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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="HAE7CC80ACF534C05A58384042FC02ED7" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>112th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>H. R. 2747</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20110801">August 1, 2011</action-date>
			<action-desc><sponsor name-id="H001038">Mr. Higgins</sponsor>
			 introduced the following bill; which was referred to the
			 <committee-name committee-id="HIF00">Committee on Energy and
			 Commerce</committee-name>, and in addition to the Committee on
			 <committee-name committee-id="HWM00">Ways and Means</committee-name>, 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</action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend title XVIII of the Social Security Act to
		  establish a cancer center construction loan program.</official-title>
	</form>
	<legis-body id="HBFD63B70F4444B13BF4E6F5C44E704A8" style="OLC">
		<section id="H3DF158797D1C473EA6FAE6C468B95E08" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Cancer Centers Assistance for
			 Renovations and Expansion Act of 2011</short-title></quote>.</text>
		</section><section id="HEE7B37A4480E45819E292EC1E1065CE3"><enum>2.</enum><header>Cancer center
			 construction loan program</header><text display-inline="no-display-inline">The
			 Social Security Act is amended by inserting after section 1897 the following
			 new section:</text>
			<quoted-block display-inline="no-display-inline" id="HFBB212CAB9AB4038A21C031E5B31ABB1" style="traditional">
				<section id="H217B4546F86A405D847CE50E1D6FDD65"><enum>1897A.</enum><header>Cancer center construction loan program</header><subsection commented="no" display-inline="yes-display-inline" id="H5656B98D53A9457ABA9F71037BE1AB7F"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">The Secretary shall establish a loan
				program that provides loans to qualifying cancer centers (as defined in
				subsection (b)) for payment of the capital costs of projects for the
				improvement of research, prevention, or patient care infrastructure.</text>
					</subsection><subsection id="HFC38977F689D43DEA21E43C1BB32CBD4"><enum>(b)</enum><header>Qualifying
				cancer center and other definitions</header><text>In this section:</text>
						<paragraph id="H91094740F4B442E38503227EA1D72B64"><enum>(1)</enum><text>The term
				<term>qualifying cancer center</term> means an entity that—</text>
							<subparagraph id="H81166CD4D2684D6FB0F05235467F854E"><enum>(A)</enum><text display-inline="yes-display-inline">is designated as a cancer center or
				comprehensive cancer center by the National Cancer Institute; or</text>
							</subparagraph><subparagraph id="H9B0E539D1C1049B69A10043FB2EDAF58"><enum>(B)</enum><text>is both a National
				Cancer Institute-designated comprehensive cancer center and a cancer hospital
				described in section 1886(d)(1)(B)(v).</text>
							</subparagraph></paragraph><paragraph id="H0C01319C02AE46CDAD95CA64CA0DF4B5"><enum>(2)</enum><text>The term
				<term>project for the improvement of research, prevention, or patient care
				infrastructure</term> means—</text>
							<subparagraph id="HAF492812351C44D59F48014FF646B512"><enum>(A)</enum><text>the expansion,
				remodeling, renovating, or altering of an existing clinical, prevention, or
				research facility; or</text>
							</subparagraph><subparagraph id="HE03E7ECBFA9C423586A413C216E16E61"><enum>(B)</enum><text>the construction
				of a new clinical, prevention, or research facility.</text>
							</subparagraph></paragraph><paragraph id="HF4E7E4786FA54D609A9179F8709E8F2F"><enum>(3)</enum><text>The term
				<term>intended use</term> means the purposes for which the infrastructure
				improvements were made.</text>
						</paragraph><paragraph id="HC6433A5796664311B294B8CDF8564CBC"><enum>(4)</enum><text>The term
				<term>shovel ready</term> means, with respect to a project, that construction
				of the project—</text>
							<subparagraph id="HDD88847BD9904B3FBDB71762B397E9E4"><enum>(A)</enum><text>has begun as of
				the date of the enactment of this section; or</text>
							</subparagraph><subparagraph id="HE10ABB86EB1D48E88335BBC5F45F8187"><enum>(B)</enum><text>is ready (subject
				only to the receipt of permits) to begin, and will begin, not later than 90
				days after such date.</text>
							</subparagraph></paragraph></subsection><subsection id="HB3BFB0D2265949A9BB95816F2D695541"><enum>(c)</enum><header>Application;
				qualifications; terms of loans</header>
						<paragraph id="H1BA941689D9E4931B77BDD8FB1DC270B"><enum>(1)</enum><header>In
				general</header><text>No loan may be provided under this section to a
				qualifying cancer center except pursuant to an application that is submitted
				and approved in a time, manner, and form specified by the Secretary.</text>
						</paragraph><paragraph id="HF0ED5E1EE927494DA1E3E11276B09DEB"><enum>(2)</enum><header>Qualifications</header><text>A
				loan may not be provided under this section for a project for a qualifying
				cancer center unless the applicant provides assurances satisfactory to the
				Secretary that—</text>
							<subparagraph id="HD521B05D93DE4C1D90990C6F9C33E9BC"><enum>(A)</enum><text>the project is a
				project for the improvement of research, prevention, or patient care
				infrastructure of the center;</text>
							</subparagraph><subparagraph id="HF805CD941B1C42408ED7C1F2A3CDEC30"><enum>(B)</enum><text>the project is
				shovel ready;</text>
							</subparagraph><subparagraph id="H4CB181CF8C9C412EB45BCC6F47B5EB45"><enum>(C)</enum><text display-inline="yes-display-inline">the applicant will use the facility
				improved or resulting from the project for its intended use for a period of at
				least 20 years after completion of the project and has sufficient funds
				available to demonstrate effective use of such facility for its intended
				use;</text>
							</subparagraph><subparagraph id="HDB03EAC6841E4D72B2E4B550F3C65A90"><enum>(D)</enum><text>sufficient funds
				will be available to meet the non-Federal share of the cost of the
				infrastructure improvement; and</text>
							</subparagraph><subparagraph id="H685A8F9CD3FB45A5980F06887EDDF0F3"><enum>(E)</enum><text>the proposed
				infrastructure improvement will expand the applicant’s capacity for research,
				prevention or patient care, or is necessary to improve or maintain the quality
				of the applicant’s research, prevention, or patient care.</text>
							</subparagraph></paragraph><paragraph id="H81F5BEB7E7EE4368910DF7A761462A44"><enum>(3)</enum><header>No further
				requirements</header><text>The Secretary shall not promulgate any further
				requirements or restrictions on a qualifying cancer center to obtain assistance
				under this section other than those specified in this section.</text>
						</paragraph><paragraph id="H1CC8B4323F254C6A820B77CA15CDB83D"><enum>(4)</enum><header>Terms of
				loans</header>
							<subparagraph id="H336A5A519FEF43A1812085A6B3118514"><enum>(A)</enum><header>In
				general</header><text>Loans under this section shall be made consistent with
				the requirements of this section.</text>
							</subparagraph><subparagraph id="H794BF5D09BE747F38CEA479A117BCBD0"><enum>(B)</enum><header>Interest
				rate</header><text display-inline="yes-display-inline">The interest rate for
				loans provided under this section shall be at lowest of the following (as
				published or determined, as the case may be, as of the date of the enactment of
				this section):</text>
								<clause id="HC01A7045295B49DEA69B6ED2C18F2BFC"><enum>(i)</enum><header>Prime
				rate</header><text>The bank prime loan rate posted by a majority of the largest
				25 United States chartered commercial banks, as determined based on assets in
				domestic offices and as published by the Board of Governors of the Federal
				Reserve System.</text>
								</clause><clause id="H5A89901D61CF4EA2B5503187C20B087B"><enum>(ii)</enum><header>Minimum Federal
				interest rate</header><text display-inline="yes-display-inline">The minimum
				annual rate of interest determined under section 3717(a) of title 31, United
				States Code.</text>
								</clause><clause id="H5612C5046AB84347BBEA562706A4800E"><enum>(iii)</enum><header>Municipal
				market data rate</header><text>The Municipal Market Data (MMD) rate for
				triple-A rated bonds with a 1-year maturity, as published by Thomson Financial
				Services.</text>
								</clause></subparagraph><subparagraph id="H73B1BEB5CA1D4F3690C086A6FE6BE683"><enum>(C)</enum><header>Limitations on
				loans</header><text>The maximum, aggregate amount of loans that may be made
				under this section (and for which reimbursement may be provided under
				subsection (d)(2)) for a qualifying cancer center is 75 percent of the total
				project costs, but not to exceed—</text>
								<clause id="HCD8F19125C344790B08C0E0F0F14D02E"><enum>(i)</enum><text>$100,000,000 for a
				qualifying cancer center described in subsection (b)(1)(B); or</text>
								</clause><clause id="HCE21D9CA21774DF29CA28EFD5587BC9C"><enum>(ii)</enum><text>$50,000,000 for
				any other qualifying cancer center.</text>
								</clause></subparagraph></paragraph></subsection><subsection id="H949718DE5ECC4E3BBA0926C4E6828DA2"><enum>(d)</enum><header>Forgiveness;
				reimbursement alternative</header>
						<paragraph id="H7A69E982DC104BA9A355C98440F5E52C"><enum>(1)</enum><header>In
				general</header><text display-inline="yes-display-inline">The Secretary may
				forgive repayment of a loan under this section to a qualifying cancer center
				described in subsection (b)(1)(B) if the center submits to the Secretary a
				written request for loan forgiveness under this paragraph and demonstrates that
				under the project for which the loan was made the center—</text>
							<subparagraph id="HDFE2BEF60C704DAA90BD56FCB3B2E989"><enum>(A)</enum><text>has made
				reasonable depth and breadth of research activities in each of the three major
				areas of laboratory research, clinical research, and population-based research,
				with substantial transdisciplinary research that bridges these scientific
				areas;</text>
							</subparagraph><subparagraph id="HE03E6EB1F50E4544ACA51778B8E6BDAC"><enum>(B)</enum><text>has initiated and
				conducted investigator-initiated, early phase, innovative clinical trials;
				and</text>
							</subparagraph><subparagraph id="H104F7E119EA54041B0B5FD35BECC8D1F"><enum>(C)</enum><text>has performed
				community service, outreach, dissemination, and education and training of
				biomedical researchers and health care professionals.</text>
							</subparagraph></paragraph><paragraph id="H27ECDD13F8D44244AA244644C2EF76DC"><enum>(2)</enum><header>Alternative of
				reimbursement of other loans</header><text display-inline="yes-display-inline">The Secretary shall establish an
				alternative to making a loan and providing loan forgiveness under paragraph (1)
				under which a qualifying cancer center may elect to obtain a loan from a source
				other than under this section, and, in the event that it would otherwise
				qualify for loan forgiveness under paragraph (1), the Secretary shall provide
				for reimbursement for the amount of such loan.</text>
						</paragraph></subsection><subsection id="H4B3265F1304C4612864A176B9C390562"><enum>(e)</enum><header>Funding</header>
						<paragraph id="H51B5D3E5E34C4539B9319EC6951BEB41"><enum>(1)</enum><header>In
				general</header><text>To carry out this section, there are appropriated out of
				amounts in the Treasury not otherwise appropriated, $900,000,000.</text>
						</paragraph><paragraph id="H8ACA1CCB28544995A2B96692223F35FB"><enum>(2)</enum><header>Administrative
				costs</header><text>For the administration of this section, Secretary may not
				use more than $1,000,000 from the funds made available under paragraph (1) for
				fiscal years 2012 through 2014.</text>
						</paragraph><paragraph id="HFDEE61CB6CD04477988CF046C0818977"><enum>(3)</enum><header>Availability</header><text>Amounts
				appropriated under this section shall be available for obligation and obligated
				during the period beginning on October 1, 2011, and ending on September 30,
				2014.</text>
						</paragraph></subsection><subsection id="H74470117468340C081EDAE4625FFBF4A"><enum>(f)</enum><header>Report to
				congress</header><text>Not later than 3 years after the date of the enactment
				of this section, the Secretary shall submit to Congress a report on the
				projects for which loans are provided under this section (or reimbursement is
				provided under subsection (d)(2)) and a recommendation as to whether the
				Congress should authorize the Secretary to continue loans under this section
				beyond fiscal year
				2014.</text>
					</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
		</section></legis-body>
</bill>
