financial
assistance award under the Program may only use the
financial assistance award amounts--
(i) for a covered incentive; and
(ii) to pay reasonable costs related to the
operating expenses for such covered incentive,
including costs relating to the specialized
workforce, essential materials, and complex
equipment maintenance, as determined by the
Secretary.
(B) Larger investments.--If the amount awarded
under the Program with respect to the project is more
than $300,000,000, the covered entity that received
such award may use such amounts only for the purposes
described in subparagraph (A) to the extent that such
use meets the national security needs or enhances the
economic competitiveness of the United States.
(5) Clawback.--
(A) Delay clawback.--
(i) Target dates.--With respect to any
award made under the Program, the Secretary
shall--
(I) determine target dates by which
the project with respect to which such
award was made shall commence and
complete; and
(II) set such dates by the time of
the award.
(ii) Progressive recovery for delays.--If a
project is not commenced and completed by the
dates determined under clause (i) for such
project, the Secretary shall progressively
recover from the recipient of the award for
such project up to the full amount of such
award.
(iii) Waiver.--In the case of a project
that is not commenced or completed by the dates
determined under clause (i) for such project,
the Secretary may waive elements of the
clawback provisions incorporated in the award
made under the Program for such project only
if, prior to granting such waiver, the
Secretary--
(I) makes a formal determination
that circumstances beyond the ability
of the covered entity to foresee or
control are responsible for delays; and
(II) submits a notice to Congress.
(B) Technology clawback.--The Secretary may recover
the full amount of any award made under the Program
from the recipient of the award if, during the period
determined under subparagraph (A)(i) for the project
with respect to which such award was made, the
recipient knowingly engages in any joint research or
technology licensing effort with a foreign entity of
concern that relates to a technology or product that
raises national security concerns, as determined by the
Secretary.
(C) Notification to congress.--
(i) In general.--The Secretary shall notify
Congress of--
(I) the clawback provisions
attending each award described in
subparagraph (A)(i); and
(II) each waiver provided under
subparagraph (A)(iii) not later than 15
days after the date on which the
Secretary provides such waiver.
(ii) Waiver notice contents.--The notice
required under clause (i)(II) shall include--
(I) the elements of the clawback
provisions that were waived under
subparagraph (A)(iii);
(II) an explanation of why such
waiver was provided;
(III) the duration of the delay
with respect to which such waiver was
granted; and
(IV) the name of the covered entity
that was granted such waiver.
(c) Coordination Required.--In carrying out the Program, the
Secretary shall coordinate with--
(1) the Secretary of State;
(2) the Secretary of Defense;
(3) the Secretary of Energy;
(4) the Director of National Intelligence;
(5) the Director of the Minority Business Development
Agency of the Department of Commerce;
(6) the Administrator of the Small Business Administration;
(7) the Director of the National Institute of Standards and
Technology;
(8) the Director of the Cybersecurity and Infrastructure
Agency; and
(9) the Director of the Office of Foreign Assets Control of
the Department of the Treasury.
(d) GAO Reviews.--The Comptroller General of the United States
shall--
(1) not later than 2 years after the date of disbursement
of the first award under the Program, and biennially thereafter
for 10 years, conduct a review of the Program, which shall
include--
(A) a determination of the number of awards
provided under the Program during the two-year period
immediately preceding the review;
(B) an evaluation of how--
(i) such program is being carried out,
including how recipients of awards under the
Program are being selected; and
(ii) other Federal programs are leveraged
for manufacturing, research, and training to
complement the awards made under the Program;
and
(C) a description of the outcomes of projects
supported by awards made under the Program, including a
description of--
(i) facilities described in subsection
(b)(1) that were constructed, expanded, or
modernized as a result of such awards;
(ii) research and development carried out
with such awards;
(iii) workforce training programs carried
out with such awards, including efforts to hire
economically disadvantaged individuals; and
(iv) the effects of such projects on the
United States share of global printed circuit
board production; and
(2) notify Congress of the results of each review conducted
under paragraph (1).
(e) Authorization of Appropriations.--There is authorized to be
appropriated $3,000,000,000 for fiscal year 2024, to remain available
through fiscal year 2025, to carry out this section.
<all>
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118HR325 | Harmful Algal Bloom Essential Forecasting Act | [
[
"D000032",
"Rep. Donalds, Byron [R-FL-19]",
"sponsor"
]
] | <p><strong>Harmful Algal Bloom Essential Forecasting Act</strong></p> <p>This bill requires the Harmful Algal Bloom Operational Forecast System to continue to operate during a government shutdown by designating certain services related to the system as excepted services under the Anti-Deficiency Act. </p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 325 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 325
To amend the Harmful Algal Bloom and Hypoxia Research and Control Act
of 1998 to clarify that during a lapse in appropriations certain
services relating to the Harmful Algal Bloom Operational Forecasting
System are excepted services under the Anti-Deficiency Act, and for
other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Mr. Donalds introduced the following bill; which was referred to the
Committee on Science, Space, and Technology, and in addition to the
Committee on Natural Resources, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend the Harmful Algal Bloom and Hypoxia Research and Control Act
of 1998 to clarify that during a lapse in appropriations certain
services relating to the Harmful Algal Bloom Operational Forecasting
System are excepted services under the Anti-Deficiency Act, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Harmful Algal Bloom Essential
Forecasting Act''.
SEC. 2. DESIGNATING CERTAIN HARMFUL ALGAL BLOOM SERVICES AS EXCEPTED
SERVICES UNDER THE ANTI-DEFICIENCY ACT.
(a) In General.--Section 603A of the Harmful Algal Bloom and
Hypoxia Research and Control Act of 1998 is amended by adding at the
end the following subsection:
``(j) Anti-Deficiency Act Applied to Harmful Algal Bloom
Services.--Any services by an officer or employee under this chapter
relating to web services and server processing for the Harmful Algal
Bloom Operational Forecast System of the National Centers for Coastal
Ocean Science and the National Oceanic and Atmospheric Administration
shall be deemed, for purposes of section 1342 of title 31, United
States Code, services for emergencies involving the safety of human
life or the protection of property.''.
(b) Application.--The amendment made by subsection (a) shall apply
to any lapse in appropriations beginning on or after the date of
enactment of this Act.
<all>
</pre></body></html>
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118HR3250 | National Museum of Play Recognition Act | [
[
"M001206",
"Rep. Morelle, Joseph D. [D-NY-25]",
"sponsor"
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"L000600",
"Rep. Langworthy, Nicholas A. [R-NY-23]",
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3250 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3250
To recognize the Margaret Woodbury Strong Museum in Rochester, New
York.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Morelle (for himself and Mr. Langworthy) introduced the following
bill; which was referred to the Committee on Natural Resources
_______________________________________________________________________
A BILL
To recognize the Margaret Woodbury Strong Museum in Rochester, New
York.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``National Museum of Play Recognition
Act''.
SEC. 2. DESIGNATION OF NATIONAL MUSEUM OF PLAY IN ROCHESTER, NEW YORK.
(a) Congressional Recognition.--Congress--
(1) recognizes that the Margaret Woodbury Strong Museum,
DBA Strong Museum, located in Rochester, New York, is the only
museum of its kind that exists for the exclusive purpose of
exploring the ways in which play encourages learning,
creativity, and discovery, and how it illuminates cultural
history; and
(2) officially designates the Margaret Woodbury Strong
Museum as the National Museum of Play.
(b) Effect of Recognition; Designation.--The National Museum of
Play recognized in subsection (a) is not a unit of the National Park
System and the designation under subsection (a) shall not be construed
to require or permit Federal funds to be expended for any purpose
related to the Museum.
<all>
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118HR3251 | Equality in the Halls of Congress Act | [
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"Del. Moylan, James C. [R-GU-At Large]",
"sponsor"
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[
"M000194",
"R... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3251 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3251
To permit the territories of the United States to provide and furnish
statues for placement in National Statuary Hall.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Moylan (for himself, Mrs. Radewagen, Mrs. Gonzalez-Colon, Ms. Mace,
Ms. Plaskett, Mr. Sablan, Mr. Ciscomani, Mr. Hunt, Mr. Langworthy, Mr.
Mills, and Mr. Strong) introduced the following bill; which was
referred to the Committee on House Administration
_______________________________________________________________________
A BILL
To permit the territories of the United States to provide and furnish
statues for placement in National Statuary Hall.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
(a) Short Title.--This Act may be cited as the ``Equality in the
Halls of Congress Act''.
SEC. 2. PLACEMENT OF STATUES FROM TERRITORIES IN NATIONAL STATUARY
HALL.
(a) Placement of Statues.--Section 1814 of the Revised Statutes of
the United States (2 U.S.C. 2131) is amended by adding at the end the
following new sentence: ``For purposes of this section, the term
`State' includes American Samoa, Guam, the Commonwealth of the Northern
Mariana Islands, the Commonwealth of Puerto Rico, and the United States
Virgin Islands.''.
(b) Conforming Amendment Relating to Replacement of Statues.--
Section 311 of the Legislative Branch Appropriations Act, 2001 (2
U.S.C. 2132) is amended by adding at the end the following new
subsection:
``(f) For purposes of this section, the term `State' includes
American Samoa, Guam, the Commonwealth of the Northern Mariana Islands,
the Commonwealth of Puerto Rico, and the United States Virgin
Islands.''.
<all>
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118HR3252 | Colorado Judgeship Act | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3252 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3252
To authorize additional district judgeships for the district of
Colorado, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Neguse introduced the following bill; which was referred to the
Committee on the Judiciary
_______________________________________________________________________
A BILL
To authorize additional district judgeships for the district of
Colorado, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Colorado Judgeship Act''.
SEC. 2. ADDITIONAL DISTRICT JUDGESHIPS FOR THE DISTRICT OF COLORADO.
(a) Additional District Judgeships.--The President shall appoint,
by and with the advice and consent of the Senate, 3 additional district
judges for the district of Colorado.
(b) Technical and Conforming Amendment.--The table in section
133(a) of title 28, United States Code, is amended by striking the item
relating to Colorado and inserting the following:
``Colorado................................................. 10''.
<all>
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118HR3253 | Reservist Pay Equity Act of 2023 | [
[
"P000613",
"Rep. Panetta, Jimmy [D-CA-19]",
"sponsor"
],
[
"W000815",
"Rep. Wenstrup, Brad R. [R-OH-2]",
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"cosponsor"
],
[
"M001213",
"Rep. Moore, Blake D. [R-UT-1]",
"cosponsor"
]
] | <p><b>Reservist Pay Equity Act of 202</b><strong>3</strong></p> <p>This bill increases the rate of the differential wage payment tax credit from 20% to 50% and requires that the maximum dollar amount of such credit be adjusted for inflation after 2023. The credit is allowed to employers for their employees who are active duty members of the uniformed services.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3253 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3253
To amend the Internal Revenue Code of 1986 to increase the differential
wage payment credit.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Panetta (for himself, Mr. Wenstrup, Mr. Beyer, and Mr. Moore of
Utah) introduced the following bill; which was referred to the
Committee on Ways and Means
_______________________________________________________________________
A BILL
To amend the Internal Revenue Code of 1986 to increase the differential
wage payment credit.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Reservist Pay Equity Act of 2023''.
SEC. 2. EXPANSION OF EMPLOYER WAGE CREDIT FOR EMPLOYEES WHO ARE ACTIVE
DUTY MEMBERS OF THE UNIFORMED SERVICES.
(a) Increase in Differential Wage Payment Credit.--Section 45P(a)
of the Internal Revenue Code of 1986 is amended by striking ``20
percent'' and inserting ``50 percent''.
(b) Adjustment for Inflation.--Section 45P(b) of such Code is
amended by adding at the end the following new paragraph:
``(4) Adjustment for inflation.--In the case of any taxable
year beginning after 2023, the $20,000 amount in paragraph (1)
shall be increased by an amount equal to--
``(A) such dollar amount, multiplied by
``(B) the cost-of-living adjustment determined
under section 1(f)(3) for the calendar year in which
the taxable year begins, by substituting `calendar year
2022' for `calendar year 2016' in subparagraph (A)(ii)
thereof.
If the amount as increased under the preceding sentence is not
a multiple of $100, such amount shall be rounded to the nearest
multiple of $100.''.
(c) Effective Date.--The amendments made by this section shall
apply to payments made after the date of enactment of this Act.
<all>
</pre></body></html>
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118HR3254 | First Responder Access to Innovative Technologies Act | [
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"S001220",
"Rep. Strong, Dale W. [R-AL-5]",
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]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3254 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3254
To amend the Homeland Security Act of 2002 to establish a process to
review applications for certain grants to purchase equipment or systems
that do not meet or exceed any applicable national voluntary consensus
standards, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Payne (for himself and Mr. Strong) introduced the following bill;
which was referred to the Committee on Homeland Security
_______________________________________________________________________
A BILL
To amend the Homeland Security Act of 2002 to establish a process to
review applications for certain grants to purchase equipment or systems
that do not meet or exceed any applicable national voluntary consensus
standards, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``First Responder Access to Innovative
Technologies Act''.
SEC. 2. APPROVAL OF CERTAIN EQUIPMENT.
(a) In General.--Section 2008 of the Homeland Security Act of 2002
(6 U.S.C. 609) is amended--
(1) in subsection (f)--
(A) by striking ``If an applicant'' and inserting
the following:
``(1) Application requirement.--If an applicant''; and
(B) by adding at the end the following new
paragraphs:
``(2) Review process.--The Administrator shall implement a
uniform process for reviewing applications that, in accordance
with paragraph (1), contain explanations to use grants provided
under section 2003 or 2004 to purchase equipment or systems
that do not meet or exceed any applicable national voluntary
consensus standards developed under section 647 of the Post-
Katrina Emergency Management Reform Act of 2006 (6 U.S.C. 747).
``(3) Factors.--In carrying out the review process under
paragraph (2), the Administrator shall consider the following:
``(A) Current or past use of proposed equipment or
systems by Federal agencies or the Armed Forces.
``(B) The absence of a national voluntary consensus
standard for such equipment or systems.
``(C) The existence of an international consensus
standard for such equipment or systems, and whether
such equipment or systems meets such standard.
``(D) The nature of the capability gap identified
by the applicant and how such equipment or systems will
address such gap.
``(E) The degree to which such equipment or systems
will serve the needs of the applicant better than
equipment or systems that meet or exceed existing
consensus standards.
``(F) Any other factor determined appropriate by
the Administrator.''; and
(2) by adding at the end the following new subsection:
``(g) Review Process.--The Administrator shall implement a uniform
process for reviewing applications to use grants provided under section
2003 or 2004 to purchase equipment or systems not included on the
Authorized Equipment List maintained by the Administrator.''.
(b) Inspector General Report.--Not later than three years after the
date of the enactment of this Act, the Inspector General of the
Department of Homeland Security shall submit to the Committee on
Homeland Security of the House of Representatives and the Committee on
Homeland Security and Governmental Affairs of the Senate a report
assessing the implementation of the review process established under
paragraph (2) of subsection (f) of section 2008 of the Homeland
Security Act of 2002 (as added by subsection (a) of this section),
including information on the following:
(1) The number of requests to purchase equipment or systems
that do not meet or exceed any applicable consensus standard
evaluated under such review process.
(2) The capability gaps identified by applicants and the
number of such requests granted or denied.
(3) The processing time for the review of such requests.
<all>
</pre></body></html>
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118HR3255 | Freight Rail Workforce Health and Safety Act | [
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... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3255 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3255
To amend title 49, United States Code, with respect to sick leave for
certain employees of Class I railroads, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Payne (for himself, Mr. Bowman, Ms. Budzinski, Mr. Carson, Mr.
Carter of Louisiana, Mr. Cohen, Mr. DeSaulnier, Mrs. Dingell, Mr.
Garcia of Illinois, Mr. Grijalva, Mr. Johnson of Georgia, Mr. Kim of
New Jersey, Mr. Larsen of Washington, Ms. Lee of California, Mr.
Magaziner, Ms. McCollum, Ms. Moore of Wisconsin, Mrs. Napolitano, Ms.
Norton, Ms. Omar, Ms. Schakowsky, Ms. Titus, Mrs. Watson Coleman, Ms.
Escobar, Mr. Lynch, Mr. Evans, Mr. Neguse, Mrs. Foushee, Ms. Hoyle of
Oregon, Ms. Barragan, Mr. Huffman, Mr. Menendez, Ms. Jayapal, Ms.
Strickland, Ms. Ocasio-Cortez, Ms. Stansbury, Mr. Moulton, and Ms.
Wilson of Florida) introduced the following bill; which was referred to
the Committee on Transportation and Infrastructure
_______________________________________________________________________
A BILL
To amend title 49, United States Code, with respect to sick leave for
certain employees of Class I railroads, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Freight Rail Workforce Health and
Safety Act''.
SEC. 2. RAILROAD SAFETY RISK REDUCTION PROGRAM.
(a) In General.--Section 20156(a)(3) of title 49, United States
Code, is amended--
(1) by inserting ``The Secretary shall not approve a
railroad safety risk reduction program plan, or subsequent
amendment to a plan, if the railroad carrier submitting such
plan or amendment does not comply with the requirements of
section 20172. The Secretary may consider other factors in
reviewing and approving or disapproving safety risk reduction
program plans or amendments to plans that the Secretary
determines appropriate.'' after ``reasonable period of time.'';
(2) by inserting ``and approve or disapprove plans'' after
``conduct a review''; and
(3) by inserting ``, including the requirements of section
20172'' after ``their plans''.
(b) Injury and Fatality Prevention.--Chapter 201 of title 49,
United States Code, is amended by adding at the end the following:
``Sec. 20172. Injury and fatality prevention
``(a) In General.--
``(1) Sick leave.--Not later than 60 days after the date of
enactment of this section, each Class I railroad carrier
subject to part 271 of title 49, Code of Federal Regulations,
shall provide the employees of such rail carrier paid sick
leave in accordance with this section.
``(2) Accounting.--
``(A) In general.--For the purposes of this
section, personal days, holidays, floating holidays,
vacation, any other form of accrued leave or any other
unpaid leave do not count as days of paid sick leave.
``(B) Use or ability to use.--The use of or the
ability to use any such days or leave as paid sick
leave days also does not count toward satisfying the
minimum number of paid sick leave days required by this
section.
``(b) Accruing Paid Sick Leave.--
``(1) In general.--Each Class I railroad carrier described
in subsection (a)(1) shall provide the employees of such rail
carrier at least 7 days of paid sick leave in a calendar year.
``(2) Carry over.--Each day of paid sick leave that an
employee does not take in a calendar year shall be carried over
to January 1 of the following calendar year and shall not count
toward the minimum number of sick days set under subsection
(a).
``(3) Wage rate.--Each day of sick leave that an employee
takes shall be paid at the regular hourly wage rate of the
employee and is to include compensation elements that comprise
the wage rate of such employee.
``(c) Use of Paid Sick Leave.--Subject to the conditions of
subsection (d), a Class I railroad carrier shall permit an employee to
use paid sick leave to be absent during any work time because of--
``(1) a physical or mental illness, injury, or medical
condition of the employee;
``(2) obtaining diagnosis, care, or preventive care from a
health care provider by the employee;
``(3) caring for the child, parent, spouse, or domestic
partner of an employee or any other individual related by blood
or affinity whose close association with the employee is the
equivalent of a family relationship who has any of the
conditions or needs for diagnosis, care, or preventive care
described in paragraphs (1) or (2) of this subsection; or
``(4) an absence resulting from domestic violence, sexual
assault, or stalking, if the time is to--
``(A) seek medical attention for the employee or
the employee's child, parent, spouse, domestic partner,
or an individual related to the employee as described
in paragraph (3), to recover from physical or
psychological injury or disability caused by domestic
violence, sexual assault, or stalking;
``(B) obtain or assist a related person described
in paragraph (3) in obtaining services from a victim
services organization;
``(C) obtain or assist a related person described
in paragraph (3) in obtaining psychological or other
counseling;
``(D) seek relocation; or
``(E) take legal action, including preparing for or
participating in any civil or criminal legal proceeding
related to or resulting from domestic violence, sexual
assault, or stalking.
``(d) Utilizing Paid Sick Leave.--
``(1) In general.--If the need for leave is foreseeable,
the request by an employee shall be made at least 7 calendar
days in advance of the date for which the leave is requested.
``(2) Non-foreseeable requests.--If the employee is unable
to request leave at least 7 calendar days in advance, the
request shall be made as soon as is practicable.
``(3) No contingency.--A Class I railroad carrier may not
make the use of paid sick leave contingent on the requesting
employee finding a replacement to cover any work time to be
missed by the requesting employee.
``(4) Prohibition on adverse action.--A Class I railroad
carrier is prohibited from--
``(A) dismissing, suspending, laying off, demoting,
or disciplining (including assigning points, demerits,
or disciplinary citations under any attendance policy)
an employee because the employee has requested the use
of or has used paid sick leave; and
``(B) taking into account a request by an employee
to use or use of paid sick leave in connection with in
any decision to promote or train the employee.
``(e) Minimum Days of Paid Sick Leave and Collective Bargaining.--
``(1) In general.--The minimum number of paid sick days
established by this section that a Class I railroad carrier
must provide employees is the minimum number of such days
consistent with safety. The use of any 7 days of paid sick
leave annually, regardless of whether such days are provided
under any agreement reached in negotiations between any such
Class I railroad carrier and any representative of its
employees under the Railway Labor Act (45 U.S.C. 151 et seq.),
shall meet the requirements of subsection (d) of this
subsection.
``(2) Additional days.--Additional paid sick days may be
collectively bargained between a railroad carrier and the
representatives of employees of such railroad in accordance
with the Railway Labor Act (45 U.S.C. 151 et seq.).
``(f) Definitions.--In this section:
``(1) Day.--The term `day' means a period of 24 consecutive
hours.
``(2) Domestic violence.--The term `domestic violence'--
``(A) has the meaning given the term in section
40002(a) of the Violence Against Women Act of 1994 (34
U.S.C. 12291(a)), except that the reference in such
section to the term ``jurisdiction receiving grant
monies'' shall be deemed to mean the jurisdiction in
which the victim lives or the jurisdiction in which the
employer involved is located; and
``(B) includes dating violence, as such term is
defined in such section.
``(3) Paid sick leave.--The term `paid sick leave' means an
increment of compensated leave that can be earned by an
employee for use during an absence from employment for any of
the reasons described in paragraphs (1) through (4) of
subsection (c).
``(4) Sexual assault.--The term `sexual assault' has the
meaning given such term in section 40002(a) of the Violence
Against Women Act of 1994 (34 U.S.C. 12291(a)).
``(5) Stalking.--The term `stalking' has the meaning given
such term in section 40002(a) of the Violence Against Women Act
of 1994 (34 U.S.C. 12291(a)).''.
(c) Clerical Amendment.--The analysis for chapter 201 of title 49,
United States Code, is amended by adding at the end the following:
``20172. Injury and fatality prevention.''.
<all>
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118HR3256 | Preventing Executive Climate Overreach Act | [
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... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3256 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3256
To provide that Executive Order 14096 shall have no force or effect.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Pfluger (for himself, Mr. Hern, Mr. Norman, Mr. Perry, Mr.
Crenshaw, Mrs. Miller of Illinois, Mr. Donalds, Mr. Joyce of
Pennsylvania, Mr. Ogles, Mr. Grothman, Mr. C. Scott Franklin of
Florida, Mr. Jackson of Texas, Mr. Weber of Texas, Mr. Alford, Mr.
Davidson, Mr. Allen, Mr. Reschenthaler, Mr. Finstad, Mrs. Bice, Mr.
Duncan, Mr. Babin, Mr. Sessions, and Mr. Moolenaar) introduced the
following bill; which was referred to the Committee on Energy and
Commerce, and in addition to the Committees on Natural Resources, and
Science, Space, and Technology, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide that Executive Order 14096 shall have no force or effect.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Preventing Executive Climate
Overreach Act''.
SEC. 2. EXECUTIVE ORDER 14096.
Executive Order 14096 (88 Fed. Reg. 25251; relating to revitalizing
our Nation's commitment to environmental justice for all) shall have no
force or effect.
<all>
</pre></body></html>
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118HR3257 | Election Integrity Act of 2023 | [
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"P000599",
"Rep. Posey, Bill [R-FL-8]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3257 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3257
To amend the Help America Vote Act of 2002 to prohibit States from
using in the administration of an election for Federal office
proprietary voting system hardware or software which prevents the
system from meeting the voluntary voting system guidelines for
interoperability and auditability issued by the Election Assistance
Commission under such Act, a voting system whose hardware and software
components are manufactured, maintained, or serviced outside the United
States, or a voting system which is connected to the internet.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Posey introduced the following bill; which was referred to the
Committee on House Administration
_______________________________________________________________________
A BILL
To amend the Help America Vote Act of 2002 to prohibit States from
using in the administration of an election for Federal office
proprietary voting system hardware or software which prevents the
system from meeting the voluntary voting system guidelines for
interoperability and auditability issued by the Election Assistance
Commission under such Act, a voting system whose hardware and software
components are manufactured, maintained, or serviced outside the United
States, or a voting system which is connected to the internet.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Election Integrity Act of 2023''.
SEC. 2. PROHIBITING USE OF PROPRIETARY VOTING SYSTEM HARDWARE OR
SOFTWARE NOT ENABLING AUDITS.
(a) Prohibition.--Section 301(a) of the Help America Vote Act of
2002 (52 U.S.C. 21081(a)) is amended by adding at the end the following
new paragraph:
``(7) Prohibiting use of proprietary hardware or software
not meeting voluntary guidance for interoperability and
auditability.--The voting system may not use any proprietary
hardware or software unless the manufacturer of the hardware or
software provides the appropriate election official with such
information and assistance as the official may require to
enable the voting system to be interoperable and auditable in
accordance with the most recent voluntary voting system
guidelines issued by the Commission under this title.''.
(b) Effective Date.--Section 301(d) of such Act (52 U.S.C.
21081(d)) is amended by striking the period at the end and inserting
the following: ``, or, in the case of the requirements of paragraph (7)
of subsection (a), on and after January 1, 2024.''.
SEC. 3. PROHIBITING USE OF VOTING SYSTEM PRODUCED BY FOREIGN ENTITY IN
ELECTIONS FOR FEDERAL OFFICE.
(a) Prohibition.--Section 301(a) of the Help America Vote Act of
2002 (52 U.S.C. 21081(a)), as amended by section 2(a), is further
amended by adding at the end the following new paragraphs:
``(8) System hardware and software manufactured and
maintained in united states.--All of the hardware components
and all of the software components of the system shall be
manufactured in the United States and shall be maintained and
serviced only by persons who are in the United States.
``(9) System not produced by foreign entity.--
``(A) In general.--The voting system may not be
produced by a foreign entity.
``(B) Foreign entity defined.--In subparagraph (A),
the term `foreign entity' means any of the following:
``(i) A foreign national.
``(ii) Any corporation which is not a
foreign national and in which a foreign
national or an alien directly or indirectly
owns or controls any voting share.
``(iii) Any corporation which is not a
foreign national and with respect to which any
of the members of the board of directors are
foreign nationals or aliens.
``(iv) Any corporation which is not a
foreign national and over which one or more
foreign nationals or aliens has the power to
direct, dictate, or control the decision-making
process of the corporation with respect to its
interests in the United States.
``(C) Foreign national defined.--In this paragraph,
the term `foreign national' has the meaning given such
term in section 1(b) of the Foreign Agents Registration
Act of 1938, as amended (22 U.S.C. 611(b)), except that
such term shall not include any individual who is a
citizen of the United States.
``(D) Alien defined.--In this paragraph, the term
`alien' means an individual who is not a citizen of the
United States or a national of the United States (as
defined in section 101(a)(22) of the Immigration and
Nationality Act), and who is not lawfully admitted for
permanent residence (as defined in section 101(a)(20)
of such Act).''.
(b) Effective Date.--Section 301(d) of such Act (52 U.S.C.
21081(d)), as amended by section 2(b), is further amended to read as
follows:
``(d) Effective Date.--
``(1) In general.--Except as provided in paragraph (2),
each State and jurisdiction shall be required to comply with
the requirements of this section on and after January 1, 2006,
or, in the case of the requirements of paragraph (7) of
subsection (a), on and after January 1, 2024.
``(2) Special rule for requirements relating to foreign
entities.--In the case of the requirements of paragraphs (8)
and (9) of subsection (a), each State and jurisdiction shall be
required to comply with such requirements on and after the date
of the enactment of the Election Integrity Act of 2023.''.
SEC. 4. PROHIBITING CONNECTION OF VOTING SYSTEMS TO INTERNET.
(a) Prohibition.--Section 301(a) of the Help America Vote Act of
2002 (52 U.S.C. 21081(a)), as amended by section 2(a) and section 3(a),
is further amended by adding at the end the following new paragraph:
``(10) Prohibiting connection of system to the internet.--
``(A) In general.--No system or device upon which
ballots are programmed or votes are cast or tabulated
shall be connected to the internet at any time.
``(B) Prohibiting acceptance of ballots transmitted
online.--The voting system may not directly tabulate
any voted ballot which is transmitted to an election
official online.
``(C) Rule of construction.--Nothing contained in
this paragraph shall be deemed to prohibit the
Commission from conducting the studies under section
242 or to conduct other similar studies under any other
provision of law in a manner consistent with this
paragraph.''.
(b) Effective Date.--Section 301(d)(1) of such Act (52 U.S.C.
21081(d)(1)), as amended by section 2(b) and section 3(b), is further
amended by striking ``paragraph (7) of subsection (a)'' and inserting
``paragraphs (7) and (10) of subsection (a)''.
<all>
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118HR3258 | TREAT Long COVID Act | [
[
"P000617",
"Rep. Pressley, Ayanna [D-MA-7]",
"sponsor"
],
[
"B001303",
"Rep. Blunt Rochester, Lisa [D-DE-At Large]",
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[
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"cosponsor"... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3258 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3258
To authorize the Secretary of Health and Human Services to award grants
to eligible entities for creating or enhancing capacity to treat
patients with Long COVID through a multidisciplinary approach.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Pressley (for herself, Ms. Blunt Rochester, Mr. Beyer, Mr. Quigley,
Ms. Jacobs, Ms. Velazquez, Ms. Porter, Ms. Chu, Mr. Carter of
Louisiana, Mr. Bera, Ms. Norton, Mr. Smith of Washington, Mr. Grijalva,
Ms. Tlaib, Ms. Stansbury, Mr. Bowman, Mr. Cleaver, Mr. Krishnamoorthi,
Ms. Omar, Mr. McGovern, Ms. Barragan, Ms. Bush, Ms. Kuster, Mr. Khanna,
Mr. Trone, and Mrs. Cherfilus-McCormick) introduced the following bill;
which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To authorize the Secretary of Health and Human Services to award grants
to eligible entities for creating or enhancing capacity to treat
patients with Long COVID through a multidisciplinary approach.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Targeting Resources for Equitable
Access to Treatment for Long COVID Act'' or the ``TREAT Long COVID
Act''.
SEC. 2. GRANT PROGRAM TO SUPPORT MULTIDISCIPLINARY LONG COVID CLINICS.
(a) Establishment of Program.--The Secretary of Health and Human
Services (in this section referred to as the ``Secretary'') shall award
grants on a competitive basis to eligible entities for the purpose of
creating or enhancing capacity to treat patients with Long COVID (also
referred to as Post-Acute Sequelae of COVID-19 and post-COVID
conditions) and its associated conditions through a multidisciplinary
approach.
(b) Use of Funds.--An eligible entity receiving a grant under this
section shall use the grant, for the purpose described in subsection
(a), to--
(1) enhance the capacity of one or more existing
multidisciplinary Long COVID clinics to serve the Long COVID
population; or
(2) create one or more multidisciplinary clinics to address
the physical and mental health needs of Long COVID patients.
(c) Eligible Entities.--To be eligible to receive a grant under
this section, an entity shall be a health care provider, Federally
qualified health center (as defined in section 1861(aa) of the Social
Security Act (42 U.S.C. 1395x(aa))), rural health clinic, urban Indian
health center, or State or local public health department, that--
(1)(A) operates an existing multidisciplinary Long COVID
clinic or other specialized Long COVID program; or
(B) demonstrates an intent to create a multidisciplinary
Long COVID clinic or other specialized Long COVID program; and
(2) submits to the Secretary an application at such time,
in such manner, and containing such information and assurances
as the Secretary may require.
(d) Equitable Access.--In order to ensure equitable access
treatment--
(1) no grantee under this section shall deny access to
treatment with respect to Long COVID based on insurance
coverage, date or method of diagnosis, preexisting conditions,
or previous hospitalization;
(2) a grantee under this section shall with respect to Long
COVID--
(A) offer equity-centered resources, information,
and training to safety net health systems; and
(B) disseminate best practices and treatment
approaches that enhance access to high-quality care to
everyone where they live; and
(3) treatment for Long COVID shall be included as a COVID-
19 treatment, consistent with the American Rescue Plan Act of
2021 (Public Law 117-2).
(e) Grant Amount.--The amount of a grant awarded under this section
shall not exceed $2,000,000.
(f) Grant Period.--The period of a grant under this section shall
be up to three years, with an opportunity for renewal.
(g) Priority.--In awarding grants under subsection (a), the
Secretary shall give priority to eligible entities that--
(1) submit a plan to engage with Long COVID patient
organizations, medically underserved communities, and
populations disproportionately impacted by COVID-19, in a
degree sufficient to advance health care equity in Long COVID
treatment and outcomes;
(2) demonstrate capacity (or an intent to build capacity)
to facilitate patient access to multidisciplinary health care
providers with expertise in treating Long COVID and its
associated conditions, as well as other infection-associated
chronic conditions, including such providers who are primary
and specialty care physicians capable of comprehensive,
systemic care, such as psychiatrists, neurologists,
cardiologists, immunologists, pulmonologists, therapists,
nurses, care coordinators, social workers, nutritionists, and
behavioral health specialists; and
(3) submit a plan to ensure ongoing multidisciplinary
continuing education on infection-triggered conditions for--
(A) physicians treating Long COVID and its
associated conditions; and
(B) other physicians and health care workers who
are not treating Long COVID, but are otherwise serving
patients in the community.
(h) Reports.--
(1) Annual reports by grantees to secretary.--On an annual
basis, a recipient of a grant under this section shall--
(A) submit to the Secretary, and make publicly
available, a report on the activities carried out
through the grant; and
(B) include quantitative and qualitative
evaluations of such activities, including the
experience of individuals who received health care
through such grant.
(2) Annual reports by secretary to congress.--Not later
than the end of each of fiscal years 2023 through 2025, the
Secretary shall submit to the Congress, and make publicly
available, a report that--
(A) summarizes the reports received under paragraph
(1);
(B) evaluates the effectiveness of grants under
this section; and
(C) makes recommendations with respect to expanding
coverage for clinical care for Long COVID and its
associated conditions.
(i) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated such sums as may be necessary
for each of fiscal years 2024 through 2026.
<all>
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118HR3259 | RIDE for Ukraine Act | [
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[
"M0... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3259 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3259
To make nationals of Ukraine who are present in the United States
eligible for REAL ID benefits, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Quigley (for himself, Mr. Fitzpatrick, Ms. Kaptur, and Mr. Bucshon)
introduced the following bill; which was referred to the Committee on
Oversight and Accountability
_______________________________________________________________________
A BILL
To make nationals of Ukraine who are present in the United States
eligible for REAL ID benefits, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``REAL ID Eligibility for Ukraine
Act'' or the ``RIDE for Ukraine Act''.
SEC. 2. REAL ID BENEFITS.
Section 401(b) of the Additional Ukraine Supplemental
Appropriations Act, 2022 (8 U.S.C. 1101 note(b)) is amended--
(1) in paragraph (1), by striking ``and'' at the end;
(2) in paragraph (2), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following:
``(3) a driver's license or identification card under
section 202 of the REAL ID Act of 2005 (division B of Public
Law 109-13; U.S.C. 30301 note), notwithstanding subsection
(c)(2)(B) of such Act.''.
<all>
</pre></body></html>
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118HR326 | No Subsidies for Government Purchases of Electric Vehicles Act | [
[
"E000298",
"Rep. Estes, Ron [R-KS-4]",
"sponsor"
],
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"L000266",
"Rep. LaTurner, Jake [R-KS-2]",
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[
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] | <p><strong>No Subsidies for Government Purchases of Electric Vehicles Act</strong></p> <p>This bill disallows a tax credit for qualified plug-in electric drive motor vehicles that are sold to the federal government or a state government.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 326 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 326
To amend the Internal Revenue Code of 1986 to prohibit the seller of an
electric vehicle from being treated as the taxpayer that placed such
vehicle in service and taking the electric vehicle tax credit if such
vehicle is sold to the Federal Government.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Mr. Estes introduced the following bill; which was referred to the
Committee on Ways and Means
_______________________________________________________________________
A BILL
To amend the Internal Revenue Code of 1986 to prohibit the seller of an
electric vehicle from being treated as the taxpayer that placed such
vehicle in service and taking the electric vehicle tax credit if such
vehicle is sold to the Federal Government.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``No Subsidies for Government
Purchases of Electric Vehicles Act''.
SEC. 2. SELLER OF ELECTRIC VEHICLE PROHIBITED FROM BEING TREATED AS
TAXPAYER PLACING SUCH VEHICLE IN SERVICE IF VEHICLE SOLD
TO FEDERAL GOVERNMENT.
(a) In General.--Section 30D(f)(3) of the Internal Revenue Code of
1986 is amended by striking ``but only if'' and all that follows and
inserting the following: ``but only if--
``(A) such person clearly discloses to such person
or entity in a document the amount of any credit
allowable under subsection (a) with respect to such
vehicle (determined without regard to subsection (c)),
``(B) such person or entity is not the Federal
Government or an agency or representative thereof, and
``(C) such person or entity is not a State
government or a locality, agency, or representative
thereof.
For purposes of subsection (c), property to which this
paragraph applies shall be treated as of a character subject to
an allowance for depreciation.''.
(b) Effective Date.--The amendment made by this section shall apply
to taxable years beginning after the date of the enactment of this
section.
<all>
</pre></body></html>
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118HR3260 | Northern Mariana Islands Medicaid Equivalence Act | [
[
"S001177",
"Del. Sablan, Gregorio Kilili Camacho [D-MP-At Large]",
"sponsor"
],
[
"M001219",
"Del. Moylan, James C. [R-GU-At Large]",
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3260 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3260
To amend title XI of the Social Security Act to increase the payment
limit under Medicaid for the Northern Mariana Islands.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Sablan introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend title XI of the Social Security Act to increase the payment
limit under Medicaid for the Northern Mariana Islands.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Northern Mariana Islands Medicaid
Equivalence Act''.
SEC. 2. INCREASING PAYMENT LIMIT UNDER MEDICAID FOR THE NORTHERN
MARIANA ISLANDS.
Section 1108(g)(2)(D) of the Social Security Act (42 U.S.C.
1308(g)(2)(D)) is amended--
(1) in clause (i), by striking ``clause (ii)'' and
inserting ``clauses (ii) through (iv)'';
(2) in clause (ii), by striking ``and'' at the end; and
(3) by adding at the end the following new clause:
``(iv) for fiscal year 2024, the amount
determined under subparagraph (E) with respect
to American Samoa for such fiscal year; and''.
<all>
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118HR3261 | Strengthening Social Security Act of 2023 | [
[
"S001156",
"Rep. Sánchez, Linda T. [D-CA-38]",
"sponsor"
],
[
"P000607",
"Rep. Pocan, Mark [D-WI-2]",
"cosponsor"
],
[
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"Rep. Schakowsky, Janice D. [D-IL-9]",
"cosponsor"
],
[
"L000551",
"Rep. Lee, Barbara [D-CA-12]",
"cosponsor"
],
[
"... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3261 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3261
To improve the retirement security of United States families by
strengthening Social Security.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Sanchez (for herself, Mr. Pocan, Ms. Schakowsky, Ms. Lee of
California, Mr. Cartwright, Ms. Lofgren, Mr. Lynch, Ms. Pingree, Ms.
Norton, and Mr. Cohen) introduced the following bill; which was
referred to the Committee on Ways and Means, and in addition to the
Committee on Education and the Workforce, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee
concerned
_______________________________________________________________________
A BILL
To improve the retirement security of United States families by
strengthening Social Security.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Strengthening Social Security Act of
2023''.
SEC. 2. DETERMINATION OF TAXABLE WAGES AND SELF-EMPLOYMENT INCOME ABOVE
CONTRIBUTION AND BENEFIT BASE AFTER 2024.
(a) Determination of Taxable Wages Above Contribution and Benefit
Base After 2024.--
(1) Amendments to the internal revenue code of 1986.--
Section 3121 of the Internal Revenue Code of 1986 is amended--
(A) in subsection (a)(1), by inserting ``the
applicable percentage (determined under subsection
(c)(1)) of'' before ``that part of the remuneration'';
and
(B) in subsection (c), by striking ``(c) Included
and Excluded Service.--For purposes of this chapter,
if'' and inserting the following:
``(c) Special Rules for Wages and Employment.--
``(1) Applicable percentage of remuneration in determining
taxable wages.--For purposes of subsection (a)(1), the
applicable percentage for a calendar year shall be equal to--
``(A) for 2025, 80 percent,
``(B) for 2026 through 2028, the applicable
percentage under this paragraph for the previous year,
decreased by 20 percentage points, and
``(C) for 2029 and each year thereafter, 0 percent.
``(2) Included and excluded service.--For purposes of this
chapter, if''.
(2) Amendments to the social security act.--Section 209 of
the Social Security Act (42 U.S.C. 409) is amended--
(A) in subsection (a)(1)(I)--
(i) by inserting ``and before 2025'' after
``1974''; and
(ii) by inserting ``and'' after the
semicolon;
(B) in subsection (a)(1), by adding at the end the
following new subparagraph:
``(J) The applicable percentage (determined under
subsection (l)) of that part of remuneration which,
after remuneration (other than remuneration referred to
in the succeeding subsections of this section) equal to
the contribution and benefit base (determined under
section 230) with respect to employment has been paid
to an individual during any calendar year after 2024
with respect to which such contribution and benefit
base is effective, is paid to such individual during
such calendar year;''; and
(C) by adding at the end the following new
subsection:
``(l) For purposes of subsection (a)(1)(J), the applicable
percentage for a calendar year shall be equal to--
``(1) for 2025, 80 percent,
``(2) for 2026 through 2028, the applicable percentage
under this subsection for the previous year, decreased by 20
percentage points, and
``(3) for 2029 and each year thereafter, 0 percent.''.
(3) Effective date.--The amendments made by this subsection
shall apply with respect to remuneration paid in calendar years
after 2024.
(b) Determination of Taxable Self-Employment Income Above
Contribution and Benefit Base After 2024.--
(1) Amendments to the internal revenue code of 1986.--
Section 1402 of the Internal Revenue Code of 1986 is amended--
(A) in subsection (b)(1), by striking ``that part
of the net earnings'' and all that follows through
``minus'' and inserting the following: ``an amount
equal to the applicable percentage (as determined under
subsection (d)(2)) of that part of the net earnings
from self-employment which is in excess of the
difference (not to be less than 0) between (i) an
amount equal to the contribution and benefit base (as
determined under section 230 of the Social Security
Act) which is effective for the calendar year in which
such taxable year begins, and''; and
(B) in subsection (d)--
(i) by striking ``(d) Employee and Wages.--
The term'' and inserting the following:
``(d) Rules and Definitions.--
``(1) Employee and wages.--The term''; and
(ii) by adding at the end the following:
``(2) Applicable percentage of net earnings from self-
employment in determining taxable self-employment income.--For
purposes of subsection (b)(1), the applicable percentage for a
taxable year beginning in any calendar year referred to in such
paragraph shall be equal to--
``(A) for 2025, 80 percent,
``(B) for 2026 through 2028, the applicable
percentage under this paragraph for the previous year,
decreased by 20 percentage points, and
``(C) for 2029 and each year thereafter, 0
percent.''.
(2) Amendments to the social security act.--Section 211 of
the Social Security Act (42 U.S.C. 411) is amended--
(A) in subsection (b)--
(i) in paragraph (1)(I)--
(I) by striking ``or'' after the
semicolon; and
(II) by inserting ``and before
2025'' after ``1974'';
(ii) by redesignating paragraph (2) as
paragraph (3); and
(iii) by inserting after paragraph (1) the
following:
``(2) For any taxable year beginning in any calendar year
after 2024, an amount equal to the applicable percentage (as
determined under subsection (l)) of that part of net earnings
from self-employment which is in excess of the difference (not
to be less than 0) between--
``(A) an amount equal to the contribution and
benefit base (as determined under section 230) that is
effective for such calendar year, and
``(B) the amount of the wages paid to such
individual during such taxable year, or''; and
(B) by adding at the end the following:
``(l) For purposes of subsection (b)(2), the applicable percentage
for a taxable year beginning in any calendar year referred to in such
paragraph shall be equal to--
``(1) for 2025, 80 percent,
``(2) for 2026 through 2028, the applicable percentage
under this subsection for the previous year, decreased by 20
percentage points, and
``(3) for 2029 and each year thereafter, 0 percent.''.
(3) Effective date.--The amendments made by this subsection
shall apply with respect to taxable years beginning during or
after calendar year 2025.
SEC. 3. ADJUSTMENTS TO BEND POINTS IN DETERMINING PRIMARY INSURANCE
AMOUNT AND INCLUSION OF SURPLUS EARNINGS FOR BENEFIT
DETERMINATIONS.
(a) Adjustments Relating to First Bend Point.--
(1) Increase in first bend point factor.--
(A) In general.--Section 215(a)(1)(A)(i) of the
Social Security Act (42 U.S.C. 415(a)(1)(A)(i)) is
amended by striking ``90 percent'' and inserting ``95
percent''.
(B) Effective date; application rule.--The
amendment made by subparagraph (A) shall apply with
respect to computations or recomputations of primary
insurance amounts made on or after January 1, 2029,
except that section 215(a)(1)(A)(i) of the Social
Security Act shall be applied by making the following
substitutions for ``95 percent'' for computations and
recomputations made in the following calendar years:
(i) For calendar year 2029, by substituting
``91 percent''.
(ii) For calendar year 2030, by
substituting ``92 percent''.
(iii) For calendar year 2031, by
substituting ``93 percent''.
(iv) For calendar year 2032, by
substituting ``94 percent''.
(2) Increase in first bend point.--Section 215(a)(1)(B) of
such Act (42 U.S.C. 415(a)(1)(B)) is amended--
(A) by redesignating clause (iii) as clause (iv);
and
(B) by inserting after clause (ii) the following
new clause:
``(iii) With respect to computations or recomputations of
primary insurance amounts made on or after January 1, 2029, the
amount determined under clause (i) of this subparagraph for
purposes of subparagraph (A)(i) for such calendar year shall be
increased by--
``(I) for calendar year 2030, 1 percent,
``(II) for each of calendar years 2031 through
2043, the percent determined under this clause for the
preceding year increased by 1 percentage point, and
``(III) for calendar year 2044 and each year
thereafter, 15 percent.''.
(3) Application of increase; recomputations.--The
amendments made by this subsection shall apply with respect to
every individual who becomes entitled to old-age or disability
insurance benefits under title II of the Social Security Act,
or who dies (before becoming so entitled), in any calendar
year. Notwithstanding section 215(f)(1) of the Social Security
Act, the Commissioner of Social Security shall recompute the
primary insurance amount of each such individual on the first
day of each calendar year during the period beginning with
calendar year 2029 and ending with calendar year 2044 to the
extent necessary to carry out the amendments made by this
section.
(b) Inclusion of Surplus Average Indexed Monthly Earnings in
Determination of Primary Insurance Amounts.--Section 215(a)(1)(A) of
the Social Security Act (42 U.S.C. 415(a)(1)(A)) is amended--
(1) in clauses (i), (ii), and (iii), by inserting ``basic''
before ``average indexed monthly earnings'' each place it
appears;
(2) in clause (ii), by striking ``and'' at the end;
(3) in clause (iii), by adding ``and'' at the end; and
(4) by inserting after clause (iii) the following new
clause:
``(iv) 5 percent of the individual's surplus average
indexed monthly earnings,''.
(c) Basic AIME and Surplus AIME.--
(1) Basic aime.--Section 215(b)(1) of such Act (42 U.S.C.
415(b)(1)) is amended--
(A) by inserting ``basic'' before ``average''; and
(B) in subparagraph (A), by striking ``paragraph
(3)'' and inserting ``paragraph (3)(A)'' and by
inserting before the comma the following: ``to the
extent such total does not exceed the contribution and
benefit base for the applicable year''.
(2) Surplus aime.--
(A) In general.--Section 215(b)(1) of such Act (as
amended by paragraph (1)) is amended--
(i) by redesignating subparagraphs (A) and
(B) as clauses (i) and (ii), respectively;
(ii) by inserting ``(A)'' after ``(b)(1)'';
and
(iii) by adding at the end the following
new subparagraph:
``(B)(i) An individual's surplus average indexed monthly earnings
shall be equal to the quotient obtained by dividing--
``(I) the total (after adjustment under paragraph (3)(B))
of such individual's surplus earnings (determined under clause
(ii)) for such individual's benefit computation years
(determined under paragraph (2)), by
``(II) the number of months in those years.
``(ii) For purposes of clause (i) and paragraph (3)(B), an
individual's surplus earnings for a benefit computation year are the
total of such individual's wages paid in and self-employment income
credited to such benefit computation year, to the extent such total
(before adjustment under paragraph (3)(B)) exceeds the contribution and
benefit base for such year.''.
(B) Conforming amendment.--The heading for section
215(b) of such Act is amended by striking ``Average
Indexed Monthly Earnings'' and inserting ``Basic
Average Indexed Monthly Earnings; Surplus Average
Indexed Monthly Earnings''.
(3) Adjustment of surplus earnings for purposes of
determining surplus aime.--Section 215(b)(3) of such Act (42
U.S.C. 415(b)(3)) is amended--
(A) in subparagraph (A), by striking ``subparagraph
(B)'' and inserting ``subparagraph (C)'' and by
inserting ``and determination of basic average indexed
monthly income'' after ``paragraph (2)'';
(B) by redesignating subparagraph (B) as
subparagraph (C); and
(C) by inserting after subparagraph (A) the
following new subparagraph:
``(B) For purposes of determining under paragraph (1)(B) an
individual's surplus average indexed monthly earnings, the individual's
surplus earnings (described in paragraph (2)(B)(ii)) for a benefit
computation year shall be deemed to be equal to the product of--
``(i) the individual's surplus earnings for such year (as
determined without regard to this subparagraph), and
``(ii) the quotient described in subparagraph (A)(ii).''.
(d) Effective Date.--The amendments made by subsections (b) and (c)
shall apply with respect to individuals who initially become eligible
(within the meaning of section 215(a)(3)(B) of the Social Security Act)
for old-age or disability insurance benefits under title II of the
Social Security Act, or who die (before becoming eligible for such
benefits), in any calendar year after 2029.
SEC. 4. CONSUMER PRICE INDEX FOR ELDERLY CONSUMERS.
(a) In General.--The Bureau of Labor Statistics of the Department
of Labor shall prepare and publish an index for each calendar month to
be known as the ``Consumer Price Index for Elderly Consumers'' that
indicates changes over time in expenditures for consumption which are
typical for individuals in the United States who have attained early
retirement age (as defined under section 216(l)(2) of the Social
Security Act (42 U.S.C. 416(l)(2)) for purposes of an old-age, wife's,
or husband's insurance benefit).
(b) Effective Date.--Subsection (a) shall apply with respect to
calendar months ending on or after June 30 of the calendar year in
which this Act is enacted.
(c) Authorization of Appropriations.--There are authorized to be
appropriated such sums as are necessary to carry out the provisions of
this section.
SEC. 5. COMPUTATION OF COST-OF-LIVING INCREASES FOR SOCIAL SECURITY
BENEFITS.
(a) In General.--Section 215(i) of the Social Security Act (42
U.S.C. 415(i)) is amended--
(1) in paragraph (1)(G), by inserting before the period the
following: ``, and, with respect to any monthly insurance
benefit payable under this title, effective for adjustments
under this subsection to the primary insurance amount on which
such benefit is based (or to any such benefit under section 227
or 228), the applicable Consumer Price Index shall be deemed to
be the Consumer Price Index for Elderly Consumers and such
primary insurance amount shall be deemed adjusted under this
subsection using such Index''; and
(2) in paragraph (4), by striking ``and by section 9001''
and inserting ``, by section 9001'', and by inserting after
``1986,'' the following: ``and by section 5(a) of the
Strengthening Social Security Act of 2023,''.
(b) Conforming Amendments in Applicable Former Law.--Section
215(i)(1)(C) of the Social Security Act, as in effect in December 1978
and applied in certain cases under the provisions of such Act in effect
after December 1978, is amended by inserting before the period the
following: ``, and, with respect to any monthly insurance benefit
payable under this title, effective for adjustments under this
subsection to the primary insurance amount on which such benefit is
based (or to any such benefit under section 227 or 228), the applicable
Consumer Price Index shall be deemed to be the Consumer Price Index for
Elderly Consumers and such primary insurance amount shall be deemed
adjusted under this subsection using such Index''.
(c) Effective Date.--The amendments made by this section shall
apply to determinations made by the Commissioner of Social Security
under section 215(i)(2) of the Social Security Act (42 U.S.C.
415(i)(2)) with respect to cost-of-living computation quarters ending
on or after September 30, 2024.
SEC. 6. IMPROVING SOCIAL SECURITY BENEFITS FOR WIDOWS AND WIDOWERS IN
TWO-INCOME HOUSEHOLDS.
(a) In General.--
(1) Widows.--Section 202(e) of the Social Security Act (42
U.S.C. 402(e)) is amended--
(A) in paragraph (1)--
(i) in subparagraph (B), by inserting
``and'' at the end;
(ii) in subparagraph (C)(iii), by striking
``and'' at the end;
(iii) by striking subparagraph (D);
(iv) by redesignating subparagraphs (E) and
(F) as subparagraphs (D) and (E), respectively;
and
(v) in the flush matter following
subparagraph (E)(ii), as so redesignated, by
striking ``or becomes entitled to an old-age
insurance benefit'' and all that follows
through ``such deceased individual,'';
(B) by striking subparagraph (A) in paragraph (2)
and inserting the following:
``(2)(A) Except as provided in subsection (k)(5),
subsection (q), and subparagraph (D) of this paragraph, such
widow's insurance benefit for each month shall be equal to the
greater of--
``(i) subject to paragraph (9), the primary
insurance amount (as determined for purposes of this
subsection after application of subparagraphs (B) and
(C)) of such deceased individual, or
``(ii) subject to paragraphs (9) and (10), in the
case of a fully insured widow or surviving divorced
wife, 75 percent of the sum of any old-age or
disability insurance benefit for which the widow or the
surviving divorced wife is entitled for such month and
the primary insurance amount (as determined for
purposes of this subsection after application of
subparagraphs (B) and (C)) of such deceased
individual.'';
(C) in paragraph (5)--
(i) in subparagraph (A), by striking
``paragraph (1)(F)'' and inserting ``paragraph
(1)(E)''; and
(ii) in subparagraph (B), by striking
``paragraph (1)(F)(i)'' and inserting
``paragraph (1)(E)(i)''; and
(D) by adding at the end the following new
paragraphs:
``(9) For purposes of clauses (i) and (ii) of paragraph
(2)(A), in the case of a surviving divorced wife, the amount
determined under either such clause (and, for purposes of
clause (ii) of paragraph (2)(A), as determined after
application of paragraph (10)) shall be equal to the applicable
percentage (as determined under section 202(b)(2)(B)) of such
amount (as determined before application of this paragraph but
after application of subsection (k)(3)).
``(10) For purposes of paragraph (2)(A)(ii), the amount
determined under such paragraph shall not exceed the primary
insurance amount for such month of a hypothetical individual--
``(A) who became entitled to old-age insurance
benefits upon attaining early retirement age during the
month in which the deceased individual referred to in
paragraph (1) became entitled to old-age or disability
insurance benefits, or died (before becoming entitled
to such benefits), and
``(B) to whom wages and self-employment income were
credited in each of such hypothetical individual's
elapsed years (within the meaning of section
215(b)(2)(B)(iii)) in an amount equal to the national
average wage index (as described in section 209(k)(1))
for each such year.''.
(2) Widowers.--Section 202(f) of the Social Security Act
(42 U.S.C. 402(f)) is amended--
(A) in paragraph (1)--
(i) in subparagraph (B), by inserting
``and'' at the end;
(ii) in subparagraph (C)(iii), by striking
``and'' at the end;
(iii) by striking subparagraph (D);
(iv) by redesignating subparagraphs (E) and
(F) as subparagraphs (D) and (E), respectively;
and
(v) in the flush matter following
subparagraph (E)(ii), as so redesignated, by
striking ``or becomes entitled to an old-age
insurance benefit'' and all that follows
through ``such deceased individual,'';
(B) by striking subparagraph (A) in paragraph (2)
and inserting the following:
``(2)(A) Except as provided in subsection (k)(5),
subsection (q), and subparagraph (D) of this paragraph, such
widower's insurance benefit for each month shall be equal to
the greater of--
``(i) subject to paragraph (9), the primary
insurance amount (as determined for purposes of this
subsection after application of subparagraphs (B) and
(C)) of such deceased individual, or
``(ii) subject to paragraphs (9) and (10), in the
case of a fully insured widower or surviving divorced
husband, 75 percent of the sum of any old-age or
disability insurance benefit for which the widower or
the surviving divorced husband is entitled for such
month and the primary insurance amount (as determined
for purposes of this subsection after application of
subparagraphs (B) and (C)) of such deceased
individual.'';
(C) in paragraph (5)--
(i) in subparagraph (A), by striking
``paragraph (1)(F)'' and inserting ``paragraph
(1)(E)''; and
(ii) in subparagraph (B), by striking
``paragraph (1)(F)(i)'' and inserting
``paragraph (1)(E)(i)''; and
(D) by adding at the end the following new
paragraphs:
``(9) For purposes of clauses (i) and (ii) of paragraph
(2)(A), in the case of a surviving divorced husband, the amount
determined under either such clause (and, for purposes of
clause (ii) of paragraph (2)(A), as determined after
application of paragraph (10)) shall be equal to the applicable
percentage (as determined under section 202(c)(2)(B)) of such
amount (as determined before application of this paragraph but
after application of subsection (k)(3)).
``(10) For purposes of paragraph (2)(A)(ii), the amount
determined under such paragraph shall not exceed the primary
insurance amount for such month of a hypothetical individual--
``(A) who became entitled to old-age insurance
benefits upon attaining early retirement age during the
month in which the deceased individual referred to in
paragraph (1) became entitled to old-age or disability
insurance benefits, or died (before becoming entitled
to such benefits), and
``(B) to whom wages and self-employment income were
credited in each of such hypothetical individual's
elapsed years (within the meaning of section
215(b)(2)(B)(iii)) in an amount equal to the national
average wage index (as described in section 209(k)(1))
for each such year.''.
(b) Effective Date.--The amendments made by this section shall
apply with respect to widow's and widower's insurance benefits payable
for months after December 2024.
SEC. 7. HOLDING SSI BENEFICIARIES HARMLESS.
For purposes of determining the income of an individual to
establish eligibility for, and the amount of, benefits payable under
title XVI of the Social Security Act, the amount of any benefit to
which the individual is entitled under title II of such Act shall be
deemed not to exceed the amount of the benefit that would be determined
for such individual under such title as in effect on the day before the
date of the enactment of this Act.
<all>
</pre></body></html>
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118HR3262 | To amend title XI of the Social Security Act to increase transparency of certain health-related ownership information. | [
[
"S001145",
"Rep. Schakowsky, Janice D. [D-IL-9]",
"sponsor"
],
[
"B001257",
"Rep. Bilirakis, Gus M. [R-FL-12]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3262 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3262
To amend title XI of the Social Security Act to increase transparency
of certain health-related ownership information.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Schakowsky (for herself and Mr. Bilirakis) introduced the following
bill; which was referred to the Committee on Energy and Commerce, and
in addition to the Committee on Ways and Means, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee
concerned
_______________________________________________________________________
A BILL
To amend title XI of the Social Security Act to increase transparency
of certain health-related ownership information.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. MANDATORY REPORTING WITH RESPECT TO CERTAIN HEALTH-RELATED
OWNERSHIP INFORMATION.
Part A of title XI of the Social Security Act (42 U.S.C. 1301 et
seq.) is amended by adding at the end the following new section:
``SEC. 1150D. MANDATORY REPORTING WITH RESPECT TO CERTAIN HEALTH-
RELATED OWNERSHIP INFORMATION.
``(a) Mandatory Reporting With Respect Certain Health-Related
Ownership Information.--
``(1) Initial report.--Not later than January 1, 2025 (or
in the case of a specified entity formed after January 1, 2025,
within 60 days of becoming a specified entity), each specified
entity (as defined in subsection (f)(5)) shall submit to the
Secretary, in a form and manner specified by the Secretary, a
report containing the following information:
``(A) Data on mergers, acquisitions, and changes in
ownership with respect to such specified entity for the
previous 1-year period.
``(B) In the case that a specified entity is, or
includes, a hospital, the additional information
described in subsection (b).
``(C) As applicable, the name, address, and
business structure of the parent company of such
specified entity (including the tax status of such
parent company), as of the date of the submission of
this report.
``(D) Any other information with respect to
ownership of a specified entity, as determined by the
Secretary.
``(2) Subsequent reports.--Not later than 1 year after
submitting the report under paragraph (1), and annually
thereafter, each specified entity shall submit to the Secretary
an updated report, including--
``(A)(i) data on mergers, acquisitions, and changes
in ownership with respect to such entities for the
previous 1-year period; and
``(ii) any other information with respect to
ownership of a specified entity, as determined by the
Secretary; and
``(B) in the case that a specified entity is, or
includes, a hospital, the additional information
described in subsection (b).
``(b) Additional Information Submitted by Certain Specified
Entities.--For purposes of paragraphs (1)(B) and (2)(B) of subsection
(a), with respect to a specified entity that is, or includes, a
hospital, the information described in this subsection is the following
information with respect to the previous 1-year period:
``(1) The business structure of the specified entity,
including the business type and the tax status of such entity.
``(2) The average debt-to-earnings ratio of the specified
entity.
``(3) The average amount of debt incurred--
``(A) by the hospital; and
``(B) by the entire specified entity.
``(4) Information with respect to real estate leases and
purchases for property used, or intended to be used, to furnish
or otherwise support the provision of health care services.
``(5) In the case of a non-profit hospital, a subsidiary of
a non-profit hospital, or a 501(c)(3) entity that shares common
ownership with a non-profit hospital, capital gains investments
(disaggregated by the type of investment) and any taxes paid on
such gains from such investments.
``(6) As applicable, information with respect to the parent
company of such specified entity.
``(c) Public Reporting.--Not later than January 1, 2027, and
annually thereafter, the Secretary shall post on a publicly available
website of the Department of Health and Human Services a report with
respect to the previous 1-year period, including--
``(1) the number of specified entities reporting for such
year, disaggregated by the business structure of each specified
entity;
``(2) the number of owners of each specified entity;
``(3) any change in ownership for each specified entity;
``(4) any change in the tax status of a specified entity;
``(5) an analysis of trends in horizontal and vertical
consolidation, disaggregated by business structure and provider
type; and
``(6) as applicable, the name, address, and business
structure of the parent company of such specified entity
(including the business type and the tax status of such parent
company).
``(d) Audits.--The Secretary shall conduct an annual audit
consisting of a random sample of specified entities to verify
compliance with the requirements of this section and the accuracy of
information submitted pursuant to this section.
``(e) Penalty for Failure To Report.--If a specified entity fails
to provide a complete report under subsection (a), or submits a report
containing false information, such entity shall be subject to a civil
monetary penalty of not more than $5,000,000 for each such report not
provided or containing false information. Such penalty shall be imposed
and collected in the same manner as civil money penalties under
subsection (a) of section 1128A are imposed and collected under that
section.
``(f) Inapplicability of Paperwork Reduction Act.--Chapter 35 of
title 44, United States Code, shall not apply to collections of
information made under this section.
``(g) Definitions.--In this section:
``(1) Health plan.--The term `health plan' has the meaning
given such term in section 1128C(c).
``(2) Hospital.--The term `hospital' has the meaning given
such term in section 1861(e).
``(3) Independent freestanding emergency department.--The
term `independent freestanding emergency department' has the
meaning given such term in section 2799A-1(a)(3)(D) of the
Public Health Service Act.
``(4) Private equity company.--The term `private equity
company' means a publicly traded or non-publicly traded company
that collects capital investments from individuals or entities
and purchases an ownership share of a provider of services (as
defined in section 1861(u)).
``(5) Specified entity.--The term `specified entity'
means--
``(A) a hospital;
``(B) a physician-owned physician practice with
more than 25 physicians for a year;
``(C) a physician practice owned by a hospital, a
health plan, a private equity company, or a venture
capital firm;
``(D) an ambulatory surgical center meeting the
standards specified under section 1832(a)(2)(F)(i); or
``(E) an independent freestanding emergency
department.
``(6) Venture capital fund.--The term `venture capital
fund' has the meaning given such term in section 275.203(l)-1of
title 17, Code of Federal Regulations.''.
<all>
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118HR3263 | Support Faculty and Expand Access to Nursing School Act of 2023 | [
[
"S001150",
"Rep. Schiff, Adam B. [D-CA-30]",
"sponsor"
],
[
"B001303",
"Rep. Blunt Rochester, Lisa [D-DE-At Large]",
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[
"C001059",
"Rep. Costa, Jim [D-CA-21]",
"cosponsor"... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3263 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3263
To amend the Public Health Service Act to authorize grants to increase
and support nurse faculty and clinical preceptors, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Schiff (for himself, Ms. Blunt Rochester, and Ms. Barragan)
introduced the following bill; which was referred to the Committee on
Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to authorize grants to increase
and support nurse faculty and clinical preceptors, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Support Faculty and Expand Access to
Nursing School Act of 2023''.
SEC. 2. GRANT PROGRAM TO INCREASE AND SUPPORT NURSE FACULTY AND
CLINICAL PRECEPTORS.
(a) In General.--Title VIII of the Public Health Service Act (42
U.S.C. 296 et seq.) is amended by inserting after part F (42 U.S.C.
297t) the following new part:
``PART G--NURSE FACULTY AND CLINICAL PRECEPTORS
``SEC. 861. INCREASING AND SUPPORTING NURSE FACULTY AND CLINICAL
PRECEPTORS.
``(a) In General.--The Secretary shall award grants to schools of
nursing to support the recruitment and retention of nurse faculty and
clinical preceptors who supervise nursing students to help educate the
future nursing workforce.
``(b) Eligibility.--In order to be eligible to receive a grant
under this section, a school of nursing shall submit an application to
the Secretary that includes--
``(1) documentation that such school is experiencing a
shortage of faculty or clinical preceptors; and
``(2) a description of how such school will utilize funds
received through the grant to recruit and retain faculty or
clinical preceptors, as applicable.
``(c) Priority.--In awarding grants under this section, the
Secretary shall give priority to any school of nursing that--
``(1) demonstrates that the school's shortage of teaching
faculty or clinical preceptors is a reason that the school has
not accepted all qualified applicants into the respective
school's programs;
``(2) demonstrates that the school is located in a State or
city whose schools of nursing experience above-average
shortages of teaching faculty or clinical preceptors;
``(3) prioritizes the recruitment and retention of nurse
faculty from disadvantaged backgrounds (including racial or
ethnic groups underrepresented in the nursing workforce), low-
income individuals, and first-generation college students;
``(4) prioritizes the recruitment and retention of full-
time nurse faculty and clinical preceptors; or
``(5) demonstrates in its application an intent to sustain
gains realized through the grant.
``(d) Use of Funds.--A school of nursing that receives a grant
under this section may use the funds awarded through such grant for
activities that include--
``(1) hiring additional nurse faculty or clinical
preceptors;
``(2) increasing pay or benefits to retain or recruit nurse
faculty or clinical preceptors;
``(3) partnering with a health care facility, nurse-managed
health clinic, community health center, or other facility that
provides health care in order to provide educational
opportunities for the purpose of increasing the number of
clinical preceptors and clinical rotation sites;
``(4) developing and disseminating information to educate
nursing students about opportunities to serve as clinical
preceptors or nursing school faculty throughout their careers;
``(5) offering education opportunities to promote the
growth and development of nursing students and registered
nurses into roles as clinical preceptors and teaching faculty;
``(6) supporting the recruitment and retention of diverse
faculty members; and
``(7) coordinating programs with another health care
facility.
``(e) Reports to Secretary.--Each school of nursing awarded a grant
under this section shall submit an annual report (in such form and
manner as the Secretary may require) to the Secretary containing--
``(1) information on programs and activities funded through
such grant;
``(2) information related to the outcomes of such programs
and activities, including--
``(A) the total number of nurse faculty or clinical
preceptors who were hired or retained through such
grant;
``(B) the total number of students enrolled in such
school of nursing before and after the implementation
of programs and activities funded through such grant;
and
``(C) to the extent such information is available,
deidentified and disaggregated data by race, ethnicity,
age, sex, geographic region, disability status, and
other relevant factors regarding nursing students
enrolled in such school of nursing; and
``(3) other information as the Secretary may require.''.
(b) Authorization of Appropriations.--Section 871 of the Public
Health Service Act (42 U.S.C. 298d) is amended by adding at the end the
following:
``(c) Part G.--For the purpose of carrying out part G, there are
authorized to be appropriated such sums as may be necessary for each of
fiscal years 2024 through 2025.''.
(c) Technical Correction.--Effective as if included in the
enactment of the CARES Act (Public Law 116-136), paragraph (12) of
section 3404(a) of such Act is amended to read as follows:
``(12) by striking part G (42 U.S.C. 297w and 297x); and''.
<all>
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118HR3264 | RAISE Act of 2023 | [
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"M00120... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3264 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3264
To amend the Internal Revenue Code of 1986 to provide a refundable tax
credit for certain teachers as a supplement to State efforts to provide
teachers with a livable wage, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Schiff (for himself, Mrs. Hayes, Mr. Takano, Mr. Larson of
Connecticut, Mrs. McBath, Mr. Ruppersberger, Mr. Kilmer, Ms. Velazquez,
Ms. Titus, Ms. McCollum, Mr. Bowman, Mr. Carson, Ms. Tokuda, Ms. Wilson
of Florida, Mr. Morelle, Mr. Bishop of Georgia, Ms. Porter, Mr. Neguse,
Mr. Norcross, Mr. Johnson of Georgia, Ms. Lois Frankel of Florida, Ms.
Meng, Mr. DeSaulnier, and Ms. Lee of Pennsylvania) introduced the
following bill; which was referred to the Committee on Ways and Means,
and in addition to the Committee on Education and the Workforce, for a
period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To amend the Internal Revenue Code of 1986 to provide a refundable tax
credit for certain teachers as a supplement to State efforts to provide
teachers with a livable wage, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Respect, Advancement, and Increasing
Support for Educators Act of 2023'' or the ``RAISE Act of 2023''.
SEC. 2. REFUNDABLE TEACHER TAX CREDIT.
(a) Allowance of Tax Credit.--
(1) In general.--Subpart C of part IV of subchapter A of
chapter 1 of the Internal Revenue Code of 1986 is amended by
inserting after section 36B the following new section:
``SEC. 36C. TEACHER TAX CREDIT.
``(a) Credit Allowed.--In the case of an individual who is an
eligible educator during school years ending with or within the taxable
year, there shall be allowed as a credit against the tax imposed by
this chapter an amount equal to the sum of--
``(1) $1,000, plus
``(2) in the case of an eligible educator who is employed
at a qualifying school, the applicable amount.
``(b) Applicable Amount.--For purposes of subsection (a), the
applicable amount is the amount which bears the same ratio (not to
exceed one) to $14,000 ($9,000, in the case of any early childhood
educator without a bachelor's degree) as--
``(1) the number of percentage points by which the student
poverty ratio for such qualifying school exceeds 39 percent,
bears to
``(2) 36 percentage points.
``(c) Eligible Educator.--For purposes of this section--
``(1) In general.--The term `eligible educator' means--
``(A) any elementary or secondary teacher, and
``(B) any early childhood educator.
``(2) Elementary or secondary teacher.--
``(A) In general.--The term `elementary or
secondary teacher' means an individual who--
``(i) is a teacher of record who provides
direct classroom teaching (or classroom-type
teaching in a nonclassroom setting) in a public
elementary school or a public secondary school
for not less than 75 percent of the normal or
statutory number of hours of work for a full-
time teacher over a complete school year (as
determined by the State in which the school is
located),
``(ii) meets the applicable requirements
for State certification and licensure in the
State in which such school is located in the
subject area in which the individual is the
teacher of record, and
``(iii) has met the requirements of clauses
(i) and (ii) for a period of not less than 1
year before the first day of the taxable year.
``(B) Teacher of record.--For purposes of
subparagraph (A), the term `teacher of record' means a
teacher who has been assigned the responsibility for
specified pupils' learning in a grade, subject, or
course as reflected on the school's official record of
attendance.
``(3) Early childhood educator.--The term `early childhood
educator' means an individual who--
``(A) has a Child Development Associate credential
(or an equivalent credential), or has an associate's
degree or higher,
``(B) meets the applicable requirements for State
certification, licensure, or permitting under State law
for early childhood education,
``(C) has primary responsibility for the learning
and development of children in an early childhood
education program (as defined in section 103 of the
Higher Education Act of 1965 (20 U.S.C. 1003)) for not
less than 75 percent of the normal or statutory number
of hours of work for a full-time teacher over a
complete program year, as determined by the Secretary
of Health and Human Services, and
``(D) has met the requirements of subparagraphs
(A), (B), and (C) for a period of not less than 1 year
before the first day of the taxable year.
``(d) Qualifying School.--
``(1) In general.--The term `qualifying school' means, with
respect to any school year--
``(A) a public elementary school or a public
secondary school that--
``(i) is served by a local educational
agency that is eligible in such year for
assistance pursuant to part A of title I of the
Elementary and Secondary Education Act of 1965
(20 U.S.C. 6311 et seq.), or
``(ii) is served by an educational service
agency, or a location operated by an
educational service agency, that is eligible,
for the year in which the determination is
made, for assistance under part A of title I of
the Elementary and Secondary Education Act of
1965 (20 U.S.C. 6311 et seq.),
``(B) an elementary school or secondary school that
is funded by the Bureau of Indian Education, or
``(C) an early childhood education program (as
defined in section 103 of the Higher Education Act of
1965 (20 U.S.C. 1003)) that serves children who
receive, or are eligible for, services for which
financial assistance is provided in accordance with the
Child Care and Development Block Grant of 1990 (42
U.S.C. 9857 et seq.) or the child and adult care food
program established under section 17 of the Richard B.
Russell National School Lunch Act (42 U.S.C. 1766).
``(2) ESEA definitions.--For purposes of this subsection,
the terms `educational service agency', `elementary school',
`local educational agency', `secondary school', and `State
educational agency' have the meanings given such terms in
section 8101 of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 7801 et seq.).
``(e) Student Poverty Ratio.--
``(1) In general.--The term `student poverty ratio' means--
``(A) with respect to any qualifying school
described in subparagraph (A) or (B) of subsection
(d)(1), the ratio (expressed as a percentage) of--
``(i) the total number of children served
at such qualifying school meeting at least one
measure of poverty described in section
1113(a)(5) of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 6313(a)(5)),
to
``(ii) the total number of children served
at such qualifying school, and
``(B) with respect to any qualifying school
described in subsection (d)(1)(C), the ratio (expressed
as a percentage) of--
``(i) the total number of children
attending such qualifying school who are
eligible for the Child Care and Development
Block Grant of 1990 (42 U.S.C. 9857 et seq.) or
the child and adult care food program
established under section 17 of the Richard B.
Russell National School Lunch Act (42 U.S.C.
1766), to
``(ii) the total number of children
attending such qualifying school.
``(2) Determination of ratio.--In determining the student
poverty ratio with respect to a qualifying school under
paragraph (1)(A), the Secretary shall use the same measure of
poverty as is used for purposes of determining the allocation
of funds under part A of title I of the Elementary and
Secondary Education Act of 1965 (20 U.S.C. 6311 et seq.) with
respect to the qualifying school.
``(f) Inflation Adjustment.--
``(1) In general.--In the case of any taxable year
beginning after 2024, each of the dollar amounts in subsections
(a) and (b) shall be increased by an amount equal to--
``(A) such dollar amount, multiplied by
``(B) the cost-of-living adjustment determined
under section 1(f)(3) for the calendar year in which
the taxable year begins, determined by substituting in
subparagraph (A)(ii) thereof `calendar year 2023' for
`calendar year 2016'.
``(2) Rounding.--If any increase determined under paragraph
(1) is not a multiple of $50, such increase shall be rounded to
the nearest multiple of $50.''.
(2) Conforming amendments.--
(A) The table of sections for subpart C of part IV
of subchapter A of chapter 1 of the Internal Revenue
Code of 1986 is amended by inserting after the item
relating to section 36B the following new item:
``Sec. 36C. Teacher tax credit.''.
(B) Section 6211(b)(4)(A) of such Code is amended
by inserting ``36C,'' after ``36B,''.
(C) Section 1324(b)(2) of title 31, United States
Code, is amended by inserting ``36C,'' after ``36B,''.
(b) Information Sharing.--
(1) In general.--The Secretary of Education shall--
(A) collect such information as necessary for
purposes of determining whether a school is a
qualifying school (as defined in section 36C of the
Internal Revenue Code of 1986, as added by subsection
(a)) and the appropriate amount of tax credit under
such section; and
(B) provide such information to the Secretary of
the Treasury (or the Secretary's delegate).
(2) Information for the secretary of education.--As a
condition of receiving Federal funds and if requested by the
Secretary of Education, each qualifying school shall collect
and submit to the Secretary of Education such information as
may be necessary to enable the Secretary of Education to carry
out paragraph (1).
(c) Supplementation of Funds.--
(1) Elementary and secondary education.--A State
educational agency or local educational agency (as such terms
are defined in section 8101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801 et seq.)) shall not
reduce or adjust any teacher pay or teacher loan forgiveness
program due to the eligibility of teachers within the
jurisdiction of such agency for the tax credit under section
36C of the Internal Revenue Code of 1986. Each State
educational agency and local educational agency (as so
defined), upon request by the Secretary of the Treasury, shall
demonstrate that the methodology used to allocate teacher pay
and teacher loan forgiveness (if applicable) to qualifying
schools (as defined in section 36C(d) of such Code) ensures
that each such school receives the same State and local funds
for teacher compensation it would receive if the credit under
such section 36C had not been enacted.
(2) Early childhood education.--An agency or other entity
that funds, licenses, or regulates an early childhood education
program (as defined in section 103 of the Higher Education Act
of 1965 (20 U.S.C. 1003)) shall not reduce or adjust any
teacher pay or teacher loan forgiveness program, or permit such
a reduction or adjustment in the early childhood education
program, due to the eligibility of teachers within the
jurisdiction of such agency for the tax credit under section
36C of the Internal Revenue Code of 1986. Each such agency or
entity, upon request by the Secretary of the Treasury, shall
demonstrate that the methodology used to allocate teacher pay
and teacher loan forgiveness (if applicable) to such early
childhood education programs ensures that each such program
receives the same State and local funds for teacher
compensation it would receive if the credit under such section
36C had not been enacted.
(d) Employer Limitations.--
(1) Prohibition of use in collective bargaining.--An
employer that engages in collective bargaining with employees
who are eligible educators, as defined in section 36C(c) of the
Internal Revenue Code of 1986, shall not include the amount of
the teacher tax credit under section 36C of such Code in
determining the amount of salary or other compensation provided
to any employee under the collective bargaining agreement.
(2) Prohibition of use as punishment or retribution.--An
employer of an eligible educator, as defined in section 36C of
the Internal Revenue Code of 1986, shall not change the work
assignment or location of the eligible educator if one of the
primary reasons for the change is to--
(A) prevent the eligible educator from receiving a
teacher tax credit under section 36C of such Code; or
(B) reduce the amount of the teacher tax credit
that the eligible educator will receive.
(3) Enforcement.--Notwithstanding any other provision of
law, the Federal Labor Relations Authority shall have the
authority to investigate and enforce any alleged violation of
this section in the same manner, and subject to the same
procedures, as would apply to an allegation of an unfair labor
practice under section 7118 of title 5, United States Code.
(4) Definition.--In this subsection--
(A) the term ``affecting commerce'' has the meaning
given the term in section 2 of the National Labor
Relations Act (29 U.S.C. 152);
(B) the term ``employee'' means an employee of an
employer who is employed in a business of an employer
that affects commerce; and
(C) the term ``employer'' means a person, including
a State or political subdivision of a State, engaged in
a business affecting commerce.
(e) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after the date of the enactment of
this Act.
SEC. 3. INCREASE IN AND EXPANSION OF DEDUCTION FOR EXPENSES OF
ELEMENTARY AND SECONDARY SCHOOL TEACHERS.
(a) Increase.--
(1) In general.--Subparagraph (D) of section 62(a)(2) of
the Internal Revenue Code of 1986 is amended by striking
``$250'' and inserting ``$500''.
(2) Inflation adjustment.--Section 62(d)(3) of such Code is
amended--
(A) by striking ``2015'' and inserting ``2024'';
(B) by striking ``the $250 amount'' and inserting
``each of the dollar amounts''; and
(C) by striking ``2014'' in subparagraph (B)
thereof and inserting ``2023''.
(b) Expansion to Early Childhood Educators.--Section 62(d)(1)(A) of
the Internal Revenue Code of 1986 is amended--
(1) by striking ``who is a kindergarten'' and inserting
``who is--
``(i) a kindergarten'';
(2) by striking the period at the end and inserting ``,
or''; and
(3) by adding at the end the following new subparagraph:
``(ii) an early childhood educator (as
defined in section 200 of the Higher Education
Act of 1965 (20 U.S.C. 1021)) in an early
childhood education program (as defined in
section 103 of such Act (20 U.S.C. 1003)) for
at least 1,020 hours during a year.''.
(c) Effective Date.--The amendments made by this section shall
apply to amounts paid or incurred in taxable years beginning after the
date of the enactment of this Act.
SEC. 4. MANDATORY FUNDING TO SUPPORT LOCAL EDUCATIONAL AGENCIES THAT
MAINTAIN OR INCREASE TEACHER SALARIES.
Section 2003 of the Elementary and Secondary Education Act of 1965
(20 U.S.C. 6603) is amended--
(1) in the section heading, by striking ``authorization of
appropriations'' and inserting ``funding''; and
(2) by striking subsection (a) and inserting the following:
``(a) Appropriations for Part A.--
``(1) In general.--There are authorized to be appropriated,
and there are appropriated, out of any funds not otherwise
appropriated--
``(A) for fiscal year 2023, $5,200,000,000 to carry
out part A; and
``(B) for fiscal year 2024 and each succeeding
fiscal year, the amount appropriated under this
paragraph for the preceding year, increased by a
percentage equal to the annual percentage increase in
the Consumer Price Index for All Urban Consumers
published by the Department of Labor for the most
recent calendar year.
``(2) Reservation for teacher salary incentive grants.--
``(A) Definitions.--In this paragraph:
``(i) Eligible local educational agency.--
The term `eligible local educational agency'
means a local educational agency that, for the
preceding school year, maintained or increased
the salary schedule for all teachers employed
by the local educational agency.
``(ii) Teacher salary incentive
reservation.--The term `teacher salary
incentive reservation' means, for each fiscal
year, the amount that is 20 percent of the
amount by which the funds appropriated under
paragraph (1) for the fiscal year exceeds
$2,200,000,000.
``(B) In general.--For each fiscal year for which
the total amount appropriated under paragraph (1) is
greater than $2,200,000,000, the Secretary shall, after
making any reservations under section 2101(a), reserve
and use the teacher salary incentive reservation to
award grants, based on allotments under subparagraph
(C), to eligible local educational agencies for
purposes described in subparagraph (E).
``(C) Allotments.--An allotment under this
subparagraph for a fiscal year to an eligible local
educational agency shall bear the same relationship to
the teacher salary incentive reservation as the number
of children counted under section 1124(c) who are
served by the local educational agency bears to the
total number of such children counted under such
section served by all eligible local educational
agencies that submitted an application under
subparagraph (D).
``(D) Application.--An eligible local educational
agency desiring an allotment under this paragraph shall
submit to the Secretary an application at such time, in
such manner, and containing such information as the
Secretary may require.
``(E) Use of funds.--A local educational agency
receiving an allotment under subparagraph (C) may use
the allotment to carry out one or more of the
following:
``(i) Comprehensive teacher or school
leader preparation programs described
subsection (d), (e), or (f) of section 202 of
the Higher Education Act of 1965.
``(ii) Support for teachers to earn
certifications or credentials in high-need
fields or advanced credentials, such as
certification or credentialing by the National
Board for Professional Teaching Standards.
``(iii) Teacher leadership programs.
``(iv) Induction or mentoring programs for
new teachers, principals, or other school
leaders.
``(v) High-quality research-based
professional development.
``(vi) Other activities approved by the
Secretary that--
``(I) promote and strengthen the
teaching profession;
``(II) attract, retain, and
diversify the educator workforce; or
``(III) advance the skills and
efficacy of the educator workforce.
``(F) Supplement, not supplant.--A local
educational agency receiving an allotment under
subparagraph (C) shall use the allotment to supplement,
and not supplant, any State funds or efforts to raise
teacher pay.''.
<all>
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118HR3265 | RETAIN Act | [
[
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"sponsor"
],
[
"S001215",
"Rep. Stevens, Haley M. [D-MI-11]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3265 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3265
To amend the Internal Revenue Code of 1986 to address the teacher and
school leader shortage in early childhood, elementary, and secondary
education, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Schneider (for himself and Ms. Stevens) introduced the following
bill; which was referred to the Committee on Ways and Means, and in
addition to the Committee on Education and the Workforce, for a period
to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To amend the Internal Revenue Code of 1986 to address the teacher and
school leader shortage in early childhood, elementary, and secondary
education, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Retaining Educators Takes Added
Investment Now Act'' or the ``RETAIN Act''.
SEC. 2. PURPOSE.
The purpose of this Act is to create a refundable tax credit for
early childhood educators, teachers, early childhood education program
directors, school leaders, and school-based mental health services
providers in early childhood, elementary, and secondary education
settings that rewards retention based on the time spent serving high-
need students.
SEC. 3. FINDINGS.
Congress finds the following:
(1) The shortage of experienced, qualified early childhood
educators and elementary school and secondary school teachers
is a national problem that compromises the academic outcomes
and long-term success of students.
(2) The shortage is the result of many factors including
low pay, frequent turnover in school leadership, poor teaching
conditions, and inadequate teacher supports.
(3) The shortage is worse in high-poverty areas where the
factors contributing to the shortage are particularly acute and
have an increased negative impact on teachers of color
remaining in the field.
(4) A child's access to high-quality early childhood
education is critical to supporting positive outcomes, and
early childhood educators--
(A) play an important role in setting the
foundation for future learning, and
(B) promote the development of vital skills,
habits, and mindsets that children need to be
successful in school and in life.
(5) In 2021, the national median pay of early childhood
educators was a mere $30,210, with many early childhood
educators relying on government assistance programs such as
Medicaid, the supplemental nutrition assistance program
established under the Food and Nutrition Act of 2008 (7 U.S.C.
2011 et seq.), or the temporary assistance for needy families
program established under part A of title IV of the Social
Security Act (42 U.S.C. 601 et seq.), and struggling to provide
for their own families.
(6) Studies have demonstrated that well-qualified,
experienced teachers are the single most important school-based
element contributing to a child's academic achievement and
success.
(7) In the 2021-2022 academic year, the average teacher
salary in public elementary schools and secondary schools was
only $66,397, a 2 percent increase from the previous academic
year. When adjusted for inflation, the average teacher salary
has declined by 6.4 percent over the past decade.
(8) On average, public elementary school and secondary
school teachers were paid 23.5 percent less than other college
graduates working in non-teaching fields, and many teachers
struggle with large amounts of student loan debt.
(9) In 2021, the average teacher salary for a first-year
teacher in a public elementary school or secondary school was
$41,770.
(10) An experienced, well-qualified education workforce
must also be reflective of the diversity of the student body
across race, ethnicity, and disability.
(11) Higher pay for teachers can result in a more diverse
teacher workforce, and minority students often perform better
on standardized tests, have improved attendance, and are
suspended less frequently when they have at least one same-race
teacher.
(12) Experienced, well-qualified school leaders and school-
based mental health service providers are essential for
providing strong educational opportunities and services for
students and promoting teacher retention through improved
professional supports and teaching conditions.
(13) Between February 2020 and May 2022, at least 300,000
teachers at public elementary schools and secondary schools
left the field, a nearly 3 percent decline in the teacher
workforce.
SEC. 4. REFUNDABLE TAX CREDIT FOR TEACHER AND SCHOOL LEADER RETENTION.
(a) In General.--Subpart C of part IV of subchapter A of chapter 1
of subtitle A of the Internal Revenue Code of 1986 is amended by
inserting after section 36B the following new section:
``SEC. 36C. TEACHER AND SCHOOL LEADER RETENTION CREDIT.
``(a) Allowance of Credit.--
``(1) In general.--In the case of an individual who is
employed in a position described in paragraph (2) during a
school year ending with or within the taxable year, there shall
be allowed as a credit against the tax imposed by this subtitle
for the taxable year an amount equal to the applicable amount
(as determined under subsection (b)).
``(2) Eligible positions.--The positions described in this
paragraph shall consist of the following:
``(A) An eligible early childhood educator.
``(B) An eligible early childhood education program
director.
``(C) An eligible early childhood education
provider.
``(D) An eligible teacher.
``(E) An eligible paraprofessional.
``(F) An eligible school-based mental health
services provider.
``(G) An eligible school leader.
``(b) Applicable Amount.--
``(1) In general.--For purposes of this section, the
applicable amount shall be an amount determined based on the
number of school years for which the individual has been
continuously employed in any position described in subsection
(a)(2), as follows:
``(A) Subject to paragraph (2), for the first year
of employment, $5,800.
``(B) For the second continuous year of employment,
$5,800.
``(C) For the third and fourth continuous year of
employment, $7,000.
``(D) For the fifth, sixth, seventh, eighth, and
ninth continuous year of employment, $8,700.
``(E) For the tenth continuous year of employment,
$11,600.
``(F) For the eleventh, twelfth, thirteenth,
fourteenth, and fifteenth continuous year of
employment, $8,700.
``(G) For the sixteenth continuous year of
employment, $7,000.
``(H) For the seventeenth, eighteenth, nineteenth,
and twentieth continuous year of employment, $5,800.
``(2) First year.--For purposes of the first year of
employment ending with or within a taxable year, an individual
must have been so employed for a period of not less than 4
months before the first day of such taxable year.
``(3) Limitation based on total number of school years.--In
the case of any individual who has been employed in any
position described in subsection (a)(2) for a total of more
than 20 school years, the applicable amount shall be reduced to
zero.
``(c) Inflation Adjustment.--
``(1) In general.--In the case of any taxable year
beginning after 2024, each of the dollar amounts in subsection
(b)(1) shall be increased by an amount equal to--
``(A) such dollar amount, multiplied by
``(B) the cost-of-living adjustment determined
under section 1(f)(3) for such calendar year by
substituting `calendar year 2023' for `calendar year
2016' in subparagraph (A)(ii) thereof.
``(2) Rounding.--If any increase determined under paragraph
(1) is not a multiple of $100, such increase shall be rounded
to the nearest multiple of $100.
``(d) Supplementing, Not Supplanting, State and Local Education
Funds.--
``(1) In general.--A State educational agency or local
educational agency shall not reduce or adjust any compensation,
or any assistance provided through a loan forgiveness program,
to an employee of the State educational agency or local
educational agency who serves in any position described in
subsection (a)(2) due to the individual's eligibility for the
credit under this section.
``(2) Methodology.--Upon request by the Secretary of
Education, a State educational agency or local educational
agency shall reasonably demonstrate that the methodology used
to allocate amounts for compensation and for loan forgiveness
to the employees described in paragraph (1) at qualifying
schools or qualifying early childhood education programs
ensures that employees at each qualifying school or qualifying
early childhood education program in the State or served by the
local educational agency, respectively, receive the same amount
of State or local funds for compensation and loan forgiveness
that the qualifying school or qualifying early childhood
education program would receive if the credit under this
section had not been enacted.
``(e) Information Sharing.--The Secretary of Education and the
Secretary of Health and Human Services shall provide the Secretary with
such information as is necessary for purposes of determining whether an
early childhood education program or an elementary school or secondary
school satisfies the requirements for a qualifying early childhood
education program or a qualifying school, respectively.
``(f) Definitions.--For purposes of this section--
``(1) ESEA definitions.--The terms `elementary school',
`local educational agency', `secondary school', and `State
educational agency' have the meanings given the terms in
section 8101 of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 7801).
``(2) Eligible early childhood education program
director.--The term `eligible early childhood education program
director' means an employee or officer of a qualifying early
childhood education program who is responsible for the daily
instructional leadership and managerial operations of such
program.
``(3) Eligible early childhood education provider.--The
term `eligible early childhood education provider' means an
individual--
``(A) who--
``(i) has an associate's degree or higher
degree in early childhood education or a
related field, or
``(ii) is enrolled during the taxable year
in a program leading to such an associate's or
higher degree and is making satisfactory
progress toward such degree, and
``(B) who is responsible for the daily
instructional leadership and managerial operations of a
qualifying early childhood education program in a home-
based setting.
``(4) Eligible early childhood educator.--The term
`eligible early childhood educator' means an individual--
``(A) who--
``(i) has an associate's degree or higher
degree in early childhood education or a
related field, or
``(ii) is enrolled during the taxable year
in a program leading to such an associate's or
higher degree and is making satisfactory
progress toward such degree,
``(B) who has credentials or a license under State
law for early childhood education, as applicable, and
``(C) whose primary responsibility is for the
learning and development of children in a qualifying
early childhood education program during the taxable
year.
``(5) Eligible paraprofessional.--The term `eligible
paraprofessional' means an individual--
``(A) who is a paraprofessional, as defined in
section 3201 of the Elementary and Secondary Education
Act of 1965 (20 U.S.C. 7011),
``(B) who meets the applicable State professional
standards and qualifications pursuant to section
1111(g)(2)(M) of such Act (20 U.S.C. 6311(g)(2)(M)),
``(C) whose primary responsibilities involve
working or assisting in a classroom setting, and
``(D) who is employed in a qualifying school or a
qualifying early childhood education program.
``(6) Eligible school-based mental health services
provider.--The term `eligible school-based mental health
services provider' means an individual--
``(A) described in section 4102(6) of the
Elementary and Secondary Education Act of 1965 (20
U.S.C. 7112(6)), and
``(B) who is employed in a qualifying school or a
qualifying early childhood education program.
``(7) Eligible school leader.--The term `eligible school
leader' means a principal, assistant principal, or other
individual who is--
``(A) an employee or officer of a qualifying
school, and
``(B) responsible for the daily instructional
leadership and managerial operations in the qualifying
school.
``(8) Eligible teacher.--The term `eligible teacher' means
an individual who--
``(A) is an elementary school or secondary school
teacher who, as determined by the State or local
educational agency, is a teacher of record who provides
direct classroom teaching (or classroom-type teaching
in a nonclassroom setting) to students in a qualifying
school, and
``(B)(i) meets applicable State certification and
licensure requirements, including any requirements for
certification obtained through alternative routes to
certification, in the State in which such school is
located and in the subject area in which the individual
is the teacher of record, or
``(ii) is enrolled during the taxable year in a
program leading to State certification and licensure as
described in clause (i) and is making satisfactory
progress toward such certification and licensure
requirements.
``(9) Qualifying early childhood education program.--
``(A) In general.--The term `qualifying early
childhood education program' means an early childhood
education program, as defined in section 103 of the
Higher Education Act of 1965 (20 U.S.C. 1003), that,
regardless of setting--
``(i) serves children who receive services
for which financial assistance is provided in
accordance with the Child Care and Development
Block Grant Act of 1990 (42 U.S.C. 9857 et
seq.), the Head Start Act (42 U.S.C. 9831 et
seq.), or the child and adult care food program
established under section 17 of the Richard B.
Russell National School Lunch Act (42 U.S.C.
1766), and
``(ii) participates in a State tiered and
transparent system for measuring program
quality.
``(B) Special rule.--Notwithstanding subparagraph
(A), an early childhood education program that does not
satisfy the requirements of subparagraph (A)(ii) shall
be deemed to be a qualifying early childhood education
program until September 30, 2023, if the program--
``(i) satisfies all requirements of
subparagraph (A) except for clause (ii) of such
subparagraph, and
``(ii)(I) meets the Head Start program
performance standards described in section
641A(a) of the Head Start Act (42 U.S.C.
9836a(a)), if applicable, or
``(II) is accredited by a national
accreditor of early learning programs as of the
date of enactment of the Retaining Educators
Takes Added Investment Now Act.
``(10) Qualifying school.--The term `qualifying school'
means--
``(A) a public elementary school or secondary
school that--
``(i) is in the school district of a local
educational agency that is eligible for
assistance under part A of title I of the
Elementary and Secondary Education Act of 1965
(20 U.S.C. 6311 et seq.), or
``(ii) is served or operated by an
educational service agency that is eligible for
such assistance, or
``(B) an elementary school or secondary school that
is funded by the Bureau of Indian Education and that is
in the school district of a local educational agency
that is eligible for such assistance.''.
(b) W-2 Reporting of Continuous Employment for Certain Positions at
Qualifying Early Childhood Education Programs or Qualifying Schools.--
Section 6051(a) of the Internal Revenue Code of 1986 is amended by
striking ``and'' at the end of paragraph (16), by striking the period
at the end of paragraph (17) and inserting ``, and'', and by inserting
after paragraph (17) the following new paragraph:
``(18) in the case of an employee who is employed in a
position described in subsection (a)(2) of section 36C, the
number of school years for which such employee has been
continuously employed in any such position.''.
(c) Conforming Amendments.--
(1) The table of sections for subpart C of part IV of
subchapter A of chapter 1 of subtitle A of the Internal Revenue
Code of 1986 is amended by inserting after the item relating to
section 36B the following:
``Sec. 36C. Teacher and school leader retention credit.''.
(2) Section 6211(b)(4)(A) of such Code is amended by
inserting ``36C,'' after ``36B,''.
(3) Paragraph (2) of section 1324(b) of title 31, United
States Code, is amended by inserting ``36C,'' after ``36B,''.
(d) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after December 31, 2023.
SEC. 5. DEVELOPING INTERAGENCY DATA SERIES.
The Secretary of Labor, in coordination with the Secretary of the
Treasury, the Secretary of Education, and the Secretary of Health and
Human Services, shall--
(1) develop and publish on the internet website of the
Bureau of Labor Statistics a data series that captures--
(A) the average base salary of teachers in
elementary schools and secondary schools, disaggregated
by--
(i) employment in public elementary schools
and secondary schools that receive assistance
under part A of title I of the Elementary and
Secondary Education Act of 1965 (20 U.S.C. 6311
et seq.),
(ii) employment in public elementary
schools and secondary schools that do not
receive such assistance, and
(iii) geographic region, and
(B) the average base salary of early childhood
educators, disaggregated by highest level of degree
attained, and
(2) update the data series under paragraph (1) on an annual
basis.
<all>
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118HR3266 | Peace and Tolerance in Palestinian Education Act | [
[
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[
... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3266 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3266
To require the Secretary of State to submit annual reports reviewing
the curriculum used by the Palestinian Authority, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Sherman (for himself, Mr. Mast, Mr. Gottheimer, Ms. Stefanik, and
Mr. Trone) introduced the following bill; which was referred to the
Committee on Foreign Affairs
_______________________________________________________________________
A BILL
To require the Secretary of State to submit annual reports reviewing
the curriculum used by the Palestinian Authority, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Peace and Tolerance in Palestinian
Education Act''.
SEC. 2. FINDINGS.
Congress finds the following:
(1) In 2016 and 2017, the Palestinian Authority published
modified curricula for school-aged children in grades 1 through
11.
(2) Textbooks used by the Palestinian Authority (PA) in the
West Bank and Gaza include graphics portraying violence against
Israeli soldiers, positive portrayals of individuals who have
committed attacks against citizens of Israel, and references to
Palestinian efforts to target the ``Zionists''.
(3) PA textbooks are used at schools sponsored by the
United Nations Relief and Works Agency (UNRWA) because UNRWA
schools use the textbooks of the host government.
(4) On April 26, 2018, the Government Accountability Office
(GAO) published a report that found the following:
(A) Textbooks in PA schools feature inaccurate and
misleading maps of the region and include militaristic,
adversarial imagery and content that incite hatred.
(B) The Department of State raised with Palestinian
officials the objectionable content in textbooks,
including a specific math problem using the number of
Palestinian casualties in the First and Second
Intifadas.
(C) The United Nations Relief and Works Agency
(UNRWA), in its review of the textbooks, identified
content not aligned with United Nations values, the
majority of which content related to neutrality or bias
issues, including issues related to maps and references
to Jerusalem as the capital of Palestine.
SEC. 3. SENSE OF CONGRESS.
It is the sense of Congress that the Palestinian Authority has not
sufficiently eliminated content and passages encouraging violence or
intolerance toward other countries or ethnic groups from the curriculum
used in their schools.
SEC. 4. REPORTS REQUIRED.
(a) In General.--Not later than 180 days after the date of the
enactment of this Act and annually thereafter for two years in
accordance with subsection (c), the Secretary of State shall submit to
the Committee on Foreign Affairs of the House of Representatives and
the Committee on Foreign Relations of the Senate a report reviewing
curriculum, including textbooks, leaflets, pamphlets, magazines, and
other instructional materials, used in schools in areas controlled by
the Palestinian Authority or located in Gaza and controlled by any
other entity. Each such report shall include the following:
(1) A determination of whether there is content or passages
encouraging violence or intolerance toward other countries or
ethnic groups in such curriculum, and a detailed explanation of
the reasons for reaching such determination.
(2) An assessment of the steps the Palestinian Authority is
taking to reform such curriculum at schools to conform with
standards of peace and tolerance in the Declaration of
Principles on Tolerance by the United Nations Educational,
Scientific and Cultural Organization (adopted November 16,
1995).
(3) A determination whether United States foreign
assistance is used, directly or indirectly, to fund the
dissemination of such curriculum by the Palestinian Authority.
(4) A detailed report on how United States assistance is
being used to address curriculum that encourages violence or
intolerance toward other nations or ethnic groups.
(5) A detailed report about United States diplomatic
efforts in the preceding five years to encourage peace and
tolerance in Palestinian education.
(6) If any diplomatic efforts referred to in paragraph (5)
were stopped by the Secretary of State, the reasons for such
stoppages.
(b) Public Availability.--The Secretary of State shall post on a
publicly available website of the Department of State each report
required under subsection (a).
(c) Subsequent Deadlines.--Each report required by subsection (a),
other than the first such report, shall be submitted not later than 90
days after the date on which a new school year begins for schools
controlled by the Palestinian Authority.
<all>
</pre></body></html>
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118HR3267 | COMFORT Act | [
[
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"Rep. Slotkin, Elissa [D-MI-7]",
"sponsor"
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"W000804",
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3267 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3267
To authorize the provision of non-medical counseling services to a
member of the Armed Forces, or a dependent of such member, by a mental
health professional, without regard to the location of the provider or
recipient of such services.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Slotkin (for herself and Mr. Wittman) introduced the following
bill; which was referred to the Committee on Armed Services
_______________________________________________________________________
A BILL
To authorize the provision of non-medical counseling services to a
member of the Armed Forces, or a dependent of such member, by a mental
health professional, without regard to the location of the provider or
recipient of such services.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Comforting Our Military Families
through On-base or Remote Treatment Act'' or the ``COMFORT Act''.
SEC. 2. NON-MEDICAL COUNSELING SERVICES FOR MILITARY FAMILIES.
(a) Non-Medical Counseling Services.--Notwithstanding any other
provision of law, a mental health professional described in subsection
(b) may provide non-medical counseling services to military families at
any location in a State, the District of Columbia, or a territory or
possession of the United States, without regard to where the provider
or recipient of such services is located, if the provision of such
services is within the scope of the authorized Federal duties of the
provider.
(b) Covered Mental Health Professionals.--A mental health
professional described in this subsection is a person who is--
(1) a currently licensed or certified mental health care
provider who holds an unrestricted license or certification
that is--
(A) issued by a State, the District of Columbia, or
a territory or possession of the United States; and
(B) recognized by the Secretary of Defense;
(2) a member of the Armed Forces, a civilian employee of
the Department of Defense, or a contractor designated by the
Secretary; and
(3) performing authorized duties for the Department of
Defense under a program or activity referred to in subsection
(a).
<all>
</pre></body></html>
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118HR3268 | Grant Assistance and Technical Education Act | [
[
"S000510",
"Rep. Smith, Adam [D-WA-9]",
"sponsor"
]
] | <p><strong>Grant Assistance and Technical Education Act</strong></p> <p>This bill supports the capacity of community-based organizations to obtain federal funding for public health and related programs.</p> <p>In particular, the bill establishes a position within the Office of Minority Health to assist such organizations apply for and meet conditions of grants available through the Department of Health and Human Services. It also creates grants for state and local public health entities to provide technical assistance and similar assistance to community-based organizations to carry out and obtain federal funding for public health programs.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3268 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3268
To amend the Public Health Service Act, to establish within the Office
of Minority Health, the position of Outreach Coordinator, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Smith of Washington introduced the following bill; which was
referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act, to establish within the Office
of Minority Health, the position of Outreach Coordinator, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This title may be cited as the ``Grant Assistance and Technical
Education Act''.
SEC. 2. OUTREACH COORDINATOR.
Section 1707(d) of the Public Health Service Act (42 U.S.C. 300u-
6(d)) is amended by adding at the end the following:
``(4) Outreach coordinator.--
``(A) In general.--In carrying out subsection (b),
the Secretary shall establish within the Office, the
position of Outreach Coordinator. The Outreach
Coordinator shall be appointed by the Secretary, and
shall report directly to the Director in the Office of
Minority Health.
``(B) Duties.--The duties of the Outreach
Coordinator shall consist of assisting community-based
organizations navigate the application for, and any
associated conditions on the receipt of, funding
available to nongovernmental organizations under grant
programs administered by the Secretary.
``(C) Priority.--In providing assistance under
subparagraph (B), the Outreach Coordinator shall give
priority to community-based organizations that--
``(i) have had a significant impact on the
community served by the organization involved,
with respect to providing culturally competent
and culturally specific care;
``(ii) demonstrate a connection to
marginalized groups in the community served by
the organization involved; and
``(iii) have less experience in applying
for an receiving funding described in
subparagraph (B).''.
SEC. 3. ASSISTANCE TO COMMUNITY-BASED ORGANIZATIONS.
Section 1707(e) of the Public Health Service Act (42 U.S.C. 300u-
6(e)) is amended by adding at the end the following:
``(4) Assistance to community-based organizations.--The
Deputy Assistant Secretary shall award grants to State and
local public health entities for purposes of--
``(A) coordinating with community-based
organizations for the purposes of public health
messaging and assisting in carrying out programs
administered by the Secretary;
``(B) hiring and training employees of such
entities;
``(C) subgranting funds to community-based
organizations to carry out programs to promote health
priorities in marginalized communities; and
``(D) providing technical assistance to such
organizations to meet reporting requirements under
grant programs administered by the Secretary.''.
<all>
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118HR3269 | Law Enforcement Innovate to De-Escalate Act | [
[
"S001211",
"Rep. Stanton, Greg [D-AZ-4]",
"sponsor"
],
[
"F000471",
"Rep. Fitzgerald, Scott [R-WI-5]",
"cosponsor"
],
[
"S001183",
"Rep. Schweikert, David [R-AZ-1]",
"cosponsor"
],
[
"S001212",
"Rep. Stauber, Pete [R-MN-8]",
"cosponsor"
],
[
"G00... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3269 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3269
To modernize Federal firearms laws to account for advancements in
technology and less-than-lethal weapons, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Stanton (for himself, Mr. Fitzgerald, Mr. Schweikert, Mr. Stauber,
Mr. Gallego, Mr. Correa, and Mr. Biggs) introduced the following bill;
which was referred to the Committee on Ways and Means, and in addition
to the Committee on the Judiciary, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To modernize Federal firearms laws to account for advancements in
technology and less-than-lethal weapons, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Law Enforcement Innovate to De-
Escalate Act''.
SEC. 2. EXEMPTION OF CERTAIN LESS-THAN-LETHAL PROJECTILE DEVICES FROM
RESTRICTIONS UNDER TITLE 18, UNITED STATES CODE.
(a) In General.--Section 921(a) of title 18, United States Code, is
amended--
(1) in the 2nd sentence of paragraph (3), by inserting ``or
a less-than-lethal projectile device'' before the period; and
(2) by adding at the end the following:
``(38) The term `less-than-lethal projectile device' means a device
with a bore or multiple bores, that--
``(A) is not designed or intended to expel a projectile at
a velocity exceeding 500 feet per second by any means; and
``(B) is designed or intended to be used in a manner that
is not likely to cause death or serious bodily injury.''.
SEC. 3. EXEMPTION OF CERTAIN LESS-THAN-LETHAL PROJECTILE DEVICES FROM
FIREARMS AND AMMUNITION TAX.
(a) In General.--Section 4182 of the Internal Revenue Code of 1986
is amended by redesignating subsection (d) as subsection (e) and by
inserting after subsection (c) the following new subsection:
``(d) Less-than-Lethal Projectile Devices.--The tax imposed by
section 4181 shall not apply to any less-than-lethal projectile device
(as defined in section 921(a)(38) of title 18, United States Code) or
any less-than-lethal shells or cartridges designed for use in such a
device.''.
(b) Effective Date.--The amendments made by this section shall
apply to articles sold by the manufacturer, producer, or importer after
the date of the enactment of this Act.
SEC. 4. EXEMPTION OF CERTAIN LESS-THAN-LETHAL PROJECTILE DEVICES FROM
NATIONAL FIREARMS ACT.
Section 5845(a) of the Internal Revenue Code of 1986 is amended by
adding at the end the following: ``Such term shall not include any
less-than-lethal projectile device (as defined in section 921(a)(38) of
title 18, United States Code).''.
<all>
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118HR327 | Close the Double Subsidy Loophole for Electric Vehicles Act | [
[
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] | <p><strong>Close the Double Subsidy Loophole for Electric Vehicles Act</strong></p> <p>This bill reduces the allowable amount of the tax credit for a new qualified plug-in electric drive motor vehicle by any subsidy made available by the state in which the vehicle is registered and was placed in service.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 327 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 327
To amend the Internal Revenue Code of 1986 to reduce the tax credit for
new qualified plug-in electric drive motor vehicles by State subsidies
for these vehicles.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Mr. Estes introduced the following bill; which was referred to the
Committee on Ways and Means
_______________________________________________________________________
A BILL
To amend the Internal Revenue Code of 1986 to reduce the tax credit for
new qualified plug-in electric drive motor vehicles by State subsidies
for these vehicles.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Close the Double Subsidy Loophole
for Electric Vehicles Act''.
SEC. 2. QUALIFIED PLUG-IN ELECTRIC VEHICLE TAX CREDIT REDUCTION IN
CONNECTION WITH STATE SUBSIDY.
(a) In General.--Subsection (f) of section 30D of the Internal
Revenue Code of 1986 is amended by adding at the end the following:
``(12) Reduction for state subsidies.--
``(A) In general.--The amount allowed as a credit
under this section (without regard to this paragraph)
with respect to a vehicle to which this section applies
shall be reduced (but not below zero) by the amount of
any subsidy in connection with the acquisition or
ownership of the vehicle made available by the State in
which such vehicle is registered and placed in service
by the taxpayer.
``(B) Subsidy.--For purposes of subparagraph (A),
term `subsidy' means direct or indirect financial
assistance, including tax credits or deductions from
taxable income, grants, loans, rebates, vehicle license
tax discounts, and vouchers.''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply to property placed in service after the date of the enactment of
this Act.
<all>
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118HR3270 | Permanent Tax Cuts for American Families Act of 2023 | [
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"W000... | <p> <strong>Permanent Tax Cuts for American Families Act of 2023 </strong></p> <p>This bill permanently increases the standard tax deduction for nonitemizing taxpayers. It also requires an inflation adjustment to the increased deduction amounts. </p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3270 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3270
To amend the Internal Revenue Code of 1986 to permanently increase the
standard deduction.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mrs. Steel (for herself, Mr. Smith of Nebraska, Mr. Kustoff, Ms. Van
Duyne, Mr. Wenstrup, Mr. Ferguson, Mr. Kelly of Pennsylvania, Mr.
Feenstra, and Mrs. Miller of West Virginia) introduced the following
bill; which was referred to the Committee on Ways and Means
_______________________________________________________________________
A BILL
To amend the Internal Revenue Code of 1986 to permanently increase the
standard deduction.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Permanent Tax Cuts for American
Families Act of 2023''.
SEC. 2. INCREASE IN STANDARD DEDUCTION MADE PERMANENT.
(a) In General.--Section 63(c)(2) of the Internal Revenue Code of
1986 is amended--
(1) by striking ``$4,400'' in subparagraph (B) and
inserting ``$18,000'', and
(2) by striking ``$3,000'' in subparagraph (C) and
inserting ``$12,000''.
(b) Inflation Adjustment.--Section 63(c)(4) of such Code is amended
to read as follows:
``(4) Adjustments for inflation.--
``(A) In general.--Each dollar amount in paragraph
(2)(B), (2)(C), or (5) or subsection (f) shall be
increased by an amount equal to--
``(i) such dollar amount, multiplied by
``(ii) the cost-of-living adjustment
determined under section 1(f)(3) for the
calendar year in which the taxable year begins,
determined by substituting for `2016' in
subparagraph (A)(ii) thereof--
``(I) in the case of the dollar
amounts contained in paragraph (2)(B)
or (2)(C), `2017',
``(II) in the case of the dollar
amounts contained in paragraph (5)(A)
or subsection (f), `1987', and
``(III) in the case of the dollar
amount contained in paragraph (5)(B),
`1997'.
``(B) Rounding.--If any increase under this clause
is not a multiple of $50, such increase shall be
rounded to the next lowest multiple of $50.''.
(c) Conforming Amendment.--Section 63(c) of such Code is amended by
striking paragraph (7).
(d) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after the date of the enactment of
this Act.
<all>
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118HR3271 | Empowering Employer Child and Elder Care Solutions Act | [
[
"S001196",
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"sponsor"
],
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[
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]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3271 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3271
To amend the Fair Labor Standards Act of 1938 to exclude child and
dependent care services and payments from the rate used to compute
overtime compensation.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Stefanik (for herself, Mr. Harder of California, and Mrs. Hinson)
introduced the following bill; which was referred to the Committee on
Education and the Workforce
_______________________________________________________________________
A BILL
To amend the Fair Labor Standards Act of 1938 to exclude child and
dependent care services and payments from the rate used to compute
overtime compensation.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Empowering Employer Child and Elder
Care Solutions Act''.
SEC. 2. EXCLUSION OF CHILD CARE IN COMPUTING OVERTIME COMPENSATION.
(a) In General.--Section 7(e) of the Fair Labor Standards Act of
1938 (29 U.S.C. 207(e)) is amended--
(1) in paragraph (2), by inserting ``payments or
reimbursements for child or dependent care services;'' after
``by the employer;'';
(2) in paragraph (7), by striking ``or'' at the end;
(3) in paragraph (8)(D)(ii), by striking the period at the
end and inserting ``; or''; and
(4) by adding at the end the following:
``(9) the value of any child or dependent care services
provided by an employer.''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply with respect to overtime compensation required to be paid for
workweeks beginning on or after the date of enactment of this Act.
<all>
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118HR3272 | WWII Nurses Congressional Gold Medal Act | [
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... | <p><strong>WWII Nurses Congressional Gold Medal Act</strong></p> <p>This bill provides for the award of a Congressional Gold Medal to World War II Army and Navy Nurse Corps members in recognition of their critical military service and devotion to duty.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3272 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3272
To award a Congressional Gold Medal, collectively, to the brave women
who served in World War II as members of the U.S. Army Nurse Corps and
U.S. Navy Nurse Corps.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Stefanik (for herself, Ms. Sherrill, Ms. Houlahan, and Mr. Carl)
introduced the following bill; which was referred to the Committee on
Financial Services, and in addition to the Committee on House
Administration, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To award a Congressional Gold Medal, collectively, to the brave women
who served in World War II as members of the U.S. Army Nurse Corps and
U.S. Navy Nurse Corps.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``WWII Nurses Congressional Gold Medal
Act''.
SEC. 2. FINDINGS.
The Congress finds the following:
(1) On December 8, 1941, the United States declared war
against the Empire of Japan, followed by declarations of war
against Germany and Italy on December 11, 1941. In 1935, there
were fewer than 600 U.S. Army Nurses and 1,700 U.S. Navy Nurses
on active duty. By the time World War II ended, more than
59,000 Army Nurses and 14,000 Navy Nurses had volunteered to
serve.
(2) The Army Reorganization Act of 1920 granted women in
the Nurse Corps ``relative rank''. This gave them the right to
wear the military insignia, but did not confer military status
or privileges. This arrangement meant women serving throughout
WWII received 50 percent of the pay as compared to their male
counterparts, and none of the veteran benefits. Because they
did not receive military status, they received no orientation
or training before being deployed to hospitals near the
frontlines.
(3) Nurses served under fire in field hospitals and
evacuation hospitals across six continents, on hospital trains
and ships, and as flight nurses on medical transport planes.
Several nurses were killed in action when their ships were
torpedoed or field hospitals were bombed. Some even entered
into combat areas as flight nurses to retrieve the wounded, and
2 groups were captured as prisoners of war by the Japanese.
(4) General Douglas MacArthur ordered Army Nurses to the
Bataan Peninsula to prepare 2 emergency hospitals for U.S. and
Filipino forces. General Hospital 1 received casualties
directly from the front lines, and more than 1,200 battle
casualties requiring major surgery were admitted within a
month. General Hospital 2 accepted patients strong enough for
evacuation, as it was out in the open, with no tents or
buildings, and only tree canopy to conceal them from Japanese
aircraft. Hospital 1 was bombed on March 29, 1942, killing or
wounding more than 100 patients, but the nurses carried on with
their duties as well as they were able. Following the U.S. Army
surrender of the Philippines to the Japanese on May 6, 1942, 67
Army Nurses were taken to Santo Tomas Internment Camp in
Manila, where they remained until February 1945. During the 37
months in captivity, these women endured primitive conditions
and starvation rations, but continued to care for the ill and
injured in the internment camp hospital.
(5) Early in the morning of November 8, 1942, 60 nurses
attached to the 48th Surgical Hospital landed off the coast of
North Africa. The nurses wore helmets and carried full packs
containing medical equipment. Without weapons, they waded
ashore amid enemy sniper fire and ultimately took shelter in an
abandoned civilian hospital, where they began caring for
invasion casualties. There was no electricity or running water,
and the only medical supplies available were those the nurses
had brought themselves.
(6) In Anzio, Italy, nurses dug foxholes outside their
tents or under their cots and cared for patients under German
shellfire. The field hospital tents were marked by large red
crosses and were sometimes deliberately hit with artillery
shells and bombs. On February 7, 1944, a German pilot being
pursued by British fighter planes dropped 5 antipersonnel bombs
on the hospital, destroying 29 ward tents, killing 26 and
wounding 64. The dead included 3 nurses, 2 medical officers, a
Red Cross worker, 14 enlisted men and 6 patients. Troops came
to refer to the hospital area as ``Hell's Half-Acre'' because
it was hit so frequently by enemy fire. At least 200 nurses
took part in the Anzio campaign, caring for more than 33,000
patients behind enemy lines.
(7) Enlisted nurses acclimated quickly to difficult and
dangerous conditions with a minimum of complaints, and were
essential members of the field armies.
(8) The presence of nurses at the front improved morale
because soldiers realized that they would receive skilled care
in the event they were wounded.
(9) Thanks largely to the efforts of these nurses, fewer
than 4 percent of the American soldiers who received medical
care in the field or underwent evacuation died from wounds or
disease.
(10) After the war, broad public health missions required
that enlisted nurses supervise communicable disease measures as
former enemy countries were reorganized. In Hiroshima, these
officers cared for victims of the atomic bombs. In Munich, they
prevented mass epidemic in refugee camps. Enlisted nurses even
provided prenatal, infant, and mental health care in other
former-enemy territories.
(11) Nurses received 1,619 medals, citations, and
commendations during the war, reflecting the courage and
dedication of all who served. Sixteen medals were awarded
posthumously to nurses who died as a result of enemy fire,
including 6 nurses who died at Anzio, 6 who died when the
Hospital Ship Comfort was attacked by a Japanese suicide plane,
and 4 flight nurses. Thirteen other flight nurses died in
weather-related crashes while on duty.
(12) In 1944, Congress passed a bill that granted Army and
Navy Nurses actual military rank and benefits, approved for the
duration of the war plus 6 months.
(13) In 1947, Congress passed legislation establishing a
permanent Army and Navy Nursing Corps and gave members
permanent officer status with equal pay and the same benefits
as those given to male officers.
(14) In 1948, all military branches were integrated and
female doctors were finally admitted to the Army Medical Corps.
(15) Although African-American Nurses were fully qualified
and prepared to serve as nurses at the onset of World War II,
racial segregation and discrimination made it difficult for
Black women to join the ranks of the Army Nurse Corps (referred
to in this Act as the ``ANC'').
(16) As the ANC began expanding its recruiting process,
thousands of Black nurses who wanted to serve their country
filled out applications.
(17) While the Army did eventually integrate African-
American Nurses in 1941, it did so unwillingly and placed a
quota on the number of African-American Nurses that they would
accept, capping the number allowed to join at 56.
(18) Many of them had hardship tours and were sent to
segregated camps to take care of African-American Soldiers and
would rotate and allow White nurses reprieve in taking care of
German POWs. As the war progressed, the number of Black nurses
allowed to enlist remained low, although the quota was
officially lifted in July 1944.
(19) The extraordinary efforts of these women are deserving
of belated official recognition.
(20) The United States is eternally grateful to the nurses
of the Army and Navy Nurse Corps for their bravery and
dedication to their patients through World War II, which saved
lives and made significant contributions to the defeat of the
Axis powers.
SEC. 3. CONGRESSIONAL GOLD MEDAL.
(a) Presentation Authorized.--The Speaker of the House of
Representatives and the President pro tempore of the Senate shall make
appropriate arrangements for the presentation, on behalf of Congress,
of a gold medal of appropriate design in honor of World War II Army and
Navy Nurse Corps members, in recognition of the critical military
service and devotion to duty of those nurses.
(b) Design and Striking.--For purposes of the presentation
described in subsection (a), the Secretary of the Treasury (referred to
in this Act as the ``Secretary'') shall strike a gold medal with
suitable emblems, devices, and inscriptions to be determined by the
Secretary.
(c) Smithsonian Institution.--
(1) In general.--Following the award of the gold medal
under subsection (a), the gold medal shall be given to the
Smithsonian Institution, where it shall be available for
display as appropriate and available for research.
(2) Sense of congress.--It is the sense of Congress that
the Smithsonian Institution should make the gold medal received
under paragraph (1) available for display elsewhere,
particularly at--
(A) appropriate locations associated with the Army
and Navy Nurse Corps of World War II, including--
(i) the U.S. Army Medical Center of
Excellence;
(ii) the Women in Military Service for
America Memorial;
(iii) the U.S. Army Women's Museum;
(iv) the National Naval Medical Centers;
and
(v) the National World War II Museum; and
(B) any other location determined appropriate by
the Smithsonian Institution.
SEC. 4. DUPLICATE MEDALS.
The Secretary may strike and sell duplicates in bronze of the gold
medal struck under section 3, at a price sufficient to cover the costs
of the medals, including labor, materials, dies, use of machinery, and
overhead expenses.
SEC. 5. STATUS OF MEDALS.
(a) National Medals.--Medals struck pursuant to this Act are
national medals for purposes of chapter 51 of title 31, United States
Code.
(b) Numismatic Items.--For purposes of section 5134 of title 31,
United States Code, all medals struck under this Act shall be
considered to be numismatic items.
SEC. 6. AUTHORITY TO USE FUND AMOUNTS; PROCEEDS OF SALE.
(a) Authority To Use Fund Amounts.--There is authorized to be
charged against the United States Mint Public Enterprise Fund such
amounts as may be necessary to pay for the costs of the medals struck
under this Act.
(b) Proceeds of Sale.--Amounts received from the sale of duplicate
bronze medals authorized under section 4 shall be deposited into the
United States Mint Public Enterprise Fund.
<all>
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118HR3273 | Eliminate DEI in the Military Act | [
[
"S001214",
"Rep. Steube, W. Gregory [R-FL-17]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3273 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3273
To prohibit the use of Federal funds for any DEI activity in the Armed
Forces, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Steube introduced the following bill; which was referred to the
Committee on Armed Services, and in addition to the Committee on
Transportation and Infrastructure, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To prohibit the use of Federal funds for any DEI activity in the Armed
Forces, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Eliminate DEI in the Military Act''.
SEC. 2. PROHIBITION ON USE OF FUNDS FOR DIVERSITY, EQUITY, AND
INCLUSION ACTIVITIES IN THE MILITARY.
(a) In General.--No Federal funds may be obligated or expended for
any DEI activity of--
(1) an Armed Force;
(2) a national service academy; or
(3) the Department of Defense.
(b) Definitions.--In this section:
(1) The term ``DEI activity'' includes, with respect to
diversity, equity, and inclusion--
(A) a training;
(B) a program;
(C) educational material;
(D) a position of employment; and
(E) an appointment.
(2) The term ``national service academy'' means the United
States Military Academy, the United States Naval Academy, the
United States Air Force Academy, the United States Coast Guard
Academy, or the United States Merchant Marine Academy.
<all>
</pre></body></html>
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118HR3274 | Ensuring Security for Military Spouses Act | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3274 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3274
To amend the Immigration and Nationality Act to provide that the 3-
month State residency requirement for applicants for naturalized
citizenship do not apply with respect to spouses of members of the
Armed Forces serving on active duty at a location in the United States,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Strickland (for herself and Ms. Salazar) introduced the following
bill; which was referred to the Committee on the Judiciary
_______________________________________________________________________
A BILL
To amend the Immigration and Nationality Act to provide that the 3-
month State residency requirement for applicants for naturalized
citizenship do not apply with respect to spouses of members of the
Armed Forces serving on active duty at a location in the United States,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Ensuring Security for Military
Spouses Act''.
SEC. 2. NO STATE RESIDENCY REQUIREMENT FOR SPOUSES OF MEMBERS OF THE
ARMED FORCES SERVING ON ACTIVE DUTY AT A LOCATION IN THE
UNITED STATES.
Section 319 of the Immigration and Nationality Act (8 U.S.C. 1430)
is amended by adding at the end the following:
``(f) In the case of a person lawfully admitted for permanent
residence in the United States who is the spouse of a member of the
Armed Forces serving on active duty at a location in the United States,
the requirement under subsection (a) of this section and under section
316(a) that a person have resided within the State or the Service
district in the United States in which the applicant filed his
application for at least three months shall not apply.''.
<all>
</pre></body></html>
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118HR3275 | Mudslide Recovery Act | [
[
"T000474",
"Rep. Torres, Norma J. [D-CA-35]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3275 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3275
To direct the Secretary of the Interior and the Secretary of Homeland
Security, acting through the Administrator of the Federal Emergency
Management Agency, to establish a pilot grant program to address damage
from mudslides that occur after a wildland fire, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mrs. Torres of California introduced the following bill; which was
referred to the Committee on Transportation and Infrastructure, and in
addition to the Committee on Natural Resources, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee
concerned
_______________________________________________________________________
A BILL
To direct the Secretary of the Interior and the Secretary of Homeland
Security, acting through the Administrator of the Federal Emergency
Management Agency, to establish a pilot grant program to address damage
from mudslides that occur after a wildland fire, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Mudslide Recovery Act''.
SEC. 2. MUDSLIDE RECOVERY GRANT PROGRAM.
(a) In General.--Not later than 180 days after the date of
enactment of this Act, the Secretaries concerned shall jointly
establish a pilot grant program to make grants on a competitive basis
to eligible recipients to implement innovative solutions to repair the
damage caused by mudslides that occur after a wildland fire.
(b) Applications.--To be eligible for a grant under this section,
an eligible recipient shall submit to the Secretaries concerned an
application at such time, in such manner, and containing such
information as the Secretaries concerned jointly determine is
appropriate.
(c) Definitions.--In this Act:
(1) Eligible recipient.--The term ``eligible recipient''
means--
(A) a State, an Indian Tribe, or a forestry agency
of a State or Indian Tribe;
(B) a local government;
(C) a fire department; and
(D) a non-profit organization, including a
homeowner association that assists communities located
in an area with a risk of wildland fires.
(2) Secretaries concerned.--The term ``Secretaries
concerned'' means the Secretary of the Interior and the
Secretary of Homeland Security, acting through the
Administrator of the Federal Emergency Management Agency.
(3) State.--The term ``State'' means any State of the
United States, the District of Columbia, the Commonwealth of
Puerto Rico, and any other territory or possession of the
United States.
(d) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $5,000,000 for each of fiscal
years 2024 through 2030.
<all>
</pre></body></html>
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118HR3276 | Healthy Future Students and Earth Pilot Program Act of 2023 | [
[
"V000081",
"Rep. Velazquez, Nydia M. [D-NY-7]",
"sponsor"
],
[
"N000147",
"Del. Norton, Eleanor Holmes [D-DC-At Large]",
"cosponsor"
],
[
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"Rep. Barragan, Nanette Diaz [D-CA-44]",
"cosponsor"
],
[
"C001067",
"Rep. Clarke, Yvette D. [D-NY-9]",
"... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3276 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3276
To amend the Richard B. Russell National School Lunch Act to establish
a pilot grant program to make grants to school food authorities to
provide 100 percent plant-based food and milk options, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Ms. Velazquez (for herself, Ms. Norton, Ms. Barragan, Ms. Clarke of New
York, Mrs. Watson Coleman, Mr. Doggett, Mrs. McBath, Ms. Lee of
California, Mr. Mfume, Ms. Pressley, Ms. Kamlager-Dove, Mr. Evans, Mr.
Blumenauer, Mr. McGovern, Mr. Nadler, Ms. Brownley, Ms. Omar, and Ms.
Blunt Rochester) introduced the following bill; which was referred to
the Committee on Education and the Workforce
_______________________________________________________________________
A BILL
To amend the Richard B. Russell National School Lunch Act to establish
a pilot grant program to make grants to school food authorities to
provide 100 percent plant-based food and milk options, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Healthy Future Students and Earth
Pilot Program Act of 2023''.
SEC. 2. PLANT-BASED FOODS IN SCHOOLS.
Section 18 of the Richard B. Russell National School Lunch Act (42
U.S.C. 1769) is amended by adding after subsection (c) the following:
``(d) Pilot Grant Program for 100 Percent Plant-Based Food
Options.--
``(1) Program authorized.--The Secretary shall establish
and carry out a pilot grant program to award grants to eligible
school food authorities to carry out the activities described
in paragraph (4).
``(2) In general.--
``(A) Term.--The term of a grant awarded under this
subsection shall be 3 years.
``(B) Grant amount.--In awarding grants under this
subsection, the Secretary shall, to the extent
practicable, award grants of diverse amounts.
``(3) Application.--
``(A) In general.--To be eligible to receive a
grant under this subsection, an eligible school food
authority shall submit to the Secretary an application
at such time, in such manner, and containing such
information as the Secretary may require, including--
``(i) a participatory evaluation plan; and
``(ii) a plan for providing culturally
appropriate meals.
``(B) Priority.--To the maximum extent practicable,
in awarding grants under this subsection, the Secretary
shall give priority to an eligible school food
authority that will use the grant funds to--
``(i) serve a high proportion of children
who are eligible for free or reduced price
meals;
``(ii) demonstrate collaboration with
nongovernmental and community-based
organizations, agricultural producers, and
other community partners with respect to the
activities described in paragraph (4);
``(iii) incorporate experiential and
culturally appropriate plant-based food,
nutrition, or agricultural education activities
related to 100 percent plant-based food options
in the classroom;
``(iv) incorporate organically produced 100
percent plant-based food options; and
``(v) meets any other criteria that the
Secretary determines appropriate.
``(4) Use of funds.--A grant awarded under this subsection
may be used for any of the following activities:
``(A) To contract with qualified third parties for
professional development training for food service
personnel on serving (including preparing, procuring,
marketing, and creating menus) 100 percent plant-based
food options.
``(B) To provide compensation, for each employee
who participates in the professional development
training described in subparagraph (A), at the regular
rate of pay of such employee.
``(C) To provide technical assistance and student
engagement and education on 100 percent plant-based
food options, including providing taste tests, recipe
development, and culinary education.
``(D) To provide compensation for additional work
relating to serving meals that include a 100 percent
plant-based food option.
``(E) To conduct outreach to, and cover costs of
procurement of foods from, agricultural producers of
100 percent plant-based food options, including--
``(i) underserved producers;
``(ii) limited resource farmers or
ranchers, as defined by the Secretary;
``(iii) producers on a certified organic
farm; and
``(iv) local farmers.
``(5) Reports.--
``(A) Recordkeeping required.--Each eligible school
food authority awarded a grant under this subsection
shall keep records of the 100 percent plant-based food
options served pursuant to this subsection as the
Secretary determines appropriate.
``(B) Report required by school food authorities.--
Not later than 1 year after receiving a grant under
this subsection, and annually for the duration of the
grant term described in paragraph (2)(A), a school food
authority shall submit to the Secretary a report on the
pilot grant program, including information on--
``(i) the number of 100 percent plant-based
food options that the school food authority
served during the grant period compared with
the preceding school year;
``(ii) the number of schools served by the
school food authority pursuant to the grant;
``(iii) the number of students served by
the school food authority pursuant to the
grant; and
``(iv) how the school food authority used
the grant funds.
``(C) Report by secretary.--With respect to each
school year during which the Secretary receives the
report required under subparagraph (B), the Secretary
shall, not later than 1 year after the date that is the
last day of such school year, submit to Congress a
report that includes--
``(i) a summary of the reports received
during such school year; and
``(ii) such information with respect to the
pilot program as the Secretary determines to be
relevant.
``(6) Technical assistance.--The Secretary shall provide
technical assistance and information to assist school food
authorities--
``(A) to facilitate the coordination and sharing of
information and resources that may be applicable to the
activities described in paragraph (4); and
``(B) to collect and share information on best
practices.
``(7) Authorization of appropriations.--There is authorized
to be appropriated to carry out this subsection $10,000,000 for
fiscal year 2024, to remain available through fiscal year 2028.
``(8) Definitions.--In this subsection:
``(A) 100 percent plant-based food option.--The
term `100 percent plant-based food option' means a
breakfast or lunch meal option or component that--
``(i) includes a meat alternate as
described in--
``(I) section 210.10 of title 7,
Code of Federal Regulations (or
successor regulations); or
``(II) appendix A to part 210 of 7,
Code of Federal Regulations (or
successor regulations); and
``(ii) does not contain any animal products
or byproducts, such as meat, poultry, honey,
fish, dairy, or eggs.
``(B) Beginning farmer or rancher.--The term
`beginning farmer or rancher' has the meaning given
such term in section 343(a) of the Consolidated Farm
and Rural Development Act (7 U.S.C. 1991(a)).
``(C) Eligible school food authority.--The term
`eligible school food authority' means a school food
authority for which 50 percent or more of the students
served by such school food authority are eligible for
free or reduced price lunch under this Act or free or
reduced price breakfast under section 4 of the Child
Nutrition Act of 1966 (42 U.S.C. 1773).
``(D) Food, agriculture, conservation, and trade
act terms.--The terms `certified organic farm',
`organically produced', and `producer' have the
meanings given such terms in section 2103 of the Food,
Agriculture, Conservation, and Trade Act of 1990 (7
U.S.C. 6502).
``(E) Underserved producer.--The term `underserved
producer' means an individual (including a member of an
Indian Tribe) that is--
``(i) a beginning farmer or rancher;
``(ii) a veteran farmer or rancher; or
``(iii) a socially disadvantaged farmer or
rancher.
``(F) Veteran farmer or rancher.--The term `veteran
farmer or rancher' has the meaning given such term in
section 2501(a) of the Food, Agriculture, Conservation,
and Trade Act of 1990 (7 U.S.C. 2279(a)).''.
SEC. 3. ACCOMMODATING DIETARY REQUIREMENTS.
Section 9(a) of the Richard B. Russell National School Lunch Act
(42 U.S.C. 1758(a)) is amended--
(1) in paragraph (1)--
(A) in subparagraph (A), by amending clause (i) to
read as follows:
``(i) shall not--
``(I) be construed to prohibit the
substitution of foods to accommodate
the medical needs of individual
students; or
``(II) be construed to prohibit the
nutritionally equivalent substitution
of foods to accommodate religiously
based or other special dietary needs of
individual students; and''; and
(B) in subparagraph (B), by striking ``lower-fat
versions of foods commonly used in the school lunch
program under this Act'' and inserting ``foods that
comply with the meal patterns prescribed by the
Secretary''; and
(2) in paragraph (2)--
(A) by amending subparagraph (A)(iii) to read as
follows:
``(iii) shall provide, as a reasonable
accommodation under the Americans with
Disabilities Act (42 U.S.C. 12101 et seq.) and
section 504 of the Rehabilitation Act of 1973
(29 U.S.C. 794), a substitute for fluid milk
for a student whose disability restricts their
diet.''; and
(B) by amending subparagraph (B) to read as
follows:
``(B) Other substitutions.--
``(i) Standards for required
substitution.--
``(I) With respect to a student for
whom fluid milk is not nutritionally
appropriate due to a medical or other
special dietary need other than a
disability described in subparagraph
(A)(iii) (as determined by the school
in consultation with the parent or
legal guardian of such student), a
school shall substitute, for the fluid
milk provided under subparagraph (A), a
nondairy beverage that meets the
nutritional needs of such student.
``(II) A school shall substitute,
for the fluid milk provided under
subparagraph (A), a nondairy beverage
that is nutritionally equivalent to
fluid milk and meets nutritional
standards established by the Secretary
if the parent or legal guardian of such
student submits a written request for
such substitution.
``(ii) Standards for discretionary
substitution.--A school may offer each student
a nondairy beverage as a substitute for fluid
milk that is nutritionally equivalent to fluid
milk and meets nutritional standards
established by the Secretary.
``(iii) Excess expenses.--Except as
provided under clause (iv), expenses incurred
by providing substitutions under clauses (i)
and (ii) that are in excess of expenses covered
by reimbursements under this Act shall be paid
by the school food authority.
``(iv) Pilot program.--
``(I) Program authorized.--Not
later than 90 days after the date of
the enactment of this subparagraph, the
Secretary shall establish and carry out
a pilot grant program to award grants
to eligible school food authorities to
carry out subclause (III).
``(II) Priority.--In awarding
grants under this clause, the Secretary
may give priority to--
``(aa) an eligible school
food authority that serves high
proportions of students with
high rates of lactose
intolerance; and
``(bb) an eligible school
food authority that
demonstrates, as part of the
application for a grant under
this clause, a need for
nondairy beverages for students
served by such school food
authority due to dietary
reasons.
``(III) Use of funds.--A school
food authority shall use grant funds
awarded under this clause to reimburse
the full cost of providing nondairy
beverages as substitutes for fluid milk
under clause (i)(I) incurred by such
school food authority.
``(IV) Reports.--
``(aa) Annual report by
school food authority.--Not
later than 1 year after
receiving a grant under this
clause, and on an annual basis
for the duration of the pilot
program thereafter, a school
food authority shall submit to
the Secretary a report on the
pilot grant program, including
information with respect to--
``(AA) the number
of schools served by
the school food
authority pursuant to
the grant; and
``(BB) the number
of students served by
the school food
authority pursuant to
the grant.
``(bb) Final report by
school food authority.--The
report that is the final report
submitted under item (aa) shall
include, in addition to the
information required under
subitems (AA) and (BB) of such
item--
``(AA) the number
of nondairy beverages
as substitutes for
fluid milk that the
school food authority
served during the grant
period; compared with
``(BB) the number
of nondairy beverages
as substitutes for
fluid milk that the
school food authority
served during the
school year immediately
preceding the start of
the grant period.
``(cc) Report by the
secretary.--Not later than 6
months after the date described
in subclause (V), the Secretary
shall submit to Congress a
report that includes a summary
of the information included in
the reports received under this
subclause and any such
information with respect to the
pilot program the Secretary
determines to be relevant.
``(V) Sunset.--The authority to
carry out this clause shall terminate
on the date that is 3 years after the
date of the enactment of this
subparagraph.
``(VI) Eligible school food
authority defined.--In this clause, the
term `eligible school food authority'
means a school food authority for which
at least 50 percent of the students
served by such school food authority
are eligible for free or reduced price
lunch under this Act or free or reduced
price breakfast under section 4 of the
Child Nutrition Act of 1966 (42 U.S.C.
1773).
``(VII) Authorization of
appropriations.--There is authorized to
be appropriated to carry out this
clause $2,000,000 for fiscal year 2024,
to remain available until the date
described in subclause (V).''.
<all>
</pre></body></html>
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118HR3277 | Energy Emergency Leadership Act | [
[
"W000798",
"Rep. Walberg, Tim [R-MI-5]",
"sponsor"
],
[
"B001303",
"Rep. Blunt Rochester, Lisa [D-DE-At Large]",
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... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3277 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3277
To amend the Department of Energy Organization Act with respect to
functions assigned to Assistant Secretaries, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Walberg (for himself and Ms. Blunt Rochester) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To amend the Department of Energy Organization Act with respect to
functions assigned to Assistant Secretaries, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Energy Emergency Leadership Act''.
SEC. 2. FUNCTIONS ASSIGNED TO ASSISTANT SECRETARIES.
(a) In General.--Subsection (a) of section 203 of the Department of
Energy Organization Act (42 U.S.C. 7133(a)) is amended by adding at the
end the following new paragraph:
``(12) Energy emergency and energy security functions,
including--
``(A) responsibilities with respect to
infrastructure, cybersecurity, emerging threats,
supply, and emergency planning, coordination, response,
and restoration; and
``(B) upon request of a State, local, or tribal
government or energy sector entity, and in consultation
with other Federal agencies as appropriate, provision
of technical assistance, support, and response
capabilities with respect to energy security threats,
risks, and incidents.''.
(b) Coordination.--The Secretary of Energy shall ensure that the
functions of the Secretary described in section 203(a)(12) of the
Department of Energy Organization Act (as added by this Act) are
performed in coordination with relevant Federal agencies.
<all>
</pre></body></html>
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118HR3278 | WARRIOR Act | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3278 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3278
To limit the use of military personnel for certain purposes, to direct
the Secretary of Defense to appoint a Director of COVID Policy of the
Department of Defense, and to limit environmental projects of such
Department.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Waltz introduced the following bill; which was referred to the
Committee on Armed Services, and in addition to the Committee on
Oversight and Accountability, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To limit the use of military personnel for certain purposes, to direct
the Secretary of Defense to appoint a Director of COVID Policy of the
Department of Defense, and to limit environmental projects of such
Department.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Working to Address Recruiting and
Retention to Improve Our Readiness Act'' or the ``WARRIOR Act''.
SEC. 2. SENSE OF CONGRESS.
It is the sense of Congress that--
(1) throughout history, men and women of all colors,
creeds, races, and religions have helped build, defend, and
define our great Nation;
(2) the rich diversity we see in American society today has
been greatly influenced by the Constitution and the merit-based
structure of our Armed Forces;
(3) recent, perhaps well-intentioned, diversity, equity,
and inclusion programs within the Department have caused
greater division within the Armed Forces;
(4) some of these programs are diverting focus and
resources away from force readiness against our potential
adversaries;
(5) the Armed Forces should provide equal opportunity for
all members;
(6) advancement and selection in the Armed Forces should be
based solely on merit;
(7) photos of members should not considered by promotion
and selection boards; and
(8) the needs of the Armed Forces should always take
precedence over meeting artificially derived quotas for
diversity.
SEC. 3. LIMITATIONS ON USE OF MILITARY PERSONNEL FOR CERTAIN PURPOSES.
(a) Prohibitions on Uses of Federal Funds.--No Federal funds may be
used to--
(1) take into consideration the race, ethnicity, color,
national origin, or gender of an individual when making a
determination regarding a military accession, assignment,
selection, or promotion;
(2) promote critical race theory at a Service Academy, in
military training, or in professional military education; or
(3) investigate extremism in the Armed Forces or Department
of Defense.
(b) Gender-Neutral Physical Standards.--Not later than 180 days
after the date of the enactment of this Act, the Secretaries of the
military departments shall establish gender-neutral physical readiness
standards that ensure members can perform the duties of their
respective military occupational specialties.
(c) DEI Hiring Freeze.--Effective on the date of the enactment of
this Act, the Secretary of Defense shall freeze the number of civilian
employees of the Department of Defense who perform tasks related to
DEI. Thereafter, the Secretary may hire only one such employee for
every 2,000 members who join the Armed Forces.
(d) DEI Report.--Not later than December 1, 2023, the Secretary of
Defense shall submit to the Committees on Armed Services of the Senate
and House of Representatives a report on programs of the Department of
Defense related to DEI. Such report shall include the following:
(1) The number of such programs.
(2) The number of personnel assigned to carry out such
programs.
(3) The number of personnel hours spent on each such
program.
(4) The total costs to the Federal Government for such
programs.
(e) Instructors at Service Academies.--The Superintendent of a
Service Academy may not employ as an instructor at such Service Academy
an individual who is not a member of the Armed Forces or a civilian
employee of the Department of Defense unless the Superintendent
determines no such member or employee may be adequately trained for
such purpose.
(f) Definitions.--In this section:
(1) The term ``critical race theory'' means the theory that
individuals, by virtue of race, ethnicity, color, or national
origin, bear collective guilt and are inherently responsible
for actions committed in the past by other individuals of such
race, ethnicity, color, or national origin.
(2) The term ``DEI'' means diversity, equity, and
inclusion.
(3) The term ``Service Academy'' has the meaning given such
term in section 347 of title 10, United States Code.
SEC. 4. APPOINTMENT OF DIRECTOR OF COVID POLICY OF THE DEPARTMENT OF
DEFENSE.
The Secretary of Defense shall appoint a Director of COVID Policy
to determine and take any action the Director determines appropriate
regarding a member of the Armed Forces involuntarily separated solely
on the basis of refusing to receive a vaccination against COVID-19.
Such actions may include reinstatement and payment of back pay.
SEC. 5. LIMITATION ON ENVIRONMENTAL PROJECTS OF THE DEPARTMENT OF
DEFENSE.
No Federal funds may be used for any environmental project of the
Department of Defense unless the Secretary of Defense submits to the
Committees on Armed Services of the Senate and House of Representatives
a report in which the Secretary that contains--
(1) a cost-benefit analysis of such project; and
(2) the certification of the Secretary that such project--
(A) improves readiness; and
(B) is the least costly option.
<all>
</pre></body></html>
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118HR3279 | WIRELESS Leadership Act | [
[
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3279 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3279
To amend the Communications Act of 1934 to streamline siting processes
for personal wireless service facilities, including small personal
wireless service facilities, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Latta introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Communications Act of 1934 to streamline siting processes
for personal wireless service facilities, including small personal
wireless service facilities, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Winning the International Race for
Economic Leadership and Expanding Service to Support Leadership Act''
or the ``WIRELESS Leadership Act''.
SEC. 2. PRESERVATION OF LOCAL ZONING AUTHORITY.
Section 332(c) of the Communications Act of 1934 (47 U.S.C. 332(c))
is amended by striking paragraph (7) and inserting the following:
``(7) Preservation of local zoning authority.--
``(A) General authority.--Except as provided in
this paragraph, nothing in this Act shall limit or
affect the authority of a State or local government or
instrumentality thereof over decisions regarding the
placement, construction, or modification of personal
wireless service facilities.
``(B) Limitations.--
``(i) In general.--The regulation of the
placement, construction, or modification of a
personal wireless service facility by any State
or local government or instrumentality
thereof--
``(I) shall not discriminate among
personal wireless service facilities or
providers of communications service,
including by providing exclusive or
preferential use of facilities to a
particular provider or class of
providers of personal wireless service;
and
``(II) shall not prohibit or have
the effect of prohibiting the
provision, improvement, or enhancement
of personal wireless service.
``(ii) Engineering standards; aesthetic
requirements.--It is not a violation of clause
(i) for a State or local government or
instrumentality thereof to establish for
personal wireless service facilities, or
structures that support such facilities,
objective, reasonable, and nondiscriminatory--
``(I) structural engineering
standards based on generally applicable
codes;
``(II) safety requirements; or
``(III) aesthetic or concealment
requirements (unless such requirements
prohibit or have the effect of
prohibiting the installation or
modification of such facilities or
structures).
``(iii) Timeframes.--
``(I) In general.--Except in the
case of an eligible facilities request
to which section 6409(a) of the Middle
Class Tax Relief and Job Creation Act
of 2012 (47 U.S.C. 1455(a)) applies, a
State or local government or
instrumentality thereof shall grant or
deny a complete request for
authorization to place, construct, or
modify a personal wireless service
facility not later than--
``(aa) in the case of a
request for authorization to
place, construct, or modify a
personal wireless service
facility that is not a small
personal wireless service
facility--
``(AA) if the
request is for
authorization to place,
construct, or modify
such facility using an
existing structure,
including with respect
to an area that has not
previously been zoned
for personal wireless
service facilities
(other than small
personal wireless
service facilities), 90
days after the date on
which the complete
request is received by
the government or
instrumentality; or
``(BB) if the
request is for any
other action relating
to such facility, 150
days after the date on
which the complete
request is received by
the government or
instrumentality; and
``(bb) in the case of a
request for authorization to
place, construct, or modify a
small personal wireless service
facility--
``(AA) if the
request is for
authorization to place,
construct, or modify
such facility using an
existing structure, 60
days after the date on
which the complete
request is received by
the government or
instrumentality; or
``(BB) if the
request is for any
other action relating
to such facility, 90
days after the date on
which the complete
request is received by
the government or
instrumentality.
``(II) Treatment of batched
requests.--In the case of complete
requests described in subclause (I)
that are submitted as part of a single
batch and received by the government or
instrumentality on the same day, the
applicable timeframe under such
subclause for each request in the batch
shall be the longest timeframe under
such subclause that would be applicable
to any request in the batch if such
requests were submitted separately.
``(III) Applicability.--The
applicable timeframe under subclause
(I) shall apply collectively to all
proceedings required by a State or
local government or instrumentality
thereof for the approval of the
request.
``(IV) No tolling.--A timeframe
under subclause (I) may not be tolled
by any moratorium, whether express or
de facto, imposed by a State or local
government or instrumentality thereof
on the submission, acceptance, or
consideration of any request for
authorization to place, construct, or
modify a personal wireless service
facility.
``(iv) Deemed granted.--
``(I) In general.--If a State or
local government or instrumentality
thereof fails to take final action to
grant or deny a complete request within
the applicable timeframe under
subclause (I) of clause (iii), the
request shall be deemed granted on the
date on which the government or
instrumentality receives a written
notice of the failure from the
requesting party.
``(II) Rule of construction.--In
the case of a request that is deemed
granted under subclause (I), the
placement, construction, or
modification requested in the request
shall be considered to be authorized,
without any further action by the
government or instrumentality,
beginning on the date on which the
request is deemed granted under such
subclause.
``(v) Written decision and record.--Any
decision by a State or local government or
instrumentality thereof to deny a request for
authorization to place, construct, or modify a
personal wireless service facility shall be--
``(I) in writing;
``(II) supported by substantial
evidence contained in a written record;
and
``(III) publicly released, and
provided to the requesting party, on
the same day such decision is made.
``(vi) Environmental effects of radio
frequency emissions.--No State or local
government or instrumentality thereof may
regulate the operation, placement,
construction, or modification of personal
wireless service facilities on the basis of the
environmental effects of radio frequency
emissions to the extent that such facilities or
structures comply with the Commission's
regulations concerning such emissions.
``(vii) Fees.--To the extent permitted by
law, a State or local government or
instrumentality thereof may charge a fee to
consider a request for authorization to place,
construct, or modify a personal wireless
service facility or a fee for use of a right-
of-way or a facility in a right-of-way owned or
managed by the government or instrumentality
for the placement, construction, or
modification of a personal wireless service
facility, if the fee is--
``(I) competitively neutral,
technology neutral, and
nondiscriminatory;
``(II) established in advance and
publicly disclosed;
``(III) calculated--
``(aa) based on actual and
direct costs for--
``(AA) review and
processing of requests;
and
``(BB) repairs and
replacement of
components and
materials resulting
from and affected by
the placement,
construction, or
modification (including
the installation or
improvement) of
personal wireless
service facilities or
repairs and replacement
of equipment that
facilitates the
placement,
construction, or
modification (including
the installation or
improvement) of such
facilities; and
``(bb) using, for purposes
of item (aa), only costs that
are objectively reasonable; and
``(IV) described to a requesting
party in a manner that distinguishes
between--
``(aa) nonrecurring fees
and recurring fees; and
``(bb) the use of
facilities on which personal
wireless service facilities are
already located and facilities
on which there are no personal
wireless service facilities as
of the date on which the
complete request is received by
the government or
instrumentality.
``(C) Judicial or administrative review.--
``(i) Judicial review.--Any person
adversely affected by any final action or
failure to act by a State or local government
or any instrumentality thereof that is
inconsistent with this paragraph may, within 30
days after the action or failure to act,
commence an action in any court of competent
jurisdiction, which shall hear and decide the
action on an expedited basis.
``(ii) Administrative review.--
``(I) In general.--Any person
adversely affected by any final action
or failure to act by a State or local
government or any instrumentality
thereof that is inconsistent with this
paragraph may petition the Commission
to review such action or failure to
act.
``(II) Timing.--Not later than 120
days after receiving a petition under
subclause (I), the Commission shall
grant or deny such petition.
``(D) When request considered complete; received.--
``(i) When request considered complete.--
``(I) In general.--For the purposes
of this paragraph, a request to a State
or local government or instrumentality
thereof shall be considered complete if
the requesting party--
``(aa) has taken the first
procedural step within the
control of the requesting
party--
``(AA) to submit
such request in
accordance with the
procedures established
by the government or
instrumentality for the
review and approval of
such request; or
``(BB) in the case
of a government or
instrumentality that
has not established
specific procedures for
the review and approval
of such request, to
submit to the
government or
instrumentality the
type of filing that is
typically required to
initiate a standard
review for a similar
facility or structure;
and
``(bb) has not received a
written notice from the
government or instrumentality
within 10 days after the date
on which the request is
received by the government or
instrumentality, if the request
is with respect to a small
personal wireless service
facility, or 30 days after such
date, if the request is with
respect to any other personal
wireless service facility--
``(AA) stating that
all the information
(including any form or
other document)
required by the
government or
instrumentality to be
submitted for the
request to be
considered complete has
not been submitted;
``(BB) identifying
the information
required to be
submitted that was not
submitted; and
``(CC) citing a
specific provision of a
publicly available
rule, regulation, or
standard of the
government or
instrumentality that
requires the
information identified
under subitem (BB) to
be submitted.
``(II) Definition.--In this clause,
the term `the date on which the request
is received by the government or
instrumentality' means--
``(aa) in the case of a
request submitted
electronically, the date on
which the request is
transmitted;
``(bb) in the case of a
request submitted in person,
the date on which the request
is delivered to the individual
or at the location specified by
the government or
instrumentality for in-person
submission; and
``(cc) in the case of a
request submitted in any other
manner, the date determined
under regulations promulgated
by the Commission for the
manner in which the request is
submitted.
``(ii) When complete request considered
received.--For the purposes of this paragraph,
a complete request shall be considered
received--
``(I) except as provided in
subclause (II), on the date on which
the requesting party submits to the
government or instrumentality all
information (including any form or
other document) required by the
government or instrumentality to be
submitted for the request to be
considered complete; or
``(II) in the case of a request
with respect to which all such
information is not submitted and that
is considered complete under clause
(i)(I) because the requesting party has
not received a written notice from the
government or instrumentality within
the period described in such clause, on
the day after the last day of such
period.
``(E) Rule of construction.--Nothing in this
paragraph may be construed to affect section 6409(a) of
the Middle Class Tax Relief and Job Creation Act of
2012 (47 U.S.C. 1455(a)).
``(F) Definitions.--In this paragraph:
``(i) Antenna.--The term `antenna' means an
apparatus designed for the purpose of emitting
radiofrequency radiation, to be operated or
operating from a fixed location for the
transmission of writing, signs, signals, data,
images, pictures, and sounds of all kinds.
``(ii) Communications network.--The term
`communications network' means a network used
to provide a communications service.
``(iii) Communications service.--The term
`communications service' means each of--
``(I) cable service, as defined in
section 602;
``(II) information service;
``(III) telecommunications service;
and
``(IV) personal wireless service.
``(iv) Generally applicable code.--The term
`generally applicable code' means a uniform
building, fire, electrical, plumbing, or
mechanical code adopted by a national code
organization, or a local amendment to such a
code, to the extent not inconsistent with this
Act.
``(v) Network interface device.--The term
`network interface device' means a
telecommunications demarcation device and
cross-connect point that--
``(I) is adjacent or proximate to--
``(aa) a small personal
wireless service facility; or
``(bb) a structure
supporting a small personal
wireless service facility; and
``(II) demarcates the boundary with
any wireline backhaul facility.
``(vi) Personal wireless service.--The term
`personal wireless service' means any fixed or
mobile service (other than a broadcasting
service) provided via licensed or unlicensed
frequencies, including--
``(I) commercial mobile service;
``(II) commercial mobile data
service (as defined in section 6001 of
the Middle Class Tax Relief and Job
Creation Act of 2012 (47 U.S.C. 1401));
``(III) unlicensed wireless
service; and
``(IV) common carrier wireless
exchange access service.
``(vii) Personal wireless service
facility.--The term `personal wireless service
facility' means a facility used to provide or
support the provision of personal wireless
service.
``(viii) Small personal wireless service
facility.--The term `small personal wireless
service facility' means a personal wireless
service facility in which each antenna is not
more than 3 cubic feet in volume (excluding a
wireline backhaul facility connected to such
personal wireless service facility).
``(ix) Unlicensed wireless service.--The
term `unlicensed wireless service'--
``(I) means the offering of
telecommunications service using a duly
authorized device that does not require
an individual license; and
``(II) does not include the
provision of direct-to-home satellite
services, as defined in section 303(v).
``(x) Wireline backhaul facility.--The term
`wireline backhaul facility' means an above-
ground or underground wireline facility used to
transport communications service or other
electronic communications from a small personal
wireless service facility or the adjacent
network interface device of such facility to a
communications network.''.
<all>
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118HR328 | To designate the facility of the United States Postal Service located at 130 North Main Street in Blue Earth, Minnesota, as the "Jim Hagedorn Memorial Post Office". | [
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"P000... | Designates the facility of the United States Postal Service located at 130 North Main Street in Blue Earth, Minnesota, as the "Jim Hagedorn Memorial Post Office." | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 328 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 328
To designate the facility of the United States Postal Service located
at 130 North Main Street in Blue Earth, Minnesota, as the ``Jim
Hagedorn Memorial Post Office''.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Mr. Finstad (for himself, Mrs. Fischbach, Ms. Craig, Ms. McCollum, Mr.
Phillips, Mr. Emmer, and Mr. Stauber) introduced the following bill;
which was referred to the Committee on Oversight and Accountability
_______________________________________________________________________
A BILL
To designate the facility of the United States Postal Service located
at 130 North Main Street in Blue Earth, Minnesota, as the ``Jim
Hagedorn Memorial Post Office''.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. JIM HAGEDORN MEMORIAL POST OFFICE.
(a) Designation.--The facility of the United States Postal Service
located at 130 North Main Street in Blue Earth, Minnesota, shall be
known and designated as the ``Jim Hagedorn Memorial Post Office''.
(b) References.--Any reference in a law, map, regulation, document,
paper, or other record of the United States to the facility referred to
in subsection (a) shall be deemed to be a reference to the ``Jim
Hagedorn Memorial Post Office''.
<all>
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118HR3280 | TRUSTED Broadband Networks Act | [
[
"G000558",
"Rep. Guthrie, Brett [R-KY-2]",
"sponsor"
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3280 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3280
To provide that a project to remove and replace communications
equipment or services listed under the Secure and Trusted
Communications Networks Act of 2019 is not subject to requirements to
prepare certain environmental or historical preservation reviews.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Guthrie introduced the following bill; which was referred to the
Committee on Energy and Commerce, and in addition to the Committee on
Natural Resources, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide that a project to remove and replace communications
equipment or services listed under the Secure and Trusted
Communications Networks Act of 2019 is not subject to requirements to
prepare certain environmental or historical preservation reviews.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Timely Replacement Under Secure and
Trusted for Early and Dependable Broadband Networks Act'' or the
``TRUSTED Broadband Networks Act''.
SEC. 2. APPLICATION OF NEPA AND NHPA TO COVERED COMMUNICATIONS
EQUIPMENT OR SERVICES.
(a) NEPA Exemption.--A Federal authorization with respect to a
covered project may not be considered a major Federal action under
section 102(2)(C) of the National Environmental Policy Act of 1969 (42
U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A covered
project may not be considered an undertaking under section 300320 of
title 54, United States Code.
(c) Definitions.--In this section:
(1) Covered project.--The term ``covered project'' means a
project to permanently remove covered communications equipment
or services (as defined in section 9 of the Secure and Trusted
Communications Networks Act of 2019 (47 U.S.C. 1608)) and to
replace such covered communications equipment or services with
communications equipment or services (as defined in such
section) that are not covered communications equipment or
services (as so defined).
(2) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a covered project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a covered project.
<all>
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118HR3281 | To promote hospital and insurer price transparency. | [
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118HR3282 | Promoting Transparency and Healthy Competition in Medicare Act | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3282 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3282
To amend title XVIII of the Social Security Act to promote transparency
of common ownership interests under parts C and D of the Medicare
program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mrs. Harshbarger (for herself, Ms. Schrier, Mr. Bilirakis, and Ms.
Schakowsky) introduced the following bill; which was referred to the
Committee on Ways and Means, and in addition to the Committee on Energy
and Commerce, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to promote transparency
of common ownership interests under parts C and D of the Medicare
program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Promoting Transparency and Healthy
Competition in Medicare Act''.
SEC. 2. PROMOTING TRANSPARENCY OF COMMON OWNERSHIP INTERESTS UNDER
PARTS C AND D OF THE MEDICARE PROGRAM.
(a) Medicare Advantage.--Section 1857(e) of the Social Security Act
(42 U.S.C. 1395w-27(e)) is amended by adding at the end the following
new paragraph:
``(6) Required disclosure of certain information relating
to health care provider ownership.--
``(A) In general.--For plan years beginning on or
after January 1, 2025, a contract under this section
with an MA organization shall require the organization
to report to the Secretary, not later than 1 year after
the last day of such plan year, the information
described in subparagraph (B) with respect to such plan
year.
``(B) Information described.--For purposes of
subparagraph (A), the information described in this
subparagraph is, with respect to an MA organization and
a plan year, the following:
``(i) The number of items and services
furnished during such plan year by each
specified provider (as defined in subparagraph
(C)) for which payment was made by such
organization.
``(ii) The number of items and services
furnished during such plan year by providers of
services or suppliers not described in clause
(i) for which payment was made by such
organization.
``(iii) The average per-enrollee number of
qualifying diagnoses (as defined in
subparagraph (C)) made during such plan year by
specified providers (including through chart
reviews and health risk assessments) with
respect to individuals enrolled under an MA
plan offered by such organization, broken down
by site of service of such providers, as
specified by the Secretary.
``(iv) The average per-enrollee number of
qualifying diagnoses made during such plan year
by providers of services and suppliers not
described in clause (iii) (including through
such reviews and assessments) with respect to
such individuals, broken down by site of
service of such providers.
``(v) The average risk score (as calculated
under the methodology described in subparagraph
(C)(i)) for such an individual for such plan
year who received items and services from a
specified provider during such plan year.
``(vi) The average risk score for such an
individual for such plan year who did not
receive items and services from a specified
provider during such plan year.
``(vii) The average risk score for such an
individual for such plan year who received a
health risk assessment from an assessment
entity that was a specified assessment entity
during such plan year.
``(viii) The average risk score for such an
individual for such plan year who received a
health risk assessment from an assessment
entity that was not a specified assessment
entity during such plan year.
``(ix) The number of prior authorization
requests for an item or service submitted to
such organization during such plan year, the
number of such requests that were approved, the
number of such requests that were denied, and
the number of such denied requests that were
subsequently appealed and then approved, broken
down by whether the entity proposing to furnish
such item or service was a specified provider
or not a specified provider.
``(x) The total amount of incentive-based
payments made to, and the total amount of
shared losses recoupments collected from,
specified providers during such plan year.
``(xi) The total amount of incentive-based
payments made to, and the total amount of
shared losses recoupments collected from,
providers of services and suppliers not
described in clause (x) during such plan year.
``(xii) For each MA plan offered by such
organization during such plan year--
``(I) the total amount of payments
made under section 1853(a)(1) to such
organization for coverage of
individuals under such plan, and the
total amount of payments made by such
individuals to such organization for
coverage under such plan;
``(II) the total amount expended
under such plan as payment for items
and services furnished by each
specified provider during such year;
``(III) the total amount expended
under such plan as payment for items
and services furnished by providers of
services or suppliers not described in
subclause (II) during such year;
``(IV) the medical loss ratio under
such plan with respect to individuals
furnished an item or service from a
specified provider during such year;
and
``(V) the medical loss ratio under
such plan with respect to individuals
not described in subclause (IV).
``(C) Definitions.--In this paragraph:
``(i) Assessment entity.--The term
`assessment entity' means an entity with a
focus on furnishing in-home medical
assessments, as specified by the Secretary.
``(ii) Qualifying diagnosis.--The term
`qualifying diagnosis' means, with respect to
an individual, a diagnosis that is taken into
account in calculating a risk score for such
individual under the risk adjustment
methodology established by the Secretary
pursuant to section 1853(a)(3).
``(iii) Specified assessment entity.--The
term `specified assessment entity' means, with
respect to an MA organization and a plan year,
an assessment entity with respect to which such
organization (or any person with an ownership
or control interest (as defined in section
1124(a)(3)) in such organization) is a person
with an ownership or control interest (as so
defined).
``(iv) Specified provider.--The term
`specified provider' means, with respect to an
MA organization and a plan year, a provider of
services or supplier with respect to which such
organization (or any person with an ownership
or control interest (as defined in section
1124(a)(3)) in such organization) is a person
with an ownership or control interest (as so
defined).
``(D) Nonapplication of paperwork reduction act.--
Chapter 35 of title 44, United States Code, shall not
apply to information collected under this paragraph.''.
(b) Pharmacy Benefit Manager and Pharmacy Information.--Section
1860D-12(b) of the Social Security Act (42 U.S.C. 1395w-112(b)) is
amended by adding at the end the following new paragraphs:
``(9) Provision of information relating to pharmacy
ownership.--
``(A) In general.--For plan years beginning on or
after January 1, 2025, a contract entered into under
this part with a PDP sponsor shall require the sponsor
to report to the Secretary, not later than 1 year after
the last day of such plan year, the information
described in subparagraph (B) with respect to such plan
year.
``(B) Information described.--For purposes of
subparagraph (A), the information described in this
subparagraph is, for each prescription drug plan
offered by a PDP sponsor for a plan year, the
following:
``(i) The negotiated price for each covered
part D drug for which benefits are available
under such plan for each network pharmacy
(including an identification of whether each
such pharmacy is a specified pharmacy).
``(ii) The average per-drug amount of
direct and indirect remuneration paid by
specified pharmacies for such covered part D
drugs dispensed during such plan year under
such plan.
``(iii) The average per-drug amount of
direct and indirect remuneration paid by
pharmacies not described in clause (ii) for
such covered part D drugs dispensed during such
plan year under such plan.
``(C) Definitions.--In this paragraph:
``(i) Direct and indirect remuneration.--
The term `direct and indirect remuneration' has
the meaning given such term in section 423.308
of title 42, Code of Federal Regulations (or
any successor regulation).
``(ii) Network pharmacy.--The term `network
pharmacy' has the meaning given such term in
section 423.100 of title 42, Code of Federal
Regulations (or any successor regulation).
``(iii) Negotiated price.--The `negotiated
price' for a covered part D drug shall take
into account all negotiated price concessions,
such as discounts, direct or indirect
subsidies, rebates, and direct or indirect
remunerations, for such drug, and include any
dispensing fee for such drug.
``(iv) Specified pharmacy.--The term
`specified pharmacy' means, with respect to an
PDP sponsor and a plan year, a pharmacy with
respect to which such sponsor (or any person
with an ownership or control interest (as
defined in section 1124(a)(3)) in such sponsor)
is a person with an ownership or control
interest (as so defined).
``(D) Nonapplication of paperwork reduction act.--
Chapter 35 of title 44, United States Code, shall not
apply to information collected under this paragraph.
``(10) Provision of information by pharmacy benefit
managers.--
``(A) In general.--For plan years beginning on or
after January 1, 2025, a contract entered into under
this part with a PDP sponsor shall prohibit such
sponsor from entering into a contract with a specified
pharmacy benefit manager for purposes of performing any
service with respect to covered part D drugs dispensed
under any prescription drug plan offered by such
sponsor for such plan year unless such manager agrees
to report to the Secretary, not later than 1 year after
the last day of such plan year, the information
described in subparagraph (B) with respect to each
prescription drug plan for which such manager is
providing any such service during such plan year,
regardless of the sponsor of such plan.
``(B) Information described.--For purposes of
subparagraph (A), the information described in this
subparagraph is, with respect to a pharmacy benefit
manager performing services under a prescription drug
plan for a plan year, the following:
``(i) With respect to the total amount of
pharmacy and manufacturer rebates collected by
such manager (or collected on behalf of such
plan by any other entity with a contract in
effect with such manager for such collection)
for all covered part D drugs dispensed under
such plan during such plan year--
``(I) the total amount of such
rebates passed through to the PDP
sponsor of such plan; and
``(II) the total amount of such
rebates retained by such manager or
such other entities.
``(ii) The total amount paid by such
manager to pharmacies for drugs furnished under
such plan during such plan year.
``(iii) The total amount of payments made
by such sponsor to such manager as
reimbursement for such manager's payments
described in clause (ii).
``(iv) The total amount of payments made by
such sponsor to such manager as fees for
services furnished by such manager with respect
to such plan for such plan year (not including
payments described in clause (iii)).
``(v) The total amount of administrative
costs incurred by such manager for furnishing
such services under such plan for such plan
year.
``(vi) A specification as to whether such
manager is a specified pharmacy benefit manager
with respect to the PDP sponsor of such plan.
``(C) Definition.--In this paragraph, the term
`specified pharmacy benefit manager' means, with
respect to an PDP sponsor and a plan year, a pharmacy
benefit manager with respect to which such sponsor (or
any person with an ownership or control interest (as
defined in section 1124(a)(3)) in such sponsor) is a
person with an ownership or control interest (as so
defined).''.
(c) Publication.--Not later than January 1, 2027, the Secretary of
Health and Human Services shall establish a process under which
information submitted to the Secretary pursuant to the amendments made
by this section is publicly disclosed. Such process shall ensure that
any information so disclosed does not identify a specific drug
manufacturer, provider of services or supplier, pharmacy, pharmacy
benefit manager, or any price charged with respect to a particular
drug.
<all>
</pre></body></html>
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118HR3283 | Facilitating DIGITAL Applications Act | [
[
"M001215",
"Rep. Miller-Meeks, Mariannette [R-IA-1]",
"sponsor"
],
[
"D000624",
"Rep. Dingell, Debbie [D-MI-6]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3283 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3283
To require the Assistant Secretary of Commerce for Communications and
Information to report to Congress on any barriers to establishing
online portals to accept, process, and dispose of certain Form 299s,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mrs. Miller-Meeks (for herself and Mrs. Dingell) introduced the
following bill; which was referred to the Committee on Natural
Resources, and in addition to the Committees on Agriculture, and Energy
and Commerce, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To require the Assistant Secretary of Commerce for Communications and
Information to report to Congress on any barriers to establishing
online portals to accept, process, and dispose of certain Form 299s,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Facilitating the Deployment of
Infrastructure with Greater Internet Transactions And Legacy
Applications Act'' or the ``Facilitating DIGITAL Applications Act''.
SEC. 2. REPORT ON BARRIERS TO ESTABLISHING ONLINE PORTALS TO ACCEPT,
PROCESS, AND DISPOSE OF CERTAIN FORM 299S.
(a) Report.--
(1) In general.--Not later than 90 days after the date of
the enactment of this section, and every 60 days thereafter
until the Secretaries concerned each notify the Assistant
Secretary under paragraph (2), the Assistant Secretary shall
submit to the appropriate congressional committees a report
that describes--
(A) whether the Secretaries concerned have
established, with respect to the relevant covered
department, an online portal for the acceptance,
processing, and disposal of a Form 299 for
communications use authorization; and
(B) any barrier to the establishment of any such
portal.
(2) Notification.--Not later than 3 business days after the
date on which the online portal has been established by a
Secretary pursuant to paragraph (1), that Secretary shall
notify the Assistant Secretary of the establishment of such
portal.
(b) Definitions.--In this Act:
(1) Appropriate congressional committees.--The term
``appropriate congressional committees'' means--
(A) the Committee on Energy and Commerce of the
House of Representatives;
(B) the Committee on Natural Resources of the House
of Representatives;
(C) the Committee on Commerce, Science, and
Transportation of the Senate; and
(D) the Committee on Environment and Public Works
of the Senate.
(2) Assistant secretary.--The term ``Assistant Secretary''
means the Assistant Secretary of Commerce for Communications
and Information.
(3) Communications facility.--The term ``communications
facility'' has the meaning given the term ``communications
facility installation'' in section 6409(d) of the Middle Class
Tax Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)).
(4) Communications use.--The term ``communications use''
means the placement and operation of a communications facility.
(5) Communications use authorization.--The term
``communications use authorization'' means an easement, right-
of-way, lease, license, or other authorization--
(A) provided by the Secretary of the Interior or
the Secretary of Agriculture;
(B) to locate or modify a communications facility
on covered land; and
(C) for the primary purpose of authorizing the
occupancy and use of such covered land for
communications use.
(6) Covered land.--The term ``covered land'' means--
(A) public lands; and
(B) National Forest System land.
(7) Form 299.--The term ``Form 299'' means the form
established under section 6409(b)(2)(A) of the Middle Class Tax
Relief and Job Creation Act of 2012 (47 U.S.C. 1455(b)(2)(A)),
or any successor form.
(8) National forest system.--The term ``National Forest
System'' has the meaning given that term in section 11(a) of
the Forest and Rangeland Renewable Resources Planning Act of
1974 (16 U.S.C. 1609(a)).
(9) Relevant covered department.--The term ``relevant
covered department'' means--
(A) with respect to the Secretary of the Interior,
the Department of the Interior; and
(B) with respect to the Secretary of Agriculture,
the Department of Agriculture.
(10) Secretary concerned.--The term ``Secretary concerned''
means--
(A) the Secretary of the Interior; and
(B) the Secretary of Agriculture, acting through
the Chief of the Forest Service.
<all>
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118HR3284 | Providers and Payers COMPETE Act | [
[
"B001248",
"Rep. Burgess, Michael C. [R-TX-26]",
"sponsor"
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[
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"Rep. Bilirakis, Gus M. [R-FL-12]",
"cosponsor"
]... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3284 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3284
To require the Secretary of Health and Human Services to submit an
annual report on the impact of certain Medicare regulations on provider
and payer consolidation.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Burgess (for himself, Mrs. Dingell, Mr. Ferguson, and Mr.
Bilirakis) introduced the following bill; which was referred to the
Committee on Energy and Commerce, and in addition to the Committee on
Ways and Means, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To require the Secretary of Health and Human Services to submit an
annual report on the impact of certain Medicare regulations on provider
and payer consolidation.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Providers and Payers COMPETE Act''.
SEC. 2. ANNUAL REPORT ON THE IMPACT OF CERTAIN MEDICARE REGULATIONS ON
PROVIDER AND PAYER CONSOLIDATION; PUBLIC COMMENT ON
PROVIDER AND PAYER CONSOLIDATION FOR CERTAIN PROPOSED
RULES.
(a) Annual Report.--Not later than December 30, 2026, and annually
thereafter, the Secretary of Health and Human Services (in this section
referred to as the ``Secretary'') shall submit to Congress a report on
the impact in the aggregate on provider and payer consolidation with
respect to regulations for parts B, C, and D of title XVIII of the
Social Security Act (42 U.S.C. 1395j et seq.) implemented in the
calendar year immediately prior to such report. Such report shall
include regulations that--
(1) implement a change to an applicable payment system, a
rate schedule, or another payment system under part B, C, or D
of such title; or
(2) result in a significant rule effecting provider or
payer consolidation.
(b) Public Comment on Impact to Provider and Payer Consolidation.--
Beginning for 2025, as part of any notice and comment rulemaking
process that will result in a significant rule effecting provider or
payer consolidation with respect to a proposed rule for parts B, C, and
D of title XVIII of the Social Security Act (42 U.S.C. 1395j et seq.),
the Secretary shall seek public comment on the projected impact of such
proposed rule on provider and payer consolidation in the aggregate.
(c) Definitions.--In this section:
(1) Provider and payer consolidation.--The term ``provider
and payer consolidation'' includes the vertical or horizontal
integration among providers of services (as defined in
subsection (u) of section 1861 of the Social Security Act (42
U.S.C. 1395x)), suppliers (as defined in subsection (d) of such
section), accountable care organizations under section 1899 of
the Social Security Act (42 U.S.C. 1395jjj), Medicare Advantage
organizations, PDP sponsors, pharmacy benefit managers,
pharmacies, and integrated delivery systems.
(2) Applicable payment system.--The term ``applicable
payment system'' includes--
(A) with respect to outpatient hospital services,
the prospective payment system for covered OPD services
established under section 1833(t) of such Act (42
U.S.C. 1395(l)); and
(B) with respect to physicians' services, the
physician fee schedules established under section 1848
of such Act (42 U.S.C. 1395w-4).
SEC. 3. CONSIDERATION OF EFFECTS ON PROVIDER AND PAYER CONSOLIDATION
WITH RESPECT TO CMI MODELS.
(a) In General.--Section 1115A(b)(4)(A) of the Social Security Act
(42 U.S.C. 1315a(b)(4)(A)) is amended--
(1) in clause (i), by striking at the end ``and'';
(2) in clause (ii), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following new clause:
``(iii) the extent to which, and how, the
model has effected and could effect provider
and payer consolidation, which includes the
vertical or horizontal integration among
providers of services (as defined in subsection
(u) of section 1861), suppliers (as defined in
subsection (d) of such section), and
accountable care organizations under section
1899.''.
(b) Effective Date.--The amendments made by subsection (a) shall
apply with respect to models tested on or after January 1, 2025.
<all>
</pre></body></html>
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118HR3285 | To establish patient protections with respect to highly rebated drugs. | [
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118HR3286 | Securing Open Source Software Act of 2023 | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3286 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3286
To amend the Homeland Security Act of 2002 to establish the duties of
the Director of the Cybersecurity and Infrastructure Security Agency
regarding open source software security, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Green of Tennessee (for himself, Mr. Garbarino, and Mr. Swalwell)
introduced the following bill; which was referred to the Committee on
Homeland Security, and in addition to the Committee on Oversight and
Accountability, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend the Homeland Security Act of 2002 to establish the duties of
the Director of the Cybersecurity and Infrastructure Security Agency
regarding open source software security, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Securing Open Source Software Act of
2023''.
SEC. 2. OPEN SOURCE SOFTWARE SECURITY DUTIES.
(a) In General.--Title XXII of the Homeland Security Act of 2002 (6
U.S.C. 650 et seq.) is amended--
(1) in section 2200 (6 U.S.C. 650)--
(A) by redesignating paragraphs (22) through (28)
as paragraphs (25) through (31), respectively; and
(B) by inserting after paragraph (21) the following
new paragraphs:
``(22) Open source software.--The term `open source
software' means software for which the human-readable source
code is made available to the public for use, study, re-use,
modification, enhancement, and re-distribution.
``(23) Open source software community.--The term `open
source software community' means the community of individuals,
foundations, nonprofit organizations, corporations, and other
entities that--
``(A) develop, contribute to, maintain, and publish
open source software; or
``(B) otherwise work to ensure the security of the
open source software ecosystem.
``(24) Open source software component.--The term `open
source software component' means an individual repository of
open source software that is made available to the public.'';
(2) in section 2202(c) (6 U.S.C. 652(c))--
(A) in paragraph (13), by striking ``and'' at the
end;
(B) by redesignating paragraph (14) as paragraph
(15); and
(C) by inserting after paragraph (13) the
following:
``(14) support, including by offering services, the secure
usage and deployment of software, including open source
software, in the software development lifecycle at Federal
agencies in accordance with section 2220F; and''; and
(3) by adding at the end the following:
``SEC. 2220F. OPEN SOURCE SOFTWARE SECURITY DUTIES.
``(a) Definition.--In this section, the term `software bill of
materials' has the meaning given such term in the Minimum Elements for
a Software Bill of Materials published by the Department of Commerce,
or any superseding definition published by the Agency.
``(b) Employment.--The Director shall, to the greatest extent
practicable, employ individuals in the Agency who--
``(1) have expertise and experience participating in the
open source software community; and
``(2) perform the duties described in subsection (c).
``(c) Duties of the Director.--
``(1) In general.--The Director shall--
``(A) perform outreach and engagement to bolster
the security of open source software;
``(B) support Federal efforts to strengthen the
security of open source software;
``(C) coordinate, as appropriate, with non-Federal
entities on efforts to ensure the long-term security of
open source software;
``(D) serve as a public point of contact regarding
the security of open source software for non-Federal
entities, including State, local, Tribal, and
territorial partners, the private sector, international
partners, and open source software communities; and
``(E) support Federal and non-Federal supply chain
security efforts by encouraging efforts to bolster open
source software security, such as--
``(i) assisting in coordinated
vulnerability disclosures in open source
software components pursuant to section
2209(n); and
``(ii) supporting the activities of the
Federal Acquisition Security Council.
``(2) Assessment of critical open source software
components.--
``(A) Framework.--Not later than one year after the
date of the enactment of this section, the Director
shall publicly publish a framework, incorporating
government, private sector, and open source software
community frameworks and best practices, including
those published by the National Institute of Standards
and Technology, for assessing the risk of open source
software components, including direct and indirect open
source software dependencies, which shall incorporate,
at a minimum, the following with respect to a given
open source software component:
``(i) The security properties of code, such
as whether the code is written in a memory-safe
programming language.
``(ii) The security practices of
development, build, and release processes, such
as the use of multi-factor authentication by
maintainers and cryptographic signing of
releases.
``(iii) The number and severity of publicly
known, unpatched vulnerabilities.
``(iv) The breadth of deployment.
``(v) The level of risk associated with
where such component is integrated or deployed,
such as whether such component operates on a
network boundary or in a privileged location.
``(vi) The health of the open source
software community, including, where
applicable, the level of current and historical
investment and maintenance in such component,
such as the number and activity of individual
maintainers.
``(B) Updating framework.--Not less frequently than
annually after the date on which the framework is
published under subparagraph (A), the Director shall--
``(i) determine whether updates are needed
to such framework, including the augmentation,
addition, or removal of the elements described
in clauses (i) through (vi) of such
subparagraph; and
``(ii) if the Director so determines that
such additional updates are needed, make such
updates.
``(C) Developing framework.--In developing the
framework described in subparagraph (A), the Director
shall consult with the following:
``(i) Appropriate Federal agencies,
including the National Institute of Standards
and Technology.
``(ii) Individuals and nonprofit
organizations from the open source software
community.
``(iii) Private sector entities from the
open source software community.
``(D) Usability.--The Director shall ensure, to the
greatest extent practicable, that the framework
described in subparagraph (A) is usable by the open
source software community, including through the
consultation required under subparagraph (C).
``(E) Federal open source software assessment.--Not
later than one year after the publication of the
framework under subparagraph (A) and not less
frequently than every two years thereafter, the
Director shall, to the greatest extent practicable and
using such framework--
``(i) perform an assessment of each open
source software component used directly or
indirectly by Federal agencies based on readily
available, and, to the greatest extent
practicable, machine readable, information,
such as--
``(I) software bills of material
that are, at the time of the
assessment, made available to the
Agency or are otherwise accessible via
the internet;
``(II) software inventories,
available to the Director at the time
of the assessment, from the Continuous
Diagnostics and Mitigation program of
the Agency; and
``(III) other publicly available
information regarding open source
software components; and
``(ii) develop one or more ranked lists of
components described in clause (i) based on the
assessment, such as ranked by the criticality,
level of risk, or usage of the components, or a
combination thereof.
``(F) Automation.--The Director shall, to the
greatest extent practicable, automate the assessment
performed pursuant to subparagraph (E).
``(G) Publication.--The Director shall publicly
publish and maintain any tools developed to perform the
assessment under subparagraph (E) as open source
software.
``(H) Sharing.--
``(i) Results.--The Director shall
facilitate the sharing of the results of each
assessment under subparagraph (E)(i) with
appropriate Federal and non-Federal entities
working to support the security of open source
software, including by offering means for
appropriate Federal and non-Federal entities to
download the assessment in an automated manner.
``(ii) Datasets.--The Director may publicly
publish, as appropriate, any datasets or
versions of the datasets developed or
consolidated as a result of an assessment under
subparagraph (E)(i).
``(I) Critical infrastructure assessment study and
pilot.--
``(i) Study.--Not later than two years
after the publication of the framework under
subparagraph (A), the Director shall conduct a
study regarding the feasibility of the Director
conducting the assessment under subparagraph
(E) for critical infrastructure entities.
``(ii) Pilot.--
``(I) In general.--If the Director
determines that the assessment
described in clause (i) is feasible,
the Director may conduct a pilot
assessment on a voluntary basis with
one or more critical infrastructure
sectors, in coordination with the
Sector Risk Management Agency and the
sector coordinating council of each
participating sector.
``(II) Termination.--If the
Director proceeds with the pilot
assessment described in subclause (I),
such pilot assessment shall terminate
not later than two years after the date
on which the Director begins such pilot
assessment.
``(iii) Reports.--
``(I) Study.--Not later than 180
days after the date on which the
Director completes the study conducted
under clause (i), the Director shall
submit to the appropriate congressional
committees a report that--
``(aa) summarizes the
study; and
``(bb) states whether the
Director plans to proceed with
the pilot assessment described
in clause (ii)(I).
``(II) Pilot.--If the Director
proceeds with the pilot assessment
described in clause (ii), not later
than one year after the date on which
the Director begins such pilot
assessment, the Director shall submit
to the appropriate congressional
committees a report that includes the
following:
``(aa) A summary of the
results of such pilot
assessment.
``(bb) A recommendation as
to whether the activities
carried out under such pilot
assessment should be continued
after the termination of such
pilot assessment in accordance
with clause (ii)(II).
``(3) Coordination with national cyber director.--The
Director shall--
``(A) brief the National Cyber Director on the
activities described in this subsection; and
``(B) consult with the National Cyber Director
regarding such activities, as appropriate.
``(4) Reports.--
``(A) In general.--Not later than one year after
the date of the enactment of this section and every two
years thereafter, the Director shall submit to the
appropriate congressional committees a report that
includes for the period covered by each such report the
following:
``(i) A summary of the work on open source
software security performed by the Director,
including a list of the Federal and non-Federal
entities with which the Director interfaced.
``(ii) The framework under paragraph (2)(A)
or a summary of any updates to such framework
pursuant to paragraph (2)(B), as the case may
be.
``(iii) A summary of each assessment under
paragraph (2)(E)(i).
``(iv) A summary of changes made to each
such assessment, including overall security
trends.
``(v) A summary of the types of entities
with which each such assessment was shared
pursuant to paragraph (2)(H), including a list
of the Federal and non-Federal entities with
which such assessment was shared.
``(B) Public report.--Not later than 30 days after
the date on which the Director submits each report
required under subparagraph (A), the Director shall
make a version of each such report publicly available
on the website of the Agency.''.
(b) Technical and Conforming Amendment.--The table of contents in
section 1(b) of the Homeland Security Act of 2002 is amended by
inserting after the item relating to section 2220E the following new
item:
``Sec. 2220F. Open source software security duties.''.
(c) Software Security Advisory Subcommittee.--Section 2219(d)(1) of
the Homeland Security Act of 2002 (6 U.S.C. 665e(d)(1)) is amended by
adding at the end the following:
``(E) Software security, including open source
software security.''.
(d) Rule of Construction.--Nothing in this Act or the amendments
made by this Act may be construed to provide any additional regulatory
authority to any Federal agency described therein.
<all>
</pre></body></html>
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118HR3287 | CABLE Leadership Act | [
[
"B001306",
"Rep. Balderson, Troy [R-OH-12]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3287 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3287
To amend the Communications Act of 1934 to preserve cable franchising
authority, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Balderson introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Communications Act of 1934 to preserve cable franchising
authority, and for other purposes.
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Cable Access for Broadband and Local
Economic Leadership Act'' or the ``CABLE Leadership Act''.
SEC. 2. REQUEST FOR NEW FRANCHISE.
Section 621 of the Communications Act of 1934 (47 U.S.C. 541) is
amended by adding at the end the following:
``(g) Timing of Decision on Request for Franchise.--
``(1) In general.--Not later than 120 days after the date
on which a franchising authority receives a complete request
for the grant of a franchise (other than a renewal thereof),
the franchising authority shall approve or deny such request.
``(2) Deemed grant of new franchise.--If the franchising
authority does not approve or deny a request under paragraph
(1) by the day after the date on which the time period ends
under such paragraph, such request shall be deemed granted on
such day.
``(3) Applicability.--Notwithstanding any provision of this
title, the timeframe under paragraph (1) shall apply
collectively to all proceedings required by a franchising
authority for the approval of the request.
``(4) No tolling.--The timeframe under paragraph (1) may
not be tolled by any moratorium, whether express or de facto,
imposed by a franchising authority on the consideration of any
request for a franchise.
``(5) Written decision and record.--Any decision by a
franchising authority to deny a complete request for a
franchise shall be--
``(A) in writing;
``(B) supported by substantial evidence contained
in a written record; and
``(C) publicly released, and provided to the
requesting party, on the same day such decision is
made.
``(6) When request considered complete; received.--
``(A) When request considered complete.--
``(i) In general.--For the purposes of this
subsection, a request to a franchising
authority shall be considered complete if the
requesting party--
``(I) has taken the first
procedural step within the control of
the requesting party that the
franchising authority requires as part
of the process of the franchising
authority for reviewing requests
related to franchises; and
``(II) has not received a written
notice from the franchising authority
within 30 days after the date on which
the request is received by the
franchising authority--
``(aa) stating that all the
information (including any form
or other document) required by
the franchising authority to be
submitted for the request to be
considered complete, has not
been submitted;
``(bb) identifying the
information required to be
submitted that was not
submitted; and
``(cc) that includes a
citation to a specific
provision of a publicly
available rule, regulation, or
standard issued by the
franchising authority requiring
that the information be
submitted with such a request.
``(ii) Definition.--In this subparagraph,
the term `the date on which the request is
received by the franchising authority' means--
``(I) in the case of a request
submitted electronically, the date on
which the request is transmitted;
``(II) in the case of a request
submitted in person, the date on which
the request is delivered to the
individual or at the location specified
by franchising authority for in-person
submission; and
``(III) in the case of a request
submitted in any other manner, the date
determined under regulations
promulgated by the Commission for the
manner in which the request is
submitted.
``(B) When complete request considered received.--
For the purposes of this subsection, a complete request
shall be considered received--
``(i) except as provided in clause (ii), on
the date on which the requesting party submits
to the franchising authority all information
(including any form or other document) required
by the franchising authority to be submitted
for the request to be considered complete; or
``(ii) in the case of a request with
respect to which all such information is not
submitted and that is considered complete under
subparagraph (A)(i) because the requesting
party has not received a written notice from
the franchising authority within the period
described in such subparagraph, on the day
after the last day of such period.''.
<all>
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118HR3288 | Broadband Competition and Efficient Deployment Act | [
[
"J000302",
"Rep. Joyce, John [R-PA-13]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3288 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3288
To provide that a project for the collocation of a telecommunications
service facility is not subject to requirements to prepare certain
environmental or historical preservation reviews.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Joyce of Pennsylvania introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committee on Natural Resources, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide that a project for the collocation of a telecommunications
service facility is not subject to requirements to prepare certain
environmental or historical preservation reviews.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Broadband Competition and Efficient
Deployment Act''.
SEC. 2. APPLICATION OF NEPA AND NHPA TO COLLOCATION OF
TELECOMMUNICATIONS SERVICE FACILITIES.
(a) NEPA Exemption.--A Federal authorization with respect to a
covered project may not be considered a major Federal action under
section 102(2)(C) of the National Environmental Policy Act of 1969 (42
U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A covered
project may not be considered an undertaking under section 300320 of
title 54, United States Code.
(c) Definitions.--In this section:
(1) Commission.--The term ``Commission'' means the Federal
Communications Commission.
(2) Covered project.--The term ``covered project'' means a
project--
(A) for the placement, construction, or
modification of a telecommunications service facility
in or on eligible support infrastructure; and
(B) for which a permit, license, or approval from
the Commission is required or that is otherwise subject
to the jurisdiction of the Commission.
(3) Eligible support infrastructure.--The term ``eligible
support infrastructure'' means infrastructure that supports or
houses a facility for communication by wire (or is designed to
or capable of supporting or housing such a facility) at the
time when a complete request to a State or local government or
instrumentality thereof, or to an Indian Tribe, for
authorization to place, construct, or modify a
telecommunications service facility in or on the infrastructure
is received by the government, instrumentality, or Indian
Tribe.
(4) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a covered project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a covered project.
(5) Indian tribe.--The term ``Indian Tribe'' has the
meaning given the term ``Indian tribe'' under section 102 of
the Federally Recognized Indian Tribe List Act of 1994 (25
U.S.C. 5130).
(6) State.--The term ``State'' means each State of the
United States, the District of Columbia, and each territory or
possession of the United States.
(7) Telecommunications service.--The term
``telecommunications service'' has the meaning given such term
in section 3 of the Communications Act of 1934 (47 U.S.C. 153).
(8) Telecommunications service facility.--The term
``telecommunications service facility''--
(A) means a facility that is designed or used to
provide or facilitate the provision of any interstate
or intrastate telecommunications service; and
(B) includes a facility described in subparagraph
(A) that is used to provide other services.
<all>
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118HR3289 | Wireless Broadband Competition and Efficient Deployment Act | [
[
"J000292",
"Rep. Johnson, Bill [R-OH-6]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3289 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3289
To provide that a project for the collocation of a personal wireless
service facility is not subject to requirements to prepare certain
environmental or historical preservation reviews.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Johnson of Ohio introduced the following bill; which was referred
to the Committee on Energy and Commerce, and in addition to the
Committee on Natural Resources, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide that a project for the collocation of a personal wireless
service facility is not subject to requirements to prepare certain
environmental or historical preservation reviews.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Wireless Broadband Competition and
Efficient Deployment Act''.
SEC. 2. APPLICATION OF NEPA AND NHPA TO COLLOCATION OF CERTAIN PERSONAL
WIRELESS SERVICE FACILITIES.
(a) NEPA Exemption.--A Federal authorization with respect to a
covered project may not be considered a major Federal action under
section 102(2)(C) of the National Environmental Policy Act of 1969 (42
U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A covered
project may not be considered an undertaking under section 300320 of
title 54, United States Code.
(c) Definitions.--In this section:
(1) Commission.--The term ``Commission'' means the Federal
Communications Commission.
(2) Covered project.--The term ``covered project'' means a
project--
(A) for--
(i) the mounting or installation of an
eligible personal wireless service facility
with another eligible personal wireless service
facility that exists at the time at which a
complete request for authorization of such
mounting or installation is filed with a State
or local government or instrumentality thereof
or with an Indian Tribe; or
(ii) the modification of an eligible
personal wireless service facility; and
(B) for which a permit, license, or approval from
the Commission is required or that is otherwise subject
to the jurisdiction of the Commission.
(3) Eligible personal wireless service facility.--The term
``eligible personal wireless service facility'' means any
antenna, apparatus, or transmitting device, and any equipment,
switches, wiring, cabling, power sources, shelters, or
cabinets, for the provision of a personal wireless service.
(4) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a covered project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a covered project.
(5) Indian tribe.--The term ``Indian Tribe'' has the
meaning given the term ``Indian tribe'' under section 102 of
the Federally Recognized Indian Tribe List Act of 1994 (25
U.S.C. 5130).
(6) Personal wireless services.--The term ``personal
wireless services''--
(A) has the meaning given such term in section
332(c)(7)(C) of the Communications Act of 1934 (47
U.S.C. 332(c)(7)(C)); and
(B) also includes commercial mobile data service
(as defined in section 6001 of the Middle Class Tax
Relief and Job Creation Act of 2012 (47 U.S.C. 1401)).
(7) State.--The term ``State'' means each State of the
United States, the District of Columbia, and each territory or
possession of the United States.
<all>
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118HR329 | American Workforce Empowerment Act | [
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"B001311... | <p><b>American Workforce Empowerment Act</b></p> <p>This bill allows tax-preferred college savings plans (529 plans) to fund certain postsecondary certificate programs and apprenticeship programs.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 329 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 329
To amend the Internal Revenue Code of 1986 to permit 529 plans to be
used for certain non-degree technical training certificate programs and
apprenticeship programs.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Mr. Finstad (for himself, Mr. Johnson of Ohio, Mr. Gallagher, Mr.
Curtis, Mr. Bishop of North Carolina, Mr. Balderson, Mr. Luetkemeyer,
Mr. Bacon, Mr. LaTurner, Mr. Gosar, Mr. Costa, Mr. Ellzey, Mr. Issa,
Mr. Bost, Mr. LaMalfa, Mr. Carter of Texas, Mr. Stauber, Mr. Ruiz, Mr.
Moore of Alabama, Mr. Rutherford, Mr. Valadao, Mr. Dunn of Florida, Mr.
Newhouse, Mr. Mann, Mrs. McClain, Mr. Westerman, and Mr. Calvert)
introduced the following bill; which was referred to the Committee on
Ways and Means
_______________________________________________________________________
A BILL
To amend the Internal Revenue Code of 1986 to permit 529 plans to be
used for certain non-degree technical training certificate programs and
apprenticeship programs.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``American Workforce Empowerment
Act''.
SEC. 2. 529 ACCOUNT FUNDING FOR NON-DEGREE TECHNICAL TRAINING
CERTIFICATE PROGRAMS AND APPRENTICESHIP PROGRAMS.
(a) In General.--Paragraph (8) of section 529(c) of the Internal
Revenue Code of 1986 is amended to read as follows:
``(8) Treatment of certain expenses associated with
technical training certificate programs and registered
apprenticeship programs.--Any reference in this subsection to
the term `qualified higher education expense' shall include a
reference to expenses for fees, books, supplies, tools, and
equipment required for the participation of a designated
beneficiary in--
``(A) an apprenticeship program registered and
certified with the Secretary of Labor under section 1
of the National Apprenticeship Act (29 U.S.C. 50), and
``(B) a recognized postsecondary credential as
defined under section 3 of the Workforce Innovation and
Opportunity Act (29 U.S.C. 3102), including testing and
other fees required by the organization issuing the
recognized postsecondary credential as a condition of
obtaining or maintaining the credential.''.
(b) Effective Date.--The amendment made by this section shall apply
to expenses paid or incurred after the date of the enactment of this
Act for programs beginning after the date of the enactment of this Act.
<all>
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118HR3290 | To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. | [
[
"B001275",
"Rep. Bucshon, Larry [R-IN-8]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3290 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3290
To amend title III of the Public Health Service Act to ensure
transparency and oversight of the 340B drug discount program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Bucshon introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend title III of the Public Health Service Act to ensure
transparency and oversight of the 340B drug discount program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. ENSURING TRANSPARENCY AND OVERSIGHT OF THE 340B DRUG
DISCOUNT PROGRAM.
(a) In General.--Section 340B(a)(5) of the Public Health Service
Act (42 U.S.C. 256b(a)(5)) is amended--
(1) in subparagraph (C)--
(A) by striking ``A covered entity shall permit''
and inserting:
``(i) Duplicate discounts and drug
resale.--A covered entity shall permit''; and
(B) by adding at the end the following new clauses:
``(ii) Use of savings.--A covered entity
shall permit the Secretary to audit, at the
Secretary's expense, the records of the entity
to determine how savings (as defined in
subparagraph (E)(iii)) from drugs subject to an
agreement under this section furnished by such
entity is used by such entity.
``(iii) Records retention.--Covered
entities shall retain such records and provide
such records and reports as determined
necessary by the Secretary for carrying out
this subparagraph.''; and
(2) by adding at the end the following new subparagraph:
``(E) Reporting.--
``(i) In general.--During the first year
beginning on or after the date that is 14
months after the date of enactment of this
subparagraph and during each subsequent year,
each covered entity described in subparagraph
(L) of paragraph (4) (and any other covered
entity specified by the Secretary) shall report
to the Secretary (at a time and in a form and
manner specified by the Secretary) the
following information with respect to the
preceding year:
``(I) With respect to such covered
entity and each off-campus outpatient
department of such entity--
``(aa) the total number of
individuals who were dispensed
or administered drugs during
such preceding year that were
subject to an agreement under
this section; and
``(bb) the number of such
individuals described in a
category specified in clause
(iv), broken down by each such
category.
``(II) With respect to such covered
entity and each off-campus outpatient
department of such entity--
``(aa) the percentage of
the total number of individuals
furnished items and services
during such preceding year who
were dispensed or administered
drugs during such preceding
year that were subject to an
agreement under this section;
and
``(bb) for each category
specified in clause (iv), the
percentage of the total number
of individuals described in
such category furnished items
and services during such
preceding year who were
dispensed or administered drugs
during such preceding year that
were subject to an agreement
under this section.
``(III) With respect to such
covered entity and each off-campus
outpatient department of such entity,
the total costs incurred during the
year at each such site and the cost
incurred at each such site for charity
care (as defined in line 23 of
worksheet S-10 to the Medicare cost
report, or in any successor form).
``(IV) With respect to such covered
entity and each off-campus outpatient
department of such entity, the costs
incurred during the year of furnishing
items and services at each such
department to patients of such entity
who were entitled to benefits under
part A of title XVIII of the Social
Security Act or enrolled under part B
of such title, enrolled in a State plan
under title XIX of such Act (or a
waiver of such plan), or who were
uninsured for services, minus the sum
of--
``(aa) payments under title
XVIII such Act for such items
and services (including any
cost sharing for such items and
services);
``(bb) payments under title
XIX of such Act for such items
and services (including any
cost sharing for such items and
services); and
``(cc) payments by
uninsured patients for such
items and services.
``(V) With respect to such covered
entity and each off-campus outpatient
department of such entity, savings (as
defined in clause (v)) from drugs
subject to an agreement under this
section furnished by such entity or
department.
``(ii) Publication.--The Secretary shall
publish data reported under clause (i) annually
on the public website of the Department of
Health and Human Services in an electronic and
searchable format, which may include the 340B
Office of Pharmacy Affairs Information System
(or a successor to such system), and in a
manner that shows each category of data
reported in the aggregate and identified by the
specific covered entity submitting such data.
``(iii) Audit of records.--A covered entity
shall permit the Secretary to audit, at the
Secretary's expense, the records of the entity
that directly pertain to the entity's
compliance with the requirement of clause (i).
``(iv) Categories specified.--For purposes
of clause (i), the categories specified in this
clause are the following:
``(I) Individuals covered under a
group health plan or group or
individual health insurance coverage
(as such terms are defined in section
2791).
``(II) Individuals who are entitled
to benefits under part A or enrolled
under part B of title XVIII of the
Social Security Act.
``(III) Individuals who enrolled
under a State plan under title XIX of
such Act (or a waiver of such plan).
``(IV) Individuals who were
enrolled under a State child health
plan under title XXI of such Act (or a
waiver of such plan).
``(V) Individuals not described in
any preceding subclause and not covered
under any Federal health care program
(as defined in section 1128B of such
Act but including the program
established under chapter 89 of title
5, United States Code).
``(v) Definitions.--For purposes of this
subparagraph:
``(I) Off-campus outpatient
department.--The term `off-campus
outpatient department' means a
department of a provider (as defined in
section 413.65 of title 42, Code of
Federal Regulations, or any successor
regulation) that is not located--
``(aa) on the campus (as
defined in such section) of
such provider; or
``(bb) within the distance
(described in such definition
of campus) from a remote
location of a hospital facility
(as defined in such section).
``(II) Savings.--The term `savings'
means, with respect to a drug purchased
by a covered entity, the difference
between--
``(aa) the price for such
drug that such entity would
have otherwise paid for such
drug obtained through a group
purchasing organization or
other group purchasing
arrangement had the requirement
described in paragraph
(4)(L)(iii) not applied (or, in
the case such entity would not
have obtained covered
outpatient drugs through such
an organization or arrangement
had such requirement not
applied, the wholesale
acquisition cost (as defined in
section 1847A(c)(6)(B) of the
Social Security Act) for such
drug); and
``(bb) the ceiling price
for such drug.''.
(b) Rulemaking.--Not later than 180 days after the date of the
enactment of this Act, the Secretary of Health and Human Services shall
issue an interim final rule to carry out section 340B(a)(5)(E) of the
Public Health Service Act, as added by subsection (a)(3).
<all>
</pre></body></html>
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118HR3291 | Proportional Reviews for Broadband Deployment Act | [
[
"C001103",
"Rep. Carter, Earl L. \"Buddy\" [R-GA-1]",
"sponsor"
],
[
"M001224",
"Rep. Moran, Nathaniel [R-TX-1]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3291 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3291
To provide that an eligible facilities request under section 6409(a) of
the Middle Class Tax Relief and Job Creation Act of 2012 is not subject
to requirements to prepare certain environmental or historical
preservation reviews.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Carter of Georgia (for himself and Mr. Moran) introduced the
following bill; which was referred to the Committee on Energy and
Commerce, and in addition to the Committee on Natural Resources, for a
period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To provide that an eligible facilities request under section 6409(a) of
the Middle Class Tax Relief and Job Creation Act of 2012 is not subject
to requirements to prepare certain environmental or historical
preservation reviews.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Proportional Reviews for Broadband
Deployment Act''.
SEC. 2. APPLICATION OF NEPA AND NHPA TO WIRELESS FACILITIES DEPLOYMENT.
Section 6409(a)(3) of the Middle Class Tax Relief and Job Creation
Act of 2012 (47 U.S.C. 1455(a)(3)) is amended to read as follows:
``(3) Application of nepa; nhpa.--
``(A) NEPA exemption.--A Federal authorization with
respect to an eligible facilities request may not be
considered a major Federal action under section
102(2)(C) of the National Environmental Policy Act of
1969 (42 U.S.C. 4332(2)(C)).
``(B) National historic preservation act
exemption.--An eligible facilities request may not be
considered an undertaking under section 300320 of title
54, United States Code.
``(C) Federal authorization defined.--In this
paragraph, the term `Federal authorization'--
``(i) means any authorization required
under Federal law with respect to an eligible
facilities request; and
``(ii) includes any permits, special use
authorizations, certifications, opinions, or
other approvals as may be required under
Federal law with respect to an eligible
facilities request.''.
<all>
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118HR3292 | Brownfields Broadband Deployment Act | [
[
"W000798",
"Rep. Walberg, Tim [R-MI-5]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3292 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3292
To provide that a project for the deployment or modification of a
communications facility entirely within a brownfield site is not
subject to requirements to prepare certain environmental or historical
preservation reviews.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Walberg introduced the following bill; which was referred to the
Committee on Energy and Commerce, and in addition to the Committee on
Natural Resources, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide that a project for the deployment or modification of a
communications facility entirely within a brownfield site is not
subject to requirements to prepare certain environmental or historical
preservation reviews.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Brownfields Broadband Deployment
Act''.
SEC. 2. APPLICATION OF NEPA AND NHPA TO BROWNFIELDS.
(a) NEPA Exemption.--A Federal authorization with respect to a
covered project may not be considered a major Federal action under
section 102(2)(C) of the National Environmental Policy Act of 1969 (42
U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A covered
project may not be considered an undertaking under section 300320 of
title 54, United States Code.
(c) Definitions.--In this section:
(1) Commission.--The term ``Commission'' means the Federal
Communications Commission.
(2) Communications facility.--The term ``communications
facility'' has the meaning given the term ``communications
facility installation'' in section 6409(d) of the Middle Class
Tax Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)).
(3) Covered project.--The term ``covered project'' means a
project--
(A) for the deployment or modification of a
communications facility that is to be carried out
entirely within a brownfield site (as defined in
section 101 of the Comprehensive Environmental
Response, Compensation, and Liability Act of 1980 (42
U.S.C. 9601)); and
(B) for which a permit, license, or approval from
the Commission is required or that is otherwise subject
to the jurisdiction of the Commission.
(4) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a covered project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a covered project.
<all>
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118HR3293 | Expediting Federal Broadband Deployment Reviews Act | [
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"sponsor"
],
[
"C001119",
"Rep. Craig, Angie [D-MN-2]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3293 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3293
To require the Assistant Secretary of Commerce for Communications and
Information to establish an interagency strike force to ensure that
certain Federal land management agencies, including the organizational
units of such agencies, prioritize the review of requests for
communications use authorizations, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Duncan (for himself and Ms. Craig) introduced the following bill;
which was referred to the Committee on Energy and Commerce, and in
addition to the Committees on Natural Resources, and Agriculture, for a
period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To require the Assistant Secretary of Commerce for Communications and
Information to establish an interagency strike force to ensure that
certain Federal land management agencies, including the organizational
units of such agencies, prioritize the review of requests for
communications use authorizations, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Expediting Federal Broadband
Deployment Reviews Act''.
SEC. 2. ESTABLISHMENT OF INTERAGENCY STRIKE FORCE.
(a) Interagency Strike Force.--
(1) Establishment.--Not later than 180 days after the date
of the enactment of this Act, the Assistant Secretary shall
establish an interagency strike force to ensure that each
Federal land management agency, including each organizational
unit of the agency, prioritizes the review of requests for
communications use authorizations.
(2) Members.--The strike force shall be composed of--
(A) the Assistant Secretary;
(B) the head of each Federal land management
agency;
(C) a designee of the Secretary of Agriculture,
other than the Chief of the Forest Service; and
(D) a designee of the Secretary of the Interior,
other than the Director of the Bureau of Land
Management.
(3) Duties.--The duties of the strike force shall include--
(A) conducting periodic calls between the members
of the strike force to ensure that each Federal land
management agency, including each organizational unit
of the agency, prioritizes the review of requests for
communications use authorizations;
(B) establishing objective and reasonable goals for
the review of requests for communications use
authorizations; and
(C) monitoring, and facilitating the accountability
of, each Federal land management agency, including each
organizational unit of the agency, with respect to
meeting such goals.
(4) Report to congress.--Not later than 270 days after the
date of the enactment of this Act, the Assistant Secretary
shall submit to the appropriate congressional committees a
report on the effectiveness of the strike force in ensuring
that each Federal land management agency, including each
organizational unit of the agency, prioritizes the review of
requests for communications use authorizations.
(b) Definitions.--In this section:
(1) Appropriate congressional committees.--The term
``appropriate congressional committees'' means--
(A) the Committee on Energy and Commerce of the
House of Representatives;
(B) the Committee on Natural Resources of the House
of Representatives;
(C) the Committee on Commerce, Science, and
Transportation of the Senate; and
(D) the Committee on Environment and Public Works
of the Senate.
(2) Assistant secretary.--The term ``Assistant Secretary''
means the Assistant Secretary of Commerce for Communications
and Information.
(3) Communications facility.--The term ``communications
facility'' has the meaning given the term ``communications
facility installation'' in section 6409(d) of the Middle Class
Tax Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)).
(4) Communications use.--The term ``communications use''
means the placement and operation of a communications facility.
(5) Communications use authorization.--The term
``communications use authorization'' means an easement, right-
of-way, lease, license, or other authorization--
(A) provided by a Federal land management agency;
(B) to locate or modify a communications facility
on covered land; and
(C) for the primary purpose of authorizing the
occupancy and use of such land for communications use.
(6) Covered land.--The term ``covered land'' means--
(A) public lands; and
(B) National Forest System land.
(7) Federal land management agency.--The term ``Federal
land management agency'' means each of the following:
(A) The Bureau of Land Management.
(B) The Forest Service.
(8) National forest system.--The term ``National Forest
System'' has the meaning given that term in section 11(a) of
the Forest and Rangeland Renewable Resources Planning Act of
1974 (16 U.S.C. 1609(a)).
(9) Organizational unit.--The term ``organizational unit''
means--
(A) with respect to the Bureau of Land Management--
(i) a State office;
(ii) a regional office;
(iii) a district office; or
(iv) a field office; and
(B) with respect to the Forest Service--
(i) a regional office;
(ii) a management unit; or
(iii) a ranger district office.
(10) Public lands.--The term ``public lands'' has the
meaning given that term in section 103 of the Federal Land
Policy and Management Act of 1976 (43 U.S.C. 1702).
(11) Strike force.--The term ``strike force'' means the
interagency strike force established under subsection (a)(1).
<all>
</pre></body></html>
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"constitutionalAuthorityStatementText": "<pre>\n[Congressional Record Volume 169, Number 81 (Monday, May 15, 2023)]\n[House]\nFrom the Congressional Record Online through the Government Publishing Office [<a href=\"https://www.gpo.gov\">www.gpo.gov</a>]\nBy Mr. DUNCAN:\nH.R. 3293\nCongress has the power to enact this legislation pursuant\nto the following:\nArticle 1, Section 8, Clause 17 grants Congress the\nauthority to pass laws related to ``needful buildings'' on\nlands owned by the federal government.\nThe single subject of this legislation is:\nThis bill will create an interagency task force to expedite\nbroadband deployments on federal lands.\n[Page H2348]\n</pre>",
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118HR3294 | Enhancing Administrative Reviews for Broadband Deployment Act | [
[
"A000377",
"Rep. Armstrong, Kelly [R-ND-At Large]",
"sponsor"
],
[
"V000081",
"Rep. Velazquez, Nydia M. [D-NY-7]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3294 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3294
To direct the Secretary of the Interior and the Secretary of
Agriculture to develop a plan for providing the staffing necessary to
ensure timely review of communications use authorizations, and for
other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Armstrong (for himself and Ms. Velazquez) introduced the following
bill; which was referred to the Committee on Natural Resources, and in
addition to the Committee on Agriculture, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee
concerned
_______________________________________________________________________
A BILL
To direct the Secretary of the Interior and the Secretary of
Agriculture to develop a plan for providing the staffing necessary to
ensure timely review of communications use authorizations, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Enhancing Administrative Reviews for
Broadband Deployment Act''.
SEC. 2. ENSURING TIMELY REVIEW OF COMMUNICATIONS USE AUTHORIZATIONS.
(a) Study and Report.--
(1) Study.--The Secretaries concerned shall each conduct,
with respect to the relevant covered department, a study to
determine--
(A) if there are programmatic or administrative
barriers to the timely review of requests for
communications use authorizations;
(B) if there are revisions to rules or regulations
that could be implemented to improve efficiency with
respect to reviewing requests for communications use
authorizations; and
(C) if there are processes for prioritizing the
review of requests for communications use
authorizations.
(2) Report.--Not later than 1 year after the date of the
enactment of this Act, the Secretaries concerned shall jointly
submit to the appropriate congressional committees a report
that--
(A) describes the results of the studies conducted
under paragraph (1), including any barriers, revisions,
or processes identified under subparagraphs (A) through
(C) of such paragraph; and
(B) includes a plan for providing, with respect to
the organizational units of the relevant covered
departments, the staffing necessary to ensure timely
review of communications use authorizations.
(b) Definitions.--In this section:
(1) Appropriate congressional committees.--The term
``appropriate congressional committees'' means--
(A) the Committee on Energy and Commerce of the
House of Representatives;
(B) the Committee on Natural Resources of the House
of Representatives;
(C) the Committee on Commerce, Science, and
Transportation of the Senate; and
(D) the Committee on Environment and Public Works
of the Senate.
(2) Communications facility.--The term ``communications
facility'' has the meaning given the term ``communications
facility installation'' in section 6409(d) of the Middle Class
Tax Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)).
(3) Communications use.--The term ``communications use''
means the placement and operation of a communications facility.
(4) Communications use authorization.--The term
``communications use authorization'' means an easement, right-
of-way, lease, license, or other authorization--
(A) provided by the Secretary of the Interior or
the Secretary of Agriculture;
(B) to locate or modify a communications facility
on covered land; and
(C) for the primary purpose of authorizing the
occupancy and use of such covered land for
communications use.
(5) Covered land.--The term ``covered land'' means--
(A) public lands; and
(B) National Forest System land.
(6) National forest system.--The term ``National Forest
System'' has the meaning given that term in section 11(a) of
the Forest and Rangeland Renewable Resources Planning Act of
1974 (16 U.S.C. 1609(a)).
(7) Organizational unit.--The term ``organizational unit''
means--
(A) with respect to the Department of the
Interior--
(i) a State office of the Bureau of Land
Management;
(ii) a regional office of the Bureau of
Land Management;
(iii) a district office of the Bureau of
Land Management; or
(iv) a field office of the Bureau of Land
Management; and
(B) with respect to the Department of Agriculture--
(i) a regional office of the Forest
Service;
(ii) a management unit of the Forest
Service; or
(iii) a ranger district office of the
Forest Service.
(8) Public lands.--The term ``public lands'' has the
meaning given that term in section 103 of the Federal Land
Policy and Management Act of 1976 (43 U.S.C. 1702).
(9) Relevant covered department.--The term ``relevant
covered department'' means--
(A) with respect to the Secretary of the Interior,
the Department of the Interior; and
(B) with respect to the Secretary of Agriculture,
the Department of Agriculture.
(10) Secretaries concerned.--The term ``Secretaries
concerned'' means--
(A) the Secretary of the Interior; and
(B) the Secretary of Agriculture, acting through
the Chief of the Forest Service.
<all>
</pre></body></html>
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118HR3295 | BROADBAND Leadership Act | [
[
"G000568",
"Rep. Griffith, H. Morgan [R-VA-9]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3295 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3295
To amend the Communications Act of 1934 to streamline siting processes
for telecommunications service facilities, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Griffith introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Communications Act of 1934 to streamline siting processes
for telecommunications service facilities, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Barriers and Regulatory Obstacles
Avoids Deployment of Broadband Access and Needs Deregulatory Leadership
Act'' or the ``BROADBAND Leadership Act''.
SEC. 2. REMOVAL OF BARRIERS TO ENTRY.
Section 253 of the Communications Act of 1934 (47 U.S.C. 253) is
amended to read as follows:
``SEC. 253. REMOVAL OF BARRIERS TO ENTRY.
``(a) In General.--No State or local statute or regulation, or
other State or local legal requirement, may prohibit or have the effect
of prohibiting the ability of any entity to provide or enhance the
provision of any interstate or intrastate telecommunications service.
``(b) Placement, Construction, or Modification of
Telecommunications Service Facilities.--
``(1) Prohibition on discrimination.--The regulation of the
placement, construction, or modification of a
telecommunications service facility by a State or local
government or instrumentality thereof may not discriminate--
``(A) among telecommunications service facilities--
``(i) based on the technology used to
provide services; or
``(ii) based on the services provided; or
``(B) against telecommunications service
facilities, as compared to the regulation of the
placement, construction, or modification of other
facilities.
``(2) Timeframe to grant or deny requests.--
``(A) In general.--A State or local government or
instrumentality thereof shall grant or deny a complete
request for authorization to place, construct, or
modify a telecommunications service facility not later
than--
``(i) if the request is for authorization
to place, construct, or modify such facility in
or on eligible support infrastructure, 90 days
after the date on which the complete request is
received by the government or instrumentality;
or
``(ii) for any other action relating to
such facility, 150 days after the date on which
the complete request is received by the
government or instrumentality.
``(B) Applicability.--The applicable timeframe
under subparagraph (A) shall apply collectively to all
proceedings, including permits and authorizations,
required by a State or local government or
instrumentality thereof for the approval of the
request.
``(C) No tolling.--A timeframe under subparagraph
(A) may not be tolled by any moratorium, whether
express or de facto, imposed by a State or local
government or instrumentality thereof on the
submission, acceptance, or consideration of requests
for authorization to place, construct, or modify a
telecommunications service facility.
``(3) Deemed granted.--
``(A) In general.--If a State or local government
or instrumentality thereof has neither granted nor
denied a complete request within the applicable
timeframe under paragraph (2), the request shall be
deemed granted on the date on which the government or
instrumentality receives a written notice of the
failure to grant or deny from the requesting party.
``(B) Rule of construction.--In the case of a
request that is deemed granted under subparagraph (A),
the placement, construction, or modification requested
in such request shall be considered to be authorized,
without any further action by the government or
instrumentality, beginning on the date on which such
request is deemed granted under such subparagraph.
``(4) Written decision and record.--A decision by a State
or local government or instrumentality thereof to deny a
request to place, construct, or modify a telecommunications
service facility shall be--
``(A) in writing;
``(B) supported by substantial evidence contained
in a written record; and
``(C) publicly released, and provided to the
requesting party, on the same day such decision is
made.
``(5) Fees.--
``(A) In general.--To the extent permitted by law,
a State or local government or instrumentality thereof
may charge a fee that meets the requirements under
subparagraph (B)--
``(i) to consider a request for
authorization to place, construct, or modify a
telecommunications service facility; or
``(ii) for use of a right-of-way or a
facility in a right-of-way owned or managed by
the government or instrumentality for the
placement, construction, or modification of a
telecommunications service facility.
``(B) Requirements.--A fee charged under
subparagraph (A) shall be--
``(i) competitively neutral, technology
neutral, and nondiscriminatory;
``(ii) established in advance and publicly
disclosed;
``(iii) calculated--
``(I) based on actual and direct
costs for--
``(aa) review and
processing of requests; and
``(bb) repairs and
replacement of--
``(AA) components
and materials resulting
from and affected by
the placement,
construction, or
modification (including
the installation or
improvement) of
telecommunications
service facilities; or
``(BB) equipment
that facilitates the
placement,
construction, or
modification (including
the installation or
improvement) of such
facilities; and
``(II) using, for purposes of
subclause (I), only costs that are
objectively reasonable; and
``(iv) described to a requesting party in a
manner that distinguishes between--
``(I) nonrecurring fees and
recurring fees; and
``(II) the use of facilities on
which telecommunications service
facilities or infrastructure for
compatible uses are already located and
facilities on which there are no
telecommunications service facilities
or infrastructure for compatible uses
as of the date on which the complete
request is received by the government
or instrumentality.
``(c) Judicial Review.--
``(1) In general.--A person adversely affected by a State
or local statute, regulation, or other legal requirement, or by
a final action or failure to act by a State or local government
or instrumentality thereof, that is inconsistent with this
section may commence an action in any court of competent
jurisdiction.
``(2) Timing.--
``(A) Expedited basis.--A court shall hear and
decide an action commenced under paragraph (1) on an
expedited basis.
``(B) Final action or failure to act.--An action
may only be commenced under paragraph (1) on the basis
of a final action or failure to act by a State or local
government or instrumentality thereof, if commenced not
later than 30 days after such action or failure to act.
``(d) Preservation of State Regulatory Authority.--Nothing in this
section shall affect the ability of a State to impose, on a
competitively neutral and nondiscriminatory basis and consistent with
section 254, requirements necessary to preserve and advance universal
service, protect the public safety and welfare, ensure the continued
quality of telecommunications services, and safeguard the rights of
consumers.
``(e) Preservation of State and Local Government Authority.--
Nothing in this section affects the authority of a State or local
government or instrumentality thereof to manage, on a competitively
neutral and nondiscriminatory basis, the public rights-of-way or to
require, on a competitively neutral and nondiscriminatory basis, fair
and reasonable compensation from telecommunications providers for use
of public rights-of-way, if the compensation required meets the
requirements of subsection (b)(5).
``(f) Preemption.--
``(1) In general.--If, after notice and an opportunity for
public comment, the Commission determines that a State or local
government or instrumentality thereof has permitted or imposed
a statute, regulation, or legal requirement that violates or is
inconsistent with this section, the Commission shall preempt
the enforcement of such statute, regulation, or legal
requirement to the extent necessary to correct such violation
or inconsistency.
``(2) Timing.--Not later than 120 days after receiving a
petition for preemption of the enforcement of a statute,
regulation, or legal requirement as described in paragraph (1),
the Commission shall grant or deny the petition.
``(g) Commercial Mobile Service Providers.--Nothing in this section
shall affect the application of section 332(c)(3) to commercial mobile
service providers.
``(h) Rural Markets.--It shall not be a violation of this section
for a State to require a telecommunications carrier that seeks to
provide telephone exchange service or exchange access in a service area
served by a rural telephone company to meet the requirements in section
214(e)(1) for designation as an eligible telecommunications carrier for
that area before being permitted to provide such service. This
subsection shall not apply--
``(1) to a service area served by a rural telephone company
that has obtained an exemption, suspension, or modification of
section 251(c)(4) that effectively prevents a competitor from
meeting the requirements of section 214(e)(1); and
``(2) to a provider of commercial mobile services.
``(i) When Request Considered Complete; Received.--
``(1) When request considered complete.--
``(A) In general.--For the purposes of this
section, a request to a State or local government or
instrumentality thereof shall be considered complete if
the requesting party--
``(i) has taken the first procedural step
within the control of the requesting party--
``(I) to submit such request in
accordance with the procedures
established by the government or
instrumentality for the review and
approval of such request; or
``(II) in the case of a government
or instrumentality that has not
established specific procedures for the
review and approval of such request, to
submit to the government or
instrumentality the type of filing that
is typically required to initiate a
standard review for a similar facility
or structure; and
``(ii) has not received a written notice
from the government or instrumentality within
30 days after the date on which the request is
received by the government or instrumentality--
``(I) stating that all the
information (including any form or
other document) required by the
government or instrumentality to be
submitted for the request to be
considered complete has not been
submitted;
``(II) identifying the information
required to be submitted that was not
submitted; and
``(III) citing a specific provision
of a publicly available rule,
regulation, or standard of the
government or instrumentality that
requires the information identified
under subclause (II) to be submitted.
``(B) Definition.--In this paragraph, the term `the
date on which the request is received by the government
or instrumentality' means--
``(i) in the case of a request submitted
electronically, the date on which the request
is transmitted;
``(ii) in the case of a request submitted
in person, the date on which the request is
delivered to the individual or at the location
specified by the government or instrumentality
for in-person submission; and
``(iii) in the case of a request submitted
in any other manner, the date determined under
regulations promulgated by the Commission for
the manner in which the request is submitted.
``(2) When complete request considered received.--For the
purposes of this section, a complete request shall be
considered received--
``(A) except as provided in subparagraph (B), on
the date on which the requesting party submits to the
government or instrumentality all information
(including any form or other document) required by the
government or instrumentality to be submitted for the
request to be considered complete; or
``(B) in the case of a request with respect to
which all such information is not submitted and that is
considered complete under paragraph (1)(A) because the
requesting party has not received a written notice from
the government or instrumentality within the period
described in such paragraph, on the day after the last
day of such period.
``(j) Definitions.--In this section:
``(1) Eligible support infrastructure.--The term `eligible
support infrastructure' means infrastructure that supports or
houses a telecommunications service facility (or that is
designed for or capable of supporting or housing such a
facility) at the time when a complete request to a State or
local government or instrumentality thereof for authorization
to place, construct, or modify a telecommunications service
facility in or on the infrastructure is received by the
government or instrumentality.
``(2) Telecommunications service facility.--The term
`telecommunications service facility'--
``(A) means a facility that is designed or used to
provide or facilitate the provision of any interstate
or intrastate telecommunications service; and
``(B) includes a facility described in subparagraph
(A) that is used to provide other services.''.
<all>
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118HR3296 | Wildfire Communications Resiliency Act | [
[
"M001159",
"Rep. McMorris Rodgers, Cathy [R-WA-5]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3296 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3296
To provide that construction, rebuilding, or hardening of
communications facilities following a major disaster or an emergency
related to a wildfire is not subject to requirements to prepare certain
environmental or historical preservation reviews.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mrs. Rodgers of Washington introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committee on Natural Resources, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide that construction, rebuilding, or hardening of
communications facilities following a major disaster or an emergency
related to a wildfire is not subject to requirements to prepare certain
environmental or historical preservation reviews.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Wildfire Communications Resiliency
Act''.
SEC. 2. APPLICATION OF NEPA AND NHPA TO COVERED COMMUNICATIONS
PROJECTS.
(a) NEPA Exemption.--A Federal authorization with respect to a
covered project may not be considered a major Federal action under
section 102(2)(C) of the National Environmental Policy Act of 1969 (42
U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A covered
project may not be considered an undertaking under section 300320 of
title 54, United States Code.
(c) Definitions.--In this section:
(1) Chief executive.--The term ``Chief Executive'' has the
meaning given such term in section 102 of the Robert T.
Stafford Disaster Relief and Emergency Assistance Act (42
U.S.C. 5122).
(2) Communications facility.--The term ``communications
facility'' has the meaning given the term ``communications
facility installation'' in section 6409(d) of the Middle Class
Tax Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)).
(3) Covered project.--The term ``covered project'' means a
project that--
(A) is to be carried out entirely within an area
for which the President, the Governor of a State, or
the Chief Executive of an Indian tribal government has
declared a major disaster or an emergency related to a
wildfire;
(B) is to be carried out not later than 5 years
after the date on which the President, Governor, or
Chief Executive made such declaration; and
(C) replaces a communications facility damaged by
such disaster or emergency or makes improvements to a
communications facility in such area that could
reasonably be considered as necessary for recovery from
such disaster or emergency or to prevent or mitigate
any future disaster or emergency.
(4) Emergency.--The term ``emergency'' means--
(A) in the case of an emergency declared by the
President, an emergency declared by the President under
section 501 of the Robert T. Stafford Disaster Relief
and Emergency Assistance Act (42 U.S.C. 5191); and
(B) in the case of an emergency declared by the
Governor of a State or the Chief Executive of an Indian
tribal government, any occasion or instance with
respect to which the Governor or Chief Executive
declares that an emergency exists (or makes a similar
declaration) under State or Tribal law (as the case may
be).
(5) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a covered project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a covered project.
(6) Governor.--The term ``Governor'' means the chief
executive of any State.
(7) Indian tribal government.--The term ``Indian tribal
government'' has the meaning given such term in section 102 of
the Robert T. Stafford Disaster Relief and Emergency Assistance
Act (42 U.S.C. 5122).
(8) Major disaster.--The term ``major disaster'' means--
(A) in the case of a major disaster declared by the
President, a major disaster declared by the President
under section 401 of the Robert T. Stafford Disaster
Relief and Emergency Assistance Act (42 U.S.C. 5170);
and
(B) in the case of a major disaster declared by the
Governor of a State or the Chief Executive of an Indian
tribal government, any occasion or instance with
respect to which the Governor or Chief Executive
declares that a disaster exists (or makes a similar
declaration) under State or Tribal law (as the case may
be).
(9) State.--The term ``State'' means each State of the
United States, the District of Columbia, and each territory or
possession of the United States.
<all>
</pre></body></html>
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118HR3297 | Reducing Barriers for Broadband on Federal Lands Act of 2023 | [
[
"F000469",
"Rep. Fulcher, Russ [R-ID-1]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3297 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3297
To ensure that certain broadband projects are not subject to
requirements to prepare certain environmental or historical
preservation reviews, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Fulcher introduced the following bill; which was referred to the
Committee on Energy and Commerce, and in addition to the Committee on
Natural Resources, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To ensure that certain broadband projects are not subject to
requirements to prepare certain environmental or historical
preservation reviews, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Reducing Barriers for Broadband on
Federal Lands Act of 2023''.
SEC. 2. EXEMPTIONS FOR CERTAIN BROADBAND PROJECTS.
(a) NEPA Exemption.--The issuance of a Federal authorization with
respect to a broadband project carried out in a right-of-way may not be
considered a major Federal action under section 102(2)(C) of the
National Environmental Policy Act of 1969 (42 U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A broadband
project carried out in a right-of-way may not be considered an
undertaking under section 300320 of title 54, United States Code.
(c) Definitions.--In this section:
(1) Broadband project.--The term ``broadband project''
means an installation, by a broadband provider on Federal land,
of wireline or wireless broadband infrastructure that enables a
user to originate and receive high-quality voice, data,
graphics, and video telecommunications, including copper lines,
fiber optic lines, communications towers, buildings, or other
improvements.
(2) Broadband provider.--The term ``broadband provider''
means a provider of wireline or wireless broadband
infrastructure that enables a user to originate and receive
high-quality voice, data, graphics, and video
telecommunications.
(3) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a project.
(4) Right-of-way.--The term ``right-of-way''--
(A) means--
(i) the area on, below, or above a roadway,
highway, street, sidewalk, alley, or similar
property (whether currently or previously used
in such manner); and
(ii) any land immediately adjacent to and
contiguous with property described in clause
(i) that is within the right-of-way grant; and
(B) does not include a portion of the Interstate
System (as such term is defined in section 101(a) of
title 23, United States Code).
<all>
</pre></body></html>
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118HR3298 | BEAD FEE Act of 2023 | [
[
"A000372",
"Rep. Allen, Rick W. [R-GA-12]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3298 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3298
To amend the Infrastructure Investment and Jobs Act to require States
and political subdivisions of States to streamline certain fees
relating to broadband infrastructure in order to receive grant funds
under the Broadband Equity, Access, and Deployment Program, and for
other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Allen introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Infrastructure Investment and Jobs Act to require States
and political subdivisions of States to streamline certain fees
relating to broadband infrastructure in order to receive grant funds
under the Broadband Equity, Access, and Deployment Program, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Broadband Expansion And Deployment
Fee Equity and Efficiency Act of 2023'' or the ``BEAD FEE Act of
2023''.
SEC. 2. STREAMLINING OF CERTAIN FEES RELATING TO BROADBAND
INFRASTRUCTURE REQUIRED TO RECEIVE GRANT FUNDS UNDER BEAD
PROGRAM.
Section 60102(e) of the Infrastructure Investment and Jobs Act (47
U.S.C. 1702(e)) is amended by adding at the end the following:
``(5) Streamlining of certain fees relating to broadband
infrastructure required.--After the date of the enactment of
this paragraph, the Assistant Secretary may not make available
to an eligible entity grant funds under this section (except
for grant funds under paragraph (1)(C)) if the eligible entity,
or any political subdivision of the eligible entity, charges a
fee to consider a request for authorization to place,
construct, or modify infrastructure for the provision of
broadband service, or a fee for use of a right-of-way or
infrastructure in a right-of-way owned or managed by the entity
or political subdivision for the placement, construction, or
modification of infrastructure for the provision of broadband
service, unless such fee is--
``(A) competitively neutral, technology neutral,
and nondiscriminatory;
``(B) publicly disclosed;
``(C) calculated--
``(i) based on actual and direct costs,
such as costs for--
``(I) review and processing of
requests; and
``(II) repairs and replacement of--
``(aa) components and
materials resulting from and
affected by the placement,
construction, or modification
(including the installation or
improvement) of infrastructure
for the provision of broadband
service; or
``(bb) equipment that
facilitates the placement,
construction, or modification
(including the installation or
improvement) of such
infrastructure; and
``(ii) using, for purposes of clause (i),
only costs that are objectively reasonable; and
``(D) described to a requesting party in a manner
that distinguishes between--
``(i) nonrecurring fees and recurring fees;
and
``(ii) the use of infrastructure on which
infrastructure for the provision of broadband
service is already located and infrastructure
on which there is no infrastructure for the
provision of broadband service as of the date
on which the request is received by the
eligible entity or political subdivision.''.
<all>
</pre></body></html>
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118HR3299 | DIGITAL Applications Act | [
[
"C001039",
"Rep. Cammack, Kat [R-FL-3]",
"sponsor"
],
[
"M001163",
"Rep. Matsui, Doris O. [D-CA-7]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3299 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3299
To require the Department of the Interior and the Department of
Agriculture to establish online portals to accept, process, and dispose
of certain Form 299s, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mrs. Cammack (for herself and Ms. Matsui) introduced the following
bill; which was referred to the Committee on Natural Resources, and in
addition to the Committees on Energy and Commerce, and Agriculture, for
a period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To require the Department of the Interior and the Department of
Agriculture to establish online portals to accept, process, and dispose
of certain Form 299s, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Deploying Infrastructure with
Greater Internet Transactions And Legacy Applications Act'' or the
``DIGITAL Applications Act''.
SEC. 2. ESTABLISHMENT OF ONLINE PORTALS TO ACCEPT, PROCESS, AND DISPOSE
OF CERTAIN FORM 299S.
(a) Establishment of Online Portals.--
(1) Establishment.--Not later than 1 year after the date of
the enactment of this Act, the Secretaries concerned shall each
establish, with respect to the relevant covered department, an
online portal for the acceptance, processing, and disposal of a
Form 299 for communications use authorizations.
(2) Notification.--Not later than 3 business days after the
date on which an online portal has been established by a
Secretary pursuant to paragraph (1), that Secretary shall
notify the Assistant Secretary of the establishment of such
portal.
(b) Availability of Online Portals.--The Assistant Secretary shall
publish on the website of the National Telecommunications and
Information Administration a link to each online portal established
pursuant to subsection (a)(1).
(c) Definitions.--In this section:
(1) Assistant secretary.--The term ``Assistant Secretary''
means the Assistant Secretary of Commerce for Communications
and Information.
(2) Communications facility.--The term ``communications
facility'' has the meaning given the term ``communications
facility installation'' in section 6409(d) of the Middle Class
Tax Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)).
(3) Communications use.--The term ``communications use''
means the placement and operation of a communications facility.
(4) Communications use authorization.--The term
``communications use authorization'' means an easement, right-
of-way, lease, license, or other authorization--
(A) provided by the Secretary of the Interior or
the Secretary of Agriculture;
(B) to locate or modify a communications facility
on covered land; and
(C) for the primary purpose of authorizing the
occupancy and use of such covered land for
communications use.
(5) Covered land.--The term ``covered land'' means--
(A) public lands; and
(B) National Forest System land.
(6) Form 299.--The term ``Form 299'' means the form
established under section 6409(b)(2)(A) of the Middle Class Tax
Relief and Job Creation Act of 2012 (47 U.S.C. 1455(b)(2)(A)),
or any successor form.
(7) National forest system.--The term ``National Forest
System'' has the meaning given that term in section 11(a) of
the Forest and Rangeland Renewable Resources Planning Act of
1974 (16 U.S.C. 1609(a)).
(8) Public lands.--The term ``public lands'' has the
meaning given that term in section 103 of the Federal Land
Policy and Management Act of 1976 (43 U.S.C. 1702).
(9) Relevant covered department.--The term ``relevant
covered department'' means--
(A) with respect to the Secretary of the Interior,
the Department of the Interior; and
(B) with respect to the Secretary of Agriculture,
the Department of Agriculture.
(10) Secretaries concerned.--The term ``Secretaries
concerned'' means--
(A) the Secretary of the Interior; and
(B) the Secretary of Agriculture, acting through
the Chief of the Forest Service.
<all>
</pre></body></html>
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118HR33 | Medicare Dental, Vision, and Hearing Benefit Act of 2023 | [
[
"D000399",
"Rep. Doggett, Lloyd [D-TX-37]",
"sponsor"
],
[
"B001281",
"Rep. Beatty, Joyce [D-OH-3]",
"cosponsor"
],
[
"B001292",
"Rep. Beyer, Donald S., Jr. [D-VA-8]",
"cosponsor"
],
[
"B000490",
"Rep. Bishop, Sanford D., Jr. [D-GA-2]",
"cosponsor"
],
... | <p><strong>Medicare Dental, Vision, and Hearing Benefit Act of</strong> <b>2023</b></p> <p>This bill provides for Medicare coverage of dental, vision, and hearing care. Coverage includes (1) routine dental cleanings and exams, basic and major dental services, emergency dental care, and dentures; (2) routine eye exams, eyeglasses, and contact lenses; and (3) routine hearing exams, hearing aids, and exams for hearing aids. With respect to such care, the bill establishes special payment rules, limitations, and coinsurance requirements. </p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 33 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 33
To amend title XVIII of the Social Security Act to provide for coverage
of dental, vision, and hearing care under the Medicare program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 9, 2023
Mr. Doggett (for himself, Mrs. Beatty, Mr. Beyer, Mr. Bishop of
Georgia, Mr. Blumenauer, Mr. Bowman, Ms. Bush, Mr. Carson, Mr. Carter
of Louisiana, Mr. Cartwright, Mr. Casar, Mr. Castro of Texas, Ms. Chu,
Mr. Cleaver, Mr. Cohen, Mr. Connolly, Mr. Courtney, Mr. Cuellar, Ms.
DeLauro, Mr. DeSaulnier, Mrs. Dingell, Ms. Escobar, Mr. Espaillat, Mr.
Evans, Ms. Leger Fernandez, Mr. Garamendi, Mr. Garcia of Illinois, Ms.
Garcia of Texas, Mr. Vicente Gonzalez of Texas, Mr. Gottheimer, Mr.
Green of Texas, Mr. Grijalva, Mrs. Hayes, Mr. Higgins of New York, Ms.
Jackson Lee, Ms. Jayapal, Mr. Johnson of Georgia, Ms. Kaptur, Mr.
Khanna, Mr. Kim of New Jersey, Mr. Larson of Connecticut, Ms. Lee of
California, Mr. Lieu, Ms. McCollum, Mr. McGovern, Ms. Meng, Mr. Mfume,
Ms. Moore of Wisconsin, Mr. Nadler, Mr. Neguse, Mr. Norcross, Ms.
Norton, Ms. Ocasio-Cortez, Ms. Omar, Mr. Pascrell, Mr. Payne, Ms.
Pingree, Mr. Pocan, Ms. Porter, Ms. Pressley, Ms. Blunt Rochester, Mr.
Ruiz, Mr. Ruppersberger, Ms. Schakowsky, Mr. Schiff, Mr. David Scott of
Georgia, Mr. Sherman, Mr. Swalwell, Mr. Takano, Mr. Thompson of
California, Ms. Titus, Ms. Tlaib, Mr. Tonko, Mr. Torres of New York,
Mrs. Trahan, Mr. Trone, Mr. Veasey, Mrs. Watson Coleman, and Ms.
Williams of Georgia) introduced the following bill; which was referred
to the Committee on Energy and Commerce, and in addition to the
Committee on Ways and Means, for a period to be subsequently determined
by the Speaker, in each case for consideration of such provisions as
fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to provide for coverage
of dental, vision, and hearing care under the Medicare program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicare Dental, Vision, and Hearing
Benefit Act of 2023''.
SEC. 2. DENTAL AND ORAL HEALTH CARE.
(a) Coverage.--Section 1861(s)(2) of the Social Security Act (42
U.S.C. 1395x(s)(2)) is amended--
(1) in subparagraph (II), by striking ``and'' after the
semicolon at the end;
(2) in subparagraph (JJ), by adding ``and'' after the
semicolon at the end; and
(3) by adding at the end the following new subparagraph:
``(KK) dental and oral health services (as defined in
subsection (nnn));''.
(b) Dental and Oral Health Services Defined.--Section 1861 of the
Social Security Act (42 U.S.C. 1395x) is amended by adding at the end
the following new subsection:
``Dental and Oral Health Services
``(nnn) The term `dental and oral health services' means--
``(1) preventative and screening services, such as oral
exams, dental cleanings, dental x-rays, and fluoride
treatments;
``(2) basic dental services, such as tooth restorations,
basic periodontics services, tooth extractions, and oral
disease management services;
``(3) major dental services, such as major tooth
restorations, major periodontics services, bridges, crowns,
root canals, and extractions;
``(4) emergency dental care; and
``(5) other necessary services related to dental or oral
health (as defined by the Secretary).''.
(c) Payment; Coinsurance; and Limitations.--
(1) In general.--Section 1833(a)(1) of the Social Security
Act (42 U.S.C. 1395l(a)(1)) is amended--
(A) by striking ``and'' before ``(GG)''; and
(B) by inserting before the semicolon at the end
the following: ``, and (HH) with respect to dental and
oral health services (as defined in section 1861(lll)),
the amount paid shall be the payment amount specified
under section 1834(aa)''.
(2) Payment and limits specified.--Section 1834 of the
Social Security Act (42 U.S.C. 1395m) is amended by adding at
the end the following new subsection:
``(aa) Payment and Limits for Dental and Oral Health Services.--
``(1) In general.--The payment amount under this part for
dental and oral health services (as defined in section
1861(nnn)) shall be, subject to paragraph (3), the applicable
percent (specified in paragraph (2)) of the lesser of the
actual charge for the services or the amount determined under
the payment basis determined under section 1848.
``(2) Applicable percent.--
``(A) In general.--For purposes of paragraph (1),
except as provided in subparagraph (B), the applicable
percent specified in this paragraph is--
``(i) with respect to services described in
section 1861(nnn)(1) furnished during 2024 or a
subsequent year, 100 percent; and
``(ii) with respect to services not
described in clause (i)--
``(I) for a year before 2025, 0
percent;
``(II) for 2025, 30 percent;
``(III) for 2026, 60 percent; and
``(IV) for 2027 and each subsequent
year, 80 percent.
``(B) Special rule for certain low-income
individuals.--For purposes of paragraph (1), the
applicable percent specified in this paragraph is, with
respect to services furnished to an individual who is a
subsidy eligible individual (as defined in section
1860D-14(a)(3)), or who would be a subsidy eligible
individual if the individual were enrolled in a
prescription drug plan or MA-PD plan--
``(i) with respect to services described in
section 1861(nnn)(1), for 2024 and each
subsequent year, 100 percent; and
``(ii) with respect to services not
described in clause (i), for 2025 and each
subsequent year, 80 percent.
``(3) Limitations and secretarial authority.--
``(A) Frequency.--With respect to dental and oral
health services that are--
``(i) routine dental cleanings, payment may
be made under this part for only two such
cleanings during a 12-month period; and
``(ii) routine exams, payment may be made
under this part for only two such exams during
a 12-month period.
``(B) Secretarial authority.--
``(i) Authority to apply additional
limitations.--The Secretary may apply such
other reasonable limitations on the extent to
which dental and oral services are covered
under this part, including through application
of a prior authorization requirement.
``(ii) Authority to modify coverage.--
Notwithstanding any other provision of this
title, if the Secretary determines appropriate,
the Secretary may modify the coverage under
this part of dental and oral health services to
the extent that such modification is consistent
with the recommendations of the United States
Preventive Services Task Force.
``(iii) Authority to waive frequency
limitations.--Notwithstanding subparagraph (A),
the Secretary may waive any frequency
limitation under such subparagraph for an
individual (or category of individuals) if
determined appropriate by the Secretary.''.
(d) Payment Under Physician Fee Schedule.--Section 1848(j)(3) of
the Social Security Act (42 U.S.C. 1395w-4(j)(3)) is amended by
inserting ``(2)(KK),'' before ``(3)''.
(e) Dentures.--
(1) In general.--Section 1861(s)(8) of the Social Security
Act (42 U.S.C. 1395x(s)(8)) is amended--
(A) by striking ``(other than dental)'' and
inserting ``(including dentures)''; and
(B) by striking ``internal body''.
(2) Special payment rules.--Section 1834(a) of the Social
Security Act (42 U.S.C. 1395m(a)) is amended by adding at the
end the following new paragraph:
``(23) Payment and limits for dentures.--
``(A) In general.--The payment amount under this
part for dentures shall be, subject to subparagraph
(C), the applicable percent (specified in subparagraph
(B)) of the amount otherwise payable for such dentures
under this section.
``(B) Applicable percent.--For purposes of
subparagraph (A), the applicable percent specified in
this subparagraph is--
``(i) for a year before 2025, 0 percent;
and
``(ii) for 2025 and each subsequent year,
80 percent.
``(C) Limitations and secretarial authority.--
``(i) In general.--Payment may be made
under this part for an individual for--
``(I) not more than one full upper
and one full lower denture once every
five years; and
``(II) not more than one partial
upper denture and one partial lower
denture once every five years.
``(ii) Secretarial authority.--
``(I) Authority to apply additional
limitations.--The Secretary may apply
such other reasonable limitations on
the extent to which dentures are
covered under this part, including
through application of a prior
authorization requirement.
``(II) Authority to modify
coverage.--Notwithstanding any other
provision of this title, if the
Secretary determines appropriate, the
Secretary may modify the coverage under
this part of dentures to the extent
that such modification is consistent
with the recommendations of the United
States Preventive Services Task Force.
``(III) Authority to waive
frequency limitations.--Notwithstanding
clause (i), the Secretary may waive any
frequency limitation under such clause
for an individual (or category of
individuals) if determined appropriate
by the Secretary.''.
(f) Repeal of Ground for Exclusion.--Section 1862(a) of the Social
Security Act (42 U.S.C. 1395y) is amended by striking paragraph (12).
(g) Effective Date.--The amendments made by this section shall
apply to services furnished on or after January 1, 2024.
SEC. 3. VISION CARE.
(a) Coverage.--Section 1861(s)(2) of the Social Security Act (42
U.S.C. 1395x(s)(2)), as amended by section 2, is further amended--
(1) in subparagraph (JJ), by striking ``and'' after the
semicolon at the end;
(2) in subparagraph (KK), by adding ``and'' after the
semicolon at the end; and
(3) by adding at the end the following new subparagraph:
``(LL) vision services (as defined in subsection (ooo));''.
(b) Vision Services Defined.--Section 1861 of the Social Security
Act (42 U.S.C. 1395x), as amended by section 2, is further amended by
adding at the end the following new subsection:
``Vision Services
``(ooo) The term `vision services' means--
``(1) routine eye examinations and procedures performed
(during the course of any eye examination) to determine the
refractive state of the eyes; and
``(2) other necessary services related to eye and vision
health (as defined by the Secretary).''.
(c) Payment; Coinsurance; and Limitations.--
(1) In general.--Section 1833(a)(1) of the Social Security
Act (42 U.S.C. 1395l(a)(1)), as amended by section 2, is
further amended--
(A) by striking ``and'' before ``(HH)''; and
(B) by inserting before the semicolon at the end
the following: ``, and (II) with respect to vision
services (as defined in section 1861(mmm)), the amount
paid shall be the payment amount specified under
section 1834(bb)''.
(2) Payment and limits specified.--Section 1834 of the
Social Security Act (42 U.S.C. 1395m), as amended by section 2,
is further amended by adding at the end the following new
subsection:
``(bb) Payment and Limits for Vision Services.--
``(1) In general.--The payment amount under this part for
vision services (as defined in section 1861(ooo)) shall be,
subject to paragraph (2), 80 percent of the lesser of the
actual charge for the services or the amount determined under
the payment basis determined under section 1848.
``(2) Limitations and secretarial authority.--
``(A) Frequency.--With respect to routine eye
exams, payment may be made under this part for only one
such exam during a 12-month period.
``(B) Secretarial authority.--
``(i) Authority to apply additional
limitations.--The Secretary may apply other
reasonable limitations on the extent to which
vision services are covered under this part,
including through application of a prior
authorization requirement.
``(ii) Authority to modify coverage.--
Notwithstanding any other provision of this
title, if the Secretary determines appropriate,
the Secretary may modify the coverage under
this part of vision services to the extent that
such modification is consistent with the
recommendations of the United States Preventive
Services Task Force.
``(iii) Authority to waive frequency
limitations.--Notwithstanding subparagraph (A),
the Secretary may waive any frequency
limitation under such subparagraph for an
individual (or category of individuals) if
determined appropriate by the Secretary.''.
(d) Payment Under Physician Fee Schedule.--Section 1848(j)(3) of
the Social Security Act (42 U.S.C. 1395w-4(j)(3)) is amended by
inserting ``(2)(LL),'' after ``(2)(KK),'' (as added by section 2).
(e) Special Payment Rules for Eyeglasses, Contact Lenses, and Low
Vision Devices.--Section 1834(a) of the Social Security Act (42 U.S.C.
1395m(a)), as amended by section 2, is further amended by adding at the
end the following:
``(24) Payment and limits for eyeglasses and contact
lenses.--
``(A) In general.--The payment amount under this
part for eyeglass lenses, eyeglass frames, and contact
lenses shall be, subject to subparagraph (B), 80
percent of the amount otherwise payable for such
eyeglass lenses, eyeglass frames, and contact lenses,
respectively, under this section.
``(B) Limitations and secretarial authority.--
``(i) In general.--Subject to clause (iii),
payment may be made under this part (other than
for eyewear described in section 1861(s)(8))
for an individual for--
``(I) not more than one pair of
eyeglass lenses during any 12-month
period in an amount not exceeding $100;
``(II) not more than one set of
eyeglass frames during any 24-month
period in an amount not exceeding $100;
and
``(III) contact lenses, only to the
extent that the sum of such payments
for contact lenses does not exceed a
limitation of $200 during any 24-month
period beginning during the first year
beginning at least six months after the
date of the enactment of this paragraph
(or, beginning during a subsequent
year, such limitation for a 24-month
period beginning in the previous year
increase by an appropriate inflation
adjustment specified by the Secretary).
``(ii) Secretarial authority.--
``(I) Authority to apply additional
limitations.--The Secretary may apply
such other reasonable limitations on
the extent to which eyeglass lenses,
eyeglass frames, and contact lenses are
covered under this part, including
through application of a prior
authorization requirement.
``(II) Authority to modify
coverage.--Notwithstanding any other
provision of this title, if the
Secretary determines appropriate, the
Secretary may modify the coverage under
this part of eyeglass lenses, eyeglass
frames, and contact lenses to the
extent that such modification is
consistent with the recommendations of
the United States Preventive Services
Task Force.
``(III) Authority to waive
frequency limitations.--Notwithstanding
clause (i), the Secretary may waive any
frequency limitation under such clause
for an individual (or category of
individuals) if determined appropriate
by the Secretary.
``(iii) Update of payment limits to account
for inflation.--With respect to eyeglass lenses
and contact lenses furnished during 2025 or a
subsequent year, the Secretary shall increase
the dollar amounts in effect under this
subparagraph for such year by the percentage
change in the consumer price index for all
urban consumers (United States city average)
for the 12-month period ending with June of the
previous year.
``(25) Payment and limits for low vision devices.--
``(A) In general.--The payment amount under this
part for low vision devices shall be 80 percent of the
amount otherwise payable for low vision devices under
this section.
``(B) Secretarial authority.--
``(i) Authority to apply limitations.--The
Secretary may apply reasonable limitations on
the extent to which low vision devices are
covered under this part, including through
application of a prior authorization
requirement.
``(ii) Authority to modify coverage.--
Notwithstanding any other provision of this
title, if the Secretary determines appropriate,
the Secretary may modify the coverage under
this part of low vision devices to the extent
that such modification is consistent with the
recommendations of the United States Preventive
Services Task Force.
``(C) Low vision device defined.--In this
paragraph, the term `low vision device' means a device,
prescribed by a physician, that magnifies, enhances, or
otherwise augments or interprets visual images
irrespective of the size, form, or technological
features of such device and does not include ordinary
eyeglasses or contact lenses. In the previous sentence,
the term `ordinary eyeglasses or contact lenses' means
lenses that are intended to fully correct visual acuity
or fully eliminate refractive error.''.
(f) Definition of Durable Medical Equipment To Include Eyeglasses,
Contact Lenses, and Low Vision Devices.--Section 1861(n) of the Social
Security Act (42 U.S.C. 1395x(n)) is amended--
(1) by striking ``and'' before ``eye tracking'' and
inserting a comma; and
(2) by inserting ``, and eyeglass lenses, low vision
devices (as defined in section 1834(a)(25)), eyeglass frames,
and contact lenses'' before ``; except''.
(g) Repeal of Ground for Exclusion.--Section 1862(a)(7) of the
Social Security Act (42 U.S.C. 1395y(a)(7)) is amended by striking ``,
eyeglasses (other than eyewear described in section 1861(s)(8)) or eye
examinations for the purpose of prescribing, fitting, or changing
eyeglasses, procedures performed (during the course of any eye
examination) to determine the refractive state of the eyes''.
(h) Effective Date.--The amendments made by this section shall
apply to services furnished on or after January 1, 2024.
SEC. 4. HEARING CARE.
(a) Coverage.--
(1) In general.--Section 1861(s)(2) of the Social Security
Act (42 U.S.C. 1395x(s)(2)), as amended by sections 2 and 3, is
further amended--
(A) in subparagraph (KK), by striking ``and'' at
the end;
(B) in subparagraph (LL), by inserting ``and'' at
the end; and
(C) by adding at the end the following new
subparagraph:
``(MM) audiology services (as defined in subsection
(ll)(3)) and hearing services (as defined in subsection
(ll)(5));''.
(2) Hearing services defined.--Section 1861(ll) of the
Social Security Act (42 U.S.C. 1395x(ll)) is amended--
(A) in the subsection heading, by inserting ``;
Hearing Services'' after ``Audiology Services''; and
(B) by adding at the end the following new
paragraph:
``(5) The term `hearing services' means--
``(A) routine hearing exams and exams for hearing aids; and
``(B) other necessary services related to hearing health
(as defined by the Secretary).''.
(b) Payment; Coinsurance; and Limitations.--
(1) In general.--Section 1833(a)(1) of the Social Security
Act (42 U.S.C. 1395l(a)(1)), as amended by sections 2 and 3, is
further amended--
(A) by striking ``and'' before ``(II)''; and
(B) by inserting before the semicolon at the end
the following: ``, and (JJ) with respect to audiology
services (as defined in section 1861(ll)(3)) and
hearing services (as defined in section 1861(ll)(5)),
the amount paid shall be the payment amount specified
under section 1834(cc)''.
(2) Payment and limits specified.--Section 1834 of the
Social Security Act (42 U.S.C. 1395m), as amended by sections 2
and 3, is further amended by adding at the end the following
new subsection:
``(cc) Payment and Limits for Hearing Services.--
``(1) In general.--The payment amount under this part for
audiology services (as defined in section 1861(ll)(3)) and
hearing services (as defined in section 1861(ll)(5)), shall be,
subject to paragraph (2), 80 percent of the lesser of the
actual charge for the services or the amount determined under
the payment basis determined under section 1848.
``(2) Secretarial authority.--
``(A) Authority to apply limitations.--The
Secretary may apply reasonable limitations on the
extent to which audiology services and hearing services
are covered under this part, including through
application of a prior authorization requirement.
``(B) Authority to modify coverage.--
Notwithstanding any other provision of this title, if
the Secretary determines appropriate, the Secretary may
modify the coverage under this part of audiology
services and hearing services to the extent that such
modification is consistent with the recommendations of
the United States Preventive Services Task Force.''.
(c) Payment Under the Physician Fee Schedule.--Section 1848(j)(3)
of the Social Security Act (42 U.S.C. 1395w-4(j)(3)), as amended by
section 2(d), is further amended by inserting ``(2)(MM),'' before
``(3)''.
(d) Hearing Aids.--
(1) Repeal of ground for exclusion.--Section 1862(a)(7) of
the Social Security Act (42 U.S.C. 1395y(a)(7)), as amended by
section 3(g), is further amended by striking ``, hearing aids
or examinations therefor,''.
(2) Definition of durable medical equipment to include
hearing aids.--Section 1861(n) of the Social Security Act (42
U.S.C. 1395x(n)), as amended by section 3, is further amended
by inserting ``hearing aids,'' before ``and eyeglass lenses''.
(3) Special payment rules for hearing aids.--Section
1834(a) of the Social Security Act (42 U.S.C. 1395m(a)), as
amended by sections 2 and 3, is further amended by adding at
the end the following new paragraph:
``(26) Payment and limits for hearing aids.--
``(A) In general.--The payment amount under this
part for hearing aids shall be, subject to subparagraph
(B), 80 percent of the amount otherwise payable for
hearing aids under this section.
``(B) Limitations and secretarial authority.--
``(i) In general.--Payment may be made
under this part for an individual for not more
than one hearing aid per ear during a 48-month
period.
``(ii) Secretarial authority.--
``(I) Authority to apply additional
limitations.--The Secretary may apply
additional limitations on the extent to
which hearing aids are covered under
this part, including through
application of a prior authorization
requirement and through application of
criteria for a minimum level of hearing
loss for coverage of an initial or
replacement hearing aid.
``(II) Authority to modify
coverage.--Notwithstanding any other
provision of this title, if the
Secretary determines appropriate, the
Secretary may modify the coverage under
this part of hearing aids to the extent
that such modification is consistent
with the recommendations of the United
States Preventive Services Task Force.
``(iii) Authority to waive frequency
limitations.--Notwithstanding clause (i), the
Secretary may waive any frequency limitation
under such clause for an individual (or
category of individuals) if determined
appropriate by the Secretary.''.
(e) Effective Date.--The amendments made by this section shall
apply to services furnished on or after January 1, 2024.
SEC. 5. NONAPPLICATION OF COMPETITIVE ACQUISITION TO CERTAIN ITEMS.
Section 1847(a)(2) of the Social Security Act (42 U.S.C. 1395w-
3(a)(2)) is amended--
(1) by striking ``and excluding'' and inserting
``excluding''; and
(2) by inserting ``, and excluding dentures, eyeglass
lenses, contact lenses, and hearing aids'' before the period at
the end.
SEC. 6. INCLUSION OF AN ORAL HEALTH PROFESSIONAL ON THE UNITED STATES
PREVENTIVE SERVICES TASK FORCE.
(a) In General.--The first sentence of section 915(a)(1) of the
Public Health Service Act (42 U.S.C. 299b-4(a)(1)) is amended by
inserting ``, including at least 1 oral health professional'' before
the period at the end.
(b) Effective Date.--The amendment made by subsection (a) shall
apply beginning on January 1 of the first year beginning at least 6
months after the date of the enactment of this Act.
<all>
</pre></body></html>
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"title": "To amend title XVIII of the Social Security Act to provide for coverage of dental, vision, and hearing care under the Medicare program.",
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118HR330 | Title X Abortion Provider Prohibition Act | [
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"W00082... | <p><b>Title X Abortion Provider Prohibition Act</b></p> <p>This bill prohibits the Department of Health and Human Services (HHS) from awarding family planning grants to entities that perform abortions or provide funding to other entities that perform abortions. To receive a grant, an entity must certify it will refrain from those activities during the grant period.</p> <p>The bill provides exceptions for abortions (1) in cases of rape or incest; or (2) when the life of the woman is in danger due to a physical disorder, injury, or illness. It also exempts hospitals unless they provide funds to non-hospital entities that provide abortions.</p> <p>HHS must report annually on this prohibition.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 330 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 330
To amend title X of the Public Health Service Act to prohibit family
planning grants from being awarded to any entity that performs
abortions, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Ms. Foxx (for herself, Mr. Guthrie, Mr. Cloud, Mr. Waltz, Mr.
Westerman, Mr. Balderson, Mrs. Harshbarger, Mr. Bishop of North
Carolina, Mr. Duncan, Mr. Fulcher, Mr. Carl, Mr. Aderholt, Mr. Mooney,
Mr. Feenstra, Mr. Babin, Mrs. Miller of Illinois, Mr. Hunt, Mr. Banks,
Mr. Clyde, Mr. Burchett, Mr. Brecheen, Mr. Johnson of Ohio, Mr.
Reschenthaler, Mr. Murphy, Mr. Johnson of Louisiana, Mr. Luetkemeyer,
Mr. Guest, Mr. Owens, Mr. Latta, Mr. Grothman, Mr. Kelly of
Mississippi, Mr. Barr, Mr. Ellzey, and Mr. Wenstrup) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To amend title X of the Public Health Service Act to prohibit family
planning grants from being awarded to any entity that performs
abortions, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Title X Abortion Provider
Prohibition Act''.
SEC. 2. PROHIBITION ON ABORTION.
Title X of the Public Health Service Act (42 U.S.C. 300 et seq.) is
amended by adding at the end the following:
``SEC. 1009. ADDITIONAL PROHIBITION REGARDING ABORTION.
``(a) Prohibition.--The Secretary shall not provide any assistance
under this title to an entity unless the entity certifies that, during
the period of such assistance, the entity will not perform, and will
not provide any funds to any other entity that performs, an abortion.
``(b) Exception.--Subsection (a) does not apply with respect to an
abortion where--
``(1) the pregnancy is the result of rape or incest; or
``(2) a physician certifies that the woman suffers from a
physical disorder, physical injury, or physical illness that
would place the woman in danger of death unless an abortion is
performed, including a life-threatening physical condition
caused by or arising from the pregnancy itself.
``(c) Hospitals.--Subsection (a) does not apply with respect to a
hospital, so long as such hospital does not, during the period of
assistance described in subsection (a), provide funds to any non-
hospital entity that performs an abortion (other than an abortion
described in subsection (b)).
``(d) Annual Report.--Not later than 60 days after the date of the
enactment of the Title X Abortion Provider Prohibition Act, and
annually thereafter, for the fiscal year involved, the Secretary shall
submit a report to the Congress containing--
``(1) a list of each entity receiving a grant under this
title;
``(2) for each such entity performing abortions under the
exceptions described in subsection (b)--
``(A) the total number of such abortions;
``(B) the number of such abortions where the
pregnancy is the result of rape;
``(C) the number of such abortions where the
pregnancy is the result of incest; and
``(D) the number of such abortions where a
physician provides a certification described in
subsection (b)(2);
``(3) a statement of the date of the latest certification
under subsection (a) for each entity receiving a grant under
this title; and
``(4) a list of each entity to which an entity described in
paragraph (1) makes available funds received through a grant
under this title.
``(e) Definitions.--In this section:
``(1) The term `entity' means the entire legal entity,
including any entity that controls, is controlled by, or is
under common control with such entity.
``(2) The term `hospital' has the meaning given to such
term in section 1861(e) of the Social Security Act.''.
<all>
</pre></body></html>
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118HR3300 | 5G UPGRADE Act of 2023 | [
[
"H001086",
"Rep. Harshbarger, Diana [R-TN-1]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3300 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3300
To amend the Middle Class Tax Relief and Job Creation Act of 2012 to
provide a timeframe for the consideration by State and local
governments of requests for modification of certain existing wireless
facilities, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mrs. Harshbarger introduced the following bill; which was referred to
the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Middle Class Tax Relief and Job Creation Act of 2012 to
provide a timeframe for the consideration by State and local
governments of requests for modification of certain existing wireless
facilities, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``5G Using Previously Granted Rulings
that Accelerate Deployment Everywhere Act of 2023'' or the ``5G UPGRADE
Act of 2023''.
SEC. 2. TIMEFRAME FOR CONSIDERATION OF REQUESTS FOR MODIFICATION OF
CERTAIN EXISTING WIRELESS FACILITIES.
(a) In General.--Section 6409(a) of the Middle Class Tax Relief and
Job Creation Act of 2012 (47 U.S.C. 1455(a)) is amended--
(1) in paragraph (1), by inserting ``or instrumentality
thereof'' after ``State or local government'';
(2) in paragraph (3), by striking ``paragraph (1)'' and
inserting ``this subsection''; and
(3) by adding at the end the following:
``(4) Timeframe.--
``(A) Deemed approval.--If a State or local
government or instrumentality thereof does not, before
or on the date that is 60 days after the date on which
a requesting party submits to the government or
instrumentality a request as an eligible facilities
request described in paragraph (1), approve the request
or make the determination and provide the written
notice described in subparagraph (B) with respect to
the request, the request is deemed approved on the day
after the date that is 60 days after the date on which
the requesting party submits the request.
``(B) Determination request is not covered.--
``(i) Determination described.--The
determination described in this subparagraph is
a determination by a State or local government
or instrumentality thereof that a request
described in subparagraph (A) is not an
eligible facilities request described in
paragraph (1).
``(ii) Written notice described.--The
written notice described in this subparagraph
is a written notice of the determination
described in clause (i) provided by the
government or instrumentality to the requesting
party that clearly describes the reasons why
the request is not an eligible facilities
request described in paragraph (1) and includes
a citation to a specific provision of this
subsection or the regulations promulgated under
this subsection relied upon for the
determination.
``(C) Tolling due to incompleteness.--
``(i) Initial request incomplete.--If, not
later than 30 days after the date on which a
requesting party submits to a State or local
government or instrumentality thereof a request
described in subparagraph (A), the government
or instrumentality provides to the requesting
party a written notice described in clause
(iii) with respect to the request, the 60-day
timeframe under subparagraph (A) is tolled
until the date on which the requesting party
submits to the government or instrumentality a
supplemental submission in response to the
notice.
``(ii) Supplemental submission
incomplete.--If, not later than 10 days after
the date on which a requesting party submits to
a State or local government or instrumentality
thereof a supplemental submission in response
to a written notice under clause (i) with
respect to a request described in subparagraph
(A) or a written notice under this clause with
respect to a subsequent supplemental
submission, the government or instrumentality
provides to the requesting party a written
notice described in clause (iii) with respect
to the supplemental submission, the 60-day
timeframe under subparagraph (A) is further
tolled until the date on which the requesting
party submits to the government or
instrumentality a subsequent supplemental
submission in response to the notice.
``(iii) Written notice described.--The
written notice described in this clause is,
with respect to a request described in
subparagraph (A) or a supplemental submission
described in clause (i) or (ii) submitted to a
State or local government or instrumentality
thereof by a requesting party, a written notice
from the government or instrumentality to the
requesting party--
``(I) stating that all of the
information (including any form or
other document) required by the
government or instrumentality to be
submitted for the request to be
considered complete has not been
submitted;
``(II) identifying the information
described in subclause (I) that was not
submitted; and
``(III) including a citation to a
specific provision of a publicly
available rule, regulation, or standard
issued by the government or
instrumentality requiring that such
information be submitted with such a
request.
``(iv) Limitation.--
``(I) Initial written notice.--If a
written notice provided by a State or
local government or instrumentality
thereof to a requesting party under
clause (i) with respect to a request
described in subparagraph (A)
identifies as not having been submitted
any information that the government or
instrumentality is prohibited by
paragraph (6) from requiring to be
submitted, such notice shall be treated
as not having been provided to the
requesting party.
``(II) Subsequent written notice.--
If a written notice provided by a State
or local government or instrumentality
thereof to a requesting party under
clause (ii) with respect to a
supplemental submission identifies as
not having been submitted any
information that was not identified as
not having been submitted in the prior
written notice under clause (i) or (ii)
in response to which the supplemental
submission was submitted, the
subsequent written notice shall be
treated as not having been provided to
the requesting party.
``(D) Tolling by mutual agreement.--In addition to
any tolling under subparagraph (C), the 60-day
timeframe under subparagraph (A) may be tolled by
mutual agreement between the State or local government
or instrumentality thereof and the requesting party.
``(5) When request considered submitted.--
``(A) In general.--For the purposes of this
subsection, a request described in paragraph (4)(A)
shall be considered submitted on the date on which the
requesting party takes the first procedural step within
the control of the requesting party--
``(i) to submit such request in accordance
with the procedures established by the
government or instrumentality for the review
and approval of such a request; or
``(ii) in the case of a government or
instrumentality that has not established
specific procedures for the review and approval
of such a request, to submit to the government
or instrumentality the type of filing that is
typically required to initiate a standard
review for a similar facility or structure.
``(B) No pre-application requirements.--A State or
local government or instrumentality thereof may not
require a requesting party to undertake any process,
meeting, or other step prior to or as a prerequisite to
a request being considered submitted.
``(6) Limitation on required documentation.--A State or
local government or instrumentality thereof may require a
requesting party submitting a request as an eligible facilities
request described in paragraph (1) to submit information
(including a form or other document) with such request only to
the extent that such information is reasonably related to
determining whether such request is an eligible facilities
request described in paragraph (1) and is identified in a
publicly available rule, regulation, or standard issued by the
government or instrumentality requiring that such information
be submitted with such a request. A State or local government
or instrumentality thereof may not require a requesting party
to submit any other documentation or information with such a
request.
``(7) Enforcement.--
``(A) In general.--A requesting party may bring an
action in any district court of the United States to
enforce the provisions of this subsection.
``(B) Expedited review.--A district court of the
United States shall consider an action under
subparagraph (A) on an expedited basis.''.
(b) Implementation.--Not later than 180 days after the date of the
enactment of this Act, the Federal Communications Commission shall
issue final rules to implement the amendments made by subsection (a).
(c) Applicability.--The amendments made by subsection (a) shall
apply with respect to any eligible facilities request described in
paragraph (1) of section 6409(a) of the Middle Class Tax Relief and Job
Creation Act of 2012 (47 U.S.C. 1455(a)) that is submitted (as
determined under paragraph (5) of such section, as added by subsection
(a)) by a requesting party on or after the date of the enactment of
this Act.
<all>
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118HR3301 | Connecting Communities Post Disasters Act of 2023 | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3301 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3301
To provide that a project to replace or improve a communications
facility following a major disaster or an emergency declared by the
President is not subject to requirements to prepare certain
environmental or historical preservation reviews, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Dunn of Florida (for himself and Mr. Bilirakis) introduced the
following bill; which was referred to the Committee on Energy and
Commerce, and in addition to the Committee on Natural Resources, for a
period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To provide that a project to replace or improve a communications
facility following a major disaster or an emergency declared by the
President is not subject to requirements to prepare certain
environmental or historical preservation reviews, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Connecting Communities Post
Disasters Act of 2023''.
SEC. 2. APPLICATION OF NEPA AND NHPA TO COVERED COMMUNICATIONS
PROJECTS.
(a) NEPA Exemption.--A Federal authorization with respect to a
covered project may not be considered a major Federal action under
section 102(2)(C) of the National Environmental Policy Act of 1969 (42
U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A covered
project may not be considered an undertaking under section 300320 of
title 54, United States Code.
(c) Definitions.--In this section:
(1) Communications facility.--The term ``communications
facility'' has the meaning given the term ``communications
facility installation'' in section 6409(d) of the Middle Class
Tax Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)).
(2) Covered project.--The term ``covered project'' means a
project that--
(A) is to be carried out within an area for which
the President has declared a major disaster or an
emergency under the Robert T. Stafford Disaster Relief
and Emergency Assistance Act (42 U.S.C. 5121 et seq.);
(B) is to be carried out not later than 5 years
after the date on which the President made such
declaration; and
(C) replaces a communications facility damaged by
such disaster or emergency or makes improvements to a
communications facility in such area that could
reasonably be considered as necessary for recovery from
such disaster or emergency or to prevent or mitigate
any future disaster or emergency.
(3) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a covered project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a covered project.
<all>
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118HR3302 | Protecting Moms and Babies Against Climate Change Act | [
[
"U000040",
"Rep. Underwood, Lauren [D-IL-14]",
"sponsor"
],
[
"A000371",
"Rep. Aguilar, Pete [D-CA-33]",
"cosponsor"
],
[
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... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3302 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3302
To protect Moms and babies against climate change, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Ms. Underwood (for herself, Mr. Aguilar, Mr. Allred, Ms. Barragan, Mrs.
Beatty, Mr. Bishop of Georgia, Mr. Blumenauer, Ms. Blunt Rochester, Ms.
Brownley, Ms. Budzinski, Ms. Bush, Ms. Caraveo, Mr. Carbajal, Mr.
Carson, Mr. Carter of Louisiana, Mrs. Cherfilus-McCormick, Ms. Clarke
of New York, Mr. Cleaver, Mr. Cohen, Ms. Craig, Ms. Crockett, Mr. Davis
of Illinois, Ms. Dean of Pennsylvania, Ms. Escobar, Mr. Espaillat, Mr.
Evans, Mrs. Foushee, Mr. Garamendi, Ms. Garcia of Texas, Mr. Garcia of
Illinois, Mr. Green of Texas, Mrs. Hayes, Mr. Horsford, Mr. Huffman,
Mr. Ivey, Mr. Jackson of Illinois, Ms. Jackson Lee, Ms. Jacobs, Ms.
Jayapal, Mr. Johnson of Georgia, Ms. Kamlager-Dove, Mr. Krishnamoorthi,
Ms. Kuster, Ms. Lee of California, Mr. Lieu, Ms. Lofgren, Mrs. McBath,
Mrs. McClellan, Ms. McCollum, Mr. McGovern, Mr. Meeks, Ms. Meng, Mr.
Mfume, Mr. Morelle, Mr. Moulton, Ms. Moore of Wisconsin, Mr. Mrvan, Mr.
Mullin, Mrs. Napolitano, Mr. Neguse, Ms. Ocasio-Cortez, Mr. Pappas, Mr.
Payne, Mr. Phillips, Ms. Porter, Ms. Pressley, Mr. Ruppersberger, Ms.
Salinas, Ms. Scanlon, Mr. Schiff, Mr. Schneider, Ms. Scholten, Mr.
David Scott of Georgia, Ms. Sewell, Mr. Smith of Washington, Mr. Soto,
Ms. Spanberger, Ms. Stansbury, Ms. Strickland, Mrs. Sykes, Mr. Takano,
Ms. Tlaib, Ms. Tokuda, Mr. Tonko, Mrs. Torres of California, Mrs.
Trahan, Mr. Trone, Mr. Vargas, Mr. Veasey, Ms. Velazquez, Ms. Wasserman
Schultz, Mrs. Watson Coleman, Ms. Wexton, Ms. Williams of Georgia, Mr.
Pascrell, Ms. DelBene, and Mr. Lynch) introduced the following bill;
which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To protect Moms and babies against climate change, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Protecting Moms and Babies Against
Climate Change Act''.
SEC. 2. DEFINITIONS.
In this Act:
(1) Adverse maternal and infant health outcomes.--The term
``adverse maternal and infant health outcomes'' includes the
outcomes of preterm birth, low birth weight, stillbirth, infant
or maternal mortality, and severe maternal morbidity.
(2) Institution of higher education.--The term
``institution of higher education'' has the meaning given such
term in section 101 of the Higher Education Act of 1965 (20
U.S.C. 1001).
(3) Maternal mortality.--The term ``maternal mortality''
means a death occurring during or within a 1-year period after
pregnancy, caused by pregnancy-related or childbirth
complications, including a suicide, overdose, or other death
resulting from a mental health or substance use disorder
attributed to or aggravated by pregnancy-related or childbirth
complications.
(4) Minority-serving institution.--The term ``minority-
serving institution'' means an entity specified in any of
paragraphs (1) through (7) of section 371(a) of the Higher
Education Act of 1965 (20 U.S.C. 1067q(a)).
(5) Perinatal health worker.--The term ``perinatal health
worker'' means a nonclinical health worker focused on maternal
or perinatal health, such as a doula, community health worker,
peer supporter, lactation educator or counselor, nutritionist
or dietitian, childbirth educator, social worker, home visitor,
patient navigator or coordinator, or language interpreter.
(6) Racial and ethnic minority group.--The term ``racial
and ethnic minority group'' has the meaning given such term in
section 1707(g)(1) of the Public Health Service Act (42 U.S.C.
300u-6(g)).
(7) Risks associated with climate change.--The term ``risks
associated with climate change'' includes risks associated with
extreme heat, air pollution, extreme weather events, and other
environmental issues associated with climate change that can
result in adverse maternal and infant health outcomes.
(8) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(9) Severe maternal morbidity.--The term ``severe maternal
morbidity'' means a health condition, including mental health
conditions and substance use disorders, attributed to or
aggravated by pregnancy or childbirth that results in
significant short-term or long-term consequences to the health
of the individual who was pregnant.
(10) Stakeholder organization.--The term ``stakeholder
organization'' means--
(A) a community-based organization with expertise
in providing assistance to vulnerable individuals;
(B) a nonprofit organization with expertise in--
(i) maternal or infant health; or
(ii) environmental or climate justice; and
(C) a patient advocacy organization representing
vulnerable individuals.
(11) Vulnerable individual.--The term ``vulnerable
individual'' means--
(A) an individual who is pregnant;
(B) an individual who was pregnant during any
portion of the preceding 1-year period; and
(C) an individual under 3 years of age.
SEC. 3. GRANT PROGRAM TO PROTECT VULNERABLE MOTHERS AND BABIES FROM
CLIMATE CHANGE RISKS.
(a) In General.--Not later than 180 days after the date of the
enactment of this Act, the Secretary shall establish a grant program to
protect vulnerable individuals from risks associated with climate
change.
(b) Grant Authority.--In carrying out the Program, the Secretary
may award, on a competitive basis, grants to 10 covered entities.
(c) Applications.--To be eligible for a grant under the Program, a
covered entity shall submit to the Secretary an application at such
time, in such form, and containing such information as the Secretary
may require, which shall include, at a minimum, a description of the
following:
(1) Plans for the use of grant funds awarded under the
Program and how patients and stakeholder organizations were
involved in the development of such plans.
(2) How such grant funds will be targeted to geographic
areas that have disproportionately high levels of risks
associated with climate change for vulnerable individuals.
(3) How such grant funds will be used to address racial and
ethnic disparities in--
(A) adverse maternal and infant health outcomes;
and
(B) exposure to risks associated with climate
change for vulnerable individuals.
(4) Strategies to prevent an initiative assisted with such
grant funds from causing--
(A) adverse environmental impacts;
(B) displacement of residents and businesses;
(C) rent and housing price increases; or
(D) disproportionate adverse impacts on racial and
ethnic minority groups and other underserved
populations.
(d) Selection of Grant Recipients.--
(1) Timing.--Not later than 270 days after the date of
enactment of this Act, the Secretary shall select the
recipients of grants under the Program.
(2) Consultation.--In selecting covered entities for grants
under the Program, the Secretary shall consult with--
(A) representatives of stakeholder organizations;
(B) the Administrator of the Environmental
Protection Agency;
(C) the Administrator of the National Oceanic and
Atmospheric Administration; and
(D) from the Department of Health and Human
Services--
(i) the Deputy Assistant Secretary for
Minority Health;
(ii) the Administrator of the Centers for
Medicare & Medicaid Services;
(iii) the Administrator of the Health
Resources and Services Administration;
(iv) the Director of the National
Institutes of Health; and
(v) the Director of the Centers for Disease
Control and Prevention.
(3) Priority.--In selecting grantees under the Program, the
Secretary shall give priority to covered entities that serve a
county or locality--
(A) designated, or located in an area designated,
as a nonattainment area pursuant to section 107 of the
Clean Air Act (42 U.S.C. 7407) for any air pollutant
for which air quality criteria have been issued under
section 108(a) of such Act (42 U.S.C. 7408(a));
(B) with a level of vulnerability of moderate-to-
high or higher, according to the Social Vulnerability
Index of the Centers for Disease Control and
Prevention, or a similar rating of social vulnerability
according to related Federal mapping tools;
(C) with temperatures that pose a risk to human
health, as determined by the Secretary, in consultation
with the Administrator of the National Oceanic and
Atmospheric Administration and the Chair of the United
States Global Change Research Program, based on the
best available science;
(D) with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities,
or other adverse perinatal or childbirth outcomes;
(E) with a rating of very high or relatively high
risk according to the National Risk Index for Natural
Hazards of the Federal Emergency Management Agency; or
(F) with other climate-sensitive hazards with
associations to adverse maternal or infant health
outcomes, as determined by the Secretary.
(4) Limitation.--A recipient of grant funds under the
Program may not use such grant funds to serve a county or
locality that is served by any other recipient of a grant under
the Program.
(e) Use of Funds.--A covered entity awarded grant funds under the
Program may only use such grant funds for the following:
(1) Initiatives to identify risks associated with climate
change for vulnerable individuals and to provide services and
support to such individuals that address such risks, which may
include--
(A) training for health care providers, perinatal
health workers, and other employees in hospitals, birth
centers, midwifery practices, and other health care
practices that provide prenatal or labor and delivery
services to vulnerable individuals on the
identification of, and patient counseling relating to,
risks associated with climate change for vulnerable
individuals;
(B) hiring, training, or providing resources to
perinatal health workers who can help identify risks
associated with climate change for vulnerable
individuals, provide patient counseling about such
risks, and carry out the distribution of relevant
services and support;
(C) enhancing the monitoring of risks associated
with climate change for vulnerable individuals,
including by--
(i) collecting data on such risks in
specific census tracts, neighborhoods, or other
geographic areas; and
(ii) sharing such data with local health
care providers, perinatal health workers, and
other employees in hospitals, birth centers,
midwifery practices, and other health care
practices that provide prenatal or labor and
delivery services to local vulnerable
individuals; and
(D) providing vulnerable individuals--
(i) air conditioning units, residential
weatherization support, filtration systems,
household appliances, or related items;
(ii) direct financial assistance; and
(iii) services and support, including
housing assistance, evacuation assistance,
transportation assistance, access to cooling
shelters, and mental health counseling, to
prepare for or recover from extreme weather
events, which may include floods, hurricanes,
wildfires, droughts, and related events.
(2) Initiatives to mitigate levels of and exposure to risks
associated with climate change for vulnerable individuals,
which shall be based on the best available science and which
may include initiatives to--
(A) develop, maintain, or expand urban or community
forestry initiatives and tree canopy coverage
initiatives;
(B) improve infrastructure, such as buildings and
paved surfaces;
(C) develop or improve community outreach networks
to provide culturally and linguistically appropriate
information and notifications about risks associated
with climate change for vulnerable individuals; and
(D) provide enhanced services to racial and ethnic
minority groups and other underserved populations.
(f) Length of Award.--A grant under this section shall be disbursed
over 4 fiscal years.
(g) Technical Assistance.--The Secretary shall provide technical
assistance to a covered entity awarded a grant under the Program to
support the development, implementation, and evaluation of activities
funded with such grant.
(h) Reports to Secretary.--
(1) Annual report.--For each fiscal year during which a
covered entity is disbursed grant funds under the Program, such
covered entity shall submit to the Secretary a report that
summarizes the activities carried out by such covered entity
with such grant funds during such fiscal year, which shall
include a description of the following:
(A) The involvement of stakeholder organizations in
the implementation of initiatives assisted with such
grant funds.
(B) Relevant health and environmental data,
disaggregated, to the extent practicable, by race,
ethnicity, primary language, socioeconomic status,
geography, insurance type, pregnancy status, and other
relevant demographic information.
(C) Qualitative feedback received from vulnerable
individuals with respect to initiatives assisted with
such grant funds.
(D) Criteria used in selecting the geographic areas
assisted with such grant funds.
(E) Efforts to address racial and ethnic
disparities in adverse maternal and infant health
outcomes and in exposure to risks associated with
climate change for vulnerable individuals.
(F) Any negative and unintended impacts of
initiatives assisted with such grant funds, including--
(i) adverse environmental impacts;
(ii) displacement of residents and
businesses;
(iii) rent and housing price increases; and
(iv) disproportionate adverse impacts on
racial and ethnic minority groups and other
underserved populations.
(G) How the covered entity will address and prevent
any impacts described in subparagraph (F).
(2) Publication.--Not later than 30 days after the date on
which a report is submitted under paragraph (1), the Secretary
shall publish such report on a public website of the Department
of Health and Human Services.
(i) Report to Congress.--Not later than the date that is 5 years
after the date on which the Program is established, the Secretary shall
submit to Congress and publish on a public website of the Department of
Health and Human Services a report on the results of the Program,
including the following:
(1) Summaries of the annual reports submitted under
subsection (h).
(2) Evaluations of the initiatives assisted with grant
funds under the Program.
(3) An assessment of the effectiveness of the Program in--
(A) identifying risks associated with climate
change for vulnerable individuals;
(B) providing services and support to such
individuals;
(C) mitigating levels of and exposure to such
risks; and
(D) addressing racial and ethnic disparities in
adverse maternal and infant health outcomes and in
exposure to such risks.
(4) A description of how the Program could be expanded,
including--
(A) monitoring efforts or data collection that
would be required to identify areas with high levels of
risks associated with climate change for vulnerable
individuals;
(B) how such areas could be identified using the
strategy developed under section 6; and
(C) recommendations for additional funding.
(j) Definitions.--In this section:
(1) The term ``covered entity'' means a consortium of
organizations serving a county that--
(A) shall include a community-based organization;
and
(B) may include--
(i) another stakeholder organization;
(ii) the government of such county;
(iii) the governments of one or more
municipalities within such county;
(iv) a State or local public health
department or emergency management agency;
(v) a local health care practice, which may
include a licensed and accredited hospital,
birth center, midwifery practice, or other
health care practice that provides prenatal or
labor and delivery services to vulnerable
individuals;
(vi) an Indian tribe or Tribal organization
(as such terms are defined in section 4 of the
Indian Self-Determination and Education
Assistance Act (25 U.S.C. 5304));
(vii) an Urban Indian organization (as
defined in section 4 of the Indian Health Care
Improvement Act (25 U.S.C. 1603)); and
(viii) an institution of higher education.
(2) The term ``Program'' means the grant program under this
section.
(k) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $100,000,000 for the period of
fiscal years 2024 through 2027.
SEC. 4. GRANT PROGRAM FOR EDUCATION AND TRAINING AT HEALTH PROFESSION
SCHOOLS.
(a) In General.--Not later than 1 year after the date of the
enactment of this Act, the Secretary shall establish a grant program to
provide funds to health profession schools to support the development
and integration of education and training programs for identifying and
addressing risks associated with climate change for vulnerable
individuals.
(b) Grant Authority.--In carrying out the Program, the Secretary
may award, on a competitive basis, grants to health profession schools.
(c) Application.--To be eligible for a grant under the Program, a
health profession school shall submit to the Secretary an application
at such time, in such form, and containing such information as the
Secretary may require, which shall include, at a minimum, a description
of the following:
(1) How such health profession school will engage with
vulnerable individuals, and stakeholder organizations
representing such individuals, in developing and implementing
the education and training programs supported by grant funds
awarded under the Program.
(2) How such health profession school will ensure that such
education and training programs will address racial and ethnic
disparities in exposure to, and the effects of, risks
associated with climate change for vulnerable individuals.
(d) Use of Funds.--A health profession school awarded a grant under
the Program shall use the grant funds to develop, and integrate into
the curriculum and continuing education of such health profession
school, education and training on each of the following:
(1) Identifying risks associated with climate change for
vulnerable individuals and individuals with the intent to
become pregnant.
(2) How risks associated with climate change affect
vulnerable individuals and individuals with the intent to
become pregnant.
(3) Racial and ethnic disparities in exposure to, and the
effects of, risks associated with climate change for vulnerable
individuals and individuals with the intent to become pregnant.
(4) Patient counseling and mitigation strategies relating
to risks associated with climate change for vulnerable
individuals.
(5) Relevant services and support for vulnerable
individuals relating to risks associated with climate change
and strategies for ensuring vulnerable individuals have access
to such services and support.
(6) Implicit and explicit bias, racism, and discrimination.
(7) Related topics identified by such health profession
school based on the engagement of such health profession school
with vulnerable individuals and stakeholder organizations
representing such individuals.
(e) Partnerships.--In carrying out activities with grant funds, a
health profession school awarded a grant under the Program may partner
with one or more of the following:
(1) A State or local public health department.
(2) A health care professional membership organization.
(3) A stakeholder organization.
(4) A health profession school.
(5) An institution of higher education.
(f) Reports to Secretary.--
(1) Annual report.--For each fiscal year during which a
health profession school is disbursed grant funds under the
Program, such health profession school shall submit to the
Secretary a report that describes the activities carried out
with such grant funds during such fiscal year.
(2) Final report.--Not later than the date that is 1 year
after the end of the last fiscal year during which a health
profession school is disbursed grant funds under the Program,
the health profession school shall submit to the Secretary a
final report that summarizes the activities carried out with
such grant funds.
(g) Report to Congress.--Not later than the date that is 6 years
after the date on which the Program is established, the Secretary shall
submit to Congress and publish on a public website of the Department of
Health and Human Services a report that includes the following:
(1) A summary of the reports submitted under subsection
(f).
(2) Recommendations to improve education and training
programs at health profession schools with respect to
identifying and addressing risks associated with climate change
for vulnerable individuals.
(h) Definitions.--In this section:
(1) The term ``health profession school'' means an
accredited--
(A) medical school;
(B) school of nursing;
(C) midwifery program;
(D) physician assistant education program;
(E) teaching hospital;
(F) residency or fellowship program; or
(G) other school or program determined appropriate
by the Secretary.
(2) The term ``Program'' means the grant program under this
section.
(i) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $5,000,000 for the period of
fiscal years 2024 through 2027.
SEC. 5. NIH CONSORTIUM ON BIRTH AND CLIMATE CHANGE RESEARCH.
(a) Establishment.--Not later than one year after the date of the
enactment of this Act, the Director of the National Institutes of
Health shall establish the Consortium on Birth and Climate Change
Research (in this section referred to as the ``Consortium'').
(b) Duties.--
(1) In general.--The Consortium shall coordinate, across
the institutes, centers, and offices of the National Institutes
of Health, research on the risks associated with climate change
for vulnerable individuals.
(2) Required activities.--In carrying out paragraph (1),
the Consortium shall--
(A) establish research priorities, including by
prioritizing research that--
(i) identifies the risks associated with
climate change for vulnerable individuals with
a particular focus on disparities in such risks
among racial and ethnic minority groups and
other underserved populations; and
(ii) identifies strategies to reduce levels
of, and exposure to, such risks, with a
particular focus on risks among racial and
ethnic minority groups and other underserved
populations;
(B) identify gaps in available data related to such
risks;
(C) identify gaps in, and opportunities for,
research collaborations;
(D) identify funding opportunities for community-
based organizations and researchers from racially,
ethnically, and geographically diverse backgrounds;
(E) identify opportunities to increase public
awareness related to risks associated with climate
change for vulnerable individuals; and
(F) publish annual reports on the work and findings
of the Consortium on a public website of the National
Institutes of Health.
(c) Membership.--The Director shall appoint to the Consortium
representatives of such institutes, centers, and offices of the
National Institutes of Health as the Director considers appropriate,
including, at a minimum, representatives of--
(1) the National Institute of Environmental Health
Sciences;
(2) the National Institute on Minority Health and Health
Disparities;
(3) the Eunice Kennedy Shriver National Institute of Child
Health and Human Development;
(4) the National Institute of Mental Health;
(5) the National Institute of Nursing Research; and
(6) the Office of Research on Women's Health.
(d) Chairperson.--The Chairperson of the Consortium shall be
designated by the Director and selected from among the representatives
appointed under subsection (c).
(e) Consultation.--In carrying out the duties described in
subsection (b), the Consortium shall consult with--
(1) the heads of relevant Federal agencies, including--
(A) the Environmental Protection Agency;
(B) the National Oceanic and Atmospheric
Administration;
(C) the Occupational Safety and Health
Administration; and
(D) from the Department of Health and Human
Services--
(i) the Office of Minority Health in the
Office of the Secretary;
(ii) the Centers for Medicare & Medicaid
Services;
(iii) the Health Resources and Services
Administration;
(iv) the Centers for Disease Control and
Prevention;
(v) the Indian Health Service; and
(vi) the Administration for Children and
Families; and
(2) representatives of--
(A) stakeholder organizations;
(B) health care providers and professional
membership organizations with expertise in maternal
health or environmental justice;
(C) State and local public health departments;
(D) licensed and accredited hospitals, birth
centers, midwifery practices, or other health care
practices that provide prenatal or labor and delivery
services to vulnerable individuals; and
(E) institutions of higher education, including
such institutions that are minority-serving
institutions or have expertise in maternal health or
environmental justice.
SEC. 6. STRATEGY FOR IDENTIFYING CLIMATE CHANGE RISK ZONES FOR
VULNERABLE MOTHERS AND BABIES.
(a) In General.--The Secretary, acting through the Director of the
Centers for Disease Control and Prevention, shall develop a strategy
(in this section referred to as the ``Strategy'') for designating areas
that the Secretary determines to have a high risk of adverse maternal
and infant health outcomes among vulnerable individuals as a result of
risks associated with climate change.
(b) Strategy Requirements.--
(1) In general.--In developing the Strategy, the Secretary
shall establish a process to identify areas where vulnerable
individuals are exposed to a high risk of adverse maternal and
infant health outcomes as a result of risks associated with
climate change in conjunction with other factors that can
impact such health outcomes, including--
(A) the incidence of diseases associated with air
pollution, extreme heat, and other environmental
factors;
(B) the availability and accessibility of maternal
and infant health care providers;
(C) English-language proficiency among women of
reproductive age;
(D) the health insurance status of women of
reproductive age;
(E) the number of women of reproductive age who are
members of racial or ethnic groups with
disproportionately high rates of adverse maternal and
infant health outcomes;
(F) the socioeconomic status of women of
reproductive age, including with respect to--
(i) poverty;
(ii) unemployment;
(iii) household income; and
(iv) educational attainment; and
(G) access to quality housing, transportation, and
nutrition.
(2) Resources.--In developing the Strategy, the Secretary
shall identify, and incorporate a description of, the
following:
(A) Existing mapping tools or Federal programs that
identify--
(i) risks associated with climate change
for vulnerable individuals; and
(ii) other factors that can influence
maternal and infant health outcomes, including
the factors described in paragraph (1).
(B) Environmental, health, socioeconomic, and
demographic data relevant to identifying risks
associated with climate change for vulnerable
individuals.
(C) Existing monitoring networks that collect data
described in subparagraph (B), and any gaps in such
networks.
(D) Federal, State, and local stakeholders involved
in maintaining monitoring networks identified under
subparagraph (C), and how such stakeholders are
coordinating their monitoring efforts.
(E) Additional monitoring networks, and
enhancements to existing monitoring networks, that
would be required to address gaps identified under
subparagraph (C), including at the subcounty and census
tract level.
(F) Funding amounts required to establish the
monitoring networks identified under subparagraph (E)
and recommendations for Federal, State, and local
coordination with respect to such networks.
(G) Potential uses for data collected and generated
as a result of the Strategy, including how such data
may be used in determining recipients of grants under
the program established by section 3 or other similar
programs.
(H) Other information the Secretary considers
relevant for the development of the Strategy.
(c) Coordination and Consultation.--In developing the Strategy, the
Secretary shall--
(1) coordinate with the Administrator of the Environmental
Protection Agency and the Administrator of the National Oceanic
and Atmospheric Administration; and
(2) consult with--
(A) stakeholder organizations;
(B) health care providers and professional
membership organizations with expertise in maternal
health or environmental justice;
(C) State and local public health departments;
(D) licensed and accredited hospitals, birth
centers, midwifery practices, or other health care
providers that provide prenatal or labor and delivery
services to vulnerable individuals; and
(E) institutions of higher education, including
such institutions that are minority-serving
institutions or have expertise in maternal health or
environmental justice.
(d) Notice and Comment.--At least 240 days before the date on which
the Strategy is published in accordance with subsection (e), the
Secretary shall provide--
(1) notice of the Strategy on a public website of the
Department of Health and Human Services; and
(2) an opportunity for public comment of at least 90 days.
(e) Publication.--Not later than 18 months after the date of the
enactment of this Act, the Secretary shall publish on a public website
of the Department of Health and Human Services--
(1) the Strategy;
(2) the public comments received under subsection (d); and
(3) the responses of the Secretary to such public comments.
<all>
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118HR3303 | Maternal Health for Veterans Act | [
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"Rep. Underwood, Lauren [D-IL-14]",
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"Rep. Bilirakis, Gus M. [R-FL-12]",
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],... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3303 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3303
To provide support for programs of the Department of Veterans Affairs
relating to the coordination of maternity health care, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Ms. Underwood (for herself, Mr. Bilirakis, Ms. Brownley, and Mr.
Fitzpatrick) introduced the following bill; which was referred to the
Committee on Veterans' Affairs
_______________________________________________________________________
A BILL
To provide support for programs of the Department of Veterans Affairs
relating to the coordination of maternity health care, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Maternal Health for Veterans Act''.
SEC. 2. SUPPORT FOR MATERNITY HEALTH CARE COORDINATION PROGRAMS OF THE
DEPARTMENT OF VETERANS AFFAIRS.
(a) Reports to Congress.--Not later than one year after the date of
the enactment of this Act, and annually thereafter until September 30,
2028, the Secretary of Veterans Affairs shall submit to the Committees
on Veterans' Affairs of the House of Representatives and the Senate,
and make publicly available, a report that contains the following:
(1) A summary of the activities carried out under the
programs of the Department of Veterans Affairs relating to the
coordination of maternity health care.
(2) Data on the maternal health outcomes of veterans who
receive medical care or services furnished at a medical
facility of the Department of Veterans Affairs or by a non-
Department of Veterans Affairs health care provider who
provides such care or services to veterans under the laws
administered by the Secretary of Veterans Affairs, including
pursuant to the programs specified in paragraph (1).
(3) Recommendations by the Secretary of Veterans Affairs to
improve the maternal health outcomes of veterans, with a
particular focus on veterans from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes.
(b) Authorization of Appropriations.--
(1) Authorization.--There is authorized to be appropriated
to the Secretary of Veterans Affairs $15,000,000 for each of
fiscal years 2024, 2025, 2026, 2027, and 2028, for the programs
of the Department of Veterans Affairs relating to the
coordination of maternity health care, including the maternity
care coordination program described in Veterans Health
Administration Directive 1330.03 (or any successor directive).
(2) Supplement not supplant.--Amounts authorized under
paragraph (1) are authorized in addition to any other amounts
authorized for the coordination of maternity health care for
the Department of Veterans Affairs.
<all>
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118HR3304 | Maternal Health Pandemic Response Act | [
[
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[
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],
... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3304 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3304
To authorize appropriations for data collection, surveillance, and
research on maternal health outcomes during public health emergencies,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Ms. Underwood (for herself, Mr. Aguilar, Mr. Allred, Ms. Barragan, Mrs.
Beatty, Mr. Bishop of Georgia, Mr. Blumenauer, Ms. Blunt Rochester, Ms.
Brownley, Ms. Budzinski, Ms. Bush, Ms. Caraveo, Mr. Carbajal, Mr.
Carson, Mr. Carter of Louisiana, Mrs. Cherfilus-McCormick, Ms. Clarke
of New York, Mr. Cleaver, Mr. Cohen, Ms. Craig, Ms. Crockett, Mr. Davis
of Illinois, Ms. Dean of Pennsylvania, Ms. Escobar, Mr. Espaillat, Mr.
Evans, Mrs. Foushee, Mr. Garamendi, Ms. Garcia of Texas, Mr. Garcia of
Illinois, Mr. Green of Texas, Mrs. Hayes, Mr. Horsford, Mr. Huffman,
Mr. Ivey, Mr. Jackson of Illinois, Ms. Jackson Lee, Ms. Jacobs, Ms.
Jayapal, Mr. Johnson of Georgia, Ms. Kamlager-Dove, Mr. Krishnamoorthi,
Ms. Kuster, Ms. Lee of California, Mr. Lieu, Ms. Lofgren, Mrs. McBath,
Mrs. McClellan, Ms. McCollum, Mr. McGovern, Mr. Meeks, Ms. Meng, Mr.
Mfume, Mr. Morelle, Mr. Moulton, Ms. Moore of Wisconsin, Mr. Mrvan, Mr.
Mullin, Mrs. Napolitano, Mr. Neguse, Ms. Ocasio-Cortez, Mr. Pappas, Mr.
Payne, Mr. Phillips, Ms. Porter, Ms. Pressley, Mr. Ruppersberger, Ms.
Salinas, Ms. Scanlon, Mr. Schiff, Mr. Schneider, Ms. Scholten, Mr.
David Scott of Georgia, Ms. Sewell, Mr. Smith of Washington, Mr. Soto,
Ms. Spanberger, Ms. Stansbury, Ms. Strickland, Mrs. Sykes, Mr. Takano,
Ms. Tlaib, Ms. Tokuda, Mr. Tonko, Mrs. Torres of California, Mrs.
Trahan, Mr. Trone, Mr. Vargas, Mr. Veasey, Ms. Velazquez, Ms. Wasserman
Schultz, Mrs. Watson Coleman, Ms. Wexton, Ms. Williams of Georgia, Mr.
Pascrell, Ms. DelBene, and Mr. Lynch) introduced the following bill;
which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To authorize appropriations for data collection, surveillance, and
research on maternal health outcomes during public health emergencies,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Maternal Health Pandemic Response
Act''.
SEC. 2. FUNDING FOR DATA COLLECTION, SURVEILLANCE, AND RESEARCH ON
MATERNAL HEALTH OUTCOMES DURING PUBLIC HEALTH
EMERGENCIES.
To conduct or support data collection, surveillance, and research
on maternal health as a result of public health emergencies and
infectious diseases that pose a risk to maternal and infant health,
including support to assist in the capacity building for State, Tribal,
territorial, and local public health departments to collect and
transmit racial, ethnic, and other demographic data related to maternal
health, there are authorized to be appropriated--
(1) $100,000,000 for the Surveillance for Emerging Threats
to Mothers and Babies program of the Centers for Disease
Control and Prevention, to support the Centers for Disease
Control and Prevention in its efforts to--
(A) work with public health, clinical, and
community-based organizations to provide timely,
continually updated guidance to families and health
care providers on ways to reduce risk to pregnant and
postpartum individuals and their newborns and tailor
interventions to improve their long-term health;
(B) partner with more State, Tribal, territorial,
and local public health programs in the collection and
analysis of clinical data on the impact of public
health emergencies and infectious diseases that pose a
risk to maternal and infant health on pregnant and
postpartum patients and their newborns, particularly
among patients from racial and ethnic minority groups;
and
(C) establish regionally based centers of
excellence to offer medical, public health, and other
knowledge to ensure communities can help pregnant and
postpartum individuals and newborns get the care and
support they need, particularly in areas with large
populations of individuals from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other
adverse perinatal or childbirth outcomes;
(2) $30,000,000 for the Enhancing Reviews and Surveillance
to Eliminate Maternal Mortality program (commonly known as the
``ERASE MM program'') of the Centers for Disease Control and
Prevention, to support the Centers for Disease Control and
Prevention in expanding its partnerships with States and Indian
Tribes and provide technical assistance to existing Maternal
Mortality Review Committees;
(3) $45,000,000 for the Pregnancy Risk Assessment
Monitoring System (commonly known as the ``PRAMS'') of the
Centers for Disease Control and Prevention, to support the
Centers for Disease Control and Prevention in its efforts to--
(A) create a supplement to its PRAMS survey related
to public health emergencies and infectious diseases
that pose a risk to maternal and infant health;
(B) add questions around experiences of respectful
maternity care in prenatal, intrapartum, and postpartum
care; and
(C) work to transition such PRAMS survey to an
electronic platform and expand such PRAMS survey to a
larger population, with a special focus on reaching
underrepresented communities, and other program
improvements; and
(4) $15,000,000 for the National Institute of Child Health
and Human Development, to conduct or support research for
interventions to mitigate the effects of public health
emergencies and infectious diseases that pose a risk to
maternal and infant health, with a particular focus on
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes.
SEC. 3. PUBLIC HEALTH EMERGENCY MATERNAL HEALTH DATA COLLECTION AND
DISCLOSURE.
(a) Availability of Collected Data.--The Secretary, acting through
the Director of the Centers for Disease Control and Prevention and the
Administrator of the Centers for Medicare & Medicaid Services, shall
make publicly available on the website of the Centers for Disease
Control and Prevention data described in subsection (b).
(b) Data Described.--The data described in this subsection are data
collected through Federal surveillance systems under the Centers for
Disease Control and Prevention with respect to public health
emergencies and individuals who are pregnant or in a postpartum period.
Such data shall include the following:
(1) Diagnostic testing, confirmed cases, hospitalizations,
deaths, and other health outcomes related to an infectious
disease outbreak among pregnant and postpartum individuals.
(2) Maternal and infant health outcomes among individuals
who test positive for an infectious disease during or after
pregnancy.
(c) American Indian and Alaska Native Health Outcomes.--In carrying
out subsection (a), the Secretary shall consult with Indian Tribes and
confer with Urban Indian organizations.
(d) Disaggregated Information.--In carrying out subsection (a), the
Secretary shall disaggregate data by race, ethnicity, gender, primary
language, geography, socioeconomic status, and other relevant factors.
(e) Update.--During public health emergencies, the Secretary shall
update the data made available under this section--
(1) at least on a monthly basis; and
(2) not less than one month after the end of such public
health emergency.
(f) Privacy.--In carrying out subsection (a), the Secretary shall
take steps to protect the privacy of individuals pursuant to
regulations promulgated under section 264(c) of the Health Insurance
Portability and Accountability Act of 1996 (42 U.S.C. 1320d-2 note).
(g) Guidance.--
(1) In general.--Not later than 30 days after the
declaration of a public health emergency under section 319 of
the Public Health Service Act (42 U.S.C. 247d), the Secretary
shall issue guidance to States and local public health
departments to ensure that--
(A) laboratories that test specimens for an
infectious disease receive all relevant demographic
data on race, ethnicity, pregnancy status, and other
demographic data as determined by the Secretary; and
(B) data described in subsection (b) are
disaggregated by race, ethnicity, gender, primary
language, geography, socioeconomic status, and other
relevant factors.
(2) Consultation.--In carrying out paragraph (1), the
Secretary shall consult with Indian Tribes--
(A) to ensure that such guidance includes tribally
developed best practices; and
(B) to reduce misclassification of American Indians
and Alaska Natives.
SEC. 4. PUBLIC HEALTH COMMUNICATION REGARDING MATERNAL CARE DURING
PUBLIC HEALTH EMERGENCIES.
The Director of the Centers for Disease Control and Prevention
shall conduct public health education campaigns during public health
emergencies to ensure that pregnant and postpartum individuals, their
employers, and their health care providers have accurate, evidence-
based information on maternal and infant health risks during the public
health emergency, with a particular focus on reaching pregnant and
postpartum individuals in underserved communities.
SEC. 5. TASK FORCE ON BIRTHING EXPERIENCE AND SAFE, RESPECTFUL,
RESPONSIVE, AND EMPOWERING MATERNITY CARE DURING PUBLIC
HEALTH EMERGENCIES.
(a) Establishment.--The Secretary, in consultation with the
Director of the Centers for Disease Control and Prevention and the
Administrator of the Health Resources and Services Administration,
shall convene a task force (in this subsection referred to as the
``Task Force'') to develop Federal recommendations regarding
respectful, responsive, and empowering maternity care, including safe
birth care and postpartum care, during public health emergencies.
(b) Duties.--The Task Force shall develop, publicly post, and
update Federal recommendations in multiple languages to ensure high-
quality, nondiscriminatory maternity care, promote positive birthing
experiences, and improve maternal health outcomes during public health
emergencies, with a particular focus on outcomes for individuals from
demographic groups with elevated rates of maternal mortality, severe
maternal morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes. Such recommendations shall--
(1) address, with particular attention to ensuring
equitable treatment on the basis of race and ethnicity--
(A) measures to facilitate respectful, responsive,
and empowering maternity care;
(B) measures to facilitate telehealth maternity
care for pregnant people who cannot regularly access
in-person care;
(C) strategies to increase access to specialized
care for those with high-risk pregnancies or pregnant
individuals with elevated risk factors;
(D) diagnostic testing for pregnant and laboring
patients;
(E) birthing without one's chosen companions, with
one's chosen companions, and with smartphone or other
telehealth connection to one's chosen companions;
(F) newborn separation after birth in relation to
maternal infection status;
(G) breast milk feeding in relation to maternal
infection status;
(H) licensure, training, scope of practice, and
Medicaid and other insurance reimbursement for
certified midwives, certified nurse-midwives, and
certified professional midwives, in a manner that
facilitates inclusion of midwives of color and midwives
from underserved communities;
(I) financial support and training for perinatal
health workers who provide nonclinical support to
people from pregnancy through the postpartum period in
a manner that facilitates inclusion from underserved
communities;
(J) strategies to ensure and expand doula coverage
under State Medicaid programs;
(K) how to identify, address, and treat prenatal
and postpartum mental and behavioral health conditions,
such as anxiety, substance use disorder, and
depression, during public health emergencies;
(L) how to identify and address instances of
intimate partner violence during pregnancy which may
arise or intensify during public health emergencies;
(M) strategies to address hospital capacity
concerns in communities with a surge in infectious
disease cases and to provide childbearing people with
options that reduce the potential for cross-
contamination and increase the ability to implement
their care preferences while maintaining safety and
quality, such as the use of auxiliary maternity units
and freestanding birth centers;
(N) provision of child care services during
prenatal and postpartum appointments for mothers whose
children are unable to attend as a result of
restrictions relating to the public health emergencies;
(O) how to identify and address racism, bias, and
discrimination in the delivery of maternity care
services to pregnant and postpartum people, including
evaluating the value of training for hospital staff on
implicit bias and racism, respectful, responsive, and
empowering maternity care, and demographic data
collection;
(P) how to address the needs of undocumented
pregnant individuals and new mothers who may be afraid
or unable to seek needed care during the COVID-19
public health emergency;
(Q) how to address the needs of uninsured pregnant
individuals who have historically relied on emergency
departments for care;
(R) how to identify pregnant and postpartum
individuals at risk for depression, anxiety disorder,
psychosis, obsessive-compulsive disorder, and other
maternal mood disorders before, during, and after
pregnancy, and how to treat those diagnosed with a
postpartum mood disorder;
(S) how to effectively and compassionately screen
for substance use disorder during pregnancy and
postpartum and help pregnant and postpartum individuals
find support and effective treatment;
(T) how to ensure access to infant nutrition during
public health emergencies; and
(U) such other matters as the Task Force determines
appropriate;
(2) identify barriers to the implementation of the
recommendations;
(3) take into consideration existing State and other
programs that have demonstrated effectiveness in addressing
pregnancy, birth, and postpartum care during public health
emergencies; and
(4) identify policies specific to COVID-19 that should be
discontinued when safely possible and those that should be
continued as the public health emergency abates.
(c) Membership.--The Secretary shall appoint the members of the
Task Force. Such members shall be comprised of--
(1) representatives of the Department of Health and Human
Services, including representatives of--
(A) the Secretary;
(B) the Director of the Centers for Disease Control
and Prevention;
(C) the Administrator of the Health Resources and
Services Administration;
(D) the Administrator of the Centers for Medicare &
Medicaid Services;
(E) the Director of the Agency for Healthcare
Research and Quality;
(F) the Commissioner of Food and Drugs;
(G) the Assistant Secretary for Mental Health and
Substance Use; and
(H) the Director of the Indian Health Service;
(2) at least 3 State, local, or territorial public health
officials representing departments of public health, who shall
represent jurisdictions from different regions of the United
States with relatively high concentrations of historically
marginalized populations;
(3) at least 1 Tribal public health official representing
departments of public health;
(4) 1 or more representatives of community-based
organizations that address adverse maternal health outcomes
with a specific focus on racial and ethnic inequities in
maternal health outcomes, with special consideration given to
representatives of such organizations that are led by a person
of color or from communities with significant minority
populations;
(5) a professionally diverse panel of maternity care
providers and perinatal health workers;
(6) 1 or more patients who were pregnant or gave birth
during the COVID-19 public health emergency;
(7) 1 or more patients who contracted COVID-19 and later
gave birth;
(8) 1 or more patients who have received support from a
perinatal health worker; and
(9) racially and ethnically diverse representation from at
least 3 independent experts with knowledge or field experience
with racial and ethnic disparities in public health, women's
health, or maternal mortality and severe maternal morbidity.
SEC. 6. DEFINITIONS.
In this Act:
(1) Culturally and linguistically congruent.--The term
``culturally and linguistically congruent'', with respect to
care or maternity care, means care that is in agreement with
the preferred cultural values, beliefs, worldview, language,
and practices of the health care consumer and other
stakeholders.
(2) Maternal mortality.--The term ``maternal mortality''
means a death occurring during or within a 1-year period after
pregnancy, caused by pregnancy-related or childbirth
complications, including a suicide, overdose, or other death
resulting from a mental health or substance use disorder
attributed to or aggravated by pregnancy-related or childbirth
complications.
(3) Perinatal health worker.--The term ``perinatal health
worker'' means a nonclinical health worker focused on maternal
or perinatal health, such as a doula, community health worker,
peer supporter, lactation educator or counselor, nutritionist
or dietitian, childbirth educator, social worker, home visitor,
patient navigator or coordinator, or language interpreter.
(4) Postpartum and postpartum period.--The terms
``postpartum'' and ``postpartum period'' refer to the 1-year
period beginning on the last day of the pregnancy of an
individual.
(5) Racial and ethnic minority group.--The term ``racial
and ethnic minority group'' has the meaning given such term in
section 1707(g)(1) of the Public Health Service Act (42 U.S.C.
300u-6(g)(1)).
(6) Respectful maternity care.--The term ``respectful
maternity care'' refers to care organized for, and provided to,
pregnant and postpartum individuals in a manner that--
(A) is culturally and linguistically congruent;
(B) maintains their dignity, privacy, and
confidentiality;
(C) ensures freedom from harm and mistreatment; and
(D) enables informed choice and continuous support.
(7) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(8) Severe maternal morbidity.--The term ``severe maternal
morbidity'' means a health condition, including mental health
conditions and substance use disorders, attributed to or
aggravated by pregnancy or childbirth that results in
significant short-term or long-term consequences to the health
of the individual who was pregnant.
<all>
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118HR3305 | Black Maternal Health Momnibus Act | [
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[
... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3305 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3305
To end preventable maternal mortality, severe maternal morbidity, and
maternal health disparities in the United States, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Ms. Underwood (for herself, Ms. Adams, Mr. Aguilar, Mr. Allred, Mr.
Auchincloss, Ms. Balint, Ms. Barragan, Mrs. Beatty, Mr. Bera, Mr.
Bishop of Georgia, Mr. Blumenauer, Ms. Blunt Rochester, Ms. Bonamici,
Mr. Bowman, Mr. Boyle of Pennsylvania, Ms. Brown, Ms. Brownley, Ms.
Budzinski, Ms. Bush, Ms. Caraveo, Mr. Carbajal, Mr. Cardenas, Mr.
Carson, Mr. Carter of Louisiana, Mr. Casten, Ms. Castor of Florida,
Mrs. Cherfilus-McCormick, Ms. Chu, Mr. Cicilline, Ms. Clark of
Massachusetts, Ms. Clarke of New York, Mr. Cleaver, Mr. Cohen, Mr.
Connolly, Mr. Courtney, Ms. Craig, Ms. Crockett, Mr. Crow, Ms. Davids
of Kansas, Mr. Davis of Illinois, Mr. Davis of North Carolina, Ms. Dean
of Pennsylvania, Ms. DeGette, Ms. DeLauro, Ms. DelBene, Mr. Deluzio,
Mr. DeSaulnier, Mrs. Dingell, Ms. Escobar, Mr. Espaillat, Mr. Evans,
Mrs. Fletcher, Mr. Foster, Mrs. Foushee, Ms. Lois Frankel of Florida,
Mr. Frost, Mr. Gallego, Mr. Garamendi, Ms. Garcia of Texas, Mr. Robert
Garcia of California, Mr. Garcia of Illinois, Mr. Goldman of New York,
Mr. Gomez, Mr. Green of Texas, Mr. Grijalva, Mrs. Hayes, Mr. Higgins of
New York, Mr. Horsford, Ms. Houlahan, Mr. Hoyer, Mr. Huffman, Mr. Ivey,
Mr. Jackson of North Carolina, Mr. Jackson of Illinois, Ms. Jacobs, Ms.
Jayapal, Mr. Johnson of Georgia, Ms. Kamlager-Dove, Ms. Kaptur, Mr.
Keating, Mr. Khanna, Mr. Kildee, Mr. Kilmer, Mr. Kim of New Jersey, Mr.
Krishnamoorthi, Ms. Kuster, Mr. Landsman, Mr. Larsen of Washington, Ms.
Lee of Pennsylvania, Ms. Lee of California, Ms. Jackson Lee, Ms. Leger
Fernandez, Mr. Levin, Mr. Lieu, Ms. Lofgren, Mr. Lynch, Mr. Magaziner,
Ms. Manning, Ms. Matsui, Mrs. McBath, Mrs. McClellan, Ms. McCollum, Mr.
McGarvey, Mr. McGovern, Mr. Meeks, Mr. Menendez, Ms. Meng, Mr. Mfume,
Ms. Moore of Wisconsin, Mr. Morelle, Mr. Moskowitz, Mr. Moulton, Mr.
Mrvan, Mr. Mullin, Mr. Nadler, Mrs. Napolitano, Mr. Neguse, Mr.
Norcross, Ms. Norton, Ms. Ocasio-Cortez, Ms. Omar, Mr. Panetta, Mr.
Pappas, Mr. Pascrell, Mr. Payne, Ms. Pelosi, Mrs. Peltola, Ms.
Pettersen, Mr. Phillips, Ms. Pingree, Ms. Plaskett, Mr. Pocan, Ms.
Porter, Ms. Pressley, Mr. Quigley, Mrs. Ramirez, Mr. Raskin, Ms. Ross,
Mr. Ruiz, Mr. Ruppersberger, Ms. Salinas, Mr. Sarbanes, Ms. Scanlon,
Ms. Schakowsky, Mr. Schiff, Mr. Schneider, Ms. Scholten, Ms. Schrier,
Mr. Scott of Virginia, Mr. David Scott of Georgia, Ms. Sewell, Ms.
Slotkin, Mr. Smith of Washington, Mr. Sorensen, Mr. Soto, Ms.
Spanberger, Ms. Stansbury, Mr. Stanton, Ms. Stevens, Ms. Strickland,
Mr. Swalwell, Mrs. Sykes, Mr. Takano, Mr. Thanedar, Mr. Thompson of
Mississippi, Mr. Thompson of California, Ms. Tlaib, Ms. Tokuda, Mr.
Tonko, Mrs. Torres of California, Mrs. Trahan, Mr. Trone, Mr. Vargas,
Mr. Veasey, Ms. Velazquez, Ms. Wasserman Schultz, Ms. Waters, Mrs.
Watson Coleman, Ms. Wexton, Ms. Wild, Ms. Williams of Georgia, and Ms.
Wilson of Florida) introduced the following bill; which was referred to
the Committee on Energy and Commerce, and in addition to the Committees
on Education and the Workforce, Veterans' Affairs, Natural Resources,
and the Judiciary, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To end preventable maternal mortality, severe maternal morbidity, and
maternal health disparities in the United States, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Black Maternal Health Momnibus
Act''.
SEC. 2. TABLE OF CONTENTS.
The table of contents for this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Definitions.
Sec. 4. Sense of Congress.
TITLE I--SOCIAL DETERMINANTS FOR MOMS
Sec. 101. Task force to address the United States maternal health
crisis.
Sec. 102. Sustained funding to address social determinants of maternal
health.
TITLE II--EXTENDING WIC FOR NEW MOMS
Sec. 201. Extending WIC eligibility for new moms.
TITLE III--HONORING KIRA JOHNSON
Sec. 301. Sustained funding for community-based organizations to
advance maternal health equity.
Sec. 302. Respectful maternity care training for all employees in
maternity care settings.
Sec. 303. Study on reducing and preventing bias, racism, and
discrimination in maternity care settings.
Sec. 304. Respectful maternity care compliance program.
Sec. 305. GAO report.
TITLE IV--MATERNAL HEALTH FOR VETERANS
Sec. 401. Support for maternity health care and coordination programs
of the Department of Veterans Affairs.
TITLE V--PERINATAL WORKFORCE
Sec. 501. HHS agency directives.
Sec. 502. Grants to grow and diversify the perinatal workforce.
Sec. 503. Grants to grow and diversify the nursing workforce in
maternal and perinatal health.
Sec. 504. GAO report.
TITLE VI--DATA TO SAVE MOMS
Sec. 601. Funding for maternal mortality review committees to promote
representative community engagement.
Sec. 602. Data collection and review.
Sec. 603. Review of maternal health data collection processes and
quality measures.
Sec. 604. Study on maternal health among American Indian and Alaska
Native individuals.
Sec. 605. Grants to minority-serving institutions to study maternal
mortality, severe maternal morbidity, and
other adverse maternal health outcomes.
TITLE VII--MOMS MATTER
Sec. 701. Maternal mental health equity grant program.
Sec. 702. Grants to grow and diversify the maternal mental and
behavioral health care workforce.
TITLE VIII--JUSTICE FOR INCARCERATED MOMS
Sec. 801. Ending the shackling of pregnant individuals.
Sec. 802. Creating model programs for the care of incarcerated
individuals in the prenatal and postpartum
periods.
Sec. 803. Grant program to improve maternal health outcomes for
individuals in State and local prisons and
jails.
Sec. 804. GAO report.
TITLE IX--TECH TO SAVE MOMS
Sec. 901. Integrated telehealth models in maternity care services.
Sec. 902. Grants to expand the use of technology-enabled collaborative
learning and capacity models for pregnant
and postpartum individuals.
Sec. 903. Grants to promote equity in maternal health outcomes through
digital tools.
Sec. 904. Report on the use of technology in maternity care.
TITLE X--IMPACT TO SAVE MOMS
Sec. 1001. Perinatal Care Alternative Payment Model Demonstration
Project.
TITLE XI--MATERNAL HEALTH PANDEMIC RESPONSE
Sec. 1101. Definitions.
Sec. 1102. Funding for data collection, surveillance, and research on
maternal health outcomes during public
health emergencies.
Sec. 1103. Public health emergency maternal health data collection and
disclosure.
Sec. 1104. Public health communication regarding maternal care during
public health emergencies.
Sec. 1105. Task force on birthing experience and safe, respectful,
responsive, and empowering maternity care
during public health emergencies.
TITLE XII--PROTECTING MOMS AND BABIES AGAINST CLIMATE CHANGE
Sec. 1201. Definitions.
Sec. 1202. Grant program to protect vulnerable mothers and babies from
climate change risks.
Sec. 1203. Grant program for education and training at health
profession schools.
Sec. 1204. NIH Consortium on Birth and Climate Change Research.
Sec. 1205. Strategy for identifying climate change risk zones for
vulnerable mothers and babies.
TITLE XIII--MATERNAL VACCINATIONS
Sec. 1301. Maternal vaccination awareness and equity campaign.
SEC. 3. DEFINITIONS.
In this Act:
(1) Culturally and linguistically congruent.--The term
``culturally and linguistically congruent'', with respect to
care or maternity care, means care that is in agreement with
the preferred cultural values, beliefs, worldview, language,
and practices of the health care consumer and other
stakeholders.
(2) Maternal mortality.--The term ``maternal mortality''
means a death occurring during or within a 1-year period after
pregnancy, caused by pregnancy-related or childbirth
complications, including a suicide, overdose, or other death
resulting from a mental health or substance use disorder
attributed to or aggravated by pregnancy-related or childbirth
complications.
(3) Maternity care provider.--The term ``maternity care
provider'' means a health care provider who--
(A) is a physician, a physician assistant, a
midwife who meets, at a minimum, the international
definition of a midwife and global standards for
midwifery education as established by the International
Confederation of Midwives, an advanced practice
registered nurse, or a lactation consultant certified
by the International Board of Lactation Consultant
Examiners; and
(B) has a focus on maternal or perinatal health.
(4) Perinatal health worker.--The term ``perinatal health
worker'' means a nonclinical health worker focused on maternal
or perinatal health, such as a doula, community health worker,
peer supporter, lactation educator or counselor, nutritionist
or dietitian, childbirth educator, social worker, home visitor,
patient navigator or coordinator, or language interpreter.
(5) Postpartum and postpartum period.--The terms
``postpartum'' and ``postpartum period'' refer to the 1-year
period beginning on the last day of the pregnancy of an
individual.
(6) Pregnancy-associated death.--The term ``pregnancy-
associated death'' means a death of a pregnant or postpartum
individual, by any cause, that occurs during, or within 1 year
following, the individual's pregnancy, regardless of the
outcome, duration, or site of the pregnancy.
(7) Pregnancy-related death.--The term ``pregnancy-related
death'' means a death of a pregnant or postpartum individual
that occurs during, or within 1 year following, the
individual's pregnancy, from a pregnancy complication, a chain
of events initiated by pregnancy, or the aggravation of an
unrelated condition by the physiologic effects of pregnancy.
(8) Racial and ethnic minority group.--The term ``racial
and ethnic minority group'' has the meaning given such term in
section 1707(g)(1) of the Public Health Service Act (42 U.S.C.
300u-6(g)(1)).
(9) Severe maternal morbidity.--The term ``severe maternal
morbidity'' means a health condition, including mental health
conditions and substance use disorders, attributed to or
aggravated by pregnancy or childbirth that results in
significant short-term or long-term consequences to the health
of the individual who was pregnant.
(10) Social determinants of maternal health.--The term
``social determinants of maternal health'' means nonclinical
factors that impact maternal health outcomes.
SEC. 4. SENSE OF CONGRESS.
It is the sense of Congress that--
(1) the respect and proper care that birthing people
deserve is inclusive; and
(2) regardless of race, ethnicity, gender identity, sexual
orientation, religion, marital status, primary language,
familial status, socioeconomic status, immigration status,
incarceration status, or disability, all deserve dignity.
TITLE I--SOCIAL DETERMINANTS FOR MOMS
SEC. 101. TASK FORCE TO ADDRESS THE UNITED STATES MATERNAL HEALTH
CRISIS.
(a) In General.--The Secretary of Health and Human Services shall
convene a task force (in this section referred to as the ``Task
Force'') to develop strategies and coordinate efforts between Federal
agencies and other stakeholders to eliminate preventable maternal
mortality, severe maternal morbidity, and maternal health disparities
in the United States, including actions to address clinical and
nonclinical causes of maternal mortality, severe maternal morbidity,
and maternal health disparities.
(b) Ex Officio Members.--The ex officio members of the Task Force
shall consist of the following:
(1) The Secretary of Health and Human Services (or a
designee thereof).
(2) The Secretary of Housing and Urban Development (or a
designee thereof).
(3) The Secretary of Transportation (or a designee
thereof).
(4) The Secretary of Agriculture (or a designee thereof).
(5) The Secretary of Labor (or a designee thereof).
(6) The Administrator of the Environmental Protection
Agency (or a designee thereof).
(7) The Assistant Secretary for the Administration for
Children and Families (or a designee thereof).
(8) The Administrator of the Centers for Medicare &
Medicaid Services (or a designee thereof).
(9) The Director of the Indian Health Service (or a
designee thereof).
(10) The Director of the National Institutes of Health (or
a designee thereof).
(11) The Director of the Eunice Kennedy Shriver National
Institute of Child Health and Human Development (or a designee
thereof).
(12) The Administrator of the Health Resources and Services
Administration (or a designee thereof).
(13) The Deputy Assistant Secretary for Minority Health of
the Department of Health and Human Services (or a designee
thereof).
(14) The Deputy Assistant Secretary for Women's Health of
the Department of Health and Human Services (or a designee
thereof).
(15) The Director of the Centers for Disease Control and
Prevention (or a designee thereof).
(16) The Director of the Office on Violence Against Women
at the Department of Justice (or a designee thereof).
(c) Appointed Members.--In addition to the ex officio members of
the Task Force, the Secretary of Health and Human Services may appoint
the following members of the Task Force:
(1) Representatives of patients, to include--
(A) a representative of patients who have suffered
from severe maternal morbidity; or
(B) a representative of patients who is a family
member of an individual who suffered a pregnancy-
related death.
(2) Leaders of community-based organizations that address
maternal mortality, severe maternal morbidity, and maternal
health with a specific focus on racial and ethnic disparities.
In appointing such leaders under this paragraph, the Secretary
of Health and Human Services shall give priority to individuals
who are leaders of organizations led by individuals from
demographic groups with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes.
(3) Perinatal health workers.
(4) A professionally and geographically diverse panel of
maternity care providers.
(5) Other maternal health stakeholders outside of the
Federal Government with expertise in maternal health, including
social determinants of maternal health.
(d) Chair.--The Secretary of Health and Human Services shall select
the chair of the Task Force from among the members of the Task Force.
(e) Topics.--In developing strategies coordinating efforts between
Federal agencies and other stakeholders to eliminate preventable
maternal mortality, severe maternal morbidity, and maternal health
disparities in the United States under this section, the Task Force may
address topics such as--
(1) addressing barriers that prevent individuals from
attending prenatal and postpartum appointments, accessing
maternal health care services, or accessing services and
resources related to social determinants of maternal health;
(2) increasing access to safe, stable, affordable, and
adequate housing for pregnant and postpartum individuals and
their families;
(3) delivering healthy food, infant formula, clean water,
diapers, or other perinatal necessities to pregnant and
postpartum individuals located in areas that are food deserts;
(4) addressing the impacts of water and air quality,
exposure to extreme temperatures, environmental chemicals,
environmental risks in the workplace and the home, and
pollution levels, on maternal and infant health outcomes;
(5) offering free and accessible drop-in childcare services
during prenatal and postpartum appointments;
(6) addressing the clinical and nonclinical needs of
postpartum individuals and their families for the duration of
the postpartum period;
(7) engaging with nongovernmental entities to address
social determinants of maternal health, including through
public-private partnerships;
(8) addressing the impact of domestic or intimate partner
violence on maternal health outcomes; and
(9) other topics determined by the chair of the Task Force.
(f) Report.--Not later than 2 years after the date of enactment of
this Act, and every year thereafter, the Task Force shall submit to
Congress and make publicly available on the website of the Department
of Health and Human Services a report--
(1) describing the Task Force's efforts to develop
strategies and coordinate efforts between Federal agencies and
other stakeholders to eliminate preventable maternal mortality,
severe maternal morbidity, and maternal health disparities in
the United States;
(2) providing an overview of actions taken by each member
of the Task Force listed under subsection (b) to eliminate
preventable maternal mortality, severe maternal morbidity, and
maternal health disparities in the United States;
(3) providing recommendations on Federal funding amounts
and authorities needed to implement strategies developed by the
Task Force to eliminate preventable maternal mortality, severe
maternal morbidity, and maternal health disparities in the
United States;
(4) providing recommendations on actions that stakeholders
outside of the Federal Government can take to eliminate
preventable maternal mortality, severe maternal morbidity, and
maternal health disparities in the United States; and
(5) addressing other topics as determined by the chair of
the Task Force.
(g) Termination.--Section 1013 of title 5, United States Code,
shall not apply to the Task Force with respect to termination.
SEC. 102. SUSTAINED FUNDING TO ADDRESS SOCIAL DETERMINANTS OF MATERNAL
HEALTH.
(a) In General.--The Secretary of Health and Human Services (in
this section referred to as the ``Secretary'') shall award grants to
eligible entities to address social determinants of maternal health to
eliminate maternal mortality, severe maternal morbidity, and maternal
health disparities.
(b) Eligible Entities.--In this section, the term ``eligible
entity'' means--
(1) a community-based organization, Indian Tribe or Tribal
organization, or Urban Indian organization;
(2) a public health department or nonprofit organization
working with an entity listed in paragraph (1); or
(3) a consortium of entities listed in paragraph (1) or (2)
that includes at minimum one entity listed in paragraph (1).
(c) Application.--To be eligible to receive a grant under this
section, an eligible entity shall submit to the Secretary an
application at such time, in such manner, and containing such
information as the Secretary may provide.
(d) Prioritization.--In awarding grants under subsection (a), the
Secretary shall give priority to an eligible entity that is operating
in an area with--
(1) high rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes; and
(2) a high poverty rate.
(e) Activities.--An eligible entity that receives a grant under
this section may use the grant to address social determinants of
maternal health such as--
(1) housing;
(2) transportation;
(3) nutrition;
(4) employment, workplace conditions, and other economic
factors;
(5) environmental conditions;
(6) intimate partner violence; and
(7) other nonclinical factors that impact maternal health
outcomes.
(f) Technical Assistance.--The Secretary shall provide to grant
recipients under this section technical assistance to plan for
sustaining programs to address social determinants of maternal health
after the period of the grant.
(g) Reporting.--
(1) Grantees.--Not later than 1 year after an eligible
entity first receives a grant under this section, and annually
thereafter, an eligible entity shall submit to the Secretary,
and make publicly available, a report on the status of
activities conducted using the grant. Each such report shall
include data on the effects of such activities, disaggregated
by race, ethnicity, gender, primary language, geography,
socioeconomic status, and other relevant factors.
(2) Secretary.--Not later than the end of fiscal year 2028,
the Secretary shall submit to Congress a report that includes--
(A) a summary of the reports under paragraph (1);
and
(B) recommendations for future Federal grant
allocations to address social determinants of maternal
health.
(h) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $100,000,000 for each of fiscal
years 2024 through 2028.
TITLE II--EXTENDING WIC FOR NEW MOMS
SEC. 201. EXTENDING WIC ELIGIBILITY FOR NEW MOMS.
(a) Extension of Postpartum Period.--Section 17(b)(10) of the Child
Nutrition Act of 1966 (42 U.S.C. 1786(b)(10)) is amended by striking
``six months'' and inserting ``24 months''.
(b) Extension of Breastfeeding Period.--Section 17(d)(3)(A)(ii) of
the Child Nutrition Act of 1966 (42 U.S.C. 1786(d)(3)(A)(ii)) is
amended by striking ``1 year'' and inserting ``24 months''.
(c) Report.--Not later than 2 years after the date of the enactment
of this section, the Secretary shall submit to Congress a report that
includes an evaluation of the effect of each of the amendments made by
this section on--
(1) maternal and infant health outcomes, including racial
and ethnic disparities with respect to such outcomes;
(2) breastfeeding rates among postpartum individuals;
(3) qualitative evaluations of family experiences under the
special supplemental nutrition program under section 17 of the
Child Nutrition Act of 1966 (42 U.S.C. 1786); and
(4) other relevant information as determined by the
Secretary.
TITLE III--HONORING KIRA JOHNSON
SEC. 301. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO
ADVANCE MATERNAL HEALTH EQUITY.
(a) In General.--The Secretary of Health and Human Services (in
this section referred to as the ``Secretary'') shall award grants to
eligible entities to establish or expand programs to advance maternal
health equity.
(b) Timing.--Following the 1-year period described in subsection
(d), the Secretary shall commence awarding the grants authorized by
subsection (a).
(c) Eligible Entities.--To be eligible to seek a grant under this
section, an entity shall be a community-based organization offering
programs and resources aligned with evidence-based practices for
improving maternal health outcomes for demographic groups with elevated
rates of maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes.
(d) Outreach and Technical Assistance Period.--During the 1-year
period beginning on the date of enactment of this Act, the Secretary
shall--
(1) conduct outreach to encourage eligible entities to
apply for grants under this section; and
(2) provide technical assistance to eligible entities on
best practices for applying for grants under this section.
(e) Special Consideration.--
(1) Outreach.--In conducting outreach under subsection (d),
the Secretary shall give special consideration to eligible
entities that--
(A) are based in, and provide support for,
communities with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities,
or other adverse perinatal or childbirth outcomes, to
the extent such data are available;
(B) are led by individuals from demographic groups
with elevated rates of maternal mortality, severe
maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes; and
(C) offer programs and resources that are aligned
with evidence-based practices for improving maternal
health outcomes for individuals from demographic groups
with elevated rates of maternal mortality, severe
maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes.
(2) Awards.--In awarding grants under this section, the
Secretary shall give special consideration to eligible entities
that--
(A) are described in subparagraphs (A), (B), and
(C) of paragraph (1);
(B) offer programs and resources designed in
consultation with and intended for individuals from
demographic groups with elevated rates of maternal
mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth
outcomes;
(C) offer programs and resources in the communities
in which the respective eligible entities are located
that--
(i) promote maternal mental health and
maternal substance use disorder treatments and
supports that are aligned with evidence-based
practices for improving maternal mental and
behavioral health outcomes for individuals from
demographic groups with elevated rates of
maternal mortality, severe maternal morbidity,
maternal health disparities, or other adverse
perinatal or childbirth outcomes;
(ii) address social determinants of
maternal health;
(iii) promote evidence-based health
literacy and pregnancy, childbirth, and
parenting education;
(iv) provide support from perinatal health
workers;
(v) provide culturally and linguistically
congruent training to perinatal health workers;
(vi) conduct or support research on
maternal health issues disproportionately
impacting individuals from demographic groups
with elevated rates of maternal mortality,
severe maternal morbidity, maternal health
disparities, or other adverse perinatal or
childbirth outcomes;
(vii) offer group prenatal care or group
postpartum care;
(viii) coordinate mutual aid efforts during
infant formula shortages, including community
milk depots, donor human milk banks and
exchanges, and forums for community outreach
and education;
(ix) provide support to individuals or
family members of individuals who suffered a
pregnancy loss, pregnancy-associated death, or
pregnancy-related death; or
(x) operate midwifery practices that
provide culturally and linguistically congruent
maternal health care and support, including for
the purposes of--
(I) supporting additional
education, training, and certification
programs, including support for
distance learning;
(II) providing financial support to
current and future midwives to address
education costs, debts, and other
needs;
(III) clinical site investments;
(IV) supporting preceptor
development trainings;
(V) expanding the midwifery
practice; or
(VI) related needs identified by
the midwifery practice and described in
the practice's application; and
(D) have developed other programs and resources
that address community-specific needs for pregnant and
postpartum individuals and are aligned with evidence-
based practices for improving maternal health outcomes
for individuals from demographic groups with elevated
rates of maternal mortality, severe maternal morbidity,
maternal health disparities, or other adverse perinatal
or childbirth outcomes.
(f) Technical Assistance.--The Secretary shall provide to grant
recipients under this section technical assistance on--
(1) capacity building to establish or expand programs to
advance maternal health equity;
(2) best practices in data collection, measurement,
evaluation, and reporting; and
(3) planning for sustaining programs to advance maternal
health equity after the period of the grant.
(g) Evaluation.--Not later than the end of fiscal year 2028, the
Secretary shall submit to the Congress an evaluation of the grant
program under this section that--
(1) assesses the effectiveness of outreach efforts during
the application process in diversifying the pool of grant
recipients;
(2) makes recommendations for future outreach efforts to
diversify the pool of grant recipients for Department of Health
and Human Services grant programs and funding opportunities
related to maternal health;
(3) assesses the effectiveness of programs funded by grants
under this section in improving maternal health outcomes for
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes,
to the extent practicable; and
(4) makes recommendations for future Department of Health
and Human Services grant programs and funding opportunities
that deliver funding to community-based organizations that
provide programs and resources that are aligned with evidence-
based practices for improving maternal health outcomes for
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes.
(h) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $100,000,000 for each of fiscal
years 2024 through 2028.
SEC. 302. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN
MATERNITY CARE SETTINGS.
Part B of title VII of the Public Health Service Act (42 U.S.C. 293
et seq.) is amended by adding at the end the following new section:
``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN
MATERNITY CARE SETTINGS.
``(a) Grants.--The Secretary shall award grants for programs to
reduce and prevent bias, racism, and discrimination in maternity care
settings and to advance respectful, culturally and linguistically
congruent, trauma-informed care.
``(b) Special Consideration.--In awarding grants under subsection
(a), the Secretary shall give special consideration to applications for
programs that would--
``(1) apply to all maternity care providers and any
employees who interact with pregnant and postpartum individuals
in the provider setting, including front desk employees,
sonographers, schedulers, health care professionals, hospital
or health system administrators, security staff, and other
employees;
``(2) emphasize periodic, as opposed to one-time, trainings
for all birthing professionals and employees described in
paragraph (1);
``(3) address implicit bias, racism, and cultural humility;
``(4) be delivered in ongoing education settings for
providers maintaining their licenses, with a preference for
trainings that provide continuing education units;
``(5) include trauma-informed care best practices and an
emphasis on shared decision making between providers and
patients;
``(6) include antiracism training and programs;
``(7) be delivered in undergraduate programs that funnel
into health professions schools;
``(8) be delivered in settings that apply to providers of
the special supplemental nutrition program for women, infants,
and children under section 17 of the Child Nutrition Act of
1966;
``(9) integrate bias training in obstetric emergency
simulation trainings or related trainings;
``(10) include training for emergency department employees
and emergency medical technicians on recognizing warning signs
for severe pregnancy-related complications;
``(11) offer training to all maternity care providers on
the value of racially, ethnically, and professionally diverse
maternity care teams to provide culturally and linguistically
congruent care; or
``(12) be based on one or more programs designed by a
historically Black college or university or other minority-
serving institution.
``(c) Application.--To seek a grant under subsection (a), an entity
shall submit an application at such time, in such manner, and
containing such information as the Secretary may require.
``(d) Reporting.--Each recipient of a grant under this section
shall annually submit to the Secretary a report on the status of
activities conducted using the grant, including, as applicable, a
description of the impact of training provided through the grant on
patient outcomes and patient experience for pregnant and postpartum
individuals from racial and ethnic minority groups and their families.
``(e) Best Practices.--Based on the annual reports submitted
pursuant to subsection (d), the Secretary--
``(1) shall produce an annual report on the findings
resulting from programs funded through this section;
``(2) shall disseminate such report to all recipients of
grants under this section and to the public; and
``(3) may include in such report findings on best practices
for improving patient outcomes and patient experience for
pregnant and postpartum individuals from racial and ethnic
minority groups and their families in maternity care settings.
``(f) Definitions.--In this section:
``(1) The term `postpartum' means the 1-year period
beginning on the last day of an individual's pregnancy.
``(2) The term `culturally and linguistically congruent'
means in agreement with the preferred cultural values, beliefs,
worldview, language, and practices of the health care consumer
and other stakeholders.
``(3) The term `racial and ethnic minority group' has the
meaning given such term in section 1707(g)(1).
``(g) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $5,000,000 for each of fiscal
years 2024 through 2028.''.
SEC. 303. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND
DISCRIMINATION IN MATERNITY CARE SETTINGS.
(a) In General.--The Secretary of Health and Human Services shall
seek to enter into an agreement, not later than 90 days after the date
of enactment of this Act, with the National Academies of Sciences,
Engineering, and Medicine (referred to in this section as the
``National Academies'') under which the National Academies agree to--
(1) conduct a study on the design and implementation of
programs to reduce and prevent bias, racism, and discrimination
in maternity care settings and to advance respectful,
culturally and linguistically congruent, trauma-informed care;
and
(2) not later than 24 months after the date of enactment of
this Act--
(A) complete the study; and
(B) transmit a report on the results of the study
to the Congress.
(b) Possible Topics.--The agreement entered into pursuant to
subsection (a) may provide for the study of any of the following:
(1) The development of a scorecard or other evaluation
standards for programs designed to reduce and prevent bias,
racism, and discrimination in maternity care settings to assess
the effectiveness of such programs in improving patient
outcomes and patient experience for pregnant and postpartum
individuals from racial and ethnic minority groups and their
families.
(2) Determination of the types and frequency of training to
reduce and prevent bias, racism, and discrimination in
maternity care settings that are demonstrated to improve
patient outcomes or patient experience for pregnant and
postpartum individuals from racial and ethnic minority groups
and their families.
SEC. 304. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM.
(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall award grants
to accredited hospitals, health systems, and other maternity care
settings to establish as an integral part of quality implementation
initiatives within one or more hospitals or other birth settings a
respectful maternity care compliance program.
(b) Program Requirements.--A respectful maternity care compliance
program funded through a grant under this section shall--
(1) institutionalize mechanisms to allow patients receiving
maternity care services, the families of such patients, or
perinatal health workers supporting such patients to report
instances of racism or evidence of bias on the basis of race,
ethnicity, or another protected class;
(2) institutionalize response mechanisms through which
representatives of the program can directly follow up with the
patient, if possible, and the patient's family in a timely
manner;
(3) prepare and make publicly available a hospital- or
health system-wide strategy to reduce bias on the basis of
race, ethnicity, or another protected class in the delivery of
maternity care that includes--
(A) information on the training programs to reduce
and prevent bias, racism, and discrimination on the
basis of race, ethnicity, or another protected class
for all employees in maternity care settings;
(B) information on the number of cases reported to
the compliance program; and
(C) the development of methods to routinely assess
the extent to which bias, racism, or discrimination on
the basis of race, ethnicity, or another protected
class is present in the delivery of maternity care to
patients from racial and ethnic minority groups;
(4) develop mechanisms to routinely collect and publicly
report hospital-level data related to patient-reported
experience of care; and
(5) provide annual reports to the Secretary with
information about each case reported to the compliance program
over the course of the year containing such information as the
Secretary may require, such as--
(A) deidentified demographic information on the
patient in the case, such as race, ethnicity, gender
identity, and primary language;
(B) the content of the report from the patient or
the family of the patient to the compliance program;
(C) the response from the compliance program; and
(D) to the extent applicable, institutional changes
made as a result of the case.
(c) Secretary Requirements.--
(1) Processes.--Not later than 180 days after the date of
enactment of this Act, the Secretary shall establish processes
for--
(A) disseminating best practices for establishing
and implementing a respectful maternity care compliance
program within a hospital or other birth setting;
(B) promoting coordination and collaboration
between hospitals, health systems, and other maternity
care delivery settings on the establishment and
implementation of respectful maternity care compliance
programs; and
(C) evaluating the effectiveness of respectful
maternity care compliance programs on maternal health
outcomes and patient and family experiences, especially
for patients from racial and ethnic minority groups and
their families.
(2) Study.--
(A) In general.--Not later than 2 years after the
date of enactment of this Act, the Secretary shall,
through a contract with an independent research
organization, conduct a study on strategies to
address--
(i) racism or bias on the basis of race,
ethnicity, or another protected class in the
delivery of maternity care services; and
(ii) successful implementation of
respectful care initiatives.
(B) Components of study.--The study shall include
the following:
(i) An assessment of the reports submitted
to the Secretary from the respectful maternity
care compliance programs pursuant to subsection
(b)(5).
(ii) Based on such assessment,
recommendations for potential accountability
mechanisms related to cases of racism or bias
on the basis of race, ethnicity, or another
protected class in the delivery of maternity
care services at hospitals and other birth
settings. Such recommendations shall take into
consideration medical and nonmedical factors
that contribute to adverse patient experiences
and maternal health outcomes.
(C) Report.--The Secretary shall submit to the
Congress and make publicly available a report on the
results of the study under this paragraph.
(d) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated such sums as may be necessary
for fiscal years 2024 through 2029.
SEC. 305. GAO REPORT.
(a) In General.--Not later than 2 years after the date of enactment
of this Act and annually thereafter, the Comptroller General of the
United States shall submit to the Congress and make publicly available
a report on the establishment of respectful maternity care compliance
programs within hospitals, health systems, and other maternity care
settings.
(b) Matters Included.--The report under subsection (a) shall
include the following:
(1) Information regarding the extent to which hospitals,
health systems, and other maternity care settings have elected
to establish respectful maternity care compliance programs,
including--
(A) which hospitals and other birth settings elect
to establish compliance programs and when such programs
are established;
(B) to the extent practicable, impacts of the
establishment of such programs on maternal health
outcomes and patient and family experiences in the
hospitals and other birth settings that have
established such programs, especially for patients from
racial and ethnic minority groups and their families;
(C) information on geographic areas, and types of
hospitals or other birth settings, where respectful
maternity care compliance programs are not being
established and information on factors contributing to
decisions to not establish such programs; and
(D) recommendations for establishing respectful
maternity care compliance programs in geographic areas,
and types of hospitals or other birth settings, where
such programs are not being established.
(2) Whether the funding made available to carry out this
section has been sufficient and, if applicable, recommendations
for additional appropriations to carry out this section.
(3) Such other information as the Comptroller General
determines appropriate.
TITLE IV--MATERNAL HEALTH FOR VETERANS
SEC. 401. SUPPORT FOR MATERNITY HEALTH CARE AND COORDINATION PROGRAMS
OF THE DEPARTMENT OF VETERANS AFFAIRS.
(a) Report to Congress.--Not later than 1 year after the date of
the enactment of this Act, and annually thereafter until September 30,
2028, the Secretary of Veterans Affairs shall submit to the Committees
on Veterans' Affairs of the House of Representatives and the Senate,
and make publicly available, a report that contains the following:
(1) A summary of the activities carried out under the
programs of the Department of Veterans Affairs relating to
maternity health care or coordination.
(2) Data on maternal health outcomes of veterans who
receive care furnished by the Secretary of Veterans Affairs,
including pursuant to such programs.
(3) Recommendations by the Secretary of Veterans Affairs to
improve the maternal health outcomes of veterans, with a
particular focus on veterans from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes.
(b) Authorization of Appropriations.--
(1) In general.--There is authorized to be appropriated to
the Secretary of Veterans Affairs $15,000,000 for each of
fiscal years 2024, 2025, 2026, 2027, and 2028, for the programs
of the Department of Veterans Affairs relating to maternity
care coordination and related programs, including the maternity
care coordination program described in Veterans Health
Administration Directive 1330.03.
(2) Supplement not supplant.--Amounts authorized under
paragraph (1) are authorized in addition to any other amounts
authorized for maternity health care and coordination for the
Department of Veterans Affairs.
TITLE V--PERINATAL WORKFORCE
SEC. 501. HHS AGENCY DIRECTIVES.
(a) Guidance to States.--
(1) In general.--Not later than 2 years after the date of
enactment of this Act, the Secretary of Health and Human
Services shall issue and disseminate guidance to States to
educate providers, managed care entities, and other insurers
about the value and process of delivering respectful maternal
health care through diverse and multidisciplinary care provider
models.
(2) Contents.--The guidance required by paragraph (1) shall
address how States can encourage and incentivize hospitals,
health systems, midwifery practices, freestanding birth
centers, other maternity care provider groups, managed care
entities, and other insurers--
(A) to recruit and retain maternity care providers,
mental and behavioral health care providers acting in
accordance with State law, and registered dietitians or
nutrition professionals (as such term is defined in
section 1861(vv)(2) of the Social Security Act (42
U.S.C. 1395x(vv)(2)))--
(i) from racially, ethnically, and
linguistically diverse backgrounds;
(ii) with experience practicing in racially
and ethnically diverse communities; and
(iii) who have undergone training on
implicit bias and racism;
(B) to incorporate into maternity care teams--
(i) midwives who meet, at a minimum, the
international definition of a midwife and
global standards for midwifery education as
established by the International Confederation
of Midwives;
(ii) perinatal health workers;
(iii) physician assistants;
(iv) advanced practice registered nurses;
and
(v) lactation consultants certified by the
International Board of Lactation Consultant
Examiners;
(C) to provide collaborative, culturally and
linguistically congruent care; and
(D) to provide opportunities for individuals
enrolled in accredited midwifery education programs to
participate in job shadowing with maternity care teams
in hospitals, health systems, midwifery practices, and
freestanding birth centers.
(b) Study on Respectful and Culturally and Linguistically Congruent
Maternity Care.--
(1) Study.--The Secretary of Health and Human Services
acting through the Director of the National Institutes of
Health (in this subsection referred to as the ``Secretary'')
shall conduct a study on best practices in respectful and
culturally and linguistically congruent maternity care.
(2) Report.--Not later than 2 years after the date of
enactment of this Act, the Secretary shall--
(A) complete the study required by paragraph (1);
(B) submit to the Congress and make publicly
available a report on the results of such study; and
(C) include in such report--
(i) a compendium of examples of hospitals,
health systems, midwifery practices,
freestanding birth centers, other maternity
care provider groups, managed care entities,
and other insurers that are delivering
respectful and culturally and linguistically
congruent maternal health care;
(ii) a compendium of examples of hospitals,
health systems, midwifery practices,
freestanding birth centers, other maternity
care provider groups, managed care entities,
and other insurers that have made progress in
reducing disparities in maternal health
outcomes and improving birthing experiences for
pregnant and postpartum individuals from racial
and ethnic minority groups; and
(iii) recommendations to hospitals, health
systems, midwifery practices, freestanding
birth centers, other maternity care provider
groups, managed care entities, and other
insurers, for best practices in respectful and
culturally and linguistically congruent
maternity care.
SEC. 502. GRANTS TO GROW AND DIVERSIFY THE PERINATAL WORKFORCE.
Title VII of the Public Health Service Act is amended by inserting
after section 757 (42 U.S.C. 294f) the following new section:
``SEC. 758. PERINATAL WORKFORCE GRANTS.
``(a) In General.--The Secretary shall award grants to entities to
establish or expand programs described in subsection (b) to grow and
diversify the perinatal workforce.
``(b) Use of Funds.--Recipients of grants under this section shall
use the grants to grow and diversify the perinatal workforce by--
``(1) establishing accredited schools or programs that
provide education and training to individuals seeking
appropriate licensing and certification as--
``(A) physician assistants who will complete
clinical training in the field of maternal and
perinatal health;
``(B) perinatal health workers; or
``(C) midwives who meet, at a minimum, the
international definition of a midwife and global
standards for midwifery education as established by the
International Confederation of Midwives; and
``(2) expanding the capacity of existing accredited schools
or programs described in paragraph (1), for the purposes of
increasing the number of students enrolled in such accredited
schools or programs, such as by awarding scholarships for
students (including students from racially, ethnically, and
linguistically diverse backgrounds).
``(c) Prioritization.--In awarding grants under this section, the
Secretary shall give priority to a school or program described in
subsection (b) that--
``(1) has demonstrated a commitment to recruiting and
retaining students and faculty from racial and ethnic minority
groups;
``(2) has developed a strategy to recruit and retain a
diverse pool of students into the school or program described
in subsection (b) that is supported by funds received through
the grant, particularly from racial and ethnic minority groups
and other underserved populations;
``(3) has developed a strategy to recruit and retain
students who plan to practice in a health professional shortage
area designated under section 332;
``(4) has developed a strategy to recruit and retain
students who plan to practice in an area with significant
racial and ethnic disparities in maternal health outcomes, to
the extent practicable; and
``(5) includes in the standard curriculum for all students
within the school or program described in subsection (b) a
bias, racism, or discrimination training program that includes
training on implicit bias and racism.
``(d) Reporting.--As a condition on receipt of a grant under this
section for a school or program described in subsection (b), an entity
shall agree to submit to the Secretary an annual report on the
activities conducted through the grant, including--
``(1) the number and demographics of students participating
in the school or program;
``(2) the extent to which students in the school or program
are entering careers in--
``(A) health professional shortage areas designated
under section 332; and
``(B) areas with elevated rates of maternal
mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth
outcomes, to the extent such data are available; and
``(3) whether the school or program has included in the
standard curriculum for all students a bias, racism, or
discrimination training program that includes explicit and
implicit bias, and if so the effectiveness of such training
program.
``(e) Period of Grants.--The period of a grant under this section
shall be up to 5 years.
``(f) Application.--To seek a grant under this section, an entity
shall submit to the Secretary an application at such time, in such
manner, and containing such information as the Secretary may require,
including any information necessary for prioritization under subsection
(c).
``(g) Technical Assistance.--The Secretary shall provide, directly
or by contract, technical assistance to entities seeking or receiving a
grant under this section on the development, use, evaluation, and
postgrant period sustainability of the school or program described in
subsection (b) that is proposed to be, or is being, established or
expanded through the grant.
``(h) Report by the Secretary.--Not later than 4 years after the
date of enactment of this section, the Secretary shall prepare and
submit to the Congress, and post on the internet website of the
Department of Health and Human Services, a report on the effectiveness
of the grant program under this section at--
``(1) recruiting students from racial and ethnic minority
groups;
``(2) increasing the number of health professionals
described in subparagraphs (A), (B), and (C) of subsection
(b)(1) from racial and ethnic minority groups and other
underserved populations;
``(3) increasing the number of such health professionals
working in health professional shortage areas designated under
section 332; and
``(4) increasing the number of such health professionals
working in areas with significant racial and ethnic disparities
in maternal health outcomes, to the extent such data are
available.
``(i) Definition.--In this section, the term `racial and ethnic
minority group' has the meaning given such term in section 1707(g)(1).
``(j) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $15,000,000 for each of fiscal
years 2024 through 2028.''.
SEC. 503. GRANTS TO GROW AND DIVERSIFY THE NURSING WORKFORCE IN
MATERNAL AND PERINATAL HEALTH.
Title VIII of the Public Health Service Act is amended by inserting
after section 811 of that Act (42 U.S.C. 296j) the following:
``SEC. 812. PERINATAL NURSING WORKFORCE GRANTS.
``(a) In General.--The Secretary shall award grants to schools of
nursing to grow and diversify the perinatal nursing workforce.
``(b) Use of Funds.--Recipients of grants under this section shall
use the grants to grow and diversify the perinatal nursing workforce by
providing scholarships to students seeking to become--
``(1) nurse practitioners whose education includes a focus
on maternal and perinatal health;
``(2) certified nurse-midwives; or
``(3) clinical nurse specialists whose education includes a
focus on maternal and perinatal health.
``(c) Prioritization.--In awarding grants under this section, the
Secretary shall give priority to any school of nursing that--
``(1) has developed a strategy to recruit and retain a
diverse pool of students seeking to enter careers focused on
maternal and perinatal health, particularly students from
racial and ethnic minority groups and other underserved
populations;
``(2) has developed a partnership with a practice setting
in a health professional shortage area designated under section
332 for the clinical placements of the school's students;
``(3) has developed a strategy to recruit and retain
students who plan to practice in an area with significant
racial and ethnic disparities in maternal health outcomes, to
the extent practicable; and
``(4) includes in the standard curriculum for all students
seeking to enter careers focused on maternal and perinatal
health a bias, racism, or discrimination training program that
includes education on implicit bias and racism.
``(d) Reporting.--As a condition on receipt of a grant under this
section, a school of nursing shall agree to submit to the Secretary an
annual report on the activities conducted through the grant, including,
to the extent practicable--
``(1) the number and demographics of students in the school
of nursing seeking to enter careers focused on maternal and
perinatal health;
``(2) the extent to which such students are preparing to
enter careers in--
``(A) health professional shortage areas designated
under section 332; and
``(B) areas with elevated rates of maternal
mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth
outcomes, to the extent such data are available; and
``(3) whether the standard curriculum for all students
seeking to enter careers focused on maternal and perinatal
health includes a bias, racism, or discrimination training
program that includes education on implicit bias and racism.
``(e) Period of Grants.--The period of a grant under this section
shall be up to 5 years.
``(f) Application.--To seek a grant under this section, an entity
shall submit to the Secretary an application, at such time, in such
manner, and containing such information as the Secretary may require,
including any information necessary for prioritization under subsection
(c).
``(g) Technical Assistance.--The Secretary shall provide, directly
or by contract, technical assistance to schools of nursing seeking or
receiving a grant under this section on the processes of awarding and
evaluating scholarships through the grant.
``(h) Report by the Secretary.--Not later than 4 years after the
date of enactment of this section, the Secretary shall prepare and
submit to the Congress, and post on the internet website of the
Department of Health and Human Services, a report on the effectiveness
of the grant program under this section at--
``(1) recruiting students from racial and ethnic minority
groups and other underserved populations;
``(2) increasing the number of advanced practice registered
nurses entering careers focused on maternal and perinatal
health from racial and ethnic minority groups and other
underserved populations;
``(3) increasing the number of advanced practice registered
nurses entering careers focused on maternal and perinatal
health working in health professional shortage areas designated
under section 332; and
``(4) increasing the number of advanced practice registered
nurses entering careers focused on maternal and perinatal
health working in areas with significant racial and ethnic
disparities in maternal health outcomes, to the extent such
data are available.
``(i) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $15,000,000 for each of fiscal
years 2024 through 2028.''.
SEC. 504. GAO REPORT.
(a) In General.--Not later than 2 years after the date of enactment
of this Act and every 5 years thereafter, the Comptroller General of
the United States shall submit to Congress a report on barriers to
maternal health education and access to care in the United States. Such
report shall include the information and recommendations described in
subsection (b).
(b) Content of Report.--The report under subsection (a) shall
include--
(1) an assessment of current barriers to entering and
successfully completing accredited midwifery education
programs, and recommendations for addressing such barriers,
particularly for low-income women and women from racial and
ethnic minority groups;
(2) an assessment of current barriers to entering and
successfully completing accredited education programs for other
health professional careers related to maternity care,
including maternity care providers, mental and behavioral
health care providers acting in accordance with State law, and
registered dietitians or nutrition professionals (as such term
is defined in section 1861(vv)(2) of the Social Security Act
(42 U.S.C. 1395x(vv)(2)), particularly for low-income women and
women from racial and ethnic minority groups;
(3) an assessment of current barriers that prevent midwives
from meeting the international definition of a midwife and
global standards for midwifery education as established by the
International Confederation of Midwives, and recommendations
for addressing such barriers, particularly for low-income women
and women from racial and ethnic minority groups;
(4) an assessment of disparities in access to maternity
care providers, mental or behavioral health care providers
acting in accordance with State law, and registered dietitians
or nutrition professionals (as such term is defined in section
1861(vv)(2) of the Social Security Act (42 U.S.C.
1395x(vv)(2))), and perinatal health workers, stratified by
race, ethnicity, gender identity, primary language, geographic
location, and insurance type and recommendations to promote
greater access equity; and
(5) recommendations to promote greater equity in
compensation for perinatal health workers under public and
private insurers, particularly for such individuals from
racially and ethnically diverse backgrounds.
TITLE VI--DATA TO SAVE MOMS
SEC. 601. FUNDING FOR MATERNAL MORTALITY REVIEW COMMITTEES TO PROMOTE
REPRESENTATIVE COMMUNITY ENGAGEMENT.
(a) In General.--Section 317K(d) of the Public Health Service Act
(42 U.S.C. 247b-12(d)) is amended by adding at the end the following:
``(9) Grants to promote representative community engagement
in maternal mortality review committees.--
``(A) In general.--The Secretary may, using funds
made available pursuant to subparagraph (C), provide
assistance to an applicable maternal mortality review
committee of a State, Indian Tribe, Tribal
organization, or Urban Indian organization (as such
terms are defined in section 4 of the Indian Health
Care Improvement Act)--
``(i) to select for inclusion in the
membership of such a committee community
members from the State, Indian Tribe, Tribal
organization, or Urban Indian organization by--
``(I) prioritizing community
members who can increase the diversity
of the committee's membership with
respect to race and ethnicity,
location, personal or family
experiences of maternal mortality or
severe maternal morbidity, and
professional background, including
members with nonclinical experiences;
and
``(II) to the extent applicable,
using funds reserved under subsection
(f), to address barriers to maternal
mortality review committee
participation for community members,
including required training,
transportation barriers, compensation,
and other supports as may be necessary;
``(ii) to establish initiatives to conduct
outreach and community engagement efforts
within communities throughout the State or
Tribe to seek input from community members on
the work of such maternal mortality review
committee, with a particular focus on outreach
to women from racial and ethnic minority groups
(as such term is defined in section
1707(g)(1)); and
``(iii) to release public reports
assessing--
``(I) the pregnancy-related death
and pregnancy-associated death review
processes of the maternal mortality
review committee, with a particular
focus on the maternal mortality review
committee's sensitivity to the unique
circumstances of pregnant and
postpartum individuals from racial and
ethnic minority groups (as such term is
defined in section 1707(g)(1)) who have
suffered pregnancy-related deaths; and
``(II) the impact of the use of
funds made available pursuant to
subparagraph (C) on increasing the
diversity of the maternal mortality
review committee membership and
promoting community engagement efforts
throughout the State or Tribe.
``(B) Technical assistance.--The Secretary shall
provide (either directly through the Department of
Health and Human Services or by contract) technical
assistance to any maternal mortality review committee
receiving a grant under this paragraph on best
practices for increasing the diversity of the maternal
mortality review committee's membership and for
conducting effective community engagement throughout
the State or Tribe.
``(C) Authorization of appropriations.--In addition
to any funds made available under subsection (f), there
is authorized to be appropriated to carry out this
paragraph $10,000,000 for each of fiscal years 2024
through 2028.''.
(b) Reservation of Funds.--Section 317K(f) of the Public Health
Service Act (42 U.S.C. 247b-12(f)) is amended by adding at the end the
following: ``Of the amount made available under the preceding sentence
for a fiscal year, not less than $1,500,000 shall be reserved for
grants to Indian Tribes, Tribal organizations, or Urban Indian
organizations (as those terms are defined in section 4 of the Indian
Health Care Improvement Act)''.
SEC. 602. DATA COLLECTION AND REVIEW.
Section 317K(d)(3)(A)(i) of the Public Health Service Act (42
U.S.C. 247b-12(d)(3)(A)(i)) is amended--
(1) by redesignating subclauses (II) and (III) as
subclauses (V) and (VI), respectively; and
(2) by inserting after subclause (I) the following:
``(II) to the extent practicable,
reviewing cases of severe maternal
morbidity, according to the most up-to-
date indicators;
``(III) to the extent practicable,
reviewing deaths during pregnancy or up
to 1 year after the end of a pregnancy
from suicide, overdose, or other death
from a mental health condition or
substance use disorder attributed to or
aggravated by pregnancy or childbirth
complications;
``(IV) to the extent practicable,
consulting with local community-based
organizations representing pregnant and
postpartum individuals from demographic
groups with elevated rates of maternal
mortality, severe maternal morbidity,
maternal health disparities, or other
adverse perinatal or childbirth
outcomes to ensure that, in addition to
clinical factors, nonclinical factors
that might have contributed to a
pregnancy-related death are
appropriately considered;''.
SEC. 603. REVIEW OF MATERNAL HEALTH DATA COLLECTION PROCESSES AND
QUALITY MEASURES.
(a) In General.--The Secretary of Health and Human Services, acting
through the Administrator of the Centers for Medicare & Medicaid
Services and the Director of the Agency for Healthcare Research and
Quality, shall consult with relevant stakeholders--
(1) to review existing maternal health data collection
processes and quality measures; and
(2) to make recommendations to improve such processes and
measures, including topics described under subsection (c).
(b) Collaboration.--In carrying out this section, the Secretary
shall consult with a diverse group of maternal health stakeholders,
which may include--
(1) pregnant and postpartum individuals and their family
members, and nonprofit organizations representing such
individuals, with a particular focus on patients from racial
and ethnic minority groups;
(2) community-based organizations that provide support for
pregnant and postpartum individuals, with a particular focus on
patients from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes;
(3) membership organizations for maternity care providers;
(4) organizations representing perinatal health workers;
(5) organizations that focus on maternal mental or
behavioral health;
(6) organizations that focus on intimate partner violence;
(7) institutions of higher education, with a particular
focus on minority-serving institutions;
(8) licensed and accredited hospitals, birth centers,
midwifery practices, or other facilities that provide maternal
health care services;
(9) relevant State and local public agencies, including
State maternal mortality review committees; and
(10) the National Quality Forum, or such other standard-
setting organizations specified by the Secretary.
(c) Topics.--The review of maternal health data collection
processes and recommendations to improve such processes and measures
required under subsection (a) shall assess all available relevant
information, including information from State-level sources, and shall
consider at least the following:
(1) Current State and Tribal practices for maternal health,
maternal mortality, and severe maternal morbidity data
collection and dissemination, including consideration of--
(A) the timeliness of processes for amending a
death certificate when new information pertaining to
the death becomes available to reflect whether the
death was a pregnancy-related death;
(B) relevant data collected with electronic health
records, including data on race, ethnicity, primary
language, socioeconomic status, geography, insurance
type, and other relevant demographic information;
(C) maternal health data collected and publicly
reported by hospitals, health systems, midwifery
practices, and birth centers;
(D) the barriers preventing States from correlating
maternal outcome data with data on race, ethnicity, and
other demographic characteristics;
(E) processes for determining the cause of a
pregnancy-associated death in States that do not have a
maternal mortality review committee;
(F) whether maternal mortality review committees
include multidisciplinary and diverse membership (as
described in section 317K(d)(1)(A) of the Public Health
Service Act (42 U.S.C. 247b-12(d)(1)(A)));
(G) whether members of maternal mortality review
committees participate in trainings on bias, racism, or
discrimination, and the quality of such trainings;
(H) the extent to which States have implemented
systematic processes of listening to the stories of
pregnant and postpartum individuals and their family
members, with a particular focus on pregnant and
postpartum individuals from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other
adverse perinatal or childbirth outcomes, and their
family members, to fully understand the causes of, and
inform potential solutions to, the maternal mortality
and severe maternal morbidity crisis within their
respective States;
(I) the extent to which maternal mortality review
committees are considering social determinants of
maternal health when examining the causes of pregnancy-
associated and pregnancy-related deaths;
(J) the extent to which maternal mortality review
committees are making actionable recommendations based
on their reviews of adverse maternal health outcomes
and the extent to which such recommendations are being
implemented by appropriate stakeholders;
(K) the legal and administrative barriers
preventing the collection, collation, and dissemination
of State maternity care data;
(L) the effectiveness of data collection and
reporting processes in separating pregnancy-associated
deaths from pregnancy-related deaths; and
(M) the current Federal, State, local, and Tribal
funding support for the activities referred to in
subparagraphs (A) through (L).
(2) Whether the funding support referred to in paragraph
(1)(M) is adequate for States to carry out optimal data
collection and dissemination processes with respect to maternal
health, maternal mortality, and severe maternal morbidity.
(3) Current quality measures for maternity care, including
prenatal measures, labor and delivery measures, and postpartum
measures, including topics such as--
(A) effective quality measures for maternity care
used by hospitals, health systems, midwifery practices,
birth centers, health plans, and other relevant
entities;
(B) the sufficiency of current outcome measures
used to evaluate maternity care for driving improved
care, experiences, and outcomes in maternity care
payment and delivery system models;
(C) maternal health quality measures that other
countries effectively use;
(D) validated measures that have been used for
research purposes that could be tested, refined, and
submitted for national endorsement;
(E) barriers preventing maternity care providers
and insurers from implementing quality measures that
are aligned with best practices;
(F) the frequency with which maternity care quality
measures are reviewed and revised;
(G) the strengths and weaknesses of the Prenatal
and Postpartum Care measures of the Health Plan
Employer Data and Information Set measures established
by the National Committee for Quality Assurance;
(H) the strengths and weaknesses of maternity care
quality measures under the Medicaid program under title
XIX of the Social Security Act (42 U.S.C. 1396 et seq.)
and the Children's Health Insurance Program under title
XXI of such Act (42 U.S.C. 1397 et seq.), including the
extent to which States voluntarily report relevant
measures;
(I) the extent to which maternity care quality
measures are informed by patient experiences that
include measures of patient-reported experience of
care;
(J) the current processes for collecting and making
publicly available, to the extent practicable,
stratified data on race, ethnicity, and other
demographic characteristics of pregnant and postpartum
individuals in hospitals, health systems, midwifery
practices, and birth centers, and for incorporating
such demographically stratified data in maternity care
quality measures;
(K) the extent to which maternity care quality
measures account for the unique experiences of pregnant
and postpartum individuals from racial and ethnic
minority groups; and
(L) the extent to which hospitals, health systems,
midwifery practices, and birth centers are implementing
existing maternity care quality measures.
(4) Recommendations on authorizing additional funds and
providing additional technical assistance to improve maternal
mortality review committees and State and Tribal maternal
health data collection and reporting processes.
(5) Recommendations for new authorities that may be granted
to maternal mortality review committees to be able to--
(A) access records from other Federal and State
agencies and departments that may be necessary to
identify causes of pregnancy-associated and pregnancy-
related deaths that are unique to pregnant and
postpartum individuals from specific populations, such
as veterans and individuals who are incarcerated; and
(B) work with relevant experts who are not members
of the maternal mortality review committee to assist in
the review of pregnancy-associated deaths of pregnant
and postpartum individuals from specific populations,
such as veterans and individuals who are incarcerated.
(6) Recommendations to improve and standardize current
quality measures for maternity care, with a particular focus on
maternal health disparities.
(7) Recommendations to improve the coordination by the
Department of Health and Human Services of the efforts
undertaken by the agencies and organizations within the
Department related to maternal health data and quality
measures.
(d) Report.--Not later than 1 year after the enactment of this Act,
the Secretary shall submit to the Congress and make publicly available
a report on the results of the review of maternal health data
collection processes and quality measures and recommendations to
improve such processes and measures required under subsection (a).
(e) Definition.--In this section, the term ``maternal mortality
review committee'' means a maternal mortality review committee duly
authorized by a State and receiving funding under section 317K(a)(2)(D)
of the Public Health Service Act (42 U.S.C. 247b-12(a)(2)(D)).
(f) Authorization of Appropriations.--There are authorized to be
appropriated such sums as may be necessary to carry out this section
for fiscal years 2024 through 2027.
SEC. 604. STUDY ON MATERNAL HEALTH AMONG AMERICAN INDIAN AND ALASKA
NATIVE INDIVIDUALS.
(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall, in
coordination with entities described in subsection (b)--
(1) not later than 90 days after the enactment of this Act,
enter into a contract with an independent research organization
or Tribal Epidemiology Center to conduct a comprehensive study
on maternal mortality, severe maternal morbidity, and other
adverse perinatal or childbirth outcomes in the populations of
American Indian and Alaska Native individuals; and
(2) not later than 3 years after the date of the enactment
of this Act, submit to Congress a report on such study that
contains recommendations for policies and practices that can be
adopted to improve maternal health outcomes for American Indian
and Alaska Native individuals.
(b) Participating Entities.--The entities described in this
subsection shall consist of 12 members, selected by the Secretary from
among individuals nominated by Indian Tribes and Tribal organizations
(as such terms are defined in section 4 of the Indian Self-
Determination and Education Assistance Act (25 U.S.C. 5304)), and Urban
Indian organizations (as such term is defined in section 4 of the
Indian Health Care Improvement Act (25 U.S.C. 1603)). In selecting such
members, the Secretary shall ensure that each of the 12 service areas
of the Indian Health Service is represented.
(c) Contents of Study.--The study conducted pursuant to subsection
(a) shall--
(1) examine the causes of maternal mortality and severe
maternal morbidity that are unique to American Indian and
Alaska Native individuals;
(2) include a systematic process of listening to the
stories of American Indian and Alaska Native individuals to
fully understand the causes of, and inform potential solutions
to, the maternal health crisis within their respective
communities;
(3) distinguish between the causes of, landscape of
maternity care at, and recommendations to improve maternal
health outcomes within, the different settings in which
American Indian and Alaska Native individuals receive maternity
care, such as--
(A) facilities operated by the Indian Health
Service;
(B) an Indian health program operated by an Indian
Tribe or Tribal organization pursuant to a contract,
grant, cooperative agreement, or compact with the
Indian Health Service pursuant to the Indian Self-
Determination Act;
(C) an urban Indian health program operated by an
Urban Indian organization pursuant to a grant or
contract with the Indian Health Service pursuant to
title V of the Indian Health Care Improvement Act; and
(D) facilities outside of the Indian Health Service
in which American Indian and Alaska Native individuals
receive maternity care services;
(4) review processes for coordinating programs of the
Indian Health Service with social services provided through
other programs administered by the Secretary of Health and
Human Services (other than the Medicare Program under title
XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), the
Medicaid Program under title XIX of such Act (42 U.S.C. 1396 et
seq.), and the Children's Health Insurance Program under title
XXI of such Act (42 U.S.C. 1397 et seq.);
(5) review current data collection and quality measurement
processes and practices;
(6) assess causes and frequency of maternal mental health
conditions and substance use disorders;
(7) consider social determinants of health, including
poverty, lack of health insurance, unemployment, sexual and
domestic violence, and environmental conditions in Tribal
areas;
(8) consider the role that historical mistreatment of
American Indian and Alaska Native women has played in causing
currently elevated rates of maternal mortality, severe maternal
morbidity, and other adverse perinatal or childbirth outcomes;
(9) consider how current funding of the Indian Health
Service affects the ability of the Service to deliver quality
maternity care;
(10) consider the extent to which the delivery of maternity
care services is culturally appropriate for American Indian and
Alaska Native individuals;
(11) make recommendations to reduce misclassification of
American Indian and Alaska Native individuals, including
consideration of best practices in training for maternal
mortality review committee members to be able to correctly
classify American Indian and Alaska Native individuals; and
(12) make recommendations informed by the stories shared by
American Indian and Alaska Native individuals referred to in
paragraph (2) to improve maternal health outcomes for such
individuals.
(d) Report.--The agreement entered into under subsection (a) with
an independent research organization or Tribal Epidemiology Center
shall require that the organization or Center transmit to Congress a
report on the results of the study conducted pursuant to that agreement
not later than 36 months after the date of the enactment of this Act.
(e) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $2,000,000 for each of fiscal
years 2024 through 2026.
SEC. 605. GRANTS TO MINORITY-SERVING INSTITUTIONS TO STUDY MATERNAL
MORTALITY, SEVERE MATERNAL MORBIDITY, AND OTHER ADVERSE
MATERNAL HEALTH OUTCOMES.
(a) In General.--The Secretary of Health and Human Services shall
establish a program under which the Secretary shall award grants to
research centers, health professions schools and programs, and other
entities at minority-serving institutions to study specific aspects of
the maternal health crisis among pregnant and postpartum individuals
from racial and ethnic minority groups. Such research may--
(1) include the development and implementation of
systematic processes of listening to the stories of pregnant
and postpartum individuals from racial and ethnic minority
groups, and perinatal health workers supporting such
individuals, to fully understand the causes of, and inform
potential solutions to, the maternal mortality and severe
maternal morbidity crisis within their respective communities;
(2) assess the potential causes of relatively low rates of
maternal mortality among Hispanic individuals, including
potential racial misclassification and other data collection
and reporting issues that might be misrepresenting maternal
mortality rates among Hispanic individuals in the United
States;
(3) assess differences in rates of adverse maternal health
outcomes among subgroups identifying as Hispanic, including
disparities in access to early prenatal care; and
(4) include lactation education to promote racial and
ethnic diversity within the workforce of health care
professionals with breastfeeding and lactation expertise.
(b) Application.--To be eligible to receive a grant under
subsection (a), an entity described in such subsection shall submit to
the Secretary an application at such time, in such manner, and
containing such information as the Secretary may require.
(c) Technical Assistance.--The Secretary may use not more than 10
percent of the funds made available under subsection (g)--
(1) to conduct outreach to minority-serving institutions to
raise awareness of the availability of grants under subsection
(a);
(2) to provide technical assistance in the application
process for such a grant; and
(3) to promote capacity building as needed to enable
entities described in such subsection to submit such an
application.
(d) Reporting Requirement.--Each entity awarded a grant under this
section shall periodically submit to the Secretary a report on the
status of activities conducted using the grant.
(e) Evaluation.--Beginning 1 year after the date on which the first
grant is awarded under this section, the Secretary shall submit to
Congress an annual report summarizing the findings of research
conducted using funds made available under this section.
(f) Minority-Serving Institutions Defined.--In this section, the
term ``minority-serving institution'' has the meaning given the term in
section 371(a) of the Higher Education Act of 1965 (20 U.S.C.
1067q(a)).
(g) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $10,000,000 for each of fiscal
years 2024 through 2028.
TITLE VII--MOMS MATTER
SEC. 701. MATERNAL MENTAL HEALTH EQUITY GRANT PROGRAM.
(a) In General.--The Secretary of Health and Human Services, acting
through the Assistant Secretary for Mental Health and Substance Use,
shall establish a program to award grants to eligible entities to
address maternal mental health conditions and substance use disorders,
with a focus on demographic groups with elevated rates of maternal
mortality, severe maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes.
(b) Application.--To be eligible to receive a grant under this
section, an eligible entity shall submit to the Secretary an
application at such time, in such manner, and containing such
information as the Secretary may require.
(c) Priority.--In awarding grants under this section, the Secretary
shall give priority to an eligible entity that--
(1) is, or will partner with, a community-based
organization to address maternal mental health conditions and
substance use disorders described in subsection (a);
(2) is operating in an area with elevated rates of maternal
mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes;
and
(3) is operating in a health professional shortage area
designated under section 332 of the Public Health Service Act
(42 U.S.C. 254e).
(d) Use of Funds.--An eligible entity that receives a grant under
this section shall use the grant for the following:
(1) Establishing or expanding maternity care programs to
improve the integration of maternal mental health and
behavioral health care services into primary care settings
where pregnant individuals regularly receive health care
services.
(2) Establishing or expanding group prenatal care programs
or postpartum care programs.
(3) Expanding existing programs that improve maternal
mental and behavioral health during the prenatal and postpartum
periods, with a focus on individuals from demographic groups
with elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes.
(4) Providing services and support for pregnant and
postpartum individuals with maternal mental health conditions
and substance use disorders, including referrals to addiction
treatment centers that offer evidence-based treatment options.
(5) Addressing stigma associated with maternal mental
health conditions and substance use disorders, with a focus on
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes.
(6) Raising awareness of warning signs of maternal mental
health conditions and substance use disorders, with a focus on
pregnant and postpartum individuals from demographic groups
with elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes.
(7) Establishing or expanding programs to prevent suicide
or self-harm among pregnant and postpartum individuals.
(8) Offering evidence-aligned programs at freestanding
birth centers that provide maternal mental and behavioral
health care education, treatments, and services, and other
services for individuals throughout the prenatal and postpartum
period.
(9) Establishing or expanding programs to provide education
and training to maternity care providers with respect to--
(A) identifying potential warning signs for
maternal mental health conditions or substance use
disorders in pregnant and postpartum individuals, with
a focus on individuals from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other
adverse perinatal or childbirth outcomes; and
(B) in the case where such providers identify such
warning signs, offering referrals to mental and
behavioral health care professionals.
(10) Developing a website, or other source, that includes
information on health care providers who treat maternal mental
health conditions and substance use disorders.
(11) Establishing or expanding programs in communities to
improve coordination between maternity care providers and
mental and behavioral health care providers who treat maternal
mental health conditions and substance use disorders, including
through the use of toll-free hotlines.
(12) Carrying out other programs aligned with evidence-
based practices for addressing maternal mental health
conditions and substance use disorders for pregnant and
postpartum individuals from demographic groups with elevated
rates of maternal mortality, severe maternal morbidity,
maternal health disparities, or other adverse perinatal or
childbirth outcomes.
(e) Reporting.--
(1) Eligible entities.--An eligible entity that receives a
grant under subsection (a) shall submit annually to the
Secretary, and make publicly available, a report on the
activities conducted using funds received through a grant under
this section. Such reports shall include quantitative and
qualitative evaluations of such activities, including the
experience of individuals who received health care through such
grant.
(2) Secretary.--Not later than the end of fiscal year 2027,
the Secretary shall submit to Congress a report that includes--
(A) a summary of the reports received under
paragraph (1);
(B) an evaluation of the effectiveness of grants
awarded under this section;
(C) recommendations with respect to expanding
coverage of evidence-based screenings and treatments
for maternal mental health conditions and substance use
disorders; and
(D) recommendations with respect to ensuring
activities described under subsection (d) continue
after the end of a grant period.
(f) Definitions.--In this section:
(1) Eligible entity.--The term ``eligible entity'' means--
(A) a community-based organization serving pregnant
and postpartum individuals, including such
organizations serving individuals from demographic
groups with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities,
or other adverse perinatal or childbirth outcomes;
(B) a nonprofit or patient advocacy organization
with expertise in maternal mental and behavioral
health;
(C) a maternity care provider;
(D) a mental or behavioral health care provider who
treats maternal mental health conditions or substance
use disorders;
(E) a State or local governmental entity, including
a State or local public health department;
(F) an Indian Tribe or Tribal organization (as such
terms are defined in section 4 of the Indian Self-
Determination and Education Assistance Act (25 U.S.C.
5304)); and
(G) an Urban Indian organization (as such term is
defined in section 4 of the Indian Health Care
Improvement Act (25 U.S.C. 1603)).
(2) Freestanding birth center.--The term ``freestanding
birth center'' has the meaning given that term under section
1905(l) of the Social Security Act (42 U.S.C. 1396d(1)).
(3) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(g) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $25,000,000 for each of fiscal
years 2024 through 2027.
SEC. 702. GRANTS TO GROW AND DIVERSIFY THE MATERNAL MENTAL AND
BEHAVIORAL HEALTH CARE WORKFORCE.
Title VII of the Public Health Service Act is amended by inserting
after section 758 of such Act (42 U.S.C. 294f), as added by section 402
of this Act, the following new section:
``SEC. 758A. MATERNAL MENTAL AND BEHAVIORAL HEALTH CARE WORKFORCE
GRANTS.
``(a) In General.--The Secretary may award grants to entities to
establish or expand programs described in subsection (b) to grow and
diversify the maternal mental and behavioral health care workforce.
``(b) Use of Funds.--Recipients of grants under this section shall
use the grants to grow and diversify the maternal mental and behavioral
health care workforce by--
``(1) establishing schools or programs that provide
education and training to individuals seeking appropriate
licensing or certification as mental or behavioral health care
providers who will specialize in maternal mental health
conditions or substance use disorders; or
``(2) expanding the capacity of existing schools or
programs described in paragraph (1), for the purposes of
increasing the number of students enrolled in such schools or
programs, including by awarding scholarships for students.
``(c) Prioritization.--In awarding grants under this section, the
Secretary shall give priority to any entity that--
``(1) has demonstrated a commitment to recruiting and
retaining students and faculty from racial and ethnic minority
groups;
``(2) has developed a strategy to recruit and retain a
diverse pool of students into the maternal mental or behavioral
health care workforce program or school supported by funds
received through the grant, particularly from racial and ethnic
minority groups and other underserved populations;
``(3) has developed a strategy to recruit and retain
students who plan to practice in a health professional shortage
area designated under section 332;
``(4) has developed a strategy to recruit and retain
students who plan to practice in an area with significant
maternal health disparities, to the extent practicable; and
``(5) includes in the standard curriculum for all students
within the maternal mental or behavioral health care workforce
program or school a bias, racism, or discrimination training
program that includes training on implicit bias and racism.
``(d) Reporting.--As a condition on receipt of a grant under this
section for a maternal mental or behavioral health care workforce
program or school, an entity shall agree to submit to the Secretary an
annual report on the activities conducted through the grant,
including--
``(1) the number and demographics of students participating
in the program or school;
``(2) the extent to which students in the program or school
are entering careers in--
``(A) health professional shortage areas designated
under section 332; and
``(B) areas with significant maternal health
disparities, to the extent such data are available; and
``(3) whether the program or school has included in the
standard curriculum for all students a bias, racism, or
discrimination training program that includes training on
implicit bias and racism, and if so the effectiveness of such
training program.
``(e) Period of Grants.--The period of a grant under this section
shall be up to 5 years.
``(f) Application.--To seek a grant under this section, an entity
shall submit to the Secretary an application at such time, in such
manner, and containing such information as the Secretary may require,
including any information necessary for prioritization under subsection
(c).
``(g) Technical Assistance.--The Secretary shall provide, directly
or by contract, technical assistance to entities seeking or receiving a
grant under this section on the development, use, evaluation, and
postgrant period sustainability of the maternal mental or behavioral
health care workforce programs or schools proposed to be, or being,
established or expanded through the grant.
``(h) Report by the Secretary.--Not later than 4 years after the
date of enactment of this section, the Secretary shall prepare and
submit to the Congress, and post on the internet website of the
Department of Health and Human Services, a report on the effectiveness
of the grant program under this section at--
``(1) recruiting students from racial and ethnic minority
groups and other underserved populations;
``(2) increasing the number of mental or behavioral health
care providers specializing in maternal mental health
conditions or substance use disorders from racial and ethnic
minority groups and other underserved populations;
``(3) increasing the number of mental or behavioral health
care providers specializing in maternal mental health
conditions or substance use disorders working in health
professional shortage areas designated under section 332; and
``(4) increasing the number of mental or behavioral health
care providers specializing in maternal mental health
conditions or substance use disorders working in areas with
significant maternal health disparities, to the extent such
data are available.
``(i) Definitions.--In this section:
``(1) Racial and ethnic minority group.--The term `racial
and ethnic minority group' has the meaning given such term in
section 1707(g)(1).
``(2) Mental or behavioral health care provider.--The term
`mental or behavioral health care provider' refers to a health
care provider in the field of mental and behavioral health,
including substance use disorders, acting in accordance with
State law.
``(j) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $15,000,000 for each of fiscal
years 2024 through 2028.''.
TITLE VIII--JUSTICE FOR INCARCERATED MOMS
SEC. 801. ENDING THE SHACKLING OF PREGNANT INDIVIDUALS.
(a) In General.--Beginning on the date that is 6 months after the
date of enactment of this Act, and annually thereafter, in each State
that receives a grant under subpart 1 of part E of title I of the
Omnibus Crime Control and Safe Streets Act of 1968 (34 U.S.C. 10151 et
seq.) (commonly referred to as the ``Edward Byrne Memorial Justice
Grant Program'') and that does not have in effect throughout the State
for such fiscal year laws restricting the use of restraints on pregnant
individuals in prison that are substantially similar to the rights,
procedures, requirements, effects, and penalties set forth in section
4322 of title 18, United States Code, the amount of such grant that
would otherwise be allocated to such State under such subpart for the
fiscal year shall be decreased by 25 percent.
(b) Reallocation.--Amounts not allocated to a State for failure to
comply with subsection (a) shall be reallocated in accordance with
subpart 1 of part E of title I of the Omnibus Crime Control and Safe
Streets Act of 1968 (34 U.S.C. 10151 et seq.) to States that have
complied with such subsection.
SEC. 802. CREATING MODEL PROGRAMS FOR THE CARE OF INCARCERATED
INDIVIDUALS IN THE PRENATAL AND POSTPARTUM PERIODS.
(a) In General.--Not later than 1 year after the date of enactment
of this Act, the Attorney General, acting through the Director of the
Bureau of Prisons, shall establish, in not fewer than 6 Bureau of
Prisons facilities, programs to optimize maternal health outcomes for
pregnant and postpartum individuals incarcerated in such facilities.
The Attorney General shall establish such programs in consultation with
stakeholders such as--
(1) relevant community-based organizations, particularly
organizations that represent incarcerated and formerly
incarcerated individuals and organizations that seek to improve
maternal health outcomes for pregnant and postpartum
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes;
(2) relevant organizations representing patients, with a
particular focus on patients from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes;
(3) organizations representing maternity care providers and
maternal health care education programs;
(4) perinatal health workers; and
(5) researchers and policy experts in fields related to
maternal health care for incarcerated individuals.
(b) Start Date.--Each selected facility shall begin facility
programs not later than 18 months after the date of enactment of this
Act.
(c) Facility Priority.--In carrying out subsection (a), the
Director shall give priority to a facility based on--
(1) the number of pregnant and postpartum individuals
incarcerated in such facility and, among such individuals, the
number of pregnant and postpartum individuals from demographic
groups with elevated rates of maternal mortality, severe
maternal morbidity, maternal health disparities, or other
adverse perinatal or childbirth outcomes; and
(2) the extent to which the leaders of such facility have
demonstrated a commitment to developing exemplary programs for
pregnant and postpartum individuals incarcerated in such
facility.
(d) Program Duration.--The programs established under this section
shall be for a 5-year period.
(e) Programs.--Bureau of Prisons facilities selected by the
Director shall establish programs for pregnant and postpartum
incarcerated individuals, and such programs may--
(1) provide access to perinatal health workers from
pregnancy through the postpartum period;
(2) provide access to healthy foods and counseling on
nutrition, recommended activity levels, and safety measures
throughout pregnancy;
(3) train correctional officers to ensure that pregnant
incarcerated individuals receive safe and respectful treatment;
(4) train medical personnel to ensure that pregnant
incarcerated individuals receive trauma-informed, culturally
and linguistically congruent care that promotes the health and
safety of the pregnant individuals;
(5) provide counseling and treatment for individuals who
have suffered from--
(A) diagnosed mental or behavioral health
conditions, including trauma and substance use
disorders;
(B) trauma or violence, including domestic
violence;
(C) human immunodeficiency virus;
(D) sexual abuse;
(E) pregnancy or infant loss; or
(F) chronic conditions;
(6) provide evidence-based pregnancy and childbirth
education, parenting support, and other relevant forms of
health literacy;
(7) provide clinical education opportunities to maternity
care providers in training to expand pathways into maternal
health care careers serving incarcerated individuals;
(8) offer opportunities for postpartum individuals to
maintain contact with the individual's newborn child to promote
bonding, including enhanced visitation policies, access to
prison nursery programs, or breastfeeding support;
(9) provide reentry assistance, particularly to--
(A) ensure access to health insurance coverage and
transfer of health records to community providers if an
incarcerated individual exits the criminal justice
system during such individual's pregnancy or in the
postpartum period; and
(B) connect individuals exiting the criminal
justice system during pregnancy or in the postpartum
period to community-based resources, such as referrals
to health care providers, substance use disorder
treatments, and social services that address social
determinants maternal of health; or
(10) establish partnerships with local public entities,
private community entities, community-based organizations,
Indian Tribes and Tribal organizations (as such terms are
defined in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 5304)), and Urban Indian
organizations (as such term is defined in section 4 of the
Indian Health Care Improvement Act (25 U.S.C. 1603)) to
establish or expand pretrial diversion programs as an
alternative to incarceration for pregnant and postpartum
individuals. Such programs may include--
(A) evidence-based childbirth education or
parenting classes;
(B) prenatal health coordination;
(C) family and individual counseling;
(D) evidence-based screenings, education, and, as
needed, treatment for mental and behavioral health
conditions, including drug and alcohol treatments;
(E) family case management services;
(F) domestic violence education and prevention;
(G) physical and sexual abuse counseling; and
(H) programs to address social determinants of
health such as employment, housing, education,
transportation, and nutrition.
(f) Implementation and Reporting.--A selected facility shall be
responsible for--
(1) implementing programs, which may include the programs
described in subsection (e); and
(2) not later than 3 years after the date of enactment of
this Act, and 6 years after the date of enactment of this Act,
reporting results of the programs to the Director, including
information describing--
(A) relevant quantitative indicators of success in
improving the standard of care and health outcomes for
pregnant and postpartum incarcerated individuals in the
facility, including data stratified by race, ethnicity,
sex, gender, primary language, age, geography,
disability status, the category of the criminal charge
against such individual, rates of pregnancy-related
deaths, pregnancy-associated deaths, cases of infant
mortality and morbidity, rates of preterm births and
low-birthweight births, cases of severe maternal
morbidity, cases of violence against pregnant or
postpartum individuals, diagnoses of maternal mental or
behavioral health conditions, and other such
information as appropriate;
(B) relevant qualitative and quantitative
evaluations from pregnant and postpartum incarcerated
individuals who participated in such programs,
including measures of patient-reported experience of
care; and
(C) strategies to sustain such programs after
fiscal year 2028 and expand such programs to other
facilities.
(g) Report.--Not later than 6 years after the date of enactment of
this Act, the Director shall submit to the Attorney General and to the
Congress a report describing the results of the programs funded under
this section.
(h) Oversight.--Not later than 1 year after the date of enactment
of this Act, the Attorney General shall award a contract to an
independent organization or independent organizations to conduct
oversight of the programs described in subsection (e).
(i) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $10,000,000 for each of fiscal
years 2024 through 2028.
SEC. 803. GRANT PROGRAM TO IMPROVE MATERNAL HEALTH OUTCOMES FOR
INDIVIDUALS IN STATE AND LOCAL PRISONS AND JAILS.
(a) Establishment.--Not later than 1 year after the date of
enactment of this Act, the Attorney General, acting through the
Director of the Bureau of Justice Assistance, shall award Justice for
Incarcerated Moms grants to States to establish or expand programs in
State and local prisons and jails for pregnant and postpartum
incarcerated individuals. The Attorney General shall award such grants
in consultation with stakeholders such as--
(1) relevant community-based organizations, particularly
organizations that represent incarcerated and formerly
incarcerated individuals and organizations that seek to improve
maternal health outcomes for pregnant and postpartum
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes;
(2) relevant organizations representing patients, with a
particular focus on patients from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes;
(3) organizations representing maternity care providers and
maternal health care education programs;
(4) perinatal health workers; and
(5) researchers and policy experts in fields related to
maternal health care for incarcerated individuals.
(b) Applications.--Each applicant for a grant under this section
shall submit to the Director of the Bureau of Justice Assistance an
application at such time, in such manner, and containing such
information as the Director may require.
(c) Use of Funds.--A State that is awarded a grant under this
section shall use such grant to establish or expand programs for
pregnant and postpartum incarcerated individuals, and such programs
may--
(1) provide access to perinatal health workers from
pregnancy through the postpartum period;
(2) provide access to healthy foods and counseling on
nutrition, recommended activity levels, and safety measures
throughout pregnancy;
(3) train correctional officers to ensure that pregnant
incarcerated individuals receive safe and respectful treatment;
(4) train medical personnel to ensure that pregnant
incarcerated individuals receive trauma-informed, culturally
and linguistically congruent care that promotes the health and
safety of the pregnant individuals;
(5) provide counseling and treatment for individuals who
have suffered from--
(A) diagnosed mental or behavioral health
conditions, including trauma and substance use
disorders;
(B) trauma or violence, including domestic
violence;
(C) human immunodeficiency virus;
(D) sexual abuse;
(E) pregnancy or infant loss; or
(F) chronic conditions;
(6) provide evidence-based pregnancy and childbirth
education, parenting support, and other relevant forms of
health literacy;
(7) provide clinical education opportunities to maternity
care providers in training to expand pathways into maternal
health care careers serving incarcerated individuals;
(8) offer opportunities for postpartum individuals to
maintain contact with the individual's newborn child to promote
bonding, including enhanced visitation policies, access to
prison nursery programs, or breastfeeding support;
(9) provide reentry assistance, particularly to--
(A) ensure access to health insurance coverage and
transfer of health records to community providers if an
incarcerated individual exits the criminal justice
system during such individual's pregnancy or in the
postpartum period; and
(B) connect individuals exiting the criminal
justice system during pregnancy or in the postpartum
period to community-based resources, such as referrals
to health care providers, substance use disorder
treatments, and social services that address social
determinants of maternal health; or
(10) establish partnerships with local public entities,
private community entities, community-based organizations,
Indian Tribes and Tribal organizations (as such terms are
defined in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 5304)), and Urban Indian
organizations (as such term is defined in section 4 of the
Indian Health Care Improvement Act (25 U.S.C. 1603)) to
establish or expand pretrial diversion programs as an
alternative to incarceration for pregnant and postpartum
individuals. Such programs may include--
(A) evidence-based childbirth education or
parenting classes;
(B) prenatal health coordination;
(C) family and individual counseling;
(D) evidence-based screenings, education, and, as
needed, treatment for mental and behavioral health
conditions, including drug and alcohol treatments;
(E) family case management services;
(F) domestic violence education and prevention;
(G) physical and sexual abuse counseling; and
(H) programs to address social determinants of
health such as employment, housing, education,
transportation, and nutrition.
(d) Priority.--In awarding grants under this section, the Director
of the Bureau of Justice Assistance shall give priority to applicants
based on--
(1) the number of pregnant and postpartum individuals
incarcerated in the State and, among such individuals, the
number of pregnant and postpartum individuals from demographic
groups with elevated rates of maternal mortality, severe
maternal morbidity, maternal health disparities, or other
adverse perinatal or childbirth outcomes; and
(2) the extent to which the State has demonstrated a
commitment to developing exemplary programs for pregnant and
postpartum individuals incarcerated in the prisons and jails in
the State.
(e) Grant Duration.--A grant awarded under this section shall be
for a 5-year period.
(f) Implementing and Reporting.--A State that receives a grant
under this section shall be responsible for--
(1) implementing the program funded by the grant; and
(2) not later than 3 years after the date of enactment of
this Act, and 6 years after the date of enactment of this Act,
reporting results of such program to the Attorney General,
including information describing--
(A) relevant quantitative indicators of the
program's success in improving the standard of care and
health outcomes for pregnant and postpartum
incarcerated individuals in the facility, including
data stratified by race, ethnicity, sex, gender,
primary language, age, geography, disability status,
category of the criminal charge against such
individual, incidence rates of pregnancy-related
deaths, pregnancy-associated deaths, cases of infant
mortality and morbidity, rates of preterm births and
low-birthweight births, cases of severe maternal
morbidity, cases of violence against pregnant or
postpartum individuals, diagnoses of maternal mental or
behavioral health conditions, and other such
information as appropriate;
(B) relevant qualitative and quantitative
evaluations from pregnant and postpartum incarcerated
individuals who participated in such programs,
including measures of patient-reported experience of
care; and
(C) strategies to sustain such programs beyond the
duration of the grant and expand such programs to other
facilities.
(g) Report.--Not later than 6 years after the date of enactment of
this Act, the Attorney General shall submit to the Congress a report
describing the results of such grant programs.
(h) Oversight.--Not later than 1 year after the date of enactment
of this Act, the Attorney General shall award a contract to an
independent organization or independent organizations to conduct
oversight of the programs described in subsection (c).
(i) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $10,000,000 for each of fiscal
years 2024 through 2028.
SEC. 804. GAO REPORT.
(a) In General.--Not later than 2 years after the date of enactment
of this Act, the Comptroller General of the United States shall submit
to Congress a report on adverse maternal and infant health outcomes
among incarcerated individuals and infants born to such individuals,
with a particular focus on racial and ethnic disparities in maternal
and infant health outcomes for incarcerated individuals.
(b) Contents of Report.--The report described in this section shall
include--
(1) to the extent practicable--
(A) the number of pregnant individuals who are
incarcerated in Bureau of Prisons facilities;
(B) the number of incarcerated individuals,
including those incarcerated in Federal, State, and
local correctional facilities, who have experienced a
pregnancy-related death, pregnancy-associated death, or
the death of an infant in the most recent 10 years of
available data;
(C) the number of cases of severe maternal
morbidity among incarcerated individuals, including
those incarcerated in Federal, State, and local
detention facilities, in the most recent 10 years of
available data;
(D) the number of preterm and low-birthweight
births of infants born to incarcerated individuals,
including those incarcerated in Federal, State, and
local correctional facilities, in the most recent 10
years of available data; and
(E) statistics on the racial and ethnic disparities
in maternal and infant health outcomes and severe
maternal morbidity rates among incarcerated
individuals, including those incarcerated in Federal,
State, and local detention facilities;
(2) in the case that the Comptroller General of the United
States is unable determine the information required in
subparagraphs (A) through (C) of paragraph (1), an assessment
of the barriers to determining such information and
recommendations for improvements in tracking maternal health
outcomes among incarcerated individuals, including those
incarcerated in Federal, State, and local detention facilities;
(3) the implications of pregnant and postpartum
incarcerated individuals being ineligible for medical
assistance under a State plan under title XIX of the Social
Security Act (42 U.S.C. 1396 et seq.) including information
about--
(A) the effects of such ineligibility on maternal
health outcomes for pregnant and postpartum
incarcerated individuals, with emphasis given to such
effects for pregnant and postpartum individuals from
racial and ethnic minority groups; and
(B) potential implications on maternal health
outcomes resulting from temporarily suspending, rather
than permanently terminating, such eligibility when a
pregnant or postpartum individual is incarcerated;
(4) the extent to which Federal, State, and local
correctional facilities are holding pregnant and postpartum
individuals who test positive for illicit drug use in detention
with special conditions, such as additional bond requirements,
due to the individual's drug use, and the effect of such
detention policies on maternal and infant health outcomes;
(5) causes of adverse maternal health outcomes that are
unique to incarcerated individuals, including those
incarcerated in Federal, State, and local detention facilities;
(6) causes of adverse maternal health outcomes and severe
maternal morbidity that are unique to incarcerated individuals
from racial and ethnic minority groups;
(7) recommendations to reduce maternal mortality and severe
maternal morbidity among incarcerated individuals and to
address racial and ethnic disparities in maternal health
outcomes for incarcerated individuals in Bureau of Prisons
facilities and State and local prisons and jails; and
(8) such other information as may be appropriate to reduce
the occurrence of adverse maternal health outcomes among
incarcerated individuals and to address racial and ethnic
disparities in maternal health outcomes for such individuals.
TITLE IX--TECH TO SAVE MOMS
SEC. 901. INTEGRATED TELEHEALTH MODELS IN MATERNITY CARE SERVICES.
(a) In General.--Section 1115A(b)(2)(B) of the Social Security Act
(42 U.S.C. 1315a(b)(2)(B)) is amended by adding at the end the
following:
``(xxviii) Focusing on title XIX, providing
for the adoption of and use of telehealth tools
that allow for screening, monitoring, and
management of common health complications with
respect to an individual receiving medical
assistance during such individual's pregnancy
and for not more than a 1-year period beginning
on the last day of the pregnancy.''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect 1 year after the date of the enactment of this Act.
SEC. 902. GRANTS TO EXPAND THE USE OF TECHNOLOGY-ENABLED COLLABORATIVE
LEARNING AND CAPACITY MODELS FOR PREGNANT AND POSTPARTUM
INDIVIDUALS.
Title III of the Public Health Service Act is amended by inserting
after section 330P (42 U.S.C. 254c-22) the following:
``SEC. 330Q. EXPANDING CAPACITY FOR MATERNAL HEALTH OUTCOMES.
``(a) Establishment.--Beginning not later than 1 year after the
date of enactment of this Act, the Secretary shall award grants to
eligible entities to evaluate, develop, and expand the use of
technology-enabled collaborative learning and capacity building models
and improve maternal health outcomes--
``(1) in health professional shortage areas;
``(2) in areas with high rates of maternal mortality and
severe maternal morbidity;
``(3) in rural and underserved areas;
``(4) in areas with significant maternal health
disparities; and
``(5) for medically underserved populations and American
Indians and Alaska Natives, including Indian Tribes, Tribal
organizations, and Urban Indian organizations.
``(b) Use of Funds.--
``(1) Required uses.--Recipients of grants under this
section shall use the grants to--
``(A) train maternal health care providers,
students, and other similar professionals through
models that include--
``(i) methods to increase safety and health
care quality;
``(ii) implicit bias, racism, and
discrimination;
``(iii) best practices in screening for
and, as needed, evaluating and treating
maternal mental health conditions and substance
use disorders;
``(iv) training on best practices in
maternity care for pregnant and postpartum
individuals during public health emergencies;
``(v) methods to screen for social
determinants of maternal health risks in the
prenatal and postpartum; and
``(vi) the use of remote patient monitoring
tools for pregnancy-related complications
described in section 1115A(b)(2)(B)(xxviii);
``(B) evaluate and collect information on the
effect of such models on--
``(i) access to and quality of care;
``(ii) outcomes with respect to the health
of an individual; and
``(iii) the experience of individuals who
receive pregnancy-related health care;
``(C) develop qualitative and quantitative measures
to identify best practices for the expansion and use of
such models;
``(D) study the effect of such models on patient
outcomes and maternity care providers; and
``(E) conduct any other activity determined by the
Secretary.
``(2) Permissible uses.--Recipients of grants under this
section may use grants to support--
``(A) the use and expansion of technology-enabled
collaborative learning and capacity building models,
including hardware and software that--
``(i) enables distance learning and
technical support; and
``(ii) supports the secure exchange of
electronic health information; and
``(B) maternity care providers, students, and other
similar professionals in the provision of maternity
care through such models.
``(c) Application.--
``(1) In general.--An eligible entity seeking a grant under
subsection (a) shall submit to the Secretary an application, at
such time, in such manner, and containing such information as
the Secretary may require.
``(2) Assurance.--An application under paragraph (1) shall
include an assurance that such entity shall collect information
on and assess the effect of the use of technology-enabled
collaborative learning and capacity building models, including
with respect to--
``(A) maternal health outcomes;
``(B) access to maternal health care services;
``(C) quality of maternal health care; and
``(D) retention of maternity care providers serving
areas and populations described in subsection (a).
``(d) Limitations.--
``(1) Number.--The Secretary may not award more than 1
grant under this section.
``(2) Duration.--A grant awarded under this section shall
be for a 5-year period.
``(e) Access to Broadband.--In administering grants under this
section, the Secretary may coordinate with other agencies to ensure
that funding opportunities are available to support access to reliable,
high-speed internet for grantees.
``(f) Technical Assistance.--The Secretary shall provide (either
directly or by contract) technical assistance to eligible entities,
including recipients of grants under subsection (a), on the
development, use, and sustainability of technology-enabled
collaborative learning and capacity building models to expand access to
maternal health care services provided by such entities, including--
``(1) in health professional shortage areas;
``(2) in areas with high rates of maternal mortality and
severe maternal morbidity or significant maternal health
disparities;
``(3) in rural and underserved areas; and
``(4) for medically underserved populations or American
Indians and Alaska Natives.
``(g) Research and Evaluation.--The Secretary, in consultation with
experts, shall develop a strategic plan to research and evaluate the
evidence for technology-enabled collaborative learning and capacity
building models.
``(h) Reporting.--
``(1) Eligible entities.--An eligible entity that receives
a grant under subsection (a) shall submit to the Secretary a
report, at such time, in such manner, and containing such
information as the Secretary may require.
``(2) Secretary.--Not later than 4 years after the date of
enactment of this section, the Secretary shall submit to the
Congress, and make available on the website of the Department
of Health and Human Services, a report that includes--
``(A) a description of grants awarded under
subsection (a) and the purpose and amounts of such
grants;
``(B) a summary of--
``(i) the evaluations conducted under
subsection (b)(1)(B);
``(ii) any technical assistance provided
under subsection (f); and
``(iii) the activities conducted under
subsection (a); and
``(C) a description of any significant findings
with respect to--
``(i) patient outcomes; and
``(ii) best practices for expanding, using,
or evaluating technology-enabled collaborative
learning and capacity building models.
``(i) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $6,000,000 for each of fiscal
years 2024 through 2028.
``(j) Definitions.--In this section:
``(1) Eligible entity.--
``(A) In general.--The term `eligible entity' means
an entity that provides, or supports the provision of,
maternal health care services or other evidence-based
services for pregnant and postpartum individuals--
``(i) in health professional shortage
areas;
``(ii) in rural or underserved areas;
``(iii) in areas with high rates of adverse
maternal health outcomes or significant racial
and ethnic disparities in maternal health
outcomes; and
``(iv) who are--
``(I) members of medically
underserved populations; or
``(II) American Indians and Alaska
Natives, including Indian Tribes,
Tribal organizations, and Urban Indian
organizations.
``(B) Inclusions.--An eligible entity may include
entities that lead, or are capable of leading a
technology-enabled collaborative learning and capacity
building model.
``(2) Health professional shortage area.--The term `health
professional shortage area' means a health professional
shortage area designated under section 332.
``(3) Indian tribe.--The term `Indian Tribe' has the
meaning given such term in section 4 of the Indian Self-
Determination and Education Assistance Act.
``(4) Maternal mortality.--The term `maternal mortality'
means a death occurring during or within 1-year period after
pregnancy caused by pregnancy-related or childbirth
complications, including a suicide, overdose, or other death
resulting from a mental health or substance use disorder
attributed to or aggravated by pregnancy or childbirth
complications.
``(5) Medically underserved population.--The term
`medically underserved population' has the meaning given such
term in section 330(b)(3).
``(6) Postpartum.--The term `postpartum' means the 1-year
period beginning on the last date of an individual's pregnancy.
``(7) Severe maternal morbidity.--The term `severe maternal
morbidity' means a health condition, including a mental health
or substance use disorder, attributed to or aggravated by
pregnancy or childbirth that results in significant short-term
or long-term consequences to the health of the individual who
was pregnant.
``(8) Technology-enabled collaborative learning and
capacity building model.--The term `technology-enabled
collaborative learning and capacity building model' means a
distance health education model that connects health care
professionals, and other specialists, through simultaneous
interactive video conferencing for the purpose of facilitating
case-based learning, disseminating best practices, and
evaluating outcomes in the context of maternal health care.
``(9) Tribal organization.--The term `Tribal organization'
has the meaning given such term in section 4 of the Indian
Self-Determination and Education Assistance Act.
``(10) Urban indian organization.--The term `Urban Indian
organization' has the meaning given such term in section 4 of
the Indian Health Care Improvement Act.''.
SEC. 903. GRANTS TO PROMOTE EQUITY IN MATERNAL HEALTH OUTCOMES THROUGH
DIGITAL TOOLS.
(a) In General.--Beginning not later than 1 year after the date of
the enactment of this Act, the Secretary of Health and Human Services
(in this section referred to as the ``Secretary'') shall make grants to
eligible entities to reduce maternal health disparities by increasing
access to digital tools related to maternal health care, including
provider-facing technologies, such as early warning systems and
clinical decision support mechanisms.
(b) Applications.--To be eligible to receive a grant under this
section, an eligible entity shall submit to the Secretary an
application at such time, in such manner, and containing such
information as the Secretary may require.
(c) Prioritization.--In awarding grants under this section, the
Secretary shall prioritize an eligible entity--
(1) in an area with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes;
(2) in a health professional shortage area designated under
section 332 of the Public Health Service Act (42 U.S.C. 254e)
or a rural or underserved area; and
(3) that promotes technology that addresses maternal health
disparities.
(d) Limitations.--
(1) Number.--The Secretary may award not more than 1 grant
under this section.
(2) Duration.--A grant awarded under this section shall be
for a 5-year period.
(e) Technical Assistance.--The Secretary shall provide technical
assistance to an eligible entity on the development, use, evaluation,
and postgrant sustainability of digital tools for purposes of promoting
equity in maternal health outcomes.
(f) Reporting.--
(1) Eligible entities.--An eligible entity that receives a
grant under subsection (a) shall submit to the Secretary a
report, at such time, in such manner, and containing such
information as the Secretary may require.
(2) Secretary.--Not later than 4 years after the date of
the enactment of this Act, the Secretary shall submit to
Congress a report that includes--
(A) an evaluation on the effectiveness of grants
awarded under this section to improve maternal health
outcomes, particularly for pregnant and postpartum
individuals from racial and ethnic minority groups;
(B) recommendations on new grant programs that
promote the use of technology to improve such maternal
health outcomes; and
(C) recommendations with respect to--
(i) technology-based privacy and security
safeguards in maternal health care;
(ii) reimbursement rates for maternal
telehealth services;
(iii) the use of digital tools to analyze
large data sets to identify potential
pregnancy-related complications;
(iv) barriers that prevent maternity care
providers from providing telehealth services
across States;
(v) the use of consumer digital tools such
as mobile phone applications, patient portals,
and wearable technologies to improve maternal
health outcomes;
(vi) barriers that prevent access to
telehealth services, including a lack of access
to reliable, high-speed internet or electronic
devices;
(vii) barriers to data sharing between the
Special Supplemental Nutrition Program for
Women, Infants, and Children program and
maternity care providers, and recommendations
for addressing such barriers; and
(viii) lessons learned from expanded access
to telehealth related to maternity care during
the COVID-19 public health emergency.
(g) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $6,000,000 for each of fiscal
years 2024 through 2028.
SEC. 904. REPORT ON THE USE OF TECHNOLOGY IN MATERNITY CARE.
(a) In General.--Not later than 60 days after the date of enactment
of this Act, the Secretary of Health and Human Services shall seek to
enter an agreement with the National Academies of Sciences,
Engineering, and Medicine (referred to in this Act as the ``National
Academies'') under which the National Academies shall conduct a study
on the use of technology and patient monitoring devices in maternity
care.
(b) Content.--The agreement entered into pursuant to subsection (a)
shall provide for the study of the following:
(1) The use of innovative technology (including artificial
intelligence) in maternal health care, including the extent to
which such technology has affected racial or ethnic biases in
maternal health care.
(2) The use of patient monitoring devices (including pulse
oximeter devices) in maternal health care, including the extent
to which such devices have affected racial or ethnic biases in
maternal health care.
(3) Best practices for reducing and preventing racial or
ethnic biases in the use of innovative technology and patient
monitoring devices in maternity care.
(4) Best practices in the use of innovative technology and
patient monitoring devices for pregnant and postpartum
individuals from racial and ethnic minority groups.
(5) Best practices with respect to privacy and security
safeguards in such use.
(c) Report.--The agreement under subsection (a) shall direct the
National Academies to complete the study under this section, and
transmit to Congress a report on the results of the study, not later
than 24 months after the date of enactment of this Act.
TITLE X--IMPACT TO SAVE MOMS
SEC. 1001. PERINATAL CARE ALTERNATIVE PAYMENT MODEL DEMONSTRATION
PROJECT.
(a) In General.--For the period of fiscal years 2024 through 2028,
the Secretary of Health and Human Services (referred to in this section
as the ``Secretary''), acting through the Administrator of the Centers
for Medicare & Medicaid Services, shall establish and implement, in
accordance with the requirements of this section, a demonstration
project, to be known as the Perinatal Care Alternative Payment Model
Demonstration Project (referred to in this section as the
``Demonstration Project''), for purposes of allowing States to test
payment models under their State plans under title XIX of the Social
Security Act (42 U.S.C. 1396 et seq.) and State child health plans
under title XXI of such Act (42 U.S.C. 1397aa et seq.) with respect to
maternity care provided to pregnant and postpartum individuals enrolled
in such State plans and State child health plans.
(b) Coordination.--In establishing the Demonstration Project, the
Secretary shall coordinate with stakeholders such as--
(1) State Medicaid programs;
(2) maternity care providers and organizations representing
maternity care providers;
(3) relevant organizations representing patients, with a
particular focus on patients from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes;
(4) relevant community-based organizations, particularly
organizations that seek to improve maternal health outcomes for
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes;
(5) perinatal health workers;
(6) relevant health insurance issuers;
(7) hospitals, health systems, midwifery practices,
freestanding birth centers (as such term is defined in
paragraph (3)(B) of section 1905(l) of the Social Security Act
(42 U.S.C. 1396d(l))), Federally-qualified health centers (as
such term is defined in paragraph (2)(B) of such section), and
rural health clinics (as such term is defined in section
1861(aa) of such Act (42 U.S.C. 1395x(aa)));
(8) researchers and policy experts in fields related to
maternity care payment models; and
(9) any other stakeholders as the Secretary determines
appropriate, with a particular focus on stakeholders from
demographic groups with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes.
(c) Considerations.--In establishing the Demonstration Project, the
Secretary shall consider any alternative payment model that--
(1) is designed to improve maternal health outcomes for
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes;
(2) includes methods for stratifying patients by pregnancy
risk level and, as appropriate, adjusting payments under such
model to take into account pregnancy risk level, including
consideration of the appropriate transfer of patients by
pregnancy risk level;
(3) establishes evidence-based quality metrics for such
payments;
(4) includes consideration of nonhospital birth settings
such as freestanding birth centers (as so defined);
(5) includes consideration of social determinants of
maternal health;
(6) includes diverse maternity care teams that include--
(A) maternity care providers, mental and behavioral
health care providers acting in accordance with State
law, and registered dietitians or nutrition
professionals (as such term is defined in section
1395x(vv)(2) of title 42, United States Code)--
(i) from racially, ethnically, and
professionally diverse backgrounds;
(ii) with experience practicing in racially
and ethnically diverse communities; or
(iii) who have undergone training on
implicit bias and racism; and
(B) perinatal health workers; or
(7) includes consideration of maternal mental health
conditions and substance use disorders.
(d) Eligibility.--To be eligible to participate in the
Demonstration Project, a State shall submit an application to the
Secretary at such time, in such manner, and containing such information
as the Secretary may require.
(e) Evaluation.--The Secretary shall conduct an evaluation of the
Demonstration Project to determine the impact of the Demonstration
Project on--
(1) maternal health outcomes, with data stratified by race,
ethnicity, primary language, socioeconomic status, geography,
insurance type, and other factors as the Secretary determines
appropriate;
(2) spending on maternity care by States participating in
the Demonstration Project;
(3) to the extent practicable, qualitative and quantitative
measures of patient experience; and
(4) any other areas of assessment that the Secretary
determines relevant.
(f) Report.--Not later than one year after the completion or
termination date of the Demonstration Project, the Secretary shall
submit to the Congress, and make publicly available, a report
containing--
(1) the results of any evaluation conducted under
subsection (e); and
(2) a recommendation regarding whether the Demonstration
Project should be continued after fiscal year 2028 and expanded
on a national basis.
(g) Authorization of Appropriations.--There are authorized to be
appropriated such sums as are necessary to carry out this section.
(h) Definitions.--In this section:
(1) Alternative payment model.--The term ``alternative
payment model'' has the meaning given such term in section
1833(z)(3)(C) of the Social Security Act (42 U.S.C.
1395l(z)(3)(C)).
(2) Perinatal.--The term ``perinatal'' means the period
beginning on the day an individual becomes pregnant and ending
on the last day of the 1-year period beginning on the last day
of such individual's pregnancy.
TITLE XI--MATERNAL HEALTH PANDEMIC RESPONSE
SEC. 1101. DEFINITIONS.
In this title:
(1) Respectful maternity care.--The term ``respectful
maternity care'' refers to care organized for, and provided to,
pregnant and postpartum individuals in a manner that--
(A) is culturally and linguistically congruent;
(B) maintains their dignity, privacy, and
confidentiality;
(C) ensures freedom from harm and mistreatment; and
(D) enables informed choice and continuous support.
(2) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
SEC. 1102. FUNDING FOR DATA COLLECTION, SURVEILLANCE, AND RESEARCH ON
MATERNAL HEALTH OUTCOMES DURING PUBLIC HEALTH
EMERGENCIES.
To conduct or support data collection, surveillance, and research
on maternal health as a result of public health emergencies and
infectious diseases that pose a risk to maternal and infant health,
including support to assist in the capacity building for State, Tribal,
territorial, and local public health departments to collect and
transmit racial, ethnic, and other demographic data related to maternal
health, there are authorized to be appropriated--
(1) $100,000,000 for the Surveillance for Emerging Threats
to Mothers and Babies program of the Centers for Disease
Control and Prevention, to support the Centers for Disease
Control and Prevention in its efforts to--
(A) work with public health, clinical, and
community-based organizations to provide timely,
continually updated guidance to families and health
care providers on ways to reduce risk to pregnant and
postpartum individuals and their newborns and tailor
interventions to improve their long-term health;
(B) partner with more State, Tribal, territorial,
and local public health programs in the collection and
analysis of clinical data on the impact of public
health emergencies and infectious diseases that pose a
risk to maternal and infant health on pregnant and
postpartum patients and their newborns, particularly
among patients from racial and ethnic minority groups;
and
(C) establish regionally based centers of
excellence to offer medical, public health, and other
knowledge to ensure communities can help pregnant and
postpartum individuals and newborns get the care and
support they need, particularly in areas with large
populations of individuals from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other
adverse perinatal or childbirth outcomes;
(2) $30,000,000 for the Enhancing Reviews and Surveillance
to Eliminate Maternal Mortality program (commonly known as the
``ERASE MM program'') of the Centers for Disease Control and
Prevention, to support the Centers for Disease Control and
Prevention in expanding its partnerships with States and Indian
Tribes and provide technical assistance to existing Maternal
Mortality Review Committees;
(3) $45,000,000 for the Pregnancy Risk Assessment
Monitoring System (commonly known as the ``PRAMS'') of the
Centers for Disease Control and Prevention, to support the
Centers for Disease Control and Prevention in its efforts to--
(A) create a supplement to its PRAMS survey related
to public health emergencies and infectious diseases
that pose a risk to maternal and infant health;
(B) add questions around experiences of respectful
maternity care in prenatal, intrapartum, and postpartum
care; and
(C) work to transition such PRAMS survey to an
electronic platform and expand such PRAMS survey to a
larger population, with a special focus on reaching
underrepresented communities, and other program
improvements; and
(4) $15,000,000 for the National Institute of Child Health
and Human Development, to conduct or support research for
interventions to mitigate the effects of public health
emergencies and infectious diseases that pose a risk to
maternal and infant health, with a particular focus on
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes.
SEC. 1103. PUBLIC HEALTH EMERGENCY MATERNAL HEALTH DATA COLLECTION AND
DISCLOSURE.
(a) Availability of Collected Data.--The Secretary, acting through
the Director of the Centers for Disease Control and Prevention and the
Administrator of the Centers for Medicare & Medicaid Services, shall
make publicly available on the website of the Centers for Disease
Control and Prevention data described in subsection (b).
(b) Data Described.--The data described in this subsection are data
collected through Federal surveillance systems under the Centers for
Disease Control and Prevention with respect to public health
emergencies and individuals who are pregnant or in a postpartum period.
Such data shall include the following:
(1) Diagnostic testing, confirmed cases, hospitalizations,
deaths, and other health outcomes related to an infectious
disease outbreak among pregnant and postpartum individuals.
(2) Maternal and infant health outcomes among individuals
who test positive for an infectious disease during or after
pregnancy.
(c) American Indian and Alaska Native Health Outcomes.--In carrying
out subsection (a), the Secretary shall consult with Indian Tribes and
confer with Urban Indian organizations.
(d) Disaggregated Information.--In carrying out subsection (a), the
Secretary shall disaggregate data by race, ethnicity, gender, primary
language, geography, socioeconomic status, and other relevant factors.
(e) Update.--During public health emergencies, the Secretary shall
update the data made available under this section--
(1) at least on a monthly basis; and
(2) not less than one month after the end of such public
health emergency.
(f) Privacy.--In carrying out subsection (a), the Secretary shall
take steps to protect the privacy of individuals pursuant to
regulations promulgated under section 264(c) of the Health Insurance
Portability and Accountability Act of 1996 (42 U.S.C. 1320d-2 note).
(g) Guidance.--
(1) In general.--Not later than 30 days after the
declaration of a public health emergency under section 319 of
the Public Health Service Act (42 U.S.C. 247d), the Secretary
shall issue guidance to States and local public health
departments to ensure that--
(A) laboratories that test specimens for an
infectious disease receive all relevant demographic
data on race, ethnicity, pregnancy status, and other
demographic data as determined by the Secretary; and
(B) data described in subsection (b) are
disaggregated by race, ethnicity, gender, primary
language, geography, socioeconomic status, and other
relevant factors.
(2) Consultation.--In carrying out paragraph (1), the
Secretary shall consult with Indian Tribes--
(A) to ensure that such guidance includes tribally
developed best practices; and
(B) to reduce misclassification of American Indians
and Alaska Natives.
SEC. 1104. PUBLIC HEALTH COMMUNICATION REGARDING MATERNAL CARE DURING
PUBLIC HEALTH EMERGENCIES.
The Director of the Centers for Disease Control and Prevention
shall conduct public health education campaigns during public health
emergencies to ensure that pregnant and postpartum individuals, their
employers, and their health care providers have accurate, evidence-
based information on maternal and infant health risks during the public
health emergency, with a particular focus on reaching pregnant and
postpartum individuals in underserved communities.
SEC. 1105. TASK FORCE ON BIRTHING EXPERIENCE AND SAFE, RESPECTFUL,
RESPONSIVE, AND EMPOWERING MATERNITY CARE DURING PUBLIC
HEALTH EMERGENCIES.
(a) Establishment.--The Secretary, in consultation with the
Director of the Centers for Disease Control and Prevention and the
Administrator of the Health Resources and Services Administration,
shall convene a task force (in this subsection referred to as the
``Task Force'') to develop Federal recommendations regarding
respectful, responsive, and empowering maternity care, including safe
birth care and postpartum care, during public health emergencies.
(b) Duties.--The Task Force shall develop, publicly post, and
update Federal recommendations in multiple languages to ensure high-
quality, nondiscriminatory maternity care, promote positive birthing
experiences, and improve maternal health outcomes during public health
emergencies, with a particular focus on outcomes for individuals from
demographic groups with elevated rates of maternal mortality, severe
maternal morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes. Such recommendations shall--
(1) address, with particular attention to ensuring
equitable treatment on the basis of race and ethnicity--
(A) measures to facilitate respectful, responsive,
and empowering maternity care;
(B) measures to facilitate telehealth maternity
care for pregnant people who cannot regularly access
in-person care;
(C) strategies to increase access to specialized
care for those with high-risk pregnancies or pregnant
individuals with elevated risk factors;
(D) diagnostic testing for pregnant and laboring
patients;
(E) birthing without one's chosen companions, with
one's chosen companions, and with smartphone or other
telehealth connection to one's chosen companions;
(F) newborn separation after birth in relation to
maternal infection status;
(G) breast milk feeding in relation to maternal
infection status;
(H) licensure, training, scope of practice, and
Medicaid and other insurance reimbursement for
certified midwives, certified nurse-midwives, and
certified professional midwives, in a manner that
facilitates inclusion of midwives of color and midwives
from underserved communities;
(I) financial support and training for perinatal
health workers who provide nonclinical support to
people from pregnancy through the postpartum period in
a manner that facilitates inclusion from underserved
communities;
(J) strategies to ensure and expand doula coverage
under State Medicaid programs;
(K) how to identify, address, and treat prenatal
and postpartum mental and behavioral health conditions,
such as anxiety, substance use disorder, and
depression, during public health emergencies;
(L) how to identify and address instances of
intimate partner violence during pregnancy which may
arise or intensify during public health emergencies;
(M) strategies to address hospital capacity
concerns in communities with a surge in infectious
disease cases and to provide childbearing people with
options that reduce the potential for cross-
contamination and increase the ability to implement
their care preferences while maintaining safety and
quality, such as the use of auxiliary maternity units
and freestanding birth centers;
(N) provision of child care services during
prenatal and postpartum appointments for mothers whose
children are unable to attend as a result of
restrictions relating to the public health emergencies;
(O) how to identify and address racism, bias, and
discrimination in the delivery of maternity care
services to pregnant and postpartum people, including
evaluating the value of training for hospital staff on
implicit bias and racism, respectful, responsive, and
empowering maternity care, and demographic data
collection;
(P) how to address the needs of undocumented
pregnant individuals and new mothers who may be afraid
or unable to seek needed care during the COVID-19
public health emergency;
(Q) how to address the needs of uninsured pregnant
individuals who have historically relied on emergency
departments for care;
(R) how to identify pregnant and postpartum
individuals at risk for depression, anxiety disorder,
psychosis, obsessive-compulsive disorder, and other
maternal mood disorders before, during, and after
pregnancy, and how to treat those diagnosed with a
postpartum mood disorder;
(S) how to effectively and compassionately screen
for substance use disorder during pregnancy and
postpartum and help pregnant and postpartum individuals
find support and effective treatment;
(T) how to ensure access to infant nutrition during
public health emergencies; and
(U) such other matters as the Task Force determines
appropriate;
(2) identify barriers to the implementation of the
recommendations;
(3) take into consideration existing State and other
programs that have demonstrated effectiveness in addressing
pregnancy, birth, and postpartum care during public health
emergencies; and
(4) identify policies specific to COVID-19 that should be
discontinued when safely possible and those that should be
continued as the public health emergency abates.
(c) Membership.--The Secretary shall appoint the members of the
Task Force. Such members shall be comprised of--
(1) representatives of the Department of Health and Human
Services, including representatives of--
(A) the Secretary;
(B) the Director of the Centers for Disease Control
and Prevention;
(C) the Administrator of the Health Resources and
Services Administration;
(D) the Administrator of the Centers for Medicare &
Medicaid Services;
(E) the Director of the Agency for Healthcare
Research and Quality;
(F) the Commissioner of Food and Drugs;
(G) the Assistant Secretary for Mental Health and
Substance Use; and
(H) the Director of the Indian Health Service;
(2) at least 3 State, local, or territorial public health
officials representing departments of public health, who shall
represent jurisdictions from different regions of the United
States with relatively high concentrations of historically
marginalized populations;
(3) at least 1 Tribal public health official representing
departments of public health;
(4) 1 or more representatives of community-based
organizations that address adverse maternal health outcomes
with a specific focus on racial and ethnic inequities in
maternal health outcomes, with special consideration given to
representatives of such organizations that are led by a person
of color or from communities with significant minority
populations;
(5) a professionally diverse panel of maternity care
providers and perinatal health workers;
(6) 1 or more patients who were pregnant or gave birth
during the COVID-19 public health emergency;
(7) 1 or more patients who contracted COVID-19 and later
gave birth;
(8) 1 or more patients who have received support from a
perinatal health worker; and
(9) racially and ethnically diverse representation from at
least 3 independent experts with knowledge or field experience
with racial and ethnic disparities in public health, women's
health, or maternal mortality and severe maternal morbidity.
TITLE XII--PROTECTING MOMS AND BABIES AGAINST CLIMATE CHANGE
SEC. 1201. DEFINITIONS.
In this title, the following definitions apply:
(1) Adverse maternal and infant health outcomes.--The term
``adverse maternal and infant health outcomes'' includes the
outcomes of preterm birth, low birth weight, stillbirth, infant
or maternal mortality, and severe maternal morbidity.
(2) Institution of higher education.--The term
``institution of higher education'' has the meaning given such
term in section 101 of the Higher Education Act of 1965 (20
U.S.C. 1001).
(3) Minority-serving institution.--The term ``minority-
serving institution'' means an entity specified in any of
paragraphs (1) through (7) of section 371(a) of the Higher
Education Act of 1965 (20 U.S.C. 1067q(a)).
(4) Risks associated with climate change.--The term ``risks
associated with climate change'' includes risks associated with
extreme heat, air pollution, extreme weather events, and other
environmental issues associated with climate change that can
result in adverse maternal and infant health outcomes.
(5) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(6) Stakeholder organization.--The term ``stakeholder
organization'' means--
(A) a community-based organization with expertise
in providing assistance to vulnerable individuals;
(B) a nonprofit organization with expertise in--
(i) maternal or infant health; or
(ii) environmental or climate justice; and
(C) a patient advocacy organization representing
vulnerable individuals.
(7) Vulnerable individual.--The term ``vulnerable
individual'' means--
(A) an individual who is pregnant;
(B) an individual who was pregnant during any
portion of the preceding 1-year period; and
(C) an individual under 3 years of age.
SEC. 1202. GRANT PROGRAM TO PROTECT VULNERABLE MOTHERS AND BABIES FROM
CLIMATE CHANGE RISKS.
(a) In General.--Not later than 180 days after the date of the
enactment of this Act, the Secretary shall establish a grant program to
protect vulnerable individuals from risks associated with climate
change.
(b) Grant Authority.--In carrying out the Program, the Secretary
may award, on a competitive basis, grants to 10 covered entities.
(c) Applications.--To be eligible for a grant under the Program, a
covered entity shall submit to the Secretary an application at such
time, in such form, and containing such information as the Secretary
may require, which shall include, at a minimum, a description of the
following:
(1) Plans for the use of grant funds awarded under the
Program and how patients and stakeholder organizations were
involved in the development of such plans.
(2) How such grant funds will be targeted to geographic
areas that have disproportionately high levels of risks
associated with climate change for vulnerable individuals.
(3) How such grant funds will be used to address racial and
ethnic disparities in--
(A) adverse maternal and infant health outcomes;
and
(B) exposure to risks associated with climate
change for vulnerable individuals.
(4) Strategies to prevent an initiative assisted with such
grant funds from causing--
(A) adverse environmental impacts;
(B) displacement of residents and businesses;
(C) rent and housing price increases; or
(D) disproportionate adverse impacts on racial and
ethnic minority groups and other underserved
populations.
(d) Selection of Grant Recipients.--
(1) Timing.--Not later than 270 days after the date of
enactment of this Act, the Secretary shall select the
recipients of grants under the Program.
(2) Consultation.--In selecting covered entities for grants
under the Program, the Secretary shall consult with--
(A) representatives of stakeholder organizations;
(B) the Administrator of the Environmental
Protection Agency;
(C) the Administrator of the National Oceanic and
Atmospheric Administration; and
(D) from the Department of Health and Human
Services--
(i) the Deputy Assistant Secretary for
Minority Health;
(ii) the Administrator of the Centers for
Medicare & Medicaid Services;
(iii) the Administrator of the Health
Resources and Services Administration;
(iv) the Director of the National
Institutes of Health; and
(v) the Director of the Centers for Disease
Control and Prevention.
(3) Priority.--In selecting grantees under the Program, the
Secretary shall give priority to covered entities that serve a
county or locality--
(A) designated, or located in an area designated,
as a nonattainment area pursuant to section 107 of the
Clean Air Act (42 U.S.C. 7407) for any air pollutant
for which air quality criteria have been issued under
section 108(a) of such Act (42 U.S.C. 7408(a));
(B) with a level of vulnerability of moderate-to-
high or higher, according to the Social Vulnerability
Index of the Centers for Disease Control and
Prevention, or a similar rating of social vulnerability
according to related Federal mapping tools;
(C) with temperatures that pose a risk to human
health, as determined by the Secretary, in consultation
with the Administrator of the National Oceanic and
Atmospheric Administration and the Chair of the United
States Global Change Research Program, based on the
best available science;
(D) with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities,
or other adverse perinatal or childbirth outcomes;
(E) with a rating of very high or relatively high
risk according to the National Risk Index for Natural
Hazards of the Federal Emergency Management Agency; or
(F) with other climate-sensitive hazards with
associations to adverse maternal or infant health
outcomes, as determined by the Secretary.
(4) Limitation.--A recipient of grant funds under the
Program may not use such grant funds to serve a county or
locality that is served by any other recipient of a grant under
the Program.
(e) Use of Funds.--A covered entity awarded grant funds under the
Program may only use such grant funds for the following:
(1) Initiatives to identify risks associated with climate
change for vulnerable individuals and to provide services and
support to such individuals that address such risks, which may
include--
(A) training for health care providers, perinatal
health workers, and other employees in hospitals, birth
centers, midwifery practices, and other health care
practices that provide prenatal or labor and delivery
services to vulnerable individuals on the
identification of, and patient counseling relating to,
risks associated with climate change for vulnerable
individuals;
(B) hiring, training, or providing resources to
perinatal health workers who can help identify risks
associated with climate change for vulnerable
individuals, provide patient counseling about such
risks, and carry out the distribution of relevant
services and support;
(C) enhancing the monitoring of risks associated
with climate change for vulnerable individuals,
including by--
(i) collecting data on such risks in
specific census tracts, neighborhoods, or other
geographic areas; and
(ii) sharing such data with local health
care providers, perinatal health workers, and
other employees in hospitals, birth centers,
midwifery practices, and other health care
practices that provide prenatal or labor and
delivery services to local vulnerable
individuals; and
(D) providing vulnerable individuals--
(i) air conditioning units, residential
weatherization support, filtration systems,
household appliances, or related items;
(ii) direct financial assistance; and
(iii) services and support, including
housing assistance, evacuation assistance,
transportation assistance, access to cooling
shelters, and mental health counseling, to
prepare for or recover from extreme weather
events, which may include floods, hurricanes,
wildfires, droughts, and related events.
(2) Initiatives to mitigate levels of and exposure to risks
associated with climate change for vulnerable individuals,
which shall be based on the best available science and which
may include initiatives to--
(A) develop, maintain, or expand urban or community
forestry initiatives and tree canopy coverage
initiatives;
(B) improve infrastructure, such as buildings and
paved surfaces;
(C) develop or improve community outreach networks
to provide culturally and linguistically appropriate
information and notifications about risks associated
with climate change for vulnerable individuals; and
(D) provide enhanced services to racial and ethnic
minority groups and other underserved populations.
(f) Length of Award.--A grant under this section shall be disbursed
over 4 fiscal years.
(g) Technical Assistance.--The Secretary shall provide technical
assistance to a covered entity awarded a grant under the Program to
support the development, implementation, and evaluation of activities
funded with such grant.
(h) Reports to Secretary.--
(1) Annual report.--For each fiscal year during which a
covered entity is disbursed grant funds under the Program, such
covered entity shall submit to the Secretary a report that
summarizes the activities carried out by such covered entity
with such grant funds during such fiscal year, which shall
include a description of the following:
(A) The involvement of stakeholder organizations in
the implementation of initiatives assisted with such
grant funds.
(B) Relevant health and environmental data,
disaggregated, to the extent practicable, by race,
ethnicity, primary language, socioeconomic status,
geography, insurance type, pregnancy status, and other
relevant demographic information.
(C) Qualitative feedback received from vulnerable
individuals with respect to initiatives assisted with
such grant funds.
(D) Criteria used in selecting the geographic areas
assisted with such grant funds.
(E) Efforts to address racial and ethnic
disparities in adverse maternal and infant health
outcomes and in exposure to risks associated with
climate change for vulnerable individuals.
(F) Any negative and unintended impacts of
initiatives assisted with such grant funds, including--
(i) adverse environmental impacts;
(ii) displacement of residents and
businesses;
(iii) rent and housing price increases; and
(iv) disproportionate adverse impacts on
racial and ethnic minority groups and other
underserved populations.
(G) How the covered entity will address and prevent
any impacts described in subparagraph (F).
(2) Publication.--Not later than 30 days after the date on
which a report is submitted under paragraph (1), the Secretary
shall publish such report on a public website of the Department
of Health and Human Services.
(i) Report to Congress.--Not later than the date that is 5 years
after the date on which the Program is established, the Secretary shall
submit to Congress and publish on a public website of the Department of
Health and Human Services a report on the results of the Program,
including the following:
(1) Summaries of the annual reports submitted under
subsection (h).
(2) Evaluations of the initiatives assisted with grant
funds under the Program.
(3) An assessment of the effectiveness of the Program in--
(A) identifying risks associated with climate
change for vulnerable individuals;
(B) providing services and support to such
individuals;
(C) mitigating levels of and exposure to such
risks; and
(D) addressing racial and ethnic disparities in
adverse maternal and infant health outcomes and in
exposure to such risks.
(4) A description of how the Program could be expanded,
including--
(A) monitoring efforts or data collection that
would be required to identify areas with high levels of
risks associated with climate change for vulnerable
individuals;
(B) how such areas could be identified using the
strategy developed under section 1205; and
(C) recommendations for additional funding.
(j) Definitions.--In this section:
(1) The term ``covered entity'' means a consortium of
organizations serving a county that--
(A) shall include a community-based organization;
and
(B) may include--
(i) another stakeholder organization;
(ii) the government of such county;
(iii) the governments of one or more
municipalities within such county;
(iv) a State or local public health
department or emergency management agency;
(v) a local health care practice, which may
include a licensed and accredited hospital,
birth center, midwifery practice, or other
health care practice that provides prenatal or
labor and delivery services to vulnerable
individuals;
(vi) an Indian tribe or Tribal organization
(as such terms are defined in section 4 of the
Indian Self-Determination and Education
Assistance Act (25 U.S.C. 5304));
(vii) an Urban Indian organization (as
defined in section 4 of the Indian Health Care
Improvement Act (25 U.S.C. 1603)); and
(viii) an institution of higher education.
(2) The term ``Program'' means the grant program under this
section.
(k) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $100,000,000 for the period of
fiscal years 2024 through 2027.
SEC. 1203. GRANT PROGRAM FOR EDUCATION AND TRAINING AT HEALTH
PROFESSION SCHOOLS.
(a) In General.--Not later than 1 year after the date of the
enactment of this Act, the Secretary of Health and Human Services shall
establish a grant program to provide funds to health profession schools
to support the development and integration of education and training
programs for identifying and addressing risks associated with climate
change for vulnerable individuals.
(b) Grant Authority.--In carrying out the Program, the Secretary
may award, on a competitive basis, grants to health profession schools.
(c) Application.--To be eligible for a grant under the Program, a
health profession school shall submit to the Secretary an application
at such time, in such form, and containing such information as the
Secretary may require, which shall include, at a minimum, a description
of the following:
(1) How such health profession school will engage with
vulnerable individuals, and stakeholder organizations
representing such individuals, in developing and implementing
the education and training programs supported by grant funds
awarded under the Program.
(2) How such health profession school will ensure that such
education and training programs will address racial and ethnic
disparities in exposure to, and the effects of, risks
associated with climate change for vulnerable individuals.
(d) Use of Funds.--A health profession school awarded a grant under
the Program shall use the grant funds to develop, and integrate into
the curriculum and continuing education of such health profession
school, education and training on each of the following:
(1) Identifying risks associated with climate change for
vulnerable individuals and individuals with the intent to
become pregnant.
(2) How risks associated with climate change affect
vulnerable individuals and individuals with the intent to
become pregnant.
(3) Racial and ethnic disparities in exposure to, and the
effects of, risks associated with climate change for vulnerable
individuals and individuals with the intent to become pregnant.
(4) Patient counseling and mitigation strategies relating
to risks associated with climate change for vulnerable
individuals.
(5) Relevant services and support for vulnerable
individuals relating to risks associated with climate change
and strategies for ensuring vulnerable individuals have access
to such services and support.
(6) Implicit and explicit bias, racism, and discrimination.
(7) Related topics identified by such health profession
school based on the engagement of such health profession school
with vulnerable individuals and stakeholder organizations
representing such individuals.
(e) Partnerships.--In carrying out activities with grant funds, a
health profession school awarded a grant under the Program may partner
with one or more of the following:
(1) A State or local public health department.
(2) A health care professional membership organization.
(3) A stakeholder organization.
(4) A health profession school.
(5) An institution of higher education.
(f) Reports to Secretary.--
(1) Annual report.--For each fiscal year during which a
health profession school is disbursed grant funds under the
Program, such health profession school shall submit to the
Secretary a report that describes the activities carried out
with such grant funds during such fiscal year.
(2) Final report.--Not later than the date that is 1 year
after the end of the last fiscal year during which a health
profession school is disbursed grant funds under the Program,
the health profession school shall submit to the Secretary a
final report that summarizes the activities carried out with
such grant funds.
(g) Report to Congress.--Not later than the date that is 6 years
after the date on which the Program is established, the Secretary shall
submit to Congress and publish on a public website of the Department of
Health and Human Services a report that includes the following:
(1) A summary of the reports submitted under subsection
(f).
(2) Recommendations to improve education and training
programs at health profession schools with respect to
identifying and addressing risks associated with climate change
for vulnerable individuals.
(h) Definitions.--In this section:
(1) The term ``health profession school'' means an
accredited--
(A) medical school;
(B) school of nursing;
(C) midwifery program;
(D) physician assistant education program;
(E) teaching hospital;
(F) residency or fellowship program; or
(G) other school or program determined appropriate
by the Secretary.
(2) The term ``Program'' means the grant program under this
section.
(i) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $5,000,000 for the period of
fiscal years 2024 through 2027.
SEC. 1204. NIH CONSORTIUM ON BIRTH AND CLIMATE CHANGE RESEARCH.
(a) Establishment.--Not later than one year after the date of the
enactment of this Act, the Director of the National Institutes of
Health shall establish the Consortium on Birth and Climate Change
Research (in this section referred to as the ``Consortium'').
(b) Duties.--
(1) In general.--The Consortium shall coordinate, across
the institutes, centers, and offices of the National Institutes
of Health, research on the risks associated with climate change
for vulnerable individuals.
(2) Required activities.--In carrying out paragraph (1),
the Consortium shall--
(A) establish research priorities, including by
prioritizing research that--
(i) identifies the risks associated with
climate change for vulnerable individuals with
a particular focus on disparities in such risks
among racial and ethnic minority groups and
other underserved populations; and
(ii) identifies strategies to reduce levels
of, and exposure to, such risks, with a
particular focus on risks among racial and
ethnic minority groups and other underserved
populations;
(B) identify gaps in available data related to such
risks;
(C) identify gaps in, and opportunities for,
research collaborations;
(D) identify funding opportunities for community-
based organizations and researchers from racially,
ethnically, and geographically diverse backgrounds;
(E) identify opportunities to increase public
awareness related to risks associated with climate
change for vulnerable individuals; and
(F) publish annual reports on the work and findings
of the Consortium on a public website of the National
Institutes of Health.
(c) Membership.--The Director shall appoint to the Consortium
representatives of such institutes, centers, and offices of the
National Institutes of Health as the Director considers appropriate,
including, at a minimum, representatives of--
(1) the National Institute of Environmental Health
Sciences;
(2) the National Institute on Minority Health and Health
Disparities;
(3) the Eunice Kennedy Shriver National Institute of Child
Health and Human Development;
(4) the National Institute of Mental Health;
(5) the National Institute of Nursing Research; and
(6) the Office of Research on Women's Health.
(d) Chairperson.--The Chairperson of the Consortium shall be
designated by the Director and selected from among the representatives
appointed under subsection (c).
(e) Consultation.--In carrying out the duties described in
subsection (b), the Consortium shall consult with--
(1) the heads of relevant Federal agencies, including--
(A) the Environmental Protection Agency;
(B) the National Oceanic and Atmospheric
Administration;
(C) the Occupational Safety and Health
Administration; and
(D) from the Department of Health and Human
Services--
(i) the Office of Minority Health in the
Office of the Secretary;
(ii) the Centers for Medicare & Medicaid
Services;
(iii) the Health Resources and Services
Administration;
(iv) the Centers for Disease Control and
Prevention;
(v) the Indian Health Service; and
(vi) the Administration for Children and
Families; and
(2) representatives of--
(A) stakeholder organizations;
(B) health care providers and professional
membership organizations with expertise in maternal
health or environmental justice;
(C) State and local public health departments;
(D) licensed and accredited hospitals, birth
centers, midwifery practices, or other health care
practices that provide prenatal or labor and delivery
services to vulnerable individuals; and
(E) institutions of higher education, including
such institutions that are minority-serving
institutions or have expertise in maternal health or
environmental justice.
SEC. 1205. STRATEGY FOR IDENTIFYING CLIMATE CHANGE RISK ZONES FOR
VULNERABLE MOTHERS AND BABIES.
(a) In General.--The Secretary of Health and Human Services, acting
through the Director of the Centers for Disease Control and Prevention,
shall develop a strategy (in this section referred to as the
``Strategy'') for designating areas that the Secretary determines to
have a high risk of adverse maternal and infant health outcomes among
vulnerable individuals as a result of risks associated with climate
change.
(b) Strategy Requirements.--
(1) In general.--In developing the Strategy, the Secretary
shall establish a process to identify areas where vulnerable
individuals are exposed to a high risk of adverse maternal and
infant health outcomes as a result of risks associated with
climate change in conjunction with other factors that can
impact such health outcomes, including--
(A) the incidence of diseases associated with air
pollution, extreme heat, and other environmental
factors;
(B) the availability and accessibility of maternal
and infant health care providers;
(C) English-language proficiency among women of
reproductive age;
(D) the health insurance status of women of
reproductive age;
(E) the number of women of reproductive age who are
members of racial or ethnic groups with
disproportionately high rates of adverse maternal and
infant health outcomes;
(F) the socioeconomic status of women of
reproductive age, including with respect to--
(i) poverty;
(ii) unemployment;
(iii) household income; and
(iv) educational attainment; and
(G) access to quality housing, transportation, and
nutrition.
(2) Resources.--In developing the Strategy, the Secretary
shall identify, and incorporate a description of, the
following:
(A) Existing mapping tools or Federal programs that
identify--
(i) risks associated with climate change
for vulnerable individuals; and
(ii) other factors that can influence
maternal and infant health outcomes, including
the factors described in paragraph (1).
(B) Environmental, health, socioeconomic, and
demographic data relevant to identifying risks
associated with climate change for vulnerable
individuals.
(C) Existing monitoring networks that collect data
described in subparagraph (B), and any gaps in such
networks.
(D) Federal, State, and local stakeholders involved
in maintaining monitoring networks identified under
subparagraph (C), and how such stakeholders are
coordinating their monitoring efforts.
(E) Additional monitoring networks, and
enhancements to existing monitoring networks, that
would be required to address gaps identified under
subparagraph (C), including at the subcounty and census
tract level.
(F) Funding amounts required to establish the
monitoring networks identified under subparagraph (E)
and recommendations for Federal, State, and local
coordination with respect to such networks.
(G) Potential uses for data collected and generated
as a result of the Strategy, including how such data
may be used in determining recipients of grants under
the program established by section 1202 or other
similar programs.
(H) Other information the Secretary considers
relevant for the development of the Strategy.
(c) Coordination and Consultation.--In developing the Strategy, the
Secretary shall--
(1) coordinate with the Administrator of the Environmental
Protection Agency and the Administrator of the National Oceanic
and Atmospheric Administration; and
(2) consult with--
(A) stakeholder organizations;
(B) health care providers and professional
membership organizations with expertise in maternal
health or environmental justice;
(C) State and local public health departments;
(D) licensed and accredited hospitals, birth
centers, midwifery practices, or other health care
providers that provide prenatal or labor and delivery
services to vulnerable individuals; and
(E) institutions of higher education, including
such institutions that are minority-serving
institutions or have expertise in maternal health or
environmental justice.
(d) Notice and Comment.--At least 240 days before the date on which
the Strategy is published in accordance with subsection (e), the
Secretary shall provide--
(1) notice of the Strategy on a public website of the
Department of Health and Human Services; and
(2) an opportunity for public comment of at least 90 days.
(e) Publication.--Not later than 18 months after the date of the
enactment of this Act, the Secretary shall publish on a public website
of the Department of Health and Human Services--
(1) the Strategy;
(2) the public comments received under subsection (d); and
(3) the responses of the Secretary to such public comments.
TITLE XIII--MATERNAL VACCINATIONS
SEC. 1301. MATERNAL VACCINATION AWARENESS AND EQUITY CAMPAIGN.
(a) Campaign.--Section 313 of the Public Health Service Act (42
U.S.C. 245) is amended--
(1) in subsection (a), by inserting ``and among pregnant
and postpartum individuals,'' after ``low rates of
vaccination,'';
(2) in subsection (c)(3), by striking ``prenatal and
pediatric'' and inserting ``prenatal, obstetric, and
pediatric'';
(3) in subsection (d)(4)(B), by inserting ``pregnant and
postpartum individuals and'' after ``including''; and
(4) in subsection (g), by striking ``$15,000,000 for each
of fiscal years 2021 through 2025'' and inserting ``$17,000,000
for each of fiscal years 2024 through 2028''.
(b) Additional Activities.--Section 317(k)(1)(E) of the Public
Health Service Act (42 U.S.C. 247b(k)(1)(E)) is amended--
(1) in clause (v), by striking ``and'' at the end; and
(2) by adding at the end the following:
``(vii) increase vaccination rates of
pregnant and postpartum individuals, including
individuals from racial and ethnic minority
groups, and their children; and''.
<all>
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118HR3306 | Federal Broadband Permit Coordination Act of 2023 | [
[
"C001114",
"Rep. Curtis, John R. [R-UT-3]",
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]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3306 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3306
To facilitate Federal broadband permit coordination, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Curtis introduced the following bill; which was referred to the
Committee on Natural Resources, and in addition to the Committee on
Agriculture, for a period to be subsequently determined by the Speaker,
in each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To facilitate Federal broadband permit coordination, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Federal Broadband Permit
Coordination Act of 2023''.
SEC. 2. FEDERAL BROADBAND PERMIT COORDINATION.
(a) Memorandum of Understanding.--Not later than 90 days after the
date of the enactment of this Act, the Secretary concerned, in
consultation with the National Conference of State Historic
Preservation Officers and the National Association of Tribal Historic
Preservation Officers, shall enter into, in accordance with this
section, a memorandum of understanding with--
(1) the Secretary of Agriculture or the Secretary of the
Interior (as the case may be);
(2) the Director of the Bureau of Indian Affairs; and
(3) the Director of the United States Fish and Wildlife
Service.
(b) Purpose.--The purpose of the memorandum of understanding
entered into under subsection (a) shall be to coordinate and expedite
permitting decisions for broadband projects.
(c) State or Tribal Participation.--The Secretary concerned may
request that the Governor of a State or the officer designated by the
governing body of an Indian Tribe with one or more broadband projects
be a party to the memorandum of understanding entered into under
subsection (a).
(d) Designation of Qualified Staff.--
(1) In general.--Not later than 30 days after the date of
entrance into a memorandum of understanding under subsection
(a), the head of each Federal agency that is a party to the
memorandum of understanding (other than the Secretary
concerned) may, if the head of the Federal agency determines it
to be appropriate, designate to each State or regional office
(that has been delegated responsibility by the Secretary
concerned for issuing permits for broadband projects) an
employee of that Federal agency with expertise in regulatory
issues relating to that Federal agency, including, as
applicable, particular expertise in--
(A) planning under the Forest and Rangeland
Renewable Resources Planning Act of 1974 (16 U.S.C.
1600 et seq.) and planning under the Federal Land
Policy and Management Act of 1976 (43 U.S.C. 1701 et
seq.);
(B) the preparation of analyses under the National
Environmental Policy Act of 1969 (42 U.S.C. 4321 et
seq.); or
(C) consultation and the preparation of biological
opinions under section 7 of the Endangered Species Act
of 1973 (16 U.S.C. 1536).
(2) Establishment of streamlining team.--If employees are
designated under paragraph (1), the Secretary concerned shall
establish a broadband permit streamlining team, comprised of
such employees, in each State or regional office that has been
delegated responsibility by the Secretary concerned for issuing
permits for broadband projects.
(3) Duties.--Each employee designated under paragraph (1)
shall--
(A) be responsible for any issue relating to any
broadband project, within the jurisdiction of the State
or regional office, under the authority of the Federal
agency from which the employee is assigned; and
(B) participate as part of the team of personnel
working on one or more proposed broadband projects,
including with respect to planning and environmental
analyses.
SEC. 3. DEFINITIONS.
In this Act:
(1) Broadband project.--The term ``broadband project''
means an installation, by a broadband provider on Federal land,
of wireline or wireless broadband infrastructure that enables a
user to originate and receive high-quality voice, data,
graphics, and video telecommunications, including copper lines,
fiber optic lines, communications towers, buildings, or other
improvements.
(2) Broadband provider.--The term ``broadband provider''
means a provider of wireline or wireless broadband
infrastructure that enables a user to originate and receive
high-quality voice, data, graphics, and video
telecommunications.
(3) Indian tribe.--The term ``Indian Tribe'' has the
meaning given the term ``Indian tribe'' in section 102 of the
Federally Recognized Indian Tribe List Act of 1994 (25 U.S.C.
5130).
(4) National forest system.--The term ``National Forest
System'' has the meaning given that term in section 11(a) of
the Forest and Rangeland Renewable Resources Planning Act of
1974 (16 U.S.C. 1609(a)).
(5) Secretary concerned.--The term ``Secretary concerned''
means--
(A) the Secretary of Agriculture (acting through
the Chief of the Forest Service), with respect to
National Forest System land; and
(B) the Secretary of the Interior, with respect to
land managed by the Department of the Interior
(including land held in trust for an Indian Tribe).
(6) State.--The term ``State'' means each State of the
United States, the District of Columbia, and each territory or
possession of the United States.
<all>
</pre></body></html>
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118HR3307 | Rural Broadband Permitting Efficiency Act of 2023 | [
[
"C001114",
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"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3307 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3307
To facilitate the expansion of broadband service to rural and Tribal
communities through improved permitting efficiency, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Curtis introduced the following bill; which was referred to the
Committee on Natural Resources, and in addition to the Committee on
Agriculture, for a period to be subsequently determined by the Speaker,
in each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To facilitate the expansion of broadband service to rural and Tribal
communities through improved permitting efficiency, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Rural Broadband Permitting
Efficiency Act of 2023''.
SEC. 2. STATE AND TRIBAL PERMITTING AUTHORITY.
(a) In General.--The Secretary concerned shall establish (or, in a
circumstance that would affect both Secretaries concerned, the
Secretaries concerned shall jointly establish) a voluntary program
under which a State or Indian Tribe may offer, and the Secretary
concerned may agree, to enter into a memorandum of understanding to
allow for the State or Indian Tribe to prepare environmental analyses
required under the National Environmental Policy Act of 1969 (42 U.S.C.
4321 et seq.) with respect to the issuance of a Federal authorization
for a broadband project to be carried out within a right-of-way on
National Forest System land, land managed by the Department of the
Interior, or Indian Lands. Under such a memorandum of understanding, a
State or Indian Tribe may volunteer to cooperate with the signatories
to the memorandum in the preparation of the analyses required under the
National Environmental Policy Act of 1969.
(b) Assumption of Responsibilities.--
(1) In general.--In entering into a memorandum of
understanding under this section, the Secretary concerned may
assign to a State or Indian Tribe, and the State or Indian
Tribe may agree to assume, all or part of the responsibilities
of the Secretary concerned for environmental analyses required
under the National Environmental Policy Act of 1969.
(2) State or indian tribe responsibility.--
(A) In general.--A State or Indian Tribe that
assumes a responsibility under paragraph (1) shall be
subject to the same procedural and substantive
requirements as would apply if the responsibility were
carried out by the Secretary concerned.
(B) Effect of assumption of responsibility.--A
State or Indian Tribe that assumes a responsibility,
including a financial responsibility, under paragraph
(1) shall be solely responsible and solely liable for
carrying out, in lieu of the Secretary concerned, the
responsibility assumed under that paragraph until the
date on which a relevant termination is carried out
under subsection (g).
(C) Environmental review.--A State or Indian Tribe
that assumes a responsibility under paragraph (1) shall
comply with the environmental review procedures under
parts 1500-1508 of title 40, Code of Federal
Regulations (or successor regulations), and the
regulations of the Secretary concerned.
(3) Federal responsibility.--Any responsibility of the
Secretary concerned described in paragraph (1) that is not
explicitly assumed by a State or Indian Tribe under that
paragraph shall remain the responsibility of the Secretary
concerned.
(c) Offer and Notification.--A State or Indian Tribe that intends
to offer to enter into a memorandum of understanding under this section
shall provide to the Secretary concerned notice of the intent of the
State or Indian Tribe at least 90 days before the date on which the
State or Indian Tribe submits a formal written offer to the Secretary
concerned.
(d) Tribal Consultation.--Not later than 90 days after the date on
which the Secretary concerned enters into a memorandum of understanding
under this section with a State, the Secretary concerned shall initiate
consultation with relevant Indian Tribes.
(e) Memorandum of Understanding.--A memorandum of understanding
entered into under this section shall--
(1) be executed by the Governor or the Governor's designee,
in the case of a State, or by the officer designated by the
governing body of an Indian Tribe, in the case of an Indian
Tribe;
(2) be for a term not to exceed 10 years;
(3) be in such form as the Secretary concerned may
prescribe;
(4) provide that the State or Indian Tribe--
(A) agrees to assume all or part of the
responsibilities of the Secretary concerned described
in subsection (b)(1);
(B) expressly consents, including through the
adoption of express waivers of sovereign immunity, on
behalf of the State or Indian Tribe, to accept the
jurisdiction of the Federal courts with respect to the
compliance, discharge, and enforcement of any
responsibility of the Secretary concerned assumed by
the State or Indian Tribe;
(C) certifies that State laws and regulations, with
respect to States, or Tribal laws and regulations, with
respect to Indian Tribes, are in effect that--
(i) authorize the State or Indian Tribe to
take the actions necessary to carry out the
responsibilities being assumed; and
(ii) are comparable to section 552 of title
5, United States Code, including that any
decision regarding the public availability of a
document under State or Tribal laws is
reviewable by a court of competent
jurisdiction;
(D) agrees to maintain the financial resources
necessary to carry out the responsibilities being
assumed;
(E) agrees to provide to the Secretary concerned
any information the Secretary concerned considers
necessary to ensure that the State or Indian Tribe is
adequately carrying out the responsibilities being
assumed;
(F) agrees to return revenues generated from the
use of public lands authorized under this section to
the United States annually, in accordance with the
Federal Land Policy and Management Act of 1976 (43
U.S.C. 1701 et seq.); and
(G) agrees to send a copy of all authorizing
documents to the United States for proper notation and
recordkeeping;
(5) prioritize and expedite analyses required under the
National Environmental Policy Act of 1969 that are assumed
under the memorandum of understanding;
(6) not be entered into with a State with respect to Indian
Lands without the consent of the relevant Indian Tribe; and
(7) not be entered into with an Indian Tribe with respect
to State lands without the consent of the relevant State.
(f) Limitation.--Nothing in this section allows a State or Indian
Tribe to assume--
(1) rulemaking authority of the Secretary concerned under
Federal law; or
(2) Federal Government responsibilities for government-to-
government consultation with Indian Tribes.
(g) Termination.--
(1) Termination by the secretary.--The Secretary concerned
may terminate the participation of a State or Indian Tribe in
the program established under this section if--
(A) the Secretary concerned determines that the
State or Indian Tribe is not adequately carrying out
the responsibilities assigned to and assumed by the
State or Indian Tribe under a relevant memorandum of
understanding;
(B) the Secretary concerned provides to the State
or Indian Tribe--
(i) notification of the determination made
under subparagraph (A); and
(ii) a period of at least 30 days for the
State or Indian Tribe to take such corrective
action as the Secretary concerned determines
necessary to adequately carry out the
responsibilities assigned and assumed; and
(C) the State or Indian Tribe, after the
notification and period provided under subparagraph
(B), fails to take satisfactory corrective action, as
determined by the Secretary concerned.
(2) Termination by the state or indian tribe.--A State or
Indian Tribe may terminate the participation of the State or
Indian Tribe in the program established under this section at
any time by providing to the Secretary concerned a notice of
intent to terminate at least 90 days before the date of
termination.
(3) Termination of memorandum of understanding with state
or indian tribe.--A State or Indian Tribe may terminate a joint
memorandum of understanding under this section at any time by
providing to the Secretary concerned a notice of intent to
terminate at least 90 days before the date of termination.
SEC. 3. DEFINITIONS.
In this Act:
(1) Broadband project.--The term ``broadband project''
means an installation, by a broadband provider on Federal land,
of wireline or wireless broadband infrastructure that enables a
user to originate and receive high-quality voice, data,
graphics, and video telecommunications, including copper lines,
fiber optic lines, communications towers, buildings, or other
improvements.
(2) Broadband provider.--The term ``broadband provider''
means a provider of wireline or wireless broadband
infrastructure that enables a user to originate and receive
high-quality voice, data, graphics, and video
telecommunications.
(3) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a project.
(4) Indian lands.--The term ``Indian Lands'' means land
located within the boundaries of an Indian reservation, pueblo,
or rancheria, the title to which is held--
(A) by an Indian Tribe;
(B) in trust by the United States for the benefit
of an Indian Tribe;
(C) by an Indian Tribe, subject to restriction
against alienation under laws of the United States; or
(D) by a dependent Indian community.
(5) Indian tribe.--The term ``Indian Tribe'' has the
meaning given the term ``Indian tribe'' in section 102 of the
Federally Recognized Indian Tribe List Act of 1994 (25 U.S.C.
5130).
(6) National forest system.--The term ``National Forest
System'' has the meaning given that term in section 11(a) of
the Forest and Rangeland Renewable Resources Planning Act of
1974 (16 U.S.C. 1609(a)).
(7) Right-of-way.--The term ``right-of-way''--
(A) means--
(i) the area on, below, or above a roadway,
highway, street, sidewalk, alley, or similar
property (whether currently or previously used
in such manner); and
(ii) any land immediately adjacent to and
contiguous with property described in clause
(i) that is within the right-of-way grant; and
(B) does not include a portion of the Interstate
System (as such term is defined in section 101(a) of
title 23, United States Code).
(8) Secretary concerned.--The term ``Secretary concerned''
means--
(A) the Secretary of Agriculture (acting through
the Chief of the Forest Service), with respect to
National Forest System land; and
(B) the Secretary of the Interior, with respect to
land managed by the Department of the Interior
(including land held in trust for an Indian Tribe).
(9) State.--The term ``State'' means each State of the
United States, the District of Columbia, and each territory or
possession of the United States.
<all>
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118HR3308 | Farm Operations Support Act | [
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... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3308 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3308
To direct the Secretary of Labor to modify the implementation of the
adverse effect wage rate for H-2A nonimmigrants.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Wilson of South Carolina (for himself, Mr. Kildee, Mr. Bergman, Mr.
Duncan, Ms. Mace, Mr. Huizenga, Mrs. McClain, Mr. Rouzer, Ms. Slotkin,
Ms. Scholten, Mr. Norman, Mr. Moolenaar, and Mr. Carter of Georgia)
introduced the following bill; which was referred to the Committee on
the Judiciary
_______________________________________________________________________
A BILL
To direct the Secretary of Labor to modify the implementation of the
adverse effect wage rate for H-2A nonimmigrants.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Farm Operations Support Act''.
SEC. 2. MODIFIED IMPLEMENTATION OF ADVERSE EFFECT WAGE RATE FOR H-2A
NONIMMIGRANTS.
The Secretary of Labor shall ensure that the adverse effect wage
rate required to be paid under section 655.1308 of title 20, Code of
Federal Regulations, to nonimmigrants admitted under section
101(a)(15)(H)(ii)(a) of the Immigration and Nationality Act (8 U.S.C.
1101(a)(15)(H)(ii)(a)), that was in effect in a State on December 1,
2022, remains the adverse effect wage rate for such employees in that
State through December 31, 2023.
<all>
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118HR3309 | Standard FEES Act | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3309 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3309
To amend the Middle Class Tax Relief and Job Creation Act of 2012 to
establish a uniform fee schedule applicable to the processing of forms
for the consideration of applications for the placement of
communications facilities on certain buildings and other property owned
by the Federal Government, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Palmer (for himself and Mr. Ryan) introduced the following bill;
which was referred to the Committee on Transportation and
Infrastructure, and in addition to the Committee on Energy and
Commerce, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend the Middle Class Tax Relief and Job Creation Act of 2012 to
establish a uniform fee schedule applicable to the processing of forms
for the consideration of applications for the placement of
communications facilities on certain buildings and other property owned
by the Federal Government, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Standard Fees to Expedite Evaluation
and Streamlining Act'' or the ``Standard FEES Act''.
SEC. 2. ESTABLISHMENT OF UNIFORM FEE SCHEDULE APPLICABLE TO THE
PROCESSING OF CERTAIN FORMS.
(a) In General.--Section 6409 of the Middle Class Tax Relief and
Job Creation Act of 2012 (47 U.S.C. 1455) is amended--
(1) by redesignating subsection (d) as subsection (e); and
(2) by inserting after subsection (c) the following:
``(d) Common Fee Schedule.--
``(1) In general.--The Administrator of General Services
shall establish a uniform schedule of fees applicable to the
processing of the forms described under subsections (b)(2) and
(c)(3).
``(2) Fee guidelines.--The schedule of fees established
under paragraph (1) shall be--
``(A) based on the direct costs incurred by an
agency in processing a form described under subsection
(b)(2) or (c)(3); and
``(B) competitively neutral with respect to any fee
established for the processing of a form for a similar
use of the building or other property owned by the
Federal Government.
``(3) Exceptions.--The Administrator of General Services
may establish exceptions to the schedule of fees established
under paragraph (1)--
``(A) that are competitively neutral with respect
to the categories of individuals or entities to be
granted the exception;
``(B) in consideration of the public benefit of--
``(i) granting an easement, right-of-way,
or lease described under subsection (b)(1); or
``(ii) entering into a contract for the
placement of a communications installation
facility under subsection (c)(1); and
``(C) in the interest of expanding the deployment
of broadband internet access service, as defined in
section 8.1(b) of title 47, Code of Federal Regulations
(or any successor regulation).
``(4) Adoption by executive agencies.--
``(A) In general.--The head of each executive
agency shall adopt by regulation--
``(i) fees that correspond to the schedule
established by the Administrator under
paragraph (2); and
``(ii) any exceptions to such schedule
established by the Administrator under
paragraph (3).
``(B) Exceptions.--The head of an executive agency
may only grant an exception pursuant to subparagraph
(A)(ii) on a case-by-case basis.
``(5) Use of fees collected.--Any fee collected by an
executive agency under this section shall only be available to
the extent, and in such amounts, as are provided in advance in
appropriation Acts, to the agency to cover the costs of
processing the forms described under subsection (b)(2) and
(c)(3).
``(6) Relationship to other statutes.--Any fee chargeable
under this subsection shall supercede any other fee applicable
to the processing of a form described under subsection (b)(2)
or (c)(3) that is chargeable under another statute.''.
(b) Deadlines.--
(1) For the administrator of general services.--Not later
than 30 days after the date of the enactment of this Act, the
Administrator of General Services shall establish the schedule
of fees required by section 6409(d) of the Middle Class Tax
Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)), as
added by subsection (a).
(2) For executive agencies.--Not later than 120 days after
the Administrator of General Services establishes the schedule
of fees described under paragraph (1), the head of an executive
agency required to adopt the fees and exceptions required by
section 6409(d)(4) of the Middle Class Tax Relief and Job
Creation Act of 2012 (47 U.S.C. 1455(d)(4)), as added by
subsection (a), shall establish such fees and exceptions.
<all>
</pre></body></html>
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118HR331 | Illicit Arms Trafficking Security Enforcement Act | [
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... | <p><strong>Illicit Arms Trafficking Security Enforcement Act</strong></p> <p>This bill directs the Department of Homeland Security to establish a new unit—a Border Enforcement Security Task Force unit—to investigate transnational criminal organization arms smuggling across the international border between the United States and Mexico.</p> <p>The purposes of the new unit include, among other things, reducing arms smuggling from the United States to Mexico.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 331 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 331
To require the Secretary of Homeland Security to establish a Border
Enforcement Security Task Force unit to investigate transnational
criminal organization arms smuggling across the international border
between the United States and Mexico, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Mr. Gallagher (for himself and Ms. Slotkin) introduced the following
bill; which was referred to the Committee on Homeland Security
_______________________________________________________________________
A BILL
To require the Secretary of Homeland Security to establish a Border
Enforcement Security Task Force unit to investigate transnational
criminal organization arms smuggling across the international border
between the United States and Mexico, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Illicit Arms Trafficking Security
Enforcement Act''.
SEC. 2. BORDER ENFORCEMENT SECURITY TASK FORCE UNIT FOR ARMS SMUGGLING.
(a) Establishment.--Not later than 180 days after the date of the
enactment of this Act, the Secretary of Homeland Security shall,
pursuant to section 432 of the Homeland Security Act of 2002 (6 U.S.C.
240), establish, in consultation with the National Targeting Center of
U.S. Customs and Border Protection and the Bureau of Alcohol, Tobacco,
Firearms and Explosives of the Department of Justice, a Border
Enforcement Security Task Force unit to investigate transnational
criminal organization arms smuggling across the international border
between the United States and Mexico.
(b) Purposes.--The Border Enforcement Security Task Force unit
established in accordance with subsection (a) shall focus on the
following:
(1) Reducing arms smuggling of weapons, weapon parts,
munitions, explosives, and related items from the United States
to Mexico.
(2) Apprehending, or working with relevant law enforcement
to apprehend, arms smugglers within the United States or
crossing from the United States to Mexico.
(3) Ensuring coordination with the Bureau of Alcohol,
Tobacco, Firearms, and Explosives to receive comprehensive data
on seized firearms in Mexico through an electronic tracing
system or a successor system.
(4) Deconflicting arms trafficking investigations between
the Department of Homeland Security and the Department of
Justice.
(c) Composition.--The Border Enforcement Security Task Force unit
established in accordance with subsection (a) shall be composed of the
following:
(1) U.S. Customs and Border Protection.
(2) U.S. Immigration and Customs Enforcement, led by
Homeland Security Investigations.
(3) Other Department of Homeland Security personnel, as
appropriate.
(4) The Bureau of Alcohol, Tobacco, Firearms, and
Explosives, with the approval of the Attorney General.
(5) Other Federal, State, local, Tribal, and foreign law
enforcement agencies, including Mexican law enforcement
agencies, as appropriate.
(d) Resources.--Not later than 180 days after the date of the
enactment of this Act, the Secretary of Homeland Security, in
coordination with the Attorney General, shall submit to Congress a
report that identifies technology, dedicated personnel, and other
resources required for the following purposes relating to the
establishment of the Border Enforcement Security Task Force unit in
accordance with subsection (a):
(1) Continuation of Operation Without a Trace and related
Bureau of Alcohol, Tobacco, Firearms, and Explosives agency
strategy.
(2) Conducting pilot programs and operations.
(3) Joint training operations.
(e) Memorandum of Understanding.--Not later than 180 days after the
date of the enactment of this Act, the Secretary of Homeland Security
and the Attorney General shall update the 2009 memorandum of
understanding between Homeland Security Investigations and the Bureau
of Alcohol, Tobacco, Firearms, and Explosives relating to improving
coordination on efforts to combat illegal arms trafficking.
<all>
</pre></body></html>
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118HR3310 | Kira Johnson Act | [
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... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3310 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3310
To end preventable maternal mortality and severe maternal morbidity in
the United States and close disparities in maternal health outcomes,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Ms. Adams (for herself, Ms. Underwood, Mr. Aguilar, Mr. Allred, Ms.
Barragan, Mrs. Beatty, Mr. Bishop of Georgia, Mr. Blumenauer, Ms. Blunt
Rochester, Ms. Brownley, Ms. Budzinski, Ms. Bush, Ms. Caraveo, Mr.
Carbajal, Mr. Carson, Mr. Carter of Louisiana, Mrs. Cherfilus-
McCormick, Ms. Clarke of New York, Mr. Cleaver, Mr. Cohen, Ms. Craig,
Ms. Crockett, Mr. Davis of Illinois, Ms. Dean of Pennsylvania, Ms.
Escobar, Mr. Espaillat, Mr. Evans, Mrs. Foushee, Mr. Garamendi, Ms.
Garcia of Texas, Mr. Garcia of Illinois, Mr. Green of Texas, Mrs.
Hayes, Mr. Horsford, Mr. Huffman, Mr. Ivey, Mr. Jackson of Illinois,
Ms. Jackson Lee, Ms. Jacobs, Ms. Jayapal, Mr. Johnson of Georgia, Ms.
Kamlager-Dove, Mr. Krishnamoorthi, Ms. Kuster, Ms. Lee of California,
Mr. Lieu, Ms. Lofgren, Mrs. McBath, Mrs. McClellan, Ms. McCollum, Mr.
McGovern, Mr. Meeks, Ms. Meng, Mr. Mfume, Mr. Morelle, Mr. Moulton, Ms.
Moore of Wisconsin, Mr. Mrvan, Mr. Mullin, Mrs. Napolitano, Mr. Neguse,
Ms. Ocasio-Cortez, Mr. Pappas, Mr. Payne, Mr. Phillips, Ms. Porter, Ms.
Pressley, Mr. Ruppersberger, Ms. Salinas, Ms. Scanlon, Mr. Schiff, Mr.
Schneider, Ms. Scholten, Mr. Scott of Virginia, Mr. David Scott of
Georgia, Ms. Sewell, Mr. Smith of Washington, Mr. Soto, Ms. Spanberger,
Ms. Stansbury, Ms. Strickland, Mrs. Sykes, Mr. Takano, Ms. Tlaib, Ms.
Tokuda, Mr. Tonko, Mrs. Torres of California, Mrs. Trahan, Mr. Trone,
Mr. Vargas, Mr. Veasey, Ms. Velazquez, Ms. Wasserman Schultz, Mrs.
Watson Coleman, Ms. Wexton, Ms. Williams of Georgia, Mr. Pascrell, Ms.
DelBene, and Mr. Lynch) introduced the following bill; which was
referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To end preventable maternal mortality and severe maternal morbidity in
the United States and close disparities in maternal health outcomes,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Kira Johnson Act''.
SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE
MATERNAL HEALTH EQUITY.
(a) In General.--The Secretary of Health and Human Services (in
this section referred to as the ``Secretary'') shall award grants to
eligible entities to establish or expand programs to advance maternal
health equity.
(b) Timing.--Following the 1-year period described in subsection
(d), the Secretary shall commence awarding the grants authorized by
subsection (a).
(c) Eligible Entities.--To be eligible to seek a grant under this
section, an entity shall be a community-based organization offering
programs and resources aligned with evidence-based practices for
improving maternal health outcomes for demographic groups with elevated
rates of maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes.
(d) Outreach and Technical Assistance Period.--During the 1-year
period beginning on the date of enactment of this Act, the Secretary
shall--
(1) conduct outreach to encourage eligible entities to
apply for grants under this section; and
(2) provide technical assistance to eligible entities on
best practices for applying for grants under this section.
(e) Special Consideration.--
(1) Outreach.--In conducting outreach under subsection (d),
the Secretary shall give special consideration to eligible
entities that--
(A) are based in, and provide support for,
communities with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities,
or other adverse perinatal or childbirth outcomes, to
the extent such data are available;
(B) are led by individuals from demographic groups
with elevated rates of maternal mortality, severe
maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes; and
(C) offer programs and resources that are aligned
with evidence-based practices for improving maternal
health outcomes for individuals from demographic groups
with elevated rates of maternal mortality, severe
maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes.
(2) Awards.--In awarding grants under this section, the
Secretary shall give special consideration to eligible entities
that--
(A) are described in subparagraphs (A), (B), and
(C) of paragraph (1);
(B) offer programs and resources designed in
consultation with and intended for individuals from
demographic groups with elevated rates of maternal
mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth
outcomes;
(C) offer programs and resources in the communities
in which the respective eligible entities are located
that--
(i) promote maternal mental health and
maternal substance use disorder treatments and
supports that are aligned with evidence-based
practices for improving maternal mental and
behavioral health outcomes for individuals from
demographic groups with elevated rates of
maternal mortality, severe maternal morbidity,
maternal health disparities, or other adverse
perinatal or childbirth outcomes;
(ii) address social determinants of
maternal health;
(iii) promote evidence-based health
literacy and pregnancy, childbirth, and
parenting education;
(iv) provide support from perinatal health
workers;
(v) provide culturally and linguistically
congruent training to perinatal health workers;
(vi) conduct or support research on
maternal health issues disproportionately
impacting individuals from demographic groups
with elevated rates of maternal mortality,
severe maternal morbidity, maternal health
disparities, or other adverse perinatal or
childbirth outcomes;
(vii) offer group prenatal care or group
postpartum care;
(viii) coordinate mutual aid efforts during
infant formula shortages, including community
milk depots, donor human milk banks and
exchanges, and forums for community outreach
and education;
(ix) provide support to individuals or
family members of individuals who suffered a
pregnancy loss, pregnancy-associated death, or
pregnancy-related death; or
(x) operate midwifery practices that
provide culturally and linguistically congruent
maternal health care and support, including for
the purposes of--
(I) supporting additional
education, training, and certification
programs, including support for
distance learning;
(II) providing financial support to
current and future midwives to address
education costs, debts, and other
needs;
(III) clinical site investments;
(IV) supporting preceptor
development trainings;
(V) expanding the midwifery
practice; or
(VI) related needs identified by
the midwifery practice and described in
the practice's application; and
(D) have developed other programs and resources
that address community-specific needs for pregnant and
postpartum individuals and are aligned with evidence-
based practices for improving maternal health outcomes
for individuals from demographic groups with elevated
rates of maternal mortality, severe maternal morbidity,
maternal health disparities, or other adverse perinatal
or childbirth outcomes.
(f) Technical Assistance.--The Secretary shall provide to grant
recipients under this section technical assistance on--
(1) capacity building to establish or expand programs to
advance maternal health equity;
(2) best practices in data collection, measurement,
evaluation, and reporting; and
(3) planning for sustaining programs to advance maternal
health equity after the period of the grant.
(g) Evaluation.--Not later than the end of fiscal year 2028, the
Secretary shall submit to the Congress an evaluation of the grant
program under this section that--
(1) assesses the effectiveness of outreach efforts during
the application process in diversifying the pool of grant
recipients;
(2) makes recommendations for future outreach efforts to
diversify the pool of grant recipients for Department of Health
and Human Services grant programs and funding opportunities
related to maternal health;
(3) assesses the effectiveness of programs funded by grants
under this section in improving maternal health outcomes for
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes,
to the extent practicable; and
(4) makes recommendations for future Department of Health
and Human Services grant programs and funding opportunities
that deliver funding to community-based organizations that
provide programs and resources that are aligned with evidence-
based practices for improving maternal health outcomes for
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes.
(h) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $100,000,000 for each of fiscal
years 2024 through 2028.
SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN
MATERNITY CARE SETTINGS.
Part B of title VII of the Public Health Service Act (42 U.S.C. 293
et seq.) is amended by adding at the end the following new section:
``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN
MATERNITY CARE SETTINGS.
``(a) Grants.--The Secretary shall award grants for programs to
reduce and prevent bias, racism, and discrimination in maternity care
settings and to advance respectful, culturally and linguistically
congruent, trauma-informed care.
``(b) Special Consideration.--In awarding grants under subsection
(a), the Secretary shall give special consideration to applications for
programs that would--
``(1) apply to all maternity care providers and any
employees who interact with pregnant and postpartum individuals
in the provider setting, including front desk employees,
sonographers, schedulers, health care professionals, hospital
or health system administrators, security staff, and other
employees;
``(2) emphasize periodic, as opposed to one-time, trainings
for all birthing professionals and employees described in
paragraph (1);
``(3) address implicit bias, racism, and cultural humility;
``(4) be delivered in ongoing education settings for
providers maintaining their licenses, with a preference for
trainings that provide continuing education units;
``(5) include trauma-informed care best practices and an
emphasis on shared decision making between providers and
patients;
``(6) include antiracism training and programs;
``(7) be delivered in undergraduate programs that funnel
into health professions schools;
``(8) be delivered in settings that apply to providers of
the special supplemental nutrition program for women, infants,
and children under section 17 of the Child Nutrition Act of
1966;
``(9) integrate bias training in obstetric emergency
simulation trainings or related trainings;
``(10) include training for emergency department employees
and emergency medical technicians on recognizing warning signs
for severe pregnancy-related complications;
``(11) offer training to all maternity care providers on
the value of racially, ethnically, and professionally diverse
maternity care teams to provide culturally and linguistically
congruent care; or
``(12) be based on one or more programs designed by a
historically Black college or university or other minority-
serving institution.
``(c) Application.--To seek a grant under subsection (a), an entity
shall submit an application at such time, in such manner, and
containing such information as the Secretary may require.
``(d) Reporting.--Each recipient of a grant under this section
shall annually submit to the Secretary a report on the status of
activities conducted using the grant, including, as applicable, a
description of the impact of training provided through the grant on
patient outcomes and patient experience for pregnant and postpartum
individuals from racial and ethnic minority groups and their families.
``(e) Best Practices.--Based on the annual reports submitted
pursuant to subsection (d), the Secretary--
``(1) shall produce an annual report on the findings
resulting from programs funded through this section;
``(2) shall disseminate such report to all recipients of
grants under this section and to the public; and
``(3) may include in such report findings on best practices
for improving patient outcomes and patient experience for
pregnant and postpartum individuals from racial and ethnic
minority groups and their families in maternity care settings.
``(f) Definitions.--In this section:
``(1) The term `postpartum' means the 1-year period
beginning on the last day of an individual's pregnancy.
``(2) The term `culturally and linguistically congruent'
means in agreement with the preferred cultural values, beliefs,
worldview, language, and practices of the health care consumer
and other stakeholders.
``(3) The term `racial and ethnic minority group' has the
meaning given such term in section 1707(g)(1).
``(g) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $5,000,000 for each of fiscal
years 2024 through 2028.''.
SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND
DISCRIMINATION IN MATERNITY CARE SETTINGS.
(a) In General.--The Secretary of Health and Human Services shall
seek to enter into an agreement, not later than 90 days after the date
of enactment of this Act, with the National Academies of Sciences,
Engineering, and Medicine (referred to in this section as the
``National Academies'') under which the National Academies agree to--
(1) conduct a study on the design and implementation of
programs to reduce and prevent bias, racism, and discrimination
in maternity care settings and to advance respectful,
culturally and linguistically congruent, trauma-informed care;
and
(2) not later than 24 months after the date of enactment of
this Act--
(A) complete the study; and
(B) transmit a report on the results of the study
to the Congress.
(b) Possible Topics.--The agreement entered into pursuant to
subsection (a) may provide for the study of any of the following:
(1) The development of a scorecard or other evaluation
standards for programs designed to reduce and prevent bias,
racism, and discrimination in maternity care settings to assess
the effectiveness of such programs in improving patient
outcomes and patient experience for pregnant and postpartum
individuals from racial and ethnic minority groups and their
families.
(2) Determination of the types and frequency of training to
reduce and prevent bias, racism, and discrimination in
maternity care settings that are demonstrated to improve
patient outcomes or patient experience for pregnant and
postpartum individuals from racial and ethnic minority groups
and their families.
SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM.
(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall award grants
to accredited hospitals, health systems, and other maternity care
settings to establish as an integral part of quality implementation
initiatives within one or more hospitals or other birth settings a
respectful maternity care compliance program.
(b) Program Requirements.--A respectful maternity care compliance
program funded through a grant under this section shall--
(1) institutionalize mechanisms to allow patients receiving
maternity care services, the families of such patients, or
perinatal health workers supporting such patients to report
instances of racism or evidence of bias on the basis of race,
ethnicity, or another protected class;
(2) institutionalize response mechanisms through which
representatives of the program can directly follow up with the
patient, if possible, and the patient's family in a timely
manner;
(3) prepare and make publicly available a hospital- or
health system-wide strategy to reduce bias on the basis of
race, ethnicity, or another protected class in the delivery of
maternity care that includes--
(A) information on the training programs to reduce
and prevent bias, racism, and discrimination on the
basis of race, ethnicity, or another protected class
for all employees in maternity care settings;
(B) information on the number of cases reported to
the compliance program; and
(C) the development of methods to routinely assess
the extent to which bias, racism, or discrimination on
the basis of race, ethnicity, or another protected
class is present in the delivery of maternity care to
patients from racial and ethnic minority groups;
(4) develop mechanisms to routinely collect and publicly
report hospital-level data related to patient-reported
experience of care; and
(5) provide annual reports to the Secretary with
information about each case reported to the compliance program
over the course of the year containing such information as the
Secretary may require, such as--
(A) deidentified demographic information on the
patient in the case, such as race, ethnicity, gender
identity, and primary language;
(B) the content of the report from the patient or
the family of the patient to the compliance program;
(C) the response from the compliance program; and
(D) to the extent applicable, institutional changes
made as a result of the case.
(c) Secretary Requirements.--
(1) Processes.--Not later than 180 days after the date of
enactment of this Act, the Secretary shall establish processes
for--
(A) disseminating best practices for establishing
and implementing a respectful maternity care compliance
program within a hospital or other birth setting;
(B) promoting coordination and collaboration
between hospitals, health systems, and other maternity
care delivery settings on the establishment and
implementation of respectful maternity care compliance
programs; and
(C) evaluating the effectiveness of respectful
maternity care compliance programs on maternal health
outcomes and patient and family experiences, especially
for patients from racial and ethnic minority groups and
their families.
(2) Study.--
(A) In general.--Not later than 2 years after the
date of enactment of this Act, the Secretary shall,
through a contract with an independent research
organization, conduct a study on strategies to
address--
(i) racism or bias on the basis of race,
ethnicity, or another protected class in the
delivery of maternity care services; and
(ii) successful implementation of
respectful care initiatives.
(B) Components of study.--The study shall include
the following:
(i) An assessment of the reports submitted
to the Secretary from the respectful maternity
care compliance programs pursuant to subsection
(b)(5).
(ii) Based on such assessment,
recommendations for potential accountability
mechanisms related to cases of racism or bias
on the basis of race, ethnicity, or another
protected class in the delivery of maternity
care services at hospitals and other birth
settings. Such recommendations shall take into
consideration medical and nonmedical factors
that contribute to adverse patient experiences
and maternal health outcomes.
(C) Report.--The Secretary shall submit to the
Congress and make publicly available a report on the
results of the study under this paragraph.
(d) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated such sums as may be necessary
for fiscal years 2024 through 2029.
SEC. 6. GAO REPORT.
(a) In General.--Not later than 2 years after the date of enactment
of this Act and annually thereafter, the Comptroller General of the
United States shall submit to the Congress and make publicly available
a report on the establishment of respectful maternity care compliance
programs within hospitals, health systems, and other maternity care
settings.
(b) Matters Included.--The report under subsection (a) shall
include the following:
(1) Information regarding the extent to which hospitals,
health systems, and other maternity care settings have elected
to establish respectful maternity care compliance programs,
including--
(A) which hospitals and other birth settings elect
to establish compliance programs and when such programs
are established;
(B) to the extent practicable, impacts of the
establishment of such programs on maternal health
outcomes and patient and family experiences in the
hospitals and other birth settings that have
established such programs, especially for patients from
racial and ethnic minority groups and their families;
(C) information on geographic areas, and types of
hospitals or other birth settings, where respectful
maternity care compliance programs are not being
established and information on factors contributing to
decisions to not establish such programs; and
(D) recommendations for establishing respectful
maternity care compliance programs in geographic areas,
and types of hospitals or other birth settings, where
such programs are not being established.
(2) Whether the funding made available to carry out this
section has been sufficient and, if applicable, recommendations
for additional appropriations to carry out this section.
(3) Such other information as the Comptroller General
determines appropriate.
SEC. 7. DEFINITIONS.
In this Act:
(1) Culturally and linguistically congruent.--The term
``culturally and linguistically congruent'', with respect to
care or maternity care, means care that is in agreement with
the preferred cultural values, beliefs, worldview, language,
and practices of the health care consumer and other
stakeholders.
(2) Maternal mortality.--The term ``maternal mortality''
means a death occurring during or within a 1-year period after
pregnancy, caused by pregnancy-related or childbirth
complications, including a suicide, overdose, or other death
resulting from a mental health or substance use disorder
attributed to or aggravated by pregnancy-related or childbirth
complications.
(3) Perinatal health worker.--The term ``perinatal health
worker'' means a nonclinical health worker focused on maternal
or perinatal health, such as a doula, community health worker,
peer supporter, lactation educator or counselor, nutritionist
or dietitian, childbirth educator, social worker, home visitor,
patient navigator or coordinator, or language interpreter.
(4) Postpartum.--The term ``postpartum'' refers to the 1-
year period beginning on the last day of the pregnancy of an
individual.
(5) Pregnancy-associated death.--The term ``pregnancy-
associated death'' means a death of a pregnant or postpartum
individual, by any cause, that occurs during, or within 1 year
following, the individual's pregnancy, regardless of the
outcome, duration, or site of the pregnancy.
(6) Pregnancy-related death.--The term ``pregnancy-related
death'' means a death of a pregnant or postpartum individual
that occurs during, or within 1 year following, the
individual's pregnancy, from a pregnancy complication, a chain
of events initiated by pregnancy, or the aggravation of an
unrelated condition by the physiologic effects of pregnancy.
(7) Racial and ethnic minority group.--The term ``racial
and ethnic minority group'' has the meaning given such term in
section 1707(g)(1) of the Public Health Service Act (42 U.S.C.
300u-6(g)(1)).
(8) Severe maternal morbidity.--The term ``severe maternal
morbidity'' means a health condition, including mental health
conditions and substance use disorders, attributed to or
aggravated by pregnancy or childbirth that results in
significant short-term or long-term consequences to the health
of the individual who was pregnant.
(9) Social determinants of maternal health.--The term
``social determinants of maternal health'' means nonclinical
factors that impact maternal health outcomes.
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118HR3311 | Coastal Broadband Deployment Act | [
[
"B001257",
"Rep. Bilirakis, Gus M. [R-FL-12]",
"sponsor"
],
[
"D000628",
"Rep. Dunn, Neal P. [R-FL-2]",
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3311 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3311
To provide that a project for the deployment or modification of a
communications facility entirely within a floodplain is not subject to
requirements to prepare certain environmental or historical
preservation reviews.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Bilirakis (for himself and Mr. Dunn of Florida) introduced the
following bill; which was referred to the Committee on Energy and
Commerce, and in addition to the Committee on Natural Resources, for a
period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To provide that a project for the deployment or modification of a
communications facility entirely within a floodplain is not subject to
requirements to prepare certain environmental or historical
preservation reviews.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Coastal Broadband Deployment Act''.
SEC. 2. APPLICATION OF NEPA AND NHPA TO FLOODPLAINS.
(a) NEPA Exemption.--A Federal authorization with respect to a
covered project may not be considered a major Federal action under
section 102(2)(C) of the National Environmental Policy Act of 1969 (42
U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A covered
project may not be considered an undertaking under section 300320 of
title 54, United States Code.
(c) Definitions.--In this section:
(1) Commission.--The term ``Commission'' means the Federal
Communications Commission.
(2) Communications facility.--The term ``communications
facility'' has the meaning given the term ``communications
facility installation'' in section 6409(d) of the Middle Class
Tax Relief and Job Creation Act of 2012 (47 U.S.C. 1455(d)).
(3) Covered project.--The term ``covered project'' means a
project--
(A) for the deployment or modification of a
communications facility that is to be carried out
entirely within a floodplain (as defined in section 9.4
of title 44, Code of Federal Regulations, as in effect
on the date of the enactment of this Act); and
(B) for which a permit, license, or approval from
the Commission is required or that is otherwise subject
to the jurisdiction of the Commission.
(4) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a covered project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a covered project.
<all>
</pre></body></html>
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118HR3312 | Moms Matter Act | [
[
"B001303",
"Rep. Blunt Rochester, Lisa [D-DE-At Large]",
"sponsor"
],
[
"F000466",
"Rep. Fitzpatrick, Brian K. [R-PA-1]",
"cosponsor"
],
[
"U000040",
"Rep. Underwood, Lauren [D-IL-14]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3312 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3312
To address maternal mental health conditions and substance use
disorders, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Ms. Blunt Rochester (for herself, Mr. Fitzpatrick, and Ms. Underwood)
introduced the following bill; which was referred to the Committee on
Energy and Commerce
_______________________________________________________________________
A BILL
To address maternal mental health conditions and substance use
disorders, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Moms Matter Act''.
SEC. 2. MATERNAL MENTAL HEALTH EQUITY GRANT PROGRAM.
(a) In General.--The Secretary of Health and Human Services, acting
through the Assistant Secretary for Mental Health and Substance Use,
shall establish a program to award grants to eligible entities to
address maternal mental health conditions and substance use disorders,
with a focus on demographic groups with elevated rates of maternal
mortality, severe maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes.
(b) Application.--To be eligible to receive a grant under this
section, an eligible entity shall submit to the Secretary an
application at such time, in such manner, and containing such
information as the Secretary may require.
(c) Priority.--In awarding grants under this section, the Secretary
shall give priority to an eligible entity that--
(1) is, or will partner with, a community-based
organization to address maternal mental health conditions and
substance use disorders described in subsection (a);
(2) is operating in an area with elevated rates of maternal
mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes;
and
(3) is operating in a health professional shortage area
designated under section 332 of the Public Health Service Act
(42 U.S.C. 254e).
(d) Use of Funds.--An eligible entity that receives a grant under
this section shall use the grant for the following:
(1) Establishing or expanding maternity care programs to
improve the integration of maternal mental health and
behavioral health care services into primary care settings
where pregnant individuals regularly receive health care
services.
(2) Establishing or expanding group prenatal care programs
or postpartum care programs.
(3) Expanding existing programs that improve maternal
mental and behavioral health during the prenatal and postpartum
periods, with a focus on individuals from demographic groups
with elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes.
(4) Providing services and support for pregnant and
postpartum individuals with maternal mental health conditions
and substance use disorders, including referrals to addiction
treatment centers that offer evidence-based treatment options.
(5) Addressing stigma associated with maternal mental
health conditions and substance use disorders, with a focus on
individuals from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes.
(6) Raising awareness of warning signs of maternal mental
health conditions and substance use disorders, with a focus on
pregnant and postpartum individuals from demographic groups
with elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes.
(7) Establishing or expanding programs to prevent suicide
or self-harm among pregnant and postpartum individuals.
(8) Offering evidence-aligned programs at freestanding
birth centers that provide maternal mental and behavioral
health care education, treatments, and services, and other
services for individuals throughout the prenatal and postpartum
period.
(9) Establishing or expanding programs to provide education
and training to maternity care providers with respect to--
(A) identifying potential warning signs for
maternal mental health conditions or substance use
disorders in pregnant and postpartum individuals, with
a focus on individuals from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other
adverse perinatal or childbirth outcomes; and
(B) in the case where such providers identify such
warning signs, offering referrals to mental and
behavioral health care professionals.
(10) Developing a website, or other source, that includes
information on health care providers who treat maternal mental
health conditions and substance use disorders.
(11) Establishing or expanding programs in communities to
improve coordination between maternity care providers and
mental and behavioral health care providers who treat maternal
mental health conditions and substance use disorders, including
through the use of toll-free hotlines.
(12) Carrying out other programs aligned with evidence-
based practices for addressing maternal mental health
conditions and substance use disorders for pregnant and
postpartum individuals from demographic groups with elevated
rates of maternal mortality, severe maternal morbidity,
maternal health disparities, or other adverse perinatal or
childbirth outcomes.
(e) Reporting.--
(1) Eligible entities.--An eligible entity that receives a
grant under subsection (a) shall submit annually to the
Secretary, and make publicly available, a report on the
activities conducted using funds received through a grant under
this section. Such reports shall include quantitative and
qualitative evaluations of such activities, including the
experience of individuals who received health care through such
grant.
(2) Secretary.--Not later than the end of fiscal year 2027,
the Secretary shall submit to Congress a report that includes--
(A) a summary of the reports received under
paragraph (1);
(B) an evaluation of the effectiveness of grants
awarded under this section;
(C) recommendations with respect to expanding
coverage of evidence-based screenings and treatments
for maternal mental health conditions and substance use
disorders; and
(D) recommendations with respect to ensuring
activities described under subsection (d) continue
after the end of a grant period.
(f) Definitions.--In this section:
(1) Eligible entity.--The term ``eligible entity'' means--
(A) a community-based organization serving pregnant
and postpartum individuals, including such
organizations serving individuals from demographic
groups with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities,
or other adverse perinatal or childbirth outcomes;
(B) a nonprofit or patient advocacy organization
with expertise in maternal mental and behavioral
health;
(C) a maternity care provider;
(D) a mental or behavioral health care provider who
treats maternal mental health conditions or substance
use disorders;
(E) a State or local governmental entity, including
a State or local public health department;
(F) an Indian Tribe or Tribal organization (as such
terms are defined in section 4 of the Indian Self-
Determination and Education Assistance Act (25 U.S.C.
5304)); and
(G) an Urban Indian organization (as such term is
defined in section 4 of the Indian Health Care
Improvement Act (25 U.S.C. 1603)).
(2) Freestanding birth center.--The term ``freestanding
birth center'' has the meaning given that term under section
1905(l) of the Social Security Act (42 U.S.C. 1396d(1)).
(3) Maternal mortality.--The term ``maternal mortality''
means a death occurring during or within a 1-year period after
pregnancy, caused by pregnancy-related or childbirth
complications, including a suicide, overdose, or other death
resulting from a mental health or substance use disorder
attributed to or aggravated by pregnancy-related or childbirth
complications.
(4) Maternity care provider.--The term ``maternity care
provider'' means a health care provider who--
(A) is a physician, a physician assistant, a
midwife who meets, at a minimum, the international
definition of a midwife and global standards for
midwifery education as established by the International
Confederation of Midwives, an advanced practice
registered nurse, or a lactation consultant certified
by the International Board of Lactation Consultant
Examiners; and
(B) has a focus on maternal or perinatal health.
(5) Postpartum and postpartum period.--The terms
``postpartum'' and ``postpartum period'' refer to the 1-year
period beginning on the last day of the pregnancy of an
individual.
(6) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(7) Severe maternal morbidity.--The term ``severe maternal
morbidity'' means a health condition, including mental health
conditions and substance use disorders, attributed to or
aggravated by pregnancy or childbirth that results in
significant short-term or long-term consequences to the health
of the individual who was pregnant.
(g) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $25,000,000 for each of fiscal
years 2024 through 2027.
SEC. 3. GRANTS TO GROW AND DIVERSIFY THE MATERNAL MENTAL AND BEHAVIORAL
HEALTH CARE WORKFORCE.
Title VII of the Public Health Service Act is amended by inserting
after section 757 of such Act (42 U.S.C. 294f) the following new
section:
``SEC. 758. MATERNAL MENTAL AND BEHAVIORAL HEALTH CARE WORKFORCE
GRANTS.
``(a) In General.--The Secretary may award grants to entities to
establish or expand programs described in subsection (b) to grow and
diversify the maternal mental and behavioral health care workforce.
``(b) Use of Funds.--Recipients of grants under this section shall
use the grants to grow and diversify the maternal mental and behavioral
health care workforce by--
``(1) establishing schools or programs that provide
education and training to individuals seeking appropriate
licensing or certification as mental or behavioral health care
providers who will specialize in maternal mental health
conditions or substance use disorders; or
``(2) expanding the capacity of existing schools or
programs described in paragraph (1), for the purposes of
increasing the number of students enrolled in such schools or
programs, including by awarding scholarships for students.
``(c) Prioritization.--In awarding grants under this section, the
Secretary shall give priority to any entity that--
``(1) has demonstrated a commitment to recruiting and
retaining students and faculty from racial and ethnic minority
groups;
``(2) has developed a strategy to recruit and retain a
diverse pool of students into the maternal mental or behavioral
health care workforce program or school supported by funds
received through the grant, particularly from racial and ethnic
minority groups and other underserved populations;
``(3) has developed a strategy to recruit and retain
students who plan to practice in a health professional shortage
area designated under section 332;
``(4) has developed a strategy to recruit and retain
students who plan to practice in an area with significant
maternal health disparities, to the extent practicable; and
``(5) includes in the standard curriculum for all students
within the maternal mental or behavioral health care workforce
program or school a bias, racism, or discrimination training
program that includes training on implicit bias and racism.
``(d) Reporting.--As a condition on receipt of a grant under this
section for a maternal mental or behavioral health care workforce
program or school, an entity shall agree to submit to the Secretary an
annual report on the activities conducted through the grant,
including--
``(1) the number and demographics of students participating
in the program or school;
``(2) the extent to which students in the program or school
are entering careers in--
``(A) health professional shortage areas designated
under section 332; and
``(B) areas with significant maternal health
disparities, to the extent such data are available; and
``(3) whether the program or school has included in the
standard curriculum for all students a bias, racism, or
discrimination training program that includes training on
implicit bias and racism, and if so the effectiveness of such
training program.
``(e) Period of Grants.--The period of a grant under this section
shall be up to 5 years.
``(f) Application.--To seek a grant under this section, an entity
shall submit to the Secretary an application at such time, in such
manner, and containing such information as the Secretary may require,
including any information necessary for prioritization under subsection
(c).
``(g) Technical Assistance.--The Secretary shall provide, directly
or by contract, technical assistance to entities seeking or receiving a
grant under this section on the development, use, evaluation, and
postgrant period sustainability of the maternal mental or behavioral
health care workforce programs or schools proposed to be, or being,
established or expanded through the grant.
``(h) Report by the Secretary.--Not later than 4 years after the
date of enactment of this section, the Secretary shall prepare and
submit to the Congress, and post on the internet website of the
Department of Health and Human Services, a report on the effectiveness
of the grant program under this section at--
``(1) recruiting students from racial and ethnic minority
groups and other underserved populations;
``(2) increasing the number of mental or behavioral health
care providers specializing in maternal mental health
conditions or substance use disorders from racial and ethnic
minority groups and other underserved populations;
``(3) increasing the number of mental or behavioral health
care providers specializing in maternal mental health
conditions or substance use disorders working in health
professional shortage areas designated under section 332; and
``(4) increasing the number of mental or behavioral health
care providers specializing in maternal mental health
conditions or substance use disorders working in areas with
significant maternal health disparities, to the extent such
data are available.
``(i) Definitions.--In this section:
``(1) Racial and ethnic minority group.--The term `racial
and ethnic minority group' has the meaning given such term in
section 1707(g)(1).
``(2) Mental or behavioral health care provider.--The term
`mental or behavioral health care provider' refers to a health
care provider in the field of mental and behavioral health,
including substance use disorders, acting in accordance with
State law.
``(j) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $15,000,000 for each of fiscal
years 2024 through 2028.''.
<all>
</pre></body></html>
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118HR3313 | Wireless Resiliency and Flexible Investment Act of 2023 | [
[
"B001275",
"Rep. Bucshon, Larry [R-IN-8]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3313 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3313
To amend the Middle Class Tax Relief and Job Creation Act of 2012 to
streamline the consideration by State and local governments of requests
for modification of certain existing wireless facilities, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Bucshon introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Middle Class Tax Relief and Job Creation Act of 2012 to
streamline the consideration by State and local governments of requests
for modification of certain existing wireless facilities, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Wireless Resiliency and Flexible
Investment Act of 2023''.
SEC. 2. REQUESTS FOR MODIFICATION OF CERTAIN EXISTING WIRELESS
FACILITIES.
(a) In General.--Section 6409(a) of the Middle Class Tax Relief and
Job Creation Act of 2012 (47 U.S.C. 1455(a)) is amended--
(1) in paragraph (1), by striking ``a State or local
government'' and all that follows and inserting the following:
``a State or local government or instrumentality thereof may
not deny, and shall approve, any eligible facilities request
for a modification of an existing wireless tower, base station,
or eligible support structure that does not substantially
change the physical dimensions of such wireless tower, base
station, or eligible support structure.'';
(2) by amending paragraph (2) to read as follows:
``(2) Timeframe.--
``(A) Deemed approval.--If a State or local
government or instrumentality thereof does not, before
or on the date that is 60 days after the date on which
a requesting party submits to the government or
instrumentality a request as an eligible facilities
request, approve the request or make the determination
and provide the written notice described in
subparagraph (B) with respect to the request, the
request is deemed approved on the day after the date
that is 60 days after the date on which the requesting
party submits the request.
``(B) Determination request is not eligible
facilities request.--
``(i) Determination described.--The
determination described in this subparagraph is
a determination by a State or local government
or instrumentality thereof that a request
described in subparagraph (A) is not an
eligible facilities request.
``(ii) Written notice described.--The
written notice described in this subparagraph
is a written notice of the determination
described in clause (i) provided by the
government or instrumentality to the requesting
party that clearly describes the reasons why
the request is not an eligible facilities
request and includes a citation to a specific
provision of this subsection or the regulations
promulgated under this subsection relied upon
for the determination.
``(C) Tolling due to incompleteness.--
``(i) Initial request incomplete.--If, not
later than 30 days after the date on which a
requesting party submits to a State or local
government or instrumentality thereof a request
described in subparagraph (A), the government
or instrumentality provides to the requesting
party a written notice described in clause
(iii) with respect to the request, the 60-day
timeframe under subparagraph (A) is tolled
until the date on which the requesting party
submits to the government or instrumentality a
supplemental submission in response to the
notice.
``(ii) Supplemental submission
incomplete.--If, not later than 10 days after
the date on which a requesting party submits to
a State or local government or instrumentality
thereof a supplemental submission in response
to a written notice under clause (i) with
respect to a request described in subparagraph
(A) or a written notice under this clause with
respect to a subsequent supplemental
submission, the government or instrumentality
provides to the requesting party a written
notice described in clause (iii) with respect
to the supplemental submission, the 60-day
timeframe under subparagraph (A) is further
tolled until the date on which the requesting
party submits to the government or
instrumentality a subsequent supplemental
submission in response to the notice.
``(iii) Written notice described.--The
written notice described in this clause is,
with respect to a request described in
subparagraph (A) or a supplemental submission
described in clause (i) or (ii) submitted to a
State or local government or instrumentality
thereof by a requesting party, a written notice
from the government or instrumentality to the
requesting party--
``(I) stating that all of the
information (including any form or
other document) required by the
government or instrumentality to be
submitted for the request to be
considered complete has not been
submitted;
``(II) identifying the information
described in subclause (I) that was not
submitted; and
``(III) including a citation to a
specific provision of a publicly
available rule, regulation, or standard
issued by the government or
instrumentality requiring that such
information be submitted with such a
request.
``(iv) Limitation.--
``(I) Initial written notice.--If a
written notice provided by a State or
local government or instrumentality
thereof to a requesting party under
clause (i) with respect to a request
described in subparagraph (A)
identifies as not having been submitted
any information that the government or
instrumentality is prohibited by
paragraph (5) from requiring to be
submitted, such notice shall be treated
as not having been provided to the
requesting party.
``(II) Subsequent written notice.--
If a written notice provided by a State
or local government or instrumentality
thereof to a requesting party under
clause (ii) with respect to a
supplemental submission identifies as
not having been submitted any
information that was not identified as
not having been submitted in the prior
written notice under clause (i) or (ii)
in response to which the supplemental
submission was submitted, the
subsequent written notice shall be
treated as not having been provided to
the requesting party.
``(D) Tolling by mutual agreement.--In addition to
any tolling under subparagraph (C), the 60-day
timeframe under subparagraph (A) may be tolled by
mutual agreement between the State or local government
or instrumentality thereof and the requesting party.'';
(3) in paragraph (3), by striking ``paragraph (1)'' and
inserting ``this subsection''; and
(4) by adding at the end the following:
``(4) When request considered submitted.--
``(A) In general.--For the purposes of this
subsection, a request described in paragraph (2)(A)
shall be considered submitted on the date on which the
requesting party takes the first procedural step within
the control of the requesting party--
``(i) to submit such request in accordance
with the procedures established by the
government or instrumentality for the review
and approval of such a request; or
``(ii) in the case of a government or
instrumentality that has not established
specific procedures for the review and approval
of such a request, to submit to the government
or instrumentality the type of filing that is
typically required to initiate a standard
review for a similar facility or structure.
``(B) No pre-application requirements.--A State or
local government or instrumentality thereof may not
require a requesting party to undertake any process,
meeting, or other step prior to or as a prerequisite to
a request being considered submitted.
``(5) Limitation on required documentation.--A State or
local government or instrumentality thereof may require a
requesting party submitting a request as an eligible facilities
request to submit information (including a form or other
document) with such request only to the extent that such
information is reasonably related to determining whether such
request is an eligible facilities request and is identified in
a publicly available rule, regulation, or standard issued by
the government or instrumentality requiring that such
information be submitted with such a request. A State or local
government or instrumentality thereof may not require a
requesting party to submit any other documentation or
information with such a request.
``(6) Enforcement.--
``(A) In general.--A requesting party may bring an
action in any district court of the United States to
enforce the provisions of this subsection.
``(B) Expedited review.--A district court of the
United States shall consider an action under
subparagraph (A) on an expedited basis.
``(7) Definitions.--In this subsection:
``(A) Eligible facilities request.--The term
`eligible facilities request' means any request for a
modification of an existing wireless tower, base
station, or eligible support structure that does not
substantially change the physical dimensions of such
wireless tower, base station, or eligible support
structure and that involves--
``(i) collocation of new transmission
equipment;
``(ii) removal of transmission equipment;
``(iii) replacement of transmission
equipment; or
``(iv) placement, construction, or
modification of equipment that--
``(I) improves the resiliency of
the wireless tower, base station, or
eligible support structure; and
``(II) provides a direct benefit to
public safety, such as--
``(aa) providing backup
power for the wireless tower,
base station, or eligible
support structure;
``(bb) hardening the
wireless tower, base station,
or eligible support structure;
or
``(cc) providing more
reliable connection capability
using the wireless tower, base
station, or eligible support
structure.
``(B) Eligible support structure.--The term
`eligible support structure' means a structure that, at
the time when an eligible facilities request for a
modification of such structure is submitted to a State
or local government or instrumentality thereof,
supports or could support transmission equipment.
``(C) Transmission equipment.--The term
`transmission equipment' has the meaning given such
term in section 1.6100(b)(8) of title 47, Code of
Federal Regulations (as in effect on the date of the
enactment of this paragraph).''.
(b) Implementation.--Not later than 180 days after the date of the
enactment of this Act, the Federal Communications Commission shall
issue final rules to implement the amendments made by subsection (a).
(c) Applicability.--The amendments made by subsection (a) shall
apply with respect to any eligible facilities request described in
paragraph (1) of section 6409(a) of the Middle Class Tax Relief and Job
Creation Act of 2012 (47 U.S.C. 1455(a)) that is submitted (as
determined under paragraph (4) of such section, as added by subsection
(a)) by a requesting party on or after the date of the enactment of
this Act.
<all>
</pre></body></html>
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118HR3314 | CABLE Competition Act | [
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"Rep. Burgess, Michael C. [R-TX-26]",
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3314 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3314
To amend the Communications Act of 1934 to prohibit franchising
authorities from requiring approval for the sale of cable systems, and
for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Burgess introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Communications Act of 1934 to prohibit franchising
authorities from requiring approval for the sale of cable systems, and
for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Consumer Access to Broadband for
Local Economies and Competition Act'' or the ``CABLE Competition Act''.
SEC. 2. SALES OF CABLE SYSTEMS.
(a) In General.--Section 627 of the Communications Act of 1934 (47
U.S.C. 547) is amended to read as follows:
``SEC. 627. CONDITIONS OF SALE OR TRANSFER.
``(a) Value of Cable System Upon Sale or Transfer.--
``(1) After denial of franchise renewal.--If a renewal of a
franchise held by a cable operator is denied and the
franchising authority acquires ownership of the cable system or
effects a transfer of ownership of the system to another
person, any such acquisition or transfer shall be at fair
market value, determined on the basis of the cable system
valued as a going concern but with no value allocated to the
franchise itself.
``(2) After revocation of franchise for cause.--If a
franchise held by a cable operator is revoked for cause and the
franchising authority acquires ownership of the cable system or
effects a transfer of ownership of the system to another
person, any such acquisition or transfer shall be at fair
market value, determined on the basis of the cable system
valued as a going concern but with no value allocated to the
franchise itself.
``(b) Limitations on Authority of Franchising Authority With
Respect to Transfer of Franchise.--
``(1) In general.--A franchising authority may not--
``(A) preclude a cable operator from transferring a
franchise to any person to which such franchise was not
initially granted; or
``(B) require a cable operator to which a franchise
was initially granted to receive approval from the
franchising authority for the transfer of such
franchise to a person who accepts all of the terms of
the franchise in effect for the cable operator at the
time of the transfer.
``(2) Notification.--In the case of the transfer of a
franchise to a person to which such franchise was not
originally granted, a franchising authority may require a cable
operator to which a franchise was initially granted to, not
later than 15 days after a transfer of a franchise, notify the
franchising authority in writing of such transfer.
``(3) Transfer of a franchise defined.--In this subsection,
the term `transfer of a franchise' means the transfer or
assignment of any rights under a franchise through any
transaction, including through--
``(A) a merger involving the cable operator or
cable system;
``(B) a sale of the cable operator or cable system;
``(C) an assignment of the cable operator or a
cable system;
``(D) a restructuring of a cable operator or a
cable system; or
``(E) the transfer of control of a cable operator
or a cable system.''.
(b) Effective Date.--This section, and the amendment made by
subsection (a), shall take effect 6 months after the date of the
enactment of this Act.
(c) Application.--This section, and the amendment made by
subsection (a), shall apply to a franchise granted--
(1) on or after the effective date established by
subsection (b); or
(2) before such date, if--
(A) such franchise (including any renewal term
thereof) is in effect on such date; or
(B) such franchise is expired and the cable
operator has continued to perform under the provisions
of such franchise as if such franchise were not
expired.
<all>
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118HR3315 | National Guard and Reservists Debt Relief Extension Act of 2023 | [
[
"C001068",
"Rep. Cohen, Steve [D-TN-9]",
"sponsor"
],
[
"C001118",
"Rep. Cline, Ben [R-VA-6]",
"cosponsor"
],
[
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"Rep. Dean, Madeleine [D-PA-4]",
"cosponsor"
],
[
"B001309",
"Rep. Burchett, Tim [R-TN-2]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3315 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3315
To exempt for an additional 4-year period, from the application of the
means-test presumption of abuse under chapter 7, qualifying members of
reserve components of the Armed Forces and members of the National
Guard who, after September 11, 2001, are called to active duty or to
perform a homeland defense activity for not less than 90 days.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Cohen (for himself, Mr. Cline, Ms. Dean of Pennsylvania, and Mr.
Burchett) introduced the following bill; which was referred to the
Committee on the Judiciary
_______________________________________________________________________
A BILL
To exempt for an additional 4-year period, from the application of the
means-test presumption of abuse under chapter 7, qualifying members of
reserve components of the Armed Forces and members of the National
Guard who, after September 11, 2001, are called to active duty or to
perform a homeland defense activity for not less than 90 days.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``National Guard and Reservists Debt
Relief Extension Act of 2023''.
SEC. 2. NATIONAL GUARD AND RESERVISTS DEBT RELIEF AMENDMENT.
Section 4(b) of the National Guard and Reservists Debt Relief Act
of 2008 (Public Law 110-438; 122 Stat. 5000) is amended by striking
``15-year'' and inserting ``19-year''.
<all>
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118HR3316 | To amend titles 46 and 49, United States Code, to streamline the environmental review process for major projects, and for other purposes. | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3316 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3316
To amend titles 46 and 49, United States Code, to streamline the
environmental review process for major projects, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Crawford introduced the following bill; which was referred to the
Committee on Transportation and Infrastructure
_______________________________________________________________________
A BILL
To amend titles 46 and 49, United States Code, to streamline the
environmental review process for major projects, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. ONE FEDERAL DECISION FOR PORTS.
(a) In General.--Chapter 543 of title 46, United States Code, is
amended by adding at the end the following:
``Sec. 54302. Efficient environmental reviews and one Federal decision
``(a) Efficient Environmental Reviews.--
``(1) In general.--The Secretary of Transportation shall
apply the project development procedures, to the greatest
extent feasible, described in section 139 of title 23 to any
port infrastructure project that requires the approval of the
Secretary under the National Environmental Policy Act of 1969
(42 U.S.C. 4321 et seq.).
``(2) Regulations and procedures.--In carrying out
paragraph (1), the Secretary shall incorporate into agency
regulations and procedures pertaining to port infrastructure
projects described in paragraph (1) aspects of such project
development procedures, or portions thereof, determined
appropriate by the Secretary in a manner consistent with this
section, that increase the efficiency of the review of port
infrastructure projects.
``(3) Discretion.--The Secretary may choose not to
incorporate into agency regulations and procedures pertaining
to port infrastructure projects described in paragraph (1) such
project development procedures that could only feasibly apply
to highway projects, public transportation capital projects,
and multimodal projects.
``(4) Applicability.--Subsection (l) of section 139 of
title 23 shall apply to port infrastructure projects described
in paragraph (1), except that the limitation on claims of 150
days shall be 2 years.
``(b) Additional Categorical Exclusions.--The Secretary shall
maintain and make publicly available, including on the Internet, a
database that identifies project-specific information on the use of a
categorical exclusion on any port infrastructure project carried out
under this title.''.
(b) Clerical Amendment.--The analysis for chapter 543 of title 46,
United States Code, is amended by adding at the end the following:
``54302. Efficient environmental reviews and one Federal decision.''.
SEC. 2. ONE FEDERAL DECISION FOR PIPELINES.
(a) In General.--Chapter 601 of title 49, United States Code, is
amended by adding at the end the following:
``Sec. 60144. Efficient environmental reviews and one Federal decision
``(a) Efficient Environmental Reviews.--
``(1) In general.--The Secretary of Transportation shall
apply the project development procedures, to the greatest
extent feasible, described in section 139 of title 23 to any
pipeline project that requires the approval of the Secretary
under the National Environmental Policy Act of 1969 (42 U.S.C.
4321 et seq.).
``(2) Regulations and procedures.--In carrying out
paragraph (1), the Secretary shall incorporate into agency
regulations and procedures pertaining to pipeline projects
described in paragraph (1) aspects of such project development
procedures, or portions thereof, determined appropriate by the
Secretary in a manner consistent with this section, that
increase the efficiency of the review of pipeline projects.
``(3) Discretion.--The Secretary may choose not to
incorporate into agency regulations and procedures pertaining
to pipeline projects described in paragraph (1) such project
development procedures that could only feasibly apply to
highway projects, public transportation capital projects, and
multimodal projects.
``(4) Applicability.--Subsection (l) of section 139 of
title 23 shall apply to pipeline projects described in
paragraph (1).
``(b) Additional Categorical Exclusions.--The Secretary shall
maintain and make publicly available, including on the Internet, a
database that identifies project-specific information on the use of a
categorical exclusion on any pipeline project carried out under this
title.''.
(b) Clerical Amendment.--The analysis for chapter 601 of title 49,
United States Code, is amended by adding at the end the following:
``60144. Efficient environmental reviews and one Federal decision.''.
SEC. 3. ONE FEDERAL DECISION FOR AIRPORTS AND AVIATION.
Section 47171 of title 49, United States Code, is amended--
(1) by striking subsection (a) and inserting the following:
``(a) Aviation Project Review Process.--The Secretary of
Transportation shall apply the project development procedures, to the
greatest extent feasible, described in section 139 of title 23 to any
airport or aviation project that requires the approval of the Secretary
under the National Environmental Policy Act of 1969 (42 U.S.C. 4321 et
seq.).'';
(2) in subsection (b) by striking ``coordinated and
expedited environmental review process requirements set forth
in this section'' and inserting ``project development
procedures described in subsection (a)''; and
(3) by striking subsections (c) through (m) and inserting
the following:
``(c) Efficient Environmental Reviews.--
``(1) Regulations and procedures.--In carrying out
subsection (a), the Secretary shall incorporate into agency
regulations and procedures pertaining to airport or aviation
projects described in subsection (b) aspects of such project
development procedures, or portions thereof, determined
appropriate by the Secretary in a manner consistent with this
section, that increase the efficiency of the review of such
projects.
``(2) Discretion.--The Secretary may choose not to
incorporate into agency regulations and procedures pertaining
to airport or aviation projects described in subsection (b)
such project development procedures that could only feasibly
apply to highway projects, public transportation capital
projects, and multimodal projects.
``(3) Applicability.--Subsection (l) of section 139 of
title 23 shall apply to airport or aviation projects described
in subsection (b).
``(d) Additional Categorical Exclusions.--The Secretary shall
maintain and make publicly available, including on the Internet, a
database that identifies project-specific information on the use of a
categorical exclusion on any airport or aviation project carried out
under this title.''.
SEC. 4. EFFICIENT ENVIRONMENTAL REVIEWS.
Section 24201(a)(4) of title 49, United States Code, is amended by
striking ``, except that the limitation on claims of 150 days shall be
2 years''.
<all>
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118HR3317 | Rolling Stock Protection Act | [
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... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3317 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3317
To amend title 49, United States Code, to remove the lifetime exemption
from the prohibition on procurement of rolling stock from certain
vehicle manufacturers for parties to executed contracts.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Crawford (for himself, Mr. Nehls, and Mr. Perry) introduced the
following bill; which was referred to the Committee on Transportation
and Infrastructure
_______________________________________________________________________
A BILL
To amend title 49, United States Code, to remove the lifetime exemption
from the prohibition on procurement of rolling stock from certain
vehicle manufacturers for parties to executed contracts.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Rolling Stock Protection Act''.
SEC. 2. REMOVAL OF LIFETIME EXEMPTION FROM PROHIBITION ON PROCUREMENT
OF ROLLING STOCK FOR PARTIES TO EXECUTED CONTRACTS.
Section 5323(u)(5) of title 49, United State Code, is amended--
(1) in subparagraph (B) by striking ``Except as provided in
subparagraph (C) and for a contract or subcontract that is not
described in subparagraph (A)'' and inserting ``Except as
provided in subparagraph (B)'';
(2) in subparagraph (C) by striking ``Subparagraph (B)''
and inserting ``Subparagraph (A)'';
(3) by striking subparagraph (A); and
(4) by redesignating subparagraphs (B) and (C) as
subparagraphs (A) and (B), respectively.
<all>
</pre></body></html>
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118HR3318 | To amend title 23, United States Code, to establish an axle weight tolerance for certain commercial motor vehicles transporting dry bulk goods, and for other purposes. | [
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3318 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3318
To amend title 23, United States Code, to establish an axle weight
tolerance for certain commercial motor vehicles transporting dry bulk
goods, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Crawford (for himself and Mr. Carbajal) introduced the following
bill; which was referred to the Committee on Transportation and
Infrastructure
_______________________________________________________________________
A BILL
To amend title 23, United States Code, to establish an axle weight
tolerance for certain commercial motor vehicles transporting dry bulk
goods, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. DRY BULK WEIGHT TOLERANCE.
Section 127 of title 23, United States Code, is amended by adding
at the end the following:
``(x) Dry Bulk Weight Tolerance.--
``(1) Weight tolerance.--Notwithstanding any other
provision of this section, except for the maximum gross vehicle
weight limitation, a commercial motor vehicle transporting dry
bulk goods may not exceed 110 percent of the maximum weight on
any axle or axle group described in subsection (a), including
any enforcement tolerance.
``(2) Dry bulk goods defined.--In this subsection, the term
`dry bulk goods' means any homogeneous unmarked nonliquid cargo
being transported in a trailer specifically designed for that
purpose.''.
<all>
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118HR3319 | Broadband Resiliency and Flexible Investment Act | [
[
"C001120",
"Rep. Crenshaw, Dan [R-TX-2]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3319 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3319
To amend the Middle Class Tax Relief and Job Creation Act of 2012 to
streamline the consideration by State and local governments of requests
for modification of certain existing wireless facilities and
telecommunications service facilities, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Crenshaw introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Middle Class Tax Relief and Job Creation Act of 2012 to
streamline the consideration by State and local governments of requests
for modification of certain existing wireless facilities and
telecommunications service facilities, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Broadband Resiliency and Flexible
Investment Act''.
SEC. 2. REQUESTS FOR MODIFICATION OF CERTAIN EXISTING WIRELESS AND
TELECOMMUNICATIONS SERVICE FACILITIES.
(a) In General.--Section 6409(a) of the Middle Class Tax Relief and
Job Creation Act of 2012 (47 U.S.C. 1455(a)) is amended--
(1) in paragraph (1), by striking ``a State or local
government'' and all that follows and inserting the following:
``a State or local government or instrumentality thereof may
not deny, and shall approve--
``(A) any eligible facilities request for a
modification of an existing wireless tower, base
station, or eligible support structure that does not
substantially change the physical dimensions of such
wireless tower, base station, or eligible support
structure; and
``(B) any eligible telecommunications facilities
request for a modification of an existing
telecommunications service facility in or on eligible
support infrastructure that does not substantially
change the physical dimensions of such facility.'';
(2) by amending paragraph (2) to read as follows:
``(2) Timeframe.--
``(A) Deemed approval.--If a State or local
government or instrumentality thereof does not, before
or on the date that is 60 days after the date on which
a requesting party submits to the government or
instrumentality a request as an eligible facilities
request or an eligible telecommunications facilities
request (as the case may be), approve the request or
make the determination and provide the written notice
described in subparagraph (B) with respect to the
request, the request is deemed approved on the day
after the date that is 60 days after the date on which
the requesting party submits the request.
``(B) Determination request is not an eligible
request.--
``(i) Determination described.--The
determination described in this subparagraph is
a determination by a State or local government
or instrumentality thereof that a request
described in subparagraph (A) is not an
eligible facilities request or an eligible
telecommunications facilities request (as the
case may be).
``(ii) Written notice described.--The
written notice described in this subparagraph
is a written notice of the determination
described in clause (i) provided by the
government or instrumentality to the requesting
party that clearly describes the reasons why
the request is not an eligible facilities
request or an eligible telecommunications
facilities request (as the case may be) and
includes a citation to a specific provision of
this subsection or the regulations promulgated
under this subsection relied upon for the
determination.
``(C) Tolling due to incompleteness.--
``(i) Initial request incomplete.--If, not
later than 30 days after the date on which a
requesting party submits to a State or local
government or instrumentality thereof a request
described in subparagraph (A), the government
or instrumentality provides to the requesting
party a written notice described in clause
(iii) with respect to the request, the 60-day
timeframe under subparagraph (A) is tolled
until the date on which the requesting party
submits to the government or instrumentality a
supplemental submission in response to the
notice.
``(ii) Supplemental submission
incomplete.--If, not later than 10 days after
the date on which a requesting party submits to
a State or local government or instrumentality
thereof a supplemental submission in response
to a written notice under clause (i) with
respect to a request described in subparagraph
(A) or a written notice under this clause with
respect to a subsequent supplemental
submission, the government or instrumentality
provides to the requesting party a written
notice described in clause (iii) with respect
to the supplemental submission, the 60-day
timeframe under subparagraph (A) is further
tolled until the date on which the requesting
party submits to the government or
instrumentality a subsequent supplemental
submission in response to the notice.
``(iii) Written notice described.--The
written notice described in this clause is,
with respect to a request described in
subparagraph (A) or a supplemental submission
described in clause (i) or (ii) submitted to a
State or local government or instrumentality
thereof by a requesting party, a written notice
from the government or instrumentality to the
requesting party--
``(I) stating that all of the
information (including any form or
other document) required by the
government or instrumentality to be
submitted for the request to be
considered complete has not been
submitted;
``(II) identifying the information
described in subclause (I) that was not
submitted; and
``(III) including a citation to a
specific provision of a publicly
available rule, regulation, or standard
issued by the government or
instrumentality requiring that such
information be submitted with such a
request.
``(iv) Limitation.--
``(I) Initial written notice.--If a
written notice provided by a State or
local government or instrumentality
thereof to a requesting party under
clause (i) with respect to a request
described in subparagraph (A)
identifies as not having been submitted
any information that the government or
instrumentality is prohibited by
paragraph (5) from requiring to be
submitted, such notice shall be treated
as not having been provided to the
requesting party.
``(II) Subsequent written notice.--
If a written notice provided by a State
or local government or instrumentality
thereof to a requesting party under
clause (ii) with respect to a
supplemental submission identifies as
not having been submitted any
information that was not identified as
not having been submitted in the prior
written notice under clause (i) or (ii)
in response to which the supplemental
submission was submitted, the
subsequent written notice shall be
treated as not having been provided to
the requesting party.
``(D) Tolling by mutual agreement.--In addition to
any tolling under subparagraph (C), the 60-day
timeframe under subparagraph (A) may be tolled by
mutual agreement between the State or local government
or instrumentality thereof and the requesting party.'';
(3) in paragraph (3), by striking ``paragraph (1)'' and
inserting ``this subsection''; and
(4) by adding at the end the following:
``(4) When request considered submitted.--
``(A) In general.--For the purposes of this
subsection, a request described in paragraph (2)(A)
shall be considered submitted on the date on which the
requesting party takes the first procedural step within
the control of the requesting party--
``(i) to submit such request in accordance
with the procedures established by the
government or instrumentality for the review
and approval of such a request; or
``(ii) in the case of a government or
instrumentality that has not established
specific procedures for the review and approval
of such a request, to submit to the government
or instrumentality the type of filing that is
typically required to initiate a standard
review for a similar facility or structure.
``(B) No pre-application requirements.--A State or
local government or instrumentality thereof may not
require a requesting party to undertake any process,
meeting, or other step prior to or as a prerequisite to
a request being considered submitted.
``(5) Limitation on required documentation.--A State or
local government or instrumentality thereof may require a
requesting party submitting a request as an eligible facilities
request or an eligible telecommunications facilities request to
submit information (including a form or other document) with
such request only to the extent that such information is
reasonably related to determining whether such request is an
eligible facilities request or an eligible telecommunications
facilities request (as the case may be) and is identified in a
publicly available rule, regulation, or standard issued by the
government or instrumentality requiring that such information
be submitted with such a request. A State or local government
or instrumentality thereof may not require a requesting party
to submit any other documentation or information with such a
request.
``(6) Enforcement.--
``(A) In general.--A requesting party may bring an
action in any district court of the United States to
enforce the provisions of this subsection.
``(B) Expedited review.--A district court of the
United States shall consider an action under
subparagraph (A) on an expedited basis.
``(7) Definitions.--In this subsection:
``(A) Eligible facilities request.--The term
`eligible facilities request' means any request for a
modification of an existing wireless tower, base
station, or eligible support structure that does not
substantially change the physical dimensions of such
wireless tower, base station, or eligible support
structure and that involves--
``(i) collocation of new transmission
equipment;
``(ii) removal of transmission equipment;
``(iii) replacement of transmission
equipment; or
``(iv) placement, construction, or
modification of equipment that--
``(I) improves the resiliency of
the wireless tower, base station, or
eligible support structure; and
``(II) provides a direct benefit to
public safety, such as--
``(aa) providing backup
power for the wireless tower,
base station, or eligible
support structure;
``(bb) hardening the
wireless tower, base station,
or eligible support structure;
or
``(cc) providing more
reliable connection capability
using the wireless tower, base
station, or eligible support
structure.
``(B) Eligible support infrastructure.--The term
`eligible support infrastructure' means infrastructure
that supports or houses a telecommunications service
facility at the time when an eligible
telecommunications facilities request for a
modification of such facility is submitted to a State
or local government or instrumentality thereof.
``(C) Eligible support structure.--The term
`eligible support structure' means a structure that, at
the time when an eligible facilities request for a
modification of such structure is submitted to a State
or local government or instrumentality thereof,
supports or could support transmission equipment.
``(D) Eligible telecommunications facilities
request.--The term `eligible telecommunications
facilities request' means any request for a
modification of an existing telecommunications service
facility in or on eligible support infrastructure that
does not substantially change the physical dimensions
of such facility and that involves--
``(i) collocation of new telecommunications
service facility equipment;
``(ii) removal of telecommunications
service facility equipment; or
``(iii) replacement of telecommunications
service facility equipment.
``(E) Telecommunications service facility.--The
term `telecommunications service facility'--
``(i) means a facility that is designed or
used to provide or facilitate the provision of
any interstate or intrastate telecommunications
service; and
``(ii) includes a facility described in
clause (i) that is used to provide other
services.
``(F) Transmission equipment.--The term
`transmission equipment' has the meaning given such
term in section 1.6100(b)(8) of title 47, Code of
Federal Regulations (as in effect on the date of the
enactment of this paragraph).''.
(b) Implementation.--Not later than 180 days after the date of the
enactment of this Act, the Federal Communications Commission shall
issue final rules to implement the amendments made by subsection (a).
(c) Applicability.--The amendments made by subsection (a) shall
apply with respect to any eligible facilities request or eligible
telecommunications facilities request described in paragraph (1) of
section 6409(a) of the Middle Class Tax Relief and Job Creation Act of
2012 (47 U.S.C. 1455(a)) that is submitted (as determined under
paragraph (4) of such section, as added by subsection (a)) by a
requesting party on or after the date of the enactment of this Act.
<all>
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118HR332 | Supporting Mexico Against Corruption Act | [
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"G000579",
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] | <p><b>Supporting Mexico Against Corruption Act</b></p> <p>This bill directs the President to impose property- and visa-blocking sanctions on foreign persons who are current or former officials of the Mexican government and who are responsible for acts of significant corruption. These sanctions shall also apply to foreign persons acting on behalf of such a government official.</p> <p>The sanctions shall not apply to acts related to U.S. intelligence activities. The President may waive application of the sanctions for U.S. national security interests or to prevent undue economic harm to the people of Mexico. </p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 332 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 332
To require the imposition of sanctions pursuant to the Global Magnitsky
Human Rights Accountability Act to combat corruption and human rights
violations perpetrated by officials in the Mexican Government, and for
other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Mr. Gallagher introduced the following bill; which was referred to the
Committee on Foreign Affairs, and in addition to the Committee on the
Judiciary, for a period to be subsequently determined by the Speaker,
in each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To require the imposition of sanctions pursuant to the Global Magnitsky
Human Rights Accountability Act to combat corruption and human rights
violations perpetrated by officials in the Mexican Government, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Supporting Mexico Against Corruption
Act''.
SEC. 2. GLOBAL MAGNITSKY SANCTIONS WITH RESPECT TO CERTAIN GOVERNMENT
OFFICIALS THAT ENGAGE IN CORRUPTION OR HUMAN RIGHTS
ABUSES IN MEXICO.
(a) In General.--Not later than 120 days after the date of the
enactment of this Act, and as appropriate thereafter, the President
shall impose the sanctions described in subsection (c) with respect to
each foreign person described in subsection (b) if the President has
credible evidence that the foreign person has knowingly engaged in any
of the activities described in section 1263(a)(3) of the Global
Magnitsky Human Rights Accountability Act (subtitle F of title XII of
Public Law 114-328; 22 U.S.C. 2656 note).
(b) Foreign Persons Described.--A foreign person described in this
subsection is a foreign person who is--
(1) a current or former official of the Government of
Mexico; or
(2) acting on behalf of, or in cooperation with, an
official of such Government.
(c) Sanctions Described.--
(1) In general.--The sanctions described in this subsection
are the sanctions described in section 1263(b) of the Global
Magnitsky Human Rights Accountability Act (subtitle F of title
XII of Public Law 114-328; 22 U.S.C. 2656 note).
(2) Exception for intelligence activities.--The requirement
to impose sanctions under this section shall not apply with
respect to activities subject to the reporting requirements
under title V of the National Security Act of 1947 (50 U.S.C.
3091 et seq.), or any authorized intelligence activities of the
United States.
(d) Waiver.--The President may waive the imposition of the
sanctions under this section with respect to a foreign person if the
President determines and reports to the appropriate congressional
committees that such waiver is--
(1) in the national security interests of the United
States; or
(2) necessary to prevent undue economic harm to the people
of Mexico.
(e) Implementation.--
(1) In general.--The President may exercise all authorities
provided to the President under sections 203 and 205 of the
International Emergency Economic Powers Act (50 U.S.C. 1702 and
1704) to carry out this section.
(2) Exception relating to the importation of goods.--The
authorities and requirements to impose sanctions authorized
under this Act shall not include the authority or requirement
to impose sanctions on the importation of goods.
(3) Good defined.--In this subsection, the term ``good''
means any article, natural or manmade substance, material,
supply or manufactured product, including inspection and test
equipment and excluding technical data.
(f) Penalties.--A person that violates, attempts to violate,
conspires to violate, or causes a violation of this section or any
regulation, license, or order issued to carry out this section shall be
subject to the penalties set forth in subsections (b) and (c) of
section 206 of the International Emergency Economic Powers Act (50
U.S.C. 1705) to the same extent as a person that commits an unlawful
act described in subsection (a) of that section.
(g) Report on Implementation.--Not later than 15 days after
imposing sanctions under subsection (a), the President shall submit to
the appropriate congressional committees a report regarding measures
taken to implement this section.
SEC. 3. DEFINITIONS.
In this Act:
(1) Appropriate congressional committees.--The term
``appropriate congressional committees'' means--
(A) the Committee on Foreign Affairs, the Committee
on Armed Services, the Permanent Select Committee on
Intelligence, the Committee on Financial Services, the
Committee on the Judiciary, and the Committee on
Appropriations of the House of Representatives; and
(B) the Committee on Foreign Relations, the
Committee on Armed Services, the Select Committee on
Intelligence, the Committee on Banking, Housing, and
Urban Affairs, the Committee on the Judiciary, and the
Committee on Appropriations of the Senate.
(2) Foreign person.--The term ``foreign person'' means an
individual or entity that is not a United States person.
(3) United states person.--The term ``United States
person'' means--
(A) a United States citizen or an alien lawfully
admitted for permanent residence to the United States;
or
(B) an entity organized under the laws of the
United States or of any jurisdiction within the United
States, including a foreign branch of such an entity.
<all>
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118HR3320 | Data to Save Moms Act | [
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"Rep. Davids, Sharice [D-KS-3]",
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"Rep. Underwood, Lauren [D-IL-14]",
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],
[
... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3320 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3320
To amend the Public Health Service Act to improve maternal health data
collection processes and quality measures, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Ms. Davids of Kansas (for herself, Ms. Underwood, Mr. Aguilar, Mr.
Allred, Ms. Barragan, Mrs. Beatty, Mr. Bishop of Georgia, Mr.
Blumenauer, Ms. Blunt Rochester, Ms. Brownley, Ms. Budzinski, Ms. Bush,
Ms. Caraveo, Mr. Carbajal, Mr. Carson, Mr. Carter of Louisiana, Mrs.
Cherfilus-McCormick, Ms. Clarke of New York, Mr. Cleaver, Mr. Cohen,
Ms. Craig, Ms. Crockett, Mr. Davis of Illinois, Ms. Dean of
Pennsylvania, Ms. Escobar, Mr. Espaillat, Mr. Evans, Mrs. Foushee, Mr.
Garamendi, Ms. Garcia of Texas, Mr. Garcia of Illinois, Mr. Green of
Texas, Mrs. Hayes, Mr. Horsford, Mr. Huffman, Mr. Ivey, Mr. Jackson of
Illinois, Ms. Jackson Lee, Ms. Jacobs, Ms. Jayapal, Mr. Johnson of
Georgia, Ms. Kamlager-Dove, Mr. Krishnamoorthi, Ms. Kuster, Ms. Lee of
California, Mr. Lieu, Ms. Lofgren, Mrs. McBath, Mrs. McClellan, Ms.
McCollum, Mr. McGovern, Mr. Meeks, Ms. Meng, Mr. Mfume, Mr. Morelle,
Mr. Moulton, Ms. Moore of Wisconsin, Mr. Mrvan, Mr. Mullin, Mrs.
Napolitano, Mr. Neguse, Ms. Ocasio-Cortez, Mr. Pappas, Mr. Payne, Mr.
Phillips, Ms. Porter, Ms. Pressley, Mr. Ruppersberger, Ms. Salinas, Ms.
Scanlon, Mr. Schiff, Mr. Schneider, Ms. Scholten, Mr. David Scott of
Georgia, Ms. Sewell, Mr. Smith of Washington, Mr. Soto, Ms. Spanberger,
Ms. Stansbury, Ms. Strickland, Mrs. Sykes, Mr. Takano, Ms. Tlaib, Ms.
Tokuda, Mr. Tonko, Mrs. Torres of California, Mrs. Trahan, Mr. Trone,
Mr. Vargas, Mr. Veasey, Ms. Velazquez, Ms. Wasserman Schultz, Mrs.
Watson Coleman, Ms. Wexton, Ms. Williams of Georgia, Mr. Pascrell, Ms.
DelBene, and Mr. Lynch) introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committee on Natural Resources, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to improve maternal health data
collection processes and quality measures, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Data to Save Moms Act''.
SEC. 2. FUNDING FOR MATERNAL MORTALITY REVIEW COMMITTEES TO PROMOTE
REPRESENTATIVE COMMUNITY ENGAGEMENT.
(a) In General.--Section 317K(d) of the Public Health Service Act
(42 U.S.C. 247b-12(d)) is amended by adding at the end the following:
``(9) Grants to promote representative community engagement
in maternal mortality review committees.--
``(A) In general.--The Secretary may, using funds
made available pursuant to subparagraph (C), provide
assistance to an applicable maternal mortality review
committee of a State, Indian Tribe, Tribal
organization, or Urban Indian organization (as such
terms are defined in section 4 of the Indian Health
Care Improvement Act)--
``(i) to select for inclusion in the
membership of such a committee community
members from the State, Indian Tribe, Tribal
organization, or Urban Indian organization by--
``(I) prioritizing community
members who can increase the diversity
of the committee's membership with
respect to race and ethnicity,
location, personal or family
experiences of maternal mortality or
severe maternal morbidity, and
professional background, including
members with nonclinical experiences;
and
``(II) to the extent applicable,
using funds reserved under subsection
(f), to address barriers to maternal
mortality review committee
participation for community members,
including required training,
transportation barriers, compensation,
and other supports as may be necessary;
``(ii) to establish initiatives to conduct
outreach and community engagement efforts
within communities throughout the State or
Tribe to seek input from community members on
the work of such maternal mortality review
committee, with a particular focus on outreach
to women from racial and ethnic minority groups
(as such term is defined in section
1707(g)(1)); and
``(iii) to release public reports
assessing--
``(I) the pregnancy-related death
and pregnancy-associated death review
processes of the maternal mortality
review committee, with a particular
focus on the maternal mortality review
committee's sensitivity to the unique
circumstances of pregnant and
postpartum individuals from racial and
ethnic minority groups (as such term is
defined in section 1707(g)(1)) who have
suffered pregnancy-related deaths; and
``(II) the impact of the use of
funds made available pursuant to
subparagraph (C) on increasing the
diversity of the maternal mortality
review committee membership and
promoting community engagement efforts
throughout the State or Tribe.
``(B) Technical assistance.--The Secretary shall
provide (either directly through the Department of
Health and Human Services or by contract) technical
assistance to any maternal mortality review committee
receiving a grant under this paragraph on best
practices for increasing the diversity of the maternal
mortality review committee's membership and for
conducting effective community engagement throughout
the State or Tribe.
``(C) Authorization of appropriations.--In addition
to any funds made available under subsection (f), there
is authorized to be appropriated to carry out this
paragraph $10,000,000 for each of fiscal years 2024
through 2028.''.
(b) Reservation of Funds.--Section 317K(f) of the Public Health
Service Act (42 U.S.C. 247b-12(f)) is amended by adding at the end the
following: ``Of the amount made available under the preceding sentence
for a fiscal year, not less than $1,500,000 shall be reserved for
grants to Indian Tribes, Tribal organizations, or Urban Indian
organizations (as those terms are defined in section 4 of the Indian
Health Care Improvement Act)''.
SEC. 3. DATA COLLECTION AND REVIEW.
Section 317K(d)(3)(A)(i) of the Public Health Service Act (42
U.S.C. 247b-12(d)(3)(A)(i)) is amended--
(1) by redesignating subclauses (II) and (III) as
subclauses (V) and (VI), respectively; and
(2) by inserting after subclause (I) the following:
``(II) to the extent practicable,
reviewing cases of severe maternal
morbidity, according to the most up-to-
date indicators;
``(III) to the extent practicable,
reviewing deaths during pregnancy or up
to 1 year after the end of a pregnancy
from suicide, overdose, or other death
from a mental health condition or
substance use disorder attributed to or
aggravated by pregnancy or childbirth
complications;
``(IV) to the extent practicable,
consulting with local community-based
organizations representing pregnant and
postpartum individuals from demographic
groups with elevated rates of maternal
mortality, severe maternal morbidity,
maternal health disparities, or other
adverse perinatal or childbirth
outcomes to ensure that, in addition to
clinical factors, nonclinical factors
that might have contributed to a
pregnancy-related death are
appropriately considered;''.
SEC. 4. REVIEW OF MATERNAL HEALTH DATA COLLECTION PROCESSES AND QUALITY
MEASURES.
(a) In General.--The Secretary of Health and Human Services, acting
through the Administrator of the Centers for Medicare & Medicaid
Services and the Director of the Agency for Healthcare Research and
Quality, shall consult with relevant stakeholders--
(1) to review existing maternal health data collection
processes and quality measures; and
(2) to make recommendations to improve such processes and
measures, including topics described under subsection (c).
(b) Collaboration.--In carrying out this section, the Secretary
shall consult with a diverse group of maternal health stakeholders,
which may include--
(1) pregnant and postpartum individuals and their family
members, and nonprofit organizations representing such
individuals, with a particular focus on patients from racial
and ethnic minority groups;
(2) community-based organizations that provide support for
pregnant and postpartum individuals, with a particular focus on
patients from demographic groups with elevated rates of
maternal mortality, severe maternal morbidity, maternal health
disparities, or other adverse perinatal or childbirth outcomes;
(3) membership organizations for maternity care providers;
(4) organizations representing perinatal health workers;
(5) organizations that focus on maternal mental or
behavioral health;
(6) organizations that focus on intimate partner violence;
(7) institutions of higher education, with a particular
focus on minority-serving institutions;
(8) licensed and accredited hospitals, birth centers,
midwifery practices, or other facilities that provide maternal
health care services;
(9) relevant State and local public agencies, including
State maternal mortality review committees; and
(10) the National Quality Forum, or such other standard-
setting organizations specified by the Secretary.
(c) Topics.--The review of maternal health data collection
processes and recommendations to improve such processes and measures
required under subsection (a) shall assess all available relevant
information, including information from State-level sources, and shall
consider at least the following:
(1) Current State and Tribal practices for maternal health,
maternal mortality, and severe maternal morbidity data
collection and dissemination, including consideration of--
(A) the timeliness of processes for amending a
death certificate when new information pertaining to
the death becomes available to reflect whether the
death was a pregnancy-related death;
(B) relevant data collected with electronic health
records, including data on race, ethnicity, primary
language, socioeconomic status, geography, insurance
type, and other relevant demographic information;
(C) maternal health data collected and publicly
reported by hospitals, health systems, midwifery
practices, and birth centers;
(D) the barriers preventing States from correlating
maternal outcome data with data on race, ethnicity, and
other demographic characteristics;
(E) processes for determining the cause of a
pregnancy-associated death in States that do not have a
maternal mortality review committee;
(F) whether maternal mortality review committees
include multidisciplinary and diverse membership (as
described in section 317K(d)(1)(A) of the Public Health
Service Act (42 U.S.C. 247b-12(d)(1)(A)));
(G) whether members of maternal mortality review
committees participate in trainings on bias, racism, or
discrimination, and the quality of such trainings;
(H) the extent to which States have implemented
systematic processes of listening to the stories of
pregnant and postpartum individuals and their family
members, with a particular focus on pregnant and
postpartum individuals from demographic groups with
elevated rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other
adverse perinatal or childbirth outcomes, and their
family members, to fully understand the causes of, and
inform potential solutions to, the maternal mortality
and severe maternal morbidity crisis within their
respective States;
(I) the extent to which maternal mortality review
committees are considering social determinants of
maternal health when examining the causes of pregnancy-
associated and pregnancy-related deaths;
(J) the extent to which maternal mortality review
committees are making actionable recommendations based
on their reviews of adverse maternal health outcomes
and the extent to which such recommendations are being
implemented by appropriate stakeholders;
(K) the legal and administrative barriers
preventing the collection, collation, and dissemination
of State maternity care data;
(L) the effectiveness of data collection and
reporting processes in separating pregnancy-associated
deaths from pregnancy-related deaths; and
(M) the current Federal, State, local, and Tribal
funding support for the activities referred to in
subparagraphs (A) through (L).
(2) Whether the funding support referred to in paragraph
(1)(M) is adequate for States to carry out optimal data
collection and dissemination processes with respect to maternal
health, maternal mortality, and severe maternal morbidity.
(3) Current quality measures for maternity care, including
prenatal measures, labor and delivery measures, and postpartum
measures, including topics such as--
(A) effective quality measures for maternity care
used by hospitals, health systems, midwifery practices,
birth centers, health plans, and other relevant
entities;
(B) the sufficiency of current outcome measures
used to evaluate maternity care for driving improved
care, experiences, and outcomes in maternity care
payment and delivery system models;
(C) maternal health quality measures that other
countries effectively use;
(D) validated measures that have been used for
research purposes that could be tested, refined, and
submitted for national endorsement;
(E) barriers preventing maternity care providers
and insurers from implementing quality measures that
are aligned with best practices;
(F) the frequency with which maternity care quality
measures are reviewed and revised;
(G) the strengths and weaknesses of the Prenatal
and Postpartum Care measures of the Health Plan
Employer Data and Information Set measures established
by the National Committee for Quality Assurance;
(H) the strengths and weaknesses of maternity care
quality measures under the Medicaid program under title
XIX of the Social Security Act (42 U.S.C. 1396 et seq.)
and the Children's Health Insurance Program under title
XXI of such Act (42 U.S.C. 1397 et seq.), including the
extent to which States voluntarily report relevant
measures;
(I) the extent to which maternity care quality
measures are informed by patient experiences that
include measures of patient-reported experience of
care;
(J) the current processes for collecting and making
publicly available, to the extent practicable,
stratified data on race, ethnicity, and other
demographic characteristics of pregnant and postpartum
individuals in hospitals, health systems, midwifery
practices, and birth centers, and for incorporating
such demographically stratified data in maternity care
quality measures;
(K) the extent to which maternity care quality
measures account for the unique experiences of pregnant
and postpartum individuals from racial and ethnic
minority groups; and
(L) the extent to which hospitals, health systems,
midwifery practices, and birth centers are implementing
existing maternity care quality measures.
(4) Recommendations on authorizing additional funds and
providing additional technical assistance to improve maternal
mortality review committees and State and Tribal maternal
health data collection and reporting processes.
(5) Recommendations for new authorities that may be granted
to maternal mortality review committees to be able to--
(A) access records from other Federal and State
agencies and departments that may be necessary to
identify causes of pregnancy-associated and pregnancy-
related deaths that are unique to pregnant and
postpartum individuals from specific populations, such
as veterans and individuals who are incarcerated; and
(B) work with relevant experts who are not members
of the maternal mortality review committee to assist in
the review of pregnancy-associated deaths of pregnant
and postpartum individuals from specific populations,
such as veterans and individuals who are incarcerated.
(6) Recommendations to improve and standardize current
quality measures for maternity care, with a particular focus on
maternal health disparities.
(7) Recommendations to improve the coordination by the
Department of Health and Human Services of the efforts
undertaken by the agencies and organizations within the
Department related to maternal health data and quality
measures.
(d) Report.--Not later than 1 year after the enactment of this Act,
the Secretary shall submit to the Congress and make publicly available
a report on the results of the review of maternal health data
collection processes and quality measures and recommendations to
improve such processes and measures required under subsection (a).
(e) Definition.--In this section, the term ``maternal mortality
review committee'' means a maternal mortality review committee duly
authorized by a State and receiving funding under section 317K(a)(2)(D)
of the Public Health Service Act (42 U.S.C. 247b-12(a)(2)(D)).
(f) Authorization of Appropriations.--There are authorized to be
appropriated such sums as may be necessary to carry out this section
for fiscal years 2024 through 2027.
SEC. 5. STUDY ON MATERNAL HEALTH AMONG AMERICAN INDIAN AND ALASKA
NATIVE INDIVIDUALS.
(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall, in
coordination with entities described in subsection (b)--
(1) not later than 90 days after the enactment of this Act,
enter into a contract with an independent research organization
or Tribal Epidemiology Center to conduct a comprehensive study
on maternal mortality, severe maternal morbidity, and other
adverse perinatal or childbirth outcomes in the populations of
American Indian and Alaska Native individuals; and
(2) not later than 3 years after the date of the enactment
of this Act, submit to Congress a report on such study that
contains recommendations for policies and practices that can be
adopted to improve maternal health outcomes for American Indian
and Alaska Native individuals.
(b) Participating Entities.--The entities described in this
subsection shall consist of 12 members, selected by the Secretary from
among individuals nominated by Indian Tribes and Tribal organizations
(as such terms are defined in section 4 of the Indian Self-
Determination and Education Assistance Act (25 U.S.C. 5304)), and Urban
Indian organizations (as such term is defined in section 4 of the
Indian Health Care Improvement Act (25 U.S.C. 1603)). In selecting such
members, the Secretary shall ensure that each of the 12 service areas
of the Indian Health Service is represented.
(c) Contents of Study.--The study conducted pursuant to subsection
(a) shall--
(1) examine the causes of maternal mortality and severe
maternal morbidity that are unique to American Indian and
Alaska Native individuals;
(2) include a systematic process of listening to the
stories of American Indian and Alaska Native individuals to
fully understand the causes of, and inform potential solutions
to, the maternal health crisis within their respective
communities;
(3) distinguish between the causes of, landscape of
maternity care at, and recommendations to improve maternal
health outcomes within, the different settings in which
American Indian and Alaska Native individuals receive maternity
care, such as--
(A) facilities operated by the Indian Health
Service;
(B) an Indian health program operated by an Indian
Tribe or Tribal organization pursuant to a contract,
grant, cooperative agreement, or compact with the
Indian Health Service pursuant to the Indian Self-
Determination Act;
(C) an urban Indian health program operated by an
Urban Indian organization pursuant to a grant or
contract with the Indian Health Service pursuant to
title V of the Indian Health Care Improvement Act; and
(D) facilities outside of the Indian Health Service
in which American Indian and Alaska Native individuals
receive maternity care services;
(4) review processes for coordinating programs of the
Indian Health Service with social services provided through
other programs administered by the Secretary of Health and
Human Services (other than the Medicare Program under title
XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), the
Medicaid Program under title XIX of such Act (42 U.S.C. 1396 et
seq.), and the Children's Health Insurance Program under title
XXI of such Act (42 U.S.C. 1397 et seq.);
(5) review current data collection and quality measurement
processes and practices;
(6) assess causes and frequency of maternal mental health
conditions and substance use disorders;
(7) consider social determinants of health, including
poverty, lack of health insurance, unemployment, sexual and
domestic violence, and environmental conditions in Tribal
areas;
(8) consider the role that historical mistreatment of
American Indian and Alaska Native women has played in causing
currently elevated rates of maternal mortality, severe maternal
morbidity, and other adverse perinatal or childbirth outcomes;
(9) consider how current funding of the Indian Health
Service affects the ability of the Service to deliver quality
maternity care;
(10) consider the extent to which the delivery of maternity
care services is culturally appropriate for American Indian and
Alaska Native individuals;
(11) make recommendations to reduce misclassification of
American Indian and Alaska Native individuals, including
consideration of best practices in training for maternal
mortality review committee members to be able to correctly
classify American Indian and Alaska Native individuals; and
(12) make recommendations informed by the stories shared by
American Indian and Alaska Native individuals referred to in
paragraph (2) to improve maternal health outcomes for such
individuals.
(d) Report.--The agreement entered into under subsection (a) with
an independent research organization or Tribal Epidemiology Center
shall require that the organization or Center transmit to Congress a
report on the results of the study conducted pursuant to that agreement
not later than 36 months after the date of the enactment of this Act.
(e) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $2,000,000 for each of fiscal
years 2024 through 2026.
SEC. 6. GRANTS TO MINORITY-SERVING INSTITUTIONS TO STUDY MATERNAL
MORTALITY, SEVERE MATERNAL MORBIDITY, AND OTHER ADVERSE
MATERNAL HEALTH OUTCOMES.
(a) In General.--The Secretary of Health and Human Services shall
establish a program under which the Secretary shall award grants to
research centers, health professions schools and programs, and other
entities at minority-serving institutions to study specific aspects of
the maternal health crisis among pregnant and postpartum individuals
from racial and ethnic minority groups. Such research may--
(1) include the development and implementation of
systematic processes of listening to the stories of pregnant
and postpartum individuals from racial and ethnic minority
groups, and perinatal health workers supporting such
individuals, to fully understand the causes of, and inform
potential solutions to, the maternal mortality and severe
maternal morbidity crisis within their respective communities;
(2) assess the potential causes of relatively low rates of
maternal mortality among Hispanic individuals, including
potential racial misclassification and other data collection
and reporting issues that might be misrepresenting maternal
mortality rates among Hispanic individuals in the United
States;
(3) assess differences in rates of adverse maternal health
outcomes among subgroups identifying as Hispanic, including
disparities in access to early prenatal care; and
(4) include lactation education to promote racial and
ethnic diversity within the workforce of health care
professionals with breastfeeding and lactation expertise.
(b) Application.--To be eligible to receive a grant under
subsection (a), an entity described in such subsection shall submit to
the Secretary an application at such time, in such manner, and
containing such information as the Secretary may require.
(c) Technical Assistance.--The Secretary may use not more than 10
percent of the funds made available under subsection (g)--
(1) to conduct outreach to minority-serving institutions to
raise awareness of the availability of grants under subsection
(a);
(2) to provide technical assistance in the application
process for such a grant; and
(3) to promote capacity building as needed to enable
entities described in such subsection to submit such an
application.
(d) Reporting Requirement.--Each entity awarded a grant under this
section shall periodically submit to the Secretary a report on the
status of activities conducted using the grant.
(e) Evaluation.--Beginning 1 year after the date on which the first
grant is awarded under this section, the Secretary shall submit to
Congress an annual report summarizing the findings of research
conducted using funds made available under this section.
(f) Minority-Serving Institutions Defined.--In this section, the
term ``minority-serving institution'' has the meaning given the term in
section 371(a) of the Higher Education Act of 1965 (20 U.S.C.
1067q(a)).
(g) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $10,000,000 for each of fiscal
years 2024 through 2028.
SEC. 7. DEFINITIONS.
In this Act:
(1) Maternity care provider.--The term ``maternity care
provider'' means a health care provider who--
(A) is a physician, a physician assistant, a
midwife who meets, at a minimum, the international
definition of a midwife and global standards for
midwifery education as established by the International
Confederation of Midwives, an advanced practice
registered nurse, or a lactation consultant certified
by the International Board of Lactation Consultant
Examiners; and
(B) has a focus on maternal or perinatal health.
(2) Perinatal health worker.--The term ``perinatal health
worker'' means a nonclinical health worker focused on maternal
or perinatal health, such as a doula, community health worker,
peer supporter, lactation educator or counselor, nutritionist
or dietitian, childbirth educator, social worker, home visitor,
patient navigator or coordinator, or language interpreter.
(3) Postpartum.--The term ``postpartum'' refers to the 1-
year period beginning on the last day of the pregnancy of an
individual.
(4) Pregnancy-associated death.--The term ``pregnancy-
associated death'' means a death of a pregnant or postpartum
individual, by any cause, that occurs during, or within 1 year
following, the individual's pregnancy, regardless of the
outcome, duration, or site of the pregnancy.
(5) Pregnancy-related death.--The term ``pregnancy-related
death'' means a death of a pregnant or postpartum individual
that occurs during, or within 1 year following, the
individual's pregnancy, from a pregnancy complication, a chain
of events initiated by pregnancy, or the aggravation of an
unrelated condition by the physiologic effects of pregnancy.
(6) Racial and ethnic minority group.--The term ``racial
and ethnic minority group'' has the meaning given such term in
section 1707(g)(1) of the Public Health Service Act (42 U.S.C.
300u-6(g)(1)).
(7) Severe maternal morbidity.--The term ``severe maternal
morbidity'' means a health condition, including mental health
conditions and substance use disorders, attributed to or
aggravated by pregnancy or childbirth that results in
significant short-term or long-term consequences to the health
of the individual who was pregnant.
(8) Social determinants of maternal health.--The term
``social determinants of maternal health'' means nonclinical
factors that impact maternal health outcomes.
<all>
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118HR3321 | Defund Cities that Defund the Police Act of 2023 | [
[
"F000466",
"Rep. Fitzpatrick, Brian K. [R-PA-1]",
"sponsor"
],
[
"G000592",
"Rep. Golden, Jared F. [D-ME-2]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3321 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3321
To prohibit a jurisdiction that defunds the police from receiving
grants under certain Economic Development Assistance Programs and the
Community Development Block Grant Program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Fitzpatrick (for himself and Mr. Golden of Maine) introduced the
following bill; which was referred to the Committee on Financial
Services, and in addition to the Committee on Transportation and
Infrastructure, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To prohibit a jurisdiction that defunds the police from receiving
grants under certain Economic Development Assistance Programs and the
Community Development Block Grant Program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Defund Cities that Defund the Police
Act of 2023''.
SEC. 2. DEFUNDING JURISDICTION DEFINED.
For purposes of this Act, the term ``defunding jurisdiction'' means
a State or political subdivision of a State that--
(1) abolishes or disbands the police department with no
intention of reconstituting the jurisdiction's police
department; or
(2) significantly reduces the police department's budget
without reallocating a portion of that money to any other
community policing program, provided that the jurisdiction did
not face a significant decrease in revenues in the previous
fiscal year.
SEC. 3. DEFUNDING JURISDICTIONS INELIGIBLE FOR CERTAIN FEDERAL FUNDS.
(a) Economic Development Administration Grants.--
(1) Grants for public works and economic development.--
Section 201(b) of the Public Works and Economic Development Act
of 1965 (42 U.S.C. 3141(b)) is amended--
(A) in paragraph (2), by striking ``and'' at the
end;
(B) in paragraph (3), by striking the period at the
end and inserting ``; and''; and
(C) by adding at the end the following:
``(4) the area in which the project is to be carried out is
not a defunding jurisdiction (as defined in section 2 of the
Defund Cities that Defund the Police Act of 2023).''.
(2) Grants for planning and administrative expenses.--
Section 203(a) of the Public Works and Economic Development Act
of 1965 (42 U.S.C. 3143(a)) is amended by adding at the end the
following: ``A defunding jurisdiction (as defined in section 2
of the Defund Cities that Defund the Police Act of 2023) may
not be deemed an eligible recipient under this subsection.''.
(3) Supplementary grants.--Section 205(a) of the Public
Works and Economic Development Act of 1965 (42 U.S.C. 3145(a))
is amended--
(A) in paragraph (2), by striking ``and'' at the
end;
(B) in paragraph (3), by striking the period at the
end and inserting ``; and''; and
(C) by adding at the end the following:
``(4) will be carried out in an area that does not contain
a defunding jurisdiction (as defined in section 2 of the Defund
Cities that Defund the Police Act of 2023).''.
(4) Grants for training, research, and technical
assistance.--Section 207 of the Public Works and Economic
Development Act of 1965 (42 U.S.C. 3147) is amended by adding
at the end the following:
``(c) Ineligibility of Defunding Jurisdictions.--Grant funds under
this section may not be used to provide assistance to a defunding
jurisdiction (as defined in section 2 of the Defund Cities that Defund
the Police Act of 2023).''.
(b) Community Development Block Grants.--Title I of the Housing and
Community Development Act of 1974 (42 U.S.C. 5301 et seq.) is amended--
(1) in section 102(a) (42 U.S.C. 5302(a)), by adding at the
end the following:
``(25) The term `defunding jurisdiction' has the meaning
given such term in section 2 of the Defund Cities that Defund
the Police Act of 2023.''; and
(2) in section 104 (42 U.S.C. 5304)--
(A) subsection (b)--
(i) in paragraph (5), by striking ``and''
at the end;
(ii) by redesignating paragraph (6) as
paragraph (7); and
(iii) by inserting after paragraph (5) the
following:
``(6) the grantee is not a defunding injection jurisdiction
and will not become a defunding jurisdiction during the period
for which the grantee receives a grant under this title; and'';
and
(B) by adding at the end the following:
``(n) Protection of Individuals Against Crime.--
``(1) In general.--No funds made available to carry out
this title may be obligated or expended for any State or unit
of general local government that is a defunding jurisdiction.
``(2) Returned amounts.--
``(A) State.--If a State is a defunding
jurisdiction during the period for which it receives
amounts under this title, the Secretary--
``(i) shall direct the State to immediately
return to the Secretary any such amounts that
the State received for that period; and
``(ii) shall reallocate amounts returned
under clause (i) for grants under this title to
other States that are not defunding
jurisdictions.
``(B) Unit of general local government.--If a unit
of general local government is a defunding jurisdiction
during the period for which it receives amounts under
this title, any such amounts that the unit of general
local government received for that period--
``(i) in the case of a unit of general
local government that is not in a
nonentitlement area, shall be returned to the
Secretary for grants under this title to States
and other units of general local government
that are not defunding jurisdictions; and
``(ii) in the case of a unit of general
local government that is in a nonentitlement
area, shall be returned to the Governor of the
State for grants under this title to other
units of general local government in the State
that are not defunding jurisdictions.
``(C) Reallocation rules.--In reallocating amounts
under subparagraphs (A) and (B), the Secretary shall--
``(i) apply the relevant allocation formula
under subsection (b) or (d) of section 106,
with all defunding jurisdictions excluded; and
``(ii) shall not be subject to the rules
for reallocation under section 106(c).''.
<all>
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118HR3322 | Social Determinants for Moms Act | [
[
"H001081",
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"sponsor"
],
[
"U000040",
"Rep. Underwood, Lauren [D-IL-14]",
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],
[
"B... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3322 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3322
To address social determinants of maternal health to eliminate maternal
mortality, severe maternal morbidity, and maternal health disparities,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mrs. Hayes (for herself, Ms. Underwood, Mr. Aguilar, Mr. Allred, Ms.
Barragan, Mrs. Beatty, Mr. Bishop of Georgia, Mr. Blumenauer, Ms. Blunt
Rochester, Ms. Brownley, Ms. Budzinski, Ms. Bush, Ms. Caraveo, Mr.
Carbajal, Mr. Carson, Mr. Carter of Louisiana, Mrs. Cherfilus-
McCormick, Ms. Clarke of New York, Mr. Cohen, Mr. Cleaver, Ms. Craig,
Ms. Crockett, Mr. Davis of Illinois, Ms. Dean of Pennsylvania, Ms.
Escobar, Mr. Espaillat, Mr. Evans, Mrs. Foushee, Mr. Garamendi, Ms.
Garcia of Texas, Mr. Garcia of Illinois, Mr. Green of Texas, Mr.
Horsford, Mr. Huffman, Mr. Ivey, Mr. Jackson of Illinois, Ms. Jackson
Lee, Ms. Jacobs, Ms. Jayapal, Mr. Johnson of Georgia, Ms. Kamlager-
Dove, Mr. Krishnamoorthi, Ms. Kuster, Ms. Lee of California, Mr. Lieu,
Ms. Lofgren, Mrs. McBath, Mrs. McClellan, Ms. McCollum, Mr. McGovern,
Mr. Meeks, Ms. Meng, Mr. Mfume, Mr. Morelle, Ms. Moore of Wisconsin,
Mr. Moulton, Mr. Mrvan, Mr. Mullin, Mrs. Napolitano, Mr. Neguse, Ms.
Ocasio-Cortez, Mr. Pappas, Mr. Payne, Mr. Phillips, Ms. Porter, Ms.
Pressley, Mr. Ruppersberger, Ms. Salinas, Ms. Scanlon, Mr. Schiff, Mr.
Schneider, Ms. Scholten, Mr. David Scott of Georgia, Ms. Sewell, Mr.
Smith of Washington, Mr. Soto, Ms. Spanberger, Ms. Stansbury, Mrs.
Sykes, Mr. Takano, Ms. Tlaib, Ms. Tokuda, Mr. Tonko, Mrs. Torres of
California, Mrs. Trahan, Mr. Trone, Mr. Vargas, Mr. Veasey, Ms.
Velazquez, Ms. Wasserman Schultz, Mrs. Watson Coleman, Ms. Wexton, Ms.
Williams of Georgia, Mr. Pascrell, Ms. DelBene, and Mr. Lynch)
introduced the following bill; which was referred to the Committee on
Energy and Commerce
_______________________________________________________________________
A BILL
To address social determinants of maternal health to eliminate maternal
mortality, severe maternal morbidity, and maternal health disparities,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Social Determinants for Moms Act''.
SEC. 2. TASK FORCE TO ADDRESS THE UNITED STATES MATERNAL HEALTH CRISIS.
(a) In General.--The Secretary of Health and Human Services shall
convene a task force (in this section referred to as the ``Task
Force'') to develop strategies and coordinate efforts between Federal
agencies and other stakeholders to eliminate preventable maternal
mortality, severe maternal morbidity, and maternal health disparities
in the United States, including actions to address clinical and
nonclinical causes of maternal mortality, severe maternal morbidity,
and maternal health disparities.
(b) Ex Officio Members.--The ex officio members of the Task Force
shall consist of the following:
(1) The Secretary of Health and Human Services (or a
designee thereof).
(2) The Secretary of Housing and Urban Development (or a
designee thereof).
(3) The Secretary of Transportation (or a designee
thereof).
(4) The Secretary of Agriculture (or a designee thereof).
(5) The Secretary of Labor (or a designee thereof).
(6) The Administrator of the Environmental Protection
Agency (or a designee thereof).
(7) The Assistant Secretary for the Administration for
Children and Families (or a designee thereof).
(8) The Administrator of the Centers for Medicare &
Medicaid Services (or a designee thereof).
(9) The Director of the Indian Health Service (or a
designee thereof).
(10) The Director of the National Institutes of Health (or
a designee thereof).
(11) The Director of the Eunice Kennedy Shriver National
Institute of Child Health and Human Development (or a designee
thereof).
(12) The Administrator of the Health Resources and Services
Administration (or a designee thereof).
(13) The Deputy Assistant Secretary for Minority Health of
the Department of Health and Human Services (or a designee
thereof).
(14) The Deputy Assistant Secretary for Women's Health of
the Department of Health and Human Services (or a designee
thereof).
(15) The Director of the Centers for Disease Control and
Prevention (or a designee thereof).
(16) The Director of the Office on Violence Against Women
at the Department of Justice (or a designee thereof).
(c) Appointed Members.--In addition to the ex officio members of
the Task Force, the Secretary of Health and Human Services may appoint
the following members of the Task Force:
(1) Representatives of patients, to include--
(A) a representative of patients who have suffered
from severe maternal morbidity; or
(B) a representative of patients who is a family
member of an individual who suffered a pregnancy-
related death.
(2) Leaders of community-based organizations that address
maternal mortality, severe maternal morbidity, and maternal
health with a specific focus on racial and ethnic disparities.
In appointing such leaders under this paragraph, the Secretary
of Health and Human Services shall give priority to individuals
who are leaders of organizations led by individuals from
demographic groups with elevated rates of maternal mortality,
severe maternal morbidity, maternal health disparities, or
other adverse perinatal or childbirth outcomes.
(3) Perinatal health workers.
(4) A professionally and geographically diverse panel of
maternity care providers.
(5) Other maternal health stakeholders outside of the
Federal Government with expertise in maternal health, including
social determinants of maternal health.
(d) Chair.--The Secretary of Health and Human Services shall select
the chair of the Task Force from among the members of the Task Force.
(e) Topics.--In developing strategies coordinating efforts between
Federal agencies and other stakeholders to eliminate preventable
maternal mortality, severe maternal morbidity, and maternal health
disparities in the United States under this section, the Task Force may
address topics such as--
(1) addressing barriers that prevent individuals from
attending prenatal and postpartum appointments, accessing
maternal health care services, or accessing services and
resources related to social determinants of maternal health;
(2) increasing access to safe, stable, affordable, and
adequate housing for pregnant and postpartum individuals and
their families;
(3) delivering healthy food, infant formula, clean water,
diapers, or other perinatal necessities to pregnant and
postpartum individuals located in areas that are food deserts;
(4) addressing the impacts of water and air quality,
exposure to extreme temperatures, environmental chemicals,
environmental risks in the workplace and the home, and
pollution levels, on maternal and infant health outcomes;
(5) offering free and accessible drop-in childcare services
during prenatal and postpartum appointments;
(6) addressing the clinical and nonclinical needs of
postpartum individuals and their families for the duration of
the postpartum period;
(7) engaging with nongovernmental entities to address
social determinants of maternal health, including through
public-private partnerships;
(8) addressing the impact of domestic or intimate partner
violence on maternal health outcomes; and
(9) other topics determined by the chair of the Task Force.
(f) Report.--Not later than 2 years after the date of enactment of
this Act, and every year thereafter, the Task Force shall submit to
Congress and make publicly available on the website of the Department
of Health and Human Services a report--
(1) describing the Task Force's efforts to develop
strategies and coordinate efforts between Federal agencies and
other stakeholders to eliminate preventable maternal mortality,
severe maternal morbidity, and maternal health disparities in
the United States;
(2) providing an overview of actions taken by each member
of the Task Force listed under subsection (b) to eliminate
preventable maternal mortality, severe maternal morbidity, and
maternal health disparities in the United States;
(3) providing recommendations on Federal funding amounts
and authorities needed to implement strategies developed by the
Task Force to eliminate preventable maternal mortality, severe
maternal morbidity, and maternal health disparities in the
United States;
(4) providing recommendations on actions that stakeholders
outside of the Federal Government can take to eliminate
preventable maternal mortality, severe maternal morbidity, and
maternal health disparities in the United States; and
(5) addressing other topics as determined by the chair of
the Task Force.
(g) Termination.--Section 1013 of title 5, United States Code,
shall not apply to the Task Force with respect to termination.
SEC. 3. SUSTAINED FUNDING TO ADDRESS SOCIAL DETERMINANTS OF MATERNAL
HEALTH.
(a) In General.--The Secretary of Health and Human Services (in
this section referred to as the ``Secretary'') shall award grants to
eligible entities to address social determinants of maternal health to
eliminate maternal mortality, severe maternal morbidity, and maternal
health disparities.
(b) Eligible Entities.--In this section, the term ``eligible
entity'' means--
(1) a community-based organization, Indian Tribe or Tribal
organization, or Urban Indian organization;
(2) a public health department or nonprofit organization
working with an entity listed in paragraph (1); or
(3) a consortium of entities listed in paragraph (1) or (2)
that includes at minimum one entity listed in paragraph (1).
(c) Application.--To be eligible to receive a grant under this
section, an eligible entity shall submit to the Secretary an
application at such time, in such manner, and containing such
information as the Secretary may provide.
(d) Prioritization.--In awarding grants under subsection (a), the
Secretary shall give priority to an eligible entity that is operating
in an area with--
(1) high rates of maternal mortality, severe maternal
morbidity, maternal health disparities, or other adverse
perinatal or childbirth outcomes; and
(2) a high poverty rate.
(e) Activities.--An eligible entity that receives a grant under
this section may use the grant to address social determinants of
maternal health such as--
(1) housing;
(2) transportation;
(3) nutrition;
(4) employment, workplace conditions, and other economic
factors;
(5) environmental conditions;
(6) intimate partner violence; and
(7) other nonclinical factors that impact maternal health
outcomes.
(f) Technical Assistance.--The Secretary shall provide to grant
recipients under this section technical assistance to plan for
sustaining programs to address social determinants of maternal health
after the period of the grant.
(g) Reporting.--
(1) Grantees.--Not later than 1 year after an eligible
entity first receives a grant under this section, and annually
thereafter, an eligible entity shall submit to the Secretary,
and make publicly available, a report on the status of
activities conducted using the grant. Each such report shall
include data on the effects of such activities, disaggregated
by race, ethnicity, gender, primary language, geography,
socioeconomic status, and other relevant factors.
(2) Secretary.--Not later than the end of fiscal year 2028,
the Secretary shall submit to Congress a report that includes--
(A) a summary of the reports under paragraph (1);
and
(B) recommendations for future Federal grant
allocations to address social determinants of maternal
health.
(h) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $100,000,000 for each of fiscal
years 2024 through 2028.
SEC. 4. DEFINITIONS.
In this Act:
(1) Maternal mortality.--The term ``maternal mortality''
means a death occurring during or within a 1-year period after
pregnancy, caused by pregnancy-related or childbirth
complications, including a suicide, overdose, or other death
resulting from a mental health or substance use disorder
attributed to or aggravated by pregnancy-related or childbirth
complications.
(2) Maternity care provider.--The term ``maternity care
provider'' means a health care provider who--
(A) is a physician, a physician assistant, a
midwife who meets, at a minimum, the international
definition of a midwife and global standards for
midwifery education as established by the International
Confederation of Midwives, an advanced practice
registered nurse, or a lactation consultant certified
by the International Board of Lactation Consultant
Examiners; and
(B) has a focus on maternal or perinatal health.
(3) Perinatal health worker.--The term ``perinatal health
worker'' means a nonclinical health worker focused on maternal
or perinatal health, such as a doula, community health worker,
peer supporter, lactation educator or counselor, nutritionist
or dietitian, childbirth educator, social worker, home visitor,
patient navigator or coordinator, or language interpreter.
(4) Postpartum and postpartum period.--The terms
``postpartum'' and ``postpartum period'' refer to the 1-year
period beginning on the last day of the pregnancy of an
individual.
(5) Pregnancy-related death.--The term ``pregnancy-related
death'' means a death of a pregnant or postpartum individual
that occurs during, or within 1 year following, the
individual's pregnancy, from a pregnancy complication, a chain
of events initiated by pregnancy, or the aggravation of an
unrelated condition by the physiologic effects of pregnancy.
(6) Severe maternal morbidity.--The term ``severe maternal
morbidity'' means a health condition, including mental health
conditions and substance use disorders, attributed to or
aggravated by pregnancy or childbirth that results in
significant short-term or long-term consequences to the health
of the individual who was pregnant.
(7) Social determinants of maternal health defined.--The
term ``social determinants of maternal health'' means
nonclinical factors that impact maternal health outcomes.
<all>
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118HR3323 | RAPID Act | [
[
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] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3323 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3323
To provide that the deployment of a small personal wireless service
facility is not subject to requirements to prepare certain
environmental or historical preservation reviews, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Hudson introduced the following bill; which was referred to the
Committee on Energy and Commerce, and in addition to the Committee on
Natural Resources, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide that the deployment of a small personal wireless service
facility is not subject to requirements to prepare certain
environmental or historical preservation reviews, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Reducing Antiquated Permitting for
Infrastructure Deployment Act'' or the ``RAPID Act''.
SEC. 2. EXEMPTIONS FOR SMALL PERSONAL WIRELESS SERVICE FACILITIES.
(a) NEPA Exemption.--A Federal authorization with respect to a
project to deploy a small personal wireless service facility may not be
considered a major Federal action under section 102(2)(C) of the
National Environmental Policy Act of 1969 (42 U.S.C. 4332(2)(C)).
(b) National Historic Preservation Act Exemption.--A project to
deploy a small personal wireless service facility may not be considered
an undertaking under section 300320 of title 54, United States Code.
SEC. 3. PRESUMPTION WITH RESPECT TO CERTAIN COMPLETE FCC FORMS.
(a) Presumption.--If an Indian Tribe is shown to have received a
complete FCC Form 620 or FCC Form 621 (or any successor form), or can
be reasonably expected to have received a complete FCC Form 620 or FCC
Form 621 (or any successor form), and has not acted on a request
contained in such complete form by the date that is 45 days after the
date of such receipt or reasonably expected receipt--
(1) the Commission and a court of competent jurisdiction
(as the case may be) shall presume the applicant with respect
to such complete form has made a good faith effort to provide
the information reasonably necessary for such Indian Tribe to
ascertain whether historic properties of religious or cultural
significance to such Indian Tribe may be affected by the
undertaking related to such complete form; and
(2) such Indian Tribe shall be presumed to have disclaimed
interest in such undertaking.
(b) Overcoming Presumption.--
(1) In general.--An Indian Tribe may overcome a presumption
under subsection (a) upon making, to the Commission or a court
of competent jurisdiction, a favorable demonstration with
respect to 1 or more of the factors described in paragraph (2).
(2) Factors considered.--In making a determination
regarding a presumption under subsection (a), the Commission or
court of competent jurisdiction shall give substantial weight
to--
(A) whether the applicant with respect to the
relevant complete form failed to make a reasonable
attempt to follow up with the applicable Indian Tribe
not earlier than 30 days, and not later than 50 days,
after the applicant submitted a complete FCC Form 620
or FCC Form 621 (as the case may be) to such Indian
Tribe; and
(B) whether the rules of the Commission, or FCC
Form 620 or FCC Form 621, are found to be in violation
of a Nationwide Programmatic Agreement of the
Commission.
SEC. 4. DEFINITIONS.
In this Act:
(1) Commission.--The term ``Commission'' means the Federal
Communications Commission.
(2) Federal authorization.--The term ``Federal
authorization''--
(A) means any authorization required under Federal
law with respect to a project; and
(B) includes any permits, special use
authorizations, certifications, opinions, or other
approvals as may be required under Federal law with
respect to a project.
(3) Indian tribe.--The term ``Indian Tribe'' has the
meaning given the term ``Indian tribe'' in section 102 of the
Federally Recognized Indian Tribe List Act of 1994 (25 U.S.C.
5130).
(4) Personal wireless service.--The term ``personal
wireless service''--
(A) means any service described in section
332(c)(7)(C)(i) of the Communications Act of 1934 (47
U.S.C. 332(c)(7)(C)(i)); and
(B) includes commercial mobile data service (as
defined in section 6001 of the Middle Class Tax Relief
and Job Creation Act of 2012 (47 U.S.C. 1401)).
(5) Personal wireless service facility.--The term
``personal wireless service facility'' means a facility for the
provision of personal wireless service.
(6) Small personal wireless service facility.--The term
``small personal wireless service facility''--
(A) means a personal wireless service facility with
respect to which each antenna is not more than 3 cubic
feet in volume; and
(B) does not include a wireline backhaul facility.
(7) Wireline backhaul facility.--The term ``wireline
backhaul facility'' means an above-ground or underground
wireline facility used to transport communications service or
other electronic communications from a small personal wireless
service facility or its adjacent network interface device to a
communications network.
<all>
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118HR3324 | To extend the authority to collect Shasta-Trinity Marina fees through fiscal year 2029. | [
[
"H001068",
"Rep. Huffman, Jared [D-CA-2]",
"sponsor"
],
[
"L000578",
"Rep. LaMalfa, Doug [R-CA-1]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3324 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3324
To extend the authority to collect Shasta-Trinity Marina fees through
fiscal year 2029.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Huffman (for himself and Mr. LaMalfa) introduced the following
bill; which was referred to the Committee on Natural Resources
_______________________________________________________________________
A BILL
To extend the authority to collect Shasta-Trinity Marina fees through
fiscal year 2029.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHASTA-TRINITY MARINA FEES.
Section 422 of the Department of the Interior, Environment, and
Related Agencies Appropriations Act, 2008 (Public Law 110-161; 121 Stat
2149) as amended, is further amended by striking ``and each subsequent
fiscal year through fiscal year 2019'' and inserting ``and each
subsequent fiscal year through fiscal year 2029''.
<all>
</pre></body></html>
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118HR3325 | Recruit and Retain Act | [
[
"H001095",
"Rep. Hunt, Wesley [R-TX-38]",
"sponsor"
],
[
"I000058",
"Rep. Ivey, Glenn [D-MD-4]",
"cosponsor"
],
[
"N000026",
"Rep. Nehls, Troy E. [R-TX-22]",
"cosponsor"
],
[
"S000522",
"Rep. Smith, Christopher H. [R-NJ-4]",
"cosponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3325 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3325
To amend the Omnibus Crime Control and Safe Streets Act of 1968 to
authorize law enforcement agencies to use COPS grants for recruitment
activities, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Hunt (for himself and Mr. Ivey) introduced the following bill;
which was referred to the Committee on the Judiciary
_______________________________________________________________________
A BILL
To amend the Omnibus Crime Control and Safe Streets Act of 1968 to
authorize law enforcement agencies to use COPS grants for recruitment
activities, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Recruit and Retain Act''.
SEC. 2. IMPROVING COPS GRANTS FOR POLICE HIRING PURPOSES.
(a) Grant Use Expansion.--Section 1701(b) of title I of the Omnibus
Crime Control and Safe Streets Act of 1968 (34 U.S.C. 10381(b)) is
amended--
(1) by redesignating paragraphs (5) through (23) as
paragraphs (6) through (24), respectively; and
(2) by inserting after paragraph (4) the following:
``(5) to support hiring activities by law enforcement
agencies experiencing declines in officer recruitment
applications by reducing application-related fees, such as fees
for background checks, psychological evaluations, and
testing.''.
(b) Technical Amendment.--Section 1701(b)(23) of title I of the
Omnibus Crime Control and Safe Streets Act of 1968 (34 U.S.C.
10381(b)(23)) is amended by striking ``(21)'' and inserting ``(22)''.
SEC. 3. ADMINISTRATIVE COSTS.
Section 1701 of title I of the Omnibus Crime Control and Safe
Streets Act of 1968 (34 U.S.C. 10381) is amended--
(1) by redesignating subsections (i) through (n) as
subsections (j) through (o), respectively; and
(2) by inserting after subsection (h) the following:
``(i) Administrative Costs.--Not more than 2 percent of a grant
made for the hiring or rehiring of additional career law enforcement
officers may be used for costs incurred to administer such grant.''.
SEC. 4. PIPELINE PARTNERSHIP PROGRAM.
Section 1701 of title I of the Omnibus Crime Control and Safe
Streets Act of 1968 (34 U.S.C. 10381) is amended by inserting after
subsection (o) the following:
``(p) COPS Pipeline Partnership Program.--
``(1) Eligible entity defined.--In this subsection, the
term `eligible entity' means a law enforcement agency in
partnership with not less than 1 educational institution, which
may include 1 or any combination of the following:
``(A) An elementary school.
``(B) A secondary school.
``(C) An institution of higher education.
``(D) A Hispanic-serving institution.
``(E) A historically Black college or university.
``(F) A Tribal college.
``(2) Grants.--The Attorney General shall award competitive
grants to eligible entities for recruiting activities that--
``(A) support substantial student engagement for
the exploration of potential future career
opportunities in law enforcement;
``(B) strengthen recruitment by law enforcement
agencies experiencing a decline in recruits, or high
rates of resignations or retirements;
``(C) enhance community interactions between local
youth and law enforcement agencies that are designed to
increase recruiting; and
``(D) otherwise improve the outcomes of local law
enforcement recruitment through activities such as
dedicated programming for students, work-based learning
opportunities, project-based learning, mentoring,
community liaisons, career or job fairs, work site
visits, job shadowing, apprenticeships, or skills-based
internships.
``(3) Funding.--Of the amounts made available to carry out
this part for a fiscal year, the Attorney General may use not
more than $3,000,000 to carry out this subsection.''.
SEC. 5. COPS GRANT GUIDANCE FOR AGENCIES OPERATING BELOW BUDGETED
STRENGTH.
Section 1704 of title I of the Omnibus Crime Control and Safe
Streets Act of 1968 (34 U.S.C. 10384) is amended by adding at the end
the following:
``(d) Guidance for Understaffed Law Enforcement Agencies.--
``(1) Definitions.--In this subsection:
``(A) Covered applicant.--The term `covered
applicant' means an applicant for a hiring grant under
this part seeking funding for a law enforcement agency
operating below the budgeted strength of the law
enforcement agency.
``(B) Budgeted strength.--The term `budgeted
strength' means the employment of the maximum number of
sworn law enforcement officers the budget of a law
enforcement agency allows the agency to employ.
``(2) Procedures.--Not later than 180 days after the date
of enactment of this Act, the Attorney General shall establish
consistent procedures for covered applicants, including
guidance that--
``(A) clarifies that covered applicants remain
eligible for funding under this part; and
``(B) enables covered applicants to attest that the
funding from a grant awarded under this part is not
being used by the law enforcement agency to supplant
State or local funds, as described in subsection (a).
``(3) Paperwork reduction.--In developing the procedures
and guidance under paragraph (2), the Attorney General shall
take measures to reduce paperwork requirements for grants to
covered applicants.''.
SEC. 6. STUDY ON POLICE RECRUITMENT.
(a) Study.--
(1) In general.--The Comptroller General of the United
States shall conduct a study to consider the comprehensive
effects of recruitment and attrition rates on Federal, State,
Tribal, and local law enforcement agencies in the United
States, to identify--
(A) the primary reasons that law enforcement
officers--
(i) join law enforcement agencies; and
(ii) resign or retire from law enforcement
agencies;
(B) how the reasons described in subparagraph (A)
may have changed over time;
(C) the effects of recruitment and attrition on
public safety;
(D) the effects of electronic media on recruitment
efforts;
(E) barriers to the recruitment and retention of
Federal, State, and local law enforcement officers; and
(F) recommendations for potential ways to address
barriers to the recruitment and retention of law
enforcement officers, including the barriers identified
in subparagraph (E).
(2) Representative cross-section.--
(A) In general.--The Comptroller General of the
United States shall endeavor to ensure accurate
representation of law enforcement agencies in the study
conducted pursuant to paragraph (1) by surveying a
broad cross-section of law enforcement agencies--
(i) from various regions of the United
States;
(ii) of different sizes; and
(iii) from rural, suburban, and urban
jurisdictions.
(B) Methods description.--The study conducted
pursuant to paragraph (1) shall include in the report
under subsection (b) a description of the methods used
to identify a representative sample of law enforcement
agencies.
(b) Report.--Not later than 540 days after the date of enactment of
this Act, the Comptroller General of the United States shall--
(1) submit to the Committee on the Judiciary of the Senate
and the Committee on the Judiciary of the House of
Representatives a report containing the study conducted under
subsection (a); and
(2) make the report submitted under paragraph (1) publicly
available online.
(c) Confidentiality.--The Comptroller General of the United States
shall ensure that the study conducted under subsection (a) protects the
privacy of participating law enforcement agencies.
<all>
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118HR3326 | HAVENS Act | [
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"T000468... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3326 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3326
To amend title 38, United States Code, to establish a pilot program to
build tiny homes for homeless veterans, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Kilmer (for himself, Ms. Mace, Mr. Keating, Ms. Lee of California,
and Ms. Titus) introduced the following bill; which was referred to the
Committee on Veterans' Affairs
_______________________________________________________________________
A BILL
To amend title 38, United States Code, to establish a pilot program to
build tiny homes for homeless veterans, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Housing America's Veterans and
Ensuring they have Needed Services Act'' or the ``HAVENS Act''.
SEC. 2. PILOT PROGRAM ON TINY HOMES FOR HOMELESS VETERANS.
(a) Findings.--Congress finds the following:
(1) In 2009, the Secretary of Veterans Affairs announced a
plan to end veteran homelessness by the end of fiscal year
2015.
(2) While the Department of Veterans Affairs did not reach
such goal, the Department continues to focus on reducing the
number of veterans experiencing homelessness.
(3) As of January 2020, the Department of Housing and Urban
Development estimated there to be 37,252 homeless veterans.
(4) At the start of January 2020, 21 out of every 10,000
veterans in the United States were experiencing homelessness.
(5) Veterans constitute about six percent of the population
of the United States but eight percent of the country's
homeless population.
(6) Factors related to homelessness among veterans include
post-traumatic stress disorder, social isolation, unemployment,
and substance abuse.
(7) Individual housing units improve personal safety for
veterans and reduce risks associated with close quarters living
in a shelter.
(b) Pilot Program.--
(1) Establishment.--Subchapter VII of chapter 20 of title
38, United States Code, is amended by adding at the end the
following new section:
``Sec. 2068. Pilot program on tiny homes for homeless veterans.
``(a) Establishment.--The Secretary shall carry out a pilot program
(in this section referred to as the `Program') to make grants to
facilitate the creation of five villages of tiny homes--
``(1) across the United States with associated supportive
services to allow veterans to live in the homes, maintain
social connections with each other, learn skills, and receive
critical counseling; and
``(2) in a manner that ensures the homes are energy
efficient with low carbon footprints.
``(b) Eligible Entities.--(1) The Secretary may award a grant under
the Program to any entity eligible for grants under section 2011 of
this title, including--
``(A) a non-profit organization described in section
501(c)(3) or section 501(c)(19) of the Internal Revenue Code of
1986; and
``(B) a State or local government.
``(2) To be eligible for a grant under the Program, an entity
specified in paragraph (1) shall submit to the Secretary an application
at such time, in such form, and containing such information as the
Secretary determines appropriate.
``(c) Eligible Uses.--A recipient of a grant awarded under the
Program shall use grant funds for the following:
``(1) Construction of the village.
``(2) Supportive job skills services.
``(3) Supportive counseling services, located in the
village or in the local community with transportation to the
community provided to the veterans, including--
``(A) case management services (pursuant to section
2022 of this title);
``(B) financial management;
``(C) counseling for addiction issues;
``(D) educational opportunities;
``(E) anger management; and
``(F) career and employment resources.
``(4) Any other use the Secretary determines appropriate.
``(d) Notice.--The Secretary shall publish a Notice of Funding
Opportunity on the internet website Grants.gov, or such successor
website, for the Program.
``(e) Preference.--In awarding grants under the Program, the
Secretary shall give preference to an entity described in subsection
(b)(1) that proposes to carry out the project facilitated with grant
funds to create LEED-certified units, including by using mass timber.
``(f) Reporting.--(1) During each year beginning in the second year
after being awarded a grant, each grantee shall submit to the
Department a report on the activities of the grantee under the Program
during the calendar year preceding the report, including the following:
``(A) The degree to which the grantee made progress toward
meeting the long-term goals and objectives described in the
application of the grantee and the performance by the grantee
of the covered benchmarks described in the application.
``(B) The demographic data of veterans participating in the
Program.
``(C) The details regarding the progress of such veterans
toward achieving the ability to maintain housing and live
independently, increasing skill levels and income, and
obtaining greater self-determination.
``(D) Any other matter the Secretary determines
appropriate.
``(2) During the fourth year of the Program, the Secretary shall
submit to the Committees on Appropriations and Veterans' Affairs of the
Senate and House of Representatives a report comparing the outcomes of
grantees under the Program to the outcomes of grantees under other
grant programs that do not contain individual homes and a community
center with supportive services, including the following:
``(A) The average amount of time a veteran stayed in a tiny
home.
``(B) The percentage of veterans who exit the village to
permanent housing.
``(C) The percentage of veterans who exit the village with
competitive employment.
``(D) The percentage of veterans who have a negative exit
from the village.
``(E) Any other matter the Secretary determinates
appropriate.
``(g) Authorization of Appropriations.--Of the amounts authorized
to be appropriated to the Secretary for grants under section 2011 of
this title for each of fiscal years 2023 through 2028, $20,000,000 may
be used to carry out the program.
``(h) Sunset.--The Secretary may not award a grant under the
Program after the day that is six years after the date of the enactment
of the HAVENS Act.
``(i) Definitions.--In this section:
``(1) The term `community center' means a building of
approximately 2,000 square feet where the veterans can gather
for socialization and to receive supportive services.
``(2) The term `mass timber' means any of the following:
``(A) Cross-laminated timber.
``(B) Nail-laminated timber.
``(C) Glue-laminated timber.
``(D) Laminated strand lumber.
``(E) Laminated veneer lumber.
``(3) The term `negative exit', with respect to a veteran
participating in the Program, means an instance under which a
veteran leaves the Program because such veteran violated the
rules of the Program (excluding exits because of threatened or
actual violence to self or others), failed to comply with the
requirements of the Program, or left the Program without
consulting staff.
``(4) The term `State' means each State of the United
States, the District of Columbia, each commonwealth, territory
or possession of the United States, and each federally
recognized Indian Tribe.
``(5) The term `tiny home' means an individual housing unit
for one person of approximately 240 square feet or an
individual housing unit for a family of approximately 340
square feet.
``(6) The term `village' means the community of tiny homes
and the community center.''.
(2) Clerical amendment.--The table of contents at the
beginning of chapter 20 of such title is amended by inserting
after the item relating to section 2067 the following new item:
``Sec. 2068. Pilot program on tiny homes for homeless veterans.''.
(c) Implementation.--The Secretary shall carry out section 2068 of
such title, as added by subsection (b), not later than 1 year after the
date of the enactment of this section.
<all>
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118HR3327 | Manufactured Housing Affordability and Energy Efficiency Act of 2023 | [
[
"K000392",
"Rep. Kustoff, David [R-TN-8]",
"sponsor"
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"Rep. Sewell, Terri A. [D-AL-7]",
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"cosponsor... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3327 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3327
To require the Secretary of Energy to receive approval from the
Secretary of Housing and Urban Development with respect to manufactured
housing energy efficiency standards issued by the Secretary of Energy,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. Kustoff (for himself and Ms. Sewell) introduced the following bill;
which was referred to the Committee on Energy and Commerce, and in
addition to the Committee on Financial Services, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee
concerned
_______________________________________________________________________
A BILL
To require the Secretary of Energy to receive approval from the
Secretary of Housing and Urban Development with respect to manufactured
housing energy efficiency standards issued by the Secretary of Energy,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Manufactured Housing Affordability
and Energy Efficiency Act of 2023''.
SEC. 2. CLARIFICATION OF HUD FINAL AUTHORITY OVER MANUFACTURED HOUSING
ENERGY EFFICIENCY STANDARDS.
Section 413 of the Energy Independence and Security Act of 2007 (42
U.S.C. 17071) is amended by inserting the following new subsection:
``(d) Final HUD Authority.--The manufactured housing energy
efficiency standards developed by the Secretary of Energy under
subsection (a) shall be considered by the Secretary of the Department
of Housing and Urban Development under section 604(a) of the National
Manufactured Housing Construction and Safety Standards Act of 1974 (42
U.S.C. 5401 et seq.) and shall only become effective and enforceable,
under subsection (c) or otherwise, if and in the form adopted into the
Manufactured Housing Construction and Safety Standards (24 C.F.R. 3280)
pursuant to section 604(a) of such Act.''.
SEC. 3. ELIMINATION OF INAPPROPRIATE USE OF IECC.
Section 413(b) of the Energy Independence and Security Act of 2007
(42 U.S.C. 17071(b)) is amended to read as follows:
``(b) Requirements.--The energy conservation standards established
under this section may be based on the climate zones established by the
Department of Housing and Urban Development.''.
SEC. 4. SUPREMACY OF HUD CODE.
Section 604 of the National Manufactured Housing Construction and
Safety Standards Act of 1974 (42 U.S.C. 5403) is amended by inserting
the following new subsection:
``(i) Exclusive Authority Over Manufactured Housing Energy
Standards.--Any construction or safety standard developed by other
Federal agencies, including energy standards developed pursuant to
section 413 of the Energy Independence and Security Act of 2007 (42
U.S.C. 17071), shall only become effective and enforceable by HUD or
such other agency if and in the form adopted into the construction and
safety standards established under subsection (a).''.
<all>
</pre></body></html>
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118HR3328 | Protecting Children From Experimentation Act of 2023 | [
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"sponsor"
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[
"B001299"... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3328 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3328
To amend chapter 110 of title 18, United States Code, to prohibit
gender transition procedures on minors, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. LaMalfa (for himself, Mrs. Boebert, Mr. Lamborn, Mr. Gosar, Mr.
Banks, Mr. Duncan, Mr. Babin, Mr. Rouzer, Mr. Rosendale, Mr. Weber of
Texas, Mr. Brecheen, Mr. Norman, Mrs. Miller of Illinois, Mr. Grothman,
Mr. Wilson of South Carolina, Mr. Mills, Mr. Burlison, Mr. Smith of New
Jersey, Mr. Aderholt, Mrs. McClain, Mrs. Lesko, Mrs. Harshbarger, Mr.
Nehls, Mr. Kelly of Mississippi, Mr. Fallon, Mr. LaTurner, Mr. Self,
Mr. Ogles, Mr. Gaetz, Ms. Tenney, Mr. Allen, and Mr. Mooney) introduced
the following bill; which was referred to the Committee on the
Judiciary
_______________________________________________________________________
A BILL
To amend chapter 110 of title 18, United States Code, to prohibit
gender transition procedures on minors, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Protecting Children From
Experimentation Act of 2023''.
SEC. 2. GENDER TRANSITION PROCEDURES ON MINORS PROHIBITED.
Chapter 110 of title 18, United States Code, is amended--
(1) by adding at the end the following:
``Sec. 2260B. Gender transition procedures on minors
``(a) In General.--Any physical or mental healthcare professional
who knowingly performs or provides a referral for any gender transition
procedure on a minor shall be fined under this title, imprisoned not
more than 5 years, or both.
``(b) Prohibition on Prosecution of Person on Whom Procedures Are
Performed.--No person on whom the gender transition procedure under
subsection (a) is performed may be arrested or prosecuted for an
offense under this section.
``(c) Civil Action.--A person on whom a gender transition procedure
is performed under this section may bring a civil action for
appropriate relief against each person who performed the gender
transition procedure.
``(d) Definitions.--In this section:
``(1) Biological sex.--The term `biological sex' means the
biological indication of male and female in the context of
reproductive potential or capacity, such as sex chromosomes,
naturally occurring sex hormones, gonads, and nonambiguous
internal and external genitalia present at birth, without
regard to the psychological, chosen, or subjective experience
of the gender of an individual.
``(2) Cross-sex hormones.--The term `cross-sex hormones'
means--
``(A) testosterone or other androgens given to
biological females at doses that are profoundly larger
or more potent than would normally occur naturally in
healthy biological females; and
``(B) estrogen given to biological males at doses
that are profoundly larger or more potent than would
normally occur naturally in healthy biological males.
``(3) Gender.--The term `gender' means the psychological,
behavioral, social, and cultural aspects of being male or
female.
``(4) Gender transition.--The term `gender transition'
means the process in which an individual goes from identifying
with and living as a gender that corresponds to his or her
biological sex to identifying with and living as a gender
different from his or her biological sex, and may involve
social, legal, or physical changes.
``(5) Gender transition procedure.--
``(A) In general.--The term `gender transition
procedure' means any medical or surgical service that
seeks--
``(i) to alter or remove physical or
anatomical characteristics or features that are
typical for the individual's biological sex; or
``(ii) to instill or create physiological
or anatomical characteristics that resemble a
sex different from the individual's birth sex.
``(B) Inclusions.--For purposes of subparagraph
(A), the term `medical or surgical service' includes--
``(i) physician's services;
``(ii) inpatient and outpatient hospital
services;
``(iii) prescribed drugs relating to gender
transition;
``(iv) a medical service that provides--
``(I) puberty-blocking drugs;
``(II) cross-sex hormones; or
``(III) other mechanisms to promote
the development of feminizing or
masculinizing features (in the opposite
sex); and
``(v) gender transition surgery.
``(C) Exclusions.--The term `gender transition
procedure' does not include--
``(i) services to individuals born with a
medically verifiable disorder of sex
development, including an individual with
external biological sex characteristics that
are irresolvably ambiguous, such as an
individual born with 46 XX chromosomes with
virilization, an individual born with 46 XY
chromosomes with undervirilization, or an
individual born having both ovarian and
testicular tissue;
``(ii) services provided when a physician
has otherwise diagnosed a disorder of sexual
development in which the physician has
determined through genetic or biochemical
testing that the individual does not have
normal sex chromosome structure, sex steroid
hormone production, or sex steroid hormone
action for a biological male or biological
female; or
``(iii) the treatment of any infection,
injury, disease, or disorder that has been
caused by or exacerbated by the performance of
gender transition procedures, whether or not
the gender transition procedure was performed
in accordance with State and Federal law or
whether or not funding for the gender
transition procedure is permissible under this
section.
``(6) Gender transition surgery.--
``(A) In general.--The term `gender transition
surgery' means any medical or surgical service that
seeks to surgically alter or remove healthy physical or
anatomical characteristics or features that are typical
for the individual's biological sex in order to instill
or create physiological or anatomical characteristics
that resemble a sex different from the individual's
birth sex.
``(B) Inclusions.--The term `gender transition
surgery' includes genital gender transition surgery and
non-genital gender transition surgery.
``(C) Exclusions.--The term `gender transition
surgery' does not include any procedure undertaken
because the individual suffers from a physical
disorder, physical injury, or physical illness that
would, as certified by a physician, place the
individual in imminent danger of death or impairment of
major bodily function unless surgery is performed for
the purpose of a gender transition or for the
alleviation of psychological or mental distress.
``(7) Genital gender transition surgery.--The term `genital
gender transition surgery' means a surgical procedure performed
for the purpose of assisting an individual with a gender
transition, including--
``(A) for biologically male patients, a penectomy,
orchiectomy, vaginoplasty, clitoroplasty, and
vulvoplasty; and
``(B) for biologically female patients, a
hysterectomy/ovariectomy, reconstruction of the fixed
part of the urethra with or without a metoidioplasty or
a phalloplasty, vaginectomy, scrotoplasty, and
implantation of erection or testicular prostheses.
``(8) Minor.--The term `minor' means an individual under
the age of 18.
``(9) Non-genital gender transition surgery.--The term
`non-genital gender transition surgery' means a surgical
procedure performed for the purpose of assisting an individual
with a gender transition, including--
``(A) for biologically male patients, augmentation
mammoplasty, facial feminization surgery, liposuction,
lipofilling, voice surgery, thyroid cartilage
reduction, gluteal augmentation (implants/lipofilling),
hair reconstruction, and various aesthetic procedures;
and
``(B) for biologically female patients,
subcutaneous mastectomy, voice surgery, liposuction,
lipofilling, pectoral implants, and various aesthetic
procedures.
``(10) Puberty-blocking drugs.--The term `puberty-blocking
drugs' means--
``(A) Gonadotropin-releasing hormone (GnRH)
analogues or other synthetic drugs used in biological
males to stop luteinizing hormone secretion and
therefore testosterone secretion; and
``(B) synthetic drugs used in biological females
that stop the production of estrogen and progesterone,
when used to delay or suppress pubertal development in
children for the purpose of assisting an individual
with a gender transition.''; and
(2) by amending the table of sections for such chapter by
adding at the end the following:
``2260B. Gender transition procedures on minors.''.
<all>
</pre></body></html>
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118HR3329 | End Taxpayer Funding of Gender Experimentation Act of 2023 | [
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"B001299"... | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3329 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3329
To prohibit taxpayer-funded gender transition procedures, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mr. LaMalfa (for himself, Mrs. Boebert, Mr. Lamborn, Mr. Gosar, Mr.
Banks, Mr. Duncan, Mr. Babin, Mr. Rouzer, Mr. Barr, Mr. Rosendale, Mr.
Weber of Texas, Mr. Brecheen, Mr. Norman, Mrs. Miller of Illinois, Mr.
Grothman, Mr. Wilson of South Carolina, Mr. Mills, Mr. Burlison, Mr.
Smith of New Jersey, Mr. Aderholt, Mrs. McClain, Mrs. Lesko, Mrs.
Harshbarger, Mr. Nehls, Mr. Kelly of Mississippi, Mr. Ogles, Mr.
Fallon, Mr. LaTurner, Mr. Davidson, Mr. Gaetz, Ms. Tenney, Mr. Allen,
Mr. Roy, and Mr. Mooney) introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committees on the Judiciary, and Ways and Means, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee
concerned
_______________________________________________________________________
A BILL
To prohibit taxpayer-funded gender transition procedures, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``End Taxpayer
Funding of Gender Experimentation Act of 2023''.
(b) Table of Contents.--The table of contents of this Act are as
follows:
Sec. 1. Short title; table of contents.
TITLE I--PROHIBITING FEDERALLY FUNDED GENDER TRANSITION PROCEDURES
Sec. 101. Prohibiting taxpayer-funded gender transition procedures.
Sec. 102. Amendment to table of chapters.
TITLE II--APPLICATION UNDER THE AFFORDABLE CARE ACT
Sec. 201. Clarifying application of prohibition to premium credits and
cost-sharing reductions under ACA.
TITLE I--PROHIBITING FEDERALLY FUNDED GENDER TRANSITION PROCEDURES
SEC. 101. PROHIBITING TAXPAYER-FUNDED GENDER TRANSITION PROCEDURES.
Title 1, United States Code, is amended by adding at the end the
following new chapter:
``CHAPTER 4--PROHIBITING TAXPAYER-FUNDED GENDER TRANSITION PROCEDURES
``301. Prohibition on funding for gender transition procedures.
``302. Prohibition on funding for health benefits plans that cover
gender transition procedures.
``303. Limitation on Federal facilities and employees.
``304. Construction relating to separate coverage.
``305. Construction relating to the use of non-Federal funds for health
coverage.
``306. Construction relating to complications arising from gender
transition procedures.
``307. Definitions.
``Sec. 301. Prohibition on funding for gender transition procedures
``No funds authorized or appropriated by Federal law, and none of
the funds in any trust fund to which funds are authorized or
appropriated by Federal law, shall be expended for any gender
transition procedures.
``Sec. 302. Prohibition on funding for health benefits plans that cover
gender transition procedures
``No funds authorized or appropriated by Federal law, and none of
the funds in any trust fund to which funds are authorized or
appropriated by Federal law, shall be expended for health benefits
coverage that includes coverage of gender transition procedures.
``Sec. 303. Limitation on Federal facilities and employees
``No health care service furnished--
``(1) by or in a health care facility owned or operated by
the Federal Government; or
``(2) by any physician or other individual employed by the
Federal Government to provide health care services within the
scope of the physician's or individual's employment,
may include gender transition procedures.
``Sec. 304. Construction relating to separate coverage
``Nothing in this chapter shall be construed as prohibiting any
individual, entity, State, or locality from purchasing separate
coverage for gender transition procedures or health benefits coverage
that include gender transition procedures so long as such coverage is
paid for entirely with funds not authorized or appropriated by Federal
law, and such coverage shall not be purchased using matching funds
required for a federally subsidized program, including a State or
locality's contribution of Medicaid matching funds.
``Sec. 305. Construction relating to the use of non-Federal funds for
health coverage
``Nothing in this chapter shall be construed as restricting the
ability of any non-Federal health benefits coverage provider from
offering coverage for gender transition procedures, or the ability of a
State or locality to contract separately with such a provider for such
coverage, so long as only funds not authorized or appropriated by
Federal law are used, and such coverage shall not be purchased using
matching funds required for a federally subsidized program, including a
State or locality's contribution of Medicaid matching funds.
``Sec. 306. Construction relating to complications arising from gender
transition procedures
``Nothing in this chapter shall be construed to apply to the
treatment of any infection, injury, disease, or disorder that has been
caused by or exacerbated by the performance of a gender transition
procedure.
``Sec. 307. Definitions
``For purposes of this chapter:
``(1) Biological sex.--The term `biological sex' means the
biological indication of male or female in the context of
reproductive potential or capacity, such as sex chromosomes,
naturally occurring sex hormones, gonads, and non-ambiguous
internal and external genitalia present at birth, without
regard to an individual's psychological, chosen, or subjective
experience of gender.
``(2) Cross-sex hormones.--The term `cross-sex hormones'
means--
``(A) testosterone or other androgens given to
biological females at doses that are profoundly larger
or more potent than would naturally occur in healthy
biological females; or
``(B) estrogen given to biological males at doses
that are profoundly larger or more potent than would
naturally occur in healthy biological males.
``(3) Gender.--The term `gender' means the psychological,
behavioral, social, and cultural aspects of being male or
female.
``(4) Gender transition.--The term `gender transition'
means the process in which a person goes from identifying with
and living as a gender that corresponds to his or her
biological sex to identifying with and living as a gender
different from his or her biological sex, and may involve
social, legal, or physical changes.
``(5) Gender transition procedure.--
``(A) In general.--The term `gender transition
procedure' means any medical or surgical service,
including physician's services, inpatient and
outpatient hospital services, or prescribed drugs
related to gender transition, that seek to alter or
remove physical or anatomical characteristics or
features that are typical for an individual's
biological sex, or to instill or create physiological
or anatomical characteristics that resemble a sex
different from an individual's birth sex, including,
without limitation, medical services that provide
puberty-blocking drugs, cross-sex hormones, or other
mechanisms to promote the development of feminizing or
masculinizing features (in the opposite sex), or
genital gender transition surgery or nongenital gender
transition surgery performed for the purpose of
assisting an individual with a gender transition.
``(B) Exceptions.--The term `gender transition
procedure' does not include--
``(i) services to those born with a
medically-verifiable disorder of sex
development, including a person with external
biological sex characteristics that are
irresolvably ambiguous, such as those born with
46 XX chromosomes with virilization, 46 XY
chromosomes with undervirilization, or having
both ovarian and testicular tissue; or services
provided when a physician has otherwise
diagnosed a disorder of sexual development, in
which such physician has determined through
genetic or biochemical testing that the person
does not have normal sex chromosome structure,
sex steroid hormone production, or sex steroid
hormone action for a biological male or
biological female; or
``(ii) the treatment of any infection,
injury, disease, or disorder that has been
caused by or exacerbated by the performance of
a gender transition procedure, whether or not
such procedure was performed in accordance with
State or Federal law, or whether funding for
such procedure was permissible under this
chapter.
``(6) Gender transition surgery.--
``(A) In general.--The term `gender transition
surgery' means any medical or surgical service that
seeks to surgically alter or remove healthy physical or
anatomical characteristics or features that are typical
for an individual's biological sex in order to instill
or create physiological or anatomical characteristics
that resemble a sex different from an individual's
birth sex, including, without limitation, genital
gender reassignment surgery or non-genital gender
reassignment surgery performed for the purpose of
assisting an individual with a gender transition.
``(B) Exception.--Gender transition surgery does
not include any procedure undertaken because the
individual suffers from a physical disorder, physical
injury, or physical illness that would, as certified by
a physician, place the individual in imminent danger of
death or impairment of major bodily function unless
surgery is performed.
``(7) Genital gender transition surgery.--The term `genital
gender transition surgery' includes surgical procedures such as
penectomy, orchiectomy, vaginoplasty, clitoroplasty, or
vulvoplasty for biologically male patients, or hysterectomy/
ovariectomy, reconstruction of the fixed part of the urethra
with or without a metoidioplasty or a phalloplasty,
vaginectomy, scrotoplasty, or implantation of erection or
testicular prostheses for biologically female patients when
performed for the purpose of assisting an individual with a
gender transition.
``(8) Non-genital gender transition surgery.--The term
`non-genital gender transition surgery' means surgical
procedures including augmentation mammoplasty, facial
feminization surgery, liposuction, lipofilling, voice surgery,
thyroid cartilage reduction, gluteal augmentation (implants or
lipofilling), hair reconstruction, or other aesthetic
procedures for biologically male patients or subcutaneous
mastectomy, voice surgery, liposuction, lipofilling, pectoral
implants, or other aesthetic procedures for biologically female
patients, when performed for the purpose of assisting an
individual with a gender transition.
``(9) Puberty-blocking drugs.--The term `puberty-blocking
drugs' means--
``(A) Gonadotropin-releasing hormone (GnRH)
analogues or other synthetic drugs used in biological
males to stop luteinizing hormone secretion and
therefore testosterone secretion;
``(B) synthetic drugs used in biological females
that stop the production of estrogen; and
``(C) progesterone when used to delay or suppress
pubertal development in children for the purpose of
assisting an individual with a gender transition.''.
SEC. 102. AMENDMENT TO TABLE OF CHAPTERS.
The table of chapters for title 1, United States Code, is amended
by adding at the end the following new item:
``4. Prohibiting taxpayer-funded gender transition 301''.
procedures.
TITLE II--APPLICATION UNDER THE AFFORDABLE CARE ACT
SEC. 201. CLARIFYING APPLICATION OF PROHIBITION TO PREMIUM CREDITS AND
COST-SHARING REDUCTIONS UNDER ACA.
(a) In General.--
(1) Disallowance of refundable credit and cost-sharing
reductions for coverage under qualified health plan which
provides coverage for gender transition procedures.--
(A) In general.--Section 36B(c)(3)(A) of the
Internal Revenue Code of 1986 is amended by inserting
before the period at the end the following: ``or any
health plan that includes coverage for gender
transition procedures (other than any procedure
described in section 306 or 307 of title 1, United
States Code)''.
(B) Option to purchase or offer separate coverage
or plan.--Section 36B(c)(3) of such Code is amended by
adding at the end the following new subparagraph:
``(C) Separate coverage or plan for gender
transition procedures allowed.--
``(i) Option to purchase separate coverage
or plan.--Nothing in subparagraph (A) shall be
construed as prohibiting any individual from
purchasing separate coverage for gender
transition procedures described in such
subparagraph, or a health plan that includes
such gender transition procedures, so long as
no credit is allowed under this section with
respect to the premiums for such coverage or
plan.
``(ii) Option to offer coverage or plan.--
Nothing in subparagraph (A) shall restrict any
non-Federal health insurance issuer offering a
health plan from offering separate coverage for
gender transition procedures described in such
subparagraph, or a plan that includes such
gender transition procedures, so long as
premiums for such separate coverage or plan are
not paid for with any amount attributable to
the credit allowed under this section (or the
amount of any advance payment of the credit
under section 1412 of the Patient Protection
and Affordable Care Act).''.
(2) Disallowance of small employer health insurance expense
credit for plan which includes coverage for gender transition
procedures.--Subsection (h) of section 45R of the Internal
Revenue Code of 1986 is amended--
(A) by striking ``Any term'' and inserting the
following:
``(1) In general.--Any term''; and
(B) by adding at the end the following new
paragraph:
``(2) Exclusion of health plans including coverage for
gender transition procedures.--
``(A) In general.--The term `qualified health plan'
does not include any health plan that includes coverage
for gender transition procedures (other than a
procedure described in section 306 or 307 of title 1,
United States Code).
``(B) Separate coverage or plan for gender
transition procedures allowed.--
``(i) Option to purchase separate coverage
or plan.--Nothing in subparagraph (A) shall be
construed as prohibiting any employer from
purchasing for its employees separate coverage
for gender transition procedures described in
such subparagraph, or a health plan that
includes such gender transition procedures, so
long as no credit is allowed under this section
with respect to the employer contributions for
such coverage or plan.
``(ii) Option to offer coverage or plan.--
Nothing in subparagraph (A) shall restrict any
non-Federal health insurance issuer offering a
health plan from offering separate coverage for
gender transition procedures described in such
subparagraph, or a plan that includes such
gender transition procedures, so long as such
separate coverage or plan is not paid for with
any employer contribution eligible for the
credit allowed under this section.''.
(b) Application to Multi-State Plans.--Section 1334(a) of the
Patient Protection and Affordable Care Act (42 U.S.C. 18054(a)) is
amended by adding at the end the following new paragraph:
``(8) Coverage consistent with federal policy regarding
gender transition procedures.--In entering into contracts under
this subsection, the Director shall ensure that no multi-State
qualified health plan offered in an Exchange provides health
benefits coverage for which the expenditure of Federal funds is
prohibited under chapter 4 of title 1, United States Code.''.
(c) Effective Date.--
(1) Effective date with respect to premium credits and cost
sharing reductions.--The amendments made by subsection (a)
shall apply to taxable years after the date that is one year
after the date of enactment of this Act, but only with respect
to plan years beginning after such date.
(2) Effective date for application to multi-state plans.--
The amendment made by subsection (b) shall apply to plan years
beginning on the date that is one year after the date of
enactment of this Act.
<all>
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118HR333 | Disabled Veterans Tax Termination Act | [
[
"B000490",
"Rep. Bishop, Sanford D., Jr. [D-GA-2]",
"sponsor"
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"Rep. Brownley, Julia [D-CA-26]",
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[
... | <p><strong>Disabled Veterans Tax Termination Act</strong></p> <p>This bill modifies provisions related to military retired pay. Specifically, the bill authorizes veterans with a service-connected disability of less than 50% to concurrently receive both retired pay and disability compensation. The bill also makes qualified disability retirees with less than 20 years of retirement-creditable service eligible for concurrent receipt, subject to specified reductions in retired pay.</p> | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 333 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 333
To amend title 10, United States Code, to permit retired members of the
Armed Forces who have a service-connected disability rated less than 50
percent to receive concurrent payment of both retired pay and veterans
disability compensation, to extend eligibility for concurrent receipt
to chapter 61 disability retirees with less than 20 years of service,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 12, 2023
Mr. Bishop of Georgia introduced the following bill; which was referred
to the Committee on Armed Services, and in addition to the Committee on
Veterans' Affairs, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend title 10, United States Code, to permit retired members of the
Armed Forces who have a service-connected disability rated less than 50
percent to receive concurrent payment of both retired pay and veterans
disability compensation, to extend eligibility for concurrent receipt
to chapter 61 disability retirees with less than 20 years of service,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Disabled Veterans Tax Termination
Act''.
SEC. 2. CONCURRENT RECEIPT OF BOTH RETIRED PAY AND VETERANS' DISABILITY
COMPENSATION FOR MILITARY RETIREES WITH COMPENSABLE
SERVICE-CONNECTED DISABILITIES.
(a) Inclusion of Retirees With Service-Connected Disabilities Rated
Less Than 50 Percent.--Section 1414(a) of title 10, United States Code,
is amended--
(1) by striking ``Compensation'' in the subsection heading
and all that follows through ``Subject'' and inserting
``Compensation.--Subject'';
(2) by striking ``qualifying service-connected disability''
and inserting ``service-connected disability''; and
(3) by striking paragraph (2).
(b) Inclusion of Disability Retirees With Less Than 20 Years of
Service.--Section 1414(b) of title 10, United States Code, is amended--
(1) in paragraph (1), by striking ``member retired'' and
inserting ``qualified retiree who is retired''; and
(2) by striking paragraph (2) and inserting the following
new paragraph:
``(2) Disability retirees with less than 20 years of
service.--The retired pay of a qualified retiree who is retired
under chapter 61 of this title with fewer than 20 years of
creditable service is subject to reduction under sections 5304
and 5305 of title 38, but only by the amount (if any) by which
the amount of the member's retired pay under such chapter
exceeds the amount equal to 2\1/2\ percent of the member's
years of creditable service multiplied by the member's retired
pay base under section 1406(b)(1) or 1407 of this title,
whichever is applicable to the member.''.
(c) Conforming Amendments Reflecting End of Concurrent Receipt
Phase-In Period.--Section 1414 of title 10, United States Code, is
further amended--
(1) in subsection (a), as amended by subsection (a) of this
section, by striking the final sentence;
(2) by striking subsection (c) and redesignating
subsections (d) and (e) as subsections (c) and (d),
respectively; and
(3) in subsection (d), as so redesignated, by striking
paragraphs (3) and (4).
(d) Clerical Amendments.--
(1) Section heading.--The heading for section 1414 of title
10, United States Code, is amended to read as follows:
``Sec. 1414. Members eligible for retired pay who are also eligible for
veterans' disability compensation: concurrent payment of
retired pay and disability compensation''.
(2) Table of sections.--The item relating to such section
in the table of sections at the beginning of chapter 71 of
title 10, United States Code, is amended to read as follows:
``1414. Members eligible for retired pay who are also eligible for
veterans' disability compensation:
concurrent payment of retired pay and
disability compensation.''.
(e) Conforming Amendment Reflecting Subsection Redesignation.--
Section 1413a(f) of title 10, United States Code, is amended by
striking ``Subsection (d)'' and inserting ``Subsection (c)''.
(f) Effective Date.--The amendments made by this section shall take
effect on the first day of the first month beginning after the date of
the enactment of this Act and shall apply to payments for months
beginning on or after that date.
<all>
</pre></body></html>
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118HR3330 | CABLE Expansion Act | [
[
"L000589",
"Rep. Lesko, Debbie [R-AZ-8]",
"sponsor"
]
] | <html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3330 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3330
To amend the Communications Act of 1934 to preserve cable franchising
authority, provide for faster deployment of cable and other services,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 15, 2023
Mrs. Lesko introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Communications Act of 1934 to preserve cable franchising
authority, provide for faster deployment of cable and other services,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Connecting And Building Lines for
Expedited Expansion Act'' or the ``CABLE Expansion Act''.
SEC. 2. REQUEST REGARDING PLACEMENT, CONSTRUCTION, OR MODIFICATION OF
CABLE EQUIPMENT.
Section 624 of the Communications Act of 1934 (47 U.S.C. 544) is
amended by adding at the end the following:
``(j) Request Regarding Placement, Construction, or Modification of
Facilities.--
``(1) No effect on authority of certain entities.--Except
as provided in this subsection, nothing in this title shall
limit or affect the authority of a covered entity over--
``(A) decisions regarding the placement,
construction, or modification of a covered equipment
within the jurisdiction of such covered entity; or
``(B) safety standards for the placement,
construction, or modification of such a covered
equipment.
``(2) Limitations.--
``(A) Ability to provide or enhance cable
service.--With respect to the regulation by a covered
entity of the placement, construction, or modification
of a covered equipment, the covered entity shall not
prohibit or have the effect of prohibiting the ability
of a cable operator to provide, improve, or enhance the
provision of service using a covered equipment under a
franchise granted by such covered entity, or within the
jurisdiction of such covered entity, as so may be the
case.
``(B) Timing of decisions on requests for
authorizations to place, construct, or modify
facility.--
``(i) Timeframe.--A covered entity shall
approve or deny a complete request for
authorization to place, construct, or modify a
covered equipment not later than--
``(I) if the request is for
authorization to place, construct, or
modify a covered equipment in or on
eligible support infrastructure, 90
days after the date on which the
covered entity receives the request;
and
``(II) if the request is not for
authorization to place, construct, or
modify a covered equipment in or on
eligible support infrastructure, 150
days after the date on which the
covered entity receives the request.
``(ii) Applicability.--Notwithstanding any
provision of this title, the applicable
timeframe under clause (i) shall apply
collectively to all proceedings required by a
covered entity for the approval of the request.
``(iii) No tolling.--A timeframe under
clause (i) may not be tolled by any moratorium,
whether express or de facto, imposed by the
covered entity on the consideration of any
request for authorization to place, construct,
or modify a covered equipment.
``(iv) Written decision and record.--Any
decision by a covered entity to deny a complete
request for authorization to place, construct,
or modify covered equipment shall be--
``(I) in writing;
``(II) supported by substantial
evidence contained in a written record;
and
``(III) publicly released, and
provided to the requesting party, on
the same day such decision is made.
``(v) Deemed granted.--If a covered entity
fails to grant or deny a complete request by
the applicable deadline under subparagraph
(A)(i), the request shall be deemed granted and
authorized on the date on which the covered
entity receives written notice of the failure
from the requesting party.
``(3) When request considered complete; received.--
``(A) When request considered complete.--
``(i) In general.--For the purposes of this
subsection, a request to a covered entity shall
be considered complete if the requesting
party--
``(I) has taken the first
procedural step within the control of
the requesting party--
``(aa) that the covered
entity requires as part of the
process for reviewing such
requests; or
``(bb) to submit the type
of filing that is typically
required to initiate a standard
review for a similar request in
a jurisdiction that has not
established specific procedures
for the relevant review and
approval of such a request; and
``(II) has not received a written
notice from the covered entity within
30 days after the date on which the
request is received by the covered
entity--
``(aa) stating that all the
information (including any form
or other document) required by
the covered entity to be
submitted for the request to be
considered complete has not
been submitted;
``(bb) identifying
information required to be
submitted that was not
submitted; and
``(cc) that includes a
citation to a specific
provision of a publicly
available rule, regulation, or
standard issued by the
government requiring that the
information be submitted with
such a request.
``(ii) Definition.--In this subparagraph,
the term `the date on which the request is
received by the covered entity' means--
``(I) in the case of a request
submitted electronically, the date on
which the request is transmitted;
``(II) in the case of a request
submitted in person, the date on which
the request is delivered to the
individual or at the location specified
by the covered entity or in-person
submission; and
``(III) in the case of a request
submitted in any other manner, the date
determined under regulations
promulgated by the Commission for the
manner in which the request is
submitted.
``(B) When complete request considered received.--
For the purposes of this subsection, a complete request
shall be considered received--
``(i) except as provided in clause (ii), on
the date on which the requesting party submits
to the covered entity all information
(including any form or other document) required
by the covered entity to be submitted for the
request to be considered complete; or
``(ii) in the case of a request with
respect to which all such information is not
submitted and that is considered complete under
subparagraph (A)(i) because the requesting
party has not received a written notice from
the covered entity within the period described
in such subparagraph, on the day after the last
day of such period.
``(4) Fees.--
``(A) In general.--A covered entity may charge a
fee that meets the requirements under subparagraph (B)
to consider a request for authorization to place,
construct, or modify covered equipment.
``(B) Requirements.--A fee charged under
subparagraph (A) shall be--
``(i) competitively neutral, technology
neutral, and nondiscriminatory;
``(ii) publicly disclosed in advance;
``(iii) calculated--
``(I) based on actual and direct
costs for--
``(aa) review and
processing of requests; and
``(bb) repairs and
replacement of--
``(AA) components
and materials resulting
from and affected by
the placement,
construction, or
modification (including
the installation or
improvement) of covered
equipment; or
``(BB) the
modification (including
the improvement) of
eligible support
infrastructure, or
repairs and replacement
of equipment that
facilitates the
placement,
construction, or
modification (including
the installation or
improvement) of such
facilities or the
modification (including
the improvement) of
such structures; and
``(II) using, for purposes of
subclause (I), only costs that are
objectively reasonable; and
``(III) described to a requesting
party in a manner that distinguishes
between nonrecurring fees and recurring
fees.
``(C) No relation to franchise fees.--A fee charged
under this paragraph to consider a request for
authorization to place, construct, or modify covered
equipment may not be considered a franchise fee under
section 622.
``(5) Definitions.--In this subsection:
``(A) Covered equipment.--The term `covered
equipment' means equipment used in or attached to a
cable system.
``(B) Covered entity.--The term `covered entity'
means:
``(i) A State.
``(ii) A local government.
``(iii) An instrumentality of a State or a
local government.
``(iv) A franchising authority.
``(C) Eligible support infrastructure.--The term
`eligible support infrastructure' means infrastructure
that supports or houses a facility for communication by
wire (or is designed to and capable of supporting or
housing such facility) at the time when a complete
request to a covered entity for authorization to place,
construct, or modify covered equipment in or on the
infrastructure is received by the covered entity.''.
SEC. 3. ACTION ON PENDING REQUESTS.
(a) Application.--Paragraphs (2)(B) and (4) of section 624(j) of
the Communications Act of 1934 (47 U.S.C. 544(j)), as added by section
2, shall apply to a--
(1) request received by a covered entity (as such term is
defined in section 624(j) of the Communications Act of 1934)--
(A) before the date of the enactment of this Act;
and
(B) has not been approved or denied by the covered
entity on or before such date; and
(2) a request received by a covered entity on or after the
date of the enactment of this Act.
(b) Date of Receipt.--The date of receipt by a covered entity of a
request described under subsection (a)(1) shall be deemed to be the
date of the enactment of this Act.
<all>
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