1.This Act may be cited as the
Comprehensive Dental Reform Act of
2012
.
2.The table of contents
of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Findings.
TITLE I—Medicare and Medicaid
Subtitle A—Medicare
Sec. 101. Coverage of dental services under the Medicare
program.
Subtitle B—Medicaid
Sec. 111. Coverage of dental services under the Medicaid
program.
Subtitle C—Grant programs
Sec. 121. Case management grant program.
TITLE II—Public Health programs
Subtitle A—National Health Service Corps
Sec. 201. National Health Service Corps.
Subtitle B—Oral health education
Sec. 211. Authorization of appropriations for oral health
education for medical providers.
Sec. 212. Oral health education for other non-health
professionals.
Sec. 213. Dental education.
Sec. 214. Oral health professional student loans.
Subtitle C—Other oral health programs
Sec. 221. Access points.
Sec. 222. Dental clinics in schools.
Sec. 223. Emergency room care coordination.
Sec. 224. Research funding.
Sec. 225. Mobile and portable dental services.
TITLE III—Department of Veterans Affairs and Department of
Defense Matters
Subtitle A—Department of Veterans Affairs Matters
Sec. 301. Requiring Secretary of Veterans Affairs to furnish
dental care in same manner as any other medical service.
Sec. 302. Demonstration program on training and employment of
alternative dental health care providers for dental health care services for
veterans in rural and other underserved communities.
Subtitle B—Department of Defense Matters
Sec. 311. Demonstration program on training and employment of
alternative dental health care providers for dental health care services for
members of the Armed Forces and dependents lacking ready access to such
services.
TITLE IV—Federal Bureau of Prisons
Sec. 401. Demonstration program on training and employment of
alternative dental health care providers for dental health care services for
prisoners within the custody of the Bureau of Prisons.
TITLE V—Indian Health Service
Sec. 501. Demonstration program on training and employment of
alternative dental health care providers for dental health care services under
the Indian Health Service.
TITLE VI—Reports to Congress
Sec. 601. Evaluation of expansion of coverage for dental
services.
TITLE VII—Funding
Sec. 701. Transaction tax.
3.Congress makes the following
findings:
(1)The United States
must establish a nationwide and comprehensive approach to address the lack of
access to needed dental care and reduce oral health disparities.
(2)Since 2000, when
the Surgeon General of the United States called dental disease a silent
epidemic
, there has been increasing but still insufficient attention
given to addressing oral health issues. The Healthy People 2020 initiative
includes oral health as a leading health indicator for the first time in the
history of the Healthy People program, and in 2011, the Institute of Medicine
published 2 reports, Improving Access to Oral Health Care for Vulnerable
and Underserved Populations
and Advancing Oral Health in
America
, that focused on oral health.
(3)Dental caries,
commonly known as cavities, are the most common chronic disease for children in
the United States, affecting nearly 60 percent of children between 5 and 17
years of age. Additionally, 25 percent of American adults who have attained 65
years of age have lost all of their teeth.
(4)Untreated oral
health problems contribute to an increased risk for serious medical conditions
such as diabetes, hospital-acquired pneumonia, and poor birth outcomes.
(5)More than
47,000,000 individuals reside in areas where it is difficult to access dental
care. Only 45 percent of Americans over 2 years of age have had a dental visit
in the preceding 12 months, and approximately 17,000,000 low-income children go
each year without seeing a dentist.
(6)While the lack of
access to oral health services is a national problem, those who are most likely
to remain underserved are individuals with low incomes, racial and ethnic
minorities, pregnant women, older adults, individuals with special needs, and
individuals living in rural communities.
(7)Nearly 9,500
additional dental providers are needed in order to meet this Nation's current
oral health needs, especially to work in areas where the need for dental care
is the greatest. Only 20 percent of practicing dentists in the United States
provide care to individuals enrolled in Medicaid, and a very small percentage
of dentists devote a substantial part of their practice towards caring for
individuals who are underserved.
(8)Over 40 percent of
the total expenditures on dental care in the United States are out-of-pocket
payments by individuals.
(9)The Medicare
program and the Department of Veterans Affairs do not provide dental coverage
to the majority of their beneficiaries, and States can elect whether to provide
dental coverage to adults under the Medicaid program.
(10)The number of
individuals without dental health insurance is 3 times higher than the number
of individuals who lack general health insurance.
(11)The lack of
access to oral health services can be extremely costly, resulting in higher
health care expenditures. In 2009, there were over 830,000 visits to emergency
rooms across the United States for preventable dental conditions, which is 16
percent higher than in 2006.
(12)According to a
report by the Surgeon General of the United States, students miss more than
51,000,000 hours of school and employed adults lose more than 164,000,000 hours
of work each year due to dental disease and dental visits.
<enum>I</enum><header>Medicare and
Medicaid</header>
<subtitle id="H30E89E70BA104251836B9E51E79A1AC8"><enum>A</enum><header>Medicare</header>
<section id="H999CC814217949F4B9B9B2EE8E26406B"><enum>101.</enum><header>Coverage of
dental services under the Medicare program</header>
<subsection id="H31EFDEE6FD9F4FF5B68B4E8922F230A3"><enum>(a)</enum><header>Coverage</header><text>Section
1861(s)(2) of the <act-name parsable-cite="SSA">Social Security Act</act-name>
(42 U.S.C. 1395x(s)(2)) is amended—</text>
<paragraph id="H7A659A6AA71F469299CAEE883E133346"><enum>(1)</enum><text>in subparagraph
(EE), by striking <quote>and</quote> after the semicolon at the end;</text>
</paragraph><paragraph id="HAAE7F701D8D3447C97BDF8228ADCA5C2"><enum>(2)</enum><text>in subparagraph
(FF), by adding <quote>and</quote> after the semicolon at the end; and</text>
</paragraph><paragraph id="H49FA9AE6678A4C9D85E89A95F1072841"><enum>(3)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H9BACDCF7E4224DADBFE864C3F808FE01" style="OLC">
<subparagraph id="HDDE0890DB06E4059B3B824A0E0437385" indent="up1"><enum>(GG)</enum><text>dental services (as defined in
subsection
(iii));</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H43A10B73636A4FA795A5865788726E6E"><enum>(b)</enum><header>Dental services
defined</header><text>Section 1861(s) of the Social Security Act (42 U.S.C.
1395x(s)) is amended by adding at the end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H851181C4417E4671BCA07FCF172D0229" other-style="archaic" style="other">
<subsection id="H37B2A311BEB04168B4805EF8FE9B8990"><enum>(iii)</enum><header>Dental services</header><paragraph commented="no" display-inline="yes-display-inline" id="H5A4C2BC2E1FF4F8D9CE745A00FCB0B2B"><enum>(1)</enum><text>The term <term>dental
services</term> means oral health services (as defined by the Secretary)
provided by a licensed oral health care provider that are necessary to prevent
disease and promote oral health, restore oral structures to health and
function, and treat emergency conditions.</text>
</paragraph><paragraph id="H71823021D1A548CC9557743FBD14EC3E" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">For purposes of paragraph (1), such term
shall include mobile and portable oral health services (as defined by the
Secretary) that—</text>
<subparagraph id="H1ECFA20CEABB49869B5343C1765F2620"><enum>(A)</enum><text display-inline="yes-display-inline">are provided for the purpose of overcoming
mobility, transportation, and access barriers for individuals; and</text>
</subparagraph><subparagraph id="HCBEF8498E41E4159B9D6857C2DFEAD36"><enum>(B)</enum><text>satisfy the standards and
certification requirements established under section 1902(a)(84)(B) for the
State in which the services are
provided.</text>
</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H9C3784173AA14FCAA456B4307BCCBC14"><enum>(c)</enum><header>Payment and
coinsurance</header><text>Section 1833(a)(1) of the Social Security Act (42
U.S.C. 1395l(a)(1)) is amended—</text>
<paragraph id="HEA65AA4539B04618BBECB8ADB859C877"><enum>(1)</enum><text>by striking
<quote>and</quote> before <quote>(Z)</quote>; and</text>
</paragraph><paragraph id="HBABEE72F53BC4F3F8F50B839D90600D2"><enum>(2)</enum><text>by inserting
before the semicolon at the end the following: <quote>, and (AA) with respect
to dental services (as defined in section 1861(iii)), the amount paid shall be
(i) in the case of such services that are dental health preventive services
described in paragraph (1)(D) of such section, 100 percent of the lesser of the
actual charge for the services or the amount determined under the payment basis
determined under section 1848, and (ii) in the case of all other such services,
80 percent of the lesser of the actual charge for the services or the amount
determined under the payment basis determined under section
1848</quote>.</text>
</paragraph></subsection><subsection id="H43ED2E2D9E0845FEAAC2E28AEDBC4300"><enum>(d)</enum><header>Payment under
physician fee schedule</header><text>Section 1848(j)(3) of the Social Security
Act (42 U.S.C. 1395w–4(j)(3)) is amended by inserting <quote>(2)(GG),</quote>
after <quote>risk assessment),</quote>.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="HDDB02D6A80C64688AB35A4D2C634C69E"><enum>(e)</enum><header>Dentures</header><text>Section
1861(s)(8) of the <act-name parsable-cite="SSA">Social Security Act</act-name>
(42 U.S.C. 1395x(s)(8)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H6636333ADAFE4068BC83753F342FC4C9"><enum>(1)</enum><text>by striking
<quote>(other than dental)</quote> and inserting <quote>(including
dentures)</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H5192F9BEB9314753A8E6AAAB677B79E0"><enum>(2)</enum><text>by striking
<quote>internal body</quote>.</text>
</paragraph></subsection><subsection id="H2DC37FB3084841BFB8FF8A7BD4F6575C"><enum>(f)</enum><header>Repeal of ground
for exclusion</header><text>Section 1862(a) of the Social Security Act (42
U.S.C. 1395y) is amended by striking paragraph (12).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="HDBA91274C3F94E4492F9519A507422C0"><enum>(g)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to services
furnished on or after January 1, 2013.</text>
</subsection></section></subtitle><subtitle id="H00DEB48860344E9D8CDDB6B18AE44EC0"><enum>B</enum><header>Medicaid</header>
<section id="H507A68EC69A34D2197201AB1C4086524"><enum>111.</enum><header>Coverage of
dental services under the Medicaid program</header>
<subsection id="HC24F363773AE4EFD9C79B8946C5DD992"><enum>(a)</enum><header>In
general</header><text>Section 1905 of the Social Security Act (42 U.S.C. 1396d)
is amended—</text>
<paragraph id="HED86BB62495C43D58512A3C6FE9F06F9"><enum>(1)</enum><text>in subsection
(a)(10), by adding <quote>(as described in subsection (ee)(1))</quote> after
<quote>dental services</quote>; and</text>
</paragraph><paragraph id="H9478B9106C1F440FBFCE07D9B6BDF4FD"><enum>(2)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H295D73663F594EDC9603B0DC6A064098" style="traditional">
<subsection id="H4D59B0F30AF3423B93C8625B2736B958"><enum>(ee)</enum><paragraph commented="no" display-inline="yes-display-inline" id="H961AAD5857E34577B20B5690D47A202E"><enum>(1)</enum><text>Subject to paragraphs
(2) and (3), for purposes of this title, the term <term>dental services</term>
means oral health services (as defined by the Secretary) provided by a licensed
oral health care provider that are necessary to prevent disease and promote
oral health, restore oral structures to health and function, and treat
emergency conditions.</text>
</paragraph><paragraph id="HFF60FC58804E47E08019DF9BF899DAD4" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">For purposes of paragraph (1), such term
shall include mobile and portable oral health services (as defined by the
Secretary) that—</text>
<subparagraph id="H51F94EFFD428414895164909CAC5492D"><enum>(A)</enum><text>are provided for the purpose of
overcoming mobility, transportation, and access barriers for individuals;
and</text>
</subparagraph><subparagraph id="HF51A7EC6967B42729415569881A87BBC"><enum>(B)</enum><text>satisfy the standards and
certification requirements established under section 1902(a)(84)(B) for the
State in which the services are provided.</text>
</subparagraph></paragraph><paragraph id="H3D93024824274D74B76026CDB5F19497" indent="up1"><enum>(3)</enum><text>For purposes of paragraph (1), such
term shall not apply to dental care or services provided to individuals under
the age of 21 under subsection
(r)(3).</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H28651C1D77BC432690EF9C93140D6856"><enum>(b)</enum><header>Conforming
amendments</header><text>Section 1902(a) of such Act (42 U.S.C. 1396a(a)) is
amended—</text>
<paragraph id="HE3531C3E607C47EEA918F1A38F41D768"><enum>(1)</enum><text>in paragraph
(10)(A), in the matter preceding clause (i), by inserting <quote>(10),</quote>
after <quote>(5),</quote>;</text>
</paragraph><paragraph id="HAD334233F0464CF592CF48C6AF082885"><enum>(2)</enum><text>in paragraph
(82)(C), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="HDD51A4762CF840C78D8A3BAB91426D81"><enum>(3)</enum><text>in paragraph (83),
by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</paragraph><paragraph id="H67CB0CB3995040FD92E150F93C466587"><enum>(4)</enum><text>by inserting after
paragraph (83) the following:</text>
<quoted-block display-inline="no-display-inline" id="H0993FE5911AD43C9B6868F530FF0B7FA" style="OLC">
<paragraph id="HA400395BAD9E43EA8A8549E8C065DF10"><enum>(84)</enum><text>provide
for—</text>
<subparagraph id="HC140B9291E494F86A578C3CC563A97D2"><enum>(A)</enum><text>informing, in
writing, all individuals who have been determined to be eligible for medical
assistance of the availability of dental services (as defined in section
1905(ee)(1)); and</text>
</subparagraph><subparagraph id="H6C59D8EA587A40DF9B9632D6AE796069"><enum>(B)</enum><text>establishing and
maintaining standards for and certification of mobile and portable oral health
services (as described in subsections (r)(3)(C) and (ee)(2) of section
1905).</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H0C99AA47ED9144369E23CF617E7BB066"><enum>(c)</enum><header>Mobile and
portable oral health services under EPSDT</header><text>Section 1905(r)(3) of
the Social Security Act (42 U.S.C. 1396d(r)(3)) is amended—</text>
<paragraph id="HEF828AC88FC341BCBC56154D5115C39F"><enum>(1)</enum><text>in subparagraph
(A)(ii), by striking <quote>; and</quote> and inserting a semicolon;</text>
</paragraph><paragraph id="H705983FA5F4F44C79D8340CA9BB0CE63"><enum>(2)</enum><text>in subparagraph
(B), by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</paragraph><paragraph id="HA1299068D89649888F51EB98F3CD1196"><enum>(3)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H8281F8199AFA44A2A516E8F9087742F4" style="OLC">
<subparagraph id="H89EC629B435E49ECB25832C5CADE8EAF" indent="up1"><enum>(C)</enum><text>which shall include mobile and
portable oral health services (as defined by the Secretary) that—</text>
<clause id="H800BA58AD32D4754B3377781A3D8C45D"><enum>(i)</enum><text>are provided for the purpose of
overcoming mobility, transportation, or access barriers for children;
and</text>
</clause><clause id="H34B76585668A49B0B803890C4390CC09"><enum>(ii)</enum><text>satisfy the standards and
certification requirements established under section 1902(a)(84)(B) for the
State in which the services are
provided.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HB68A31A34FF74077A88816789C0B9FA3"><enum>(d)</enum><header>Increased
federal funding for dental services</header>
<paragraph id="HA532A8B37B6345C685930DF34D03E02F"><enum>(1)</enum><header>In
general</header><text>Section 1905 of the Social Security Act (42 U.S.C.
1396d), as amended by subsection (a), is amended—</text>
<subparagraph id="H480469026F7D4062A0EE25A4BCFBBE1B"><enum>(A)</enum><text>in subsection (b),
in the first sentence, by striking <quote>and (aa)</quote> and inserting
<quote>(aa), and (ff)</quote>; and</text>
</subparagraph><subparagraph id="HBE18561772FA42E78232A1C4EBCBB762"><enum>(B)</enum><text>by adding at the
end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H2CED5B2E1B154F47B3B4F47749E4F09F" style="OLC">
<subsection commented="no" id="H9CF739E8761A4B74A9ED061B2AD58B5C"><enum>(ff)</enum><header>Increased FMAP
for dental services</header>
<paragraph commented="no" id="HC01A33FB110F4B48BF60ABE538D445AD"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">Notwithstanding
subsection (b) and section 1903(a)(7) and subject to the requirements described
in paragraphs (3) and (4), with respect to amounts expended on or after October
1, 2012, for covered dental expenses (as described in paragraph (2)), the
Federal medical assistance percentage for a State that is one of the 50 States
or the District of Columbia for such expenses shall be equal to the Federal
medical assistance percentage that would otherwise apply to the State for the
fiscal year, as determined under subsection (b) or section 1903(a)(7),
increased by 10 percentage points.</text>
</paragraph><paragraph commented="no" id="H4BC54BCE6ED7471EA842B78CCB9563A5"><enum>(2)</enum><header>Covered dental
expenses</header><text>For purposes of paragraph (1), the term <term>covered
dental expenses</term> means the amounts expended for medical assistance for
dental services (as described in subsection (ee)(1)) and amounts expended for
the proper and efficient administration of the provision of such dental
services under the State plan.</text>
</paragraph><paragraph commented="no" id="HEFDF5FE9971048FA963A09C9D9D0255D"><enum>(3)</enum><header>Requirements</header><text display-inline="yes-display-inline">For purposes of paragraph (1), the Federal
medical assistance percentage applicable to covered dental expenses under this
subsection shall not apply to a State unless—</text>
<subparagraph commented="no" id="HBDBAB6BB6B0D4378ABD24565BE0774C1"><enum>(A)</enum><text display-inline="yes-display-inline">the State plan for medical assistance
provides payment for dental services (as so defined) furnished by a dental
provider at a rate that is not less than 70 percent of the usual and customary
fee for such services in the State; and</text>
</subparagraph><subparagraph commented="no" id="H06E55BDB3A5448DC96F62310370D814C"><enum>(B)</enum><text display-inline="yes-display-inline">the State satisfies such additional
requirements as are established by the Secretary, which shall include—</text>
<clause commented="no" id="H4157884F4AF243DFBE4EE437EEF1C262"><enum>(i)</enum><text display-inline="yes-display-inline">streamlining of administrative procedures
for purposes of ensuring adequate provider participation and increasing patient
utilization of dental services; and</text>
</clause><clause commented="no" id="HCFB8BC00B5364853AF592C20951206E9"><enum>(ii)</enum><text>the provision of
technical assistance to dental providers designed to reduce the number of
missed patient appointments and eliminate other barriers to the provision of
oral health services.</text>
</clause></subparagraph></paragraph><paragraph commented="no" id="H87894562820843F4ABC581AFD5451AD8"><enum>(4)</enum><header>Limitation</header><text>For
purposes of amounts expended for covered dental services, in no case shall any
increase under this subsection result in a Federal medical assistance
percentage that exceeds 100
percent.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HE7C520166B2A4A4DA2C66A5824DD051C"><enum>(2)</enum><header>Conforming
amendment</header><text>Section 1903(a)(7) of the Social Security Act (42
U.S.C. 1396b(a)(7)) is amended by striking <quote>section 1919(g)(3)(B)</quote>
and inserting <quote>sections 1905(ff) and 1919(g)(3)(B)</quote>.</text>
</paragraph></subsection><subsection id="H3697019FD38B4B3DA0B2609C03A145C3"><enum>(e)</enum><header>Effective
date</header>
<paragraph id="H65D28C47E681409CBC553762B37C1952"><enum>(1)</enum><header>In
general</header><text>Except as provided in paragraph (2), the amendments made
by this section shall apply to calendar quarters beginning on or after January
1, 2013, without regard to whether or not final regulations to carry out such
amendments have been promulgated by such date.</text>
</paragraph><paragraph id="H502CBD4CA59647FBA3566239DF9AD05F"><enum>(2)</enum><header>Delay permitted
for State plan amendment</header><text>In the case of a State plan for medical
assistance under title XIX of the Social Security Act which the Secretary of
Health and Human Services determines requires State legislation (other than
legislation appropriating funds) in order for the plan to meet the additional
requirements imposed by the amendments made by this section, the State plan
shall not be regarded as failing to comply with the requirements of such title
solely on the basis of its failure to meet these additional requirements before
the first day of the first calendar quarter beginning after the close of the
first regular session of the State legislature that begins after the date of
enactment of this Act. For purposes of the previous sentence, in the case of a
State that has a 2-year legislative session, each year of such session shall be
deemed to be a separate regular session of the State legislature.</text>
</paragraph></subsection></section></subtitle><subtitle id="H7E86E1A2D74C40B2BBC2042657BB72CB"><enum>C</enum><header>Grant
programs</header>
<section id="H10A8500972E54B749789F3BB29C2BBEE"><enum>121.</enum><header>Case management
grant program</header>
<subsection id="H154C528522804FF8983D6EB00DA5BAE4"><enum>(a)</enum><header>Establishment</header><text>The
Secretary shall award grants to States and eligible entities for the purpose of
developing case management programs that—</text>
<paragraph id="H033E278AB6D5499E98E899723BC9A39E"><enum>(1)</enum><text>identify eligible
individuals who are in need of dental services, with a particular focus on
pregnant women, individuals with disabilities, and older adults, and provide
them with information regarding dental providers in proximity to their
residence;</text>
</paragraph><paragraph id="HC6FBF9A678CF429FB11B25373E32E4F1"><enum>(2)</enum><text>determine the
coverage status of an eligible individual or whether such individual is
eligible for free dental services;</text>
</paragraph><paragraph id="H148884121D5F42C49CEE804364D46C21"><enum>(3)</enum><text>recruit licensed
dental providers and coordinate the voluntary provision of medically
recommended dental services by such providers to eligible individuals described
in subsection (f)(2)(E) with no fee or charge to such individuals and in a
manner consistent with State licensing laws;</text>
</paragraph><paragraph id="H4FC87BFCC7D648378AA159C40B928D94"><enum>(4)</enum><text>provide
community-level oral health education, with a focus on oral health literacy and
prevention, and resource information to eligible individuals; and</text>
</paragraph><paragraph id="H19306363B854458180359ABEE25C7E49"><enum>(5)</enum><text>identify and
coordinate transportation for eligible individuals in need of dental services
as necessary to overcome mobility impairments and transportation
barriers.</text>
</paragraph></subsection><subsection commented="no" id="H6E3747522FB24971A192E499CAD8CF45"><enum>(b)</enum><header>Application</header><text>A
State or eligible entity that desires to participate in the grant program under
this section shall submit to the Secretary an application at such time, in such
manner, and containing such information as the Secretary may require.</text>
</subsection><subsection commented="no" id="H07359C4FF3FC46C2A221936334EB6245"><enum>(c)</enum><header>Duration and
scope</header><text>From any amounts appropriated to carry out this section,
the Secretary shall award grants to a total of 10 States and eligible entities,
with the amount of each grant to be determined at the discretion of the
Secretary.</text>
</subsection><subsection commented="no" id="H59412D81709E4351ADF171D6B9460904"><enum>(d)</enum><header>Evaluation</header><text>Not
later than January 1, 2016, the Secretary shall—</text>
<paragraph commented="no" id="H67B08D71C5E14B779821127A9590A357"><enum>(1)</enum><text>conduct an
evaluation of the grant program under this section for purposes of determining
if case management programs established by participating States and eligible
entities sufficiently increased access to dental services; and</text>
</paragraph><paragraph commented="no" id="H13307F72522042E086838585B2F50E11"><enum>(2)</enum><text>determine whether
case management programs should be made available on a nationwide basis.</text>
</paragraph></subsection><subsection commented="no" id="HE01BEC67F43C4DD2A2CA75006DAE5110"><enum>(e)</enum><header>Authorization</header><text>To
carry out the grant program under this section, there are authorized to be
appropriated such sums as may be necessary for each of fiscal years 2013
through 2015.</text>
</subsection><subsection id="H55CF8354CA5B465EAEAF63D152A81A2D"><enum>(f)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="H6A88A1C212604F37A0EAD51AAE95FEEA"><enum>(1)</enum><header>Eligible
entity</header><text>The term <term>eligible entity</term> means an
organization that is described in section 501(c)(3) of the Internal Revenue
Code of 1986 and exempt from tax under section 501(a) of such Code.</text>
</paragraph><paragraph id="H4F178894C0404DA8B11D6004DF6E5561"><enum>(2)</enum><header>Eligible
individual</header><text>The term <term>eligible individual</term> means an
individual who is—</text>
<subparagraph id="HB2535CF5C65340B7BC4D1A018637C6C5"><enum>(A)</enum><text>entitled to, or
enrolled for, benefits under part A of title XVIII of the Social Security Act
or enrolled for benefits under part B of such title;</text>
</subparagraph><subparagraph id="H38F65B7C9BA4407586B60B97EAFC05A1"><enum>(B)</enum><text>eligible to
receive medical assistance under a State plan under title XIX of the Social
Security Act or any waiver approved with respect to such plan;</text>
</subparagraph><subparagraph id="H889098DE126244E28DBFB36028C096FF"><enum>(C)</enum><text>eligible to
receive child health assistance under a State child health plan under title XXI
of the Social Security Act or any waiver approved with respect to such
plan;</text>
</subparagraph><subparagraph id="HDE35B97E85204786860C68463C9A66C3"><enum>(D)</enum><text>entitled to
receive medical benefits under the laws administered by the Secretary of
Veterans Affairs; or</text>
</subparagraph><subparagraph id="H5A9CE88315AC480EACDCBD8830A864B7"><enum>(E)</enum><text>has an income
below 200 percent of the Federal poverty level and does not otherwise have any
dental insurance coverage.</text>
</subparagraph></paragraph><paragraph id="HAEAA3499944B4BFDA619F05A7B14E454"><enum>(3)</enum><header>Secretary</header><text>The
term <term>Secretary</term> means the Secretary of Health and Human
Services.</text>
</paragraph><paragraph id="H81D00829E7054753A9C2A678A01370CC"><enum>(4)</enum><header>State</header><text>The
term <term>State</term> means the 50 States and the District of
Columbia.</text>
</paragraph></subsection></section></subtitle><enum>II</enum><header>Public Health
programs</header>
<subtitle id="H3239BFE896794657A185C59DC966FDA8"><enum>A</enum><header>National Health
Service Corps</header>
<section id="HFC5AAC3581384A6C8BF98093B6795917"><enum>201.</enum><header>National Health
Service Corps</header>
<subsection id="HDDFDFEE8D50542DA8F8885E4F84AEDBB"><enum>(a)</enum><header>In
general</header><text>Section 331 of the Public Health Service Act (42 U.S.C.
254d) is amended—</text>
<paragraph id="H7DCF2DDDFF234EB6A36C95F642481A64"><enum>(1)</enum><text>in subsection
(a)(3), by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HCA661232DC484B3C8604C3EAA2B04917" style="OLC">
<subparagraph id="H5739237F5B424FA7A53018FED369ED3F"><enum>(F)</enum><text>The term
<term>dental therapist</term> means, with respect to a State that licenses such
dental therapists, a mid-level dental practitioner who is licensed to practice
under the law of the State and who provides preventive and restorative services
directly to the public, commensurate with the scope of the
practice.</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="H8EB37FFB4478454AA160064F242FC4D8"><enum>(2)</enum><text>in subsection
(b)—</text>
<subparagraph id="HF75036D652E440E6BB0E2C0D0E2188EE"><enum>(A)</enum><text>in paragraph (1),
by inserting <quote>, dental therapy,</quote> after <quote>dental</quote>;
and</text>
</subparagraph><subparagraph id="H74A9FA2C18FD48F7ABDF5D0281B4A787"><enum>(B)</enum><text>in paragraph (2),
by inserting <quote>dental therapists,</quote> after
<quote>dentists,</quote>.</text>
</subparagraph></paragraph></subsection><subsection commented="no" id="H8A6E15F69875473895870488B33AB648"><enum>(b)</enum><header>Facilitation of
effective provision of corps services</header><text>Section 336(f)(3) of the
Public Health Service Act (42 U.S.C. 254h–1(f)(3)) is amended by inserting
<quote>dental therapists</quote> after <quote>midwives,</quote>.</text>
</subsection><subsection id="H188AB878CDCC476E8B62EE812ED0F319"><enum>(c)</enum><header>Scholarship
program and loan repayment program</header>
<paragraph id="H0A51314F6D6F451B91F745A47774D272"><enum>(1)</enum><header>Scholarship
program</header><text>Section 338A of the Public Health Service Act (42 U.S.C.
254l) is amended—</text>
<subparagraph id="H3D01B9778CBA40959AA9A11800841471"><enum>(A)</enum><text>in subsection
(a)(1), by inserting <quote>dental therapists,</quote> after
<quote>dentists,</quote>; and</text>
</subparagraph><subparagraph commented="no" id="HB4047231BC164F248C8F7E281E381E78"><enum>(B)</enum><text>in subsection
(b)(1), by inserting <quote>including dental therapy,</quote> after <quote>or
other health profession,</quote>.</text>
</subparagraph></paragraph><paragraph id="H7E2A8D1CF0ED456AAA77FA820ABF2CAF"><enum>(2)</enum><header>Loan repayment
program</header><text>Section 338B of the Public Health Service Act (42 U.S.C.
254l–1) is amended—</text>
<subparagraph id="H45C62F1CA9294537884214F002D10EA2"><enum>(A)</enum><text>in subsection
(a)(1), by inserting <quote>dental therapists,</quote> after
<quote>dentists,</quote>; and</text>
</subparagraph><subparagraph id="H253B98A8F5D640D99E0A1FA3DBE31D63"><enum>(B)</enum><text>in subsection
(b)(1)—</text>
<clause id="HD9A09CFBC1E047D8A21C106EA064932C"><enum>(i)</enum><text>in
subparagraph (A), by inserting <quote>dental therapist,</quote> after
<quote>nurse practitioner,</quote>;</text>
</clause><clause id="H1865D122374847B98881DAFBB0E22769"><enum>(ii)</enum><text>in
subparagraph (B), by inserting <quote>dental therapy,</quote> after
<quote>mental health,</quote>; and</text>
</clause><clause commented="no" id="H3F011BDCADC642C68E4453759A35EF7A"><enum>(iii)</enum><text>in subparagraph
(C)(ii), by inserting <quote>, including dental therapy,</quote> after
<quote>health profession</quote>.</text>
</clause></subparagraph></paragraph><paragraph commented="no" id="HE5554C0533414430A080614AE933D4FF"><enum>(3)</enum><header>Authorization of
appropriations</header><text>Section 338H of the Public Health Service Act (42
U.S.C. 254q) is amended—</text>
<subparagraph commented="no" id="H8BC2843A3E9349B78FB468A5B44F028E"><enum>(A)</enum><text>in subsection (a),
by striking <quote>this section</quote> and inserting <quote>this
subpart</quote>; and</text>
</subparagraph><subparagraph commented="no" id="H6CA024D58B3A4DF881A6E640C75A8612"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="HCEEE4BE15830440CA6B8F9A35D550BF9" style="OLC">
<subsection id="H4EB5AE4EDF10406EACDB47FAD1C2CF38"><enum>(d)</enum><header>Authorization of
appropriations with respect to oral health professionals</header><text>To carry
out this subpart with respect to dentists, dental therapists, and dental
hygienists, in addition to the amounts authorized under subsection (a), there
is authorized to be appropriated such sums as may be necessary for fiscal years
2013 through 2016, which shall be used to provide scholarships to such oral
health
professionals.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection></section></subtitle><subtitle id="H2A2F427EC1124A2B8AB5127ACA4B0402"><enum>B</enum><header>Oral health
education</header>
<section id="HF08F02451D36452E9CE05F0DF06BC2CA"><enum>211.</enum><header>Authorization
of appropriations for oral health education for medical providers</header><text display-inline="no-display-inline">Section 747(c) of the Public Health Service
Act (42 U.S.C. 293k(c)) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HBAC3098E148842309C083A2EEE85BCCF" style="OLC">
<paragraph id="HB971757798044E44ADA202EC19040D6E"><enum>(4)</enum><header>Oral health
education</header><text>In addition to other amounts authorized under this
subsection for purposes of carrying out this section, there is authorized to be
appropriated such sums as may be necessary for fiscal years 2013 through 2016
for the purpose of educating nondental medical professionals, including
physicians, nurses, and pharmacists, about oral health, including issues such
as oral hygiene instruction, topical application of fluoride, and oral health
screenings, with the goal of integrating oral health care into overall health
care.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HDC945F4567AD4CB083BDF59C18032C3F"><enum>212.</enum><header>Oral health
education for other non-health professionals</header><text display-inline="no-display-inline">Subpart I of part C of title VII of the
Public Health Service Act (42 U.S.C. 293k et seq.) is amended by inserting
after section 748 the following:</text>
<quoted-block display-inline="no-display-inline" id="H1F26300E16F542B0B59248DE9A1926C3" style="OLC">
<section id="H9A61CF3C426F44008F8F9148DDD44C30"><enum>748A.</enum><header>Oral health
education for other non-oral health professionals</header>
<subsection id="H0272DB72F76546C783EE10CD98D91AD9"><enum>(a)</enum><header>In
general</header><text>The Secretary may make grants to, or enter into contracts
with, an accredited public or nonprofit private hospital, an educational
institution, or a public or private nonprofit entity which the Secretary has
determined is capable of carrying out such grant or contract to educate
individuals, such as community health workers, social workers, nutritionists,
health educators, occupational therapists, and psychologists, to promote oral
health education and to provide support for behavior change and assistance with
care coordination with respect to oral health.</text>
</subsection><subsection id="H80A4317009F04F4F9393666E76499652"><enum>(b)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there is authorized to
be appropriated such sums as may be necessary for fiscal years 2013 through
2016.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H71FC4F858AD14998958388673D4A9696"><enum>213.</enum><header>Dental
education</header>
<subsection id="H7F9886EA2F4E4ED2BEA66E8F05E1209A"><enum>(a)</enum><header>Training in
general, pediatric, and public health dentistry</header><text display-inline="yes-display-inline">Section 748 of the Public Health Service
Act (42 U.S.C. 293k–2) is amended—</text>
<paragraph id="H0E28D7CB7465459F9878D84E7D5E6DFC"><enum>(1)</enum><text>in subsection
(a)(1)(H), by striking <quote>pediatric training programs</quote> and inserting
<quote>pediatric dental training programs</quote>; and</text>
</paragraph><paragraph id="HFDFED8324EB34A1E9198F44844826462"><enum>(2)</enum><text>in subsection
(c)—</text>
<subparagraph id="H4B8090560F014DCD86DFFB6143A6B0A1"><enum>(A)</enum><text>by striking the
subsection heading and inserting <quote><header-in-text level="subsection" style="OLC">Requirements for award</header-in-text>.—</quote>;</text>
</subparagraph><subparagraph id="HAFBCBE638DD541D18469DB2090CFCF38"><enum>(B)</enum><text>by amending the
matter preceding paragraph (1) to read as follows: <quote>With respect to
training provided for under this section, the Secretary shall award grants or
contracts only to eligible entities that meet at least 7 of the following
criteria:</quote>;</text>
</subparagraph><subparagraph id="H650131FBD4E7449E9A467F2326736053"><enum>(C)</enum><text>in paragraph (2),
by striking <quote>have a record of training the greatest percentage of
providers, or that have demonstrated significant improvements in the percentage
of providers, who enter and</quote> and inserting <quote>train significant
numbers of providers who</quote>;</text>
</subparagraph><subparagraph id="H9B54943681F644A8BB17D24EB07A1057"><enum>(D)</enum><text>in paragraph
(3)—</text>
<clause id="HF162BC486F3345088F2D55FE48892BE8"><enum>(i)</enum><text>by
striking <quote>have a record of training</quote> and inserting <quote>intent
to train</quote>; and</text>
</clause><clause id="H786A7697A9C841899F2B02977D95AA8C"><enum>(ii)</enum><text>by
striking the period at the end and inserting <quote>and have faculty with
experience in treating underserved populations.</quote>;</text>
</clause></subparagraph><subparagraph id="HC485253D03E14C4E960B0739F3AEA369"><enum>(E)</enum><text>in paragraph (8),
by inserting <quote>or have established</quote> after <quote>establish</quote>;
and</text>
</subparagraph><subparagraph id="HC7EB526D664A45F8A4F0A868F56E65B4"><enum>(F)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="HE763B5CF4BE84333A031078BF8E8ECC3" style="OLC">
<paragraph id="HD346E8AAB2AE4EB2998D81A9620C4398"><enum>(9)</enum><text>Qualified
applicants that require not less than 200 hours of community-based education
rotations.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="H369C0770083F4293BE1D2316835D6631"><enum>(b)</enum><header>Dental residency
programs</header><text>Part B of title III of the Public Health Service Act (42
U.S.C. 243 et seq.) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H6AC7AD8AD98747B1B0E89A7A7968645E" style="OLC">
<section commented="no" id="H5972137EC54B4B848648892A499736B3"><enum>320B.</enum><header>Dental
residency programs</header><text display-inline="no-display-inline">As a
condition for receiving Federal funds, dental training residency programs shall
require individuals enrolled in such residency programs to provide dental
services—</text>
<paragraph commented="no" id="H1009BAA781B34673B90A9A90E8C88BE7"><enum>(1)</enum><text display-inline="yes-display-inline">in hospital emergency rooms; or</text>
</paragraph><paragraph commented="no" id="HF485AE32EB724406941A83598BB7AD78"><enum>(2)</enum><text display-inline="yes-display-inline">in community settings, in addition to the
dental training otherwise required by such residency
program.</text>
</paragraph></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="H4651A17CABB14E0DA93A033208A69516"><enum>214.</enum><header>Oral health
professional student loans</header><text display-inline="no-display-inline">Part F of title VII of the Public Health
Service Act (42 U.S.C. 295j) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="HF4D488611B5B4F9186F8122555A16434" style="OLC">
<section id="HB48CF09215604C2BAEC12B533F72AD63"><enum>799C.</enum><header>Oral health
professional student loans</header>
<subsection id="HD4A604522021420B83DD748521634248"><enum>(a)</enum><header>In
general</header><text>The Secretary shall establish and operate a student loan
fund for oral health professional students, including dental hygienists, dental
therapists, and dentists.</text>
</subsection><subsection id="H250491DE959C4C06B24CC01CE57BB808"><enum>(b)</enum><header>Content</header><text>The
Secretary shall establish and operate the student loan fund program under
subsection (a) in the same manner and subject to the same terms as the loan
fund program established with schools of nursing under section 835.</text>
</subsection><subsection id="H915D190109B440F9A56E24B51F2F69A9"><enum>(c)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there are authorized to
be appropriated such sums as may be necessary for fiscal years 2013 through
2016.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section></subtitle><subtitle id="H28CCF9D5F30C420A992E7463027C235F"><enum>C</enum><header>Other oral health
programs</header>
<section commented="no" id="H80B8B04A4B2040EFA9F60E760A89D259"><enum>221.</enum><header>Access
points</header><text display-inline="no-display-inline">Subpart X of part D of
title III of the Public Health Service Act (42 U.S.C. 256f et seq.) is amended
by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HA543DE7F62CF40528E0E3070C3E01CAF" style="OLC">
<section id="H403F21CE0B4A46FE9A0CF494E2646267"><enum>340G–2.</enum><header>Funding for
oral health services</header>
<subsection id="H682A3B031688469A86DCDF1E3BF8969D"><enum>(a)</enum><header>In
general</header><text>The Secretary, acting through the Administrator of the
Health Resources and Services Administration, shall establish a program to
award grants to eligible entities to provide oral health services, or to
contract with private dental practices to provide comprehensive oral health
services, to low income individuals and individuals who are underserved with
respect to oral health care.</text>
</subsection><subsection id="HAACAB369F3394B058CC5A12CC73CFF4E"><enum>(b)</enum><header>Technical
assistance</header><text>The Secretary shall provide technical assistance to
entities receiving grants under subsection (a) to provide technical assistance
to such entities in order to—</text>
<paragraph commented="no" id="H26FCB8B6A2594613893679F514200662"><enum>(1)</enum><text>with respect to
oral health care services, increase efficiency and minimize missed
appointments, contract with offsite providers, recruit providers (including
oral health specialists), and operate programs outside the physical facilities
to take advantage of new systems to improve access to oral health services;
or</text>
</paragraph><paragraph commented="no" id="H158CBE83A69F4E72A4CC648BB2EAFF0A"><enum>(2)</enum><text>contract with
private dental practices that will provide oral health services other than
preventive oral health care, including restoration and maintenance of oral
health, in order to meet the need for oral health services in the
community.</text>
</paragraph></subsection><subsection id="H1146412853CA49FBB7FDAAD6FCDE1E2C"><enum>(c)</enum><header>Eligible
entities</header><text>To be eligible to receive a grant under subsection (a),
an entity shall—</text>
<paragraph id="H95CAF4A8383E422B86731EBCFF95B1E7"><enum>(1)</enum><text>be—</text>
<subparagraph id="H6625A983511F45138BAABC0E40DD6E8B"><enum>(A)</enum><text>a Federally
qualified health center (as defined in section 1861(aa) of the Social Security
Act);</text>
</subparagraph><subparagraph id="H52F541BEAE4B46C2B40A1DB9A469B08A"><enum>(B)</enum><text>a safety net
clinic or a free clinic (as defined by the Secretary);</text>
</subparagraph><subparagraph id="H96B1A4C0D52D4B9F987676C071A169CF"><enum>(C)</enum><text>a health care
clinic that provides services to tribal organizations or urban Indian
organizations (as such terms are defined in section 4 of the Indian Health Care
Improvement Act); or</text>
</subparagraph><subparagraph id="HC921F0B924074AA3B4FF288EF99F7E37"><enum>(D)</enum><text>any other
interested public or private sector health care provider or organization that
the Secretary determines has a demonstrated history in serving a high number of
uninsured and or low-income individuals or those who lack ready access to oral
health services; and</text>
</subparagraph></paragraph><paragraph id="H438132C4E3ED40D5BA18EE1E213761C5"><enum>(2)</enum><text>demonstrate a
clear need to expand oral health care services beyond preventive oral health
care.</text>
</paragraph></subsection><subsection id="H30C5B06A129846BCA78E032E30869AFF"><enum>(d)</enum><header>Allocation for
hiring oral health care specialists</header><text>A portion of the funds
available under this section shall be allocated toward hiring oral health care
specialists, such as oral surgeons, at entities receiving grants under this
section.</text>
</subsection><subsection id="HB15AFA9B44DE4B46B2CAD3987504C384"><enum>(e)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there is authorized to
be appropriated such sums as may be necessary for each of fiscal years 2013
through
2016.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HAB231C2B4AF64BD1AA9C80C32F9DF65A"><enum>222.</enum><header>Dental clinics
in schools</header><text display-inline="no-display-inline">Part Q of title III
of the Public Health Service Act (42 U.S.C. 280h et seq.) is amended by adding
at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H5CBD958CBB314315BB4994B1FB40FB6D" style="OLC">
<section commented="no" id="HB259083C95AC42CBBD486A73A3B7D673"><enum>399Z–2.</enum><header>Dental
clinics in schools</header>
<subsection commented="no" id="H6E19AEA065BA48969479E7B790AB1747"><enum>(a)</enum><header>In
general</header><text>The Secretary shall award grants to qualified entities
for the purpose of funding the building, operation, or expansion of dental
clinics in schools.</text>
</subsection><subsection commented="no" id="HBF6F52E0A9C54F6CB6631598CCFDE05E"><enum>(b)</enum><header>Qualified
entities</header><text>To receive a grant under this section, a qualified
entity shall submit an application to the Secretary at such time, in such
manner, and containing such information as the Secretary may require.</text>
</subsection><subsection commented="no" id="HA62758F2552D4D4C8BE4D40009F3E3E0"><enum>(c)</enum><header>Requirements</header><text>An
entity receiving a grant under this section shall—</text>
<paragraph commented="no" id="H4D5B0D2406E540589338684FB9FC8EBB"><enum>(1)</enum><text>provide
comprehensive oral health services at a dental clinic based at a school,
including oral health education, oral screening, fluoride application,
prophylaxis, and sealants;</text>
</paragraph><paragraph commented="no" id="HB081F8165DC248AB9F0C8D940F36ACF9"><enum>(2)</enum><text>refer patients to
an available qualified oral health provider in the community for any required
oral health services not provided in the dental clinic in the school, to ensure
that all the oral health needs of students are met; and</text>
</paragraph><paragraph commented="no" id="H3E9CC82F01BA4F9EAC742BB065421554"><enum>(3)</enum><text>maintain clinic
hours that extend beyond school hours.</text>
</paragraph></subsection><subsection commented="no" id="HE9598D3C947449D39FFA24F36ED688B8"><enum>(d)</enum><header>Authorization of
appropriations</header><text>For purposes of carrying out this section, there
is authorized to be appropriated such sums as may be necessary for fiscal years
2013 through
2016.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H871F46A844DC46EA96EE13733AFDC045"><enum>223.</enum><header>Emergency room
care coordination</header><text display-inline="no-display-inline">Part B of
title III of the Public Health Service Act (42 U.S.C. 243 et seq.), as amended
by section 213(b), is further amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="H79FB55C9352C40BF8D906E10AB55757F" style="OLC">
<section commented="no" id="H150AEB3DB19B44D7957A9BC04DF3515D"><enum>320C.</enum><header>Emergency room
care coordination with respect to dental care</header>
<subsection commented="no" id="HD32869781A794AD2AED6C758C61DA057"><enum>(a)</enum><header>In
general</header><text>The Secretary, acting through the Administrator of the
Health Resources and Services Administration, shall establish a grant program
to enable individuals to receive dental care at a facility operated by a grant
recipient rather than at a hospital emergency room.</text>
</subsection><subsection commented="no" id="H1F6265C0B5624C94B0BE7142EF7F58EC"><enum>(b)</enum><header>Eligible
entities</header><text>To be eligible to receive a grant under this section, an
entity shall be—</text>
<paragraph commented="no" id="H520DDD9512574E52AB4E1E2E968D0649"><enum>(1)</enum><text>a hospital in
partnership with a Federally qualified health center;</text>
</paragraph><paragraph commented="no" id="H8D68BE3B8CD848EA99BE4588CD301148"><enum>(2)</enum><text>a Federally
qualified health center;</text>
</paragraph><paragraph commented="no" id="H044300D5EA654F8794F145D8D6558D7D"><enum>(3)</enum><text>a private dental
practice; or</text>
</paragraph><paragraph commented="no" id="H3AFE998D895E41C29527F7090799A4E8"><enum>(4)</enum><text>any other
interested public or private sector health care provider or organization that
the Secretary determines has the capacity to serve a high number of individuals
who lack access to oral health services.</text>
</paragraph></subsection><subsection commented="no" id="HE99C7D7FD7C348B688F5E7C821A269F2"><enum>(c)</enum><header>Oral health
education for ER physicians</header><text>The Secretary shall allocate a
portion of the amounts appropriated under subsection (e) toward medical
education for emergency room physicians to be trained in oral health.</text>
</subsection><subsection commented="no" id="HF1B2156CECCF4ED297ADCDC262F2361A"><enum>(d)</enum><header>Report</header><text>Not
later than January 1, 2016, the Secretary shall submit to Congress a report on
the best practices determined by the program established under this section to
address oral health needs of individuals who go to emergency rooms in need of
oral health care.</text>
</subsection><subsection commented="no" id="H6637920046714E14A9A53F9758446E37"><enum>(e)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there is authorized to
be appropriated such sums as may be necessary for fiscal years 2013 through
2016.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H1731D88A2F1C4E8F9FA3B5E8FF8E949A"><enum>224.</enum><header>Research
funding</header><text display-inline="no-display-inline">For fiscal years 2013
through 2016, there is authorized to be appropriated such sums as may be
necessary to each of—</text>
<paragraph id="H431A6D7FEFC34DE3A93DCC5032ED33F9"><enum>(1)</enum><text>the Centers for
Disease Control and Prevention, for the purpose of conducting research
on—</text>
<subparagraph id="H04A1F9D19A054CCEA7B9814739BA5285"><enum>(A)</enum><text>the prevention of
oral health disease; and</text>
</subparagraph><subparagraph id="H44C27B0E90BE41B6882BFCB969F2FE00"><enum>(B)</enum><text>oral health
disease management;</text>
</subparagraph></paragraph><paragraph id="H786D8F01E9B54B978F6A8357113DDD09"><enum>(2)</enum><text>the Agency for
Healthcare Research and Quality, for the purpose of conducting—</text>
<subparagraph id="HDAC18F659FD04D3090DD839228AA66CC"><enum>(A)</enum><text>research with
respect to oral health services and the delivery of oral health services;
and</text>
</subparagraph><subparagraph id="H0A73910127974678925A102E30CE5A97"><enum>(B)</enum><text>an evaluation of
oral health service delivery to underserved and vulnerable populations;</text>
</subparagraph></paragraph><paragraph id="HE16E922D8AB746588386378066D03C03"><enum>(3)</enum><text>the National
Institute of Dental and Craniofacial Research for the purpose of conducting
research on oral health disease management including pharmaceutical-behavioral
intervention; and</text>
</paragraph><paragraph id="HBA20914AB8F8422A8794B48D452B2E2C"><enum>(4)</enum><text>the Maternal and
Child Health Bureau for the purpose of conducting research on maternal and
child oral health issues.</text>
</paragraph></section><section id="HED7995DE715F42A683BBBBC40ED292EC"><enum>225.</enum><header>Mobile and
portable dental services</header><text display-inline="no-display-inline">Subpart X of part D of title III of the
Public Health Service Act (42 U.S.C. 256f et seq.), as amended by section 221,
is further amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H2C356EDF798D4FCA80ED33CEE14481E3" style="OLC">
<section id="H743A2A89E84240ECB544FCDA43E6FBD5"><enum>340G–3.</enum><header>Mobile and
portable dental services</header>
<subsection id="H0D263F3E0DE947C0AA3DAB7D89526EAB"><enum>(a)</enum><header>In
general</header><text>The Secretary shall award grants to rural health clinics,
as defined in section 1861(aa)(2) of the Social Security Act (42 U.S.C.
1395x(aa)(2)), to provide mobile and portable, comprehensive dental services
(including dental services provided by licensed providers through
telehealth-enabled collaboration and supervision) and outreach for dental
services at locations such as senior centers, nursing homes, assisted living
facilities, schools, licensed day care centers that serve children who receive
benefits under the State Children's Health Insurance Program under title XXI of
the Social Security Act (42 U.S.C. 1397aa et seq.) or the Medicaid program
under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), and
facilities that provide services under the Special Supplemental Nutrition
Program for Women, Infants, and Children (the WIC program) or the Head Start
Act (42 U.S.C. 9831 et seq.).</text>
</subsection><subsection id="H6F505BABD9C845A3912650CDB3128EC8"><enum>(b)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there are authorized to
be appropriated such sums as may be
necessary.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section></subtitle><enum>III</enum><header>Department of
Veterans Affairs and Department of Defense Matters</header>
<subtitle id="HC0DB21D65C37445A838278FF8D3C686E"><enum>A</enum><header>Department of
Veterans Affairs Matters</header>
<section id="H321CCA96D354476E8CC76318929F3D5B"><enum>301.</enum><header>Requiring
Secretary of Veterans Affairs to furnish dental care in same manner as any
other medical service</header>
<subsection id="H10F3DCDF6FE94326AAC7730DE126300F"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Title 38, United
States Code, is amended—</text>
<paragraph id="H7510F2F1746F496D9E7A1C9B2E76B248"><enum>(1)</enum><text display-inline="yes-display-inline">in section 1701(6), by striking <quote>as
described in sections 1710 and 1712 of this title</quote>;</text>
</paragraph><paragraph id="H7D60DC76E72B43489F5DB63FA13654A7"><enum>(2)</enum><text>in section
1710(c), by striking the second sentence;</text>
</paragraph><paragraph id="H49AA3E425E3746D9A9CA8DB2082D9F37"><enum>(3)</enum><text>in section
1712—</text>
<subparagraph id="H56FF7FAE49264AF1B2840C199DCD415E"><enum>(A)</enum><text>by striking
subsections (a) and (b); and</text>
</subparagraph><subparagraph id="H1761A7D85C1B4B1DABF041B87133CDD9"><enum>(B)</enum><text>by redesignating
subsections (c) through (e) as subsections (a) through (c), respectively;
and</text>
</subparagraph></paragraph><paragraph id="H56E54E56A82E4F1ABCE5DBBEFBADCE49"><enum>(4)</enum><text display-inline="yes-display-inline">by striking section 2062.</text>
</paragraph></subsection><subsection id="HB88ABC71C1F44A5FA51EA01843747430"><enum>(b)</enum><header>Conforming
amendments</header><text>Such title is further amended—</text>
<paragraph id="H42CF16D60A544C1E945C36BDF00689B9"><enum>(1)</enum><text>in section
1525(a), by striking <quote>medicines under section 1712(d)</quote> and
inserting <quote>medicines under section 1712(b)</quote>; and</text>
</paragraph><paragraph id="H555F2AC334984E8A93678299309F1301"><enum>(2)</enum><text>in section
1703(a)(7), by striking <quote>, for a veteran described in section
1712(a)(1)(F) of this title</quote>.</text>
</paragraph></subsection><subsection id="H0063147FBF7A4E2F9EEB5841D6BD15DE"><enum>(c)</enum><header>Clerical
amendments</header><text>Such title is further amended—</text>
<paragraph id="HCFC76077CD994830878886102E6C1D72"><enum>(1)</enum><text>in section 1712,
in the heading for such section, by striking <quote><header-in-text level="section" style="USC">Dental care; drugs</header-in-text></quote> and
inserting <quote><header-in-text level="section" style="USC">Drugs</header-in-text></quote>;</text>
</paragraph><paragraph id="H7CED4852CC874EE3939705BFE36A0E04"><enum>(2)</enum><text>in the table of
sections at the beginning of chapter 17, by striking the item relating to
section 1712 and inserting the following new item:</text>
<quoted-block display-inline="no-display-inline" id="H7501524771E34EA7953B93631CD8D181" style="OLC">
<toc>
<toc-entry bold="off" level="section">1712. Drugs and medicines for
certain disabled veterans;
vaccines.</toc-entry>
</toc>
<after-quoted-block>;</after-quoted-block></quoted-block>
<continuation-text continuation-text-level="paragraph">and</continuation-text></paragraph><paragraph id="H802ADDE7E90F40A7BE4F64467F3418EA"><enum>(3)</enum><text>in the table of
sections at the beginning of chapter 20, by striking the item relating to
section 2062.</text>
</paragraph></subsection></section><section id="HC08E38EB44484942BA09FA0283B71DF5"><enum>302.</enum><header>Demonstration
program on training and employment of alternative dental health care providers
for dental health care services for veterans in rural and other underserved
communities</header>
<subsection id="HBBC33DEA0539448C9A93372D57F85219"><enum>(a)</enum><header>Demonstration
program authorized</header><text>The Secretary of Veterans Affairs may carry
out a demonstration program to establish programs to train and employ
alternative dental health care providers in order to increase access to dental
health care services for veterans entitled to such services who reside in rural
and other underserved communities.</text>
</subsection><subsection id="HD06AC265D5EF4353B4A384C239441271"><enum>(b)</enum><header>Telehealth</header><text>For
purposes of alternative dental health care providers and any other dental care
providers who are licensed to provide clinical care, dental services provided
under the demonstration program under this section may be administered by such
providers through telehealth-enabled collaboration and supervision when deemed
appropriate and feasible.</text>
</subsection><subsection id="HE512B7660562431A943DD30B8842055A"><enum>(c)</enum><header>Alternative
dental health care providers defined</header><text>In this section, the term
<term>alternative dental health care providers</term> has the meaning given
that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C.
256g–1(a)(2)).</text>
</subsection><subsection id="H7F1F735188D343B7838AB5207D328080"><enum>(d)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated such sums
as are necessary to carry out the demonstration program under this
section.</text>
</subsection></section></subtitle><subtitle id="H185AC502B9C142BDAFE7D6A7F928396C"><enum>B</enum><header>Department of
Defense Matters</header>
<section id="H827233FBB49A478CA815EFCE85067AD7"><enum>311.</enum><header>Demonstration
program on training and employment of alternative dental health care providers
for dental health care services for members of the Armed Forces and dependents
lacking ready access to such services</header>
<subsection id="H8A903282B30E48B9852BA6A18D597DB4"><enum>(a)</enum><header>Demonstration
program authorized</header><text>The Secretary of Defense may carry out a
demonstration program to establish programs to train and employ alternative
dental health care providers in order to increase access to dental health care
services for members of the Armed Forces and their dependents who lack ready
access to such services, including the following:</text>
<paragraph id="H4059C21782254A2DB56E26E377B99282"><enum>(1)</enum><text>Members and
dependents who reside in rural areas or areas otherwise underserved by dental
health care providers.</text>
</paragraph><paragraph id="HF5BA8F3057524E9BB04B087225DC4C5C"><enum>(2)</enum><text>Members of the
National Guard and Reserves in active status who are potentially
deployable.</text>
</paragraph></subsection><subsection id="H7945491E9B414376BF2BA5CC0CF41F48"><enum>(b)</enum><header>Telehealth</header><text>For
purposes of alternative dental health care providers and any other dental care
providers who are licensed to provide clinical care, dental services provided
under the demonstration program under this section may be administered by such
providers through telehealth-enabled collaboration and supervision when deemed
appropriate and feasible.</text>
</subsection><subsection id="HE41688BB3AB6493BBC7EDF407A273241"><enum>(c)</enum><header>Alternative
dental health care providers defined</header><text>In this section, the term
<term>alternative dental health care providers</term> has the meaning given
that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C.
256g–1(a)(2)).</text>
</subsection><subsection id="H4E495BE1865146C6B7CAFCD42CDFE4E5"><enum>(d)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated such sums
as are necessary to carry out the demonstration program under this
section.</text>
</subsection></section></subtitle><enum>IV</enum><header>Federal Bureau of
Prisons</header>
<section id="HBA006FC8FF3F413C810B584332A75AF6"><enum>401.</enum><header>Demonstration
program on training and employment of alternative dental health care providers
for dental health care services for prisoners within the custody of the Bureau
of Prisons</header>
<subsection id="HA5D40FA87893429FAEE6D4B717A47AC2"><enum>(a)</enum><header>Demonstration
program authorized</header><text>The Attorney General, acting through the
Director of the Bureau of Prisons, may carry out a demonstration program to
establish programs to train and employ alternative dental health care providers
in order to increase access to dental health services for prisoners within the
custody of the Bureau of Prisons.</text>
</subsection><subsection id="HF4603B4FF12D4703B0D763041C9C60AA"><enum>(b)</enum><header>Telehealth</header><text>For
purposes of alternative dental health care providers and any other dental care
providers who are licensed to provide clinical care, dental services provided
under the demonstration program under this section may be administered by such
providers through telehealth-enabled collaboration and supervision when deemed
appropriate and feasible.</text>
</subsection><subsection id="H467233229AB54BC7AA5AED233FDF1AFF"><enum>(c)</enum><header>Alternative
dental health care providers defined</header><text>In this section, the term
<term>alternative dental health care providers</term> has the meaning given
that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C.
256g–1(a)(2)).</text>
</subsection><subsection id="H60AD8F235248460A83425C8F4062D505"><enum>(d)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated such sums
as are necessary to carry out the demonstration program under this
section.</text>
</subsection></section><enum>V</enum><header>Indian Health
Service</header>
<section id="H8E690C00DAB14A0BA39AC5F84ACA8E51"><enum>501.</enum><header>Demonstration
program on training and employment of alternative dental health care providers
for dental health care services under the Indian Health Service</header>
<subsection id="H0CE55F9D36DA4999AAE26ED6CB98C8C6"><enum>(a)</enum><header>Demonstration
program authorized</header><text>The Secretary of Health and Human Services,
acting through the Indian Health Service, may carry out a demonstration program
to establish programs to train and employ alternative dental health care
providers in order to help eliminate oral health disparities and increase
access to dental services through health programs operated by the Indian Health
Service, Indian tribes, tribal organizations, and Urban Indian organizations
(as those terms are defined in section 4 of the Indian Health Care Improvement
Act (25 U.S.C. 1603)).</text>
</subsection><subsection id="H751E2DF1D2AE4B0C82F3F18969854D75"><enum>(b)</enum><header>Telehealth</header><text>For
purposes of alternative dental health care providers and any other dental care
providers who are licensed to provide clinical care, dental services provided
under the demonstration program under this section may be administered by such
providers through telehealth-enabled collaboration and supervision when deemed
appropriate and feasible.</text>
</subsection><subsection id="H70AD320F76C14D5AB33DC9048D1E59DF"><enum>(c)</enum><header>Alternative
dental health care providers defined</header><text>In this section, the term
<term>alternative dental health care providers</term> has the meaning given
that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C.
256g–1(a)(2)).</text>
</subsection><subsection id="HC0BB4296DB784AE69426B28210E0D6AA"><enum>(d)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated such sums
as are necessary to carry out the demonstration program under this
section.</text>
</subsection></section><enum>VI</enum><header>Reports to
Congress</header>
<section id="H9E3FA98EB2CE43ACBC632BA54D14F165"><enum>601.</enum><header>Evaluation of
expansion of coverage for dental services</header>
<subsection id="H7752583811054E54A7C11DC1DCDACC8C"><enum>(a)</enum><header>Secretary of
Health and Human Services</header><text display-inline="yes-display-inline">Not
later than October 1, 2016, the Secretary of Health and Human Services shall
submit to Congress a report that provides a comprehensive cost-benefit analysis
regarding the expansion of coverage for dental services pursuant to this Act,
including whether the provision of such services resulted in a reduction in
total health care costs for individuals under the Medicare and Medicaid
programs.</text>
</subsection><subsection id="HFB597AC0AE95450A8519CDB2FDD560B4"><enum>(b)</enum><header>Comptroller
General</header>
<paragraph id="H41205CC3B7FE41E9907BE123AE248617"><enum>(1)</enum><header>Medicaid and
Medicare</header><text>Not later than October 1, 2015, the Comptroller General
of the United States shall submit to Congress a report that provides a
comprehensive analysis and evaluation of the implementation and utilization of
the expanded coverage for dental services pursuant to this Act for individuals
enrolled in the Medicare and Medicaid programs.</text>
</paragraph><paragraph id="HD96488F84DB941B089DF93F1C045FB99"><enum>(2)</enum><header>Demonstration
programs</header><text>Not later than October 1, 2016, the Comptroller General
of the United States shall submit to Congress a report that provides a
comprehensive analysis and evaluation of the demonstration programs described
in sections 302, 311, 401, and 501, including—</text>
<subparagraph id="H8C44EF39213646F9BB947402E2DD863C"><enum>(A)</enum><text>the extent to
which the programs improved access to oral health care and increased
utilization of oral health services; and</text>
</subparagraph><subparagraph id="H07CDA6B578D546F2B02E4D825523D86C"><enum>(B)</enum><text>an examination of
the training provided under the programs to alternative dental health care
providers and the quality of care provided by such providers.</text>
</subparagraph></paragraph></subsection></section><enum>VII</enum><header>Funding</header>
<section id="H632D7B01D0DC48369A4DA1A703288A41"><enum>701.</enum><header>Transaction
tax</header>
<subsection id="HBCE9F7E453EF4FC7AAA4E7DE8D41A9AE"><enum>(a)</enum><header>In
general</header><text>Chapter 36 of the Internal Revenue Code of 1986 is
amended by inserting after subchapter B the following new subchapter:</text>
<quoted-block display-inline="no-display-inline" id="HB27F4833805A4E3E9058B2B01184F607" style="OLC">
<subchapter id="HE1FCBCDDA8124EB78CE956F7DAEFE8C4"><enum>C</enum><header>Tax on Trading
Transactions</header>
<toc container-level="subchapter-container" idref="HE1FCBCDDA8124EB78CE956F7DAEFE8C4" lowest-bolded-level="division-lowest-bolded" lowest-level="section" quoted-block="no-quoted-block" regeneration="yes-regeneration">
<toc-entry idref="HF42A213CB29D44A99490F5EB29E5DEBC" level="section">Sec. 4475. Tax on trading transactions.</toc-entry>
</toc>
<section id="HF42A213CB29D44A99490F5EB29E5DEBC"><enum>4475.</enum><header>Tax on trading
transactions</header>
<subsection id="H19AFC0787DD844AEBACD3A53694E20DE"><enum>(a)</enum><header>Imposition of
tax</header><text display-inline="yes-display-inline">There is hereby imposed a
tax on each covered transaction with respect to any security.</text>
</subsection><subsection id="HC015CE29EE9A412EAC0EA81BD2396731"><enum>(b)</enum><header>Rate of
tax</header><text display-inline="yes-display-inline">The tax imposed under
subsection (a) with respect to any covered transaction shall be 0.025 percent
of the specified base amount with respect to such covered transaction.</text>
</subsection><subsection id="H8FBD728348E640A0B2C412E10DC47D66"><enum>(c)</enum><header>Specified base
amount</header><text>For purposes of this section, the term <quote>specified
base amount</quote> means—</text>
<paragraph id="H9AC66B6F6F1442D9A2BBFC5F5B9D9B68"><enum>(1)</enum><text>except as provided
in paragraph (2), the fair market value of the security (determined as of the
time of the covered transaction), and</text>
</paragraph><paragraph id="H04C709EFE7A54D89AB16116B75EA0AA1"><enum>(2)</enum><text>in the case of any
payment described in subsection (h), the amount of such payment.</text>
</paragraph></subsection><subsection id="H7C3E6E1859EA4851BC80D7BF0838009A"><enum>(d)</enum><header>Covered
transaction</header><text>For purposes of this section, the term <quote>covered
transaction</quote> means—</text>
<paragraph id="H8E11F608603145C487EB4D631742158C"><enum>(1)</enum><text>except as provided
in paragraph (2), any purchase if—</text>
<subparagraph id="H0FAD8C7670FE4085A55784D4D1EE08BE"><enum>(A)</enum><text>such purchase
occurs or is cleared on a facility located in the United States, or</text>
</subparagraph><subparagraph id="HDC5904FDCEF64CECBC8F4103A4EC3657"><enum>(B)</enum><text>the purchaser or
seller is a United States person, and</text>
</subparagraph></paragraph><paragraph id="H2F6E85514FDF487A835CAD372C1E07B7"><enum>(2)</enum><text>any transaction
with respect to a security described in subparagraph (D), (E), or (F) of
subsection (e)(1), if—</text>
<subparagraph id="H15576E653E0D4E3D806384D3305021B7"><enum>(A)</enum><text>such security is
traded or cleared on a facility located in the United States, or</text>
</subparagraph><subparagraph id="H8887FF0FA93F443EAEB0F4D5653F11AC"><enum>(B)</enum><text>any party with
rights under such security is a United States person.</text>
</subparagraph></paragraph></subsection><subsection id="H9DF23F950EFD484298B995E98D36F1F9"><enum>(e)</enum><header>Security and
other definitions</header><text>For purposes of this section:</text>
<paragraph id="H79D07C6747E640859006D2735C76472B"><enum>(1)</enum><header>In
general</header><text>The term <term>security</term> means—</text>
<subparagraph id="H9D299FA58EE94E7A96D2B66EE203BDB2"><enum>(A)</enum><text>any share of stock
in a corporation,</text>
</subparagraph><subparagraph id="H8840C0888C6B4F7B8AB9A2882ACFDC68"><enum>(B)</enum><text>any partnership or
beneficial ownership interest in a partnership or trust,</text>
</subparagraph><subparagraph id="HB70DFE3B3A834A8CB2EC39051B578A21"><enum>(C)</enum><text>any note, bond,
debenture, or other evidence of indebtedness,</text>
</subparagraph><subparagraph id="HB3C4B894D58D4E0F848C84A6B8D91761"><enum>(D)</enum><text>any evidence of an
interest in, or a derivative financial instrument with respect to, any security
or securities described in subparagraph (A), (B), or (C),</text>
</subparagraph><subparagraph id="H6ED45DABEB8B417288B4825DA9119C9C"><enum>(E)</enum><text>any derivative
financial instrument with respect to any currency or commodity, and</text>
</subparagraph><subparagraph id="HBD6C819889E44A1F8543F2C0E0A9D37B"><enum>(F)</enum><text>any other
derivative financial instrument any payment with respect to which is calculated
by reference to any specified index.</text>
</subparagraph></paragraph><paragraph id="H25D6F9B6B1A94817B6CE70F5278B006E"><enum>(2)</enum><header>Derivative
financial instrument</header><text>The term <term>derivative financial
instrument</term> includes any option, forward contract, futures contract,
notional principal contract, or any similar financial instrument.</text>
</paragraph><paragraph id="HCD6299E8271A4354BE557578BF278924"><enum>(3)</enum><header>Specified
index</header><text>The term <term>specified index</term> means any 1 or more
of any combination of—</text>
<subparagraph id="HA406297DF33742E3A5D76369C0E7D898"><enum>(A)</enum><text>a fixed rate,
price, or amount, or</text>
</subparagraph><subparagraph id="HB91035F33CF6439A8AB5EDD13E5DFD32"><enum>(B)</enum><text>a variable rate,
price, or amount, </text>
</subparagraph><continuation-text continuation-text-level="paragraph">which is
based on any current objectively determinable information which is not within
the control of any of the parties to the contract or instrument and is not
unique to any of the parties’ circumstances.</continuation-text></paragraph><paragraph id="H36E7CD376E354C53952D113CCE7DDAB6"><enum>(4)</enum><header>Treatment of
exchanges</header>
<subparagraph id="H36900A4343B444B09CF2B3053FEEF837"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">An exchange shall be
treated as the sale of the property transferred and a purchase of the property
received by each party to the exchange.</text>
</subparagraph><subparagraph id="H3528FEBC49BB48EDB4428A39BC72CCDB"><enum>(B)</enum><header>Certain deemed
exchanges</header><text>In the case of a distribution treated as an exchange
for stock under section 302 or 331, the corporation making such distribution
shall be treated as having purchased such stock for purposes of this
section.</text>
</subparagraph></paragraph></subsection><subsection id="H292791E4645645F78224D0A27E709215"><enum>(f)</enum><header>Exceptions</header>
<paragraph id="H60EEF347173E4D35B965756A810FC9ED"><enum>(1)</enum><header>Exception for
initial issues</header><text display-inline="yes-display-inline">No tax shall
be imposed under subsection (a) on any covered transaction with respect to the
initial issuance of any security described in subparagraph (A), (B), or (C) of
subsection (e)(1).</text>
</paragraph><paragraph id="HCC4165D674D34146AB050C1F16B046F5"><enum>(2)</enum><header>Exception for
certain traded short-term indebtedness</header><text>A note, bond, debenture,
or other evidence of indebtedness which—</text>
<subparagraph id="H2D2D610AB5AB474EB28E0AB23C0FC95D"><enum>(A)</enum><text>is traded on a
trading facility located in the United States, and</text>
</subparagraph><subparagraph id="H3FCE3F39046744C3A2020427478337F7"><enum>(B)</enum><text>has a fixed
maturity of not more than 100 days,</text>
</subparagraph><continuation-text continuation-text-level="paragraph">shall not
be treated as described in subsection (e)(1)(C).</continuation-text></paragraph><paragraph id="H99DA486ECA684BA8B3A813C9D7FA5E3C"><enum>(3)</enum><header>Exception for
securities lending arrangements</header><text>No tax shall be imposed under
subsection (a) on any covered transaction with respect to which gain or loss is
not recognized by reason of section 1058.</text>
</paragraph></subsection><subsection id="H3C51D89FB7284F6EBBB12311F64197FE"><enum>(g)</enum><header>By whom
paid</header>
<paragraph id="H124FC0BBE1404A3F93701FD3F957B221"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The tax imposed by
this section shall be paid by—</text>
<subparagraph id="H0C9F277D9BBA4EE082F377B946AFB2F6"><enum>(A)</enum><text>in the case of a
transaction which occurs or is cleared on a facility located in the United
States, such facility, and</text>
</subparagraph><subparagraph id="HFD350E6414A74377AC57C0D308C1198E"><enum>(B)</enum><text>in the case of a
purchase not described in subparagraph (A) which is executed by a broker (as
defined in section 6045(c)(1)) which is a United States person, such
broker.</text>
</subparagraph></paragraph><paragraph id="H724BFF7E0E7543AAA77F2159CB17B2C0"><enum>(2)</enum><header>Special rules
for direct, etc., transactions</header><text>In the case of any transaction to
which paragraph (1) does not apply, the tax imposed by this section shall be
paid by—</text>
<subparagraph id="H18E5958665A24AD59F194EEC1534AC12"><enum>(A)</enum><text>in the case of a
transaction described in subsection (d)(1)—</text>
<clause id="HE27366C2F917433FA215E90D6ADBB798"><enum>(i)</enum><text>the purchaser if
the purchaser is a United States person, and</text>
</clause><clause id="HB33B4676FC774A13ABC0E876D3BF5532"><enum>(ii)</enum><text>the seller if the
purchaser is not a United States person, and</text>
</clause></subparagraph><subparagraph id="HA665295E1E1547ACBDE63E06CE432094"><enum>(B)</enum><text>in the case of a
transaction described in subsection (d)(2)—</text>
<clause id="H964ED728805B4D7DB42FFD1551DC45FF"><enum>(i)</enum><text>the payor if the
payor is a United States person, and</text>
</clause><clause id="H193F69B9CCAB4B26891E5968068AA4D1"><enum>(ii)</enum><text>the payee if the
payor is not a United States person.</text>
</clause></subparagraph></paragraph></subsection><subsection commented="no" id="H526720B2BB9C47FD973DD38C2252115B"><enum>(h)</enum><header>Certain payments
treated as separate transactions</header><text display-inline="yes-display-inline">Except as otherwise provided by the
Secretary, any payment with respect to a security described in subparagraph
(D), (E), or (F) of subsection (e)(1) shall be treated as a separate
transaction for purposes of this section, including—</text>
<paragraph id="H186D24A0D8284D1E86F26D24253E87CD"><enum>(1)</enum><text>any net initial
payment, net final or terminating payment, or net periodical payment with
respect to a notional principal contract (or similar financial
instrument),</text>
</paragraph><paragraph commented="no" id="H09F901F6C9A249179D06C95CE3FDEB9E"><enum>(2)</enum><text>any payment with
respect to any forward contract (or similar financial instrument), and</text>
</paragraph><paragraph id="H6AB1B0ADD2184B3CABDD35F87EF0C408"><enum>(3)</enum><text>any premium paid
with respect to any option (or similar financial instrument).</text>
</paragraph></subsection><subsection id="H98E92B45D94E478580613FE84495DC55"><enum>(i)</enum><header>Administration</header><text>The
Secretary shall carry out this section in consultation with the Securities and
Exchange Commission and the Commodity Futures Trading Commission.</text>
</subsection><subsection id="H0A7ECAEE71324DF7BF66902087422F02"><enum>(j)</enum><header>Guidance;
regulations</header><text>The Secretary shall—</text>
<paragraph id="HB1A4358E6E21467794C4E5EC7198D62F"><enum>(1)</enum><text>provide guidance
regarding such information reporting concerning covered transactions as the
Secretary deems appropriate, and</text>
</paragraph><paragraph id="HD9267B724AB5455CBD7ED05CA9EF8437"><enum>(2)</enum><text>prescribe such
regulations as are necessary or appropriate to prevent avoidance of the
purposes of this section, including the use of non-United States persons in
such
transactions.</text>
</paragraph></subsection></section></subchapter><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H45B32559B06046F7A759393610F2DB85"><enum>(b)</enum><header>Clerical
amendment</header><text>The table of subchapters for chapter 36 of the Internal
Revenue Code of 1986 is amended by inserting after the item relating to
subchapter B the following new item:</text>
<quoted-block display-inline="no-display-inline" id="H60CB056DC6984C058BB9E375298FE3DB" style="OLC">
<toc container-level="quoted-block-container" idref="HB27F4833805A4E3E9058B2B01184F607" lowest-bolded-level="division-lowest-bolded" lowest-level="section" quoted-block="no-quoted-block" regeneration="yes-regeneration">
<toc-entry level="section">Subchapter C. Tax on trading
transactions.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H1A40C71419AD4228AE22204BD933175C"><enum>(c)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to
transactions after December 31, 2012.</text>
</subsection></section>